chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site warmth, Rash, Skin warm
Clinical narrative: Patient is a 36 year old male who reports a periodic skin rash since his AVA in March 07.  A day or two after his AVA on 21 March, he reported that his arm turned warm, red and he developed a rash that extended from the vaccination site to his elbow.  He reported that the swelling cleared in about one week.  He then noted that about every week to every other week he would develop a bump in his AVA vaccination site.  He stated that it looks like a "bee sting" or a "welt" like area.  It reoccurs in the exact same spot, no fluid or drainage, or other symptoms reported.  He does note that just prior to the appearance of the lesion the area would feel warm and itchy and 20-30 minutes later the lesion would appear.  States the area is round and is not bigger than the end of his index finger.  The lesion will last approximately one day and he is now getting them approximately once per month.  The most recent episode was 28 Nov 07.  He did seek medical attention.  Has no photo's.  Denies any skin related history or current skin problems and denies problems with previous AVA.  He also denies joint or muscle pain.  Symptoms: Lesions, wheal, edema at injection site 50-120mm.
Age: 26.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Injection site erythema, Injection site nodule, Skin discolouration
Clinical narrative: Experienced increasing site redness, nodular formation (1/2 baseball size), swelling, tenderness, "black" streaking x2 weeks following AVA #8.  Symptoms: Erythema, Nodule, epidermal, Pruritus, Swelling, Tenderness.
Age: 26.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Injection site discolouration, Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: Experienced increasing site redness, nodular formation (1/2 baseball size), swelling, tenderness, "black" streaking x2 weeks following AVA #8.  Symptoms: Erythema, Nodule, epidermal, Pruritus, Swelling, Tenderness.
Age: 26.0
Sex: U
Vaccine: ANTH, ANTH
Symptoms: Injection site streaking, Injection site swelling
Clinical narrative: Experienced increasing site redness, nodular formation (1/2 baseball size), swelling, tenderness, "black" streaking x2 weeks following AVA #8.  Symptoms: Erythema, Nodule, epidermal, Pruritus, Swelling, Tenderness.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Insomnia
Clinical narrative: PAIN IN ARM AT INJECTION SITE. TROUBLE SLEEPING.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received through the Merck pregnancy registry for GARDASIL, from a medical assistant concerning a 16 year old pregnant female who on 28-FEB-2007 was vaccinated with a dose of GARDASIL. Follow-up information has been received from a medical assistant and a cardiologist who reported that the patient delivered, vaginally, a healthy, normal, female, weighing 8 pounds, 3 ounces, at term. The pediatrician heard a "slight heart murmur" and the baby was sent to a cardiologist for an evaluation. On 27-MAY-2008 the patient was evaluated by a cardiologist. It was reported that a heart murmur was noted some time after birth. The patient had no cardiac symptoms and had normal growth and development. There was a history of hypertension in the family but not hyperlipidemia or premature coronary artery disease. On physical examination the baby's length was 66 centimeters and her weight was 7.5 kilograms, both of which were of the 50th percentile for age. Her resting heart rate was 135, respiratory rate was 32, and blood pressure was 94/54 in the right arm, 95/44 in the left arm, 105/60 in the left leg and 88/46 in the right leg. There was no pallor, cyanosis, or clubbing. Her chest was clear. There was no hepatosplenomegaly. Brachial and femoral pulses were adequate. There was no brachia-femoral delay. First and second heart sounds were normal. There were no clicks, thrills, rubs, or bruits noted. There was a grade 3, harsh systolic ejection murmur at the left sternal border. Diastole was clear. Her electrocardiogram demonstrated right ventricular hypertrophy. An echocardiogram was performed and demonstrated a mildly dilated and hypertrophied right ventricle with good systolic function. There was a dysplastic pulmonary valve with moderate pulmonic stenosis. The clinical impression was moderate pulmonic stenosis. The patient will be re-evaluated in one year with an electrocardiogram and echocardiogram and most likely will need to have the valve ballooned when she is about 2 or 3 years of age. In the interim, she was to have a normal activity level. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, UNK
Symptoms: Convulsion, Grand mal convulsion, Lethargy, Loss of consciousness, Postictal state
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient who on 23-JUN-2008 was vaccinated with 0.5ml the first dose of GARDASIL (lot # 659180/17580).  In June 2008, the patient experienced seizure like symptoms such as shaking and then fainted after receiving her first dose of GARDASIL as well as a few other injections.  Other vaccines that the patient received at the time of visit were unknown.  The patient recovered a few minutes after fainting.  The patient sought medical attention.  The physician reported on 23-JUN-2008 the patient received the first dose of GARDASIL (Lot Number 1758U; expiration date June 2010).  Within two to three seconds, the patient's whole body started shaking for five seconds.  The patient then passed out for five seconds and was then lethargic.  The patient experienced a tonic-clonic seizure.  The patient was postictal for twenty minutes.  The patient lay down for fifteen minutes and then sat up for another twenty minutes.  The patient got up fine and then left the office.  No labs or diagnostic tests were performed.  No treatment was given.  Upon internal review, tonic-clonic seizures were determined to be an other important medical event.  This is one of several reports from the same source.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, UNK
Symptoms: Syncope, Tremor
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient who on 23-JUN-2008 was vaccinated with 0.5ml the first dose of GARDASIL (lot # 659180/17580).  In June 2008, the patient experienced seizure like symptoms such as shaking and then fainted after receiving her first dose of GARDASIL as well as a few other injections.  Other vaccines that the patient received at the time of visit were unknown.  The patient recovered a few minutes after fainting.  The patient sought medical attention.  The physician reported on 23-JUN-2008 the patient received the first dose of GARDASIL (Lot Number 1758U; expiration date June 2010).  Within two to three seconds, the patient's whole body started shaking for five seconds.  The patient then passed out for five seconds and was then lethargic.  The patient experienced a tonic-clonic seizure.  The patient was postictal for twenty minutes.  The patient lay down for fifteen minutes and then sat up for another twenty minutes.  The patient got up fine and then left the office.  No labs or diagnostic tests were performed.  No treatment was given.  Upon internal review, tonic-clonic seizures were determined to be an other important medical event.  This is one of several reports from the same source.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Laboratory test, Systemic lupus erythematosus
Clinical narrative: Information has been received from a registered nurse concerning a 10 year old female patient with no allergies and family history of lupus who was vaccinated with two doses of GARDASIL.  The patient developed lupus after vaccination.  The vaccinations were administered at another location and no information was available on administration dates.  The onset of the systemic lupus was unclear.  The patient was performed unspecified blood and laboratory tests.  The patient was first seen at the office on 16-MAY-2008.  The patient's lupus persisted.  Upon internal review, lupus was determined to be an other important medical event.  Additional information has been requested.  7/14/2008 MR received from Rheumatology consult for initial and f/u visits 5/16/2008 and 5/29/2008. DX:  Raynauds. Probably Lupus with limited manifestations of disease at this time. Pt presented for eval of a 2 mon hx of cold induced vasospasm in the hands in conjunction with a high ANA. Pt had cold induced pallor to the level of the PIP joint. Occasional arthralgias w/o joint swelling.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Benign intracranial hypertension, Brain neoplasm, Headache, Nuclear magnetic resonance imaging brain abnormal, Vision blurred
Clinical narrative: Information has been received from a physician concerning a 12 year old female who in February 2008, was vaccinated with a dose of GARDASIL (lot number, injection site and route not reported). On the same day, the patient experienced headache and after several days she started with blurred vision, and was seen by an ophthalmologist that diagnosed Pseudo tumor Cerebri. The Pseudo tumor Cerebri was confirmed by an MRI of brain. Upon internal review, brain neoplasm was determined to be an other important medical event. Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: RV5
Symptoms: Blood electrolytes, Computerised tomogram, Culture urine, Endotracheal intubation, Foaming at mouth
Clinical narrative: Information has been received from a physician concerning a 17 week old female with no medical history or allergies, who on 24-JUN-2008 was vaccinated with the first dose of ROTATEQ. There was no concomitant therapy. It was reported that on 25-JUN-2008 the patient developed a tonic clonic seizure, and was foaming at the mouth. The patient was seen in the emergency room and treated with ATIVAN and phenobarbital. The patient was later admitted to the hospital, intubated and placed on a ventilator, the ventilator has since been removed (date unspecified). The patient was also placed on antibiotics because the patient may have aspirated vomit. The patient has four siblings who all have upper respiratory infections. The following lab diagnostic studies were done complete blood count, electrolyte count, blood and urine cultures and CT of the head (date and results unspecified). The patient is reported as not recovered. The reporter felt that the patient's tonic clonic seizure was considered to be immediately life-threatening and an other important medical event. Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: RV5
Symptoms: Full blood count, Grand mal convulsion, Intensive care, Mechanical ventilation, Sick relative
Clinical narrative: Information has been received from a physician concerning a 17 week old female with no medical history or allergies, who on 24-JUN-2008 was vaccinated with the first dose of ROTATEQ. There was no concomitant therapy. It was reported that on 25-JUN-2008 the patient developed a tonic clonic seizure, and was foaming at the mouth. The patient was seen in the emergency room and treated with ATIVAN and phenobarbital. The patient was later admitted to the hospital, intubated and placed on a ventilator, the ventilator has since been removed (date unspecified). The patient was also placed on antibiotics because the patient may have aspirated vomit. The patient has four siblings who all have upper respiratory infections. The following lab diagnostic studies were done complete blood count, electrolyte count, blood and urine cultures and CT of the head (date and results unspecified). The patient is reported as not recovered. The reporter felt that the patient's tonic clonic seizure was considered to be immediately life-threatening and an other important medical event. Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: RV5
Symptoms: Tonic clonic movements, Vomiting
Clinical narrative: Information has been received from a physician concerning a 17 week old female with no medical history or allergies, who on 24-JUN-2008 was vaccinated with the first dose of ROTATEQ. There was no concomitant therapy. It was reported that on 25-JUN-2008 the patient developed a tonic clonic seizure, and was foaming at the mouth. The patient was seen in the emergency room and treated with ATIVAN and phenobarbital. The patient was later admitted to the hospital, intubated and placed on a ventilator, the ventilator has since been removed (date unspecified). The patient was also placed on antibiotics because the patient may have aspirated vomit. The patient has four siblings who all have upper respiratory infections. The following lab diagnostic studies were done complete blood count, electrolyte count, blood and urine cultures and CT of the head (date and results unspecified). The patient is reported as not recovered. The reporter felt that the patient's tonic clonic seizure was considered to be immediately life-threatening and an other important medical event. Additional information has been requested.
Age: 1.5
Sex: F
Vaccine: PNC
Symptoms: Pneumonia pneumococcal, Pulmonary cavitation, Pulmonary necrosis
Clinical narrative: Information regarding PREVENAR was received from a healthcare professional regarding a 28-month-old female patient who experienced pneumococcal pneumonia, significant intraparenchymal cavitation and lung necrosis. The patient received the fourth dose on 23-Oct-2006. The patient experienced pneumococcal pneumonia with significant intraparenchymal cavitation and lung necrosis on 31-Aug-2007. The patient was hospitalized. The patient recovered. No additional information was available at the time of this report.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Epididymitis, Scrotal cyst, Ultrasound scan abnormal
Clinical narrative: R sided epididymitis & pylocele with onset of symptoms several hours after receiving vaccines.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Erythema area 9cm x 15cm on extension surface of left upper arm, area is warm to touch and painful rating "8/10"
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Activities of daily living impaired, Dizziness, Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: 04/03/08 child received three vaccines.  Ran high fever 103 degree temp.  C/O dizziness and stayed in bed all day post vaccinations.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site vesicles, Oedema peripheral, Pain in extremity
Clinical narrative: R arm + blisters at site of HPV vaccine + red but not today.  L arm swollen, red, painful, itchy likely cellulitis.  Fever yesterday.  Treatment BENADRYL, KEFLEX.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Pruritus, Pyrexia
Clinical narrative: R arm + blisters at site of HPV vaccine + red but not today.  L arm swollen, red, painful, itchy likely cellulitis.  Fever yesterday.  Treatment BENADRYL, KEFLEX.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose normal, Blood pressure, Eye rolling, Fall, Syncope
Clinical narrative: Patient stood up appox. 2 mins after injection, fainted, fell to the floor, and eyes rolled into the back of her head; this lasted 7-10 seconds, pt sat up - we monitored blood pressure for 1 hour.
Age: 81.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient was given ZOSTAVAX on 12/20/07 and then developed a rash on 12/30.  Presented 1/15/08 for evaluation and was diagnosed with shingles.  Symptoms: 1. shingles.  Treatment Drugs Used: 1 - acyclovir Dose: small amount Units: Freq: Other Route: TOP, 2 - acyclovir Dose: 800 Units: MG Freq: Other Route: PO, 3 - gabapentin Dose: 800 Units: MG Freq: EVERYDAY Route: PO
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Tremor
Clinical narrative: Pt. rec'd at 10:50 Hep B; DTaP; IPV; HIB; PCV; ROTA at health department.  At 11:15 pt's mother reports full body tremors lasting one minute.  At 12:30 pt's mother reports full body tremors lasting 90 seconds.  Pt was then brought to hospital.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure normal, Dizziness, Electroencephalogram abnormal, Grand mal convulsion, Immediate post-injection reaction
Clinical narrative: Within one minute of GARDASIL injection, patient became dizzy, followed by clonic/tonic seizure of 30-40 seconds duration.  Also lost bladder control.  Afterwards, was A + O, resp. + BP normal, not post-ictal. We previously reported a seizure ina  14-year-old patient following a GRDASIL injection. Subsequently the patient was scheduled for an EEG. Findings show an "abnormal EEG demonstrating an abundance of epileptiform activity." Due to these findings and the rapid onset of the seizure (within seconds) following the IM injection, we do not believe the seizure to have been caused by the GRADASIL vaccine. The patient is scheduled to follow-up wth a pediatric neurologist this week.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urinary incontinence
Clinical narrative: Within one minute of GARDASIL injection, patient became dizzy, followed by clonic/tonic seizure of 30-40 seconds duration.  Also lost bladder control.  Afterwards, was A + O, resp. + BP normal, not post-ictal. We previously reported a seizure ina  14-year-old patient following a GRDASIL injection. Subsequently the patient was scheduled for an EEG. Findings show an "abnormal EEG demonstrating an abundance of epileptiform activity." Due to these findings and the rapid onset of the seizure (within seconds) following the IM injection, we do not believe the seizure to have been caused by the GRADASIL vaccine. The patient is scheduled to follow-up wth a pediatric neurologist this week.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Grand mal convulsion, Immediate post-injection reaction, Urinary incontinence, Visual disturbance
Clinical narrative: Within one minute of GARDASIL injection, patient became dizzy, followed by clonic/tonic seizure of 30-40 seconds duration.  Also lost bladder control.  Afterwards, was A + O, resp. + BP normal, not post-ictal. We previously reported a seizure ina  14-year-old patient following a GRDASIL injection. Subsequently the patient was scheduled for an EEG. Findings show an "abnormal EEG demonstrating an abundance of epileptiform activity." Due to these findings and the rapid onset of the seizure (within seconds) following the IM injection, we do not believe the seizure to have been caused by the GRADASIL vaccine. The patient is scheduled to follow-up wth a pediatric neurologist this week.
Age: 22.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Syncope
Clinical narrative: Client received HEPATITIS A vaccine and TYPHOID VI vaccine and had syncopal episode immediately after 2nd vaccination, lasting 10 seconds.  Recovered with adverse effects after lying supine for 15 minutes.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Physical examination
Clinical narrative: Red area around inj sight.  No tenderness.  No pain.  No cellulitis.  Some itching.  Redness within 24 hr of shot.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Rash macular, Skin warm
Clinical narrative: 5cm long 3cm wide warm to touch.  Given 6-17-08 blotched noted by 6-18-08.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Broke out in hives 24 hr after vaccine - all over body - responded to BENADRYL.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt received immunization at approx 10:15 am. Father found unresponsive @ approx 7:15 pm. 8/21/08-cause of death undetermined. pulmonary vascular congestion. petechiae of epicardium.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: Pt received immunization at approx 10:15 am. Father found unresponsive @ approx 7:15 pm. 8/21/08-cause of death undetermined. pulmonary vascular congestion. petechiae of epicardium.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Respiratory arrest
Clinical narrative: Pt received immunization at approx 10:15 am. Father found unresponsive @ approx 7:15 pm. 8/21/08-cause of death undetermined. pulmonary vascular congestion. petechiae of epicardium.
Age: 0.4
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: unknown
Age: 0.4
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: unknown
Age: 0.4
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death, Respiratory arrest
Clinical narrative: unknown
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received 2 mo. immunizations and check up at our office.  Then we learned that this pt had already received his 2 mo immunizations at the Health Dept.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, fever 103 degrees, H/A, body ache.  Started 5.28.08 at noon thru 6.29.08.
Age: 20.0
Sex: U
Vaccine: HEP, SMALL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pruritic, Viral skin infection
Clinical narrative: Sm developed a erythematous, macular-papular, mildly pruritic rash. Symptoms: Rash, Pruritic.
Age: 33.0
Sex: M
Vaccine: FLU3, HEP, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Chest pain 10-14 days post vaccination assoc with nausea, dizziness, SOB, and radiation.  Evaluation at civilian hospital and told he had myocarditis.  Continues to have discomfort with exertion. Has not pushed himself.  Is taking ibuprofen daily.  Pt stated VAERS had been filed.  No report available for verification.  Symptoms: Chest Pain, sub-sternal.  8/12/08 Reviewed hospital records of 1/15-1/16/2007. FINAL DX: non-acute MI secondary to myocarditis; myopericarditis; dyslipidemia. Records reveal patient experienced chest discomfort during PT 1 day prior to admission.  The chest pain was sharp, shooting into his left cheek & lasted approx 8 hrs.  Pain resolved w/NSAID but returned next day, increasing w/deep breaths & radiating to jaw assoc w/nausea, dizziness & SOB, lasting approx 30 min.  Went to ER where abnormal EKG & (+) cardiac biomarkers were found & transferred to higher level of care.   Remained stable & d/c to outpatient cardiac f/u.
Age: 33.0
Sex: M
Vaccine: FLU3, HEP, SMALL
Symptoms: Dyspnoea exertional, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Myocarditis, Nausea
Clinical narrative: Chest pain 10-14 days post vaccination assoc with nausea, dizziness, SOB, and radiation.  Evaluation at civilian hospital and told he had myocarditis.  Continues to have discomfort with exertion. Has not pushed himself.  Is taking ibuprofen daily.  Pt stated VAERS had been filed.  No report available for verification.  Symptoms: Chest Pain, sub-sternal.  8/12/08 Reviewed hospital records of 1/15-1/16/2007. FINAL DX: non-acute MI secondary to myocarditis; myopericarditis; dyslipidemia. Records reveal patient experienced chest discomfort during PT 1 day prior to admission.  The chest pain was sharp, shooting into his left cheek & lasted approx 8 hrs.  Pain resolved w/NSAID but returned next day, increasing w/deep breaths & radiating to jaw assoc w/nausea, dizziness & SOB, lasting approx 30 min.  Went to ER where abnormal EKG & (+) cardiac biomarkers were found & transferred to higher level of care.   Remained stable & d/c to outpatient cardiac f/u.
Age: 33.0
Sex: M
Vaccine: FLU3, HEP, SMALL
Symptoms: Troponin I increased
Clinical narrative: Chest pain 10-14 days post vaccination assoc with nausea, dizziness, SOB, and radiation.  Evaluation at civilian hospital and told he had myocarditis.  Continues to have discomfort with exertion. Has not pushed himself.  Is taking ibuprofen daily.  Pt stated VAERS had been filed.  No report available for verification.  Symptoms: Chest Pain, sub-sternal.  8/12/08 Reviewed hospital records of 1/15-1/16/2007. FINAL DX: non-acute MI secondary to myocarditis; myopericarditis; dyslipidemia. Records reveal patient experienced chest discomfort during PT 1 day prior to admission.  The chest pain was sharp, shooting into his left cheek & lasted approx 8 hrs.  Pain resolved w/NSAID but returned next day, increasing w/deep breaths & radiating to jaw assoc w/nausea, dizziness & SOB, lasting approx 30 min.  Went to ER where abnormal EKG & (+) cardiac biomarkers were found & transferred to higher level of care.   Remained stable & d/c to outpatient cardiac f/u.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Headache, Pharyngolaryngeal pain, Pyrexia, Vomiting
Clinical narrative: 6/10/08 Head ache, sore throat, fever, fatigue, vomiting.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Hypokinesia, Pain, Swelling
Clinical narrative: Pt presented to office with swelling, unable to bend L elbow and redness and pain.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, VARCEL
Symptoms: Rash generalised
Clinical narrative: Rash all over body.
Sex: U
Vaccine: MMR
Symptoms: Wrong technique in drug usage process
Clinical narrative: mmr dose was mixed with wrong diluent.sodium chloride was picked up by mistake.merck was called and they recommended repeating vaccine,which was done.no adverse adie effects were noted.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Oedema peripheral, Rash, Rash macular, Urticaria
Clinical narrative: )6/25/2008 Vaccine appt: infant was given at 10:10 am 80 mg of equate acetaminophen PO lot #8BK0321 exp 04/10, at 10:15 infant was given vaccines,at the time of vaccination infant was Nad resp unlabored no rash noted at 10:30 red blotches appeared developing into a hive appearing rash no other sx, 10:45 resp unlabored clear lungs Nad Hive rash present 7.5 mg of benadryl given IM 11:00 sx resolving, 12:00 symptoms resolved infant sleeping 12:05 edema noted in infants fingers and rash appearing again, referred to emergency room for evaluation, infant was given prednisone sx resolved and was dismissed to home, Tylenol was given to infant by mom at 2:00 pm no adverse reation occurred Follow up with mom by phone the next day infant was doing well no further problems except diarrhea evening of 06/25/2008
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt received Dtap instead of Tdap
Age: 13.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt received Dtap instead of Tdap
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Client called to report that the day after vaccine received, she noticed her arm was swollen, red and very sore. She reports that on the second day she had a red circle around the site of injection that was 3-4 inches in diameter. The area was red, warm to touch, hard and very sore. The third day after vaccination it was no worse but had not gotten any better.  The area was also very itchy. She describes the area as "sore as the dickens."  Day 5 client reports that it is still tender and itchy.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Oedema peripheral, Pain in extremity
Clinical narrative: Client called to report that the day after vaccine received, she noticed her arm was swollen, red and very sore. She reports that on the second day she had a red circle around the site of injection that was 3-4 inches in diameter. The area was red, warm to touch, hard and very sore. The third day after vaccination it was no worse but had not gotten any better.  The area was also very itchy. She describes the area as "sore as the dickens."  Day 5 client reports that it is still tender and itchy.
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin burning sensation
Clinical narrative: pt received shingles vaccine friday 6/27 and approximately 2 days later felt burning sensation and broke out in dermatomal rash on forehead/scalp unilaterally
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Headache, Pain, Pyrexia
Clinical narrative: body aches, headache at base of skull, weakness, 100F fever   treated with tylenol
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Body temperature increased, Chills, Headache, Pain
Clinical narrative: body aches, headache at base of skull, weakness, 100F fever   treated with tylenol
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Headache, Pain, Pyrexia
Clinical narrative: Mother called to report son developed chills, increased temp 100.0, body aches, weakness & posterior headache approx 36 hrs after vaccine.  Son was given TYLENOL ES with some relief of symptoms.  Following morning 7/2- pt still had 99.6 temp & some body aches.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Body temperature increased, Chills, Headache, Pain
Clinical narrative: Mother called to report son developed chills, increased temp 100.0, body aches, weakness & posterior headache approx 36 hrs after vaccine.  Son was given TYLENOL ES with some relief of symptoms.  Following morning 7/2- pt still had 99.6 temp & some body aches.
Sex: F
Vaccine: HEP
Symptoms: Accidental overdose, Barium enema, Constipation, X-ray
Clinical narrative: pt received 2 hep vaccinations at birth 523am, 6/11/2008 1000am). pt developed severe constipation two days later. one er visit, barium enema, office visit with primary physician
Age: 4.0
Sex: F
Vaccine: DTP, HEPA, IPV
Symptoms: Fatigue, Headache
Clinical narrative: Severe headache and fatigue.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Irritability, Oedema peripheral, Pyrexia
Clinical narrative: Dad called on 8-28-07 to report that child had temperature of 101.2, fussy and had swelling in feet and hands, and red and white spots on extremities. Admitted to local Hospital for 2 days with additional swelling and fever.  Unable to find cause of swelling.  Has had vaccines since, with no problems. 7/23/08-records received for DOS 8/28-9/1/07-DC DX:Fever. Rash. Presented day of admission with hand and feet swelling and macular rash on arms, maximum temperature 100.3, decreased p.o. intake. PE:polycyclic erythematous raised lesions on upper and lower extremities bilaterally, some central cyanosis on feet. Lesions blanchable. Erythematous macules on cheeks bilateraly, hands and feet swollen.
Age: 21.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Syncope vasovagal
Clinical narrative: suspected vasovagal attack
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram normal, Injection site erythema, Injection site induration
Clinical narrative: severe chest pain, vomiting, shortness of breath, lethargy, swelling, redness and hardening around injection site. ER did and ekg in which results were ok. Symptoms also started to go away around this time (hour to hour and a half later) Redness, pain and hardness around injection site remained.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling, Lethargy, Vomiting
Clinical narrative: severe chest pain, vomiting, shortness of breath, lethargy, swelling, redness and hardening around injection site. ER did and ekg in which results were ok. Symptoms also started to go away around this time (hour to hour and a half later) Redness, pain and hardness around injection site remained.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: Child received Pediarix vaccine, ActHib, PCV7, and rotavirus vaccines at a 6month well child check at lunch time on 7/1/08.  By 5pm that same day his mother checked his temperature and it was 105.2 rectally.  She was able to eventually get the fever down and by this morning his temp was at 100.2.  Per mother, he did not show any signs of having seizures or any other adverse effects.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Crying, Facial spasm, Feeling abnormal, Staring
Clinical narrative: Immediately after the shot I felt distant and felt like all I wanted to do was stare, not close my eyes and sleep, just stare. About an hour later I was staring and felt like I was sinking inside myself and I started crying involuntarily and my face started making weird faces. I stood up and walked around to wake my body up a little and I felt better. I've felt ok since.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth 5cmX7cm.  No pain.  Began day after immunization.  Treatment=warm compresses, ibuprofen
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Immediate local swelling with redness, about 4-5cm in diameter at injection site on left deltoid after administation of Twinrix. Ice pack applied to area for 10 minutes with immediate decrease in swelling, none observed after 10 minutes. Patient stayed 30 minutes, denied systemic c/o's, none observed. NP and MD at this field clinic checked patient.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: received zostavax on 6/6/08.  Two weeks later developed shingles R thigh
Age: 28.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Malaise, Pyrexia, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Itchy, erythemic rash covering body, excluding palms of hands and soles of feet.  Swollen face.  Fever 101.1 degrees orally.  Malaise.  Treated with Methylprednisolone 4mg starting 7/2/08.
Age: 28.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Swelling face
Clinical narrative: Itchy, erythemic rash covering body, excluding palms of hands and soles of feet.  Swollen face.  Fever 101.1 degrees orally.  Malaise.  Treated with Methylprednisolone 4mg starting 7/2/08.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Fatigue, Irritability, Moaning
Clinical narrative: IMMUNIZATIONS GIVEN AT APPROXIMATELY 9:30 AM. INFANT SLEPT FOR APPROXIMATELY 1 HR AFTER VACCINATIONS, THEN BECAME INCONSOLABLE CRYING FOR APPROXIMATELY 3.5 HRS AFTER IMMUNIZATIONS. INFANT GIVEN DOSE OF TYLENOL AT 1PM, INFANT EXHAUSTED, FELL ASLEEP BUT CONTINUED TO MOAN/WHIMPER WHILE SLEEPING. 1HR AFTER TYLENOL INFANT SLEEPING COMFORTABLY BUT FUSSES WHEN LEGS MOVED
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Immediate post-injection reaction, Rash macular, Urticaria
Clinical narrative: PATIENTS BROKE OUT IN RED SPLOTCHY HIVES ON HER FACE, NECK, IMMEDIATELY AFTER ADMINISTRATION OF THE HEP A VACCINE. PT WAS ADMINISTERED 17.5MG OF ORAL BENDERYL X 1 DOSE; PT HAD NO RESPIRATORY DISTRESS, NO LIP SWELLING; NO WHEEZING ON AUSCULTATION.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: About 20 minutes after receiving hep A vaccine #2, in Right deltoid, patient develolped red spots, "pencil point" on bilateral arms and legs without any other reported complaints.  Patient alert and playful. No respiratory distress reported.  Advised to see primary care physician and will follow-up with parent 7/3/08.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: PT GIVEN VACCINE, WAITED IN ROOM 10 MINUTES, PT FELT FINE, WENT TO LEAVE AND FAINTED, ASSISTED HER TO CHAIR WHERE SHE PROCEEDED TO FAINT AGAIN. ASSISTED PT TO TABLE TO LIE FLAT.VITAL SIGNS MONITORED. PT MONITORED EVERY 5 MINUTES. SLOWLY BEGAN TO RAISE HEAD OF BED AS PT TOLERATED. AMBULATED PT BEFORE ALLOWING HER TO BE DISCHARGED. TOTAL TIME FROM REACTION TO DISCHARGE 1.5 HOURS.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Day after Tdap administered noticed redness, pain, induration and warmness at site of injection.  No fever noted
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypersensitivity, Rash generalised
Clinical narrative: Possible allergic reaction. Unsure if from vaccine, or apple juice. Pt has body rash, including head area. Benedryl 12.5/5ml 2ml po Q8H given as treatment, and pt will return in 2 days to follow up.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Familial risk factor
Clinical narrative: Cellulitis developed on child's upper right arm (just like her brothers with same varivax vaccine on same day). Required abx tx and resolved.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient complains of pain at injection site since injection.  Now pain radiates down all the way to elbow.  She can not lift her arm still without pain.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Gastrointestinal disorder, Headache, Mitochondrial myopathy, Myalgia
Clinical narrative: Adult dose of Influenza Vaccination administered, onset of nausea, abdominal pain, headaches, myalgia started the following day. Abdominal sx  continued, patient lost 15 lbs in six weeks and was hospitalized. Gastrointestinal symptoms later diagnosed as gastrointestinal dysmotility secondary to a clinical diagnosis of mitochondrial disease (diagnosed in 2002).  The initiation of the influenza vaccination was the "trigger" for the start of the mitochondrial symptoms. 8/13/08-records received-office visit 10/5/92-presented with C/O persistent sore throat present for approximately 1 week. Developed white spots on tonsils and felt unwell, always tired. Retin-A for acne. Assessment viral pharyngitis, acne, 10/7/02 continues with C/O sore throat. 10/19/02 seen for persistent symptoms and after flu shot C/O fatigue, chronic headaches, anorexia and constant nausea with  7lb weight loss. Low grade temps. Assessment probably viral syndrome. 11/2/92 C/O continued nausea and additional weight loss. 11/9/02-heart murmur detected, systolic murmur. 7/7/94-receiving TPN via jejunostomy feedings for intestinal pseudo-obstruction. 3/30/98-orthostatic intolerance may be contributing to symptoms of abdominal pain particularly when it is provoked by exercise.  4/3/01-C/O increased weakness with ambulation and stumbling gait. Assessment extreme muscle fatigue. 4/25/03-symptoms suggestive of an underlying mitochondrial disease. 6/30/03-chronic pseudo-obstruction associated with abdominal pain, diarrhea presumably from bacterial overgrowth, chronic/recurrent pancreatitis, autonomic dysfunction, muscle fatigue with reduced endurance, muscle cramping post exercise, chronic thrombocytopenia, retinal pigmentation,  pancreatitis, GERD, SVT..
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Weight decreased
Clinical narrative: Adult dose of Influenza Vaccination administered, onset of nausea, abdominal pain, headaches, myalgia started the following day. Abdominal sx  continued, patient lost 15 lbs in six weeks and was hospitalized. Gastrointestinal symptoms later diagnosed as gastrointestinal dysmotility secondary to a clinical diagnosis of mitochondrial disease (diagnosed in 2002).  The initiation of the influenza vaccination was the "trigger" for the start of the mitochondrial symptoms. 8/13/08-records received-office visit 10/5/92-presented with C/O persistent sore throat present for approximately 1 week. Developed white spots on tonsils and felt unwell, always tired. Retin-A for acne. Assessment viral pharyngitis, acne, 10/7/02 continues with C/O sore throat. 10/19/02 seen for persistent symptoms and after flu shot C/O fatigue, chronic headaches, anorexia and constant nausea with  7lb weight loss. Low grade temps. Assessment probably viral syndrome. 11/2/92 C/O continued nausea and additional weight loss. 11/9/02-heart murmur detected, systolic murmur. 7/7/94-receiving TPN via jejunostomy feedings for intestinal pseudo-obstruction. 3/30/98-orthostatic intolerance may be contributing to symptoms of abdominal pain particularly when it is provoked by exercise.  4/3/01-C/O increased weakness with ambulation and stumbling gait. Assessment extreme muscle fatigue. 4/25/03-symptoms suggestive of an underlying mitochondrial disease. 6/30/03-chronic pseudo-obstruction associated with abdominal pain, diarrhea presumably from bacterial overgrowth, chronic/recurrent pancreatitis, autonomic dysfunction, muscle fatigue with reduced endurance, muscle cramping post exercise, chronic thrombocytopenia, retinal pigmentation,  pancreatitis, GERD, SVT..
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Laboratory test, Pyrexia
Clinical narrative: fever, admitted to hospital 6-26-08 7/30/08-records received for DOS 6/27/-6/28/08-DC DX: acute febrile illness. Leucopenia. Developed fever up to 102-103 after shots, irritable and fussy.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Itching, swelling, redness 1-2 days after shot.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Swelling to R deltoid 6 cm area.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Oedema peripheral, Pain in extremity, Tuberculin test
Clinical narrative: Wed 6/25/08 p.m. & Th 6/26/08 all day arm hurt and beginning to and continuing to swell.  Fri 6/27/08 & Sat 6/28/08=lymph nodes beginning to swell.  Sun 6/30/08=patient went to ER Dept (saw Dr.).  Treatment-hydrocodone/acetaminophen 500mg 1x2 tabs/day, MOTRIN 600mg 3x/day.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 103 degrees after 4 mo. shots.
Age: 42.0
Sex: F
Vaccine: FLUX, MMR, OPV
Symptoms: Dyspnoea, Feeling abnormal, Hypersensitivity, Pain, Wheezing
Clinical narrative: Received IM flu vac 12/3/07.  Approx 20-30 later developed wheeze sensation, difficulty breathing w/SOB while driving.  Took SL BENADRYL 25 mg w/some relief and repeated 15-20 min later while driving home.  1.5 hr later home somewhat better.  C/O wheeze feeling and not feeling right as if allergies triggered (ragweed) achy feeling and problems breathing.  She denied eating, drinking, ingestion of any type, no new perfumes, odors/smells, no new clothing, no stings/insect bites, windows were up driving as cold (December in Texas).  No medical care obtained.  Did contact command 12/4 and PCP 12/5/07 who recommended exemption to flu vaccine.  Symptoms: Dyspnea (shortness of breath), Wheezing.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Rash papular, Secondary transmission, Skin lesion
Clinical narrative: Husband received SMPX vaccine 6/22/08 and kept covered; however small blister was under site not covered and may have touched site while sleeping 6/23/08.  On 6/24 noted 2 small red blisters to inner left upper arm (see pictures) that are similar to uncovered blister on husband.  Denied fever, n/v, chest pain, sob, itching.  Is not pregnant (tubes tied), no skin or cardiac history, no risk factors.  Has 3 children 6, 10, 12 not at home, one cat.  No paresthesia or left arm weakness, pain.  Symptoms: Lesions, papule.
Age: 47.0
Sex: M
Vaccine: FLU3, SMALL
Symptoms: Cardiomyopathy, Hypertension
Clinical narrative: SM with hx of HTN treated with lisinopril, COREG received SMPX 1/17/2006.  In 6/2008 he was diagnosed with vaccine mediated cardiomyopathy vs hypertensive cardiomyopathy.  CG requesting eval for possible causality.  Symptoms: Hypertension, high (140-159/90-99).
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Induration, Lymphadenopathy, Pruritus, Rash
Clinical narrative: Received primary SMPX 6/10/08 with mild left axillary/neck node swelling.  6/17/08 noted hard red itchy bumps on both legs, marble size that itch.  Benadryl not helping.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Alanine aminotransferase normal, Arthropod bite, Aspartate aminotransferase normal, Ataxia, Back pain
Clinical narrative: Respiratory failure - ventilation.  IVIG 30gm daily x5 days.  This is a 43 year-old male who as in his usual state of good health until three days prior to admission when he noted some low back pain and tingling in his legs.  He also noted complaints of sinus congestion and drainage.  He saw Dr. in the office on 6-25, and was given AUGMENTIN for sinusitis.  He mentioned his numbness in his legs and it was decided to see how he did after his infection had cleared and then work that up as necessary.  He also went to a chiropractor who adjusted his back and he had improvement in his low back pain.  However, he had persistent numbness in his legs and in his arms he described as feeling as if they had gone to sleep and were tingling.  He got to the point today where he had difficulty ambulating and even fell in his garage and has a small cut on his right ear from that fall.  He presented to the emergency room and was noted to have significant difficulties with ataxia and was thus admitted for further evaluation and care.  He does not that he has had multiple tick bites since he lives on a farm, but has not noted any significant skin rashes.  He also has not urinated all day, although he has not taken in very much fluid either.  In the emergency room his white count was 11,900, hemoglobin 16.2.  Electrolytes were unremarkable and BUN and creatinine were 14 and 0.85 respectively.  His liver enzymes were unremarkable.  A tick panel was sent off for evaluation. 7/21/08-CDC's CISA staff has reviewed VAERS # 318176 and confirmed that this is GBS level 1. 9/12/08 Received hospital D/C/ summary for 6/27-7/23/2008. FINAL DX: Guillain Barre syndrome; pneumonia; respiratory failure; & elevated liver enzymes. Report states patient initially admitted w/difficulty walking then quickly developed UE extremity weakness & trouble breathing.  Consults by neuro, ID & GI done.  Mechanical ventilation, IVIG, enteral nutrition, antibiotics & was extubated when pneumonia improved.