chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Joint stiffness, Laboratory test abnormal, Nausea, Neuropathy, Paraesthesia
Clinical narrative: One week post vax, the pt experienced arm soreness, neuropathy, joint pain, stiffness, elevated blood pressure (150/80), fatigue, nausea, tingling toes, a sense of blood rushing in her right (injection) arm, and painful feet. EMG studies on 11/11/1999 were normal. Her IgM was 1111 for anti-hepatitis B. A different IgM was 711 mg/dl and polyclonal. ESR was 17 mm/hr. She was diagnosed with vasomotor instability and prescribed a beta blocker. However, she felt ill and discontinued this on her own. 11/29/1999 physician visit: Her reticulocyte count was slightly elevated. SPEP showed no monoclonal spike. IgA was 132, IgG was 1021, and IgM was elevated at 590 mg/dl. Immunofixation and test for cryoglobulins were pending. In summary, physician stated she had an elevated IgM which is slowly decreasing. In the past it was shown to be polyclonal and the physician saw no reason why that should change. Most likely this is a delayed hypersensitivity reaction to the hepatitis B vaccine. In the meantime, physician started the pt on Claritin for relief of her paresthesias. She still experienced fatigue, tingling toes, and painful feet. The most recent information received reports the condition of the pt as unknown.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Irritability, Pyrexia
Clinical narrative: For two days post vax the pt experienced a temperature of 103-104 degrees and neurological irritability, i.e., she could not sit still. She felt wrung out for one week afterwards.  The most recent information received reports the condition of the pt is recovered.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Liver function test abnormal
Clinical narrative: One day post vax, lab tests were drawn for a routine employment physical. They showed elevated liver function tests. The most recent information received report the condition of the pt is ongoing.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Liver function test abnormal
Clinical narrative: Approximately 8 weeks post vax, the pt was found to have elevated liver enzymes. The most recent information received reports the condition of the pt is ongoing.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Lethargy, Pain
Clinical narrative: One day post vax, the pt experienced headache, lethargy and generalized pain. These adverse events lasted a couple of weeks. One day after receiving the second dose of Engerix B the pt again experienced headache, lethargy and generalized pain. She was treated with Tylenol with uncertain effect. Engerix B is discontinued at present. The most recent information received reports the condition of the pt is ongoing.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Hypoaesthesia, Oedema peripheral
Clinical narrative: One day post vax the pt experienced numbness, redness, swelling and pain in the bottom of the left foot. The swelling included all of the toes. The most recent information received, reports the condition of the pt is getting worse.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: One week post vax, the pt developed a rash at the injection site. The most recent information received reports the condition of the pt is unknown.
Age: 10.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Liver disorder, Liver function test abnormal, Oedema, Pyrexia
Clinical narrative: The morning after receiving dose two of Engerix B, the pt experienced high fever, elevated liver function tests, enlarged liver, enlarged spleen, and sore arm (injection site).  She was seen by a physician and was sent to the ER where she was treated with IV fluids. The most recent information received reports the condition of the pt as ongoing.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Bradycardia, Dizziness, Hypotension, Loss of consciousness, Syncope vasovagal
Clinical narrative: Post vax, when the pt went to check out at the front desk, and he passed out. He was unconscious briefly and when he recovered consciousness, he was bradycardic and a little hypotensive and lightheaded. No wheezing or hives. After 30 minutes he had recovered. No treatment was given. The Physician stated that the pt had a possible vagal response. The physician does not think this is a response to Engerix B but a reaction to the needle. The most recent information received reports the condition of the pt as resolved.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Balance disorder, Dizziness
Clinical narrative: Subsequent to receiving vax, the pt experienced a reaction characterized by dizziness and a loss of balance. The most recent information received reports the condition of the pt as unknown.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Erythema, Injection site mass, Pruritus
Clinical narrative: One day post vax the pts entire right arm itched, was red and had blisters. Additionally she had a knot at the injection site. No treatment was given. Engerix B was discontinued. The most recent information received reports the condition of the pt as resolved.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Facial palsy, Injection site haemorrhage, Injection site pain, Joint swelling, Migraine
Clinical narrative: One day following administration of first dose of Engerix B, the pt experienced a 4 X 6 inch bruised area, which resolved. Subsequent to receiving the third dose of Engerix B the pt experienced injection site pain. Three days later she experienced radiating pain from the injection site down her arm (like carpal tunnel) which was treated with Motrin. On 01/03/2000 she experienced front shoulder swelling. She was seen at Occupational Health where she was continued on Motrin. On 01/07/2000 she was seen by a physician. She was experiencing pain in the arm, shoulder and collar bone. She was treated with Motrin 800 mg. On 01/21/2000 she was seen in the ER by a neurologist with migraine, terrible neck pain, eye droop and lower lip droop. She was diagnosed with Bell's Palsy and treated with prednisone and an anti-viral drug (NOS). The most recent information received reports the condition of the pt as ongoing.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain
Clinical narrative: One day following administration of first dose of Engerix B, the pt experienced a 4 X 6 inch bruised area, which resolved. Subsequent to receiving the third dose of Engerix B the pt experienced injection site pain. Three days later she experienced radiating pain from the injection site down her arm (like carpal tunnel) which was treated with Motrin. On 01/03/2000 she experienced front shoulder swelling. She was seen at Occupational Health where she was continued on Motrin. On 01/07/2000 she was seen by a physician. She was experiencing pain in the arm, shoulder and collar bone. She was treated with Motrin 800 mg. On 01/21/2000 she was seen in the ER by a neurologist with migraine, terrible neck pain, eye droop and lower lip droop. She was diagnosed with Bell's Palsy and treated with prednisone and an anti-viral drug (NOS). The most recent information received reports the condition of the pt as ongoing.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Within 5 minutes of receiving vax, the pt experienced a 3mm wheal and a 2 cm area of erythema at the injection site. No respiratory distress was noted after 45 minutes in the waiting room. Ice was applied and the pt was sent home. The most recent information received reports the condition of the pt as ongoing.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Diarrhoea, Vomiting
Clinical narrative: Within five minutes of vax, the pt experienced projectile vomiting which resolved. One day post vax, the pt experienced diarrhea, vomiting and abdominal pain. The most recent information received reported the condition of the pt as unknown.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Injection site mass, Injection site oedema, Injection site pain, Pain
Clinical narrative: One day post vax, the pt awoke with pain at the injection site. She also had edema and a hard knot at the injection site. She reported pain and numbness in her left forearm and first two fingers. A doctor visit was required and she was treated with Advil. Engerix B was discontinued. Subsequently the numbness resolved and the edema was decreased by 50%. The most recent information received, reports the condition of the pt as unresolved.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: One day post vax, the pt experienced hives all over body.  The hives are improving without treatment. The most recent information received reports the condition of the pt as ongoing.
Age: 29.0
Sex: M
Vaccine: HEP
Symptoms: Dysuria, Urticaria
Clinical narrative: This case reference number 2000004140-1, is a spontaneous report from a physician referring to a 29 year old male. Allergies are unspecified. The patient has dysuria and received Bactrim starting on 12/31/99. On 12/29/99, the patient, received his first IM dose of Engerix-B for Prophylaxis of Hepatitis B. Post vaccination, on 12/29/99, the patient experienced urticaria. He was seen in the ER twice over a three day period. Then the patient was treated with Benadryl and IM Depo-Medrol 80 mg. Engerix-B was discontinued. Symptoms resolved over "several" days. The most recent information, received on 2/8/00, reports the condition of the patient as resolved.
Age: 35.0
Sex: M
Vaccine: HEP
Symptoms: Asthma, Eczema, Hypersensitivity, Nausea, Urticaria
Clinical narrative: This case reference number 2000004144-1, is a spontaneous report from a nurse practitioner referring to a 35 year old male. The patient is Allergic to Penicillin, peanuts, ragweed, pollen, bee stings, and mold. He has had Asthma since birth and eczema for which he uses Cortisone cream when necessary. On 6/3/99 and 7/7/99, the patient received the first and second doses of Engerix-B for Prophylaxis of Hepatitis B (job requirement). Following his second dose of Engerix-B, the patient broke out all over in hives, and was nauseous. The most recent information, received on 2/10/00, reports the condition of the patient as resolved.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Asthma, Depression, Drug toxicity, Dyskinesia
Clinical narrative: This case reference number 2000004518-1, is a spontaneous report from a registered nurse referring to a 33 year old female. Allergies are unspecified. The patient smokes 1/2 pack of cigarettes daily. She had a positive PPD result in 01/08/97, after a negative PPD result. The patient refused to take the recommended Isoniazid. On 7/25/96, 08/21/96, and 02/19/97, the patient received her first, second and third doses of Hepatitis B for Prophylaxis of Hepatitis B. In December 1999, she reported to her former employer that she had developed asthma, headaches, memory loss, trembling, muscle weakness, diminished effectiveness of immune system, depression, weight loss, blurred vision, fever, dizziness, and chronic fatigue. The most recent information, received on 02/15/2000, reports the condition of the patient as unknown. The follow-up states that the vaccinee then alledgely developed irregular menstrual bleeding.Irregular bowel movements and fatugue persisted She sought medical attention on June 1999. The physician obtained hair and urine samples which reportedly were positive for "unusually high amount of mercury." The vaccinee underwent chelation therapy with DMPS. However, she developed severe fatigue, vomiting, diarrhea, and severe cramping as a result of DMPS therapy, and it is discontinued. The vaccinee alleges that all the events she experienced following receipt of her thrid dose of Engerix-B are the result of mercury toxicity. She further alleges that Engerix-B is the source of the mercury. The most recent info, received on 12/13/2000, reports the condition of the pt as unknown.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Immune system disorder, Menstruation irregular, Muscular weakness, Pyrexia
Clinical narrative: This case reference number 2000004518-1, is a spontaneous report from a registered nurse referring to a 33 year old female. Allergies are unspecified. The patient smokes 1/2 pack of cigarettes daily. She had a positive PPD result in 01/08/97, after a negative PPD result. The patient refused to take the recommended Isoniazid. On 7/25/96, 08/21/96, and 02/19/97, the patient received her first, second and third doses of Hepatitis B for Prophylaxis of Hepatitis B. In December 1999, she reported to her former employer that she had developed asthma, headaches, memory loss, trembling, muscle weakness, diminished effectiveness of immune system, depression, weight loss, blurred vision, fever, dizziness, and chronic fatigue. The most recent information, received on 02/15/2000, reports the condition of the patient as unknown. The follow-up states that the vaccinee then alledgely developed irregular menstrual bleeding.Irregular bowel movements and fatugue persisted She sought medical attention on June 1999. The physician obtained hair and urine samples which reportedly were positive for "unusually high amount of mercury." The vaccinee underwent chelation therapy with DMPS. However, she developed severe fatigue, vomiting, diarrhea, and severe cramping as a result of DMPS therapy, and it is discontinued. The vaccinee alleges that all the events she experienced following receipt of her thrid dose of Engerix-B are the result of mercury toxicity. She further alleges that Engerix-B is the source of the mercury. The most recent info, received on 12/13/2000, reports the condition of the pt as unknown.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Tremor, Vision blurred, Weight decreased
Clinical narrative: This case reference number 2000004518-1, is a spontaneous report from a registered nurse referring to a 33 year old female. Allergies are unspecified. The patient smokes 1/2 pack of cigarettes daily. She had a positive PPD result in 01/08/97, after a negative PPD result. The patient refused to take the recommended Isoniazid. On 7/25/96, 08/21/96, and 02/19/97, the patient received her first, second and third doses of Hepatitis B for Prophylaxis of Hepatitis B. In December 1999, she reported to her former employer that she had developed asthma, headaches, memory loss, trembling, muscle weakness, diminished effectiveness of immune system, depression, weight loss, blurred vision, fever, dizziness, and chronic fatigue. The most recent information, received on 02/15/2000, reports the condition of the patient as unknown. The follow-up states that the vaccinee then alledgely developed irregular menstrual bleeding.Irregular bowel movements and fatugue persisted She sought medical attention on June 1999. The physician obtained hair and urine samples which reportedly were positive for "unusually high amount of mercury." The vaccinee underwent chelation therapy with DMPS. However, she developed severe fatigue, vomiting, diarrhea, and severe cramping as a result of DMPS therapy, and it is discontinued. The vaccinee alleges that all the events she experienced following receipt of her thrid dose of Engerix-B are the result of mercury toxicity. She further alleges that Engerix-B is the source of the mercury. The most recent info, received on 12/13/2000, reports the condition of the pt as unknown.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Headache, Hypertension, Murder, Myalgia
Clinical narrative: This case reference number 2000004893-1, is a spontaneous report from a woman referring to her 51 year old husband. No allergies. The patient has elevated blood pressure which is under control. He has not taken his blood pressure medication in the last 2-3 weeks "since blood pressure was under control". On 02/11/00, the patient received his first "adult" IM in the left deltoid dose of Engerix-B for prevention of Hepatitis B. Subsequently, on 02/22/00, the patient experienced severe abdominal cramps (which resolved on 02/13/00), and muscle aches, severe headache, and neck pain which resolved on 02/17/00. The most recent information, received on 2/17/00, reports the condition of the patient as resolved.
Age: 26.0
Sex: U
Vaccine: HEP
Symptoms: Laboratory test abnormal, Liver function test abnormal
Clinical narrative: This case reference number 2000005000-1 is a spontaneous report from a physician. Allergies, medical history, and concomitant medications are not specified. On approximately 11/16/99, the patient received her third dose of Engerix-B. On 01/11/00, eight weeks later, the patient was found to have elevated liver function tests. (Please see laboratory section for details.) One month later, on 02/11/00, her laboratory levels were normal. The patient was advised that this was a possible transient adverse reaction. The most recent information, received on 02/14/00, reports the condition of the patient is resolved.
Age: 49.0
Sex: M
Vaccine: HEP
Symptoms: Bone disorder, Rash
Clinical narrative: This case reference number 2000005817-1, is a spontaneous report from a registered nurse referring to a 49 year old male. Allergies are unspecified. The patient has back problems (nos) and started taking "high dose" Motrin, vitamin C and E on 02/23/00. On 02/23/00, the patient received his first dose of Engerix-B. Two days later, on 02/25/00, the patient experienced a rash. Reporting nurse is not sure if the rash is due to Engerix-B or his concomitant medications. The most recent information, received on 02/29/00, reports the condition of the patient as unknown.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Anorexia, Asthma, Blood pressure increased, Dizziness, Headache
Clinical narrative: this case reference number 2000006648-1, is a spontaneous report from a physician referring to a 16 year old male patient. Follow up information from the patient's mother was forwarded by a pharmacist. The patient has a history of environmental allergies and has a history of asthma. On 11/18/99, the patient received his first injection of Engerix-B at an unspecified dose for Prophylaxis, with no untoward effects. On 12/24/99, he received the second dose and afterward experienced headache and dizziness. On 02/07/00, the boy received the third injection of Engerix-B while the symptoms were ongoing. Follow up information from the pharmacist reveals, the child has severe migraine headaches, and severe vertigo. Also, he experienced elevated systolic blood pressure running 170-175 and loss of appetite. The other reported to the pharmacist, her son her son has not been in school for two months. The migraine headaches and vertigo (dizziness) have been deemed serious as the patient missed school and thus are incapacitating. The information received on 03/08/00 reports the symptoms are ongoing.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Hypersensitivity, Migraine, Vertigo
Clinical narrative: this case reference number 2000006648-1, is a spontaneous report from a physician referring to a 16 year old male patient. Follow up information from the patient's mother was forwarded by a pharmacist. The patient has a history of environmental allergies and has a history of asthma. On 11/18/99, the patient received his first injection of Engerix-B at an unspecified dose for Prophylaxis, with no untoward effects. On 12/24/99, he received the second dose and afterward experienced headache and dizziness. On 02/07/00, the boy received the third injection of Engerix-B while the symptoms were ongoing. Follow up information from the pharmacist reveals, the child has severe migraine headaches, and severe vertigo. Also, he experienced elevated systolic blood pressure running 170-175 and loss of appetite. The other reported to the pharmacist, her son her son has not been in school for two months. The migraine headaches and vertigo (dizziness) have been deemed serious as the patient missed school and thus are incapacitating. The information received on 03/08/00 reports the symptoms are ongoing.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The patient has a history of allergy radiographic contrast media. Two days prior to the third vax, the patient went to the emergency room and was diagnosed with pneumonia and was given a prescription for keflex. The patient has a medical history of hypertension, and at the time of the event was taking and anti hypertensive and omeprazole. On September 14, 1999 the patient received his first injection of Engerix B for prophylaxis. Ten  hours later the patient experienced arm swelling, which resolved on October 15th 1999. On March 1, 2000 the patient received the third vax and 2 days later experienced a sore swollen arm from the elbow to the base of his neck. Also, he has mild erythema at the injection site. The patient was advised to treat the swelling with warm compresses and acetaminophen or Ibuprofen.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Granuloma, Rash
Clinical narrative: On August 9th and she received her first and second injections of Engerix - B, with no untoward effects. On Feb 24, 2000 she received the third dose of Engerix and approximately 2 weeks later experienced a rash. She consulted a dermatologist and had a skin biopsy. She was diag with granuloma annulare. She was not hospitalized. The patient is undergoing further evaluation to rule out collagen-vascular disease. Treatment included topical cortisone cream.
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: In March and April 1998 the patient received his first and second injection of Engerix-B, with no untoward effects. In September 1998, he received the third dose and thereafter experienced muscle pain in his opposite arm. The information received on March 10, 2000 reports the symptoms are ongoing.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash macular
Clinical narrative: Reference # 2000008268-1 is a spontaneous report by a registered nurse referring to a 22 year old female. The vaccinee is allergic to penicillin. Concomitant medications were not reported. On Feb 02, 2000 the vaccinee received her first IM right deltoid injection of engerix B. A few hours post vaccination she felt itchy without rash and her face was blotchy. No treatment was given. The most recent information received on March 08, 2000 reports the condition resolved.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Injection site reaction, Skin discolouration
Clinical narrative: On December 9, 1999 and Feb 17, 2000 the vaccinee received his first and second injections of Engerix B. Following his second dose he developed discoloration at the site. There were two concentric circles one darker and one lighter. No treatment was given.
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Pain
Clinical narrative: On March 10, 1998 the vaccinee received his first injection of engerix B for prophylaxis of hepatitis B without event. On April 8, 1998 the vaccinee received his second injection he subsequently experienced shoulder pain. On September 22, 1998 the vaccinee received his third injection. Subsequently he experienced worsening of his left shoulder pain, having right shoulder pain and joint pain worsening, and weakness. No treatment was given.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Malaise, Nausea, Vomiting
Clinical narrative: On Feb 10, 2000 the vaccinee received her first injection of Engerix B for prophylaxis of hep B. Subsequently she experienced nausea, vomiting, headache and malaise.
Sex: U
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Unspecified date the vaccinee received the first dose, subsequently the vaccinee experienced myalgia.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective, Oedema, Urticaria
Clinical narrative: At the time of event pt was taking Claritin, Diazide. Prilosec and vit C. On Feb 25, 2000 the patient received a booster dose of Engerix B  because her titer was negative for anti hep B antibody. She did not sero convert after the series. Within 12-24 after the booster shot she experienced perioral swelling and hives. She was treated with antihistamines and steroids. The information received on March 9, 2000 reports the symptoms resolved.
Age: 47.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Asthenia, Dizziness, Headache, Nausea, Palpitations
Clinical narrative: Ten hours post vax while relaxing in bed, the vaccinee experienced pounding heart, throbbing temples, dizziness, weakness, nausea. In addition her throat hurt and felt swollen. The episode lasted twenty minutes, after which things returned to normal. No treatment was given.
Age: 47.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pharyngeal oedema, Pharyngolaryngeal pain
Clinical narrative: Ten hours post vax while relaxing in bed, the vaccinee experienced pounding heart, throbbing temples, dizziness, weakness, nausea. In addition her throat hurt and felt swollen. The episode lasted twenty minutes, after which things returned to normal. No treatment was given.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Bacterial infection, Pyrexia
Clinical narrative: 24 hours after receiving her second dose of Engerix B for Prophylaxis of hep B the vaccinee experienced a temp of 103. She was found to have strep several days later.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Hypoacusis, Lymphadenopathy
Clinical narrative: Post 2nd dose of vax, the pt's mother stated her daughter's adenoids became constantly swollen, and she has not able to hear for the past 3 months.
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea
Clinical narrative: Two days post 2nd dose of vax, the pt experienced shortness of breath. No treatment was given and the information received on 3/24/00 reported the symptoms resolved.
Sex: M
Vaccine: HEP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Post vax, the pt experienced a high fever, headaches, and aches and pains.
Sex: F
Vaccine: HEP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Post vax, the pt experienced a high fever, headaches, and aches and pains.
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Antinuclear antibody positive, Arthralgia, Asthenia, Pain, Pyrexia
Clinical narrative: On 9/22/99, the pt went to her pediatrician with complaints of fevers, aches, and decreased energy. She had joint pain. She had reportedly pain in her knee, foot, and wrist. She was seen by an orthopedist and during this examination it was thought that the pt's complaints were not from an orthopedic injury. The reporter indicated that it was the impression of the pt's physician that the adverse events were a rheumatic illness with a lupus-like presentation. Autoimmune hepatitis is also currently being ruled out. Treatment of the adverse events was not specified. No other details were provided.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: One half hour post vax, the pt developed nausea, vomiting, and diarrhea.
Sex: U
Vaccine: HEP
Symptoms: Multiple sclerosis
Clinical narrative: Post vax, the pt was dx with multiple sclerosis.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure decreased, Convulsion, Heart rate decreased, Hyperhidrosis, Stupor
Clinical narrative: 5-10 minutes post 3rd dose of vax, the pt's mother stated that while driving home her son had a seizure with the following symptoms: face beet red, shaking, eyes wide open but not responsive, hands clenched, lost control of bladder, and head sweating profusely. Mother headed back to the clinic but by the time they got there, the episode had resolved. At the clinic they reportedly found the pt's blood pressure and pulse to be low. Pt felt out of sorts for a few days. It took a few days for pt to return to normal.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Urinary incontinence
Clinical narrative: 5-10 minutes post 3rd dose of vax, the pt's mother stated that while driving home her son had a seizure with the following symptoms: face beet red, shaking, eyes wide open but not responsive, hands clenched, lost control of bladder, and head sweating profusely. Mother headed back to the clinic but by the time they got there, the episode had resolved. At the clinic they reportedly found the pt's blood pressure and pulse to be low. Pt felt out of sorts for a few days. It took a few days for pt to return to normal.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: One day post vax, the pt developed a full body rash. She was treated with oral Benadryl and the rash subsided after one week. A similar rash reappeared two weeks later and persisted for another 1-2 weeks. During this time period, she was seen by a physician who had no definite dx. After her physician visit it was determined that an outbreak of "Fifth Disease" was happening at her school.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: Five hours post vax, the pt's hands began to itch, then arms, then all over. She took Benadryl that night and stayed home the next day. On 3/23/00, the itching got worse. Where she scratched she had large welts. Saw physician who dx her as having an allergic reaction and gave her an unspecified injection. Symptoms completely resolved by 3/26/00.
Age: 22.0
Sex: M
Vaccine: HEP
Symptoms: Difficulty in walking, Guillain-Barre syndrome, Muscular weakness, Paraesthesia
Clinical narrative: On 10/8/99 and 11/8/99, the pt received his 1st and 2nd injections of Engerix-B, with no untoward effects. On 4/3/00, he received the 3rd dose of Engerix-B and 1-2 weeks later, reportedly experienced tingling, numbness and weakness in his extremities. This started in his feet and legs and then spread to his arms. He lost muscle strength (NOS). The pt went to the ER and was dx'd with Guillain-Barre Syndrome, but was not hospitalized. It was reported that the pt's symptoms were not life threatening but were disabling. At times, the pt has needed crutches to walk, and he has been receiving physical therapy. He has been evaluated by a neurologist, but this evaluation will no be available. The pt reported to the nurse on 5/10/00, the symptoms of numbness and tingling to hands were still present. The weakness to hands and feet is ongoing but improving. The pt stated he does not have to use crutches as often and was continuing physical therapy and was unable to work. The physician told the pt his symptoms were associated with Engerix-B vaccine. No further information will be available.
Sex: U
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Post vax, the pt experienced shortness of breath and chest pain. An ER visit was required.
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Post vax, the pt had a small rash with itching. She took Benadryl over the weekend. As of 4/3/00, she still had itching.
Sex: F
Vaccine: HEP
Symptoms: Hypothyroidism, Musculoskeletal stiffness, Pain
Clinical narrative: Post vax, the pt was dx with hypothyroidism. Additionally, she has had generalized pain and stiffness and is presently being worked up for possible fibromyalgia. She has been seen by several doctors.
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: On 4/13/00, the pt was found to have a positive hepatitis B antigen. A doctor visit was required.
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Multiple sclerosis
Clinical narrative: One month post vax, the pt was dx with multiple sclerosis which was reportedly confirmed by three physicians.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Agitation, CSF test abnormal, Confusional state, Fatigue, Grand mal convulsion
Clinical narrative: At the time of the event, the pt was noncompliant with his diabetic medication metformin (Glucophage), had a blood sugar of 256 and may have been fatigued.  On the morning of 5/12/00, the pt received the 1st injection with Engerix-B. That afternoon, he experienced a seizure. The pt was brought to ER and became very agitated. He was given Haldol and the agitation came under control. The pt was hospitalized and treated with Dilantin. He was admitted to the ICU and suffered no further seizures. The next day, 5/13/00, the pt had confusion and experienced headaches. He also could not remember anything about the spell. The possibly of meningitis was considered and he was treated with Rocephin. He was reported to have had a new onset grand mal seizure. The pt was discharged from the hospital on 5/16/00 on Dilantin 400mg/day and glipizide (Glucotrol) o.5mg 2X/day. The hospital discharge summary and progress notes received on 7/27/00 reported the symptoms resolved. Progress notes state, "Neurologic evaluation failed to show a definite cause of the seizure, however, there was speculation that the seizure may have been the result of the Hep-B injection given earlier that morning". Neurology consult stated, "He probably had a seizure as a result of diabetes and a combination of fatigue, and his first Hep-B vaccine".
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Meningitis, Sinusitis
Clinical narrative: At the time of the event, the pt was noncompliant with his diabetic medication metformin (Glucophage), had a blood sugar of 256 and may have been fatigued.  On the morning of 5/12/00, the pt received the 1st injection with Engerix-B. That afternoon, he experienced a seizure. The pt was brought to ER and became very agitated. He was given Haldol and the agitation came under control. The pt was hospitalized and treated with Dilantin. He was admitted to the ICU and suffered no further seizures. The next day, 5/13/00, the pt had confusion and experienced headaches. He also could not remember anything about the spell. The possibly of meningitis was considered and he was treated with Rocephin. He was reported to have had a new onset grand mal seizure. The pt was discharged from the hospital on 5/16/00 on Dilantin 400mg/day and glipizide (Glucotrol) o.5mg 2X/day. The hospital discharge summary and progress notes received on 7/27/00 reported the symptoms resolved. Progress notes state, "Neurologic evaluation failed to show a definite cause of the seizure, however, there was speculation that the seizure may have been the result of the Hep-B injection given earlier that morning". Neurology consult stated, "He probably had a seizure as a result of diabetes and a combination of fatigue, and his first Hep-B vaccine".
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Three hours post vax, the pt developed hives on her arms and chest. She was without shortness of breath. No treatment was given.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Bacterial infection, Lymphadenopathy, Malaise, Pharyngitis, Rash
Clinical narrative: Two days post vax, the pt experienced malaise, lymphadenopathy, and generalized body rash. Shortly after 4/26/00, the vaccinee was seen by the physician and she had severe exudative pharyngitis that was positive for Group A Streptococcus. She received the appropriate treatment, continued the physician, and did quite well.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pruritus, Rash
Clinical narrative: On 10/27/99, the pt experienced a bright red rash under both arms which itched and hurt. The rash lasted approximately 3-5 days and resolved.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Paraesthesia, Skin burning sensation
Clinical narrative: On 4/21/00 the pt experienced a burning sensation down the right arm which was considered by the physician to be persistent paresthesia in an ulnar distribution. The pt was treated with anti-inflammatories. The outcome is resolving. On 4/24/00, the pt experienced pain and tingling sensation in the pt's fourth and fifth fingers with decreased grip and tenderness, in addition to a burning sensation to the arm/hand. Outcome of this event is ongoing.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Post vax, the pt developed an itching rash on hair line and arm. She was treated with calamine lotion. Symptoms resolved after two weeks.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Post vax, the pt was found to be a nonresponder.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Post vax, the pt was found to be a nonresponder.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Post vax, the pt was found to be a nonresponder.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: Post vax, the pt was found to be a nonresponder.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Fatigue, Nausea, Tremor
Clinical narrative: On 4/25/00, the pt awoke very weak and shaky. She could barely get out of bed. She complained of nausea and denied vomiting. She had sever fatigue. She had weakness in her hands affecting fine motor skills like make-up application, writing, and dressing. A doctor visit was required. No treatment was given.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Post vax, the pt developed hives on his face, trunk, and extremities. A doctor or ER visit was required and he was treated with Benadryl and Zyrtec liquid on 4/27/00.
Sex: M
Vaccine: HEP
Symptoms: Vaccination complication
Clinical narrative: Post vax, the vaccinee experienced post hepatitis B vaccine syndrome.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure increased, Migraine
Clinical narrative: Two hours post vax, the pt's blood pressure increased to 130/90 and she experienced a migraine. The vaccinee reported that she had not eaten prior to the migraine. She was treated with Advil.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Malaise, Pain, Pallor, Pyrexia
Clinical narrative: 30 minutes post vax, the pt's knees felt funny. He slept for three hours. He woke up pale, with a fever of 101, pain all over the body, and general malaise. An ER visit was required. No treatment was given.
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: A few days post vax, the pt developed a red, non-raised itchy rash on the right side of the neck and anterior chest. No treatment was given. Engerix B was discontinued. Symptoms resolved in 7-10 days.  The most recent information received reports the outcome of the event as resolved.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Dizziness
Clinical narrative: Subsequent to receiving vax, the pt experienced dizziness. The most recent information received reports the outcome of the event as resolved.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: 17 days post vax the pts eyelashes had fallen out and her eye brows had started to fall out. She was not losing any hair as of 05/23/2000. The most recent information received reports the outcome of the event is resolved.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Injection site pain, Nausea
Clinical narrative: Subsequent to receiving the second dose of Engerix B the pt experienced deep pain in the injection arm, nausea and lower back pain. No treatment was given. The most recent information received reports that her left arm still hurts, but her nausea and lower back pain have resolved.
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Pain, Pyrexia, Vomiting
Clinical narrative: Four hours post vax the pt experienced vomiting, temperature of 101 degrees F, achiness and diarrhea. A doctor visit was required and she was treated with antibiotics (NOS). Engerix B was discontinued. The most recent information received reports the outcome of the event as resolved.
Sex: F
Vaccine: HEP
Symptoms: Depression
Clinical narrative: Subsequent to receiving vax, the pt experienced severe depression which lasted for two weeks. The second dose of Engerix B was not given. The most recent information received reports the outcome of the event as resolved.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Hyperaemia, Pruritus, Rash, Rash erythematous
Clinical narrative: 11 days post vax, the pt developed a rash on anterior and lateral lower torso, pubis to bottom of breasts and arms which became pruritic. The rash was characterized by hyperemic individual lesions which wer 4-7 mm and slightly raised. A doctor visit was required. She was treated with Zyrtec, Benadryl and prednisone. The prednisone treatment consisted of 40 mg PO X 1 day then decreased to 20 mg X 3 days. She visited the doctor again and he treated her with prednisone with 40 mg PO X 5 days then decreased to 20 mg PO. She visited the physician again and at that time the symptoms were resolving, so the prednisone taper continued. The most recent information received reports the outcome of the event is resolving.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Skin burning sensation
Clinical narrative: Subsequent to receiving second dose of Engerix B, the pt experienced severe pain at the injection site and a burning sensation down her arm to her hand. Reporter stated that the appearance of Engerix B was normal. On follow-up the reporter stated that the pts symptoms resolved within one week without further complications. The most recent information received reports the outcome of the event as resolved.
Sex: F
Vaccine: HEP
Symptoms: Crying, Injection site pain
Clinical narrative: During the third injection of Engerix B the pt experienced severe pain at the injection site. She cried. Reportedly the appearance of Engerix B was normal. On follow-up the reporter stated that the symptoms resolved within one week without further complications. the most recent information received reports the outcome of the event as resolved.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dyspnoea, Nausea, Paraesthesia
Clinical narrative: 2-3 post vax, the pt experienced a sudden nausea, a tingling sensation all over her body, chest tightness, and she felt like she couldn't get a breath. No treatment was given. Symptoms resolved within 30-60 minutes. the most recent information received reports the outcome of the event as resolved.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Subsequent to receiving vax, the pt experienced rash, erythema, and urticaria according to the office manager. Physician reported that the pt experienced pruritus without rash, alone on 05/01/2000. Physician was unsure whether Engerix B caused the adverse events or not. The most recent information received reports the outcome of the event as subsided.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Sleep disorder
Clinical narrative: Approximately 2 weeks post vax, the pt developed back pain with sciatica. A doctor visit was required. She had physical therapy for two months, received anti-inflammatories (NOS) and used a special cushion for positioning. The adverse event affected her sleep. She has improved but is not 100%. the most recent information received reports the outcome of the event as improved.
Sex: F
Vaccine: HEP
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: 30 minutes post vax, the pt experienced itching at the injection site. She was treated with Benadryl and the itching cleared in 90 minutes. The most recent information received reports the outcome of the event as resolved.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: Two weeks post vax, the pt experienced alopecia of the eyebrows and eyelashes bilaterally. Currently, her eyebrows and eyelashes are very thin. The most recent information received reports the outcome of the event as ongoing.
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Upon examination a few days post vax, the nurse observed a small area of erythema on the left deltoid. Outcome: unresolved. A few days subsequent to receiving the second dose of Engerix B the pt reported to the nurse because she was having pain at the injection site. The nurse observed a 10 X 20 mm area of erythema a the injection site. Outcome: unresolved. The most recent information received reports the outcome of the event as unresolved.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: Subsequent to receiving the second dose of Engerix B the pt fainted. An ER or doctor visit was required and unspecified treatment was given. The most recent information received reports the outcome of the event as resolved.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Subsequent to receiving one dose of Engerix B the pt immediately developed hives. Outcome: unresolved. Subsequent to receiving the second dose of Engerix B the pt immediately developed hives. Outcome: unresolved. The pt was treated with Zyrtec, Periactin, Medrol and steroids (NOS). The most recent information received reports the outcome of the event as unresolved.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pyrexia, Urticaria
Clinical narrative: Subsequent to receiving three doses of Engerix B the pt was told that her titers were low and to receive an Engerix B booster. Within 24 hours of receiving the fourth dose of Engerix B the pt experienced nausea, urticaria, and a slight fever. She was seen by a physician. Outcome: symptoms resolved within a few days. The most recent information received reports the outcome of the event as resolved.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Myalgia
Clinical narrative: One day post vax, the pt experienced severe pain in her left deltoid muscle and shoulder. On a scale of 1-10 the pain was a 6 during the day and a 9 at night. She was unable to sleep on her left arm. She has not had any medical follow-up nor has she taken any medication to treat the pain. Engerix B was discontinued. The most recent information received reports the outcome of the event is unresolved.
Sex: U
Vaccine: HEP
Symptoms: Injection site rash
Clinical narrative: Immediately post vax, the pt experienced an injection site rash. No treatment was given. The most recent information received reports the outcome of the event as unresolved.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: One day subsequent to receiving the first dose of Engerix B, the pt had a fever for one day which resolved. One day subsequent to receiving the second dose of Engerix B the pt experienced nausea and vomiting for three days which resolved. No treatment was given. The most recent information received reports the outcome of the event as resolved.
Age: 0.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, RV
Symptoms: Diarrhoea, Gastroenteritis, Vomiting
Clinical narrative: Two days post vax the pt developed vomiting, diarrhea and a small amount of blood in the stool. The gastroenteritis resolved within nine days. The most recent information received reports the outcome of the event as resolved.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Face oedema, Pruritus, Urticaria
Clinical narrative: One day post vax, the pt experienced an itching face and ears, swelling ear and urticaria on neck.  Outpatient treatment was required, and the pt was treated with prednisone and Chlortrimeton. The most recent information received reports the outcome of the event as unknown.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Face oedema, Pharyngeal oedema, Urticaria
Clinical narrative: The evening of after receiving vax, the pt experienced swollen lips and generalized hives. She went to the ER eleven days later with shortness of breath and swollen throat. She is currently being seen by an allergist and dermatologist. She is being treated with prednisone and several antihistamines. The physician reported that the pt experienced "severe" generalized urticaria/angioedema beginning in July 2000. The severe urticaria occurred daily. Reportedly, she did well with prednisone burst therapy, bu tthe hives recurred whenever te prednisone was discontinued. The hives were eventually suppreased 6 months after onset. In approx Oct 2000, hives started to disappear. Reportedly, the physician stated that "the hives are probably leaving my system by now." The physician reported that the urticaria resolved in October 2000. The vaccinee reported on 02/07/2000 that she was still experiencing the same events "on and off." She is currently being seen by an allergist and dermatologist. Engerix-B was discontinued. The physician stated that the urticaria was possibly related to Engerix-B. A different physician stated that the event was idiopathic. As 04/24/2001, the outcome of the event was resolved.
Age: 0.8
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: One hour post vax, the pt experienced hives. The most recent information received reports the outcome of the event as resolved.
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Vaccine positive rechallenge
Clinical narrative: Subsequent to dose 1 of Engerix B the pt experienced shortness of breath. Outcome unknown. Subsequent to dose 2 of Engerix B the pt again experienced shortness of breath and was seen in the ER. The most recent information received reports the outcome of the event as unknown.