chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Blood potassium decreased, Blood sodium increased, Convulsion, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Initial and follow up information has been received from a nurse practitioner in form of medical record, concerning a healthy 21 year old female patient with no previous medical history reported, who on 21-AUG-2008 was vaccinated with the third dose of GARDASIL. On the same date, the patient was vaccinated with a first dose of hepatitis A (unspecified) (manufacturer unknown). Vaccines were administered in preparation of travel abroad. The nurse reported that the patient experienced seizure after receiving her third dose of GARDASIL. Subsequently, the patient experienced lower abdominal pain and seizure described as uncontrollable left sided shaking to left arm face and shoulders. On 23-AUG-2008, the patient started to have the same shakes and was taken to the emergency room but was not admitted. She had no headache, nausea, vomiting, numbness or weakness. While being examined in the emergency room, the patient had the same rhythmic movement of face and arm. Possible extrapyramidal and muscular contraction symptoms were noted by the emergency room. Liver function tests were check and were within normal limits. The patient was prescribed benztropine mesylate (manufacturer unknown), BENADRYL, and dexamethasone (manufacturer unknown). On 28-AUG-2008, the patient was seen in the reporting nurse practitioner's office for follow-up to the emergency room visit. It was noted that the patient had no problems since the emergency room visit. Assessment noted as an allergic reaction, possible reaction to GARDASIL. On an unknown date, the patient recovered. There was no product quality complaint. Upon internal review, the patient's seizure was considered an other important medical event. No additional information is expected. All available medical records will be provided on request.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Hypersensitivity, Tremor, White blood cell count increased
Clinical narrative: Initial and follow up information has been received from a nurse practitioner in form of medical record, concerning a healthy 21 year old female patient with no previous medical history reported, who on 21-AUG-2008 was vaccinated with the third dose of GARDASIL. On the same date, the patient was vaccinated with a first dose of hepatitis A (unspecified) (manufacturer unknown). Vaccines were administered in preparation of travel abroad. The nurse reported that the patient experienced seizure after receiving her third dose of GARDASIL. Subsequently, the patient experienced lower abdominal pain and seizure described as uncontrollable left sided shaking to left arm face and shoulders. On 23-AUG-2008, the patient started to have the same shakes and was taken to the emergency room but was not admitted. She had no headache, nausea, vomiting, numbness or weakness. While being examined in the emergency room, the patient had the same rhythmic movement of face and arm. Possible extrapyramidal and muscular contraction symptoms were noted by the emergency room. Liver function tests were check and were within normal limits. The patient was prescribed benztropine mesylate (manufacturer unknown), BENADRYL, and dexamethasone (manufacturer unknown). On 28-AUG-2008, the patient was seen in the reporting nurse practitioner's office for follow-up to the emergency room visit. It was noted that the patient had no problems since the emergency room visit. Assessment noted as an allergic reaction, possible reaction to GARDASIL. On an unknown date, the patient recovered. There was no product quality complaint. Upon internal review, the patient's seizure was considered an other important medical event. No additional information is expected. All available medical records will be provided on request.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, VARCEL, HEP, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: 9/06/08 face itching, red, warm to touch. Body fells warm to touch, like running a fever. Observed from patient face red, warm to touch with small red bumps all over resembling a rash. Instructed pt. to take 25mg benadryl and apply hydrocortisone to face. Followup in 1 day.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, VARCEL, HEP, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash erythematous, Skin warm
Clinical narrative: 9/06/08 face itching, red, warm to touch. Body fells warm to touch, like running a fever. Observed from patient face red, warm to touch with small red bumps all over resembling a rash. Instructed pt. to take 25mg benadryl and apply hydrocortisone to face. Followup in 1 day.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a female child who was vaccinated with GARDASIL.  The patient had seizure after the vaccination.  The patient sought medical attention.  Upon internal review, seizure was determined to be an other important medical event.  This is one of several reports from the same source.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Autism
Clinical narrative: Information has been received from a nurse midwife which reported that "a mother of one of her patients said she read somewhere" concerning a 17 year old female who on an unspecified date was vaccinated with a dose of GARDASIL.  Subsequently the patient developed autism.  It was unknown if the patient sought any medical attention.  The outcome of the patient was unknown.  Upon internal review, autism was determined to be an other important medical events.  Attempts are being made to verify the existence of an identifiable patient and reporter.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Autoimmune disorder, Headache, Malaise, Myalgia
Clinical narrative: Information has been received from a consumer concerning her daughter a 17 year old female who on an unspecified dates was vaccinated with the first and second doses of GARDASIL. In December 2008, the patient was vaccinated with a third dose of GARDASIL. Around January 2008, the patient developed headaches and muscle aches. She has a pending diagnosis of lupus. The patient has been in and out school due to sickness and autoimmune systems issues. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: Information has been received from a consumer concerning her daughter a 17 year old female who on an unspecified dates was vaccinated with the first and second doses of GARDASIL. In December 2008, the patient was vaccinated with a third dose of GARDASIL. Around January 2008, the patient developed headaches and muscle aches. She has a pending diagnosis of lupus. The patient has been in and out school due to sickness and autoimmune systems issues. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Cerebrovascular accident, Intensive care
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified dates was vaccinated with the first, second and a third dose of GARDASIL. The patient told physician that a friend experienced a stroke after receiving the third dose of GARDASIL. The friend was admitted to the hospital (intensive care unit) twice and is currently hospitalized. Stroke were considered to be immediately life-threatening. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician, for the pregnancy registry for GARDASIL, concerning a 20 year old female with a history of 1 pregnancy and 1 elective termination who on 16-NOV-2007, 16-JAN-2008 and 03-SEP-2008 was vaccinated with a first, second and third doses, respectively, of GARDASIL (Lot # of the first dose 658222/0927U, Lot # of the third dose 660557/0072X).  Concomitant therapy included ORTHO TRI-CYCLEN.  Subsequently the patient became pregnant.  Her LMP was 29-APR-2008.  Estimated conception date was 13-MAY-2008.  Estimated delivery date was 03-FEB-2009.  On 16-JUN-2008 the patient had an elective termination.  The products of conception were not examined.  It was unknown if the fetus was normal.  There was no complication during pregnancy.  There were no concurrent medical conditions.  Upon internal review, "elective termination" was determined to be an other important medical event.  No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Laboratory test, Malaise, Nausea, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter with no pertinent medical history or drug reactions/allergies, who about six months ago (approximately in March 2008) was vaccinated with the first dose of GARDASIL. There was no concomitant medication. Reporter's daughter developed a fever, chills, nausea, hives, and became seriously ill after getting the first dose of GARDASIL. Patient has been hospitalized 4 times since then. Lab diagnostics studies performed included numerous tests. Therapy with GARDASIL was discontinued. At time of report, the patient had not recovered. Additional information has been requested. 1/7/09-records received for DOS 5/23-5/26/08-Admitted with C/O pain unable to get out of bed without any discomfort. History of polyarthralgia admitted for increased symptoms. first degree heart block. 11/2/08 C/O hair loss, weight gain.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter with no pertinent medical history or drug reactions/allergies, who about six months ago (approximately in March 2008) was vaccinated with the first dose of GARDASIL. There was no concomitant medication. Reporter's daughter developed a fever, chills, nausea, hives, and became seriously ill after getting the first dose of GARDASIL. Patient has been hospitalized 4 times since then. Lab diagnostics studies performed included numerous tests. Therapy with GARDASIL was discontinued. At time of report, the patient had not recovered. Additional information has been requested. 1/7/09-records received for DOS 5/23-5/26/08-Admitted with C/O pain unable to get out of bed without any discomfort. History of polyarthralgia admitted for increased symptoms. first degree heart block. 11/2/08 C/O hair loss, weight gain.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a consumer concerning her 17 year old daughter who was vaccinated with the three doses of GARDASIL in 2007 (March, April and September). In March 2007 she started to have seizures. She had a total of 7 seizures in 2007. She had no history of seizures prior to receiving GARDASIL. Her daughter had another seizure last month (August 2008). She has been taking unspecified medication for her seizures. The patient sought medical attention at the emergency room. The patient's mother also indicated that the patient was hospitalized. Patient's mother stated: "My daughter started having seizures when she received GARDASIL and I don't know why. She has never had seizures before and I told the doctor the only thing that was different was she received GARDASIL". "I don't know how to tell my daughter that this was because of GARDASIL". "She can't get her driver's license because of her seizures". "She's now taking a medication for her seizures which would cause birth defects if she tries to have children in the future". Additional information is not expected.   10/23/2008 10/23/2008 PCP records received. WCC 3/20/08 with normal exam except c/o heavy periods and passing large clots.  Seen for hospital f/u after 3 episode of vasovagal syncope. 2nd HPV dose given 34 days after 1st. Another syncopal episode reported by mom. Seen 6/19/07 for Amenorrhea x 3 months. Seen 6/25/07 with c/o intermittent  mid-sternal chest pain x 2 weeks. Assessment costochondritis. Syncopal episode with head twitching, amnesia and post-episode grogginess. Referred to Neurology. Neurology records received beginning 8/8/2007 to 8/27/2008 with DX: Seizures.  Pt initially presented to neurologist after several episodes of passing out. First 2 likely episodes likely syncope, the 3rd episode of unresponsiveness more likely seizure or psuedoseizure. After several more, started on Trileptal. No episodes until 8/5/08 but mother reports forgetfulness, and grades have dropped. No menses x 3 months. Obn 8/5/08 pt found unresponsive on ground with teeth clenched, eyes fluttering. Returned to baseline after 1.5 hrs. 2 additional ER visits for dysmenorrhea and near fainting-uncertain cause.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Information has been received from a consumer concerning her 17 year old daughter who was vaccinated with the three doses of GARDASIL in 2007 (March, April and September). In March 2007 she started to have seizures. She had a total of 7 seizures in 2007. She had no history of seizures prior to receiving GARDASIL. Her daughter had another seizure last month (August 2008). She has been taking unspecified medication for her seizures. The patient sought medical attention at the emergency room. The patient's mother also indicated that the patient was hospitalized. Patient's mother stated: "My daughter started having seizures when she received GARDASIL and I don't know why. She has never had seizures before and I told the doctor the only thing that was different was she received GARDASIL". "I don't know how to tell my daughter that this was because of GARDASIL". "She can't get her driver's license because of her seizures". "She's now taking a medication for her seizures which would cause birth defects if she tries to have children in the future". Additional information is not expected.   10/23/2008 10/23/2008 PCP records received. WCC 3/20/08 with normal exam except c/o heavy periods and passing large clots.  Seen for hospital f/u after 3 episode of vasovagal syncope. 2nd HPV dose given 34 days after 1st. Another syncopal episode reported by mom. Seen 6/19/07 for Amenorrhea x 3 months. Seen 6/25/07 with c/o intermittent  mid-sternal chest pain x 2 weeks. Assessment costochondritis. Syncopal episode with head twitching, amnesia and post-episode grogginess. Referred to Neurology. Neurology records received beginning 8/8/2007 to 8/27/2008 with DX: Seizures.  Pt initially presented to neurologist after several episodes of passing out. First 2 likely episodes likely syncope, the 3rd episode of unresponsiveness more likely seizure or psuedoseizure. After several more, started on Trileptal. No episodes until 8/5/08 but mother reports forgetfulness, and grades have dropped. No menses x 3 months. Obn 8/5/08 pt found unresponsive on ground with teeth clenched, eyes fluttering. Returned to baseline after 1.5 hrs. 2 additional ER visits for dysmenorrhea and near fainting-uncertain cause.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Bradycardia, Dyspnoea, Hyperhidrosis, Immediate post-injection reaction, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician assistant concerning a 22 year old female with allergy to CECLOR, who on 16-AUG-2007 was vaccinated intramuscularly with a first dose of GARDASIL (Lot # reported as "9725103") 0.5 ml, on 21-NOV-2007 was vaccinated intramuscularly with a second dose of GARDASIL (Lot # 654539/0742U) 0.5 ml and on 21-AUG-2008 was vaccinated intramuscularly in the left deltoid with a third dose of GARDASIL (Lot # 655604/0052X) 0.5 ml. There was no concomitant medication. The physician assistant (P.A) reported that the patient experienced a vasovagal attack after getting the third dose of GARDASIL on 21-AUG-2008. Immediately after vaccination, the P.A reported that the patient stated that she was not feeling well and was having difficulty breathing. She became pale, nauseous, very sweaty, and had bradycardia. She was laid completely flat. She did not lose conscious nor did she vomit. The patient was given ammonia inhalant and recovered in about 15-20 minutes. It was reported by the P.A that the events were considered to be serious as life threatening as the patient was having difficulty breathing. The patient remained recovered. The P.A reported that the events were "directly related" to GARDASIL. There was no product quality complaint. A Lot check has been requested. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Nausea, Pallor, Syncope vasovagal
Clinical narrative: Information has been received from a physician assistant concerning a 22 year old female with allergy to CECLOR, who on 16-AUG-2007 was vaccinated intramuscularly with a first dose of GARDASIL (Lot # reported as "9725103") 0.5 ml, on 21-NOV-2007 was vaccinated intramuscularly with a second dose of GARDASIL (Lot # 654539/0742U) 0.5 ml and on 21-AUG-2008 was vaccinated intramuscularly in the left deltoid with a third dose of GARDASIL (Lot # 655604/0052X) 0.5 ml. There was no concomitant medication. The physician assistant (P.A) reported that the patient experienced a vasovagal attack after getting the third dose of GARDASIL on 21-AUG-2008. Immediately after vaccination, the P.A reported that the patient stated that she was not feeling well and was having difficulty breathing. She became pale, nauseous, very sweaty, and had bradycardia. She was laid completely flat. She did not lose conscious nor did she vomit. The patient was given ammonia inhalant and recovered in about 15-20 minutes. It was reported by the P.A that the events were considered to be serious as life threatening as the patient was having difficulty breathing. The patient remained recovered. The P.A reported that the events were "directly related" to GARDASIL. There was no product quality complaint. A Lot check has been requested. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Death neonatal, Drug exposure during pregnancy, Full blood count, Premature baby, Suicide attempt
Clinical narrative: Information has been received from Merck pregnancy registry through a 15 year old female consumer with cardiac murmur, asthma, and an allergic reaction to Penicillin, Augmentin, and c-Chlor who in October 2007, was vaccinated with the first dose of GARDASIL (lot# not provided). At the time of reporting the patient was approximately 16 weeks pregnant. No adverse side effects were reported. Unknown medical attention was sought. An ultrasound showed that the baby was okay at this point. The patient's outcome is unknown. No product quality complaint was involved. Follow-up information was received from the patient's mother which reported that in March 2008, the patient gave birth to a female baby at 23 weeks. The baby was born alive, her organs were well developed and had a strong heart beat. The baby weighed 11lb 8oz. Eight hours after birth, the baby died. According to the patient's mother, the doctors could do nothing for it because the baby was too premature. The patient's mother reported that the patient had even attempted suicide. Upon internal review, premature baby, birth weight low and suicide attempt were considered to be other important medical events. Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan normal
Clinical narrative: Information has been received from Merck pregnancy registry through a 15 year old female consumer with cardiac murmur, asthma, and an allergic reaction to Penicillin, Augmentin, and c-Chlor who in October 2007, was vaccinated with the first dose of GARDASIL (lot# not provided). At the time of reporting the patient was approximately 16 weeks pregnant. No adverse side effects were reported. Unknown medical attention was sought. An ultrasound showed that the baby was okay at this point. The patient's outcome is unknown. No product quality complaint was involved. Follow-up information was received from the patient's mother which reported that in March 2008, the patient gave birth to a female baby at 23 weeks. The baby was born alive, her organs were well developed and had a strong heart beat. The baby weighed 11lb 8oz. Eight hours after birth, the baby died. According to the patient's mother, the doctors could do nothing for it because the baby was too premature. The patient's mother reported that the patient had even attempted suicide. Upon internal review, premature baby, birth weight low and suicide attempt were considered to be other important medical events. Additional information is not expected.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Crying, Immediate post-injection reaction
Clinical narrative: This report was received from GSK and was assigned manufacturers #A0744305A for PEDIARIX. This was originally reported by a health professional concerning a 7-week-old male with no history of previous influenza virus vaccinations who on 16-JUL-2008 (also reported as 16-Jun-2008) was vaccinated with a first dose of ROTATEQ (Lot number 660848/0303X route and site unknown, unknown of previous doses also reported as unknown). Suspect therapy included a first dose of PREVENAR (Lot number C86145 route and site unknown, number of previous doses also reported as unknown) and a first 0.5 ml dose into the right upper thigh of PEDIARIX (Lot number AC21B150AA, route unknown). It was reported that on 16-Jul-2008 (also reported as 16-JUN-2008) immediately after vaccination with PEDIARIX the patient experienced inconsolable crying. The patient was taken to the emergency room by his mother, but he was not admitted to the hospital. The inconsolable crying lasted until 22:00 on the same day that the PEDIARIX was administered. The reporting healthcare professional considered the event to be disabling and clinically significant (or requiring intervention). At the time of reporting the event was resolved. The healthcare professional considered the event to be probably related to vaccination with PEDIARIX. Follow-up information was received from a nurse who indicated that the previously reported concomitant vaccines PREVENAR and ROTATEQ were co-suspect for the inconsolable crying. The nurse provided the vaccination date of 16-Jul-2008, which was previously reported as 16-Jun-2008. In addition, the nurse indicated that the event was not disabling as was previously reported. The PEDIARIX series was neither discontinued nor delayed. The reporting nurse considered the event to be possibly related to vaccination with PEDIARIX, but also stated that the child's parent may have been overly concerned. The event was reported to be resolved as of 16-Jul-2008. The reporter considered crying to be clinically significant and was therefore considered to be an other important medical event.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a female child who was vaccinated with GARDASIL. The patient had seizure after the vaccination. The patient sought medical attention. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports from the same source. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Headache, Hypoaesthesia, Neck pain, Pain, Pyrexia
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Screaming, Tremor, White blood cell count decreased
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Blood albumin decreased, Blood calcium decreased
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Blood culture negative, Body temperature increased, C-reactive protein increased, CSF test normal, Computerised tomogram head
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Computerised tomogram normal, Electrolyte imbalance, Epstein-Barr virus test negative, Face and mouth X-ray normal, Headache
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Hypoaesthesia, Myalgia, Neck pain, Pain, Pancytopenia
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Protein total decreased, Pyrexia, Red blood cell sedimentation rate normal, Screaming, Tremor
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP, DTAP, HPV4
Symptoms: Viral infection, Virus serology test negative, White blood cell count decreased
Clinical narrative: Severe neck pain, headache so bad she held her head screaming in pain, drop in white blood cell count to 1000, very high fever, uncontrollable shaking, hurting from head to toe, numbness in arms.  10/6/2008  MR received for DOS 8/21-26/2007 with D/C DX: Viral Syndrome.  Pt presented with onset of severe headache, myalgias, arthralgias, and fever beginning on 8/18/07. Seen in local ER for meningitis w/u which was (-). Found to be pancytopenic so admitted for further w/u.  Severe H/A tx with IV and po pain meds. Fevers up to 103 with ID w/u all (-), so abx d/c after cx (-). Pancytopenia improving. Had some electrolyte imbalances to be f/u as outpt.  LFTs abnormal to f/u as outpt.
Age: 42.0
Sex: F
Vaccine: ANTH, FLUN3, HEP
Symptoms: Supraventricular tachycardia
Clinical narrative: My 4th anthrax booster was given on 17 Oct 2007 upon my return from one country to another. On 2 Nov 2007, 16 days later, I experienced a cardiac event (SVT). The only thing now in my system when asked by doctors what I had different, was the booster. I have no history of heart ailments. The SVT was a one time event. 9/24/08-records received-11/2/07 C/O dizziness, palpitations, chest tightness. Diagnosed with SVT.  MI ruled out. Office visit 2/27/08-C/O coughing, congestion and runny nose, post nasal drip and sore throat times 1 week.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Computerised tomogram normal, Consciousness fluctuating, Convulsion, Drug screen negative, Full blood count normal
Clinical narrative: Altered mental status, possible seizure activity occurred approximately 24 hours after appt of vaccination. Full evaluation pending. Had variable levels of consciousness x 18-24 hours after first episode. 9/23/08-records received for DOS 8/19-8/21/08-DC DX: Altered mental status, possible new onset seizures. Seizure activity day prior, presented to ED after not returning to baseline. Appeared to be hallucinating and less interactive, followed by throwing back of her head and posturing of left hand. Sleepy after event. Transferred.  -
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Laboratory test normal, Mental status changes
Clinical narrative: Altered mental status, possible seizure activity occurred approximately 24 hours after appt of vaccination. Full evaluation pending. Had variable levels of consciousness x 18-24 hours after first episode. 9/23/08-records received for DOS 8/19-8/21/08-DC DX: Altered mental status, possible new onset seizures. Seizure activity day prior, presented to ED after not returning to baseline. Appeared to be hallucinating and less interactive, followed by throwing back of her head and posturing of left hand. Sleepy after event. Transferred.  -
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electromyogram normal, Gait disturbance, Lipids normal, Lumbar puncture normal, Mental disorder
Clinical narrative: Muscle weakness, trouble walking, psychiatric changes - starting early September.  9/30/08 Reviewed hospital medical records of 9/21-9/22/08. FINAL DX: facial palsy, weakness, slurred speech Records reveal patient had asthma exacerbation requiring intubation & ICU stay shortly s/p HPV injection.  While in ICU began having thigh & back pain & weakness which progressed over 3 wks until unable to walk.  Developed slurred speech, HA & tongue deviation.  Had been seen in other hospitals & w/u WNL.   10/21/08 Reviewed hospital records of 9/12-9/17/2008, ER records of 9/5-6/08. FINAL DX: no d/c summary available Records reveal patient experienced asthma exacerbation & hospitalized 8/08 in PICU.  Developed leg pain, toes pointing in w/walking, tingling in toes, numbness in forearms that resolved.  Seen by PCP & labs revealed elevated LFTs.  Leg pain progressed & had difficulty walking, HA, back pain.  Seen in ER 9/6/08.  admitted 9/9/08 for evaluation of possible GBS.  CSF & EMG were WNL & developed n/v s/p spinal tap.  Had missed several weeks of school.  Neuro eval WNL.    10/7/08 Reviewed hospital medical records of 9/9-9/12/2008. FINAL DX: LE pain & weakness; elevated liver enzymes Records reveal patient experienced pain in back & extremities, ataxia, swelling of feet/ankles, numbness/tingling left arm, unable to walk, drug induced HA & skin rash(tegretol).  Neuro consult done.  Transferred per parental request.   1/27/2010 Was seen by several neurologist-multiple test done and no abnormalities found to explain her symptoms. More than on newurologist suggested her symptoms were related to a "conversion reaction" and suggested psychiatry evaluation.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging normal
Clinical narrative: Muscle weakness, trouble walking, psychiatric changes - starting early September.  9/30/08 Reviewed hospital medical records of 9/21-9/22/08. FINAL DX: facial palsy, weakness, slurred speech Records reveal patient had asthma exacerbation requiring intubation & ICU stay shortly s/p HPV injection.  While in ICU began having thigh & back pain & weakness which progressed over 3 wks until unable to walk.  Developed slurred speech, HA & tongue deviation.  Had been seen in other hospitals & w/u WNL.   10/21/08 Reviewed hospital records of 9/12-9/17/2008, ER records of 9/5-6/08. FINAL DX: no d/c summary available Records reveal patient experienced asthma exacerbation & hospitalized 8/08 in PICU.  Developed leg pain, toes pointing in w/walking, tingling in toes, numbness in forearms that resolved.  Seen by PCP & labs revealed elevated LFTs.  Leg pain progressed & had difficulty walking, HA, back pain.  Seen in ER 9/6/08.  admitted 9/9/08 for evaluation of possible GBS.  CSF & EMG were WNL & developed n/v s/p spinal tap.  Had missed several weeks of school.  Neuro eval WNL.    10/7/08 Reviewed hospital medical records of 9/9-9/12/2008. FINAL DX: LE pain & weakness; elevated liver enzymes Records reveal patient experienced pain in back & extremities, ataxia, swelling of feet/ankles, numbness/tingling left arm, unable to walk, drug induced HA & skin rash(tegretol).  Neuro consult done.  Transferred per parental request.   1/27/2010 Was seen by several neurologist-multiple test done and no abnormalities found to explain her symptoms. More than on newurologist suggested her symptoms were related to a "conversion reaction" and suggested psychiatry evaluation.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Electromyogram normal, Gait disturbance, Lumbar puncture normal, Mental disorder
Clinical narrative: Muscle weakness, trouble walking, psychiatric changes - starting early September.  9/30/08 Reviewed hospital medical records of 9/21-9/22/08. FINAL DX: facial palsy, weakness, slurred speech Records reveal patient had asthma exacerbation requiring intubation & ICU stay shortly s/p HPV injection.  While in ICU began having thigh & back pain & weakness which progressed over 3 wks until unable to walk.  Developed slurred speech, HA & tongue deviation.  Had been seen in other hospitals & w/u WNL.   10/21/08 Reviewed hospital records of 9/12-9/17/2008, ER records of 9/5-6/08. FINAL DX: no d/c summary available Records reveal patient experienced asthma exacerbation & hospitalized 8/08 in PICU.  Developed leg pain, toes pointing in w/walking, tingling in toes, numbness in forearms that resolved.  Seen by PCP & labs revealed elevated LFTs.  Leg pain progressed & had difficulty walking, HA, back pain.  Seen in ER 9/6/08.  admitted 9/9/08 for evaluation of possible GBS.  CSF & EMG were WNL & developed n/v s/p spinal tap.  Had missed several weeks of school.  Neuro eval WNL.    10/7/08 Reviewed hospital medical records of 9/9-9/12/2008. FINAL DX: LE pain & weakness; elevated liver enzymes Records reveal patient experienced pain in back & extremities, ataxia, swelling of feet/ankles, numbness/tingling left arm, unable to walk, drug induced HA & skin rash(tegretol).  Neuro consult done.  Transferred per parental request.   1/27/2010 Was seen by several neurologist-multiple test done and no abnormalities found to explain her symptoms. More than on newurologist suggested her symptoms were related to a "conversion reaction" and suggested psychiatry evaluation.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: Muscle weakness, trouble walking, psychiatric changes - starting early September.  9/30/08 Reviewed hospital medical records of 9/21-9/22/08. FINAL DX: facial palsy, weakness, slurred speech Records reveal patient had asthma exacerbation requiring intubation & ICU stay shortly s/p HPV injection.  While in ICU began having thigh & back pain & weakness which progressed over 3 wks until unable to walk.  Developed slurred speech, HA & tongue deviation.  Had been seen in other hospitals & w/u WNL.   10/21/08 Reviewed hospital records of 9/12-9/17/2008, ER records of 9/5-6/08. FINAL DX: no d/c summary available Records reveal patient experienced asthma exacerbation & hospitalized 8/08 in PICU.  Developed leg pain, toes pointing in w/walking, tingling in toes, numbness in forearms that resolved.  Seen by PCP & labs revealed elevated LFTs.  Leg pain progressed & had difficulty walking, HA, back pain.  Seen in ER 9/6/08.  admitted 9/9/08 for evaluation of possible GBS.  CSF & EMG were WNL & developed n/v s/p spinal tap.  Had missed several weeks of school.  Neuro eval WNL.    10/7/08 Reviewed hospital medical records of 9/9-9/12/2008. FINAL DX: LE pain & weakness; elevated liver enzymes Records reveal patient experienced pain in back & extremities, ataxia, swelling of feet/ankles, numbness/tingling left arm, unable to walk, drug induced HA & skin rash(tegretol).  Neuro consult done.  Transferred per parental request.   1/27/2010 Was seen by several neurologist-multiple test done and no abnormalities found to explain her symptoms. More than on newurologist suggested her symptoms were related to a "conversion reaction" and suggested psychiatry evaluation.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Headache, Injection site erythema, Myalgia, Neck pain
Clinical narrative: Onset myalgia/joints shoulders, elbows, wrist, hips, back, knees, ankle, fingers. Headaches, neck pain. 12 hr after injection-Had 10 cm x 8 cm erythema (R) upper arm at site of Injection - afebrile (H/O portugese man o'war multiple stings 8/24/05)
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Herpes zoster, Pruritus
Clinical narrative: 8/3/08 - Itching, burning, blisters on one side of face and eyelid.  Seen by opthamologist and treated with Valtrex for diagnosis of Shingles.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Client began getting an itchy, raised, red rash on stomach, first noticed in morning of 8-28-08.  Since then, rash has continued to spread down trunk, onto legs, down arms and on face.  Rash continues to be itchy, client taking Benadryl for itching, says it seem to help.  Denies fever, malaise.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Unconsolable crying greater than 4 hours never called office only reported when asked on exam today
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Evening of vaccinations, patient has pain swelling at the injection site - left arm; later become red then stabilized and shortly resolving (Per med symptoms likely varicella location)
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient developed redness and warmth and swelling at the site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood test, Erythema, Feeling abnormal, Injection site pain
Clinical narrative: Arm was a little red but didn't hurt woke up 2nd day after, shot and all my joints were very swollen and painful. Was exercising 3 days a week- 2 to 3 hrs. can't do 1 full class now. Weak muscle- just don't feel the same as I did before I had it.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Joint swelling, Muscular weakness, Neurological examination, Nuclear magnetic resonance imaging
Clinical narrative: Arm was a little red but didn't hurt woke up 2nd day after, shot and all my joints were very swollen and painful. Was exercising 3 days a week- 2 to 3 hrs. can't do 1 full class now. Weak muscle- just don't feel the same as I did before I had it.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Pallor, Rash erythematous, Streptococcal identification test negative
Clinical narrative: 48 hours erythematous rash, blanching confluent; No hives, chest, arms, back, legs, No oral lesions; "Sandpaper"; Strep (-)
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: large 18 x 16 cm red warm area of skin on lateral aspect of R upper arm, cellulitis vs allergic rxn
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Patients right thigh was swollen by the injection site and patient was complaining of itchy very much.
Age: 91.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Herpes zoster, Pain
Clinical narrative: Got Shingles, occurred w/o rash.  Shingles pain.  Shortness of breath.
Age: 0.3
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No symptoms.  No adverse event.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Influenza like illness, Injection site erythema, Injection site swelling, Mobility decreased
Clinical narrative: Redness and swelling down arm and at the injection site, fever (105), nausea, achy body, pain in arm and difficult to move arm - (Flu like symptoms) - Taken to several doctors and given Cephalexin and pain medication (Tylenol & Motrin).
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Oedema peripheral, Pain, Pain in extremity, Pyrexia
Clinical narrative: Redness and swelling down arm and at the injection site, fever (105), nausea, achy body, pain in arm and difficult to move arm - (Flu like symptoms) - Taken to several doctors and given Cephalexin and pain medication (Tylenol & Motrin).
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Redness and swelling down arm and at the injection site, fever (105), nausea, achy body, pain in arm and difficult to move arm - (Flu like symptoms) - Taken to several doctors and given Cephalexin and pain medication (Tylenol & Motrin).
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous
Clinical narrative: Patient developed erythematous patches on her arms, back and stomach during the evening on 9/11/08.  She was evaluated at the clinic on 9/12/08.  No vesicles.  I spoke with her father on 9/15/08 and he reports that child has recovered.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Muscle swelling
Clinical narrative: Swelling of right muscle
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: Large red area on left vastus lateris.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Heart rate normal, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Diaphoretic, pale around mouth, face.  Complained of nausea and feeling warm and sweaty.  Blood pressure 96/52, heart rate 82 - remain stable.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash papular
Clinical narrative: Developed diffuse papular rash 8-9 days after receiving Varicella and MMR vaccines (on 8/19/08).  Seen again on 8/31/08.  Neck, trunk, arms and legs with raised pink bumps (no vesicles).  Slight fever, fussy.  Rash lasted 2-3 days.  Twin brother had similar rash for 1 day; also had vaccine same day.
Age: 23.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Wrong formulation given.
Age: 29.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Wrong formulation given
Age: 65.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Blister
Clinical narrative: 4 DAYS AFTER receiving YF and Hep A vaccines pt. noted blisters on soles of both feet; used NEOSPORIN for 2 days. Podiatrist used CEPHALEXIN, 2 courses, no injection but vesicles drained clear fluid; took "about a week"
Age: 1.6
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient received vaccination (varicella) in March 2008 with dose of PREVNAR within 24 hours patient developed high ever and seizured. patient treated in ED.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Pain, Pyrexia
Clinical narrative: Fluzone/Pneumovax administered Saturday.  Patient in bed Sunday, couldn't get up, achy, 99.0 fever.  Monday afternoon felt fine.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Discomfort, Eye disorder, Pyrexia, Rhinorrhoea, Tremor
Clinical narrative: Within an hour of receiving Flu Mist vaccine yesterday, patient had a high fever (104) with shaking (chills?). We gave him Tylenol at 4:45, 8:15, and 4:15am. He had the high fever for 12-15 hours. It seems to have broken now, and he seems to be feeling better. Additional symptoms included general discomfort, shaking, runny nose, glassy eyes. All symptoms have now subsided.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Hives 2 hr post vaccine administration.  Uticarial lesions persist 12 hours post vaccine. No respiratory distress or airway obstruction.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood immunoglobulin M normal, CSF culture negative, CSF glucose normal, CSF protein normal
Clinical narrative: Pt developed malaise 4 days after HPV#1 vaccine.  Five days after, pt developed high fever (Tmax 102.6), headache, and dizziness & vertigo.  Pt described "tunnel vision" & bilateral hip pains.  10/3/08 Reviewed ER records of 9/8-9/9/2008. FINAL DX: Fever, HA Records reveal patient seen 9/8/08 after experienced malaise, low grade fever, nausea, 1 episode emesis, vertigo beginning approx 2 days s/p vaccination. D/c to home & returned to ER on 9/9/08 after being seen by PCP for fever & HA, ill appearing, dizzy, brief episode of tunnel vision, near-syncope.  LP done.  D/C to home
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: CSF white blood cell count negative, Dizziness, Epstein-Barr virus test negative, Headache, Malaise
Clinical narrative: Pt developed malaise 4 days after HPV#1 vaccine.  Five days after, pt developed high fever (Tmax 102.6), headache, and dizziness & vertigo.  Pt described "tunnel vision" & bilateral hip pains.  10/3/08 Reviewed ER records of 9/8-9/9/2008. FINAL DX: Fever, HA Records reveal patient seen 9/8/08 after experienced malaise, low grade fever, nausea, 1 episode emesis, vertigo beginning approx 2 days s/p vaccination. D/c to home & returned to ER on 9/9/08 after being seen by PCP for fever & HA, ill appearing, dizzy, brief episode of tunnel vision, near-syncope.  LP done.  D/C to home