chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Periarthritis
Clinical narrative: On 6-17-08, I received a T-DAP shot in left arm.  Within 2 days, I couldn't raise my arm in any direction and had severe pain.  On 7-1-08, I had an MRI left shoulder - moderate interfusion capsulitis.  U/S aspiration of joint and tendon sheath - labs all negative.  8-26-08 arm is still only about 30-40% of normal w/much pain.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Full ROM; Right upper arm swollen, mild redness
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: "Patient" got the 4 immunizations listed below on 8/27. on the right arm, the only shot given subq which was a varicella developed an area of erythema which was slightly hard but non tender.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Musculoskeletal pain, Oedema peripheral, Pain
Clinical narrative: Patient presents with large area on right upper arm - deltoid area.  The area is indurated, red, hot to the touch.  It is irregular in shape - measures 15 cm by 13 cm at the widest points.  Patient complained of burning and pain from shoulder to elbow.  Patient was referred to her PCP.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Patient presents with large area on right upper arm - deltoid area.  The area is indurated, red, hot to the touch.  It is irregular in shape - measures 15 cm by 13 cm at the widest points.  Patient complained of burning and pain from shoulder to elbow.  Patient was referred to her PCP.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Had nonstop high pitched crying with first set of shots at last visit. (6/30/08) nonstop crying for several hours.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: Client complained of hives/welts, red, hot, and itchy over upper extremities; trunk. client has been using Benadryl.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Depressed level of consciousness, Dyskinesia, Fall, Urinary incontinence
Clinical narrative: Found fallen in exam room, decreased consciousness, jerky movements of right forearm and had urinary incontinence, vital signs stable, water found, came quickly to alertness; Sent to ER.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Rash pruritic
Clinical narrative: Itchy rash 2d after HPV # 2. No other symptoms
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Skin warm
Clinical narrative: Large erythematous area on right thigh area grapefruit size; mild warmth
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed swelling, redness, an tenderness at site of injection which spread down to elbow; onset evening of injection, treated with ice packs, and Benadryl (started 8/21/08). Uncertain time to resolution
Age: 13.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse events
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Large, pink, warm area on upper left arm near area of injections.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, erythema, tenderness right arm (around injection site).
Age: 0.3
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Body temperature increased
Clinical narrative: 101.4 axillary temp.
Age: 0.2
Sex: F
Vaccine: DTAP, HEPA, IPV, PNC
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse event.  HEP A #1 given at 2 months of age.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Burning sensation, Dyspnoea, Pruritus
Clinical narrative: After receiving immunizations, family had left and headed to their car - child then complained of breathing problems and itching.  Child also complained of his feet burning.  Mom brought them back to clinic.
Age: 49.0
Sex: M
Vaccine: HEPAB
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received TWINRIX #2 on 6-17-08, called to office on 6/23/08 - complained of redness and swelling at injection site - This developed on 6/18/08 - itching developed 1 day later on 6/19/08. Seeing his doctor today 6/23/08.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient received immunizations on 9/2 and became back to our clinic for an acute visit. Patient had a hard lump and red patch approx 3-4" wide on left leg where shots were given. Area warm to touch.
Age: 4.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Erythema about 4cm diameter at two vaccination sites
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient states she received the MMR vaccine on 9/3/08 at 12:20pm.  She felt fine all evening and at 2:45am got up to use the rest room.  She became "hot, dizzy, and lightheaded."  Upon sitting, some of these symptoms resolved, however when she stood back up she felt as though she "might pass out."  She went back to sleep after incident and states she is feeling better today.  She did not receive medical treatment for this.
Age: 0.44
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: Fever x1 day
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Arm hurts and itches.  Reddened, warm, induration getting larger.  No vesicles.  4-8 cm.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Oedema peripheral
Clinical narrative: arm swelled up and was numb for 4 days after shot.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic, Vaccine positive rechallenge
Clinical narrative: Itchy rash started 24 hours ago after doses of VARIVAX #1 3/28/02 and #2 3/28/07
Age: 3.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pruritus, Rash, Vaccine positive rechallenge
Clinical narrative: Rash on trunk and buttocks, itchy after 2 doses of Varivax #1 2/24/06 and #2 6/10/08.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm red and swollen at administration site.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Redness, swelling at the injection site.  Large swollen area 6x6 inches.  Advised patient to take Benadryl and apply cold and warm compress.  Telephone call to patient on 8/29/08.  Patient stated swelling and blisters down to elbow.  Advised patient to go to ER or see private doctor.  Patient refused to go.  Telephone call on 9/2/08.  Patient stated "arm is fine now."
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Left upper arm swollen, redness, and painful.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives on legs
Age: 9.0
Sex: M
Vaccine: HEPA, MMR, TD, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: swelling, erythema
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Abasia, Injection site pain, Pain in extremity
Clinical narrative: Very tender right leg and unable to walk. Had Motrin and warm packed leg and was able to walk with a limp. Resolved the following day but still complaining of right leg pain. Onset at 11 PM on 8/23/08. No complaint of right leg pain on 9/2/08.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Vomiting
Clinical narrative: 45-60 minutes after vaccines vomit constantly for one hour no rash no resp distress Fever, irritable x 3 days
Age: 60.0
Sex: F
Vaccine: RAB
Symptoms: Back pain, Blood creatine phosphokinase, Electromyogram, Full blood count, Laboratory test
Clinical narrative: Pain first started in lumbar muscle mostly at night accompanied by fever 1 week later, back resolved and pain moved to muscles of left (esp) and right shoulder; Myositis - presumptive with this pt.
Age: 60.0
Sex: F
Vaccine: RAB
Symptoms: Musculoskeletal pain, Myositis, Nuclear magnetic resonance imaging, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: Pain first started in lumbar muscle mostly at night accompanied by fever 1 week later, back resolved and pain moved to muscles of left (esp) and right shoulder; Myositis - presumptive with this pt.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Facial palsy
Clinical narrative: He developed Bells Palsy on the right side on 7/4/08. He subsequently developed Bells Palsy on the left on 7/29/08; He was also given Hep B Vaccine on 02/25/08 and 3/25/08
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Lumbar puncture abnormal, Multiple sclerosis, Neurological symptom, Nuclear magnetic resonance imaging abnormal, Visual disturbance
Clinical narrative: Neurological changes,visual problems. Diagnosed as Multiple Sclerosis by ophtalmologist and neurologist. All after second dose of HPV (Gardasil) worsed after third dose. 10/14/08-records received-2/26/08-Admitting DX: Demyelinating Disease, left optic neuritis. Multiple Sclerosis-outpt records for lumbar puncture. Records for DOS 6/11-6/15/08-received-presented with acute exacerbation of MS, right lower extremity weakness and neuropathic pain. Migraine. Possible adverse reaction HPV vaccine and interferon. 1/26/2010 Multiple sclerosis, still in Tx.
Age: 72.0
Sex: F
Vaccine: HEPA, TTOX, TYP
Symptoms: Dyspnoea, Erythema, Oedema peripheral, Skin warm
Clinical narrative: 8/23/08 PT. EXHIBITED REDNESS, SWELLING, HEAT OF L UPPER ARM. 8/29/08 C/O DIFFICULTY BREATHING FOR 5 DAYS.  SYMPTOMS HAVE RESOLVED.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: The mother refers the patient presented redness, inflamation and heat in the left deltoid, area of the vaccine administration.
Age: 1.0
Sex: M
Vaccine: HEPA, PPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Child developed fever of 103+ within 24 hours of vaccine administration.  No other symptoms occurred.
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: HERPES ZOSTER IN A VACCINEE. CLINICAL DIAGNOSIS ONLY. STRAIN TYPE UNKNOWN. UNCLEAR IF RASH WAS DUE TO  VACCINE STRAIN REACTIVATION OR WILDTYPE REACTIVATION
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Arthralgia, Autoimmune disorder, Blood test, Fatigue
Clinical narrative: Extreme hair loss, fatigue, auto-immune problems, joint swelling and pain. 10/1/08 Reviewed vaccination & medical records.   6/26/07-C/O lower abdominal pain on right side. Vaccine records indicate different dates than originally reported: HPV #1 given 8/30/07, #2 9/20/07 & #3 12/13/07.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Joint swelling, X-ray
Clinical narrative: Extreme hair loss, fatigue, auto-immune problems, joint swelling and pain. 10/1/08 Reviewed vaccination & medical records.   6/26/07-C/O lower abdominal pain on right side. Vaccine records indicate different dates than originally reported: HPV #1 given 8/30/07, #2 9/20/07 & #3 12/13/07.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blood test normal, Local swelling, Lymphadenopathy, Mass, Pyrexia
Clinical narrative: 6 DAYS AFTER THE MMR VACCINE, PT'S LEFT SIDE OF HIS FACE AND NECK BECAME SWOLLEN.  I COULD TELL HE HAD A VERY LARGE LUMP IN HIS NECK.  I TOOK HIM TO THE DR'S OFFICE ON THURSDAY SEPTEMBER 4TH, AND THEY TOLD ME THAT THIS WAS NOT DUE TO THE SHOT, THAT THE LUMP WAS TOO LOW AND BECAUSE HE WAS NOT RUNNING FEVER AND IT DID NOT HURT HIM THEY BELIEVED THAT IT WAS A "MASS" IN HIS NECK THAT WAS ALWAYS THERE AND THAT IT FINALLY BECAME LARGE ENOUGH FOR US TO NOTICE.  I THOUGHT THAT WAS ODD SINCE I HAVE BROUGHT HIM IN OTHER TIMES AND THEY NEVER NOTICED "A LUMP" THERE BEFORE.  I NEVER NOTICED A LUMP AND I'M ALWAYS CHECKING HIS EARS AND NECK. THEY ORDERED BLOOD ON THURSDAY AND AN ULTRA SOUND ON FRIDAY.  I WAS TOLD THAT THEY WOULD HAVE THE RESULTS ON MONDAY SEPTEMBER 8TH. PT STARTED RUNNING FEVER OR ABOUT 102.6 ON FRIDAY SEPTEMBER 5TH AND FEVER OF 101 ON SATURDAY.  SUNDAY THE SWELLING STARTED GOING DOWN AND MONDAY WE COULD BARELY SEE THE LUMP IN HIS NECK.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Swelling face, Ultrasound scan abnormal
Clinical narrative: 6 DAYS AFTER THE MMR VACCINE, PT'S LEFT SIDE OF HIS FACE AND NECK BECAME SWOLLEN.  I COULD TELL HE HAD A VERY LARGE LUMP IN HIS NECK.  I TOOK HIM TO THE DR'S OFFICE ON THURSDAY SEPTEMBER 4TH, AND THEY TOLD ME THAT THIS WAS NOT DUE TO THE SHOT, THAT THE LUMP WAS TOO LOW AND BECAUSE HE WAS NOT RUNNING FEVER AND IT DID NOT HURT HIM THEY BELIEVED THAT IT WAS A "MASS" IN HIS NECK THAT WAS ALWAYS THERE AND THAT IT FINALLY BECAME LARGE ENOUGH FOR US TO NOTICE.  I THOUGHT THAT WAS ODD SINCE I HAVE BROUGHT HIM IN OTHER TIMES AND THEY NEVER NOTICED "A LUMP" THERE BEFORE.  I NEVER NOTICED A LUMP AND I'M ALWAYS CHECKING HIS EARS AND NECK. THEY ORDERED BLOOD ON THURSDAY AND AN ULTRA SOUND ON FRIDAY.  I WAS TOLD THAT THEY WOULD HAVE THE RESULTS ON MONDAY SEPTEMBER 8TH. PT STARTED RUNNING FEVER OR ABOUT 102.6 ON FRIDAY SEPTEMBER 5TH AND FEVER OF 101 ON SATURDAY.  SUNDAY THE SWELLING STARTED GOING DOWN AND MONDAY WE COULD BARELY SEE THE LUMP IN HIS NECK.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Pt received Tdap vaccine instead of Dtap.  No adverse event reported by patient or parent.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Lip swelling, Pain in extremity
Clinical narrative: Parent called on Tuesday 9/9/08 and stated that her child might have had an allergic reaction to the varicella vaccine. He received the vaccine 9/4/08. Child complained of wrist pain and leg pain on Friday and she noticed that his top lip was swollen. He was given Benadryl and the swelling was reduced. Child went to school yesterday because the leg and wrist pain were resolved.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Pt. received Tdap vaccine on 9/5/08. About 1 hr. later she c/o headache. Within 8 hrs she was feeling weak, lightheaded, & dizzy, with her headache worsening for the next 2 days. Pt. also had joint pain in elbows, knees, & neck. She c/o nausea & diarrhea starting on 9/7. Today, 9/8, she still has slight nausea & diarrhea, weakness, tiredness, & dizziness.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea
Clinical narrative: Pt. received Tdap vaccine on 9/5/08. About 1 hr. later she c/o headache. Within 8 hrs she was feeling weak, lightheaded, & dizzy, with her headache worsening for the next 2 days. Pt. also had joint pain in elbows, knees, & neck. She c/o nausea & diarrhea starting on 9/7. Today, 9/8, she still has slight nausea & diarrhea, weakness, tiredness, & dizziness.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Cervical dysplasia, Colposcopy, Papilloma viral infection, Smear cervix abnormal
Clinical narrative: Previous pap smear before vaccine was normal, all pap smears after vaccine have been abnormal. I now have cervical dysplasia and presence of HPV. I've had 3 colposcopy's because of abnormal cells.  My partner of over 2 years developed genital warts following the second dose of garadisil. I was administered one shot on 7-11-07 and a second shot 9-17-07.  In October of 2007, he started developing bumps in his genital region and in December of 2007 he routinely began getting them burned/lasered off. His dermatologist initially thought it was contagisom molluscum, but now over a year later and with them still not gone, she believes it to be genital warts. He has never had any previous problems/signs of this disease ever before and neither have I. I was never asked what medications I was on prior to the shots or if i was sick and might have a low immune system. (I have ashtma, severe allergies, and often get sick).  Also, I was not tested prior to the shots to see if i had been infected with the HPV virus in the past. I believe that these incidents are a direct result of the gardasil vaccine.  I had been in a monogomous relationship for a year without any problems or symptoms.  It was not until I started getting the gardasil vaccinne that we both started noticing adverse side effects. I do not think that doctors are asking the proper questions before administering this shot. Whose to say everyone's body can fight off the virus in the vaccines, especially if the person has already been infected and has a low immune system?
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Injection site cellulitis
Clinical narrative: cellulitis left thign and decreased appetite.
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Gait disturbance, Headache, Pain in extremity, Rash generalised
Clinical narrative: Patient received Adacel IM injection on 8/16/08 while in clinic. Patient experienced headache, pain in hands & feet, rash over entire body and could hardly walk. Raction occurred 8/17/08. Patient went to urgent care & was given steroid & morphine. Was given a prescription for prednisone taper. Today patient called to report pain & rash are gone but still has fatigue
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Had a seizure within 24 hours after receving the vacinne. No seizure history. 12/19/08-records received for DOS 9/22/08 C/O sore throat, seizures. Few weeks prior had a tonic/clonic gran mal seizure. Had scratchy throat 2 days prior to seizure.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Pneumoccal PPV23 LOT#0380U LEFT LEG IM @ 9 AM ON 09/10/2008, THIS WAS REPORTED TO LOCAL HEALTH DEPT. AWAITING CALL BACK ON WHEN CORRECT IMM. SHOULD BE GIVEN
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site rash
Clinical narrative: RASH ON LT LEG. DR GAVE BENDRYL 1 TSP EVERY 6 HRS
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Body temperature decreased, Convulsion
Clinical narrative: given shot at 5:00 p.m. on 9-04-2008 on 9-5-2008 at 7:12 a.m. he had a siezure that lasted 1 minute and 47 seconds and right after siezure his temp was 97.1. he had another siezure at 9:28 a.m. it was 3 minutes and 45 seconds long. we had to give phenobarbitall to him to stop the siezure this is the second time he has had seizure after getting a vaccionation.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Dyspnoea, Exaggerated startle response, Injection site streaking, Pallor, Poor sucking reflex
Clinical narrative: EPISODE OF POOR SUCKING,PALNESS AND APPARENT DISTRESS APPORXIMATELY 6 HR AFTER IMMUNIZZTION.ALSO SLEPT AND THEN HAD A 5 MIN EPISODE OF APPRARENT STARTTLE AND GASP. RESOLVED WITH TYLENOL AND OF 2-3 HOURS  ,  EXAM 9/10/08 WNL EXCEPT FOR INJECTION TRACTS IN LATERAL THEIGHS.
Age: 15.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: TENNIS BALL SIZE REACTION, SMALL REACTION STARTED ON 09/09/2008 WITH INCREASING SIZE AND REDNESS.  RED AND SWOLLEN
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Heart rate decreased, Injection site mass, Nausea, Skin discolouration
Clinical narrative: Gave Anthrax injection sq in left Deltoid. Knot at injection site started and left arm immediatly started shaking. Put ice pack on site. Patient changed color and started losing focus. Talked to patient until his focus started coming back. Patient complained of dizziness. Provider was found and came to check out patient. Talked to patient and patient started c/o dizziness but did manage to keep focus. Then requested patient be put in an area where he could be watched, gave him some orange juice and talke to patient further. After a few minutes left and at that time patient seemed stable. Patient started drinking orange juice, c/o nausea and was given a vomit bag into which he did spit up a little of the orange juice he was drinking. Patients legs were put up as he was c/o dizziness again. Nurse came and sat besides patient and talked to him. She took his pulse and it was 52. Patient was conversing and again seemed to start stabalizing. Patient then c/o of numbness in left leg and then right leg. Pulse was taken again and was 52. He was then approached and told me to put his legs down and untie his boots which I did. Patient started to lose focus again and was placed on cot. Nurse went and told to tell him patient's pulse and have him come and look at patient again. At that point patient was on the cot and again asked him a few questions. Then told staff to call 911 which we did. Ambulance came and recieved patient around 3:00 pm.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Tremor, Vision blurred
Clinical narrative: Gave Anthrax injection sq in left Deltoid. Knot at injection site started and left arm immediatly started shaking. Put ice pack on site. Patient changed color and started losing focus. Talked to patient until his focus started coming back. Patient complained of dizziness. Provider was found and came to check out patient. Talked to patient and patient started c/o dizziness but did manage to keep focus. Then requested patient be put in an area where he could be watched, gave him some orange juice and talke to patient further. After a few minutes left and at that time patient seemed stable. Patient started drinking orange juice, c/o nausea and was given a vomit bag into which he did spit up a little of the orange juice he was drinking. Patients legs were put up as he was c/o dizziness again. Nurse came and sat besides patient and talked to him. She took his pulse and it was 52. Patient was conversing and again seemed to start stabalizing. Patient then c/o of numbness in left leg and then right leg. Pulse was taken again and was 52. He was then approached and told me to put his legs down and untie his boots which I did. Patient started to lose focus again and was placed on cot. Nurse went and told to tell him patient's pulse and have him come and look at patient again. At that point patient was on the cot and again asked him a few questions. Then told staff to call 911 which we did. Ambulance came and recieved patient around 3:00 pm.
Age: 63.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Patient states she began to have redness and tenderness at the site of injection. This redness spread down to her elbow, but not up to the shoulder. She went to her doctor's office for follow-up on Tuesday, Sept. 2nd, at which point the doctor gave some steroid medication for inflammation. Pt states that she has had some relief and that she has also been given steroid cream by her docor for use on the site. The patient states that there is a small knot in the area of the injection, but that the redness, swelling, and tenderness have decreased since the medications have been given by her doctor.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Confusional state, Dizziness, Dyspnoea, Hypertension
Clinical narrative: Reaction began with light-headedness and progressed over next two hours to extremely high blood pressure, difficulty catching a breath, confusion, blurry vision, numbness and tingling of right side of head, face, and arm.  Symptoms slowly faded over five hours in the hospital emergency room.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Paraesthesia, Vision blurred
Clinical narrative: Reaction began with light-headedness and progressed over next two hours to extremely high blood pressure, difficulty catching a breath, confusion, blurry vision, numbness and tingling of right side of head, face, and arm.  Symptoms slowly faded over five hours in the hospital emergency room.
Age: 17.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Dysphonia, Pain, Pharyngeal oedema, Swollen tongue, Urticaria
Clinical narrative: Patient recevied both varicella and HPV on 7/9/08. The mother called our clinic on 7/18/08 with the note documented below.Nurse Comments: Placed call back to mom. Mom states patient had reported to mom last night that her throat felt swollen. Mom gave Benadryl. Mom states today she has her voice back. Questioned if patient had hives yesterday or just itching. Mom states patient did have hives and she gave Benadryl yesterday. States right now patient is reporting that her tongue feels thick and her throat feels swollen. Mom states patient says she aches all over. Patient recently just went off of her Florinef that she had been on x 2 years and wondered if that could be contributing. Recommended mom give Benadryl again now. Discussed with Dr. here in the office who states patient should go to ER at this time. Mom informed of this and states understanding. Completed by Nurse: July 18, 2008 11:52 AM Patient was taken to clinic by mother. The physician form there called and discussed the case with Dr. She ordered a referral to an allergist. The patient has an appointment with an allergist on 9/17/08 for this and other past allergic reactions.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Oedema peripheral, Pruritus, Rash, Rash macular
Clinical narrative: Five days after HAVRIX administration, patient developed a serpeginous rash bilateral upper extremities, blanching macular rash in bilateral feet; pruritus and mild edema of hands and feet. Patient prescribed a 5 day course of steroids. Patient was prescribed ORAPRED, rash improved, but later on, rash got worse. Mother reported that this was after exposure to the TRIAMINIC Flowing Vapors fan. Mother has been using this night before the visit which she failed to mention. I apologize for the confusion.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Dysuria, Hyperhidrosis, Nausea, Pyrexia, Renal disorder
Clinical narrative: Fever, nausea, vomiting, stomach upset - kidney "shut down" - unable to urinate - excessive sweating
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Stomach discomfort, Vomiting
Clinical narrative: Fever, nausea, vomiting, stomach upset - kidney "shut down" - unable to urinate - excessive sweating
Age: 66.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Hyperhidrosis, Musculoskeletal stiffness, Nausea, Oedema peripheral, Pain
Clinical narrative: - Swelling in upper arm down to elbow - stiffness - some pain - some sweating/nausea
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Patient states that injection site hurt to touch, was red and swollen, and patient felt sick. All symptoms occurred 1 day after injection and continued for about 3 days.
Age: 1.4
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse symptoms and called mom to make sure.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Indurated, erythematous area 4cm x 6cm over the post. aspect of the right upperarm which is warm and slightly tender. Varicella
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Nodule, Oedema peripheral, Rash pustular, Skin warm
Clinical narrative: Swelling, with small pustules, warm to touch. Seen in ER - Given oral antibiotics; Sub-cutaneous nodule 3x4cm.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient was given a ZOSTAVAX injection on 9-3-08; presented to me today (9-10-08) with a slight red patch across the back of her arm, near where the shot was given. Stated itching and periodic pain at sight.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Dizziness, Malaise, Nausea, Neck pain
Clinical narrative: See attached pages;ADACEL IMMUNIZATION GIVEN TODAY PROPHALACTICALLY WITH EMPLOYEE PERMISSION, EMPLOYEE SITS FOR 15 MINUTES POST VACCINE, OHN INQUIRES TO HOW SHE FEELS BEFORE SHE IS TO LEAVE: S: I do not feel well, my stomach is upset, and I feel dizzy. O: B/P 128/70-78-20 skin is dry to touch is holding stomach. Lungs are clear abdomen and chest are examined is without rash. P: Monitor vital signs q 15 minutes: 11:30am: B/P 118/68-65 regular, lungs clear no rash noted; 11:45am B/P 112/68-60 reg. no respiratory distress, is still c/o abdominal pain, red rash is not noted on face and bottom of chin, Dr has remained here and sees patient. OHN has Benadryl on hand employee tells Dr she is dizzy and has pain in back of neck and is "queasy". Benadryl 50mg IM given by OHN in right arm. 11:57am B/P 120/70, employee is beginning to "feel a little better", skin is warm to touch temp is 96.7 by mouth. 12:10am B/P 112/78-64 skin warm to touch temp 98.8 still feels dizzy but rash is beginning to fade on face, rechecked by Dr also. OHN gives employee Dr cell phone number as directed, as she cannot drive, Significant Other is called and comes and takes employee home. 9/02/08; Employee reports was nauseated all weekend, but did not call Dr feels better today. Occupational Health Nurse informs employee of reporting of adverse reaction on a VAERS form, reminds employee that she also has the information needed on her VAERS form, is he wished to add any information, and to report prn any other symptoms.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Stomach discomfort
Clinical narrative: See attached pages;ADACEL IMMUNIZATION GIVEN TODAY PROPHALACTICALLY WITH EMPLOYEE PERMISSION, EMPLOYEE SITS FOR 15 MINUTES POST VACCINE, OHN INQUIRES TO HOW SHE FEELS BEFORE SHE IS TO LEAVE: S: I do not feel well, my stomach is upset, and I feel dizzy. O: B/P 128/70-78-20 skin is dry to touch is holding stomach. Lungs are clear abdomen and chest are examined is without rash. P: Monitor vital signs q 15 minutes: 11:30am: B/P 118/68-65 regular, lungs clear no rash noted; 11:45am B/P 112/68-60 reg. no respiratory distress, is still c/o abdominal pain, red rash is not noted on face and bottom of chin, Dr has remained here and sees patient. OHN has Benadryl on hand employee tells Dr she is dizzy and has pain in back of neck and is "queasy". Benadryl 50mg IM given by OHN in right arm. 11:57am B/P 120/70, employee is beginning to "feel a little better", skin is warm to touch temp is 96.7 by mouth. 12:10am B/P 112/78-64 skin warm to touch temp 98.8 still feels dizzy but rash is beginning to fade on face, rechecked by Dr also. OHN gives employee Dr cell phone number as directed, as she cannot drive, Significant Other is called and comes and takes employee home. 9/02/08; Employee reports was nauseated all weekend, but did not call Dr feels better today. Occupational Health Nurse informs employee of reporting of adverse reaction on a VAERS form, reminds employee that she also has the information needed on her VAERS form, is he wished to add any information, and to report prn any other symptoms.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: C-reactive protein increased, Eye rolling, Full blood count normal, Hypotonia, Metabolic function test
Clinical narrative: ? seizure-like episode > 48 hours, less than 72 hours following DAPT, HEP B-HIB, IPV, Pneumococcal, parents noted eyes rolling momentarily, then child was limp for few seconds before recovering completely.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: ? seizure-like episode > 48 hours, less than 72 hours following DAPT, HEP B-HIB, IPV, Pneumococcal, parents noted eyes rolling momentarily, then child was limp for few seconds before recovering completely.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Localized reaction arm (left) red and tender to touch
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling of left arm from shoulder to elbow.  First noted to be swollen 09/09/08 by maternal grandmother at about 1515.  Mother reports arm swollen, red, and hot.  Arm iced and Tylenol given.  Mother reports child woke up crying a couple of times during night.  Mother reports arm is not as red today and skin on arm is not as tight, however arm remains swollen.  Left arm at axillary and around deltoid measures 9 1/2 inches and just above, elbow is 7 1/2 inches in circumference, compared to right arm circumference measurements of 8 inches at deltoid and 6 1/2 inches above elbow.  Referred to medical provider at family practice center for further evaluation.  Child has been afebrile since onset.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Asthenia, Hypotonia, Lethargy, Pallor
Clinical narrative: Next day patient became lethargic, weak, limp and pale for the whole day.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Cellulitis to left thigh 2 1/4 x 1 1/2 inch area of mild swelling with 1 inch x 1 1/4 inch; Augmentin (600/S) 6 me po BID x 10 days
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles
Clinical narrative: Received Menactra 48 hours ago in left arm.  Now red, tender area with blistering lesions.  Addendum 9/8 - arm improved.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Hypoglycaemia, Hypotension, Loss of consciousness, Ventricular tachycardia
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood chloride increased, Blood glucose decreased, Bronchitis, Condition aggravated
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Diarrhoea, Dizziness, Electrocardiogram ambulatory abnormal, Fatigue, Glucose urine present
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haemoglobin decreased, Headache, Hypoglycaemia, Hypotension, Loss of consciousness
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Menstrual discomfort, Migraine, Nausea, Nitrite urine present, Pain
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.