chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Dizziness, Nausea, Tremor
Clinical narrative: Dizziness, nausa, shakiness increasing since 4th dose of Imovax received 2/17/09. Recommended use of aspirin on regular basis.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: After receiving 2 IM injections in left deltoid (Hep A #2, Menactra) while seated, patient stood up and had a syncopal event. No LOC, recovered within within 2 minutes.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC, VARCEL
Symptoms: Feeling cold, Hypotonia, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: TWENTY SECONDS AFTER VACCINE ADMINISTRATION THE GIRL COLLAPSED. SHE APPEARED PALE, FLACID AND COLD TO THE TOUCH. TEN SECONDS LATER SHE WOKE UP AND WAS SENT TO THE EMERGENCY ROOM FOR A CHECK UP.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site became red, swollen, sore, hot and itchy.  Welt and itchiness lasted from 2/17 to 2/22.  Only treatment was cortisone cream to ease itchiness and prevent scratching which hurt.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Injection site became red, swollen, sore, hot and itchy.  Welt and itchiness lasted from 2/17 to 2/22.  Only treatment was cortisone cream to ease itchiness and prevent scratching which hurt.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blister, Rash
Clinical narrative: MOTHER REFERS THE CHILD SUFFERED A RASH ALL OVER THE BODY WITH RED BLISTERS. SHE TOOK HER TO THE DOCTOR'S OFFICE.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Redness & swelling at injection sites.Low grade temp - 99.0. Fussy and irritable
Age: 1.8
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Pyrexia
Clinical narrative: Per father of child= developed high fever (states 104 degrees)the evening of 2/19/09 and had a seizure and was taken to the hospital- time unknown but in the night time.  Then developed another high fever and seizure over the weekend and was taken to medical center. 3/3/09-records received-presented to ED on 2/20/09 with C/O fever and new onset seizure. One seizure with duration of 3-5 minutes, eyes rolled back, abnormal movements of extremities affecting both sides, after event was drowsy, post-ictal. Observed in ED.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site rash, Rash scarlatiniform
Clinical narrative: Day after vaccine child had generalized scarletina body rash with confluent 2 cm area left lower thigh and 1 cm confluent right thigh rash that started the evening she recieved the vaccinations listed below.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash maculo-papular, Skin lesion
Clinical narrative: Varicella vaccine administered in a local health department clinic on 2/18/09 in the morning to this adolescent female.  Patient had history of undocumented varicella disease in 2001.  For school requirements, patient presented for and received varicella vaccine on 2/18/09. On 2/23/09, Vaccine Administrator received notice from the school nurse that the child had been sent home from school with a generalized maculopapular rash over trunk and both arms, with approximately 40-60 lesions.  Oral temperature was 100.2 degrees.  Mother was notified by the school nurse and was taking child to a physician for evaluation.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site rash
Clinical narrative: bump, redness, rash (2"x1"), itching at injection site
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: bump, redness, rash (1"x1"), itching at injection site
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Patient woke up the morning of 2/19/09 to find she had alot of itching on her left hip and discovered 5 raised spots. This was the same side she had Shingles on July of last year.  No treatment at this reporting time.  Patient said she would be getting a Dr. appointment.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Full blood count, Pyrexia, Urine analysis, Vomiting
Clinical narrative: Reported today to our Health Center with complaints of vomiting and fevers of 103. Today at 103.3R.  Dr requesting reporting for possible adverse reaction to vaccnes.  CBC and UA pending.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Client became pale and complained of being nauseated and light-headed.  RN assisted client in putting her in a supine position with legs elevated.  This releaved the light-headedness but client continued to be pale and nauseated.  These symptoms began immediately after injection and continued for 20 minutes at which time the client stated she felt okay, skin color had returned to normal and she was sent home with her mother.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Redness, soreness, and swelling at injection site, with mild, red, raised rash on stomach and back (some itching). Swollen glands behind the ear/neck region. Symptoms began today, in the am. Reported at 9:15 a.m. Afebrile at this time. No treatment at this time.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash
Clinical narrative: Redness, soreness, and swelling at injection site, with mild, red, raised rash on stomach and back (some itching). Swollen glands behind the ear/neck region. Symptoms began today, in the am. Reported at 9:15 a.m. Afebrile at this time. No treatment at this time.
Age: 1.67
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pruritus, Pyrexia
Clinical narrative: itching began 4 days after receiving vaccines accompanied by fever for 2 days.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Condition aggravated, Convulsion, Electroencephalogram, Neurological examination, Pyrexia
Clinical narrative: Patient was running a fever on and off for two days prior and on 2/15/09 around 8:30 pm she had a seizure that lasted almost 25 minutes and had to be brought into emergency room.  I never received any information on the side effects from any of her vaccines she has received and was not prepared at all for this I think that doctors should have to provide all patients with this information prior to giving them vaccines.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Patient states, awakened with fever 102.8 the following morning after receiving vaccine. Myalgia, arthralgia and continued episodes of fever over 72 hours.
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Chills, Dizziness, Dysstasia, Headache
Clinical narrative: Received ADACEL @ 10:30 am - within 10 hours child c/o severe H/A, dizziness and nausea, and chills. BP - orthostatic hypotension - unable to stand or sit for more than 15-30 seconds - c/o increase H/A generalized weakness. Transported 911 to Hospital.
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Nausea, Orthostatic hypotension
Clinical narrative: Received ADACEL @ 10:30 am - within 10 hours child c/o severe H/A, dizziness and nausea, and chills. BP - orthostatic hypotension - unable to stand or sit for more than 15-30 seconds - c/o increase H/A generalized weakness. Transported 911 to Hospital.
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Chills, Dizziness, Headache, Nausea
Clinical narrative: Received ADACEL @ 10:30 am - within 10 hours child c/o severe H/A, dizziness and nausea, and chills. BP - orthostatic hypotension - unable to stand or sit for more than 15-30 seconds - c/o increase H/A generalized weakness. Transported 911 to Hospital.
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Orthostatic hypertension
Clinical narrative: Received ADACEL @ 10:30 am - within 10 hours child c/o severe H/A, dizziness and nausea, and chills. BP - orthostatic hypotension - unable to stand or sit for more than 15-30 seconds - c/o increase H/A generalized weakness. Transported 911 to Hospital.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Nausea, Stomach discomfort
Clinical narrative: Pt called @ 10:20 AM stating she had an upset stomach, nausea and shortness of breath this was her 3rd GARDASIL injections.  2/26/09 Received ER medical records of 2/23/2009. FINAL DX:adverse reaction to immunization Records reveal patient experienced nausea, lightheadedness, anxiety, SOB, tachycardia approx 3 hr s/p HPV #3 vaccination.  Tx w/Tylenol, improved & d/c to home w/PCP f/u.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUX, IPV
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Gait disturbance, Headache, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Per mom-since the vaccines pt. has had fevers, headaches & generalized weakness.  Just prior to admit.  noted visual problems and gait problems.  3/19/09 Received hospital medical records of 2/13-2/23/2009. FINAL DX: ADEM Records reveal patient experienced intermittent fever, HA, lethargy & irritability x 30 days & 3 days s/p vaccination.  Developed ataxic gait & visual changes 3 days prior to admit.  ID, Neuro consults & LP done.  Initially tx w/IV antibiotics for presumed menigitis.  No steroids & antiobiotics d/c.  Resolved spontaneously & d/c to home.  4/27/09 Case closed as incomplete.  Have not received vaccine records from PCP.  Will reopen should additional information become available.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUX, IPV
Symptoms: Pyrexia
Clinical narrative: Per mom-since the vaccines pt. has had fevers, headaches & generalized weakness.  Just prior to admit.  noted visual problems and gait problems.  3/19/09 Received hospital medical records of 2/13-2/23/2009. FINAL DX: ADEM Records reveal patient experienced intermittent fever, HA, lethargy & irritability x 30 days & 3 days s/p vaccination.  Developed ataxic gait & visual changes 3 days prior to admit.  ID, Neuro consults & LP done.  Initially tx w/IV antibiotics for presumed menigitis.  No steroids & antiobiotics d/c.  Resolved spontaneously & d/c to home.  4/27/09 Case closed as incomplete.  Have not received vaccine records from PCP.  Will reopen should additional information become available.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia, Pain, Pyrexia
Clinical narrative: Tdap given on 2/18.  C/o sitting soreness, muscle ache on 2/19.  On afternoon of 2/19 & 2/20 had fever 38-38.9 degrees C, generalized body ache, injection site soreness.  Resolved by 2/23/09.
Age: 1.48
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Syncope, Vomiting
Clinical narrative: Vomited <1hr post immunization and had syncopal episode - No seizure activity. 3/11/09-records received for DOS 2/17/09-presented with vomiting profusely then became limp, lethargic, admitted for observation. Subsequently developed a fever to 101.3, Assessment reaction to vaccine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Respiratory tract congestion, Wheezing
Clinical narrative: This case was reported by a physician via a sales representative and described the occurrence of itching in a 4-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline), MMR vaccine (non-gsk) and VARIVAX (non-gsk). Concurrent medical conditions included asthma. On 19 February 2009 the subject received unspecified dose of KINRIX (unknown), unspecified dose of MMR vaccine (Non-GSK) and unspecified dose of VARIVAX. On 19 February 2009, approximately 5 minutes after vaccination with KINRIX, MMR vaccine (Non-GSK) and VARIVAX, the subject experienced itching, congestion (unknown) and wheezing). The subject was treated with BENADRYL, SOLUMEDROL and EPINEPHRINE. The subject was admitted to the hospital overnight for observation. At the time of reporting the outcome of the events was unspecified.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pt received GARDASIL injection 1/21/09. Pt reported being pregnant 1/20/09.
Age: 1.2
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Urticarial rash that resolved with oral diphenhydramine x 1.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Rhinorrhoea, Somnolence
Clinical narrative: Called the patient and she states that she is feeling better. She is still weak, a little sleepy, not pain.  No headache or sinus pain at this moment.  No fevers.  She is still having some sinus drainage-clear.  No diarrhea.  She was out of commission for about 10 days.  She had the pneumonia shot about 20 years ago. Her blood pressure is stable.  She reports no other unusual symptoms.  No chest pain, no SOB.  She is not reporting any other unusual symptoms.  This all began 24 hours after the injection.  Please overbook pt. for an appointment with me next week.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Contraindication to vaccination
Clinical narrative: Patient with previous history of Guillain- Bane Synd.  Was given MCV4 on 4/24/07.  Patient up to present (2/19/09) has no complaints.
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Loss of consciousness, Malaise, Pallor, Respiratory arrest
Clinical narrative: Information was viewed in an internet article concerning an adolescent female. " A few weeks ago", in approximately January 2009, the patient was vaccinated with a first dose of GARDASIL, along with a few other booster shots of unspecified vaccines. Moments after getting the injection, the patient felt like "a lead weight was in her veins", all of sudden, "the room started getting dizzy", she complained that she didn't "feel good" and then she went out. The patient passed out. Her mother noticed that "she wasn't breathing and her face was very white, her mouth was white". Paramedics rushed the patient to the emergency room. The patient stayed there for hours as doctors worked to keep her blood pressure up. Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Sensation of heaviness
Clinical narrative: Information was viewed in an internet article concerning an adolescent female. " A few weeks ago", in approximately January 2009, the patient was vaccinated with a first dose of GARDASIL, along with a few other booster shots of unspecified vaccines. Moments after getting the injection, the patient felt like "a lead weight was in her veins", all of sudden, "the room started getting dizzy", she complained that she didn't "feel good" and then she went out. The patient passed out. Her mother noticed that "she wasn't breathing and her face was very white, her mouth was white". Paramedics rushed the patient to the emergency room. The patient stayed there for hours as doctors worked to keep her blood pressure up. Additional information is not expected.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Culture, Disorientation, Dizziness, Herpes zoster, Pain
Clinical narrative: Information has been received from a licensed practical nurse concerning a 79 year old female who on 10-FEB-2009 was vaccinated SQ with a 0.65 ml dose of ZOSTAVAX (Oka/Merck) (lot #: 662860/1617X). Concomitant therapy included DILANTIN, LIPITOR, PREVACID, aspirin, ACTONEL and calcium (unspecified) (+) vitamin D (unspecified). It was reported that on 12-FEB-2009 the patient developed shingles. On 16-FEB-2009, the patient was seen in the office. She had a rash on her right arm. A lesion was cultured and sent to a lab (results pending). The patient was prescribed LYRICA and LIDODERM for her pain. On 17-FEB-2009, the patient's rash was spreading. Additional information was received from the office. It was reported that the patient began taking VALTREX on 17-FEB-2009 and became dizzy and disoriented. The patient was then admitted to the hospital on the evening of 17-FEB-2009. Additional information has been requested.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin lesion
Clinical narrative: Information has been received from a licensed practical nurse concerning a 79 year old female who on 10-FEB-2009 was vaccinated SQ with a 0.65 ml dose of ZOSTAVAX (Oka/Merck) (lot #: 662860/1617X). Concomitant therapy included DILANTIN, LIPITOR, PREVACID, aspirin, ACTONEL and calcium (unspecified) (+) vitamin D (unspecified). It was reported that on 12-FEB-2009 the patient developed shingles. On 16-FEB-2009, the patient was seen in the office. She had a rash on her right arm. A lesion was cultured and sent to a lab (results pending). The patient was prescribed LYRICA and LIDODERM for her pain. On 17-FEB-2009, the patient's rash was spreading. Additional information was received from the office. It was reported that the patient began taking VALTREX on 17-FEB-2009 and became dizzy and disoriented. The patient was then admitted to the hospital on the evening of 17-FEB-2009. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Deafness unilateral
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of ZOSTAVAX (Merck). After receiving ZOSTAVAX (Merck), the patient was diagnosed with unilateral hearing loss. The physician reported that the patient saw another physician and it was confirmed that the patient had unilateral hearing loss. At the time of this report, 17-FEB-2009, the event persisted. Upon internal review, unilateral hearing loss was considered to be an other important medical event. Additional information is not expected.
Sex: M
Vaccine: MMRV
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning his now 22 month old son who at 14-15 months of age, was vaccinated with PROQUAD (Merck) and on an unspecified date developed autism. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Drug exposure during pregnancy, Induced labour, Laboratory test normal, Nausea
Clinical narrative: Initial and follow-up information has been received through the Merck pregnancy registry through a 23 year old female consumer who was vaccinated with her first dose of GARDASIL (date not specified). On an unspecified date, the patient was vaccinated with her second dose of GARDASIL. On 19-OCT-2007, the patient was vaccinated with her third dose of GARDASIL. There was no concomitant medication. Subsequently, the patient found out she was 5 weeks pregnant (LMP approximately 02-OCT-2007). In follow-up information, the patient reported that on 02-JUL-2008, she had her baby boy. Follow up information has been received from the consumer and a completed questionnaire on 16-FEB-2009. The consumer reported that her son was now 7 months old and was healthy and well. He weighed 7lbs 14 oz, and was 21" long at birth. She stated she was told the baby is physically and developmentally at a 1 year old level, doing very well. The consumer said she had some minor complications during the pregnancy, starting with nausea and vomiting for the first five months, and at 25 weeks had a lot of premature contractions but only dilated to 1 cm. She was advised to increase her rest based on the number of contractions she was having. She never had any further cervical changes, and never had a diagnosis of preterm labor, just preterm contractions. Her labor was induced at 39 weeks (reason not provided) and had a normal vaginal delivery. It was reported on the questionnaire that the patient with no infections or illnesses during pregnancy, no concurrent medical conditions, on an unspecified date experienced low back pain during pregnancy. Other medications used during this pregnancy included REGLAN, ZOFRAN and prenatal vitamins (unspecified). The patient had a negative "CF" profile and 1st trimester ultrasound screening within range. On 02-JUL-2008 at 37 weeks from LMP, the patient delivered with no complications, a normal male liveborn infant with no congenital anomalies or other complications or abnormalities. He weighed 7lbs 14 oz, and was 21" long at birth, apgar score was 8/9. The reporting health professional considered low back pain to be a disabling/incapacitating event. Additional information is not expected.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Uterine contractions during pregnancy, Vomiting
Clinical narrative: Initial and follow-up information has been received through the Merck pregnancy registry through a 23 year old female consumer who was vaccinated with her first dose of GARDASIL (date not specified). On an unspecified date, the patient was vaccinated with her second dose of GARDASIL. On 19-OCT-2007, the patient was vaccinated with her third dose of GARDASIL. There was no concomitant medication. Subsequently, the patient found out she was 5 weeks pregnant (LMP approximately 02-OCT-2007). In follow-up information, the patient reported that on 02-JUL-2008, she had her baby boy. Follow up information has been received from the consumer and a completed questionnaire on 16-FEB-2009. The consumer reported that her son was now 7 months old and was healthy and well. He weighed 7lbs 14 oz, and was 21" long at birth. She stated she was told the baby is physically and developmentally at a 1 year old level, doing very well. The consumer said she had some minor complications during the pregnancy, starting with nausea and vomiting for the first five months, and at 25 weeks had a lot of premature contractions but only dilated to 1 cm. She was advised to increase her rest based on the number of contractions she was having. She never had any further cervical changes, and never had a diagnosis of preterm labor, just preterm contractions. Her labor was induced at 39 weeks (reason not provided) and had a normal vaginal delivery. It was reported on the questionnaire that the patient with no infections or illnesses during pregnancy, no concurrent medical conditions, on an unspecified date experienced low back pain during pregnancy. Other medications used during this pregnancy included REGLAN, ZOFRAN and prenatal vitamins (unspecified). The patient had a negative "CF" profile and 1st trimester ultrasound screening within range. On 02-JUL-2008 at 37 weeks from LMP, the patient delivered with no complications, a normal male liveborn infant with no congenital anomalies or other complications or abnormalities. He weighed 7lbs 14 oz, and was 21" long at birth, apgar score was 8/9. The reporting health professional considered low back pain to be a disabling/incapacitating event. Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy, Headache
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning a patient who was vaccinated with the second dose of GARDASIL. The patient experienced paralysis on the right side of her face 10 days after receiving the second dose of vaccine provided during a clinical trial. The patient also noted that she has experienced headaches since receiving the second dose. Upon internal review, paralysis on the right side of the face was determined to be an other important medical event. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Borrelia burgdorferi serology negative, Hypoaesthesia, Laboratory test normal
Clinical narrative: Information has been received from a physician concerning a 19 year old female who in early September 2008, was vaccinated with the first dose of GARDASIL (lot # not reported). The physician stated that the patient received the first dose of GARDASIL and then she started to have numbness all throughout her body. The physician does not know if the numbness started at the injection site or not, but the numbness started to get progressively worse. The patient had a test done for multiple sclerosis and lyme disease with negative results. The physician indicated that the patient still has the numbness throughout her body. The physician considered the event to be disabling. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Eating disorder, Gastrointestinal disorder, Hypoaesthesia, Pain
Clinical narrative: Information was viewed on the internet concerning a 14-year-old female patient, who on an unspecified date was vaccinated with a dose (s) of GARDASIL. It was reported that the patient has been "suffering since September 2008, she is now in her third hospital". It was also reported that she "has nearly died from this vaccine. She can not eat anything, her digestive system and intestines have shut down, she had the numbness in her legs and the horrible pain. She has nearly lost her entire freshman year of high school, her mother has not been able to work since September". No further information is expected.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Antinuclear antibody negative, Arthralgia, Borrelia burgdorferi serology negative, C-reactive protein normal, CD4 lymphocytes decreased
Clinical narrative: Initial information received on 21 January 2009 from a health care professional. Upon receipt of follow-up information on 17 February 2009, it was determined this case meets seriousness criteria. A 49 year old female patient with a history of IGA deficiency and allergies to Amoxicillin, aspirin, Prozac, Morphine, Naproxen, Motrin, Sulfa and Intron received ADACEL (lot number not known) "two weeks prior". On 29 December 2008 the patient complained of pain and swelling in her joints including fingers, knees, elbows, wrists, and ankles. During a doctor's visit (date not provided), the doctor stated that the patient had visible swelling in the proximal interphalangeal joint (PIP) joints, however no visible findings in other joints. The patient was not recovered at the time of the report. No further information was provided. Follow-up information received 23 January 2009 from a physician. According to the reporter, the patient had a similar, but worse reaction following treatment with Inferon which included urticaria. That episode required treatment with steroids and a progressive taper. The patient had a history of IgA deficiency with no demonstrated problems associated with that condition to date. Laboratory test results (date not reported) included Sed rate (15), C reactive protein, rheumatoid factor, ANA, and liver function panel which were normal. C3: 89 (ref 90-185) and C4: 4 (ref 19-55). Lyme antibody, monospot, ASO titers and culture were negative. Hepatitis profile was consistent with prior vaccination and parvovirus serology was consistent with past infection. CBC results indicated mild leukopenia at 3000, otherwise normal, no anemia. The poly arthritis interfered with the patient's ability to work and at the time of the report, the physician indicated a diagnosis had not been determined. Corrective treatments were not reported. At the time of the report, the patient had not recovered from the event. Follow-up information received 17 February 2009 from a physician. The similar type reaction previously referenced, occurred after receipt of Imferon (previously reported as Inferon), an iron dextran injection. Multiple consultations have failed to come up with an explanation for the patient's poly arthritis. The patient was noted to have a low tolerance for pain and discomfort and has not shown any improvement in her symptoms. Due to this new information received, this case has been upgraded from non-serious to serious. List of Documents held by Sender: None.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Full blood count abnormal, Impaired work ability, Joint swelling, Leukopenia, Liver function test normal
Clinical narrative: Initial information received on 21 January 2009 from a health care professional. Upon receipt of follow-up information on 17 February 2009, it was determined this case meets seriousness criteria. A 49 year old female patient with a history of IGA deficiency and allergies to Amoxicillin, aspirin, Prozac, Morphine, Naproxen, Motrin, Sulfa and Intron received ADACEL (lot number not known) "two weeks prior". On 29 December 2008 the patient complained of pain and swelling in her joints including fingers, knees, elbows, wrists, and ankles. During a doctor's visit (date not provided), the doctor stated that the patient had visible swelling in the proximal interphalangeal joint (PIP) joints, however no visible findings in other joints. The patient was not recovered at the time of the report. No further information was provided. Follow-up information received 23 January 2009 from a physician. According to the reporter, the patient had a similar, but worse reaction following treatment with Inferon which included urticaria. That episode required treatment with steroids and a progressive taper. The patient had a history of IgA deficiency with no demonstrated problems associated with that condition to date. Laboratory test results (date not reported) included Sed rate (15), C reactive protein, rheumatoid factor, ANA, and liver function panel which were normal. C3: 89 (ref 90-185) and C4: 4 (ref 19-55). Lyme antibody, monospot, ASO titers and culture were negative. Hepatitis profile was consistent with prior vaccination and parvovirus serology was consistent with past infection. CBC results indicated mild leukopenia at 3000, otherwise normal, no anemia. The poly arthritis interfered with the patient's ability to work and at the time of the report, the physician indicated a diagnosis had not been determined. Corrective treatments were not reported. At the time of the report, the patient had not recovered from the event. Follow-up information received 17 February 2009 from a physician. The similar type reaction previously referenced, occurred after receipt of Imferon (previously reported as Inferon), an iron dextran injection. Multiple consultations have failed to come up with an explanation for the patient's poly arthritis. The patient was noted to have a low tolerance for pain and discomfort and has not shown any improvement in her symptoms. Due to this new information received, this case has been upgraded from non-serious to serious. List of Documents held by Sender: None.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Mononucleosis heterophile test negative, Parvovirus B19 serology positive, Polyarthritis, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Initial information received on 21 January 2009 from a health care professional. Upon receipt of follow-up information on 17 February 2009, it was determined this case meets seriousness criteria. A 49 year old female patient with a history of IGA deficiency and allergies to Amoxicillin, aspirin, Prozac, Morphine, Naproxen, Motrin, Sulfa and Intron received ADACEL (lot number not known) "two weeks prior". On 29 December 2008 the patient complained of pain and swelling in her joints including fingers, knees, elbows, wrists, and ankles. During a doctor's visit (date not provided), the doctor stated that the patient had visible swelling in the proximal interphalangeal joint (PIP) joints, however no visible findings in other joints. The patient was not recovered at the time of the report. No further information was provided. Follow-up information received 23 January 2009 from a physician. According to the reporter, the patient had a similar, but worse reaction following treatment with Inferon which included urticaria. That episode required treatment with steroids and a progressive taper. The patient had a history of IgA deficiency with no demonstrated problems associated with that condition to date. Laboratory test results (date not reported) included Sed rate (15), C reactive protein, rheumatoid factor, ANA, and liver function panel which were normal. C3: 89 (ref 90-185) and C4: 4 (ref 19-55). Lyme antibody, monospot, ASO titers and culture were negative. Hepatitis profile was consistent with prior vaccination and parvovirus serology was consistent with past infection. CBC results indicated mild leukopenia at 3000, otherwise normal, no anemia. The poly arthritis interfered with the patient's ability to work and at the time of the report, the physician indicated a diagnosis had not been determined. Corrective treatments were not reported. At the time of the report, the patient had not recovered from the event. Follow-up information received 17 February 2009 from a physician. The similar type reaction previously referenced, occurred after receipt of Imferon (previously reported as Inferon), an iron dextran injection. Multiple consultations have failed to come up with an explanation for the patient's poly arthritis. The patient was noted to have a low tolerance for pain and discomfort and has not shown any improvement in her symptoms. Due to this new information received, this case has been upgraded from non-serious to serious. List of Documents held by Sender: None.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Streptococcal identification test, T-lymphocyte count decreased
Clinical narrative: Initial information received on 21 January 2009 from a health care professional. Upon receipt of follow-up information on 17 February 2009, it was determined this case meets seriousness criteria. A 49 year old female patient with a history of IGA deficiency and allergies to Amoxicillin, aspirin, Prozac, Morphine, Naproxen, Motrin, Sulfa and Intron received ADACEL (lot number not known) "two weeks prior". On 29 December 2008 the patient complained of pain and swelling in her joints including fingers, knees, elbows, wrists, and ankles. During a doctor's visit (date not provided), the doctor stated that the patient had visible swelling in the proximal interphalangeal joint (PIP) joints, however no visible findings in other joints. The patient was not recovered at the time of the report. No further information was provided. Follow-up information received 23 January 2009 from a physician. According to the reporter, the patient had a similar, but worse reaction following treatment with Inferon which included urticaria. That episode required treatment with steroids and a progressive taper. The patient had a history of IgA deficiency with no demonstrated problems associated with that condition to date. Laboratory test results (date not reported) included Sed rate (15), C reactive protein, rheumatoid factor, ANA, and liver function panel which were normal. C3: 89 (ref 90-185) and C4: 4 (ref 19-55). Lyme antibody, monospot, ASO titers and culture were negative. Hepatitis profile was consistent with prior vaccination and parvovirus serology was consistent with past infection. CBC results indicated mild leukopenia at 3000, otherwise normal, no anemia. The poly arthritis interfered with the patient's ability to work and at the time of the report, the physician indicated a diagnosis had not been determined. Corrective treatments were not reported. At the time of the report, the patient had not recovered from the event. Follow-up information received 17 February 2009 from a physician. The similar type reaction previously referenced, occurred after receipt of Imferon (previously reported as Inferon), an iron dextran injection. Multiple consultations have failed to come up with an explanation for the patient's poly arthritis. The patient was noted to have a low tolerance for pain and discomfort and has not shown any improvement in her symptoms. Due to this new information received, this case has been upgraded from non-serious to serious. List of Documents held by Sender: None.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Blood product transfusion, Chronic inflammatory demyelinating polyradiculoneuropathy, Gait disturbance, Hypoaesthesia, Muscular weakness
Clinical narrative: At time weakness in extremities, numbness, difficulty walking and climbing stairs. Diagnosed with GBS, later changed to CIPD due to recurring symptoms. Still under IVIG out patient treatment. Not certain of definite causality. But have deep concerns due to other GBS outbreaks in past.  03/18/2009 MR received for multiple DOS 7/20-26/2008 with DX:  Myasthenia Gravis.  Guillaine-Barre Syndrome.  ER visits 10/10/08 with same dx and 11/9/08 with DX: Chronic Relapsing Inflammatory Polyneuropathy.  Weakness.  Initially presented to PCP with c/o urinary frequency and urgency and leg weakness which began ~7/10/08, tx with abx.  Returned several days later with numbness and weakness in the feet which was progressing to numbness and tingling in fingertips. PE (+) for decreased strength in legs, sensory loss, and inability to walk without support.  Admitted with provisional dx of GBS. Tx with IVIG with some improvement. Returned 10/10/08 with mild bilateral paraparesis, most prominant in hip flexors and paresthesias.  Admitted for repeat course of IVIG.  Now entertaining dx of CIDP vs MG flare. Pt again returned  with increased weakness and pain bilaterally of lower ext, abd and torso with difficulty breathing. DX canged to CIDP-relapsing.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Left arm was swollen from shoulder down to elbow, golf ball sized, red, hard knot at injection site + itching.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Agitation, Immediate post-injection reaction, Irritability, Pyrexia, Vomiting
Clinical narrative: vomited immediately following rotovirus 'drink'. On 2/12/09, pt. had fever (101.5) rectally, vomited for 3 hrs. Was very, abnormally fussy and agitated from 2/13-2/16.  Fever broke  2/14/09.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Hypoaesthesia, Pyrexia, Stomach discomfort
Clinical narrative: Fever same day, then stomach upset, dizziness, right sided "numbness". No muscle weakness on testing at visit on 2/17/09. All symptoms resolved in 2-3 days.
Age: 45.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth, Pain
Clinical narrative: Received ADACEL, in Left delt and PNEUMOVAX in Right delt on 2/17/09- Called office 2/19/09 c/o swelling &pain came in for eval 2/19/09- Right upper arm with urticaria, tender to touch, mild eythema & slight warmth.  BENADRY 50 mg 1m given- Instructed to return if problems
Age: 45.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Swelling
Clinical narrative: Received ADACEL, in Left delt and PNEUMOVAX in Right delt on 2/17/09- Called office 2/19/09 c/o swelling &pain came in for eval 2/19/09- Right upper arm with urticaria, tender to touch, mild eythema & slight warmth.  BENADRY 50 mg 1m given- Instructed to return if problems
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial palsy
Clinical narrative: According to patient he was seen by an ER Physician at hospital on 02/23/09. Diagnosed with Bell's Palsy. Prescribed Prednisone and Acyclovir. Pt contacted us about finding a Primary Care Physician to follow up with his treatment. refused to give additional information to complete VAERS report- hang up phone. Client is Spanish speaking
Age: 1.3
Sex: M
Vaccine: DTAP, MMR
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Rash appeared 2 days  after shot lightly.  Strong heavy rash at 10 days after shot continuing 5 more days.  Fever 104.5 degrees X 72 hrs starting 9 days after shot.  Irritability intermittently x 5 days starting 10 days after shot
Age: 67.0
Sex: F
Vaccine: HEPAB, VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Pt. received ZOSTAVAX 12/18/09;  Saw Derm. on 1/7/09 for rash.  Returned to medical center 1/10/09 + Dx'd zoster rash R thigh.  Tx'd NEUROTIN tapered dose.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Facial palsy
Clinical narrative: Left sided facial paralysis began day after vaccinations were given. Went to ER on 2/1/09 where Bells Palsy was diagnosed. Is improving but not yet fully recovered.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Influenza serology positive, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Quick fever up to 103.3 degrees F, congestion, cough soreness in throat;
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Eyelid oedema, Flushing, Irritability, Urticaria
Clinical narrative: Within 1 hr of vaccines being given pt became irritable, facial flushing, hives diffusely esp on trunk/back but also on extremities.  Mild swelling of eyelids.  Zero resp probs/wheeze NL O2 Given BENADLYL + steroids with improvement
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Electroencephalogram, Loss of consciousness, Pallor
Clinical narrative: Inconsolable crying, pallor, & loss of consciousness, 8 hrs after being given immunization for the first time.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Cough, Measles antibody positive, Rash generalised, Rhinorrhoea
Clinical narrative: Rash on face, stomach, back, legs started on 2-8-09.  Pt. temp 98.5 degrees (2-9-09).  103 degrees Feb 5 + 6, 2009 cough, rhinorrhea started Feb 2, 2009.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Anorexia, Asthenia, Chills, Dizziness, Gait disturbance
Clinical narrative: < 1 hr post vaccine admin. Pt c/o lightheaded, loss of appetite, nausea, cold chills, unable to move feet.  C/o vision change. 1 hour later pt c/o headache & stomach pain. C/o weakness. Difficulty ambulating.  & irregular heartbeat & palpitations.  3/16/09 Received PCP medical records of 1/28-2/19/2009. FINAL DX: anxiety, sinus tachycardia resolved. Records reveal patient experienced epigastric pain c/w PUD.  Tx w/meds.  RTC 2/18 & epigastric pain had resolved until day prior when returned but much milder.  To continued meds x 2 mo than return for recheck.  Seen in ER on 2/19 for SOB, tachycardia.  Exam at that time was WNL & d/c to home.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Heart rate irregular, Mobility decreased, Nausea, Palpitations
Clinical narrative: < 1 hr post vaccine admin. Pt c/o lightheaded, loss of appetite, nausea, cold chills, unable to move feet.  C/o vision change. 1 hour later pt c/o headache & stomach pain. C/o weakness. Difficulty ambulating.  & irregular heartbeat & palpitations.  3/16/09 Received PCP medical records of 1/28-2/19/2009. FINAL DX: anxiety, sinus tachycardia resolved. Records reveal patient experienced epigastric pain c/w PUD.  Tx w/meds.  RTC 2/18 & epigastric pain had resolved until day prior when returned but much milder.  To continued meds x 2 mo than return for recheck.  Seen in ER on 2/19 for SOB, tachycardia.  Exam at that time was WNL & d/c to home.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Visual impairment
Clinical narrative: < 1 hr post vaccine admin. Pt c/o lightheaded, loss of appetite, nausea, cold chills, unable to move feet.  C/o vision change. 1 hour later pt c/o headache & stomach pain. C/o weakness. Difficulty ambulating.  & irregular heartbeat & palpitations.  3/16/09 Received PCP medical records of 1/28-2/19/2009. FINAL DX: anxiety, sinus tachycardia resolved. Records reveal patient experienced epigastric pain c/w PUD.  Tx w/meds.  RTC 2/18 & epigastric pain had resolved until day prior when returned but much milder.  To continued meds x 2 mo than return for recheck.  Seen in ER on 2/19 for SOB, tachycardia.  Exam at that time was WNL & d/c to home.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash
Clinical narrative: TC from pt one hour after recurring second shot of GARDASIL.  Pt self report "3 white spots, on my face" noticed after she left the clinic.  "a little itchy" advised to go to Urgent care- denied sob, facial swelling no other hives or itchiness.  Pt did not go to Urgent care she called her mom who told her to call her primary care doctor who advised her to take po BENADRYL which she did.  Attempt to call pt to see if symptoms resolved- pt did not call back yet.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Crying, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Swollen glands, (femoral), redness and swollen site, no fever, Hurt - make her cry. Rest made it better - iced +heat
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Pertussis identification test positive
Clinical narrative: 12/27/08 - Presented with 3 weeks nonproductive cough, treated with AZITHROMYCIN.  Patient still with symptoms as of 02/15/2009.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Received flu shot 2-16-09 came to office 2-18-09 left upper arm red & swollen & hard 5 cm no rash
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Cold sweat, Electrocardiogram, Electrocardiogram QRS complex normal, Electrocardiogram ST segment normal, Electrocardiogram T wave normal
Clinical narrative: 1 hour after receiving MENACTRA developed flushed face, clammy & weak legs, "feels well''.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Flushing, Heart rate normal, Muscular weakness, Sinus rhythm
Clinical narrative: 1 hour after receiving MENACTRA developed flushed face, clammy & weak legs, "feels well''.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Eye irritation, Feeling hot, Headache, Loss of consciousness, Rash
Clinical narrative: C/O feeling hot, HA, eyes burning then blacked out. Woke up on floor. Also w/ rash on abdomen and thigh.
Age: 50.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pain and warmth and firmness felt at injection site on upper left arm. 2 1/2 cm at area of induration felt there, no erythema
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site haematoma, Injection site papule, Irritability
Clinical narrative: Has red bumps on stomach, legs & back. Sm Qtip size red raised bump on VARICELLA site right leg and PREVNAR site is a bruise. Pt feels well. Pt has slight fever & fussiness since 2/18/9.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Has red bumps on stomach, legs & back. Sm Qtip size red raised bump on VARICELLA site right leg and PREVNAR site is a bruise. Pt feels well. Pt has slight fever & fussiness since 2/18/9.
Age: 10.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Ataxia, Eyelid disorder, Facial palsy, Gingivitis, Injection site erythema
Clinical narrative: DTaP+IPV combo administered 2-10-09. Within 24 hrs developed swollen, red, painful arm at site - 2-11-09 broke out in oral blisters on tongue, anterior mouth lasted 2 days - 2-13-09: (R) eye red and couldn't close it - 2-14-09: facial drooping - 2-16-09: Dxd with Bell's Palsy probably due to herpes gingivostomatitis - 2-18-09: Seen by NP; now with increased sleepiness and ataxia
Age: 10.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site pain, Injection site swelling, Ocular hyperaemia, Oral herpes, Oropharyngeal blistering
Clinical narrative: DTaP+IPV combo administered 2-10-09. Within 24 hrs developed swollen, red, painful arm at site - 2-11-09 broke out in oral blisters on tongue, anterior mouth lasted 2 days - 2-13-09: (R) eye red and couldn't close it - 2-14-09: facial drooping - 2-16-09: Dxd with Bell's Palsy probably due to herpes gingivostomatitis - 2-18-09: Seen by NP; now with increased sleepiness and ataxia
Age: 10.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Somnolence
Clinical narrative: DTaP+IPV combo administered 2-10-09. Within 24 hrs developed swollen, red, painful arm at site - 2-11-09 broke out in oral blisters on tongue, anterior mouth lasted 2 days - 2-13-09: (R) eye red and couldn't close it - 2-14-09: facial drooping - 2-16-09: Dxd with Bell's Palsy probably due to herpes gingivostomatitis - 2-18-09: Seen by NP; now with increased sleepiness and ataxia
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial palsy
Clinical narrative: Developed Bells Palsy 8/12/08 received.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event
Clinical narrative: Pt given HEP A (VAQTA) on 2/11/08 & 8/1/08 Today, mom reporting no local reaction.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: 02-07-09 (L) arm 8X8 in redden- warm to touch - (R) arm 2X1 in redden - warmth to touch c/o pain. BENADRYL 2 tsp BID - Cool compresses
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash after antibiotics + MMR.  Face-trunk some spots on extremities.
Age: 39.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Hypoaesthesia, Mass, Muscular weakness, Pain
Clinical narrative: Had knot & a lot of pain after receiving TD still having pain, arm weakness & numbness