chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Blindness transient, No reaction on previous exposure to drug, Syncope
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with her third dose of GARDASIL (lot# not reported). Subsequently, "right after the vaccine was given", the patient "fainted, her vision went black and she had memory loss" for a few seconds after her third shot of GARDASIL. The physician reported that the patient had no symptoms after the first and second dose of GARDASIL (dates of vaccination not reported). Subsequently, on an unknown date the patient was considered to have recovered from fainting, vision going black and memory loss. Upon internal review, "vision going black" was considered to be an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received through the Merck pregnancy registry, for GARDASIL, from a physician concerning a 21 year old female with codeine allergy who on 19-MAR-2007 was vaccinated intramuscularly in the deltoid with the first 0.5 mL dose of GARDASIL. There was no concomitant medication. Later that same day a urine pregnancy test was positive and the patient found out she was pregnant. (LMP: 14-FEB-2007; EDD: 21-NOV-2007). Unspecified medical attention was sought. On 09-May-2009, telephone follow up information was received from a nurse who reported that the patient miscarried at eleven weeks and three days. Upon internal review, miscarriage was considered to be an other important medical event. No further information is available.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Breech presentation, Caesarean section, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a licensed practical nurse concerning a 20 year old female with depression, anxiety disorder and migraine and no drug reactions/allergies who on 22-JUN-2007 was vaccinated with a first dose of GARDASIL (lot# 653735/0688F) 0.5mL IM. Concomitant therapy included LYRICA, PROCAC, DEPAKOTE, BUSPAR, trazodone HCl and nabumetone. On 27-AUG-2007 the patient was vaccinated with a second dose of GARDASIL (lot# 655503/0012U) 0.5mL IM and is "2 months pregnant". Medical attention was sought. A urine beta-human chorionic gonadotropin test was positive for pregnancy. The date of the last menstrual period was approximately 06-JUL-2007 and the estimated date of delivery is approximately 11-APR-2007. No other information was available at this time. Follow-up information was received from the L.P.N. The L.P.N. reported that the patient delivered a baby girl "just yesterday, last night" (08-MAY-2008). A C-section was performed since the baby was breech. The baby was 7 pounds 4 ounces and 19 inches long. The baby was healthy with no congenital anomalies. The patient's due date was 06-MAY-2008 so the baby was born at 40 weeks and two days gestation. Upon internal review breech presentation was considered to be an other medical event. Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Encephalitis, Headache, Pyrexia, Vision blurred
Clinical narrative: Information has been received from a physician concerning a 20 year old female with no allergies, who, on an unspecified date, was vaccinated with a dose of Gardasil.  There was no concomitant medication.  There were no illnesses at the time of vaccination.  It was noted that the reporting physician recommended the HPV vaccination to the patient but she was vaccinated at her college campus.  Three to four days post vaccination the patient experienced a high fever, headache, and blurred vision.  The patient went to the emergency room but was not admitted.  The patient then returned to the emergency room a second time and was admitted to the hospital for two days.  The patient was diagnosed with encephalitis.  At the time of the report, the outcome of the patient was unknown.  Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Cerebrovascular accident, Thrombosis
Clinical narrative: Information has been received from a physician concerning an approximately 23 year old female patient who was vaccinated with Gardasil.  The physician stated that a patient of hers came into the office telling her that her neighbor's daughter received Gardasil and suffered from a stroke or a clot.  No further Information was provided.  The physician that the representative calls on, did not have any details about the patient.  Upon internal review, stroke was considered to be an other important medical event.  Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a 20 year old female with a "fear of needles" who on 30-APR-2008 was vaccinated with Gardasil (lot# 0152X) 0.5mL IM in the left deltoid.  On 30-APR-2008 the patient experienced a seizure "about 45 seconds" after administration of Gardasil.  The seizure lasted less than one minute.  The patient rested on the exam table until stable but, when the patient stood up she experienced another seizure.  Unspecified medical attention was sought.  The physician stated that the patient recovered quickly and after resting in the office again she was able to leave the office fully recovered on the same day.  No medical treatment was required.  No further information was available.  Upon internal review convulsion was considered to be an Other Medical Event.  Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Enema administration, Gastroenteritis, Intussusception, Laboratory test abnormal, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 10 month old female with an ear infection in February 2008, and no drug allergies who on 03-JUL-2007, 05-SEP-2007 and 06-NOV-2007 was vaccinated PO with her first, second and third doses of ROTATEQ (lot# 656391/0238U, 657049/0503U, 657518/1192U). Concomitant drug therapy included AUGMENTIN for the ear infection in February 2008. On 10-MAR-2008 the patient experienced vomiting and received a diagnosis of gastroenteritis and was subsequently hospitalized. The nurse was reading the patient's chart and also noted that the patient had intussusception which was "reduced by air." Laboratory diagnostic studies included flat x-ray on 12-MAR-2008. The patient was discharged from the hospital on 14-MAR-2008, but had no other information about the hospitalization. Subsequently the patient recovered. There was no product quality complaint. No other information available. Gastroenteritis and intussusception were also considered to be immediately life-threatening by the physician. Additional information has been requested. 5/27/08-records received for DOS 3/10-3/12/08-admitted with refractory vomiting for 3 days. Admitted for rehydration. NG placement. Transferred to speciality hospital.   7/15/08-records received for DOS 3/12/08-DX: intussusception. Ultrasound revealed intussusception.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: X-ray abnormal
Clinical narrative: Information has been received from a registered nurse concerning a 10 month old female with an ear infection in February 2008, and no drug allergies who on 03-JUL-2007, 05-SEP-2007 and 06-NOV-2007 was vaccinated PO with her first, second and third doses of ROTATEQ (lot# 656391/0238U, 657049/0503U, 657518/1192U). Concomitant drug therapy included AUGMENTIN for the ear infection in February 2008. On 10-MAR-2008 the patient experienced vomiting and received a diagnosis of gastroenteritis and was subsequently hospitalized. The nurse was reading the patient's chart and also noted that the patient had intussusception which was "reduced by air." Laboratory diagnostic studies included flat x-ray on 12-MAR-2008. The patient was discharged from the hospital on 14-MAR-2008, but had no other information about the hospitalization. Subsequently the patient recovered. There was no product quality complaint. No other information available. Gastroenteritis and intussusception were also considered to be immediately life-threatening by the physician. Additional information has been requested. 5/27/08-records received for DOS 3/10-3/12/08-admitted with refractory vomiting for 3 days. Admitted for rehydration. NG placement. Transferred to speciality hospital.   7/15/08-records received for DOS 3/12/08-DX: intussusception. Ultrasound revealed intussusception.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Anxiety, Hyperventilation, Oxygen saturation decreased, Pruritus
Clinical narrative: Patient complained of itching approximately 15-20 minutes after receiving MENACTRA and GARDASIL.  Patient given 50 mg Benadryl p.o.  Cool compresses to neck and back.  Patient anxious, hyperventilating.  Patient placed in supine position.  P.O. 97, pulse 83.  Doctor at bedside.  Reduce of pulse OX 87, P 72.  Patient placed on O2.  SATS 99-100.  Code team called - SQ epinephrine given and patient transferred to ER. 5/29/08 Reviewed hospital medical records of 5/7-5/8/2008. FINAL DX: anaphylaxis to Gardasil or Menactra Records reveal patient experienced blurred vision, itch, hives, diaphoreses, dizziness, lightheadedness, SOB, nausea, palpitations, throat swelling, shaking & passed out.  Patient reported similar reaction to prior flu vaccination. Tx in ER & admitted for observation.  Ortho & psych consults done for old fx & anxiety related to anaphylaxis.  No further difficulties & d/c to home next day w/allergy med & epi-pen.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Arthralgia, Blood disorder, Dyspnoea, Headache, Memory impairment
Clinical narrative: Problems breathing, sleep apnea, joint pain, headache, tingling, blood disorder, heart problem (PVC). Memory problem, skin rashes, etc.  7/5/08 Reviewed VA medical records of 8/2005-5/2008. Records reveal patient active duty 10/2003-7/2004.  Upon return patient experienced aortic & mitral valve replacement, recurrent LE DVT, atrial fibrillation, mural thrombi, cardiomyopathy, CHF, CVA, TIA, major depression, anxiety, panic attacks, adjustment reaction w/anxious mood, sleep apnea, SOB, obesity, ex-smoker, RLL pneumonia, PE, hyperlipidemia, bilateral knee pain, right knee effusion, patellofemoral pain syndrome, diverticulae, insomnia, lack of energy, anhedonia, sexual difficulties, arthralgia, abdominal pain, HA, pleuritic chest pain, dizziness, otitis media, fatty enlarged liver, axillary rash, dyspepsia, heartburn, memory loss, allergic rhinitis, elbow tendinitis, sinusitis.
Age: 32.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Paraesthesia, Rash, Sleep apnoea syndrome, Ventricular extrasystoles
Clinical narrative: Problems breathing, sleep apnea, joint pain, headache, tingling, blood disorder, heart problem (PVC). Memory problem, skin rashes, etc.  7/5/08 Reviewed VA medical records of 8/2005-5/2008. Records reveal patient active duty 10/2003-7/2004.  Upon return patient experienced aortic & mitral valve replacement, recurrent LE DVT, atrial fibrillation, mural thrombi, cardiomyopathy, CHF, CVA, TIA, major depression, anxiety, panic attacks, adjustment reaction w/anxious mood, sleep apnea, SOB, obesity, ex-smoker, RLL pneumonia, PE, hyperlipidemia, bilateral knee pain, right knee effusion, patellofemoral pain syndrome, diverticulae, insomnia, lack of energy, anhedonia, sexual difficulties, arthralgia, abdominal pain, HA, pleuritic chest pain, dizziness, otitis media, fatty enlarged liver, axillary rash, dyspepsia, heartburn, memory loss, allergic rhinitis, elbow tendinitis, sinusitis.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Activities of daily living impaired, Anxiety, Arthralgia, Back pain, Brain injury
Clinical narrative: 7/7/07 - shooting pain in neck, mid back and arms.  Electrical sensation all over his body.  7/7/07 - unable to move fingers or arms, weakness in legs.  Numbness on chest, upper and lower body, constipation.  7/28/07 - he needed help being fed and go to the bathroom.  1/22/08 - bone fusion surgery on his neck.  6/06/2008 MR received for ER visit 7/20/2007 with DX:  Back pain with paresthesias to hands and arms.  Degenerative Disc Disease.  Pt presented to ER with c/o numbness/tingling of the L arm/hand and legs and thoracic and lumbar back pain which was non-traumatic in origin. Pt also reports recent onset of unsteady gait and feeling uncoordinated. PE WNL with strength noted as 4-5. D/C home.MR also received for DOS 7/25-31/2007 with D/C Dx: Multiple Sclerosis with some degenerative disc disease, potentially exacerbating his cervical spine lesion. Pt retuned to ER on 7/25/07 with increased difficulty walking and standing and fine motor control.  Has required help to eat due to unsteadiness of the hands. PE (+) for poor grip strength R>L.  Downward plantar reflexes and DTRs 1+.  Neuro consult with Impression: Demyelinating. D/C to be f/u as outpt. Follow-up: Chronic fatigue, muscle and joint pain, numbness and tingling from chest down to groin area, left hip left leg to tip of the toes, can't ejaculate, problems with bladder control. Depression and Anxiety.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Constipation, Demyelination, Depression, Ejaculation failure, Electromyogram normal
Clinical narrative: 7/7/07 - shooting pain in neck, mid back and arms.  Electrical sensation all over his body.  7/7/07 - unable to move fingers or arms, weakness in legs.  Numbness on chest, upper and lower body, constipation.  7/28/07 - he needed help being fed and go to the bathroom.  1/22/08 - bone fusion surgery on his neck.  6/06/2008 MR received for ER visit 7/20/2007 with DX:  Back pain with paresthesias to hands and arms.  Degenerative Disc Disease.  Pt presented to ER with c/o numbness/tingling of the L arm/hand and legs and thoracic and lumbar back pain which was non-traumatic in origin. Pt also reports recent onset of unsteady gait and feeling uncoordinated. PE WNL with strength noted as 4-5. D/C home.MR also received for DOS 7/25-31/2007 with D/C Dx: Multiple Sclerosis with some degenerative disc disease, potentially exacerbating his cervical spine lesion. Pt retuned to ER on 7/25/07 with increased difficulty walking and standing and fine motor control.  Has required help to eat due to unsteadiness of the hands. PE (+) for poor grip strength R>L.  Downward plantar reflexes and DTRs 1+.  Neuro consult with Impression: Demyelinating. D/C to be f/u as outpt. Follow-up: Chronic fatigue, muscle and joint pain, numbness and tingling from chest down to groin area, left hip left leg to tip of the toes, can't ejaculate, problems with bladder control. Depression and Anxiety.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Fatigue, Full blood count normal, Hypoaesthesia, Intervertebral disc degeneration, Lumbar puncture normal
Clinical narrative: 7/7/07 - shooting pain in neck, mid back and arms.  Electrical sensation all over his body.  7/7/07 - unable to move fingers or arms, weakness in legs.  Numbness on chest, upper and lower body, constipation.  7/28/07 - he needed help being fed and go to the bathroom.  1/22/08 - bone fusion surgery on his neck.  6/06/2008 MR received for ER visit 7/20/2007 with DX:  Back pain with paresthesias to hands and arms.  Degenerative Disc Disease.  Pt presented to ER with c/o numbness/tingling of the L arm/hand and legs and thoracic and lumbar back pain which was non-traumatic in origin. Pt also reports recent onset of unsteady gait and feeling uncoordinated. PE WNL with strength noted as 4-5. D/C home.MR also received for DOS 7/25-31/2007 with D/C Dx: Multiple Sclerosis with some degenerative disc disease, potentially exacerbating his cervical spine lesion. Pt retuned to ER on 7/25/07 with increased difficulty walking and standing and fine motor control.  Has required help to eat due to unsteadiness of the hands. PE (+) for poor grip strength R>L.  Downward plantar reflexes and DTRs 1+.  Neuro consult with Impression: Demyelinating. D/C to be f/u as outpt. Follow-up: Chronic fatigue, muscle and joint pain, numbness and tingling from chest down to groin area, left hip left leg to tip of the toes, can't ejaculate, problems with bladder control. Depression and Anxiety.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Multiple sclerosis, Muscular weakness, Myalgia, Neck pain, Pain in extremity
Clinical narrative: 7/7/07 - shooting pain in neck, mid back and arms.  Electrical sensation all over his body.  7/7/07 - unable to move fingers or arms, weakness in legs.  Numbness on chest, upper and lower body, constipation.  7/28/07 - he needed help being fed and go to the bathroom.  1/22/08 - bone fusion surgery on his neck.  6/06/2008 MR received for ER visit 7/20/2007 with DX:  Back pain with paresthesias to hands and arms.  Degenerative Disc Disease.  Pt presented to ER with c/o numbness/tingling of the L arm/hand and legs and thoracic and lumbar back pain which was non-traumatic in origin. Pt also reports recent onset of unsteady gait and feeling uncoordinated. PE WNL with strength noted as 4-5. D/C home.MR also received for DOS 7/25-31/2007 with D/C Dx: Multiple Sclerosis with some degenerative disc disease, potentially exacerbating his cervical spine lesion. Pt retuned to ER on 7/25/07 with increased difficulty walking and standing and fine motor control.  Has required help to eat due to unsteadiness of the hands. PE (+) for poor grip strength R>L.  Downward plantar reflexes and DTRs 1+.  Neuro consult with Impression: Demyelinating. D/C to be f/u as outpt. Follow-up: Chronic fatigue, muscle and joint pain, numbness and tingling from chest down to groin area, left hip left leg to tip of the toes, can't ejaculate, problems with bladder control. Depression and Anxiety.
Age: 36.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Paraesthesia, Paresis, Red blood cell sedimentation rate normal, Spinal fusion surgery, White blood cell count increased
Clinical narrative: 7/7/07 - shooting pain in neck, mid back and arms.  Electrical sensation all over his body.  7/7/07 - unable to move fingers or arms, weakness in legs.  Numbness on chest, upper and lower body, constipation.  7/28/07 - he needed help being fed and go to the bathroom.  1/22/08 - bone fusion surgery on his neck.  6/06/2008 MR received for ER visit 7/20/2007 with DX:  Back pain with paresthesias to hands and arms.  Degenerative Disc Disease.  Pt presented to ER with c/o numbness/tingling of the L arm/hand and legs and thoracic and lumbar back pain which was non-traumatic in origin. Pt also reports recent onset of unsteady gait and feeling uncoordinated. PE WNL with strength noted as 4-5. D/C home.MR also received for DOS 7/25-31/2007 with D/C Dx: Multiple Sclerosis with some degenerative disc disease, potentially exacerbating his cervical spine lesion. Pt retuned to ER on 7/25/07 with increased difficulty walking and standing and fine motor control.  Has required help to eat due to unsteadiness of the hands. PE (+) for poor grip strength R>L.  Downward plantar reflexes and DTRs 1+.  Neuro consult with Impression: Demyelinating. D/C to be f/u as outpt. Follow-up: Chronic fatigue, muscle and joint pain, numbness and tingling from chest down to groin area, left hip left leg to tip of the toes, can't ejaculate, problems with bladder control. Depression and Anxiety.
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Patient received VARIVAX on 11-14-04.  Developed herpes zoster (shingles).  L2 distribution left side 5/7/08.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: No adverse events.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Syncope
Clinical narrative: pt developed fever after 1st shot. pt fainted after 2nd dose. -3rd shot not given. Note due to our recall system, I phoned pt mom to let her know about Hep B. Thats when mom declined telling me her rxc after 1 & 2.
Age: 17.0
Sex: M
Vaccine: DTAP, MMR, MNQ
Symptoms: Headache, Pain, Pyrexia, Vomiting
Clinical narrative: MMR was administered 5/12/08. Mother called 5/15/08. Gene c/o fever 100.6, vomiting. HA, body aches. Advised to take ALEVE or TYLENOL for fever. Rx'd PHENERGAN 12.5 FOR N/V. Per Dr.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Rash macular
Clinical narrative: 10 days post vaccination blotchy rash all over. Seen by physician.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Swelling, Throat tightness, Urticaria
Clinical narrative: Pt. started having redness of the left deltoid this morning. She had swelling of the legs deltoid for several hours. She complained of tightness in her throat and hives on her face and neck. She has 5x6 cm tenderness on her left deltoid.
Age: 0.4
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mild redness and swelling on (L) arm; erythema about 4x2cm in size where vaccinated
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Pruritus
Clinical narrative: May 9, 2008- office visit with complaint of redness and pain below site of injection, left arm, started 1 day after had PNEUMOVAX. Some itching on left arm. Area of redness and pain has moved down over past 4 days.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Skin warm, Vaccination complication
Clinical narrative: Office visit 5/8/2008 with notes on visit stating: Noticeable pink/red circular patch on left arm, superior to left elbow, inferior to left deltoid. Patch is hot to palpation. Dr able to assess patch. Notes stated allergic reaction from PNEUMOVAX injection. Given on 5/05/08.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: May 9, 2008, pt came to clinic with complaint of increased redness and warmth on left arm (injection site of Varicella vaccine received 5/7/2008). MD notes described left arm with 4x4cm redness with central induration on left area inferior to injection site of varicella.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood glucose, Blood pressure, Dizziness, Gaze palsy, Muscle twitching
Clinical narrative: Patient received 1st GARDASIL, felt faint, eyes rolled back in her head & twitched.  Nurse helped her lay on exam table.  After 1-2 minutes she was alert asking what had happened. Remained laying & conscious for 20 minutes - attempted to have her sit up & continued to feel dizzy - laid her back down x another 20-30 min.  Felt better, but not well enough to walk to the car with mom.  Friday - stayed home because she was still dizzy when she got up.  Sat/Sun - felt better.  Mon - went to school & came into office because felt dizzy again - in office BP + blood sugar were stable at 120/70 + BS of 88.  Exam essentially normal.
Age: 1.6
Sex: M
Vaccine: MMR
Symptoms: Rash, Rash papular
Clinical narrative: fine papular rash all over body. Rash started on the trunk and spread to the extremities. MMR 10 days prior. No fever.
Age: 4.0
Sex: F
Vaccine: HEP, IPV, PNC, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Tdap was administered to the patient accidently instead of DTaP which is age appropriate. No reaction was noted or has been reported.
Age: 17.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Dyspnoea, Nausea
Clinical narrative: Pt. c/o nausea shortly after vaccine administration then c/o difficulty breathing.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Pyrexia, Somnolence, Vomiting
Clinical narrative: Dizzy, weak, sleepy, low grade fever, vomit, after 2nd dose of HPV.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pain in extremity
Clinical narrative: Received vaccine at 5:20 p.m.  At 7 p.m. left arm began throbbing and became painful.  Associated redness.  She took ibuprofen and applied ice.  This a.m. 9:10 a.m. 5/13/08 - pain improved but still present.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Developed erythema multiforme minor 5-7-08, was also day 9 of amox/clav for otitis media.  No progression to mucosal lesions.
Age: 9.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: L arm was swollen, red, hard, warm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Redness, severe pain tender nodule under site of injection R deltoid.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Laboratory test normal, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Headaches 1 month later, still with headaches 1 year later using PERIACTIN.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Staring
Clinical narrative: 4 mo. old female with tuberous sclerosis and history of seizures - had a staring spell approx. one hour after vaccination.
Age: 1.3
Sex: F
Vaccine: DTAP, HEP, PNC
Symptoms: Eyelid ptosis, Pyrexia
Clinical narrative: High fever during noc - 103.9 ear temperature.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Red rash on face, legs, arms, trunk, about 3 hours after immunizations.  Had increased temp - 101.3 Ax.  Fever x 3 days.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Pruritus, Rash, Scab
Clinical narrative: Within week of vaccination, red bumps appeared - *Note: sores on all parts of body except face.  Various sizes - sore - itched - pus - crusted - some sores faded - others repeat cycle and are still present today - still sore and painful.  Took SINEQUAN - prednisone still using BETHAMETHASONE.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMRV
Symptoms: Alopecia effluvium, Febrile convulsion, Postictal paralysis
Clinical narrative: Complex febrile seizure, telogen effluvium, Todds paralysis.  08/08/08 Reviewed hospital medical records of 6/1-6/2/2007. FINAL DX: febrile seizure & Todd's paralysis Records reveal patient experienced 20-35 min tonic clonic seizure at home following fever.  In ER, confused & somnolent w/decreased tone & movement of right side extremities.  Improved overnight w/complete resolution of symptoms.  D/C to home.  8/19/08  Received H&P, progress notes, ER notes, CXR & CT scan reports.  No new information.  8/26/08 Reviewed dermatology consult of 3/20/2008. FINAL DX: telogen effluvium Records reveal patient had been referred to specialist for second opinion on alopecia. Scalp biopsy had been done 2/2008  c/w trichotillomania but had been done after patient was treated w/triancinolone.  Exam revealed diffuse alopecia of frontal & vertex scalp.
Age: 39.0
Sex: U
Vaccine: VARCEL, YF
Symptoms: Urticaria
Clinical narrative: Patient developed hives on his face and neck
Age: 71.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Chills, Night sweats, Pain, Swelling
Clinical narrative: patient reported chills and night sweats along with localized swelling and soreness
Age: 1.75
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient had a large red, raised, warm to touch rash over each of the injection sites.  The right leg rash measured 7.5cm wide x 4.5cm tall and the right leg rash measured 6cm x 6cm.  The right leg became so swollen through the night there is still an elastic mark on her leg from her sleep wear.  The patient was treated with benadryl and tylenol or motrin for pain.  Told to call if rash or symptoms worsen
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Infection, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: 15MAY2008 - Patient showed signs of malaise, fever, and swollen axillary lymph nodes. Patient prescribed with Naproxen 500mg tabs.    16MAY2008 - Localized Secondary Cellulitis on the left upper arm. Patient prescribed with Keflex 500mg tabs.
Age: 1.8
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: DTaP and Hep A vaccines administered to the patient on the morning of may 5, 2008. The next morning ,on may 6, 2008, the patient's left thigh was swollen. The child's mother took him to the pediatrician who diagnosed cellulitis and ordered Augmentin P.O. No redness or heat was observed in the left thigh.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: At 4:15 pm, 10 minutes after receiving hepatitis A vaccine, the child was standing next to her mom for discharge and fell down hitting her head with lost of conciousness for approximately 3 seconds. The child had been very upset, prior to this episode and had not had anything to eat since 10:30 am. She was sent to the ER for evaluation.
Age: 7.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient developed swelling, reddness and temperature at the site of the injection. Her mother called her Dr and placed ice packs and took motrine as instructed. Injection given on Tues. and on Fri. she came by the clinic the site was still red, swollen and warm to the touch. She was going to see the Dr after this clinic visit.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: 2 DAYS OF FUSSYNESS, IRRITABILITY, CRYING, AND LOW GRADE FEVER. STARTED 2-3HR AFTER ADMINISTRATION OF VACCINES.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Became nauseated and vomited 4-5 hours after Tdap.Diarrhea began at 10 pm that night. Had a fever of 100.6 degrees the following morning with headache and swelling, pain and hot to touch at site of injection. Today swelling is 1 3/4 inches in diameter, still painful and warm to touch. Client feels better today.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Became nauseated and vomited 4-5 hours after Tdap.Diarrhea began at 10 pm that night. Had a fever of 100.6 degrees the following morning with headache and swelling, pain and hot to touch at site of injection. Today swelling is 1 3/4 inches in diameter, still painful and warm to touch. Client feels better today.
Age: 46.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bilirubin conjugated increased, Blister
Clinical narrative: PATIENT CAME IN FOR HEALTH SCREEN FOR NURSING SCHOOL 12/17/07. ALL SCREENING TESTS AND HEPATITIS SCREENS WERE NEGATIVE. JANUARY 10, PATIENT BEGAN COMPLAINING OF ABD PAIN. ULTRASOUND ORDERED AND LFT'S ORDERED BOTH WERE NEGATIVE. PATIENT CONTINUED WITH SYMPTOMS WHICH PROGRESSED INTO WEIGHT LOSS, FATIGUE, MALAISE, BODY RASH,BROWN URINE, GREY STOOL AND FINALLY JAUNDICE. PATIENT WAS FINALLY DX WITH ACUTE HEPATITIS C ON MARCH 5, 2008. PATIENT WAS UNDER STRESS BECAUSE HER MOTHER WAS SERIOUSLY ILL ALL THROUGH FEBRUARY SO SHE THOUGHT IT WAS STRESS RELATED.   ULTRASOUNDS WERE DONE IN EACH MONTH WHICH WERE NEGATIVE. AT THE END OF FEBRUARY PATIENT DEVELOPED A BLISTERY RASH ON HER UPPER BODY AT THE TIME LABS WERE OBTAINED AGAIN WHICH REVEALED ELEVATED LIVER FUNCTION STUDIES IN MARCH 2008
Age: 46.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Blood bilirubin increased, Chromaturia, Faeces discoloured, Fatigue, Hepatitis A virus
Clinical narrative: PATIENT CAME IN FOR HEALTH SCREEN FOR NURSING SCHOOL 12/17/07. ALL SCREENING TESTS AND HEPATITIS SCREENS WERE NEGATIVE. JANUARY 10, PATIENT BEGAN COMPLAINING OF ABD PAIN. ULTRASOUND ORDERED AND LFT'S ORDERED BOTH WERE NEGATIVE. PATIENT CONTINUED WITH SYMPTOMS WHICH PROGRESSED INTO WEIGHT LOSS, FATIGUE, MALAISE, BODY RASH,BROWN URINE, GREY STOOL AND FINALLY JAUNDICE. PATIENT WAS FINALLY DX WITH ACUTE HEPATITIS C ON MARCH 5, 2008. PATIENT WAS UNDER STRESS BECAUSE HER MOTHER WAS SERIOUSLY ILL ALL THROUGH FEBRUARY SO SHE THOUGHT IT WAS STRESS RELATED.   ULTRASOUNDS WERE DONE IN EACH MONTH WHICH WERE NEGATIVE. AT THE END OF FEBRUARY PATIENT DEVELOPED A BLISTERY RASH ON HER UPPER BODY AT THE TIME LABS WERE OBTAINED AGAIN WHICH REVEALED ELEVATED LIVER FUNCTION STUDIES IN MARCH 2008
Age: 46.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Hepatitis B virus, Hepatitis C, Hepatitis C positive, Hepatitis C virus, Jaundice
Clinical narrative: PATIENT CAME IN FOR HEALTH SCREEN FOR NURSING SCHOOL 12/17/07. ALL SCREENING TESTS AND HEPATITIS SCREENS WERE NEGATIVE. JANUARY 10, PATIENT BEGAN COMPLAINING OF ABD PAIN. ULTRASOUND ORDERED AND LFT'S ORDERED BOTH WERE NEGATIVE. PATIENT CONTINUED WITH SYMPTOMS WHICH PROGRESSED INTO WEIGHT LOSS, FATIGUE, MALAISE, BODY RASH,BROWN URINE, GREY STOOL AND FINALLY JAUNDICE. PATIENT WAS FINALLY DX WITH ACUTE HEPATITIS C ON MARCH 5, 2008. PATIENT WAS UNDER STRESS BECAUSE HER MOTHER WAS SERIOUSLY ILL ALL THROUGH FEBRUARY SO SHE THOUGHT IT WAS STRESS RELATED.   ULTRASOUNDS WERE DONE IN EACH MONTH WHICH WERE NEGATIVE. AT THE END OF FEBRUARY PATIENT DEVELOPED A BLISTERY RASH ON HER UPPER BODY AT THE TIME LABS WERE OBTAINED AGAIN WHICH REVEALED ELEVATED LIVER FUNCTION STUDIES IN MARCH 2008
Age: 46.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Malaise, Polymerase chain reaction, Rash generalised, Smooth muscle antibody negative, Stress
Clinical narrative: PATIENT CAME IN FOR HEALTH SCREEN FOR NURSING SCHOOL 12/17/07. ALL SCREENING TESTS AND HEPATITIS SCREENS WERE NEGATIVE. JANUARY 10, PATIENT BEGAN COMPLAINING OF ABD PAIN. ULTRASOUND ORDERED AND LFT'S ORDERED BOTH WERE NEGATIVE. PATIENT CONTINUED WITH SYMPTOMS WHICH PROGRESSED INTO WEIGHT LOSS, FATIGUE, MALAISE, BODY RASH,BROWN URINE, GREY STOOL AND FINALLY JAUNDICE. PATIENT WAS FINALLY DX WITH ACUTE HEPATITIS C ON MARCH 5, 2008. PATIENT WAS UNDER STRESS BECAUSE HER MOTHER WAS SERIOUSLY ILL ALL THROUGH FEBRUARY SO SHE THOUGHT IT WAS STRESS RELATED.   ULTRASOUNDS WERE DONE IN EACH MONTH WHICH WERE NEGATIVE. AT THE END OF FEBRUARY PATIENT DEVELOPED A BLISTERY RASH ON HER UPPER BODY AT THE TIME LABS WERE OBTAINED AGAIN WHICH REVEALED ELEVATED LIVER FUNCTION STUDIES IN MARCH 2008
Age: 46.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Ultrasound abdomen normal, Weight decreased
Clinical narrative: PATIENT CAME IN FOR HEALTH SCREEN FOR NURSING SCHOOL 12/17/07. ALL SCREENING TESTS AND HEPATITIS SCREENS WERE NEGATIVE. JANUARY 10, PATIENT BEGAN COMPLAINING OF ABD PAIN. ULTRASOUND ORDERED AND LFT'S ORDERED BOTH WERE NEGATIVE. PATIENT CONTINUED WITH SYMPTOMS WHICH PROGRESSED INTO WEIGHT LOSS, FATIGUE, MALAISE, BODY RASH,BROWN URINE, GREY STOOL AND FINALLY JAUNDICE. PATIENT WAS FINALLY DX WITH ACUTE HEPATITIS C ON MARCH 5, 2008. PATIENT WAS UNDER STRESS BECAUSE HER MOTHER WAS SERIOUSLY ILL ALL THROUGH FEBRUARY SO SHE THOUGHT IT WAS STRESS RELATED.   ULTRASOUNDS WERE DONE IN EACH MONTH WHICH WERE NEGATIVE. AT THE END OF FEBRUARY PATIENT DEVELOPED A BLISTERY RASH ON HER UPPER BODY AT THE TIME LABS WERE OBTAINED AGAIN WHICH REVEALED ELEVATED LIVER FUNCTION STUDIES IN MARCH 2008
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Patient received vaccines and later in visit admitted she was sexually acive and had a positive pregnancy test.  No treatment given
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness and swelling started 1 day after the immunization.  Red and warm to touch extened down posteriar aspect of arm from injection site to just below elbow.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow abnormal, Hepatic enzyme increased, Malaise, Nausea
Clinical narrative: weight loss, nausea & vomiting, malaise. 5/20/08 Office records received including vax record.  Seen for sick visit 5/01/08 with c/o nausea, vomiting, and stomach feeling whoozy x 1 month.  Impression Nausea & Vomiting. Tx with metoclopramide. Seen again 5/5/08 with c/o sore throat, nausea, back pain. Impression: N&V, Bilirubinuria, pancytopenia. Referral made to Oncologist. 07/01/2008 MR received for DOS 05/7-31/2008 with D/C DX: Acute Myeloid Leukemia. Pt presented with pancytopenia for eval to r/o acute leukemia. Bone marrow bx confirmed AML. Started on chemo which initially was well tolerated but later developed severe abdominal c/o with hematochezia.  DX with pancolitis, likely infectious. Pt had intermittent high fevers and hypotension.  Pt developed a clot in her PICC line and it was removed. Blood counts somewhat recovered and pt d/c 5/31/08.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pancytopenia, Vomiting, Weight decreased
Clinical narrative: weight loss, nausea & vomiting, malaise. 5/20/08 Office records received including vax record.  Seen for sick visit 5/01/08 with c/o nausea, vomiting, and stomach feeling whoozy x 1 month.  Impression Nausea & Vomiting. Tx with metoclopramide. Seen again 5/5/08 with c/o sore throat, nausea, back pain. Impression: N&V, Bilirubinuria, pancytopenia. Referral made to Oncologist. 07/01/2008 MR received for DOS 05/7-31/2008 with D/C DX: Acute Myeloid Leukemia. Pt presented with pancytopenia for eval to r/o acute leukemia. Bone marrow bx confirmed AML. Started on chemo which initially was well tolerated but later developed severe abdominal c/o with hematochezia.  DX with pancolitis, likely infectious. Pt had intermittent high fevers and hypotension.  Pt developed a clot in her PICC line and it was removed. Blood counts somewhat recovered and pt d/c 5/31/08.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow, Laboratory test
Clinical narrative: weight loss, nausea & vomiting, malaise. 5/20/08 Office records received including vax record.  Seen for sick visit 5/01/08 with c/o nausea, vomiting, and stomach feeling whoozy x 1 month.  Impression Nausea & Vomiting. Tx with metoclopramide. Seen again 5/5/08 with c/o sore throat, nausea, back pain. Impression: N&V, Bilirubinuria, pancytopenia. Referral made to Oncologist. 07/01/2008 MR received for DOS 05/7-31/2008 with D/C DX: Acute Myeloid Leukemia. Pt presented with pancytopenia for eval to r/o acute leukemia. Bone marrow bx confirmed AML. Started on chemo which initially was well tolerated but later developed severe abdominal c/o with hematochezia.  DX with pancolitis, likely infectious. Pt had intermittent high fevers and hypotension.  Pt developed a clot in her PICC line and it was removed. Blood counts somewhat recovered and pt d/c 5/31/08.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site was red swollen Hot and painful
Age: 9.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Given vaccine that wasn't age appropriate.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: redness, soreness at injestion site  Left arm
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Electroencephalogram normal, Feeling abnormal, Malaise, Nuclear magnetic resonance imaging normal
Clinical narrative: Felt bad after shot, fainted and then had 2-3 minute generalized seizure, then postictal for 45 minutes to 1 hour, then ok except felt washed out
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Postictal state, Syncope
Clinical narrative: Felt bad after shot, fainted and then had 2-3 minute generalized seizure, then postictal for 45 minutes to 1 hour, then ok except felt washed out
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Headache, Hypoaesthesia, Myalgia, Nausea, Ovarian cyst
Clinical narrative: AFTER ~1 HOUR AFTER CHILD WAS IMMUNIZED, MOM CALLED STATING THAT CHILD WAS C/O A SEVERE HA, NAUSEA, AND NUMBNESS AND TINGLING IN HER LOWER EXTREMITIES. I ADVISED HER TO SEEK IMMEDIATE MEDICAL ATTENTION.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Paraesthesia, Ultrasound scan abnormal, Vaccination complication
Clinical narrative: AFTER ~1 HOUR AFTER CHILD WAS IMMUNIZED, MOM CALLED STATING THAT CHILD WAS C/O A SEVERE HA, NAUSEA, AND NUMBNESS AND TINGLING IN HER LOWER EXTREMITIES. I ADVISED HER TO SEEK IMMEDIATE MEDICAL ATTENTION.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Pt. states that her arm became quite swollen, red and itchy after receiving HPV dose #3.She noted the symptoms on 5/14/08 and are persisting until today (5/16/08). Pt has applied ice packs to swelling over bicep area. Advised to cont. w/ ice packs, Benadryl and pain reliever. To return to clinic if S/Sx persist.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: SWELLING, REDNESS, AND FIRMNESS OF 1 CM AT BOTH INJECTION SITES ON LEFT LEG X 1 DAY
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: swelling of left deltoid, redness, warm to touch. swelling from shoulder to 3 inches above elbow. slight fever on 5-15-08. swelling started on 5-15-08 mid morning. Mother applied warm compress, gave tylenol x one.
Age: 57.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Inflammation, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Client phoned to report symptoms of generalized inflammation, am stiffness in neck, shoulders,hips,and knees that began 10 days after receiving Tdap, and Twinrix(Hep A/B)on March 12,2008.Client states her primary care physician has referred her to a rheumatologist.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Crying, Haematochezia
Clinical narrative: On day following patient's second Rotateq vaccine he had an episode during the night where mom said he seemed inconsolable and had abdominal pain.  Then later that day he had one bloody stool.  The family was out of town when this occurred so I didn't see the patient at this time.
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Area around injection was red swollen and tender 24 hours post injection.   48 hours post injuection swollen  area on R upper arm @ MMR injection site 6.5 X 5 cm. Area tender to the touch. No redness noted.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Child received immunizations on 7 May 2008 at about 1600 and returned to the clinic on 8 May 2008 for 1500 appointment due to left arm swollen, red, warm, and tender to touch.  Treated with augmentin.
Age: 22.0
Sex: U
Vaccine: DTAP
Symptoms: Dyspnoea, Injection site swelling, Local reaction, Nausea, Palpitations
Clinical narrative: Nausea starting approximately 1 hr after vaccination.  Local tenderness.  Heart pounding, somewhat short of breath and Shakey.  Was seen by Dr the following day.   Had just very slight swelling over injection site, but throat non erythemitious , neck supple, lungs CTA, Heart with regular rate and rhythem without any click murmur or rubs.  No JVD, Neg HJR.
Age: 22.0
Sex: U
Vaccine: DTAP
Symptoms: Tenderness, Tremor
Clinical narrative: Nausea starting approximately 1 hr after vaccination.  Local tenderness.  Heart pounding, somewhat short of breath and Shakey.  Was seen by Dr the following day.   Had just very slight swelling over injection site, but throat non erythemitious , neck supple, lungs CTA, Heart with regular rate and rhythem without any click murmur or rubs.  No JVD, Neg HJR.
Age: 47.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Injection site pain, Myalgia, Skin warm
Clinical narrative: On night of vaccination, she felt pain in injection area, muscle aches. Two days later, muscle aches continue, and injected arm is red and hot. Injection site is not red, but area about two inches below and extending downward to the elbow and halfway around the upper arm is red and hot to the touch.
Age: 78.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Amnesia, Convulsion, Dizziness, Laboratory test abnormal
Clinical narrative: This case was reported by a consumer's daughter and described the occurrence of dizziness in a female patient who received Lamictal unspecified tablet for an unknown drug indication.  A physician or other health care professional has not verified this report.  The patient's past medical history included seizure and stroke.  On an unknown date, the patient started lamotrigine (oral) at 75 mg, unknown dosing.  At an unknown time after starting lamotrigine, the patient experienced dizziness.  At the time of reporting, the outcome of the event was unknown.  The daughter stated she was concerned about her mother taking 75 mg of Lamictal after having a stroke and one seizure.  Her mother only weighs 100 pounds and complains of being dizzy.  The daughter wanted to know how the medication could be evaluated and hopefully reduced.  Follow-up information was received from the subject's daughter on 08 May 2008.  The subject was a 78 year-old female who experienced a seizure after being vaccinated with flu vaccine (manufacturer unspecified).  A physician or other health care professional has not verified this report.  The subject's medical history included a hemorrhagic stroke on 02 October 2006, for which she was hospitalized for seven days, as they attempted to regulate/lower her blood pressure.  The subject was then transferred to a rehabilitation facility, until she was discharged on 23 October 2006.  Concurrent vaccination given on 01 November 2006 included pneumonia vaccine, unspecified; manufacturer unspecified.  Concomitant medications included lisinopril, amlodipine, simvastatin, hydrochlorothiazide, vitamins, and possibly aspirin.  The subject's history of adverse events with previous vaccinations was not reported.  On 01 November 2006, the subject received an unspecified dose of flu vaccine (unknown).  On 01 November 2006 at 21:00, less than one day after vaccination with the flu vaccine, the subject experienced a seizure.  The subject was taken to the emergency room and was hospitalized overnight.  An unspecified test given the next day confirmed that the subject experienced a seizure.  The subject was prescribed treatment with Lamictal and was started on the Orange Kit formulation and dosing of the medication.  On Week 5 of Lamictal therapy, the subject started taking one 25 mg tablet in the morning and two tablets at night.  The subject's daughter reported that her mother was almost back to normal, but still has some memory loss.  In addition, she stated that her daughter experienced some dizziness while on Lamictal therapy.  At the time of reporting, the seizure was resolved; the memory loss was unresolved; and the outcome of the dizziness was unspecified.  The subject declined to provide further information and declined to provide authorization to contact her physician for additional information.