chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEP, HEPA, SMALL
Symptoms: Colitis, Computerised tomogram abdomen abnormal, Diarrhoea, Full blood count abnormal, Gastroenteritis
Clinical narrative: Healthy 24 year old preparing for deployment. Symptom onset on 31 Oct 2007 (within 24 hours post-vaccinations: Pan at AVA vaccination site, nausea, diarrhea (every time he ate it 'went through' him). Presenting complaint to Clinic on day 16 post-vaccination: 2 week history of abdominal cramping and diarrhea. Diagnosed as gastroenteritis and treated with IVFs, Bentyl, Lomotil, Acidophilus. Temporarily felt better after taking meds, but symptoms returned after 2-3 hours. Admitted to hospital with Diagnosis: Infectious Colitis secondary to C. diff, LUE. Admission date: 26 Nov 2007, Discharge Date: 18 Dec 2007. Upon discharge, symptoms had improved but not completely resolved. Worsened in early Jan and patient re-admitted on 5 Jan with discharge on 5 Feb. Working dx is inflammatory bowel disease and pt was discharged on oral steroids.  3/7/08 Received hospital medical records for 11/26-12/18/2007 admission which reveal: FINAL DX: infectious collitis secondary to c. difficile secondary to debilitated immunity; RUE thrombophlebitis. HPI: Patient experienced bloody diarrhea x 1 mo w/pain & abdominal cramping.  Patient passed out & came to ER.  Tx w/IVF, IV & oralantibiotics.  GI & ID consults done.  PICC line inserted for IV/TPN nutrition but removed due to basilic vein thrombophlebitis.  Gradually improved & d/c to home w/GI clinic f/u. 1/20/2010 SCE ECDE rolo with Biopsy ripoas -FBS 09 02/05/2010 Diagnosed with Ulcerative Colitis.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEP, HEPA, SMALL
Symptoms: Inflammatory bowel disease, Injection site pain, Nausea
Clinical narrative: Healthy 24 year old preparing for deployment. Symptom onset on 31 Oct 2007 (within 24 hours post-vaccinations: Pan at AVA vaccination site, nausea, diarrhea (every time he ate it 'went through' him). Presenting complaint to Clinic on day 16 post-vaccination: 2 week history of abdominal cramping and diarrhea. Diagnosed as gastroenteritis and treated with IVFs, Bentyl, Lomotil, Acidophilus. Temporarily felt better after taking meds, but symptoms returned after 2-3 hours. Admitted to hospital with Diagnosis: Infectious Colitis secondary to C. diff, LUE. Admission date: 26 Nov 2007, Discharge Date: 18 Dec 2007. Upon discharge, symptoms had improved but not completely resolved. Worsened in early Jan and patient re-admitted on 5 Jan with discharge on 5 Feb. Working dx is inflammatory bowel disease and pt was discharged on oral steroids.  3/7/08 Received hospital medical records for 11/26-12/18/2007 admission which reveal: FINAL DX: infectious collitis secondary to c. difficile secondary to debilitated immunity; RUE thrombophlebitis. HPI: Patient experienced bloody diarrhea x 1 mo w/pain & abdominal cramping.  Patient passed out & came to ER.  Tx w/IVF, IV & oralantibiotics.  GI & ID consults done.  PICC line inserted for IV/TPN nutrition but removed due to basilic vein thrombophlebitis.  Gradually improved & d/c to home w/GI clinic f/u. 1/20/2010 SCE ECDE rolo with Biopsy ripoas -FBS 09 02/05/2010 Diagnosed with Ulcerative Colitis.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Craniotomy, Demyelination, Diplegia, Leukoencephalomyelitis, Multiple sclerosis
Clinical narrative: Paralysis of R leg secondary to demyelination lesion in L frontal lobes.  ADEM vs. early multiple sclerosis.  5/7/2008 MR received for DOS 1/08-12/2008 with Final DX: ADEM vs MS.   Pt presented to ER with R lower extremity weakness.  5 days prior to admission pt c/o h/a and sore throat which resolved. Two days later pt had several episodes of falling,the R calf felt heavy, and pt began dragging the R foot while walking.  PE (+) for decreased reflexes of the R ankle and bilateral patellar.  Decresed strength on R. Tx with prednisone taper. 3/31/2008 F/U Neurosurgery visit of 1/18/2008 received.  Pt doing well in f/u for stereotactic biopsy of a parietal mass which was noted to be a demyelinating disease on bx. Pt still has some weakness of the R lower extremities (toes and with dorsiflexion) and with tandem heel-toe walking.  otherwise exam WNL. 02/06/2010 Still some weakness in right leg.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Nervous system disorder
Clinical narrative: Paralysis of R leg secondary to demyelination lesion in L frontal lobes.  ADEM vs. early multiple sclerosis.  5/7/2008 MR received for DOS 1/08-12/2008 with Final DX: ADEM vs MS.   Pt presented to ER with R lower extremity weakness.  5 days prior to admission pt c/o h/a and sore throat which resolved. Two days later pt had several episodes of falling,the R calf felt heavy, and pt began dragging the R foot while walking.  PE (+) for decreased reflexes of the R ankle and bilateral patellar.  Decresed strength on R. Tx with prednisone taper. 3/31/2008 F/U Neurosurgery visit of 1/18/2008 received.  Pt doing well in f/u for stereotactic biopsy of a parietal mass which was noted to be a demyelinating disease on bx. Pt still has some weakness of the R lower extremities (toes and with dorsiflexion) and with tandem heel-toe walking.  otherwise exam WNL. 02/06/2010 Still some weakness in right leg.
Age: 27.0
Sex: M
Vaccine: FLUN3
Symptoms: Ankle operation, Balance disorder, Coordination abnormal, Decreased appetite, Diplopia
Clinical narrative: On 11 Dec 07, pt noted onset of lightheadedness and feeling of being mildly 'off-balance' while walking.  No flu-like or viral-type symptoms.  No pain.  Over the next few days, pt developed blurry vision most pronounced with reading and far-->near vision.  He numerous discrete episodes of vertigo.  Symptoms progressed to 'wobbly' walking where he could not walk independently.  At that time, he also noted decreased appetite, softening of his voice, slowing of speech, diplopia and incoordination with involuntary movements.  Admitted to medical center for 1 1/2 weeks with some symptom improvement after IV steroids, PT, OT and speech therapy.  Transferred to medical center on 1 Jan and given presumptive diagnosis of brainstem encephalitis.  (Discharged on 24 Jan after continued improvement of symptoms.  (Could walk with 4-point cane, no diplopia up to 100 m, but still images at long distances continued to demonstrate horizontal diplopia.  Having facial contractions.)  Re-admitted to medical center on 2/15/08 for IVIG x5 days after noted MRI changes (presumed ADEM).  Discharged on 2/19/08 with follow up in OT, PT, speech therapy and Neurology.  04/01/08 Reviewed Clinical summary of 2/22/08 & medical records. Admitted 12/20/2007-1/24/08.  Readmitted 2/15-2/19/08.  FINAL DX: cerebellitis; acute disseminated encephalomyelitis Records reveal patient had received vax in past w/o problems.  Patient experienced lightheadedness, feeling off balance, unable to walk, blurry vision, diplopia, vertigo, dysarthria, ataxia, involuntary movements, weakness, decreased appetite beginning approx 28days s/p vax.  Initially seen in clinic & dx w/viral illness.  Continued to worsen & was admitted overseas & transferred to US.  Tx w/IV steroids, PT/OT/ST.  Neuro consult done.  LP done.  D/C to home, wheelchair bound.  Outpt MRI revealed ADEM changes & was readmitted.  On second admission, tx w/IVIG. Vision & balance improved dramatically.  Using only cane since 2/29/08.  To continue outpatient PT/OT & neuro clinic f/u. Annual Follow-up Information 27-FEB-2009: Continue OT and vocational therapy. 2/09 Neuropathy testing - Generally normal. Did not meet criteria for cognitive disorder. 9/08 MRI (results enclosed). Has had L ankle surgery to correct gait. Was diagnosed with mild sleep apnea. Medical disability board pending (submitted in Dec 2008). Follow-up Information 02-MAY-2008: Continues PT and OT. See Neuro note dated 4/16/08.
Age: 27.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Dyskinesia, Dysphonia, Electromyogram abnormal, Encephalitis
Clinical narrative: On 11 Dec 07, pt noted onset of lightheadedness and feeling of being mildly 'off-balance' while walking.  No flu-like or viral-type symptoms.  No pain.  Over the next few days, pt developed blurry vision most pronounced with reading and far-->near vision.  He numerous discrete episodes of vertigo.  Symptoms progressed to 'wobbly' walking where he could not walk independently.  At that time, he also noted decreased appetite, softening of his voice, slowing of speech, diplopia and incoordination with involuntary movements.  Admitted to medical center for 1 1/2 weeks with some symptom improvement after IV steroids, PT, OT and speech therapy.  Transferred to medical center on 1 Jan and given presumptive diagnosis of brainstem encephalitis.  (Discharged on 24 Jan after continued improvement of symptoms.  (Could walk with 4-point cane, no diplopia up to 100 m, but still images at long distances continued to demonstrate horizontal diplopia.  Having facial contractions.)  Re-admitted to medical center on 2/15/08 for IVIG x5 days after noted MRI changes (presumed ADEM).  Discharged on 2/19/08 with follow up in OT, PT, speech therapy and Neurology.  04/01/08 Reviewed Clinical summary of 2/22/08 & medical records. Admitted 12/20/2007-1/24/08.  Readmitted 2/15-2/19/08.  FINAL DX: cerebellitis; acute disseminated encephalomyelitis Records reveal patient had received vax in past w/o problems.  Patient experienced lightheadedness, feeling off balance, unable to walk, blurry vision, diplopia, vertigo, dysarthria, ataxia, involuntary movements, weakness, decreased appetite beginning approx 28days s/p vax.  Initially seen in clinic & dx w/viral illness.  Continued to worsen & was admitted overseas & transferred to US.  Tx w/IV steroids, PT/OT/ST.  Neuro consult done.  LP done.  D/C to home, wheelchair bound.  Outpt MRI revealed ADEM changes & was readmitted.  On second admission, tx w/IVIG. Vision & balance improved dramatically.  Using only cane since 2/29/08.  To continue outpatient PT/OT & neuro clinic f/u. Annual Follow-up Information 27-FEB-2009: Continue OT and vocational therapy. 2/09 Neuropathy testing - Generally normal. Did not meet criteria for cognitive disorder. 9/08 MRI (results enclosed). Has had L ankle surgery to correct gait. Was diagnosed with mild sleep apnea. Medical disability board pending (submitted in Dec 2008). Follow-up Information 02-MAY-2008: Continues PT and OT. See Neuro note dated 4/16/08.
Age: 27.0
Sex: M
Vaccine: FLUN3
Symptoms: Gait disturbance, Leukoencephalomyelitis, Muscle contractions involuntary, Nuclear magnetic resonance imaging brain abnormal, Occupational therapy
Clinical narrative: On 11 Dec 07, pt noted onset of lightheadedness and feeling of being mildly 'off-balance' while walking.  No flu-like or viral-type symptoms.  No pain.  Over the next few days, pt developed blurry vision most pronounced with reading and far-->near vision.  He numerous discrete episodes of vertigo.  Symptoms progressed to 'wobbly' walking where he could not walk independently.  At that time, he also noted decreased appetite, softening of his voice, slowing of speech, diplopia and incoordination with involuntary movements.  Admitted to medical center for 1 1/2 weeks with some symptom improvement after IV steroids, PT, OT and speech therapy.  Transferred to medical center on 1 Jan and given presumptive diagnosis of brainstem encephalitis.  (Discharged on 24 Jan after continued improvement of symptoms.  (Could walk with 4-point cane, no diplopia up to 100 m, but still images at long distances continued to demonstrate horizontal diplopia.  Having facial contractions.)  Re-admitted to medical center on 2/15/08 for IVIG x5 days after noted MRI changes (presumed ADEM).  Discharged on 2/19/08 with follow up in OT, PT, speech therapy and Neurology.  04/01/08 Reviewed Clinical summary of 2/22/08 & medical records. Admitted 12/20/2007-1/24/08.  Readmitted 2/15-2/19/08.  FINAL DX: cerebellitis; acute disseminated encephalomyelitis Records reveal patient had received vax in past w/o problems.  Patient experienced lightheadedness, feeling off balance, unable to walk, blurry vision, diplopia, vertigo, dysarthria, ataxia, involuntary movements, weakness, decreased appetite beginning approx 28days s/p vax.  Initially seen in clinic & dx w/viral illness.  Continued to worsen & was admitted overseas & transferred to US.  Tx w/IV steroids, PT/OT/ST.  Neuro consult done.  LP done.  D/C to home, wheelchair bound.  Outpt MRI revealed ADEM changes & was readmitted.  On second admission, tx w/IVIG. Vision & balance improved dramatically.  Using only cane since 2/29/08.  To continue outpatient PT/OT & neuro clinic f/u. Annual Follow-up Information 27-FEB-2009: Continue OT and vocational therapy. 2/09 Neuropathy testing - Generally normal. Did not meet criteria for cognitive disorder. 9/08 MRI (results enclosed). Has had L ankle surgery to correct gait. Was diagnosed with mild sleep apnea. Medical disability board pending (submitted in Dec 2008). Follow-up Information 02-MAY-2008: Continues PT and OT. See Neuro note dated 4/16/08.
Age: 27.0
Sex: M
Vaccine: FLUN3
Symptoms: Physiotherapy, Sleep apnoea syndrome, Speech disorder, Speech rehabilitation, Vertigo
Clinical narrative: On 11 Dec 07, pt noted onset of lightheadedness and feeling of being mildly 'off-balance' while walking.  No flu-like or viral-type symptoms.  No pain.  Over the next few days, pt developed blurry vision most pronounced with reading and far-->near vision.  He numerous discrete episodes of vertigo.  Symptoms progressed to 'wobbly' walking where he could not walk independently.  At that time, he also noted decreased appetite, softening of his voice, slowing of speech, diplopia and incoordination with involuntary movements.  Admitted to medical center for 1 1/2 weeks with some symptom improvement after IV steroids, PT, OT and speech therapy.  Transferred to medical center on 1 Jan and given presumptive diagnosis of brainstem encephalitis.  (Discharged on 24 Jan after continued improvement of symptoms.  (Could walk with 4-point cane, no diplopia up to 100 m, but still images at long distances continued to demonstrate horizontal diplopia.  Having facial contractions.)  Re-admitted to medical center on 2/15/08 for IVIG x5 days after noted MRI changes (presumed ADEM).  Discharged on 2/19/08 with follow up in OT, PT, speech therapy and Neurology.  04/01/08 Reviewed Clinical summary of 2/22/08 & medical records. Admitted 12/20/2007-1/24/08.  Readmitted 2/15-2/19/08.  FINAL DX: cerebellitis; acute disseminated encephalomyelitis Records reveal patient had received vax in past w/o problems.  Patient experienced lightheadedness, feeling off balance, unable to walk, blurry vision, diplopia, vertigo, dysarthria, ataxia, involuntary movements, weakness, decreased appetite beginning approx 28days s/p vax.  Initially seen in clinic & dx w/viral illness.  Continued to worsen & was admitted overseas & transferred to US.  Tx w/IV steroids, PT/OT/ST.  Neuro consult done.  LP done.  D/C to home, wheelchair bound.  Outpt MRI revealed ADEM changes & was readmitted.  On second admission, tx w/IVIG. Vision & balance improved dramatically.  Using only cane since 2/29/08.  To continue outpatient PT/OT & neuro clinic f/u. Annual Follow-up Information 27-FEB-2009: Continue OT and vocational therapy. 2/09 Neuropathy testing - Generally normal. Did not meet criteria for cognitive disorder. 9/08 MRI (results enclosed). Has had L ankle surgery to correct gait. Was diagnosed with mild sleep apnea. Medical disability board pending (submitted in Dec 2008). Follow-up Information 02-MAY-2008: Continues PT and OT. See Neuro note dated 4/16/08.
Age: 27.0
Sex: M
Vaccine: FLUN3
Symptoms: Vision blurred
Clinical narrative: On 11 Dec 07, pt noted onset of lightheadedness and feeling of being mildly 'off-balance' while walking.  No flu-like or viral-type symptoms.  No pain.  Over the next few days, pt developed blurry vision most pronounced with reading and far-->near vision.  He numerous discrete episodes of vertigo.  Symptoms progressed to 'wobbly' walking where he could not walk independently.  At that time, he also noted decreased appetite, softening of his voice, slowing of speech, diplopia and incoordination with involuntary movements.  Admitted to medical center for 1 1/2 weeks with some symptom improvement after IV steroids, PT, OT and speech therapy.  Transferred to medical center on 1 Jan and given presumptive diagnosis of brainstem encephalitis.  (Discharged on 24 Jan after continued improvement of symptoms.  (Could walk with 4-point cane, no diplopia up to 100 m, but still images at long distances continued to demonstrate horizontal diplopia.  Having facial contractions.)  Re-admitted to medical center on 2/15/08 for IVIG x5 days after noted MRI changes (presumed ADEM).  Discharged on 2/19/08 with follow up in OT, PT, speech therapy and Neurology.  04/01/08 Reviewed Clinical summary of 2/22/08 & medical records. Admitted 12/20/2007-1/24/08.  Readmitted 2/15-2/19/08.  FINAL DX: cerebellitis; acute disseminated encephalomyelitis Records reveal patient had received vax in past w/o problems.  Patient experienced lightheadedness, feeling off balance, unable to walk, blurry vision, diplopia, vertigo, dysarthria, ataxia, involuntary movements, weakness, decreased appetite beginning approx 28days s/p vax.  Initially seen in clinic & dx w/viral illness.  Continued to worsen & was admitted overseas & transferred to US.  Tx w/IV steroids, PT/OT/ST.  Neuro consult done.  LP done.  D/C to home, wheelchair bound.  Outpt MRI revealed ADEM changes & was readmitted.  On second admission, tx w/IVIG. Vision & balance improved dramatically.  Using only cane since 2/29/08.  To continue outpatient PT/OT & neuro clinic f/u. Annual Follow-up Information 27-FEB-2009: Continue OT and vocational therapy. 2/09 Neuropathy testing - Generally normal. Did not meet criteria for cognitive disorder. 9/08 MRI (results enclosed). Has had L ankle surgery to correct gait. Was diagnosed with mild sleep apnea. Medical disability board pending (submitted in Dec 2008). Follow-up Information 02-MAY-2008: Continues PT and OT. See Neuro note dated 4/16/08.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Initial report received on 15 February 2008 from a nurse.  A 17-year-old patient, with a past medical history of lactose intolerance, had received a first (route not reported) left deltoid dose of Menactra (lot number U2403AA); and a first (route not reported) right deltoid dose of Gardasil (manufacturer Merck, lot number 1060U) on 14 February 2008.  Five minutes after receiving the vaccines "simultaneous", the patient fainted.  Treatments received were not reported.  The patient was reported to have recovered spontaneously.  No other relevant medically significant information was provided.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Rash and itching starting within 12 hours of receiving Zostavax.  On 70% of body.  Using Benadryl 25mg two Q6h and hydrocortisone topically.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Viral DNA test positive
Clinical narrative: Patient developed shingles after receiving a Zostavax.  Treated with antivirals & received cervical nerve block for pain.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: R shoulder erythema, redness, warm, swollen.  P/D cellulitis.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Drug exposure during pregnancy, Pregnancy, Urine human chorionic gonadotropin negative
Clinical narrative: Soldier was given smallpox on 1/7/08.  Pregnancy test on 1/7/08 neg.  Soldier later had pregnancy test done at local hospital on 1/27/08 positive.  Soldier was referred back to home station.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Drug exposure during pregnancy, Pregnancy, Urine human chorionic gonadotropin negative
Clinical narrative: Soldier was given smallpox on 1/15/08.  Pregnancy test on 1/15/08 negative.  Soldier was later positive on pregnancy test.  Unsure of date.  Soldier was referred back to home station.
Age: 1.5
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: Immunized with ProQuad only 10-1-07.  10-9-07 dad reported child having 101 fever.  10-10-07 child broke out in red fine diffuse rash covering trunk & neck.  Lasted approx 4-5 days then went away.  No tx.
Age: 27.0
Sex: F
Vaccine: FLU3, RAB
Symptoms: Dizziness, Nausea, Palpitations, Vaccination complication
Clinical narrative: Dizziness, nausea, palpation.  Client was seen in emergency room and by family physician.  Prescribe Benadryl.
Age: 0.1
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Injection site swelling, Myalgia, Skin warm
Clinical narrative: Almost immediate (2-4 hrs.) swelling & pain at injection site - c/o myalgias & swelling, heat & redness entire R upper arm.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Almost immediate (2-4 hrs.) swelling & pain at injection site - c/o myalgias & swelling, heat & redness entire R upper arm.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Patient had onset of urticaria shortly after vaccine was given.  Seen in ER the following day & received Depo-Medrol 40mg IM.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Cyst, Joint swelling, X-ray normal
Clinical narrative: Right knee swelling and pain, mass behind right knee 48 hours following receipt of AVA #1 on 2/1/2008.  Symptom: Joint Pain, Isolated.  Start: 02/03/2008.  End: 02/22/2008.  Comment: right knee.  Symptom: Swelling.  Start: 02/03/2008.  End: 02/22/2008.  Comment: right knee.  Symptom: Cyst.  Start: 02/03/2008.  Comment: cystic mass posterior right knee
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Rash
Clinical narrative: Redness, swelling of (L) upper arm, pain in upper arm into shoulder.  Slightly raised, reddened area (hive-like appearance).  Itching.  Given  Benadryl IM.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Screaming, Sleep disorder
Clinical narrative: Mother reported that child became very irritable a few hours after receiving shots. Would only sleep for 1/2-1 hr intervals and would awake screaming. Was inconsolable x 3 hrs. Would lay and whimper while sleeping. Better the next day but still fussy.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pyrexia
Clinical narrative: Fever of 104.4 rectal.
Age: 1.2
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain & redness at injection site within 1 day.
Age: 1.3
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Fatigue, Pyrexia, Rash generalised, Rash macular, Skin discolouration
Clinical narrative: Child received vaccines on Tuesday at 4:30pm by Thursday 2/22/08 child had a fever (highest 100.5 axillary) and a rash on face & abdomen (sm red spots), arms, hands & upper legs (small red spots) and bottom (1/4"-1/2" red) purple, welt like "blotches".  Mother stated child did not appear to itch or have any pain from rash.  Tylenol was given Wed 2/20/08 night and once Thursday 2/21/08.  Child was also tired until Friday.  Mother called 02/22/08 states child has no fever, is no longer tired and rash is improving on all but bottom.
Age: 1.3
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Child received vaccines on Tuesday at 4:30pm by Thursday 2/22/08 child had a fever (highest 100.5 axillary) and a rash on face & abdomen (sm red spots), arms, hands & upper legs (small red spots) and bottom (1/4"-1/2" red) purple, welt like "blotches".  Mother stated child did not appear to itch or have any pain from rash.  Tylenol was given Wed 2/20/08 night and once Thursday 2/21/08.  Child was also tired until Friday.  Mother called 02/22/08 states child has no fever, is no longer tired and rash is improving on all but bottom.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: 1-3-07 MGM reports client has had no problems, but will get mother's cell phone number.  States she sees client daily.  1-9-07 MGM returned call for mother and states client did not run fever or have red or swollen arm or other symptoms following his last injection.  Reporting he continued to play and act as usual.  Mother and MGM live and work together.
Age: 1.2
Sex: F
Vaccine: MMR
Symptoms: Varicella post vaccine
Clinical narrative: Patient broke out with chicken pox after being vaccinated.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Local reaction
Clinical narrative: Local reaction at sight of vaccine - 3cm wheal of redness & itching.
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, VARCEL
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Patient has history of food allergies & eczema - received DTaP, Prevnar, Hib, hep B, Varivax in office.  ~6 hrs later had swelling of hands & itching.  Seen at urgent care after Benadryl given - no wheeze, no SOB.  On Solumedrol.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: C-reactive protein increased, Drug screen positive, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Myocarditis
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 276047. A 17-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not reported, on 04 April 2007. Forty-five minutes post-vaccination, the patient experienced pleuritic chest pain and a macular rash on his chest. On the same day, he also experienced myocarditis and pyrexia. The following laboratory findings were also reported as events: drug screen positive, protein urine present, increased troponin I, ST segment elevation on electrocardiogram, electrocardiogram abnormal, C-reactive protein increased, red blood cell sedimentation rate increased, and acute viral titers pending. Echocardiogram was normal. The event required hospitalization. The patient was treated with nebulized levalbuterol, diphenhydramine, and prednisone. The patient recovered from the events.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Pleuritic pain, Protein urine present, Pyrexia, Rash macular, Red blood cell sedimentation rate increased
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 276047. A 17-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not reported, on 04 April 2007. Forty-five minutes post-vaccination, the patient experienced pleuritic chest pain and a macular rash on his chest. On the same day, he also experienced myocarditis and pyrexia. The following laboratory findings were also reported as events: drug screen positive, protein urine present, increased troponin I, ST segment elevation on electrocardiogram, electrocardiogram abnormal, C-reactive protein increased, red blood cell sedimentation rate increased, and acute viral titers pending. Echocardiogram was normal. The event required hospitalization. The patient was treated with nebulized levalbuterol, diphenhydramine, and prednisone. The patient recovered from the events.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Troponin I increased, Viral test
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 276047. A 17-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not reported, on 04 April 2007. Forty-five minutes post-vaccination, the patient experienced pleuritic chest pain and a macular rash on his chest. On the same day, he also experienced myocarditis and pyrexia. The following laboratory findings were also reported as events: drug screen positive, protein urine present, increased troponin I, ST segment elevation on electrocardiogram, electrocardiogram abnormal, C-reactive protein increased, red blood cell sedimentation rate increased, and acute viral titers pending. Echocardiogram was normal. The event required hospitalization. The patient was treated with nebulized levalbuterol, diphenhydramine, and prednisone. The patient recovered from the events.
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Body temperature increased, Catheterisation cardiac abnormal, Chest pain
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 282699.  A 21-year-old male patient had received an intramuscular left arm injection of Adacel, lot number U1923GA (lot number invalid for Adacel), when treated by a nurse at an urgent care facility on 31 May 2007.  The patient had a past history of depression and had been taking Keflex at the time of symptom onset.  On 03 June 2007, three days post vaccination, the patient developed chest pain.  The following day on 04 June 2007, he was seen in the emergency room.  Laboratory values revealed elevated CK, CK-MB, troponin, and a temperature of 100.  The patient was also reported to have had ECG changes and a cardiac catheterization which revealed normal arteries but left ventricle hypokinesis.  Ejection fraction was reported to have been 40%.  The patient was hospitalized for the event and had been diagnosed with myocarditis.  The following laboratory and diagnostics findings were also reported as events: blood creatine phosphokinase MB, echocardiogram abnormal, troponin increased, blood creatine phosphokinase increased, catheterization cardiac abnormal, electrocardiogram T wave inversion, and electrocardiogram abnormal.  At the time of the report, the patient had not recovered from the event.
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Ejection fraction decreased, Electrocardiogram T wave inversion, Myocarditis, Pyrexia, Troponin increased
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 282699.  A 21-year-old male patient had received an intramuscular left arm injection of Adacel, lot number U1923GA (lot number invalid for Adacel), when treated by a nurse at an urgent care facility on 31 May 2007.  The patient had a past history of depression and had been taking Keflex at the time of symptom onset.  On 03 June 2007, three days post vaccination, the patient developed chest pain.  The following day on 04 June 2007, he was seen in the emergency room.  Laboratory values revealed elevated CK, CK-MB, troponin, and a temperature of 100.  The patient was also reported to have had ECG changes and a cardiac catheterization which revealed normal arteries but left ventricle hypokinesis.  Ejection fraction was reported to have been 40%.  The patient was hospitalized for the event and had been diagnosed with myocarditis.  The following laboratory and diagnostics findings were also reported as events: blood creatine phosphokinase MB, echocardiogram abnormal, troponin increased, blood creatine phosphokinase increased, catheterization cardiac abnormal, electrocardiogram T wave inversion, and electrocardiogram abnormal.  At the time of the report, the patient had not recovered from the event.
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Ventricular hypokinesia
Clinical narrative: Initial report received on 15 February 2008 from a health care professional following a search of the VAERS database, VAERS number 282699.  A 21-year-old male patient had received an intramuscular left arm injection of Adacel, lot number U1923GA (lot number invalid for Adacel), when treated by a nurse at an urgent care facility on 31 May 2007.  The patient had a past history of depression and had been taking Keflex at the time of symptom onset.  On 03 June 2007, three days post vaccination, the patient developed chest pain.  The following day on 04 June 2007, he was seen in the emergency room.  Laboratory values revealed elevated CK, CK-MB, troponin, and a temperature of 100.  The patient was also reported to have had ECG changes and a cardiac catheterization which revealed normal arteries but left ventricle hypokinesis.  Ejection fraction was reported to have been 40%.  The patient was hospitalized for the event and had been diagnosed with myocarditis.  The following laboratory and diagnostics findings were also reported as events: blood creatine phosphokinase MB, echocardiogram abnormal, troponin increased, blood creatine phosphokinase increased, catheterization cardiac abnormal, electrocardiogram T wave inversion, and electrocardiogram abnormal.  At the time of the report, the patient had not recovered from the event.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Gait disturbance, Injection site reaction, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Information has been received from a nurse concerning a 16 or 17 year old female patient who on 15-FEB-2008, was vaccinated IM with a third 0.5ml dose of Gardasil.  On 17-FEB-2008, two days later, the patient experienced stiffness in neck, fever, and severe joint pain with difficulty walking.  On 18-FEB-2008, she was admitted to the hospital and she remains there.  AT the time of this report, the patient had not recovered.  No product quality complaint was involved.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pyrexia
Clinical narrative: Information has been received from a nurse concerning a 16 or 17 year old female patient who on 15-FEB-2008, was vaccinated IM with a third 0.5ml dose of Gardasil.  On 17-FEB-2008, two days later, the patient experienced stiffness in neck, fever, and severe joint pain with difficulty walking.  On 18-FEB-2008, she was admitted to the hospital and she remains there.  AT the time of this report, the patient had not recovered.  No product quality complaint was involved.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Gait disturbance, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Information has been received from a nurse concerning a 16 or 17 year old female patient who on 15-FEB-2008, was vaccinated IM with a third 0.5ml dose of Gardasil.  On 17-FEB-2008, two days later, the patient experienced stiffness in neck, fever, and severe joint pain with difficulty walking.  On 18-FEB-2008, she was admitted to the hospital and she remains there.  AT the time of this report, the patient had not recovered.  No product quality complaint was involved.  Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Convulsion, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Fever, excessive erythema/swelling/pain at injection site.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain in extremity, Pyrexia, Thrombotic thrombocytopenic purpura
Clinical narrative: Fever, excessive erythema/swelling/pain at injection site.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever, excessive erythema/swelling/pain at injection site.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Bronchospasm, Dyspnoea, Pallor, Peak expiratory flow rate decreased, Wheezing
Clinical narrative: Information has been received from an agency concerning a 9 year old female with no medical history and no drug allergies, who on 23-OCT-2007 was vaccinated intramuscularly in the left arm with a first dose of Gardasil (Lot# 654539/0742U).  There was no concomitant medication.  There were no illnesses at the time of the vaccination.  On 06-DEC-2007 the patient experienced bronchospasm.  On 26-DEC-2007 the patient was seen in the office for a new onset of moderate to severe exercise induced bronchospasm.  The patient had no atopic history, no history of eczema, asthma, and no family history.  The patient's symptoms developed about 6 weeks after receiving her first dose of the vaccination.  The patient was started on empiric therapy, yet the physician was concerned that her condition may have been prompted by the vaccination.  The patient's peak flows were normal at baseline and markedly diminished >50% with exercise, resulting in pallor, severe dyspnea, and wheezing after only minimal exertion in a previously healthy athletic child.  The patient was vaccinated with a second dose of Gardasil.  The physician was following her very closely.  At the time of the report, the patient's outcome was unknown.  The physician considered the bronchospasm to be life threatening.  The VAERS ID# is 301146.  A standard lot check investigation was performed.  All in-process quality checks for the lot number in question were satisfactory.  In addition, an expanded lot check investigation was performed.  The testing performed on the batch prior to release met all release specifications.  The lot met the requirements of the agency and was released.  Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dysplasia
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient with hypertension who on 11-FEB-2008, was vaccinated with a first 0.5ml dose of Gardasil. On 16-FEB-2008, the patient experienced a seizure- x link hypohydrotic ectodermal dysplasia. Unspecified medical attention was sought. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: HBHEPB, IPV, RV5
Symptoms: Diagnostic procedure, Haematochezia, Lymphoid tissue hyperplasia
Clinical narrative: Information has been received from a physician concerning her son who was vaccinated with Rotateq first dose, PO (lot # 656192/0022U. Concomitant therapy included Comvax, DTAP-IPV, Prevnar. Subsequently the patient experienced blood in his stool. The patient was referred to a GI doctor where he was scoped and test presented he had benign lymphoid nodular hyperplasia. The patient was hospitalized. Subsequently, the patient recovered and is fine "now". There was no product quality complaint. Additional information has been requested.
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated on 16-APR-2007 with Rotateq (Lot # 65721/0768U) first dose. Concomitant therapy included Pediarix, Comvax, Prevnar. On an unspecified date the patient developed blood in their stool. The patient was referred to a GI doctor where the patient is currently being monitored. It was reported that at the time of the vaccination, the mother was breast feeding and was on a strict diet. There was no product quality complaint involved. Additional information has been requested.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Hyperaesthesia, Neuralgia, Pain
Clinical narrative: Information has been received from a physician concerning an 82 year old male with hypertension, high cholesterol and a childhood history of chickenpox who on 14-JAN-2008 was vaccinated into the left arm with a "single dose" of ZOSTAVAX (lot# 658210/1079U).  On 21-JAN-2008 the patient developed vesicles at "L C/2 C2", also reported as shingles on his left shoulder, upper arm and neck.  It was noted that a rash did not occur at the injection site or elsewhere within 42 days of the vaccination.  The patient was treated with acyclovir and lidocaine (LIDODERM).  It was reported that the vesicles remained for ten (plus) days.  The patients symptoms included generalized aching with pain "in the region".  It was noted that the patient had not had any recent exposure to chickenpox or herpes zoster.  A direct fluorescent antibody was not done, nor was a specimen collected for VZV identification.  Unspecified medical attention was sought.  There was no product quality complaint.  There were no lab diagnostic studies performed.  At the time of reporting it was noted that the patient had partially recovered, with pain and neuralgia persisting, along with severe hyperesthesia.  The event of shingles was considered to be disabling by the reporter given that "the patient is in pain".  The patient was enrolled in the VZVIP program: the Varicella Zoster Virus Identification Program enables biological samples to be analyzed by PCR to identify if VZV is present and if it is present to identify if it is associated with the wild-type VZV strain or with the OKA/Merck vaccine VZV strain.  Additional information has been requested.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity, X-ray normal
Clinical narrative: This case was reported by a consumer on 11 February 2008. Seriousness criteria: Other-Medically Significant A 58-year-old female, with no medical history, received an intramuscular left deltoid injection of Fluzone (lot number U2515AA) on 31 October 2007. Immediately following vaccination, she complained of intense musculoskeletal pain in the entire left arm. The pain continued, and the patient became unable to life her arm above her head. She denied numbness, and was able to freely use her fingers. She was seen by a physician, and an x-ray of the arm was within normal limits. Treatment included exercises only; no medications had been prescribed. At the time of the report, the event remained ongoing. The reporter of this case also reported that another patient had complained of arm pain after vaccination with Fluzone; that non-serious event is captured in case number 2008-00442.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt. came to clinic with c/o of him left arm having adema and erythema from upper arm to wrist. Area was red with some adema noted. Pt stated that area was better today than on yesterday. Seen by NP and was advised to take Benadryl 25mg QAH for the next 2 days. Pt. was advised to go to local ER if he developed shortness of breath or wheezing. 01/25/2008 ADENDUM STATUS- COMPLETED; pt. received a pneumonia vaccine in this arm on 1-23-2008.
Age: 41.0
Sex: U
Vaccine: TTOX
Symptoms: Erythema, Influenza like illness, Pain, Pyrexia, Skin warm
Clinical narrative: Employee  reported these signs with in 12 hours of injection: redness; extreme soreness; fir, swollen area; hot skin; "vesicles" "flu like symptoms" "fever for a couple of days" (employee is an R.N.) Employee has multiple allergies.
Age: 41.0
Sex: U
Vaccine: TTOX
Symptoms: Swelling
Clinical narrative: Employee  reported these signs with in 12 hours of injection: redness; extreme soreness; fir, swollen area; hot skin; "vesicles" "flu like symptoms" "fever for a couple of days" (employee is an R.N.) Employee has multiple allergies.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient received Pneumovax 23 0.5 ml IM on 11/13/07. Patient reported fevers, chills, generalized body aches and fatigue through primary care telephone contact on 11/14/07. On 11/15/07 patient was seen in nurse triage with redness and pain in the upper left arm. Patient was given methylprednisolone 4mg dose pack for 7 days and cephalexin 250mg q6h for 10 days (for possible cellulitis).
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Pyrexia
Clinical narrative: Symptoms: 1. Fever(2) Chills, cellulitis.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash vesicular
Clinical narrative: 02/08/08-Called 547 PM - rash - fever secondary to Varivax (vesicular rash).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Dyspnoea, Erythema, Pruritus, Swelling
Clinical narrative: Large area of swelling, redness & itching.  Some difficulty breathing, temp 102 degrees.  Given Benadryl & Keflex by DO.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus test positive, Stool analysis abnormal, Vomiting
Clinical narrative: Started diarrhea 2-15-08, vomiting 2-16-08.  Had positive rotavirus stool specimen 2-20-08.  Still with diarrhea.  2/26/08 Reporter states patient has improved but still having 8+ diarrhea stools/day.  Tolerating usual formula, did not tolerate Pedialyte.  Remains hydrated.  Overall seems improved & is much less irritable.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Bowel movement irregularity, Constipation, Crying, Faeces discoloured, Melaena
Clinical narrative: 2/6/08 at 6:30 AM, had black, tarry stools - no increased T or behavior change - parent consulted PH.  Advised to call doctor.  Had changed formula on 2/15/08 - returned to original formula.  No BM x3 days - used suppository -> 1g B.M.  When constipated, was crying, pulling legs up - resolved & has been happy ever since effective suppository.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Soreness, redness, swelling and discomfort around injection site and around arm - with difficulty raising arm - administered on 1/29/08 - patient took Tylenol with good effect - seen by PCP 2/1/08 - still some redness, swelling and soreness.
Age: 1.1
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Exposure to communicable disease, Rash erythematous, Rash pruritic
Clinical narrative: Seen 2/20/08 for red, itchy rash that started 2/19/08.  Varicella exposure.
Age: 41.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Influenza like illness, Rash erythematous, Skin exfoliation, Swelling
Clinical narrative: Flu-like symptoms Sept 29-30-31.  Approximately 1 week later, fine red rash on left arm, torso & neck & ear lobes, bilateral & nostril area (both sides) red & swollen.  Swelling & redness on ear lobes & nostrils lasted 7 days with skin sloughing.
Sex: F
Vaccine: JEV
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Pt. received 2nd Jap. Enceph. on 2/12/08.  On 2/14/08 called stated arm sore with occ. tingling in fingers.  Advise to F/U with PCP.  2/16/08 much better, no pain PCP-no intervent.
Age: 20.0
Sex: M
Vaccine: HEPA, TDAP, TYP
Symptoms: Headache, Nausea, Rash, Urticaria
Clinical narrative: Patient had vaccines at approximately 12:00 noon on 2/5/08.  Mother called on 2/15/08 and 2/22/08 to Health Department to report that her son awakened at 5:30 a.m. on 2/6/08 with nausea, headache, and a rash that appeared as tiny raised red hives surrounded by a light pink raised rash.  This rash appeared on the patient's shoulders, elbows, chest, stomach, buttocks, neck, and face.  He sought no medical attention for this and was treating himself with over the counter medications.  Mother advised to try Benadryl according to package instructions and to consult with a physician.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient inadvertently given Hepatitis A vaccine.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Peripheral neuropathy in hands and feet (tingling, numbness). Began 36 hours post injection for Tetanus vaccine. Began in arms, spread to legs and feet. 3/26/08-records received for DOS 3/12-3/14/08-neurology consultation-seen in evaluation of C/O four extremity paresthesias. Symptoms began 2 weeks prior to visit when seen in ED for laceration to forehead. Day after tetanus shot C/O paresthesias in right arm from elbow to hand. Followed by numbness in toes of right leg, day later paresthesias in all four extremities especially in arms from elbows to hands and 4th and 5th fingers bilaterally. Two days later experienced symptoms of a cold with shortness of breath. Seen in ED for treatment of asthma. Developed hives on arms which occurred on three separate occasions for 48 hours at a time. Exercise increases symptoms in extremities. Positive Tinel's sign at left elbow otherwise, neurological exam normal. Laboratory tests unremarkable. She has developed an autoimmune or inflammatory neuropathy or mild case of Guillain-Barre syndrome but this can not be proven as peripheral neuropathy.