chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Hypoaesthesia oral, Lip swelling
Clinical narrative: Client called local health department on 7/31/09 and reported that after she received the Td booster on 7/28, she left the clinic and when she arrived home, approximately 20 minutes later, a family member remarked that her lips were very red. She reported that her lips felt swollen and then became slightly numb over the next several minutes.  She took Benadryl and the symptoms subsided and did not recur. No previous episode after Td booster.  PHN had encouraged Tdap, but client wanted the Td.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Blood culture, Cellulitis, Culture wound, Dermatitis bullous, Dermatitis exfoliative
Clinical narrative: Autoinoculation with the following skin reactions: blanching erythroderma on back and chest that is drying and flaking with extension in a lacey fashion to his distal extremities, no mucosal lesions, and his left arm lesion that is a cellulitis extending to the proximal forearm. The lesion over the deltoid and majority of the upper arm is as follows: Superficial bullous with thickly purulent material expressed, the edges have honey crust and thick scale. The area of original vaccination is a bit darker (brown/purple) but macular. Pt has been tachycardic and febrile.  He is currently in an ICU receiving IVF, clindamycin and vancomycin. 9/9/09:  ICD 9 Codes received:  V14.7, E949.0. 1/5/10:  Discharge summary and hospital records received for dates of service 8/1/09 to 8/10/09.  Dx:  Reaction to smallpox vaccine, pyogenic superinfection.  Developed erythema and swelling at injection site followed by fatigue, chills, fever, nausea and headache.  Wound drainage cultured and found to be MRSA.  Admitted to MICU and kept in contact isolation until wound healed.  Found to be sheding vaccinia virus.  Started on IV antibiotics. Discharged on oral antibiotics.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Dry skin, Injection site discolouration, Injection site macule, Intensive care, Pallor
Clinical narrative: Autoinoculation with the following skin reactions: blanching erythroderma on back and chest that is drying and flaking with extension in a lacey fashion to his distal extremities, no mucosal lesions, and his left arm lesion that is a cellulitis extending to the proximal forearm. The lesion over the deltoid and majority of the upper arm is as follows: Superficial bullous with thickly purulent material expressed, the edges have honey crust and thick scale. The area of original vaccination is a bit darker (brown/purple) but macular. Pt has been tachycardic and febrile.  He is currently in an ICU receiving IVF, clindamycin and vancomycin. 9/9/09:  ICD 9 Codes received:  V14.7, E949.0. 1/5/10:  Discharge summary and hospital records received for dates of service 8/1/09 to 8/10/09.  Dx:  Reaction to smallpox vaccine, pyogenic superinfection.  Developed erythema and swelling at injection site followed by fatigue, chills, fever, nausea and headache.  Wound drainage cultured and found to be MRSA.  Admitted to MICU and kept in contact isolation until wound healed.  Found to be sheding vaccinia virus.  Started on IV antibiotics. Discharged on oral antibiotics.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Post vaccination autoinoculation, Purulence, Pyrexia, Scab, Skin discolouration
Clinical narrative: Autoinoculation with the following skin reactions: blanching erythroderma on back and chest that is drying and flaking with extension in a lacey fashion to his distal extremities, no mucosal lesions, and his left arm lesion that is a cellulitis extending to the proximal forearm. The lesion over the deltoid and majority of the upper arm is as follows: Superficial bullous with thickly purulent material expressed, the edges have honey crust and thick scale. The area of original vaccination is a bit darker (brown/purple) but macular. Pt has been tachycardic and febrile.  He is currently in an ICU receiving IVF, clindamycin and vancomycin. 9/9/09:  ICD 9 Codes received:  V14.7, E949.0. 1/5/10:  Discharge summary and hospital records received for dates of service 8/1/09 to 8/10/09.  Dx:  Reaction to smallpox vaccine, pyogenic superinfection.  Developed erythema and swelling at injection site followed by fatigue, chills, fever, nausea and headache.  Wound drainage cultured and found to be MRSA.  Admitted to MICU and kept in contact isolation until wound healed.  Found to be sheding vaccinia virus.  Started on IV antibiotics. Discharged on oral antibiotics.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Skin exfoliation, Tachycardia
Clinical narrative: Autoinoculation with the following skin reactions: blanching erythroderma on back and chest that is drying and flaking with extension in a lacey fashion to his distal extremities, no mucosal lesions, and his left arm lesion that is a cellulitis extending to the proximal forearm. The lesion over the deltoid and majority of the upper arm is as follows: Superficial bullous with thickly purulent material expressed, the edges have honey crust and thick scale. The area of original vaccination is a bit darker (brown/purple) but macular. Pt has been tachycardic and febrile.  He is currently in an ICU receiving IVF, clindamycin and vancomycin. 9/9/09:  ICD 9 Codes received:  V14.7, E949.0. 1/5/10:  Discharge summary and hospital records received for dates of service 8/1/09 to 8/10/09.  Dx:  Reaction to smallpox vaccine, pyogenic superinfection.  Developed erythema and swelling at injection site followed by fatigue, chills, fever, nausea and headache.  Wound drainage cultured and found to be MRSA.  Admitted to MICU and kept in contact isolation until wound healed.  Found to be sheding vaccinia virus.  Started on IV antibiotics. Discharged on oral antibiotics.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Heart rate normal, Nausea, Oxygen saturation normal, Syncope
Clinical narrative: Syncope occurred 5 minutes after immunizations.  C/O nausea, dizziness. B/P 138/60. Pulse 88. Oxygen saturation 96% room air.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site rash
Clinical narrative: Patient developed a 4 inch are of redness and inflammation on her right arm (site of administration).  The vaccine was administered on Friday 7-31, the rash developed on 8-2.  She presented to the pharmacy on 8-3 and reported that it wasn't as red as it was on Sunday.  She was instructed to use some steroid cream on the area.  I instructed her that if it did not look any better to go see her PCP for further treatment.  I will follow up with her tomorrow morning (8-4).
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Dizziness, Heart rate normal, Nausea, Oxygen saturation normal
Clinical narrative: Syncopal episode occurred 2 minutes after immunization. Assited to supine position with legs elevated. B/P 84/60. HR 64. Oxygen saturation 98%. Cool cloth to forehead & neck. Lips pale, skin moist. C/O nausea & dizziness.  Recovered after 10 minutes. Denied further symptoms.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Syncopal episode occurred 2 minutes after immunization. Assited to supine position with legs elevated. B/P 84/60. HR 64. Oxygen saturation 98%. Cool cloth to forehead & neck. Lips pale, skin moist. C/O nausea & dizziness.  Recovered after 10 minutes. Denied further symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: patient here with mother for ppd reading,mother showed Left arm,noticed tenderness,redness and swelling on LD.mother advised to place ice pack and motrin for pain.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness postural, Vertigo
Clinical narrative: A day or two after his vaccination for shingles my father began experiencing periods of dizziness and vertigo when he stood from a sitting position or laid down on his bed.
Age: 1.67
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Patient developed hives after second Hep A vaccination.  The patient was treated in our office with Rx for Benadryl.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: CT'S MOTHER REPORTS CT VOMITING 4 HOURS AFTER RECEIVING VACCINE ON 7/31/09 FOLLOWED BY REDNESS, SWELLING, FEVER (UNKNOWN TEMPERATURE)AND LETHARGY. MOTHER REPORTS ALTERNATING TYLENOL AND IBUPROFEN TO CONTROL TEMPERATURE. MOTHER DID NOT SEEK MEDICAL ADVICE BEFORE PRESENTING TO CLINIC ON 8/3/09 WITH 5IN BY 4IN INDURATION AND ERYTHEMATIC AREA ON LEFT THIGH, WARM TO TOUCH. CT ACTIVE AND PLEASANT AND NON-GUARDING OF SITE AT THIS TIME.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: CT'S MOTHER REPORTS CT VOMITING 4 HOURS AFTER RECEIVING VACCINE ON 7/31/09 FOLLOWED BY REDNESS, SWELLING, FEVER (UNKNOWN TEMPERATURE)AND LETHARGY. MOTHER REPORTS ALTERNATING TYLENOL AND IBUPROFEN TO CONTROL TEMPERATURE. MOTHER DID NOT SEEK MEDICAL ADVICE BEFORE PRESENTING TO CLINIC ON 8/3/09 WITH 5IN BY 4IN INDURATION AND ERYTHEMATIC AREA ON LEFT THIGH, WARM TO TOUCH. CT ACTIVE AND PLEASANT AND NON-GUARDING OF SITE AT THIS TIME.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Blood culture positive, Haematochezia
Clinical narrative: The patient received the oral RotaTeq vaccine on 7/31/09.  She returned on 8/2/09 and had 1 day of hematochezia from stoma area, but this symptom resolved in approx. 24 hours.  This was thought to be possibly related to vaccine administration.  Fecal occult blood test was not performed as stools were thrown away and symptoms resolved prior to being able to test sample.  [Patient did require admission to the hospital for Gram-Negative Blood stream infection by her central line which was thought to be unrelated to the vaccine administation.]  10/27/09:  Hospital records and discharge summary received for dates of service  8/2/09 to 8/14/09  and 8/31/09 to 9/16/09 Dx:  Short bowel syndrome, resolved line sepsis.   Assessment:  Received rotavirus on 8/1/09 and spiked a temperature on 8/2/09 of 104.5.  Admitted to surgical service tachycardic with a P of 172 and tachypnic with a RR of 60.  Liver was palpable 1-2 cm below the right costal margin and jaundice was noted.  Completed 14 days of IV Cefepime.  On TPN via Broviac 2/2 short bowel syndrome at birth and subsequent bowel resection with ostomy.  Oral feeds of 10 ml. Q 3 hrs. were started during this hospitalization.  Currently on nystatin for diaper rash.  Discharged home on 8/14/09 to follow up in pediatric clinic on 9/1/09.   Readmitted on 8/31/09 for short gut syndrome. Given bowel prep and IV fluids.  Underwent iliostomy reversal and placement of R facial vein Broviac as previous one had been damaged.   Fed by NG tube until day 8, then advanced to oral feeds of 30 ml. Q 3 hrs.  Developed TPN cholestasis and started on Actigall.  Discharged to home on TPN and oral feeds.   1/6/2010:  Discharge summary and hospital records received for dates of service 12/14/09 to 12/19/09.  Dx:  Line sepsis.  Presented to ED with fever, broviac catheter in place for TPN.  Also has cold and cough.  Started on IV antibiotics for presumed line infection.  No fevers throughout admission, tolerated feedings well.  Discharged to home.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bacterial infection, Blood culture positive, Central line infection
Clinical narrative: The patient received the oral RotaTeq vaccine on 7/31/09.  She returned on 8/2/09 and had 1 day of hematochezia from stoma area, but this symptom resolved in approx. 24 hours.  This was thought to be possibly related to vaccine administration.  Fecal occult blood test was not performed as stools were thrown away and symptoms resolved prior to being able to test sample.  [Patient did require admission to the hospital for Gram-Negative Blood stream infection by her central line which was thought to be unrelated to the vaccine administation.]  10/27/09:  Hospital records and discharge summary received for dates of service  8/2/09 to 8/14/09  and 8/31/09 to 9/16/09 Dx:  Short bowel syndrome, resolved line sepsis.   Assessment:  Received rotavirus on 8/1/09 and spiked a temperature on 8/2/09 of 104.5.  Admitted to surgical service tachycardic with a P of 172 and tachypnic with a RR of 60.  Liver was palpable 1-2 cm below the right costal margin and jaundice was noted.  Completed 14 days of IV Cefepime.  On TPN via Broviac 2/2 short bowel syndrome at birth and subsequent bowel resection with ostomy.  Oral feeds of 10 ml. Q 3 hrs. were started during this hospitalization.  Currently on nystatin for diaper rash.  Discharged home on 8/14/09 to follow up in pediatric clinic on 9/1/09.   Readmitted on 8/31/09 for short gut syndrome. Given bowel prep and IV fluids.  Underwent iliostomy reversal and placement of R facial vein Broviac as previous one had been damaged.   Fed by NG tube until day 8, then advanced to oral feeds of 30 ml. Q 3 hrs.  Developed TPN cholestasis and started on Actigall.  Discharged to home on TPN and oral feeds.   1/6/2010:  Discharge summary and hospital records received for dates of service 12/14/09 to 12/19/09.  Dx:  Line sepsis.  Presented to ED with fever, broviac catheter in place for TPN.  Also has cold and cough.  Started on IV antibiotics for presumed line infection.  No fevers throughout admission, tolerated feedings well.  Discharged to home.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Culture urine, Haematochezia, Hyperbilirubinaemia neonatal, Irritability, Pneumonia klebsiella
Clinical narrative: The patient received the oral RotaTeq vaccine on 7/31/09.  She returned on 8/2/09 and had 1 day of hematochezia from stoma area, but this symptom resolved in approx. 24 hours.  This was thought to be possibly related to vaccine administration.  Fecal occult blood test was not performed as stools were thrown away and symptoms resolved prior to being able to test sample.  [Patient did require admission to the hospital for Gram-Negative Blood stream infection by her central line which was thought to be unrelated to the vaccine administation.]  10/27/09:  Hospital records and discharge summary received for dates of service  8/2/09 to 8/14/09  and 8/31/09 to 9/16/09 Dx:  Short bowel syndrome, resolved line sepsis.   Assessment:  Received rotavirus on 8/1/09 and spiked a temperature on 8/2/09 of 104.5.  Admitted to surgical service tachycardic with a P of 172 and tachypnic with a RR of 60.  Liver was palpable 1-2 cm below the right costal margin and jaundice was noted.  Completed 14 days of IV Cefepime.  On TPN via Broviac 2/2 short bowel syndrome at birth and subsequent bowel resection with ostomy.  Oral feeds of 10 ml. Q 3 hrs. were started during this hospitalization.  Currently on nystatin for diaper rash.  Discharged home on 8/14/09 to follow up in pediatric clinic on 9/1/09.   Readmitted on 8/31/09 for short gut syndrome. Given bowel prep and IV fluids.  Underwent iliostomy reversal and placement of R facial vein Broviac as previous one had been damaged.   Fed by NG tube until day 8, then advanced to oral feeds of 30 ml. Q 3 hrs.  Developed TPN cholestasis and started on Actigall.  Discharged to home on TPN and oral feeds.   1/6/2010:  Discharge summary and hospital records received for dates of service 12/14/09 to 12/19/09.  Dx:  Line sepsis.  Presented to ED with fever, broviac catheter in place for TPN.  Also has cold and cough.  Started on IV antibiotics for presumed line infection.  No fevers throughout admission, tolerated feedings well.  Discharged to home.
Age: 0.2
Sex: F
Vaccine: RV5, RV5
Symptoms: Pyrexia, Short-bowel syndrome, Staphylococcal infection, White blood cell count normal
Clinical narrative: The patient received the oral RotaTeq vaccine on 7/31/09.  She returned on 8/2/09 and had 1 day of hematochezia from stoma area, but this symptom resolved in approx. 24 hours.  This was thought to be possibly related to vaccine administration.  Fecal occult blood test was not performed as stools were thrown away and symptoms resolved prior to being able to test sample.  [Patient did require admission to the hospital for Gram-Negative Blood stream infection by her central line which was thought to be unrelated to the vaccine administation.]  10/27/09:  Hospital records and discharge summary received for dates of service  8/2/09 to 8/14/09  and 8/31/09 to 9/16/09 Dx:  Short bowel syndrome, resolved line sepsis.   Assessment:  Received rotavirus on 8/1/09 and spiked a temperature on 8/2/09 of 104.5.  Admitted to surgical service tachycardic with a P of 172 and tachypnic with a RR of 60.  Liver was palpable 1-2 cm below the right costal margin and jaundice was noted.  Completed 14 days of IV Cefepime.  On TPN via Broviac 2/2 short bowel syndrome at birth and subsequent bowel resection with ostomy.  Oral feeds of 10 ml. Q 3 hrs. were started during this hospitalization.  Currently on nystatin for diaper rash.  Discharged home on 8/14/09 to follow up in pediatric clinic on 9/1/09.   Readmitted on 8/31/09 for short gut syndrome. Given bowel prep and IV fluids.  Underwent iliostomy reversal and placement of R facial vein Broviac as previous one had been damaged.   Fed by NG tube until day 8, then advanced to oral feeds of 30 ml. Q 3 hrs.  Developed TPN cholestasis and started on Actigall.  Discharged to home on TPN and oral feeds.   1/6/2010:  Discharge summary and hospital records received for dates of service 12/14/09 to 12/19/09.  Dx:  Line sepsis.  Presented to ED with fever, broviac catheter in place for TPN.  Also has cold and cough.  Started on IV antibiotics for presumed line infection.  No fevers throughout admission, tolerated feedings well.  Discharged to home.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Arthritis, Asthma, Back pain, Cholelithiasis
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Cognitive disorder, Condition aggravated, Depression, Dizziness, Fibromyalgia
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Gastrooesophageal reflux disease, Glaucoma, Glucose tolerance impaired, Headache, Hyperhidrosis
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypertension, Hypothyroidism, Influenza like illness, Migraine, Nausea
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuropathy peripheral, Pain, Pain in jaw, Palpitations, Peroneal muscular atrophy
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinitis allergic, Vomiting
Clinical narrative: Patient complained of jaw pain, dizziness and nausea with emesis X's 1 of bile looking substance. Patient also complained of sweating, heart pounding, achy, and headache. Patient was sick in bed x's 3 days. Patient states, "It feels like I had the flu - like symptoms. Patient denies diarrhea.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Rash, Rubella antibody negative
Clinical narrative: Pt states a rash on arms and joint pain in wrists and knee. Starting Friday evening, 7/24, got a rash (starting on face and chest), through Sunday, 7/26, spread over my body. Today, 8/3, the joint pain has spread to ankles and knees (moderate), toes (mild).
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient developed a large red and swollen area at the vaccination site approximately 4" x 7" in size
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Fatigue, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Evening of imm. (07/23)developed redness, soreness and swelling right arm from elbow to shoulder.  Worsened the next day (07/24) and also c/o feeling tired and nauseated.  Temp.  not checked but "felt warm." By 07/26, arm was still red but improving.  On 07/27 no more c/o nausea or feeling tired, arm no longer red, still a little swelling.  Analgesics helped with discomfort, but not with swelling or redness.  On 07/29, client's arm still a little swollen but going down, no redness.  Swelling gone by 08/01 or 08/02.Instructed to call HD if any more problems.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Skin warm
Clinical narrative: Evening of imm. (07/23)developed redness, soreness and swelling right arm from elbow to shoulder.  Worsened the next day (07/24) and also c/o feeling tired and nauseated.  Temp.  not checked but "felt warm." By 07/26, arm was still red but improving.  On 07/27 no more c/o nausea or feeling tired, arm no longer red, still a little swelling.  Analgesics helped with discomfort, but not with swelling or redness.  On 07/29, client's arm still a little swollen but going down, no redness.  Swelling gone by 08/01 or 08/02.Instructed to call HD if any more problems.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Injection site pruritus, Injection site urticaria, Pain
Clinical narrative: patient reports no known drug allergies.  patient called on 8/3/09 to report the following effects following vaccination: raises whelps & itching at the admin site, also generalized aching and dizziness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: patient reports no drug allergies. patient called on 8/3/09 to report the following side effects after administration of vaccine: raised whelps and itching at site of injection
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Pt developed cellulitis in his right upper arm the day after receiving 4 year old vaccinations.  He was treated with antibiotics.
Age: 68.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Amnesia, Bacterial culture negative, Catatonia, Coma, Encephalitis viral
Clinical narrative: Two days after administration of Vaccine 1/7/09, Patient was discharged and upon arriving at home became incoherent and unresponsive to verbal commands and began shaking.  Patient was taken back to hospital approximately 4-5 hours after discharge.  After admission an MRI was ordered and unsuccessful due to shaking.  Next order was a spinal tap (Lumbar Puncture), cultures were negative for bacteria, a virology was ordered, but results were never released.  The patient was then Intubated and sedated for about 2 weeks to control his shaking an catatonic state.  Doctor diagnosed as Viral Encephalitis.  Patient was then  started on Acyclovir q12h IV, and Zosyn 4.5gm IV q8h with a Dirpivan sedation protocol.  After about 2 weeks from the induced coma, patient slowly regained awareness.  Patient was more coherent and later transfered to a Rehab center for a period of 1-2 week.  Patient has no recollection of incident and has seen a slow but positive progression over the last 7 months.   9/9/09 Hospital records received DOS 1/7/09 to 1/21/09 and 1/21/09 to 2/14/09. Assessment: Viral meningoencephalitis, acute respiratory failure, high-grade fever, electrolyte imbalance, pneumonia, asthma / COPD. Shortly after discharge from prior hospitalization, patient presented with shaking, fever, and confusional state. Agitation. Mechanical ventilation. Cognitive and motor deficits with impairment in mobility, gait, functional communication and cognition. Oral thrush.
Age: 68.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Endotracheal intubation, Incoherent, Lumbar puncture, Nuclear magnetic resonance imaging, Tremor
Clinical narrative: Two days after administration of Vaccine 1/7/09, Patient was discharged and upon arriving at home became incoherent and unresponsive to verbal commands and began shaking.  Patient was taken back to hospital approximately 4-5 hours after discharge.  After admission an MRI was ordered and unsuccessful due to shaking.  Next order was a spinal tap (Lumbar Puncture), cultures were negative for bacteria, a virology was ordered, but results were never released.  The patient was then Intubated and sedated for about 2 weeks to control his shaking an catatonic state.  Doctor diagnosed as Viral Encephalitis.  Patient was then  started on Acyclovir q12h IV, and Zosyn 4.5gm IV q8h with a Dirpivan sedation protocol.  After about 2 weeks from the induced coma, patient slowly regained awareness.  Patient was more coherent and later transfered to a Rehab center for a period of 1-2 week.  Patient has no recollection of incident and has seen a slow but positive progression over the last 7 months.   9/9/09 Hospital records received DOS 1/7/09 to 1/21/09 and 1/21/09 to 2/14/09. Assessment: Viral meningoencephalitis, acute respiratory failure, high-grade fever, electrolyte imbalance, pneumonia, asthma / COPD. Shortly after discharge from prior hospitalization, patient presented with shaking, fever, and confusional state. Agitation. Mechanical ventilation. Cognitive and motor deficits with impairment in mobility, gait, functional communication and cognition. Oral thrush.
Age: 68.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Unresponsive to stimuli
Clinical narrative: Two days after administration of Vaccine 1/7/09, Patient was discharged and upon arriving at home became incoherent and unresponsive to verbal commands and began shaking.  Patient was taken back to hospital approximately 4-5 hours after discharge.  After admission an MRI was ordered and unsuccessful due to shaking.  Next order was a spinal tap (Lumbar Puncture), cultures were negative for bacteria, a virology was ordered, but results were never released.  The patient was then Intubated and sedated for about 2 weeks to control his shaking an catatonic state.  Doctor diagnosed as Viral Encephalitis.  Patient was then  started on Acyclovir q12h IV, and Zosyn 4.5gm IV q8h with a Dirpivan sedation protocol.  After about 2 weeks from the induced coma, patient slowly regained awareness.  Patient was more coherent and later transfered to a Rehab center for a period of 1-2 week.  Patient has no recollection of incident and has seen a slow but positive progression over the last 7 months.   9/9/09 Hospital records received DOS 1/7/09 to 1/21/09 and 1/21/09 to 2/14/09. Assessment: Viral meningoencephalitis, acute respiratory failure, high-grade fever, electrolyte imbalance, pneumonia, asthma / COPD. Shortly after discharge from prior hospitalization, patient presented with shaking, fever, and confusional state. Agitation. Mechanical ventilation. Cognitive and motor deficits with impairment in mobility, gait, functional communication and cognition. Oral thrush.
Age: 1.81
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Erythema, Injection site erythema, Rash, Rash macular, Rash pruritic
Clinical narrative: According to Dr's report, "VACCINE REACTION: Within 10 minutes of receiving vaccines, patient developed erythematous macules and patches on the face, head and torso. Rash was slightly pruritic, O2 sat 99%, no respiratory symptoms. Examination on injection sites showed erythema around DTaP injection site but not at site of HAV or Hib vaccines. Both rash and pruritis self-resolved after about 30 minutes.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Face injury, Fall, Immediate post-injection reaction, Syncope, X-ray
Clinical narrative: Pt fainted very shortly after injection.  Fell forward off table & broke her nose.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Rash
Clinical narrative: Rash to torso told to leave t-call with PCM.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Feeling hot, Nausea, Pallor
Clinical narrative: Approx. 2 min after injections, became pale, nauseated, dizzy, + felt "hot".  Vital signs stable.  After 15" up to chair.  Denied nausea or dizziness, color improved, skin warm & dry.
Age: 34.0
Sex: F
Vaccine: HEPA, IPV, YF
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Nine hours after vaccination, pt developed hives on (R) wrist, and her tongue became swollen, over the next day;  Hives spread to both arms from wrists to elbows, and also on abdomen.  Benadryl provided relief.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Abdominal discomfort, Activities of daily living impaired, Alopecia, Anorexia, Arthralgia
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Asthenia, Burning sensation, Chest pain, Crying, Fatigue
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Gait disturbance, Hypotonia, Lethargy, Muscular weakness, Musculoskeletal pain
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Nausea, Nuclear magnetic resonance imaging normal, Pain, Pyrexia, Sleep disorder
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Abasia, Abdominal discomfort, Activities of daily living impaired, Alopecia, Anorexia
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TD, HPV4
Symptoms: Arthralgia, Burning sensation, Chest pain, Crying, Dysstasia
Clinical narrative: 7/22 Woke up during the night from a really bad sharp pain in chest. She barely touched it and the sharp pain would return same with shoulders. 7/22 Tired and sore from therapy. I want to give a little history on this patient. She was a cheerleader, majorette, and was in a weight lifting class. She was very active and athletic. I didn't have enough room on the VAERS for this so I am attaching this sheet for a timeline. 10/14/08 1st GARDASIL. 12/29/08 2nd GARDASIL. 01/09 School reported she was generally weak and fatigued to the point of needing to leave school. 02/09 She started with having leg weakness and would like wrap her ankles for performances and practices (no injuries) just weakness. 03/09 The actual leg and joint pain started. She was refusing to do stunts in cheerleading because it hurt so bad. She is the "flyer" because of her small size and she said it hurt too bad to climb up and to be caught. 04/09 Not a lot of activity during the month with cheering or anything, but she had to be picked up from school several times because the exertion just from walking from class to class made her so tired she had to go to bed. 05/09 The week of the 11th she had to be picked up from school because of lethargy just from decorating for the prom. The week of the 18th she started with a limp more prominent in the R leg. Substantially increased pain in the joints and "shooting, needle-stick pains in the shin area". The following week she started losing muscle control and could not walk or stand without help and started using crutches. She complained of "burning, stabbing, achy" pains in many different areas. Her hips, arms, and leg muscles had significantly increased pain. Because of the severity of the pain and loss of muscle control in her legs, she was taken to ER on May 31. She was sent to hospital at that time. 06/09 She went to an Orthopedic Dr and they said it was neurological. She started seeing a Neurologist, she was doing MRI's and further testing and they couldn't find anything so they are sending her to a Neurologist (08/14/09). She also started losing clumps of hair, not sure of the actual date but it started in June and is worsening some throughout the month of July with actual thin spots where her scalp is visible. 07/09 Since 3rd shot 7/14/09 - 7/23 Low grade fever and nausea, said stomach felt like there was a fork in side scratching on it. 7/24 Tired not wanting to eat much stomach hurting. Sore after therapy 2:30 ended - take pain pill around 4:30. By 5:30 pain was so bad she cried and asked to be brought home (watching movie at friend's house) & severe pain in fingers, thumb, wrist, lower arm and behind arm at elbow (home by 6:30) usually not home till 9 or 10 when at friend's house watching movies. 07/14/09 3rd GARDASIL. Also, when she was in weight lifting classes she was documented to be bench pressing 90lbs. She can now barely lift a 1 lb weight at Physical Therapy.