chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Pruritus generalised, Rash
Clinical narrative: On 5/16/07  received Tdap, #1Hep A, #1HPV and MCV4. On 5/17/07 she felt itchy all over especially her neck area. On 5/18/07 she woke up with a itchy/painful rash from the neck down. Father denies any problems with previous immunizations. Denies ingesting or having contact with anything new. Father has appled Flucocinolone Acetonide 0.025% cream to the rash area a couple of times since it developed. Recommended MD and advised to stop using the Flucocinolone Acetonide 0.025% cream (it had not been prescribed). Father states that he is taking his son to their family doctor.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Nerve conduction studies, Pain, Paraesthesia
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: CSF protein normal, CSF test normal, CSF white blood cell count, Facial palsy, Guillain-Barre syndrome
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Hypoaesthesia, Laboratory test normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Antinuclear antibody positive, Areflexia, Asthenia, Blood folate normal, Blood human chorionic gonadotropin negative
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, CSF culture negative, CSF test normal, Chest X-ray normal
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Chest pain, Culture negative, Culture stool negative, Cytomegalovirus antibody positive, Double stranded DNA antibody
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Epstein-Barr virus antibody positive, Facial palsy, Guillain-Barre syndrome, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Hepatitis B antibody, Hypoaesthesia, Metabolic function test normal, Miller Fisher syndrome, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Polymerase chain reaction, Red blood cell sedimentation rate normal, Scan brain
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Thyroxine free normal, Urine analysis normal, Vitamin B12 normal
Clinical narrative: Patient presented 5/10/07 with a ten history of tingling in the right hand.  On 5/14/07, she presented with right foot pain and numbness as well.  She was referred to the Neurologist where she had an appointment 5/15/07.  Patient was admitted, after ER evaluation, on 5/16/07.  Patient was treated with IVIG in the hospital and multiple tests were ordered.  Patient's working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell's Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Nerve conduction studies, Pain, Paraesthesia
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: CSF protein normal, CSF test normal, CSF white blood cell count, Facial palsy, Guillain-Barre syndrome
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Hypoaesthesia, Laboratory test normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Antinuclear antibody positive, Areflexia, Asthenia, Blood folate normal, Blood human chorionic gonadotropin negative
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, CSF culture negative, CSF test normal, Chest X-ray normal
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Chest pain, Culture negative, Culture stool negative, Cytomegalovirus antibody positive, Double stranded DNA antibody
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Epstein-Barr virus antibody positive, Facial palsy, Guillain-Barre syndrome, Haematocrit normal, Haemoglobin normal
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Hepatitis B antibody, Hypoaesthesia, Metabolic function test normal, Miller Fisher syndrome, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Polymerase chain reaction, Red blood cell sedimentation rate normal, Scan brain
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPVX, MNQ, HEPA, HPV4, MNQ
Symptoms: Thyroxine free normal, Urine analysis normal, Vitamin B12 normal
Clinical narrative: Guillain Barre Syndrome, with numbness of hands and feet, and (L) Bells Palsy; no motor weakness otherwise, but Loss of LE DTR's (0) and UE 2+. Onset 4/28/07, seen in ER and admitted 5/16/07, received IVIG x 3 days, DC 5/21/07.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Local swelling, erythema, pruritis to left deltoid area.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Anogenital warts, Smear cervix normal
Clinical narrative: vulvar condyloma 3months after second vaccine given--treating with aldara cream
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Urticaria
Clinical narrative: Varicella Vaccine administered, within 2 minutes, redness and welp developed at injection site.  Errythema measured about 30mm. Some itching at site but no other symptoms.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Full blood count, Hypoaesthesia, Injection site induration, Injection site pain
Clinical narrative: Vaccine administered 5/17 immediate pain and induration at injection site; by 5/19 fever started (102) controlled with Tylenol for cold; intermittent fever until present, 5/21/07 left deltoid muscle swollen, skin is red and indurated, c/o numbness in upper left arm; Dicloxacillin 500 mg 1 PO qid x 7d called in to pharmacy
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Muscle swelling, Pyrexia, Skin induration
Clinical narrative: Vaccine administered 5/17 immediate pain and induration at injection site; by 5/19 fever started (102) controlled with Tylenol for cold; intermittent fever until present, 5/21/07 left deltoid muscle swollen, skin is red and indurated, c/o numbness in upper left arm; Dicloxacillin 500 mg 1 PO qid x 7d called in to pharmacy
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pharmaceutical product complaint, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of localized cellulitis left arm in a 2-year-old male subject who was vaccinated with Infanrix for prophylaxis. Co-suspect vaccination administered on 19 April 2007 included Ipol (subcutaneous, left arm). Concurrent vaccination included Recombivax HB (unknown; right arm) given on 19 April 2007. Concurrent medication included Albuterol. On 19 April 2007 the subject received the fourth dose of Infanrix (.5 ml, unknown, left deltoid), and unspecified dose of IPV (subcutaneous, left arm). On 20 April 2007, one day after vaccination with Infanrix and IPV, the subject experienced swelling and redness in his left arm, accompanied by fever. He presented to the emergency room, and was diagnosed with cellulitis. The reaction was characterized by the reporter as localized. This case was assessed as medically serious by manufacturer. The reporter also identified a product quality complaint, questioning whether there was a problem with the Infanrix lot number that was administered to the subject. The subject was treated with Bactrim. At the time of reporting (27 April 2007), the events were resolved. The healthcare professional considered the events were possibly related to vaccination with Infanrix. Comment: the event of "localized cellulitis left arm" was considered to be medically significant by manufacturer.
Sex: F
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome
Clinical narrative: This case was reported by a consumer and described the occurrence of Guillain Barre syndrome in a female subject of unspecified age who was vaccinated with influenza virus vaccine (Influenza vaccine) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Influenza vaccine. At an unspecified time after vaccination with Influenza vaccine, the subject experienced Guillain Barre syndrome. This case was assessed as medically serious by manufacturer. At the time of reporting the outcome of the event was unspecified.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Palpitations, Tachycardia
Clinical narrative: Developed SOB and racing HR during PT, Symptom: Tachycardia Start: 07/2006, Symptom: Dyspnea (shortness of breath) start: 07/2006.  05/24/2007 Lengthy medical record received for OVs from 10/2005 to March 2007, as well as prior hospital records from DX of Guillain-Barre from 8/2004.  Pt. reported no problems 2' to GBS in 2004 until March/April 2006 when pt. c/o increasing dypsnea with exertion and palpitations with exercise per narritive Summary.  1st noted in MR on OV of 6/28/2006 for SOB where HR=181 and PO2 was 93%.  Seen in F/U 7/6/06 to r/o autonomic dysfunction. DX of functional murmur, Palpitations, Paroxysmal Supraventricular Tachycardia Paresthesias in hands and feet noted at 11/29/2006 eval. DX with Sick sinus Syndrome 1/3/07.  Final DX:  Supraventricular arrhythmia: supraventricular tachycardia with more than 4 episode/yr documented by ECG or Holter monitor.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Culture stool, Dizziness, Full blood count normal, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 21 year old female patient with 2.4 centimeter haemorrhagic ovarian cyst, possible irritable bowel syndrome, gastrointestinal symptoms and anxiety. On 28-APR-2007 she was vaccinated IM In the left arm deltoid with a first dose of Gardasil. 3 days post vaccination on 02-MAY-2007 the patient experienced headache, dizziness, blurred vision and "vomiting all the time." On 06-MAY-2007 the patient went to emergency room (ER) and was seen but not hospitalized. On 06-MAY-2007 patient was hospitalized with unknown diagnosis. All types of test were performed; head computed axial tomography (CT scan of the brain), complete blood cell count (CBC), magnetic resonance imaging (MRI) with normal results. Stool culture test was taken and there was a trace amount of blood. She was treated with intravenous (IV) fluids. On 09-MAY-2007 she was released from the hospital. She was still dizzy. The outcome was unknown. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Nuclear magnetic resonance imaging normal, Vision blurred, Vomiting
Clinical narrative: Information has been received from a physician concerning a 21 year old female patient with 2.4 centimeter haemorrhagic ovarian cyst, possible irritable bowel syndrome, gastrointestinal symptoms and anxiety. On 28-APR-2007 she was vaccinated IM In the left arm deltoid with a first dose of Gardasil. 3 days post vaccination on 02-MAY-2007 the patient experienced headache, dizziness, blurred vision and "vomiting all the time." On 06-MAY-2007 the patient went to emergency room (ER) and was seen but not hospitalized. On 06-MAY-2007 patient was hospitalized with unknown diagnosis. All types of test were performed; head computed axial tomography (CT scan of the brain), complete blood cell count (CBC), magnetic resonance imaging (MRI) with normal results. Stool culture test was taken and there was a trace amount of blood. She was treated with intravenous (IV) fluids. On 09-MAY-2007 she was released from the hospital. She was still dizzy. The outcome was unknown. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a health professional concerning a female who on approximately 01-MAY-2007 was vaccinated. The nurse reported that the patient experienced a seizure after receiving the first dose of Gardasil. No additional information was reported. Upon internal review, the patient's seizure was considered an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cardiomyopathy, Intensive care, Intubation, Pneumonia
Clinical narrative: Information has been received from a physician concerning a 17 year old female who in approximately May 2007 was vaccinated with Gardasil. The physician reported that the patient was rushed to the hospital the day following vaccination with Gardasil. The patient was admitted to the intensive care unit and was still there as of 16-MAY-2007. The patient was diagnosed with cardiomyopathy and pneumonia, which required ICU management and intubation. The physician considered the cardiomyopathy and pneumonia to be life-threatening and other important medical events. Additional information has been requested. 6/27/07-records received from facility for DOS 5/9-5/17/07-DC DX: Acute respiratory syndrome. Disseminated intravascular coagulation. Diastolic dysfunction.  Seen in PCP office for shortness of breath and chest pain. Three days prior to admission began to experience tactile fevers and headaches. Became short of breath day she received Gardasil vaccine. Including midsternal chest pain and productive cough. Complaints on admission vomiting and palpitations. Temp 99.9. HR 117. Respirations 60.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activated partial thromboplastin time, Acute respiratory distress syndrome, Cardiomyopathy, Coronary artery bypass, Disseminated intravascular coagulation
Clinical narrative: Information has been received from a physician concerning a 17 year old female who in approximately May 2007 was vaccinated with Gardasil. The physician reported that the patient was rushed to the hospital the day following vaccination with Gardasil. The patient was admitted to the intensive care unit and was still there as of 16-MAY-2007. The patient was diagnosed with cardiomyopathy and pneumonia, which required ICU management and intubation. The physician considered the cardiomyopathy and pneumonia to be life-threatening and other important medical events. Additional information has been requested. 6/27/07-records received from facility for DOS 5/9-5/17/07-DC DX: Acute respiratory syndrome. Disseminated intravascular coagulation. Diastolic dysfunction.  Seen in PCP office for shortness of breath and chest pain. Three days prior to admission began to experience tactile fevers and headaches. Became short of breath day she received Gardasil vaccine. Including midsternal chest pain and productive cough. Complaints on admission vomiting and palpitations. Temp 99.9. HR 117. Respirations 60.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Echocardiogram, Intensive care, International normalised ratio, Laboratory test, Pneumonia
Clinical narrative: Information has been received from a physician concerning a 17 year old female who in approximately May 2007 was vaccinated with Gardasil. The physician reported that the patient was rushed to the hospital the day following vaccination with Gardasil. The patient was admitted to the intensive care unit and was still there as of 16-MAY-2007. The patient was diagnosed with cardiomyopathy and pneumonia, which required ICU management and intubation. The physician considered the cardiomyopathy and pneumonia to be life-threatening and other important medical events. Additional information has been requested. 6/27/07-records received from facility for DOS 5/9-5/17/07-DC DX: Acute respiratory syndrome. Disseminated intravascular coagulation. Diastolic dysfunction.  Seen in PCP office for shortness of breath and chest pain. Three days prior to admission began to experience tactile fevers and headaches. Became short of breath day she received Gardasil vaccine. Including midsternal chest pain and productive cough. Complaints on admission vomiting and palpitations. Temp 99.9. HR 117. Respirations 60.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Prothrombin level, X-ray
Clinical narrative: Information has been received from a physician concerning a 17 year old female who in approximately May 2007 was vaccinated with Gardasil. The physician reported that the patient was rushed to the hospital the day following vaccination with Gardasil. The patient was admitted to the intensive care unit and was still there as of 16-MAY-2007. The patient was diagnosed with cardiomyopathy and pneumonia, which required ICU management and intubation. The physician considered the cardiomyopathy and pneumonia to be life-threatening and other important medical events. Additional information has been requested. 6/27/07-records received from facility for DOS 5/9-5/17/07-DC DX: Acute respiratory syndrome. Disseminated intravascular coagulation. Diastolic dysfunction.  Seen in PCP office for shortness of breath and chest pain. Three days prior to admission began to experience tactile fevers and headaches. Became short of breath day she received Gardasil vaccine. Including midsternal chest pain and productive cough. Complaints on admission vomiting and palpitations. Temp 99.9. HR 117. Respirations 60.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Anaphylactic reaction, Headache, Pain, Respiratory disorder, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning a 5 year old male with a history of anaphylaxis from a vaccination with MMR II (WAES#0705USA02140) who on 08-May-2007 at 11:30 was vaccinated subcutaneously in the right shoulder with a 0.5ml dose of Varivax. Suspect therapy included Dtap. It was reported that a 11:30 AM, the patient was vaccinated and 5 to 10 minutes later the first hive appeared at the right shoulder and the child had generalized pain. At 11:40 AM the child had hives all over his body and experienced an anaphylactic reaction. There was no respiratory distress, client was injected with an EpiPen. Ambulance was called and child was transported to hospital. Nurse stated that the child was much better following the EpiPen injection, responded well. Additional information from the registered nurse indicated that the patient's head was hurting and the child was having respiratory problems after receiving the vaccinations. The events were considered life threatening. After receiving the Epipen at the office the child was stable when he left the office via ambulance. The child was admitted to the hospital overnight for observation from inpatient service. This event was considered to be serious due to being immediately life-threatening and hospitalization. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Abdominal pain, Anaphylactic reaction, Chest discomfort, Dyspnoea, Eye swelling
Clinical narrative: Information has been received from a registered nurse concerning an approximately 3 year old male who on 17-Aug-2005 was vaccinated at another facility with a dose of MMR II. Concomitant therapy included HAVRIX. Post vaccination the child experienced a severe reaction, unknown what type of reaction, but serious enough that he was hospitalized at the time. After the episode occurred on 17-Aug-2005, child was discharged from the hospital with no complication. Additional information from the nurse indicated that the child experienced an anaphylactic reaction, respiratory difficulty, hypotension, abdominal pain, chest discomfort, shortness of breath, hives flushing and swelling around eyes. The patient was admitted to the hospital overnight. Diagnosis was an anaphylactic reaction. Subsequently, the patient had a similar experience following vaccination with Varivax (WAES# 0705USA01826). Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Flushing, Hypotension, Respiratory distress, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning an approximately 3 year old male who on 17-Aug-2005 was vaccinated at another facility with a dose of MMR II. Concomitant therapy included HAVRIX. Post vaccination the child experienced a severe reaction, unknown what type of reaction, but serious enough that he was hospitalized at the time. After the episode occurred on 17-Aug-2005, child was discharged from the hospital with no complication. Additional information from the nurse indicated that the child experienced an anaphylactic reaction, respiratory difficulty, hypotension, abdominal pain, chest discomfort, shortness of breath, hives flushing and swelling around eyes. The patient was admitted to the hospital overnight. Diagnosis was an anaphylactic reaction. Subsequently, the patient had a similar experience following vaccination with Varivax (WAES# 0705USA01826). Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Initial and follow-up information has been received from a nurse concerning several patients who were vaccinated with Pneumovax. No lot number provided. It was reported that several patients experienced "fever", "injection site pain" and "other random complaints". At the time of the report it was unknown if the patients recovered. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. In follow-up it was reported by the licensed practical nurse. (L.P.N.) that approximately 10 patients, mostly males all 50 plus (+) complained of not being able to move their arms, soreness, and an almost "paralysis" in the injected arm. The L.P.N. could not confirm if the patients were given the same lot of product. The remaining vials were discarded and a new batch was requested. Upon medical review it was determined that no being able to move their arms, and almost "paralysis" were considered other important medical events. Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician concerning a 6-month-old male who on 05-DEC-2006 and 27-FEB-2007 was vaccinated PO with the first and second doses of Rotateq (lot number not available). On 20-APR-2007, approximately 7 weeks after receiving the second dose, the patient experienced intussusception and was hospitalized. The patient had surgery to correct this and has subsequently recovered. There was no product quality complaint involved. The event was considered to be immediately life-threatening by the reporter. Additional information has been requested.  5/25/07 Received vax records from PCP but did not include vax lot numbers.  T/C to PCP office to request info.  5/25/07 received vax records w/lot numbers.  VAERS database updated w/same.  6/18/07 Received hospital medical records which reveal patient experienced vomiting x 4 days & crampy abdominal pain.  Seen in ER where UGI revealed bowel obstruction.  Admitted 4/20-4/24/07.  Air contrast enema confirmed IS but could not reduce.  Taken to OR for exp lap, small resection w/primary anastomosis & appendectomy.  Progressed well & was d/c to home. FINAL DX: Small bowel-small bowel intussusception reduced by exp laparotomy, small bowel resection w/primary anastomosis & appendectomy.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Autism, Cerebral palsy, Computerised tomogram normal, Convulsion, Developmental delay
Clinical narrative: Night of shot 4 mo in Oct 06 pt experienced an involuntary spasm of his left arm. He experienced several more spasms in the next week. In FEB 07 he experienced two more arm spasms (once right, once left). On March 22, 2007 he experienced a seizure and was hospitalized for three days. Currently is developmentally delayed and on seizure anti-meds.  VAERS report with hx. written by mother attached.  4 mon. shots given 10/25/2006.  That pm mother reports  child had a L arm spasm, from elbow to fist with fist clenched, lasting ~10 sec.  Several more similar incidents over the next week.  No spasms again until 6 month vax given on 1/23/2007.  One L arm spasm and one R arm spasm occured 2/26/2007.  Flu vax given 3/5/07.  On 3/21/07 mother noticed increased drooling and that infant was "floppy".  He later had a full body spasm/convulsion involving all 4 extremities. Infant was limp after episode.  He was taken to ER and was staring to the right for the 30" ride. Child also began night terrors and high pitched screeching following 4 mon. shots per mom.  Mother reports loss of verbalizations and rolling over.  Seen by Ped. Neuro.  Awaiting reports.  07/02/2007 MR received from 8/2006 through 6/2007. First several visits are for normal 2, 4 and 6 mon. well baby checks  with normal growth and development noted. Visit 27 March 2007 in F/U for hospitalization for status epilepticus.  First seizure however has hx of unilateral hand spasms at age 4 months.  Neuro exam showed dysfunctional tone. Developmental Peds consult 4 April 2007 with DX: Seizure Disorder.  Global Developmental Delay. R/O metabolic disorder. R/O Cerebral Palsy. Neuro consult 22 april with DX Seizure Disorder.  Delayed milestones.  Hemiflaccidity of left side.  Hemiflaccidity of right side. Opthalmology consult 13 April 2007 showed no opthalmic manifestations of metabolic disease. Peds Neuro consult 26 April 2007 remarkable for lack of visual responsiveness, no social smiling. Motor hypotonia of the head, trunk, and neck with normal strength.  Impression:  Hx of focal seizures and global developmental delays, possibility of Autistic Spectrum Disorder. 2 more grand mal seizures in May 2007.  1/15/2010 Chronic diarrhea/GI issues, high mercury levels, severe developmental delay, epiliepsy, autism, failure to thrive and hypotinia.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Electroencephalogram, Epilepsy, Metabolic disorder, Metal poisoning
Clinical narrative: Night of shot 4 mo in Oct 06 pt experienced an involuntary spasm of his left arm. He experienced several more spasms in the next week. In FEB 07 he experienced two more arm spasms (once right, once left). On March 22, 2007 he experienced a seizure and was hospitalized for three days. Currently is developmentally delayed and on seizure anti-meds.  VAERS report with hx. written by mother attached.  4 mon. shots given 10/25/2006.  That pm mother reports  child had a L arm spasm, from elbow to fist with fist clenched, lasting ~10 sec.  Several more similar incidents over the next week.  No spasms again until 6 month vax given on 1/23/2007.  One L arm spasm and one R arm spasm occured 2/26/2007.  Flu vax given 3/5/07.  On 3/21/07 mother noticed increased drooling and that infant was "floppy".  He later had a full body spasm/convulsion involving all 4 extremities. Infant was limp after episode.  He was taken to ER and was staring to the right for the 30" ride. Child also began night terrors and high pitched screeching following 4 mon. shots per mom.  Mother reports loss of verbalizations and rolling over.  Seen by Ped. Neuro.  Awaiting reports.  07/02/2007 MR received from 8/2006 through 6/2007. First several visits are for normal 2, 4 and 6 mon. well baby checks  with normal growth and development noted. Visit 27 March 2007 in F/U for hospitalization for status epilepticus.  First seizure however has hx of unilateral hand spasms at age 4 months.  Neuro exam showed dysfunctional tone. Developmental Peds consult 4 April 2007 with DX: Seizure Disorder.  Global Developmental Delay. R/O metabolic disorder. R/O Cerebral Palsy. Neuro consult 22 april with DX Seizure Disorder.  Delayed milestones.  Hemiflaccidity of left side.  Hemiflaccidity of right side. Opthalmology consult 13 April 2007 showed no opthalmic manifestations of metabolic disease. Peds Neuro consult 26 April 2007 remarkable for lack of visual responsiveness, no social smiling. Motor hypotonia of the head, trunk, and neck with normal strength.  Impression:  Hx of focal seizures and global developmental delays, possibility of Autistic Spectrum Disorder. 2 more grand mal seizures in May 2007.  1/15/2010 Chronic diarrhea/GI issues, high mercury levels, severe developmental delay, epiliepsy, autism, failure to thrive and hypotinia.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Muscle spasms, Nuclear magnetic resonance imaging normal, Screaming
Clinical narrative: Night of shot 4 mo in Oct 06 pt experienced an involuntary spasm of his left arm. He experienced several more spasms in the next week. In FEB 07 he experienced two more arm spasms (once right, once left). On March 22, 2007 he experienced a seizure and was hospitalized for three days. Currently is developmentally delayed and on seizure anti-meds.  VAERS report with hx. written by mother attached.  4 mon. shots given 10/25/2006.  That pm mother reports  child had a L arm spasm, from elbow to fist with fist clenched, lasting ~10 sec.  Several more similar incidents over the next week.  No spasms again until 6 month vax given on 1/23/2007.  One L arm spasm and one R arm spasm occured 2/26/2007.  Flu vax given 3/5/07.  On 3/21/07 mother noticed increased drooling and that infant was "floppy".  He later had a full body spasm/convulsion involving all 4 extremities. Infant was limp after episode.  He was taken to ER and was staring to the right for the 30" ride. Child also began night terrors and high pitched screeching following 4 mon. shots per mom.  Mother reports loss of verbalizations and rolling over.  Seen by Ped. Neuro.  Awaiting reports.  07/02/2007 MR received from 8/2006 through 6/2007. First several visits are for normal 2, 4 and 6 mon. well baby checks  with normal growth and development noted. Visit 27 March 2007 in F/U for hospitalization for status epilepticus.  First seizure however has hx of unilateral hand spasms at age 4 months.  Neuro exam showed dysfunctional tone. Developmental Peds consult 4 April 2007 with DX: Seizure Disorder.  Global Developmental Delay. R/O metabolic disorder. R/O Cerebral Palsy. Neuro consult 22 april with DX Seizure Disorder.  Delayed milestones.  Hemiflaccidity of left side.  Hemiflaccidity of right side. Opthalmology consult 13 April 2007 showed no opthalmic manifestations of metabolic disease. Peds Neuro consult 26 April 2007 remarkable for lack of visual responsiveness, no social smiling. Motor hypotonia of the head, trunk, and neck with normal strength.  Impression:  Hx of focal seizures and global developmental delays, possibility of Autistic Spectrum Disorder. 2 more grand mal seizures in May 2007.  1/15/2010 Chronic diarrhea/GI issues, high mercury levels, severe developmental delay, epiliepsy, autism, failure to thrive and hypotinia.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cardiac electrophysiologic study normal, Chest pain, Constipation, Dizziness, Electrocardiogram abnormal
Clinical narrative: Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse.  DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electrocardiogram normal, Electroencephalogram, Headache, Insomnia, Palpitations
Clinical narrative: Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse.  DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.