chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Urinary tract infection, Vaginitis bacterial
Clinical narrative: Information has been received from through the Merck Pregnancy Registry via a nurse, concerning a 19 year old female with a history of asthma, and no reported concomitant medications or allergies, who on 07-SEP-2007 was vaccinated with the first dose of GARDASIL 0.5ml, IM (Lot # 653736/0868F).  The second dose of GARDASIL (Lot # 658563/1063U) was administered on 09-JAN-2008.  It was reported that the patient was eight months pregnant and had sought medical attention on an unspecified date.  Unspecified pregnancy lab work has been completed through the obstetrician.  The expected date of delivery was calculated to be 12-JUN-2008.  No outcome information has been provided.  No product quality complaint was involved.  Follow-up information has been received from the nurse practitioner concerning the patient.  She stated that the patient has not been seen in the office since June 2008.  Follow-up information has been received from a nurse practitioner concerning the patient.  It was reported that she had a normal, vaginal delivery at 39 +3/7 weeks on 21-JUN-2008.  The baby who's gender was not specified, weighted 6 lb and 1 oz, and had APGAR scores of 9 and 9.  The baby appeared normal on exam and on her postpartum exam the patient stated that everything was fine for her and her baby.  However, the patient is not bringing her baby to the pediatric clinic that she went to, so there is no newborn exam notes on the baby.  The nurse also reported prenatal information.  The patient's LMP was 15-SEP-2007 and her estimated delivery date was 25-JUN-2008.  On 17-Oct-2007, early in the first trimester, the patient was treated with BACTRIM for a urinary tract infection.  She had routine prenatal screening test, a QUAD screen and MID-trimester anatomy survey ultrasound, which were both within limits.  She was prescribed several other medications for use during her pregnancy.  On 07-NOV-2007 she was orally treated with PHENERGAN, 25 mg, as needed every 6 hours for the treatment of nausea until DECEMBER 2007.  From 04-JAN-2008 to February 2008 she was treated for heartburn with PRILOSEC (dose and frequency not reported).  In February 2008 she was also orally treated for a bacterial vaginosis with an unspecified medication, 500 mg, twice a day for 7 days.  Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: c/o numbness, tingling, tightness right side of face, could hardly open mouth.  given two 12.5 mg. child Benadryl strips.  taken to Goshen General Hospital ER. 4/1/09-records recieved for DOS 3/21/09-presented to ED with C/O swelling to jaw and jaw felt tight like it was locking. DX: Possible adverse reaction to immunization not found.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Axillary pain, Back pain
Clinical narrative: Patient received Tdap (Adacel) on 3-23-09 @ 3:20 pm.  He awoke @ 8 am on 3-24-09 with joint aches, chills (hot, cold, sweats), malaise, weakness and unable to go to work.  He returned to bed, slept until 2:30 pm and woke up hungry and ate a good meal of chicken soup, toasted cheese sandwich and fruit.  Took Tylenol 1000 mg PO @ 6 pm.  At 8 pm oral T was 100.2-100.4.  (Throughout this entire time period, this has been the measured temperature.)  He drank about a half gallon of water on 3-24-09.  At 12 MN Tylenol dose was repeated.  He then slept throughout the night except for waking twice for the bathroom, each time the pillow was wet and cold.  He then woke up @ 8 am, repeated Tylenol dose, ate, returned to sleep until 2:15 pm.  Then repeated Tylenol @ 2:30 pm and began to feel like he was getting better.  He ate a salad.  He then decided to drive to CVS @ 5:15 pm, then visited his girlfriend and new baby @ 6 pm--who live 5 miles away from his house.  By 6:30 pm he just wanted to sleep, and slept until 7:30 pm, then returned (with difficulty) to home.  Then took another dose of Tylenol, and had a large cup of hot tea @ 8 pm.  He also drank a few glasses of water and Gatorade on 3-25-09.  He then went to sleep @ 8:30 pm and woke up only twice for bathroom trips.  On only one of those trips was the pillow wet.  On 3-26-09, awoke @ 8 am with a feeling of low back pain like "someone put concrete on it", tender and sore left shoulder and axilla--bruise reported, also.  He also reports that the injection is red.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Contusion, Feeling of body temperature change, Hyperhidrosis, Injection site erythema
Clinical narrative: Patient received Tdap (Adacel) on 3-23-09 @ 3:20 pm.  He awoke @ 8 am on 3-24-09 with joint aches, chills (hot, cold, sweats), malaise, weakness and unable to go to work.  He returned to bed, slept until 2:30 pm and woke up hungry and ate a good meal of chicken soup, toasted cheese sandwich and fruit.  Took Tylenol 1000 mg PO @ 6 pm.  At 8 pm oral T was 100.2-100.4.  (Throughout this entire time period, this has been the measured temperature.)  He drank about a half gallon of water on 3-24-09.  At 12 MN Tylenol dose was repeated.  He then slept throughout the night except for waking twice for the bathroom, each time the pillow was wet and cold.  He then woke up @ 8 am, repeated Tylenol dose, ate, returned to sleep until 2:15 pm.  Then repeated Tylenol @ 2:30 pm and began to feel like he was getting better.  He ate a salad.  He then decided to drive to CVS @ 5:15 pm, then visited his girlfriend and new baby @ 6 pm--who live 5 miles away from his house.  By 6:30 pm he just wanted to sleep, and slept until 7:30 pm, then returned (with difficulty) to home.  Then took another dose of Tylenol, and had a large cup of hot tea @ 8 pm.  He also drank a few glasses of water and Gatorade on 3-25-09.  He then went to sleep @ 8:30 pm and woke up only twice for bathroom trips.  On only one of those trips was the pillow wet.  On 3-26-09, awoke @ 8 am with a feeling of low back pain like "someone put concrete on it", tender and sore left shoulder and axilla--bruise reported, also.  He also reports that the injection is red.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Malaise, Musculoskeletal pain, Tenderness
Clinical narrative: Patient received Tdap (Adacel) on 3-23-09 @ 3:20 pm.  He awoke @ 8 am on 3-24-09 with joint aches, chills (hot, cold, sweats), malaise, weakness and unable to go to work.  He returned to bed, slept until 2:30 pm and woke up hungry and ate a good meal of chicken soup, toasted cheese sandwich and fruit.  Took Tylenol 1000 mg PO @ 6 pm.  At 8 pm oral T was 100.2-100.4.  (Throughout this entire time period, this has been the measured temperature.)  He drank about a half gallon of water on 3-24-09.  At 12 MN Tylenol dose was repeated.  He then slept throughout the night except for waking twice for the bathroom, each time the pillow was wet and cold.  He then woke up @ 8 am, repeated Tylenol dose, ate, returned to sleep until 2:15 pm.  Then repeated Tylenol @ 2:30 pm and began to feel like he was getting better.  He ate a salad.  He then decided to drive to CVS @ 5:15 pm, then visited his girlfriend and new baby @ 6 pm--who live 5 miles away from his house.  By 6:30 pm he just wanted to sleep, and slept until 7:30 pm, then returned (with difficulty) to home.  Then took another dose of Tylenol, and had a large cup of hot tea @ 8 pm.  He also drank a few glasses of water and Gatorade on 3-25-09.  He then went to sleep @ 8:30 pm and woke up only twice for bathroom trips.  On only one of those trips was the pillow wet.  On 3-26-09, awoke @ 8 am with a feeling of low back pain like "someone put concrete on it", tender and sore left shoulder and axilla--bruise reported, also.  He also reports that the injection is red.
Age: 1.07
Sex: M
Vaccine: HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Convulsion, Dyspnoea, Hypersensitivity, Lethargy, Measles
Clinical narrative: HE BEGAN TO HAVE SEIZURES AN HOUR AFTER THE VACCINATIONS. I TOOK HIM TO THE EMERGENCY ROOM. WHERE THEY SAID THAT HE WAS HAVING SEIZURES. LATER THAT NIGHT HE BEGAN TO RUN A FEVER OF 103-105. HE CONTINUED TO HAVE THIS FEVER AND ON SUNDAY FEB 8TH HE STOPPED BREATHING AND HAD ANOTHER SEIZURE AND WAS VERY LETHARGIC FOR HOURS. WE TOOK HIM BACK INTO THE ER WHERE THE INFORMED US THAT THEY WANTED US TO TAKE HIM TO SEE THE NEUROLOGIST. WE TOOK HIM HOME WITH THIS HIGH FEVER AND MADE AN APPOINTMENT WITH THE NEUROLOGIST. BY THE NEXT SATURDAY FEB 14TH HE HAD BROKEN OUT INTO A RASH. WE TOOK HIM BACK INTO THE ER AND THEY TOLD US HE WAS HAVING AN ALLERGIC REACTION TO SOMETHING. SO WE WAITED IT OUT AND CALLED DR. ON SUNDAY WHEN HE CONTINUED TO GET WORSE AND HE MET US AT THE OFFICE. HE TOLD US TO KEEP A VERY CLOSE EYE ON THE RASH AND TO BRING HIM BACK THE NEXT DAY IF HE CONTINUED TO GET WORSE. THAT MONDAY I TOOK HIM BACK INTO DR. AND HE PUT HIM ON A STEROID HOPING THE RASH WOULD GET BETTER. IT DID NOT AND ON TUESDAY WE WENT BACK TO SEE HIM AND HE SENT US TO THE DERMATOLOGIST WHOM SUSPECTED THAT HE HAD 5TH'S DISEASE OR THE MEASLES. SO I CALLED DR. AND TOLD HIM WHAT HE SAID. HE ASKED THAT WE GO AND HAVE A BLOOD TEST DONE TO SEE IF IT WAS ACTUALLY THE MEASLES.  THE TEST CAME BACK POSITIVE FOR MEASLES. WITH THIS HE RAN A FEVER OF 103-105 FOR TWO WEEKS.
Age: 1.07
Sex: M
Vaccine: HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Pyrexia, Rash, Respiratory arrest
Clinical narrative: HE BEGAN TO HAVE SEIZURES AN HOUR AFTER THE VACCINATIONS. I TOOK HIM TO THE EMERGENCY ROOM. WHERE THEY SAID THAT HE WAS HAVING SEIZURES. LATER THAT NIGHT HE BEGAN TO RUN A FEVER OF 103-105. HE CONTINUED TO HAVE THIS FEVER AND ON SUNDAY FEB 8TH HE STOPPED BREATHING AND HAD ANOTHER SEIZURE AND WAS VERY LETHARGIC FOR HOURS. WE TOOK HIM BACK INTO THE ER WHERE THE INFORMED US THAT THEY WANTED US TO TAKE HIM TO SEE THE NEUROLOGIST. WE TOOK HIM HOME WITH THIS HIGH FEVER AND MADE AN APPOINTMENT WITH THE NEUROLOGIST. BY THE NEXT SATURDAY FEB 14TH HE HAD BROKEN OUT INTO A RASH. WE TOOK HIM BACK INTO THE ER AND THEY TOLD US HE WAS HAVING AN ALLERGIC REACTION TO SOMETHING. SO WE WAITED IT OUT AND CALLED DR. ON SUNDAY WHEN HE CONTINUED TO GET WORSE AND HE MET US AT THE OFFICE. HE TOLD US TO KEEP A VERY CLOSE EYE ON THE RASH AND TO BRING HIM BACK THE NEXT DAY IF HE CONTINUED TO GET WORSE. THAT MONDAY I TOOK HIM BACK INTO DR. AND HE PUT HIM ON A STEROID HOPING THE RASH WOULD GET BETTER. IT DID NOT AND ON TUESDAY WE WENT BACK TO SEE HIM AND HE SENT US TO THE DERMATOLOGIST WHOM SUSPECTED THAT HE HAD 5TH'S DISEASE OR THE MEASLES. SO I CALLED DR. AND TOLD HIM WHAT HE SAID. HE ASKED THAT WE GO AND HAVE A BLOOD TEST DONE TO SEE IF IT WAS ACTUALLY THE MEASLES.  THE TEST CAME BACK POSITIVE FOR MEASLES. WITH THIS HE RAN A FEVER OF 103-105 FOR TWO WEEKS.
Age: 43.0
Sex: M
Vaccine: YF
Symptoms: Headache, Hyperhidrosis, Malaise, Pain, Pyrexia
Clinical narrative: Patient received vaccine and reports not feeling well a few hours later. Symptoms began as a headache and bodyaches, and later progressed to sweating and vomiting. He claims to have had a fever of 103 to 104 that evening. Symptoms resolved on their own within 24 hrs.
Age: 43.0
Sex: M
Vaccine: YF
Symptoms: Vomiting
Clinical narrative: Patient received vaccine and reports not feeling well a few hours later. Symptoms began as a headache and bodyaches, and later progressed to sweating and vomiting. He claims to have had a fever of 103 to 104 that evening. Symptoms resolved on their own within 24 hrs.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: Itching began about 2 hours after receiving vaccine.  No local, injection site reaction.  She took a Benedryl and was clinically stable when seen.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Hypotension, Pallor, Syncope
Clinical narrative: She came in for labs and for a Gardasil vaccination. She was vaccinated, and then while having labs drawn, she became lightheaded and fainted. Mother reports that she was having seizure like shaking while she was out. She did not hit her head, it was a very short period before she responded, was slightly pale, but otherwise herself. No postictal changes. BP low in the 70's initially. She had some ginger ale and cornbread and responded well. After about half an hour she had an excellent BP of 110/70. BP remained stable free standing and walking out.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: She came in for labs and for a Gardasil vaccination. She was vaccinated, and then while having labs drawn, she became lightheaded and fainted. Mother reports that she was having seizure like shaking while she was out. She did not hit her head, it was a very short period before she responded, was slightly pale, but otherwise herself. No postictal changes. BP low in the 70's initially. She had some ginger ale and cornbread and responded well. After about half an hour she had an excellent BP of 110/70. BP remained stable free standing and walking out.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Convulsion
Clinical narrative: SEIZURE LASTING APPROX. 3 MINUTES TRANSPORTED BY EMS TO ER.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 30 minutes post administration of Varicella vaccine, pt reports swelling at site.  Upon inspection, erythema and swelling noted to the site.  Denies any difficulty breathing. No systemic rash noted.  Dr examined patient and 12.5 mg of Benadryl was administered orally per orders. Pt D/C d to home with instructions per MD, under care of mother.
Age: 27.0
Sex: M
Vaccine: RAB
Symptoms: Burning sensation, Induration, Paraesthesia, Rash
Clinical narrative: Client received second dose of pre-exposure Rabies vaccine on 2/3/2009, and telephoned health department on 2/10/2009 with concerns over vaccine.  Stated approximately 8:00 PM the prior evening (2/9/2009)he noted a rash on the palm of his hands and his hands felt like "needle pricks".  Client denied any other symptoms; nor did he have exposure to any new foods, clothes, soap, or medication.  States he was fine after receiving first injection one week prior (January 27, 2009). He stated the top layer of skin on his hands "feels as though they are burned and it hurts" with sweating or stretching his hands.  Encouraged client to follow up with PMD and to call back with physicians findings.  On February 11, 2009, client called stating he had seen his physician the previous day.  Client had no fever, peeling skin, or carpal tunnel symptoms, and rash was somewhat better.  Physician was unsure of cause, but suggested watching progression. Client returned to health department on February 17, 2009 for third, and final, dose of Rabies vaccine.  At that time, the rash had resolved and he had no furhter compaints.
Age: 46.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Oedema, Pain in extremity
Clinical narrative: Arm warm, very edematous, erythmatous, painful.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying
Clinical narrative: Unconsolable crying for more than 3 hours. Tylenol did not help. Kept on crying in her sleep
Age: 52.0
Sex: F
Vaccine: YF
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Headache
Clinical narrative: After receiving vaccine patient became light-headed and dizzy.  Pt. admits that this has happened before. She said she's not surpised that this happened.  Pt. felt better after lowering head, eating a granola bar,cheese crackers, and a diet drink.  Pt. observed in the clinic for another 30 minutes. Pt. said that she felt much better when she left with her husband.  When she arrived home she again felt lightheaded and dizzy along with some shortness of breath, chills, headache and weakness.  She then took Tylenol and called her PCP.  He asked her if her "tongue was swollen or if she had any othe swelling" and since she answered no, she was told to continue on Tylenol and see how she felt in the a.m.  By the next morning she did feel better but continued to have occasional bouts of dizziness, weakness and shortness of breath. She stayed on the Tylenol for a few days.  By Wednesday, March 25th (6 days after the vaccine given) she says she feels much better and back to normal.  Advised patient to follow up with her doctor for any further shortness of breath.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Gastroenteritis, Liver function test normal, Nausea, Rash
Clinical narrative: Received second dose in series of Hepatitis B vaccine on 3/18/09.  Reported that she started vomiting on 3/19/09.  Was treated at an Urgent Care facility and was diagnosed with "serum sickness after Hepatitis B vaccine."  Treated with Phenergan 25 mg. orally Q8HPRN.  Nausea & vomiting continued.  She was seen in the ED on 3/21/09 with complaints of abdominal pain and rash.  She had reported to Employee Health with a rash over forearms and neck a day prior to receiving the Hepatitis B vaccine.  Was treated in the ED with IV zofran and dilaudid.  Discharge diagnosis was gastroenteritis.  Discharged with precriptions for zofran and vicodin.  Seen @ Employee Health on 3/23/09 and had another episode of vomiting.  Was sent home by the Employee Health Medical Director.  Returned to Employee Health on 3/25/09.  Reports feeling better...vomiting subsided.  States she did have an episode of vomiting after receiving the first Hepatitis B vaccine but did not report it.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Serum sickness, Vomiting, White blood cell count increased
Clinical narrative: Received second dose in series of Hepatitis B vaccine on 3/18/09.  Reported that she started vomiting on 3/19/09.  Was treated at an Urgent Care facility and was diagnosed with "serum sickness after Hepatitis B vaccine."  Treated with Phenergan 25 mg. orally Q8HPRN.  Nausea & vomiting continued.  She was seen in the ED on 3/21/09 with complaints of abdominal pain and rash.  She had reported to Employee Health with a rash over forearms and neck a day prior to receiving the Hepatitis B vaccine.  Was treated in the ED with IV zofran and dilaudid.  Discharge diagnosis was gastroenteritis.  Discharged with precriptions for zofran and vicodin.  Seen @ Employee Health on 3/23/09 and had another episode of vomiting.  Was sent home by the Employee Health Medical Director.  Returned to Employee Health on 3/25/09.  Reports feeling better...vomiting subsided.  States she did have an episode of vomiting after receiving the first Hepatitis B vaccine but did not report it.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injected limb mobility decreased
Clinical narrative: INTERFERENCE WITH LIMB MOVEMENT LEFT LOWER EXTREMITY.          REFERRAL: NEUROLOGY
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Outer aspect of left arm at Varicella vaccination site has several clear filled vesicles. Arm warm, red and swollen from shoulder to elbow. 5 inch by 5 inch area. Tender to touch. Student referred to MD on 3/26/09. Saw Dr.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Back pain, Loss of consciousness, Mydriasis, Pallor
Clinical narrative: Patient received his Tdap vaccine first.  It took us 10 minutes after administration of the Tdap to determine he also needed MCV.  This was administered.  Within one minute, he had an episode of syncope which started with paleness and pupil dilation.  He lost consciousness for 5-10 seconds and then regained it.  He began breathing quickly when he regained consciousness.  His pulse was slow and steady throughout the episode. After about 30 seconds he verbalized the need to vomit and then did so.  He was able to talk and drink juice.  He stayed seated for about 20 minutes.  When he left the office he said he was feeling a little weak, but was other wise fine.  He walked to the car without help.  He had no symptoms of allergic reaction and did not fall in the office.  I spoke with mom the following day.  She stated he was still feeling a little weak, but went to school that day.  He was in the nurse's office after about an hour complaining of weakness, feeling shaky and back pain.  She gave him food since he had not had breakfast and finished the day at school.  When he went home he had a slight fever.  No temp was taken.  Mom gave his Ibuprofen and if any other symptoms emerged I told her to call and inform me.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Respiratory rate increased, Syncope, Tremor, Vomiting
Clinical narrative: Patient received his Tdap vaccine first.  It took us 10 minutes after administration of the Tdap to determine he also needed MCV.  This was administered.  Within one minute, he had an episode of syncope which started with paleness and pupil dilation.  He lost consciousness for 5-10 seconds and then regained it.  He began breathing quickly when he regained consciousness.  His pulse was slow and steady throughout the episode. After about 30 seconds he verbalized the need to vomit and then did so.  He was able to talk and drink juice.  He stayed seated for about 20 minutes.  When he left the office he said he was feeling a little weak, but was other wise fine.  He walked to the car without help.  He had no symptoms of allergic reaction and did not fall in the office.  I spoke with mom the following day.  She stated he was still feeling a little weak, but went to school that day.  He was in the nurse's office after about an hour complaining of weakness, feeling shaky and back pain.  She gave him food since he had not had breakfast and finished the day at school.  When he went home he had a slight fever.  No temp was taken.  Mom gave his Ibuprofen and if any other symptoms emerged I told her to call and inform me.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever to 103, nausea, vomiting approx 8-10 hours after vaccination
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Asthenia, Blood heavy metal increased, Diarrhoea, Dizziness
Clinical narrative: Immediate weakness, lethargic, muscule pain in all extremities.  Continued to remain ill for months with dizziness, stomach pains, diahrea, numbness in arms, hands and fingers, jaw pain, unable to eat for prolonged periods (going from 103 lbs to 89 lbs) Experienced mental fuzziness and continues to feel numb on left side of body.  Bad headaches. Is still being treated by Kinesiologist for high levels of metal in body.  Had full blood work-up on 3/21/09. Continues to experience illness due to vaccine.  Was perfectly healthy prior to second vaccine .
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Eating disorder, Epstein-Barr virus antibody positive, Headache, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediate weakness, lethargic, muscule pain in all extremities.  Continued to remain ill for months with dizziness, stomach pains, diahrea, numbness in arms, hands and fingers, jaw pain, unable to eat for prolonged periods (going from 103 lbs to 89 lbs) Experienced mental fuzziness and continues to feel numb on left side of body.  Bad headaches. Is still being treated by Kinesiologist for high levels of metal in body.  Had full blood work-up on 3/21/09. Continues to experience illness due to vaccine.  Was perfectly healthy prior to second vaccine .
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Lethargy, Mental impairment, Myalgia, Pain in jaw, Temporomandibular joint syndrome
Clinical narrative: Immediate weakness, lethargic, muscule pain in all extremities.  Continued to remain ill for months with dizziness, stomach pains, diahrea, numbness in arms, hands and fingers, jaw pain, unable to eat for prolonged periods (going from 103 lbs to 89 lbs) Experienced mental fuzziness and continues to feel numb on left side of body.  Bad headaches. Is still being treated by Kinesiologist for high levels of metal in body.  Had full blood work-up on 3/21/09. Continues to experience illness due to vaccine.  Was perfectly healthy prior to second vaccine .
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Weight decreased
Clinical narrative: Immediate weakness, lethargic, muscule pain in all extremities.  Continued to remain ill for months with dizziness, stomach pains, diahrea, numbness in arms, hands and fingers, jaw pain, unable to eat for prolonged periods (going from 103 lbs to 89 lbs) Experienced mental fuzziness and continues to feel numb on left side of body.  Bad headaches. Is still being treated by Kinesiologist for high levels of metal in body.  Had full blood work-up on 3/21/09. Continues to experience illness due to vaccine.  Was perfectly healthy prior to second vaccine .
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PPV
Symptoms: Wrong drug administered
Clinical narrative: Pneumovax was ordered and administered to a 2 month old patient. No adverse reaction has been reported.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Back pain, Blood immunoglobulin G normal, Borrelia burgdorferi serology negative, Chest X-ray normal
Clinical narrative: This case was reported by a lawyer and described the occurrence of stiff neck in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  The subject's medical history included hernia.  Concurrent medical conditions included back pain.  Concurrent medications included Garlic, Fish oil, Cod-liver oil and Calcium salt.  On 4 May 2000 and 4 April 2000 the subject received 2nd dose and 1st dose of LYMERIX (unknown).  In the fall of 2000, the subject developed general stiffness and knee pain.  In 2001 - 2002 the subject developed hip pain for which he took LODINE.  Several years ago, he developed wrist pain and in 2008, neck stiffness.  The subject at an unknown time developed an exacerbation of low back pain.  At the time of reporting the events were unresolved and were considered to be related to treatment with LYMERIX.  Follow-up information in the form of medical records was received on 25 March 2009.  An evaluation due to subject's knee, shoulder and neck pain took place on 07 April 2004.  The subject's physician suspected cervical degenerative disk disease, internal derangement of the right knee and degenerative disease.  A VAERS reporting form indicated that events of joint stiffness and difficulty walking began on 05 April 2000, just one day following 1st vaccination with LYMERIX.  It was noted that these events resulted in permanent disability.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Condition aggravated, Disability, Gait disturbance, Immunology test, Intervertebral disc disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of stiff neck in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  The subject's medical history included hernia.  Concurrent medical conditions included back pain.  Concurrent medications included Garlic, Fish oil, Cod-liver oil and Calcium salt.  On 4 May 2000 and 4 April 2000 the subject received 2nd dose and 1st dose of LYMERIX (unknown).  In the fall of 2000, the subject developed general stiffness and knee pain.  In 2001 - 2002 the subject developed hip pain for which he took LODINE.  Several years ago, he developed wrist pain and in 2008, neck stiffness.  The subject at an unknown time developed an exacerbation of low back pain.  At the time of reporting the events were unresolved and were considered to be related to treatment with LYMERIX.  Follow-up information in the form of medical records was received on 25 March 2009.  An evaluation due to subject's knee, shoulder and neck pain took place on 07 April 2004.  The subject's physician suspected cervical degenerative disk disease, internal derangement of the right knee and degenerative disease.  A VAERS reporting form indicated that events of joint stiffness and difficulty walking began on 05 April 2000, just one day following 1st vaccination with LYMERIX.  It was noted that these events resulted in permanent disability.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Joint dislocation, Joint stiffness, Laboratory test, Musculoskeletal stiffness, Nuclear magnetic resonance imaging abnormal
Clinical narrative: This case was reported by a lawyer and described the occurrence of stiff neck in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  The subject's medical history included hernia.  Concurrent medical conditions included back pain.  Concurrent medications included Garlic, Fish oil, Cod-liver oil and Calcium salt.  On 4 May 2000 and 4 April 2000 the subject received 2nd dose and 1st dose of LYMERIX (unknown).  In the fall of 2000, the subject developed general stiffness and knee pain.  In 2001 - 2002 the subject developed hip pain for which he took LODINE.  Several years ago, he developed wrist pain and in 2008, neck stiffness.  The subject at an unknown time developed an exacerbation of low back pain.  At the time of reporting the events were unresolved and were considered to be related to treatment with LYMERIX.  Follow-up information in the form of medical records was received on 25 March 2009.  An evaluation due to subject's knee, shoulder and neck pain took place on 07 April 2004.  The subject's physician suspected cervical degenerative disk disease, internal derangement of the right knee and degenerative disease.  A VAERS reporting form indicated that events of joint stiffness and difficulty walking began on 05 April 2000, just one day following 1st vaccination with LYMERIX.  It was noted that these events resulted in permanent disability.
Age: 51.0
Sex: M
Vaccine: LYME
Symptoms: Osteoarthritis, Prostatic specific antigen normal, Thyroxine increased
Clinical narrative: This case was reported by a lawyer and described the occurrence of stiff neck in a male subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  The subject's medical history included hernia.  Concurrent medical conditions included back pain.  Concurrent medications included Garlic, Fish oil, Cod-liver oil and Calcium salt.  On 4 May 2000 and 4 April 2000 the subject received 2nd dose and 1st dose of LYMERIX (unknown).  In the fall of 2000, the subject developed general stiffness and knee pain.  In 2001 - 2002 the subject developed hip pain for which he took LODINE.  Several years ago, he developed wrist pain and in 2008, neck stiffness.  The subject at an unknown time developed an exacerbation of low back pain.  At the time of reporting the events were unresolved and were considered to be related to treatment with LYMERIX.  Follow-up information in the form of medical records was received on 25 March 2009.  An evaluation due to subject's knee, shoulder and neck pain took place on 07 April 2004.  The subject's physician suspected cervical degenerative disk disease, internal derangement of the right knee and degenerative disease.  A VAERS reporting form indicated that events of joint stiffness and difficulty walking began on 05 April 2000, just one day following 1st vaccination with LYMERIX.  It was noted that these events resulted in permanent disability.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Borrelia burgdorferi serology, Constipation, Fall, Hypoaesthesia
Clinical narrative: 12/2/08 S&S inc. numbness/tingling in hands/feet. 12/3/08 ER for intense pain in joints = Dilaudid. 12/5/08 medical center = constipation/MAALOX. 12/7/08 numbness/tingling hands/feet & muscle control problems & pt fell x2 & went to clinic & transferred to hospital & currently still in rehab since 12/12/08.  5/22/09 Hospital records received DOS 12/7/08 - 12/12/08. FINAL DIAGNOSIS: Guillain-Barre syndrome, urinary retention, Paroxysmal atrial fibrillation, autonomic instability, partial CN IV palsy. Post Vaccination: abdominal pain, multiple joint pain, progressive extremity weakness resulting in multiple falls. Tingling sensation palms. Hands became weak, cold intolerance, constipation, bloody diarrhea. Course lung sounds, diminished lung sounds. Diminished sensation extremities. Loss of reflexes lower extremities. Withdrew foot on right with upgoing toes. Poor hand finger coordination. Diplopia IVIG administered. Episodes of hypertension and hypotension.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza serology, Lumbar puncture, Muscle disorder, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: 12/2/08 S&S inc. numbness/tingling in hands/feet. 12/3/08 ER for intense pain in joints = Dilaudid. 12/5/08 medical center = constipation/MAALOX. 12/7/08 numbness/tingling hands/feet & muscle control problems & pt fell x2 & went to clinic & transferred to hospital & currently still in rehab since 12/12/08.  5/22/09 Hospital records received DOS 12/7/08 - 12/12/08. FINAL DIAGNOSIS: Guillain-Barre syndrome, urinary retention, Paroxysmal atrial fibrillation, autonomic instability, partial CN IV palsy. Post Vaccination: abdominal pain, multiple joint pain, progressive extremity weakness resulting in multiple falls. Tingling sensation palms. Hands became weak, cold intolerance, constipation, bloody diarrhea. Course lung sounds, diminished lung sounds. Diminished sensation extremities. Loss of reflexes lower extremities. Withdrew foot on right with upgoing toes. Poor hand finger coordination. Diplopia IVIG administered. Episodes of hypertension and hypotension.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling, Pyrexia, Swelling, Weight bearing difficulty
Clinical narrative: Pt.'s mother called 2 days after immunizations was given, with c/o non-wt bearing and swelling at site, brought pt to office 3 days after with redness, swelling & fever, was sent to hospital for cellulitis for IV atbx. 4/17/09-records received for DOS-3/18-3/19/09-DC DX: left thigh cellulitis. Developed fever 103.8 and swollen left thigh and erythema. Admitted overnight for observation and IV therapy.
Age: 49.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Chest pain, Dyspnoea, Urticaria
Clinical narrative: Within 10min of getting the shot, pt had hives, chest pain, difficulty breathing, had called 911, pt admitted to hosp.  4/6/09 Received hospital medical records of 3/24-3/25/2009. FINAL DX: dyspnea, chest pain, likely allergic reaction to pneumovax. Records reveal patient experienced chest pain, hives, itching, throat tightness, heart racing.  Tx w/IV antihistamine, SL NTG improved.  Cardio consult done.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Blood sodium normal, CSF lymphocyte count increased, CSF neutrophil count increased, CSF oligoclonal band present, CSF white blood cell count negative
Clinical narrative: Mom reports about 14 hours after shots, pt was seizing in his bed. 911 was called /ambulance son to hosp and pt taken to medical center (then transferred to another medical center). He is still on antiseizure meds.  3/26/09 Case closed w/medical records accompanying report for 2/6-2/8/09. FINAL DX: partial seizures & viral illness Records reveal patient experienced apparent seizure activity of left side lasting approx 20 min followed by vomiting & sleepiness.  Had nasal congestion, fever, eye irritation & cough for few days prior.  Temp 102 in ER.  LP done in ER. Tx w/IV antibiotic.  Developed maculopapular rash on trunk w/viral appearance & URI s/s w/ loose stool.  Neuro consult done.  Tx w/antiseizure meds, improved w/no further seizure activity & d/c to home on continued meds w/neuro f/u. Follow-up: Per mom, pt did start to have seizures lates that year, but Dr. stated we cannot ever be sure whether or not the seizures were related, but probably not due to the.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Convulsion, Viral infection
Clinical narrative: Mom reports about 14 hours after shots, pt was seizing in his bed. 911 was called /ambulance son to hosp and pt taken to medical center (then transferred to another medical center). He is still on antiseizure meds.  3/26/09 Case closed w/medical records accompanying report for 2/6-2/8/09. FINAL DX: partial seizures & viral illness Records reveal patient experienced apparent seizure activity of left side lasting approx 20 min followed by vomiting & sleepiness.  Had nasal congestion, fever, eye irritation & cough for few days prior.  Temp 102 in ER.  LP done in ER. Tx w/IV antibiotic.  Developed maculopapular rash on trunk w/viral appearance & URI s/s w/ loose stool.  Neuro consult done.  Tx w/antiseizure meds, improved w/no further seizure activity & d/c to home on continued meds w/neuro f/u. Follow-up: Per mom, pt did start to have seizures lates that year, but Dr. stated we cannot ever be sure whether or not the seizures were related, but probably not due to the.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Mom calling today to report that on 3/25/09 bright red lump appeared on left leg where she received vaccines at 1yr wcc 3/6/09. No warmth, dime sized with tiny whole in center. No discomfort. Mom reports needle came out of skin and nurse reinserted needle.
Age: 1.9
Sex: M
Vaccine: DTAP, FLU3, HEPA, MMR, PNC, VARCEL, DTAP, FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Chest X-ray, Febrile convulsion, Full blood count, Pyrexia
Clinical narrative: Fever ; Febrile Seizure
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Local reaction
Clinical narrative: Exaggerated local reaction.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness with swelling to R deltoid.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: High fever, achy all over body and nauseated. Discussed possible reaction versus onset of viral illness. To treat fever and push fluids. If not better by next day, to be seen. To call if they have any questions.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Itch. redness. induration pain. Since he got the vaccine. 0 fever . given Cephalexin - Benadryl - cold compresses.
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Rash
Clinical narrative: Rash on chest 3 days after administration. Rash was clustered only in this area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling and warm to touch. 10x8cm. Advised to ice and apply warm compresses, observe area of erythema circle with marker, advised, mother to watch for extension, fever, pain and increased swelling.
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Pt states felt woozy approx 5pm afternoon he received vaccine.  Has had headache/nausea & vomiting.  Vomiting occurred only on 3/26/09.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 1 day after injection - Pt c/o rash, swelling, itching @ site.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Swollen tongue
Clinical narrative: Local Rx, delayed. Redness, warmth and swelling around injection site, 4x4cm. Given antihistamine and hydrocortisone cream. Local Rx started same day as MMR vaccine given in opposite arm. Continued tongue local swelling.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Local swelling, Pain in extremity
Clinical narrative: Localized swelling and pain after she received a MMR vaccine on 3/19/09 in Lt. upper arm.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Medication error
Clinical narrative: ROTARIX was reconstituted with sterile water and was given as a injection to the Lt arm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN3
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Large, red inflammatory reaction, right thigh from upper thigh almost to knee with warmth and tenderness.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Rash on the left upper arm 2cm/3cm red rash round noted left upper arm tender to touch.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness + minimal swelling @ site.
Age: 45.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Neck pain, Swelling
Clinical narrative: Pain in upper right arm and neck and swelling upper right chest since flu injection 2/25/09. Notices pain in upper right arm when he lifts things.
Age: 28.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pt received Tdap + Typhoid 3/9/09 for pre-travel immunization.  Within 10 min of receiving vaccine pt c/o pain + swelling L posterior deltoid.  Pt. denied SOB, facial swelling, wheezing.  V/S monitored, ice applied + pt. observed + assessed by HD.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Developed 8x15cm local erythema, induration in thigh.
Sex: U
Vaccine: HIBV, PPV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Pt showed up to ER 2/27/09 after receiving shot at Hospital with fever 39 + C + Febrile seizure.  HIB in FB #3 & PCV#3.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Abdominal distension, Abdominal pain, Activities of daily living impaired, Arthralgia
Clinical narrative: Patient was given the second injection of the Gardasil vaccine on 4/8/08 by her pediatrician.  It was the only injection she received.   A few days later she experienced severe joint pain and swelling plus skin hives/rashes.  Her pediatrician put her on 60 mg of Prednisone for 3 days.  When the symptoms worsened, we were sent to hospital on 4/23/08.  Patient was diagnosed with Serum Sickness from the Gardasil vaccine.  We started seeing Dr. in Rheumatology on 6/12/08.  Dr. prescribed pulse IV Solumedrol administered by a home care nurse along with the oral steroids.   Patient experienced a reoccurrence of symptoms on 8/15/08 and 9/3/08.  With each reoccurrence she was unable to walk, with joint and abdominal swelling and pain.  Methotraxate and Enbrel were prescribed along with the oral and IV steroids.  Patient relapsed again and was admitted to hospital for testing on 10/15/08.  When no new diagnosis or treatment came out of three days of inpatient examination, we sought a second opinion with Dr. in Pediatric Rheumatology.  She stopped the Enbrel and Methotraxate and started reducing the steroids.  Patient also saw Dr. in Gastroenterology for her constant nausea.  Testing has been inconclusive.  Patient experienced another reoccurrence of symptoms in February and March of 2009.  Patient began physical therapy on 3/14/09 to help with the joint pain.  Patient missed 30 days of school her first semester of senior year, and has already missed 10 days of her second semester due to this illness.  Patient takes 10 pills every morning and 6 every evening, along with other medication as needed.  She continues to experience consistent fatigue and nausea along with intermittent joint pain and skin hives/rashes.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Bone scan, Colonoscopy, Computerised tomogram, Endoscopy
Clinical narrative: Patient was given the second injection of the Gardasil vaccine on 4/8/08 by her pediatrician.  It was the only injection she received.   A few days later she experienced severe joint pain and swelling plus skin hives/rashes.  Her pediatrician put her on 60 mg of Prednisone for 3 days.  When the symptoms worsened, we were sent to hospital on 4/23/08.  Patient was diagnosed with Serum Sickness from the Gardasil vaccine.  We started seeing Dr. in Rheumatology on 6/12/08.  Dr. prescribed pulse IV Solumedrol administered by a home care nurse along with the oral steroids.   Patient experienced a reoccurrence of symptoms on 8/15/08 and 9/3/08.  With each reoccurrence she was unable to walk, with joint and abdominal swelling and pain.  Methotraxate and Enbrel were prescribed along with the oral and IV steroids.  Patient relapsed again and was admitted to hospital for testing on 10/15/08.  When no new diagnosis or treatment came out of three days of inpatient examination, we sought a second opinion with Dr. in Pediatric Rheumatology.  She stopped the Enbrel and Methotraxate and started reducing the steroids.  Patient also saw Dr. in Gastroenterology for her constant nausea.  Testing has been inconclusive.  Patient experienced another reoccurrence of symptoms in February and March of 2009.  Patient began physical therapy on 3/14/09 to help with the joint pain.  Patient missed 30 days of school her first semester of senior year, and has already missed 10 days of her second semester due to this illness.  Patient takes 10 pills every morning and 6 every evening, along with other medication as needed.  She continues to experience consistent fatigue and nausea along with intermittent joint pain and skin hives/rashes.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Joint swelling, Nausea, Rash, Serum sickness
Clinical narrative: Patient was given the second injection of the Gardasil vaccine on 4/8/08 by her pediatrician.  It was the only injection she received.   A few days later she experienced severe joint pain and swelling plus skin hives/rashes.  Her pediatrician put her on 60 mg of Prednisone for 3 days.  When the symptoms worsened, we were sent to hospital on 4/23/08.  Patient was diagnosed with Serum Sickness from the Gardasil vaccine.  We started seeing Dr. in Rheumatology on 6/12/08.  Dr. prescribed pulse IV Solumedrol administered by a home care nurse along with the oral steroids.   Patient experienced a reoccurrence of symptoms on 8/15/08 and 9/3/08.  With each reoccurrence she was unable to walk, with joint and abdominal swelling and pain.  Methotraxate and Enbrel were prescribed along with the oral and IV steroids.  Patient relapsed again and was admitted to hospital for testing on 10/15/08.  When no new diagnosis or treatment came out of three days of inpatient examination, we sought a second opinion with Dr. in Pediatric Rheumatology.  She stopped the Enbrel and Methotraxate and started reducing the steroids.  Patient also saw Dr. in Gastroenterology for her constant nausea.  Testing has been inconclusive.  Patient experienced another reoccurrence of symptoms in February and March of 2009.  Patient began physical therapy on 3/14/09 to help with the joint pain.  Patient missed 30 days of school her first semester of senior year, and has already missed 10 days of her second semester due to this illness.  Patient takes 10 pills every morning and 6 every evening, along with other medication as needed.  She continues to experience consistent fatigue and nausea along with intermittent joint pain and skin hives/rashes.