chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: FLU3, MNQ, PPV
Symptoms: Pyrexia
Clinical narrative: Immunizations given on 1/12/09 at approx. 4:00 PM. Mom called at 10:40 AM 1/13/09 stating 2-3 inch diameter swollen red area on (L) arm. Appt was scheduled for 2:15 PM which was subsequently cancelled/rescheduled for 1/14/09 at 10:00 AM. Pt was dx with cellulitis and put on Keflex 500mg qid x 7 days. On 1/14/09 at 4:00 PM, temp at 102.8 F and redness extending beyond borders - sent to ER. Went to hospital, admitted and given IV Rocephin, Prednisone, Benadryl x 3 days. Released and doing well.  2/20/09 Received hospital medical records of 1/14-1/16/2009. FINAL DX: cellulitis LUE s/p vaccination; & inflammatory response as side effect of vaccination manifested as fever, redness & soreness at site of injection Records reveal patient experienced swelling & redness over LUE, nausea/vomiting, fever & chills.  Tx w/IV antibiotics.  ID consult done.  Improved & d/c to home on continued oral antibiotics & steroid taper.
Age: 0.4
Sex: U
Vaccine: RV5
Symptoms: Crying, Culture stool, Decreased appetite, Dermatitis diaper, Diarrhoea
Clinical narrative: Infant was seen 11/12/08 for pulling ears x 1 week.  He had no URI Sx or fever but mom reported one slightly loose stool that am, sl. decreased appetite and waking during naps and @ pm suddenly crying.  On exam, he had a right otitis media, was started on AMOXIL and given routine  4 mo old vaccines.  Within 24 hrs he ran a fever and 102.5 degrees (Ax).  They went to the ER the next day 2 degree fever and decreased appetite.  He had 1 loose stool on 11/12/08 then developed more watery stools the next day. No additional Rx was added at the ER.  The child was seen in our office again 11/21/08 with c/o watery diarrhea x 9 days at that point about every 2 hrs.  Fever had resolved 2 days prior.  The infant did vomit that day.  He was drinking PEDIALYTE well.  The vomiting was reported as nonbilious and the diarrhea was reported as nonbloody.  A stool Cx and stool rotavirus Ag were ordered (results never received).  Mom states the infant started having blood in the stool that pm.  The diarrhea was heavy (2-3 times an hour) for 3 to 4 more days then gradually cleared over the next week.  He did develop a bright red diaper rash during the heavy diarrhea stage.  Mom also states the baby "looked like a Downs Syndrome kid" while he was running the fever.
Age: 0.4
Sex: U
Vaccine: RV5
Symptoms: Erythema, Haematochezia, Pyrexia, Rotavirus test, Vomiting
Clinical narrative: Infant was seen 11/12/08 for pulling ears x 1 week.  He had no URI Sx or fever but mom reported one slightly loose stool that am, sl. decreased appetite and waking during naps and @ pm suddenly crying.  On exam, he had a right otitis media, was started on AMOXIL and given routine  4 mo old vaccines.  Within 24 hrs he ran a fever and 102.5 degrees (Ax).  They went to the ER the next day 2 degree fever and decreased appetite.  He had 1 loose stool on 11/12/08 then developed more watery stools the next day. No additional Rx was added at the ER.  The child was seen in our office again 11/21/08 with c/o watery diarrhea x 9 days at that point about every 2 hrs.  Fever had resolved 2 days prior.  The infant did vomit that day.  He was drinking PEDIALYTE well.  The vomiting was reported as nonbilious and the diarrhea was reported as nonbloody.  A stool Cx and stool rotavirus Ag were ordered (results never received).  Mom states the infant started having blood in the stool that pm.  The diarrhea was heavy (2-3 times an hour) for 3 to 4 more days then gradually cleared over the next week.  He did develop a bright red diaper rash during the heavy diarrhea stage.  Mom also states the baby "looked like a Downs Syndrome kid" while he was running the fever.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Convulsion, Electroencephalogram normal, Vomiting
Clinical narrative: 24 hrs after shots had episode of vomiting and developed seizure. Hospitalized and started on Phenobarb.  3/9/09 Received hospital medical records of 1/13-1/14/2009. FINAL DX: no d/c summary available,  Neuro consult states new onset seizures. Records revea patient experienced vomiting, lethargy, pale, shaking.  Transported to ER when continued w/vomiting, lethargy & shaking.  Tx w/IVF, LP & IV antibiotics.  Transferred to higher level of care.  Continued to be lethargic in hospital.  Parent had fever & malaise few days prior to pt admit.  Neuro consult done.  Tx w/Pb.  Improved in AM w/hydration & d/c to home on continued Pb w/neuro outpatient f/u.
Age: 1.27
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Autism, Convulsion, Gastrointestinal pain, Immune system disorder, Pyrexia
Clinical narrative: Convulsions, Shaking, High Fever. Follow-up: Immune system problems, gastrointestinal pain, Autism.
Age: 1.27
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Tremor
Clinical narrative: Convulsions, Shaking, High Fever. Follow-up: Immune system problems, gastrointestinal pain, Autism.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Type 1 diabetes mellitus
Clinical narrative: After receiving the third series of Anthrax Vax. Became insulin dependent, shortly after.  2/23/09 Office note received for 1/23/08 for Diabetes Mellitus f/u and medication consult. Rx-Novolof pen.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Fluid intake reduced, Hypersomnia, Hypophagia, Intussusception
Clinical narrative: Intussusception - open reduction after failed enema reduction. Presenting sx: listlessness, decreased feedings (fluid intake) increased sleep.  3/3/09 MR received for DOS 1/10-xx/2008 with DX:  Intussusception.  Pt presented with acute onset of bloody stools and lethargy with decreased po intake.  PE (+) for mild dehydration.  IS dx by X-ray confirmed by BE which was only partially able to reduce. Admitted for surgical consult which dx IS. Admitted for Laparoscopy with attempted reduction of IS.  Unable to reduce laparoscopically, so laparotomy performed with appendectomy. No post op data available.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Listless, Surgery
Clinical narrative: Intussusception - open reduction after failed enema reduction. Presenting sx: listlessness, decreased feedings (fluid intake) increased sleep.  3/3/09 MR received for DOS 1/10-xx/2008 with DX:  Intussusception.  Pt presented with acute onset of bloody stools and lethargy with decreased po intake.  PE (+) for mild dehydration.  IS dx by X-ray confirmed by BE which was only partially able to reduce. Admitted for surgical consult which dx IS. Admitted for Laparoscopy with attempted reduction of IS.  Unable to reduce laparoscopically, so laparotomy performed with appendectomy. No post op data available.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Body temperature increased, Joint swelling, Pain
Clinical narrative: Sudden onset arthralgias 12/29/08.  Pain, swelling elbows, wrists, hands, fingers,knees, ankles low grade temp initially.  Seen by PCP & Rheumatologist.  PREDNISONE.
Age: 11.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Oedema peripheral
Clinical narrative: Pain & swelling to the right deltoid area.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Abdominal X-ray, Activities of daily living impaired, Blood product transfusion, Chest X-ray, Dysphagia
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia facial, Insomnia
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Intensive care, Mechanical ventilation, Paralysis, Post-traumatic stress disorder, Respiratory failure
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Tracheostomy
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Activities of daily living impaired, Anaemia, Anxiety, Asthenia, Balance disorder
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Dizziness, Dysphagia, Economic problem, Emotional distress, Guillain-Barre syndrome
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Headache, Hypoaesthesia, Pain, Palpitations, Respiratory disorder
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Tremor, Vision blurred
Clinical narrative: Right after Tdap I started having numbness in feet and (R) leg. This went on for a month and 1/2 and I never put it together at that point. 12/12/08 Hands/face numb. Went to be unable to move body at 2 AM - could not swallow. To ER - transferred to another hospital. Respiratory failure. Once there, I went into respiratory failure - vented x 21 days in ICU. Then given a tracheotomy due to inability to come off vent. Paralyzed from head to toes. EMG performed; + for Guillain Barre. Dr felt it was from Tdap. Impossible to prove. Gradually improved after IVIG treatment - blood transfusion. No longer have trach. I am unable to function in a normal capacity physically. Going to PT. I have worked full-time as a nurse for 28 yrs. Raised 4 children. Never been ill in my life. This is the most debilitating event that could ever occur. I have post traumatic syndrome. I cannot sleep.  3/20/09 MR received for DOS 12/13/08-01/06/2009 with D/C DX:  Guillain-Barre Syndrome.  Respiratory Failure due to muscle weakness.  Pneumonia. Pt presented with 1 day hx of sudden onset tingling and weakness of the whole body.  PE (+) for proximal>distal weakness in all extremities, L>R, nasal speech quality and poor cough effort. Pt intubated for ventilatory failure and IVIG initiated with some improvement.  Failed extubation on 12/17/08 and 12/24/08 re-intubated. Fever noted 12/25/08 and tx with abx for Staph pneumonia. Trach and feeding tube placed. Slow improvement and eventually able to ambulate and trach removed. D/C with 4-5/5 strength for outpt f/u.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Balance disorder, Confusional state, Fatigue, Nausea
Clinical narrative: Weakness, nausea, tiredness, confusion, off balance AM & PM, racing thoughts and actions in the AM.  2/25/09 MR received.  HPV vax 12/2/08 and 1/5/08. Pt to be seen for cognitive eval on 1/23/09, but pt was 45 minutes late.  Pt c/o dizziness, weakness and difficulty concentrating.  Referred to ER for physical complaints.  Not seen in ER. Consult (+) for hyperreflexia of R upper extremity. Sent for MRI. 3/9/09 Additional records received. Psych consult states pt has hx of depressive sx since 2003.  Recently d/c antidepressant.  Started on another recently.  Exam with some psychomotor slowing and depressed mood.  DX: Dysthymia.  Cluster B personality features. Arthralgia of knees.  Anemia-on iron.  Later eval reports sx may be r/t Lupus dx since MRI (-)
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Tachyphrenia
Clinical narrative: Weakness, nausea, tiredness, confusion, off balance AM & PM, racing thoughts and actions in the AM.  2/25/09 MR received.  HPV vax 12/2/08 and 1/5/08. Pt to be seen for cognitive eval on 1/23/09, but pt was 45 minutes late.  Pt c/o dizziness, weakness and difficulty concentrating.  Referred to ER for physical complaints.  Not seen in ER. Consult (+) for hyperreflexia of R upper extremity. Sent for MRI. 3/9/09 Additional records received. Psych consult states pt has hx of depressive sx since 2003.  Recently d/c antidepressant.  Started on another recently.  Exam with some psychomotor slowing and depressed mood.  DX: Dysthymia.  Cluster B personality features. Arthralgia of knees.  Anemia-on iron.  Later eval reports sx may be r/t Lupus dx since MRI (-)
Age: 18.0
Sex: M
Vaccine: HEPAB, MMR, MNQ, PPV
Symptoms: Asthenia, Balance disorder, Blood product transfusion, CSF protein increased, Electromyogram abnormal
Clinical narrative: Developed Guillain Barre Syndrome after multiple vaccines in basic training. Service member had pneumonia prior to hospitalization for GBS, but numbness in lower extremities started before respiratory sxs did. Received IVIG with improvement, but still has difficulty going up steps and with balance, cannot run, has pain in legs when squatting. Service member being discharged permanently from the military. Symptoms: Neuropathy, Gait abnormality, Hypo-reflexia, Sensation, decrease, Weakness, Paresthesia.  2/26/09 Clinical Summary received. Pt initiall presented  9/20/08 with c/o of ~10 day hx numbness of the toes  Initially thought numbness r/t boots and dismissed.  Returned with numbness now in both legs and productive cough -close contact w/ pneumonia.  Dx: Community Acquired Pneumonia and started on abx. Several days later developed tingling of the legs with painful cramping in the calves and now tingling fingertips. Unable to walk up stairs and having difficult due to arm weakness. Referred to hospital for further eval on 9/24/08. PE (+) for abnormal sensation, reduced motor strength , abnormal gait and stance, and diminished or absent DTRs.  DX with GBS following EMG/NCS. Tx with IVIG with some improvement.  able to walk with a walker. Still unable to run by 12/2008 with continued numbness, pain and spasm in arms and legs. Also significant fatigue.
Age: 18.0
Sex: M
Vaccine: HEPAB, MMR, MNQ, PPV
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Hyporeflexia, Nerve conduction studies abnormal
Clinical narrative: Developed Guillain Barre Syndrome after multiple vaccines in basic training. Service member had pneumonia prior to hospitalization for GBS, but numbness in lower extremities started before respiratory sxs did. Received IVIG with improvement, but still has difficulty going up steps and with balance, cannot run, has pain in legs when squatting. Service member being discharged permanently from the military. Symptoms: Neuropathy, Gait abnormality, Hypo-reflexia, Sensation, decrease, Weakness, Paresthesia.  2/26/09 Clinical Summary received. Pt initiall presented  9/20/08 with c/o of ~10 day hx numbness of the toes  Initially thought numbness r/t boots and dismissed.  Returned with numbness now in both legs and productive cough -close contact w/ pneumonia.  Dx: Community Acquired Pneumonia and started on abx. Several days later developed tingling of the legs with painful cramping in the calves and now tingling fingertips. Unable to walk up stairs and having difficult due to arm weakness. Referred to hospital for further eval on 9/24/08. PE (+) for abnormal sensation, reduced motor strength , abnormal gait and stance, and diminished or absent DTRs.  DX with GBS following EMG/NCS. Tx with IVIG with some improvement.  able to walk with a walker. Still unable to run by 12/2008 with continued numbness, pain and spasm in arms and legs. Also significant fatigue.
Age: 18.0
Sex: M
Vaccine: HEPAB, MMR, MNQ, PPV
Symptoms: Neuropathy peripheral, Pain in extremity, Paraesthesia, Respiratory tract infection, Sensory loss
Clinical narrative: Developed Guillain Barre Syndrome after multiple vaccines in basic training. Service member had pneumonia prior to hospitalization for GBS, but numbness in lower extremities started before respiratory sxs did. Received IVIG with improvement, but still has difficulty going up steps and with balance, cannot run, has pain in legs when squatting. Service member being discharged permanently from the military. Symptoms: Neuropathy, Gait abnormality, Hypo-reflexia, Sensation, decrease, Weakness, Paresthesia.  2/26/09 Clinical Summary received. Pt initiall presented  9/20/08 with c/o of ~10 day hx numbness of the toes  Initially thought numbness r/t boots and dismissed.  Returned with numbness now in both legs and productive cough -close contact w/ pneumonia.  Dx: Community Acquired Pneumonia and started on abx. Several days later developed tingling of the legs with painful cramping in the calves and now tingling fingertips. Unable to walk up stairs and having difficult due to arm weakness. Referred to hospital for further eval on 9/24/08. PE (+) for abnormal sensation, reduced motor strength , abnormal gait and stance, and diminished or absent DTRs.  DX with GBS following EMG/NCS. Tx with IVIG with some improvement.  able to walk with a walker. Still unable to run by 12/2008 with continued numbness, pain and spasm in arms and legs. Also significant fatigue.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Cardiac enzymes normal, Chest pain, Dyspnoea, Electrocardiogram normal, Pericarditis
Clinical narrative: Chest pain began 4 days after primary smallpox vaccine.  Service Member meets criteria for "Suspect" pericarditis according to CDC guidelines.  Definition:  Typical chest pain (i.e. made worse by supine position, improved when leaning forward), no evidence for alternative likely of such chest pain, occurring within 30 days of vaccination.  No other objective findings.  Symptoms: Chest Pain, Dyspnea.  Pericarditis, post vaccinia  2/23/09 MR received with vax rec from reporter.  Pt presented 12/20/08 with c/o chest pain, dypnea on exertion, cough, fever and palpitations.  Initially dx with URI but continued to have intermittant CP and tachycardia. Assessment:  Pericarditis, acute.  Adverse drug effect of SP vaccine. Tx with Motrin.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Cardiac enzymes normal, Chest pain, Cough, Dyspnoea exertional, Electrocardiogram normal
Clinical narrative: Chest pain began 4 days after primary smallpox vaccine.  Service Member meets criteria for "Suspect" pericarditis according to CDC guidelines.  Definition:  Typical chest pain (i.e. made worse by supine position, improved when leaning forward), no evidence for alternative likely of such chest pain, occurring within 30 days of vaccination.  No other objective findings.  Symptoms: Chest Pain, Dyspnea.  Pericarditis, post vaccinia  2/23/09 MR received with vax rec from reporter.  Pt presented 12/20/08 with c/o chest pain, dypnea on exertion, cough, fever and palpitations.  Initially dx with URI but continued to have intermittant CP and tachycardia. Assessment:  Pericarditis, acute.  Adverse drug effect of SP vaccine. Tx with Motrin.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Palpitations, Pericarditis, Pyrexia, Tachycardia, Troponin I increased
Clinical narrative: Chest pain began 4 days after primary smallpox vaccine.  Service Member meets criteria for "Suspect" pericarditis according to CDC guidelines.  Definition:  Typical chest pain (i.e. made worse by supine position, improved when leaning forward), no evidence for alternative likely of such chest pain, occurring within 30 days of vaccination.  No other objective findings.  Symptoms: Chest Pain, Dyspnea.  Pericarditis, post vaccinia  2/23/09 MR received with vax rec from reporter.  Pt presented 12/20/08 with c/o chest pain, dypnea on exertion, cough, fever and palpitations.  Initially dx with URI but continued to have intermittant CP and tachycardia. Assessment:  Pericarditis, acute.  Adverse drug effect of SP vaccine. Tx with Motrin.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Upper respiratory tract infection
Clinical narrative: Chest pain began 4 days after primary smallpox vaccine.  Service Member meets criteria for "Suspect" pericarditis according to CDC guidelines.  Definition:  Typical chest pain (i.e. made worse by supine position, improved when leaning forward), no evidence for alternative likely of such chest pain, occurring within 30 days of vaccination.  No other objective findings.  Symptoms: Chest Pain, Dyspnea.  Pericarditis, post vaccinia  2/23/09 MR received with vax rec from reporter.  Pt presented 12/20/08 with c/o chest pain, dypnea on exertion, cough, fever and palpitations.  Initially dx with URI but continued to have intermittant CP and tachycardia. Assessment:  Pericarditis, acute.  Adverse drug effect of SP vaccine. Tx with Motrin.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Pt given GARDASIL vaccine about 15 minutes later.  Pt had light headiness and dizzy, pale and nausea.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Sensory loss
Clinical narrative: Dead feeling in lower part of body.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Pt returned to office about 1 hour post vaccination with c/o rash.  Very faint bumpy rash starting on arms, progressed through day to include trunk + legs. Mild itch.  Not hive-like.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, Lethargy, Malaise, Pallor
Clinical narrative: Baby previously well except noted to have poor weight gain. Appeared well at visit. Vaccines administered approx 10:30 am. Noted at daycare to be lethargic. Presented to office about 3:45 PM acutely ill, pale and floppy. Activated EMS. Completely resolved apparently by presentation to ER. Now appears well. Workup to date inconclusive.  3/3/09 MR received for DOS 1/19-20/2009 with D/C DX: Vomiting.  Dehydration.  Failure to Thrive. Pt initially presented back to PCP on date of vax with multiple episodes of vomiting. Had only had formula one time before that date. PCP noted pt to be less interactive than normal, lethargic, staring and pale so EMS called. Dehydrated on admission with dry mucous membranes, lack of tears and tachycardia. Given IVF and breastfeeding consult and d/c. Pt improved with no further vomiting.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Cough, Headache, Influenza like illness, Nasal congestion, Pyrexia
Clinical narrative: Headache- intense Flu-like symptoms w/ fever- coughing- nasal congestion- ending in a visit to ER.  Lung, blood and urine samples seemed o.k. Came home and had  temp for over a week (low grade) still had cough-
Age: 40.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Local reaction, Renal failure acute, Urinary retention
Clinical narrative: Pt suffer very severe local Rxn at site of pneumococcal vaccine. Two days later suffered urinary retention and ARF. Vaccine was listed as one of many possible causes. Other agents reported to MedWatch.   MR received for DOS 12/182008-1/09/2009 with D/C DX: Paroxysmal Atrial Fibrillation with rapid Atrioventricular conduction.  Ventricular Pre-excitation.  Hx of Bacterial endocarditis.  S/P Aortic Valve replacement (2002). Chronic and acute renal failure.  Massive allergic reaction to Pneumovax vaccine.  Pt already in hospital 12/18-19/2008 for Electrocardioversion which pt tolerated well.  Received Flu and Pneumovax prior to d/c. Pt developed substantila allergic reaction resulting in massive swelling of the L upper extremity with concerns for necrotizing fasciitis. Tx-abx.  Developed acute urinary retention and acute renal failure which improved by d/c w/ some residual renal failure. Required hemodialysis.
Age: 1.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Blood product transfusion, Full blood count, Idiopathic thrombocytopenic purpura, Petechiae
Clinical narrative: Developed petechiae 1/30/09. Diagnosed with I.T.P. 2/1/09 (Platelets 5,000). Responded to I.V.I.G. - Platelets 95,000, on 2/2. Platelets 205,000 on 2/4/09. 2/27/09-records recived for DOS 1/30-2/1/09-DC DX: Thrombocytopenia. Presented to ED with scattered petechiae on face, arms and bruise on right ear. Treated with IVIG.
Age: 3.0
Sex: F
Vaccine: FLU3, HEPA, HIBV
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Telephone call from parent - reports child c/o pain left arm + shoulder since vaccine on 1/13/2009 to day of call 1/16/09 - Parent reports relief with Tylenol. 1/20/09 - called parent  this am child fully recovered 0 pain.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Deep vein thrombosis, Viral infection
Clinical narrative: 1/6/09 - Vaccine administered. 1/19/09 - Developed severe viral symptoms. 1/25/09 - Dx with DVT and hospitalized; put on Heparin. 1/27/09 - D/C on Lovanox inj and Coumadin.  2/26/09-records received-for DOS 1/26-1/27/09-DC DX: Left lower extremity deep vein thrombosis in left mid superficial femoral vein to popliteal vein. Possible infectious mononucleosis versus cytomegalovirus (acute). Elevated liver function tests. Presented with 3 day history of left lower extremity pain
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Dysstasia, Gait disturbance, Inappropriate schedule of drug administration, Laboratory test
Clinical narrative: 1/6/09 - Vaccine administered. 1/19/09 - Developed severe viral symptoms. 1/25/09 - Dx with DVT and hospitalized; put on Heparin. 1/27/09 - D/C on Lovanox inj and Coumadin.  2/26/09-records received-for DOS 1/26-1/27/09-DC DX: Left lower extremity deep vein thrombosis in left mid superficial femoral vein to popliteal vein. Possible infectious mononucleosis versus cytomegalovirus (acute). Elevated liver function tests. Presented with 3 day history of left lower extremity pain
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mononucleosis heterophile test positive, Pain in extremity, Pyrexia, Thrombosis, Ultrasound scan abnormal
Clinical narrative: 1/6/09 - Vaccine administered. 1/19/09 - Developed severe viral symptoms. 1/25/09 - Dx with DVT and hospitalized; put on Heparin. 1/27/09 - D/C on Lovanox inj and Coumadin.  2/26/09-records received-for DOS 1/26-1/27/09-DC DX: Left lower extremity deep vein thrombosis in left mid superficial femoral vein to popliteal vein. Possible infectious mononucleosis versus cytomegalovirus (acute). Elevated liver function tests. Presented with 3 day history of left lower extremity pain
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Deep vein thrombosis, Viral infection
Clinical narrative: Information has been received from an office manager who is the mother of a 23 year old female with a medical history of broken hand and wrist injury which required plate on hand and knee injury (ruptured bursa), who on 22-APR-2008 was vaccinated with the first dose of GARDASIL IM 0.5 mL. On 10-JUL-2008, the patient was vaccinated with the second dose of GARDASIL IM 0.5 mL and on 16-JAN-2009, the patient was vaccinated with the third dose of GARDASIL (Lot number 0947X) 0.5 mL IM in the left deltoid. Concomitant therapy included YAZ. On 19-JAN-2009, the patient developed a fever. The patient had positive markers for mononucleosis but had a series of pending tests. On 23-JAN-2009, the patient experienced left leg pain. The pain continued for the next couple of days and on 25-JAN-2009 she went to the emergency room where she was diagnosed with a blood clot. She was transferred to another hospital because there were no beds and was hospitalized for 3 days. An ultrasound was performed which was positive for blood clot. The patient was treated with heparin for the clots. On 27-JAN-2009, the patient was discharged with LOVENOX and COUMADIN. The patient will be on the blood thinner for a minimum of 3-6 months. Currently, the patient was not able to walk long distances or stand for long periods of time. The patient was not able to play her usual sports because of being on blood thinners. As of 09-FEB-2009, the patient was recovering. The blood clots was considered to be immediately life-threatening and disabling by the office manager. This is an amended report. The GARDASIL dose given closest to the earliest AE onset date was changed from the third dose given on 16-JAN-2009 to the second dose given on 10-JUL-2008. Additional information has been requested. She has returned to normal activity but continues to have swelling in the leg where the clot occurred after any attempt at running or heavy exercise.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Dysstasia, Gait disturbance, Inappropriate schedule of drug administration, Laboratory test
Clinical narrative: Information has been received from an office manager who is the mother of a 23 year old female with a medical history of broken hand and wrist injury which required plate on hand and knee injury (ruptured bursa), who on 22-APR-2008 was vaccinated with the first dose of GARDASIL IM 0.5 mL. On 10-JUL-2008, the patient was vaccinated with the second dose of GARDASIL IM 0.5 mL and on 16-JAN-2009, the patient was vaccinated with the third dose of GARDASIL (Lot number 0947X) 0.5 mL IM in the left deltoid. Concomitant therapy included YAZ. On 19-JAN-2009, the patient developed a fever. The patient had positive markers for mononucleosis but had a series of pending tests. On 23-JAN-2009, the patient experienced left leg pain. The pain continued for the next couple of days and on 25-JAN-2009 she went to the emergency room where she was diagnosed with a blood clot. She was transferred to another hospital because there were no beds and was hospitalized for 3 days. An ultrasound was performed which was positive for blood clot. The patient was treated with heparin for the clots. On 27-JAN-2009, the patient was discharged with LOVENOX and COUMADIN. The patient will be on the blood thinner for a minimum of 3-6 months. Currently, the patient was not able to walk long distances or stand for long periods of time. The patient was not able to play her usual sports because of being on blood thinners. As of 09-FEB-2009, the patient was recovering. The blood clots was considered to be immediately life-threatening and disabling by the office manager. This is an amended report. The GARDASIL dose given closest to the earliest AE onset date was changed from the third dose given on 16-JAN-2009 to the second dose given on 10-JUL-2008. Additional information has been requested. She has returned to normal activity but continues to have swelling in the leg where the clot occurred after any attempt at running or heavy exercise.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mononucleosis heterophile test positive, Pain in extremity, Pyrexia, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Information has been received from an office manager who is the mother of a 23 year old female with a medical history of broken hand and wrist injury which required plate on hand and knee injury (ruptured bursa), who on 22-APR-2008 was vaccinated with the first dose of GARDASIL IM 0.5 mL. On 10-JUL-2008, the patient was vaccinated with the second dose of GARDASIL IM 0.5 mL and on 16-JAN-2009, the patient was vaccinated with the third dose of GARDASIL (Lot number 0947X) 0.5 mL IM in the left deltoid. Concomitant therapy included YAZ. On 19-JAN-2009, the patient developed a fever. The patient had positive markers for mononucleosis but had a series of pending tests. On 23-JAN-2009, the patient experienced left leg pain. The pain continued for the next couple of days and on 25-JAN-2009 she went to the emergency room where she was diagnosed with a blood clot. She was transferred to another hospital because there were no beds and was hospitalized for 3 days. An ultrasound was performed which was positive for blood clot. The patient was treated with heparin for the clots. On 27-JAN-2009, the patient was discharged with LOVENOX and COUMADIN. The patient will be on the blood thinner for a minimum of 3-6 months. Currently, the patient was not able to walk long distances or stand for long periods of time. The patient was not able to play her usual sports because of being on blood thinners. As of 09-FEB-2009, the patient was recovering. The blood clots was considered to be immediately life-threatening and disabling by the office manager. This is an amended report. The GARDASIL dose given closest to the earliest AE onset date was changed from the third dose given on 16-JAN-2009 to the second dose given on 10-JUL-2008. Additional information has been requested. She has returned to normal activity but continues to have swelling in the leg where the clot occurred after any attempt at running or heavy exercise.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, X-ray
Clinical narrative: I had received the Tdap shot in my left arm 12-15-08 at family practice which my arm became very sore 12-16-08 & has been sore every since 1-15-09 which I went to the Doctor whom order it.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Computerised tomogram normal, Fall, Syncope vasovagal
Clinical narrative: Syncope episode following injection, approx 30 seconds following vaccination. Member not caught before hitting floor. Patient sat up at 2-3 mins later, placed in chair, then had 2nd syncopal episode at 1 min later. 911 called, pt transported to ER. 24 hr observation. 4/6/09-records received for DOS 2/9-2/10/09-DC DX: Vasovagal syncopal episode. admitted for C/O post vasovagal syncopal episode after receiving anthrax injection with a single episode of confusion, fell and hit back of head. Prior to episode developed tunnel vision. In ED memory waxed and waned. Neurological exam normal.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Pulmonary embolism
Clinical narrative: She developed a pulmonary embolism after having 3 rounds of vaccine GARDASIL.  She was a healthy, active teenager. 2/23/09-autopsy report received immediate cause:Massive pulmonary embolism. Mild cardiomegaly. Last several days C/O cough and congestion. 3/9/09-ED records received for DOS 10/26/08-presented in full cardiac arrest after suffering a full and prolonged cardiac arrest, aystole. Expired.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Autopsy, Cardiac arrest, Cardiomegaly, Cough, Death
Clinical narrative: She developed a pulmonary embolism after having 3 rounds of vaccine GARDASIL.  She was a healthy, active teenager. 2/23/09-autopsy report received immediate cause:Massive pulmonary embolism. Mild cardiomegaly. Last several days C/O cough and congestion. 3/9/09-ED records received for DOS 10/26/08-presented in full cardiac arrest after suffering a full and prolonged cardiac arrest, aystole. Expired.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Pulmonary embolism, Respiratory tract congestion, White blood cell count increased
Clinical narrative: She developed a pulmonary embolism after having 3 rounds of vaccine GARDASIL.  She was a healthy, active teenager. 2/23/09-autopsy report received immediate cause:Massive pulmonary embolism. Mild cardiomegaly. Last several days C/O cough and congestion. 3/9/09-ED records received for DOS 10/26/08-presented in full cardiac arrest after suffering a full and prolonged cardiac arrest, aystole. Expired.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Death
Clinical narrative: She developed a pulmonary embolism after having 3 rounds of vaccine GARDASIL.  She was a healthy, active teenager. 2/23/09-autopsy report received immediate cause:Massive pulmonary embolism. Mild cardiomegaly. Last several days C/O cough and congestion. 3/9/09-ED records received for DOS 10/26/08-presented in full cardiac arrest after suffering a full and prolonged cardiac arrest, aystole. Expired.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Cardio-respiratory arrest
Clinical narrative: Patient found in cardiopulmonary arrest at home. 6/29/2009 Autopsy report received with COD Sudden Unexplained Death in Infancy.  Pt found face down in crib. Resuscitation unsuccesful.  Reportly had be lethargic and not sleeping at night since receiving vax at 3 month check up.  No anatomic, metabolic or toxicologic COD, therefore SUDI. ICD9: 798.4
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Childhood disintegrative disorder, Food aversion, Pyrexia, Rash, Speech disorder developmental
Clinical narrative: About one week after shot.  Fever 101 degrees F 104 degrees F. Unknown rash (was told chickenpox & given Prednisone). Developed food aversions. Loss of milestones & acquired language. Took 3 weeks to recover from physical symptoms.4/2/09-records received-office visitg 5/23/06-No reactions to immunization-well baby exam.6/2/06-seen for C/O fever rash, runny nose, congestion, cough, sore throat and decrease appetite.Assessment:Varicella. 8/21/06-well visit. 10/10/06-cough, runny nose, tugging at ears. Assessment: otitis media. 10/30/06-questionable lactose intolerance. 4/26/07-failed hearing test at school. Low weight on growth curves. 12/04/07-URI. 2/19/08-well baby exam. 3/17/-08-URI, cough, congestion, runny nose, Positive RSV last month. Assessment:URI. 4/1/08-right ear infection. Assessment: Otalgia. 2/17/09-Early childhood intervention, Poor eater, abdominal discomfort every day. parent does not want shots as last time lost ground in speech and eye contact. Assessment:well baby exam. pervasive development disorder, constipation, diarrhea, underweight, abdominal pain.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose normal, Blood test, Blood test normal, Computerised tomogram head, Decreased activity
Clinical narrative: Hospitalization for numbness, pain, in hands and feet. IVIG, Narotin. 2/20/09-records received for DOS 11/28/08-presented to ED with C/O hands and feet hurt and tingling and numbness of hands and feet. Symptoms began couple of weeks ago when travelling out of country. DX:Bilateral hand and foot pain, etiology undetermined. Mild Hyperglycemia. 2/26/09-records received for DOS 12/4-12/9/08-DC DX: Post-vaccination demyelinating polyradiculoneuropathy. Presented with numbness and pain in extremities. Treated with IVIG. Nausea vomiting.  Follow-up: Continued nerve pain in hands, feet, continued fatigue. Unable to do physical activity at previous level. Plan to retire earlier due to fatigue. Blood pressure high. Doctor hopes I will continue w/ remyelinization of nerve endings. Doesn't know if I will achieve 100%.