chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash pruritic, Scar
Clinical narrative: On March 7, 2009, I noticed a rash on my back (right side).  Two days later, the rash was spreading with blisters and itching.  Saw doctor, confirmed I had the worse case of shingles he had ever seen!!  Continue to deal with - and permanent scaring.
Age: 60.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Injection site pain
Clinical narrative: Experienced deep throbbing pain at site of inoculation on 5/20/09. I went to my primary care DR, who prescribed Motrin and warm compresses. This help, it alleviated the pain, so I was able to raise and use the arm. I had to take 7 days sick leave from my job. Presently I am experiencing stabbing pains at intervals.
Age: 60.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Activities of daily living impaired, Injection site pain, Pain
Clinical narrative: Experienced deep throbbing pain at site of inoculation on 5/20/09. I went to my primary care DR, who prescribed Motrin and warm compresses. This help, it alleviated the pain, so I was able to raise and use the arm. I had to take 7 days sick leave from my job. Presently I am experiencing stabbing pains at intervals.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Eye swelling, Rash pruritic, Sneezing
Clinical narrative: Information has been received from a registered nurse concerning a 6 year old male with no pertinent medical history, allergic reaction to CEFTIN and azithromycin who on 10-JUN-2009 was vaccinated with a dose of VARIVAX (Merck) (lot# 663309/0093Y, 0.5ml, subcutaneous injection). There was no concomitant medication. On 07-APR-2005 the patient received his first dose of VARIVAX (Merck). On 10-JUN-2009 about 20 minutes after the vaccination the patient developed sneezing, swelling of the eye lids and a body rash. The AE occurred in the physician's office. The patient was treated with epinephrine, SOLU-MEDROL, BENADRYL and admitted for an overnight stay at hospital. Complete blood count (CBC) and unspecified blood chemistry tests were performed with no results reported. On 11-JUN-2009 the patient recovered. Sneezing, swelling of the eye lids and body rash were considered to be immediately life-threatening and other important medical events by the reporter. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Eyelid oedema, Full blood count, Laboratory test, Rash generalised, Sneezing
Clinical narrative: Information has been received from a registered nurse concerning a 6 year old male with no pertinent medical history, allergic reaction to CEFTIN and azithromycin who on 10-JUN-2009 was vaccinated with a dose of VARIVAX (Merck) (lot# 663309/0093Y, 0.5ml, subcutaneous injection). There was no concomitant medication. On 07-APR-2005 the patient received his first dose of VARIVAX (Merck). On 10-JUN-2009 about 20 minutes after the vaccination the patient developed sneezing, swelling of the eye lids and a body rash. The AE occurred in the physician's office. The patient was treated with epinephrine, SOLU-MEDROL, BENADRYL and admitted for an overnight stay at hospital. Complete blood count (CBC) and unspecified blood chemistry tests were performed with no results reported. On 11-JUN-2009 the patient recovered. Sneezing, swelling of the eye lids and body rash were considered to be immediately life-threatening and other important medical events by the reporter. Additional information has been requested.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Vaccine positive rechallenge
Clinical narrative: PT STATES EVERY TIME HE RECEIVES ANTHRAX VACCINE SINCE 1999, HE SUFFERS TEMPORARY MEMORY LOSS. HE RECEIVED 5 SERIES OF VACDCINE APR 1999-APR 2000, AND ANNUAL SINCE 2006. MEMORY LOSS BEGIGS WITHIN 24HR OF VACCINE, AND LASTING SEVERAL MONTHS.IN 2008, IT TOOK ALMOST 9-10MONTHS UNTIL BACK TO NORMAL.i WILL GIVE HIM A MEDICAL PERMANEMT EXEMPTION TO ANTHRAX VACCINE. THANK YOU.
Age: 15.0
Sex: F
Vaccine: DTP, MNQ
Symptoms: Anorexia, Headache, Immediate post-injection reaction, Malaise, Muscle twitching
Clinical narrative: Vaccines given at about 12:15 PM June 16. Headache began immediately upon leaving the clinic. At 10:00 PM her R arm began significant muscle twitching. At 11:00 PM her entire right side felt tingly. At about 12: AM she noticed a rash appearing on her inner arms. The morning of June 17 she felt quite ill, arms were weak and shaking, legs weak, no appetite, throat felt thick as with nausea. She continued to feel ill all day. Improved slightly late in the day, with better function in arms and legs, and some appetite. June 18 she began to really improve, regained appetite, and felt well by late afternoon.
Age: 15.0
Sex: F
Vaccine: DTP, MNQ
Symptoms: Muscular weakness, Nausea, Paraesthesia, Rash, Throat tightness
Clinical narrative: Vaccines given at about 12:15 PM June 16. Headache began immediately upon leaving the clinic. At 10:00 PM her R arm began significant muscle twitching. At 11:00 PM her entire right side felt tingly. At about 12: AM she noticed a rash appearing on her inner arms. The morning of June 17 she felt quite ill, arms were weak and shaking, legs weak, no appetite, throat felt thick as with nausea. She continued to feel ill all day. Improved slightly late in the day, with better function in arms and legs, and some appetite. June 18 she began to really improve, regained appetite, and felt well by late afternoon.
Age: 15.0
Sex: F
Vaccine: DTP, MNQ
Symptoms: Tremor
Clinical narrative: Vaccines given at about 12:15 PM June 16. Headache began immediately upon leaving the clinic. At 10:00 PM her R arm began significant muscle twitching. At 11:00 PM her entire right side felt tingly. At about 12: AM she noticed a rash appearing on her inner arms. The morning of June 17 she felt quite ill, arms were weak and shaking, legs weak, no appetite, throat felt thick as with nausea. She continued to feel ill all day. Improved slightly late in the day, with better function in arms and legs, and some appetite. June 18 she began to really improve, regained appetite, and felt well by late afternoon.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug exposure during pregnancy, Neonatal disorder, Ultrasound scan normal
Clinical narrative: Information has been received from a nurse practitioner, for the pregnancy Registry for VARIVAX (Merck), concerning a 25 year old female with a history of 3 pregnancies and 3 live births. On 10-FEB-2004 she was vaccinated with the first dose of VARIVAX (Merck) (dose and route not reported). On 03-JUL-2008 she was vaccinated with the second dose of VARIVAX (Merck) (dose and route not reported). The patient did not have any local reactions, or varicella or herpes zoster symptoms post vaccination. Subsequently it was determined that this patient was pregnant at the time of above vaccination. No adverse reactions were reported. Date of LMP was 05-MAY-2008. EDD was determined to be 09-FEB-2009 (also reported as 22-MAR-2009-the date was received by patient). Follow-up information was received via a pregnancy questionnaire. The patient's last menstrual period was reported as 05-MAY-2008 which may not be accurate. Ultrasound during pregnancy was performed on 01-SEP-2008 with normal results. On 20-MAR-2009 the patient gave birth to a liveborn normal male infant whose weight was 6 pounds 7 ounces. There was no complication during pregnancy and labor/delivery. There was no infection or illness during pregnancy. There was no concurrent medical condition. The patient was taking prenatal vitamin 1 tablet daily through out the whole pregnancy. Follow up information was received from medical records concerning a male infant. On a scheduled office visit on 01-APR-2009, it was noted the infant was unable to lift his head with in a prone position and was reported as abnormal growth and development. The overall assessment was a normal routine history and physical well-baby visit. On a scheduled office visit on 05-MAY-2009, upon examination, Mongolian spots were observed. It was also noted the baby was unable to follow midline and it was reported as an abnormal 2 month milestone. the overall assessment was a normal routine history and physical well-baby visit. Additional information is not expected.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Blood bilirubin increased, Blood culture negative, Chest X-ray normal, Full blood count abnormal, Headache
Clinical narrative: Information has been received from a nurse concerning a 31 year old male with anaemia macrocytic, a history of immune thrombocytopenic purpura and no known drug allergies who on 08-JUN-2009 was vaccinated with the first 0.5 ml dose of PNEUMOVAX. On 09-JUN-2009 the patient's right arm was sore, swollen, and salmon color. The patient also had a maculopapular rash on his right arm, headache, high fever of 102 to 103F, body aches and nausea. The patient's right arm hurts to move. The symptoms were considered to be disabling because "patient has to stay in bed". Medical attention was sought via office visit and the patient was treated with ROCEPHIN 2 grams. Laboratory studies were performed on 10-JUN-2009. The patient's complete blood count was abnormally high with left shift. The patient's white blood cell count was 1900, bilirubin was elevated, platelets were 88,000 (units and normal ranges not provided); chest x-ray, influenza, blood culture and urinalysis were negative. At the time of report, the patient was recovering. This is one of several reports from the same source. A lot check is being initiated. Additional information has been requested.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Influenza serology negative, Nausea, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: Information has been received from a nurse concerning a 31 year old male with anaemia macrocytic, a history of immune thrombocytopenic purpura and no known drug allergies who on 08-JUN-2009 was vaccinated with the first 0.5 ml dose of PNEUMOVAX. On 09-JUN-2009 the patient's right arm was sore, swollen, and salmon color. The patient also had a maculopapular rash on his right arm, headache, high fever of 102 to 103F, body aches and nausea. The patient's right arm hurts to move. The symptoms were considered to be disabling because "patient has to stay in bed". Medical attention was sought via office visit and the patient was treated with ROCEPHIN 2 grams. Laboratory studies were performed on 10-JUN-2009. The patient's complete blood count was abnormally high with left shift. The patient's white blood cell count was 1900, bilirubin was elevated, platelets were 88,000 (units and normal ranges not provided); chest x-ray, influenza, blood culture and urinalysis were negative. At the time of report, the patient was recovering. This is one of several reports from the same source. A lot check is being initiated. Additional information has been requested.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Platelet count decreased, Pyrexia, Rash maculo-papular, Skin discolouration, Urine analysis normal
Clinical narrative: Information has been received from a nurse concerning a 31 year old male with anaemia macrocytic, a history of immune thrombocytopenic purpura and no known drug allergies who on 08-JUN-2009 was vaccinated with the first 0.5 ml dose of PNEUMOVAX. On 09-JUN-2009 the patient's right arm was sore, swollen, and salmon color. The patient also had a maculopapular rash on his right arm, headache, high fever of 102 to 103F, body aches and nausea. The patient's right arm hurts to move. The symptoms were considered to be disabling because "patient has to stay in bed". Medical attention was sought via office visit and the patient was treated with ROCEPHIN 2 grams. Laboratory studies were performed on 10-JUN-2009. The patient's complete blood count was abnormally high with left shift. The patient's white blood cell count was 1900, bilirubin was elevated, platelets were 88,000 (units and normal ranges not provided); chest x-ray, influenza, blood culture and urinalysis were negative. At the time of report, the patient was recovering. This is one of several reports from the same source. A lot check is being initiated. Additional information has been requested.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: White blood cell count decreased
Clinical narrative: Information has been received from a nurse concerning a 31 year old male with anaemia macrocytic, a history of immune thrombocytopenic purpura and no known drug allergies who on 08-JUN-2009 was vaccinated with the first 0.5 ml dose of PNEUMOVAX. On 09-JUN-2009 the patient's right arm was sore, swollen, and salmon color. The patient also had a maculopapular rash on his right arm, headache, high fever of 102 to 103F, body aches and nausea. The patient's right arm hurts to move. The symptoms were considered to be disabling because "patient has to stay in bed". Medical attention was sought via office visit and the patient was treated with ROCEPHIN 2 grams. Laboratory studies were performed on 10-JUN-2009. The patient's complete blood count was abnormally high with left shift. The patient's white blood cell count was 1900, bilirubin was elevated, platelets were 88,000 (units and normal ranges not provided); chest x-ray, influenza, blood culture and urinalysis were negative. At the time of report, the patient was recovering. This is one of several reports from the same source. A lot check is being initiated. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Hypotension, Injection site reaction
Clinical narrative: Information has been received from a pharmacist concerning a 48 year old female who on 08-JUN-2009 was vaccinated with a dose of PNEUMOVAX. Concomitant medication was unspecified. On 09-JUN-2009 the patient had an injection site reaction and hypotension. The patient went to the emergency room (hospital information was unknown) but was not admitted. The patient was treated with I.V. BENADRYL and sent home. The patient recovered at the report time. Upon internal review an injection site reaction and hypotension were considered as Other Important Medical Events. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Leukaemia
Clinical narrative: Information has been received from a physician's office. The physician's office reported that they read an article about GARDASIL (MSD) and at the end of the article there was a disclaimer which stated the author's son received MMR II. After receiving MMR II, the author's son developed leukemia. Upon internal review, leukemia was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Diarrhoea, Pain, Pyrexia
Clinical narrative: Information has been received from a consumer concerning his 5 year old son who on 01-JUN-2009 was vaccinated with a second dose of MMR II 0.5 mL. On 08-JUN-2009 the patient experienced fever, diarrhea, body aches and autistic behavior was amplified. On 11-JUN-2009, the patient recovered. Upon internal review, autistic behavior was amplified was determined to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received through the Merck pregnancy registry for GARDASIL from a registered nurse concerning a female patient who on 17-JUN-2008 and 24-OCT-2008, was vaccinated with first and second dose respectively of GARDASIL (dose, route and lot number not reported). The registered nurse reported that the patient found out that she was pregnant in February 2009, but "the baby stopped growing at 10 weeks" and she lost her pregnancy in March 2009. It was reported that the patient waited for one month following the loss and had became pregnant again (WAES 0906USA02053). The registered nurse reported that the patient was not pregnant at the time of her previous two vaccinations. Upon internal review, the baby stopped growing at 10 weeks and she lost her pregnancy were determined to be other important medical events. This is one of two reports regarding the same patient. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician who heard from the mother of one of his patients that she was told by a pediatric rheumatologist that a patient with a genetic predisposition for lupus (family members had lupus) was vaccinated with GARDASIL and actually came down with lupus as well. The treating rheumatologist was reported to have thought that the vaccine triggered the onset of the disease. Upon internal review, lupus was determined to be an other important medical event. The existence of an identifiable patient and reporter could not be confirmed. No further information is available.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram, Dyspnoea, Headache, Hypersensitivity, Injection site mass
Clinical narrative: Information has been received from a 25 year old female with a history of overgrowth bacterial and "ZIPORO" (therapy unspecified) allergy who in March 2009, was vaccinated with the first dose of GARDASIL. Concomitant therapy included neomycin, erythromycin, "Saczimin" (therapy unspecified), NASOCORT and NASONEX. In March 2009, the patient had a large bump on her arm after the vaccination. Afterwards the patient experienced swollen glands, headaches, nausea, rash, loss of breath and kidney stones and was hospitalized. The patient had an outpatient visit in April, 2009. Her physician diagnosed her as having a yeast allergy. She underwent a CAT scan, MRI and ultrasound (results not reported). At the time of report, the patient's status was not recovered. The health care professional contacted during telephone follow-up could not supply the following information: dates of vaccination, dose number, lot number, date of event, recovery status. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Mass, Nausea, Nephrolithiasis, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a 25 year old female with a history of overgrowth bacterial and "ZIPORO" (therapy unspecified) allergy who in March 2009, was vaccinated with the first dose of GARDASIL. Concomitant therapy included neomycin, erythromycin, "Saczimin" (therapy unspecified), NASOCORT and NASONEX. In March 2009, the patient had a large bump on her arm after the vaccination. Afterwards the patient experienced swollen glands, headaches, nausea, rash, loss of breath and kidney stones and was hospitalized. The patient had an outpatient visit in April, 2009. Her physician diagnosed her as having a yeast allergy. She underwent a CAT scan, MRI and ultrasound (results not reported). At the time of report, the patient's status was not recovered. The health care professional contacted during telephone follow-up could not supply the following information: dates of vaccination, dose number, lot number, date of event, recovery status. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Ultrasound scan
Clinical narrative: Information has been received from a 25 year old female with a history of overgrowth bacterial and "ZIPORO" (therapy unspecified) allergy who in March 2009, was vaccinated with the first dose of GARDASIL. Concomitant therapy included neomycin, erythromycin, "Saczimin" (therapy unspecified), NASOCORT and NASONEX. In March 2009, the patient had a large bump on her arm after the vaccination. Afterwards the patient experienced swollen glands, headaches, nausea, rash, loss of breath and kidney stones and was hospitalized. The patient had an outpatient visit in April, 2009. Her physician diagnosed her as having a yeast allergy. She underwent a CAT scan, MRI and ultrasound (results not reported). At the time of report, the patient's status was not recovered. The health care professional contacted during telephone follow-up could not supply the following information: dates of vaccination, dose number, lot number, date of event, recovery status. Additional information has been requested.
Age: 96.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Guillain-Barre syndrome
Clinical narrative: Information has been received from a Registered Pharmacist (R. Ph.) concerning a 96 year old female who was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (Merck) on an unspecified date. Concomitant therapy included a dose of flu shot (manufacture unknown). Subsequently the patient developed GUILLAIN-BARRE syndrome and was hospitalized. At the time of reporting the patient was in the hospital for this AE. The patient sought unspecified medical attention. The outcome was unknown. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Respiratory arrest, Resuscitation, Skin discolouration
Clinical narrative: Information has been received from a medical assistant concerning a 11 week old male patient with oxygen therapy since birth and a history of premature birth who on 12-JUN-2009 received ROTATEQ oral (lot # 662951/1432X) while he was in a lying position. Concomitant therapy included vitamins (unspecified) (POLY-VI-SOL). He "took the dose well" but when the mother was putting him in the car outside the office, she noticed his coloring was gray and he had stopped breathing. The mother returned him to the office and the physician gave him CPR. The patient's oxygen was "turned up" and the patient was observed for 3 hours in the office. Physician ordered an apnea monitoring to go to the patient's home. Subsequently, the patient recovered on 12-JUN-2009. The patient's "stopped breathing" was considered to be immediately life-threatening and other important medical events by the medical assistant. Follow up information had been received from the medical assistant indicated that the patient did not receive any concomitant vaccines when he received ROTATEQ. The medical assistant stated that the patient was born at approximately 24 or 25 weeks gestation. The patient was in the neonatal intensive care unit from his birth, 21-MAR-2009 to 11-JUN-2009. The patient was discharged from the hospital and sent home on oxygen, 1/8 liter/min. The medical assistant stated that approximately 3 minutes after the ROTATEQ was administered the patient stopped breathing. The physician performed CPR on the patient. The patient responded to CPR. The patient's oxygen was increased to 1 liter/minute. The patient was observed for 3 hours in the physician's office and was sent home on oxygen, 1/4 liter/minute and sent home with an Apnea Monitor. The patient had a follow-up visit with the physician on 16-JUN-2009. The medical assistant stated that the Apnea Monitor's alarm "never went off', (described as the baby was doing fine). The patient's weight was 5 Lbs 8 oz. The patient's next follow-up visit was scheduled for 22-JUN-2009. Additional information has been requested.  6/23/09 Medical records received DOS 6/12/09. Physical examination unremarkable. Patient stopped breathing shortly after vaccine administration. Mouth to mouth resusitation, 2 breaths, breathing restored. 02 administered.
Age: 18.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Feeling hot, Gaze palsy, Malaise, Posture abnormal
Clinical narrative: Mother driving client home.  Client c/o not feeling well, became hot, eyes rolled back and head went down.  Mother called the EMS.  When the squad arrived, the client was coherent and not transported.  The mother reported from home after the EMS left.  No problems noted at time of her call to the Health Dept.
Age: 36.0
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: 31.0
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: 26.0
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: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Grandmother called clinic on 6/19/09 after child received third dose of the HPV vaccine on 6/17/09.  Per Grandma, the child had no immediate problems following vaccination.  On the morning of 6/18/09, child woke up with hives on both upper extremeties.  On 6/19/09, child woke up to find additional hives on both upper extremeties, which also increased in size.  Denies itching or difficulty breathing.  No treatment had been administered at the time Grandma reported this event.  Advised to utilize over the counter antihistamine for immediate symptom management and contact primary care provider for further instructions.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis to upper right arm noted that evening . Continued to spread and covered entire upper arm.  Tx- cool cloths, tylenol for discomfort. At present is resolving
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at site of vaccination in right arm that started on the day of vaccination.
Age: 24.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Local redness and swelling on site. Tender and hard subcutaneous tissue. No other symptoms. Prescribed Motrin and told to soak area in warm water by doctor.
Age: 22.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Diarrhoea, Headache, Irritability, Myalgia
Clinical narrative: fever, irritability, muscle/joint aches, headache, diarrhea X4 days
Age: 22.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: fever, irritability, muscle/joint aches, headache, diarrhea X4 days
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm swelling and redness. No fever. Recommended ice, motrin and benadryl.  Three patients within one week with reaction to Varivax.
Age: 34.0
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: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Swelling injection site, Left upper arm erythema and edema surrounding and below immunization injection site (13.5/10cm)
Age: 1.33
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm swelling and redness. No fever. Recommended ice, motrin and benadryl. Three patients seen within one week with reaction to varivax
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Lymph node pain, Tenderness
Clinical narrative: Vaccine administered 6/16 @ 10am then on 6/17 in late afternoon, pt noticed L head tenderness in hair and tender glands in neck on L side. This occurred again on 6/18. Pt treated with Aleve and Vicks rub on neck. On 6/19, reports almost 100% back to normal. No injection site reaction.
Age: 27.0
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: 1.75
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Local reaction
Clinical narrative: LOCAL REACTION TO VACCINE
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature, Erythema, Facial pain, Herpes zoster, Pruritus
Clinical narrative: Patient developed Shingles on 1st branch right trigeminal. Patient has pain, swelling, itching, redness to right side of face and forehead. Temp 99.0. Symptoms started 3 days after receiving Zostavax injection (06/14/09). Treatment given Acyclovir 800 mg 5 times a day for 7 days. Treatment will be started today June 19, 2009.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling face
Clinical narrative: Patient developed Shingles on 1st branch right trigeminal. Patient has pain, swelling, itching, redness to right side of face and forehead. Temp 99.0. Symptoms started 3 days after receiving Zostavax injection (06/14/09). Treatment given Acyclovir 800 mg 5 times a day for 7 days. Treatment will be started today June 19, 2009.
Age: 23.0
Sex: F
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: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: Around 6-7 pm on 6/17/09, client had small bruise on R deltoid where 1 of the vaccines was administered. On 6/18/09, redness was noted to R deltoid and spread down to middle of the upper arm, along with being hot to touch and swollen. The evening of 6/18/09 mother and client applied rubbing alcohol to R deltoid and surrounding area 5-6 times. The morning of 6/19/09 the bruise is localized to the site of injection and continues to be redness, edema, and hot to touch. Rubbing alcohol applied by client to affected area twice before coming to HD to report.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Patient received Pneumo vaccine right deltoid mm post alcohol swABBING. c/o small amount reddness - @ 1 " in area with a small 1"" track towards right axilla. Self treated with NSAIDs and Anti-hystamines. Symptoms are slowly decreasing
Age: 46.0
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: 41.0
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: 1.17
Sex: M
Vaccine: FLU3, HEPA, MMR
Symptoms: Lymphadenopathy
Clinical narrative: LYMPHNODE ENLARGED ON L INGUNAL REGION ABOUT 1CM IN DIAMETER MMR GIVEN SQ IN L THIGH
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Erythema, Injection site erythema, Injection site vesicles, Rash macular
Clinical narrative: ON the site of the flu shot there is a 5cm areA of macular erythema with multiple  confluent vesicles . Across the mid chest large patches of macular erythem with  vesicle.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: The day following administration of Hepatitis A, Meningococccal and HPV vaccine, 6-18-09, patient ran a fever of 100.6 degrees F and complained of headache and malaise. 6-19-09 patient reported symptoms had resolved with no other problems.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Mental status changes, Neurological examination normal, Pyrexia
Clinical narrative: Patient Received Havrix (Peds Hep A) vaccine on 6/16/2009.  Developed fevers to 101+ farenheit that evening.  Had acute mental status changes the next day for less than 30 mins.  Patient was seen in office within 30 mins of neurological changes and symptoms had completely resolved.  Neuorlogical exam nonfocal.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Rash maculo-papular
Clinical narrative: pt recieved varivax on 11-21-1997, pt presented in our office on 6-17-2009 with scattered 10-15 nacular lesions some sl papular without vesicles 2 days prior to rash sl temp elevation  dx- poss modified c-pox
Age: 1.01
Sex: F
Vaccine: HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NONE
Age: 1.01
Sex: F
Vaccine: HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Tremor, Wrong drug administered
Clinical narrative: NONE
Age: 60.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Rash generalised, Urticaria
Clinical narrative: Ct obtained the prescription for the Oral Typhoid vaccine from the Health Dept on 6/15/09.  Ct started the capsules on Tuesday, 6/16/09.  Ct took her second capsule on Thursday, 6/18/09.  When ct woke up on Friday, 6/19/09 she was covered in a rash and welts.  Ct spoke with the pharmacist and the pharmacist told her to continue taking the capsules as prescribed because the rash was less of a problem than getting the disease would be.  Ct then consulted with her PMD who told her to continue taking the Ty21a, but gave her a medrol dose pack and informed her to go the ER if she experienced difficulty breathing.  Ct then called the Health Dept and I informed ct that our recommendation would be for her to stop taking the Ty21a, see her physician and if she still wants Typhoid prophylaxis that she could come into the health dept on Monday and obtain an inactivated Typhoid vaccination.  Ct did not state whose recommendation she would follow.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: No reaction on previous exposure to drug, Nodule, Tenderness
Clinical narrative: Client reports back on 6-18-2009, one day after receiving dose #3 of HPV, that she now has Knots on back of head that are tender to touch. No problems with previous HPVs. Instructed client to see PMD today and report back to health dept.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Rash maculo-papular, Skin lesion
Clinical narrative: PT RECEIVED VARIVAX ON 1-14-2002 AND 3-3-2009. PT PRESENTED IN THE OFFICE ON 6-17-2009 WITH 25-30 SCATTERED MACULAR LESIONS WITH SOME PAPULAR CENTERS ON BACK AND 10-12 LESIONS ON BUTTOCKS. STARTED WITH TEMP OF 102-103 ON 6-15-2009.
Age: 38.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Rash papular
Clinical narrative: Rec'd MMR on 6/11/09. Patient states had bumps on face and right knee 6/15/09 about the size a dime with a little head in center. Exam on 6/19/09 few papules scattered on face and one on right knee decreased to pea size and dry. Resolving. No treatment needed.
Age: 0.35
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Developmental delay, Infantile spasms
Clinical narrative: Patient developed afebrile Seizures on 05.23.2008, was diagnosed with Infantile Spasm. Now has Seizure disorder and global developmental delay.  6/29/09 Medical records received DOS 1/15/08 to 8/20/08. Assessment: Infantile spasms, seizures. Patient presents with hypotonia, daily seizure episodes. Fever, cough, difficulty breathing.  7/2/09 Hospital records received DOS 5/23/08 to 6/4/08. Assessment: Infantile spasms, seizures. Patient presented with diarrhea, sudden extension of arms associated with jerky movements, mild hypertension.  8/18/09 ICD-9 codes received: 345.60 Infantile spasms w/o mention of intractable seizures, 787.91 Diarrhea, 780.39 Seizure(s) other.
Age: 37.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Hyperaesthesia, Impaired healing, Injection site erythema, Pruritus
Clinical narrative: Smallpox shot was uneventful.  After scab fell off while overseas wound started to heal up.  Wound did not heal like everyone else.  Scar did not harden up but stayed sensitive and ichy with a red transparent soft protective covering.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Oxygen supplementation, Syncope
Clinical narrative: Patient became faint, diaphoretic and was eased onto the floor.  Her VS stayed normal, she was given O2 and within 1 minute was conscious and oriented x 3.  She left after resting 1/2 hour in good condition
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Received vaccine 6/16/09, each day following the site of injection became increasingly redder, more painful and swollen.  By 6/19/09, began itching, was the size of a softball,warm to touch, and was a hard bump, by the evening of 6/19/09 began itching.  Treatment as advised by my physician: benadryl prn, ice, if worsens go to urgent care center (as it's the weekend).
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Received vaccine 6/16/09, each day following the site of injection became increasingly redder, more painful and swollen.  By 6/19/09, began itching, was the size of a softball,warm to touch, and was a hard bump, by the evening of 6/19/09 began itching.  Treatment as advised by my physician: benadryl prn, ice, if worsens go to urgent care center (as it's the weekend).
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Pt has persistent low grade pain since time. No functional ROM deficits, pain 1-2 of 10 in nature. Clinical exam normal w/palpation of deltoid. No palp. hematoma, No muscle atrophy motor function normal.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Pyrexia, Urticaria
Clinical narrative: 6.17.09 @ 2:30 pm immunization given. 6.17.09 @ ~ 5:30 pm --> fever (1m 104) - Hives @ 11:00 pm. No facial swelling or difficulty breathing. History of URIS X X 3 weeks concurrently.
Age: 45.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Joint injury, Joint swelling, Oedema
Clinical narrative: On 6/10/09 patient felt generalized joint pain. Noticed swelling both ankles. Reported as non-pitting. Denise treatment. Joint pain resolved by 6/11/09. Present at center today with non-pitting edema left ankle. Reports hx ankle injury (sports related) and has occasional swelling of both ankles.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site (lower deltoid at left arm). Recommended Diphenhydramine 25mg and Ibuprofen.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Injection site pain, Pain, Pyrexia
Clinical narrative: Soreness at site of injection - 6/17/09 2hrs. Body ache and joint pains 6/18/09. High fever.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Oedema peripheral, Skin warm
Clinical narrative: Child had redness and edema around the injection site, significant swelling of leg even 2 days, later, warm to touch advised parents to put warm compress on site. Patient has rxn 3 PEDIARIX before, but this is the first DTaP.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Intussusception
Clinical narrative: This case was reported by a physician, via a GSK representative and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was completely healthy prior to vaccination. He had not experienced adverse events following prior vaccinations. Concurrent vaccinations included PENTACEL (non-GSK) (Sanofi) given on 27 May 2009; PREVNAR (Wyeth Labs) given on 27 May 2009. On 27 May 2009 the subject received 2nd dose of ROTARIX (1 ml, oral). The lot number was reported as "A41SA697A". On 4 June 2009, 8 days after vaccination with ROTARIX, the subject experienced intussusception. The subject was hospitalized for 4 days and the physician considered the event was disabling, life threatening and clinically significant (or requiring intervention). The subject was treated with intravenous fluids and barium enema. On 8 June 2009, the event was resolved.  7/9/09 Hospital records received DOS 6/5/09 to 6/7/09. Assessment: Intussusception. Patient presented with vomiting and has not tolerated any po intake. Prior ER visits. Restless, cries, screams. Appears uncomfortable, listless, abdomen tender to palpation, red stool noted during rectal exam. Dry lips. Skin warm, dry to touch. Air enema reduction of ileocolic intussusception. Subsequent exploratory laparoscopy and reduction of ileoileal intussusception  ICD-9 Codes: 560.0 789.00, 789.07, 787.02, 792.1
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Immediate post-injection reaction, Polymerase chain reaction
Clinical narrative: Developed zoster PCR confirmed.
Age: 7.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Anaphylactic reaction, Full blood count normal, International normalised ratio normal, Pallor, Syncope
Clinical narrative: Pt had tightness in throat, pale, wheezing and collapsed in clinic lobby. Mom took him right to ER. He had anaphylaxis to vaccines. Received Epinephrine IM, BENADRYL IV, SOLUMEDROL IV and PEPCID IV. Continued SOLUMEDROL q 4 hours x 24 hours.   7/7/09 Hospital records received DOS 6/0/09 to 6/3/09. Assessment: Anaphylactic shock post varicella and hepatitis B vaccines. Patient presents with shortness of breath, trouble breathing, throat swelling, weakness, nausea - 10 minutes after getting vaccines. Rapid breathing, anxious.  7/9/09 ICD-9 codes received: 9994. 74689, V5866, V5861
Age: 7.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Throat tightness, Wheezing
Clinical narrative: Pt had tightness in throat, pale, wheezing and collapsed in clinic lobby. Mom took him right to ER. He had anaphylaxis to vaccines. Received Epinephrine IM, BENADRYL IV, SOLUMEDROL IV and PEPCID IV. Continued SOLUMEDROL q 4 hours x 24 hours.   7/7/09 Hospital records received DOS 6/0/09 to 6/3/09. Assessment: Anaphylactic shock post varicella and hepatitis B vaccines. Patient presents with shortness of breath, trouble breathing, throat swelling, weakness, nausea - 10 minutes after getting vaccines. Rapid breathing, anxious.  7/9/09 ICD-9 codes received: 9994. 74689, V5866, V5861
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Back pain, Coagulation test normal, Dyspnoea, Muscle spasms, Musculoskeletal chest pain
Clinical narrative: 04-20-09 - 04-24-09 = left arm, shoulder, neck and rib pain with muscle spasms. No treatment. 04-27-09 - severe pain in left side of my back, more painful with each breath. Went to ER and was diagnosed with blood clots in my left lung. Put on COUMADIN and LOVANOX.   9/17/09 Hospital records received DOS 4/27/09 to 4/28/09. Assessment: Pulmonary Embolism. Patient presented with sharp left-sided flank pain. Joint stiffness.   ICD-9 Codes: 415.19 Pulmonary embolism and infarction, 300.00 Anxiety state unspecified. V45.89 Postprocedural status.
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Pulmonary embolism, Thrombosis
Clinical narrative: 04-20-09 - 04-24-09 = left arm, shoulder, neck and rib pain with muscle spasms. No treatment. 04-27-09 - severe pain in left side of my back, more painful with each breath. Went to ER and was diagnosed with blood clots in my left lung. Put on COUMADIN and LOVANOX.   9/17/09 Hospital records received DOS 4/27/09 to 4/28/09. Assessment: Pulmonary Embolism. Patient presented with sharp left-sided flank pain. Joint stiffness.   ICD-9 Codes: 415.19 Pulmonary embolism and infarction, 300.00 Anxiety state unspecified. V45.89 Postprocedural status.
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Chest pain, Computerised tomogram abnormal, International normalised ratio, Prothrombin time, Pulmonary embolism
Clinical narrative: 04-20-09 - 04-24-09 = left arm, shoulder, neck and rib pain with muscle spasms. No treatment. 04-27-09 - severe pain in left side of my back, more painful with each breath. Went to ER and was diagnosed with blood clots in my left lung. Put on COUMADIN and LOVANOX.   9/17/09 Hospital records received DOS 4/27/09 to 4/28/09. Assessment: Pulmonary Embolism. Patient presented with sharp left-sided flank pain. Joint stiffness.   ICD-9 Codes: 415.19 Pulmonary embolism and infarction, 300.00 Anxiety state unspecified. V45.89 Postprocedural status.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Herpes zoster, Rash
Clinical narrative: Patient felt pain in her back on 6/10/09. Patient didn't realize that she had a rash till 6/14/09. The rash was approx. 6" in diameter in a circular pattern. Patient saw Dr. on 6/16 who Dx. as shingles and wrote Rx for VALTREX 1gm TID x 7 days. Rash is down to 3" diameter.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Gave HAVRIX in prefilled syringe in the left thigh with 1" needle. After immunization given, realized that it was an adult dose. Evaluated child for 20 min with no s/s reaction. Discussed s/s of reaction with mother. 6-10-09 called mother. No s/s reaction reported. 6-12- called-no answer. 6-15-09. Called no s/s reaction reported.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right arm swelling at site of injection. Red, swollen, warm to touch. Ranging 3 in by 1 in by 1 in. Encouraged mother to place ice pack, give appropriate dose of TYLENOL, and to take temperature and call back if still concerned.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Office visit 6.18.09 Acute URI 4 mo check-up vaccines given see below- Return visit 6.19.09. Fever within 24 hrs of vaccine administration probably viral were reporting because of proximity to vaccines.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Developed 1/2 dollar size hive around area of injection - c/o pain & itching.
Age: 5.0
Sex: U
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pt developed localized redness and swelling over (L) Vastus Lateralis sites within 24 hrs. Now 2 wks later has an erythematous ring about 10 cm with 2 cm lump in middle. No longer tender.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Lethargy, Vomiting
Clinical narrative: Lethargy soon after immunization followed by vomiting some hours later symptoms resolved within 48 hours never had fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness and swelling at injection sites. Fever 99.3.
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Mildly erythemic area approx 3cm diameter, L deltoid.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Bacteria stool identified, Clostridial infection
Clinical narrative: Diagnosed with C. difficile on 2/27/09 and 4/21/09
Age: 29.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: fever 99.2, Redness around injection site right thigh area, warm to touch. Tx-Infant TYLENOL liquid, Hydrocortizone 0.5% 2x a day for few days
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Erythema, Flushing, Hyperhidrosis, Pruritus generalised
Clinical narrative: Child c/o cough.. mother brought child to car - before leaving child c/o itching all over and turned bright red. Brought back into office c/o cough sweating, body wide itching flushed. Gave 2 1/2 tsp BENADRYL PO and observed. Gave ORAPRED 15 mg/5ml 3 tsp PO x 1 in office. @ approx 5:30 p. Observed. Itching improved w/ BENADRYL. Observed till approx. 6pm-6:15 pm. Advised to continue BENADRYL q6 hours prn and ORAPRED 1 1/2 tsp BID x 4 days. Will f/u in am. Advised any signs of severe Rx should go to ER. F/U am 6/11/09 pt was doing much better. No rash no redness advised to continued meds. F/U prn.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: (L) arm swelling/redness, pain and blister at the injection site.
Age: 61.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt was given a DTaP rather than a Tdap. He had no adverse reactions.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Fever, lethargy began 24 hrs after shots. The entire upper R arm swollen, red, hot, tender not localized abscess.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Fever, lethargy began 24 hrs after shots. The entire upper R arm swollen, red, hot, tender not localized abscess.