chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a licensed practical nurse (L.P.N.) concerning a female who was vaccinated with a dose of GARDASIL.  Subsequently the patient developed a seizure disorder.  It was not specified if medical attention was sought or not.  At the time of this report, the outcome was unknown.  Upon internal review, the patient's seizure disorder was determined to be an other important medical event.  Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mass, Pain, Swelling
Clinical narrative: After receiving a tetanus shot I had a large lump and redness like a golf ball under my skin. Very painful. I just went in for a well woman check, I don't know why they gave me the shot. It was been 8 month and I still have soreness and swelling.
Age: 36.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Body temperature, Dizziness, Injection site erythema, Injection site warmth
Clinical narrative: Client states she had dizziness yesterday / Redness on arm, which is now today larger, warm and measures 2 1/4 inches at varicella injection site. (99.6 today temp); Advised to follow up with MD if symptoms worsen after treatment with ice pack or if redness increase.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pallor, Rash macular
Clinical narrative: 3cm x 4cm erythematous raise macular on post left arm. No pain, NT, (+) Blanch
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Patient presented to ER after receiving varicella immunization yesterday 7/14/08. Redness to right deltoid area. Benadryl 25mg po given. Patient discharged home. Stable
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Per Dr. child develop a rash after being vaccinated on 7-31-08 with MMR, varicella, Hep A
Age: 68.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema
Clinical narrative: Local erythema involving entire upper/shoulder
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema
Clinical narrative: Erythema at site involving entire shoulder.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC, VARCEL
Symptoms: Diarrhoea, Headache, Pyrexia, Vomiting
Clinical narrative: Two hours after receiving IZ child had fever, HA diarrhea, vomiting. Fever reached 104.7deg
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Headache, Pyrexia
Clinical narrative: Client began fever, HA 12 hours after receiving IZ
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Red tender non symmetric area around varicella injection site left thigh medial
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, RV5
Symptoms: Diet refusal, Feeding disorder of infancy or early childhood, Infantile spitting up
Clinical narrative: Feeding difficulties beginning the day after 4 mos vaccines.  Associated signs and symptoms include Parents concerned with refusing to eat that began the day after her 4 month PE and shots.  She pushes bottle out of mouth with her tongue even when starving. Dr. had changed concentration of formula at PE.  The have returned to previous concentration when this began.  She has been spitting up more since this began.  ZANTAC dose was checked for new wt last week per parents.  Otherwise she is acting fine.  No fever.  No cold sx.  Having about 4 wet diapers a day.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Pyrexia, Unresponsive to stimuli
Clinical narrative: Immunizations at 130pm 7-16-08; child ate well at 5am, 7-17-08; 8am-he was noticed to be blue, temp 106 degrees (ax), & unresponsive; hospitalized-seizures. 8/21/08-records received for DOS 7/17/08-ER report Fever, DC status epilepticus.  Patient transferred. 10/16/08-records received for DOS 7/17-7/31/08-DC DX: Encephalopathy/seizures. Presented to ED unresponsive, sweat and perioral cyanosis. Breathing funny, temperature 106. Jerking of arms and legs and stiffening. Intubation. decreased visual function, sluggish pupils, increased tone, trouble tracking. NG feedings. Transferred to rehabilitation facility.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Urticaria
Clinical narrative: Hives began 5 hours after vaccination on upper body. Switched to lower body 8/14/08. Use of Benadryl and/or Zyrtec removes symptoms only as long as medicine in blood stream. Heat increases symptoms.
Age: 30.0
Sex: F
Vaccine: VARZOS
Symptoms: Accidental exposure, Drug exposure during pregnancy, Herpes zoster
Clinical narrative: Pharmacist 38 1/2 weeks gestation broke out in shingles.  When symptoms became bothersome, employee went into labor and was in the hospital.  She received VALTREX.  Had previously had chicken pox ~age 6.  Employee was responsible for reconstituting ZOSTAVAX vaccine at clinic prior to and during pregnancy.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Blood creatine phosphokinase normal, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: Pt reports nausea, dizziness, decreased appetite, fatigue, HA, subjective fevers since 8-6-08 vaccination following laceration of hand.  She was treated with COMPAZINE for nausea.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: Pt reports nausea, dizziness, decreased appetite, fatigue, HA, subjective fevers since 8-6-08 vaccination following laceration of hand.  She was treated with COMPAZINE for nausea.
Age: 75.0
Sex: M
Vaccine: TD, TD
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Sudden onset of weakness/paraesthesia of LE.  Possible Guillain-Barre.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Altered state of consciousness, Diarrhoea, Dizziness, Syncope
Clinical narrative: Patient nl exam received Tdap around noon on 8/7/08. Early am of 8/8/08 woke up from sleep feeling dizzy, had 1 episode diarrhea and then fainted. Altered consciousness for about 1 hour and then resolved; No sequelae or further episodes
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test, Juvenile arthritis, Pain, Pyrexia
Clinical narrative: Received GARDASIL #1 6/25/08; Developed body aches and fever, joint pain 4 days after receiving vaccine. Seen by a rheumatologist - Diagnosed with systemic onset juvenile inflammatory arthritis requiring Kineret injections. 8/22/08-records received for DOS 7/16/08-presented to rheumatology clinic with C/O fever and arthritis which began 17 days ago with pain in right hip then pain all over. Fevers are down during day but up at night. Shaking chills and then defervesces with drenching sweats. Rash began on 2nd or 3rd day with red blotchy areas on extremities. Appetite poor and lost 6 pound in past week. Pain seems to be in joint with joint swelling. Dizziness.  Office visit 8/11/08-Joint pain improved except shoulders are not strong. Tapering prednisone. Assessment:Systemic onset juvenile inflammatory arthritis on kineret. Possible adverse reaction to Gardasil.
Age: 11.0
Sex: F
Vaccine: TD, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Child received Tdap and Dtap inadvertently instead of Tdap and MCV4. At this time no reactions, no local tissue changes. 2 hours afterwards child is well, he changes in health status.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Hives back, neck, chest.  Rx SINGULAIR not helped BENADRYL helped.  Started PRELONE 15mg PO OD x3d as of 8/20/08.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Pt developed multiple vesiculated lesion on arm which had injection and back & shoulder area.  Occurred approx. 2 wks after vaccination.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Within 5 min after administration, 6cm area of erythema and intense itching developed.  BENADRYL + XYZAL given.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Local swelling, Tenderness
Clinical narrative: Swollen erythematous tender right shoulder
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Activities of daily living impaired, Amnesia, Arthralgia, Autoimmune disorder, Carpal tunnel syndrome
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Cubital tunnel syndrome, Deafness, Electromyogram abnormal, Epicondylitis, Headache
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Hypoaesthesia, Influenza like illness, Meniere's disease, Musculoskeletal pain, Myringoplasty
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Myringotomy, Nerve conduction studies abnormal, Nerve injury, Neuropathy peripheral, Nuclear magnetic resonance imaging abnormal
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Pain, Rotator cuff syndrome, Synovitis, Tinnitus, Tympanic membrane perforation
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 30.0
Sex: F
Vaccine: LYME
Symptoms: Vertigo, X-ray limb normal
Clinical narrative: This case was reported via medical records and a statement of injuries forwarded by a lawyer and described the occurrence of hearing loss in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of LYMERIX (unknown). According to the statement of injuries, at an unspecified time after vaccination with LYMERIX, the subject experienced hearing loss, vertigo, flu-like symptoms, headaches, possible memory loss, possible neurological injuries, possible autoimmune disease, and decreased activities of daily life. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by GSK. The following information was received via medical records. The subject was noted to have left-sided Meniere's disease and underwent a myringotomy and micro-wick placement with steroid administration on an unspecified date, followed by persistent 20 percent posterosuperior tympanic membrane perforation. On 16 March 2004, she underwent a left paper patch tympanoplasty. According to a patient history record dated 02 August 2004, the subject had a "Meniere's-like syndrome" affecting the left ear, left ear tinnitus, and questionable hearing loss. On 24 June 2005, it was noted that the patient had on and off numbness involving the ulnar nerve distribution of her right hand with chronic medial pain. On 05 July 2005, electromyograph and nerve conduction studies showed mild ulnar neuropathy. Between December 2006 and February 2008 the subject was seen for ongoing right elbow and right shoulder pain, with resulting impressions of symptomatic right shoulder rotator cuff tendinosis with underlying arthralgias and right elbow medial epicondylitis with underlying arthralgias and synovitis. Treatment included LIDOCAINE and KENALOG injections and NAPROXEN. The subject was evaluated on 07 May 2008 with a new complaint of significant numbness radiating down her right upper extremity below the elbow, with sharp severe medial elbow pain and difficulty with activities of daily living. Impression was right upper extremity numbness with probable cubital tunnel syndrome and/or carpal tunnel syndrome, and planned treatment included an over the counter anti-inflammatory medication, activity modification, and diagnostic testing. These events were assessed to be incidental findings based upon medical record review.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blood pressure, Nausea, Syncope, Vomiting
Clinical narrative: 8-18-08 10:30AM - Patient fainted. Revived with cool compresses, ammonia inhalant. Patient vomited. BP 98/58 P.60. 11AM. Patient still complains of nausea and continues to vomit intermittent color pink, talkative, sitting, up, still complained of nausea. Patient escorted out via wheelchair to car with mom and brother. Continued to vomit on and off thru the day. Patient went to work; no complaints next day.
Age: 67.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Malaise, Nausea, Oedema peripheral, Pyrexia
Clinical narrative: Tactile fever x2 days after administration, chills x2 days, malaise x2 d, nausea x2 days, arm swelling.  BENADRYL 50mg 1 tab po BID.
Age: 18.0
Sex: M
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Erythema, Local reaction, Skin warm, Tenderness
Clinical narrative: L arm-HAV/Tdap adm 07/17/08 - local rxn per pt report. (4cm in diameter area)  Warmth, red, tender x3 days.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Disorientation, Dizziness, Feeling abnormal, Hypotonia
Clinical narrative: Pt was administered GARDASIL injection-tolerated well.  Less than five minutes later, while checking out, pt stated she was feeling funny, light headed, was taken into an exam room and sat on the table.  Pt became limp, closed her eyes and made a few strange noises, and began to seize, made sounds 3 more times and urinated on herself.  Dr came in and checked her breathing and took her blood pressure.  Pt regained consciousness after approximately 2 minutes, but remained disoriented for another several minutes.  During this post-ictal period, Dr. arrived.  Pt states she felt like everything was a dream.  Transport was called to take the patient to the emergency department.  7/8/09 ER records received DOS 8/18/08. Assessment: Possible vasovagal episode vs seizure. Patient presents after seizure at MD's office, amnesia for event, urinary incontinence, general body aches. 7/13/09 Neuro consult rec'd dated 8/22/08 with dx: vasovagal syncope. Seen if f/u to above ER visit.  Pt reports being "slow" since episode with some H/A, dizziness and nystagmus.  Seizure activtiy 2' to being upright during syncope episode.  Syncope precipitated by Gardasil shot. Does not think seizure d/o
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Postictal state, Urinary incontinence
Clinical narrative: Pt was administered GARDASIL injection-tolerated well.  Less than five minutes later, while checking out, pt stated she was feeling funny, light headed, was taken into an exam room and sat on the table.  Pt became limp, closed her eyes and made a few strange noises, and began to seize, made sounds 3 more times and urinated on herself.  Dr came in and checked her breathing and took her blood pressure.  Pt regained consciousness after approximately 2 minutes, but remained disoriented for another several minutes.  During this post-ictal period, Dr. arrived.  Pt states she felt like everything was a dream.  Transport was called to take the patient to the emergency department.  7/8/09 ER records received DOS 8/18/08. Assessment: Possible vasovagal episode vs seizure. Patient presents after seizure at MD's office, amnesia for event, urinary incontinence, general body aches. 7/13/09 Neuro consult rec'd dated 8/22/08 with dx: vasovagal syncope. Seen if f/u to above ER visit.  Pt reports being "slow" since episode with some H/A, dizziness and nystagmus.  Seizure activtiy 2' to being upright during syncope episode.  Syncope precipitated by Gardasil shot. Does not think seizure d/o
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abnormal behaviour, Convulsion, Disorientation, Dizziness, Hypotonia
Clinical narrative: Pt was administered GARDASIL injection-tolerated well.  Less than five minutes later, while checking out, pt stated she was feeling funny, light headed, was taken into an exam room and sat on the table.  Pt became limp, closed her eyes and made a few strange noises, and began to seize, made sounds 3 more times and urinated on herself.  Dr came in and checked her breathing and took her blood pressure.  Pt regained consciousness after approximately 2 minutes, but remained disoriented for another several minutes.  During this post-ictal period, Dr. arrived.  Pt states she felt like everything was a dream.  Transport was called to take the patient to the emergency department.  7/8/09 ER records received DOS 8/18/08. Assessment: Possible vasovagal episode vs seizure. Patient presents after seizure at MD's office, amnesia for event, urinary incontinence, general body aches. 7/13/09 Neuro consult rec'd dated 8/22/08 with dx: vasovagal syncope. Seen if f/u to above ER visit.  Pt reports being "slow" since episode with some H/A, dizziness and nystagmus.  Seizure activtiy 2' to being upright during syncope episode.  Syncope precipitated by Gardasil shot. Does not think seizure d/o
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Urinary incontinence
Clinical narrative: Pt was administered GARDASIL injection-tolerated well.  Less than five minutes later, while checking out, pt stated she was feeling funny, light headed, was taken into an exam room and sat on the table.  Pt became limp, closed her eyes and made a few strange noises, and began to seize, made sounds 3 more times and urinated on herself.  Dr came in and checked her breathing and took her blood pressure.  Pt regained consciousness after approximately 2 minutes, but remained disoriented for another several minutes.  During this post-ictal period, Dr. arrived.  Pt states she felt like everything was a dream.  Transport was called to take the patient to the emergency department.  7/8/09 ER records received DOS 8/18/08. Assessment: Possible vasovagal episode vs seizure. Patient presents after seizure at MD's office, amnesia for event, urinary incontinence, general body aches. 7/13/09 Neuro consult rec'd dated 8/22/08 with dx: vasovagal syncope. Seen if f/u to above ER visit.  Pt reports being "slow" since episode with some H/A, dizziness and nystagmus.  Seizure activtiy 2' to being upright during syncope episode.  Syncope precipitated by Gardasil shot. Does not think seizure d/o
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Arm red, warm, swollen, and very sore.  Treatment-MOTRIN, ice.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Quarter size red ring around injection site warm to touch no treatment done.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Quarter size red ring around injection site.  Warm to touch.  No treatment.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Rash
Clinical narrative: Quarter size red ring around injection site.  Warm to touch.  No treatment.
Age: 19.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Tennis ball size red rxn to varicella low grade fever.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Dark red, warm, swollen, painful area ~6 x 8cm anterior Rt. deltoid.  Mother reported giving TYLENOL & applying cold pack.  Client said it "feels better now."
Age: 0.4
Sex: F
Vaccine: PNC
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Immediately following vaccine patient developed hives on her leg which resolved very quickly.  No further vaccines given.
Age: 13.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Malaise, Pyrexia
Clinical narrative: Received vaccine on 08/18/08, on 08/19/08 patient had 4x6" area of erythema, tender and warm to touch at site of injection on left deltoid, had a fever of 101/5 and malaise. Symptomatic care advised.
Age: 21.0
Sex: F
Vaccine: HEPAB, MMR
Symptoms: Drug exposure during pregnancy
Clinical narrative: NONE
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: First Hepatitis B Vaccine (Engerix-B) given @1140 AM on 7-29-08.  By 7:00 PM on 7-29-08 patient developed mild hives on feet, hands and back. Generalized itching was experienced--no other symptoms. Patient put cortisone on her hands and feet.  Hives lasted 3-4 days.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Development of L deltoid redness, swelling, and pain 1 day after vaccine administration, consistent with cellulitis.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Respiratory rate increased, Wheezing
Clinical narrative: Fever of 102 occuring two days after vaccination. Mother noted some rapid breathing and wheezing at onset of fever. Pt was seen at Redimed 8-18-08. At time of office visit fever was down to 99 because mother had given child tylenol. There was no rapid breathing or wheezing at time of office visit either.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest X-ray normal, Culture throat, Diarrhoea, Headache, Nausea
Clinical narrative: Pt. rec'd Zostavax and vitamin B12 on 8/11/08. one day later had fever, headache, nausea, vomitting and diarrhea. one week later, while vomitting and having diarrhea she had a syncopal episode and woke up 2 hours later. the following day she came to the ER and was admitted. Treatments included; IV hydration, throat culture, nasal spray. 8/21/08-records received for DOS 8/19-8/20/08- DC DX: Syncopal episode. Rhinosinusitis. Presented with 1 week history of URI symptoms and 1 day history of nausea and vomiting which ended in a syncopal episode right after vomiting. Diarrhea. Syncopal episode attributed to vasovagal for bm episode. Throat pain. Admitted for observation.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Syncope, Vomiting, White blood cell count increased
Clinical narrative: Pt. rec'd Zostavax and vitamin B12 on 8/11/08. one day later had fever, headache, nausea, vomitting and diarrhea. one week later, while vomitting and having diarrhea she had a syncopal episode and woke up 2 hours later. the following day she came to the ER and was admitted. Treatments included; IV hydration, throat culture, nasal spray. 8/21/08-records received for DOS 8/19-8/20/08- DC DX: Syncopal episode. Rhinosinusitis. Presented with 1 week history of URI symptoms and 1 day history of nausea and vomiting which ended in a syncopal episode right after vomiting. Diarrhea. Syncopal episode attributed to vasovagal for bm episode. Throat pain. Admitted for observation.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/20/08 - At 0915 this am today patient arrived at the Employee Health Clinic complaining of redness, pain, swelling, and heat to right upper arm after receiving her 2nd Varicella vacinne yesterday afternoon.  She also complained of generalized body aches, fatigue, and fever.  Her temperature was 100.1 in the clinic.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Pyrexia
Clinical narrative: 8/20/08 - At 0915 this am today patient arrived at the Employee Health Clinic complaining of redness, pain, swelling, and heat to right upper arm after receiving her 2nd Varicella vacinne yesterday afternoon.  She also complained of generalized body aches, fatigue, and fever.  Her temperature was 100.1 in the clinic.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Hypoaesthesia, Malaise, Nausea, Pain in extremity
Clinical narrative: At 2am on 8/20/08 client woke up with a fever(temp not taken),nausea,arms and legs felt heavy,both arms very sore, left arm felt numb.Client took a Motrin. At 10am on 8/20/08 client no longer complained of fever but still had nause, HA and generally did not feel well.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pyrexia, Sensation of heaviness
Clinical narrative: At 2am on 8/20/08 client woke up with a fever(temp not taken),nausea,arms and legs felt heavy,both arms very sore, left arm felt numb.Client took a Motrin. At 10am on 8/20/08 client no longer complained of fever but still had nause, HA and generally did not feel well.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Biopsy, Laboratory test, Rash papular, Vaccination complication, Viral skin infection
Clinical narrative: Received the smallpox vaccine on 30Jul08. On 15Aug08, hands, wrist and knees developed a rash/papules. Patient went to clinic and referred to Derm. Dx Viral Exantham R/T smallpox vaccination.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Feeling hot, Headache
Clinical narrative: Pt c/o dizziness, warm feeling to face, headache 10 min. after recieving vaccine. Pt observed rechecked BP. Crackers, Gatorade and Tylenol given to pt. Pt examined by MD prior to D/C. Pt observed by RN gait assesed pain reassesed pt d/c'd home with mom 1 hour after vaccine administered  ER warnings given.
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Biopsy, Laboratory test, Rash, Vaccination complication, Viral skin infection
Clinical narrative: Recieved the smallpox vaccine on 30Jul08. On 15Aug08, developed a rash on hands, wrist, elbows and bottom of feet. Patient went to clinic and referred to Derm. DX Viral Exantham R/T smallpox vaccination.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blindness, Hypotonia, Syncope
Clinical narrative: Pt experienced syncopal episode about 10 minutes after her injections on her way out of the clinic. She had loss of muscle tone and vision.  Pt was monitered for 20 minutes following.  Vital were stable, pt. felt fine, and pt. was discharged home.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: SWELLING AND REDNESS
Age: 0.75
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pruritus, Rash, Skin infection, Vaccination complication
Clinical narrative: The second and third set of vaccinations were given 1 month apart,developed head to toe fine sandpapery rash after approx. 24 hours after each set.  Mom states seen dermotologist and was told could be eczema, or could be vaccines after the first set to continue with vaccines, seen same dermotologist after third set,states was told was most likely the vaccines.  Infant was placed on Cortisone topical cream and placed on antibiotic for the skin infection that developed as a result of the itching child experienced. Mom states Dr. will consult with other doctors and advise her regarding future immuinization.  States was told Dr. especially wanted infant to receive MMR and Varicella due to his existing skin condition.  This nurse advised she have her doctor put into writing what he advised this child should reciece for vaccinations in the future.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Erythema, Injection site pruritus, Nausea, Swelling
Clinical narrative: RECIEVED VACCINATIONS ON 8-14-08, ON 8-18-08 CAME TO OFFICE WITH C/O BEING NAUSEATED, DIZZY, ITCHING AT INJECTION SITES. R>L BIL DELTOID SWELLING, REDNESS, TENDER FROM SHOULDER TO ELBOW.  REDNESS AND SWELLING, SIZE OF SOFTBALL, 5" DIAMETER.  INSTRUCTED MOM TO GIVE OTC TYLENOL/MOTRIN, BENADRYL ON 8-15-08.  ON 8-18-08 WAS GIVEN MEDROL DOSE PAK AND LORATIDINE 10MG DLY.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Tenderness
Clinical narrative: RECIEVED VACCINATIONS ON 8-14-08, ON 8-18-08 CAME TO OFFICE WITH C/O BEING NAUSEATED, DIZZY, ITCHING AT INJECTION SITES. R>L BIL DELTOID SWELLING, REDNESS, TENDER FROM SHOULDER TO ELBOW.  REDNESS AND SWELLING, SIZE OF SOFTBALL, 5" DIAMETER.  INSTRUCTED MOM TO GIVE OTC TYLENOL/MOTRIN, BENADRYL ON 8-15-08.  ON 8-18-08 WAS GIVEN MEDROL DOSE PAK AND LORATIDINE 10MG DLY.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Angioedema, Condition aggravated, Cough, Eczema, Urticaria
Clinical narrative: Within 5-10 minutes of receiving vaccines developed generalized urticaria, angioedema involving the lips and earlobes, coughing, and a flare in his eczema.  Treated with dose of epinephrine, albuterol by nebulizer, oral prednisolone, and oral antihistamine.  Resolution of symptoms 30 minutes after dose of epinephrine. 9/2/08-records received for DOS 8/21/08-C/O rash after vaccination. Generalized pruritus and red rash which blanches with pressure. Scattered urticarial lesions over face, scalp, trunk and extremities. Acute onset of generalized pruritis, cough, swelling of lips and ear lobes within 5 minutes of receiving vaccinations.  Assessment: Anaphylaxis. Adverse drug effect of vaccines.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Contusion, Erythema, Induration, Skin warm
Clinical narrative: mom noted increasing redness and warmth on right upper outer are on 8/14/2008.  no fever. Seen in clinic 8/15/2008 at 430pm.  4x4 area of erthyema, 2x2 area of induration, mild warmth to touch, bruising at bottom of redness
Age: 43.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal discomfort, Burning sensation, Fatigue, Rash
Clinical narrative: Patient phoned health department concerned with complaints of fatigue for 3 days after 2nd Hepatitis A injection with abdominal discomfort 2 days after injection.  Pt also complained of waking up Tuesday, August 19th with approximately 12 5mm sized spots on right side of stomach red in center with pink edges with slight burning.  Denies itching or fever.  Pt concerned that could be possibly related to vaccination or viral. No treatment administered.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: DTAP AND HEP A WAS  ADMINISTERED IN THE LEFT THIGH AND THE NEXT DAY HE HAD A REACTION OF 4 INCHES LONG RED AND SWOLLEN.
Age: 60.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Chills, Inappropriate schedule of drug administration, Influenza like illness, Injection site pain, Malaise
Clinical narrative: Onset of flu-like symptoms the evening after getting the injection. Started feeling ill about 1800.  At approximately 2100, started shaking and had fever, chills to the point of not being able to feel warm and incredible aching all over.  Arm extremely sore at injection site.  This lasted two days and I was unable to go to work.  (Pneumonia vaccination)
Age: 60.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Nervousness, Pain, Pyrexia
Clinical narrative: Onset of flu-like symptoms the evening after getting the injection. Started feeling ill about 1800.  At approximately 2100, started shaking and had fever, chills to the point of not being able to feel warm and incredible aching all over.  Arm extremely sore at injection site.  This lasted two days and I was unable to go to work.  (Pneumonia vaccination)
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tremor
Clinical narrative: Fainting/violent shaking
Age: 2.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: Prevnar given IM in Right thigh on 8/18/2008. On 8/19/2008 c/o fever to 102. Right thigh "hot". Pain on palpation and with passive ROM of right thigh and leg. Was seen at ER 8/19/2008. States child did not want to bear weight on that leg
Age: 2.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Weight bearing difficulty
Clinical narrative: Prevnar given IM in Right thigh on 8/18/2008. On 8/19/2008 c/o fever to 102. Right thigh "hot". Pain on palpation and with passive ROM of right thigh and leg. Was seen at ER 8/19/2008. States child did not want to bear weight on that leg
Age: 47.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site nodule, Injection site pain, Mobility decreased, Muscle twitching, Ultrasound scan normal
Clinical narrative: Still have extreme pain at injection spot in the muscle.  Cannot lift or stretch arm.  Muscles twitch and pain is moderate to severe.  Feels like a knot in the muscle.  Ibuprofen was prescribed for pain.  Ultrasound shows nothing.  Follow-up appointment with primary physician not until 8/28 (first available appointment at primary care doctors office).
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Computerised tomogram normal, Concussion, Head injury, Loss of consciousness
Clinical narrative: Pt rec dose of MENACTRA vaccine on 7/24.  Approximately 15 min after vaccine, pt passed out and hit head on carpeted floor.  She had just left clinic rm and was paying.  Pt exhibited signs and symptoms of head injury.  EMS phoned, responded, transported. 8/21/08-records received for DOS 7/24-7/25/08-DC DX: Concussion secondary to syncopal episode. After receipt of vaccination subsequently passed out, striking head hard.  Initially intubated due to confusion and subsequently extubated in ED. In intensive care for monitoring. Exam intact. Loss of memory for the event.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cough, Pyrexia, Rash erythematous
Clinical narrative: 8/6/08 - Mom described as red rash on bilat legs, arms, back, chest, underarms red circles (rash) no drainage. Mom used zinc oxide and cleared within few days; 8/11/08 - Onset of fever - Mom administered Tylenol and fever subsided within two hours; 8/12/08 - child persists with cough
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Body temperature increased
Clinical narrative: Temp of 105.2 MOTRIN given.  Temp decreased.  Temp occurred 2 h after vaccines.  Was seen before vaccine for well child check-OK.
Age: 26.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Antinuclear antibody, Blepharospasm, Blood calcium normal, Blood magnesium normal, C-reactive protein normal
Clinical narrative: 27 y/o AD WF CAPT presented to health center with left eyelid twitching up to 15x daily since 08/10/08 and intermittent daily frontal HA's, which began about 3 hours after receipt of AVA #1 and Typhoid IM vaccines on 08/08/08 in preparation for deployment on 9/01/08.  Symptoms: Fasciculation, Headache, general.
Age: 26.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Differential white blood cell count normal, Full blood count normal, Headache, Red blood cell sedimentation rate normal, Vitamin B12 normal
Clinical narrative: 27 y/o AD WF CAPT presented to health center with left eyelid twitching up to 15x daily since 08/10/08 and intermittent daily frontal HA's, which began about 3 hours after receipt of AVA #1 and Typhoid IM vaccines on 08/08/08 in preparation for deployment on 9/01/08.  Symptoms: Fasciculation, Headache, general.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and redness around injection site approx 2" in diameter.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid region of arm swollen and warm to touch
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis L arm around vaccine site - onset 8/19 tx with PO AUGMENTIN.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Paraesthesia, Pyrexia
Clinical narrative: ~24 hours after injection pt. had fever >102.0 degrees F, large red area around injection site moving up under armpit, "tingling sensation" in shoulder & neck.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Treatment none - Patient complained of "a little dizziness for less than 2 hours" after receiving vaccine
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: R arm at injection site very warm to the touch; approx. 3 inch red, raised area around site; palm sized area very tender + slightly hard.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Pyrexia
Clinical narrative: Fever 103+, fussy, diarrhea.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Day after Tdap vaccine c/o body aches, chills, nausea, headache, pain at injection site and down arm to elbow.  Took ibuprofen 400mg q 6 hours round the clock x3 days.  Area of erythema 2" below injection site grew from day 2 post vaccine to 70mm x 40mm on day 3.  Area was painful, tender to touch but had largely dissipated by day 4.  Previous severe reaction to rabies vaccine #2 given abroad.  Some tenderness there persisted.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Day after Tdap vaccine c/o body aches, chills, nausea, headache, pain at injection site and down arm to elbow.  Took ibuprofen 400mg q 6 hours round the clock x3 days.  Area of erythema 2" below injection site grew from day 2 post vaccine to 70mm x 40mm on day 3.  Area was painful, tender to touch but had largely dissipated by day 4.  Previous severe reaction to rabies vaccine #2 given abroad.  Some tenderness there persisted.