chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Joint range of motion decreased, Pain, Swelling
Clinical narrative: Patient received PNEUMOVAX injection. Had immediate swelling upon arriving at home. Lots of pain. Used ice, heat, massage, took NSAID's for the past 3 weeks with no improvement except decrease in swelling. Continues to have limited range of motion and pain.
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Pain, Swelling
Clinical narrative: Patient received PNEUMOVAX injection. Had immediate swelling upon arriving at home. Lots of pain. Used ice, heat, massage, took NSAID's for the past 3 weeks with no improvement except decrease in swelling. Continues to have limited range of motion and pain.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tonic convulsion
Clinical narrative: Information has been received from a physician concerning an approximately 14 year old female who on 31-AUG-2009 was vaccinated intramuscularly with her first 0.5mL dose of GARDASIL (lot number not reported) . On 31-AUG-2009, after getting the vaccine, the patient "had a syncope and then tonic seizure movements". The patient recovered from syncope and tonic seizure movement on 31-AUG-2009. The patient sought unspecified medical attention. Upon internal review, tonic seizure movement was determined to be an other important medical event. Additional information has been requested.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Dizziness, Laryngospasm, Myalgia, Upper respiratory tract congestion
Clinical narrative: Initial report was received 26 August 2009 from a health care professional, who is also the patient. A 46-year-old female patient with a history of asthma and allergies to codeine and Tetanus Toxoid, had received a 0.5 ml left deltoid intramuscular injection of FLUZONE SV 2009-2010, lot number U3200AA on 21 August 2009 and eight hours later, she developed a laryngospasm and had a "funny feeling" described as lightheaded. The patient self medicated with an Epipen with clearance of symptoms. The patient had no concurrent illness at the time of vaccination. On 25 August 2009, four days post vaccination, the patient developed a temperature of 101 degrees, muscle aches and congestion. The patient was evaluated by a physician who noted that her lungs were clear and additional testing had not been performed. The patient had a history of 20 prior FLUZONE vaccinations. At the time of the report, the patient's recovery status was reported as unknown. Documents held by sender: None.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Computerised tomogram, Condition aggravated, Full blood count, Headache
Clinical narrative: Headaches.  9/27/09 Hospital records received DOS 8/31/09 to 9/2/09. Assessment: Headache. Patient presents with headache. Normal neurological exam.  ICD-9: 784.0 Headache.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Cyanosis, Gaze palsy, Musculoskeletal stiffness, Nuclear magnetic resonance imaging
Clinical narrative: Received MENACTRA & Tdap on 6/3/09. Had a seizure on 6/12/09. Eyes rolled back, she stiffened and turned blue around the lips. Vomited & unresp. for 10 min. 2nd seizure on 8/3/09.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: Received MENACTRA & Tdap on 6/3/09. Had a seizure on 6/12/09. Eyes rolled back, she stiffened and turned blue around the lips. Vomited & unresp. for 10 min. 2nd seizure on 8/3/09.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: With 24 hrs of receiving AFLURIA 0.5ml IM vaccine, patient reports she had several areas of large flat blotchy areas on her face and neck. Also reports itching in the blotchy areas. Used OTC hydrocortisone cream on her own. No other meds. On day 4 symptoms subsiding. No meds nor report to PMD. No fever, no SOB, no muscle aches, no other sx except red blotches.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Malaise, Pyrexia, Rash, Rash erythematous
Clinical narrative: Rash - 8-13-09 - Groups of raised red areas with white edges. Fever - 100 on 8-12-09 - Fever resolved 8-12-09. Fatigue/malaise on 8-12-09. Resolved/improved 8-13-09. Sx's developed on 8-12-09.
Age: 0.33
Sex: F
Vaccine: FLU3, HIBV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 4 month old given inactivated flu vaccine 0.25ml (for 6 months - 36 months age range). Correct dosing but 2 month early. Weight at time of visit = 12 lb 10 oz, healthy term baby, no complication since birth. Here for routine WCC.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pruritus, Swelling face
Clinical narrative: Eye itch night of day of injection. Face swollen next morning.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Fatigue, Hyperhidrosis, Myalgia, Nausea, Rash
Clinical narrative: Diffuse myalgias, fatigue, nausea, sweating for approximately 36 hours, with onset approx. 5-10 hours after receiving vaccines. Rash developed 8/17/09.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Blood test, Computerised tomogram, Dizziness, Electroencephalogram, Headache
Clinical narrative: Severe headache and dizziness after Gardasil Shot! 9/29/09 Medical records received from dates of service 2/2/09 to 8/24/09 PCP, Allergist, ENT, Neurologist. Patient seen by PCP 2/2/09 DX:sinusitis. Presenting with HA.  3/9/09 and 3/18/09 visits no change and C/O HA. 3/24/09 Allergist consult, normal findings. 4/05/09 Neurologist consult DX: tension HA or mixed migraine HA cannot be ruled out suggest to see a specialist for TMJ for clicking in jaw. 4/20/09  and 4/30/09 PCP visit DX:allergic Rhinitis. 5/6/09 ENT consult DX: reccurent sinusitis.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Nuclear magnetic resonance imaging, X-ray
Clinical narrative: Severe headache and dizziness after Gardasil Shot! 9/29/09 Medical records received from dates of service 2/2/09 to 8/24/09 PCP, Allergist, ENT, Neurologist. Patient seen by PCP 2/2/09 DX:sinusitis. Presenting with HA.  3/9/09 and 3/18/09 visits no change and C/O HA. 3/24/09 Allergist consult, normal findings. 4/05/09 Neurologist consult DX: tension HA or mixed migraine HA cannot be ruled out suggest to see a specialist for TMJ for clicking in jaw. 4/20/09  and 4/30/09 PCP visit DX:allergic Rhinitis. 5/6/09 ENT consult DX: reccurent sinusitis.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Headache
Clinical narrative: Severe headache and dizziness after Gardasil Shot! 9/29/09 Medical records received from dates of service 2/2/09 to 8/24/09 PCP, Allergist, ENT, Neurologist. Patient seen by PCP 2/2/09 DX:sinusitis. Presenting with HA.  3/9/09 and 3/18/09 visits no change and C/O HA. 3/24/09 Allergist consult, normal findings. 4/05/09 Neurologist consult DX: tension HA or mixed migraine HA cannot be ruled out suggest to see a specialist for TMJ for clicking in jaw. 4/20/09  and 4/30/09 PCP visit DX:allergic Rhinitis. 5/6/09 ENT consult DX: reccurent sinusitis.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Convulsion
Clinical narrative: Seizure (unwitnessed). Date. Several wks after vaccine.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Patient reports feeling nauseated approx 2-3 hrs after flu vaccine. Vomited from 3AM 9/3 - 6AM. Also complained of headache. Self resolved no further vomiting or nausea; headaches continued.
Age: 1.08
Sex: M
Vaccine: FLU3
Symptoms: Fall, Postictal state, Respiratory arrest, Syncope
Clinical narrative: Had syncopal episode at home. Fell - stopped breathing x20 seconds. Then was "postictal" x20 seconds - ? primary seizure vs breath-holding episode.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Body temperature increased, Diarrhoea, Irritability, Urticaria
Clinical narrative: Hives, temp 102.3, fussy-given steroids & BENADRYL, 9-10-09 pt had diarrhea, doing well on 9-10-09.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Oxygen saturation, Pruritus, Wheezing
Clinical narrative: Within 5 minutes developed wheezing and itching. Gave patient nebulizer tx and 2 IV BENADRYL. Symptoms resolved.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Headache, Hyperhidrosis
Clinical narrative: Had vaccine at 6p, dry cough and headache by 9p, chest tight/sore throat,chills, sweating and fever of 102 degrees all night, woke with nasal congestion but by 10a all symptoms subsided.  No reaction at shot location.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: Had vaccine at 6p, dry cough and headache by 9p, chest tight/sore throat,chills, sweating and fever of 102 degrees all night, woke with nasal congestion but by 10a all symptoms subsided.  No reaction at shot location.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mother stated child's Left arm very red, swollen and tender to touch. Stated child never complianed until mother touched his arm.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Heart rate normal, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Immediately after receiving Gardasil#3 injection, patient fainted, loosing consciousness for approximately 30 seconds. Easily revived with changing of position & cool compress.BP 100/60 Pulse 70. Pt did not injure self.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: rash/hives rt upper arm and upper back, bilateral forearms (back side) and bilateral upper legs/thighs
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Deafness, Ear discomfort, Ear pain, Hypersensitivity, Pruritus
Clinical narrative: I received a flu shot from walk-in facility. They gave me Fluzone. I have never before had a reaction to flu vaccines, but the flu vaccines that I had were all out of state. This was my first one in state. Within half an hour both of my ears began to ring and I began losing my hearing. I estimate hearing loss at about 15%. I developed a feeling of fullness in my ears, they were also painful, and they felt itchy/prickly somewhere way inside my ear. My ears began to hurt. I called my doctor and she said to call the ear doctor she recommended. I went in to see the ear doctor immediately. He said that I had an allergic reaction to the shot, that he had seen this before. If my ears are not better today, I am to see him again and get a prescription. My ears still hurt and feel full.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tinnitus
Clinical narrative: I received a flu shot from walk-in facility. They gave me Fluzone. I have never before had a reaction to flu vaccines, but the flu vaccines that I had were all out of state. This was my first one in state. Within half an hour both of my ears began to ring and I began losing my hearing. I estimate hearing loss at about 15%. I developed a feeling of fullness in my ears, they were also painful, and they felt itchy/prickly somewhere way inside my ear. My ears began to hurt. I called my doctor and she said to call the ear doctor she recommended. I went in to see the ear doctor immediately. He said that I had an allergic reaction to the shot, that he had seen this before. If my ears are not better today, I am to see him again and get a prescription. My ears still hurt and feel full.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoacusis
Clinical narrative: I received a flu shot from walk-in facility. They gave me Fluzone. I have never before had a reaction to flu vaccines, but the flu vaccines that I had were all out of state. This was my first one in state. Within half an hour both of my ears began to ring and I began losing my hearing. I estimate hearing loss at about 15%. I developed a feeling of fullness in my ears, they were also painful, and they felt itchy/prickly somewhere way inside my ear. My ears began to hurt. I called my doctor and she said to call the ear doctor she recommended. I went in to see the ear doctor immediately. He said that I had an allergic reaction to the shot, that he had seen this before. If my ears are not better today, I am to see him again and get a prescription. My ears still hurt and feel full.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Deafness, Ear discomfort, Ear pain, Hypersensitivity, Pruritus
Clinical narrative: Pt. called about 40 min. after shot given (at home) and reported her hearing decreased and felt like someone put water in her ear; feel full "Asked if pt. is allergic to anything else beside what are listed on consent form. She did said no. Told her to watch out for s/s of anaphylactic rxn (shortness of breath, rashes, swelling etc., and monitor whether healing is worst or better , pt. understand and she said has no other problems. I told pt. I'll call back to check on her. Called at 5:29 PM on 9/9/09 but got no answer - left message and will call back pt. again the next day. I called again 9/10/09 at 9:21 AM and got no answer. Left message.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tinnitus
Clinical narrative: Pt. called about 40 min. after shot given (at home) and reported her hearing decreased and felt like someone put water in her ear; feel full "Asked if pt. is allergic to anything else beside what are listed on consent form. She did said no. Told her to watch out for s/s of anaphylactic rxn (shortness of breath, rashes, swelling etc., and monitor whether healing is worst or better , pt. understand and she said has no other problems. I told pt. I'll call back to check on her. Called at 5:29 PM on 9/9/09 but got no answer - left message and will call back pt. again the next day. I called again 9/10/09 at 9:21 AM and got no answer. Left message.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoacusis
Clinical narrative: Pt. called about 40 min. after shot given (at home) and reported her hearing decreased and felt like someone put water in her ear; feel full "Asked if pt. is allergic to anything else beside what are listed on consent form. She did said no. Told her to watch out for s/s of anaphylactic rxn (shortness of breath, rashes, swelling etc., and monitor whether healing is worst or better , pt. understand and she said has no other problems. I told pt. I'll call back to check on her. Called at 5:29 PM on 9/9/09 but got no answer - left message and will call back pt. again the next day. I called again 9/10/09 at 9:21 AM and got no answer. Left message.
Age: 1.15
Sex: F
Vaccine: FLUX, HEPA, MMR, PPV, VARCEL
Symptoms: Body temperature increased, Crying, Opisthotonus, Respiratory rate increased, Restlessness
Clinical narrative: Initial low grade temp (99F) treated with Tylenol within 3 hours of injections. Within 10 hours, high temp of 103. Extreme restlessness, rapid breathing, back arching (as if in pain). Inconsolable crying/screaming. Extreme thirst. Piggybacked Tylenol with Advil. Temp brought down to moderate. Reported to child's pediatrician's nurse.
Age: 1.15
Sex: F
Vaccine: FLUX, HEPA, MMR, PPV, VARCEL
Symptoms: Screaming, Thirst
Clinical narrative: Initial low grade temp (99F) treated with Tylenol within 3 hours of injections. Within 10 hours, high temp of 103. Extreme restlessness, rapid breathing, back arching (as if in pain). Inconsolable crying/screaming. Extreme thirst. Piggybacked Tylenol with Advil. Temp brought down to moderate. Reported to child's pediatrician's nurse.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MEN, VARCEL
Symptoms: Headache, Loss of consciousness
Clinical narrative: My daughter has passed out TWICE since receiving these injections and experiences increased headaches while the finishing up the series. She has no previous history of passing out and has always been the picture of health. We are very concerned over the long term effects of Gardisil and want the consequences of her receiving these shots documented with both the FDA and her PCP office. Thank you.  9/15/09 PCP medical records received DOS 7/10/07 to 8/24/09. Assessment: Acute strep pharyngitis. Mother says child fainted after first HPV vaccine but did fine with 2nd and 3rd doses. Presents with sore throat, decreased appetite, decreased activity, cough. Tonsils +3 with exudate, mild erythma oropharynx, tender enlargement of anterior cervical nodes. Acute pharyngitis. Headache. Difficulty swallowing, problems falling asleep, nasal congestion/discharge, abdominal pain. Left forearm deformed, tender, numbness, tingling. Left breast tender.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Blood creatinine normal, Blood urea normal, Body temperature increased, Dizziness, Laboratory test normal
Clinical narrative: Flu vaccination was given to me on Sept 1st.  On Sept. 7th, I became extremely dizzy and nauseated.  The symptoms continued until Sept 9th.  I made an appt. to see urgent care at the Medical Center.  The nurse practitioner said I had labyrinthitis/vertigo which usually follows a viral infection or a flu or your bodys immune response to fight off a virus or flu.  I have no symptoms of an upper respiratory infection and no other symptoms besides dizziness and nausea.  I am currently not experiencing any dizziness at this time.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Labyrinthitis, Nausea, Vertigo
Clinical narrative: Flu vaccination was given to me on Sept 1st.  On Sept. 7th, I became extremely dizzy and nauseated.  The symptoms continued until Sept 9th.  I made an appt. to see urgent care at the Medical Center.  The nurse practitioner said I had labyrinthitis/vertigo which usually follows a viral infection or a flu or your bodys immune response to fight off a virus or flu.  I have no symptoms of an upper respiratory infection and no other symptoms besides dizziness and nausea.  I am currently not experiencing any dizziness at this time.
Age: 66.0
Sex: F
Vaccine: VARCEL
Symptoms: Back pain, Paraesthesia
Clinical narrative: Patient complained of pain and tingling between shoulder blades.
Age: 74.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: Returned to clinic 9-9-09 with a red raised vesicles rash in dermatomal distribution on left lower back radiating around to center of lower abdomen. Onset of rash about 9-7-09. Patient denies pain or itching fever or chills. Tx valtrex 1gm TID X 7 days
Age: 45.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Joint range of motion decreased, Local swelling, Musculoskeletal stiffness
Clinical narrative: 10cm localized swelling to left deltoid; stiff and limited ROM from left shoulder to left elbow.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Incorrect dose administered, Pain in extremity
Clinical narrative: Pt was given double dose of flu vaccine. Next morning complained of arm pain radiating into breast area. Sent to Occupational Health facility for follow up.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt given double dose of flu vaccine-no adverse reaction.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt given double dose of flu vaccine-no adverse reaction.
Age: 1.75
Sex: M
Vaccine: DTAPIPV, HIBV, UNK
Symptoms: Abasia, Aphasia, Convulsion, Crying, Decreased appetite
Clinical narrative: WITHIN 48 HOURS FEVER OF 105 DEG. F.  Collapse and shock. Persistant Crying lasting for 4 hours w/in 48 hours.  Prolonged seizures 2 weeks  within 4 days after vacc. decreased level of consciousness, inability to move arms/legs;walk, talk, hold bowels or urine.  anorexia. unable to make eye contact when addressed by name for 1 month. very distressed and afraid. prolonged sleep(16 hours at a time)and crying/starring spells 2-6 hours at a time(for 2 weeks)
Age: 1.75
Sex: M
Vaccine: DTAPIPV, HIBV, UNK
Symptoms: Depressed level of consciousness, Disturbance in social behaviour, Emotional distress, Faecal incontinence, Fear
Clinical narrative: WITHIN 48 HOURS FEVER OF 105 DEG. F.  Collapse and shock. Persistant Crying lasting for 4 hours w/in 48 hours.  Prolonged seizures 2 weeks  within 4 days after vacc. decreased level of consciousness, inability to move arms/legs;walk, talk, hold bowels or urine.  anorexia. unable to make eye contact when addressed by name for 1 month. very distressed and afraid. prolonged sleep(16 hours at a time)and crying/starring spells 2-6 hours at a time(for 2 weeks)
Age: 1.75
Sex: M
Vaccine: DTAPIPV, HIBV, UNK
Symptoms: Hypersomnia, Hypokinesia, Pyrexia, Shock, Staring
Clinical narrative: WITHIN 48 HOURS FEVER OF 105 DEG. F.  Collapse and shock. Persistant Crying lasting for 4 hours w/in 48 hours.  Prolonged seizures 2 weeks  within 4 days after vacc. decreased level of consciousness, inability to move arms/legs;walk, talk, hold bowels or urine.  anorexia. unable to make eye contact when addressed by name for 1 month. very distressed and afraid. prolonged sleep(16 hours at a time)and crying/starring spells 2-6 hours at a time(for 2 weeks)
Age: 1.75
Sex: M
Vaccine: DTAPIPV, HIBV, UNK
Symptoms: Syncope, Urinary incontinence
Clinical narrative: WITHIN 48 HOURS FEVER OF 105 DEG. F.  Collapse and shock. Persistant Crying lasting for 4 hours w/in 48 hours.  Prolonged seizures 2 weeks  within 4 days after vacc. decreased level of consciousness, inability to move arms/legs;walk, talk, hold bowels or urine.  anorexia. unable to make eye contact when addressed by name for 1 month. very distressed and afraid. prolonged sleep(16 hours at a time)and crying/starring spells 2-6 hours at a time(for 2 weeks)
Age: 4.0
Sex: U
Vaccine: DPP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: rt arm swollen,red,hard and hot to touch. ?cellulitis started on septra
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Chest pain, Death, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Headache, Nausea, dizziness, chilling, tiredness, shortness of breath, complained of chest plain, severe cramps.  9/14/09 Received vaccine & PCP medical records which reveal patient seen 12/5/07 & 2/27/08 with sore throat, fever, chills, fatigue, body aches, productive cough w/yellow sputum & HA.  Dx both times w/acute bronchitis & tx w/antibiotics & cough syrup.  9/25/09 Autopsy report received DOD 09/12/2008. Acute Cardiac Arrhythmia of Unknown Etiology. Addtional information abstracted: Heart with focal microscopic ischemic changes, pulmonary congestion and edema. Rare petechiae: conjunctival, periorbital and laryngeal. Resuscitation related sternal fracture.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling cold, Headache, Muscle spasms, Nausea
Clinical narrative: Headache, Nausea, dizziness, chilling, tiredness, shortness of breath, complained of chest plain, severe cramps.  9/14/09 Received vaccine & PCP medical records which reveal patient seen 12/5/07 & 2/27/08 with sore throat, fever, chills, fatigue, body aches, productive cough w/yellow sputum & HA.  Dx both times w/acute bronchitis & tx w/antibiotics & cough syrup.  9/25/09 Autopsy report received DOD 09/12/2008. Acute Cardiac Arrhythmia of Unknown Etiology. Addtional information abstracted: Heart with focal microscopic ischemic changes, pulmonary congestion and edema. Rare petechiae: conjunctival, periorbital and laryngeal. Resuscitation related sternal fracture.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Abasia, Acute disseminated encephalomyelitis, Asthenia, Autonomic nervous system imbalance, Blood culture negative
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Blood test normal, C-reactive protein increased, CSF glucose normal, CSF oligoclonal band absent, CSF protein normal
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Chest X-ray normal, Clonus, Convulsion, Coordination abnormal, Dyspnoea
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Electrocardiogram abnormal, Encephalomyelitis, Fatigue, Gait disturbance, Headache
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Hyperreflexia, Lethargy, Lumbar puncture normal, Mental status changes, Muscle twitching
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Neck pain, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Pain in extremity, Palpitations
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Pyrexia, Spinal X-ray normal, Tachycardia, Thyroid function test normal, Tremor
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Urinary tract infection, Urine analysis abnormal, White blood cell count increased
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Body temperature increased, Chills, Computerised tomogram
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Convulsion, Electrocardiogram, Headache, Hyperreflexia, Laboratory test
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lethargy, Lumbar puncture, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Scan brain
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Tachycardia
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.