chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Occult blood positive, Syncope
Clinical narrative: Information has been received from a healthcare worker concerning a 17 year old female patient with no known drug reactions/allergies and medical history who on 15-OCT-2008 was vaccinated intramuscularly with the first dose 0.5 ml dose of GARDASIL (Lot #660618/0572X), and on 22-DEC-2008 with the second dose of GARDASIL (Lot #661044/0548X). There was no concomitant medication. On 29-DEC-2008 at home the patient experienced syncope and possible seizure. The patient was evaluated at a local emergency room and a CT scan of the brain and Electrocardiogram were normal. Since then, the patient had experienced persistent dizziness, headaches, and nausea. The patient was examined in the office and was prescribed PREVACID. An Electroencephalogram was normal. The stool was positive for occult blood so the patient was referred to an unspecified gastroenterologist. An abdominal ultrasound and endoscopy had been scheduled. The patient sought medical attention. At the time of reporting the patient was not recovered. Upon internal review seizures were considered to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Familial risk factor
Clinical narrative: Information has been received from the mother concerning her 13 year old daughter who on 16-OCT-2008 was vaccinated with a dose of GARDASIL.  On 16-OCT-2008 the patient experienced severe breathing problems and was hospitalized.  At the time of reporting the patient was not recovered.  The patient's sibling experienced heart problems after vaccination with GARDASIL (MSD WAES 0901USA03550).  This is one of two reports received from the same source.  No further information is available.
Age: 23.0
Sex: F
Vaccine: SMALL, TYP
Symptoms: Blood pressure increased, Dyspnoea, Pruritus, Swelling, Tachycardia
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database (VAERS Id Number: 317893). It was originally reported to VAERS by another manufacturer (Acambis, Inc)" A 23 year-old female patient, had received on 05 May 2008 a first intramuscular injection of TYPHIM VI, and a first infection of SMALLPOX. At an unspecified amount of time later, on the same day, the patient experienced swelling, pruritus, tachycardia (heart rate 117 beats/min), elevated blood pressure (160/90mmHg), and shortness of breath. The patient was hospitalized and received corrective treatment with intramuscular EPINEPHRINE times three doses, intramuscular and intravenous SOLU-MEDROL, OXYGEN and ZYRTEC. It was not reported whether the patient underwent diagnostic tests or had any laboratory data completed. The patient had positive response to the anaphylactic medications. The patient recovered; however a recovery date was not provided. Documents held by sender: None
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Inflammation, Swelling
Clinical narrative: Swelling, Inflamation
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Blood pressure fluctuation, Dizziness, Dyspnoea, Feeling abnormal, Feeling cold
Clinical narrative: I became very light headed, as though I was going to lose consciousness.  My finger tips began to tingle, as though they were asleep.  Then my feet began to tingle.  This tingleing progressed up my legs and up my arms.  I couldn't feel my lips, and they began to tingle also.  My body became very cold, and I was shaking.  My husband put his coat on me, and two blankets, and I still couldn't get warm.  I felt like I had to have him talk to me to help me stay conscious.  I felt like I was going to lose bowel control.  I was struggling to breath.  I kept telling myself to breath, breath, breath.  My head felt like it was vibrating, but not pounding.  My blood pressure went up to 212 over 110.  I felt like if I lost consciousness, I would die.  I really focused on keeping myself breathing and awake.  It was very hard.  After an hour, the ER nurse took my blood pressure again.  It was 185 over 110.  I felt more conscious, and the tingling was reciding from my body core to the extremities.  The ER doctor never came to see me.  The nurse told me that I could leave whenever I wanted.  It took me another half hour to feel comfortable trying to stand and walk.  I was very light-headed, but not really dizzy.  It was like I was outside of my body.  My father-in-law was in the rehab unit, so my husband and I went to visit him.  The nurse there took my blood pressure after another hour, and it was still 180 over 110.  The tingling finally went completely away after about two and half hours after it started.  I did not get to feeling warm until much later in the night, about 6 to 8 hour later.  I usually have a blood pressure reading between 101 and 140 over 80 to 90.  However, I am still flucuating between 150 and 180 over 100 to 104.  It is now four week later.  I also have some soreness in the armpit in the right arm.  The hospital would not tell me the brand or lot of the vaccine.  In fact, the nurse just wanted me to sign a paper without explaining the possible side effects.  I had to ask for them, and then she told me I was just hallucinating my symptoms. 3/3/09- records received-1/9/09-seen in ED for C/O foreign born object in right eye, received Td booster. No documentation of blood pressure elevation.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Head discomfort, Hypoaesthesia oral, Inappropriate schedule of drug administration, Pain in extremity, Paraesthesia
Clinical narrative: I became very light headed, as though I was going to lose consciousness.  My finger tips began to tingle, as though they were asleep.  Then my feet began to tingle.  This tingleing progressed up my legs and up my arms.  I couldn't feel my lips, and they began to tingle also.  My body became very cold, and I was shaking.  My husband put his coat on me, and two blankets, and I still couldn't get warm.  I felt like I had to have him talk to me to help me stay conscious.  I felt like I was going to lose bowel control.  I was struggling to breath.  I kept telling myself to breath, breath, breath.  My head felt like it was vibrating, but not pounding.  My blood pressure went up to 212 over 110.  I felt like if I lost consciousness, I would die.  I really focused on keeping myself breathing and awake.  It was very hard.  After an hour, the ER nurse took my blood pressure again.  It was 185 over 110.  I felt more conscious, and the tingling was reciding from my body core to the extremities.  The ER doctor never came to see me.  The nurse told me that I could leave whenever I wanted.  It took me another half hour to feel comfortable trying to stand and walk.  I was very light-headed, but not really dizzy.  It was like I was outside of my body.  My father-in-law was in the rehab unit, so my husband and I went to visit him.  The nurse there took my blood pressure after another hour, and it was still 180 over 110.  The tingling finally went completely away after about two and half hours after it started.  I did not get to feeling warm until much later in the night, about 6 to 8 hour later.  I usually have a blood pressure reading between 101 and 140 over 80 to 90.  However, I am still flucuating between 150 and 180 over 100 to 104.  It is now four week later.  I also have some soreness in the armpit in the right arm.  The hospital would not tell me the brand or lot of the vaccine.  In fact, the nurse just wanted me to sign a paper without explaining the possible side effects.  I had to ask for them, and then she told me I was just hallucinating my symptoms. 3/3/09- records received-1/9/09-seen in ED for C/O foreign born object in right eye, received Td booster. No documentation of blood pressure elevation.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Tremor
Clinical narrative: I became very light headed, as though I was going to lose consciousness.  My finger tips began to tingle, as though they were asleep.  Then my feet began to tingle.  This tingleing progressed up my legs and up my arms.  I couldn't feel my lips, and they began to tingle also.  My body became very cold, and I was shaking.  My husband put his coat on me, and two blankets, and I still couldn't get warm.  I felt like I had to have him talk to me to help me stay conscious.  I felt like I was going to lose bowel control.  I was struggling to breath.  I kept telling myself to breath, breath, breath.  My head felt like it was vibrating, but not pounding.  My blood pressure went up to 212 over 110.  I felt like if I lost consciousness, I would die.  I really focused on keeping myself breathing and awake.  It was very hard.  After an hour, the ER nurse took my blood pressure again.  It was 185 over 110.  I felt more conscious, and the tingling was reciding from my body core to the extremities.  The ER doctor never came to see me.  The nurse told me that I could leave whenever I wanted.  It took me another half hour to feel comfortable trying to stand and walk.  I was very light-headed, but not really dizzy.  It was like I was outside of my body.  My father-in-law was in the rehab unit, so my husband and I went to visit him.  The nurse there took my blood pressure after another hour, and it was still 180 over 110.  The tingling finally went completely away after about two and half hours after it started.  I did not get to feeling warm until much later in the night, about 6 to 8 hour later.  I usually have a blood pressure reading between 101 and 140 over 80 to 90.  However, I am still flucuating between 150 and 180 over 100 to 104.  It is now four week later.  I also have some soreness in the armpit in the right arm.  The hospital would not tell me the brand or lot of the vaccine.  In fact, the nurse just wanted me to sign a paper without explaining the possible side effects.  I had to ask for them, and then she told me I was just hallucinating my symptoms. 3/3/09- records received-1/9/09-seen in ED for C/O foreign born object in right eye, received Td booster. No documentation of blood pressure elevation.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site rash, Local reaction
Clinical narrative: Vaccination was administered 11/5/2008, pt presented to the clinic on 11/14/2008 with a rash to the injection site that was diagnosed by Dr. as a local reaction to the flu injection, with no induration. She was given a 7 day course of oral Bactrim. 12/30/2008, mom reported to Dr. that the injection site of flu immunization still looked the same and she wanted to report it to the company.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test normal, Body temperature increased, Chest X-ray normal, Convulsion, Culture throat negative
Clinical narrative: Vaccination was administered 11/5/2008, pt presented to the clinic on 11/14/2008 with a rash to the injection site that was diagnosed by Dr. as a local reaction to the flu injection, with no induration. She was given a 7 day course of oral Bactrim. 12/30/2008, mom reported to Dr. that the injection site of flu immunization still looked the same and she wanted to report it to the company.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Culture urine negative, Erythema, Fatigue, Injection site discolouration, Injection site dryness
Clinical narrative: Vaccination was administered 11/5/2008, pt presented to the clinic on 11/14/2008 with a rash to the injection site that was diagnosed by Dr. as a local reaction to the flu injection, with no induration. She was given a 7 day course of oral Bactrim. 12/30/2008, mom reported to Dr. that the injection site of flu immunization still looked the same and she wanted to report it to the company.
Age: 2.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site scar, Injection site urticaria, Streptococcal identification test negative
Clinical narrative: Vaccination was administered 11/5/2008, pt presented to the clinic on 11/14/2008 with a rash to the injection site that was diagnosed by Dr. as a local reaction to the flu injection, with no induration. She was given a 7 day course of oral Bactrim. 12/30/2008, mom reported to Dr. that the injection site of flu immunization still looked the same and she wanted to report it to the company.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Patient received MMR vaccination on 1/16/09. 4-5 days later patient developed rash. Patient's HbA1c is elevated but unsure if patient was diagnosed with Diabetes. Unsure if patient developed measles after vaccination. Patient was seen at outside clinic, Dr is having difficulty following up with patient. Unknown current patient's status.
Age: 0.79
Sex: M
Vaccine: HEP
Symptoms: Conjunctivitis, Feeling abnormal, Immunoglobulin therapy, Kawasaki's disease, Occult blood positive
Clinical narrative: Kawaski disease, resulting with the tx of IVIG, after 6-7 days of various invasive testing to rule out other illnesses.  2/4/09 ER note received for DOS 3/6/08 with DX: Otitis Media. Pt presented with 1 day hx of fever with lethargy, fussiness and poor feeding.  One episode of crying which suddenly stopped. Upon arrival pt sleeping in NAD.  Tx with abx and Tylenol. 3/9/09  MR received for DOS 3/7-12/2008 with D/C DX:  Kawasaki Disease.  ER visit 3/6/08 as above.  Returned next day with continued fussiness, rash, cough and nasal drainage. PE (+) for cracked lips, erythematous TMs, conjunctivitis, cervical lymphadenopathy, and erythematous maculopapular rash. Tx IVIG with some resolution of sx by d/c. 3/4/09 MR received for ER visit 3/15/08 for fever.  Recently d/c with DX:  Kawasaki's. D/C home . Follow-up: Patient is and will always be a cardiac patient now, there is possibility of coronary aneurysm at anytime of his life. He is followed regularly by a cardiologist. Patient didn't have cardiac issues before this sickness and because of it he is now at risk of aneurysm's in his coronary arterys as well as other arterys within his body. A healthy boy has now been injured and turned into a cardiac patient for the rest of his life.
Age: 0.79
Sex: M
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Kawaski disease, resulting with the tx of IVIG, after 6-7 days of various invasive testing to rule out other illnesses.  2/4/09 ER note received for DOS 3/6/08 with DX: Otitis Media. Pt presented with 1 day hx of fever with lethargy, fussiness and poor feeding.  One episode of crying which suddenly stopped. Upon arrival pt sleeping in NAD.  Tx with abx and Tylenol. 3/9/09  MR received for DOS 3/7-12/2008 with D/C DX:  Kawasaki Disease.  ER visit 3/6/08 as above.  Returned next day with continued fussiness, rash, cough and nasal drainage. PE (+) for cracked lips, erythematous TMs, conjunctivitis, cervical lymphadenopathy, and erythematous maculopapular rash. Tx IVIG with some resolution of sx by d/c. 3/4/09 MR received for ER visit 3/15/08 for fever.  Recently d/c with DX:  Kawasaki's. D/C home . Follow-up: Patient is and will always be a cardiac patient now, there is possibility of coronary aneurysm at anytime of his life. He is followed regularly by a cardiologist. Patient didn't have cardiac issues before this sickness and because of it he is now at risk of aneurysm's in his coronary arterys as well as other arterys within his body. A healthy boy has now been injured and turned into a cardiac patient for the rest of his life.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Bursitis, Musculoskeletal pain, Rotator cuff syndrome
Clinical narrative: Pain in shoulder of same side as vaccine administration starting 24 hours after given.  Exam consistent with subdeltoid bursitis and rotator tendinitis.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Rash, Rash papular, Rash pruritic
Clinical narrative: Pt. received Zostavax on 01/06/2009. She developed an itchy painful rash on her neck and an itchy sensitive area on right scapula and  under her right breast on 02/01/2009.                                       T: 96.3  B/P 130/70  P: 74 and regular  Red Papuales on neck  No lesion seen on trunk Pt. treated with Acyclovir 800mg 5 times a day for 7 days.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hyperaesthesia, Pain, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Pt. received Zostavax on 01/06/2009. She developed an itchy painful rash on her neck and an itchy sensitive area on right scapula and  under her right breast on 02/01/2009.                                       T: 96.3  B/P 130/70  P: 74 and regular  Red Papuales on neck  No lesion seen on trunk Pt. treated with Acyclovir 800mg 5 times a day for 7 days.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: Brought to the office on 01/31/09 for inconsolable crying.  No cause for the crying found on exam.  No redness or induration at either injection site. No other illness noted.
Age: 0.65
Sex: M
Vaccine: HEP, PPV
Symptoms: Communication disorder, Lethargy, Listless, Pyrexia, Screaming
Clinical narrative: Few hours later high fever. Next day more serious- letahrgic, high fever despite several doses of Tylonol and Motrin, vomiting, listless, non communicative, screaming,inconsolable
Age: 0.65
Sex: M
Vaccine: HEP, PPV
Symptoms: Vomiting
Clinical narrative: Few hours later high fever. Next day more serious- letahrgic, high fever despite several doses of Tylonol and Motrin, vomiting, listless, non communicative, screaming,inconsolable
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV
Symptoms: Herpes zoster
Clinical narrative: Shingles diagnosed 1/09
Age: 20.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Dehydration, Diarrhoea, Injection site swelling
Clinical narrative: 48 hours after administration - Fever, Chills, Swelling at Injection site, Aches, Diahreah for 6 days. DR. visit then sent to ER for fluids for dehydration. Weakness and weight loss continues for about 2 weeks after.
Age: 20.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Weight decreased
Clinical narrative: 48 hours after administration - Fever, Chills, Swelling at Injection site, Aches, Diahreah for 6 days. DR. visit then sent to ER for fluids for dehydration. Weakness and weight loss continues for about 2 weeks after.
Age: 67.0
Sex: M
Vaccine: FLU3, PNC, TDAP
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EVENTS, SYMPTOMS, OR TREATMENT REQUIRED
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Anxiety, Dizziness, Malaise, Urinary incontinence
Clinical narrative: ON FRIDAY, JAN 30 PAT CALLED STATED HE FELT ILL, DIZZY, ANXIOUS AND LOSING CONTROL OF HIS BLADDER. WE INSTRUCTED PATIENT TO GO TO ER IMMEDIATELY FOR EVALUATION.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Pruritus
Clinical narrative: One day after receiving the pneumonia vaccine he had redness appear on his left arm. There is minimal pruritus and no pain. The redness is at the site of the injection.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash
Clinical narrative: Rash at injection site after varicella vaccine in left thigh
Age: 14.0
Sex: M
Vaccine: FLUN3, HEPA, MNQ
Symptoms: Asthenia, Dizziness, Fall, Heart rate increased, Malaise
Clinical narrative: father states symptoms started at 10 PM on 2/2/09 he was trembling, and muscle twitching. then about 5:30 AM on 2/3/09 woke up sick, dizzy, got up and walked and fell over, upper and lower extremities twitching lasting about 30 seconds. presneted to clinic around 8:45 AM 2/3/09 feeling weak and tachycardic, Pulse 135-140. Evaluated by Nurse NP who conferred with MD and decided to send to ER for further evaluation.  2/9/09 Received ER medical records of 2/3/2009. FINAL DX: black out & seizure Records reveal patient experienced seizure x approx 30 secs that AM.  Exam WNL.    2/11/09 Received PCP vaccine records & clinic medical records of 2/3/2009. FINAL DX:none provided Records reveal patient experienced trembling, feeling hot & cold all night & then had witness seizure in AM.  Continued to feel anxious & lightheaded on exam with increased heart rate & BP.  Sent to ER for eval.
Age: 14.0
Sex: M
Vaccine: FLUN3, HEPA, MNQ
Symptoms: Muscle twitching, Tachycardia, Tremor
Clinical narrative: father states symptoms started at 10 PM on 2/2/09 he was trembling, and muscle twitching. then about 5:30 AM on 2/3/09 woke up sick, dizzy, got up and walked and fell over, upper and lower extremities twitching lasting about 30 seconds. presneted to clinic around 8:45 AM 2/3/09 feeling weak and tachycardic, Pulse 135-140. Evaluated by Nurse NP who conferred with MD and decided to send to ER for further evaluation.  2/9/09 Received ER medical records of 2/3/2009. FINAL DX: black out & seizure Records reveal patient experienced seizure x approx 30 secs that AM.  Exam WNL.    2/11/09 Received PCP vaccine records & clinic medical records of 2/3/2009. FINAL DX:none provided Records reveal patient experienced trembling, feeling hot & cold all night & then had witness seizure in AM.  Continued to feel anxious & lightheaded on exam with increased heart rate & BP.  Sent to ER for eval.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Diarrhoea, Pallor, Vomiting
Clinical narrative: FATHER REPORTS CHILD DEVELOPED MIDABDOMINAL PAIN, DIARRHEA, AND VOMITED ONCE STARTING 1/23/09.  IT BECAME INCREASINGLY WORSE AND SHE BECAME PALE ON 1/25/09.  PARENTS TOOK HER TO THE EMERGENCY ROOM AND SHE WAS GIVEN IV FLUIDS, BLOOD TESTS, AND URINE TESTS.  ALL TESTS WERE NORMAL. FATHER IS CONCERNED AS HE BELIEVES IT IS RELATED TO THE GARDISIL VACCINE. 2/23/09 Received ER medical records of 2/1/2009. FINAL DX: gastroenteritis Records reveal patient experienced nausea, vomiting, diarrhea, abdominal pain, fever, oral intake reduced, urinary frequency, dysuria, eye drainage, SOB, increased heart rate, weakness x 3 days.  Patient had similar experience after initial HPV vaccine.  Tx w/antinausea meds & IVF.  Improved & d/c to home.  2/26/09 Received PCP medical records of 8/30/07-12/8/08. FINAL DX: epigastric pain, likely gastritis Records reveal patient experienced abdominal pain intermittently x several months when seen 12/3, 12/7 & 12/8/2008.  Tx w/meds.
Age: 57.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Oedema peripheral, Paraesthesia, Swelling face
Clinical narrative: PATIENT REPORTS TINGLING RIGHT ARM WITHIN 5 MINUTES OF ADMINISTRATION OF IMMUNIZATION BY TIME PATIENT GOT HOME WITHIN THE HOUR RIGHT ARM SWOLLEN AND REDNESS FROM FINGERTIPS TO CHEST AND SHOULDER ON THE SIDE WHERE TDAP GIVEN WITH SOME SWELLING AND REDNESS UP INTO FACE AND RIGHT CHEEK PATIENT TOOK IBUPROFEN AND BENADRYL WITH COLD COMPRESS
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Ear infection, Erythema, Hypersensitivity, Rash
Clinical narrative: MMR and Varicella shot given on 1/21/09.  He had a very bad cold with congestion at the time of injection, he developed an ear infection 3 days later, two weeks later on 2/2/09 he develped a rash of pink dots on face, the next day he was covered head to toe in red dots, took to new dr and was told an allergic reaction to the mmr shot and given instructions to give zyrtec to child and aveno lotion. no fever no other symptoms.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Computerised tomogram, Disturbance in attention, Headache, Nuclear magnetic resonance imaging
Clinical narrative: Severe, chronic headaches that began very soon (within days) after first vaccination of Gardasil.  Headaches became progressively worse and currently continue daily- one year later.  Referral was made for vision testing, CT Scan and MRI, with no underlying cause of headaches determined.  Numerous different prescription drugs were prescribed with no effect until current prescription, taken twice daily, was found to help subdue the headaches- though they have not been eliminated.  At their worse, the headaches were debilitating- rendering my daughter unable to function at school with some days missed and numerous visits to the nurses office and then to the doctors office.  At home, she would just curl up into a ball many days- unable to function whatsoever.  The headaches begin when she wakes in the morning and persist throughout the day- every day.  3/13/09 OV dated 12/24/07 received from PCP for 16 yr WCC. Impression:  Acne.  Sent to derm. Left SI joint pain and R lower rib tenderness.  HPV vax given. 3/16/09 Neurology consults received dated 3/14/2008 to 2/2/2009.  Initially seen 3/14/08 for c/o 8-9 wk hx of H/A. Pt reports double vision, dizziness, nausea and lightheadedness with H/A. Recent 6lb weight loss.  PE WNL. DX:  Chronic Tension H/A. Rx meds.  F/u 6/2/08 with no improvement,H/A now daily. Meds increased. F/u 8/1/08 H/A now with photophbia and nausea. 8/8/08 Mom reporting memory difficulties x several weeks. 9/2008 started Cymbalta with some improvement in H/A, however having diarrhea and tiredness.  Changed to Zoloft.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ophthalmological examination
Clinical narrative: Severe, chronic headaches that began very soon (within days) after first vaccination of Gardasil.  Headaches became progressively worse and currently continue daily- one year later.  Referral was made for vision testing, CT Scan and MRI, with no underlying cause of headaches determined.  Numerous different prescription drugs were prescribed with no effect until current prescription, taken twice daily, was found to help subdue the headaches- though they have not been eliminated.  At their worse, the headaches were debilitating- rendering my daughter unable to function at school with some days missed and numerous visits to the nurses office and then to the doctors office.  At home, she would just curl up into a ball many days- unable to function whatsoever.  The headaches begin when she wakes in the morning and persist throughout the day- every day.  3/13/09 OV dated 12/24/07 received from PCP for 16 yr WCC. Impression:  Acne.  Sent to derm. Left SI joint pain and R lower rib tenderness.  HPV vax given. 3/16/09 Neurology consults received dated 3/14/2008 to 2/2/2009.  Initially seen 3/14/08 for c/o 8-9 wk hx of H/A. Pt reports double vision, dizziness, nausea and lightheadedness with H/A. Recent 6lb weight loss.  PE WNL. DX:  Chronic Tension H/A. Rx meds.  F/u 6/2/08 with no improvement,H/A now daily. Meds increased. F/u 8/1/08 H/A now with photophbia and nausea. 8/8/08 Mom reporting memory difficulties x several weeks. 9/2008 started Cymbalta with some improvement in H/A, however having diarrhea and tiredness.  Changed to Zoloft.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache
Clinical narrative: Severe, chronic headaches that began very soon (within days) after first vaccination of Gardasil.  Headaches became progressively worse and currently continue daily- one year later.  Referral was made for vision testing, CT Scan and MRI, with no underlying cause of headaches determined.  Numerous different prescription drugs were prescribed with no effect until current prescription, taken twice daily, was found to help subdue the headaches- though they have not been eliminated.  At their worse, the headaches were debilitating- rendering my daughter unable to function at school with some days missed and numerous visits to the nurses office and then to the doctors office.  At home, she would just curl up into a ball many days- unable to function whatsoever.  The headaches begin when she wakes in the morning and persist throughout the day- every day.  3/13/09 OV dated 12/24/07 received from PCP for 16 yr WCC. Impression:  Acne.  Sent to derm. Left SI joint pain and R lower rib tenderness.  HPV vax given. 3/16/09 Neurology consults received dated 3/14/2008 to 2/2/2009.  Initially seen 3/14/08 for c/o 8-9 wk hx of H/A. Pt reports double vision, dizziness, nausea and lightheadedness with H/A. Recent 6lb weight loss.  PE WNL. DX:  Chronic Tension H/A. Rx meds.  F/u 6/2/08 with no improvement,H/A now daily. Meds increased. F/u 8/1/08 H/A now with photophbia and nausea. 8/8/08 Mom reporting memory difficulties x several weeks. 9/2008 started Cymbalta with some improvement in H/A, however having diarrhea and tiredness.  Changed to Zoloft.
Age: 21.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pyrexia, Skin discolouration, Swelling, Urticaria
Clinical narrative: Fever, pain, severe swelling, hives. Told to ice and take motrin. Still discolored, swollen and painful 2 weeks later. I was offered the vacine in the hospital when I was there for a lacerated kidney. I told the nurse I had  one previously over 10 years ago and did not believe it was necessary to repeat &  thought it was good for life. She said no & due to being asthmatic that I should redo it. Now I have been told my reaction was severe and could be life threatening if I ever recieved one again.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Albumin urine present, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Arthralgia, Atrial septal defect
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Biopsy kidney abnormal, Biopsy skin abnormal, Blood creatinine normal, Blood culture negative, Blood immunoglobulin A normal
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M normal, C-reactive protein normal, Cardiolipin antibody negative, Chest X-ray normal
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Coagulation factor V level normal, Complement factor C3, Complement factor C4, Computerised tomogram normal, Creatinine renal clearance normal
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cryoglobulins absent, Echocardiogram abnormal, Haematuria, Headache, IgA nephropathy
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Leukocytoclastic vasculitis, Metabolic function test normal, Myalgia, Myoglobin blood absent, Nephropathy
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Occult blood negative, Oedema peripheral, Pain in extremity, Platelet count normal
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Protein C, Protein S normal, Proteinuria, Rash macular, Red blood cell sedimentation rate normal
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Rheumatoid factor negative, Skin lesion, Streptococcal identification test positive, Vasculitic rash
Clinical narrative: 1) Developed vasculltic lesions on legs/feet with pain/swelling & polyarthralgia onset approximately 11 days following receipt of AVA# 3;  diagnosed with polyarthralgia; 2)  20 days later noted to have protelnuria hematuria; diagnosed with leukocytoclastic vasculltis confirmed by skin blopsy 1/30/2008 (possible Henoch-Schoenlein purpura), also found to have PFO with small shunt & aneurysmal atrial septal wall defect;  3) one month later developed headaches with negative head CT & brain MRI;  4) IgA nephropathy diagnose May 2008, confirmed by renal blopsy.  History of recent URI prior to vaccination with positive ASO titer noted late Jan 2008;  treated with oral steroids, e-mycin;  rash resolved, arthralgia improved, renal function remained normal with residual persistent mild proteinuria & hematuria.  Symptoms: Headache, general, Muscle Pain, Lesions, macule, Swelling, Joint Pain, multiple joints.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: On day 7, broke out in welts. Entire body covered above hips, including groin, breast, scalp, ears, face, back. Accompanied by intense burning and itch, Treated with CLARITAN am; ZYRTEC pm; TAGAMET 400mg bid; chlorpheniramine 4mg tid; oatmeal baths tid.
Age: 3.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Herpes zoster, Rash vesicular
Clinical narrative: 1/7/09 Large cluster of pinpoint vesicles with clear fluid on right posterior trunk with surrounding erythema. DX: Herpes Zoster
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Drug hypersensitivity, Erythema, Injection site erythema, Pruritus
Clinical narrative: Patient had used topical Neosporin 2 + times per year for many years for minor skin abrasions etc.  Patient received ZOSTAVAX 9/07 and 1 month later still had an indurated SQ area with mild erythema at injection site.  He used Neosporin about 3 months later and had prolonged erythema and pruritus on his opposite forearm.  Patch testing proved allergy to Neomycin.  This seems suspicious that ZOSTAVAX induced new neomycin allergy.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash, Tenderness
Clinical narrative: Shot given 12/23. Pt had ache front to back 12/30 and reported to MD. Rash break out under left breast 1-2-09, patient said all symptoms gone except tender skin, today 1/31/09, patient was treated with VALTREX.
Age: 1.22
Sex: M
Vaccine: FLU3, HEPA, HIBV, PNC, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None Stated
Age: 18.0
Sex: F
Vaccine: ANTH, FLU3, TYP
Symptoms: Rash erythematous, Rash pruritic, Skin lesion
Clinical narrative: US Army NG SGT who noticed a single 4mm vesicular lesion on her left forearm one day following receipt of ANTHRAX (AVA#4), influenza, & typhoid vaccines on 12/18/2008.  No other skin lesions or systemic symptoms reported; non-medical derm photos were sent by pt & did not appear bullous or urticarial (reviewed by VHC Medical Director);  by 12/30/2008, pt reported resolution of vesicle, however a single lesion remained, slightly larger in size and pruritic.  Pt sent a f/u derm photo in which there was a single lesion which appeared flat, erythematous, irregular in shape with a well demarcated slightly raised border.  Pt was advised to f/u with PCM a/o derm for diagnosis and treatment.  To date, unknown whether further f/u a/o diagnosis obtained.  Symptoms:  Lesions, Vesicle.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Screaming
Clinical narrative: High pitch screaming x 48 hrs.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC
Symptoms: Electroencephalogram, Gaze palsy, Posture abnormal
Clinical narrative: Possible staring spells vs sandifer's syndrome.  Head tilt and head bowed and eyes rolling back in head - lasts no more than 7-10 seconds.  No sleepiness or post ictal stage afterwards.
Age: 37.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site rash
Clinical narrative: Rash on upper arm flu shot 46 X 44 mm left DTAP 65 X 39 mm right
Age: 8.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Leg turned a little red immediately after shots were given, area gradually enlarged.  By 1/15/09 (2 days after shots) the area covered her left thigh + has hot, swollen + painful to touch.  Seen by me & started on 10 day course of KEFLUX.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site pain, Neck pain
Clinical narrative: Almost after the vaccine neck started to ache. Pain went away for 30 to 40 min. Then pain came back. until now. Pain located at site.  Almost after the vaccine was given, neck started to ache.  Pain went away for 30 to 40 minutes; then pain came back until now.  The pain was located in the vaccine site (neck).
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria, Wheezing
Clinical narrative: Hives and wheezing 01 hour after Influenza vaccine. 2/5/09-records received for 11/5/08-presented to ER with skin rash. DX: acute allergic reaction to flu shot.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Autopsy, Death
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old female patient who experienced death. At 12 months of age, the patient received the fourth dose on 21-Jan-2009. The patient also received a dose of MMR II (Merck Sharp & Dome), a dose of Hepatitis A Vaccine (manufacturer unknown) and a dose of Varicella Virus Vaccine, (manufacturer unknown) on 21-Jan-2009. On 21-Jan-2009, the father found the child deceased in her crib sometime during the night. The cause of death was reported as death and an autopsy was performed, but results were not provided. No additional information was available at the time of this report.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Death, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old female patient who experienced death. At 12 months of age, the patient received the fourth dose on 21-Jan-2009. The patient also received a dose of MMR II (Merck Sharp & Dome), a dose of Hepatitis A Vaccine (manufacturer unknown) and a dose of Varicella Virus Vaccine, (manufacturer unknown) on 21-Jan-2009. On 21-Jan-2009, the father found the child deceased in her crib sometime during the night. The cause of death was reported as death and an autopsy was performed, but results were not provided. No additional information was available at the time of this report.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Death
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old female patient who experienced death. At 12 months of age, the patient received the fourth dose on 21-Jan-2009. The patient also received a dose of MMR II (Merck Sharp & Dome), a dose of Hepatitis A Vaccine (manufacturer unknown) and a dose of Varicella Virus Vaccine, (manufacturer unknown) on 21-Jan-2009. On 21-Jan-2009, the father found the child deceased in her crib sometime during the night. The cause of death was reported as death and an autopsy was performed, but results were not provided. No additional information was available at the time of this report.
Age: 0.4
Sex: U
Vaccine: HIBV
Symptoms: Meningitis haemophilus
Clinical narrative: Initial report received on 23 January 2009 through literature that in 2008, one child aged 5 months had received two doses of ACTHIB (date of vaccination, lot number, route and site of administration not provided) in accordance with the primary series schedule at age two and four months. The patient was too young to have finished its first series of Hib shots. At an unspecified amount of time later, in November 2008, the patient was found to have Haemophilus influenzae Type B Meningitis. Diagnostic tests and laboratory data performed were not provided. The patient's outcome was reported as "survived." Documents held by sender: None.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Initial report received 28 January 2009 from a consumer who is the patient's aunt. A four-month-old patient with a history of respiratory problems, had received a first dose of DAPTACEL, lot number C3000AA, a first dose of ACTHIB, lot number UF518AA (corresponding sanofi pasteur SA lot number B0030-2), and a first dose of PREVNAR (manufacturer Wyeth, lot not reported) on an unspecified date, and within 24 hours, he began to have seizures. The patient received treatment at the hospital (unspecified). According to the reporter, the patient, who was now six months old, was now home on an apnea monitor and their recovery status was unknown. The reporter declined to provide additional information at the time of the report. Documents held by sender: None
Age: 1.2
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Electroencephalogram, Occupational therapy, Speech rehabilitation
Clinical narrative: The exact dates of adverse events were not recorded by me. they started in early December, 2007 after a series of shot given by his pediatrician. My son babbled, said words and was eating all 3rd foods, his behavior changed, he gradually regressed to not saying any words. Pt said than aah, aah, aaah. His behavior has completely changed from being a very normal child. He called to everyone's attention, his pediatrician therapist, and family members whom told me that something had caused the changes in my child. I don't want to sound accusatory, but something strange is going on. My son's shot record has been altered by his former pediatrician. There is no doubt in my mind that there was and still is a cover-up. I think this matter should be thoroughly investigated. Please direct me to federal source where may direct my concerns and matter being investigated. I have records that may prove the above statement.  1/16/09 MR received from PCP from 11/27/07-8/2008.  12 mon exam 11/27/07.  Exam WNL except exotropia and undescended testes.  Some developmental milestones not met.  Says 1-3 words.  18 mon exam with Speech delay noted.  Speech and language eval shows profound language/articulation delays.  Fine motor issues noted as well.  Referred for speech therapy. Staring spells and motor movements suggestive of seizures noted 8/8/08. Pt transfer care to another MD.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Body temperature increased
Clinical narrative: 104 degree T 24 hours after shots.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PPV
Symptoms: Full blood count normal, Pain in extremity, Pruritus, Pyrexia, Rash
Clinical narrative: Right leg pain, fever, vomiting, perioral- rash, Itching (scalp) > -acetaminophen (rectal) - warm compresses - ZYRTEC