chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given MENACTRA 8/20/08 based on what I thought was complete immunization record of past history. Today he received other immunization information that patient had received MENACTRA at a different clinic on 4/11/08. I called to discuss with CDC who said no serious side effects expected but they asked me to fill out VAER form.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Bone pain, Neck pain, Pain in extremity
Clinical narrative: 8/15/08 approx 1 1/2 hrs after receiving MENACTRA c/o neck pain radiating down the spine/ hands and feet. Temp 100 degrees. Call physician instr take Ibuprofen as directed. Called again 8/18/08 symptoms improved had seen doctor over the weekend.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Nodule, Swelling
Clinical narrative: Swollen red knot
Age: 0.45
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Muscle twitching
Clinical narrative: Received phone call 8/7/08 2 PM, Mom & grandmother state baby has been twitching (legs) since received shots here Monday, 8/4/08. Temp 95 degrees per mom's report. No other complaint voiced. Referred to MD or ER today for evaluation.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Hyperaesthesia, Pruritus, Urticaria
Clinical narrative: 7 X 5 cm welt on right arm with redness in middle. Patient states that it itches, only sensitive to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythematous and edematous at R upper arm. Benadryl, ice
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling in left thigh
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Myalgia, Pruritus
Clinical narrative: Patient received PNEUMOVAX to left deltoid on 08/20/208. On 08/21/08, patient came to clinic complaining of adverse effect. Left deltoid area was red and swollen to elbow, around arm to bicep area. Patient also complained of itching and muscle soreness. Ice pack applied to arm. The doctor ordered BENADRYL PO.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, IPV, PNC
Symptoms: Overdose
Clinical narrative: Two Ipol Shots were given at 3:45 pm
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 6" round reddened area on L anterior thigh noted since 8/20/08 vaccines given 8/19/08. Advised by Dr to give Benadryl OTC and watch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right leg upper 20 X 25 cm; right leg lower 10 X 20 cm areas red and hot to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Erythema, Rash papular, Rash pustular
Clinical narrative: temp 102deg on 8/21/08 - then broke put with (+) multi erythema papules and pustules.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: On 8-12-08, mom called & reported back of arm red and raised a little. Causing no problems. Mom noticed redness 8-10-08. Mom gave BENADRYL.
Age: 5.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Unevaluable event
Clinical narrative: "none"
Age: 18.0
Sex: M
Vaccine: HEPAB, IPV, YF
Symptoms: Erythema, Rash generalised, Urticaria, Wheezing
Clinical narrative: Rash and hives located across entire body to inlcude all extremities.  Red face.  Slight wheezing.  No difficulty breathing
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception. 9/12/2008 MR received for DOS 7/28-8/06/2008 with D/C DX:  New onset seizures.  Intussusception, s/p surgical reduction.  Microcytic anemia.  Infant presented with new onset of seizures which began the am of admission.  Pt's eyes would roll back with body shaking followed by sleeping. There were 4-5 episodes that am.  Vomiting noted after episodes. On admission pt lethargic.  PE (+) for scatter L lung wheezes and sleepiness. While being w/u for seizures pt had bloody diarrhea. IS was dx but unable to reduce with BE.  Taken to OR for Laparotomy, Reduction of IS, Appendectomy and R femoral central line placement. Pt was kept NPO x 3 days and then po andvanced w/o difficulty. Pt did have 1 seizure during admission. Large tongue noted by neurology.
Age: 19.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Erythema, Pruritus, Rash papular, Skin lesion
Clinical narrative: 19 year old male is referred from primary care clinic for several concerns including: 1) SM has been keeping his smallpox site uncovered and has been living with a pregnant fiancee. 2) The SM has developed 2 suspicious skin lesions X 2d. Symptoms: Lesions, papule, Erythema, Pruritus.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Fainting  - within 5 minutes. Unresponsive x 30sec. - Responsive after
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin exfoliation, Skin warm
Clinical narrative: Arm itchy 1 d after vaccination then peeling began. Became red and swollen and hot 2 d after vaccination baseball size area Rx Ice, benadryl, medrol dose pack
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Received immunization on Friday 8/22/08. On Saturday 8/23/08 patient broke out in rash on face, arms, & abdomen, with temp of 102, and irritability (unconsolable).Per mother patient broke out in a rash off & on X 3 months with last immunizations give previously.
Age: 14.0
Sex: M
Vaccine: HEPA, MEN, UNK
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: I took my son and Aug. 12 for shot's he got three shots one was a hepites A and a chickenpox and a meningococcal. whith in a hour my son started breaking out in hives i took in to the urgent care on Aug.17 and i was then told he had a staff invection to have him soak in a oat meal bath and rub itching lotion on and take Cephalexin 500mg three times a day for ten days. I tryed that it didnt work it got worse it was all over his body by this point so i took my son back in to the urgent care on Aug.24 thats when they told me his was having a allergic reaction and starting him on Hydroxyzine Pamoate 25mg 1 to 2 capsules every 6 hours they also gave him Prednisone 20 mg 2 tablets every day for 4 days and some cream
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Limb discomfort, Musculoskeletal chest pain, Pain, Pruritus, Rash erythematous
Clinical narrative: ON 8/19/08 DEVELOPED DISCOMFORT OF RIGHT ARM AND CHEST WALL.  A RED MACULAR-PAPULAR RASH DEVELOPED ON THE MEDIAL RIGHT ARM, ANTERIOR CHEST WALL AND BACK IN A DERMATONE DISTRIBUTION PATTERN.  WAS SEEN IN URGENT CARE ON 8/23/08, ACYCLOVIR STARTED.  FOLLOW UP IN PHYSICIAN'S OFFICE ON 8/26/08, A TOPICAL STERIOD FOR ITCHING AND LORATAB FOR PAIN WAS ADDED.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash maculo-papular
Clinical narrative: ON 8/19/08 DEVELOPED DISCOMFORT OF RIGHT ARM AND CHEST WALL.  A RED MACULAR-PAPULAR RASH DEVELOPED ON THE MEDIAL RIGHT ARM, ANTERIOR CHEST WALL AND BACK IN A DERMATONE DISTRIBUTION PATTERN.  WAS SEEN IN URGENT CARE ON 8/23/08, ACYCLOVIR STARTED.  FOLLOW UP IN PHYSICIAN'S OFFICE ON 8/26/08, A TOPICAL STERIOD FOR ITCHING AND LORATAB FOR PAIN WAS ADDED.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Cough, Crying, Diarrhoea, Pyrexia, Retching
Clinical narrative: ROTOVIRUS VACCINE GIVEN ON 7/29/2008.  IMMEDIATE REACTION TO ORAL VACCINE WAS GAGGING AND COUGHING.  WITHIN HOURS WE WERE ABLE TO HEAR LOUD STOMACH GRUMBLES.  PATIENT CRIED THE ENTIRE REST OF THE DAY.  WE ADMINISTERED INFANTS TYLENOL AS DIRECTED.  THE NEXT DAY 7/30/2008, SHE BEGAN TO HAVE DIARREHIA AND HAD A FEVER OF 100.4.  BY THURSDAY EVENING 7/31/2008 HER FEVER WAS BACK TO NORMAL AT 97.4.  SINCE THE ADMINISTRATION OF THIS ROTOVIRUS VACCINE PATIENT HAS HAD DIARREHIA AND WHAT APPEARS TO BE STOMACH DISCOMFORT.  WE ARE ABLE TO HEAR HER STOMACH CHURNING- WHICH WAS NOT PRESENT PRIOR TO 7/29/08.  AS OF TODAY'S DATE SHE CONTINUES TO HAVE DIARREHIA AND HAS NOT RETURNED TO HER PREVACCINE STOOL PATTERN OR TYPE.  I CONTACTED THE DOCTORS OFFICE SEVERAL TIMES SINCE RECEIVING THE VACCINE.  THE FIRST TIME THEY STATED A POSSIBLE SIDE EFFECT WAS DIARREHIA AND THAT IT COULD LAST 7-10 DAYS.  THEY SUGGESTED I SIMPLY SWITCH FORMULAS- CHANGE FROM NESTLE GOOD START TO SIMILAC.  CHANGING TO SIMILAC MADE THE DIARREHIA WORSE.  I CALLED AGAIN AND THEY RECOMMENDED ANOTHER FORMULA SWITCH.  ON 8/25/08 I CALLED TO REQUEST AN ALLERGY TEST FOR MY DAUGHTER TO DETERMINE WHAT IS GOING ON SINCE WE WERE WELL BEYOND THE 7-10 DAY WINDOW OF POSSIBLE SIDE EFFECTS.  THE LAB WAS UNABLE TO GET A VEIN ANYWHERE SO THIS TEST WAS NOT ABLE TO BE COMPLETED.  AFTER INSISTING IN THE DOCTORS OFFICE THAT PATIENT IS HAVING A REACTION TO THE ROTOVIRUS VACCINE I WAS ABLE TO SEE A DOCTOR ON 8/25/08.  AT WHICH TIME SHE STATED THAT IT MAY IN FACT BE ROTOVIRUS AND IF SO THERE IS NO TREATMENT.  SHE ORDERED A STOOL ANALYSIS WHICH IS STILL PENDING AT THIS TIME.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Stomach discomfort, Stool analysis
Clinical narrative: ROTOVIRUS VACCINE GIVEN ON 7/29/2008.  IMMEDIATE REACTION TO ORAL VACCINE WAS GAGGING AND COUGHING.  WITHIN HOURS WE WERE ABLE TO HEAR LOUD STOMACH GRUMBLES.  PATIENT CRIED THE ENTIRE REST OF THE DAY.  WE ADMINISTERED INFANTS TYLENOL AS DIRECTED.  THE NEXT DAY 7/30/2008, SHE BEGAN TO HAVE DIARREHIA AND HAD A FEVER OF 100.4.  BY THURSDAY EVENING 7/31/2008 HER FEVER WAS BACK TO NORMAL AT 97.4.  SINCE THE ADMINISTRATION OF THIS ROTOVIRUS VACCINE PATIENT HAS HAD DIARREHIA AND WHAT APPEARS TO BE STOMACH DISCOMFORT.  WE ARE ABLE TO HEAR HER STOMACH CHURNING- WHICH WAS NOT PRESENT PRIOR TO 7/29/08.  AS OF TODAY'S DATE SHE CONTINUES TO HAVE DIARREHIA AND HAS NOT RETURNED TO HER PREVACCINE STOOL PATTERN OR TYPE.  I CONTACTED THE DOCTORS OFFICE SEVERAL TIMES SINCE RECEIVING THE VACCINE.  THE FIRST TIME THEY STATED A POSSIBLE SIDE EFFECT WAS DIARREHIA AND THAT IT COULD LAST 7-10 DAYS.  THEY SUGGESTED I SIMPLY SWITCH FORMULAS- CHANGE FROM NESTLE GOOD START TO SIMILAC.  CHANGING TO SIMILAC MADE THE DIARREHIA WORSE.  I CALLED AGAIN AND THEY RECOMMENDED ANOTHER FORMULA SWITCH.  ON 8/25/08 I CALLED TO REQUEST AN ALLERGY TEST FOR MY DAUGHTER TO DETERMINE WHAT IS GOING ON SINCE WE WERE WELL BEYOND THE 7-10 DAY WINDOW OF POSSIBLE SIDE EFFECTS.  THE LAB WAS UNABLE TO GET A VEIN ANYWHERE SO THIS TEST WAS NOT ABLE TO BE COMPLETED.  AFTER INSISTING IN THE DOCTORS OFFICE THAT PATIENT IS HAVING A REACTION TO THE ROTOVIRUS VACCINE I WAS ABLE TO SEE A DOCTOR ON 8/25/08.  AT WHICH TIME SHE STATED THAT IT MAY IN FACT BE ROTOVIRUS AND IF SO THERE IS NO TREATMENT.  SHE ORDERED A STOOL ANALYSIS WHICH IS STILL PENDING AT THIS TIME.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Oedema peripheral, Skin warm
Clinical narrative: 08/27/2008 Pt mother reported Left arm very swollen, hot, child is afebrile
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Pyrexia, Screaming
Clinical narrative: Reported by father:  headache, screaming, fever (100.8).  Son has never been sick.  ER doctor gave some pills and said it was "the shot".  Dad gave Motrin next am for "fever".  Father did not return calls:  upset due to mandatory Tdap; blames this vaccination/side effects.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Blood test, Culture throat, Disturbance in attention, Dizziness, Fatigue
Clinical narrative: Wed. (Recieved Smallpox)-Sun. = No symptoms of any sort.   Mon.-Tues 25-26 Aug = Felt aches and pains in my body and had a head ache.  Took Motrin for it.  A lump formed in my left side neck Tuesday afternoon.  Wed. 27 Aug =  Woke up dizzy and tired, couldn't concentrate on road while driving to work.  Vision was swimming and blurred while I worked at my computer and still felt fatigued.   Went to Dr. and had a throat culture for strep and blood drawn for mono and others.  I recieved a "Z-pack" of antibiotics and Sudafed for my congestion.  Thurs 28 Aug = Woke up with a second lump in my neck and severe pain and stiffness.  Pain subsided with Motrin, but stiffness stiff apparant.  Went for follow up. Dr. performed rapid strep, mono test: both negative. I still have 2 painful lumps on my necks.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Mononucleosis heterophile test, Musculoskeletal stiffness, Neck mass, Pain
Clinical narrative: Wed. (Recieved Smallpox)-Sun. = No symptoms of any sort.   Mon.-Tues 25-26 Aug = Felt aches and pains in my body and had a head ache.  Took Motrin for it.  A lump formed in my left side neck Tuesday afternoon.  Wed. 27 Aug =  Woke up dizzy and tired, couldn't concentrate on road while driving to work.  Vision was swimming and blurred while I worked at my computer and still felt fatigued.   Went to Dr. and had a throat culture for strep and blood drawn for mono and others.  I recieved a "Z-pack" of antibiotics and Sudafed for my congestion.  Thurs 28 Aug = Woke up with a second lump in my neck and severe pain and stiffness.  Pain subsided with Motrin, but stiffness stiff apparant.  Went for follow up. Dr. performed rapid strep, mono test: both negative. I still have 2 painful lumps on my necks.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Respiratory tract congestion, Streptococcal identification test, Vision blurred
Clinical narrative: Wed. (Recieved Smallpox)-Sun. = No symptoms of any sort.   Mon.-Tues 25-26 Aug = Felt aches and pains in my body and had a head ache.  Took Motrin for it.  A lump formed in my left side neck Tuesday afternoon.  Wed. 27 Aug =  Woke up dizzy and tired, couldn't concentrate on road while driving to work.  Vision was swimming and blurred while I worked at my computer and still felt fatigued.   Went to Dr. and had a throat culture for strep and blood drawn for mono and others.  I recieved a "Z-pack" of antibiotics and Sudafed for my congestion.  Thurs 28 Aug = Woke up with a second lump in my neck and severe pain and stiffness.  Pain subsided with Motrin, but stiffness stiff apparant.  Went for follow up. Dr. performed rapid strep, mono test: both negative. I still have 2 painful lumps on my necks.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration, Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Zostavax(zoster vaccine)was given IM in left deltoid instead of SQ. Client called CCHD office on 8-19 with complaint of soreness in lt. arm at injection site, and also c/o limited mobility due to the soreness and stiffness in left arm. Client was questioned about pain relieve she had tried on own at home, stated was taking OTC pain medication and using heat. Staff suggested she use ice instead, to continue OYC medication and to use arm normally to work the soreness out. Client states she did not want to have to go to the dr. if she did not need to.
Age: 14.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Asthenia, Dizziness, Dysstasia, Fatigue, Full blood count normal
Clinical narrative: Developed numbness in right arm approximately 4 .5 hours after immunizations.  Progressed to neck pain, headache and feeling of general weakness and fatigue.  Was sitting on floor and unable to get up without assistance.  Also complained of dizziness and nausea. Was seen in ER 08/22/2008. Symptoms were fairly persistent for approx. 2 days and have now improved and sporadically occur.
Age: 14.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Headache, Hypoaesthesia, Nausea, Neck pain
Clinical narrative: Developed numbness in right arm approximately 4 .5 hours after immunizations.  Progressed to neck pain, headache and feeling of general weakness and fatigue.  Was sitting on floor and unable to get up without assistance.  Also complained of dizziness and nausea. Was seen in ER 08/22/2008. Symptoms were fairly persistent for approx. 2 days and have now improved and sporadically occur.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Loss of consciousness, Shock
Clinical narrative: PT had a Hep B shot in May 2007. This was not reported due to the time of onset and the recovery. The Pt received the recent Hep B shot and was in and out of consciousness and was going into shock. She was transported to the local emergency room. She was observed and released after 24 hours.
Age: 30.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Muscle twitching, Pain, Paraesthesia
Clinical narrative: constant pain and headache and pressure with some tingling in the back of my head (left side and central) muscle twitches
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Malaise, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Report sore arm with redness and mild swelling. Felt nauseous after getting shot. State "just don't feel good". Counseled to apply cool cloth to area and take Tylenol. If persist, see private PMD or go to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Induration, Local reaction, Oedema
Clinical narrative: Moderately severe local reaction (edema, erythema, induration).
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: redness on vaccine site, rash
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was accidently given a 3rd dose of varicella. Medical Assistant and provider failed to check Immunization record.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Patient developed 103.7 fever about 24 hours after immunizations, and then large indurated erythema on both thighs, 4-5 cm in diameter.  Mildly tender.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Body temperature, Cough, Dyspnoea, Heart rate, Oxygen saturation decreased
Clinical narrative: mother requested this form be submitted.  she believes that the cough, shortness of breath, wheezing and green rhinorehea that he suffered begining about 8/7/08 and going through 8/15/08 coub be a side effect if immunization.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Respiratory rate, Rhinorrhoea, Wheezing
Clinical narrative: mother requested this form be submitted.  she believes that the cough, shortness of breath, wheezing and green rhinorehea that he suffered begining about 8/7/08 and going through 8/15/08 coub be a side effect if immunization.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Injection site swelling, Screaming
Clinical narrative: Left leg swelled up to the size of a golf ball 3 hours after vaccine admin. per report from mother. Also had a high pitched scream for 1 1/2 hours.  Ran a temp of 101.8. Was seen in ER and given Benadryl.
Age: 57.0
Sex: U
Vaccine: PPV
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Pt. developed erythema, induration & itching. The area on her arm was 12x15 cm. She was treated with ice application & Atarax.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Acoustic stimulation tests normal, Diagnostic procedure, Dizziness postural, Electronystagmogram abnormal, Vertigo
Clinical narrative: Two weeks after receiving the vaccine, I had acute onset of severe vertigo lasting 10 days, followed by nine months and counting of debilitating positional (with movement) dizziness. Vestibular neuritis and migraine have both been suggested, but illness doesn't quite fit either diagnosis. I considered the flu vaccine connection when I found out that three other women on my dizzy health board developed the same condition (thought first to be neuritis and then possibly migraine vertigo) two to four weeks after receiving the flu vaccine. None of us had ever experienced any dizziness before in our lives.  09/17/2008 PCP records received. OV 12/3/2007 with c/o nausea and dizziness as well as nasal congestion. PE (+) for mild visible fluid lines in the ears, pale edematous tubinates with decreased patency on L.  Assess: Dizziness.  URI.  Returned 12/6/07 with increasing sx now descibed as debilitating. Feels dizzy with head movement. Increased anxiety 2' to vertigo. PE WNL. Assess:  Vertigo.  URI.  Anxiety.  Returned 5/20/08, now with 5 month hx of dizziness, lightheadedness, H/A, sleep problems, visual changes, weakness and fatigue. Has seen ENT and neuro- suspect vistibular neuritis or vestibular migraine. Depression 2' to sx. Assessment:  Acute sinusitis.  Dizziness. Place on abx with no improvement.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Nodule on extremity
Clinical narrative: SERVICE MEMBER DEVELOPED A 7 INCH NODULE ON HIS LEFT DELTOID 2 DAYS AFTER VACCINATION. LUMP WAS SELF LIMITED TO THE LEFT DELTOID, AND IT SELF RESOLVED WITHIN 4 WEEKS AFTER VACCINATION.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Alopecia, Full blood count, Thyroid function test
Clinical narrative: 2 out of 3 shots of GARDASIL administered. Alopecia was the diagnosis after seeing doctor August 27, 2008. Blotchy hair loss in the front of her head (pictures taken) 1st shot given in November, 2007 and second given in April, 2008.  Hair loss began approx. June, 2008 and is progressively getting worse. Doctor prescribed Selenium Sulfide Lotion to use twice a week for 2 weeks.  Does not believe there will be a change.  Also went for blood work to check thyroid (August 28, 2008) Results not given as of yet.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Pt was in pharmacy at bedginning of the year ( 2008 ) and reported a red spot at the injection site. Returned in July this year and showed the pharmacist a persistant red spotting at the injection site. Pt was instructed to seek medical help.At this time we are not aware of treatment, diagnosis.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site vesicles
Clinical narrative: marked erythema at injection site the day after vaccination... 2 large clear fluid filled blisters developed on day 2. Complains of itching and some pain. No fever. Ice only provided some relief. Brought to clinic for evaluation.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Body temperature increased, Pruritus, Rash maculo-papular
Clinical narrative: Pts parent stated that the child started having a rash within two days after vaccination. The rash was maculopapular, itching, fever 101.9, child was playful and consolable.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Pharyngolaryngeal pain, Rash generalised
Clinical narrative: Developed full body rash 45 mins after injection, stomach pain,, "throat hurt".
Age: 30.0
Sex: F
Vaccine: HEPA, IPV, TYP
Symptoms: Rash pruritic
Clinical narrative: Very itchy rash started the day after first pill and continued days after last pill was taken.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Anger, Crying, Diet refusal, Headache, Pyrexia
Clinical narrative: Fever for 3 - 4days. Headache  Crying...not eating.  Angry all the time. Screamimg. Very very angry
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Screaming
Clinical narrative: Fever for 3 - 4days. Headache  Crying...not eating.  Angry all the time. Screamimg. Very very angry
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Epstein-Barr virus antibody negative, Epstein-Barr virus test negative, Haemoglobin decreased, Haemoglobin normal
Clinical narrative: Developed a fever, sore throat on 7/20/08. Seen on 7-21-08 tested and treated for mono w/ Medrol Dose Pack. Mono test came back neg, condition worsened on 7-23, had severe sore throat and trouble breathing. Was admitted to hospital. 10/16/08-records received for DOS 7/23-7/26/08-DC DX: Pharyngitis, likely viral. Panic Attacks. Presented to ED with C/O sore throat, fever and decreased oral intake, difficulty breathing. Temperature 38.6. Tonsils erythematous with ulcers and white exudate.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, White blood cell count normal
Clinical narrative: Developed a fever, sore throat on 7/20/08. Seen on 7-21-08 tested and treated for mono w/ Medrol Dose Pack. Mono test came back neg, condition worsened on 7-23, had severe sore throat and trouble breathing. Was admitted to hospital. 10/16/08-records received for DOS 7/23-7/26/08-DC DX: Pharyngitis, likely viral. Panic Attacks. Presented to ED with C/O sore throat, fever and decreased oral intake, difficulty breathing. Temperature 38.6. Tonsils erythematous with ulcers and white exudate.
Age: 18.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LA - swollen, red, and warm to touch around injection site
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R arm swollen, red and warm to touch around injection site
Age: 13.0
Sex: M
Vaccine: FLUN3, HEPA, MNQ
Symptoms: Headache, Nasal congestion, Nausea
Clinical narrative: Awoke 2 AM 8/23/08 with severe headache, nausea, nasal congestion. Seen in office 8/23 AM - exam unremarkable, treated with Tylenol 1000 mg reassurance.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Body temperature, Loss of consciousness, Oxygen supplementation, Syncope, Urinary incontinence
Clinical narrative: On Tuesday August 26,2008 we had a 18 year-old female patient who came in with mother for vaccines, that were in need promptly requested by school. Patient information, vaccine questioner, and VFC application were given to the patient due to the fact that it was the patients first time at the facility. After the patient had concluded inputting here information she was registered in LINK. Patient at the moment was due for a total of 4 vaccines which are as follows: VARICELLA, HPV, MENINGOCOCCAL, and HEPATITIS A. The patients mother was then informed that the subsequent vaccines mentioned were due along with IIPV, but that GARDASIL was not needed by school system. After the mom was informed about GARDASIL and what it prevents, mother agreed to render that vaccine along with the other three. The patient was then taken to the triage room and vitaled. The temperature recorded at the time was 97.9 oral-temperature. Routing slip from LINK was then given to PAC to approve all vaccines that were in need. After PAC approval all four vaccines were administered. Patient was advised by medical assistant to have a seat in the waiting room, while vaccine card was being printed. While the patient was seated at the waiting area she collapsed while being seated. The patient was unconscious and ammonia was passed by nasal area. The patient gained conscience, but immediately went unconscious again. While patient collapsed again she urinated at the same time. Ammonia was passed for the second time and gained conscience permanently. Oxygen tank was then put on the patient to help the oxygen flow. Paramedics were called and arrived 5 minutes latter at the scene. Paramedics vitaled the patient and recommended for her to go with them. Patient was adamant and denied the advice and she signed the AMA for the paramedics. The patient left 5 minutes after the paramedics were gone. Patients was called the following day of the incident and mother stated daughter was fine and no problems were noticeable.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Dyspnoea, Loss of consciousness, Oxygen supplementation, Syncope, Urinary incontinence
Clinical narrative: On Tuesday August 26,2008 we had a 18 year-old female patient who came in with mother for vaccines, that were in need promptly requested by school. Patient information, vaccine questioner, and VFC application were given to the patient due to the fact that it was the patients first time at the facility. After the patient had concluded inputting here information she was registered in LINK. Patient at the moment was due for a total of 4 vaccines which are as follows: VARICELLA, HPV, MENINGOCOCCAL, and HEPATITIS A. The patients mother was then informed that the subsequent vaccines mentioned were due along with IIPV, but that GARDASIL was not needed by school system. After the mom was informed about GARDASIL and what it prevents, mother agreed to render that vaccine along with the other three. The patient was then taken to the triage room and vitaled. The temperature recorded at the time was 97.9 oral-temperature. Routing slip from LINK was then given to PAC to approve all vaccines that were in need. After PAC approval all four vaccines were administered. Patient was advised by medical assistant to have a seat in the waiting room, while vaccine card was being printed. While the patient was seated at the waiting area she collapsed while being seated. The patient was unconscious and ammonia was passed by nasal area. The patient gained conscience, but immediately went unconscious again. While patient collapsed again she urinated at the same time. Ammonia was passed for the second time and gained conscience permanently. Oxygen tank was then put on the patient to help the oxygen flow. Paramedics were called and arrived 5 minutes latter at the scene. Paramedics vitaled the patient and recommended for her to go with them. Patient was adamant and denied the advice and she signed the AMA for the paramedics. The patient left 5 minutes after the paramedics were gone. Patients was called the following day of the incident and mother stated daughter was fine and no problems were noticeable.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: Flumist given when expired - no treatment needed - no adverse effects. Dad was notified and chose not to revaccinate.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red (30mm) and tender at injection site; sore to touch; states was "puffy" on 8/26 and 8/27/08. Temp. 98.2
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count normal, Hyperaesthesia, Laboratory test normal, No reaction on previous exposure to drug, Oedema peripheral
Clinical narrative: Had HPV #1 4/10/08 Merck 1758U left DEL; No problems. HPV #2 9/16/08. On 8/7/08 went to focus med, left arm swollen x 2days, had to cut ring off, sensitive to touch. Saw Pediatrician on 8/11 - given Medrol dose pack Rx. Saw ped 8/15 still swollen - mom filled Rx; saw Dr 8/18 neurologist.
Age: 0.31
Sex: F
Vaccine: MNQ, PNC
Symptoms: Wrong drug administered
Clinical narrative: Patient was observed in clinic for 2 hrs with no adverse effects noted.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Allergy test, Full blood count, Laboratory test, Pain in extremity, Pruritus
Clinical narrative: Per mom facial rash started 2 days after immunizations. Today 8/28/08, papular/macule rash to face, left forearm, palms itchy and rash on palms painful. Medication prescribed today diphenhydramine 12.5 mg = 5CC every 6 hours prn; hydrocortisone 2.5 % ointment TID follow-up in 1 week.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Per mom facial rash started 2 days after immunizations. Today 8/28/08, papular/macule rash to face, left forearm, palms itchy and rash on palms painful. Medication prescribed today diphenhydramine 12.5 mg = 5CC every 6 hours prn; hydrocortisone 2.5 % ointment TID follow-up in 1 week.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Haematochezia, Parasite stool test, Rotavirus test negative
Clinical narrative: Persistent blood in stool.
Age: 59.0
Sex: F
Vaccine: RAB
Symptoms: Deafness, Dizziness, Head discomfort
Clinical narrative: 2-3 hours after vaccination clt reports feeling as though her head was "swelling". Eventually clt had some loss of hearing lightheaded and denied feeling feverish. Sx had fully resolved in 6 hours.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Redness noted night of 8/26/08 became increasing red, swollen, painful indurated from upper left deltoid down to elbow. To ER 8/27/08 in PM put on Keflex; Benadryl; Ibuprofen in ER. Saw MD for follow up on 8/28/2008. No increase in symptoms; patient not uncomfortable
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red bump approx. 15x15mm noted on left lateral thigh after MMR injection. Dr notified. Tylenol and Benadryl given PO as ordered. Ice pack applied, observed patient for 30mins. Discharged in stable condition.
Age: 65.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Injection site nodule, Mass, Muscular weakness, Pain in extremity
Clinical narrative: 65 year old female received DECAVAC and TYPHM VI in right deltoid on 8/4/08. Complains of persistent soreness and "lump" in arm after vaccine. Exam-two small nodules at injection site palpable with deep pressure, possible scar tissue formation. No muscle atrophy. Mild weakness compared to left arm. No worsening symptoms per patient.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Left thigh swollen next day after vaccine given; size of Twinkie, today went down
Age: 19.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Body temperature, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Red area (60 mm) at site; warm to touch and tender to touch.  Firm feeling (10 mm) at injection site.  States was puffy looking on 8/26 and 8/27/08.  Temp 97.3.
Age: 19.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Injection site warmth
Clinical narrative: Red area (60 mm) at site; warm to touch and tender to touch.  Firm feeling (10 mm) at injection site.  States was puffy looking on 8/26 and 8/27/08.  Temp 97.3.
Age: 46.0
Sex: F
Vaccine: TYP
Symptoms: Diarrhoea, Disorientation, Headache, Nausea, Phonophobia
Clinical narrative: 8/20/08, patient states headache & disoriented a couple of hours after shot administered. Went to bed early with severe headache. Nausea, diarrhea, sensitive to noise and light. 8/27/08, felt some better. Still had headache. 8/28/08, saw PCP, feeling better.
Age: 46.0
Sex: F
Vaccine: TYP
Symptoms: Photophobia
Clinical narrative: 8/20/08, patient states headache & disoriented a couple of hours after shot administered. Went to bed early with severe headache. Nausea, diarrhea, sensitive to noise and light. 8/27/08, felt some better. Still had headache. 8/28/08, saw PCP, feeling better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: At 4pm yesterday mom noticed some slight redness at DTaP site now today at 1pm area 4"x4" in size, red, hot and painful - mom to begin to ice area, motrin Q6-8 hours, Benadryl Q 8 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: Vesicular rash started 8-24-08.  Progressive over 5 days.  Very pruritic.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Hepatitis B antibody, Hepatitis B antibody negative, Hepatitis B surface antigen negative, Inappropriate schedule of drug administration
Clinical narrative: Patient received. HepB #1 8/10/05; Pediarix #1 10/21/05; Pediarix #2 12/23/05; Pediarix #3 3/3/06; all given of previous practice
Age: 72.0
Sex: M
Vaccine: IPV, TYP
Symptoms: Hallucination, Headache
Clinical narrative: Initial report received on 17 January 2008 from a line listing as the result of a VAERS database search, VAERS# 271049.  The reported received date to VAERS was 24 January 2007.  A 72-year-old male patient had received injections of TYPHIM VI, lot number not reported; and IPOL, lot number not reported; on an unspecified date.  At an unspecified time post-vaccination, the patient experienced hallucinations and headache.  The event required intervention in order to prevent permanent impairment and damage.  The patient subsequently recovered.  Additional information was not provided.
Sex: M
Vaccine: MNQ, MNQ, UNK
Symptoms: CSF culture negative, CSF glucose normal, CSF protein normal, CSF white blood cell count increased, Enterovirus infection
Clinical narrative: Initial report was received 21 August 2008 from a company representative who received the report from a physician.  Additional information was received on 26 August 2008 from the CDC (VAERS ID 323166).  A male patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U242CAA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis".  The onset for fever was unknown.  The patient was reported to have been hospitalized.  Specific laboratory and diagnostic tests, and dates performed were not reported.  CSF cultures revealed no growth.  The patient's sister (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event.  Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report.  The patient's recovery status was not reported.  The reporter for this case is the same as for case number 2008-02685.
Sex: M
Vaccine: MNQ, MNQ, UNK
Symptoms: Gram stain negative, Headache, Meningitis viral, Nausea, Pyrexia
Clinical narrative: Initial report was received 21 August 2008 from a company representative who received the report from a physician.  Additional information was received on 26 August 2008 from the CDC (VAERS ID 323166).  A male patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U242CAA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis".  The onset for fever was unknown.  The patient was reported to have been hospitalized.  Specific laboratory and diagnostic tests, and dates performed were not reported.  CSF cultures revealed no growth.  The patient's sister (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event.  Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report.  The patient's recovery status was not reported.  The reporter for this case is the same as for case number 2008-02685.
Sex: M
Vaccine: MNQ, MNQ, UNK
Symptoms: CSF culture negative, Laboratory test abnormal, Meningitis, Pyrexia
Clinical narrative: Initial report was received 21 August 2008 from a company representative who received the report from a physician.  Additional information was received on 26 August 2008 from the CDC (VAERS ID 323166).  A male patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U242CAA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis".  The onset for fever was unknown.  The patient was reported to have been hospitalized.  Specific laboratory and diagnostic tests, and dates performed were not reported.  CSF cultures revealed no growth.  The patient's sister (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event.  Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report.  The patient's recovery status was not reported.  The reporter for this case is the same as for case number 2008-02685.
Sex: M
Vaccine: MNQ, MNQ, UNK
Symptoms: Culture positive, Foreign travel, Meningitis enteroviral
Clinical narrative: Initial report was received 21 August 2008 from a company representative who received the report from a physician.  Additional information was received on 26 August 2008 from the CDC (VAERS ID 323166).  A male patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U242CAA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis".  The onset for fever was unknown.  The patient was reported to have been hospitalized.  Specific laboratory and diagnostic tests, and dates performed were not reported.  CSF cultures revealed no growth.  The patient's sister (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event.  Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report.  The patient's recovery status was not reported.  The reporter for this case is the same as for case number 2008-02685.
Sex: F
Vaccine: MNQ, MNQ
Symptoms: CSF culture negative, CSF white blood cell count increased, Gram stain negative, Headache, Pyrexia
Clinical narrative: Initial report was received 21 August 2008 from a company representative, who received the report from a physician. Additional information was received on 26 August 2008 from the CDC (VAERS ID 323167). A female patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U2420AA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis". The onset for fever was unknown. The patient was reported to have been hospitalized. Specific laboratory and diagnostic tests, and dates performed were not reported. CSF cultures revealed no growth. The patient's brother (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event. Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report. The patient's recovery status was not reported. The reporter for this case is the same as for case number 2008-02684.
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Vomiting
Clinical narrative: Initial report was received 21 August 2008 from a company representative, who received the report from a physician. Additional information was received on 26 August 2008 from the CDC (VAERS ID 323167). A female patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U2420AA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis". The onset for fever was unknown. The patient was reported to have been hospitalized. Specific laboratory and diagnostic tests, and dates performed were not reported. CSF cultures revealed no growth. The patient's brother (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event. Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report. The patient's recovery status was not reported. The reporter for this case is the same as for case number 2008-02684.
Sex: F
Vaccine: MNQ, MNQ
Symptoms: CSF culture negative, Laboratory test abnormal, Meningitis, Pyrexia
Clinical narrative: Initial report was received 21 August 2008 from a company representative, who received the report from a physician. Additional information was received on 26 August 2008 from the CDC (VAERS ID 323167). A female patient (age not reported) with an unknown medical history, had received MENACTRA (lot number U2420AA) (route and site of administration not reported) on 18 August 2008 and two days later, was seen at an urgent care clinic presenting with fever and had "tested positive for meningitis". The onset for fever was unknown. The patient was reported to have been hospitalized. Specific laboratory and diagnostic tests, and dates performed were not reported. CSF cultures revealed no growth. The patient's brother (age not reported) had also been immunized with MENACTRA on 18 August 2008 and was reported to have experienced the same event. Information pertaining to concurrent illnesses and medications received at the time of vaccination were unknown at the time of the report. The patient's recovery status was not reported. The reporter for this case is the same as for case number 2008-02684.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Encephalitis, Monoplegia, Vomiting
Clinical narrative: Information has been received from a physician concerning a 16 year old (also reported as 15 year old) female who on an unspecified date was vaccinated with a first dose of GARDASIL (route and administration site not reported), and was vaccinated with a second dose of GARDASIL (route and administration site not reported) (also reported as having been given the week of 08-AUG-2008).  Two months after she received the initial vaccine, the patient developed memory loss.  It was also reported that shortly after the second vaccination, the patient developed paralysis of her arm.  The patient was evaluated by her pediatrician, whose initial impression was that the symptoms may have been a psychology issue.  Following this office evaluation the patient experienced other symptoms such as vomiting and was evaluated at an emergency room.  The patient underwent numerous unspecified tests and saw unspecified specialists (results not provided).  Subsequently the patient was hospitalized for encephalitis and has since been discharged.  The physician doubts there was a link between the diagnosis of encephalitis and the vaccination.  The physician reported that someone at the emergency room may have suggested to the patient's mother that there may be a link between the diagnosis and GARDASIL.  The patient's encephalitis persisted.  The physician considered the encephalitis to be disabling.  Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Information has been received from a nurse practitioner concerning a female who on an unspecified date was vaccinated with the first dose of GARDASIL (lot # was not available). Per nurse practitioner, the patient passed out and had a small seizure for 30 seconds after receiving the first dose of GARDASIL about 2 weeks ago. To date, patient only received the first dose of GARDASIL. No further information provided. It was reported that hepatitis B virus vaccine (unspecified) and TB test on the day that the patient is supposed to get the second dose of GARDASIL but the patient refused to receive the second dose. Upon internal review, "small seizure" was determined to be an other important medical event. Additional information has been requested.