chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a physician concerning a female in her eighties who was vaccinated with a dose of ZOSTAVAX (Merck) (0.65ml, SC). The patient experienced "a severe case of shingles" about a year after vaccination. Shingles was considered to be disabling. At the report time the outcome was unknown. This is one of several reports received from the same source. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abasia, Arthralgia, Muscular weakness, Smear cervix abnormal, Vaginal lesion
Clinical narrative: Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient's mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient's mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested.  8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. 'Walks like a duck'. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Wheelchair user
Clinical narrative: Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient's mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient's mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested.  8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. 'Walks like a duck'. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Polyarthritis, Respiratory failure
Clinical narrative: Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient's mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient's mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested.  8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. 'Walks like a duck'. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Full blood count normal, Headache, Influenza serology negative, Injection site pain
Clinical narrative: Chills, muscle weakness, body aches, fever, soreness at injection site, headache and nausea reported by patient.  Onset of S/S 24 hours after administration per patient evaluated at Urgent care clinic on 7-25-09.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Nausea, Pain
Clinical narrative: Chills, muscle weakness, body aches, fever, soreness at injection site, headache and nausea reported by patient.  Onset of S/S 24 hours after administration per patient evaluated at Urgent care clinic on 7-25-09.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Lt. thigh with 5 X 5 cm erythema distal to injection site, 0 tx at this time.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Angioedema, Injection site pruritus
Clinical narrative: 6x5 cm area of pruritic angioedema surrounding site of Tdap.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Pain
Clinical narrative: Severe fatigue and soreness.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: side effect to ZOSTAVAX, bright red around injection, pain, itching, swelling, very hot, went from injection site to elbow.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: side effect to ZOSTAVAX, bright red around injection, pain, itching, swelling, very hot, went from injection site to elbow.
Age: 0.3
Sex: U
Vaccine: DTAPIPVHIB, PNC
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site nodule, Injection site swelling, Wheezing
Clinical narrative: Pt had PENTACEL given (never had this combo before) and within 2-3 minutes area red & swollen, 30 X 45 mm no SOB, wheezing ice applied on & off to site X 20 minutes.  Less redness and no increased swelling noted 30 X 45 mm.  Infant TYLENOL 0.4 cc given prior to shot by mother).  Decreased redness & swelling 30 minutes called mother.  12:05 - redness gone small "bump" left according to mom.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient received 3 vaccines MENACTRA, ADACEL and VARICELLA. When she stood to leave she had a syncope episode and was lowered to the floor. Grandmother stated pt. did not have much to eat before appt. Pt rested on floor with feet raised on pillows for 20 min. Give cool cloth for face and drank orange juice. Pt left clinic with Grandmother in stable condition.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: 8/5/09 upper outer arm red, warm 40 x 40 mm, slightly raised no pain, itching. 8/6/09 Area red, warm not raised slight itching 50 x 60 mm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: R thigh red, swollen and painful. Fever 102, 10cm circle of raised erythema, edema and warmth with central punctate eschar. Evaluated by provider two days after injection. Cellulitis  vs exaggerated local reaction. Treated with Keflex 125mg PNP x 2 days.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site warmth, Local reaction, Pyrexia
Clinical narrative: R thigh red, swollen and painful. Fever 102, 10cm circle of raised erythema, edema and warmth with central punctate eschar. Evaluated by provider two days after injection. Cellulitis  vs exaggerated local reaction. Treated with Keflex 125mg PNP x 2 days.
Age: 69.0
Sex: F
Vaccine: RAB
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Pt was bit by lab confirmed rabid fox - had traveled out of state.  Pt reported to ER in other state for tx.  Rcvd RABAVERT #1 & 2 ml HRIG on 7-31-09.  Rcvd RABAVERT #2 on 8-3-09.  Later that evening on 8-3-09, pt developed an itchy  welt - like rash all over her body.  Back in home state on 8-8-09.  Pt came to health dept.  Pt reports rash had decreased some post taking BENADRYL.  Referred to PCP for eval.  Consulted with the state - acquired IMOVAX for pt for remaining two doses vaccine.
Sex: M
Vaccine: DTAPIPVHIB, HEP
Symptoms: Full blood count normal, Local reaction, Oedema peripheral, Red blood cell sedimentation rate increased
Clinical narrative: Local reaction with swelling of thigh muscles.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Erythema, Induration
Clinical narrative: First & 2nd Hep A local erythema induration (-)   (-) drainage.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Immediate post-injection reaction, Nausea, Syncope
Clinical narrative: This clinic client became nauseated and fainted aproximately 5 minutes after receiving vaccines. After the incident patient rested in the clinic for 30 minutes. Upon leaving the clinic the patient c/o knee pain which resolved itself and in checking with mom the next day patient had no further complaints regarding his knees.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache
Clinical narrative: Mother of patient came by clinic at 8pm 8/5/09, patient is not with her.  She reported that patient had headache and fatigue all day requiring him to take tylenol and stay in bed.  Mother denies any fever, rash, vomiting, or change in behavior.   Nurse Practitioner working at this location 8/5/09, advised Mother to have patient see PCP tomorrow (8/6/09) or to bring patient to ER tonight if headache worsened or new symptoms started.   Mother verbalized understanding.  Nurse called patient's home on 8/6/2009 9am and spoke with Mother.  Mother reported that patient was much improved, no complaints of headache and feeling better in general.   Mother agrees to watch patient carefully today and will bring him to PCP if she has any concerns today.  Nurse informed Mother that she would be completeing a VAERS report on the reaction in case they contacted her with questions.
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Administered a pediatric Hepatitis A to a 19 y.o.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Auricular swelling, Eyelid oedema, Pruritus, Swelling face
Clinical narrative: Baby woke up three days after vaccines were given with swelling on the forehead spreading, spreading over the left eyelid to left ear. Worsened a day after - spreading to the right side of face. + itching, no cough, no swelling of lips or inside the mouth. Treated with Diphenhydramine HCL liquid 0.2 ml orally every 6 hours as needed
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site cellulitis, Injection site discharge, Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Varicella was administered to the left arm sq. The child's mother called on the 14th of july and stated pt running fever >101. and the arm was red and swolled the size of a hard baseball. The nurse instructed the mother to put warm compresses followed by cool and give tylenol and motrin for the fever. The nurse also instructed the mother to bring the child in if the symptoms became worse.The mother brought the child in on the 16th of july because the area where the vaccine was administered became worse. The injection site has become more swollen and red with blisters in the middle that drained greenish fluid. The physician dx: pt with cellulitis to the area and rx'd augmentin 875mg x10d, and locoid lc bid x7d. Followed up on patient 7 days later pt.'s mother stated pt. doing much better and the area was back to normal.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: Varicella was administered to the left arm sq. The child's mother called on the 14th of july and stated pt running fever >101. and the arm was red and swolled the size of a hard baseball. The nurse instructed the mother to put warm compresses followed by cool and give tylenol and motrin for the fever. The nurse also instructed the mother to bring the child in if the symptoms became worse.The mother brought the child in on the 16th of july because the area where the vaccine was administered became worse. The injection site has become more swollen and red with blisters in the middle that drained greenish fluid. The physician dx: pt with cellulitis to the area and rx'd augmentin 875mg x10d, and locoid lc bid x7d. Followed up on patient 7 days later pt.'s mother stated pt. doing much better and the area was back to normal.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Chest X-ray normal, Decreased appetite, Platelet count decreased, Pyrexia, Urine analysis normal
Clinical narrative: Pt in office on 7/31/09 for 15 month Well Child Check and was given DTAP, HIB and Prevnar vaccines that were due.  Pt developed fevers on evening of 7/31/09 that were 103.5F at highest point, mom called doctor on call due to she was using over the counter motrin and doctor on call advised that she should alternate with over the counter tylenol.  Pt also had poor appetite and was taking sips of fluids only, child was sleeping ok.  Fever continued for 5 days at around 101F. Mom scheduled appointment and brought child into the office on 8/4/09 to be examined.  At visit child temp of 101.4F Tympanic, doctor ordered lab work of CBC, UA, and chest xray to rule out infection.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: White blood cell count decreased
Clinical narrative: Pt in office on 7/31/09 for 15 month Well Child Check and was given DTAP, HIB and Prevnar vaccines that were due.  Pt developed fevers on evening of 7/31/09 that were 103.5F at highest point, mom called doctor on call due to she was using over the counter motrin and doctor on call advised that she should alternate with over the counter tylenol.  Pt also had poor appetite and was taking sips of fluids only, child was sleeping ok.  Fever continued for 5 days at around 101F. Mom scheduled appointment and brought child into the office on 8/4/09 to be examined.  At visit child temp of 101.4F Tympanic, doctor ordered lab work of CBC, UA, and chest xray to rule out infection.
Age: 8.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: Received rabies pre-exposure #3 on 8/5/09 at 1030. Around 1930, she had fever to 105.3 and felt chills. Took tylenol and cool bath. Was seen in ER and felt related to vaccine. She had fever with nausea and vomiting after 2nd dose, but also had braces adjusted that day
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt represents to clinic with a 4cm x 4cm round, red, area to left upper arm, that is warm to touch. No pain to area when touched. Informed pt to apply cool  compress to area and take some ibuprofen. And to return to clinic is symptoms persist or worsen.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient received vaccination of Tdap on 08/04/2009 and had local redness and swelling to left deltoid. Parent stated that patient had fever ranging from 102.0 - 104.0F and headache for 6 hours. Parent was giving patient Tylenol for fever and headache and brought patient into the Emergency Department this am and appointment scheduled to see provider.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: PT.HERE STATED AREA WHERE VARICELLA WAS GIVEN WAS SWOLLEN, RED AND TENDER TO TOUCH SINCE WEDNESDAY MORNING. OBSERVED LG. 20CM X 18CM RED WHELPED AREA TO LT. OUTER ARM. AREA WAS SL. WARM TO TOUCH. PT. GIVEN HYDROXIZINE 25MG TID AS NEEDED, PER MD. INSTRUCTED PT. TO PUT WARM COMPRESSES TO AREA AND RETURN TO CLINIC IF SX. WORSEN.WILL FOLLOW UP ON PT. IN 7DAYS.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Cardiac monitoring normal, Dizziness, Dyskinesia, Immediate post-injection reaction
Clinical narrative: APPROXIMATELY 2 MINUTES AFTER RECEIVING IMMUNIZATION PT BE CAME WEAK AND DIZZY.  ACCORDING TO FATHER PT "SLUMPED OVER AND JERKED A FEW TIMES".  PT NOTED TO BE VERY PALE.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Oxygen saturation normal, Pallor
Clinical narrative: APPROXIMATELY 2 MINUTES AFTER RECEIVING IMMUNIZATION PT BE CAME WEAK AND DIZZY.  ACCORDING TO FATHER PT "SLUMPED OVER AND JERKED A FEW TIMES".  PT NOTED TO BE VERY PALE.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Redness, rash and swelling at injection site on left leg.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Asthenia, Dizziness, Fatigue, Loss of consciousness, Urticaria
Clinical narrative: 7/27/09 Came in to HD c/o side effects since vaccination. Symptoms: dizziness (7/16/09), vomitting (7/22/09), passed out (7/23/09), hives on chest, remains weak and tired. Referred to MD. Note: Patient also participates in band practice
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: 7/27/09 Came in to HD c/o side effects since vaccination. Symptoms: dizziness (7/16/09), vomitting (7/22/09), passed out (7/23/09), hives on chest, remains weak and tired. Referred to MD. Note: Patient also participates in band practice
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Started vomitting at noon 8/4/09 and again at 8pm. Had fever 99 degress off and on 8/4/09. C/o body aches 8/4-8/5. Tylenol given at 12pm 8/4/09 and 5p 8/4/09. Vomitting subsided today, no fever today c/o body aches.
Age: 0.15
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Clinical narrative: none, 9/25/09 Autopsy report received - Cause of Death - Probable Partial Mechanical Obstruction of Airway by Ectopic Thymus. By history baby developed "noisy breathing" by evening. Found prone and unresponsive. Only explanation for abnormal breathing sounds was a benign growth, an extra thymus gland, growing in the wrong place next to his trachea.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Hypersensitivity, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Awake, Thurday a.m., 7/30/09, with scattered red itchy rash all over body. Pt. taken to clinic and given a steroid shot for allergic reaction to something by CRNP.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT. MOTHER PHONED OFFICE STATED PT. HAD REACTION FROM VARICELLA VACCINE. INSTRUCTED MOTHER TO RETURN TO OFFICE,TO HAVE CHILD EXAMINED. PT. LEFT ARM RED,SWOLLEN AND TENDER TO TOUCH, AREA 9X9 CM IN DIAMETER. PT.'S MOTHER DENIED ANY FEVER. PT. GIVEN HYDROXIZINE 25MG 1 TID PRN, AND LOCOID LC BID X7D. PER MD. PT. INSTRUCTED TO RETURN TO OFFICE IF CONDITIONS WORSEN. INSTUCTED TO USE WARM COMPRESSES AS NEEDED.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood product transfusion, Chapped lips, Crying, Erythema, Kawasaki's disease
Clinical narrative: Fever 2 days after vaccination, rash, red cracked bleeding lips, bright red feet and hands, swollen hands and feet, blood shot eyes, crying.  Fever lasted 6 days was hospitalized and treated for Kawasaki's disease with ivig and asprin.  9/14/09 Hospital Records /  Infectious Disease Consultation Report Received DOS 7/24/09 to 7/27/09. Assessment: Kawaski's Disease. 6 days prior to admission fussy, fever. Right otitis media. Erythematous maculopapular rash on back spreading to anterior trunk, arms, legs, face. Eyes red, watery, yellow discharge. Lips turned red, hands feet swollen. Nasal congestion, rhinorrhea, cough. decreased appetite, increased brownish green stools. Urethral meatus erythema.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Lip haemorrhage, Ocular hyperaemia, Oedema peripheral, Pyrexia
Clinical narrative: Fever 2 days after vaccination, rash, red cracked bleeding lips, bright red feet and hands, swollen hands and feet, blood shot eyes, crying.  Fever lasted 6 days was hospitalized and treated for Kawasaki's disease with ivig and asprin.  9/14/09 Hospital Records /  Infectious Disease Consultation Report Received DOS 7/24/09 to 7/27/09. Assessment: Kawaski's Disease. 6 days prior to admission fussy, fever. Right otitis media. Erythematous maculopapular rash on back spreading to anterior trunk, arms, legs, face. Eyes red, watery, yellow discharge. Lips turned red, hands feet swollen. Nasal congestion, rhinorrhea, cough. decreased appetite, increased brownish green stools. Urethral meatus erythema.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Abdominal pain upper, Activities of daily living impaired, Asthenia, Disturbance in attention, Endoscopy abnormal
Clinical narrative: On 11/16/08, pt went about her day as normal, but became very tired quite suddenly around 5:00 in the evening.  She went to bed to rest (something she rarely did until this point).  After a couple of hours we attempted to wake her to attend church, a favorite activity, and she wanted to continue sleeping.  We let her sleep until the next morning. We made her get up and prepare for school, but before she left, she complained of tiredness, headache, and sore throat, and we allowed her to stay home from school.  She remained in bed for ten days, only getting up to go to the bathroom, shower, or go to the doctor.  We encouraged her to sit up in a chair or even lie down in another room to help increase her energy level, but she did not have the strength for more than a few minutes.   During this time the headache and sore throat remained, along with upper abdominal pain (left side right under ribs).  The symptoms gradually improved, and pt was much better by the end of the first week of December.  From then until the middle of January, pt continued to report mild symptoms, including fatigue and abdominal pain, but she was able to go about her normal activities.  In mid January, pt came home from school, went to bed, and would not get up until morning.  She went to school the remainder of that week with moderate symptoms, only because she was taking mid-term exams.  Since then, pt has had three more occurrences of symptoms, missing one and two days of school.  During these periods she has complained that light hurts her eyes.  Upper abdominal pain, headaches, and sore throat recur periodically.  Pt has also complained of periods of "feeling out-of-it", or not being able to concentrate at different times since mid-December.  She has also stated that her legs "fall asleep" often.  To the best of my knowledge, she has never had fever during this time.  In July she received five injections (HPV/Meningitis/DPT/Varicella/HepA), and two in October (HPV/Influenza).  Lot number for July 2008 HPV vaccine was 1757U.  Lot number for Meningitis vaccine was U2636AA.  8/17/08 PCP Medical records received DOS 7/15/08 to 12/01/08. Assessment: Viral Syndrome. Patient presents with fatigue, sore throat, abdominal pain, headache, achiness, mild nausea.   8/18/08 PCP Medical records received DOS 12/03/08 to 6/11/09 Assessment: Abdominal pain, fatigue. Patient presents with continued fatigue, nausea, and left-side upper abdominal pain. Tenderness to palpation left upper quadrant abdomen. Diarrhea. Knee pain, headaches. Ankle abrasions. Infections disease consult. Gastroenterology consult.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Epstein-Barr virus test negative, Fatigue, Feeling abnormal, Gastritis, Headache
Clinical narrative: On 11/16/08, pt went about her day as normal, but became very tired quite suddenly around 5:00 in the evening.  She went to bed to rest (something she rarely did until this point).  After a couple of hours we attempted to wake her to attend church, a favorite activity, and she wanted to continue sleeping.  We let her sleep until the next morning. We made her get up and prepare for school, but before she left, she complained of tiredness, headache, and sore throat, and we allowed her to stay home from school.  She remained in bed for ten days, only getting up to go to the bathroom, shower, or go to the doctor.  We encouraged her to sit up in a chair or even lie down in another room to help increase her energy level, but she did not have the strength for more than a few minutes.   During this time the headache and sore throat remained, along with upper abdominal pain (left side right under ribs).  The symptoms gradually improved, and pt was much better by the end of the first week of December.  From then until the middle of January, pt continued to report mild symptoms, including fatigue and abdominal pain, but she was able to go about her normal activities.  In mid January, pt came home from school, went to bed, and would not get up until morning.  She went to school the remainder of that week with moderate symptoms, only because she was taking mid-term exams.  Since then, pt has had three more occurrences of symptoms, missing one and two days of school.  During these periods she has complained that light hurts her eyes.  Upper abdominal pain, headaches, and sore throat recur periodically.  Pt has also complained of periods of "feeling out-of-it", or not being able to concentrate at different times since mid-December.  She has also stated that her legs "fall asleep" often.  To the best of my knowledge, she has never had fever during this time.  In July she received five injections (HPV/Meningitis/DPT/Varicella/HepA), and two in October (HPV/Influenza).  Lot number for July 2008 HPV vaccine was 1757U.  Lot number for Meningitis vaccine was U2636AA.  8/17/08 PCP Medical records received DOS 7/15/08 to 12/01/08. Assessment: Viral Syndrome. Patient presents with fatigue, sore throat, abdominal pain, headache, achiness, mild nausea.   8/18/08 PCP Medical records received DOS 12/03/08 to 6/11/09 Assessment: Abdominal pain, fatigue. Patient presents with continued fatigue, nausea, and left-side upper abdominal pain. Tenderness to palpation left upper quadrant abdomen. Diarrhea. Knee pain, headaches. Ankle abrasions. Infections disease consult. Gastroenterology consult.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Mononucleosis heterophile test negative, Oropharyngeal pain, Pancreatic enzymes normal, Photophobia, Ultrasound abdomen normal
Clinical narrative: On 11/16/08, pt went about her day as normal, but became very tired quite suddenly around 5:00 in the evening.  She went to bed to rest (something she rarely did until this point).  After a couple of hours we attempted to wake her to attend church, a favorite activity, and she wanted to continue sleeping.  We let her sleep until the next morning. We made her get up and prepare for school, but before she left, she complained of tiredness, headache, and sore throat, and we allowed her to stay home from school.  She remained in bed for ten days, only getting up to go to the bathroom, shower, or go to the doctor.  We encouraged her to sit up in a chair or even lie down in another room to help increase her energy level, but she did not have the strength for more than a few minutes.   During this time the headache and sore throat remained, along with upper abdominal pain (left side right under ribs).  The symptoms gradually improved, and pt was much better by the end of the first week of December.  From then until the middle of January, pt continued to report mild symptoms, including fatigue and abdominal pain, but she was able to go about her normal activities.  In mid January, pt came home from school, went to bed, and would not get up until morning.  She went to school the remainder of that week with moderate symptoms, only because she was taking mid-term exams.  Since then, pt has had three more occurrences of symptoms, missing one and two days of school.  During these periods she has complained that light hurts her eyes.  Upper abdominal pain, headaches, and sore throat recur periodically.  Pt has also complained of periods of "feeling out-of-it", or not being able to concentrate at different times since mid-December.  She has also stated that her legs "fall asleep" often.  To the best of my knowledge, she has never had fever during this time.  In July she received five injections (HPV/Meningitis/DPT/Varicella/HepA), and two in October (HPV/Influenza).  Lot number for July 2008 HPV vaccine was 1757U.  Lot number for Meningitis vaccine was U2636AA.  8/17/08 PCP Medical records received DOS 7/15/08 to 12/01/08. Assessment: Viral Syndrome. Patient presents with fatigue, sore throat, abdominal pain, headache, achiness, mild nausea.   8/18/08 PCP Medical records received DOS 12/03/08 to 6/11/09 Assessment: Abdominal pain, fatigue. Patient presents with continued fatigue, nausea, and left-side upper abdominal pain. Tenderness to palpation left upper quadrant abdomen. Diarrhea. Knee pain, headaches. Ankle abrasions. Infections disease consult. Gastroenterology consult.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Ultrasound pelvis normal, Urine analysis normal
Clinical narrative: On 11/16/08, pt went about her day as normal, but became very tired quite suddenly around 5:00 in the evening.  She went to bed to rest (something she rarely did until this point).  After a couple of hours we attempted to wake her to attend church, a favorite activity, and she wanted to continue sleeping.  We let her sleep until the next morning. We made her get up and prepare for school, but before she left, she complained of tiredness, headache, and sore throat, and we allowed her to stay home from school.  She remained in bed for ten days, only getting up to go to the bathroom, shower, or go to the doctor.  We encouraged her to sit up in a chair or even lie down in another room to help increase her energy level, but she did not have the strength for more than a few minutes.   During this time the headache and sore throat remained, along with upper abdominal pain (left side right under ribs).  The symptoms gradually improved, and pt was much better by the end of the first week of December.  From then until the middle of January, pt continued to report mild symptoms, including fatigue and abdominal pain, but she was able to go about her normal activities.  In mid January, pt came home from school, went to bed, and would not get up until morning.  She went to school the remainder of that week with moderate symptoms, only because she was taking mid-term exams.  Since then, pt has had three more occurrences of symptoms, missing one and two days of school.  During these periods she has complained that light hurts her eyes.  Upper abdominal pain, headaches, and sore throat recur periodically.  Pt has also complained of periods of "feeling out-of-it", or not being able to concentrate at different times since mid-December.  She has also stated that her legs "fall asleep" often.  To the best of my knowledge, she has never had fever during this time.  In July she received five injections (HPV/Meningitis/DPT/Varicella/HepA), and two in October (HPV/Influenza).  Lot number for July 2008 HPV vaccine was 1757U.  Lot number for Meningitis vaccine was U2636AA.  8/17/08 PCP Medical records received DOS 7/15/08 to 12/01/08. Assessment: Viral Syndrome. Patient presents with fatigue, sore throat, abdominal pain, headache, achiness, mild nausea.   8/18/08 PCP Medical records received DOS 12/03/08 to 6/11/09 Assessment: Abdominal pain, fatigue. Patient presents with continued fatigue, nausea, and left-side upper abdominal pain. Tenderness to palpation left upper quadrant abdomen. Diarrhea. Knee pain, headaches. Ankle abrasions. Infections disease consult. Gastroenterology consult.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 24 hours after Tdap, client had pain and swelling at injection site which increased to Baseball size red, hard painful area with radiating pain to left side of neck.  Chills with diaphoresis also reported.  48 hours after injection the  pain was intolerable.  Urgent Care administered Torodol IM with partial relief.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Neck pain
Clinical narrative: 24 hours after Tdap, client had pain and swelling at injection site which increased to Baseball size red, hard painful area with radiating pain to left side of neck.  Chills with diaphoresis also reported.  48 hours after injection the  pain was intolerable.  Urgent Care administered Torodol IM with partial relief.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Blood product transfusion, Bronchoscopy abnormal, CSF culture negative, CSF glucose normal, CSF lymphocyte count increased
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: CSF protein increased, CSF white blood cell count increased, Chills, Computerised tomogram abnormal, Computerised tomogram normal
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Culture negative, Decreased appetite, Diarrhoea, Dysuria, Electroencephalogram abnormal
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Encephalitis, Gram stain negative, Haemoptysis, Lymphocyte count decreased, Nausea
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Night sweats, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Pneumonia aspiration, Pollakiuria
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Pyrexia, Red blood cell count decreased, Red blood cells CSF positive, Syncope, Testicular scan normal
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 17.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, PPV
Symptoms: Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: 18 yo recruit on day 24 of his training was brought in for syncope. Was told he passed. States he has been having F/C, night sweats, coughing up blood-quarter size amount of blood at night, and loose bowel movements for past 3 weeks. He has been having decrease in appetite and a 26lb weight loss since starting training. Denies of any CP or SOB. However, has been having N/V and dysuria with increase in frequency. Patient had clinical picture consistent with menigoencephalitis. LP performed showed elevated protein and lymphocytes. CSF culture and gram stain were negative. Patient started on and completed full courses of vancomycin, ceftriaxone, doxycycline, fluconazole, acyclovir, tamiflu, steroids and IVIG. All of patients CSF lab tests for possible causes of menigoencephalitis (sent to state encephalitis project) have returned negative; tests include HSV 1 and 2, VZV, enterovirus, adenovirus, influenza, parainfluenza, WNV, EBV, CMV, and coccidiomycosis Ag. CSF pathology negative for malignancy and parasites.  - Patient developed evidence of opacity of left lower lobe on 23July 2009. Felt to be a result of aspiration pneumonia. Patient treated with vancomycin, ceftriaxone, and doxycycline. Most recent CXR shows resolution of opacity.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood pressure normal, Injection site pain, Muscular weakness, Nausea
Clinical narrative: Vaccine (Pneumovax 23) was administered on 8/5/09, and several hours later patient reported pain at site with associated weakness of arm, nausea, vomiting, and feeling of weakness in her whole body. She was seen in the emergency department, given Vicodin for pain, and asked to follow-up with us. She saw us in the afternoon of 8/6/09, and at the time reported feeling improved, although she was sleepy from the Vicodin and still somwhat nauseated.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Tachycardia, Vomiting
Clinical narrative: Vaccine (Pneumovax 23) was administered on 8/5/09, and several hours later patient reported pain at site with associated weakness of arm, nausea, vomiting, and feeling of weakness in her whole body. She was seen in the emergency department, given Vicodin for pain, and asked to follow-up with us. She saw us in the afternoon of 8/6/09, and at the time reported feeling improved, although she was sleepy from the Vicodin and still somwhat nauseated.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Exposure to communicable disease, Lethargy, Myalgia, Rash
Clinical narrative: 8/4/09 TDaP given to client who is a close contact to confirmed Pertussis case in this County. First prophy-dose of Z-Pak taken @ 6:30 pm. Client was not vaccinated as a child. Did receive "a tetanus shot" 15 yr ago after injury. 8/5 1 pm Lethargic and by 2 pm severe muscle pain in whole body, temp 101 degrees and a dime-size rash on left leg. 5:10 pm saw PMD and temp was 105 degrees. PMD felt symptoms were not due to Z-Pak meds. 8/6 Afebrile today.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Blood test normal, Injection site swelling, Joint stiffness, Muscle fatigue
Clinical narrative: This case was reported by a consumer (also the subject) and described the occurrence of swelling at injection site in a 31-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), TETANUS vaccine (Unknown manufacturer). A physician or other health care professional has not verified this report. The subject's medical history included seizure disorder. Concurrent medical conditions included high blood pressure. Concurrent medications included Blood pressure medication. On an unknown date in January 1998, approximately 1988 and 1984 the subject received unspecified doses of TETANUS vaccine (details unknown). On 19 November 2007 at 14:00 the subject received a dose of BOOSTRIX (unknown route, right arm). One hour after vaccination with BOOSTRIX, the subject experienced swelling at injection site that was approximately 1.5 inches tall and 3 inches round. The injection site reaction remained for approximately 4 weeks. One week after vaccination with BOOSTRIX, the subject experienced joint stiffness in every joint of his body, pain in all joints, muscular fatigue and muscle aches. The swelling at injection site resolved in December 2007. The joint stiffness, joint pain, muscular fatigue and muscle pain were unresolved at the time of reporting. The consumer reported that all blood work remains negative and no diagnosis has been made. The consumer also reported that he had experienced similar reactions after previous tetanus vaccinations in 1984, 1988 and January 1998, but that this reaction has been the most severe. He stated that he was hospitalized after previous tetanus vaccinations due to these symptoms. The consumer reported that he now has daily scheduled appointments with his doctor but has not been hospitalized.