chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Muscular weakness, Musculoskeletal discomfort, Nausea, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Nuclear magnetic resonance imaging brain, Palpitations, Paraesthesia, Photophobia, Syncope
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Vision blurred, Visual impairment
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Abasia, Acute disseminated encephalomyelitis, Asthenia, Autonomic nervous system imbalance, Blood culture negative
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Blood test normal, C-reactive protein increased, CSF glucose normal, CSF oligoclonal band absent, CSF protein normal
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Chest X-ray normal, Clonus, Convulsion, Coordination abnormal, Dyspnoea
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Electrocardiogram abnormal, Encephalomyelitis, Fatigue, Gait disturbance, Headache
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Hyperreflexia, Lethargy, Lumbar puncture normal, Mental status changes, Muscle twitching
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Neck pain, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Pain in extremity, Palpitations
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Pyrexia, Spinal X-ray normal, Tachycardia, Thyroid function test normal, Tremor
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Urinary tract infection, Urine analysis abnormal, White blood cell count increased
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Body temperature increased, Chills, Computerised tomogram
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Convulsion, Electrocardiogram, Headache, Hyperreflexia, Laboratory test
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lethargy, Lumbar puncture, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Scan brain
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Tachycardia
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Abasia, Acute disseminated encephalomyelitis, Asthenia, Autonomic nervous system imbalance, Body temperature increased
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: CSF oligoclonal band absent, Chills, Clonus, Convulsion, Coordination abnormal
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Dyskinesia, Fatigue, Headache, Hemicephalalgia, Hyperreflexia
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lethargy, Lumbar puncture normal, Mental status changes, Nuclear magnetic resonance imaging abnormal, Pyrexia
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Central nervous system lesion, Fatigue, Headache
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging abnormal, Pyrexia, Tachycardia
Clinical narrative: This 18 year old female received the GARDASIL vaccine and 2 weeks later developed acute disseminated encephalomyelitis. Her initial symptoms were fever tachycardia and headache followed by ataxia. She was discharged and had a recurrence of her symptoms a month later which resolved over the following weeks. She has been left with persistent fatigue and intermittent tachycardia.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Blood test, Clonus, Condition aggravated, Essential tremor
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Fibromyalgia, Headache, Loss of proprioception, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Sleep disorder, Tremor, Vaccine positive rechallenge, Weight decreased
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: X-ray
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Cough, Dizziness, Fibromyalgia, Insomnia
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Oropharyngeal pain, Pain, Sinus disorder, Tremor
Clinical narrative: Information has been received from a physician concerning a female with rhinitis allergic and allergic reaction to antibiotics who on 29-SEP-2008 was vaccinated with the first dose of GARDASIL (lot# not reported) and on unspecified dates vaccinated with the second and third dose of GARDASIL (lot# not reported). Concomitant therapy included ALLEGRA and NASONEX. It was unspecified if any other vaccines were administered. After the first dose of GARDASIL, unknown how long post vaccination, the patient experienced pain at multiple sites, dizziness, and insomnia. Unspecified medical attention was sought. The patient was diagnosed by rheumatologist with fibromyalgia. It was also reported that the patient will also have follow up consult with a neurologist. Follow up information has been received from a registered nurse and a licensed practical nurse concerning the 13 year old female patient. The registered nurse reported that the female patient was with a concurrent condition of allergic rhinitis. The patient on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 was vaccinated with her first, second and third dose of GARDASIL respectively. The patient was first seen in their office on 02-DEC-2009. The patient was scheduled to see a pediatric neurologist. The licensed practical nurse provided additional information. She confirmed that the patient was on concomitant medications ALLEGRA and NASONEX for the concurrent condition of allergic rhinitis. The patient's antibiotic allergies were to amoxicillin, AUGMENTIN and ZITHROMAX. The patient was vaccinated on 29-SEP-2008, 31-DEC-2008 and 23-JUL-2009 with her first, second and third dose of GARDASIL (lot numbers were 660618/0572X, 660618/0572X and 661952/1129X) respectively. The nurse reported the patient was seen on 02-DEC-2008 with "hand shaking" that started five weeks prior. At the January 2009 office visit, the problem persisted. Other office visits were on 13-APR-2009 for a sinus problem, 02-SEP-2009 for a sore throat, and 18-SEP-2009 for a cough. The patient was last seen in the office on 23-SEP-2009 for joint pain. The nurse could not readily find any reference to the site pain, dizziness and insomnia cited in the physician's report. The nurse also stated that it was their office that referred the patient to the rheumatologist. Fibromyalgia, dizziness and insomnia were considered to be disabling via the reporter. Additional information has been requested.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Injection site warmth, Rash pruritic
Clinical narrative: 20 minutes after receiving Seasonal influenza injection experienced itching & light-headedness. Advised nurse 2 hours later. Took BENADRYL 25mg with no improvement. 15 minutes later took additional BENADRYL 25mg.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Pruritus
Clinical narrative: 20 minutes after receiving Seasonal influenza injection experienced itching & light-headedness. Advised nurse 2 hours later. Took BENADRYL 25mg with no improvement. 15 minutes later took additional BENADRYL 25mg.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Hypersensitivity, Rash generalised
Clinical narrative: 20 minutes after receiving Seasonal influenza injection experienced itching & light-headedness. Advised nurse 2 hours later. Took BENADRYL 25mg with no improvement. 15 minutes later took additional BENADRYL 25mg.
Age: 11.0
Sex: U
Vaccine: TDAP, MMR, VARCEL
Symptoms: Death, Varicella post vaccine
Clinical narrative: Information has been received from a nurse concerning an approximately 11 year old patient who "sometime in 1998" was vaccinated with first dose of MMR II (dose, route and lot number not reported). The nurse reported that in 2001, the patient received the second dose of MMR II  (dose, route and lot number not reported). It was also reported that the patient received VARIVAX (Merck) (dose, route and lot number not reported) but the specific date was not provided. The nurse reported that the patient's last vaccination was given in 2008 (name and manufacturer unspecified) and then, about a month ago, in approximately November 2009, the patient the patient died from complications of AIDS. Additional information has been requested.
Age: 11.0
Sex: U
Vaccine: TDAP, MMR, VARCEL
Symptoms: AIDS related complication, Death
Clinical narrative: Information has been received from a nurse concerning an approximately 11 year old patient who "sometime in 1998" was vaccinated with first dose of MMR II (dose, route and lot number not reported). The nurse reported that in 2001, the patient received the second dose of MMR II  (dose, route and lot number not reported). It was also reported that the patient received VARIVAX (Merck) (dose, route and lot number not reported) but the specific date was not provided. The nurse reported that the patient's last vaccination was given in 2008 (name and manufacturer unspecified) and then, about a month ago, in approximately November 2009, the patient the patient died from complications of AIDS. Additional information has been requested.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1), FLUX(H1N1), FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Abdominal pains. Drowsiness. Fever 108 degrees. Teeth grinding. Bit lower lip. Loss of bladder control. Treatment - MOTRIN and fluids. Dates of vaccine 12-7-09, 12-12-09, 10-28-09
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1), FLUX(H1N1), FLUN(H1N1)
Symptoms: Abdominal pain, Bruxism, Cough, Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: Abdominal pains. Drowsiness. Fever 108 degrees. Teeth grinding. Bit lower lip. Loss of bladder control. Treatment - MOTRIN and fluids. Dates of vaccine 12-7-09, 12-12-09, 10-28-09
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1), FLUX(H1N1), FLUN(H1N1)
Symptoms: Somnolence, Urinary incontinence
Clinical narrative: Abdominal pains. Drowsiness. Fever 108 degrees. Teeth grinding. Bit lower lip. Loss of bladder control. Treatment - MOTRIN and fluids. Dates of vaccine 12-7-09, 12-12-09, 10-28-09
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1), FLUX(H1N1), FLUN(H1N1)
Symptoms: Abdominal pain, Bruxism, Pyrexia, Somnolence, Urinary incontinence
Clinical narrative: Abdominal pains. Drowsiness. Fever 108 degrees. Teeth grinding. Bit lower lip. Loss of bladder control. Treatment - MOTRIN and fluids. Dates of vaccine 12-7-09, 12-12-09, 10-28-09
Age: 40.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Facial palsy
Clinical narrative: I awoke apx. 09:30AM with left side of my face paralyzed.  I thought I was having a stroke. At apx. 11:30AM, when the symptoms were not subsiding, I called my doctors office in a panic.  They directed me to go directly to the Emergency Room, to r/o stroke, but said it could be Bell's Palsy.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Facial palsy, Panic reaction
Clinical narrative: I awoke apx. 09:30AM with left side of my face paralyzed.  I thought I was having a stroke. At apx. 11:30AM, when the symptoms were not subsiding, I called my doctors office in a panic.  They directed me to go directly to the Emergency Room, to r/o stroke, but said it could be Bell's Palsy.
Age: 0.99
Sex: M
Vaccine: FLU(H1N1)
Symptoms: No adverse event
Clinical narrative: This registered nurse reports that an 11 month old male infant started Novartis H1N1, 0.25cc  pre-filled syringe, intramuscularly, once on 10/30/2009, accidentally. The child's relevant medical history, relevant concomitant medications and relevant past drug history are unknown. On 10/302009 the clinic received 3 boxes of Novartis H1N1 pre-filled syringes. Each box was labeled as "give to pregnant women, 6-24 month olds and children with chronic health problems".  Approximately 10 minutes after giving the shot, the nurse was informed that the boxes were mislabeled and that this formulation is really meant only for persons more than 4 years of age. On 09/30/2009 the child has not experienced any injury related to this event.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: This registered nurse reports that a 50 year old female patient received a pneumococcal vaccine 0.5cc in her right arm on 29Sep2009 for an unknown reason. Her relevant medical history, relevant concomitant medications and relevant past drug history are unknown. On 29Sep2009, swelling began at the injection site about one hour after receiving the vaccine which increased overnight. On 30Sep2009, the patient called the triage RN at Westside Health Center to say she had severe pain, redness and swelling on the right arm where she had received the injection. The patient was already on Percocet which she was instructed to take for pain and start Benadryl. On 01Oct2009, she was seen in the clinic and was prescribed prednisone 40mg for five days. No further laboratory testing was performed. On an unknown date in 2009, the reaction resolved
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Crying, Hypokinesia, Muscle tightness, Screaming
Clinical narrative: Patient woke up that morning screaming and crying. He stated that he hurt really bad and it initially seemed like it was possibly his stomach bothering him, he was hunched over holding his stomach. As the day progressed the muscle in his right shoulder was obviously tightened and he could not turn his head to the right. His screaming lessened throughout the day, but the muscle in his neck became increasingly drawn up, he could not hold his head straight up, and his right arm was drawn up to his chest. Took him to the doctor and he stated that it was an episode of acute torticollis. It took 5 days for the symptoms to resolve.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Torticollis
Clinical narrative: Patient woke up that morning screaming and crying. He stated that he hurt really bad and it initially seemed like it was possibly his stomach bothering him, he was hunched over holding his stomach. As the day progressed the muscle in his right shoulder was obviously tightened and he could not turn his head to the right. His screaming lessened throughout the day, but the muscle in his neck became increasingly drawn up, he could not hold his head straight up, and his right arm was drawn up to his chest. Took him to the doctor and he stated that it was an episode of acute torticollis. It took 5 days for the symptoms to resolve.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mobility decreased, Osteoarthritis, Pain
Clinical narrative: Pain in left arm. She can't lift her arm; It's very painful. We read the package, and it said pain could last for three days, but it has been a month now. It is now getting worse. Now if she leans on that arm it hurts. This is the first time in her life that she has experienced something like this.  She went to the doctor a few days ago. The doctor dismissed the idea that the swine flue caused this problem, saying pain only lasts three days. The doctor had an x-ray done. The doctor said it is osteoarthritis. My mother will see a physical therapist next week to treat her condition as an osteoarthritis issue.  However,
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Small White bumps on legs at 7:00 AM. Red bumps too on legs later that first day. Spread to arms and feet the next day small white itchy bumps and red itchy bumps much like Hives for a little more than a week. Today, (12/15/09) Still have the bumps and itchy arms and legs, went to a family clinic to get it checked by P.A.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Chest discomfort, Dark circles under eyes, Dizziness, Eye movement disorder, Eye swelling
Clinical narrative: discomfort in chest, dizziness,  wheezing, jumping left eye, swollen eyes, dark circles under eyes
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Wheezing
Clinical narrative: discomfort in chest, dizziness,  wheezing, jumping left eye, swollen eyes, dark circles under eyes
Age: 60.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Diarrhoea, Flatulence
Clinical narrative: Diarrhea and gas; upset stomach. Co-worker who got vaccine at same time had similar symptoms; both of us returned from a trip on 12/12/2009.
Age: 58.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: Began itching on upper body.  Now with facial rash, especially on cheeks and forehead.  Hot, red, and itchy across forehead and cheeks.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event
Clinical narrative: Worried about the long term effects of the HINI.
Age: 6.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Oxygen supplementation, Pallor
Clinical narrative: Shortness of breath, extreme paleness, rapid heartbeat, dizziness. I took him to the fire truck in the parking lot where he received oxygen for about 10 minutes.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Uterine dilation and curettage
Clinical narrative: Baby died.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Condition aggravated, Fibromyalgia, Injection site pain, Muscle spasms
Clinical narrative: L arm pain and muscle spasms form injection site to elbow and into upper trapezius and sterno cleido mastoideus, exacerbation of fibromyalgia symptoms.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Musculoskeletal discomfort, Nervousness, Pyrexia
Clinical narrative: low grade, fever, feel shaky, neck and shoulder discomfort, sister with similar sx.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient & brother had similar sx following vaccination - nausea/vomiting headache, low grade fever.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations
Clinical narrative: Heart starting racing (sitting at the time) and could feel it in her neck. lasting less than a minute
Age: 0.69
Sex: F
Vaccine: FLUX
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram normal, Convulsion, Electroencephalogram normal
Clinical narrative: Patient has had two seizures since her H1N1 shot that her neurologist attributes to the vaccine.  Her siezures weer 11/20/2009 and 11/28/2009.
Age: 0.69
Sex: F
Vaccine: FLUX
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging normal, Vaccination complication
Clinical narrative: Patient has had two seizures since her H1N1 shot that her neurologist attributes to the vaccine.  Her siezures weer 11/20/2009 and 11/28/2009.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Hypersensitivity, Pruritus, Swelling
Clinical narrative: Could not breathe, itching, swelling (allergic reaction).
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Headache
Clinical narrative: Client reported headache and stomachache within 10 minutes receiving Intranasal H1N1 vaccine. Pulse=104. No other symptoms reported. Was observed for 15 minutes and feeling better. Spoke to pediatrician and client allowed to leave the clinic.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Syncope, Vomiting
Clinical narrative: Pt immediately fainted after receiving IM H1N1 vaccine. Did not hit head. Spit up small amount of mucous (clear and scant).
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: C-reactive protein increased, Full blood count normal, Henoch-Schonlein purpura
Clinical narrative: Patient developed Henoch Schonlein Purpura 1 days after receiving the H1N1 Influenza vaccine.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lip swelling, Rash
Clinical narrative: Second vaccine of H1N1 - Sanofi Lot # UP042AA. Rash on chest, abdomen and legs, swelled lips.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Corneal reflex decreased, Eyelid function disorder, Facial palsy
Clinical narrative: Paralysis R side of face, ER visit 11-30-09. Dx with Bell's Palsy, Sx started 7 days after 2nd dose of H1N1 flumist. Patient still can't blink and close eye. ER gave eye drops.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Back pain, Pharyngitis, Pyrexia, Vomiting
Clinical narrative: One days after vaccine she developed fever and back ache and vomited once. Exam shows pharyngitis.
Age: 4.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Teacher presented with child stating she was having a reaction on R arm on interior part of arm between elbow and shoulder. Raised red area with weeps. No redness or swelling at injection site. No hives or rash on body.