chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Vaccine was administered 8/10/06, patient was subsequently admitted to MC 8/13/06-8/16/06 with cellulitis requiring IV antibiotics. 9/25/06 Received medical records from hospital which revealed patient admitted 8/13/06-8/16/06 w/final Dx: left shoulder cellulitis, diet controlled diabetes, dyslipisemia.  Left shoulder pain, swelling & erythema began day after tetanus injection with fever & chills.  Exam on admit revealed LUE & shoulder erythema, induration & tenderness w/increased warmth.  WBC 6900.  LUE/shoulder X-ray was WNL.  Blood cultures were neg.  Improved significantly & was d/c to home on oral antibiotics./ss
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Viral infection
Clinical narrative: developed mild chickenpox 3 weeks after second dose of varivax. Had Chickenpox exposure prior to vaccine, but mom not sure of date.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Joint range of motion decreased, Joint stiffness, Pain
Clinical narrative: localized redness at injection site to the left deltoid. pain extending done left arm and left side of rib cage on 8/31 treated as cellulitis with antibiotic and steroid. Seen back on 9/8 with inprovement but decrease ROM and stiffness to the shoulder joint posterior shoulder and trapezius with movement.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Amnesia, Anxiety, Bipolar disorder, Blood cortisol, Blood homocysteine
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Blood magnesium, Blood testosterone decreased, Convulsion, Depression, Difficulty in walking
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Electromyogram, Electromyogram normal, Epilepsy, Epstein-Barr virus infection, Fatigue
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Fatigue, Fibromyalgia, Headache, Hypoaesthesia, Hypothalamo-pituitary disorder
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Hypothyroidism, Impaired work ability, Influenza like illness, Insomnia, Insomnia
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Insulin resistance, Laboratory test abnormal, Mood swings, Neck pain, Pain
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Thyroid function test abnormal, Tremor
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Adrenal insufficiency, Anxiety, Depression, Epilepsy, Fatigue
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Fibromyalgia, Headache, Hormone level abnormal, Hypopituitarism, Hypothyroidism
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Insomnia, Mood swings, Pain, Restless legs syndrome, Suicidal ideation
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Anxiety, Depression, Epilepsy, Fatigue, Fibromyalgia
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Headache, Influenza like illness, Memory impairment, Myalgia, Pain
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 31.0
Sex: M
Vaccine: ANTH, ANTH, MEN, ANTH
Symptoms: Restless legs syndrome, Sleep disorder
Clinical narrative: Subject reports having three Anthrax injections in 2003.  After that, he was unable to sleep.  He was diagnosed with chronic fatigue syndrome in 2004.  In 2006, he was diagnosed with fibromyalgia and epilepsy.  Subject reports that ten of his bodily systems are malfunctioning. (thyroid, insulin, testosterone and several others), and that he takes numerous drugs, including testosterone shots, for his conditions.  Subject also reports that he has constant pain all over his body, like he has the flu, and can barely walk at times.  Other symptoms subject reports included restless leg syndrome, anxiety, depression and headaches.  Subject reported that he submitted a report, which was subsequently given a report number, which is a follow up to the other report number.  Narrative from report number mentioned:  I was given three Anthrax shots between March 03 and July 03.  I did report a headache at the time, but was told that was in relation to a neck injury.  When I came home in August, I still had headaches, and my body began to hurt all over.  I could not sleep and as of today, still have problems.  My short term memory was affected, and at times.  I would get brain fog.  As the months passed, I began to get worse.  I finally saw a pain doctor who told me I had chronic fatigue.  He gave me medications, but they didn't.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema
Clinical narrative: Right upper arm 15 by 20 cm erythematous area to elbow, no induration to observe.  Call if it does not resolve.
Age: 41.0
Sex: F
Vaccine: HEPAB
Symptoms: Headache, Meningitis, Pharyngolaryngeal pain, Viral infection
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of sore throat in a 41 year old female subject who was vaccianted with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. The subject was in good health at the time of vaccination with Twinrix. Concurrent medications included birth control pills. on an unspecified date in Sept 2006, the subject returned for her 3rd dose of Twinrix. At the time, she reported that one day following her 2nd dose of 1.0ml Twinrix (on 4/4/06), given IM in the left arm on 4/3/06 (at 13:00) she developed a sore throat. The next day, on 4/5/06, she had a severe headache. The subject went to the ER and had a spinal tap and a CT scan but was not admitted. The subject was told that she had a possible viral meningitis. The diagnosis on the ER discharge sheet was severe headache. It was noted that the subject returned from out of the country on 3/28/06. According to the report, the subjects sore throat resolved and was noted to be possibly related to treatment with Twinrix. Follow up information received on 9/19/06 indicated that the 1st Twinrix dose in the series was administered on 3/3/06. No adverse events were noted. The subjects condition resolved by 4/18/06.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Cardiac arrest, Dyspnoea, Hypoxia, Pulmonary oedema, Respiratory distress
Clinical narrative: Initial report received on 7/19/06 from an investigator participating in the above mentioned trial. A 53 year old male subject with a history of obesity, type 2 diabetes with peripheral circulatory disorder and neurologic manifestations, peripheral edema, hypertension ans stroke (1996), experienced respiratory difficulty 68 days after he had received an injection of Adacel, lot number C2341AA. The following day, the subject presented to an ER with respiratory distress and guppy breathing. On exam, the subject suffered a cardiac arrest. Resuscitative efforts were impaired by airway difficulties (Copious vomitus and difficult intubation). He was treated with IV epinephrine and atropine. Resuscitative efforts were unsuccessful, and the subject died. Per the investigator, the serious adverse event was cardiac arrest due to pulmonary edema. No autopsy was to be performed. This case was not considered a coroners case per the coroners office. According to the investigator, the event was not related to the study vaccine. Documents held by sender Emergency room report.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Initial report received on 7/19/06 from an investigator participating in the above mentioned trial. A 53 year old male subject with a history of obesity, type 2 diabetes with peripheral circulatory disorder and neurologic manifestations, peripheral edema, hypertension ans stroke (1996), experienced respiratory difficulty 68 days after he had received an injection of Adacel, lot number C2341AA. The following day, the subject presented to an ER with respiratory distress and guppy breathing. On exam, the subject suffered a cardiac arrest. Resuscitative efforts were impaired by airway difficulties (Copious vomitus and difficult intubation). He was treated with IV epinephrine and atropine. Resuscitative efforts were unsuccessful, and the subject died. Per the investigator, the serious adverse event was cardiac arrest due to pulmonary edema. No autopsy was to be performed. This case was not considered a coroners case per the coroners office. According to the investigator, the event was not related to the study vaccine. Documents held by sender Emergency room report.
Sex: F
Vaccine: IPV, PNC, RV5, TDAP
Symptoms: Unevaluable event
Clinical narrative: Vaccine error administered Tdap instead of DTaP.  Vial labels looked very similar.  No reported by time report was filed.
Age: 3.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Erythema, Injection site induration, Injection site urticaria, Tenderness
Clinical narrative: Mom noticed a bump on the left thigh at the site of vaccination, erythematous, urticarial 2 cm by half cm with some induration and tenderness.  Mom was advised to use 12.5 mg/5ml one teaspoon every eight hours for 3 days.
Age: 0.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Rash papular, Skin ulcer
Clinical narrative: Seen 9/15/06 developed 9/13/06 mild papulovesicular lesions on perineum, fingers, feet, some near perineum are crusted (+) itching, no fever.  Aveeno bath and ZYRTEC 1/2 teaspoon by mouth daily.
Age: 13.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Pain
Clinical narrative: Adverse local reaction to Adacel injection.  Left arm pain, left arm cellulitis.
Age: 13.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Injection site erythema, Tenderness
Clinical narrative: Adverse local reaction to Adacel injection.  Left arm pain, left arm cellulitis.
Sex: F
Vaccine: HEP, HEPA
Symptoms: Pyrexia, Urticaria
Clinical narrative: 9/19/06 In the evening patient had fever or felt bad. 9/20/06 am hives on face and body, no trouble breathing.  9/20/06 at 2:36 pm given BENADRYL 25 mg by mouth every 6-8 hours as needed.
Age: 30.0
Sex: M
Vaccine: JEV, RAB
Symptoms: Urticaria
Clinical narrative: About 2 days after receiving the first dose of Japanese Encephalitis vaccine and first dose of Rabies, client began having intermittent, generalized hives.  BENADRYL as needed.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Rash maculo-papular
Clinical narrative: Macular papular rash on neck, trunk, arms, legs.
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Chills, Fatigue, Influenza like illness, Malaise
Clinical narrative: Initial report received on 17/Aug/2006 from a physician.  A 20-year-old female patient, with mild asymptomatic tonsillitis at the time of vaccination, had received an intramuscular, left arm injection of Adacel, lot number C2454AA, and an intramuscular, right arm injection of Menatra, lot number U2057AA, ON 14/Aug/2006.  Within 24 hours, she experienced weakness in her legs, pain under her right axilla, general malaise, arthralgia, fatigue, low grade fever, chills and aches.  The signs and symptoms were "flu-like".  Per the report, the event required no medical intervention. Recovery status was not reported. Follow-up information received on 14/Aug/2006. It was reported that the patient had a mild viral infection prior to injection, but was asymptomatic. No further description of the event of leg weakness was provided and the reporter stated that it was "difficult to give the etiology" no diagnosis was reported. The event did required examination by a physician. The patient did not require any neurological testing and no diagnostics were completed. No treatement was prescribed, the subject developed a mild, dry cough which resolved in five days. The patient recovered from all reported events.
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Muscular weakness, Pain, Pyrexia
Clinical narrative: Initial report received on 17/Aug/2006 from a physician.  A 20-year-old female patient, with mild asymptomatic tonsillitis at the time of vaccination, had received an intramuscular, left arm injection of Adacel, lot number C2454AA, and an intramuscular, right arm injection of Menatra, lot number U2057AA, ON 14/Aug/2006.  Within 24 hours, she experienced weakness in her legs, pain under her right axilla, general malaise, arthralgia, fatigue, low grade fever, chills and aches.  The signs and symptoms were "flu-like".  Per the report, the event required no medical intervention. Recovery status was not reported. Follow-up information received on 14/Aug/2006. It was reported that the patient had a mild viral infection prior to injection, but was asymptomatic. No further description of the event of leg weakness was provided and the reporter stated that it was "difficult to give the etiology" no diagnosis was reported. The event did required examination by a physician. The patient did not require any neurological testing and no diagnostics were completed. No treatement was prescribed, the subject developed a mild, dry cough which resolved in five days. The patient recovered from all reported events.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Joint range of motion decreased, Myalgia, Pain
Clinical narrative: Day after vaccine was given patient complained of soreness to arm, with decreased range of motion, and increased pain.  Patient did have an approximately 1 cm by .75 cm bruise to area, no redness, or swelling.  One week later patient demonstrated continued decreased range of motion.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Pain
Clinical narrative: No fever, only deep tissue pain and aching at site of injection.
Age: 56.0
Sex: M
Vaccine: HEP, HEPA, IPV, TD, TYP, YF
Symptoms: Dizziness, Headache, Pyrexia, Respiratory disorder
Clinical narrative: Fever, headache, infection of the throat, dizziness.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Back pain, Blood pressure increased, Bone disorder
Clinical narrative: Low back Pain, osteophytosis, L5-S1 disc bulge, joint pain, diabetes, high blood pressure, right and left foot spur, right shoulder pain and depressive disorder, memory lost. Medical records for DOS 1/24/04-1/24/06 Yellow fever vaccine administered in 01/25/1995. Diagnoses: diabetes mellitus. low back pain due to L5-S1 disc bulge and osteophytosis. Right heel pain. Right shoulder pain. Axis I depressive disorder not otherwise specified as manifested by difficulty falling asleep and middle of the night awakenings, irritability, feeling tense and keyed up, easily drawn to angry outbursts and low dysphoric mood. Precipitating stressors: chronic pain and loss of previous level of functioning. Predisposition: non known. impairment for further military duty. Axis II; Deferred. Axis III: Hypertension. Non-insulin dependent diabetes mellitus. Lumbar disc disease. Recommendation: service member fails to meet retention standards.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Depression, Diabetes mellitus, Shoulder pain
Clinical narrative: Low back Pain, osteophytosis, L5-S1 disc bulge, joint pain, diabetes, high blood pressure, right and left foot spur, right shoulder pain and depressive disorder, memory lost. Medical records for DOS 1/24/04-1/24/06 Yellow fever vaccine administered in 01/25/1995. Diagnoses: diabetes mellitus. low back pain due to L5-S1 disc bulge and osteophytosis. Right heel pain. Right shoulder pain. Axis I depressive disorder not otherwise specified as manifested by difficulty falling asleep and middle of the night awakenings, irritability, feeling tense and keyed up, easily drawn to angry outbursts and low dysphoric mood. Precipitating stressors: chronic pain and loss of previous level of functioning. Predisposition: non known. impairment for further military duty. Axis II; Deferred. Axis III: Hypertension. Non-insulin dependent diabetes mellitus. Lumbar disc disease. Recommendation: service member fails to meet retention standards.
Age: 0.44
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Cyanosis, Lethargy, Pallor, Screaming
Clinical narrative: Vaccines given approx 10:30. 10:45am went home had a bottle and put down for nap. woke up screaming approx 4 hours after appt with tremors lethargic afterwards. To hosp via ambulance very pale kept over night and then Discharges.  10/20/06 Received medical records from hospital which reveal patient was taken to ER after awaking form nap screaming & shaking with erratic movements followed by a period of decreased activity, pallor & perioral cyanosis on the day of vaccination.  In ER, had LP & labs done & received IV antibiotics & antivirals.  Admitted to hospital overnight, returned to baseline next AM & was d/c to home./ss
Age: 0.44
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tremor
Clinical narrative: Vaccines given approx 10:30. 10:45am went home had a bottle and put down for nap. woke up screaming approx 4 hours after appt with tremors lethargic afterwards. To hosp via ambulance very pale kept over night and then Discharges.  10/20/06 Received medical records from hospital which reveal patient was taken to ER after awaking form nap screaming & shaking with erratic movements followed by a period of decreased activity, pallor & perioral cyanosis on the day of vaccination.  In ER, had LP & labs done & received IV antibiotics & antivirals.  Admitted to hospital overnight, returned to baseline next AM & was d/c to home./ss
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Myalgia, Pyrexia, Swelling
Clinical narrative: 2- 2 1/2 hours after immunization face felt hot and was noted to be red.  Temperature 100.8 per ear thermometer.  Next day 20 hours after vaccine facial erythema, very mild and involved the cheeks (patient appeared "hot").  Also minimal cheek swelling, no shortness of breath/breathing difficulty or other problems.  Does note myalgias, muscle soreness in chest wall with deep inspiration.
Age: 1.21
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Convulsion
Clinical narrative: Patient reports that after leaving clinic on 09/12/06, she experienced seizure while driving, no loss of consciousness, but loss of motor functions.  Reports she was under control with use of Keppra but medical doctor discontinued the medicine since 2/06.  This was the first seizure since.  At clinic she received PPD and also Depo Provera shot.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Pain in jaw, Swelling, Tenderness
Clinical narrative: Mother described swelling and redness with tenderness over left parotid gland area with pain on opening in jaw, lasted 48 hours, used Ibuprofen.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Pain
Clinical narrative: Redness, heat, swelling and pain in right arm, cellulitis in right arm.  Treated with 1 gram ROCEPHIN to right buttock intramuscular, treated for KEFLEX 500 mg four times a day for 10 days.
Age: 30.0
Sex: M
Vaccine: JEV
Symptoms: Pruritus, Urticaria
Clinical narrative: Subject received his first JEV vaccine, along with a typhoid vaccine on 8/31/06.  He denies any unusual local reactions at vaccine sites except he experienced almost constant itching at his JEV vaccine site.  He denies any systemic symptoms.  He received his second JEV vaccine on 9/7/06 and experienced itching again at his JEV vaccine site on his left arm.  On Monday, 9/11/06, he woke up with hives on his left shoulder and neck area.  Later, he noted hives under his eyes and on his back.  He continued to experience intermittent hives since Monday, usually on his chest or back, but also on his left leg on am of 9/15/06.  He took BENADRL with relief, but noted recurrence of hives as mediation wore off.  If he does not take BENADRYL, the hives usually go away after about 2 hours.  He denies problems with angioedema, itchy or tight throat, or dyspnea. Follow-up Information filed 31 October 2006: An initial VAERS was filed on behalf of this patient by the Vaccine Healthcare Centers Network in September 2006 after patient experienced delayed onset urticaria following his second JEV vaccine. On 10/14/06, patient was given a JEV challenge. He received a total 1 ml JEV subcutaneously in divided doses (.1, .2, .3, .4 ml) with only 1 hive noted after receipt of final increment. At that time, he was given IM BENADRYL 50mg. He remained in clinic under observation for another 1 hour without any additional symptoms or hives. He was prescribed daily Allegra 180 mg. The patient was contacted weekly through 25 October without any further urticaria reported.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: swelling, erythema, pruritus started 9/12/06 evening on left deltoid area of arm.  Treated: BENADRYL 25 mg every 6 hours.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Malaise, Muscle spasms, Nausea, Pallor
Clinical narrative: (per mother) "very ill with nausea".  She became white from head to toe and having muscle spasms and hands were doing this (mother acting out hand movements that were spastic and contortion like). "thought she was having a stroke".
Age: 0.52
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Cough, Vomiting
Clinical narrative: On 9-14-06 The child received 4 vaccines at approximately 10:45 am.  At approximately 10:45 pm, mother heard her cough while she was sleeping in her crib, about 5 minutes later I heard her cough again.  She had not been sick so I was concerned.  I went to her room she was wide awake smiling and babbling.  I picked her up and played with her for about 5 minutes. I then breast fed her and realized she was only nibbling and not eating like normal.  I then put her her back into her crib and not 30 seconds later she vomited.  I pick her up and sat her on the floor so I could change the bedding as soon as I was done changing it.  I picked her up and she started to vomit again.  I called for my husband to come and help.  As he was cleaning up I went to get the pamphlets that talk about adverse reactions.  I noticed on the DTaP that 1 in 50 children will vomit.  About 10 minutes later she started vomiting again.  At that point I was concerned, but not worried.  She continued to vomit until she was having dry heaves and had completely emptied her stomach.  I took her to bed with us and I breast fed her again around midnight and she was fine.  No more vomiting episodes.  The next morning I called the doctor's office to report the adverse reaction.  I spoke the nurse and explained to her what had happened.  Her first comments were that the child had some kind of viral thing.  I then told her about the 1 in 50 children vomiting and she said well maybe that was the case.  The nurse called me back after having speaking to the doctor.  The doctor agree with the nurse that it was not the vaccine that caused the vomiting, but that the child had something viral.  My daughter had not or was not sick at all.  She did not have any kind of symptoms what so ever.  Personally, being an experienced mom of 4, I believe the vaccine had an adverse reaction on my daughter.
Age: 4.0
Sex: M
Vaccine: DTAP, MU
Symptoms: Injection site warmth, Pyrexia, Rash macular, Swelling
Clinical narrative: Arm became swollen from shoulder to elbow.  Red blotch 3" by 2" formed that was stiff and hot to the touch.  Low grade fever below 100 degree.  Symptoms lasted for 4 days despite elevating, cool compresses and TYLENOL. Swelling was in the right arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dysphonia
Clinical narrative: On 9/6/06 had DTaP, MMR, IPV at doctor's office came to health department for Varicella that same day, next day 9/7/06 voice became squeaky could only whisper.  No problems breathing, no pain, no sore throat voice returned 9/10/06.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Chest discomfort, Flushing, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Pt was flushed, nausea and vomiting, felt heaviness in chest, c/o arm pain (left arm). Advised pt to go to ER because no Drs were present in clinic. Red area on left arm 5 1/2 cm across.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Pt was flushed, nausea and vomiting, felt heaviness in chest, c/o arm pain (left arm). Advised pt to go to ER because no Drs were present in clinic. Red area on left arm 5 1/2 cm across.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Coma, Salivary hypersecretion
Clinical narrative: Increase oral secretions, clear odorless, gulping, decrease responsiveness for 5-10 minutes.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMRV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Rash
Clinical narrative: Left arm warm, red and swollen from elbow to shoulder. Slight rash on lateral side of arm. TX Tylenol and cold packs. Problem resolved by 9/17/06.
Age: 25.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Dizziness, Dyskinesia, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: Approx 10 minutes after vaccination. Pt complained of dizziness. She briefly lost consciousness and upper extremities jerked and were drawn toward her chest for approx 5-10 sec. She regained consciousness and complained of nausea. She was diaphoretic. Pt was observed for 30 mins. Bp 90/60, HR 72 talked with pt on telephone 2 hours after incident. Still complained of nausea.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Hypersensitivity, Injection site induration, Skin discolouration
Clinical narrative: Mother called 9/5/06 to report allergic reaction to shots 8/31/06. Severe lump am 9/2/06 left arm, white center in bump. Took to Dr 9/2/06 and medications were given.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Immediate local reaction of redness and small hives at site of Dtap. Given 12.5 Benadryl. Bp 104/50 lungs clear, Ice applied, no distress of SOB, Seen by DR, F/U call 9/7/06 child fine and attending school.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Coma, Hypotonia, Pallor, Staring
Clinical narrative: After giving last immunization MMR, pt turned pale, had a blank stare, would not respond to moms voice and became limp. I laid her down elevated her feet/legs and began to wash her face. She almost immediately began to respond. Observed her for about 15 minutes. She drank Water and ate crackers before she left (Ambulatory). Mother stated she fainted often as a child, when she was scared, etc. 9/16/06 I spoke with mom today (after school). Mom stated she went to school today and is fine. We have scheduled her next immunizations for 11/20/06.
Age: 52.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Bone pain, Malaise, Skin disorder
Clinical narrative: Sickness, Pain Bone, Spot skin, Loss of Memory.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Skin disorder
Clinical narrative: Itchy skin Stains on the skin.
Age: 6.0
Sex: U
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness to injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Decreased appetite, Pyrexia, Vomiting
Clinical narrative: 1 Day after vaccination had fever, vomiting, decreased appetite and missed 1 day of school because of it. Resolving symptoms by 2 days after vaccine.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Blister
Clinical narrative: Pt has a few scattered vesicles.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Screaming
Clinical narrative: Inconsolable crying for > 3 hours.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Myalgia, Shoulder pain
Clinical narrative: Muscle pain in arm where shot was received, the pain radiates up the shoulder and into the neck. No redness or swelling at the site.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Erythema, Feeling hot, Injection site induration, Injection site swelling
Clinical narrative: CC:  Severe Swelling following vaccination. History:  Patient reports about 2 ½ days ago patient presented to the Immunization clinic for vaccination.  She was given the Tetanus/Pertussis vaccine.  She reports within a couple hours she noticed a lot of pain in the arm.  She reports the arm was uncomfortable when trying to sleep.  The following morning the lump was a lot bigger.  No numbness or tingling in hands.  She reports using warm compresses and the took Motrin.  The first day it started out being a small painful area but by the second day it covered her whole Deltoid area.  She complains of problems working out due to the pain.  She was able to sleep but it was mildly uncomfortable.  No numbness or tingling.  She complains of feeling warm but did not take her temperature.  No chills.  She reports two bouts of water like stools last night but no blood.  Today she awoke with continued swelling and tenderness and she was concerned that she might have an Abscess.  No hives or shortness of breath. O: PHYSICAL EXAM: VITALS:  Temperture 97.2 degrees   GEN:  WD, WN in NAD, appears stated age  Psy:  Interaction normal for age;  orientation, mood and affect appear normal Chest:   Normal respiratory effort without accessory muscle use; good air movement, CTA bilaterally CV:  RRR, nl S1 S2; no murmur heard  Skin: 7X7 cm induration with 12X10 erythema of the skin over the right Deltoid.  No sharp erythematous border no weeping or oozing
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Sleep disorder
Clinical narrative: CC:  Severe Swelling following vaccination. History:  Patient reports about 2 ½ days ago patient presented to the Immunization clinic for vaccination.  She was given the Tetanus/Pertussis vaccine.  She reports within a couple hours she noticed a lot of pain in the arm.  She reports the arm was uncomfortable when trying to sleep.  The following morning the lump was a lot bigger.  No numbness or tingling in hands.  She reports using warm compresses and the took Motrin.  The first day it started out being a small painful area but by the second day it covered her whole Deltoid area.  She complains of problems working out due to the pain.  She was able to sleep but it was mildly uncomfortable.  No numbness or tingling.  She complains of feeling warm but did not take her temperature.  No chills.  She reports two bouts of water like stools last night but no blood.  Today she awoke with continued swelling and tenderness and she was concerned that she might have an Abscess.  No hives or shortness of breath. O: PHYSICAL EXAM: VITALS:  Temperture 97.2 degrees   GEN:  WD, WN in NAD, appears stated age  Psy:  Interaction normal for age;  orientation, mood and affect appear normal Chest:   Normal respiratory effort without accessory muscle use; good air movement, CTA bilaterally CV:  RRR, nl S1 S2; no murmur heard  Skin: 7X7 cm induration with 12X10 erythema of the skin over the right Deltoid.  No sharp erythematous border no weeping or oozing
Age: 28.0
Sex: F
Vaccine: FLUN3
Symptoms: Chills, Dysphonia, Ear pain, Lymphadenopathy, Pyrexia
Clinical narrative: 1 hr after administering, pt began experiancing hoarse voice/ loss of voice. later sx to include fever, swollen lymp nodes, chills, L ear pain.
Age: 24.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: Pain in my arm, fever and pain on the next day, feeling sick, weak and tired with still mild pain in my body on the third day. reported submitted letter indicated that the reactions to the Menactra shot lasted for two days, felt achy pained and very very tired. After the two days, however, the symptoms subsided. Feel fine now.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Pyrexia
Clinical narrative: High Fever, Severe Stomach pains.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Received injection approx 10am on 9-6-06, that afternoon arm became tender to touch. Arm still aches this day, no redness or swelling or fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Rash macular, Swelling
Clinical narrative: Parent reports that entire left upper thigh seems swollen 1-1/2 times normal size, swollen to but not including knee.  Rest of thigh blotchy. Painful.  Afebrile.  Sent for evaluation, treated with Keflex.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Irritability
Clinical narrative: Unconsolable crying x 2 hours occuring 4 hours after administration of Pediarix, Hib and PCV-7.  Over subsequent 4-5 days continued to be "much fussier than usual".