chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MMR
Symptoms: Diarrhoea, Injury
Clinical narrative: Information has been received from parents via e-mail concerning their son who was vaccinated with a dose of MMR II on an unspecified date. The patient had clearly injury from MMR II. The chronic diarrhea started a couple days after vaccination and had continued on and off to this day. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Adverse event
Clinical narrative: Information has been received from a consumer concerning her son who on an unspecified date was vaccinated with MMR II. The consumer reported that "My son's life horribly changed the day he received the MMR combo shot". It was unknown if the patient sought medical attention. At the time of reporting, the patient's outcome was unknown. Additional information has been requested.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Information has been received from a medical assistant concerning a 13 month old male who on 17-MAR-2009 was vaccinated with MMR II (lot # 660203/0452X) SC in the right leg and VARIVAX (Oka/Merck) (lot # 663299/1774X) by SC in the left leg. On 17-MAR-2009 the patient experienced hives at the injection site for both the MMR II and the VARIVAX (Oka/Merck) (WAES #0903USA05257). Subsequently, the patient recovered. The patient sought medical attention, spoke to physician. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Lethargy, Pyrexia
Clinical narrative: Information has been received from a female consumer who was vaccinated with a dose of MMR II (HSA) over 20 years ago. Over 20 years ago the patient spiked a high fever and became very lethargic. No other information was provided. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Mitochondrial cytopathy, Surgery
Clinical narrative: Information has been received from a physician concerning a female patient who was vaccinated with GARDASIL. The patient received the first dose of GARDASIL and a week and half later she was scheduled to have heart surgery due to a hole in a heart that patient already had. Then after surgery the patient started to experience illness on a mitochondrial level. The physician stated that the patient was hospitalized due to surgery but did not specify how long the patient was in the hospital. Illness on a mitochondrial level was considered to be immediately life-threatening and disabling. At the time of this report, the patient was recovering. No further information is available.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Antibody test, Biopsy bone, Biopsy bone marrow, Biopsy lymph gland, Chemotherapy
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning her daughter now 18 year old, with drug hypersensitivity to PHENERGAN who on 01-JAN-1996 and 01-JUN-1998 was vaccinated with the first and second dose of VARIVAX (Merck) (LOT# not reported), respectively. On unspecified dates, after vaccination, the patient has initially symptoms of tiredness, terrible itching of the arms and legs and gradually weight loss. One day, the patient come home and was discovered there was a lump on the node that was very puffy on the right side of neck. The lump on the neck almost covered the front of the lung. In July 2008, at age of 17 year old, the patient was diagnosed with stage 3 Hodgkin's lymphoma. The patient was hospitalized and underwent chemotherapy and radiation. Labs/diagnostics were reported which included: white blood cell count with differential, "autoimmune antibodies", "chem 20", computed axial tomography, positron emission tomography, lymphatic structure biopsy, bone biopsy and bone marrow biopsy, but no outcomes were provided. The patient completed therapy in mid December 2008 and was in remission at the time of the report. Stage 3 Hodgkin's lymphoma was considered to be immediately life-threatening, disabling and was considered to be an other important medical event. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Computerised tomogram, Differential white blood cell count, Fatigue, Hodgkin's disease stage III, Laboratory test
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning her daughter now 18 year old, with drug hypersensitivity to PHENERGAN who on 01-JAN-1996 and 01-JUN-1998 was vaccinated with the first and second dose of VARIVAX (Merck) (LOT# not reported), respectively. On unspecified dates, after vaccination, the patient has initially symptoms of tiredness, terrible itching of the arms and legs and gradually weight loss. One day, the patient come home and was discovered there was a lump on the node that was very puffy on the right side of neck. The lump on the neck almost covered the front of the lung. In July 2008, at age of 17 year old, the patient was diagnosed with stage 3 Hodgkin's lymphoma. The patient was hospitalized and underwent chemotherapy and radiation. Labs/diagnostics were reported which included: white blood cell count with differential, "autoimmune antibodies", "chem 20", computed axial tomography, positron emission tomography, lymphatic structure biopsy, bone biopsy and bone marrow biopsy, but no outcomes were provided. The patient completed therapy in mid December 2008 and was in remission at the time of the report. Stage 3 Hodgkin's lymphoma was considered to be immediately life-threatening, disabling and was considered to be an other important medical event. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Lymphadenopathy, Positron emission tomogram, Pruritus, Weight decreased
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning her daughter now 18 year old, with drug hypersensitivity to PHENERGAN who on 01-JAN-1996 and 01-JUN-1998 was vaccinated with the first and second dose of VARIVAX (Merck) (LOT# not reported), respectively. On unspecified dates, after vaccination, the patient has initially symptoms of tiredness, terrible itching of the arms and legs and gradually weight loss. One day, the patient come home and was discovered there was a lump on the node that was very puffy on the right side of neck. The lump on the neck almost covered the front of the lung. In July 2008, at age of 17 year old, the patient was diagnosed with stage 3 Hodgkin's lymphoma. The patient was hospitalized and underwent chemotherapy and radiation. Labs/diagnostics were reported which included: white blood cell count with differential, "autoimmune antibodies", "chem 20", computed axial tomography, positron emission tomography, lymphatic structure biopsy, bone biopsy and bone marrow biopsy, but no outcomes were provided. The patient completed therapy in mid December 2008 and was in remission at the time of the report. Stage 3 Hodgkin's lymphoma was considered to be immediately life-threatening, disabling and was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Feeling abnormal, Injection site discharge, Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: This case was received on 09-June-2009 from a consumer. A male patient of unknown age received the following vaccination on 01-June-2009: smallpox (trade name and manufacturer unknown). NOTE: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Eight days after vaccination, the patient reported to the ACAM2000 hotline a very large swollen, red and itchy area starting to expand from the vaccination site to outside the bandaged area. He also reported a lump radiating from the vaccination site down his arm and yellowish liquid coming from the site. Additional reactions reported were feeling "loopy" and heart palpitations. He called a doctor who prescribed an antibiotic and BENADRYL for the itching and who referred him to an infectious disease doctor. No additional information was provided. List of documents held by sender: none.
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site swelling, Palpitations
Clinical narrative: This case was received on 09-June-2009 from a consumer. A male patient of unknown age received the following vaccination on 01-June-2009: smallpox (trade name and manufacturer unknown). NOTE: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Eight days after vaccination, the patient reported to the ACAM2000 hotline a very large swollen, red and itchy area starting to expand from the vaccination site to outside the bandaged area. He also reported a lump radiating from the vaccination site down his arm and yellowish liquid coming from the site. Additional reactions reported were feeling "loopy" and heart palpitations. He called a doctor who prescribed an antibiotic and BENADRYL for the itching and who referred him to an infectious disease doctor. No additional information was provided. List of documents held by sender: none.
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Feeling abnormal, Injection site discharge, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: This case was received on 09-June-2009 from a consumer. A male patient of unknown age received the following vaccination on 01-June-2009: smallpox (trade name and manufacturer unknown). NOTE: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Eight days after vaccination, the patient reported to the ACAM2000 hotline a very large swollen, red and itchy area starting to expand from the vaccination site to outside the bandaged area. He also reported a lump radiating from the vaccination site down his arm and yellowish liquid coming from the site. Additional reactions reported were feeling "loopy" and heart palpitations. He called a doctor who prescribed an antibiotic and BENADRYL for the itching and who referred him to an infectious disease doctor. No additional information was provided. List of documents held by sender: none.
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site pruritus, Injection site streaking, Injection site swelling, Palpitations
Clinical narrative: This case was received on 09-June-2009 from a consumer. A male patient of unknown age received the following vaccination on 01-June-2009: smallpox (trade name and manufacturer unknown). NOTE: Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. Eight days after vaccination, the patient reported to the ACAM2000 hotline a very large swollen, red and itchy area starting to expand from the vaccination site to outside the bandaged area. He also reported a lump radiating from the vaccination site down his arm and yellowish liquid coming from the site. Additional reactions reported were feeling "loopy" and heart palpitations. He called a doctor who prescribed an antibiotic and BENADRYL for the itching and who referred him to an infectious disease doctor. No additional information was provided. List of documents held by sender: none.
Age: 35.0
Sex: F
Vaccine: JEV
Symptoms: Back pain, Computerised tomogram abnormal, Hepatic lesion, Neuralgia, Pain in extremity
Clinical narrative: Initial report was received 11 June 2009 from a health care professional.  A 35-year-old female patient with a history of chronic hepatitis B had received a second dose injection of JE - VAX (lot number, route/site and date of administration not reported), and an unspecified amount of time later, she developed neuralgia, back pain and leg pain.  The patient also had a CT scan performed on an unspecified date which revealed lesions in the liver.  The patient had previously received a first dose of JE - VAX on an unspecified date and it was unknown if the patient had received any other vaccines within four weeks of JE - VAX.  No further information was provided at the time of the report.  Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hypersensitivity, Rash, Swelling
Clinical narrative: PT PRESENTED TO MEDICAL C/O RASH AND SWELLING X 1 DAY. PT STATES THAT RASH STARTED APPROXIMATELY 5 HRS AFTER HE RECEIVED HIS ANTHRAX VACCINATION. PT STATES THAT HE WOKE UP AND RASH HAD SPREAD AROUND HIS MOUTH AND NOSE AREA. PT DENIES ANY AIRWAY OBSTRUCTION AT THIS TIME. PT STATES THAT HE ALSO HAD AN HEADACHE MOSTLY FRONTAL PAIN 7/10. PT DIAGNOSED WITH AN ALLERGIC REACTION TO ANTHRAX AND TREATED WITH PREDNISONE. MEDICAL RECORD ANOTATED WITH ALLERGIES AND NO MORE ANTHRAX SHOTS.
Age: 55.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Fever 102.1
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: patient broke out with shingles in his eye and on scalp 102 weeks after receiving vaccine.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Basophil count normal, Basophil percentage, Body temperature, Eosinophil count normal, Haematocrit normal
Clinical narrative: Patient received pneumococcal vaccine on 5/13/09. On 5/14/09, developed pain, redness, warmth, erythema at injection site.  WBC elevated at 11.8/cumm.  Temperature afebrile at 97.2F on 5/14, increased to a maximum of 99.1F on 5/19..  Possible cellulitis of injection site suspected, patient treated with cephalexin 500 mg po q8h x 10days.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Haemoglobin normal, Injection site erythema, Injection site pain, Injection site warmth, Lymphocyte count normal
Clinical narrative: Patient received pneumococcal vaccine on 5/13/09. On 5/14/09, developed pain, redness, warmth, erythema at injection site.  WBC elevated at 11.8/cumm.  Temperature afebrile at 97.2F on 5/14, increased to a maximum of 99.1F on 5/19..  Possible cellulitis of injection site suspected, patient treated with cephalexin 500 mg po q8h x 10days.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal
Clinical narrative: Patient received pneumococcal vaccine on 5/13/09. On 5/14/09, developed pain, redness, warmth, erythema at injection site.  WBC elevated at 11.8/cumm.  Temperature afebrile at 97.2F on 5/14, increased to a maximum of 99.1F on 5/19..  Possible cellulitis of injection site suspected, patient treated with cephalexin 500 mg po q8h x 10days.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Platelet count normal, Red blood cell count normal
Clinical narrative: Patient received pneumococcal vaccine on 5/13/09. On 5/14/09, developed pain, redness, warmth, erythema at injection site.  WBC elevated at 11.8/cumm.  Temperature afebrile at 97.2F on 5/14, increased to a maximum of 99.1F on 5/19..  Possible cellulitis of injection site suspected, patient treated with cephalexin 500 mg po q8h x 10days.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Red cell distribution width normal, White blood cell count increased
Clinical narrative: Patient received pneumococcal vaccine on 5/13/09. On 5/14/09, developed pain, redness, warmth, erythema at injection site.  WBC elevated at 11.8/cumm.  Temperature afebrile at 97.2F on 5/14, increased to a maximum of 99.1F on 5/19..  Possible cellulitis of injection site suspected, patient treated with cephalexin 500 mg po q8h x 10days.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Cold sweat, Hypotension, Hypoventilation, Somnolence, Syncope
Clinical narrative: 06-17-09  Fainting episodes x2 after vaccines given.  Recovered x1 after glass of water given.  Second time it was difficult to wake her, shallow breathing, skin cold and clammy to touch.  911 called.  Vomitted x1. BP-74/50, P-68. Prior to the 2nd fainting episode she had tonic clonic movements noted in arms, bilaterally, eyes rolled back, incoherent.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Vomiting
Clinical narrative: 06-17-09  Fainting episodes x2 after vaccines given.  Recovered x1 after glass of water given.  Second time it was difficult to wake her, shallow breathing, skin cold and clammy to touch.  911 called.  Vomitted x1. BP-74/50, P-68. Prior to the 2nd fainting episode she had tonic clonic movements noted in arms, bilaterally, eyes rolled back, incoherent.
Age: 1.0
Sex: M
Vaccine: PPV, VARCEL
Symptoms: Rash
Clinical narrative: rash
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Uterine dilation and curettage
Clinical narrative: Patient had vaccine 9/11/08 and became pregnant in 2/09. She then had a fetus that "was not thriving" and she had a D&C done 5/26/09.  Please note: Patient also received Menactra Mafr Sanofi on 10/7/08 in the right arm Lot# U2734AA purchased with private funds. Given by same person at the same office location.
Age: 1.0
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: Pt presented to our office on 6/18/09 with left sided rash. Rash began one day after varivax was administered in the left arm.  Rash is present on the left side of the neck, torso, and left arm. Rash is vasicular and papular.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Blister, Erythema, Oedema peripheral, Skin warm
Clinical narrative: 24 hours after vaccine patient complained to parents that her R arm was hot and redness and swelling were noted. She was given Ibuprofen and cold compresses placed. On the morning of 6/17/09 blisters extending down to the elbow were noticed along with more redness and swelling. Photos sent electronically to VAERS.hhs.gov and CDC.gov.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Incorrect storage of drug
Clinical narrative: Anthrax Vaccine exceeded the recommended temperature range.  Shipping and Handling requirements were discussed.
Age: 52.0
Sex: M
Vaccine: HEPAB
Symptoms: Dry throat, Headache, Hypoaesthesia, Sensation of foreign body
Clinical narrative: Patient's throat 10 minutes after the injection got dry and felt like an object was in it, and his left arm at the shoulder felt like it was numb. Had a little headache.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Difuse red papule rash and itching face,upper and lower body. I took the vaccine 2/24/09, but since then as a RN I have administered at least 30-40 injections and developed a rash that has been getting progressivly worse, and now after administering the last injection on 6/17/09 my face and upper body, especially my face, neck and upper chest is covered.
Age: 45.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Incorrect storage of drug
Clinical narrative: Anthrax Vaccine exceeded the recommended temperature range.  Shipping and Handling requirements were discussed. No harm done to patient.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Incorrect storage of drug
Clinical narrative: Anthrax Vaccine exceeded the recommended temperature range.  Shipping and Handling requirements were discussed. No harm done to patient.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Incorrect storage of drug
Clinical narrative: Anthrax Vaccine exceeded the recommended temperature range.  Shipping and Handling requirements were discussed. No harm done to patient.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Lymph node pain
Clinical narrative: Complaining of continued pain and soreness in the muscle of the left arm in the deltoid region. Pain with deep palpation of the lymph nodes under the arm. Unable to sleep on that shoulder 2 weeks after the vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site vesicles
Clinical narrative: 2 large blisters on lt arm where varicella vaccine was placed. Pt also has erythema/induration of 4cm x 5cm surrounding area where varicella vaccine placed. Pt has erythema/induration also on the rt arm of 3cm x 3cm. Dtap and MMR were placed on this side.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Fatigue, Hallucination, Pain, Pyrexia
Clinical narrative: I began to have the following symptoms about 3 hours following the shot: high Fever, Hallucinations, soreness, joint pain, aches and fatigue. Once this began, I took 4 ibuprofen tablets at 200 mg each. I received the vaccination on a Thursday morning and I did not feel better until Sunday.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Discomfort, Lymphadenopathy, Pyrexia
Clinical narrative: Member called stating that he was running a fever up to 101 on day 10 of small pox vaccine and was complaining of discomfort under the arms from swollen lymph nodes and also complaint of discomfort in the xyphoid process under the left rib cage. It felt like it was pushing out. Member was instructed to take motrin and if pain worsened to go to the emergency department.
Age: 0.21
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Apnoeic attack, Cyanosis, Pyrexia
Clinical narrative: seen in emergency room twenty-four hours after vaccines were administered with apenic spells and cyanotic episodes, along with fever.  7/7/09 Hospital records received DOS 5/5/09 5/9/09. Assessment: RSV bronchiolitis, Acute Febrile Illness. Patient presented with increased sleepiness, shortness of breath and difficulty breathing. Hypoxic, febrile. Nasal congestion. Rash on cheeks.  ICD-9 Codes: 466.11, 288.60, 780.60, 799.02
Age: 11.0
Sex: M
Vaccine: HEP, HEPA, HPV4, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient was entered into the electronic medical record as a female.  The nurse gave the patient an HPV as indicated for female patients.  Upon returning to the clinic in one month for additional vaccines it was discovered the patient was actually a male.  No adverse symptoms were reported.
Sex: U
Vaccine: HEPA, MNC, TDAP, YF
Symptoms: Activities of daily living impaired, Arthralgia, Chills, Fatigue, Headache
Clinical narrative: Fever, chills, muscle aches, sore joints, swollen glands, headache, fatigue all started the day after the vaccines were given. Patient had to leave work early, and was then unable to get out of bed. Ibuprofen given every 6 hours until symptoms improved, along with adequate hydration and rest.
Sex: U
Vaccine: HEPA, MNC, TDAP, YF
Symptoms: Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches, sore joints, swollen glands, headache, fatigue all started the day after the vaccines were given. Patient had to leave work early, and was then unable to get out of bed. Ibuprofen given every 6 hours until symptoms improved, along with adequate hydration and rest.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Computerised tomogram normal, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever 103, body aches, blotchy redness, and severe swelling to right upper arm especially near & surrounding PPSV injection site.  7/2/09 Hospital records received DOS 6/18/09 to 6/20/09. Assessment: Post-Operative Fever. Patient presented with fever nausea, vomiting, abdominal pain, passing gas. Right arm swelling at the site of vaccine injection.  ICD-9 Codes: 780.63, 789.07, V45.79
Age: 41.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Rash macular
Clinical narrative: Fever 103, body aches, blotchy redness, and severe swelling to right upper arm especially near & surrounding PPSV injection site.  7/2/09 Hospital records received DOS 6/18/09 to 6/20/09. Assessment: Post-Operative Fever. Patient presented with fever nausea, vomiting, abdominal pain, passing gas. Right arm swelling at the site of vaccine injection.  ICD-9 Codes: 780.63, 789.07, V45.79
Age: 1.25
Sex: M
Vaccine: DTPPHIB
Symptoms: Diet refusal, Gait disturbance, Vomiting
Clinical narrative: could not walk 5 hours after shot was given. Limped on leg where shot was given. Gave tylenol and was able to walk again after 2 hours. Expected that reaction so I was not concerned. Began vomiting 21 hours after injection. Threw up 4 times in a 2 hour period. Would not eat or drink anything. Took him back to doctor and was told it had nothing to do with the vaccination and to treat it as a stomach flu. Gave fluids and broth in small does. Does not want to eat anything solid. No fever at time of this reporting.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Expired drug administered
Clinical narrative: Vaccine administered, vaccine 2 weeks out of date; No adverse event observed in patient.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Dr. requested that these side-effects be reported. DTAP given at Left Deltoid (IM). Mother reported Left arm red, sore, had hard knot, and warm to touch but no fever and doing well otherwise.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Vaccination complication
Clinical narrative: L thigh swollen, red, + bump Dxper Dr L leg cellulitis vaccine Rxn.
Age: 1.3
Sex: M
Vaccine: MMR, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: L upper thigh with induration, red 4x4 cm.
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Heart rate normal, Loss of consciousness, Tonic convulsion
Clinical narrative: Sudden LOC onset about 10 minutes post injection with 10-15 seconds tonic posturing. Patient recovered consciousness in less than 30 seconds - BP 120/ 76 HR 68.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Pt. c/o left arm pain and swelling. Noted arm, area red slight swelling confined to injection site, size of .50 cents piece. Able to move extremity well. Suggested child f/u with Pvt. MD. Continue pain med and compresses.
Age: 1.2
Sex: M
Vaccine: DTAPH, PNC
Symptoms: Brain oedema, Choking, Convulsion, Electroencephalogram, Hemiparesis
Clinical narrative: See sheet
Age: 1.2
Sex: M
Vaccine: DTAPH, PNC
Symptoms: Nuclear magnetic resonance imaging, Vomiting
Clinical narrative: See sheet
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling onset 1 day after immunization given.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Injection given left Deltoid on 2-7-09 On 2-9-09  pt had small welt at site.  On 2-10-09 it had increased in size to 4.5" X 3" with warmth & swelling at this time
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Oedema peripheral, Pyrexia
Clinical narrative: Fever of 101 degrees, - fever at 5:00 p.m day of vaccine given 2/11/09. Next morning 2/12/09 arm very sore at site and hand swollen. Had rings cute off later that eve. Per below- hands remain slightly swollen today 2/13/09. Had rings cut off at 9:00 p.m. Took OTC pain and fever med and fever resolved same day.
Age: 1.02
Sex: F
Vaccine: DTAP, HEPA, MMRV, PNC, VARCEL
Symptoms: Drooling, Lumbar puncture normal, Muscle twitching, Unresponsive to stimuli
Clinical narrative: Patient was in her car seat, after grandparents had come out of the grocery store.  Grandparents noted child was twitching.  Unresponsive & had some drool.  She was taken to the ER.  The doctor examined, ran a test.  See # 12.  Child was unresponsive whole episode.  Child was monitored.  Shows no adverse effects at this time.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Electroencephalogram, Hypoaesthesia, Laboratory test, Paraesthesia
Clinical narrative: Information has been received from parents, a physician and a medical assistant concerning a 19 year old female with anxiety, depression, asthma, twitching and tremor and a history of spinal fracture who was vaccinated with three doses of GARDASIL. The patient received the first dose of GARDASIL (Lot# 660618/0572X) on 17-NOV-2008. The patient received the second dose of GARDASIL (Lot# 661766/0652X) on 20-FEB-2009. The patient experienced numbness and tingling after the second dose. The numbness and tingling was never reported to the physician. The patient received the third dose of GARDASIL (Lot# 661846/1312X) on 05-JUN-2009. Concomitant therapy included ZOLOFT, hydromorphone, albuterol, montelukast sodium (MSD) and HOMACCORD. The medical assistant also reported that the patient had received a influenza virus vaccine (unspecified) shot on 13-OCT-2008. No other vaccines was given at the time of the GARDASIL doses. The parents reported that on 08-JUN-2009 the patient experienced seizures after the third dose. The patient was hospitalized on 9-JUN-2009 until 11-JUN-2009. The patient was still having seizures even after she was discharged from the hospital. Full blood chemistry panel and electroencephalography (EEG) were performed (results not provided). According to the medical assistant, hospital records from the June 2009 admission had not yet been received by the physician's office, but a written chart note indicated that the event did not look like a seizure. Event was not considered as disabling or life threatening. The patient would see a neurologist on 24JUN-2009. At the report time the outcome was unknown. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Blood potassium decreased, Computerised tomogram, Dehydration, Electroencephalogram, Electrolyte imbalance
Clinical narrative: Information has been received from parents, a physician and a medical assistant concerning a 19 year old female with anxiety, depression, asthma, twitching and tremor and a history of spinal fracture who was vaccinated with three doses of GARDASIL. The patient received the first dose of GARDASIL (Lot# 660618/0572X) on 17-NOV-2008. The patient received the second dose of GARDASIL (Lot# 661766/0652X) on 20-FEB-2009. The patient experienced numbness and tingling after the second dose. The numbness and tingling was never reported to the physician. The patient received the third dose of GARDASIL (Lot# 661846/1312X) on 05-JUN-2009. Concomitant therapy included ZOLOFT, hydromorphone, albuterol, montelukast sodium (MSD) and HOMACCORD. The medical assistant also reported that the patient had received a influenza virus vaccine (unspecified) shot on 13-OCT-2008. No other vaccines was given at the time of the GARDASIL doses. The parents reported that on 08-JUN-2009 the patient experienced seizures after the third dose. The patient was hospitalized on 9-JUN-2009 until 11-JUN-2009. The patient was still having seizures even after she was discharged from the hospital. Full blood chemistry panel and electroencephalography (EEG) were performed (results not provided). According to the medical assistant, hospital records from the June 2009 admission had not yet been received by the physician's office, but a written chart note indicated that the event did not look like a seizure. Event was not considered as disabling or life threatening. The patient would see a neurologist on 24JUN-2009. At the report time the outcome was unknown. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Full blood count, Grand mal convulsion, Muscle twitching, Myoclonus, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from parents, a physician and a medical assistant concerning a 19 year old female with anxiety, depression, asthma, twitching and tremor and a history of spinal fracture who was vaccinated with three doses of GARDASIL. The patient received the first dose of GARDASIL (Lot# 660618/0572X) on 17-NOV-2008. The patient received the second dose of GARDASIL (Lot# 661766/0652X) on 20-FEB-2009. The patient experienced numbness and tingling after the second dose. The numbness and tingling was never reported to the physician. The patient received the third dose of GARDASIL (Lot# 661846/1312X) on 05-JUN-2009. Concomitant therapy included ZOLOFT, hydromorphone, albuterol, montelukast sodium (MSD) and HOMACCORD. The medical assistant also reported that the patient had received a influenza virus vaccine (unspecified) shot on 13-OCT-2008. No other vaccines was given at the time of the GARDASIL doses. The parents reported that on 08-JUN-2009 the patient experienced seizures after the third dose. The patient was hospitalized on 9-JUN-2009 until 11-JUN-2009. The patient was still having seizures even after she was discharged from the hospital. Full blood chemistry panel and electroencephalography (EEG) were performed (results not provided). According to the medical assistant, hospital records from the June 2009 admission had not yet been received by the physician's office, but a written chart note indicated that the event did not look like a seizure. Event was not considered as disabling or life threatening. The patient would see a neurologist on 24JUN-2009. At the report time the outcome was unknown. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Urine analysis
Clinical narrative: Information has been received from parents, a physician and a medical assistant concerning a 19 year old female with anxiety, depression, asthma, twitching and tremor and a history of spinal fracture who was vaccinated with three doses of GARDASIL. The patient received the first dose of GARDASIL (Lot# 660618/0572X) on 17-NOV-2008. The patient received the second dose of GARDASIL (Lot# 661766/0652X) on 20-FEB-2009. The patient experienced numbness and tingling after the second dose. The numbness and tingling was never reported to the physician. The patient received the third dose of GARDASIL (Lot# 661846/1312X) on 05-JUN-2009. Concomitant therapy included ZOLOFT, hydromorphone, albuterol, montelukast sodium (MSD) and HOMACCORD. The medical assistant also reported that the patient had received a influenza virus vaccine (unspecified) shot on 13-OCT-2008. No other vaccines was given at the time of the GARDASIL doses. The parents reported that on 08-JUN-2009 the patient experienced seizures after the third dose. The patient was hospitalized on 9-JUN-2009 until 11-JUN-2009. The patient was still having seizures even after she was discharged from the hospital. Full blood chemistry panel and electroencephalography (EEG) were performed (results not provided). According to the medical assistant, hospital records from the June 2009 admission had not yet been received by the physician's office, but a written chart note indicated that the event did not look like a seizure. Event was not considered as disabling or life threatening. The patient would see a neurologist on 24JUN-2009. At the report time the outcome was unknown. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Injected limb mobility decreased, Injection site pain
Clinical narrative: Started day of vaccine 17 hr HA and arm hurt at injection. Took EXCEDRIN - no relief. No redness at injection site. Pain L arm with movement at injection site. Has gotten worse x 2 day now getting better.
Age: 75.0
Sex: M
Vaccine: TD, VARZOS
Symptoms: Abasia, Asthenia, Hypoaesthesia, Nerve conduction studies abnormal, Paraesthesia
Clinical narrative: Pt had Td and ZOSTAVAX on 5/4/09. He started experiencing numbness/tingling (R) feet and hand with weakness one week later which has been progressively worsening to unable to walk.   7/8/09 consult records received DOS 11/3/08 to 6/13/09. Assessment: Idiopathic Neuropathy NOS. Patient presented with increased symptoms of peripheral neuropathy. Increased burning in leg, problems walking. Both feet and hand numbness. No strength in legs. Numbness and tingling both hands. Low back pain and left shouder pain. DTR decreased sym. Sensory decreased with light touch and pinprick but intact with vibration.  10/13/09 ICD-9 Codes received: 357.0 Acute infections Polyneuritis, 719.47 Pain in joint ankle/foot, 274.9 Gout NOS, 272.4 Hyperlipidemia NEC/NOS, V58.63 Long-term (current) use of antiplatelet, V58.64 Long-term use of nonsteroidal anit-infla, V58.66 Long-term (current) use of aspirin, V58.69 Long-term use of other medications, V14.8 Personal HX of allergy to medicinal agen.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Flushing, Hyperhidrosis, Hypotonia, Injection site urticaria, Nausea
Clinical narrative: Within minutes of injections, pt became acutely droopy, nauseated and vomited profusely. He was flushed and sweating. 3x4 cm. Wheal at site of VARIVAX injec. (L) upper arm. Heart reg. No SOB or wheezing. Called mom at home and pt now has wheal on (R) arm where MMR given. Gelatin stabilizer in common.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Within minutes of injections, pt became acutely droopy, nauseated and vomited profusely. He was flushed and sweating. 3x4 cm. Wheal at site of VARIVAX injec. (L) upper arm. Heart reg. No SOB or wheezing. Called mom at home and pt now has wheal on (R) arm where MMR given. Gelatin stabilizer in common.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Flushing, Hyperhidrosis, Injection site urticaria, Lethargy, Urticaria
Clinical narrative: Within minutes of injections, pt became acutely droopy, nauseated and vomited profusely. He was flushed and sweating. 3x4 cm. Wheal at site of VARIVAX injec. (L) upper arm. Heart reg. No SOB or wheezing. Called mom at home and pt now has wheal on (R) arm where MMR given. Gelatin stabilizer in common.
Age: 0.62
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion
Clinical narrative: Convulsions (seizures) approx. 1 day after shots.  6/26/09 Received hospital medical records for 6/18-6/19/2009 admit. FINAL DX:  seizure-like spells, right clavicular fracture Records reveal patient experienced 3 episodes of eye rolling, staring.  Transferred from outlying ER.  Seen by PCP due to parent noting right shoulder swelling & crying when touched.  En route to PCP office, had first episode of staring & eyes rolling back in his head lasting approx 1 min.  Had another episode of same in PCP office followed by hypotonia.  Neuro eval done & felt no tx needed.  Referred back to PCP. 6/26/09 Received ICD9 codes: 780.39 convulsion recurrent NOS; 810.02 closed fracture of shaft of clavicle ; and 729.5 pain in limb.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drooling, Electroencephalogram, Muscle twitching
Clinical narrative: Facial twitching and drooling
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Fainted after injection. No adverse affects.
Age: 12.5
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin lesion
Clinical narrative: 5 cm round, swollen red lesion on Rt, posterior upper arm.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Convulsion, Depressed mood, Disturbance in social behaviour, Electroencephalogram, Lethargy
Clinical narrative: 2 days after 4 month shots, developed raised rash all over body. Change in personality -> lethargic, decrease in babbling and cooing, screaming, decreased eye contact - not happy. 5/1 - seizures started.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Nuclear magnetic resonance imaging, Personality change, Rash generalised, Screaming, Speech disorder developmental
Clinical narrative: 2 days after 4 month shots, developed raised rash all over body. Change in personality -> lethargic, decrease in babbling and cooing, screaming, decreased eye contact - not happy. 5/1 - seizures started.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Malaise, Rash
Clinical narrative: VARICELLA complications:  None -  mild illness with rash, no fever
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Nasopharyngitis, Urticaria
Clinical narrative: Cold urticaria. ZYRTEC.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose decreased, Blood glucose increased, Condition aggravated, Diabetes mellitus, Feeling abnormal
Clinical narrative: Pt received Tdap @ 9:30 am on 6/10/09. At 12 00 pm on 6/11/09 pt developed nausea. Had to lie down for 15 hrs and fell asleep. Woke up 3am on 6/12/09 feeling better no fever. Just felt out of is a diabetic. Evening 6/11 blood glucose 231 took insulin 3 hrs later down to 69 then drank juice. That morning blood sugar was 120.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea
Clinical narrative: Pt received Tdap @ 9:30 am on 6/10/09. At 12 00 pm on 6/11/09 pt developed nausea. Had to lie down for 15 hrs and fell asleep. Woke up 3am on 6/12/09 feeling better no fever. Just felt out of is a diabetic. Evening 6/11 blood glucose 231 took insulin 3 hrs later down to 69 then drank juice. That morning blood sugar was 120.
Age: 34.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right deltoid where Tdap administered on 6/6/09 became indurated, erythematous, swollen, warm, painful. On Monday 6/8 patient seen in office and induration = 7 x 7 cm. On 6/9 induration was 18 x 11 cm and very painful. Induration site of Tdap. Pt received GSK flu vaccine lower on deltoid but rxn was at site of Tdap.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: The patient received DTaP vaccine IM in left thigh on 6/10/09. Patient was seen in the office on 06/12/09 with a 3 cm x 3 cm irregular area of redness around the injection site. There was a 0.5 cm central firm area. Area of redness was warm to touch.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Parent noticed the injection site was red and swollen on 6/16/09, mother marked the swelling with a pen and over the course of 2 days it was increased. Very warm to touch. Swelling started at KINRIX injection site. Pt. stated he wasn't in any pain.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4
Symptoms: Gaze palsy, Immediate post-injection reaction, Musculoskeletal stiffness, Pallor, Syncope
Clinical narrative: Pt. had fainting episodes with 1st dose of GARDASIL on 4/7/09. With this 2nd GARDASIL & within seconds pt. got pale, as she was laying down her eyes rolled back, got stiff & shook about 2-3 times. Resolved quickly. Physician came immediately & saw her recovered. Episodes of vomiting for 1 hr. Pt home. 9/22/09-records received for dates of service-6/26/09-8/13/09-neurology consult-evaluation for 2 episodes associated with Gardasil. Blacked out at time of injection-body stiffening and shaking eyes deviated upward. First event 4/7/09 C/O felt weird and ears heard rushing unable to see as black came into her vision. C/O being hot, lost consciousness and was limp. Confused regarding circumstances-no change in mental status. 2nd event 6/15/09-lost consciousness, stiffening and shaking of whole body, weak afterward, pale and greenish. Vomited. C/O abdominal pain and bothered by smells, dizzy and short of breath wi th stairs. Appetite decreased for 6 days. Follow-up visit 8/13/09-no further episodes of loss of consciousness or seizures. C/O vision will become black when changing from sitting to standing. C/O tired. Long history of being tired. Assessment: most likely represented convulsive syncope particulary given her history of other vasovagal presyncopal events.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4
Symptoms: Tremor
Clinical narrative: Pt. had fainting episodes with 1st dose of GARDASIL on 4/7/09. With this 2nd GARDASIL & within seconds pt. got pale, as she was laying down her eyes rolled back, got stiff & shook about 2-3 times. Resolved quickly. Physician came immediately & saw her recovered. Episodes of vomiting for 1 hr. Pt home. 9/22/09-records received for dates of service-6/26/09-8/13/09-neurology consult-evaluation for 2 episodes associated with Gardasil. Blacked out at time of injection-body stiffening and shaking eyes deviated upward. First event 4/7/09 C/O felt weird and ears heard rushing unable to see as black came into her vision. C/O being hot, lost consciousness and was limp. Confused regarding circumstances-no change in mental status. 2nd event 6/15/09-lost consciousness, stiffening and shaking of whole body, weak afterward, pale and greenish. Vomited. C/O abdominal pain and bothered by smells, dizzy and short of breath wi th stairs. Appetite decreased for 6 days. Follow-up visit 8/13/09-no further episodes of loss of consciousness or seizures. C/O vision will become black when changing from sitting to standing. C/O tired. Long history of being tired. Assessment: most likely represented convulsive syncope particulary given her history of other vasovagal presyncopal events.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4
Symptoms: Blindness transient, Convulsion, Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt. had fainting episodes with 1st dose of GARDASIL on 4/7/09. With this 2nd GARDASIL & within seconds pt. got pale, as she was laying down her eyes rolled back, got stiff & shook about 2-3 times. Resolved quickly. Physician came immediately & saw her recovered. Episodes of vomiting for 1 hr. Pt home. 9/22/09-records received for dates of service-6/26/09-8/13/09-neurology consult-evaluation for 2 episodes associated with Gardasil. Blacked out at time of injection-body stiffening and shaking eyes deviated upward. First event 4/7/09 C/O felt weird and ears heard rushing unable to see as black came into her vision. C/O being hot, lost consciousness and was limp. Confused regarding circumstances-no change in mental status. 2nd event 6/15/09-lost consciousness, stiffening and shaking of whole body, weak afterward, pale and greenish. Vomited. C/O abdominal pain and bothered by smells, dizzy and short of breath wi th stairs. Appetite decreased for 6 days. Follow-up visit 8/13/09-no further episodes of loss of consciousness or seizures. C/O vision will become black when changing from sitting to standing. C/O tired. Long history of being tired. Assessment: most likely represented convulsive syncope particulary given her history of other vasovagal presyncopal events.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4
Symptoms: Nausea, Syncope, Vaccine positive rechallenge, Vomiting
Clinical narrative: Pt. had fainting episodes with 1st dose of GARDASIL on 4/7/09. With this 2nd GARDASIL & within seconds pt. got pale, as she was laying down her eyes rolled back, got stiff & shook about 2-3 times. Resolved quickly. Physician came immediately & saw her recovered. Episodes of vomiting for 1 hr. Pt home. 9/22/09-records received for dates of service-6/26/09-8/13/09-neurology consult-evaluation for 2 episodes associated with Gardasil. Blacked out at time of injection-body stiffening and shaking eyes deviated upward. First event 4/7/09 C/O felt weird and ears heard rushing unable to see as black came into her vision. C/O being hot, lost consciousness and was limp. Confused regarding circumstances-no change in mental status. 2nd event 6/15/09-lost consciousness, stiffening and shaking of whole body, weak afterward, pale and greenish. Vomited. C/O abdominal pain and bothered by smells, dizzy and short of breath wi th stairs. Appetite decreased for 6 days. Follow-up visit 8/13/09-no further episodes of loss of consciousness or seizures. C/O vision will become black when changing from sitting to standing. C/O tired. Long history of being tired. Assessment: most likely represented convulsive syncope particulary given her history of other vasovagal presyncopal events.
Age: 0.1
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea, vomiting
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient came to IMMs complaining of redness rash, itching and soreness under arm of ACAM2000 vaccination site.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient came to IMMS complaining of rash, redness, and itching at and around ACAM2000 vaccination site.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Erythema, Rash generalised, Rash papular, Rash pruritic, Urticaria
Clinical narrative: Pt father reported "it looked like hives all over" - Rash-1wk- after MMR II, VARIVAX, HAVRIX given. Red itchy papules 2mm-1cm varying site and location. Lasted 1mo. No resp sx. No intercurrent illness.