chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Discomfort, Irritability, Laryngitis, Pyrexia, Rash generalised
Clinical narrative: 6 days after injection of MMR fever 102 started, followed on day 7 of a rash originating on face neck and ears, day 8 on rash spread to rest of body.  Only place that is not covered in rash is her eyelids.  Rash on day 12 changed from a hive looking rash on face to more of a typical measles appearance of small red spots, and is slowly following down her body on day 13.  Fever is absent on day 13, larangytis has developed.  This is all of the symptoms up until now.  She still has rash and fussy and uncomfortable.  MD quoted that this is the worst sever raction to a MMR that has been seen by her and to treat it as if she has measles.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Rash morbilliform
Clinical narrative: 6 days after injection of MMR fever 102 started, followed on day 7 of a rash originating on face neck and ears, day 8 on rash spread to rest of body.  Only place that is not covered in rash is her eyelids.  Rash on day 12 changed from a hive looking rash on face to more of a typical measles appearance of small red spots, and is slowly following down her body on day 13.  Fever is absent on day 13, larangytis has developed.  This is all of the symptoms up until now.  She still has rash and fussy and uncomfortable.  MD quoted that this is the worst sever raction to a MMR that has been seen by her and to treat it as if she has measles.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Nervousness, Palpitations
Clinical narrative: ABOUT 30 MINUTES AFTER VARICELLA VACCINE PATIENT HAD C/O HEART RACING AND FEELING SHAKEY - 1:30 PM ON 5/27/08.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: LOCALIZED ERYTHEMA AND SWELLING
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt. received 4 immunizations on 5/27/08.  DTaP #5,  IPV #4,  MMR #2 and Varicella #2.  DTaP was administered IM in LT.  It developed a knot at the site and later that day became hot to the touch and started to swell.  Next day it was the size of a lemon (7 x 7 cm).  On day 14 post immunization the site has no swelling, reddness or heat, it does however  have a discoloration where the reaction occurred.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Urticaria, Vomiting
Clinical narrative: Vomiting, hives, shortness of breath, difficulty breathing.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Cardiac monitoring, Chest discomfort, Chest pain, Cough
Clinical narrative: Within one hour after administration of vaccine, begin to have tightening of chest, chest pain, coughing, difficulting breathing. Approx. 15 mins later, swelling of the throat, & difficulty speaking & walking, racing heartbeat,& weakness. Approx. 15-20 later, was taken to the ER in a  wheelchair by nurse from Employee Health. Got to ER, feeling very weak, chest pain & tightness, difficulty breathing & unable to speak. Received 4L of O2, Nubulizer treatment 2x, was hook up to continuous heart monitor; Also had an EKG & lots of blood work. Some of the blood work came back abnormal. Was given sodium medral?? or some kind of steriod, 2 benadryl, 4 baby aspirin, & liquid potassium...ER doctor recommended hospitalization & a stress test for my heart. I didn't want to be admitted. ER doctor made arrangements for me to see my primary care doctor the same day of incident. Was given several Rx upon release from ER; Predisone, Benedryl & Albuterol Inhaler. Was release from ER @ 1455 on 04/03/08. ER doctor excused me from work for 3 days. It was a rough 3 days, especially on day 2. Return to employee health on 04/07/08 to see in-house doctor. Still weak & lacking dexterity in right hand; with poor handwriting skills.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgraphia, Dyspnoea, Electrocardiogram, Gait disturbance, Laboratory test
Clinical narrative: Within one hour after administration of vaccine, begin to have tightening of chest, chest pain, coughing, difficulting breathing. Approx. 15 mins later, swelling of the throat, & difficulty speaking & walking, racing heartbeat,& weakness. Approx. 15-20 later, was taken to the ER in a  wheelchair by nurse from Employee Health. Got to ER, feeling very weak, chest pain & tightness, difficulty breathing & unable to speak. Received 4L of O2, Nubulizer treatment 2x, was hook up to continuous heart monitor; Also had an EKG & lots of blood work. Some of the blood work came back abnormal. Was given sodium medral?? or some kind of steriod, 2 benadryl, 4 baby aspirin, & liquid potassium...ER doctor recommended hospitalization & a stress test for my heart. I didn't want to be admitted. ER doctor made arrangements for me to see my primary care doctor the same day of incident. Was given several Rx upon release from ER; Predisone, Benedryl & Albuterol Inhaler. Was release from ER @ 1455 on 04/03/08. ER doctor excused me from work for 3 days. It was a rough 3 days, especially on day 2. Return to employee health on 04/07/08 to see in-house doctor. Still weak & lacking dexterity in right hand; with poor handwriting skills.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Palpitations, Pharyngeal oedema, Speech disorder
Clinical narrative: Within one hour after administration of vaccine, begin to have tightening of chest, chest pain, coughing, difficulting breathing. Approx. 15 mins later, swelling of the throat, & difficulty speaking & walking, racing heartbeat,& weakness. Approx. 15-20 later, was taken to the ER in a  wheelchair by nurse from Employee Health. Got to ER, feeling very weak, chest pain & tightness, difficulty breathing & unable to speak. Received 4L of O2, Nubulizer treatment 2x, was hook up to continuous heart monitor; Also had an EKG & lots of blood work. Some of the blood work came back abnormal. Was given sodium medral?? or some kind of steriod, 2 benadryl, 4 baby aspirin, & liquid potassium...ER doctor recommended hospitalization & a stress test for my heart. I didn't want to be admitted. ER doctor made arrangements for me to see my primary care doctor the same day of incident. Was given several Rx upon release from ER; Predisone, Benedryl & Albuterol Inhaler. Was release from ER @ 1455 on 04/03/08. ER doctor excused me from work for 3 days. It was a rough 3 days, especially on day 2. Return to employee health on 04/07/08 to see in-house doctor. Still weak & lacking dexterity in right hand; with poor handwriting skills.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site discolouration
Clinical narrative: I received deep purple discoloration around vaccine site about 8 days after initial vaccination. The discoloration stayed for approx. 2 days and began to slowly degrade.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MMR
Symptoms: Blepharospasm, Blood copper normal, Blood creatine phosphokinase increased, Blood iron normal, Blood thyroid stimulating hormone
Clinical narrative: The morning after vaccine receipt, she woke up with a round area of red and raised rash in the center of the forehead. She then noticed her left upper eyelid was swollen and it was hard for her to see. Shortly after that she noticed spasms around left periorbital area. She had a very mild HA. Her family reported facial swelling and mild hoarseness developed on 6/7/08, together with twitching/blinking of the eyes (rt more than lt) and occasional jerking of the arms. She was seen in the ED on 6/7/08 and the ED physician noted twitching of left eyelid and right shoulder. She was given Valium 10mg po and SOLUMEDROL 125mg IV. Twitching decreased and as she was getting d/c paperwork she started having more twitching. Eyes were closing Invot, R >L UE and LE were "twitching". This lasted 45 min and she received SOLUMEDROL 125mg, Valium 2mg IV and BENADRYL 25mg IV. This decreased the movements. She was then admitted for further evaluation and observation. She states the movements are not painful. She is able to stop them briefly but they recur and are more intense. She is still able to voluntarily use the extremities during these episodes.. Other than this episode, movements like this never occurred before. She does not have a h/o ticks or OCD traits. No recent fever, chills, SOB, CP, GI or GU sx, arthralgias. She denied any respiratory symptoms, coughing, nausea, etc. During hospitalization, she continued to have intermittent right or right and left eye twitching with occasional twitching of bilateral mouth. Sx are not painful. Pt felt like she could suppress these but felt uncomfortable during the suppressive episodes. 2 Episodes of jerking to involve right arm and leg, the last one was on the night 6/8/08. Right sided twitching did not last long or as severe as initial presentation. Baseline eye twitching also some what decreased. No further swelling of eye and lips. Pt was discharged on CONGENTIN and BENADRYL to be taken as needed.  08/19/2008 MR received for DOS 6/7-9/2008 with D/C DX: Twitching of eye and limbs. Pt admitted for possible dystonic reaction after new onset of involuntary movements.  Pt noted a red raised patch on forehead, left eyelid swelling with difficulty seeing, and spasms around the L periorbital area. Mild headache and hoarseness. ED physician noted twitching of the L eyelid and R shoulder, somewhat improved with Solumedrol and Valium.  Pt developed upper and lower extremity twitching and involuntary eye closing. Some improvement with Cogentin, Benadryl. 10/20/2008 Additional records recd for f/u visit 6/20/08. Symptoms have resolved. PE WNL.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MMR
Symptoms: C-reactive protein increased, Ceruloplasmin normal, Drug screen negative, Dyskinesia, Dysphonia
Clinical narrative: The morning after vaccine receipt, she woke up with a round area of red and raised rash in the center of the forehead. She then noticed her left upper eyelid was swollen and it was hard for her to see. Shortly after that she noticed spasms around left periorbital area. She had a very mild HA. Her family reported facial swelling and mild hoarseness developed on 6/7/08, together with twitching/blinking of the eyes (rt more than lt) and occasional jerking of the arms. She was seen in the ED on 6/7/08 and the ED physician noted twitching of left eyelid and right shoulder. She was given Valium 10mg po and SOLUMEDROL 125mg IV. Twitching decreased and as she was getting d/c paperwork she started having more twitching. Eyes were closing Invot, R >L UE and LE were "twitching". This lasted 45 min and she received SOLUMEDROL 125mg, Valium 2mg IV and BENADRYL 25mg IV. This decreased the movements. She was then admitted for further evaluation and observation. She states the movements are not painful. She is able to stop them briefly but they recur and are more intense. She is still able to voluntarily use the extremities during these episodes.. Other than this episode, movements like this never occurred before. She does not have a h/o ticks or OCD traits. No recent fever, chills, SOB, CP, GI or GU sx, arthralgias. She denied any respiratory symptoms, coughing, nausea, etc. During hospitalization, she continued to have intermittent right or right and left eye twitching with occasional twitching of bilateral mouth. Sx are not painful. Pt felt like she could suppress these but felt uncomfortable during the suppressive episodes. 2 Episodes of jerking to involve right arm and leg, the last one was on the night 6/8/08. Right sided twitching did not last long or as severe as initial presentation. Baseline eye twitching also some what decreased. No further swelling of eye and lips. Pt was discharged on CONGENTIN and BENADRYL to be taken as needed.  08/19/2008 MR received for DOS 6/7-9/2008 with D/C DX: Twitching of eye and limbs. Pt admitted for possible dystonic reaction after new onset of involuntary movements.  Pt noted a red raised patch on forehead, left eyelid swelling with difficulty seeing, and spasms around the L periorbital area. Mild headache and hoarseness. ED physician noted twitching of the L eyelid and R shoulder, somewhat improved with Solumedrol and Valium.  Pt developed upper and lower extremity twitching and involuntary eye closing. Some improvement with Cogentin, Benadryl. 10/20/2008 Additional records recd for f/u visit 6/20/08. Symptoms have resolved. PE WNL.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MMR
Symptoms: Excessive eye blinking, Eyelid oedema, Facial spasm, Headache, Iron binding capacity total normal
Clinical narrative: The morning after vaccine receipt, she woke up with a round area of red and raised rash in the center of the forehead. She then noticed her left upper eyelid was swollen and it was hard for her to see. Shortly after that she noticed spasms around left periorbital area. She had a very mild HA. Her family reported facial swelling and mild hoarseness developed on 6/7/08, together with twitching/blinking of the eyes (rt more than lt) and occasional jerking of the arms. She was seen in the ED on 6/7/08 and the ED physician noted twitching of left eyelid and right shoulder. She was given Valium 10mg po and SOLUMEDROL 125mg IV. Twitching decreased and as she was getting d/c paperwork she started having more twitching. Eyes were closing Invot, R >L UE and LE were "twitching". This lasted 45 min and she received SOLUMEDROL 125mg, Valium 2mg IV and BENADRYL 25mg IV. This decreased the movements. She was then admitted for further evaluation and observation. She states the movements are not painful. She is able to stop them briefly but they recur and are more intense. She is still able to voluntarily use the extremities during these episodes.. Other than this episode, movements like this never occurred before. She does not have a h/o ticks or OCD traits. No recent fever, chills, SOB, CP, GI or GU sx, arthralgias. She denied any respiratory symptoms, coughing, nausea, etc. During hospitalization, she continued to have intermittent right or right and left eye twitching with occasional twitching of bilateral mouth. Sx are not painful. Pt felt like she could suppress these but felt uncomfortable during the suppressive episodes. 2 Episodes of jerking to involve right arm and leg, the last one was on the night 6/8/08. Right sided twitching did not last long or as severe as initial presentation. Baseline eye twitching also some what decreased. No further swelling of eye and lips. Pt was discharged on CONGENTIN and BENADRYL to be taken as needed.  08/19/2008 MR received for DOS 6/7-9/2008 with D/C DX: Twitching of eye and limbs. Pt admitted for possible dystonic reaction after new onset of involuntary movements.  Pt noted a red raised patch on forehead, left eyelid swelling with difficulty seeing, and spasms around the L periorbital area. Mild headache and hoarseness. ED physician noted twitching of the L eyelid and R shoulder, somewhat improved with Solumedrol and Valium.  Pt developed upper and lower extremity twitching and involuntary eye closing. Some improvement with Cogentin, Benadryl. 10/20/2008 Additional records recd for f/u visit 6/20/08. Symptoms have resolved. PE WNL.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MMR
Symptoms: Lip swelling, Muscle spasms, Muscle twitching, Nuclear magnetic resonance imaging brain normal, Rash
Clinical narrative: The morning after vaccine receipt, she woke up with a round area of red and raised rash in the center of the forehead. She then noticed her left upper eyelid was swollen and it was hard for her to see. Shortly after that she noticed spasms around left periorbital area. She had a very mild HA. Her family reported facial swelling and mild hoarseness developed on 6/7/08, together with twitching/blinking of the eyes (rt more than lt) and occasional jerking of the arms. She was seen in the ED on 6/7/08 and the ED physician noted twitching of left eyelid and right shoulder. She was given Valium 10mg po and SOLUMEDROL 125mg IV. Twitching decreased and as she was getting d/c paperwork she started having more twitching. Eyes were closing Invot, R >L UE and LE were "twitching". This lasted 45 min and she received SOLUMEDROL 125mg, Valium 2mg IV and BENADRYL 25mg IV. This decreased the movements. She was then admitted for further evaluation and observation. She states the movements are not painful. She is able to stop them briefly but they recur and are more intense. She is still able to voluntarily use the extremities during these episodes.. Other than this episode, movements like this never occurred before. She does not have a h/o ticks or OCD traits. No recent fever, chills, SOB, CP, GI or GU sx, arthralgias. She denied any respiratory symptoms, coughing, nausea, etc. During hospitalization, she continued to have intermittent right or right and left eye twitching with occasional twitching of bilateral mouth. Sx are not painful. Pt felt like she could suppress these but felt uncomfortable during the suppressive episodes. 2 Episodes of jerking to involve right arm and leg, the last one was on the night 6/8/08. Right sided twitching did not last long or as severe as initial presentation. Baseline eye twitching also some what decreased. No further swelling of eye and lips. Pt was discharged on CONGENTIN and BENADRYL to be taken as needed.  08/19/2008 MR received for DOS 6/7-9/2008 with D/C DX: Twitching of eye and limbs. Pt admitted for possible dystonic reaction after new onset of involuntary movements.  Pt noted a red raised patch on forehead, left eyelid swelling with difficulty seeing, and spasms around the L periorbital area. Mild headache and hoarseness. ED physician noted twitching of the L eyelid and R shoulder, somewhat improved with Solumedrol and Valium.  Pt developed upper and lower extremity twitching and involuntary eye closing. Some improvement with Cogentin, Benadryl. 10/20/2008 Additional records recd for f/u visit 6/20/08. Symptoms have resolved. PE WNL.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MMR
Symptoms: Red blood cell sedimentation rate normal, Streptococcal identification test positive, Swelling face, Thyroxine free decreased, Transferrin saturation
Clinical narrative: The morning after vaccine receipt, she woke up with a round area of red and raised rash in the center of the forehead. She then noticed her left upper eyelid was swollen and it was hard for her to see. Shortly after that she noticed spasms around left periorbital area. She had a very mild HA. Her family reported facial swelling and mild hoarseness developed on 6/7/08, together with twitching/blinking of the eyes (rt more than lt) and occasional jerking of the arms. She was seen in the ED on 6/7/08 and the ED physician noted twitching of left eyelid and right shoulder. She was given Valium 10mg po and SOLUMEDROL 125mg IV. Twitching decreased and as she was getting d/c paperwork she started having more twitching. Eyes were closing Invot, R >L UE and LE were "twitching". This lasted 45 min and she received SOLUMEDROL 125mg, Valium 2mg IV and BENADRYL 25mg IV. This decreased the movements. She was then admitted for further evaluation and observation. She states the movements are not painful. She is able to stop them briefly but they recur and are more intense. She is still able to voluntarily use the extremities during these episodes.. Other than this episode, movements like this never occurred before. She does not have a h/o ticks or OCD traits. No recent fever, chills, SOB, CP, GI or GU sx, arthralgias. She denied any respiratory symptoms, coughing, nausea, etc. During hospitalization, she continued to have intermittent right or right and left eye twitching with occasional twitching of bilateral mouth. Sx are not painful. Pt felt like she could suppress these but felt uncomfortable during the suppressive episodes. 2 Episodes of jerking to involve right arm and leg, the last one was on the night 6/8/08. Right sided twitching did not last long or as severe as initial presentation. Baseline eye twitching also some what decreased. No further swelling of eye and lips. Pt was discharged on CONGENTIN and BENADRYL to be taken as needed.  08/19/2008 MR received for DOS 6/7-9/2008 with D/C DX: Twitching of eye and limbs. Pt admitted for possible dystonic reaction after new onset of involuntary movements.  Pt noted a red raised patch on forehead, left eyelid swelling with difficulty seeing, and spasms around the L periorbital area. Mild headache and hoarseness. ED physician noted twitching of the L eyelid and R shoulder, somewhat improved with Solumedrol and Valium.  Pt developed upper and lower extremity twitching and involuntary eye closing. Some improvement with Cogentin, Benadryl. 10/20/2008 Additional records recd for f/u visit 6/20/08. Symptoms have resolved. PE WNL.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Electrocardiogram normal, Electroencephalogram normal
Clinical narrative: Seizure - first one was 3 days after her second HPV vaccine. Has since had 3 more seizures: 3/14/08, 5/30/08, 6/4/08. 6/12/08-ER records received for DOS 3/14/08-DX:Syncope likely secondary to dehydration related to alcohol. Presented with nonwitnessed near syncope episode. Drinking alcohol night before and might be dehydrated.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Body temperature increased, Computerised tomogram normal, Dysphonia, Electroencephalogram normal, Fatigue
Clinical narrative: 6/5/08 Fussy, T max 100.5. 6/6 Fussy. 6/7 1600 tired that day then mom holding. Child stared, small pupils, limp, pallor 1-2 hr duration, also hoarse.    6/13/08 Reviewed hospital medical records of 6/7-6/8/2008. FINAL DX: none provided, do d/c summary available.  Neuro consult states possible febrile seizure. Records reveal patient experienced irritability & low grade fever s/p vaccinations then became hoarse, congested, sleepy then suddenly became pale, limp, pupils pinpoint & staring.  Neuro consult done.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Hypotonia, Irritability, Laboratory test normal, Miosis, Pallor
Clinical narrative: 6/5/08 Fussy, T max 100.5. 6/6 Fussy. 6/7 1600 tired that day then mom holding. Child stared, small pupils, limp, pallor 1-2 hr duration, also hoarse.    6/13/08 Reviewed hospital medical records of 6/7-6/8/2008. FINAL DX: none provided, do d/c summary available.  Neuro consult states possible febrile seizure. Records reveal patient experienced irritability & low grade fever s/p vaccinations then became hoarse, congested, sleepy then suddenly became pale, limp, pupils pinpoint & staring.  Neuro consult done.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Staring
Clinical narrative: 6/5/08 Fussy, T max 100.5. 6/6 Fussy. 6/7 1600 tired that day then mom holding. Child stared, small pupils, limp, pallor 1-2 hr duration, also hoarse.    6/13/08 Reviewed hospital medical records of 6/7-6/8/2008. FINAL DX: none provided, do d/c summary available.  Neuro consult states possible febrile seizure. Records reveal patient experienced irritability & low grade fever s/p vaccinations then became hoarse, congested, sleepy then suddenly became pale, limp, pupils pinpoint & staring.  Neuro consult done.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema peripheral, Rash pruritic, Urticaria
Clinical narrative: Patient developed hand & feet swelling, pruritic rash with urticaria over limbs and torso.  She was treated with PO prednisone and PO hydroxyzine.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature, Heart rate normal, Listless, Pallor, Vomiting
Clinical narrative: Pale color, listless, vomiting x1 almost immediately after vaccines.  Given TYLENOL & taking bottle, improved color & alertness prior to d/c home.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic
Clinical narrative: Medical provider consults the DOD call center regarding a 24y/o male who noted a skin rash ~ 2 days after AVA # 2 and 16 days after AVA # 1 and primary SPV vaccines. Symptoms: Rash, diffuse, Rash, pruritic.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Movement disorder, Musculoskeletal pain
Clinical narrative: Non specific, intermittent left shoulder pain with movement
Age: 9.0
Sex: F
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Cellulitis, Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large, warm, reddened area around injection site of right upper arm. Apt with CNP on 6/6/08. Cellulitis treated with CEPHALEXIN.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Urticaria
Sex: U
Vaccine: VARZOS
Symptoms: Drug hypersensitivity, Herpes zoster, Rash
Clinical narrative: Zosters rash.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister
Clinical narrative: ZOSTAVAX given on 6-13-07 a few days later, water-filled vesicles scattered on both legs, rare on chest, lasting 2-3 wks with new crops developing till now.
Age: 48.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Tenderness
Clinical narrative: Local pain at injection site: Left deltoid. Pain with movement of left shoulder. No pruritis, swelling, or redness. Minimal tenderness
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Pt stated L arm swollen after administration of PNEUMOVAX vaccine.  Advise pt to go to ER if arm worsen or if any pain/fever develop.  Dr. advised to take BENADRYL.  Pt recovered well after two days.
Age: 1.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Erythema, Rash papular, Scab, Swelling, Varicella post vaccine
Clinical narrative: Mid-back - 4 mm scab with surrounding swelling & redness.  Total ~15-20 sores ranging from 1-2 mm pink papules to 1 mm raised papules with 7-8 mm red base.  1-2 with scabs-no big fluid-filled blisters.  Breakthrough varicella after vaccine.  Contagiousness discussed; BENADRYL or other antihistamine, calamine lotion.  Call if concerns.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right local erythema, warmth and swelling thigh; 4 hours after injection of DTAP (Daptacel) and HIB (Act HIB) into right thigh
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site induration
Clinical narrative: L deltoid area with 2" (ping pong ball) erythema & hardness with another 1" surrounding mild erythema.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Local reaction, Pain, Skin warm
Clinical narrative: Localized site reaction.  Positive pain, positive swelling, 2x3cm induration, negative pustule, positive red, positive warm to touch, positive full ROM.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Swelling
Clinical narrative: Localized site reaction.  Positive pain, positive swelling, 2x3cm induration, negative pustule, positive red, positive warm to touch, positive full ROM.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypersomnia, Vomiting
Clinical narrative: Received vaccines on 6-10-08 in AM and started vomiting in evening that continue through 6-11-08.  No fever or diarrhea.  Not fussy but napping more.  MD visit and unclear source of vomiting.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site inflammation
Clinical narrative: Headache, Injection site inflammation
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Chest discomfort, Dizziness, Fatigue, Headache, Palpitations
Clinical narrative: Initial report received on 06 May 2008 from a Nurse Practitioner in the United States. A 13 year-old-patient, with past medical history of mild depression, had received on 11 March 2008 an intramuscular right deltoid injection of MENACTRA (lot # U2546AA); a left deltoid dose of GARDASIL (Lot # 1487U); and a right deltoid dose of VAQTA vaccine (Lot # AHAVE215AA) The route and site of administration was not provided for the VAQTA and GARDASIL vaccines. Two days post-vaccination, the patient complained of lightheadedness, dizziness, headache, fatigue, tightness in her chest, and on episode of heart palpitations lasting about two minutes. The patient required evaluation by a physician, but no relevant diagnostic tests or laboratory data were performed. Treatments received were not reported. At the time of this report, the patient had recovered.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Chest discomfort, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Initial report received on 06 May 2008 from a Nurse Practitioner in the United States. A 13 year-old-patient, with past medical history of mild depression, had received on 11 March 2008 an intramuscular right deltoid injection of MENACTRA (lot # U2546AA); a left deltoid dose of GARDASIL (Lot # 1487U); and a right deltoid dose of VAQTA vaccine (Lot # AHAVE215AA) The route and site of administration was not provided for the VAQTA and GARDASIL vaccines. Two days post-vaccination, the patient complained of lightheadedness, dizziness, headache, fatigue, tightness in her chest, and on episode of heart palpitations lasting about two minutes. The patient required evaluation by a physician, but no relevant diagnostic tests or laboratory data were performed. Treatments received were not reported. At the time of this report, the patient had recovered.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Headache, Heart rate increased, Musculoskeletal stiffness
Clinical narrative: Initial report received on 06 May 2008 from a Nurse Practitioner in the United States. A 13 year-old-patient, with past medical history of mild depression, had received on 11 March 2008 an intramuscular right deltoid injection of MENACTRA (lot # U2546AA); a left deltoid dose of GARDASIL (Lot # 1487U); and a right deltoid dose of VAQTA vaccine (Lot # AHAVE215AA) The route and site of administration was not provided for the VAQTA and GARDASIL vaccines. Two days post-vaccination, the patient complained of lightheadedness, dizziness, headache, fatigue, tightness in her chest, and on episode of heart palpitations lasting about two minutes. The patient required evaluation by a physician, but no relevant diagnostic tests or laboratory data were performed. Treatments received were not reported. At the time of this report, the patient had recovered.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Blood thyroid stimulating hormone, Dizziness, Full blood count normal, Immediate post-injection reaction, Laboratory test normal
Clinical narrative: This case was received from a health care professional on 09 May 2008. A 17-year-old female patient received an intramuscular left deltoid injection of MENACTRA (lot number U2423AA) on 01 May 2008. Approximately four hours later, she developed lightheadness, described as intermittent dizziness, which was still ongoing at the time of the report. She was seen by her physician on 09 May 2008, and laboratory testing was performed, including CBC, Chemistry, TSH, T4, and Monospot; results were not provided. The subject had no medical history, and was not ill at the time of vaccination. Follow up information was received on 23 August 2008 from a health care professional. The patient's blood work from 09 May 2008 was normal. Her symptoms resolved after a couple of weeks. No treatment was required.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Thyroxine
Clinical narrative: This case was received from a health care professional on 09 May 2008. A 17-year-old female patient received an intramuscular left deltoid injection of MENACTRA (lot number U2423AA) on 01 May 2008. Approximately four hours later, she developed lightheadness, described as intermittent dizziness, which was still ongoing at the time of the report. She was seen by her physician on 09 May 2008, and laboratory testing was performed, including CBC, Chemistry, TSH, T4, and Monospot; results were not provided. The subject had no medical history, and was not ill at the time of vaccination. Follow up information was received on 23 August 2008 from a health care professional. The patient's blood work from 09 May 2008 was normal. Her symptoms resolved after a couple of weeks. No treatment was required.
Age: 21.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Flushing, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Initial report was received 17 May 2008 from a health care professional. A 22-year-old female patient had received an intramuscular right deltoid injection of MENACTRA, lot number U2568AA and an intramuscular left deltoid injection of GARDASIL (manufacturer Merck), lot number 1967U and on the evening of vaccination, she developed a low grade temperature, general weakness, headache, stiff neck, nausea and her face appeared flushed. At the time of vaccination, the patient had a history of mild asthma and seasonal allergies but no concurrent illnesses. Concomitant therapies included and Albuterol inhaler prn. According to the reporter, the patient had a temperature of 98.6 degrees Fahrenheit at the time of the report. The patient had not recovered from the event. Follow up information was received on 19 August 2008 from a health care professional. The patient fully recovered from all of the events within 48 hours of onset. No other information was provided.
Age: 21.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pyrexia
Clinical narrative: Initial report was received 17 May 2008 from a health care professional. A 22-year-old female patient had received an intramuscular right deltoid injection of MENACTRA, lot number U2568AA and an intramuscular left deltoid injection of GARDASIL (manufacturer Merck), lot number 1967U and on the evening of vaccination, she developed a low grade temperature, general weakness, headache, stiff neck, nausea and her face appeared flushed. At the time of vaccination, the patient had a history of mild asthma and seasonal allergies but no concurrent illnesses. Concomitant therapies included and Albuterol inhaler prn. According to the reporter, the patient had a temperature of 98.6 degrees Fahrenheit at the time of the report. The patient had not recovered from the event. Follow up information was received on 19 August 2008 from a health care professional. The patient fully recovered from all of the events within 48 hours of onset. No other information was provided.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Polyneuropathy, Viral infection
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. This case was received from a health professional, via another manufacturer, on 23 January 2008. Additional information was received on 25 January 2008 from the CDC (Center for Disease Control and Prevention), under VAERS number 302068. An 18-year-old female patient, with no prior history, received a left arm intramuscular injection of MENACTRA (lot number U2327A, dose one) and a right arm intramuscular injections of HAVRIX )GlaxoSmithKline, lot number HAGVB184AA, reported as "dose seven") on 26 July 2007. A well-child check up was performed that day in her physician's office, which was noted to be normal. In September 2007, the patient developed a viral syndrome. On 20 October 2007, 86 days after vaccination, the patient developed numbness in her feet, most noticeably in the right foot. No muscle weakness was reported. She was seen by her pediatrician on 20 November 2007, and at that time complained of tingling and numbness for three to four weeks, with decreased sensation in the right foot and decreased deep tendon reflexes. She was referred to a pediatric neurologist on 27 November 2007, and complained of numbness and foot pain while walking. Reduced sensation was noted in the upper and lower extremities. A nerve conduction study revealed mild polyneuropathy, and the patient was diagnosed with Guillain-Barre Syndrome. An office visit on 13 December 2007 revealed areflexia and distal decreased appreciation of touch and temperature. No treatment was given. It was not known if the patient had recovered. Follow-up information received on 09 April 2008 from the Centers for Disease Control and Prevention. per the reporter, CISA had not completed their review of this case. No additional relevant information was provided. This follow-up information is not submitted as a 15-day follow-up report to the Health Authorities.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Areflexia, Guillain-Barre syndrome, Hypoaesthesia, Hyporeflexia, Nerve conduction studies abnormal
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. This case was received from a health professional, via another manufacturer, on 23 January 2008. Additional information was received on 25 January 2008 from the CDC (Center for Disease Control and Prevention), under VAERS number 302068. An 18-year-old female patient, with no prior history, received a left arm intramuscular injection of MENACTRA (lot number U2327A, dose one) and a right arm intramuscular injections of HAVRIX )GlaxoSmithKline, lot number HAGVB184AA, reported as "dose seven") on 26 July 2007. A well-child check up was performed that day in her physician's office, which was noted to be normal. In September 2007, the patient developed a viral syndrome. On 20 October 2007, 86 days after vaccination, the patient developed numbness in her feet, most noticeably in the right foot. No muscle weakness was reported. She was seen by her pediatrician on 20 November 2007, and at that time complained of tingling and numbness for three to four weeks, with decreased sensation in the right foot and decreased deep tendon reflexes. She was referred to a pediatric neurologist on 27 November 2007, and complained of numbness and foot pain while walking. Reduced sensation was noted in the upper and lower extremities. A nerve conduction study revealed mild polyneuropathy, and the patient was diagnosed with Guillain-Barre Syndrome. An office visit on 13 December 2007 revealed areflexia and distal decreased appreciation of touch and temperature. No treatment was given. It was not known if the patient had recovered. Follow-up information received on 09 April 2008 from the Centers for Disease Control and Prevention. per the reporter, CISA had not completed their review of this case. No additional relevant information was provided. This follow-up information is not submitted as a 15-day follow-up report to the Health Authorities.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Pain in extremity, Paraesthesia, Polyneuropathy, Sensory loss, Viral infection
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. This case was received from a health professional, via another manufacturer, on 23 January 2008. Additional information was received on 25 January 2008 from the CDC (Center for Disease Control and Prevention), under VAERS number 302068. An 18-year-old female patient, with no prior history, received a left arm intramuscular injection of MENACTRA (lot number U2327A, dose one) and a right arm intramuscular injections of HAVRIX )GlaxoSmithKline, lot number HAGVB184AA, reported as "dose seven") on 26 July 2007. A well-child check up was performed that day in her physician's office, which was noted to be normal. In September 2007, the patient developed a viral syndrome. On 20 October 2007, 86 days after vaccination, the patient developed numbness in her feet, most noticeably in the right foot. No muscle weakness was reported. She was seen by her pediatrician on 20 November 2007, and at that time complained of tingling and numbness for three to four weeks, with decreased sensation in the right foot and decreased deep tendon reflexes. She was referred to a pediatric neurologist on 27 November 2007, and complained of numbness and foot pain while walking. Reduced sensation was noted in the upper and lower extremities. A nerve conduction study revealed mild polyneuropathy, and the patient was diagnosed with Guillain-Barre Syndrome. An office visit on 13 December 2007 revealed areflexia and distal decreased appreciation of touch and temperature. No treatment was given. It was not known if the patient had recovered. Follow-up information received on 09 April 2008 from the Centers for Disease Control and Prevention. per the reporter, CISA had not completed their review of this case. No additional relevant information was provided. This follow-up information is not submitted as a 15-day follow-up report to the Health Authorities.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Activities of daily living impaired, Antinuclear antibody negative, Arthralgia, Culture throat negative, Dysgraphia
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Full blood count normal, Pharyngolaryngeal pain, Red blood cell sedimentation rate normal
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Activities of daily living impaired, Antinuclear antibody negative, Arthralgia, Full blood count normal, Joint swelling
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Oedema peripheral, Red blood cell sedimentation rate normal
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Arthralgia, Gait disturbance
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ, HPV4, MNQ, HPV4, MNQ
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
Clinical narrative: Initial report received on 05 February 2008 from a health care professional. A 16-year-old female patient with an unknown medical history had received a dose of MENACTRA and GARDASIL (Lot numbers, routes and sites of administration not reported) on 22 January 2008 and two days later, she developed joint pain. Four days post immunization, the patient experienced increased arthralgias with difficulty walking. On 02 February 2008, the arthralgias had worsened and the patient was started on MEDROL. On 05 February 2008, the arthralgias had worsened and the patient had difficulty walking and using her hands. At the time of the report, the patient had not recovered from the event.
Age: 17.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Syncope
Clinical narrative: Initial report received on 13 March 2008 from another manufacturer, case number not reported. The reporter to this manufacturer had been a health care provider. A 17-year-old male patient had received an injection of MENACTRA, lot number not reported, on an unspecified date. At an unspecified time post-vaccination, the patient experienced syncope. Recovery status was not reported. Additional information was not provided. The reporter in this case was the same as in case 2008-00786.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Bacterial culture negative, Blood calcium decreased, Blood chloride increased, Carbon dioxide decreased, Cellulitis
Clinical narrative: Pt had anthrax #5 (according to MR, but number 8-10 per pt recollection) left arm on 1 May 08. Next day noted swelling, redness and lump which increased on 3 May and started to drain yellow syrupy drainage. Pt began to have numbness in left hand. Had fasciotomy on 3 May. On 5/20/08 had wound closed by a plastic surgeon. On 5/26 pt had redness and hardness at incision iste. Wound drained on 5/28. Pt had wound opened and I&D. Has been on IV and po antibiotics for MRSA and now has a wound vac.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Debridement, Erythema, Full blood count, Induration, Lymphocyte morphology abnormal
Clinical narrative: Pt had anthrax #5 (according to MR, but number 8-10 per pt recollection) left arm on 1 May 08. Next day noted swelling, redness and lump which increased on 3 May and started to drain yellow syrupy drainage. Pt began to have numbness in left hand. Had fasciotomy on 3 May. On 5/20/08 had wound closed by a plastic surgeon. On 5/26 pt had redness and hardness at incision iste. Wound drained on 5/28. Pt had wound opened and I&D. Has been on IV and po antibiotics for MRSA and now has a wound vac.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Metabolic function test, Monocyte count increased, Neutrophil count increased, Soft tissue infection, Surgery
Clinical narrative: Pt had anthrax #5 (according to MR, but number 8-10 per pt recollection) left arm on 1 May 08. Next day noted swelling, redness and lump which increased on 3 May and started to drain yellow syrupy drainage. Pt began to have numbness in left hand. Had fasciotomy on 3 May. On 5/20/08 had wound closed by a plastic surgeon. On 5/26 pt had redness and hardness at incision iste. Wound drained on 5/28. Pt had wound opened and I&D. Has been on IV and po antibiotics for MRSA and now has a wound vac.