chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Developed tachycardia, weakness in the lower extremities, followed by elevated blood pressure and left arm, chest, arm, neck, and back pain.  Pain and weakness continue today as well as elevated blood pressure.  I have been diagnosed with Brachial Neuritis as a result of receiving the flu shot.  I continue treatment at another facility. 7/21/08-records received for DOS 11/27/07-After flu vaccine on 11/7/07-C/O feeling bad, chest pain, back pain and left sided neck pain. Cramp like pain across chest. Dysphagia. Assessment:atypical chest pain. 12/3/07-C/O tremor and tic of temporal muscles eye, epididymitis.  Follow-up Information 12-JUN-2009: Numbness in the left leg and arm. Headaches daily. Upper left chest and back pain. Fatigue and weakness. Lacking stamina. A rise in blood pressure. I have been to specialists who have run test and determined that I have chronic polyneuropathy as a result of Guillain-Barre Syndrome from receiving flu shots.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Pt received routine 6-month vaccinations on 09 May 08. Mom states all associated redness, swelling had resolved before appearance of rash on 12 May 08. Rash was raised, red and localized around each injection site; has persisted x 3 days but has improved. No fever or other symptoms per mother, no s/s of infection. No previous symptoms with same vaccines, no known sensitivities to latex, aluminum or adhesives.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site swelling
Clinical narrative: swollen L leg - same leg as DTaP vaccine administered
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Mother states child with "stomach ache' and diarrhea at intervals since Monday PM. Denies elevated temperature, vomiting.  Recommended that physician be notified if no improvement by 05/15/08.
Age: 16.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. received a Varicella vaccine on 05/13/08. Pt. complained about reddness and swelling at the site on the morning of 05/14/08.  The patient returned to the health dept. for recommendations. The swelling is about the size of a silver dollar. No other symptoms. Will monitor the next couple of days.  Pt. advised to see PCP if site worsens.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Borrelia burgdorferi serology negative, Chills, Epstein-Barr virus test negative, Full blood count normal
Clinical narrative: One week following vaccine, noted sudden onset of severe joint pain, chills, aches. No fever no rash or other clinical signs
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Pain, Parvovirus B19 serology negative
Clinical narrative: One week following vaccine, noted sudden onset of severe joint pain, chills, aches. No fever no rash or other clinical signs
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain, Asthenia, Bradycardia, Dyspnoea, Pallor
Clinical narrative: Patient had a near-syncope episode where he became pale, weak, had blurry vision, and was bradycardic.  He also had transient abdominal pain,paresthesias, and shortness of breath (no wheeze or stridor noted). 5/15/08-records received for DOS 4/16-4/17/08-DC DX: Reaction to vaccine. Near syncopal episode, resolved. Abdominal pain, resolved. Bradycardia. Seen in ED directly from physician's office after near syncopal episode, turned very pale and felt sick. Felt short of breath with some numbness, tingling and abdominal pain. Admitted for observation overnight. Low pulse rate of 38.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Paraesthesia, Presyncope, Vision blurred
Clinical narrative: Patient had a near-syncope episode where he became pale, weak, had blurry vision, and was bradycardic.  He also had transient abdominal pain,paresthesias, and shortness of breath (no wheeze or stridor noted). 5/15/08-records received for DOS 4/16-4/17/08-DC DX: Reaction to vaccine. Near syncopal episode, resolved. Abdominal pain, resolved. Bradycardia. Seen in ED directly from physician's office after near syncopal episode, turned very pale and felt sick. Felt short of breath with some numbness, tingling and abdominal pain. Admitted for observation overnight. Low pulse rate of 38.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Full blood count normal, Injected limb mobility decreased, Insomnia
Clinical narrative: Rec'd vac on 4/3/08, day after pain and knot in rt arm to neck.  1 wk later pain in joint of elbow and shoulder.  Throbbing pain in arm, cannot write for long periods, have arm spasms and weakness in arm.  Having migrains and can't slep due to pain.  Reported to Emp. Health 4/21/08 sent to see IM MD on 4/30/08.  Was given tramadol 50 mg and OTC topical analgesic to apply 3 to 4 times a day.  Will follow up in 2 weeks.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Migraine, Muscle spasms, Muscular weakness, Neck pain, Pain in extremity
Clinical narrative: Rec'd vac on 4/3/08, day after pain and knot in rt arm to neck.  1 wk later pain in joint of elbow and shoulder.  Throbbing pain in arm, cannot write for long periods, have arm spasms and weakness in arm.  Having migrains and can't slep due to pain.  Reported to Emp. Health 4/21/08 sent to see IM MD on 4/30/08.  Was given tramadol 50 mg and OTC topical analgesic to apply 3 to 4 times a day.  Will follow up in 2 weeks.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Headache, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Rec'd vac 4/4/08-site was warm with knot and sl. redness.  Have fever and headache which abated after several day.  Then developed pain over deltoid, triceps and shoulder region.  Occ. paresthesias radiating to fingers.  Denies weakness but has dropped objects.  Insomnia secondary to pain.  Seen by IM MD then refer to Neuro MD.  Advised to take ibuprofen but was told symptoms would resolve spontaneously.  Follow up if necessary--develop any worsening neurologic symptoms such as persistent paresthesias or weakness.  Prescribed Tramadol for pain.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Insomnia, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: Rec'd vac 4/4/08-site was warm with knot and sl. redness.  Have fever and headache which abated after several day.  Then developed pain over deltoid, triceps and shoulder region.  Occ. paresthesias radiating to fingers.  Denies weakness but has dropped objects.  Insomnia secondary to pain.  Seen by IM MD then refer to Neuro MD.  Advised to take ibuprofen but was told symptoms would resolve spontaneously.  Follow up if necessary--develop any worsening neurologic symptoms such as persistent paresthesias or weakness.  Prescribed Tramadol for pain.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Abdominal pain, Diarrhoea, Muscle spasms, Syncope
Clinical narrative: ABDOMINAL PAIN, CRAMPING, & SEVERE DIARRHEA OCCURED IN THE EVENING, SEVERAL HOURS AFTER SHE RECEIVED THE VACCINE. SYMPTOMS LASTED 1 1/2 DAYS TOTAL.  FAINTED NEXT AM.  PT SELF RECOVERED WITHOUT REQUIRING TREATMENT.
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. developed redness and swelling at site of varicella injection
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Mother called and reported that patient is experiencing sore arm, no reddness at injection site, low grade fever of 100 degrees F, and body aches
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Rash, Tuberculin test
Clinical narrative: RASH DX'D BY ER VISIT
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Patient recieved the Shingles vaccine on 11/8/07 and she called to report hives, swelling and redness at the site on 11/27/07
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Vomiting after administration of Pediarix, Hib, Prevnar, and Rotateq. Vomiting started 1 day after administration
Age: 35.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: pt reported that 48 hrs after receiving the vacine she developed generalized hives and itching.Pt went to a local ER on 5/8/2008 where txt was intiated - by pt report prednisone dose pak and an injection for itching (name unknown)
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: PATIENT C/O VARICELLA LIKE RASH DEVELOPING ON LOWER EXTREMITIES. A WEEK AGO THE RASH BEGAN TO DEVELOPE ON PATIENT'S BACK, ABDOMEN, AND UPPER EXTREMITIES. NO OTHER ADVERSE EVENTS OCCURED.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blood pressure, Choking sensation, Heart rate increased, Hypotonia, Nausea
Clinical narrative: Child felt nauseated, vomited x3, became limp,very pale, B/P 94/55 apical rate 118, respiratory rate 28. Responsive, good air entry bilaterally. 911 called. Child stated she felt like she was choaking.EMS responded right away. Taken to ER vis ambulance.Pt diagnosed in  ER with vasovagal reaction. No epinephrine or benadryl given. Discharged home.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pallor, Respiratory rate, Syncope vasovagal, Vomiting
Clinical narrative: Child felt nauseated, vomited x3, became limp,very pale, B/P 94/55 apical rate 118, respiratory rate 28. Responsive, good air entry bilaterally. 911 called. Child stated she felt like she was choaking.EMS responded right away. Taken to ER vis ambulance.Pt diagnosed in  ER with vasovagal reaction. No epinephrine or benadryl given. Discharged home.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site abscess, Injection site discharge, Injection site scar
Clinical narrative: Draining abcess in area where Comvax and Prevnar given.  9 months later still with scarring in area.
Age: 33.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Erythema, Limb discomfort, Musculoskeletal stiffness, Pyrexia, Rash
Clinical narrative: Left arm pain 6 cm fever, erythema, stiffening above the elbow appearing several days after TDaP injection.  Also rash upper chest area 4 days after injection.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered 0.5 ml of ADACEL into client's left deltoid on 04-28-2008.  Client was 10 years 11 months 13 days of age at time of administration.  ADACEL is licensed for 11 years and older.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Rash
Clinical narrative: Developed rash right lower back with pain.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Rash
Clinical narrative: Within minutes of receiving vaccines infant's legs became red and swollen from thigh to feet immediately.  Splotchy red plagues developed on face.  Rash developed on torso and arms.  All resolved after treatment with BENADRYL.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Swelling
Clinical narrative: Within minutes of receiving vaccines infant's legs became red and swollen from thigh to feet immediately.  Splotchy red plagues developed on face.  Rash developed on torso and arms.  All resolved after treatment with BENADRYL.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Fever to 104.5 F (oral) whole body vesicular rash. Developed 12 days after Varicella, MMR and Pneumococcal vaccine was administered on 4/18/08
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cough, Erythema, Eye swelling, Wheezing
Clinical narrative: cough, mild periorbital swelling and erythema, moderate air entry with biphasic wheeze 30 minutes after vaccine with Hepatitis A and Varicella. Pt given Prednisolone PO, BENADRYL PO & XOPENEX neb.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Mobility decreased, Oedema peripheral
Clinical narrative: SORE, SWOLLEN ARM - SITE HOT AND RED AND INC. SIZE.  REPORTS DECREASE IN USE OF ARM.  INST. TO SEE PCP OR URGENT CARE - WENT TO CLINIC ---STARTED ON INDOCIN/LORTABS/ZITHROMAX.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: SORE, SWOLLEN ARM - SITE HOT AND RED AND INC. SIZE.  REPORTS DECREASE IN USE OF ARM.  INST. TO SEE PCP OR URGENT CARE - WENT TO CLINIC ---STARTED ON INDOCIN/LORTABS/ZITHROMAX.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: C-reactive protein normal, Computerised tomogram normal, Full blood count normal, Laboratory test normal, Motor dysfunction
Clinical narrative: Gradual onset of daily left arm band-like paresthesias; progressive over time from intermittant to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distributuion.  Motor involvement of elbow & wrist flexion/extension.  No improvement to the present time.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Paraesthesia, Red blood cell sedimentation rate normal, Scan brain, Syphilis test negative, Thyroid function test normal
Clinical narrative: Gradual onset of daily left arm band-like paresthesias; progressive over time from intermittant to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distributuion.  Motor involvement of elbow & wrist flexion/extension.  No improvement to the present time.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Blood folate normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Muscular weakness
Clinical narrative: Gradual onset of daily left arm band-like paresthesias; progressive over time from intermittant to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distributuion.  Motor involvement of elbow & wrist flexion/extension.  No improvement to the present time.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Mycoplasma serology, Paraesthesia, Vitamin B12 normal
Clinical narrative: Gradual onset of daily left arm band-like paresthesias; progressive over time from intermittant to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distributuion.  Motor involvement of elbow & wrist flexion/extension.  No improvement to the present time.
Age: 46.0
Sex: F
Vaccine: TYP, YF
Symptoms: Abdominal pain, Asthenia, Electrocardiogram normal, Flushing, Gait disturbance
Clinical narrative: Approx 3hrs after vaccination became warm, flushed, diaphoretic, heart racing, weak, hands tingling, nauseated, abd cramping, pale. Could only walk with assistance, cool compresses applied, episode lasted 20 minutes. Transported to ED. EKG, Labs, Vitals..normal.. observed and discharged. 5/15/08 stable/recovered.
Age: 46.0
Sex: F
Vaccine: TYP, YF
Symptoms: Hyperhidrosis, Laboratory test normal, Nausea, Pallor, Palpitations
Clinical narrative: Approx 3hrs after vaccination became warm, flushed, diaphoretic, heart racing, weak, hands tingling, nauseated, abd cramping, pale. Could only walk with assistance, cool compresses applied, episode lasted 20 minutes. Transported to ED. EKG, Labs, Vitals..normal.. observed and discharged. 5/15/08 stable/recovered.
Age: 46.0
Sex: F
Vaccine: TYP, YF
Symptoms: Paraesthesia, Skin warm
Clinical narrative: Approx 3hrs after vaccination became warm, flushed, diaphoretic, heart racing, weak, hands tingling, nauseated, abd cramping, pale. Could only walk with assistance, cool compresses applied, episode lasted 20 minutes. Transported to ED. EKG, Labs, Vitals..normal.. observed and discharged. 5/15/08 stable/recovered.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Amniotic fluid index, Blood urea increased, Diagnostic procedure, Drug exposure during pregnancy, Echocardiogram normal
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 17 year old female who on 30-APR-2007 was vaccinated IM with a first dose of Gardasil lot # 657621/0387U. Concomitant therapy included prenatal vitamins (unspecified). The nurse reported that the patient became pregnant sometime after her first injection. Patient was positive over the counter pregnancy test. In follow up it was reported that on 16-AUG-2007 ultrasound showed 7 weeks pregnancy and the expected date 04-MAR-2008. The patient's outcome was unknown. In follow up information from doctor's office it was reported that patient was treated with prenatal vitamins starting from 15-AUG-2007 for pregnancy. On 16-AUG-2007 she was diagnosed pityriasis. On 05-SEP-2007 patient was treated with 10 mg REGLAN for nausea every 6 hour as needed. Fetal arrhythmia was detected at 20 weeks of her pregnancy. She saw maternal Fetal Medicine (MFM) doctor and her fetal cardiac ultrasound was normal. It was reported that she had threatened preterm labor and on 08-NOV-2008, she was treated with magnesium sulfate intravenous (IV) in the hospital for it. After she was off magnesium sulfate she was treated with PROCARDIA 20 mg every 6 hour for preterm labor. On 08-NOV-2008 she was noted to be positive ureaplasma of the vagina/cervix. Other laboratory tests included biophysical profile, Amniotic fluid index (AFI), Non stress test (NST) was done weekly starting 27-DEC-2007 and then twice weekly till 28-JAN-2008. It was reported that patient had a normal female baby on 12-MAR-2008, 41 weeks from her last menstrual period. The baby weighed 8lb 1oz and her Apgar score was 8/9. There were no abnormalities reported. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pityriasis, Threatened labour, Ultrasound scan abnormal
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 17 year old female who on 30-APR-2007 was vaccinated IM with a first dose of Gardasil lot # 657621/0387U. Concomitant therapy included prenatal vitamins (unspecified). The nurse reported that the patient became pregnant sometime after her first injection. Patient was positive over the counter pregnancy test. In follow up it was reported that on 16-AUG-2007 ultrasound showed 7 weeks pregnancy and the expected date 04-MAR-2008. The patient's outcome was unknown. In follow up information from doctor's office it was reported that patient was treated with prenatal vitamins starting from 15-AUG-2007 for pregnancy. On 16-AUG-2007 she was diagnosed pityriasis. On 05-SEP-2007 patient was treated with 10 mg REGLAN for nausea every 6 hour as needed. Fetal arrhythmia was detected at 20 weeks of her pregnancy. She saw maternal Fetal Medicine (MFM) doctor and her fetal cardiac ultrasound was normal. It was reported that she had threatened preterm labor and on 08-NOV-2008, she was treated with magnesium sulfate intravenous (IV) in the hospital for it. After she was off magnesium sulfate she was treated with PROCARDIA 20 mg every 6 hour for preterm labor. On 08-NOV-2008 she was noted to be positive ureaplasma of the vagina/cervix. Other laboratory tests included biophysical profile, Amniotic fluid index (AFI), Non stress test (NST) was done weekly starting 27-DEC-2007 and then twice weekly till 28-JAN-2008. It was reported that patient had a normal female baby on 12-MAR-2008, 41 weeks from her last menstrual period. The baby weighed 8lb 1oz and her Apgar score was 8/9. There were no abnormalities reported. Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Inappropriate schedule of drug administration, Pyrexia, Varicella
Clinical narrative: Information has been received from a registered nurse concerning a 57 year old white female with no known drug allergies, who on 30-APR-2008, was vaccinated at a pharmacy with a dose of ZOSTAVAX. Concomitant therapy included ACTONEL, ALLEGRA-D, LIPITOR, calcium (unspecified), omega-3 marine triglycerides, montelukast sodium, PLAQUENIL and amitriptyline. On 05-MAY-2008, the patient broke out in chickenpox. "Today", on 07-MAY-2008, the patient was seen at the physician's office and was covered with varicella "head to toe", felt miserable and had a low grade fever. The patient was being treated with VALTREX. The patient's chickenpox persisted. No product quality complaint was involved. The registered nurse considered chickenpox to be disabling. Additional information has been requested.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest X-ray abnormal, Herpes zoster, Hypoxia, Pneumonia
Clinical narrative: Information has been received from a physician, concerning an 80 year old male patient (a retired plumber), who on 18-FEB-2008 was vaccinated in the right deltoid with a dose of Zostavax (Oka/Merck) (lot # invalid).  There was no illness at the time of vaccination.  On 29-FEB-2008 the patient developed pneumonia, bilateral with hypoxemia, and varicella zoster right facial.  A chest x-ray confirmed bibasilar pneumonia, and the patient was hospitalized for 7 days (details not provided).  Subsequently, the patient recovered from the events (duration and date not specified).  The physician considered one or more of the events to be immediately life-threatening.  Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Abnormal faeces, Body temperature increased, Chest X-ray normal, Cyanosis, Hypotonia
Clinical narrative: Went home from office and slept for four hours. Woke up screaming, had temp of 101.4. Had a bad poopy diaper so was put in the bath for about 1 min was then given Tylenol and dressed. About an hour later her hands and lips were blue. Lips quivered, then pale and limp. 911 was called and pt transferred to hospital.  5/16/08 Case closed w/medical records that accompanied report. FINAL DX: apparent life threatening event. Hospital records of 5/8-5/9/2008 reveal patient experienced an episode of unresponsiveness, purple hands, lip quivering then pale & limp.  Cold s/s x 1 day w/rhinorrhea, nasal congestion & sneezing.  Developed fever after vaccinations.  Parent provided rescue breaths & patient responded.  Parent & sibling w/viral illness & ear infection.  No further episodes while hospitalized & d/c to home w/pcp f/u.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Pallor, Respiratory syncytial virus serology, Screaming, Urine analysis normal
Clinical narrative: Went home from office and slept for four hours. Woke up screaming, had temp of 101.4. Had a bad poopy diaper so was put in the bath for about 1 min was then given Tylenol and dressed. About an hour later her hands and lips were blue. Lips quivered, then pale and limp. 911 was called and pt transferred to hospital.  5/16/08 Case closed w/medical records that accompanied report. FINAL DX: apparent life threatening event. Hospital records of 5/8-5/9/2008 reveal patient experienced an episode of unresponsiveness, purple hands, lip quivering then pale & limp.  Cold s/s x 1 day w/rhinorrhea, nasal congestion & sneezing.  Developed fever after vaccinations.  Parent provided rescue breaths & patient responded.  Parent & sibling w/viral illness & ear infection.  No further episodes while hospitalized & d/c to home w/pcp f/u.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Pt. received 1st Gardasil injection IM left deltoid on 04/04/08-pt. calling today with continued pain since injection near site in the muscle, esp. with certain arm movements and more so at nite time. No redness, no lumps
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Irritability, Oedema peripheral, Pyrexia
Clinical narrative: fever, swelling of leg, fussy, redness on leg. We believe it was the HIB vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Local erythema 5 x 6cm at injection site of VARIVAX.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Tdap given 5-13-08.  Approx 24 hrs later, pt developed swelling + pain at injection site.  By 5-15-08 swelling of area was 12cm x 7cm, area warm to touch, slight redness only at injection site.  Pt c/o radiating pain to xyphoid process area and back of L shoulder.  Left arm is stiff today, pt has trouble moving L arm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Tdap given 5-13-08.  Approx 24 hrs later, pt developed swelling + pain at injection site.  By 5-15-08 swelling of area was 12cm x 7cm, area warm to touch, slight redness only at injection site.  Pt c/o radiating pain to xyphoid process area and back of L shoulder.  Left arm is stiff today, pt has trouble moving L arm.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Limb discomfort
Clinical narrative: Left arm slightly red and discomfort.  Advised to use ice and take ADVIL and call in 24 hours if still discomfort.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pruritus, Pyrexia, Rash papular
Clinical narrative: Mom called stating child broke out in bumps on trunk, back, arms, legs and 1 foot.  Complained of itching, denied any drainage, had low grade fever up to 100 F.  Mom stated bumps resolved after 4 days.  Did not go to MD's office.  Mom called clinic on 4-17-08.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient called and stated that the day after she received Tdap vaccine, she started experiencing 104 F temperature and sore, red, indurated arm where vaccine given - area size of quarter, hard and hot to touch - saw PHP today (5/9) and was given CIPRO 500mg for 10 days for possible infection.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Large area of erythema at VARIVAX site RA - about 3in x 3in area - observation only - resolved in couple days.
Age: 11.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large red rash at vaccine site 5 cm in diameter.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised
Clinical narrative: Patient called clinic at 1010 am on 5/9/08.  She stated "I've been itching all over (her body) since (2) two hours after I left there (clinic) yesterday."  Client stated that she did not have any rash, hives or problems breathing.  Instructed her to do to ER.
Sex: U
Vaccine: VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: 1" x 1" round left cellulitic at the site of vaccine.  Cover with Augmentin, warm compresses.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site oedema, Oedema
Clinical narrative: Left upper arm & forearm edema & erythema.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: (R) Lateral upper arm is indurated 8 x 5 cm with mild warmth/redness afebrile- patients mother said reaction lasted several days but he made a full recovery
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4.5 year old male with erythema & swelling to L deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: (L) deltoid swollen Benadryl 1 1/2 tsp: Q 6 hr Ice pack to deltoid.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Well- demarcated erythema, swelling increased warmth, mild tenderness, itching at site within 24 hrs. of inoculation KEFLEX 250 mg QID x 7 days. BENADRYL 12.5 mg Q6 hr PRN. Temp 99.3 which was the same prior to vaccination injection.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Well- demarcated erythema, swelling increased warmth, mild tenderness, itching at site within 24 hrs. of inoculation KEFLEX 250 mg QID x 7 days. BENADRYL 12.5 mg Q6 hr PRN. Temp 99.3 which was the same prior to vaccination injection.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 48 hours after injection developed redness, pain & slight swelling around injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Rash, Swollen tongue
Clinical narrative: 5 minutes after getting MMR, IPOL, DTAP, Varicella patient started coughing and tongue began swelling and also has a rash.  Patient returned to office got 1 1/2 tsp of BENADRYL at 11:35 AM.  O2 stat was 98%.  Patient was given ORAPRED and was observed for 1 hour.  Patient was prescribed an Epi Pen to take home for emergency/anaphylaxis.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Joint range of motion decreased, Pain in extremity, Sleep disorder
Clinical narrative: Service Member had arm pain and limited range of motion at the shoulder after receiving his second anthrax shot. Slowly improved. Did not cause loss of work but did keep him up at night. Treated with motrin. No sequelae.
Age: 1.08
Sex: M
Vaccine: MMRV
Symptoms: Urticaria
Clinical narrative: 3 hives - resolved in 25minutes
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Crying, Injection site induration, Pyrexia
Clinical narrative: SHRILL CRYING X 1 DAY, FEVER 100, 2CM X 2CM INDURATED AREA AT SITE OF INJECTION (COMVAX)
Age: 12.0
Sex: F
Vaccine: HEPA, MMRV, MNQ, TDAP
Symptoms: Injection site urticaria
Clinical narrative: DEVELOPED 2 SMALL HIVES AT PROQUAD INJECTION SITE. ICE PACK APPLIED. MOTHER SPOKE WITH PCP AND CHOSE NOT TO TAKE CHILD TO OFFICE OR ER.
Age: 0.75
Sex: M
Vaccine: HIBV, PPV
Symptoms: Dermatitis
Clinical narrative: DERMATITIS   (NOS)
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Chills, Dysgeusia
Clinical narrative: SLIGHT METALLIC TASTE IN MOUTH, BACKACHE AND CHILLS, STATED HE FELT LIKE HE WAS GETTING A UTI OR KIDNEY INFECTION.  DRANK 2 GLASSES OF CRANBERRY JUICE AND FELT BETTER THE NEXT DAY
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abnormal faeces, Diarrhoea, Faeces discoloured
Clinical narrative: MOTHER BROUGHT BABY IN FOR SHOTS TODAY (11/5/07) AND STATES THAT 5 OR 6 DAYS AFTER THE LAST VISIT (8/2/07)BABY HAD SEVERE DIARRHEA THAT LASTED X 6 DAYS.  DIARRHEA WAS WATERY, YELLOWISH IN COLOR AND HAD A "ROTAVIRUS SMELL"
Age: 23.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Complains of soreness with direct pressure or palpation to left arm.  Pain shoots into left lateral neck only with palpation/pressure to injection site. Pain in arm started during night of injections.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness of left deltoid. Dtap and IPV given in left deltoid area.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Got injection - no problems initially.  Next day (Tuesday night) swelling - visited Dr. given benadryl.  Friday no better, swollen, pain, redness.  Given antibiotics by Dr.
Age: 0.5
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Pt received Boostrix instead of Pediarix.
Sex: M
Vaccine: TDAP
Symptoms: Injection site infection
Clinical narrative: TDAT GIVEN 5/9/08. INFECTION AT SITE ON 5/13/08
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: CSF glucose normal, CSF monocyte count increased, CSF protein normal, CSF white blood cell count increased, Infantile spasms
Clinical narrative: Developed persistent fussiness approx 2 days following vaccines on 4/10/08.  Fussy for most of day, every day.  No fever or localizing symptoms. No specific diagnosis made for fussiness which persisted for 3 weeks.  2 days after fussiness resolved infant began having spasms.  Now hospitalized with tentative diagnosis of infantile spasms.  Being started on ACTH.  7/15/08 Reviewed hospital medical records of 5/11-5/16/2008. FINAL DX: Infantile spasms Records reveal patient experienced abnormal movements, arms extension, leg & head flexion, screaming uncontrollably followed by sleepiness x 2 weeks increasing in frequency.  Neuro & ID consults done.  LP done.  Tx w/ACTH & EEG improved.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Muscle spasms
Clinical narrative: Developed persistent fussiness approx 2 days following vaccines on 4/10/08.  Fussy for most of day, every day.  No fever or localizing symptoms. No specific diagnosis made for fussiness which persisted for 3 weeks.  2 days after fussiness resolved infant began having spasms.  Now hospitalized with tentative diagnosis of infantile spasms.  Being started on ACTH.  7/15/08 Reviewed hospital medical records of 5/11-5/16/2008. FINAL DX: Infantile spasms Records reveal patient experienced abnormal movements, arms extension, leg & head flexion, screaming uncontrollably followed by sleepiness x 2 weeks increasing in frequency.  Neuro & ID consults done.  LP done.  Tx w/ACTH & EEG improved.
Age: 6.0
Sex: M
Vaccine: DT, VARZOS
Symptoms: Blister, Rash papular, Rash vesicular, Wrong drug administered
Clinical narrative: Varicella form lesion approximately 6 cm in diameter left upper back at the T3 distribution. Some mild papular & vesicular lesions are noted in the center.  Some blistering is noted that is unilateral.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Eye pain, Herpes ophthalmic
Clinical narrative: PATIENT WOKE UP WITH TERRIBLE PAIN IN THE LEFT EYE. WENT TO SEE EYE DOCTOR AND DOCTOR TOLD PATIENT HE HAD HERPES IN HIS EYE. DOCTOR GAVE PATIENT EYE DROPS
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: MILD SWELLING AND REDNESS AT SITE APPROX 5 CM DIA.STATES VERY LITTLE DISCOMFORT.  TOLD MOTHER TO GIVE TYLENOL AS NEEDED AND USE WARM COMPRESS.
Age: 41.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Extrasystoles
Clinical narrative: ON 11/6 HEART BEGANTO SKIPS BEATS--CONTINUED 1-3 TIMES A DAY, EACH EPISODE LASTING 5-10 SECONDS FROM 11/6/07 TO 11/14/07 --INSTRUCTED TO CALL PCP.
Age: 0.92
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Electroencephalogram normal, Musculoskeletal stiffness, Nervousness, Staring
Clinical narrative: ON 4/6 BEGAN TO RUN TEMP OF 102.4 TO 102.5.  WAS GIVEN MOTRIN Q6H.  SEEN IN ER WITH TEMP OF 102.  HAD EPISODES OF STARING, STIFFENING, SHAKING 3 OR 4 TIMES ON SATURDAY. NO VOMITING OR SITE REDNESS. ACCORDING TO MOTHER CHILD WOULD STIFFEN AND MAKE 'HISSING' NOISE FOR SEVERAL MONTHS AFTERWARDS..GRADUALLY QUIT.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Blood test, Diarrhoea, Haematochezia, Intussusception, Ultrasound scan
Clinical narrative: on 5/10/2008 Adnitted to Hospital for vomitting and diarrhea, bloody stools. Abd ultrasound consisitent with Ileocolic Intussusception! Air Reduction Kit utilized and no obstruction and a successdul reduction if the intussusception done. Patient was in the hospital for 4 days 6/20/08-records received for Dos 5/8-5/13/08- DC DX:Ileocecal Intussusception. Therapeutic air contrast enema for reduction was successful. Admitted with nausea and vomiting, on 3rd day of hospitalization episodic crying and attacks of abdominal pain, more vomiting.  Abdomen distended. Hypoactive bowel sounds
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: on 5/10/2008 Adnitted to Hospital for vomitting and diarrhea, bloody stools. Abd ultrasound consisitent with Ileocolic Intussusception! Air Reduction Kit utilized and no obstruction and a successdul reduction if the intussusception done. Patient was in the hospital for 4 days 6/20/08-records received for Dos 5/8-5/13/08- DC DX:Ileocecal Intussusception. Therapeutic air contrast enema for reduction was successful. Admitted with nausea and vomiting, on 3rd day of hospitalization episodic crying and attacks of abdominal pain, more vomiting.  Abdomen distended. Hypoactive bowel sounds
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: MOTHER NOTICED (?) ARM SWOLLEN AND RED FROM ELBOW TO SHOULDER...TAKEN TO HOSPITAL.  PLACED ON CEPHALEXIN.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Aphthous stomatitis, Headache, Swollen tongue
Clinical narrative: 4 hours after administration of HPV vaccine dose #2 patient had swelling of tongue to one and one half normal size.  2-3 cankor sores on tongue and Headache rated 5-6 on a scale of 10.  Client took antihistomine and swelling went down but 24 hours later tongue remains swollen.  No shortness of breath, difficulty breathing or eating, rash, or other complaints.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Indurated, red, swollen, painful at site of vaccine injection.
Age: 5.0
Sex: F
Vaccine: DPP, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: She start with a fever then a large 5 inch diameter red, swollen, and hot circle around shot site.  This started two days after shot and still has continued today.  Doctor recommended antihistimine and Benedryl at night.  Also icing if she has discomfort.
Age: 41.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Rash
Clinical narrative: Patient stated noticing rash to both legs on 5/13/08 mainly around ankle area.  5/15/08 Rash moved to both extremities up to thigh area. No redness or rash to vaccination site noticed.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Expired drug administered
Clinical narrative: vACCINE EXPIRED 4/24/08, GIVEN TO PATIENT 5/1/08
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Local reaction
Clinical narrative: About 5 min after administering the vaccinations, I noticed that both legs were red in an area covering most of the tops of the legs. Dr. looked at the affected areas and said that it was was a localized reaction. When the patient left, the redness was starting to fade.
Age: 1.5
Sex: M
Vaccine: IPV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: DTaP was to be given but Tdap was given accidentally. Patient acting fine. Called immunization branch to report. This was to be his 4th dose of this series.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Oedema peripheral, Skin warm, Swelling, Tenderness
Clinical narrative: Severe swelling and tenderness (R) upper at tender arm and swollen.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Pain, Swelling
Clinical narrative: (L) deltoid pain, swelling, weakness of abduction of arm at shoulder
Age: 38.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP, TYP
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: 5/12/08 Pt. called to report "bump" w/redness & itching approx size of a quarter at site of Tdap inj. L deltoid given on 5/9/08. Pt. used LIDEX cream with relief.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis of L upper arm.  Treated with Bactrim x10 days.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Local swelling, Lymphadenopathy, Pain, Parotitis, Rash
Clinical narrative: 4/22/08-Developed rash on thighs & c/o aches.  4/23/08-Rt. side of face & neck swollen, rash resolved.  4/25/08-Rt cheek & gland under rt ear swollen.  Referred to ENT, Dr and who diagnosed her with viral parotitis.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Swelling face
Clinical narrative: 4/22/08-Developed rash on thighs & c/o aches.  4/23/08-Rt. side of face & neck swollen, rash resolved.  4/25/08-Rt cheek & gland under rt ear swollen.  Referred to ENT, Dr and who diagnosed her with viral parotitis.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt developed a 4 x 4cm area of redness, tenderness, & warmth around the vaccine site.  She was treated with KEFLEX for 10 days.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, pain of left lower extremity (thigh) x2 days after administration of DTaP.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness, swelling, and pain after a few hours.  Lasting for 5 days.  MOTRIN, TYLENOL and BENADRYL given.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed 6 x 9 cm area of redness, swelling, warmth, tenderness around the vaccine site.  Rx'd with KEFLEX.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Local redness and swelling.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Barium enema, Colectomy, Intestinal anastomosis, Intussusception, Surgery
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Colectomy, Intussusception, Surgery, Ultrasound abdomen abnormal
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Gastrointestinal oedema, Intussusception, Rectal haemorrhage, Surgery, Ultrasound scan abnormal
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal mass, Abdominal pain, Barium enema abnormal, Blood culture
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Blood test normal, Colectomy, Crying, Diet refusal, Enema administration
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Full blood count normal, Intestinal anastomosis, Intestinal gangrene, Intestinal resection, Intussusception
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Laparotomy, Large intestinal obstruction reduction, Lethargy, Rectal haemorrhage, Surgery
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RVX, DTAP, HEP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Urine output decreased, Vomiting, X-ray abnormal
Clinical narrative: Patient presented at hospital with rectal bleeding. Ultrasound showed intussusception and patient was transferred to Hospital she had surgery done for her.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Antinuclear antibody negative, Arthritis, Blood creatine phosphokinase normal, C-reactive protein increased, Full blood count normal
Clinical narrative: Approximately 1 week after receiving vaccine, pt developed ankle swelling, arthritic joint pain, & morning stiffness, lasting 1-5 weeks.  Pt saw rheumatologist on 3/11/08 & was given MEDROL + a diuretic.  After starting meds, sx went away in 6 days.  Per Dr., sx could have been coincidental + unrelated to GARDASIL.  Pt also took ibuprofen for sx per RN/Dr. office 5/16/08.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Inflammation, Laboratory test normal, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Ultrasound scan normal
Clinical narrative: Approximately 1 week after receiving vaccine, pt developed ankle swelling, arthritic joint pain, & morning stiffness, lasting 1-5 weeks.  Pt saw rheumatologist on 3/11/08 & was given MEDROL + a diuretic.  After starting meds, sx went away in 6 days.  Per Dr., sx could have been coincidental + unrelated to GARDASIL.  Pt also took ibuprofen for sx per RN/Dr. office 5/16/08.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Blood test, Joint swelling, Musculoskeletal stiffness
Clinical narrative: Approximately 1 week after receiving vaccine, pt developed ankle swelling, arthritic joint pain, & morning stiffness, lasting 1-5 weeks.  Pt saw rheumatologist on 3/11/08 & was given MEDROL + a diuretic.  After starting meds, sx went away in 6 days.  Per Dr., sx could have been coincidental + unrelated to GARDASIL.  Pt also took ibuprofen for sx per RN/Dr. office 5/16/08.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, C-reactive protein increased, Oedema peripheral, Red blood cell sedimentation rate increased, Streptococcal identification test positive
Clinical narrative: Approximately 1 week after receiving vaccine, pt developed ankle swelling, arthritic joint pain, & morning stiffness, lasting 1-5 weeks.  Pt saw rheumatologist on 3/11/08 & was given MEDROL + a diuretic.  After starting meds, sx went away in 6 days.  Per Dr., sx could have been coincidental + unrelated to GARDASIL.  Pt also took ibuprofen for sx per RN/Dr. office 5/16/08.
Age: 26.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Eyelid oedema, Oedema, Pruritus
Clinical narrative: Periorbital facial swelling, erythema, and urticaria after 1st Anthrax vaccination on 22 April 2008.
Age: 26.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Erythema, Eye swelling, Swelling face, Urticaria
Clinical narrative: Periorbital facial swelling, erythema, and urticaria after 1st Anthrax vaccination on 22 April 2008.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Premature labour
Clinical narrative: Information has been received through the pregnancy registry, for Gardasil concerning a 26 year old female patient who on 03-JAN-2007 was vaccinated with the second dose of Gardasil. Concomitant therapy included prenatal vitamins (unspecified). On approximately 14-FEB-2007, six weeks later she became pregnant. She went into labor on 23-JUL-2007 and the baby passed away (reason unspecified). The patient sought medical attention at the hospital. On 02-NOV-2006 the patient received the first dose of Gardasil and it was required that she will not be getting the third dose. The patient's outcome was unknown. No product quality complaint was involved. Upon internal medical review baby passed away and premature labor were considered to be other important medical events. Additional information has been requested.