chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, C-reactive protein increased, Musculoskeletal pain, Red blood cell sedimentation rate abnormal
Clinical narrative: Information has been received from a physician's assistant concerning a 77 year old female patient who on 28-JUN-2011 was vaccinated with a dose of ZOSTAVAX (Merck) (Lot# and expiration not reported). Concomitant therapy included AMBIEN and SYNTHROID. It was reported that three days later, on 01-JUL-2011 (also reported as 31-JUN-2011) the patient developed shoulder pain, generalized weakness and arthralgia, but the patient previously had been otherwise healthy. Physician assistant reported that she tested the patient for rheumatoid arthritis or another autoimmune issue, and she stated that her ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were positive. Physician assistant stated that the laboratory values were not indicative of rheumatoid arthritis, and she suspect a possible reaction to ZOSTAVAX (Merck). Patient sought unspecified medical attention. No treatment was given for this adverse event. At the time of reporting the patient had not recovered. The patient's shoulder pain, generalized weakness arthralgia and possible reaction to ZOSTAVAX (Merck) were considered by the physician's assistant to be disabling. Additional information has been requested.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Rheumatoid factor negative
Clinical narrative: Information has been received from a physician's assistant concerning a 77 year old female patient who on 28-JUN-2011 was vaccinated with a dose of ZOSTAVAX (Merck) (Lot# and expiration not reported). Concomitant therapy included AMBIEN and SYNTHROID. It was reported that three days later, on 01-JUL-2011 (also reported as 31-JUN-2011) the patient developed shoulder pain, generalized weakness and arthralgia, but the patient previously had been otherwise healthy. Physician assistant reported that she tested the patient for rheumatoid arthritis or another autoimmune issue, and she stated that her ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were positive. Physician assistant stated that the laboratory values were not indicative of rheumatoid arthritis, and she suspect a possible reaction to ZOSTAVAX (Merck). Patient sought unspecified medical attention. No treatment was given for this adverse event. At the time of reporting the patient had not recovered. The patient's shoulder pain, generalized weakness arthralgia and possible reaction to ZOSTAVAX (Merck) were considered by the physician's assistant to be disabling. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Hypotonia, Loss of consciousness, Swelling face, Tremor
Clinical narrative: Approx. one minute after injection, pt. went limp, slid to floor from a sitting position, loss consciousness for a few seconds, brief tremors noted, pt awakened with small swollen area on left forehead. Pt ambulatory afterwards.
Age: 7.0
Sex: M
Vaccine: RUB
Symptoms: Blindness, Cerebral ventriculogram
Clinical narrative: Rubella vac. in May 1970. Most likely first onset was July 1970, by late Oct. I was blind no light perception.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Auricular swelling, Eye swelling, Immediate post-injection reaction, Rash, Sneezing
Clinical narrative: 7-28-11 4 yr old received DTaP, IPV, MMR & Varicella. Sneezing immed after vaccines. BENADRYL 8 ml po given 1125A. RTC 1225 with rash. Swelling around eye/ears. Positive faint wheeze. BENADRYL 6 ml IM given - 1227p. 1245 decreased swelling, decreased redness. 7-29-11 called home & father states no further rash or signs of reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: 7-28-11 4 yr old received DTaP, IPV, MMR & Varicella. Sneezing immed after vaccines. BENADRYL 8 ml po given 1125A. RTC 1225 with rash. Swelling around eye/ears. Positive faint wheeze. BENADRYL 6 ml IM given - 1227p. 1245 decreased swelling, decreased redness. 7-29-11 called home & father states no further rash or signs of reaction.
Sex: M
Vaccine: HEP
Symptoms: Death
Clinical narrative: None stated.
Age: 1.06
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: redness, heat, swelling, pain for 24hrs Left leg
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Dizziness, Gaze palsy, Loss of consciousness, Pallor, Syncope
Clinical narrative: Student was quiet and sitting down when he received TDAP and Menveo injections. About 1 minute later, student stood up and was walking to the door when his head shook once and his eyes rolled back and he turned pale and fainted. He was caught by his mother and did not hit his head nor any other part of his body. Mom and nurse eased student to laying position on the ground. Student woke up after about 5-7 seconds and was talking regular. Student then said he had felt dizzy right before he passed out. Student's color returned after about 1 minute and he continued to rest on floor for about 5 minutes. During the 5 minutes, he was talking and laughing as he had before, and he mentioned that he had not eaten breakfast that day. Student stood up and sat in the chair for several minutes. He drank water and ate a lemon cookie. After sitting for about 10 minutes, student got up and walked outside with his mother at his side. Student was acting as he had previously and said he felt much better. Mom agreed to stay with the student for the afternoon and said she would take him to the doctor if he had any more concerning symptoms.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Tremor
Clinical narrative: Student was quiet and sitting down when he received TDAP and Menveo injections. About 1 minute later, student stood up and was walking to the door when his head shook once and his eyes rolled back and he turned pale and fainted. He was caught by his mother and did not hit his head nor any other part of his body. Mom and nurse eased student to laying position on the ground. Student woke up after about 5-7 seconds and was talking regular. Student then said he had felt dizzy right before he passed out. Student's color returned after about 1 minute and he continued to rest on floor for about 5 minutes. During the 5 minutes, he was talking and laughing as he had before, and he mentioned that he had not eaten breakfast that day. Student stood up and sat in the chair for several minutes. He drank water and ate a lemon cookie. After sitting for about 10 minutes, student got up and walked outside with his mother at his side. Student was acting as he had previously and said he felt much better. Mom agreed to stay with the student for the afternoon and said she would take him to the doctor if he had any more concerning symptoms.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Dizziness, Gaze palsy, Head titubation, Pallor, Syncope
Clinical narrative: Student was quiet and sitting down when he received TDAP and Menveo injections. About 1 minute later, student stood up and was walking to the door when his head shook once and his eyes rolled back and he turned pale and fainted. He was caught by his mother and did not hit his head nor any other part of his body. Mom and nurse eased student to laying position on the ground. Student woke up after about 5-7 seconds and was talking regular. Student then said he had felt dizzy right before he passed out. Student's color returned after about 1 minute and he continued to rest on floor for about 5 minutes. During the 5 minutes, he was talking and laughing as he had before, and he mentioned that he had not eaten breakfast that day. Student stood up and sat in the chair for several minutes. He drank water and ate a lemon cookie. After sitting for about 10 minutes, student got up and walked outside with his mother at his side. Student was acting as he had previously and said he felt much better. Mom agreed to stay with the student for the afternoon and said she would take him to the doctor if he had any more concerning symptoms.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Swelling, Varicella
Clinical narrative: 24 hours after red ball appeared & swelling patient went to Dr & indicated shot caused her to get shingles & chicken pox.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Gait disturbance, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 1 (one) day after vaccines rec'd, pt developed, swelling and warmth to (R) thigh. Mom using TYLENOL for pain, and cool compress as directed. On day 2 child returned to office for evaluation, continued to have swelling, warmth and painful to walk on (limping).
Age: 1.67
Sex: F
Vaccine: MMR
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: Fever and lethargy 102-103 degrees, irritable, lethargic onset 7/28/11.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: Patient received ZOSTAVAX on 7/26/2011. Patient developed cellulitis at injection site (right tricep). Patient placed on KEFLEX, and is fine.
Age: 67.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: (L) arm, edema, erythema, 3 1/2 inches diameter.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Second day after vaccine bruising at injection site over next 2 days bruise increased in size to 1/2 in high 1 inch wide. 5 days later still bruised and slightly sore.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Blood immunoglobulin G, Blood immunoglobulin M, Body temperature increased, Culture
Clinical narrative: 8/1/11 red, raised rash, blisters in center. Facility states, never had chicken pox but did receive the ZOSTAVAX approx 2 wks ago. Rx ordered - VALTREX 1 gm PO q 8 hours x 10 d, BACTRIM  25 PO BID x 10 d - Cxs  done 8/2 varicella zoster antibody IGG & IGM, culture for varicella zoster. T 103.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Varicella virus test
Clinical narrative: 8/1/11 red, raised rash, blisters in center. Facility states, never had chicken pox but did receive the ZOSTAVAX approx 2 wks ago. Rx ordered - VALTREX 1 gm PO q 8 hours x 10 d, BACTRIM  25 PO BID x 10 d - Cxs  done 8/2 varicella zoster antibody IGG & IGM, culture for varicella zoster. T 103.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pallor, Presyncope, Syncope
Clinical narrative: Vaccine given 1105 am 8/2/11, child anxious, worried about pain, about 1 minute later had syncope, pallor, vasovagal type rx - laid on exam table, legs elevated. BP 119/82, HR 50, assessed by MD ambulance called 911 - to ER - disch at 1:15pm.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Myalgia, Oedema peripheral, Pyrexia, Rash
Clinical narrative: Slight back muscle pains and low fever 1 day after vaccine, rash, hard swelling and stiffness below deltoid and and bicep area 2-3 days after, soft swelling on tricep and elbow area 4-5 days after.
Age: 17.0
Sex: M
Vaccine: HEP, PPV, TD
Symptoms: Computerised tomogram normal, Erythema, Full blood count normal, Lumbar puncture normal, Oedema peripheral
Clinical narrative: Right arm became painful, swollen, and red. He was seen and admitted to ParkWest hospital - CT (-)  LP (-) CBC with wbc to 17,700.  Neurology and ID consulted
Age: 17.0
Sex: M
Vaccine: HEP, PPV, TD
Symptoms: Pain in extremity, White blood cell count increased
Clinical narrative: Right arm became painful, swollen, and red. He was seen and admitted to ParkWest hospital - CT (-)  LP (-) CBC with wbc to 17,700.  Neurology and ID consulted
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Bacterial test negative, Convulsion, Cytology normal, Dysarthria, Encephalitis
Clinical narrative: slurred speech and left facial numbness with radiation down the left arm to the thumb likely due to seizure activity now with areas of leptomeningeal enhancement on imagine. diagnosed with meningoencephalitis of uknown etiology. Extensive testing for infectious, neoplastic, inflammatory disorders were negatvie. Testing for bacteria, fungal, herpes group viruses, enteroviruses, Tb, and arboviral infections was negative, as was cytology and studies for autoimmune disorders.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Enterovirus test negative, Fungal test negative, Herpes simplex serology negative, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: slurred speech and left facial numbness with radiation down the left arm to the thumb likely due to seizure activity now with areas of leptomeningeal enhancement on imagine. diagnosed with meningoencephalitis of uknown etiology. Extensive testing for infectious, neoplastic, inflammatory disorders were negatvie. Testing for bacteria, fungal, herpes group viruses, enteroviruses, Tb, and arboviral infections was negative, as was cytology and studies for autoimmune disorders.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Immunology test normal, Laboratory test normal, Mycobacterium tuberculosis complex test negative, Nuclear magnetic resonance imaging brain abnormal, Viral test negative
Clinical narrative: slurred speech and left facial numbness with radiation down the left arm to the thumb likely due to seizure activity now with areas of leptomeningeal enhancement on imagine. diagnosed with meningoencephalitis of uknown etiology. Extensive testing for infectious, neoplastic, inflammatory disorders were negatvie. Testing for bacteria, fungal, herpes group viruses, enteroviruses, Tb, and arboviral infections was negative, as was cytology and studies for autoimmune disorders.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Dizziness, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: My son fainted within 5-10 minutes after being given the first dose of Gardasil.  He was standing at the nurses counter and fell down hitting his head on the floor.  His body went stiff, and he was knocked out for a few seconds.  He was extremely pale.  He was dizzy and nauseous the rest of the day and had a bad headache and sore neck.  He was still a little dizzy and sore the next day.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Nausea, Neck pain, Pallor, Syncope
Clinical narrative: My son fainted within 5-10 minutes after being given the first dose of Gardasil.  He was standing at the nurses counter and fell down hitting his head on the floor.  His body went stiff, and he was knocked out for a few seconds.  He was extremely pale.  He was dizzy and nauseous the rest of the day and had a bad headache and sore neck.  He was still a little dizzy and sore the next day.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Visual tracking test
Clinical narrative: My son fainted within 5-10 minutes after being given the first dose of Gardasil.  He was standing at the nurses counter and fell down hitting his head on the floor.  His body went stiff, and he was knocked out for a few seconds.  He was extremely pale.  He was dizzy and nauseous the rest of the day and had a bad headache and sore neck.  He was still a little dizzy and sore the next day.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Employee states after 1st Hep B vaccine 5/20/11 - symp. naus, vomiting, headache, dizziness. 2nd Hep B given 8/1/2011 same symptoms 2 hrs. after vaccine given.
Age: 56.0
Sex: M
Vaccine: HEP
Symptoms: Diplopia, Dizziness
Clinical narrative: This case was reported by a pharmacist and described the occurrence of lightheadedness in a 56-year-old male subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medications included LIPITOR and BENICAR. On 19 July 2011 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route). On 21 July 2011, 2 days after vaccination with ENGERIX B, the subject experienced lightheadedness. On 22 July 2011 the subject experienced double vision. The pharmacist considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the events were unresolved. The pharmacist considered the events were possibly related to vaccination with ENGERIX B. No further information was provided and the reporter refused permission for follow-up.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered, No adverse event
Clinical narrative: None adverse reaction. Pt given vaccine expired on 7/27/11 not aware of exp at time of injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Lt leg "huge ball"/red size, took to Urgent Care - told to ice, MOTRIN, if worse to call PCP for abx. *Rt leg "smaller" lump/red.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: Red, tender - was put on abx. (Patient called on-call).
Age: 18.0
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Erythema, Urticaria
Clinical narrative: Red welt - due to Tdap Lt arm. Ice, MOTRIN. Get worse to go Urgent Care.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Erythema, Urticaria
Clinical narrative: Red welt left side. > MOTRIN, ice (if got worse, to go to Urgent Care).
Age: 28.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Diarrhoea, Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Diarrhea, headaches, painful swollen lymphnodes, fatigue, rash on chest, neck, face, and back.
Age: 28.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash
Clinical narrative: Diarrhea, headaches, painful swollen lymphnodes, fatigue, rash on chest, neck, face, and back.
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: severe arm pain, prolonged- 2months
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Hypoaesthesia, Pain in extremity, Rash, Tenderness
Clinical narrative: Arm pain radiating down arm to hands and fingers felt numb.  Tenderness in Right arm and had a localized rash with redness.
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Dissociative fugue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: c/o extreme vertigo, then collapsed. Eyes open but unresponsive to stimuli. Fugue-like state for 15minutes, then c/o severe left arm pain (lower arm). Gradually got more oriented & responsive, then fell asleep for the nite. Awoke this AM without any recollection of previous night's events/collapse.  Also awoke with raised rash on upper back, chest, upper arms, & forehead.  Given Atarax 25mg, also, given prednisone 20mg; applied topical rx cortisone cream to rashes. Left upper arm swollen, red, warm & painful to touch. Pediatrician notified by phone, also left voicemail with Rheumatologist notifing her of rash, just in case rash could be from auto immune disease. I strongly feel the rash is from the vaccine.
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Pain in extremity, Rash, Staring, Syncope, Unresponsive to stimuli
Clinical narrative: c/o extreme vertigo, then collapsed. Eyes open but unresponsive to stimuli. Fugue-like state for 15minutes, then c/o severe left arm pain (lower arm). Gradually got more oriented & responsive, then fell asleep for the nite. Awoke this AM without any recollection of previous night's events/collapse.  Also awoke with raised rash on upper back, chest, upper arms, & forehead.  Given Atarax 25mg, also, given prednisone 20mg; applied topical rx cortisone cream to rashes. Left upper arm swollen, red, warm & painful to touch. Pediatrician notified by phone, also left voicemail with Rheumatologist notifing her of rash, just in case rash could be from auto immune disease. I strongly feel the rash is from the vaccine.
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Vertigo
Clinical narrative: c/o extreme vertigo, then collapsed. Eyes open but unresponsive to stimuli. Fugue-like state for 15minutes, then c/o severe left arm pain (lower arm). Gradually got more oriented & responsive, then fell asleep for the nite. Awoke this AM without any recollection of previous night's events/collapse.  Also awoke with raised rash on upper back, chest, upper arms, & forehead.  Given Atarax 25mg, also, given prednisone 20mg; applied topical rx cortisone cream to rashes. Left upper arm swollen, red, warm & painful to touch. Pediatrician notified by phone, also left voicemail with Rheumatologist notifing her of rash, just in case rash could be from auto immune disease. I strongly feel the rash is from the vaccine.
Age: 12.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Chest pain, Dyspnoea, Headache, Injection site erythema, Injection site pain
Clinical narrative: PT GOT IZ (MENVEO) CAME IN NEXT DAY WITH SYMPTOMS OF UNABLE TO BREATHE, CHEST PAIN, NAUSEA, HEADACHE, LOW GRADE TEMP AND ACHY. LEFT ARM WHERE GIVEN RED ON SITE SWELLING AND TENDERNESS.
Age: 12.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site swelling, Nausea, Pain, Pyrexia
Clinical narrative: PT GOT IZ (MENVEO) CAME IN NEXT DAY WITH SYMPTOMS OF UNABLE TO BREATHE, CHEST PAIN, NAUSEA, HEADACHE, LOW GRADE TEMP AND ACHY. LEFT ARM WHERE GIVEN RED ON SITE SWELLING AND TENDERNESS.
Age: 36.0
Sex: M
Vaccine: DTP
Symptoms: Anxiety, Feeling abnormal, Feeling jittery, Paraesthesia, Sleep disorder
Clinical narrative: I started feeling anxious, jittery, and felt like it was effecting my nervous system internally. Started waking in the middle of the night with tingling pulses but there was no outer shaking or accelerated heart rate. I felt to be in a constant panic. It came and went and gradually got better. But I still have tingling and anxiety that surfaces to this day.  I spoke to my doctor 4 days after. I asked them if it could have been the vaccine. They told me to call back if it got any worse but since it was slightly improving everyday, I didnt call back.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Cough, Diarrhoea, Fatigue, Irritability, Pyrexia
Clinical narrative: Patient woke up at 7am and had a fever of 101.8 I gave him some Tylenol and his bottle. He then went back to sleep till about noon. He didn't wake up to eat or anything. He then woke up with diarrhea and still had the fever. I gave him a cool bath a bottle and more Tylenol. He then went back to sleep again. Woke up around 2:30pm still with the same fever. He has been fussy and very tired he has also had a mild cough along with it. I contacted his doctor and they recommended Ibuprofen. I gave him a little of that around 6:00PM I'm still waiting for the fever to break if it does not we will go to the ER.
Age: 75.0
Sex: M
Vaccine: TTOX
Symptoms: Activities of daily living impaired, Asthenia, Dysstasia, Fall, Feeling abnormal
Clinical narrative: Legs collapsed while playing tennis and I fell. They felt almost foreign and unresponsive and weak. A general lethargy was also present, with an energy level far lower than normal for me, one who is in excellent health normally and extremely strong and quick for my age (tournament level tennis player). Since the first indication of a problem the weakness has increased to present and now I have such little control of my legs in activities that I no longer try to play tennis as it is too dangerous. I have fallen twice just standing, with my legs collapsing each time. Before this tetanus shot I never had such a problem. I take no drugs, and only vitamins. I have low heart beat (58-60) and my last blood pressure test was 115/65. Regardless of activity I am now sleeping 10-12 hours per day and am still lethargic. Before the tetanus shot I slept about 10 hours also but was a bundle of energy, as one would have to be to compete with much younger quality tennis players, many of whom are tennis coaches too.
Age: 75.0
Sex: M
Vaccine: TTOX
Symptoms: Heart rate decreased, Hypersomnia, Lethargy, Loss of control of legs, Muscular weakness
Clinical narrative: Legs collapsed while playing tennis and I fell. They felt almost foreign and unresponsive and weak. A general lethargy was also present, with an energy level far lower than normal for me, one who is in excellent health normally and extremely strong and quick for my age (tournament level tennis player). Since the first indication of a problem the weakness has increased to present and now I have such little control of my legs in activities that I no longer try to play tennis as it is too dangerous. I have fallen twice just standing, with my legs collapsing each time. Before this tetanus shot I never had such a problem. I take no drugs, and only vitamins. I have low heart beat (58-60) and my last blood pressure test was 115/65. Regardless of activity I am now sleeping 10-12 hours per day and am still lethargic. Before the tetanus shot I slept about 10 hours also but was a bundle of energy, as one would have to be to compete with much younger quality tennis players, many of whom are tennis coaches too.
Age: 75.0
Sex: M
Vaccine: TTOX
Symptoms: Unresponsive to stimuli
Clinical narrative: Legs collapsed while playing tennis and I fell. They felt almost foreign and unresponsive and weak. A general lethargy was also present, with an energy level far lower than normal for me, one who is in excellent health normally and extremely strong and quick for my age (tournament level tennis player). Since the first indication of a problem the weakness has increased to present and now I have such little control of my legs in activities that I no longer try to play tennis as it is too dangerous. I have fallen twice just standing, with my legs collapsing each time. Before this tetanus shot I never had such a problem. I take no drugs, and only vitamins. I have low heart beat (58-60) and my last blood pressure test was 115/65. Regardless of activity I am now sleeping 10-12 hours per day and am still lethargic. Before the tetanus shot I slept about 10 hours also but was a bundle of energy, as one would have to be to compete with much younger quality tennis players, many of whom are tennis coaches too.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Brain scan normal, Breath sounds abnormal, Cardiac monitoring normal, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Pale white skin, raspy slow breathing (almost like hiccups), rash down back, limp when picked up, not responsive to touch or sound, shaking legs almost like seizures.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Electroencephalogram normal, Hypotonia, Pallor, Rash, Red blood cell count normal
Clinical narrative: Pale white skin, raspy slow breathing (almost like hiccups), rash down back, limp when picked up, not responsive to touch or sound, shaking legs almost like seizures.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Respiratory rate decreased, Seizure like phenomena, Tremor, Unresponsive to stimuli, White blood cell count normal
Clinical narrative: Pale white skin, raspy slow breathing (almost like hiccups), rash down back, limp when picked up, not responsive to touch or sound, shaking legs almost like seizures.
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, nausea, vomiting.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Demyelination, Guillain-Barre syndrome, Nerve conduction studies abnormal, Neuropathy peripheral, Sensorimotor disorder
Clinical narrative: Diagnosis of Guillain-Barre Syndrome July 2011. Peripheral neuropathy sx started 4/2011.
Age: 0.23
Sex: F
Vaccine: RV5
Symptoms: Anaemia neonatal, Blood gases, Carbon dioxide decreased, Condition aggravated, Crying
Clinical narrative: Apnea spell with feeding, mom initiated CPR, EMS transported to ER (shallow respirations & unresponsive to painful stimuli on EMS arrival). At ER arrival shallow respirations & occas. weak cry. Admitted to pediatric unit. Dx: apnea of prematurity with hypoxia, anemia of prematurity.
Age: 0.23
Sex: F
Vaccine: RV5
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypopnoea, Hypoxia, Infantile apnoeic attack
Clinical narrative: Apnea spell with feeding, mom initiated CPR, EMS transported to ER (shallow respirations & unresponsive to painful stimuli on EMS arrival). At ER arrival shallow respirations & occas. weak cry. Admitted to pediatric unit. Dx: apnea of prematurity with hypoxia, anemia of prematurity.
Age: 0.23
Sex: F
Vaccine: RV5
Symptoms: Platelet count normal, Resuscitation, Unresponsive to stimuli, White blood cell count normal
Clinical narrative: Apnea spell with feeding, mom initiated CPR, EMS transported to ER (shallow respirations & unresponsive to painful stimuli on EMS arrival). At ER arrival shallow respirations & occas. weak cry. Admitted to pediatric unit. Dx: apnea of prematurity with hypoxia, anemia of prematurity.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blindness, Dry skin, Hyperhidrosis, Pallor, Skin warm
Clinical narrative: 15:10 walking to check out window - became pale - stated couldn't see, skin diaphoretic B/P 84/48 pulse 61, emesis x 2 - B/P 79/49 (15:15) - 15:25 - skin warm & dry - B/P 99/58 - no more emesis - vision clear, up walking.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: 15:10 walking to check out window - became pale - stated couldn't see, skin diaphoretic B/P 84/48 pulse 61, emesis x 2 - B/P 79/49 (15:15) - 15:25 - skin warm & dry - B/P 99/58 - no more emesis - vision clear, up walking.
Age: 9.0
Sex: F
Vaccine: IPV
Symptoms: Pruritus, Rash generalised
Clinical narrative: Rash; woke up this morning w/itching. The rash appeared shortly after on her arms and back and now (3:24pm) is every where. It's very itchy. Received IPOL IM yesterday at 4:00pm.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site pruritus
Clinical narrative: Began 8/1/11 with redness & itching to (L) deltoid. No fever. No pain with palpation. Area of redness below site of injection.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Malaise, Type 1 diabetes mellitus
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Abdominal tenderness, Abnormal loss of weight, Anti-GAD antibody positive, Anti-islet cell antibody positive
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Blood chloride increased, Blood glucose increased, Blood ketone body increased, Blood phosphorus decreased, Blood potassium decreased
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Blood urine present, Decreased appetite, Dehydration, Diabetic ketoacidosis, Eyes sunken
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Fatigue, Glucose urine present, Headache, Lethargy, Malaise
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Nausea, Pollakiuria, Protein urine present, Somnolence, Thirst
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Type 1 diabetes mellitus, Urine ketone body present, Vomiting
Clinical narrative: Child became ill 2 days after vaccinations. He was diagnosed 12 days later with new onset Type 1 DM.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: Pt fainted appr. 5 mins after injection of vaccines. Pt came to and then fainted again after coming too, pt states she was nauseated. Pt sweating & pale.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blindness, Hot flush, Loss of consciousness, Pallor, Visual impairment
Clinical narrative: Pt sat for about 15 min. Felt a hot flash, "felt fine", she stated stood up looked pale. Asked her how are you stated couldn't see saw black spots passed out. Recovered quickly - drank water, spoke fine.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Induration, Injection site pain, Pruritus, Skin warm, Swelling
Clinical narrative: 6cm x 5cm diam & raised 0.5 cm - warm, firm, tender, no lesions or eruptions, c/o itchy & shoulder joint tender. Located (R) deltoid.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: 6cm x 5cm diam & raised 0.5 cm - warm, firm, tender, no lesions or eruptions, c/o itchy & shoulder joint tender. Located (R) deltoid.
Age: 0.55
Sex: F
Vaccine: DTAPIPVHIB, HIBV
Symptoms: No adverse event
Clinical narrative: Patient received a PENTACEL and HIB on same day. No adverse reactions.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pain, soreness, swelling (L) arm.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Full blood count, Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: On 7/19/11 pt seen 3cm firm tender erythemic hot nodule (R) upper arm surrounded by 15 x 8 1/2 cm tender erythemic area - no axillary LA, no clavicular LA, oral temp 98.2.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: White blood cell count normal
Clinical narrative: On 7/19/11 pt seen 3cm firm tender erythemic hot nodule (R) upper arm surrounded by 15 x 8 1/2 cm tender erythemic area - no axillary LA, no clavicular LA, oral temp 98.2.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Alopecia, Arthralgia, Change of bowel habit, Cough, Diarrhoea
Clinical narrative: Information has been received from a physician concerning a 75 year old female with hypertension, thyroid disease and sulfonamide allergy who in approximately May 2010 (within the last 6 months), was vaccinated with ZOSTAVAX (Merck) (dose, route lot# no reported) at another clinic. There was no concomitant medication. It was reported that the patient had been losing significant amounts of hair since the vaccination. The patient sought unspecified medical attention. At the time of report, the outcome of hair loss was not recovered. Follow-up information has been received from a dermatologist concerning a 75 year old female non-smoker, allergic to botulism, sulfa, and thorazine, with hypertension, thyroid disease, arthritis, gastrointestinal disease, renal disease, with a surgical history that included tonsillectomy & adenoidectomy (1953), salpingo-oophorectomy (1960), hysterectomy (1964), neurofibroma sarcoma with radiation (1966), lysis adhesions (1978), parathyroid (1989 & 1995), small bowel resection and carcinoid (1991), and liver resection for carcinoma (1993). On 02-NOV-2010, the patient presented with hair loss that she experienced after she received a dose of ZOSTAVAX (Merck). Current medications included allopurinol, amitriptyline, atenolol, B complex, B12 injections, cherry fruit, colchicine, DARVOCET, glucosamine chondroitin, HECTOROL, LASIX, multivitamin, NEURONTIN, potassium, PREVACID, SYNTHROID, verapamil, vitamin C, vitamin D, and ZANTAC. A review of systems revealed changes in bowel habits, cough, diarrhea, ear pain, indigestion, joint pains, joint swelling, muscle pains, numbness, and shortness of breath. The patient was noted to be seeing another physician for these issues. Impression: alopecia, unknown origin. The patient was treated with biotin, 2500 mcg daily. All available medical records will be provided upon request. Further information is not expected.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspepsia, Dyspnoea, Ear pain, Hypoaesthesia, Joint swelling
Clinical narrative: Information has been received from a physician concerning a 75 year old female with hypertension, thyroid disease and sulfonamide allergy who in approximately May 2010 (within the last 6 months), was vaccinated with ZOSTAVAX (Merck) (dose, route lot# no reported) at another clinic. There was no concomitant medication. It was reported that the patient had been losing significant amounts of hair since the vaccination. The patient sought unspecified medical attention. At the time of report, the outcome of hair loss was not recovered. Follow-up information has been received from a dermatologist concerning a 75 year old female non-smoker, allergic to botulism, sulfa, and thorazine, with hypertension, thyroid disease, arthritis, gastrointestinal disease, renal disease, with a surgical history that included tonsillectomy & adenoidectomy (1953), salpingo-oophorectomy (1960), hysterectomy (1964), neurofibroma sarcoma with radiation (1966), lysis adhesions (1978), parathyroid (1989 & 1995), small bowel resection and carcinoid (1991), and liver resection for carcinoma (1993). On 02-NOV-2010, the patient presented with hair loss that she experienced after she received a dose of ZOSTAVAX (Merck). Current medications included allopurinol, amitriptyline, atenolol, B complex, B12 injections, cherry fruit, colchicine, DARVOCET, glucosamine chondroitin, HECTOROL, LASIX, multivitamin, NEURONTIN, potassium, PREVACID, SYNTHROID, verapamil, vitamin C, vitamin D, and ZANTAC. A review of systems revealed changes in bowel habits, cough, diarrhea, ear pain, indigestion, joint pains, joint swelling, muscle pains, numbness, and shortness of breath. The patient was noted to be seeing another physician for these issues. Impression: alopecia, unknown origin. The patient was treated with biotin, 2500 mcg daily. All available medical records will be provided upon request. Further information is not expected.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Information has been received from a physician concerning a 75 year old female with hypertension, thyroid disease and sulfonamide allergy who in approximately May 2010 (within the last 6 months), was vaccinated with ZOSTAVAX (Merck) (dose, route lot# no reported) at another clinic. There was no concomitant medication. It was reported that the patient had been losing significant amounts of hair since the vaccination. The patient sought unspecified medical attention. At the time of report, the outcome of hair loss was not recovered. Follow-up information has been received from a dermatologist concerning a 75 year old female non-smoker, allergic to botulism, sulfa, and thorazine, with hypertension, thyroid disease, arthritis, gastrointestinal disease, renal disease, with a surgical history that included tonsillectomy & adenoidectomy (1953), salpingo-oophorectomy (1960), hysterectomy (1964), neurofibroma sarcoma with radiation (1966), lysis adhesions (1978), parathyroid (1989 & 1995), small bowel resection and carcinoid (1991), and liver resection for carcinoma (1993). On 02-NOV-2010, the patient presented with hair loss that she experienced after she received a dose of ZOSTAVAX (Merck). Current medications included allopurinol, amitriptyline, atenolol, B complex, B12 injections, cherry fruit, colchicine, DARVOCET, glucosamine chondroitin, HECTOROL, LASIX, multivitamin, NEURONTIN, potassium, PREVACID, SYNTHROID, verapamil, vitamin C, vitamin D, and ZANTAC. A review of systems revealed changes in bowel habits, cough, diarrhea, ear pain, indigestion, joint pains, joint swelling, muscle pains, numbness, and shortness of breath. The patient was noted to be seeing another physician for these issues. Impression: alopecia, unknown origin. The patient was treated with biotin, 2500 mcg daily. All available medical records will be provided upon request. Further information is not expected.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Information has been received from a registered pharmacist (R. Ph) concerning a 67 year old female patient with no known medical history and no known drug reactions/allergies, who on 01-JUN-2010 was vaccinated with a dose of ZOSTAVAX (Merck) (lot no. 664626/0875Y, exp. date 20-DEC-2010) subcutaneous, into the left arm. There were no concomitant medications. It was reported that on 02-JUN-2010 the left arm at the injection site became itchy. On 03-JUN-2010 the area was red according to the patient. The patient went to the pharmacy on 04-JUN-2010 and the pharmacist stated that the left arm was swollen about 6-8 inches in length surrounding the injection site and the skin was pink-red in color. The patient had seen her primary physician and had taken BENADRYL and then switched to CLARITIN. No laboratory tests were performed to the patient. On 07-JUN-2010 all the symptoms resolved. Follow-up information has been received from a registered pharmacist, concerning a 67 year old female patient with seasonal allergies and atrial fibrillations, who on an unspecified date was vaccinated SQ in the left arm with a dose of ZOSTAVAX (Merck) (lot# 665430/1764Y). The patient had received "several" doses of ZOSTAVAX (Merck). It was also reported that on 03-JUN-2010, the patient had redness and swelling at and around injection site all approximately 3 inches in diameter. On 08-JUN-2010 "5 days after the onset" the patient had recovered. There was no illness at time of vaccination and there was no adverse event following prior vaccination. No further information is available.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis, Erythema, Papule, Rash erythematous, Rash pruritic
Clinical narrative: Information has been received from a registered nurse concerning a 90 year old female patient with hypertension, difficulty breathing, acid reflux and penicillin allergy who on 27-APR-2010 and 01-JUN-2010, was vaccinated with the first and second SC doses of ZOSTAVAX (Merck) respectively (lot #665513/0146Z for both doses). Concomitant therapy included DIOVAN, FLOVENT and acid reflux medicine. On 01-JUN-2010, the patient experienced a mild, itchy, open rash on both arms and on the abdomen. No lab diagnostics studies were preformed. At the time of reporting, the patient had not recovered. The patient sought unspecified medical attention. Follow up information was received from the registered nurse who reported that on 27-APR-2010 PM, the patient was vaccinated with the first dose of ZOSTAVAX (Merck) (lot #665513/0146Z) into her left arm. There was no illness at time of vaccination. On 02-JUN-2010 PM (previously reported as 01-JUN-2010), the retired patient with hypertension, gastrooesophageal reflux disease (GERD), allergy to penicillin, sulfa and lactose experienced several raised hive like areas on both arms and abdomen, there was small papule in center of each raised area-itchy and reddened. The patient went to her primary care physician and he did not have culture. The patient was diagnosed with dermatitis. No labs were performed. On an unspecified date, the patient recovered. The patient did not seek medical attention. On 04-June-2010, follow up information has been received from the registered nurse regarding the 90 year old female patient, who was vaccinated with ZOSTAVAX (Merck) on 27-APR-2010 and presented today to the health department with a rash. The rash started on approximately 01-June-2010. The rash was red, raised, itchy, and resembling a "hive". She said the patient had approximately 6 lesions total on both arms and the abdomen. They were not varicella-like and did not look like shingles. The patient had no other signs/symptoms. She has a history of chickenpox as a child. The patient was interested in knowing if the rash was related to ZOSTAVAX (Merck). In addition, it was noted that the patient volunteered in an elementary school and was scheduled to work next week. She was concerned about the possibility of being contagious, particularly as she would be around young children. The patient should use caution and avoid contact with susceptible individuals if she has a rash suspected to be varicella-like. Additional information has been requested.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Information has been received from a registered nurse concerning a 90 year old female patient with hypertension, difficulty breathing, acid reflux and penicillin allergy who on 27-APR-2010 and 01-JUN-2010, was vaccinated with the first and second SC doses of ZOSTAVAX (Merck) respectively (lot #665513/0146Z for both doses). Concomitant therapy included DIOVAN, FLOVENT and acid reflux medicine. On 01-JUN-2010, the patient experienced a mild, itchy, open rash on both arms and on the abdomen. No lab diagnostics studies were preformed. At the time of reporting, the patient had not recovered. The patient sought unspecified medical attention. Follow up information was received from the registered nurse who reported that on 27-APR-2010 PM, the patient was vaccinated with the first dose of ZOSTAVAX (Merck) (lot #665513/0146Z) into her left arm. There was no illness at time of vaccination. On 02-JUN-2010 PM (previously reported as 01-JUN-2010), the retired patient with hypertension, gastrooesophageal reflux disease (GERD), allergy to penicillin, sulfa and lactose experienced several raised hive like areas on both arms and abdomen, there was small papule in center of each raised area-itchy and reddened. The patient went to her primary care physician and he did not have culture. The patient was diagnosed with dermatitis. No labs were performed. On an unspecified date, the patient recovered. The patient did not seek medical attention. On 04-June-2010, follow up information has been received from the registered nurse regarding the 90 year old female patient, who was vaccinated with ZOSTAVAX (Merck) on 27-APR-2010 and presented today to the health department with a rash. The rash started on approximately 01-June-2010. The rash was red, raised, itchy, and resembling a "hive". She said the patient had approximately 6 lesions total on both arms and the abdomen. They were not varicella-like and did not look like shingles. The patient had no other signs/symptoms. She has a history of chickenpox as a child. The patient was interested in knowing if the rash was related to ZOSTAVAX (Merck). In addition, it was noted that the patient volunteered in an elementary school and was scheduled to work next week. She was concerned about the possibility of being contagious, particularly as she would be around young children. The patient should use caution and avoid contact with susceptible individuals if she has a rash suspected to be varicella-like. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Rash
Clinical narrative: Information has been received from a 65 year old female consumer with adrenal insufficiency, hypothyroidism, urinary tract infection and drug reactions or allergy to CIPRO who on 29-JUN-2010 was vaccinated with a dose of ZOSTAVAX, SC, (Lot number unknown). Concomitant therapy included sulfamethoxazole/trimethoprim and levothyroxine Na. The consumer stated that on 29-JUN-2010 received ZOSTAVAX (Merck) and on 30-JUN-2010 "the very next day", she experienced "a little rash and blistering". The consumer stated that rash and blistering was getting more severe. No laboratory or diagnostic studies were performed. At the time of the report, the consumer had not recovered. The patient sought unspecified medical attention. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Information has been received from a 60 year old female with sulfonamide allergy and penicillin allergy and no pertinent medical history who on 01-JUL-2010 was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included topical cream, antihistamine, ibuprofen, PROTONA, calcium (unspecified) and omega-3 marine triglycerides. 24 hours after receiving ZOSTAVAX (Merck), on 02-JUL-2010, the patient experienced redness and swelling at the injection site. After 48 hours on 04-JUL-2010, the symptoms became worse. The patient had swelling, redness, the area was hard and hot and it went from her elbow to her armpit. On 04-JUL-2010, the patient had blister around the injection site. The patient sought unspecified medical attention. There were no lab diagnostics studies performed. At the time of the report, the patient had not recovered. Additional information has been requested.