chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Neck pain, Night sweats, Pain, Pyrexia
Clinical narrative: Rabies vaccine was given on 3-6-09 @ 9:35 am.  On 3-16-09 @ 2 pm patient developed a mild headache.  Between 5:30 and 6 pm she developed general malaise, some little generalized aches.  Between 6 and 9 pm she developed joint aches, muscular aches, T 100 - 101 F, extreme nausea without vomiting and throughout the evening all the symptoms became worse.  After 9 pm she developed diarrhea, for which she took 2 OTC anti-diarrhea pills (? name) as directed for initial dose, without any relief.  She also experienced abdominal discomfort prior to and during diarrhea.  They offered no relief and she never took any more of this medication.  During the same night, her symptoms worsened throughout the evening, and could only sleep for 15 mins. at a time.  She experienced night sweats.  She took IBF 400 mg. PO @ 1 - 2 am on 3-19-09, also without relief, so did not take any further doses.  She then took Tylenol 1000  mg.  Q 4-6 hrs., but not more than 4 doses in 24 hrs. with some relief throughout the days that she had these symptoms.  On 3-18 PM or 3-19 PM, she began to take chewable pepto ismal for nausea, because it was so severe.  She also drank juice and water throughout the days of these symptoms.  The fever left either 3-20-09 in the evening or 3-21-09 @ 2 - 3 am, and then she was able to sleep.  All of these symptoms continued, but she was feeling progressively better.  She did not feel well enough to return to work until 3-23-09, but reports that she is not feeling well.  She reports feeling lethargic and joint aches continuing.  She complains especially of cervical neck pain with limited ROM, and has made an appointment with her neurosurgeon, since she had surgery last year.  She also complains of her shoulders and hands bothering her, where she has arthritis.  She has not taken her Voltran in 1 week, because she was taking other medication.  She will be talking with her PMD later today.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Rabies vaccine was given on 3-6-09 @ 9:35 am.  On 3-16-09 @ 2 pm patient developed a mild headache.  Between 5:30 and 6 pm she developed general malaise, some little generalized aches.  Between 6 and 9 pm she developed joint aches, muscular aches, T 100 - 101 F, extreme nausea without vomiting and throughout the evening all the symptoms became worse.  After 9 pm she developed diarrhea, for which she took 2 OTC anti-diarrhea pills (? name) as directed for initial dose, without any relief.  She also experienced abdominal discomfort prior to and during diarrhea.  They offered no relief and she never took any more of this medication.  During the same night, her symptoms worsened throughout the evening, and could only sleep for 15 mins. at a time.  She experienced night sweats.  She took IBF 400 mg. PO @ 1 - 2 am on 3-19-09, also without relief, so did not take any further doses.  She then took Tylenol 1000  mg.  Q 4-6 hrs., but not more than 4 doses in 24 hrs. with some relief throughout the days that she had these symptoms.  On 3-18 PM or 3-19 PM, she began to take chewable pepto ismal for nausea, because it was so severe.  She also drank juice and water throughout the days of these symptoms.  The fever left either 3-20-09 in the evening or 3-21-09 @ 2 - 3 am, and then she was able to sleep.  All of these symptoms continued, but she was feeling progressively better.  She did not feel well enough to return to work until 3-23-09, but reports that she is not feeling well.  She reports feeling lethargic and joint aches continuing.  She complains especially of cervical neck pain with limited ROM, and has made an appointment with her neurosurgeon, since she had surgery last year.  She also complains of her shoulders and hands bothering her, where she has arthritis.  She has not taken her Voltran in 1 week, because she was taking other medication.  She will be talking with her PMD later today.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Paraesthesia, Rash vesicular
Clinical narrative: ON 3/20/09 BROKE OUT WITH 3-4 CHICKEN POX LIKE SORES WITH PINS & NEEDLES LIKE PAIN AND CONTINUED WITH BREAKOUTS UNTIL 3/23/09. PT SAW MD AND CONFIRMED SHINGLES. HE PRESCRIBED ACYCLOVIR 800MG
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: RIGHT ARM SWOLLEN FROM SHOULDER TO ELBOW AND WARM TOO TOUCH, STARTED ON SATURDAY 3/21/09
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The patient received the Tdap immunization without complications on Friday, March 6, 2009.  Pt stated she felt fine with no problems until Wednesday, March 11, 2009 when she noted redness, swelling and warmth at the injection site (Left deltoid).  Pt was seen for a pre-operative appointment on 3/13/09 and started on Bactrim DS 1 tab PO BID for cellulitis sx of her left arm.  Pt stated sx completely dissipated and she is feeling fine with no further problems.
Age: 46.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LEFT ARM RED & SWOLLEN FROM SHOULDER TO ELBOW
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 3/20/09, approximately 24 hours after injection, left arm red, hard, swollen, hot and c/o itching.  Over the next 3 days, redness, swelling and itching decreased.  Tylenol and Benadryl given after problem began in 3/20/09.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Ankylosing spondylitis, Back pain, Basophil count normal, Basophil percentage, Bilirubin urine
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood urine absent, Full blood count, Gamma-glutamyltransferase normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Glucose urine absent, HLA marker study positive, Haematocrit normal, Haemoglobin normal, Lymphocyte count normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration, Mean cell haemoglobin normal, Mean cell volume, Monocyte count normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Platelet count normal, Protein urine present
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Red blood cell count normal, Red blood cell sedimentation rate normal, Red blood cells urine, Red cell distribution width normal, Specific gravity urine normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase, Urobilin urine, White blood cell count normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: pH urine normal
Clinical narrative: Pt. developed his initial symptoms of low back pain within a month of his 3rd anthrax vaccination.  His low back pain was later determined to be due to HLA B-27 positive ankylosing spondylitis.  5/12/09 Medical records received DOS 2/12/08-3/24/09 FINAL DIAGNOSIS: Ankylosing Spondylitis Problems addressed during this time frame have included: open wound, peripheral retinal degeneration, circadian rhythm sleep disorder/jet lag, nonallopathic lesions sacral-sacroiliac, other joint symptoms referrable to pelvis/hip/femur, hip joint pain,sacroilliac region sprain, sacroiliitis, backache, myopia, visual impairment left eye.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Syncope immediately following injection of HPV vaccine. No fall or injury. Rapid recovery - regained consciousness when client placed in suppine position.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: One day post vaccine patient developed fever 102 F.  Mom was on her way to taking child to ED when child had a seizure in the car
Age: 61.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Discomfort, Ear pain, Neuralgia, Pain of skin
Clinical narrative: 2/12/09 - Shingles Vaccine and Tetanus, Diphtheria Pertussis (Tdap) Vaccine received from Dr. Reporting administered vaccines here rather than under item 13 because I could not find an entry under the item 13 Vaccine drop down box that seemed a match with the Shingle Vaccine.   2/23/09 - Start of weird symptom, possible side effect of the shingles vaccine, where a periodic ear ache like pain (right ear) and (right back) scalp tenderness showed up. 2/25/09 - Added symptom arrived of periodic pain in the nerve on right back side of head running from neck up to crown of head. Other symptoms continued at about the same level of discomfort as earlier. 2/26/09 - Saw Dr to look into the symptoms. He couldn't see any symptoms (redness, etc) that would support diagnosis as a normal infection of some kind. 3/2/09 - Added symptom of scalp tenderness spreading to top right side of head. Other symptoms continued at about the same level of discomfort as earlier. 3/3/09 - Exchanged emails with Dr advising him that symptoms were still about the same with the result of him suggesting acupuncture treatment for pain relief if I thought that might be helpful. Decided not to receive any acupuncture treatments. 3/4/09 - Symptoms continued at same level. Checked google for possible side effects of the vaccine shot finding the following: This shingles fact sheet said: Shingles can lead to a number of complications (one of which is): Shingles sometimes affects the ear. It can cause earache, dizziness, deafness and paralysis on one side of the face. This is called Ramsay Hunt syndrome. The pain tends to go within 48 hours, but post-herpetic neuralgia or permanent nerve damage may occur. Found that the symptoms for temporal arteritis (swelling of the arteries in the head, neck, and arms)  seemed somewhat similar to those experienced, but were suggested to show up as one side head aches and skin tenderness of area around temple which is slightly different than my symptoms. 3/12/09 - The symptoms have slowly receded some up through this date to the point where the scalp tenderness is around a 1/3 of what it was at its peak and the back of head nerve and inner ear ache pain is down to about 1/5 of what it was at its peak. 3/23/09 - The symptoms continued to slowly recede up through this date to the point where they've essentially disappeared. There is no longer any back of head nerve and inner ear ache pain. There's just the slightest scalp sensitivity remaining. As a wrap up to the symptoms, decided to report them to the VAERS web site.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Activities of daily living impaired, Blood heavy metal normal, Clumsiness, Immunology test normal, Laboratory test normal
Clinical narrative: Neurologic symptoms started in my left hand within 2-3 weeks of a vaccination in my left arm. It started with lots of tremors and then certain fingers in my left hand stopped any extention.  My entire hand became clumsy and lacked fine motor control  After about 7 months I still have some symptoms. My left middle finger does not extend and the hand is still clumpsy. It is a very frustrating feeling and prevents me from doing some things important in my life. 5/11/10 Follow up: Neurologic symptoms continue in left hand and arm so I still have trouble using that hand.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Motor dysfunction, Musculoskeletal stiffness, Neurological examination, Neurological symptom, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Neurologic symptoms started in my left hand within 2-3 weeks of a vaccination in my left arm. It started with lots of tremors and then certain fingers in my left hand stopped any extention.  My entire hand became clumsy and lacked fine motor control  After about 7 months I still have some symptoms. My left middle finger does not extend and the hand is still clumpsy. It is a very frustrating feeling and prevents me from doing some things important in my life. 5/11/10 Follow up: Neurologic symptoms continue in left hand and arm so I still have trouble using that hand.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Tremor
Clinical narrative: Neurologic symptoms started in my left hand within 2-3 weeks of a vaccination in my left arm. It started with lots of tremors and then certain fingers in my left hand stopped any extention.  My entire hand became clumsy and lacked fine motor control  After about 7 months I still have some symptoms. My left middle finger does not extend and the hand is still clumpsy. It is a very frustrating feeling and prevents me from doing some things important in my life. 5/11/10 Follow up: Neurologic symptoms continue in left hand and arm so I still have trouble using that hand.
Age: 16.0
Sex: F
Vaccine: DTP, MEN
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Less then 24 hours after Meningococcal Vaccine,the site of injection and surrounding area was red, painfull,swollen, tender, and very hot to touch. Had a fever of 99.3. Had the vaccine at 2pm Thursday March 19, saw Dr on Friday March 20 for reaction.Dr said she has CELLULITIS  and was given antibiotics for 10 days.
Age: 16.0
Sex: F
Vaccine: DTP, MEN
Symptoms: Pyrexia
Clinical narrative: Less then 24 hours after Meningococcal Vaccine,the site of injection and surrounding area was red, painfull,swollen, tender, and very hot to touch. Had a fever of 99.3. Had the vaccine at 2pm Thursday March 19, saw Dr on Friday March 20 for reaction.Dr said she has CELLULITIS  and was given antibiotics for 10 days.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella - like exanthem 20 days post vaccination.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella rash 2 weeks after admin of vaccine.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, MNQ, TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Gave Pt MMR on 2-2-09.  Paperwork signed by pt & guardian that she is not currently pregnant, no possible way she is pregnant & understands should not get pregnant for 3 months of receiving immunization.  Found out March 2, 2009 via  school nurse/doctor that pt was pregnant- pregnancy test taken a few weeks after shot.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm swollen, red, hot to touch from shoulder to elbow.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Enuresis, Loss of consciousness, Syncope
Clinical narrative: Walked out of exam room after vaccinations and experienced syncope at check out desk.  Event witnessed by/patient helped down by nursing who describes 30 second loss of consciousness- Did not look like a seizure to nursing but + enuresis  - Observed 5mins and released in good condition- no post-ictal behavior.
Age: 23.0
Sex: F
Vaccine: FLUX, HPVX, FLU3, HEPA, HPV4
Symptoms: Injected limb mobility decreased, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Soreness in arm for over a month - Stinging pain, unable to lift arm.
Age: 23.0
Sex: F
Vaccine: FLUX, HPVX, FLU3, HEPA, HPV4
Symptoms: Injected limb mobility decreased, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, X-ray normal
Clinical narrative: Soreness in arm for over a month - Stinging pain, unable to lift arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: (L) upper arm cellulitis Deltoid area.
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site papule, Rash
Clinical narrative: About 7 days after receiving VARIVAX left Deltoid Pt developed erythematous papular left Deltoid which have persisted about 1 week with minor local exanthem. No fever - No warmth. Rx PROVENTIL.
Age: 9.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Urticaria
Clinical narrative: Patient developed hives 2 dys after vaccines were given.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Pyrexia, Rash, Tympanic membrane hyperaemia, Urticaria
Clinical narrative: Fever > 100 x 2 days. Rash x3 days - red circular hives. Right TM red - CEDAX, 1 tsp every day ORAPRED 1 tsp po every day x 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10x8cm erythema on L thigh around Dtap & polio site with induration. Pt on AUGMENTIN.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pruritus, Injection site rash, Rash
Clinical narrative: Date of injection 3/17/09 - 1st 8 hours painful 3/19/09 rash behind knee. 3/20/09 rash to arms & legs, & then surrounding area of injection. Red papular rash. BENADRYL 25mg at HS. 1% hydrocortisone to skin an legs. Very itchy until Monday A.M. 3/23/09
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Back pain, Blood test, Bronchospasm, Influenza like illness
Clinical narrative: Persistent weakness, Fever, Bronchospasm, Recurring bouts of flu-like illness, parasthesias, low back pain
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Pyrexia
Clinical narrative: Persistent weakness, Fever, Bronchospasm, Recurring bouts of flu-like illness, parasthesias, low back pain
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia, Anaemia, Borrelia burgdorferi serology negative, Haematology test, Laboratory test normal
Clinical narrative: Pt seen 12/1/08 for hair loss started "past several weeks" mother concerned pt may have "alopecia areata" about 5-6 yrs ago mom had seen some "bald spots" went away. Receding hairline "few weeks ago", also wt gain 12 lb in 10 month, irregular menses; history of increase stressors at that time includ. applying to college, nervous about acceptance, and living in dorm - sharing bathroom, fear exposure to germs, father lost job, filing bankruptcy. PE showed diffuse hair thinning. Dx: telogen effluvium alopecia--> refer to Derm; Labs drawn. Rx topical triamcinolone oint 0.1% TID x 2-3 wk. Pt transferred records to another doctor 12/26/08. Now parents state diagnosed with alopecia universalis. They feel is from her GARDASIL vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia areata, Alopecia effluvium, Alopecia universalis, Blood thyroid stimulating hormone, Full blood count normal
Clinical narrative: Pt seen 12/1/08 for hair loss started "past several weeks" mother concerned pt may have "alopecia areata" about 5-6 yrs ago mom had seen some "bald spots" went away. Receding hairline "few weeks ago", also wt gain 12 lb in 10 month, irregular menses; history of increase stressors at that time includ. applying to college, nervous about acceptance, and living in dorm - sharing bathroom, fear exposure to germs, father lost job, filing bankruptcy. PE showed diffuse hair thinning. Dx: telogen effluvium alopecia--> refer to Derm; Labs drawn. Rx topical triamcinolone oint 0.1% TID x 2-3 wk. Pt transferred records to another doctor 12/26/08. Now parents state diagnosed with alopecia universalis. They feel is from her GARDASIL vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Menstruation irregular, Metabolic function test normal, Red blood cell sedimentation rate normal, Stress, Thyroxine
Clinical narrative: Pt seen 12/1/08 for hair loss started "past several weeks" mother concerned pt may have "alopecia areata" about 5-6 yrs ago mom had seen some "bald spots" went away. Receding hairline "few weeks ago", also wt gain 12 lb in 10 month, irregular menses; history of increase stressors at that time includ. applying to college, nervous about acceptance, and living in dorm - sharing bathroom, fear exposure to germs, father lost job, filing bankruptcy. PE showed diffuse hair thinning. Dx: telogen effluvium alopecia--> refer to Derm; Labs drawn. Rx topical triamcinolone oint 0.1% TID x 2-3 wk. Pt transferred records to another doctor 12/26/08. Now parents state diagnosed with alopecia universalis. They feel is from her GARDASIL vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Weight increased
Clinical narrative: Pt seen 12/1/08 for hair loss started "past several weeks" mother concerned pt may have "alopecia areata" about 5-6 yrs ago mom had seen some "bald spots" went away. Receding hairline "few weeks ago", also wt gain 12 lb in 10 month, irregular menses; history of increase stressors at that time includ. applying to college, nervous about acceptance, and living in dorm - sharing bathroom, fear exposure to germs, father lost job, filing bankruptcy. PE showed diffuse hair thinning. Dx: telogen effluvium alopecia--> refer to Derm; Labs drawn. Rx topical triamcinolone oint 0.1% TID x 2-3 wk. Pt transferred records to another doctor 12/26/08. Now parents state diagnosed with alopecia universalis. They feel is from her GARDASIL vaccine.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Liver injury, Skin discolouration
Clinical narrative: The must important efect was today the Dr.toll me his LIVER get a little damage,the result from the laboratory give as this matter, he always have BIG headache, and I catch white dot in his skin. Now i'm worry on his HEALTH!!!!
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: My son's upper left thigh started to swell within a day after receiving the shots. Area was warm to the touch, VERY swollen, red, and I could feel a hard knot beneath his skin.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Ectopic pregnancy, Laboratory test, Pregnancy test positive
Clinical narrative: Information has been received from a registered nurse concerning a 14 year old female patient with a history of pre-eclampsia and BELL's palsy during a prior pregnancy who on 04-FEB-2009 was vaccinated with the first IM dose of GARDASIL (655618/0186U) while she was pregnant. A pregnancy test and prenatal blood screen were performed. Her last menstrual period was 10-JAN-2009 and the estimated delivery date is 17-OCT-2009. The patient was started on prenatal vitamins (unspecified) and iron (unspecified). No adverse effect was reported. Follow-up information has been received from a registered nurse concerning the patient. It was reported that the patient was diagnosed with tubal pregnancy. The patient was admitted to the hospital the week of 16-FEB-2009 and a therapeutic abortion was performed. The date of the surgery was unavailable. On 04-MAR-2009 the patient was seen in the office and had fully recovered. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Brain oedema, Convulsion
Clinical narrative: Information has been received from a physician concerning a 21 year old female ("who is a family friend of the physicians") who was vaccinated with her second dose of GARDASIL at another physician's office. Two weeks later the patient experienced seizure and brain swelling and was hospitalized for two or three weeks. Therapy with GARDASIL was discontinued. On unspecified date, the patient recovered. The physician also reported the patient has now returned to college. Attempts to verify the existence of a patient have been unsuccessful. No further information is available.
Sex: U
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a patient was vaccinated with a dose of GARDASIL on an unspecified date. Subsequently the patient developed lupus after getting GARDASIL. The patient went to a rheumatologist who thought this was related to the vaccine. No information was known after how many doses this occurred. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Age: 0.3
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a physician concerning her newborn 3 month old baby who on an unspecified date was vaccinated orally with the second 2ml dose of ROTATEQ (lot # not provided). The physician reported that the patient experienced mild diarrhea and spots of blood in stool. The patient would not be finishing the series. On an unspecified date, the patient recovered from mild diarrhea and spots of blood in stool. Unspecified medical attention was sought. Upon internal review, spots of blood in stool was considered to be an other important medical event. Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Autism spectrum disorder, Blister infected, Diarrhoea, Metal poisoning, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 18 month old son "generally sensitive to different ingredients" and with no pertinent medical history, who in approximately 2002 was vaccinated with one dose of MMR II. Concomitant suspect therapy included DTaP (manufacturer unknown). After getting his vaccines, the patient experienced some fever. In the next couple of months, he started having other problems. "One day he pooped and there were blisters on his butt that looked like burn and it was infected". Later he started having diarrhea and his speech regressed, the reporter "thought it was mercury poisoning". The consumer stated that her son was diagnosed with pervasive developmental disorder NOS. At the time of reporting, the patient had not recovered. Upon internal review, pervasive developmental disorder NOS was considered to be an other important medical event. No further information is available.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Speech disorder
Clinical narrative: Information has been received from a consumer concerning her 18 month old son "generally sensitive to different ingredients" and with no pertinent medical history, who in approximately 2002 was vaccinated with one dose of MMR II. Concomitant suspect therapy included DTaP (manufacturer unknown). After getting his vaccines, the patient experienced some fever. In the next couple of months, he started having other problems. "One day he pooped and there were blisters on his butt that looked like burn and it was infected". Later he started having diarrhea and his speech regressed, the reporter "thought it was mercury poisoning". The consumer stated that her son was diagnosed with pervasive developmental disorder NOS. At the time of reporting, the patient had not recovered. Upon internal review, pervasive developmental disorder NOS was considered to be an other important medical event. No further information is available.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Developmental delay
Clinical narrative: Information has been received from a consumer concerning her son with no pertinent medical history and penicillin allergy, who on an unspecified date was vaccinated with a single dose of MMR II. The consumer mentioned that her son received all the vaccines required for his age and in approximately 2001 at age two and a half his development was not normal. He was diagnosed with autism. The consumer was not sure if the MMR II had triggered the autism but believed that receiving so many vaccines when the baby was young had a negative effect on the development. At the time of reporting, the patient's autism persisted. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Autism, Varicella
Clinical narrative: Information has been received from a consumer concerning her 12 months old son who on 13-DEC-2004 was vaccinated with one dose of MMR II along with VARIVAX (manufacturer unknown). A few days after vaccination the patient developed chicken pox. It was also reported that 3 months after receiving measles virus vaccine when the patient was 15 months old, he developed autism. The patient was seen for the medical treatment. Autism persists. Upon internal review autism was considered to be another important medical event. No further information is available.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Mental retardation, Social problem
Clinical narrative: Information has been received from a consumer concerning her son who had been developmentally disabled and who was vaccinated approximately in 1976 with a dose of MMR II when he was 5 years old. Concomitant medication included asthma medication (unspecified). In approximately 1977 when the patient was in first grade he was diagnosed as mentally handicapped, but his I.Q increased every year so the diagnosis needed to be changed. Later when he was between 11th and 12th grade the patient was diagnosed with autism. It was reported that "since he received the vaccination prior to 1979 he would have received MMR not MMR II". The patient's mother did not remember if he was revaccinated. At the time of reporting the patient still had "social issues" and he could not look at someone when is talking to them. She stated that since her son had been developmentally disabled since birth she did not know if the event was related to the vaccine. Upon internal review autism was considered to be another important medical event. No further information is available.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pneumonia
Clinical narrative: Information has been received from a physician concerning a 57 year old female hospitalized patient who while hospitalized was vaccinated with PNEUMOVAX (lot # not provided). Subsequently the patient experienced redness and swelling at the injection site which extended her stay at the hospital. The patient was discharged after couple days and was readmitted for 1 or 2 days for pneumonia. The patient had sought unspecified medical attention. At the time of report, the patient's redness and swelling at the injection site and pneumonia persisted. Additional information has been requested.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Communication disorder, Confusional state
Clinical narrative: Information has been received from a physician concerning an 83 year old female who on 17-FEB-2009 was vaccinated with a dose of ZOSTAVAX (Oka/Merck). Concomitant therapy included LIPITOR, DIOVAN, calcium (unspecified), aspirin, SYNTHROID, PRILOSEC and iron (unspecified). The physician reported that after receiving ZOSTAVAX (Oka/Merck), on 10-MAR-2009, the patient was confused and was unable to communicate. The patient was admitted to the hospital on 10-MAR-2009 and was currently still hospitalized. The labs were performed (results not provided). At the time of the report, the patient was recovering. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, RV5
Symptoms: Intussusception
Clinical narrative: Two events of intussusception, each after given rotateq vaccine, the second episode was 7 days after the rotateq was administered.  Was life flighted both times.  03/25/09 Received hospital medical records of 2/15-2/17/09 & 3/21/2009. FINAL DX: Intussusception Records reveal patient experienced irritability, emesis, bloody stools.  Seen in outlying ER & transferred to higher leve of care.  Tx w/IVF, antibiotics.  Surgery consult done & PICU. Admitted overnight for observation s/p enema reduction of IS.  Radiology noted cecum abnormally positioned in LLQ.  Developed increased pain & repeat US (-) for IS.   3/21/09 records consist only of abdominal x-ray & US.  X-ray revealed distention of small bowel & possibly large bowel & could not exclude IS; however, US (-) for IS.  No further medical records available for this visit.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Approximately 8 days after administration, the site of administration became sore, then burning and painful sensations began on day 11 following administration. It is itchy as we are speaking.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Flushing, Hypersensitivity, Injection site erythema, Injection site pain
Clinical narrative: Pt. was given varivax on 3/5/09. Within 10-15 mins. of receiving vaccine pt. complains of flushed face, stinging at injection site and redness at site. Pt. was placed back in exam room and given Benadryl 12.5mg po, pulse oximetry obtained a 100%. MD examined pt. ,lungs were clear on exam. Cool compress applied to injection site.Pt. returned to our clinic on 3/23/09 where mom states pt "had varivax on 3/5/09 and had an allergic reaction" symptoms on 3/23 visit were'sore throat and being tired'
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Oropharyngeal pain, Streptococcal identification test positive
Clinical narrative: Pt. was given varivax on 3/5/09. Within 10-15 mins. of receiving vaccine pt. complains of flushed face, stinging at injection site and redness at site. Pt. was placed back in exam room and given Benadryl 12.5mg po, pulse oximetry obtained a 100%. MD examined pt. ,lungs were clear on exam. Cool compress applied to injection site.Pt. returned to our clinic on 3/23/09 where mom states pt "had varivax on 3/5/09 and had an allergic reaction" symptoms on 3/23 visit were'sore throat and being tired'
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Injection site pain, Injection site pruritus, Pain in extremity
Clinical narrative: reddened area on right arm with a darker center surrounded by an erythematous area around it.  It measures 4cm by 4cm.  warm to touch.  No fever.  Temp 97.9.  Patient states arm started hurting the day after the shot was administered.  Site is itchy and painful to touch.  Rates pain 5 out of 10.  Patient states only allergy is to Penicillin.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth, Oedema peripheral
Clinical narrative: Came in clinic on 03/24/2009 c/o severe pain at injection site. Unable to lift arm due to pain. Fever at injection site and erythema noted at injection site. Edema of upper arm noted. Referred to MD due to severe pain pt was having 6 days post injection with no improvement.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site cellulitis, Skin warm, Swelling
Clinical narrative: Cellulitis at injection site, redness, swelling, hot to touch, tx w/
Age: 60.0
Sex: U
Vaccine: PPV
Symptoms: Cystitis interstitial
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized for worsening interstitial cystisis. Vaccination took place on 7/28/2008. According to the physician the relationship is 'None'. We would be happy to forward the Study's SAE reporting form upon request.  3/26/09 MR received from reporter for DOS 3/3-4/2009 with D/C DX:  Interstitial Cystitis-worsened. Pt presented with recent flare of IC with suprapubic pressure and pain.  Pt underwent cystoscopy and biopsies with bladder distention.  Foley placed for med insertion.  Voiding OK on POD#1 and d/c.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC
Symptoms: No adverse event
Clinical narrative: NO ADVERSE REACTIONS
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Laceration, Syncope
Clinical narrative: child found on the floor due to fainting. she stated she was dizzy and the floor was spinning. She did not eat breakfast. Approx 1/2" in length and 1/4" deep cut noted on chin. no bleeding observed.  This RN gave her grape juice and donut holes.  walked out on her own.,
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Measles, Rash erythematous, Rash papular
Clinical narrative: MMR was given on 3/12/09.  She started having an erythemitous papular rash on 3/23/09.  The rash began on her face and spread to her neck, chest, back and arms by her office visit on 3/24/09. She did not have any prodromal symptoms except for some fatigue.  She denied fever, chills, nausea, or vomiting. On exam she also has Koplik's spots on her left buccal mucosa.  She was treated symptomatically.
Age: 64.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Hyperaesthesia, Pain, Periarthritis, Swelling
Clinical narrative: right shoulder swollen & extremely sensitive with severe pain for approx. 3 weeks. called office was told to ice area. went to other office was told something similar. after several months of having pain went to orthopedist his diagnosis is adesive capsulitis. erecommend physical therapy and MRI
Age: 64.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Periarthritis
Clinical narrative: right shoulder swollen & extremely sensitive with severe pain for approx. 3 weeks. called office was told to ice area. went to other office was told something similar. after several months of having pain went to orthopedist his diagnosis is adesive capsulitis. erecommend physical therapy and MRI
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Chest X-ray normal, Epstein-Barr virus test negative, Full blood count, Hypokinesia, Lymphadenopathy
Clinical narrative: Patient developed left-sided neck pain approximately 48 hours after receiving varicella vaccination.  The neck pain was related to any head movement in any direction.  Physical examination yielded tender unilateral left-sided cervical and supraclavicular lymphadenopathy.  No fever, chills, or upper repiratory symptoms.  No submandibular, pre-auricular, occipital, axillary, or inguinal adenopathy noted.  No hepatosplenomegaly noted on abdominal examimation.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Neck pain, Tenderness, Ultrasound scan normal
Clinical narrative: Patient developed left-sided neck pain approximately 48 hours after receiving varicella vaccination.  The neck pain was related to any head movement in any direction.  Physical examination yielded tender unilateral left-sided cervical and supraclavicular lymphadenopathy.  No fever, chills, or upper repiratory symptoms.  No submandibular, pre-auricular, occipital, axillary, or inguinal adenopathy noted.  No hepatosplenomegaly noted on abdominal examimation.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia
Clinical narrative: Patient came to ER for 2nd injection of Hep B series on 3/10/09.  The next am she noticed weakness in right hand upon awakening. Patient was seen by Dr. in clinic for further evaluation. Follow-up call on 3/13/09 S&S resolved.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HEPA, HPV4
Symptoms: Abdominal discomfort, Abdominal pain, Activities of daily living impaired, Allergy test, Asthenia
Clinical narrative: Patient received her first shot 5/24/07 - she had soreness in her arm and headaches but tollerated them. On 10/1/2007 patient was at basketball practice and collasped on the gym floor with severe abdominal pain and chest pain. The abdominal pains remained. In March 2008 she began vomiting bile and the abdominal pains worsened. They continued to get worse and in June 08 she had her second shot. Again, her pain increased. She got her 3rd shot in September 2008. We were at the hospital 4 days after her 3rd shot with adominal pain, high pulse, low blood pressure, and chest pain. By December patient was beginning to have seizure like episodes of staring and not breathing for 30-45 seconds at a time. She was beginning to have lower back pain as well as the abdominal pain and chest pain. She began to complain of burning in her stomach - like it was on fire. She had a tingling sensation in her legs and her feet - complaining of them being on fire, but her feet were freezing cold when I would touch them. Patient had a few urinary track infections and several bouts with dehydration. She also had blood in her stool. She became very weak and has only been to school 4 full days since November 2008. Patient was on numerous types of medicine but nothing seemed to help because of these episodes. Everyime she would eat it would make it worse and would be especially more intense during her monthly cycle. She was on a feeding tube for over 3 weeks as well as hospitalized 3 different times. We have been to the ER over 13 times.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HEPA, HPV4
Symptoms: Back pain, Blood test, Chest pain, Cholecystectomy, Colonoscopy
Clinical narrative: Patient received her first shot 5/24/07 - she had soreness in her arm and headaches but tollerated them. On 10/1/2007 patient was at basketball practice and collasped on the gym floor with severe abdominal pain and chest pain. The abdominal pains remained. In March 2008 she began vomiting bile and the abdominal pains worsened. They continued to get worse and in June 08 she had her second shot. Again, her pain increased. She got her 3rd shot in September 2008. We were at the hospital 4 days after her 3rd shot with adominal pain, high pulse, low blood pressure, and chest pain. By December patient was beginning to have seizure like episodes of staring and not breathing for 30-45 seconds at a time. She was beginning to have lower back pain as well as the abdominal pain and chest pain. She began to complain of burning in her stomach - like it was on fire. She had a tingling sensation in her legs and her feet - complaining of them being on fire, but her feet were freezing cold when I would touch them. Patient had a few urinary track infections and several bouts with dehydration. She also had blood in her stool. She became very weak and has only been to school 4 full days since November 2008. Patient was on numerous types of medicine but nothing seemed to help because of these episodes. Everyime she would eat it would make it worse and would be especially more intense during her monthly cycle. She was on a feeding tube for over 3 weeks as well as hospitalized 3 different times. We have been to the ER over 13 times.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HEPA, HPV4
Symptoms: Convulsion, Dehydration, Electrocardiogram, Endoscopic retrograde cholangiopancreatography, Endoscopic ultrasound
Clinical narrative: Patient received her first shot 5/24/07 - she had soreness in her arm and headaches but tollerated them. On 10/1/2007 patient was at basketball practice and collasped on the gym floor with severe abdominal pain and chest pain. The abdominal pains remained. In March 2008 she began vomiting bile and the abdominal pains worsened. They continued to get worse and in June 08 she had her second shot. Again, her pain increased. She got her 3rd shot in September 2008. We were at the hospital 4 days after her 3rd shot with adominal pain, high pulse, low blood pressure, and chest pain. By December patient was beginning to have seizure like episodes of staring and not breathing for 30-45 seconds at a time. She was beginning to have lower back pain as well as the abdominal pain and chest pain. She began to complain of burning in her stomach - like it was on fire. She had a tingling sensation in her legs and her feet - complaining of them being on fire, but her feet were freezing cold when I would touch them. Patient had a few urinary track infections and several bouts with dehydration. She also had blood in her stool. She became very weak and has only been to school 4 full days since November 2008. Patient was on numerous types of medicine but nothing seemed to help because of these episodes. Everyime she would eat it would make it worse and would be especially more intense during her monthly cycle. She was on a feeding tube for over 3 weeks as well as hospitalized 3 different times. We have been to the ER over 13 times.