chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mean cell haemoglobin decreased, Monocyte percentage increased, Mucosal inflammation, Musculoskeletal stiffness, Myalgia
Clinical narrative: Information has been received from a nurse practitioner, concerning a 20 year old female patient, with no pertinent medical history reported and allergy to pollen and mold, who on 27-MAY-2011 was vaccinated with the first dose of GARDASIL (Lot #: 665768/1354Y, Exp: JUN-2012) (Dose and route not reported). Concomitant therapy included unspecified hormonal contraceptives for menstrual cycle control. Nurse practitioner reported that on approximately 03-JUN-2011, about a week ago, the patient was seen in the office with low grade fever, deep muscle aches, headaches and herpetic-like ulceration on her labia. ADVIL, TYLENOL, and prednisone were given as treatment for the events. A complete blood count (CBC) was performed and revealed a low white cell count. Lyme disease, sedimentation rate, and Herpes simplex titer tests were performed (Results not provided). Patient sought medical attention through office visit. Follow-up information has been received from the nurse practitioner who reported that no other vaccines were administered concomitantly to the patient with the GARDASIL, the adverse events onset date was approximately 31-MAY-2011. On 06-JUN-2011 a blood work was drawn resulting in the low white count of 3.2. Nurse reported that some swelling of lymph nodes was noted. A titrating dose of oral prednisone was given for the event. On 13-JUN-2011, patient was seen again and all symptoms were better, except for some neck stiffness. FLEXERIL, for bedtime use, was given for the event. Nurse reported that the GARDASIL series would not continue at consumer's request. Follow up information has been received from a nurse practitioner who reported that on 27-MAY-2011 a 20 year old white patient received a dose of GARDASIL intramuscularly in the left deltoid. On 01-JUN-2011, approximately 3 days after the vaccine was administered, the patient developed headache, neck stiffness, muscle aches, fatigue, a small vulvar ulcer and mucositis. The patient was treated with prednisone 30 mg x 2 days, 20 mg x 2 days and 10 mg x 2 days and a muscle relaxer [type not legible] at bedtime. On 06-JUN-2011 laboratory tests were performed which included: WBC: 3.2 x10^3/ uL (low); MCH: 25.8 pg (low); MCHC 31.3 g/dl (low); RDW 15.4% (high); monocytes: 16% (high); absolute Neutrophils 1.5 x 10^3/uL (low); sedimentation rate Westergren: 22 mm/hr (normal); Lyme IgG/IgM Ab index: <0.91 (negative); lyme disease Ab, Quant IgM index: <0.91 (negative); HSV 1 IgM antibodies and HSV 2 IgM antibodies titer: <1:10 (normal); HSV1 IgG, type specific index: 1.72 (positive; antibodies detected) and HSV 2 IgG, type specific index: <0.91 (negative). It was reported that the event resulted in persistent or significant disability/incapacity. At the time of reporting, the patient had recovered. No further information is expected.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neutrophil count decreased, Pyrexia, Red blood cell sedimentation rate increased, Red cell distribution width increased, White blood cell count decreased
Clinical narrative: Information has been received from a nurse practitioner, concerning a 20 year old female patient, with no pertinent medical history reported and allergy to pollen and mold, who on 27-MAY-2011 was vaccinated with the first dose of GARDASIL (Lot #: 665768/1354Y, Exp: JUN-2012) (Dose and route not reported). Concomitant therapy included unspecified hormonal contraceptives for menstrual cycle control. Nurse practitioner reported that on approximately 03-JUN-2011, about a week ago, the patient was seen in the office with low grade fever, deep muscle aches, headaches and herpetic-like ulceration on her labia. ADVIL, TYLENOL, and prednisone were given as treatment for the events. A complete blood count (CBC) was performed and revealed a low white cell count. Lyme disease, sedimentation rate, and Herpes simplex titer tests were performed (Results not provided). Patient sought medical attention through office visit. Follow-up information has been received from the nurse practitioner who reported that no other vaccines were administered concomitantly to the patient with the GARDASIL, the adverse events onset date was approximately 31-MAY-2011. On 06-JUN-2011 a blood work was drawn resulting in the low white count of 3.2. Nurse reported that some swelling of lymph nodes was noted. A titrating dose of oral prednisone was given for the event. On 13-JUN-2011, patient was seen again and all symptoms were better, except for some neck stiffness. FLEXERIL, for bedtime use, was given for the event. Nurse reported that the GARDASIL series would not continue at consumer's request. Follow up information has been received from a nurse practitioner who reported that on 27-MAY-2011 a 20 year old white patient received a dose of GARDASIL intramuscularly in the left deltoid. On 01-JUN-2011, approximately 3 days after the vaccine was administered, the patient developed headache, neck stiffness, muscle aches, fatigue, a small vulvar ulcer and mucositis. The patient was treated with prednisone 30 mg x 2 days, 20 mg x 2 days and 10 mg x 2 days and a muscle relaxer [type not legible] at bedtime. On 06-JUN-2011 laboratory tests were performed which included: WBC: 3.2 x10^3/ uL (low); MCH: 25.8 pg (low); MCHC 31.3 g/dl (low); RDW 15.4% (high); monocytes: 16% (high); absolute Neutrophils 1.5 x 10^3/uL (low); sedimentation rate Westergren: 22 mm/hr (normal); Lyme IgG/IgM Ab index: <0.91 (negative); lyme disease Ab, Quant IgM index: <0.91 (negative); HSV 1 IgM antibodies and HSV 2 IgM antibodies titer: <1:10 (normal); HSV1 IgG, type specific index: 1.72 (positive; antibodies detected) and HSV 2 IgG, type specific index: <0.91 (negative). It was reported that the event resulted in persistent or significant disability/incapacity. At the time of reporting, the patient had recovered. No further information is expected.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Intestinal operation, Intussusception, Small intestinal obstruction
Clinical narrative: Infant admitted for nonbilious nonbloody emesis 7/23. Discovered to have intussusception requiring bowel resection 7/27.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Computerised tomogram abnormal, Intestinal resection, Intussusception, Scan abdomen abnormal, Vomiting
Clinical narrative: Infant admitted for nonbilious nonbloody emesis 7/23. Discovered to have intussusception requiring bowel resection 7/27.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Local reaction, Lymphadenopathy
Clinical narrative: Robust local reaction to Tdap vaccine with reactive axillary adenopathy. Rest, MOTRIN, warm compresses to axilla & injection site.
Sex: F
Vaccine: HPV4
Symptoms: Death
Clinical narrative: Information has been received from a consumer concerning her daughter who was vaccinated with GARDASIL. The consumer reported that he had nothing to live for because GARDASIL killed his daughter. It was unknown if the patient sought medical attention. No further information is available.
Age: 1.62
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blood culture negative, Chest X-ray normal, Convulsion, Culture urine negative, Hypotonia
Clinical narrative: Mother reports that in the evening she found child limp, like a "rag doll" with high fever.  States child had a seizure, then vomited.  She callled ambulance.  Child spent the night in the ER and another night as inpatient.
Age: 1.62
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Lymphocyte count, Monocyte count, Neutrophil count, Pyrexia, Vomiting
Clinical narrative: Mother reports that in the evening she found child limp, like a "rag doll" with high fever.  States child had a seizure, then vomited.  She callled ambulance.  Child spent the night in the ER and another night as inpatient.
Age: 1.62
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: Mother reports that in the evening she found child limp, like a "rag doll" with high fever.  States child had a seizure, then vomited.  She callled ambulance.  Child spent the night in the ER and another night as inpatient.
Sex: F
Vaccine: TDAP
Symptoms: Pertussis
Clinical narrative: Initial report was received 28 July 2011 from a health care professional. A female patient (age not reported) had received an injection of ADACEL (lot number, route, site and date of administration not reported) and shortly after vaccination, she was confirmed with pertussis. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 26.0
Sex: M
Vaccine: MNQ, TDAP, TYP
Symptoms: Asthenia, Balance disorder, Bladder disorder, Coma, Encephalitis
Clinical narrative: The patient was given a vaccine on 06/05/2010 and on 06/25/2010, he was admitted with an acute encephalitis with sequela. He was evaluated by neurology associates and also treated by infectious disease. The patient had shingles one month prior to this incident. The patient had a three (3) day history of increasing weakness, somnolence, loss of balance and loss of bladder control. He was seen at one hospital and transferred to another hospital. By the time the patient was admitted, he had become non-responsive, comatose. Since then, he has developed a neurogenic bladder and has some mental impairment due to his encephalomyelitis. He is being followed by neurology associates.
Age: 26.0
Sex: M
Vaccine: MNQ, TDAP, TYP
Symptoms: Encephalomyelitis, Mental impairment, Neurogenic bladder, Somnolence, Unresponsive to stimuli
Clinical narrative: The patient was given a vaccine on 06/05/2010 and on 06/25/2010, he was admitted with an acute encephalitis with sequela. He was evaluated by neurology associates and also treated by infectious disease. The patient had shingles one month prior to this incident. The patient had a three (3) day history of increasing weakness, somnolence, loss of balance and loss of bladder control. He was seen at one hospital and transferred to another hospital. By the time the patient was admitted, he had become non-responsive, comatose. Since then, he has developed a neurogenic bladder and has some mental impairment due to his encephalomyelitis. He is being followed by neurology associates.
Age: 73.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Red, swollen, itchy & painful - area involved spreading. (L) arm where shingles vaccine was given.
Age: 16.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Decreased appetite, Dizziness, Pyrexia
Clinical narrative: No energy, No appetite, dizziness, low fever all symptoms since day of vaccination, except low fever started on 5th day. Sister same symptoms form also faxed.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MMR, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Decreased appetite, Dizziness
Clinical narrative: No energy, No appetite, dizziness, since day of vaccination & still today 7/30 - five days later. Brother has some symptoms form also faxed.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Generalised erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Area of slight erythema, sl. elevated temp. noted at injection site 15 minutes after injection. Development of widespread erythema - no urticarial lesions. C/o pruritus, pain at site. Transient (less than 1 minute) tingling sensation reported along (L) arm. Vital signs stable Cetirizine 10mg po at 1105. Prednisone 20mg po at 1125.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Paraesthesia
Clinical narrative: Area of slight erythema, sl. elevated temp. noted at injection site 15 minutes after injection. Development of widespread erythema - no urticarial lesions. C/o pruritus, pain at site. Transient (less than 1 minute) tingling sensation reported along (L) arm. Vital signs stable Cetirizine 10mg po at 1105. Prednisone 20mg po at 1125.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Immediately following vaccinations patient felt dizzy. She lied to a flat position on the exam table. It took 2 to 5 minutes for patient to start to feel better. BP 95/58. She then sat up and her BP was 100/59. She then stood to her feet and walked a few steps, BP 98/58. Took a few more steps and drank some water, BP 99/84. Patient stated she felt better and was able to walk to car, and I followed her.
Age: 1.51
Sex: F
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Rash developed behind ears and on the back of the neck. After about 6 hours, rash had progressed to include the torso.  Did not develope on the extremeties. Called Physician asked to see the child the next morning unless worse. At follow-up appointment on 08/05/2011 was prescribed Prednisone 15mg/5ml for 5 days. As of 08/08/2011 rash is gone and no other adverse reactions have been observed.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Autopsy, Death
Clinical narrative: See autopsy report.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Pt fainted within 5min after the vaccination of hep A for several sec in the office. No vomiting noted.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Feeling hot, Flushing, Injection site erythema, Muscle spasms
Clinical narrative: Muscle twitching, erythema at the site and beyond, muscle cramping and aching, feeling warm and flushed. Here in office 25 minutes. Ice applied, vitals checked, put in supine position, cold towels applied to forehead and back of neck, exam by PCP MD.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Muscle twitching, Myalgia
Clinical narrative: Muscle twitching, erythema at the site and beyond, muscle cramping and aching, feeling warm and flushed. Here in office 25 minutes. Ice applied, vitals checked, put in supine position, cold towels applied to forehead and back of neck, exam by PCP MD.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Chemotherapy
Clinical narrative: Delay in chemotherapy
Age: 26.0
Sex: M
Vaccine: PPV
Symptoms: Anxiety, Chest X-ray, Chest pain, Full blood count, Injection site erythema
Clinical narrative: severe pain at injection site, some redness, warmth at site, pain to shoulder and right side of chest, anxiety,
Age: 26.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth, Musculoskeletal pain, Renal function test
Clinical narrative: severe pain at injection site, some redness, warmth at site, pain to shoulder and right side of chest, anxiety,
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Angiogram normal, Apnoea, Arthralgia, Asthenia
Clinical narrative: This case was reported by a consumer (the subject's spouse) and described the occurrence of apnea in a 48-year-old male subject (a physician) who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 20 July 2011 the subject received booster dose of ENGERIX B (details unknown). On 20 July 2011, less than one day after vaccination with ENGERIX B, the subject experienced intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite "for even fluids". On 31 July 2011, the subject experienced insomnia, tingling of extremity, low blood pressure, abdominal cramp and diarrhea. On 01 August 2011, the subject experienced arthralgia, stiff neck, influenza like symptoms and migraine. The subject also experienced blurred vision, tachycardia, apnea, bronchospasms ("cannot breath due to spasms"), musculoskeletal weakness, musculoskeletal pain and feeling out of sorts due to off balance. The subject had lost 15 pounds of weight in 11 days. The subject went to the Emergency Room on 30 July 2011 at 01:00 hours and was hospitalised. He was discharged on 31 July 2011 to home. Relevant test results included cardiac angiogram, CAT scan and stomach endoscopy which were all negative. The subject was treated with TYLENOL. At the time of reporting the intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite were unresolved. The outcome of the other events was unspecified.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Balance disorder, Bronchospasm, Computerised tomogram normal, Decreased appetite, Diarrhoea
Clinical narrative: This case was reported by a consumer (the subject's spouse) and described the occurrence of apnea in a 48-year-old male subject (a physician) who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 20 July 2011 the subject received booster dose of ENGERIX B (details unknown). On 20 July 2011, less than one day after vaccination with ENGERIX B, the subject experienced intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite "for even fluids". On 31 July 2011, the subject experienced insomnia, tingling of extremity, low blood pressure, abdominal cramp and diarrhea. On 01 August 2011, the subject experienced arthralgia, stiff neck, influenza like symptoms and migraine. The subject also experienced blurred vision, tachycardia, apnea, bronchospasms ("cannot breath due to spasms"), musculoskeletal weakness, musculoskeletal pain and feeling out of sorts due to off balance. The subject had lost 15 pounds of weight in 11 days. The subject went to the Emergency Room on 30 July 2011 at 01:00 hours and was hospitalised. He was discharged on 31 July 2011 to home. Relevant test results included cardiac angiogram, CAT scan and stomach endoscopy which were all negative. The subject was treated with TYLENOL. At the time of reporting the intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite were unresolved. The outcome of the other events was unspecified.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Endoscopy upper gastrointestinal tract normal, Feeling abnormal, Flushing, Hypotension
Clinical narrative: This case was reported by a consumer (the subject's spouse) and described the occurrence of apnea in a 48-year-old male subject (a physician) who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 20 July 2011 the subject received booster dose of ENGERIX B (details unknown). On 20 July 2011, less than one day after vaccination with ENGERIX B, the subject experienced intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite "for even fluids". On 31 July 2011, the subject experienced insomnia, tingling of extremity, low blood pressure, abdominal cramp and diarrhea. On 01 August 2011, the subject experienced arthralgia, stiff neck, influenza like symptoms and migraine. The subject also experienced blurred vision, tachycardia, apnea, bronchospasms ("cannot breath due to spasms"), musculoskeletal weakness, musculoskeletal pain and feeling out of sorts due to off balance. The subject had lost 15 pounds of weight in 11 days. The subject went to the Emergency Room on 30 July 2011 at 01:00 hours and was hospitalised. He was discharged on 31 July 2011 to home. Relevant test results included cardiac angiogram, CAT scan and stomach endoscopy which were all negative. The subject was treated with TYLENOL. At the time of reporting the intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite were unresolved. The outcome of the other events was unspecified.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Influenza like illness, Insomnia, Migraine, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: This case was reported by a consumer (the subject's spouse) and described the occurrence of apnea in a 48-year-old male subject (a physician) who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 20 July 2011 the subject received booster dose of ENGERIX B (details unknown). On 20 July 2011, less than one day after vaccination with ENGERIX B, the subject experienced intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite "for even fluids". On 31 July 2011, the subject experienced insomnia, tingling of extremity, low blood pressure, abdominal cramp and diarrhea. On 01 August 2011, the subject experienced arthralgia, stiff neck, influenza like symptoms and migraine. The subject also experienced blurred vision, tachycardia, apnea, bronchospasms ("cannot breath due to spasms"), musculoskeletal weakness, musculoskeletal pain and feeling out of sorts due to off balance. The subject had lost 15 pounds of weight in 11 days. The subject went to the Emergency Room on 30 July 2011 at 01:00 hours and was hospitalised. He was discharged on 31 July 2011 to home. Relevant test results included cardiac angiogram, CAT scan and stomach endoscopy which were all negative. The subject was treated with TYLENOL. At the time of reporting the intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite were unresolved. The outcome of the other events was unspecified.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Paraesthesia, Tachycardia, Vision blurred, Weight decreased
Clinical narrative: This case was reported by a consumer (the subject's spouse) and described the occurrence of apnea in a 48-year-old male subject (a physician) who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. On 20 July 2011 the subject received booster dose of ENGERIX B (details unknown). On 20 July 2011, less than one day after vaccination with ENGERIX B, the subject experienced intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite "for even fluids". On 31 July 2011, the subject experienced insomnia, tingling of extremity, low blood pressure, abdominal cramp and diarrhea. On 01 August 2011, the subject experienced arthralgia, stiff neck, influenza like symptoms and migraine. The subject also experienced blurred vision, tachycardia, apnea, bronchospasms ("cannot breath due to spasms"), musculoskeletal weakness, musculoskeletal pain and feeling out of sorts due to off balance. The subject had lost 15 pounds of weight in 11 days. The subject went to the Emergency Room on 30 July 2011 at 01:00 hours and was hospitalised. He was discharged on 31 July 2011 to home. Relevant test results included cardiac angiogram, CAT scan and stomach endoscopy which were all negative. The subject was treated with TYLENOL. At the time of reporting the intermittent flushing, shortness of breath upon eating or drinking, weight loss and no appetite were unresolved. The outcome of the other events was unspecified.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pruritus, Skin lesion
Clinical narrative: Pt developed 6 shingles lesions along the right mid-thoracic tract.  Denies pain, some itching.  Saw Dr. today (08/08/2011).
Age: 34.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Headache, Hyperhidrosis, Palpitations, Seizure like phenomena, Vision blurred
Clinical narrative: Pt received Tdap and Hep B. Approx 5-6 mins post immunization pt c/o headache, became diaphoretic. Laid pt down on cot. BP 120/80 P84 resp 16. Pt c/o heart beating hard, blurred vision. Had seizure type activity for 3-5 seconds. 911 called and military rn called. pt cont with headache and blurred vision. Pt was up and walking around an hour after.
Age: 27.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain
Clinical narrative: I awoke with abdominal pain at 4am.  After sitting up, drinking water, and eating some light crackers, I was able to return to sleep within the hour.  After the second dose the following day (08/06), I was awoken at 6am for the same reason.  This time, I was unable to relieve the pain enough to return to sleep. I then suffered from periodic waves of abdominal pain throughout the day until approximately 5pm.  I have taken the third pill today after calling my doctor and garnering no advice regarding management of this side effect.
Age: 31.0
Sex: M
Vaccine: ANTH, RAB, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and hives over face, neck and arms.  No difficulty breathing. Diphenhydramine 50 mg IM administered in EC.  Prescriptions given for Benadryl oral, Hydrocortisone cream 1%.  Told to report to primary care provider in morning.  Primary care provider has referred to allergist to see if causative agent could be determined and obtain guidance for series completion.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Erythema, Excoriation, Fall, Musculoskeletal stiffness, Pallor
Clinical narrative: About 20 minutes after immunizations given, as parents were checking out, patient collapsed to the floor; her arms and legs stiffened; eyes were open but glossed over and patient was pale.  After a few seconds, patient became alert and oriented.  She was given orange juice to drink and cool compresses were applied to her forehead and neck.  As a result of her fall, patient had a dime size surface abrasion on her right lower jaw, a reddened area on her right flank area of her back, and a 2 inch by 2 inch surface abrasion on her anterior elbow area of her right arm.  No open areas.  Patient retained in the office for an additional 10 minutes and parents advised to call PCP for further instructions/recommendations regarding her abrasions from the fall.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Staring, Syncope
Clinical narrative: About 20 minutes after immunizations given, as parents were checking out, patient collapsed to the floor; her arms and legs stiffened; eyes were open but glossed over and patient was pale.  After a few seconds, patient became alert and oriented.  She was given orange juice to drink and cool compresses were applied to her forehead and neck.  As a result of her fall, patient had a dime size surface abrasion on her right lower jaw, a reddened area on her right flank area of her back, and a 2 inch by 2 inch surface abrasion on her anterior elbow area of her right arm.  No open areas.  Patient retained in the office for an additional 10 minutes and parents advised to call PCP for further instructions/recommendations regarding her abrasions from the fall.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness of left thigh starting about 2 days before.  Seen in urgent care center and given prescriptions for acetaminophen liquid and diphenhydramine liquid.
Age: 80.0
Sex: F
Vaccine: TDAP
Symptoms: Vaccination site pain
Clinical narrative: Sore to touch in area of vaccination reported on 08/08/11 by resident via telephone call. No fever or swelling reported at site. Resident denies drainage at site of vaccination.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling hot, Headache, Sneezing
Clinical narrative: Started sneezing and head felt "hot and full". Next day and for several days sneezing persisted forcefully and very frequently. (Had similar Rx when took flu vaccine but was more severe.) Self medicated with Benadryl for several days. (this rx occurred over a weekend, and I was notified on Monday of the Rx.  By then, Rx was resolving)
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Juvenile myoclonic epilepsy, Myoclonus, Tic
Clinical narrative: Seizures, myoclonic ticks
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral, Pain
Clinical narrative: Patient reported redness and slight swelling around injection sight on 6/14/2011.  She came in 06/16/2011 and the reaction had grown beyond the injection site and was red, swollen.  Symptoms started to subside later that day, with only slight itching and minor pain.  She did not seek medical intervention.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Patient reported redness and slight swelling around injection sight on 6/14/2011.  She came in 06/16/2011 and the reaction had grown beyond the injection site and was red, swollen.  Symptoms started to subside later that day, with only slight itching and minor pain.  She did not seek medical intervention.
Age: 0.12
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Kawasaki's disease
Clinical narrative: Patient diagnosed with Kawasaki's disease in May 2011, after exhibiting possible symptom for a few months.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site reaction
Clinical narrative: Mildly lightheaded after injection, was seated and recovered before leaving pharmacy.  Called 3 days after injection with site reaction, and counseled that it would resolve within a few days, and patient called 6/28/2011 that symptoms were improving.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Aspiration bone marrow abnormal, Ecchymosis, Haemorrhage, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy
Clinical narrative: 12 month old infant developed general ecchymosis unrelated to trauma, followed by spontaneous mucus membrane bleeding.  Evaluated in Emergency Department with platelet count of 3,000.  Work-up confirmed ITP.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Platelet count decreased
Clinical narrative: 12 month old infant developed general ecchymosis unrelated to trauma, followed by spontaneous mucus membrane bleeding.  Evaluated in Emergency Department with platelet count of 3,000.  Work-up confirmed ITP.
Age: 1.01
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Injection site reaction
Clinical narrative: Herpes zoster (L) arm onset 28 July 2011.
Age: 29.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Vomiting
Clinical narrative: S/p immunization update patient became nauseous with emesis x 1/ given BENADRYL 25mg and Promethazine 12.5mg/she responded with immediate resolution and discharged without symptoms and vital signs stable.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left arm where pt. received Tdap on 8/2/11 is red, swollen, warm to touch with hard middle. Area of redness 7cm W x 5cm high on (L) deltoid. Pt has applied ice & has taken TYLENOL.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, hives, itching at 1045 - BENADRYL given at 1050 AM. Symptoms gone approximately 1:30 PM.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Swelling, redness, itching/stinging, rash-like on upper left arm started small on 08/06/11 and on 08/08/11 is approximately 8 inches long and 3 inches wide.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: 0840 - Vaccines given. 0842 - pt. c/o nausea & dizziness. Pallor noted to face. Pt taken to sit down & given granola bar & H2O. Pt. remained sitting. 0847 - pt. c/o dizziness, but feeling slightly better. 0859 - pt. feeling better, symptoms resolved. Pt gone home with mom.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site (R) arm, pt placed on KEFLEX 250 mg three times a day for 7 days, follow up as needed.
Age: 72.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site pain, Skin warm, Tenderness
Clinical narrative: 24 hrs after Inj. redness & pain (L) upper extremity, continue to worsen over the week. 2 sites, one inferior to inj site 6cm in diameter & tender. Distally, 10cm area warm, tender, & redder. Treated with KEFLEX 500mg Tid.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, SMALL
Symptoms: Antibody test negative, Antinuclear antibody negative, Arthropathy, Basophil percentage increased, Blood immunoglobulin A
Clinical narrative: The pt was in her normal state of good health when she received Smallpox, Anthrax and Influenza vaccinations on 4/30/11. Approximately 24 hrs later while flying, she c/o "feeling hot, mild dyspnea (felt like she was not taking a full breath), generalized malaise/fatigue, weakness in her fingers bilaterally, and mild 'queasiness'." She denied chest pain, palpitations, headache, abdominal pain, V/D, rash, wheeze, cough, myalgia, or arthralgia. There was no local reaction at the AVA or Influenza vaccination sites. The pustule formed at her SPV site after a few days and within a week or two she had a robust take with axillary adenopathy. She described her SOB as a constant sense of not getting enough oxygen. She had no sense of restricted chest wall motion, chest wall pain, or laryngeal obstruction. She had no cough or wheeze. Her SOB was better with lying flat, noted with walking, and most noted with climbing stairs. She was able to run her usual 3-5 miles without difficulty. Her joint symptoms are described as a "feeling as if fluid in her joints had been replaced with glue". The small joints of her fingers were most obviously involved, but also involved were her metatarsals and her neck. To a much lesser degree she feels all joints were involved. Her joint involvement was most pronounced in the morning, improving with activity. There was no joint pain or swelling, nor was there any myalgia or rheumatism. TYLENOL taken intermittently for headaches also improved her joint symptoms. Her post vaccination symptoms peaked at about 5/10 and slowly improved over the next 8+ weeks. The beginning of June the pt noted a mildly pruritic rash on the nape of her neck. She first noted the onset of the above symptoms (hot, dizzy, SOB, finger weakness, as well as new-onset hypertension) after a head-to-head contact injury playing soccer in 2008. Prior to entry into the Academy she was totally symptom free. These symptoms persisted for weeks until she underwent chiropractic cervical adjustment for "a disk problem". Intermittently over the next year she would have waves of feeling hot, air hunger, and hand weakness. Then these symptoms became constant, but never enough to interfere with her daily activities. She eventually went to a naturopath who after hair and stool analysis informed her that her symptoms were the result of toxic levels of titanium, copper, and 'something else', an unknown parasite, and an allergy to gluten. She underwent oral chelation (and antiparasite?) therapy, and began gluten avoidance. Following this therapy, she associated her only recurrences of these symptoms with accidentally ingested suspected gluten containing foods. With her suspected accidental ingestions, her symptoms would last about 2-3 days. Her vaccine-associated symptoms, while identical, lasted over 2 months. All of the pt's symptoms totally abated around mid July.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, SMALL
Symptoms: Blood immunoglobulin G, Blood thyroid stimulating hormone, C-reactive protein, Coxsackie virus test, Differential white blood cell count abnormal
Clinical narrative: The pt was in her normal state of good health when she received Smallpox, Anthrax and Influenza vaccinations on 4/30/11. Approximately 24 hrs later while flying, she c/o "feeling hot, mild dyspnea (felt like she was not taking a full breath), generalized malaise/fatigue, weakness in her fingers bilaterally, and mild 'queasiness'." She denied chest pain, palpitations, headache, abdominal pain, V/D, rash, wheeze, cough, myalgia, or arthralgia. There was no local reaction at the AVA or Influenza vaccination sites. The pustule formed at her SPV site after a few days and within a week or two she had a robust take with axillary adenopathy. She described her SOB as a constant sense of not getting enough oxygen. She had no sense of restricted chest wall motion, chest wall pain, or laryngeal obstruction. She had no cough or wheeze. Her SOB was better with lying flat, noted with walking, and most noted with climbing stairs. She was able to run her usual 3-5 miles without difficulty. Her joint symptoms are described as a "feeling as if fluid in her joints had been replaced with glue". The small joints of her fingers were most obviously involved, but also involved were her metatarsals and her neck. To a much lesser degree she feels all joints were involved. Her joint involvement was most pronounced in the morning, improving with activity. There was no joint pain or swelling, nor was there any myalgia or rheumatism. TYLENOL taken intermittently for headaches also improved her joint symptoms. Her post vaccination symptoms peaked at about 5/10 and slowly improved over the next 8+ weeks. The beginning of June the pt noted a mildly pruritic rash on the nape of her neck. She first noted the onset of the above symptoms (hot, dizzy, SOB, finger weakness, as well as new-onset hypertension) after a head-to-head contact injury playing soccer in 2008. Prior to entry into the Academy she was totally symptom free. These symptoms persisted for weeks until she underwent chiropractic cervical adjustment for "a disk problem". Intermittently over the next year she would have waves of feeling hot, air hunger, and hand weakness. Then these symptoms became constant, but never enough to interfere with her daily activities. She eventually went to a naturopath who after hair and stool analysis informed her that her symptoms were the result of toxic levels of titanium, copper, and 'something else', an unknown parasite, and an allergy to gluten. She underwent oral chelation (and antiparasite?) therapy, and began gluten avoidance. Following this therapy, she associated her only recurrences of these symptoms with accidentally ingested suspected gluten containing foods. With her suspected accidental ingestions, her symptoms would last about 2-3 days. Her vaccine-associated symptoms, while identical, lasted over 2 months. All of the pt's symptoms totally abated around mid July.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, SMALL
Symptoms: Dizziness, Dyspnoea, Eosinophil count, Eosinophil percentage increased, Epstein-Barr virus test negative
Clinical narrative: The pt was in her normal state of good health when she received Smallpox, Anthrax and Influenza vaccinations on 4/30/11. Approximately 24 hrs later while flying, she c/o "feeling hot, mild dyspnea (felt like she was not taking a full breath), generalized malaise/fatigue, weakness in her fingers bilaterally, and mild 'queasiness'." She denied chest pain, palpitations, headache, abdominal pain, V/D, rash, wheeze, cough, myalgia, or arthralgia. There was no local reaction at the AVA or Influenza vaccination sites. The pustule formed at her SPV site after a few days and within a week or two she had a robust take with axillary adenopathy. She described her SOB as a constant sense of not getting enough oxygen. She had no sense of restricted chest wall motion, chest wall pain, or laryngeal obstruction. She had no cough or wheeze. Her SOB was better with lying flat, noted with walking, and most noted with climbing stairs. She was able to run her usual 3-5 miles without difficulty. Her joint symptoms are described as a "feeling as if fluid in her joints had been replaced with glue". The small joints of her fingers were most obviously involved, but also involved were her metatarsals and her neck. To a much lesser degree she feels all joints were involved. Her joint involvement was most pronounced in the morning, improving with activity. There was no joint pain or swelling, nor was there any myalgia or rheumatism. TYLENOL taken intermittently for headaches also improved her joint symptoms. Her post vaccination symptoms peaked at about 5/10 and slowly improved over the next 8+ weeks. The beginning of June the pt noted a mildly pruritic rash on the nape of her neck. She first noted the onset of the above symptoms (hot, dizzy, SOB, finger weakness, as well as new-onset hypertension) after a head-to-head contact injury playing soccer in 2008. Prior to entry into the Academy she was totally symptom free. These symptoms persisted for weeks until she underwent chiropractic cervical adjustment for "a disk problem". Intermittently over the next year she would have waves of feeling hot, air hunger, and hand weakness. Then these symptoms became constant, but never enough to interfere with her daily activities. She eventually went to a naturopath who after hair and stool analysis informed her that her symptoms were the result of toxic levels of titanium, copper, and 'something else', an unknown parasite, and an allergy to gluten. She underwent oral chelation (and antiparasite?) therapy, and began gluten avoidance. Following this therapy, she associated her only recurrences of these symptoms with accidentally ingested suspected gluten containing foods. With her suspected accidental ingestions, her symptoms would last about 2-3 days. Her vaccine-associated symptoms, while identical, lasted over 2 months. All of the pt's symptoms totally abated around mid July.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, SMALL
Symptoms: Fatigue, Feeling hot, Full blood count abnormal, Headache, Hepatitis C antibody negative
Clinical narrative: The pt was in her normal state of good health when she received Smallpox, Anthrax and Influenza vaccinations on 4/30/11. Approximately 24 hrs later while flying, she c/o "feeling hot, mild dyspnea (felt like she was not taking a full breath), generalized malaise/fatigue, weakness in her fingers bilaterally, and mild 'queasiness'." She denied chest pain, palpitations, headache, abdominal pain, V/D, rash, wheeze, cough, myalgia, or arthralgia. There was no local reaction at the AVA or Influenza vaccination sites. The pustule formed at her SPV site after a few days and within a week or two she had a robust take with axillary adenopathy. She described her SOB as a constant sense of not getting enough oxygen. She had no sense of restricted chest wall motion, chest wall pain, or laryngeal obstruction. She had no cough or wheeze. Her SOB was better with lying flat, noted with walking, and most noted with climbing stairs. She was able to run her usual 3-5 miles without difficulty. Her joint symptoms are described as a "feeling as if fluid in her joints had been replaced with glue". The small joints of her fingers were most obviously involved, but also involved were her metatarsals and her neck. To a much lesser degree she feels all joints were involved. Her joint involvement was most pronounced in the morning, improving with activity. There was no joint pain or swelling, nor was there any myalgia or rheumatism. TYLENOL taken intermittently for headaches also improved her joint symptoms. Her post vaccination symptoms peaked at about 5/10 and slowly improved over the next 8+ weeks. The beginning of June the pt noted a mildly pruritic rash on the nape of her neck. She first noted the onset of the above symptoms (hot, dizzy, SOB, finger weakness, as well as new-onset hypertension) after a head-to-head contact injury playing soccer in 2008. Prior to entry into the Academy she was totally symptom free. These symptoms persisted for weeks until she underwent chiropractic cervical adjustment for "a disk problem". Intermittently over the next year she would have waves of feeling hot, air hunger, and hand weakness. Then these symptoms became constant, but never enough to interfere with her daily activities. She eventually went to a naturopath who after hair and stool analysis informed her that her symptoms were the result of toxic levels of titanium, copper, and 'something else', an unknown parasite, and an allergy to gluten. She underwent oral chelation (and antiparasite?) therapy, and began gluten avoidance. Following this therapy, she associated her only recurrences of these symptoms with accidentally ingested suspected gluten containing foods. With her suspected accidental ingestions, her symptoms would last about 2-3 days. Her vaccine-associated symptoms, while identical, lasted over 2 months. All of the pt's symptoms totally abated around mid July.
Age: 26.0
Sex: F
Vaccine: ANTH, FLUX, SMALL
Symptoms: Hypertension, Laboratory test, Laboratory test normal, Lymphadenopathy, Malaise
Clinical narrative: The pt was in her normal state of good health when she received Smallpox, Anthrax and Influenza vaccinations on 4/30/11. Approximately 24 hrs later while flying, she c/o "feeling hot, mild dyspnea (felt like she was not taking a full breath), generalized malaise/fatigue, weakness in her fingers bilaterally, and mild 'queasiness'." She denied chest pain, palpitations, headache, abdominal pain, V/D, rash, wheeze, cough, myalgia, or arthralgia. There was no local reaction at the AVA or Influenza vaccination sites. The pustule formed at her SPV site after a few days and within a week or two she had a robust take with axillary adenopathy. She described her SOB as a constant sense of not getting enough oxygen. She had no sense of restricted chest wall motion, chest wall pain, or laryngeal obstruction. She had no cough or wheeze. Her SOB was better with lying flat, noted with walking, and most noted with climbing stairs. She was able to run her usual 3-5 miles without difficulty. Her joint symptoms are described as a "feeling as if fluid in her joints had been replaced with glue". The small joints of her fingers were most obviously involved, but also involved were her metatarsals and her neck. To a much lesser degree she feels all joints were involved. Her joint involvement was most pronounced in the morning, improving with activity. There was no joint pain or swelling, nor was there any myalgia or rheumatism. TYLENOL taken intermittently for headaches also improved her joint symptoms. Her post vaccination symptoms peaked at about 5/10 and slowly improved over the next 8+ weeks. The beginning of June the pt noted a mildly pruritic rash on the nape of her neck. She first noted the onset of the above symptoms (hot, dizzy, SOB, finger weakness, as well as new-onset hypertension) after a head-to-head contact injury playing soccer in 2008. Prior to entry into the Academy she was totally symptom free. These symptoms persisted for weeks until she underwent chiropractic cervical adjustment for "a disk problem". Intermittently over the next year she would have waves of feeling hot, air hunger, and hand weakness. Then these symptoms became constant, but never enough to interfere with her daily activities. She eventually went to a naturopath who after hair and stool analysis informed her that her symptoms were the result of toxic levels of titanium, copper, and 'something else', an unknown parasite, and an allergy to gluten. She underwent oral chelation (and antiparasite?) therapy, and began gluten avoidance. Following this therapy, she associated her only recurrences of these symptoms with accidentally ingested suspected gluten containing foods. With her suspected accidental ingestions, her symptoms would last about 2-3 days. Her vaccine-associated symptoms, while identical, lasted over 2 months. All of the pt's symptoms totally abated around mid July.