chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Antinuclear antibody negative, Aspiration biopsy, Chills, Dizziness, Joint effusion
Clinical narrative: Dizzy, nauseous, chills, achy the day after she received the MMR.  2 1/2 weeks after she returned to clinic with left knee effusion/viral syndrome.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Pain, Viral infection
Clinical narrative: Dizzy, nauseous, chills, achy the day after she received the MMR.  2 1/2 weeks after she returned to clinic with left knee effusion/viral syndrome.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Electroencephalogram, Eye rolling, Foaming at mouth, Tremor
Clinical narrative: At approximately 5pm on 3-10-08 while sitting in high chair, patient started shaking all over, eyes rolled back in his head and he began foaming from his mouth.  Patient had 5 similar events within a 30 minute time period, with limpness in between episodes; prior to EMS arrival.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Anorexia, Asthenia, Chest X-ray, Chills, Electrocardiogram normal
Clinical narrative: Weakness, nausea, vomiting 3 hours later.  Next 2 days anoxemia, nausea, chills.  Day #3 at store and passed out.  ER evaluation negative.  Took one month to get full strength back.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Loss of consciousness, Nausea, Vomiting
Clinical narrative: Weakness, nausea, vomiting 3 hours later.  Next 2 days anoxemia, nausea, chills.  Day #3 at store and passed out.  ER evaluation negative.  Took one month to get full strength back.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Rash
Clinical narrative: Reddened area with blisters around injection site.  Some red spots on stomach and back.  No fever today, acting normal.  Blisters for 2 days per Dad.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Pyrexia
Clinical narrative: Fever; Severe headache
Age: 29.0
Sex: M
Vaccine: HEPA
Symptoms: Ear pain, Fatigue, Headache
Clinical narrative: Earache, fatigue, headache 5 days post Hep A shot.
Age: 1.4
Sex: M
Vaccine: UNK
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left deltoid develop redness and swells 24 hrs post vaccine; given at Dept of Health  11/30/09 ED notes received for DOS 11/20/09 - Final DX: Rhabdomyolysis and presumed postviral myositis. On 11/19/09, Pt c/o lower leg pain bilaterally, swelling and macular rash. On examination: bilateral edema with tenderness to deep palpation below the knees bilaterally. Pt developed difficulty urinating, inability to walk due to pain; tx: IV D5 normal saline. Pt discharged.  12/01/09 H&P and MR received DOS 11/22/09  11/24/09. DX: rhabdomyolysis, myoglobinuria, possible viral infection or post vaccination associated myositis. Pt continues c/o pain in legs and arms, which is described as pressure pain. Pt c/o fevers, rash in arms, swollen legs. On examination: no fever, Pt ill-appearing, swelling of LE, tachycardia. According to Dr. this event was not of oncologic origin. tx: Tylenol, morphine, IV fluids. Pt's condition improved. Pt was able to ambulate. Pt discharged with ibuprofen prn and scheduled for physical therapy.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth, Pain, Pruritus
Clinical narrative: Patient thigh had a raise of approx. 4in round site was red and warm to touch. Complained of itchiness, pain; Treatment was Benadryl 12.5mg and Childrens Tylenol
Age: 34.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Erythema, Urticaria
Clinical narrative: Noticed that evening of injection "Big, red, welt" 4mm x 4mm in size (redness)
Age: 1.1
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Induration, Skin nodule
Clinical narrative: Lt thigh 1 cm firm, mobile, NT lump; no redness, FROM on hip and knee; pt walks alone.
Age: 1.1
Sex: M
Vaccine: HIBV
Symptoms: Pyrexia, Rash
Clinical narrative: Fever (temp 104.5) for 4-5 days after HIB.  Then developed pink rash that closed within 24 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: Left deltoid redness, swelling to size of baseball, warm to touch, fever
Age: 11.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Fatigue, Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Fever to 103, extreme fatigue. Significant pain in posterior upper arm. Swelling, redness, induration of most of upper posterior arm.
Age: 11.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Fever to 103, extreme fatigue. Significant pain in posterior upper arm. Swelling, redness, induration of most of upper posterior arm.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Influenza like illness, Pain, Pyrexia, Swelling
Clinical narrative: Local redness, swelling, pain and fever with flu like symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Kindergarten immunizations were given on 2/27/2008. The next day mom called, "patient" upper left arm was red swollen and tender, on 2/29 it had decreased and everyday after it improved.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Induration
Clinical narrative: Area of erythema and induration 30 x 40mm over right arm.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Flushing, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Child's face became flushed on Mon. evening. Body stiffened out. Seemed unresponsive to Mom approx 10 minutes.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Date of immunization 3/6/07.  PM of 3/6 felt beginning of pain - on 3/9 patient noted itching, redness and felt warm.  Signs and symptoms same next 2 days.  Today, 3/12 redness decreasing.  Still itchy but not as much.
Age: 67.0
Sex: F
Vaccine: TYP
Symptoms: Heart rate increased
Clinical narrative: After 1st pill rapid heart beat (100 per minute) for 4 hours.  After 2nd pill rapid heart beat (100 per minute) for 24 hours - Doctor advice discontinue pills.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Cyanosis, Dyspnoea, Hyperhidrosis, Hypersensitivity
Clinical narrative: PNEUMOVAX given at 10:35, within 60 seconds mom ran out of room stating he was having an allergic reaction to it.  Patient found shortness of breath, cyanotic, diaphoretic.  Epipen injection given by mom, followed by arapred and Benadryl.  Pulse ox 86% - 02 started at 2 for 1 minute.  AP 120 R-60.  911 called.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blister, Erythema
Clinical narrative: 4x3 inch reaction of redness with 1inch of vesicles. Follow up with progress and recheck if not improving.
Age: 40.0
Sex: M
Vaccine: DTAP, HEPAB
Symptoms: Wrong drug administered
Clinical narrative: Dtap 0.5cc IM given instead of Tdap vaccine.  Fluid up with patient 3/5/08, no complaints from patient.
Age: 1.2
Sex: M
Vaccine: DTAP, HEPA, VARCEL, VARCEL
Symptoms: Rash
Clinical narrative: Rash started on face and spread to other parts of body.
Age: 1.2
Sex: M
Vaccine: DTAP, HEPA, VARCEL, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Rash started on face and spread to other parts of body.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: Left thigh swelling, no erythema, no induration, no pain at site of injection.  Normal activity but some ROM.  Thigh size 2.5 irregular on the right.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Rash, Rash macular, Rash papular, Urticaria
Clinical narrative: Red papule, (R) thigh - 3/9/08 (visit). Irregular red macules, papular rash R & L ankle - 3/11/08 (visit).  Wide circumferential urticarial rash arms  and (R) ankle - 3/17/08 (visit).
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Back pain, Diarrhoea, Musculoskeletal pain, Pain, Pyrexia
Clinical narrative: Ache (L) elbow across shoulder to (R) arm, ache in back worse x 3 days. 4th day diarrhea x 1 1/2 days. 5th day nose ran continuously. Took 3 Advil or Tylenol first night - helped. No swelling, redness, or warmth at injection site. Fever first 3 days.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Rhinorrhoea
Clinical narrative: Ache (L) elbow across shoulder to (R) arm, ache in back worse x 3 days. 4th day diarrhea x 1 1/2 days. 5th day nose ran continuously. Took 3 Advil or Tylenol first night - helped. No swelling, redness, or warmth at injection site. Fever first 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Hard red indurated area in proximity to both injection sites monitored over two days through urgent care - Phone visit with mother 3/17/08 states much improved and redness resolved.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Eosinophil count increased, Haematology test normal, Laboratory test normal, Measles antibody positive, Mumps antibody test positive
Clinical narrative: This case was reported by a physician and described the occurrence of measles-like rash in an 18-year-old male subject who was vaccinated with Havrix (GlaxoSmithKline) and Menactra (Sanofi Pasteur).  The subject's medical history included scoliosis.  Concurrent medications included Amoxil.  On 27 February 2007 the subject received the 1st dose of Havrix (0.5 mL) in the left arm plus a separate injection of Menactra at an unspecified site of administration.  On 1 March 2007, 2 days after vaccination with Havrix and Menactra, the subject developed a systemic "measles-like rash".  He was evaluated by his physician, and treatment included Benadryl.  The physician considered that the event was clinically significant (or requiring intervention).  At the time of reporting, on 05 March 2007, the event was unresolved.  The physician considered the event was possibly related to vaccination with Havrix.  Menactra was identified by the physician as a co-suspect vaccine.  Follow up information was received on 24 April 2007 via the reporting physician.  Diagnostic testing revealed positive viral markers for Rubeola antibodies (IgG) and for Mumps antibodies (IgG).  Rubella antibody (IgG) results indicated that the subject was immune.  The immunization series for both Havrix and Menactra was discontinued.  At the time of reporting, the event of measles-like rash was resolved.  In the physician's opinion, the event was possibly related to immunization with Havrix.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Rash morbilliform, Rubella antibody positive, Rubella antibody test
Clinical narrative: This case was reported by a physician and described the occurrence of measles-like rash in an 18-year-old male subject who was vaccinated with Havrix (GlaxoSmithKline) and Menactra (Sanofi Pasteur).  The subject's medical history included scoliosis.  Concurrent medications included Amoxil.  On 27 February 2007 the subject received the 1st dose of Havrix (0.5 mL) in the left arm plus a separate injection of Menactra at an unspecified site of administration.  On 1 March 2007, 2 days after vaccination with Havrix and Menactra, the subject developed a systemic "measles-like rash".  He was evaluated by his physician, and treatment included Benadryl.  The physician considered that the event was clinically significant (or requiring intervention).  At the time of reporting, on 05 March 2007, the event was unresolved.  The physician considered the event was possibly related to vaccination with Havrix.  Menactra was identified by the physician as a co-suspect vaccine.  Follow up information was received on 24 April 2007 via the reporting physician.  Diagnostic testing revealed positive viral markers for Rubeola antibodies (IgG) and for Mumps antibodies (IgG).  Rubella antibody (IgG) results indicated that the subject was immune.  The immunization series for both Havrix and Menactra was discontinued.  At the time of reporting, the event of measles-like rash was resolved.  In the physician's opinion, the event was possibly related to immunization with Havrix.
Age: 66.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised
Clinical narrative: Information has been received from a registered nurse concerning a 66 year old female penicillin allergy and no medical history who on 03-MAY-2007 was vaccinated IM with a dose of RECOMBIVAX HB. There was no concomitant medication. On 03-MAY-2007, 2 hours after vaccination the patient experienced generalized itching that lasted for 2-3 days. No treatment was required. At the time of report the patient had recovered. No diagnostic laboratory tests were undertaken. A product quality complaint was not involved. Additional information has been requested.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Blood product transfusion, Idiopathic thrombocytopenic purpura, Platelet count decreased, Platelet transfusion, Thrombocytopenia
Clinical narrative: Idiopathic thrombocytopenia purpura with platelet count = 6,000 on 7 Mar 08.  Dropped to 4,500 on 8 Mar 08.  Received platelet transfusion and 2 doses of IVIG.  Subsequently resolved and remaining WNL since.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Dyspepsia, Large for dates baby, Nausea
Clinical narrative: Initial and follow up information has been received via the Merck pregnancy registry, from a licensed practical nurse (LPN), regarding a 25 year old Caucasian female (previously reported with LPN as the patient), (gravida 2, para 1) with no pertinent medical history and no allergies, who on 28-MAR-2007 was vaccinated IM, with the first dose, 0.5 ml, of Gardasil (lot #653937/0637F). There was no concomitant medication. The patient had her LMP on 11-MAR-2007, and was unknowingly pregnant. The pregnancy was confirmed by a positive pregnancy test. The estimated date of delivery was 16-DEC-2007. No other symptoms were noted. Follow up information from the LPN, indicated that in April, prenatal vitamins (unspecified) were initiated. In May 2007 through July 2007, ZOFRAN was initiated for nausea. In 25-JUL-2007, an ultrasound was normal. The LPN indicated that the patient had 3-4 ultrasounds due to polyhydramnios (dates not reported), but indicated the ultrasounds showed "normal testing." In September 2007 and continued through the end of pregnancy, ZANTAC was initiated for heartburn. On 06-DEC-2007, a C-section was performed, with reference to the polyhydramnios and a large for gestation baby. The patient delivered a normal, male infant (no congenital anomalies), birth weight 8 lb 10 oz, length 22 in, head circumference 14.5. The patient experienced a late postpartum hemorrhage, and required a dilatation and curettage (D & C) (date not specified). The outcome of the symptoms were not specified. Upon internal review, polyhydramnios and "large GEST baby" were considered to be serious as other important medical events (results in C-section). Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Polyhydramnios, Postpartum haemorrhage, Pregnancy test positive, Ultrasound scan normal, Uterine dilation and curettage
Clinical narrative: Initial and follow up information has been received via the Merck pregnancy registry, from a licensed practical nurse (LPN), regarding a 25 year old Caucasian female (previously reported with LPN as the patient), (gravida 2, para 1) with no pertinent medical history and no allergies, who on 28-MAR-2007 was vaccinated IM, with the first dose, 0.5 ml, of Gardasil (lot #653937/0637F). There was no concomitant medication. The patient had her LMP on 11-MAR-2007, and was unknowingly pregnant. The pregnancy was confirmed by a positive pregnancy test. The estimated date of delivery was 16-DEC-2007. No other symptoms were noted. Follow up information from the LPN, indicated that in April, prenatal vitamins (unspecified) were initiated. In May 2007 through July 2007, ZOFRAN was initiated for nausea. In 25-JUL-2007, an ultrasound was normal. The LPN indicated that the patient had 3-4 ultrasounds due to polyhydramnios (dates not reported), but indicated the ultrasounds showed "normal testing." In September 2007 and continued through the end of pregnancy, ZANTAC was initiated for heartburn. On 06-DEC-2007, a C-section was performed, with reference to the polyhydramnios and a large for gestation baby. The patient delivered a normal, male infant (no congenital anomalies), birth weight 8 lb 10 oz, length 22 in, head circumference 14.5. The patient experienced a late postpartum hemorrhage, and required a dilatation and curettage (D & C) (date not specified). The outcome of the symptoms were not specified. Upon internal review, polyhydramnios and "large GEST baby" were considered to be serious as other important medical events (results in C-section). Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Disturbance in attention, Dysmenorrhoea, Fatigue, Headache
Clinical narrative: Information has been received from a pharmacy technician concerning her 18 year old daughter with no medical history and an allergy to pollen, who in April 2007, was vaccinated with a first dose of Gardasil.  There was no concomitant medication.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  In June 2007 the patient was vaccinated with a second dose of Gardasil.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  On 27-DEC-2007 the patient was vaccinated with a third dose of Gardasil.  The patient reported that the dose was painful.  The patient's mother went with her daughter for the third dose.  The patient began her menses on 30-DEC-2007 (she had it 2 weeks prior) in which there was a lot of pain prior to and during the menses.  The patient was also very tired.  The menses lasted five days.  It was reported that after the New Year the patient returned to college and felt very congested.  The patient went to see a physician near college who told the patient that she probably had a virus.  The patient began to feel worse and was seen by the physician a second time.  The physician treated her with azithromycin (ZITHROMAX).  The time between the two doctor visits was unspecified.  Two weeks later on 13-JAN-2008 the daughter began her menses and experienced a lot of stabbing pain of the lower abdomen prior to and during menses.  The patient was also very tired.  The menses lasted five days.  On 20-FEB-2008 the patient began her menses with pain prior to and during the menses.  The patient was also very tired.  The menses lasted three days and was very light.  On 06-MAR-2008 the patient experienced pain in the abdomen (a sign her menses could be starting again).  It was reported that the patient was experiencing headaches during her periods, which have been more frequent then before.  In order to treat the headaches the patient was taking ibuprofen (MOTRIN).  The patient's mother spoke to the physician on 25-FEB-2008.  A throat culture was performed for strep throat and was negative.  At the time of the report, the patient had not recovered.  No product quality complaint was involved.  The pain during injection, stabbing pain in the lower abdomen, painful menses, tiredness, headaches, light menses, difficulty driving, congestion, frequent menses, and probable virus were considered to be disabling due to the patient not being able to "concentrate" and not being able to "keep up with her school work."  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypomenorrhoea, Impaired driving ability, Injection site pain, Menstruation irregular, Pain
Clinical narrative: Information has been received from a pharmacy technician concerning her 18 year old daughter with no medical history and an allergy to pollen, who in April 2007, was vaccinated with a first dose of Gardasil.  There was no concomitant medication.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  In June 2007 the patient was vaccinated with a second dose of Gardasil.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  On 27-DEC-2007 the patient was vaccinated with a third dose of Gardasil.  The patient reported that the dose was painful.  The patient's mother went with her daughter for the third dose.  The patient began her menses on 30-DEC-2007 (she had it 2 weeks prior) in which there was a lot of pain prior to and during the menses.  The patient was also very tired.  The menses lasted five days.  It was reported that after the New Year the patient returned to college and felt very congested.  The patient went to see a physician near college who told the patient that she probably had a virus.  The patient began to feel worse and was seen by the physician a second time.  The physician treated her with azithromycin (ZITHROMAX).  The time between the two doctor visits was unspecified.  Two weeks later on 13-JAN-2008 the daughter began her menses and experienced a lot of stabbing pain of the lower abdomen prior to and during menses.  The patient was also very tired.  The menses lasted five days.  On 20-FEB-2008 the patient began her menses with pain prior to and during the menses.  The patient was also very tired.  The menses lasted three days and was very light.  On 06-MAR-2008 the patient experienced pain in the abdomen (a sign her menses could be starting again).  It was reported that the patient was experiencing headaches during her periods, which have been more frequent then before.  In order to treat the headaches the patient was taking ibuprofen (MOTRIN).  The patient's mother spoke to the physician on 25-FEB-2008.  A throat culture was performed for strep throat and was negative.  At the time of the report, the patient had not recovered.  No product quality complaint was involved.  The pain during injection, stabbing pain in the lower abdomen, painful menses, tiredness, headaches, light menses, difficulty driving, congestion, frequent menses, and probable virus were considered to be disabling due to the patient not being able to "concentrate" and not being able to "keep up with her school work."  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Respiratory tract congestion, Streptococcal identification test negative, Viral infection
Clinical narrative: Information has been received from a pharmacy technician concerning her 18 year old daughter with no medical history and an allergy to pollen, who in April 2007, was vaccinated with a first dose of Gardasil.  There was no concomitant medication.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  In June 2007 the patient was vaccinated with a second dose of Gardasil.  The patient reported that the dose was painful.  Subsequently, the patient had difficulty driving home.  On 27-DEC-2007 the patient was vaccinated with a third dose of Gardasil.  The patient reported that the dose was painful.  The patient's mother went with her daughter for the third dose.  The patient began her menses on 30-DEC-2007 (she had it 2 weeks prior) in which there was a lot of pain prior to and during the menses.  The patient was also very tired.  The menses lasted five days.  It was reported that after the New Year the patient returned to college and felt very congested.  The patient went to see a physician near college who told the patient that she probably had a virus.  The patient began to feel worse and was seen by the physician a second time.  The physician treated her with azithromycin (ZITHROMAX).  The time between the two doctor visits was unspecified.  Two weeks later on 13-JAN-2008 the daughter began her menses and experienced a lot of stabbing pain of the lower abdomen prior to and during menses.  The patient was also very tired.  The menses lasted five days.  On 20-FEB-2008 the patient began her menses with pain prior to and during the menses.  The patient was also very tired.  The menses lasted three days and was very light.  On 06-MAR-2008 the patient experienced pain in the abdomen (a sign her menses could be starting again).  It was reported that the patient was experiencing headaches during her periods, which have been more frequent then before.  In order to treat the headaches the patient was taking ibuprofen (MOTRIN).  The patient's mother spoke to the physician on 25-FEB-2008.  A throat culture was performed for strep throat and was negative.  At the time of the report, the patient had not recovered.  No product quality complaint was involved.  The pain during injection, stabbing pain in the lower abdomen, painful menses, tiredness, headaches, light menses, difficulty driving, congestion, frequent menses, and probable virus were considered to be disabling due to the patient not being able to "concentrate" and not being able to "keep up with her school work."  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Back pain, Hallucination, Headache, Hyperaesthesia, Nausea
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abdominal tenderness, Abnormal dreams, Back pain, Blood test normal, Body temperature increased
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dyspnoea, Haematochezia, Hallucination, Headache, Lumbar puncture
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Nausea, Neurological examination abnormal, Occult blood positive, Physical examination abnormal, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Scan, Vasculitis, Visual disturbance
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Activities of daily living impaired, Asthenia, Back pain, C-reactive protein increased, Computerised tomogram normal
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Gait disturbance, Headache, Lumbar puncture, Nausea, Neurological examination abnormal
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Physical examination normal, Pyrexia, Red blood cell sedimentation rate normal, Vaccination complication
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with attention deficit disorder and an allergy to over-the-counter cold preparations, who on 04-MAR-2008 at 16:30 was vaccinated with a third dose of Gardasil. Concomitant therapy included ADDERALL TABLETS. On 05-MAR-2008, eight hours post vaccination the patient experienced a high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting and was hospitalized. It was reported that the patient tolerated the first and second doses of Gardasil well. At the time of the report, the patient had not recovered. No product quality complaint was involved. The high fever, hallucinations, severe back pain, severe headache, skin sensitivity, nausea and vomiting were considered to be disabling. Additional information has been requested.  4/10/2008 MR received for ER visit 3/5/2008 with DX: Primary DX: R Flank Pain.  Additional DX: Fever-unknown origin. Pt presented to ER from MD's office with fever, chills, sudden onset R sided flank pain, nausea and vomiting. Pt reports fatigue and weakness as well. PE (+) for tenderness at the R CVA, fever, and pain.  D/C home in improved condition.    5/13/2008 MR received for DOS 3/6-8/2008 with no clear D/C DX.  Rheumatology Impression is: Back pain that is probably of a systemic problem. ID consult Impression: Fever and infection of the back, r/o sacroilitis, r/o vertebral osteomyelitis, r/o non-infectious etiology. Pt presented unable to walk 2' to back pain. Pain is localized to SI joint area. 5/06/2008 MR received for ER visit 3/10/2008 with DX: Headache. Pt presented following D/C from inpt stay with worsening h/a assoc with neck and back pain.  07/21/2008 MR received from Allergy/Immunology consult dated 3/12/2008 to 6/20/2008 with DX: Gardasil induced vasculitis. On the evening of the 3rd Gardasil vax pt awoke with fever, feeling delusional with aching chills. Pt continued to have fevers, excrutiating headaches and back pain which worsened following LP. PE (+) for glassy eyes, dehydration, unable to stand, diffuse weakness.  Pulse increased from 50 to 90 upon standing. Started on Prednisone with 80-90% improvement. Seen again 6/20/08 with improvment of sx of vasculitis.  Reports post-exercise exhaustion.