chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Neuropathy peripheral, Nuclear magnetic resonance imaging normal, Orthosis user, Pain in extremity, Peroneal nerve palsy
Clinical narrative: Within a few months of the vaccination on 12/05/06, I became less stable on my feet, and experienced symptoms of neuropathy including foot drop, loss of muscle strength, loss of reflexes, muscle loss, problems with gait, pain and numbness in feet, and now numbness in hands.  I did not seek medical attention immediately, and, at first, attributed symptoms to old age or low back condition.  I eventually saw my family physician in 8/07 to discuss my symptoms which were continuing to get worse.  In 10/08, I was diagnosed with very severe and very chronic neuropathic disease.  Medical records received 10/4/08 to 10/17/08. Assessment: Progessive weakness of lower extremities and foot drop on the right. Patient presents with numbness, muscle spasm, weakness in legs. Paresthesias and muscle wasting from knees to feet. Dorsiflexor weakness right greated that left. Unable to elevate great toe. Weight loss. Follow-up: Loss of feeling, muscle strength in my hands and feet - nearly disabled, and getting worse as the months go on. Walking now with leg braces.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Positive Rombergism, Tandem gait test abnormal, Vitamin B12 normal, Weight decreased
Clinical narrative: Within a few months of the vaccination on 12/05/06, I became less stable on my feet, and experienced symptoms of neuropathy including foot drop, loss of muscle strength, loss of reflexes, muscle loss, problems with gait, pain and numbness in feet, and now numbness in hands.  I did not seek medical attention immediately, and, at first, attributed symptoms to old age or low back condition.  I eventually saw my family physician in 8/07 to discuss my symptoms which were continuing to get worse.  In 10/08, I was diagnosed with very severe and very chronic neuropathic disease.  Medical records received 10/4/08 to 10/17/08. Assessment: Progessive weakness of lower extremities and foot drop on the right. Patient presents with numbness, muscle spasm, weakness in legs. Paresthesias and muscle wasting from knees to feet. Dorsiflexor weakness right greated that left. Unable to elevate great toe. Weight loss. Follow-up: Loss of feeling, muscle strength in my hands and feet - nearly disabled, and getting worse as the months go on. Walking now with leg braces.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Heart rate increased, Heart rate irregular, Hypertension, Hypoacusis
Clinical narrative: On March 11, 2009, I went in for a check-up, and referral for neurological evaluation and saw Dr. I had been previously ill since April 2005, and had begun to recover. Did describe to her my previous illnesses, and that seem to have a lot of issues with my immune system, and still tend to have reoccurring issues. She asked when my last tetanus shot was and I told her it had to been more than 15 years. And said it was time, and I told her that I was very sensitive to what seems to everything. She said given my immune system problem that is more reason to have one. Minutes later her nurse came in to give me the injection, and I still questioned it and had reservation, and she insisted on giving it to me because Dr. said so; I asked about giving half the dose, and replied could not. About three days later I started to experience my same old symptoms very fluish, and 3 days after that I broke out in unbearable itchy hives, starting from my feet all the way up my body ending at my neck, and then my feet blew up. Once this happened I called Dr's office and explained this to them, and spoke to an On Call Doctor, and delivered a message to Dr's office what had happened, and from thereafter received a returned call from nurse, this was not possible, and etc, and did nothing to help me. The hives were very hard to get rid of. I was rid of the hives in about 2 weeks, but was still feeling very ill once again, where I started to exhibit extreme fatigue, once again fluish symptoms, serious visual disturbances and hearing problems, my hearing felt like it was fading in and out; and the scariest part was heart symptoms, high blood pressure, abnormal ekg, & rapid heartbeat. Later on, did have an interruptions with my heart, I felt different and my heart started to beat. Went to immediate care, and wouldn't treat me because my heart symptoms were too serious, sent me to the hospital. I immediately put in the Cardiac Wing over the weekend; I was given medicine for my heart; And they just didn't understand my condition and wanted me to stay and could not. To this date, my blood pressure still fluctuates and my rapid heartbeat still remains a problem. At this time was working, and was doing my best to stay at my job, I have to say this itself caused the biggest disruption anyone should have to go through. I did finally recover somewhat; the fatigue I still have to fight, blood pressure, and rapid heartbeat, vision; it took approximately 1 year for me to recover to feeling somewhat normal, all because my reservations were not taken under consideration.. 6/4/09-records received for DOS 4/5/08-presented with substernal chest pain sharp in nature mild shortness of breath and mild abdominal pain and presented to urgent care center treated with nitro patch-similar episode several months prior with similar onset and resolution. Possibilty ischemia is related to gastritis.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Influenza like illness, Malaise, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: On March 11, 2009, I went in for a check-up, and referral for neurological evaluation and saw Dr. I had been previously ill since April 2005, and had begun to recover. Did describe to her my previous illnesses, and that seem to have a lot of issues with my immune system, and still tend to have reoccurring issues. She asked when my last tetanus shot was and I told her it had to been more than 15 years. And said it was time, and I told her that I was very sensitive to what seems to everything. She said given my immune system problem that is more reason to have one. Minutes later her nurse came in to give me the injection, and I still questioned it and had reservation, and she insisted on giving it to me because Dr. said so; I asked about giving half the dose, and replied could not. About three days later I started to experience my same old symptoms very fluish, and 3 days after that I broke out in unbearable itchy hives, starting from my feet all the way up my body ending at my neck, and then my feet blew up. Once this happened I called Dr's office and explained this to them, and spoke to an On Call Doctor, and delivered a message to Dr's office what had happened, and from thereafter received a returned call from nurse, this was not possible, and etc, and did nothing to help me. The hives were very hard to get rid of. I was rid of the hives in about 2 weeks, but was still feeling very ill once again, where I started to exhibit extreme fatigue, once again fluish symptoms, serious visual disturbances and hearing problems, my hearing felt like it was fading in and out; and the scariest part was heart symptoms, high blood pressure, abnormal ekg, & rapid heartbeat. Later on, did have an interruptions with my heart, I felt different and my heart started to beat. Went to immediate care, and wouldn't treat me because my heart symptoms were too serious, sent me to the hospital. I immediately put in the Cardiac Wing over the weekend; I was given medicine for my heart; And they just didn't understand my condition and wanted me to stay and could not. To this date, my blood pressure still fluctuates and my rapid heartbeat still remains a problem. At this time was working, and was doing my best to stay at my job, I have to say this itself caused the biggest disruption anyone should have to go through. I did finally recover somewhat; the fatigue I still have to fight, blood pressure, and rapid heartbeat, vision; it took approximately 1 year for me to recover to feeling somewhat normal, all because my reservations were not taken under consideration.. 6/4/09-records received for DOS 4/5/08-presented with substernal chest pain sharp in nature mild shortness of breath and mild abdominal pain and presented to urgent care center treated with nitro patch-similar episode several months prior with similar onset and resolution. Possibilty ischemia is related to gastritis.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Visual impairment
Clinical narrative: On March 11, 2009, I went in for a check-up, and referral for neurological evaluation and saw Dr. I had been previously ill since April 2005, and had begun to recover. Did describe to her my previous illnesses, and that seem to have a lot of issues with my immune system, and still tend to have reoccurring issues. She asked when my last tetanus shot was and I told her it had to been more than 15 years. And said it was time, and I told her that I was very sensitive to what seems to everything. She said given my immune system problem that is more reason to have one. Minutes later her nurse came in to give me the injection, and I still questioned it and had reservation, and she insisted on giving it to me because Dr. said so; I asked about giving half the dose, and replied could not. About three days later I started to experience my same old symptoms very fluish, and 3 days after that I broke out in unbearable itchy hives, starting from my feet all the way up my body ending at my neck, and then my feet blew up. Once this happened I called Dr's office and explained this to them, and spoke to an On Call Doctor, and delivered a message to Dr's office what had happened, and from thereafter received a returned call from nurse, this was not possible, and etc, and did nothing to help me. The hives were very hard to get rid of. I was rid of the hives in about 2 weeks, but was still feeling very ill once again, where I started to exhibit extreme fatigue, once again fluish symptoms, serious visual disturbances and hearing problems, my hearing felt like it was fading in and out; and the scariest part was heart symptoms, high blood pressure, abnormal ekg, & rapid heartbeat. Later on, did have an interruptions with my heart, I felt different and my heart started to beat. Went to immediate care, and wouldn't treat me because my heart symptoms were too serious, sent me to the hospital. I immediately put in the Cardiac Wing over the weekend; I was given medicine for my heart; And they just didn't understand my condition and wanted me to stay and could not. To this date, my blood pressure still fluctuates and my rapid heartbeat still remains a problem. At this time was working, and was doing my best to stay at my job, I have to say this itself caused the biggest disruption anyone should have to go through. I did finally recover somewhat; the fatigue I still have to fight, blood pressure, and rapid heartbeat, vision; it took approximately 1 year for me to recover to feeling somewhat normal, all because my reservations were not taken under consideration.. 6/4/09-records received for DOS 4/5/08-presented with substernal chest pain sharp in nature mild shortness of breath and mild abdominal pain and presented to urgent care center treated with nitro patch-similar episode several months prior with similar onset and resolution. Possibilty ischemia is related to gastritis.
Age: 70.0
Sex: M
Vaccine: TD
Symptoms: Chest pain, Echocardiogram, Electrocardiogram ambulatory, Flushing
Clinical narrative: Patient experienced chest pain and flushing. EKG was done. Pt felt better. Had subsequent ECHO and HOLTER and work up by cardiology.
Age: 38.0
Sex: M
Vaccine: HEPAB, YF
Symptoms: Injection site induration, Injection site pruritus, Injection site reaction, Injection site urticaria, Pyrexia
Clinical narrative: Patient was immunized with Yellow Fever vaccine and dose #2 of Twinrix (HepA/HepB) vaccine on 4/28/2009.  The patient reports that she developed a large whelp at the site of YF-VAX.  She reports a rash and that the area around the injection site became very hard. She reported that she used warm compresses at the site for 2 weeks, three times daily.  She also reports a "mild fever".  Today, 5/20/09 she reports to our clinic to notify us of the reaction. She appears to have a diffuse, patchy red rash on the dorsal portion of the arm from the elbow to just below the shoulder.  She states that the rash is larger than it was originally, but that overall she feels as though the reaction has subsided substantially from her original reaction.  Both vaccines were administerd in the right arm.  Given that this reaction occured a few weeks ago and that her only current physical symptoms are a mild rash and some occassional itching, we instructed the patient to take diphenhydramine 25 to 50 mg up to every 4 to 6 hours if needed for the itching.  She appeared in no apparent distress and palpation of the area revealed normal feeling tissue.
Age: 38.0
Sex: M
Vaccine: HEPAB, YF
Symptoms: Rash
Clinical narrative: Patient was immunized with Yellow Fever vaccine and dose #2 of Twinrix (HepA/HepB) vaccine on 4/28/2009.  The patient reports that she developed a large whelp at the site of YF-VAX.  She reports a rash and that the area around the injection site became very hard. She reported that she used warm compresses at the site for 2 weeks, three times daily.  She also reports a "mild fever".  Today, 5/20/09 she reports to our clinic to notify us of the reaction. She appears to have a diffuse, patchy red rash on the dorsal portion of the arm from the elbow to just below the shoulder.  She states that the rash is larger than it was originally, but that overall she feels as though the reaction has subsided substantially from her original reaction.  Both vaccines were administerd in the right arm.  Given that this reaction occured a few weeks ago and that her only current physical symptoms are a mild rash and some occassional itching, we instructed the patient to take diphenhydramine 25 to 50 mg up to every 4 to 6 hours if needed for the itching.  She appeared in no apparent distress and palpation of the area revealed normal feeling tissue.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Large hot red spot at injection site; size of baseball; red area is hard; Provided Motrin and Tylenol as has had a fever since date of shot (Monday, May 18); Returning to physician on Wednesday, May 20.  Believe that the dose of DTAP is given too soon and should be given at age 6.  Daughter is 4 years old and the site looks awful - does not look like it is a healthy reaction.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patient described a tightness in chest with difficulty breathing within 5 minutes of getting the vaccine.  Patient was given an injection of epinephrine sub-q and 911 was called.  She was transported to Hospital where she still remains as of today, 5/20/2009.  6/4/09 Hospital records received DOS 5/18/09 to 5/21/09. FINAL DIAGNOSIS: Anaphylactic reaction with recurrent symptoms. Post vaccination developed chest tightness and difficulty in breathing. Given epinephrine. Difficulty in breathing recurred while being transported to hospital. Again given epinephrine and Benadryl. Hot flashes. At hospital given: Steroids, Benadryl, Pepcid IV. Xanax.  9/17/09 ICD-9 Codes: 999.4 Anaphylactic shock due to serum, 401.9 Essential hypertension unspecified, 722.6 Degeneration of unspecified intervertebral disc, 272.4 Other hyperlipidemia, 300.4 Dysthymic disorder, 443.9 Peripheral vascular disease, V58.63 Long-term (current) use of antiplatelets/antithrombotics, V10.3 History of breast cancer, E849.7 Injury or poisoning in residential institution, E9499 Adverse effect of other and unspecified vaccine and biological substances. \ksk
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: 12-24 hours after injection, patient developed red, inflamed, warm to the touch, 2" radius reaction at injection site. 48 hours after injection site not as painful.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 12-24 hours after injection, patient developed red, inflamed, warm to the touch, 2" radius reaction at injection site. 48 hours after injection site not as painful.
Age: 0.33
Sex: M
Vaccine: HIBV, PNC, RV5, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: na
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: C/O OF ARM NUMBNESS AFTER RECEIVING VACCINATIONS, THEN 2.5 MINUTES AFTER C/O BECOMING LIGHTHEADED AND DIZZY
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Patient recieved smallpox vaccine that was reconstituted with sterile water instead of 50% glycerin, and 0.25% phenol in Sterile Water. Patient does not have any adverse reaction site looks within normal limits.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Lip oedema, Pruritus, Swelling face, Urticaria
Clinical narrative: Hepatitis B Vaccine, Dose 2 administered on 5/18/09 @ 3 PM.  On 5/19/09 upon awakening in morning, patient describes itching hives over upper chest, shoulders & upper arms, with edema of lips, and Rt side of face.  Takes Zyrtec for seasonal pollen allergies which he took.  Reported to facility on 5/20/09 at 2:45 PM to report signs & symptoms, which had dimished at this time.  Will continue Zyrtec today and tomorrow and see company M.D. on 5/21/09.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Sensation of heaviness
Clinical narrative: S+O;WALKIN;CC swelling and redness left upper arm;site of the pneumonia shot ;was given 11/12/08 in clinic. The patient return here 11/13/08 arm feels heavy,is red and itching;ROM  of both elbows and left shoulder WNL; no injury. The patient did scratch because of itching.  There was no CP;no SOB;no GI COMPLAINT. The record temperature 11/12/08 was 98.9 and the temperature record 11/13/08 was 99.1 The patient was treated with Benadryl 25mg bid prn itching 7 day supply qty 14 0 refills and moist heat to the affect shoulder. The patient did not decline admission for observation.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Eye infection, Herpes simplex
Clinical narrative: Developed herpes simplex in the eye, April, 2009. Was treated by Dr. for it.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pruritus, Vaccination complication
Clinical narrative: Despite have no known allergies (especially neomycin or gelatin which are contraindications for Zostavax) patient had a significant reaction to shingles vaccination. Within 24 hours intense itching and redness which progressed to swelling down to the elbow. By 72 hours after vaccination, she was also experiencing hand swelling on the same arm. No breathing problems or systemic reaction. From patients account it was limited to the left arm which was the arm in which the vaccine was administered. No ER visit necessary, but patient did need to see primary care doctor who prescribed oral benadryl over-the-counter and an antibiotic. (Cephalexin 500mg po. BID x 7 days)
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV, RV5
Symptoms: Opisthotonus, Screaming, Staring, Tremor
Clinical narrative: DEVELOPED HIGH-PITCHED SCREAMING WHEN LAYED DOWN, ARCHING OF BACK TREMOR AND OPEN, GLAZED EYES WITHIN AN HOUR OF FIRST IMMUNIZATIONS. THESE SYMPTOMS LASTED ABOUT A WEEK BUT TOOK ABOUT 3 WEEKS TO GET BACK TO NORMAL.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: Seizure requiring 2 doses of IV medication. 6/29/09 Hospital ER records received DOS 6/17/09. Assessment: Second afebrile seizure. Patient presents with generalized convulsion. Post Diastat no acute findings. To follow up with PCP. Pedi neuro consult locally.
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, RV5
Symptoms: Gaze palsy, Heart rate increased, Immediate post-injection reaction, Injection site erythema, Musculoskeletal stiffness
Clinical narrative: At 1150 injection administered. Immediately after PEDIARIX given body stiffened, eyes rolled back in head and stopped breathing x 2-3 seconds. Redness started within 30 seconds after administering injection around injection site. I witnessed stiffened body and redness around injection site. I immediately went and got doctor after episode and Dr - we checked pulse 145 and Pulse Ox 100% immediately following reaction at 1155. I administered 1/2 tsp MILLIPRED at 1200 and at 1205 administered TYLENOL 3/4 tsp as advised by doctor, we monitored patient x 30 minutes in office. By the time she left at 1140 redness around injection site gone. Had reached 15 cm.
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, RV5
Symptoms: Respiratory arrest
Clinical narrative: At 1150 injection administered. Immediately after PEDIARIX given body stiffened, eyes rolled back in head and stopped breathing x 2-3 seconds. Redness started within 30 seconds after administering injection around injection site. I witnessed stiffened body and redness around injection site. I immediately went and got doctor after episode and Dr - we checked pulse 145 and Pulse Ox 100% immediately following reaction at 1155. I administered 1/2 tsp MILLIPRED at 1200 and at 1205 administered TYLENOL 3/4 tsp as advised by doctor, we monitored patient x 30 minutes in office. By the time she left at 1140 redness around injection site gone. Had reached 15 cm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid swollen, hard, hot & red where vaccine given.  6 cm / 5 1/2 cm.  Circ. 23 cm.
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Myalgia, Pyrexia, Sinusitis
Clinical narrative: Fever, chills, muscle aches.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 0.76
Sex: M
Vaccine: HIBV
Symptoms: Rash generalised
Clinical narrative: Rash on face, trunk and extremities
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, VARCEL
Symptoms: Dizziness, Muscular weakness
Clinical narrative: 15-20 minutes after vaccine administered Pt began c/o dizziness and weakness in upper extremities. Pt. then began c/o weakness in lower extremities. Pt examined by Dr. . 911 called and ambulance requested. Pt still c/o of weakness and dizziness. Pt A/O x3 with equal strength bilat. Pt transferred to medical center via ambulance. 6/5/09-records received for DOS 5/19/09 began to cry and felt dizzy and hot unable to lift left hand. Required time to calm her down, neuro exam within normal limits, and moving all extremities well. Family history of WPW syndrome. 5/26/09 ED records received DOS 5/19/09. PRIMARY DIAGNOSIS: Vasovagal reaction to an immunization. Presented with dizziness and weakness 18-20 minutes post vaccination. Anxious, abdominal guarding. Tingling left leg and right arm.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, VARCEL
Symptoms: Dyspnoea, Hypoaesthesia, Injection site swelling, Paraesthesia
Clinical narrative: 15-20 minutes after vaccine administered Pt began c/o dizziness and weakness in upper extremities. Pt. then began c/o weakness in lower extremities. Pt examined by Dr. . 911 called and ambulance requested. Pt still c/o of weakness and dizziness. Pt A/O x3 with equal strength bilat. Pt transferred to medical center via ambulance. 6/5/09-records received for DOS 5/19/09 began to cry and felt dizzy and hot unable to lift left hand. Required time to calm her down, neuro exam within normal limits, and moving all extremities well. Family history of WPW syndrome. 5/26/09 ED records received DOS 5/19/09. PRIMARY DIAGNOSIS: Vasovagal reaction to an immunization. Presented with dizziness and weakness 18-20 minutes post vaccination. Anxious, abdominal guarding. Tingling left leg and right arm.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Oedema peripheral, Vomiting
Clinical narrative: Vomiting- (R) arm- swollen, unable to move.  Numbness in fingers, swollen hand.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Dizziness, Electroencephalogram, Gaze palsy, Opisthotonus, Salivary hypersecretion
Clinical narrative: Pt felt faint after receiving ADACEL, MENACTRA and GARDASIL. She then became opisthotonic, began salivating, eyes rolled back. Episode lasted about 15 sec. Pt c/o not being able to see. She recovered completely. Vision normalized. 11/02/02 Medical record received for DOS 06/15/09.  Neuro visit. Patient passed out s/p vaccines. Brief dizziness before. Diaphoretic after. Pale. No postictal confusion. Nausea/dizziness x1hr after. One or two arm/leg jerks in phase. No rhythmic jerking. No pain. PE wnl. Neuro exam wnl. EEG abnormal but not relevant. Syncopal episode.  11/4/09 Medical records received for date 6/15/09. Neuro consult. DX: syncope. Presenting SX: episodes of passing out following vax, menactra, hepatitis, gardasil. Pt recalls brief dizziness prior to passing out, after passing out pt. states (+)sweating, (+)pale, (+)nausea and dizziness after episode. Parent witnessed 1 or 2 jerks of arms and legs in phase.  Assessment: PE WNL, EEG abnormal, showed some sharp waves in the left temporal region.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Visual impairment
Clinical narrative: Pt felt faint after receiving ADACEL, MENACTRA and GARDASIL. She then became opisthotonic, began salivating, eyes rolled back. Episode lasted about 15 sec. Pt c/o not being able to see. She recovered completely. Vision normalized. 11/02/02 Medical record received for DOS 06/15/09.  Neuro visit. Patient passed out s/p vaccines. Brief dizziness before. Diaphoretic after. Pale. No postictal confusion. Nausea/dizziness x1hr after. One or two arm/leg jerks in phase. No rhythmic jerking. No pain. PE wnl. Neuro exam wnl. EEG abnormal but not relevant. Syncopal episode.  11/4/09 Medical records received for date 6/15/09. Neuro consult. DX: syncope. Presenting SX: episodes of passing out following vax, menactra, hepatitis, gardasil. Pt recalls brief dizziness prior to passing out, after passing out pt. states (+)sweating, (+)pale, (+)nausea and dizziness after episode. Parent witnessed 1 or 2 jerks of arms and legs in phase.  Assessment: PE WNL, EEG abnormal, showed some sharp waves in the left temporal region.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Pt felt faint after receiving ADACEL, MENACTRA and GARDASIL. She then became opisthotonic, began salivating, eyes rolled back. Episode lasted about 15 sec. Pt c/o not being able to see. She recovered completely. Vision normalized. 11/02/02 Medical record received for DOS 06/15/09.  Neuro visit. Patient passed out s/p vaccines. Brief dizziness before. Diaphoretic after. Pale. No postictal confusion. Nausea/dizziness x1hr after. One or two arm/leg jerks in phase. No rhythmic jerking. No pain. PE wnl. Neuro exam wnl. EEG abnormal but not relevant. Syncopal episode.  11/4/09 Medical records received for date 6/15/09. Neuro consult. DX: syncope. Presenting SX: episodes of passing out following vax, menactra, hepatitis, gardasil. Pt recalls brief dizziness prior to passing out, after passing out pt. states (+)sweating, (+)pale, (+)nausea and dizziness after episode. Parent witnessed 1 or 2 jerks of arms and legs in phase.  Assessment: PE WNL, EEG abnormal, showed some sharp waves in the left temporal region.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Blood glucose normal, Decreased appetite, Eyelid oedema, Heart rate normal, Respiratory rate
Clinical narrative: Sleepy, Swollen, Eye lid, decreased appetite.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Somnolence
Clinical narrative: Sleepy, Swollen, Eye lid, decreased appetite.
Age: 21.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Polymerase chain reaction, Secondary transmission, Skin lesion, Vaccinia, Vaginal lesion
Clinical narrative: Husband vaccinated with SPV around 09 Apr 09, approx 24 Apr wife developed a lesion near her eye, her arm and multiple lesions on vaginal area.  Did seek medical attention;  given abx and pain meds, cultures + Vaccinia PCR.  Spoke with pt 20 May.  Lesions completely cleared.  Denies scarring.
Age: 21.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Culture, Infection transmission via personal contact, Polymerase chain reaction, Skin lesion, Vaccinia test positive
Clinical narrative: Husband vaccinated with SPV around 09 Apr 09, approx 24 Apr wife developed a lesion near her eye, her arm and multiple lesions on vaginal area.  Did seek medical attention;  given abx and pain meds, cultures + Vaccinia PCR.  Spoke with pt 20 May.  Lesions completely cleared.  Denies scarring.
Age: 21.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Vaginal lesion
Clinical narrative: Husband vaccinated with SPV around 09 Apr 09, approx 24 Apr wife developed a lesion near her eye, her arm and multiple lesions on vaginal area.  Did seek medical attention;  given abx and pain meds, cultures + Vaccinia PCR.  Spoke with pt 20 May.  Lesions completely cleared.  Denies scarring.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: L arm 2x2 in erythema edema and pruritic sx. 5/10/09.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema
Clinical narrative: 1 d post vaccine onset redness @ vaccine site
Age: 66.0
Sex: F
Vaccine: PPV, TD
Clinical narrative: Cellulitis R upper extremity treated with oral LEVAQUIN.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Otitis media, Rash generalised, Varicella
Clinical narrative: - Febrile illness. - Generalized skin rash (topical chicken pox rash). - Bilateral Otitis Media.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Urticaria
Clinical narrative: Description: the day after receiving his first anthrax shot, SM developed hives and was seen at the local ER x2 because hives did not resolve despite treatment. Symptom: Hives Start: 09/30/2007. Symptom: Joint Pain, multiple joints Start: 10/04/2007.
Age: 29.0
Sex: M
Vaccine: HEP, SMALL, TYP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 29 y/o Hispanic male, PVT, ADSM reports eruption of skin skin rash some 3 weeks after his receipt of primary SPV and TYPHOID vaccines.  Symptoms:  Hives, Rash, diffuse, Pruritus.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3.5 cm x 5 cm slightly tender red swelling on the left thigh.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Rash papular
Clinical narrative: 5/1/09 - Vaccine administered - no adverse event during 15 min wait. 5/6/09 -Courtesy call follow-up - Pt reports rash and bumps under right breast and back - using hydrocortisone since 5/2/09. Pharmacist referred pt to her doctor (encouraged appt.). 5/20/09 - Courtesy call follow-up - conf. shingles by physician and was treated per pt.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right leg red, warm, and swollen crying uncontrollably
Sex: F
Vaccine: VARCEL
Symptoms: Confusional state, Fatigue, Parapsoriasis, Photosensitivity reaction
Clinical narrative: Information has been received regarding a case in litigation concerning a female who on 12-AUG-2003 was vaccinated with a dose of VARIVAX (Oka/Merck), according to the stipulation. The patient reported pityriasis lichenoides set in around 29-AUG-2003, followed by fatigue, confusion, photosensitivity and depression. The stipulation contains no further information about the petitioner or her alleged injury, but the Library describes pityriasis lichenoides as a "Subgroup of parapsoriasis itself divided into acute and chronic forms. The acute form is characterized by the abrupt onset of a generalized, reddish-brown, maculopapular eruption. Lesions may be vesicular, hemorrhagic, crusted or necrotic. Historically the disease is characterized by epidermal necrolysis. The chronic form shows milder skin changes with necrosis". No further information is available. All medical records will be provided upon request.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Anaphylactic reaction
Clinical narrative: Information has been received from a physician concerning a 36 month old male with an allergy to REGLAN who on 30-MAR-2007 was vaccinated with a first 0.5 ml subcutaneous dose of VARIVAX (Oka/Merck) (lot# "0335F'). On 30-MAR-2007 approximately 20 minutes post vaccination the patient experienced an anaphylactic reaction. He was treated with EPI-PEN in the office. He was stabilized and taken to an emergency department. Additional treatment in the emergency department included BENADRYL, and prednisone. He was treated and released from the emergency department. On an unspecified date, he had fully recovered. A product quality complaint was not reported. Additional information has been requested.
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Information has been received from a mother concerning her approximately 36 month old son with penicillin allergy and no pertinent medical history who in "summer 2007" was vaccinated with the first dose of VARIVAX 0.5 ml subcutaneously. There was no concomitant medication. At the same day, the patient experienced a rash after getting VARIVAX. The patient recovered from the rash on the same day. Unspecified medical attention was sought. No further information is available.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site abscess sterile, Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a 12 month old female who on 04-FEB-2008 at 10:00 am was vaccinated subcutaneously with a dose of VARIVAX (Merck) (lot# 659693/17660).  Concomitant vaccination given on the same day included a dose of PREVNAR (Lot # B54016D), IM.  On 13-FEB-2008 the patient presented to our office complaining of redness, swelling and a palpable lump that was warm to touch.  She was diagnosed with a sterile abscess and treated with BACTRIM pediatric suspension, PO for 10 days.  Subsequently, the patient recovered from redness, swelling and palpable lump that was warm to touch.  The patient's sibling experienced sterile abscess at the age of 12 months after vaccinated with varicella virus vaccine live (unspecified) (manufacturer unknown).  No further information is available.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Incorrect route of drug administration, Injection site erythema
Clinical narrative: Information has been received from a registered nurse concerning a 17 year old male student with penicillin allergy who on 18-MAR-2008 was vaccinated intramuscular into the right arm with VARIVAX (Oka/Merck) (Lot # 659117/1364U). Concomitant therapy included ADACEL intramuscular into the right arm and MENACTRA intramuscular into the left arm. On 18-MAR-2008 after administering the vaccines the patient's left forearm became slightly reddened and right deltoid became slightly reddened. A physician assessed the sites. Patient remained in the office for 30 minutes post vaccines. Injection site became less reddened and patient was sent home and recovered.
Age: 4.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a consumer concerning her 4 year old son with a history of being "diagnosed with aluminum poisoning and becoming slightly autistic for a short period of time" after receiving PREVNAR and diphtheria toxoid (+) tetanus toxoid "d DT" (manufacturer unknown) who about two and a half years ago, in approximately 2005 was vaccinated with the first dose of VARIVAX (Oka/Merck).  Concomitant vaccine therapy included MMR II and RECOMBIVAX HB (manufacturer unknown).  "About one week", on approximately 18-MAR-2008 the patient was diagnosed with shingles in same leg where her received VARIVAX (Oka/Merck) two and a half years ago.  The consumer noted that she was unsure if it is the same specific virus strain as from VARIVAX (Oka/Merck).  At the time of reporting the patient had not yet recovered.  Unspecified medical attention was sought.  There was no product quality complaint.  VZV information was sent to the nurse from the physician's office, in response to her telephone request.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Information has been received from a physician concerning a 10-year-old white female with no pre-existing allergies, birth defects or medical conditions who on 27-MAR-2008 at 19:00 p.m. was vaccinated subcutaneously in the left upper arm with a second dose of VARICELLA virus vaccine live (Oka/Merck) (lot # 657755/0783U).  There was no illness at the time of vaccination.  On 28-MAR-2008 at 17:00 p.m. the patient developed redness, edema and warmth at the injection site about 2 inches in diameter.  The patient was seen at a physician's office and no laboratory or diagnostic tests were performed.  Subsequently, the patient recovered on 03-APR-2008.  Additional information is not expected.
Age: 9.0
Sex: U
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Information has been received from a nurse practitioner and consumer concerning a patient who in March 2008, was vaccinated with a dose of VARIVAX vaccine (Oka/Merck). After administration at that same time, the patient developed a swollen, red and sore arm. It was unknown whether medical attention was sought. The outcome was unknown. There was no product quality complaint. Follow up information was from a health professional reported a 10 year old patient who on 01-APR-2008 was vaccinated with a second dose of VARIVAX vaccine (Oka/Merck) (lot # 659944/1796U) in right upper arm. On 02-APR-2008 the patient developed 5 cm by 3.5 cm erythema and 11cm by 10 cm lighten erythema which was warm to touch. At the time of report, no outcome was reported. Follow up information was received from a health professional indicating that the outcome was unknown, the patient did not come back to the office. Additional information is not expected. This is one of several reports from the same source.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a consumer concerning her 5 year old grandson with no pertinent medical history and no drug reactions/allergies who on 22-MAR-2004 and 01-APR-2008 was vaccinated with first and second doses of VARICELLA virus vaccine live (Oka/Merck) in the right upper arm (lot number: 659944/1796U).  Suspect therapy included MMR II (lot # 656616/0871U).  On 02-APR-2008 the patient developed a 8 1/2 cm X 9 cm erythema - tender right back upper arm (previously reported as swollen-arm) after receiving his second dose of the vaccine.  The patient's arm was swollen, red and sore from the elbow to the mid-arm.  The consumer did not specify which arm, but it was the same arm the child was administered the vaccine.  The patient was examined by a nurse practitioner and prescribed AUGMENTIN.  No further information was available.  There was no lab diagnostic studies performed.  There was no illness at time of vaccination.  Unspecified medical attention was sought, at an office visit.  The outcome was reported as recovered.  There was no product quality complaint.  Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a consumer concerning her 5 year old grandson with no pertinent medical history and no drug reactions/allergies who on 22-MAR-2004 and 01-APR-2008 was vaccinated with first and second doses of VARICELLA virus vaccine live (Oka/Merck) in the right upper arm (lot number: 659944/1796U).  Suspect therapy included MMR II (lot # 656616/0871U).  On 02-APR-2008 the patient developed a 8 1/2 cm X 9 cm erythema - tender right back upper arm (previously reported as swollen-arm) after receiving his second dose of the vaccine.  The patient's arm was swollen, red and sore from the elbow to the mid-arm.  The consumer did not specify which arm, but it was the same arm the child was administered the vaccine.  The patient was examined by a nurse practitioner and prescribed AUGMENTIN.  No further information was available.  There was no lab diagnostic studies performed.  There was no illness at time of vaccination.  Unspecified medical attention was sought, at an office visit.  The outcome was reported as recovered.  There was no product quality complaint.  Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a 5 year old male who on 01-APR-2008 was vaccinated subcutaneously with 0.5 ml of VARIVAX. On 01-APR-2008, several hours post vaccination, the patient developed a 8.5 cm x 9 cm area of redness at the injection site, along with swelling and tenderness. It was noted that medical attention was sought, which included the patient being seen for an office visit. At the time of reporting the patient was recovering. There was no product quality complaint. Information has been received from a nurse concerning a 5 year old  male who on 22-MAR-2004 was vaccinated SQ into the right upper arm with a first dose of VARIVAX. On 01-APR-2008 the patient was vaccinated with the second dose of VARIVAX (Lot # 659944/1796U), subcutaneously in the right arm. On 02-APR-2008, the patient developed 8.5 cm x 9 cm area of erythema-tender right back upper arm. On unspecified date the patient recovered. No further information is available. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a 5 year old male who on 01-APR-2008 was vaccinated subcutaneously with 0.5 ml of VARIVAX. On 01-APR-2008, several hours post vaccination, the patient developed a 8.5 cm x 9 cm area of redness at the injection site, along with swelling and tenderness. It was noted that medical attention was sought, which included the patient being seen for an office visit. At the time of reporting the patient was recovering. There was no product quality complaint. Information has been received from a nurse concerning a 5 year old  male who on 22-MAR-2004 was vaccinated SQ into the right upper arm with a first dose of VARIVAX. On 01-APR-2008 the patient was vaccinated with the second dose of VARIVAX (Lot # 659944/1796U), subcutaneously in the right arm. On 02-APR-2008, the patient developed 8.5 cm x 9 cm area of erythema-tender right back upper arm. On unspecified date the patient recovered. No further information is available. Additional information is not expected.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a registered nurse concerning a 9 year old female with no pertinent medical history and no drug reactions/allergies, who on 24-AUG-2000 was vaccinated SC with a first 0.5 mL dose of VARIVAX. Concomitant therapy included (Ciprodex Otic). On 27-MAR-2008 the patient was vaccinated SC in the left arm with a second dose of VARIVAX (lot number: 659944/1796U). On 28-MAR-2008 the patient developed erythema, edema, tenderness, soreness, swelling and warmth at the site of injection after administration of second dose of the vaccine. The erythema and swelling at the injection site spread to 10 cm by 8 cm. The patient was started on Augmentin 875 mg bid 10 days. On 29-MAR-2008 cellulitis was improving. No further information was available. Illness at the time of vaccination was 1 OM. There were no lab diagnostic studies performed. Unspecified medical attention was sought through an office visit. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: No reaction on previous exposure to drug
Clinical narrative: Information has been received from a registered nurse concerning a 9 year old female with no pertinent medical history and no drug reactions/allergies, who on 24-AUG-2000 was vaccinated SC with a first 0.5 mL dose of VARIVAX. Concomitant therapy included (Ciprodex Otic). On 27-MAR-2008 the patient was vaccinated SC in the left arm with a second dose of VARIVAX (lot number: 659944/1796U). On 28-MAR-2008 the patient developed erythema, edema, tenderness, soreness, swelling and warmth at the site of injection after administration of second dose of the vaccine. The erythema and swelling at the injection site spread to 10 cm by 8 cm. The patient was started on Augmentin 875 mg bid 10 days. On 29-MAR-2008 cellulitis was improving. No further information was available. Illness at the time of vaccination was 1 OM. There were no lab diagnostic studies performed. Unspecified medical attention was sought through an office visit. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Discomfort, Ecchymosis, Pyrexia, Swelling
Clinical narrative: Information has been received from a health professional concerning an 18 year old male student, with no pertinent medical history, drug reactions or allergies who on 27-FEB-2008 vaccinated subcutaneously into the left arm with a first dose of VARIVAX vaccine (Oka/Merck) (lot # 658967/1521U). On 31 MAR 2008 the patient reported to student health for a second dose of VARIVAX vaccine (Oka/Merck), at which time the patient reported that on 27-FEB-2008 had developed a low grade fever, ecchymosis, swelling and a generalized feeling of discomfort, which persisted over a two week period. The patient reported that he was completely recovered. There was no illness at the time of the vaccination, nor any history of prior adverse events following previous vaccinations. No lab diagnostic studies were performed. It was noted that the second dose of VARIVAX vaccine (Oka/Merck) was not given on 31 MAR 2008. Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received form a registered nurse concerning a 17 year old female who on approximately 07-APR-2008 was vaccinated with a 0.5 ml dose of VARIVAX vaccine (Oka/Merck) (lot # 660057/1806U). Concomitant vaccination included the first dose of GARDASIL vaccine in the left deltoid (lot # 659182/1757U) and the first dose of HAVRIX in the right deltoid. Other concomitant therapy included YAZ. On approximately 07-APR-2008 the patient experienced a severe red raised area at the injection site after receiving VARIVAX vaccine (Oka/Merck) (lot # 660057/1806U). Unspecified medical attention was sought, it was unspecified if lab studies were performed. The patient's outcome was unknown. There was no product quality complaint involved. Additional information has been requested. This is one of several reports from the same source.