chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Electroencephalogram abnormal, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a licensed practical nurse concerning a 12 year old female with no known allergies or pertinent medical history who on 14-SEP-2007 was vaccinated in right arm with first dose of GARDASIL. (Lot# 658558/1061U). On 10-DEC-2007 was vaccinated in left arm with second dose of GARDASIL (Lot # 659055/1522U). There was no illness at the time of vaccination. The nurse reported the following the second vaccine of GARDASIL on 18-JAN-2008 the patient experienced seizure and on 05-FEB-2008 the patient experienced seizure. The patient did not receive other injections on or near those dates. Electroencephalogram (EEG) was performed (Unequivocal result). The patient is now on unspecified medication. On unspecified date the patient recovered. The patient sought medical attention "required emergency room/doctor visit". Upon internal seizures were determined to be an other important medical event. Additional information is not expected. 8/8/08-records received-presented to ED 1/18/08-passed out/seizure, head injury. Seizure occurred while walking to school. Bump on forehead.  PE normal. Impression: Seizure activity. Contusion of forehead. 8/27/08-records received for DOS 2/15/08-has had only 1 menarche times 1 lasted for 1 day but none since last Gardasil vaccination. PE:normal. Assessment:one-time seizure versus syncope. multiple neurocutaneous lesions. Second seizure 3/4/08. 4/21/08-felt aura, dizzy and body tingled all over. Whole body aching afterwards. 9/2/08-records received for DOS 2/15/08-pediatric neurology clinic as a follow up to 1 time seizure-like episode. DX: One-time seizure. Versus syncope. Multiple neurocutaneous lesions.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a 19 year old female, for the Pregnancy Registry for GARDASIL concerning herself with a history of ruptured spleen several years ago which was healed and no known drug reactions/allergies who in early May 2008, was vaccinated with a dose of GARDASIL.  There was no concomitant medication.  Subsequently the patient learned that she was pregnant.  Her last menstrual period was on 09-MAY-2008 and the estimated delivery date was 13-FEB-2009.  On 03-JUL-2008 the patient was hospitalized at a local hospital and had a miscarriage.  The patient also sought medical attention in the physician's office.  The patient's miscarriage was determined to be an other important medical event.  Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Electroencephalogram, Somnolence, Syncope, Tonic clonic movements
Clinical narrative: 1-2 minutes after vaccine syncopal like episode, followed by 1 minute of tonic-clonic activity. Then sleepy for 10 minutes. Then alert and home in good condition.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Inflammation, Oedema peripheral
Clinical narrative: Arm swelling and inflammation. Treated with ibuprofen 200 mg q 6 hours as needed for pain and fever.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncopal episode 3-5 minutes after administration of TDap, Menactra and Gardasil, which lasted about 30 seconds. After episode she was fine.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Electrocardiogram normal, Syncope
Clinical narrative: Syncope after injection of HPV, was fine afterward. Had had no breakfast, food or drink this AM.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site induration, Injection site warmth, Local reaction
Clinical narrative: Pt had a large local reaction. This included a 10 cm red indurated area with warmth and firmness at injection site. Patient improving with BENADRYL.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness, warmth started 1 day after immunization; only the menactra site was involved
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dysphagia, Lip swelling, Oedema mouth, Urticaria
Clinical narrative: Patient received the 4 vaccines at approximately 3:30 pm 07/28/08. Patient began to have lip/mouth swelling, urticaria, and difficulty swallowing approximately 10 minutes after injections. Treated with Epi 0.15 mg SQ in office and 1 1/2 tsp Benadryl 12.5 mg PO.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Lip swelling, Paraesthesia oral
Clinical narrative: Vaccine given 11:20 AM, lips became tingling, became lightheaded.  Approximately 5-10 minutes after vaccine, client brought to exam room.  2 x juices and water given.  Client stated some relief noted.  Client took 25 mg Benadryl from her purse and took 1 pill after approximately 20 minutes around 12:10, client stated lightheadedness and tingling going away, states lips had "thickness", client alert, talking, a A&O x 3 color pink.  Client declined no signs and symptoms, lightheadedness, tongue thickening, tingling, left health department around 12:25AM.  7/14/08 tc to client x 3 for follow up.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Muscle spasms, Myalgia
Clinical narrative: On 6-18-08 received zoster vaccine. On Sunday 06/22/08, awoke with pain on right side between hip and the 3rd lumbar of spine. States pain was in the muscle to the right of spine. Massage & aspirin helped and tolerated all day. Tuesday had spasm pain. Rested in bed mostly for Monday and Tuesday. Wednesday, Thursday, and Friday applied ice and heat. Took Vicodin once at night. Monday thru Thursday slept well. Out of Vicodin called doctor for appointment, took ibuprofen every 6 hours and it did provide relief. Today 06/30/08, spasms have returned, pain now located at vertebrae. Hx MRI- narrowing of canal in spine.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure normal, Erythema, Heart rate normal, Immediate post-injection reaction, Induration
Clinical narrative: Pt had almost immediate localized rxn in l arm after IM administration of Tdap. Pt denies hx allergy, rxn to vaccines although states 1 child may have had problems with pertussis when little. Applied ice pack to site. BP 100/64 P-54. Pt c/o tingling in tongue. Administered Benadryl 1 cc IM r arm at 10:00 am. Pt tolerated well. Denies any problems breathing, tingling slightly present. Pt's husband escorted pt home at 10:35 am. Induration 40x30 mm when leaving. Erythema lowered dramatically although palpable induration.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia oral, Skin reaction
Clinical narrative: Pt had almost immediate localized rxn in l arm after IM administration of Tdap. Pt denies hx allergy, rxn to vaccines although states 1 child may have had problems with pertussis when little. Applied ice pack to site. BP 100/64 P-54. Pt c/o tingling in tongue. Administered Benadryl 1 cc IM r arm at 10:00 am. Pt tolerated well. Denies any problems breathing, tingling slightly present. Pt's husband escorted pt home at 10:35 am. Induration 40x30 mm when leaving. Erythema lowered dramatically although palpable induration.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain, Pharyngitis, Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Patient started aching all over, fever increased to 102 during night.  Also complained of sore throat in office the next day.  Was evaluated by doctor on 7-31-08.  Diagnosed with pharyngitis and possible adverse reaction to GARDASIL.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Eye pain, Pyrexia
Clinical narrative: Patient started aching all over, fever increased to 102 during night.  Also complained of sore throat in office the next day.  Was evaluated by doctor on 7-31-08.  Diagnosed with pharyngitis and possible adverse reaction to GARDASIL.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Blood pressure, Chest discomfort, Dyspnoea, Heart rate, Oxygen saturation
Clinical narrative: Shortness of breath, tightness in chest, throat swelling. (no reaction at vaccine injection sites). Nebulizer given no improvement in throat swelling. EpiPen Jr. given in left thigh. Patient improved after EpiPen Jr.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Pharyngeal oedema, Respiratory rate
Clinical narrative: Shortness of breath, tightness in chest, throat swelling. (no reaction at vaccine injection sites). Nebulizer given no improvement in throat swelling. EpiPen Jr. given in left thigh. Patient improved after EpiPen Jr.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Injection site pain, Injection site swelling, Oxygen saturation, Pallor
Clinical narrative: About 17 minutes after the HPV vaccine administered, patient felt uncomfortable in the arm beneath her injection.  She then said her arm mildly hurt and thought it looked swollen.  Patient then felt it was hard to breathe.  She became pale.  She was close to fainting.  After about 5 minutes she stated it felt better.  Initial O2 sats were 99-100 d.  She rested for 20 minutes and drank some mountain dew and was able to go home without difficulty.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: About 17 minutes after the HPV vaccine administered, patient felt uncomfortable in the arm beneath her injection.  She then said her arm mildly hurt and thought it looked swollen.  Patient then felt it was hard to breathe.  She became pale.  She was close to fainting.  After about 5 minutes she stated it felt better.  Initial O2 sats were 99-100 d.  She rested for 20 minutes and drank some mountain dew and was able to go home without difficulty.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Oedema peripheral, Rash
Clinical narrative: Temperature, left arm swollen with rash.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Head injury, Syncope
Clinical narrative: Patient fainted in reception waiting to go home. She hit her head on the floor and had to be taken to ER for evaluation.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Rash
Clinical narrative: Mother called after hours hotline number and complained of rash to child's back, "red dots like ink pen, ". Sent to ER, examined by ER doctor, who felt that it was possibly caused by immunizations, no other apparent cause found.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Wrong drug administered
Clinical narrative: Adult Hepatitis B administered instead pediatric Hepatitis B vaccine error.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Blindness, Blood pressure decreased, Cold sweat, Heart rate decreased, Pallor
Clinical narrative: Cold, clammy, loss of vision brief period.  Pale, decreased pulse, decreased blood pressure.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Pain, Skin lesion, Skin warm
Clinical narrative: 2 cm erythematous, indurated lesion with burrowed ring of erythema, 5-6cm, on the posterior aspect of left arm, warm to touch, mild pain with palpation.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling at the site.  Cool compresses Motrin for pain & to monitor area to make sure it doesn't get bigger.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: Right upper arm - erythema, edema and warmth, nontender Benadryl q 6 degree pm, 1 cc to arm
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Erythema multiforme, Rash, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of diffuse rash in a 1-year-old male subject who was vaccinated with HAVRIX pediatric (GlaxoSmithKline). Concurrent vaccinations given on 26 June 2008 included PREVNAR (Wyeth); and varicella virus vaccine (MERCK). On 26 June 2008 at 08:30, the subject received the 1st dose of HAVRIX pediatric (.5 ml, unknown, left thigh). On 26 June 2008, less than one day after vaccination with HAVRIX, the subject experienced a rash on his arms and legs. The subject was taken to the physician's office on 27 June 2008, and was treated with BENADRYL. No further adverse events were reported. At the time of reporting, the outcome of the events was unspecified. The healthcare professional considered the events were possibly related to vaccination with HAVRIX. Follow-up information received via the subjects physician on 29 July 2008 indicated that the subject developed a diffuse rash one day after administration of HAVRIX pediatric, on 27 June 2008. The subject was diagnosed as having erythema multiforme. He had a rash on his arms and legs and urticaria on his trunk and face. The rashes were described as annular. The events resolved on 02 July 2008 and were considered possibly related to treatment with HAVRIX.
Age: 25.0
Sex: M
Vaccine: HEPAB, PPV
Symptoms: Body temperature increased, Erythema, Injection site cellulitis, Nonspecific reaction, Oedema peripheral
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of a bad reaction in a subject of unspecified age and gender who was vaccinated with TWINRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of TWINRIX (unknown). At an unspecified time after vaccination with TWINRIX, the subject experienced an unspecified bad reaction. At the time of reporting the outcome of the event was unspecified. Follow-up information received on 08 July 2008 indicated that the subject was an adult male. On an unspecified date, he received TWINRIX at 1.0 ml in an unknown arm and then received a dose of Pneumovax in the other arm. Six hours following vaccination with TWINRIX, the subject developed pain and swelling in the arm (a systemic reaction) that he received TWINRIX. The subject took Tylenol without benefit. He returned to the physician's office and was seen as having whole limb swelling, pain and was unable to move his arm. The subject was sent to the emergency room and it was unknown if the symptoms were improving at the time of reporting. In the reporter's opinion, the events were probably related to treatment with TWINRIX. Follow-up information received on 29 July 2008 indicated that the subject was a 25 year old HIV positive male. He received 1st dose of TWINRIX in the left deltoid on 24 June 2008. He also received a dose of PNEUMOVAX on 24 June 2008 in the right deltoid. That evening, about 6 hours following vaccination with TWINRIX on 24 June 2008, the subject developed a fever and swelling and tenderness of the left arm. The subject returned to the clinic on 25 June 2008 at 12:00 and his left arm was swollen, red and tender to the touch. The subject left arm was tender from the shoulder to the elbow. He had a fever of 101 degrees. The subject was escorted to the hospital emergency room. The events were considered to be clinically significant and or required intervention. Cellulitis at the injection site was diagnosed (onset reported as 24 June 2008). The subject was treated with Benadryl, Decadron and Augmentin. Complete resolution of cellulitis, fever, tenderness of the arm and tenderness to the touch were reported. These events were also reported to be related to treatment with TWINRIX. All other events were reported as improved. Further immunizations with TWINRIX were discontinued.
Age: 25.0
Sex: M
Vaccine: HEPAB, PPV
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of a bad reaction in a subject of unspecified age and gender who was vaccinated with TWINRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of TWINRIX (unknown). At an unspecified time after vaccination with TWINRIX, the subject experienced an unspecified bad reaction. At the time of reporting the outcome of the event was unspecified. Follow-up information received on 08 July 2008 indicated that the subject was an adult male. On an unspecified date, he received TWINRIX at 1.0 ml in an unknown arm and then received a dose of Pneumovax in the other arm. Six hours following vaccination with TWINRIX, the subject developed pain and swelling in the arm (a systemic reaction) that he received TWINRIX. The subject took Tylenol without benefit. He returned to the physician's office and was seen as having whole limb swelling, pain and was unable to move his arm. The subject was sent to the emergency room and it was unknown if the symptoms were improving at the time of reporting. In the reporter's opinion, the events were probably related to treatment with TWINRIX. Follow-up information received on 29 July 2008 indicated that the subject was a 25 year old HIV positive male. He received 1st dose of TWINRIX in the left deltoid on 24 June 2008. He also received a dose of PNEUMOVAX on 24 June 2008 in the right deltoid. That evening, about 6 hours following vaccination with TWINRIX on 24 June 2008, the subject developed a fever and swelling and tenderness of the left arm. The subject returned to the clinic on 25 June 2008 at 12:00 and his left arm was swollen, red and tender to the touch. The subject left arm was tender from the shoulder to the elbow. He had a fever of 101 degrees. The subject was escorted to the hospital emergency room. The events were considered to be clinically significant and or required intervention. Cellulitis at the injection site was diagnosed (onset reported as 24 June 2008). The subject was treated with Benadryl, Decadron and Augmentin. Complete resolution of cellulitis, fever, tenderness of the arm and tenderness to the touch were reported. These events were also reported to be related to treatment with TWINRIX. All other events were reported as improved. Further immunizations with TWINRIX were discontinued.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Hypoaesthesia, Vision blurred, Visual disturbance, Visual field defect
Clinical narrative: 07/30/08 8:00 pm patient started to experience some visions changes (blurry vision, seeing spots, decreased peripheral vision), at about 10:00 pm she had severe headache and numbness to bilateral hands and arms. Severe headache continued till about 2:00 am. Medicated with Tylenol 100 mg and Motrin.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Left arm (injection site) became red, swollen, hard, warm to touch and itchy the day after the injection was given. In 24 hours was the size of an egg, 48 hours hard area size of large egg (5cm) and redness and warmth 10 cm. States one week later hard area was size of large marble. Encouraged to apply warm compress to promote healing. States was very tired 2-3 days after injection.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Left arm (injection site) became red, swollen, hard, warm to touch and itchy the day after the injection was given. In 24 hours was the size of an egg, 48 hours hard area size of large egg (5cm) and redness and warmth 10 cm. States one week later hard area was size of large marble. Encouraged to apply warm compress to promote healing. States was very tired 2-3 days after injection.
Age: 20.0
Sex: F
Vaccine: MEN
Symptoms: Influenza like illness, Myalgia, Pyrexia, Vomiting
Clinical narrative: 1 day after immunization had flu like symptoms consistin of low grade fever, vomiting, all over muscle ache
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood test normal, Chest X-ray normal, Lip swelling, Myalgia, Nausea
Clinical narrative: 7-24-08 fever 100.2 Next day:fever higher with 104.8 being highest,did not want to be touched,nauseated,throat tightened,fingers/toes curled,vomiting x 2,lips swelled, abnormal speech pattern.  Seen in ER, no treatment.  Ok by evening of the 26th other than muscle soreness in hands and stomach.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Speech disorder, Throat tightness, Urine analysis normal, Vomiting
Clinical narrative: 7-24-08 fever 100.2 Next day:fever higher with 104.8 being highest,did not want to be touched,nauseated,throat tightened,fingers/toes curled,vomiting x 2,lips swelled, abnormal speech pattern.  Seen in ER, no treatment.  Ok by evening of the 26th other than muscle soreness in hands and stomach.
Age: 29.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt received anthrax vaccination in L arm 5 April 2008, states red painful swelling started 6 April 2008 at injection site that continued to worsen. Pt went to the MC 9 April 2008 where he received a prescription for Hydroxyzine and Ibuprofen. Pt returned 12 July 08 with completely resolved reaction. Pt not cleared for further Anthrax immunization.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, OPV, PNC, RV5
Symptoms: Muscle twitching, Pyrexia
Clinical narrative: Patient developed a fever to 102.9 and had repeated eye twitching/possible seizure activity within 24 hours of vaccination.
Age: 4.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Mother called 7-31-08 stating child had redness and knot of left arm and was warm to touch. Redness started yesterday. Child was not complaining with arm and does not act ill.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Inappropriate schedule of drug administration, Pain, Pruritus
Clinical narrative: Chicken pox like blisters with itching appearing on mostly face but some isolated on other parts of body with leaving scars w/o any healing interference. Pain to the touch along nerves inside of thighs, along outside of arm, on face with moderate touch.
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm below injection site one day after receiving vaccine had a red raised area about pea size. 2nd day after vaccine area enlarged to 1" x 2".  3rd day area has flattened out but has spread a little larger.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Pyrexia
Clinical narrative: High fever, fatigue  onset 36 hours after vaccination was administered
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Feeling abnormal, Loss of consciousness, Pallor, Syncope
Clinical narrative: ABOUT 4 MINS. AFTER IMMS. WE'RE GIVEN PT. LOOKED VERY WHITE AT THE FACE AND SHE REPORTED THAT SHE FELT FUNNY, WALKED TO HER MOTHER, AND THEN SHE FELL OUT WHILE IN HER MOTHER'S ARMS. SHE WAS OUT FOR ABOUT 2 SECONDS SHE CAME BACK RIGHT AWAY. I PLACED HER IN A CHAIR SHE REPORTED THAT SHE FELT FINE, PT. THEN WAS PLACED ON THE TABLE WITH HER MOTHER AT HER SIDE TO CALM DOWN, SHE DID GET A LITTLE EXCITED AFTER THE SYNCOPE EPISODE COOL CLOTH WAS APPLIED TO HER FOREHEAD SO THAT SHE FELL A LITTLE BETTER. DR. EXAMINED PATIENT AFTER EPISODE PATIENT WAS CLEARED BUT STILL HAD TO WAIT THE 15-20 MINS. STILL.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncope within 3 minutes of receiving vaccination, was sitting.  Regained consciousness easily.  States she has felt dizzy when received a flu vaccination in past.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: About 12 hours after the vaccine, patient had multiple episodes of vomiting
Age: 34.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Injection site pain, Muscle twitching, Sensation of pressure
Clinical narrative: Arm twitch, pain at injection site, felt as though i had pressure in my heart
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Fatigue, Immediate post-injection reaction, Injection site erythema, Pyrexia
Clinical narrative: After receiving VARIVAX arm turned instantly red around injection site! Ice pack applied. No numbness, tingling or breathing problems. Patient took BENADRYL and ADVIL x 2 days.  Also complained of fatigue and fever on and off.  On 7-31-2008 patients mom states patient is fine and arm looks good.  No redness or selling noted per mom.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient vomited twice approximatelly 10 minutes after receiving vaccines.  No fever.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: 5 1/2X 4CM AREA OF INFLAMMATION AT INJECTION SITE.  USE TYLENOL FOR SWELLING/PAIN AND ICE PACKS TO AREA
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscle spasms, Oedema peripheral
Clinical narrative: Bad leg cramps and swelling in both legs. 8/11/08-records received for DOS 7/2-7/3/08-DC DX: Resolved leg pain. Petechial rash stopped to spread. Pharyngitis, tonsillitis resolving. Dehydration resolved. Presented with severe leg cramping, cold to lower extremities and bluish lower extremities. Developed rash day before admission. Sore throat, erythematous and swollen.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Bacterial infection, Blood test abnormal, Infectious mononucleosis, Mononucleosis heterophile test positive, Movement disorder
Clinical narrative: Bad leg cramps and swelling in both legs. 8/11/08-records received for DOS 7/2-7/3/08-DC DX: Resolved leg pain. Petechial rash stopped to spread. Pharyngitis, tonsillitis resolving. Dehydration resolved. Presented with severe leg cramping, cold to lower extremities and bluish lower extremities. Developed rash day before admission. Sore throat, erythematous and swollen.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Screaming, Splenomegaly
Clinical narrative: Bad leg cramps and swelling in both legs. 8/11/08-records received for DOS 7/2-7/3/08-DC DX: Resolved leg pain. Petechial rash stopped to spread. Pharyngitis, tonsillitis resolving. Dehydration resolved. Presented with severe leg cramping, cold to lower extremities and bluish lower extremities. Developed rash day before admission. Sore throat, erythematous and swollen.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Urticaria
Clinical narrative: Pt. received Dtap, Hep A vaccines. After walking to parking lot, mom returned with child. She had been crying throughout procedure, now had red "whelps" on various areas of face, neck & arms. She was not having any respiratory problems.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, TD, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Td administered rather than DTaP
Age: 61.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Hyperaesthesia, Injection site pain, Injection site rash, Pain
Clinical narrative: Pain and rash approximately 3-4 inch diameter surrounding the injection site in the left arm, redness, warmth, and sensitivity to touch first noticed approximately 30 hrs post injection.  Took 2 x 325mg Tylenol overnight for pain.  Currently 48 hrs post injection. The warmth and sensitivity to touch has decreased, but the extent of the rash remains.  No further medication taken.  Pharmacist and Physician notified
Age: 61.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin papilloma
Clinical narrative: Pain and rash approximately 3-4 inch diameter surrounding the injection site in the left arm, redness, warmth, and sensitivity to touch first noticed approximately 30 hrs post injection.  Took 2 x 325mg Tylenol overnight for pain.  Currently 48 hrs post injection. The warmth and sensitivity to touch has decreased, but the extent of the rash remains.  No further medication taken.  Pharmacist and Physician notified
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Injection site swelling, Injection site warmth, Migraine
Clinical narrative: 24 hours after TDaP, felt achy-especially in back and had fever (exact temp unknown)and chills.  Two days later, developed migrane headache and itchy rash, mostly across chest.  Rash was little pink bumps that still looked pink two days later but not raised.  Migrane and rash lasted 2 days. At injection site, arm swollen, tender, warm and remained warm for 4 days.  Client did not associate ill feelings with vaccine until she looked at side effects sheet 2 days later and noticed she had many of them.  She did not require MD treatment.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: No reaction on previous exposure to drug, Pain, Pyrexia, Rash pruritic
Clinical narrative: 24 hours after TDaP, felt achy-especially in back and had fever (exact temp unknown)and chills.  Two days later, developed migrane headache and itchy rash, mostly across chest.  Rash was little pink bumps that still looked pink two days later but not raised.  Migrane and rash lasted 2 days. At injection site, arm swollen, tender, warm and remained warm for 4 days.  Client did not associate ill feelings with vaccine until she looked at side effects sheet 2 days later and noticed she had many of them.  She did not require MD treatment.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient's mother phoned to report a reaction to an immunization her daughter received from our clinic. The patient did go to a physician who reportedly diagnosed the patient with "cellulitis" at the site of the immunization.  The mother describes the site as "red and swollen" and "a little bigger than a silver dollar."  The mother denies any drainage from the site.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme developed within 24 hours after administration og Tdap
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Herpes zoster, Inappropriate schedule of drug administration, Musculoskeletal pain
Clinical narrative: On June 4, 2008 I started having pain in right shoulder area.  As a result I developed shingles.  I didn't think anything of this as being related to my vaccine I received on 5/12/08.  In discussing this with other nurses that I used to work with 2 of them have gotten shingles shortly after receiving the vaccine.  I was not physically around those other nurses at all.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & redness on the Right upper arm at the site of vaccination
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: 06-13-2008 Patient was in clinic for first HPV vaccine & other vaccines.  A pre-administration urine pregnancy test was negative/ vaccine was given. Then on 7-30-2008, patient returned for HPV #2 and reports she is 3 months pregnant and says she knew that at the time of first vaccine, but did not report pregnancy.  No additional vaccines given and no known effect at this time.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Excessive crying since vaccines. No fever, vomiting, diarrhea, or rash.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blood pressure, Dizziness, Dyskinesia, Gaze palsy, Heart rate normal
Clinical narrative: With patient sitting in chair, Boostrix and Gardasil were administered simultaneously by the nurses.  When Menactra was then administered, pt. had following symptoms for 1 minute - eyes rolled back, color became ashen, arms jerked twice, pt. was non-responsive and slumped in chair.  Pt. then responded to verbal questions.  She shook her head, "Yes", when asked if she was dizzy and nauseated.  Pt followed verbal commands and was assisted to exam table and laid down.  B/P - 94/64. Pulse - 68, regular. Cool compress applied to forehead.  Pt. stated she felt better and drank approx. 3 ounces of water. Pt. rested on exam table for 20 minutes.  At 11:50am - B/P - 96/52. Pulse - 64.  Pt. was assisted from table and was able to walk without assistance.  No further complaints voiced.  Pt. left office, accompanied by mother.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Hypotonia, Nausea, Pallor, Unresponsive to stimuli
Clinical narrative: With patient sitting in chair, Boostrix and Gardasil were administered simultaneously by the nurses.  When Menactra was then administered, pt. had following symptoms for 1 minute - eyes rolled back, color became ashen, arms jerked twice, pt. was non-responsive and slumped in chair.  Pt. then responded to verbal questions.  She shook her head, "Yes", when asked if she was dizzy and nauseated.  Pt followed verbal commands and was assisted to exam table and laid down.  B/P - 94/64. Pulse - 68, regular. Cool compress applied to forehead.  Pt. stated she felt better and drank approx. 3 ounces of water. Pt. rested on exam table for 20 minutes.  At 11:50am - B/P - 96/52. Pulse - 64.  Pt. was assisted from table and was able to walk without assistance.  No further complaints voiced.  Pt. left office, accompanied by mother.
Age: 55.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Inappropriate schedule of drug administration, Induration, Pain, Pruritus
Clinical narrative: Initial vaccine gien on 7/25/2008.Redness and warmth with induration reported on 7/30/2008. Initially fine first 4 days, 5th day several small red raised areas, itching and swelling (soft), some pain with palpation. Diphenhydramine and cold packs evening and next day. By 4 pm on 7/31 area is red and indurated 7 cm in diameter. Afebrile, no itching but tender to palpation. Started on Medrol dose pack.
Age: 55.0
Sex: F
Vaccine: DTAP
Symptoms: Skin warm, Swelling
Clinical narrative: Initial vaccine gien on 7/25/2008.Redness and warmth with induration reported on 7/30/2008. Initially fine first 4 days, 5th day several small red raised areas, itching and swelling (soft), some pain with palpation. Diphenhydramine and cold packs evening and next day. By 4 pm on 7/31 area is red and indurated 7 cm in diameter. Afebrile, no itching but tender to palpation. Started on Medrol dose pack.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Rash erythematous
Clinical narrative: erythematous rash 4 cm below injection site occured 4 days after administration.  The rash is a flat erythematous base around 10 cm x 5 cm with overlying cluster of clear vesicles/bullae around 1cmx0.5 largest and several which are 3-6mm diameter
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Full blood count, Headache, Metabolic function test
Clinical narrative: Generalized weakness,dizzyness and headache
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Urine analysis, Urine human chorionic gonadotropin
Clinical narrative: Generalized weakness,dizzyness and headache
Age: 45.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Headache, Lymphadenopathy, Pain, Pruritus, Pyrexia
Clinical narrative: fever, rash, aches,headache, postauricular lymph nodes, itching--began on day 11 or 12 after vaccines given.  Rash --macular on arms, a few papules on neck, no vesicles.  Temp went up to 100.4.  OTC benadryl for itching.  If not resolving or worsens--RTC
Age: 45.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Rash macular, Rash papular
Clinical narrative: fever, rash, aches,headache, postauricular lymph nodes, itching--began on day 11 or 12 after vaccines given.  Rash --macular on arms, a few papules on neck, no vesicles.  Temp went up to 100.4.  OTC benadryl for itching.  If not resolving or worsens--RTC
Age: 48.0
Sex: U
Vaccine: HEP, HEPA
Symptoms: Cold sweat, Dizziness
Clinical narrative: Pt got Engerix-B in 1 arm then Havrix in other arm.Right after the Havrix,pt reported feeling lightheaded.I had her put her head on the table for a few minutes.Approximately 3-5 minutes later,I found her in a seizurelike state & administered the epipen.She recovered within a few seconds after the epipen,though still clammy & the EMT came about 5 minutes later.
Age: 43.0
Sex: F
Vaccine: MMR, YF
Symptoms: Axillary pain, Lymphadenopathy, Oedema
Clinical narrative: Subject had received Hep A, Tdap and Vivotif (typhoid) vaccination from another health care provider on 7/14/2008. On 7/28/2008, subject was given MMR vaccine to left arm, YF Vax Vaccine to right arm subcutaneously.  On 7/30/2008 subject was observed to have edema to right axillae which she reports began the morning of 7/29/2008. C/o tenderness to swelling site.  Denies fever, throat itching, other swelling or other symptoms. No redness observed to axillae or area.   Subject reports no previous history of receiving YF Vax, no allergies to eggs, no history of thymus disorder or other immune compromising condition. Subject describes herself as in good health.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Anxiety, Chest X-ray normal, Decreased appetite, Dizziness, Electroencephalogram normal
Clinical narrative: 5/20/08 - fever 103 and vomiting, 5/22/08 weak strep response and antibiotic given and got better, 5/25 101 fever and ER visit, high wbc count dx acute viral syndrome.  After this extreme fatigue, anxiety, syncope (x2)in June and July, lightheadedness, weight loss (10 #), decreased appetite and floater in vision. 8/18/08-records received for DOS 5/25/08-presented to ED with C/O cough, sore throat, fever, chills, muscle aches and "flu" started 5 days agao. Diagnosed with Strep 4 days ago. Today developed fever. Nasal discharge. Moderate frontal headache.  Impression:Acute viral syndrome.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Fatigue, Mononucleosis heterophile test negative, Pyrexia, Streptococcal identification test positive, Syncope
Clinical narrative: 5/20/08 - fever 103 and vomiting, 5/22/08 weak strep response and antibiotic given and got better, 5/25 101 fever and ER visit, high wbc count dx acute viral syndrome.  After this extreme fatigue, anxiety, syncope (x2)in June and July, lightheadedness, weight loss (10 #), decreased appetite and floater in vision. 8/18/08-records received for DOS 5/25/08-presented to ED with C/O cough, sore throat, fever, chills, muscle aches and "flu" started 5 days agao. Diagnosed with Strep 4 days ago. Today developed fever. Nasal discharge. Moderate frontal headache.  Impression:Acute viral syndrome.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Viral infection, Vitreous floaters, Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: 5/20/08 - fever 103 and vomiting, 5/22/08 weak strep response and antibiotic given and got better, 5/25 101 fever and ER visit, high wbc count dx acute viral syndrome.  After this extreme fatigue, anxiety, syncope (x2)in June and July, lightheadedness, weight loss (10 #), decreased appetite and floater in vision. 8/18/08-records received for DOS 5/25/08-presented to ED with C/O cough, sore throat, fever, chills, muscle aches and "flu" started 5 days agao. Diagnosed with Strep 4 days ago. Today developed fever. Nasal discharge. Moderate frontal headache.  Impression:Acute viral syndrome.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Antinuclear antibody negative, Blood magnesium normal, Blood phosphorus normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: C-reactive protein increased, Cardiac enzymes normal, Cardiomyopathy, Catheterisation cardiac normal, Chest X-ray normal
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Coagulation test normal, Complement factor C3, Complement factor C4, Complement factor normal
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Computerised tomogram normal, Cytomegalovirus test positive, Dizziness, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Electrocardiogram abnormal, Epstein-Barr virus antibody positive, Fatigue, Fibrin D dimer increased, Full blood count normal
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Herpes simplex serology positive, Hyperhidrosis, Influenza like illness, Malaise, Metabolic function test
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Metabolic function test normal, Parvovirus B19 serology negative, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Thyroxine free normal
Clinical narrative: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness.  Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL.  Status effective Aug 2009.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Electroencephalogram abnormal, Epilepsy, Grand mal convulsion
Clinical narrative: Had seizure - grand mal - 11 days after GARDASIL.  Diagnosed idiopathic generalized epilepsy, CT scan - NL. 11/10/08-EEG report received for DOS 1/10/08-first seizure 1/8/08-with fall to floor and generalized tonic clonic seizure.