chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Febrile convulsion, Grand mal convulsion
Clinical narrative: Patient had an approximately one minute tonic clonic seizure associated with a temperature of 102 degrees F.  Patient recovered and has not had a fever or seizure since.  Patient went to emergency department last night, but did not stay because of the wait.  Patient was evaluated in the office this morning (6/13/2008) and was found to be in good health.  He was to follow up with a pediatric neurologist to confirm the suspected diagnosis of febrile seizure.  He was instructed to call our office as needed for any further concerns and to proceed to the emergency department if any further seizure activity.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Convulsion, Dizziness, Headache, Loss of consciousness, Posturing
Clinical narrative: Client states to have felt light headed after recieving all 5 injections.  Client passed out within 30 seconds, started posturing then had a Seizure.  Posturing and seizure last about 45 seconds.  Ammonia snapped under nose and client came became alert with 15 seconds. Client was very thirsty and had a headache following event. Ambulance was called to have client evaluated.  Mother was also called.  Client evaluated 6/13 and client states to have had no further symptoms.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Thirst
Clinical narrative: Client states to have felt light headed after recieving all 5 injections.  Client passed out within 30 seconds, started posturing then had a Seizure.  Posturing and seizure last about 45 seconds.  Ammonia snapped under nose and client came became alert with 15 seconds. Client was very thirsty and had a headache following event. Ambulance was called to have client evaluated.  Mother was also called.  Client evaluated 6/13 and client states to have had no further symptoms.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Dysgeusia, Eye movement disorder, Facial palsy, Hyperacusis
Clinical narrative: Patient noted to have difficulty closing Left eye and chewing normally while in the shower approximately one week after vaccine administration.  Went to local ER where he was diagnosed with a "Bell's Palsy" and treated empirically with Prednisone and acyclovir.  Patient was referred to a neurologist who evaluated him on the 21st - at that time patient was noted to have some facial droop, weakness in closing the eye and changes in taste sensation and hyperacusis consistent with a 7th nerve palsy.  Patient came in on 6/13/2008 to report to me this incident.  At the time of entry he has regained most of his facial muscle strength and no longer requires the use of artifical tears. 8/5/08 Reviewed ER medical records of 5/14/08. FINAL DX: Bell's palsy Records reveal patient experienced left facial droop, unable to close left eye or smile on left side w/abrupt beginning few hours prior.  Tx w/antiviral, steroids & eye drops.  D/C to home w/referral to neurologist as outpatient.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Movement disorder, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Patient noted to have difficulty closing Left eye and chewing normally while in the shower approximately one week after vaccine administration.  Went to local ER where he was diagnosed with a "Bell's Palsy" and treated empirically with Prednisone and acyclovir.  Patient was referred to a neurologist who evaluated him on the 21st - at that time patient was noted to have some facial droop, weakness in closing the eye and changes in taste sensation and hyperacusis consistent with a 7th nerve palsy.  Patient came in on 6/13/2008 to report to me this incident.  At the time of entry he has regained most of his facial muscle strength and no longer requires the use of artifical tears. 8/5/08 Reviewed ER medical records of 5/14/08. FINAL DX: Bell's palsy Records reveal patient experienced left facial droop, unable to close left eye or smile on left side w/abrupt beginning few hours prior.  Tx w/antiviral, steroids & eye drops.  D/C to home w/referral to neurologist as outpatient.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Dysgeusia, Eyelid function disorder, Facial palsy, Facial paresis, Hyperacusis
Clinical narrative: Patient noted to have difficulty closing Left eye and chewing normally while in the shower approximately one week after vaccine administration.  Went to local ER where he was diagnosed with a "Bell's Palsy" and treated empirically with Prednisone and acyclovir.  Patient was referred to a neurologist who evaluated him on the 21st - at that time patient was noted to have some facial droop, weakness in closing the eye and changes in taste sensation and hyperacusis consistent with a 7th nerve palsy.  Patient came in on 6/13/2008 to report to me this incident.  At the time of entry he has regained most of his facial muscle strength and no longer requires the use of artifical tears. 8/5/08 Reviewed ER medical records of 5/14/08. FINAL DX: Bell's palsy Records reveal patient experienced left facial droop, unable to close left eye or smile on left side w/abrupt beginning few hours prior.  Tx w/antiviral, steroids & eye drops.  D/C to home w/referral to neurologist as outpatient.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Mastication disorder, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Patient noted to have difficulty closing Left eye and chewing normally while in the shower approximately one week after vaccine administration.  Went to local ER where he was diagnosed with a "Bell's Palsy" and treated empirically with Prednisone and acyclovir.  Patient was referred to a neurologist who evaluated him on the 21st - at that time patient was noted to have some facial droop, weakness in closing the eye and changes in taste sensation and hyperacusis consistent with a 7th nerve palsy.  Patient came in on 6/13/2008 to report to me this incident.  At the time of entry he has regained most of his facial muscle strength and no longer requires the use of artifical tears. 8/5/08 Reviewed ER medical records of 5/14/08. FINAL DX: Bell's palsy Records reveal patient experienced left facial droop, unable to close left eye or smile on left side w/abrupt beginning few hours prior.  Tx w/antiviral, steroids & eye drops.  D/C to home w/referral to neurologist as outpatient.
Age: 1.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Irritability, Pyrexia
Clinical narrative: First 24 hours no problems.  Then ran fever and fussy for 4-5 day. Fever 103.  Gave Morin every 4 hours and could tell by fever and fussiness when 4 hours was up.  States one week out upper right thigh got a hard knot(where Dtap was give) and lower shot(Varicella) got red.  Still has hard knot.  Denies any heat, redness, or drainage at knot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: patient developed redness of right thigh  approximately 48 hrs after immunization.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: DEVELOPED FEVER, REDNESS AND SWELLING OF RIGHT ARM (6/10/08). PARENTS TOOK CHILD TO E.R. FOR EVALUATION. HAD OFFICE VIST 6/11/08, DOCTOR PRESCRIBED BENADRYL AND COLD COMPRESS TO THE ARM.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: woke up, took off bandaid. it was red and swollen, a little smaller than a golf ball
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: PARENT PRESENTED WITH CHILD TO CLINIC WITH A LEFT SWOLLEN RED AND PAINFUL TO TOUCH LEFT THIGH.  MOTHER STATED SHE NOTICED IT YESTURDAY 06-12-2008 BUT WORSENED TODAY.  DR.  WAS CALLED TO ROOM NO FURTHER TREATMENT WAS GIVEN ONLY INSTRUCTION FOR SUPPPORTIVE CARE.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Pallor
Clinical narrative: Pt became pale and stated "I feel really light headed". Had her lie down and drink juice.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Hep A and Menactra vaccines given to left deltoid on 6/11/08 and Tdap given to right deltoid on 6/11/08. Developed fever that day. Then on 6/13/08 developed pain, redness, and swelling at injection sites bilaterally, left greater than right.
Age: 5.0
Sex: M
Vaccine: TYP, YF, TYP, YF, TYP, YF
Symptoms: Respiratory distress
Clinical narrative: Req epi, Benadryl, Albut, Atrovent, Decadron and hospitalization at hospital. Resp distress.  07/02/2008 MR received for ER visit 6/13/2008 with DX: Anaphylactic reaction to vaccine. Pt developed acute onset of cough, wheezing and retractions ~ 15-20 after receiving YF and Typhoid vax. Became cyanotic and required O2 en route to hospital.  Parent reports perioral and lip swelling now resolved. Tx with O2, nebs, Benadryl and Decadron.  Observed o/n and d/c next day.
Age: 5.0
Sex: M
Vaccine: TYP, YF, TYP, YF, TYP, YF
Symptoms: Cough, Cyanosis, Injection site erythema, Injection site urticaria, Respiratory disorder
Clinical narrative: Req epi, Benadryl, Albut, Atrovent, Decadron and hospitalization at hospital. Resp distress.  07/02/2008 MR received for ER visit 6/13/2008 with DX: Anaphylactic reaction to vaccine. Pt developed acute onset of cough, wheezing and retractions ~ 15-20 after receiving YF and Typhoid vax. Became cyanotic and required O2 en route to hospital.  Parent reports perioral and lip swelling now resolved. Tx with O2, nebs, Benadryl and Decadron.  Observed o/n and d/c next day.
Age: 5.0
Sex: M
Vaccine: TYP, YF, TYP, YF, TYP, YF
Symptoms: Wheezing
Clinical narrative: Req epi, Benadryl, Albut, Atrovent, Decadron and hospitalization at hospital. Resp distress.  07/02/2008 MR received for ER visit 6/13/2008 with DX: Anaphylactic reaction to vaccine. Pt developed acute onset of cough, wheezing and retractions ~ 15-20 after receiving YF and Typhoid vax. Became cyanotic and required O2 en route to hospital.  Parent reports perioral and lip swelling now resolved. Tx with O2, nebs, Benadryl and Decadron.  Observed o/n and d/c next day.
Age: 5.0
Sex: M
Vaccine: TYP, YF, TYP, YF, TYP, YF
Symptoms: Anaphylactic reaction, Asthma, Respiratory distress, Wheezing
Clinical narrative: Req epi, Benadryl, Albut, Atrovent, Decadron and hospitalization at hospital. Resp distress.  07/02/2008 MR received for ER visit 6/13/2008 with DX: Anaphylactic reaction to vaccine. Pt developed acute onset of cough, wheezing and retractions ~ 15-20 after receiving YF and Typhoid vax. Became cyanotic and required O2 en route to hospital.  Parent reports perioral and lip swelling now resolved. Tx with O2, nebs, Benadryl and Decadron.  Observed o/n and d/c next day.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Body rash and itching all over
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature, Injection site erythema, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Temp 98.6.  Tdap adm R deltoid 5-28-08; client said area was burning up hot to touch, swollen tender on 5/30/08 and reddened on upper R arm.  On 6-4-08 client has redness on upper of pt and extending to inside of arm and now below elbow.  C/O itching in red areas. R deltoid feels flexed.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Temp 98.6.  Tdap adm R deltoid 5-28-08; client said area was burning up hot to touch, swollen tender on 5/30/08 and reddened on upper R arm.  On 6-4-08 client has redness on upper of pt and extending to inside of arm and now below elbow.  C/O itching in red areas. R deltoid feels flexed.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, fever and muscle aches.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Redness, warm to touch, painful, swollen. Cephalexin prescribed 6/13/08 - will take for 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Skin reaction
Clinical narrative: Fever and localized skin reaction.
Age: 18.0
Sex: M
Vaccine: TTOX
Symptoms: Chest X-ray, Chest pain
Clinical narrative: Chest pain started 5/31/08 12:00PM off/on until 6:00AM on 6/1/08.  Seen at ER on 6/1/08 approximately 12:00AM.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right upper arm swollen, warm to touch, red, (fever 101-102 at home per parent), oral temperature today 99.1 F.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Rash
Clinical narrative: Lightheadedness the day before and rash that started on left side and then moved to chest, face and back.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pallor, Rash erythematous, Rash macular
Clinical narrative: 2 blotchy (1-small, 1-large area), red rashes blanched, non tender, non indurated near injection site 72 hrs later.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Erythema
Clinical narrative: Erythema and vesicles varicella #2, adv. ice pks and con. use Benadryl.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Long periods of crying, low grade temp.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Measles
Clinical narrative: Pt developed measles.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: 12 month old toddler developed characteristic prodomal fever for 2 days prior to rash on face and behind ears which the progressed to involve body c/w measles.  Toddler received MMR vaccine 13 days prior to evaluation on 5/1/08 which is about 10-11 days before onset of fever.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Eye discharge, Eye infection, Rash erythematous, Rash maculo-papular
Clinical narrative: Rash started on face on 6/10/08 by PM spread all over erythematous maculopapular rash.  Today 6/11/08 AM already 30% better no fever, doing well, happy.  B eyes also infected mild clear discharge only.
Age: 1.1
Sex: M
Vaccine: DTAP
Symptoms: Abnormal behaviour, Anorexia, Asthenia, Blood test normal, Crying
Clinical narrative: Patient received a DTaP vaccine on May 2, 2008 and within a week of getting the DTaP vaccine, the patient exhibited multiple signs of an adverse reaction including fever, diarrhea, vomiting, collapse, weakness, lethargic, crying bout for several weeks, generally exhibited unusual behavior, and loss of appetite, He is just now starting to act like himself again.
Age: 1.1
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Lethargy, Pyrexia, Syncope, Vomiting
Clinical narrative: Patient received a DTaP vaccine on May 2, 2008 and within a week of getting the DTaP vaccine, the patient exhibited multiple signs of an adverse reaction including fever, diarrhea, vomiting, collapse, weakness, lethargic, crying bout for several weeks, generally exhibited unusual behavior, and loss of appetite, He is just now starting to act like himself again.
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Pain, Rash
Clinical narrative: Rash, body aches x2 days.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pain in extremity
Clinical narrative: States RECOMBIVAX HB injection #3 received on 5/22/08 from Employee health, Health dept. L deltoid site ached after injection. (#1 and #2 ached for 3 days only) and continues to still ache. No treatment obtained.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Loss of consciousness
Clinical narrative: Had TD vaccine given then patient was getting blood drawn.  Patient passed out in chair - called 911, stabilized and went to hospital via ambulance.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash generalised, Rash vesicular
Clinical narrative: Vesicular rash on arms and legs, chest, back and axilla (all over body).
Age: 55.0
Sex: M
Vaccine: TD
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Fever up to 101-102 per report severe swelling at injections site.
Age: 22.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Cellulitis, Dermatitis allergic, Lymphangitis
Clinical narrative: Robust take vs cellulitis w/ lymphangitis.  Allergic dermatitis of neck/shoulder/upper chest.  Treated with PO benadryl and QID dicloxacillin.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: mother describes 1-2 minute seizure the night of vaccine administration, accompanied by fever
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Influenza like illness, Lymphocyte count normal, Malaise, Myalgia, Neutrophil count increased
Clinical narrative: Patient vaccinated Friday 6/6/2008 and on Monday 6/9/2008 developed onset of flu-like symptoms with myalgias, malaise and fever up to 100.  She continued with fevers up to 102 through the week but no other localizing complaints.   On Friday 6/13/2008 she developed a diffuse non-prurulent erythematous rash.   She still had no localizing complaints.  Fever began to abate 6/13/2008.
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Rash erythematous, White blood cell count normal
Clinical narrative: Patient vaccinated Friday 6/6/2008 and on Monday 6/9/2008 developed onset of flu-like symptoms with myalgias, malaise and fever up to 100.  She continued with fevers up to 102 through the week but no other localizing complaints.   On Friday 6/13/2008 she developed a diffuse non-prurulent erythematous rash.   She still had no localizing complaints.  Fever began to abate 6/13/2008.
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Activities of daily living impaired, Asthenia, Dizziness, Full blood count normal, Headache
Clinical narrative: Patient vaccinated Friday 6/6/2008 and on Monday 6/9/2008 developed onset of flu-like symptoms with myalgias, malaise and fever up to 100.  She continued with fevers up to 102 through the week but no other localizing complaints.   On Friday 6/13/2008 she developed a diffuse non-prurulent erythematous rash.   She still had no localizing complaints.  Fever began to abate 6/13/2008.
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypoventilation, Influenza like illness, Myalgia, Pain, Pain in extremity
Clinical narrative: Patient vaccinated Friday 6/6/2008 and on Monday 6/9/2008 developed onset of flu-like symptoms with myalgias, malaise and fever up to 100.  She continued with fevers up to 102 through the week but no other localizing complaints.   On Friday 6/13/2008 she developed a diffuse non-prurulent erythematous rash.   She still had no localizing complaints.  Fever began to abate 6/13/2008.
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pruritus, Pyrexia, Rash, Rash erythematous, Viral skin infection
Clinical narrative: Patient vaccinated Friday 6/6/2008 and on Monday 6/9/2008 developed onset of flu-like symptoms with myalgias, malaise and fever up to 100.  She continued with fevers up to 102 through the week but no other localizing complaints.   On Friday 6/13/2008 she developed a diffuse non-prurulent erythematous rash.   She still had no localizing complaints.  Fever began to abate 6/13/2008.
Age: 34.0
Sex: F
Vaccine: DTAPH
Symptoms: Asthenia, Contusion, Hypokinesia, Pain, Swelling
Clinical narrative: Severe pain lasting 4+ days. Limited use of arm and partial weakness. Continual NSAID every 8 hrs. Severe swelling and mild bruising.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen injection site, red/rash skin color from upper arm to elbow. Injection site warm to touch, sore and has a knot under skin. Condition X 4 days (current). Patient advised medical personnel of reaction, no treatment was provided. Patient was instructed that the condition was normal and could last several weeks.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Swollen injection site, red/rash skin color from upper arm to elbow. Injection site warm to touch, sore and has a knot under skin. Condition X 4 days (current). Patient advised medical personnel of reaction, no treatment was provided. Patient was instructed that the condition was normal and could last several weeks.
Age: 0.17
Sex: F
Vaccine: 6VAX-F, PPV
Symptoms: Crying, Diarrhoea, Hypersomnia, Irritability, Vomiting
Clinical narrative: Initially she slept for 3 hrs. She awoke and immediately began crying for 3hrs continuously then on and off for the remainder of the day. She couldn't sleep for more than 30 minutes. She also had diarrhea, vomiting, fussiness which is ongoing.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Oedema peripheral
Clinical narrative: GAVE IMMUNIZATIONS TO A 6 MONTH OLD INFANT. INFANT HAD RECEIVED THE SAME IMMUNIZATION ON 05/01/2008 BUT A DIFFERENT LOT NUMBER. MOTHER AND FATHER NOTED THAT AROUND THE RT UPPER LEG WHERE THE PNEUMOCOCCAL CONJUGATE VACCINE 7-VALENT, PREVNAR A RED AREA WAS DEVELOPING THAT WAS IRREGULAR IN SIZE AND SLIGHTLY ELEVATED ABOUTN 4 INCHES BY 2 INCHES. THE AREA WAS ALSO SLIGHTLY SWOLLEN. THIS WAS NOTED 10 MINUTES AFTER THE INJECTION WAS GIVEN. THE SITE WAS WATCHED FOR INCREASING SEVERITY BUT DID NOT WORSEN WHILE THE FAMILY WAS AT THE CLINIC. THE FAMILY WAS ADVISED TO NOTIFY CLINIC IF THE SITE WORSENS AND TAKE INFANT TO PRIMARY CARE DOCTOR IF SITE WORSENS AND CHILD BECOMES IRRITABLE OR CHANGE IN MENTAL STATUS DEVELOPS. THE MOTHER STATES IT WAS NOT GETTING WORSE AND THE FAMILY LEFT THE CLINIC.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Asthenia, Dysphonia, Headache, Pallor, Pyrexia
Clinical narrative: Fever (102.2 at highest, hoarseness, paleness, weakness, headache
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Malaise, Myalgia, Pain
Clinical narrative: Fever, chills, rigors with generalizeed myalgia, arthralgia, malaise and severe localized pain on the day following vaccine administration.  Fever, chills and rigors resolved the next day, though generalized myalgias still present 2 days after administration.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever, chills, rigors with generalizeed myalgia, arthralgia, malaise and severe localized pain on the day following vaccine administration.  Fever, chills and rigors resolved the next day, though generalized myalgias still present 2 days after administration.
Age: 94.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased
Clinical narrative: TEMP SPIKE AFTER RECEIVING MED
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Pyrexia, Rash macular
Clinical narrative: Patient received DTap, Hib, PCV, IPV, Hep B.  Had fever to 103F and macular rash on face.  Had co-existing bronchiolitis, which may also explain rash and fever.
Age: 74.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Haematology test, Hypertension, Laboratory test, Pneumonia, Swelling
Clinical narrative: Information has been received from a 74 year old male consumer and a pharmacist with adverse drug reaction to unspecified medications, a cardiac disorder (also reported as coronary artery disease), chronic sinusitis, hypercholesterolaemia, hyperlipidaemia and drinks socially 2 to 3 times per week and a history of colon polyps, excision of fatty tumor at the ear, pilonidal cyst removal, an an ex-smoker (cessation 5 years ago) who in 2005 was vaccinated with PNEUMOVAX 23 (manufacturer unknown). On 24-OCT-2006, the patient was vaccinated with a dose of PNEUMOVAX 23 (Lot# 655054/0749F). Concomitant therapy included influenza virus vaccine (unspecified) and an unspecified heart medication, AVAPRO, COREG, LOVAS and PLAVIX. On 24-OCT-2006, in the evening, the patient started to swell up after receiving the PNEUMOVAX 23 vaccine and hypertension (The patient also reported that currently his blood pressure was going up). The patient reported that he had to take 40 antibiotics for 10 days. On 21-MAY-2008 (also reported as the end of May), he developed pneumonia and was hospitalized from 21-MAY-2008 to 26-MAY-2008. The patient had blood chemistry and hematology lab work during the emergency visit. At the time of this report, the patient had not recovered. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Head injury, Syncope
Clinical narrative: Initial and follow up information has been received from a registered nurse concerning a 20 year old white female student with no known allergies (previously reported as 17 year old) who on 31-DEC-2007 (previously reported as on ??-JUN-2007) at 11:00 AM was vaccinated intramuscularly into right deltoid with a 0.5 mL first dose of GARDASIL (Lot # unknown) and in April 2008 was vaccinated intramuscularly with a 0.5 mL second dose of GARDASIL.  Concomitant therapy included ESTROSTEP.  In follow up report from the doctor's office it was reported that the patient had syncope five minutes after (about 11:05 AM) she got her first injection.  She fell off the examination table and hit her head on the floor.  She went to the emergency room and a head computed axial tomography (CT scan) was done with negative result.  It was reported that on 31-DEC-2007 patient recovered.  Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Initial and follow up information has been received from a registered nurse concerning a 20 year old white female student with no known allergies (previously reported as 17 year old) who on 31-DEC-2007 (previously reported as on ??-JUN-2007) at 11:00 AM was vaccinated intramuscularly into right deltoid with a 0.5 mL first dose of GARDASIL (Lot # unknown) and in April 2008 was vaccinated intramuscularly with a 0.5 mL second dose of GARDASIL.  Concomitant therapy included ESTROSTEP.  In follow up report from the doctor's office it was reported that the patient had syncope five minutes after (about 11:05 AM) she got her first injection.  She fell off the examination table and hit her head on the floor.  She went to the emergency room and a head computed axial tomography (CT scan) was done with negative result.  It was reported that on 31-DEC-2007 patient recovered.  Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Inappropriate schedule of drug administration, Syncope
Clinical narrative: Initial and follow up information has been received from a registered nurse concerning a 20 year old white female student with no known allergies (previously reported as 17 year old) who on 31-DEC-2007 (previously reported as on ??-JUN-2007) at 11:00 AM was vaccinated intramuscularly into right deltoid with a 0.5 mL first dose of GARDASIL (Lot # unknown) and in April 2008 was vaccinated intramuscularly with a 0.5 mL second dose of GARDASIL.  Concomitant therapy included ESTROSTEP.  In follow up report from the doctor's office it was reported that the patient had syncope five minutes after (about 11:05 AM) she got her first injection.  She fell off the examination table and hit her head on the floor.  She went to the emergency room and a head computed axial tomography (CT scan) was done with negative result.  It was reported that on 31-DEC-2007 patient recovered.  Additional information is not expected.
Age: 23.0
Sex: U
Vaccine: HPV4, HPV4, HPV4
Symptoms: Antinuclear antibody negative, Arthritis, Blood creatine phosphokinase normal, C-reactive protein increased, Full blood count normal
Clinical narrative: Information has been received from a physician concerning a 23 year old, 67.5 inch, 168 pound female dental hygienist with no pertinent medical history or allergies, who on 21-FEB-2008 was vaccinated with the first dose of GARDASIL (lot # 657006/0188U), expiration date 21-NOV-2009, IM to the left deltoid. It was reported that within 1 week of receiving the GARDASIL, the patient began developing severe knee pain and lower extremities swelling. The patient sought medical attention and was treated with ibuprofen (manufacturer not specified), over the counter 400 mg up to three times a day. On 05-MAR-2008, the patient saw the physician for obvious edema and knee effusion. Laboratory tests were ordered and a c-reactive protein (CRP) was noted to be 24.6, BSR was 65, and Antistreptolysin O Ab was high at 248.6. The patient was treated with MEDROL DOSE PAK, and DYAZIDE over 1 week. The symptoms resolved on approximately 12-MAR-2008. A follow-up visit to a rheumatologist found no other likely causes for the symptoms except for GARDASIL. Additional information has been requested.
Age: 23.0
Sex: U
Vaccine: HPV4, HPV4, HPV4
Symptoms: Inflammation, Laboratory test normal, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Ultrasound scan normal
Clinical narrative: Information has been received from a physician concerning a 23 year old, 67.5 inch, 168 pound female dental hygienist with no pertinent medical history or allergies, who on 21-FEB-2008 was vaccinated with the first dose of GARDASIL (lot # 657006/0188U), expiration date 21-NOV-2009, IM to the left deltoid. It was reported that within 1 week of receiving the GARDASIL, the patient began developing severe knee pain and lower extremities swelling. The patient sought medical attention and was treated with ibuprofen (manufacturer not specified), over the counter 400 mg up to three times a day. On 05-MAR-2008, the patient saw the physician for obvious edema and knee effusion. Laboratory tests were ordered and a c-reactive protein (CRP) was noted to be 24.6, BSR was 65, and Antistreptolysin O Ab was high at 248.6. The patient was treated with MEDROL DOSE PAK, and DYAZIDE over 1 week. The symptoms resolved on approximately 12-MAR-2008. A follow-up visit to a rheumatologist found no other likely causes for the symptoms except for GARDASIL. Additional information has been requested.
Age: 23.0
Sex: U
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Blood test, Joint swelling, Musculoskeletal stiffness
Clinical narrative: Information has been received from a physician concerning a 23 year old, 67.5 inch, 168 pound female dental hygienist with no pertinent medical history or allergies, who on 21-FEB-2008 was vaccinated with the first dose of GARDASIL (lot # 657006/0188U), expiration date 21-NOV-2009, IM to the left deltoid. It was reported that within 1 week of receiving the GARDASIL, the patient began developing severe knee pain and lower extremities swelling. The patient sought medical attention and was treated with ibuprofen (manufacturer not specified), over the counter 400 mg up to three times a day. On 05-MAR-2008, the patient saw the physician for obvious edema and knee effusion. Laboratory tests were ordered and a c-reactive protein (CRP) was noted to be 24.6, BSR was 65, and Antistreptolysin O Ab was high at 248.6. The patient was treated with MEDROL DOSE PAK, and DYAZIDE over 1 week. The symptoms resolved on approximately 12-MAR-2008. A follow-up visit to a rheumatologist found no other likely causes for the symptoms except for GARDASIL. Additional information has been requested.
Age: 23.0
Sex: U
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, C-reactive protein increased, Oedema peripheral, Red blood cell sedimentation rate increased, Streptococcal identification test positive
Clinical narrative: Information has been received from a physician concerning a 23 year old, 67.5 inch, 168 pound female dental hygienist with no pertinent medical history or allergies, who on 21-FEB-2008 was vaccinated with the first dose of GARDASIL (lot # 657006/0188U), expiration date 21-NOV-2009, IM to the left deltoid. It was reported that within 1 week of receiving the GARDASIL, the patient began developing severe knee pain and lower extremities swelling. The patient sought medical attention and was treated with ibuprofen (manufacturer not specified), over the counter 400 mg up to three times a day. On 05-MAR-2008, the patient saw the physician for obvious edema and knee effusion. Laboratory tests were ordered and a c-reactive protein (CRP) was noted to be 24.6, BSR was 65, and Antistreptolysin O Ab was high at 248.6. The patient was treated with MEDROL DOSE PAK, and DYAZIDE over 1 week. The symptoms resolved on approximately 12-MAR-2008. A follow-up visit to a rheumatologist found no other likely causes for the symptoms except for GARDASIL. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Fatigue, Gait disturbance, Hypoaesthesia, Myalgia
Clinical narrative: Information has been received from a medical assistant concerning a 23 year old female with no medical history and an allergy to penicillin who on 18-FEB-2008 was vaccinated IM with the first 0.5 ml dose of GARDASIL (Lot # 658219/0755U). On 18-FEB-2008 the patient experienced joint pain, tingling and numbness in the hands bilaterally. Unknown medical attention was sought in the office. The patient's outcome was recovered on an unspecified date. Additional information has bee requested.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain of skin, Paraesthesia, Pyrexia
Clinical narrative: Information has been received from a medical assistant concerning a 23 year old female with no medical history and an allergy to penicillin who on 18-FEB-2008 was vaccinated IM with the first 0.5 ml dose of GARDASIL (Lot # 658219/0755U). On 18-FEB-2008 the patient experienced joint pain, tingling and numbness in the hands bilaterally. Unknown medical attention was sought in the office. The patient's outcome was recovered on an unspecified date. Additional information has bee requested.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Hypoaesthesia, Paraesthesia
Clinical narrative: Information has been received from a medical assistant concerning a 23 year old female with no medical history and an allergy to penicillin who on 18-FEB-2008 was vaccinated IM with the first 0.5 ml dose of GARDASIL (Lot # 658219/0755U). On 18-FEB-2008 the patient experienced joint pain, tingling and numbness in the hands bilaterally. Unknown medical attention was sought in the office. The patient's outcome was recovered on an unspecified date. Additional information has bee requested.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Information has been received from a nurse concerning a 21 year old female with asthma who on 14-JAN-2008 was vaccinated IM in the upper left arm with the first 0.5 mL dose of GARDASIL (lot 660391/0063X).  On 14-APR-2008 the patient was vaccinated IM in the upper left arm with the second 0.5 mL dose of GARDASIL (lot 660391/0063X).  Concomitant therapy included APRI and albuterol.  After the second dose the patient went mountain bike riding.  On 21-APR-2008 the patient complained of pain in the upper left arm and shoulder.  No numbness, no tingling, no fever, vital signs were stable.  No treatment except for over the counter ibuprofen.  Doctor's office suggested to patient follow up with orthopedic doctor.  The patient has not recovered.  Additional information has been requested. This is in follow-up to reports previously submitted on 6/13/2008. Information has been received from a nurse concerning a 21 year old female with asthma who on 14-JAN-2008 was vaccinated with the first dose of GARDASIL 0.5ml, IM in the upper left arm. On 14-APR-2008 the patient was vaccinated with the second dose og GARDASIL (lot 660391/0063X) 0.5 ml, IM in the uuper left deltoid. Concomitant therapy included APRI and Albuterol. After the second dose, the patient went mountain bike riding all weekend. On 21-APR-2008 the patient complained of pain in the upper left arm and shoulder. No numbness, no tingling or no swelling discoloration, normal range of motion, no fever, vital signs were stable. No treatment except for the counter Ibuprofen. On 01-MAY-2008, the patient continued with "shooting pain" in her left upper arm, rated 1-4 with 10 the most painful. The patient was referred to an appointment with the orthopedic surgeon on 07-MAY-2008, she cancelled appointment, as by then she was feeling better. No additional information is expected.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a nurse concerning a 21 year old female with asthma who on 14-JAN-2008 was vaccinated IM in the upper left arm with the first 0.5 mL dose of GARDASIL (lot 660391/0063X).  On 14-APR-2008 the patient was vaccinated IM in the upper left arm with the second 0.5 mL dose of GARDASIL (lot 660391/0063X).  Concomitant therapy included APRI and albuterol.  After the second dose the patient went mountain bike riding.  On 21-APR-2008 the patient complained of pain in the upper left arm and shoulder.  No numbness, no tingling, no fever, vital signs were stable.  No treatment except for over the counter ibuprofen.  Doctor's office suggested to patient follow up with orthopedic doctor.  The patient has not recovered.  Additional information has been requested. This is in follow-up to reports previously submitted on 6/13/2008. Information has been received from a nurse concerning a 21 year old female with asthma who on 14-JAN-2008 was vaccinated with the first dose of GARDASIL 0.5ml, IM in the upper left arm. On 14-APR-2008 the patient was vaccinated with the second dose og GARDASIL (lot 660391/0063X) 0.5 ml, IM in the uuper left deltoid. Concomitant therapy included APRI and Albuterol. After the second dose, the patient went mountain bike riding all weekend. On 21-APR-2008 the patient complained of pain in the upper left arm and shoulder. No numbness, no tingling or no swelling discoloration, normal range of motion, no fever, vital signs were stable. No treatment except for the counter Ibuprofen. On 01-MAY-2008, the patient continued with "shooting pain" in her left upper arm, rated 1-4 with 10 the most painful. The patient was referred to an appointment with the orthopedic surgeon on 07-MAY-2008, she cancelled appointment, as by then she was feeling better. No additional information is expected.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Borrelia burgdorferi serology positive, Fatigue, Hypoaesthesia, Immunology test, Muscular weakness
Clinical narrative: Information has been received from a consumer concerning her daughter with autoimmune problems and a history of a reaction to the DPT shot who on 05-AUG-2007 was vaccinated with her first dose of GARDASIL (lot# not provided).  There was no concomitant medication.  On 01-OCT-2007 the patient experienced tingling in hands, numbness in hands and pain in hands.  In January 2008, the patient experienced pain in legs, numbness in legs and tingling in legs.  The patient had "labs and an MRI".  The patient's tingling, numbness and pain in her hands and legs persisted.  The patient will not be receiving the other 2 doses of GARDASIL.  No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Information has been received from a consumer concerning her daughter with autoimmune problems and a history of a reaction to the DPT shot who on 05-AUG-2007 was vaccinated with her first dose of GARDASIL (lot# not provided).  There was no concomitant medication.  On 01-OCT-2007 the patient experienced tingling in hands, numbness in hands and pain in hands.  In January 2008, the patient experienced pain in legs, numbness in legs and tingling in legs.  The patient had "labs and an MRI".  The patient's tingling, numbness and pain in her hands and legs persisted.  The patient will not be receiving the other 2 doses of GARDASIL.  No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Hypoaesthesia, Laboratory test, Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia
Clinical narrative: Information has been received from a consumer concerning her daughter with autoimmune problems and a history of a reaction to the DPT shot who on 05-AUG-2007 was vaccinated with her first dose of GARDASIL (lot# not provided).  There was no concomitant medication.  On 01-OCT-2007 the patient experienced tingling in hands, numbness in hands and pain in hands.  In January 2008, the patient experienced pain in legs, numbness in legs and tingling in legs.  The patient had "labs and an MRI".  The patient's tingling, numbness and pain in her hands and legs persisted.  The patient will not be receiving the other 2 doses of GARDASIL.  No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Abasia, Blood test, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a consumer concerning her daughter with autoimmune problems and a history of a reaction to the DPT shot who on 05-AUG-2007 was vaccinated with her first dose of GARDASIL (lot# not provided).  There was no concomitant medication.  On 01-OCT-2007 the patient experienced tingling in hands, numbness in hands and pain in hands.  In January 2008, the patient experienced pain in legs, numbness in legs and tingling in legs.  The patient had "labs and an MRI".  The patient's tingling, numbness and pain in her hands and legs persisted.  The patient will not be receiving the other 2 doses of GARDASIL.  No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure normal, Heart rate normal, Hyperhidrosis, Laboratory test normal, Pallor
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient who on 11-MAR-2008 at 04:30 PM was vaccinated IM with a first dose of GARDASIL (lot # 659182/1757U).  The physician reported that on 11-MAR-2008 after receiving the injection the patient became pale and sweaty.  She recovered in five to ten minutes with normal blood pressure of 90/60.  Her heart rate was 70 per minute which was same as check in before the injection was administered.  The patient reported as recovered on 11-MAR-2008.  Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure, Heart rate normal, Hyperhidrosis, Pallor
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient who on 11-MAR-2008 at 04:30 PM was vaccinated IM with a first dose of GARDASIL (lot # 659182/1757U).  The physician reported that on 11-MAR-2008 after receiving the injection the patient became pale and sweaty.  She recovered in five to ten minutes with normal blood pressure of 90/60.  Her heart rate was 70 per minute which was same as check in before the injection was administered.  The patient reported as recovered on 11-MAR-2008.  Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Feeling hot, Heart rate, Hyperhidrosis, Nausea
Clinical narrative: Information has been received from a physician concerning a 16 year old female, with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated intramuscularly with her first dose of GARDASIL (Lot #, site and route not reported).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose", the patient developed nausea, dizziness, and became sweaty and "clammy".  The patient had unspecified medical attention in the office.  The patient was observed for 20 minutes and the symptoms resolved.  No other information was available.  Additional information has been requested.  This is in follow-up to report(s) previously submitted on 6/13/2008.  Initial and follow up information has been received from a physician concerning a 16 year old female (125 lb:  66.5 in), with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated with intramuscularly in the right deltoid with her first dose of GARDASIL (Lot #660391/0053X).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose" (also reported as 10 minutes post vaccination), the patient felt "hot" developed nausea, dizziness, became sweaty and "clamy" and was quite pale.  The patient complained of pain and tingling in her right arm shooting down to her hand.  The patient had a pulse of 60 minute and her blood pressure was 92/58mmHg.  The patient laid down, was given a few sips of juice and hard candy and observed for 20 minutes.  After about 20 minutes symptoms resolved and the patient recovered from the presyncopal event.  Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Pallor, Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 16 year old female, with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated intramuscularly with her first dose of GARDASIL (Lot #, site and route not reported).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose", the patient developed nausea, dizziness, and became sweaty and "clammy".  The patient had unspecified medical attention in the office.  The patient was observed for 20 minutes and the symptoms resolved.  No other information was available.  Additional information has been requested.  This is in follow-up to report(s) previously submitted on 6/13/2008.  Initial and follow up information has been received from a physician concerning a 16 year old female (125 lb:  66.5 in), with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated with intramuscularly in the right deltoid with her first dose of GARDASIL (Lot #660391/0053X).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose" (also reported as 10 minutes post vaccination), the patient felt "hot" developed nausea, dizziness, became sweaty and "clamy" and was quite pale.  The patient complained of pain and tingling in her right arm shooting down to her hand.  The patient had a pulse of 60 minute and her blood pressure was 92/58mmHg.  The patient laid down, was given a few sips of juice and hard candy and observed for 20 minutes.  After about 20 minutes symptoms resolved and the patient recovered from the presyncopal event.  Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Nausea
Clinical narrative: Information has been received from a physician concerning a 16 year old female, with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated intramuscularly with her first dose of GARDASIL (Lot #, site and route not reported).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose", the patient developed nausea, dizziness, and became sweaty and "clammy".  The patient had unspecified medical attention in the office.  The patient was observed for 20 minutes and the symptoms resolved.  No other information was available.  Additional information has been requested.  This is in follow-up to report(s) previously submitted on 6/13/2008.  Initial and follow up information has been received from a physician concerning a 16 year old female (125 lb:  66.5 in), with no relevant medical history and no known drug allergies, who on 21-MAY-2008 was vaccinated with intramuscularly in the right deltoid with her first dose of GARDASIL (Lot #660391/0053X).  There was no concomitant medication.  On 21-MAY-2008, "about five minutes after vaccination with her first dose" (also reported as 10 minutes post vaccination), the patient felt "hot" developed nausea, dizziness, became sweaty and "clamy" and was quite pale.  The patient complained of pain and tingling in her right arm shooting down to her hand.  The patient had a pulse of 60 minute and her blood pressure was 92/58mmHg.  The patient laid down, was given a few sips of juice and hard candy and observed for 20 minutes.  After about 20 minutes symptoms resolved and the patient recovered from the presyncopal event.  Additional information is not expected.