chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.9
Sex: F
Vaccine: FLU3, MMR
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Immediately after administering, Pt developed hives - no other s/s. Doctor ordered BENADRYL and save Rx for BENADRYL
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: 2-5-09 mother reports fever 102 degrees -onset evening after immunizations. 3" redness at site of PENTACEL (L) upper thigh- warm to touch.
Age: 1.4
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Irritability, Rash
Clinical narrative: Left thigh- 1/2 dollar sized red rash. Not hot to touch. Child fussy-more than with other shots. Giving TYLENOL and MOTRIN.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: 8x8 cm red, warm to touch. Local reaction at site of injection.
Age: 15.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Herpes zoster
Clinical narrative: Zoster (shingles) developed # days after vaccine administration.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: Administered FLUMIST with expiration date 2/3/09 on 2/12/09. No apparent adverse event.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: Administered FLUMIST with expiration date of 2/3/09 on 2/12/09. No apparent adverse event.
Age: 1.3
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated
Age: 1.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Rash generalised
Clinical narrative: Rash on chest, back, face, scalp, arms - few on legs
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Chest pain, Eye swelling, Lip swelling, Malaise
Clinical narrative: Mother reported within 7 minutes of receiving VARIVAX vaccine patient c/o hurting in chest and throat area and felt sick to his stomach. No shortness of breath. Lips slightly swollen, splotchiness on face, neck and chest. Eyes swollen. BENADRYL and TYLENOL were given. All symptoms subsided except eyes were still swollen until 2-5-09 mid morning. Mother reports that child vomited in office parking lot once after 4 year shots were administered 1-11-08. He received DTap; IPV; MMR and Hep A.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Oedema, Oropharyngeal pain, Vomiting
Clinical narrative: Mother reported within 7 minutes of receiving VARIVAX vaccine patient c/o hurting in chest and throat area and felt sick to his stomach. No shortness of breath. Lips slightly swollen, splotchiness on face, neck and chest. Eyes swollen. BENADRYL and TYLENOL were given. All symptoms subsided except eyes were still swollen until 2-5-09 mid morning. Mother reports that child vomited in office parking lot once after 4 year shots were administered 1-11-08. He received DTap; IPV; MMR and Hep A.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Headache, Pallor, Pyrexia, Urticaria
Clinical narrative: ENGERIX B #2 administered at 11 am on 2/9/09 at noon cheeks became red and flushed then pale, severe headache.. Premedicated at 7am with TYLENOL x 5 x2. Left work at 1:30pm that evening had hives on arms, front legs and chest. Headache continued on and off till 2/12/09. On 2/9/09 in evening at temperature 101 degree F.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Urticaria, Vomiting
Clinical narrative: Had emesis and upset stomach with 15m of VARIVAX, resolved within, 5-10m in office developed hives after vaccine
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Diarrhoea haemorrhagic, Intestinal obstruction, Intussusception, Surgery
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 3 month old female who on 24-OCT-2008 was vaccinated with the second dose of ROTATEQ given by mouth and the second dose of PEDVAXHIB (lot no. 657702/0818U) IM into the right leg. Concomitant therapy included the second dose of PREVNAR (lot no. C27701) IM into the left leg and the second dose of INFANRIX (lot no. AC21B192AA) IM into the right leg. On 26-OCT-2008 the patient experienced bloody diarrhoea. The patient had an intestinal exploratory surgery for Bowel obstruction and intussusception. The listing indicated that the events required hospitalization and were considered to be immediately life-threatening. A standard lot check investigation was performed for lot 657702/0818U. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. The original reporting source was not provided. The VAERS ID # is 335616. No further information is available.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antibody test abnormal, Antinuclear antibody increased, Arthralgia, Convulsion, Diarrhoea
Clinical narrative: Two weeks following the administration of Merck's GARDASIL vaccine, my sister has been diagnosed with Lupus. She has been in and out of the PCPs office for 2 weeks with 2 ER visits for vague neurological symptoms, seizures, coughing up blood, joint pain, diarrhea, fatigue, n/v, inability to concentrate, migraines, etc, etc. After multiple test, the diagnosis of Lupus was been made 2nd to an elevated ANA level and multiple antibody elevations. All symptoms and lab findings occurred following the administration of the vaccine. Her GYN, which administered the vaccine, is contacting Merck for he feels it is related to this vaccine; as do we.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haemoptysis, Headache, Hypoaesthesia, Lymphocyte count increased, Nausea
Clinical narrative: Two weeks following the administration of Merck's GARDASIL vaccine, my sister has been diagnosed with Lupus. She has been in and out of the PCPs office for 2 weeks with 2 ER visits for vague neurological symptoms, seizures, coughing up blood, joint pain, diarrhea, fatigue, n/v, inability to concentrate, migraines, etc, etc. After multiple test, the diagnosis of Lupus was been made 2nd to an elevated ANA level and multiple antibody elevations. All symptoms and lab findings occurred following the administration of the vaccine. Her GYN, which administered the vaccine, is contacting Merck for he feels it is related to this vaccine; as do we.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Paraesthesia, Systemic lupus erythematosus, Vomiting
Clinical narrative: Two weeks following the administration of Merck's GARDASIL vaccine, my sister has been diagnosed with Lupus. She has been in and out of the PCPs office for 2 weeks with 2 ER visits for vague neurological symptoms, seizures, coughing up blood, joint pain, diarrhea, fatigue, n/v, inability to concentrate, migraines, etc, etc. After multiple test, the diagnosis of Lupus was been made 2nd to an elevated ANA level and multiple antibody elevations. All symptoms and lab findings occurred following the administration of the vaccine. Her GYN, which administered the vaccine, is contacting Merck for he feels it is related to this vaccine; as do we.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Disturbance in attention, Fatigue, Haemoptysis, Lymphocyte count increased, Migraine
Clinical narrative: Two weeks following the administration of Merck's GARDASIL vaccine, my sister has been diagnosed with Lupus. She has been in and out of the PCPs office for 2 weeks with 2 ER visits for vague neurological symptoms, seizures, coughing up blood, joint pain, diarrhea, fatigue, n/v, inability to concentrate, migraines, etc, etc. After multiple test, the diagnosis of Lupus was been made 2nd to an elevated ANA level and multiple antibody elevations. All symptoms and lab findings occurred following the administration of the vaccine. Her GYN, which administered the vaccine, is contacting Merck for he feels it is related to this vaccine; as do we.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Neurological symptom, Systemic lupus erythematosus, Vomiting
Clinical narrative: Two weeks following the administration of Merck's GARDASIL vaccine, my sister has been diagnosed with Lupus. She has been in and out of the PCPs office for 2 weeks with 2 ER visits for vague neurological symptoms, seizures, coughing up blood, joint pain, diarrhea, fatigue, n/v, inability to concentrate, migraines, etc, etc. After multiple test, the diagnosis of Lupus was been made 2nd to an elevated ANA level and multiple antibody elevations. All symptoms and lab findings occurred following the administration of the vaccine. Her GYN, which administered the vaccine, is contacting Merck for he feels it is related to this vaccine; as do we.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Urticaria
Clinical narrative: Patient reports she got shingles from the vaccination  (L) upper thigh near groin area. She saw her MD who confirmed it and treated her. Hives extended to (L) knee. VALTREX then Gabapentin 100 mg 3@ hs and in AM LIDODERM patches 50mg adhesive, uses 2 patches Hydro/AP5 50mg pm
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Lacrimation increased, Rash
Clinical narrative: Patient developed rash on neck, face on 2/9. Also had some shortness of breath and "watery eyes" on 2/8. Rash on inner arms, back, chest,  per nurse. Took BENADRYL 50mg with minimal improvement.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Carcinoma in situ, Cervical dysplasia, Colposcopy abnormal, Smear cervix abnormal, Uterine dilation and curettage
Clinical narrative: Information has been received from a physician concerning a 24 year old patient with a history of papanicolaou smear abnormal who on 20-FEB-2007 was vaccinated with the first dose of GARDASIL (lot no. 656049/0187U), second dose of GARDASIL (lot no. 657621/0387U) was given on 20-APR-2007 and third dose on 20-AUG-2007 (lot no not reported). In August 2008 the patient was diagnosed with carcinoma in situ. A colposcopy was performed and result was high grade squamous epithelial lesions. On an unknown date a uterine dilation and curettage was performed. It was also reported that a cervical cone biopsy was made (results not provided). Upon internal review, the patient's carcinoma in situ was considered an other important medical event. The patient's sister had a similar adverse experience following vaccination (WAES 0902USA00938). Additional information has been requested.  2/25/09 GYN records received from 11/2005 to 12/2008.  Seen 2/9/07 for annual exam.  Normal PAP.  HPV vax series started. Returned 8/7/08 for exam. PAP  (+) for mild dysplasia.  Colposcopy 9/2/08.  Cone bx (+) for carcinoma in situ and severe dysplasia.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Allergy test, Antibody test abnormal, Blood immunoglobulin E, Blood immunoglobulin G normal, Blood immunoglobulin M normal
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a healthcare professional regarding a 24-month-old male patient who experienced repeated ear infections and had a serology test that indicated the patient showed immunity only to serotype14, and no immunity to the other serotypes in PREVNAR. At 12 months of age, the patient received the fourth dose on 06-Nov-2007. On an unspecified date, the patient who has a history of ear infections and had tubes inserted prior to 6 months of age, again experienced repeated ear infections drug ineffective with the most current episode on 20-Dec-2008. The pathogen causing the ear infection was not reported. Treatment was not provided. On 22-Nov-2008, the patient was referred to an Allergist who performed a serology test that indicated the patient showed immunity only to serotype14, and no immunity to the other serotypes in PREVNAR (antibody test abnormal). The outcome of the events was unknown. No additional information was available at the time of this report.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Condition aggravated, Drug ineffective, Ear infection, Seroconversion test negative
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a healthcare professional regarding a 24-month-old male patient who experienced repeated ear infections and had a serology test that indicated the patient showed immunity only to serotype14, and no immunity to the other serotypes in PREVNAR. At 12 months of age, the patient received the fourth dose on 06-Nov-2007. On an unspecified date, the patient who has a history of ear infections and had tubes inserted prior to 6 months of age, again experienced repeated ear infections drug ineffective with the most current episode on 20-Dec-2008. The pathogen causing the ear infection was not reported. Treatment was not provided. On 22-Nov-2008, the patient was referred to an Allergist who performed a serology test that indicated the patient showed immunity only to serotype14, and no immunity to the other serotypes in PREVNAR (antibody test abnormal). The outcome of the events was unknown. No additional information was available at the time of this report.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Bacterial culture, Haematology test, Irritability, Laboratory test, Lip swelling
Clinical narrative: 1/14/09 pt received vaccines (Dtap, Fluzone). No allegeries or cold systems noted or reported. 1/15/09 - mother states noted "bumps" under patient's arms and in peri-area. Red rash progressed to hives over entire body and took on purplish hue along with irritability, fever, and increased lip swelling.  Pt was seen 1/19/09 at ED and discharged then called by PMD to take child to Hospital on 1/20/09 where he was hospitalized for 1 day. After discharge, was followed by Dermotologist and awaiting test results which were received by this office 2/12/09.  2/20/09 Derm consult dated 1/22/09 received as f/u for ER visit for 1 wk hx of fever, irritability, tense painful skin and arthralgias. Periorbital edema and lip swelling noted on arrival to ER.  F/u visit with no DX noted. Still with residual blotchy erythema of the legs which is cyclical in nature.   2/27/09 MR received for DOS 1/20-21/2009 with DX:  Serum sickness. Pt presented with widespread erythema, irritability and fever with lip swelling & erythema.  Admitted for w/u for possible Kawasaki's which was r/o.  Severe itching noted. Tx with steroids and antihistamines and d/c for outpt f/u (above).
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Metabolic function test, Pyrexia, Rash erythematous, Rash generalised, Skin discolouration
Clinical narrative: 1/14/09 pt received vaccines (Dtap, Fluzone). No allegeries or cold systems noted or reported. 1/15/09 - mother states noted "bumps" under patient's arms and in peri-area. Red rash progressed to hives over entire body and took on purplish hue along with irritability, fever, and increased lip swelling.  Pt was seen 1/19/09 at ED and discharged then called by PMD to take child to Hospital on 1/20/09 where he was hospitalized for 1 day. After discharge, was followed by Dermotologist and awaiting test results which were received by this office 2/12/09.  2/20/09 Derm consult dated 1/22/09 received as f/u for ER visit for 1 wk hx of fever, irritability, tense painful skin and arthralgias. Periorbital edema and lip swelling noted on arrival to ER.  F/u visit with no DX noted. Still with residual blotchy erythema of the legs which is cyclical in nature.   2/27/09 MR received for DOS 1/20-21/2009 with DX:  Serum sickness. Pt presented with widespread erythema, irritability and fever with lip swelling & erythema.  Admitted for w/u for possible Kawasaki's which was r/o.  Severe itching noted. Tx with steroids and antihistamines and d/c for outpt f/u (above).
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Urine analysis, Urticaria, Virus culture
Clinical narrative: 1/14/09 pt received vaccines (Dtap, Fluzone). No allegeries or cold systems noted or reported. 1/15/09 - mother states noted "bumps" under patient's arms and in peri-area. Red rash progressed to hives over entire body and took on purplish hue along with irritability, fever, and increased lip swelling.  Pt was seen 1/19/09 at ED and discharged then called by PMD to take child to Hospital on 1/20/09 where he was hospitalized for 1 day. After discharge, was followed by Dermotologist and awaiting test results which were received by this office 2/12/09.  2/20/09 Derm consult dated 1/22/09 received as f/u for ER visit for 1 wk hx of fever, irritability, tense painful skin and arthralgias. Periorbital edema and lip swelling noted on arrival to ER.  F/u visit with no DX noted. Still with residual blotchy erythema of the legs which is cyclical in nature.   2/27/09 MR received for DOS 1/20-21/2009 with DX:  Serum sickness. Pt presented with widespread erythema, irritability and fever with lip swelling & erythema.  Admitted for w/u for possible Kawasaki's which was r/o.  Severe itching noted. Tx with steroids and antihistamines and d/c for outpt f/u (above).
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Asthma, Dyspnoea, Fatigue, Injection site erythema
Clinical narrative: Patient was vaccinated on 1/30/09 after falling on the ice. After the vaccine she called complaining of redness and pain at the injection site (rt arm). She was seen on  2/2/09 and 2/3/09 and had moderate erythema, induration, and pain at the injection site (approx 3 inches x 4 inches). She was advised to apply ice and take Ibuprofen for the pain. She did not have any respiratory complaints during these visits.   She reports that she went to the emergency room 2/6/09 and 2/8/09 with acute asthma exacerbation, peak flows initially less than 200 and improved to 350. She states that through the week she had experienced fever, difficulty breathing, wheezing, paleness, weakness and extreme tiredness. She was seen again at our health center on 2/9/09 with peak flows in the 300-350 range. The hospital started her on a course of prednisone and she was using albuterol by nebulizer and Proair inhaler. She was stable on Monday and will return to our health center today for re-evaluation.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Pallor, Peak expiratory flow rate decreased, Pyrexia
Clinical narrative: Patient was vaccinated on 1/30/09 after falling on the ice. After the vaccine she called complaining of redness and pain at the injection site (rt arm). She was seen on  2/2/09 and 2/3/09 and had moderate erythema, induration, and pain at the injection site (approx 3 inches x 4 inches). She was advised to apply ice and take Ibuprofen for the pain. She did not have any respiratory complaints during these visits.   She reports that she went to the emergency room 2/6/09 and 2/8/09 with acute asthma exacerbation, peak flows initially less than 200 and improved to 350. She states that through the week she had experienced fever, difficulty breathing, wheezing, paleness, weakness and extreme tiredness. She was seen again at our health center on 2/9/09 with peak flows in the 300-350 range. The hospital started her on a course of prednisone and she was using albuterol by nebulizer and Proair inhaler. She was stable on Monday and will return to our health center today for re-evaluation.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Wheezing
Clinical narrative: Patient was vaccinated on 1/30/09 after falling on the ice. After the vaccine she called complaining of redness and pain at the injection site (rt arm). She was seen on  2/2/09 and 2/3/09 and had moderate erythema, induration, and pain at the injection site (approx 3 inches x 4 inches). She was advised to apply ice and take Ibuprofen for the pain. She did not have any respiratory complaints during these visits.   She reports that she went to the emergency room 2/6/09 and 2/8/09 with acute asthma exacerbation, peak flows initially less than 200 and improved to 350. She states that through the week she had experienced fever, difficulty breathing, wheezing, paleness, weakness and extreme tiredness. She was seen again at our health center on 2/9/09 with peak flows in the 300-350 range. The hospital started her on a course of prednisone and she was using albuterol by nebulizer and Proair inhaler. She was stable on Monday and will return to our health center today for re-evaluation.
Age: 61.0
Sex: M
Vaccine: HEPA
Symptoms: Burning sensation, Erythema, Rash
Clinical narrative: PT REPORT RED, BURNING ABDOMINAL/CHEST RASH. TODAY PT OBSERVED TO HAVE SMALL RED RASHES TO LEFT UPPER ABDOMEN.C/O BURNING IN THE AFFECTED AREA.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Condition aggravated, Cough, Croup infectious, Respiratory distress, Respiratory tract congestion
Clinical narrative: 0945: given Varicella/DTaP   1530: call from parent that pt awoke from nap congested & wheezing-advised to give albuterol nebulizer per Dr. and if no improvement 15-20min will need to be evaluated  1730: seen in Pediatric Dept by Dr. with mild respiratory distress, inspiratory stridor, occ barky cough Tx: Racemic Epinephrine nebulizer & Decadron 6.5mg IM--improved but not completely resolved   1852: Admitted to hospital with Dx:Croup--tx: Oxygen & mist, prn racemic Epi tx and NS neb treatments--no neb tx's required  2/23/09 Received hospital medical records of 2/10-2/11/2009. FINAL DX: croup Records reveal patient experienced barky cough, acute onset wheezing, stridor & respiratory distress.  Had been seen in PCP office w/slight cough which then progressed throughout the day.  Return visit to PCP & tx w/nebs which helped but did not resolve.  Sick sibling w/URI s/s.  Admitted for observation & further therapy.  Tx w/steroids & additional nebs.  Improved & d/c to home next day on continued steroids.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Stridor, Wheezing
Clinical narrative: 0945: given Varicella/DTaP   1530: call from parent that pt awoke from nap congested & wheezing-advised to give albuterol nebulizer per Dr. and if no improvement 15-20min will need to be evaluated  1730: seen in Pediatric Dept by Dr. with mild respiratory distress, inspiratory stridor, occ barky cough Tx: Racemic Epinephrine nebulizer & Decadron 6.5mg IM--improved but not completely resolved   1852: Admitted to hospital with Dx:Croup--tx: Oxygen & mist, prn racemic Epi tx and NS neb treatments--no neb tx's required  2/23/09 Received hospital medical records of 2/10-2/11/2009. FINAL DX: croup Records reveal patient experienced barky cough, acute onset wheezing, stridor & respiratory distress.  Had been seen in PCP office w/slight cough which then progressed throughout the day.  Return visit to PCP & tx w/nebs which helped but did not resolve.  Sick sibling w/URI s/s.  Admitted for observation & further therapy.  Tx w/steroids & additional nebs.  Improved & d/c to home next day on continued steroids.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Asthenia, Blindness, Deafness, Diarrhoea
Clinical narrative: I received the Gardasil vaccine and walked out of the room. As I exited I lost vision and hearing and collapsed, still conscious and very nauseated. Difficulty breathing occurred once vision returned. Hearing did not return for 10 minutes and I heard a ringing, metallic sound every time I talked. Vision was yellow and green, and my face had lost all color (pale/green). 15 minutes after the shot I had abdominal cramps and diarrhea. I drank some water and was then freezing cold and very weak. I felt more normal by the end of the day. On the second and third day, I had swelling and tenderness at the injection site.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dysgeusia, Dyspnoea, Feeling cold, Injection site pain, Injection site swelling
Clinical narrative: I received the Gardasil vaccine and walked out of the room. As I exited I lost vision and hearing and collapsed, still conscious and very nauseated. Difficulty breathing occurred once vision returned. Hearing did not return for 10 minutes and I heard a ringing, metallic sound every time I talked. Vision was yellow and green, and my face had lost all color (pale/green). 15 minutes after the shot I had abdominal cramps and diarrhea. I drank some water and was then freezing cold and very weak. I felt more normal by the end of the day. On the second and third day, I had swelling and tenderness at the injection site.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pallor, Syncope, Tinnitus, Visual impairment
Clinical narrative: I received the Gardasil vaccine and walked out of the room. As I exited I lost vision and hearing and collapsed, still conscious and very nauseated. Difficulty breathing occurred once vision returned. Hearing did not return for 10 minutes and I heard a ringing, metallic sound every time I talked. Vision was yellow and green, and my face had lost all color (pale/green). 15 minutes after the shot I had abdominal cramps and diarrhea. I drank some water and was then freezing cold and very weak. I felt more normal by the end of the day. On the second and third day, I had swelling and tenderness at the injection site.
Age: 60.0
Sex: M
Vaccine: HEPA
Symptoms: Anorexia, Chills, Myalgia, Pyrexia, Urine analysis
Clinical narrative: myalgias, fever, chills, loss of appetite for 6 days
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Crying, High-pitched crying
Clinical narrative: High pitch shrill cry for 45 minutes (non-stop crying)
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Induration, Malaise, Oedema
Clinical narrative: 8 year old male received 2nd doe of VZV on 02/10/09 at around 0830. Starting at 2100 on the same day the child exhibited erythema, edema in the left arm. The left arm was also hot to the touch. At 0630 on 02/11/09, eruption of cluster of blisters/vesicles of varicella. The school nurse may have applied hydrocortisone cream to the area and marked the area of induration. The mother and child came to the Health Department for assessment at about 1530 on 02/12/08. Mom was instructed to not give patient ASA, to seek help if area of induration enlarges, if fever or general malaise worsens. The patient was told to not put hydrocortisone or any other topical products on the area. Advised to drink increase fluid intake, stay home from school until lesions are dry and scabbed. Asked parent to call the Health Department on Tuesday, 02/17/09 to report on condition of arm.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Skin warm, Varicella
Clinical narrative: 8 year old male received 2nd doe of VZV on 02/10/09 at around 0830. Starting at 2100 on the same day the child exhibited erythema, edema in the left arm. The left arm was also hot to the touch. At 0630 on 02/11/09, eruption of cluster of blisters/vesicles of varicella. The school nurse may have applied hydrocortisone cream to the area and marked the area of induration. The mother and child came to the Health Department for assessment at about 1530 on 02/12/08. Mom was instructed to not give patient ASA, to seek help if area of induration enlarges, if fever or general malaise worsens. The patient was told to not put hydrocortisone or any other topical products on the area. Advised to drink increase fluid intake, stay home from school until lesions are dry and scabbed. Asked parent to call the Health Department on Tuesday, 02/17/09 to report on condition of arm.
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Drug hypersensitivity, Erythema, Oedema, Pain, Tenderness
Clinical narrative: Local injection site reaction to the R upper extremity.  Pt received pneumovax on day one and erythema, edema started on day two and persisted through day three when she was evaluated.  Pt experienced pain and tenderness.  No signs of infection and pt vital signs were stable
Age: 0.67
Sex: M
Vaccine: DTP
Symptoms: Dyskinesia, Grand mal convulsion, Petit mal epilepsy, Viral pharyngitis
Clinical narrative: Within 24 hours of Jeff's first DPT shot, he had a grand mal seizure.  We continued to give him the series of shots and at age 25, he continues to have grand mal seizures.  He was born perfectly normal, healthy and progressed as such until his first seizure, less than 24 hours after his first DPT shot.  4/6/09 MR received for DOS 5/18/-19/1984 with D/C DX:  Febrile Seizure, reolved. Pharyngitis, probably viral, treated. Pt presented after an episode of jerking, cyanosis, and apnea which quickly resolved.  Back to normal upon arrival in ED. Recent croup. PE (+) for T=102.9'F, pulse 200, RR60 and slight erythema of the pharynx. No further sz activity. D/C for outpt tx. Follow-up: Pt is still having seizures after 26 years on TEGRETAL and DILANTIN - some are grand mal, some are petite.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site streaking
Clinical narrative: PATIENTS HUSBAND PRESENTED TO PHARMACY ON 2/13/09 STATING THAT HIS WIFE HAD A RED STREAK APPROX. 4 INCHES LONG AND 1 & 1/2 INCHES WIDE ON HER ARM WHERE THE INJECTION WAS GIVEN. UPON QUESTIONING, HE STATED THAT IT DID NOT HURT OR ITCH.  HE ALSO STATED THAT SHE DID CALL THE MD ON CALL LAST WEEKEND BUT HE DID NOT KNOW WHAT HE SAID. SHE RECEIVED THE VACCINE ON 2/5/09.  I ADVISED HIM TO KEEP A WATCH ON THE SPOT AND TO CALL THE PHYSICIAN IF IT PROGRESSED.
Age: 66.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Severe arm pain upper arm, can't lift arm without significant pain. TD vaccine given 1/21/2009 10:30 AM. Saw doctor following week 1/28/2009. Pain still exists.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Oedema peripheral, Skin warm
Clinical narrative: 2/5/2009--Back of L arm--upper area--above elbow and below arm pit swollen.  Approx 70 mm long--warm to touch.  Redness noted at two injection sites  only.  Patient alert and oriented--pt being given Tylenol by mother arm is 8 and 1/2 inches round L.  R arm is 7 and 1/2 inches around--not swollen.  Reviewed s/sx to watch for. 2/13/2009--Spoke with grandma today--L arm is fine now--no more redness, etc.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Vaccination complication
Clinical narrative: Mother states he started a fever@ 1PM Fri. 1/30/09& by 8PM it was 104 degrees. Dr's office suggested alternating Motrin&Tylenol-it would go down then 4 hrs later up. Sat.1/31/09PM it was 105.8 degrees-went to ER-they got it down in a few hrs. Took him to Dr's office 2/2/09-No other signs of infection-He concludes it is a reaction to Flu shot. Fever continued till Wed.2/4/09. Today has some aches but NO fever.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, DTAPIPVHIB, PNC
Symptoms: Hypotonic-hyporesponsive episode, Pallor
Clinical narrative: The child received his second immunization with DTAP/HIB/IPB on February 9 at about 10 AM. He did well after the vaccine unto about about 1:45 PM, he suddenly became pale, limp, and hyporesponsive. The epidose lasted about 15-20 minutes, after which his color and muscle tone improved and he began responding normally.  No recurrences of the event have been noted He has remained afebrile.  I am the child's grandmother and I am also a Pediatrician with extensive experience with immunizations.  I witnessed the episode.  Note:  We contacted the clinic to get the lot numbers and they gave two lot numbers for Pentecel.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, DTAPIPVHIB, PNC
Symptoms: Pallor
Clinical narrative: The child received his second immunization with DTAP/HIB/IPB on February 9 at about 10 AM. He did well after the vaccine unto about about 1:45 PM, he suddenly became pale, limp, and hyporesponsive. The epidose lasted about 15-20 minutes, after which his color and muscle tone improved and he began responding normally.  No recurrences of the event have been noted He has remained afebrile.  I am the child's grandmother and I am also a Pediatrician with extensive experience with immunizations.  I witnessed the episode.  Note:  We contacted the clinic to get the lot numbers and they gave two lot numbers for Pentecel.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test, Bone scan, Echocardiogram, X-ray
Clinical narrative: 1st Gardasil vaccination on 2/19/08.  Second Gardasil vaccination April 2008.  3 weeks later, on May 9, she came home from school complaining of soreness in all her joints.  She had no fever or any other flu-like symptoms.  Medical tests have consistently been negative for arthritis, lupus or any other autoimmune disease the doctors could think of.  Neurological tests revealed no neurological source of the soreness and stiffness.  Nine months later, she is still experiencing joint pain.  2/20/09 MR received from PCP. In for 14 yr WCC on 2/19/08 with dx:  Well adolescent. Next OV 5/9/08 with c/o joint pain and swelling x 2 days.  PE (+) for swollen ankles. Dx: arthralgia. Returned 5/12/08 with increasing pain and swelling jaws, neck, knees, wrists and ankles. Tingling in feet. NSAIDS not helping.  Swollen joints on PE with decreased strength- 4/5 ankles, knees and wrists. Labs WNL. Medrol rx with some improvement, with return of pain/stiffness after. Walking stiff legged 5/16/08.  2/27/09 MR received from neurologist dated 6/25/08 with DX:  Pain, joint, musculotendonous, connective tissue.  Etiology unknown.   MR received from rheumatologist dated 12/9/08 and 2/3/09 with DX:  Enthesitis related JIA and Fibromyalgia temporally associated with Gardasil vaccine. Another consult noted discusses amplified musculoskeletal pain syndrome. ? idiopathic variant of stiffman syndrome. Pt reports continued stiffness, joint pain and decreased mobility. More fatigue. Restarted Methotrexate and Humira 2/3/09
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain upper, Axillary pain, Erythema, Induration, Injection site erythema
Clinical narrative: Morning after injection, child woke up with nausea and stomache ache.  Arm very sore for 4 days, including his armpit. Complained that it hurt if he moved his arm or it was touched. Developed redness and swelling with a hard lump (roughly 3" in length and 1" in height) at the injection site.  Also bruised and developed 2 little bumps in the swollen area at the injection site.  These bumps lasted at least 5 days.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site haematoma, Injection site mass, Injection site swelling, Injection site urticaria, Nausea
Clinical narrative: Morning after injection, child woke up with nausea and stomache ache.  Arm very sore for 4 days, including his armpit. Complained that it hurt if he moved his arm or it was touched. Developed redness and swelling with a hard lump (roughly 3" in length and 1" in height) at the injection site.  Also bruised and developed 2 little bumps in the swollen area at the injection site.  These bumps lasted at least 5 days.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Morning after injection, child woke up with nausea and stomache ache.  Arm very sore for 4 days, including his armpit. Complained that it hurt if he moved his arm or it was touched. Developed redness and swelling with a hard lump (roughly 3" in length and 1" in height) at the injection site.  Also bruised and developed 2 little bumps in the swollen area at the injection site.  These bumps lasted at least 5 days.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Metabolic function test, Vaccine positive rechallenge, Vomiting neonatal
Clinical narrative: 12/09/08 - patient was administered Rotatec.  After immunization, patient had 10 days of watery diarrhea and vomiting.  02/11/09 - patient was administered Rotatec again - same thing happened - vomting with severe diarrhea.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal
Clinical narrative: 1/14/09 afternoon began chest pain. By Thurs. AM pain unbearable so went to ER. EKG normal & sent home. Fri. AM pain severe so went to ER. EKG & CXR normal. Given morphine & vicodan. Pain better but not gone.  Sat. PM went back to ER.  EKG & CXR normal. Given morphine and sent home.  Pain persisted throuigh 1/28/09.  Believes all of this was caused by the Hep B vaccination.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Measles antibody positive, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: TC from State Epidemiologist stating that he had received a call from local provider stating possible measles case.  He spoke with child's PCP and was told that the patient presented with rash on trunk, low fever, no greater than 101 degrees.  Child had cough due to runny nose. Provider did draw blood for an IgM. PCP told epidemiologist that child did not have measles. Symptoms presented on 1/24/09, 12 days post immunizations.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Malaise, Pain, Pyrexia, Tremor
Clinical narrative: 4 hours after shot - mild malaise developing, 7 hours after shot- fever and severe chills (chills and shaking was worse than the worst malaria attack I ever had; by hour 9 temperature was 103.5F.  By morning fever low 101's, some aches. symptoms diminished during the day and were gone by the following day.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Diffuse erythematous papular eruption, itchy, on fore/arms/trunk/thighs.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Moderate swelling and erythema
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Minutes after vaccine admin., pt. walked back into the waiting room complaining of dizziness.  Assisted into a chair with mother at side.  Several attempts at a BP (auto and manual) made.  Called Dr.  BP 51/21.  Ordered to call 911 & admin 0.3 ml epi.  EMT arrived & epi admin into right thigh.  EMT @ side.  BP 100/50 & pt more conscious.  Reported to Dr Pt mother refuse ambulance but would take daughter to ER.  Pt walks out with mother and EMTs.
Age: 1.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Rash pruritic, Varicella
Clinical narrative: rash, mildly pruritic chicken pox
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pt had Px exam 11-25-08.  GARDASIL #1, MENACTRA & ADACEL given to update imms-  Pt has since learned that she was pregnant at time of vaccine administration (2 weeks pregnant), unaware of any adverse reaction
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Erythema, Feeling hot, Pain in extremity
Clinical narrative: With 4 hours stated arm was the size of a football.  Had pain, redness, warmth.  Had no fever.  Felt weak.  < 24 hours after shot the arm was still 4.5 cm larger in circumference.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: Patient called and notified that the day after injection her arm was twice the size an extremely painful." BENEDRYL DM and started to feel better. Reaction Resolved.
Age: 1.1
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR, VARCEL
Symptoms: Culture throat, Grand mal convulsion, Pyrexia
Clinical narrative: Brief 1 minute seizure - tonic clonic associated with fever.  No treatment except TYLENOL, MOTRIN for fever
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash. Mom unsure of onset, but pt. had been seen in local ER 2/6/09 with no mention of rash she was treated for croup 2/6/09 with decodnon to EPI -- rash started 2/7/09 mom thinks.  I saw her 2/10/09 in office 0 Rx R-rash
Age: 58.0
Sex: F
Vaccine: FLU3, HEPAB, IPV
Symptoms: Erythema, Rash
Clinical narrative: Pt. returned to office at 4:00 pm- with red spotty rash on facial area.  No c/o itching voiced.  No rash noted on trunk at time of visit.  VS obtained, normal.  No distress, Advised pt to take BENADRYL.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Convulsion, Syncope
Clinical narrative: Child had Rec'd vaccines in AM and was fine all day.  She went to a martial arts class in the pm and after class became faint and had seizure.  She was seen at a hospital ER-checked over and released.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Condition aggravated, Facial palsy, No reaction on previous exposure to drug, Tinnitus
Clinical narrative: Ringing in ears 1 hour post injection - Return of Bells palsy, also " set off arthritis & joint pain".  Has had flu shot every year with 0 reaction did not see a physician
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Virus serology test positive, West Nile viral infection
Clinical narrative: Ringing in ears 1 hour post injection - Return of Bells palsy, also " set off arthritis & joint pain".  Has had flu shot every year with 0 reaction did not see a physician
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling to site, itching.  (Varicella).
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema, Headache, Injection site pain, Malaise
Clinical narrative: 2/15/09 Night of injection L arm became sore.  2/6/09 Severe pain to L arm.  2/7/09 increase temp, felt bad.  2/8-9/09 redness noted to L arm below site of injection.   Felt very bad + pain continued to worsen.  2/10/09 to health dept + with severe pain L arm, some swelling -> 2 areas of redness noted each approximately 2 to 3 inches in size and below injection site x 3-4 inches Temp 98.8, BP=146/92 (denies hx increase B/P) Referred to Dr (PCP).  2-11-09 CP called to report Dr.  Starting antibiotics and arm feels some better this AM, continues to have headache.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: 2/15/09 Night of injection L arm became sore.  2/6/09 Severe pain to L arm.  2/7/09 increase temp, felt bad.  2/8-9/09 redness noted to L arm below site of injection.   Felt very bad + pain continued to worsen.  2/10/09 to health dept + with severe pain L arm, some swelling -> 2 areas of redness noted each approximately 2 to 3 inches in size and below injection site x 3-4 inches Temp 98.8, BP=146/92 (denies hx increase B/P) Referred to Dr (PCP).  2-11-09 CP called to report Dr.  Starting antibiotics and arm feels some better this AM, continues to have headache.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Swelling
Clinical narrative: Swelling noticed next day- became worse over next 24 hrs then started to decrease on day 3 -> resolved.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Body temperature increased, Erythema, Induration, Swelling
Clinical narrative: Swelling a redness noted same evening.  There was no sleep disturbance.  Next day, hard & red thigh Seen 27 hr after the shot: large red area created on site of shot- entire thigh swollen & hard.  Walting with slight temp
Age: 67.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Headache, Nausea
Clinical narrative: 24 hours after shot began headache- for next 36-40 hours extreme nausea & headache (sinus & jaw) Routine chiropractic app't & therapy helped & muscle where then bed & sleep for 10 hours Redness at shot area
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Scattered raised papulovasicular lesions arms, wrist and back
Age: 0.53
Sex: M
Vaccine: IPV, PNC
Symptoms: Body temperature increased, Pyrexia
Clinical narrative: 8 hours after vaccination, at 7 pm developed fever (101.5F).  Given MOTRIN by mother.  Fever was 103F at 1 am, 102F at 5 am, and 100 at 9
Age: 41.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Nuclear magnetic resonance imaging, Pain, Reiter's syndrome
Clinical narrative: Pt states reoccurrence of Reitens Disease after 3rd TYPHOID pill - c/o S-1 pain resolved post backs required steroid use Last episode of Reitens disease was 5 years prior- pain in wrist.  Pt reported event today 2/6/09
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Body temperature increased, Convulsion, Ear infection, Pyrexia
Clinical narrative: fever w/seizure 24 hours post vaccines 101 degree F  otitis diagnosis at 24 hours as well
Age: 1.19
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Croup infectious, Otitis media, Pyrexia, Rash
Clinical narrative: About 2 weeks after vaccines given developed fever and rash (which resolved in short period of time), but rash faded and actually persisted until seen on 9/3/08 for sick visit -> Diagnosed with croup & new BSOM -> AMUXIL + ALBUTEROL treatment. PRELONE never given by parents , rash was a faint scattered tiny macules, blanching in diaper area and arms, very faint on trunk.  Respiratory symptoms improved but rash continued and got worse, so reevaluated on 9/9/08, no fevers, no pruritis, rash this time was papular in nature, and on arms, legs, face and with various degrees of clustering and erythema, some? petechial appearance to rash, no pustules, no vessicles, no burrows, no rash on wrists, trunk, palm or soles or diaper area (parent said child was exposed to someone with scabies also) Child referred to dermatology, rash felt to be viral, and scabies testing negative.  9/16/08 well checkup, rash markedly improved, actually drying up, with some mild erythema, development at this visit age appropriate, and also age appropriate prior to this visit.  Patient was babbling, and saying MA MA, DA DA, saying upto a maximum of 5 words as per parenets history.  Vaccines given were DTAP, HIB, PNC 11/3/08 sick visit bom/sinusitis, treated with AMOXIL 11/10/08 sick visit/recheck, OM improved, finish AMOXIL, no rash today 12/15/08 18 month checkup and sick visit, BOM and sinusitis, AMOXIL restarted, failed mchat, loss of speech milestones, failure to interact with new sibling ENT evaluation 1/09 no middle ear fluid, ABR to be done neurology evaluation 1/09 speech delay expressive greater than receptive, PDD/autism evaluation in progress CBC/PB normal Patient also being evaluated by early intervention services.
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Aphasia, Autism, DNA test for fragile X
Clinical narrative: After my daughter got her 12 months shots she stopped talking. Now that she is almost 2 (and still not talking again). We was told that she has AUTISM. So now we have been to a psychologist for her at Hospitial in. She is also in the early on program here where she recieves speech therapy and socializtion therapy twice a week.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abnormal behaviour, Autopsy, Depressed level of consciousness, Nasopharyngitis, Pulmonary congestion
Clinical narrative: A few hours after his well child check up he was not himself.  I would describe him as having an extremely decreased and inconsistant response to surroundings, sounds, and family members. My sister who he loved could not get him to smile or focus on her.  We did not take him to the doctor because this seemed slightly normal after shots.  He did perk up a little the next day, then he seemed like he was coming down with a cold, I could hear and feel congestion in his lungs.  3/20/09 Autopsy report states COD as sudden infant death syndrome.   Report states patient placed down for nap in crib on stomach on top of baby blanket.  Found cold & unresponsive.  Patient's bedroom noted to be very warm on investigation.