chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: FLUN3, HEPA, MNQ, TDAP
Symptoms: Headache, Heart rate normal
Clinical narrative: Patient was in waiting room about 10 to 15 minutes after vaccination and was waiting to leave the building when patient began to complain of 'feeling funny.' Patient was brought back into exam room and patient stated that her head hurt, she felt dizzy and she felt hot. Patient was brought back into an exam room and allowed to lie down. Vitals were taken and were wnl. After lying down in the exam room for five minutes, patient stated that she felt better and wanted to leave.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Dizziness, Dyskinesia, Fall, Fatigue
Clinical narrative: Pt. had seizure like activity after the vaccination, this was her third dose, she had no adverse reactions with the previous two. She remembers feeling tired, hungry, thirsty immediately after the vaccination and she felt faint and fell to the floor, where she was found by a nurse to have jerking movements of her limbs and she was making moaning noise, her eyes were rolled up, she dis not recall this after, the jerking resolves in 1 minute ans she was fully awake and alert after that, she denied feeling tired, no headaches, vision changes, there was no bowel or bladder incontinence with it. Her vital signs were stable.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Gaze palsy, Immediate post-injection reaction, Increased appetite, Moaning, No reaction on previous exposure to drug
Clinical narrative: Pt. had seizure like activity after the vaccination, this was her third dose, she had no adverse reactions with the previous two. She remembers feeling tired, hungry, thirsty immediately after the vaccination and she felt faint and fell to the floor, where she was found by a nurse to have jerking movements of her limbs and she was making moaning noise, her eyes were rolled up, she dis not recall this after, the jerking resolves in 1 minute ans she was fully awake and alert after that, she denied feeling tired, no headaches, vision changes, there was no bowel or bladder incontinence with it. Her vital signs were stable.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Thirst
Clinical narrative: Pt. had seizure like activity after the vaccination, this was her third dose, she had no adverse reactions with the previous two. She remembers feeling tired, hungry, thirsty immediately after the vaccination and she felt faint and fell to the floor, where she was found by a nurse to have jerking movements of her limbs and she was making moaning noise, her eyes were rolled up, she dis not recall this after, the jerking resolves in 1 minute ans she was fully awake and alert after that, she denied feeling tired, no headaches, vision changes, there was no bowel or bladder incontinence with it. Her vital signs were stable.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Grand mal convulsion, Postictal state, Syncope
Clinical narrative: Pt. had seizure like activity after the vaccination, this was her third dose, she had no adverse reactions with the previous two. She remembers feeling tired, hungry, thirsty immediately after the vaccination and she felt faint and fell to the floor, where she was found by a nurse to have jerking movements of her limbs and she was making moaning noise, her eyes were rolled up, she dis not recall this after, the jerking resolves in 1 minute ans she was fully awake and alert after that, she denied feeling tired, no headaches, vision changes, there was no bowel or bladder incontinence with it. Her vital signs were stable.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia
Clinical narrative: First injection of Garadsil was given to my daughter on July 21, 2009.  A few weeks later her hair has begun to fall out severely.  She has not had any change to her diet, no new medications, no new hair care products, in the past year.  9/4/09 Received vaccine & PCP medical records. Records reveal patient experienced general good health on 7/21/09.  RTC on 8/18/09 w/hair loss.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia, Dizziness, Headache
Clinical narrative: First injection of Garadsil was given to my daughter on July 21, 2009.  A few weeks later her hair has begun to fall out severely.  She has not had any change to her diet, no new medications, no new hair care products, in the past year.  9/4/09 Received vaccine & PCP medical records. Records reveal patient experienced general good health on 7/21/09.  RTC on 8/18/09 w/hair loss.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Heart rate decreased, Nausea, Pallor, Presyncope
Clinical narrative: Near Fainting       Heart rate 52 pale poor cap refill, dizzy and nausea.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: On 7-18-07, DTaP vaccine was given instead of TDaP.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: circular red edematous area at site of injection, measuring 6 cm. in width and 5.5 cm. in lenght. Left upper arm.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Pruritus
Clinical narrative: The patient came in to see the doctor with a case of the shingles. Patient was advised to apply cold compresses 4 times a day for 20 minutes to relieve pain or itching. Good handwashing to prevent the spread of germs. Acyclovir 800mg tablets twice daily. Gabapentin 300mg capsule at bedtime. Zovirax 5% external ointment applied three times a day.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Diarrhoea, Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: PATIENT'S MOTHER STATES THAT CHILD HAS HAD DIARRHEA ALL DAY, FEVER OF 101, AND SWOLLEN ARMS
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Blood test, Computerised tomogram, Convulsion, Electroencephalogram, Nuclear magnetic resonance imaging
Clinical narrative: Approx 5 hours after receiving vaccine patient had a generalized seizure lasting under 5 minutes.  The seizure was witnessed by his mother and sister.  911 was activated and the aptient was taken to the ED by ambulance, observed and discharged.  He has no lasting symptoms.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Toxicologic test
Clinical narrative: Approx 5 hours after receiving vaccine patient had a generalized seizure lasting under 5 minutes.  The seizure was witnessed by his mother and sister.  911 was activated and the aptient was taken to the ED by ambulance, observed and discharged.  He has no lasting symptoms.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Anaemia haemolytic autoimmune, Full blood count, Heart rate irregular, Jaundice, Pyrexia
Clinical narrative: acute idiopathic autoimmune hemolytic anemia accompanied by high fever, fainting, jaundice, irregular heartbeat.  8/21/09 Hospital records received DOS 6/26/98 to 7/3/98. Assessment: Idiopathic hemolytic anemia. Patient c/o feeling tired, pains in lower back, headaches, feeling dizzy. Felt warm and having temperatures to 101. Continued body aches mostly in lower back and extremities. Saw physician, unremarkable PE. Subsequently was lightheaded, dizzy, off balance, fever of 103, stood up, blacked out, and fell to the floor. Could not walk very well. Presented at emergency room - extreme pallor, tachycardia. Severe normocytic anemia. Orthostatic hypotension. Blood transfusion.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: acute idiopathic autoimmune hemolytic anemia accompanied by high fever, fainting, jaundice, irregular heartbeat.  8/21/09 Hospital records received DOS 6/26/98 to 7/3/98. Assessment: Idiopathic hemolytic anemia. Patient c/o feeling tired, pains in lower back, headaches, feeling dizzy. Felt warm and having temperatures to 101. Continued body aches mostly in lower back and extremities. Saw physician, unremarkable PE. Subsequently was lightheaded, dizzy, off balance, fever of 103, stood up, blacked out, and fell to the floor. Could not walk very well. Presented at emergency room - extreme pallor, tachycardia. Severe normocytic anemia. Orthostatic hypotension. Blood transfusion.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Arthralgia, Dizziness, Dry skin, Dysmenorrhoea
Clinical narrative: Fatigue, dry skin, extreme fatigue, light headed, headache, increased menstrual cramps, Raynaud's disease, weight loss, hair loss, joint pain, facial rash, extreme joint pain, body rash.  9/16/09 Rheumatology records received DOS 4/28/09 to 9/9/09. Assesment: Systemic Lupus Erythematosus. Vitiligo. Patient presented with progressive fatigue and weight loss with impaired functional capacity. Joint pain, swelling, and stiffness at PIPs, MCPs and wristes. Malar rash and Raynauds of feet. Leukopenia, anemia. Inflammatory polyarthropathy.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Headache, Rash, Rash generalised, Raynaud's phenomenon
Clinical narrative: Fatigue, dry skin, extreme fatigue, light headed, headache, increased menstrual cramps, Raynaud's disease, weight loss, hair loss, joint pain, facial rash, extreme joint pain, body rash.  9/16/09 Rheumatology records received DOS 4/28/09 to 9/9/09. Assesment: Systemic Lupus Erythematosus. Vitiligo. Patient presented with progressive fatigue and weight loss with impaired functional capacity. Joint pain, swelling, and stiffness at PIPs, MCPs and wristes. Malar rash and Raynauds of feet. Leukopenia, anemia. Inflammatory polyarthropathy.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus, Weight decreased
Clinical narrative: Fatigue, dry skin, extreme fatigue, light headed, headache, increased menstrual cramps, Raynaud's disease, weight loss, hair loss, joint pain, facial rash, extreme joint pain, body rash.  9/16/09 Rheumatology records received DOS 4/28/09 to 9/9/09. Assesment: Systemic Lupus Erythematosus. Vitiligo. Patient presented with progressive fatigue and weight loss with impaired functional capacity. Joint pain, swelling, and stiffness at PIPs, MCPs and wristes. Malar rash and Raynauds of feet. Leukopenia, anemia. Inflammatory polyarthropathy.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Auricular swelling, Blood pressure decreased, Computerised tomogram normal, Convulsion, Eyelid oedema
Clinical narrative: Lip swelling, earlobe swelling and eyelids, vomited. Some drop in BP. Seizure - post-ictal.  8/31/09 ER / hospital records received DOS 8/17/09 to 8/18/09. Assessment: Mild anaphylactoid reaction with vasovagal changes and secondary generalized seizure. Post ictal phase. Presented with altered mental status post seizure and mild anaphylactoid reaction. Had c/o abdominal pains, nausea, headaches. Vomiting, lip and eye swelling. Stiffened up, went limp, stopped breathing. Cyanotic. Not verbal, aphasic for 2 1/2 hours in ER. Admitted for observation. Babinski on right.  10/1/09 ICD-9 Codes received: 999.4, 780.39, 780.79, 789.00 787.01, 784.0, 782.3, 780.2, 780.97, E947.9
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Lip swelling, Postictal state, Vomiting
Clinical narrative: Lip swelling, earlobe swelling and eyelids, vomited. Some drop in BP. Seizure - post-ictal.  8/31/09 ER / hospital records received DOS 8/17/09 to 8/18/09. Assessment: Mild anaphylactoid reaction with vasovagal changes and secondary generalized seizure. Post ictal phase. Presented with altered mental status post seizure and mild anaphylactoid reaction. Had c/o abdominal pains, nausea, headaches. Vomiting, lip and eye swelling. Stiffened up, went limp, stopped breathing. Cyanotic. Not verbal, aphasic for 2 1/2 hours in ER. Admitted for observation. Babinski on right.  10/1/09 ICD-9 Codes received: 999.4, 780.39, 780.79, 789.00 787.01, 784.0, 782.3, 780.2, 780.97, E947.9
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood magnesium normal, C-reactive protein normal, Electrocardiogram normal, Electroencephalogram, Metabolic function test normal
Clinical narrative: Patient had sudden onset of rolling of eyes, unable to hold head, and unresponsive 10 minutes after vaccination. Pt was at home and went to ER; from there pt sent to hospital. 8/25/09 MR received for DOS 8/17/09 with D/C DX:  ALTE-possible reaction to vaccines or reaction to pain.  Pt presented after episode of unresponsiveness, limpness and eyes rolling back in the car on the way home from vax provider.  Returned to baseline after ~ 5 minutes. Admitted for observation. PE WNL. further episodes.
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Posture abnormal, Unresponsive to stimuli
Clinical narrative: Patient had sudden onset of rolling of eyes, unable to hold head, and unresponsive 10 minutes after vaccination. Pt was at home and went to ER; from there pt sent to hospital. 8/25/09 MR received for DOS 8/17/09 with D/C DX:  ALTE-possible reaction to vaccines or reaction to pain.  Pt presented after episode of unresponsiveness, limpness and eyes rolling back in the car on the way home from vax provider.  Returned to baseline after ~ 5 minutes. Admitted for observation. PE WNL. further episodes.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion
Clinical narrative: Seizure.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: (L) lateral upperarm onset redness 1 day after imm.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Patient Reported intermittent hives since first HPV vaccine.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes virus infection, Oral herpes
Clinical narrative: Developed ocular viral, herpes infection right eye.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site vesicles, Rash erythematous
Clinical narrative: Patient stated she received the ZOSTAVAX on 8/14/09 and on Sunday 8/16/09 the injection site started to itch and noticed a blister near injection site. Patient developed red lesions itchy bumps on whole left arm & various red large bumps on (L) leg, (R) leg & chest ___. Applied calamine & alcohol. Blister gone, rash clearing up. Some not on arm still. No SOB chest tightness, wheezing, swelling.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: Patient stated she received the ZOSTAVAX on 8/14/09 and on Sunday 8/16/09 the injection site started to itch and noticed a blister near injection site. Patient developed red lesions itchy bumps on whole left arm & various red large bumps on (L) leg, (R) leg & chest ___. Applied calamine & alcohol. Blister gone, rash clearing up. Some not on arm still. No SOB chest tightness, wheezing, swelling.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pruritus, Pyrexia, Rash generalised, Rash vesicular
Clinical narrative: Mother stated first vesicle rash on arm - also had fever. Pt's fever was in control, but developed more vesicle rash on head, body and extremities about 20 vesicles rash and itchy now 8/19/09.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Pt observed following inj./ After 15 minutes pt appeared to be having seizure activity. Observed until able to leave with grandmother of her own accord.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Oedema, Pain
Clinical narrative: Erythema, slight tenderness @ injection site 1 day after immunization; OTC Ibuprofen for pain and edema; warm compresses.
Age: 30.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: 30 year old female complains of facial skin rash and pruiritis after AVA and Typhoid vaccines. Symptoms: Swelling, Rash, focal, Pruritus.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial infection, Blister, Erythema, Local reaction
Clinical narrative: Allergic Rx -Mod/Severe local with opportunistic bat. infection - SEPTRA susp 2 tsp PO Q12 hrs x 10days - Redness 13 cm length 12 cm with 2 cm x2cm blister.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Swollen, erythematous, indurated area of local reaction 13cm diameter.
Age: 0.58
Sex: M
Vaccine: HEP
Symptoms: Body temperature increased, Rash papular
Clinical narrative: Low grade temp (<105 degrees F), erythropoiesis became papules all over next day.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Gaze palsy, Pallor, Presyncope, Tremor
Clinical narrative: stood up after injection and had probable vaso vagal response with full body tremor, lips turned pale, eyes rolled back, assisted to exam table tremors lasted a few seconds-less than a minute, vital signs taken WNL
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune thyroiditis, Convulsion
Clinical narrative: Had seizure 7/25/09. Had Mri & Ct scan & blood work. In August diagnosed with Hashimoto Thyroiditis & compensated hypothyroidism.  10/6/09 PCP medical records received DOS 7/30/08 to 8/27/08. Assessment: Syncope Follow up from ER. Seizure?. Eyes rolled back, twitching, then limp. Lasted 30 seconds.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain upper, Chest pain, Muscle rigidity, Syncope, Tremor
Clinical narrative: My daughter is going into junior high and received her tetanus shot along with the first shot of 3 for Gardasil. That was three weeks ago. Yesterday morning I was curling her hair in the bathroom for school pictures and she fainted. Right before she passed out she said, "Mom, my stomach hurts really bad." The next thing I knew she was falling to the ground. She was completely out of it, she wasn't necessarily convulsing but her hands were in fists, her body rigid, and her hands were somewhat tremulous. When she came to she complained of severe chest pain. She has doesn't have epilepsy and has not done this before. I called the paramedics. When they got to my home and checked her out, her vitals were fine.  I called her primary care provider and asked if she should be seen, they stated that she most likely locked her knees and that's what caused the syncope episode. So I figured she probably didn't need to go and I would just keep an eye on her.  After reading about the adverse effects now I'm not so sure that she locked her knees. I will not get her the rest of the series.  It's not to say that many women and girls have these shots without any sequelae. However, I recognize that this incident with my daughter may be coincidence, the risk is far too great for me to take any chances.
Age: 11.0
Sex: F
Vaccine: HEPA, HPVX, MEN, TDAP, VARCEL
Symptoms: Arthralgia, Gait disturbance, Headache, Insomnia, Myalgia
Clinical narrative: Severe headaches that come on suddenly (side and front of brain). Have witnessed joints, bones that hurt to the point that the child can not walk, complains that toes, wrist, legs, and muscels hurt. Has caused insomina and has gone a whole day without sleeping rest of days only couple of hours of sleep.
Age: 55.0
Sex: F
Vaccine: DTP
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Arm very sore, headache, fever/chills, leg aches
Age: 0.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Convulsion, Developmental delay, Intensive care, Pyrexia, Rash
Clinical narrative: 10 days after receiving her MMR vaccine, the patient developed fever, rash and convulsions, requiring admission to the pediatric ICU.  Her developmental milestones at this time are slowed. It is unclear if this will adversely affect her development or not.  8/31/09 Hospital records received DOS 2/5/09 to 2/16/09. Assessment: Epilepsy. Five episodes of interruption of normal breathing with staring and color changes. Interrupted scream, went limp, not responding to name, eyes rolling around, turned blue, not breathing. Admitted for new-onset seizures. Sleepy. Shortness of breath. Tonic/clonic movements of upper and lower extremities. URI. PICU.  8/31/09 Hospital records received DOS 6/18/09 to 6/25/09. Assessment: Convulsions, cyanosis. Child has had five seizures this day. URI last week. Generalized tonic clonic activity and cyanosis. Shaking, gagging, rolling her head, lip smacking and getting hot. Brought to ED where she had another seizure with cyanosis. Continued seizures with hyperactivity and agitation. Neutropenia. Discharged in good condition.   8/31/09 Hospital records received DOS 6/27/09 to 6/29/09. Assessment: Seizures, convulsive. Five brief self resolving seizures over the course of the day. Focal onset developing into complex partial with eye opening, blank staring and stereotypical movements. Holds breath. More tired than normal with abnormal wake/sleep cycles. Directed to ED where she had fifth seizure. Admitted, one additional seizure before discharge.  8/31/09 ICD-9 Codes: 780.30 Convulsions, 345 Epilepsy, 780.39 Other convulsions, 782.5 Cyanosis.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Gingival pain, Gingival swelling, Paraesthesia, Swelling face
Clinical narrative: Client stated that she felt a tingling funny sensation on her left cheek about two hours after the vaccine.She had visible swelling of left cheek and face,also swollen and painful gums on the left side.S
Age: 42.0
Sex: F
Vaccine: RAB
Symptoms: Facial palsy
Clinical narrative: BELL'S PALSY DIAGNOSED BY PERSONAL PHYSICIAN.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Anorexia, Full blood count, Gram stain positive, Haematocrit normal, Haemoglobin normal
Clinical narrative: 6 hours following vaccine administration pt developed fever, myalgias, anorexia for approximately 36 hours. Temp to 104.4.  Also developed localized erythema, induration, warmth at injection site, area 10cm x 6cm in area.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Lymphocyte count normal, Myalgia
Clinical narrative: 6 hours following vaccine administration pt developed fever, myalgias, anorexia for approximately 36 hours. Temp to 104.4.  Also developed localized erythema, induration, warmth at injection site, area 10cm x 6cm in area.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Platelet count normal, Pyrexia, White blood cell count
Clinical narrative: 6 hours following vaccine administration pt developed fever, myalgias, anorexia for approximately 36 hours. Temp to 104.4.  Also developed localized erythema, induration, warmth at injection site, area 10cm x 6cm in area.
Age: 11.0
Sex: F
Vaccine: MEN
Symptoms: Epistaxis, Headache, Pain in extremity
Clinical narrative: Sine the shot was given, pt. has had severe headaches and acute nosebleeds. She has received two does, and will not receive a third. I was never made aware by the clinic by either written form or verbal as to the complications and deaths of this vaccine. I was simply told the arm may get sore, which both my girls had also. I think doctor should be required to tell the parents of the dangers in written form, including blood clots, death, as well as the potential for cervical cancer and/or warts.  I now have to worry about my 17 year old and my 11 year old for years to come, and have my 11 year old subject to pap smears for the next 3-5 years, this child hasnt even began a period yet.
Age: 1.1
Sex: F
Vaccine: HEPA, PNC
Symptoms: Convulsion, Pyrexia, Vomiting
Clinical narrative: Vomiting, Fever, Seizure. 8/25/09 Hospital records received service dates 8/18/09 to 8/21/09. Assessment: Fever, febrile seizure, vomiting. Baby woke up crying and coughing. Vomiting, then unresponsive for 20 seconds. Not breathing, shaking. Continued gagging and vomiting episodes. Appears ill.  10/6/09 ICD-9 Codes received: 780.31, Febrile convulsions, 780.32 Complex febrile convulsions, 079.99 Viral Infection NOS
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Headache, Pallor, Tinnitus
Clinical narrative: Administered four vaccines during immunization clinic visit. Within five minutes of injection, client became very pale, c/o of dizziness and lightheadedness, H/A and buzzing in ears.  Client did not lose consciousness or fall.  Client eased to floor, feet elevated, cool pack to back of neck and client given sucker.  CLient alert during entire process.  After 10-15 minutes client's status improved although she still had H/A and buzzing in ears, client changed to sitting position and then standing position over next 5 - 10 minutes and left office under the mother's care.  Client's gait steady and she ambulated without assistance.  Mother advised to have child eat once home and lay down.  Mother called approximately one hour after leaving office to report, client dizzy intermittently, had severe H/A and buzzing in ears.  Advised mom to notify MD of s/s.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Angioedema
Clinical narrative: large hives all over body appeared day after vaccination and continued for 3 days.  Mom treated day 1 with benadryl then oral steroids when didn't resolve.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Hives on chin, arms, legs, caps of shoulders
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Child's father reported that the fever that developed post vaccination was as a result of vaccines given. Prior to vaccine administration, father stated that child has running nose but no fever! I went ahead and vaccinated. Child was brought back in with fever of 104 degree F; and some flu-like symptoms according to the health aides. Parent stated "I know my child, he reacted like this last time, I do not want him to get vaccines no more"
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Bone pain, Fatigue, Headache, Myalgia, Nasal congestion
Clinical narrative: bad muscle pain, severe headache, bad bone pains, neck pains,  exhaustion, runny nose, stuffy nose, sore irritated throat,  This has lasted now for 2 days.So far treated with Advil and benadryl.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Neck pain, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: bad muscle pain, severe headache, bad bone pains, neck pains,  exhaustion, runny nose, stuffy nose, sore irritated throat,  This has lasted now for 2 days.So far treated with Advil and benadryl.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: PT COMPLAINED THAT INJECTION SITE WAS BOTHERING HER ON 20 AUG 09. REDDENED AREA MEASUROING 30MM X 65MM ON MEDIAL ASPECT OF RIGHT UPPER ARM. 20MM OF INDURATION NOTED WERE INJECTION WAS GIVEN.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy lymph gland, Hodgkin's disease, Hodgkin's disease nodular sclerosis stage unspecified, Metabolic function test, Positron emission tomogram
Clinical narrative: Pt received the Gardasil series of shots on July 20, 2007, Sept. 26, 2007 and Feb. 20, 2008. In Jan. 2009, she told me (her mother) about a large lump on her neck.  It had clearly been there for sometime based on it's size (4cm x 3cm) and consistency. The pediatrician thought this was a benign swollen lymph node, but subsequently, this was biopsied by a surgeon and patient was diagnosed with Hodgkin's Lymphoma, nodular sclerosis type. While we understand that there is not live virus in the vaccine, we believe that there is an association between the generated immune reaction to the HPV recombinant protein and Hodgkin's Lymphoma. My daughter is now undergoing chemotherapy for her cancer. I sincerely hope the CDC will collect data on Gardasil and the onset of Hodgkin's lymphoma in young girls.  9/1/09 PCP medical records received DOS 7/15/08 to 1/19/09. Patient presents with anxiety, migraines, sinusitis.  9/1/09 PCP medical records received 2/17/09 to 7/17/09. Assessment: Lymphadenopathy. Patient presents with headache frontal, associated with nausea and vomiting. Three migraines last two weeks, throbbing, photophobia. Sore throat, unable to swallow. Cervical lymph nodes bilateral. Rash on abdomen. Swollen cervical  lymph nodes 2 months left side.  9/21/09 Received ENT & Heme/Onc consults. FINAL DX: Hodgkins lymphoma, nodular sclerosing, stage IIA. Records reveal patient was pale & had firm left clavicular lymph node.  Excisional biopsy done 7/23/09 revealed diagnosis.  Tx w/chemotherapy & possibly radiation tx when chemo completed.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Computerised tomogram normal, Dyspnoea, Haemoglobin decreased, Injection site pain, Lethargy
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Micturition urgency, Pyrexia, Rash macular, Red blood cell count decreased, Serum sickness
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Urinary retention, White blood cell count increased
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Abdomen scan normal, Abdominal pain, Blood albumin decreased, Blood creatinine normal, Dyspnoea
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Haematocrit decreased, Haemoglobin decreased, Heart rate increased, Injection site pain, Lethargy
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Leukocytosis, Micturition urgency, Platelet count increased, Pyrexia, Rash macular
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Reaction to previous exposure to any vaccine, Red blood cell count decreased, Urinary retention, White blood cell count increased
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Abdominal pain, Blood albumin decreased, Blood creatinine decreased, Blood creatinine normal, Body temperature increased
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Computerised tomogram normal, Dyspnoea, Dysuria, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Heart rate increased, Injection site pain, Lethargy, Leukocytosis, Micturition urgency
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: Platelet count increased, Pyrexia, Rash macular, Red blood cell count decreased, Serum sickness
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 23.0
Sex: F
Vaccine: HIBV, MNQ, PPV, MEN, HIBV, MNQ, PPV
Symptoms: White blood cell count increased
Clinical narrative: Approximately 1 week prior patient was admitted into the hospital after a 2-story fall that subsequently required her to undergo a splenectomy on 7/27/2009. Prior to discharge she was given Meningococcal vaccine, Haemophilus B vaccine and Pneumococcal vaccine. She was discharged on 8/1/2009 and returned to the Emergency Department with complaints of fever of 104, increasing abdominal pain, severe pain in left lateral thigh where the immunizations were given and some dyspnea. Patient became increasingly lethargic and developed a macular rash. Patient reported urinary urgency but felt like she could not urinate. Upon evaluation she was transferred urgently. Mother accompanied patient to the ED and reported that every time the patient received vaccinations as a child that she would develop a terrible fever and injection site reaction. This patients reaction was subjected to be attributed to serum sickness secondary to vaccine administration.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cough, Dysphagia, Dyspnoea, Nasoendoscopy, Pyrexia
Clinical narrative: Information has been received from a 66 year-old female patient with osteoporosis and no allergies who on 18-JUN-2009 was vaccinated with her first dose of ZOSTAVAX (Merck). Concomitant therapy included RESTASIS and "BENEVA". On 18-JUL-2009, she began having a cough. On 19-JUL-2009, she started having a fever of 100-101. On 28-JUL-2009, she had difficulty breathing and swallowing and was taken to the emergency room and was hospitalized. On 30-JUL-2009, she started developing a rash on her midsection, arms, and upper thighs. Nasaldoscopy was performed and the result was unknown. The patient had not recovered from her symptoms. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Information has been received from a 66 year-old female patient with osteoporosis and no allergies who on 18-JUN-2009 was vaccinated with her first dose of ZOSTAVAX (Merck). Concomitant therapy included RESTASIS and "BENEVA". On 18-JUL-2009, she began having a cough. On 19-JUL-2009, she started having a fever of 100-101. On 28-JUL-2009, she had difficulty breathing and swallowing and was taken to the emergency room and was hospitalized. On 30-JUL-2009, she started developing a rash on her midsection, arms, and upper thighs. Nasaldoscopy was performed and the result was unknown. The patient had not recovered from her symptoms. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Body temperature increased, Cough, Dysphagia, Dyspnoea, Pyrexia
Clinical narrative: Information has been received from a 66 year-old female patient with osteoporosis and no allergies who on 18-JUN-2009 was vaccinated with her first dose of ZOSTAVAX (Merck). Concomitant therapy included RESTASIS and "BENEVA". On 18-JUL-2009, she began having a cough. On 19-JUL-2009, she started having a fever of 100-101. On 28-JUL-2009, she had difficulty breathing and swallowing and was taken to the emergency room and was hospitalized. On 30-JUL-2009, she started developing a rash on her midsection, arms, and upper thighs. Nasaldoscopy was performed and the result was unknown. The patient had not recovered from her symptoms. Additional information has been requested.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Chest pain, Deep vein thrombosis, Fatigue, Gene mutation identification test negative, Pleural effusion
Clinical narrative: I received the ANTHRAX vaccine while awaiting deployment back on 1/1/03. Since this I have had a total of 4 pulmonary embolism, a pleural effusion and a deep vein thrombosis. I have no genetic issues and factor 5 checks out fine. The vaccine has caused this blood disorder and now I have to be on blood thinners for the rest of my life.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pulmonary embolism, Pulmonary function test abnormal, Skin discolouration
Clinical narrative: I received the ANTHRAX vaccine while awaiting deployment back on 1/1/03. Since this I have had a total of 4 pulmonary embolism, a pleural effusion and a deep vein thrombosis. I have no genetic issues and factor 5 checks out fine. The vaccine has caused this blood disorder and now I have to be on blood thinners for the rest of my life.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Blood disorder, Coagulation factor V level normal, Deep vein thrombosis, Gene mutation identification test negative, Pleural effusion
Clinical narrative: I received the ANTHRAX vaccine while awaiting deployment back on 1/1/03. Since this I have had a total of 4 pulmonary embolism, a pleural effusion and a deep vein thrombosis. I have no genetic issues and factor 5 checks out fine. The vaccine has caused this blood disorder and now I have to be on blood thinners for the rest of my life.
Age: 23.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pulmonary embolism
Clinical narrative: I received the ANTHRAX vaccine while awaiting deployment back on 1/1/03. Since this I have had a total of 4 pulmonary embolism, a pleural effusion and a deep vein thrombosis. I have no genetic issues and factor 5 checks out fine. The vaccine has caused this blood disorder and now I have to be on blood thinners for the rest of my life.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration, Injection site pruritus
Clinical narrative: ON 19 AUG 09, PT COMPLAINED TO MOTHER THAT INJESCTION SITE HURT AND ITCHED. REDDENED WITH INDURATION NOTED ON LEFT LATERAL THIGH MEASURING 45MM X 30MM.
Sex: F
Vaccine: VARCEL
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive, Urine human chorionic gonadotropin negative
Clinical narrative: Information has been received from a physician, for VARIVAX (Merck), a Pregnancy Registry product, concerning a female who in the first week of April 2008, was vaccinated with VARIVAX (Merck). Subsequently she became pregnant. Prior to the VARIVAX (Merck) vaccination, a urine pregnancy test was taken and was negative. Physician stated patient, who is also her friend, called her stating she took  a home pregnancy test and it was positive. Physician stated that patient did not know if she will continue the pregnancy. Follow-up information was received from a  nurse who stated that the patient had a miscarriage in May 2008 (about 4 weeks after vaccination of VARIVAX (Merck). The cause of miscarriage was unknown. Upon internal review, miscarriage was determined to be an other important medical event. Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Angiotensin converting enzyme, Antinuclear antibody, Blood immunoglobulin G, Blood immunoglobulin M, Blood product transfusion
Clinical narrative: Jan 2008 diagnosed Sensory Guillain Barre - Jan 08 IVIG relapse May 2008 IVIG relapse June 2008 high dose of PREDNISONE tapering down relapse Jan-Feb 2009 up PREDNISONE dose August 2009 added LEKCEPT to PREDNISONE Chronic sensory GBS/sensory CIDP.  8/27/09 Neurology consult records received DOS 1/2/08 to 7/22/09. Assessment: Guillain-Barre Syndrome. Inflammatory Polyneuropathy, Raynaud's phenomenon. Median compression neuropathy right wrist.   Patient noticed numbness and swelling in right hand, later left hand. Tingling in toes bilaterally. Alteration in sensation (Pin, vibration) in fingers and toes. Recurrent symptoms several months later. 5 day course of IV Ig. Oral and vaginal thrush. Burning and discomfort upper right quadrant. Allergy neomycin,polymyxin/hydrocort topical. Neulogical symptoms continue and get worse if prednisone dosage is reduced.