chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Mitral valve incompetence, Pleural effusion, Pleuritic pain, Weight increased
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning an 83 year old male who on 14-MAY-2008 was vaccinated with ZOSTAVAX 0.65ml via subcutaneous route. Site of injection was not reported. Subsequently the patient was not feeling well. On 24-MAY-2008 the patient called the office and reported that he also gained about seven pounds. The physician diagnosed with worsening "mitral regurgitation". The patient was put on LASIX 40 mg and potassium 10 milliequivalents. On 02-JUN-2008, the patient was feeling better. He also lost seven pounds. The patient saw a cardiologist and was put on the short course of MEDROL and reduced the CARDURA dose  from 8 mg to 4 mg. On 03-JUN-2008 the patient called into the office stating that he felt much better. Follow up information was received from a physician reported that on 27-MAY-2008 the 83 year old white male went to see a cardiologist and reported that he felt bad after received ZOSTAVAX and had dyspnea and weight gain. At the same day, echo was performed and the result indicated "worsening mitral regurgitation". The patient was put on LASIX and potassium. The patient was referred to a cardiologist. On 02-JUN-2008 the patient felt some improvement and lost seven pounds. Blood work and chest X-ray were done and the results showed that the patient had pleural effusions (small). On 20-JUN-2008 the patient felt better but continued to have pleuritic type discomfort, the patient was put on MEDROL DOSEPAK. On 22-JUN-2008 the patient called to say he felt much better. Dyspnea, worsening mitral regurgitation, pleural effusions and pleuritic type discomfort were considered to be other important medical event. Additional information is not expected.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Initial and follow-up information has been received from a nurse practitioner (N.P.) concerning a 65 year old female with sulfonamide allergy, penicillin allergy, iodine allergy and an unspecified drug hypersensitivity to ibuprofen, aspirin and PERCOCET who on 01-MAY-2008 at 3:30 PM was vaccinated with ZOSTAVAX (Oka/Merck) (lot no. 659614/0161X) in her left upper arm.  The patient had hypothyroidism at the time of vaccination.  On approximately 04-APR-2008, "four weeks prior", the patient was vaccinated with pneumococcal vaccine (MSD).  Concomitant therapy included ESTRADERM, levothyroxine and hydroxyzine and prednisone.  On 15-MAY-2008 the patient experienced injection-site redness, pain and swelling.  The patient also developed an injection-site "knot" which was the size of an "avocado".  The patient also experienced a facial rash characterized as "small blisters".  Subsequently, the patient was treated by primary care provider in emergency room and was hospitalized.  At the time of this report, the patient's symptoms persisted.  Additional information is not expected.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Initial and follow-up information has been received from a nurse practitioner (N.P.) concerning a 65 year old female with sulfonamide allergy, penicillin allergy, iodine allergy and an unspecified drug hypersensitivity to ibuprofen, aspirin and PERCOCET who on 01-MAY-2008 at 3:30 PM was vaccinated with ZOSTAVAX (Oka/Merck) (lot no. 659614/0161X) in her left upper arm.  The patient had hypothyroidism at the time of vaccination.  On approximately 04-APR-2008, "four weeks prior", the patient was vaccinated with pneumococcal vaccine (MSD).  Concomitant therapy included ESTRADERM, levothyroxine and hydroxyzine and prednisone.  On 15-MAY-2008 the patient experienced injection-site redness, pain and swelling.  The patient also developed an injection-site "knot" which was the size of an "avocado".  The patient also experienced a facial rash characterized as "small blisters".  Subsequently, the patient was treated by primary care provider in emergency room and was hospitalized.  At the time of this report, the patient's symptoms persisted.  Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Live birth, Ultrasound scan, Urinary tract infection
Clinical narrative: Information has been received from a nurse, for the Pregnancy Registry for GARDASIL, concerning a 16 year old female who on 31-MAY-2007 was vaccinated with her first dose of GARDASIL (route and lot# not provided).  On 31-JUL-2007 the patient was vaccinated with her second dose of GARDASIL (route and lot# not provided).  On 09-NOV-2007 the patient was vaccinated with her third dose of GARDASIL (route and lot# not provided).  Subsequently, it was reported that the patient had a sonogram (date unspecified) and was pregnant (Gestation 6.5 months, LMP 03-SEP-2007).  Follow up information received stated that on 18-FEB-2008 that patient was diagnosed with a bacterial urine infection and was treated with MACROBID 1 tablet, PO, BID for 7 days.  The outcome of the bacterial UTI  was not reported.  On 09-MAY-2008 at 38 6/7 weeks gestation the patient gave birth to a male infant 6 pounds 7.7 oz., 19.3 inches, the babies Apgar score was reported as 1.  It was reported that the baby was born with an unspecified infection which was treated with unspecified antibiotics.  It was reported that the baby "had a hard time breathing and stayed in the hospital for 1 week".  Additional information regarding the prolonged hospitalization of the baby was not provided.  Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Blighted ovum, Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan abnormal
Clinical narrative: Initial and follow-up information has been received for the Pregnancy Registry for GARDASIL from a 25 year old female consumer who on 28-MAR-2008 was vaccinated with her third dose of GARDASIL (lot# not reported).  Concomitant therapy included prenatal vitamins (unspecified) once daily.  On 06-APR-2008 the patient found out she was 4 weeks pregnant.  The patient had a positive home pregnancy test.  Subsequently the patient experienced no adverse events and sought unspecified medical attention.  The patient's estimated conception date was approximately 19-MAR-2008, her last menstrual period was 06-MAR-2008 and her estimated delivery date was 10-DEC-2008.  On 05-MAY-2008 an ultrasound was performed for viability, the results showed no defectable fetal parts or cardiac activity within the sac.  On 20-MAY-2008 an ultrasound was performed and showed no fetal pole or yolk sac, which suggested a blighted ovum.  The patient did not provide any information on the first and second dose.  At the time of the report, the outcome of the patient was unknown.  Upon internal review the blighted ovum was considered to be an other important medical event.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan normal, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow up information has been received from a physician and a nurse practitioner concerning a 17 year old female no past medical history reported, and no previous pregnancies, who on 21-MAY-2008 (also reported as April 2008) was vaccinated with a 0.5 mL dose of GARDASIL and then discovered that she was pregnant. No concomitant medications were reported. No adverse effects reported. The patient sought unspecified medical attention in the office. The patient was referred to an obstetrician for obstetrical care. The patient's last menstrual period was 01-APR-2008 and estimated date delivery is 07-JAN-2009. A urine pregnancy test in the office on 17-MAY-2008 was negative and on 21-MAY-2008 the urine pregnancy test was positive. On 03-JUN-2008 ultrasound results showed that the patient was 8 weeks and 5 days pregnant. On 19-JUN-2008 the patient had a spontaneous abortion at nine weeks. Pathology and chromosomal testing was pending. Spontaneous abortion was considered to be an other important medical event. No further information is available.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: Information has been received from a physician concerning a 16 year old female with no pertinent medical history or history of drug allergies or reactions who on 31-JUL-2007 was vaccinated intramuscularly with the first dose of GARDASIL (lot no. 655849/0263U).  There was no concomitant medication.  On 15-AUG-2007 and 01-SEP-2007, the patient experienced a seizure.  On 01-SEP-2007 the patient was taken to the emergency room.  The patient was also taken to see a neurologist where she was diagnosed as having generalized seizures.  An electroencephalography was performed (results not reported).  At the time of this report, the outcome was unknown.  Generalized seizures were considered to be other important medical events.  Additional information has been requested.  10/16/2008 ER record received for 9/1/07 with DX: Seizure-new onset. Pt was sitting at home when pt began staring up and shaking with eyes rolled back in the head. Witnessed by family. Post-ictal upon arrival. D/C for outpt f/u
Sex: U
Vaccine: TDAP
Symptoms: Cough
Clinical narrative: This case was received from a consumer on 03 July 2008. SERIOUSNESS: OTHER - MEDICALLY SIGNIFICANT. A female patient reported that her infant child (gender not reported) had been exposed transplacentally to ADACEL (lot number C2688AA) on 09 November 2007. The reporter had a history of polycystic ovarian syndrome, seasonal allergies, and gestational diabetes. According to the reporter, she had experienced a persistent cough for three weeks at the beginning of her pregnancy, and had taken antibiotics before she knew she was pregnant. No culture had been taken. The infant child experienced transient tachypnea and infiltrates in the lower lobes. No additional information was provided. The information in this case pertains to the infant; information for the mother is captured in case number 2008-02177.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Mammogram normal, Ultrasound scan abnormal
Clinical narrative: This case was received by a health professional on 31 March 2008. A 42-year-old female patient, with an allergy to Amoxicillin, received a left deltoid booster injection of ADACEL (lot number C2767AA) on 25 March 2008. The patient was pregnant at the time of vaccination, and an ultrasound on 31 March 2008 showed a viable pregnancy with an estimated delivery date of 06 November 2008. Obstetric history included one previous pregnancy, which resulted in a pre-term delivery at six months; the baby expired due to unspecified chromosomal anomalies. No adverse events were reported following vaccination. Follow-up information received on 07 July 2008 from the original reporter who is a health care professional. The patient's obstetrical history was clarified, and the pre-term delivery at six months resulted in the baby expiring due to Trisomy 18 chromosomal abnormality. For the current pregnancy, the date of the patient's last menstrual period was on 01 January 2008; with an expected date of delivery on 12 November 2008. The patient had a mammogram completed on 25 March 2008 (results not reported). On 07 April 2008, the patient had an ultrasound that did not show a viable pregnancy. The patient was considered to have a spontaneous abortion prior to 20 weeks gestation as confirmed by ultrasound on 07 April 2008. The patient was healthy during the pregnancy. The recovery status of the patient was not provided. Due to this new information, this case was upgraded to serious.
Age: 22.0
Sex: F
Vaccine: MNQ, PPV, TDAP
Symptoms: Erythema, Hypersensitivity, Induration, Injected limb mobility decreased
Clinical narrative: Hypersensitivity Rxn s/p PNEUMOVAX. Erythema, induration (L) post arm, decreased ROM.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling 9 cm x 5 cm within 10 minutes of administration.  16 mL Benadryl Elixir given.  (1mg 1kg 1 dose).  No breathing difficulty.  Within 30 minutes post Benadryl redness decreased to 6 1/2 x 4 1/2 cm.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: Client went to E. R. ER records obtained. Several phone calls and certified letter sent. Father signed for certified letter. No response back from the parents.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, TDAP
Symptoms: Asthenia, C-reactive protein increased, Demyelinating polyneuropathy, Electromyogram abnormal, Nerve conduction studies abnormal
Clinical narrative: Developed sxs ofIDP 4 days after multiple vaccines in training. Sxs effect both feet and both biceps. Had 1st round of IVIG in June 08, 6 months after initial sx development and has had some improvement. Is being medically separated from the military. Wears a breace on rt foot in order to walk. Symptoms: Weakness, Neuopathy.  8/8/08 Reviewed medical records for  12/2007-7/2008. FINAL DX: Idiopathic acute polyneuropathy Records reveal patient experienced weakness, paresthesias of lower extremities w/difficulty walking on 12/22/2007.  PT was not helpful.  Referred to neuro.  Condition progressed to include weakness & paresthesias of upper extremities & impairs activities of daily living.  Tx w/IVIG 6/2008 w/some improvement.
Age: 20.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, TDAP
Symptoms: Orthosis user, Red blood cell sedimentation rate increased, Walking disability
Clinical narrative: Developed sxs ofIDP 4 days after multiple vaccines in training. Sxs effect both feet and both biceps. Had 1st round of IVIG in June 08, 6 months after initial sx development and has had some improvement. Is being medically separated from the military. Wears a breace on rt foot in order to walk. Symptoms: Weakness, Neuopathy.  8/8/08 Reviewed medical records for  12/2007-7/2008. FINAL DX: Idiopathic acute polyneuropathy Records reveal patient experienced weakness, paresthesias of lower extremities w/difficulty walking on 12/22/2007.  PT was not helpful.  Referred to neuro.  Condition progressed to include weakness & paresthesias of upper extremities & impairs activities of daily living.  Tx w/IVIG 6/2008 w/some improvement.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: 10x10 cm area of redness (R) upper arm. No discharge or pus. Vaccine reaction DTaP. Advised ATARAX 10/5 1 tsp q 8 hours PRN.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Syncope
Clinical narrative: Pt had a syncopal episode right after the last of 4 immunization injections were given.  Regained composure in about 10 min.
Age: 61.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain, Anorexia, Chills, Pain, Pyrexia
Clinical narrative: Received HAV on 6/10/08. On 6/15/08 developed lower abdominal cramping, loss of appetite.  On 6/16/08 had fever 100.9 degrees F, chills, body aches.  Did not seek treatment resolved by 6/17/08.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Gaze palsy
Clinical narrative: Shortly after receiving the shot she had seizure like motion extension of legs eyes rolled back, mild guttural noises.  No loss of bowel/urine.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Local reaction
Clinical narrative: Cellulitis of the left arm (numerous) versus a severe local reaction to PNEUMOVAX. Patient treatment on 6/26/08 with IV Rocephin
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, CSF protein increased, Central nervous system lesion, Diarrhoea, Fatigue
Clinical narrative: 32 y/o AD WM TSGT reports dx of GBS "less than 30 days s/p 2nd AVA" (AVA #2 06/12/2003; Typhoid SC 02/19/2003 per DEERS) and a dx of MS in April of 2004 contacts ASK VHC: "My neurologist insinuated all this could be vaccine related."  Symptoms: Weakness, Gait abnormality, Fatigue, Malaise <60 Days, Diarrhea.  9/19/08 Medical records reviewed.  Pt received Anthrax #1, on 4/7/2003, Bioport, Lot# FAV 071; & typhoid injection #2, on 2/19/2003, AP, Lot # U1073.  No Lot # recorded for Anthrax #2.  Records reveal patient experienced GBS 6/30/2003;followed by MS 4/1/2004, optic neuritis 4/2004.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Gait disturbance, Guillain-Barre syndrome, Lumbar puncture abnormal, Malaise, Multiple sclerosis
Clinical narrative: 32 y/o AD WM TSGT reports dx of GBS "less than 30 days s/p 2nd AVA" (AVA #2 06/12/2003; Typhoid SC 02/19/2003 per DEERS) and a dx of MS in April of 2004 contacts ASK VHC: "My neurologist insinuated all this could be vaccine related."  Symptoms: Weakness, Gait abnormality, Fatigue, Malaise <60 Days, Diarrhea.  9/19/08 Medical records reviewed.  Pt received Anthrax #1, on 4/7/2003, Bioport, Lot# FAV 071; & typhoid injection #2, on 2/19/2003, AP, Lot # U1073.  No Lot # recorded for Anthrax #2.  Records reveal patient experienced GBS 6/30/2003;followed by MS 4/1/2004, optic neuritis 4/2004.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: 32 y/o AD WM TSGT reports dx of GBS "less than 30 days s/p 2nd AVA" (AVA #2 06/12/2003; Typhoid SC 02/19/2003 per DEERS) and a dx of MS in April of 2004 contacts ASK VHC: "My neurologist insinuated all this could be vaccine related."  Symptoms: Weakness, Gait abnormality, Fatigue, Malaise <60 Days, Diarrhea.  9/19/08 Medical records reviewed.  Pt received Anthrax #1, on 4/7/2003, Bioport, Lot# FAV 071; & typhoid injection #2, on 2/19/2003, AP, Lot # U1073.  No Lot # recorded for Anthrax #2.  Records reveal patient experienced GBS 6/30/2003;followed by MS 4/1/2004, optic neuritis 4/2004.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fall, Muscular weakness, Paraesthesia
Clinical narrative: Feel tingling after 2nd shot, both legs weak, fell to ground.  One time event.  Reported to nurse practitioner 7/9/08, AM.  Felt like she was going to faint.  Did not lose consciousness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Left upper extremity 3x4 cm red, nontender, nonfluctuant, full range of motion and no drainage.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: The day after Pt received shots she started with redness & swelling toward back of arm.  Treated with KEFLEX 50mg/kg/day divided TID and BENADRYL.  Within 2 days arm was much better per mom.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy skin, Erythema, Pain of skin, Rash, Rash pustular
Clinical narrative: After the second injection, there were a few bumps that appeared, looked like pimples on the front stomach area.  A health provider said to get the 3rd shot.  We did.  After this the bumps spread all over the front and back torso area.  They got bigger the size of a pencil eraser (some larger and some smaller. Each one is irregular in shape.  The were open sores.  Pus, red and tender.  They each began as a bump and the headed and pused open. The first started on the stomach and then went to the back.  It continued over a 9 month period.  After they headed and pused, they were sores that left a scarring mark.  A darker than skin color.  They look like a dark skin cancer spot.  The torso of the body was then covered in all of these dark spots. It is ugly!  We saw a dermatologist.  There were biopsies done.  They are the ones who told us it was a reaction to Gardasil.  Today, patient lives with her body scared.  Over time, it seems that they are fading,  However, we are using an expensive cream recommended by the dermatologist to fade the scaring.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Scar, Skin discolouration
Clinical narrative: After the second injection, there were a few bumps that appeared, looked like pimples on the front stomach area.  A health provider said to get the 3rd shot.  We did.  After this the bumps spread all over the front and back torso area.  They got bigger the size of a pencil eraser (some larger and some smaller. Each one is irregular in shape.  The were open sores.  Pus, red and tender.  They each began as a bump and the headed and pused open. The first started on the stomach and then went to the back.  It continued over a 9 month period.  After they headed and pused, they were sores that left a scarring mark.  A darker than skin color.  They look like a dark skin cancer spot.  The torso of the body was then covered in all of these dark spots. It is ugly!  We saw a dermatologist.  There were biopsies done.  They are the ones who told us it was a reaction to Gardasil.  Today, patient lives with her body scared.  Over time, it seems that they are fading,  However, we are using an expensive cream recommended by the dermatologist to fade the scaring.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site pain, Malaise, Musculoskeletal stiffness
Clinical narrative: Previously well, received 2nd Anthrax vaccination in Right posterior upper arm on Monday, 7 Jul, 1000, and began to have symptoms 1700 on 8 Jul.  Symptoms included severe headache, neck stiffness, night sweats, right arm pain (from injection site to tips of fingers in right arm), myalgias, malaise, nausea, vomiting, and trouble sleeping.  Some improvement with tylenol, motrin, and zofran which she had at home.  She had a similar but much milder reaction after the first vaccination 2 weeks previously, which resolved after one week.  Taking Anthrax vaccination due to upcoming deployment, no h/o adverse reactions to other vaccinations.  However, she did report sensitivities to other medications (droperidol, narcotics), adhesive sprays (mastisol), home products (soaps, perfumes, creams).  Exam revealed normal vital signs (afebrile), well appearing female, with edematous right arm (circumference increased versus left arm at mid upper arm), slightly erythematous around injection site, otherwise nonfocal exam.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Myalgia, Nausea, Night sweats, Oedema peripheral, Pain in extremity
Clinical narrative: Previously well, received 2nd Anthrax vaccination in Right posterior upper arm on Monday, 7 Jul, 1000, and began to have symptoms 1700 on 8 Jul.  Symptoms included severe headache, neck stiffness, night sweats, right arm pain (from injection site to tips of fingers in right arm), myalgias, malaise, nausea, vomiting, and trouble sleeping.  Some improvement with tylenol, motrin, and zofran which she had at home.  She had a similar but much milder reaction after the first vaccination 2 weeks previously, which resolved after one week.  Taking Anthrax vaccination due to upcoming deployment, no h/o adverse reactions to other vaccinations.  However, she did report sensitivities to other medications (droperidol, narcotics), adhesive sprays (mastisol), home products (soaps, perfumes, creams).  Exam revealed normal vital signs (afebrile), well appearing female, with edematous right arm (circumference increased versus left arm at mid upper arm), slightly erythematous around injection site, otherwise nonfocal exam.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Previously well, received 2nd Anthrax vaccination in Right posterior upper arm on Monday, 7 Jul, 1000, and began to have symptoms 1700 on 8 Jul.  Symptoms included severe headache, neck stiffness, night sweats, right arm pain (from injection site to tips of fingers in right arm), myalgias, malaise, nausea, vomiting, and trouble sleeping.  Some improvement with tylenol, motrin, and zofran which she had at home.  She had a similar but much milder reaction after the first vaccination 2 weeks previously, which resolved after one week.  Taking Anthrax vaccination due to upcoming deployment, no h/o adverse reactions to other vaccinations.  However, she did report sensitivities to other medications (droperidol, narcotics), adhesive sprays (mastisol), home products (soaps, perfumes, creams).  Exam revealed normal vital signs (afebrile), well appearing female, with edematous right arm (circumference increased versus left arm at mid upper arm), slightly erythematous around injection site, otherwise nonfocal exam.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Electroencephalogram abnormal, Laboratory test normal, Myoclonus, Nuclear magnetic resonance imaging brain normal, Pyrexia
Clinical narrative: 10 days after the MMR vaccine, pt had a fever between 103-105 for 5 consecutive days.  On day 2, he started having myoclonic jerks that persisted for about 36 hours.  These myoclonic jerks have since occurred every time he has a fever.  He is almost 3 years old.  He is treated with Ativan while febrile.
Age: 1.0
Sex: F
Vaccine: MEA
Symptoms: Dyskinesia, Myoclonus, Pyrexia
Clinical narrative: Fever to 104 started 7 days after measles vaccination that lasted for 48 hours.  During that illness she had one very brief jerking movement.  She started having another fever 2 weeks later during which she had approximately 15 jerking movements over the course of a couple hours lasting one second.  She is being worked up for myoclonic jerks.  Her older brother has had similar episodes that started during a fever 10 days after his MMR vaccination.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Contusion, Crying, Eye rolling, Fall, Opisthotonus
Clinical narrative: Immediately after IM administration of Hep A, mother stood child on floor. Child fell to floor and struck head.  When mother picked her up, child arched back and eyes rolled to back x 5-7 seconds. Did not respond to verbal stimuli.  Child then started to cry.  Pupils equal and reactive.  Continued to cry.  Ice placed to contusion on forehead while mother phoned GP to request child be seen.  Mother left to take child to doctor's office.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Physical examination, Unresponsive to stimuli
Clinical narrative: Immediately after IM administration of Hep A, mother stood child on floor. Child fell to floor and struck head.  When mother picked her up, child arched back and eyes rolled to back x 5-7 seconds. Did not respond to verbal stimuli.  Child then started to cry.  Pupils equal and reactive.  Continued to cry.  Ice placed to contusion on forehead while mother phoned GP to request child be seen.  Mother left to take child to doctor's office.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Chest discomfort, Chest pain, Crying, Depressed level of consciousness
Clinical narrative: Within 1-2 minute(s) of injection, patient experienced weakness, wheezing, (L) arm went numb, felt like a brick was on her chest & had trouble breating-chest pain, hot flash & sweats, facial flushing, dizzy, slow to respond, began crying (Experienced lasted about 1 minute)  Next day, patient was still weak & tired.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyspnoea, Fatigue, Flushing, Hot flush
Clinical narrative: Within 1-2 minute(s) of injection, patient experienced weakness, wheezing, (L) arm went numb, felt like a brick was on her chest & had trouble breating-chest pain, hot flash & sweats, facial flushing, dizzy, slow to respond, began crying (Experienced lasted about 1 minute)  Next day, patient was still weak & tired.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Hypoaesthesia, Wheezing
Clinical narrative: Within 1-2 minute(s) of injection, patient experienced weakness, wheezing, (L) arm went numb, felt like a brick was on her chest & had trouble breating-chest pain, hot flash & sweats, facial flushing, dizzy, slow to respond, began crying (Experienced lasted about 1 minute)  Next day, patient was still weak & tired.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Continual pain at admin. site.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Injection site mass, Nausea, Somnolence, Syncope
Clinical narrative: Fainted, nausea and sleepy immediately following injection.  Golf ball size lump at injection site.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Nausea
Clinical narrative: NAUSEA, SORE ARM AT SITE.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Blood culture negative, Chest X-ray normal, Febrile convulsion, Full blood count normal, White blood cell disorder
Clinical narrative: febrile seizures
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Dizziness, Nausea
Clinical narrative: Given Hepatitis B Injection at 0755 and at 1030 is reporting a stomach ache, lightheadedness, and nausea.  No vomiting. Currently at work and employer is to return this patient back to the clinic if patient so desires for treatment thus far the patient has not returned for treatment.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Dizziness, Nausea, Vomiting
Clinical narrative: Vomiting, light headed, stomach ache, nausea. Vaccine given 8 AM notified of symptom 10:30 AM. At work and employer to return her to clinic if treatment desired.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Dizziness, Nausea
Clinical narrative: Light headed, stomachache, nausea. Vaccine given 7:50AM and symptoms reported at 10:30 AM. Employer to return him to clinic if treatment desired.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Diarrhoea, Pyrexia, Rash, Rash pruritic
Clinical narrative: 10 days after receiving the MMR vaccine, my daughter lost her appetite, had a moderate fever (102 - 103), and experienced bouts of diarrhea. These symptoms lasted for roughly two days. The day after her fever broke, she began to develop what appeared to be a mild rash on her torso and neck (front/back). The rash progressed to her limbs and groin/buttocks and eventually began to itch. On day six of her symptoms, we took her to her pediatrician and she was diagnosed as having an MMR related reaction. They recommended Tylenol, Benadryl, and keeping her cool and hydrated.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Skin warm
Clinical narrative: after receiving the second dose of gardasil the patient experienced fatigue which lasted one day, she also reports the right deltoid which received the gardasil vaccine became "hot".
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Hypoglycaemia, Hypotension, Loss of consciousness, Ventricular tachycardia
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood chloride increased, Blood glucose decreased, Bronchitis, Condition aggravated
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Diarrhoea, Dizziness, Electrocardiogram ambulatory abnormal, Fatigue, Glucose urine present
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haemoglobin decreased, Headache, Hypoglycaemia, Hypotension, Loss of consciousness
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Menstrual discomfort, Migraine, Nausea, Nitrite urine present, Pain
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, Supraventricular tachycardia, Syncope vasovagal, Tonsillitis
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ultrasound abdomen normal, Ventricular tachycardia
Clinical narrative: Seven days after vaccine was given patient experienced sudden unconsciousness, severe abdominal pain on the right side. Patient was also found to  have low blood pressure and severe hypoglycemia. Symptoms were treated in ambulance with IV fluids. Hospital and subsequent doctor visits diagnosed patient with ventricular tachycardia relating to the event. 7/11/08-records received- First Gardasil vaccination 7/9/07- 7/11/08-records received-5/21/07-C/O passing out from low blood sugar. Syncopal episode with nausea. DX:Dizziness and giddiness. Holter monitor 6/4/07-mild supraventricular tachycardia. Presented to ED with sore throat and fever. Acute exudative tonsillitis. First Gardasil vaccination 7/9/07 7/28/08-records received for DOS 5/16/07-presented to ED with C/O near syncope and abdominal pain times 3 days, diarrhea. Lightheadedness and pain when standing. Nausea times 3 days. Recent bronchitis. Migraine Headaches. Impression: syncope vasovagal, hypoglycemia, abdominal pain intestinal colic.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, RVX
Symptoms: Abnormal behaviour, Activities of daily living impaired, Diarrhoea
Clinical narrative: Diarrhea 5-8 times per day for over 2 weeks. This started immediatley folling her 6 month well visit appointment. She also has diarrhea several times during the night. Sometimes she appears to not be as active and happy as she was. I called the doctor and they said this is normal but if it still continues for another week to call back for testing.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: ITCHING, REDNESS AND SWELLING AT INJECTION SITE AT LEAST 3 INCHES IN DIAMETER
Age: 23.0
Sex: M
Vaccine: TYP, YF
Symptoms: Hypersensitivity, Physical examination, Urticaria
Clinical narrative: Allergic/adverse reaction to vaccine administration - given yellow fever and typhoid 45 minutes prior to onset of multiple pruritic 2-4mm wheals.  Treated with benadryl and given short course of prednisone.  No respiratory symptoms.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Colitis ulcerative, Colonoscopy
Clinical narrative: Symptoms of and diagnosed with ulcerative colitis in November 2007 requiring 2 hospitalizations for exacerbation since 11/2007 7/14/08-records received-office visit 7/31/07-C/O tired. 11/28/81-DX ulcerative colitis. Loose stools and abdominal spasms. Tired weak.  12/24/07-GI consults-history of ulcerative colitis in remission. Presented with abdominal pain, diarrhea, anemia and hypoalbuminemia. Weight loss, joint pains. 2/18/08-Continues in remission. Flu symptoms 10 days ago. Intermittent shoulder, ankle and wrist pain. 5/30/08-Sick visit, off steroids. Three days prior increasing stooling and minor bleeding and severe cramps.  7/21/08-records received for DOS 5/31-6/4/08-DC DX: ulcerative colitis flare. Presented with 2 weeks of abdominal cramping and 3 days of diarrhea tht had become bloody. Nausea.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Myalgia, Oedema peripheral, Skin discolouration, Skin warm
Clinical narrative: deltoid muscle pain/soreness (5/10 in severity). On 2nd day post vaccination, site (left deltoid) became erythematous with area of erythema extended radially from injection site approximately 5-7 cm on all sides.  Skin was warm and felt slightly tense. There was also a pink streak on medial anterior aspect of left deltoid extending toward axilla.  Compared to contralateral deltoid affected side was noticeably larger/more swollen
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Tension
Clinical narrative: deltoid muscle pain/soreness (5/10 in severity). On 2nd day post vaccination, site (left deltoid) became erythematous with area of erythema extended radially from injection site approximately 5-7 cm on all sides.  Skin was warm and felt slightly tense. There was also a pink streak on medial anterior aspect of left deltoid extending toward axilla.  Compared to contralateral deltoid affected side was noticeably larger/more swollen
Age: 5.0
Sex: M
Vaccine: TYP
Symptoms: Eye swelling, Eyelid oedema, Nasal congestion
Clinical narrative: Vaccine administered at 10:30 am. Child went to daycare. When daycare providers applied sunscreen to child's face, he immediately developed swelling in his eyes/eyelids. The sunscreen brand had been applied previously to this child with no adverse reaction. Mother called clinic at 1 pm to report swelling of eyes and nasal congestion in her son. He was having no difficulty breathing. Recommended that mother administer Benedryl to the child and visit physician immediately if symptoms worsen or fever, dizziness, hives, or respiratory difficulty occur.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: injection site reaction - redness at injection site, width about size of blood pressure cuff, almost all around the arm, warm to touch, sore
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Palpitations
Clinical narrative: PATIENT RECIEVED THE SHOT ON 7/26/08 AND ON 7/6/08 SHE STATES SHE HAD A FEW MINUTES OF DIZZINESS AND PALPATATIONS.  THEN NOW HAVE BEEN COMING AND GOING SINCE THEN BUT NOT AS SEVERE.  EXAM WAS COMPLETELY NORMAL AND NO TREATMENT WAS INITIATED. I DO NOT FEEL IT IS SECONDARY TO THE IMMUNIZATION BUT PATIENT DOES
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling over injection site on left arm, about 2cmx 2cm in size, erythematous and itching.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Diarrhoea, Dizziness, Nausea
Clinical narrative: Day after injection had dizziness, nausea and diarrhea. Symptoms intensified and were the worst 2 days after receiving injection.  Symptoms did not resolve until 8 days later.  Not treatment was given for symptoms.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Skin discolouration, Tenderness
Clinical narrative: given pnemovax IM in L delt, #2 which was more than 5 years after date of #1, #1 was given before the pt was age 65 years.  Pt reported extreme swelling in tenderness in the L arm the next day.  Afrebrile, without other symptoms.  Pt came into clinic the next day. Noted swelling on bicep, pink, 6 inches in diameter.
Age: 36.0
Sex: M
Vaccine: DTAP, HEPAB, TYP
Symptoms: Abnormal dreams, Dyskinesia, Hyperhidrosis, Hypersomnia, Immediate post-injection reaction
Clinical narrative: syncopal episode; 3 seconds after injecting vaccine, the patient (who was sitting on the exam table) was awake but momomentarily not responsive, body was rigid, "fell asleep" snored, kicked once; then woke up rigid; the MA then put him recumbent, he was sweating; he regained full consciousness; he was unaware of all the events;he said that he was dreaming, and woke up from a dream. He was not in any distress or discomfort.
Age: 36.0
Sex: M
Vaccine: DTAP, HEPAB, TYP
Symptoms: Memory impairment, Muscle rigidity, Snoring, Syncope, Unresponsive to stimuli
Clinical narrative: syncopal episode; 3 seconds after injecting vaccine, the patient (who was sitting on the exam table) was awake but momomentarily not responsive, body was rigid, "fell asleep" snored, kicked once; then woke up rigid; the MA then put him recumbent, he was sweating; he regained full consciousness; he was unaware of all the events;he said that he was dreaming, and woke up from a dream. He was not in any distress or discomfort.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Allergy test positive, Bowel movement irregularity, Breath sounds abnormal, Dysphonia
Clinical narrative: My son had some allergic reaction to his first dose of vaccines.  Today I realized it may have been from the Rotavirus.  After my son was given the first dose of rotavirus his breathing changed and I could hear mild wheezing.  He also seemed to have strong abdominal cramping followed my heavy bowel movements, and some random hives.  This happened again with the second dose.  The third dose just seemed to make his voice a little raspy.  My husband and I also got a case of diarrhea on each dose.  I reported the first dose symptoms in September 2007. Since they were mild acording to the advise nurse, she had Dr. call me.  He advised to watch for breathing problems, but also assured me that my baby was colicky and his reaction normal. Today I found out that my son is allergic to egg white, and upon surfing the web I found out that rotavirus vaccines are grown in eggs.  I did not have this information prior to vaccinating my son. Thus, I hope this report helps alert other parents whose children may have a similar egg allergy.  I don't know if I would have chosen to skip the rotavirus vaccine had I known that my son had an egg allergy, but I would have liked to have had prior knowledge of the link between egg allergies and rotovirus vaccines when I called facility in September.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Food allergy, Hypersensitivity, Urticaria, Vaccine positive rechallenge, Wheezing
Clinical narrative: My son had some allergic reaction to his first dose of vaccines.  Today I realized it may have been from the Rotavirus.  After my son was given the first dose of rotavirus his breathing changed and I could hear mild wheezing.  He also seemed to have strong abdominal cramping followed my heavy bowel movements, and some random hives.  This happened again with the second dose.  The third dose just seemed to make his voice a little raspy.  My husband and I also got a case of diarrhea on each dose.  I reported the first dose symptoms in September 2007. Since they were mild acording to the advise nurse, she had Dr. call me.  He advised to watch for breathing problems, but also assured me that my baby was colicky and his reaction normal. Today I found out that my son is allergic to egg white, and upon surfing the web I found out that rotavirus vaccines are grown in eggs.  I did not have this information prior to vaccinating my son. Thus, I hope this report helps alert other parents whose children may have a similar egg allergy.  I don't know if I would have chosen to skip the rotavirus vaccine had I known that my son had an egg allergy, but I would have liked to have had prior knowledge of the link between egg allergies and rotovirus vaccines when I called facility in September.
Age: 3.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site vesicles, Rash
Clinical narrative: MOTHER OF PATIENT REPORTED ON 7/03/08 THAT HE HAD TINY RED SPOT ON TRUNK OF BODY AND LARGE RED RAISED AREA AT INJECTION SITE. APPT WAS OFFERED AT THAT TIME, PARENT DECLINED AND SAID SHE WOULD JUST WATCH IT OVER THE WEEK-END, CHILD WAS FEELING OK BUT HAD A LOW GRADE TEMP. PARENT CALLED AGAIN ON MONDAY AND SAID HE WAS FINE, SPOTS HAD DISAPPEARED BUT REDNESS AT INJECTION SITE WAS STILL THERE AND SHE WOULD LIKE TO BRING HIM IN THE NEXT DAY AS THAT WAS HER DAY OFF. APPT WAS GIVEN FOR 9:00 AM. THEY MISSED THE APPT BUT CALLED IN A FEW HOURS LATER AND WE GAVE ANOTHER APPT TIME FOR. UPON EXAM, INJECTION SITE WAS RED WITH A SMALL GROUPED VESICLES ON ERYTHEMATOUS BASE. EXAM BY ANP. NO TREATMENT NEEDED.