chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Computerised tomogram, Electroencephalogram normal, Facial nerve disorder, Motor dysfunction
Clinical narrative: This case was received on 23 March 2009 from a health care professional. A 4 month old female patient received ACT-HIB lot number UF516AA (Sanofi Pasteur SA lot number B0426-1) in the left thigh, DAPTACEL (lot number C3000AA) in the left thigh, IPOL (lot number B0009-2) in the right thigh, and PREVNAR (lot number D21053) in the right thigh on 11 February 2009 at 4:15 PM. On 12 February 2009 at 22:00 the patient was brought to the emergency room after she began crying, "stiffened up", grimacing, and "made strange faces". The patient was sent home and was not seen by a pediatric neurologist until the following day. The patient was then admitted to pediatric intensive care unit and hospitalized for four days. The patient was diagnosed with clinical seizure activity which was believed to be a result of the vaccinations. The physician advised the patient's family to follow an alternate vaccination schedule. The patient had an EEG (electroencephalogram) and CT scan (Computed tomography) to rule out seizure which were both negative. The patient's recovery status was not reported. List of Documents held by Sender: none.
Age: 0.5
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning his son, with no pertinent medical history and no known drug allergies, who in February 1991, was vaccinated with MMR II (lot# not provided) and subsequently developed autism. There was no concomitant medication. Patient sought unspecified medical attention. No lab diagnostic studies were performed. Patient autism persisted. Upon internal review, autism was considered an other important medical event. No further information is available.
Age: 1.6
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Disturbance in social behaviour, Haematology test
Clinical narrative: Information has been received from a consumer concerning his 12 month old son with no pertinent medical history and no drug reactions allergies who was vaccinated with a single dose of MMR II (Lot # not reported). Concomitant therapy include "all childhood vaccines". When the patient was 18 months old he started to have repetitive behavior, stemming and lack of eye contact and was then diagnosed with autism. The reporter was unsure if MMR II had caused his child's autism. On unspecified date blood work was performed (results not reported). The patient sought unspecified medical attention. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Autism, Childhood disintegrative disorder, Disturbance in social behaviour, Rubella antibody positive, Speech disorder developmental
Clinical narrative: Information has been received from a consumer concerning her son with no medical history or drug allergies who was vaccinated with the booster dose of MMR II on an unspecified date. Subsequently the patient started to lose all language, made no eye contact, and was not social. At ten years old when autism research was more know and then the patient was diagnosed with autism. It was also reported that about two years ago, the patient had a titer test done to check the measles, mumps and rubella titers and the patient's rubella titers was very high. The patient did not seek medical attention. The patient was considered to be permanently disabled and was not able to live alone. Additional information has been requested.
Age: 0.7
Sex: M
Vaccine: HEP, PNC
Symptoms: Autism
Clinical narrative: Information has been received from a registered nurse and the mother of a 9 month old male who on 10-DEC-2002, 05-MAR-2003 and 10-JUN-2003, received three doses of RECOMBIVAX HB (lot# not reported). Concomitant therapy included PREVNAR. On approximately 06-DEC-2003, the patient was diagnosed with autism when he was only 18 months old. It was unspecified if the patient sought medical attention. Upon internal review, autism was considered to be an other important medical event. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MEA
Symptoms: Blood product transfusion, Blood test, Chapped lips, Kawasaki's disease, Lip dry
Clinical narrative: Information has been received from a registered nurse and from a mother concerning her approximately 35 months old son with oesophageal acid reflux, allergies to Penicillin and to environment and autism diagnosed when he was only 18 months old following the vaccination with hepatitis B virus vaccine (MSD, WAES# 0903USA04681). In 2005, the patient was vaccinated with ATTENUVAX (lot# not reported) when he was 2 and a half years old. Later on when the patient was 2.9 years old (in 2005), the patient was diagnosed with "Kawasaki disease". It was reported that the patient had fever that ran 102 for 5 days, strawberry like color of tongue and throat, dry and cracked lips, his eye was pink but no discharge and he had swollen hands and feet. The patient was hospitalized in March 2005 for 4 nights. The mother added that the patient developed urinary tract infection later on and was hospitalized again in April 2005 for "maybe 3 days" at the same hospital. The patient was given intravenous immunoglobulin treatment and aspirin therapy for 6 months after hospitalization. Unspecified blood work was performed (result unknown). Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MEA
Symptoms: Ocular hyperaemia, Oedema peripheral, Pharyngeal erythema, Pyrexia, Strawberry tongue
Clinical narrative: Information has been received from a registered nurse and from a mother concerning her approximately 35 months old son with oesophageal acid reflux, allergies to Penicillin and to environment and autism diagnosed when he was only 18 months old following the vaccination with hepatitis B virus vaccine (MSD, WAES# 0903USA04681). In 2005, the patient was vaccinated with ATTENUVAX (lot# not reported) when he was 2 and a half years old. Later on when the patient was 2.9 years old (in 2005), the patient was diagnosed with "Kawasaki disease". It was reported that the patient had fever that ran 102 for 5 days, strawberry like color of tongue and throat, dry and cracked lips, his eye was pink but no discharge and he had swollen hands and feet. The patient was hospitalized in March 2005 for 4 nights. The mother added that the patient developed urinary tract infection later on and was hospitalized again in April 2005 for "maybe 3 days" at the same hospital. The patient was given intravenous immunoglobulin treatment and aspirin therapy for 6 months after hospitalization. Unspecified blood work was performed (result unknown). Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MEA
Symptoms: Urinary tract infection
Clinical narrative: Information has been received from a registered nurse and from a mother concerning her approximately 35 months old son with oesophageal acid reflux, allergies to Penicillin and to environment and autism diagnosed when he was only 18 months old following the vaccination with hepatitis B virus vaccine (MSD, WAES# 0903USA04681). In 2005, the patient was vaccinated with ATTENUVAX (lot# not reported) when he was 2 and a half years old. Later on when the patient was 2.9 years old (in 2005), the patient was diagnosed with "Kawasaki disease". It was reported that the patient had fever that ran 102 for 5 days, strawberry like color of tongue and throat, dry and cracked lips, his eye was pink but no discharge and he had swollen hands and feet. The patient was hospitalized in March 2005 for 4 nights. The mother added that the patient developed urinary tract infection later on and was hospitalized again in April 2005 for "maybe 3 days" at the same hospital. The patient was given intravenous immunoglobulin treatment and aspirin therapy for 6 months after hospitalization. Unspecified blood work was performed (result unknown). Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: Information has been received from a physician for the pregnancy registry for GARDASIL concerning a 14 year old female who on 03-JAN-2008 was vaccinated with GARDASIL (lot number unspecified). Concomitant therapy included prenatal vitamins (unspecified). The patient's LMP is reported as 10-Dec-2007. An ultrasound was performed on 29-Apr-2008. Follow up information was received from a healthcare professional who reported that the patient did deliver a baby by cesarean section in September 2008. Upon internal review, cesarean section was considered to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from a nurse, for the Pregnancy Registry for GARDASIL, concerning a 15 year old female with no relevant medical history or allergies who on 09-JUN-2008 was vaccinated with a third 0.5 ml dose of GARDASIL (lot number, injection site and route not reported). There was no concomitant medication. Subsequently, the patient was pregnant. Laboratory test included prenatal lab work, HIV test and hemoglobin electrophoresis (results unspecified). Unspecified medical attention was sought. Follow-up information was received from a registered nurse concerning the female patient with anemia. The patient was performed a ultrasound on 01-OCT-2008 (result unspecified). On 17-FEB-2009 the patient delivered a female baby, weight 3421 gram, length 20.75 inch, Apgar score 8/9. The nurse reported that the infant was normal, but she also reported that the there were congenital anomalies and other complications and abnormalities (detail unspecified). Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain
Clinical narrative: C/o chest pain radiating from back to front 1 wk post vaccine.  Denies rashes or other symptoms state went to ER & was "ruled out for heart problem".  States occasionally still has pain  Instructed pt to notify primary MD of symptom & make appt.  Pt had not F/U with her MD, said she "thought ER would".
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia, Rash generalised, Roseola
Clinical narrative: Pt given 12mo shots on 3/9/09.  Had seizure on 3/19/09.  Febrile after seizure noted.  Continued to be febrile X 2d.  Fever broke, developed full body rash consistent with Roseola.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Arthralgia, Gait disturbance, Nausea, Vomiting
Clinical narrative: Awakened with joint pain, & nausea vomited 1 time - joint pain worsened thru the day, difficulty walking.  Next day less pain, still had nausea 3rd d. - better till later pm - joint pain again did not last long - appetite - better 4 + 5 d. - attended school - less achy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Crying, Irritability, Posture abnormal, Pyrexia
Clinical narrative: Received 1st immunizations 3/13/09 - PEDIARIX left thigh, HIB left thigh and PCV7 right thigh and RV5 orally. Developed subjective temp few hours later then began to cry only when they moved her head from right side to vertical or left. She had begun to keep it tilted same day to right. Fever resolved but the head tilt and fussiness has not.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt's mom reports today that child is dizzy and has redness about size of a "fifty cent piece" some swelling and warmth in area where TDAP was given.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Alopecia, Pyrexia, Rash
Clinical narrative: Fever, rash and hair loss.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Pruritus, Rash erythematous
Clinical narrative: Received ZOSTAVAX 2-2-09, then developed rash to both lower extremities (below knees) on 2-7-09 - Only fine red rash, no blisters - Describes rash as itching and burning at times - Symptoms decreasing per patient as of 2-17-09.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Broke out with red patches and small white welts on upper torso and itching; within 5 mins of receiving immunizations.  BENADRYL was given (1 1/2 ml) PO and advised to go to ER for additional evaluation.
Age: 1.2
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Mother brought child back to Health Dept due to redness, swelling and fever to right thigh. Client received immunization to area 3/16/09. Mother applied ice to area. Suggested mother take child to MD.
Age: 17.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Blister, Urticaria
Clinical narrative: Vaccines received 3/16/09 5pm, Mother called Health Department 3/17/09 stated child broke out in hives on trunk, back, "water blisters" under eyes. She gave him BENADRYL 50mg po. Took him to ER, they gave him PREDNISONE and a MEDROL pack. No hives on 3/17/09.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Urticaria
Clinical narrative: Developed redness, swelling, pain and welts on left arm from shoulder to elbow. Saw MD on 2-5-09. Given Z-Pak, NAPROSYN, steroid and steroid cream.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Abdominal pain upper, Activities of daily living impaired, Arthralgia, Autoimmune disorder, Borrelia burgdorferi serology positive
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced arthralgias, difficulty walking, hip pain, swollen joints, and rheumatologic, neurologic, and/or cognitive impairment of an autoimmune, immune-mediated or other mechanism, all reported to be caused by vaccination with LYMERIX. He also has decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 February 2009 in the form of a claimant interview. It was reported that the subject received three doses of LYMERIX with the 1st on 14 July 1999, the 2nd on 02 September 1999 and the 3rd on 13 July 2000. The subject had a past medical history of Lyme disease diagnosed in mid 1999. The subject believed these symptoms resolved following a course of antibiotics. Events experienced by the subject that he attributes to LYMERIX include hip pain and swelling with onset of September 2000 and groin pain and difficulty walking with onset in late 2001. These events were said to have resolved. Events experienced by the subject that he did not attribute to LYMERIX included stomach pain and shoulder pain. No medications were reported. Follow-up information was received on 25 March 2009 in the form of medical records. The subject was evaluated on 07 March 2002 for the purpose of an orthopaedic consultation regarding right hip symptoms. Impression was osteoarthritis of the bilateral hips, right greater than the left. X-rays obtained during the visit included AP pelvis, AP and lateral views of both the right and left hip. The right hip had advanced osteoarthritic changes. There was a significant medial osteophyte, and there was bone-on-bone contact throughout the weight bearing region. The left hip also had the beginning of arthritic change although articular cartilage space was fairly well preserved. The subject underwent right total hip arthroplasty on 11 June 2002 due to osteoarthritis of the right hip. One month post surgery, on 11 July 2002, the subject was doing well. The subject continued to do well and recover at visits dated 08 August 2002, 05 September 2002 and 13 December 2002.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Chest X-ray normal, Cognitive disorder, Exercise electrocardiogram normal, Exostosis, Gait disturbance
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced arthralgias, difficulty walking, hip pain, swollen joints, and rheumatologic, neurologic, and/or cognitive impairment of an autoimmune, immune-mediated or other mechanism, all reported to be caused by vaccination with LYMERIX. He also has decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 February 2009 in the form of a claimant interview. It was reported that the subject received three doses of LYMERIX with the 1st on 14 July 1999, the 2nd on 02 September 1999 and the 3rd on 13 July 2000. The subject had a past medical history of Lyme disease diagnosed in mid 1999. The subject believed these symptoms resolved following a course of antibiotics. Events experienced by the subject that he attributes to LYMERIX include hip pain and swelling with onset of September 2000 and groin pain and difficulty walking with onset in late 2001. These events were said to have resolved. Events experienced by the subject that he did not attribute to LYMERIX included stomach pain and shoulder pain. No medications were reported. Follow-up information was received on 25 March 2009 in the form of medical records. The subject was evaluated on 07 March 2002 for the purpose of an orthopaedic consultation regarding right hip symptoms. Impression was osteoarthritis of the bilateral hips, right greater than the left. X-rays obtained during the visit included AP pelvis, AP and lateral views of both the right and left hip. The right hip had advanced osteoarthritic changes. There was a significant medial osteophyte, and there was bone-on-bone contact throughout the weight bearing region. The left hip also had the beginning of arthritic change although articular cartilage space was fairly well preserved. The subject underwent right total hip arthroplasty on 11 June 2002 due to osteoarthritis of the right hip. One month post surgery, on 11 July 2002, the subject was doing well. The subject continued to do well and recover at visits dated 08 August 2002, 05 September 2002 and 13 December 2002.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Groin pain, Hip arthroplasty, Immunology test, Joint swelling, Musculoskeletal pain
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced arthralgias, difficulty walking, hip pain, swollen joints, and rheumatologic, neurologic, and/or cognitive impairment of an autoimmune, immune-mediated or other mechanism, all reported to be caused by vaccination with LYMERIX. He also has decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 February 2009 in the form of a claimant interview. It was reported that the subject received three doses of LYMERIX with the 1st on 14 July 1999, the 2nd on 02 September 1999 and the 3rd on 13 July 2000. The subject had a past medical history of Lyme disease diagnosed in mid 1999. The subject believed these symptoms resolved following a course of antibiotics. Events experienced by the subject that he attributes to LYMERIX include hip pain and swelling with onset of September 2000 and groin pain and difficulty walking with onset in late 2001. These events were said to have resolved. Events experienced by the subject that he did not attribute to LYMERIX included stomach pain and shoulder pain. No medications were reported. Follow-up information was received on 25 March 2009 in the form of medical records. The subject was evaluated on 07 March 2002 for the purpose of an orthopaedic consultation regarding right hip symptoms. Impression was osteoarthritis of the bilateral hips, right greater than the left. X-rays obtained during the visit included AP pelvis, AP and lateral views of both the right and left hip. The right hip had advanced osteoarthritic changes. There was a significant medial osteophyte, and there was bone-on-bone contact throughout the weight bearing region. The left hip also had the beginning of arthritic change although articular cartilage space was fairly well preserved. The subject underwent right total hip arthroplasty on 11 June 2002 due to osteoarthritis of the right hip. One month post surgery, on 11 July 2002, the subject was doing well. The subject continued to do well and recover at visits dated 08 August 2002, 05 September 2002 and 13 December 2002.
Age: 43.0
Sex: M
Vaccine: LYME
Symptoms: Nervous system disorder, Osteoarthritis, X-ray abnormal
Clinical narrative: This case was reported by a lawyer and described the occurrence of arthralgias in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced arthralgias, difficulty walking, hip pain, swollen joints, and rheumatologic, neurologic, and/or cognitive impairment of an autoimmune, immune-mediated or other mechanism, all reported to be caused by vaccination with LYMERIX. He also has decreased activities of daily life and decreased ability to participate in recreational activities. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow-up information was received on 13 February 2009 in the form of a claimant interview. It was reported that the subject received three doses of LYMERIX with the 1st on 14 July 1999, the 2nd on 02 September 1999 and the 3rd on 13 July 2000. The subject had a past medical history of Lyme disease diagnosed in mid 1999. The subject believed these symptoms resolved following a course of antibiotics. Events experienced by the subject that he attributes to LYMERIX include hip pain and swelling with onset of September 2000 and groin pain and difficulty walking with onset in late 2001. These events were said to have resolved. Events experienced by the subject that he did not attribute to LYMERIX included stomach pain and shoulder pain. No medications were reported. Follow-up information was received on 25 March 2009 in the form of medical records. The subject was evaluated on 07 March 2002 for the purpose of an orthopaedic consultation regarding right hip symptoms. Impression was osteoarthritis of the bilateral hips, right greater than the left. X-rays obtained during the visit included AP pelvis, AP and lateral views of both the right and left hip. The right hip had advanced osteoarthritic changes. There was a significant medial osteophyte, and there was bone-on-bone contact throughout the weight bearing region. The left hip also had the beginning of arthritic change although articular cartilage space was fairly well preserved. The subject underwent right total hip arthroplasty on 11 June 2002 due to osteoarthritis of the right hip. One month post surgery, on 11 July 2002, the subject was doing well. The subject continued to do well and recover at visits dated 08 August 2002, 05 September 2002 and 13 December 2002.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticarial type rash on legs and arms, widespread and itchy.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injected limb mobility decreased, Pain, Skin warm, Tenderness
Clinical narrative: 03/24/09 Sore + tender - Hurt with movement 3-25-09 redness started on hours later but less tender 3-20-09 - still red to arm, warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: 7.5 cm x 11.3 w. with redness, warm to touch, itchy to left upper arm. Instructed parent to apply BENADRYL oint. Cool compress 2-3 times per day, TYLENOL every 4 x 8 hours.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Fall, Head injury, Musculoskeletal stiffness, Tongue biting
Clinical narrative: Patient was given a second dose of Hep A vaccine and within seconds she fell backwards and hit her head. Her back remained arched backward and stiff and her arms were also stiff and extended forward. She also bit her tongue. Patient went to her personal physician and he ordered X-ray and CT scan.
Age: 60.0
Sex: F
Vaccine: DT
Symptoms: Paraesthesia oral, Pruritus, Trismus
Clinical narrative: 3/9/09, tingling in jaw and lips, very mild. 3/12/09, spasms in jaw and face itching. BENADRYL 25mg. For one per day q6h prn itching. 3/18/09, office visit, same symptoms. Information about vaccine, reassurance given.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus
Clinical narrative: Tingling and numb feeling in legs, itch associated with tingling. Also tight feeling in legs.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: Client was given a Tdap on 03/24/2009.  When entering data on MCIR, imm clerk noted that Tdap was given per private provider on 11/08/2008.  That Tdap was not listed on our white immunization record or on the client's personal record.  Client had sore arm starting that day, was feeling "back to normal" by 03/27/2009.  No redness or swelling noted.
Age: 3.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Convulsion
Clinical narrative: CHILD WAS GIVEN HIB AND PCV7 ON 3/24/09. PT HAS A HISTORY OF SEIZURES. PT WAS CLEARED TO GET IMMUNIZATIONS. CHILD'S MOM CALLED CLINIC THE NEXT DAY. WE WRE GOING TO SEE PT BUT CHILD TAKEN TO ER FOR SEIZURE.
Age: 12.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Fatigue, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: swelling of injection site, low-grade temperature, muscle soreness, fatigue
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Dyspnoea, Throat irritation, Weight increased
Clinical narrative: Comes to clinic as walk-in with c/o non-productive cough with shortness of  breath x 2w after the evening after he got his Pneumovax.  He states he is slightly  short of breath now.  Denies chest pain.  He has hx of MI 2yr ago with placement  of 1 stent.  Abdomen is tight and he states his bowels are moving regularly.  No pedal edemal.  He has gained 3.9# since 3-11-09 with his report of eating the same amount of food.  He states he has a "scratchy throat" and some cough left.  BP 161/117, P-117 with retake 154/118, 84.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site discomfort, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Soreness and bruising noted at injection site on March 27, 2009. Noted discomfort on March 29 to injection site around 10, awoke client up, discomfort continued during the night. Did not take meds for discomfort. Right side deltoid swollen, hot to touch, and raised reddened areas noted. Bruising noted. Advised to apply ice pack 15 minutes on and 15 minutes off and to take ibuprofen and to seek PMD if gets worse.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: Soreness and bruising noted at injection site on March 27, 2009. Noted discomfort on March 29 to injection site around 10, awoke client up, discomfort continued during the night. Did not take meds for discomfort. Right side deltoid swollen, hot to touch, and raised reddened areas noted. Bruising noted. Advised to apply ice pack 15 minutes on and 15 minutes off and to take ibuprofen and to seek PMD if gets worse.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Loss of consciousness, No reaction on previous exposure to drug
Clinical narrative: Clients mother call to Health Department on 03/30/09, received 1st HPV 07/29/08 at Health department, no adverse reactions after this vaccine.  Received 2nd HPV 09/30/08 at other Health Department.  Reports 1-2 weeks after 2nd dose, daughter experiencing "blackout spells and severe headaches."  Reports client had 1st seizure on 03/29/09.  Has appointment with PCP this week. 4/2/09-records received for DOS 4/1/09-office visit after near syncope for past 6 months, usually can tell when they are coming on becomes lightheaded and roaring sensation in ears with occasional nausea. occurring about every other week. Headaches occurring weekly. Almost blakced out and had tremors muscles in arms and legs felt tight. Tired afterwards. Episodes began after gardasil vaccine and depoprovera, Assessment: near syncopal episodes. R/O possible seizure disorder. Episode of hyperventilation due to anxiety syndrome.  4/16/09-records received 4/1/09-C/O near syncope for past 6 months lightheaded and roaring sensation in ears and nauseated feeling with them. Headaches weekly. Tremors. Blackout spells and tired. Started depoprovera. Episode of hyperventilation due to anxiety syndrome. 4/8/09-office visit for blackout and near fainting episodes-Assessment:vasovagal event with convulsive syncope followed by hyperventilation syndrome. Prone to syncope and presyncope.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site rash, Periorbital oedema
Clinical narrative: THE DAY AFTER RECEIVING THE ZOSTAVAX VACCINE THE PATIENT REPORTED PAINFUL RASH AT INJECTION SITE BUT ALSO BILATERAL PERIORBITAL EDEMA. TREATED WITH BENEDRYL, TYLENOL AND COLD COMPRESSES.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Periorbital oedema
Clinical narrative: THE DAY AFTER RECEIVING THE ZOSTAVAX VACCINE THE PATIENT REPORTED PAINFUL RASH AT INJECTION SITE BUT ALSO BILATERAL PERIORBITAL EDEMA. TREATED WITH BENEDRYL, TYLENOL AND COLD COMPRESSES.
Age: 54.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pruritus, Pyrexia
Clinical narrative: 03/26/09 swelling began left arm. 03/27/09 reddness and hot feeling occured with fever of 101.8.  03/28 and 03/29 swelling increased with itching. Denies shortness of breath or nausea or vomiting. Applied alovera, symptoms are decreasing itching continues.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Infjection on Thursday, March 26, 2009. Initial itching within minutes. Friday, March 27 area around injection site was swollen, red and hot. Evening Friday, March 27 had flu-like symptoms, extreme fatigue, area around injection site was significantly swollen, red and hot (about the width and length of a handprint); and entire arm was tender and arm movements were painful. All fo these symptoms persisted throughout Saturday March 28. Sunday, March 29 injection site was slightly less swollen, but arm continued to be sore & tender and fatigue continued. Monday, March 30 arm is slightly less sore and swelling reduced. However, there continues to be an area about 3-4 inches wide & long that is swollen and tender, and how itching. Treatment has been self-administered, rest & aspirin.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Infjection on Thursday, March 26, 2009. Initial itching within minutes. Friday, March 27 area around injection site was swollen, red and hot. Evening Friday, March 27 had flu-like symptoms, extreme fatigue, area around injection site was significantly swollen, red and hot (about the width and length of a handprint); and entire arm was tender and arm movements were painful. All fo these symptoms persisted throughout Saturday March 28. Sunday, March 29 injection site was slightly less swollen, but arm continued to be sore & tender and fatigue continued. Monday, March 30 arm is slightly less sore and swelling reduced. However, there continues to be an area about 3-4 inches wide & long that is swollen and tender, and how itching. Treatment has been self-administered, rest & aspirin.
Age: 60.0
Sex: F
Vaccine: DTAP
Symptoms: Chills, Dizziness, Hypophagia, Injection site erythema, Injection site swelling
Clinical narrative: Chills, full and deep bone & body aches, site of shot swelling,(6 X5 inches) red and hot X 5 days so far.  Nausea X 4 days.  Unable to sit up longer than 2 hours at a time.  Light headed. blurred vision.  Malase. unable to eat or drink much due to the nausea.
Age: 60.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site warmth, Malaise, Nausea, Pain, Vision blurred
Clinical narrative: Chills, full and deep bone & body aches, site of shot swelling,(6 X5 inches) red and hot X 5 days so far.  Nausea X 4 days.  Unable to sit up longer than 2 hours at a time.  Light headed. blurred vision.  Malase. unable to eat or drink much due to the nausea.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fatigue, Myalgia, Oedema peripheral, Pyrexia
Clinical narrative: First day:  Very fatigued, with severe swelling of arm from shoulder to elbow.  Muscles in back of arm extremely tender.  Ran fever alternating with chills and severe shaking.  Second day, still somewhat feverish and extremely tired, slept most of day.  Third day, arm began improving, but still very tired.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Tremor
Clinical narrative: First day:  Very fatigued, with severe swelling of arm from shoulder to elbow.  Muscles in back of arm extremely tender.  Ran fever alternating with chills and severe shaking.  Second day, still somewhat feverish and extremely tired, slept most of day.  Third day, arm began improving, but still very tired.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Injection site haematoma
Clinical narrative: Patient claims "huge" bruise near elbow and quarter size bruise at injection site.  Red in between bruises.  Not painful, but states that she was on chemo about 2 years ago.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Diplopia, Epidural blood patch, Headache, Imaging procedure, Insomnia
Clinical narrative: With receipt of AVA # 1, TYPHOID, and SPV on 22 Jun 07, SM reported localized soreness, low grade fever, muscle twitching and insomnia. Insomnia initially treated with AMBIEN without relief and she was seen on 03 Jul for insomnia; given Trazodone with reported improvement on Jul 6. She reported similar symptoms with AVA # 2 and # 3; however, twitching was less severe with each subsequent dose. She stated that on 14 Oct at 1600 hrs she developed double vision and severe head pain. Since vision and pain continued to worsen, she was admitted to Neurology 30 Oct 07. She was diagnosed with CSF Hypotension due to CSF leak. The source of the leak could not be identified and a blind lumbar blood patch was unsuccessful. She then underwent a thoracic blood patch by pain management in Jan 08 with relief, but required a second thoracic patch in Apr 08. She also reported the return of her tremors with her head pain and was evaluated for a possible seizure disorder which was ruled out. She has had resolution of her symptoms shortly following her patch, with the resolution of the low CSF headache she began to note a different type of headache. She continued to see Neuro and her pain is currently controlled with Nortriptyline. She has been working with PT the past yr to improve her conditioning and strength. Tremors has ceased since last Feb. 4/13/09-records received-C/O diploplia and postural headaches. Returned from overseas with acute onset right sixty nerve palsy, severe neck and occipital pain, paresthesia of hands and abdomen, photophobic.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Intracranial hypotension, Local reaction, Muscle twitching, Pain, Pyrexia
Clinical narrative: With receipt of AVA # 1, TYPHOID, and SPV on 22 Jun 07, SM reported localized soreness, low grade fever, muscle twitching and insomnia. Insomnia initially treated with AMBIEN without relief and she was seen on 03 Jul for insomnia; given Trazodone with reported improvement on Jul 6. She reported similar symptoms with AVA # 2 and # 3; however, twitching was less severe with each subsequent dose. She stated that on 14 Oct at 1600 hrs she developed double vision and severe head pain. Since vision and pain continued to worsen, she was admitted to Neurology 30 Oct 07. She was diagnosed with CSF Hypotension due to CSF leak. The source of the leak could not be identified and a blind lumbar blood patch was unsuccessful. She then underwent a thoracic blood patch by pain management in Jan 08 with relief, but required a second thoracic patch in Apr 08. She also reported the return of her tremors with her head pain and was evaluated for a possible seizure disorder which was ruled out. She has had resolution of her symptoms shortly following her patch, with the resolution of the low CSF headache she began to note a different type of headache. She continued to see Neuro and her pain is currently controlled with Nortriptyline. She has been working with PT the past yr to improve her conditioning and strength. Tremors has ceased since last Feb. 4/13/09-records received-C/O diploplia and postural headaches. Returned from overseas with acute onset right sixty nerve palsy, severe neck and occipital pain, paresthesia of hands and abdomen, photophobic.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Tremor
Clinical narrative: With receipt of AVA # 1, TYPHOID, and SPV on 22 Jun 07, SM reported localized soreness, low grade fever, muscle twitching and insomnia. Insomnia initially treated with AMBIEN without relief and she was seen on 03 Jul for insomnia; given Trazodone with reported improvement on Jul 6. She reported similar symptoms with AVA # 2 and # 3; however, twitching was less severe with each subsequent dose. She stated that on 14 Oct at 1600 hrs she developed double vision and severe head pain. Since vision and pain continued to worsen, she was admitted to Neurology 30 Oct 07. She was diagnosed with CSF Hypotension due to CSF leak. The source of the leak could not be identified and a blind lumbar blood patch was unsuccessful. She then underwent a thoracic blood patch by pain management in Jan 08 with relief, but required a second thoracic patch in Apr 08. She also reported the return of her tremors with her head pain and was evaluated for a possible seizure disorder which was ruled out. She has had resolution of her symptoms shortly following her patch, with the resolution of the low CSF headache she began to note a different type of headache. She continued to see Neuro and her pain is currently controlled with Nortriptyline. She has been working with PT the past yr to improve her conditioning and strength. Tremors has ceased since last Feb. 4/13/09-records received-C/O diploplia and postural headaches. Returned from overseas with acute onset right sixty nerve palsy, severe neck and occipital pain, paresthesia of hands and abdomen, photophobic.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Right thigh with significant swelling, urticaria 8x6cm area.  Treated with BENADRYL 'X2 with improvement.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Oedema peripheral, Rash
Clinical narrative: Patient was given MMR and Varicella injection. Within 2 minutes of vaccine patient's legs swelled and a rash appeared. Was given 7.5 mg of BENADRYL. Patient's legs started to reduce in size and redness.
Age: 0.1
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Fontanelle bulging, Hyperaesthesia
Clinical narrative: Crying for about 3 hours, didn't want to be touched. Soft spot on head was hard.
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase, Dizziness, Full blood count, Gaze palsy, Injected limb mobility decreased
Clinical narrative: Tdap injection 3/18/09 left deltoid, 3/19/09 wife noticed red ring around injection site.  Pt. didn't sleep all night due to left arm & pain up in left side of neck.  3/20/09 wife had to help get robe on d/t. pain in left arm.  She helped to kitchen and while sitting in chair felt faint, eyes rolled back and wife eased to floor.  Daughter and wife took patient to ER.
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Neck pain, Pain in extremity, Red blood cell sedimentation rate, Sleep disorder
Clinical narrative: Tdap injection 3/18/09 left deltoid, 3/19/09 wife noticed red ring around injection site.  Pt. didn't sleep all night due to left arm & pain up in left side of neck.  3/20/09 wife had to help get robe on d/t. pain in left arm.  She helped to kitchen and while sitting in chair felt faint, eyes rolled back and wife eased to floor.  Daughter and wife took patient to ER.
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Troponin
Clinical narrative: Tdap injection 3/18/09 left deltoid, 3/19/09 wife noticed red ring around injection site.  Pt. didn't sleep all night due to left arm & pain up in left side of neck.  3/20/09 wife had to help get robe on d/t. pain in left arm.  She helped to kitchen and while sitting in chair felt faint, eyes rolled back and wife eased to floor.  Daughter and wife took patient to ER.
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria
Clinical narrative: Urticarial reaction at injection site 4 x 3 cm, + erythema + edema, TX BENADRYL, ice and CLARITAN.
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Blood thyroid stimulating hormone, Crying, Full blood count normal, Headache, Metabolic function test normal
Clinical narrative: Urticarial reaction at injection site 4 x 3 cm, + erythema + edema, TX BENADRYL, ice and CLARITAN.
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Myalgia, Urine analysis
Clinical narrative: Urticarial reaction at injection site 4 x 3 cm, + erythema + edema, TX BENADRYL, ice and CLARITAN.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cyanosis, Fall, Gaze palsy, Unresponsive to stimuli
Clinical narrative: Patient fell over forward while sitting on the floor 4 hours after vaccination. Found to be breathing but blue lips and non-responsive. Event lasted about about several (2-3) seconds, eyes rolled up during event. No shaking. Event resolved and patient recovered completely within a few hours. No fever. No treatment needed.
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Nausea
Clinical narrative: Vaccine was given Mon 3/23/09 about 12:45PM Pt started with nausea, + diarrhea that evening 4PM.  Seen in ER on (Th) 3/26/09 Given 1 liter of IV fluids Rx for ZOFRAN & PHENERGEN.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient had redness, swelling and pain at injection site on right arm.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash
Clinical narrative: Rash outbreak - vaccinated 3/5/09.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Culture positive, Rash vesicular
Clinical narrative: Vaccine, associated Varicella rash.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site reaction. Sore with in 12 hours, redness and increased pain by 24 hours mark, 2" x 3" redness, raised, warmth from the area. No fever. Still persisting 4-5 days later but improving.
Age: 0.7
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Rota given at 32 weeks and 10 days (too late for 3rd dose to be given).
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh swollen, red, warm to touch - consistent with cellulitis. Will treat with SEPTRA 1 1/2 tsp BID X 10 days and BACTROBAN topical TID x 10 days.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient got shingles around 3 days after the vaccine (March 20th is when she started having symptoms). Patient got better after medications were given, COMPAZINE, acyclovir and VICODIN from her MD.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Adult patient received a pediatric dose of Hepatitis A, no adverse events, no treatments needed.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, DTAPIPV, MMR, DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of diffuse swelling in a 4-year-old male subject who was vaccinated with KINRIX. On 10 March 2009 at 13:30 the subject received 1st dose of KINRIX (.5 ml, unknown, left arm). On 10 March 2009 the subject received 2nd dose of MMR vaccine. On 11 March 2009, 24 hours after vaccination with KINRIX, at an unspecified time after vaccination with MMR vaccine, the subject experienced diffuse swelling. The subject experienced swelling of upper left arm and swelling of the chest area as well. The subject was seen for follow-up on 12 March 2009 and was started on an oral antibiotic, amoxicillin trihydrate + AUGMENTIN and BENADRYL. At the time of reporting the events were unspecified.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, DTAPIPV, MMR, DTAPIPV, MMR
Symptoms: Injection site swelling
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of diffuse swelling in a 4-year-old male subject who was vaccinated with KINRIX. On 10 March 2009 at 13:30 the subject received 1st dose of KINRIX (.5 ml, unknown, left arm). On 10 March 2009 the subject received 2nd dose of MMR vaccine. On 11 March 2009, 24 hours after vaccination with KINRIX, at an unspecified time after vaccination with MMR vaccine, the subject experienced diffuse swelling. The subject experienced swelling of upper left arm and swelling of the chest area as well. The subject was seen for follow-up on 12 March 2009 and was started on an oral antibiotic, amoxicillin trihydrate + AUGMENTIN and BENADRYL. At the time of reporting the events were unspecified.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, DTAPIPV, MMR, DTAPIPV, MMR
Symptoms: Cellulitis, Inflammation, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of diffuse swelling in a 4-year-old male subject who was vaccinated with KINRIX. On 10 March 2009 at 13:30 the subject received 1st dose of KINRIX (.5 ml, unknown, left arm). On 10 March 2009 the subject received 2nd dose of MMR vaccine. On 11 March 2009, 24 hours after vaccination with KINRIX, at an unspecified time after vaccination with MMR vaccine, the subject experienced diffuse swelling. The subject experienced swelling of upper left arm and swelling of the chest area as well. The subject was seen for follow-up on 12 March 2009 and was started on an oral antibiotic, amoxicillin trihydrate + AUGMENTIN and BENADRYL. At the time of reporting the events were unspecified.