chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Incorrect dose administered, Induration, Infection
Clinical narrative: This case was reported by a consumer and described the occurrence of cellulitis of upper arm in a 55-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Co-suspect vaccine included Tetanus vaccine and influenza virus vaccine (unspecified) given in November 2011. These vaccinations resulted in arm soreness which began on unknown dates in November 2011. The subject reported that her usual treatment with TYLENOL and Alcohol resolved the arm soreness following unspecified influenza virus vaccination. The outcome of arm soreness following the Tetanus vaccination was not specifically reported. No further details were provided regarding these events. Concurrent medical conditions included allergy to molds and dust allergy (unspecified). Concurrent medications included LORTAB and other unknown concurrent medications (not reported as the subject felt this information was private). On the night of 9 March 2012 the subject received a dose of BOOSTRIX in the left arm following a cut to the finger. This was an extra dose of vaccine administered as the subject received a Tetanus vaccination in November 2011. On 10 March 2012, 1 day after vaccination with BOOSTRIX, the subject noticed a hard knot on her arm (upper arm knot), swelling (swelling of upper arm), redness (upper arm red) and upper arm pain that were from her shoulder almost down to her elbow. She used pain medication (Pain medication unspecified) and Alcohol for relief. Two days later, on 12 March 2012, the swelling and redness were reported to be worse. The subject reported that she was at a health facility when a billing associate saw her arm and voiced concern. A "medical person" at the facility viewed the arm and informed the subject she had had a reaction to "the vaccination." The subject then went back to the facility where she received the BOOSTRIX vaccination and was prescribed CEPHALEXIN after being told that she had an infection in her arm called cellulitis (cellulitis of upper arm). The subject was encouraged to follow-up with her primary care physician and to discuss the potential ingredients in BOOSTRIX for possible reactions to future vaccines. No additional information is expected as the subject refused follow-up with her physician. She stated that, "that's her private information."
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Mass, Musculoskeletal pain, Oedema peripheral, Pain in extremity, Vaccination complication
Clinical narrative: This case was reported by a consumer and described the occurrence of cellulitis of upper arm in a 55-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Co-suspect vaccine included Tetanus vaccine and influenza virus vaccine (unspecified) given in November 2011. These vaccinations resulted in arm soreness which began on unknown dates in November 2011. The subject reported that her usual treatment with TYLENOL and Alcohol resolved the arm soreness following unspecified influenza virus vaccination. The outcome of arm soreness following the Tetanus vaccination was not specifically reported. No further details were provided regarding these events. Concurrent medical conditions included allergy to molds and dust allergy (unspecified). Concurrent medications included LORTAB and other unknown concurrent medications (not reported as the subject felt this information was private). On the night of 9 March 2012 the subject received a dose of BOOSTRIX in the left arm following a cut to the finger. This was an extra dose of vaccine administered as the subject received a Tetanus vaccination in November 2011. On 10 March 2012, 1 day after vaccination with BOOSTRIX, the subject noticed a hard knot on her arm (upper arm knot), swelling (swelling of upper arm), redness (upper arm red) and upper arm pain that were from her shoulder almost down to her elbow. She used pain medication (Pain medication unspecified) and Alcohol for relief. Two days later, on 12 March 2012, the swelling and redness were reported to be worse. The subject reported that she was at a health facility when a billing associate saw her arm and voiced concern. A "medical person" at the facility viewed the arm and informed the subject she had had a reaction to "the vaccination." The subject then went back to the facility where she received the BOOSTRIX vaccination and was prescribed CEPHALEXIN after being told that she had an infection in her arm called cellulitis (cellulitis of upper arm). The subject was encouraged to follow-up with her primary care physician and to discuss the potential ingredients in BOOSTRIX for possible reactions to future vaccines. No additional information is expected as the subject refused follow-up with her physician. She stated that, "that's her private information."
Age: 9.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: (L) arm. More than half the arm is erythematous, warm to touch. Received MMR & Dtap. Tenderness to injection site, not entire arm.
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Pox covering hands, feet and pen oral area and diaper area - Ax VARIVAX 12.29.10.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Pyrexia, Rash, Rash macular, Swelling face
Clinical narrative: Child started with temp 102 degrees 5pm on 3-17-12 later in evening fine rash on trunk spreading to limbs by am. No blisters. Rash (red) turned blotchy. Fever continued even with MOTRIN alt. TYLENOL. Itching 3-19-12 face puffy and rash on face/hairline. Was given Amox 3-3-12 and completed on 3-13-12 mom unclear why given Amox.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Redness & swelling (3 inch x 4 inch) at injection site (upper left arm) warm to touch, pt reports mild itching.
Age: 5.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Eyelid ptosis, Pyrexia
Clinical narrative: 1/9/12 - Fever 102.3 went to ER - Dx. 1/20/12 - Office visit - ptosis of right eyelid. 1/21/12 - Medical center - dx fever of unknown origin.
Age: 5.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Blood urea increased, Computerised tomogram abnormal, Drug eruption, Eyelid ptosis, Fatigue
Clinical narrative: 1/9/12 - Fever 102.3 went to ER - Dx. 1/20/12 - Office visit - ptosis of right eyelid. 1/21/12 - Medical center - dx fever of unknown origin.
Age: 5.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Hypersensitivity, Pyrexia, Sinusitis
Clinical narrative: 1/9/12 - Fever 102.3 went to ER - Dx. 1/20/12 - Office visit - ptosis of right eyelid. 1/21/12 - Medical center - dx fever of unknown origin.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Rash generalised
Clinical narrative: Rash on body.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: After 3 days still have no relief from swelling, itching, redness & "hot spot" on my arm.
Age: 0.78
Sex: M
Vaccine: FLU3
Symptoms: Death
Clinical narrative: Baby died at home DOA at hosp.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Dyskinesia, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Client became unresponsive, had stiffening of head, neck and body with some jerking movements, lasted approx 15-30 seconds.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient's spouse noted red raised bumps on patient's torso this morning when he got up.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: After receiving a flu shot into my left arm, the next morning I was unable to move my arm without experiencing excruciating pain. This chronic pain lasted for two months. At three months I have not regained full motion of my left arm. I treated the pain with Ibuprofen.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, PPV, RVX
Symptoms: Crying, Decreased eye contact, Lethargy, Pyrexia
Clinical narrative: High temperature above 103, constant crying, lethargic, lack of eye contact. Told by on call nurse to give infant Tylenol and if temperature did not come down with in one hour take to ER.  Temperature did decrease.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Fatigue, Musculoskeletal pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: Generalized myalgias and fatigue for 2 days. Right shoulder swelling, bruising and pain with persistent tenderness along collar bone and stiffness of shoulder. Not quite back to normal yet.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: Generalized myalgias and fatigue for 2 days. Right shoulder swelling, bruising and pain with persistent tenderness along collar bone and stiffness of shoulder. Not quite back to normal yet.
Age: 0.82
Sex: M
Vaccine: DTP, HBHEPB, IPV, UNK
Symptoms: Crying, Decreased activity, Decreased appetite, Dyskinesia, Gait disturbance
Clinical narrative: Fever over 105, Jerking, vomiting, intermediate crying, stop walking, less active, and not eating. Used Ibuprofen oral suspension for these incidents which lower his temperature. He slowly developed a rash under his skin, through out his head, neck, stomach, and back. The rash has covered those areas but hasn't turned into boils. We have tried to use cortisone and aquaphor but has not seen any changed in the past 4 days.
Age: 0.82
Sex: M
Vaccine: DTP, HBHEPB, IPV, UNK
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Fever over 105, Jerking, vomiting, intermediate crying, stop walking, less active, and not eating. Used Ibuprofen oral suspension for these incidents which lower his temperature. He slowly developed a rash under his skin, through out his head, neck, stomach, and back. The rash has covered those areas but hasn't turned into boils. We have tried to use cortisone and aquaphor but has not seen any changed in the past 4 days.
Age: 29.0
Sex: F
Vaccine: HEPA
Symptoms: Blood test, Computerised tomogram, Dizziness, Headache, Nausea
Clinical narrative: Headache, Dizziness, Nausea.
Age: 29.0
Sex: F
Vaccine: HEPA
Symptoms: X-ray
Clinical narrative: Headache, Dizziness, Nausea.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Joint injection, Pruritus, Tenderness
Clinical narrative: Itch, redness at injection site, tenderness to touch.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HEPA
Symptoms: Chest X-ray, Febrile convulsion, Full blood count, Metabolic function test, Pain in extremity
Clinical narrative: Pt received vaccines around 11AM. Had febrile seizure around 9 pm. Transported by ambulance to local hospital. Temp 103.3 Had rec'd MOTRIN earlier in evening for leg pain & low grade temp approximately 100.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HEPA
Symptoms: Pyrexia
Clinical narrative: Pt received vaccines around 11AM. Had febrile seizure around 9 pm. Transported by ambulance to local hospital. Temp 103.3 Had rec'd MOTRIN earlier in evening for leg pain & low grade temp approximately 100.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Intense pain at time of shot, shooting pain down to elbow. Could not move arm for months (due to extreme pain). Pain eventually/slowly subsided. Immunization given in extreme upper deltoid per pt.
Age: 26.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Pruritus, Urticaria
Clinical narrative: 'Hives on face, legs & chest. Severe itching in stated areas along with the site where the shot was taken was red & the size of a quarter.
Age: 60.0
Sex: M
Vaccine: PNC13
Symptoms: Feeling hot, Injection site joint pain, Injection site warmth, Mood altered, Myalgia
Clinical narrative: The severe pain on the shot location (left shoulder) gradually spread to the middle arm muscle in the evening. The pain locations were hot and lasted more than 3 days.  The first day after the shot was in gloomy mood.
Age: 1.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria within 24 hours of administration, without other exposure. Went to ER, given hydroxyzine Rx. Took BENADRY at home. Give prednisolone by PCP on day #3.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Rhabdomyolysis
Clinical narrative: Information has been received from a nurse concerning a male patient in his 60's who about 6-7 years ago, approximately in 2005 was vaccinated with a dose of PNEUMOVAX 23 (dose, route and lot number not reported). Concomitant medication included unspecified statins and a few other unspecified products. The nurse reported that a patient was in the intensive care unit (ICU) for something unrelated and was administered PNEUMOVAX 23. Within 60 days, the patient developed rhabdomyolysis. The therapy with PNEUMOVAX 23 was not reintroduced. The patient sought unspecified medical attention. On an unknown date, the patient fully recovered from rhabdomyolysis. Upon internal review, rhabdomyolysis was determined to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: TDAP
Symptoms: Laboratory test normal, Tongue disorder, Trismus
Clinical narrative: Initial report received from a health care professional on 13 March 2012. A male patient (age not reported) received an injection  (route and site not reported) of ADACEL, sanofi pasteur Ltd. lot number C3990 and sanofi pasteur Inc. lot number U4137BA, on an unknown date. The patient's medical history and concomitant medications were not reported. Three days after receiving ADACEL by his health care professional, the patient came to the hospital having trismus. He reported having 20 episodes and his tongue was "completely macerated". The patient's laboratory testing that was done was reported as "mostly within normal limits". No other information was provided at this time. The outcome was reported as not recovered. Documents held by sender: None.
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: Initial report was received on 15 March 2012 from another manufacturer national service center (service request number 1-4929446717), who received the report from a health care professional. A female patient with allergies to codeine and ammonia inhalant had received "years ago" a "flu vaccine" (manufacturer, lot number, route and site of administration were not reported) on an unspecified date and an unspecified amount of time later developed a severe anaphylactic reaction. No further information was available at the time of report. The patient's outcome was not reported. Documents held by sender: none.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Laboratory test abnormal, Pertussis
Clinical narrative: Initial report received from a consumer's parent on 16 March 2012. This reporter also reported another adverse event, which was captured in case number 2012-03015. A 3-year-old female child received an injection of DTaP (manufacturer, lot number site and route not reported) on an unknown date. The patient's medical history not reported. On an unknown date, the patient was diagnosed with pertussis. She had been up to date on vaccinations. The diagnosis was based on an unspecified laboratory specimen. The outcome was reported as recovered. Documents held by sender: None.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: First chills/shaking, then fever that lasted about 14 hours and peaked at 103 degrees.
Age: 40.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Erythema, Lymph node pain
Clinical narrative: Pt reports that on the R side of his "neck and jaw lymph nodes are painful and red".  Denies fever and denies any redness or pain at the actual injection site on the r arm/deltoid. Advised pt. to be evaluated by his personal physician to determine cause/ poss need for treatment.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying
Clinical narrative: Inconsolable crying for 5-6 hours after administration.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Nausea, headache, dizziness, fatigue, vomiting.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Starting about 20 hours after vaccine area of warmth and redness was noted centered around the site of one of the vaccines that was given on the right arm.  I evaluated her on 3/22/2012 around 8:30 pm and noted an area 11cm x 13 cm deeply erythematous plaque that was warm to the touch centered around what appeared to be a vaccine site.  No drainage/pus.  No fevers.  No pain.  Well appearing overall with stable vital signs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site, Right Deltoid where DTaP was given. Treated with ice and Motrin.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Swelling face, Vomiting
Clinical narrative: Information gathered from ER report. Pt. c/o headache, facial swelling and vomiting X1.
Age: 21.0
Sex: F
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Body temperature increased, Burning sensation, Erythema, Fatigue, Feeling hot
Clinical narrative: Red and burning after shower tod, Red 2" x 1.5" (hot), highest temperature 101F, complaint of being fatigued.
Age: 53.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Fever 103 for 1 day.
Sex: M
Vaccine: FLU3
Symptoms: Pharyngeal oedema
Clinical narrative: Initial report was received from a health care professional on 19 March 2012. A male patient (age and date of birth not reported) had received a intramuscular injection of FLUZONE, lot number UH487AC on an unknown date and an unspecified amount of time later experienced "throat swelling." No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: None.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Dyspnoea, Urticaria, Wheezing
Clinical narrative: Patient broke out in hives, had some shortness of breath, wheezing. Patient given steroid, BENADRYL and Neb.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chest X-ray normal, Insomnia, Joint range of motion decreased, Limb discomfort
Clinical narrative: On 10-03-11, I was given a FLUARIX  -36+ month - PF latex - flu shot within a week, I began having discomfort and stiffness in my arm and shoulder. Prior to the flu shot I had no injuries, issues or problems with my left arm. As it got worse, on 11-28-11, I went to the doctor regarding the increased pain in my arm and shoulder. The constant throbbing and the pain limited my abilities to use my arm and was getting only about 2 hours of sleep a night due to this situation. On 12-14-11, I again returned to the doctor as the pain was increasing even more and my range of motion was very limited at that point. It was difficult to dress or do anything that required use of my left arm. On 1-12-12, I again returned to the doctor as the pain had increased to unbearable. He ask that the following tests be done and they were that day. Chest x-ray and shoulder x-ray. They showed no problems. On 1-20-12, a MRI was done with no contrast. All the above tests showed no signs of rotator cuff tear or injury. On 1-25-12, I was seen at orthopedics and given a cortisone injection and arm exercises to try to increase my range of motion. Because I had no prior issues or injury to my left arm before the flu shot, I began and extensive internet research regarding side effects to the flu shot. I was stunned at the information I found and the problems I've encountered are ?not? uncommon. The flu shot is so recommended by doctors, pharmacies, insurance companies and media, but no where were there any warnings about possible side affects! I truly believe all the problems I've had with my left arm - the pain, suffering, loss of motion etc. was ?all caused by the flu shot? I received. Currently my out of pocket expenses total $532.00. This includes doctor visits, x-rays, MRI and medicines, not to include the pain and suffering - and not knowing that the pain will ever truly go away and/or that I'll have full use and range of motion in that arm. At a minimum, I should be reimbursed for ?all of pocket expenses? due to this fiasco. If I or others would have been provided the possible side affects - this could have been avoided as I would have never agreed to have the shot in the first place.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal discomfort, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Pain, Pain in extremity
Clinical narrative: On 10-03-11, I was given a FLUARIX  -36+ month - PF latex - flu shot within a week, I began having discomfort and stiffness in my arm and shoulder. Prior to the flu shot I had no injuries, issues or problems with my left arm. As it got worse, on 11-28-11, I went to the doctor regarding the increased pain in my arm and shoulder. The constant throbbing and the pain limited my abilities to use my arm and was getting only about 2 hours of sleep a night due to this situation. On 12-14-11, I again returned to the doctor as the pain was increasing even more and my range of motion was very limited at that point. It was difficult to dress or do anything that required use of my left arm. On 1-12-12, I again returned to the doctor as the pain had increased to unbearable. He ask that the following tests be done and they were that day. Chest x-ray and shoulder x-ray. They showed no problems. On 1-20-12, a MRI was done with no contrast. All the above tests showed no signs of rotator cuff tear or injury. On 1-25-12, I was seen at orthopedics and given a cortisone injection and arm exercises to try to increase my range of motion. Because I had no prior issues or injury to my left arm before the flu shot, I began and extensive internet research regarding side effects to the flu shot. I was stunned at the information I found and the problems I've encountered are ?not? uncommon. The flu shot is so recommended by doctors, pharmacies, insurance companies and media, but no where were there any warnings about possible side affects! I truly believe all the problems I've had with my left arm - the pain, suffering, loss of motion etc. was ?all caused by the flu shot? I received. Currently my out of pocket expenses total $532.00. This includes doctor visits, x-rays, MRI and medicines, not to include the pain and suffering - and not knowing that the pain will ever truly go away and/or that I'll have full use and range of motion in that arm. At a minimum, I should be reimbursed for ?all of pocket expenses? due to this fiasco. If I or others would have been provided the possible side affects - this could have been avoided as I would have never agreed to have the shot in the first place.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray limb normal
Clinical narrative: On 10-03-11, I was given a FLUARIX  -36+ month - PF latex - flu shot within a week, I began having discomfort and stiffness in my arm and shoulder. Prior to the flu shot I had no injuries, issues or problems with my left arm. As it got worse, on 11-28-11, I went to the doctor regarding the increased pain in my arm and shoulder. The constant throbbing and the pain limited my abilities to use my arm and was getting only about 2 hours of sleep a night due to this situation. On 12-14-11, I again returned to the doctor as the pain was increasing even more and my range of motion was very limited at that point. It was difficult to dress or do anything that required use of my left arm. On 1-12-12, I again returned to the doctor as the pain had increased to unbearable. He ask that the following tests be done and they were that day. Chest x-ray and shoulder x-ray. They showed no problems. On 1-20-12, a MRI was done with no contrast. All the above tests showed no signs of rotator cuff tear or injury. On 1-25-12, I was seen at orthopedics and given a cortisone injection and arm exercises to try to increase my range of motion. Because I had no prior issues or injury to my left arm before the flu shot, I began and extensive internet research regarding side effects to the flu shot. I was stunned at the information I found and the problems I've encountered are ?not? uncommon. The flu shot is so recommended by doctors, pharmacies, insurance companies and media, but no where were there any warnings about possible side affects! I truly believe all the problems I've had with my left arm - the pain, suffering, loss of motion etc. was ?all caused by the flu shot? I received. Currently my out of pocket expenses total $532.00. This includes doctor visits, x-rays, MRI and medicines, not to include the pain and suffering - and not knowing that the pain will ever truly go away and/or that I'll have full use and range of motion in that arm. At a minimum, I should be reimbursed for ?all of pocket expenses? due to this fiasco. If I or others would have been provided the possible side affects - this could have been avoided as I would have never agreed to have the shot in the first place.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Borrelia test negative, Dizziness, Ehrlichia test, Feeling abnormal
Clinical narrative: It is believed that after FLUZONE this person developed severe joint and muscle discomfort dizzy, symptoms of Lyme, Lyme has been ruled out, via testing, also had symptoms of facial pressure and numbness, feels like she is listing to the right. Unable to work due to symptoms.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Hypoaesthesia, Laboratory test normal, Musculoskeletal discomfort, Parasitic blood test negative
Clinical narrative: It is believed that after FLUZONE this person developed severe joint and muscle discomfort dizzy, symptoms of Lyme, Lyme has been ruled out, via testing, also had symptoms of facial pressure and numbness, feels like she is listing to the right. Unable to work due to symptoms.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate normal, Rhesus antibodies negative, Sensation of pressure
Clinical narrative: It is believed that after FLUZONE this person developed severe joint and muscle discomfort dizzy, symptoms of Lyme, Lyme has been ruled out, via testing, also had symptoms of facial pressure and numbness, feels like she is listing to the right. Unable to work due to symptoms.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: 3/27/12 I received a call from clients parent stating that her daughter had had a possible reaction to TDAP vaccine. Vomiting, fever, pain/swelling. Parent advised to have her daughter seek medical attention and apply ice to the area. See attached note (please). I received a call at 11am from parent of patient. She went into an explanation of the reaction that her daughter experienced yesterday evening receiving the TDAP vaccine 11am on 3/26/2012. Vomiting, fever, pain/swelling at the site of the injection. I advised parent that she should seek medical attention for her daughter as soon as possible, also apply ice packs to affected area.
Age: 0.16
Sex: F
Vaccine: DTAPH, IPV, RVX
Symptoms: Pyrexia
Clinical narrative: Fever that lasted for 2 days, no other symptoms.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Eye irritation, Ocular hyperaemia, Wheezing
Clinical narrative: Hoarsenes, red and irritated eyes, and wheezing.
Age: 13.0
Sex: M
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Blister, Feeling hot, Induration, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site. Also a small swelling centrally.
Age: 13.0
Sex: M
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Swelling
Clinical narrative: Redness and swelling at injection site. Also a small swelling centrally.
Age: 8.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: On a date in 2012 an expired dose of INFLUENZA, 0.2 cc of MedImmune/Lot Number YK 2015, was nasally administered to an eight year old child. The vaccine lot expired at midnight on a day before, 2012. The vaccine was provided at a public health department during a walk-in clinic. The public health nurse responsible for the medication error mistakenly selected an expired vaccine which had been set aside in the immunization refrigerator. At the time, the expired MedImmune vaccine (two boxes) was banned together by the immunization nurse-coordinator and isolated from the active seasonal INFLUENZA vaccines. In addition, no other lot of non-expired MedImmune vaccine was available and the parent specifically requested MedImmune to avoid the injectable route of administration. The selection of an expired medication is the medication error. In the future, expired vaccine will more clearly be identified and removed from the general vicinity of non-expired vaccines. Current refrigeration storage of vaccine make these improvements possible. In addition, the public health nursing staff will received reminder training on checking all vaccine lot expiration date before administration of immunization, which is standard operating procedure established in the department's policy and procedure manual. The Division of Public Health Immunization consultant and the local public health department medical advisor were consulted regarding the medication error. The invalid dose of MedImmune has been documented in the Immunization Registry. The parent was contacted by the Health Officer regarding the medication error and the recommendation to re-vaccinated the child in 30 days (as MedImmune is a live-virus vaccine). The health department administrator will contact the parent (about a month after) regarding the revaccination.
Sex: U
Vaccine: TTOX
Symptoms: Incorrect route of drug administration
Clinical narrative: Gave two patients tetanus toxoid intradermal 0.5ml instead of tuberculin 0.1ml.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local swelling
Clinical narrative: Pt mom states pt developed a localized area of swelling and redness that was still present when pt was brought in for evaluation on 03/22/2012.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Activities of daily living impaired, Borrelia test negative, CSF pressure increased, CSF white blood cell count negative, Erythema
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Full blood count normal, Fundoscopy normal, Headache, Induration, Intracranial pressure increased
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Laboratory test normal, Local reaction, Lumbar puncture abnormal, Nuclear magnetic resonance imaging normal, Pain
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Red blood cells CSF positive, Venogram normal
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Activities of daily living impaired, Blood test, Borrelia test negative, CSF pressure increased, Headache
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Intensive care, Intracranial pressure increased
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Lumbar puncture abnormal, Mass, Nuclear magnetic resonance imaging, Serology negative
Clinical narrative: 1. local reaction 5 inches erythema and induration/pain lasted 2 weeks despite clindamycin and Benadryl 2. severe headache with school absence since immunization > 2 months, hospitalized 2/5-2/9 and 3/27/12. increased intracranial pressure
Age: 34.0
Sex: F
Vaccine: HEPA
Symptoms: Rash, Rash pruritic
Clinical narrative: Fine pruritic rash on all extremities and trunk.
Sex: U
Vaccine: RVX
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: First Rotavirus/ RVS vaccine was ordered for patient at age of four months and was given. No adverse effect noted to patient.
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Dtap (DAPTACEL) instead of Tdap (ADACEL). Patient is 17 yo female. Mix up was in verbal order to medical assistant from nurse practitioner in what vaccine to give. Paper chart order was correct. Patient and parent told of error in vaccine given. In future NP and medical assistant will communicate better verbally and by checking charts before giving vaccines.
Sex: U
Vaccine: UNK
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Child was given vaccine diluent without the addition of the dry powder medication component. The practitioner mistakenly forgot to mix the drug and diluent prior to administration. The error was noted and the child was subsequently vaccinated with the correct mixture.
Sex: U
Vaccine: HIBV, PPV
Symptoms: Incorrect drug dosage form administered, No adverse event
Clinical narrative: Patient came to the health department with a prescription from her physician requesting Pneumonia, HIBA, and MENEMUNE. Nurse made and error by not mixing in diluent for HIBA. Inventory person noticed extra diluent in the refrigerator the next morning. Inventory person notified the nurse. Nurse contacted patient with information about medication error. Patient will return to the health department to receive the correct HIBA vaccine. Products Used. Pneumonia. PNEUMOVAX 23. Pneumococcal Polyvalent Vaccine. 0.5ml. Merck HIBA. ACTHIB. Haemophilus b Conjugate Vaccine. 0.5ml. Sanofi Pasteur MENEMUNE 0.5 cc. Patient denies any adverse reaction. Patient has an appointment X/XX/2012 with physician for follow up. Patient states she will notify her physician and will come to the health department as soon as she is able for vaccine. Outcome: Patient will return to the health department to receive the correct HIBA vaccine. Patient denies any adverse reaction. Patient has an appointment X/XX/2012 with physician for follow up. Patient states she will notify her physician and will come to the health department as soon as she is able for vaccine.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Patient returned to the office approx. 15 minutes after getting Hepatitis A vaccine presenting with hives. 1 tsp of BENADRYL was given. Hives faded within 10 minutes.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation, Cardiac enzymes, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Irregular fast heart beat with burning sensation in the chest with some shortness of breath. Went to ER and was given Cardizem IV and later admitted to the hospital with Telemetry on. Converted to Sinus Rhythm the next evening. Was started on Cardizem 180mg a day, since Cardizem is the med that converted the Atrial Fibrillation.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Heart rate irregular, Laboratory test
Clinical narrative: Irregular fast heart beat with burning sensation in the chest with some shortness of breath. Went to ER and was given Cardizem IV and later admitted to the hospital with Telemetry on. Converted to Sinus Rhythm the next evening. Was started on Cardizem 180mg a day, since Cardizem is the med that converted the Atrial Fibrillation.
Sex: F
Vaccine: HEP, HEPA
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Instructed to give what nurse thought was Hepatitis A, however, physician apparently stated Hepatitis B, to be administered to patient. Thus, Hepatitis A was given instead of Hepatitis B. Patient female was given 0.5mL HAVRIX Lot #AHAVB492ca eXP: 09/09/13 left thigh IM without incidence. Family Practice Office.
Sex: U
Vaccine: HEP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Student Medical Assistant administered a child Hep B Vaccine to an adult. The adult will return to clinic and restart the Hep B series in 30 days.
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Anxiety, Dyspnoea, Tetany
Clinical narrative: County Department of Health, Tdap manufactured by sanofi pasteur, 0.5 ml was given in the right deltoid intramuscularly. The vaccine is named ADACEL. The vaccine was given on X/XX/2012. The lot number is U4137AA. INFLUENZA manufactured by Sanofi Pasteur, 0.5 ml was given in the left deltoid intramuscularly. The vaccine is named FLUZONE. The vaccine was X/XX/2012 (same day). The lot number is UH471AA. The patient called X/XX/2012 (2 days later) to report she had muscle tetany with anxiety that affected her breathing after receiving the vaccines listed above and went to the hospital emergency room on X/XX/2012 (the day before). There she was instructed on how to slow down her breathing and given ATIVAN to take in the emergency room and some to take at home. The patient reported she was continuing to have the symptom listed above although not as severe. The RN advised the patient to call her primary care doctor or call emergency room. The patient reported she has no primary care doctor and the emergency room offered no assistance. The RN gave the patient names of local clinic and also suggested the Urgent Care Clinics or back to emergency room at local hospital. The patient had no previous history of adverse reactions to vaccines in the past. She exhibited none of the symptoms she described while in the clinic. The patient was given the Vaccine Information Sheets for both vaccines on X/XX/2012.
Age: 62.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain, Pain
Clinical narrative: Pain at injection site left upper arm noted the evening of 3/27/12. Pain with lifting arm up.
Age: 1.27
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Cyanosis, Hypersensitivity, Oedema peripheral, Rash, Urticaria
Clinical narrative: Hives/bumps, swelling of hands and feet, tips of fingers and toes purplish. Mom treated with BENADRYL. Dr. treated patient with prednisone.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abdominal pain
Clinical narrative: Imms on 3/23/12. Abd. pain 3/24/12 --> ER before midnight (discharge ZOFRAN). 3/25/12 --> ER at midnight/admit 4 AM 3/26/12 IV fluids/PEPCID/Morphine. See attached admit & discharge summary.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash, Urticaria
Clinical narrative: Rash/hives appeared 12-24 hrs after vaccination. Treated with antihistamines.
Age: 36.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: Erythemic, hot zone around injection sites. Also pain and fever. Fever seems abated for now. The zone is 11 cm x 9 cm x mild elevation. It is not fluctulent. Placed on KEFLEX and MOTRIN. Has follow-up.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt c/o arm pain, redness & swelling at site of ZOSTAVAX injection. Pain at time of injection. Redness started 24 hrs later. 10x10 area of redness, warmth, & induration lateral Rt upper arm.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cyanosis, Dyspnoea
Clinical narrative: This report from claims services (initial receipt 23-FEB-2011) concerns a 14 year old female patient who visited her physician's office for evaluation of an unspecified illness on 21-FEB-2011. On 21-FEB-2011, the patient received AFLURIA and PNEUMOVAX. Within minutes, the patient's face became purple and she had difficulty breathing. The patient has had a flu vaccines in the past but the reporter believed that this was the patient's first dose of PNEUMOVAX. The event outcome was unknown. Case correction (26-Mar-2012): case upgraded to serious.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Erythema, Irritability, Joint swelling, Oedema peripheral, Urticaria
Clinical narrative: 24-48 hrs after injection swelling & erythema (R) hand & both elbows. Wheals & urticaria. Fussiness about 24-48 hrs after injection.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Rash, Swelling
Clinical narrative: Patient develop a rash, has the area near injection site swollen, he can barely lift his right arm. We recommended cold compress, analgesics, antiinflammatory products and antihistamines.
Age: 39.0
Sex: F
Vaccine: DT
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Myalgia, joint pain, pain 6-8/10 all over.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Bedridden, Bronchoscopy abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head normal, Dysphagia
Clinical narrative: Patient is a 59 yrs old male with no significant PMH who initially presented to the ER with two days of progressive numbness and tingling which started in his hands and spread to his legs and then unable to get out of bed due to weakness of extremities. Patient was admitted to the hospital. His CT of head was negative. He was seen by neurology and LP studies showed evidence of Guillain-Barre Syndrome. He was started on IVIG. His EMG and nerve conduction was consistent with axonal varient GBS which has poor prognosis. During the hospitalization, he continued to have progressive weakness including his swallowing and respiratory status. He went into respiratory failure with COPD retention and was transferred to ICU. He was intubated. He was started for antibiotics for possible aspiration pneumonia vs hospital-acquired pneumonia. He had bronchoscopy with thick secretions. He had tracheostomy placement on 3/19/12. 3/24: Continues with vent and nebs. Completed all antibiotics. 3/25: Passed swallow evaluation and started on puree diet with nectar thick liquids. 3/26 failed repeat swallow evaluation, NPO. Resumed on tube feeds was placed on TC. 3/27 overnight, placed back on ventilator. States he couldn't breathe. Doing OK. No complaints. Placed on TC this morning.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Dyspnoea, Electromyogram abnormal, Endotracheal intubation, Gastrointestinal tube insertion, Guillain-Barre syndrome
Clinical narrative: Patient is a 59 yrs old male with no significant PMH who initially presented to the ER with two days of progressive numbness and tingling which started in his hands and spread to his legs and then unable to get out of bed due to weakness of extremities. Patient was admitted to the hospital. His CT of head was negative. He was seen by neurology and LP studies showed evidence of Guillain-Barre Syndrome. He was started on IVIG. His EMG and nerve conduction was consistent with axonal varient GBS which has poor prognosis. During the hospitalization, he continued to have progressive weakness including his swallowing and respiratory status. He went into respiratory failure with COPD retention and was transferred to ICU. He was intubated. He was started for antibiotics for possible aspiration pneumonia vs hospital-acquired pneumonia. He had bronchoscopy with thick secretions. He had tracheostomy placement on 3/19/12. 3/24: Continues with vent and nebs. Completed all antibiotics. 3/25: Passed swallow evaluation and started on puree diet with nectar thick liquids. 3/26 failed repeat swallow evaluation, NPO. Resumed on tube feeds was placed on TC. 3/27 overnight, placed back on ventilator. States he couldn't breathe. Doing OK. No complaints. Placed on TC this morning.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Increased bronchial secretion, Intensive care, Lumbar puncture abnormal
Clinical narrative: Patient is a 59 yrs old male with no significant PMH who initially presented to the ER with two days of progressive numbness and tingling which started in his hands and spread to his legs and then unable to get out of bed due to weakness of extremities. Patient was admitted to the hospital. His CT of head was negative. He was seen by neurology and LP studies showed evidence of Guillain-Barre Syndrome. He was started on IVIG. His EMG and nerve conduction was consistent with axonal varient GBS which has poor prognosis. During the hospitalization, he continued to have progressive weakness including his swallowing and respiratory status. He went into respiratory failure with COPD retention and was transferred to ICU. He was intubated. He was started for antibiotics for possible aspiration pneumonia vs hospital-acquired pneumonia. He had bronchoscopy with thick secretions. He had tracheostomy placement on 3/19/12. 3/24: Continues with vent and nebs. Completed all antibiotics. 3/25: Passed swallow evaluation and started on puree diet with nectar thick liquids. 3/26 failed repeat swallow evaluation, NPO. Resumed on tube feeds was placed on TC. 3/27 overnight, placed back on ventilator. States he couldn't breathe. Doing OK. No complaints. Placed on TC this morning.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Mechanical ventilation, Muscular weakness, Nerve conduction studies abnormal, Neurological examination abnormal, Paraesthesia
Clinical narrative: Patient is a 59 yrs old male with no significant PMH who initially presented to the ER with two days of progressive numbness and tingling which started in his hands and spread to his legs and then unable to get out of bed due to weakness of extremities. Patient was admitted to the hospital. His CT of head was negative. He was seen by neurology and LP studies showed evidence of Guillain-Barre Syndrome. He was started on IVIG. His EMG and nerve conduction was consistent with axonal varient GBS which has poor prognosis. During the hospitalization, he continued to have progressive weakness including his swallowing and respiratory status. He went into respiratory failure with COPD retention and was transferred to ICU. He was intubated. He was started for antibiotics for possible aspiration pneumonia vs hospital-acquired pneumonia. He had bronchoscopy with thick secretions. He had tracheostomy placement on 3/19/12. 3/24: Continues with vent and nebs. Completed all antibiotics. 3/25: Passed swallow evaluation and started on puree diet with nectar thick liquids. 3/26 failed repeat swallow evaluation, NPO. Resumed on tube feeds was placed on TC. 3/27 overnight, placed back on ventilator. States he couldn't breathe. Doing OK. No complaints. Placed on TC this morning.