chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.41
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Oral intake reduced, Pyrexia, Rash
Clinical narrative: Mom reports fever of 102 for four days, would go down with Tylenol, then up again. Rash over body, red bumps, baby irritable, not eating or sleeping well.
Age: 1.17
Sex: M
Vaccine: HBHEPB, MMRV, PNC, TDAP
Symptoms: Medication error
Clinical narrative: No adverse reactions Pt. received Tdap rather than DTaP.
Age: 13.0
Sex: M
Vaccine: IPV, MNQ, TDAP
Symptoms: Chills, Medication error, Tremor, Vomiting
Clinical narrative: RN accidentally administered 2 doses of TDaP vaccine to patient.  Second vaccine was thought to be Polio.  Realized mistake and informed parent immediately.  Patient observed for 20 minutes with no reaction noted, and family sent home with instructions to inform physician or public health immediately of any reaction.  Family subsequently returned to clinic 2 hours later with patient experiencing vomiting x2, chills, and shaking.  Contacted medical officer for clinic immediately and sent patient to physician's office for follow-up. Physician reported that poison control confirmed no risk of adverse reaction from receiving 2 doses of vaccine at same time.  Patient recovered in office and was sent home with no concerns. Follow-up phone call to family next day (8/25/06); reported patient doing okay and slept fine through the night.  Was no longer experiencing adverse symptoms.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Swelling, Tenderness, Throat tightness
Clinical narrative: Patient reports that within an hour of getting the injection she started having swelling and tenderness of the arm.  She reports having problems lifting the arm.  She reports that within a couple minutes she started having a tightness in the throat.  She is able to swallow but it feels more difficult.  No wheezing or shortness of breath.  No dizziness or lightheadedness.  Never had a reaction like this before.  No history of problems with vaccines as a child.  No reaction like this since being in the military.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia, Proteinuria, Red blood cell sedimentation rate increased
Clinical narrative: Vaccine was given on July 31 2006. She began having numbness and tingling in her feet and hands on or around August 13th or 14th, which persisted and slightly worsened until she was seen in our office on August 21st.  Her neurological examination was normal, she had an elevated sedimation rate (39), mild protienuria, otherwize normal labs. MRI of her lumbosacral spine showed a (possibly old, chronic) subarachnoid cyst.  She was referred to a neurologist and was seen on August 25th and was found to have weakened severely and was admitted to PICU for suspected Guillian-Barre syndrome which was confirmed by lumbar puncture.  She was treated with IVIG with rapid improvement and has gone home.  She is slowly improving and has residual weakness.  Medical records including neurology received/reviewed. Final diagnosis is GBS. Was treated with IVIG as indicated on VAERS form. Per records pt has residual weakness. 12/19/06-progress notes received for and DC Summary DC DX: GBS.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: Vaccine was given on July 31 2006. She began having numbness and tingling in her feet and hands on or around August 13th or 14th, which persisted and slightly worsened until she was seen in our office on August 21st.  Her neurological examination was normal, she had an elevated sedimation rate (39), mild protienuria, otherwize normal labs. MRI of her lumbosacral spine showed a (possibly old, chronic) subarachnoid cyst.  She was referred to a neurologist and was seen on August 25th and was found to have weakened severely and was admitted to PICU for suspected Guillian-Barre syndrome which was confirmed by lumbar puncture.  She was treated with IVIG with rapid improvement and has gone home.  She is slowly improving and has residual weakness.  Medical records including neurology received/reviewed. Final diagnosis is GBS. Was treated with IVIG as indicated on VAERS form. Per records pt has residual weakness. 12/19/06-progress notes received for and DC Summary DC DX: GBS.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Child received vaccines on 9/5/06, presented to office on 9/7/06 with erythema, mild induration, and warmth to right arm. Area not tender. Mother reports that child had the "same" reaction after previously administered DTaP a couple of years ago.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV, UNK, DTP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Abdominal pain upper, Erythema, Pruritus, Rash, Rash macular
Clinical narrative: Child received Proquad and experienced very itchy, red palms and soles of feet.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV, UNK, DTP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Urticaria
Clinical narrative: Child received Proquad and experienced very itchy, red palms and soles of feet.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV, UNK, DTP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Erythema, Pruritus
Clinical narrative: Child received Proquad and experienced very itchy, red palms and soles of feet.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV, UNK, DTP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Abdominal pain, Discomfort, Erythema, Flushing, Hypersensitivity
Clinical narrative: Child received Proquad and experienced very itchy, red palms and soles of feet.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV, UNK, DTP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Pruritus, Swelling face
Clinical narrative: Child received Proquad and experienced very itchy, red palms and soles of feet.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Abnormal behaviour, Crying, Discomfort
Clinical narrative: Information has been received from a health professional concerning an 8 week old male with a history of a skin allergy, who, within the past week, on approximately 8/23/06, was vaccinated with a first oral 2ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live. There was no concomitant medication. It was reported that after the vaccination, within the past week, on approximately 8/23/06, the patient was crying, seemed uncomfortable, and didn't seem himself. The patient was brought to the emergency room and was hospitalized overnight for observation. The patient was released the following day. It was reported that the patient recovered the day after receiving the vaccine. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Additional information has been requested.
Age: 1.06
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Dermatitis, Irritability, Pruritus, Pyrexia, Rash
Clinical narrative: Information has been received from a physician's assistant (PA) concerning her 13 month old daughter, who, two weeks ago, on approximately 7/17/06 was vaccinated SC with a dose of varicella virus vaccine live. Concomitant therapy included hepatitis A vaccine (inactive). Eight days after, on approximately 7/25/06, the patient developed severe chicken pox. Unspecified medical attention was sought and an oral steroid was given. Subsequently, the patient recovered from severe chicken pox. Additional information has been received from the PA and medical records indicating that her 13 month old Caucasian, birth twin daughter with no pre-existing allergies, birth defects or medical conditions and family history of high cholesterol, heart disease, high blood pressure, thyroid disease, cancer and allergies, was vaccinated on 7/17/06 with the first dose of MMR (+) varicella virus vaccine live (lot # 652234/0951R). Concomitant vaccination given on the same day included a first dose of hepatitis A virus vaccine inactivated (lot # AHAVB110AA) given in the right thigh. There was no illness at the time of vaccination. On 7/24/06, the patient developed a fever ranging from 102-103.4 degrees F. On 7/27/06 at 06:00 am, the patient was fussy and an erythematous, macular-papular, vesicular, pruritic rash developed, also described as dermatitis. The rash was noted to be over the torso, neck, arms and upper legs. The patient was seen by a physician on 7/27/06, was diagnosed with chicken pox and was treated with prednisolone sodium phosphate, ibuprofen, and acetaminophen 80 mg/0.8ml PO as needed. The physician also considered the event to be an adverse effect of medication. It was reported that the patient recovered as of 8/1/06. The patient's vaccination history includes: diphtheria toxoid (+) hepatitis B virus vaccine (+) pertussis acellular 3-component vaccine (+) poliovirus vaccine inactivated (+) tetanus toxoid given in the right thigh on 8/30/05, 11/2/05, and 12/21/05 (lot # AC218053AA); pneumococcal 23v polysaccharide vaccine given in the left thigh on 8/30/05 (lot # A85856E), 11/2/05 (lot # B0867E) and 12/21/05 (lot # B08658G); and HIB conjugate vaccine given in the left thigh on 8/30/05 (lot # 651250/0186R), 11/2/05 (lot # 651897/0529R) and 12/21/05 (lot # 652026/0541R). The reporter considered the patient's adverse experience to be an other important medical event (OMIC). The patient's twin brother had the same symptoms, however, the lesions were more mild (WAES0608USA01217). Additional information has been requested.
Age: 1.06
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Rash erythematous, Rash maculo-papular, Viral infection
Clinical narrative: Information has been received from a physician's assistant (PA) concerning her 13 month old daughter, who, two weeks ago, on approximately 7/17/06 was vaccinated SC with a dose of varicella virus vaccine live. Concomitant therapy included hepatitis A vaccine (inactive). Eight days after, on approximately 7/25/06, the patient developed severe chicken pox. Unspecified medical attention was sought and an oral steroid was given. Subsequently, the patient recovered from severe chicken pox. Additional information has been received from the PA and medical records indicating that her 13 month old Caucasian, birth twin daughter with no pre-existing allergies, birth defects or medical conditions and family history of high cholesterol, heart disease, high blood pressure, thyroid disease, cancer and allergies, was vaccinated on 7/17/06 with the first dose of MMR (+) varicella virus vaccine live (lot # 652234/0951R). Concomitant vaccination given on the same day included a first dose of hepatitis A virus vaccine inactivated (lot # AHAVB110AA) given in the right thigh. There was no illness at the time of vaccination. On 7/24/06, the patient developed a fever ranging from 102-103.4 degrees F. On 7/27/06 at 06:00 am, the patient was fussy and an erythematous, macular-papular, vesicular, pruritic rash developed, also described as dermatitis. The rash was noted to be over the torso, neck, arms and upper legs. The patient was seen by a physician on 7/27/06, was diagnosed with chicken pox and was treated with prednisolone sodium phosphate, ibuprofen, and acetaminophen 80 mg/0.8ml PO as needed. The physician also considered the event to be an adverse effect of medication. It was reported that the patient recovered as of 8/1/06. The patient's vaccination history includes: diphtheria toxoid (+) hepatitis B virus vaccine (+) pertussis acellular 3-component vaccine (+) poliovirus vaccine inactivated (+) tetanus toxoid given in the right thigh on 8/30/05, 11/2/05, and 12/21/05 (lot # AC218053AA); pneumococcal 23v polysaccharide vaccine given in the left thigh on 8/30/05 (lot # A85856E), 11/2/05 (lot # B0867E) and 12/21/05 (lot # B08658G); and HIB conjugate vaccine given in the left thigh on 8/30/05 (lot # 651250/0186R), 11/2/05 (lot # 651897/0529R) and 12/21/05 (lot # 652026/0541R). The reporter considered the patient's adverse experience to be an other important medical event (OMIC). The patient's twin brother had the same symptoms, however, the lesions were more mild (WAES0608USA01217). Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Convulsion, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient who in August 2006, was vaccinated IM with a dose of HPV rL1 6 11 16 18 VLP vaccine. Prior to administration, the patient received the following concomitant therapy: hepatitis A vaccine and meningococcal ACYW conjugate vaccine. The patient had a mild seizure after receiving HPV rL1 6 11 16 18 VLP vaccine injection. She also complained of a great deal of pain at injection site. Medical attention was sought. It was reported that the patient recovered 1 day after the event. Her mother called the physician at home 1 day after the injections to state that the patient was fine. Upon internal review, mild seizure was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Information has been received from a nurse concerning her 17 year old daughter with asthma who on 8/22/06 was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine (0.5ml). On 8/23/06 the patient developed a swollen thumb and her palms became red and hot. The patient later developed a tightness in her chest. The patient was immediately taken to a physician (an allergist who was the mother's employer) who immediately gave the patient a huge dose of cetirizine hydrochloride and acetaminophen as an intervention. The patient was not hospitalized and did not got to the emergency room. It was unknown if the affected site was the same arm that the vaccine was given in. The patient subsequently recovered from the red and hot palms, swollen thumb, and chest tightness on an unspecified date. The red and hot palms, swollen thumb and chest tightness were felt to be other important medical events. Additional information has been requested.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blood cholesterol increased, Bone pain, Colitis, Diverticulitis
Clinical narrative: DX Diverticulitis/Colitis/Hemorrhoid Type I. Treatment: Hospitalization (10 days). Medications (PO and IV). Colonoscopy, Abdominal CT. Ache: bones, Ache: joints, blood: high cholesterol, hemorrhoids, pain: bone and joint.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Haemorrhoids
Clinical narrative: DX Diverticulitis/Colitis/Hemorrhoid Type I. Treatment: Hospitalization (10 days). Medications (PO and IV). Colonoscopy, Abdominal CT. Ache: bones, Ache: joints, blood: high cholesterol, hemorrhoids, pain: bone and joint.
Sex: U
Vaccine: UNK
Symptoms: Abdominal discomfort, Acne, Diabetes mellitus, Dizziness, Gastritis
Clinical narrative: Abdomen burning sensation; acid reflux, diabetes mellitus, skin acnes, sleep disorder, nocturnal myoclonus, restless syndrome, dizzy up standing, bowel intestine, blood pressure hypertension, Gastritis, Edema genital groins, hiring ringing ear, nasal runny nose, reflux, nausea.
Sex: U
Vaccine: UNK
Symptoms: Gastrooesophageal reflux disease, Hypertension, Myoclonus, Nausea, Oedema genital
Clinical narrative: Abdomen burning sensation; acid reflux, diabetes mellitus, skin acnes, sleep disorder, nocturnal myoclonus, restless syndrome, dizzy up standing, bowel intestine, blood pressure hypertension, Gastritis, Edema genital groins, hiring ringing ear, nasal runny nose, reflux, nausea.
Sex: U
Vaccine: UNK
Symptoms: Restlessness, Rhinorrhoea, Sleep disorder, Tinnitus
Clinical narrative: Abdomen burning sensation; acid reflux, diabetes mellitus, skin acnes, sleep disorder, nocturnal myoclonus, restless syndrome, dizzy up standing, bowel intestine, blood pressure hypertension, Gastritis, Edema genital groins, hiring ringing ear, nasal runny nose, reflux, nausea.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Rash pruritic
Clinical narrative: Developed itchy rash on arms on torso 3 days after Td. Took Benadryl. Resolved 4 days later.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Child presented to physician on 8/8/06 with red, swollen area reported by NP to be size of baseball at injection site over left deltoid. On 08/09/06 child again seen by physician and swelling was subsiding. Parent report of slight fever 1-2 days, swelling lasted 3-4 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus, Increased appetite, Pollakiuria, Thirst
Clinical narrative: Pt experienced increased thirst, appetite and urination x 1 day. BS 259 at fasting and urinalysis and 4+ glucose. Pt was immediately sent to medical center ER for admission and work up. DC DX: new onset diabetes. Family HX: father type I diabetic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus
Clinical narrative: Pt experienced increased thirst, appetite and urination x 1 day. BS 259 at fasting and urinalysis and 4+ glucose. Pt was immediately sent to medical center ER for admission and work up. DC DX: new onset diabetes. Family HX: father type I diabetic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus, Glucose urine, Increased appetite, Pollakiuria
Clinical narrative: Pt experienced increased thirst, appetite and urination x 1 day. BS 259 at fasting and urinalysis and 4+ glucose. Pt was immediately sent to medical center ER for admission and work up. DC DX: new onset diabetes. Family HX: father type I diabetic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Thirst, Urine analysis
Clinical narrative: Pt experienced increased thirst, appetite and urination x 1 day. BS 259 at fasting and urinalysis and 4+ glucose. Pt was immediately sent to medical center ER for admission and work up. DC DX: new onset diabetes. Family HX: father type I diabetic.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus, Increased appetite, Thirst, Urinary retention
Clinical narrative: Patient experienced excessive thirst, appetite and urination 2-3 prior to 9/7/06. Weight loss 11 lbs in 5 weeks. Seen in office and diagnosed with Diabetes. Sent to hospital immediately for hospitalization and work up.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Weight decreased
Clinical narrative: Patient experienced excessive thirst, appetite and urination 2-3 prior to 9/7/06. Weight loss 11 lbs in 5 weeks. Seen in office and diagnosed with Diabetes. Sent to hospital immediately for hospitalization and work up.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus, Urine analysis abnormal
Clinical narrative: Patient experienced excessive thirst, appetite and urination 2-3 prior to 9/7/06. Weight loss 11 lbs in 5 weeks. Seen in office and diagnosed with Diabetes. Sent to hospital immediately for hospitalization and work up.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Diabetes mellitus, Increased appetite, Pollakiuria, Thirst
Clinical narrative: Patient experienced excessive thirst, appetite and urination 2-3 prior to 9/7/06. Weight loss 11 lbs in 5 weeks. Seen in office and diagnosed with Diabetes. Sent to hospital immediately for hospitalization and work up.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Diarrhoea, Faeces discoloured, Gastrooesophageal reflux disease, Vaccination complication
Clinical narrative: Mom reported diarrhea x 8 days. 10/16/06 Received medical records from PCP office which reveal patient developed watery green diarrhea for approx 11 days, completely resolved by 9/29/06 but GERD remained.  Treated w/zantac & formula change.  Dx: probable immunization reaction to Rotateq, resolved./ss This is in follow-up to report(s) previously submitted on 10/10/2006. Information has been received from a physician concerning an 8-week-old male with no medical history who on 30-AUG-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #654352/0410F). Concomitant vaccinations administered on that same day included the first IM dose of PEDIARIX (Lot #AC21B056AA), the first IM dose of ACTHIB (Lot #UE785AA) and the first IM dose of PREVNAR (Lot #B08653B). There was no illness at the time of vaccination. The physician reported that on 31-AUG-2006, the patient developed diarrhea characterized by 2-5 episodes per day. On 07-SEP-2006, the patient required an office visit. At that time, the patient afebrile and no blood was noted in his stools. No laboratory/diagnostic tests were performed. As os 11-SEP-2006, the patient's diarrhea persisted characterized by small volumous episodes occurring five times daily. Subsequently, the patient's diarrhea resolved. Additional information is not expected.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Diarrhoea
Clinical narrative: Mom reported diarrhea x 8 days. 10/16/06 Received medical records from PCP office which reveal patient developed watery green diarrhea for approx 11 days, completely resolved by 9/29/06 but GERD remained.  Treated w/zantac & formula change.  Dx: probable immunization reaction to Rotateq, resolved./ss This is in follow-up to report(s) previously submitted on 10/10/2006. Information has been received from a physician concerning an 8-week-old male with no medical history who on 30-AUG-2006 was vaccinated PO with the first 2.0 mL dose of ROTATEQ (Lot #654352/0410F). Concomitant vaccinations administered on that same day included the first IM dose of PEDIARIX (Lot #AC21B056AA), the first IM dose of ACTHIB (Lot #UE785AA) and the first IM dose of PREVNAR (Lot #B08653B). There was no illness at the time of vaccination. The physician reported that on 31-AUG-2006, the patient developed diarrhea characterized by 2-5 episodes per day. On 07-SEP-2006, the patient required an office visit. At that time, the patient afebrile and no blood was noted in his stools. No laboratory/diagnostic tests were performed. As os 11-SEP-2006, the patient's diarrhea persisted characterized by small volumous episodes occurring five times daily. Subsequently, the patient's diarrhea resolved. Additional information is not expected.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Hyperhidrosis, Pain
Clinical narrative: Chills, sweats, body aches, red circular area measuring 3 1/2 inches x 4 5/8 inches.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: LARGE RED, RAISED, WARM TO TOUCH 2 INCHES BY 2 INCHES.  TEMP OF 100. ORAL NOTED.  PAIN WITH WT BEARING.
Age: 0.35
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Abdominal discomfort, Abdominal pain, Decreased appetite, Irritability, Pyrexia
Clinical narrative: After receiving the Rotavirus vaccine she experienced a high fever and severe abdonimal discomfort for three days. Medical records state irritable, abdomenal pain, decreased appetite. msv
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Cyanosis, Depressed level of consciousness, Malaise, Pain, Pallor
Clinical narrative: 8-25-06 Patient viewed Menactra injection at approximately 11:45 in left deltoid.  Nurse preparing to give Hep A injection in right deltoid and prior to injection patient started complaining of feeling ill so nurse waited on Hep A.  Patient stated she was feeling like she did when she had received anesthesia to have (???) fixed.  Patient got pale and lost consciousness for minute or so.  Ambulance called and by the time they arrived the patient was conscious again.  When patient lost consciousness, her coloring around lips was blue and farial coloring very pale.  SN kept talking to client and touching/shaking shoulders and she tensed up and then started to wake up.  Ambulance crew checked VS and applied O2 for few minutes.  Patient able to answer questions appropriately but slowly and very shakey.  Mother arrived shortly past ambulance arriving and took client home past incidence around 12:30 8-25-06 4:30 p.m. t/c to clients home to check on her status.  States she slept most of the afternoon and still feels groggy.  No redness or anything at injection site.  Spoke with mother also who states patient is doing fair.  Instructed that if has any further problems should go to ER.  SN informed mother that both offices had been notified that client has had reaction to menactra (SN notified both doctor's offices around 2:00 p.m. 8-28-064:00 p.m. t/c to clients home and spoke with mother to see how client is doing.  States she went to work Saturday and is at school now.  Doing ok.  Left arm sore, some (???), no redness or knot and has color back.  Feels that things are ok.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Somnolence, Tremor
Clinical narrative: 8-25-06 Patient viewed Menactra injection at approximately 11:45 in left deltoid.  Nurse preparing to give Hep A injection in right deltoid and prior to injection patient started complaining of feeling ill so nurse waited on Hep A.  Patient stated she was feeling like she did when she had received anesthesia to have (???) fixed.  Patient got pale and lost consciousness for minute or so.  Ambulance called and by the time they arrived the patient was conscious again.  When patient lost consciousness, her coloring around lips was blue and farial coloring very pale.  SN kept talking to client and touching/shaking shoulders and she tensed up and then started to wake up.  Ambulance crew checked VS and applied O2 for few minutes.  Patient able to answer questions appropriately but slowly and very shakey.  Mother arrived shortly past ambulance arriving and took client home past incidence around 12:30 8-25-06 4:30 p.m. t/c to clients home to check on her status.  States she slept most of the afternoon and still feels groggy.  No redness or anything at injection site.  Spoke with mother also who states patient is doing fair.  Instructed that if has any further problems should go to ER.  SN informed mother that both offices had been notified that client has had reaction to menactra (SN notified both doctor's offices around 2:00 p.m. 8-28-064:00 p.m. t/c to clients home and spoke with mother to see how client is doing.  States she went to work Saturday and is at school now.  Doing ok.  Left arm sore, some (???), no redness or knot and has color back.  Feels that things are ok.
Age: 34.0
Sex: M
Vaccine: DT
Symptoms: Injection site infection
Clinical narrative: Localized infection at injection site.
Age: 0.41
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: MOM REPORTS 104 DEGREE FEVER FOR 3 DAYS AND A RASH (HIVES?) FOR 1 TO 2 DAYS.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Swelling left deltiod area, pain, fever duration 48 hours.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hypertension, Liver disorder, Rash
Clinical narrative: RASH IN NECK AND BETWEEN MY HANDS, HEADACHE, BLOOD PRESURE, LIVER PROBLEM.
Age: 0.61
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Oral intake reduced, Pyrexia
Clinical narrative: Shots were given on 09/06/2006 and this child's mother called in on 09;07/2006 to report that child had high temp.  Weight is ~23-24 pounds/mom.  She has been giving both Tylenol and Motrin per instructions from her doctor.  The amount she states she is giving is in line with recommendations from the manufacturers of the medications for the child's weight.  Temp has been up to 103 and she is taking temp rectally she states.  Child is also fussy and not eating or drinking well.  This RN advised that mom contact the physician again and arrange an appointment today or go to ER to be certain is not also an illness along with fever from immunizations.  I will contact her tomorrow to monitor.  On 09/08/2006 this RN spoke with mom again and she states child was seen by family physician yesterday and nothing was changed regarding medications by the physician.  He feels that child will be greatly improved in one or two more days and fever is just from shots.  Mom states that physician feels child is well other wise.  Child is drinking much better today.  Not taking alot of "solid" foods.  Encouraged to drink today.  Today the temp was 103 at 6:00 a.m. and was 99.2 at 10:15 a.m.  Advised mom to contact me again if problem continues or anything changes.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Fatigue, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Patient developed fever of 102.6, multiple episodes of vomiting, diarrhea, malaise, fatigue;  she had a large raised circular swelling about 5 inches in diameter over injection site with significant pain.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient developed fever of 102.6, multiple episodes of vomiting, diarrhea, malaise, fatigue;  she had a large raised circular swelling about 5 inches in diameter over injection site with significant pain.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Injection site pain, Injection site swelling, Rash maculo-papular, Rhinorrhoea
Clinical narrative: 11 days post immunization employee developed pain, swelling over injection site,with 2-3 small raised bumps, not vesicular. Following day noticed maculopapular rash chest,approximately 4-10 lesions, multiple lesions over left antecubital, and scalp. No fever. C/o dry cough, runny nose, afebrile. Sent home, sequestered, verbal instructions to avoid immunosuppresed persons. F/U Monday by phone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Injection site erythema, Injection site swelling, Laboratory test abnormal
Clinical narrative: 8/16/2006 Rt arm swollen, red "almost purple" within 28 hrs of administration of vaccines.By 31 hrs after administration, child was hospitalized for swelling in Rt arm, from elbow to shoulder. IV antibiotics, IV Solu-Medrol and oral Zyrtec were given. Diagnosis by ER doctor was an allergic reaction to the vaccines given. 10/13/06 Received D/C summary which revealed patient hospitalized from 8/16/-8/18 with D/C dx: allergic reaction due to TDaP & MMR vaccines.  Exam showed swelling shoulder to elbow of right arm, redness & pain over RUE after vaccination on 8/15 at Health Dept.   Seen in ER with marked swelling, redness & warmth.  Admitted for further eval & treatment.  Treated with IV antibiotics, steroids & antihistamine which were continued on d/c.  PMH: asthma.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: 8/16/2006 Rt arm swollen, red "almost purple" within 28 hrs of administration of vaccines.By 31 hrs after administration, child was hospitalized for swelling in Rt arm, from elbow to shoulder. IV antibiotics, IV Solu-Medrol and oral Zyrtec were given. Diagnosis by ER doctor was an allergic reaction to the vaccines given. 10/13/06 Received D/C summary which revealed patient hospitalized from 8/16/-8/18 with D/C dx: allergic reaction due to TDaP & MMR vaccines.  Exam showed swelling shoulder to elbow of right arm, redness & pain over RUE after vaccination on 8/15 at Health Dept.   Seen in ER with marked swelling, redness & warmth.  Admitted for further eval & treatment.  Treated with IV antibiotics, steroids & antihistamine which were continued on d/c.  PMH: asthma.
Age: 1.51
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Pyrexia, Rash, Viral infection
Clinical narrative: ONSET OF SX 090506. HIGHEST TEMP 99.8. "MILD CASE OF CHICKEN POX" PER MD. RX. = BENADRYL. 20 "SCABS"  1 BLISTER. WILL RETURN TO SCHOOL 091106.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Lymphadenopathy, Pain, Pyrexia, Swelling
Clinical narrative: Parent RTC this AM with client.  C/O sorenss and swelling in L delt. Parent reports that client has 100 degree F temp last PM.  Back to norm with Tylenol. Client was examined by RN.  She states lymph nodes in L armpit were swollen, all lung fields clear.  RN advised ice and Tylenol per manufacturers direction and to seek immediate tx at Hospital if S/S worsen. Client to RTC on 9/11/06 for re-evaluation.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Skin exfoliation
Clinical narrative: Mother phoned on 9/5/06, stating that child had redness, swelling & blisters on left leg, two days after injuection. No change in behavior or pain and parent indicated that blisters were gone. Advised that this was localized reaction. Mother then brought child to the Health Dept. on 9/8/06. Visualized peeling, scabbed area and redness in a circle to left upper leg, by RN. No fever, temp 97.0 Degrees F. Advised to call pediatrician if not greatly improved by Monday, 9/11/06. Also advised that if child developed fever or other s/s to see pediatrician immediately.
Age: 0.83
Sex: M
Vaccine: DTAP
Symptoms: Irritability, Pyrexia, Rash, Rhinorrhoea, Skin ulcer
Clinical narrative: My son had a runny nose and was very fussy.  Two days after he started getting feverish.  By three days after his temp was reaching over 100 degrees.  Four days after he had a fever of 103.9.  Tylenol and Motrin did not help..  When his fever spiked he started getting a rash/lesions.  The ER said they did not know what it was and treated him like he had an infection.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Hypersensitivity, Pharyngeal oedema, Pruritus, Pyrexia, Rash
Clinical narrative: After the vacination she was sleepy, and throat started swelling.  Two or so days later she started itching.  Then, she developed a rash/lesions all over her body.  With the rash came a low grade fever.  The doctor said it is an allergic reaction to something.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Skin ulcer, Somnolence
Clinical narrative: After the vacination she was sleepy, and throat started swelling.  Two or so days later she started itching.  Then, she developed a rash/lesions all over her body.  With the rash came a low grade fever.  The doctor said it is an allergic reaction to something.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient seen 9/6/06 for administration of DTap #5, IPV #4, and MMR #2.  Both DTap abd MMR administered in R anterior thigh.  Patient returned 9/8/08 due to siginificant swelling of R thigh.  Swelling extended from hip to knee.  Area was also red and warm to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient seen 8/24/06 for administration of DTap #5, IPV #4, Hep A #2, and MMR #2. Both DTaP and IPV administered in L anterior thigh.  Patient returned 8/25/06 due to significant swelling of L thigh from hip to knee.  Site was swollen, firm, tender to touch and light pink in color.
Age: 53.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain
Clinical narrative: LOCALIZED MODERATE TO SEVERE ARM PAIN LASTING 2-3 MONTH AROUND INJECTION SITE.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, CSF protein normal, Culture urine, Laboratory test abnormal, Otitis media
Clinical narrative: Rectal 106.5 fever within 1st 24 hrs, mother took her own temp, so trust accuracy hers was 98.2. Axillary 104.8 fever just before rectal. Medical records state otitis. msv. Information has been received from a physician conerning a 9-week-old with a history of an ear infection 2.0 mL dose of ROTATEQ (Lot 655050/0778F). Concomitant vaccination administered on that same day and time included the first IM dose of PEDIARIX (Lot #AC21B074EA), the first IM dose of PREVENAR (Lot # B08666C) and the first IM dose of OMPC (Lot 653300/0227F). There was no illness at the time of vaccination. The physician reported that on 08-SEP-2006, at 0330, the patient woke with a fever. Axillary temperature was 105 and rectal temperature was 106. The patient was given TYLENOL and was taken to the ER. In the ER, a septic work-up was done with a WBC of 21.7 and IV ROCEPHIN was given. CSF, urine and blood cultures were all negative. Clinical impression was fever with bilaterial otitis media. On that same day, the patient was discharged from the ER to home. As of 09-SEP-2006, the patient's fever resolved. Subsequently the patient recovered from the otitis media. Additional information is not expected.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Rectal 106.5 fever within 1st 24 hrs, mother took her own temp, so trust accuracy hers was 98.2. Axillary 104.8 fever just before rectal. Medical records state otitis. msv. Information has been received from a physician conerning a 9-week-old with a history of an ear infection 2.0 mL dose of ROTATEQ (Lot 655050/0778F). Concomitant vaccination administered on that same day and time included the first IM dose of PEDIARIX (Lot #AC21B074EA), the first IM dose of PREVENAR (Lot # B08666C) and the first IM dose of OMPC (Lot 653300/0227F). There was no illness at the time of vaccination. The physician reported that on 08-SEP-2006, at 0330, the patient woke with a fever. Axillary temperature was 105 and rectal temperature was 106. The patient was given TYLENOL and was taken to the ER. In the ER, a septic work-up was done with a WBC of 21.7 and IV ROCEPHIN was given. CSF, urine and blood cultures were all negative. Clinical impression was fever with bilaterial otitis media. On that same day, the patient was discharged from the ER to home. As of 09-SEP-2006, the patient's fever resolved. Subsequently the patient recovered from the otitis media. Additional information is not expected.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Chest pain, Erythema, Face oedema, Injection site erythema, Ocular hyperaemia
Clinical narrative: Received shots then discharged from clinic, in parking lot suddenly threw up, then complained of chest hurting. Back in clinic, eyes and face were red, slight face swelling then began scratching. Injection site of MMRV had 2cm redness and 4mm whelp. Other sites were clear. Required albuterol, Orapred and Benadryl. Discharged 1.5hrs later.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Urticaria, Vomiting
Clinical narrative: Received shots then discharged from clinic, in parking lot suddenly threw up, then complained of chest hurting. Back in clinic, eyes and face were red, slight face swelling then began scratching. Injection site of MMRV had 2cm redness and 4mm whelp. Other sites were clear. Required albuterol, Orapred and Benadryl. Discharged 1.5hrs later.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Movement disorder
Clinical narrative: 09/01/06 pt call with c/o decreased ROM in L arm 5 days after injection administration to current date. Tx with Naproxen x 10 days and Tylenol #3.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: See note
Age: 35.0
Sex: F
Vaccine: MEN, TDAP
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Pt called to report that L delt area was red, large knot, hot to touch and became itchy, by PM after vaccine.
Sex: F
Vaccine: PPV
Symptoms: Angioneurotic oedema, Erythema, Tenderness
Clinical narrative: Angioedema, erythema and tenderness in a large area around the right deltoid injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: Right upper arm has 5 by 5 centimeter area that is warm to touch and red.  Patient given prescription for KEFLEX for 1 week.  Patient can use ice and BENADRYL as needed.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Swelling, warmth, redness and tenderness.  Treated-warm compress, BENADRYL.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Dysgeusia, Guillain-Barre syndrome, Headache, Nausea
Clinical narrative: On June 29, 2006 I received a Tetanus, Diphtheria Pertussis (Tdap) Vaccine.  On July 14, I felt achy all over and had a metal taste in my mouth.  By July 22, I was very ill with nausea, vomiting, diarrhea, and headache.  I was admitted to the hospital on 7/25/06.  After numerous tests I was  diagnosed with Guillain Barre Syndrome on August 2 and began plasmapheresis treatments the same day. Discharge summary states achey, nausea and vomiting, headache, weakness in extremities, back pain, weight loss, facial paralysis. msv
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Vomiting
Clinical narrative: On June 29, 2006 I received a Tetanus, Diphtheria Pertussis (Tdap) Vaccine.  On July 14, I felt achy all over and had a metal taste in my mouth.  By July 22, I was very ill with nausea, vomiting, diarrhea, and headache.  I was admitted to the hospital on 7/25/06.  After numerous tests I was  diagnosed with Guillain Barre Syndrome on August 2 and began plasmapheresis treatments the same day. Discharge summary states achey, nausea and vomiting, headache, weakness in extremities, back pain, weight loss, facial paralysis. msv
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Apnoea
Clinical narrative: Child was found apneic in his crib.  EMS was contacted.  Mother performed CPR.  Child was pulseless when EMS arrived.  Upon arrival to local hospital, child was asystolic with no response to chemical resuscitation.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Apnoea, Cardiac arrest, Haematocrit decreased, Haemoglobin decreased, Platelet disorder
Clinical narrative: Child was found apneic in his crib.  EMS was contacted.  Mother performed CPR.  Child was pulseless when EMS arrived.  Upon arrival to local hospital, child was asystolic with no response to chemical resuscitation.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pulse absent, Sudden infant death syndrome, White blood cell disorder
Clinical narrative: Child was found apneic in his crib.  EMS was contacted.  Mother performed CPR.  Child was pulseless when EMS arrived.  Upon arrival to local hospital, child was asystolic with no response to chemical resuscitation.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Choking, Constipation, Dizziness, Fatigue
Clinical narrative: Dizziness, numbness in arms, legs, extreme fatigue, rash over body, stiff neck, rapid heartbeat, tenderness along back, choking when swallowing, headaches and pain in joints, constipation, now using laxatives to move bowels. Follow-up: Heart palpitations, numbness in lower extremities, emergency room.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Heart rate increased, Hypoaesthesia, Musculoskeletal stiffness, Palpitations
Clinical narrative: Dizziness, numbness in arms, legs, extreme fatigue, rash over body, stiff neck, rapid heartbeat, tenderness along back, choking when swallowing, headaches and pain in joints, constipation, now using laxatives to move bowels. Follow-up: Heart palpitations, numbness in lower extremities, emergency room.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Tenderness
Clinical narrative: Dizziness, numbness in arms, legs, extreme fatigue, rash over body, stiff neck, rapid heartbeat, tenderness along back, choking when swallowing, headaches and pain in joints, constipation, now using laxatives to move bowels. Follow-up: Heart palpitations, numbness in lower extremities, emergency room.
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: Rash shingles type to back, buttock.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Acute disseminated encephalomyelitis, Encephalitis, Facial palsy, Headache, Monoparesis
Clinical narrative: A 12 year old male pt, with a past medical history of ADHD, had received an IM, left deltoid, first dose injection of Menactra, lot number U1741AB, and IM, right deltoid, first dose injection of Adacel, lot number C2384AA on 2/8/06. There had been no report of adverse events following prior vaccinations. Sixteen days post vaccination, the subject developed severe headache, optic neuritis, Bells palsy and left leg sensory mono paresis. The pt was examined during multiple Dr visits, and was subsequently admitted to the hospital from 3/10/06 to 3/15/06. Relevant diagnostic testing included a MRI, somatic sensory evoked potentials and lumbar puncture. Results of testing were not provided. The pt was later readmitted to the hospital from 4/17/06 to 4/27/06 with the principle diagnosis of encephalitis and secondary diagnosis of optic neuritis, encephalopathy, facial palsy resolved and mycoplasma. At the time of this report, the pt was not recovered.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Mycoplasma infection, Nausea, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Optic neuritis
Clinical narrative: A 12 year old male pt, with a past medical history of ADHD, had received an IM, left deltoid, first dose injection of Menactra, lot number U1741AB, and IM, right deltoid, first dose injection of Adacel, lot number C2384AA on 2/8/06. There had been no report of adverse events following prior vaccinations. Sixteen days post vaccination, the subject developed severe headache, optic neuritis, Bells palsy and left leg sensory mono paresis. The pt was examined during multiple Dr visits, and was subsequently admitted to the hospital from 3/10/06 to 3/15/06. Relevant diagnostic testing included a MRI, somatic sensory evoked potentials and lumbar puncture. Results of testing were not provided. The pt was later readmitted to the hospital from 4/17/06 to 4/27/06 with the principle diagnosis of encephalitis and secondary diagnosis of optic neuritis, encephalopathy, facial palsy resolved and mycoplasma. At the time of this report, the pt was not recovered.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Sensory disturbance, Vomiting
Clinical narrative: A 12 year old male pt, with a past medical history of ADHD, had received an IM, left deltoid, first dose injection of Menactra, lot number U1741AB, and IM, right deltoid, first dose injection of Adacel, lot number C2384AA on 2/8/06. There had been no report of adverse events following prior vaccinations. Sixteen days post vaccination, the subject developed severe headache, optic neuritis, Bells palsy and left leg sensory mono paresis. The pt was examined during multiple Dr visits, and was subsequently admitted to the hospital from 3/10/06 to 3/15/06. Relevant diagnostic testing included a MRI, somatic sensory evoked potentials and lumbar puncture. Results of testing were not provided. The pt was later readmitted to the hospital from 4/17/06 to 4/27/06 with the principle diagnosis of encephalitis and secondary diagnosis of optic neuritis, encephalopathy, facial palsy resolved and mycoplasma. At the time of this report, the pt was not recovered.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Bacterial infection, Encephalitis, Encephalopathy, Facial palsy, Headache
Clinical narrative: A 12 year old male pt, with a past medical history of ADHD, had received an IM, left deltoid, first dose injection of Menactra, lot number U1741AB, and IM, right deltoid, first dose injection of Adacel, lot number C2384AA on 2/8/06. There had been no report of adverse events following prior vaccinations. Sixteen days post vaccination, the subject developed severe headache, optic neuritis, Bells palsy and left leg sensory mono paresis. The pt was examined during multiple Dr visits, and was subsequently admitted to the hospital from 3/10/06 to 3/15/06. Relevant diagnostic testing included a MRI, somatic sensory evoked potentials and lumbar puncture. Results of testing were not provided. The pt was later readmitted to the hospital from 4/17/06 to 4/27/06 with the principle diagnosis of encephalitis and secondary diagnosis of optic neuritis, encephalopathy, facial palsy resolved and mycoplasma. At the time of this report, the pt was not recovered.