chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Loss of consciousness
Clinical narrative: Information has been received from a physician concerning a 14 year old female with a history of passing out from other shots (name manufacturer unknown) who approximately in May 2009 was vaccinated with GARDASIL. After getting the vaccination the patient fell over and passed out. This is one of several reports from the same source. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Nuclear magnetic resonance imaging, Tremor
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with no pertinent medical history and no drug reactions or allergies who on 17-JUN-2009 was vaccinated with a first dose of GARDASIL (lot# 661952/1129X) intramuscularly into left arm. Concomitant therapy included (MENACTRA). On 20-JUN-2009 " 72 hours after the first dose" the patient developed neck stiffness and some tremors in the left arm. On unspecified date magnetic resonance imaging (MRI) was performed (results not reported). The patient sought medical attention was saw by the physician. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Myalgia, Paraesthesia
Clinical narrative: Information has been received from a Nurse Practitioner (N.P.) concerning a 16 year old female patient who "about one week ago" (on approximately 22-JUN-2009) was vaccinated with the second dose of GARDASIL. It was reported that since receiving the vaccine, "about one week ago" (on approximately 22-JUN-2009) the patient had noticed her left arm, the arm where the injection was administered, had been feeling strange and tingly. It was reported that that patient had been lifting and cleaning at the camp and had reported other muscle type pain. The vaccines was not reintroduced. The patient sought unspecified medical attention. The patient had not recovered at the time of the report. Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: HPV4
Symptoms: Papilloma viral infection, Smear cervix abnormal
Clinical narrative: Information has been received from a physician concerning a 45 years old female with no medical history and drug allergy who in November 2006, was vaccinated with the first dose of GARDASIL (lot number 653735/0688F). There was no concomitant medication. Prior to vaccination, the patient had a HPV DNA test which resulted negative in July 2006. On 2-JAN-2007, the patient received the second dose of GARDASIL (lot number 655205/1426F). In May 2007, the patient received the third dose of GARDASIL (lot number 657621/0387U). Her positive HPV DNA test was conducted on 16-JUN-2009. Also, the reporter mentioned that the patient is gay. The patient had sought unspecified medical attention. At the time of the report, the patient had not recovered. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Information has been received from a registered nurse concerning a female who two months ago was vaccinated with the first dose of GARDASIL. A few days after the vaccination, the patient experienced numbness and tingling in the opposite hand that was lasted until the time of report. It was unclear if the patient had or will continue with the series. Unspecified medical attention was sought. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Nausea
Clinical narrative: Information has been received from a registered nurse concerning an 18 year old female with no pertinent medical history or allergies who on 22-JUN-2009 was vaccinated with the first dose of GARDASIL (lot# 662518/0087Y, 0.5ml, intramuscular administration). On 22-JUN-2009 the patient experienced chills and nausea after vaccination. On 25-JUN-2009 the patient visited the office for the results of her tuberculin skin test done on 22-JUN-2009 and mentioned chills and nausea which resolved on their own. The patient was recovered on 25-JUN-2009. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a female patient who was vaccinated with a dose of GARDASIL. Subsequently the patient fainted. The patient's outcome was unknown. This is one of several reported received from the same source. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache, Loss of consciousness, Paraesthesia
Clinical narrative: Information has been received from a nurse concerning a 23 year old female who on 09-UN-2009 was vaccinated with the first dose of GARDASIL (661764/0650X). Concomitant therapy included (LODRANE). On 09-JUN-2009 the patient passed out after the first vaccination. The patient was alright to leave the office but was recommended to go up to the urgent care. Then the next day. 10-JUN-2009, the patient called the office stating that the urgent care would not see her because she did not received the vaccination there and also stated she was experiencing dizziness. Then on 15-JUN-2009 the patient called the office and stated she was experiencing dizziness, headache and tingling all over her body. The nurse reported that the patient had not called back stating she was still having any issues so they were not sure how she was doing at this point. At the report time the patient status was unknown. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Vaccination complication
Clinical narrative: Information has been received from a nurse concerning a 13 year old female with AMOXICILLIN allergy who on 05-JUL-2009 was vaccinated with the first "standard dose" IM of GARDASIL (lot #657621/0387U). There were no concomitant medications. The nurse reported that the patient had a "reaction" after receiving the GARDASIL. The patient mentioned that she did not "feel good" after vaccination. The outcome was reported as recovered (date not reported). The patient did not seek medical attention. Additional information information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Smear cervix abnormal
Clinical narrative: Information has been received from a Licensed Practical Nurse concerning a female patient who on an unspecified date was vaccinated with a first dose of GARDASIL (date, dose and lot number unspecified). The nurse reported that the friend of one of her parents was diagnosed with an abnormal pap smear "about the same time she received her first dose of GARDASIL". At the time of the report the outcome of the patient was unknown. The patient sought unspecified medical attention. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram, Fall, Syncope
Clinical narrative: Information has been received from a nurse concerning a 16 year old female patient who on 29-JUN-2009 was vaccinated with a dose of GARDASIL (Lot: 661954/1131X) intramuscularly in the upper deltoid. There was no concomitant medication. On 29-JUN-2009 after receiving GARDASIL the patient fainted and fell on the floor of the waiting room. The patient went to the emergency room but was not admitted to the hospital. A CT scan of the head was performed (results not reported). On the same day on 29-JUN-2009, the patient recovered. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Confusional state, Head injury, Skin laceration, Syncope
Clinical narrative: Information has been received from a physician concerning a female patient in her mid teens with a fear of needles who on approximately 08-JUN-2009 was vaccinated with GARDASIL (dose, route and lot # not reported). The physician reported that after receiving GARDASIL the patient fainted and hit her head on the table which caused her to have a laceration on her forehead. The physician reported that the patient came back a week later (approximately 15-JUN-2009) to the office and "potentially had a concussion" because the patient was "a little bit confused". The patient sought medical attention through an office visit. The patient's outcome was unknown. This is one of several reports received from the same source. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tonic clonic movements
Clinical narrative: Information has been received from a physician concerning a female patient who was reported to be "14-16" year old who on an unspecified date was vaccinated with the first dose of GARDASIL. It was reported that the patient developed syncope with tonic clonic movements after receiving her dose of GARDASIL. The reaction happened within minutes of receiving the vaccine, while the patient was in the office. The patient sought medical attention while at the physician's office. There were no laboratory diagnostic test performed. It was reported that on an unspecified date the patient recovered. Upon internal review tonic clonic movements was determined to be an other important medical event. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Tachycardia
Clinical narrative: Information has been received from a physician concerning a 20 year old female patient who on unspecified date was vaccinated with a second dose of GARDASIL (lot number, route and site not reported). There were no drug reactions, allergies and other medical history. In approximately 2008, after receiving the second dose of vaccine, the patient experienced tachycardia, which was transient. The physician reported that the patient did not finish the GARDASIL series. The physician reported that was discontinued in approximately June 2008. The patient did not seek medical attention. No lab diagnostics study was performed. On an unspecified date, the patient recovered. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Information has been received from a nurse concerning a 16 year old female with no medical history or drugs allergies, who in September 2008, was vaccinated with a first dose of GARDASIL. The patient received a second dose of GARDASIL on an unspecified date. The patient experienced nausea, fever and vomiting 6-9 hours after both doses. No laboratories studies performed. The patient sought unspecified medical attention. At the time of this report the patient had recovered. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Rash, Tachycardia, Wheezing
Clinical narrative: Information has been received from a physician's assistant concerning a 23 year old female patient with hallucinations induced by steroids who on 22-APR-2009 was vaccinated IM with the first dose of GARDASIL and on 22-JUN-2009 received IM the second dose of GARDASIL (lot #662518/0087Y). There was no concomitant medication. On 28-JUN-2009, the patient developed rash on lower extremities and chest, wheezing, tachycardia and intermittent fever. The patient sought unspecified medical attention. The patient's final outcome was not reported. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Face injury, Fall
Clinical narrative: Information has been received from a nurse concerning an approximately 14 to 15 year old female who was vaccinated with what the nurse thought was the second dose of GARDASIL on an unspecified date. The nurse reported that the patient slid off the table on the floor and apparently "hit her face up pretty bad after the vaccination". The patient had been seated when she was vaccinated and the patient went from a seated position right to the floor. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: HPV4
Symptoms: Injection site pain, Injection site swelling, Wrong drug administered
Clinical narrative: Information has been received from a physician concerning his 11 year old son with a history of numerous unspecified unimmunisations who was possibly accidentally vaccinated with a dose of GARDASIL, in 2009, the patient was going to get immunizations when he might have accidentally received an injection of GARDASIL. In 2009 immediately after receiving the injection, the patient stated that he had received the incorrect injection. When the physician checked with the clinic that he had received the correct unspecified injection, the records showed that he had received GARDASIL. The clinic insisted that there was a mix up in paperwork and he had not actually received GARDASIL. In 2009 after possibly receiving the GARDASIL, the patient experienced excruciating pain at the injection site and swelling at the injection site, further described as being the size of a baseball. It was unknown if there was any laboratory data. As of 26-JUN-2009, the patient continues to experience pain at the injection site at the injection site. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Immediate post-injection reaction, Influenza like illness, Joint lock, Migraine
Clinical narrative: Information has been received from a nurse practitioner concerning a 24 year old female with no pertinent medical history reported and no known drug allergies who on 27-JUN-2008 was vaccinated with first dose of GARDASIL (lot number 660393/0067X). Concomitant therapy included birth control (name unspecified). The nurse practitioner reported that on her annual exam of this year (2009) the office noticed that the patient the rest of the series of GARDASIL. The patient stated that was because of the experienced she had after receiving the first dose. The nurse practitioner reported that immediately after receiving the first dose on 27-JUN-2008, the patient experienced flu-like symptoms, shortness of breath, nausea, vomiting, and her arm was sore; her shoulder locked up and had a severe migraine. It was reported that the symptoms lasted for about two days. The nurse practitioner reported that the patient had now recovered. No lab tests were performed. The patient sought medical attention by calling the physician. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: Information has been received from a nurse practitioner concerning a 24 year old female with no pertinent medical history reported and no known drug allergies who on 27-JUN-2008 was vaccinated with first dose of GARDASIL (lot number 660393/0067X). Concomitant therapy included birth control (name unspecified). The nurse practitioner reported that on her annual exam of this year (2009) the office noticed that the patient the rest of the series of GARDASIL. The patient stated that was because of the experienced she had after receiving the first dose. The nurse practitioner reported that immediately after receiving the first dose on 27-JUN-2008, the patient experienced flu-like symptoms, shortness of breath, nausea, vomiting, and her arm was sore; her shoulder locked up and had a severe migraine. It was reported that the symptoms lasted for about two days. The nurse practitioner reported that the patient had now recovered. No lab tests were performed. The patient sought medical attention by calling the physician. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fall
Clinical narrative: Information has been received from a physician concerning a 24 year old female with no pertinent medical history reported and no known drug allergies who "over six months ago" was vaccinated intramuscularly with first 0.5mL dose of GARDASIL (lot number not reported). There was no concomitant medication. The physician reported that the patient "got a little light headed and fell back. When she asked the patient what happened, the patient said that she had not eaten all day". The patient recovered later that same day. Since, the patient had gotten her second and third 0.5mL doses of GARDASIL (lot number not reported) and did not have an adverse event with either shot. No lab studies were performed. The physician attributed this adverse event to her not having eaten all day. the patient sought unspecified medical attention. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Vaccination complication
Clinical narrative: It was reported in an internet article, concerning a female who was vaccinated with GARDASIL vaccine (date, dose, route not reported). The author of the article reported that "one girl on the site above went to the hospital 3 times for the reaction she was suffering before they finally admitted that this was a GARDASIL vaccine reaction. This is one of several reports from the same source. No further information is available.
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of GARDASIL. The physician reported a case of syncope or fainting following the vaccination. The patient also had Hep A (manufacturer unknown) and Tdap that same day. The physician reported that the patient fainting 5 to 10 minutes after the injection. The patient did not need any medical care, or going the emergency room, and did not die. The patient fully recovered. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Nausea
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with GARDASIL. After getting the vaccination the patient experienced nausea. This is one of several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Adverse reaction
Clinical narrative: It was reported from an article, published on 29-JUN-2009 that there were "hundreds" of life-threatening reactions said to be associated with GARDASIL.  This is one of several reports received from the same source.  Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report.  Additional information will be provided if available.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a physician concerning a 13 year old female patient with no pertinent medical history who on 28-FEB-2008 was vaccinated with a second dose of GARDASIL (lot number, route and site not reported). There was no concomitant medication. On 28-FEB-2008, the patient developed a fever and vomited after receiving vaccine. The patient had sought unspecified medical attention. The patient refused to have her third dose. On an unknown date, the patient recovered from a fever and vomited. Additional information has been requested.
Age: 65.0
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm redness swollen and tender to touch.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Diarrhoea, Feeling cold, Hyperhidrosis, Insomnia
Clinical narrative: at 9:00 am I had the 3rd gardasil shot and about 10 minutes later I was feeling sick, nausea,diarriah, stomache pains, insomnia, heart palpatations,feeling like my skin is on fire.sweaty, cold and hot flashes.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Nausea, Palpitations, Skin burning sensation
Clinical narrative: at 9:00 am I had the 3rd gardasil shot and about 10 minutes later I was feeling sick, nausea,diarriah, stomache pains, insomnia, heart palpatations,feeling like my skin is on fire.sweaty, cold and hot flashes.
Age: 54.0
Sex: F
Vaccine: DTAP
Symptoms: Activities of daily living impaired, Body temperature increased, Fatigue, Headache, Hyperaesthesia
Clinical narrative: Had the injection 7-6-09 at 5 pm.  Beginning the next day, pt had severe headache and temperature of 100 degrees, extreme fatigue, and severe pain in area of injection.  These symptoms lasted 4 days.  The severe pain in arm has NOT subsided and is not improving after 12 days.  Pt finds it very difficult to work (is a dental hygienist and uses left arm all day for tongue retraction, which often requires a lot of muscle activity); difficult if not impossible to attend her beloved aerobic dance classes, which she has faithfully attended 3 times a week for 30 years; cannot sleep on that side, which she is used to doing, cannot lift anything heavy.  Worst of all, embracing husband is impossible, and if anyone, patient, family member, or friend, touches her arm inadvertently, the pain is almost unbearable.  The pain is on the surface but is especially painful deep inside the muscle.  Anytime pt moves arm AT ALL, she experiences severe pain.
Age: 54.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Pain
Clinical narrative: Had the injection 7-6-09 at 5 pm.  Beginning the next day, pt had severe headache and temperature of 100 degrees, extreme fatigue, and severe pain in area of injection.  These symptoms lasted 4 days.  The severe pain in arm has NOT subsided and is not improving after 12 days.  Pt finds it very difficult to work (is a dental hygienist and uses left arm all day for tongue retraction, which often requires a lot of muscle activity); difficult if not impossible to attend her beloved aerobic dance classes, which she has faithfully attended 3 times a week for 30 years; cannot sleep on that side, which she is used to doing, cannot lift anything heavy.  Worst of all, embracing husband is impossible, and if anyone, patient, family member, or friend, touches her arm inadvertently, the pain is almost unbearable.  The pain is on the surface but is especially painful deep inside the muscle.  Anytime pt moves arm AT ALL, she experiences severe pain.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Aggression, Blood glucose normal, Blood test, Computerised tomogram, Confusional state
Clinical narrative: 2nd dose of gardasil administered in check in room in left upper arm.  Allowed to go, walked around the corner to check out and my daughter's eyes rolled back in her head and she began falling backwards.  As she fell, her arms were drawn into her chest and her back was arched.  She hit the floor full force on the back of her head and her hands remained tensed and pulled to her chest and her eyes began moving back and forth rapidly and then went back into her head again.  Her pulse at this time was 62.  She was in a total state of confusion once she regained consciousness and was very listless.  A dr began asking her questions which she was unable to answer some of.  No one checked her pupils with light.  An ambulance was called from the hospital adjacent to the clinic and she was admitted to the ER.  For the first 30-45 min in the ER she cried uncontrollably from the pain and her mood took an agressive turn.  Her blood sugar was checked and an attempt to give her tylenol by mouth was made but she was combative and would not take it.  She was taken to have a CT scan and returned.  The CT came back normal and urine and blood were checked.  We were discharged with a diagnosis of vasovagal syncope.  My daughter had a seizure and not just a fainting spell.  I witnessed the drawing up of the arms and the eye movements.  I honestly thought she was dieing right there in from of me.  She is a VERY healthy child involved in sports with no history of fainting or seizures and none in our family.  As of today, she is still suffering from a severe headache and nausea so I would not be able to say she has recovered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Crying, Eye movement disorder, Fall, Gaze palsy
Clinical narrative: 2nd dose of gardasil administered in check in room in left upper arm.  Allowed to go, walked around the corner to check out and my daughter's eyes rolled back in her head and she began falling backwards.  As she fell, her arms were drawn into her chest and her back was arched.  She hit the floor full force on the back of her head and her hands remained tensed and pulled to her chest and her eyes began moving back and forth rapidly and then went back into her head again.  Her pulse at this time was 62.  She was in a total state of confusion once she regained consciousness and was very listless.  A dr began asking her questions which she was unable to answer some of.  No one checked her pupils with light.  An ambulance was called from the hospital adjacent to the clinic and she was admitted to the ER.  For the first 30-45 min in the ER she cried uncontrollably from the pain and her mood took an agressive turn.  Her blood sugar was checked and an attempt to give her tylenol by mouth was made but she was combative and would not take it.  She was taken to have a CT scan and returned.  The CT came back normal and urine and blood were checked.  We were discharged with a diagnosis of vasovagal syncope.  My daughter had a seizure and not just a fainting spell.  I witnessed the drawing up of the arms and the eye movements.  I honestly thought she was dieing right there in from of me.  She is a VERY healthy child involved in sports with no history of fainting or seizures and none in our family.  As of today, she is still suffering from a severe headache and nausea so I would not be able to say she has recovered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Headache, Listless, Loss of consciousness, Mood altered
Clinical narrative: 2nd dose of gardasil administered in check in room in left upper arm.  Allowed to go, walked around the corner to check out and my daughter's eyes rolled back in her head and she began falling backwards.  As she fell, her arms were drawn into her chest and her back was arched.  She hit the floor full force on the back of her head and her hands remained tensed and pulled to her chest and her eyes began moving back and forth rapidly and then went back into her head again.  Her pulse at this time was 62.  She was in a total state of confusion once she regained consciousness and was very listless.  A dr began asking her questions which she was unable to answer some of.  No one checked her pupils with light.  An ambulance was called from the hospital adjacent to the clinic and she was admitted to the ER.  For the first 30-45 min in the ER she cried uncontrollably from the pain and her mood took an agressive turn.  Her blood sugar was checked and an attempt to give her tylenol by mouth was made but she was combative and would not take it.  She was taken to have a CT scan and returned.  The CT came back normal and urine and blood were checked.  We were discharged with a diagnosis of vasovagal syncope.  My daughter had a seizure and not just a fainting spell.  I witnessed the drawing up of the arms and the eye movements.  I honestly thought she was dieing right there in from of me.  She is a VERY healthy child involved in sports with no history of fainting or seizures and none in our family.  As of today, she is still suffering from a severe headache and nausea so I would not be able to say she has recovered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Opisthotonus, Pain, Syncope, Tension
Clinical narrative: 2nd dose of gardasil administered in check in room in left upper arm.  Allowed to go, walked around the corner to check out and my daughter's eyes rolled back in her head and she began falling backwards.  As she fell, her arms were drawn into her chest and her back was arched.  She hit the floor full force on the back of her head and her hands remained tensed and pulled to her chest and her eyes began moving back and forth rapidly and then went back into her head again.  Her pulse at this time was 62.  She was in a total state of confusion once she regained consciousness and was very listless.  A dr began asking her questions which she was unable to answer some of.  No one checked her pupils with light.  An ambulance was called from the hospital adjacent to the clinic and she was admitted to the ER.  For the first 30-45 min in the ER she cried uncontrollably from the pain and her mood took an agressive turn.  Her blood sugar was checked and an attempt to give her tylenol by mouth was made but she was combative and would not take it.  She was taken to have a CT scan and returned.  The CT came back normal and urine and blood were checked.  We were discharged with a diagnosis of vasovagal syncope.  My daughter had a seizure and not just a fainting spell.  I witnessed the drawing up of the arms and the eye movements.  I honestly thought she was dieing right there in from of me.  She is a VERY healthy child involved in sports with no history of fainting or seizures and none in our family.  As of today, she is still suffering from a severe headache and nausea so I would not be able to say she has recovered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Urine analysis
Clinical narrative: 2nd dose of gardasil administered in check in room in left upper arm.  Allowed to go, walked around the corner to check out and my daughter's eyes rolled back in her head and she began falling backwards.  As she fell, her arms were drawn into her chest and her back was arched.  She hit the floor full force on the back of her head and her hands remained tensed and pulled to her chest and her eyes began moving back and forth rapidly and then went back into her head again.  Her pulse at this time was 62.  She was in a total state of confusion once she regained consciousness and was very listless.  A dr began asking her questions which she was unable to answer some of.  No one checked her pupils with light.  An ambulance was called from the hospital adjacent to the clinic and she was admitted to the ER.  For the first 30-45 min in the ER she cried uncontrollably from the pain and her mood took an agressive turn.  Her blood sugar was checked and an attempt to give her tylenol by mouth was made but she was combative and would not take it.  She was taken to have a CT scan and returned.  The CT came back normal and urine and blood were checked.  We were discharged with a diagnosis of vasovagal syncope.  My daughter had a seizure and not just a fainting spell.  I witnessed the drawing up of the arms and the eye movements.  I honestly thought she was dieing right there in from of me.  She is a VERY healthy child involved in sports with no history of fainting or seizures and none in our family.  As of today, she is still suffering from a severe headache and nausea so I would not be able to say she has recovered.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain, Asthenia, Blood amylase increased, Blood test, Computerised tomogram
Clinical narrative: 7/11/09: Abdominal pain, nausea, vomiting, prolonged weakness, dizziness, low bp, tachycardia, required 911 call on side of highway. Amylase >500; Lypase >1350 - Admitted to Hospital. Initial diagnosis: Acute Pancreatitis.  Dizziness and fast heart rate continued. All tests proved normal. Following day Amylase & Lypase normal. 7/15/09 Headache - controllable. 7/17/09: Fever up to 102.4 no other symptoms other than still had severe headache. Unable to get fever below 99.9 7/18/09  BP drops to 80/50 (pulse 126) upon standing; shortness of breath; headache & fever. Fluids including gatorade up to 2-3 liters/day. Urinating well; no other vommiting or stomach issues aside from itiatial episode.  7/24/09 Hospital records received DOS 7/11/09. Assessment: Acute pancreatitis, mild leukopenia. Patient presented with severe epigastric pain radiating to the abdomen and back. Family member noted that patient became pale diaphoretic, with severe nausea and vomitng. Loose fatty stools,   ICD-9 Codes: 577.0  558.9  288.50  244.9
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Dyspnoea, Headache, Heart rate increased, Hypotension
Clinical narrative: 7/11/09: Abdominal pain, nausea, vomiting, prolonged weakness, dizziness, low bp, tachycardia, required 911 call on side of highway. Amylase >500; Lypase >1350 - Admitted to Hospital. Initial diagnosis: Acute Pancreatitis.  Dizziness and fast heart rate continued. All tests proved normal. Following day Amylase & Lypase normal. 7/15/09 Headache - controllable. 7/17/09: Fever up to 102.4 no other symptoms other than still had severe headache. Unable to get fever below 99.9 7/18/09  BP drops to 80/50 (pulse 126) upon standing; shortness of breath; headache & fever. Fluids including gatorade up to 2-3 liters/day. Urinating well; no other vommiting or stomach issues aside from itiatial episode.  7/24/09 Hospital records received DOS 7/11/09. Assessment: Acute pancreatitis, mild leukopenia. Patient presented with severe epigastric pain radiating to the abdomen and back. Family member noted that patient became pale diaphoretic, with severe nausea and vomitng. Loose fatty stools,   ICD-9 Codes: 577.0  558.9  288.50  244.9
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Lipase increased, Magnetic resonance cholangiopancreatography, Nausea, Pancreatitis acute, Pyrexia
Clinical narrative: 7/11/09: Abdominal pain, nausea, vomiting, prolonged weakness, dizziness, low bp, tachycardia, required 911 call on side of highway. Amylase >500; Lypase >1350 - Admitted to Hospital. Initial diagnosis: Acute Pancreatitis.  Dizziness and fast heart rate continued. All tests proved normal. Following day Amylase & Lypase normal. 7/15/09 Headache - controllable. 7/17/09: Fever up to 102.4 no other symptoms other than still had severe headache. Unable to get fever below 99.9 7/18/09  BP drops to 80/50 (pulse 126) upon standing; shortness of breath; headache & fever. Fluids including gatorade up to 2-3 liters/day. Urinating well; no other vommiting or stomach issues aside from itiatial episode.  7/24/09 Hospital records received DOS 7/11/09. Assessment: Acute pancreatitis, mild leukopenia. Patient presented with severe epigastric pain radiating to the abdomen and back. Family member noted that patient became pale diaphoretic, with severe nausea and vomitng. Loose fatty stools,   ICD-9 Codes: 577.0  558.9  288.50  244.9
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Tachycardia, Vomiting
Clinical narrative: 7/11/09: Abdominal pain, nausea, vomiting, prolonged weakness, dizziness, low bp, tachycardia, required 911 call on side of highway. Amylase >500; Lypase >1350 - Admitted to Hospital. Initial diagnosis: Acute Pancreatitis.  Dizziness and fast heart rate continued. All tests proved normal. Following day Amylase & Lypase normal. 7/15/09 Headache - controllable. 7/17/09: Fever up to 102.4 no other symptoms other than still had severe headache. Unable to get fever below 99.9 7/18/09  BP drops to 80/50 (pulse 126) upon standing; shortness of breath; headache & fever. Fluids including gatorade up to 2-3 liters/day. Urinating well; no other vommiting or stomach issues aside from itiatial episode.  7/24/09 Hospital records received DOS 7/11/09. Assessment: Acute pancreatitis, mild leukopenia. Patient presented with severe epigastric pain radiating to the abdomen and back. Family member noted that patient became pale diaphoretic, with severe nausea and vomitng. Loose fatty stools,   ICD-9 Codes: 577.0  558.9  288.50  244.9
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, DTAPHEPBIP, HEPA, HIBV, MMR, PNC, RV5, VARCEL
Symptoms: Enema administration, Intussusception, Surgery
Clinical narrative: Recurrent intussusception required surgical intervention.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, DTAPHEPBIP, HEPA, HIBV, MMR, PNC, RV5, VARCEL
Symptoms: Abdominal pain upper, Appendicectomy, Barium enema, Crying, Enema administration
Clinical narrative: Recurrent intussusception required surgical intervention.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAP, DTAPHEPBIP, HEPA, HIBV, MMR, PNC, RV5, VARCEL
Symptoms: Intestinal resection, Intussusception, Surgery, Vomiting
Clinical narrative: Recurrent intussusception required surgical intervention.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a registered nurse for the pregnancy registry for GARDASIL concerning a 16 year old female who on 24-SEP-2008 was vaccinated with a first dose of GARDASIL 0.5 ml IM. Subsequently, the patient was found to be pregnant. On 10-OCT-2008 the patient was 6 weeks gestation. The last menstrual period was approximately 29-Aug-2008. The estimated due date is 05-Jun-2009. The patient sought medical attention by calling the nurse. Follow-up information was received from another registered nurse who reported that the patient was vaccinated with a first dose of GARDASIL (lot# 660616/0570X) 0.5 ml IM on 24-SEP-2008. Concomitant therapy included prenatal vitamins (unspecified). At the end of September 2008 or beginning of October 2008, the patient underwent a routine ultrasound without result provided. At the end of November 2008, after Thanksgiving, the patient experienced spontaneous abortion (less than 20 weeks). The outcome of the patient was not reported. Upon internal review the spontaneous abortion was considered to be an other important medical event. Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Pain in extremity
Clinical narrative: Information has been received from a physician concerning a 14 year old female who on 25-JUL-2007 was vaccinated with the first dose of GARDASIL (dose, route and lot # not reported). The patient received the second dose of GARDASIL on 07-FEB-2008 and then received her third dose of GARDASIL on 04-JUN-2009 (dose, route and lot # not reported). The physician reported that on 24-JUN-2009 the patient started to experience painful legs and then on 26-JUN-2009 the patient was unable to walk and by 28-JUN-2009 the patient was walking again. The physician reported that the patient was sent to hospital but it was not specified if the patient was admitted or if she was how long she was in the hospital. At the time of reporting, the patient was recovering. Unable to walk and painful legs were considered to be disabling. Additional information has been requested.  8/31/09 Hospital records received DOS 6/24/09 to 6/28/09. Assessment: Thoracic spine arachnoid cyst without compression of the spinal cord. Lower extremity weakness and pain, cause undetermined.  Patient presented with 1-day history of leg pain which started in her knees, went downward, and then began to ascend to chest, back, and lower trunk. Administered pain medications. Neck stiff, rib tenderness. Nausea after Demerol. Hives and swelling with Fentanyl, codeine and morphine have caused nausea and hypertension. Unable to walk on admission. Abdominal distention. Tender to superficial palpation of abdomen, trunk, and lower extremities. Headache. Adjustment disorder, somatization, generalized anxiety. Much improved and discharged.    10/13/09 ICD9 codes received: 729.89, 729.5, 309.4, 349.2, 493.90, V145, 754.79    10/23/09 Discharge Summary, Medical records, vaccine records and ICD9 Codes received for 06/24-9/26.  Final DX: Thoracic spine arachnoid cyst without compression of spinal cord, Lower extremity weakens and pain, cause undetermined.   Presented in the ED on 6/24 with c/o of lower extremity pain starting at the knees descending, and alternately ascending up to the chest area. In severe pain. Unable to walk. Never requested pain meds.  Did not appear to be in pain.  5/5 strength and 2+ tendon reflexes in ankles. PE positive for mild non-tender abd distension. MRI spine remarkable for arachnoid cyst, no impingement. Lumbar puncture normal.  Behavioral consult revealed adjustment disorder and disturbed emotions, somatization and generalized anxiety. Upon discharge ROM improved. Ambulated with walker.  Discharged to home.  Per the mother's account included in medical records, 6 further episodes occurred intermittently through 9/30, with additional admit in Oct. Mother's account notes more severe pain and paralysis with fleeting blindness L eye. Vision exam normal. Swelling trunk area below ribs. Diaphoresis.  (+) past West Nile Virus exposure, alternately low and high bld sugar, sinus infection, low potassium levels.   ICD9 CODES: 729.1, 300.0, 786.59, 844.9, 078.10, V20.2, 754.70, 682.9, 467.1, 922.1
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Neurological symptom
Clinical narrative: Information has been received from a physician concerning a 14 year old female who on 25-JUL-2007 was vaccinated with the first dose of GARDASIL (dose, route and lot # not reported). The patient received the second dose of GARDASIL on 07-FEB-2008 and then received her third dose of GARDASIL on 04-JUN-2009 (dose, route and lot # not reported). The physician reported that on 24-JUN-2009 the patient started to experience painful legs and then on 26-JUN-2009 the patient was unable to walk and by 28-JUN-2009 the patient was walking again. The physician reported that the patient was sent to hospital but it was not specified if the patient was admitted or if she was how long she was in the hospital. At the time of reporting, the patient was recovering. Unable to walk and painful legs were considered to be disabling. Additional information has been requested.  8/31/09 Hospital records received DOS 6/24/09 to 6/28/09. Assessment: Thoracic spine arachnoid cyst without compression of the spinal cord. Lower extremity weakness and pain, cause undetermined.  Patient presented with 1-day history of leg pain which started in her knees, went downward, and then began to ascend to chest, back, and lower trunk. Administered pain medications. Neck stiff, rib tenderness. Nausea after Demerol. Hives and swelling with Fentanyl, codeine and morphine have caused nausea and hypertension. Unable to walk on admission. Abdominal distention. Tender to superficial palpation of abdomen, trunk, and lower extremities. Headache. Adjustment disorder, somatization, generalized anxiety. Much improved and discharged.    10/13/09 ICD9 codes received: 729.89, 729.5, 309.4, 349.2, 493.90, V145, 754.79    10/23/09 Discharge Summary, Medical records, vaccine records and ICD9 Codes received for 06/24-9/26.  Final DX: Thoracic spine arachnoid cyst without compression of spinal cord, Lower extremity weakens and pain, cause undetermined.   Presented in the ED on 6/24 with c/o of lower extremity pain starting at the knees descending, and alternately ascending up to the chest area. In severe pain. Unable to walk. Never requested pain meds.  Did not appear to be in pain.  5/5 strength and 2+ tendon reflexes in ankles. PE positive for mild non-tender abd distension. MRI spine remarkable for arachnoid cyst, no impingement. Lumbar puncture normal.  Behavioral consult revealed adjustment disorder and disturbed emotions, somatization and generalized anxiety. Upon discharge ROM improved. Ambulated with walker.  Discharged to home.  Per the mother's account included in medical records, 6 further episodes occurred intermittently through 9/30, with additional admit in Oct. Mother's account notes more severe pain and paralysis with fleeting blindness L eye. Vision exam normal. Swelling trunk area below ribs. Diaphoresis.  (+) past West Nile Virus exposure, alternately low and high bld sugar, sinus infection, low potassium levels.   ICD9 CODES: 729.1, 300.0, 786.59, 844.9, 078.10, V20.2, 754.70, 682.9, 467.1, 922.1
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Activities of daily living impaired, Arachnoid cyst, Areflexia, Blepharospasm, Blood glucose decreased
Clinical narrative: Information has been received from a physician concerning a 14 year old female who on 25-JUL-2007 was vaccinated with the first dose of GARDASIL (dose, route and lot # not reported). The patient received the second dose of GARDASIL on 07-FEB-2008 and then received her third dose of GARDASIL on 04-JUN-2009 (dose, route and lot # not reported). The physician reported that on 24-JUN-2009 the patient started to experience painful legs and then on 26-JUN-2009 the patient was unable to walk and by 28-JUN-2009 the patient was walking again. The physician reported that the patient was sent to hospital but it was not specified if the patient was admitted or if she was how long she was in the hospital. At the time of reporting, the patient was recovering. Unable to walk and painful legs were considered to be disabling. Additional information has been requested.  8/31/09 Hospital records received DOS 6/24/09 to 6/28/09. Assessment: Thoracic spine arachnoid cyst without compression of the spinal cord. Lower extremity weakness and pain, cause undetermined.  Patient presented with 1-day history of leg pain which started in her knees, went downward, and then began to ascend to chest, back, and lower trunk. Administered pain medications. Neck stiff, rib tenderness. Nausea after Demerol. Hives and swelling with Fentanyl, codeine and morphine have caused nausea and hypertension. Unable to walk on admission. Abdominal distention. Tender to superficial palpation of abdomen, trunk, and lower extremities. Headache. Adjustment disorder, somatization, generalized anxiety. Much improved and discharged.    10/13/09 ICD9 codes received: 729.89, 729.5, 309.4, 349.2, 493.90, V145, 754.79    10/23/09 Discharge Summary, Medical records, vaccine records and ICD9 Codes received for 06/24-9/26.  Final DX: Thoracic spine arachnoid cyst without compression of spinal cord, Lower extremity weakens and pain, cause undetermined.   Presented in the ED on 6/24 with c/o of lower extremity pain starting at the knees descending, and alternately ascending up to the chest area. In severe pain. Unable to walk. Never requested pain meds.  Did not appear to be in pain.  5/5 strength and 2+ tendon reflexes in ankles. PE positive for mild non-tender abd distension. MRI spine remarkable for arachnoid cyst, no impingement. Lumbar puncture normal.  Behavioral consult revealed adjustment disorder and disturbed emotions, somatization and generalized anxiety. Upon discharge ROM improved. Ambulated with walker.  Discharged to home.  Per the mother's account included in medical records, 6 further episodes occurred intermittently through 9/30, with additional admit in Oct. Mother's account notes more severe pain and paralysis with fleeting blindness L eye. Vision exam normal. Swelling trunk area below ribs. Diaphoresis.  (+) past West Nile Virus exposure, alternately low and high bld sugar, sinus infection, low potassium levels.   ICD9 CODES: 729.1, 300.0, 786.59, 844.9, 078.10, V20.2, 754.70, 682.9, 467.1, 922.1