chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Red blood cell count normal, Streptococcal identification test negative, Tunnel vision, Vertigo
Clinical narrative: Pt developed malaise 4 days after HPV#1 vaccine.  Five days after, pt developed high fever (Tmax 102.6), headache, and dizziness & vertigo.  Pt described "tunnel vision" & bilateral hip pains.  10/3/08 Reviewed ER records of 9/8-9/9/2008. FINAL DX: Fever, HA Records reveal patient seen 9/8/08 after experienced malaise, low grade fever, nausea, 1 episode emesis, vertigo beginning approx 2 days s/p vaccination. D/c to home & returned to ER on 9/9/08 after being seen by PCP for fever & HA, ill appearing, dizzy, brief episode of tunnel vision, near-syncope.  LP done.  D/C to home
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody negative, Arthralgia, Full blood count normal, Headache, Red blood cell sedimentation rate normal
Clinical narrative: 9/10/08 presented to office with joint pain (knees, ankles, elbows, wrists) and headaches X 3 weeks. 9/25/2008 Office notes received from PCP for OV 9/10/2008 for pt c/o joint pain x~3 weeks. Pain in all joints all over. Also c/o headache x 6 days.  PE (+) for joint tenderness. DX:  Arthragia/myalgia.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Rheumatoid factor negative
Clinical narrative: 9/10/08 presented to office with joint pain (knees, ankles, elbows, wrists) and headaches X 3 weeks. 9/25/2008 Office notes received from PCP for OV 9/10/2008 for pt c/o joint pain x~3 weeks. Pain in all joints all over. Also c/o headache x 6 days.  PE (+) for joint tenderness. DX:  Arthragia/myalgia.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Rash papular
Clinical narrative: Hepatitis B vaccine #2 given 9/18/08 around noon.  Arrived in Employee Health at 7:30 am 9/19/08 with large raised rash to all parts of body.  States has never had an allergic reaction to anything before.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Insomnia, Nausea, Skin warm
Clinical narrative: ~4 hr later severe pain and swelling at site of reaction and over a 24hr period pain radiated to part of the shoulder and into both arms. Difficulty sleeping due to pain. Extreme warmth of the arm. Patient  on heavy anti-inflammatory.  VERY severe nausea continued for about 29 hrs.   At 48h pain has abated somewhat but arm is still swollen and painful.  Nausea decreased significantly.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Headache, Malaise, Urticaria
Clinical narrative: 9/12/08 started with hives on both arms, both legs, back, shoulder, and face.  No fever. Mild malaise and headache.  Hives started on 9/12/08 and have gradually increased.  9/15/08 9:30 AM-- child has in excess of 300 lesions without drainage. Extremities grossly involved.  Very few lesions on trunk.9/16/08 made phone call X 2 to mom.  Left message and #.  No return call. Note: Patient has received 5 doses of DTaP--last doses 10/30/02.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Electroencephalogram, Hyperhidrosis, Neurological examination, Pallor
Clinical narrative: Adminis. Lt deltoid IM within 2-10 seconds pt unresponsive-eyes closed and arms legs extended with faint jerking of legs-pt open eyes within 20 seconds, but continued to be very slow to respond pale and skin moist this gradually improved over the next hour.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Unresponsive to stimuli
Clinical narrative: Adminis. Lt deltoid IM within 2-10 seconds pt unresponsive-eyes closed and arms legs extended with faint jerking of legs-pt open eyes within 20 seconds, but continued to be very slow to respond pale and skin moist this gradually improved over the next hour.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Abscess, Anal haemorrhage, Anorectal discomfort, Colonoscopy abnormal, Erythema
Clinical narrative: To ED (hospital employee) 12/24/2007 reporting low grade fever at home. Temp 98.5, area swollen, red and hot. Diagnosis early sterile abscess. Tylenol and warm compresses recommended. Clindamycin/Lortab prescription given. 1/30/2008 referred to Occ Med due to complaints that Tdap caused anal irritation in patient with history of IBD, GAD. Recent colonoscopy shows anal irritation as source of bleeding. Occ med states undetermine if exacerbation of preexisting. Under care of GI physician.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: To ED (hospital employee) 12/24/2007 reporting low grade fever at home. Temp 98.5, area swollen, red and hot. Diagnosis early sterile abscess. Tylenol and warm compresses recommended. Clindamycin/Lortab prescription given. 1/30/2008 referred to Occ Med due to complaints that Tdap caused anal irritation in patient with history of IBD, GAD. Recent colonoscopy shows anal irritation as source of bleeding. Occ med states undetermine if exacerbation of preexisting. Under care of GI physician.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Erythema, Fatigue, Haemorrhage, Mass
Clinical narrative: Pt initially got a very big, red, and angry-looking bump, 5-6cm in diameter. She iced it and it had gradually been going down. She also reported fever, fatigue, and sore joints over teh weekend. When she presented to the office on 9/21, she stated that it had gotten smaller but one of the little heads on it actually popped and drained some blood. MD advised her to use a hot pack on it to help the blood re-absorb faster, and advised her to just put an eye on it.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Wound secretion
Clinical narrative: Pt initially got a very big, red, and angry-looking bump, 5-6cm in diameter. She iced it and it had gradually been going down. She also reported fever, fatigue, and sore joints over teh weekend. When she presented to the office on 9/21, she stated that it had gotten smaller but one of the little heads on it actually popped and drained some blood. MD advised her to use a hot pack on it to help the blood re-absorb faster, and advised her to just put an eye on it.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported an injection site reaction involving itching, swelling and redness about the size of a silver dollar starting 2 days after the injection. These symptoms resolved in a few days after they appeared. No treatment was required.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Flatulence, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Pt states that her right arm was swollen and ached all the way down to her fingertips, itched all over body, jaw hurt to open/close, no fevers but had a little nausea/bowel issues (after gas bout she had a lot of pus coming out of anus), states her arm is really red at injection site and now it's hot and swollen about teh size of a quarter then around that about the size of a half dollar. It's welted with white patches at teh lower border. Pt also states her whole head is itchey but she states that her swelling is more localized.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Nausea, Oedema peripheral, Pain, Pain in jaw, Pruritus generalised
Clinical narrative: Pt states that her right arm was swollen and ached all the way down to her fingertips, itched all over body, jaw hurt to open/close, no fevers but had a little nausea/bowel issues (after gas bout she had a lot of pus coming out of anus), states her arm is really red at injection site and now it's hot and swollen about teh size of a quarter then around that about the size of a half dollar. It's welted with white patches at teh lower border. Pt also states her whole head is itchey but she states that her swelling is more localized.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Skin discolouration, Urticaria
Clinical narrative: Pt states that her right arm was swollen and ached all the way down to her fingertips, itched all over body, jaw hurt to open/close, no fevers but had a little nausea/bowel issues (after gas bout she had a lot of pus coming out of anus), states her arm is really red at injection site and now it's hot and swollen about teh size of a quarter then around that about the size of a half dollar. It's welted with white patches at teh lower border. Pt also states her whole head is itchey but she states that her swelling is more localized.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Musculoskeletal pain
Clinical narrative: COMPLAINED OF A SORNESS TO SCAPULAR AREA ON LEFT SIDE OF BACK AND SHOULDER WITHIN 8 HOURS OF VACCINE, LASTING ABOUT 2 DAYS
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Mom called on 8/25/2008. On 8/23/2008 am pt. had fever 100.1, swollen sore arm that was warm to touch.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mood swings, Pruritus
Clinical narrative: Itching, redness, and mood swings that started shortly after the injection.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: c/o pain at injection site and redness day after injection. The next day it was warm to touch with a 4cm x 4.6cm area of redness, was placed on Benadryl 25mg and Pandel cream 0.1%. The next day the redness had decreased and was not as painful.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Generalised erythema, Immediate post-injection reaction
Clinical narrative: Immediately after vaccine administration infant developd reddness on both cheeks and pressure area of the lower extremities where socks were tight at the ankles. No hives were noted but reddness continued intermittenly on face, top of head, chest and back. Infant taken to pediatrician's office where she was observed and discharged with no other meds required.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: None.  Pt sch for autopsy  1/12/09 Autopsy report states COD as: dTGA s/p arterial switch 7/8/08; ventricular hypertrophy; extensive pericardial adhesions; mineralized foreign body w/giant cell reaction; para aortic nodule w/suture; trachea & distal mainstem bronchi discoloration w/frothy exudates. Report also states patient had history of transposition of great vessels comlicated by single intramural coronary arter.  Autopsy revealed nodule located anterior to ascending aorta & posterior to right pulmonary artery.  Histology revealed fragments of mineralized foreign body w/marked inflammatory response of corresponding foreign body giant cell reaction of uncertain significance.  12/23/08 Reviewed hospital medical records of 7/2-7/21/3008. FINAL DX: transposition of great vessels; maternal hx of herpes on Valtrex; PROM; arterial switch procedure 7/8/08; relative adrenal insufficiency resolved; suspected left clavicle fracture; s/p delayed sternal closure; relative lymphopenia resolved.
Age: 21.0
Sex: U
Vaccine: VARCEL
Symptoms: Erythema, Mass, Skin warm
Clinical narrative: Had varicella immunization because pt's titer showed equivocal so gave 1 immunization came back to the clinic 2 days later with red,warm lump on pts arm.Told pt. to take benedryl.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia
Clinical narrative: 7/29/2008 Mother called to report that pt. has been having hair loss since she received the 2nd dose of HPV vaccine. She reported that she really noticed it 4 weeks prior(6/29/2008). Pt. has several small areas where it is bald on her scalp. Referred to PCP
Age: 2.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Anorexia, Diarrhoea, Rash papular, Rhinorrhoea, Varicella post vaccine
Clinical narrative: mild varicella disease symptoms with rash (papular rash, rhinorrhea, diarrhea, anorexia) with rash appearing 8 days after administration and prodrome 5 days after admin.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Deafness, Electroencephalogram, Headache, Staring
Clinical narrative: Patient complained of severe headaches on days 2 to 6 following administration of Varivax. Also noted to have an increase in staring spells and periods where he did not seem to hear people speaking to him.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Urticarial reaction to pneumococcal vaccine. Treated with antihistamines.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis to injection site approximately 5 inches in diameter. Rx Cephalexin 250mg X 5d
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Vomiting
Clinical narrative: Vomiting and headaches
Age: 13.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 08/15/2008 2:20 pm Mom reported after child received immunization on 8/14/08 at 9 pm. She first had pruritus on the neck, back and posterior side of  bilateral palm then broke out in hives. She gave benadryl and problem resolved. on 08/18/08 9 am followup with Mom stated child broke out in rash seen at children med. center ER on 08/15/08 at 7 pm  treated problem resolved.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, MMR, MNQ, TDAP
Symptoms: Eating disorder, Headache, Heart rate normal, Nausea, Pain
Clinical narrative: 08/07/08 Client recieved vaccines, client turned pale, c/o nausea, tingling felling in fingers t 98.2, P62, B/p 98/66 called EMT monitored client 30 min. 08/12/08 called follow-up mother states pt. c/o headaches, body aches, not eating well, no fever, refer to ER.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, MMR, MNQ, TDAP
Symptoms: Pallor, Paraesthesia
Clinical narrative: 08/07/08 Client recieved vaccines, client turned pale, c/o nausea, tingling felling in fingers t 98.2, P62, B/p 98/66 called EMT monitored client 30 min. 08/12/08 called follow-up mother states pt. c/o headaches, body aches, not eating well, no fever, refer to ER.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and redness of upper left arm, surrounding injection site. Site also warm to touch.
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Hypersensitivity, Pruritus, Skin warm
Clinical narrative: I had an allergic reaction to the carrier of the Chicken Pox vaccine. It is a red circle about the size of a 50 cent piece and it itches and its warm.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Following day, post vaccine the right deltoid area large amount of induration, erythema, warmth, pruritis covering all deltoid. vesicles formed pt. c/o pruritis no pain.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pruritus
Clinical narrative: Following day, post vaccine the right deltoid area large amount of induration, erythema, warmth, pruritis covering all deltoid. vesicles formed pt. c/o pruritis no pain.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blister, Erythema, Headache, Induration
Clinical narrative: Erythema, Induration-approx 12mm in diameter, vesical/pustule approx 2mm in diameter, arthralgia,myalgia, headache.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Rash pustular
Clinical narrative: Erythema, Induration-approx 12mm in diameter, vesical/pustule approx 2mm in diameter, arthralgia,myalgia, headache.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Blood test normal, Dyspnoea, Muscle spasms, Musculoskeletal pain
Clinical narrative: After tetanus shot at 9:30 began experiencing severe cramping of the abdomen, shoulders, and chest. Pain reduced after 2 hours of lying down. Returned to work. Cramping and spasming gradually got worse. At 4:30PM of the same day I experienced a severe cramp and spasm attack accompanied by immense pain. The most painful thing I've ever experienced. First attack lasted 25 seconds, then subsided for 5 seconds when I dropped to my hands and knees. Another attack immediately began and this one did not stop. Lying on my back My entire upper body was cramping and pulsing. Had difficulty breathing. Could not speak. Ambulance was called, arrived 10 minutes later. Administered benadryl injection. Taken to hospital. Given saline drip, took blood, and chest x-ray. Symptoms got better by over the next few hours but when discharged at 10PM I was still in immense pain. Cramps continued. Took tylenol 3 and Donnatal when I got home. Cramping continued through the night mostly on right torso and shoulder. Cramps pulsed on for 4 to 5 seconds then suspended for several seconds. By morning cramping had reduced, still painful, by less spasms. Now experiencing general muscle soreness. 10/1/08 Reviewed ER medical records of 9/18/2008. FINAL DX: non-cardiac chest pain; abdominal pain of unknown etiology Records reveal patient experienced chest pain, crampy abdominal pain day of vaccination.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Speech disorder, X-ray normal
Clinical narrative: After tetanus shot at 9:30 began experiencing severe cramping of the abdomen, shoulders, and chest. Pain reduced after 2 hours of lying down. Returned to work. Cramping and spasming gradually got worse. At 4:30PM of the same day I experienced a severe cramp and spasm attack accompanied by immense pain. The most painful thing I've ever experienced. First attack lasted 25 seconds, then subsided for 5 seconds when I dropped to my hands and knees. Another attack immediately began and this one did not stop. Lying on my back My entire upper body was cramping and pulsing. Had difficulty breathing. Could not speak. Ambulance was called, arrived 10 minutes later. Administered benadryl injection. Taken to hospital. Given saline drip, took blood, and chest x-ray. Symptoms got better by over the next few hours but when discharged at 10PM I was still in immense pain. Cramps continued. Took tylenol 3 and Donnatal when I got home. Cramping continued through the night mostly on right torso and shoulder. Cramps pulsed on for 4 to 5 seconds then suspended for several seconds. By morning cramping had reduced, still painful, by less spasms. Now experiencing general muscle soreness. 10/1/08 Reviewed ER medical records of 9/18/2008. FINAL DX: non-cardiac chest pain; abdominal pain of unknown etiology Records reveal patient experienced chest pain, crampy abdominal pain day of vaccination.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Flatulence, Irritability, Opisthotonus
Clinical narrative: Rec'd first set of immunization 9/5/2008 an am.  fussy in afternoon of Friday.  By Saturday, very gassy and would arch back and cry in middle of most all feedings.  very irritible and fussy until 9/14/2008.  No redness at site, didin't act lkie it was from injections.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt briefly "blacked out" for 10 seconds almost immediately after menactra given.Aroused when shaken.Had patient lower head and then lie down.Dr. checked patient and sent home stating he felt OK after observing for 25 min.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: Bloody stool reported 5 days after vaccine administration. Hospitalized x 5 days.  09/23/08 Reviewed hospital medical records of 9/4-9/10/2008. FINAL DX: hematochezia, colitis. Records reveal patient experienced nasal congestion & bloody diarrhea x 2 days.  Continued to have bloody stools in hospital but became more formed.  Formula changed to soy based.  Tx w/sulfa drug, Rowasa enema & miralax.  D/C to home w/GI followup.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Cellulitis, Cough, Diarrhoea, Injection site erythema, Injection site induration
Clinical narrative: Patient was brought in with a 3 by 4 cm. induration and erythema on right thigh. The patient was presribed Bactrim 40/200/ per 5ml. Patient to be given 7.5ml. orally two times a day for 7 days. A follow up appt. is scheduled in 3 days to recheck the cellulitis.Mother also stated child had 2 episodes of diarrhea yesterday along with a fever of 102 (orally- per mom ) and cough.On examination patient was found to have mild phartngeal erythema.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient was brought in with a 3 by 4 cm. induration and erythema on right thigh. The patient was presribed Bactrim 40/200/ per 5ml. Patient to be given 7.5ml. orally two times a day for 7 days. A follow up appt. is scheduled in 3 days to recheck the cellulitis.Mother also stated child had 2 episodes of diarrhea yesterday along with a fever of 102 (orally- per mom ) and cough.On examination patient was found to have mild phartngeal erythema.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Computerised tomogram normal, Electroencephalogram normal, Epilepsy, Myoclonic epilepsy, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt began having myoclonic seizures within 2-3 days after the shot and had several Tonic Clonics June 17, 2008. Was admitted to hospital. Continues to have seizures daily and has been diagnosed with Epilepsy (Doose Syndrome.) Takes 2 kinds of medication 2x daily and will continue for the next 2 yrs. Keppra (5ml)and Lamictal (37mg).  3/16/09 Received ER medical records of 6/17/2008. FINAL DX: afebrile seizure, strep throat Records reveal patient experienced generalized seizure x approx 1 min w/unresponsivelness, stiffness, twitching of extremities, eyes roll up, lips cyanotic, postictal afterward w/O2 sat of 85% when EMS arrived.  In ER patient c/o sore throat & HA.  Referred for outpatient EEG & if abnormal referral to Neuro.  D/C home on oral antibiotics & no antiseizure meds unless repeat seizure.   3/23/09 Received hospital medical records of 6/17-6/18/2009. FINAL DX: new onset seizures; streptococcal pharyngitis Records reveal patient experienced additional witnessed tonic-clonic seizure at home lasting approx 2 min followed by postictal period s/p ER visit for same earlier that day.  Neuro consult done.  Started on antiseizure meds & continued oral antibiotics, d/c to home w/Neuro & MRI f/u. 1/27/2010 Still take medication for epileepsy, however, he has not had a seizure since 05/23/09, which is exactly a year to the day he had the Hep A shot.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash generalised, Rash macular
Clinical narrative: Pt developed a full body non-puritic rash (pink macule of different sizes)
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Musculoskeletal pain, Urticaria
Clinical narrative: Pain in elbow and shoulder. Urticaria.  Total body joint pain.  Symptoms began approximately 14 hours after injection and have continued to date.  As per mother, she state when she called today that symptoms seem to be worsening. Already on Zyrtec for allergic rhinitis, and using Benadryl po as well
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: after 20 hours large swollen rash at sight of injection, after 24 hours, rash over 18 centimeters wide, with a center large and swollen with heat and blisters
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Clinical narrative: Death  4/29/09 Autopsy Report states COD as sudden unexpected death in infancy (SIDS); & acute interstitial pneumonitis; & manner of death as natural.  Report also states recently diagnosed w/heart murmur & had been born a preemie twin.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient with syncopy response to injected about 3-4 second and recovered without complication. Observed 30 min after response.
Age: 7.0
Sex: F
Vaccine: HEPA, IPV, MMR, TDAP
Symptoms: Erythema, Inappropriate schedule of drug administration, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: 9-18-08/1500, redness, swelling - whole circumference left arm, elbow to shoulder.  Took to Urgent Care at 1800 - told to give Benadryl and ice.  Somewhat improved today though still very red and warm to touch.  Patient complained of itchiness but denies pain.  Mother brings her in for evaluation.  9-19-08/1040 - discussed with mother at hospital - said give Tylenol or Motrin - should see improvement.  Right arm circumference 7.5 and left arm circumference 8 5/8.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Local reaction
Clinical narrative: 6 month immunizations administered on 9/17/08; Mother reported local area of erythema on thighs bilaterally on evening of 9/17/08. Seen on 9/19/08. No fever rash, tenderness, or localized heat. Areas each dime-size. No treatment necessary.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Choking sensation
Clinical narrative: Received Gardasil 9/16/08 at gyn office.  Reports sensation of obstruction in throat 1/2 hour after vaccine given.  Seen in this office 9/18.  By history, breathing and eating fine.  Exam negative.
Age: 14.0
Sex: F
Vaccine: HEPAB, HPV4, MNQ
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 13.0
Sex: F
Vaccine: HEPAB, HPV4
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 1.3
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Viral skin infection
Clinical narrative: Developed fine pinpoint viral appearing rash a few weeks after receiving vaccines- no fever or other symptoms
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Body temperature increased, Erythema, Rash vesicular, Scab
Clinical narrative: 1-2 mm erythema, vesicular lesions left back and mid spine 1 day after vaccine - scabbed up very quickly - no vesicles now and patient with temp 99.1.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Rash erythematous, Scab
Clinical narrative: 1-2 mm erythema, vesicular lesions left back and mid spine 1 day after vaccine - scabbed up very quickly - no vesicles now and patient with temp 99.1.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Began episodes of crying long and hard, inconsolable. Episodes began on 8/16/08 through 8/19/08.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Computerised tomogram abnormal, Febrile convulsion, Laboratory test normal
Clinical narrative: Vaccine administered on 9/5/08. Patient was soon at emergency room at MC on 9/12/08 for febrile seizure (T - 104.6)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: erythema, swollen
Age: 54.0
Sex: M
Vaccine: RAB
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Mild pain at site following injection. On 9/14/08 noticed rash on left arm deltoid area. No pain or itching. Appears today as small red raised bumps in 2inch circular pattern on left deltoid area.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash papular, Scab
Clinical narrative: Scattered papules of varying size and stages on trunk and upper extremities. Mostly crusted
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Arthralgia, Menstruation irregular, Temporomandibular joint syndrome
Clinical narrative: Severe joint pain, knee's, elbow, TMJ, missed periods. Pt has seen an oral surgeon and is now being treated by a TMJ specialist as well as a Rheumatologist to try to figure out what is going on. All these issues started after the vaccinations began.  9/29/2008 PCP records received from 1/7/2008 to present.  16 yr WCC with normal exam 1/7/08. Seen 3/21/08 for URI sx, head pressure, tooth pain, feeling faint, and vaginal d/c. Assessment:  vaginitis.  sinusitis. Seen 6/23/08 for c/o knee pain R>L x 2 weeks with no injury.  PE WNL. F/U 8/8/08 with joint pain in elbows, knees and cracking shoulder. Hurts to swallow.  Diminished energy over past few months. Weight loss. Assess:  Wt loss, joint aches and pains, increasing over past 2-3 months. ? rheum issue or r/t Topamax. Will refer to Rheum.
Age: 1.2
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Large area of red, warm, swollen from Axilla to elbow beginning day after injection and worsening following day.   9/19/08 Seen by Dr.  TX. Ice, advil, Benadryl  Much better after Doctor visit and TX.9/20/08
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Borrelia burgdorferi serology, Brain oedema, Dysarthria
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Encephalitis, Headache, Herpes simplex serology, Lethargy, Mumps antibody test
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Mycoplasma serology, Nuclear magnetic resonance imaging brain, Rubella antibody test
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Dysarthria, Fatigue, Gait disturbance, Headache
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Ataxia, Blood creatinine normal, Blood cyanide, Blood lead, C-reactive protein normal
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Demyelination, Dysarthria, Encephalitis, Haemoglobin normal, Headache
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Liver function test normal, Malaise, Mental impairment, Nuclear magnetic resonance imaging abnormal, Platelet count normal
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Skin lesion, Somnolence, Speech disorder, Vasculitis, White blood cell count normal
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Borrelia burgdorferi serology negative, Cerebellar ataxia, Fatigue, Foreign travel, Headache
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Malaise, Serology abnormal
Clinical narrative: Report from a Foreign Regulatory agency, pt vaccinated in home country,who became ill while on holiday. Suspect Gardasil, administered on 20Jun 2008. symptoms began in another country early JULY, admitted to hospital 5 July 2008. Cerebellar ataxia, frontal headache, fatigue, malaise. NO signs of infection , no rash/diarrhoea, no visual disturbance, no urinary incontinence, no other symptoms. Hospital doctor and health dept doctor were  in touch with CDC and FDA and patient's personal paediatrician, all in early July 2008.
Age: 3.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: 2 days after shot given, leg became red, hot, and swollen. Given Benadryl orally and hydrocortizone topically
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, RVX, UNK
Symptoms: Abnormal faeces, Culture stool negative, Diarrhoea, Faeces discoloured, Occult blood negative
Clinical narrative: pt. started having diarrhea exactly one week after recieving the vaccine and it continued for 19 days; diarrhea was brown liquid with mucous in it occasionally; diarrhea also had a strong odor; the first 6 days she had at least 5 stools/ day sometimes 6 or 7; the diarrhea would sometimes be green and mucousy not pure liquid
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Influenza, Urticaria
Clinical narrative: Flu symptoms and hives on the left arm.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Rash, Rash maculo-papular
Clinical narrative: Recieved Pneumovax booster 9/19, arm very swollen next 2 days, now has developed mac-pap rash over deltoid, spreading to axilla & chest.  Not cellulitis.  No systemic Sx.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: Areflexia, Asthenia, Dysaesthesia, Gait disturbance, Hyperaesthesia
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: Hypoaesthesia, Nervous system disorder, Paraesthesia, Peripheral sensory neuropathy
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: Balance disorder, Blood product transfusion, CSF culture negative, CSF lymphocyte count increased, CSF monocyte count decreased
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: CSF protein increased, CSF white blood cell count increased, Diarrhoea, Electromyogram abnormal, Facial palsy
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: Hypoaesthesia, Hyporeflexia, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging brain normal
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.
Age: 19.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMRV, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging normal, Sensory disturbance
Clinical narrative: This case was reported to the Centers for Disease Control and Prevention (CDC) by a health professional. The case was received from the CDC on 15 September 2008. A 19-year-old male patient received the following vaccines on 14 March 2008: a right arm injection of ADACEL (lot number C2864AA), a left arm intramuscular injection of MENACTRA (lot number U2570AA), an intramuscular right arm injection of INFLUENZA (GlaxoSmithKline, lot number AFLLA050AA), an intramuscular left arm injection of HEP A and B (GlaxoSmithKline, lot number AHABB108AA), and a subcutaneous left arm injection of MMR (Merck, lot number 1311U). At the time of vaccination, the patient had a three-week history of upper respiratory infection with cough, nasal congestion, rhinorrhea, and yellow sputum. He was taking Bicillin concomitantly. On 19 April 2008, 36 days after vaccination, he presented with numbness in both legs, hand balancing problem, sensory changes, numbness of the abdomen, muscular weakness, and one loose stool. He was admitted to the hospital on 26 April 2008, where a physical exam revealed decreased deep tendon reflexes. A lumbar puncture revealed increased protein of 297.1, WBC 12.8, lymphocytes 90%, and monocytes 10%. No organisms were seen on culture. EMG showed a conduction block and mild prolongation of latency, suggestive of acute demyelinating neuropathy. MRI of the brain and cervical spine were unremarkable. He was treated with IVIG, and subsequently transferred to a rehabilitation facility. His stay was complicated by left facial palsy on 04 May 2008. He was discharged from the hospital on 09 May 2008. Outcome was not reported.