chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Swelling
Clinical narrative: First symptoms was my left arm where flu shot was given, began to be very sore days later. Continued throughout the whole arm and my hand, wrist and fingers. Then my neck started to be stiff and sore. Then my right arm was stiff and sore. This eventually grew to my legs, knees, and angles.  Primary Doctor gave me physical and suggested I see a Rheumatologist. In January after this Dr. took extensive blood work. It was determined I had Auto Immune Disease which will eventually become Rheumatoid Arthritis. Was healthy before October 9th, 2008.  Ankles and left hand still swollen and knee joints are painful.  4/6/09 Received Rheum medical records of 12/17/08-3/29/2009. FINAL DX: undifferentiated connective tissue disease, likely seronegative inflammatory polyarthritis, fibromyalgia syndrome Records reveal patient experienced neck, leg & arm pain since 11/2008.  Neuro consult done 12/17/08 dx w/C5-6 DDD.  Referred to PT & MRI.  Referred to Rheum for fibromyalgia 12/08 & tx w/meds.  Rheum 2nd opinion 1/22/09 for polyarthritis unimproved w/meds revealed active synovitis.  Tx w/steroids & recommended plaquenil although pt declined.    6/9/09 Medical records recieved DOS 12/21/07 to 2/26/09. FINAL DIAGNOSIS: Inflammatory polyarthritis. Post vaccination patient presented with left arm and shoulder pain, neck pain. Hand, thumb, wrist pain, weakness. Knee pain. Sent for rheumatology consult.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Muscle rigidity
Clinical narrative: MOC (mother of child) called to clinic on 3/4/09. Info vax received today. Spoke to MOC, states child had reaction of 3" redness, muscle hard and itching. 12 hours to 24 hours after vaccine to rt arm. States she tx w/ BENADRYL BID X 48 hours, redness, itching gone now.
Age: 4.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Hepatitis B antibody negative, Joint swelling, Rash
Clinical narrative: E. multiforme rash in palms and plantar feet, with right ankle swelling - 8 days after HEB B #4 and HEB A# 1 given.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Paraesthesia oral
Clinical narrative: Red rash around shot area. Tingling of lips.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Pyrexia, Rash
Clinical narrative: Developed fever 101.8 with chills; red, raised rash on arm and legs within 24 hrs of vaccine. Symptoms resolved over 4 days.
Age: 31.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Induration
Clinical narrative: Induration and erythema 10X13 cm below area of vaccine site.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Anaemia, Haematemesis, Herpes zoster
Clinical narrative: Information has been received from a 72 year old male patient with allergy to several unspecified medications, Parkinson's disease, hypertension and gastrooesophageal reflux disease and a history of cataract and anaemia, who in "Fall 2008" approximately September 2008, was vaccinated with "one dose" of ZOSTAVAX (MERCK) (lot # not available). "6 weeks post vaccination" approximately October 2008 the patient developed a case of shingles. The patient also experienced copious emesis that was black and tarry and was hospitalized 5 days for anemia. The patient's shingles and copious emesis that was black and tarry and anemia persisted. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed induction of labour, Haematology test
Clinical narrative: Information has been received from the mother concerning her 16 year old daughter with no medical history and no allergies reported, who on an unspecified date was vaccinated with the first dose of GARDASIL. On 12-DEC-2007, the patient was vaccinated with her second dose of GARDASIL, 0.5 ml. Concomitant therapy included prenatal vitamins. On 28-DEC-2007, the patient found out she was pregnant. Her last menstrual period (LMP) was on 06-DEC-2007 ("8 weeks 5 days" ago). The patient sought medical attention. On an unspecified date, the patient had blood work performed (unspecified). Her estimated date of delivery is 11-SEP-2008. The third dose of GARDASIL was not administered. Follow-up information was received on 09-MAR-2009 from a female at a pediatrician's office, who reported that on 16-SEP-2008 the patient delivered a healthy normal, female, who weighed 10 lbs 1 oz, by cesarean section for a failed induction of labor at 41 weeks gestation. It was noted that the patient had a maternal pregnancy weight gain of 60 lb. The patient brought her baby to the physician's office. The physician said the baby was "fine and well-no problems". It was reported that the patient had recovered from the c-section on an unspecified date and was "doing well also". Upon internal review, cesarean section was determined to be an other important medical event. No further information is available.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed induction of labour, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a medical assistant for the pregnancy registry for GARDASIL concerning a 15 year old female patient with type 1 diabetes mellitus and sulfonamide allergy who on 04-MAR-2008 was vaccinated IM in the right arm with the first 0.5 ml dose of GARDASIL (659182/1757U). Concomitant therapy included MENACTRA and insulin. The patient received her first dose of vaccine when she was pregnant. The physician did a vaginal exam (unspecified date) which found that the patient had a 16-18 week uterus size with a LMP of 07-DEC-2007, and an estimated delivery date of 12-SEP-2008. Unknown medical attention was sought in the office. Patient outcome was unknown. No product quality complaint was involved. Follow up information has been received from a certified medical assistant on 09-MAR-2009. It was reported that the patient delivered a healthy, normal male, a "few weeks early". The patient had an induction of labor secondary to her history of preexisting insulin-dependent diabetes. The induction failed and she had a cesarean section. The baby weighed a little over 7 lbs. The reporter said the mother recovered "fine" and the baby was released for adoption, so they have no further information on the baby beyond this. Upon internal review, induction of labor that failed was determined to be an other important medical event. Additional information is not expected.
Sex: M
Vaccine: MNQ
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Initial information was received on 02 March 2009 from a health care professional. A 15 year old female received an intramuscular left arm injection of MENACTRA (lot number U2621AA) on 16 August 2008 while she was pregnant. She had no illness at the time of vaccination, no prior pregnancies, no treatments for infertility, and her date of last menstrual period had been 15 June 2008. She had an ultrasound performed on 20 November 2008 with normal results. The female had a vaginal delivery at 38 weeks gestation on 08 January 2009. The baby boy weighed 5 pounds 1 ounce at birth. The baby was born with an extra left digit. There were no complications during the labor or delivery. No further information was provided. Recovery status was not reported. A case was created for the mother which is captured in case number 2008-02644. List of Documents held by sender: none.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: RIGHT THIGH BECAME RED, WARM TO TOUCH, AND SWOLLEN.  WENT TO LOCAL ER, RECIEVED 10 DAY SUPPLY OF AUGMENTIN AND BENADRYL AS NEEDED
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site discolouration, Injection site swelling
Clinical narrative: MEMBER RECIEVED ANTHRAX VACCINE ON 7 MAR 09. SWELLING AND DISCOLORATION A THE SITE OF THE INJECTION. MEMBER STATES THAT SWELLING IS SIZE OF QUARTER. SWELLING STARTED DAY AFTER VACCINATION.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Nausea, Pyrexia, Swelling
Clinical narrative: reddness, swelling, nausea, headache, low grade fever.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Allergy to vaccine, Chills, Lethargy, Pyrexia
Clinical narrative: Mother reports the following: Child had normal behavior throughout day until approximately 7 hours post vaccination, (7 PM) the child became lethargic and spiked a fever and started shivering.  Acetaminophen was administered at 8:15 PM.  Parents became worried and took child to the local ER for evaluation.  There he was observed and given Prednisilone 4ml (15mg/5ml) po.  In addition the child was encouraged to take fluids po.  He was later D/C from ER with diagnosis of probable allergic reaction to influenza vaccine.  Mother of child contacted via phone this date (03/13/09) and she reports that child exhibited no further symptoms and has returned to normal behavior.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Axillary pain, Chills, Injection site swelling, Pyrexia
Clinical narrative: 10/31/08 5pm c/o sore right armpit, took ibuprofen 800mg,11/1/08 3pm injection site size of a quarter, fever & chills, temp 101 degree: 11/2/08 injection site size of palm of hand taking ibuprofen q 4 hr; 11/3/08 injection site measured by PHN 18.5cm wide, 15 cm long, temp 98.7; resolved by 11/10/08
Age: 0.33
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: URTICARIA PRESENTED ITSELF ABOUT 5 HOURS AFTER ADMINISTRATION
Age: 1.0
Sex: F
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Herpes zoster, Pain, Rash pruritic, Rash vesicular, Virus culture
Clinical narrative: DEVELOPED HERPES ZOSTER 5 MONTHS AFTER RECEIVING VARICELLA VACCINE. UNILATERAL VESICULAR RASH FROM MID ABDOMEN ALL THE WAY AROUND TO MID BACK, PAINFUL, PRURITIC. NO PREVIOUS EXPOSURE TO WILD VARICELLA IS KNOWN.
Age: 49.0
Sex: F
Vaccine: FLU3, HEP, HEPA
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: One week after immunization she noticed a raised, red area (slightly bigger than a silver dollar) on her right deltoid. Broke out in "little bumps" around this area.  Also reports area hot to touch and itched really bad.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Local reaction, Oedema peripheral, Pyrexia
Clinical narrative: LOCAL REATION OF LEFT ARM. ARM IS SWOLLEN& RED FROM TOP OF LEFT SHOULDER TO ELBOW (18 CM). CIRCUMFERENCE ABOVE LEFT ELBOW 20 CM VERSES 16CM ON RIGHT. MT REPORTS A LITTLE FEVER YESTERDAY BUT DID NOT TAKE READING.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Dermatologic examination, Injection site atrophy, Pain in extremity
Clinical narrative: Pt has experienced pain in R arm continually since receiving vaccine-worsens with exertion of extremity. A "divit" at injection site 1st appeared about February 1st, 2009.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Back pain, Blood test abnormal, Disorientation, Disturbance in attention
Clinical narrative: terrible back, neck shoulder and head pain, Headache, and disorientation, could not concentrate, malaise, weakness, tired. Went to my family doctor who is monitoring my symptoms.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Malaise, Musculoskeletal pain, Neck pain
Clinical narrative: terrible back, neck shoulder and head pain, Headache, and disorientation, could not concentrate, malaise, weakness, tired. Went to my family doctor who is monitoring my symptoms.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: White blood cell count decreased
Clinical narrative: terrible back, neck shoulder and head pain, Headache, and disorientation, could not concentrate, malaise, weakness, tired. Went to my family doctor who is monitoring my symptoms.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: MOTHER BROUGHT PATIENT IN WITH COMPLAINTS OF RIGHT UPPER ARM RED AND SWOLLEN (WARM TO TOUCH). ONSET OF SYMPTOMS WERE LATE 3/12/2009 IMMUNIZATIONS WERE GIVEN 3/11/09 PATIENT CAME TO CLINIC 3/13/09 WAS EXAMINED BY DOCTOR HE TREATED HER WITH ZYRTEC AND ICE PACKS.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Inflammation, Rash erythematous
Clinical narrative: Rash - 2-3" long by 1&1/2" oval.  It is red and inflamed.  Not raised and no pain associated with it.  Will take Tylenol or Advil if it starts to hurt and will seek medical help if it worsens.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: RASH & REDNESS ON VACCINATION SITE. REACCTION
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site vesicles
Clinical narrative: Rash of small blisters in a circular pattern around the injection site approximately 2 inches in diameter.-not sure if exact vaccination date is correct
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Decreased appetite, Muscle twitching, Pyrexia, Somnolence
Clinical narrative: Difficulty with balance within an hour of vaccine. Fever 103 began that night, lasted several days. Child had episodes of twitching during fever. Child was difficult to keep awake for 2 days. Significantly decreased appetite for 1 month.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV1
Clinical narrative: Mother stated baby cried nonstop for eight hours straight. Mother stated no fever or swelling around shot site. Mother stated took to ER, and the baby stay overnight for observation. The hospital gave ibuprofen for pain, no other treatment necessary.  3/23/2009 Received hospital medical records of 1/9-1/10/2009. FINAL DX: prolonged irritability secondary to immunizations Records reveal patient w/inconsolable crying x 4-5 hr w/diet refusal. Improved & d/c to home.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site induration
Clinical narrative: 5 x7 cm induration approx 12 hrs after injected. No fever, HA respiratory symptoms, G1 symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Child was given DAPTACEL on 3-5-09, on 3-6-09 her leg was red about 1-2", on 3-7-09 swelling and redness was about 5-6 inches around, no fever, itching at the injection site. She was admitted to hospital 3-7-09. Disc. 3-8-09 - treated with IV vancomycin and IV SOLUMEDROL and IV BENADRYL.   3/16/09 MR received for DOS 3/7-8/209 with D/C DX:  Cellulitis R thigh.  Skin infection. ? Staph.  Pt presented with redness, swelling and tenderness of R thigh injection site which was rapidly expanding. Tx: abx, benadryl and steroids and d/c
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Inflammation, Rash, Rash erythematous, Tenderness
Clinical narrative: Approximately 24 hours after admin, Pts arm developed sore, red, inflamed rash- diagnosed at ER as allergic Rx.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Swollen injection site - repeated Benadryl X1.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Rash, Varicella
Clinical narrative: rash on body x 2 weeks.  Pt got chicken pox.
Age: 1.44
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized redness, swelling at site of DTaP injection.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized redness, swelling at site of Tdap injection.
Age: 42.0
Sex: F
Vaccine: HEP, HEPA, IPV, MNQ, TDAP, TYP, YF, HEP, HEPA, IPV, MNQ, TDAP, TYP, YF
Symptoms: Discomfort, Joint effusion, Joint stiffness, Joint swelling, Pain
Clinical narrative: On 3/11 in eve., pt. noted onset "stiffness" right knee joint; next a.m. (3/12) awoke & noted stiffness w/swelling @ left knees (R > L) & "stiffness" in medial aspect of feet B/L without swelling. mild -> med. discomfort on ambulation, on 3/12, took ibuprofen 600 mg Q 8-12 hours without improvement - 3/13 a.m. sx tg -> left knee swelling ? right & right instep/ankle area now w/mild swelling & increased pain with ambulation. Continuing ibuprofen 600 mg Q 6-8 hours / leg elevation.  Negative fever / chills / rash / warmth / erythema.  Positive 2-3 cm b/l med. bursal effusions @ knees, negative tender on palp.  3/18/09 MR received from reporter. Pt contacted MD 3/12/09 with c/o bilateral knee pain and swelling, stiffness and bilateral ankle pain which cause discomfort when walking. PE (+) for bilateral knee effusions/swelling R>L. Tx: Advil and leg elevation. F/U TC 3/13/09 with increasing knee and ankle swelling. Referred for medical eval however pt did not go as sx had started to improve.  Only mild stiffness in L ankle remains.
Age: 42.0
Sex: F
Vaccine: HEP, HEPA, IPV, MNQ, TDAP, TYP, YF, HEP, HEPA, IPV, MNQ, TDAP, TYP, YF
Symptoms: Arthralgia, Joint effusion, Joint stiffness, Joint swelling, Musculoskeletal stiffness
Clinical narrative: On 3/11 in eve., pt. noted onset "stiffness" right knee joint; next a.m. (3/12) awoke & noted stiffness w/swelling @ left knees (R > L) & "stiffness" in medial aspect of feet B/L without swelling. mild -> med. discomfort on ambulation, on 3/12, took ibuprofen 600 mg Q 8-12 hours without improvement - 3/13 a.m. sx tg -> left knee swelling ? right & right instep/ankle area now w/mild swelling & increased pain with ambulation. Continuing ibuprofen 600 mg Q 6-8 hours / leg elevation.  Negative fever / chills / rash / warmth / erythema.  Positive 2-3 cm b/l med. bursal effusions @ knees, negative tender on palp.  3/18/09 MR received from reporter. Pt contacted MD 3/12/09 with c/o bilateral knee pain and swelling, stiffness and bilateral ankle pain which cause discomfort when walking. PE (+) for bilateral knee effusions/swelling R>L. Tx: Advil and leg elevation. F/U TC 3/13/09 with increasing knee and ankle swelling. Referred for medical eval however pt did not go as sx had started to improve.  Only mild stiffness in L ankle remains.
Age: 42.0
Sex: F
Vaccine: HEP, HEPA, IPV, MNQ, TDAP, TYP, YF, HEP, HEPA, IPV, MNQ, TDAP, TYP, YF
Symptoms: Pain
Clinical narrative: On 3/11 in eve., pt. noted onset "stiffness" right knee joint; next a.m. (3/12) awoke & noted stiffness w/swelling @ left knees (R > L) & "stiffness" in medial aspect of feet B/L without swelling. mild -> med. discomfort on ambulation, on 3/12, took ibuprofen 600 mg Q 8-12 hours without improvement - 3/13 a.m. sx tg -> left knee swelling ? right & right instep/ankle area now w/mild swelling & increased pain with ambulation. Continuing ibuprofen 600 mg Q 6-8 hours / leg elevation.  Negative fever / chills / rash / warmth / erythema.  Positive 2-3 cm b/l med. bursal effusions @ knees, negative tender on palp.  3/18/09 MR received from reporter. Pt contacted MD 3/12/09 with c/o bilateral knee pain and swelling, stiffness and bilateral ankle pain which cause discomfort when walking. PE (+) for bilateral knee effusions/swelling R>L. Tx: Advil and leg elevation. F/U TC 3/13/09 with increasing knee and ankle swelling. Referred for medical eval however pt did not go as sx had started to improve.  Only mild stiffness in L ankle remains.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema
Clinical narrative: Pt received HIB and DTAP into left thigh. Erythematous macular lacy area 13cm X 13 cm surrounding injection site.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Lethargy, Malaise
Clinical narrative: 102 Rectal temp Friday eve 3/06/09 beginning around 7pm. Temp remained in that area with Tylenol + Motrin alternating. All day Saturday 3/7/09. Sunday no temp but very mellow + lethargic. Didn't feel well.  Monday began to behave more typically again.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 24 hours after receiving lZ's mmr & Dtap in Rt arm, pt. mom noticed pt. arm red, warm to touch & swollen in area where lZ's were given.  12 cm X 12 cm are of redness/erythema.  Pt. seen here & told to use cool compresses & TYLENOL for releive.  Should resolve w/1 a week.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Large erythematous hyperemic plaque covering lat aspect of L arm.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling hot, Peak expiratory flow rate, Pruritus, Urticaria
Clinical narrative: 12:30 Hives developed on right shoulder.  C/o warm ear (right) 12:50 and itchy all over.  ZYRTEC - given in office 10 mg. orally.  20 mins. later hives on abdomen, hands - back bilaterally.  Dr. in to examine patient VSS-Pulse ox 99%. Peak flow 550.  Epi. given subq left arm.  .03 @ 1310.  Hives and conditioned improved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Lymphadenopathy, Rash vesicular
Clinical narrative: Sx:  Vessicular erruption with subsequent cellulitis of RLe + inguinal LAB.  Tx:  ORAPRED 15 mg qd x sd;  AUGMENTIN 250 mg bid x 10d.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: Generalized rash - hives on chest, back, arms & face.  Started < 24 hrs after vaccines were administered.  Treated with diphenhydramine.
Age: 1.3
Sex: M
Vaccine: MMR, PNC
Symptoms: Urticaria
Clinical narrative: Mom noticed he had hives / whelps to right cheek on his face, right arm/shoulder, and right leg.  She put child in bathtub & called the doctor on call.  Was instructed to give BENADRYL.  No redness or swelling @ injection site.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm, Urticaria
Clinical narrative: Lt arm swollen, hives (Lt arm), Lt arm red, hot swollen pain in Lt arm no fever, no problems breathing. Will given Benadryl 3-6-09 (per doctor direction) noted hives 3-5-09 in afternoon. Arm was already painful @ that time. Still has some soreness in arm 3-13-09. Takes Ibuprofen for soreness.
Age: 14.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Received ADACEL 430 PM. 3/11  That night, developed vomiting and headache.  On 3/12 developed fever to 102 which responded to TYLENOL.  Vomiting resolved.  Unclear of vomiting/headache due to vaccine-reporting it because of time connection.
Age: 0.2
Sex: F
Vaccine: DT, RV5
Symptoms: Diarrhoea, Diarrhoea haemorrhagic
Clinical narrative: Within 24 hrs after receiving ROTAVIRUS vaccine, pt. developed diarrhea, blood & mucous present at times for next 2 weeks.  Pt. was evaluated by physician.  Parent told that it was from ROTA vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper
Clinical narrative: After GARDASIL #3 Pt. c/o stomach pain after 2 days mother report her daughter is doing fine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: Approximately 10 minutes following injections, pruritis and urticarial rash developed.  Rx BENADRYL liquid 1 tsp.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Localized Urticaria around (L) Deltoid area and both hands x 10 days. Patient given Allegra 180 mg # 14 and told to F/U as needed for change in condition.`
Age: 1.42
Sex: F
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: small amount of hives noted in groin area approx 5 hours after vaccination, rash next day much more extensive involving entire trunk -hives with target lesions, no fever no mucous membrane lesions--treated wtih benadryl 1 tsp q6hrs (parents originally were only giving 1/2 tsp-to fu immediately if mucous memebrane involvement or much worse--otherwise by phone 2 days
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Chronic sinusitis, Computerised tomogram abnormal, Computerised tomogram head, Contusion, Convulsion
Clinical narrative: dizziness and seizures. 4/16/09 MR received from PCP from 2/18/09 to 4/13/09. Pt presented on 2/18/09 for 3rd Gardasil vaccine 1757U. RTO for f/u for  recent grand mal seizure on 3/14/09, as well as c/o fatigue, stomach pain and dizziness. Pt also reports blurry vision and heaviness all over.  PE (+) for bruising L shin. DX:  Syncope and collapse.  Very likely combination of hypoglycemia and vasovagal response. Syncopla episode with seizure-like activity. Returns 3/26/09 with continued c/o dizziness, H/A, arm heaviness and sharp pains, some congestion. PE (+) for vertigo with extraocular testing. DX:  Syncope and collapse.  Malaise and fatigue.  H/A. Sinusitis-chronic.  EEG and labs ordered.  F/U 4/13/09 with c/o severe H/A which comes and goes x 3 days with photophobia and phonphobia, mild nausea, seeing spots prior to H/A and other visual disturbances. PE (+) for H/A and joint pain. MUscle tightness and tenderness of bilat pericervical and upper perithoracic tissues. To see chiropractor.  Follow-up: Still dizzy, vision problems and loss of concentration.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Disturbance in attention, Dizziness, Grand mal convulsion, Laboratory test abnormal, Myalgia
Clinical narrative: dizziness and seizures. 4/16/09 MR received from PCP from 2/18/09 to 4/13/09. Pt presented on 2/18/09 for 3rd Gardasil vaccine 1757U. RTO for f/u for  recent grand mal seizure on 3/14/09, as well as c/o fatigue, stomach pain and dizziness. Pt also reports blurry vision and heaviness all over.  PE (+) for bruising L shin. DX:  Syncope and collapse.  Very likely combination of hypoglycemia and vasovagal response. Syncopla episode with seizure-like activity. Returns 3/26/09 with continued c/o dizziness, H/A, arm heaviness and sharp pains, some congestion. PE (+) for vertigo with extraocular testing. DX:  Syncope and collapse.  Malaise and fatigue.  H/A. Sinusitis-chronic.  EEG and labs ordered.  F/U 4/13/09 with c/o severe H/A which comes and goes x 3 days with photophobia and phonphobia, mild nausea, seeing spots prior to H/A and other visual disturbances. PE (+) for H/A and joint pain. MUscle tightness and tenderness of bilat pericervical and upper perithoracic tissues. To see chiropractor.  Follow-up: Still dizzy, vision problems and loss of concentration.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sensation of heaviness, Syncope, Visual impairment
Clinical narrative: dizziness and seizures. 4/16/09 MR received from PCP from 2/18/09 to 4/13/09. Pt presented on 2/18/09 for 3rd Gardasil vaccine 1757U. RTO for f/u for  recent grand mal seizure on 3/14/09, as well as c/o fatigue, stomach pain and dizziness. Pt also reports blurry vision and heaviness all over.  PE (+) for bruising L shin. DX:  Syncope and collapse.  Very likely combination of hypoglycemia and vasovagal response. Syncopla episode with seizure-like activity. Returns 3/26/09 with continued c/o dizziness, H/A, arm heaviness and sharp pains, some congestion. PE (+) for vertigo with extraocular testing. DX:  Syncope and collapse.  Malaise and fatigue.  H/A. Sinusitis-chronic.  EEG and labs ordered.  F/U 4/13/09 with c/o severe H/A which comes and goes x 3 days with photophobia and phonphobia, mild nausea, seeing spots prior to H/A and other visual disturbances. PE (+) for H/A and joint pain. MUscle tightness and tenderness of bilat pericervical and upper perithoracic tissues. To see chiropractor.  Follow-up: Still dizzy, vision problems and loss of concentration.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Encephalitis, Herpes simplex serology negative, Nuclear magnetic resonance imaging brain abnormal, Polymerase chain reaction
Clinical narrative: encephalitis 24 h after guardasil vaccination.  Right temporal-occipital T2 flair on MRI with negative HSV PCR.  3/26/09 Received hospital medical records of 2/17-19/2009 & 3/2-3/17/2009 & GYN & Neuro clinic records.  2/17-2/19/2009 FINAL DX: Seizure & Migraine headache Records reveal patient experienced bifrontal HA w/neck pain, dizziness, photophobia, phonophobia, nausea, vomiting, flashing lights x 4-5 days.  Was traveling to ER when had seizure & possible tongue biting.  CT scan in outlying ER was neg & d/x to home w/outpatient neuro f/u.  Now admitted, tx w/pain meds, antiseizure meds & anatinausea meds      3/2-3/17/2009 FINAL DX: presumptive herpes simplex virus meningitis Records reveal patient experienced intractable HA, stiff neck, retrobulbar eye pain, blurry vision, ear pain, teeth pain, tinnitus, N/V, decreased appetite, coryza, constipation, generalized weakness & vision flashes since 2/16, seen multiple times in ER & 1 admission for same.  Had been tx inbetween with steroid taper w/temporary improvement.  Several days prior to this admit developed fevers, night sweats, hallucination single episode & was essentially bedbound due to worsening pain when standing.   Neurosurg, Neuro & ID consult done.  Tx w/IV antibiotics, pain meds, IV caffeine, antinausea meds & antivirals.  Improved slowly & was able to ambulate w/o HA & d/c to home on continued oral antiviral meds & to return for repeat MRI.  GYN Clinic 2/12/2009 FINAL DX: HPV #1 administered, no Lot #s available.     Neuro CLinic 2/23/09 FINAL DX: persistent migraine HA Tx w/steroid taper, IV antihistamine/antinausea meds & was instructed to return as scheduled.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy brain, Blood test, Brain oedema, Convulsion, Headache
Clinical narrative: encephalitis 24 h after guardasil vaccination.  Right temporal-occipital T2 flair on MRI with negative HSV PCR.  3/26/09 Received hospital medical records of 2/17-19/2009 & 3/2-3/17/2009 & GYN & Neuro clinic records.  2/17-2/19/2009 FINAL DX: Seizure & Migraine headache Records reveal patient experienced bifrontal HA w/neck pain, dizziness, photophobia, phonophobia, nausea, vomiting, flashing lights x 4-5 days.  Was traveling to ER when had seizure & possible tongue biting.  CT scan in outlying ER was neg & d/x to home w/outpatient neuro f/u.  Now admitted, tx w/pain meds, antiseizure meds & anatinausea meds      3/2-3/17/2009 FINAL DX: presumptive herpes simplex virus meningitis Records reveal patient experienced intractable HA, stiff neck, retrobulbar eye pain, blurry vision, ear pain, teeth pain, tinnitus, N/V, decreased appetite, coryza, constipation, generalized weakness & vision flashes since 2/16, seen multiple times in ER & 1 admission for same.  Had been tx inbetween with steroid taper w/temporary improvement.  Several days prior to this admit developed fevers, night sweats, hallucination single episode & was essentially bedbound due to worsening pain when standing.   Neurosurg, Neuro & ID consult done.  Tx w/IV antibiotics, pain meds, IV caffeine, antinausea meds & antivirals.  Improved slowly & was able to ambulate w/o HA & d/c to home on continued oral antiviral meds & to return for repeat MRI.  GYN Clinic 2/12/2009 FINAL DX: HPV #1 administered, no Lot #s available.     Neuro CLinic 2/23/09 FINAL DX: persistent migraine HA Tx w/steroid taper, IV antihistamine/antinausea meds & was instructed to return as scheduled.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test, Nuclear magnetic resonance imaging, Pyrexia, Syncope
Clinical narrative: encephalitis 24 h after guardasil vaccination.  Right temporal-occipital T2 flair on MRI with negative HSV PCR.  3/26/09 Received hospital medical records of 2/17-19/2009 & 3/2-3/17/2009 & GYN & Neuro clinic records.  2/17-2/19/2009 FINAL DX: Seizure & Migraine headache Records reveal patient experienced bifrontal HA w/neck pain, dizziness, photophobia, phonophobia, nausea, vomiting, flashing lights x 4-5 days.  Was traveling to ER when had seizure & possible tongue biting.  CT scan in outlying ER was neg & d/x to home w/outpatient neuro f/u.  Now admitted, tx w/pain meds, antiseizure meds & anatinausea meds      3/2-3/17/2009 FINAL DX: presumptive herpes simplex virus meningitis Records reveal patient experienced intractable HA, stiff neck, retrobulbar eye pain, blurry vision, ear pain, teeth pain, tinnitus, N/V, decreased appetite, coryza, constipation, generalized weakness & vision flashes since 2/16, seen multiple times in ER & 1 admission for same.  Had been tx inbetween with steroid taper w/temporary improvement.  Several days prior to this admit developed fevers, night sweats, hallucination single episode & was essentially bedbound due to worsening pain when standing.   Neurosurg, Neuro & ID consult done.  Tx w/IV antibiotics, pain meds, IV caffeine, antinausea meds & antivirals.  Improved slowly & was able to ambulate w/o HA & d/c to home on continued oral antiviral meds & to return for repeat MRI.  GYN Clinic 2/12/2009 FINAL DX: HPV #1 administered, no Lot #s available.     Neuro CLinic 2/23/09 FINAL DX: persistent migraine HA Tx w/steroid taper, IV antihistamine/antinausea meds & was instructed to return as scheduled.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Abdominal pain upper, Antinuclear antibody negative, Asthenia, Blood thyroid stimulating hormone normal
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: CSF glucose normal, CSF lymphocyte count increased, CSF protein increased, Gait disturbance, HIV test negative
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Hepatitis B antibody negative, Hepatitis C antibody negative, Hypoaesthesia, Injection site erythema
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Laboratory test normal, Lumbar puncture abnormal, Multiple sclerosis, Muscular weakness
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Pleocytosis, Rheumatoid factor negative
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Sensory loss, Spinal cord disorder, Syphilis test negative, Viral test negative
Clinical narrative: Vaccine administered as part of routine PEx 2/18/2009. Pt seen on 2/23/2009 with pain and redness in the vaccination site and neck soreness. She was treated with Bactrim DS BID and Zyrtec 10mg daily as well as OTC Ibuprofen PRN. On 3/7/2009 she presented to ER with burning pain in band like distribution in the upper abdomen and tingling in the lower extremities. Pt. was d/c'd home and returned the next day with HA, increased tingling and difficulty with ambulation. She was found to have decreased sensation below the umbilicus and R > L lower extemity weakness. Pt was treated with IV steroids and had clniical improvement and was d/c'd from hospital when she was able to ambulate w/o assistance on oral prednisone. Further follow up is pending.  4/2/09 Received hospital medical records of 3/8-3/11/2009. FINAL DX: myelitis, etiology undetermined Records reveal patient experienced 3-4 days of burning sensation in band like distribution around upper abdomen, back pain, numbness/tingling of LEs, difficulty walking, throbbing frontal HA, N/V.  Seen in ER on 3/7 & d/c.  Returned because of increased s/s.  Neuro consult done.   Tx w/IV steroids.  Strength improved & d/c to home on tapering steroids x 2 more wks w/neuro f/u. Follow-up: Patient has had 90-95% recovery of her initial symptoms (numbness and weakness) as well as marked improvement by MRI in spinal cord lesion. Pt is now diagnosed with Multiple Sclerosis and on treatment doing well thus far. Unclear whether the onset of MS was related to vaccination or not but certainly timing of events was very suspicious.
Sex: F
Vaccine: HEP
Symptoms: Bruxism, Convulsion, Cyanosis, Erythema, Foaming at mouth
Clinical narrative: Was administered Hep B vaccination at 3 days old, 4 hours later had a seizure. Immediately after vaccination she became sleepy and slept until she started convulsing which lasted approximately a minute, stiffened all her limbs, jaw was clenched and I had to stick my finger in her mouth because she was not breathing, she turned red then blue and started foaming at the mouth.  I immediately rushed her to the ER and she was admited to the NIC unit where she stayed for 4 days.  All neuralogical and infection test were done, she was administered antibiotics until the results came back which were negative.  The only diagnosis they came up with was acid reflux and she was give prilosec.   I felt they refused to take into consideration that the vaccination had anything to do with her seizure.  They did not test to see if she was allergic to any of the components of the vaccine.  4/20/09 Newborn exam recd dated 1/2/09 with normal exam. 5/12/09 Additional records received from PCP. seen 1/9/09 in f/u to possible seizure episode. W/U was (-). No further episodes. PE WNL, now dx with GERD.  5/14/09 MR received for DOS 1/3-6/2009 with D/C DX:  Term AGA female infant.  Mild GER. R/O Sepsis-never proven.  Neuro staus-R/O seizure. Pt presented after episode of stiffening, shaking, gasping for air, lip-smaking and foaming at mouth. Sleepy upon PE in ER.  W/U result was while episode had the appearance of seizure, more likely a reflux episode with accompnaying apnea and stiffening. D/C on Prilosec and Reglan. ICD9 codes:  779.89 Specified conditions originating in the neonatal period. 530.81 Esophageal reflux.
Sex: F
Vaccine: HEP
Symptoms: Gastrooesophageal reflux disease, Immediate post-injection reaction, Musculoskeletal stiffness, Respiratory arrest, Somnolence
Clinical narrative: Was administered Hep B vaccination at 3 days old, 4 hours later had a seizure. Immediately after vaccination she became sleepy and slept until she started convulsing which lasted approximately a minute, stiffened all her limbs, jaw was clenched and I had to stick my finger in her mouth because she was not breathing, she turned red then blue and started foaming at the mouth.  I immediately rushed her to the ER and she was admited to the NIC unit where she stayed for 4 days.  All neuralogical and infection test were done, she was administered antibiotics until the results came back which were negative.  The only diagnosis they came up with was acid reflux and she was give prilosec.   I felt they refused to take into consideration that the vaccination had anything to do with her seizure.  They did not test to see if she was allergic to any of the components of the vaccine.  4/20/09 Newborn exam recd dated 1/2/09 with normal exam. 5/12/09 Additional records received from PCP. seen 1/9/09 in f/u to possible seizure episode. W/U was (-). No further episodes. PE WNL, now dx with GERD.  5/14/09 MR received for DOS 1/3-6/2009 with D/C DX:  Term AGA female infant.  Mild GER. R/O Sepsis-never proven.  Neuro staus-R/O seizure. Pt presented after episode of stiffening, shaking, gasping for air, lip-smaking and foaming at mouth. Sleepy upon PE in ER.  W/U result was while episode had the appearance of seizure, more likely a reflux episode with accompnaying apnea and stiffening. D/C on Prilosec and Reglan. ICD9 codes:  779.89 Specified conditions originating in the neonatal period. 530.81 Esophageal reflux.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Back pain, Erythema, Muscle spasms, Nausea
Clinical narrative: After recieving first round of Gardasil shot- three weeks later noted small red spoches on chest area( Sat AM), Sun day felt weak, back cramps, and nausea.  Mon AM and continuing- red spots darken and increased in number.  Doctor diagnosed as pityriasis.  Have found other forums where pityriasis is connected with the vaccine.  Within one week of three spots- the rash has spread throughout entire chest, back, neck and now starting to form on arms and legs. Doctor claims unknown cause or cure.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Pityriasis, Rash macular
Clinical narrative: After recieving first round of Gardasil shot- three weeks later noted small red spoches on chest area( Sat AM), Sun day felt weak, back cramps, and nausea.  Mon AM and continuing- red spots darken and increased in number.  Doctor diagnosed as pityriasis.  Have found other forums where pityriasis is connected with the vaccine.  Within one week of three spots- the rash has spread throughout entire chest, back, neck and now starting to form on arms and legs. Doctor claims unknown cause or cure.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Chest pain, Cold sweat, Erythema
Clinical narrative: Severe red burning rash on arm 4in in diameter.  Experiencing chest pains and joint pains.As well as cold sweats.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Severe red burning rash on arm 4in in diameter.  Experiencing chest pains and joint pains.As well as cold sweats.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: L upper thigh with erythematous, tender nodule.