chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash generalised
Clinical narrative: Within 12 hrs of this patient's vaccination, she developed high fevers then proceeded in the next 24 hrs to developed Kawasaki Syndrome including eye changes, generalized rash and oral changes - confirmed by Dr. Treated with IV gammaglobulin.  5/11/07 Received medical records from initial hospital which reveal patient seen in ER on 4/20/07 for fever, decreased appetite, runny nose, agitation & excessive crying since receiveing vax on 4/19. Dx: vaccine related fever.  Treated w/antipyretic & d/c to home. Returned to ER on 4/21 w/persistent fever, nasal stuffiness, cough, conjunctivitis, eye swelling & fussy.  Admitted 4/21/-4/22/07 to r/o sepsis.  Tx w/IV antibiotics.  Developed gen erythematous maculopapular rash.  Antibiotics d/cd.  Rash worsened & continued w/high fever & developed heart murmur.  Transferred to higher level of care to r/o Kawasaki syndrome.  ID consult done 4/23 revealed nasal congestion, bilateral conjunctivitis, dry & cracked lips, strawberry tongue, tachycardia, diffuse macular rash all over her body.  No bacterial focus for persistent fever.  Echocardiogram revealed small pleural effusion & coronary arteries were WNL.  Antibiotics were d/c & she was treated w/ASA & IVIG. Patient returned to ER at initial hospital on 4/27/07 w/complaints of intractable crying s/p hospital d/c for Kawaski disease.  Released from ER to see PCP in AM.  PCP rechecked patient on 4/27.  Exam neg except for known dermatitis/seborrhea on scalp & eczema on ears. 6/6/07 Received D/C Summary from higher level hospital which CDC had requested & faxed to VAERS.  Reveals patient admitted 4/22-4/26/07 after experienced 3 days of fever, emesis & 1 day of rash.  Seen at outlying ER w/fever, nasal stuffiness, cough, conjunctivitis, yellow eye discharge, slightly increased work of breathing & red dots on neck.  Admitted to outlying hospital for possible sepsis & started on antibiotics.  Rash spread to entire body s/p antibiotics & was then transferred for higher level of care.  Peds ID consult obtained & dx w/atypical Kawasakis disease.  Treated w/IVIG & ASA.  Rash & fever improved prior to d/c home on continued high dose ASA. FINAL DX: atypical Kawasaki disease.  Remainder of hospital records will be mailed. 6/8/07 Received vax record from PCP which confirms RO lot & dose #.  6/12/07 Received medical records from higher level hospital via fax from CDC which reveal patient experienced fever x 3 days, rash x 1 day, conjunctivitis & respiratory distress.  Admitted 4/22-4/26/07 after transfer from outlying hospital. ID consult obtained who made dx/atypical Kawasaki disease.  Treated w/high dose ASA & IVIG.  Fever, rash, strawbery tongue & conjunctivitis resolved by d/c to home.  To continue on high dose ASA for 3 more days then low dose ASA for 2 mo.  Close f/u w/PCP & f/u w/ID. FINAL DX: Kawaskis Disease, atypical.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMRV
Symptoms: Abasia, Oedema peripheral, Petechiae, Rash, Urticaria
Clinical narrative: Patient received vaccines and later the next day broke out in a big rash that later became petechiae. Had several days hospitalization. Patient had severe swelling in legs and arms and was unable to walk for several days. 06/05-07-records received from facility for DOS 12/20/06-ER visit-DX allergic reaction-purpura. edema. Previously seen on 12/6/06 one day after vaccine with purpura and swelling, presents on 12/20/06 with continued swelling and purpura on legs. Treated with benadrl and oraped. Mother states swelling has returned. Patient scratches at rash. No fever, vomiting, diarrhea, change in activity, eating well.  PE: extremities non-tender no effusions no edema, skin has edema non-pitting. Number of areas of papules and purpura on arms legs and face. Torso not involved
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Arm swollen, red and hard at injection site x 4 days. Antibiotics for 7 days begun on 4/9/07
Age: 36.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Blood thyroid stimulating hormone, Electromyogram normal, Full blood count, Laboratory test normal, Metabolic function test normal
Clinical narrative: 36 year old (R) HD OT who presented, day #5 S/p smallpox and anthrax vaccination with (L) shoulder girdle pain and left upper extremity weakness with paresthesias. Treated Medial Dose pack then NSAIDS with opioid analgesics and physical therapy.
Age: 36.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Muscular weakness, Musculoskeletal pain, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: 36 year old (R) HD OT who presented, day #5 S/p smallpox and anthrax vaccination with (L) shoulder girdle pain and left upper extremity weakness with paresthesias. Treated Medial Dose pack then NSAIDS with opioid analgesics and physical therapy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left deltoid area became red and swollen the day after Dtap given. Small area on right arm 1 1/2cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness - swelling with itching noted ER and deltoid area. Benadryl - Ibuprofen given, ice packs applied.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Skin warm
Clinical narrative: Left arm redness 1/2" width and 2" length and warm to touch. Right arm redness 2" width and length and warm to touch. Tylenol administered.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Diarrhoea, Oedema peripheral, Pyrexia, Stomach discomfort
Clinical narrative: Low grade fever, swelling from shoulder to elbow with redness. Child c/o upset stomach and diarrhea. Swelling on left arm. Mom noticed after pickup increase child today from school. We recommend ice pack to arm and treat fever with Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling redness and warm to touch on (L) upper arm. Cold pack and Tylenol provided to patient, parent stated this help for comfort
Age: 4.6
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Skin lesion, Skin warm
Clinical narrative: Right arm - Red, raised area, warm; Left small visible lesion - Red
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Eye swelling, Swelling face
Clinical narrative: Patient was given vaccines around 10:30 am, around 3 pm patient started with facial swelling, Patient's eyes were swollen shut. No trouble breathing, no itching and no other complaints.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse effect
Clinical narrative: 13 Year old male with previous h/o GBS (7 yrs ago), no neurologic sequelae was given MCV4 on 4/24/07. No reactions after vaccine noted. 2/5/09-per CDC remove GBS.
Age: 68.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Rash pruritic
Clinical narrative: Patient stated had spots on right deltoid 6 days after Tdap. He put hydrocortisone cream on it because it was slightly itchy. Two days later it developed erythema. It was not warm to the touch. Patient reports feeling normal otherwise.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site induration
Clinical narrative: 23 hrs following virivax injection local induration around site of injection approx 1" x1" lasting 2 -3 days
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Indurated, erythematous, non tender 2" mass over Varivax site.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: pain, swelling, redness, warm to touch
Sex: F
Vaccine: ANTH, TYP, UNK
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Patient received 9th Anthrax immunization on 4/28/2007 and presented 4/30/07 with a swollen upper arm with redness, pain. Doctor prescribed Motrin and Benadryl, no more Anthrax vaccination.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction, Injection site vesicles
Clinical narrative: seen by a provider on 04/29/2007 due to a localized reaction 25 - 30 mm upper left arm. Anthrax shot given on 4/27/2007. Also seen on 4/30/2007 by another provider LT deltoid area 19mm single raised blister with 30 mm diameter.
Age: 37.0
Sex: M
Vaccine: ANTH, UNK
Symptoms: Erythema, Oedema peripheral, Pain, Pruritus, Pyrexia
Clinical narrative: Soldier received 5th Anthrax immunization on 4/28/2007 and presented with a swollen upper arm with redness, itch pain, mild fever on 4/30/2007. Doctor prescribed Benadryl and Motrin.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: c/o itching localized to skin rash or sore Anthrax reaction shot in right arm 2 days ago " per health record".
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Cold compress therapy, Inappropriate schedule of drug administration, Injection site erythema, Injection site warmth
Clinical narrative: Patient received DTap on 4/23 - on 4/24 Left deltoid became red Edematous + warm to touch, Ice packs were applied with good relief.
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Redness and swelling and itching noted to right deltoid on 4/25/2007. Parents took child to ED Patient received IV fluids and a (medication) per father. Ice packs applied.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site vesicles
Clinical narrative: Blisters on site of injection
Age: 31.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swollen (R) deltoid with local erythema within 24 hours without progression, and fever.
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Chest pain, Dyspnoea, Fatigue, Heart rate increased, Insomnia
Clinical narrative: PT stated that when vaccine given it burned "alot". Experience no reaction at site. The following morning he reported to his mother he did not sleep well due to rapid heart rate and c/o pain in (L) chest and arm for 1 - 2 hrs. that AM. (PT did drink 1/4 bottle  mountain dew also) contacted family doctor next day - advised to file this even though he drank soda as he felt the rapid heart rate sensation before was not normal response. This inject was #1 and other are suspended. PT also experienced some SOB and fatigue after and has since had no other complaints.
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Pain in extremity, Skin burning sensation
Clinical narrative: PT stated that when vaccine given it burned "alot". Experience no reaction at site. The following morning he reported to his mother he did not sleep well due to rapid heart rate and c/o pain in (L) chest and arm for 1 - 2 hrs. that AM. (PT did drink 1/4 bottle  mountain dew also) contacted family doctor next day - advised to file this even though he drank soda as he felt the rapid heart rate sensation before was not normal response. This inject was #1 and other are suspended. PT also experienced some SOB and fatigue after and has since had no other complaints.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: I had Hepatitis B shot, and after seven days, I discovered 3 bald spot on my head. It's pretty scary to see the hair loss.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Contusion, Oedema, Paraesthesia, Sensation of heaviness, Skin burning sensation
Clinical narrative: Describes "tingling" sensation, a burning pain, arm "feel's heavy", edema, bruising
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Pt was given vaccine 3pm on 4/24/07. The next day leg was warm to touch and red. Mom brought pt in our office on 4/26/07. Diagnosed with cellulitis (L) upper thigh app-3 inch in diameter pt treated with Keflex.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthma, Cough, Erythema, Injection site reaction, Pyrexia
Clinical narrative: Lg Rounder RT Arm, Cough, fever last night and whezzing Asthmas and shots reaction on RT arm. fever last night eureore us vanicella, Dtap 4/11/07 R arm. Large rounded RT amrm vaccination reaction local rash - erthema (normal local ta
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Wheezing
Clinical narrative: Lg Rounder RT Arm, Cough, fever last night and whezzing Asthmas and shots reaction on RT arm. fever last night eureore us vanicella, Dtap 4/11/07 R arm. Large rounded RT amrm vaccination reaction local rash - erthema (normal local ta
Age: 5.0
Sex: F
Vaccine: DTAP, MMRV, OPV
Symptoms: Cold compress therapy, Ear infection, Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Vaccine administered 4/16/07 at public health dept.  Child c/- discomfort eve after vaccines mom gave childrens motrin next morning left arm red hot swollen from elbow to shoulder child taken to Dr. office called here to verify vaccines saying "huge cellulitis" left arm.  Child has mild ear infection saying amoxicillin, benadryl and ice packs ordered - 5 days later rash - amoxil dcd and Zyrtec Rx  4/24/07 child improved.
Age: 5.0
Sex: F
Vaccine: DTAP, MMRV, OPV
Symptoms: Injection site warmth, Rash
Clinical narrative: Vaccine administered 4/16/07 at public health dept.  Child c/- discomfort eve after vaccines mom gave childrens motrin next morning left arm red hot swollen from elbow to shoulder child taken to Dr. office called here to verify vaccines saying "huge cellulitis" left arm.  Child has mild ear infection saying amoxicillin, benadryl and ice packs ordered - 5 days later rash - amoxil dcd and Zyrtec Rx  4/24/07 child improved.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Pain
Clinical narrative: on 4/25 client c/o headache and body aches and continued through 4/26/07.  Mother called CCHD adn i spoke with her.  No elevated temp.  Had her contact their private physician.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Fatigue, Lethargy, Oedema peripheral, Pyrexia
Clinical narrative: Child at grandmother's house on 4-26-07.  In morning, grandmother noted fever (reached 101 degrees), child tired, somewhat lethargic.  That evening mother noticed left arm swollen, hot and red.  4-27-07 child still running 99.8 degree fever, arm swollen 3" x 3 1/4" red, hot.  Dr tx with Benadryl.  Line drawn around redness.  Redness increased to 8 1/4" x 7" width.  Dr. prescribed steroid clantin.  If not better will see doctor again.  (1 previous dose of MMR and 1 previous dose vanvax was received by patient)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Skin warm
Clinical narrative: Child at grandmother's house on 4-26-07.  In morning, grandmother noted fever (reached 101 degrees), child tired, somewhat lethargic.  That evening mother noticed left arm swollen, hot and red.  4-27-07 child still running 99.8 degree fever, arm swollen 3" x 3 1/4" red, hot.  Dr tx with Benadryl.  Line drawn around redness.  Redness increased to 8 1/4" x 7" width.  Dr. prescribed steroid clantin.  If not better will see doctor again.  (1 previous dose of MMR and 1 previous dose vanvax was received by patient)
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Crying, Culture stool, Diarrhoea, Haematochezia, Infantile spitting up
Clinical narrative: Pt. received immunizations on 4/23. On 4/29, she developed loose stools.  On 5/1, she developed hematochezia x2.  She then went 1 day without any stools, and then had a nonbloody stool on 5/2.  No fevers, but she did have a mild increase in spitting up.  She also has been more irritable with prolonged crying episodes (45min 3-5 times per day).  No rhythmic episodes to suggest intussusception and she is completely content between these episodes.  Her exam on 5/1 was completely benign.  Treatment consisted of changing from soy to elemental formula for 3-4 days.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Irritability, Occult blood negative, Rotavirus test negative, Virus culture
Clinical narrative: Pt. received immunizations on 4/23. On 4/29, she developed loose stools.  On 5/1, she developed hematochezia x2.  She then went 1 day without any stools, and then had a nonbloody stool on 5/2.  No fevers, but she did have a mild increase in spitting up.  She also has been more irritable with prolonged crying episodes (45min 3-5 times per day).  No rhythmic episodes to suggest intussusception and she is completely content between these episodes.  Her exam on 5/1 was completely benign.  Treatment consisted of changing from soy to elemental formula for 3-4 days.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Haematochezia, Irritability, Occult blood
Clinical narrative: Pt. received immunizations on 4/23. On 4/29, she developed loose stools.  On 5/1, she developed hematochezia x2.  She then went 1 day without any stools, and then had a nonbloody stool on 5/2.  No fevers, but she did have a mild increase in spitting up.  She also has been more irritable with prolonged crying episodes (45min 3-5 times per day).  No rhythmic episodes to suggest intussusception and she is completely content between these episodes.  Her exam on 5/1 was completely benign.  Treatment consisted of changing from soy to elemental formula for 3-4 days.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Rotavirus test
Clinical narrative: Pt. received immunizations on 4/23. On 4/29, she developed loose stools.  On 5/1, she developed hematochezia x2.  She then went 1 day without any stools, and then had a nonbloody stool on 5/2.  No fevers, but she did have a mild increase in spitting up.  She also has been more irritable with prolonged crying episodes (45min 3-5 times per day).  No rhythmic episodes to suggest intussusception and she is completely content between these episodes.  Her exam on 5/1 was completely benign.  Treatment consisted of changing from soy to elemental formula for 3-4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Local swelling
Clinical narrative: Localized redness and slightly raised.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus
Clinical narrative: Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site.  She was seen 4 days later when the erythema measured 13 x 7.5 cm.  There were no other sx, constitutional or otherwise.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pain and swelling right deltoid.
Age: 13.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Cough, Dyspnoea
Clinical narrative: 1535, pneumovax (lot # 0620F,Merck) was administered IM to Left Deltoid. At 1540, pt coughed and then grabbed her throat and stated she could not breath.  Pt was laid in prone position, crash cart brought to room, Physician called, PB 113/74, O2 satuartion 99% on room air, resp. mildly labored but lungs sound were clear. Patient returned to normal breathing pattern.  Stated that at first she did not feel she could get air out, then she could not get air in.  Some in sternal discomfort mentioned, stated felt "sore."  Patient monitored approximately 35 minutes, no additional distress noted, 1620 BP 108/73, p72, O2 100% on room air.  Epi not administered.  Pt never lost consciousness.
Age: 1.42
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Scab
Clinical narrative: RED BASE LESIONS IN VARIOUS STAGES.  VESTICLE TO  SCABBED
Age: 4.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented to office with complaint of blisters on arm, swelling and itching at site.  Area was about the size of a fifty cent coin, with blister like vesicles, area warm to touch with little swelling.  Prescription of Atrax was given to parent.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cold compress therapy, Injection site induration, Injection site swelling, Rash macular
Clinical narrative: Patient complained of a swollen arm on morning of 4/27/07 after he awoke. No pain in arm, just swelling from elbow to shoulder and color of upper arm was "splotchy". Arm felt hard to the touch up around the shoulder area according to mother. No fever noted. Mother gave him Benadryl and applied a cool pack. He was seen by his Pediatrician that day and she started him on an antibiotic. By 4/30/07 his arm appeared "normal" to mother.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Headache, Local reaction, Lymphadenopathy, Pain
Clinical narrative: High fever(103.5), large local reaction, dizziness, body ache, headache, lymphadenopathy, symptoms lasted for a day and a half
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: High fever(103.5), large local reaction, dizziness, body ache, headache, lymphadenopathy, symptoms lasted for a day and a half
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, VARCEL, VARCEL
Symptoms: Blister, Headache, Pyrexia
Clinical narrative: Attenuated varicella - scattered vesicles expressing minimal fluid; low-grade fever; headache
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, VARCEL, VARCEL
Symptoms: Injection site rash, Lung disorder, Oxygen saturation, Oxygen saturation decreased, Pulmonary function test
Clinical narrative: Attenuated varicella - scattered vesicles expressing minimal fluid; low-grade fever; headache
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, VARCEL, VARCEL
Symptoms: Rash vesicular, Skin lesion
Clinical narrative: Attenuated varicella - scattered vesicles expressing minimal fluid; low-grade fever; headache
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Skin warm
Clinical narrative: LEFT THIGH WITH 3 CM LIGHT ERYTHEMA;SLIGHTLY WARM; NO STREAKING
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Chills, Injection site pain, Pyrexia, Tremor
Clinical narrative: Mother called clinic 5/3/07 to son's report symptoms of fever of 102.3, chills, shaking of right arm (injection site), weakness, pain 2-3" below injection site which began this AM.  Injection was given 5/2/07 at 3:45 PM.  Mother denies other symptoms of unrelated infection, such as upper respiratory infection.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt. recieved varicella less than 4 weeks from MMR.  MMR given on 4-2-07 and Varicellan given on 4-18-07.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4/18/2007 AM, injection sites red, swollen, saw MD no treatment given. 4/18/2007 PM, swelling increased, seen in ER, antibiotic injection given 4/19/2007, seen in ER and admitted, released 4/21/2007. 05/15/07-records received for DOS 4/19-4/21/07. DC DX:Cellulitis. Knot on leg and erythema, swelling left thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site induration
Clinical narrative: Had vaccines 5/1/07 DTaP in Lefth umeral area and IPV, proquad, hep A in other sites. Pt seen today by me with 10cm indurated, but not tender left humeral area. Told to do topical measures and rtc prn fever, increased pain.
Age: 7.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Chills, Dizziness, Headache, Vomiting
Clinical narrative: Mom State the patient got up in AM and stated he had chills most of the night. Temp was 100.7,Dizzyness,heasache and vomiting.
Age: 12.0
Sex: M
Vaccine: YF
Symptoms: Laboratory test, Pruritus genital, Rash
Clinical narrative: Rash, itching penis
Age: 24.0
Sex: M
Vaccine: JEV
Symptoms: Erythema, Oedema, Oedema peripheral, Skin warm
Clinical narrative: Pt c/o swelling of right arm after receiving his 2nd JEV injection on Monday.  Pt had some swelling from distal half of upper arm to proximal half of forearm.  Swelling continued to increase over the past 2 days.  Positive warmth, edema and erythema.  No fever/chills/nausea/vomiting.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth, Varicella
Clinical narrative: Large red warm inflamed 6 cm diameter adverse reaction to the varicella
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Injected limb mobility decreased, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: This case was reported by a physician and described the occurrence of arm swollen in a 27-year-old female subject who was vaccinated with Engerix B for prophylaxis. On 28 March 2007 the subject received 1st dose of Engerix B at 20 mcg in the left arm. On 28 March 2007, 30 minutes after vaccination with Engerix B, the subject's entire left arm started to swell. The swelling extended into the subject's hand. The arm swelling improved, but the hand swelling continued. The physician expected that the subject might have reflex sympathetic dystrophy. Additionally, the subject experienced pain in the left arm and hand. She was having a hard time using her extremity and she was only able to move it slightly. The subject was unable to dress herself. The physician considered the events were disabling and clinically significant (or requiring intervention). The subject received pain medications, anti-inflammatory agents and antibiotics as treatment for the events.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception, Vomiting
Clinical narrative: Patient developed vomiting on 4/26/2007 on 4/27 parent report bilious vomiting episode 1 referred to hospital ED for evaluation.   5/4/07 Received vax records from PCP which confirm RO lot & dose as reported on VAERS form.  7/6/07 Received hospital medical records which reveal patient experienced bilious emesis & had blood in stool in ER. Surgery consult done. Admitted 4/27-4/28/07. FINAL DX: Ileocolic intussusception, successfully reduced by air enema.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Intussusception, Vomiting
Clinical narrative: Patient developed vomiting on 4/26/2007 on 4/27 parent report bilious vomiting episode 1 referred to hospital ED for evaluation.   5/4/07 Received vax records from PCP which confirm RO lot & dose as reported on VAERS form.  7/6/07 Received hospital medical records which reveal patient experienced bilious emesis & had blood in stool in ER. Surgery consult done. Admitted 4/27-4/28/07. FINAL DX: Ileocolic intussusception, successfully reduced by air enema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient received immunizations 5/1/07, on 5/2/07 called our after hours number to report that the patient's left thigh was swollen from top of thigh down to the knee, area hot to touch, patient c/o pain, 4/5 on pain scale. Instructed to go to the ER - was given Prednisone in the CR and a RX for Prednisone. Patient seen in our office 5/3/07 - no redness noted to area, no c/o pain (only when area is touched) Area was not warm to touch. Small amount of puffiness noted to area.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: LU arm deltoid red/hot swollen 12 cm outline/3 cm below shoulder jt/fever tactile DTaP/IPV given
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Musculoskeletal discomfort, Rash erythematous, Rash pustular
Clinical narrative: After the injection, she complained of heaviness in neck, dizziness, weakness. We lay her down, BP = 108/80 after 30 mins she was okay. She came back next day 5/2/07 with erythematic rash forehead and erythematic rash - small pustular (L) shoulder by (R) shoulder
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site induration, Injection site rash, Injection site reaction
Clinical narrative: Severe local reaction at injection site within 36 hr. 8cm raised indurated lesion on (R) thigh with vesicles in center more raised area
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dry mouth, Feeling abnormal, Infection, Medication error
Clinical narrative: Pt came in for Hep B #3 around 9:30 am-Returned to office approximately 1:00 pm with dizziness, Dry mouth, myalgias, disoriented sensation. Pt received 2 pediatric doses of Hep B on 1/2/07 & 1/3/07 by error. 2nd ped dose was given after contacting manufacturer about 1st dose Hep ped dose. Pt had shoulder infection after 2nd peds dose but wasn't specific or suspicious for reaction
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Pt came in for Hep B #3 around 9:30 am-Returned to office approximately 1:00 pm with dizziness, Dry mouth, myalgias, disoriented sensation. Pt received 2 pediatric doses of Hep B on 1/2/07 & 1/3/07 by error. 2nd ped dose was given after contacting manufacturer about 1st dose Hep ped dose. Pt had shoulder infection after 2nd peds dose but wasn't specific or suspicious for reaction
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Heart rate increased, Malaise, Palpitations
Clinical narrative: Received approval from cardiologist's office to receive TL at local health fair. 15 minutes after immunization, felt ill, heart accelerated. Client's mother was with her and took her to emergency dept in hospital where she was monitored for 4 hours and discharged when her pulse decreased to 100 beats/min. Continues to have tiredness w/exertion
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: edema, erythema, pain and itchy developed over 2 days after vaccines given
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Face oedema, Immediate post-injection reaction, Throat irritation, Wheezing
Clinical narrative: Pt received varicella vaccine-immediately after developed facial edema, coughing and c/o throat discomfort, lungs with good BS, but mild wheeze, given-Benadryl 25 mg IM, albuterol via nebulizer with 5C Oz epinephrine 0.3 cc SQ EMS called-Pt to ER for observation/treatment management
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Agitation, Crying, Enema administration, Faeces hard, Haematochezia
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery, X-ray
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Enema administration, Faeces hard, Haematochezia, Intussusception
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Surgery, X-ray
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Appendicectomy, Band neutrophil count decreased, Barium enema, Crying
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Faeces hard, Haematochezia, Intussusception, Irritability
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Laparoscopy, Lethargy, Lymphocyte count decreased, Maternal condition affecting foetus, Pyrexia
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Surgery, Vomiting, White blood cell count normal, X-ray abnormal
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA01105. Verbatim from the report: "Information has been received concerning a 21-week-old female who on 15-JAN-2007 was vaccinated PO with a dose of Rotateq (Lot# 654352/0410F). Concomitant therapy that day included a first PEDIARIX (Lot# AC21B066AA) administered IM in the left leg, a dose of ActHib (Lot# UE972AA)) administered IM in the left arm, and a dose of PREVNAR (Lot# B08657F) administered IM in the right arm. At the time of vaccination, the patient had rhinitis. On 12-MAR-2007, the child was brought to the office with hard stool and was fussy and crying with blood in stool. She was brought back to the office in the PM with 2 diapers blood stained. The diaper tested positive for blood. An xray was obtained. Intussusception could not be reduced by enema and was surgically reduced bowel visible. She was hospitalized for one day. The outcome was recovered. Additional information has been requested." ActHIB lot# UE972AA corresponds to manufacturer lot# Z0467-2.
Age: 0.51
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Intussusception, Ultrasound scan abnormal
Clinical narrative: Information has been received concerning a 10 month old female who on 14-NOV-2006 was vaccinated, orally with her first dose of Rotateq (Lot # 654794/0776F). Other vaccines given at that time included the third dose of PREVNAR (Lot# B08658B) and the third dose of DAPTACEL (Lot # C2489AA). On 16-MAR-2007 the patient developed intussusception and was hospitalized for 2 days. An ultrasound was performed which showed intussusception. Subsequently, the patient recovered from intussusception. The records of testing prior to release of the lot in question (Lot # 654794/0776F) has been rechecked and found to be satisfactory. The lot met the requirements and released. No further information is available.
Age: 0.51
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Intussusception, Ultrasound scan abnormal
Clinical narrative: Information has been received concerning a 10 month old female who on 14-NOV-2006 was vaccinated, orally with her first dose of Rotateq (Lot # 654794/0776F). Other vaccines given at that time included the third dose of PREVNAR (Lot# B08658B) and the third dose of DAPTACEL (Lot # C2489AA). On 16-MAR-2007 the patient developed intussusception and was hospitalized for 2 days. An ultrasound was performed which showed intussusception. Subsequently, the patient recovered from intussusception. The records of testing prior to release of the lot in question (Lot # 654794/0776F) has been rechecked and found to be satisfactory. The lot met the requirements and released. No further information is available.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ, HPV4, MNQ
Symptoms: Computerised tomogram abnormal, Fall, Head injury, Headache, Neck pain
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA00912. The initial reporter to this manufacturer had been a health care professional. Verbatim from the report: "Information has been received from a Registered nurse (R.N.) concerning a 13 year old female patient with a history of vasovagal response to vaccine who on 02-APR-2007 was vaccinated with a first dose of 0.5 mL of Gardasil. Concomitant therapy included MENACTRA. On 02-APR-2007 the patient felt dizziness and fell on the ground. The patient was hospitalized in intensive care for head injury but did not require any surgery. At the time of this report patient was still in the hospital and had not recovered. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ, HPV4, MNQ
Symptoms: Subarachnoid haemorrhage, Syncope, Unresponsive to stimuli
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA00912. The initial reporter to this manufacturer had been a health care professional. Verbatim from the report: "Information has been received from a Registered nurse (R.N.) concerning a 13 year old female patient with a history of vasovagal response to vaccine who on 02-APR-2007 was vaccinated with a first dose of 0.5 mL of Gardasil. Concomitant therapy included MENACTRA. On 02-APR-2007 the patient felt dizziness and fell on the ground. The patient was hospitalized in intensive care for head injury but did not require any surgery. At the time of this report patient was still in the hospital and had not recovered. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Fall, Head injury, Intensive care
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA00912. The initial reporter to this manufacturer had been a health care professional. Verbatim from the report: "Information has been received from a Registered nurse (R.N.) concerning a 13 year old female patient with a history of vasovagal response to vaccine who on 02-APR-2007 was vaccinated with a first dose of 0.5 mL of Gardasil. Concomitant therapy included MENACTRA. On 02-APR-2007 the patient felt dizziness and fell on the ground. The patient was hospitalized in intensive care for head injury but did not require any surgery. At the time of this report patient was still in the hospital and had not recovered. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Fall, Head injury
Clinical narrative: Initial report received on 19 April 2007 from another manufacturer, report# WAES0704USA00912. The initial reporter to this manufacturer had been a health care professional. Verbatim from the report: "Information has been received from a Registered nurse (R.N.) concerning a 13 year old female patient with a history of vasovagal response to vaccine who on 02-APR-2007 was vaccinated with a first dose of 0.5 mL of Gardasil. Concomitant therapy included MENACTRA. On 02-APR-2007 the patient felt dizziness and fell on the ground. The patient was hospitalized in intensive care for head injury but did not require any surgery. At the time of this report patient was still in the hospital and had not recovered. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TTOX, HPV4, MNQ, TTOX, HPV4, MNQ, TTOX
Symptoms: Chromatopsia, Dyspnoea, Hypotension, Injection site pain, Oral pain
Clinical narrative: This case was received from another manufacturer (reference number WAES0704USA00708) on 19 April 2007. The following information is verbatim as it appears in the other manufacturer's report: "This is in follow-up to report(s) previously submitted on 4/10/2007. Information has been received from a physician, concerning a 14 year old female patient with a drug hypersensitivity to pertussis and a sulfonamide allergy, who on 03-APR-2007 was vaccinated with the first dose of Gardasil (Lot# 65532210091U) (dose and route not provided). Concomitant vaccines administered on 03-APR-2007 included tetanus toxoid and MENACTRA. On 03-APR-2007, the patient experienced blurry vision, tingling in her mouth and throat, and low blood pressure (not specified) "within 30 seconds of vaccination with Gardasil. The patient was given epinephrine and albuterol in the physician's office, and was then sent to the ER. Treatment in the ER included steroids (unspecified). The physician indicated that the patient recovered on the same day, 03-APR-2007. Follow up information from the physician indicated that at the time of vaccination, the physician was "unaware of the reactions the patient had experienced following exposure to the pertussis vaccine and sulfa as these occurred when the patient was a small child." The physician clarified that he did not consider the events to be life threatening, but confirmed that the patient would not receive additional doses of Gardasil. The physician considered the blurry vision, tingling of the mouth and throat, and low blood pressure to be life threatening, and an other medical event. Additional has been requested.