chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Immediate post-injection reaction, Syncope, Thyroid function test
Clinical narrative: Patient fainted immediately after first shot. Has experienced extreme fatigue,memory loss, trouble concentrating and after the third shot started experiencing seizures. 2/13/09 MR received for multiple DOS. Pt seen in ER 4/14/08 following apparent seizure.  Pt found unresponsive in bed. Difficult to arouse and confused. Post ictal upon arrival to ED. Small lac on lip. Later, a H/A. Neuro consult with PE (+) for epigastric tenderness and tenderness of the paracervical and shoulder muscles and intrascapular region. Event suggests nocturnal seizure. Returned 7/20/08 following grand mal seizure in bed. Post ictal upon arrival in ED. Both seizures following start of new antidepressant. Impression:  Breakthrough seizure.  Returned 11/14/08 with c/o shakiness, lip and chin quivering and an abnormal sensation like being unable to feel touch. Now having seizures every few weeks. Recently has been feeling ill, with face flushing, muscle aches and joint cracking. Final impression:  Paresthesia and tremor.  Seizure d/o.   3/11/09 Neuro consults received beginning 5/12/2008-12/29/08. Records reveal nocturnal seizure 10/15/08 where pt bit tongue.  Seizures seem to be around time of menses. Pt c/o episodic dizziness. Neuro exam WNL.  Started on Lamictal.  Seizure 11/14/08.  H/As in good control on Lamictal.   3/17/2009 MR received from PCP. Pt seen 4/18/08 with multiple c/o since about 10/2007. Recently hospitalized above for syncope/seizure.  Since 10/2007 pt not acting herself, grades have dropped, diffuse H/A, overwhelming fatigue, puffy face. Seen in 6/08 with anxiety, fatigue.  Requests meds for "nerves"-given.  Assess:  Abnormal results thyroid funtion study, syncope and collapse, anxiety state. By 8/08 feeling dizzy, nauseated with dry mouth.
Age: 17.0
Sex: F
Vaccine: HPV4
Clinical narrative: None at time of Gardasil vaccine, but one year later adverse immunune system problems that included strep throat, urinary tract infections,treated for mono symptoms,rheumatoid arthritis and tonsillitis  2/16/09 Received PCP medical records of 3/20/07-6/2/08. FINAL DX: none provided Records reveal patient experienced irregular periods, menstrual cramps, acne, fever blisters.  Tx w/meds & BCP starting 5/2/07.  RTC 6/2/08 w/chills, fever, ear ache, sore throat.  Dx w/pharyngitis & tx w/antibiotics.  Referred to ENT after labs w/WBC increase.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Faeces discoloured
Clinical narrative: The day after my 2 month old son received the rotavirus vaccine with his other 2 month shots he has had bright green diarhea since, on a daily basis.  He is a breast fed infant and has never had green poop before the vaccine. It has been at least 3 weeks and there has been no change
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Recieved booster anthrax on 2/2/09.  On 2/3/09 soldier presented with injection site erythema and itching. Treated with antihistimine.  On 2/4/09, symptoms became severe, and was therefore give burst dose steroids: prednisone 60 mg PO for 4 days.   Sxs abated.  Soldier now recalls that he had similar reaction at last annual booster. RECOMMEND PERMANENT EXEMPTION FROM ANTHRAX.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Pt developed L sided seizures 24 hours after receiving PENTACEL, ROTATEQ and PREVNAR.  EEG is abnormal, so likely not vaccine related.  Pt was afebrile.  4/6/09 Received hospital medical records of 2/6-2/8/2009. FINAL DX: Tuberous sclerosis Records reveal patient experienced seizures of twitching of face, left eye deviation, left arm & leg & staring episodes.   Had been transferred to PICU from outlying ER for seizures & elevated liver enzymes.  Neuro consult done.  Tx w/antiseizure meds but continued to have brief seizure activity.  Tx w/additional antiseizure meds & no further seizures.  D/C to home w/ Neuro, genetics & PCP f/u.  Returned to ER 2/22/09. FINAL DX: partial seizure disorder Records reveal patient experienced multiple seizures of left eye deviation & left sided hypotonia followed by dazed appearance.  Had been seen in another ER recently & antiseizure meds increased due to multiple seizures.  Neuro consult done & meds adjusted.  D/C to home w/neuro outpatient f/u.  The patient has been diagnosed with tuberoses sclerosis and her seizures are continuing. There are unrelated tot he vaccine.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Pain, Paraesthesia, Rash macular
Clinical narrative: Patient started to feel tingling sensations on back starting about 01/11/09. These symptoms continued to manifest until blotches appeared on the skin (along nerve tract) and one spot nearly blistered. Patient experienced the pain and tingling throughout. As of 02/07/2009, still slightly visible and mild pain. 2/9/09 TC to patient who stated DX of Zoster made by pcp.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: No adverse events.  Medication given PENTACEL and ACTHIB given at same time, reporting medication.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain, Immediate post-injection reaction, Urticaria
Clinical narrative: Abdominal pain  within 5 min after vaccine & urticaria 10-15 min after vaccine.  Used BENADRYL with relief.
Age: 3.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Local reaction, Oedema peripheral
Clinical narrative: Mom reported severe local reaction at R leg, very red and swollen x 7 days, would not wear clothing over it and very bothered with discomfort x 1 week.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives all over.  Hives.  No respiratory problems.  No other problems.
Age: 22.0
Sex: M
Vaccine: HEPAB, SMALL, TYP
Symptoms: Injection site erythema, Injection site infection, Injection site pustule, Injection site rash
Clinical narrative: 22 y/o male pt.  presents to clinic with "infection at primary SPV site."  Pt. reports receiving primary SPV (left upper arm) on 7/14/08, at same time with Typhoid IM (right upper arm) and Hep A/B, per DEERS.  Note:  Discrepancy SPV date documented in DEERS as 06/03/08- may represent error in documentation.  Patient reports receiving SPV alone with other vaccines on 7/14/08 and Jennerian Pustule is consistent with 2-week evolution.  Symptoms:  erythemic papular rectangular rash where op-side bandage was applied over SPV injection site.
Age: 30.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Dizziness, Injection site erythema, Injection site mass, Injection site warmth, Nausea
Clinical narrative: "I got my first Anthrax vaccine and a Typhoid immunization on 4 April 2008.  That same night I noticed a reddish, warm lump the size of my fist on the lateral aspect of my left upper arm at the AVA #1 injection site.  There was no swelling or redness at the Typhoid injection site (left deltoid).  By day #3, the lump on the side of my left upper arm (AVA #1 injection site) was about the size of a grapefruit.  I had nausea and dizziness for about a week after receiving the anthrax and typhoid vaccines.  Now, the lump on the side of my left upper arm has gone down to about the size of a marble, is reddish-purple and is a little tender to touch- otherwise, I feel fine at present.  I was told to call you with this information."
Age: 31.0
Sex: M
Vaccine: ANTH, RAB
Symptoms: Gait disturbance, Musculoskeletal stiffness, Pain
Clinical narrative: 31 y/o AD WM SM with pain and stiffness multiple joints after receipt of AVA #2 and HDCV #1 over seas on 2/11/08 prior to returning to military base on 2/19/08.  Joint Pain, multiple joints start 03/18/2008.  Gait abnormality start 03/18/2008 Walks slowly and stiffly, trying not to bend right knee
Age: 36.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Influenza like illness, Injection site erythema, Malaise, Pain in extremity, Scar
Clinical narrative: 36 y/o male with possible adverse reaction to Smallpox Vaccine. 2/10/09 Office note received from reporting MD. Pt seen 10/6/08 with c/o L arm pain and increased redness at SP vax site. Some malaise and flu-like sx. PE WNL except oval shaped smallpox lesion with central scarring. Assessment: Robust reaction from SPV-likely etiology for pt sx constellation. Tx-Motrin PRN.
Age: 36.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Skin lesion
Clinical narrative: 36 y/o male with possible adverse reaction to Smallpox Vaccine. 2/10/09 Office note received from reporting MD. Pt seen 10/6/08 with c/o L arm pain and increased redness at SP vax site. Some malaise and flu-like sx. PE WNL except oval shaped smallpox lesion with central scarring. Assessment: Robust reaction from SPV-likely etiology for pt sx constellation. Tx-Motrin PRN.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest X-ray abnormal, Cough, Fatigue, Feeling hot, Hypersomnia
Clinical narrative: The patient is a 38 year old female.  Source of patient information was patient.  Source of patient information was medical records.  Received second FLUMIST vaccine at NMCP 10/3/2007.  First FLUMIST received 12/6/2006 with common URI symptoms reported lasting 2-3 days that resolved spontaneously.  Following receipt of 10/03/2007 FLUMIST, she again experienced some mild URI symptoms (runny nose, body aches) for a few days but was "fine for one week.  By 10/11 she felt exhausted, fatigued, tired, had a non-productive cough, congestion, felt warm.  She tried to work but went home feeling ill for next 72 hours.  She slept for 2 days.  On 10/15/07 she went to PCP.  A CXR diagnosed pneumonia and she was started on 2 weeks of antibiotics with resolution of symptoms.  Past medical history reviewed with patient, by questionnaire, problem list reviewed with patient, medication list reviewed, and family history reviewed with patient.  No systemic symptoms.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Malaise, Nasal congestion, Pain, Pneumonia, Rhinorrhoea
Clinical narrative: The patient is a 38 year old female.  Source of patient information was patient.  Source of patient information was medical records.  Received second FLUMIST vaccine at NMCP 10/3/2007.  First FLUMIST received 12/6/2006 with common URI symptoms reported lasting 2-3 days that resolved spontaneously.  Following receipt of 10/03/2007 FLUMIST, she again experienced some mild URI symptoms (runny nose, body aches) for a few days but was "fine for one week.  By 10/11 she felt exhausted, fatigued, tired, had a non-productive cough, congestion, felt warm.  She tried to work but went home feeling ill for next 72 hours.  She slept for 2 days.  On 10/15/07 she went to PCP.  A CXR diagnosed pneumonia and she was started on 2 weeks of antibiotics with resolution of symptoms.  Past medical history reviewed with patient, by questionnaire, problem list reviewed with patient, medication list reviewed, and family history reviewed with patient.  No systemic symptoms.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Upper respiratory tract infection
Clinical narrative: The patient is a 38 year old female.  Source of patient information was patient.  Source of patient information was medical records.  Received second FLUMIST vaccine at NMCP 10/3/2007.  First FLUMIST received 12/6/2006 with common URI symptoms reported lasting 2-3 days that resolved spontaneously.  Following receipt of 10/03/2007 FLUMIST, she again experienced some mild URI symptoms (runny nose, body aches) for a few days but was "fine for one week.  By 10/11 she felt exhausted, fatigued, tired, had a non-productive cough, congestion, felt warm.  She tried to work but went home feeling ill for next 72 hours.  She slept for 2 days.  On 10/15/07 she went to PCP.  A CXR diagnosed pneumonia and she was started on 2 weeks of antibiotics with resolution of symptoms.  Past medical history reviewed with patient, by questionnaire, problem list reviewed with patient, medication list reviewed, and family history reviewed with patient.  No systemic symptoms.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Antinuclear antibody positive, Computerised tomogram abnormal, Cytomegalovirus antibody positive, Dyspnoea, Echocardiogram abnormal
Clinical narrative: 34 y/o AD male with hx of hospitalization s/p AVA #6 for pericarditis/pericardial effusion July 2004, concerned receiving further doses of AVA. PCP contacts agency-temporary exemption from AVA granted till case reviewed. Symptoms: Dyspnea (shortness of breath), fatigue, fever. 2/20/09 Received medical records of 2004. FINAL DX: acute CMV infection w/bilateral pleural effusions, fever, lymphadenopathy, splenomegaly, ascites, anasarca, pericardial effusion Records of t/c on 7/16/2004 reveal patient experienced aches, malaise, fatigue, fever, weakness, diet refusal, oral intake reduced, chills, joint & muscle aches, pallor.  Saw MD & dx w/probable viral syndrome.  Symptoms worsened & admitted to hosp 7/30/04-8/03/2004.  ID & cardio consults done.  Diuresised & improved. D/C to home w/ID & cardio f/u.  Repeat CT scan 9/04 revealed pleural & pericardial effusions resolved; free fluid in pelvis resolved; mildly improved splenomegaly; no change in lymphadenopathy.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Lymphadenopathy, Pericardial effusion, Pericarditis, Pleural effusion
Clinical narrative: 34 y/o AD male with hx of hospitalization s/p AVA #6 for pericarditis/pericardial effusion July 2004, concerned receiving further doses of AVA. PCP contacts agency-temporary exemption from AVA granted till case reviewed. Symptoms: Dyspnea (shortness of breath), fatigue, fever. 2/20/09 Received medical records of 2004. FINAL DX: acute CMV infection w/bilateral pleural effusions, fever, lymphadenopathy, splenomegaly, ascites, anasarca, pericardial effusion Records of t/c on 7/16/2004 reveal patient experienced aches, malaise, fatigue, fever, weakness, diet refusal, oral intake reduced, chills, joint & muscle aches, pallor.  Saw MD & dx w/probable viral syndrome.  Symptoms worsened & admitted to hosp 7/30/04-8/03/2004.  ID & cardio consults done.  Diuresised & improved. D/C to home w/ID & cardio f/u.  Repeat CT scan 9/04 revealed pleural & pericardial effusions resolved; free fluid in pelvis resolved; mildly improved splenomegaly; no change in lymphadenopathy.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rheumatoid factor negative, Splenomegaly
Clinical narrative: 34 y/o AD male with hx of hospitalization s/p AVA #6 for pericarditis/pericardial effusion July 2004, concerned receiving further doses of AVA. PCP contacts agency-temporary exemption from AVA granted till case reviewed. Symptoms: Dyspnea (shortness of breath), fatigue, fever. 2/20/09 Received medical records of 2004. FINAL DX: acute CMV infection w/bilateral pleural effusions, fever, lymphadenopathy, splenomegaly, ascites, anasarca, pericardial effusion Records of t/c on 7/16/2004 reveal patient experienced aches, malaise, fatigue, fever, weakness, diet refusal, oral intake reduced, chills, joint & muscle aches, pallor.  Saw MD & dx w/probable viral syndrome.  Symptoms worsened & admitted to hosp 7/30/04-8/03/2004.  ID & cardio consults done.  Diuresised & improved. D/C to home w/ID & cardio f/u.  Repeat CT scan 9/04 revealed pleural & pericardial effusions resolved; free fluid in pelvis resolved; mildly improved splenomegaly; no change in lymphadenopathy.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Tuberculin test negative, Urticaria
Clinical narrative: 36 y/o female, spouse of retired SM presents to FBVHC with report of developing a rash "hives" on both arms and legs within 24 hrs of receipt of Tdap (left deltoid) received on 05-19-08.  In addition, PPD was placed in her left forearm on same date and read as 0mm on 5-23-08.  She has had annual PPDs as a WAMC IT civilian employee, but never has developed any rash or local reaction to PPD in the past.   Symptoms:  Rash, pruritic.
Age: 32.0
Sex: M
Vaccine: ANTH, HEPAB
Symptoms: Pain, Pruritus, Skin discolouration, Swelling
Clinical narrative: Itching, swelling, discoloration, soreness, swelling would be three times the size of opposite shoulder.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Faeces discoloured, Haemoglobin normal, Melaena, Mucous stools
Clinical narrative: Patient received ROTATEQ ON 1/12/09.  She is breast fed.  On 1/13/09 mucousy stools were noted.  On 1/20/09 stools were dark, tarry and heme-positive.  Patient continued with melena until 1/26/09.  At that time, stools became normal.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Occult blood positive, Ultrasound abdomen normal
Clinical narrative: Patient received ROTATEQ ON 1/12/09.  She is breast fed.  On 1/13/09 mucousy stools were noted.  On 1/20/09 stools were dark, tarry and heme-positive.  Patient continued with melena until 1/26/09.  At that time, stools became normal.
Age: 0.7
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Pulmonary valve stenosis, Vomiting
Clinical narrative: Developed emesis and cyanosis a few hours after flu vaccine.  Valvar pulmonic stenosis with 50mm gradient.
Age: 55.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Immunisation reaction, Oedema peripheral
Clinical narrative: 2-6-09 Client phoned in and report he had a reaction to pneumonia injection given 2-5-09 here @ PCHD.  Instructed client to take BENADRYL OTC and come in to health Dept for nurse to check the arm.  2-6-09 1:15pm Client R increase arm swollen and warm to touch.  R bicep 34.5 cm L bicep 31.0 cm.  Client reports swelling started on deltoid muscle where shot was given.  Then, dropped to bicap.  Advised cold compress and go to ER.
Age: 13.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Crying, Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Hep A site, fever 104, red, swollen injection site- less than 24 hrs. Patient irritable + crying frequently.  Influenza site:  Normal.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chills, Fatigue, Flushing, Injection site erythema
Clinical narrative: Onset of symptoms began on 1-27-09 With client experiencing flushed face, tired, external chills, weakness + sharp shooting aches + pains to all extremities - Site swollen + red (1/2 dime size) - Better on (1-28-09 - TX - Ibuphren. Has had previous vaccination without complications.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, No reaction on previous exposure to drug, Pain in extremity
Clinical narrative: Onset of symptoms began on 1-27-09 With client experiencing flushed face, tired, external chills, weakness + sharp shooting aches + pains to all extremities - Site swollen + red (1/2 dime size) - Better on (1-28-09 - TX - Ibuphren. Has had previous vaccination without complications.
Age: 1.5
Sex: F
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: After VARIVAX vaccine, developed varicella 20 days later.
Age: 1.8
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Febrile seizures, temp 103.2 degrees.
Age: 40.0
Sex: F
Vaccine: TDAP, TD
Symptoms: Electromyogram, Hypoaesthesia, Nuclear magnetic resonance imaging, Paraesthesia, Weight bearing difficulty
Clinical narrative: Pt. c/o L arm "tingling", numbness & difficulty with any weight bearing L upper extremity.  Symptoms started approx 5-> 6 hrs after injection.
Age: 40.0
Sex: F
Vaccine: TDAP, TD
Symptoms: Electromyogram normal, Injection site pain, Paraesthesia, Tenosynovitis
Clinical narrative: Pt. c/o L arm "tingling", numbness & difficulty with any weight bearing L upper extremity.  Symptoms started approx 5-> 6 hrs after injection.
Age: 1.2
Sex: F
Vaccine: DTAP
Symptoms: Dyskinesia, Eye rolling, Pyrexia, Tremor
Clinical narrative: Per mom, patient developed fever 101 @ home around 10pm 1/31/09- given dose of TYLENOL- shortly after pt had jerking + shaking, eyes rolled backwards for approx 4-5 min. transported to ED via ambulance, temp on arrival 102 rectally.
Age: 0.3
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated.
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Hyperaesthesia, Induration, Injection site reaction
Clinical narrative: Left upper arm with 10x7 cm faint erythema surrounding 3x3 cm induration with control puncture mark.  Area is sensitive to touch.
Age: 11.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Rapid onset of redness, pain, swelling an pain with movement of RUE. Prescriptions of MOTRIN, PREDNISONE, DIPROSONE CREAM, DARVOCET  8/6/09.
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: red, warm, indurated area left arm.  BENADRYL, IBUPROFEN, ice
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Local reaction, Pain in extremity, Pyrexia
Clinical narrative: fever, chills, arm pain, warm to touch, and swelling
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Swelling
Clinical narrative: fever, chills, arm pain, warm to touch, and swelling
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Urticaria
Clinical narrative: At 8 days, large hive appeared first on leg, then hives spread over legs and trunk.  Concomitant fever lasting 5 days.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Dizziness, Fall, Posturing, Staring
Clinical narrative: Approximately 5 minutes after immunization was administered, pt. stated that he felt lightheaded, fell back against wall, and exhibited seizure-like activity.  Patient was staring, arms were posturing, lower extremeties began tightening and twisting. Activity lasted approximately 30-45 sceonds.  Patient was unresponsive during seizure activity but regained consciousness and was alert and oriented after activity.  EMS arrived shortley after.  Mother refused to let the patient ride in the ambulance but she did transoprt the patient to a local ER.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: Approximately 5 minutes after immunization was administered, pt. stated that he felt lightheaded, fell back against wall, and exhibited seizure-like activity.  Patient was staring, arms were posturing, lower extremeties began tightening and twisting. Activity lasted approximately 30-45 sceonds.  Patient was unresponsive during seizure activity but regained consciousness and was alert and oriented after activity.  EMS arrived shortley after.  Mother refused to let the patient ride in the ambulance but she did transoprt the patient to a local ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Full blood count normal, Injection site cellulitis, Injection site induration, Injection site swelling
Clinical narrative: r arm cellulitus requiring hospital admission for 1 1/2 days. r arm swelling beginning 48 hrs after administration, DTap and Var given in r arm.  L arm with MMR and IPV had no reaction.  no fever or discharge.  Pateint had swelling and induration from the top of the shoulder to below the elbow about 22 cm total 2/9/09 Received hospital medical records of 2/4-2/6/2009. FINAL DX: right upper arm cellulitis Records reveal patient experienced RUE swelling, induration, redness, pain, decreased movement, right axillary lymphadenopatny x 1 day.  Tx w/IV antibiotic.
Age: 0.33
Sex: U
Vaccine: DTPHEP, IPV, PPV, RVX
Symptoms: Abnormal behaviour, Dyspnoea, Pyrexia, Salivary hypersecretion, Wheezing
Clinical narrative: Thick mucus in mouth, wheezing,difficulty breathing,  fever behavior changes. fever showed up day of shot. and other symptoms showed up the next day and so far has lasted 2 days.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Gastric disorder, Grip strength decreased, Joint swelling, Rheumatoid arthritis
Clinical narrative: GARDASIL shot induced RA symptoms within the week.  We have seen three RA doctors.  Completely healthy 18 year old until the first GARDASIL shot.  Did not continue other shots per doctors.  Massive swelling and knot in joints- arms, hands, feet-.  Hands would not close.  Currently on several medications.  No way to reverse effects.  Unknown if it will go away over time.  Now have complications with stomach and appointment with Gastro specialist scheduled.  Pictures are available.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antinuclear antibody negative, Arthralgia, Blood immunoglobulin A, C-reactive protein normal, Full blood count normal
Clinical narrative: GARDASIL shot induced RA symptoms within the week.  We have seen three RA doctors.  Completely healthy 18 year old until the first GARDASIL shot.  Did not continue other shots per doctors.  Massive swelling and knot in joints- arms, hands, feet-.  Hands would not close.  Currently on several medications.  No way to reverse effects.  Unknown if it will go away over time.  Now have complications with stomach and appointment with Gastro specialist scheduled.  Pictures are available.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint swelling, Metabolic function test normal, Oedema peripheral, Pain in extremity, Rheumatoid factor negative
Clinical narrative: GARDASIL shot induced RA symptoms within the week.  We have seen three RA doctors.  Completely healthy 18 year old until the first GARDASIL shot.  Did not continue other shots per doctors.  Massive swelling and knot in joints- arms, hands, feet-.  Hands would not close.  Currently on several medications.  No way to reverse effects.  Unknown if it will go away over time.  Now have complications with stomach and appointment with Gastro specialist scheduled.  Pictures are available.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Synovitis, Tenosynovitis, Thyroid function test normal
Clinical narrative: GARDASIL shot induced RA symptoms within the week.  We have seen three RA doctors.  Completely healthy 18 year old until the first GARDASIL shot.  Did not continue other shots per doctors.  Massive swelling and knot in joints- arms, hands, feet-.  Hands would not close.  Currently on several medications.  No way to reverse effects.  Unknown if it will go away over time.  Now have complications with stomach and appointment with Gastro specialist scheduled.  Pictures are available.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Hypotonia, Inflammation, Injected limb mobility decreased, Insomnia
Clinical narrative: Apprx. 4 hours after flu vaccination, I was unable to raise arm; was limp as if paralyzed. By the third day I could raise it only chest level; had sharp pain & tenderness; could not sleep even when lying on opposite arm. Ibuprofen & Aleve not helpful; Dr. prescribed  Celebrex, Hydrocodn (not helpful); was given cortisone shot in hip and Meloxicam which helped for apprx. 2 weeks; pain returned; referred to orthopedic dr.after MRI showed inflammation and small tear in shoulder; received a shot in the shoulder. After three months and 5 dr. visits, I have improved but not completely; still experience some pain at times.  My first time to experience a reaction after many years of flu vaccinations; fearful of future vaccinations. This is the 3rd attempt to report this. Pharmacy faxed report on 11/01/08, & I mailed a copy on 1/09/09.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal, Pain, Tenderness, X-ray
Clinical narrative: Apprx. 4 hours after flu vaccination, I was unable to raise arm; was limp as if paralyzed. By the third day I could raise it only chest level; had sharp pain & tenderness; could not sleep even when lying on opposite arm. Ibuprofen & Aleve not helpful; Dr. prescribed  Celebrex, Hydrocodn (not helpful); was given cortisone shot in hip and Meloxicam which helped for apprx. 2 weeks; pain returned; referred to orthopedic dr.after MRI showed inflammation and small tear in shoulder; received a shot in the shoulder. After three months and 5 dr. visits, I have improved but not completely; still experience some pain at times.  My first time to experience a reaction after many years of flu vaccinations; fearful of future vaccinations. This is the 3rd attempt to report this. Pharmacy faxed report on 11/01/08, & I mailed a copy on 1/09/09.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Blood test, Headache, Immune system disorder, Panic attack
Clinical narrative: I have lost at least 25% of my hair. I have never experienced this type of hair loss before the shot, and am not under any major stress. I had my last shot about one year ago, and have noticed a lot of shedding of my hair since then. It is just now to the point that other people are noticing how wide my part is getting. Not to mention the fact that I have had other strange symptoms.  Sometime after my second shot, I ended up in the hospital with what the doctors called a "panic attack".  I have no previous history of panic attacks and was not under any real stress at the time.  Furthermore, I have had extreme headaches, near fainting spells with partial loss of vision for a few hours at a time.  To add to that, I have developed immunity deficiencies. Before this vaccine, I was perfectly healthy.  Now, I have spent hundreds and hundreds of dollars trying to figure out what is wrong with me.  This is physically and emotionally damaging, and I hope no one else has to experience this.  2/11/09 Received ER medical records of 8/23/2007. FINAL DX: panic attack; possible med side effect Records reveal patient experienced shakiness, difficulty swallowing with sudden onset after taking bactrim for facial infection.  Felt facial swelling.  Tx w/antihistamine, improved & d/c to home.  3/10/2009 Received PCP medical records of 1/29/08-1/14/2009. FINAL DX: Records reveal patient experienced: asthma, sinus HA, chest congestion, cough, fever, body aches, URI, asthma exacerbation, BCP use, tension & difficulty relaxing, weight loss, feeling cold, anxiety, fatigue, conjunctivitis, HA w/temporary left lateral vision loss 11/08, alopecia 12/08.  Tx w/meds.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: I have lost at least 25% of my hair. I have never experienced this type of hair loss before the shot, and am not under any major stress. I had my last shot about one year ago, and have noticed a lot of shedding of my hair since then. It is just now to the point that other people are noticing how wide my part is getting. Not to mention the fact that I have had other strange symptoms.  Sometime after my second shot, I ended up in the hospital with what the doctors called a "panic attack".  I have no previous history of panic attacks and was not under any real stress at the time.  Furthermore, I have had extreme headaches, near fainting spells with partial loss of vision for a few hours at a time.  To add to that, I have developed immunity deficiencies. Before this vaccine, I was perfectly healthy.  Now, I have spent hundreds and hundreds of dollars trying to figure out what is wrong with me.  This is physically and emotionally damaging, and I hope no one else has to experience this.  2/11/09 Received ER medical records of 8/23/2007. FINAL DX: panic attack; possible med side effect Records reveal patient experienced shakiness, difficulty swallowing with sudden onset after taking bactrim for facial infection.  Felt facial swelling.  Tx w/antihistamine, improved & d/c to home.  3/10/2009 Received PCP medical records of 1/29/08-1/14/2009. FINAL DX: Records reveal patient experienced: asthma, sinus HA, chest congestion, cough, fever, body aches, URI, asthma exacerbation, BCP use, tension & difficulty relaxing, weight loss, feeling cold, anxiety, fatigue, conjunctivitis, HA w/temporary left lateral vision loss 11/08, alopecia 12/08.  Tx w/meds.
Sex: U
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Initial information was received on 29 October 2008 from a manufacturer whose initial reporter was a health care professional. A patient experienced Guillain Barre Syndrome after receiving a flu vaccine in 1980. No further information was available. Follow-up information received 02 February 2009 from a health care professional. According to the reporter, "the only situation that would fall under adverse event was when [she] called S-P regarding a patient who was late for #2 GARDASIL and what or #3 schedule should be used". No further information was provided. List of Documents held by Sender: None.
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Initial information received on 29 January 2009 from a health care professional. A female patient with a history of diabetes, asthma, and an allergy to morphine received the influenza vaccine (manufacturer, lot number, route and site not reported) on an unspecified date. The patient developed facial swelling post vaccination. The onset date for facial swelling was not provided. No further information was provided. The patient's recovery status was not reported. List of Documents held by Sender: none. The reporter of this case is the same as case number 2009-00328.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Pruritus, Rash erythematous, Tenderness
Clinical narrative: Information has been received from a health professional concerning a 77 year old white female patient with sulfonamide allergy who on 1-MAR-2007 was vaccinated with the first dose of ZOSTAVAX (lot # 656412/1476F) subcutaneously in the right arm. Concomitant therapy included COUMADIN, SYNTHROID, calcium (unspecified) (+) vitamin D (unspecified), estrogens, PREMARIN and ACIPHEX. On 22-JAN-2009 the patient experienced a red rash area on left upper back that was itching, spreading and very painful and tender to touch. The patient was diagnosed with shingles. As of 03-FEB-2009 the outcome was unknown. Shingles was considered to be an other important medical event by the health professional. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Photophobia, Skin lesion
Clinical narrative: Information has been received from a physician concerning a 61 year old female with sulfonamide allergy who on 29-JAN-2009 was vaccinated SC with ZOSTAVAX (Merck) (LOT# 662858/1558X) 0.65ml.  Concomitant therapy included multiple unspecified medications.   On approximately 30-JAN-2009, "after receiving" ZOSTAVAX (Merck), the patient developed light sensitivity and a couple of "sores around her nose".  The patient's light sensitivity and a couple of "sores around her nose" persisted.  The adverse events were considered to be disabling.  It was reported that the patient sought medical attention: phone call.  Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Hypertension, Rash generalised, Rash vesicular
Clinical narrative: Information has been received from a pharmacist concerning a 71 year old female with a history of shingles 2 years ago and no allergies, who on 09-JUN-2008 was vaccinated subcutaneously with a dose of ZOSTAVAX (lot number 659615/0162X) (injection site not reported). Concomitant therapy included Omeprazole, Lisinopril (manufacturer unknown), Levothyroxine Na and Losartan potassium-HCTZ (MSD). On 25-JAN-2009 the patient was diagnosed with possible chickenpox. The patient broke out with pimple bumps over the entire body (torso and head included), sometimes there were little patches. The patient had a high blood pressure of 212/106 and the patient had a lot of discomfort. The patient's husband visited the pharmacist. Subsequently the patient was hospitalized due to recommendation by the pharmacist. Laboratory tests included a lot of blood work (results unspecified). At time of this report, the patient's events persisted. High blood pressure was considered to be an other important medical event by the pharmacist. This is one of several reports received from the same source. Additional information has been requested.
Sex: M
Vaccine: HEP
Symptoms: Abnormal behaviour, CSF test abnormal, Convulsion, Gastrooesophageal reflux disease, Hydrocephalus
Clinical narrative: Information has been received via a literature article regarding a case in litigation concerning a male who at 2 months of age was vaccinated with RECOMBIVAX HB along with other vaccinations (not specified). On 11-DEC-1997, observing "some unusual behavior," his mother took him to the hospital. A lumbar puncture revealed bloody spinal fluid, evidence of a possible cerebral hemorrhage. The child was transferred, and a discharge diagnosis on 30-MAR-1998 indicated diffuse porencephaly, communicating hydrocephalus, spastic quadriparesis, cortical visual impairment, severe seizure disorder and acid reflux. Upon internal review, severe seizure disorder was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: HEP
Symptoms: Lumbar puncture abnormal, Porencephaly, Quadriparesis, Red blood cells CSF positive, Visual impairment
Clinical narrative: Information has been received via a literature article regarding a case in litigation concerning a male who at 2 months of age was vaccinated with RECOMBIVAX HB along with other vaccinations (not specified). On 11-DEC-1997, observing "some unusual behavior," his mother took him to the hospital. A lumbar puncture revealed bloody spinal fluid, evidence of a possible cerebral hemorrhage. The child was transferred, and a discharge diagnosis on 30-MAR-1998 indicated diffuse porencephaly, communicating hydrocephalus, spastic quadriparesis, cortical visual impairment, severe seizure disorder and acid reflux. Upon internal review, severe seizure disorder was considered to be an other important medical event. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Emotional disorder
Clinical narrative: Information has been received from a consumer concerning her 6 year old son with no medical history and drug allergies who was vaccinated with the first dose of MMR II one year ago. There was no concomitant medication. Subsequently the patient developed autism after receiving his first and only dose of MMR II. The patient showed emotional and behavioral problems. He did not like hear loud noises. The patient was seen by a physician for medical attention. He was recovering. No further information was available. Upon internal review, autism was determined to be an other important medical event. Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Social avoidant behaviour
Clinical narrative: Information has been received from a consumer concerning a 7 year old male who was vaccinated with a dose of MMR II on unspecified date. Soon after receiving MMR II the patient became withdrawn and was diagnosed with autism. No additional information was provided. The patient did not recover. The patient sought unspecified medical attention. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Learning disability, Pyrexia
Clinical narrative: Information has been received from a consumer who was the relative of a male patient who "about 50 or 60 years ago" was vaccinated with a dose of MMR II (approved 15-SEP-1978). It was reported that the patient had a high fever and seizures after receiving MMR II. It was reported that the patient is now 45 years old and was functional but has learning disabilities. Upon internal review, seizure was considered to be an other important medical event and learning disability was considered to be a disabling event. This is one of two cases from the same source. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Epilepsy, Pyrexia, Speech disorder
Clinical narrative: Information has been received from a consumer concerning her relative who was now a 63 year old male who was vaccinated with MMR II (mfr. unknown) about 50 or 60 years ago and experienced a high fever and seizures. The consumer reported that the patient can not speak and was epileptic. Upon internal review, seizure and epilepsy were determined to be other important medical events. Additional information has been requested.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her relative 3 year old daughter with symptoms of autism who was vaccinated at 1 year of age with a dose of MMR II and then was diagnosed with autism. Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Facial bones fracture, Syncope
Clinical narrative: Information has been received from a physician's assistant concerning a 17 year old female who "within the last month and a half", on approximately 22-DEC-2008, was vaccinated with the first 0.5 ml dose of GARDASIL (lot number not provided). It was reported that after receiving GARDASIL, the patient fainted and broke her nose on the floor. Unspecified medical attention was sought. It was reported that the vaccine was discontinued "within the last month and a half". The outcome of the patient was not reported. The reporter considered the patient's events to be disabling. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: Information has been received from a certified medical assistant concerning a 22 year old female allergic reaction to LEVAQUIN who on 17-NOV-2008 and 11-JAN-2009 was intramuscularly vaccinated with a first and second doses of GARDASIL (both lots #0702X), respectively.  There was no concomitant medication.  On 18-JAN-2009 the patient developed left arm pain and swelling and difficulty moving her left arm after receiving her second dose of GARDASIL.  The patient also experienced tingling in her left hand.  The patient sought medical attention via an office visit.  She did not recover at time of reporting.  The patient's left arm pain and swelling and difficulty moving her left arm and tingling in her left hand were considered to be disability.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein abnormal, Drug exposure during pregnancy, Intra-uterine death, Ultrasound scan normal, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a nurse and a physician for the pregnancy registry for GARDASIL concerning a 15 year old female student with no pertinent medical history and no allergies who on 31-AUG-2007 was vaccinated with the first dose of GARDASIL IM 0.5 ml in the deltoid. On 03-JUN-2008 the patient was vaccinated with the second dose of GARDASIL IM 0.5 ml in the deltoid (lot # 660391/0063X). Concomitant therapy included prenatal vitamins. The patient was 23 weeks gestation. The patient's last menstrual period was 09-APR-2008. The estimated due date is 14-JAN-2009. No adverse symptoms. The patient sought medical attention in the office visit. The urine pregnancy test was performed. Follow-up information has been received from the physician from questionnaire. On 02-OCT-2008 ultrasound was performed for routine with normal results at 19 weeks 6 days. On 25-NOV-2008 serum alpha-fetoprotein test was performed with fetal demise at 24.3 weeks. It was reported that the patient was 24.3 weeks by ultrasound date but was 28 plus weeks by first ultrasound date. On 27-NOV-2008 the patient with 0 previous pregnancy underwent induction for fetal demise at 24.3 weeks. The fetus was normal with no autopsy done. There was no complication during pregnancy. Upon internal review, fetal death was determined to be an other important medical event. Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Arrhythmia, Computerised tomogram normal, Confusional state, Convulsion, Disorientation
Clinical narrative: On 6/16/00 the pt received HepB #1 and the Meningococcal Vaccination in preparation for college entrance. On 7/17/00 the pt suffered a seizure and has been exempt to further Hep B vaccinations and influenza vaccinations since. Past medical history reviewed with patient. The pt reports and the medical records indicated that on 7/17/00 the pt woke with a headache. She took ADVIL without relief. She then took a nap. Her mother noted the pt to be confused with some involuntary movements of her face when she awoke. She decided to take her to the hospital. On the way, the pt had a generalized tonic-clonic seizure without tongue biting or urinary incontinence which lasted for 45 seconds. In the ER she was awake but confused and disoriented. She was afebrile. The pt had no history of headaches, head injury, febrile illness, history of alcohol or drug abuse or FH of seizure disorder. According to the medical record the pt had a CT of the brain which was negative; an MRI of the brain which was negative and an EEG which showed a mild degree of dysrhythmia with a mild degree of intermittent generalized slowing. She was treated with anticonvulsants for 18 months and was tapered without further seizures. The pt has had "stress induced" migraine headaches since that time which she treats with rest with relief of her symptoms. The pt had a Td on 12/1/08 without adverse event. Per the patient she had a Hepatitis B titer drawn 1/07 for employment as a contractor which was negative. 2/10/09-records received for DOS 7/17/-7/18/00-DC DX: Generalized seizure possibly due to comples partial seizure, etiology could not be detected. Woke disoriented and nonfocusing then noncommunicative staring. Generalized seizure and completely unresponsive. Postictal upon arrival  to ED.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Dyskinesia, Electroencephalogram abnormal, Grand mal convulsion, Headache, Migraine
Clinical narrative: On 6/16/00 the pt received HepB #1 and the Meningococcal Vaccination in preparation for college entrance. On 7/17/00 the pt suffered a seizure and has been exempt to further Hep B vaccinations and influenza vaccinations since. Past medical history reviewed with patient. The pt reports and the medical records indicated that on 7/17/00 the pt woke with a headache. She took ADVIL without relief. She then took a nap. Her mother noted the pt to be confused with some involuntary movements of her face when she awoke. She decided to take her to the hospital. On the way, the pt had a generalized tonic-clonic seizure without tongue biting or urinary incontinence which lasted for 45 seconds. In the ER she was awake but confused and disoriented. She was afebrile. The pt had no history of headaches, head injury, febrile illness, history of alcohol or drug abuse or FH of seizure disorder. According to the medical record the pt had a CT of the brain which was negative; an MRI of the brain which was negative and an EEG which showed a mild degree of dysrhythmia with a mild degree of intermittent generalized slowing. She was treated with anticonvulsants for 18 months and was tapered without further seizures. The pt has had "stress induced" migraine headaches since that time which she treats with rest with relief of her symptoms. The pt had a Td on 12/1/08 without adverse event. Per the patient she had a Hepatitis B titer drawn 1/07 for employment as a contractor which was negative. 2/10/09-records received for DOS 7/17/-7/18/00-DC DX: Generalized seizure possibly due to comples partial seizure, etiology could not be detected. Woke disoriented and nonfocusing then noncommunicative staring. Generalized seizure and completely unresponsive. Postictal upon arrival  to ED.