chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Dyspnoea, Lacrimation increased, Rhinorrhoea, Tremor
Clinical narrative: Runny nose and eyes 6 hrs after shot. Extreme diarrhea about 10-12 hrs after the flu shot. Violent shaking about 12 hrs after the shot lasting for about 3 hrs. Couldn't catch my breathe, shaking so hard couldn't put on my glasses or hold a pen. No fever.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Back pain, Disorientation, Fatigue
Clinical narrative: AFTER I HAD MY LAST DOSE OF ANTHRAX I'VE EXPERIMENTED CONSTANT HEADACHES, MUSCLE/JOINT PAIN, FATIGUE (FEELING TIRE WITHOUT REASON), SKIN ITCH, BACK PAIN, SHORT LOST OF MEMORY OR DISORIENTATION. IN TOTAL I'VE HAD 4 DOSES OF ANTHRAX BETWEEN 2003 AND 2006.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Myalgia, Pruritus
Clinical narrative: AFTER I HAD MY LAST DOSE OF ANTHRAX I'VE EXPERIMENTED CONSTANT HEADACHES, MUSCLE/JOINT PAIN, FATIGUE (FEELING TIRE WITHOUT REASON), SKIN ITCH, BACK PAIN, SHORT LOST OF MEMORY OR DISORIENTATION. IN TOTAL I'VE HAD 4 DOSES OF ANTHRAX BETWEEN 2003 AND 2006.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Expired drug administered
Clinical narrative: Child administered expired vaccine, called HD and vaccine manufacturer.  Merck recom. revaccination based on Providers review and recommendation as they have no data.  Vaccine expired 9 days previous to administration.
Age: 11.0
Sex: M
Vaccine: MMR, TD
Symptoms: Eye disorder, Eye infection, Gastric disorder, Palpitations, Pyrexia
Clinical narrative: Fever, Dilated eyes, rash, rapid heart, eye infection, sick to stomach. Patient has suffered with severe stomach issues since,MMR 3rd shot given Januany 6th 2003,when 2 doses had been admistered years before and not properly documented in the Drs office.
Age: 11.0
Sex: M
Vaccine: MMR, TD
Symptoms: Rash
Clinical narrative: Fever, Dilated eyes, rash, rapid heart, eye infection, sick to stomach. Patient has suffered with severe stomach issues since,MMR 3rd shot given Januany 6th 2003,when 2 doses had been admistered years before and not properly documented in the Drs office.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 10-06-07fever 103                              10-07-07 Rash for 5-6 days
Age: 44.0
Sex: U
Vaccine: FLUX, FLU3
Symptoms: Asthenia, Body temperature increased, Dizziness, Dysphonia, Injection site erythema
Clinical narrative: Approximately 20 minutes after my shot my throat became extremely painful and hoarseness,I had to take my rescue inhaler, I became very dizzy and weak and I ached all over. I was also running 99.4 temp. I was feeling fine before my flu shot and after I had to go home and go to bed. This lasted 2 days.Also my site swelled and became extremely red and sore.
Age: 44.0
Sex: U
Vaccine: FLUX, FLU3
Symptoms: Injection site pain, Injection site swelling, Pain, Pharyngolaryngeal pain
Clinical narrative: Approximately 20 minutes after my shot my throat became extremely painful and hoarseness,I had to take my rescue inhaler, I became very dizzy and weak and I ached all over. I was also running 99.4 temp. I was feeling fine before my flu shot and after I had to go home and go to bed. This lasted 2 days.Also my site swelled and became extremely red and sore.
Age: 44.0
Sex: U
Vaccine: FLUX, FLU3
Symptoms: Body temperature decreased, Pain, Wheezing
Clinical narrative: Approximately 20 minutes after my shot my throat became extremely painful and hoarseness,I had to take my rescue inhaler, I became very dizzy and weak and I ached all over. I was also running 99.4 temp. I was feeling fine before my flu shot and after I had to go home and go to bed. This lasted 2 days.Also my site swelled and became extremely red and sore.
Age: 82.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discolouration, Skin warm
Clinical narrative: On the right arm where pneumococcal vaccine was administered, patient had discolored area of deltoid, bicep and tricep 16 hours after vaccination with some heat in that area.  Called patient 24 hours later and symptoms had subsided and heat was gone.  PT was seen by PA at Hospital.
Age: 1.03
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood test abnormal, Crying, Red blood cell sedimentation rate abnormal, Synovitis, White blood cell count normal
Clinical narrative: Patient showed signs of favoring his legs on the evening Wednesday Sept. 12th.  By Thursday morning patient would not move his legs at all and cried as if in severe pain.  I took him to see Dr. and we were sent to the emergency room for x-rays and blood work.  We went back to the doctor that afternoon and because it could not be determined whether patient was having a reaction to the Varicella virus or a bacterial infection he was given a shot of an antibiotic for safety.  He was taken back to the hospital the next day for more blood work.  It was determined the following day, after a negative blood culture for bacteria, that he had toxic synovitis.  I believe it was due to a reaction to the Varicella virus.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Woke up with 45X30 cm reddened area around injection site at back side of Left arm (not deltoid region) itchy and sore.  Came to PHN office to report, instructed to avoid itching and call if worsens.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Approx 3 inch long, 2 inch wide red/hot/swollen local reaction.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Swelling face
Clinical narrative: Facial swelling.  Left thigh red and swollen.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient said 4 hours after injection she was driving home and got dizzy so needed to pull off the highway and wait to pass.  She said it only lasted a few minutes.  Patient explained that she also has a history of headaches, dizziness, and sinus issues.  She said she was not too sure of what caused the sudden dizzines but wanted to tell me the reaction she experienced.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Chest pain, Herpes zoster, Influenza like illness, Rash
Clinical narrative: Patients mother received ZOSTAVAX vaccine on Friday 10/12/2007.  Patient developed flu like illness Sunday 10/14/2007 and developed lower left chest pain, burning and rash fairly classic for herpes zoster synday night. seen ny me ( her PMD ) on wed 10/17/2007 and started on valtrex 1000 mg q8h.  Patient herself had stem cell transplant/chemo/radiation 7 years ago and was reported to be cured of non hodgkin's lympoma.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site infection, Injection site pain
Clinical narrative: PAIN AT SITE OF INJECTION FOR PNEUMOVAX. PATIENT WENT TO PCP WHO DIAGNOSED INFECTION AT SITE OF INJECTION FOR PNEUMOVAX AND PRESCRIBED ANTIBIOTICS
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt developed mild case of herpes zoster right buttock treated with po famvir 500 tid for 7 days with one refill
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased
Clinical narrative: Fast heart beat-awaken from sleep; symptoms lasted X 2 hours; symptoms resolved spontaneously
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: 2-3 days after rec'ing Zostavax, pt developed pruritic erythematous papules below L axilla, rash then spread to involve upper ches, abdomen and entire back, shoulders, arms.  No fever/chills, myalgias, mouth lesions or swelling, no shortness of breath.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Injection site erythema, Pyrexia
Clinical narrative: fever of 103 for 3 days. reddness on injection arm continuing today.  Weekness also continuing today.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Pruritus generalised, Similar reaction on previous exposure to drug
Clinical narrative: erythema and edema at site, generalized itching. Caregivers feel he had same reaction to vaccine last year
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Day after vaccination had pin point, red dot, pimple like rash on ankles, toes, hands, between fingers and on arms with no blisters and no complaints of itching.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Throat tightness, Urticaria
Clinical narrative: Influenza vaccination administered at 09:45 am on 10/16/07.  Patient presented to health unit at 11:00am with syptoms of generalized body warmth, redness and "tight" feeling in throat.  VS 124/80-72-20  Pt. was alert & oriented x 3. No respiratory distress noted.  Generalized rednesss & hives noted to face, neck, torso & upper extremities.  Pt. given 0.3cc SQ of epinephrine and 911 called.  VS recheck 138/80-84-20. Pt. given benadryl en route and evaluated at local ED. Pt given prednisone at the ED and sent home with a prednisone pack.  Pt returned to work on 10-17-07 with no c/o.
Age: 8.0
Sex: M
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient was given DTaP instead of Td
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cough, Rash
Clinical narrative: Mother called nurse 1hr and 48mins after immunizations were given to report child had developed a rash on his face, dry cough, swelling of both ears and eyes. She sated that she had administored Tylenol after the immunizations were given. The child was taken to the local ER for evaluation. Parents refused treatment. Gave oral Benadryl to child when they arrived home from the ER.
Age: 0.58
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Cough, Crying, Inappropriate schedule of drug administration, Irritability, Poor quality sleep
Clinical narrative: Patient received Hepatitis A vaccine Havrik 720 for 15 month old at 6 months due to medical assistant error identification of two well child checks at similar times and giving the Hepatitis A .Patient also received DTap and Influenza .25 On October 15th Patient came in for a return visit with symptoms that mother and physician feel were unrelated to Hepatitis A vaccine administration . On Saturday, infant was irritable the entire time he was awake, did not sleep well , had a barking cough and fever. During the Monday visit, infant was afebrile at 97.6. Doctor noted that infant had excessive crying that settled during visit.
Age: 0.58
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Pyrexia
Clinical narrative: Patient received Hepatitis A vaccine Havrik 720 for 15 month old at 6 months due to medical assistant error identification of two well child checks at similar times and giving the Hepatitis A .Patient also received DTap and Influenza .25 On October 15th Patient came in for a return visit with symptoms that mother and physician feel were unrelated to Hepatitis A vaccine administration . On Saturday, infant was irritable the entire time he was awake, did not sleep well , had a barking cough and fever. During the Monday visit, infant was afebrile at 97.6. Doctor noted that infant had excessive crying that settled during visit.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Injection site bruising, Injection site pain, Oedema peripheral
Clinical narrative: 50 year old female came in 10/11/07 for Tdap injection after cutting her finger while chopping wood about a week earlier.  Not ill at time of Tdap injection, allergic to several antibiotics.  No other IZs in previous 4 weeks.  Injection site (left deltoid) was sore for 2-3 days afterwards.  Itching and redness began 12/15/07.  Entire upper arm is now slightly swollen, reddened almost the whole way around her arm, feels hot and slightly hard or tight.  Small bruise at injection site.  Redness does not entirely encircle injection site.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Skin warm
Clinical narrative: 50 year old female came in 10/11/07 for Tdap injection after cutting her finger while chopping wood about a week earlier.  Not ill at time of Tdap injection, allergic to several antibiotics.  No other IZs in previous 4 weeks.  Injection site (left deltoid) was sore for 2-3 days afterwards.  Itching and redness began 12/15/07.  Entire upper arm is now slightly swollen, reddened almost the whole way around her arm, feels hot and slightly hard or tight.  Small bruise at injection site.  Redness does not entirely encircle injection site.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Irritability, Oedema peripheral, Pruritus
Clinical narrative: Swelling of left upper arm noted by mother one day after vaccines administered.  Mother reports 2 vaccines were given in left arm and one in right.  Child is fussy but not toxic, with complaint of itching.  Treated with Benedryl and ice to area.  Vaccine provider information differs from parent's information in regard to site of vaccinations.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: intense itching of arms head eyes and trunk, diseminated hives
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Induration
Clinical narrative: S/P 24 hrs: 5x5 cm local erythema and induration L deltoid. Apparent migration of erythema down contralateral side of L arm with L wrist pain. No decrease in strength or ROM. No paresthesia, hypesthesia. 50mg Benadryl IM administered. PT instructed to RTC tomorrow for f/u.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: The pneumo vaccine was given at 11:30am on 10-13-07 in the right arm.  At 4:30pm on the same day, the pharmacy received a call from the patient complaining of severe soreness in the right arm and stating that the arm was "useless" and that she was unable to move it.  There was no swelling, difficulty breathing or fever reported.
Age: 57.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Mobility decreased, Nuclear magnetic resonance imaging abnormal, Pain
Clinical narrative: The day after the injection I was not able to lift my arm (right) above my shoulder due to pain. After approximately one week I could not lift it to drink without the help of my other hand. An orthopedic doctor has since told me that the injection / needle struck a blood vessel and nerve. Brachial Neuritus? Due to compensating for the pain I stressed other areas / inflammation of rotator cuff / bicepital tendonitus. Received cortisone injection 7/11/07.  11 physical therapy treatments / 11 chiropractic treatments / MRI / xrays / 2 acupuncture treatments / 1 massage therapy / 3 orthopedic appts / purchase of TENS unit.  Previous to injection on April 12, 2007 I swam 3 days / week and lifted moderate weights.  By mid August the pain had subsided. I still am not to the level of swimming or moderate weight lifting that I was prior to the injection.  There is still a ... "click" in my shoulder.  I sent a letter to the clinic on May 16 2007 stating my concerns.  I did not get a reply.   Twice I made appointments with Clinic Administrator and both times he was "not available".
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Large amount of swelling to below injection site of her left arm
Age: 49.0
Sex: F
Vaccine: DT
Symptoms: Blood test, Musculoskeletal pain, Nuclear magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: Continued pain and soreness in left arm and shoulder where vaccine was administered. Pain lifting and moving both arms, reduced ability to grasp objects. "Allergy Shiners" in both eyes. General aches and pains in under arm area and in back of knees. Have visited family physician, neurologist and rhinologist to date with no improvement in conditions.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Arthropod bite, Eyelid oedema, Hypersensitivity, Lip swelling
Clinical narrative: 6:20 PM Clients lips were swollen, left eyelid was swollen, red body rash. Had several what looked like "bug" bites on left arm. Mom denied these before imm visit. Were not "wheal" in appearance. Denied difficulty breathing. 630 PM Refer to EMS. Clinic was at fire station with SMS present.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint swelling, Musculoskeletal pain
Clinical narrative: 40 y/o who is evaluated for persisting polyarthralgias following immunization series in March and May 2007. He developed disabling bilateral shoulder pain that has fluctuated in intensity between the two shoulders, hips, L>R; both knees, L>R, and a period of days when the L knee seemed visibly swollen. He has noted decreased definition in the L thigh muscle. Ankles have been painful with motion and less with simple weight bearing, although standing in full combat gear eventually causes pain. His wrists have felt tight, but improve with motion. Noteworthy is that with the exception of the L knee no joint has swelled. Joints that are painful are explicitly not warm, swollen or tender to touch.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Local reaction, Nausea, Pyrexia, Vomiting
Clinical narrative: Large local reaction and high fever (103-104), nausea, vomiting
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Mother reports injection site was itchy, red, and swollen to size of softball x 1 wk. MD advised Benadryl, Tylenol, ice. Mother gave Tylenol and applied "cold compresses" and "itch cream".
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Diffuse maculopapular rash (chest, abd, back, arms) x 4 days with feveer (100.7) x 2 days.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Patient was given Anthrax vaccine for deployment. Responsible physician name is unknown. Next day (5 October 2007) patient had rash to cheeks and forehead. Pruritus noted and also pruritus to throat.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Erythema, Hypersensitivity, Lip swelling, Ocular hyperaemia
Clinical narrative: Acute allergic rxn, cough, red swollen eyes, and face, "throat felt funny" tightness, lips swollen. Benadryl, Epi-pen Jr, ER observation for several hrs.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Swelling face, Throat tightness
Clinical narrative: Acute allergic rxn, cough, red swollen eyes, and face, "throat felt funny" tightness, lips swollen. Benadryl, Epi-pen Jr, ER observation for several hrs.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Local reaction
Clinical narrative: Local reaction
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Contusion, Erythema, Induration, Skin warm, Swelling
Clinical narrative: (R) deltoid red, warm to touch. Black and blue, also "hard as a rock", "very swollen". To ER - oral antibiotics.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 103 at 2 mo of age 2 hours after first set of immunizations.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Rhinitis, Urticaria
Clinical narrative: Pt developed hives, increased rhinitis, SOB. Treated with Benadryl 25mg PO and several vital signs.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Swelling, redness, pain (L) arm. Chills. Temp 101.8 on 9/28/07.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: No adverse events - child received extra dose of DTaP, IPV< MMR and Varicella discovered previous doses per CVIIS.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and Redness at inj site (LVL)
Age: 6.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: arm swelled up, was very hot to touch
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Medication error
Clinical narrative: Child came to clinic with school request for MMR-DTaP-IPV and PCV. I administered the shots, parent gave me the vaccine card and then noticed it had all been stamped the day before. She said she showed the school the card today and gave her The request for the shots listed above-so she thought it had to be done. The Dr. called Poison Control. It appears to be alright. I called VAERS who suggested I report it.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Developed severe vesicles on her face 1 week after varicella vaccine, covering on area of approximately 3 vesicles from her mouth up to paranasal area and (L) cheek. Reoccurred once. Has a previous history of occasional dev. 1-2 vesicles
Age: 48.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Headache, Musculoskeletal stiffness, Neck pain, Pharyngeal erythema, Tenderness
Clinical narrative: C/O stiff neck and headache, aching neck nodes and (L) axillary tenderness since 10/5 seeming to rove today. Symptoms have gotten a little worse: No  lymphadenopathy, 97.2 temp., sl. red throat. This is day 13 post vaccination. 10/12/07 Pt called to report his stiff neck and soreness in the right axillary area had not improved but had not gotten worse. He reports irritable symptom. Discussed resources for him for medical provider - told he should consult a doctor. He reports he called the clinic but it is closed on Fridays. Told him about urgent care hours 12N - 8 PM 7 days a week walk in if he cannot get to his doctor. Received vaccine related symptoms in pt.
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Local reaction at site, red, warm to touch 50 x 60 mm Treatment: Claritin, Ice, Motrin
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Culture, Injection site erythema, Injection site pain, Injection site vesicles
Clinical narrative: (L) thigh with red area tender blister area over injection site. Multiple red areas with m.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Injection site pain
Clinical narrative: I had a reaction to my third Anthrax shot. The second day after the shot, I had severe pain in my whole Lt arm and left side of my chest.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, ANTH, HEP
Symptoms: Rash maculo-papular
Clinical narrative: Pt is a 26 year old who received AVA #1 and Hep B #1 on 7 Aug 07 in his left arm. Later that pm he noticed a few bumps on his upper back. He denied itching, respiratory problems, swelling or GI symptoms. The following day he noticed red bumps that looked like 'hives' on the back of both hands, again without itching. The following day he had numerous red raised bumps of varying sizes on his back, abd, arms, and legs. He denied lesions on his face, palms, and soles. He denied itching, respiratory problems, or GI symptoms. He stated his arm was a little sore from the shot, but he denied redness or any other symptoms to include headache, fever, malaise, joint or muscle pain. He stated he only had the rash with very minimal itching. He stated that his rash would not come and go, but that the bumps would appear and last wks to a couple of months. He did seek medical attention on 20 Aug and was given steroids. The hand and leg areas were the first to clear and then the lesions on the abd and back finally cleared approx 1-2 wks ago. In describing the rash both he and his wife stated that the bumps looked like pimples but did not contain any fluid or drain. The bump as it was healing would appear dry and would flake. No one else around him reported illnesses or skin problems. Denied exposure to fleas, chemicals or new substances. In reviewing the history it was noted that the pt was seen and diagnosed as having strep throat on 31 Jul with a positive culture. He was treated with pcn and stated he was feeling no better at the time of vaccination. He has prior hx of strep throats and has taken pcn in the past without problems. He denied any past history of skin problems to include dryness and sensitivities. Dx: Guttate Psoriasis.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, ANTH, HEP
Symptoms: Guttate psoriasis, Pharyngitis streptococcal, Rash, Skin exfoliation, Urticaria
Clinical narrative: Pt is a 26 year old who received AVA #1 and Hep B #1 on 7 Aug 07 in his left arm. Later that pm he noticed a few bumps on his upper back. He denied itching, respiratory problems, swelling or GI symptoms. The following day he noticed red bumps that looked like 'hives' on the back of both hands, again without itching. The following day he had numerous red raised bumps of varying sizes on his back, abd, arms, and legs. He denied lesions on his face, palms, and soles. He denied itching, respiratory problems, or GI symptoms. He stated his arm was a little sore from the shot, but he denied redness or any other symptoms to include headache, fever, malaise, joint or muscle pain. He stated he only had the rash with very minimal itching. He stated that his rash would not come and go, but that the bumps would appear and last wks to a couple of months. He did seek medical attention on 20 Aug and was given steroids. The hand and leg areas were the first to clear and then the lesions on the abd and back finally cleared approx 1-2 wks ago. In describing the rash both he and his wife stated that the bumps looked like pimples but did not contain any fluid or drain. The bump as it was healing would appear dry and would flake. No one else around him reported illnesses or skin problems. Denied exposure to fleas, chemicals or new substances. In reviewing the history it was noted that the pt was seen and diagnosed as having strep throat on 31 Jul with a positive culture. He was treated with pcn and stated he was feeling no better at the time of vaccination. He has prior hx of strep throats and has taken pcn in the past without problems. He denied any past history of skin problems to include dryness and sensitivities. Dx: Guttate Psoriasis.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram normal, Eating disorder, Headache, Hypoaesthesia
Clinical narrative: Patient developed sinus congestion, headache, nausea, and vomting.  Symptoms worsened through the month and is now being admitted to the hospital with numbness and tingling of her leg.  11/09/2007 Reviewed hospital medical records which reveal patient experienced URI symptoms & fatigue soon after initial HPV vaccine. Then received 2nd dose HPV & symptoms worsened.  Began to have sudden tingling & numbness of right foot & leg on 10/17 along w/nausea & extreme fatigue.  Admitted 10/18-10/20/2007.  Neurology consult done. FINAL DX: UTI; paresthesias of unclear etiology; possible conversion disorder; gallstones; probable GERD. Follow-up Information 20-DEC-2007: After receiving the 2nd dose of HPV Vaccination, 24 hours later I was light-headed, dizzy, nauseous, vomiting, severe headaches, sinusitis and had a bright red face. On October 18th I was hospitalized after 3 trips to the emergency room and numerous visits to my physician with severe nausea, and vomiting and inability to eat anything. I was treated unsuccessfully with Bactrim, Protonix, and Reglan. I received a CT Scan, MRI, Ultrasound, all that revelated nothing that could explain my symptoms other than what the vaccine has done to me, which seems to be unknown and not yet found. On November 15th I required a laparascopic cholecystectomy secondary to cholecystitis with cholelithiasis, my symptoms were the same as previous severe headaches, nausea, vomiting and inability to eat. The only thing that changed in my life was receiving the second dose of this vaccine on September 19th, 2007 and i have not been the same person since, I have been unable to work, eat regular meals or live the regualr life of a 25 year old.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Impaired work ability, Laboratory test normal, Nausea, Paraesthesia, Sinus congestion
Clinical narrative: Patient developed sinus congestion, headache, nausea, and vomting.  Symptoms worsened through the month and is now being admitted to the hospital with numbness and tingling of her leg.  11/09/2007 Reviewed hospital medical records which reveal patient experienced URI symptoms & fatigue soon after initial HPV vaccine. Then received 2nd dose HPV & symptoms worsened.  Began to have sudden tingling & numbness of right foot & leg on 10/17 along w/nausea & extreme fatigue.  Admitted 10/18-10/20/2007.  Neurology consult done. FINAL DX: UTI; paresthesias of unclear etiology; possible conversion disorder; gallstones; probable GERD. Follow-up Information 20-DEC-2007: After receiving the 2nd dose of HPV Vaccination, 24 hours later I was light-headed, dizzy, nauseous, vomiting, severe headaches, sinusitis and had a bright red face. On October 18th I was hospitalized after 3 trips to the emergency room and numerous visits to my physician with severe nausea, and vomiting and inability to eat anything. I was treated unsuccessfully with Bactrim, Protonix, and Reglan. I received a CT Scan, MRI, Ultrasound, all that revelated nothing that could explain my symptoms other than what the vaccine has done to me, which seems to be unknown and not yet found. On November 15th I required a laparascopic cholecystectomy secondary to cholecystitis with cholelithiasis, my symptoms were the same as previous severe headaches, nausea, vomiting and inability to eat. The only thing that changed in my life was receiving the second dose of this vaccine on September 19th, 2007 and i have not been the same person since, I have been unable to work, eat regular meals or live the regualr life of a 25 year old.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Patient developed sinus congestion, headache, nausea, and vomting.  Symptoms worsened through the month and is now being admitted to the hospital with numbness and tingling of her leg.  11/09/2007 Reviewed hospital medical records which reveal patient experienced URI symptoms & fatigue soon after initial HPV vaccine. Then received 2nd dose HPV & symptoms worsened.  Began to have sudden tingling & numbness of right foot & leg on 10/17 along w/nausea & extreme fatigue.  Admitted 10/18-10/20/2007.  Neurology consult done. FINAL DX: UTI; paresthesias of unclear etiology; possible conversion disorder; gallstones; probable GERD. Follow-up Information 20-DEC-2007: After receiving the 2nd dose of HPV Vaccination, 24 hours later I was light-headed, dizzy, nauseous, vomiting, severe headaches, sinusitis and had a bright red face. On October 18th I was hospitalized after 3 trips to the emergency room and numerous visits to my physician with severe nausea, and vomiting and inability to eat anything. I was treated unsuccessfully with Bactrim, Protonix, and Reglan. I received a CT Scan, MRI, Ultrasound, all that revelated nothing that could explain my symptoms other than what the vaccine has done to me, which seems to be unknown and not yet found. On November 15th I required a laparascopic cholecystectomy secondary to cholecystitis with cholelithiasis, my symptoms were the same as previous severe headaches, nausea, vomiting and inability to eat. The only thing that changed in my life was receiving the second dose of this vaccine on September 19th, 2007 and i have not been the same person since, I have been unable to work, eat regular meals or live the regualr life of a 25 year old.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Vaccinated with DTaP, IPV, MMR, and varicella on 9/19/2007.  On 9/21/07, mother called to report patient experiencing right deltoid (DTaP received in right deltoid) hardening with redness and swelling.  Patient denied pain.  Health department nurse advised mother to follow-up with private MD.  On 9/28/07, health department nurse called mother who stated patient was seen by PMD and given antibiotics of unknown name.  Mother reports all previous signs and symptoms have fully resolved.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea, Sensation of foreign body
Clinical narrative: Tightness in chest, coughing, mild difficulty breathing, lump in throat approximately 6.5 hours after immunization.  Called employee health nurse line, nurse said to call 911 and take a benadryl, but I did not comply as I did not feel like this was life threatening, opting instead to take two (2) 25mg Benadryl.  Symptoms resolved in approximately 1 hour following Benadryl.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Called in reporting generalized tingling over entire body which started about 3 hours after injection.  No redness or swelling.  Referred to ER.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Palatal oedema, Throat irritation
Clinical narrative: PT RECEIVED 2ND DOSE OF ANTHRAX VACCINE AT 09:53 ON 17 OCT 07.  PT WAS ON AUTHORIZED PASS TO HOME OF RECORD WHEN THE ADVERSE EVENT BEGAN. AT 15:00 THE SAME DAY STATES HIS THROAT BECAME ITCHY, LIKE SOMETHING WAS STUCK IN HIS THROAT. LOOKED IN MIRROW AND SAW A SWOLLEN UVULA. HE WENT TO LOCAL ER, CHECKED IN, DRS GAVE HIM SOLUMEDROL INJECTION, 125mg IM. THE SWELLING DECREASED, MONITORED AND RELEASED HIM TO FOLLOW-UP. DENIES OTHER SEVERE LIFE THREATENING EVENTS. PT WAS SEEN TODAY FOR FOLLOW-UP.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Headache, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Inflamation, itching, soreness at injection site; upper respiratory - runny nose, coughing, headache
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: Inflamation, itching, soreness at injection site; upper respiratory - runny nose, coughing, headache
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Patient received vaccine on 11Oct07.  Reported onset of swelling and tenderness to site beginning 12Oct07.  Reported for exam to physician in charge of vaccine program 15Oct07.  Swelling to left arm around vaccine injection site was approximately 2.5 cm in diameter, and raised approx 0.5cm in height.  Patient stated on 15Oct07 that his tenderness had resolved.  No orders for treatment were received from examining physician.  Patient returned to work witn instructions to apply hot moist compresses to speed resolution of swelling at site of what the physician diagnosed as a local reaction the the vaccination.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient received vaccine on 11Oct07.  Reported onset of swelling and tenderness to site beginning 12Oct07.  Reported for exam to physician in charge of vaccine program 15Oct07.  Swelling to left arm around vaccine injection site was approximately 2.5 cm in diameter, and raised approx 0.5cm in height.  Patient stated on 15Oct07 that his tenderness had resolved.  No orders for treatment were received from examining physician.  Patient returned to work witn instructions to apply hot moist compresses to speed resolution of swelling at site of what the physician diagnosed as a local reaction the the vaccination.
Age: 60.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling, Local reaction
Clinical narrative: swollen and tender at the injection site 48 hours after administration
Age: 60.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: swollen and tender at the injection site 48 hours after administration
Age: 8.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Right arm began to turn red and swollen 10/16/2007pm. Advised to go to ER 10/16/2007. Went to ER, given Bactrim. Called 10/17/2007 3:40pm came to clinic, advised again to go the ER for IV antibiotics. Arm more red and swollen with vc sides at sight of injection of right arm.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Diarrhoea, Hyponatraemia, Pyrexia
Clinical narrative: Client stated had fever diarrhea, elevated BP and went to her doctor and was told had hyponatremia. Her and her doctor concurred it must have been caused by the flu shot. she is being followed by her private doctor.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, HIBV, MMRV, PNC
Symptoms: Pruritus, Rash
Clinical narrative: RASH ON LEGS AND SPREAD TO TORSO WHILE IN OFFICE. NO FEVER, NO COUGH, POSITIVE ITCHING.
Sex: U
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Patient developed facial hives approximately 3 minutes after receiving Varivax.  Occurred in the Am on 10/11/07.  Recieved Benadryl 12.5 mg po.  resolved within 15 minutes
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received via the Merck Pregnancy registry from a consumer, concerning her daughter (age not specified) who was pregnant when vaccinated on 14-AUG-2007, with a dose of Gardasil (lot # not specified). The mother stated that "the fetus had no heartbeat," and indicated that her daughter had a miscarriage (date not provided). At the time of this report, the outcome of miscarriage was unknown. The consumer's daughter sought unspecified medical attention from her physician. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Abdomen scan normal, Abdominal pain, Laboratory test normal
Clinical narrative: Information has been received from a physician concerning a 15 year old female with penicillin allergy, with no illness at the time of vaccination whose reported weight was 154 pounds and whose reported height was 62.5 inches, who on 20-SEP-2007 was vaccinated into the left arm with the second dose of Gardasil, (Lot # 658556/1060U), and concomitantly was vaccinated into the right arm with influenza virus vaccine (unspecified), (manufacturer "Sanofi"), (Lot # U2444AA). It was reported that the patient had received previously "multiple" doses. In the afternoon (P.M.) of 23-SEP-2007 it was reported that the patient developed severe right-sided abdominal pain requiring hospitalization. It was reported that all laboratory test and abdominal scans were normal. It was reported that all pain resolved in 4-5 days. Subsequently, the patient recovered from severe right-sided abdominal pain reportedly on 29-SEP-2007. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a medical assistant concerning a female patient who was vaccinated with a dose of Gardasil. It was reported that the patient after being vaccinated went into a seizure state. Unspecified medical attention was sought. The patient's outcome was unknown. No product quality complaint was involved. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: HPV4
Symptoms: Angioedema, Erythema, Inappropriate schedule of drug administration, Reflux oesophagitis, Throat tightness
Clinical narrative: Information has been received from a physician concerning a 40 year old female with metabolic syndrome, high cholesterol, increased blood sugar, rheumatoid arthritis and asthma who on 01-OCT-2007 was inadvertently vaccinated with Gardasil. Concomitant therapy included lansoprazole (PREVACID), cyclobenzaprine hydrochloride (MSD), montelukast sodium (MSD), valsartan (DIOVAN), gabapentin (NEURONTIN), metformin, "Clonazapen" (therapy unspecified), desloratadine (CLARINEX), ranitidine HCl (ZANTAC), potassium (unspecified), fluticasone propionate 9+) salmeterol xinafoate (ADVAIR), albuterol, ipratropium bromide (ATROVENT) and alprazolam (XANAX). The physician reported that 30 minutes after the patient was vaccinated she experienced angioedema, reddness in her face, and a tightening in her throat. Since the patient was vaccinated, she frequented many emergency rooms and was admitted to the hospital for 2 days. The patient was treated with prednisone, diphenhydramine hydrochloride (Benadryl) and methylprednisolone acetate (Depo-medrol) and subsequently was recovering from the events. The physician believed that her symptoms were reflux due to the many medications that the patient was taking. The angioedema, reddness in face, tightening in throat, reflux and wrong drug administered were considered other important medical events. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: HPV4
Symptoms: Wrong drug administered
Clinical narrative: Information has been received from a physician concerning a 40 year old female with metabolic syndrome, high cholesterol, increased blood sugar, rheumatoid arthritis and asthma who on 01-OCT-2007 was inadvertently vaccinated with Gardasil. Concomitant therapy included lansoprazole (PREVACID), cyclobenzaprine hydrochloride (MSD), montelukast sodium (MSD), valsartan (DIOVAN), gabapentin (NEURONTIN), metformin, "Clonazapen" (therapy unspecified), desloratadine (CLARINEX), ranitidine HCl (ZANTAC), potassium (unspecified), fluticasone propionate 9+) salmeterol xinafoate (ADVAIR), albuterol, ipratropium bromide (ATROVENT) and alprazolam (XANAX). The physician reported that 30 minutes after the patient was vaccinated she experienced angioedema, reddness in her face, and a tightening in her throat. Since the patient was vaccinated, she frequented many emergency rooms and was admitted to the hospital for 2 days. The patient was treated with prednisone, diphenhydramine hydrochloride (Benadryl) and methylprednisolone acetate (Depo-medrol) and subsequently was recovering from the events. The physician believed that her symptoms were reflux due to the many medications that the patient was taking. The angioedema, reddness in face, tightening in throat, reflux and wrong drug administered were considered other important medical events. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Dizziness, Dyspnoea, Eye swelling, Headache
Clinical narrative: Information has been received from a licensed practical nurse concerning a 14 year old female who on 26-JUL-2007 was vaccinated with a first dose of Gardasil. Subsequently, the patient felt achy which resolved after one day. On 04-OCT-2007 (also reported as 05-OCT-2007), the patient was vaccinated with intramuscularly with a 0.5mL second dose of Gardasil (lot 658282/0929U). On 05-OCT-2007, the patient experienced dizziness, wheezing, headache, eyes puffy, nausea, chills and shortness of breath/difficulty breathing. The patient went to the emergency room for treatment. The nurse reported that she did not think the patient was treated with intravenous medication. Subsequently, the patient recovered. The nurse felt that the patient's wheezing, dizziness, headache, eyes puffy, nausea, chills, shortness of breath/difficulty breathing were considered serious as other important medical events. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Wheezing
Clinical narrative: Information has been received from a licensed practical nurse concerning a 14 year old female who on 26-JUL-2007 was vaccinated with a first dose of Gardasil. Subsequently, the patient felt achy which resolved after one day. On 04-OCT-2007 (also reported as 05-OCT-2007), the patient was vaccinated with intramuscularly with a 0.5mL second dose of Gardasil (lot 658282/0929U). On 05-OCT-2007, the patient experienced dizziness, wheezing, headache, eyes puffy, nausea, chills and shortness of breath/difficulty breathing. The patient went to the emergency room for treatment. The nurse reported that she did not think the patient was treated with intravenous medication. Subsequently, the patient recovered. The nurse felt that the patient's wheezing, dizziness, headache, eyes puffy, nausea, chills, shortness of breath/difficulty breathing were considered serious as other important medical events. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome, Muscular weakness, Musculoskeletal pain
Clinical narrative: Information has been received from a physician concerning a female (age not reported) who on approximately 30-AUG-2007 "6 weeks ago" was vaccinated with Zostavax (Oka/Merck). On approximately 05-OCT-2007 "one week ago", the patient experienced pain in the buttocks to weakness to the lower extremities. The physician believes the patient may have Guillain-Barre Syndrome. The patient's experience caused hospitalization. At the time of the report, the patient remained hospitalized. Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia, Occult blood positive, Stool analysis normal
Clinical narrative: Information has been received from a health professional concerning a 19 week old male who on 02-OCT-2007 was vaccinated with a dose of Rotateq. on 08-OCT-2007 the patient presented to the office with diarrhea which were guaiac positive. It was reported that there was no frank red blood. All other stool studies were negative. Upon internal review, the patient's hematochezia was considered to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Occult blood positive
Clinical narrative: Information has been received from a health professional concerning a 19 week old male who on 02-OCT-2007 was vaccinated with a dose of Rotateq. on 08-OCT-2007 the patient presented to the office with diarrhea which were guaiac positive. It was reported that there was no frank red blood. All other stool studies were negative. Upon internal review, the patient's hematochezia was considered to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Electroencephalogram, Hypokinesia, Muscular weakness
Clinical narrative: 2 days after vaccine his rt elbow became very sore/painful. Eventually lost use of fingers and his rt hand. Saw MD at two facilities (MRI's - "many tests"). Had physical therapy.  11/6/07 Reviewed hospital medical records which reveal patient experienced RUE pain, weakness & wasting of right hand.  Had been seen by routine chiropractor for manipulation of upper back which created pain 1 week prior to start of symptoms.  Seen by pain management 11/06, hand surgeon 2/26/07,  neurologist 3/19/07.  Received thoracic epidural injection which provided pain relief.  Exam by hand surgeon on 2/26/97 revealed obvious atrophy of right hand & distal forearm.  Referred to neurosurgery & PT/OT.  Returned to hand surgeon 3/19/07 s/p EMG/NCS w/diagnosis of Parsonage Turner syndrome.  Neurosurgeon did not feel C5-C6 herniation/stenosis was causing current problem.  Was to continue observation x 1 year & if no improvement, consider multiple tendon transfers surgery. FINAL DX: brachial plexus plexitis c/w Parsonage Turner syndrome. 1/15/2010 No change-worse
Age: 1.83
Sex: F
Vaccine: FLU3, HEPA, HIBV, MMR, PNC, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Irritability
Clinical narrative: Child received 1 dose of Tdap instead of Dtap.Mother states child has had no symptoms other than being "crabby" the night she was vaccinated
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Pallor
Clinical narrative: After 15 minutes the patient experienced dizziness, became pale.  Did not faint.  We had her lay down and elevated her legs.  We gave her water and a sugary snack.  Her blood pressure was 102/60.  After the snack she felt better but was still pale.  She was able to stand and walk 30 minutes after receiving the vaccine and was released to the care of her mother.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dyspnoea, Nausea, Pain
Clinical narrative: Symptoms began late evening on day vaccine was administered and included chills, aches, shortness of breath, nausea, tachycardia and cough.  Symptoms lasted until the next morning then subsided. No treatment was required.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Symptoms began late evening on day vaccine was administered and included chills, aches, shortness of breath, nausea, tachycardia and cough.  Symptoms lasted until the next morning then subsided. No treatment was required.