chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Bacterial infection, Blister, Erythema, Inflammation
Clinical narrative: Varicella vaccine admin 7-30-09. Family report that blister appeared either the next day 7-31-09 or 8-1-09. To Dr. 8/2/09. Dx with bacterial infection & given antibiotic - name? To be taken TID x 5 day. Area on arm with blister approx size of a quarter - inflamed, redness around edge of blister.
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 1.1
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 102.2.
Age: 2.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pyrexia, Swelling, Urticaria
Clinical narrative: 7/30 PM left thigh big red welt at site size of softball & 7/31 looks smaller.  Mom advised to give BENADRYL & to call us back if redness worsens or spreads.  Swelling, fever. - (AM)  7/31 (pm) swelling down to 50 cent piece.  She is acting fine.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Cough, Nasal congestion, Oropharyngeal pain
Clinical narrative: Had sore throat nasal congestion cough with mid epigastric pain - pain for 2 days - sore throat 2 days - nasal congestion cough persist.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Fatigue, Muscular weakness, Pain
Clinical narrative: 1/08 - school reported she was very weak - 03/09 leg weakness/tired 03/09 pain started. Please see attached.  Patient continuity codes to 353037 and 353069. VAERS report received with MR and notes from PCP. Pt developed weakness and fatigue shortly after 2nd HPV vax on 12/2908.  ADLs greatly reduced due to lethargy and fatigue. Developed joint pain and pins & needles shin pain and loss of muscle control in 5/2009  Walked with a limp 2' to pain. See ER notes. Neuro consults with no specific dx. Referred to another neuro and will be seen 8/2009. In June 2009 developed hair loss. Following 3rd HPV shot 7/14/09 developed sharp chest and shoulder pain, fever, nausea and stomach pain, worsening pain in fingers, thrumb, wrist, elbow and arm. 8/28/09 ER records rec'd for DOS 5/31/09 with DX:  Acute lower extremity sense of weakness.  Acute LE paresthesias. Presented with c/o joint pain and weakness in legs since 5/18/09.  Unable to walk. sharp pains in shins and thighs.  Occ feels like airway is closing. PE (+) stiff-legged, wide-based gait.  Referral notes EKG abnormality, lower extremity strength 3/5, upper extremity 4/5.  Referral made for outpt PT.  10/8/09 Neurology consult, rheumatology consult, pediatric pain service records received, service dates 8/14/09 to 10/1/09 Assessment: Diffuse musculoskeletal pain, amplified pain. Abnormal ESR. Chronic steroid use. Patient presents for evaluation of diffuse pain. Intermittent activity-dependent fatigue and generalized weakness, Aching pain entire body. Transient swelling of face and hands. Jaw aches after chewing. Activities limited. Uses cane or wheelchair for walking more than a few steps. Occipital headaches. "Crouched" gait. Brief cervical lymphadenopathy. On corticosteroids - Cushingoid face and 30 lb undesired weight gain, sleep disturbances. Muscle tenderness and tender points. Antalgic gait. Episode of severe chest pain.
Age: 1.59
Sex: F
Vaccine: HEPA, HIBV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received Hep#2 only 4 months after Hep A#1.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Facial palsy, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a nurse practitioner concerning a 23 year old female who on 23-MAR-2009 was vaccinated with the second dose of GARDASIL (lot# 661703/0651X). On 01-APR-2009 the patient was diagnosed with BELLS palsy after the second dose of vaccination. The patient was sent to the emergency room but was not admitted. The patient is now being treated by a neurologist. At the time of the report, the patient had not recovered. Upon internal review, the BELLS palsy was considered to be other important medical event. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Facial palsy
Clinical narrative: Information has been received from a nurse practitioner concerning a 23 year old female who on 23-MAR-2009 was vaccinated with the second dose of GARDASIL (lot# 661703/0651X). On 01-APR-2009 the patient was diagnosed with BELLS palsy after the second dose of vaccination. The patient was sent to the emergency room but was not admitted. The patient is now being treated by a neurologist. At the time of the report, the patient had not recovered. Upon internal review, the BELLS palsy was considered to be other important medical event. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Nausea, Pain, Pruritus
Clinical narrative: Redness, pain, swelling, itching, and heat radiating around the injection site, over the next several days swelling and redness grew into the whole upper arm.  Nausea the day following the vaccine.  Administered Motrin and Claritin. Will continue as symptoms are still evident.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: Redness, pain, swelling, itching, and heat radiating around the injection site, over the next several days swelling and redness grew into the whole upper arm.  Nausea the day following the vaccine.  Administered Motrin and Claritin. Will continue as symptoms are still evident.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal discomfort, Activities of daily living impaired, Blood product transfusion, Dizziness, Evans syndrome
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Idiopathic thrombocytopenic purpura, Palpitations, Platelet count decreased, Pyrexia
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Red blood cell count decreased, Vision blurred, White blood cell count decreased
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal discomfort, Activated partial thromboplastin time prolonged, Activities of daily living impaired, Alopecia, Anaemia
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antiphospholipid antibodies positive, Asthenia, Blood disorder, Blood product transfusion, Contusion
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cough, Dizziness, Ear pain, Evans syndrome, Haematocrit decreased
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haemoglobin normal, Headache, Hyperhidrosis, Idiopathic thrombocytopenic purpura, Muscle tightness
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Neutropenia, Oral contraception, Pallor, Palpitations
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Petechiae, Platelet count decreased, Prothrombin time prolonged, Pruritus, Pyrexia
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Red blood cell count decreased, Sleep disorder, Urticaria, Vaginal haemorrhage, Viral infection
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vision blurred, Wheezing, White blood cell count decreased
Clinical narrative: Was doing fine after first after first shot, received 2nd series and next day went to Dr. from school complaining of blurred vision, sick to stomach, and bad headache, fever and heart palpitations. Felt like was going to pass out. Went to Dr. had tests and was in bed for 3 days. Blood tests came back low. White, red and platelets. Told 2 wait and be tested again in a few weeks. When tested again was sent to hospital and then diagnosed with ITP Syndrome and given medication.. Did not work, so then was hospitalized because blood was so low at serious risk for a stroke, was given another dose of globin and spent night at hospital.. A few weeks later, took blood tests again everything was still low, was put on highest dosage of Prednisone 4 3 weeks.. Blood levels raised and stabilized 4 a few weeks. Latest has been diagnosed with ITP/Evans Syndrome and told would probably turn into Lupus, will have to visit hospital on a regular basis to be monitored. A permanent disease, Rheumatologist and blood disorder doctors from 2 major hospitals agree this illness was created by the Gardasil Vaccine and written in their reports.  8/10/09 PCP medical records received DOS 1/2/09 to 3/18/09. Assessment: Low platelet count. Hives/urticaria thighs and lower legs, itching after tanning session. Has started oral contraceptives. Heart palpitations, nausea, feverish. Headache, ears hurt, lightheaded. Looks pale. Excused from PE.  8/10/09 Hospital records and Oncology/Hematology consult, Rheumatology Consult,  DOS 4/9/09 to 4/27/09. Assessment: Thrombocytopenia, anemia, neutropenia, positive lupus anticoagulant, elevated PT/PTT.  Patient presents with thrombocytopenia, anemia, excessive vaginal bleeding. Had bad 'virus' with fevers, cough, headache, poor sleeping and sweating. Missed school. IVIG therapy. Hair is falling out. Energy levels decreased, pale, diffuse bruises, petechia over lower legs. Tightness in neck. Wheezing.  8/10/09 Hematology consult - second opinion, Rheumatology report DOS 4/21/09 to 5/19/09. Assessment: Evan syndrome (autoimmune hemolytic anemia and thrombocytopenia. Patient initially presented with scattered petechia and bruising involving all surfaces of body. Bruising has significantly decreased.  8/10/09 Discharge summary DOS 4/25//09: Assessment: Thrombocytopenia, vaginal bleeding, thrombocytopenia, Autoimmune disorder NOS, hemolytic anemia. Patient presented with platelet count <5. IVIG administered.  4/9/09 Hospital short stay, Pediatric Hematology Clinic visits DOS 4/15/09 to 7/14/09  Assessment: Autoimmune hemolytic anemia and thrombocytopenia. Patient presents with hair coarse and falling out, pale, thrombocytopenia. Headaches, breakthrough vaginal bleeding.  9/4/09 ICD-9 Codes: 287.5 Thrombocytopenia unspecified, 283.9 Acquired hemolytic anemia unspecified, 279.4 Autoimmune disease not elsewhere classified,  623.8 Noninflammatory disorder of vagina.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Dehydration, Rotavirus infection
Clinical narrative: Information has been received from a physician concerning a "6 month old" female who in "July 2009", was vaccinated (oral administration) with the third dose of ROTATEQ (dose, lot# not reported). It was reported that the patient was diagnosed with rotavirus after receiving her third dose of ROTATEQ in "July 2009". The patient was hospitalized for dehydration but the length of stay and specific hospital were unknown. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Haemorrhage, Hypertension, Oedema
Clinical narrative: Initial and follow-up information has been received from a nurse, for GARDASIL, a Pregnancy Registry product, concerning a 23 year old female who on 07-JAN-2008 was vaccinated with the first dose of GARDASIL (lot# 659439/1267U, IM, 0.5ml). On 12-JUN-2008 the patient received the second dose of GARDASIL (lot# 660391/0063X, IM, 0.5ml). Concomitant therapy included LEXAPRO. After the second dose the patient was pregnant and her last menstrual period (LMP) date was at 15-AUG-2008. On 26-SEP-2008 the patient experienced pre-eclampsia and spotting/bleeding; intervention was observation. Lab diagnostics studies included ultrasounds-normal, fetal echocardiogram at 37 weeks-normal, urine protein test-normal. On 08-MAY-2009 the patient was admitted for delivery at hospital. The patient did experience "pregnancy induced hypertension" at delivery, but hospitalization was not prolonged due to this event. The baby boy (8lb 4oz) born with no complications. The patient was seen in the office on 21-JUL-2009, blood pressure (B/P) was normal (120/72) at that visit. The patient had not yet received the 3rd dose of GARDASIL. At the report time the patient's status was unknown. In follow-up, a nurse reported the 23 year old white female had no previous pregnancies. Her concurrent medical conditions were reported as "stable". Other medication used during her pregnancy included precare vitamin (the date of use was reported as "25-SEP-2009"). Her pregnancy was complicated by pregnancy-induced hypertension and she developed edema. Subsequently, on 09-MAY-2009, the patient delivered a normal male baby by C-section delivery weighing 8 pounds 4 ounces. The baby had no congenital anomalies or any other complications or abnormalities. No further information is available.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pre-eclampsia, Pregnancy induced hypertension, Protein urine absent, Ultrasound scan normal, Vaginal haemorrhage
Clinical narrative: Initial and follow-up information has been received from a nurse, for GARDASIL, a Pregnancy Registry product, concerning a 23 year old female who on 07-JAN-2008 was vaccinated with the first dose of GARDASIL (lot# 659439/1267U, IM, 0.5ml). On 12-JUN-2008 the patient received the second dose of GARDASIL (lot# 660391/0063X, IM, 0.5ml). Concomitant therapy included LEXAPRO. After the second dose the patient was pregnant and her last menstrual period (LMP) date was at 15-AUG-2008. On 26-SEP-2008 the patient experienced pre-eclampsia and spotting/bleeding; intervention was observation. Lab diagnostics studies included ultrasounds-normal, fetal echocardiogram at 37 weeks-normal, urine protein test-normal. On 08-MAY-2009 the patient was admitted for delivery at hospital. The patient did experience "pregnancy induced hypertension" at delivery, but hospitalization was not prolonged due to this event. The baby boy (8lb 4oz) born with no complications. The patient was seen in the office on 21-JUL-2009, blood pressure (B/P) was normal (120/72) at that visit. The patient had not yet received the 3rd dose of GARDASIL. At the report time the patient's status was unknown. In follow-up, a nurse reported the 23 year old white female had no previous pregnancies. Her concurrent medical conditions were reported as "stable". Other medication used during her pregnancy included precare vitamin (the date of use was reported as "25-SEP-2009"). Her pregnancy was complicated by pregnancy-induced hypertension and she developed edema. Subsequently, on 09-MAY-2009, the patient delivered a normal male baby by C-section delivery weighing 8 pounds 4 ounces. The baby had no congenital anomalies or any other complications or abnormalities. No further information is available.
Age: 23.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Abasia, Back pain, Multiple sclerosis, Muscle twitching, Oedema peripheral
Clinical narrative: Information has been received from a physician concerning a female who in January 2009, was vaccinated IM with the second 0.5ml dose of GARDASIL (lot# not reported). The patient exhibited "multiple sclerosis (MS)-like symptoms". The date of onset of the symptoms was unknown. The patient was hospitalized overnight at hospital for testing to rule-out multiple sclerosis. The physician relayed that unspecified test results were "non-specific". The dates of hospitalization were unknown. The physician did not provide details of the specific symptoms experienced by the patient but added that "the symptoms are improving." Follow up information was received via telephone call from the patient's mother who worked in the doctor's office and was not a Health Professional provided the patient's full name and birth date. It was reported that the patient was 23 year old and had received 2 doses of GARDASIL. The patient received the first dose of GARDASIL from her gynecologist (GYN) physician (date, dose and lot number unknown to reporter). The patient received the second dose of GARDASIL on 12-NOV-2008 (lot# 659184/0843X) (previously reported as January 2009). The patient began having the following symptoms in the middle of December 2008; "Swelling in her arm, twitches, constant back pain, could not walk at times". The patient was hospitalized of over night, early in 2009 to rule out (R/O) multiple sclerosis (MS) (hospital name and hospitalization dates not reported). The patient's mother stated that the patient could walk and was improving. Follow up information was received via telephone call from a person from the patient's gynecologist's office who provided the doctor's address and reported that the patient received the first dose of GARDASIL on 05-MAY-2008 (expiration date 14-JUN-2009). Additional information has been requested.   8/7/09 Medical records received DOS 11/12/08 to 7/28/09. C/O heartburn, rosacea, joint stiffness. Second dose of Gardasil administered. Post vaccination patient presents with back pain, insomnia.  8/10/09 Hospital records received, multiple ER and inpatient records DOS 12/26/09 to 1/24/09. Inpatient dates 1/23/09 to 1/24/09. Assessment: Bilateral upper and lower extremity weakness. Patient previously c/o sudden onset of right hand pain, swelling, tingling, bluish discoloration and decreased temperature. Questionable median nerve compression. Patient developed intermittent mild bilateral upper and lower extremity weakness. Knees giving way, back pain in cervical thoracic area. Pronounced left leg weakness. Generalized weakness all extremities. Post epidural and post Dilauded. Right deviation of tongue, dysmetria, hyperreflexia. Cervical epidural injection - local anesthetic nerve block.  8/10/09 Hospital diagnostic procedures DOS 12/26/08 and 1/28/09. Patient presents with right upper extremity pain.   Out patient ICD-9 Codes 453.8 Embolism and Thrombosis of other specified veins, 729.5 Pain in limb.  9/16/09 ICD-9 Codes: 722.0 \ksk
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dehydration, Stool analysis, Urine analysis
Clinical narrative: Information has been received from a 23 year old female patient with no pertinent medical history and sulfonamide allergy who on 06-NOV-2008 was vaccinated with the first dose of GARDASIL (lot number not reported). On 03-FEB-2009 the patient was vaccinated with the second dose of GARDASIL (lot number not reported). Concomitant therapy included NEXIUM. On 06-NOV-2008 the patient was submitted to hospital because she was dehydrated after a fight. A urinalysis was performed and stool sample was collected for dehydration (results not provided). At the time of the report, the outcome of the patient was unknown. Additional information has been requested.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception 4 mo after completing 3 doses ROTATEQ. 9/23/09 Medical records received for date of service 7/22/09 to 7/23/09. DX Intussusception with successful reduction by air contrast enema. Sudden onset of abdominal pain and increased irritability.  Nausea & vomiting, bloody BM, minimal intake PO, negative for fever/chills.  Abdomen tender to palpate, firm palpable mass RUQ.   8/20/09 Vaccine records received. Pneumo / Wyeth Prevnar Lot# D33126 IM 2 Previous doses. Administered on 3/27/09 per vaccine records. \ksk  10/1/09 ICD-9 Codes received: 560.0 Intussusception.