chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: RAB
Symptoms: Musculoskeletal discomfort, Myalgia, Red blood cell sedimentation rate normal
Clinical narrative: Initial report received on 21 May 2008 from a physician.  A 61-year-old male patient who is a traveling lawyer, and who has a history of coronary artery disease, and no known allergies, had received prophylaxis post-exposure rabies vaccine consisting of a dose of "RIG" (trade name, manufacturer name, lot number, route and site of administration "unknown") on an unknown date, and five doses of IMOVAX RABIES vaccine on unknown dates.  Approximately four weeks prior to 21 May 2008, the patient received the fifth and last dose of IMOVAX RABIES vaccine (Lot number A0259-2 (route and site of administration not reported).  Approximately three to five days post-vaccination with the fifth dose of IMOVAX RABIES vaccine, the patient complained of persistent malaise, joint pain, myalgias, and muscle discomfort.  Lymphadenopathy was described, but it is not clear if this was localized or generalized lymphadenopathy.  Diagnostic laboratory data revealed a Complete Blood Count, C-Reactive Protein, and Sed Rate tests that were within normal limits.  The patient was placed on low dose steroids for an unknown period of time to help control symptoms.  At present the reporter, who is also the treating physician, plans to recommend symptomatic prescriptions with NSAIDS and if symptoms persist, he will contact the rabies branch at the Centers for Disease Control and Prevention.  At the time of this report, the patient had not recovered.  A corrective version was created on 03 June 2008, using the receipt date from the previous version, in order to amend the coding of RIG in the product screen.  No medically significant new information was added to the case.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: none. Patient received adult dose Hep A rather than pediatric/adolescent dose.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: None.  Patient received adult dose HEP A rather than pediatric/adolescent dose.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: None - patient received adult dose Hep A rather than pediatric/adolescent dose.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: None.  Patient given adult dose HEP A rather than pediatric/adolescent dose.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: Adult Hepatitis A given instead of pediatric dose
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: Dx with ITP.  6/10/08 Reviewed PCP medical records of 5/27-6/6/08. FINAL DX: Idiopathic thrombocytopenic purpura; mononucleosis Records reveal that on day of vaccination patient experienced low grade fever, decreased appetite, nausea, hands itching x 1 day.  Exam revealed excoriated area of left hand between thumb & 1st digit appearing like eczema. Returned to office 5/30 w/petechial rash all over except hands & feet & diarrhea.  Referred to hematology.  Tx w/IVIG.  Returned to office 6/2 w/improved purpura. Returned to clinic 6/4 w/continued improvement but new erythematous exudate & enlarged tonsills & cervical lymphadenopathy. Referred to heme for additional IVIG.  By 6/6 platelets & rash had improved considerably.  To continue f/u in 10 days for labs.  7/4/08 Reviewed heme/onc  clinic medical records of 5/30/08 FINAL DX: immune mediated type thrombocytopenia. Records reveal patient experienced fever, achiness, nausea & diarrhea approx 8 days prior to onset of symptoms which resolved; gum bleeding & lower extremity petecchial rash on day of consult.  Seen by PCP & referred emergently to heme/onc.  Tx w/IVIG while in clinic & serial labs followed.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Approximate 5 inch red area to left arm around injection site. No itching or pain noted. No swelling. Ice to area. Tylenol for discomfort
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Infection, Local reaction, Skin warm
Clinical narrative: Localized infection-induration/erythema/warm 1 wk after, Abx-BACTRIM
Age: 2.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Flushing, Injection site reaction, Pruritus, Pyrexia
Clinical narrative: 4 hours after receiving MMR and Hep A vaccines patient's face and arms were flushed and itching at areas, patient was febrile during episode but continued after fever resolved until the next morning, no rash, also large local reaction at left thigh.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Induration, Injection site erythema, Injection site mass, Injection site pruritus, Tenderness
Clinical narrative: R thigh w/2 cm red, itchy bump. Some tenderness and induration
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm
Clinical narrative: 5-17-08 - entire back of arm is red from shoulder to elbow. Area was hot and red. Patient complained of itching and pain
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Patient fainted in parking lot 5 minutes after receiving the yellow fever vaccine. Subsequently was brought back into the clinic by her mother to rest and recover. Within 5 minutes, patient's arms and hands began to shake. During this time, patient was unresponsive to verbal commands however was awake. Patient recovered in 5 minutes after skaking.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Xanthopsia
Clinical narrative: client experienced lightheadedness and visual changes in which everything appeared yellow within 5 minutes of the injection. vital signs remained stable w/o resp distress. Denied any dizziness or nausea. Client observed on unit for 40 minutes w/o any worsening changes. Client left unit w/o apparent distress with improvement in vision.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Eye pruritus, Eye swelling, Rash, Urticaria
Clinical narrative: APPROXIMATELY 3 HOURS AFTER GARDASIL GIVEN PATIENT NOTICED "RASH" ON ARM AND EYES BEGAN TO ITCH.  30 MINUTES LATER PATIENT TOOK HER MEDICINES FOR A SINUS INFECTION - ZPACK/FLONASE AND WITHIN ANOTHER 30 MINUTES EYES BEGAN TO SWELL AND AND HIVES ON CHEST BEGAN. WENT TO URGENT CARE WHO THEN SENT PATIENT TO E.R.  PATIENT WAS GIVEN PREDNISONE, PEPCID AC AND BENADRYL.  ALSO THAT MORNING PATIENT HAD TAKEN MUCINEX AND SUDAFED PE.
Age: 25.0
Sex: F
Vaccine: HEPAB
Symptoms: Pruritus generalised, Rash
Clinical narrative: PT STATES THAT SHE STARTED TO SEE RASH BEFORE BED,PT WAS ITCHING BODY ALL NIGHT , SO SHE MADE AN APPT. AT APPT PT STATES THAT SHE GOT SHOTS YERSTERDAY AND ALSO STATRTED TO COOK ORGANIC FOOD AT THE BEGINING OF THE WEEK.  THE SHOT THAT THE PT RECIEVED ; HEP A & B
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Gait disturbance, Injection site oedema
Clinical narrative: 6-04-2008   l LEG EDEMA TO L ANTERIOR  NO REDNESSpARENTS STATE COULD NOT WALK ON LEG POST VACCINE     AVISED WARM COMPRESSES, MOTRIN PRN WALKING ON LEG NOW WITHOUT APPARENT ISSUE
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Pallor, Pyrexia, Somnolence, Syncope vasovagal
Clinical narrative: Patient had a severe vasovagal episode.  He got extremely pale and fell asleep immediately after the vaccinations were given.  He spiked a fever to 101 and began vomiting that evening.  He was feeling better the following day.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Patient had a severe vasovagal episode.  He got extremely pale and fell asleep immediately after the vaccinations were given.  He spiked a fever to 101 and began vomiting that evening.  He was feeling better the following day.
Age: 14.0
Sex: M
Vaccine: MNQ, VARCEL, MNQ, VARCEL
Symptoms: Flushing, Lip swelling, Rash generalised
Clinical narrative: 45 min. after vaccine was administered, he started geetting flushed,lips were swollen and rash (hives) all over. Was given Decadron 10 mg and Benadryl 50mg. After 1 hour he started to feel better, rash went away after 2 hrs.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, severe itching at site of administration (left SQ arm).  Swelling to 1 inch diameter.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Inflammation
Clinical narrative: Redness & inflammation in left deltoid region.  Instructed to give Benadryl.  Return to office if worsens.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Patient complained of onset of Temp of 102 and nausea 24/hrs post injection.  Noted localized redness and swelling at the injection site. (immunzation given 4/30/08 pm) Patient was seen by physician on 5/2/08 and was given course of antibiotics. 5/3/08 report per pt much improved. Redness and swelling down and temp @ 99'.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site induration, Injection site warmth, Local reaction
Clinical narrative: Local reaction occurred at injection site 24 hours after administration.  Redness on right thigh extended around to posterior aspect.  No abscess palpated, warm to the touch, induration not well demarcated.  Ordered Motrin prn and parent instructed to seek medical attention if high fever and/or change in behavior.
Age: 23.0
Sex: M
Vaccine: FLU3, HEPAB, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was administered Twinrix instead of Hep A. He had already completed his Hep B series in 1998.  No adverse events were reported.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Developed redness on left thigh. Will Continue to observe.
Age: 21.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Dysphonia, Fall, Headache, Heart rate decreased
Clinical narrative: ADMINISTERED AN HPV AND MENINGOCOCCUS AS FIRST TIME DOSES TO 21 YEAR OLD FEMALE. ADVISED CLIENT THAT IF SHE DID NOT EAT LUNCH SHE MAY FAINT AS IT IS A SIDE EFFECT OF BOTH VACCINES. SHE STATED SHE DID NOT EAT LUNCH. ADVISED CLIENT TO WAIT 15 MINUTES IN CASE SHE DID FEEL FAINT. AFTER RECEIVING THE IMMUNIZATIONS THE CLIENT STAYED IN THE CHAIR AND DID NOT GET UP. AFTER 5 MINUTES TELLS NURSE SHE IS FEELING BAD. I TELL HER IF SHE IS FEELING BAD TO STAY IN THE CHAIR. A FEW SECONDS AFTER STATING THIS SHE STARTS TO MOVE AND BECAME STRAIGHT AS A BOARD AND STARTED TO TURN FACE DOWN TOWARD THE CHAIR THEN FELL OFF THE CHAIR TO THE FLOOR LANDING ON HER LEFT SIDE OF HER BODY. SHE MADE A GROWLING SOUND AS SHE WAS MOVING. ON THE FLOOR SHE DID NOT MOVE AND I WENT TO SHAKE HER TO SEE IF SHE WAS BREATHING. I TOLD THE CLERK TO CALL 911 AND WAS CALLING HER NAME AND SHE STARTED TO MOVE AND TOLD ME "I AM ALL RIGHT". I ASKED HER AGAIN TO BE SURE AND SHE STARTED TO SIT UP AND SAID AGAIN "I AM ALL RIGHT". I TOOK HER PULSE AND IT WAS SLOW AND SLIGHTLY IRREGULAR. I ASKED HER IF SHE EVER HAD HER HEART CHECKED AND SHE SAID SHE DID WHEN SHE WAS YOUNGER BUT THEY DID NOT FIND ANYTHING. I ASKED HER IF SHE EVER HAD THIS HAPPEN BEFORE AND SHE TOLD ME WHEN SHE WAS LITTLE IT HAPPENED BUT THE LAST TWO TIMES SHE WAS IMMUNIZED NOTHING HAPPENED. SHE TOLD ME THEY USUALLY GAVE HER IMMUNIZATIONS WHEN SHE WAS LYING DOWN. SHE TOLD ME RECENTLY SHE WAS HAVING BLOOD DRAWN AND SHE PASSED OUT. I ASKED HER IF SHE SAW LIGHTS OR ANYTHING AND SHE TOLD ME SHE SAW A CARTOON LIKE THE ONE SHE WAS WATCHING IN THE WAITING ROOM BEFORE SHE WAS IMMUNIZED THEN EVERYTHING WENT BLACK THEN SHE SAW MY FACE. SHE SAID SHE DID NOT REMEMBER WHAT HAD HAPPENED. SHE SAID THAT HER LEFT UPPER FOREHEAD HURT BUT THAT WAS ALL. NOTHING ELSE HURT. SHE WAS ABLE TO SIT UP ON HER OWN AND FINALLY WAS ABLE TO STAND AND GET INTO THE CHAIR. THE CLIENT WAS VERY LARGE AND IT WAS NOT POSSIBLE TO KEEP HER FROM FALLING OUT OF THE CHAIR TO THE FLOOR BECAUSE OF HER SIZE. I GAVE HER A WET TOWEL AND SHE RUBBED IT ON HER FACE AND NECK AND STARTED SHE FELT BETTER. I TOLD HER WE CAN CALL THE AMBULANCE BUT SHE REFUSED ANY MEDICAL CARE. I ADVISED HER IF SHE FELT WORSE TO SEE HER DOCTOR. SHE GOT UP AND WALKED INTO THE WAITING ROOM WITHOUT PROBLEMS. SHE SAT IN THE WAITING ROOM FOR 15 MORE MINUTES AND I CHECKED ON HER PERIODICALLY AND SHE WAS TALKING ON HER CELL PHONE THE WHOLE TIME. I CHECKED ON HER THE 4TH TIME AND SHE WAS NOT THERE. SHE LEFT WITHOUT PROBLEMS.
Age: 21.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, Malaise, Musculoskeletal stiffness
Clinical narrative: ADMINISTERED AN HPV AND MENINGOCOCCUS AS FIRST TIME DOSES TO 21 YEAR OLD FEMALE. ADVISED CLIENT THAT IF SHE DID NOT EAT LUNCH SHE MAY FAINT AS IT IS A SIDE EFFECT OF BOTH VACCINES. SHE STATED SHE DID NOT EAT LUNCH. ADVISED CLIENT TO WAIT 15 MINUTES IN CASE SHE DID FEEL FAINT. AFTER RECEIVING THE IMMUNIZATIONS THE CLIENT STAYED IN THE CHAIR AND DID NOT GET UP. AFTER 5 MINUTES TELLS NURSE SHE IS FEELING BAD. I TELL HER IF SHE IS FEELING BAD TO STAY IN THE CHAIR. A FEW SECONDS AFTER STATING THIS SHE STARTS TO MOVE AND BECAME STRAIGHT AS A BOARD AND STARTED TO TURN FACE DOWN TOWARD THE CHAIR THEN FELL OFF THE CHAIR TO THE FLOOR LANDING ON HER LEFT SIDE OF HER BODY. SHE MADE A GROWLING SOUND AS SHE WAS MOVING. ON THE FLOOR SHE DID NOT MOVE AND I WENT TO SHAKE HER TO SEE IF SHE WAS BREATHING. I TOLD THE CLERK TO CALL 911 AND WAS CALLING HER NAME AND SHE STARTED TO MOVE AND TOLD ME "I AM ALL RIGHT". I ASKED HER AGAIN TO BE SURE AND SHE STARTED TO SIT UP AND SAID AGAIN "I AM ALL RIGHT". I TOOK HER PULSE AND IT WAS SLOW AND SLIGHTLY IRREGULAR. I ASKED HER IF SHE EVER HAD HER HEART CHECKED AND SHE SAID SHE DID WHEN SHE WAS YOUNGER BUT THEY DID NOT FIND ANYTHING. I ASKED HER IF SHE EVER HAD THIS HAPPEN BEFORE AND SHE TOLD ME WHEN SHE WAS LITTLE IT HAPPENED BUT THE LAST TWO TIMES SHE WAS IMMUNIZED NOTHING HAPPENED. SHE TOLD ME THEY USUALLY GAVE HER IMMUNIZATIONS WHEN SHE WAS LYING DOWN. SHE TOLD ME RECENTLY SHE WAS HAVING BLOOD DRAWN AND SHE PASSED OUT. I ASKED HER IF SHE SAW LIGHTS OR ANYTHING AND SHE TOLD ME SHE SAW A CARTOON LIKE THE ONE SHE WAS WATCHING IN THE WAITING ROOM BEFORE SHE WAS IMMUNIZED THEN EVERYTHING WENT BLACK THEN SHE SAW MY FACE. SHE SAID SHE DID NOT REMEMBER WHAT HAD HAPPENED. SHE SAID THAT HER LEFT UPPER FOREHEAD HURT BUT THAT WAS ALL. NOTHING ELSE HURT. SHE WAS ABLE TO SIT UP ON HER OWN AND FINALLY WAS ABLE TO STAND AND GET INTO THE CHAIR. THE CLIENT WAS VERY LARGE AND IT WAS NOT POSSIBLE TO KEEP HER FROM FALLING OUT OF THE CHAIR TO THE FLOOR BECAUSE OF HER SIZE. I GAVE HER A WET TOWEL AND SHE RUBBED IT ON HER FACE AND NECK AND STARTED SHE FELT BETTER. I TOLD HER WE CAN CALL THE AMBULANCE BUT SHE REFUSED ANY MEDICAL CARE. I ADVISED HER IF SHE FELT WORSE TO SEE HER DOCTOR. SHE GOT UP AND WALKED INTO THE WAITING ROOM WITHOUT PROBLEMS. SHE SAT IN THE WAITING ROOM FOR 15 MORE MINUTES AND I CHECKED ON HER PERIODICALLY AND SHE WAS TALKING ON HER CELL PHONE THE WHOLE TIME. I CHECKED ON HER THE 4TH TIME AND SHE WAS NOT THERE. SHE LEFT WITHOUT PROBLEMS.
Age: 54.0
Sex: M
Vaccine: YF
Symptoms: Wrong technique in drug usage process
Clinical narrative: Client received 1st yellow fever vaccination on 5/22/08 --Vaccine had been reconstituted for greater than 1 hour.  Client was brought back in on 5/28/08 and revaccinated with Yellow Fever vaccine.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Patient developed rash after vaccine administration.
Age: 53.0
Sex: F
Vaccine: YF
Symptoms: Wrong technique in drug usage process
Clinical narrative: Client received 1st yellow fever vaccination on 5/22/08--Vaccine had been reconstituted for greater than 1 hour.  Client was brought back on 5/28/08 and revaccinated with Yellow Fever Vaccine.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Pain, Swelling, Tenderness
Clinical narrative: Received Td vaccine(MassBioLogics exp. 12-26-09) on 6-02-08 to left deltoid. On 6-03-08 felt pain, soreness and redness. On 6-04-08 had swelling, tender to touch, pain and slightly hard.Instructed to take Ibuprofen or Tylenol for pain and apply warm or cold compresses for comfort. Report to Health Management Services if symptoms do not subside
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Erythema multiforme
Clinical narrative: Five days after vaccination of MMR, DTap,and HIB child presented with Erythema Multiforme.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Dizziness, Headache, Pyrexia, Throat tightness
Clinical narrative: Pt. contacted clinic on 05/06/08stating that at 0600 on 05/02/08 (day after Tdap) he experienced chiils, fever of 101, dizziness, headache, & feeling as if his throat was constricting.  There was no local reaction noted by pt. & he did not seek medical treatment at the time.  He reported feeling fine by the next day.***Pt. regularly receives allergy shots which were administerd in each arm at that appt.
Age: 40.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: AFTER RECEIVING THE SHOT, THE ARM WHERE THE SHOT WAS GIVEN STARTED TO HURT.  IT HURT THE WORSE THE FIRST THREE DAYS THEN THE PAIN DECREASED BUT HAS NOT COMPLETELY GONE AWAY.  THE SHOULDER IS THE MAIN LOCATION OF THE PAIN.  ALSO, HIS BACK AND NOW KNEE HURTS TOO.  PATIENT HAS TAKEN ASPIRIN, USED AN ICE PACK, AND TAKEN INDOMETHACIN TO HELP WITH THE PAIN.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: dizziness and fatigue 5 hours after immunization received.  Swelling, soreness and redness at site. Lasted for four days.  2nd day - facial swelling occurred as well.  Ibuprofen and Benadryl taken regularly for 5 days.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling face
Clinical narrative: dizziness and fatigue 5 hours after immunization received.  Swelling, soreness and redness at site. Lasted for four days.  2nd day - facial swelling occurred as well.  Ibuprofen and Benadryl taken regularly for 5 days.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Pupils unequal
Clinical narrative: 05/29/08 - 8 pm - notice different size pupils, headache.  5/30/08 - 1 pm - dizziness, 30 second loss of vision, headache, uneven pupils.  6/4 uneven pupils, headache.  8/26/08 Reviewed ER medical records of 6/05/2008. FINAL DX: probable migraine HA Records reveal patient experienced HA, transient visual disturbance & intermittent unequal pupils.  Referred to neuro & neuro-opthalmologist & those reports are included.  Neuro exam was WNL.  Neuro-Ophtho exam of 6/19/08 revealed significant orthostatic blood pressure changes with normal neuro/eye exam.  Recommended additional cardiology w/u to include transesophageal echocardiogram, tilt table test & catecholamine blood test.  6/6/08 Reviewed PCP medical records. FINAL DX: vasovagal syncope Records reveal patient experienced good health on day of vax.  Only complaint re BCP which caused nausea.  Seen in ER on 5/30 w/episode of bilateral loss of vision that day.  Had seen chiropractor & also exercised earlier that day.  While stretching her neck during exercise, felt lightheaded & weak then lost vision in both eyes & felt faint.  Symptoms resolved spontaneously in approx 20 seconds.  Seen by PCP & sent to ER.  Neuro consult done.  Continued to feel lightheaded while in ER otherwise asymptomatic.  Placed in cervical collar.  F/U visit to PCP on 6/2 for continued vision difficulties & dizziness.  Optho eye examination WNL.   Eye exam on 6/2 revealed PERL.  Concured w/ER diagnosis   6/13/08 Reviewed ER medical records of 5/30/2008. FINAL DX: near syncope Records reveal patient had seen chiropractor 5/30 for neck manipulation then went to gym for work out.  While stretching neck laterally, had lightheadedness & felt weak then gradually lost vision in both eyes & became very light headed & felt like she was going to pass out.  In ER, placed in cervical collar & felt better.  7/11/08 Reviewed opthamologist & neurologist medical records of 6/2-6/19/2008. FINAL DX: transient vision loss Records reveal patient experienced sudden onset dizziness & loss of vision followed by HA, unequal pupils & fatigue.  Exam WNL.  Referred to neurology & seen 6/19/2008 w/HA x 3 wks, blurred vision, dizziness & fatigue.  Neuro exam revealed significant orthostasis.  Suggested referred to cardiologist & additional lab work by PCP.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Blindness, Convulsion, Fatigue, Headache, Pupils unequal
Clinical narrative: 05/29/08 - 8 pm - notice different size pupils, headache.  5/30/08 - 1 pm - dizziness, 30 second loss of vision, headache, uneven pupils.  6/4 uneven pupils, headache.  8/26/08 Reviewed ER medical records of 6/05/2008. FINAL DX: probable migraine HA Records reveal patient experienced HA, transient visual disturbance & intermittent unequal pupils.  Referred to neuro & neuro-opthalmologist & those reports are included.  Neuro exam was WNL.  Neuro-Ophtho exam of 6/19/08 revealed significant orthostatic blood pressure changes with normal neuro/eye exam.  Recommended additional cardiology w/u to include transesophageal echocardiogram, tilt table test & catecholamine blood test.  6/6/08 Reviewed PCP medical records. FINAL DX: vasovagal syncope Records reveal patient experienced good health on day of vax.  Only complaint re BCP which caused nausea.  Seen in ER on 5/30 w/episode of bilateral loss of vision that day.  Had seen chiropractor & also exercised earlier that day.  While stretching her neck during exercise, felt lightheaded & weak then lost vision in both eyes & felt faint.  Symptoms resolved spontaneously in approx 20 seconds.  Seen by PCP & sent to ER.  Neuro consult done.  Continued to feel lightheaded while in ER otherwise asymptomatic.  Placed in cervical collar.  F/U visit to PCP on 6/2 for continued vision difficulties & dizziness.  Optho eye examination WNL.   Eye exam on 6/2 revealed PERL.  Concured w/ER diagnosis   6/13/08 Reviewed ER medical records of 5/30/2008. FINAL DX: near syncope Records reveal patient had seen chiropractor 5/30 for neck manipulation then went to gym for work out.  While stretching neck laterally, had lightheadedness & felt weak then gradually lost vision in both eyes & became very light headed & felt like she was going to pass out.  In ER, placed in cervical collar & felt better.  7/11/08 Reviewed opthamologist & neurologist medical records of 6/2-6/19/2008. FINAL DX: transient vision loss Records reveal patient experienced sudden onset dizziness & loss of vision followed by HA, unequal pupils & fatigue.  Exam WNL.  Referred to neurology & seen 6/19/2008 w/HA x 3 wks, blurred vision, dizziness & fatigue.  Neuro exam revealed significant orthostasis.  Suggested referred to cardiologist & additional lab work by PCP.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Tunnel vision
Clinical narrative: 05/29/08 - 8 pm - notice different size pupils, headache.  5/30/08 - 1 pm - dizziness, 30 second loss of vision, headache, uneven pupils.  6/4 uneven pupils, headache.  8/26/08 Reviewed ER medical records of 6/05/2008. FINAL DX: probable migraine HA Records reveal patient experienced HA, transient visual disturbance & intermittent unequal pupils.  Referred to neuro & neuro-opthalmologist & those reports are included.  Neuro exam was WNL.  Neuro-Ophtho exam of 6/19/08 revealed significant orthostatic blood pressure changes with normal neuro/eye exam.  Recommended additional cardiology w/u to include transesophageal echocardiogram, tilt table test & catecholamine blood test.  6/6/08 Reviewed PCP medical records. FINAL DX: vasovagal syncope Records reveal patient experienced good health on day of vax.  Only complaint re BCP which caused nausea.  Seen in ER on 5/30 w/episode of bilateral loss of vision that day.  Had seen chiropractor & also exercised earlier that day.  While stretching her neck during exercise, felt lightheaded & weak then lost vision in both eyes & felt faint.  Symptoms resolved spontaneously in approx 20 seconds.  Seen by PCP & sent to ER.  Neuro consult done.  Continued to feel lightheaded while in ER otherwise asymptomatic.  Placed in cervical collar.  F/U visit to PCP on 6/2 for continued vision difficulties & dizziness.  Optho eye examination WNL.   Eye exam on 6/2 revealed PERL.  Concured w/ER diagnosis   6/13/08 Reviewed ER medical records of 5/30/2008. FINAL DX: near syncope Records reveal patient had seen chiropractor 5/30 for neck manipulation then went to gym for work out.  While stretching neck laterally, had lightheadedness & felt weak then gradually lost vision in both eyes & became very light headed & felt like she was going to pass out.  In ER, placed in cervical collar & felt better.  7/11/08 Reviewed opthamologist & neurologist medical records of 6/2-6/19/2008. FINAL DX: transient vision loss Records reveal patient experienced sudden onset dizziness & loss of vision followed by HA, unequal pupils & fatigue.  Exam WNL.  Referred to neurology & seen 6/19/2008 w/HA x 3 wks, blurred vision, dizziness & fatigue.  Neuro exam revealed significant orthostasis.  Suggested referred to cardiologist & additional lab work by PCP.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Blindness transient, Headache, Nuclear magnetic resonance imaging, Pupils unequal, Vision blurred
Clinical narrative: 05/29/08 - 8 pm - notice different size pupils, headache.  5/30/08 - 1 pm - dizziness, 30 second loss of vision, headache, uneven pupils.  6/4 uneven pupils, headache.  8/26/08 Reviewed ER medical records of 6/05/2008. FINAL DX: probable migraine HA Records reveal patient experienced HA, transient visual disturbance & intermittent unequal pupils.  Referred to neuro & neuro-opthalmologist & those reports are included.  Neuro exam was WNL.  Neuro-Ophtho exam of 6/19/08 revealed significant orthostatic blood pressure changes with normal neuro/eye exam.  Recommended additional cardiology w/u to include transesophageal echocardiogram, tilt table test & catecholamine blood test.  6/6/08 Reviewed PCP medical records. FINAL DX: vasovagal syncope Records reveal patient experienced good health on day of vax.  Only complaint re BCP which caused nausea.  Seen in ER on 5/30 w/episode of bilateral loss of vision that day.  Had seen chiropractor & also exercised earlier that day.  While stretching her neck during exercise, felt lightheaded & weak then lost vision in both eyes & felt faint.  Symptoms resolved spontaneously in approx 20 seconds.  Seen by PCP & sent to ER.  Neuro consult done.  Continued to feel lightheaded while in ER otherwise asymptomatic.  Placed in cervical collar.  F/U visit to PCP on 6/2 for continued vision difficulties & dizziness.  Optho eye examination WNL.   Eye exam on 6/2 revealed PERL.  Concured w/ER diagnosis   6/13/08 Reviewed ER medical records of 5/30/2008. FINAL DX: near syncope Records reveal patient had seen chiropractor 5/30 for neck manipulation then went to gym for work out.  While stretching neck laterally, had lightheadedness & felt weak then gradually lost vision in both eyes & became very light headed & felt like she was going to pass out.  In ER, placed in cervical collar & felt better.  7/11/08 Reviewed opthamologist & neurologist medical records of 6/2-6/19/2008. FINAL DX: transient vision loss Records reveal patient experienced sudden onset dizziness & loss of vision followed by HA, unequal pupils & fatigue.  Exam WNL.  Referred to neurology & seen 6/19/2008 w/HA x 3 wks, blurred vision, dizziness & fatigue.  Neuro exam revealed significant orthostasis.  Suggested referred to cardiologist & additional lab work by PCP.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Warm, red, swelling of left arm extending down to elbow yesterday - appears better today, no fever.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 5x10 cm area mildly swollen pink, itchy
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: My son received Varicella vaccination on Monday,June 2, 2008. The medical assistant administered it sub-cutaneously left UE. Within 24 hours proximal to the injection site, he developed a raised reddened area measuring 2.25 inches by 1.75 inches with a bright red center, warm to touch. The area was painless, and did not itch. Over the next 48 hours the area increased to measurements of 3.5 inches by2.75 inches raised with a bright red center measuring 0.75 inches by0.75 inches. The entire area was warm to touch.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Hep A and Menactra given 6-04-08. Nausea, vomiting low-grade fever on 6-05-08. Treated symptoms.
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Arthralgia, Axillary pain, Flank pain, Injected limb mobility decreased, Joint range of motion decreased
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Mobility decreased, Swelling, Tenderness
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Anorexia, Arthralgia, Bladder pain, Burning sensation, Chromaturia
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Dizziness, Eyelid disorder, Hyperaesthesia, Hyperhidrosis, Hypoaesthesia facial
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Hypokinesia, Nightmare, Oedema peripheral, Pain in extremity, Pharyngolaryngeal pain
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pruritus, Skin odour abnormal, Somnolence, Thirst, Urine output decreased
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 41.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Vaginal discharge, Vulvovaginal pruritus
Clinical narrative: Patient developed pain in the left armpit with a feeling of swelling and problem with elevating arm.  Also complained of pain in left flank and left hip.  Exam on day 4 post vaccine did not reveal any redness but paitient was tender to palpation and had decreased active range of motion in left shoulder
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Dyskinesia, Immediate post-injection reaction, Syncope
Clinical narrative: Afternoon of 6/2/08 - pt. felt faint immediately post vaccination which cleared after putting head between knees. A few minutes after that, he fainted. As he came out of the faint, he appeared to have a seizure-like episode (mild jerking), briefly, lasting about 15-20 seconds, after which he woke up, completely oriented. He was walked to an examination table, where he reclined about 20 minutes
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Heart rate normal, Loss of consciousness, Pallor
Clinical narrative: NURSE'S NOTES: Pt given first Hpv shot and got to check out window and pt passed out. Pt did not hit her head or any other areas of the body.Pt was pale in color. Bp 110/70  P- 80 .Pt given sips of water and stated that she felt fine. Taken to exam room for observation for any other symptoms. Bp 108/ 70 P- 84. Pt continuing taking water. Pt with mother and waited in room. Pt left with mother and was not dizzy, light headed or having any other symptoms.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Haematochezia, Intussusception, Pallor, Ultrasound scan abnormal
Clinical narrative: 03/26/08 PRESENTED TO HOSPITAL W/ VOMITING, PALE IN COLOR, AND BRIGHT RED BLOOD IN DIAPER. LAB WORK AND IV'S DONE PRIOR TO TRANSFER TO HOSPITAL. 6/19/08-records received for DOS 3/26/08-presented to ED with C/O blood in stool, low grade fever, vomiting. Assessment: abdominal pain, vomiting, rectal bleeding. Transferred. 6/24/08-records received for DOS 3/26-3/27/08- DX: Intussusception. Vomiting began day prior to admission. Surgery laparotomy reduction of intussusception.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: 03/26/08 PRESENTED TO HOSPITAL W/ VOMITING, PALE IN COLOR, AND BRIGHT RED BLOOD IN DIAPER. LAB WORK AND IV'S DONE PRIOR TO TRANSFER TO HOSPITAL. 6/19/08-records received for DOS 3/26/08-presented to ED with C/O blood in stool, low grade fever, vomiting. Assessment: abdominal pain, vomiting, rectal bleeding. Transferred. 6/24/08-records received for DOS 3/26-3/27/08- DX: Intussusception. Vomiting began day prior to admission. Surgery laparotomy reduction of intussusception.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash vesicular
Clinical narrative: vesicular scattered rash on trunk with onset 13 days after varicella vaccine, no fever, mild itching. Symptomatic treatment prescribed and observation
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Blood pressure, Dizziness, Fall, Heart rate normal
Clinical narrative: Adolescent was leaving the clinic about 5 minutes after receiving her vaccine.  She fell faint, fell onto a chair and into the arms of public health nurse who eased her to the floor.  She rested lying down on the floor with cool compress to forehead, legs elevated, and sucking on lollipop for about 20 minutes.  She was alert.  BP 110/60 P 72.   After 20 minutes of resting lying down and then in sitting position, she was released.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Activities of daily living impaired, Arthralgia, Inappropriate schedule of drug administration, Injection site erythema, Injection site pain
Clinical narrative: on Sunday  6/1/08 when woke in am. Complaints of severe muscle and joint pain whole body,also slight soreness on left arm at injection site. no reddnes noted at this time. At approx 2pm noted  at injection site small red pimple like mark then clear normal skin then  1 1/2 inchs below site area of reddness and slight swelling size 2"x2" inches irregular marking going down arm. . Also the severe pain whole body and joints. Took Ibuprofen and tylenol all day, with ice/ heat alternating to arm every 2 hours. On Monday 6/2/08 same symptoms and treatments. On Tuesday 6/3/08 Severe pain whole body, arm reddnes spredding down arm now size is 4"x4" irregular mark and swelling and reddness increased. Area at injection site was normal appearring skin. reddness  approx. 1 1/2 in. away from inj. site. On Wed. 6/4/08 Body aches better but not completly gone, More in hip/leg joints. Area on arm same as on Tues. On Thurs. 6/5/08 area of reddness getting better not as big or red.Soreness better joint pain better but still not completly gone. During all this time no fever noted. Was treatment was with ibuprofen and tylenol with ice/ heat to arm alternating every 2 hours and rest ( I slept alot during this time). I did miss 2 days of work due to the severe pain.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Myalgia, Pain
Clinical narrative: on Sunday  6/1/08 when woke in am. Complaints of severe muscle and joint pain whole body,also slight soreness on left arm at injection site. no reddnes noted at this time. At approx 2pm noted  at injection site small red pimple like mark then clear normal skin then  1 1/2 inchs below site area of reddness and slight swelling size 2"x2" inches irregular marking going down arm. . Also the severe pain whole body and joints. Took Ibuprofen and tylenol all day, with ice/ heat alternating to arm every 2 hours. On Monday 6/2/08 same symptoms and treatments. On Tuesday 6/3/08 Severe pain whole body, arm reddnes spredding down arm now size is 4"x4" irregular mark and swelling and reddness increased. Area at injection site was normal appearring skin. reddness  approx. 1 1/2 in. away from inj. site. On Wed. 6/4/08 Body aches better but not completly gone, More in hip/leg joints. Area on arm same as on Tues. On Thurs. 6/5/08 area of reddness getting better not as big or red.Soreness better joint pain better but still not completly gone. During all this time no fever noted. Was treatment was with ibuprofen and tylenol with ice/ heat to arm alternating every 2 hours and rest ( I slept alot during this time). I did miss 2 days of work due to the severe pain.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Head injury, Loss of consciousness, Nausea, Syncope
Clinical narrative: A few minutes after receiving the vaccines, she began feeling dizzy and queasy.  She put her head between her knees and sipped some water and the feelings passed.  We then left the exam room to check out.  After standing at the check out desk for a few minutes, she lost consciousness.  She collapsed, hitting her head on the wall/chair behind her.  The nurses and doctor laid her down on the floor and elevated her feet.  In a minute or two, she regained consciousness.  She was wheeled back to the exam room and given some juice.  Her vital signs were good and she had suffered no injuries in the fall other than a slight lump on her head.  She was able to walk out of the office about five minutes later.
Age: 18.0
Sex: F
Vaccine: HPV4, TYP
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: red, itching, wheel at site of injection, warm to touch, treated with Benadryl gel, symptoms lasted x1 week. observed upon waking up in the morning of 6/1/08.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Influenza like illness, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: 3-4 days after vaccine, developed fever and flu-like symptoms, then developed erythematous maculopapular rash.  Had a few vesicles and pustules, no cellulitis
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pustular
Clinical narrative: 3-4 days after vaccine, developed fever and flu-like symptoms, then developed erythematous maculopapular rash.  Had a few vesicles and pustules, no cellulitis
Age: 73.0
Sex: M
Vaccine: YF
Symptoms: Encephalitis, Polymerase chain reaction, Viral DNA test negative
Clinical narrative: Patient is hospitalized at Hospital for encephalitis.  6/17/2008 MR received for 3 admissions 4/22-26, 4/27-30, and 5/2-15 2008. D/C DX 4/26/08:  Encephalitis/aseptic meningitis, w/u for HSV (-).  Cardiomyopathy, s/p aortic valve replacement, on Coumadin anticoagulation.  HTN.  Hyperlipidemia, COPD, Hx of lung CA. D/C DX 4/30/08:  Seizure/encephalopathy, improved. Viral encephalitis improved. HTN, Hyperlipidemia, COPD, S/P aortic valve replacement.  Hx of lung CA. D/C DX 5/15/08:  Encephalitis most likely viral.  Seizure d/o 2' to above.  Hx of aortic valve replacement.  HTN.  Hyperlipidemia, COPD, Hx lung Ca, Hx skin CA, S/p appendectomy.  Hx of previous small bowel obstruction. Pt initially presented with difficulty speaking. Neuro exam (+) for expressive aphasia. Pt improved and d/c. Returned 1 day after d/c with altered LOC and seizure with post-ictal encephalopathic state. Unable to walk. Started on seizure meds. Returned again with persistant confusion. W/u (-). Pt improved and again d/c.
Sex: F
Vaccine: HEP, HEPA, JEV, TYP
Symptoms: Rash generalised
Clinical narrative: 48 HOURS AFTER RECEIVING JAPANESE ENCEPHALITIS VACCINE, PT PRESENTED TO CLINIC WITH RASH ON TRUNK, NECK AND FACE. SAW PHYSICIAN ON 6-5-08 AND WAS RX'ED BENADRYL,AND HCT CREAM.
Age: 1.6
Sex: F
Vaccine: HEPA
Symptoms: Nasal congestion, Pyrexia, Retching, Rhinorrhoea, Vomiting
Clinical narrative: One day after vaccination (vaccine given on 05/27/2008)developed vomiting/dry heaves and fever 102.5 axillary. She also has a "stuffy nose" with clear drainage. Mom has been giving Tylenol alternating with Motrin.  Given a suppository for vomiting at emergency on the evening of 05/28/2008. Mom was also instructed by emergency room staff to give patient lukewarm baths if fever persisted. On 05/29/2008 continued to experience vomiting and fever, no more "stuffy nose." On 06/02/2008, Mom states:  no fever since 05/30/2008,vomited x 2 on Saturday, 05/31/2008; and x1 on Sunday 06/01/2008. States patient "all better" on 06/02/2008.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Hyperhidrosis
Clinical narrative: fever 101(only took temp. once during whole episode tho i had ongoing fever)---aches and pains esp. joints--sweats--decreased appetite(felt i would vomit if i ate)--tired and weak--slept most of the time for over 54 hrs.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Hypersomnia, Pyrexia
Clinical narrative: fever 101(only took temp. once during whole episode tho i had ongoing fever)---aches and pains esp. joints--sweats--decreased appetite(felt i would vomit if i ate)--tired and weak--slept most of the time for over 54 hrs.
Age: 60.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Pt complained of lightheadedness, dizziness, nausea almost immediately after YF vaccination (it was the 3rd and last one administered). Pt put head down on desk, continued to complain of above symptoms. Then she loss consciousness for about 2 min. In these 2 min her head was put between her knees, and when she did not regain consciousness she was eased to the floor with out any injury. As soon as she was prone she regained consciouness without any confusion. She knew what had happened and remembered everything up to the moment she passed out. She had not eaten for almost 5 hr, she was offered and was able, after a few minutes, drink juice and eat crackers. Approximately 40 minutes after regaining consciousness she left. Contacted by phone 4 hrs later, Pt stated she had gone home and slept for almost 3 hrs and was feeling well.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Father noted a raised area the size of a quarter on 6/4/08 on the childs Right Arm. On 6/5/08 the swelling increased and the lump was hard and warm. Also on 6/5/08 father noted a quarter size lump on the Left Arm.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody negative, Blood cholesterol normal, Blood glucose normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative
Clinical narrative: One month after 2nd vaccine in Gardasil series (in Dec. 2007), began having tingling and numbness on and off in the hands, feet, arms, and legs, including right arm (site of injection).  After third vaccine (in April 2008), immediately noticed an abundance of eye "floaters," including a dark, shadowy floater.  Tingling has continued intermittently through the present date (June 5, 2008).  I have seen numerous doctors, a neurologist, an ophthalmologist, and counselors to deal with the stress of the ordeal. I have received clean tests for Lyme, B12 deficiency, rheumatoid arthritis, high cholesterol/diabetes, anti-nuclear antibodies, TSH RPR, and segmentation westergreen.  I have also had an EMG, a full battery evoked potentials test, and an MRI.  All test have come back normal, but symptoms are persisting. 6/6/08 Patient w/numbness & tingling of hands/feet.  BCP changed. 6/20/08 Reviewed PCP medical records of 1/9/08-5/8/08 which included neurology consult.   FINAL DX: sporadic paresthesias Records reveal patient experienced hand tingling & numbness for 2-3 days, more on the right, in early January.  Developed dizzy spells w/lightheadedness intermittently.  Referred for second neuro opinion.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Electromyogram normal, Nuclear magnetic resonance imaging normal, Paraesthesia, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: One month after 2nd vaccine in Gardasil series (in Dec. 2007), began having tingling and numbness on and off in the hands, feet, arms, and legs, including right arm (site of injection).  After third vaccine (in April 2008), immediately noticed an abundance of eye "floaters," including a dark, shadowy floater.  Tingling has continued intermittently through the present date (June 5, 2008).  I have seen numerous doctors, a neurologist, an ophthalmologist, and counselors to deal with the stress of the ordeal. I have received clean tests for Lyme, B12 deficiency, rheumatoid arthritis, high cholesterol/diabetes, anti-nuclear antibodies, TSH RPR, and segmentation westergreen.  I have also had an EMG, a full battery evoked potentials test, and an MRI.  All test have come back normal, but symptoms are persisting. 6/6/08 Patient w/numbness & tingling of hands/feet.  BCP changed. 6/20/08 Reviewed PCP medical records of 1/9/08-5/8/08 which included neurology consult.   FINAL DX: sporadic paresthesias Records reveal patient experienced hand tingling & numbness for 2-3 days, more on the right, in early January.  Developed dizzy spells w/lightheadedness intermittently.  Referred for second neuro opinion.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Somatosensory evoked potentials, Stress, Syphilis test negative, Vitamin B12 normal, Vitreous floaters
Clinical narrative: One month after 2nd vaccine in Gardasil series (in Dec. 2007), began having tingling and numbness on and off in the hands, feet, arms, and legs, including right arm (site of injection).  After third vaccine (in April 2008), immediately noticed an abundance of eye "floaters," including a dark, shadowy floater.  Tingling has continued intermittently through the present date (June 5, 2008).  I have seen numerous doctors, a neurologist, an ophthalmologist, and counselors to deal with the stress of the ordeal. I have received clean tests for Lyme, B12 deficiency, rheumatoid arthritis, high cholesterol/diabetes, anti-nuclear antibodies, TSH RPR, and segmentation westergreen.  I have also had an EMG, a full battery evoked potentials test, and an MRI.  All test have come back normal, but symptoms are persisting. 6/6/08 Patient w/numbness & tingling of hands/feet.  BCP changed. 6/20/08 Reviewed PCP medical records of 1/9/08-5/8/08 which included neurology consult.   FINAL DX: sporadic paresthesias Records reveal patient experienced hand tingling & numbness for 2-3 days, more on the right, in early January.  Developed dizzy spells w/lightheadedness intermittently.  Referred for second neuro opinion.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Gait disturbance, Injection site swelling
Clinical narrative: Left thigh slight swoolen, limping while walking
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Urticaria
Clinical narrative: The arm where received injection developed hives. Also developed hives in a few other places on body.  The rash appeared the second day after the vacination and got worse on the 3rd & 4th day.