chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Anaemia, Chromaturia, Dyspnoea, Hepatomegaly, Lupus-like syndrome
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Mononucleosis syndrome, Pyrexia, Red blood cell count decreased, White blood cell count decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Abdominal pain upper, Autoimmune disorder, Back pain, Epstein-Barr virus antibody negative, Haemolytic anaemia
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Malaise, Pharyngolaryngeal pain, Pyrexia, Vomiting projectile
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Anaemia, Anorexia, Back pain
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Basophil count abnormal, Biopsy bone marrow abnormal, Blood immunoglobulin M, Chills, Chromaturia
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Cytomegalovirus infection, Cytomegalovirus test positive, Dyspnoea, Epstein-Barr virus infection, Epstein-Barr virus test positive
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Haemoglobin decreased, Inflammation, Liver disorder, Lymphadenopathy, Nausea
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pain, Parvovirus B19 serology, Pharyngolaryngeal pain, Pyrexia, Red blood cell count decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Spleen disorder, Viral infection, Virus serology test, Vomiting, Weight decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: White blood cell count decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Antinuclear antibody positive, Autoimmune disorder, Body temperature increased, Computerised tomogram abnormal, Lymphadenopathy
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pyrexia, White blood cell count decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Fatigue, Haemolytic anaemia, Laboratory test, Muscular weakness, Nausea
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, Red blood cell count decreased, Viral infection, White blood cell count decreased
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N) and by telephone concerning a 19 year old female patient who on 23-NOV-2007 was vaccinated into the left arm with a first dose 0.5 mL of GARDASIL (lot # 658488/0930U) and on 14-MAR-2008 she was vaccinated IM in the right arm with a second dose 0.5 mL of GARDASIL (lot # 659962/1740U) at another office. On 31-MAR-2008, the patient went to a college health clinic with fever, chills, sore throat body aches, nausea, "mono-like symptoms". She had laboratory work done and was diagnosed with Viral syndrome and anemia. Her laboratory work indicated low white blood cell (WBC) count and red blood cell count (RBC). It was reported that she had vomiting, no appetite, inflamed liver and spleen, dark urine, shortness of breath and fever. She also had pain in lower back and abdominal area. The patient had unspecified laboratory work and was referred to infectious disease. After ten days of unconfirmed diagnosis, the patient was hospitalized. On an unknown date the patient was discharged from the hospital. The patient was driven back home and was seen by a cardiologist who noted she was in "good condition". She saw another infectious disease specialist again. This time the patient was admitted to the hospital from 24-APR-2008 to 01-MAY-2008 for fever. The patient had bone marrow and other unspecified laboratory tests done. Some enlarged lymph nodes were detected in pelvis and small bowel. Her hemoglobin was 7.9 and "1.7". She was treated with PREDNISONE 60 mg and at the time of this report was on PREDNISONE 40 mg daily. She tested positive for Epstein-Barr virus (EPV) reported as "EPV" and cytomegalovirus (CMV). Patient's parvo virus, west nile virus/IGM needed to be retested. She lost 17 lb and had to withdraw from college with only one credit to complete. It was noted that the patient had difficulty with everyday activities. The patient's outcome was unknown. The patient's EBV and CMV were considered to be disabling as the patient had to withdraw from college and had difficulty with everyday activities. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Drug exposure during pregnancy, Foetal disorder, Laboratory test, Premature labour
Clinical narrative: Information has been received from a consumer concerning her 18 year old granddaughter, who, on an unspecified date, was vaccinated with a dose of GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified). Subsequently, the patient was pregnant when vaccinated. The patient did not seek medical attention and did not received prenatal care. It was reported that bloodwork was performed. On 06-APR-2008 the baby was born prematurely at approximately 36 weeks and was diagnosed with a terminal illness Trisomy 18. At the time of the report the outcome of the patient was unknown. No product quality complaint was involved. Additional information is not available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Initial and follow-up information has been received from a licensed practical nurse concerning an 18 year old female patient with a history of human papilloma viral infection, who on 02-FEB-2007 was vaccinated with an 0.5ml, IM dose of GARDASIL (Lot # 654535/0960F).  There was no concomitant medication.  The nurse reported that the patient "subsequently determined she is pregnant."  The date of the LMP was 15-DEC-2006, with an estimated due date of 22-OCT-2007.  The nurse added that there were "no problems reported."  Follow-up information indicated that the nurse thought the abortion was an elective termination.  Although it was also reported that "the patient wasn't truthful about many things with them."  The patient sought unspecified medical attention.  Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture positive, Drug hypersensitivity, Drug ineffective, Full blood count normal, Pain
Clinical narrative: This case was considered medically important. Information regarding PREVNAR vaccine was received from a physician regarding a 5-month-old female patient who experienced positive culture for Streptococcus pneumoniae-drug ineffective, fever, vomiting, congestion, and appeared to be in pain. The patient received a second dose on 29-Feb-2008. The patient also received the second dose of Hib-Titer Vaccine, the second dose of DTaP, the second dose of Polio-Vaccine (Not Specified) and the second dose of ROTATEQ (Merck & Co Inc) on 29-Feb-2008. The patient has a past history of eczema. The patient previously experienced hypersensitivity while taking Penicillin NOS. Concomitant therapy included TYLENOL and homeopathic teething tablets. The patient experienced fever, vomiting and congestion on 01-May-2008. She was brought into the office on 05-May-2008, because she still had a fever, was vomiting and appeared to be in pain. The physician collected blood cultures on 06-May-2008 and 07-May-2008 (see test results). The cultures were positive for Streptococcus pneumoniae-drug ineffective on 06-May-2008. The fever went down without any antibiotic treatment, and was afebrile on 07-May-2008. On 07-May-2008, the child received one dose of ROCEPHIN. The outcome for vomiting, congestion, pain and Streptococcal bacteremia are unknown. No further information was available at the time of this report. Full blood count (results: normal), and blood culture (results: positive for Streptococcus pneumoniae, serotype not reported) were done on 06-May-2008. Full blood count (results: normal) and blood culture (results: positive culture for Streptococcus pneumoniae, serotype not reported) were done on 07-May-2008.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia, Respiratory tract congestion, Streptococcal bacteraemia, Streptococcal identification test positive, Vomiting
Clinical narrative: This case was considered medically important. Information regarding PREVNAR vaccine was received from a physician regarding a 5-month-old female patient who experienced positive culture for Streptococcus pneumoniae-drug ineffective, fever, vomiting, congestion, and appeared to be in pain. The patient received a second dose on 29-Feb-2008. The patient also received the second dose of Hib-Titer Vaccine, the second dose of DTaP, the second dose of Polio-Vaccine (Not Specified) and the second dose of ROTATEQ (Merck & Co Inc) on 29-Feb-2008. The patient has a past history of eczema. The patient previously experienced hypersensitivity while taking Penicillin NOS. Concomitant therapy included TYLENOL and homeopathic teething tablets. The patient experienced fever, vomiting and congestion on 01-May-2008. She was brought into the office on 05-May-2008, because she still had a fever, was vomiting and appeared to be in pain. The physician collected blood cultures on 06-May-2008 and 07-May-2008 (see test results). The cultures were positive for Streptococcus pneumoniae-drug ineffective on 06-May-2008. The fever went down without any antibiotic treatment, and was afebrile on 07-May-2008. On 07-May-2008, the child received one dose of ROCEPHIN. The outcome for vomiting, congestion, pain and Streptococcal bacteremia are unknown. No further information was available at the time of this report. Full blood count (results: normal), and blood culture (results: positive for Streptococcus pneumoniae, serotype not reported) were done on 06-May-2008. Full blood count (results: normal) and blood culture (results: positive culture for Streptococcus pneumoniae, serotype not reported) were done on 07-May-2008.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Balance disorder, Blood pressure increased, Inflammation, Pruritus
Clinical narrative: Rise in blood pressure 200+. Loss of balance, itching and inflammation.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose increased, Body temperature increased, Dyspnoea, Eye swelling, Hypersensitivity
Clinical narrative: Here is UC for allergic reaction to shingles vaccine.  He got the injection on 4/29/08 at 1-15P in Pod B.  He states that the liquid in the syringe appeared cloudy and brown.  On 5/1/08, he noted itching around his waist.  On 5/2/08, he had increased itching and noted from waist down and across buttocks.  On 5/3/08 at 1 AM, he got worse and had temp of 101.00, eyes swollen, SOA.  Went to ER at 7AM.  Given BENADRYL IM, cortisone cream and oral BENADRYL 25 mg.  On same day, he went back at 8pm with mouth swelling, hands swollen, SOA.  This time he was given IV SOLUMEDROL, BENADRYL and sent home with MEDROL dose pack and oral BENADRYL.  Sunday and Monday, he was pretty good.  On Tuesday, it got worse again.  He went back to ER at 11AM and was seen by ID and given a longer course of prednisone, given more IM BENADRYL.  Since then, the rash is waxing and waning, worse in the morning.  Blood glucoses are increasing.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema mouth, Oedema peripheral, Pruritus, Rash
Clinical narrative: Here is UC for allergic reaction to shingles vaccine.  He got the injection on 4/29/08 at 1-15P in Pod B.  He states that the liquid in the syringe appeared cloudy and brown.  On 5/1/08, he noted itching around his waist.  On 5/2/08, he had increased itching and noted from waist down and across buttocks.  On 5/3/08 at 1 AM, he got worse and had temp of 101.00, eyes swollen, SOA.  Went to ER at 7AM.  Given BENADRYL IM, cortisone cream and oral BENADRYL 25 mg.  On same day, he went back at 8pm with mouth swelling, hands swollen, SOA.  This time he was given IV SOLUMEDROL, BENADRYL and sent home with MEDROL dose pack and oral BENADRYL.  Sunday and Monday, he was pretty good.  On Tuesday, it got worse again.  He went back to ER at 11AM and was seen by ID and given a longer course of prednisone, given more IM BENADRYL.  Since then, the rash is waxing and waning, worse in the morning.  Blood glucoses are increasing.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Diarrhoea, Malaise, Nausea, Vomiting
Clinical narrative: Patient received the vaccine on May 5th at 3:45 pm.  She felt okay that afternoon.  When she woke up the next day, she felt nauseated and started throwing up with some diarrhea.  Patient went to school but called to have help picked up at 11:00 am - still not feeling well.  She slept that whole afternoon.  Patient started vomiting again on Sunday 5-11-08.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature, Headache, Pain
Clinical narrative: Developed 99.0 temp, body aches, headache the day after ZOSTAVAX vaccine.  Sx lasted 3 days after vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, itching, pain & swelling at site of immuniz. within 24h of injection (R deltoid).  Dx-local hypersensitivity reaction.  Tx-local ice, BENADRYL, reassurance.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Local reaction
Clinical narrative: Redness, itching, pain & swelling at site of immuniz. within 24h of injection (R deltoid).  Dx-local hypersensitivity reaction.  Tx-local ice, BENADRYL, reassurance.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MNQ, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse events.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: L upper arm redness, swelling warm to touch 2 days after receiving BOOSTRIX + VARIVAX to same arm.  Swelling, redness started several hours after receiving vaccine.  Last noc h/a, sa dizziness, fever yesterday - feeling fine today.  Came in 5-21-08.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: L upper arm redness, swelling warm to touch 2 days after receiving BOOSTRIX + VARIVAX to same arm.  Swelling, redness started several hours after receiving vaccine.  Last noc h/a, sa dizziness, fever yesterday - feeling fine today.  Came in 5-21-08.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: child received 2 doses of VARIVAX, presented today w/chicken pox
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash, initiated 24 hrs after receiving Varicella vaccine.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Feeling cold, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: patient complained of pain, swelling and redness at vaccine injection site at tell us chills/arthralgias starting at 2 am the day after the vaccine was given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Redness from thigh to inner warmth, tenderness.
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Blood pressure, Body temperature increased, Heart rate normal, Injection site erythema, Injection site oedema
Clinical narrative: C/o pain, erythema, edema over vaccination site on right deltoid wiht erythema extending in a line to medial right axilla. Urticaric lesion medial to vaccination site. C/o pain (4/10 to 8/10 with palpation) over medial deltoid Pt states that sx's begain approx 3 days ago and increase in severity. T 99.7 post self administration of Advil (2 tabs). B/p 141/66 Rt arm sitting. P - 79
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Injection site urticaria, Skin lesion
Clinical narrative: C/o pain, erythema, edema over vaccination site on right deltoid wiht erythema extending in a line to medial right axilla. Urticaric lesion medial to vaccination site. C/o pain (4/10 to 8/10 with palpation) over medial deltoid Pt states that sx's begain approx 3 days ago and increase in severity. T 99.7 post self administration of Advil (2 tabs). B/p 141/66 Rt arm sitting. P - 79
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Burning sensation, Erythema, Swelling
Clinical narrative: Large red area of burning and swelling, approximately 5" in diameter.  Started approximately 12 hours after injection and lasted at least 60 hours from onset of symptoms.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncope following HPV vaccine
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Autonomic nervous system imbalance, Blood calcium normal, Computerised tomogram normal, Dysaesthesia, Electrocardiogram normal
Clinical narrative: Patient presented the next day with painful and cold left hand and forearm.  It began the night of the vaccine and continued ot worsen until she presented to the office on the afternoon of May 6, 2008.  She was referred to the emergency room for further evaluation of the vascular system.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Full blood count normal, Heart rate, Laboratory test normal, Pain in extremity, Peripheral coldness
Clinical narrative: Patient presented the next day with painful and cold left hand and forearm.  It began the night of the vaccine and continued ot worsen until she presented to the office on the afternoon of May 6, 2008.  She was referred to the emergency room for further evaluation of the vascular system.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Scan brain, Vaccination complication
Clinical narrative: Patient presented the next day with painful and cold left hand and forearm.  It began the night of the vaccine and continued ot worsen until she presented to the office on the afternoon of May 6, 2008.  She was referred to the emergency room for further evaluation of the vascular system.
Age: 1.83
Sex: F
Vaccine: HIBV, PPV
Symptoms: Crying, Eye pruritus, Lacrimation increased, Ocular hyperaemia, Pyrexia
Clinical narrative: Restless sleep and crying occurred PM after AM immunization.  Itchy eye, runny nose, watery eye, red/inflamed eye, low fever, occurred AM after immunization previous AM.  No treatment has been completed.
Age: 1.83
Sex: F
Vaccine: HIBV, PPV
Symptoms: Restlessness, Rhinorrhoea, Sleep disorder
Clinical narrative: Restless sleep and crying occurred PM after AM immunization.  Itchy eye, runny nose, watery eye, red/inflamed eye, low fever, occurred AM after immunization previous AM.  No treatment has been completed.