chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.36
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Flatulence, Gastrointestinal obstruction, Irritability, Lethargy, Pyrexia
Clinical narrative: Administered on 1/15/07.  Patient had marked lethargy/discontent/fever(100.5) for 2 days and slowly began return to normal feeding/sleep/activity patterns.  However, 2 weeks post immunization, patient still did not seem quite back to normal, (i.e. no talking-jabbering, not rolling over, etc...)  Tuesday (1/30/07) Began projectile vomitting, refused to eat, high level of discontent.  Marked change from normal behavior.  Prior to immunizations, baby was a "perfect" baby.  Ate good, slept good, always (ALWAYS) in a very happy/pleasant mood.  Was very regular, at least 1 stool per day.  Always a good urine output.  Contacted physician, no cause for alarm.  Symptoms continued until Friday (2/2/07) when taken into physician.  1lb. weight loss.  Monitored until Monday (2/5/07) baby taken back in for follow-up, baby had lost additional 1lb.  Doctor advised baby be seen/admitted to Hospital.  ER physician ordered 2-view X-Ray and Ultrasound to rule out intussusception and pyloric stenosis.  Results showed massive amounts of stool blocking almost entire lower GI tract.  Baby extrememly dehydrated and was given IV fluids.  Also received enema to alleviate blockage.  Baby held overnight.  Tuesday (2/6/07) physician ordered Upper GI Fluoro. with barium contrast.  Results negative.  Baby discharged to home.  Wednesday (2/7/07) baby passes barium in stool.  Later that afternoon, baby had 2 massive stools and excessive flatulence.  1 week post discharge Baby continues to slowly improve and has had 2 follow-up appts. with GI specialist and pediatrician.  Baby more responsive and active, however, has still not regained full capacities achieved prior to immunization date. 3/16/07 Received medical records from hospital which reveal patient experienced projectile vomiting, decreased activity & weight loss of 2# over approx 1 week.  Noted to have recent URI s/s after vax on 1/15 which resolved.  Admitted 2/5/07 for IVF, Zantac & fleet enema.  Progressed well & d/c to home on 2/6/07 FINAL DX: vomiting, wt loss & constipation.
Age: 0.36
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Ultrasound scan, Vomiting projectile, Weight decreased, X-ray, X-ray gastrointestinal tract normal
Clinical narrative: Administered on 1/15/07.  Patient had marked lethargy/discontent/fever(100.5) for 2 days and slowly began return to normal feeding/sleep/activity patterns.  However, 2 weeks post immunization, patient still did not seem quite back to normal, (i.e. no talking-jabbering, not rolling over, etc...)  Tuesday (1/30/07) Began projectile vomitting, refused to eat, high level of discontent.  Marked change from normal behavior.  Prior to immunizations, baby was a "perfect" baby.  Ate good, slept good, always (ALWAYS) in a very happy/pleasant mood.  Was very regular, at least 1 stool per day.  Always a good urine output.  Contacted physician, no cause for alarm.  Symptoms continued until Friday (2/2/07) when taken into physician.  1lb. weight loss.  Monitored until Monday (2/5/07) baby taken back in for follow-up, baby had lost additional 1lb.  Doctor advised baby be seen/admitted to Hospital.  ER physician ordered 2-view X-Ray and Ultrasound to rule out intussusception and pyloric stenosis.  Results showed massive amounts of stool blocking almost entire lower GI tract.  Baby extrememly dehydrated and was given IV fluids.  Also received enema to alleviate blockage.  Baby held overnight.  Tuesday (2/6/07) physician ordered Upper GI Fluoro. with barium contrast.  Results negative.  Baby discharged to home.  Wednesday (2/7/07) baby passes barium in stool.  Later that afternoon, baby had 2 massive stools and excessive flatulence.  1 week post discharge Baby continues to slowly improve and has had 2 follow-up appts. with GI specialist and pediatrician.  Baby more responsive and active, however, has still not regained full capacities achieved prior to immunization date. 3/16/07 Received medical records from hospital which reveal patient experienced projectile vomiting, decreased activity & weight loss of 2# over approx 1 week.  Noted to have recent URI s/s after vax on 1/15 which resolved.  Admitted 2/5/07 for IVF, Zantac & fleet enema.  Progressed well & d/c to home on 2/6/07 FINAL DX: vomiting, wt loss & constipation.
Age: 1.1
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Febrile convulsion, Opisthotonus, Pyrexia, Staring
Clinical narrative: This male subject was enrolled in the prophylactic single blind study. On 20 January 2007, he received the 1st and 2nd dose of influenza vaccine (Fluarix, IM Left deltoid). On 24 January 2007, four days after the 1st dose of Fluarix, this one year old subject experienced febrile seizure. Temperature 38.3 C 2 days prior. Subject was given paracetamol for upper respiratory infection symptoms. At approximately 5pm on 24 January 2007, had 2 minutes of left staring, frozen and arching back. He was active and alert by time arrived at emergency department. He received ibuprofen. He was discharged home on 24 January 2007 at 6:35 pm. He was seen on 25 January 2007 in pediatrician office for follow up. Diagnosis was febrile seizure due to viral upper respiratory infection likely. He was alert, active. The event resolved on 24 January 2007. The investigator considered that there was a reasonable possibility that the febrile seizure may have been caused by influenza vaccine and that the event was possibly due to viral upper respiratory infection.
Age: 1.1
Sex: M
Vaccine: FLU3
Symptoms: Upper respiratory tract infection, Viral infection
Clinical narrative: This male subject was enrolled in the prophylactic single blind study. On 20 January 2007, he received the 1st and 2nd dose of influenza vaccine (Fluarix, IM Left deltoid). On 24 January 2007, four days after the 1st dose of Fluarix, this one year old subject experienced febrile seizure. Temperature 38.3 C 2 days prior. Subject was given paracetamol for upper respiratory infection symptoms. At approximately 5pm on 24 January 2007, had 2 minutes of left staring, frozen and arching back. He was active and alert by time arrived at emergency department. He received ibuprofen. He was discharged home on 24 January 2007 at 6:35 pm. He was seen on 25 January 2007 in pediatrician office for follow up. Diagnosis was febrile seizure due to viral upper respiratory infection likely. He was alert, active. The event resolved on 24 January 2007. The investigator considered that there was a reasonable possibility that the febrile seizure may have been caused by influenza vaccine and that the event was possibly due to viral upper respiratory infection.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Pruritus
Clinical narrative: Pruritis, Malaise
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Area red and puffy
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Chest X-ray, Erythema, Full blood count normal
Clinical narrative: Patient develops nausea, vomiting, fever, muscle aches, and a swollen and red shoulder and arm several days after AVA and SPV vaccinations. Joint pain isolated start 02/06/2007 pain in left shoulder inability to lift the left arm for several. Erythema start 02/06/2007 end 02/10/2007 patient reported redness over the entire left shoulder and down to the middle left bicep as well as into the axilla and the upper outer left pectoral. Fever start 02/06/2007 end 02/09/2007 initially as high as 101F but has been declining since her last ED visit. Nausea w/vomiting start 02/07/2007 end 02/10/2007 the vomiting was recurrent and caused the patient to present to the emergency department on 2/7 and 2/9/2007. Tenderness start 02/06/2007 noted in the left axilla. The pain was previously more intense but has declined over the weekend. Tachycardia started 02/07/2007 end 02/09/2007 patient reported a racing and pounding heartbeat after several episodes vomiting. Resolved since ED treatment with IV fluids on 2/9/07.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Heart rate increased, Joint swelling, Laboratory test, Laboratory test normal, Musculoskeletal pain
Clinical narrative: Patient develops nausea, vomiting, fever, muscle aches, and a swollen and red shoulder and arm several days after AVA and SPV vaccinations. Joint pain isolated start 02/06/2007 pain in left shoulder inability to lift the left arm for several. Erythema start 02/06/2007 end 02/10/2007 patient reported redness over the entire left shoulder and down to the middle left bicep as well as into the axilla and the upper outer left pectoral. Fever start 02/06/2007 end 02/09/2007 initially as high as 101F but has been declining since her last ED visit. Nausea w/vomiting start 02/07/2007 end 02/10/2007 the vomiting was recurrent and caused the patient to present to the emergency department on 2/7 and 2/9/2007. Tenderness start 02/06/2007 noted in the left axilla. The pain was previously more intense but has declined over the weekend. Tachycardia started 02/07/2007 end 02/09/2007 patient reported a racing and pounding heartbeat after several episodes vomiting. Resolved since ED treatment with IV fluids on 2/9/07.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Myalgia, Nausea, Palpitations, Pyrexia, Tachycardia
Clinical narrative: Patient develops nausea, vomiting, fever, muscle aches, and a swollen and red shoulder and arm several days after AVA and SPV vaccinations. Joint pain isolated start 02/06/2007 pain in left shoulder inability to lift the left arm for several. Erythema start 02/06/2007 end 02/10/2007 patient reported redness over the entire left shoulder and down to the middle left bicep as well as into the axilla and the upper outer left pectoral. Fever start 02/06/2007 end 02/09/2007 initially as high as 101F but has been declining since her last ED visit. Nausea w/vomiting start 02/07/2007 end 02/10/2007 the vomiting was recurrent and caused the patient to present to the emergency department on 2/7 and 2/9/2007. Tenderness start 02/06/2007 noted in the left axilla. The pain was previously more intense but has declined over the weekend. Tachycardia started 02/07/2007 end 02/09/2007 patient reported a racing and pounding heartbeat after several episodes vomiting. Resolved since ED treatment with IV fluids on 2/9/07.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Tenderness, Troponin, Vomiting
Clinical narrative: Patient develops nausea, vomiting, fever, muscle aches, and a swollen and red shoulder and arm several days after AVA and SPV vaccinations. Joint pain isolated start 02/06/2007 pain in left shoulder inability to lift the left arm for several. Erythema start 02/06/2007 end 02/10/2007 patient reported redness over the entire left shoulder and down to the middle left bicep as well as into the axilla and the upper outer left pectoral. Fever start 02/06/2007 end 02/09/2007 initially as high as 101F but has been declining since her last ED visit. Nausea w/vomiting start 02/07/2007 end 02/10/2007 the vomiting was recurrent and caused the patient to present to the emergency department on 2/7 and 2/9/2007. Tenderness start 02/06/2007 noted in the left axilla. The pain was previously more intense but has declined over the weekend. Tachycardia started 02/07/2007 end 02/09/2007 patient reported a racing and pounding heartbeat after several episodes vomiting. Resolved since ED treatment with IV fluids on 2/9/07.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Oedema peripheral, Rash, Tenderness
Clinical narrative: Arm swollen, tender with red rash gave Zyrtec 10 PO QD, Prednisone Pack
Sex: M
Vaccine: ANTH
Symptoms: Arrhythmia, Arthralgia, Asthenia, Bone pain, Depression
Clinical narrative: Bones joints and muscle ache, acid reflux, difficulty in concentration, heart arrhythmia, loss of muscular strength, urinary frequency , unable to sleep flat without medication, Migraine, depression.
Sex: M
Vaccine: ANTH
Symptoms: Disturbance in attention, Gastrooesophageal reflux disease, Insomnia, Migraine, Myalgia
Clinical narrative: Bones joints and muscle ache, acid reflux, difficulty in concentration, heart arrhythmia, loss of muscular strength, urinary frequency , unable to sleep flat without medication, Migraine, depression.
Sex: M
Vaccine: ANTH
Symptoms: Pollakiuria
Clinical narrative: Bones joints and muscle ache, acid reflux, difficulty in concentration, heart arrhythmia, loss of muscular strength, urinary frequency , unable to sleep flat without medication, Migraine, depression.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Rash legs and abdomen complain of itching and stinging.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: R deltoid swelling and min erythema non tender, no exconations.
Age: 1.03
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Irritability, Pain, Pyrexia, Vaccination complication
Clinical narrative: Patient went to primary care physician for well check-up 2/9/06 MD noticed bright red spots covering face and told patient "reaction to MMR". Per 2-14-07 phone conversation with patient's mother "Had fever 100-101.5" on day 8 after vaccination lasted 3-4 days. Child also very achy and cranky x 1 week. Patient is doing fine now, rash resolved.
Age: 55.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Blood albumin increased, CSF test abnormal, Cognitive disorder, Depression, Fatigue
Clinical narrative: Patient contacted the facility on 27 Jun 06 to report a change in his condition. On 20 Apr 06 he was vaccinated with Hep B #1, and the influenza vaccine. He stated that since the first part of May 06 he started to experience a relapse in his fatigue. He stated it was at though he had shut down mentally; he could not think straight, speech was slow and he could not get out of bed. He also noted headaches, especially in the front part of his head. He stated that he was also depressed and noticed some tingling in his shoulders and hands. He stated he saw a psychiatrist who then requested a MRI. The MRI showed extensive white lesions in his brain and he was then referred to neurology. He subsequently received a second opinion with neurology at medical center on 19 Dec 06. Currently, he states he is going on his current medication regimen, and notes improvement in his thought process. His wife stated that she also notes a great improvement in his thought process. He denies any physical weakness, decrease strength or altered sensations and reports that the headaches have decreased significantly. Fatigue, malaise > 60 days 05/2006, Depression 05/2006, Paresthesia 05/2006, Headache, general 05/2006, Cognitive deficiency 05/2006.  2/22/07 Received medical records which reveal patient experienced severe depression, single manic episode and was evaluated by psych in Oregan who referred patient to neurologist after +MRI.  Neurology consult done 12/06 & 1/07.  To be followed serially w/MRIs to monitor resolution/progression.  FINAL DX: ADEM associated w/anthrax vax;mood disorder, bipolar type, & cognitive dysfunction secondary to general medical condition.
Age: 55.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Headache, Leukoencephalopathy, Malaise, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: Patient contacted the facility on 27 Jun 06 to report a change in his condition. On 20 Apr 06 he was vaccinated with Hep B #1, and the influenza vaccine. He stated that since the first part of May 06 he started to experience a relapse in his fatigue. He stated it was at though he had shut down mentally; he could not think straight, speech was slow and he could not get out of bed. He also noted headaches, especially in the front part of his head. He stated that he was also depressed and noticed some tingling in his shoulders and hands. He stated he saw a psychiatrist who then requested a MRI. The MRI showed extensive white lesions in his brain and he was then referred to neurology. He subsequently received a second opinion with neurology at medical center on 19 Dec 06. Currently, he states he is going on his current medication regimen, and notes improvement in his thought process. His wife stated that she also notes a great improvement in his thought process. He denies any physical weakness, decrease strength or altered sensations and reports that the headaches have decreased significantly. Fatigue, malaise > 60 days 05/2006, Depression 05/2006, Paresthesia 05/2006, Headache, general 05/2006, Cognitive deficiency 05/2006.  2/22/07 Received medical records which reveal patient experienced severe depression, single manic episode and was evaluated by psych in Oregan who referred patient to neurologist after +MRI.  Neurology consult done 12/06 & 1/07.  To be followed serially w/MRIs to monitor resolution/progression.  FINAL DX: ADEM associated w/anthrax vax;mood disorder, bipolar type, & cognitive dysfunction secondary to general medical condition.
Age: 55.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Red blood cell abnormality, Speech disorder
Clinical narrative: Patient contacted the facility on 27 Jun 06 to report a change in his condition. On 20 Apr 06 he was vaccinated with Hep B #1, and the influenza vaccine. He stated that since the first part of May 06 he started to experience a relapse in his fatigue. He stated it was at though he had shut down mentally; he could not think straight, speech was slow and he could not get out of bed. He also noted headaches, especially in the front part of his head. He stated that he was also depressed and noticed some tingling in his shoulders and hands. He stated he saw a psychiatrist who then requested a MRI. The MRI showed extensive white lesions in his brain and he was then referred to neurology. He subsequently received a second opinion with neurology at medical center on 19 Dec 06. Currently, he states he is going on his current medication regimen, and notes improvement in his thought process. His wife stated that she also notes a great improvement in his thought process. He denies any physical weakness, decrease strength or altered sensations and reports that the headaches have decreased significantly. Fatigue, malaise > 60 days 05/2006, Depression 05/2006, Paresthesia 05/2006, Headache, general 05/2006, Cognitive deficiency 05/2006.  2/22/07 Received medical records which reveal patient experienced severe depression, single manic episode and was evaluated by psych in Oregan who referred patient to neurologist after +MRI.  Neurology consult done 12/06 & 1/07.  To be followed serially w/MRIs to monitor resolution/progression.  FINAL DX: ADEM associated w/anthrax vax;mood disorder, bipolar type, & cognitive dysfunction secondary to general medical condition.
Age: 41.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Axillary mass, Injection site nodule, Skin warm
Clinical narrative: Raised red area on Left Axilla, soreness lasting more than 24 hours. Kaiser advised to apply warm compress. Resolved without additional treatment x 4 days.
Age: 41.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Erythema, Pain
Clinical narrative: Raised red area on Left Axilla, soreness lasting more than 24 hours. Kaiser advised to apply warm compress. Resolved without additional treatment x 4 days.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: On 11/7/2006, Patient was administered Hepatitis B vaccine (dose #2) and Gardasil (dose #1), and developed severe nausea and vomiting approximately 12 hours later, lasting for approximately 1 hour.  Patient felt ill the following day, then recovered.  No rash, no fevers.  No other reactions.  No prior reactions to HepB vaccine.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Nausea, Retching, Vomiting
Clinical narrative: Patient administered vaccine, then developed severe nausea and vomiting including "dry heaves" approximately 6 hours later, lasting for approximately 1 hour.  Patient felt ill the following day, and had vomiting x1 that morning.  Then patient fully recovered,
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Immunisation reaction, Swelling, Urticaria
Clinical narrative: there was a swolling large hive on left thigh
Age: 1.11
Sex: M
Vaccine: DTAPH, MMR, OPV, VARCEL
Symptoms: Activities of daily living impaired, Croup infectious, Fatigue, Hypersomnia, Idiopathic thrombocytopenic purpura
Clinical narrative: Patient was seen in Urgent Care 1/30/07 for croupy cough, strep throat and unexplained rash on his legs and face. He had a few pox on 1/29/07. He was put on amoxicillin on 1/30/07 for strep throat. On 1/6/07 mother was concerned by the petechiae on his body and called Dr. He was admitted to Hospital on 1/6/07 and placed in ICU with diagnosis of Idiopathic Thrombocytopenia. He has 3 days with Gamma Globulin.  3/22/07 Received medical records from hospital which reveal patient experienced petechia, oral bleeding & chicken pox.  Chicken pox & nonproductive cough startedapprox 1 wk prior to admit.  Tx w/acyclovir at clinic.  Developed petechiae over legs 1 day prior to admit & also dx w/strep throat.  Tx w/antibiotics. Developed petechiae on ears & had gum & nose bleeding. Admitted to hospital 2/6/07-2/11/07.  Admit exam noted nose bleed, bleeding gums & left ear pinna w/bruising, cough & congestion.  Vesicles noted on trunk, chest, neck, back & mouth in various stages of healing.  Petechaie noted on legs, genitals, stomach, chest.  Throat had erythema & petechia.  In PICU for first 3 days then transferred to peds floor.  Tx w/IVIG x 3, antibiotics & IVF hydration.  Consults obtained from ID, Heme/Onc.  Developed vomiting on 2/10 which resolved by 2/11 d/c date.  D/C exam revealed left eye scleral hemorrhage & bruising on gums w/erythema of tonsils.  D/C to home on continued antibiotics for full 10 day course & f/u w/n 2-3 days for labs. Final DX: ITP secondary to Varicella (classroom outbreak) & strep pharyntitis. 3/31/2010 Follow up: Mom clarified that he still is cernemic and has to take vitamin with iron. His platelets returned to normal range.
Age: 1.11
Sex: M
Vaccine: DTAPH, MMR, OPV, VARCEL
Symptoms: Intensive care, Petechiae, Pharyngitis streptococcal, Platelet count decreased
Clinical narrative: Patient was seen in Urgent Care 1/30/07 for croupy cough, strep throat and unexplained rash on his legs and face. He had a few pox on 1/29/07. He was put on amoxicillin on 1/30/07 for strep throat. On 1/6/07 mother was concerned by the petechiae on his body and called Dr. He was admitted to Hospital on 1/6/07 and placed in ICU with diagnosis of Idiopathic Thrombocytopenia. He has 3 days with Gamma Globulin.  3/22/07 Received medical records from hospital which reveal patient experienced petechia, oral bleeding & chicken pox.  Chicken pox & nonproductive cough startedapprox 1 wk prior to admit.  Tx w/acyclovir at clinic.  Developed petechiae over legs 1 day prior to admit & also dx w/strep throat.  Tx w/antibiotics. Developed petechiae on ears & had gum & nose bleeding. Admitted to hospital 2/6/07-2/11/07.  Admit exam noted nose bleed, bleeding gums & left ear pinna w/bruising, cough & congestion.  Vesicles noted on trunk, chest, neck, back & mouth in various stages of healing.  Petechaie noted on legs, genitals, stomach, chest.  Throat had erythema & petechia.  In PICU for first 3 days then transferred to peds floor.  Tx w/IVIG x 3, antibiotics & IVF hydration.  Consults obtained from ID, Heme/Onc.  Developed vomiting on 2/10 which resolved by 2/11 d/c date.  D/C exam revealed left eye scleral hemorrhage & bruising on gums w/erythema of tonsils.  D/C to home on continued antibiotics for full 10 day course & f/u w/n 2-3 days for labs. Final DX: ITP secondary to Varicella (classroom outbreak) & strep pharyntitis. 3/31/2010 Follow up: Mom clarified that he still is cernemic and has to take vitamin with iron. His platelets returned to normal range.
Age: 50.0
Sex: F
Vaccine: FLU3, TYP
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Patient called in today stating that she started to develop fever/chills, headache, myalgias, fatigue, and increased thirst on 2-9 (2 days after receiving the typhoid and influenza injections).  She reports that symptoms have persisted, although today the headache has resolved and she is starting to feel better.
Age: 50.0
Sex: F
Vaccine: FLU3, TYP
Symptoms: Thirst
Clinical narrative: Patient called in today stating that she started to develop fever/chills, headache, myalgias, fatigue, and increased thirst on 2-9 (2 days after receiving the typhoid and influenza injections).  She reports that symptoms have persisted, although today the headache has resolved and she is starting to feel better.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Nodule
Clinical narrative: pea size nodule after one month of administration
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Bacterial culture negative, Full blood count normal, Rash papular
Clinical narrative: Papules on hands (including palms and top of hand), in addition to papules on heels which started out approximately 3 mm and enlarged to 0.5 to 1 cm over a period of 5 days.  Denied any fever and no other accompanying symptoms.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 02/14/2007 @ 0934: Had an induration measuring 1.00 cm long, 1.25 cm wide, and erythema measuring 4 cm in width. This lasted approximately 30 minutes with no decrease or increase in size.
Age: 59.0
Sex: F
Vaccine: DTAP
Symptoms: Muscle atrophy, Radiculitis brachial
Clinical narrative: Left brachial neuritis, onset within days of vaccine administration
Age: 1.51
Sex: F
Vaccine: DTAP, HEPA, HIBV, RVX
Symptoms: Diarrhoea, Influenza like illness, Pyrexia, Viral infection, Vomiting
Clinical narrative: After receiving the DTaP, the Hepatitis A, and the Hib vaccines, patient experienced extreme vomiting (12 times in 24 hours) and diarrhea.  She had a fever of 103.3 F.  Prior to the vaccine she had cold symptoms (runny nose, cough) and was bringing in a tooth, but she exhibited NO stomach flu-like symptoms until after she'd received the vaccines.  We thought it might be a virus, but neither her father nor I got sick, in spite of having repeated and prolonged contact with patient's bodily fluids (snot, vomit, etc.) as is the case when a toddler is so ill.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Guttate psoriasis
Clinical narrative: Patient received Smallpox vaccination on 7July2005. And 3 weeks later started developing Guttate psoriasis. Has had guttate psoriasis for 7 months as of now.
Age: 0.18
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Death
Clinical narrative: Pt was found dead of unknown cause the morning after immuns were given. Child was sleeping in bed with mom.  4/20/07 Received Autopsy Report which reveals COD as asphyxia, cannot exclude parental overlay.  Patient found face doen position after co-sleeping w/parents.  Final dx also included dilation of left renal pelvis.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Vomiting
Clinical narrative: Patient admitted on 1-27-07 with vomiting and diarrhea. 3/22/07 Received medical records from hospital which is only H&P.  Call to medical records dept to confirm.  Patient seen in ER late at night & kept there overnight for hydration & observation.  Admitted to peds floor next AM 1/28/07 & d/c to home same day. FINAL DX: Acute gastroenteritis & mild dehydration.
Age: 45.0
Sex: F
Vaccine: LYME
Symptoms: Biopsy skin abnormal, Blood immunoglobulin M increased, Complement factor abnormal, Lumbar puncture, Muscle spasms
Clinical narrative: Muscle twitching, legs cramps and vibration (from my face down)  July 2004 - started Neurontin Jan 2006 started IVIG. 3/13/07 Received medical records from PCP which only extend from 5/04 to 8/05 & therefore do not include record of IVIG.  T/C to PCP office & message left for return call.  Records indicate patient experienced low vibration sensation of legs, arms & chest beginning in 5/04 & heart palpitations.  Tx w/neurontin.  Eval by rheum in 7/04 for possible Lyme dx & that eval indicates + Lyme test x 2.  Exam was neg.  Dx at that time was neuropathy s/s & + Lyme dx serology, possibly from Lyme vax or to infection.  Tx w/month course of doxycycline for diagnostic purposes.  Eval by neuro 8/04 & felt s/s were somatic anxiety induced.  D/C neurontin as felt patient did not have neuropathy of any sort.  Returned to rheum 8/04 w/o change in s/s & continued to feel pulsating & numbness of face, legs & arms.  Felt did not have Lyme dx at that point since no good response to antibiotic tx.  Received multiple evals by various neuro specialists w/o resolution of s/s.  Final neuro eval in 5/05 for continued s/s of vibration, fatigue & some vague cognitive difficulties. Repeat multiple labs in 5/05 revealed possible active Lyme infection as well as post Lyme/post vax autoimmune process & started on Plaquenil & Biaxin.  Regimen provided some improvement.   5/18/07 Received medical records from neuro which reveal initial eval was 5/10/05 which revealed patient experienced vibrating sensation all over which had begun abruptly approx 1 year prior which increa sed w/fatigue or activity & was helped by Neurontin.  Also c/o cognitive difficulties.  Patient had been seen by 5 previous neurologists.  Exam of 5/05 revealed decreased ankle jerks, diminished sensation of ankles. Treated w/plaquenil & Biaxin w/questionable improvement. Records indicate treatment w/IVIG began in 1/07 w/very gradual improvement & decline when IVIG reduced.  Continued on IVIG as of 4/2/07 FINAL DX:  active & chronic Lyme disease, post Lyme autoimmune syndrome. 04/01/2010 The patient has small fiber neuropathy (confirmed by a skin biopsy again, collected 3/5/07). The patient has a vibration in her body from her face down. The patient has random muscle twitching.
Age: 45.0
Sex: F
Vaccine: LYME
Symptoms: Muscle twitching, Neuropathy, Rheumatoid factor increased, Tremor
Clinical narrative: Muscle twitching, legs cramps and vibration (from my face down)  July 2004 - started Neurontin Jan 2006 started IVIG. 3/13/07 Received medical records from PCP which only extend from 5/04 to 8/05 & therefore do not include record of IVIG.  T/C to PCP office & message left for return call.  Records indicate patient experienced low vibration sensation of legs, arms & chest beginning in 5/04 & heart palpitations.  Tx w/neurontin.  Eval by rheum in 7/04 for possible Lyme dx & that eval indicates + Lyme test x 2.  Exam was neg.  Dx at that time was neuropathy s/s & + Lyme dx serology, possibly from Lyme vax or to infection.  Tx w/month course of doxycycline for diagnostic purposes.  Eval by neuro 8/04 & felt s/s were somatic anxiety induced.  D/C neurontin as felt patient did not have neuropathy of any sort.  Returned to rheum 8/04 w/o change in s/s & continued to feel pulsating & numbness of face, legs & arms.  Felt did not have Lyme dx at that point since no good response to antibiotic tx.  Received multiple evals by various neuro specialists w/o resolution of s/s.  Final neuro eval in 5/05 for continued s/s of vibration, fatigue & some vague cognitive difficulties. Repeat multiple labs in 5/05 revealed possible active Lyme infection as well as post Lyme/post vax autoimmune process & started on Plaquenil & Biaxin.  Regimen provided some improvement.   5/18/07 Received medical records from neuro which reveal initial eval was 5/10/05 which revealed patient experienced vibrating sensation all over which had begun abruptly approx 1 year prior which increa sed w/fatigue or activity & was helped by Neurontin.  Also c/o cognitive difficulties.  Patient had been seen by 5 previous neurologists.  Exam of 5/05 revealed decreased ankle jerks, diminished sensation of ankles. Treated w/plaquenil & Biaxin w/questionable improvement. Records indicate treatment w/IVIG began in 1/07 w/very gradual improvement & decline when IVIG reduced.  Continued on IVIG as of 4/2/07 FINAL DX:  active & chronic Lyme disease, post Lyme autoimmune syndrome. 04/01/2010 The patient has small fiber neuropathy (confirmed by a skin biopsy again, collected 3/5/07). The patient has a vibration in her body from her face down. The patient has random muscle twitching.
Age: 28.0
Sex: F
Vaccine: HEPAB
Symptoms: Asthma, Dyspnoea, Intensive care, Intubation
Clinical narrative: Eve of 1/26/07 reportedly became dyspneic which worsened until after noon (1400) of 1/28/07 when she was seen in the ER and admitted to a medical floor. By 2300 of 1/28/07 condition worsened and she was intubated and admitted to the ICU. Currently on Solumedrol, Bronchodilators - anticipate weaning from vent 1/30 with full recovery to med floor 1/31. Uncertain as to whether reaction was caused by vaccine as it was a worsening of her asthma. 02/20/07-records received and reviewed for DOS 01/28-02/02/07 DC DX: status asthmaticus possible aspiration pneumonia steroid induced hyperglycemia Hospital course:intubated 02/18/07 due to respiratory failure and extubated on 1/28/07.  PMH:asthma. Very severe trouble breathing, current episode is described as worse than usual. Complaints of acute shortness of breath. Treated in ER with nebulizer and Heliox, no improvement acidosis and hypercapnia. Possible aspiration event during intubation.  PE:prolong expiratory phase and wheezes throughout.
Age: 39.0
Sex: F
Vaccine: HPV4
Clinical narrative: See note (attached) 02/15/2007-record received and reviewed. Office visit of 02/08/07-Assessment. Allergic reaction on chest back and left arm. Patient thinks it is related to Gardasil. Received treatment in Mexico. Treated with Betamethasone. Diagnosed with erythema multiforme. Right arm at injection site is not irritated or edematous. Allergic reaction mostly in the contralateral side.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Chest discomfort, Chills, Cough, Dizziness, Dyspnoea
Clinical narrative: Reports waking up on 1/25/07 with feeling of liquid in his throat and chest - causing him to cough. Had minimal nasal drainage and states his chest felt tight making him unable to take a deep breath. Additional symptoms started around 630-7pm that night included body aches, headache, dizziness, dry cough, periods of chills and diaphoresis - lasting throughout the night with fever increase to. Denies taking medication states all signs/symptoms resolved by afternoon on 1/27/07.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Hyperhidrosis, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Reports waking up on 1/25/07 with feeling of liquid in his throat and chest - causing him to cough. Had minimal nasal drainage and states his chest felt tight making him unable to take a deep breath. Additional symptoms started around 630-7pm that night included body aches, headache, dizziness, dry cough, periods of chills and diaphoresis - lasting throughout the night with fever increase to. Denies taking medication states all signs/symptoms resolved by afternoon on 1/27/07.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Throat irritation
Clinical narrative: Reports waking up on 1/25/07 with feeling of liquid in his throat and chest - causing him to cough. Had minimal nasal drainage and states his chest felt tight making him unable to take a deep breath. Additional symptoms started around 630-7pm that night included body aches, headache, dizziness, dry cough, periods of chills and diaphoresis - lasting throughout the night with fever increase to. Denies taking medication states all signs/symptoms resolved by afternoon on 1/27/07.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Rash maculo-papular
Clinical narrative: Generalized  macular papular rash on body.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain, Pyrexia
Clinical narrative: Limited shoulder mobility in left arm where injection was given - pain when moving arm to side or back or extending to side. Noticed change in mobility a few days after injection. No treatment - still fever left arm.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Erythema, Liver function test abnormal, Pruritus, Rash
Clinical narrative: On way home from shot my arm turned bright red-then hives all over my body. Administered Atarax-Cephlin to counteract reaction-given by my doctor.  Could not tolerate this medications after going off this my body broke out like measles all over and a rash on top of that and extemity itchy and then bled an awful situation.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Rash morbilliform, Skin haemorrhage, Urticaria
Clinical narrative: On way home from shot my arm turned bright red-then hives all over my body. Administered Atarax-Cephlin to counteract reaction-given by my doctor.  Could not tolerate this medications after going off this my body broke out like measles all over and a rash on top of that and extemity itchy and then bled an awful situation.
Age: 1.4
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Urticaria
Clinical narrative: Urticaria starting 2/5/07 in evening; progressively through 2/7/07.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, PPV
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Right arm swollen at injection site. Swelling size of silver dollar. Area warm to the touch. Patient complaining of pain with movement.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema, Pruritus, Rash
Clinical narrative: 16 year old female developed edema, rash and pruritus within 24 hours of receiving second Gardasil shot.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Patient received TD vaccine on 2/12/07 around 4:00 pm. She woke up on 2/13/07 6:00 am feeling ill. She has 101.0 fever, headache, chills, aching all over.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Neurological examination, Radiculitis brachial
Clinical narrative: Brachial Plexus neuritis.  2/16/07 Received medical records from reporter/provider which reveal patient experienced immediate pain at time of vax within the left shoulder girdle extending down into the elbow & into the scapular region.  Had neuro evals x 2: 1/2/07 Neuro eval revealed continued difficulty with external rotation of left shoulder girdle, forward flexion & extension.  Sleep was affected.  Exam revealed mild weakness of suprascapular innervated nuscles, axillary innervated muscles & borderline long thoracic nerve weakness.  DTRs were 1/5 & symmetrical.  Decreased pinprick in axillary nerve distribution.  FINAL DX: left brachial amyotrophy involving both suprascapular & axillary nerves, most likely autoimmune; & perimenstrual migraines w/probable comorbidities. EMG & MRI were recommended.  Placed on steroids. 2/6/07 2nd Neuro eval revealed complaints of gradual buildup of pain in left deltoid w/swelling & discoloration & pain moved up into shoulder blade as shooting pain w/certain movements.  Left arm weakness as well as pain.   Patient had not done the EMG/NCS or MRI as recommended.  Exam revealed no tenderness to palpation of left arm or shoulder w/full ROM & no scapular winging.  There was a mild difference in pinprick sensation in left axillary nerve distribution. FINAL DX: probable left brachial plexus neuritis, mild, most likely idiosyncratic immune mediated reaction to flu vax.  Recommended to avoid flu shots in future.  OT was recommended.  Patient deferred EMG/NCS.   FINAL DX of 2 neurologists: left brachial plexus neuritis, most likely idiosyncratic immune mediated reaction to flu vax.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered, No adverse effect
Clinical narrative: Flumist given 2/14/07 had expired 2/11/07. No adverse events have occurred.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Left deltoid red, swollen, hot to touch, raised, a little firm, center white; about size of small orange; a little tender to touch.
Age: 28.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Induration, Musculoskeletal stiffness, Pain in extremity, Wound drainage
Clinical narrative: Client received TD on 2/6/07 on LD claimed 2 days later the hand was stiff and hurting (LH) 2/8/07. On 2/13/07 she claimed her arm had a raised lump and open with drained. She also mentioned went MD has a prescription of antibiotic and came to the clinic.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Right upper leg is red, swollen, hot and pain to touch. The redness is about 3 inches in diameter.
Age: 0.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Local reaction
Clinical narrative: Local reaction to left and right thigh (R) Pediarix / HIB, Prevnar (L).
Age: 1.06
Sex: M
Vaccine: MMR
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash over trunk and extremities (not urticaria).
Age: 1.34
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion, Full blood count, Pyrexia
Clinical narrative: Child received Dtap, IPV and HIB on Jan 30, 07. He developed fever and seizure that evening and was treated symptomatically at hospital ER.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Nausea, Rash, Upper respiratory tract infection, Urticaria
Clinical narrative: Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of Gardasil (yeast). One week later the patient developed a rash and an upper respiratory tract infection. She was treated with BENADRYL and ORAPRED. The patient's outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007.  Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of GARDASIL.  One week later the patient developed a rash and an upper respiratory tract infection.  She was treated with BENADRYL and ORAPRED.  The patient's outcome was unknown.  Follow up information has been received from a physician concerning the 19 year old female student with environmental allergies and a history of being a premature twin who on 01-DEC-2006 was vaccinated IM in left arm with her first dose of GARDASIL, lot #653978/0955F.  Concomitant therapy included unspecified immunotherapy.  On 01-DEC-2006, she experienced nausea and headache.  On 04-DEC-2006 the patient developed urticaria.  She was treated with BENADRYL, PREDNISONE, and ZYRTEC.  Upper respiratory symtoms developed after she was treated with the medications noted above.  Per a phone call one week later "pain completely gone".  The patient was reported as recovered from nausea, headache, urticaria, and pain.  The physician indicated that the urticaria was due to therapy with GARDASIL.  No further information is available.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Nausea, Pain, Rash, Upper respiratory tract infection
Clinical narrative: Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of Gardasil (yeast). One week later the patient developed a rash and an upper respiratory tract infection. She was treated with BENADRYL and ORAPRED. The patient's outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007.  Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of GARDASIL.  One week later the patient developed a rash and an upper respiratory tract infection.  She was treated with BENADRYL and ORAPRED.  The patient's outcome was unknown.  Follow up information has been received from a physician concerning the 19 year old female student with environmental allergies and a history of being a premature twin who on 01-DEC-2006 was vaccinated IM in left arm with her first dose of GARDASIL, lot #653978/0955F.  Concomitant therapy included unspecified immunotherapy.  On 01-DEC-2006, she experienced nausea and headache.  On 04-DEC-2006 the patient developed urticaria.  She was treated with BENADRYL, PREDNISONE, and ZYRTEC.  Upper respiratory symtoms developed after she was treated with the medications noted above.  Per a phone call one week later "pain completely gone".  The patient was reported as recovered from nausea, headache, urticaria, and pain.  The physician indicated that the urticaria was due to therapy with GARDASIL.  No further information is available.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria
Clinical narrative: Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of Gardasil (yeast). One week later the patient developed a rash and an upper respiratory tract infection. She was treated with BENADRYL and ORAPRED. The patient's outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007.  Information has been received from an office manager concerning a female patient who on 01-DEC-2006 was vaccinated with a dose of GARDASIL.  One week later the patient developed a rash and an upper respiratory tract infection.  She was treated with BENADRYL and ORAPRED.  The patient's outcome was unknown.  Follow up information has been received from a physician concerning the 19 year old female student with environmental allergies and a history of being a premature twin who on 01-DEC-2006 was vaccinated IM in left arm with her first dose of GARDASIL, lot #653978/0955F.  Concomitant therapy included unspecified immunotherapy.  On 01-DEC-2006, she experienced nausea and headache.  On 04-DEC-2006 the patient developed urticaria.  She was treated with BENADRYL, PREDNISONE, and ZYRTEC.  Upper respiratory symtoms developed after she was treated with the medications noted above.  Per a phone call one week later "pain completely gone".  The patient was reported as recovered from nausea, headache, urticaria, and pain.  The physician indicated that the urticaria was due to therapy with GARDASIL.  No further information is available.
Age: 38.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a consumer concerning a 38 year old female with sulfa allergy who "about two months ago" in approximately November 2006 was vaccinated with HPV VLP vaccine (yeast). There was no concomitant medication.  Subsequently, "about two months ago" in approximately November 2006, the patient experienced "swelling in upper left arm where the (HPV vaccine) was administered." The site was immediately sore. The swelling increased at first and subsided after about a month. Unspecified medical attention was sought. The patient recovered "about one month ago."  There were no relevant diagnostic tests or laboratory data.  Additional information has been requested.
Age: 38.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a consumer concerning a 38 year old female with sulfa allergy who "about two months ago" in approximately November 2006 was vaccinated with HPV VLP vaccine (yeast). There was no concomitant medication.  Subsequently, "about two months ago" in approximately November 2006, the patient experienced "swelling in upper left arm where the (HPV vaccine) was administered." The site was immediately sore. The swelling increased at first and subsided after about a month. Unspecified medical attention was sought. The patient recovered "about one month ago."  There were no relevant diagnostic tests or laboratory data.  Additional information has been requested.