chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pregnancy test
Clinical narrative: Approximately 12-14 hours status post HPV administration patient had grand mal seizure requiring EMS transport and ER evaluation for 6-8 hours.  7/30/08 ER rec received for DOS 7/24/08 with DX:  Seizures. Pt presented via EMS following an episode of seizure-like activity consisting of arms shaking and eyes rolling back in the head on the day of 2nd HPV4 vax.  Drowsy on exam, coarse respirations noted in upper lobes,  otherwise WNL. GCS 15.
Age: 17.0
Sex: M
Vaccine: MEN
Symptoms: Erythema, Hypersensitivity, Pruritus generalised, Rash papular, Rash pruritic
Clinical narrative: Patient states woke 6:30 AM 07/23/08 itching all over, rash on back. Reported to medical center at 10:37 AM with red raised itchy papular areas, resolving after DECADRON 8mg IM given X 30-40 minutes.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, body aching. Advised TYLENOL alternated with ibuprofen, rest and increase fluids.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Fear of needles, Vomiting
Clinical narrative: Pt had friend come with her as pt stated she was "really afraid" of shots. Had topical anthesia applied to upper arms - secured by transparent covering. Cleaned site with alcohol, gave shot. Pt slumped on self and friend. Pt stated she was not nauseated and then vomited. Applied cold compress to neck and forehead. Led to chairs in hall where pt drank water and held compresses. Stated she felt better and was advised to sit in lobby 10 min.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Swelling of tricep area of right arm. Symptoms-itching Treatment: BENADRYL, KEFLEX
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Lethargy, Posture abnormal
Clinical narrative: After receiving 1st vaccine series (04-29-08) at age 3 mo x 3 day infant lethargic. Poor or no neck control, improved by 3rd days. No further problem without these signs and symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis post vaccination administration left deltoid.
Age: 1.2
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Given varicella vaccine 6/16/08. Developed widespread urticaria on 7/6/08. Recovered uneventfully.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Chest pain, Dizziness, Eosinophilia, Extrasystoles, Muscular weakness
Clinical narrative: Heart palpitations, dropped beats, V-fib, tachycardia, dizziness, muscle weakness and left side chest pain.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Palpitations, Tachycardia, Ventricular fibrillation
Clinical narrative: Heart palpitations, dropped beats, V-fib, tachycardia, dizziness, muscle weakness and left side chest pain.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 3/4 x 2 3/4 " reddened, swollen, hot area at site of vaccine.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Influenza, Pain, Pain in extremity
Clinical narrative: Tdap given 07/10. 07/11, right arm sore, headache, 7/12-7/13 "flu" symptoms then low fever 99.6. 7/14, fatigue continued and still achy. 07/15, fatigue/achy improving, but developed raised, warm, red, tender circular rash. 07/16, fever, rash increased, achy returned.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash erythematous, Skin warm, Tenderness
Clinical narrative: Tdap given 07/10. 07/11, right arm sore, headache, 7/12-7/13 "flu" symptoms then low fever 99.6. 7/14, fatigue continued and still achy. 07/15, fatigue/achy improving, but developed raised, warm, red, tender circular rash. 07/16, fever, rash increased, achy returned.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Induration, Pain, Skin warm
Clinical narrative: Large local reaction with 5" X 7" area of erythema, warmth and induration of left thigh. Moderately painful. No fever. Antibiotics prescribed to cover for cellulitis.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient in for 4 mo wcc. When time to receive vaccinations pt was shown to be given wrong vaccine at 2 mo wcc. Mom notified pt missed a vaccine at 2 mo wcc on 7/23/08.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth, Staphylococcal infection
Clinical narrative: 2 days after receiving vaccines pt developed increased redness, warmth and pain of left thigh. Continued to worsen over next 2 days until seen at apt on 7/22/08. At that time an area of cellulitis was noted on leg measures 9 x 6.4 cm. She was started on KEFLEX and BACTRIM (to cover MRSA) at the appt.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Injection site became sore, stiff, swollen, warm and itchy.
Age: 9.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Oedema peripheral, Skin warm
Clinical narrative: Right upper arm red & swollen & warm to touch. TYLENOL & PRELONE
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Contusion, Erythema, Fatigue, Hyperhidrosis
Clinical narrative: Bulls eye white surrounded by redness at shot site and 3 " below. Redness and bruising on arm, swelling, tenderness. Swelling of lymph nodes in injected arm D. Chills, sweating, extreme fatigue.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discolouration, Injection site erythema, Lymphadenopathy, Oedema peripheral, Tenderness
Clinical narrative: Bulls eye white surrounded by redness at shot site and 3 " below. Redness and bruising on arm, swelling, tenderness. Swelling of lymph nodes in injected arm D. Chills, sweating, extreme fatigue.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received HPV IM in left deltoid on 5-7-08. Developed redness, swelling, hot to touch & pain at site and surrounding area. Within a week of administration sought medical treatment for cellulitis at injection site. Treated with antibiotic. Condition resolved. Urgent care treatment was 5/09/08.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Axillary pain, Fatigue, Swelling
Clinical narrative: 5 days after vaccination the patient developed fatigue. On 7/14/08, patient developed pain and swelling in left axillia, but no arm.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash
Clinical narrative: He received primary SPV (left shoulder and AVA #1 and Typhoid IM (right shoulder) on 9 July 2008. He noted a facial skin rash on 19 July 08. He called clinic on 7/20/08 for advice.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Oedema, Pruritus, Skin lesion
Clinical narrative: Otherwise healthy 7 year old white male presents to primary care provider approximately 48 hours after vaccines with an area of 6.5 cm X 8 cm erythema, induration, edema. It is pruritic and has been increasing in size over the last 24 hours. Lesion with tiny fluid filled areas in the center of lesion.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Rash macular
Clinical narrative: T100.9, rash began 07/21/08, on exam on 07/22/08 4 macules 0.5cm on chest, one on scalp.  Tx'd with hydrocortisone cream.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Left upper arm slightly swollen and red, started yesterday. Denies fever or pain. Gave Tylenol 7-23-08.
Age: 26.0
Sex: F
Vaccine: HEPAB
Symptoms: Headache, Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Patient complains of headaches since day of Twinrix.  Noted onset of global HA, not relieved with Aleve 500mg.  Denies N/V, photophobia, neck stiffness, fever.  Bruising and swelling at site of vaccine noted.  Continues with soreness and swelling.
Age: 0.8
Sex: M
Vaccine: HBHEPB
Symptoms: Oral intake reduced, Pyrexia
Clinical narrative: Fever that peaked at 105.9F, not eating or drinking beginning am of 6/28/08.  Pt. seen at 2 ERs on 6/28/08.  Given Motrin & IV.  6/30/08:  Mom states child is better; 7/1/08: much better per mom.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: 4/15/08 Seizure occured at bedtime. Taken to E.D., CT scan done. 5/15/08 Seizure occured at bedtime. Taken to another Hosp. EEG showed mildly abnormal brain activity. Possibly hormonal trigger. Prescribed seizure medication, Kepra. Continues to be followed medically. 8/15/08-records received-4/21/08-The EEG was performed after one episode of generalized tonic-clonic seizure on 4/8/08. Presented to ED on 5/17/08-after seizure at home, eyes rolled back, sleepy afterward. Similar episode last month during her period. 5/22/08-neurology consult exam essentially normal. Impression: generalized epilepsy.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Balance disorder, Coordination abnormal, Depression, Dizziness, Dysgeusia
Clinical narrative: Initially said it was Bells Palsy, then changed to Ramsey Hunt Syndrome.  Right side Facial paralysis, Inflammation of 5, 7, and 10th nerve, matallic taste in mouth.  Most of these have resolved to slight signs.  I still have hearing and vision loss, eyes and ears are sensitive to loud noise and bright lights, Trigeminal and occipital neuralgia, balance and coordination off, tingling, twitching, numbness and nerve pain and loss of feeling in right arm, shoulder feels like it is rotting the cells and tissue and joints, constant feeling like my head could explode, nausea, vertigo, dizzy, can barely hold my head upright, muscle spasms, acid reflux, high blood pressure, E.D., Depressed and constantly in 6-10 levels of pain now for almost 8 months.  Wind 9/29/08-records received-presented to clinic on 1/1/08- with C/O headache and pressure, facial drooping and numbness, decrease in hearing, blurry vision and slight weakness to right arm times 3 days. Exhibited slurred speech, unable to blink right eye. DX: Bell's Palsy.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Electrocardiogram, Electroencephalogram, Erectile dysfunction, Gastrooesophageal reflux disease, Headache
Clinical narrative: Initially said it was Bells Palsy, then changed to Ramsey Hunt Syndrome.  Right side Facial paralysis, Inflammation of 5, 7, and 10th nerve, matallic taste in mouth.  Most of these have resolved to slight signs.  I still have hearing and vision loss, eyes and ears are sensitive to loud noise and bright lights, Trigeminal and occipital neuralgia, balance and coordination off, tingling, twitching, numbness and nerve pain and loss of feeling in right arm, shoulder feels like it is rotting the cells and tissue and joints, constant feeling like my head could explode, nausea, vertigo, dizzy, can barely hold my head upright, muscle spasms, acid reflux, high blood pressure, E.D., Depressed and constantly in 6-10 levels of pain now for almost 8 months.  Wind 9/29/08-records received-presented to clinic on 1/1/08- with C/O headache and pressure, facial drooping and numbness, decrease in hearing, blurry vision and slight weakness to right arm times 3 days. Exhibited slurred speech, unable to blink right eye. DX: Bell's Palsy.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Herpes zoster oticus, Hyperacusis, Hypertension, Hypoaesthesia, Muscle spasms
Clinical narrative: Initially said it was Bells Palsy, then changed to Ramsey Hunt Syndrome.  Right side Facial paralysis, Inflammation of 5, 7, and 10th nerve, matallic taste in mouth.  Most of these have resolved to slight signs.  I still have hearing and vision loss, eyes and ears are sensitive to loud noise and bright lights, Trigeminal and occipital neuralgia, balance and coordination off, tingling, twitching, numbness and nerve pain and loss of feeling in right arm, shoulder feels like it is rotting the cells and tissue and joints, constant feeling like my head could explode, nausea, vertigo, dizzy, can barely hold my head upright, muscle spasms, acid reflux, high blood pressure, E.D., Depressed and constantly in 6-10 levels of pain now for almost 8 months.  Wind 9/29/08-records received-presented to clinic on 1/1/08- with C/O headache and pressure, facial drooping and numbness, decrease in hearing, blurry vision and slight weakness to right arm times 3 days. Exhibited slurred speech, unable to blink right eye. DX: Bell's Palsy.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Muscle twitching, Nausea, Neuralgia, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Initially said it was Bells Palsy, then changed to Ramsey Hunt Syndrome.  Right side Facial paralysis, Inflammation of 5, 7, and 10th nerve, matallic taste in mouth.  Most of these have resolved to slight signs.  I still have hearing and vision loss, eyes and ears are sensitive to loud noise and bright lights, Trigeminal and occipital neuralgia, balance and coordination off, tingling, twitching, numbness and nerve pain and loss of feeling in right arm, shoulder feels like it is rotting the cells and tissue and joints, constant feeling like my head could explode, nausea, vertigo, dizzy, can barely hold my head upright, muscle spasms, acid reflux, high blood pressure, E.D., Depressed and constantly in 6-10 levels of pain now for almost 8 months.  Wind 9/29/08-records received-presented to clinic on 1/1/08- with C/O headache and pressure, facial drooping and numbness, decrease in hearing, blurry vision and slight weakness to right arm times 3 days. Exhibited slurred speech, unable to blink right eye. DX: Bell's Palsy.
Age: 28.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Paraesthesia, Photophobia, Trigeminal neuralgia, Vertigo
Clinical narrative: Initially said it was Bells Palsy, then changed to Ramsey Hunt Syndrome.  Right side Facial paralysis, Inflammation of 5, 7, and 10th nerve, matallic taste in mouth.  Most of these have resolved to slight signs.  I still have hearing and vision loss, eyes and ears are sensitive to loud noise and bright lights, Trigeminal and occipital neuralgia, balance and coordination off, tingling, twitching, numbness and nerve pain and loss of feeling in right arm, shoulder feels like it is rotting the cells and tissue and joints, constant feeling like my head could explode, nausea, vertigo, dizzy, can barely hold my head upright, muscle spasms, acid reflux, high blood pressure, E.D., Depressed and constantly in 6-10 levels of pain now for almost 8 months.  Wind 9/29/08-records received-presented to clinic on 1/1/08- with C/O headache and pressure, facial drooping and numbness, decrease in hearing, blurry vision and slight weakness to right arm times 3 days. Exhibited slurred speech, unable to blink right eye. DX: Bell's Palsy.
Age: 64.0
Sex: U
Vaccine: PPV
Clinical narrative: Subject in pneumococcal vaccine trial, with sever COPD, was admitted to hospital. Vaccination took place on 6/13/07 and admission was on 5/26/08. According to the physician, the relationship to treatment is 'unlikely'. We would be happy to forward the Report Form upon request. 8/12/08-records received for DOS 5/25-5/30/08-DC DX:Pneumonia. Presented with shortness of breath. Fever 101.2, chills, chest pain with cough, nausea and vomiting.
Age: 36.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Hyperhidrosis, Syncope, Urinary incontinence, Vomiting
Clinical narrative: Had syncopal episode, sweat, vomited and incontinent of urine approximately 25min. after administration.  Client refused to go to ER.  Client called from home to report to unit those reactions.    Benadryl 50mg po given at home.  At 1450 client feels better, no further events.  Clients Mother reports as a child was given "quarter doses" of vaccines.  Had fever, rash, and fussiness with childhood immunizations.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: Approximately 5 minutes after HPV, VZV, Hep A administered patient had syncopal episode, fell back, brief loss of consciousness, recovered fully
Age: 1.5
Sex: M
Vaccine: HEPA, HIBV, TDAP, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse events noted; patient was inadvertantly given Tdap instead of DTaP.
Age: 45.0
Sex: M
Vaccine: HEPAB, TDAP, TYP
Symptoms: Discomfort, Immediate post-injection reaction, Injection site pain, Pain
Clinical narrative: Pt. complained of discomfort when Tdap administered. Discomfort became pain and continued. Six days after administration, Pt still complaining of pain but deined any inflammation. Pt. saw doctor and was told that the administration needle could have hit a nerve or burst a bursa.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Body temperature increased, Headache, Somnolence
Clinical narrative: Patient developed excessive sleepiness, headache, and unadjusted axillary temperature to 103.5 at home.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Anaphylactic reaction, Dyspnoea, Eye swelling
Clinical narrative: Anaphylaxis - after leaving clinic where vaccine was administered, pt developed swelling of eye and difficulty breathing.  Brought to ED, given epinephrine, albuterol, and benadryl.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylaxis - after leaving clinic where vaccine was administered, pt developed swelling of eye and difficulty breathing.  Brought to ED, given epinephrine, albuterol, and benadryl.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Brain injury, Coma, Convulsion, Death, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Patient presented to the ED on 7/16/08 with seizure activity that was difficult to contol after starting to have seizures at home. She was finally stabilized then transferred to the PICU at hospital. After being here she had again started to have uncontrolled seizures. She was started on multiple seizure medications (Phenobarbital, Fosphenytoin, Pyridoxine) but still not controlled so placed into a Pentobarbital coma. This was initially weaned with a recurrence of seizures, so placed back into a Pentobarbital coma and Keppra was added. This was again weaned with the recurrence of seizures. Parents then decided that with the amount of brain damage noted on imaging that they would like to withdraw support. The patient then passed a few hours after support was withdrawn. 7/29/08-pending. no significant trauma, no gross natural disease, brain and spinal cord retained for neuropathology exam. 8/11/08-records received for DOS 7/16-7/23/08-presented to ED after seizure, had low grade fever since Monday of last week 2 days after immunizations. Intubation. Bulging pulsating fontanelle, DX:seizure activity with cerebral edema.
Age: 31.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain in extremity
Clinical narrative: 1-2 days after MMR and DTAP immunizations experienced severe pain under right arm pit.  It is now 5 days after injections and the pain remains; it's painful to touch as well as apply pressure to the arm pit.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dysphagia, Eye swelling, Eyelid ptosis, Hypoaesthesia
Clinical narrative: I recieved the first shot of the Gardasil series today, within 3 hours I felt very dizzy/lightheaded, it became hard to swallow, the arm that the shot was administered (left arm) became numb with a burning sensation, and my left eye felt swollen and droopy/puffy. I took benadryl, fell alseep for 2 hours, woke up and felt somewhat better. My arm still feels a little wierd though.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Band neutrophil percentage, Basophil percentage, Blood calcium normal, Cyanosis, Eosinophil percentage decreased
Clinical narrative: 2 month old previously healthy female born at 38 weeks via repeat C-section received immunizations at PCP's office ~10:30AM.  Was fussy at home, so mom gave TYLENOL X1.  Pt fussiness increased and about 2:30PM pt began to have resp. distress.  Mom called 911.  Pt stopped breathing ~1 min. and facial cyanosis x3 min.  Then entered a state of "sleepiness".  When EMS arrived pt limp but responsive to painful stimuli.  By the time pt got to hospital, she was sleepy but otherwise in no distress. 8/7/08-records received for DOS 7/22-7/23/08DC DX: Apparent Life Threatening Event (ATLE) possibly secondary to hypotonic hyoreponsive collapse following reaction to pertussis immunnization. Episode of dyspnea, cyanosis blanching, fussing crying.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Haematocrit increased, Haemoglobin normal, Hypotonia, Irritability, Lymphocyte percentage
Clinical narrative: 2 month old previously healthy female born at 38 weeks via repeat C-section received immunizations at PCP's office ~10:30AM.  Was fussy at home, so mom gave TYLENOL X1.  Pt fussiness increased and about 2:30PM pt began to have resp. distress.  Mom called 911.  Pt stopped breathing ~1 min. and facial cyanosis x3 min.  Then entered a state of "sleepiness".  When EMS arrived pt limp but responsive to painful stimuli.  By the time pt got to hospital, she was sleepy but otherwise in no distress. 8/7/08-records received for DOS 7/22-7/23/08DC DX: Apparent Life Threatening Event (ATLE) possibly secondary to hypotonic hyoreponsive collapse following reaction to pertussis immunnization. Episode of dyspnea, cyanosis blanching, fussing crying.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Monocyte percentage, Neutrophil percentage, Platelet count increased, Respiratory arrest, Respiratory distress
Clinical narrative: 2 month old previously healthy female born at 38 weeks via repeat C-section received immunizations at PCP's office ~10:30AM.  Was fussy at home, so mom gave TYLENOL X1.  Pt fussiness increased and about 2:30PM pt began to have resp. distress.  Mom called 911.  Pt stopped breathing ~1 min. and facial cyanosis x3 min.  Then entered a state of "sleepiness".  When EMS arrived pt limp but responsive to painful stimuli.  By the time pt got to hospital, she was sleepy but otherwise in no distress. 8/7/08-records received for DOS 7/22-7/23/08DC DX: Apparent Life Threatening Event (ATLE) possibly secondary to hypotonic hyoreponsive collapse following reaction to pertussis immunnization. Episode of dyspnea, cyanosis blanching, fussing crying.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Somnolence, Urine analysis normal, Weight, White blood cell count normal
Clinical narrative: 2 month old previously healthy female born at 38 weeks via repeat C-section received immunizations at PCP's office ~10:30AM.  Was fussy at home, so mom gave TYLENOL X1.  Pt fussiness increased and about 2:30PM pt began to have resp. distress.  Mom called 911.  Pt stopped breathing ~1 min. and facial cyanosis x3 min.  Then entered a state of "sleepiness".  When EMS arrived pt limp but responsive to painful stimuli.  By the time pt got to hospital, she was sleepy but otherwise in no distress. 8/7/08-records received for DOS 7/22-7/23/08DC DX: Apparent Life Threatening Event (ATLE) possibly secondary to hypotonic hyoreponsive collapse following reaction to pertussis immunnization. Episode of dyspnea, cyanosis blanching, fussing crying.
Age: 18.0
Sex: F
Vaccine: HEPA, JEV, TDAP, TYP
Symptoms: Urticaria
Clinical narrative: Mother called to report hives on arms, 9 on one- 3 on other. 7/17/08 - resolved with benadryl
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Patient complains of pain at site of injection, had 15 mm of edema with 50 mm of redness around site. Treated with TYLENOL for pain.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Decreased appetite, Injection site swelling, Irritability
Clinical narrative: Patient developed 3 hours of crying after vaccines on 7/9/08. This resolved with tylenol and sleep. Patient then back to normal self with mild fussiness and slightly decreased appetite. No fever reported. Patient also developed swelling of legs at site of injection.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt with swelling and redness L deltoid after receiving routine IZ's on 07/22/08. Swelling measures 4 cm by 5 cm.
Age: 1.56
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Hives 90 minutes after DTaP #4. Wheal/flare reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Erythema, Full blood count, Induration, Pallor
Clinical narrative: Right thigh outer aspects, cellulitis 12 X 13 cm + center area firm, blanching, all erythematous. Started Tuesday had some fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Right thigh outer aspects, cellulitis 12 X 13 cm + center area firm, blanching, all erythematous. Started Tuesday had some fever.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on buttocks, genital area, and both legs; no fever; itching.
Age: 1.23
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Rash papular
Clinical narrative: R thigh with large 1.5 inch area (approx) of induration, swollen and warm to touch. R thigh, just distal to above, smaller area of induration 3-5 mm. Multiple papular lesions on legs, arms, trunk, face.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Mass, Urticaria
Clinical narrative: Mom called at 08:15 am and stated that he got vaccine a week ago and now red and whelpy with a knot the size of a baseball in diameter. Seen in office and will do 1% hydrocortisone cream and compresses.
Age: 35.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Developed swelling, redness, pain at injection site of last 2 anthrax vaccines he received.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Cerebrovascular accident, Hemiparesis, Irritability, Laboratory test, Mechanical ventilation
Clinical narrative: Next day after receiving several vaccines patient deveoped irritability and fever and weakness of left side of the body. Within few days he was diagnosed with right sided stroke (middle cerebral artery).  He required prolonged hospital stay including ICU care including mechanical ventilation.  Patients condition improved but has weakness on left side. 1/26/2010 Patient improved but has residual left Hemiparesis and Speech disorder.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Pyrexia
Clinical narrative: Next day after receiving several vaccines patient deveoped irritability and fever and weakness of left side of the body. Within few days he was diagnosed with right sided stroke (middle cerebral artery).  He required prolonged hospital stay including ICU care including mechanical ventilation.  Patients condition improved but has weakness on left side. 1/26/2010 Patient improved but has residual left Hemiparesis and Speech disorder.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Nausea, Vaccine positive rechallenge, Weight decreased
Clinical narrative: Mother reports abdominal pain, loss of appetite and weight loss for 4-5 months following vaccine. Labs unremarkable. Patient recovered without sequelae. Mother requested form sent.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Anorexia, Laboratory test, Weight decreased
Clinical narrative: Mother reports abdominal pain, loss of appetite and weight loss for 4-5 months following vaccine. Labs unremarkable. Patient recovered without sequelae. Mother requested form sent.
Age: 6.0
Sex: M
Vaccine: MMRV, VARCEL, VARCEL
Symptoms: Blister, Rash pruritic, Scab, Skin lesion
Clinical narrative: Received consult not from doctor. Note states patient developed chest pain that persisted for 10 days in May of 2008 with secondary impetigo.
Age: 6.0
Sex: M
Vaccine: MMRV, VARCEL, VARCEL
Symptoms: Chest pain, Impetigo
Clinical narrative: Received consult not from doctor. Note states patient developed chest pain that persisted for 10 days in May of 2008 with secondary impetigo.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Anaphylactic reaction, Dyspnoea, Eye swelling
Clinical narrative: anaphylaxis
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Anaphylactic reaction
Clinical narrative: anaphylaxis
Age: 49.0
Sex: F
Vaccine: YF
Symptoms: Death
Clinical narrative: See deatailed case summary sent to VAERS
Sex: U
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a nurse practitioner concerning a patient who was vaccinated with a second dose of VARIVAX (Oka/Merck). The nurse practitioner reported that a patient received the second dose of VARIVAX (Oka/Merck) and developed "a reaction". The patient was hospitalized. The type of reaction unspecified and reason for hospitalization unspecified. There was no product quality complaint. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Borrelia burgdorferi serology, Brain oedema, Dysarthria
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Encephalitis, Headache, Herpes simplex serology, Lethargy, Mumps antibody test
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Mycoplasma serology, Nuclear magnetic resonance imaging brain, Rubella antibody test
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Dysarthria, Fatigue, Gait disturbance, Headache
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Ataxia, Blood creatinine normal, Blood cyanide, Blood lead, C-reactive protein normal
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Demyelination, Dysarthria, Encephalitis, Haemoglobin normal, Headache
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Liver function test normal, Malaise, Mental impairment, Nuclear magnetic resonance imaging abnormal, Platelet count normal
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Skin lesion, Somnolence, Speech disorder, Vasculitis, White blood cell count normal
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Borrelia burgdorferi serology negative, Cerebellar ataxia, Fatigue, Foreign travel, Headache
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female patient who on 16-JUN-2008 was vaccinated with the first dose of GARDASIL (Lot # 660387/1967U) IM. There was no concomitant medication. On 30-JUN-2008 the patient experienced headache, lethargy, slurred speech and brain swelling. The patient was diagnosed with acute cerebellitis (cerebellar encephalitis). The patient took an overseas trip when these symptoms occurred and was hospitalized. The patient will be on IV Acyclovir for 3 weeks and has been on Dexamethasone but is being weaned off. The patient was on acetazolamide and that was subsequently discontinued. The patient will be on ceftriaxone for 2 weeks and doxycycline for 28 days. The patient was considered to be recovering. The plan by the hospital was to discharge the patient on 17-JUN-2008 and have her on a flight back home by 19-JUL-2008 and to be directly admitted to a pediatric hospital. Lab Diagnostics studies performed were 3 MRIs to monitor brain swelling, serology for Lyme's disease IGG, mycoplasma IGM, mumps IGG and IGM, rubella IGG and IGM, varicella IGG and IGM, parvovirus IGG and IGM, HSV IGG and IGM, however not results were reported. Acute cerebellitis was considered to be immediately life-threatening. The patient sought medical attention, called the physician's office. Follow-up information was received which reported that on 19-JUL-2008, the patient was admitted to the hospital. The patient was subsequently discharged from the hospital on 22-JUL-2008. It was reported that the patient was sent home with a PICC line for antibiotics for the next several weeks. The registered nurse stated that the patient was stable. The registered nurse reported that the physician felt that the patient's Encephalitis was related to GARDASIL (Lot # 660387/1967U) vaccination. Additional information has been requested.