chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Grip strength decreased, Hypotonia, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient was otherwise healthy, had one small cold in over a year. Vaccine was at 3:30pm on 5/6/08. By that night, patient's vaccine site was swollen, warm and painful. Patient had 100mg. of Ibuprofen and ice on site. When patient woke in morning of 5/7/08 at 5:45am, he complained that he was unusually tired. He seemed a bit spaced out. He went to school. Not recognizing he was not well, he said his legs were really tired through the day, and at Gym class (9:30am)he realized that he kept losing grip of a baseball bat. He ate lunch at 10:30am and still felt a bit tired. By 2:00pm it seems he lost conciousness in the classroom. He said everything turned white and he fainted. At this point he might have hit his head, had symptoms of a concusion. He blacked out a few times in a wheel chair to and at the health office at school. I arrived at the school by 2:30pm. I witnessed his confusion and dazed behavior. He was shaking and had the chills. His temperature was 99, he had a stiff appearence. The most startling event that I witnessed and the EMT said was not typical of a concusion was that his face seemed almost paralyzed. His face was green/greyish and lack of color. He had no muscle tone in his face. One eye was somewhat lower than the other. The EMT checked for signs of a stroke, it was negative. They took him to the Emergency room. He was given glucose and orange juice and by 5:00pm he was more like himself, including color and muscle-tone in his face. His arms and legs were still weak and still had a low fever for another 2 days. The injection site was swollen for another few days. The Doctors denied that this might have been an adverse reaction to the Menactra vaccine. I think it's just too much of a coincidence for it not to be related. Thankfuly he recovered.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Loss of consciousness, Muscular weakness, Musculoskeletal stiffness, Pallor, Pyrexia
Clinical narrative: Patient was otherwise healthy, had one small cold in over a year. Vaccine was at 3:30pm on 5/6/08. By that night, patient's vaccine site was swollen, warm and painful. Patient had 100mg. of Ibuprofen and ice on site. When patient woke in morning of 5/7/08 at 5:45am, he complained that he was unusually tired. He seemed a bit spaced out. He went to school. Not recognizing he was not well, he said his legs were really tired through the day, and at Gym class (9:30am)he realized that he kept losing grip of a baseball bat. He ate lunch at 10:30am and still felt a bit tired. By 2:00pm it seems he lost conciousness in the classroom. He said everything turned white and he fainted. At this point he might have hit his head, had symptoms of a concusion. He blacked out a few times in a wheel chair to and at the health office at school. I arrived at the school by 2:30pm. I witnessed his confusion and dazed behavior. He was shaking and had the chills. His temperature was 99, he had a stiff appearence. The most startling event that I witnessed and the EMT said was not typical of a concusion was that his face seemed almost paralyzed. His face was green/greyish and lack of color. He had no muscle tone in his face. One eye was somewhat lower than the other. The EMT checked for signs of a stroke, it was negative. They took him to the Emergency room. He was given glucose and orange juice and by 5:00pm he was more like himself, including color and muscle-tone in his face. His arms and legs were still weak and still had a low fever for another 2 days. The injection site was swollen for another few days. The Doctors denied that this might have been an adverse reaction to the Menactra vaccine. I think it's just too much of a coincidence for it not to be related. Thankfuly he recovered.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Syncope, Tremor
Clinical narrative: Patient was otherwise healthy, had one small cold in over a year. Vaccine was at 3:30pm on 5/6/08. By that night, patient's vaccine site was swollen, warm and painful. Patient had 100mg. of Ibuprofen and ice on site. When patient woke in morning of 5/7/08 at 5:45am, he complained that he was unusually tired. He seemed a bit spaced out. He went to school. Not recognizing he was not well, he said his legs were really tired through the day, and at Gym class (9:30am)he realized that he kept losing grip of a baseball bat. He ate lunch at 10:30am and still felt a bit tired. By 2:00pm it seems he lost conciousness in the classroom. He said everything turned white and he fainted. At this point he might have hit his head, had symptoms of a concusion. He blacked out a few times in a wheel chair to and at the health office at school. I arrived at the school by 2:30pm. I witnessed his confusion and dazed behavior. He was shaking and had the chills. His temperature was 99, he had a stiff appearence. The most startling event that I witnessed and the EMT said was not typical of a concusion was that his face seemed almost paralyzed. His face was green/greyish and lack of color. He had no muscle tone in his face. One eye was somewhat lower than the other. The EMT checked for signs of a stroke, it was negative. They took him to the Emergency room. He was given glucose and orange juice and by 5:00pm he was more like himself, including color and muscle-tone in his face. His arms and legs were still weak and still had a low fever for another 2 days. The injection site was swollen for another few days. The Doctors denied that this might have been an adverse reaction to the Menactra vaccine. I think it's just too much of a coincidence for it not to be related. Thankfuly he recovered.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Myalgia, Pyrexia, Rash, Serum sickness
Clinical narrative: Patient developed fever, rash, myalgias and arthralgia 48 hrs after vaccine. Symptoms persisted, including fever 2 wks. Pt had multiple visit and work up done. No definite Dx made but specialists felt most likely serum sickness.  07/01/2008 MR received for DOS 6/19-21/2008 with D/C DX:  Suspected Serum Sickness. Pt presented for eval after several PCP and ER visits for 12 day hx of fevers, rash, muscle weakness and joint pain which began after receiving Menactra on 6/6/08. Pt had injection site erythema. On ~6/10/08 pt developed abd pain. PCP noted petechiae on pt's abdomen. CT (+) for colitis. Developed sore throat on the folllowing day.  Pt then developed a diffuse itchy, macular erythematous rash on the upper extremities, legs and shoulders.  Fever persisted and pt developed severe L elbow and knee pain which caused walking difficulty. Lightheadedness also reported. Admission PE(+) for L knee effusion, tachycardia, 2/6 systolic murmur, a pericardial rub, decreased ROM in the L elbow, L wrist, R ankle and L knee with knee swelling,  injected conjunctiva and periorbital erythema and swelling. Rheum consult felt not rheumatologic etiology. ID felt etiology most c/w serum sickness. Cardiology felt pericardial rub associated with systemic inflammation. Tx with IVF and Naproxen.
Age: 7.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Pruritus, Swelling
Clinical narrative: large amount of swelling and redness, slight itching of the left thigh.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is red, swollen and warm.  Advised cool compresses and Benadryl.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Immediate post-injection reaction, Injection site nodule, Local swelling
Clinical narrative: Pt states knot at site immediately. Redness and swelling localized at 3 days. Patient instructed to use ADVIL and cold compress. It worse or red streaks up or down arm or fever to be seen.
Age: 15.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Feeling hot, Syncope
Clinical narrative: 2 vaccines administered, one to each deltoid muscle. Client stood up after approximately one minute and began to "feel lightheaded and hot." He sat down and then fainted. he recovered completely within 2-3 minutes. His father was present/assisted him out.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received initial dose of ADACEL 11/6/06. Pt then received 2nd dose 6/26/08.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Oedema peripheral
Clinical narrative: L deltoid et axillary swelling - started/noticed 6/20/08 at 0700. Pt took ice et ibuprofen for pain/swelling. Pt saw provider NP on 6/23/08.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Rash, Scab
Clinical narrative: On 6/4/2008 the patient presented with about three small, red bumps on her chest and three on the back of her neck. She described them as slightly painful and itchy. Within a week of onset the bumps had scabs form and went away soon after.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Vaccine positive rechallenge
Clinical narrative: Pt fainted about 10 min after each HPV vaccine. Has never fainted before, no fear of vaccines/injections. Has tolerated other vaccines well.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Sensory disturbance
Clinical narrative: Patient felt a "tickling" feeling later in the day. She states she felt pain when her husband touched the area, but saw the large red area this morning.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Generalized pink papular rash
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 3x4 cm erythema - warm to touch of Rt upper arm.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Blister, Hypotonia, Pyrexia
Clinical narrative: 21 days after vaccines pt had several vesicles all over body, Fever to 103 degrees, and became limp x 30-60 seconds.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Abasia, Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: on 6/6/8 child and mother came to clinic. Child had 10 inch by 7 inch swollen left leg, child c/o pain with ambulation, mom states "she can not walk". Lt thigh from the inguinal area to below knee significantly edematous, hot and some redness noted. VS T=37 (ear) RR = 32, HR 111.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt presented 6/26/08 6"x7" redness noted to L anterior thigh with swelling and warm to touch. Mother stated was fine yesterday and this AM. States it started sometime this afternoon. Seen to ER for eval.
Age: 41.0
Sex: M
Vaccine: DT
Symptoms: Injection site pain
Clinical narrative: Patient has had recurrent pain at injection site for 1 month.
Age: 8.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis
Clinical narrative: Area of cellulitis 2 day after shots Rx - Augmentines
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Injection site erythema, Injection site induration, Neck pain
Clinical narrative: Site of injection 7-8 cm erythema and induration and significant axillary tenderness, neck pain.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Recieved shot at 9:30 in morning, had severe headaches from 11:20pm to 2:30am Could have been a sinus headache but has never been that severe.
Age: 11.0
Sex: F
Vaccine: HPV4, MMR, TDAP
Symptoms: Urticaria
Clinical narrative: Diffuse urticaria 3 hours after receiving Gardasil, Tdap, MMR today.  Presents to ED for care
Age: 1.33
Sex: F
Vaccine: DTAP, DTPIPV, PPV, VARCEL
Symptoms: Anorexia, Chills, Dyspnoea, Hypoventilation, Irritability
Clinical narrative: high fever for at least 4 days, shaking, chills, vomiting, fussiness, sleepliness, shallow labored breathing, racing heart beat, lack of hunger, weight loss
Age: 1.33
Sex: F
Vaccine: DTAP, DTPIPV, PPV, VARCEL
Symptoms: Palpitations, Pyrexia, Streptococcal identification test negative, Tremor, Vomiting
Clinical narrative: high fever for at least 4 days, shaking, chills, vomiting, fussiness, sleepliness, shallow labored breathing, racing heart beat, lack of hunger, weight loss
Age: 1.33
Sex: F
Vaccine: DTAP, DTPIPV, PPV, VARCEL
Symptoms: Weight decreased
Clinical narrative: high fever for at least 4 days, shaking, chills, vomiting, fussiness, sleepliness, shallow labored breathing, racing heart beat, lack of hunger, weight loss
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blister, Herpes zoster, Local reaction, Rash
Clinical narrative: Patient had a local reaction to Zostavax vaccination recieved on 06/18/08.  Administered into left arm. Swelling occured. Two days later patient described back pain (6/20/08).  Blistery rash developed on 06/23/08.  Patient saw physician to verify diagnosis of shingles
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Patient had a local reaction to Zostavax vaccination recieved on 06/18/08.  Administered into left arm. Swelling occured. Two days later patient described back pain (6/20/08).  Blistery rash developed on 06/23/08.  Patient saw physician to verify diagnosis of shingles
Age: 0.75
Sex: M
Vaccine: MMRV
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Rash
Clinical narrative: Fever for 3 days 101 -102 very hard to break, and day 4-5 broke out with rash over chest and back down on penis and growin area. It is day 5 now Saturday night and I am doing research on what to do, baby is sleeping now with rash and no fever.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: Developed significant left arm cellulitis beginning 24 hrs after injection administered.  Seen in office on 6/27 for this issue and being treated with antibiotics.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Headache, Musculoskeletal discomfort, Trismus
Clinical narrative: Muscle Spasm in Jaw exhibited by an inability to normally close mouth and a quivering lower jaw whenever attempt to close mouth was made; severe neck and shoulder tension; headache; NOT EXACTLY SURE OF TYPE OF TETANUS VACCINE.
Age: 77.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Hyperaesthesia, Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: I cannot move my arm past my elbow. If I do,it causes extream pain. I can't lay on it. It wakes me up at night. I tried aspercream and motrin and it didn't help. I can't do my taebo workout,fully move my arm or lift my 21month old daughter because of the pain in my sholder. If anyone touches my shoulder with anything more than a feathery touch, I yelp with pain. If it doesn't feel better soon, I will have to go to the doctors.
Age: 77.0
Sex: F
Vaccine: TDAP
Symptoms: Sleep disorder
Clinical narrative: I cannot move my arm past my elbow. If I do,it causes extream pain. I can't lay on it. It wakes me up at night. I tried aspercream and motrin and it didn't help. I can't do my taebo workout,fully move my arm or lift my 21month old daughter because of the pain in my sholder. If anyone touches my shoulder with anything more than a feathery touch, I yelp with pain. If it doesn't feel better soon, I will have to go to the doctors.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Genital rash, Irritability, Lethargy, Pruritus, Pyrexia
Clinical narrative: Small rash appeared on genitals 5 days after injection. Presumed it was a new form of diaper rash but it did not respond to creams and didn't look like diaper rash. Fever starting 6 days after immunization. To date has lasted five days and on the 12th day the rash has appeared all over his trunk, legs, arms, and face. Baby is irritable, lethargic and scratching. Highest fever recorded was just under 102 F at 101.7. Could have been higher throughout the last two nights but gave baby infant's Motrin. Should these symptoms continue to worsen throughout the day will not wait until monday to visit doctor, will take child to Urgent Care.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash generalised
Clinical narrative: Small rash appeared on genitals 5 days after injection. Presumed it was a new form of diaper rash but it did not respond to creams and didn't look like diaper rash. Fever starting 6 days after immunization. To date has lasted five days and on the 12th day the rash has appeared all over his trunk, legs, arms, and face. Baby is irritable, lethargic and scratching. Highest fever recorded was just under 102 F at 101.7. Could have been higher throughout the last two nights but gave baby infant's Motrin. Should these symptoms continue to worsen throughout the day will not wait until monday to visit doctor, will take child to Urgent Care.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Headache, Malaise, Pain
Clinical narrative: Temp 102.2.  Chills, Malaise, Headache for approximately 36 hrs.  Vaccine received at 11:30 am Friday, June 27.  Body aches started that evening and I could not move much at all on Sat d/t body aches, fatigue, and headaches.  Fever Sat evening even w/Tylenol Q 4-6 hr was 101.9.  Fvr finally broke Sat night with only low grade temps and fatigue on Sun.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Temp 102.2.  Chills, Malaise, Headache for approximately 36 hrs.  Vaccine received at 11:30 am Friday, June 27.  Body aches started that evening and I could not move much at all on Sat d/t body aches, fatigue, and headaches.  Fever Sat evening even w/Tylenol Q 4-6 hr was 101.9.  Fvr finally broke Sat night with only low grade temps and fatigue on Sun.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Pt. received GARDASIL injection #1 on 4/3/08.  Due to insurance reasons pt. is no longer a part of our practice.  Pt had a UPT done at a center on 6/3/08 which was (+) and is under the care of a practice for her maternity care.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test urine positive
Clinical narrative: Pt. received GARDASIL injection #1 on 4/3/08.  Due to insurance reasons pt. is no longer a part of our practice.  Pt had a UPT done at a center on 6/3/08 which was (+) and is under the care of a practice for her maternity care.
Age: 1.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Band neutrophil count decreased, Blood culture negative, Chest X-ray normal, Diet refusal, Neutropenia
Clinical narrative: Information has been received from a physician concerning a 12 month old patient with no pertinent medical history who on 10-JUN-2008 was vaccinated with a dose of VARIVAX. "48 hours after vaccination", on 12-JUN-2008 the patient developed a fever and went to the emergency room. Blood tests were performed and results showed that blood count was low with neutrophils and bands. On 13-JUN-2008 another blood count was performed and neutrophils and bands were still low. After 1 or 2 days later, the patient was hospitalized with a temperature of 104 F and initial white count of 3800 with 1 neutrophil and 1 band and "absolute neutrophil count (ANC) of 76", platelet was 140,000 and hemoglobin was normal. The patient was given unspecified antibiotics for 2 days and culture never grew anything. The fever went away at an unspecified time. At the time of report, no outcome about neutropenia was reported. The reporter considered neutropenia to be an other important medical event. Additional information has been requested.
Age: 1.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Neutrophil count decreased, Pyrexia, Urine analysis normal, White blood cell count decreased
Clinical narrative: Information has been received from a physician concerning a 12 month old patient with no pertinent medical history who on 10-JUN-2008 was vaccinated with a dose of VARIVAX. "48 hours after vaccination", on 12-JUN-2008 the patient developed a fever and went to the emergency room. Blood tests were performed and results showed that blood count was low with neutrophils and bands. On 13-JUN-2008 another blood count was performed and neutrophils and bands were still low. After 1 or 2 days later, the patient was hospitalized with a temperature of 104 F and initial white count of 3800 with 1 neutrophil and 1 band and "absolute neutrophil count (ANC) of 76", platelet was 140,000 and hemoglobin was normal. The patient was given unspecified antibiotics for 2 days and culture never grew anything. The fever went away at an unspecified time. At the time of report, no outcome about neutropenia was reported. The reporter considered neutropenia to be an other important medical event. Additional information has been requested.
Age: 1.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Band neutrophil count decreased, Blood culture negative, Body temperature increased, Haemoglobin normal, Neutropenia
Clinical narrative: Information has been received from a physician concerning a 12 month old patient with no pertinent medical history who on 10-JUN-2008 was vaccinated with a dose of VARIVAX. "48 hours after vaccination", on 12-JUN-2008 the patient developed a fever and went to the emergency room. Blood tests were performed and results showed that blood count was low with neutrophils and bands. On 13-JUN-2008 another blood count was performed and neutrophils and bands were still low. After 1 or 2 days later, the patient was hospitalized with a temperature of 104 F and initial white count of 3800 with 1 neutrophil and 1 band and "absolute neutrophil count (ANC) of 76", platelet was 140,000 and hemoglobin was normal. The patient was given unspecified antibiotics for 2 days and culture never grew anything. The fever went away at an unspecified time. At the time of report, no outcome about neutropenia was reported. The reporter considered neutropenia to be an other important medical event. Additional information has been requested.
Age: 1.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: Neutrophil count increased, Pyrexia, White blood cell count decreased
Clinical narrative: Information has been received from a physician concerning a 12 month old patient with no pertinent medical history who on 10-JUN-2008 was vaccinated with a dose of VARIVAX. "48 hours after vaccination", on 12-JUN-2008 the patient developed a fever and went to the emergency room. Blood tests were performed and results showed that blood count was low with neutrophils and bands. On 13-JUN-2008 another blood count was performed and neutrophils and bands were still low. After 1 or 2 days later, the patient was hospitalized with a temperature of 104 F and initial white count of 3800 with 1 neutrophil and 1 band and "absolute neutrophil count (ANC) of 76", platelet was 140,000 and hemoglobin was normal. The patient was given unspecified antibiotics for 2 days and culture never grew anything. The fever went away at an unspecified time. At the time of report, no outcome about neutropenia was reported. The reporter considered neutropenia to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: MMRV
Symptoms: Autism
Clinical narrative: autism
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Anorexia, Body temperature increased, Chills, Crying, Delirium
Clinical narrative: I had my first (and only so far) injection on Thursday June 26 at 2:45pm.  I was overly emotional on Friday evening starting about 7:00pm, which included lots of crying.                 On Saturday I woke up after getting plenty of rest but did not feel great.  I thought I might still be feeling "down" from being upset from the night before.  I had no appetite but made myself eat something anyway.  I did not leave the house all day and just rested on the couch.  By 3pm I had chills so bad that I decided to go to bed and get under my electric blanket.  My teeth were chattering loudly and I was shaking out of control.  I could not warm up.  My head hurt SO much.  A few hours later I had my temperature taken and it was 102.6.  It lasted many, many hours without breaking.  If it had been 103 or higher I would have gone to the ER.  My syptoms included nightmares, tossing and turning in my sleep, being delerious to the point of thinking there were other people (whom I did not know) in the room when there were not, horrible headache, crying, phlemn, runny nose, slightly swollen and very sore throat (still sore on Sunday night at 11:45pm), body ache in shoulders, neck, and mostly back.  I used a cold, damp washcloth on my forehead as my head felt like it was burning up while my body still felt icy cold even with the electric blanket on high. I had taken 2 Alieve early in the day and 4 Advil later that night or early morning.  By 12:30am the fever was still 101.4.  By 9am the fever was down to 97.9.  By 12:30pm the fever was down to the normal temperature.   On Sunday at 11:45pm I still feel ill and phlemny in my throat but not my nose.  Sorry for being so graphic. :-) Please contact me if you have any questions.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Headache, Increased upper airway secretion, Malaise, Nightmare
Clinical narrative: I had my first (and only so far) injection on Thursday June 26 at 2:45pm.  I was overly emotional on Friday evening starting about 7:00pm, which included lots of crying.                 On Saturday I woke up after getting plenty of rest but did not feel great.  I thought I might still be feeling "down" from being upset from the night before.  I had no appetite but made myself eat something anyway.  I did not leave the house all day and just rested on the couch.  By 3pm I had chills so bad that I decided to go to bed and get under my electric blanket.  My teeth were chattering loudly and I was shaking out of control.  I could not warm up.  My head hurt SO much.  A few hours later I had my temperature taken and it was 102.6.  It lasted many, many hours without breaking.  If it had been 103 or higher I would have gone to the ER.  My syptoms included nightmares, tossing and turning in my sleep, being delerious to the point of thinking there were other people (whom I did not know) in the room when there were not, horrible headache, crying, phlemn, runny nose, slightly swollen and very sore throat (still sore on Sunday night at 11:45pm), body ache in shoulders, neck, and mostly back.  I used a cold, damp washcloth on my forehead as my head felt like it was burning up while my body still felt icy cold even with the electric blanket on high. I had taken 2 Alieve early in the day and 4 Advil later that night or early morning.  By 12:30am the fever was still 101.4.  By 9am the fever was down to 97.9.  By 12:30pm the fever was down to the normal temperature.   On Sunday at 11:45pm I still feel ill and phlemny in my throat but not my nose.  Sorry for being so graphic. :-) Please contact me if you have any questions.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pharyngeal oedema, Pharyngolaryngeal pain, Poor quality sleep, Rhinorrhoea
Clinical narrative: I had my first (and only so far) injection on Thursday June 26 at 2:45pm.  I was overly emotional on Friday evening starting about 7:00pm, which included lots of crying.                 On Saturday I woke up after getting plenty of rest but did not feel great.  I thought I might still be feeling "down" from being upset from the night before.  I had no appetite but made myself eat something anyway.  I did not leave the house all day and just rested on the couch.  By 3pm I had chills so bad that I decided to go to bed and get under my electric blanket.  My teeth were chattering loudly and I was shaking out of control.  I could not warm up.  My head hurt SO much.  A few hours later I had my temperature taken and it was 102.6.  It lasted many, many hours without breaking.  If it had been 103 or higher I would have gone to the ER.  My syptoms included nightmares, tossing and turning in my sleep, being delerious to the point of thinking there were other people (whom I did not know) in the room when there were not, horrible headache, crying, phlemn, runny nose, slightly swollen and very sore throat (still sore on Sunday night at 11:45pm), body ache in shoulders, neck, and mostly back.  I used a cold, damp washcloth on my forehead as my head felt like it was burning up while my body still felt icy cold even with the electric blanket on high. I had taken 2 Alieve early in the day and 4 Advil later that night or early morning.  By 12:30am the fever was still 101.4.  By 9am the fever was down to 97.9.  By 12:30pm the fever was down to the normal temperature.   On Sunday at 11:45pm I still feel ill and phlemny in my throat but not my nose.  Sorry for being so graphic. :-) Please contact me if you have any questions.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: I had my first (and only so far) injection on Thursday June 26 at 2:45pm.  I was overly emotional on Friday evening starting about 7:00pm, which included lots of crying.                 On Saturday I woke up after getting plenty of rest but did not feel great.  I thought I might still be feeling "down" from being upset from the night before.  I had no appetite but made myself eat something anyway.  I did not leave the house all day and just rested on the couch.  By 3pm I had chills so bad that I decided to go to bed and get under my electric blanket.  My teeth were chattering loudly and I was shaking out of control.  I could not warm up.  My head hurt SO much.  A few hours later I had my temperature taken and it was 102.6.  It lasted many, many hours without breaking.  If it had been 103 or higher I would have gone to the ER.  My syptoms included nightmares, tossing and turning in my sleep, being delerious to the point of thinking there were other people (whom I did not know) in the room when there were not, horrible headache, crying, phlemn, runny nose, slightly swollen and very sore throat (still sore on Sunday night at 11:45pm), body ache in shoulders, neck, and mostly back.  I used a cold, damp washcloth on my forehead as my head felt like it was burning up while my body still felt icy cold even with the electric blanket on high. I had taken 2 Alieve early in the day and 4 Advil later that night or early morning.  By 12:30am the fever was still 101.4.  By 9am the fever was down to 97.9.  By 12:30pm the fever was down to the normal temperature.   On Sunday at 11:45pm I still feel ill and phlemny in my throat but not my nose.  Sorry for being so graphic. :-) Please contact me if you have any questions.
Sex: M
Vaccine: HEP
Symptoms: Abnormal behaviour, Malaise, Platelet count decreased, Platelet disorder, Platelet morphology abnormal
Clinical narrative: He was sick a couple days later, high fever and temperament were getting worse, we thought we should take him to the emergency room.
Sex: M
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: He was sick a couple days later, high fever and temperament were getting worse, we thought we should take him to the emergency room.
Age: 53.0
Sex: F
Vaccine: HEPA, TDAP, YF
Symptoms: Injection site erythema, Swelling
Clinical narrative: 6/23/08 Administered in R deltoid, Tdap, IM. along with Yellow Fever, SQ. Patient called Thursday, 6/26/08 with nickle size red spot in back of R arm from Yellow Fever.  Instructed to take one Benadryl and call MD if continues or syptoms worsen.  Per conversation with patient on Monday, 6/30/08, she relayed the following weekend occurances.: Patient states she called MD on Friday, 6/27/08 and took another Benadryl per his suggestion.  Saturday, 6/28/09, patient states the red spot continued so she took a Claritin because the Benadryl made her sleepy. Also on Saturday, her R shoulder began to swell with fluid. Sunday the R shoulder swelling increased to the size of a baseball. Denies heat emission, denies redness.  The swelling appeared fluid filled.  Monday, 6/30/08, the swelling remained the same.  Denies respiratory difficulties, nor any other symptoms. Advised to see her primary care Physician today.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a physician concerning a 75 year old female with a history of lymphoma who in May 2008, was vaccinated with a dose of ZOSTAVAX (Oka/Merck) (lot no. route and site of administration were not reported).  On 03-JUN-2008 the patient experienced shingles and was hospitalized.  However, the reason and length of hospitalization was unspecified.  The patient sought unspecified medical attention.  Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Convulsion, Tricuspid valve repair, Vascular graft
Clinical narrative: Initial and follow up information has been received by follow up telephone call from a physician and a medical assistant (M.A.) concerning a 13 year old female with Epstein's anomaly and mild scoliosis who on 30-MAY-2008 was vaccinated with a dose of VAQTA (lot # 656996/0018U) and a dose of MENACTRA lot # U2225AA.  The MA reported that it was documented that patient received the vaccination and "the patient experienced a generalized seizure lasting for 5 seconds and awoke with normal mental status".  On 10-JUN-2008, the patient underwent a repair of Ebstein's anomaly of the tricuspid valve which included Bypass surgery.  The patient had a follow up visit with the physician on 24-JUN-2008 for the removal of sutures from the sternum.  She did not have any complications during or after the surgery.  She was scheduled to see a cardiologist "next week".  At the time of this report the outcome of the bypass surgery for Ebstein anomaly was unknown.  Upon internal review seizure and repair of Ebstein anomaly were considered to be an other important medical events.  This is one of several reports from the same source.  Additional information has been requested.
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a female patient who was vaccinated with a dose of GARDASIL and a dose of either VAQTA (MSD) or HAVRIX at the same time as GARDASIL.  The physician reported that this was not the only office to have this happen.  The outcome was unknown.  No additional Adverse Event (AE) information was reported.  Upon internal review seizure was determined to be an other important medical event.  This is one of several reports from the same source.  Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Coma
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with a dose of GARDASIL. Subsequently, two weeks after vaccination the patient went into a coma and her blood pressure was "dropping a lot." The patient was reported to be a cousin of a patient of the reporting physician and is not a patient of the reporting physician. Information regarding the patient's health care provider was not provided. The patient sought unspecified medical attention. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. Coma and blood pressure dropped were considered to be disabling. Additional information is not expected.
Sex: F
Vaccine: YF
Symptoms: Hypersensitivity, Rash erythematous, Rash macular, Swelling, Syncope
Clinical narrative: This case was received from a patient on 16 June 2008.  SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  A female patient, with a history of codeine and multiple other drug allergies, received an injection of yellow fever vaccine (manufacturer and lot number unknown) in June 1970.  Approximately one week after vaccination, the patient began experiencing a puffiness and a red, blotchy rash on her face and chest area.  She also had vomiting, and an episode of syncope where she fainted on the street.  She was seen by a physician, and diagnosed with an allergic reaction.  No treatment was provided, and the event subsequently resolved.  No other information was available.
Sex: F
Vaccine: YF
Symptoms: Vomiting
Clinical narrative: This case was received from a patient on 16 June 2008.  SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  A female patient, with a history of codeine and multiple other drug allergies, received an injection of yellow fever vaccine (manufacturer and lot number unknown) in June 1970.  Approximately one week after vaccination, the patient began experiencing a puffiness and a red, blotchy rash on her face and chest area.  She also had vomiting, and an episode of syncope where she fainted on the street.  She was seen by a physician, and diagnosed with an allergic reaction.  No treatment was provided, and the event subsequently resolved.  No other information was available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: Father called 6/25 to cancel appts for August/08 and states baby died of SIDS. 8/29/09 Autopsy report also states: apparently found unresponsive at home in car seat which had been placed in crib;no evidence of acute traumatic injury; post mortem studies all negative. 8/29 Autopsy states COD: no anatomic cause./
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: No reaction on previous exposure to drug, Urticaria
Clinical narrative: Received 2nd anthrax vaccine on 6/508 and within 3-4 hours reacted with diffuse urticarial lesion. Pt did not seek medical evaluation at the time, but treated with BENADRYL and the hives resolved within 24 hours. He denies any rhinorrhea, tightness of chest or throat, itchy throat, facial swelling, dyspnea or cough. Denies GI symptoms. In addition to receiving his 2nd anthrax vaccine on 6/5/08, he had previously received his 2nd Smallpox vaccine on 5/29/08 and denies headaches, body aches, chest pain, fever or fatigue. He reports normal progression of smallpox vaccine site without streaking or swollen axillary lymph nodes. Prior to onset of hives, he denies eating anything out of the ordinary, insect bites, or irritation of new medications. No previous history of hives. Pt stated he is doing fine. Symptoms: Hives.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Received ZOSTAVAX on 6/11/08. 6/13/08 upper arms itchy. 6/14/08-6/16/08- lg. hives arms, leg and back
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 6/17/08 Caregiver reports quarter size red, hot area at immunization site. Called triage doctor-BENADRYL and TYLENOL ordered.  6/18/08 Area is size of orange and hot. 6/19/08 area is flat, red and hot decreased in size with TYLENOL and BENADRYL use.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Carpal tunnel syndrome, Diagnostic procedure, Hypoaesthesia, Hypotonia
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Inappropriate schedule of drug administration, Joint swelling, Nerve injury, Oedema peripheral, Pain in extremity
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pruritus, Sleep disorder, Surgery
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Carpal tunnel decompression, Carpal tunnel syndrome, Condition aggravated, Hypoaesthesia
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypotonia, Inappropriate schedule of drug administration, Insomnia, Joint swelling, Laboratory test abnormal
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Limb discomfort, Nerve conduction studies abnormal, Nerve injury, Oedema peripheral, Pain in extremity
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pruritus
Clinical narrative: Please see attached patient documentation. 9/29/09 PCP Medical records, ER visits, and consults received DOS 2/18/08 to 5/4/09. Assessment: Seronegative Rheumatoid Arthritis.   Carpal Tunnel Syndrome. Thoracic outlet syndrome. Wrist surgery - carpal tunnel release. Fall, severe coccygeal pain. Hand pain interfering with sleep. Painful bumps on neck. Seen at ER for bilateral upper extremity pain and paresthesias on 9/6/08. Productive cough, sore throat, ears feel full, fever. Pain in knee. Migrating pain. Bronchitis, sinusitis, polymyalgia rheumatica. Recurrent hand symptoms. Legs heavy and weak. Morning stiffness. Weight gain. Anserine Bursitis. Synovitis multiple joints.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Administered adult Hepatitis A vaccine to an 18 year old instead of a Pediatric Hepatitis A vaccine.
Age: 10.0
Sex: U
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Induration, Local reaction, Pruritus
Clinical narrative: large local reaction with erythematous, indurated and tender 5c in diameter on Left arm developed several hours after injection given 6/18/08. Itching, spreading red area with warmth, reddness/tenderness after 8 hours. Seen in office 6/20/08 Augmentin given 400mg-1 po bid x 10d. Cold compress and BENADRYL. Later that noc
Age: 10.0
Sex: U
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Skin warm, Tenderness
Clinical narrative: large local reaction with erythematous, indurated and tender 5c in diameter on Left arm developed several hours after injection given 6/18/08. Itching, spreading red area with warmth, reddness/tenderness after 8 hours. Seen in office 6/20/08 Augmentin given 400mg-1 po bid x 10d. Cold compress and BENADRYL. Later that noc
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Three hours after receiving GARDASIL #1 hands became swollen and painful x 12 hours.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Crying, Decreased appetite, Haematocrit normal, Haemoglobin normal, Idiopathic thrombocytopenic purpura
Clinical narrative: 6/17/08 - 6:12pm TC from mom reporting rash, increased flat red spots over body - started night before.  6/18/08 around 10:45 am seen by doctor - symptoms: history of fever and irritability for 2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 inches (most pinpoint) on trunk, face, neck and extremities.  Referred to local ER, discharge diagnosis ITP - given 20cc/k of NS and Rocephin.  Clinically looks great at discharge.  F/U appointment 6-23-08.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Irritability, Petechiae, Platelet count decreased, Pyrexia, Rash
Clinical narrative: 6/17/08 - 6:12pm TC from mom reporting rash, increased flat red spots over body - started night before.  6/18/08 around 10:45 am seen by doctor - symptoms: history of fever and irritability for 2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 inches (most pinpoint) on trunk, face, neck and extremities.  Referred to local ER, discharge diagnosis ITP - given 20cc/k of NS and Rocephin.  Clinically looks great at discharge.  F/U appointment 6-23-08.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: White blood cell count
Clinical narrative: 6/17/08 - 6:12pm TC from mom reporting rash, increased flat red spots over body - started night before.  6/18/08 around 10:45 am seen by doctor - symptoms: history of fever and irritability for 2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 inches (most pinpoint) on trunk, face, neck and extremities.  Referred to local ER, discharge diagnosis ITP - given 20cc/k of NS and Rocephin.  Clinically looks great at discharge.  F/U appointment 6-23-08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left thigh swollen and red to size of a 50 cent piece.
Sex: U
Vaccine: PPV, TDAP
Symptoms: Erythema, Local reaction, Pyrexia, Tenderness
Clinical narrative: Fever to 101.9, resolved within 12 hours.  4 cm local pink, tender right deltoid onset 6-22-08 and persistent for 48 hours.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Blood pressure, Body temperature, Dyspnoea, Heart rate normal, Injection site pruritus
Clinical narrative: Itching and bumps at site.   C/O SOB.  Sxs occurred ~40 min after receiving the vaccine.  For ~30 min. pt seen by provider.  Sxs resolved.  VS T 97.8 F, BP 110/80, P 98, POXRA 98%.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site rash, Oxygen saturation normal
Clinical narrative: Itching and bumps at site.   C/O SOB.  Sxs occurred ~40 min after receiving the vaccine.  For ~30 min. pt seen by provider.  Sxs resolved.  VS T 97.8 F, BP 110/80, P 98, POXRA 98%.