chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Hypokinesia, Injection site pain, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Initially, I experienced only the expected side effects of the vaccine (e.g., slight discomfort at the location of the vaccine, slight achiness).  However, approx. 8 hours later, I began to experience significant pain in my arms and additional pain (not as severe) throughout my entire upper body.  The pain was so severe in the arms, that I was unable to lift them above my waist.  My neck was also quite stiff (it hurt to move it and I had a pounding headache.  Shortly thereafter I became nauseous, got freezing cold and began to shake uncontrollably.  The shaking continued on and off for about 45 minutes, but the movement from very cold to very hot, nausea, stiffness and headache continued throughout the night.  I was also unable to sleep.    The following day, I was still unable to move my arms without extreme discomfort and remained nauseous, fatigued and feverish through out the day.  By the second day after the shot, movement in my arms was restored, but the nausea and fatique continued, although to a lesser degree.  It is now the third day after the shot and the only remaining symptoms are slight achiness, nausea and soreness at the injection site (i.e., the expected symptoms).  I should note 3 facts:  (1) I had received the vaccine without incident approx. 5 1/2 years prior to this injection;  (2) I received the flu shot at the same time; (3) I had an allergy shot the prior Monday (could not find this listed in the pull down menu in no. 14)
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Sleep disorder, Tremor
Clinical narrative: Initially, I experienced only the expected side effects of the vaccine (e.g., slight discomfort at the location of the vaccine, slight achiness).  However, approx. 8 hours later, I began to experience significant pain in my arms and additional pain (not as severe) throughout my entire upper body.  The pain was so severe in the arms, that I was unable to lift them above my waist.  My neck was also quite stiff (it hurt to move it and I had a pounding headache.  Shortly thereafter I became nauseous, got freezing cold and began to shake uncontrollably.  The shaking continued on and off for about 45 minutes, but the movement from very cold to very hot, nausea, stiffness and headache continued throughout the night.  I was also unable to sleep.    The following day, I was still unable to move my arms without extreme discomfort and remained nauseous, fatigued and feverish through out the day.  By the second day after the shot, movement in my arms was restored, but the nausea and fatique continued, although to a lesser degree.  It is now the third day after the shot and the only remaining symptoms are slight achiness, nausea and soreness at the injection site (i.e., the expected symptoms).  I should note 3 facts:  (1) I had received the vaccine without incident approx. 5 1/2 years prior to this injection;  (2) I received the flu shot at the same time; (3) I had an allergy shot the prior Monday (could not find this listed in the pull down menu in no. 14)
Age: 35.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Arthralgia, Dyspnoea, Fatigue, Rash, Urticaria
Clinical narrative: Patient complained of itching 2 hours after injections, rash described as "welts" on chest and neck.  Shortness of breath with exertion and bilateral hip pain developed approximately 24 hours later along with fatigue which has persisted along with other symptoms as of phone call on 10-5-06.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Dizziness, Exophthalmos, Headache, Nausea
Clinical narrative: Complaining of persistent "fainting spells-syncope, headaches, wooziness or dizziness" since receiving AVA in 1999-2000. This 46 year old reported receiving "first 2 AVA vaccinations and pills in 1991"; however "no documentation was placed in his records nor was he told what he was taking". A medical record review found vaccine documentation for "A-1 and A-2" on 03 Jan 1991 and 13 Jan 1991. He does not remember any resulting adverse events. He began "a second series of Anthrax shots" 19 Feb 1999. AVA #2 was administered 05 Mar 1999, AVA #3 on 19 Mar 1999, AVA #4 on 13 Aug 1999, and AVA #5 on 26 Apr 2000.   During the summer of 1999, 3-6 months following his third AVA vaccination, he experienced loss of vision with blurriness, nausea, and urge to "pass out" while driving. He described his blurry vision as "dots in his eyes lasting for 30 minutes". He denied any headache and stated this sensation passed quickly without incident. Review of available medical records document similar episodes "passing out", blurry vision, headaches (pressure) about eyes/back of head, and fatigue beginning in 1997 with diagnoses of subclinical thyroid disease with right exophthalmos and sinusitis. There are no medical records available from 1999 to 2004.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Sinusitis, Syncope, Thyroid disorder, Vision blurred, Visual disturbance
Clinical narrative: Complaining of persistent "fainting spells-syncope, headaches, wooziness or dizziness" since receiving AVA in 1999-2000. This 46 year old reported receiving "first 2 AVA vaccinations and pills in 1991"; however "no documentation was placed in his records nor was he told what he was taking". A medical record review found vaccine documentation for "A-1 and A-2" on 03 Jan 1991 and 13 Jan 1991. He does not remember any resulting adverse events. He began "a second series of Anthrax shots" 19 Feb 1999. AVA #2 was administered 05 Mar 1999, AVA #3 on 19 Mar 1999, AVA #4 on 13 Aug 1999, and AVA #5 on 26 Apr 2000.   During the summer of 1999, 3-6 months following his third AVA vaccination, he experienced loss of vision with blurriness, nausea, and urge to "pass out" while driving. He described his blurry vision as "dots in his eyes lasting for 30 minutes". He denied any headache and stated this sensation passed quickly without incident. Review of available medical records document similar episodes "passing out", blurry vision, headaches (pressure) about eyes/back of head, and fatigue beginning in 1997 with diagnoses of subclinical thyroid disease with right exophthalmos and sinusitis. There are no medical records available from 1999 to 2004.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Chills, Dizziness, Headache, Injection site erythema
Clinical narrative: Vaccine adm Fri 10/06/2006 with local redness inj site. R arm Sat 10/07/2006 developed h/a & chills, increased redness inj site. Sun 10/08/06 nausea, fever up to 101.8, chills, pain in L middle side with inspiration, dizziness, R arm swollen very sore to touch red area 7 cm across x 5cm lengthwise. achy & unable to get out of bed until Tues 10/10/2006. Talked with Dr. on Sunday & treated symptoms with pain medication, phenergan supp, & tylenol for fever. Ice pack to arm. Went to prescheduled appt with allergist Wed 10/11/06 & was put on decreasing doses of prednisone for next 6 days. Redness, swelling & soreness remained same in R arm. Today Thurs 10/12/06 feeling a little better, no fever, nausea, slighter h/a, pain rednes swelling in R arm starting to ease, and able to move about the house freely.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pain, Pyrexia, Swelling
Clinical narrative: Vaccine adm Fri 10/06/2006 with local redness inj site. R arm Sat 10/07/2006 developed h/a & chills, increased redness inj site. Sun 10/08/06 nausea, fever up to 101.8, chills, pain in L middle side with inspiration, dizziness, R arm swollen very sore to touch red area 7 cm across x 5cm lengthwise. achy & unable to get out of bed until Tues 10/10/2006. Talked with Dr. on Sunday & treated symptoms with pain medication, phenergan supp, & tylenol for fever. Ice pack to arm. Went to prescheduled appt with allergist Wed 10/11/06 & was put on decreasing doses of prednisone for next 6 days. Redness, swelling & soreness remained same in R arm. Today Thurs 10/12/06 feeling a little better, no fever, nausea, slighter h/a, pain rednes swelling in R arm starting to ease, and able to move about the house freely.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Aggression, Anxiety, Arthralgia, Arthritis, Asthenia
Clinical narrative: Since receiving AVA vaccinations in 1999 I've developed problems with mental changes (1999), tumors in my left leg (2002), chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry vision, and paranoia. He reported on return from overseas in 1999, he advised medical of problems with his left leg and right shoulder. He stated he could no longer run due to joint/muscular pain. In March 2002 his left leg "gave out" and was advised he needed surgery for "bone cancer". In July 2002 he began to complain of nausea, vomiting following normal PT and thought he'd pulled a muscle. Two days later his left leg/foot was numb and cold. An MRI/angiogram revealed a "massive tumor" from his knee to ankle which was surgically removed 2 weeks later. He was hospitalized for 8-9 days with a diagnosis of Diffuse Pigmented Villonodular Synovitis (DPVMS). Following his first Anthrax vaccination, his arm was sore and it hurt to move. His chest hurt, he felt flushed, fatigued, generalized weakness/malaise, feeling both physical and mentally "bad" with increased aggressive behaviors. He also developed a nodule to the vaccine site which lasted for 1-2 weeks. All these symptoms began to resolve prior to receipt of the next vaccine and worsened with each sequential vaccination    As of 9/2006 he continues to experience severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurogic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction, and long term memory concerns (anxiety, nightmares, obsessive compulsive disorder).  10/26/06 Received Clinical Summary from WRAMC-VHC which reveal patient evaluated by phone from WRAMC-VHC 9/2006 with complaints of mental changes, left leg tumors, chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry visiion & paranoia since receiving anthrax vax in 1999 as noted on VAERS report.  Patient was medically retired from military in 2004 w/40% DOD disability & 80% VA disability.  Patient stated current symptoms include severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurologic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction & lung term memory concerns (anxiety, nightmares, OCD).   DX: Diffuse pigmented villonodular synovitis, 2002; depression, 2005; neuropathic pain disorder, 2005, s/p dpvms; & DDD neck/spine, 2004. No current dx was offered at that time.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Fatigue, Flushing, Gastrointestinal disorder, Hypoaesthesia
Clinical narrative: Since receiving AVA vaccinations in 1999 I've developed problems with mental changes (1999), tumors in my left leg (2002), chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry vision, and paranoia. He reported on return from overseas in 1999, he advised medical of problems with his left leg and right shoulder. He stated he could no longer run due to joint/muscular pain. In March 2002 his left leg "gave out" and was advised he needed surgery for "bone cancer". In July 2002 he began to complain of nausea, vomiting following normal PT and thought he'd pulled a muscle. Two days later his left leg/foot was numb and cold. An MRI/angiogram revealed a "massive tumor" from his knee to ankle which was surgically removed 2 weeks later. He was hospitalized for 8-9 days with a diagnosis of Diffuse Pigmented Villonodular Synovitis (DPVMS). Following his first Anthrax vaccination, his arm was sore and it hurt to move. His chest hurt, he felt flushed, fatigued, generalized weakness/malaise, feeling both physical and mentally "bad" with increased aggressive behaviors. He also developed a nodule to the vaccine site which lasted for 1-2 weeks. All these symptoms began to resolve prior to receipt of the next vaccine and worsened with each sequential vaccination    As of 9/2006 he continues to experience severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurogic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction, and long term memory concerns (anxiety, nightmares, obsessive compulsive disorder).  10/26/06 Received Clinical Summary from WRAMC-VHC which reveal patient evaluated by phone from WRAMC-VHC 9/2006 with complaints of mental changes, left leg tumors, chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry visiion & paranoia since receiving anthrax vax in 1999 as noted on VAERS report.  Patient was medically retired from military in 2004 w/40% DOD disability & 80% VA disability.  Patient stated current symptoms include severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurologic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction & lung term memory concerns (anxiety, nightmares, OCD).   DX: Diffuse pigmented villonodular synovitis, 2002; depression, 2005; neuropathic pain disorder, 2005, s/p dpvms; & DDD neck/spine, 2004. No current dx was offered at that time.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphadenopathy, Malaise, Mental impairment, Myalgia, Nausea
Clinical narrative: Since receiving AVA vaccinations in 1999 I've developed problems with mental changes (1999), tumors in my left leg (2002), chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry vision, and paranoia. He reported on return from overseas in 1999, he advised medical of problems with his left leg and right shoulder. He stated he could no longer run due to joint/muscular pain. In March 2002 his left leg "gave out" and was advised he needed surgery for "bone cancer". In July 2002 he began to complain of nausea, vomiting following normal PT and thought he'd pulled a muscle. Two days later his left leg/foot was numb and cold. An MRI/angiogram revealed a "massive tumor" from his knee to ankle which was surgically removed 2 weeks later. He was hospitalized for 8-9 days with a diagnosis of Diffuse Pigmented Villonodular Synovitis (DPVMS). Following his first Anthrax vaccination, his arm was sore and it hurt to move. His chest hurt, he felt flushed, fatigued, generalized weakness/malaise, feeling both physical and mentally "bad" with increased aggressive behaviors. He also developed a nodule to the vaccine site which lasted for 1-2 weeks. All these symptoms began to resolve prior to receipt of the next vaccine and worsened with each sequential vaccination    As of 9/2006 he continues to experience severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurogic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction, and long term memory concerns (anxiety, nightmares, obsessive compulsive disorder).  10/26/06 Received Clinical Summary from WRAMC-VHC which reveal patient evaluated by phone from WRAMC-VHC 9/2006 with complaints of mental changes, left leg tumors, chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry visiion & paranoia since receiving anthrax vax in 1999 as noted on VAERS report.  Patient was medically retired from military in 2004 w/40% DOD disability & 80% VA disability.  Patient stated current symptoms include severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurologic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction & lung term memory concerns (anxiety, nightmares, OCD).   DX: Diffuse pigmented villonodular synovitis, 2002; depression, 2005; neuropathic pain disorder, 2005, s/p dpvms; & DDD neck/spine, 2004. No current dx was offered at that time.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Neoplasm, Nightmare, Pain, Paranoia, Peripheral coldness
Clinical narrative: Since receiving AVA vaccinations in 1999 I've developed problems with mental changes (1999), tumors in my left leg (2002), chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry vision, and paranoia. He reported on return from overseas in 1999, he advised medical of problems with his left leg and right shoulder. He stated he could no longer run due to joint/muscular pain. In March 2002 his left leg "gave out" and was advised he needed surgery for "bone cancer". In July 2002 he began to complain of nausea, vomiting following normal PT and thought he'd pulled a muscle. Two days later his left leg/foot was numb and cold. An MRI/angiogram revealed a "massive tumor" from his knee to ankle which was surgically removed 2 weeks later. He was hospitalized for 8-9 days with a diagnosis of Diffuse Pigmented Villonodular Synovitis (DPVMS). Following his first Anthrax vaccination, his arm was sore and it hurt to move. His chest hurt, he felt flushed, fatigued, generalized weakness/malaise, feeling both physical and mentally "bad" with increased aggressive behaviors. He also developed a nodule to the vaccine site which lasted for 1-2 weeks. All these symptoms began to resolve prior to receipt of the next vaccine and worsened with each sequential vaccination    As of 9/2006 he continues to experience severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurogic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction, and long term memory concerns (anxiety, nightmares, obsessive compulsive disorder).  10/26/06 Received Clinical Summary from WRAMC-VHC which reveal patient evaluated by phone from WRAMC-VHC 9/2006 with complaints of mental changes, left leg tumors, chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry visiion & paranoia since receiving anthrax vax in 1999 as noted on VAERS report.  Patient was medically retired from military in 2004 w/40% DOD disability & 80% VA disability.  Patient stated current symptoms include severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurologic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction & lung term memory concerns (anxiety, nightmares, OCD).   DX: Diffuse pigmented villonodular synovitis, 2002; depression, 2005; neuropathic pain disorder, 2005, s/p dpvms; & DDD neck/spine, 2004. No current dx was offered at that time.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Rash, Sexual dysfunction, Synovitis, Vision blurred, Vomiting
Clinical narrative: Since receiving AVA vaccinations in 1999 I've developed problems with mental changes (1999), tumors in my left leg (2002), chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry vision, and paranoia. He reported on return from overseas in 1999, he advised medical of problems with his left leg and right shoulder. He stated he could no longer run due to joint/muscular pain. In March 2002 his left leg "gave out" and was advised he needed surgery for "bone cancer". In July 2002 he began to complain of nausea, vomiting following normal PT and thought he'd pulled a muscle. Two days later his left leg/foot was numb and cold. An MRI/angiogram revealed a "massive tumor" from his knee to ankle which was surgically removed 2 weeks later. He was hospitalized for 8-9 days with a diagnosis of Diffuse Pigmented Villonodular Synovitis (DPVMS). Following his first Anthrax vaccination, his arm was sore and it hurt to move. His chest hurt, he felt flushed, fatigued, generalized weakness/malaise, feeling both physical and mentally "bad" with increased aggressive behaviors. He also developed a nodule to the vaccine site which lasted for 1-2 weeks. All these symptoms began to resolve prior to receipt of the next vaccine and worsened with each sequential vaccination    As of 9/2006 he continues to experience severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurogic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction, and long term memory concerns (anxiety, nightmares, obsessive compulsive disorder).  10/26/06 Received Clinical Summary from WRAMC-VHC which reveal patient evaluated by phone from WRAMC-VHC 9/2006 with complaints of mental changes, left leg tumors, chronic pain, lymphadenopathy, joint pain, GI problems, rashes, blurry visiion & paranoia since receiving anthrax vax in 1999 as noted on VAERS report.  Patient was medically retired from military in 2004 w/40% DOD disability & 80% VA disability.  Patient stated current symptoms include severe joint/muscular pain, persistent left leg swelling, lymphadenopathy, neurologic pain, GI problems, arthritis in neck/back/spine, blurry vision, sexual dysfunction & lung term memory concerns (anxiety, nightmares, OCD).   DX: Diffuse pigmented villonodular synovitis, 2002; depression, 2005; neuropathic pain disorder, 2005, s/p dpvms; & DDD neck/spine, 2004. No current dx was offered at that time.
Age: 40.0
Sex: M
Vaccine: HEP, HEPA, TD
Symptoms: Anaemia, Depression, Diarrhoea, Dysarthria, Fatigue
Clinical narrative: Do I have gulf war syndrome?  I've had body aches, severe digestive problems, new onset anemia 4-5 months following vaccines once home from deployment (not overseas) and depression since vaccinated in 1991. This 40 year old reported receiving several vaccines in 1991 as part of pre-deplolyment preparations. He was not deployed overseas.  He reported receiving gamma globulin, PPD, HepA, Hepatitis B series, TD and a few others. Within the next few hours he stated he began to "feel on fire", tingled all over, his tongue became heavy and fat, sweating, slurred speech due to tongue denying shortness of breath, problems swallowing, chest pain, fevers, or rashes.  His wife transported him to the hospital where he was given IV Benadryl with resolution of symptoms. He was discharged on oral Benadryl for 2 days. He stated the feelings of being on fire lasted 2 days with no other symptoms. Over the next few months he began to notice digestive problems to include crampy diarrhea (brown watery stool) 20 minutes after eating which he attributed to stress due to finals and thoughts of leaving military. He denied any prior history of bowel or gastrointestinal difficulties. Triggers included eatting red meat (continues as of 8/06) and "heavy solid meals" (eating a large meal) ... causing severe cramps with resulting diarrhea. He also complained of bilateral knee and elbow stiffness upon arising daily since 1992 that persists today (8/06). He described this pain as a dull achey sensation that eases with movement throughout the day. Advil reliefs the pain. He also complains of increased fatigue, exhaustion, being worn out and "unable to function after 2 pm" due to this fatigue for the last 3-4 years. This has become worse in the last few months to where he is "falling asleep driving home and can not go out at night due to chronic fatigue". He advised his PCP in 2006 who was concerned about depression recommending follow up at the VA hospital "before he does a work up as it may be military related."
Age: 40.0
Sex: M
Vaccine: HEP, HEPA, TD
Symptoms: Feeling hot, Gastrointestinal disorder, Hyperhidrosis, Laboratory test abnormal, Muscle spasms
Clinical narrative: Do I have gulf war syndrome?  I've had body aches, severe digestive problems, new onset anemia 4-5 months following vaccines once home from deployment (not overseas) and depression since vaccinated in 1991. This 40 year old reported receiving several vaccines in 1991 as part of pre-deplolyment preparations. He was not deployed overseas.  He reported receiving gamma globulin, PPD, HepA, Hepatitis B series, TD and a few others. Within the next few hours he stated he began to "feel on fire", tingled all over, his tongue became heavy and fat, sweating, slurred speech due to tongue denying shortness of breath, problems swallowing, chest pain, fevers, or rashes.  His wife transported him to the hospital where he was given IV Benadryl with resolution of symptoms. He was discharged on oral Benadryl for 2 days. He stated the feelings of being on fire lasted 2 days with no other symptoms. Over the next few months he began to notice digestive problems to include crampy diarrhea (brown watery stool) 20 minutes after eating which he attributed to stress due to finals and thoughts of leaving military. He denied any prior history of bowel or gastrointestinal difficulties. Triggers included eatting red meat (continues as of 8/06) and "heavy solid meals" (eating a large meal) ... causing severe cramps with resulting diarrhea. He also complained of bilateral knee and elbow stiffness upon arising daily since 1992 that persists today (8/06). He described this pain as a dull achey sensation that eases with movement throughout the day. Advil reliefs the pain. He also complains of increased fatigue, exhaustion, being worn out and "unable to function after 2 pm" due to this fatigue for the last 3-4 years. This has become worse in the last few months to where he is "falling asleep driving home and can not go out at night due to chronic fatigue". He advised his PCP in 2006 who was concerned about depression recommending follow up at the VA hospital "before he does a work up as it may be military related."
Age: 40.0
Sex: M
Vaccine: HEP, HEPA, TD
Symptoms: Pain, Paraesthesia, Tongue disorder
Clinical narrative: Do I have gulf war syndrome?  I've had body aches, severe digestive problems, new onset anemia 4-5 months following vaccines once home from deployment (not overseas) and depression since vaccinated in 1991. This 40 year old reported receiving several vaccines in 1991 as part of pre-deplolyment preparations. He was not deployed overseas.  He reported receiving gamma globulin, PPD, HepA, Hepatitis B series, TD and a few others. Within the next few hours he stated he began to "feel on fire", tingled all over, his tongue became heavy and fat, sweating, slurred speech due to tongue denying shortness of breath, problems swallowing, chest pain, fevers, or rashes.  His wife transported him to the hospital where he was given IV Benadryl with resolution of symptoms. He was discharged on oral Benadryl for 2 days. He stated the feelings of being on fire lasted 2 days with no other symptoms. Over the next few months he began to notice digestive problems to include crampy diarrhea (brown watery stool) 20 minutes after eating which he attributed to stress due to finals and thoughts of leaving military. He denied any prior history of bowel or gastrointestinal difficulties. Triggers included eatting red meat (continues as of 8/06) and "heavy solid meals" (eating a large meal) ... causing severe cramps with resulting diarrhea. He also complained of bilateral knee and elbow stiffness upon arising daily since 1992 that persists today (8/06). He described this pain as a dull achey sensation that eases with movement throughout the day. Advil reliefs the pain. He also complains of increased fatigue, exhaustion, being worn out and "unable to function after 2 pm" due to this fatigue for the last 3-4 years. This has become worse in the last few months to where he is "falling asleep driving home and can not go out at night due to chronic fatigue". He advised his PCP in 2006 who was concerned about depression recommending follow up at the VA hospital "before he does a work up as it may be military related."
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema
Clinical narrative: ON OCT. 3RD INFLUENZA VACCINE WAS ADMINISTERED FIRST TIME RECEIVING VACCINE.  OCT. 4TH EMPLOYEE CALLED THE IMMUNIZATION CLERK C/O SWELLING IN HER FACE. EMPLOYEE TOOK ZYRTEC FOR ALLERIES.  ON OCT. 11TH SWELLING WAS GOING INTO HER NECK AND SHE WENT TO THE DOCTOR.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Gait disturbance, Hypoaesthesia, Lymphadenopathy, Mucosal inflammation
Clinical narrative: Enlargement of lymph nodes near both mastoid processes on 10/3/06.  She was seen & examined on 10/12/06. Buccal mucosa sores opposite anterior mandibular teeth on 10/3/06.  Resolved on 10/12/06. Onset of L ankle pain on 10/8/06.  Not tenderness & full AROM without pain.  Onset of L knee pain on 10/11/06.  C/o popliteal fossa pain with supine flexion to 90/135.  Gait is slightly antalgic.  Onset of L hand & wrist pain on 10/12/06.  C/o wrist & ring F pain with wrist flexion, radial & ulnar deviation.  Onset of numbness over L upper arm & forearm on 10/12/06.  Light touch sensation intact over these areas.
Age: 1.39
Sex: M
Vaccine: PNC
Symptoms: Abasia, Crying, Irritability, Pain, Pyrexia
Clinical narrative: Fever of 101-103 degrees, irritability, crying, pain, inability to walk or bear weight on legs for 3 days.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain, Pyrexia, Vomiting
Clinical narrative: high grade fever (103-104 degree F) Abdominal pain Vomiting
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received Adacel immunization on 10/10/2006.  On 10/12/06 c/o sorenes at immunization site; Site became red, swollen, & warm to touch.  Left ear red & warm to touch.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Myalgia, Pyrexia
Clinical narrative: Asthma attack, muscle soreness and fever.
Age: 1.19
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Blank
Age: 72.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 12cm X 7cm rectangular erythema of (L) deltoid area with induration and warmth.
Age: 55.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Asthenia, CSF test abnormal, Demyelination, Hyporeflexia, Malaise
Clinical narrative: Gradual onset of LE, UE paresthesias, fasciculations, as well as decreased deep tendon reflexes, weakness and malaise, onset towards end of July. Referred to Neurology.
Age: 55.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Paraesthesia
Clinical narrative: Gradual onset of LE, UE paresthesias, fasciculations, as well as decreased deep tendon reflexes, weakness and malaise, onset towards end of July. Referred to Neurology.
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Antisocial behaviour, Autism, Bronchiolitis, Drug toxicity, Headache
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Neurodevelopmental disorder, Oliguria, Sinusitis, Sleep disorder, Speech disorder
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Vomiting
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Anorexia, Antisocial behaviour, Autism, Bronchiolitis, Drug toxicity
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Nervous system disorder, Speech disorder
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.28
Sex: F
Vaccine: HEP, HIBV, DTAP, HIBV, MMR
Symptoms: Abnormal behaviour, Autism, Neurodevelopmental disorder, Sleep disorder
Clinical narrative: This case was considered medically important. Information (medical records) regarding Hib-titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from an attorney regarding a female patient who at 15 months of age on 14-Sep-1995 received the fourth dose.  The patient also received the first dose of measles, mumps and rubella vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine (manufacturer unknown) (diphtheria/tetanus toxoid/acellular Pertussis vaccine) on that same day.  On 14-Apr-2003, at the age of eight years old, the patient was diagnosed with pervasive development disorder, a learning disorder, a sleep disorder, and attention deficit disorder.  MEDICAL HISTORY: The patient's concurrent illness include anorexia and chronic sinusitis.  PRODUCT DETAILS: Indication  for Hib-Titer vaccine was immunization.  Product was administered on 14-Sep-1995.  Dose regimen was 1 dose 1 time per day.  Additional suspect medication included Hepatitis B vaccine, Measles, Mumps and Rubella vaccine, Varicella virus vaccine, live, Haemophilus B conjugate vaccine (diphtheria), Diptheria-Tetanus Pertussis vaccine 9diphtheria and tetanus toxoids and Pertussis), Poliomyelitis vaccine inactivated, Influenza virus vaccine (influenza virus vaccine polyvalent) and Diphtheria/Tetanus toxoid/acellular vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On 14-Apr-2003, the patient was diagnosed with pervasive developmental disorder (autism spectrum disorder), learning disorder (learning disorder), sleep disorder (sleep disorder) and attention deficit disorder (attention deficit/hyperactivity disorder).  No additional information was available at the time of this report.  (OMIC)
Age: 1.01
Sex: F
Vaccine: HEP, HIBV, DTAP, HEP, HIBV, MMR
Symptoms: Abnormal behaviour, Antisocial behaviour, Arthropathy, Autism, Coordination abnormal
Clinical narrative: This case was considered medically important.  Medical records were received from an attorney a female patient who received the fourth dose of Hib-Titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate injection) along with the four dose of Tripedia (diphtheria/tetanus toxoid/acellular Pertussis vaccine), the patient developed pervasive development disorder.  MEDICAL HISTORY: The patient's concurrent illness include familial risk factor (father: depression, intermittent explosive disorder, possible seizures), familial risk factor (half-sister) attention deficit disorder, emotional and behavioral problems), familial risk factor (father's brother: seizure in childhood with behavioral problems, brain damage), familial risk factor (father's sister: depression), familial risk factor (paternal grandmother: depression), familial risk factor (mother's brother: depression) and familial risk factor (cousin, mother's nephew: manic depressive illness) with a past history of varicella (at 18 months of age).  PRODUCT DETAILS: Indication for Hib-Titer vaccine was immunization.  Product was administered on 27-Jan-1995.  Dose regimen was 1 time per day.  Additional suspect vaccines included Tripedia (diptheria/tetanus toxoid/accelular Pertussis vaccine), Diphtheria and Tetanus toxoids and Pertussis, Poliovirus vaccine live oral, M-M-R (measles, mumps and rubella vaccine), Hepatitis B vaccine, Recombivax-Hb (hepatitis B vaccine) and Diphtheria/Tetanus toxoid/acellular Pertussis vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On an unspecified date, at the age of 12 months, the patient received the fourth dose of Hib-Titer vaccine along with other childhood vaccines.  On an unspecified date, the patient developed pervasive developmental disorder (autism spectrum disorder).  There were no delays noted in the first year of age.  The child crawled between nine months to one year and did not walk until 18 months of age. At one year of age, the patient said "mama".  At two years, the child said a few words, which were lost at three years.  At the age of two years, the child began to scream for 5 to 10 minutes for no known reason.  At the age of four years, the child made stereotyped clucking sounds, scratched others or herself, had self stimulatory hand waving behaviors, which were made when left to herself, waved her hands in front of her face, could follow simple instructions, and had excellent hand use.  It was unknown if the patient recovered from the event.  TEST RESULTS: blood lead (results: 3 ug/dl) was done on 03-Jul-1996, blood lead (results: 5 ug/dl) and DNA test for fragile X (results: pending) were done on 23-Jan-1998.  No additional information was available at the time of this report. (OMIC)
Age: 1.01
Sex: F
Vaccine: HEP, HIBV, DTAP, HEP, HIBV, MMR
Symptoms: Crying, Echolalia, Epilepsy, Gait disturbance, Gastrointestinal disorder
Clinical narrative: This case was considered medically important.  Medical records were received from an attorney a female patient who received the fourth dose of Hib-Titer vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate injection) along with the four dose of Tripedia (diphtheria/tetanus toxoid/acellular Pertussis vaccine), the patient developed pervasive development disorder.  MEDICAL HISTORY: The patient's concurrent illness include familial risk factor (father: depression, intermittent explosive disorder, possible seizures), familial risk factor (half-sister) attention deficit disorder, emotional and behavioral problems), familial risk factor (father's brother: seizure in childhood with behavioral problems, brain damage), familial risk factor (father's sister: depression), familial risk factor (paternal grandmother: depression), familial risk factor (mother's brother: depression) and familial risk factor (cousin, mother's nephew: manic depressive illness) with a past history of varicella (at 18 months of age).  PRODUCT DETAILS: Indication for Hib-Titer vaccine was immunization.  Product was administered on 27-Jan-1995.  Dose regimen was 1 time per day.  Additional suspect vaccines included Tripedia (diptheria/tetanus toxoid/accelular Pertussis vaccine), Diphtheria and Tetanus toxoids and Pertussis, Poliovirus vaccine live oral, M-M-R (measles, mumps and rubella vaccine), Hepatitis B vaccine, Recombivax-Hb (hepatitis B vaccine) and Diphtheria/Tetanus toxoid/acellular Pertussis vaccine (diphtheria/tetanus toxoid/acellular Pertussis vaccine).  CONCOMITANT THERAPY: Concomitant medications were not reported.  EVENT DETAILS: On an unspecified date, at the age of 12 months, the patient received the fourth dose of Hib-Titer vaccine along with other childhood vaccines.  On an unspecified date, the patient developed pervasive developmental disorder (autism spectrum disorder).  There were no delays noted in the first year of age.  The child crawled between nine months to one year and did not walk until 18 months of age. At one year of age, the patient said "mama".  At two years, the child said a few words, which were lost at three years.  At the age of two years, the child began to scream for 5 to 10 minutes for no known reason.  At the age of four years, the child made stereotyped clucking sounds, scratched others or herself, had self stimulatory hand waving behaviors, which were made when left to herself, waved her hands in front of her face, could follow simple instructions, and had excellent hand use.  It was unknown if the patient recovered from the event.  TEST RESULTS: blood lead (results: 3 ug/dl) was done on 03-Jul-1996, blood lead (results: 5 ug/dl) and DNA test for fragile X (results: pending) were done on 23-Jan-1998.  No additional information was available at the time of this report. (OMIC)