chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Tendonitis, Toothache, Weight decreased, X-ray
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Abasia, Abdominal pain, Henoch-Schonlein purpura, Pain in extremity, Testicular pain
Clinical narrative: Received varicella vaccine 7-1-08 and shortly thereafter developed c/w Henoch Schoenlein Purpura complicated with testicular pain on 7/12/08 and on 7/29/08 had severe abdominal pain and leg pain and unable to ambulate. Hospitalized about 48 hours and started on steroids and tapered over one month and now much improved, Off steroids.  10/24/2008 MR received for DOS 7/29-31/2008 with D/C DX:  Henoch-Schlonlein Purpura.  Abdominal Pain. Leg Pain. Pt presented with worsening abdominal and L calf pain following an outpt dx of HSP. Pt developed testicular and ankle swelling 2' to HSP. He was later seen for worsening peri-umbilical pain and emesis.  Started on steroids with some improvement in sx and rash resolving. At f/u visit 7/31/08 pt reported 4 day hx of worsening abdominal pain, spreading rash and difficulty walking 2' to calf pain. Pt admitted. Admission PE (+) for calf pain and tearfulness 2' to pain with (-) Homan's, periumbilical tenderness, L calf tenderness, multiple petechial and purpuric skin lesions, with excoriation, dryness, and scabbing of old lesions.  High dose steroids initiated x 1 month.
Age: 60.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Pain in extremity, Paraesthesia, Ultrasound scan
Clinical narrative: Client received rabies (IMOVAX) dose 1 and 2 IM 8/7/08 and 8/14/08. Symptoms of tingling in (L) foot and leg started after start of series and progressed to pain. Saw MD who ruled out DVT. Reevaluation on 8/29/08. Dr not sure vaccine related.
Age: 60.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Muscular weakness, Pain, Pain in extremity, Paraesthesia, Sciatica
Clinical narrative: Client received rabies (IMOVAX) dose 1 and 2 IM 8/7/08 and 8/14/08. Symptoms of tingling in (L) foot and leg started after start of series and progressed to pain. Saw MD who ruled out DVT. Reevaluation on 8/29/08. Dr not sure vaccine related.
Age: 60.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Ultrasound scan normal
Clinical narrative: Client received rabies (IMOVAX) dose 1 and 2 IM 8/7/08 and 8/14/08. Symptoms of tingling in (L) foot and leg started after start of series and progressed to pain. Saw MD who ruled out DVT. Reevaluation on 8/29/08. Dr not sure vaccine related.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Oedema peripheral, Pain, Skin warm
Clinical narrative: Swollen (R) arm, felt warm and patient had minor pain.
Age: 1.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient came into clinic 9/3/08 wit a rash on jaw/neck; diagnosed as shingles. Has had only 1 VARIVAX 12/10/04. No previous history of chickenpox.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Lethargy, Pyrexia
Clinical narrative: Child began fever 8/27 eve (vaccine given 8/26 aft DTAP, IPV, MMR V).  Has remained at 103 po for hours.  Mother alternating antifever meds Motrin/Tylenol with no relief.  Child is eating and drinking.  Is lethargic.  Instructed to continue with antifever med q 4 hours, give fluids - sx if no improvement tomorrow, to call doctor.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Body temperature increased, Convulsion, Mechanical ventilation
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Base excess decreased, Blood bicarbonate decreased, Blood culture negative, Blood pH decreased, Blood pH increased
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Blood phosphorus increased, Blood test abnormal, Body temperature increased, CSF culture negative, Carboxyhaemoglobin normal
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Culture urine negative, Dyskinesia, Dyspnoea, Electroencephalogram abnormal, Encephalopathy
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Endotracheal intubation, Febrile convulsion, Gaze palsy, Gram stain negative, Haemoglobin decreased
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Increased bronchial secretion, Laboratory test normal, Mechanical ventilation, Oxygen saturation decreased, Oxygen saturation increased
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: PCO2 increased, PO2 increased, Pallor, Polymerase chain reaction, Pulmonary oedema
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 0.6
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Respiratory failure, Shock, Viral test negative
Clinical narrative: Initial report was received 27 August 2008 from a physician. A seven-month-old female patient with a medical history of mild eczema, experienced a seizure on the same day she had received a third dose intramuscular right thigh injection of DAPTACEL, lot number C2957AA. The patient had received a third dose intramuscular right outer thigh injection of PCV-7, lot number C96205B (manufactured by Wyeth) and a third dose (oral) of "ROTO", lot number 0406X (manufactured by Merck) concomitantly with DAPTACEL. The patient had not been ill and had not been taking any concomitant medications at the time of vaccination. On 27 August 2008 (also reported as 26 August 2008), the patient had been seen by their physician for their routine six month well child check up with no problems noted. The patient was immunized with DAPTACEL, PCV-7 and "ROTO". The patient's father administered TYLENOL drops post injection and dropped the patient off at day care. The mother picked up the patient at 16:00 from day care and the patient was "OK". At 18:00, the mother noted an increased temperature and started to administer TYLENOL when the patient experienced a seizure. The patient was taken to the emergency room and was reported to be on a ventilator. At the time of the report, the patient's recovery status was not reported.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Malaise, Pain, Pharyngitis, Pyrexia
Clinical narrative: Information has been received from a certified nurse midwife concerning a 14 year old female who on 10-JUL-2008 was vaccinated with a second 0.5 ml dose of GARDASIL by intramuscular injection (lot number and injection site not reported).  Several days later, the patient developed pharyngitis, pain (unspecified), swelling (unspecified), fever, dizziness and malaise.  The patient was hospitalized for several days.  She was treated with a MEDROL dose pack.  At time of this report, the patient's events persisted.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling
Clinical narrative: Information has been received from a certified nurse midwife concerning a 14 year old female who on 10-JUL-2008 was vaccinated with a second 0.5 ml dose of GARDASIL by intramuscular injection (lot number and injection site not reported).  Several days later, the patient developed pharyngitis, pain (unspecified), swelling (unspecified), fever, dizziness and malaise.  The patient was hospitalized for several days.  She was treated with a MEDROL dose pack.  At time of this report, the patient's events persisted.  Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, PPV, YF
Symptoms: Headache, Injection site urticaria, Pyrexia
Clinical narrative: Hives, headache, fever 103 around injection site.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: None. Given Adacel Tdap instead of Boostrix. Medication error.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Arthritis, Injected limb mobility decreased, Musculoskeletal pain, X-ray limb abnormal
Clinical narrative: Vaccine administered 5-13-08. 5-15-08 Soreness in right shoulder, supralateral aspect then more pronounced. On 5-19-08 reported cannot lift above horizontal. No paresthesia, weakness or fever.
Age: 1.1
Sex: M
Vaccine: HEP, HEPA, VARCEL
Symptoms: Abnormal faeces, Vomiting
Clinical narrative: Vomited all night - one stool with odor
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling of right leg at vaccine site; only faint erythema muscle in area about 4" x4"; normal gait and use of leg
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Induration, Local reaction
Clinical narrative: After receiving Zoster vaccine, patient experienced dizziness/room spinning that began 24 hours after vaccine and lasted about 1 week (same amount of time as local induration of arm).
Age: 18.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, MNQ, TDAP
Symptoms: Blood pressure, Dizziness, Pallor
Clinical narrative: After getting vaccines became pale, complained of feeling dizzy. Laid down on exam table. BP 68/42 - Later 30/60, Mom states the entire family has low Blood Pressure. Placed cold compress on forehead and back of neck.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Headache, Muscular weakness, Myalgia, Skin tightness
Clinical narrative: Diffuse myalgia, weakness of fingers and hands; feeling of tightness when trying to close hands; moderate to severe headache.  Lasted 2 days, improved over 2 days.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Blood creatine phosphokinase increased, Troponin I
Clinical narrative: 24 hours after immunizations, developed L sided chest pain, worse on pressure being applied to the L parasternal area.  28 hours after immunization, involuntary tremors for 3 hours.  9/12/08 Reviewed hospital medical records of 8/28-8/29/08. FINAL DX: chest pain due to skeletal muscle injury; tremors of unknow origin Records reveal patient experienced intermittent left sided substernal chest pain day after vaccinations.  Developed dizziness & trembling.  Progressed well & was d/c but during d/c had recurrent chest pain.  Repeat labs & EKG WNL & d/c to home.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain
Clinical narrative: Patient returned to clinic on 08/29/2008 complaining of tenderness on the outside of the right upper arm.  The patient experienced an
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dermatitis, Injection site discolouration, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: The vaccine adverse is on my daughter's left thigh.  The lesion started out rather small - the size of a nickel, looking like a birthmark, now it is 4" long and 3" wide.  I first noticed the mark around Christmas time of 2007.  The color is lighter than my daughter's complexion.  It resembles a rash; it's kind of bumpy and raised.  It is sometimes itchy and painful.  When it began to spread, I contacted her doctor and explained the mark to him.  I took her to see him and his diagnosis was stated to be an "epidermal dermatitis".  To get another opinion, he referred her to a dermatologist, his diagnosis was indicated as "interface dermatitis, mild".  He prescribed her with two different ointments that didn't help at all (a. Fluocinonide ointment and b. Differin cream).  We were later referred to another dermatologist on the 23 of July and his diagnosis was stated to be "Lichen striatus", in which he has prescribed a Topricot cream for her.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site reaction, Lichen striatus, Skin lesion, Skin test positive
Clinical narrative: The vaccine adverse is on my daughter's left thigh.  The lesion started out rather small - the size of a nickel, looking like a birthmark, now it is 4" long and 3" wide.  I first noticed the mark around Christmas time of 2007.  The color is lighter than my daughter's complexion.  It resembles a rash; it's kind of bumpy and raised.  It is sometimes itchy and painful.  When it began to spread, I contacted her doctor and explained the mark to him.  I took her to see him and his diagnosis was stated to be an "epidermal dermatitis".  To get another opinion, he referred her to a dermatologist, his diagnosis was indicated as "interface dermatitis, mild".  He prescribed her with two different ointments that didn't help at all (a. Fluocinonide ointment and b. Differin cream).  We were later referred to another dermatologist on the 23 of July and his diagnosis was stated to be "Lichen striatus", in which he has prescribed a Topricot cream for her.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed Herpes Zoster lesions on the left shoulder 6 weeks after administration of Zostavax vaccine.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swollen red area on right ant. bicep area. Ice applied.  Vaccine given Tuesday (9-02)per Mom.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Rash generalised
Clinical narrative: Rash all over body 9 days after getting vaccine.
Age: 25.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Anorexia, Anxiety, Burning sensation, Diarrhoea, Dissociative disorder
Clinical narrative: Vaccine HPV received on 8-22-08 at pharmacy.  On 8-26-08 developed anxiety, dissociative type feelings, burning sensation in head, appetite loss, loose stools.  Symptoms gradually improved over 5 days.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: CSF myelin basic protein increased, Central nervous system lesion, Demyelination, Hypoaesthesia, Leukoencephalomyelitis
Clinical narrative: This child had acute disseminated encephalomyelitis (ADEM) involving inflammatory demyelinating lesions of the brain and most of the spinal cord, from level C5 to the conus.  He had bowel and bladder retention, lower extremity paresis and numbness.9/15/08-records received for DOS-8/2-8/10/08-DC DX: Acute disseminated encephalomyelitis. Presented with two day history of bilateral lower extremity numbness and tingling, awoke with mid upper back pain and later that night developed abdominal pain and difficulty breathing. Positive sick URI contact 2 weeks prior to presentation and two episodes of emesis the day of presentation. Constipation and urinary urgency but unable to void. Cough and rhinorrhea. Fever 102.  Foley catheter placed 800cc of urine removed which improved back and abdominal pain.Treated with high dose steroids.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paresis, Urinary retention
Clinical narrative: This child had acute disseminated encephalomyelitis (ADEM) involving inflammatory demyelinating lesions of the brain and most of the spinal cord, from level C5 to the conus.  He had bowel and bladder retention, lower extremity paresis and numbness.9/15/08-records received for DOS-8/2-8/10/08-DC DX: Acute disseminated encephalomyelitis. Presented with two day history of bilateral lower extremity numbness and tingling, awoke with mid upper back pain and later that night developed abdominal pain and difficulty breathing. Positive sick URI contact 2 weeks prior to presentation and two episodes of emesis the day of presentation. Constipation and urinary urgency but unable to void. Cough and rhinorrhea. Fever 102.  Foley catheter placed 800cc of urine removed which improved back and abdominal pain.Treated with high dose steroids.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Patient called the retail pharmacy on 9/04/08 to let us know that she developed quarter-sized hives 24 hours after her pneumococcal-23 vaccine that was administered 8/19/08.  No treatment was given.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Localized reaction at vaccine site on left thigh
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Angiogram normal, Blood creatine phosphokinase increased, Blood creatinine normal, Blood potassium normal, Blood urea normal
Clinical narrative: Patient presented to the Medical Clinic on 9/2/08 with c/o Chest Pain, fever, and SOB for 3 days. Temp 99.6, diaphoretic at time of visit, CP rated 3 out of 10. Unable to obtain ECG due to equipment failure. He was given ASA 162mg, Nitroglycerin SL, IV started given MS 2mg IV Push, transferred to another ER, ECG in ER noted normal sinus rhythm, early repolarization, with possible ST segment elevation in lead 1. Possible incomplete right bundle branch block. Labs: Positive Troponin and CK-MB, negative rapid strep. Started on Nitroglycerin grip and Heparin, transferred to another hospital for Heart Cath. Admitted to hospital and discharged on 9/3/08 with normal echocardiogram, normal ejection fraction, started on Beta blocker and ace inhibiter for 2-4 weeks with follow up with cardiology scheduled at 4 weeks. According to Immunization record received Smallpox vaccination on 8/20/08, Manufacture is listed as Baxter Healthcare. Lot number not given.  9/12/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: none provided Records reveal patient experienced chest pain, SOB, muscle aches, decreased appetite & dizziness for 3-4 days prior to admit.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Haemoglobin normal
Clinical narrative: Patient presented to the Medical Clinic on 9/2/08 with c/o Chest Pain, fever, and SOB for 3 days. Temp 99.6, diaphoretic at time of visit, CP rated 3 out of 10. Unable to obtain ECG due to equipment failure. He was given ASA 162mg, Nitroglycerin SL, IV started given MS 2mg IV Push, transferred to another ER, ECG in ER noted normal sinus rhythm, early repolarization, with possible ST segment elevation in lead 1. Possible incomplete right bundle branch block. Labs: Positive Troponin and CK-MB, negative rapid strep. Started on Nitroglycerin grip and Heparin, transferred to another hospital for Heart Cath. Admitted to hospital and discharged on 9/3/08 with normal echocardiogram, normal ejection fraction, started on Beta blocker and ace inhibiter for 2-4 weeks with follow up with cardiology scheduled at 4 weeks. According to Immunization record received Smallpox vaccination on 8/20/08, Manufacture is listed as Baxter Healthcare. Lot number not given.  9/12/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: none provided Records reveal patient experienced chest pain, SOB, muscle aches, decreased appetite & dizziness for 3-4 days prior to admit.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Hyperhidrosis, International normalised ratio decreased, Pyrexia, Streptococcal identification test, Troponin increased
Clinical narrative: Patient presented to the Medical Clinic on 9/2/08 with c/o Chest Pain, fever, and SOB for 3 days. Temp 99.6, diaphoretic at time of visit, CP rated 3 out of 10. Unable to obtain ECG due to equipment failure. He was given ASA 162mg, Nitroglycerin SL, IV started given MS 2mg IV Push, transferred to another ER, ECG in ER noted normal sinus rhythm, early repolarization, with possible ST segment elevation in lead 1. Possible incomplete right bundle branch block. Labs: Positive Troponin and CK-MB, negative rapid strep. Started on Nitroglycerin grip and Heparin, transferred to another hospital for Heart Cath. Admitted to hospital and discharged on 9/3/08 with normal echocardiogram, normal ejection fraction, started on Beta blocker and ace inhibiter for 2-4 weeks with follow up with cardiology scheduled at 4 weeks. According to Immunization record received Smallpox vaccination on 8/20/08, Manufacture is listed as Baxter Healthcare. Lot number not given.  9/12/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: none provided Records reveal patient experienced chest pain, SOB, muscle aches, decreased appetite & dizziness for 3-4 days prior to admit.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: White blood cell count increased
Clinical narrative: Patient presented to the Medical Clinic on 9/2/08 with c/o Chest Pain, fever, and SOB for 3 days. Temp 99.6, diaphoretic at time of visit, CP rated 3 out of 10. Unable to obtain ECG due to equipment failure. He was given ASA 162mg, Nitroglycerin SL, IV started given MS 2mg IV Push, transferred to another ER, ECG in ER noted normal sinus rhythm, early repolarization, with possible ST segment elevation in lead 1. Possible incomplete right bundle branch block. Labs: Positive Troponin and CK-MB, negative rapid strep. Started on Nitroglycerin grip and Heparin, transferred to another hospital for Heart Cath. Admitted to hospital and discharged on 9/3/08 with normal echocardiogram, normal ejection fraction, started on Beta blocker and ace inhibiter for 2-4 weeks with follow up with cardiology scheduled at 4 weeks. According to Immunization record received Smallpox vaccination on 8/20/08, Manufacture is listed as Baxter Healthcare. Lot number not given.  9/12/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: none provided Records reveal patient experienced chest pain, SOB, muscle aches, decreased appetite & dizziness for 3-4 days prior to admit.
Age: 1.51
Sex: M
Vaccine: DTAP, MMR, VARCEL, VARZOS
Symptoms: Febrile convulsion, Inappropriate schedule of drug administration
Clinical narrative: Patient suffered from a febrile seizure 10 days after receiving the MMR, DTaP and chicken pox vaccines.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Pain, Pyrexia, Swelling
Clinical narrative: FEVER 102 FOR 6 DAYS; NAUSEA; HEADACHE; PAIN; SWELLING
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema of eyelid, Eyelid oedema
Clinical narrative: BILATERAL UPPER EYELIDS ERYTHEMA AND SWELLING FIRST NOTED AT 10:30 PM 09/03/08, WORSENED UPON WAKING THE AM OF 09/04/08. PATIENT EXAMINED BY DOCTOR AND ADVISED TO USE OTC BENADRYL 25 MG Q 6 HOURS PO AND COLD COMPRESSES TO EYES.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: LARGE AREA OF REDNESS, TIGHTNESS, WARM TO TOUCH WITH BLISTERING OF RIGHT UPPER DELTOID AREA.  PATIENT AFEBRILE, AND FEELING FINE.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Central nervous system lesion, Dizziness, Eye pain, Gait disturbance, Headache
Clinical narrative: Julissa received her 1st HPV vaccine on 4/11/07 (Merck 0263U), 2nd HPV vaccine on 7/5/07 (Merck 0279X), and her 3rd HPV vaccine on 7/11/08 (Merck 0279X).  She also received her MCV4 on 7/5/07 (Sanofi Pasteur u2222aa) and Tdap on 4/11/07 (GSK C2609AA).  At her annual physical on 8/21/08, she described dizzyness, headache, blurry vision, eye pain, and gait disturbance.  She subsequently had a head CT and head MRI.  The head MRI was suspicious for multiple sclerosis, and on 8/23/08 she was hospitalized at Brigham and Women's Hospital, which was a 7 day hospitalization and she was given the diagnosis of multiple sclerosis.  In retrospect, Julissa's mother feels that her symptoms described at her annual physical had been had been going on for some time, and had been exacerbated each time she had an HPV vaccine.  It is not entirely clear to me how long she has been symptomatic with her MS. 11/10/08-records received for DOS 8/23-8/29/08-DC DX: Multiple sclerosis. Anxiety. Presented with dizziness, generalized weakness and weakness of lower extremities. Summer 4/2008 after receiving HPV4 C/O pain in right eye and blurriness, light bothered the eye and had floaters. Significant fatigue. Two months prior developed flu-like symptoms with muscle aches, headaches, low grade chills and fever. Seen in ED normal labs and thought to had a viral infection. Week later developed abdominal pain and burning with urination. Urinary tract infection. Developed unsteady walking and increased reflexes in legs.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Multiple sclerosis, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Vision blurred
Clinical narrative: Julissa received her 1st HPV vaccine on 4/11/07 (Merck 0263U), 2nd HPV vaccine on 7/5/07 (Merck 0279X), and her 3rd HPV vaccine on 7/11/08 (Merck 0279X).  She also received her MCV4 on 7/5/07 (Sanofi Pasteur u2222aa) and Tdap on 4/11/07 (GSK C2609AA).  At her annual physical on 8/21/08, she described dizzyness, headache, blurry vision, eye pain, and gait disturbance.  She subsequently had a head CT and head MRI.  The head MRI was suspicious for multiple sclerosis, and on 8/23/08 she was hospitalized at Brigham and Women's Hospital, which was a 7 day hospitalization and she was given the diagnosis of multiple sclerosis.  In retrospect, Julissa's mother feels that her symptoms described at her annual physical had been had been going on for some time, and had been exacerbated each time she had an HPV vaccine.  It is not entirely clear to me how long she has been symptomatic with her MS. 11/10/08-records received for DOS 8/23-8/29/08-DC DX: Multiple sclerosis. Anxiety. Presented with dizziness, generalized weakness and weakness of lower extremities. Summer 4/2008 after receiving HPV4 C/O pain in right eye and blurriness, light bothered the eye and had floaters. Significant fatigue. Two months prior developed flu-like symptoms with muscle aches, headaches, low grade chills and fever. Seen in ED normal labs and thought to had a viral infection. Week later developed abdominal pain and burning with urination. Urinary tract infection. Developed unsteady walking and increased reflexes in legs.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Full blood count normal, International normalised ratio, Prothrombin time normal, Pyrexia, Rash
Clinical narrative: Two days post vaccination pt noticed a red rash on thigh. Fever 101-102 started two days post vaccination. Two days after that noticed a red raised rash on body. Had some generalized swelling.  Hx allergy to fish
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate normal, Swelling
Clinical narrative: Two days post vaccination pt noticed a red rash on thigh. Fever 101-102 started two days post vaccination. Two days after that noticed a red raised rash on body. Had some generalized swelling.  Hx allergy to fish
Age: 38.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Fatigue, Injected limb mobility decreased, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt reported 48 hrs of fever above (101.6), pain, redness, edema at site of injection. Decreased range of motion with left arm. Fatigue X 3days.
Age: 38.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Pyrexia
Clinical narrative: Pt reported 48 hrs of fever above (101.6), pain, redness, edema at site of injection. Decreased range of motion with left arm. Fatigue X 3days.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 6x4 cm area of erythema and edema around injection sight (Left deltoid).
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Lymphadenopathy, Measles antibody positive, Mumps antibody test negative, Pain
Clinical narrative: Pt developed extreme fatigue and achiness 2 days post receiving MMR ( Was Rubeola pos, Rubella and Mumps neg).  She then developed macural red rash on face which spread to face chest, back and faintly on arms.  Developed occipital adenopathy as well, and some parotid soreness. No treatment.  Did not bother to send serology as just got vaccine.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Rash macular, Rubella antibody negative, Salivary gland pain
Clinical narrative: Pt developed extreme fatigue and achiness 2 days post receiving MMR ( Was Rubeola pos, Rubella and Mumps neg).  She then developed macural red rash on face which spread to face chest, back and faintly on arms.  Developed occipital adenopathy as well, and some parotid soreness. No treatment.  Did not bother to send serology as just got vaccine.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Heart rate normal, Hypotonia, Loss of consciousness, Syncope, Tremor
Clinical narrative: Received Tdap, varicella, Hep A, MCV, and HPV. HPV was the last vaccine; fainted approx. 1 minute after HPV given. Slumped forward, eased to floor. Regained consciousness in approx. 45 seconds. Remained shakey; 1:20pm BP 138/76, AP-96; 1:30pm 130/82, AP-98; 1:45pm 120/80, AP-80; Gatorade x3 provided; Per Dad B/P runs low, fainted before. Released to Dad at 2:20pm.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Cough, Malaise, Pain in extremity, Pharyngeal oedema
Clinical narrative: Pt was screened and given Anthrax vaccine.  About 6 hours later Pt reported to the Urgent Care Clinic.  Pt had Pain in back legs and general Maliasie felling.  Pt had chills, cough and a swollen throat.  Pt was told he had Pharyngitis given Ibuprofen and sent home.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngitis, Streptococcal identification test negative
Clinical narrative: Pt was screened and given Anthrax vaccine.  About 6 hours later Pt reported to the Urgent Care Clinic.  Pt had Pain in back legs and general Maliasie felling.  Pt had chills, cough and a swollen throat.  Pt was told he had Pharyngitis given Ibuprofen and sent home.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Musculoskeletal pain
Clinical narrative: COMPLAINED OF LEFT SCAPULAR PAIN STARTING 2 DAYS AFTER THE VACCINE AND LASTING UP TO 2 WEEKS. HOME CARE COSISTED OF DAILY ICE PACKS TO RELIEVE THE DISCOMFORT.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Alopecia, Blood test normal, Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: I have been loosing my hair at an alarming rate since taking the 2nd of the 3 gardasil shots. Prior to this vaccine I had never had a problem with hair loss.  There is no family history of female hair loss. I had all three shots before connecting the hair loss with the vaccine.  I have had numerous doctor's appointments (blood work), dermatologists appointments and now am under the supervision of a nutritionist/herbologist.  My OBGYN recommended this vaccine even though I was above the age of recommendation.  I paid for all three shots with no help from insurance.  All of my doctor's (apart from the OBGYN) are concerned that this is a side effect of the vaccine.  It is over a year since my last dose and my hair continues to fall out.  In addition, I noticed that my legs were sore during the time between when I got my first dose through my third dose.  This was not constant but enough of a concern that I was tested for lymes disease.  I had the shots in Jan. 07, March 07 & July 07.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Headache, Hypersensitivity, Poor quality sleep
Clinical narrative: Fever of 100 day 2-5 folowing vaccine, gave motrin; very restless sleep from a normally easy resting child Day 3-6; complaints of headache and dizziness day 4; hives all over torso, chest and butt day 7-8; visited Dr. day 8 and was prescribed steroid; has not returned to prevaccine energy level as of day 8
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever of 100 day 2-5 folowing vaccine, gave motrin; very restless sleep from a normally easy resting child Day 3-6; complaints of headache and dizziness day 4; hives all over torso, chest and butt day 7-8; visited Dr. day 8 and was prescribed steroid; has not returned to prevaccine energy level as of day 8
Age: 1.61
Sex: M
Vaccine: DTAP, PNC, VARCEL
Symptoms: Blood culture, Blood urine present, Culture urine, Fat necrosis, Full blood count
Clinical narrative: Pt is a 19 mon old little boy who was in the office for wcc and vaccination on 8-29-2008; One day after vaccination (8-30-08), pt began to have vomiting nbnb, ~7times; On the second day (8-31-08) pt had red warm area on Left thigh > right thigh and it felt firm and pt felt like he had a subjective fever; pt went to urgent care for eval that night after fever increased to 102.7. Parents were told that pt had possible cellulitis at site of the injections on the left and was told to take po clindamycin and sent home. Pt continued to vomit and was unable to consistently take po antibiotic; also temp increased to 103. So pt returned to ER on 9-1-08 and was given 1 dose of IV clindamycin for possible cellulitis coverage in Left thigh and had blood testing (cbc/bld cx)  and urine testing and a KUB - all of which parents were told was nl; pt was sent home again. Pt was seen in the PCP office for f/u on 9-2-08.  Pt had a red area on Left thigh-mildly pink area medial area ~3x3 cm and small 8mm nodule in center. no fluctuance; not hot to touch; not consistent with cellulitis.  Pt was not taking po and seemed ill appearing. Pt was still having fevers as well at home (day 4-5 of fevers) so pt was sent for inpatient admission at hospital to try to determine fever origin as leg lesion did not seem to represent cellulitis.  Per parents, inpatient doctors did further testing and gave IV fluids and they diagnosed probable viral syndrome, fat necrosis in thigh, and sent him home as fever had resolved (await inpatient hosp records and final outpt cultures.) 9/9/08-records received for DOS 9/2-9/3/08-DC DX: Fever and abdominal pain now resolved. Fat necrosis with possible cellulitis, status post vaccine now resolved. Most likely viral syndrome gastroenteritis with some dysphagia and feeding difficulty now resolved. The afternoon of August 29, 2008 developed emesis and following day fever up to 102.7, rhinitis. On August 30, 2008 developed erythema around vaccine site on left leg. Unable to keep oral antibiotic down. Developed intermittent abdominal pain, decreased oral intake, did not want to swallow seemed to choke with attempts to eat solids. Urine output decreased. Listless, mild dehydration.
Age: 1.61
Sex: M
Vaccine: DTAP, PNC, VARCEL
Symptoms: Haematocrit normal, Haemoglobin normal, Injection site cellulitis, Injection site erythema, Injection site nodule
Clinical narrative: Pt is a 19 mon old little boy who was in the office for wcc and vaccination on 8-29-2008; One day after vaccination (8-30-08), pt began to have vomiting nbnb, ~7times; On the second day (8-31-08) pt had red warm area on Left thigh > right thigh and it felt firm and pt felt like he had a subjective fever; pt went to urgent care for eval that night after fever increased to 102.7. Parents were told that pt had possible cellulitis at site of the injections on the left and was told to take po clindamycin and sent home. Pt continued to vomit and was unable to consistently take po antibiotic; also temp increased to 103. So pt returned to ER on 9-1-08 and was given 1 dose of IV clindamycin for possible cellulitis coverage in Left thigh and had blood testing (cbc/bld cx)  and urine testing and a KUB - all of which parents were told was nl; pt was sent home again. Pt was seen in the PCP office for f/u on 9-2-08.  Pt had a red area on Left thigh-mildly pink area medial area ~3x3 cm and small 8mm nodule in center. no fluctuance; not hot to touch; not consistent with cellulitis.  Pt was not taking po and seemed ill appearing. Pt was still having fevers as well at home (day 4-5 of fevers) so pt was sent for inpatient admission at hospital to try to determine fever origin as leg lesion did not seem to represent cellulitis.  Per parents, inpatient doctors did further testing and gave IV fluids and they diagnosed probable viral syndrome, fat necrosis in thigh, and sent him home as fever had resolved (await inpatient hosp records and final outpt cultures.) 9/9/08-records received for DOS 9/2-9/3/08-DC DX: Fever and abdominal pain now resolved. Fat necrosis with possible cellulitis, status post vaccine now resolved. Most likely viral syndrome gastroenteritis with some dysphagia and feeding difficulty now resolved. The afternoon of August 29, 2008 developed emesis and following day fever up to 102.7, rhinitis. On August 30, 2008 developed erythema around vaccine site on left leg. Unable to keep oral antibiotic down. Developed intermittent abdominal pain, decreased oral intake, did not want to swallow seemed to choke with attempts to eat solids. Urine output decreased. Listless, mild dehydration.