chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Culture throat negative, Dysphagia, Ear, nose and throat examination, Lymphadenopathy, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a nurse practitioner concerning her daughter, a 26 year old female with depression, asthma exercise induced and allergy to nuts who on 31-JUL-2008 was vaccinated with a third dose of GARDASIL (route and administration site not reported).  Concomitant therapy included EFFEXOR.  On 01-AUG-2008, within 12 hours of the vaccination, the patient experienced facial swelling and puffy cheeks.  The patient then had tenderness of her neck and enlarged lymph nodes.  She was treated with BENADRYL, ZYRTEC and ice packs.  It was mentioned that the patient had no adverse reaction after the first 2 doses of GARDASIL.  The patient's facial swelling and tenderness of neck and enlarged lymph nodes persisted.  She sought medical attention in the office.  Follow-up information was received.  The patient became progressively worse on 01-AUG-2008 and 02-AUG-2008 with continued facial swelling and enlargement of both lymph nodes and salivary glands, and difficulty swallowing.  The patient underwent CT scan, ENT evaluation and was admitted to the hospital.  IV steroids and pain medicine were given.  An antibiotic was also given to which she had an allergic reaction.  An infectious disease consult was called.  At the report time, the swelling has just started to regress slightly, but the parotid glands were tense and obstructed.  Additional information has been requested.  08/28/2008 MR received for DOS 8/2-5/2008 with D/C DX:  Sialadenitis, likely 2' to allergic reaction. Depression. Pt presented with facial swelling and pain which began the pm of HPV4 shot. Pt developed lip, eyelid and neck swelling initially, then shooting pain with neck movement or touch. Pt then developed difficulty swallowing and eventually difficulty breathing. On PE in ER voice is hoarse, swelling of eyelids, face, lips and neck. Tender to touch. Tonsils enlarged, touching uvula. Decreased neck ROM 2' to pain. Started on abx and steroids with allergic rxn to Clindamycin. Continued steroid tx with clinical improvement. To f/u with PCP, Allergist and ENT.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Parotid duct obstruction, Salivary gland enlargement, Swelling face, Tenderness
Clinical narrative: Information has been received from a nurse practitioner concerning her daughter, a 26 year old female with depression, asthma exercise induced and allergy to nuts who on 31-JUL-2008 was vaccinated with a third dose of GARDASIL (route and administration site not reported).  Concomitant therapy included EFFEXOR.  On 01-AUG-2008, within 12 hours of the vaccination, the patient experienced facial swelling and puffy cheeks.  The patient then had tenderness of her neck and enlarged lymph nodes.  She was treated with BENADRYL, ZYRTEC and ice packs.  It was mentioned that the patient had no adverse reaction after the first 2 doses of GARDASIL.  The patient's facial swelling and tenderness of neck and enlarged lymph nodes persisted.  She sought medical attention in the office.  Follow-up information was received.  The patient became progressively worse on 01-AUG-2008 and 02-AUG-2008 with continued facial swelling and enlargement of both lymph nodes and salivary glands, and difficulty swallowing.  The patient underwent CT scan, ENT evaluation and was admitted to the hospital.  IV steroids and pain medicine were given.  An antibiotic was also given to which she had an allergic reaction.  An infectious disease consult was called.  At the report time, the swelling has just started to regress slightly, but the parotid glands were tense and obstructed.  Additional information has been requested.  08/28/2008 MR received for DOS 8/2-5/2008 with D/C DX:  Sialadenitis, likely 2' to allergic reaction. Depression. Pt presented with facial swelling and pain which began the pm of HPV4 shot. Pt developed lip, eyelid and neck swelling initially, then shooting pain with neck movement or touch. Pt then developed difficulty swallowing and eventually difficulty breathing. On PE in ER voice is hoarse, swelling of eyelids, face, lips and neck. Tender to touch. Tonsils enlarged, touching uvula. Decreased neck ROM 2' to pain. Started on abx and steroids with allergic rxn to Clindamycin. Continued steroid tx with clinical improvement. To f/u with PCP, Allergist and ENT.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Auricular swelling, Diarrhoea, Dyskinesia, Dysphagia, Ear pain
Clinical narrative: Information has been received from a nurse practitioner concerning her daughter, a 26 year old female with depression, asthma exercise induced and allergy to nuts who on 31-JUL-2008 was vaccinated with a third dose of GARDASIL (route and administration site not reported).  Concomitant therapy included EFFEXOR.  On 01-AUG-2008, within 12 hours of the vaccination, the patient experienced facial swelling and puffy cheeks.  The patient then had tenderness of her neck and enlarged lymph nodes.  She was treated with BENADRYL, ZYRTEC and ice packs.  It was mentioned that the patient had no adverse reaction after the first 2 doses of GARDASIL.  The patient's facial swelling and tenderness of neck and enlarged lymph nodes persisted.  She sought medical attention in the office.  Follow-up information was received.  The patient became progressively worse on 01-AUG-2008 and 02-AUG-2008 with continued facial swelling and enlargement of both lymph nodes and salivary glands, and difficulty swallowing.  The patient underwent CT scan, ENT evaluation and was admitted to the hospital.  IV steroids and pain medicine were given.  An antibiotic was also given to which she had an allergic reaction.  An infectious disease consult was called.  At the report time, the swelling has just started to regress slightly, but the parotid glands were tense and obstructed.  Additional information has been requested.  08/28/2008 MR received for DOS 8/2-5/2008 with D/C DX:  Sialadenitis, likely 2' to allergic reaction. Depression. Pt presented with facial swelling and pain which began the pm of HPV4 shot. Pt developed lip, eyelid and neck swelling initially, then shooting pain with neck movement or touch. Pt then developed difficulty swallowing and eventually difficulty breathing. On PE in ER voice is hoarse, swelling of eyelids, face, lips and neck. Tender to touch. Tonsils enlarged, touching uvula. Decreased neck ROM 2' to pain. Started on abx and steroids with allergic rxn to Clindamycin. Continued steroid tx with clinical improvement. To f/u with PCP, Allergist and ENT.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Facial pain, Fungal infection, Gait disturbance, Glossodynia, Local swelling
Clinical narrative: Information has been received from a nurse practitioner concerning her daughter, a 26 year old female with depression, asthma exercise induced and allergy to nuts who on 31-JUL-2008 was vaccinated with a third dose of GARDASIL (route and administration site not reported).  Concomitant therapy included EFFEXOR.  On 01-AUG-2008, within 12 hours of the vaccination, the patient experienced facial swelling and puffy cheeks.  The patient then had tenderness of her neck and enlarged lymph nodes.  She was treated with BENADRYL, ZYRTEC and ice packs.  It was mentioned that the patient had no adverse reaction after the first 2 doses of GARDASIL.  The patient's facial swelling and tenderness of neck and enlarged lymph nodes persisted.  She sought medical attention in the office.  Follow-up information was received.  The patient became progressively worse on 01-AUG-2008 and 02-AUG-2008 with continued facial swelling and enlargement of both lymph nodes and salivary glands, and difficulty swallowing.  The patient underwent CT scan, ENT evaluation and was admitted to the hospital.  IV steroids and pain medicine were given.  An antibiotic was also given to which she had an allergic reaction.  An infectious disease consult was called.  At the report time, the swelling has just started to regress slightly, but the parotid glands were tense and obstructed.  Additional information has been requested.  08/28/2008 MR received for DOS 8/2-5/2008 with D/C DX:  Sialadenitis, likely 2' to allergic reaction. Depression. Pt presented with facial swelling and pain which began the pm of HPV4 shot. Pt developed lip, eyelid and neck swelling initially, then shooting pain with neck movement or touch. Pt then developed difficulty swallowing and eventually difficulty breathing. On PE in ER voice is hoarse, swelling of eyelids, face, lips and neck. Tender to touch. Tonsils enlarged, touching uvula. Decreased neck ROM 2' to pain. Started on abx and steroids with allergic rxn to Clindamycin. Continued steroid tx with clinical improvement. To f/u with PCP, Allergist and ENT.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscle spasms, Oral intake reduced, Sleep disorder, Swelling face, Tenderness
Clinical narrative: Information has been received from a nurse practitioner concerning her daughter, a 26 year old female with depression, asthma exercise induced and allergy to nuts who on 31-JUL-2008 was vaccinated with a third dose of GARDASIL (route and administration site not reported).  Concomitant therapy included EFFEXOR.  On 01-AUG-2008, within 12 hours of the vaccination, the patient experienced facial swelling and puffy cheeks.  The patient then had tenderness of her neck and enlarged lymph nodes.  She was treated with BENADRYL, ZYRTEC and ice packs.  It was mentioned that the patient had no adverse reaction after the first 2 doses of GARDASIL.  The patient's facial swelling and tenderness of neck and enlarged lymph nodes persisted.  She sought medical attention in the office.  Follow-up information was received.  The patient became progressively worse on 01-AUG-2008 and 02-AUG-2008 with continued facial swelling and enlargement of both lymph nodes and salivary glands, and difficulty swallowing.  The patient underwent CT scan, ENT evaluation and was admitted to the hospital.  IV steroids and pain medicine were given.  An antibiotic was also given to which she had an allergic reaction.  An infectious disease consult was called.  At the report time, the swelling has just started to regress slightly, but the parotid glands were tense and obstructed.  Additional information has been requested.  08/28/2008 MR received for DOS 8/2-5/2008 with D/C DX:  Sialadenitis, likely 2' to allergic reaction. Depression. Pt presented with facial swelling and pain which began the pm of HPV4 shot. Pt developed lip, eyelid and neck swelling initially, then shooting pain with neck movement or touch. Pt then developed difficulty swallowing and eventually difficulty breathing. On PE in ER voice is hoarse, swelling of eyelids, face, lips and neck. Tender to touch. Tonsils enlarged, touching uvula. Decreased neck ROM 2' to pain. Started on abx and steroids with allergic rxn to Clindamycin. Continued steroid tx with clinical improvement. To f/u with PCP, Allergist and ENT.
Sex: F
Vaccine: PPV
Symptoms: Rash macular, Swollen tongue
Clinical narrative: Information has been received from a nurse practitioner concerning female (age not reported) who in 2006 ("sometime last year") was vaccinated with a dose of PNEUMOVAX 23. Concomitant medication was reported. In 2006, the patient experienced swollen tongue and blotchy skin after receiving the PNEUMOVAX 23. Unspecified medical attention was sought. The outcome of the event was not reported. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Blood pressure increased, Dyspnoea, Injection site swelling, Nausea, Palpitations
Clinical narrative: Information has been received from the wife of a consumer concerning a 67 year old male who on 13-AUG-2007 was vaccinated with PNEUMOVAX 23 (Lot # not reported).  On 13-AUG-2007 post vaccination the patient developed hard swelling at the injection site, a rash, increased blood pressure, heart palpitations, trouble breathing and felt nauseous.  The patient had not sought medical attention.  At the time of the report the events persisted.  Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Information has been received from the wife of a consumer concerning a 67 year old male who on 13-AUG-2007 was vaccinated with PNEUMOVAX 23 (Lot # not reported).  On 13-AUG-2007 post vaccination the patient developed hard swelling at the injection site, a rash, increased blood pressure, heart palpitations, trouble breathing and felt nauseous.  The patient had not sought medical attention.  At the time of the report the events persisted.  Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Adverse event
Clinical narrative: Information has been received regarding a case in litigation from a lawyer concerning a patient who on an unspecified date was vaccinated with PNEUMOVAX 23 (lot# 650084/0605P).  Subsequently the patient experienced an adverse event.  No other information was provided.  Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a male who on an unspecified date was vaccinated with a dose of PNEUMOVAX 23 (lot # 657143/0380U).  Subsequently, the patient developed erythema at the injection site within one day.  The erythema was described as swollen, painful and warm from the injection site to the elbow.  The pain and swelling prevented the patient from using his arm.  Unspecified medical attention was sought.  At the time of the report the outcome was unknown.  The physician requested a lot check.  A standard lot check investigation was performed.  All in-process quality checks for the lot number in question were satisfactory.  The lot met the requirements of the center and was released.  Additional information has been requested.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site warmth, Oedema peripheral
Clinical narrative: Information has been received from a medical assistant (MA), concerning a 61 year old, male patient who on 11-JUL-2007 was vaccinated SC in the left arm, with the second dose of PNEUMOVAX 23 (Lot #657039/0698U).  Subsequently the patient experienced extreme pain and warmth at the injection site, had difficulty lifting his arm, and developed "extreme edema" of the arm (treatment was not specified).  At the time of this report, the patient had recovered from the events (date and duration not specified).  The MA reported that of the 6 vaccinations with PNEUMOVAX 23 administered from Lot #657039/0698U, (3 male and 3 female patients with an age range from 28-61 years) 3 additional patients experienced similar symptoms involving pain, warmth, swelling, redness at the injection site, difficulty with arm movement, and fatigue (WAES 0707USA04971, 0708USA04276), 1 patient developed cellulitis (WAES #0707USA04634), and 1 patient experienced a "minimal reaction" (WAES 0708USA00702).  The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory.  The lot complies with the standards of the center, and was released.  No further information is expected.
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with a dose of PNEUMOVAX 23 (lot # 657143/0380U).  Subsequently, the patient developed erythema at the injection site within one day.  The erythema was described as swollen, painful and warm from the injection site to the elbow.  The pain and swelling prevented the patient from using her arm.  Unspecified medical attention was sought.  At the time of the report, the outcome was unknown.  The physician requested a lot check.  A standard lot check investigation was performed.  All in-process quality checks for the lot number in question were satisfactory.  The lot met the requirements of the center and was released.  Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood pressure decreased, Hyperhidrosis, Hypoacusis, Immediate post-injection reaction, Nausea
Clinical narrative: Patient was given a Tdap in the left deltoid.  No reaction was seen, and she was still talking and smiling.  This was followed by Menactra, given in the left deltoid also (about an inch apart from the previous injection site).  Within 10 seconds of the Menactra injection, patient said she felt a funny feeling in her throat.  She then got very pale and diaphoretic.  I laid her down on a cot and took her blood pressure, which was 80/40. She never showed signs of any labored breathing, but she continued to say her throat felt tight and that she could barely hear.  After 5 minutes her color began to improve, and she stated that her hearing returned.  She also said that she had a queasy feeling in her stomach, which improved while lying on the cot (within 10 minutes).  After 15 minutes, patient's BP was 110/60 and she said she felt fine.  Her mother was with her, and after gathering the info for this report, patient walked out with her mom. This occurred about 1:30 pm on 8/11/08.  Follow up call made at 9:00 am on 8/12/08, and patient feels fine.
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pallor, Throat tightness
Clinical narrative: Patient was given a Tdap in the left deltoid.  No reaction was seen, and she was still talking and smiling.  This was followed by Menactra, given in the left deltoid also (about an inch apart from the previous injection site).  Within 10 seconds of the Menactra injection, patient said she felt a funny feeling in her throat.  She then got very pale and diaphoretic.  I laid her down on a cot and took her blood pressure, which was 80/40. She never showed signs of any labored breathing, but she continued to say her throat felt tight and that she could barely hear.  After 5 minutes her color began to improve, and she stated that her hearing returned.  She also said that she had a queasy feeling in her stomach, which improved while lying on the cot (within 10 minutes).  After 15 minutes, patient's BP was 110/60 and she said she felt fine.  Her mother was with her, and after gathering the info for this report, patient walked out with her mom. This occurred about 1:30 pm on 8/11/08.  Follow up call made at 9:00 am on 8/12/08, and patient feels fine.
Age: 57.0
Sex: F
Vaccine: DT, IPV, TYP
Symptoms: Abdominal pain, Asthenia, Chills, Headache, Myalgia
Clinical narrative: Patient had typhoid vaccine/ IPV/ DT (decavac) vaccine on Wednesday the 6th.  She is traveling in Septemter.  On Sunday, August 10th,  she began to experience muscle aches that came on quite suddenly, she felt very weak, had "teeth chattering", chills, headache.  She also had abdominal pain and vomited on Sunday night.  Temp got up to 102.  On Monday she continued to run a fever of 102.8.  Today her temp is 101.8.  She states she is weak today and unable to sit up for more than ten minutes.  In review of side effects of typhoid vaccine - it is possible this may be a reaction to this vaccine. . .
Age: 57.0
Sex: F
Vaccine: DT, IPV, TYP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient had typhoid vaccine/ IPV/ DT (decavac) vaccine on Wednesday the 6th.  She is traveling in Septemter.  On Sunday, August 10th,  she began to experience muscle aches that came on quite suddenly, she felt very weak, had "teeth chattering", chills, headache.  She also had abdominal pain and vomited on Sunday night.  Temp got up to 102.  On Monday she continued to run a fever of 102.8.  Today her temp is 101.8.  She states she is weak today and unable to sit up for more than ten minutes.  In review of side effects of typhoid vaccine - it is possible this may be a reaction to this vaccine. . .
Age: 49.0
Sex: M
Vaccine: DTAP
Symptoms: CSF cell count abnormal, Lymphadenopathy, Lymphocyte count abnormal, Musculoskeletal stiffness, Neck pain
Clinical narrative: progressive neck pain and stiffness.  Nuchal rigidity and lymphadenopathy 10/24/08-records received for ER visit 6/30/08-Impression: Spastic torticollis. Initially considered acute probably viral meningitis. CT neck normal. C/O 3 days of progressive headache, neck stiffness and pain. Recently on a camping trip. Multiple bug bites. Some photophobia.
Age: 49.0
Sex: M
Vaccine: DTAP
Symptoms: Nuchal rigidity, Wrong drug administered
Clinical narrative: progressive neck pain and stiffness.  Nuchal rigidity and lymphadenopathy 10/24/08-records received for ER visit 6/30/08-Impression: Spastic torticollis. Initially considered acute probably viral meningitis. CT neck normal. C/O 3 days of progressive headache, neck stiffness and pain. Recently on a camping trip. Multiple bug bites. Some photophobia.
Age: 1.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Abasia, Erythema, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: On 6/11/08 vomited small amt. x1 @night. On 6/12/08 around midnite, couldn't sleep, c/o R leg hurting, no fever.  R thigh red, swollen with a knot, painful to touch. Not walking, crawling around. On 6/13/08 R thigh still hurting, appears redder today. Instructed mom to call pediatrician, mom sttes MD office suggested warm compresses, Motrin for pain and observe for any signs of pus. Also office requested to see pt on 6/14/08 if R leg gets any worse.
Age: 1.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Sleep disorder, Vomiting
Clinical narrative: On 6/11/08 vomited small amt. x1 @night. On 6/12/08 around midnite, couldn't sleep, c/o R leg hurting, no fever.  R thigh red, swollen with a knot, painful to touch. Not walking, crawling around. On 6/13/08 R thigh still hurting, appears redder today. Instructed mom to call pediatrician, mom sttes MD office suggested warm compresses, Motrin for pain and observe for any signs of pus. Also office requested to see pt on 6/14/08 if R leg gets any worse.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Body temperature increased, Dizziness, Tachycardia
Clinical narrative: temperature of 102 degrees F, tachycardia to heart rate of 115, dizziness, weakness.  symptoms started the evening of 8/11/08. client was given Ibuprofen by mother.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Blister, Culture, Erythema, Incisional drainage, Pruritus
Clinical narrative: Shot given 8/6/08. Parent called triage nurse at 8:30 pm same night with concern about his arm.  They were directed to go to the ED.  Seen for large blister on arm.  Blister was lanced and cultured in Ed.  Patient was given script for Bactrim in the ED.  Seen for follow-up in doctor's office on 8/8/08.  Redness and warm area was larger in office than it had been in the ED(having been marked on his arm by ED staff).  Patient stated the area was itchy but not painful.  Dr. placed him on prednisone and benadryl.  Unable to contact mom today for further follow-up.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Skin warm
Clinical narrative: Shot given 8/6/08. Parent called triage nurse at 8:30 pm same night with concern about his arm.  They were directed to go to the ED.  Seen for large blister on arm.  Blister was lanced and cultured in Ed.  Patient was given script for Bactrim in the ED.  Seen for follow-up in doctor's office on 8/8/08.  Redness and warm area was larger in office than it had been in the ED(having been marked on his arm by ED staff).  Patient stated the area was itchy but not painful.  Dr. placed him on prednisone and benadryl.  Unable to contact mom today for further follow-up.
Age: 1.04
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Laboratory test, Varicella
Clinical narrative: Client received varicella vaccine on 3/19/08.  Client developed chickenpox on 6/7/08, ran temp of 100.7, had 20 spots on legs and mouth.  Sought medical treatment/diagnosed by Dr. on 6/9/08
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: raised red triangular-shaped rash on left arm, measures 33mm X 41mm.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Abdominal pain upper, Chest pain, Headache, Musculoskeletal pain, Neck pain
Clinical narrative: Shock-like pain in shoulder, neck, head, and chest lasting 1-2 minutes, occurring multiple times per day. Also c/o cramping pain in stomach. Symptoms developed approx 1 week after vaccines were administered.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test, C-reactive protein increased, Inflammation, Musculoskeletal stiffness
Clinical narrative: Had her second  Gardasil vaccination at the end of August 2007, two weeks later suddenly developed pain in joints of hands, feet, knees and elbows. Pain got progressively worse and required emergency room visit when she could not bend her joints and was in extreme pain. Had multiple tests done and was given prednisone for the inflammation, pain medication and a referral to a Rhematologist. After 2 months of treatment with steroids and multiple blood tests for Lyme disease, Hepatitis and Lupus and others she was diagnosed with Rhematoid Arthritis. It came on out of the blue. She had never had any illness or symptoms prior to the sudden and unexplained onset. We went to the Clinic for a second opinion and they confirmed RA.  She has been on Methetrexate and Enbrel which she will have to stay on for the rest of her life. She still has stiffness, pain and inflammation even with the drugs. This happened just after her second dose of Gardisal. I believe there is a connection, prior to that she was a strong  healthy young woman with no history of any illness and never had joint pain. There is no history of autoimmune disease in either side of her family and it is extremely rare for RA to develop so suddenly and severely as it did in her case.  09/12/2008 MR received for ER visit 9/23/2007 with DX: arthralgias.  Pt presented with c/o 1 week hx of joint pain, now worsening in legs, wrists and shoulder as well as low grade fevers and polymyalgia.  Recently started on steroid taper by PCP however pain is now worse with lower extremity joint swelling. D/C on pain meds to f/u with rheumatologist.  Rheumatology consult dated 9/28/07 with impression Inflammatory Arthritis in multiple joints. HPI as above now with morning stiffness > 1 hr, fatigue, night sweats, cold sensitivity, nausea and paresthesias in the hands and feet. PE (+) for limping gait, polysynovitis, shoulder, elbow and wrist tenderness with decreased ROM, PIP joints swollen and tender, effusions in both knees, ankles and forefeet tender. Started on prednisone. 11/24/08 Additional records received fron another Rheumatologist beginning 2/6/08 for sudden onset symmetric polyarthritis in 9/2007.  Pt reports awoke one morning and could not move. Sx as above with addition of difficulty falling asleep. PE (+) for dry skin with MP rash on extremities and some periorbital swelling/erythema, joint swelling with decreased ROM. DX: Sero(+) RA, non-erosive. F/u 5/28/2008 reports increased pain and swelling and decreased appetite. Pt tearful re: loss of social life. 1/27/2010 Patient continues to suffer from an autoimmune disease we believe was a result of this vaccine
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging, Rheumatoid arthritis
Clinical narrative: Had her second  Gardasil vaccination at the end of August 2007, two weeks later suddenly developed pain in joints of hands, feet, knees and elbows. Pain got progressively worse and required emergency room visit when she could not bend her joints and was in extreme pain. Had multiple tests done and was given prednisone for the inflammation, pain medication and a referral to a Rhematologist. After 2 months of treatment with steroids and multiple blood tests for Lyme disease, Hepatitis and Lupus and others she was diagnosed with Rhematoid Arthritis. It came on out of the blue. She had never had any illness or symptoms prior to the sudden and unexplained onset. We went to the Clinic for a second opinion and they confirmed RA.  She has been on Methetrexate and Enbrel which she will have to stay on for the rest of her life. She still has stiffness, pain and inflammation even with the drugs. This happened just after her second dose of Gardisal. I believe there is a connection, prior to that she was a strong  healthy young woman with no history of any illness and never had joint pain. There is no history of autoimmune disease in either side of her family and it is extremely rare for RA to develop so suddenly and severely as it did in her case.  09/12/2008 MR received for ER visit 9/23/2007 with DX: arthralgias.  Pt presented with c/o 1 week hx of joint pain, now worsening in legs, wrists and shoulder as well as low grade fevers and polymyalgia.  Recently started on steroid taper by PCP however pain is now worse with lower extremity joint swelling. D/C on pain meds to f/u with rheumatologist.  Rheumatology consult dated 9/28/07 with impression Inflammatory Arthritis in multiple joints. HPI as above now with morning stiffness > 1 hr, fatigue, night sweats, cold sensitivity, nausea and paresthesias in the hands and feet. PE (+) for limping gait, polysynovitis, shoulder, elbow and wrist tenderness with decreased ROM, PIP joints swollen and tender, effusions in both knees, ankles and forefeet tender. Started on prednisone. 11/24/08 Additional records received fron another Rheumatologist beginning 2/6/08 for sudden onset symmetric polyarthritis in 9/2007.  Pt reports awoke one morning and could not move. Sx as above with addition of difficulty falling asleep. PE (+) for dry skin with MP rash on extremities and some periorbital swelling/erythema, joint swelling with decreased ROM. DX: Sero(+) RA, non-erosive. F/u 5/28/2008 reports increased pain and swelling and decreased appetite. Pt tearful re: loss of social life. 1/27/2010 Patient continues to suffer from an autoimmune disease we believe was a result of this vaccine
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site cellulitis, Injection site rash
Clinical narrative: patient developed a rash and cellullitis at the injection site.
Age: 1.8
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Urticaria
Clinical narrative: Patient's Parent called HD on 8-8-08 at 1305.  She stated her daughter received a Hep A, Dtap, Prevnar on 8-7-08.  She stated about 30 minutes ago the child developed hives on her face.  She was instructed to contact her pediatrician ASAP.  The child was treated with Benadryl per phone instructions from the pediatrician, and the hives resolved without further problems.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Urticaria
Clinical narrative: My daughter has become severely allergic to many foods, very suddenly. It all started about two weeks after her first shot. My daughter does have allergies, but never to these new items, (nuts, she was a big peanut butter fan), (and new strange items, like sweet tarts, just gave her a horrible reaction) and never with such a severe reaction as now. She gets terrible hives, and difficulty breathing. I just connected the Gardasil shot and the onset of her severe allergies, because she is due to receive her next shot tommorow and I started thinking about when all this started! * Another daughter age 16 received her first shot the same day and has had no side effects*
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 4 hours following vaccine, patient developed a fever of 104 degrees.  Contacted office and was told it wasn't an adverse reaction to the vaccine and to treat it with Tylenol.  They speculated it was a virus.  Fever lasted through the night at 104 degrees and subsided to 101 degrees by the morning.    By that evening the fever was gone and the patient was fine.  No other symptoms.  Very healthy child, it was the only day he missed of school all year.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Induration, Skin warm, Swelling
Clinical narrative: 2-3 DAYS AFTER INJECTION, HER R ARM BECAME HOT, HARD AND SWOLLEN TO SIZE OF GOLF BALL. HAS DR APPT AUG 13TH.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: A WELT FORMED AT INJECTION SITE APPROXIMATELY 2 DAYS AFTER VACCINATION.  THE WELT WAS APROXIMATELY 1.5 INCHES IN DIAMETER AND THE PATIENT DESCRIBED IT AS BEING ITCHY AND LASTED ABOUT 4 DAYS.  SHE USED HYDROCORTISONE 1% CREAM TO HELP RELEIVE THE ITCH
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Bursitis, Injected limb mobility decreased, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Shoulder severe pain and severe weakness following pneumococcal vaccine injection provided high into the deltoid muscle. I Hypothesize that vaccine injected into  subdeltoid bursa caused a periarticular inflammatory response, subacromial bursitis, bicipital tendonitis and adhesive capsulitis. I am disable to fully use my right arm because the deltoid muscle can not pull my arm without a extremelly and severe pain. I conclude that the upper third of the deltoid muscle should not be used for vaccine injections. I was at my primary physician office who concurs. The same day the injection was applied I called the facility and request information, they suggested to go to the emergency room. I declined that because I do not want to expend another 12 hours waiting for medical care. I was there on Thursday August 7th at 6:30 p.m. and I was interviewed by the physician the following day at 7:30 a.m. then I was transfer at 9:00 am until Sunday August 10th. 2008 That day the vaccine PPV was applied, and my problem started. Today's date 08/12/2008 I was at my primary physician. I explained everything. Based on that intramuscular injection of vitamin 12 with steroids was applied. I do not know jet if this would help me with my disable arm. 9/10/08-records received-8/25/08-presented with C/O injury to left 4th toe.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Hypoaesthesia, Injected limb mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Intense pain Left deltoid, unable to abduct beyond 30 degrees for 24 hours, intermittent numbness and tingling L hand fingers, High Fever 102 for 48 hours, myalgias and fatigue. Resolved after 48 hours
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Intense pain Left deltoid, unable to abduct beyond 30 degrees for 24 hours, intermittent numbness and tingling L hand fingers, High Fever 102 for 48 hours, myalgias and fatigue. Resolved after 48 hours
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Dehydration, Full blood count, Kawasaki's disease, Metabolic function test, Pyrexia
Clinical narrative: HIGH FEVER X 5 DAYS, RASH, VOMITING, DEHYDRATION, SEEN IN ER 7/25/08, 07/29/08 PT SEEN IN OFFICE 7/28/08. HOSPITALIZED 7/31/08 TO 08/05/08 DIAGNOSED WITH INCOMPLETE KAWASAKI DISEASE.  09/17/2008 MR received for DOS 7/31-8/5/08 with D/C DX:  Incomplete Kawasaki's Disease. Fever-resolved. Dehydration resolved. Hematemesis resolved. Pt presented initially to ER 7/29/08 with 5 day hx of fever with emesis and decreased oral intake. On exam pt exhibited extreme irritability, increased HR, and vomiting. Erythema of tonsils and cervical lymphadenopathy. Pt developed high fevers in hospital as well as L bulbar conjunctivitis which lead to dx of incomplete Kawasaki's. TX witrh ASA and IVIG with improvement of fevers, activity and po intake. D/C on 1/2 baby ASA with repeat echo and labs as outpt.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash, Streptococcal identification test, Ultrasound abdomen, Urine analysis, Vomiting
Clinical narrative: HIGH FEVER X 5 DAYS, RASH, VOMITING, DEHYDRATION, SEEN IN ER 7/25/08, 07/29/08 PT SEEN IN OFFICE 7/28/08. HOSPITALIZED 7/31/08 TO 08/05/08 DIAGNOSED WITH INCOMPLETE KAWASAKI DISEASE.  09/17/2008 MR received for DOS 7/31-8/5/08 with D/C DX:  Incomplete Kawasaki's Disease. Fever-resolved. Dehydration resolved. Hematemesis resolved. Pt presented initially to ER 7/29/08 with 5 day hx of fever with emesis and decreased oral intake. On exam pt exhibited extreme irritability, increased HR, and vomiting. Erythema of tonsils and cervical lymphadenopathy. Pt developed high fevers in hospital as well as L bulbar conjunctivitis which lead to dx of incomplete Kawasaki's. TX witrh ASA and IVIG with improvement of fevers, activity and po intake. D/C on 1/2 baby ASA with repeat echo and labs as outpt.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Expired drug administered
Clinical narrative: VACCINE WAS EXPIRED
Age: 10.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Urticaria
Clinical narrative: 14 X 9 CM AREA OF INDURATION, REDNESS, AND WARMTH DEVELOPED AT THE INJECTION SITE 7/24/08.  DIPHENHYDRAMINE WAS GIVEN FOR AN URTICARIAL REACTION.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear pain, Eye pain, Facial pain, Rash, Tinnitus
Clinical narrative: PATIENT PRESENTS WITH COMPLAINTS OF PAIN TO THE LEFT SIDE OF HER FACE, LEFT EYE AND LEFT EAR PAIN-SCORED AT 5. ALSO C/O BUZZING IN LEFT EAR. RASH TO LEFT FACE
Age: 10.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: IMMUNIZATIONS WERE GIVEN ABOUT 15 SECONDS APART IN THIS ORDER, VARICELLA, HAPATITIS A, FLUMIST. THE INJECTIONS WERE GIVEN IN THE LEFT DELTOID (HEPATITIS A) AND SUBCUTANEOUSLY NEAR LEFT DELTOID (VARICELLA). THIS IS THE PATIENTS SECOND DOSE OF BOTH INJECTIONS. THE FLUMIST WAS GIVEN INTRANASALLY. APPROX. 5 MIN AFTER IMMUNIZATIONS WERE GIVEN, THE PATIENT STOOD UP AND WALKED A FEW FEET BEFORE SAYING SHE FELT DIZZY AND SLUMPING TOWARD HER MOTHER. PT WAS CARRIED BACK TO THE EXAM TABLE BY HER MOTHER AND I. PT REMAINED CONCIOUS AND BREATHING, PT DID EXPERIENCE PALLOR AND NAUSEA AND WAS ABLE TO SIT UP AFTER ABOUT 20 SECONDS. PT WAS GIVEN A DRINK AND BP WAS 100/60 @ THIS TIME. PT WAS ALERT AND ORIENTED X3. PT AND MOTHER WERE ASKED TO STAY FOR OBSERVATION FOR ANOTHER 15 MIN AND THEY AGREED. PT LEFT IN NO APPARRENT DISTRESS OR DISCOMFORT.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Crying, Decreased appetite, Irritability, Pallor, Pyrexia
Clinical narrative: At day 8 after vaccinations, had 3 to 4 day illness with fever up to 102.8, blanching erythematous rash on torso and face, decreased appetite and fussiness, crying as if in pain
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: At day 8 after vaccinations, had 3 to 4 day illness with fever up to 102.8, blanching erythematous rash on torso and face, decreased appetite and fussiness, crying as if in pain
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site rash
Clinical narrative: Pt. received HPV/MENACTRA and VARIVAX #2 on 8-8-08.  She dev. rash with induration, erythema & edema on 7" by 5" at site of VARIVAX at 24 hours.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion
Clinical narrative: 8/12/08 call from mom at home.  Baby is having a seizure about 2 1/2 hours after vaccines were given.  Patient returned to office and given DIASTAT 2.5 mg via rectum and given O2.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Musculoskeletal pain, Paraesthesia
Clinical narrative: L shoulder pain.  Numbness & tingling in arm/hand.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Patient lost consciousness after GARDASIL vacc.  Applied cold compress to back of neck and placed her on reclined chair.  Regained consciousness in 20-30 seconds.  Continue to observe for 30 minutes - offered cold water and glucose tablets - called patient's mother and they left pharmacy.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Large area redness at site of shot 2x2 inches red, warm tender resolved in 72 hours.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given meningococcal vaccine but had already been vaccinated with MENACTRA on 8/23/07.  No adverse effects at present time.
Age: 38.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chest discomfort, Chest pain, Palpitations
Clinical narrative: Patient said her heart feels like its racing and minor chest pain & tightness not bad enough that she needed to see the doctor.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Body temperature normal, Erythema, Herpes zoster, Pain
Clinical narrative: Pt received ZOSTAVAX vaccine on 3-4-08. Pt came into office on 8-11-08 with rash painful, erythematous, vesicular eruptions. This is in follow-up to report(s) previously submitted on 9/24/2008. Information has been received from a licensed practical nurse concerning a 63 year old female with arthritis, bronchitis, blood pressure high, cardiac disorder, sinusitis, hay fever, bad knee, penicillin allergy, codeine allergy, drug hypersensitivity and sulfonamide allergy and a history of measles, mumps, chickenpox, infectious mononucleosis, hives, cancer, back discomfort, anaemia, ulcer, haemorrhoids, bladder infection and hernia who on 04-MAR-2008 was vaccinated subcutaneously into the left deltoid with a 0.65 ml dose of ZOSTAVAX (Merck) (lot no. 659759/1873U). Concomitant therapy included alendronate sodium, ZANTAC, INDERAL, nortriptyline, cabbage palm, ZYRTEC, WELLBUTRIN XL, DIOVAN HCT, fluticasone furoate, metformin, KLOR-CON, DYAZIDE, simvastatin (manufacturer unknown), metoprolol, diltiazem HCL, CECLOR, diltiazem HCL, doxycycline, NITROLINGUAL and "other medications". On 07-AUG-2007 the patient was diagnosed with shingles. The patient had rash on upper left leg which was painful and blistering redness. The patient had no other symptoms. The patient was treated with TYLENOL. On 11-AUG-2008 the patient was in office with draining lesions located on left upper thigh. The physical examination was done. Blood pressure was 108/64. Pulse was 66. Respiratory rate was 18. Body temperature was 97.1 F. There was no abnormal discovery with the patient. The patient was well health and well nourish. Heart was regular rate and rhythm. Lungs were clear to auscultation and no wheeze. There were multiple patches of painful, erythematous; vesicular erythema within the L2 dermatome of the left leg. It was diagnosed that the rash was probably shingles infection. The patient was treated with VALTREX 1000 mg, three times per day for 7 days; triamcinolone cream 1%, VICODIN, 1-2 tablets, four times per day as needed for pain. The patient would be followed up in 2 weeks. At the time of this report, the patient's shingles persisted. The patient was enrolled in the Varicella Zoster Virus Identification Program to identify if VZV is present and if it is present to identify if it is associated with the wild-type (WT) VZV strain or with the OKA/Merck vaccine VZV strain. The sample of the lesion was collected on 14-AUG-2008. The sample was taken from a vesicle (lesion) (site not provided). On 20-AUG-2008 lab results reported the PCR results for the specimen from the vesicle lesion identified the presence of WT VZV. No further information is available.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Rash vesicular, Varicella zoster virus serology positive
Clinical narrative: Pt received ZOSTAVAX vaccine on 3-4-08. Pt came into office on 8-11-08 with rash painful, erythematous, vesicular eruptions. This is in follow-up to report(s) previously submitted on 9/24/2008. Information has been received from a licensed practical nurse concerning a 63 year old female with arthritis, bronchitis, blood pressure high, cardiac disorder, sinusitis, hay fever, bad knee, penicillin allergy, codeine allergy, drug hypersensitivity and sulfonamide allergy and a history of measles, mumps, chickenpox, infectious mononucleosis, hives, cancer, back discomfort, anaemia, ulcer, haemorrhoids, bladder infection and hernia who on 04-MAR-2008 was vaccinated subcutaneously into the left deltoid with a 0.65 ml dose of ZOSTAVAX (Merck) (lot no. 659759/1873U). Concomitant therapy included alendronate sodium, ZANTAC, INDERAL, nortriptyline, cabbage palm, ZYRTEC, WELLBUTRIN XL, DIOVAN HCT, fluticasone furoate, metformin, KLOR-CON, DYAZIDE, simvastatin (manufacturer unknown), metoprolol, diltiazem HCL, CECLOR, diltiazem HCL, doxycycline, NITROLINGUAL and "other medications". On 07-AUG-2007 the patient was diagnosed with shingles. The patient had rash on upper left leg which was painful and blistering redness. The patient had no other symptoms. The patient was treated with TYLENOL. On 11-AUG-2008 the patient was in office with draining lesions located on left upper thigh. The physical examination was done. Blood pressure was 108/64. Pulse was 66. Respiratory rate was 18. Body temperature was 97.1 F. There was no abnormal discovery with the patient. The patient was well health and well nourish. Heart was regular rate and rhythm. Lungs were clear to auscultation and no wheeze. There were multiple patches of painful, erythematous; vesicular erythema within the L2 dermatome of the left leg. It was diagnosed that the rash was probably shingles infection. The patient was treated with VALTREX 1000 mg, three times per day for 7 days; triamcinolone cream 1%, VICODIN, 1-2 tablets, four times per day as needed for pain. The patient would be followed up in 2 weeks. At the time of this report, the patient's shingles persisted. The patient was enrolled in the Varicella Zoster Virus Identification Program to identify if VZV is present and if it is present to identify if it is associated with the wild-type (WT) VZV strain or with the OKA/Merck vaccine VZV strain. The sample of the lesion was collected on 14-AUG-2008. The sample was taken from a vesicle (lesion) (site not provided). On 20-AUG-2008 lab results reported the PCR results for the specimen from the vesicle lesion identified the presence of WT VZV. No further information is available.