chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fibromyalgia, Loss of consciousness, Malaise, Malaise, Pain
Clinical narrative: Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07).  1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07.  3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist.  7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment.  Through 7/08, multiple specialist appts for treatment and pain management.  08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2.  Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment:  Fatigue. Seen again 2/15, 2/21, 2/27 for same sx.  Assessment:  Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat.  Hyperreflexia noted on exam. Assessment:  Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx:  Fibromyalgia.  11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia.  OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness.  Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pharyngolaryngeal pain, Sinus disorder, Vomiting
Clinical narrative: Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07).  1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07.  3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist.  7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment.  Through 7/08, multiple specialist appts for treatment and pain management.  08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2.  Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment:  Fatigue. Seen again 2/15, 2/21, 2/27 for same sx.  Assessment:  Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat.  Hyperreflexia noted on exam. Assessment:  Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx:  Fibromyalgia.  11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia.  OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness.  Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.
Age: 47.0
Sex: F
Vaccine: HEPA, MEA, TYP
Symptoms: Arthritis
Clinical narrative: About a month after receiving recommended vaccinations for a trip, I developed chronic arthritis in my hands and feet.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Dry mouth, Dysphagia, Dyspnoea, Headache, Injection site pain
Clinical narrative: Pain and swelling at injection site  (left arm). After two days, pain and stiffness on left side of neck with debilitating headaches that lasted for three days. On day 6 face and tongue swelling difficulty swallowing and difficulty to get a deep breath. Extreme cotton mouth and thirst. Pain radiating in my jaw whenever I eat and then a constant throbbing other times. Put on steroids for 9 days. Made the swelling go down slightly but still have the sensation that my tongue is slightly swollen with cotton mouth.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Musculoskeletal stiffness, Neck pain, Pain in jaw, Swelling face
Clinical narrative: Pain and swelling at injection site  (left arm). After two days, pain and stiffness on left side of neck with debilitating headaches that lasted for three days. On day 6 face and tongue swelling difficulty swallowing and difficulty to get a deep breath. Extreme cotton mouth and thirst. Pain radiating in my jaw whenever I eat and then a constant throbbing other times. Put on steroids for 9 days. Made the swelling go down slightly but still have the sensation that my tongue is slightly swollen with cotton mouth.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Swollen tongue, Thirst
Clinical narrative: Pain and swelling at injection site  (left arm). After two days, pain and stiffness on left side of neck with debilitating headaches that lasted for three days. On day 6 face and tongue swelling difficulty swallowing and difficulty to get a deep breath. Extreme cotton mouth and thirst. Pain radiating in my jaw whenever I eat and then a constant throbbing other times. Put on steroids for 9 days. Made the swelling go down slightly but still have the sensation that my tongue is slightly swollen with cotton mouth.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Nausea
Clinical narrative: Patient was feeling light headed and nauseous after the administration.
Sex: F
Vaccine: MNQ
Symptoms: Bone pain, Headache
Clinical narrative: A female patient received an injection of MANACTRA (lot number U2409AA); date, site, and route of administration were not reported. She subsequently developed spine pain and a headache. No additional information was reported. This health professional also reported a similar event in another patient, captured in case number 2008-02209.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: An 11-year-old female patient with no past medical history, had received a first dose injection of MENACTRA (route/site and lot number unknown) on 02 July 2008 and three days later, on 05 July 2008, she developed a low grade fever (temperature not provided) that persisted until 08 July 2008. On 21 July 2008, the patient again developed a low grade fever (temperature not provided) with a headache, achiness and a decreased appetite which continued at the time of the report. She had been evaluated by her physician on an unknown date; results of that evaluation were not provided. No further information was provided.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Pain of skin, Tremor, Vomiting
Clinical narrative: An 18-year-old male patient with a history of seasonal allergies received initial doses of ADACEL, lot number C2766AA, administered intramuscularly in the right deltoid, and MENACTRA, lot number U2614AA, administered intramuscularly in the left deltoid on the afternoon of 30 July 2008. The vaccines were administered with 1 inch needles and 3cc syringes. The patient also received a tuberculin skin test with APLISOL (manufacturer Parke Davis), lot number 62418, on the same date. The patient complained of feeling tired at the time the injections were administered. Hours later, at 2:00 am on 31 July 2008, the patient developed shaking, was weak and vomited twice. He also felt that his "skin was hurting everywhere." He was seen by a physician at 11:15 am on 31 July 2008. His temperature was recorded as 96.7 Fahrenheit and no other vital signs were available. No laboratory work was completed. The patient called the physician's office at 1:00 pm that same day and reported that he was "feeling better." His recovery status was reported as unknown.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, RV5
Symptoms: Diarrhoea, Intussusception, Vomiting
Clinical narrative: Information has been received from a physician and a nurse concerning a 10 month old female who on 19-JUN-2007 was vaccinated with a first dose of ROTATEQ oral.  On 07-AUG-2007 the patient was vaccinated with a second dose of ROTATEQ (lot# 657515/0668U) oral.  On 05-OCT-2007 the patient was vaccinated with a third dose of ROTATEQ (lot# 657045/1053U) oral.  Concomitant therapy on 05-OCT-2007 included PREVNAR and PEDIARIX.  On 20-FEB-2008 the patient experienced vomiting and diarrhea.  The patient was taken to the hospital and was diagnosed with intussusception.  A CT scan was performed with no result provided.  The patient was then airlifted to a different hospital.  When the patient got to that hospital the intussusception was gone.  Intussusception was considered to be disabling and immediately life-threatening.  Additional information has been requested.  8/19/08 Reviewed hospital medical records of 2/21/2008. FINAL DX:  gastroenteritis; IS spontaneously resolved Records reveal patient had been transferred via helicopter from outlying ER with diagnosis of intussusception. Patient had experienced abdominal pain x 2 days w/nausea, vomiting, copious watery diarrhea, decreased urine output & irritability.  In outlying ER had abdominal distention.  CT scan done which was c/w IS & transferred to higher level of care.  Surgical consult done.  Tolerated PO fluids in ER & d/c to home.  8/26/08 Reviewed ER medical records of 2/20/2008. FINAL DX: Intussusception Records reveal patient experienced vomiting, diarrhea & reduced oral intake x 2 days.  In ER had fever 101, pulling at ears, behaving abnormally, decreased urine output, no tears w/crying.  Transferred to higher level of care.
Sex: U
Vaccine: HEP
Symptoms: Autism, Blood heavy metal increased
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a patient who was vaccinated with a fourth dose of hepatitis B vaccine rHBsAG (yeast) (lot # not reported). It was alleged that the patient "regressed into autism" and became "overburdened by thimerosal" when he received the fourth hepatitis B vaccine rHBsAG (yeast) (lot # not reported). The patient's outcome was not reported. Upon internal review, the patient's autism was considered to be an other important medical event. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive, Ultrasound scan abnormal
Clinical narrative: Information has been received from a physician concerning a 14 year old female who in February of 2008 was seen for an emergency contraceptive prevention. On 21-APR-2008 the patient was vaccinated with a first dose of GARDASIL (lot number) 0.5 ml by intramuscular injection (injection site not reported). Concomitant therapy included DEPO-PROVERA. Later the patient was found to be pregnant. At the time of this report the patient was in her 21st week of gestation. Unspecified medical attention was sought. Follow-up information was received from a nurse practitioner who reported that on 24-JUL-2008 the patient had a prenatal ultrasound performed, which revealed possible atrial septal defect of the fetus. Possible atrial septal defect was considered to be a congenital anomaly. Additional information has been requested.
Sex: F
Vaccine: FLUX
Symptoms: Oedema peripheral, Pneumonia
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report was received on 28 July 2008 from another manufacturer who received the report from a consumer.  A female patient (age and date of birth not reported) had received an Influenza vaccination six to eight years ago (manufacturer, lot number, route and site of injection not reported), and an unspecified amount of time later she developed "a horrible case of pneumonia and almost died".  She was prescribed prednisone and her feet "swelled up".  No further information was provided at the time of the report.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Clumsiness, Demyelination, Electromyogram abnormal, Hypoaesthesia, Muscular weakness
Clinical narrative: Pain, numbness, paresthesias, weakness-hands-also clumsy.  Numbness, paresthesias-legs, lumbar region.  Paresthesias-torso.  Symptoms started approximately one week before flu vaccine.  8/22/08 Reviewed PCP office records which included neuro & ophth consults. FINAL DX: multiple sclerosis, pre-existing, exacerbated by flu shot. Records reveal patient experienced recent mild case of right hip/waist herpes zoster when seen for vax.  Neuro consult done for post vaccinal complaints which began approx 1 wk s/p flu shot.  No reaction to prior flu shots.  Now w/complaints of tingling paresthesias of finger tips & toes, pins & needles of left shoulder, aching pain of left arm & cramping of left fingers, urinary hesitancy, bifrontal dull HA.  Neuro exam on 1/14/08 WNL.  Returned to neuro on 1/23/08 for increased weakness of right hand & prominent paresthesias of chest & abd.  Neuro exam remained WNL but referred for spinal cord MRI, LP & EMG/NCV of LE's.  Returned to neuro 2/6/2008 & tx w/IV steroids x 3 days.  Also referred to neuro-ophthalmic & seen 3/20/2008 where exam was WNL.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Nerve conduction studies abnormal, Nuclear magnetic resonance imaging brain abnormal, Pain, Peripheral sensory neuropathy
Clinical narrative: Pain, numbness, paresthesias, weakness-hands-also clumsy.  Numbness, paresthesias-legs, lumbar region.  Paresthesias-torso.  Symptoms started approximately one week before flu vaccine.  8/22/08 Reviewed PCP office records which included neuro & ophth consults. FINAL DX: multiple sclerosis, pre-existing, exacerbated by flu shot. Records reveal patient experienced recent mild case of right hip/waist herpes zoster when seen for vax.  Neuro consult done for post vaccinal complaints which began approx 1 wk s/p flu shot.  No reaction to prior flu shots.  Now w/complaints of tingling paresthesias of finger tips & toes, pins & needles of left shoulder, aching pain of left arm & cramping of left fingers, urinary hesitancy, bifrontal dull HA.  Neuro exam on 1/14/08 WNL.  Returned to neuro on 1/23/08 for increased weakness of right hand & prominent paresthesias of chest & abd.  Neuro exam remained WNL but referred for spinal cord MRI, LP & EMG/NCV of LE's.  Returned to neuro 2/6/2008 & tx w/IV steroids x 3 days.  Also referred to neuro-ophthalmic & seen 3/20/2008 where exam was WNL.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Apparent life threatening event, Cyanosis, Respiratory arrest
Clinical narrative: Apparent life-threatening event with cyanosis and respiratory arrest 2 hours after Hep A administered at well child care  9/2/08 Reviewed ER medical records of 7/18/2008. FINAL DX: fever, febrile seizure Records reveal patient experienced rhinorrhea, fever & seizure x 40-60 secs while in car seat & postictal w/cyanosis for 10-15 min afterward.  Temp was 40.2 in ER.  Tx w/antipyretics.  No further seizures.  D/C to home w/instrutions to have UA & urine c/s repeated at PCP office.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Culture urine, Full blood count, Pyloromyotomy, Urine analysis, Vomiting
Clinical narrative: Office visit on 7-24-08 pt. vomiting after each bottle started after last visit on 7-18-08 was seen in Emergency Room on 7-25-08. Pt admitted pt cont vomiting on 7-26-08 had surgery Poloromyotomy. Pt discharged on 7-27-08.  10/22/2008 MR received for DOS 7/25-27/2008 with D/C DX:  Hypertrophic Pyloric Stenosis. Pt presented with  1 week hx of progressive non-bilous emesis increased last 24 hrs.  PE (+) for fussiness otherwise WNL. No eveidence for dehydration/sepsis, acute abd pain. Pylorotomy done 7/26/08 and d/c next day.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Chest X-ray normal, Computerised tomogram normal, Electroencephalogram normal, Oxygen saturation decreased
Clinical narrative: Pale, Apnea 15-20 seconds in duration O2 Sat 85-98% at room air x 40 mins. Event resolving. Transferred via EMS to medical center at 1145.  8/26/08 Reviewed hospital medical records of 7/29-7/30/2008. FINAL DX: none provided. Consults state GERD, vasovagal syncopal episode Records reveal patient experienced pallor, staring, decreased O2 sats & unresponsiveness within 5 min of receiving vax.  Tx w/supplemental O2.  Sent to ER & then transferred to higher level of care for PICU.  Neuro consult done.  No further episodes noted while hospitalized.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pallor
Clinical narrative: Pale, Apnea 15-20 seconds in duration O2 Sat 85-98% at room air x 40 mins. Event resolving. Transferred via EMS to medical center at 1145.  8/26/08 Reviewed hospital medical records of 7/29-7/30/2008. FINAL DX: none provided. Consults state GERD, vasovagal syncopal episode Records reveal patient experienced pallor, staring, decreased O2 sats & unresponsiveness within 5 min of receiving vax.  Tx w/supplemental O2.  Sent to ER & then transferred to higher level of care for PICU.  Neuro consult done.  No further episodes noted while hospitalized.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: No reaction on previous exposure to drug
Clinical narrative: Patient developed a grand mal seizure, new onset, the day after the HPV vaccine, dose #2. Did well with first dose. 8/19/08-records received for DOS 7/20/08-DC DX: Generalized tonic clonic seizure. Presented to ED with first time seizure. Had not eaten anything that day. Drank  ETOH night before. Sleeping poorly due to stress.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Patient started with fever 24 hrs following vaccines.  Rash started 2 days after vaccines, then resolved (per mother's report).  On 8/4/08, rash returned and spread over entire body.  Patient afebrile, eating normally.  Provider determined rash to be reaction to MMR.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Pt called and complained of swollen red painful arm where the Pneumovax shot was given.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: Raised urticarial rash surrounding vaccine injection site, local reaction only
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: was given Pneumovax 7/29/08 (L) delt was seen in office 8/4/08 raised, red warm 6cm2 area around injection site. Dx Cellulitis Keflex 500 tid #21 given
Age: 1.6
Sex: F
Vaccine: IPV, MMR
Symptoms: Pyrexia
Clinical narrative: 5 days of fever to 102 F
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Gaze palsy, Syncope
Clinical narrative: pt. fainted after administering vaccine I proceed to assist the pt in lying on the table. The pt's eyes rolled back in her head so I got a doctor to assist me. After stabling pl. check BP 108/76 is ok.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Left upper and lower arm tingling and pain and numbness intermittent starting 2-3 days post injection, has persisted for 20 days, without resolution. May have started earlier, but thought it was just due to recent injection.  8/19/08 Reviewed pcp office records of 12/19/07-7/16/08. FINAL DX: none provided. Records reveal patient experienced good health.  HPV #1 given 5/13/08, lot 0152X, IM, LA;  HPV#2 given 7/16/08, lot 0152X, IM, LA.  No indications of complaints at either vaccine nursing visit.
Age: 8.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Warm, swelling, hard, red right arm.
Sex: U
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: PEDIARIX given rather than TRIPEDIA.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Significant swelling, erythema & pain at injection site.  Developed evening of injection >7cm around.  Supportive care, BENADRYL given.
Age: 48.0
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Palpitations
Clinical narrative: 1 1/2-2 hours after vaccine given-felt SOB, heart racing.  Went home from work.  No medical treatment sought.
Age: 47.0
Sex: F
Vaccine: HEPA, PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Received vaccinations 8/1/08 at approx. 11:30AM (left arm).  By evening it was hurting, by morning it was red at injection site & swollen from shoulder to elbow.  Spoke to Dr. who prescribed cephalexin x10 days.  Today swelling & redness decreased.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: Donor 5-10 minutes after injection , c/o nausea & queasiness in stomach.  Approx. 1/2 hrs later c/o continued nausea with small am't of vomiting.  Another 1/2 hr donor stated he felt better & no further complaints was able to eat & drink.  This is his 2nd injection.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Flushing, Nausea, Vomiting
Clinical narrative: C/O nausea/vomiting, facial flushing for 2 1/2 hours.  Began 30-35 minutes after shot given.  BP/P 125/79 71 T 96.4 at 1215pm.  Ice pack applied, pt. sitting down x30 min.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Eyelid oedema, Throat tightness
Clinical narrative: Feeling of throat swelling, eyelid swelling.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Pt received vaccine in L SQ arm.  The following day-pt arm swelled up turned red and pt had fever of 101.0.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Injection site rash, Skin warm
Clinical narrative: Rash at injection site.  Sl. warm - no 2nd infection noted.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Blister, Pruritus
Clinical narrative: Received VARIVAX #2 7/3/08.  Onset vesicle type blisters 7/27/08.  Itchy, afebrile.  Rx BENADRYL oral prn, calamine topical prn.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling & tenderness to palpation L injection site & swelling at the R injection site x1 day.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mom called approx. 0830 and stated "my got shots saturday with you all and now his arm is red and swollen."  Upon further questioning, found out from mom LUE is only swollen where shot was given with a small lump.  No fever, LOC, decrease in appetite noted.  Child able to move all extremities without difficulty.  Mom encouraged to apply cool compress to area and massage area gently.  If concern continues, follow up with primary care physician or pediatrician.
Age: 19.0
Sex: F
Vaccine: MNQ, HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient became pregnant near receiving first done
Age: 19.0
Sex: F
Vaccine: MNQ, HPV4
Symptoms: Abdominal pain, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Patient became pregnant near receiving first done
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: I have had body aches, headaches, tiredness, nausea (don't feel like eating), ater eating I get stomache cramps and diarrhea, chills and a bump at injection site (approximately 1/4" in diameter). The injection site still has a bump under the skin the size of a pencil eraser. I called and told a nurse, but she said "if I feel I need to come into office to come in, but this sound like a normal reaction".
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site mass, Nausea, Pain
Clinical narrative: I have had body aches, headaches, tiredness, nausea (don't feel like eating), ater eating I get stomache cramps and diarrhea, chills and a bump at injection site (approximately 1/4" in diameter). The injection site still has a bump under the skin the size of a pencil eraser. I called and told a nurse, but she said "if I feel I need to come into office to come in, but this sound like a normal reaction".
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Ear congestion, Syncope
Clinical narrative: Patient received Tdap, VVX, MCV4 and HPV vaccines.  Fainted soon after vaccines were given.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, MMR, TD
Symptoms: Electrocardiogram, Head injury, Loss of consciousness, Sinus arrhythmia, Syncope
Clinical narrative: Approximately ten minutes post injection patient experienced a vasovagel syncope episode. Hit head on floor. Lost consciousness for approximately 3 seconds.  BP and heart rate monitored by nursing staff. Ambulance was called.  Patient evaluated by EMS and released to mother.  Will follow up with MD
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, MMR, TD
Symptoms: Syncope vasovagal
Clinical narrative: Approximately ten minutes post injection patient experienced a vasovagel syncope episode. Hit head on floor. Lost consciousness for approximately 3 seconds.  BP and heart rate monitored by nursing staff. Ambulance was called.  Patient evaluated by EMS and released to mother.  Will follow up with MD
Age: 62.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: Patient called our clinic on 8.7.08 reporting she had some pain and swelling and "red rash"in her left arm in which a TDAP and Twinrix (Hepatitis A and Hepatitis B) shots were administered on 8.1.08. Client came into our clinic on that day and I observed a red rash on patient's left shoulder. Patient denies having fever.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema
Clinical narrative: Redness has spread around upper left arm.
Sex: U
Vaccine: RVX
Symptoms: Urticaria
Clinical narrative: Patient was given the vaccine on Friday 8/8/08 and I noticed hives all over his body on Sunday 8/10/2008.  He was given Benadryl and Predisone.  Today is Monday 8/11 and I still notice some hives on him.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Hypoaesthesia, Panic attack, Paralysis
Clinical narrative: SYMPTOMS STARTED WITH A STOMACH ACHE AND PROGRESSED TO HER LEGS AND ARMS FEELING NUMB AND PARALYZED.  SHE PROCEED TO DEVELOP A PANIC ATTACK.  FATHER PUT PATIENT IN THE CAR AND WAS EN ROUTE TO THE URGENT CARE WHEN PULLED OVER BY THE POLICE.  WHILE DRIVING HER PANIC ESCALLATED.  THE PARAMEDICS WERE CALLED, SHE WAS ATTENDED TO BY THEM AND SUBSEQUENTLY ADVISE TO RETURN HOME AS SHE HAD CALMED DOWN AND SYMPTOMS HAD SUBSIDED.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Feeling abnormal, Pruritus
Clinical narrative: Patient returned to clinic concerned about a possible Vaccine reaction beginning 24-30 hours after Hep B vaccine administered.  Multiple 2-8mm erythematous itching papules on forearms only.  No swelling or dyspnea.  Temp 97.7.  Felt "out of it" over the weekend.  Was skateboarding in a c8ity park.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Headache, Loss of consciousness, Pyrexia, Syncope
Clinical narrative: My daughter was scheduled for her 12yr-old well visit with Dr. on 8/8/08 at 10:15 am. She was examined and was in perfect health at the time of her scheduled appointment. The Gardasil vaccination was given to her by the nurse.  As we were at the front scheduling the next series of shots, within minutes my daughter said she had a really bad headache and then she started to vomit and she blacked out and fainted.  She was returned to the examining room where she was propped up on the table and her blood pressure was taken by the nurse.  Soon after she started to come around and was given flat coke to drink by the nurse.  Since the visit my daughter has experienced headaches and running fevers of 102F to 103F from 8/9/08 thru 8/11/08.  8/15/08 Reviewed PCP medical records of 8/3-8/11/08. FINAL DX: none provided Records reveal patient in good health on 8/3/08 day of vaccination.  No records included of reaction.  Next note is t/c to parent to check status of recovery on 8/11/08 when continued to have facial flushing & HA.  Was afebrile at that time.  Had seen another MD over the w/e due to fever with negative findings.  Reaction noted to have been lightheadedness & pale.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: My daughter was scheduled for her 12yr-old well visit with Dr. on 8/8/08 at 10:15 am. She was examined and was in perfect health at the time of her scheduled appointment. The Gardasil vaccination was given to her by the nurse.  As we were at the front scheduling the next series of shots, within minutes my daughter said she had a really bad headache and then she started to vomit and she blacked out and fainted.  She was returned to the examining room where she was propped up on the table and her blood pressure was taken by the nurse.  Soon after she started to come around and was given flat coke to drink by the nurse.  Since the visit my daughter has experienced headaches and running fevers of 102F to 103F from 8/9/08 thru 8/11/08.  8/15/08 Reviewed PCP medical records of 8/3-8/11/08. FINAL DX: none provided Records reveal patient in good health on 8/3/08 day of vaccination.  No records included of reaction.  Next note is t/c to parent to check status of recovery on 8/11/08 when continued to have facial flushing & HA.  Was afebrile at that time.  Had seen another MD over the w/e due to fever with negative findings.  Reaction noted to have been lightheadedness & pale.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Arthralgia, Blood test, Colonoscopy, Computerised tomogram
Clinical narrative: She received the shot on  Jan. 25,2008. Immediately after she started having an upset stomach. She then developed flu- like symptoms on April 18,2008. She was then hospitalized with pancreatitis on April 27, 2008 and was in the hospital with that till May 1, 2008 she had residual pain for 5-6 days and returned to school. Then on May 19, 2008 she started having abdominal. She has seen a pediatric gastroenteralogist every since with no explanation of her pain. She has had several blood test, CT scans, endoscopy, colonoscopy, and stool test. She has had little to no effect from the antispasm medication. She has been hospitalized on and off since several trips to the ED for pain management. She has also now for the last week had unexplained joint pain in her shoulders. I have given her Tylenol and Motrin for pain with little effect.10/20/08-records received for DOS 4/21-4/24/08-DC DX: Acute viral pancreatitis.Presented with C/O abdominal pain localized around epigastric and right upper quadrant began several days prior. GI type flu one week ago and suspected pancreatitis was probably due to enteroviral Coxsackie infection. Follow-up: Within a couple of days of receiving the shot she had minor abdominal pain. This continued for 5-6 weeks. She then experienced flu like symptoms. One week after the end of the flu like symptoms she was hospitalized (March 20, 2008) with pancreatitis. She has continued to have severe abdominal pain everyday since. She has had multiple Ct scans, Endoscopy, colonoscopy, fecal tests, blood work, and more hospitalizations with no diagnosis. She has had a birthmark removed from her leg, but other hospitalization, illnesses, or major injuries.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Coxsackie viral infection, Culture stool, Endoscopy, Immediate post-injection reaction, Musculoskeletal pain
Clinical narrative: She received the shot on  Jan. 25,2008. Immediately after she started having an upset stomach. She then developed flu- like symptoms on April 18,2008. She was then hospitalized with pancreatitis on April 27, 2008 and was in the hospital with that till May 1, 2008 she had residual pain for 5-6 days and returned to school. Then on May 19, 2008 she started having abdominal. She has seen a pediatric gastroenteralogist every since with no explanation of her pain. She has had several blood test, CT scans, endoscopy, colonoscopy, and stool test. She has had little to no effect from the antispasm medication. She has been hospitalized on and off since several trips to the ED for pain management. She has also now for the last week had unexplained joint pain in her shoulders. I have given her Tylenol and Motrin for pain with little effect.10/20/08-records received for DOS 4/21-4/24/08-DC DX: Acute viral pancreatitis.Presented with C/O abdominal pain localized around epigastric and right upper quadrant began several days prior. GI type flu one week ago and suspected pancreatitis was probably due to enteroviral Coxsackie infection. Follow-up: Within a couple of days of receiving the shot she had minor abdominal pain. This continued for 5-6 weeks. She then experienced flu like symptoms. One week after the end of the flu like symptoms she was hospitalized (March 20, 2008) with pancreatitis. She has continued to have severe abdominal pain everyday since. She has had multiple Ct scans, Endoscopy, colonoscopy, fecal tests, blood work, and more hospitalizations with no diagnosis. She has had a birthmark removed from her leg, but other hospitalization, illnesses, or major injuries.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis, Stomach discomfort, Stool analysis
Clinical narrative: She received the shot on  Jan. 25,2008. Immediately after she started having an upset stomach. She then developed flu- like symptoms on April 18,2008. She was then hospitalized with pancreatitis on April 27, 2008 and was in the hospital with that till May 1, 2008 she had residual pain for 5-6 days and returned to school. Then on May 19, 2008 she started having abdominal. She has seen a pediatric gastroenteralogist every since with no explanation of her pain. She has had several blood test, CT scans, endoscopy, colonoscopy, and stool test. She has had little to no effect from the antispasm medication. She has been hospitalized on and off since several trips to the ED for pain management. She has also now for the last week had unexplained joint pain in her shoulders. I have given her Tylenol and Motrin for pain with little effect.10/20/08-records received for DOS 4/21-4/24/08-DC DX: Acute viral pancreatitis.Presented with C/O abdominal pain localized around epigastric and right upper quadrant began several days prior. GI type flu one week ago and suspected pancreatitis was probably due to enteroviral Coxsackie infection. Follow-up: Within a couple of days of receiving the shot she had minor abdominal pain. This continued for 5-6 weeks. She then experienced flu like symptoms. One week after the end of the flu like symptoms she was hospitalized (March 20, 2008) with pancreatitis. She has continued to have severe abdominal pain everyday since. She has had multiple Ct scans, Endoscopy, colonoscopy, fecal tests, blood work, and more hospitalizations with no diagnosis. She has had a birthmark removed from her leg, but other hospitalization, illnesses, or major injuries.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Irritability, Rash, Urticaria
Clinical narrative: Mother noticed hive like rash on patient's neck 7am 8-6-08, the morning after vaccinations. Rash became progressively worse involving face, wrist, ankles & back over the course of 2 days.Patient was fussier than usual. Benadryl used with little affect, changed to Xyzal & added Zantac. Seen in office on 8-6-08 & 8-8-08. Phone check with mother 8-11-08 rash is resolving.
Age: 31.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Pt received Daptacel instead of Adacel.  Next day had fever to 103 degrees, swollen hands, achy joints.  Site of injection became red, swollen, hot.  As of 8/11/08 most symptoms resolving except local reaction.
Age: 31.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Wrong drug administered
Clinical narrative: Pt received Daptacel instead of Adacel.  Next day had fever to 103 degrees, swollen hands, achy joints.  Site of injection became red, swollen, hot.  As of 8/11/08 most symptoms resolving except local reaction.
Age: 13.0
Sex: M
Vaccine: DTAP
Symptoms: Lethargy, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: Mother called 4-15-2008 @ 1:35pm stating son did not feel well. Unable to get up this AM for school due to lethargy.  States running temp. of 99.5 at 12:30 pm on 4-15-08,  100.5 at 1:40 pm.  Mother states son c/o nausea and vomiting.  Tylenol being given for Temp.  Injection site has no redness or swelling.  No complaints concerning arm where vaccination was given.  Physician notified, Given Phenergan gel for nausea and vomiting, instructed to sip water, 7-up,or pedialyte 1 tsp every 5 min.  Tylenol for Temp. Peaches in heavy syrup, 1tbls syrup for nausea.  Report to VAERS
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity
Clinical narrative: PAIN IN HANDS TO ELBOW AND LEFT THIGH,"STABBING" FEELING LASTING SECONDS. NO TREATMENT NEEDED. RESOLVES BY IT SELF AFTER SECONDS. NO PARALYSIS. NO NUMBNESS. FAMILY REPORTED PROBLEMS AFTER HPV VACCINE
Age: 56.0
Sex: M
Vaccine: YF
Symptoms: CSF bacteria no organisms observed, CSF cell count normal, CSF glucose normal, CSF protein increased, Chills
Clinical narrative: 57 yo male received his first yellow fever vaccine on 9/12/07 in preparation for a trip.  He left on 9/27/07, traveled to many rural areas.  On 10/10/07 began to feel feverish.  Fever continued and he returned home on 10/13/07.  At home he complained of fevers, chills, night sweats and headaches.  Saw MD on 10/20, treated with abx but symptoms worsened.  Treated for malaria (smear done but lost).  Continued to have fatigue, fever, mand headache.  Admitted to local hospital 11/23/07 for four days.  Battery of testing was negative, except serum showing signs of previous dengue infection and CSF sent for yellow fever.  Last spoke with patient in February, still with occasional night sweats and persistent fatigue.    8/15/2008 MR received for DOS 11/22-24/2007 with D/C DX: Febrile Illness, unclear etiology.  2' DX:  Dyslipidemia, Peripheral vascular disease.  Protein C deficiency and factor V Leiden mutation. Hx lower extremity deep vein thrombosis 2' to knee surgery.    Pt presented with recurrent fever and malaise x 5 weeks since returning from foreign country. ! week after returning from trip pt abruptly developed a wound in the groin area which was firm, red and tender. Resolved on abx.  Pt continued to have fatigue myalgias, flushing of face, hands and feet, headaches and night sweats. W/u essentially (-) so d/c home for supportive care.
Age: 56.0
Sex: M
Vaccine: YF
Symptoms: Fatigue, Headache, Night sweats, Pyrexia, Syphilis test negative
Clinical narrative: 57 yo male received his first yellow fever vaccine on 9/12/07 in preparation for a trip.  He left on 9/27/07, traveled to many rural areas.  On 10/10/07 began to feel feverish.  Fever continued and he returned home on 10/13/07.  At home he complained of fevers, chills, night sweats and headaches.  Saw MD on 10/20, treated with abx but symptoms worsened.  Treated for malaria (smear done but lost).  Continued to have fatigue, fever, mand headache.  Admitted to local hospital 11/23/07 for four days.  Battery of testing was negative, except serum showing signs of previous dengue infection and CSF sent for yellow fever.  Last spoke with patient in February, still with occasional night sweats and persistent fatigue.    8/15/2008 MR received for DOS 11/22-24/2007 with D/C DX: Febrile Illness, unclear etiology.  2' DX:  Dyslipidemia, Peripheral vascular disease.  Protein C deficiency and factor V Leiden mutation. Hx lower extremity deep vein thrombosis 2' to knee surgery.    Pt presented with recurrent fever and malaise x 5 weeks since returning from foreign country. ! week after returning from trip pt abruptly developed a wound in the groin area which was firm, red and tender. Resolved on abx.  Pt continued to have fatigue myalgias, flushing of face, hands and feet, headaches and night sweats. W/u essentially (-) so d/c home for supportive care.
Age: 56.0
Sex: M
Vaccine: YF
Symptoms: Virus serology test negative
Clinical narrative: 57 yo male received his first yellow fever vaccine on 9/12/07 in preparation for a trip.  He left on 9/27/07, traveled to many rural areas.  On 10/10/07 began to feel feverish.  Fever continued and he returned home on 10/13/07.  At home he complained of fevers, chills, night sweats and headaches.  Saw MD on 10/20, treated with abx but symptoms worsened.  Treated for malaria (smear done but lost).  Continued to have fatigue, fever, mand headache.  Admitted to local hospital 11/23/07 for four days.  Battery of testing was negative, except serum showing signs of previous dengue infection and CSF sent for yellow fever.  Last spoke with patient in February, still with occasional night sweats and persistent fatigue.    8/15/2008 MR received for DOS 11/22-24/2007 with D/C DX: Febrile Illness, unclear etiology.  2' DX:  Dyslipidemia, Peripheral vascular disease.  Protein C deficiency and factor V Leiden mutation. Hx lower extremity deep vein thrombosis 2' to knee surgery.    Pt presented with recurrent fever and malaise x 5 weeks since returning from foreign country. ! week after returning from trip pt abruptly developed a wound in the groin area which was firm, red and tender. Resolved on abx.  Pt continued to have fatigue myalgias, flushing of face, hands and feet, headaches and night sweats. W/u essentially (-) so d/c home for supportive care.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Foc states recieved vaccine on wednesday, L upper thigh has redness, swelling warm to touch, per foc site has gotten bigger overnight KL-per Foc, erythema spreading over past 24 hours.   Pt reports sight tender to touch.  augmentin 600mg/5ml 1  tsp   po bid x 10 days.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: redness, swelling, heat to upper arm from shoulder to elbow. Pt came in approx 2-3 days after injection, instructed to take anti-inflammatory med and use cool compress.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Fatigue, Full blood count normal, Nuclear magnetic resonance imaging normal, Paraesthesia
Clinical narrative: intermittent burning/tingling in arms, fingers, upper chest, legs, and feet; burning pain and fatigue worsened as day progressed; symptoms the worst about 1-2 weeks following vaccine; these symptoms have lessened, but still occasionally get burning/tingling in extremities.  9/12/08 Reviewed PCP office vaccination records of 6/10/2008. FINAL DX: irritabile bowel syndrome Records reveal patient exprienced bloating, decreased appetite, loose stools, discomfort of chest & arms intermittently
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound abdomen normal
Clinical narrative: intermittent burning/tingling in arms, fingers, upper chest, legs, and feet; burning pain and fatigue worsened as day progressed; symptoms the worst about 1-2 weeks following vaccine; these symptoms have lessened, but still occasionally get burning/tingling in extremities.  9/12/08 Reviewed PCP office vaccination records of 6/10/2008. FINAL DX: irritabile bowel syndrome Records reveal patient exprienced bloating, decreased appetite, loose stools, discomfort of chest & arms intermittently
Age: 1.92
Sex: F
Vaccine: DTAP
Symptoms: Injection site bruising, Injection site erythema, Irritability, Pyrexia
Clinical narrative: within the day of vaccination and subsequent days vaccination site reddened into a half dollar size red bruise. Then by day 3 it had hardened into a hard raised marble size welt. That same day ring worm looking circles developed below the site towards the front of her arm near her armpit and on her shoulder and behind the injection site. Disposition has been crabby and feverish.
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: First couple of days I had a fever of 102 F, all of my muscles aches, swollen limph noides, hot and cold all around felt crappy it seemed to get worse each day.  On the 3rd day I became shakey, and cold to the point that I was not in controll, then I had sharp pains in my chest and could not breath.  I was rushed to the emergency room thinking I may have been having a heart attack.  After may proceedures at the hopsital and about 7 hours they determined that my symptoms must have been related to my hep A/B vaccination
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Electrocardiogram, Feeling of body temperature change, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: First couple of days I had a fever of 102 F, all of my muscles aches, swollen limph noides, hot and cold all around felt crappy it seemed to get worse each day.  On the 3rd day I became shakey, and cold to the point that I was not in controll, then I had sharp pains in my chest and could not breath.  I was rushed to the emergency room thinking I may have been having a heart attack.  After may proceedures at the hopsital and about 7 hours they determined that my symptoms must have been related to my hep A/B vaccination
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Tremor
Clinical narrative: First couple of days I had a fever of 102 F, all of my muscles aches, swollen limph noides, hot and cold all around felt crappy it seemed to get worse each day.  On the 3rd day I became shakey, and cold to the point that I was not in controll, then I had sharp pains in my chest and could not breath.  I was rushed to the emergency room thinking I may have been having a heart attack.  After may proceedures at the hopsital and about 7 hours they determined that my symptoms must have been related to my hep A/B vaccination
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: Became dizzy,BP100/50--laid down, BP 112/60.  Dizziness lasted about 15 minutes before sustained BP upon standing.