chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site urticaria, Pyrexia, Vomiting
Clinical narrative: Hives around injection site. Fever, vomiting day of injection.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Urticaria
Clinical narrative: Rash with hives. Given Benadryl and topical creme. Using Claritin OTC. No Breathing difficulties.
Age: 25.0
Sex: F
Vaccine: ANTH, MNQ
Symptoms: Full blood count, Injected limb mobility decreased, Mononucleosis heterophile test, Pain in extremity
Clinical narrative: 6 Aug 08 Pt states pain is 8/10 starting at (R) mid deltoid radiating towards up towards clavicle and neck and down towards midway of elbow. Pt had decreased range of motion. No swelling observed.
Sex: F
Vaccine: TD
Symptoms: Chest pain, Chills, Diarrhoea, Headache, Malaise
Clinical narrative: Stiffness, massive headache, fever, N/V diarrhea, palpitation (chest pain and shoulder pain, febrile 101). Generalize malaise and chills.
Sex: F
Vaccine: TD
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Nausea, Palpitations, Pyrexia
Clinical narrative: Stiffness, massive headache, fever, N/V diarrhea, palpitation (chest pain and shoulder pain, febrile 101). Generalize malaise and chills.
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Stiffness, massive headache, fever, N/V diarrhea, palpitation (chest pain and shoulder pain, febrile 101). Generalize malaise and chills.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Abdominal pain, Furuncle, Rash erythematous, Rash papular, Tenderness
Clinical narrative: 2 wks after immunizations - client c/o abdominal cramping. Today client reports 1 boil on her (R) knee and approx 5 smaller boils on her abd - around her panty-line. Red, raised ,hard bumps that are tender.  11/14/08 Reviewed PCP medical record of 8/21/2008. FINAL DX: boils Record reveals that patient started developing boils all over after started DepoProvera for birth control.  Tx w/antibiotic.  Plan to refer to dermatology if treatment not successful.
Age: 24.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: TDap left upper extremity; Severe local reaction: (swelling, erythema, induration 6-8cm; mild systemic reaction: mild fever
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: (R) deltoid 2 1/2 x 2 inches swelling, redness, itching. Ice pack apply. (R) arm 4 1/2 x 4 inches swelling, redness, itching. Ice pack applied.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Chest pain, Cough, Urticaria
Clinical narrative: Chest pain, hives, cough *Taken to emergency room
Age: 0.52
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Urticaria
Clinical narrative: Patient developed acute onset of hives ~9 hours after receiving below vaccines along with fever of 101.  He was seen in urgent care ~1900 on 8/5 and given BENADRYL and MOTRIN with hives nearly resolved prior to discharge.  Hives recurred a few hours later, and were present on office visit to my office at 1100 on 8/6/08.  He had no associated cough/wheeze, eye/tongue or lip swelling.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Nausea, Pain, Pain in extremity
Clinical narrative: Pain arm then spread to (L_ side of body, high fever, body aches, nausea on 8-19-08. 8-21-08 area red, swollen at site radiating to elbow. Rx Tylenol TID x 3 days - Benadryl 50 mg x T dose cold compresses and elevate arm f/u 8-26-08.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Pain arm then spread to (L_ side of body, high fever, body aches, nausea on 8-19-08. 8-21-08 area red, swollen at site radiating to elbow. Rx Tylenol TID x 3 days - Benadryl 50 mg x T dose cold compresses and elevate arm f/u 8-26-08.
Age: 64.0
Sex: F
Vaccine: DT
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt complained of body aches, chills, flu-like symptoms.  Pain, redness & heat at injection site.
Age: 64.0
Sex: F
Vaccine: DT
Symptoms: Pain
Clinical narrative: Pt complained of body aches, chills, flu-like symptoms.  Pain, redness & heat at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Arthralgia, Borrelia burgdorferi serology negative, Full blood count normal, Vasculitis
Clinical narrative: 4 days post vaccine = developed vasculitis of legs/knees/ankles - left in 1 week. No fever, mild arthralgia.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Hyperaesthesia, Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Reddened, slightly raised area at injection site; Patient complained of some itching at site and discomfort at touch.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Nodule, Rash
Clinical narrative: Rash, severe know and red area.
Age: 60.0
Sex: F
Vaccine: IPV, MEN, TDAP, YF
Symptoms: Fatigue, Feeling abnormal, Nausea, Pain, Vomiting
Clinical narrative: Nausea, vomiting, feeling out of it, body aches, fatigue.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Erythema, Pruritus
Clinical narrative: Patient received MMR + Varivax on 8/13/08-as documented by nurse, MMR in left arm, VARIVAX in right. Presents today (8/20) with 1 week hx intermittent redness (R) arm-pruritic-2x3 cm patch erythema anterior upper (L) arm with few pinpoint vesicles in center. dx contact dermatitis (poison ivy) vs vaccine reaction-but rxn not at injection site or even arm that VARIVAX was given.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Crying, Pyrexia
Clinical narrative: Fever to 103deg within 8 hours of vaccine with 3 hours - 4 hours inconsolable crying.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: DTaP administered when Tdap should have been. Pt had no reactions to vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site erythema, Pallor
Clinical narrative: Per pt parents. Erythema over (R) deltoid area present since pt awoke this AM. Pt has AHCCS. Recommend visit violent care and/or seek medical attention. Respirations non labored, no distress.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Reddened/edematous, 4in. diameter, warm in upper left arm. Given Claritin, use warm packs to arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARZOS
Symptoms: Unevaluable event
Clinical narrative: None at all
Age: 7.0
Sex: U
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Dyspnoea, Hyperaesthesia, Oedema peripheral, Pallor
Clinical narrative: (105 F) fever, non-stop crying 3 hours (+), paleness, difficulty breathing cause congestion, leg sensitive to touch and puffy, swollen look of legs.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: (105 F) fever, non-stop crying 3 hours (+), paleness, difficulty breathing cause congestion, leg sensitive to touch and puffy, swollen look of legs.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Hypoaesthesia, Muscle spasms, Paraesthesia
Clinical narrative: Mom reported c/o numbness and feeling like both legs were going to sleep, also cramping which started on Thurs. 8/21/2008. At this time has not seen MD.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Mom reported c/o numbness and feeling like both legs were going to sleep, also cramping which started on Thurs. 8/21/2008. At this time has not seen MD.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Syncopal event within 5 minutes after 4 vaccines administered.  Recovered from syncopal event within 15 minutes. Other than observation for 30 minutes no further treatment given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Mental status changes, Oxygen saturation decreased, Oxygen supplementation, Reaction to previous exposure to any vaccine, Respiratory distress
Clinical narrative: 5 yr old who developed moderate to severe respiratory distress, altered mental status and urticaria within minutes of receiving MMM2,Varicella2, DTaP5, IPV4. BP 63/32. Received subq epi x 3 and O2 when pulse ox dropped to upper 80s. EMS took patient to ER where he was observed for 6 hours and was stable. Mom reported that he had a previous "allergic reaction" after receiving Hep A and Influenza vaccine (hives)on 11/20/06. Was referred to A&I multiple times but did not g9/4/08-ED records received for DOS 8/20/08-Assessment:Allergic reaction. Presented to ED with anaphylactic reaction of facial swelling, wheezing shortness of breath and hypotension immediately after receiving Varicella.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: 5 yr old who developed moderate to severe respiratory distress, altered mental status and urticaria within minutes of receiving MMM2,Varicella2, DTaP5, IPV4. BP 63/32. Received subq epi x 3 and O2 when pulse ox dropped to upper 80s. EMS took patient to ER where he was observed for 6 hours and was stable. Mom reported that he had a previous "allergic reaction" after receiving Hep A and Influenza vaccine (hives)on 11/20/06. Was referred to A&I multiple times but did not g9/4/08-ED records received for DOS 8/20/08-Assessment:Allergic reaction. Presented to ED with anaphylactic reaction of facial swelling, wheezing shortness of breath and hypotension immediately after receiving Varicella.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Injection site discharge, Injection site vesicles, Oedema peripheral
Clinical narrative: Patient noted to have slight swelling and redness to left upper arm 8-22-08 per mom's report. Was seen by Dr. on 8-23-08 and given omnicef with little improvement. Mom then took him to ER where he was seen by Dr. due to no improvement. Child noted to have blister to injection site, with redness and swelling to upper arm. Was given rocephin injection in ER and TMC ointment to apply to area. Into Health Department on 8-25-08, blister noted to be open and draining, swelling to arm improved from pictures mom had taken in ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Convulsion, Fall, Foaming at mouth, Hypertonia, Urinary incontinence
Clinical narrative: AFTER RECIEVING VACCINES  PT WAS SITTING DOWN WITH MOM AND LOST CONTROLE OF HER BODY AND FELL TO THE FLOOR AND HIT HER HEAD. PT HAD A SEIZURE WITH FOAMING AT THE MOUTH WITH HYPERTONIA AND LOSE OF URINE. THAT LASTED ABOUT 30 TO 45 SECONDS LONG. EMS CAME AND TOOK THE PT TO THE HOSPITAL.
Age: 12.0
Sex: F
Vaccine: HEPA, MEN, TDAP, VARCEL, HEPA, MNQ, TDAP, VARCEL
Symptoms: Chest pain, Headache, Stomach discomfort, Urticaria, Vomiting
Clinical narrative: headache on 8/19/08 8/20/08 given 2 childrens tylenol each time, complaint of chest pain on 8/21/08 was given pepto bismol thinking was heartburn, hives 8/21/08 was given benedryl, complaint of upset stomach 8/22/08 not given medication, severe hive breakout could not administer benedryl due to throwing up, taken to hospital on 8/22/08 due to severity of throwing up out of control and hives so bad,as of 8/25/08 still hospitalized and waiting to be transferred to another hospital for further treatment 9/24/08-records received for DOS 8/23-8/25/08-DC DX: Acute febrile illness with rash, most likely viral in nature versus related to recent immunizations. Abdominal pain with right ovarian cyst. Dehydration with hyperkalemia, resolved. Day after receiving vaccines had headache, low grade fever and urticarial rash. Symptoms persisted developed nausea with vomiting and abdominal pain. Transferred to another facility. 10/8/08-records received for DOS 8/25-8/26/08-Fever, rash, abdominal pain.
Age: 12.0
Sex: F
Vaccine: HEPA, MEN, TDAP, VARCEL, HEPA, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Diarrhoea, Urticaria
Clinical narrative: headache on 8/19/08 8/20/08 given 2 childrens tylenol each time, complaint of chest pain on 8/21/08 was given pepto bismol thinking was heartburn, hives 8/21/08 was given benedryl, complaint of upset stomach 8/22/08 not given medication, severe hive breakout could not administer benedryl due to throwing up, taken to hospital on 8/22/08 due to severity of throwing up out of control and hives so bad,as of 8/25/08 still hospitalized and waiting to be transferred to another hospital for further treatment 9/24/08-records received for DOS 8/23-8/25/08-DC DX: Acute febrile illness with rash, most likely viral in nature versus related to recent immunizations. Abdominal pain with right ovarian cyst. Dehydration with hyperkalemia, resolved. Day after receiving vaccines had headache, low grade fever and urticarial rash. Symptoms persisted developed nausea with vomiting and abdominal pain. Transferred to another facility. 10/8/08-records received for DOS 8/25-8/26/08-Fever, rash, abdominal pain.
Age: 12.0
Sex: F
Vaccine: HEPA, MEN, TDAP, VARCEL, HEPA, MNQ, TDAP, VARCEL
Symptoms: Chest pain, Headache, Stomach discomfort, Urticaria, Vomiting
Clinical narrative: Pt received shots on 8/19/08 - Returned to clinic 8/22/08 with c/o hives, stomach ache and diarrhea. 8/20/08 hospitalized and then transferred for further care.
Age: 12.0
Sex: F
Vaccine: HEPA, MEN, TDAP, VARCEL, HEPA, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Diarrhoea, Urticaria
Clinical narrative: Pt received shots on 8/19/08 - Returned to clinic 8/22/08 with c/o hives, stomach ache and diarrhea. 8/20/08 hospitalized and then transferred for further care.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Local reaction, Tenderness
Clinical narrative: pt has local reaction very big  indurated area very tender initially ice applied but no improvement.  Next day given warm moist compressions which made comfort improved. Also given benadryl.
Age: 23.0
Sex: F
Vaccine: DT
Symptoms: Arthralgia, Injection site pain, Myalgia, Neuralgia, Neuropathy peripheral
Clinical narrative: After the initial injection site pain, two to three days later my wife developed tinnitus for three days, and continuing arthralgia and neuropathy in her shoulder with nerve pain radiating to her neck, elbow and fingertips.  It is now eleven days after the vaccine administration, and my wife continues to have arthralgia, myalgia, and nerve pain in her left arm where the vaccine was administered. Today she has an appointment with her primary care physician.
Age: 23.0
Sex: F
Vaccine: DT
Symptoms: Tinnitus
Clinical narrative: After the initial injection site pain, two to three days later my wife developed tinnitus for three days, and continuing arthralgia and neuropathy in her shoulder with nerve pain radiating to her neck, elbow and fingertips.  It is now eleven days after the vaccine administration, and my wife continues to have arthralgia, myalgia, and nerve pain in her left arm where the vaccine was administered. Today she has an appointment with her primary care physician.
Age: 32.0
Sex: M
Vaccine: ANTH, TDAP
Symptoms: Condition aggravated, Tremor
Clinical narrative: 24 hours afer reciept of Anthrax #5, patient experienced worsening of pre-existing tremors in all four extremities.  Patient states trembling began after Jan 2007, after Anthrax #3.  Patient has never reported this issue until today.
Age: 39.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Exercise tolerance decreased, Muscle atrophy, Myalgia
Clinical narrative: Initial symptoms were muscle aches that didn't resolve.  Since has had continued muscle aching,wasting of the upper arms.  Overall decrease in strength and endurance.  Started taking herbal antitoxins around Aug 11, 2008, this seems to have prevented continued decline but there has been no improvement.  He felt he was in the best shape in his life prior to vaccination.  Walking at least 3 miles a day and weight lifting.  However he did have an ear infection that he had not treated with antibiotics until about a week after receivint the vaccination.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TD
Symptoms: Pallor
Clinical narrative: patient given immunizations; became VERY PALE - BP 110/60, P 68.  Patient had not eaten since "last night".  Ammonia inhalant used and cold compress to face.  Juice given to drink.  Checked by FNP.
Age: 1.92
Sex: F
Vaccine: DTAP
Symptoms: Staring, Tremor
Clinical narrative: Pt. had 2 episodes of "staring off at nothing" lasting several seconds. Also apperently had "hand tremor" episode X2 of a few seconds duration.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Disorientation, Fatigue, Gaze palsy, Hyperhidrosis, Nausea
Clinical narrative: Client fainted, leaned to left, clenched fists and yees rooled back- lasted aprox 5 sec- disorientated for 10-15 seconds, then nauseated, pale and diaphoretic.  Remained in office for 20 minutes.  Denied needing care when leaving except said she felt fatigued.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Pallor, Syncope
Clinical narrative: Client fainted, leaned to left, clenched fists and yees rooled back- lasted aprox 5 sec- disorientated for 10-15 seconds, then nauseated, pale and diaphoretic.  Remained in office for 20 minutes.  Denied needing care when leaving except said she felt fatigued.
Age: 14.0
Sex: F
Vaccine: DTAPHEPBIP, HPV4
Symptoms: Wrong drug administered
Clinical narrative: WRONG IMMUNIZATION GIVEN GAVE PEDIARIX AND SHOULD HAVE BEEN HEP A
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Feeling abnormal, Loss of consciousness, Syncope
Clinical narrative: felt funny when left clinic, fainted and lost consciousness on ride down on elavator from pedi clinic.  IZ given at 1215pm and had not eaten since the night before.  Juice and crackers given, monitored vitals
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LARGE RED SWOLLEN AREA WITH PAIN, WARM TO TOUCH THE DAY AFTER THE INJECTION.  PATIENTS CAREGIVER CALLED THE CLINIC TO REPORT.  WAS INSTRUCTED TO USE ICE, BENADRYL, IBUPROFEN.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site swelling
Clinical narrative: Left upper arm(deltoid) swollen around injection site- approx10 cm circular
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LARGE RED SWOLLEN AREA WITH PAIN, WARM TO TOUCH THE DAY AFTER THE INJECTION.  CLIENT'S CAREGIVER REPORTED TO THE CLINIC. WAS INSTRUCTED TO USE ICE, BENADRYL, IBUPROFEN
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Post herpetic neuralgia, Rash
Clinical narrative: Child developed Shingles on belly, hip and down the left leg to the knee.  Rash cleared in 2 weeks, but post-herpetic neuralgia is ongoing.
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Epistaxis, Hypersensitivity, Otorrhoea
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of hypersensitivity reaction in a female subject of unspecified age who was vaccinated with TWINRIX (GlaxoSmithKline).  There were no concurrent medications.  On 20 August 2008 the subject received 1st dose of TWINRIX at 0.5 ml in an unknown arm.  On the morning of 21 August 2008, 1 day after vaccination with TWINRIX, the subject experienced hypersensitivity reaction, arthritic-like symptoms all over the body, bloody nose and ear discharge.  There were no local reactions at the site of TWINRIX administration.  The reporter sent the subject to the emergency room.  It was reported that she was going to require treatment, but no details of the treatment were known at the time of reporting.  The healthcare professional considered the events were disabling.  At the time of reporting the events were unresolved.  The healthcare professional considered the events were probably related to vaccination with TWINRIX.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Vomiting, X-ray with contrast upper gastrointestinal tract
Clinical narrative: 3-4 hours after all vaccines were given, pt started intractable bilious vomiting x 4 hours. 24 hours later developed fever. Hospitalized for observation. 9/4/08-records received for DOS 8/19-8/21/08-Admitted with sudden onset of bilious vomiting times 1 day. Mild dehydration likely secondary to vomiting.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Barium enema abnormal, Frequent bowel movements, Haematochezia, Intussusception, Irritability
Clinical narrative: Pt had increase stooling 3 days prior to hospitalization. There was no bowel movement the next day but increased fussiness. By on night prior to admission baby refused pacifier and only liked upright position. Patient seen in our office and sent to hospital to r/o intussusception. KUB, labs normal but heme (+) stool noted. Patient admitted for observation and Ba enema done due to increased fussiness and intussusception diagnosed. Baby recovered well and discharged home 2 days later. 8/26/08-DC summary received for DOS 8/22/08-DC DX: Intussusception. Admitted with C/O irritability. 9/5/08-records received for DOS 8/20-8/22/08-presented to ED with 3 day history of fussy, crying difficult to console, minimal stool output. Breastfeeding until 2 nights ago when rice cereal was introduced. Abdomen hard with poor bowel sounds.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Occult blood positive, Urinary system X-ray
Clinical narrative: Pt had increase stooling 3 days prior to hospitalization. There was no bowel movement the next day but increased fussiness. By on night prior to admission baby refused pacifier and only liked upright position. Patient seen in our office and sent to hospital to r/o intussusception. KUB, labs normal but heme (+) stool noted. Patient admitted for observation and Ba enema done due to increased fussiness and intussusception diagnosed. Baby recovered well and discharged home 2 days later. 8/26/08-DC summary received for DOS 8/22/08-DC DX: Intussusception. Admitted with C/O irritability. 9/5/08-records received for DOS 8/20-8/22/08-presented to ED with 3 day history of fussy, crying difficult to console, minimal stool output. Breastfeeding until 2 nights ago when rice cereal was introduced. Abdomen hard with poor bowel sounds.
Age: 0.76
Sex: M
Vaccine: PNC
Symptoms: Barium enema abnormal, Diarrhoea haemorrhagic, Lethargy, Vomiting
Clinical narrative: Vomiting, bloody diarrhea x 1, lethargy.  9/30/08 Reviewed hospital medical records of 8/24-8/29/08. FINAL DX: ileocolic intussusception, exp lap w/attempted manual reduction; resection of distal ileum & right colon with primary anastomosis. Records reveal patient experienced vomiting, diarrhea & lethargy.  Initially admitted for IV hydration.  Surgical consult done.  8/29/08 Reviewed partial medical records for 8/24/08 admit as patient remains hospitalized at this time. FINAL DX: Records reveal patient seen in out of state hospital due to vomiting & diarrhea after found playing with bottle of alcohol sanitizer although it did not appear that he had swallowed any. Symptoms began approx 2.5 hours after incident.  Became lethargic while hospitalized for observation & continued w/vomiting & diarrhea, occasionally blood tinged.  Surgery consult obtained & initially dx w/severe gastroenteritis.  When enema (+) for IS & unable to reduce, taken to OR for exploratory lap w/attempted manual reduction os IS & then resection of distal ileum & right colon w/primary anastomosis.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Hypotension, Pallor, Skin warm, Syncope
Clinical narrative: Patient felt faint and lightheaded (syncope) and needed assistance. Called 911-felt pale and warm and had low blood pressure.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Thrombosis
Clinical narrative: Was in ER on 07/29/08 - told had blood clot in upper left arm, that traveled to lung - on Coumadin x 3-6 months *Pulmonary Embolism 8/29/08-records received phone call to office by pt 8/25/08-seen in ER due to pulmonary embolism on 7/29/08-notes from 8/25/08-indicated patient hospitalized and followed by hematologist who indicated condition was secondrry to trauma with surf board. Pt returned to work and doing well.  9/18/08-records received for DOS 7/29/08-Impression:thrombosis of axillary vein after several days after surfing for first time. Use arms extensively and did have compression of axillary vein at that time. Comorbid problem use of estrogen ring NuvoRing. Thrombosis due to trauma of surfing. Presented to ED with C/O aching in left arm and axilla and increasing swelling.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: Approx. 8 hours after receiving Tdap pt. developed nausea then fever 100.4 degrees.  24 hours after injection chills, increased fever, myalgias, neck sore & stiff & HA & dizzy.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Neck pain, Pyrexia
Clinical narrative: Approx. 8 hours after receiving Tdap pt. developed nausea then fever 100.4 degrees.  24 hours after injection chills, increased fever, myalgias, neck sore & stiff & HA & dizzy.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Dyskinesia, Eye irritation, Irritability, Retching, Rhinorrhoea
Clinical narrative: The patient presents with nasal discharge.  These symptoms began today.  He is not having diarrhea or fever.  Other comments include: Patient has been gagging and as per mom he had some involuntary movement.  Patient is also cranky.  Following nasal aspiration this Am, child began to rub the right eye for a few minutes and was then fine.  Father has seizure disorder and parents are concerned that child had seizure.  30 minutes after episode child was well.  There apparently was some gagging but no LOC.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Blood thyroid stimulating hormone, Electrocardiogram, Full blood count, Laboratory test
Clinical narrative: Generalized weakness in arms and legs, Tingling in feet; Fever, Nausea 10/17/08-records received-office note for 8/25/08-C/O dizzy, headache weakness and tired, feeling acutely ill, arm swelled. Saw physician stated it was reaction to vaccine.Still feeling tired but able to go to school.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Paraesthesia, Pyrexia, Urine analysis
Clinical narrative: Generalized weakness in arms and legs, Tingling in feet; Fever, Nausea 10/17/08-records received-office note for 8/25/08-C/O dizzy, headache weakness and tired, feeling acutely ill, arm swelled. Saw physician stated it was reaction to vaccine.Still feeling tired but able to go to school.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Warm to the touch, redness, tender.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: 5 days after receiving the vaccine-woke up, felt faint and had difficulty breathing, tightening of the chest-went to ER.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Local reaction to MENACTRA; red, a little swollen, itchy - about size of a golf ball.  CRNP - told her it was localized, and use ice and TYLENOL.  Warm to touch.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Malaise, Skin warm
Clinical narrative: Patient not feeling well, low grade temp, gave Tylenol; patient deltoid warm to touch, no inflammation; not red - patient to continue using ice, Tylenol and Benadryl.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Red, itchy; local - was told ice/TYLENOL.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Lethargy, Myalgia
Clinical narrative: Severe headache, myalgias, lethargy. BOOSTRIX and MENACTRA 8/20/08, seen 8/21/08 in the office, 8/22/08; still has a headache, muscle pain, lethargy.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Asthenia, Dizziness, Local reaction, Oedema peripheral, Pain in extremity
Clinical narrative: Dizziness, weakness, arms very sore.  Left arm tender, mild swelling - local reaction.  Rx Benadryl 25 mg QID, cold compresses.  RTO if symptoms get worse or if new concerns.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Tenderness
Clinical narrative: Dizziness, weakness, arms very sore.  Left arm tender, mild swelling - local reaction.  Rx Benadryl 25 mg QID, cold compresses.  RTO if symptoms get worse or if new concerns.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on R mandible, anterior & posterior torso.  1 teaspoon children BENADRYL.  10 minutes rash was cleared.  Pt alert and responsive on exit.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Local reaction, Pain in extremity
Clinical narrative: Severe localized arm pain and mild weakness.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Local reaction where vaccine was administered in the left SQ area of the posterior arm. Redness, swelling and heat - increasing in size.
Age: 27.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Lymphadenopathy, Rash pruritic
Clinical narrative: Pt reported 9 pruritic rash across most of his body and swollen lymph nodes in the axillary inguinal, and pupliteal regions.
Age: 33.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Chills, Heat exhaustion, Muscle spasms, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, muscle spasms.  Seen by urgent care on 3AUG08.  Treated for possible "heat exhaustion".  Possible viral infec.
Age: 33.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Viral infection
Clinical narrative: Fever, chills, body aches, muscle spasms.  Seen by urgent care on 3AUG08.  Treated for possible "heat exhaustion".  Possible viral infec.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Convulsion, Diarrhoea, Pyrexia, Urinary tract infection, Vomiting
Clinical narrative: Received MMR on 7-15-08.  7-25-08 patient had generalized seizure.  Had 102 temperature.  Taken to ER.  Normal labs.  Also developed vomiting x 24 hours, diarrhea several days.  No prolonged Rx.  No residual symptoms.
Age: 0.6
Sex: M
Vaccine: HIBV
Symptoms: Chills, Grunting
Clinical narrative: Brief "shiver" like episodes associated with grunting occurred frequently for approx 1 wk beginning the day after the vaccines. Hib administered on 8-13-08. No LOC, no other sxs. Does not seem to bother child.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 5x5 cm erythema/induration not painful.  Use ibuprofen & heat.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Hypersensitivity, Urticaria
Clinical narrative: Well exam and shots at 4:30pm - to ED for redness and wheals 5 hrs later.  Generalized.  Diagnosed with allergic reactions - treated with Orapred and Prednisone PO.
Sex: U
Vaccine: RAB
Symptoms: Rash
Clinical narrative: Rash on trunk and extremities
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Full blood count normal, Pyrexia, Rash
Clinical narrative: Fever (106 max) 6 days after 1 y.o. shots given assoc. with body rash.  Patient otherwise well-looking during exam visit (had no fever).
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at the injection site, prescribed with BENADRYL
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Per MOP - injection site left arm with 1/2 dollar size area of redness, mild swelling, and (+) pruritis.  Resolving as of 8/25/08 per doctor.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Rash papular, Swelling
Clinical narrative: Mother noted a rash on both arms after receiving MMR LD; DTaP (LD); VARIVAX (RD). On 8/18/08 no fever, some swelling, no erythema, no ischemia. Exam revealed papular non vesicular rash billious, no erythema. BENADRYL
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site treated and Benadryl and cool compress
Age: 81.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site pain, Paraesthesia oral
Clinical narrative: Sore (L) upper arm. Also has tingling of mouth relieved with BENADRYL but also after P.B cookies baking and allergic to P.B. No sob, fever chills etc, cold compress, TYLENOL prn
Age: 2.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Croup infectious, Immediate post-injection reaction
Clinical narrative: "croup-like" symptoms immediately after receiving hep A #2 and MMR #1
Sex: U
Vaccine: HIBV, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Prolonged swelling and redness at injection site. early cellulitis
Age: 52.0
Sex: M
Vaccine: IPV, TDAP, TYP, YF
Symptoms: Measles antibody, Mumps antibody test, Pruritus, Rubella antibody test, Tuberculin test negative
Clinical narrative: Initial report received on 21 August 2007 from the ministry of health, under the reference number: E-16727 (VAERS E-Report Number). A 52 year old sale received on 21 June 2007 at 09:45 hours the following vaccinations: YF-Vax (lot# UF045AA), subcutaneous into the left upper arm; Adacel (lot# C2730AA), intramuscular into the right deltoid; Typhim Vi (lot# 2110-2) intramuscular into the right deltoid; IPOL (lot# Z0548-2) intramuscular into the left deltoid and Twinrix (GSK, lot# AHABB080AA) intramuscular into the left deltoid. On 06 July 2007, 15 days post vaccination, he began having hives and itching that required an emergency room visit or a doctor visit. The patient was taking ASPIRIN and VITAMINS at the time of vaccination. The patient had no illness at vaccination time and no known allergies and medical conditions. Titer results from 21 June 2007 for Rubella, Rubeola and Mumps reported as "immune" and for Quantiferon results as negative. The patient had recovered.
Age: 52.0
Sex: M
Vaccine: IPV, TDAP, TYP, YF
Symptoms: Urticaria
Clinical narrative: Initial report received on 21 August 2007 from the ministry of health, under the reference number: E-16727 (VAERS E-Report Number). A 52 year old sale received on 21 June 2007 at 09:45 hours the following vaccinations: YF-Vax (lot# UF045AA), subcutaneous into the left upper arm; Adacel (lot# C2730AA), intramuscular into the right deltoid; Typhim Vi (lot# 2110-2) intramuscular into the right deltoid; IPOL (lot# Z0548-2) intramuscular into the left deltoid and Twinrix (GSK, lot# AHABB080AA) intramuscular into the left deltoid. On 06 July 2007, 15 days post vaccination, he began having hives and itching that required an emergency room visit or a doctor visit. The patient was taking ASPIRIN and VITAMINS at the time of vaccination. The patient had no illness at vaccination time and no known allergies and medical conditions. Titer results from 21 June 2007 for Rubella, Rubeola and Mumps reported as "immune" and for Quantiferon results as negative. The patient had recovered.
Age: 22.0
Sex: F
Vaccine: HEP, HEPA, IPV, TYP, YF, HEP, HEPA, IPV, TYP, YF
Symptoms: Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Initial report received on 04 September 2007 from a health care professional. A 22-year-old female patient, with no illness at the time of vaccination, had received a "primary series" dose, right upper arm, subcutaneous injection of IPOL, lot number Z0547, a first dose, left upper arm, subcutaneous injection of YF-VAX, lot number UF102AA, a first dose, oral administration of TYPHOID vaccine, manufacturer Berna, lot number 3001188, a first dose, right deltoid, intramuscular injection of Hepatitis A vaccine, manufacturer GSK, lot number AHAVB115CA, and a fourth dose, left deltoid, intramuscular injection of Hepatitis B vaccine, manufacturer GSK, lot number AHBVB359AA, on 29 August 2007. The next day, the patient became dizzy, nauseated, had chills, and had fever up to 103.2 degrees Fahrenheit. The patient spoke with a physician via phone and was advised to treat with TYLENOL. Relevant diagnostic testing was none. The patient recovered from the event. Follow-up information was received on 05 November 2007. The reporter confirmed that the reported event did not require an examination by a physician. The reporter also verified that the first dose of oral TYPHOID had been administered at home at 10:30PM (22:30). Additional information was provided relevant to the patients medical history and ongoing illness status at the time of vaccination. The patient had developed an inflammation of her lower eyelid on 02 August 2007, 27 days prior to vaccination, and went to the emergency department ED where the condition was thought to be ocular herpes or a viral conjunctivitis. The following day, the patient had blurred vision so they returned to the ED and the ophthalmologist on call stated "it did not look like herpes". The patient then followed up 09 September 2007 with another ophthalmologist who felt the condition was herpes. The patient then visited her general physician "over the weekend" (date not specified) who stated the condition was some type of viral illness and was prescribed acyclovir. No further information was provided.
Age: 4.0
Sex: F
Vaccine: IPV, IPV
Symptoms: Injection site cellulitis
Clinical narrative: Initial report received from a health care professional on 10 June 2008. A four-year-old female patient received an intramuscular injection of IPOL, lot number A0490, in the left thigh on an unspecified date. An unspecified amount of time later, the patient developed cellulitis at the site. It was not reported if any laboratory tests were performed or if the patient required treatment. It was not reported if the patient recovered from the event. Follow-up information was received 10 June 2008 from a health care professional. According to the reporter, IPOL had been administered on 23 May 2008 and the patient developed cellulitis on 25 May 2008. The patient was seen in the emergency room on 26 May 2008 and was diagnosed with post immunization cellulitis of left thigh. It was not reported if laboratory testing was performed or if corrective treatments were prescribed. The patient had no illness at the time of vaccination and she had been receiving concomitant therapies which consisted of NASONEX, SINGULAIR and ALLERTAN. The patient was recovered from the event at the time of the report. The reporter of this case is the same as for case 2008-01938.
Age: 4.0
Sex: F
Vaccine: IPV, IPV
Symptoms: Cellulitis
Clinical narrative: Initial report received from a health care professional on 10 June 2008. A four-year-old female patient received an intramuscular injection of IPOL, lot number A0490, in the left thigh on an unspecified date. An unspecified amount of time later, the patient developed cellulitis at the site. It was not reported if any laboratory tests were performed or if the patient required treatment. It was not reported if the patient recovered from the event. Follow-up information was received 10 June 2008 from a health care professional. According to the reporter, IPOL had been administered on 23 May 2008 and the patient developed cellulitis on 25 May 2008. The patient was seen in the emergency room on 26 May 2008 and was diagnosed with post immunization cellulitis of left thigh. It was not reported if laboratory testing was performed or if corrective treatments were prescribed. The patient had no illness at the time of vaccination and she had been receiving concomitant therapies which consisted of NASONEX, SINGULAIR and ALLERTAN. The patient was recovered from the event at the time of the report. The reporter of this case is the same as for case 2008-01938.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Initial report received from a health care professional on 10 June 2008. A four-year-old male patient received an intramuscular injection of IPOL, lot number A0490, in the left thigh on an unspecified date. An unspecified amount of time later, the patient developed cellulitis at the site. It was not reported if any laboratory tests were performed or if the patient required treatment. It was not reported if the patient recovered from the event. Follow-up information was received 11 June 2008 from a health care professional. On 03 June 2008, the patient had received a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C2934BA, a fourth dose intramuscular left thigh injection of IPOL, lot number A0490-2, a second dose subcutaneous left arm injection of MMR, lot number 0346X and a second dose subcutaneous right arm injection of VARICELLA, lot number 1851U. The location of the two immunizations administered in the left thigh were provided by the reporter. One immunization had been administered in the middle of the front thigh and the other immunization was administered on the side of the thigh (specific vaccines at which site were not reported). On 05 June 2008, the patient returned to the office and presented with redness, swelling and itching on the left thigh and was treated for cellulitis. Corrective treatments included BACTRIM. No further information was provided. The reporter of this case is the same as for case 2008-01936.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Initial report received from a health care professional on 10 June 2008. A four-year-old male patient received an intramuscular injection of IPOL, lot number A0490, in the left thigh on an unspecified date. An unspecified amount of time later, the patient developed cellulitis at the site. It was not reported if any laboratory tests were performed or if the patient required treatment. It was not reported if the patient recovered from the event. Follow-up information was received 11 June 2008 from a health care professional. On 03 June 2008, the patient had received a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C2934BA, a fourth dose intramuscular left thigh injection of IPOL, lot number A0490-2, a second dose subcutaneous left arm injection of MMR, lot number 0346X and a second dose subcutaneous right arm injection of VARICELLA, lot number 1851U. The location of the two immunizations administered in the left thigh were provided by the reporter. One immunization had been administered in the middle of the front thigh and the other immunization was administered on the side of the thigh (specific vaccines at which site were not reported). On 05 June 2008, the patient returned to the office and presented with redness, swelling and itching on the left thigh and was treated for cellulitis. Corrective treatments included BACTRIM. No further information was provided. The reporter of this case is the same as for case 2008-01936.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Condition aggravated, Herpes zoster
Clinical narrative: I had shingles last of Feb-left arm to thumb-mild compared to 1977 case.  A few months later, right arm to thumb even milder.  First of August this time.
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pruritus, Tachycardia, Urticaria, Vomiting
Clinical narrative: Information has been received from a nurse concerning a female who on 04-AUG-2008 was vaccinated with a dose of VARIVAX (lot no. 660967/0445X).  There was no other vaccines given on the day she received VARIVAX.  On the same day, "within minutes", the patient started to develop nausea, itching on her skin, bright red cheeks.  The patient was given BENADRYL.  The patient's mother got the patient into the car to take her home when the patient started to vomit and have facial swelling.  The patient had increased heart rate but no shortness of breath but facial swelling was getting worse.  The patient was given epinephrine pen and she improved.  The patient was fully recovered on the same day.  The patient was seen by an allergist.  Upon internal review increased heart rate, bright red cheeks, nausea, itching on her skin, facial swelling and vomiting were considered to be other important medical events.  Additional information has been requested.
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Erythema, Heart rate increased, Immediate post-injection reaction, Nausea, Pruritus
Clinical narrative: Information has been received from a nurse concerning a female who on 04-AUG-2008 was vaccinated with a dose of VARIVAX (lot no. 660967/0445X).  There was no other vaccines given on the day she received VARIVAX.  On the same day, "within minutes", the patient started to develop nausea, itching on her skin, bright red cheeks.  The patient was given BENADRYL.  The patient's mother got the patient into the car to take her home when the patient started to vomit and have facial swelling.  The patient had increased heart rate but no shortness of breath but facial swelling was getting worse.  The patient was given epinephrine pen and she improved.  The patient was fully recovered on the same day.  The patient was seen by an allergist.  Upon internal review increased heart rate, bright red cheeks, nausea, itching on her skin, facial swelling and vomiting were considered to be other important medical events.  Additional information has been requested.
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Swelling face, Vomiting
Clinical narrative: Information has been received from a nurse concerning a female who on 04-AUG-2008 was vaccinated with a dose of VARIVAX (lot no. 660967/0445X).  There was no other vaccines given on the day she received VARIVAX.  On the same day, "within minutes", the patient started to develop nausea, itching on her skin, bright red cheeks.  The patient was given BENADRYL.  The patient's mother got the patient into the car to take her home when the patient started to vomit and have facial swelling.  The patient had increased heart rate but no shortness of breath but facial swelling was getting worse.  The patient was given epinephrine pen and she improved.  The patient was fully recovered on the same day.  The patient was seen by an allergist.  Upon internal review increased heart rate, bright red cheeks, nausea, itching on her skin, facial swelling and vomiting were considered to be other important medical events.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Disorientation, Dizziness, Feeling abnormal, Hypotonia
Clinical narrative: Information has been received from a physician office manager concerning a 24 year old female who on 18-AUG-2008 was vaccinated with GARDASIL IM into the right arm.  Five minutes after the vaccination, the patient became "woozy" and laid down in an exam room.  Her body then went limp.  She closed her eyes, made strange noises, and appeared unconscious for 2 minutes.  She urinated on herself and then started to seize.  After 2 minutes, she returned to consciousness and was disoriented.  The patient was attended to by several doctors and was taken to the emergency room.  The reporter considered seizure to be disabling.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Postictal state, Urinary incontinence
Clinical narrative: Information has been received from a physician office manager concerning a 24 year old female who on 18-AUG-2008 was vaccinated with GARDASIL IM into the right arm.  Five minutes after the vaccination, the patient became "woozy" and laid down in an exam room.  Her body then went limp.  She closed her eyes, made strange noises, and appeared unconscious for 2 minutes.  She urinated on herself and then started to seize.  After 2 minutes, she returned to consciousness and was disoriented.  The patient was attended to by several doctors and was taken to the emergency room.  The reporter considered seizure to be disabling.  Additional information has been requested.