chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP, HPV4, TTOX
Symptoms: Arthralgia, Blindness, Bone pain, Computerised tomogram normal, Dizziness
Clinical narrative: Initial report received on 25 February 2009 from the patient's parent. A 24-year-old female patient had received two vaccines on 20 October 2008. She had received a first dose of ADACEL and a dose of GARDASIL (manufacturer Merck). The lot numbers, routes and sites of administration for both vaccines were unknown. At the time of vaccinations, the patient had no concurrent illnesses, or use of other medications, but had medical history of severe allergy to Brazil nuts and allergy to other nuts. Within 24 hours after vaccination (02:00am on 21 October 2008), the patient had pain in her arm (unknown which arm), body aches, tingling all over, and headache. Per the reporter, the patient slept for six days. On 21 January 2009 (93 days post-vaccination), the patient "lost vision" and had garbled speech. She was taken to the emergency room where several diagnostic tests were completed. The diagnostic tests included CAT scan, EKG, drug toxicity test, and other blood test. The results of the tests were not provided. As of 25 February 2009, the patient continues to have intermittent body aches and tingling. At the time of this report, the recovery status of the patient was unknown. Documents held by sender: None.
Age: 24.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP, HPV4, TTOX
Symptoms: Headache, Hypersomnia, Hypoaesthesia, Incoherent, Laboratory test normal
Clinical narrative: Initial report received on 25 February 2009 from the patient's parent. A 24-year-old female patient had received two vaccines on 20 October 2008. She had received a first dose of ADACEL and a dose of GARDASIL (manufacturer Merck). The lot numbers, routes and sites of administration for both vaccines were unknown. At the time of vaccinations, the patient had no concurrent illnesses, or use of other medications, but had medical history of severe allergy to Brazil nuts and allergy to other nuts. Within 24 hours after vaccination (02:00am on 21 October 2008), the patient had pain in her arm (unknown which arm), body aches, tingling all over, and headache. Per the reporter, the patient slept for six days. On 21 January 2009 (93 days post-vaccination), the patient "lost vision" and had garbled speech. She was taken to the emergency room where several diagnostic tests were completed. The diagnostic tests included CAT scan, EKG, drug toxicity test, and other blood test. The results of the tests were not provided. As of 25 February 2009, the patient continues to have intermittent body aches and tingling. At the time of this report, the recovery status of the patient was unknown. Documents held by sender: None.
Age: 24.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP, HPV4, TTOX
Symptoms: Myalgia, Pain, Vision blurred
Clinical narrative: Initial report received on 25 February 2009 from the patient's parent. A 24-year-old female patient had received two vaccines on 20 October 2008. She had received a first dose of ADACEL and a dose of GARDASIL (manufacturer Merck). The lot numbers, routes and sites of administration for both vaccines were unknown. At the time of vaccinations, the patient had no concurrent illnesses, or use of other medications, but had medical history of severe allergy to Brazil nuts and allergy to other nuts. Within 24 hours after vaccination (02:00am on 21 October 2008), the patient had pain in her arm (unknown which arm), body aches, tingling all over, and headache. Per the reporter, the patient slept for six days. On 21 January 2009 (93 days post-vaccination), the patient "lost vision" and had garbled speech. She was taken to the emergency room where several diagnostic tests were completed. The diagnostic tests included CAT scan, EKG, drug toxicity test, and other blood test. The results of the tests were not provided. As of 25 February 2009, the patient continues to have intermittent body aches and tingling. At the time of this report, the recovery status of the patient was unknown. Documents held by sender: None.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Localized, hand-sized reaction at area of vaccine administration; swelling, redness, pain, itching; worsening since vaccine administered 2/27/09.  Pt. having no SOB, no hives, no throat closing sensation, no symptoms in any other part of her body.  Pt. came to our clinic for evaluation, but stated she would go to her PCP for treatment.  I suggested she go as soon as possible.  She did not want to stay for further evaluation/treatment by us.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune disorder, Convulsion, Headache, Muscular weakness, Nervous system disorder
Clinical narrative: Information has been received from a nurse practitioner, who was told by one of her own patients, concerning a 15 year old female patient who is not a patient in her office, in late June 2008 was vaccinated with the first dose of GARDASIL at a pediatrician office. In mid July 2008, the patient experienced severe headaches, muscle weakness, neurological disorders and autoimmune issues. The reporter stated that the patient had out patient neurological tests done and she was currently experienced seizures. The HPV vaccine was discontinued. As of 23-FEB-2008, the patient had not recovered. The patient sought medical attention with a physician. Upon internal review seizures was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Chest pain, Dyspnoea, Fatigue, Infectious mononucleosis
Clinical narrative: Information has been received from a teenage female athlete (runner) via a news report who in May 2008, was vaccinated with GARDASIL. In May 2008, within days of getting the vaccine, the patient became mysteriously ill and was hospitalized. The patient said she couldn't breathe and was really fatigued. Her chest was beginning to hurt like she was having an allergy or asthma attack. In July 2008, doctors diagnosed the patient with mononucelosis. As of 19-FEB-2009, the patient had not recovered and was still too weak to run. The patient's family thinks GARDASIL was responsible, but the patient's physician's did not know if her condition was related to the vaccine or if it was a coincidence. Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Malaise
Clinical narrative: Information has been received from a teenage female athlete (runner) via a news report who in May 2008, was vaccinated with GARDASIL. In May 2008, within days of getting the vaccine, the patient became mysteriously ill and was hospitalized. The patient said she couldn't breathe and was really fatigued. Her chest was beginning to hurt like she was having an allergy or asthma attack. In July 2008, doctors diagnosed the patient with mononucelosis. As of 19-FEB-2009, the patient had not recovered and was still too weak to run. The patient's family thinks GARDASIL was responsible, but the patient's physician's did not know if her condition was related to the vaccine or if it was a coincidence. Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Confusional state, Dehydration, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female with no previous medical history or drug allergies reported who on 17-DEC-2008 was vaccinated with the first dose of GARDASIL (Lot # 661044/0548X), 0.5 mL, I.M. On around 05-JAN-2009, the patient became really sick, had a fever of 104 F, a sore throat, and was dehydrated. The patient was awakened in the middle if the night but was not fully alert. Her mother, who spoke with her that night, said that she did not know where she was. On 05-JAN-2009, the patient was taken to the emergency room. She was given MOTRIN and IV fluids. The emergency room could not find a cause for her illness. On 17-FEB-2009, the symptoms were resolved. The patient was followed up on 21-FEB-2009 by her primary care. The symptoms were considered to be an other important medical events by the medical assistant. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
Clinical narrative: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female who was vaccinated with first and second 0.5mL doses of GARDASIL on 29-JUN-2007 and 29-SEP-2007. The physician reported that they believed the patient was pregnant on 10-DEC-2007. On 29-DEC-2007, the patient was vaccinated with the dose of GARDASIL. On 24-JAN-2008 the patient experienced miscarriage. Lab test performed included unspecified pregnancy test. This is one of two reports concerning the same patient. Upon internal review miscarriage has been considered an other important medical event. Subsequently in June 2008 the patient became pregnant again and on August 2008 the patient had another miscarriage (WAES #0902USA04455). Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
Clinical narrative: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female who was vaccinated with first, second and third 0.5mL dose of GARDASIL on 29-JUN-2007, 29-SEP-2007 and 29-DEC-2007.  On 24-JAN-2008, the patient had a miscarriage (MSD WAES # 0902USA04384).  Subsequently in June 2008 the patient became pregnant again and on August 2008 the patient had another miscarriage.  Lab tests performed included unspecified pregnancy test.  This is one of two reports concerning the same patient.  Upon internal review, miscarriage was considered to be an other important medical event.  Additional information has been requested.
Sex: U
Vaccine: FLUX
Symptoms: Death, Influenza
Clinical narrative: Initial report received on 20 February 2009 from a newspaper source. Two children, 2 years and younger, had one of the two doses of vaccine recommended for young children (manufacturer and lot number not reported) and have died of influenza. No further information was provided. List of Documents held by Sender: None.
Age: 65.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Condition aggravated, Nasal discomfort, Sneezing
Clinical narrative: Initial information received on 20 February 2009 from a consumer. A 65 year old male patient who at the age of 5 years suffered severe chest pain and was diagnosed with pleurisy after being vaccinated. No further details were provided. The patient also reported having polyps removed from his colon (date not provided). On 10 February 2009 the patient received ACAM2000 (lot number was not reported). The patient stated that he had a "take" at the vaccination site. Two to three days post vaccination he developed an "engrossing but not sharp" pleuritic chest pain which resolved after two days. There was no associated shortness of breath but the patient had nasal itching and sneezing. No further information was reported. List of Documents held by Sender: none.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Initial report received 19 February 2009 from a health care professional. A 14-year-old male patient with a medical history of environmental allergies and acne, had received an intramuscular right deltoid injection of FLUZONE SV 2008-2009, lot number U2762AA on 29 October 2008 and three days later, he developed pain in his legs. The patient was evaluated on an unspecified date by his family physician who diagnosed the patient has having Guillain Barre Syndrome (GBS). The patient had no illness at the time of vaccination and he had been receiving ZYRTEC, tetracycline, multivitamin, TYLENOL (prn), and allergy shots concomitantly. At the time of the report, the patient's recovery status was unknown. No additional information was provided. Documents held by sender: None. 3/6/09-records received-office visit 9/23/08-seen for evaluation upon awakening feeling "woozy". Suddenly fainted to the floor and after 20-30 seconds appeared fine. Feels hot and cold expecially when changing positions, felt hot last week. Assessment:vestibular dysfunction. Presented on 11/10/08 after ED visit 2 days prior. DX:Probably mesenteric adenitis. Small amount of tenderness to firm palpation in right lower quadrant. 11/21/08-Parent called stating weakness in legs is getting better. Did not return for additional visits.  3/12/09-records received for ED visit 11/8/08-C/O lower right quadrant pain, aching, loss of appetite, nausea.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Grip strength decreased, Hypoaesthesia, Pain
Clinical narrative: Initial information received on 18 February 2009 from a health care professional. A 49 year old male patient received FLUZONE (lot number U2761AA) intramuscularly in the left deltoid in August 2008. Two days post vaccination the patient's two index fingers, whole hand, and arm "went dead". He was unable to grasp and complained of numbness and pain. He was seen by a neurologist, details not provided. The patient was not recovered at the time of the report. List of Documents held by Sender: none.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Food intolerance, Pain, Urticaria, Weight decreased
Clinical narrative: 30 min after shot- hives, pain shooting down arm and chest, nurse gave me BENADRYL. One week later I was still having hives on my chest after eating and still do, plus I have lost weight. Some foods I can't eat and it has been 4 months since the shot.  3/4/09 MR received from PCP from 10/10/08 to 2/6/09 with DX:  Allergic Reaction to Flu vaccine. Pt initially presented 2 hrs after Flu vax with c/o L upper extremity rash which later spread to the face, neck and the rest of the extremity, (+) pruritis. PE (+) for hives, itching, rash. Tx:  Benadryl IM R deltoid..  Returned 10/28/08 w/ c/o 2 week hx of numbness of the R arm near the Benadryl injection site. Decreased sense of touch R deltoid. Likely due to axillary nerve irritation. Pt reports frequent allergic reactions to foods with subsequent wt loss on 11/28/08. Pt presented again with continued and worsening rash-dusky red, maculopapular on trunk, face extremities c/w hives. Referred to allergist.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Lymphadenopathy, Pyrexia, Rash generalised, Skin test negative
Clinical narrative: At 2:30 pm on 7/22/2008, fever started 99 degrees, in 1/2 hour went up to 101 degrees. Seizure started went to ER in Ambulance, seizure lasted 45 minutes given VALIUM and seizure medication, admitted to PICU given antibiotics. 1 week later fever up to 103 degrees with rash all over body. The next two months constant fevers, rashes and hives. Also his lymph nodes in groin were swelled. 3/18/09-records received for DOS 7/22-7/25/08- DC DX: new onset seizure. Admitted in status epilepticus reuiring sedation and mechanical ventilation, subsequently extubated.  DC Summary received for DOS 8/4-8/7/08-DC DX: fever, rash, lymphadenopathy resolving possibly viral. Neutropenia getting better. Seizure disorder. Admitted with fever for 4 days with diffuse rash for 3 days and mild edema  of lower extremities and bilateral inguinal lymphadenopathy of 3 months duration. Rash fine lacy erythematous.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: At 2:30 pm on 7/22/2008, fever started 99 degrees, in 1/2 hour went up to 101 degrees. Seizure started went to ER in Ambulance, seizure lasted 45 minutes given VALIUM and seizure medication, admitted to PICU given antibiotics. 1 week later fever up to 103 degrees with rash all over body. The next two months constant fevers, rashes and hives. Also his lymph nodes in groin were swelled. 3/18/09-records received for DOS 7/22-7/25/08- DC DX: new onset seizure. Admitted in status epilepticus reuiring sedation and mechanical ventilation, subsequently extubated.  DC Summary received for DOS 8/4-8/7/08-DC DX: fever, rash, lymphadenopathy resolving possibly viral. Neutropenia getting better. Seizure disorder. Admitted with fever for 4 days with diffuse rash for 3 days and mild edema  of lower extremities and bilateral inguinal lymphadenopathy of 3 months duration. Rash fine lacy erythematous.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Gram stain positive, Influenza like illness, Injection site abscess, Injection site pain, Myalgia
Clinical narrative: 10/28 flu shot @ store. 10/29 flu-like sx: myalgia, sore throat 11/1 pain, tenderness @ site. ER/admit 11/10 - 12/1 abscess L deltoid --> staph aureus.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Staphylococcal abscess
Clinical narrative: 10/28 flu shot @ store. 10/29 flu-like sx: myalgia, sore throat 11/1 pain, tenderness @ site. ER/admit 11/10 - 12/1 abscess L deltoid --> staph aureus.
Age: 34.0
Sex: M
Vaccine: HEPA
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Fatigue, Myalgia
Clinical narrative: Felt sharp pain in chest approx 3 days after shot. Shortness of breath, fatigue, fever, night sweats, muscle soreness. Hospitalized after for 3 days due to a pericardial effusion and acute pericarditis.  3/16/2009 MR received for DOS 9/8-11/2008 with D/C DX:  Acute pericarditis with pericardial effusion.  Pt presented with 1 1/2 week hx of feeling feverish, chills and stuffy nose which later progressed to shortness of breath and dull chest pressure which radiated to the mid back. (+) night sweats. PE (+) for T=100'F, jugular venous distention, pericardial rub.  Tx with NSAIDs and colchicine to f/u as outpt.
Age: 34.0
Sex: M
Vaccine: HEPA
Symptoms: Night sweats, Pericardial effusion, Pericarditis, Pulse pressure increased, Pyrexia
Clinical narrative: Felt sharp pain in chest approx 3 days after shot. Shortness of breath, fatigue, fever, night sweats, muscle soreness. Hospitalized after for 3 days due to a pericardial effusion and acute pericarditis.  3/16/2009 MR received for DOS 9/8-11/2008 with D/C DX:  Acute pericarditis with pericardial effusion.  Pt presented with 1 1/2 week hx of feeling feverish, chills and stuffy nose which later progressed to shortness of breath and dull chest pressure which radiated to the mid back. (+) night sweats. PE (+) for T=100'F, jugular venous distention, pericardial rub.  Tx with NSAIDs and colchicine to f/u as outpt.
Age: 17.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: Tdap and Varicella administered while she is pregnant. 16wks. EGA.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site pruritus, Injection site reaction, Scab
Clinical narrative: Crusty and itchy: topical skin reaction site of flu shot. Resolved with hypopigmented round area 12 mm diameter site injection. Not itching. Not sore.
Age: 7.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Client in today with sister who are getting vaccines.  Client had vaccines administered on 2/18/09 and started rash on her chest today mom states client has no other cause or risk for rash fuls could be related to vaccines.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness, induration L deltoid 6cm x 6cm.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin, Blood test, Burning sensation, Discomfort, Laboratory test
Clinical narrative: A week after immunization started with lower leg itching which then included the abdomen/torso. Rash-full body after @ 2 weeks with cont. itching, burning & pins & needles discomfort from neck down.  Went to numerous M.D.s & also phoned PCP who admin.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus, Rash generalised
Clinical narrative: A week after immunization started with lower leg itching which then included the abdomen/torso. Rash-full body after @ 2 weeks with cont. itching, burning & pins & needles discomfort from neck down.  Went to numerous M.D.s & also phoned PCP who admin.
Age: 0.1
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Influenza serology positive, Injection site erythema, Injection site rash
Clinical narrative: Patient here today for Right thigh red area after shot on Friday, an on Left has softball size red rash where the immunizations were. Patient did not have shots at Medical Clinic. Mom not sure which shots were given where, patient had VARIVAX, MMR, Polio, and DTap. BENADRYL PRN and Ibuprofen PRN
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Profuse diarrhea for 7-8 days on day after vaccine given.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Pyrexia, Upper respiratory tract congestion
Clinical narrative: Sudden onset of fever 103.9 with cough, headache, & congestion.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Swelling, Tenderness, Urticaria
Clinical narrative: 7"-8" wheal, redness, tender to touch per patient. Swelling and soreness.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema
Clinical narrative: Redness-trial of ZYRTEC, and if worsening then antibiotics.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: Redness - ZYRTEC/allergy med, antibiotics.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling, pain, itching at site of injection.  Instructed pt. to use warm compresses,  topical BENADRYL or Calamine lotion, ADVIL or TYLENOL for pain, elevation of arm.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Skin lesion, Swelling
Clinical narrative: Redness, swelling, pain, itching at site of injection.  Instructed pt. to use warm compresses,  topical BENADRYL or Calamine lotion, ADVIL or TYLENOL for pain, elevation of arm.
Age: 1.1
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Bronchitis, Cough, Pyrexia, Rash generalised, Varicella
Clinical narrative: On 2/24/09- Rash all over, fever, cough x 2 days- Dx: Varicella + Bronchitis Treatment:  ACYCLOVIR 200/5 1/2 tsp QID x 5 days & BENADRYL 1/2 tsp Q6 hrs PRN itching.
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Pyrexia
Clinical narrative: Mother stated red and swollen right arm about 2/10/09 with fever 104 degrees and several sm "blisters". Took child to family doctor who DX "vaccine reaction, probably VARIVAX". On 2/12/09 No treatment given.
Age: 1.3
Sex: M
Vaccine: IPV
Symptoms: Urticaria
Clinical narrative: Hives noted 7mm took Benadryl none in am, so not seen in office.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Rash pruritic
Clinical narrative: Itch and rash on left side of neck arm and side. Nometasone Furoate,  Hydroxyzine HCL 25 mg, Prednisone.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Chest pain, Eye pain, Nausea
Clinical narrative: Immediately got left sided eye pain and nausea / an hour and a half later got chest tightness and pain, which lasted intermittently 5 days.  No reaction at vaccine site on the left arm.
Age: 54.0
Sex: M
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Rash generalised, Rash pustular
Clinical narrative: Client received immunizations for travel on 12-17-09 and came into the office on 3-2-09 with rash on his body.  Rash appeared to be pin point pustules sporatically over the body.  No complaints of breathing difficulties or other symptoms.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: nodular, pustular, follicular eruption on the chest and back
Age: 66.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None - vaccine given outside age range
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Pruritus, Skin warm
Clinical narrative: 2-26-2009 Right Deltoid Red, Swollen, hard induration, hot to touch, itchy, red streaks and painful to touch.  Pain with Range of motion but has full ROM.  Denies numbness or tingling.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: 2-26-2009 Right Deltoid Red, Swollen, hard induration, hot to touch, itchy, red streaks and painful to touch.  Pain with Range of motion but has full ROM.  Denies numbness or tingling.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site swelling, Musculoskeletal pain, Pain in extremity, Rash
Clinical narrative: left arm swellimg at injection site, with rash.  pain down left arm and on left shoulder blade.  onset immediately after immunization was administered to present.  pateint took motrin.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Stomatitis
Clinical narrative: Patient developed sores on lip approximately 3-4 days after receiving the vaccine.  She then developed sores on her nose as well as around here eyes 8 days after receiving the vaccine.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Condition aggravated, Herpes ophthalmic, Oral herpes
Clinical narrative: Patient developed sores on lip approximately 3-4 days after receiving the vaccine.  She then developed sores on her nose as well as around here eyes 8 days after receiving the vaccine.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Chest X-ray normal, Cough, Dizziness, Dyspnoea, Dysstasia
Clinical narrative: Patient received Menactra vaccine on February 25th and 24 hours later on February 26th he developed fever 101.8, dizziness, nausea, headache, and inability to stand up. He was administered Acetaminophen and Ibuprofen.  On February 27th the fever continued as well as dizziness.  On February 28th fever increased to 102.5 as well a deep cough, with complaints of difficulty in breathing with exertion. I took patient to see Dr. at the Urgent Care center and he ordered antibiotics and took an XRAY, which was negative.  Fever and lethargy continued along with increasing cough on March 1. As of March 2 Fever subsided, patient now on Zithromycin and peak flows have worsened. Patient is displaying symptoms of an asthma attack and is taking ProAir, Advair, Singulair, Nasonex, Allegra, and Sudafed.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Lethargy, Nausea, Pyrexia
Clinical narrative: Patient received Menactra vaccine on February 25th and 24 hours later on February 26th he developed fever 101.8, dizziness, nausea, headache, and inability to stand up. He was administered Acetaminophen and Ibuprofen.  On February 27th the fever continued as well as dizziness.  On February 28th fever increased to 102.5 as well a deep cough, with complaints of difficulty in breathing with exertion. I took patient to see Dr. at the Urgent Care center and he ordered antibiotics and took an XRAY, which was negative.  Fever and lethargy continued along with increasing cough on March 1. As of March 2 Fever subsided, patient now on Zithromycin and peak flows have worsened. Patient is displaying symptoms of an asthma attack and is taking ProAir, Advair, Singulair, Nasonex, Allegra, and Sudafed.
Age: 1.33
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: High Fever 106
Age: 1.0
Sex: M
Vaccine: DTAPH
Symptoms: Pyrexia
Clinical narrative: fever for 5-6 days.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warm and hard @ site 2.5 x .5
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient had pain and swelling at injection site. Was seen in the ED 3 days later
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mild swelling and redness of the left lower thigh
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Laboratory test normal, Loss of consciousness, Syncope, Tilt table test
Clinical narrative: Within 2 days of injection client passed out at school and again at hiome, no other s/s of illness. Admitted to hosp. for tests, all neg. Has passed out 9 times since 1st injection. Has had headachs almost daily since inj. Has been unconsious up to 5 min. and transported to hosp. by ambulance x2, wakes up with C/O Headache and blurred vison. Mom denies history of siezures, has seen pediatric cardiologist, just completed tilt table test, no results as of yet. Has been hospitalized 2 days after 1st episode and 4 days at a later time. Client has had 2nd HPV 08/07/2007 along with Hep A, Var,and MCV4, has continued with faint, but not increase in incidence since 2nd HPV  4/15/2009 Received Cardio consult of 2/3-3/2/2009. FINAL DX: none provided Records reveal patient seen for dizziness, presyncope & syncopal episodes of the past year w/increased frequency over past few wks.  Episodes preceded by dizziness, blurred vision, feeling of weakness & warmth followed by brief LOC & prompt recovery.  Had been hospitalized end of Jan 09.  RTC 3/2 for (+) tilt-table test & tx w/meds & fluid increase.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Vision blurred
Clinical narrative: Within 2 days of injection client passed out at school and again at hiome, no other s/s of illness. Admitted to hosp. for tests, all neg. Has passed out 9 times since 1st injection. Has had headachs almost daily since inj. Has been unconsious up to 5 min. and transported to hosp. by ambulance x2, wakes up with C/O Headache and blurred vison. Mom denies history of siezures, has seen pediatric cardiologist, just completed tilt table test, no results as of yet. Has been hospitalized 2 days after 1st episode and 4 days at a later time. Client has had 2nd HPV 08/07/2007 along with Hep A, Var,and MCV4, has continued with faint, but not increase in incidence since 2nd HPV  4/15/2009 Received Cardio consult of 2/3-3/2/2009. FINAL DX: none provided Records reveal patient seen for dizziness, presyncope & syncopal episodes of the past year w/increased frequency over past few wks.  Episodes preceded by dizziness, blurred vision, feeling of weakness & warmth followed by brief LOC & prompt recovery.  Had been hospitalized end of Jan 09.  RTC 3/2 for (+) tilt-table test & tx w/meds & fluid increase.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainting episode within 5 minutes of administering #3 Gardasil and Varivax #2
Age: 5.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Anxiety, Incontinence, Irritability, Micturition urgency, Mood altered
Clinical narrative: 1) Extreme anxiety - moody and irritable following flu vaccine - constant meltdowns.  2) Sensory issues regarding things touching her - sometimes unwilling to put on clothes.  3)  Constant urge to urinate and feeling that she has been incontinent.   Parent concerned it is related to thimerosol.   Has happened twice - all 3 problems happened after getting flu vaccine, two years in a row.
Age: 5.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Sensory disturbance, Vaccine positive rechallenge
Clinical narrative: 1) Extreme anxiety - moody and irritable following flu vaccine - constant meltdowns.  2) Sensory issues regarding things touching her - sometimes unwilling to put on clothes.  3)  Constant urge to urinate and feeling that she has been incontinent.   Parent concerned it is related to thimerosol.   Has happened twice - all 3 problems happened after getting flu vaccine, two years in a row.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Pt was given his 4 year old immunization on Feb 25, 2009. MMR was given on his right leg and mom stated pt developed rash around the site few hours after. That night, per mom, rash grew bigger, warm to touch and painful. Pt was given Ibuprofen and sx subsided. Pt's mom was intructed to keep an eye on the affected area and will come back if sx gets worse
Age: 7.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Aphasia, Convulsion, Cyanosis, Echoencephalogram, Hemiparesis
Clinical narrative: A serious spontaneous report of seizures and possible transient ischemic attacks has been received from a parent who is also a nurse concerning a seven-year-old female, subsequent to FLUMIST.  The patient had no medical history and was reported to have been very healthy.  The patient received a varicella vaccine on 27-Dec-2007 on the same date as the first FLUMIST vaccine administration.  On 30-Dec-2007, the patient was asleep and started having seizure activity reported as tonic-clonic movements, she stopped breathing and turned blue.  The episode lasted for approximately 90 seconds.  On 30-March-2008, the patient became unable to speak and had right-sided weakness and numbness.  The mother reported that the numbness resolved within 24 hours.  On 20-Oct-2008, the patient received FLUMIST again.  On 12-Jan-2009, an EKG showed abnormal electrical activity on the left side of the brain.  On 19-Jan-2009, a MRI revealed spots on the brain the could be consistent with TIAs.  The patient was started on OXCARBAZEPINE 300 mg BID for the seizures on 19-Jan-2009.  On 19-Feb-2009, the patient had an echoencephalogram, had a chemistry panel drawn, and a PTT for which results are pending.  The events are ongoing.  The mother stated that she does not think that the seizures nor the TIAs are related to FLUMIST.  The sponsor considered the events of seizures and possible TIAs to be serious (important medical events). Follow-up: Information not yet obtained through case follow-up. If information becomes available a VAERS report will be submitted.
Age: 7.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Hypoaesthesia, Laboratory test, Nuclear magnetic resonance imaging brain abnormal, Prothrombin time, Respiratory arrest
Clinical narrative: A serious spontaneous report of seizures and possible transient ischemic attacks has been received from a parent who is also a nurse concerning a seven-year-old female, subsequent to FLUMIST.  The patient had no medical history and was reported to have been very healthy.  The patient received a varicella vaccine on 27-Dec-2007 on the same date as the first FLUMIST vaccine administration.  On 30-Dec-2007, the patient was asleep and started having seizure activity reported as tonic-clonic movements, she stopped breathing and turned blue.  The episode lasted for approximately 90 seconds.  On 30-March-2008, the patient became unable to speak and had right-sided weakness and numbness.  The mother reported that the numbness resolved within 24 hours.  On 20-Oct-2008, the patient received FLUMIST again.  On 12-Jan-2009, an EKG showed abnormal electrical activity on the left side of the brain.  On 19-Jan-2009, a MRI revealed spots on the brain the could be consistent with TIAs.  The patient was started on OXCARBAZEPINE 300 mg BID for the seizures on 19-Jan-2009.  On 19-Feb-2009, the patient had an echoencephalogram, had a chemistry panel drawn, and a PTT for which results are pending.  The events are ongoing.  The mother stated that she does not think that the seizures nor the TIAs are related to FLUMIST.  The sponsor considered the events of seizures and possible TIAs to be serious (important medical events). Follow-up: Information not yet obtained through case follow-up. If information becomes available a VAERS report will be submitted.
Age: 7.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Tonic clonic movements, Transient ischaemic attack
Clinical narrative: A serious spontaneous report of seizures and possible transient ischemic attacks has been received from a parent who is also a nurse concerning a seven-year-old female, subsequent to FLUMIST.  The patient had no medical history and was reported to have been very healthy.  The patient received a varicella vaccine on 27-Dec-2007 on the same date as the first FLUMIST vaccine administration.  On 30-Dec-2007, the patient was asleep and started having seizure activity reported as tonic-clonic movements, she stopped breathing and turned blue.  The episode lasted for approximately 90 seconds.  On 30-March-2008, the patient became unable to speak and had right-sided weakness and numbness.  The mother reported that the numbness resolved within 24 hours.  On 20-Oct-2008, the patient received FLUMIST again.  On 12-Jan-2009, an EKG showed abnormal electrical activity on the left side of the brain.  On 19-Jan-2009, a MRI revealed spots on the brain the could be consistent with TIAs.  The patient was started on OXCARBAZEPINE 300 mg BID for the seizures on 19-Jan-2009.  On 19-Feb-2009, the patient had an echoencephalogram, had a chemistry panel drawn, and a PTT for which results are pending.  The events are ongoing.  The mother stated that she does not think that the seizures nor the TIAs are related to FLUMIST.  The sponsor considered the events of seizures and possible TIAs to be serious (important medical events). Follow-up: Information not yet obtained through case follow-up. If information becomes available a VAERS report will be submitted.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pruritus, Rash
Clinical narrative: Patient had shingles like rash that itched. Saw primary care doctor was treated and doing well.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: General hives BENADRYL. Observed 90 minutes, hives diminishing. Referred to allergist for testing.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Severe local erythema, swelling, stiffness with fever up to 102 degrees F.
Age: 48.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Pyrexia, Rash
Clinical narrative: Per patient- She had a rash + fever @ time of ER visit. On 3/3/09 zero rash zero fever-body-aches.  Per patient.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site urticaria, Oedema peripheral
Clinical narrative: Swelling of leg with a fine urticarial rash around injection site.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test normal, Syncope
Clinical narrative: Patient experienced a syncope episode Friday 2/27/09.  Transported to emergency room via ambulance.  Labs and CT of head negative.  Most recent health event was GARDASIL vaccine 2/26/09 administration. 3/18/09-records received for DOS 2/27/09-presented to ED with questionable passed out not responding. Eyes rolled back and not responding per witness.  PE: doesn't speak but will sit up and open mouth when asked. Rolling eyes side to side, fluttering lids, DTRs 2/4.  Impression resolved altered LOC. Probable anxiety.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Immediate post-injection reaction, Malaise, Pallor, Unresponsive to stimuli
Clinical narrative: Received Tdap and meningitis vaccines. Several minutes later became pale, said he didn't feel well. Became unresponsive for < 1 minute. Condition was closely monitored for next 15 minutes. Left building unassisted with mother and siblings.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site rash, Injection site vesicles
Clinical narrative: - Red itchy injection site rash that spread. Became about 2 in x 2 in rash that developed blisters. Very itchy, red and inflamed. No fever. No swelling of throat or difficulty breathing.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Injection site pain, Myalgia, Neck pain
Clinical narrative: Deep muscle pain @ injection site, progressively getting worse after injection. Pain radiates to shoulder trapezius muscle and neck. 3 wks post injection still painful decrease use decrease strength. Given MEDROL dose pack w/ minimal relief. On light duty.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Local reaction
Clinical narrative: Localized reaction to vaccines.  MOTRIN and apply cold compress.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: Area around vaccine became red.
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Body temperature increased, Musculoskeletal pain, Swelling
Clinical narrative: Temp to 102, with R shoulder swelling and pain X 3d. Seen at ER and started on AbX. Currently afebrile and improving recovering.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Antinuclear antibody negative, Blood test, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warmth at injection site noted 2/20/08. Treated with CLARITIN 10 mg, 1x day for 2 days and hydrocortisone cream to site for 2 days. Resolved all symptoms on 2/24/08. On 2/27/08 noted red rash to face in mask-like distribution, affecting forehead, cheeks, chin, nose and around eyes. Treated with hydrocortisone cream with noticeable improvement. Saw PCP on 3/4/08. Lab work drawn 3/5/08. ANA negative. Facial rash resolved 3/8/08.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Rash, Rash erythematous
Clinical narrative: Redness, swelling and warmth at injection site noted 2/20/08. Treated with CLARITIN 10 mg, 1x day for 2 days and hydrocortisone cream to site for 2 days. Resolved all symptoms on 2/24/08. On 2/27/08 noted red rash to face in mask-like distribution, affecting forehead, cheeks, chin, nose and around eyes. Treated with hydrocortisone cream with noticeable improvement. Saw PCP on 3/4/08. Lab work drawn 3/5/08. ANA negative. Facial rash resolved 3/8/08.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Alopecia
Clinical narrative: Received a haircut on 4/15/08. At that time, he noticed a dime-sized area of hair loss on scalp, back of head.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, TYP
Symptoms: Erythema, Skin lesion
Clinical narrative: Reporter contacted manufacturer indicating that the caller had received notification of an AE possible associated with administration of BIOTHRAX vaccine. The subject military service member about to be deployed. The service member was seen at a private physician's office on Fri., 12-19-08 for a small (4mm) red raised lesion on the L forearm. The 26 yr. had received 4th anthrax vaccine in the R deltoid, and Typhoid and Influenza injection in the L deltoid at the military clinic. The physician's major concern was in regards the potential communicability of an "anthrax lesion." The reporter had also contacted the DoD and CDC for information and was satisfied that the lesion was not communicable.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site warmth, Malaise
Clinical narrative: Subject experienced moderate (7x6cm) local reaction to 2nd BIOTHRAX vaccination on 12/1/08. Area warm to touch. Malaise 12/2/08, feeling better by 12/3. The subject has recovered.
Age: 56.0
Sex: M
Vaccine: ANTH
Symptoms: Activities of daily living impaired, Cough, Dry throat, Dyspnoea, Fatigue
Clinical narrative: Subject reports that at approximately 5:00 pm on 10-8-08 he experienced general muscle aches, fatigue and fever. He experienced two episodes of shortness of breath, dry throat and cough on 10-9-08. He also reportedly experienced profound fatigue in the morning of 10-9-08 and missed work. Treated the symptoms with Tylenol and rest. All symptoms resolved on 10-10-08.
Age: 56.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Pyrexia
Clinical narrative: Subject reports that at approximately 5:00 pm on 10-8-08 he experienced general muscle aches, fatigue and fever. He experienced two episodes of shortness of breath, dry throat and cough on 10-9-08. He also reportedly experienced profound fatigue in the morning of 10-9-08 and missed work. Treated the symptoms with Tylenol and rest. All symptoms resolved on 10-10-08.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Cough, Dizziness
Clinical narrative: Subject reports being tired on the first day after receiving the ANTHRAX vaccine. At 6:20 AM on the second day she noted chest pain and shortness of breath while walking. other symptoms reported include cough, dizziness and continued tiredness. Subject presented to Emergency Room. Chest X-ray, EKG and blood work were performed and were reportedly normal. On days 3 and 4 she continued to experience chest pain and SOB with cough on exertion. On day 5 post-vaccination subject reports no chest pain, mild SOB with rare cough continues along with tiredness. Subject also reports redness and swelling at injection site which began on the first day following vaccination and continued to date. 10/30/2008 Contacted subject who reports that she saw her personal physician, was prescribed Diclofenac and all symptoms have resolved.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: Subject reports being tired on the first day after receiving the ANTHRAX vaccine. At 6:20 AM on the second day she noted chest pain and shortness of breath while walking. other symptoms reported include cough, dizziness and continued tiredness. Subject presented to Emergency Room. Chest X-ray, EKG and blood work were performed and were reportedly normal. On days 3 and 4 she continued to experience chest pain and SOB with cough on exertion. On day 5 post-vaccination subject reports no chest pain, mild SOB with rare cough continues along with tiredness. Subject also reports redness and swelling at injection site which began on the first day following vaccination and continued to date. 10/30/2008 Contacted subject who reports that she saw her personal physician, was prescribed Diclofenac and all symptoms have resolved.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site rash
Clinical narrative: Palm-sized dry rash localized to the injection site (injection site rash). Subject is a military person who had received 4 previous doses of Anthrax vaccine (last does in 2004) prior to receiving his 5th dose on 7/11/08. Approximately a day later he developed a palm-sized dry rash localized to the injection site area. The rash was nearly resolved when the subject returned for plasma collection on 7/25/08 and he proceeded with the plasma collection. No latex sensitivity, no prior immunization AE. He has a history of psoriasis/ eczema like condition until approximately age 10. 6/18/08 Subject has recovered no further issues.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Feeling jittery, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Redness at injection site at 24 hours after immunization. Redness, swelling, itching, tenderness and induration at injection site at 48 hours after immunization. Pain extended throughout entire left arm. Subject felt jittery and experienced episodes of heart racing. Subject was seen by a physician and prescribed Loratadine 10 mg daily and Topicort LP cream to site. Symptoms resolved completely as of 7/21/08, 6 days after immunization.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Palpitations
Clinical narrative: Redness at injection site at 24 hours after immunization. Redness, swelling, itching, tenderness and induration at injection site at 48 hours after immunization. Pain extended throughout entire left arm. Subject felt jittery and experienced episodes of heart racing. Subject was seen by a physician and prescribed Loratadine 10 mg daily and Topicort LP cream to site. Symptoms resolved completely as of 7/21/08, 6 days after immunization.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: Subject reports that approx 5 hours after immunization, she experienced malaise and fatigue. Her symptoms progressed to stomach pain and nausea, vomiting and diarrhea at 10 hours after immunization. 20 hours after immunization symptoms included body aches, joint aches, fever, chills, headache and continued nausea, diarrhea, malaise and fatigue.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Subject reports that approx 5 hours after immunization, she experienced malaise and fatigue. Her symptoms progressed to stomach pain and nausea, vomiting and diarrhea at 10 hours after immunization. 20 hours after immunization symptoms included body aches, joint aches, fever, chills, headache and continued nausea, diarrhea, malaise and fatigue.