chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abasia, Alopecia, Angiogram cerebral normal, Autism spectrum disorder, Blood testosterone increased
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest pain, Convulsion, Deafness, Electroencephalogram normal, Emotional disorder
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Epistaxis, Flushing, Foaming at mouth, Gastrooesophageal reflux disease, Hallucination
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Irritable bowel syndrome, Lumbar puncture normal, Malaise, Migraine, Nausea
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral, Pain, Paraesthesia, Regressive behaviour, Syncope
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tonic clonic movements, Tremor, Weight increased, Wheelchair user
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, No reaction on previous exposure to drug, Swelling face
Clinical narrative: Report received from a consumer on 11-Dec-2008. An adult female (date of birth: unknown) received a 'vaccine' for influenza immunization in Oct-2008. No details of medication history or concomitant medication was provided. The patient was not sure if she was vaccinated with AFLURIA, nor was she sure of the exact date of vaccination. The patient stated she was vaccinated with AFLURIA last year (2007), bud she did not experience any adverse events. On an unknown date, 24 hours after vaccination, the patient experienced facial swelling (whole face). Currently she states that her face looks sagging because of stretched skin from the swelling. At the time of reporting the patient had not recovered. Awaiting further information. Follow-up information received on 12-Dec-2008 from a registered pharmacist (RPh). The patient was a 51 year-old female. She received ALFURIA (CSL influenza vaccine) by IM injection (lot 02049111A) for influenza immunization 04-Oct-2008. The patient told the RPh that she had a swollen face on 04-Oct-2008. Event required emergency room/doctor visit. She was given 100ct box of BENADRYL and prescribed prednisone. The RPh does not know if patient recovered from this reaction. At the time of the vaccination the patient had no illness. The RPh did not know of any pre-existing allergies or medical conditions. In 2007, patient was administered FLUARIX, not AFLURIA as initially stated by patient. The company considered events as possibly related to the administration of AFLURIA. Follow-up information received on 18-Dec-2008 from a Claims Management Service. Patient received a flu shot and stated her face had swollen. The patient was instructed by her physician to take BENADRYL. It is unknown if patient has allergies. Information derived from this report does not change the current safety profile of AFLURIA.
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscular weakness, Neck pain, Paraesthesia
Clinical narrative: Report was received from a physician assistant on 17-Dec-2008. A male patient (age unknown) received a dose of AFLURIA on 23-Oct-2008. During the first week of Nov-2008, the patient experienced possible Guillain Barre Syndrome (progressive upper and lower extremity weakness, numbness and tingling, and radiating neck pain). The patient was admitted to a hospital on 06-Nov-2008 and stayed about 1 month. Further information has been requested. The company considered the events conditional/unclassified in relation to the suspect drug. Information derived from this AE report does not change the current safety profile of the product.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, VARCEL
Symptoms: Amnesia, Back pain, Body temperature increased, Depression, Mood swings
Clinical narrative: Mother and patient reports that patient felt depressed about two weeks after receiving GARDASIL. Also reports that she had mood swings. Did not see doctor at that time.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, VARCEL
Symptoms: Myalgia, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Mother and patient reports that patient felt depressed about two weeks after receiving GARDASIL. Also reports that she had mood swings. Did not see doctor at that time.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, VARCEL
Symptoms: Depression, Mood swings
Clinical narrative: Mother and patient reports that patient felt depressed about two weeks after receiving GARDASIL. Also reports that she had mood swings. Did not see doctor at that time.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Grand mal convulsion, Immediate post-injection reaction
Clinical narrative: Pt came to hospital for routine medical check up. 14 y/o female no past medical hx. Pt rec'd three immunizations GARDASIL-Merck Lot 0389U Exp 2/6/10; BOOSTRIX-Glaxo Lot AC52B029AA Exp 12/3/10; PPD-J & P Pharm Lot 84817 Exp 7/10. Pt had a syncopal episode accompanied by "Seizure like activity" lasting for approx 30 seconds. Following the procedure pt was Alert and oriented x 3. Blood Sugar: 89. IV started 1000cc .9 Nacl at 150/cc per hour. Transferred to ER for further evaluation. Pt left dept alert and oriented x3. No acute distress.  8/17/09 ER records received DOS 6/19/09. Assessment: Vasovagal reaction, syncope. Patient felt dizzy with some blurry vision and passed out. Shaking of legs and chest x4 seconds. Awake less than 30 seconds later. Returned to full consciousness without confusion. Seen and evaluated. Feels much better.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Blood glucose normal, Convulsion, Syncope, Tuberculin test
Clinical narrative: Pt came to hospital for routine medical check up. 14 y/o female no past medical hx. Pt rec'd three immunizations GARDASIL-Merck Lot 0389U Exp 2/6/10; BOOSTRIX-Glaxo Lot AC52B029AA Exp 12/3/10; PPD-J & P Pharm Lot 84817 Exp 7/10. Pt had a syncopal episode accompanied by "Seizure like activity" lasting for approx 30 seconds. Following the procedure pt was Alert and oriented x 3. Blood Sugar: 89. IV started 1000cc .9 Nacl at 150/cc per hour. Transferred to ER for further evaluation. Pt left dept alert and oriented x3. No acute distress.  8/17/09 ER records received DOS 6/19/09. Assessment: Vasovagal reaction, syncope. Patient felt dizzy with some blurry vision and passed out. Shaking of legs and chest x4 seconds. Awake less than 30 seconds later. Returned to full consciousness without confusion. Seen and evaluated. Feels much better.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Anti-erythrocyte antibody, Blood gonadotrophin, Blood grouping, Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received through the Merck pregnancy registry from a physician concerning a 23 year old female who on 12-JUL-2007 was vaccinated with her first dose of GARDASIL (lot# 657736/0389U). On 10-SEP-2007 the patient was vaccinated with her second dose of GARDASIL (lot# 658558/1061U). On 10-JAN-2008 the patient was vaccinated with her third dose of GARDASIL (lot# 659653/1448U) and was pregnant. The patient was 6 weeks, 5 days. Concomitant therapy included prenatal vitamins. Lab tests performed included quantitative HCG, CBC, Progesterone, HIV, RPR, Rubella, RH type, ABO, antibody screen and sickle cell prep. The patient sought unspecified medical attention and her outcome was not reported. Follow up information was received from an assistant of physician which reported that they did not have pregnancy outcome information. Follow up information was received from a medical records manager at the OB office, for GARDASIL, a Pregnancy Registry product, concerning the patient who on 10-SEP-2008 (39.5 weeks from LMP) delivered a normal male infant (weighted 8 pounds, 15 ounces). The Apgar score were 8 and 9 respectively. The patient delivered by cesarean section with pre and post-operative diagnosis of oblique lie and suspected macrosomia. There were no complications in the pregnancy, and the patient had a normal glucose tolerance test. The patient recovered without complication as well, and the baby was fine at the postpartum visit. Upon internal review, oblique lie and suspected macrosomia were determined to be other important medical events as they resulted in a cesarean section. Additional information is not expected.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Foetal disorder, Full blood count, Glucose tolerance test normal, HIV antibody, Haemoglobin S
Clinical narrative: Information has been received through the Merck pregnancy registry from a physician concerning a 23 year old female who on 12-JUL-2007 was vaccinated with her first dose of GARDASIL (lot# 657736/0389U). On 10-SEP-2007 the patient was vaccinated with her second dose of GARDASIL (lot# 658558/1061U). On 10-JAN-2008 the patient was vaccinated with her third dose of GARDASIL (lot# 659653/1448U) and was pregnant. The patient was 6 weeks, 5 days. Concomitant therapy included prenatal vitamins. Lab tests performed included quantitative HCG, CBC, Progesterone, HIV, RPR, Rubella, RH type, ABO, antibody screen and sickle cell prep. The patient sought unspecified medical attention and her outcome was not reported. Follow up information was received from an assistant of physician which reported that they did not have pregnancy outcome information. Follow up information was received from a medical records manager at the OB office, for GARDASIL, a Pregnancy Registry product, concerning the patient who on 10-SEP-2008 (39.5 weeks from LMP) delivered a normal male infant (weighted 8 pounds, 15 ounces). The Apgar score were 8 and 9 respectively. The patient delivered by cesarean section with pre and post-operative diagnosis of oblique lie and suspected macrosomia. There were no complications in the pregnancy, and the patient had a normal glucose tolerance test. The patient recovered without complication as well, and the baby was fine at the postpartum visit. Upon internal review, oblique lie and suspected macrosomia were determined to be other important medical events as they resulted in a cesarean section. Additional information is not expected.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Oblique presentation, Progesterone, Rubella antibody test, Syphilis test, Urine human chorionic gonadotropin
Clinical narrative: Information has been received through the Merck pregnancy registry from a physician concerning a 23 year old female who on 12-JUL-2007 was vaccinated with her first dose of GARDASIL (lot# 657736/0389U). On 10-SEP-2007 the patient was vaccinated with her second dose of GARDASIL (lot# 658558/1061U). On 10-JAN-2008 the patient was vaccinated with her third dose of GARDASIL (lot# 659653/1448U) and was pregnant. The patient was 6 weeks, 5 days. Concomitant therapy included prenatal vitamins. Lab tests performed included quantitative HCG, CBC, Progesterone, HIV, RPR, Rubella, RH type, ABO, antibody screen and sickle cell prep. The patient sought unspecified medical attention and her outcome was not reported. Follow up information was received from an assistant of physician which reported that they did not have pregnancy outcome information. Follow up information was received from a medical records manager at the OB office, for GARDASIL, a Pregnancy Registry product, concerning the patient who on 10-SEP-2008 (39.5 weeks from LMP) delivered a normal male infant (weighted 8 pounds, 15 ounces). The Apgar score were 8 and 9 respectively. The patient delivered by cesarean section with pre and post-operative diagnosis of oblique lie and suspected macrosomia. There were no complications in the pregnancy, and the patient had a normal glucose tolerance test. The patient recovered without complication as well, and the baby was fine at the postpartum visit. Upon internal review, oblique lie and suspected macrosomia were determined to be other important medical events as they resulted in a cesarean section. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive, Uterine dilation and curettage
Clinical narrative: Information has been received from a 16 year old female consumer for the Pregnancy Registry for GARDASIL concerning herself who on 19-MAR-2008 was vaccinated with her first dose of GARDASIL (lot# not reported). On the same day the patient had a positive pregnancy test in the office. Her estimated LMP was 25-FEB-2008. She sought unspecified medical attention. Follow-up information received on 13-JAN-2009 from a woman from a doctor's office indicated that they did not follow up with the patient after she became pregnant. The reporter provided the OB/GYN practice information. Follow-up information was received from a person from the doctor's office indicating that the patient had a miscarriage in early pregnancy and had a dilation and curettage on 25-MAY-2008. It was also reported that the patient did not receive GARDASIL in their office. Upon internal review, miscarriage was determined to be an important medical event. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a medical assistant concerning a female in her 20's, who in December 2008, was vaccinated with the first dose of GARDASIL 0.5 mL, I.M. After the patient received the vaccine, experienced seizure like symptoms that lasted couple of seconds. The patient was apprehensive and nervous before getting the shot. The patient has since received the second dose of GARDASIL without any problems. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Convulsion, Fall, Head injury, Syncope
Clinical narrative: Information has been received from a nurse practitioner concerning her 13 year old daughter who on 16-JUN-2009 was vaccinated with the first dose of GARDASIL (dose, therapy route and lot # not reported). On 16-JUN-2009, the patient fainted and also had a seizure 10 minutes after the dose of GARDASIL was given. Nurse practitioner stated her daughter "fell off of the table and hit her head". The patient was taken to the Emergency Room (name of hospital was unspecified) but was not admitted. The patient had recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.  8/10/09 ER records received DOS 6/16/09. Assessment: Syncope - Vasovagal, scalp contusion. Patient passed out and hit head. Brief jerking. Contusion right parietal area.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Convulsion, Fall, Grand mal convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning her 13 year old daughter who on 16-JUN-2009 was vaccinated with the first dose of GARDASIL (dose, therapy route and lot # not reported). On 16-JUN-2009, the patient fainted and also had a seizure 10 minutes after the dose of GARDASIL was given. Nurse practitioner stated her daughter "fell off of the table and hit her head". The patient was taken to the Emergency Room (name of hospital was unspecified) but was not admitted. The patient had recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.  8/10/09 ER records received DOS 6/16/09. Assessment: Syncope - Vasovagal, scalp contusion. Patient passed out and hit head. Brief jerking. Contusion right parietal area.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Confusional state, Dysarthria, Hemiparesis, Muscular weakness, Nuclear magnetic resonance imaging
Clinical narrative: Pt had stroke-like symptoms such as muscle weakness on one side, slurred speech, confusion, sent to Emergency Room - Brain scan - no stroke, sent to hospital - they said possible Adem. and administered steroids.  7/13/09 Hospital records received DOS 12/28/01 to 12/31/01. Assessment: Polyneuropathy. Patient presented with acute onset of right-sided weakness with right-sided facial droop. Decreasd sensation right upper and lower extremitus. Difficulty emptying bladder. Bilateral pes cavus. Calculations mildly impaired. Decrease in muscle bulk lower extremities. Postural tremor left upper extremity. Plantar response flexor on the left, extensor on the right. Too weak to stand or walk. IV steroids administered with dramatic recovery. Discharged in good condition.   8/3/09 ICD-9 Codes: 780.9 Other General Symptoms  357.8  Inflammatory and toxic neuropathy
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Scan brain
Clinical narrative: Pt had stroke-like symptoms such as muscle weakness on one side, slurred speech, confusion, sent to Emergency Room - Brain scan - no stroke, sent to hospital - they said possible Adem. and administered steroids.  7/13/09 Hospital records received DOS 12/28/01 to 12/31/01. Assessment: Polyneuropathy. Patient presented with acute onset of right-sided weakness with right-sided facial droop. Decreasd sensation right upper and lower extremitus. Difficulty emptying bladder. Bilateral pes cavus. Calculations mildly impaired. Decrease in muscle bulk lower extremities. Postural tremor left upper extremity. Plantar response flexor on the left, extensor on the right. Too weak to stand or walk. IV steroids administered with dramatic recovery. Discharged in good condition.   8/3/09 ICD-9 Codes: 780.9 Other General Symptoms  357.8  Inflammatory and toxic neuropathy
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Brain scan normal, Confusional state, Dysarthria, Dysphagia, Hemiparesis
Clinical narrative: Pt was given a flu shot on Monday. On Thursday, pt experienced muscle weakness on one side, slurred speech, confusion, trouble swallowing. He was sent to Emergency Room. Brain scan revealed it was not a stroke. MRI - possible ADEM Brain demyelination. Given IV treatments/saline solution.  6/26/09 Hospital records and DC summary received DOS 11/07/08 to 11/10/08. Assessment: Left hemiparesis, schizophrenia, dyslipidemia, Charcot-Marie-Tooth. Presented with acute onset left hemiparesis. Paresthesias left hand. Speech dysarthric.   9/23/09 Medical records received: ICD9 codes: 272.4, 356.1, 785.0, 295.9, 342.9, 323.9, v158.1, E939.3
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Pt was given a flu shot on Monday. On Thursday, pt experienced muscle weakness on one side, slurred speech, confusion, trouble swallowing. He was sent to Emergency Room. Brain scan revealed it was not a stroke. MRI - possible ADEM Brain demyelination. Given IV treatments/saline solution.  6/26/09 Hospital records and DC summary received DOS 11/07/08 to 11/10/08. Assessment: Left hemiparesis, schizophrenia, dyslipidemia, Charcot-Marie-Tooth. Presented with acute onset left hemiparesis. Paresthesias left hand. Speech dysarthric.   9/23/09 Medical records received: ICD9 codes: 272.4, 356.1, 785.0, 295.9, 342.9, 323.9, v158.1, E939.3
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Received PNEUMOVAX 0.5 ml IM 6/5/09. Seen @ ER 5/7/09. DX: cellulitis (R) upper arm. Treated in hospital till 6/10/09. Discharge 6/10/09.  7/2/09 MR received for DOS 6/7-10/2009 with D/C DX:  Cellulitis of RUE, s/p Pneumovax injection.  Headache-resolved.  Pt presented with significant redness, swelling and tenderness at Pneumovax site as well as fever, weakness and fatigue. Admitted for IV abx after which pt developed a H/A and had improvement. D/C on oral abx.  ICD9 682.3
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Joint stiffness, Wrong drug administered
Clinical narrative: ADACEL given in high left shoulder 6-8-09.  (Patient is 65 and should have received plain DT.)  Patient developed general pain & stiffness in left shoulder joint one day later, no clinical evidence of inflammation but marked functional impairment - Rx TRAMADOL & physical therapy
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Irritability, Rash generalised
Clinical narrative: 6/21 fussy, cranky, clingy, sl. decreased appetite and developed rash on abdomen, neck, legs overall scattered on body incl. hands/feet consistent with MMR Rx as office visit 6/22 for diagnosis.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, swelling, warm to touch at injection site. Pt also has low grade temps.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Pallor, Syncope
Clinical narrative: 45 to 60 seconds after injection, patient became pale, diaphoretic and fainted. LOC about 10-15 seconds. Responded to stimuli and had no other problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L thigh with erythema, swelling, warmth to touch area of erythema 9x9 inches.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling and redness, tenderness in area of shots on (R) Leg/thigh very large approx. 10x12 cm redness. Went to ER-placed on antibiotics.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Abdominal pain upper, Chest pain, Depression, Electrocardiogram, Headache
Clinical narrative: Mother reports approx. 3wks after the injection, that her daughter with complaint of increase depression, mood swings, headache, stomach pain and developed chest pain in Jan 2009. Went to Emergency Room in 8/13/08. May 8, 2009 with chest pain and heart racing. Fever. 104 still.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Mood swings, Palpitations, Pyrexia
Clinical narrative: Mother reports approx. 3wks after the injection, that her daughter with complaint of increase depression, mood swings, headache, stomach pain and developed chest pain in Jan 2009. Went to Emergency Room in 8/13/08. May 8, 2009 with chest pain and heart racing. Fever. 104 still.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abasia, Culture throat negative, Pain in extremity, Pyrexia
Clinical narrative: Had bilat. leg pain and refusal to walk 48 hrs after 5 yr vaccines given in legs. Lasted several hours without parents being able to see redness, tenderness or swelling. Also had fever 101 degrees.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Dyspnoea exertional, Fatigue, Paraesthesia, Peripheral coldness
Clinical narrative: Tired, weakness, SOB on exertion (mild) left arm felt tingling & cold however felt warm to provider, no edema.
Age: 1.3
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Blood test abnormal, Pyrexia, Rash, Rubella, Varicella
Clinical narrative: Mom called on 5-27 and stated child developed rash and fever several days after imm - mom states rash was very bad and on May 23 they took him to ER - Blood work was done and they were told he had German Measles and Chickenpox. Rx for BENADRYL and TYLENOL, states hosp knew he had had imm on the 12th - ask mom to send a copy of ER report and she agreed to but a month later has not sent it. Phone now dc'd. Child was much better when I talked with her a week after 1st contact.
Age: 14.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Headache, Pyrexia, Sensation of heaviness, Tremor
Clinical narrative: T 00:30 on 6-10-09 c/o headache then at 01:00 c/o "whole body shaking" last 1/2 hour then c/o "heaviness in the legs ". Ran low grade fever x 4days. No treatment. Seen by PMD.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Fatigue, Loss of consciousness
Clinical narrative: pt sits on exam table - gave MENACTRA im to LD then HPV im RD. A few second later patient feels dizzy and passed out and lying on exam table, for about one minute then awake and talking but feeling tired. Apply O2 P = 64 BP = 100/64 observe 15 mn then discharge home in a good condition fully awake.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Herpes zoster, Neuralgia
Clinical narrative: I received the shingles vaccine hoping it would help me - I have had 2 episodes a year for about 5 years, after the vaccine that accelerated to 5 episodes in 2008 and 3 this year with the last only 2 weeks apart so it made things worse and the back nerve pain is increasing in intensity each time absolute agony
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None given
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Bacterial culture negative, Blood immunoglobulin M, Cranial nerve paralysis, Epstein-Barr virus test, Facial palsy
Clinical narrative: Patient presented with Bell's Palsy on 4/28/09.  Symptoms.  Symptosm began on the 27th with right sided facial paralysis, blurred vision, excessive tearing.  On exam she had finding c/w 7th nerve palsy.  She treated emperically with prednisone and acyclovir.  Symptoms persisted for several weeks and were fully resolved at her last visit on June 22.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Lacrimation increased, Nuclear magnetic resonance imaging brain normal, Vision blurred
Clinical narrative: Patient presented with Bell's Palsy on 4/28/09.  Symptoms.  Symptosm began on the 27th with right sided facial paralysis, blurred vision, excessive tearing.  On exam she had finding c/w 7th nerve palsy.  She treated emperically with prednisone and acyclovir.  Symptoms persisted for several weeks and were fully resolved at her last visit on June 22.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Pt Rcd Pneumococcal vaccine in the ER on 6/18/09 in the Lt posterior arm.  Left posterior arm noted with red raised erthema, swollen and very warm to touch 15cm in length x 14 cm in width area. Pt states area is painful to touch.  Dr. made aware. Benadryl 12.5mg iv x1 given. Benadryl 12.5mg po q6hrs prn ordered.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Blood glucose normal, Body temperature, Computerised tomogram normal, Drug screen negative, Hallucination
Clinical narrative: Patient had temp 100.3, unable to work, numbness of hands & feet pupils dilated, moaning. BP 120/70 RR rapid 40, headache (+) Blood sugar 70. Pt came out of it at 3 pm - body aches headaches. Head CT (-).  Visual problems lasted till 6/21/09. Hallucinations (+) sore (R) arm where shot was given. 911 went by ambulance to hospital.  6/29/09 Medical records received DOS 6/18/09 Assessment: Seizure Parent states that patient had seizure. Found patient somnolent. Presents with pupils dilated, not reactive to light. Respirations 40.  6/29/09 ER records received DOS 6/18/09. Assessment: Arthralgia, myalgia secondary to vaccinations. Presents with fever, joint pain, lethargic.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Headache, Hypoaesthesia, Impaired work ability, Influenza serology negative, Injection site pain
Clinical narrative: Patient had temp 100.3, unable to work, numbness of hands & feet pupils dilated, moaning. BP 120/70 RR rapid 40, headache (+) Blood sugar 70. Pt came out of it at 3 pm - body aches headaches. Head CT (-).  Visual problems lasted till 6/21/09. Hallucinations (+) sore (R) arm where shot was given. 911 went by ambulance to hospital.  6/29/09 Medical records received DOS 6/18/09 Assessment: Seizure Parent states that patient had seizure. Found patient somnolent. Presents with pupils dilated, not reactive to light. Respirations 40.  6/29/09 ER records received DOS 6/18/09. Assessment: Arthralgia, myalgia secondary to vaccinations. Presents with fever, joint pain, lethargic.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Moaning, Mydriasis, Pain, Respiratory rate increased, Visual impairment
Clinical narrative: Patient had temp 100.3, unable to work, numbness of hands & feet pupils dilated, moaning. BP 120/70 RR rapid 40, headache (+) Blood sugar 70. Pt came out of it at 3 pm - body aches headaches. Head CT (-).  Visual problems lasted till 6/21/09. Hallucinations (+) sore (R) arm where shot was given. 911 went by ambulance to hospital.  6/29/09 Medical records received DOS 6/18/09 Assessment: Seizure Parent states that patient had seizure. Found patient somnolent. Presents with pupils dilated, not reactive to light. Respirations 40.  6/29/09 ER records received DOS 6/18/09. Assessment: Arthralgia, myalgia secondary to vaccinations. Presents with fever, joint pain, lethargic.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Death
Clinical narrative: None known. 7/2/09 Medical Examiner report received. COD - Sudden infant death syndrome (SIDS).
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Lump at injection site, feels tender and is somewhat reddened but not warm or infected feeling.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site nodule, Injection site pain
Clinical narrative: 6/19/09 patient felt some pain in her upper left arm and felt a small bump.Seen at this office 6/25/09. She has a 1 cm soft cyst-like nodule which is in the general area of her Gardasil injection. No erythema, induration, heat. It is palpable but not visible.
Age: 25.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Erythema, Feeling hot, Pain in extremity
Clinical narrative: On June 3, 2009, client returned to health department for PPD reading.  During visit, she c/o redness and warmth in her left arm.  Visual inspection of her left arm by RN, found the arm to be red and warm around an old BCG scar, measuring 30mm diameter.  This spot was between the two injection sites on that arm.  Client was advised to place cool compress on area and see MD if area worsens (signs of worsening to look for were described as increased puffiness, larger diameter of site, and/or streaks around site).  Call placed to home on June 4 without answer.  Message left for client to return call.  June 5, 2009, no return call from client.  Call again placed to client.  Talked with client, who stated her arm was much improved.  States her arm was "good", that redness is lessing, area is "not hurting as much".  She used ice on area but has stopped, and is no longer needing any treatment of site. Unsure of date and time of unset.  Client also received a two step PPD on April 27 and June 1. Both PPDs were given intradermal in the left forearm, lot number C3062AA. Vaccines were purchased with private and public funds.  Hepatitis B and Varicella were private funds; Td and MMR were public funds.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SWOLLEN RED PATCH ON RIGHT DELTOID.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Dry throat, Oedema peripheral, Oropharyngeal pain, Pain in extremity, Pruritus
Clinical narrative: Patient is a 61 year old MALE who presents to clinic with a 4 day history of R upper arm pain/swelling which started after he received the Zostavax on Monday.  He notes that began to notice pruritis  yesterday.  He c/o a dry, sore throat.  He does not recall having any fevers or chills.
Age: 21.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Dehydration, Nausea, Pneumonia, Pyrexia, Respiratory tract congestion
Clinical narrative: 6/15/09 Fever of 102, vomiting, and congestion. Was seen in emergency room 6/18/09 because symptoms persisted, diagnosed with pneumonia.Patient was already on antibiotics for a previous Uniary tract infection. After E.R. visit,the vomiting continued she went back to the E.R and was hydrated and sent home.6/22/09,client saw PMD and they took a stool sample, took her off of the antibiotics and gave her medication for nausea. She is doing better now. Clients mom to keep us informed of any additonal developments.
Age: 21.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Vomiting
Clinical narrative: 6/15/09 Fever of 102, vomiting, and congestion. Was seen in emergency room 6/18/09 because symptoms persisted, diagnosed with pneumonia.Patient was already on antibiotics for a previous Uniary tract infection. After E.R. visit,the vomiting continued she went back to the E.R and was hydrated and sent home.6/22/09,client saw PMD and they took a stool sample, took her off of the antibiotics and gave her medication for nausea. She is doing better now. Clients mom to keep us informed of any additonal developments.
Age: 15.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient given VFC DTAP.  No adverse reaction.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Dizziness, Oedema peripheral, Skin discolouration
Clinical narrative: Employee recieved 4 vaccines, Hep B, Td, MMR, and PPD. 30mins after, she came back complaining of dizziness and light headedness. Employee denies tightness in chest; no swelling noted on injection sites; purplish discoloration noted on the right palm with slight swelling; B/P 125/81, pulse98, respirations 14. 911 called, employee evaluated by Emergency Medical Personnel and was transported to Hospital, where she was discharged a few hours later.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: Administered 2 doses of hepatitis B vaccine on the same date of service
Age: 22.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Asthma, Immediate post-injection reaction, Loss of consciousness, Nausea, Pallor
Clinical narrative: Patient received Hep A and Tdap vaccinations.  Approximately 1 minute later patient complained of nausea and she was pale.  Patient lost consciousness and appeared to stop breathing for just a brief time (approx 30 seconds).  Our nurse assist and code teams were called to the immunization room, and EMS was notified.  O2 was given, IV 0.9 NS started, blood sugar checked.  EMS arrived on scene and took patient to hospital.
Age: 22.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Respiratory arrest
Clinical narrative: Patient received Hep A and Tdap vaccinations.  Approximately 1 minute later patient complained of nausea and she was pale.  Patient lost consciousness and appeared to stop breathing for just a brief time (approx 30 seconds).  Our nurse assist and code teams were called to the immunization room, and EMS was notified.  O2 was given, IV 0.9 NS started, blood sugar checked.  EMS arrived on scene and took patient to hospital.
Age: 50.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site induration, Injection site pruritus, Injection site reaction
Clinical narrative: Immediate myalgias after injection. On 6/24/09 (6 d after inj). Woke up itchy, indurated, local injection site 4 x 8cm. (B) wrist edema. Hurt with arthralgias and myalgias. Fever 100 degrees F. orally on 6/24/09.
Age: 50.0
Sex: M
Vaccine: YF
Symptoms: Joint swelling, Myalgia, Pain, Pyrexia
Clinical narrative: Immediate myalgias after injection. On 6/24/09 (6 d after inj). Woke up itchy, indurated, local injection site 4 x 8cm. (B) wrist edema. Hurt with arthralgias and myalgias. Fever 100 degrees F. orally on 6/24/09.
Age: 0.1
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: All vaccines listed given at 29 days old.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Arthropod bite, Blister, Erythema, Injection site cellulitis, Injection site swelling
Clinical narrative: Received KINRIX on 6.22.09. Per mom, noticed swelling, increase - after 24 hours - 6.23.09, went to ER around 11 pm. Thought insect bite caused swelling. ER dx'd her as cellulitis secondary to insect bite. Gave her KEFLEX. 6-24-09 - Saw patient back in our office for increase swelling and redness, with blisters midline on arm. No fever. Had 2 doses KEFLEX.
Age: 20.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Blister, Erythema, Hyperaesthesia, Induration, Pyrexia
Clinical narrative: Mother called @ 10 am 6/24/09 to say pt had large reddened area on R upper arm ~ about 4" in triangular shape - indurated and sensitive to touch. Center of reddened area appears fluid filled. Has had moderate fever since evening of 6/22.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: Pt had a vasovagal reaction abut 5 mins. after administration. Pt responded immediately to verbal commands. She was oriented - kept pt until her mother came to pick her up (30 min-approx)
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis to R arm.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Fussy baby T-99. Red, swollen at site. Advised TYLENOL, cool compresses.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Aggression, Anger, Mood swings, Unresponsive to stimuli
Clinical narrative: Patient would present himself off & on with anger outbursts, mood swings & getting in his "zone" which was like he couldn't process what I said until a few seconds afterward. His preschool called twice & had me pick him up.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Injection site haematoma, Injection site swelling
Clinical narrative: Swelling of right thigh and bruising.
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Induration, Pruritus, Tenderness
Clinical narrative: Itching, redness, heat, tender, firm area 5" horiz and 3" vert just below site of injection in (L) upper arm....2 days after injection - (started itching 1 day after shot). T 98.8.