chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: DTP, HIBV, DTAP, HIBV
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Influenza serology negative, Pyrexia
Clinical narrative: He received his vaccination on Monday April 13 around noon time. A fever began within 6- 8 hours after shots (102.5 F), sleepy and very irritable throughout the night crying hysterically on and off. His hunger is diminished although he is still eating. Tuesday he breaks out with a slight rash. Tuesday evening he has great trouble waking up. We don't hear him breathing as normal. Normally you can hear him breathe but Tuesday you can't hear him. My wife comes over to the bed and can't wake him up. It's as though he is unconscious. After running downstairs and doing everything he finally wakes up and begins to cry during feedings. Cry hysterically during feedings! He isn't latching on to his bottle as normal. Doesn't focus when looking around anymore and looks like as if he is staring around into the abyss. The following afternoon Wednesday April 15, his rash is breaking out all over. Once again we cannot wake him up. We call the doctor, and they urge us to bring him in. On the way to the doctor he falls back into his unconscious state. We can't hear him breathe. We can't wake him up! We are in a car going down the highway trying to get our son to open his eyes he does not. We can't hear him breathe. We call the doctor, they advise that we call 911 and have an ambulance come to our location. I suggest we just go to the hospital which is close by. Upon arrival at ER we explain to Doctor that he just had his shots. The chief doctor from the Children's Medical Group suggest he has an infection and recommend 3 things. 1. blood test, 2.Urine test, 3. Spinal tap. Spinal tap for Meningitis! I suggested that all these symptoms happened right after the shot and would like the doctors to consider that. They refuse to do so! They will not acknowledge that the shot could have something to do with it. They did acknowledge that he had a 99.1 fever and that he was pale at time of arrival and not alert.  5/14/2009 hospital records received DOS 4/15/09 to 4/16/09. FINAL DIAGNOSIS: R/O sepsis Post vaccination: epsodes of unresponsiveness and bluish discoloration. Fever. Diffuse rash. Swollen leg/foot due to IV infusion.
Age: 0.2
Sex: M
Vaccine: DTP, HIBV, DTAP, HIBV
Symptoms: Rash generalised, Unresponsive to stimuli
Clinical narrative: He received his vaccination on Monday April 13 around noon time. A fever began within 6- 8 hours after shots (102.5 F), sleepy and very irritable throughout the night crying hysterically on and off. His hunger is diminished although he is still eating. Tuesday he breaks out with a slight rash. Tuesday evening he has great trouble waking up. We don't hear him breathing as normal. Normally you can hear him breathe but Tuesday you can't hear him. My wife comes over to the bed and can't wake him up. It's as though he is unconscious. After running downstairs and doing everything he finally wakes up and begins to cry during feedings. Cry hysterically during feedings! He isn't latching on to his bottle as normal. Doesn't focus when looking around anymore and looks like as if he is staring around into the abyss. The following afternoon Wednesday April 15, his rash is breaking out all over. Once again we cannot wake him up. We call the doctor, and they urge us to bring him in. On the way to the doctor he falls back into his unconscious state. We can't hear him breathe. We can't wake him up! We are in a car going down the highway trying to get our son to open his eyes he does not. We can't hear him breathe. We call the doctor, they advise that we call 911 and have an ambulance come to our location. I suggest we just go to the hospital which is close by. Upon arrival at ER we explain to Doctor that he just had his shots. The chief doctor from the Children's Medical Group suggest he has an infection and recommend 3 things. 1. blood test, 2.Urine test, 3. Spinal tap. Spinal tap for Meningitis! I suggested that all these symptoms happened right after the shot and would like the doctors to consider that. They refuse to do so! They will not acknowledge that the shot could have something to do with it. They did acknowledge that he had a 99.1 fever and that he was pale at time of arrival and not alert.  5/14/2009 hospital records received DOS 4/15/09 to 4/16/09. FINAL DIAGNOSIS: R/O sepsis Post vaccination: epsodes of unresponsiveness and bluish discoloration. Fever. Diffuse rash. Swollen leg/foot due to IV infusion.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Lymphoedema, Oedema peripheral, Paraesthesia
Clinical narrative: Client reports that 3 weeks after receiving Hepatitis B vaccine #1 she developed lymphedema extending from her left neck to hip, noticed her left hip and left arm and fingers were puffy, also noticed a mild tingling on R side of face which she recognizes as a symptom of lymphedema as well.  Client states this recent lymphedema was "worse" than after her mastectomy/lymph node resection 5 years ago.  Client reports she received treatment from her chiropractor care in the past couple weeks which has resulted in improvement of the lymphedema.  Hand/fingers do not appear puffy today 4/14/09.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Right upper arm swelling, edema and pain.  Event occurred within 24 hours of vaccination and resolving by 72 hours.  Treated symptomatically with ibuprofen.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Body temperature increased, Headache, Musculoskeletal stiffness
Clinical narrative: Severe H/A, Stiff Neck Temp 100
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA
Symptoms: Laryngospasm, Musculoskeletal stiffness, Pallor
Clinical narrative: Less than 1 minute after administering DTaP, Hep A and Hep B vaccines the patient had stiffening of his entire body with laryngospasm which lasted aprox. 5 seconds.  He did not lose consciousness but became pale.  After lying down for a few minutes he recovered completely.  He had not eaten breakfast prior to visit.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Anaemia, Aphasia, Blood glucose, Chest X-ray, Convulsion
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Haemoglobin decreased, Lethargy, Lumbar puncture, Mean cell volume normal, Mobility decreased
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Neutropenia, Reticulocyte count decreased, Scan brain, Transfusion, Urine analysis
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Vision blurred
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Anaemia, Convulsion, Electroencephalogram, Haemoglobin decreased, Neutropenia
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMRV, PNC
Symptoms: Transfusion, White blood cell count decreased
Clinical narrative: Seizures, anemia, low red and white blood cells NO FEVER...seizure disorder, anemia neutropenia .. checked for childhood disease and disorders... Transient Erythroblastosis of Childhood, Diamond - Blactfan Anemia, Parvo or Fifth Disease...found no other cause  //Shots - 03/13/2009...ER - 03/23/2009- Would not turn head toward right, would not focus, lethargic, no use of the right arm, nonverbal... 03/24/2009- 4AM Ambulance to Medical Center ...03/27/2009 - 2 Blood Transfusions, MRI showed Seizures with no abnormalities // Medications Diastat 2.5 mg for seizures lasting > 5 minutes AS NEEDED, Phenobarbital 6.25 2X a day, Levetiracetam (Kappra) 100 mg/ml 1.5ml 3X a day Fosphenytoin (Injections were only given while in hospital 03/27 - 03/29) Medical Center Stay was 03/24 thru 03/30/2009 ... weekly blood tests with Pediatrician...follow up appointments with Hemotologist and Neurologist June 3 & 4.  Plan to drop one seizure med then.  4/23/09 Vax rec and OV received from PCP.  Infant in for 12 mon. WCC on 3/13/09 with normal exam. DX:  Well child. Vax given. 5/18/09 MR received for DOS 3/24-30/2009 with D/C DX:  Seizure disorder.  Anemia.  Neutropenia. Pt transfered from local facility for eval of transient  R-sided paralysis. Initially presented with episode of altered mental status and not moving the R side. Pt had been fussy given Tylenol and put down to nap, but awoke with above sx. Sepsis w/u done and (-) at local hospital. In status epilepticus of complex partial seizure on arrival but back to baseline prior to admission PE which was normal. Neuro consult. Heme consult for anemia. Impression:  Normocytic anemia. Transfused. Anemia and thrombocytopenia noted.  Developed worsening neutropenia during admission. to be followed by neuro and heme as outpt.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Hypersomnia, Lymphadenopathy
Clinical narrative: 5 hours after vaccination, became overwhelmed with unexplained exhaustion. Had to go to sleep and slept for 12 hours straight. Also next morning had very swollen lymph node under arm that received the vaccination.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV1
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: GAVE ROTARIX AT 6 MONTHS OF AGE
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: PATIENT HAD A REACTION ON LEFT POSTERIOR THIGH WHERE VARICELLA VACCINE WAS GIVEN.PATIENT HAS A RAISED REDENED AREA APPROX THE SIZE OF A 50 CENT PIECE. AREA IS WARM TO TOUCH.
Age: 1.33
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: vaccine given in left thigh, brought back by mom two days later with swelling from top of thigh down to the knee. Advised warm soaks three times daily. Mom says child not able to walk on this leg for @ 12 hours after the vaccine.
Age: 48.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Local reaction
Clinical narrative: LOCALIZED REACTION ON (R)UPPER DELTOID AREA PATIENT DENIES ANY DEVER, NO MALAISE; REPORTS SORE ITCHING THAN PAIN.  REDNESS MEASURES APPRX. 4.5 INCHES, CIRCUMFERENCE PATIETN REPORTS INCREASE IN REDNESS AND SWELLING (1WK)
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site discolouration, Wrong technique in drug usage process
Clinical narrative: A black dot appeared on infant's right thigh after her shots at 6 month old well check up on 1/29/09. Staff became aware of incident on 3/03/09. DTaP and HIB were administered on the right thigh. The type of syringe used is not documented, but per office protocol both DTaP and HIB are to be administered using VanishPoint.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema, Oedema peripheral, Pruritus
Clinical narrative: EDEMA, ERYTHEMA, PRURITIS, SWELLING OF ARM
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Fatigue, Full blood count, Muscular weakness, Pain in extremity
Clinical narrative: 3 days post vaccination, patient had eruption of hives and developed extreme fatigue, arm and leg pain, and muscle weakness, severe enough that she had to discontinue participation in track. Symptoms are slowly resolving, but lower extremity weakness complaint persists.  4/24/09 MR received from PCP.  OV 3/17/09 with c/o pruritic rash, fatigue and heaviness and aches in the legs. Sore throat last week. PE (+) for nasal mucosa and throat erythematous, increased anterior nodes, erythematous, hive-like lesions on the arms, legs and back.  Assess:  Urticaria.  URI.  Constipation.  Office note 4/14/09 states pt still c/o leg heaviness, rib pain, stomach pain, muscle aches and fatigue.  RTC 4/16/09 with c/o fatigue, extremity pain and weakness.  Had to quit track 2' lower extremity weakness. PE (+) for 1+ patellar DTRs and able to get out of chair using arms. Assess:  ? myalgias and lower extremity weakness 2' to Gardasil.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: 3 days post vaccination, patient had eruption of hives and developed extreme fatigue, arm and leg pain, and muscle weakness, severe enough that she had to discontinue participation in track. Symptoms are slowly resolving, but lower extremity weakness complaint persists.  4/24/09 MR received from PCP.  OV 3/17/09 with c/o pruritic rash, fatigue and heaviness and aches in the legs. Sore throat last week. PE (+) for nasal mucosa and throat erythematous, increased anterior nodes, erythematous, hive-like lesions on the arms, legs and back.  Assess:  Urticaria.  URI.  Constipation.  Office note 4/14/09 states pt still c/o leg heaviness, rib pain, stomach pain, muscle aches and fatigue.  RTC 4/16/09 with c/o fatigue, extremity pain and weakness.  Had to quit track 2' lower extremity weakness. PE (+) for 1+ patellar DTRs and able to get out of chair using arms. Assess:  ? myalgias and lower extremity weakness 2' to Gardasil.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Erythema, Rash erythematous, Skin plaque, Swelling
Clinical narrative: "Red, hot swollen size of dollar bill" 7x11 cm raised erythematous plaque on L anterior thigh.
Age: 15.7
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Skin plaque
Clinical narrative: 7 x 7 cm raised erythematous plaque at vaccination site in R arm after 24 hrs.
Age: 13.0
Sex: M
Vaccine: MNQ, TTOX, VARCEL
Symptoms: Abnormal dreams, Headache, Malaise, Pyrexia, Somnolence
Clinical narrative: Fever 101, headache, malaise during night time fever prolonged dream state grogginess. Resolved by next morning 4/15/2009.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bacteria urine, Blood culture negative, Blood lactate dehydrogenase
Clinical narrative: PEDIARIX given R thigh 4-1-09 per mom. Pt developed fever and "shakes" that same evening - she called 911 - fever decreased to 98 - mom called again 4-3-09 - fever of 104 - Dr on call told mom to alternate TYLENOL and ADVIL and not to have baby receive the same combo of shots together next time. Mom called again 4-4-09 - fever 104.7 x 3d. Spoke to Dr on call - we called mom 4-6-09 baby is doing better - T-102... CPT. go to ER if Sx's worsen. On 4-9-09 child was seen in office T-103.5 R labs done--- LFT's increase, WBC increase, positive UTI (see below - values) antibiotics started (OMNICEF) 4/11/09 mom called "stools are red". Labs ordered T-98.8.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Blood urine present, Culture stool negative, Faeces discoloured, Leukocyturia, Mononucleosis heterophile test negative
Clinical narrative: PEDIARIX given R thigh 4-1-09 per mom. Pt developed fever and "shakes" that same evening - she called 911 - fever decreased to 98 - mom called again 4-3-09 - fever of 104 - Dr on call told mom to alternate TYLENOL and ADVIL and not to have baby receive the same combo of shots together next time. Mom called again 4-4-09 - fever 104.7 x 3d. Spoke to Dr on call - we called mom 4-6-09 baby is doing better - T-102... CPT. go to ER if Sx's worsen. On 4-9-09 child was seen in office T-103.5 R labs done--- LFT's increase, WBC increase, positive UTI (see below - values) antibiotics started (OMNICEF) 4/11/09 mom called "stools are red". Labs ordered T-98.8.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Occult blood negative, Pyrexia, Tremor, Urinary tract infection, Urine analysis abnormal
Clinical narrative: PEDIARIX given R thigh 4-1-09 per mom. Pt developed fever and "shakes" that same evening - she called 911 - fever decreased to 98 - mom called again 4-3-09 - fever of 104 - Dr on call told mom to alternate TYLENOL and ADVIL and not to have baby receive the same combo of shots together next time. Mom called again 4-4-09 - fever 104.7 x 3d. Spoke to Dr on call - we called mom 4-6-09 baby is doing better - T-102... CPT. go to ER if Sx's worsen. On 4-9-09 child was seen in office T-103.5 R labs done--- LFT's increase, WBC increase, positive UTI (see below - values) antibiotics started (OMNICEF) 4/11/09 mom called "stools are red". Labs ordered T-98.8.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: White blood cell count increased
Clinical narrative: PEDIARIX given R thigh 4-1-09 per mom. Pt developed fever and "shakes" that same evening - she called 911 - fever decreased to 98 - mom called again 4-3-09 - fever of 104 - Dr on call told mom to alternate TYLENOL and ADVIL and not to have baby receive the same combo of shots together next time. Mom called again 4-4-09 - fever 104.7 x 3d. Spoke to Dr on call - we called mom 4-6-09 baby is doing better - T-102... CPT. go to ER if Sx's worsen. On 4-9-09 child was seen in office T-103.5 R labs done--- LFT's increase, WBC increase, positive UTI (see below - values) antibiotics started (OMNICEF) 4/11/09 mom called "stools are red". Labs ordered T-98.8.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Gaze palsy, Loss of consciousness, Tremor
Clinical narrative: Patient was given the GARDASIL # 1 vaccination in her right deltoid muscle. Pt. was advice to sit for the injection but refused.  Very shortly after the injection pt. fell to the floor, loss of consciousness approx 6 second with rolling up of eyes and body shaking.  taking to extended care dept. for evaluation
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Patient was given the GARDASIL # 1 vaccination in her right deltoid muscle. Pt. was advice to sit for the injection but refused.  Very shortly after the injection pt. fell to the floor, loss of consciousness approx 6 second with rolling up of eyes and body shaking.  taking to extended care dept. for evaluation
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Mom called office 4/16/09 0900 to report a baseball sized, red, itchy but not raised area at left upper arm at injection site; no respiratory involvement, no fever, happy and playful, administering BENADRYL prn
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mom called office 4/16/09 0900 to report a baseball sized, red, itchy but not raised area at left upper arm at injection site; no respiratory involvement, no fever, happy and playful, administering BENADRYL prn
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site mass, Injection site swelling, Local reaction, No reaction on previous exposure to drug
Clinical narrative: Mom called office 4/16/09 0900 to report a baseball sized, red, itchy but not raised area at left upper arm at injection site; no respiratory involvement, no fever, happy and playful, administering BENADRYL prn
Age: 35.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Abscess, Culture wound negative
Clinical narrative: Pt presented to PCP 1 wk after she received MMR and VARIVAX in R deltoid with 3-4 cm abscess.
Age: 21.0
Sex: F
Vaccine: HPV4, MMR, TDAP, VARCEL
Symptoms: Pain, Pruritus, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Fever, runny nose, itching started evening of 4-3-09 along with start of rash.  Diagnosed with chicken pox on 4-6-09 by family physician  Rash mainly on trunk, arms & face.  Rx for pain Rx for antihistamine.
Age: 21.0
Sex: F
Vaccine: HPV4, MMR, TDAP, VARCEL
Symptoms: Varicella
Clinical narrative: Fever, runny nose, itching started evening of 4-3-09 along with start of rash.  Diagnosed with chicken pox on 4-6-09 by family physician  Rash mainly on trunk, arms & face.  Rx for pain Rx for antihistamine.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Pruritus, Skin lesion
Clinical narrative: Administration of ZOSTAVAX 4-7-09, development of vesiculated, burning, itching lesions of back 4-11-09
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Abortion spontaneous, Vaginal haemorrhage
Clinical narrative: Received FLUZONE vaccine on 9/16/08.  November (date unknown) patient developed abdominal cramps & vaginal bleeding.  OB/GYN evaluation revealed a spontaneous miscarriage.
Age: 43.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal discomfort, Body temperature increased, Chills, Headache, Musculoskeletal pain
Clinical narrative: 1 hr after vaccine: Headache, neck and shoulder pain at noon - chills at temp 101.7 at 1:00 o'clock associated to stomach discomfort. No chest pain or tightness, SOB, nausea or vomiting. No dizziness no headache.
Age: 43.0
Sex: M
Vaccine: TYP
Symptoms: Neck pain
Clinical narrative: 1 hr after vaccine: Headache, neck and shoulder pain at noon - chills at temp 101.7 at 1:00 o'clock associated to stomach discomfort. No chest pain or tightness, SOB, nausea or vomiting. No dizziness no headache.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Immunisation reaction, Injection site cellulitis, Injection site erythema
Clinical narrative: 3-4 cm area of redness - right thigh cellulitis likely reaction to vaccine.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Below vaccines were given at about 9:30am, pt woke from nap about 3pm with multiple large urticaria over back, lower extremities and abdomen (not at injection site).
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Rash
Clinical narrative: Developed rash on forearms 7 days after receiving ZOSTAVAX.
Age: 14.4
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea
Clinical narrative: After receiving shot in AM of 4-7-09 pt c/o shortness of breath in the afternoon at home with mother - *Nurse informed mom to watch patient closely for x24 hrs. ER in rescue if needed. Our f/u call next AM 4-8-09 pt fine now.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: Received ZOSTAVAX 1500 on 4/8/09, morning of 4/10 pt awoke with hard, hot, red, itchy lump at injection site about the size of a small egg. Pt called doctor, was advised to take ibuprofen and apply ice to site. Reaction improved on 4/11, was down to slightly pink by 4/13/09.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin discolouration
Clinical narrative: Received ZOSTAVAX 1500 on 4/8/09, morning of 4/10 pt awoke with hard, hot, red, itchy lump at injection site about the size of a small egg. Pt called doctor, was advised to take ibuprofen and apply ice to site. Reaction improved on 4/11, was down to slightly pink by 4/13/09.
Age: 7.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Rec'd vaccines 4/15 - 4/16 awoke with L arm swollen, slightly tender no erythema no fever.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Cried non-stop for at least an hour.  Le were red/swollen no special rx given but pt given TYLENOL in office & advised to ice X 24 hours
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, erythema, warmth & induration at vaccine site area involved 12 1/2 cm X 12 cm in size.  Received 2 vaccines in left deltoid HEP A #2 - MENACTRA.  Did not have reaction with HEP A #4.
Age: 3.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh hot, swollen and red at injection site.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Chest pain, Dyspnoea, Influenza like illness, Pain
Clinical narrative: Chest pain, slight shortness of breath.  Amnesia during and half an hour after receiving vaccination.  "Almost" passed out during vaccination.  Flu like symptoms including body aches the next day.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: Chest pain, slight shortness of breath.  Amnesia during and half an hour after receiving vaccination.  "Almost" passed out during vaccination.  Flu like symptoms including body aches the next day.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Back pain, Chest pain, Disturbance in attention, Dizziness
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter, with no known drug reactions/allergies and with a history of migraine headaches, who on an unspecified date was vaccinated with the first dose of GARDASIL (Lot # 653735/0688F), intramuscularly and in July 2008, was vaccinated with the second dose of GARDASIL (Lot reported # 659776/0022X was valid for MMRII (HSA, not GARDASIL). There was no concomitant medication. The consumer reported that her daughter had experienced persistent migraine headaches since receiving her first dose of GARDASIL. The patient had also experienced back pain, abdominal pain, neck pain, chest pains, dizziness, fatigue, rash on her head and neck, photophobia, irregular menstrual cycle, difficulty concentrating and her hands and feet frequently "fell asleep". It was noted that these symptoms all began after receiving the first dose of GARDASIL vaccine and intensified after receiving the second dose. At the time of the report, the patient had not recovered. The patient sought medical attention and was seen by the physician. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Menstruation irregular, Migraine, Neck pain, Paraesthesia
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter, with no known drug reactions/allergies and with a history of migraine headaches, who on an unspecified date was vaccinated with the first dose of GARDASIL (Lot # 653735/0688F), intramuscularly and in July 2008, was vaccinated with the second dose of GARDASIL (Lot reported # 659776/0022X was valid for MMRII (HSA, not GARDASIL). There was no concomitant medication. The consumer reported that her daughter had experienced persistent migraine headaches since receiving her first dose of GARDASIL. The patient had also experienced back pain, abdominal pain, neck pain, chest pains, dizziness, fatigue, rash on her head and neck, photophobia, irregular menstrual cycle, difficulty concentrating and her hands and feet frequently "fell asleep". It was noted that these symptoms all began after receiving the first dose of GARDASIL vaccine and intensified after receiving the second dose. At the time of the report, the patient had not recovered. The patient sought medical attention and was seen by the physician. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Photophobia, Rash
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter, with no known drug reactions/allergies and with a history of migraine headaches, who on an unspecified date was vaccinated with the first dose of GARDASIL (Lot # 653735/0688F), intramuscularly and in July 2008, was vaccinated with the second dose of GARDASIL (Lot reported # 659776/0022X was valid for MMRII (HSA, not GARDASIL). There was no concomitant medication. The consumer reported that her daughter had experienced persistent migraine headaches since receiving her first dose of GARDASIL. The patient had also experienced back pain, abdominal pain, neck pain, chest pains, dizziness, fatigue, rash on her head and neck, photophobia, irregular menstrual cycle, difficulty concentrating and her hands and feet frequently "fell asleep". It was noted that these symptoms all began after receiving the first dose of GARDASIL vaccine and intensified after receiving the second dose. At the time of the report, the patient had not recovered. The patient sought medical attention and was seen by the physician. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Arthralgia, Body temperature increased, Muscular weakness, Pain
Clinical narrative: Information has been received from a patient's mother concerning her daughter with no pertinent medical history and no know drug allergies/drug reactions who on an unspecified date was vaccinated with the first dose of GARDASIL. On 22-NOV-2008 the patient was vaccinated with the second dose of GARDASIL. Concomitant therapy on the same visit of the second dose included influenza virus vaccine (unspecified). It was reported that the patient had an adverse experience after both doses of GARDASIL. After the first dose she had arm pain for 2 days. It was reported that after the second dose the patient had arm pain, joint pain, aches, fever of 101F, stomach pain, weak muscles and could not get out of bed. It was reported that these symptoms began about 18 hours after vaccination. It was reported that it took her about a week to recover. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Information has been received from a patient's mother concerning her daughter with no pertinent medical history and no know drug allergies/drug reactions who on an unspecified date was vaccinated with the first dose of GARDASIL. On 22-NOV-2008 the patient was vaccinated with the second dose of GARDASIL. Concomitant therapy on the same visit of the second dose included influenza virus vaccine (unspecified). It was reported that the patient had an adverse experience after both doses of GARDASIL. After the first dose she had arm pain for 2 days. It was reported that after the second dose the patient had arm pain, joint pain, aches, fever of 101F, stomach pain, weak muscles and could not get out of bed. It was reported that these symptoms began about 18 hours after vaccination. It was reported that it took her about a week to recover. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Information has been received from a nurse practitioner concerning a 13 year old female patient with no pertinent medical history and no known drug allergies who on 2-JUL-2008 was vaccinated with the first 0.5 ml IM dose of GARDASIL. On 16-MAR-2009 the patient received the second 0.5 ml IM dose of GARDASIL (lot # 661703/0651X). There was no concomitant medication. On 16-MAR-2009 the patient experienced numbness on her mouth and throat. No lab diagnostics studies were performed. At the time of reporting, the patient's numbness on her mouth and throat persisted. The patient sought medical attention via seeing the nurse practitioner. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Dizziness, Fatigue, Headache, Hypotension
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 year old female with pertinent medical history of birth control who on 24-APR-2008 was vaccinated with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that the patient experienced fainting, dizziness and headache after getting first dose.  Subsequently the patient was diagnosed with Lyme disease.  At the time of reporting patient had not recovered from the event.  No labs studies were performed.  The patient sought unspecified medical attention.  Follow up information has been received from a nurse practitioner concerning a 22 year old Caucasian female with no illness at the time of vaccination, who on 24-APR-2008 was vaccinated in the right deltoid with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that on a telephone call made by the patient on 27-MAR-2009, she stated that had had dizziness, fainting, low blood pressure and headaches since she received the second dose.  The patient did not receive a second dose of GARDASIL.  She was diagnosed with Lyme disease and was being treated with doxycycline.  The patient received the first dose on 24-APR-2008.  There were no complaints at the visit on 25-JUN-2008.  On 29-AUG-2008, the patient had her annual exam; she refused GARDASIL but had no complaints at the time.  The patient was diagnosed with Lyme disease on Jun-2008.  The patient called on 07-OCT-2008 and reported that she fainted in the subway and was taken to an emergency room.  It was reported that the patient was being care of elsewhere.  Outcome was reported as unknown.  Additional information is not expected.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Migraine, Syncope, Urine analysis
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 year old female with pertinent medical history of birth control who on 24-APR-2008 was vaccinated with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that the patient experienced fainting, dizziness and headache after getting first dose.  Subsequently the patient was diagnosed with Lyme disease.  At the time of reporting patient had not recovered from the event.  No labs studies were performed.  The patient sought unspecified medical attention.  Follow up information has been received from a nurse practitioner concerning a 22 year old Caucasian female with no illness at the time of vaccination, who on 24-APR-2008 was vaccinated in the right deltoid with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that on a telephone call made by the patient on 27-MAR-2009, she stated that had had dizziness, fainting, low blood pressure and headaches since she received the second dose.  The patient did not receive a second dose of GARDASIL.  She was diagnosed with Lyme disease and was being treated with doxycycline.  The patient received the first dose on 24-APR-2008.  There were no complaints at the visit on 25-JUN-2008.  On 29-AUG-2008, the patient had her annual exam; she refused GARDASIL but had no complaints at the time.  The patient was diagnosed with Lyme disease on Jun-2008.  The patient called on 07-OCT-2008 and reported that she fainted in the subway and was taken to an emergency room.  It was reported that the patient was being care of elsewhere.  Outcome was reported as unknown.  Additional information is not expected.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Headache, Hypotension, Lyme disease, Syncope
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 year old female with pertinent medical history of birth control who on 24-APR-2008 was vaccinated with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that the patient experienced fainting, dizziness and headache after getting first dose.  Subsequently the patient was diagnosed with Lyme disease.  At the time of reporting patient had not recovered from the event.  No labs studies were performed.  The patient sought unspecified medical attention.  Follow up information has been received from a nurse practitioner concerning a 22 year old Caucasian female with no illness at the time of vaccination, who on 24-APR-2008 was vaccinated in the right deltoid with first 0.5mL dose of GARDASIL (route not reported, lot number 658556/1060U).  Concomitant therapy included TRI-SPRINTEC.  The nurse practitioner reported that on a telephone call made by the patient on 27-MAR-2009, she stated that had had dizziness, fainting, low blood pressure and headaches since she received the second dose.  The patient did not receive a second dose of GARDASIL.  She was diagnosed with Lyme disease and was being treated with doxycycline.  The patient received the first dose on 24-APR-2008.  There were no complaints at the visit on 25-JUN-2008.  On 29-AUG-2008, the patient had her annual exam; she refused GARDASIL but had no complaints at the time.  The patient was diagnosed with Lyme disease on Jun-2008.  The patient called on 07-OCT-2008 and reported that she fainted in the subway and was taken to an emergency room.  It was reported that the patient was being care of elsewhere.  Outcome was reported as unknown.  Additional information is not expected.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Respiratory disorder
Clinical narrative: Information has been received from a physician concerning a 12 year old female with no medical history or drug allergies who was vaccinated with the first and the second  (lot # 661764/0650X) dose of GARDASIL on 03-SEP-2008 and 17-NOV-2008 respectively. Concomitant therapy included MENACTRA, Hep A (manufacturer unknown) and DTAP. The patient experienced an acute episode of shortness of breath 10 days after vaccination of her second dose of GARDASIL. The patient had no lab diagnostics studies performed. Subsequently, the patient recovered from acute episode of shortness of breath on 27-NOV-2008. The patient sought medical attention via office visit. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea
Clinical narrative: Information has been received from a physician concerning a 12 year old female with no medical history or drug allergies who was vaccinated with the first and the second  (lot # 661764/0650X) dose of GARDASIL on 03-SEP-2008 and 17-NOV-2008 respectively. Concomitant therapy included MENACTRA, Hep A (manufacturer unknown) and DTAP. The patient experienced an acute episode of shortness of breath 10 days after vaccination of her second dose of GARDASIL. The patient had no lab diagnostics studies performed. Subsequently, the patient recovered from acute episode of shortness of breath on 27-NOV-2008. The patient sought medical attention via office visit. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Full blood count normal, Injected limb mobility decreased, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Information has been received from a 24 year old female who in approximately July 2008 (reported as "about 9 months ago", also reported "about 6 months before her second dose"), was vaccinated with a first dose of GARDASIL and on 19-FEB-2009 was vaccinated with a second dose of GARDASIL which was accidentally administered in her bone rather than in her muscle. There was no concomitant medication. On approximately 20-FEB-2009 (about a day after second vaccination) the patient experienced pain in the arm which has increased over time. The MRI was performed. At the time of reporting, the patient's pain in the arm which has increased over time persisted. The patient sought unspecified medical attention. Additional information has been requested.