chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Dizziness, Drug screen negative, Headache, Metabolic function test normal, Syncope
Clinical narrative: Information has been received from a physician concerning a 14 year old female with no pertinent past medical history who on 20-JUL-2007 was vaccinated with 0.5 ml intramuscularly with a first dose of Gardasil (Lot # 658100/0525U). Concomitant therapy included ADACEL. On 20-JUL-2007 within minutes of receiving the injection the patient fainted onto the floor and was unconscious for a few seconds. The patient was sent to the emergency room. The patient developed a severe headache and amnesia and was hospitalized in the intensive care unit. The patient became combative and delirious and was given two unspecified sedatives and IV ZOFRAN. She was discharged from the hospital within a day or two. On 23-JUL-2007 the patient was seen in the physician's office and was fully recovered. She was referred to a neurologist. The physician considered the patient's fainting, unconsciousness, severe headache, amnesia, combativeness, and delirium to be life threatening and other important medical events. Additional information has been requested.10/03/07-records received-for DOS 7/20/07-Loss of consciousness, now asking repetitive questions, nauseous and seems disoriented. C/O right sided headache. PE oriented to person and time but not place. While in ER became combative uncooperative. DX AMS.
Sex: F
Vaccine: RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a female patient who was vaccinated with a dose of Rotateq. Subsequently "after the fourth month dose" the patient experienced intussusception and was hospitalized. It was reported that the patient was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician concerning an approximately 5 month old male who on 05-APR-2007 was vaccinated orally with a 2 ml dose of Rotateq (lot# 656192/0022U). Subsequently, the patient experienced intussusception, was hospitalized and released after surgery. On an unspecified ate, the patient recovered. No product quality complaint was involved. A lot check was requested. Intussusception was considered to be immediately life-threatening and an other important medical event. Additional information has been requested.  9/11/07 Reviewed pcp medical records & vax records which corrected vax lot #.  VAERS database updated w/same.  Records reveal patient experienced good health w/sneezing, pinpoint facial rash & colic.  Hospitalized 6/1-6/6 for intestinal polyp surgery.  Received 2nd dose RO on 6/21.  3rd dose held. 9/25/07 Reviewed hospital medical records which reveal patient experienced bilious emesis on day of admit 6/2-6/6/2007 followed by coffee grounds emesis & bloody stool.  Seen at outside ER & transferred for higher level of care.  Upon admit was lethargic, abdomen soft & nondistended & no mass palpable.  To OR for exp laparotomy & reduction of ileocolonic IS.  Did well post op & d/c to home when tolerating oral feeds & having stool. FINAL DX: Ileocolonic Intussusception, surgically reduced. 9/25/07 pcp medical records & vax record faxed to CDC.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Infant received ROTATEQ 2nd dose on 6/1/07; on 6/17/07diagnosed and operated on for intussusception in hospital.  8/3/07 Received vax record which provided RO lot # 1365F & dose #2.  Prevnar Lot # should be B08690C.  Database updated w/same.  8/28/07 Received hospital medical records from CDC which reveal patient experienced vomiting & bloody stool x 1 day. Admitted 6/17-6/19/07.  BE diagnosed IS but unable to reduce.  To OR for reduction of ileocolic IS & appendectomy. Progressed well post op. FINAL DX: Ileocolic IS, surgical reduction.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Heart rate increased, Malaise, Pyrexia
Clinical narrative: Evening of shot wasn't feeling well. Early AM woke with 102 fever and rapid heart rate 160's. Taken to ER, fluids given, took a few hours to get heart rate down.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Induration
Clinical narrative: ill-defined area of redness and induration in 8" in diameter (L) anterior thigh no tenderness
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase, Hypersensitivity, Injection site pain, Joint stiffness, Streptococcal identification test
Clinical narrative: Soreness at injection site, stiffness in shoulder - neck and jaw, sensitivity on left side of face and inside mouth.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site induration, Nausea
Clinical narrative: Pt. received Varivax #2 (RSQ), HPV #1 (RD) & Tdap #1 (LD) 7/17/07. Developed nausea and dizziness within 24 hours, lasting >48 hr after imm. Also developed erythema and induration at Varivax site 48 hours after injection (3 1/2 x 4 cm diam.)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Red swollen (L) leg, no temp
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Myalgia, Pyrexia
Clinical narrative: Fever of 100.5 x 2 days Myalgias, unable to get out of bed x 2 days
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: Rash no redness around the area of vaccine about 2 cm diameter. As per pt felt itchy and warm.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Body temperature increased, Pain
Clinical narrative: Stated he felt achy the day after the shot was given. Today 8/2/07, he states he stayed home from work - had temp of 99 and feels achy all over still. The Tetanus shot was given on 7/31/07.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Rash, Swelling
Clinical narrative: swelling and rash (R) thigh 2 days after injection been same status since as days post Rxn. Reaction began 1 day after administration
Age: 35.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Full blood count, Pharyngolaryngeal pain, Rash maculo-papular, Swelling
Clinical narrative: fine maculopapular rash on anterior neck anterior chest arms and legs and trunk, sore throat and swelling of skin of anterior neck.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received Pediarix (DTaP, IPV and Hep B combo shot) on 7-25-07 in right deltoid IM. Seen in office on 7-26-07 with 2x3cm redness and swelling at rt. deltoid injection site. Tender. Temp 101. Also received varicella on 7-25-07 in left upper arm SQ.
Age: 60.0
Sex: F
Vaccine: PNC
Symptoms: Wrong drug administered
Clinical narrative: Was in for a Pneumococcal Vaccine that Dr ordered and was to be given. MA inadvertently gave her 0.5cc of Prevnar in right arm, notified dept of health and spoke to representative, she let us know there would be no adverse reaction and only would need the Pneumococcal at age 65 yr.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: Rash and redness around vaccine area about 2 cm diameter. As per pt felt warm and itchy.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Local reaction causing redness, swelling and warmth
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Developed a rash and fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Skin nodule, Skin warm, Swelling
Clinical narrative: Left arm swollen, warm to touch with a knot, redness, cellulitis
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site infection
Clinical narrative: Infection at injection site (left thigh)
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cough, Crying, Diarrhoea, High-pitched crying, Nasal inflammation
Clinical narrative: Flat with few whelp-like polkadots, and pinpoint rash over entire body. Coughing, sneezing, red nose red and itching. Cried high pitch scream x 2 hours. Fever 101 started that afternoon. Rash started Thurs. night - covered Fri. - went away except on face by Saturday. Loose stools 061307 to 061607
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pruritus, Pyrexia, Rash generalised, Sneezing, Urticaria
Clinical narrative: Flat with few whelp-like polkadots, and pinpoint rash over entire body. Coughing, sneezing, red nose red and itching. Cried high pitch scream x 2 hours. Fever 101 started that afternoon. Rash started Thurs. night - covered Fri. - went away except on face by Saturday. Loose stools 061307 to 061607
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: in  Health Unit 5-11-07 for immunization reported that on 10-31-06 child received immunizations and had rash on upper/lower gums and around mouth after receiving immunization; no increased temp. was given Benadryl per MD orders-No further problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Pyrexia, Scab, Skin necrosis
Clinical narrative: According to mother, swelling and redness to right deltoid started in evening on 05-17-07, was warm to touch, and child had temp. of 99.2 F. States at 0930 this AM (05-18-07) center of redness was blistered and leaking and was hard to touch. States temp 103 F at 1100. Mother brought child to clinic at 1220. Right deltoid hard and hot to touch. 90mm W x 72mm L erythema and hardness. Center of area blistered and scabbed, clear fluid emitting from tiny blisters. Child denies pain when touched. Mom states child c/o soreness at 0930. Referred child to PCP. Mother states is taking child there now.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Skin warm, Swelling
Clinical narrative: According to mother, swelling and redness to right deltoid started in evening on 05-17-07, was warm to touch, and child had temp. of 99.2 F. States at 0930 this AM (05-18-07) center of redness was blistered and leaking and was hard to touch. States temp 103 F at 1100. Mother brought child to clinic at 1220. Right deltoid hard and hot to touch. 90mm W x 72mm L erythema and hardness. Center of area blistered and scabbed, clear fluid emitting from tiny blisters. Child denies pain when touched. Mom states child c/o soreness at 0930. Referred child to PCP. Mother states is taking child there now.
Age: 30.0
Sex: M
Vaccine: MMR, TD, VARCEL
Symptoms: Blister, Herpes zoster, Rash
Clinical narrative: Rash began on right thigh on 7-25-07, has extended to back, none on arm/site of injection. Some blistering, dime sized, some coalesced.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Rash, Rash pruritic
Clinical narrative: Report the evening he was vaccinated noted fine slightly raised rash on upper chest and back. None at vaccination site. Rash was itchy and diminished over the next few days. on 7/26/07 fine rash on chest, left upper. None at vaccine site.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Sex: F
Vaccine: HEP
Symptoms: Bedridden, Complex regional pain syndrome, Dizziness, Headache, Injury
Clinical narrative: This case was reported by a consumer and described the occurrence of personal injury in a female subject of unspecified age who was vaccinated with hepatitis B vaccine for prophylaxis. A physician or other health care professional has not verified this report. On 30 August 2005 the subject received unspecified dose of Hepatitis B vaccine (unknown). At an unspecified time after vaccination with Hepatitis B vaccine, the subject experienced personal injury (unspecified). At the time of reporting the outcome of the event was not known. Follow-up information was received for this case on 27 July 2007 in the form of an incomplete deposition and a form from the Vaccine Adverse Event Reporting System. The documents indicated that the hepatitis B vaccine administered to the subject was Engerix B and that the subject also received tetanus diphtheria. The subject was reportedly 44 years of age at the time of Engerix B administration. Events reported and confirmed via a physician were complex regional pain syndrom of the face, right arm and right leg with moderate to severe chronic pain. The events were considered to be disabling and the subject was bedridden 90 to 95 percent of the time. Other events mentioned included nausea, light headedness and headache. The subject had pre-existing facial neuralgia and an allergy to sulfur biproducts and compounds. The subject also may have an allergy to vaccines containing sulfates. Other medical history included tongue deviation from some unspecified dental procedure performed in 2003, a past history of smoking and in 1978, the subject stop breathing after general anesthesia for several minutes. An MRI performed on an unknown date was negative. At the time of reporting, personal injury, complex regional pain syndrome and chronic pain were unresolved. Outcome of the events was not known.
Sex: F
Vaccine: HEP
Symptoms: Nausea, Nuclear magnetic resonance imaging brain normal, Pain, Pain in extremity
Clinical narrative: This case was reported by a consumer and described the occurrence of personal injury in a female subject of unspecified age who was vaccinated with hepatitis B vaccine for prophylaxis. A physician or other health care professional has not verified this report. On 30 August 2005 the subject received unspecified dose of Hepatitis B vaccine (unknown). At an unspecified time after vaccination with Hepatitis B vaccine, the subject experienced personal injury (unspecified). At the time of reporting the outcome of the event was not known. Follow-up information was received for this case on 27 July 2007 in the form of an incomplete deposition and a form from the Vaccine Adverse Event Reporting System. The documents indicated that the hepatitis B vaccine administered to the subject was Engerix B and that the subject also received tetanus diphtheria. The subject was reportedly 44 years of age at the time of Engerix B administration. Events reported and confirmed via a physician were complex regional pain syndrom of the face, right arm and right leg with moderate to severe chronic pain. The events were considered to be disabling and the subject was bedridden 90 to 95 percent of the time. Other events mentioned included nausea, light headedness and headache. The subject had pre-existing facial neuralgia and an allergy to sulfur biproducts and compounds. The subject also may have an allergy to vaccines containing sulfates. Other medical history included tongue deviation from some unspecified dental procedure performed in 2003, a past history of smoking and in 1978, the subject stop breathing after general anesthesia for several minutes. An MRI performed on an unknown date was negative. At the time of reporting, personal injury, complex regional pain syndrome and chronic pain were unresolved. Outcome of the events was not known.
Age: 11.0
Sex: M
Vaccine: HEP, IPV, MNQ
Symptoms: Erythema, Local reaction, Pain, Pruritus, Skin warm
Clinical narrative: Red, "hot", itchy and swollen 4"x5" localized area x 2 days after injections. 3rd day better, decreased pain and swelling - 4th day reaction gone (Right deltoid)
Age: 11.0
Sex: M
Vaccine: HEP, IPV, MNQ
Symptoms: Swelling
Clinical narrative: Red, "hot", itchy and swollen 4"x5" localized area x 2 days after injections. 3rd day better, decreased pain and swelling - 4th day reaction gone (Right deltoid)
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus
Clinical narrative: 2-3 hrs after given vaccine, pt began itching-chest, abdomen, buttocks, thighs, feet. No dyspnea or swelling at time of examination (4 hrs after vaccinated). No hives developed no cyanosis. bump clear. Started Benadryl 50 mg po
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Pyrexia
Clinical narrative: 8x8cm erythemas, induration left biceps and 101.1 fever.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea
Clinical narrative: Pt had diarrhea for several days. Other children at daycare also got diarrhea.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Depressed level of consciousness, Lethargy, Listless, Somnolence
Clinical narrative: Lethargy noted by mom @ 12 am 8/1/07. Unable to fully awaken for feeding. Slept constantly seem listless. Sxs didn't resolve until 3 pm 8/1/07. Semi-conscious state
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL, HEPA, HPV4, VARCEL
Symptoms: Erythema, Injection site swelling, Pruritus, Rash pruritic
Clinical narrative: Erythema feet and hands with itching. Local swelling at injection site left arm sub Q; This is in follow-up report(s) previously submitted on 9/17/2007. Initial and follow-up information has been received from a registered nurse concerning an 16 year old female with a sulfa allergy and a history of attention deficit disorder (ADD) who on 01-AUG-2007 at 10:30 am was vaccinated intramuscularly into the left arm with a first dose of GARDASIL (Lot #658110/0525U). Concomitant vaccination on 01-AUG-2007 included hepatitis A vaccine (inactive) (HAVRIX) (Lot #AHAVB163AB) and VARIVAX (Lot #657718/0778U). Other concomitant therapy included DUAC, CONCERTA and FOCALIN. On 01-AUG-2007 the patient developed a local reaction on the left arm and an itchy rash on bottom of her feet and hands. The patient took BENADRYL which gave some relief. On 02-AUG-2007 24 hours after immunization the patient's mother called the physician to report that the patient was seen in the primary care office. The patient had erythema of the feet and hands with itching and local swelling at the VARIVAX site. The impression was urticaria from VARIVAX. The patient was treated with ZYRTEC. At the time of the report the patient had recovered. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL, HEPA, HPV4, VARCEL
Symptoms: Erythema, Injection site swelling, Rash, Urticaria
Clinical narrative: Erythema feet and hands with itching. Local swelling at injection site left arm sub Q; This is in follow-up report(s) previously submitted on 9/17/2007. Initial and follow-up information has been received from a registered nurse concerning an 16 year old female with a sulfa allergy and a history of attention deficit disorder (ADD) who on 01-AUG-2007 at 10:30 am was vaccinated intramuscularly into the left arm with a first dose of GARDASIL (Lot #658110/0525U). Concomitant vaccination on 01-AUG-2007 included hepatitis A vaccine (inactive) (HAVRIX) (Lot #AHAVB163AB) and VARIVAX (Lot #657718/0778U). Other concomitant therapy included DUAC, CONCERTA and FOCALIN. On 01-AUG-2007 the patient developed a local reaction on the left arm and an itchy rash on bottom of her feet and hands. The patient took BENADRYL which gave some relief. On 02-AUG-2007 24 hours after immunization the patient's mother called the physician to report that the patient was seen in the primary care office. The patient had erythema of the feet and hands with itching and local swelling at the VARIVAX site. The impression was urticaria from VARIVAX. The patient was treated with ZYRTEC. At the time of the report the patient had recovered. Additional information is not expected.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling abnormal
Clinical narrative: Started "feeling bad" about 15 min after Tdap
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Urticaria
Clinical narrative: Broke out in welts/hives - spread over body.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Fever up to 102 followed by rash on trunk
Age: 56.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Body temperature increased, Injection site erythema, Injection site rash, Nausea, Pain
Clinical narrative: 8/2/07 TC from client c/o sore LVE 1 day post administration 7/18/07. 7/18/07 c/o Temp 101.6-N & V Reddness and rash at injection site. Traveling during side effects. Has no further side effects at this time
Age: 56.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Vomiting
Clinical narrative: 8/2/07 TC from client c/o sore LVE 1 day post administration 7/18/07. 7/18/07 c/o Temp 101.6-N & V Reddness and rash at injection site. Traveling during side effects. Has no further side effects at this time
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: On 7/26/07 2-m-old infant received DTaP, IPV, HIB, Prevnar, and Rotateq (lot no. 0503U). On 7/30/07 Mom reported that he had 3 stools that contained blood-striated jelly like material. Was normal the next day.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Erythema, Malaise, Pyrexia, Skin warm, Swelling
Clinical narrative: Pt. received injection 7/31/07, that night 9p-10pm arm started swelling, 1:00 pm Pt told mother she didn't feel well. The arm (R) became progressively worst. 8/1/07 pt developed fever, arm red, hot brought to medical center
Age: 1.24
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Crying, Erythema, Gait disturbance
Clinical narrative: 14 month old given shots at about 1:30 PM. Went to sleep, woke up, was playing and at 4:00 started crying and not wanting to walk. Red raised areas on bilateral thighs R > L where shot given.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PPV
Symptoms: Erythema, Full blood count, Induration, Injected limb mobility decreased, Pyrexia
Clinical narrative: Localized swelling, redness, induration about 7.5cm at right thigh. No using leg (hip exam WNL). Fever up to 104 x 3 days.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PPV
Symptoms: Swelling
Clinical narrative: Localized swelling, redness, induration about 7.5cm at right thigh. No using leg (hip exam WNL). Fever up to 104 x 3 days.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out - a few seconds
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Rash morbilliform, Rash pruritic
Clinical narrative: Pt had 4 vaccines administered 7/05/07 on 7/28/07 developed pruritic, morbilliform rash over entire body
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope, Yellow skin
Clinical narrative: Fainted for about 10 sec., looking yellowish. Gave her alcohol to breathe. Water and juice were provided. *Pt had not eaten anything before vaccinated.
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia
Clinical narrative: Fever - 101-102 F after vaccination
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 7/28/07 Right arm red/swollen 4x2 1/2 (DTaP) Left arm 1x1 area (Varivax) Parent gave Benadryl to help with itching and Tylenol - getting better now.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Headache, Pharyngolaryngeal pain, Photophobia, Pyrexia
Clinical narrative: 7-28-07 C/O headache, photophobia, feverish. 7-30-07 con't c/o headaches, photophobia, chills; took ibuprofen 600mg - symptoms resolved. 8-1-07 States sore throat and rash on her back - better today. 8-2-07 totally resolved. Pt states "feeling great".
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: 7-28-07 C/O headache, photophobia, feverish. 7-30-07 con't c/o headaches, photophobia, chills; took ibuprofen 600mg - symptoms resolved. 8-1-07 States sore throat and rash on her back - better today. 8-2-07 totally resolved. Pt states "feeling great".
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Erythema, Pain, Skin warm
Clinical narrative: Pain, redness, warm to touch, temp of 100.9 raised area 4 in x 4 in.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Adverse drug reaction, Blood test, Inappropriate schedule of drug administration
Clinical narrative: Pt is an autistic child who when he received the booster DTaP vaccine shot had a very adverse reaction that has lasted over a month. The reaction was apparent within 2 days of the shot
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Pain, Pruritus
Clinical narrative: 10 x 11 induration, redness severe pain started in 4 hours more severity in 12 hours. resolving spontaneously 2 days later with slight itch. no systemic symptom no fever
Age: 1.9
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Condition aggravated, Febrile convulsion, Full blood count, X-ray normal
Clinical narrative: Febrile convulsion for 3 minutes.
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Fatigue, Pruritus, Rash papular
Clinical narrative: Pt noticed small pimple like bumps just below jaw the evening of 7/27/07. She states they are itchy at times. When the rash started to spread down her neck on 7/31/07 she called me to report it. She denies SOB and c/o fatigue as only other symptom. Advised Benadryl. 8/2/07 Rash spread to arms and legs, but Benadryl seemed to help.
Age: 2.0
Sex: F
Vaccine: DTAPH, HEP
Symptoms: Blister, Oedema peripheral, Pain, Skin warm
Clinical narrative: Severe leg swelling, warmth, blistering, pain
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Emotional distress, Pyrexia, Rash, Rash macular
Clinical narrative: Crankiness began 7/28/07. Vomiting episodes began night of 7/29/07. Rash developed also - still blotchy here and there. Fever continues. Vomiting and diarrhea continue. 8/1/07 pt again seen for vomiting
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Crankiness began 7/28/07. Vomiting episodes began night of 7/29/07. Rash developed also - still blotchy here and there. Fever continues. Vomiting and diarrhea continue. 8/1/07 pt again seen for vomiting
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: swelling and hot at site with itching three days after injection. swelling spread to elbow region five days after injection.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: Development of fever to 101 degrees 48 hours after administration.  Urticarial type rash to lower extremities 48 - 72 hours following administration of vaccinations.  No treatment other than close observation and administration of Infant Tylenol or Ibuprofen for fever.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: arm swollen, red
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Dizziness, Headache, Malaise, Nausea
Clinical narrative: The day after he got his shots he woke at 4:00 am saying, "I feel horrible." He had a headache, dizzyness, and nausea. His temp at 5:00 am was 100.3. We put him on 240 mg Tylenol, and called the doctor later that morning. We were told to watch for a stiff neck, and uncontroled vomitting. Later that day, at 2:30 pm, he vomitted, but then felt much better. By the next day he was feeling fine.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: The day after he got his shots he woke at 4:00 am saying, "I feel horrible." He had a headache, dizzyness, and nausea. His temp at 5:00 am was 100.3. We put him on 240 mg Tylenol, and called the doctor later that morning. We were told to watch for a stiff neck, and uncontroled vomitting. Later that day, at 2:30 pm, he vomitted, but then felt much better. By the next day he was feeling fine.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Abdominal pain upper, Constipation, Diarrhoea
Clinical narrative: Severe stomach pain with constipation.  After being checked by Dr., he prescribed baby fleet for the constipation.  After administering the fleet, he immediately had a bowel movement.  He had previously had a diarrhea type bowel movement approximately 1 hr prior to getting the dosage.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Headache, Oedema peripheral, Vomiting
Clinical narrative: 8-2-07 Mother phoned reporting swollen left leg and child c/o headache and vomited one time.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Lymphadenopathy, Pain
Clinical narrative: Lymphnode in Left side of neck swelled up.  Sought care at Health Services, but none could be provided.  Painful for a time.  Went away after about three months.  Came back with third dose of HPV vaccine.  Has not yet gone back to normal completely.  It has been three months. 8/15/07-records received from clinic. Diagnoses for DOS 10/10/06-2/8/07- include pelvic pain with C/O menstrual type cramps. Abdominal pain with C/O abdominal cramping. Enlarged lymph node left neck. Painful. HX of mono. Neck hurts less but has some nasal congestion. Bilateral rib pain. Lymphadenopathy. Lump in neck first appeared around 10/28/06-Lymphadenitis. Cold few days prior to first vaccine
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: SITE TURNED RED,HOT AND SWOLLEN.DR. EXAMANDEND,TOLD AUNT TO APPLY WARM COMPRESSES,GIVE TYLENOL OR MOTRIN FOR DISCOMFORT.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception, Surgery
Clinical narrative: Patient Received Rotavirus vaccine (along with DTaP, Hep B, IPV, HiB, Prevnar) on 5/29/07. On 7/11/07, she presented to the ED and was diagnosed with intussusception.  Did not resolve with air enema.  Required surgical reduction.  8/21/07 Received hospital medical records which reveal patient experienced nausea, vomiting & bloody stools x 1 day.  Admitted 7/11-7/15/07.  X-ray revealed IS & air enema failed to reduce.  Taken to OR for exp laparotomy.  Patient did well post op & d/c to home. FINAL DX: Intussusception, s/p surgical reduction. 8/21/07 Received clinic records including vax records which confirm RO dose & lot as reported.  Patient w/runny nose & cough on day of vax.  RTC 6/5 w/fever, runny nose, cough.  Dx: viral syndrome.  7/23 f/u visit post op for vomiting, cranky, cough, fever.  DX: viral syndrome & possible UTI.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL, HEPA, HPV4, VARCEL
Symptoms: Blood glucose increased, Diabetes mellitus insulin-dependent
Clinical narrative: Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL, HEPA, HPV4, VARCEL
Symptoms: Blood glucose increased, Diabetes mellitus insulin-dependent, Lethargy, Pollakiuria, Weight decreased
Clinical narrative: Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Crying, Dyskinesia, Dyspnoea, Gaze palsy, Headache
Clinical narrative: Patient received the 2nd Gardasil vaccination at 11:20 a.m. on July 31, 2007. She did not seem anxious, namely because the first shot went fine. But, approximately four minutes later, she fainted from a standing position, totally went limp, eyes fell back into her head. The nurse gave her ammonia under her nose and patient came to. We got her to a sitting position and two minutes later, she passed out again for about 10 seconds. The second time she came to, she was laid out on the floor, very scared and complaining of tingling in her right arm (she received the shot in her left), and had two very stiff hands, claw-like esp. the right and her jaw was tight, hard for her to talk. Her legs were also tingling and her feet pointed inward, but it was her arms and hands that were worse. She was breathing heavily and still very scared, crying. We couldn't seem to regulate her breathing, even with a paper sac and decided to call the EMTs, namely due to the stiff hands that were bent toward her wrists and her very low blood pressure. The EMTs came and talked her through this, calming her down and regulating her breathing well enough. Her hands were still stiff. The EMTs called it a syncable episode with a vasovagal response. As a mother, I transported her to the hospital emergency to have a doctor look at her before I took her home 30 mins away. On the way to the hospital, I was holding her hand which was not as tight, but the muscles were consistently jerking in her fingers. At the hospital, she seemed better and was released to go home and rest. At home, she developed a low grade fever, under 100. She was quiet and subdued the rest of the day with a slight headache. The next day, she was fine but I could still feel minor tremors in her hands when I held them. I am seriously debating whether or not she should have the third gardasil shot.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypotonia, Joint stiffness, Loss of consciousness, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Patient received the 2nd Gardasil vaccination at 11:20 a.m. on July 31, 2007. She did not seem anxious, namely because the first shot went fine. But, approximately four minutes later, she fainted from a standing position, totally went limp, eyes fell back into her head. The nurse gave her ammonia under her nose and patient came to. We got her to a sitting position and two minutes later, she passed out again for about 10 seconds. The second time she came to, she was laid out on the floor, very scared and complaining of tingling in her right arm (she received the shot in her left), and had two very stiff hands, claw-like esp. the right and her jaw was tight, hard for her to talk. Her legs were also tingling and her feet pointed inward, but it was her arms and hands that were worse. She was breathing heavily and still very scared, crying. We couldn't seem to regulate her breathing, even with a paper sac and decided to call the EMTs, namely due to the stiff hands that were bent toward her wrists and her very low blood pressure. The EMTs came and talked her through this, calming her down and regulating her breathing well enough. Her hands were still stiff. The EMTs called it a syncable episode with a vasovagal response. As a mother, I transported her to the hospital emergency to have a doctor look at her before I took her home 30 mins away. On the way to the hospital, I was holding her hand which was not as tight, but the muscles were consistently jerking in her fingers. At the hospital, she seemed better and was released to go home and rest. At home, she developed a low grade fever, under 100. She was quiet and subdued the rest of the day with a slight headache. The next day, she was fine but I could still feel minor tremors in her hands when I held them. I am seriously debating whether or not she should have the third gardasil shot.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pyrexia, Syncope, Syncope vasovagal, Tremor
Clinical narrative: Patient received the 2nd Gardasil vaccination at 11:20 a.m. on July 31, 2007. She did not seem anxious, namely because the first shot went fine. But, approximately four minutes later, she fainted from a standing position, totally went limp, eyes fell back into her head. The nurse gave her ammonia under her nose and patient came to. We got her to a sitting position and two minutes later, she passed out again for about 10 seconds. The second time she came to, she was laid out on the floor, very scared and complaining of tingling in her right arm (she received the shot in her left), and had two very stiff hands, claw-like esp. the right and her jaw was tight, hard for her to talk. Her legs were also tingling and her feet pointed inward, but it was her arms and hands that were worse. She was breathing heavily and still very scared, crying. We couldn't seem to regulate her breathing, even with a paper sac and decided to call the EMTs, namely due to the stiff hands that were bent toward her wrists and her very low blood pressure. The EMTs came and talked her through this, calming her down and regulating her breathing well enough. Her hands were still stiff. The EMTs called it a syncable episode with a vasovagal response. As a mother, I transported her to the hospital emergency to have a doctor look at her before I took her home 30 mins away. On the way to the hospital, I was holding her hand which was not as tight, but the muscles were consistently jerking in her fingers. At the hospital, she seemed better and was released to go home and rest. At home, she developed a low grade fever, under 100. She was quiet and subdued the rest of the day with a slight headache. The next day, she was fine but I could still feel minor tremors in her hands when I held them. I am seriously debating whether or not she should have the third gardasil shot.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Gaze palsy, Headache, Syncope vasovagal
Clinical narrative: Patient received the 2nd Gardasil vaccination at 11:20 a.m. on July 31, 2007. She did not seem anxious, namely because the first shot went fine. But, approximately four minutes later, she fainted from a standing position, totally went limp, eyes fell back into her head. The nurse gave her ammonia under her nose and patient came to. We got her to a sitting position and two minutes later, she passed out again for about 10 seconds. The second time she came to, she was laid out on the floor, very scared and complaining of tingling in her right arm (she received the shot in her left), and had two very stiff hands, claw-like esp. the right and her jaw was tight, hard for her to talk. Her legs were also tingling and her feet pointed inward, but it was her arms and hands that were worse. She was breathing heavily and still very scared, crying. We couldn't seem to regulate her breathing, even with a paper sac and decided to call the EMTs, namely due to the stiff hands that were bent toward her wrists and her very low blood pressure. The EMTs came and talked her through this, calming her down and regulating her breathing well enough. Her hands were still stiff. The EMTs called it a syncable episode with a vasovagal response. As a mother, I transported her to the hospital emergency to have a doctor look at her before I took her home 30 mins away. On the way to the hospital, I was holding her hand which was not as tight, but the muscles were consistently jerking in her fingers. At the hospital, she seemed better and was released to go home and rest. At home, she developed a low grade fever, under 100. She was quiet and subdued the rest of the day with a slight headache. The next day, she was fine but I could still feel minor tremors in her hands when I held them. I am seriously debating whether or not she should have the third gardasil shot.
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Anorexia, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Paternal reports son as having head ache, nausea, vomitting, diarrhea, fatigue, loss of appetite starting 2 days post 2nd hepatitis a vaccination. As of Aug 2nd patient is still nauseated, having diarrhea (non cramping) and fatigue. Patient has just left for a 2 year mission and under the care of clinic.
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Paternal reports son as having head ache, nausea, vomitting, diarrhea, fatigue, loss of appetite starting 2 days post 2nd hepatitis a vaccination. As of Aug 2nd patient is still nauseated, having diarrhea (non cramping) and fatigue. Patient has just left for a 2 year mission and under the care of clinic.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema and swelling to site.  Warm to touch.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received Varivax 0.5ml subcutaneous left arm 07/31/2007. Returned 8/2/2007 c/o itching at site, 3inch X 4 inch red raised area @ injection site with 3/4 inch center covered in multiple "blistery papules" of clear fluid. Patient reports that he first noted the itching around 1200 8/1/2007 then noticed the redness and swelling last night.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Convulsion, Dizziness, Laboratory test, Muscle twitching, Pallor
Clinical narrative: Several minutes after administering vaccines patient felt faint, and began to experience seizure like activity (hand twitiching, head twitching and unresponsiveness lasting several seconds.  Pt was pale and postictal for few minutes until recovering.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Postictal state, Scan brain, Unresponsive to stimuli
Clinical narrative: Several minutes after administering vaccines patient felt faint, and began to experience seizure like activity (hand twitiching, head twitching and unresponsiveness lasting several seconds.  Pt was pale and postictal for few minutes until recovering.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Computerised tomogram, Convulsion, Dyskinesia, Fall, Head injury
Clinical narrative: Several minutes after receiving vaccine patient went from standing at checkout desk to falling and hitting head on the floor as a several second seizure insued (head jerking, arm twitching and unresponsiveness).  Pt was postictal for several seconds until returning to normal state.  Because of possible head injury, pt. was transferred via ambulance to Emergency Dept.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Laboratory test, Muscle twitching, Postictal state, Unresponsive to stimuli
Clinical narrative: Several minutes after receiving vaccine patient went from standing at checkout desk to falling and hitting head on the floor as a several second seizure insued (head jerking, arm twitching and unresponsiveness).  Pt was postictal for several seconds until returning to normal state.  Because of possible head injury, pt. was transferred via ambulance to Emergency Dept.
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Convulsion, Dyskinesia, Postictal state, Syncope, Unresponsive to stimuli
Clinical narrative: Pt. standing at checkout desk several minutes after receiving vaccines and reported feeling faint.  She was falling when supported by the physician, had several seconds of seizure like activity ( head jerking, hand jerking and unresponsiveness)followed by a several second postictal state before returning to normal.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Area of erythema and induration over deltoid area of upper left arm measuring 8 1/2 cm by 11 cm 48 hours after administration of IPV vaccine
Age: 3.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMRV, PNC
Symptoms: Cellulitis, Erythema, Rash macular, Skin warm, Swelling
Clinical narrative: On 7/25/07, pt developed swelling, blotchy red appearance on left thigh, warm to touch.  Seen at local E.R., treated for cellulitis with Bactrim Suspension 10 ml bid x 10 days.  Mother reported significant improvement on 7/31/07.
Age: 12.0
Sex: F
Vaccine: DTAP, HEPA, HPVX, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Shot site very swollen and painfull. Size of a small egg. Surrounding skin (6 - 7 inches in diameter) very red and itchy. Swelling susideded after 48- 72 hours. Redness remained for 5 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Labyrinthitis, Tinnitus
Clinical narrative: Three-four hours following injection of Zostavac on July 23rd patient developed symptoms of labyrinthitis. Feelings of instability (not vertigo) and lightheadedness with body or head motions, especially those that slightly "jarred" the body. In addition she heard crackling or clapping noises that were not actually present. Meclizine 25 mg relieved symptoms temporarily. Symptoms have continued to return when the drug is discontinued.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3 inches by 3 inches local redness and mild swelling on injection site.  Treated with warm compress and was given Zyrtec, allergy med by mom.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Areflexia, Decreased appetite, Dyspnoea, Hypersomnia, Lethargy
Clinical narrative: on 08-01-07 @ 10:30am started having problems getting his breath, simple walking up a incline was difficut, after that noticed he was lethargic, drowzy, nausious feeling, unable to eat, gag reflex was weak, muscle pain started in neck, back, upper legs and later progressed to tops of his feet, slept from 1:00pm to 4:30am. Through out night had shivvering. noticed arm pain when rolled over on it.  7-8:00 am got out of bed noticed his lymph node pain in left arm was there and seems to be getting worse.  GAg reflex gets worse when he moves around.  Took Ibuprofen 3x yesterday, last dose was @ 4:30 this morning.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Lymph node pain, Myalgia, Nausea, Pain in extremity, Somnolence
Clinical narrative: on 08-01-07 @ 10:30am started having problems getting his breath, simple walking up a incline was difficut, after that noticed he was lethargic, drowzy, nausious feeling, unable to eat, gag reflex was weak, muscle pain started in neck, back, upper legs and later progressed to tops of his feet, slept from 1:00pm to 4:30am. Through out night had shivvering. noticed arm pain when rolled over on it.  7-8:00 am got out of bed noticed his lymph node pain in left arm was there and seems to be getting worse.  GAg reflex gets worse when he moves around.  Took Ibuprofen 3x yesterday, last dose was @ 4:30 this morning.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: pt received vaccines on 7/31/2007 at 2pm.  By next am 1/2 dollar sized reddened area was visible.  By today 8/2/07, tennis-ball sized reddened area is visible.  Area is firm and hot to touch.  Pt feels fine; no fever or other sx.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: induration 3x3 in size, erythema and tenderness at right arm injection site
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Hypokinesia, Oedema peripheral, Pain
Clinical narrative: Awoke morning after vaccinations (one in each deltoid) with symmetrically swollen, red hands.  Difficult to move fingers because of swelling, but no joint pain.  No skin changes other than diffuse redness.  No itchiness.  A few body aches, but no other systemic symptoms.  No respiratory distress.  Improved over course of day.
Sex: U
Vaccine: VARZOS
Symptoms: Pain, Rash
Clinical narrative: Developed pain then rash on R scalp, neck in dermatomal pattern, seen ER and PCP, tx ACV, Lortab, Neurontin, then Valtrex
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Malaise
Clinical narrative: Pt presented for HPV #3 on 07-31-07. Approximately 15 seconds after injection pt stated she "did not feel good", complained of dizziness. Pt was assisted to lying position and symptoms resolved after about two minutes. She had not had any problems with first two shots of series.
Age: 1.5
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Received Hep A, Prevnar, and Varivax on 7/30/07.  On 7/31/07 patient had generalized seizure, with fever, lasting one minute.