chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: F
Vaccine: HIBV, PNC
Symptoms: Bowel movement irregularity, Diarrhoea
Clinical narrative: This case was reported by a health professional on 20 June 2007; follow-up information was received on 21 June 2007. This case initially was reported as two patient who had bowel movements after vaccination with ACTHIB; follow-up on 21 June 2007 provided additional information regarding one of the patients. A 5-month-old female patient with no medical history received an injection of ACTHIB (UE957MB) and PCV7 (pneumococcal conjugate vaccine, manufacturer not provided) on 07 June 2007. On 09 June 2007, she began experiencing six to eight loose stools a day, including bowel movements after each feeding. Previously, she had only one to two bowel movements daily. At the time of the report, the events had not yet recovered. Additionally, the reporter noted that another patient (identifiers not provided) also experienced a bowel movement after each feeding following administration of ACTHIB. Follow-up information received on 10 September 2007 from a health care professional. In response to a request for vaccination information, the reporter provided the following concerning the previously reported vaccinations: ACTHIB, lot number UE957MB (not a valid sanofi pasteur lot number), was a second dose administered in the left thigh; PREVNAR (previously reported as pneumococcal conjugate vaccine), manufacturer Wyeth, lot number B36258E, was a second dose administered in the right thigh; and PEDIARIX, lot number AC21B097AB, was a first dose administered in the left thigh. Per the reporter, the parent had stated, "stools now back to normal." The reporter for this case reported that "four infants received ACTHIB vaccinations - two developed anorexia, and two had BM's after each feeding"; this information is captured in case numbers 2007-02263 and 2007-02275.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right ARM got red and puffy, according to Pt. on the next day.  Started out "quarter-size".  Progressed to "Golf ball-size" on 3rd day.  Warm.  No other symptoms, however.  She took Only 1 Benadryl and didn't work immediately, so called Ask a RN and went to E.R.-was told to take acetaminophen by RN, and Dr. at E.R. had told her to get on Benadryl course before leaving our pharmacy, upon vaccination.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Abscess, Erythema
Clinical narrative: Anthrax shots #2, 4 localized abscess with surrounding erythema, required I & D. No reaction with 1,3.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt came to doctors office complaining of sore arm where she had received Tdap 2 days prior.  R deltoid was swollen & red with 8cm x 7cm of induration & erythema present.  Hot to the touch & painful.  Pt states area is itchy.  Motrin & Benadryl cream recommended to pt.  Signs & symptoms of infection given to pt. & told to return if any problems or if problem did not resolve.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Pt came to doctors office complaining of sore arm where she had received Tdap 2 days prior.  R deltoid was swollen & red with 8cm x 7cm of induration & erythema present.  Hot to the touch & painful.  Pt states area is itchy.  Motrin & Benadryl cream recommended to pt.  Signs & symptoms of infection given to pt. & told to return if any problems or if problem did not resolve.
Age: 45.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Alopecia, Hair colour changes
Clinical narrative: Developed significant alopecia which progressed from facial hair to scalp hair to hair on chest, arm and leg.  Much of the remaining hair turned white and changed texture.  Much has grown back currently but beard remains white.  Historical pictures provided by patient.  Symptom: Alopecia (hair loss) comment: 704.00
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: Temp 103.6
Age: 61.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Body temperature increased, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Injection given in AM 8/8/07.  By 4 PM same day temperature was 104, area was hot, edematous and red.  Pronounced pain at site.  By next AM edema had spread to hand, redness was circumstantial and extended from hand to neck.  Skin on that arm eventually peeled.
Age: 61.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Skin exfoliation
Clinical narrative: Injection given in AM 8/8/07.  By 4 PM same day temperature was 104, area was hot, edematous and red.  Pronounced pain at site.  By next AM edema had spread to hand, redness was circumstantial and extended from hand to neck.  Skin on that arm eventually peeled.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Lumbar puncture, Neuropathy peripheral, Paraesthesia
Clinical narrative: Developed tingling/numbness of hands/feet-peripheral neuropathy - dx by Dr neurology group; Dr at university.  Saw also Dr at clinic.  Received VitBiz; IV methylprednisone. 4/10/08-office records received- 3/7/07-C/O numbness and tingling hands/feet.  Now C/O discoloration of toes. 6/8/07-peripheral neuropathy.  8/13/07-received serial doses of solu medrol. for idosyncratic reaction to gardasil per rheumatologist. 10/7/88-now on INH for positive PPD. C/O chest pain rapid heart beat. Did not complete the course of INH. 4/14/08-complete medical records received-DX: Small fiber sensory neuropathy, mild. Pain. history of human papilloma virus positivity. tachycardia felt to be paroxysmal supraventricular tachycardia in the setting of treatment with Solu-Medrol. Three months after received frist HPV vaccine C/O tingling, pins and needles sensations in fingertips  or right hand. Over next few months progressed to left and and toes of both feet. Some difficulties with balance. 1/8/08-C/O right hand feels entirely numb after an episode of pain and burning in wrist area. Burning, throbbing and tingling in left hand. Numbness in both feet. Lost balance, unsteady on feet. Orthostatic light-headedness.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter with no medical history and no drug allergies, who, on an unspecified date, was vaccinated with a third dose of GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified). The patient had a miscarriage "a month and a half ago" in approximately February 2008. The patient sought unspecified medical attention. No laboratory diagnostics were performed. At the time of the report, the outcome of the patient was unknown. Upon internal review miscarriage was considered to be an other important medical event.  Additional information is not available.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration, redness at the site of injection 10 days after the administration.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Blister, Erythema, Induration
Clinical narrative: 12 x 13 cm of erythema, somewhat induration with central area with vesicles ~2 cm area & one large bulla.  No fever or other systemic signs.
Age: 19.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Rash papular
Clinical narrative: Developed pruretic papules in the deltoid area bilaterally, rt>lt.  Hep B #3 placed in rt deltoid, Hep A #1 placed in left deltoid.  Lesions still visible when seen by the hospital on 13 Sep 04.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Herpes zoster, Rash
Clinical narrative: information has been received from a physician concerning a 70 year old male consumer with a cardiac history who on 19-MAR-2008 was vaccinated with ZOSTAVAX. Concomitant therapy included "routine medicines." Subsequently, on 26-MAR-2008 the patient developed chest pain in the left nipple area. The patient was taken to the emergency room since he had a cardiac history. It was unspecified if lab studies were performed. The patient also had a rash on his left chest and back area and was diagnosed with shingles. The patient was hospitalized overnight. At the time of the report the patient still had shingles. The status of his chest pain was unknown. There was no product quality complaint involved. Additional information has been requested.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Pruritus, Scratch
Clinical narrative: Erythema at injection site, upper arm -> shoulder to mid arm.  Scratch marks, itchy.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Induration, Local reaction
Clinical narrative: Local large reaction to DTaP 7cm induration.
Sex: M
Vaccine: MMR
Symptoms: Autism, Death
Clinical narrative: Information has been received from a consumer concerning her neighbor's son who on an unspecified date was vaccinated with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3).  On an unspecified date, post vaccination, the patient developed autism and eventually jumped in a lake and died.  A product quality complaint was not involved.  The adverse event autism was considered an Other Medically Important Event (OME).  Additional information has been requested.  4/4/08 Received via email from FDA & manufacturer: The reporter is a consumer who reported on a neighbor's child.  The reporter refused to provide information beyond what was on the VAERS form .  The reporter refused to provide the name and telephone number of the actual parents of the child.  This is unevaluable.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Asthenia, Cystitis, Laboratory test normal, Malaise
Clinical narrative: Information has been received from a physician concerning a 21 year old female with no pertinent medical history or drug reactions/allergies who on 30-JUL-2007 was vaccinated with GARDASIL (lot # 655849/0263U). There was no concomitant medication. The physician reported that the patient developed adverse reactions following vaccination with GARDASIL that started 2 to 3 weeks after the first vaccination. In August 2007, the patient developed body aches, general malaise, vomiting, weakness, bladder infection and arthralgias. The patient had no energy and was so weak that they could not get out of bed. The patient was examined at the clinic and unspecified tests were performed and the results were all negative. The symptoms persisted through the second dose of GARDASIL (lot# 657736/0389U) given on 27-SEP-2007. The patient was symptom free 4 weeks to 2 months prior to receiving the third dose of GARDASIL on 20-MAR-2008. The symptoms of malaise and weakness are returning after the third dose of GARDASIL. At the time of reporting the patient had not recovered from malaise and weakness. There was no other information to report. The reporter felt that the events were disabling. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Vaccine positive rechallenge, Vomiting
Clinical narrative: Information has been received from a physician concerning a 21 year old female with no pertinent medical history or drug reactions/allergies who on 30-JUL-2007 was vaccinated with GARDASIL (lot # 655849/0263U). There was no concomitant medication. The physician reported that the patient developed adverse reactions following vaccination with GARDASIL that started 2 to 3 weeks after the first vaccination. In August 2007, the patient developed body aches, general malaise, vomiting, weakness, bladder infection and arthralgias. The patient had no energy and was so weak that they could not get out of bed. The patient was examined at the clinic and unspecified tests were performed and the results were all negative. The symptoms persisted through the second dose of GARDASIL (lot# 657736/0389U) given on 27-SEP-2007. The patient was symptom free 4 weeks to 2 months prior to receiving the third dose of GARDASIL on 20-MAR-2008. The symptoms of malaise and weakness are returning after the third dose of GARDASIL. At the time of reporting the patient had not recovered from malaise and weakness. There was no other information to report. The reporter felt that the events were disabling. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 25-MAR-2008 was vaccinated with a third dose of Gardasil (lot # 659182/1757U) IM. There was no concomitant medication. On 25-MAR-2008 the patient experienced a seizure and fainted 15 seconds after receiving the third dose of Gardasil. The patient recovered immediately. The patient was evaluated in the emergency room, but unspecified if she was admitted to the hospital. It was noted that the patient had an unspecified blood test. No other information was available. Additional information has been requested.
Age: 1.02
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Febrile convulsion, Influenza
Clinical narrative: Febrile seizure approximately 10 hours after vaccine administration.  Influenza A positive at time of seizure. 4/11/08-records received for DOS 3/19-3/23/08-DC DX: Respiratory failure. Influenza A pneumonia. Febrile seizures. Admitted on day of vaccination. Slept more than usual which is the same affect with pass immunizations.  Bumped head, crying with difficulty breathing noted, appeared blue. Intubated in ER. Abnormal movements of hand. Febrile seizure in ED.
Age: 22.0
Sex: M
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: 1 hr after Rabies #1 patient experienced generalized hives.  No other systemic symptoms.  Treated in ED with steroids and antihistamines with prompt resolution of symptoms.  No other vaccines administered.  only taking his usual daily Adderall.  no NSAIDs or Tylenol.  Rash started on L arm where vaccine was administered.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Headache, Injection site pain, Lymphadenopathy, Nausea
Clinical narrative: Student rec'd Tdap on 3/31/08. The next evening developed: HA, felt feverish, 2 lymph nodes swollen and painful at the base of the left posterior supraclavicular region. Also, nauseated. Student refused recommend MD evaluation. Instructed to cont. Tylenol for HAs and injection site pain.
Age: 6.0
Sex: M
Vaccine: DTP, MMR, OPV
Symptoms: Autism, Disturbance in attention, Lethargy, Pyrexia, Screaming
Clinical narrative: Fever, screaming, lethargic, and loss of eye contact.  4/11/08 Reviewed PCP medical records which included vax records & peds neurologist evaluation. FINAL DX: PDD, autism spectrum disorder (high functioning) Records reveal patient initially dx w/PDD 6/1997 & autism 3/2000.  Lack of speech dx 4/1996.  ADHD, aggressive, impulsive.  Tx w/meds/ST/OT/early childhood intervention & secretin infusions.  Neurologist records reveal patient experienced tantrums, frustration & low mood.  Noted parental concerns began s/p initial MMR of 04/1995.  Continued special education class w/1-1 aide & medication was recommended.
Age: 6.0
Sex: M
Vaccine: DTP, MMR, OPV
Symptoms: Speech disorder
Clinical narrative: Fever, screaming, lethargic, and loss of eye contact.  4/11/08 Reviewed PCP medical records which included vax records & peds neurologist evaluation. FINAL DX: PDD, autism spectrum disorder (high functioning) Records reveal patient initially dx w/PDD 6/1997 & autism 3/2000.  Lack of speech dx 4/1996.  ADHD, aggressive, impulsive.  Tx w/meds/ST/OT/early childhood intervention & secretin infusions.  Neurologist records reveal patient experienced tantrums, frustration & low mood.  Noted parental concerns began s/p initial MMR of 04/1995.  Continued special education class w/1-1 aide & medication was recommended.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. complains of itching and soreness around injection area which started the day after the injection. Has interrupted sleep due to itching and pain in upper arm. Area is red, hot, bruised, and swollen which is still present 8 days after injection. Area extends 3-5 cm beyond injection site. Itching is still present with discomfort 8 days after injection.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Insomnia
Clinical narrative: Pt. complains of itching and soreness around injection area which started the day after the injection. Has interrupted sleep due to itching and pain in upper arm. Area is red, hot, bruised, and swollen which is still present 8 days after injection. Area extends 3-5 cm beyond injection site. Itching is still present with discomfort 8 days after injection.
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema induratum, Local reaction
Clinical narrative: Inspection for rashes, lesions, ulcers -- Pt is having 1-2 cm erythematous induration on right deltoid area, where he received VARIVAX yesterday. No abscess.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema induratum, Local reaction
Clinical narrative: Inspection for rashes, lesions, ulcers -- Pt is having 3 cm erythematous induration on left deltoid area, where he recieved VARIVAX yesterday. No abscess.
Age: 0.23
Sex: M
Vaccine: DTAPH, DTPIHI, PNC
Symptoms: Medication error
Clinical narrative: None   - Pt given Pediarix (Dtap, IPV, HepB) and Trihibit (Dtap, HIB) at the same time.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood calcium increased, Childhood disintegrative disorder, Chromosome analysis normal, Clonic convulsion, Computerised tomogram normal
Clinical narrative: Started having seizures 4 days after immunization.  Now has uncontrollable seizure disorder, has lost all milestones.  4/21/2008 MR received for DOS 1/3-8/2008 with D/C DX:  Seizure Disorder.  Infant presented to ER with several episodes of generalized clonic seizures over the previous 24 hrs.  Infant initially seen in local ER after 1st episode and D/Cd after normal CT and labs. Pt had 2 more episodes of eyes rolling back, head deviation to the R, and becoming stiff.  Last episode with cyanosis. Pt then had witness tonic-clonic seizure in the ER with desaturation to the mid 30's which improved with O2. T=100.4'F. Pt had daily seizures while hospitalized, but slowly improved with titration of Tegretol. Follow-up: severe developmental delays, gastrostomy button.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Cytogenetic analysis, Eye rolling, Gastrostomy, Metabolic function test normal
Clinical narrative: Started having seizures 4 days after immunization.  Now has uncontrollable seizure disorder, has lost all milestones.  4/21/2008 MR received for DOS 1/3-8/2008 with D/C DX:  Seizure Disorder.  Infant presented to ER with several episodes of generalized clonic seizures over the previous 24 hrs.  Infant initially seen in local ER after 1st episode and D/Cd after normal CT and labs. Pt had 2 more episodes of eyes rolling back, head deviation to the R, and becoming stiff.  Last episode with cyanosis. Pt then had witness tonic-clonic seizure in the ER with desaturation to the mid 30's which improved with O2. T=100.4'F. Pt had daily seizures while hospitalized, but slowly improved with titration of Tegretol. Follow-up: severe developmental delays, gastrostomy button.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nuclear magnetic resonance imaging brain normal, Pyrexia
Clinical narrative: Started having seizures 4 days after immunization.  Now has uncontrollable seizure disorder, has lost all milestones.  4/21/2008 MR received for DOS 1/3-8/2008 with D/C DX:  Seizure Disorder.  Infant presented to ER with several episodes of generalized clonic seizures over the previous 24 hrs.  Infant initially seen in local ER after 1st episode and D/Cd after normal CT and labs. Pt had 2 more episodes of eyes rolling back, head deviation to the R, and becoming stiff.  Last episode with cyanosis. Pt then had witness tonic-clonic seizure in the ER with desaturation to the mid 30's which improved with O2. T=100.4'F. Pt had daily seizures while hospitalized, but slowly improved with titration of Tegretol. Follow-up: severe developmental delays, gastrostomy button.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: L deltoid, red, hot to touch, fever, swollen.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: CSF culture negative, CSF glucose normal, CSF protein normal, CSF virus no organisms observed, CSF white blood cell count increased
Clinical narrative: 1 week after my son got his immunizations he seemed very irritated and restless, he wouldn't let any one hold him and he was very fussy. On 2/28/08 he had a 1 minute seizure. He had no fever. The next day he was having cluster seizures and I took him to the emergency room. They then saw the seizure activity and got sent to another hospital where he had several more. They did 2 MRI's, 2 EEG's, 1 CT Scan, and 2 Lumbar punctures. They decided to test him for HSV of the brain all test were negative for the HSV. But did show that the seizures were coming from the Temporal Lobe of the brain and he had meningoencephalitis. He also had a total of 63 picc line doses of Acyclovir. He is now home and on 3 different seizure meds, and still having a large amount of seizures everyday. 4/11/08-records received for DOS 3/4-3/29/08-DC DX: Partial complex seizure secondarily generalized likely due to HSV encephalitis. Presented with history of eyes jerking and head jerking for 1 minute. Unresponsive. Another eye jerking episode without post ictal state. Course of hospitalization multiple seizure episodes consisting of excessive eye blinking and some jerky right hand movements. Continued to seizure throughout hospitalization. Follow up: Child is still having seizures and is on 3 different medications for the problem. 1/21/2010 Follow up: He is still having seizures.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram abnormal, Encephalitis, Enterovirus serology test negative
Clinical narrative: 1 week after my son got his immunizations he seemed very irritated and restless, he wouldn't let any one hold him and he was very fussy. On 2/28/08 he had a 1 minute seizure. He had no fever. The next day he was having cluster seizures and I took him to the emergency room. They then saw the seizure activity and got sent to another hospital where he had several more. They did 2 MRI's, 2 EEG's, 1 CT Scan, and 2 Lumbar punctures. They decided to test him for HSV of the brain all test were negative for the HSV. But did show that the seizures were coming from the Temporal Lobe of the brain and he had meningoencephalitis. He also had a total of 63 picc line doses of Acyclovir. He is now home and on 3 different seizure meds, and still having a large amount of seizures everyday. 4/11/08-records received for DOS 3/4-3/29/08-DC DX: Partial complex seizure secondarily generalized likely due to HSV encephalitis. Presented with history of eyes jerking and head jerking for 1 minute. Unresponsive. Another eye jerking episode without post ictal state. Course of hospitalization multiple seizure episodes consisting of excessive eye blinking and some jerky right hand movements. Continued to seizure throughout hospitalization. Follow up: Child is still having seizures and is on 3 different medications for the problem. 1/21/2010 Follow up: He is still having seizures.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Herpes simplex serology negative, Irritability, Lumbar puncture, Nuclear magnetic resonance imaging brain normal, Polymerase chain reaction
Clinical narrative: 1 week after my son got his immunizations he seemed very irritated and restless, he wouldn't let any one hold him and he was very fussy. On 2/28/08 he had a 1 minute seizure. He had no fever. The next day he was having cluster seizures and I took him to the emergency room. They then saw the seizure activity and got sent to another hospital where he had several more. They did 2 MRI's, 2 EEG's, 1 CT Scan, and 2 Lumbar punctures. They decided to test him for HSV of the brain all test were negative for the HSV. But did show that the seizures were coming from the Temporal Lobe of the brain and he had meningoencephalitis. He also had a total of 63 picc line doses of Acyclovir. He is now home and on 3 different seizure meds, and still having a large amount of seizures everyday. 4/11/08-records received for DOS 3/4-3/29/08-DC DX: Partial complex seizure secondarily generalized likely due to HSV encephalitis. Presented with history of eyes jerking and head jerking for 1 minute. Unresponsive. Another eye jerking episode without post ictal state. Course of hospitalization multiple seizure episodes consisting of excessive eye blinking and some jerky right hand movements. Continued to seizure throughout hospitalization. Follow up: Child is still having seizures and is on 3 different medications for the problem. 1/21/2010 Follow up: He is still having seizures.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Red blood cells CSF positive, Restlessness, Varicella zoster serology negative
Clinical narrative: 1 week after my son got his immunizations he seemed very irritated and restless, he wouldn't let any one hold him and he was very fussy. On 2/28/08 he had a 1 minute seizure. He had no fever. The next day he was having cluster seizures and I took him to the emergency room. They then saw the seizure activity and got sent to another hospital where he had several more. They did 2 MRI's, 2 EEG's, 1 CT Scan, and 2 Lumbar punctures. They decided to test him for HSV of the brain all test were negative for the HSV. But did show that the seizures were coming from the Temporal Lobe of the brain and he had meningoencephalitis. He also had a total of 63 picc line doses of Acyclovir. He is now home and on 3 different seizure meds, and still having a large amount of seizures everyday. 4/11/08-records received for DOS 3/4-3/29/08-DC DX: Partial complex seizure secondarily generalized likely due to HSV encephalitis. Presented with history of eyes jerking and head jerking for 1 minute. Unresponsive. Another eye jerking episode without post ictal state. Course of hospitalization multiple seizure episodes consisting of excessive eye blinking and some jerky right hand movements. Continued to seizure throughout hospitalization. Follow up: Child is still having seizures and is on 3 different medications for the problem. 1/21/2010 Follow up: He is still having seizures.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphemia, Eczema, Learning disorder, Reaction to food additive, Speech disorder
Clinical narrative: Patient developed a noticable stutter in speech following the flu shot that was not present before the shot.  She also seems unable to form sentences properly and frequently uses jumbled words.  She is unable to comprehend shapes, colors, letters or numbers.  Again, this was not the case prior to the flu shot. It should also be noted that patient had eczema as an infant that was related to food intolerances.  This cleared up with a proper diet.  However the eczema returned on the back of her arms and on her torso following the flu vaccine and will not clear up.  It has also been determined that she is intolerant to artificial food coloring which only developed after the flu vaccine.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Rash
Clinical narrative: Patient developed fever and febrile seizure approximately 10 days after varicella immunization. 1-2 days after seizure, child developed exanthem consistent with varicella.
Age: 63.0
Sex: M
Vaccine: YF, YF
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Cytomegalovirus colitis
Clinical narrative: Traveled to foreign country from 1/29/08 to 2/20/08. Had onset of severe HA, photophobia and nausea beginning on 2/19/08. Intermittent episodes of fever with profuse sweating beginning 2/21/08. Hospitalized in MA from 3/2/08 to 3/19/08. Principle discharge diagnosis: fever, CMV colitis, & candidas of esophagus. Also has Crohn's disease. While he was in foreign country, there was a large outbreak of Dengue fever in the area where he was. 4/8/08-records received for DOS 3/2-3/19/08- DC DX: Fever. CMV. Candidiasis of esophagus. Crohn's disease. Presented with 10 day history of intermittent fevers up to 105, profuse sweating, chills, myalgias and weakness. Returned from travel 11 days prior after spending 3 weeks there. Travels every year. Ate cooked mussels once. Episode of falling into water once. Bitten by mosquitoes. On 2/19/08 developed severe headache in occipital area associated with photophobia and nausea. Intermittent fever since 2/21/08 usually in afternoon and reoccur in evening. Loose stools. Decreased appetite. Chnage in mental status, moody and slightly aggressive in speech. Most likely diagnoses are Dengue or Yellow fever or reaction to Yellow fever vaccine.  During febrile episodes became hypertensive and tachycardia of 140. Abdominal distention on admission.
Age: 63.0
Sex: M
Vaccine: YF, YF
Symptoms: Exposure to communicable disease, Headache, Hyperhidrosis, Nausea, Oesophageal candidiasis
Clinical narrative: Traveled to foreign country from 1/29/08 to 2/20/08. Had onset of severe HA, photophobia and nausea beginning on 2/19/08. Intermittent episodes of fever with profuse sweating beginning 2/21/08. Hospitalized in MA from 3/2/08 to 3/19/08. Principle discharge diagnosis: fever, CMV colitis, & candidas of esophagus. Also has Crohn's disease. While he was in foreign country, there was a large outbreak of Dengue fever in the area where he was. 4/8/08-records received for DOS 3/2-3/19/08- DC DX: Fever. CMV. Candidiasis of esophagus. Crohn's disease. Presented with 10 day history of intermittent fevers up to 105, profuse sweating, chills, myalgias and weakness. Returned from travel 11 days prior after spending 3 weeks there. Travels every year. Ate cooked mussels once. Episode of falling into water once. Bitten by mosquitoes. On 2/19/08 developed severe headache in occipital area associated with photophobia and nausea. Intermittent fever since 2/21/08 usually in afternoon and reoccur in evening. Loose stools. Decreased appetite. Chnage in mental status, moody and slightly aggressive in speech. Most likely diagnoses are Dengue or Yellow fever or reaction to Yellow fever vaccine.  During febrile episodes became hypertensive and tachycardia of 140. Abdominal distention on admission.
Age: 63.0
Sex: M
Vaccine: YF, YF
Symptoms: Photophobia, Pyrexia
Clinical narrative: Traveled to foreign country from 1/29/08 to 2/20/08. Had onset of severe HA, photophobia and nausea beginning on 2/19/08. Intermittent episodes of fever with profuse sweating beginning 2/21/08. Hospitalized in MA from 3/2/08 to 3/19/08. Principle discharge diagnosis: fever, CMV colitis, & candidas of esophagus. Also has Crohn's disease. While he was in foreign country, there was a large outbreak of Dengue fever in the area where he was. 4/8/08-records received for DOS 3/2-3/19/08- DC DX: Fever. CMV. Candidiasis of esophagus. Crohn's disease. Presented with 10 day history of intermittent fevers up to 105, profuse sweating, chills, myalgias and weakness. Returned from travel 11 days prior after spending 3 weeks there. Travels every year. Ate cooked mussels once. Episode of falling into water once. Bitten by mosquitoes. On 2/19/08 developed severe headache in occipital area associated with photophobia and nausea. Intermittent fever since 2/21/08 usually in afternoon and reoccur in evening. Loose stools. Decreased appetite. Chnage in mental status, moody and slightly aggressive in speech. Most likely diagnoses are Dengue or Yellow fever or reaction to Yellow fever vaccine.  During febrile episodes became hypertensive and tachycardia of 140. Abdominal distention on admission.
Age: 63.0
Sex: M
Vaccine: YF, YF
Symptoms: Antibody test positive, Cytomegalovirus colitis, Headache, Hyperhidrosis, Nausea
Clinical narrative: Traveled to foreign country from 1/29/08 to 2/20/08. Had onset of severe HA, photophobia and nausea beginning on 2/19/08. Intermittent episodes of fever with profuse sweating beginning 2/21/08. Hospitalized in MA from 3/2/08 to 3/19/08. Principle discharge diagnosis: fever, CMV colitis, & candidas of esophagus. Also has Crohn's disease. While he was in foreign country, there was a large outbreak of Dengue fever in the area where he was. 4/8/08-records received for DOS 3/2-3/19/08- DC DX: Fever. CMV. Candidiasis of esophagus. Crohn's disease. Presented with 10 day history of intermittent fevers up to 105, profuse sweating, chills, myalgias and weakness. Returned from travel 11 days prior after spending 3 weeks there. Travels every year. Ate cooked mussels once. Episode of falling into water once. Bitten by mosquitoes. On 2/19/08 developed severe headache in occipital area associated with photophobia and nausea. Intermittent fever since 2/21/08 usually in afternoon and reoccur in evening. Loose stools. Decreased appetite. Chnage in mental status, moody and slightly aggressive in speech. Most likely diagnoses are Dengue or Yellow fever or reaction to Yellow fever vaccine.  During febrile episodes became hypertensive and tachycardia of 140. Abdominal distention on admission.
Age: 63.0
Sex: M
Vaccine: YF, YF
Symptoms: Oesophageal candidiasis, Photophobia, Pyrexia
Clinical narrative: Traveled to foreign country from 1/29/08 to 2/20/08. Had onset of severe HA, photophobia and nausea beginning on 2/19/08. Intermittent episodes of fever with profuse sweating beginning 2/21/08. Hospitalized in MA from 3/2/08 to 3/19/08. Principle discharge diagnosis: fever, CMV colitis, & candidas of esophagus. Also has Crohn's disease. While he was in foreign country, there was a large outbreak of Dengue fever in the area where he was. 4/8/08-records received for DOS 3/2-3/19/08- DC DX: Fever. CMV. Candidiasis of esophagus. Crohn's disease. Presented with 10 day history of intermittent fevers up to 105, profuse sweating, chills, myalgias and weakness. Returned from travel 11 days prior after spending 3 weeks there. Travels every year. Ate cooked mussels once. Episode of falling into water once. Bitten by mosquitoes. On 2/19/08 developed severe headache in occipital area associated with photophobia and nausea. Intermittent fever since 2/21/08 usually in afternoon and reoccur in evening. Loose stools. Decreased appetite. Chnage in mental status, moody and slightly aggressive in speech. Most likely diagnoses are Dengue or Yellow fever or reaction to Yellow fever vaccine.  During febrile episodes became hypertensive and tachycardia of 140. Abdominal distention on admission.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Induration, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Localized swelling and redness at injection site. Induration of 30 mm on left tricep. C/O of itching. Denied pain. Non systemic. No sx of anaphylaxis. Explained signs and symptoms to report. Hydrocortisone 1% given for local application. Apply ice prn. Ibuprofen for discomfort.
Age: 28.0
Sex: M
Vaccine: HEP, MU, VARCEL
Symptoms: Anorexia, Asthenia, Chest pain, Dysphagia, Mass
Clinical narrative: Pt reported difficulty fevers (unrecorded with sweats), difficulty swallowing without sore throat, weakness, nausea without vomiting, anorexia, L neck pain, L chest pain x 4-5 days.  Exam with normal VS, mild shoddy LAD on the L anterior cervical chain on his L with a small mass under his L mandible (boggy) which is slighlty tender, no overlying skin changes/warmth/erythema no stridor, no increased WOB no axillary LAD B, no supraclavicular, no pre/post auricular LAD slight tenderness overlying the angle of Louis, sternoclavicular joint  lateral arms (sites of injection) without tenderness/warmth/erythema; could not see the site of injection B
Age: 28.0
Sex: M
Vaccine: HEP, MU, VARCEL
Symptoms: Nausea, Neck pain, Pyrexia, Tenderness
Clinical narrative: Pt reported difficulty fevers (unrecorded with sweats), difficulty swallowing without sore throat, weakness, nausea without vomiting, anorexia, L neck pain, L chest pain x 4-5 days.  Exam with normal VS, mild shoddy LAD on the L anterior cervical chain on his L with a small mass under his L mandible (boggy) which is slighlty tender, no overlying skin changes/warmth/erythema no stridor, no increased WOB no axillary LAD B, no supraclavicular, no pre/post auricular LAD slight tenderness overlying the angle of Louis, sternoclavicular joint  lateral arms (sites of injection) without tenderness/warmth/erythema; could not see the site of injection B
Age: 27.0
Sex: F
Vaccine: TDAP
Clinical narrative: On 3-27-2008 client received Tdap vaccine and was hospitalized on 3-30-2008 with possible Guillain-Barre syndrome. She remains in the hospital at this time.  5/2/08 Reviewed hospital medical records of 3/30- 4/8/2008. FINAL DX: Rheumatic fever; questionable viral myositis; LE pain & weakness; questionable Guillain Barre syndrome; elevated ESR & leukocytosis; hypokalemia. Records reveal patient experienced sore throat.  Seen in ER 3/26 & dx w/strep throat.  Tx w/antibiotics & steroids.  Seen by PCP next day & received booster vaccination.  Developed tingling, pain & weakness on 3/28 in both legs which progressed to making it difficult to ambulate.  On admit, reflexes & strength in LEs diminished.  Neuro, ID & rheum consults done.  Spiked fever on 4/2 w/knee swelling.  Developed multiple joint inflammatory synovitis & diastolic murmur.  Tx w/PCN, steroids & antiinflammatory meds.  Improved & d/c to home on antiinflammatory meds & IM PCN to f/u w/rheum.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Chest X-ray, Full blood count, Headache, Pyrexia, Rash
Clinical narrative: FEVER, VOMITING, RASH, HEADACHE, SYMPTOMS X3 DAYS.  SEEN AGAIN ON 04/03/2008, CBC DONE, CHEST X- RAY DONE.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Vomiting
Clinical narrative: FEVER, VOMITING, RASH, HEADACHE, SYMPTOMS X3 DAYS.  SEEN AGAIN ON 04/03/2008, CBC DONE, CHEST X- RAY DONE.
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Rash pustular, Secondary transmission
Clinical narrative: Patient's husband received smallpox vaccine approx 2 weeks ago. This AM, patient noted pustule on left bicep. She had felt very run down the day prior to the eruption. She has regular contact with her husband. She states he keeps the site covered. She has never been vaccinated against smallpox.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema
Clinical narrative: LEFT LEG WAS RED AND SWOLLEN.
Age: 17.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Blister, Skin lesion, Varicella
Clinical narrative: Chicken pox- mild case over trunk and L lateral knee - developed w/in 12 hours of admin of varicella vaccine no. 2.
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Dysuria, Erythema, Headache, Pollakiuria, Pyrexia
Clinical narrative: Dear Sir,  I went to the wellness center (health center) in March 20 to check for my eyes after taking an appointment before one hour. When I arrived they told me at the reception you have to take vaccine MMR and you need to sign this form, so I asked them I submitted the required forms for the vaccines before enrollment in the class, so they told me you have to take it (Receptionist) I signed the form, and then the physician told me that you need to take vaccine, and the nurse took information about my eyes and then another one came to make an oppintment to me in private clinic, so I told her I need to take the medication from the center then I will go to private clinic. then she got out the room then she came back with syringe already loaded out side with the material as she told me it is vaccine (MMR), she injected me in the right hand. Next day I got urine problem for four days, difficult to urine, go to the bath a lot of time daily. I got pain because of a lot of urinaty. I got headache, fever, redness skin particulalry under fingers. I called the
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Urine analysis abnormal
Clinical narrative: Dear Sir,  I went to the wellness center (health center) in March 20 to check for my eyes after taking an appointment before one hour. When I arrived they told me at the reception you have to take vaccine MMR and you need to sign this form, so I asked them I submitted the required forms for the vaccines before enrollment in the class, so they told me you have to take it (Receptionist) I signed the form, and then the physician told me that you need to take vaccine, and the nurse took information about my eyes and then another one came to make an oppintment to me in private clinic, so I told her I need to take the medication from the center then I will go to private clinic. then she got out the room then she came back with syringe already loaded out side with the material as she told me it is vaccine (MMR), she injected me in the right hand. Next day I got urine problem for four days, difficult to urine, go to the bath a lot of time daily. I got pain because of a lot of urinaty. I got headache, fever, redness skin particulalry under fingers. I called the
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: 03/14/2008 ileocolic intussusception reduced by air contrast enema at Hospital. Admitted for observation and discharged home the following day.  4/23/2008 MR received for DOS 3/14-15/2008 with D/C DX: Intussusception.  Infant presented to ER with somnolence/unresponsiveness following an episode of vomiting milk.  Pt also had a spastic/shaking episode with bloody emesis and bloody/mucusy stool.  PE (+) for lethargy and bloody stool in diaper. IS reduced by Air contrast Barium enema and d/c home next day.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Teen suffered Loss of Consciousness that occurred less than ten minutes after vaccination, while teen was talking with front office staff.  She fell and was unconscious on floor for less than one minute.  Afterwards she regained consciousness, walked to exam room and recovered fully.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Condition aggravated, Myalgia, Vaginal candidiasis, Vaginal infection
Clinical narrative: Vaccine administered to 17 yo female w/o parent consent.  On day vaccine was given, pt had vaginal staph/fungal infection.  Pt also diagnosed with lupus in 2005. After vaccine given, pt had a severe flare of joints, muscles etc (approx 3 - 4 hrs). Pt pedi rheumatologist called about events that happened. Pt was given medication for infection and was monitored at home for 3 days due to painful joints and muscles. Pt was presently on Bactrim DS, methotrexate, and plaquenil.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Injection site bruising, Injection site rash, Nausea
Clinical narrative: Patient had a severe reaction after receiving this vaccine. A nurse from Dr.'s office gave her the shot.  Later that afternoon, patient returned to classes at College. Later that night, she had chills, nausea and fever and her arm was swollen and the skin was very hot.  The next day her arm was swollen even more and she felt worse.  She also had a ring and a rash around the site. She went to the Hospital.  The E.R. physician diagnosed CELLULITIS.  He gave her Keflex. The rash and ring on her arm got bigger and she felt worse. We had to take our son to another Hospital for a previously scheduled procedure on Friday, March 28 so my husband dropped me off with my son then drove to pick up patient and bring her home to see Dr., who she had treated her in January 2008 at another Hospital and he diagnosed double pnemonia. She spent a week in the hospital. When my husband and I called Dr.'s office to tell her about patient's arm and cellulitis diagnosis, the nurse in the office told us Dr. was out and the other doctor would not speak to us.  When we persisted in talking to the doctor at this office about patient's worsening condition, we were again told that the doctor refused to talk to us even though patient had signed a release allowing us to discuss her medical information. The reason patient received this vaccine was because she had a check-up with Dr. on 3/25 and was told she had to get this vaccine that day. Patient's father picked her up on 3/28 and took her to see Dr. and he prescribed Levaquin. She also saw Dr. again on 3/29. To date, Dr. still has not called patient or me or my husband to discuss her reaction, her symptoms, or her health.  Her nurse has called patient but the doctor has not. Patient is currently still recovering.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pneumonia, Pyrexia, Skin warm
Clinical narrative: Patient had a severe reaction after receiving this vaccine. A nurse from Dr.'s office gave her the shot.  Later that afternoon, patient returned to classes at College. Later that night, she had chills, nausea and fever and her arm was swollen and the skin was very hot.  The next day her arm was swollen even more and she felt worse.  She also had a ring and a rash around the site. She went to the Hospital.  The E.R. physician diagnosed CELLULITIS.  He gave her Keflex. The rash and ring on her arm got bigger and she felt worse. We had to take our son to another Hospital for a previously scheduled procedure on Friday, March 28 so my husband dropped me off with my son then drove to pick up patient and bring her home to see Dr., who she had treated her in January 2008 at another Hospital and he diagnosed double pnemonia. She spent a week in the hospital. When my husband and I called Dr.'s office to tell her about patient's arm and cellulitis diagnosis, the nurse in the office told us Dr. was out and the other doctor would not speak to us.  When we persisted in talking to the doctor at this office about patient's worsening condition, we were again told that the doctor refused to talk to us even though patient had signed a release allowing us to discuss her medical information. The reason patient received this vaccine was because she had a check-up with Dr. on 3/25 and was told she had to get this vaccine that day. Patient's father picked her up on 3/28 and took her to see Dr. and he prescribed Levaquin. She also saw Dr. again on 3/29. To date, Dr. still has not called patient or me or my husband to discuss her reaction, her symptoms, or her health.  Her nurse has called patient but the doctor has not. Patient is currently still recovering.
Age: 52.0
Sex: M
Vaccine: HEPAB
Symptoms: Rash generalised, Rash macular, Rash pruritic
Clinical narrative: After one week after the first Twinrix vaccine injection many small red bumps appeared on my hands arms and groin area. My skin then became rough and bumpy and quite itchy. Now at 10 weeks after many large blotches have formed on the chest, underarms, legs and groin areas. The ears and scalp area are very sensitive and itchy. It seems that the whole condition of the skin is very sensitive and often itchy.
Sex: F
Vaccine: HEPAB
Symptoms: Blood pressure increased, Flushing, Hypertonia, Tremor
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of elevated blood pressure in a female subject aged between 20 and 29 years old who was vaccinated with Twinrix (GlaxoSmithKline). Concurrent medications included low dose MACRODANTIN. On 27 March 2008 at 10:10 the subject received 2nd dose of Twinrix at 1.0 ml in the left arm. On 27 March 2008, 30 minutes after vaccination with Twinrix, the subject experienced elevated blood pressure, facial flushing, hypertonic sensations (defined as shaking and tremors) and tremor. This was considered to be a systemic reaction. The healthcare professional considered the events were disabling and clinically significant (or requiring intervention). The subject did not experience rash or respiratory symptoms. The subject had received her 1st dose of Twinrix 7 days earlier and did not experience any symptoms. The subject denied any nausea or fatigue. The events were indicated as unresolved and probably related to treatment with Twinrix.