chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Mom states redness and swelling started Tuesday 8/07/07 in the evening.  On Wednesday 8/8/07 it got worse.  Mom states it kept getting worse and it was at the worst on the 11th of Aug.  Redness and swelling started subsiding during the day of the 11th and then flaired up again on the evening of the 11th of August.  Went away completley on the 13th of August.  Mom states Benadryl was given the entire time.  On 8/17/03 RN examined shot site. Site was without redness or swelling. kr
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Crying, Erythema, Hypersensitivity, Lip swelling, Pruritus
Clinical narrative: On 8/9/2007, Patient received DTaP and IPV at RZ S4T by nurse.  No reaction at time of injection.  On 8/17/2007 at 2pm, mother reported: "He started crying and was all red and splotchy all over."  Mother stated hives covered entire body, very itchy, and lips were slightly swollen.  Pt reported no swelling of tongue or throat; mother said pt could speak and cry normally.  No respiratory distress.  Because this had happened once before, mother immediately gave child Benadryl.  At time of phone call (5pm), pt sleeping, breathing normally, hives resolved, no distress.   The previous incident of hives also occurred one week after vaccine administration.  On 6/28/2007, pt received Pediarix (DTaP-Hep B-IPV) and Hepatitis A, also at RZ S4T.  One week later, pt reported hives and lip-swelling "exactly like what happened today."  Pt had no history of allergic reactions, so mother took pt to ER where they administered Benadryl and monitored.  ER told mother that this was an allergic reaction and to give Benadryl if it happened again.  Discussed normal timeframe for vaccine reactions with mother.  Pt next due for vaccines 2/2008.   Advised mother that I will discuss with Dr. for input and call her next week.  Reviewed signs/symptoms of allergic reaction and when to go to emergency room (swelling of lips, tongue, throat, difficulty breathing).  Will file VAERS report.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Rash macular, Urticaria
Clinical narrative: On 8/9/2007, Patient received DTaP and IPV at RZ S4T by nurse.  No reaction at time of injection.  On 8/17/2007 at 2pm, mother reported: "He started crying and was all red and splotchy all over."  Mother stated hives covered entire body, very itchy, and lips were slightly swollen.  Pt reported no swelling of tongue or throat; mother said pt could speak and cry normally.  No respiratory distress.  Because this had happened once before, mother immediately gave child Benadryl.  At time of phone call (5pm), pt sleeping, breathing normally, hives resolved, no distress.   The previous incident of hives also occurred one week after vaccine administration.  On 6/28/2007, pt received Pediarix (DTaP-Hep B-IPV) and Hepatitis A, also at RZ S4T.  One week later, pt reported hives and lip-swelling "exactly like what happened today."  Pt had no history of allergic reactions, so mother took pt to ER where they administered Benadryl and monitored.  ER told mother that this was an allergic reaction and to give Benadryl if it happened again.  Discussed normal timeframe for vaccine reactions with mother.  Pt next due for vaccines 2/2008.   Advised mother that I will discuss with Dr. for input and call her next week.  Reviewed signs/symptoms of allergic reaction and when to go to emergency room (swelling of lips, tongue, throat, difficulty breathing).  Will file VAERS report.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: L arm redness and swelling 3x2.
Age: 9.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: REDNESS,SWELLING,WARMTH,PAIN WITH MILD ITCH AT THE INJECTION SITE ON THE LEFT UPPER ARM (LATERAL)SINCE 09:00PM ON 08/16/07. BODY TEMP WAS 100.0F(A) AT 09:00PM, WHICH RESOLVED BY ONE DOSE OF TYLENOL(160MG/5ML)1TSP. Possible cellulitis vs. vaccine reaction. Treatment: Augmentin
Age: 9.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site warmth
Clinical narrative: REDNESS,SWELLING,WARMTH,PAIN WITH MILD ITCH AT THE INJECTION SITE ON THE LEFT UPPER ARM (LATERAL)SINCE 09:00PM ON 08/16/07. BODY TEMP WAS 100.0F(A) AT 09:00PM, WHICH RESOLVED BY ONE DOSE OF TYLENOL(160MG/5ML)1TSP. Possible cellulitis vs. vaccine reaction. Treatment: Augmentin
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2.75 x 1.75  CM  RED  HARD AREA  AT  INJECTION SITE
Age: 1.83
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever to 102 degrees F for 48 hours.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Chest X-ray, Convulsion, Febrile convulsion, Pneumonia
Clinical narrative: Seizure 1 week after MMR, Prevnar, Varivax. Febrile seizure with mild pneumonia; twin exact reaction with 15 minutes same shots
Age: 20.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Oedema peripheral, Paraesthesia, Pruritus
Clinical narrative: Anthrax vaccine administered into the rt deltoid. He developed edema of the dorsal right hand with pruritus approximately five hrs later. There was also paresthesias for a short period. This resolved over approximately 36 hrs.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Contusion, Erythema, Swelling, Tenderness
Clinical narrative: Area size of fist/orange-red, swollen, tender. Resolving - but now bruising - no signs of infection. Resolving on its own
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None/NA adverse events; administration error, given to early, received #1 dose 072706
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Lacrimation increased, Pruritus, Skin warm, Swelling
Clinical narrative: 8/2/07 eyes watery, vomited x1, warm to touch within hour after shot. 8/3/07 arm itchy; swollen, red. 8/4/07 swelling 1/2" above elbow to shoulder, outer aspect of arm and under arm red and swollen also. Mom called insurance. Nurse advised she be seen. Mom took to clinic (an urgent care facility). Mom advised to give Tylenol, Benadryl, and see PCP in 3-5 day. Mom brought child into PCP (our office) on 8/9/07 for follow-up. At that time reaction had resolved.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Vomiting
Clinical narrative: 8/2/07 eyes watery, vomited x1, warm to touch within hour after shot. 8/3/07 arm itchy; swollen, red. 8/4/07 swelling 1/2" above elbow to shoulder, outer aspect of arm and under arm red and swollen also. Mom called insurance. Nurse advised she be seen. Mom took to clinic (an urgent care facility). Mom advised to give Tylenol, Benadryl, and see PCP in 3-5 day. Mom brought child into PCP (our office) on 8/9/07 for follow-up. At that time reaction had resolved.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Cold sweat, Menstrual disorder, Musculoskeletal stiffness, Panic attack
Clinical narrative: I was extremely stiff to where I couldn't move, cold sweat, panic attack and started my menstrual cycle, chills.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Cellulitis, Erythema, Pain in extremity, Rash, Skin warm
Clinical narrative: Left thigh pain, redness, warm, rash since shot. No fluctuation. Dx cellulitis. Pt rx'd Keflex 125mg/5ml PO Q 6 hours x 1 wk.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Swelling, Tenderness
Clinical narrative: Red, swollen, tender arm just above elbow, possible cellulitis, treated with Keflex
Age: 28.0
Sex: F
Vaccine: UNK
Symptoms: Injection site rash, Pyrexia, Rash, Vomiting
Clinical narrative: Rash started on arm at injection site. Rash also on neck and stomach, fever and vomiting. ER visit, given Benadryl and anti-nausea meds. Still have rash and vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Cellulitis, Erythema, Swelling
Clinical narrative: 8/14/07 Received DTaP, IPV left arm, Varicella right arm. 8/15 Redness, swelling upper left arm, by evening scant blisters. 8/16 > blisters, > redness, swelling and tenderness. No fever. A early cellulitis. Rx Cephalexin.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Balanitis, Genital rash, Rash
Clinical narrative: Patient reported to clinic on 8-17-07 at 14:10 PM complaining of swelling to penis, rash on suprapubic area nd face. Patient is able to urinate.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Red spot on left arm. Hot to touch.
Age: 0.2
Sex: M
Vaccine: PNC
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Fever and redness and swelling
Age: 4.0
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Swelling
Clinical narrative: Pt have fever and swelling
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site swelling
Clinical narrative: Swelling at site of injection on left upper thigh. Present for over 2 months.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Local reaction, Oedema peripheral
Clinical narrative: Local reaction swelling in left arm 10 cm afebrile
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin warm
Clinical narrative: 5cm area of warmth left deltoid
Age: 1.5
Sex: M
Vaccine: HEPA, MMR, PNC
Symptoms: Erythema, Full blood count, Rash maculo-papular, Streptococcal identification test negative
Clinical narrative: Red maculopapular rash on 13 days after MMR given. No fever. No URI sx.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain in extremity
Clinical narrative: Her arm is sore and red. On the left arm.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Fatigue, Full blood count normal, Malaise, Nausea
Clinical narrative: nausea, vomiting, shortness of breath, significant malaise and fatigue
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Red blood cell sedimentation rate normal, Vomiting
Clinical narrative: nausea, vomiting, shortness of breath, significant malaise and fatigue
Age: 39.0
Sex: F
Vaccine: HEP, TDAP, TYP
Symptoms: Syncope
Clinical narrative: After recieving vaccinations, pt stated she "feel like passing out".  She sat down and moments later had a syncope episode with returning to consiousness apprx 1-2 min later.  Oxygen was given, she was positioned supine with legs elevated, cool towels were applied and she was evaluated by the physician.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Malaise, Pain in extremity
Clinical narrative: PT PHONED SQUADRON ON 08/14/2007, AND AT THAT TIME SPOKE TO SELF. PATIENT AT THAT TIME EXPLAINED ALL SIGNS/SYMPTOMS HE WAS HAVING AT THAT TIME. PT RECIEVED SMALL POX VACCINATION ON 05 AUGUST 2007. ALL PROPER PRE-SCREENING WAS COMPLETED BEFORE VACCINATION, MEMBER QUALIFIED FOR ADMINISTRATION OF VACCINE, AND WAS VACCINATED PER PROTOCOL BEFORE HIS SHCEDULED DEPLOYMENT TO A CLASSIFIED AREA. PT RECEIVED THE VACCINATION IN UPPER LEFT ARM, WITH 2.5 MCL OF SMALLPOX INOCULATION/3 JABS. PT PHONED (SELF) AND EXPLAINED HE WAS HAVING A SLIGHT FEVER (101-102), MALAISE, REDNESS AT SIGHT, MULITPLE RED LINES TRAVELING DOWN HIS LEFT EXTREMITY, AND SEVERE PAIN FROM THE INJECTION SITE ALL THE WAY DOWN TO HIS HANDS. PATIENT HAD A SCHEDULED APPOINTMENT WITH HIS PHYSICIAN IN 2 HOURS WITHIN HIM TALKING TO ME. PT SAW HIS PHYSICIAN, RECEIVED ANTIBIOTICS, AND A CONSULTATION. PT THEN PHONED BACK AT THE CLINIC (SELF), AND REPORTED WHAT THE DOCTOR HAD ORDERED. MEMBER IS NOT ABLE TO COME IN AND SEE OUR FLIGHT SURGEON, SO I INSTRUCTED HIM ON MEDICATION COMPLIANCE, SIGNS/SYMTOMS TO REPORT, AND ANY OTHER CONCERNS TO GO STRAIGHT TO THE EMERGENCY DEPARTMENT. PT UNDERSTOOD, AND WILL BE SEING IN SEPTEMBER RED FLIGHT (SEPTEMBER 14/15). DOCUMENTATION IN THE MEDICAL RECORD HAS BEEN DATED AND RECORDED AWARE OF PATIENTS CONDITION, CHEIF NURSING OFFICER ALSO NOTIFIED.
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Skin striae
Clinical narrative: PT PHONED SQUADRON ON 08/14/2007, AND AT THAT TIME SPOKE TO SELF. PATIENT AT THAT TIME EXPLAINED ALL SIGNS/SYMPTOMS HE WAS HAVING AT THAT TIME. PT RECIEVED SMALL POX VACCINATION ON 05 AUGUST 2007. ALL PROPER PRE-SCREENING WAS COMPLETED BEFORE VACCINATION, MEMBER QUALIFIED FOR ADMINISTRATION OF VACCINE, AND WAS VACCINATED PER PROTOCOL BEFORE HIS SHCEDULED DEPLOYMENT TO A CLASSIFIED AREA. PT RECEIVED THE VACCINATION IN UPPER LEFT ARM, WITH 2.5 MCL OF SMALLPOX INOCULATION/3 JABS. PT PHONED (SELF) AND EXPLAINED HE WAS HAVING A SLIGHT FEVER (101-102), MALAISE, REDNESS AT SIGHT, MULITPLE RED LINES TRAVELING DOWN HIS LEFT EXTREMITY, AND SEVERE PAIN FROM THE INJECTION SITE ALL THE WAY DOWN TO HIS HANDS. PATIENT HAD A SCHEDULED APPOINTMENT WITH HIS PHYSICIAN IN 2 HOURS WITHIN HIM TALKING TO ME. PT SAW HIS PHYSICIAN, RECEIVED ANTIBIOTICS, AND A CONSULTATION. PT THEN PHONED BACK AT THE CLINIC (SELF), AND REPORTED WHAT THE DOCTOR HAD ORDERED. MEMBER IS NOT ABLE TO COME IN AND SEE OUR FLIGHT SURGEON, SO I INSTRUCTED HIM ON MEDICATION COMPLIANCE, SIGNS/SYMTOMS TO REPORT, AND ANY OTHER CONCERNS TO GO STRAIGHT TO THE EMERGENCY DEPARTMENT. PT UNDERSTOOD, AND WILL BE SEING IN SEPTEMBER RED FLIGHT (SEPTEMBER 14/15). DOCUMENTATION IN THE MEDICAL RECORD HAS BEEN DATED AND RECORDED AWARE OF PATIENTS CONDITION, CHEIF NURSING OFFICER ALSO NOTIFIED.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Culture, Erythema, Full blood count, Influenza like illness, Rash macular
Clinical narrative: Pt had multiple diffuse erythematous macules with central papules and pustules on trunk as well as flu-like symptoms.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular, Rash pustular
Clinical narrative: Pt had multiple diffuse erythematous macules with central papules and pustules on trunk as well as flu-like symptoms.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cough, Herpes zoster, Pharyngolaryngeal pain, Pneumonia, Pyrexia
Clinical narrative: HIGH FEVER, PNEUMONIA, SORE THROAT, PRODUCTIVE COUGH.  SYMPTOMS TOOK A WEEK TO SET IN AND IT IS FOUR WEEKS LATER WITH MILDER SYMPTOMS.  HOWEVER, IT IS CONTAGIOUS, SO WE HAVE THREE ILL FAMILY MEMBERS WITH ONE WITH SAME SYMPTOMS BUT WITH VARICELLA-ZOSTER RASH ONLY IN FOREARM.  DR. WOULD NOT GIVE FOLLOW UP CARE.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Sick relative
Clinical narrative: HIGH FEVER, PNEUMONIA, SORE THROAT, PRODUCTIVE COUGH.  SYMPTOMS TOOK A WEEK TO SET IN AND IT IS FOUR WEEKS LATER WITH MILDER SYMPTOMS.  HOWEVER, IT IS CONTAGIOUS, SO WE HAVE THREE ILL FAMILY MEMBERS WITH ONE WITH SAME SYMPTOMS BUT WITH VARICELLA-ZOSTER RASH ONLY IN FOREARM.  DR. WOULD NOT GIVE FOLLOW UP CARE.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, UNK
Symptoms: Anorexia, Asthenia, Cough, Dyspnoea, Irritability
Clinical narrative: Fever over 102 for three days, wheezing,coughing, difficulty breathing, weak, no appeitte, very sleepy, irriatable
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, UNK
Symptoms: Pyrexia, Somnolence, Wheezing
Clinical narrative: Fever over 102 for three days, wheezing,coughing, difficulty breathing, weak, no appeitte, very sleepy, irriatable
Age: 14.0
Sex: F
Vaccine: TYP
Symptoms: Dyspnoea, Hypersensitivity, Throat tightness
Clinical narrative: Initial report received from another company (no reference number provided) in the United States on 07 August 2007. The other company received the report from a health care professional. A 14-year-old female patient with a medical history of depression and sulfa allergy had received typhoid vaccine in March 2007. The trade name, manufacturer, lot number, route and site of administration were not reported. An unspecified amount of time following vaccination, the patient developed a severe allergic reaction. The patient was taken to the hospital and treated in the emergency room for difficulty breathing and a "throat that closed off". The patient was given Benadryl in the emergency room and was sent home on two days of prednisone. The event was considered by the reporter to be life threatening. The patient recovered from the event. The product was not reintroduced to the patient after the event.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Muscle twitching
Clinical narrative: This case was reported by a health professional in the United States on 08 August 2007. A 14-year-old female patient with no reported medical history received a right deltoid intramuscular injection of Menactra (lot number U2378AA) on 07 August 2007. Less than five minutes following administration, the patient complained of dizziness and increased perspiration, and was placed in a lying position. It was then witnessed that the patient's upper and lower lips began twitching, which lasted approximately five minutes. The patient did not lose consciousness, and pulse and blood pressure "did not change and were okay". The patient recovered.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blindness unilateral, Multiple sclerosis
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested.  8/23/07 Received vax record from PCP but unable to read.  Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110.  VAERS database updated w/same.  Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007.  Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes.  Consult to oncology & optho.  Tx w/high-dose steroids, IVIG x5, plasmapheresis x5.  Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #'s.  Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06.  VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA.  Admitted 7/9-7/27/07.  Ophtho, heme/onc, neurosurgery consults done.  Had routine optometry exam on 7/5 w/only mild increased in prescription.  On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head.  On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER.  CT scan there revealed brain lesions & transferred to higher level of care.  Exam revealed left pupil unreactive to light.  Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antibody test, Antinuclear antibody, Antiphospholipid antibodies, Biopsy brain, Blindness
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested.  8/23/07 Received vax record from PCP but unable to read.  Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110.  VAERS database updated w/same.  Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007.  Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes.  Consult to oncology & optho.  Tx w/high-dose steroids, IVIG x5, plasmapheresis x5.  Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #'s.  Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06.  VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA.  Admitted 7/9-7/27/07.  Ophtho, heme/onc, neurosurgery consults done.  Had routine optometry exam on 7/5 w/only mild increased in prescription.  On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head.  On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER.  CT scan there revealed brain lesions & transferred to higher level of care.  Exam revealed left pupil unreactive to light.  Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Computerised tomogram abnormal, Demyelination, Headache
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested.  8/23/07 Received vax record from PCP but unable to read.  Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110.  VAERS database updated w/same.  Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007.  Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes.  Consult to oncology & optho.  Tx w/high-dose steroids, IVIG x5, plasmapheresis x5.  Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #'s.  Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06.  VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA.  Admitted 7/9-7/27/07.  Ophtho, heme/onc, neurosurgery consults done.  Had routine optometry exam on 7/5 w/only mild increased in prescription.  On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head.  On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER.  CT scan there revealed brain lesions & transferred to higher level of care.  Exam revealed left pupil unreactive to light.  Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Multiple sclerosis, Nervous system disorder, Nuclear magnetic resonance imaging, Visual disturbance
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested.  8/23/07 Received vax record from PCP but unable to read.  Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110.  VAERS database updated w/same.  Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007.  Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes.  Consult to oncology & optho.  Tx w/high-dose steroids, IVIG x5, plasmapheresis x5.  Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #'s.  Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06.  VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA.  Admitted 7/9-7/27/07.  Ophtho, heme/onc, neurosurgery consults done.  Had routine optometry exam on 7/5 w/only mild increased in prescription.  On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head.  On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER.  CT scan there revealed brain lesions & transferred to higher level of care.  Exam revealed left pupil unreactive to light.  Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.
Age: 17.0
Sex: F
Vaccine: HPV4, UNK
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient with a history of passing out and convulsion who was vaccinated with a first dose of Gardasil (date not specified). Concomitant therapy included other unspecified vaccines. The physician reported that the patient passed out and then had a seizure after getting the first dose of Gardasil. The patient sought unspecified medical attention. The outcome was unknown. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a health professional concerning a 17 year old female, who on 12-JUL-2007 was vaccinated with a first 0.5mL dose of Gardasil. At the time of the first vaccination the patient was unaware that she was three weeks pregnant. In August 2007 the patient was vaccinated with a second dose of Gardasil. The patient miscarried sometime between the first dose and the second dose. The patient sought unspecified medical attention. At the time of the report, the patient's outcome was unknown. No product quality complaint was involved. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood thyroid stimulating hormone normal, Diarrhoea, Full blood count normal, Nausea
Clinical narrative: Information has been received from a registered nurse concerning a 19 year old female patient with a history of cholecystectomy (FEBRUARY 2005) and no allergies who on 06-AUG-2007, was vaccinated IM with a first 0.5ml dose of Gardasil (Lot # 658282/0929U). Concomitant therapy included ethinyl estradiol/norethidrone (OVCON). About 2 hours after receiving the vaccine, the patient experienced severe abdominal pain, nausea, vomiting and diarrhea. The patient stated that the area that hurts was about 2 inches from her belly button. The patient was prescribed atropine sulfate (+) diphenoxylate hydrochloride (LOMOTRIL) and promethazine hydrochloride (PHENERGAN). It was reported that the next day the patient called the office and her stomach pain had gotten worse. On a scale of 1 to 10 the patient felt her pain was a six. Laboratory diagnostic studies given on 07-AUG-2007 included a CBC and a thyroid study. Both were reported as normal. The patient no longer has diarrhea but was still experiencing nausea and vomiting. The outcome of severe abdominal pain was unknown. No product quality complaint was involved. Severe abdominal pain, nausea, vomiting and diarrhea were considered to be disabling. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 19 year old female patient with a history of cholecystectomy (FEBRUARY 2005) and no allergies who on 06-AUG-2007, was vaccinated IM with a first 0.5ml dose of Gardasil (Lot # 658282/0929U). Concomitant therapy included ethinyl estradiol/norethidrone (OVCON). About 2 hours after receiving the vaccine, the patient experienced severe abdominal pain, nausea, vomiting and diarrhea. The patient stated that the area that hurts was about 2 inches from her belly button. The patient was prescribed atropine sulfate (+) diphenoxylate hydrochloride (LOMOTRIL) and promethazine hydrochloride (PHENERGAN). It was reported that the next day the patient called the office and her stomach pain had gotten worse. On a scale of 1 to 10 the patient felt her pain was a six. Laboratory diagnostic studies given on 07-AUG-2007 included a CBC and a thyroid study. Both were reported as normal. The patient no longer has diarrhea but was still experiencing nausea and vomiting. The outcome of severe abdominal pain was unknown. No product quality complaint was involved. Severe abdominal pain, nausea, vomiting and diarrhea were considered to be disabling. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Diarrhoea, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 19 year old female patient with a history of cholecystectomy (FEBRUARY 2005) and no allergies who on 06-AUG-2007, was vaccinated IM with a first 0.5ml dose of Gardasil (Lot # 658282/0929U). Concomitant therapy included ethinyl estradiol/norethidrone (OVCON). About 2 hours after receiving the vaccine, the patient experienced severe abdominal pain, nausea, vomiting and diarrhea. The patient stated that the area that hurts was about 2 inches from her belly button. The patient was prescribed atropine sulfate (+) diphenoxylate hydrochloride (LOMOTRIL) and promethazine hydrochloride (PHENERGAN). It was reported that the next day the patient called the office and her stomach pain had gotten worse. On a scale of 1 to 10 the patient felt her pain was a six. Laboratory diagnostic studies given on 07-AUG-2007 included a CBC and a thyroid study. Both were reported as normal. The patient no longer has diarrhea but was still experiencing nausea and vomiting. The outcome of severe abdominal pain was unknown. No product quality complaint was involved. Severe abdominal pain, nausea, vomiting and diarrhea were considered to be disabling. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow-up information has been received through the Merck Pregnancy registry from a registered nurse a 17 year old white female with bipolar disorder, headache, and no previous pregnancies, who on 02-JUL-2007 was vaccinated IM with a 0.5 ml first dose of Gardasil (lot # 655617/1447F). Concomitant therapy included XANAX. On 02-JUL-2007, after the vaccination, a urine beta-human chorionic gonadotropin test was reported positive for pregnancy. The patients last menstrual period was 24-MAY-2007. The estimated date of delivery was 02-MAR-2008. On 19-JUL-2007, at 8 weeks from the last menstrual period, the patient had an elective termination of the pregnancy. The patient was scheduled to return for her second dose of Gardasil on 10-SEP-2007. Upon internal review, elective termination was considered to be an other important medical event. Additional information is not expected.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Body temperature, Chest X-ray normal, Erythema, Gait disturbance, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 4 year old male who was vaccinated with a second, single dose of Varivax. Concomitant vaccines administered on the same day included MMR. The patient developed a 4 inch area of soft, pink swelling below the injection site with injection site tenderness which caused the patient to limp. A chest x-ray was normal and the patient was afebrile. Unspecified medical attention was sought. No product quality complaint was involved. This was considered a significant disability or incapacity by the reporter as the patient was limping because of the swelling. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Swelling, X-ray normal
Clinical narrative: Information has been received from a physician concerning a 4 year old male who was vaccinated with a second, single dose of Varivax. Concomitant vaccines administered on the same day included MMR. The patient developed a 4 inch area of soft, pink swelling below the injection site with injection site tenderness which caused the patient to limp. A chest x-ray was normal and the patient was afebrile. Unspecified medical attention was sought. No product quality complaint was involved. This was considered a significant disability or incapacity by the reporter as the patient was limping because of the swelling. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Rash papular, Rash pustular
Clinical narrative: Papular and pustular rash to left arm and shoulder with spreading to trunk. Sx began 3 days after vaccine administration. 10/2/07 Reviewed medical records from VHC which reveal patient developed low grade fever, oozing & pruritic rash on left  shoulder, arm, back & left arm vaccine site s/p vaccine on 8/7/07 while on board ship.  Symptoms developed 3 days s/p vax.  Patient was airevac'd from ship to base camp & then to higher level of care. FINAL DX: eczema vaccinatum.  1/4/08 Reviewed hospital medical records which reveal patient experienced fever, severe itching rash while onboard ship.  Transferred to higher level of care for isolation.  Admitted 8/21-9/11/2007.  Pustules noted on RUE & erosion, multiple papules (some open & some scabbed) on LUE w/few papules extending onto left scapula.  ID & Derm consults done.  Enrolled in ID research protocol.  Tx w/topical steroids & moisturizers.  Progressed well & d/c to home for additional 14 days before returning to active duty. FINAL DX: eczema vaccinatum.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Body temperature increased, Immunoglobulins, Polymerase chain reaction, Rash papular, Rash pruritic
Clinical narrative: Papular and pustular rash to left arm and shoulder with spreading to trunk. Sx began 3 days after vaccine administration. 10/2/07 Reviewed medical records from VHC which reveal patient developed low grade fever, oozing & pruritic rash on left  shoulder, arm, back & left arm vaccine site s/p vaccine on 8/7/07 while on board ship.  Symptoms developed 3 days s/p vax.  Patient was airevac'd from ship to base camp & then to higher level of care. FINAL DX: eczema vaccinatum.  1/4/08 Reviewed hospital medical records which reveal patient experienced fever, severe itching rash while onboard ship.  Transferred to higher level of care for isolation.  Admitted 8/21-9/11/2007.  Pustules noted on RUE & erosion, multiple papules (some open & some scabbed) on LUE w/few papules extending onto left scapula.  ID & Derm consults done.  Enrolled in ID research protocol.  Tx w/topical steroids & moisturizers.  Progressed well & d/c to home for additional 14 days before returning to active duty. FINAL DX: eczema vaccinatum.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Rash pustular, Skin lesion, Swelling, Vaccinia
Clinical narrative: Papular and pustular rash to left arm and shoulder with spreading to trunk. Sx began 3 days after vaccine administration. 10/2/07 Reviewed medical records from VHC which reveal patient developed low grade fever, oozing & pruritic rash on left  shoulder, arm, back & left arm vaccine site s/p vaccine on 8/7/07 while on board ship.  Symptoms developed 3 days s/p vax.  Patient was airevac'd from ship to base camp & then to higher level of care. FINAL DX: eczema vaccinatum.  1/4/08 Reviewed hospital medical records which reveal patient experienced fever, severe itching rash while onboard ship.  Transferred to higher level of care for isolation.  Admitted 8/21-9/11/2007.  Pustules noted on RUE & erosion, multiple papules (some open & some scabbed) on LUE w/few papules extending onto left scapula.  ID & Derm consults done.  Enrolled in ID research protocol.  Tx w/topical steroids & moisturizers.  Progressed well & d/c to home for additional 14 days before returning to active duty. FINAL DX: eczema vaccinatum.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, PPV, TDAP, VARCEL
Symptoms: Delirium, Pyrexia
Clinical narrative: Pt mother reported fever 104.5, pt mother reported child was delirious - pt was admitted to hospital for cellulitis right arm post immunizations.  9/25/07 Reviewed hospital medical records which reveal patient admitted 8/8-8/9/2007 after experienced fever w/confusion,  and erythema, warmth, induration, redness, pain at right arm vax site x 2 days & vomiting x 1. FINAL DX: cellulitis of right arm, dehydration.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Accommodation disorder, Asthenia, Diarrhoea, Gait disturbance, Oedema peripheral
Clinical narrative: Swelling arm, fever, pain, diarrhea, problem focusing when reading still. Feel very weak, problem walking.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Swelling arm, fever, pain, diarrhea, problem focusing when reading still. Feel very weak, problem walking.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Dyspnoea, Pain in extremity, Pyrexia
Clinical narrative: fever, SOB around 3 am day after shot. Back pain, leg pain, pt was given Vicodin @ ER, did EKG
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Intubation, Loss of consciousness
Clinical narrative: This case was reported by a physician and described the occurrence of unconsciousness in a 2-month-old female subject who was vaccinated with Infanrix, GlaxoSmithKline for prophylaxis. There were no concurrent medications. On an unspecified date the subject received 1st dose of Infanrix at 0.5 ml. The following day, the mother found the subject unconscious. She required intubation. The subject was hospitalised for 3 days and released without any incident or sequela. The physician considered the events were disabling, life threatening and clinically significant (or requiring intervention). At the time of reporting the events were resolved. The physician considered the events were probably related to vaccination with Infanrix.
Age: 20.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Erythema, Full blood count
Clinical narrative: 20 y/o male says he was well on 8-1-2007, prior to receiving Penicillin G Benzathine IM (strep prophylaxis). The same day, about 10-15 minutes later, he received MMR(1) and Hep A (1). About 5 minutes after receiving the vaccines, he noted intense itching in the groin area, which progressed to generalized itching, followed by eruptions of 'hives' on both arms, redness across his chest, headache, throat tightness and SOB. He was unable to focus his vision, seeing 'only shadows', although he could hear normally. He felt faint but did not lose consciousness. EMS was called and he was treated with IV fluids, Epinephrine and Benadryl. He was transported to ER, treated with more Benadryl, then admitted overnight for further observation. He was discharged the following morning. He was feeling better, except for a sensation of throat tightness on 8-3-2007 for which he presented to clinic and saw his PCM. He was prescribed oral steroids, Zantac, and referred to Allergist for f/u for anaphylaxis. He saw Allergist 8-15-2007, and diagnosed with anaphylactic reaction to Penicillin. Because he also had vaccines the same day as the adverse event, he was advised to receive next immunizations in controlled setting with 30 minutes observation following.  09/10/2007 Clinical summary and MR received from military.  Withing minutes of receiving PCN shot and vaccines, pt experienced itching, hives, chest redness, headache, throat tightness, and SOB.  Pt also had visual disturbance and felt faint. TXd with Epi and Benadryl with relief. Observed o/n.  The following morning pt presented with throat tightness and was txd with oral steroids and Zantac. DX: Anaphylaxis.
Age: 20.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Headache, Metabolic function test normal, Pruritus, Throat tightness, Urticaria
Clinical narrative: 20 y/o male says he was well on 8-1-2007, prior to receiving Penicillin G Benzathine IM (strep prophylaxis). The same day, about 10-15 minutes later, he received MMR(1) and Hep A (1). About 5 minutes after receiving the vaccines, he noted intense itching in the groin area, which progressed to generalized itching, followed by eruptions of 'hives' on both arms, redness across his chest, headache, throat tightness and SOB. He was unable to focus his vision, seeing 'only shadows', although he could hear normally. He felt faint but did not lose consciousness. EMS was called and he was treated with IV fluids, Epinephrine and Benadryl. He was transported to ER, treated with more Benadryl, then admitted overnight for further observation. He was discharged the following morning. He was feeling better, except for a sensation of throat tightness on 8-3-2007 for which he presented to clinic and saw his PCM. He was prescribed oral steroids, Zantac, and referred to Allergist for f/u for anaphylaxis. He saw Allergist 8-15-2007, and diagnosed with anaphylactic reaction to Penicillin. Because he also had vaccines the same day as the adverse event, he was advised to receive next immunizations in controlled setting with 30 minutes observation following.  09/10/2007 Clinical summary and MR received from military.  Withing minutes of receiving PCN shot and vaccines, pt experienced itching, hives, chest redness, headache, throat tightness, and SOB.  Pt also had visual disturbance and felt faint. TXd with Epi and Benadryl with relief. Observed o/n.  The following morning pt presented with throat tightness and was txd with oral steroids and Zantac. DX: Anaphylaxis.
Age: 20.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Vision blurred
Clinical narrative: 20 y/o male says he was well on 8-1-2007, prior to receiving Penicillin G Benzathine IM (strep prophylaxis). The same day, about 10-15 minutes later, he received MMR(1) and Hep A (1). About 5 minutes after receiving the vaccines, he noted intense itching in the groin area, which progressed to generalized itching, followed by eruptions of 'hives' on both arms, redness across his chest, headache, throat tightness and SOB. He was unable to focus his vision, seeing 'only shadows', although he could hear normally. He felt faint but did not lose consciousness. EMS was called and he was treated with IV fluids, Epinephrine and Benadryl. He was transported to ER, treated with more Benadryl, then admitted overnight for further observation. He was discharged the following morning. He was feeling better, except for a sensation of throat tightness on 8-3-2007 for which he presented to clinic and saw his PCM. He was prescribed oral steroids, Zantac, and referred to Allergist for f/u for anaphylaxis. He saw Allergist 8-15-2007, and diagnosed with anaphylactic reaction to Penicillin. Because he also had vaccines the same day as the adverse event, he was advised to receive next immunizations in controlled setting with 30 minutes observation following.  09/10/2007 Clinical summary and MR received from military.  Withing minutes of receiving PCN shot and vaccines, pt experienced itching, hives, chest redness, headache, throat tightness, and SOB.  Pt also had visual disturbance and felt faint. TXd with Epi and Benadryl with relief. Observed o/n.  The following morning pt presented with throat tightness and was txd with oral steroids and Zantac. DX: Anaphylaxis.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Respiratory arrest, Vomiting
Clinical narrative: Prelim reported that pt's vomited and gone to respiratory arrest.  8/21/07 Spoke w/MD who states patient was in good health on day of vax.  Looked tired but exam was WNL.  Family concerned only about umbilical hernia.  8/21/07 Received pcp medical records & vax records which confirm RO dose & lot # as reported.  Records indicate patient was in good health on day of vax w/only medical concern umbilical hernia.  3/11/08 Autopsy report states COD as undetermined.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 5 cm by 6 cm red firm slightly tender swelling on the side towards posterior area of left arm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Secondary transmission
Clinical narrative: The patient had no adverse event, the grandmother had a case of shingles 3 days after the ProQuad was given. Parent of child, gave permission for CDC to call
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Patient received vaccine left exam room, walked to check out window, states she is feeling well, becomes faint placed in chair becomes unresponsive and 2x shaking movements of upper body. Cold cloth applied to face and forehead, Ammonia salts given after approx 1-2 minutes Pt seems responsive Pt assisted to exam table rested approx 5 min states was feeling better.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure, Dyskinesia, Malaise, Unresponsive to stimuli
Clinical narrative: Patient received vaccine left exam room, walked to check out window, states she is feeling well, becomes faint placed in chair becomes unresponsive and 2x shaking movements of upper body. Cold cloth applied to face and forehead, Ammonia salts given after approx 1-2 minutes Pt seems responsive Pt assisted to exam table rested approx 5 min states was feeling better.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyskinesia, Malaise, Unresponsive to stimuli
Clinical narrative: A few minutes after injection, pt states not feeling well, pt becomes non responsive with jerking movements x 2 approx 1-2 minutes pt began to respond to nurse-cold cloth to face and neck B/P assessed 90/64. EMT called assessed pt pt refuses transfer to hospital ER via ambulance. Family member called to pick up pt. States pt has had same reaction before when receiving an injection.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pallor, Syncope vasovagal, Vomiting
Clinical narrative: Pt had vasovagal response with vomiting. Pt sat with head in between legs/knees. Color returned to normal within 10 minutes.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: warm, pain, redness 3x5 cm (L) upper arm, mild swelling. Pain in (L) arm hand. radiating arm no arthralgia no fever Injection 8/14 Pain developed 8/15-seen in office 8/17/07