chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Muscle tightness, Oedema peripheral, Skin warm
Clinical narrative: Information has been received from a medical assistant concerning a 55 year old female with a history of chronic obstructive pulmonary disease and no known drug allergies who on 05-MAY-2009 was vaccinated intramuscularly in the right arm with her first 0.5 ml dose of PNEUMOVAX 23(lot# 66266/1435X). Concomitant therapy included Meclizine and PRINIVIL. On 06-MAY-2009 the patient developed a swollen, "tight feeling" and red right arm after administration of vaccine. At time of reporting the patient was not recovered. Follow up information was received from a medical assistant concerning the 55 year old female patient who was vaccinated intramuscularly in the right deltoid with the first dose of PNEUMOVAX 23 (lot# 662667/1435X) on 05-MAY-2009 (at 9:07 am). According to the patient, she developed swelling, warmth and erythema on 05-MAY-2009. The reporter considered the adverse experiences to be disabling. Additional information has been requested.
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Arthralgia, Febrile convulsion, Myoclonus, Pyrexia
Clinical narrative: Fever 104.7, Myoclonic movements, joint pain,- given ibuprofen, TYLENOL, IV ROCEPHIN: adverse reaction began within 1 hour of vaccine administration and continued to worsen until the next day at which time he was taken to E.R. and transported via ambulance to hospital. ?apnea. Febrile SZ x >5min.  6/11/09 MR received for DOS 5/30/09-6/1/09 with dx: Suspected Seizure Disorder (Atypical Complex Seizure).  Pyrexia.  Pt presented after episode unresponsiveness, frothing at the mouth and eyes rolled back, preceded by fever of 102'F and fussiness on the day of 1 yr shots.  Speaking incoherently after.  Parent reports recent episode of brief jerking/shaking, and eyes rolling back without LOC x 1 month. W/U (-).  D/C for outpt EEG. ICD9: 780.32   8/3/09 Hospital records received DOS 5/29/09 to 6/1/09. Assessment: febrile seizure, suspected sepsis. Patient presents with fever and 'chilling' for 36 hours. Will not bear weight on legs and is fussy. Looked glazed over. Unresponsive for 5 minutes. Vomited and cried.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Neuropathy peripheral, Pallor, Peripheral coldness, Poor peripheral circulation
Clinical narrative: GARDASIL vaccine -  neuritis (LUE) - thoracic outlet syndrome - no strength (L) arm/(R) arm (decrease strength)- decrease vasc (L) arm (with elevation - color pale/cool) (L) - left more than right. Hasn't changed or lessened for 2 years.  6/25/09 PCP records received DOS 5/4/09 to 6/15/09. Assessment: Arm numbness and pain post HPV vaccine. Patient states "feels like the blood is not in her arms." Pulses in arms disappear when in a military position. Intermittant RLQ pain, L flank pain, back pain, R rhomboid muscle region discomfort, keloid R ankle, Venous insufficiency with varicose veins L lower extremity. Retroverted uterus, thickening of endometrium, ovarian cysts. Congenital L renal hypoplasia, compensatory hypertrophy R kidney.  Gardasil #1 (Lot# 1486U) LA - 4/16/08. Gardasil #2 (Lot# 1486U) RA - 6/16/08.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Thoracic outlet syndrome
Clinical narrative: GARDASIL vaccine -  neuritis (LUE) - thoracic outlet syndrome - no strength (L) arm/(R) arm (decrease strength)- decrease vasc (L) arm (with elevation - color pale/cool) (L) - left more than right. Hasn't changed or lessened for 2 years.  6/25/09 PCP records received DOS 5/4/09 to 6/15/09. Assessment: Arm numbness and pain post HPV vaccine. Patient states "feels like the blood is not in her arms." Pulses in arms disappear when in a military position. Intermittant RLQ pain, L flank pain, back pain, R rhomboid muscle region discomfort, keloid R ankle, Venous insufficiency with varicose veins L lower extremity. Retroverted uterus, thickening of endometrium, ovarian cysts. Congenital L renal hypoplasia, compensatory hypertrophy R kidney.  Gardasil #1 (Lot# 1486U) LA - 4/16/08. Gardasil #2 (Lot# 1486U) RA - 6/16/08.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Cyanosis, Flank pain, Muscular weakness, Peripheral coldness
Clinical narrative: GARDASIL vaccine -  neuritis (LUE) - thoracic outlet syndrome - no strength (L) arm/(R) arm (decrease strength)- decrease vasc (L) arm (with elevation - color pale/cool) (L) - left more than right. Hasn't changed or lessened for 2 years.  6/25/09 PCP records received DOS 5/4/09 to 6/15/09. Assessment: Arm numbness and pain post HPV vaccine. Patient states "feels like the blood is not in her arms." Pulses in arms disappear when in a military position. Intermittant RLQ pain, L flank pain, back pain, R rhomboid muscle region discomfort, keloid R ankle, Venous insufficiency with varicose veins L lower extremity. Retroverted uterus, thickening of endometrium, ovarian cysts. Congenital L renal hypoplasia, compensatory hypertrophy R kidney.  Gardasil #1 (Lot# 1486U) LA - 4/16/08. Gardasil #2 (Lot# 1486U) RA - 6/16/08.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pulse absent, Renal atrophy, Renal hypertrophy, Thoracic outlet syndrome, Ultrasound kidney abnormal
Clinical narrative: GARDASIL vaccine -  neuritis (LUE) - thoracic outlet syndrome - no strength (L) arm/(R) arm (decrease strength)- decrease vasc (L) arm (with elevation - color pale/cool) (L) - left more than right. Hasn't changed or lessened for 2 years.  6/25/09 PCP records received DOS 5/4/09 to 6/15/09. Assessment: Arm numbness and pain post HPV vaccine. Patient states "feels like the blood is not in her arms." Pulses in arms disappear when in a military position. Intermittant RLQ pain, L flank pain, back pain, R rhomboid muscle region discomfort, keloid R ankle, Venous insufficiency with varicose veins L lower extremity. Retroverted uterus, thickening of endometrium, ovarian cysts. Congenital L renal hypoplasia, compensatory hypertrophy R kidney.  Gardasil #1 (Lot# 1486U) LA - 4/16/08. Gardasil #2 (Lot# 1486U) RA - 6/16/08.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vascular insufficiency
Clinical narrative: GARDASIL vaccine -  neuritis (LUE) - thoracic outlet syndrome - no strength (L) arm/(R) arm (decrease strength)- decrease vasc (L) arm (with elevation - color pale/cool) (L) - left more than right. Hasn't changed or lessened for 2 years.  6/25/09 PCP records received DOS 5/4/09 to 6/15/09. Assessment: Arm numbness and pain post HPV vaccine. Patient states "feels like the blood is not in her arms." Pulses in arms disappear when in a military position. Intermittant RLQ pain, L flank pain, back pain, R rhomboid muscle region discomfort, keloid R ankle, Venous insufficiency with varicose veins L lower extremity. Retroverted uterus, thickening of endometrium, ovarian cysts. Congenital L renal hypoplasia, compensatory hypertrophy R kidney.  Gardasil #1 (Lot# 1486U) LA - 4/16/08. Gardasil #2 (Lot# 1486U) RA - 6/16/08.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Arthralgia
Clinical narrative: Joint pain in arms & shoulders.  Evaluated by Geneticist & Rheumatologist.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Dtap given in LDMIM. 30 minutes after shot client upper arm had some swelling, heat to touch and reddened raised area L- 3inch W 3inch. Light rash down to elbow. Ice pack applied and BENADRYL taken.
Age: 7.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Redness and induration at site injection (L) Deltoid 6x7 cm. Area pruritic.
Age: 36.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site pain, Joint range of motion decreased, Muscular weakness, Musculoskeletal pain, Oropharyngeal pain
Clinical narrative: Patient reports pain at site, fever, sore throat for 2 days post injection following sores at site, left shoulder pain and decreased strength and range of motion of left arm. Patient has been self treating, alternating TYLENOL or Ibuprofen every 4 hours. Assessed by PAC and referred to a neurologist for evaluation. Have been unable to reach patient per phone to check on status.
Age: 36.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pyrexia
Clinical narrative: Patient reports pain at site, fever, sore throat for 2 days post injection following sores at site, left shoulder pain and decreased strength and range of motion of left arm. Patient has been self treating, alternating TYLENOL or Ibuprofen every 4 hours. Assessed by PAC and referred to a neurologist for evaluation. Have been unable to reach patient per phone to check on status.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Agitation, Chills, Heart rate increased, Respiratory rate increased, Urticaria
Clinical narrative: Total body urticaria, agitation about 1 hr following MMR/VARIVAX increase RR increase HR also, chills. BENADRYL, EPI, ORAPRED administered - hives resolved out to ER via transport for observation.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: Induration and warmth to left thigh area. About 10x10 cm area.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site mass, Injection site warmth
Clinical narrative: (R) Leg reaction to KINRIX DTAP-POLIO- Friday 4-17-09 child had small knot. Saturday 4-18-09 child had knot 6 inches in diameter, hot to touch.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Patient received PENTACEL vaccine on 6/1/09. Leg became red and large amount of swelling on thigh. Very fussy, cried for over an hour.
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Pt states 6/3/09 she noticed onset of itching, redness, and that area was (hard). Pt states 12-15 hours after injection Sx began to appear. She denies previous adverse reactions to any other vaccination.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Limb discomfort
Clinical narrative: Sore arm and low grade temperature.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Body temperature increased, Lethargy
Clinical narrative: 103 degree temperature and lethargic.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. was given PENTACIL at 9:00 am on 6/1/09.  He went to daycare and when mom picked him up in afternoon noticed area around shot on anterior thigh was red & slightly swollen.  Instructed to give TYLENOL & cool wet compress
Age: 27.0
Sex: U
Vaccine: ANTH
Symptoms: Chest pain, Electrocardiogram normal, Laboratory test normal, Oedema peripheral, Pain in extremity
Clinical narrative: Pain with arm swollen below injection site 10 by 15 cm. Also complained of chest pain: NL EKG; NL enzymes.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: ER Report states:  Left upper extremity is difusely reddened, starting around glenohumeral area extending towards elbow.  Covers area of superior & lower immunization site.  Emergency doctor treated Pt. with antibiotics for cellulitis.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large red rash at injection site.  Rash is 2-3" long and 2" wide.  Patient sought medical attention but only a hot compress was recommended.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: Persistent inconsolable crying. DTaP/IPV/HIB/PREVNAR and ROTATEQ given at 9:45 am 6/1/09. Crying began 9:00 pm, stopped 9:00am 6/2/09.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Eye swelling, Urticaria
Clinical narrative: Hives, eye swelling approximately 15 minutes after vaccines. BENADRYL PO given upon return to clinic.
Age: 0.3
Sex: U
Vaccine: DTAP, RV5
Symptoms: Culture stool negative, Diarrhoea, Parasite blood test, Parasite stool test negative, Rotavirus test negative
Clinical narrative: Persistent diarrhea 12-15 x 1 day. Lasting > 2 weeks. All stool studies normal.
Age: 0.3
Sex: U
Vaccine: DTAP, RV5
Symptoms: White blood cells stool negative
Clinical narrative: Persistent diarrhea 12-15 x 1 day. Lasting > 2 weeks. All stool studies normal.
Age: 0.3
Sex: U
Vaccine: DTAP, RV5
Symptoms: Culture stool negative, Diarrhoea, Parasite blood test, Rotavirus test negative
Clinical narrative: Persistent diarrhea 12-15 x 1 day lasting > 2 weeks All stool studies normal.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Per patient legs broke out in hives evening of injection 6/1/09.  Woke up next AM & hives on arms & legs.  Patient took 25 mg BENADRYL 8 AM on 06/02/09.  Instructed to take 50 mg @ 12:30.  On 6/3/09 mother was called & stated pt better went back to work
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Asthenia, Fatigue, Heart rate increased, Hypoaesthesia
Clinical narrative: Weakness, fatigue, rapid HR, abd pain, numb legs- sx's intermittent since then and continue.  7/2/09 Medical records received DOS 11/11/08 to 6/12/09. Assessment: PCOS (Polycystic Ovary Syndrome). Acute and chronic cervicitis, squamous metaplasia, inflammatory atypia with mild koilocytosis. UTI.  Patient presents with abdominal pain, leg numbness, and cramping. Pelvic pain. Weakness, fatigue, rapid heart rate, short of breath, body numb. UTI. Feeling sick.  8/12/09 Received PCP medical records, no vax records. FINAL DX: conversion disorder Records reveal patient sexually active as well as having been sexually assaulted.  Undergoing psych counseling & on depoprovera. Bouts of URI & tonsillitis as well as ongoing abdominal pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Child's mother states that pt was a little feverish the morning following her vaccines and that she had some redness at the DTAP vaccine site. Yesterday (06-03-09), mother reports redness/swelling of an area about 3-31/2" across. Mother to call if symptoms worsen. 06-04-09 mother called back this A.M. and states that the area of redness is now about 5" in diameter. States that there is no additional swelling or firmness (induration). Advised her to take child to her pediatrician. She states that she has an appt tomorrow.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Emotional distress
Clinical narrative: High pitch cry for 4 hrs - hard to console
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left upper thigh, redness, some pain and getting bigger. Can walk normally. Started later the night of shots. Treatment, warm compress for swelling and KEFLEX 250ml 1 tsp 3 x day.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Mom noticed hives on torso, no fever and injection site look ok per patient mom.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Pt given vaccines and approximately 4 minutes later skin turned lace like pink and blotchy resembling hives. Dr. notified eval pt and given 10 mg Benadryl PO. The rash went away in about 5-10 minutes, Pt released.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Gave school IZ's 5/26/09, when child came back fur PPD reading father states child's leg had some redness we examined it and measured it.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: 7 x 10 cm Erythema
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Pt fainted 5 min after 3rd GARDASIL injection - Had received injection then walked on to waiting area to get father. Fainted after return to exam soon.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, Rash
Clinical narrative: Temp 101-102 rash on 6-3-09 seen in office.
Age: 1.19
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Red, raised rash. Started on 5/30/09 after a fever.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Cellulitis, Urticaria
Clinical narrative: 2X5 cm whelps, cellulitis treated with BACTRIM.
Age: 1.2
Sex: M
Vaccine: IPV, MMR
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Rash head to toe entire body on 5/27/09. Started with fever 104 @ 2-3 days prior then rash. Received MMR immunization of 5/14/09.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm red, swollen, and warm to touch. Measures about 7 inches in length. Mom took child see APN. APN is treating area with butt paste, BENADRYL, TYLENOL, and MOTRIN. Mom said arm looks better today than yesterday. APN said no more tetanus.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Crepitations, Pyrexia, Rales, Wheezing
Clinical narrative: Pt got fever, T: 99 - 101 degree F from the evening to next day, then started having cough - o/e: Chest: some wheezes and crackles (rales) on base of lung (+) they treated with AZITHROMYCIN and and cough expectorant - acetaminophen
Age: 1.4
Sex: M
Vaccine: DTAP, PNC
Symptoms: Body temperature increased, Injection site swelling, Local reaction
Clinical narrative: "(+) Local reaction to INFANRIX vaccine in (L) thigh" (MD) Parent "(L) Leg swollen. Onset was Tues. after vaccines." Rectal temp 101.5, Tylenol given by parents (5/27/09) (MD) no obvious swelling on 5-28-09 by direct observation.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varicella vaccine break through. Diagnosed in office on 6/2/09 with varicella. Had about 20 pox.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Expired drug administered
Clinical narrative: Pt was given HIB that was expired.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Radiculitis brachial
Clinical narrative: Swelling redness pain at injection site x 4-5 days - better slowly over 3 wks but left with residual brachial neuritis.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 72.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Inappropriate schedule of drug administration, Laboratory test
Clinical narrative: Pt received ENGERIX B vaccine IM in both R and L deltoids on 5/4/09. At approx 2:30 PM 5/6. Pt wake from ncp and noted her right arm was numb- no redness, swelling or pain was noted in the left arm. Pt was seen in local ER, instructs to take Tylenol and apply heat to site. Numbness was gone by 5/7 AM.
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Arm pain, redness, and swelling extending over entire upper left arm and shoulder. Began 1 day after injection. Prescribed KEFLEX x 7 days, Prednisone x 5 days.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Client inadvertently received ZOSTAVAX instead of Chickenpox varicella, CDC called no further f/u. Parent informed of local reaction to look for. Supervisor notified.
Age: 20.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Loss of consciousness, Tonic clonic movements
Clinical narrative: Passed out after received shot with brief tonic/clonic activity of upper extremities lasted 3-5 seconds. No loss of bladder control.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dry throat, Injection site pruritus, Nausea, Pruritus
Clinical narrative: Patient received #2 GARDASIL on 5-12-09 and called 5-15-2009 reporting c/o itching / have several hours after she had GARDASIL 5-12-09. Pt took Benadryl as suggested by pharmacist per Pt. (gel + tab Benadryl Pt received relief injection site itchy on 5-14-09. Also some nausea + throat got dry on 5-12-09 per pt.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA
Symptoms: Injection site induration
Clinical narrative: 10 cm erythematous indurated lesion on thigh, developed 24-48 after immunization (L thigh).
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Dreamy state, Feeling abnormal, Nausea, Pallor
Clinical narrative: Pt. stated stomach felt queasy; sat down; says her vision was fuzzy; became pale; fainted; assisted to a lying position et fanned; regained consciousness within 1-2 sec.; stated "felt like a dream"; sat up after 5 min. felt faint again; lost color again; laid back down; fanned; talked to staff and family; sat up again after 5min; ate snack good color; strong pulse; stood up - no problems; left.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Pt. stated stomach felt queasy; sat down; says her vision was fuzzy; became pale; fainted; assisted to a lying position et fanned; regained consciousness within 1-2 sec.; stated "felt like a dream"; sat up after 5 min. felt faint again; lost color again; laid back down; fanned; talked to staff and family; sat up again after 5min; ate snack good color; strong pulse; stood up - no problems; left.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia facial, Hypoaesthesia oral
Clinical narrative: Employee given 5th HEP B today within 10 min of injection being given in (R)D. Employee noted back teeth became numb on both sides upper & lower, as if given novocaine @ the dentist office. Numbness traveled to (R) cheek, sinus & eyelid. No visible drooping to (R) side.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Herpes zoster, Rash
Clinical narrative: The above named patient was seen in my office on February 7th, 2009 with a complaint, which I witnessed one bump on her shoulder area. Two days later on February 9th, 2009 patient was seen at facility and was diagnosed with having the Shingles. I am the Primary Care Physician and patient did receive vaccinations in my office. Documentation along with an adverse event reporting system form is included with this fax.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Culture negative, Injection site abscess sterile
Clinical narrative: Sterile abcess @ site of injection.  Negative Gram stain Negative Culture.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Blood test, Body temperature increased, Chest X-ray, Cough, Vomiting
Clinical narrative: Mom states high temp starting 1 hour after administration around 101.3 degrees F.  Mom gave motrin and temp came down to normal soon after dose.  The child was fine the rest of the day and the next morning the child woke up vomiting, had cough, and temp of 103 degrees F.  Mom took child to ER, where they drew blood did chest xray and found nothing else wrong with pt and discharged home with another dose of motrin.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Depressed level of consciousness, Dyspnoea, Hypoaesthesia, Mental status changes
Clinical narrative: 85 y/o F NKA, PMH: Dementia, Hypertension, CVA,OA/DJD, hyperlipidemia  Patient also has h/o stroke. Patient was admitted for fracture following mechanical fall.                                                       ?  One day prior to discharge patient is given a flu shot. Within 20 minutes, patient developed acute changes in mental status.  Patient was slow to respond. Patient also had some finger numbness but patient had this symptom prior to receiving shot. Patient was negative for h/a, weakness, change in movements, no focal neurological deficit was observed. Patient did present some dyspnea, Xray did not reveal any cardiopulmonary disease. RR and O2 sat WNL.  ? Patient had received flu shots in the past w/o difficulty. ? Patient was transferred to monitored bed. Other possible reasons for sudden AMS: questionable sun-downing , pain ????   ? Other medications administered prior to flu shot: Roxanol 03:30, 08:45.  Percocet:06:00, 12:00, Saline flush:06:00, 16:00 ? Flu shot administered at 16:25 IM to left deltoid. (MFR:Glaxo SMK Lot:881175P
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Oxygen saturation normal, X-ray normal
Clinical narrative: 85 y/o F NKA, PMH: Dementia, Hypertension, CVA,OA/DJD, hyperlipidemia  Patient also has h/o stroke. Patient was admitted for fracture following mechanical fall.                                                       ?  One day prior to discharge patient is given a flu shot. Within 20 minutes, patient developed acute changes in mental status.  Patient was slow to respond. Patient also had some finger numbness but patient had this symptom prior to receiving shot. Patient was negative for h/a, weakness, change in movements, no focal neurological deficit was observed. Patient did present some dyspnea, Xray did not reveal any cardiopulmonary disease. RR and O2 sat WNL.  ? Patient had received flu shots in the past w/o difficulty. ? Patient was transferred to monitored bed. Other possible reasons for sudden AMS: questionable sun-downing , pain ????   ? Other medications administered prior to flu shot: Roxanol 03:30, 08:45.  Percocet:06:00, 12:00, Saline flush:06:00, 16:00 ? Flu shot administered at 16:25 IM to left deltoid. (MFR:Glaxo SMK Lot:881175P
Age: 24.0
Sex: F
Vaccine: ANTH, HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Patient did not know she was pregnant at the time of vaccination and was vaccinated with Anthrax and HPV
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Borrelia burgdorferi serology negative, CSF glucose normal, CSF protein normal
Clinical narrative: Developed meningitic like illness while out of state. Ultimate diagnosis is Acute Disseminated Encephalomyelitis (ADEM). Had ataxic gait, stiff neck with deviation to one side and severe pain in her neck. 6/11/09 MR received for DOS 5/31/09-6/09/09 with final DX:  ADEM, suspected triggers-infection, pneumonia or immunizations..  Pt initially presented with c/o neck pain and stiffness, abdominal pain, irritability, myalgias, gait disturbance and pain in the arms, legs. Initially thought to be menigitis with photophobia. PE(+) for abdominal tenderness, lymphadenopathy, torticollis, (+) Kernig's and Brudzinski's signs and wide based gait. Tx: steroids. 09/29/09 D/C summary received for date of service 6/1/09 to 6/9/09. D/C DX: Acute demyelinating encephalomyelitis.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: CSF white blood cell count increased, Epstein-Barr virus antibody negative, Meningism, Musculoskeletal stiffness, Mycoplasma serology positive
Clinical narrative: Developed meningitic like illness while out of state. Ultimate diagnosis is Acute Disseminated Encephalomyelitis (ADEM). Had ataxic gait, stiff neck with deviation to one side and severe pain in her neck. 6/11/09 MR received for DOS 5/31/09-6/09/09 with final DX:  ADEM, suspected triggers-infection, pneumonia or immunizations..  Pt initially presented with c/o neck pain and stiffness, abdominal pain, irritability, myalgias, gait disturbance and pain in the arms, legs. Initially thought to be menigitis with photophobia. PE(+) for abdominal tenderness, lymphadenopathy, torticollis, (+) Kernig's and Brudzinski's signs and wide based gait. Tx: steroids. 09/29/09 D/C summary received for date of service 6/1/09 to 6/9/09. D/C DX: Acute demyelinating encephalomyelitis.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Neck pain, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Developed meningitic like illness while out of state. Ultimate diagnosis is Acute Disseminated Encephalomyelitis (ADEM). Had ataxic gait, stiff neck with deviation to one side and severe pain in her neck. 6/11/09 MR received for DOS 5/31/09-6/09/09 with final DX:  ADEM, suspected triggers-infection, pneumonia or immunizations..  Pt initially presented with c/o neck pain and stiffness, abdominal pain, irritability, myalgias, gait disturbance and pain in the arms, legs. Initially thought to be menigitis with photophobia. PE(+) for abdominal tenderness, lymphadenopathy, torticollis, (+) Kernig's and Brudzinski's signs and wide based gait. Tx: steroids. 09/29/09 D/C summary received for date of service 6/1/09 to 6/9/09. D/C DX: Acute demyelinating encephalomyelitis.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site discolouration, Injection site erythema, Injection site haemorrhage, Rash macular, Vasculitic rash
Clinical narrative: 3-5 minutes after receiving Pediarix on Left thigh.Entire leg became red/purple per mom- bled  small amt at site. stopped with bandaid -then blotchy/vasculitic rash down entire leg which did not blanch.Child alert,happy,smiling, moving leg. Rash present when patient left.  Will f/u by phone.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Febrile convulsion, Full blood count, Urine analysis
Clinical narrative: 3-5 minutes after receiving Pediarix on Left thigh.Entire leg became red/purple per mom- bled  small amt at site. stopped with bandaid -then blotchy/vasculitic rash down entire leg which did not blanch.Child alert,happy,smiling, moving leg. Rash present when patient left.  Will f/u by phone.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Condition aggravated, Fatigue, Headache, Malaise
Clinical narrative: Beginning with 2nd gardasil vaccination, been having myriad of symptoms.  Initial symptoms included headaches that started after the first vaccination and worsened after 2nd vaccination.  Treated by family physician/P.A. for migraines on several occasions.  After 3rd and final vaccination, symptoms included worsening headache, severe joint pain, muscle aches, intermittent low grade fever, malaise, severe fatigue, muscle weakness, etc.  6/26/09 Received ER medical records of 1/11/2009. FINAL DX: abdominal pain, PID; myalgias; Lyme disease. Records reveal patient experienced RLQ abdominal pain, nausea & anorexia x 1 day.  Had started period that day.  Temp in ER 99.3.  D/c to home.  Seen in ER again on 2/11/09.  Had been dx w/Lyme disease wk prior & had pain in legs & arms, diffuse myalgias.  Being tx w/oral antibiotics.  Referred to Rheum.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine, Muscular weakness, Myalgia, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Beginning with 2nd gardasil vaccination, been having myriad of symptoms.  Initial symptoms included headaches that started after the first vaccination and worsened after 2nd vaccination.  Treated by family physician/P.A. for migraines on several occasions.  After 3rd and final vaccination, symptoms included worsening headache, severe joint pain, muscle aches, intermittent low grade fever, malaise, severe fatigue, muscle weakness, etc.  6/26/09 Received ER medical records of 1/11/2009. FINAL DX: abdominal pain, PID; myalgias; Lyme disease. Records reveal patient experienced RLQ abdominal pain, nausea & anorexia x 1 day.  Had started period that day.  Temp in ER 99.3.  D/c to home.  Seen in ER again on 2/11/09.  Had been dx w/Lyme disease wk prior & had pain in legs & arms, diffuse myalgias.  Being tx w/oral antibiotics.  Referred to Rheum.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness
Clinical narrative: The client's sister also received an immunization and was discussing other shots she'd received in the armed forces. Client stated she felt dizzy.  I had her sit for several minutes. She said she felt better and walked to the waiting room where she began to faint.  We lowered her to the floor.  We sat with her for several more minutes and gave her some cold water.  She said she hadn't eaten any lunch and hadn't had much liquid today. I walked with her to the front door after she stated she felt much better.  Her sister was to drive her home.  She said she would eat something when she got home.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Excoriation, Fall, Head injury, Syncope
Clinical narrative: Syncope <5 min. after admin of vaccines. From a sitting position while assuming standing position, she fell to floor. Syncope duration <5 sec. First aid to bump on forehead (ice) & bacitracin to abrasions on ankle & knee. After 15 min. of observation and resolution of syncope was ambulatory and left the clinic with her mom.
Age: 1.2
Sex: M
Vaccine: MMR, PNC
Symptoms: Decreased appetite, Pyrexia
Clinical narrative: PATIENT DEVELOPED HIGH FEVERS 101.5-103 FOR 2 DAYS THAT STARTED 10 DAYS AFTER SHOTS WERE ADMINISTERED.  OTHER THAN FEVERS AND POOR APPETITE, HE HAD NO OTHER SYMPTOMS. FEVERS RESOLVED AFTER 2 DAYS.
Age: 1.25
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Eye disorder, Facial palsy, Lethargy
Clinical narrative: 2 episodes of L facial drooping since 730 am this morning.  Episodes last about 30 seconds, pt gets glazed over look in eyes and becomes lethargic. Outside of these episodes pt is awake, running around and playing normally.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, C-reactive protein, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Epstein-Barr virus test, Fatigue, Full blood count, Headache, Lymphadenopathy
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Metabolic function test, Muscular weakness, Nausea, Neuralgia, Neurological examination abnormal
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neuropathy peripheral, Paraesthesia, Platelet count, Red blood cell sedimentation rate, Skin burning sensation
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vaccination complication
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Back pain, Blood electrolytes, C-reactive protein, Chest X-ray
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest pain, Dizziness, Electrocardiogram, Epstein-Barr virus test, Fatigue
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Full blood count, Headache, Hypoaesthesia, Laboratory test, Muscle spasms
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscular weakness, Nausea, Neuralgia, Neuropathy peripheral, Paraesthesia
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.