chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09.  3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day.  Had bloody stool in ER.  Surgery consult done.  Enema did not reduce IS & taken to OR.  Progressed well, diet advanced & d/c to home w/surgery f/u.    Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Anorexia, Appendicectomy, Bowel movement irregularity
Clinical narrative: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09.  3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day.  Had bloody stool in ER.  Surgery consult done.  Enema did not reduce IS & taken to OR.  Progressed well, diet advanced & d/c to home w/surgery f/u.    Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Diet refusal, Enema administration, Gastroenteritis, Haematochezia
Clinical narrative: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09.  3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day.  Had bloody stool in ER.  Surgery consult done.  Enema did not reduce IS & taken to OR.  Progressed well, diet advanced & d/c to home w/surgery f/u.    Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Irritability, Laparotomy, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09.  3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day.  Had bloody stool in ER.  Surgery consult done.  Enema did not reduce IS & taken to OR.  Progressed well, diet advanced & d/c to home w/surgery f/u.    Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: X-ray normal
Clinical narrative: About 2 weeks s/p ROTATEQ vaccine, child had intussusception. Vaccine 12/29/09, admitted for intussusception 1/15/09.  3/26/09 Received hospital medical records of 1/15-1/17/2009. FINAL DX: Intussusception s/p exp laparotomy w/reduction of IS & appendectomy Records reveal patient experienced anorexia, diet refusal, increased irritability, occasional emesis x 3 days, no BM x 2 days & abdominal pain x 1 day.  Had bloody stool in ER.  Surgery consult done.  Enema did not reduce IS & taken to OR.  Progressed well, diet advanced & d/c to home w/surgery f/u.    Returned to ER 1/22/09 due to vomiting, diarrhea & irritability & apparent abdominal pain. FINAL DX: gastroenteritis Surgery consult done. LABS: abdominal x-ray & US (-).
Age: 0.27
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Immunizations given 2-26-09 had not been entered into system & mom did not bring immunization record.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left arm- 5.5 - 6.5cm SL. red soft area - warm -> hot to touch.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: None at this time
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Burning sensation, Local swelling, Mass, Swelling face
Clinical narrative: On 2-18-09 sudden onset of knot in left neck area, swelling from left neck to left arm & left facial swelling & twisting of face - 3/12/09 cont. high BP & pain & burning/stinging back of left neck - hospital given VICODIN for pain & METHY/PRED dose pack
Age: 1.1
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Skin lesion, Urticaria
Clinical narrative: Developed urticarial lesions on back, face + extremities 5 days after MMR, varicella, Hepatitis A + influenza vaccines were given. Pt had no other symptoms prior to this time.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying
Clinical narrative: Mom stated child cried 4-5 hours after having PENTACEL. Notified provider prior to next scheduled dose. Next dose not given of PENTACEL. Only HIB :IPV given 0 DTAP.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Blood glucose normal, Convulsion, Fall, Musculoskeletal stiffness, Oxygen saturation normal
Clinical narrative: Pt had episode of a fainting spell/?seizure. Pt fell on ground and lifted arms in air 'stiff'. Pt then vomited. Vitals were w nl and pt was stable and was sent to ER in Mom's car.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope, Vomiting
Clinical narrative: Pt had episode of a fainting spell/?seizure. Pt fell on ground and lifted arms in air 'stiff'. Pt then vomited. Vitals were w nl and pt was stable and was sent to ER in Mom's car.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Anorexia, Irritability, Pyrexia, Rash, Screaming
Clinical narrative: Had shots 3/4/09 (MMR, VARIVAX, PCV, Hep A) had fever 3/7 (100-101) and 3/8, 3/9) developed rash on back and neck is cranky. Sat night 3/7 screaming. No appetite.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Feeling hot, Oedema peripheral, Pain in extremity
Clinical narrative: C/O sore left arm at 8am, around 9-10 am Left hot, swollen and red. T99.8.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Mother states noticed L arm swollen 24hrs. after Imms. with redness. 48 Hrs later blisters appeared around Imms. area. Applied topical Benadryl and blisters disappeared. Patient asymptomatic.
Age: 15.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injected limb mobility decreased, Pain in extremity, Sensation of heaviness
Clinical narrative: Pt c/o right arm pain started 24 hours after immunization with MENACTRA. Pt stated his arm was difficult to move and "felt heavy" for a day or so. Pt seen 5 days post immunization had full ROM, no erythema, ecchymosis, infection at site of injection, no masses. Pt Afebrile. No findings at that time.
Age: 1.6
Sex: M
Vaccine: MMR
Symptoms: Blood creatine phosphokinase normal, C-reactive protein increased, Cerebellar ataxia, Full blood count normal, Red blood cell sedimentation rate increased
Clinical narrative: Acute cerebellar ataxia
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt had severe outbreak of herpes zoster. Patient received vaccine 1/0/08 then on 12/29/08 had a severe outbreak of herpes Zoster.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: GARDASIL injection, fever headache, nausea
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Therapeutic response unexpected
Clinical narrative: THIS IS AN UNEXPECTED GOOD EFFECT RATHER THAN AN ADVERSE EFFECT! Since I don not know where else to report this I am making this report. I have rheumatoid arthritis, diagnosed in 1997, I have been on ENBREL for over 6 years and it works wonderfully. My Dr suggested I get a shingle vaccination, but to avoid adverse effects that I get the vaccination 5 days after my weekly ENBREL injection and then skip a week before resuming injections. I began noticing I was feeling better the second week. My Dr said there was no reason to continue the ENBREL until I felt a need. It is now 7 weeks since I had the vaccination, I still have NOT resumed my ENBREL injections and I feel better and have more mobility than I have had in years.
Age: 18.0
Sex: M
Vaccine: FLU3, HEPA, MMR, MNQ, VARCEL
Symptoms: Immediate post-injection reaction, Loss of consciousness, Malaise, Pallor
Clinical narrative: Immediately after receiving Hepatitis A, Flu, MMR, MCV4 and Varicella, the patient stated he didn't feel well. His color became pale and he passed out for a few seconds. When he recovered, he said the same thing happened a couple of weeks ago when he gave blood. He laid on the exam table for about 10 min. and stayed in the office for another 30 min. and was fine when he left with his mother and brother.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injected limb mobility decreased, Injection site swelling, Pain
Clinical narrative: Swollen area of shot. immobility - mild pain. Taking MOTRINE.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site papule, Injection site swelling
Clinical narrative: Swollen area of shot. immobility - mild pain. Taking MOTRINE.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Flushing, Oropharyngeal swelling, Urticaria, Vomiting
Clinical narrative: Lip/ facial/ oropharyngeal swelling. Vomiting, flushing and hives on whole body.
Age: 1.0
Sex: F
Vaccine: HEP, HEPA, PNC
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Itchy rash covering body.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 5x11 cm erythema with induration at injection site.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Chest discomfort, Fatigue, Headache, Injection site discolouration
Clinical narrative: The pneumonia vaccine was given in my left arm at around 10:30 A.M. on 03/06/2009. I began experiencing the usual pain and fever at the injection site by 7:00 A.M. on 03/07/09. By around 2:00 P.M., I began having pain in all major joints. By 5:00 P.M. I also started experiencing  a headache. I checked my temperature at that time and it was around 99.8. I took two ibuprofen, but they did not seem to have any affect on fever or pain. By 9:00 P.M. my temperature had risen to 101.7, it was extremely painful to move my arm and I had begun to feel as though my lungs were slightly inflamed (a kind of tightness in my chest with an inability to take a truly deep breath). At that point I took 3 aspirin and fell asleep. I woke up and checked my temperature again at around 10:30 P.M. and it had risen slightly to 101.8. I did not sleep well and woke repeatedly through out the night. I kept checking my temperature because I planned to head to the hospital if it went over 102, but it never did. I took two more aspirin at around 3:00 A.M then slept fitfully until around 9:00 A.M. on 03/08/09. By that time my temperature had finally dropped to around 100.8. The injection site was still slightly swollen and pink and still very sore. As the day wore on my fever gradually dropped to 99.5 where it stayed until around 7:00 P.M. when it jumped back up slightly to 100. I took two more aspirin then and fell asleep at around 9:00 P.M. When I woke up at 6:00 A.M. on 03/09/09, my arm was still a little sore and slightly pink around the injection site. My temperature had dropped to 96.8 and I had a lingering headache and felt tired and washed out the remainder of the day.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Insomnia, Mobility decreased, Pyrexia
Clinical narrative: The pneumonia vaccine was given in my left arm at around 10:30 A.M. on 03/06/2009. I began experiencing the usual pain and fever at the injection site by 7:00 A.M. on 03/07/09. By around 2:00 P.M., I began having pain in all major joints. By 5:00 P.M. I also started experiencing  a headache. I checked my temperature at that time and it was around 99.8. I took two ibuprofen, but they did not seem to have any affect on fever or pain. By 9:00 P.M. my temperature had risen to 101.7, it was extremely painful to move my arm and I had begun to feel as though my lungs were slightly inflamed (a kind of tightness in my chest with an inability to take a truly deep breath). At that point I took 3 aspirin and fell asleep. I woke up and checked my temperature again at around 10:30 P.M. and it had risen slightly to 101.8. I did not sleep well and woke repeatedly through out the night. I kept checking my temperature because I planned to head to the hospital if it went over 102, but it never did. I took two more aspirin at around 3:00 A.M then slept fitfully until around 9:00 A.M. on 03/08/09. By that time my temperature had finally dropped to around 100.8. The injection site was still slightly swollen and pink and still very sore. As the day wore on my fever gradually dropped to 99.5 where it stayed until around 7:00 P.M. when it jumped back up slightly to 100. I took two more aspirin then and fell asleep at around 9:00 P.M. When I woke up at 6:00 A.M. on 03/09/09, my arm was still a little sore and slightly pink around the injection site. My temperature had dropped to 96.8 and I had a lingering headache and felt tired and washed out the remainder of the day.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Full blood count, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left clinic after injection + returned to hotel room @ 12:30pm stated noticed itching @ injection site (left deltoid) and she applied Hydrocortisone (1% otc) there. @ 1:30 while shopping in hotel reports itching became more intense. Noticed two vertical parallel marks on both sides of injection site. Itching continued down L arm. She applied Benadryl cream X1. Had barium enema in clinic 830am 3/10/09. Radiologist  called doctor RE: L arm 11:30 am exam per doctor. 1145 Ibuprofen 600mg. #1 P.O. as ordered. To nurses at 1230pm L arm red + swollen from deltoid to upper third of lower arm- more intense below deltoid to Elbow - all warm to touch. Denied pain + had little itching at this time. Measured R+L arm. R delt = 8 1/2" L 11 1/2" R @ Elbow = 7 1/2" L 10 1/2" Other wise appears NAD . May use cool compresses. To return to clinic + doctor at 4pm for re check. 310pm Pt seen by doctor. Slightly less swollen. Pt states arm feels better. Ibuprofen 600mg 1 with dinner, 1 with breakfast in am. Return if condition worsens.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Metabolic function test
Clinical narrative: Left clinic after injection + returned to hotel room @ 12:30pm stated noticed itching @ injection site (left deltoid) and she applied Hydrocortisone (1% otc) there. @ 1:30 while shopping in hotel reports itching became more intense. Noticed two vertical parallel marks on both sides of injection site. Itching continued down L arm. She applied Benadryl cream X1. Had barium enema in clinic 830am 3/10/09. Radiologist  called doctor RE: L arm 11:30 am exam per doctor. 1145 Ibuprofen 600mg. #1 P.O. as ordered. To nurses at 1230pm L arm red + swollen from deltoid to upper third of lower arm- more intense below deltoid to Elbow - all warm to touch. Denied pain + had little itching at this time. Measured R+L arm. R delt = 8 1/2" L 11 1/2" R @ Elbow = 7 1/2" L 10 1/2" Other wise appears NAD . May use cool compresses. To return to clinic + doctor at 4pm for re check. 310pm Pt seen by doctor. Slightly less swollen. Pt states arm feels better. Ibuprofen 600mg 1 with dinner, 1 with breakfast in am. Return if condition worsens.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: Patient had an ileo-colic intussusception which presented to the ER 2 days after vaccine administration.  It was reduced with an air enema and patient was admitted to the hospital.  4/13/2009 MR received for DOS 2/25-27/2009 with DX:  Intussusception. Pt presented with new onset projectile vomiting after eating. One blood streaked BM.  PE (+) for fussiness with palpation of the abdomen. Ileocolic IS dx with abd US.  Reduced with air contrast BE. Tolerated feeds post procedure and d/c.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Conversion disorder, Erythema, Pyrexia, Rash, Speech disorder
Clinical narrative: High fever, hysterical laughing, nonsense speech, rash on legs especially right thigh has a bright red rash area about two inches in diameter
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Pyrexia
Clinical narrative: 3-3-09 Child's mom reported fever, redness and hardness on left thigh today which began 3-2-09 p.m.  The doctor's office told her to check the temp and go to ER if at 104F or more.  3-4-09 Fever and redness gone.  3-9-09 Knot remains.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Lymphadenopathy, Rash, Vaccination complication
Clinical narrative: Rec telephone call on 3/11/09 from client's mother stating she took ct to dr for rash and swollen lymph nodes.  Dr diagnosed her with reaction to MMR vaccine.  Rash spread from legs to arms and back.  Left lymph node more swollen than right on neck.  As of 3/11, rash had resolved, but lymph nodes still swollen.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Varicella
Clinical narrative: This child received 2 doses of Varicella vaccine per appropriate schedule. 08-23-04 dose 1 and 08-19-08 dose 2. Developed rash consistent with chickenpox lesions > 100+ in 02-09
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Returned to facility approximately one hour post injection c/o numbness in throat moving to back of tongue and roof of mouth given Benadryl po at 1005 at 1030 stated numbness gone from back of throat and is decreased in tongue and roof of mouth, returned to class.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mother reported very hard, red, warm and swollen area to left upper arm and fever of >103 degrees F within 3 days after receiving the vaccines.  She did not consult the child's physician until 3/13/09. According to mother the physician did not feel the reaction had been outside of the expected side effects of the vaccines received.
Age: 46.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site discomfort, Injection site pain, Injection site swelling
Clinical narrative: Received Boostrix in right arm on 03/05/09. Noted swelling, discomfort and pain at injection site on 03/11/09, 6 days after vaccination.  Contacted facility on 03/13/2009 to report.  Contact made with patient this date to followup. Patient states that she no longer is having pain, edema or heat at injection site.  Did not receive any evaluation or treatment.
Age: 43.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site cellulitis
Clinical narrative: Developed area cellulitis at innoculation site.
Age: 43.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site cellulitis
Clinical narrative: Developed Cellulitis at innoculation site.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: L arm 3x4cm induration, redness, itchiness at site of injection.  Rx for Benadryl and hydrocortisone 1%
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Erythema, Induration, Injection site pain, Injection site swelling
Clinical narrative: Severe sharp pain and swelling right arm focussed on injection site for Tdap.  Pain into axilla, shooting down arm and into shoulder and neck.  No dyspnea, no difficulty swallowing or chewing.  12 cm induration with erythema, plus guarding and tenderness axillary nodes. Onset on or around 3-13-09.  Patient treated with Ultram, Benadryl, Medrol Dos Pack, ice and aleve.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Musculoskeletal pain, Neck pain, Pain, Tenderness
Clinical narrative: Severe sharp pain and swelling right arm focussed on injection site for Tdap.  Pain into axilla, shooting down arm and into shoulder and neck.  No dyspnea, no difficulty swallowing or chewing.  12 cm induration with erythema, plus guarding and tenderness axillary nodes. Onset on or around 3-13-09.  Patient treated with Ultram, Benadryl, Medrol Dos Pack, ice and aleve.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Headache, Injected limb mobility decreased, Nausea, Oedema peripheral
Clinical narrative: Sore, swollen left arm. Fever, nausea, headache. Symptoms developed 24 hours after injection and continued for 48 more hours. Patient was unable to use left arm due to pain and missed 2 days of work. Fever, nausea, headache resolved, but pain in arm continues 4 days post-vaccine administration.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore, swollen left arm. Fever, nausea, headache. Symptoms developed 24 hours after injection and continued for 48 more hours. Patient was unable to use left arm due to pain and missed 2 days of work. Fever, nausea, headache resolved, but pain in arm continues 4 days post-vaccine administration.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Has continued L upper arm pain and numbness down to elbow, cannot raise L arm above 90 degrees. States vaccine caused these symptoms. Has seen her personal physician twice and is currently referred to a shoulder specialist
Age: 25.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Oedema peripheral, Rash generalised, Varicella
Clinical narrative: PT STATES ONE WEEK AFTER VARICELLA VACCINE ARM BECAME RED AND SWOLLEN.  MILD,GENERALIZED RASH BEGAN TWELVE DAYS AFTER VACCINE. PATIENT'S PRIMARY CARE PROVIDER CONFIRMED TODAY (3/16/09)A MILD CASE OF CHICKENPOX.
Age: 12.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Herpes virus infection, Pyrexia, Rash macular
Clinical narrative: Fever, mild generalized diffuse macular rash, herpetiform vesicles on neck
Age: 30.0
Sex: F
Vaccine: PPV, TD
Symptoms: Asthenia, Chills, Dizziness, Feeling cold, Headache
Clinical narrative: Received PPV shot around 10:45 a.m. after a yearly physical with Dr. I have asthma, therefore should benefit from getting the vaccination. I was feeling normal until about 3:30 p.m. when I started to feel dizzy and got a hive on the lower part of my right cheek. The hive went down and the dizziness continued before letting up after a few hours. I was fine that night, but by Friday mid-morning, I was freezing cold, chilled so badly my teeth were chattering. I also started to get a very bad headache. My right arm, where I received the vaccination, was so sore I could barely move it or lift it. Also, the injection site was red and swollen. When I got home from work, I went straight to bed, so dizzy I could not stand, and very weak. Every muscle in my body ached and I was alternating between freezing cold and sweating profusely. Saturday, the next morning, was worse. The headache, right between my eyebrows and into my upper forehead, was so bad that I could barely move my head without wanting to vomit and without getting dizzy. The muscle aches and feverish chills/sweating continued as well. I wasn't getting any relief from rest and ibrupofen, so I made a call to the triage nurse for MMG, and after hearing my symptoms, she suggested I go to the emergency room. The ER doctor assessed me and said the site of injection was 'pretty impressive' and noted that I had had an allergic reaction to the shot, given all the aches, pain, dizziness and swelling.
Age: 30.0
Sex: F
Vaccine: PPV, TD
Symptoms: Hyperhidrosis, Hypersensitivity, Injected limb mobility decreased, Injection site erythema, Injection site swelling
Clinical narrative: Received PPV shot around 10:45 a.m. after a yearly physical with Dr. I have asthma, therefore should benefit from getting the vaccination. I was feeling normal until about 3:30 p.m. when I started to feel dizzy and got a hive on the lower part of my right cheek. The hive went down and the dizziness continued before letting up after a few hours. I was fine that night, but by Friday mid-morning, I was freezing cold, chilled so badly my teeth were chattering. I also started to get a very bad headache. My right arm, where I received the vaccination, was so sore I could barely move it or lift it. Also, the injection site was red and swollen. When I got home from work, I went straight to bed, so dizzy I could not stand, and very weak. Every muscle in my body ached and I was alternating between freezing cold and sweating profusely. Saturday, the next morning, was worse. The headache, right between my eyebrows and into my upper forehead, was so bad that I could barely move my head without wanting to vomit and without getting dizzy. The muscle aches and feverish chills/sweating continued as well. I wasn't getting any relief from rest and ibrupofen, so I made a call to the triage nurse for MMG, and after hearing my symptoms, she suggested I go to the emergency room. The ER doctor assessed me and said the site of injection was 'pretty impressive' and noted that I had had an allergic reaction to the shot, given all the aches, pain, dizziness and swelling.
Age: 30.0
Sex: F
Vaccine: PPV, TD
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Received PPV shot around 10:45 a.m. after a yearly physical with Dr. I have asthma, therefore should benefit from getting the vaccination. I was feeling normal until about 3:30 p.m. when I started to feel dizzy and got a hive on the lower part of my right cheek. The hive went down and the dizziness continued before letting up after a few hours. I was fine that night, but by Friday mid-morning, I was freezing cold, chilled so badly my teeth were chattering. I also started to get a very bad headache. My right arm, where I received the vaccination, was so sore I could barely move it or lift it. Also, the injection site was red and swollen. When I got home from work, I went straight to bed, so dizzy I could not stand, and very weak. Every muscle in my body ached and I was alternating between freezing cold and sweating profusely. Saturday, the next morning, was worse. The headache, right between my eyebrows and into my upper forehead, was so bad that I could barely move my head without wanting to vomit and without getting dizzy. The muscle aches and feverish chills/sweating continued as well. I wasn't getting any relief from rest and ibrupofen, so I made a call to the triage nurse for MMG, and after hearing my symptoms, she suggested I go to the emergency room. The ER doctor assessed me and said the site of injection was 'pretty impressive' and noted that I had had an allergic reaction to the shot, given all the aches, pain, dizziness and swelling.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Swelling and pain at axilla on left side. Was prescribed MEDRAL Pk, antihistamine and KEFLEX BID.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, redness at injection site. Headache, nausea, vomiting, fatigue, fever 24 hrs.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Pain, swelling, redness at injection site. Headache, nausea, vomiting, fatigue, fever 24 hrs.
Age: 19.0
Sex: F
Vaccine: YF
Symptoms: Culture throat negative, Full blood count normal, Headache, Metabolic function test normal, Myalgia
Clinical narrative: Fever, headaches, myalgias, sore throat about 6 days after immunization given.
Age: 19.0
Sex: F
Vaccine: YF
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, headaches, myalgias, sore throat about 6 days after immunization given.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abnormal behaviour, Lethargy, Listless
Clinical narrative: Lethargic, listless, not self for 1 wk post immunization.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Notice hive like 1 cm raised area 1 inch from injection site R arm where varicella was given SQ. Notified M.D. via phone. He ordered BENADRYL liquid PO be given. BENADRYL given, VS WNL lungs clear. All three injection sites clear. Child observed until 1113. Area had resolved - Notified M.D. who gave OK to release pt, Mom notified us in person on 3-12-09 that no further difficulties.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEPA, MMR, VARCEL
Symptoms: Balance disorder, Body temperature increased, Injection site erythema, Lethargy, Pallor
Clinical narrative: Mom notified us 48 hours after vaccines that child had had hives and increased temp 101 degrees F - 102 degrees F 24 hrs after vaccine given. Her M. D. prescribed TYLENOL and BENADRYL and s/s resolved. She did bring him here 3-13-09 to look @ L shoulder where KINRIX given - slightly reddened, but WNL, however child pale, lethargic and per mother, problems with balance. Her M. D. was notified my me. His office is closed so he advised child go to ER. Mother said she would take child to ER. Unknown if these s/s were related to vaccines. Mother had also had hives, but she recovered.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Mom notified us 48 hours after vaccines that child had had hives and increased temp 101 degrees F - 102 degrees F 24 hrs after vaccine given. Her M. D. prescribed TYLENOL and BENADRYL and s/s resolved. She did bring him here 3-13-09 to look @ L shoulder where KINRIX given - slightly reddened, but WNL, however child pale, lethargic and per mother, problems with balance. Her M. D. was notified my me. His office is closed so he advised child go to ER. Mother said she would take child to ER. Unknown if these s/s were related to vaccines. Mother had also had hives, but she recovered.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin mass
Clinical narrative: Pt C/O redness / itch on L mid arm upon D/C home size 4.5 cm and lump felt about a quarter size, HO notified /seen Pt. and instructed to apply warm pack if posted D/C with increased redness / itch plan to come back to ER.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: C/O itchiness on nape of neck @ HS on 3/12/09. Dx with hives by MD on 3/13/09 Hives prominent on trunk, groin + axillary with intense itching.
Age: 11.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Full blood count, Metabolic function test, Syncope, Urine analysis
Clinical narrative: Approx 10 min after immunizations the Pt fainted. No resp. arrest initial V/S BP 109/57 HR 97 RR 24 O2 Sat 98-100% Room Air, monitoring and nutrition provided V/S at discharge 115/59 HR 91 RR 24 Pt alert and oriented x 3.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: As per dad they noticed redness on 3/16/09 (L) upper deltoid & swollen. Today I notice a little redness around the vaccine area. No swollen no induration he said no fever & it last only for one day (3/14/09)
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed a large red swollen (10cm X 11cm) notice 24 hours post injection. Pt says site is painful and warm to the touch.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: Pt presented with 30-50 lesions on arms and trunk. Afebrile. Dx with Varicella.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Musculoskeletal pain, Neck pain
Clinical narrative: Pt had, chest pains, heaviness on chest, short of breath, neck and shoulder pain in right side where injection was given.  3/30/09 MR received from OBGYN.  Normal exam 3/4/09.  HPV#1 given.  4/3/09 Pt not seen by hospital, only reported to OBGYN. Now reports no further sx
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Fatigue, Neck pain, Pain in extremity
Clinical narrative: Left arm pain, Fatigue, and nausea. Pain goes up into her neck. And dizziness.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Injection site rash
Clinical narrative: Rash at bilateral injection site.
Age: 3.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Anxiety, Fatigue, Wheezing
Clinical narrative: Was anxious after - then tired/fatigue- wheezing. Taken by ambulance (911) to ER. Released. ORAPRED, CAREDIN.
Age: 38.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Computerised tomogram normal, Facial palsy
Clinical narrative: BELL's Palsy 2 weeks after MCV4 vaccine. Treated with Prednisone, Acyclovir.  4/29/09 MR received from PCP with DX: Bells Palsy.  Pt presented initially with onset of tongue numbness progressing to L sided facial droop. PE (+) L sided facial weakness and inability to fully close L eye. Tx:  Pred and anti-virals. Slight improvement noted by F/U 3/21/09.
Age: 38.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Computerised tomogram normal, Facial palsy, Facial paresis, Paraesthesia oral
Clinical narrative: BELL's Palsy 2 weeks after MCV4 vaccine. Treated with Prednisone, Acyclovir.  4/29/09 MR received from PCP with DX: Bells Palsy.  Pt presented initially with onset of tongue numbness progressing to L sided facial droop. PE (+) L sided facial weakness and inability to fully close L eye. Tx:  Pred and anti-virals. Slight improvement noted by F/U 3/21/09.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema multiforme, Rash
Clinical narrative: Generalized erythema multiforme exanthem dev. x 8 days after vaccination (was on amoxicillin).
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness and swelling around injection site, three inches in diameter. Slight pain around site. No other symptoms reported.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain, Livedo reticularis, Lymphadenopathy, Oedema peripheral, Rash
Clinical narrative: Lymphadenopathy of R axillary nodes causing significant swelling, mottled rash and pain in the R axilla. Improving slightly with ibuprofen on day 4.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Antinuclear antibody positive, Arthralgia, Fatigue
Clinical narrative: Fatigue, joint pain after immunization until 3/08.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site haematoma, Injection site swelling
Clinical narrative: Swelling/hematoma at injection site. No redness.
Age: 0.6
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 7 month old patient who was vaccinated with the first dose of ROTATEQ (lot # not provided) when patient was 2 months old, and received the second dose of ROTATEQ (lot # not provided) at 7 months of age.  The patient is not experiencing any known symptoms.  Additional information has been requested.
Sex: M
Vaccine: RV5
Symptoms: Autism, Diarrhoea
Clinical narrative: Information has been received from a consumer concerning her son who, "as an infant", was vaccinated with a dose of ROTATEQ.  Subsequently the patient experienced diarrhea.  Subsequently, the patient recovered.  The patient also experienced mild symptoms of autism while on therapy with measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (+) rubella virus vaccine live (Wistar RA 27/3) (MSD, WAES 0902USA03761).  Additional information is not expected.
Age: 31.0
Sex: F
Vaccine: RV5
Symptoms: Accidental exposure, Vision blurred
Clinical narrative: Information has been received from a physician concerning a 31 year old female nurse who on 17-FEB-2009 while she was orally administering a child with 2mL dose of ROTATEQ, the child spit out solution into nurse's eye and then she experienced blurred vision.  The patient sought unspecified medical attention.  Additional information has been requested.  This is one of two reports from the same source.
Age: 0.8
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Information has been received from a licensed practical nurse (L.P.R.) concerning a 9 month old patient who on 17-FEB-2009 was inadvertently given orally a partial dose of ROTATEQ (lot # 663144/1449X).  Nurse realized that the patient was too old and retracted most of the dose.  The patient sought medical attention as physician's office.  No adverse effects were reported.  Additional information has been requested.
Age: 0.8
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a medical assistant concerning a male who on 01-AUG-2008, 01-OCT-2008 and 10-FEB-2009 was vaccinated with the first, second and third dose of ROTATEQ (lot number not reported) oral respectively.  The patient received the third dose at 9 months of age.  No adverse symptoms reported.  Additional information has been requested.
Age: 1.1
Sex: U
Vaccine: RV5
Symptoms: Rotavirus infection, Rotavirus test
Clinical narrative: Information has been received from a nurse concerning a 13 month old patient who on 05-MAR-2008 was vaccinated orally with the first dose of ROTATEQ.  On 09-MAY-2008 was vaccinated orally with the second dose of ROTATEQ and on 10-JUL-2008 was vaccinated orally with the third dose of ROTATEQ.  On an unspecified date after receiving all 3 doses of ROTATEQ, the patient was taken to the ER and tested positive for rotavirus   Additional information has been requested.
Age: 0.1
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a healthcare worker concerning a 28 day old patient who on an unspecified date was vaccinated orally with the first 2.0 mL dose of ROTATEQ.  The patient had not experienced any known symptoms.  Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a office manager concerning an 18 week old male patient who on an unspecified date was vaccinated with the first dose of ROTATEQ.  On an unspecified date, when the patient was 6 and a half months of age was vaccinated with the second dose of ROTATEQ.  The patient did not receive his third dose because it could not be given before he turned 32 weeks.  No adverse effects were noted.  Medical attention was sought with an office visit.  Additional information has been requested.
Age: 0.35
Sex: M
Vaccine: RV5
Symptoms: Urticaria, Urticaria
Clinical narrative: Information has been received from a physician concerning a "4 month old" male who was vaccinated with a 2 ml second dose of ROTATEQ (lot # was not provided).  Subsequently the patient developed hives. Unspecified medical attention was sought.  At the time of this report, 20-FEB-2009, the outcome was unknown.  Additional information has been requested.  This is in follow-up to report (s) previously submitted on 3/13/2009. Follow up information was received from the physician who reported that the 18 weeks old patient with a history of eczema on 03-NOV-2008 was vaccinated with a second dose of ROTATEQ vaccine (lot# 661031/0467X). On 04-NOV-2008, within 24 hours of administration the patient developed generalized urticaria. On 05-NOV-2008 the patient recovered. Additonal information is not expected.
Age: 0.3
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, Nasal congestion
Clinical narrative: Information has been received from a consumer concerning his son who at age of 16 weeks was vaccinated with the first dose of ROTATEQ and at 6 months was vaccinated with the second dose of ROTATEQ.  Subsequently, the child had been "clogged and congested" for 4 months.  The parent did not know if the vaccination was rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) or rotavirus G1 P1 vaccine live (89-12).  The patient did not seek medical attention.  As of 10-FEB-2009, the adverse event persisted.  No further information is available.
Sex: F
Vaccine: RV5
Symptoms: Accidental exposure, Eye irritation
Clinical narrative: Information has been received from a medical assistant concerning herself who got ROTATEQ (no lot # provided) in her eye and on the skin around it when an unspecified baby spit up the vaccine when it was being administered.  Her eye has been rinsed and it burns.  This is one of several reports received from the same source.  Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, RV5
Symptoms: Cyanosis, Regurgitation
Clinical narrative: Information has been received from a physician concerning a 2 month old male who was born at 29 weeks gestation, who on approximately 02-FEB-2009 was vaccinated with 2.0 ml of the first dose of ROTATEQ P.O. Concomitant therapy included DTaP and Hib vaccine (unspecified carrier) on approximately 02-FEB-2009. The office is not sure if the full dose was administered because the child did spit some of it out. The child turned blue during administration of the vaccine. On an unspecified date in February 2009 the child recovered from the cyanosis. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: RV5
Symptoms: Body temperature increased, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Information has been received from a physician concerning a 4 month old male patient who in approximately 06-DEC-2008, was vaccinated with second dose of ROTATEQ (Lot # not reported) 2ml, orally.  After he received the second dose of vaccine, he experienced a fever 103 degrees.  The patient recovered within 24 hours.  Patient sought unspecified medical attention.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/13/2009.  Information has been received from a physician concerning a 4 month old male patient who in approximately 06-DEC-2008, was vaccinated with second dose of ROTATEQ (Lot # not reported) 2ml, orally.  After he received the second dose of vaccine, he experienced a fever 103 degrees.  The patient recovered within 24 hours.  Patient sought unspecified medical attention.  Follow up information has been received from medical assistant who reported that on 07-NOV-2008 the patient was vaccinated with a first dose of ROTATEQ (Lot # 661427/0897X) orally at 11:00 AM.  On 16-JAN-2009 he received second dose of ROTATEQ (Lot # 663260/1794X) orally at 11:00 AM.  On 08-NOV-2008 next day post vaccination the patient experienced fever to 103 degrees during 24 hours and multiple lost stools and vomiting fourth times during 24 to 48 hours.  No other family members were diagnosed and child wasn't in day care setting or exposed to any their people.  No further information is expected.
Sex: U
Vaccine: RV5
Symptoms: Infantile spitting up, Overdose
Clinical narrative: Information has been received from a physician who reported that an extra dose of ROTATEQ (lot not reported) may have been given at the same visit when a child spit up the initial dose.  Additional information is not expected.
Age: 0.4
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 23 weeks old patient who on 19-FEB-2009 was vaccinated orally with the first 2 ml dose of ROTATEQ (lot # 661053/1264X).  The physician reported that the patient was late starting the ROTATEQ series.  No adverse effects were reported.  The patient was seen at the office and sought unspecified medical attention.  Additional information has been requested.
Age: 0.6
Sex: U
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 7 month old patient who on 24-FEB-2009 was inadvertently vaccinated orally with the first dose of ROTATEQ 2 ml (Lot # 1358X).  No adverse effects were reported.  The outcome of adverse event was not reported.  It was not reported whether the patient sought medical attention.  Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Injection site rash, Palpitations, Pelvic pain
Clinical narrative: Information has been received from a physician concerning a female who on 21-FEB-2009 was vaccinated with first 0.5mL dose of GARDASIL. There was no concomitant medication. On 22-FEB-2009 the patient experienced heart racing, rash at injection site and pelvic pain. At the time of the report the patient had not recovered from the events. The patient sought unspecified medical attention. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Arthralgia, Asthenia, Myalgia
Clinical narrative: Information has been received from a consumer concerning her daughter a 13 year old female who in October 2008, was vaccinated with a third dose of GARDASIL.  There was no concomitant medication.  In December 2008, the patient experienced muscle pain, weakness and joint pain and weakness and the symptoms persisted since to present.  The patient did not sought medical attention.  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Human papilloma virus test positive, Smear cervix
Clinical narrative: Information has been received from a physician and medical assistant concerning a 18 year old female who received all 3 doses of GARDASIL.  The patient received her third dose of GARDASIL in November 2007 (dates of other doses and lots were not available).  Subsequently, the patient had a PAP and HPV test in December 2007 that were normal.  On 16-FEB-2009 the patient had a HPV tested positive for high and low risk HPV and the result for her PAP test were normal.  The patient was not recovered and sought unspecified Medical attention.  Addition information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a nurse concerning a 14 year old female who was vaccinated with GARDASIL (Lot# not reported).  After receiving the second dose of GARDASIL, the patient had fainted.  The adverse event was improved on therapy.  It was reported that the patient sought medical attention:  in the physician's office.  This was one of several reports from the same source.  Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash
Clinical narrative: Information has been received from a registered nurse concerning an approximately 25 year old female who in November 2008, was vaccinated with the first dose of GARDASIL. On 21-JAN-2009 the patient was vaccinated with the second dose of GARDASIL (lot # not reported) 0.5 ml. On 23-JAN-2009 the patient experienced rash and itching on her trunk and side of neck. Subsequently, the patient recovered from the events. "They advised her not to get the third dose". The patient sought unspecified medical attention. Additional information has been requested.