chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Hypotonia, Pallor, Syncope
Clinical narrative: Patient became light headed, dizzy and weak outside office - very pale and clammy skin. While being brought into physician office, patient became limp and fainted. Received and was talking to staff within 45 secs of fainting episode.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Eye rolling, Face injury, Fall, Loss of consciousness, Mouth haemorrhage
Clinical narrative: After receiving the HPV #1, patient passed out falling out of chair and hitting face on exam bed foot stool.  Patient eyes rolled in back of head and left side patients body got stiff.  Blood in mouth.  Patient bit lip causing mouth to bleed.  Hit nose on stool.  Ambulance called immediately.  Gave patient oxygen in office.  Checked blood pressure and O2, resp.  Everything o.k.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Musculoskeletal stiffness
Clinical narrative: After receiving the HPV #1, patient passed out falling out of chair and hitting face on exam bed foot stool.  Patient eyes rolled in back of head and left side patients body got stiff.  Blood in mouth.  Patient bit lip causing mouth to bleed.  Hit nose on stool.  Ambulance called immediately.  Gave patient oxygen in office.  Checked blood pressure and O2, resp.  Everything o.k.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Abscess limb, Cellulitis, Chills, Erythema, Laboratory test
Clinical narrative: Got pneumonia injection 7/8/08. No pain noted with injection, but didn't fell well after shot. Chills and arm shaking. No fevers. Today arm red. Also had blood drawn same day and it took two sticks. Cellulitis and abscess of upper arm and forearm due to culture blood draw or injection. Treat with AUGMENTIN 875 mg BID x 10 days. RTC if site enlarges.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Tremor
Clinical narrative: Got pneumonia injection 7/8/08. No pain noted with injection, but didn't fell well after shot. Chills and arm shaking. No fevers. Today arm red. Also had blood drawn same day and it took two sticks. Cellulitis and abscess of upper arm and forearm due to culture blood draw or injection. Treat with AUGMENTIN 875 mg BID x 10 days. RTC if site enlarges.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Rash generalised
Clinical narrative: June 6th 2008, 10:00AM, patient was given a Hepatitis A vaccine.  At 10:00PM (12 hours later) she spiked a fever of 103.  The fever went down, then up again like a roller coaster until we returned Monday, 6/9/08 AM.  She was given Amoxicillin and by Tuesday the fever broke.  The following Tuesday she broke out with a rash all over legs, arm and face.  It lasted 3 days.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Diarrhoea, Erythema, Induration, Pyrexia, Skin warm
Clinical narrative: Reacted same day vaccines given.  Red, hot to touch, fever, diarrhea.  Area hard, tender to touch.  Looks like a large hive.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Tenderness, Urticaria
Clinical narrative: Reacted same day vaccines given.  Red, hot to touch, fever, diarrhea.  Area hard, tender to touch.  Looks like a large hive.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, MMR
Symptoms: Dysphagia, Dyspnoea, Lip swelling, Rash pruritic, Respiratory distress
Clinical narrative: 20 min after administration of vaccines developed SOB, lip swelling, difficulty swallowing and returned to office in respiratory distress c/o itchy rash, Albuterol/ATROVENT nebulizer. BENADRYL po 1 1/2 tsp, ORAPRED 15/5 2 tsp po, Epi Pen Jr (1.5mg) given IM; transported to ER by EMS.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, MMR
Symptoms: Anaphylactic reaction, Cyanosis, Dyspnoea, Erythema, Oedema mouth
Clinical narrative: 20 min after administration of vaccines developed SOB, lip swelling, difficulty swallowing and returned to office in respiratory distress c/o itchy rash, Albuterol/ATROVENT nebulizer. BENADRYL po 1 1/2 tsp, ORAPRED 15/5 2 tsp po, Epi Pen Jr (1.5mg) given IM; transported to ER by EMS.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, MMR
Symptoms: Urticaria
Clinical narrative: 20 min after administration of vaccines developed SOB, lip swelling, difficulty swallowing and returned to office in respiratory distress c/o itchy rash, Albuterol/ATROVENT nebulizer. BENADRYL po 1 1/2 tsp, ORAPRED 15/5 2 tsp po, Epi Pen Jr (1.5mg) given IM; transported to ER by EMS.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 6-24-08 Mother called via telephone & said childs arm was very red & swollen & warm to touch.  Said it is about 4 inches in length on L arm & goes up onto shoulder.  Instructed mother to take child to PCP for evaluation & then come by our office so we can evaluate the arm.  Mother took child to doctor.  Dx adverse reaction but wrote letter stating that child can have a TD booster in future.  Mother did not bring child here.  Said Dr. had child take BENADRYL for reaction.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Endoscopy, Kidney infection, Laboratory test normal, Pain, Pyrexia
Clinical narrative: Td given 6-11-08 following turtle bite same day - called next AM and states she vomited several times during noc, had fever and ached all over. Adv. to see NP. declined but still complained of aching and vom on 6-17 so saw Dr. who told her it was a reaction to Td - Next day NP, called her to tell her she had kidney inf - Several days later was adm to hosp - had had antibiotic - all test were neg - endoscopy done to determine if client had ulcer - Results unk. 8/4/08-records received for DOS 6/30-7/2/08- DX: Abdominal pain with diarrhea. Abdominal pain may be secondary to peptic ulcer disease, rule out pancreatitis.  Dehyration. C/O generalized abdominal pain in mid epigastric area with vomiting since 6/11/08. Few bout of diarrhea.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Td given 6-11-08 following turtle bite same day - called next AM and states she vomited several times during noc, had fever and ached all over. Adv. to see NP. declined but still complained of aching and vom on 6-17 so saw Dr. who told her it was a reaction to Td - Next day NP, called her to tell her she had kidney inf - Several days later was adm to hosp - had had antibiotic - all test were neg - endoscopy done to determine if client had ulcer - Results unk. 8/4/08-records received for DOS 6/30-7/2/08- DX: Abdominal pain with diarrhea. Abdominal pain may be secondary to peptic ulcer disease, rule out pancreatitis.  Dehyration. C/O generalized abdominal pain in mid epigastric area with vomiting since 6/11/08. Few bout of diarrhea.
Age: 1.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Blood sodium decreased, Febrile convulsion
Clinical narrative: Mild febrile seizure 7 days after shots Hosp overnight  - NA low - Had been out in heat when seizure occurred 13 mo old and first set of shots.
Age: 50.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Local reaction, Pruritus generalised
Clinical narrative: 6-25-08 in office to report local reaction about 2" in diameter - redness where MMR was given L arm. Pt noticed on 6-19-08 also c/o itching all over. No rash noted - no difficulty breathing - no other symptoms. Advised to see Dr if symptoms cont or get worse.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Hyperaesthesia, Oedema peripheral, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Pt has swollen right arm that is hot and painful to the touch, fever between 100-101.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Fatigue, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: pain at injection site, limited movement of left arm.  body aches, fatigue, difficulty breathing, sharp pains in pelvic area.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pelvic pain
Clinical narrative: pain at injection site, limited movement of left arm.  body aches, fatigue, difficulty breathing, sharp pains in pelvic area.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: 2 months following the vaccine, Malayah was diagnosed with intussusception.  It was reduced by air contrast enema and the infant was observed in the hospital overnight.  She has had no issues related to the intussusception since.  8/12/2008 MR received for DOS 5/23-24/2008 with D/C DX: Intussusception. 2ndary DX: Infectious enteritis. Pt presented with hx of vomiting and diarrhea and eventually a bloody stool. Initial impression: dehydration & vomiting. Air contrast enema dx and reduced the IS with no further problems.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Pyrexia, Rash erythematous, Skin lesion
Clinical narrative: R deltoid with large localized erythematous lesion consistent with allergic reaction.Fever of 102 on 7/16/08 and Temp 101 0n 7/17/08.Treated with benadryl, ice  and ibuprofen. Medrol dose pack was prescribed prn.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Syncope
Clinical narrative: Pt received HPV and pt. and mother remained in office and during the stay she fainted. Pt. c/o nausea. Dr. and clinical assistant remained with and reassessed pt's stauts.  Staff offered sips of liquid and she refainted 3 - 5 minutes later and remained with c/o nauesa. Pt. remained assessed at office.  Once discard pt went home and remained with c/o nausea throughout the day.
Age: 27.0
Sex: F
Vaccine: TD, TD
Symptoms: Chills, Erythema, Migraine, Nausea, Pain in extremity
Clinical narrative: arm is sore, red, swelling almost to elbow and under arm, fever, chills, sick to stomach and migranes
Age: 27.0
Sex: F
Vaccine: TD, TD
Symptoms: Pyrexia, Swelling
Clinical narrative: arm is sore, red, swelling almost to elbow and under arm, fever, chills, sick to stomach and migranes
Age: 27.0
Sex: F
Vaccine: TD, TD
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: arm is sore, red, swelling almost to elbow and under arm, fever, chills, sick to stomach and migranes
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site papule, Rash generalised, Rash maculo-papular
Clinical narrative: Two days after vaccination, patient began with erythematous confluent papules at vaccine administration site.  The rash then generalized ocer the entire body (macular-papular).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Echocardiogram normal, Laboratory test normal, Lumbar puncture normal, Migraine, Nuclear magnetic resonance imaging normal
Clinical narrative: received HPV 10/30/07, 1/22/08, 5/22/08  Developed epsiodes of near syncope and syncope with migraine headaches beginning 4/15/08 She had MRI LP cardiology eval and felt to have status migranosis
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope, Syncope
Clinical narrative: received HPV 10/30/07, 1/22/08, 5/22/08  Developed epsiodes of near syncope and syncope with migraine headaches beginning 4/15/08 She had MRI LP cardiology eval and felt to have status migranosis
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Contusion, Pain, Swelling
Clinical narrative: Swelling and pain on entire left side,and brusing.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema and tenderness @ injection site, @ size of softball, left posterior upper arm
Age: 8.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: none
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Hyperaesthesia, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: mother noted enlarging red, indurated area on left anterior thigh. area continued to increase in size over 48 hr time span. patient complained of pain with palpation the day prior to clinic visit. skin appeared more indurated 1 day prior to visit as well. on day of visit patient noted to have 14 x 14 cm erythematous patch on left anterior thigh with increased area of erythema at injection site. area was slightly tender to touch and indurated at center over a 3 x 3 cm area. skin temp was slightly elevated. small anterior left inguinal nodes noted-- mildly tender. no fever at time of exam. patient able to ambulate without problem.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Lymph node pain, Oedema peripheral, Pain, Palpitations, Rash erythematous
Clinical narrative: mother noted enlarging red, indurated area on left anterior thigh. area continued to increase in size over 48 hr time span. patient complained of pain with palpation the day prior to clinic visit. skin appeared more indurated 1 day prior to visit as well. on day of visit patient noted to have 14 x 14 cm erythematous patch on left anterior thigh with increased area of erythema at injection site. area was slightly tender to touch and indurated at center over a 3 x 3 cm area. skin temp was slightly elevated. small anterior left inguinal nodes noted-- mildly tender. no fever at time of exam. patient able to ambulate without problem.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin induration, Skin warm
Clinical narrative: mother noted enlarging red, indurated area on left anterior thigh. area continued to increase in size over 48 hr time span. patient complained of pain with palpation the day prior to clinic visit. skin appeared more indurated 1 day prior to visit as well. on day of visit patient noted to have 14 x 14 cm erythematous patch on left anterior thigh with increased area of erythema at injection site. area was slightly tender to touch and indurated at center over a 3 x 3 cm area. skin temp was slightly elevated. small anterior left inguinal nodes noted-- mildly tender. no fever at time of exam. patient able to ambulate without problem.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling, Malaise, Movement disorder, Musculoskeletal pain, Pain
Clinical narrative: Localized pain, swelling at injection site.  Low grade 99.8 degree fever.  Malaise.  Pain with movement of shoulder.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Localized pain, swelling at injection site.  Low grade 99.8 degree fever.  Malaise.  Pain with movement of shoulder.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Patient with red, swollen , warm right deltoid.  Also had fever.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, RVX
Symptoms: Convulsion, Diarrhoea haemorrhagic, Faeces discoloured, Gaze palsy, Hypotonia
Clinical narrative: So I brought patient in Wen. for his vac. and check up. Everything went great. We went home and that nite he started to run a fever. His 1st one ever! I gave him some tylenol and he went to bed. THe next morning his fever was back along with green diahriea ( I breastfeed so it should be yellow) So I called the doctor and left a message. Not 5 minuntes later patient went into convulsions his head was bouncing up and down off the bed. I picked him up and he was limp then he let out a cry and seemed ok. I nearly died in fear. I grab the carseat and fastened him in we were on the way to ER. I held his hand as I drove and could feel him start to shack again I went to pull over but it was over before I could get off the road. So I get to the ER they take us right back and it happens again in my arms his little eyes were bouncing around. The nurse ran to get the doctor but it was over. They keep us there four hours run some test his fever went from 102 to 99 and he didnt seizure again so they said to go home but come back if it happens again Duh right? I made a appt with our doctor for monday. He seems to think they were fever seizures and said we are going to spread out his shots next time 2 one week 2 the next week. Yesterday was by far the most horrifing day of my life. I hope this is the last I ever see him do that again. I pray it is only fever seizures and not somthing else. He still has a low fever but they assured me that it is from the shots and lots of babys get fevers.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, RVX
Symptoms: Pyrexia, Tremor
Clinical narrative: So I brought patient in Wen. for his vac. and check up. Everything went great. We went home and that nite he started to run a fever. His 1st one ever! I gave him some tylenol and he went to bed. THe next morning his fever was back along with green diahriea ( I breastfeed so it should be yellow) So I called the doctor and left a message. Not 5 minuntes later patient went into convulsions his head was bouncing up and down off the bed. I picked him up and he was limp then he let out a cry and seemed ok. I nearly died in fear. I grab the carseat and fastened him in we were on the way to ER. I held his hand as I drove and could feel him start to shack again I went to pull over but it was over before I could get off the road. So I get to the ER they take us right back and it happens again in my arms his little eyes were bouncing around. The nurse ran to get the doctor but it was over. They keep us there four hours run some test his fever went from 102 to 99 and he didnt seizure again so they said to go home but come back if it happens again Duh right? I made a appt with our doctor for monday. He seems to think they were fever seizures and said we are going to spread out his shots next time 2 one week 2 the next week. Yesterday was by far the most horrifing day of my life. I hope this is the last I ever see him do that again. I pray it is only fever seizures and not somthing else. He still has a low fever but they assured me that it is from the shots and lots of babys get fevers.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient (5 yr old Female) received the immunization afternoon 7/15/08.  Mother noted significant swelling that same night.  Child complained that the area was still sore the next evening.  Parents found area red and swollen (approx 8 inch diameter) around injection sight.  Mother returned patient to doctor's office morning of 7/18/08.  Severe swelling and redness from knee to top of the thigh (approximately 10 - 11 inches).  101 degree fever with pain.  Doctor informed mother that the reaction was "normal" and prescribed cold compress and Benadryl.  Second opinion from nursing staff is that this is not a "normal" reaction.  Father reports to VAERS.
Age: 41.0
Sex: U
Vaccine: MMR, TDAP
Symptoms: Diarrhoea, Injected limb mobility decreased, Nausea, Pain in extremity, Stomach discomfort
Clinical narrative: extreme soreness of arm down to hand day of Tdap vaccine and 2 more days. unable to use arm as normal. treated with ibuprofen. a little better 4th day and 90% better 5th day. Nausea upset stomach and diarrhea 1st day.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Cough, Ear discomfort, Feeling hot, Nasopharyngitis
Clinical narrative: Received MMR vaccine 07/02/2008.  Employee phoned our clinic 07/16/2008 complaining of joint aches and aches in the back of the neck of a couple days duration.  Rash (red bumps) beginning 07/16/2008 on face and neck, and also having nausea.  By 07/18/2008 rash also on chest, back, legs and arms.  Joint pain and pain in neck nearly resolved by 07/18, and is no longer complaining of nausea.  Today (07/18) has stuffy ears bilaterally, and feels like she is getting a cold.  Has a non-productive cough, but thinks that is from "nerves".  Has felt feverish, but temp today in our clinic is 97.7 degrees F. Treatment for these symptoms has been: ibuprofen prn, rest, reassurance that these symptoms are not uncommon following an MMR vaccine.  I have collaborated with ARNP and MD regarding the care of this employee. Have also discussed the case with a Public Health Specialist at the CDC.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Neck pain, Rash generalised
Clinical narrative: Received MMR vaccine 07/02/2008.  Employee phoned our clinic 07/16/2008 complaining of joint aches and aches in the back of the neck of a couple days duration.  Rash (red bumps) beginning 07/16/2008 on face and neck, and also having nausea.  By 07/18/2008 rash also on chest, back, legs and arms.  Joint pain and pain in neck nearly resolved by 07/18, and is no longer complaining of nausea.  Today (07/18) has stuffy ears bilaterally, and feels like she is getting a cold.  Has a non-productive cough, but thinks that is from "nerves".  Has felt feverish, but temp today in our clinic is 97.7 degrees F. Treatment for these symptoms has been: ibuprofen prn, rest, reassurance that these symptoms are not uncommon following an MMR vaccine.  I have collaborated with ARNP and MD regarding the care of this employee. Have also discussed the case with a Public Health Specialist at the CDC.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Insomnia, Musculoskeletal pain, Neck pain, Oedema peripheral, Pain
Clinical narrative: Arm swelling, pain not relieved with acetaminophen or ibuprofen.  Shoulder and lateral neck pain with difficulty sleeping.  Used topical heat rub, but had not used ice or moist heat at time of evaluation.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child was Inadvertently given Meningococcal conjugate vaccine a 2'nd time on 07/18/2008.Child had previously received the vaccine on 11/19/2007.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Anticonvulsant drug level, Arthralgia, Back pain, Blood test, Dyspnoea
Clinical narrative: Mild headache, difficulty breathing, pain in joints, fever, acute pain in lower spine, swollen lymph nodes, soreness at sight of shot. This all occurred 1 1/2 - 2hrs after the shot. I was taken to the ER, given benedryl & dilaudid via IV then admitted to the hospital.  07/23/2008 MR received for DOS 7/11-13/2008 with D/C DX:  back pain. Pt presented to ER with c/ojoint aches, malaise and throat heaviness.  In ER developed sharp localized lumbar pain.  PE (+) paraspinal muscles hypersensitive to touch, otherwise WNL. Admitted for LBP, likely MSK in origin.  Not allergic reaction.  Back pain/myalgias may be possible reaction to Tetanus shot. Skin hypersensitivity ? due to Dilantin. Tx with pain meds and muscle relaxant.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site pain, Lymphadenopathy, Pyrexia
Clinical narrative: Mild headache, difficulty breathing, pain in joints, fever, acute pain in lower spine, swollen lymph nodes, soreness at sight of shot. This all occurred 1 1/2 - 2hrs after the shot. I was taken to the ER, given benedryl & dilaudid via IV then admitted to the hospital.  07/23/2008 MR received for DOS 7/11-13/2008 with D/C DX:  back pain. Pt presented to ER with c/ojoint aches, malaise and throat heaviness.  In ER developed sharp localized lumbar pain.  PE (+) paraspinal muscles hypersensitive to touch, otherwise WNL. Admitted for LBP, likely MSK in origin.  Not allergic reaction.  Back pain/myalgias may be possible reaction to Tetanus shot. Skin hypersensitivity ? due to Dilantin. Tx with pain meds and muscle relaxant.
Age: 17.0
Sex: M
Vaccine: PPV
Symptoms: Dehydration, Pain, Pyrexia
Clinical narrative: Fever, achy, dehydration.  07/28/2008 MR received for o/n stay 7/16-17/2008 for observation for Fever, Dehydration, Otitis Externa and hx of Otitis Media with perforation. Pt received Pneumovax 7/15/08 at PCP when being tx'd for R otitis media with perforation as well otitis externa. Started on abx. the following day pt presenter ER with c/o fever, not eating/drinking, feeling off balance, achy and having a H/A. 5 lb wt loss in 24 hrs. ROS (+) for fever, ear pain and popping, ear drainage, congestion, cough, lightheadedness, and sore throat. PE (+) for ear canal swelling, RLQ abdominal tenderness and tenderness of R deltoid.  Otology consult reveals mild dizziness and slightly decreased hearing. Tx with IVF and abx to f/u as outpt.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Acute respiratory distress syndrome, Blood culture negative, Chest pain, Cough, Dyspnoea
Clinical narrative: Shortness of breath, dry cough, pleural chest pain progressively worse. Developed tachypnea over course of 4 hours refractory to Xopenex and O2 support palliated only with BiPAP. ARDS type picture on chest x-ray.  7/24/2008 D/C summary received for DOS 7/17-20/2008 with D/C DX: Acute Respiratory Distress Syndrome. Pt presented with worsening shortness of breath, dry cough and pleural chest pain which began that am along with sleepiness and upset stomach. Upon arrival in ED O2 sats were in the 80s and pt was in respiratory distress with tachycardia. No improvement with Xopenex nebs and supplemental O2. Transferred to higher level of care. Fever noted on admission. RR in the 50s. PE (+) for accessory mucle use, decreased breath sounds and tachycardia. Pt put on BIPAP with improvement in WOB and RR. Lasix given for pulmonary edema with good effect.  Slowly weaned to RA and d/c for outpt f/u.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Oxygen supplementation, Tachypnoea, Toxicologic test normal
Clinical narrative: Shortness of breath, dry cough, pleural chest pain progressively worse. Developed tachypnea over course of 4 hours refractory to Xopenex and O2 support palliated only with BiPAP. ARDS type picture on chest x-ray.  7/24/2008 D/C summary received for DOS 7/17-20/2008 with D/C DX: Acute Respiratory Distress Syndrome. Pt presented with worsening shortness of breath, dry cough and pleural chest pain which began that am along with sleepiness and upset stomach. Upon arrival in ED O2 sats were in the 80s and pt was in respiratory distress with tachycardia. No improvement with Xopenex nebs and supplemental O2. Transferred to higher level of care. Fever noted on admission. RR in the 50s. PE (+) for accessory mucle use, decreased breath sounds and tachycardia. Pt put on BIPAP with improvement in WOB and RR. Lasix given for pulmonary edema with good effect.  Slowly weaned to RA and d/c for outpt f/u.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Abdominal pain upper, Acute respiratory distress syndrome, Blood culture negative, Chest X-ray abnormal, Cough
Clinical narrative: Shortness of breath, dry cough, pleural chest pain progressively worse. Developed tachypnea over course of 4 hours refractory to Xopenex and O2 support palliated only with BiPAP. ARDS type picture on chest x-ray.  7/24/2008 D/C summary received for DOS 7/17-20/2008 with D/C DX: Acute Respiratory Distress Syndrome. Pt presented with worsening shortness of breath, dry cough and pleural chest pain which began that am along with sleepiness and upset stomach. Upon arrival in ED O2 sats were in the 80s and pt was in respiratory distress with tachycardia. No improvement with Xopenex nebs and supplemental O2. Transferred to higher level of care. Fever noted on admission. RR in the 50s. PE (+) for accessory mucle use, decreased breath sounds and tachycardia. Pt put on BIPAP with improvement in WOB and RR. Lasix given for pulmonary edema with good effect.  Slowly weaned to RA and d/c for outpt f/u.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Dyspnoea, Fatigue, Full blood count abnormal, Neutrophil percentage increased, Pleural effusion
Clinical narrative: Shortness of breath, dry cough, pleural chest pain progressively worse. Developed tachypnea over course of 4 hours refractory to Xopenex and O2 support palliated only with BiPAP. ARDS type picture on chest x-ray.  7/24/2008 D/C summary received for DOS 7/17-20/2008 with D/C DX: Acute Respiratory Distress Syndrome. Pt presented with worsening shortness of breath, dry cough and pleural chest pain which began that am along with sleepiness and upset stomach. Upon arrival in ED O2 sats were in the 80s and pt was in respiratory distress with tachycardia. No improvement with Xopenex nebs and supplemental O2. Transferred to higher level of care. Fever noted on admission. RR in the 50s. PE (+) for accessory mucle use, decreased breath sounds and tachycardia. Pt put on BIPAP with improvement in WOB and RR. Lasix given for pulmonary edema with good effect.  Slowly weaned to RA and d/c for outpt f/u.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Pregnancy test negative, Pulmonary oedema, Toxicologic test normal, White blood cell count increased
Clinical narrative: Shortness of breath, dry cough, pleural chest pain progressively worse. Developed tachypnea over course of 4 hours refractory to Xopenex and O2 support palliated only with BiPAP. ARDS type picture on chest x-ray.  7/24/2008 D/C summary received for DOS 7/17-20/2008 with D/C DX: Acute Respiratory Distress Syndrome. Pt presented with worsening shortness of breath, dry cough and pleural chest pain which began that am along with sleepiness and upset stomach. Upon arrival in ED O2 sats were in the 80s and pt was in respiratory distress with tachycardia. No improvement with Xopenex nebs and supplemental O2. Transferred to higher level of care. Fever noted on admission. RR in the 50s. PE (+) for accessory mucle use, decreased breath sounds and tachycardia. Pt put on BIPAP with improvement in WOB and RR. Lasix given for pulmonary edema with good effect.  Slowly weaned to RA and d/c for outpt f/u.
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Angioedema
Clinical narrative: Severe angioedema
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, No reaction on previous exposure to drug
Clinical narrative: Nauseated, light headed. This didn't happen with first 2 shots.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Headache, Nausea, No reaction on previous exposure to drug
Clinical narrative: Tired, headache, nausea on 3rd shot only.
Age: 6.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: TDAP given to 6 yr old.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Hypoacusis, Immediate post-injection reaction, Injection site pain, Visual disturbance
Clinical narrative: Immediately after administrating GARDASIL, pt felt some pain at injection site, felt dizzy and c/o unable to see/ and hear.  Pt was placed flat on table, compresses applied.  After about 15 minutes pt felt better & dizziness.  She also had pain after which resolved also.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Body temperature increased, Diet refusal, Feeding disorder of infancy or early childhood, Hypersomnia, Irritability
Clinical narrative: Within 3-4 hrs, parents noted that infant was running fever 100.4R, was very lethargic, and refusing feeds. Mother stated that child slept excessively, and didn't want to wake up for feeds. Spoke with father 7/18 and infant feeding well - T = 99 R/afebrile.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Lethargy, Neurological examination normal, Pyrexia
Clinical narrative: Within 3-4 hrs, parents noted that infant was running fever 100.4R, was very lethargic, and refusing feeds. Mother stated that child slept excessively, and didn't want to wake up for feeds. Spoke with father 7/18 and infant feeding well - T = 99 R/afebrile.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Hypoaesthesia, Hyporeflexia, Muscular weakness, Sensory loss
Clinical narrative: Numbness Lt arm, weakness of left arm, decreased reflexes on L, decreased sensation arm L.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Injected limb mobility decreased, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pain, swelling at injection site, redness, tender to touch, soreness with arm movement. RX-Observe, Ibuprophen, ice pack.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Tenderness
Clinical narrative: Pain, swelling at injection site, redness, tender to touch, soreness with arm movement. RX-Observe, Ibuprophen, ice pack.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dehydration, Depressed level of consciousness, Dizziness, Headache, Loss of consciousness
Clinical narrative: Dizziness, nausea, headache on the evening of the vaccine administration and has occurred with each GARDASIL vaccine but has lasted longer with each vaccine. This incident lasted 8 days required office visit, passed out in office and could not get her to wake up. Started IV fluids transferred to emergency room. She is mildly dehydrated, blood sugar was 60.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea
Clinical narrative: Dizziness, nausea, headache on the evening of the vaccine administration and has occurred with each GARDASIL vaccine but has lasted longer with each vaccine. This incident lasted 8 days required office visit, passed out in office and could not get her to wake up. Started IV fluids transferred to emergency room. She is mildly dehydrated, blood sugar was 60.
Age: 14.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Loss of consciousness, Pain, Pallor
Clinical narrative: Patient passed out after the 4th vaccine HPV given.  Pale and noted with minor body aching for 2-3 seconds.  Regained consciousness right away.  Mom to read and observed.  Aware.  No Ng measure done.  Injury - no falls.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electromyogram normal, Erythema, Hypoaesthesia, Laboratory test normal, Pain in extremity
Clinical narrative: Patient developed left arm numbness, tingling, pain and redness from above elbow to mid-forearm. Pt says that it constantly hurts, is worse with movement. Symptoms are unchanged over past few months. No injuries. Pt saw PCP ortho and neurologist about this. They thought she could have had cellulitis, tendonitis, carpal tunnel, blood clot, or nerve damage, but nothing determined.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Paraesthesia, Red blood cell sedimentation rate increased
Clinical narrative: Patient developed left arm numbness, tingling, pain and redness from above elbow to mid-forearm. Pt says that it constantly hurts, is worse with movement. Symptoms are unchanged over past few months. No injuries. Pt saw PCP ortho and neurologist about this. They thought she could have had cellulitis, tendonitis, carpal tunnel, blood clot, or nerve damage, but nothing determined.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electromyogram normal, Erythema, Hypoaesthesia, Laboratory test, Pain in extremity
Clinical narrative: Patient developed left arm numbness, tingling, pain and redness from above elbow to mid-forearm. Pt says that it constantly hurts, is worse with movement. Symptoms are unchanged over past few months. No injuries. Pt saw PCP ortho and neurologist about this. They thought she could have had cellulitis, tendonitis, carpal tunnel, blood clot, or nerve damage, but nothing determined.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test
Clinical narrative: Sore throat, headache, fever.  H/A began after 8 H --> now warmth + ST 48 H after injections.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Swelling
Clinical narrative: Swelling L deltoid, notice rash on L upper arm x 2 days.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pertussis, Pertussis identification test positive
Clinical narrative: Developed pertussis illness after 2 doses of DTAP (partially immunized) (3/26/08 and 5/29/08).
Age: 1.03
Sex: F
Vaccine: HIBV, IPV, MMR
Symptoms: Fat necrosis, Skin disorder
Clinical narrative: MMR II given by nurse into patients thigh caused fat necrosis and thinning of skin, large patch approx 5cm in diameter.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Urticaria/hives covering trunk and arm; legs and buttock. MEDROL DOSE PACK and LORATADINE 10 mg RtC 2 weeks
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Had VARIVAX on 7/16/08 in R arm, 2 days later presented to clinic with R upper arm swelling, redness and warm to touch. Hard swollen area measured 5cm x 5cm diameter.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema at site 6x7 cm
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Skin nodule, Swelling
Clinical narrative: Redness - 3cm, itchiness, swelling - lump 4 1/2 cm R upper thigh.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Akinesia, Arthralgia, Blood sodium decreased, Fatigue, Injection site pain
Clinical narrative: Sever injection site pain - unable to move arm. Then generalized malaise, fatigue. Sever knee pain, legs pain, feeling shaky. Muscle weak in arms and legs. Extreme exhaustion.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Malaise, Muscular weakness, Pain in extremity, Red blood cell sedimentation rate increased, Tremor
Clinical narrative: Sever injection site pain - unable to move arm. Then generalized malaise, fatigue. Sever knee pain, legs pain, feeling shaky. Muscle weak in arms and legs. Extreme exhaustion.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: White blood cell count increased
Clinical narrative: Sever injection site pain - unable to move arm. Then generalized malaise, fatigue. Sever knee pain, legs pain, feeling shaky. Muscle weak in arms and legs. Extreme exhaustion.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Skin lesion
Clinical narrative: Varicella received 7-15-08 L arm, 7-15-08 red at site 7-16 AM increased redness 1/3 diam, RX HC BENADRYL PO and Ibuprofen, 7-18-08 less red, warm 2 cm x 3 cm. Erythematous hard, lesion hot- RX Keflex warm pack.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: R arm swollen and erythematous anterior and medially to injection site.
Age: 69.0
Sex: F
Vaccine: YF
Symptoms: Dizziness, Feeling cold, Lethargy, Nausea, Pain
Clinical narrative: This case was received from a health professional on 02 October 2007. A 69-year-old female patient with a history of osteoarthritis, diverticulitis, and osteopenia received a left arm injection of YF-VAX (lot number UF102AA) on 26 September 2007. The patient was taking estradiol concomitantly, and was not ill at the time of vaccination. Within 48 hours of receiving the vaccine, the patient experienced dizziness, nausea, and "extreme lethargy." The events recovered spontaneously within 24 hours, and then returned in another 72 hours. Following the second occurrence, the events resolved within "4-5 hours." According to the reporter, the patient had recovered. Follow-up information received on 11 January 2008 from a health care professional. Per the reporter, the last symptoms experienced by the patient were nausea, dizziness, mild aches, a sleepy feeling, and feeling cold which appeared on 02 October 2007 and only lasted a few hours. There were no further symptoms. All symptoms resolved without treatment on 02 October 2007.
Age: 69.0
Sex: F
Vaccine: YF
Symptoms: Somnolence
Clinical narrative: This case was received from a health professional on 02 October 2007. A 69-year-old female patient with a history of osteoarthritis, diverticulitis, and osteopenia received a left arm injection of YF-VAX (lot number UF102AA) on 26 September 2007. The patient was taking estradiol concomitantly, and was not ill at the time of vaccination. Within 48 hours of receiving the vaccine, the patient experienced dizziness, nausea, and "extreme lethargy." The events recovered spontaneously within 24 hours, and then returned in another 72 hours. Following the second occurrence, the events resolved within "4-5 hours." According to the reporter, the patient had recovered. Follow-up information received on 11 January 2008 from a health care professional. Per the reporter, the last symptoms experienced by the patient were nausea, dizziness, mild aches, a sleepy feeling, and feeling cold which appeared on 02 October 2007 and only lasted a few hours. There were no further symptoms. All symptoms resolved without treatment on 02 October 2007.
Sex: U
Vaccine: YF
Symptoms: Hyperhidrosis, Injection site erythema, Injection site irritation, Nausea, Pyrexia
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient, with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04170, 2007-04171, 2007-04172, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient, with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04170, 2007-04171, 2007-04172, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Hyperhidrosis, Injection site erythema, Injection site irritation, Nausea, Pyrexia
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received a subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04169, 2007-04171, 2007-04172, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received a subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04169, 2007-04171, 2007-04172, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Hyperhidrosis, Injection site erythema, Injection site irritation, Nausea, Pyrexia
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received a subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-0426, 2007-04170, 2007-04172, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Hyperhidrosis, Injection site erythema, Injection site irritation, Nausea, Pyrexia
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient, with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received a subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04169, 2007-04170, 2007-04171, 2007-04173.
Sex: U
Vaccine: YF
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Initial report received on 03 December 2007 from a health care professional. An adult patient, with no concurrent illness, who was traveling on a cruise ship as an entertainer, had received a subcutaneous dose of YF VAX vaccine (lot number UF197AA) on 26 November 2007. The site of administration was not reported. At an unspecified amount of time later, the patient developed big red spots and burning at the injection site, along with sweating, fever, and nausea. The patient did not seek medical attention. Treatment received was not reported. At the time of this report, the adverse events were resolving. The reporter for this case is the same as for cases 2007-04169, 2007-04170, 2007-04171, 2007-04173.
Age: 49.0
Sex: F
Vaccine: YF
Symptoms: Dizziness, Malaise, Nausea, Pruritus, Rash maculo-papular
Clinical narrative: This report was originally received from a health professional in the on 12 March 2008. Follow-up information received on 27 March 2008 included additional unlisted event, and a narrative description was added at that time. A 49-year-old female patient, with a history of diabetes and sulfa allergy, received a subcutaneous left deltoid injection of YF-VAX (lot number UF139AA) on 03 March 2008. The patient had also received the following vaccines on 04 February 2008: a left deltoid intramuscular injection of ADACEL (lot number C2864AA), and a right deltoid intramuscular injection of HAVRIX (GlaxoSmithKline, lot number AHAVB195AB). Concomitant medications at the time of the event included LANTUS and HUMALOG. On 05 March 2008, she developed a "macular/papular/vesicular rash" on her extremities, with some additional lesions noted on the trunk. The rash was accompanied by dizziness, nausea, and malaise. The patient took one 25mg dose of BENADRYL for pruritis; no other treatment was noted. As of 12 March 2008, the patient reported a decreasing onset of new lesions, with a few vesicular lesions still noted. She denied egg allergy, recent diet changes, or febrile illness. No additional symptoms were noted. She was scheduled to follow-up with her physician.
Age: 49.0
Sex: F
Vaccine: YF
Symptoms: Rash vesicular, Skin lesion
Clinical narrative: This report was originally received from a health professional in the on 12 March 2008. Follow-up information received on 27 March 2008 included additional unlisted event, and a narrative description was added at that time. A 49-year-old female patient, with a history of diabetes and sulfa allergy, received a subcutaneous left deltoid injection of YF-VAX (lot number UF139AA) on 03 March 2008. The patient had also received the following vaccines on 04 February 2008: a left deltoid intramuscular injection of ADACEL (lot number C2864AA), and a right deltoid intramuscular injection of HAVRIX (GlaxoSmithKline, lot number AHAVB195AB). Concomitant medications at the time of the event included LANTUS and HUMALOG. On 05 March 2008, she developed a "macular/papular/vesicular rash" on her extremities, with some additional lesions noted on the trunk. The rash was accompanied by dizziness, nausea, and malaise. The patient took one 25mg dose of BENADRYL for pruritis; no other treatment was noted. As of 12 March 2008, the patient reported a decreasing onset of new lesions, with a few vesicular lesions still noted. She denied egg allergy, recent diet changes, or febrile illness. No additional symptoms were noted. She was scheduled to follow-up with her physician.