chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Body temperature, Crying, Feeding disorder neonatal, Screaming
Clinical narrative: UNCONTROLLABLE SCREAMING AND CRYING IN EXCESS OF THREE HOURS, COULD NOT CONSOLE INFANT WOULD NOT EAT, TEMP 101.4
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt administered Fluarix brand flu vaccine in the right deltoid area on 1/29/07. Three days later she said that the area became reddened and "hard all around it for 5 days. She also stated that she had taken the flu vaccine annually for 10 years (unknown brand) and has had no problems except for the first year when she was sick for one month after taking the vaccine.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature, Crying, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Within 24 hours, 3 baseball sized lumps showed up at his 3 sites of injection.  They were hard, swollen, painful and hot to the touch.  He also had a temperature and was crying nonstop.  We brought him in to the doctors weekend office a day later and were told it was an odd reaction, but the lumps should gradually reabsorb back into his system within a month.  We were told to give him tylenol for comfort and try warm baths.  These lumps did get smaller as time went by, but did not fully dissipate until 2 months after the fact.  We were told to continue fully vax'ing on schedule, regardless of this reaction...yet we are VERY weary and have yet to.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site warmth
Clinical narrative: Within 24 hours, 3 baseball sized lumps showed up at his 3 sites of injection.  They were hard, swollen, painful and hot to the touch.  He also had a temperature and was crying nonstop.  We brought him in to the doctors weekend office a day later and were told it was an odd reaction, but the lumps should gradually reabsorb back into his system within a month.  We were told to give him tylenol for comfort and try warm baths.  These lumps did get smaller as time went by, but did not fully dissipate until 2 months after the fact.  We were told to continue fully vax'ing on schedule, regardless of this reaction...yet we are VERY weary and have yet to.
Age: 27.0
Sex: F
Vaccine: HPVX
Symptoms: Pruritus, Swelling face
Clinical narrative: Pt. states he experienced mild itching last evening on upper part of body and leg.  Also states that right side of face appears swollen
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Haematochezia, Haematocrit decreased, Platelet count increased, White blood cell count decreased
Clinical narrative: Well appearing child with hematochezia starting about 10 days after Rotateq dose and resolving by another 10 days.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blister, Pruritus, Rash
Clinical narrative: Presented to ER with skin blisters and rash on the inside of joints such as elbows, backside of knees,ankles, waist, neck and arm pits with extreme itching.  Patient was given 5 days of Medrol pack, Tagament, Ativan and Benadryl
Age: 0.92
Sex: M
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration, Pneumonia, Streptococcal bacteraemia, Vaccination failure
Clinical narrative: Information has been reported in a published literature article, tile as stated above, concerning an 11 month old patient (gender not reported). The patient was diagnosed at the age of eleven months with factor IX deficiency after prolonged bleeding following placement of tympanostomy tubes. Prior to evaluation for immunodeficiency, the patient had a history of persistent otitis requiring 5 sets of tympanostomy tubes and recurrent episodes of sinusitis. Additionally, the patient had also been hospitalized for three weeks for a pneumonia with a course significant for streptococcal bacteremia. Following administration of three rounds of pneumococcal 23v polysaccharide vaccine - conjugated and unconjugated, the patient failed to maintain protective antibody titers against pneumococcal serotypes and was about to start antibody replacement therapy. The authors reported that "to the best of their knowledge, this represents the first reported case of specific antibody of specific antibody deficiency in a patient with Factor IX deficiency." Additional information is not expected. A copy of the published literature article is attached as further documentation of the patient's experience.
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Acute respiratory distress syndrome, Anaemia, Blood immunoglobulin A decreased, Blood immunoglobulin G decreased, Blood immunoglobulin M decreased
Clinical narrative: Information has been received from health professionals via the published abstract as titled above concerning a 4 year old male with chromosomal deletion of 11q23.1, and clinical features of Jacobsen syndrome including dysmorphic craniofacial features, developmental delay, and short stature with a low insulin-like growth factor-1 (IGF-1). Previous history was significant for asthma, allergic rhinitis, atopic dermatitis, and severe food allergies. The patient also had recurrent otitis media and persistent sinopulmonary infections, requiring frequent and prolonged courses of antibiotics. On an unspecified date, the child was vaccinated with Pneumovax 23 (lot # not reported). Concomitant therapy was not specified. On an unspecified date, the child experienced severe pneumonia requiring intubation for acute respiratory distress. During this hospitalization, he developed anemia and thrombocytopenia. Immune evaluation revealed low total IgG, with deficiencies in IgG1, IgG2, and IgG4 subclasses. IgA, IgM levels, and B cell numbers were low for age, and pneumococcal antibody titers were non-responsive despite previous vaccination. Treatment with intravenous immunoglobulin (IVIG) during and post hospitalization, led to normalization of immunoglobulin levels and clinical improvement. The authors concluded: "Although recurrent otitis media and sinusitis is common in Jacobsen syndrome, there have been no reports to our knowledge of combined variable immunodeficiency (CVID) or life threatening infection associated with this disorder. Immune evaluation should be considered for patients with Jacobsen syndrome who present with severe or recurrent infections." No further information is available. A copy of the published article is attached as further documentation of the patient's experience.
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Intubation, Pneumonia, Thrombocytopenia, Vaccination failure
Clinical narrative: Information has been received from health professionals via the published abstract as titled above concerning a 4 year old male with chromosomal deletion of 11q23.1, and clinical features of Jacobsen syndrome including dysmorphic craniofacial features, developmental delay, and short stature with a low insulin-like growth factor-1 (IGF-1). Previous history was significant for asthma, allergic rhinitis, atopic dermatitis, and severe food allergies. The patient also had recurrent otitis media and persistent sinopulmonary infections, requiring frequent and prolonged courses of antibiotics. On an unspecified date, the child was vaccinated with Pneumovax 23 (lot # not reported). Concomitant therapy was not specified. On an unspecified date, the child experienced severe pneumonia requiring intubation for acute respiratory distress. During this hospitalization, he developed anemia and thrombocytopenia. Immune evaluation revealed low total IgG, with deficiencies in IgG1, IgG2, and IgG4 subclasses. IgA, IgM levels, and B cell numbers were low for age, and pneumococcal antibody titers were non-responsive despite previous vaccination. Treatment with intravenous immunoglobulin (IVIG) during and post hospitalization, led to normalization of immunoglobulin levels and clinical improvement. The authors concluded: "Although recurrent otitis media and sinusitis is common in Jacobsen syndrome, there have been no reports to our knowledge of combined variable immunodeficiency (CVID) or life threatening infection associated with this disorder. Immune evaluation should be considered for patients with Jacobsen syndrome who present with severe or recurrent infections." No further information is available. A copy of the published article is attached as further documentation of the patient's experience.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Insomnia, Medical device complication, Musculoskeletal pain, Pain, X-ray normal
Clinical narrative: Information has been received from a physician and an office manager concerning a 17 year old female with asthma who on 22-DEC-2006 was vaccinated IM, into the left arm, with a 0.5 ml first dose of Gardasil (lot#654540/0800P). It was reported that at the end of the administration the "safety spring plunger snapped back and caused the patient pain." The office manager explained that this incident was due to human error, the physician was unfamiliar with safety mechanism. On 22-DEC-2006, the patient experienced left shoulder pain and difficulty sleeping on her left arm. On approximately 12-FEB-2007, the patient saw an orthopedic surgeon. The patient underwent an X-ray which revealed no bony abnormality. The orthopedic surgeon recommended that the patient go to physical therapy. At the time of the report, the patient had not recovered. The physician considered the left shoulder pain and difficulty sleeping on her left arm to be disabling events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Immune system disorder
Clinical narrative: Information has been received from a nurse concerning her niece (age not reported) who on an unspecified date was vaccinated with Gardasil injection. Concomitant therapy was unspecified. Subsequently, the patient experienced "immune system shut down" after receiving the vaccination. The patient had sought medical attention. On an unspecified date, the patient was hospitalized and at the time of reporting it was unknown how long the patient was hospitalized or if she was still in the hospital. It was unspecified if the patient had recovered. The nurse felt that the "immune system shut down" was considered to be immediately life-threatening. Additional information has been requested.
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Measles antibody negative, Petechiae, Platelet count decreased, Platelet count normal, Purpura
Clinical narrative: It was reported in a published article, title as stated above, that a 16 month old female who was vaccinated with a first dose of MMR II. Ten days following the receipt of her first dose of MMR II she developed an episode of thrombocytopenic purpura with generalized purpura and petechiae without a major bleeding event. Her platelet count was documented below 20,000/cu mm. She was treated with immune globulin with subsequent normalization of her platelet count. At ten years old the patient presented for immunization recommendations due to loss of immune protection to rubella and rubeola but not mumps. The patient's family was presented with four options and the associated benefit and risk each. Options included no intervention, immune globulin prophylaxis every six to twelve months, administered MMR II and follow platelet counts or administer on the necessary vaccines one at a time with more than month between dosing. The patient received the standard of care doses of rubella virus vaccine live (manufacturer unknown) followed by measles virus vaccine live (manufacturer unknown) with monitoring of platelet counts before and after each immunization. Both vaccines were tolerated with no laboratory or clinical evidence of platelet count reduction. Upon internal review, the patient's thrombocytopenic purpura was considered to be an other important medical event. Additional information has been requested. A copy of the published article is attached as further documentation of the patient's experience.
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Rubella antibody negative, Thrombocytopenic purpura
Clinical narrative: It was reported in a published article, title as stated above, that a 16 month old female who was vaccinated with a first dose of MMR II. Ten days following the receipt of her first dose of MMR II she developed an episode of thrombocytopenic purpura with generalized purpura and petechiae without a major bleeding event. Her platelet count was documented below 20,000/cu mm. She was treated with immune globulin with subsequent normalization of her platelet count. At ten years old the patient presented for immunization recommendations due to loss of immune protection to rubella and rubeola but not mumps. The patient's family was presented with four options and the associated benefit and risk each. Options included no intervention, immune globulin prophylaxis every six to twelve months, administered MMR II and follow platelet counts or administer on the necessary vaccines one at a time with more than month between dosing. The patient received the standard of care doses of rubella virus vaccine live (manufacturer unknown) followed by measles virus vaccine live (manufacturer unknown) with monitoring of platelet counts before and after each immunization. Both vaccines were tolerated with no laboratory or clinical evidence of platelet count reduction. Upon internal review, the patient's thrombocytopenic purpura was considered to be an other important medical event. Additional information has been requested. A copy of the published article is attached as further documentation of the patient's experience.
Age: 0.08
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea, Protein urine, Urinary tract infection
Clinical narrative: Information has been received from a physician concerning a 6 to 7 week old patient who, "within the last week", on approximately 06-FEB-2007, was vaccinated with a first oral dose of Rotateq. "Sometime this past week", on approximately 06-FEB-2007, the patient developed a urinary tract infection, loose stools, and "proteous" in the urine after receiving Rotateq and was hospitalized. The patient received antibiotics through and IV in the hospital and was recovered afterwards. The length of hospitalization was unknown. No product quality complaint was involved. No other information was provided. Additional information has been requested.
Age: 0.39
Sex: F
Vaccine: RV5, DTAP, HIBV, IPV, RV5
Symptoms: Gastrointestinal haemorrhage, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 4 month old female who was vaccinated with a first oral dose of Rotateq. "Two months ago," in approximately December 2006, the patient experienced a little gastrointestinal bleeding. Subsequently the bleeding subsided. The patient was vaccinated with a second oral dose of Rotateq. Concomitant therapy included Bactrim for the treatment of urinary tract infection and a fever. Approximately one week after the second dose of Rotateq the patient's mother reported to the physician that she saw blood in the patient's stool, without any other symptoms. It was noted that the patient was being worked up for nephropathy. The reporter noted that the Bactrim had not caused any problems with the patient and that was why he was thinking that the blood in the stool was possibly related to vaccination with Rotateq. Subsequently the patient's bleeding subsided. At the time of the report the patient was recovering. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Volvulus
Clinical narrative: Information has been received from a physician concerning a 3 month old female who, "five weeks ago," on approximately 11-JAN-2007, was vaccinated with a first 2ml oral dose of ROTATEQ. In the "first week of February," on approximately 01-FEB-2007, the patient died of volvulus. At the time of the report the physician was still awaiting the autopsy report. Unspecified medical attention was sought. No product quality complaint was involved. The patient's experience was considered to be immediately life-threatening by the reporter. Additional information is not expected.  2/27/07 Received t/c from ME office with prelim COD:  1. Infarct of a major portion of the small intestine. 2. Obstruction by congenital fibrous band. Manner of death was natural.  6/5/07 Received Autopsy Report which reveals COD as infarct, major part of small intestine due to congenital obstructing fibrous band, 28 cm distal to the pylorus and 3 cm proximal to the ileocecal valve; and transmural hemorrhagic ischemis changes throughout the obstructed small bowel.  7/10/07-vac rec received.
Age: 1.08
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 13 to 19 month old who, "about seven weeks before the patient's experience," in approximately June 2006, was vaccinated with a 2 ml oral dose of Rotateq. "About six months ago, about seven weeks after receiving Rotateq," in approximately August 2006, the patient developed bloody stools. It was noted that the physician thought that the event may have been related to a milk allergy and the event stopped after the patient stopped milk intake. It was reported that the patient recovered. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, the patient's experience was considered to be an other important medical event. Additional information has been requested. The physician indicated that the event had already been reported to VAERS.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Bedridden, Blister, Condition aggravated, Herpes zoster, Influenza like illness
Clinical narrative: Information has been received from a 73 year old female consumer with asthma (diagnosed in 1971), gout (for the past four years since approximately 2003) and a history of shingles who on 22-NOV-2006 was vaccinated with a dose of Varivax. It was reported that the patient's initial bout with shingles "two years ago" was "very painful and unnerving for her." The patient had a few less painful rounds with it since that initial one, with small blisters on her hip and thigh. In October 2006 the patient "had another bad case" and was treated with acyclovir. The patient reported that she was back in the office on 22-NOV-2006 for a follow up and prescription refill. The nurse practitioner reportedly told the patient about this new wonder drug that would wipe out her shingles. The patient stated that the nurse practitioner "convinced her" by assuring her that she had both of her parents inoculated against shingles the week before. The patient allowed the nurse practitioner to give her the shot that day. The following morning, on 23-NOV-2006, the patient woke with what she thought was the flu, so sick that she wanted to die. In the next few days she really thought that she was "was going to die." The patient reported that she has had shingles since that day and that they settled on her spine next to her tailbone and that she had blisters under the skin that constantly itch. The patient developed small, scaly, itchy patches on her legs and arms that "will not go away.". The patient was using triamcinolone Acetonide USP 0.1% ointment which would dry them partially but they would return the next day. At the time of reporting the patient was on Sulfam + Tri Tab O.Bs, and prednisone 10 mg daily from what her physician diagnosed s viral pneumonia caused by the shingles. The patient reported that she was bedridden for 10 days (considered disabling). The patient states that she "cannot take this any longer" and that her doctor tells her that her nerve endings are damaged along her spine. Her doctor has prescribed her Cymbalta but she states that she is "afraid to take any more meds from this doctor." She is "afraid of the side effects." The patient states that the vaccine "nearly killed me, and I'm not sure it won't before I'm cured of it - or rather IF I'm ever cured." Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Nerve injury, Pneumonia viral, Pruritus, Rash
Clinical narrative: Information has been received from a 73 year old female consumer with asthma (diagnosed in 1971), gout (for the past four years since approximately 2003) and a history of shingles who on 22-NOV-2006 was vaccinated with a dose of Varivax. It was reported that the patient's initial bout with shingles "two years ago" was "very painful and unnerving for her." The patient had a few less painful rounds with it since that initial one, with small blisters on her hip and thigh. In October 2006 the patient "had another bad case" and was treated with acyclovir. The patient reported that she was back in the office on 22-NOV-2006 for a follow up and prescription refill. The nurse practitioner reportedly told the patient about this new wonder drug that would wipe out her shingles. The patient stated that the nurse practitioner "convinced her" by assuring her that she had both of her parents inoculated against shingles the week before. The patient allowed the nurse practitioner to give her the shot that day. The following morning, on 23-NOV-2006, the patient woke with what she thought was the flu, so sick that she wanted to die. In the next few days she really thought that she was "was going to die." The patient reported that she has had shingles since that day and that they settled on her spine next to her tailbone and that she had blisters under the skin that constantly itch. The patient developed small, scaly, itchy patches on her legs and arms that "will not go away.". The patient was using triamcinolone Acetonide USP 0.1% ointment which would dry them partially but they would return the next day. At the time of reporting the patient was on Sulfam + Tri Tab O.Bs, and prednisone 10 mg daily from what her physician diagnosed s viral pneumonia caused by the shingles. The patient reported that she was bedridden for 10 days (considered disabling). The patient states that she "cannot take this any longer" and that her doctor tells her that her nerve endings are damaged along her spine. Her doctor has prescribed her Cymbalta but she states that she is "afraid to take any more meds from this doctor." She is "afraid of the side effects." The patient states that the vaccine "nearly killed me, and I'm not sure it won't before I'm cured of it - or rather IF I'm ever cured." Additional information has been requested.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Hypoaesthesia, Multiple sclerosis, Nausea, Pain
Clinical narrative: Initial report received on 09 February 2007 from a consumer, who is the patient. A 55 year old male received on 25 September 2004 Fluzone (lot number not reported) (side, site and side of administration were not reported) and within 15 minutes developed nausea and weakness that progressed to the right side of the face, right side of the neck and right upper extremity with numbness tingling and pain, which continue to present. Patient was able to retain mobility but was loosing strength. It was unknown if the patient was hospitalized. The patient was diagnosed with MS (multiple sclerosis) by a neurologist and did not recover. The patient was allergic to penicillin. CT scans and Spinal Tap were done. Results were not provided. The patient refused to provided all requested information.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Initial report received on 09 February 2007 from a consumer, who is the patient. A 55 year old male received on 25 September 2004 Fluzone (lot number not reported) (side, site and side of administration were not reported) and within 15 minutes developed nausea and weakness that progressed to the right side of the face, right side of the neck and right upper extremity with numbness tingling and pain, which continue to present. Patient was able to retain mobility but was loosing strength. It was unknown if the patient was hospitalized. The patient was diagnosed with MS (multiple sclerosis) by a neurologist and did not recover. The patient was allergic to penicillin. CT scans and Spinal Tap were done. Results were not provided. The patient refused to provided all requested information.
Age: 8.0
Sex: U
Vaccine: FLUX
Symptoms: Death, Influenza, Vaccination failure
Clinical narrative: Initial report received on 14 February 2007 from a health care provider who has acquired the information from a newspaper article. Per the newspaper article, it has been reported by the state department of health that an eight year old child, who had received a flu vaccination and had unspecified underlying health problems, died from the disease influenza on 12 February 2007. Additional information was not provided related to this case. (The firefighter that was also reported in the title of the article had not been vaccinated.
Age: 1.28
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Fluid replacement, Gastroenteritis rotavirus, Pyrexia, Upper respiratory tract infection, Vomiting
Clinical narrative: Initial report received on 06 February 2007, 07 February 2007, and 08 February 2007. This 15 month old subject (gender not reported) experienced vomiting, while enrolled in a study. The subject received four doses of study vaccine (Daptacel, and ActHib), last doses prior to the events was administered on 29 January 2007. Per the parent, in the afternoon on 01 February 2007, three days post immunization, the subject experienced several episodes of vomiting and was taken to the emergency room. The subject was transferred the following day to another facility where "he" was treated with intravenous fluids for vomiting. The subject recovered and was discharged from the hospital on day four. Per the parent, a day after hospital discharge the subject was noted to have a fever of 100.1 degrees Fahrenheit and was taken to the physician's office. The physician assessed the subject as having an upper respiratory infection and was prescribed Amoxicillin, Prelone, and Albuterol Rotavirus gastroenteritis was considered a possible diagnosis, yet at the time of the initial report there were no available details on investigations performed. The event of vomiting was reported by the investigator as related to the study vaccine due to the short time to onset of the event. Documents held by sender: Doctor notes.
Age: 0.53
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Developmental delay, Immune system disorder, Metal poisoning, Nervous system disorder, Speech disorder developmental
Clinical narrative: This case was considered medically important for the events of developmental delay, nervous system disorder, immune system disorder, immune system disorder and speech disorder developmental. A legal complaint regarding Hib Titer vaccine was received from an attorney regarding a male patient who received the third dose of Hib-Titer along with the third dose of Diphtheria/Tetanus toxoids/Acellular pertussis vaccine on 07-Oct-1998 at the age of 6 months. The patient was allegedly exposed to very high doses of mercury from thimerosal containing vaccines. On an unspecified date, the patient experienced neurological damage, immunological damage, loss of language and developmental delay. On 07-Oct-1998, the patient received the third dose of Hib-Titer vaccine along with another childhood vaccine. During the first fifteen months of life, the patient was exposed to very high doses of mercury from thimerosal containing vaccines. On an unspecified date, the child experienced developmental delay, neurological damage, immunological damage and loss of language. It was unknown if the patient recovered from the events. No additional information was available at the time of this report.
Age: 45.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea
Clinical narrative: Headache (severe), nausea (severe), occurred with 1 day of 1st vaccine administration.  02/27/2007 MR received from treating hospital.  Patient arrived for 2nd rabies vaccine with c/o severe headache, nausea, and photophobia.  2nd vax given and symptomatic treatment given over a 3 day hospital stay. It was decided that the rabies series would be discontinued due to adverse reaction and patient's relative low risk of exposure. Discharge DX:  Adverse reaction to rabies vaccine.  Hx. of SVT. Hx. of bradycardia induced syncope.  Anemia.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Pt received pneumovax in right deltoid, by next day arm was sore, swollen and red.  Pt instructed to ice site and take Tylenol/Motrin, site worsened and pt bought into office 2/23/07 2:20 for an appt with dr.
Age: 11.0
Sex: F
Vaccine: HEP, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Red, raised (slight induration of 3 cm in width-warm to touch (in subcutaneous area outer aspect of right arm) in area that varicella was administered
Age: 14.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Urticaria
Clinical narrative: Received vaccines-that evening developed a red, raised, urticarial rash on face/arms/trunk/legs requiring Prednisone and antihistamines
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blister, Herpes zoster, Rash
Clinical narrative: 1st symptoms - severe back pain on awakening on Sat 2/3 pain continued throughout day with rash beginning later on. Started "left side of spine traveled across waist and on its belly "outpatient". Monday 2/5 blister approved with additional croppy, saw doctor given Samvir, and Oxycodone diagnosed Shingles.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fatigue, Nausea, Pain in extremity
Clinical narrative: 2-22-07 pt reported feeling dizzy and tired, nauseous, and arm just stopped hurting yesterday, symptoms started day after injection, no lump, no bump at site
Sex: U
Vaccine: HIBV, MMRV, PNC
Symptoms: Injection site papule, Injection site pruritus
Clinical narrative: cluster of papules developed at Proquad injection site, after dose and itching at area.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Muscular weakness, Nausea, Paraesthesia, Photophobia
Clinical narrative: Approx. 2 hours after receiving HPV vaccine pt. developed tingling in left arm (vaccine given in left arm) and then in left leg. At times both extremities felt slight "weak". Pt developed severe right sided headache with nausea and photophobia
Age: 1.22
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV
Symptoms: Erythema, Rash macular
Clinical narrative: Red, rash, blotchy on legs (both) and abdomen. Itchy? Resolved in 48 hours completely. Mother gave cool bath, ibuprofen.
Age: 1.5
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Irritability, Pyrexia, Tachycardia
Clinical narrative: Began with fever, irritability one hour after vaccine administered. Temperature 102 a.m., pulse rate 160. No SOB, wheezing or cough.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Pruritus, Skin exfoliation, Skin warm
Clinical narrative: Approximate 6 cm blistered, hard to touch area, red. Approximately 15-17 cm area around, red, puffy and hot to touch. Itching. Skin appears slightly scaly in this area. Treated with Benadryl PO - Cefazolin (IV) x doses the PO Keflex x 7 days.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Approximate 6 cm blistered, hard to touch area, red. Approximately 15-17 cm area around, red, puffy and hot to touch. Itching. Skin appears slightly scaly in this area. Treated with Benadryl PO - Cefazolin (IV) x doses the PO Keflex x 7 days.
Age: 1.51
Sex: M
Vaccine: FLUX, MMR
Symptoms: Body temperature increased, Rash
Clinical narrative: Developed a rash on face and trunk also a temperature of 102.00 for a day. Rash went away 3 days later. No treatment was necessary.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Body temperature increased, Nausea, Syncope, Vomiting
Clinical narrative: Patient received Gardasil vaccine in P.M. during night, nausea, vomited x 1, then fainted. Temperature 100.7
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Body temperature increased, Nausea, Pyrexia, Syncope, Vomiting
Clinical narrative: Patient received Gardasil vaccine in P.M. during night, nausea, vomited x 1, then fainted. Temperature 100.7
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cyanosis, Nasal congestion, Oxygen saturation decreased, Oxygen supplementation, Pruritus
Clinical narrative: Immediately after vaccines given, patient sneezed multiple times then was laughing and talking. Within 5 minutes she became cyanotic pulse oximetry 77%, 02 per NRB mask with increase to 96% then developed nasal congestion vomited copious mucus. Then mild respiratory distress - wheezing Albuterol was given saturation to 95% on RA. Then vasodilation and itch (approximately 43" after vaccine) Loratadine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Respiratory distress, Sneezing, Vasodilatation, Vomiting, Wheezing
Clinical narrative: Immediately after vaccines given, patient sneezed multiple times then was laughing and talking. Within 5 minutes she became cyanotic pulse oximetry 77%, 02 per NRB mask with increase to 96% then developed nasal congestion vomited copious mucus. Then mild respiratory distress - wheezing Albuterol was given saturation to 95% on RA. Then vasodilation and itch (approximately 43" after vaccine) Loratadine.
Age: 49.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Aphonia, Dyspnoea, Feeling cold, Hyperhidrosis, Increased upper airway secretion
Clinical narrative: Pt received a TD and Flu shot on 10/25/06. According to pt, he did not plan on getting the flu shot, but was encouraged to get it. About 4 days later his throat was itching and he could "feel phlegm coming on".  He states he could hear it on forced expiration. In a week the phlegm was yellow for 2 weeks to a month.  After a round of antibiotics he would feel the symptoms leaving, but they would return immediately "that evening". He states he is still taking antibiotics, is on Levaquin 500mg to "dry up the chest" and has taken 3-7 day courses of this. States he can not get a good breath and becomes short of breath with very little activity. He loses his voice quickly and needs his voice on his job.  States he "sweats or freezes", but really does not feel sick the way he thinks he should with the flu. He has a history of Hep C diagnosed 5 years ago and has not had problems with this recently.
Age: 49.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Throat irritation
Clinical narrative: Pt received a TD and Flu shot on 10/25/06. According to pt, he did not plan on getting the flu shot, but was encouraged to get it. About 4 days later his throat was itching and he could "feel phlegm coming on".  He states he could hear it on forced expiration. In a week the phlegm was yellow for 2 weeks to a month.  After a round of antibiotics he would feel the symptoms leaving, but they would return immediately "that evening". He states he is still taking antibiotics, is on Levaquin 500mg to "dry up the chest" and has taken 3-7 day courses of this. States he can not get a good breath and becomes short of breath with very little activity. He loses his voice quickly and needs his voice on his job.  States he "sweats or freezes", but really does not feel sick the way he thinks he should with the flu. He has a history of Hep C diagnosed 5 years ago and has not had problems with this recently.
Age: 0.19
Sex: M
Vaccine: HIBV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Inadvertently given Tdap instead of Pediarix.
Age: 1.57
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Angioneurotic oedema, Arthralgia, Erythema multiforme, Joint swelling, Pyrexia
Clinical narrative: Patient received MMR 6 days prior. Presented with angioneurotic edema and erythema multiforme rash, fever, arthralgia and joint swelling 3/26/07Received medical records from hospital which reveal patient experienced fever, rash & swelling including angioedema of lips.  Tx w/IV steroids, IVF, IV antibiotics, Benadryl & Atarax. Admitted to hospital from 2/21/07-2/24/07.  Edema improved but continued to have fever/chills up until 24 hrs prior to d/c.  Home on continued oral steroids FINAL DX: Erythema multiforme.
Age: 1.08
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Eczema, Full blood count normal, Pruritus, Rash morbilliform, Rash papular
Clinical narrative: gave ProQuad (MMR + Varivax) on 1/26/07-2 weeks later developed both measles like (mac pap) rash and papules (vesicles + pustules approx 10 total) all over-scalp-pruritic + splenomegaly 2 cm.  Both rashes were present after one week.
Age: 1.08
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Splenomegaly
Clinical narrative: gave ProQuad (MMR + Varivax) on 1/26/07-2 weeks later developed both measles like (mac pap) rash and papules (vesicles + pustules approx 10 total) all over-scalp-pruritic + splenomegaly 2 cm.  Both rashes were present after one week.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy, Pregnancy test positive
Clinical narrative: Patient has positive pregnancy test on 2-22-07. Cancel all future doses.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Localized inflammatory response of the arm vaccine administered in (left arm). Left upper arm swollen, erythematous, painful and hot to the touch. Reaction began 1-2 hours after vaccine given. Treatment = warm/cold packs.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pruritus generalised, Rash pruritic
Clinical narrative: Pt received shot on 2-21-07. Woke up at 0500 on 2-23-07 with itching in armpits. Rash of little red spots started spreading up and out spots all over arms, legs, trunk, neck and itch. Advised pt to take 50 mg Benadryl and see MD if did not improve or got worse.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
Clinical narrative: Right arm to elbow area, redness and warmth with palpable nodule right deltoid region commenced late 2/21/07 subsiding symptoms at time of report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Computerised tomogram normal, Eye rolling, Musculoskeletal stiffness, Urinary incontinence
Clinical narrative: One to two minutes after immunization being given, pt's body stiffened, eyes got glassy and rolled back in head and she was incontinent of urine (lasted 20 seconds). Body relaxed, alert and oriented x 3, red rash appeared lasting 2-3 minutes, EMS was called and transported to ER.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain, Diarrhoea, Injection site erythema, Lymphadenopathy, Nausea
Clinical narrative: Abd cramps, diarrhea, nausea followed by bilateral leg burning. Local erythema at injections site and circumference of proximal humerus with L axillary adenopathy.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Skin burning sensation
Clinical narrative: Abd cramps, diarrhea, nausea followed by bilateral leg burning. Local erythema at injections site and circumference of proximal humerus with L axillary adenopathy.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased
Clinical narrative: Patient was quiet for 4 days and had a temp the 1st day of 100 deg, the sites of the injections were fine.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Red area at injection site that increased in size and redness for one week. Became Slightly warm and indurated 2x5 cm. Febrile on days 5-8 after vaccination to 102 deg.
Age: 3.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient diagnosed with Varicella, received Varivax 08-15-00.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash macular
Clinical narrative: He has red dots all over body.
Age: 1.29
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Induration, Urticaria
Clinical narrative: Rt thigh administered varicella with resultant hive, ice applied with diffuse erythema and induration noted within 10 min. Benadryl and Oraped given resolution to small hives with removal of ice, Benadryl and Oraped continued for 48 hours.
Sex: M
Vaccine: VARCEL
Symptoms: Scab, Skin discolouration
Clinical narrative: spots noted 2 days ago (2-10-07) on thigh.  Scratched -scabs mom noted 2-11-07
Age: 45.0
Sex: F
Vaccine: BCG, MMR, TD
Symptoms: Fatigue, Headache, Hypoaesthesia, Insomnia, Malaise
Clinical narrative: Pt received vaccines 2/2/07 around 3:00 pm. Pt took 500 mg acetaminophen immediately following vaccines and every 4 hours after that until bedtime (approx 9:00pm) but raised to 750 mg. Pt only had 500 mg after vaccines around 3:00 pm (ran out). Pt experienced soreness in right and left shoulders at site of injections, and began to feel very tired at 5:30pm.  Feb 3, 2007 pt awakened around 6:00 am with pounding headache in frontal lobe area of head, splitting headache seeming to divide left and right hemispheres of the brain, aching in occipital area and soreness and aching in right arm (shoulder). Pt felt very tired and "drugged". Pt took 750 mg acetaminophen and continued every 4 hours.  Pt went back to bed.  Around 6:00 pm patient took a short walk (1/2 block) to get food and drink, and upon returning, pt felt very ill-fatigued, and stiff. Pt could barely move.  Pt went to bed.  During the night (Feb 3,2007) Pt had much difficulty sleeping, and experienced severe deep muscle pain in entire right upper extremity (from shoulder to finger tips), aches and pains in left upper extremity, left and right lower extremities, and head pain.  It felt as if patient's entire body was aching.  Pt considered an ER visit, but stayed home in bed.  Feb 4, 2007 Pt continued to feel tired with headaches and aches in it and right upper extremities. Pt had pain all day.  Feb 5, 2007 pt returned to the clinic (where she received TD and MMR), complaining of pain (headaches, upper extremities) and marked pain in right shoulder, and numbness and tingling in right hand and fingers. Pt was advised to take acetaminophen because she can't take NSAIDS, and given a prescription for cyclobenzaprine (Flexeril) 10 mg for the diagnosis of a muscle spasm in right shoulder. Pt continued acetaminophen 750 mg every 4 hours. Pt took 10 mg Flexeril the next day pm Feb 6, 2007 and got relief from pain in right shoulder and right arm, but had a bad headache and felt "drugged" the next morning (Feb 7) so she discontinued until the night of Feb 8 when she took 5 mg Flexeril, she felt mild headache from lower dosage but obtained relief from shoulder pain. Pt discontinued Flexeril after Feb 8. Feb 11, 2007 pt began to feel better,and stopped taking acetaminophen. Though this may not be considered serious side effects, I wanted to report my experience.
Age: 45.0
Sex: F
Vaccine: BCG, MMR, TD
Symptoms: Musculoskeletal pain, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: Pt received vaccines 2/2/07 around 3:00 pm. Pt took 500 mg acetaminophen immediately following vaccines and every 4 hours after that until bedtime (approx 9:00pm) but raised to 750 mg. Pt only had 500 mg after vaccines around 3:00 pm (ran out). Pt experienced soreness in right and left shoulders at site of injections, and began to feel very tired at 5:30pm.  Feb 3, 2007 pt awakened around 6:00 am with pounding headache in frontal lobe area of head, splitting headache seeming to divide left and right hemispheres of the brain, aching in occipital area and soreness and aching in right arm (shoulder). Pt felt very tired and "drugged". Pt took 750 mg acetaminophen and continued every 4 hours.  Pt went back to bed.  Around 6:00 pm patient took a short walk (1/2 block) to get food and drink, and upon returning, pt felt very ill-fatigued, and stiff. Pt could barely move.  Pt went to bed.  During the night (Feb 3,2007) Pt had much difficulty sleeping, and experienced severe deep muscle pain in entire right upper extremity (from shoulder to finger tips), aches and pains in left upper extremity, left and right lower extremities, and head pain.  It felt as if patient's entire body was aching.  Pt considered an ER visit, but stayed home in bed.  Feb 4, 2007 Pt continued to feel tired with headaches and aches in it and right upper extremities. Pt had pain all day.  Feb 5, 2007 pt returned to the clinic (where she received TD and MMR), complaining of pain (headaches, upper extremities) and marked pain in right shoulder, and numbness and tingling in right hand and fingers. Pt was advised to take acetaminophen because she can't take NSAIDS, and given a prescription for cyclobenzaprine (Flexeril) 10 mg for the diagnosis of a muscle spasm in right shoulder. Pt continued acetaminophen 750 mg every 4 hours. Pt took 10 mg Flexeril the next day pm Feb 6, 2007 and got relief from pain in right shoulder and right arm, but had a bad headache and felt "drugged" the next morning (Feb 7) so she discontinued until the night of Feb 8 when she took 5 mg Flexeril, she felt mild headache from lower dosage but obtained relief from shoulder pain. Pt discontinued Flexeril after Feb 8. Feb 11, 2007 pt began to feel better,and stopped taking acetaminophen. Though this may not be considered serious side effects, I wanted to report my experience.
Age: 8.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: clinical varicella
Age: 45.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Anxiety, Arthralgia, Blood cholesterol increased, Blood creatine phosphokinase increased, Blood pressure fluctuation
Clinical narrative: ache: joints; ache: joints and muscles; blood: high CPK levels in blood (relates to abnormal muscle enzyme level, would move to muscle section); blood: high cholesterol; acid reflux; blood pressure: spikes and drops; mood: anxiety; creatine pk inc (CPK increased-again elevation in muscle enzyme); blood pressure high; respiratory: shortness of breath; respiratory problems; urinary frequency; sleep: insomnia; sleep problems;
Age: 45.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Dyspnoea, Gastrooesophageal reflux disease, Hypertension, Insomnia, Myalgia
Clinical narrative: ache: joints; ache: joints and muscles; blood: high CPK levels in blood (relates to abnormal muscle enzyme level, would move to muscle section); blood: high cholesterol; acid reflux; blood pressure: spikes and drops; mood: anxiety; creatine pk inc (CPK increased-again elevation in muscle enzyme); blood pressure high; respiratory: shortness of breath; respiratory problems; urinary frequency; sleep: insomnia; sleep problems;
Age: 45.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Pollakiuria, Sleep disorder
Clinical narrative: ache: joints; ache: joints and muscles; blood: high CPK levels in blood (relates to abnormal muscle enzyme level, would move to muscle section); blood: high cholesterol; acid reflux; blood pressure: spikes and drops; mood: anxiety; creatine pk inc (CPK increased-again elevation in muscle enzyme); blood pressure high; respiratory: shortness of breath; respiratory problems; urinary frequency; sleep: insomnia; sleep problems;
Age: 29.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain upper, Fatigue, Injection site pain, Lymphadenopathy, Nausea
Clinical narrative: Severe pain at injection site and entire limb. Fatigue, achiness, nausea and stomach ache. Was given vaccination at the time of an infection and am having problems with swollen glands and fever, don't know if these are symptoms from vaccination or infection. I guess that's why I shouldn't have been given the vaccination at the time of an infection.
Age: 29.0
Sex: F
Vaccine: TTOX
Symptoms: Pain, Pyrexia
Clinical narrative: Severe pain at injection site and entire limb. Fatigue, achiness, nausea and stomach ache. Was given vaccination at the time of an infection and am having problems with swollen glands and fever, don't know if these are symptoms from vaccination or infection. I guess that's why I shouldn't have been given the vaccination at the time of an infection.
Age: 0.18
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Eye rolling, Lethargy, Pallor, Torticollis, Vomiting
Clinical narrative: vomited several times, paleness, eyes rolling towards back of the head, lethargic, and an onset of tortecolis. Given numerous tests to find cause. Given IV and kept for observation at the hospital.   3/15/07 Reviewed medical records which reveal patient experienced vomiting, lethargy, pallor, constipation, leftward torticollis & facial rash 1 day s/p vax.  Admitted for observation.  Did well w/hydration & was d/c to home next day. FINAL DX: viral syndrome; vomiting; torticollis; & constipation.