chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Dizziness, Fatigue, Headache, Pruritus
Clinical narrative: Headache, dizzy, fatigue, blurred vision, hives - left side abdomen, itching, temperature 99.7, chills started Benadryl for 2-3 days.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Headache, dizzy, fatigue, blurred vision, hives - left side abdomen, itching, temperature 99.7, chills started Benadryl for 2-3 days.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site pruritus, Mass
Clinical narrative: Patient states 1 week after vaccination on 12/7/2006 left arm starting itching at vaccination site. Long "golf ball size knot" appeared and area was very red and arm was not to touch. No breathing problems. Patient works for an MD who checked her arm and gave her Benadryl.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Complain of vesicular rash on face, nose, scalp, neck and legs.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Complain of itching and rash on arms, buttocks and genitals.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Allergy to vaccine, Erythema, Oedema peripheral, Pruritus, Scratch
Clinical narrative: Client father contacted this office per phone 1/8/07 and stated his son who seen in ER over the week end an area on left arm swollen and reddened. Stated son itched and scratched area and doctor at ER told him to find out which vaccine as may had allergic reaction. Asked Client to bring child to office to observation as 2 vaccine given on left arm. MMR and DTaP. Client did not return with child 1/8, 1/9 or 1/10/07.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Blood creatine phosphokinase, Injection site pain, Muscle spasms, Tension
Clinical narrative: Pain, muscle cramping and tenderness Right deltoid, Right bicep/tricep and forearm extensor muscles very tense, crampy for 10 days. No fever. No generalized muscle complaint.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Skin discolouration, Somnolence, Unresponsive to stimuli
Clinical narrative: Patient had unresponsive episode of approximately 5 minutes. Dusky skin and lips, poor tone, unable to be awaken, slowly return to normal self over 5 minutes. No interventions necessary.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient states that within 1-2 hours of vaccine her arm had red, warm, swollen area itchy surrounding injection site. She states by the next day her arm was swollen from shoulder to elbow, red and hot. This gradually subsided. She reports feeling weak the evening of the injection.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Patient complained of swelling and itching. Quarter sized area for swelling, with red and light red area. Total area was that of a silver dollar size. Treated with ice/later calamine lotion and Tylenol by school nurse.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: Red spots-face, head in hair, back, neck, stomach, groin area, arms and legs. Noticed today 1-24-07 at approx 12pm
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Nuclear magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: Received shot right arm within days the left arm began to ache - the pain growing intense as time past. Then about 2-3 months later right arm began to ache.
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Crying, Ear infection, Eye rolling, Lethargy
Clinical narrative: 1/9/07-fever 102 off and on for 1 week. With Tylenol, uncontrolled crying by 1/12/07. (1/13/07-Amoxicillin for 3 days). 1/1/4/07 had possible seizure, eyes rolled back, body limp, no response. Seen in ER at hospital. Fever 103F diagnosed ear infection. Continued Amoxicillin and Tylenol. On 1/15/07 Appointment with doctor. Began Rocephin for 3 days 1/15-1/17. 1/24/07-improved, no fever. Still lethargic.
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Unresponsive to stimuli
Clinical narrative: 1/9/07-fever 102 off and on for 1 week. With Tylenol, uncontrolled crying by 1/12/07. (1/13/07-Amoxicillin for 3 days). 1/1/4/07 had possible seizure, eyes rolled back, body limp, no response. Seen in ER at hospital. Fever 103F diagnosed ear infection. Continued Amoxicillin and Tylenol. On 1/15/07 Appointment with doctor. Began Rocephin for 3 days 1/15-1/17. 1/24/07-improved, no fever. Still lethargic.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site warmth, Rash erythematous, Swelling
Clinical narrative: Area to Left upper thigh 12x15cm slightly warm, splotchy erythematous, mild swelling. Treatment-ice, Benadryl
Age: 0.59
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Mother stated 2 days after he got immunization shot, he had fever with seizure which last less than 1 minute.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: 4in wheal, redness, tenderness, swollen injection area. 2in wheal noticed night before by mother. Benadryl given every 6 hours as needed. (itching and decreased reaction.) Ibuprofen for any pain and fever.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: High-pitched crying, Pallor, Pyrexia
Clinical narrative: Following standard 2 month immunizations child had high pitched crying for greater than 3 hour, also fever  101.4 axillary, pallor, no breathing problems.
Age: 17.0
Sex: M
Vaccine: TD, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Td in Left arm and Tdap in Right arm mistakenly. (was suppose to receive Tdap and HBV#2).
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV, DTAP, HIBV, IPV, PNC, RV
Symptoms: Crying, Oedema peripheral, Pyrexia
Clinical narrative: Leg Swelling, Fever(100.3-101.0), excessive crying,
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain
Clinical narrative: States had sore arm..Had six dime size red spots across upper arm - not elevated. Denies any breathing difficulty or burning, tingling of tongue, throat or lips since getting injections.  She had requested both injections in same arm due to diabetes and having to self inject insulin.  Instructed to apply cool compresses, take Tylenol or Ibuprofen for pain and Benadryl as directed on box.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV, DTAP, HIBV, IPV, PNC, RV
Symptoms: Crying, Pyrexia
Clinical narrative: Ecessive Crying for greater then 3 hours, High Fever 104.6
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV, DTAP, HIBV, IPV, PNC, RV
Symptoms: Unevaluable event
Clinical narrative: Ecessive Crying for greater then 3 hours, High Fever 104.6
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chest discomfort, Urticaria
Clinical narrative: Patient called at 1430 stating development of approx 20 hives on face, arms, chest, and belly within one hour of receiving flu shot.  Took Allergan and Ventolin Inhaler at 1030 and inhaler again at 1430.  Chest feels tight (like asthma), denies numbness or tingling in lips or tongue.  Encouraged Benadryl (if able to take it) and if sx not resolved by hs encouraged ER/Ambulance for difficulty breathing and/or numbness or tingling of lips, tongue, etc.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Red and swollen L Arm. Very painful.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Red and swollen L Arm. Very painful.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Developed fever of 103-104....medication would bring it down to 101.  Taken to ER - temp monitored and was released.  Temp continued until 9-16-06 - no other sx
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pain radiating down left arm to hand on certain movements. Started about 1 week after vaccination. Still has pain
Age: 1.08
Sex: F
Vaccine: DTAPH
Symptoms: Herpes zoster, Lumbar puncture, Meningism, Polymerase chain reaction, Varicella
Clinical narrative: Patient developed shingles on right buttock and leg on 1/20/07, was started on acyclovir.  2 days later she developed meningeal signs and a spinal tap was done.  Her CSF had varicella virus present.  She completed a 10 day course of acyclovir.  4/10/07 Received medical records from hospital which consisted only of LP & CT scan reports.  ER exam on 1/24/07  revealed photophobia, nuchal regidity & positive Kernig & Brudzinski signs.  Rapid PCR was + for varicella zoster virus in CSF.  CSF culture was neg.  CT scan was WNL. FINAL DX: Varicella meningitis.
Age: 1.08
Sex: F
Vaccine: DTAPH
Symptoms: Varicella zoster virus serology positive
Clinical narrative: Patient developed shingles on right buttock and leg on 1/20/07, was started on acyclovir.  2 days later she developed meningeal signs and a spinal tap was done.  Her CSF had varicella virus present.  She completed a 10 day course of acyclovir.  4/10/07 Received medical records from hospital which consisted only of LP & CT scan reports.  ER exam on 1/24/07  revealed photophobia, nuchal regidity & positive Kernig & Brudzinski signs.  Rapid PCR was + for varicella zoster virus in CSF.  CSF culture was neg.  CT scan was WNL. FINAL DX: Varicella meningitis.
Age: 1.27
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Full blood count, Hypokinesia, Lethargy, Pyrexia
Clinical narrative: Pt developed a fever of 104.1 rectally, lethargic, not moving legs
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Haematoma, Rash, Swelling
Clinical narrative: Client went to Georgetown pediatrics for a rash, swelling, and large hematoma.
Age: 1.06
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Diarrhoea, Rash, Vomiting
Clinical narrative: Developed temp of 99.9 that increased to 103 by 12/12. Hospitalized them for vomiting and diarrhea.  Home on 12/13 - mom called nurse on 12/15 and 12/19. Patient now has rash MD thinks is related to MMR.  03/05/2007 MR received from hospital for an overnight admit for c/o increased temperature, listlessness, fussiness, and vomiting on and off since vax 4 days ago.  PE: shows listlessness.  Eyes, slighly sunken. Slight rhinorrhea-yellowish discharge.  Tongue-mildly dry.  Temp. = 101.8'F. Otherwise WNL. Admitted for persistant vomiting, fever, and moderate dehydration. No discharge summary written but verbal DX of gastroenteritis given by reporter via TC.
Age: 1.43
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Febrile convulsion, Full blood count, Influenza serology negative, Laboratory test normal, Pyrexia
Clinical narrative: 10 days after MMRV vaccine administered -  fever, rash on trunk and febrile seizure.  EMS took child to hospital - labwork and overnight stay for observation.  02/26/2007 MR received for ER visit for 1 episode of tonic clonic jerking lasting 2-3 minutes 10 days after vax. on 01/17/2007. HPI:  Minor fever noted the night before.  After nap, child woke with a fever of 101.5'F rectally.  Shortly after temp. child fell back with arms and legs flexed and back arched, began jerking movements.  Cyanosis noted around the lips.  15-20 minute post-ictal period. PE shows mild papular rash on right chest. Otherwise WNL. Impression/Differential DX.  Seizure activity, likely febrile seizure.
Age: 1.43
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Rash, Virus serology test
Clinical narrative: 10 days after MMRV vaccine administered -  fever, rash on trunk and febrile seizure.  EMS took child to hospital - labwork and overnight stay for observation.  02/26/2007 MR received for ER visit for 1 episode of tonic clonic jerking lasting 2-3 minutes 10 days after vax. on 01/17/2007. HPI:  Minor fever noted the night before.  After nap, child woke with a fever of 101.5'F rectally.  Shortly after temp. child fell back with arms and legs flexed and back arched, began jerking movements.  Cyanosis noted around the lips.  15-20 minute post-ictal period. PE shows mild papular rash on right chest. Otherwise WNL. Impression/Differential DX.  Seizure activity, likely febrile seizure.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema
Clinical narrative: Patient woke up on 1/29/2007 with one red spot on side.  As morning progressed, develope 3-4 other spots.  These spots then turned into blisters as day went on.
Age: 28.0
Sex: F
Vaccine: MNQ
Symptoms: Anxiety, Face oedema, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: Pt stated following Sx: Nausea, Sweating, cold legs, fever, facial swellling, fatigue, and anxiety. Sx went from 12 hours post vaccine administration then for 24 hours. Pt took Tylenol every 4-6 hours to relieve symptoms.
Age: 28.0
Sex: F
Vaccine: MNQ
Symptoms: Peripheral coldness, Pyrexia
Clinical narrative: Pt stated following Sx: Nausea, Sweating, cold legs, fever, facial swellling, fatigue, and anxiety. Sx went from 12 hours post vaccine administration then for 24 hours. Pt took Tylenol every 4-6 hours to relieve symptoms.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Sensation of heaviness, Similar reaction on previous exposure to drug
Clinical narrative: Throbbin pain at injection site and arm feels heavy since receiving flu shot.  States this occurred also in 2 previous years after having received flu shots.  Instructed to see her private MD
Age: 2.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blood culture, Chest X-ray, Culture urine, Full blood count, Irritability
Clinical narrative: Seen1/12/07 for well checkup-received (4) vaccines(MMR,Varivax,HIB,Prevnar). About 1 wk. later, patient was seen in Mease Countryside ER for fever 104.6 for 2 days,fussy, staring episode-labs,Xray,spinal tap done to R/O meningitis-received Rocephin antibiotic. F/U visits to MD ofce on 1/22,1/23. Rehospitalized for irritability on 1/23/07. 02/02/07-records received and reviewed for DOS:01/23-01/26/2007 DC DX: Irritability, resolved Gastroesophageal reflux, now on Prevacid Mild upper respiratory infection, on nasal decongestants History of megacephaly and hemispherectomy HX:2 year old with history os seizure disorder, had a left hemispherectomy fin early infancy for intractable seizures. Born with megacephaly. Post surgery developed aseptic meningitis. Currently not taking seizure medications. PE:extremities show some weakness on the right side, no posturing is noted. Status post ear infection. Reported fever of higher than 104. In ER 100.4. Diarrhea status post course of antibiotics for otitis media. EEG: abnormal study because of presence of suppression of the left hemisphere consistent with left hemispherectomy. Supine abdomen:grossly normal abdomen.
Age: 2.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Laboratory test, Lumbar puncture, Pyrexia, Staring, X-ray
Clinical narrative: Seen1/12/07 for well checkup-received (4) vaccines(MMR,Varivax,HIB,Prevnar). About 1 wk. later, patient was seen in Mease Countryside ER for fever 104.6 for 2 days,fussy, staring episode-labs,Xray,spinal tap done to R/O meningitis-received Rocephin antibiotic. F/U visits to MD ofce on 1/22,1/23. Rehospitalized for irritability on 1/23/07. 02/02/07-records received and reviewed for DOS:01/23-01/26/2007 DC DX: Irritability, resolved Gastroesophageal reflux, now on Prevacid Mild upper respiratory infection, on nasal decongestants History of megacephaly and hemispherectomy HX:2 year old with history os seizure disorder, had a left hemispherectomy fin early infancy for intractable seizures. Born with megacephaly. Post surgery developed aseptic meningitis. Currently not taking seizure medications. PE:extremities show some weakness on the right side, no posturing is noted. Status post ear infection. Reported fever of higher than 104. In ER 100.4. Diarrhea status post course of antibiotics for otitis media. EEG: abnormal study because of presence of suppression of the left hemisphere consistent with left hemispherectomy. Supine abdomen:grossly normal abdomen.
Age: 14.0
Sex: M
Vaccine: DTAPH
Symptoms: Anorexia, Asthenia, Cough, Dysphonia, Pallor
Clinical narrative: first night of shot(1-25-07) dereks throat started feeling irratated and he was sounding hoarse and was clearing his throught constantly,he started running a fever. second day a bad cough developed and continued to have fever, gave motrin for fever it worked untill dosage time ran out then fever would be back coughing increased and then wheezing,paleness and loss of appetite followed and had a noticeable loss of energy.
Age: 14.0
Sex: M
Vaccine: DTAPH
Symptoms: Pyrexia, Throat irritation, Wheezing
Clinical narrative: first night of shot(1-25-07) dereks throat started feeling irratated and he was sounding hoarse and was clearing his throught constantly,he started running a fever. second day a bad cough developed and continued to have fever, gave motrin for fever it worked untill dosage time ran out then fever would be back coughing increased and then wheezing,paleness and loss of appetite followed and had a noticeable loss of energy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Dyskinesia, Full blood count, Laboratory test
Clinical narrative: Pt received DTaP-Hep-B-IPV (Pediarix,PCV-7, & HIB on 1-25-07. Three hours after vaccination pt got very fussy, crying for several hours.  In the middle of these crying spells, pt had several isolated jerking movements of the upper extremities only, which eventually subsided.  Pt taken to ER and no specific therapy done. Sib has a history of myoclonic epilepsy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Neutrophil count
Clinical narrative: Pt received DTaP-Hep-B-IPV (Pediarix,PCV-7, & HIB on 1-25-07. Three hours after vaccination pt got very fussy, crying for several hours.  In the middle of these crying spells, pt had several isolated jerking movements of the upper extremities only, which eventually subsided.  Pt taken to ER and no specific therapy done. Sib has a history of myoclonic epilepsy.
Age: 0.58
Sex: F
Vaccine: DTAP, FLUX, IPV
Symptoms: Convulsion, Dyskinesia, Staring
Clinical narrative: Seizure roughly 1 per day that lasts from anywhere from a few seconds to up to 15 minutes.  She both jerks her head slightly and stares.  This started roughly 11 days after she was vacinated and has never occurred prior.  2/2/07 Received medical records from provider which reveal patient was well on day of vax 1/11.  Next vs was on 1/25 when parent provided videotape of seizure like symptoms of  eyes suddenly opening wide, both arms symmetrically extending up & out at shoulders w/episode lasting 1-2 seconds recurring several times per day for 3 days.  Referred for EEG, possible MRI if EEG is abnormal FINAL DX: GERD & possible convulsions.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Urticaria
Clinical narrative: pt called 1/26/07 to report she did experience a raised welt at the injection site/ it was about 1-1/2" long. not sore,no other symptoms.  I spoke with patient today, welt is less today, no further complaints. form submitted as fyi only.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Autopsy
Clinical narrative: Hospital Infection Control/Risk Management Nurse called clinic to advise patient died in ER and parents think the shots were the cause. Body was sent to Medical Examiner.  3/15/07 Received autopsy Report which reveals COD as SIDS while cosleeping w/adults. Manner of death is undetermined.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: Hospital Infection Control/Risk Management Nurse called clinic to advise patient died in ER and parents think the shots were the cause. Body was sent to Medical Examiner.  3/15/07 Received autopsy Report which reveals COD as SIDS while cosleeping w/adults. Manner of death is undetermined.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Delusion, Headache
Clinical narrative: Fever to 39 degrees C (positive), severe headache, delusions, red, swollen injection site.  2/6/07 Received medical records from hospital which reveal patient experienced fever & delirium s/p pneumovax & flu vax.  Admitted from 1/24-1/28/07.  Exam revealed confusion. Admit dx was pneumonitis & was started on IV antibiotics.  Fever resolved & developed warmth & erythema of right arm w/pain on motion right shoulder which improved w/Benadryl.   FINAL DX: Fever w/o source; possible inflammatory response to Pneumovax immunization vs Flu vax.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever to 39 degrees C (positive), severe headache, delusions, red, swollen injection site.  2/6/07 Received medical records from hospital which reveal patient experienced fever & delirium s/p pneumovax & flu vax.  Admitted from 1/24-1/28/07.  Exam revealed confusion. Admit dx was pneumonitis & was started on IV antibiotics.  Fever resolved & developed warmth & erythema of right arm w/pain on motion right shoulder which improved w/Benadryl.   FINAL DX: Fever w/o source; possible inflammatory response to Pneumovax immunization vs Flu vax.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mild erythema and edema to Left deltoid. Prescribed over the counter Motrin 400 mg every 6-8 hours as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site of injection.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis, Urticaria
Clinical narrative: Right thigh cellulitis/urticaria 24-48 hours after HAV and Dtap vaccine. Treated with antibiotics (Rocephin, Keflex) and antihistamines.
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Rash, Tenderness, Wheezing
Clinical narrative: After administration developed rash, wheezing, tender, given Epinephrine, Dreadron, Albuterol, Benadryl
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Prepared the same vaccines to be given to 2 sisters. Gave 2 injections of Varicella. Called CDC. Discussed adverse reactions with parent.
Age: 1.02
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Vaccination failure
Clinical narrative: Both siblings also had vaccine failure cases of Varicella (medical doctor-confirmed) 2 weeks ago.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, IPV, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: First symptoms appeared 24 hours after vaccines. They first appeared as small spots that looked like bug bites and elbows and knees were red and hot to touch and swollen. The spots spread from arms and legs to rest of body and became large welts (not hives). Hospital did not report reaction.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, IPV, PNC
Symptoms: Erythema, Joint swelling, Oedema peripheral, Rash, Skin warm
Clinical narrative: First symptoms appeared 24 hours after vaccines. They first appeared as small spots that looked like bug bites and elbows and knees were red and hot to touch and swollen. The spots spread from arms and legs to rest of body and became large welts (not hives). Hospital did not report reaction.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: First symptoms appeared 24 hours after vaccines. They first appeared as small spots that looked like bug bites and elbows and knees were red and hot to touch and swollen. The spots spread from arms and legs to rest of body and became large welts (not hives). Hospital did not report reaction.
Age: 1.1
Sex: F
Vaccine: HIBV, MMRV
Symptoms: Erythema, Rash
Clinical narrative: woke up with face, neck, covered with bright red spots that did not itch or ooze.  Spots gradually continued down upper torso, the lower torso the next 3 days. Spots a pinhead size and could be felt. Each one (raised). In three days they started to slowly fade and disappeared. No fever or discomfort appeared.
Age: 52.0
Sex: M
Vaccine: YF, YF
Symptoms: Arthralgia, Back pain, Condition aggravated, Hypoaesthesia, Insomnia
Clinical narrative: Caller states that on 1/17/2007 complained of hip pain.  On 1/19 2007  states that he has not slept for 2 nights because of back and hip pain. States this is different then when he had sciatica before Limping. Leg going numb.  Advised he needs to see his private medical physician.  On 1/12/2007 states MRI showed a back problem. States problems were probably not caused by the yellow fever shot but it may have irritated it.
Age: 52.0
Sex: M
Vaccine: YF, YF
Symptoms: Nuclear magnetic resonance imaging abnormal
Clinical narrative: Caller states that on 1/17/2007 complained of hip pain.  On 1/19 2007  states that he has not slept for 2 nights because of back and hip pain. States this is different then when he had sciatica before Limping. Leg going numb.  Advised he needs to see his private medical physician.  On 1/12/2007 states MRI showed a back problem. States problems were probably not caused by the yellow fever shot but it may have irritated it.
Age: 52.0
Sex: M
Vaccine: YF, YF
Symptoms: Arthralgia, Asthenia, Back pain, Insomnia, Pain in extremity
Clinical narrative: Caller states that on 1/17/2007 complained of hip pain.  On 1/19 2007  states that he has not slept for 2 nights because of back and hip pain. States this is different then when he had sciatica before Limping. Leg going numb.  Advised he needs to see his private medical physician.  On 1/12/2007 states MRI showed a back problem. States problems were probably not caused by the yellow fever shot but it may have irritated it.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: CSF culture negative, Electroencephalogram abnormal, Tonic convulsion
Clinical narrative: DEVELOPED TONIC SEIZURE ACTIVITY X FEW MONTHS ON 1/24/07 AND ON 1/25/07-ADMIITED FOR EVALUATION ON 1/25/07-ANTIBIOTICS GIVEN PENDING NEGATIVE TESTS,EEG ABNORMAL(FOCAL ABNORMALITY)-NOT ON AMY MEDS AT THIS TIME 02/20/07-records received and reviewed for DOS 01/25/07-DX: Reflux vs Seizure. Possible seizures, Prior to ER visit patient had seizure that lasted for approximately 2 minutes, back arched, stiffened whole body, head deviated to left, eyes deviated to left. Second seizure morning of ER visit.  Temp 37. URI symptoms and loose stools 1-2/day for 7 weeks. 2 weeks ago changed formula. PE: WNL
Age: 25.0
Sex: M
Vaccine: FLU3, HEPAB, VARCEL
Symptoms: Blister, Patient isolation, Rash erythematous, Rash papular, Rash vesicular
Clinical narrative: Varicella outbreak/rash: multiple erythematous papules and multiple vesicles with erythematous borders to scalp, face, trunk, upper extremities and buttocks. Treatment: isolation. 03/26/07-records received from facility for DOS 01/27-01/30/07 DC DX: Viral illness. Received Varicella vaccine 1/16/07, after negative titer-2 weeks later developed rash with typical dewdrop on rose petal type of morphology. Pruritis. Admitted for isolation due to basic training status and concern for contagiousness.
Age: 25.0
Sex: M
Vaccine: FLU3, HEPAB, VARCEL
Symptoms: Varicella
Clinical narrative: Varicella outbreak/rash: multiple erythematous papules and multiple vesicles with erythematous borders to scalp, face, trunk, upper extremities and buttocks. Treatment: isolation. 03/26/07-records received from facility for DOS 01/27-01/30/07 DC DX: Viral illness. Received Varicella vaccine 1/16/07, after negative titer-2 weeks later developed rash with typical dewdrop on rose petal type of morphology. Pruritis. Admitted for isolation due to basic training status and concern for contagiousness.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash within 24 hrs. of vaccine administration to face, legs, arms. Denies fever or SOB.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Cardiac stress test, Electrocardiogram, Electrocardiogram QT corrected interval prolonged, Electrocardiogram abnormal, Laboratory test
Clinical narrative: She had the shot and we where waiting for my nephew to be seen. 30 minutes after getting the shot she complained of not being able to hear and then not see. The office staff went to get the Dr. He instructed themto bring her to a room. She collapsed as we took her down the hallway. We carried her in and placed her on a table. She woke up quickly, the Dr. sent his staff to the ER (next door) to get a wheelchair. I then took her to the ER. He said he wanted t make sure she was ok and that she had had a severe reaction to the vaccine. Upon arrive she had lab work, EKG, and an IV started. We spent several hours in the ER and then were discharged. We were told everything was fine. On 12/26/06 we received a call from the office and they told us we needed to take her to a pediatric cardiologist and that should could not participate in any of her sporting events until cleared. We were told that the ER EkG showed a prolonged QT- interval. She had an EKG a few years ago which was normal. she also had a echocardiogram done previously which was reported nornal. We went and saw a cardiologist who asked if we had any histroy of this problem. We were all tested and no family member has prolonged QT intervals. She was placed on a beta blocker Nadolol 10mg BID. She has more recently returned to WVU and had a stress test done. We were told that she would now have to take this medicine forever. syncope. Nausea no vomiting.LabsDOS 12/30/06 ER Visit DX:Chest discomfort. Complaint of funny feeling in chest. 1 week history of prolong QT (incidental finding) after passing out after meningitis shot. Started Nadelol today and now with chest tightness. PE:WNL 03/08/07-record received from cardiologist consultant DOS 02/21/07 and 2/26/07-PE:regular pulse and blood pressure, no abnormal precordial pulsations, normal JVP, normal heart sounds, no murmurs. lung bases clear, no evidence of heart failure.  Treadmill test QT interval shortened after discontinuation of beta blocker. Highly unlikely that she has a familial long QT syndrome.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Syncope, Vaccination complication
Clinical narrative: She had the shot and we where waiting for my nephew to be seen. 30 minutes after getting the shot she complained of not being able to hear and then not see. The office staff went to get the Dr. He instructed themto bring her to a room. She collapsed as we took her down the hallway. We carried her in and placed her on a table. She woke up quickly, the Dr. sent his staff to the ER (next door) to get a wheelchair. I then took her to the ER. He said he wanted t make sure she was ok and that she had had a severe reaction to the vaccine. Upon arrive she had lab work, EKG, and an IV started. We spent several hours in the ER and then were discharged. We were told everything was fine. On 12/26/06 we received a call from the office and they told us we needed to take her to a pediatric cardiologist and that should could not participate in any of her sporting events until cleared. We were told that the ER EkG showed a prolonged QT- interval. She had an EKG a few years ago which was normal. she also had a echocardiogram done previously which was reported nornal. We went and saw a cardiologist who asked if we had any histroy of this problem. We were all tested and no family member has prolonged QT intervals. She was placed on a beta blocker Nadolol 10mg BID. She has more recently returned to WVU and had a stress test done. We were told that she would now have to take this medicine forever. syncope. Nausea no vomiting.LabsDOS 12/30/06 ER Visit DX:Chest discomfort. Complaint of funny feeling in chest. 1 week history of prolong QT (incidental finding) after passing out after meningitis shot. Started Nadelol today and now with chest tightness. PE:WNL 03/08/07-record received from cardiologist consultant DOS 02/21/07 and 2/26/07-PE:regular pulse and blood pressure, no abnormal precordial pulsations, normal JVP, normal heart sounds, no murmurs. lung bases clear, no evidence of heart failure.  Treadmill test QT interval shortened after discontinuation of beta blocker. Highly unlikely that she has a familial long QT syndrome.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: C-reactive protein normal, Cardiac enzymes normal, Chest discomfort, Chest pain, Chills
Clinical narrative: 29 yo male had first smallpox vaccination to left shoulder with 3 jabs on 6Jan2007.  This did not take.  Had second vaccination with 15 jabs on 13Jan2007.  On 22Jan2007, Day 9 post-vaccination, had onset of chest pressure with radiation to left arm, associated with diaphoresis, vomiting, and chills.  Reported for evaluation on 23Jan2007 and electrocardiogram showed mild ST elevation and PR depression in leads II/III/F/V3-V6.  Pain relieved with nitroglycerine and oxygen.  Patient started on meds to treat an MI by doctors at hospital.  Echocardiogram reported to show EF of 54% with inferior hypokinesis.  Labs were positive for cardiac injury with positive troponins: Troponin T's, in order, were: 1.27, 1.24, and 0.94.  Normal range 0-0.1.  By the time he arrived to hospital on 29Jan2007 he had been symptom free for 6 days.  On 29Jan2007 his cardiac enzymes were negative (toponin I < 0.1 twice, CK 64 and 44, and MB 0.5 and 0.4).  His ESR and CRP labs were also normal at 5 and <0.5 respectively.  A repeat echocardiogram showed an EF of 65-70% with no wall motion abnormality.  His cardiac meds were stopped with exception of the baby aspirin and low dose lopressor, and NSAIDS were not used given the normal objective studies and prolonged absence of symptoms.  He will be sent for convalescence back home.  A stress test is recommended in 4-6 weeks.  Very unlikely that he had ischemic myocardial infarct.  Very likely that he had smallpox vaccine related myopericarditis.  Records received from VHC for 2 day hospital ICU stay (Jan 29-31, 2007) for episode of chest pain, diaphoresis, vomiting and chills which began 9 days s/p smallpox vaccination. Pt. experienced "pressure in his chest" which radiated into the left arm.   Txd with Nitro, O2, Plavix, Lopressor, and ASA. DX:  Smallpox vaccine associated Myopericarditis.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Hyperhidrosis, Myopericarditis, Nitrate compound therapy
Clinical narrative: 29 yo male had first smallpox vaccination to left shoulder with 3 jabs on 6Jan2007.  This did not take.  Had second vaccination with 15 jabs on 13Jan2007.  On 22Jan2007, Day 9 post-vaccination, had onset of chest pressure with radiation to left arm, associated with diaphoresis, vomiting, and chills.  Reported for evaluation on 23Jan2007 and electrocardiogram showed mild ST elevation and PR depression in leads II/III/F/V3-V6.  Pain relieved with nitroglycerine and oxygen.  Patient started on meds to treat an MI by doctors at hospital.  Echocardiogram reported to show EF of 54% with inferior hypokinesis.  Labs were positive for cardiac injury with positive troponins: Troponin T's, in order, were: 1.27, 1.24, and 0.94.  Normal range 0-0.1.  By the time he arrived to hospital on 29Jan2007 he had been symptom free for 6 days.  On 29Jan2007 his cardiac enzymes were negative (toponin I < 0.1 twice, CK 64 and 44, and MB 0.5 and 0.4).  His ESR and CRP labs were also normal at 5 and <0.5 respectively.  A repeat echocardiogram showed an EF of 65-70% with no wall motion abnormality.  His cardiac meds were stopped with exception of the baby aspirin and low dose lopressor, and NSAIDS were not used given the normal objective studies and prolonged absence of symptoms.  He will be sent for convalescence back home.  A stress test is recommended in 4-6 weeks.  Very unlikely that he had ischemic myocardial infarct.  Very likely that he had smallpox vaccine related myopericarditis.  Records received from VHC for 2 day hospital ICU stay (Jan 29-31, 2007) for episode of chest pain, diaphoresis, vomiting and chills which began 9 days s/p smallpox vaccination. Pt. experienced "pressure in his chest" which radiated into the left arm.   Txd with Nitro, O2, Plavix, Lopressor, and ASA. DX:  Smallpox vaccine associated Myopericarditis.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Oxygen supplementation, Red blood cell sedimentation rate normal, Troponin T increased, Vomiting
Clinical narrative: 29 yo male had first smallpox vaccination to left shoulder with 3 jabs on 6Jan2007.  This did not take.  Had second vaccination with 15 jabs on 13Jan2007.  On 22Jan2007, Day 9 post-vaccination, had onset of chest pressure with radiation to left arm, associated with diaphoresis, vomiting, and chills.  Reported for evaluation on 23Jan2007 and electrocardiogram showed mild ST elevation and PR depression in leads II/III/F/V3-V6.  Pain relieved with nitroglycerine and oxygen.  Patient started on meds to treat an MI by doctors at hospital.  Echocardiogram reported to show EF of 54% with inferior hypokinesis.  Labs were positive for cardiac injury with positive troponins: Troponin T's, in order, were: 1.27, 1.24, and 0.94.  Normal range 0-0.1.  By the time he arrived to hospital on 29Jan2007 he had been symptom free for 6 days.  On 29Jan2007 his cardiac enzymes were negative (toponin I < 0.1 twice, CK 64 and 44, and MB 0.5 and 0.4).  His ESR and CRP labs were also normal at 5 and <0.5 respectively.  A repeat echocardiogram showed an EF of 65-70% with no wall motion abnormality.  His cardiac meds were stopped with exception of the baby aspirin and low dose lopressor, and NSAIDS were not used given the normal objective studies and prolonged absence of symptoms.  He will be sent for convalescence back home.  A stress test is recommended in 4-6 weeks.  Very unlikely that he had ischemic myocardial infarct.  Very likely that he had smallpox vaccine related myopericarditis.  Records received from VHC for 2 day hospital ICU stay (Jan 29-31, 2007) for episode of chest pain, diaphoresis, vomiting and chills which began 9 days s/p smallpox vaccination. Pt. experienced "pressure in his chest" which radiated into the left arm.   Txd with Nitro, O2, Plavix, Lopressor, and ASA. DX:  Smallpox vaccine associated Myopericarditis.
Age: 55.0
Sex: F
Vaccine: HEPA
Symptoms: Wheezing
Clinical narrative: Pt experienced "wheezing."
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Child attended Karate class and instructor was tapping the injection not knowing that the child had received immunizations the day before.  Red swollen the size of a baseball at site of injection on right deltoid.  Area was tender to touch.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Inflammation, Musculoskeletal pain, Pain in extremity, X-ray
Clinical narrative: 01/10/07 Came to receive a Flu vaccine.  Used lot #U2285AA in Rt. Deltoid.  Came today 1/30/07 stating that Rt. Shoulder and forearm has been hurting since vaccine given.  Pt. c/o having pain on posterior area of Rt. Deltoid muscle area.  No mass, no redness or warm to area.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Erythema, Pyrexia
Clinical narrative: FEVER AND ERYTHEMA
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Confusional state, Disorientation, Drug screen negative, Electroencephalogram normal
Clinical narrative: Awoke from nap on 01/21/2007 and was disoriented and confused.  Taken to the ER where multiple tests were performed.  This last several hours.  Psychiatry was consulted as well.  Patient states she felt funny the next day, but was ok by 01/23/2007.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Feeling abnormal, Full blood count normal, Laboratory test, Thyroid function test normal
Clinical narrative: Awoke from nap on 01/21/2007 and was disoriented and confused.  Taken to the ER where multiple tests were performed.  This last several hours.  Psychiatry was consulted as well.  Patient states she felt funny the next day, but was ok by 01/23/2007.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood human chorionic gonadotropin normal, Computerised tomogram normal, Confusional state, Differential white blood cell count normal, Disorientation
Clinical narrative: Awoke from nap on 01/21/2007 and was disoriented and confused.  Taken to the ER where multiple tests were performed.  This last several hours.  Psychiatry was consulted as well.  Patient states she felt funny the next day, but was ok by 01/23/2007.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug screen, Electroencephalogram normal, Full blood count normal, Laboratory test normal, Metabolic function test normal
Clinical narrative: Awoke from nap on 01/21/2007 and was disoriented and confused.  Taken to the ER where multiple tests were performed.  This last several hours.  Psychiatry was consulted as well.  Patient states she felt funny the next day, but was ok by 01/23/2007.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Prothrombin time normal, Thyroid function test normal
Clinical narrative: Awoke from nap on 01/21/2007 and was disoriented and confused.  Taken to the ER where multiple tests were performed.  This last several hours.  Psychiatry was consulted as well.  Patient states she felt funny the next day, but was ok by 01/23/2007.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Chest pain, Muscle spasms
Clinical narrative: C/O chest pain, back pain, pelvic cramps starting 2 hours after vaccine given and continuing for next 24 hours. Called to report at that time.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cyanosis, Foaming at mouth, Musculoskeletal stiffness
Clinical narrative: 4 month old 24 week preemie with multiple medical problems, discharged from NICU 6 days ago received second set of immunizations today.  Initial immunizations were given at 2 months of age without adverse effect.  Baby was fine initially and went home.  Approximately one hour after the immunizations, while his parents were playing with him on the bed, he appeared to be straining.  (Parents initially thought he was trying to roll over.)  They describe his appearance as "stiff" but without clonic movements.  Parents state that his lips looked a little blue and he seemed to be "foaming at the mouth".  No change in level of consciousness was noted.  Parents considered calling 911 but the baby seemed better so they returned to the office.  On arrival at the office, baby was afebrile with normal vital signs, awake and alert.  Mother described him as normal.  Physical exam was benign.
Age: 60.0
Sex: F
Vaccine: TYP, YF
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: 6 cm diameter urticarical red eruption. No systemic symptoms.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Allergy test negative, Immunology test normal, Nuclear magnetic resonance imaging normal, Vomiting, Weight decreased
Clinical narrative: This case was reported by a physician and described the occurrence of vomiting in a 4-month-old female subject who was vaccinated with Pediarix vaccine for prophylaxis. On 12 January 2007 the subject received 1st dose of Pediarix (.5 ml, unknown). That evening, the subject started vomiting and spitting up. Over the next 12 days, the subject lost 9 ounces, and ultimately had to be hospitalized on 24 January 2007. During the hospitalization, the subject underwent an MRI, allergy testing, immune testing and an upper GI series which were all negative. The physician considered the events were disabling and clinically significant (or requiring intervention). The subject was treated with lansoprazole (Prevacid). At the time of reporting the vomiting was improved, but the spitting up and the weight loss were unresolved. The subject remained in the hospital.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: This case was reported by a physician and described the occurrence of vomiting in a 4-month-old female subject who was vaccinated with Pediarix vaccine for prophylaxis. On 12 January 2007 the subject received 1st dose of Pediarix (.5 ml, unknown). That evening, the subject started vomiting and spitting up. Over the next 12 days, the subject lost 9 ounces, and ultimately had to be hospitalized on 24 January 2007. During the hospitalization, the subject underwent an MRI, allergy testing, immune testing and an upper GI series which were all negative. The physician considered the events were disabling and clinically significant (or requiring intervention). The subject was treated with lansoprazole (Prevacid). At the time of reporting the vomiting was improved, but the spitting up and the weight loss were unresolved. The subject remained in the hospital.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Sciatica
Clinical narrative: Information has been received from a physician concerning her 77 year old mother with a arthritis in her finger, osteopenia and no known drug allergies who in December 2006 was vaccinated SC with a 0.5 ml dose of Zostavax vaccine. Concomitant therapy included Celebrex, alendronate sodium and calcium (unspecified). Subsequently four to six days after vaccination, in December 2006, the patient developed sciatica. She was treated with oral steroids. As of 25-Jan-2007 the patient was recovering. The physician reported that her mother was still having some problems and was going to physical therapy. She explained that prior to vaccination, her mother was very healthy and active and exercised on a regular basis. It was noted that the patient had no rash. The physician considered the sciatica to be disabling and an other important medical event. Additional information has been requested.