chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Fall
Clinical narrative: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with a dose of Gardasil. Subsequently, the patient fell down and had a seizure. Unspecified medical attention was sought. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Small intestinal resection
Clinical narrative: Information has been received from a physician concerning an approximately 4 month old female who was vaccinated with a second dose of Rotateq. On 12-JUN-2007 the patient developed intussusception and was hospitalized. It was reported that the patient had to have a resection of the bowel. Subsequently, the patient recovered. No product quality complaint was involved. No other information was provided. The patient's intussusception was considered to be immediately life-threatening and an other important medical event by the reporter. Additional information has been requested.  09/17/2007 D/C Summary received from CDC for DOS 6/12-20/2007 for DX of Volvulus.  Infant presented with 1 day hx of increasing abdominal girth and vomiting.  Pt taken to OR for an irreducible intussusception and had a short segment of volvulus with ischemic bowel.  Pt had a small bowel resection with an ileum to R colon primary anastomosis.  Cardiology consult for sinus bradycardia determined to be a normal variant. Pt resumed feeds and was D/C home.
Sex: M
Vaccine: RV5
Symptoms: Gastroenteritis rotavirus, Laboratory test abnormal, Secondary transmission
Clinical narrative: Information has been received from a physician concerning a male whose 2 month old daughter was vaccinated with an oral 2 ml first dose of Rotateq on 27-FEB-2007. It was reported that the father was immunocompromised because he was on steroids at the time of the vaccination. Subsequently the father developed rotavirus, which required hospitalization for an unknown length of time. Tests were performed on the father which determined that he did have rotavirus. It was reported that the patient recovered. It was noted that the daughter did not experience and adverse effect. No other information was provided. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Abdominal X-ray, Barium enema, Computerised tomogram, Full blood count, Intussusception
Clinical narrative: Intussusception 6/30 Surgical correction 7/1. Infant presented to ER with multiple episodes of vomiting, no diarrhea. Child transfered to admitting hospital. 07/30/2007 MR received from admitting hospital for DOS 7/1-4/2007.  She was transferred via helicopter for eval and tx for an irreducible Intussusception.    Child had an exploratory lap with reduction of ileocolic intussusception.  Intussuscepted  bowel was 2' to a Meckel diverticulum. Resection of Meckel Diverticulum and ileum also done. Discharge DX:  Intussusception.  Meckel Diverticulum.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Laboratory test, Surgery, Ultrasound scan, Urine analysis
Clinical narrative: Intussusception 6/30 Surgical correction 7/1. Infant presented to ER with multiple episodes of vomiting, no diarrhea. Child transfered to admitting hospital. 07/30/2007 MR received from admitting hospital for DOS 7/1-4/2007.  She was transferred via helicopter for eval and tx for an irreducible Intussusception.    Child had an exploratory lap with reduction of ileocolic intussusception.  Intussuscepted  bowel was 2' to a Meckel diverticulum. Resection of Meckel Diverticulum and ileum also done. Discharge DX:  Intussusception.  Meckel Diverticulum.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Urticaria
Clinical narrative: Generalized urticaria within 2 hours of vaccinations, lasted >1 week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling to R deltoid.  Hot to touch. C/O a little pain.
Age: 7.0
Sex: M
Vaccine: HEP, HPV4, MMR, MNQ, TDAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: No evidence of side effects, HPV vaccine given
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Anorexia, Dizziness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: injection site RXN - 8-8.5 annular, raised erythematous lesion, painful, pruritic to R arm systemic RX - lower limb weakness, dizziness, loss of appetite, fever.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site rash, Injection site reaction, Muscular weakness, Pyrexia
Clinical narrative: injection site RXN - 8-8.5 annular, raised erythematous lesion, painful, pruritic to R arm systemic RX - lower limb weakness, dizziness, loss of appetite, fever.
Age: 1.3
Sex: M
Vaccine: HIBV, TDAP
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Administration error, Tdap given instead of Dtap. No adverse reaction.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and watery diarrhea shortly after receiving shots. Instructed to increase fluids, monitor for signs of dehydration, F/U in clinic or ER if worsens.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Discomfort, Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Within one minute of administering vaccine, Pt became light headed and sweaty. She was made to lie down and her feet elevated for 15 mins. She was given fruit juice to drink. Discomfort lasted about 5 mins.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Rash, Syncope
Clinical narrative: Within one minute of administering vaccine, Pt became light headed and sweaty. She was made to lie down and her feet elevated for 15 mins. She was given fruit juice to drink. Discomfort lasted about 5 mins.
Age: 16.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: nausea, diaphoresis, pallor, dizziness, cold cloth to head, juice, rest.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Pt states she noticed arm swelling (L) arm 6/28/07 in the evening w/slight itching
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hypotension, Injection site erythema, Injection site induration, Injection site irritation
Clinical narrative: Mild site irritation 1-3 days. Then increased pruritus with large area of induration, redness, warmth with slight Fever and some areas of purulent drainage. Hypokensive, palpitation, and dizziness, tx'd with IVF. IV dose of antibiotics and follow up in PMD office by few hrs. Continued oral antibx. Benadryl and Prednisone.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site warmth, Palpitations, Post procedural drainage, Pyrexia
Clinical narrative: Mild site irritation 1-3 days. Then increased pruritus with large area of induration, redness, warmth with slight Fever and some areas of purulent drainage. Hypokensive, palpitation, and dizziness, tx'd with IVF. IV dose of antibiotics and follow up in PMD office by few hrs. Continued oral antibx. Benadryl and Prednisone.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Injection site swelling, Rash pruritic
Clinical narrative: Patient had Tdap vaccination (L deltoid) on June 22. On June 23 (L) deltoid started swelling, per patient report swelling was 4" x 3" in diameter. States it was swollen and sore. On June 24 patient awoke w/a red, itchy rash on hips, buttocks, mid section, shoulders, arms and groin. Reports the rash resolved near end of day on June 25 after taking antihistamine.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Within 5 seconds of administering Menactra IM to the R arm, the patient passed out, fell over off the exam table and hit her head on a counter or cabinet. The patient had a short seizure activity after hitting head. Pt then became alert and oriented.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site irritation, Pyrexia, Swelling
Clinical narrative: -slight lightheaded feeling after vaccination-pt. indicated that it was very slight, brief had subsided -reported next day redness and irritation at injection site with slight fever (99 deg) and swelling -MD said to take Benadryl on 6/28 and did not require office visit
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cold compress therapy, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness and swelling noted to be left upper arm. Some induration noted 6 x 6 area. Treatment: ice to area 15 minutes q 2-3 hours. Ibuprofen q 6 PRN.
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Herpes zoster, Pyrexia, Rash
Clinical narrative: A couple days after receiving a Tdap vaccine the patient developed an outbreak of shingles. He developed a rash on his side and a slight fever. Rash was not at injection site. The rash was sensitive to touch and on the left side of his chest. There was some blistering and it was hard for the patient to take deep breaths. The patient was prescribed Valcyclovir 1000mg TID for 10 days to treat the rash.
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Patient called 7/5/07 at 9a.m.- states he had fever and bodyaches x 24 hours. - got Tdap 7-3-07. Didn't take temp just "felt feverish" yesterday. Today feels a little better. Advised rest, fluids, Advil.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: Red, hard, tender over right tricep --> 4-5cm diameter. Reassurance ice pack/ Motrin.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Clinical narrative: Screening questionnaire from Immunizations all answered by mother as no.  8/7/07 Received Death Certificate from HD which reveals COD as positional asphyxia.  Received Autopsy Report from Coroner which reveals COD as same w/anatomic findings of pulmonary congestion, edema & petechial hemorrhage; petechial hemorrhages of thymus & heart; mild bilateral facial cheek abrasions; facial plethora; & pericardial effusion.  Report indicates patient found face down in bumper of the bed.  Manner of death is accidental.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Pyrexia
Clinical narrative: Patient developed 101.6 temp within 12 hours of vaccination. No seizure, no rash, no prolonged crying. Three hours after Tylenol given, temp returned to 100.1 (axillary). ** Fever has fully resolved within 72 hours of onset **
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Syncope, Vomiting
Clinical narrative: Within one minute of receiving HPV vaccine, pt. had a sycopal episode, with LOC for 1-2 minutes, immediately followed by vomiting.  Pt. observed for 15 min. and made complete recovery.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Back pain, Chills, Headache, Neck pain
Clinical narrative: Chills, fever, joint pain, headache, pain in upper back and neck on left side on July 3, 2007 in the evening.  Took to ER on July 4, 2007 for evaluation-they felt this was all common side effects of the Menactra vaccine that she received on July 3, 2007.  They told her to take Ibuprofen 600mg every 6 hours.  Patient felt better on July 5, 2007.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Chills, fever, joint pain, headache, pain in upper back and neck on left side on July 3, 2007 in the evening.  Took to ER on July 4, 2007 for evaluation-they felt this was all common side effects of the Menactra vaccine that she received on July 3, 2007.  They told her to take Ibuprofen 600mg every 6 hours.  Patient felt better on July 5, 2007.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MM
Symptoms: Blister, Erythema, Rash
Clinical narrative: Erythema in the site Left leg along with vesicles. MMR given 3 days before in the same leg. Prednisone 15/5, 1 tsp daily for 5 days given. Mom reports rash better.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Arthralgia, Mass, Musculoskeletal stiffness, Pain
Clinical narrative: First Shot 1 month later hands were stiffening during needle point, crocheting and knitting.  4th Shot, my elbows and hands were aching 1 week after shot.  5th shot 4Jun04 6 weeks later had lump on baby finger. Ached all over body and I still do I am seeing a Rheumatologist now.  06 Got a lump on knee and they don't know what's causing this.  Also in 99 I had a lump in my breast removed.  00, had another lump in breast removed and 04 had a lump on side of chest removed.  All were noncancerous, but I never had any of this before.  I ached constantly and am taking medicines for inflammation.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash papular, Rash pruritic
Clinical narrative: Patient developed pruritic rash 2 days after vaccination.  Rash consists of few erythematous papules (some with crusts) that begin in thoracic region and continue to lumbar area-patient then has increased number lateral (left side) to lumbar region. No vesicles-patient does not report history of vesicles.  No pain, + puritus.  Patient has tried calamine lotion and solarcaine without benefit.  No other symptoms reported by patient.
Age: 26.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Asthenia, Body temperature increased, Culture urine negative, Haemoglobin normal, Headache
Clinical narrative: Pt presented to the ER on 6/21/07 with c/o weakness, HA, rights sided pain and elevated temperature. Temp at time of visit 103. Admitted to the hospital for IV fluids and evaluation. Admitting diagnoses included febrile illness, probable viral, possible heat syndrome and possible small pox reaction. D/c'd on 6/26/07 from hospital with diagnoses of pneumonia.  07/17/2007 MR received for 3 night admit for initial c/o generalized weakness, malaise and sore throat. One episode of vomiting and R sided abd pain, fever, chills, SOB as well.  Pt developed hemoptysis during hospitalization.  DX: Right middle lobe pneumonia
Age: 26.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Metabolic function test normal, Pain, Pneumonia, Streptococcal identification test negative, Viral infection
Clinical narrative: Pt presented to the ER on 6/21/07 with c/o weakness, HA, rights sided pain and elevated temperature. Temp at time of visit 103. Admitted to the hospital for IV fluids and evaluation. Admitting diagnoses included febrile illness, probable viral, possible heat syndrome and possible small pox reaction. D/c'd on 6/26/07 from hospital with diagnoses of pneumonia.  07/17/2007 MR received for 3 night admit for initial c/o generalized weakness, malaise and sore throat. One episode of vomiting and R sided abd pain, fever, chills, SOB as well.  Pt developed hemoptysis during hospitalization.  DX: Right middle lobe pneumonia
Age: 26.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: White blood cell count normal
Clinical narrative: Pt presented to the ER on 6/21/07 with c/o weakness, HA, rights sided pain and elevated temperature. Temp at time of visit 103. Admitted to the hospital for IV fluids and evaluation. Admitting diagnoses included febrile illness, probable viral, possible heat syndrome and possible small pox reaction. D/c'd on 6/26/07 from hospital with diagnoses of pneumonia.  07/17/2007 MR received for 3 night admit for initial c/o generalized weakness, malaise and sore throat. One episode of vomiting and R sided abd pain, fever, chills, SOB as well.  Pt developed hemoptysis during hospitalization.  DX: Right middle lobe pneumonia
Age: 18.0
Sex: M
Vaccine: ANTH
Symptoms: Computerised tomogram normal, Dizziness, Full blood count, Haemoglobin normal, Headache
Clinical narrative: SM presented to the FSMC Sparta campus ER on 6/12/07 with c/o HA, nausea and dizziness. He had been outdoors the majority of the day and had also received his Anthrax shot on this date. IV fluids, phenergan and toradol given in the ER.
Age: 18.0
Sex: M
Vaccine: ANTH
Symptoms: Metabolic function test normal, Nausea, Urine analysis, White blood cell count increased
Clinical narrative: SM presented to the FSMC Sparta campus ER on 6/12/07 with c/o HA, nausea and dizziness. He had been outdoors the majority of the day and had also received his Anthrax shot on this date. IV fluids, phenergan and toradol given in the ER.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Area where vaccine was injected was  reported by grandmother to be red and swollen several hours after vaccine administered. Patient triaged to urgent care where she was prescribed Keflex and Bendryl. On 7/4/07 the area at the injection site was reported by grandmother to be "as large as a cantelope". Patient triaged to ER and prescribed Sulfamethoxazole and Cleocin. Follow-up on 7/5/07, grandmother reported child afebrile and injection site improved -less red and swollen.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Electroencephalogram abnormal, Grand mal convulsion, Nuclear magnetic resonance imaging brain normal
Clinical narrative: WITHIN 13 DAYS OF THE VACCINE PATIENT HAD HIS FIRST GRAND MAL SEIZURE (NO FEVER NOT FEBRILE) THERE IS NO HISTORY OF BRAIN TRAUMA OR FAMILY HISTORY OF SEIZURES.  HE WAS DIAGNOSED WITH A SEIZURE DISORDER AND HAS HAD 3 CLONIC TONIC SEIZURES WITHIN 6 WEEKS OF THE VACCINE
Age: 1.0
Sex: M
Vaccine: MMRV, PPV
Symptoms: Crying, Inappropriate schedule of drug administration, Irritability, Pyrexia
Clinical narrative: 4 DAY FEVER OCCURING APROXAMATLY 6 DAYS POST VACCINATION. FEVER THEN CLEARED UP. THEN BECAME VERY FUSSY WITH INCONSOLABLE CRYING.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Diarrhoea, Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: 24-48 hrs- Moderate to severe pain in arm Fever 101, joint pain, swollen lymph glands, nausea and diarrhea and general malaise  48-72 hrs. symptoms continued with fever decreasing.  72> hrs. Area just below injection site became swollen, red- an area approx. 6" in diameter.  Other symptoms abated.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Nausea, Pain in extremity, Pyrexia
Clinical narrative: 24-48 hrs- Moderate to severe pain in arm Fever 101, joint pain, swollen lymph glands, nausea and diarrhea and general malaise  48-72 hrs. symptoms continued with fever decreasing.  72> hrs. Area just below injection site became swollen, red- an area approx. 6" in diameter.  Other symptoms abated.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Patient dx with Intussusception.  07/18/2007 MR received for 2 ER visits 6/24 and 6/26 2007 for c/o persistant vomiting. Initially had diarrhea but none since vomiting started.  No blood in stools.  PE significant for hypoactive bowel sounds and lip pallor. Otherwise WNL.  Air enema sucessful in reducing the IS. Discharge DX: Intussusception.
Age: 37.0
Sex: M
Vaccine: DTAP
Symptoms: Blood culture negative, Body temperature increased, Cellulitis, Cytomegalovirus test negative, Lymphocyte count decreased
Clinical narrative: Patient iniatially comlpained of celluitis on left lower extremity that was due to an insect bite 5 days prior to vaccination. On 6/29/07 patient recieved keflex and dTaP vaccination. Earlier the next morning patient complained of  a fever which was 102 F and later returned to his primary care provider where his temperature was noted to be 103.9 F. Patient was instructed to report to the ED and was admitted to Munson Medical Center of Traverse City.  8/20/2007 MR received for DOS 6/29/07-7/1/07 for c/o fever and resolving Left lower extremity cellulitis.  Pt initially noticed bleeding from his foot without obvious bite or trauma. Two lesions appeared with progressive swelling. DXd with cellulitis and given Tdap and abx.  Fever developed despite abx so admitted for eval. ID consult with likely etiology- a vaccine reaction to Dtap. Final Dx:  Febrile Illness of unknown etiology.  L ankle cellulitis.  Mild pancytopenia, resolving.  Hyperglycemia with Hgb A1C of 4.8.  Mild proteinuria.
Age: 37.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, White blood cell count decreased
Clinical narrative: Patient iniatially comlpained of celluitis on left lower extremity that was due to an insect bite 5 days prior to vaccination. On 6/29/07 patient recieved keflex and dTaP vaccination. Earlier the next morning patient complained of  a fever which was 102 F and later returned to his primary care provider where his temperature was noted to be 103.9 F. Patient was instructed to report to the ED and was admitted to Munson Medical Center of Traverse City.  8/20/2007 MR received for DOS 6/29/07-7/1/07 for c/o fever and resolving Left lower extremity cellulitis.  Pt initially noticed bleeding from his foot without obvious bite or trauma. Two lesions appeared with progressive swelling. DXd with cellulitis and given Tdap and abx.  Fever developed despite abx so admitted for eval. ID consult with likely etiology- a vaccine reaction to Dtap. Final Dx:  Febrile Illness of unknown etiology.  L ankle cellulitis.  Mild pancytopenia, resolving.  Hyperglycemia with Hgb A1C of 4.8.  Mild proteinuria.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Received MMR vaccine at pre-employment physical on 6/7/07. Called employee health on 7/2/07 and stated she was having redness at the site of her MMR vaccine; noted R arm soreness immediately after the vaccine and redness starting about 2 weeks after the initial vaccine. Reported that the injection site became more red and indurated with a hard lump; tried ice without much benefit. Further stated the induration is about the "size of a quarter with erythema around it approximately the size of the opening of a paper cup".
Age: 0.17
Sex: F
Vaccine: RVX
Symptoms: Diarrhoea, Parasite blood test, Stool analysis abnormal
Clinical narrative: persistent diarrhea since Roto vaccine
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Fatigue, Flushing, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Dr. suggested during a routine visit that I have a repeat of the pneumonia vaccine, which I agreed to.  Since I was planning a trip on 6/17/07, I asked if there would be any reactions and he said no. The RN administered the injection, never giving me any written information regarding the injection. That evening my face became very flushed and I began feeling very tired and a lot of malaise.  I called and talked to an RN, who said she would check with the doctor and call me back, but she never did.  The next day I was still pretty sick and my arm ached so bad I could hardly move it.  Also, I developed a huge red lump at the injection site.  The third day I felt about the same, but I now had red welts appearing on my arm and shoulder.  My temp for the 2 day period after the injection was about 99.  I then called a second time and the RN advised me that I should have been given the insert, which she insisted on reading to me before she would transfer me to the doctor.  Dr. then talked to me. He never really identified himself and his name does not appear on my medical records.  He advised me to take Benadryl and apply heat to the affected areas.  He said if I became worse to go into the ER, because they were too busy to fit me into their closing schedule.  The next day I improved without further incident. On 6/28/07 I requested my medical records and discovered that no mention of the reaction or any of my phone calls had been made, which I do not understand.  Would you kindly advise me how to have my medical records corrected?  I do not know if it is relevant or not, but I would like to state that in June I initiated a formal complaint against a local hospital where I had volunteered. Thank you very much for your help.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site nodule, Malaise, Pain in extremity, Urticaria
Clinical narrative: Dr. suggested during a routine visit that I have a repeat of the pneumonia vaccine, which I agreed to.  Since I was planning a trip on 6/17/07, I asked if there would be any reactions and he said no. The RN administered the injection, never giving me any written information regarding the injection. That evening my face became very flushed and I began feeling very tired and a lot of malaise.  I called and talked to an RN, who said she would check with the doctor and call me back, but she never did.  The next day I was still pretty sick and my arm ached so bad I could hardly move it.  Also, I developed a huge red lump at the injection site.  The third day I felt about the same, but I now had red welts appearing on my arm and shoulder.  My temp for the 2 day period after the injection was about 99.  I then called a second time and the RN advised me that I should have been given the insert, which she insisted on reading to me before she would transfer me to the doctor.  Dr. then talked to me. He never really identified himself and his name does not appear on my medical records.  He advised me to take Benadryl and apply heat to the affected areas.  He said if I became worse to go into the ER, because they were too busy to fit me into their closing schedule.  The next day I improved without further incident. On 6/28/07 I requested my medical records and discovered that no mention of the reaction or any of my phone calls had been made, which I do not understand.  Would you kindly advise me how to have my medical records corrected?  I do not know if it is relevant or not, but I would like to state that in June I initiated a formal complaint against a local hospital where I had volunteered. Thank you very much for your help.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria
Clinical narrative: A hive type rash on her neck, both legs, both arms, elbow about 24 hours. Treatment: 50mg Benadryl Q6 PRN after 3rd HPV, urticaria type rash.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness below injection
Age: 11.0
Sex: M
Vaccine: MEN, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling (2 cm) at site of of injections.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dermatitis allergic, Erythema, Rash papular
Clinical narrative: Allergic rash = excariations on both thighs = rough, red discrete papules eczema-like.
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Injection site erythema, Skin exfoliation
Clinical narrative: Mother states she noticed reddening at the site of injection with in hours after injection. Blisters noted later. Left arm - (+) irregular shaped erythema around the arm with multiple blisters with area of 1/2" diameter, imbilicated bumpy red blister with skin peeling.
Age: 1.0
Sex: F
Vaccine: HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 101.5
Age: 63.0
Sex: U
Vaccine: PPV
Symptoms: Mobility decreased, Pain, Rash, Swelling
Clinical narrative: Couldn't more arm above her head. Swollen, soreness, rash.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Received Td injection on 5/31/07 and presented to the walk-in clinic on 6-2-07 with redness pain and swelling at the injection site. Dx'd with cellulitis.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Rash pustular, Varicella
Clinical narrative: Rash noticed by parent starting on 7/4/07 with areas becoming pustular. On 7/5/07 7 pustular areas on chin, 3 pustular areas on back with 1 x 2 flat erythematous area diagnosed with Varicella.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Local swelling, Skin warm
Clinical narrative: Localized swelling 5 1/2 x 6cm started with swelling and warmth, no streaks.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Mom states child broke out in hives. Mom denies any problems with breathing. Instructed to call doctor's office and take to doctor's office to get checked. Prior to giving vaccine client with rash to face noted stated had fever of 101 on 5-21 denies fever within lasted 24 hours. States hives to face and states are lessened.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness and swelling at site of Varicella approximately 5.6cm in diameter.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Right arm administration site with redness, swelling (6-7 cm), itching.
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Influenza like illness, Nausea, Pain in extremity, Pharyngolaryngeal pain
Clinical narrative: Donor reported flu-like symptoms (H/A, N, runny nose, sore throat, aching arm) the evening after receiving Tet. immunization. Symptoms lasted approximately 24 hours (no difficulty swallowing/breathing).
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Rhinorrhoea
Clinical narrative: Donor reported flu-like symptoms (H/A, N, runny nose, sore throat, aching arm) the evening after receiving Tet. immunization. Symptoms lasted approximately 24 hours (no difficulty swallowing/breathing).
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Ear infection, Pyrexia
Clinical narrative: High fever 102.5, cough, ear infection, nebulizer meds Albuterol, Amoxicillin, cough syrup, Tylenol.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Local swelling, Pyrexia
Clinical narrative: Fever and headache and localized swelling.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 6-7-07 Redness and swelling about quarter in size at injection site. Red line about 1 to 1 1/2 inches going down arm from injection site. No fever, no rash, advised cool compresses and Tylenol 6-8-07 symptoms were improving redness is better, swelling is down.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Cold compress therapy, Erythema, Injection site induration, Injection site pruritus
Clinical narrative: 6/25/07 3 X 2.5CM raised itchy hot induration at injection site few hours later redness over entire triceps area. 6/25/07 Today with raised clear blisters, no pus - blisters appear dry and flat - cool compresses and watch.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site warmth
Clinical narrative: 6/25/07 3 X 2.5CM raised itchy hot induration at injection site few hours later redness over entire triceps area. 6/25/07 Today with raised clear blisters, no pus - blisters appear dry and flat - cool compresses and watch.
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Erythema
Clinical narrative: Local erythema to Varivax. (+) temp 100.3 PO in office. Follow up call x 2 no answer 7-2-07, follow up call mom on vacation states area was fine.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Large red, swollen area approximately 3 inches in diameter in vicinity of injection site. Area is warm and painful to the touch. Area around swelling is itchy.
Age: 22.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Multiple welts with surrounding erythema on arms, legs, and torso with itchiness.
Age: 1.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh red and swollen day after immunization given.
Age: 21.0
Sex: F
Vaccine: JEV
Symptoms: Erythema, Rash pruritic
Clinical narrative: Developed red, itchy rash approximately 48 hours after administering #2 Japanese Encephalitis Vaccine - given Benadryl (oral) for approximately 24 hours and used Calamine Lotion - called Health Department on 6/25/2007.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Back pain, Chills, Muscle spasms, Pain
Clinical narrative: Patient described body aches, muscle cramps with back pain. Febrile with chills. No nausea, no vomiting or headache. Lasted for 12 hrs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Tenderness
Clinical narrative: On 6/28/07 received DTaP, IPV, MMR woke up 6/29/07 with right arm red and tender. Seen in our office diagnosed with early cellulitis due to immunization reaction. Prescribed Keflex.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: Nausea started one hour after shot administered. Emesis x 1 after 12 hours. Diarrhea 36 hours. No fever, no URI sxs, nor rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness to left deltoid
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Body temperature increased, Ear pain, Erythema
Clinical narrative: 3 Hours later acting fussy - 1 a.m. 102 degrees, Tylenol given, red from head to toe - twitching won't let you touch her alot 100 degrees today at 3p.m. - still fussy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm red and swollen 3" x 3", warm/ cold compresses and Tylenol for pain
Age: 1.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Balance disorder, Crying, Decreased appetite, Fall, Heart rate increased
Clinical narrative: She received the vaccines just before 1:30pm. Brought her home and gave her motrin (Just in case she got pain from the vaccines). She woke up at 3:30 pm and had a fever of 103.3, her respirations were 80 and her heart rate was 168. (I am a nurse on a maternity unit, so I am familliar with getting vital signs on children. ) I called the doctor  she said to call her on Thursday morning if she still had a fever and said the rapid respirations and heartbeat were probably from the fever. That day all the way up until currently, she has had worse balance than usual and falls when just standing. She hasn't been eating barely anything but does drink milk and water. She has been sleepier than usual and complains that every little bump hurts. Her fever went up and down from Tuesday to Thursday. On Wednesday it was 102.3 in the morning then only 101.4 after lunch. When I got home from work Wednesday, it was back up to 103. Wednesday night and the next 2 nights she woke up crying a lot during the night (she usually sleeps throught the night) Her fever on Thursday morning was 102.5 but by that afternoon it was only 98.6. That night it was 99.6 but she was still up during the night fussing. She was getting Tylenol and Motrin alternating every three hours from Tuesday through Thursday. Also, frequent wash downs with a cloth or a bath with cloth rubs. Friday morning she no longer had a fever but as I have said, she is still acting like she doesn't feel well as of Saturday night.
Age: 1.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Pyrexia, Respiratory rate increased, Sleep disorder, Somnolence
Clinical narrative: She received the vaccines just before 1:30pm. Brought her home and gave her motrin (Just in case she got pain from the vaccines). She woke up at 3:30 pm and had a fever of 103.3, her respirations were 80 and her heart rate was 168. (I am a nurse on a maternity unit, so I am familliar with getting vital signs on children. ) I called the doctor  she said to call her on Thursday morning if she still had a fever and said the rapid respirations and heartbeat were probably from the fever. That day all the way up until currently, she has had worse balance than usual and falls when just standing. She hasn't been eating barely anything but does drink milk and water. She has been sleepier than usual and complains that every little bump hurts. Her fever went up and down from Tuesday to Thursday. On Wednesday it was 102.3 in the morning then only 101.4 after lunch. When I got home from work Wednesday, it was back up to 103. Wednesday night and the next 2 nights she woke up crying a lot during the night (she usually sleeps throught the night) Her fever on Thursday morning was 102.5 but by that afternoon it was only 98.6. That night it was 99.6 but she was still up during the night fussing. She was getting Tylenol and Motrin alternating every three hours from Tuesday through Thursday. Also, frequent wash downs with a cloth or a bath with cloth rubs. Friday morning she no longer had a fever but as I have said, she is still acting like she doesn't feel well as of Saturday night.
Age: 47.0
Sex: F
Vaccine: VARCEL
Symptoms: Basedow's disease, Palpitations, Thyroid function test normal
Clinical narrative: On March 23, 2007 I had a routine shingles vaccination and a routine thyroid test.  The thyroid test was normal.  By April 23 I had full blown Graves disease.  Am currently being treated with Tapizole for Graves disease.  Concidence?
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Anorexia, Arthralgia, Asthenia, Chills, Headache
Clinical narrative: At first fever, chills, weakness, headache, aching, loss of appetite; Fever disappeared, weakness remained; fever returned within a week, with joint pains, swelling of hands and feet, weakness, appetite loss, headache, pinpoint rash on torso.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pyrexia, Rash
Clinical narrative: At first fever, chills, weakness, headache, aching, loss of appetite; Fever disappeared, weakness remained; fever returned within a week, with joint pains, swelling of hands and feet, weakness, appetite loss, headache, pinpoint rash on torso.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Fatigue, Headache, Hypoaesthesia
Clinical narrative: After receiving vaccine, displayed tenderness and redness at injection site.  Within a few days after receiving vaccine, displayed flu like symptoms, tightness in right arm, soreness through right arm, inability to use full range of motion.  Patient was also vaccinated with Gammaglobulin at the time the Anthrax vaccine was administered.  The Gammaglobulin vaccine was administered in patients right hip / buttock area.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Influenza like illness, Injected limb mobility decreased, Injection site erythema, Injection site pain, Muscle tightness
Clinical narrative: After receiving vaccine, displayed tenderness and redness at injection site.  Within a few days after receiving vaccine, displayed flu like symptoms, tightness in right arm, soreness through right arm, inability to use full range of motion.  Patient was also vaccinated with Gammaglobulin at the time the Anthrax vaccine was administered.  The Gammaglobulin vaccine was administered in patients right hip / buttock area.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pain in extremity
Clinical narrative: After receiving vaccine, displayed tenderness and redness at injection site.  Within a few days after receiving vaccine, displayed flu like symptoms, tightness in right arm, soreness through right arm, inability to use full range of motion.  Patient was also vaccinated with Gammaglobulin at the time the Anthrax vaccine was administered.  The Gammaglobulin vaccine was administered in patients right hip / buttock area.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Choking, Convulsion, Culture urine, Decreased appetite
Clinical narrative: My daughter received her first dose of Gardasil on April 19, 2007 she felt feverish minutes after and developed a sore throat the same day. The next day she complained of a headache and contined to complain of headaches for the next 2 months. Also my daughter had a large decrease in appetite, dizziness, nausea and fatigue that she had never felt before.  On June 13, 2007 my daughter had the second dose of Gardasil. She again felt feverish, tired and complained of a sore throat once again. The headaches increased within a few days of the second shot. She also told me she felt "slower" than normal and that she had to think about things before doing them, like typing and using her cell phone. On July 1, 2007 my daughter said she had a "horrible" headache, with in 15 minutes of saying this she fainted and stopped breathing. I had to give her mouth to mouth to get her breathing again. My daughter then had 2 back to back seizures. Her entire body became rigid with her hands and arms raising and all her muscles contracting. Her eyes seem to pop out of her head. She began to choke and was unable to breath. I again gave her a breath of air and she then began to vomit and a few minutes later she came to. An ambulance took her to the hospital where a cat scan, MRI/MRA and EEG tests were negative. Blood work showed a slightly raised potassium level and small amounts of Vicodin (last dose taken 3 days before seizure) which she was taking for an unrelated arm injury. Urine tests were also normal and a strep test was negative. There is no family history or seizures and my daughter was healthy until she received the Gardasil shots.  07/16/2007 MR received for o/n hospital stay 7/1/2007 for c/o generalized tonoclonic seizure activity seen after pt fell to floor.  Pt c/o post-ictal H/A as well as H/A prior to seizure.  PE WNL.  Neuro consult with Impression of new Onset Seizure Disorder, etiology not clear.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Eye disorder, Fatigue, Headache, Muscle contractions involuntary
Clinical narrative: My daughter received her first dose of Gardasil on April 19, 2007 she felt feverish minutes after and developed a sore throat the same day. The next day she complained of a headache and contined to complain of headaches for the next 2 months. Also my daughter had a large decrease in appetite, dizziness, nausea and fatigue that she had never felt before.  On June 13, 2007 my daughter had the second dose of Gardasil. She again felt feverish, tired and complained of a sore throat once again. The headaches increased within a few days of the second shot. She also told me she felt "slower" than normal and that she had to think about things before doing them, like typing and using her cell phone. On July 1, 2007 my daughter said she had a "horrible" headache, with in 15 minutes of saying this she fainted and stopped breathing. I had to give her mouth to mouth to get her breathing again. My daughter then had 2 back to back seizures. Her entire body became rigid with her hands and arms raising and all her muscles contracting. Her eyes seem to pop out of her head. She began to choke and was unable to breath. I again gave her a breath of air and she then began to vomit and a few minutes later she came to. An ambulance took her to the hospital where a cat scan, MRI/MRA and EEG tests were negative. Blood work showed a slightly raised potassium level and small amounts of Vicodin (last dose taken 3 days before seizure) which she was taking for an unrelated arm injury. Urine tests were also normal and a strep test was negative. There is no family history or seizures and my daughter was healthy until she received the Gardasil shots.  07/16/2007 MR received for o/n hospital stay 7/1/2007 for c/o generalized tonoclonic seizure activity seen after pt fell to floor.  Pt c/o post-ictal H/A as well as H/A prior to seizure.  PE WNL.  Neuro consult with Impression of new Onset Seizure Disorder, etiology not clear.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle rigidity, Nausea, Pharyngolaryngeal pain, Pyrexia, Respiratory arrest
Clinical narrative: My daughter received her first dose of Gardasil on April 19, 2007 she felt feverish minutes after and developed a sore throat the same day. The next day she complained of a headache and contined to complain of headaches for the next 2 months. Also my daughter had a large decrease in appetite, dizziness, nausea and fatigue that she had never felt before.  On June 13, 2007 my daughter had the second dose of Gardasil. She again felt feverish, tired and complained of a sore throat once again. The headaches increased within a few days of the second shot. She also told me she felt "slower" than normal and that she had to think about things before doing them, like typing and using her cell phone. On July 1, 2007 my daughter said she had a "horrible" headache, with in 15 minutes of saying this she fainted and stopped breathing. I had to give her mouth to mouth to get her breathing again. My daughter then had 2 back to back seizures. Her entire body became rigid with her hands and arms raising and all her muscles contracting. Her eyes seem to pop out of her head. She began to choke and was unable to breath. I again gave her a breath of air and she then began to vomit and a few minutes later she came to. An ambulance took her to the hospital where a cat scan, MRI/MRA and EEG tests were negative. Blood work showed a slightly raised potassium level and small amounts of Vicodin (last dose taken 3 days before seizure) which she was taking for an unrelated arm injury. Urine tests were also normal and a strep test was negative. There is no family history or seizures and my daughter was healthy until she received the Gardasil shots.  07/16/2007 MR received for o/n hospital stay 7/1/2007 for c/o generalized tonoclonic seizure activity seen after pt fell to floor.  Pt c/o post-ictal H/A as well as H/A prior to seizure.  PE WNL.  Neuro consult with Impression of new Onset Seizure Disorder, etiology not clear.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Vomiting
Clinical narrative: My daughter received her first dose of Gardasil on April 19, 2007 she felt feverish minutes after and developed a sore throat the same day. The next day she complained of a headache and contined to complain of headaches for the next 2 months. Also my daughter had a large decrease in appetite, dizziness, nausea and fatigue that she had never felt before.  On June 13, 2007 my daughter had the second dose of Gardasil. She again felt feverish, tired and complained of a sore throat once again. The headaches increased within a few days of the second shot. She also told me she felt "slower" than normal and that she had to think about things before doing them, like typing and using her cell phone. On July 1, 2007 my daughter said she had a "horrible" headache, with in 15 minutes of saying this she fainted and stopped breathing. I had to give her mouth to mouth to get her breathing again. My daughter then had 2 back to back seizures. Her entire body became rigid with her hands and arms raising and all her muscles contracting. Her eyes seem to pop out of her head. She began to choke and was unable to breath. I again gave her a breath of air and she then began to vomit and a few minutes later she came to. An ambulance took her to the hospital where a cat scan, MRI/MRA and EEG tests were negative. Blood work showed a slightly raised potassium level and small amounts of Vicodin (last dose taken 3 days before seizure) which she was taking for an unrelated arm injury. Urine tests were also normal and a strep test was negative. There is no family history or seizures and my daughter was healthy until she received the Gardasil shots.  07/16/2007 MR received for o/n hospital stay 7/1/2007 for c/o generalized tonoclonic seizure activity seen after pt fell to floor.  Pt c/o post-ictal H/A as well as H/A prior to seizure.  PE WNL.  Neuro consult with Impression of new Onset Seizure Disorder, etiology not clear.