chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Urinary incontinence
Clinical narrative: Within 5 minutes after injections the patient fainted and had mild seizure-like activity.  Pt was diaphoretic and incontinent of urine.  The patient regained consciousness and walked to exam table to lie down with RN assistance.  Blood pressures taken twice 15 minutes apart, patient monitored for 30 minutes then released to mother's care.  Patient walked out of clinic.  Patient referred to PCP for follow up care.  Mom states pt had anxiety related to medical treatment and the use of needles.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Loss of consciousness
Clinical narrative: After receiving vaccinations, patient passed out for a few seconds from sitting at a table.  His head touched the floor.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: marked swelling and redness at injection site, quite warm, extending ~ 4 cm. centered around L arm upper area, at site of varivax
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Anorexia, Biopsy, Brain mass, Convulsion, Encephalitis
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Headache, Leukoencephalomyelitis, Nuclear magnetic resonance imaging abnormal, Surgery
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Biopsy brain abnormal, CSF culture negative, Central nervous system lesion, Encephalitis, HIV test negative
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Herpes simplex serology negative, Immunoglobulins normal, Intensive care, Lethargy, Leukoencephalomyelitis
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Lymphoma, Muscle twitching, Muscular weakness, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Partial seizures, Upper respiratory tract infection, Viral infection, White blood cell count increased
Clinical narrative: 2 SEIZURES IN SAME DAY, LOSS OF APPETITE,HEADACHE,I ASKED DR IF THIS HAD ANYTHIG TO DO WITH HER SHOTS. HOSPTALIZED ON 6/11/08 FOR 8 DAYS BRAIN SURGERY BIOPSY ON 6/12/08. STEROIDS AND ANTI SEIZURE MEDICINE GIVEN. RELEASED WITH JUST SEIZURE MEDICINE. MY DAUGHTER DID NOT GET BETTER. SLEPT ALL DAY.NO APPETITE,RE-ADMITTED AFTER 2 WEEKS. I MENTIONED AGAIN IF HIS HAD ANYHING TO DUE WITH VACCINE. SHE WAS TESTED AND THEN DIAGNOSED THAT THIS WAS DUE TO VACCINE. DIAGNOSIS IS ADEM. SHE WAS GIVEN HIT DOSES OF STEROIDS FOR 3 DAYS. RELEASED AND SENT HOME WITH TAPERED DOSES OF STEROIDS. STILL ON KEPPRA AND ZANAC. MULTPLE MRI'S TAKEN. TIME COURSE: VACCINE GIVEN 5/28/08 AND SHE IS STILL RECOVERY AS OF THIS DAY.  9/26/08 Reviewed hospital medical records of 8/25-9/04/2008. FINAL DX: brain mass, cerebritis, HTN, antiseizure meds, transient hyponatremia probably secondary to SIADH. Records reveal patient experienced lethargy, irritability, HA, anorexia & right arm numbness & tingling which had recurred w/steroid taper.  Admitted to ICU & tx w/high dose steroids & IVIG.  ONcology, Neuro, Neurosurgery & intensivist consults done. Improved & d/c to home with mass biopsy for T cell clonality pending.    9/2/08 Reviewed hospital medical records of 6/11-6/17/2008. FINAL DX: Seizure, left cerebral mass, cerebritis, HA, s/p incisional biopsy left cerebral mass Records reveal patient experienced seizure activity at summer camp of unresponsive, jerking movements of RUE & drooling lasting approx 2 min.  Had c/o of HA for 6 wks prior.  Neurology, neurosurgery, ID consults done.  Started anti-seizure & steroids meds.  Taken to OR for craniotomy & biopsy.  No further seizure activity while hospitalized but did have slight right sided weakness at d/c to home w/neuro, neurosurg & ID f/u as outpatient.  Readmitted 7/24-7/28/2008. FINAL DX: Headache, encephalitis. Records reveal patient experienced HA, reduced oral intake, neck pain & lethargy x 2 days.  Tx w/steroids.  Progressed well & d/c to home on tapering steroids to be f/u by ID.  8/22/08 Reviewed PCP office records.   FINAL DX: cerebritis vs viral encephalitis Records reveal patient was in good health on day of vaccination.  Returned to clinic 6/30/08 post hospitalization.  Had neurology & neurosurgery appts set.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: 13 hours after HAV patient developed redness and induration at the Left arm injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT HAD A LITTLE TINGLING/ITCHINESS JUST AFTER INJECTION BUT RESOLVED BEFORE LEAVING.  A SMALL BRUISE/SPOT AT SITE OF INJECTION WAS PRESENT JUST AFTER INJECTION.  APPROXIMATELY 1 WEEK AFTER INJECTION A SILVER DOLLAR SIZED RED AREA APPEARED THAT WAS PAINFUL, WARM TO THE TOUCH, AND SWOLLEN.  THIS RESOLVED AFTER APPROXIMATELY 3 DAYS.  THE AREA REMAINED RED AT THE TIME THE REACTION WAS REPORTED (2 WEEKS AFTER INJECTION).  PATIENT TOOK BENADRYL BY MOUTH AND USED CORTISONE CREAM TO HELP WITH SWELLING AND ITCHING.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus
Clinical narrative: PATIENT HAD A LITTLE TINGLING/ITCHINESS JUST AFTER INJECTION BUT RESOLVED BEFORE LEAVING.  A SMALL BRUISE/SPOT AT SITE OF INJECTION WAS PRESENT JUST AFTER INJECTION.  APPROXIMATELY 1 WEEK AFTER INJECTION A SILVER DOLLAR SIZED RED AREA APPEARED THAT WAS PAINFUL, WARM TO THE TOUCH, AND SWOLLEN.  THIS RESOLVED AFTER APPROXIMATELY 3 DAYS.  THE AREA REMAINED RED AT THE TIME THE REACTION WAS REPORTED (2 WEEKS AFTER INJECTION).  PATIENT TOOK BENADRYL BY MOUTH AND USED CORTISONE CREAM TO HELP WITH SWELLING AND ITCHING.
Age: 34.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SILVER DOLLAR SIZE REDNESS AND SWELLING ON BACK SIDE OF LT. ARM WHERE MMR WAS ADMINISTERED.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Crying
Clinical narrative: Mom presents today for six month immunizations and reports adverse effects in the first 24 hours following immunizations received 6/17/2008. She says baby cried a great deal and temperature was 104 degrees. Mom reports that she took baby to the ER and was told to report event to immunization provider.
Age: 40.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Dysphonia, Fatigue, Oxygen saturation normal, Streptococcal identification test negative
Clinical narrative: On 16 August 2008, persons from health came to the Center to administer mobilization shots. I was in good health. They game me 4 shots, Typhoid and Tetenaus in the right arm, Hep A and Hep B in the left. I awoke on Sunday Morning, very hoarse and feeling tired. No wheezing, hives or dizziness was noted. On Monday, I could not talk, very very hoarse. Reported to sick call on Tuesday, Dr examined me and ordered meds and put me on 48hrs quarters.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Burning sensation, Oedema peripheral, Pruritus, Speech disorder, Swelling face
Clinical narrative: Client's mother called cliinic 7/30/08 reporting bilateral swelling of deltoids, arms, hands, feet & face of client. Client's "face feels fat". Hand & feet itchy & burning; client's tongue swollen & client having difficulty talking. RN counsel to call 911 or take to emergency care immediately; give Benadryl. 7/31/08 mother reports that client was given shots in hospital & kept for observation but released same day. Also given RX for medication (unknown). All SxS gone.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Swollen tongue
Clinical narrative: Client's mother called cliinic 7/30/08 reporting bilateral swelling of deltoids, arms, hands, feet & face of client. Client's "face feels fat". Hand & feet itchy & burning; client's tongue swollen & client having difficulty talking. RN counsel to call 911 or take to emergency care immediately; give Benadryl. 7/31/08 mother reports that client was given shots in hospital & kept for observation but released same day. Also given RX for medication (unknown). All SxS gone.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP, ANTH, HEP, SMALL, TYP
Symptoms: Injection site discharge, Lymphadenopathy, Pyrexia
Clinical narrative: EXTREME SWELLING OF THE LYMPH NODES OF LEFT ARM AND FEVER REACHING 102. GREEN DISCHARGE FROM INNOCULATION SITE.
Age: 47.0
Sex: F
Vaccine: DTAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Continued constant dull pain and extreme pain when extending arm that vaccination was administered. It has been 41 days since vaccination.  No treatment yet.  Appointment has been made for this week to see the doctor who administered vaccination.
Age: 25.0
Sex: M
Vaccine: HEPAB, MMR
Symptoms: Contusion, Injection site pain
Clinical narrative: About 3 days patient noticed mild bruising in a circular shape on right deltiod. Mild tender to palpation at injection site.
Age: 2.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Accidental overdose, Wrong drug administered
Clinical narrative: Patient was inadvertently given extra vaccines. She did not require the PCV or HIB. This was our mistake.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: Large reddened are to R thigh and L lower thigh.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Urticaria
Clinical narrative: Patient developed hives two hours after having the varicella shot.  Seen in ER same day, seen in our office next day, mild papular rash on trunk & extremeties.  ER gave prednisone and benedryl, Our office added clariten or Zyrtec 10mg.
Age: 14.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Asthma, Cough, Eye pruritus, Hypersensitivity, Rhinitis allergic
Clinical narrative: Suspect allergic reaction to MCV4/Varivax #2 in series. Patient in office for well visit. Developed asthma, allergic rhinitis, profuse rhinorrhea and urticaria within 5 minutes of vaccinations.  Mother continued home.  Called at 12.35pm stating itchy eyes and coughing. Instructed to return to office.  Upon examination inspiratory wheezing noted, urticaria and profuse rhinorrhea. B/P 93/61, pulse 68 and respirations 18.  Treated with Xopenex 1.25mg neb treatment x 1. Wheezing resolved after treatment.  Sent home with albuterol inhaler,Singulair 10mg tabs, Omnairs nasal spray, Prednisone 10mg tab and Claritin tabs.  Return appointment given 09-21-2008.
Age: 14.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Rhinorrhoea, Urticaria, Wheezing
Clinical narrative: Suspect allergic reaction to MCV4/Varivax #2 in series. Patient in office for well visit. Developed asthma, allergic rhinitis, profuse rhinorrhea and urticaria within 5 minutes of vaccinations.  Mother continued home.  Called at 12.35pm stating itchy eyes and coughing. Instructed to return to office.  Upon examination inspiratory wheezing noted, urticaria and profuse rhinorrhea. B/P 93/61, pulse 68 and respirations 18.  Treated with Xopenex 1.25mg neb treatment x 1. Wheezing resolved after treatment.  Sent home with albuterol inhaler,Singulair 10mg tabs, Omnairs nasal spray, Prednisone 10mg tab and Claritin tabs.  Return appointment given 09-21-2008.
Age: 1.5
Sex: F
Vaccine: DT, HEPA, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Patient received varicella #1, Hep A#1 and DT #4 at his 18 month physical.  He developed a mosquito-type rash within 24 hrs.  Mother took him to ER where he was diagnosed with hives.  I saw him 5 days post vaccines and his rash had resolved.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: FEVER,REDNESS AND SWELLING OF 1/3 OF DISTAL THIGH NEAR INJECTION SITES OF MMR,DTAP,AND HEP A.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Headache, Nausea, Pain of skin
Clinical narrative: Days 2-5 following vaccine extremely painful pulsing pain type headache on same side as shot, with localized scalp soreness.  Pulses of pain would last for only 1-2 seconds, and were irregular in occurance, every 10 seconds to several minutes in between pulses.  Pain not eased by tylenol or motrin.  Also had accompanying nausea.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site. treated with antibiotics.
Age: 32.0
Sex: F
Vaccine: ANTH, HEP, MMR, SMALL, TYP
Symptoms: Biopsy skin abnormal, Erythema nodosum, Headache, Injection site induration, Injection site mass
Clinical narrative: AT FIRST AREA OF INJECTION WAS HARD AND HOT LIKE IF I HAD A GOLF BALL SIZE LESION ON MY ARM VERY PAINFUL FEVER HEADACHE THAT HAPPENED AFTER EVERY SHOT I GOT (4) ANTHRAX VACCINATIONS ABOUT 8 MONTH IN THAT YEAR I GOT A RASH ON MY SCALP THAT AT THE TIME I ASSUMED IT WAS NOTHING BUT IT JUST STARTED TO GET WORSE AS TIME WENT BY AND A PUNCH BIOPSY WAS PERFORMED AND THE DERMATOLOGIST SAID IT IS PSORIASIS ALSO I HAVE BEAN DIAGNOSED WITH  ERYTHEMA NODOSUM THIS HAS ALL HAPPENED AFTER THE ANTHRAX VACCINATION 1ST DOSE 26MARCH03, 2 DOSE 09APR03, 3RD DOSE 24APR03, 4TH DOSE 29SEP03
Age: 32.0
Sex: F
Vaccine: ANTH, HEP, MMR, SMALL, TYP
Symptoms: Injection site pain, Psoriasis, Pyrexia, Rash, Skin disorder
Clinical narrative: AT FIRST AREA OF INJECTION WAS HARD AND HOT LIKE IF I HAD A GOLF BALL SIZE LESION ON MY ARM VERY PAINFUL FEVER HEADACHE THAT HAPPENED AFTER EVERY SHOT I GOT (4) ANTHRAX VACCINATIONS ABOUT 8 MONTH IN THAT YEAR I GOT A RASH ON MY SCALP THAT AT THE TIME I ASSUMED IT WAS NOTHING BUT IT JUST STARTED TO GET WORSE AS TIME WENT BY AND A PUNCH BIOPSY WAS PERFORMED AND THE DERMATOLOGIST SAID IT IS PSORIASIS ALSO I HAVE BEAN DIAGNOSED WITH  ERYTHEMA NODOSUM THIS HAS ALL HAPPENED AFTER THE ANTHRAX VACCINATION 1ST DOSE 26MARCH03, 2 DOSE 09APR03, 3RD DOSE 24APR03, 4TH DOSE 29SEP03
Age: 32.0
Sex: F
Vaccine: ANTH, HEP, MMR, SMALL, TYP
Symptoms: Vaccine positive rechallenge
Clinical narrative: AT FIRST AREA OF INJECTION WAS HARD AND HOT LIKE IF I HAD A GOLF BALL SIZE LESION ON MY ARM VERY PAINFUL FEVER HEADACHE THAT HAPPENED AFTER EVERY SHOT I GOT (4) ANTHRAX VACCINATIONS ABOUT 8 MONTH IN THAT YEAR I GOT A RASH ON MY SCALP THAT AT THE TIME I ASSUMED IT WAS NOTHING BUT IT JUST STARTED TO GET WORSE AS TIME WENT BY AND A PUNCH BIOPSY WAS PERFORMED AND THE DERMATOLOGIST SAID IT IS PSORIASIS ALSO I HAVE BEAN DIAGNOSED WITH  ERYTHEMA NODOSUM THIS HAS ALL HAPPENED AFTER THE ANTHRAX VACCINATION 1ST DOSE 26MARCH03, 2 DOSE 09APR03, 3RD DOSE 24APR03, 4TH DOSE 29SEP03
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at inj site, treated with antibiotics
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Lip blister, Nasal disorder, Oropharyngeal blistering, Pain in jaw
Clinical narrative: 9 July -- Shingles vaccine administered (no early reactions) ;  12 July -- Pain in lower right jaw (thought to be a toothache) began in late morning, but tremors in hands began in late afternoon, causing a visit to the ER; diagnosed as a possible tooth abcess; began penicillin for 10 days ; 14 July -- Dentist visit; x-rays did not show any tooth problems ; 15 July -- Multiple blisters inside mouth ; 16 July -- Additional blisters on lips and nostrils ;  Slow but steady improvement in symptoms over next several weeks (including healing over a spot of bare jaw bone that was underneath one of the mouth blisters) ; 15 August -- all symptoms gone / mouth completely healed.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor, X-ray normal
Clinical narrative: 9 July -- Shingles vaccine administered (no early reactions) ;  12 July -- Pain in lower right jaw (thought to be a toothache) began in late morning, but tremors in hands began in late afternoon, causing a visit to the ER; diagnosed as a possible tooth abcess; began penicillin for 10 days ; 14 July -- Dentist visit; x-rays did not show any tooth problems ; 15 July -- Multiple blisters inside mouth ; 16 July -- Additional blisters on lips and nostrils ;  Slow but steady improvement in symptoms over next several weeks (including healing over a spot of bare jaw bone that was underneath one of the mouth blisters) ; 15 August -- all symptoms gone / mouth completely healed.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: gave dtap by mistake
Age: 14.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Blood glucose normal, Cold sweat, Dizziness, Heart rate increased, Muscular weakness
Clinical narrative: Approximately 1 min. after the administration of vaccines the pt began c/o dizzines, nauseas, neck pain, weakness and tingling on both arms, pt was cold to touch, pale, sweaty. Immediately was place on the exam table on supine position, glucose fingerstick was perform which was 77 mg/dl, the doctor was notify of the reaction, vitals was taken BP- 148/80,P- 116,R- 30, SO2 Sat-100%, supplemental oxygen with mask was provided, the doctor ordered Epinephrine 0.3 cc SC which was administer on RA, MD called 911 to request an ambulance for pt to be transporter to ER, F/U call was made by MD the day after who spoke with the mother and mom state that pt is stable and that she was D/C the same day after a few tests in the ER.
Age: 14.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Nausea, Neck pain, Oxygen saturation normal, Oxygen supplementation, Pallor
Clinical narrative: Approximately 1 min. after the administration of vaccines the pt began c/o dizzines, nauseas, neck pain, weakness and tingling on both arms, pt was cold to touch, pale, sweaty. Immediately was place on the exam table on supine position, glucose fingerstick was perform which was 77 mg/dl, the doctor was notify of the reaction, vitals was taken BP- 148/80,P- 116,R- 30, SO2 Sat-100%, supplemental oxygen with mask was provided, the doctor ordered Epinephrine 0.3 cc SC which was administer on RA, MD called 911 to request an ambulance for pt to be transporter to ER, F/U call was made by MD the day after who spoke with the mother and mom state that pt is stable and that she was D/C the same day after a few tests in the ER.
Age: 14.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Paraesthesia
Clinical narrative: Approximately 1 min. after the administration of vaccines the pt began c/o dizzines, nauseas, neck pain, weakness and tingling on both arms, pt was cold to touch, pale, sweaty. Immediately was place on the exam table on supine position, glucose fingerstick was perform which was 77 mg/dl, the doctor was notify of the reaction, vitals was taken BP- 148/80,P- 116,R- 30, SO2 Sat-100%, supplemental oxygen with mask was provided, the doctor ordered Epinephrine 0.3 cc SC which was administer on RA, MD called 911 to request an ambulance for pt to be transporter to ER, F/U call was made by MD the day after who spoke with the mother and mom state that pt is stable and that she was D/C the same day after a few tests in the ER.
Age: 0.76
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chills, Dyspnoea, Heart rate increased, Injection site urticaria
Clinical narrative: My son went to his pediatrician for his 9 month check up on Tuesday 8/5/08.  About 45 minutes before the vaccine was given I gave him 0.8 mL of Infant Tylenol.  About 4 hours after the third (and final) dose of his Hep B vaccine was given (Tuesday 8/5/08) my son came down with a high fever (about 103*), was listless, almost non-responsive, his feet turned blue, he was shaking and had the chills, he had A LOT of difficulty breathing, was weak and had a very fast heartbeat (about 174).  The symptoms came on all of a sudden; he woke from his nap in a good mood, was brought downstairs and in a matter of minutes his state completely changed.  I took him to the pediatric ER at Hospital immediately, he was given Motrin and Gatorade - and I was told he probably had a virus.  I was sent home and advised to keep giving Motrin and Gatorade.  The following day (Wednesday 8/6/08 - after the vaccine and reaction) he still had a fever, was not his usual self, and developed hives on his left thigh around the injection site.  I spoke with my pediatrician the following day (Thursday 8/7/08) and again on Saturday (8/9/08) and it was determined patient probably had a reaction to the vaccine as no one else in the home (including his twin sister) had gotten ill.  As of Saturday 8/9/08 he was well and no longer getting Motrin.  It has been two weeks (8/19/08) since the reaction and no one in the home or close to him has been sick.
Age: 0.76
Sex: M
Vaccine: HEP
Symptoms: Listless, Pyrexia, Skin discolouration, Tremor
Clinical narrative: My son went to his pediatrician for his 9 month check up on Tuesday 8/5/08.  About 45 minutes before the vaccine was given I gave him 0.8 mL of Infant Tylenol.  About 4 hours after the third (and final) dose of his Hep B vaccine was given (Tuesday 8/5/08) my son came down with a high fever (about 103*), was listless, almost non-responsive, his feet turned blue, he was shaking and had the chills, he had A LOT of difficulty breathing, was weak and had a very fast heartbeat (about 174).  The symptoms came on all of a sudden; he woke from his nap in a good mood, was brought downstairs and in a matter of minutes his state completely changed.  I took him to the pediatric ER at Hospital immediately, he was given Motrin and Gatorade - and I was told he probably had a virus.  I was sent home and advised to keep giving Motrin and Gatorade.  The following day (Wednesday 8/6/08 - after the vaccine and reaction) he still had a fever, was not his usual self, and developed hives on his left thigh around the injection site.  I spoke with my pediatrician the following day (Thursday 8/7/08) and again on Saturday (8/9/08) and it was determined patient probably had a reaction to the vaccine as no one else in the home (including his twin sister) had gotten ill.  As of Saturday 8/9/08 he was well and no longer getting Motrin.  It has been two weeks (8/19/08) since the reaction and no one in the home or close to him has been sick.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Amblyopia, Back pain, Dysstasia, Headache, Hypertension
Clinical narrative: Pt reported back pain, HA, neck pain, 1 week after immunizations. At 10-11 days post vaccine pt began to experience blurry vision, (B) Amblyopia, and was unable to sit or stand > 5 min  D/T back pain. Pt was sent to hosp and is currently in Peds ICU with idiopathic intracranial hypertension. 10/3/08-records received for DOS 8/20-8/22/08-DX: Pseudotumor cerebri unknown etiology. Headache 30 minutes after vaccination and headaches preceding vaccination by several weeks or years. CSF removed only 4ml doubt that pressure was reduced by LP although symptomatic relief afterwards. After vaccination had paresthesia of arms and neck pain. Subsequently became pale and C/O double vision. Blurry vision. PE:sixth cranial nerve palsy, bilateral papilledema.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Neck pain, Vision blurred
Clinical narrative: Pt reported back pain, HA, neck pain, 1 week after immunizations. At 10-11 days post vaccine pt began to experience blurry vision, (B) Amblyopia, and was unable to sit or stand > 5 min  D/T back pain. Pt was sent to hosp and is currently in Peds ICU with idiopathic intracranial hypertension. 10/3/08-records received for DOS 8/20-8/22/08-DX: Pseudotumor cerebri unknown etiology. Headache 30 minutes after vaccination and headaches preceding vaccination by several weeks or years. CSF removed only 4ml doubt that pressure was reduced by LP although symptomatic relief afterwards. After vaccination had paresthesia of arms and neck pain. Subsequently became pale and C/O double vision. Blurry vision. PE:sixth cranial nerve palsy, bilateral papilledema.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Shots given 8-12-08, Gardasil, Menactra, Varicella.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Nervousness, Pain, Restlessness, Sleep disorder
Clinical narrative: "Achy" am after vaccinations. Given Motrin by parent at 4:30 pm and 11:00 pm on 8-18-08. Also complained of feeling "nervous, restless" at 10:30 pm on 8-18-08. Did not fall asleep until 2:30 am. Slept through night until 9:00 am on 8-19-08. On 8-19-08, feels o.k. - no restlessness. Plans to inform physician.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Fall, Haemorrhage, Skin laceration
Clinical narrative: Patient received MCV-4 in L deltoid 0.5 ml at approx 4pm accompanied by his mother and sister.  Pt waiting in hallway for his sister to get her shot.  Pt fell to the floor.  Pt had cell phone on a chain around his neck it was in back of his head when he hit the floor.  Skin laceration noted to back of his head by EMT.  Pt awake alert.  Pressure applied bleeding stop.  Pt stated he has been getting black out spells approx 3 per month.  Pt taken to EMT.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Nodule, Skin discolouration, Skin warm, Tenderness
Clinical narrative: Received 3rd dose of GARDASIL 7/29/08.  Contacted office 8/19/08 with c/o dime sized "knot" that had increased in size within past 2 days.  Area slightly tender to touch, skin slightly discolored - pinkish red.  Very slight warm to touch.  Stated has had "knot" since date of injection.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Laboratory test
Clinical narrative: Began losing hair - about the size of golf ball each time she would shower. I have some in baggies. Multiple blood tests were complete. Tests were fine.
Age: 69.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None - Medication error; Tdap given outside approved age group.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Chills, Headache, Hypoaesthesia, Pain, Pallor
Clinical narrative: Extreme soreness, fever, chills, dry heaves, vomiting, almost passed out (did not), headache, body numb and paleness greater than 24 hours post vaccination.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Presyncope, Pyrexia, Retching, Vomiting
Clinical narrative: Extreme soreness, fever, chills, dry heaves, vomiting, almost passed out (did not), headache, body numb and paleness greater than 24 hours post vaccination.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site warmth
Clinical narrative: 5cm warm area to left thigh per mom decreased since yesterday.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pruritus, Tachycardia, Urticaria, Vomiting
Clinical narrative: Hive, vomiting, tachycardia, itchiness. Was given Epi and steroids.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Erythema, Heart rate increased, Immediate post-injection reaction, Nausea, Pruritus
Clinical narrative: Hive, vomiting, tachycardia, itchiness. Was given Epi and steroids.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Swelling face, Vomiting
Clinical narrative: Hive, vomiting, tachycardia, itchiness. Was given Epi and steroids.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Pyrexia, Rash generalised, Varicella
Clinical narrative: Patient administered varicella vaccine, few days later presented with fever, then rash all over. Diagnosed: Likely varicella -> advised to use supportive care.
Age: 59.0
Sex: F
Vaccine: HEPA
Symptoms: Contusion, Pain
Clinical narrative: Very painful immediately. Then bruising x 2-3 weeks. Pain laste4d 6-7 weeks. I did use one of those spring loaded syringes.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Full blood count, Unevaluable event
Clinical narrative: None Stated.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Cough, Dizziness, Injection site pain, Nausea, Pallor
Clinical narrative: Vaccine admin 8/12/08 est. time 11:00 A.  Reported by patient's mother symptoms started later in day and overnight: sore at injection site, arm shaky, dizziness, nausea, pale, non-productive cough, as reported by patient's mother 2:00 p 8/13/08.  Patient by then had less symptoms and was improving; follow up call to patient 8/14/08, no symptoms or side effects.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Tremor
Clinical narrative: Vaccine admin 8/12/08 est. time 11:00 A.  Reported by patient's mother symptoms started later in day and overnight: sore at injection site, arm shaky, dizziness, nausea, pale, non-productive cough, as reported by patient's mother 2:00 p 8/13/08.  Patient by then had less symptoms and was improving; follow up call to patient 8/14/08, no symptoms or side effects.
Age: 31.0
Sex: M
Vaccine: TTOX
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiffness to back of left increased arm, not at the injection site. Symptom started at 6:00pm lasted until 7:00 or 7:30pm on 8-15-08
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Induration
Clinical narrative: 8 x 10 cm indurated area with erythema - Rt thigh. Instructed to apply warm compresses to area. Rx: Duricef 250/5 cc BID x 5 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 8 x 10 cm indurated area with erythema - Rt thigh. Instructed to apply warm compresses to area. Rx: Duricef 250/5 cc BID x 5 days.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, IPV, MMR
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given Combivax containing IPV and also was given extra dose of IPV in separate injection at same time.  There was no adverse response.  Patient did fine.
Age: 1.05
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives on face, trunk and extremities within 6 hours of vaccines; No signs anaphylaxis
Age: 5.0
Sex: F
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Red indurated upper (R) thigh. 5 in x 5 in. ? Varicella, ? DTaP.
Age: 42.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Client stated via telephone that after leaving the center he became nauseated with 3 episodes of vomiting. He also c/o a severe headache.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Expired drug administered
Clinical narrative: No reaction or problems - vaccine Hep B expired 2-8-08.
Sex: U
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Myelitis transverse, Paralysis
Clinical narrative: Information has been received from a nurse concerning a patient who was vaccinated with GARDASIL.  Subsequently the patient experienced transverse myelitis and was hospitalized.  The patient's outcome was unknown.  It was unspecified if the patient sought medical attention.  This is one of several reports received from the same source.  No further information is available.
Sex: U
Vaccine: HPV4, HPV4
Symptoms: Myelitis transverse
Clinical narrative: Information has been received from a nurse concerning a patient who was vaccinated with GARDASIL.  Subsequently the patient experienced transverse myelitis and was hospitalized.  The patient's outcome was unknown.  It was unspecified if the patient sought medical attention.  This is one of several reports received from the same source.  No further information is available.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Induration, Skin lesion, Swelling
Clinical narrative: Aug. 14 - Patient came in with erythema and a raised induration around the area that was covered by the bandage. Aug. 18 - Patient came in after the weekend and the area that had the erythema and raised induration was covered with localized lesions.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Induration
Clinical narrative: 8 x 10 cm induration area with erythema- Rt thigh. Instructed to apply warm compress to area.Rx Duricef 250/5cc BID x 5 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 8 x 10 cm induration area with erythema- Rt thigh. Instructed to apply warm compress to area.Rx Duricef 250/5cc BID x 5 days.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Erythema, Headache, Injected limb mobility decreased, Nausea
Clinical narrative: Information has been received from a nurse concerning a 70 year old female with a history of glaucoma, Hashimoto's thyroiditis, goeta osteopenia, colonic polyp and RLS-osteoarthritis who on 24-OCT-2007 was vaccinated intramuscularly in the left deltoid muscle with the 1st dose of PNEUMOVAX 23 (lot#658555/0964U).  The patient was concomitantly vaccinated with a influenza virus vaccine (unspecified) on the same day the PNEUMOVAX 23 vaccine was given.  The patient was concomitantly taking glucosamine hydrochloride, chondroitin, calcium (unspecified), vitamins (unspecified), folic acid, timolol maleate (manufacturer unknown), metronadizole, sulfacetamide sodium and EVISTA.  On 24-OCT-2007, post vaccination, the patient could not raise her arm, developed shaking chills, headache, redness and swelling of the left arm and nausea.  No diagnostic lab test were performed.  The patient sought unspecified medical attention and recovered on 25-Oct-2007.  No additional information is expected.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Oedema peripheral, Tremor
Clinical narrative: Information has been received from a nurse concerning a 70 year old female with a history of glaucoma, Hashimoto's thyroiditis, goeta osteopenia, colonic polyp and RLS-osteoarthritis who on 24-OCT-2007 was vaccinated intramuscularly in the left deltoid muscle with the 1st dose of PNEUMOVAX 23 (lot#658555/0964U).  The patient was concomitantly vaccinated with a influenza virus vaccine (unspecified) on the same day the PNEUMOVAX 23 vaccine was given.  The patient was concomitantly taking glucosamine hydrochloride, chondroitin, calcium (unspecified), vitamins (unspecified), folic acid, timolol maleate (manufacturer unknown), metronadizole, sulfacetamide sodium and EVISTA.  On 24-OCT-2007, post vaccination, the patient could not raise her arm, developed shaking chills, headache, redness and swelling of the left arm and nausea.  No diagnostic lab test were performed.  The patient sought unspecified medical attention and recovered on 25-Oct-2007.  No additional information is expected.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Malaise, Premature labour, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a consumer and a physician for the pregnancy registry for GARDASIL concerning a 15 year old female with a history of appendicectomy (December 2006) who on 25-SEP-2007 was vaccinated with the first dose of GARDASIL (658100/0525U).  The patient also received her last dose of MENACTRA (lot# not reported) on 25-SEP-2007.  On 03-OCT-2007, the patient was confirmed to be pregnant by a urine pregnancy test (LMP = 20-AUG-2007).  Per the patient's mother, the patient did not have any adverse reaction with the vaccination, but is just feeling sick because of the pregnancy.  Follow-up information received from the physician indicated that GARDASIL was not received in their office but the patient sought unspecified medical attention in the physician's office.  On 27-MAR-2008, the patient gave birth to a normal, healthy male infant weighing 4 lbs 14 oz.  The baby's length was 44 cm, head circumference was 34 cm and the Apgar score was 8/9.  The patient was 31 weeks from her last menstrual period.  There were no complications or abnormalities.  At the time of this report, the patient's outcome was unknown.  Upon internal review, birth 31 weeks from LMP was considered to be an other important medical event.  Additional information is not expected.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a licensed practical nurse (L.P.N.) concerning a 22 year old female with no pertinent medical history and no known drug allergies who on 20-MAY-2008 and 01-AUG-2008, was vaccinated intramuscularly with her first and second 0.5 ml doses, respectively, of GARDASIL (Lot # of the two doses 658490/0802U).  There was no concomitant medication.  On 01-AUG-2008, after receiving her second dose of GARDASIL, the patient fainted and experienced two small seizures.  The patient's symptoms resolved in 20 minutes.  The patient had a full meal prior to administration of GARDASIL.  The adverse events happened during office visit.  Follow-up information was received on 15-AUG-2008 from the L.P.N. via phone call.  The nurse refused to provide the patient's name.  It was reported that the patient only had fruit prior to receiving the second dose of GARDASIL.  The nurse stated that when the patient "came to" she was fine.  It was reported that the patient was scheduled for her third dose of GARDASIL in October 2008.  Upon internal review, seizures were determined to be an other important medical event.  This is one of several reports from the same source.  Additional information has been requested.