chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Headache, Muscle spasms, Paraesthesia, Petit mal epilepsy
Clinical narrative: Information has been received from a consumer concerning her 17 year old daughter with no pertinent medical history and no known drug allergies/drug reactions who "in August 2007" was vaccinated with the first dose of GARDASIL on the right arm. The patient received the second dose in December 2007. There was no concomitant medication reported. It was reported that "within the week of the first vaccination" the patient had been experiencing seizures and fainting after having first dose of GARDASIL. It was reported that the patient started to feel "electric shocks" on the right side of the body along with muscles spasms. She also had strange headaches and petit mal seizures. The patient saw a physician. An electroencephalogram (EEG) and magnetic resonance imaging (MRI) were performed (results not provided). It was reported that the patient had not recovered at the time of the report. Upon internal review, the events of seizures and petite mal seizures were determined to be other important medical events. Additional information has been requested.   9/15/09 Received PCP medical records. FINAL DX: atypical HA; possible seizures Records reveal patient experienced rash, mono, OM, migraine HA, URI, UTI, abdominal pain, fibula fracture from diving accident, .  Referred to dermatology & neuro.  Neuro eval of 10/08 revealed atypical HA, electric shock type pain, staring spells, mild speech difficulty, intermittent balance problams.  Tx w/meds & improved.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a consumer concerning her 17 year old daughter with no pertinent medical history and no known drug allergies/drug reactions who "in August 2007" was vaccinated with the first dose of GARDASIL on the right arm. The patient received the second dose in December 2007. There was no concomitant medication reported. It was reported that "within the week of the first vaccination" the patient had been experiencing seizures and fainting after having first dose of GARDASIL. It was reported that the patient started to feel "electric shocks" on the right side of the body along with muscles spasms. She also had strange headaches and petit mal seizures. The patient saw a physician. An electroencephalogram (EEG) and magnetic resonance imaging (MRI) were performed (results not provided). It was reported that the patient had not recovered at the time of the report. Upon internal review, the events of seizures and petite mal seizures were determined to be other important medical events. Additional information has been requested.   9/15/09 Received PCP medical records. FINAL DX: atypical HA; possible seizures Records reveal patient experienced rash, mono, OM, migraine HA, URI, UTI, abdominal pain, fibula fracture from diving accident, .  Referred to dermatology & neuro.  Neuro eval of 10/08 revealed atypical HA, electric shock type pain, staring spells, mild speech difficulty, intermittent balance problams.  Tx w/meds & improved.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Joint swelling, Oedema peripheral, Pain in extremity, Swelling face
Clinical narrative: Initial report received on 06 July 2009 from a physician. A 57-year-old female patient, who has allergy to bee stings and pesticides, but no known drug allergies, had received a dose of ADACEL (lot number, route and site not reported) on 02 July 2009. The patient was taking concomitant medication LIPITOR (indication not reported), and had not received any other vaccinations within four weeks of 02 July 2009. One hour post-vaccination on 02 July 2009, the patient reported hives, facial swelling, and shortness of breath. The patient was evaluated by a physician and placed on PREDNISONE 60-60-40-40 dosing. On 05 July 2009 the patient began having swelling of knee (side not reported). The following day, the knee was better, but the left hand was swollen and painful. It was unknown if the patient had any relevant diagnostic test or if any laboratory data had been performed. Other treatments received were not reported. At the time of this report, it was unknown if the patient had recovered. Documents held by sender: None.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Initial report received on 06 July 2009 from a physician. A 57-year-old female patient, who has allergy to bee stings and pesticides, but no known drug allergies, had received a dose of ADACEL (lot number, route and site not reported) on 02 July 2009. The patient was taking concomitant medication LIPITOR (indication not reported), and had not received any other vaccinations within four weeks of 02 July 2009. One hour post-vaccination on 02 July 2009, the patient reported hives, facial swelling, and shortness of breath. The patient was evaluated by a physician and placed on PREDNISONE 60-60-40-40 dosing. On 05 July 2009 the patient began having swelling of knee (side not reported). The following day, the knee was better, but the left hand was swollen and painful. It was unknown if the patient had any relevant diagnostic test or if any laboratory data had been performed. Other treatments received were not reported. At the time of this report, it was unknown if the patient had recovered. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Cellulitis, Erythema, Pyrexia, Skin warm
Clinical narrative: This case was reported by a healthcare professional via sales representative and described the occurrence of cellulitis in a 5-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline). Previous and/or concurrent vaccination included MMR vaccine (non-gsk); Merck; unknown given on 21 MAY 2009, varicella virus vaccine (non-gsk); Merck; unknown given on 21 May 2009. On 19 May 2009 the subject received 1st dose of KINRIX (.5 ml, unknown). On 21 May 2009, 2 days after vaccination with KINRIX, the subject experienced cellulitis and fever. At an unknown time after vaccination with KINRIX, the subject experienced erythema of leg and warm to touch. The subject's legs were red, warm to touch, fever and diagnosed with cellulitis. The case was assessed to be medically significant by GSK. At the time of reporting the cellulitis and fever were resolved. The redness of the legs and warm to touch outcomes were unknown. The healthcare professional considered the events were probably related to vaccination with KINRIX.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Pyrexia, Skin warm
Clinical narrative: This case was reported by a healthcare professional via sales representative and described the occurrence of cellulitis in a 5-year-old female subject who was vaccinated with KINRIX (GlaxoSmithKline). Previous and/or concurrent vaccination included MMR II (non-gsk) ;Merck;unknown given on 19 May 2009; VARIVAX (non-gsk) ;Merck;unknown given on 19 May 2009. On 19 May 2009 the subject received 1st dose of KINRIX (.5 ml, unknown). On 21 May 2009, two days after vaccination with KINRIX, the subject experienced cellulitis and fever. At an unspecified time after vaccination with KINRIX, the subject experienced erythema of leg and warm to touch. This case was assessed as medically serious by GSK. At the time of reporting the outcome of erythema of leg and warm to touch were unspecified. The outcome of cellulitis and fever were resolved. The healthcare professional considered the events were probably related to vaccination with KINRIX.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test, Feeling hot, Headache, Pyrexia, Vomiting
Clinical narrative: Immun. given Mon., 7/6/09 at 3:30 pm. 7/7/09-around 4 am headache started; by 4 pm vomiting and hot. 5:30 pm fever 104°. Took to ER at 6 pm. Tx with Benedryl, Tylenol, and cool compress.  Blood was drawn; no results at this time. Mother states temp. controlled with Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Pyrexia, Skin lesion, Varicella post vaccine
Clinical narrative: Varicella Vaccine breakthrough.  Had varivax on 3/10/05 and 4/8/08.  Diagnosed in our office on 7/6/09 with varicella.  Fever for 72 hrs starting on 6/30/09.  Had over 50 lesions.
Age: 42.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Blister, Dizziness, Hypoaesthesia, Injection site erythema, Injection site rash
Clinical narrative: Patient complaining of dizziness and nausea the date of injection with a knot and redness at the injection site that has increased to a size of a baseball/softball with soreness and numbness down arm and across chest.  Complains of fever of 102 beginning 2 days after injection. Complains of red rash over site of reaction in arm, as well as old pox scars with some blistering.  Also complains of wheezing which she treated with her asthma inhaler.
Age: 42.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site swelling, Nausea, Pain in extremity, Pyrexia, Wheezing
Clinical narrative: Patient complaining of dizziness and nausea the date of injection with a knot and redness at the injection site that has increased to a size of a baseball/softball with soreness and numbness down arm and across chest.  Complains of fever of 102 beginning 2 days after injection. Complains of red rash over site of reaction in arm, as well as old pox scars with some blistering.  Also complains of wheezing which she treated with her asthma inhaler.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: PATIENT COMPLAINED OF AN ITCHY RASH ALL OVER HER BODY. THE RASH BEGAN SEVERAL HOURS AFTER THE VACCINE WAS ADMINISTERED.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: Patient with fever >102.0 less than 12 hrs after receiving immunization.  Patient resolved in 48 hrs without specific intervention.
Age: 52.0
Sex: M
Vaccine: HEPAB
Symptoms: Biopsy, Bronchoscopy abnormal, Eosinophilia, Night sweats, Pain
Clinical narrative: Fever, nights sweats, weight loss, aches, pneumonia  7/16/09 ICD-9 Codes: 486 (pneumonia unspecified organism, 515 (postinflammatory pulmonary fibrosis)  7/16/09 ICD-9 Codes: 486 (pneumonia unspecified organism, 515 (postinflammatory pulmonary fibrosis) \ksk  8/28/09 Hospital records received DOS 3/12/09. Final Diagnosis: Eosinophilic Pneumonia. Patient presents with persistant pnuemonia, bronchitis. Tachycardia, crackles/rales, expiratory wheeze, inspiratory wheeze. Weight loss.
Age: 52.0
Sex: M
Vaccine: HEPAB
Symptoms: Pyrexia, Weight decreased
Clinical narrative: Fever, nights sweats, weight loss, aches, pneumonia  7/16/09 ICD-9 Codes: 486 (pneumonia unspecified organism, 515 (postinflammatory pulmonary fibrosis)  7/16/09 ICD-9 Codes: 486 (pneumonia unspecified organism, 515 (postinflammatory pulmonary fibrosis) \ksk  8/28/09 Hospital records received DOS 3/12/09. Final Diagnosis: Eosinophilic Pneumonia. Patient presents with persistant pnuemonia, bronchitis. Tachycardia, crackles/rales, expiratory wheeze, inspiratory wheeze. Weight loss.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: PT PHONED ON MONDAY (7/13/09) MORNING AND SAID THAT SHE AWOKE ON SUNDAY (7/12/09) WITH A "BREAKOUT" ON HER STOMACH AND UPPER LEGS IN THE "AREAS WHERE IT'S WARMER". PT STATED THAT SITES DID NOT ITCH. SAID THAT WHEN SHE AWOKE ON MONDAY MORNING THAT IT "LOOKS LIKE CHICKEN POX". PT WAS ADVISED TO SEE THE PRESCRIBING PHYSICIAN.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: c/o soreness of R arm, mild swelling near injection site, chills, sweats, body aches, nausea, mild erythema at injection site. Seen in clinic 7/9, vac administered R deltoid on 7/7. Rec. Tylenol or motrin, ice pack to arm, phenergan 25 mg po every 6 hrs prn nausea. Pt called back on 7/10, said feeling much better.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: c/o soreness of R arm, mild swelling near injection site, chills, sweats, body aches, nausea, mild erythema at injection site. Seen in clinic 7/9, vac administered R deltoid on 7/7. Rec. Tylenol or motrin, ice pack to arm, phenergan 25 mg po every 6 hrs prn nausea. Pt called back on 7/10, said feeling much better.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Developed red, hot, raised, itchy blotch  under the left arm (shot injected into left arm) and also left upper chest above nipple area. Patient took Benadryl capsules (dose not known) and anti-itch cream (name of med unknown). Syptoms developed during the evening of July 9 (one day after vaccine administration) and persist until today with significant improvement.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: REDNESS WITH EDEMA AROUND INJECTION SITE IS LEFT DELTOID APRROX. 5X4 INCHES IN SIZE. CHILD WAS EVALUATED AND TREATED BY MD AT URGENT CARE.  RX FOR AUGMENTIN ISSUED.  NO RESPIRATORY DISTRESS.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Antinuclear antibody, Asthenia, Back pain, Balance disorder, Blood bicarbonate decreased
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Blood bilirubin normal, Blood calcium increased, Blood chloride decreased, Blood creatine phosphokinase decreased, Blood creatinine normal
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Blood glucose normal, Blood pH decreased, Blood potassium decreased, Blood sodium normal, Blood urea
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Coordination abnormal, Dyspnoea, Electrocardiogram normal, Fatigue
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Gait disturbance, Haematocrit, Haemoglobin, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Liver function test normal, Lymphocyte count normal, Mastication disorder, Mean cell volume abnormal, Myalgia
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Neutrophil count decreased, Otitis externa, Pain, Platelet count normal, Red blood cell sedimentation rate increased
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Scan brain, Sensation of heaviness, Specific gravity urine normal, Troponin, Urinary tract infection
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Vertigo, White blood cell count decreased
Clinical narrative: This 69-year-old female was brought in by ambulance with a one-day history of trouble eating that she described as difficulty chewing food secondary to lack of sensation in her tongue. She states that her problem started with numbness in her left hip starting around two months ago, which then spread much later to her abdomen and to her upper extremities. She feels that sit is getting worse now in the past ten days where she developed new weakness, balance problems and diminished sensation that spread to her face. The patient states that the trouble walking is secondary to her legs feeling heavy, her right side greater than her left side. She feels also uncoordinated when she walks and notes that the room seems to be spinning sometimes when she  her head. She denies any neck stiffening; only some right-sided muscle aches. Four days prior to admission, she was also in the emergency room for chest pain and otitis externa. Then three days ago, she was diagnosed with a urinary tract infection at the hospital. She states that she had a flu shot in November after which she developed same body aches, fatigue, shortness of breath and some back pain but felt that the symptoms were secondary to the shot. She states that she has a history of loss of control of urination only while coughing and no recent loss of function in the bowel or bladder function. She also relates that in 1998, she had an episode of ptosis which resolved on it's own. She had a Tensilon test at that time which was negative. Otherwise, she also was diagnosed with aspergillus pneumonia for which she sees Doctor and who prescribed PREDNISONE for her, the details of which she does not know.  7/30/09 Hospital records received DOS ER 12/6/01, Inpatient 12/09/01 to 12/20/01. Assessment: Fisher varient Guillain Barre syndrome. Patient presents with trouble eating, difficulty chewing food, lack of sensation in tongue. Numbness in hip, abdomen, and upper extremeties. Weakness, balance problems, diminished sensation that spread to face. Trouble walking, legs feeling heavy, right side greater than left. Room seems to be spinning, right sided muscle aches. Chest pain, otitis external, urinary tract infection. Fatigue, shortness of breath. Slurring speech. No two-point discrimination. Babinski abnormal. Deep tendon reflexes absent. Cerebellar clumsy heel to shin and finger to nose. Thigh pain.
Age: 38.0
Sex: F
Vaccine: HEPAB, MMR, TD
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Pyrexia
Clinical narrative: Fever of 101, redness, raised bump, and severe soreness at injection site.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Patient reports having an MMR vaccine 90 days before conception of pregancy. No complications from the vaccine were reported. Fetal sonogram detected a unilateral absent hand at 20 weeks gestation.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: Rec'd one dose Varicella, 48hrs later injection site red & swollen, then painful red welts on entire body. Patient also experienced nausea and dizziness, fatigue.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin, Blood test, Granuloma annulare, Herpes zoster, Rash
Clinical narrative: broke out with a rash on buttovk, sides, thighs, sow spreading, was told it is granuloma annulare. Appeared after vaccine. Stil having shingles, not as severe
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Recieved vaccine without incident at 1630 on 7/8/09, on following day [7/9/09] child almost passed out about 1100 hours in am.  Reportedly child sat down, pale and c/o seeing black in corners of eyes. C/o arm pain at vaccine site on  7/9/09 and 7/10/09.  Also c/o headache on 7/9/09 Site/deltoid noted to be red, swollen and warm and tender to touch.  By 7/11/09 arm site noted to be less red and tender.  No further c/o fainting occurred.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pallor, Presyncope, Visual impairment
Clinical narrative: Recieved vaccine without incident at 1630 on 7/8/09, on following day [7/9/09] child almost passed out about 1100 hours in am.  Reportedly child sat down, pale and c/o seeing black in corners of eyes. C/o arm pain at vaccine site on  7/9/09 and 7/10/09.  Also c/o headache on 7/9/09 Site/deltoid noted to be red, swollen and warm and tender to touch.  By 7/11/09 arm site noted to be less red and tender.  No further c/o fainting occurred.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: L deltoid induration (+) erythema, warm to touch.  Rx for TYLENOL/BENADRYL given.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature, Pain, Vaccination site erythema, Vaccination site induration
Clinical narrative: Vaccination site indurated, erythematous 99.2 Temp. Body aches.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin lesion
Clinical narrative: Patient woke up this morning (7-13-09) w/small lesions (rash) approximately 12 lesions between breasts, slightly oozing 0, size.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fear, Nausea, Syncope
Clinical narrative: Scared before injection. Syncopal episode after injection recovered after lying down. Mom reports nausea for few hours after.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site vesicles, Oedema peripheral
Clinical narrative: Woke up 07/11/09 Swelling & cellulitis from left elbow up to his neck including entire upper arm - with multiple blisters at injection site seen 7/11/09 Rx KEFLEX, PEDIAPRED and PO BENADRYL.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia
Clinical narrative: Headaches Fevers- per pt.  None while seen at the office.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema, Injection site pain, Injection site swelling, Rash
Clinical narrative: Blistering irregular rash on upper L arm - erythematous swollen area with mild tenderness.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Influenza like illness, Malaise, Pain
Clinical narrative: Flu-like malaise, weakness, low grade fever, headache - Painful rash across left breast.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Flu-like malaise, weakness, low grade fever, headache - Painful rash across left breast.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Rash, Rash pustular, Skin lesion
Clinical narrative: Extended rash - additional sores. Pt with erythema 8cm diameter around wound / small pustule (3mm) on opposite R lat. elbow, questionable lesion on back of R neck.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Headache, Oedema peripheral, Rash, Skin warm
Clinical narrative: Had TDAP/Menactra in (L) Deltoid on Wed 7/1/09, on 7/2/09 had headache, on 7/3/09 headache gone but had rash, redness, swelling & hot to touch on (L) Deltoid.  R arm measures 8 3/4" (L) arm measures 9".  Given instructions to take Benadryl 25-50 mg after 6 hrs.  Given Keflex to take only if are gets worse.  Warm/cold compresses.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Abnormal behaviour, Speech disorder developmental, Stereotypy
Clinical narrative: After receiving MMR shot at age 1, patient lost her words.  About 1 month later, she started making eeee sounds.  At 18 mo, she had 2nd HEP A shot and flu shot, and began spinning and stimming.  8/28/09 PCP notes and vax rec rec'd.  Well baby and child checks until  speech delay noted 3/12/08.  Dx of PDD on 8/19/08.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness. pain, swelling localized to injection site that started one day after injection given. Treated with AUGMENTIN with complete resolution.
Age: 50.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Erythema, Pyrexia, Rash, Rash morbilliform
Clinical narrative: Broke out with rash 5/26/09. Mild fever began 5/27/09. Denies any other problems. Denies difficulty breathing, swelling around lips/throat or hives. Rash is small, red bumps per pt description "measles like". Reviewed VIS form 3/98. To MD if develops moderated or severe problems.
Age: 18.0
Sex: F
Vaccine: HEPA, HIBV, HPV4, MNQ, TDAP
Symptoms: Head injury, Loss of consciousness, Malaise
Clinical narrative: Received 5 immunizations.  After receiving last immunization c/o not feeling well, passed out + hit head on floor.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Flushing, Hyperhidrosis, Immediate post-injection reaction, Unresponsive to stimuli
Clinical narrative: See attached Notes.  See back.  Client in today for immunization and PPD.  Client very apprehensive upon entering immunization room.  MENACTRA given via IM injection in left deltoid and PPD place in left forearm.  Immediately after placing PPD, client became flushed, sweaty and after only 1-2 minutes she became non-responsive.  Immediately called code blue.  Client placed in supine position with feet elevated with help from clinic staff.  Client became alert within seconds of being place in this position.  Injection site did not appear to have any adverse reactions.  Continued to take BP and pulse until client stabilized.  EMS called during code blue, when EMS arrived client already stable.  Instructed to call and report any further reactions or problems and to call EMS if symptoms repeat again.  Client brought in office today by mother and taken home by mother.
Age: 51.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain
Clinical narrative: Pt. called 6-19-09 spoke with RN c/o having reverse reactions to vaccines given 6-16-09. Pt. stated she was told to call back Monday 6-22-09 if she did not feel better. . She stated she was sore and her body ached. Upon speaking with pt. today I encouraged her to get checked by a doctor. Name and phone number obtained, and I called her back but did not get an answer at the time.6/22/09 at 4:35 patient returned call stated she just wanted to know if it was common to feel sore and aches after taking the Tdap and wanted to know if she could use her treadmill to exercise. After talking with patient she stated she felt better because reading the vaccine info sheet she got scared. I told her I would call back in the following days to check on her.
Age: 39.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Dizziness, Erythema, Fatigue, Headache, Influenza like illness
Clinical narrative: 7-8-09 receive injection - next day began developing local reaction - red, hot, painful R deltoid. That night developed flu - like Sx - exhausted, body ache's headache dizzy - today, 7-10 systemic Sx improved, but present. Arm still red, painful hot but no itch.
Age: 39.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Local reaction, Pain, Pain in extremity, Skin warm
Clinical narrative: 7-8-09 receive injection - next day began developing local reaction - red, hot, painful R deltoid. That night developed flu - like Sx - exhausted, body ache's headache dizzy - today, 7-10 systemic Sx improved, but present. Arm still red, painful hot but no itch.
Age: 17.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Dizziness, Hyperhidrosis, Malaise, Nausea, Pallor
Clinical narrative: Immediately after the 2 vaccines were given, patient complained of not feeling good.  Pallor and sweating noted; also complaints of nausea- then vomiting, "lightheaded".  Symptoms resolved after 5 minutes.
Age: 17.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Vomiting
Clinical narrative: Immediately after the 2 vaccines were given, patient complained of not feeling good.  Pallor and sweating noted; also complaints of nausea- then vomiting, "lightheaded".  Symptoms resolved after 5 minutes.
Age: 1.1
Sex: F
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: Hives Rash over abdomen and extremities.
Age: 2.0
Sex: M
Vaccine: RAB
Symptoms: Injection site pain, Lethargy, Weight bearing difficulty
Clinical narrative: Parents report change of affect of patient -> seems "lethargic" per parent. Also c/o pain in left leg where he received vaccination. O/E patient had limited weight bearing on leg. No localized erythema or swelling.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Induration, Swelling
Clinical narrative: Severe swelling/induration of deltoid region persisting 5 days after immunization.
Age: 21.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: 21 y.o. c/o rash on arms torso chest for 4 days after getting VARICELLA #2 vaccine given 4 days prior to rash.
Age: 1.4
Sex: M
Vaccine: DTAP, HEP, HEPA, HIBV
Symptoms: Convulsion, Pyrexia, Streptococcal identification test negative
Clinical narrative: Low grade fever since immunizations. On 7/8/09 at app. 5 AM temp increased 102 and pt had seizure. EMS called to home. Pt evaluated by pediatrician , later that morning at Peds. Sending due to EEG in 2 weeks.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site swelling
Clinical narrative: Night after vaccines, right thigh grossly swollen, indurated, red lacey rash over anterior thigh. Pt with decreased range of knee motion. Received DECADRON & ZYRTEC at an urgent care. Next AM - still indurated, decreased redness slightly.
Age: 65.0
Sex: U
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Insomnia, Musculoskeletal pain
Clinical narrative: Onset pulsating pain in shoulder radiating to back 6 hrs post vaccine.  No redness or swelling.  Unable to sleep 2 hour pain.  Much better post 24 hours pain unremarkable.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: Information has been received from a physician concerning an 84 year old female with allergic to medications who on 20-JAN-2009 was vaccinated with a 0.65 mL dose of ZOSTAVAX (Merck), subcutaneously (lot # 663639/1707X). On 24-JAN-2009 the patient developed a vesicular, pruritic rash on her extremities after receiving the dose of ZOSTAVAX (Merck), the rash was described as "varicella like rash". The patient was not hospitalized but was in assisted living facility at time of vaccination and was moved temporarily to the skilled nursing portion of the facility. Patient was given one dose of acyclovir. The physician is not interested in PCR analysis. The patient sought unspecified medical attention. The patient recovered on an unspecified date. Additional information has been requested.