chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Back pain, Computerised tomogram normal, Diarrhoea, Full blood count normal, Headache
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Lumbar puncture normal, Myalgia, Nausea, Neck pain, Pain in extremity
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Paraesthesia, Vomiting
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Blood test, Chills, Computerised tomogram, Dizziness, Dyspnoea
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Headache, Hyperhidrosis, Lumbar puncture, Muscle spasms, Nausea
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging, Pain, Pain in extremity, Pharyngeal oedema, Vomiting
Clinical narrative: Severe HA, myalgias, back pain, LE pain/neck pain, paresthesias, N&V, diarrhea.  7/23/09 Hospital records received DOS 6/21/09 to 6/22/09. Assessment: Acute dehydration, viral syndrome, dermatitis, paronychia chronic and incidental. Patient presented with a febrile illness with associated myalgias, sore throat, stiff neck. Abdomen tender.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Hypotension, Nausea, Pallor, Syncope
Clinical narrative: Fainted about 2 - 3min after receiving vaccine with seizure like activity (probably secondary to fainting) pale, nauseous, shaky, low BP. Seemed to recover after 15 min, then fainted again(decrease in BP 84/56) elevated feet another 10-12 minutes, recovered. Took liquids. Walked out OK with mother
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: Fainted about 2 - 3min after receiving vaccine with seizure like activity (probably secondary to fainting) pale, nauseous, shaky, low BP. Seemed to recover after 15 min, then fainted again(decrease in BP 84/56) elevated feet another 10-12 minutes, recovered. Took liquids. Walked out OK with mother
Age: 14.0
Sex: M
Vaccine: PNC, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Child was accidently given PCV-7 instead of MENACTRA.  0 adverse reaction
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left arm with 4/3" reddened area. Warm to touch.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Rotavirus test negative
Clinical narrative: Diarrhea since day after vaccine up to 10x daily for (currently) 18 days. Negative stool studies.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt was given dose of TDAP, MENACTRA, VARICELLA, double dose. 1st 6/10/08, MENACTRA, 2nd 6/15/09, VARICELLA. 1st 6/13/07, 2nd 6/15/09, TDAP.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt was given 2 doses of TDAP and  Varicella. 1st dose - 6/10/08, 2nd dose - 6/15/09.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Back pain, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase increased, Cardiac stress test, Chest pain
Clinical narrative: Consultation with the Vaccine Healthcare Center (VHC) was initiated on 5/23/2008 following reports of Pt with myopericarditis day 6 post ACAMBIS Smallpox vaccination. Attempts to contact the Pt directly have been unsuccessful. Review of available medical records and HPI from MD identified the following chain events: This 25 year old male complained of 12 hour hx of sharp constant left sided chest pain, mild/upper back pain, trapezius pain, occipital headache, non productive dry cough, SOB, fatigue on day 6 (5/20/2008) after receipt of primary ACAM smallpox vaccine (5/14/2008). Pain onset was at rest to back and chest, worse in supine position and with inspiration. He was treated and diagnosed by providers (May 20, 2008), transferred to another location, then to another country for further cardiac evaluation (May 25, 2008). Laboratory studies included: 5/20/08 WBC 15, CK 1358, CKMB neg, Trop neg; 5/21/08 CK 917 with positive troponin; 5/24/08 WBC 3.2, CK 150, troponin neg (<0.5), negative myoglobulin; 5/25/08 CK 104 with neg/normal CBC, troponin and CKMB, EKG was NSR with HR 79 bpm and 5T elevation V2-6. Records indicate he was later medevaced early June 2008, and ultimately returned to full duty late June/early July 2008. Cardiology note 7/21/2008 documented an 8 week eval (stress test, no labs) for sporadic episodes of chest pain/pressure that continued following his return to duty. This discomfort was "much better than last month" and was dwindling. He denied any other symptom. Medication included colchicine one tab/day for 2 months (June-July 08). His stress test 7/21/2008 was normal and he was again return to full duty. He was evaluated by Doctor (internal med-cardiology) 12/19/2008 for palpitations per recommended DOD myopericarditis recommendations with last echo May 2008 as normal and 12/19/2008 EKG normal. On 1/12/2009 his stress test was normal. On 9/12/2008, Pt had no new issues and chest pains or palpitations.  7/7/09 ER records received DOS 5/22/08 to 1/7/09. Assessment: Myocarditis, acute; Pericarditis, acute NOS. Patient presented with left sided chest pain, back pain, neck pain, pain across shoulders, occipital headache. Chest pain is sharp, constant, worse with inspiration. Non-productive dry cough. Shortness of breath. Palpitations.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Dyspnoea, Echocardiogram normal, Fatigue, Full blood count normal
Clinical narrative: Consultation with the Vaccine Healthcare Center (VHC) was initiated on 5/23/2008 following reports of Pt with myopericarditis day 6 post ACAMBIS Smallpox vaccination. Attempts to contact the Pt directly have been unsuccessful. Review of available medical records and HPI from MD identified the following chain events: This 25 year old male complained of 12 hour hx of sharp constant left sided chest pain, mild/upper back pain, trapezius pain, occipital headache, non productive dry cough, SOB, fatigue on day 6 (5/20/2008) after receipt of primary ACAM smallpox vaccine (5/14/2008). Pain onset was at rest to back and chest, worse in supine position and with inspiration. He was treated and diagnosed by providers (May 20, 2008), transferred to another location, then to another country for further cardiac evaluation (May 25, 2008). Laboratory studies included: 5/20/08 WBC 15, CK 1358, CKMB neg, Trop neg; 5/21/08 CK 917 with positive troponin; 5/24/08 WBC 3.2, CK 150, troponin neg (<0.5), negative myoglobulin; 5/25/08 CK 104 with neg/normal CBC, troponin and CKMB, EKG was NSR with HR 79 bpm and 5T elevation V2-6. Records indicate he was later medevaced early June 2008, and ultimately returned to full duty late June/early July 2008. Cardiology note 7/21/2008 documented an 8 week eval (stress test, no labs) for sporadic episodes of chest pain/pressure that continued following his return to duty. This discomfort was "much better than last month" and was dwindling. He denied any other symptom. Medication included colchicine one tab/day for 2 months (June-July 08). His stress test 7/21/2008 was normal and he was again return to full duty. He was evaluated by Doctor (internal med-cardiology) 12/19/2008 for palpitations per recommended DOD myopericarditis recommendations with last echo May 2008 as normal and 12/19/2008 EKG normal. On 1/12/2009 his stress test was normal. On 9/12/2008, Pt had no new issues and chest pains or palpitations.  7/7/09 ER records received DOS 5/22/08 to 1/7/09. Assessment: Myocarditis, acute; Pericarditis, acute NOS. Patient presented with left sided chest pain, back pain, neck pain, pain across shoulders, occipital headache. Chest pain is sharp, constant, worse with inspiration. Non-productive dry cough. Shortness of breath. Palpitations.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Heart rate, Myopericarditis, Troponin, White blood cell count increased
Clinical narrative: Consultation with the Vaccine Healthcare Center (VHC) was initiated on 5/23/2008 following reports of Pt with myopericarditis day 6 post ACAMBIS Smallpox vaccination. Attempts to contact the Pt directly have been unsuccessful. Review of available medical records and HPI from MD identified the following chain events: This 25 year old male complained of 12 hour hx of sharp constant left sided chest pain, mild/upper back pain, trapezius pain, occipital headache, non productive dry cough, SOB, fatigue on day 6 (5/20/2008) after receipt of primary ACAM smallpox vaccine (5/14/2008). Pain onset was at rest to back and chest, worse in supine position and with inspiration. He was treated and diagnosed by providers (May 20, 2008), transferred to another location, then to another country for further cardiac evaluation (May 25, 2008). Laboratory studies included: 5/20/08 WBC 15, CK 1358, CKMB neg, Trop neg; 5/21/08 CK 917 with positive troponin; 5/24/08 WBC 3.2, CK 150, troponin neg (<0.5), negative myoglobulin; 5/25/08 CK 104 with neg/normal CBC, troponin and CKMB, EKG was NSR with HR 79 bpm and 5T elevation V2-6. Records indicate he was later medevaced early June 2008, and ultimately returned to full duty late June/early July 2008. Cardiology note 7/21/2008 documented an 8 week eval (stress test, no labs) for sporadic episodes of chest pain/pressure that continued following his return to duty. This discomfort was "much better than last month" and was dwindling. He denied any other symptom. Medication included colchicine one tab/day for 2 months (June-July 08). His stress test 7/21/2008 was normal and he was again return to full duty. He was evaluated by Doctor (internal med-cardiology) 12/19/2008 for palpitations per recommended DOD myopericarditis recommendations with last echo May 2008 as normal and 12/19/2008 EKG normal. On 1/12/2009 his stress test was normal. On 9/12/2008, Pt had no new issues and chest pains or palpitations.  7/7/09 ER records received DOS 5/22/08 to 1/7/09. Assessment: Myocarditis, acute; Pericarditis, acute NOS. Patient presented with left sided chest pain, back pain, neck pain, pain across shoulders, occipital headache. Chest pain is sharp, constant, worse with inspiration. Non-productive dry cough. Shortness of breath. Palpitations.
Age: 17.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Urticaria
Clinical narrative: Hives seen @ ER 3/6/09
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Heart rate increased, Pain, Pain in extremity, Pyrexia
Clinical narrative: Spiked temp > 103 degrees F @ 2A 6/21/09 post experiencing fever rigors.  Temp did not decrease with TYLENOL.  High temp X 36 hrs.  Fever rigors X 3 Extremely restless.  C/o severe body aches - including severe pain in feet Unable to raise head from bed - c/o "arms heavy"  Pulse up to 114 bpm
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Restlessness, Sensation of heaviness
Clinical narrative: Spiked temp > 103 degrees F @ 2A 6/21/09 post experiencing fever rigors.  Temp did not decrease with TYLENOL.  High temp X 36 hrs.  Fever rigors X 3 Extremely restless.  C/o severe body aches - including severe pain in feet Unable to raise head from bed - c/o "arms heavy"  Pulse up to 114 bpm
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Mass, Pain, Pruritus
Clinical narrative: Redness & swelling size - began 50 cent size - painful, itching enlarged - redness area warm to touch about 2 days - decreased grade fever aching - hard lump size of 50 cent
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: Redness & swelling size - began 50 cent size - painful, itching enlarged - redness area warm to touch about 2 days - decreased grade fever aching - hard lump size of 50 cent
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Diarrhoea, Vomiting
Clinical narrative: Severe abdominal cramping & pain for 48 hours.  Severe vomiting & diarrhea for several hours.  No specific treatment
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site swollen, red, itchy - Pt visited PCP on 6/26/09; MD told Pt the reaction would go away in 2-3 days.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling localized to injection site 3" in diameter.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Father of pt called office 6/25/09 sts. small red area to vaccine site. Adv. Dad to watch area and if area spread and/or become redder, hot or hard to touch to seek treatment. Pt went to ER later that night.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 06/29/09  Pt came in today c/o redness on left deltoid had fever X 2d.  Used alcohol on area.  Redness & swelling warmed to touch 6" X 4 1/2"
Age: 32.0
Sex: F
Vaccine: TYP
Symptoms: Eating disorder, Facial palsy, Hypoaesthesia facial, Lacrimation increased
Clinical narrative: See attached notes.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema
Clinical narrative: Edema, redness of entire circumference of arm. Given IM steroids.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: L Deltoid persistent pain and mild tenderness to palpation, onset with pneumococcal vaccine to L deltoid 4/27/09.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Patient developed 10 vesicular rash scattered on his chest, neck, back & scalp on 6/19/09
Age: 54.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Redness, swelling, and a hard lump after receiving the diptheria, pertussis, tetanus shot at my OB-GYN's office.
Age: 50.0
Sex: U
Vaccine: FLUX
Symptoms: Hypersensitivity, Rash macular
Clinical narrative: Arms, back, stomach broke out with blotches when to two doctors- antibiotic given 1st Family Doctor gave shot to clear up reaction
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Guillain-Barre syndrome
Clinical narrative: About two weeks after the shot, I started to have tingles in my hands and feet.  I lost feeling in my lower back.  I suffered from migraines and severe back pain.  After about a week, I lost the ability to walk and speak correctly because I had tingles in my tongue. Once I was hospitalized, I had to be placed on a ventilator and feeding tube.
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Abasia, Back pain, Blood test abnormal, Gastrointestinal tube insertion, Guillain-Barre syndrome
Clinical narrative: About two weeks after the shot, I started to have tingles in my hands and feet.  I lost feeling in my lower back.  I suffered from migraines and severe back pain.  After about a week, I lost the ability to walk and speak correctly because I had tingles in my tongue. Once I was hospitalized, I had to be placed on a ventilator and feeding tube.
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Lumbar puncture, Mechanical ventilation, Migraine, Paraesthesia, Paraesthesia oral
Clinical narrative: About two weeks after the shot, I started to have tingles in my hands and feet.  I lost feeling in my lower back.  I suffered from migraines and severe back pain.  After about a week, I lost the ability to walk and speak correctly because I had tingles in my tongue. Once I was hospitalized, I had to be placed on a ventilator and feeding tube.
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Scan brain, Sensory loss, Speech disorder
Clinical narrative: About two weeks after the shot, I started to have tingles in my hands and feet.  I lost feeling in my lower back.  I suffered from migraines and severe back pain.  After about a week, I lost the ability to walk and speak correctly because I had tingles in my tongue. Once I was hospitalized, I had to be placed on a ventilator and feeding tube.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: This case was reported by a physician and described the occurrence of fever in a 5-year-old female subject who was vaccinated with KINRIX, (GlaxoSmithKline).  Concurrent vaccination included HAVRIX (GlaxoSmithKline, left arm) given on 1 June 2009; MMR II vaccine (non-gsk) (non-GSK manufacturer, right arm) given on 1 June 2009; VARIVAX (non - gsk) (non-GSK manufacturer, left arm) given on 1 June 2009.  On 1 June 2009, between 10:00 and 10:30, the subject received 1st dose of KINRIX (0.5 ml, unknown route, right arm).  On 2 June 2009, 1 day after vaccination with KINRIX, the subject experienced fever and malaise.  On 3 June 2009, 2 days after vaccination with KINRIX, the subject experienced induration of 152 millimeters on her right arm at the injection site and injection site pain.  The subject was treated with ice.  At the time of reporting the malaise had resolved on an unknown date, the fever had improved to 99.9 and the induration and pain at injection site were unresolved; the subject only has pain in her arm with movement and placement of ice.  The physician considered the events were related to vaccination with KINRIX, and that they were a local and systemic reaction to the KINRIX vaccination.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Lethargy
Clinical narrative: This case was reported by a physician and described the occurrence of fever in a 5-year-old female subject who was vaccinated with KINRIX, (GlaxoSmithKline).  Concurrent vaccination included HAVRIX (GlaxoSmithKline, left arm) given on 1 June 2009; MMR II vaccine (non-gsk) (non-GSK manufacturer, right arm) given on 1 June 2009; VARIVAX (non - gsk) (non-GSK manufacturer, left arm) given on 1 June 2009.  On 1 June 2009, between 10:00 and 10:30, the subject received 1st dose of KINRIX (0.5 ml, unknown route, right arm).  On 2 June 2009, 1 day after vaccination with KINRIX, the subject experienced fever and malaise.  On 3 June 2009, 2 days after vaccination with KINRIX, the subject experienced induration of 152 millimeters on her right arm at the injection site and injection site pain.  The subject was treated with ice.  At the time of reporting the malaise had resolved on an unknown date, the fever had improved to 99.9 and the induration and pain at injection site were unresolved; the subject only has pain in her arm with movement and placement of ice.  The physician considered the events were related to vaccination with KINRIX, and that they were a local and systemic reaction to the KINRIX vaccination.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Injection site induration, Injection site pain, Malaise, Pain in extremity
Clinical narrative: This case was reported by a physician and described the occurrence of fever in a 5-year-old female subject who was vaccinated with KINRIX, (GlaxoSmithKline).  Concurrent vaccination included HAVRIX (GlaxoSmithKline, left arm) given on 1 June 2009; MMR II vaccine (non-gsk) (non-GSK manufacturer, right arm) given on 1 June 2009; VARIVAX (non - gsk) (non-GSK manufacturer, left arm) given on 1 June 2009.  On 1 June 2009, between 10:00 and 10:30, the subject received 1st dose of KINRIX (0.5 ml, unknown route, right arm).  On 2 June 2009, 1 day after vaccination with KINRIX, the subject experienced fever and malaise.  On 3 June 2009, 2 days after vaccination with KINRIX, the subject experienced induration of 152 millimeters on her right arm at the injection site and injection site pain.  The subject was treated with ice.  At the time of reporting the malaise had resolved on an unknown date, the fever had improved to 99.9 and the induration and pain at injection site were unresolved; the subject only has pain in her arm with movement and placement of ice.  The physician considered the events were related to vaccination with KINRIX, and that they were a local and systemic reaction to the KINRIX vaccination.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL, DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of fever in a 5-year-old female subject who was vaccinated with KINRIX, (GlaxoSmithKline).  Concurrent vaccination included HAVRIX (GlaxoSmithKline, left arm) given on 1 June 2009; MMR II vaccine (non-gsk) (non-GSK manufacturer, right arm) given on 1 June 2009; VARIVAX (non - gsk) (non-GSK manufacturer, left arm) given on 1 June 2009.  On 1 June 2009, between 10:00 and 10:30, the subject received 1st dose of KINRIX (0.5 ml, unknown route, right arm).  On 2 June 2009, 1 day after vaccination with KINRIX, the subject experienced fever and malaise.  On 3 June 2009, 2 days after vaccination with KINRIX, the subject experienced induration of 152 millimeters on her right arm at the injection site and injection site pain.  The subject was treated with ice.  At the time of reporting the malaise had resolved on an unknown date, the fever had improved to 99.9 and the induration and pain at injection site were unresolved; the subject only has pain in her arm with movement and placement of ice.  The physician considered the events were related to vaccination with KINRIX, and that they were a local and systemic reaction to the KINRIX vaccination.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood human chorionic gonadotropin positive, Caesarean section, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a health professional for the Pregnancy Registry for GARDASIL, concerning a 16 year old female with no known medical history or drug reactions/allergies, who on 18-FEB-2008 was vaccinated (route unknown) with a first dose of GARDASIL (Lot # 659655/1486U). There was no concomitant medication. The nurse reports that on 18-FEB-2008 the patient's urine pregnancy test in the office was negative and she received her first dose. The patient returned to the office on 27-FEB-2008 for another urine pregnancy test and a Beta HCG (Human Chorionic Gonadotropin) blood test. Both were positive and showed she was 6 weeks pregnant (LMP 16-JAN-2008). No additional information at this time. The patient sought unspecified medical attention in the office. Outcome unknown. No product quality complaint was involved. Follow up information received on 23-JUN-2009 from a licensed practical nurse stated that the patient delivered at term, by cesarean section for macrosomia, confirmed by the baby's birth weight of 9 LBS, 4 oz. The nurse did not state whether the patient went into labor spontaneously, or was induced. Upon internal review cesarean section for macrosomia was determined to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Abortion induced, Drug exposure during pregnancy, Gynaecological examination, Pregnancy test positive
Clinical narrative: Information has been received from a consumer for the Pregnancy Registry for GARDASIL concerning her daughter a 14 year old female with no known medical history reported, who on 14-APR-2008 was vaccinated intramuscularly with a 0.5 mL first dose of GARDASIL (Lot # unknown). On the same day the patient was also vaccinated with a dose of VARIVAX (Lot # unknown) and VAQTA. The caller stated that her daughter received the three vaccines and discovered she was pregnant. At the time of the report the patient was 7 weeks gestation (LMP 12-MAR-2008). No AE reported. The patient had bloodwork and a pelvic exam performed. Outcome unknown. No product quality complaint was involved. Follow up information has been received from a physician, who reported that the 14 year old patient had a termination of her pregnancy soon after her pregnancy diagnosis (date not provided). The termination was not related to having had the GARDASIL vaccine. Upon internal review, termination of pregnancy was considered an other important medical event. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pancreatic mass
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient who on an unknown date was vaccinated with the first dose of GARDASIL (lot # not reported). On an unspecified date, the patient developed a pancreatic mass after receiving the GARDASIL. The patient was hospitalized and discharged on unknown dates. At the time of the report, the patient had not recovered. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Immediate post-injection reaction
Clinical narrative: Information has been received from a health care worker concerning a 15 year old female patient who on 12-JUN-2009 was vaccinated with the third dose of GARDASIL (Lot # 659054/0315Y). It was reported that on 12-JUN-2009 the patient experienced seizures, immediately following the administration. The patient sought medical attention in the physician's office. It was reported that the patient recovered the same day, 12-JUN-2009. Upon internal review seizures was considered to be another important medical event. Additional information has been requested.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Consciousness fluctuating, Oxygen saturation decreased, Pneumonia, Pulmonary oedema, X-ray
Clinical narrative: Information has been received from a registered nurse concerning herself, an 80 year old female with asthma and allergies to codeine and sulfa who was vaccinated with the first dose of PNEUMOVAX 23 (lot number, route and site not reported) within the last 10 years. Concomitant therapy included PREMARIN and thyroid medication. After receiving PNEUMOVAX 23, the patient developed pneumonia. The patient had fluid present in both lower lobes. She was hospitalized during the end of January of 2009 to 06-FEB-2009 for pneumonia. The patient's oxygen level was 87. The patient was given oxygen. "She was in and out of consciousness." The X-rays were performed, but the result was not reported. The patient recovered on an unspecified date. A second dose of PNEUMOVAX 23 (lot number, route and site not reported) was administered March or April of 2009. Pneumonia and "in and out of consciousness" were considered to be disabling, immediately life-threatening and an other important medical event by reporter. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Erythema, Swelling face, Wheezing
Clinical narrative: This case was received from a health care professional in country on 18 June 2009. A six-month-old female patient, with no reported medical history, received the following vaccines on 18 June 2009: a first intramuscular right thigh injection of PENTACEL (lot number C2886AA); an intramuscular left thigh injection of PREVNAR (Wyeth, lot number D37014); an intramuscular left thigh injection of ENGERIX-B (GlaxoSmithKline, lot number AHBVB647AA); and an oral dose of ROTATEQ (Merck, lot number 00714). Approximately 30 to 60 minutes post-vaccination, the patient returned to her physician's office with a red, swollen face and wheezing. She was treated with albuterol via nebulizer, BENADRYL, and ORAPRED. At the time of the report, the patient was still in the office being monitored, and symptoms were reported to be improving.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Borrelia burgdorferi serology positive, Fatigue, Infectious mononucleosis, Lyme disease, Lymphadenitis
Clinical narrative: Initial report received 19 June 2009 from a health care professional. A 17-year-old female patient with no known drug allergies, had received a first dose intramuscular left arm injection of MENACTRA, lot number U2822AA and a subcutaneous left forearm injection of TUBERSOL, lot number C3036AA and 12 hours later, she developed inflamed and swollen lymph nodes and fatigue. The patient was evaluated by her physician (date not reported) and she received an unspecified steroid which "somewhat" decreased the lymph node swelling. The patient was also reported to have had positive mono and Lyme's disease test results (dates not reported). She had not received any other vaccines within four weeks of MENACTRA and TUBERSOL, and she had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Lymphadenopathy, Mononucleosis heterophile test positive
Clinical narrative: Initial report received 19 June 2009 from a health care professional. A 17-year-old female patient with no known drug allergies, had received a first dose intramuscular left arm injection of MENACTRA, lot number U2822AA and a subcutaneous left forearm injection of TUBERSOL, lot number C3036AA and 12 hours later, she developed inflamed and swollen lymph nodes and fatigue. The patient was evaluated by her physician (date not reported) and she received an unspecified steroid which "somewhat" decreased the lymph node swelling. The patient was also reported to have had positive mono and Lyme's disease test results (dates not reported). She had not received any other vaccines within four weeks of MENACTRA and TUBERSOL, and she had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Documents held by sender: None.
Age: 11.0
Sex: U
Vaccine: DTAP
Symptoms: Pertussis
Clinical narrative: This case was retrieved from a newspaper article on 22 June 2009. An 11-year-old patient received an injection of DTaP (manufacturer, date of administration, and number of doses not reported). The patient was later diagnosed with pertussis. No additional information was reported.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Flushing, Hypoaesthesia, Musculoskeletal stiffness, Nausea
Clinical narrative: Pt. developed onset of paresthesias (tingling) in B/L hands, neck stiffness, occas. hand numbness, hip pain, & feeling flushed on eve of 11/17/08. Flu shot given 11/4/08. NV on 11/18/08 -> referred to PCP. Eval. at ER 11/28/08 -> D/C with script for anxiolytic. Increasing ext pain -> ER 11/29/08 -> inpt. x8 days for daily plasmaphoresis.  7/1/09 Hospital records received DOS 11/30/09 to 12/07/08. Assessment: Guillain-Barre syndrome. Patient presented with tingling of hands and fingers, followed by flu-like symptoms with myalgias and arthralgias in several muscles and joints. Could barely ambulate and unable to work. Decreased muscle strength upper and lower extremities. Gait is wide-based, slow, and unsteady. Daily plasmaphoresis.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Plasmapheresis, Vomiting
Clinical narrative: Pt. developed onset of paresthesias (tingling) in B/L hands, neck stiffness, occas. hand numbness, hip pain, & feeling flushed on eve of 11/17/08. Flu shot given 11/4/08. NV on 11/18/08 -> referred to PCP. Eval. at ER 11/28/08 -> D/C with script for anxiolytic. Increasing ext pain -> ER 11/29/08 -> inpt. x8 days for daily plasmaphoresis.  7/1/09 Hospital records received DOS 11/30/09 to 12/07/08. Assessment: Guillain-Barre syndrome. Patient presented with tingling of hands and fingers, followed by flu-like symptoms with myalgias and arthralgias in several muscles and joints. Could barely ambulate and unable to work. Decreased muscle strength upper and lower extremities. Gait is wide-based, slow, and unsteady. Daily plasmaphoresis.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Blood glucose increased, Diabetes mellitus, Fatigue, Pollakiuria, Urine output increased
Clinical narrative: Pt was seen for annual physical 5/14/09 & found to be well on exam. No labs needed. ADACEL vaccine done. 3-4 days later some symptoms of vague fatigue and over 1 wk increased urination. Diagnosed with diabetes mellitus on 5/24/09.  7/1709 Hospital records received DOS 5/24/09 to 5/26/09. Assessment: Diabetes Mellitus w/o Complication Type I. Patient transferred from another facility for hyperglycemia and management of new-onset diabetes. Presents with 1 week of increased frequency of urination, polyuria, urinating hourly while awake. Nocturnal enuresis. Increased thirst, polydipsia. Fatigue, decreased energy, increased appetite. Weight loss. Trace pitting pedal edema.  ICD-9 Codes - 250.03, 250.00A
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Dyspnoea, Face oedema
Clinical narrative: 1 yr old w/ h/o recurrent cough w/ wheeze, who received 1st MMR, VAR & HAV on 6/11/09. Child was healthy that day. Day after woke up w/ face edema -> better. Same next AM + cough & wheeze, SOB. Taken to ER -> SOLUMEDROL, BENADRYL & XOPENEX. Sat 96 -> hospitalized, continued w/ same med. & IVF. Lung w/ wheezes and rhonchi & retractions. Improved, home on 6/14/09.  7/20/09 Hospital records received DOS 6/14/09 to 6/16/09. Assessment: Asthma Exacerbation.  Patient woke up with edema of the face, which improved and then recurred. Patient presents with edema of the eyelids, coughs and wheezes, some difficulty breathing. Pulse of 156 and respiratory rate of 32. Decreased appetite and decreased urinary output. Bilateral wheezes and rhonchi. Intercostal retractions.  7/13/09 ICD-9 Codes 493.92
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Full blood count normal, Intercostal retraction, Metabolic function test, Rhonchi, Wheezing
Clinical narrative: 1 yr old w/ h/o recurrent cough w/ wheeze, who received 1st MMR, VAR & HAV on 6/11/09. Child was healthy that day. Day after woke up w/ face edema -> better. Same next AM + cough & wheeze, SOB. Taken to ER -> SOLUMEDROL, BENADRYL & XOPENEX. Sat 96 -> hospitalized, continued w/ same med. & IVF. Lung w/ wheezes and rhonchi & retractions. Improved, home on 6/14/09.  7/20/09 Hospital records received DOS 6/14/09 to 6/16/09. Assessment: Asthma Exacerbation.  Patient woke up with edema of the face, which improved and then recurred. Patient presents with edema of the eyelids, coughs and wheezes, some difficulty breathing. Pulse of 156 and respiratory rate of 32. Decreased appetite and decreased urinary output. Bilateral wheezes and rhonchi. Intercostal retractions.  7/13/09 ICD-9 Codes 493.92
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Erythema, Erythema multiforme, Oedema peripheral, Streptococcal identification test negative
Clinical narrative: 1. 6/15/09 called arm red & swollen (? which) home care  2. 6/24/09 Erythema Multi form no explanation not sure if due to vaccines
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site cellulitis
Clinical narrative: C/o cellulitis of the left arm at the site of injection. --> Treated with KEFLEX antibiotic for infection.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness
Clinical narrative: Pt received vaccine on 06/18/2009, by 06/20/09 she was feeling very dizzy and it has been happening on and off since.
Age: 0.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site warmth, Pyrexia
Clinical narrative: Low grade fever w/ knot in left thigh, erythema to thigh 3cm X 8cm, itch, warmth.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity, Vaccine positive rechallenge
Clinical narrative: (LT) upper arm weak & numb x 6 days from deltoid to elbow.  Reoccured with Gardasil #2 - (RT) arm, marked pain + weakness - RT upper arm - 5 days (injection sites - ok)
Age: 16.0
Sex: F
Vaccine: HPV4, PPV
Symptoms: Injection site erythema, Injection site swelling, Oedema, Oxygen saturation, Oxygen saturation normal
Clinical narrative: PNEUMOVAX given @ 0900 on 6/23/09. At 1530 on 6/23/09, pt. seen in office for increased swelling and erythema to site. Circular edema 5" width, 4 1/2 inches in height - Full ROM. No fever. Please not swelling to left deltoid only, right deltoid with no reaction.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin normal, Headache, Pain in extremity, Pruritus, Rash
Clinical narrative: 6/11/09 - Vaccine given.  6/12/ - 6/14 - Sore arm.  Itching started 6/13 on arm  6/15 Itchy wrists 6/16 - headache, dry heaves, rash developed on torso & arms - severe itching at night.  6/23 - biopsy of skin taken 6/24 - no viral found.  dermatologist following given meds to put on body until rash disappeared
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Retching
Clinical narrative: 6/11/09 - Vaccine given.  6/12/ - 6/14 - Sore arm.  Itching started 6/13 on arm  6/15 Itchy wrists 6/16 - headache, dry heaves, rash developed on torso & arms - severe itching at night.  6/23 - biopsy of skin taken 6/24 - no viral found.  dermatologist following given meds to put on body until rash disappeared
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Body temperature increased, Chest X-ray normal, Cough, Crying, Rhinorrhoea
Clinical narrative: Approximately 24 hours after vaccines pt started with crying and that has lasted for 2 more days. He has also has a temp to 101 degrees F and mild runny nose and mild cough.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Apnoea, Confusional state, Syncope, Tremor
Clinical narrative: Unwitnessed syncope vs possible seizure. Found down with ?shaking, ? apnea. Reportedly with some confusion briefly afterwards and then fully recovered.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Rash generalised, Rash papular
Clinical narrative: Generalized red papular rash every- where on body except face and palms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site haematoma
Clinical narrative: Hematoma to right thigh.  Size smaller than a pea, no redness or swelling.  Treatment:  warm compresses and massage.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Feeling hot, Hot flush, Musculoskeletal pain
Clinical narrative: 5- 27 - 28 - Hot flush - 5-28 - red raised welt egg shape/size - hot -  5-29 - still warm -ache shoulder - elbow - swelling gone - no energy - 6-8 - arm shoulder to elbow aches yet
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Urticaria
Clinical narrative: 5- 27 - 28 - Hot flush - 5-28 - red raised welt egg shape/size - hot -  5-29 - still warm -ache shoulder - elbow - swelling gone - no energy - 6-8 - arm shoulder to elbow aches yet
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Developed 20cm X 25cm area of redness after administration of DTAP + itching. Treating with cool compresses + Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Developed 105 cm x 70 cm area of redness at site of MMR, & itching. Treating with cold compresses & BENADRYL.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Tdap given Lt deltoid 6/20/09 - no previous reaction reported - over 10 yrs on tetanus. Called 6/24/09 - Pt reports lightheadedness, fever x2 days - up to 101 degrees and 3" square red/hot site on arm. Has resolved now
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt given adacel - recommended for ages 17-64.  LOT# C3098AA EXP 9/1/2011 L deltoid
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Redness in area of injection site.  Lasted about 5-6 days.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Wrong drug administered
Clinical narrative: FLUVIRIN was in box labeled PPD therefore. 1cc was given ID in pt left arm. Dime sized slightly reddened area noted at injection site.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dyspnoea, Headache, Nausea
Clinical narrative: About 1 hr after immunization (10:30 am) recipient c/o headache, nausea, shortness of breath.  Tx with Tylenol.  Nausea subsided - other Sx continued.  Taken to Hosp ED Tx with Benadryl - 6-22-09.  6-23-09 All symptoms resolved, recipient with c/o
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: On 6-23-09 received Hep A and MCV-4 in L arm and HPV in R arm. Overnight pain and redness @ injection site. Increased pain and redness on 6-24-09.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Area of Lt arm, red tender and hot. Measures 90x80 millimeters - Area involved is slightly below the injection site
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration, Oedema peripheral, Pain
Clinical narrative: Swollen arm, redness, hardness pain.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Irritability, Pyrexia
Clinical narrative: Mom reported fever 103 + irritability all night. Offered an appt by myself and Doctor. Mom refused appt X 2.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Significant local reaction on L arm, red and swollen 6 cm in size encompassing the whole arm.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site rash, Irritability, Pyrexia
Clinical narrative: Red rash local to inject - fussy and fever - Treated with tx
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Diarrhoea, Hypertension, Pain in extremity, Rash
Clinical narrative: Hand pain, joint pain, diarrhea, high blood pressure, rash. Prostate cancer we do not receive, never adverse reaction of this vaccine when administered on 2003 at clinic.
Age: 77.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Skin warm, Tenderness
Clinical narrative: Redness, tender, sore, red, warm to touch x 3days. Keflex 500mg 1 tab PO TID X 7 days.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Mass, Pruritus, Skin warm
Clinical narrative: 2 inch lump, itching, hot to the touch. - Warm compress, gentle massage, BENADRYL if needed for itching.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Musculoskeletal pain, Tendonitis
Clinical narrative: Right shoulder pain for a couple of weeks now, no injury or trauma. Pain and pressure to the area and with overhead activities. Right shoulder bothers him if he lays down on it. PCM diagnosed with biceps tendinitis.
Age: 22.0
Sex: F
Vaccine: HEPA, IPV, YF
Symptoms: Immediate post-injection reaction, Malaise, Nausea, Pallor, Syncope
Clinical narrative: Pt. turned white and became sick/feel nauseated after getting Hep A and Yellow fever , which came on several minutes after YF given then she fainted w/eyes wide open for about 3-4 seconds. Called and tapped her until she woke up. While fainted, she was sitting on a chair so she just slouched down and had her head to the side. After she woke up gave pt. some cold water and had pt. sit and rest about 20 min. then she said she's feeling fine for last shot (IPOL). Pt. rested about 15 min after last shot and said she's feeling fine; then she left. F/u - u/pt. on Saturday and she said she has no other problem/adverse events.
Age: 16.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache, nausea, fatigue
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Local reaction, Pyrexia, Skin tightness
Clinical narrative: Significant local reaction. - *see attached. -
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Foaming at mouth
Clinical narrative: This case was reported by a physician and described the occurrence of difficulty breathing in a male subject of unspecified age who was vaccinated with TWINRIX (GlaxoSmithKline). Previous and/or concurrent vaccinations included unspecified vaccine "TD"; manufacturer unspecified; unknown given on an unspecified date. On an unspecified date, the subject received 1st dose of TWINRIX (unknown). In June 2009, within hours of vaccination with TWINRIX, the subject experienced difficulty breathing and foaming at mouth. The physician considered the events were disabling. The subject was taken to the hospital. In June 2009, the events were resolved.
Age: 14.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Arthralgia, Bedridden, Constipation, Disturbance in attention, Dyskinesia
Clinical narrative: Faints - blacks out - low blood pressure. Extreme pain in legs and body. Body jerks no concentration brain fog. Rashes, joint pain Fatigue, constipation weight loss - nausea. Headaches bedridden long periods.  7/20/09 Hospital records received DOS 7/18/08 to 7/13/09. Assessment: Orthostatic hypotension and Fibromyalgia. Syncope and Collapse. Migraine. Aversion to eating. Chronic pain syndrome. Multiple ER visits and hospitalizations. Chronic diarrhea and dizzy spells. Decreased PO intake. Weight loss. Headache, blurry vision. Mental status change. Confusion, inability to eat. Uncontrolled pain. Loss of consciousness. On birth control pills. Constipation. 9/4/09 Received ICD9 codes: 4516; 43239; 4580; 7291; 27651; 78701; 78321; 78052; 3384; 56400; 2871.  7/1/09 Medical records received DOS 6/20/07 to 12/24/07 Assessment: Fatigue, arthralgia, myalgia, easy bruising, lack of concentration. Patient presnts with lower leg pain, aching, sore arms, ankle bruising. Heavy menstrual period. Lack of concentration. Allergies. Painful skin with light touch. Constipation, SOB with excercise. Illness at time of immunization: Tired, not sleeping well. Body aches. Stress at school. Sore throat, Amox.
Age: 14.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Fatigue, Feeling abnormal, Headache, Hypotension, Loss of consciousness
Clinical narrative: Faints - blacks out - low blood pressure. Extreme pain in legs and body. Body jerks no concentration brain fog. Rashes, joint pain Fatigue, constipation weight loss - nausea. Headaches bedridden long periods.  7/20/09 Hospital records received DOS 7/18/08 to 7/13/09. Assessment: Orthostatic hypotension and Fibromyalgia. Syncope and Collapse. Migraine. Aversion to eating. Chronic pain syndrome. Multiple ER visits and hospitalizations. Chronic diarrhea and dizzy spells. Decreased PO intake. Weight loss. Headache, blurry vision. Mental status change. Confusion, inability to eat. Uncontrolled pain. Loss of consciousness. On birth control pills. Constipation. 9/4/09 Received ICD9 codes: 4516; 43239; 4580; 7291; 27651; 78701; 78321; 78052; 3384; 56400; 2871.  7/1/09 Medical records received DOS 6/20/07 to 12/24/07 Assessment: Fatigue, arthralgia, myalgia, easy bruising, lack of concentration. Patient presnts with lower leg pain, aching, sore arms, ankle bruising. Heavy menstrual period. Lack of concentration. Allergies. Painful skin with light touch. Constipation, SOB with excercise. Illness at time of immunization: Tired, not sleeping well. Body aches. Stress at school. Sore throat, Amox.