chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Dyspnoea, Dysstasia, Feeling cold, Flatulence, Full blood count normal
Clinical narrative: Immediately following Anthrax vaccine I got a huge lump/nodule w/pain, swelling at the injection site. Reported this to PCM and Chief of staff after it was still there after 4 days and two other people with multiple injections received no local reaction. A couple days more I got hot/cold flashes, fever, weakness, muscle soreness. It went downhill from there as I was bedridden for 3 days and went into the ER. Temp 103 (rotated Tylenol and Motrin), headache, fatigue, cough, congestion, sore throat, abdominal pain and gas. The next morning I started vomiting and had severe respiratory problems and knew I was done. Contacted PCM and told to report to the ER. Severely dehydrated, couldn't breathe (2 words every 5 seconds, couldn't stand straight.) DX with Anthrax Allergy, then with Pneumonia (can kill.) Went through 4 bags of IV fluids/meds including steroids for Anthrax and Antibiotics, prescribed multiple meds. Went to hospital for 2 days. Put out 5 days. Then went from sore throat pain of 1 to 8 (agonizing, before the worst of excruciating) and contracted sneezing, stuffy and running nose w/headache. On about 8 meds and have been sick for 20 days! TWENTY days is extremely abnormal and still sick. I'm sick of being sick as you can imagine. Every Dr., NP, RN I talked to says they don't see me getting the shot again. PCM just said from what he reads it says to administer the 2nd dose. We'll see if the military (I'm being deployed report in a couple weeks) is naive enough to do this or will give me an exemption, or hopefully you'll intervene. If I'm given the 2nd dose (I also have to get small pox vac. even though I've already got small pox vac but it wasn't within 10 years) and something happens, YOU will be held accountable. My medical record is documented and my parents will have a copy of everything to hold you liable. In the "clinical guidelines for managing adverse events after vaccination" table I received from the military (and gave my PCM), I followed it perfectly from local reaction through systemic event. Was seen in 3 hospitals (2 MTF, 1 CIV ER) which pointed to Anthrax vac. Still not recovered. I was in PERFECT health and taking no medications before Anthrax shot.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Gait disturbance, Headache, Hepatic enzyme increased, Hot flush, Hyperhidrosis
Clinical narrative: Immediately following Anthrax vaccine I got a huge lump/nodule w/pain, swelling at the injection site. Reported this to PCM and Chief of staff after it was still there after 4 days and two other people with multiple injections received no local reaction. A couple days more I got hot/cold flashes, fever, weakness, muscle soreness. It went downhill from there as I was bedridden for 3 days and went into the ER. Temp 103 (rotated Tylenol and Motrin), headache, fatigue, cough, congestion, sore throat, abdominal pain and gas. The next morning I started vomiting and had severe respiratory problems and knew I was done. Contacted PCM and told to report to the ER. Severely dehydrated, couldn't breathe (2 words every 5 seconds, couldn't stand straight.) DX with Anthrax Allergy, then with Pneumonia (can kill.) Went through 4 bags of IV fluids/meds including steroids for Anthrax and Antibiotics, prescribed multiple meds. Went to hospital for 2 days. Put out 5 days. Then went from sore throat pain of 1 to 8 (agonizing, before the worst of excruciating) and contracted sneezing, stuffy and running nose w/headache. On about 8 meds and have been sick for 20 days! TWENTY days is extremely abnormal and still sick. I'm sick of being sick as you can imagine. Every Dr., NP, RN I talked to says they don't see me getting the shot again. PCM just said from what he reads it says to administer the 2nd dose. We'll see if the military (I'm being deployed report in a couple weeks) is naive enough to do this or will give me an exemption, or hopefully you'll intervene. If I'm given the 2nd dose (I also have to get small pox vac. even though I've already got small pox vac but it wasn't within 10 years) and something happens, YOU will be held accountable. My medical record is documented and my parents will have a copy of everything to hold you liable. In the "clinical guidelines for managing adverse events after vaccination" table I received from the military (and gave my PCM), I followed it perfectly from local reaction through systemic event. Was seen in 3 hospitals (2 MTF, 1 CIV ER) which pointed to Anthrax vac. Still not recovered. I was in PERFECT health and taking no medications before Anthrax shot.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Injection site erythema, Injection site swelling, Insomnia, Laboratory test, Malaise
Clinical narrative: Immediately following Anthrax vaccine I got a huge lump/nodule w/pain, swelling at the injection site. Reported this to PCM and Chief of staff after it was still there after 4 days and two other people with multiple injections received no local reaction. A couple days more I got hot/cold flashes, fever, weakness, muscle soreness. It went downhill from there as I was bedridden for 3 days and went into the ER. Temp 103 (rotated Tylenol and Motrin), headache, fatigue, cough, congestion, sore throat, abdominal pain and gas. The next morning I started vomiting and had severe respiratory problems and knew I was done. Contacted PCM and told to report to the ER. Severely dehydrated, couldn't breathe (2 words every 5 seconds, couldn't stand straight.) DX with Anthrax Allergy, then with Pneumonia (can kill.) Went through 4 bags of IV fluids/meds including steroids for Anthrax and Antibiotics, prescribed multiple meds. Went to hospital for 2 days. Put out 5 days. Then went from sore throat pain of 1 to 8 (agonizing, before the worst of excruciating) and contracted sneezing, stuffy and running nose w/headache. On about 8 meds and have been sick for 20 days! TWENTY days is extremely abnormal and still sick. I'm sick of being sick as you can imagine. Every Dr., NP, RN I talked to says they don't see me getting the shot again. PCM just said from what he reads it says to administer the 2nd dose. We'll see if the military (I'm being deployed report in a couple weeks) is naive enough to do this or will give me an exemption, or hopefully you'll intervene. If I'm given the 2nd dose (I also have to get small pox vac. even though I've already got small pox vac but it wasn't within 10 years) and something happens, YOU will be held accountable. My medical record is documented and my parents will have a copy of everything to hold you liable. In the "clinical guidelines for managing adverse events after vaccination" table I received from the military (and gave my PCM), I followed it perfectly from local reaction through systemic event. Was seen in 3 hospitals (2 MTF, 1 CIV ER) which pointed to Anthrax vac. Still not recovered. I was in PERFECT health and taking no medications before Anthrax shot.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Mobility decreased, Myalgia, Nausea, Nodule, Oedema peripheral
Clinical narrative: Immediately following Anthrax vaccine I got a huge lump/nodule w/pain, swelling at the injection site. Reported this to PCM and Chief of staff after it was still there after 4 days and two other people with multiple injections received no local reaction. A couple days more I got hot/cold flashes, fever, weakness, muscle soreness. It went downhill from there as I was bedridden for 3 days and went into the ER. Temp 103 (rotated Tylenol and Motrin), headache, fatigue, cough, congestion, sore throat, abdominal pain and gas. The next morning I started vomiting and had severe respiratory problems and knew I was done. Contacted PCM and told to report to the ER. Severely dehydrated, couldn't breathe (2 words every 5 seconds, couldn't stand straight.) DX with Anthrax Allergy, then with Pneumonia (can kill.) Went through 4 bags of IV fluids/meds including steroids for Anthrax and Antibiotics, prescribed multiple meds. Went to hospital for 2 days. Put out 5 days. Then went from sore throat pain of 1 to 8 (agonizing, before the worst of excruciating) and contracted sneezing, stuffy and running nose w/headache. On about 8 meds and have been sick for 20 days! TWENTY days is extremely abnormal and still sick. I'm sick of being sick as you can imagine. Every Dr., NP, RN I talked to says they don't see me getting the shot again. PCM just said from what he reads it says to administer the 2nd dose. We'll see if the military (I'm being deployed report in a couple weeks) is naive enough to do this or will give me an exemption, or hopefully you'll intervene. If I'm given the 2nd dose (I also have to get small pox vac. even though I've already got small pox vac but it wasn't within 10 years) and something happens, YOU will be held accountable. My medical record is documented and my parents will have a copy of everything to hold you liable. In the "clinical guidelines for managing adverse events after vaccination" table I received from the military (and gave my PCM), I followed it perfectly from local reaction through systemic event. Was seen in 3 hospitals (2 MTF, 1 CIV ER) which pointed to Anthrax vac. Still not recovered. I was in PERFECT health and taking no medications before Anthrax shot.
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Speech disorder
Clinical narrative: Immediately following Anthrax vaccine I got a huge lump/nodule w/pain, swelling at the injection site. Reported this to PCM and Chief of staff after it was still there after 4 days and two other people with multiple injections received no local reaction. A couple days more I got hot/cold flashes, fever, weakness, muscle soreness. It went downhill from there as I was bedridden for 3 days and went into the ER. Temp 103 (rotated Tylenol and Motrin), headache, fatigue, cough, congestion, sore throat, abdominal pain and gas. The next morning I started vomiting and had severe respiratory problems and knew I was done. Contacted PCM and told to report to the ER. Severely dehydrated, couldn't breathe (2 words every 5 seconds, couldn't stand straight.) DX with Anthrax Allergy, then with Pneumonia (can kill.) Went through 4 bags of IV fluids/meds including steroids for Anthrax and Antibiotics, prescribed multiple meds. Went to hospital for 2 days. Put out 5 days. Then went from sore throat pain of 1 to 8 (agonizing, before the worst of excruciating) and contracted sneezing, stuffy and running nose w/headache. On about 8 meds and have been sick for 20 days! TWENTY days is extremely abnormal and still sick. I'm sick of being sick as you can imagine. Every Dr., NP, RN I talked to says they don't see me getting the shot again. PCM just said from what he reads it says to administer the 2nd dose. We'll see if the military (I'm being deployed report in a couple weeks) is naive enough to do this or will give me an exemption, or hopefully you'll intervene. If I'm given the 2nd dose (I also have to get small pox vac. even though I've already got small pox vac but it wasn't within 10 years) and something happens, YOU will be held accountable. My medical record is documented and my parents will have a copy of everything to hold you liable. In the "clinical guidelines for managing adverse events after vaccination" table I received from the military (and gave my PCM), I followed it perfectly from local reaction through systemic event. Was seen in 3 hospitals (2 MTF, 1 CIV ER) which pointed to Anthrax vac. Still not recovered. I was in PERFECT health and taking no medications before Anthrax shot.
Age: 14.0
Sex: F
Vaccine: MEN, HPV4, MNQ
Symptoms: Asthenia, Blindness transient, Dizziness, Immediate post-injection reaction
Clinical narrative: Fainted after receiving GARDASIL and AVENTIS vax. Mother requested reporting. Pt recovered quickly, no residual.
Age: 14.0
Sex: F
Vaccine: MEN, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Fainted after receiving GARDASIL and AVENTIS vax. Mother requested reporting. Pt recovered quickly, no residual.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cough, Dyspnoea, Erythema, Pruritus, Radioallergosorbent test
Clinical narrative: Information has been received from a physician concerning a 9 year old female with latex allergy and histories of congenital disorder, clubfoot, myelomeningocele and omphalocele who on 24-AUG-2009, at 10:40 a.m., was vaccinated with the first dose of VARIVAX (Merck) (lot# 664620/0797Y, route and site of administration not reported) and the second dose of VAQTA (lot# 663914/0267Y, route and site of administration not reported). On 24-AUG-2009, around 11:00 a.m., the patient developed redness, itchy palms, cough, shortness of breath and difficulty breathing. She was then given a shot of epinephrine and taken to the emergency room where she received IV fluids. Allergy testing was to be performed. On 24-AUG-2009, at 3:00 p.m., the patient recovered. Redness, itchy palms, cough, shortness of breath and difficulty breathing were considered to be immediately life-threatening and disabling. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cough, Dyspnoea, Erythema, Pruritus
Clinical narrative: Information has been received from a physician concerning a 9 year old female with latex allergy and histories of congenital disorder, clubfoot, myelomeningocele and omphalocele who on 24-AUG-2009, at 10:40 a.m., was vaccinated with the first dose of VARIVAX (Merck) (lot# 664620/0797Y, route and site of administration not reported) and the second dose of VAQTA (lot# 663914/0267Y, route and site of administration not reported). On 24-AUG-2009, around 11:00 a.m., the patient developed redness, itchy palms, cough, shortness of breath and difficulty breathing. She was then given a shot of epinephrine and taken to the emergency room where she received IV fluids. Allergy testing was to be performed. On 24-AUG-2009, at 3:00 p.m., the patient recovered. Redness, itchy palms, cough, shortness of breath and difficulty breathing were considered to be immediately life-threatening and disabling. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Erythema, Induration, Injection site erythema, Pain, Pruritus
Clinical narrative: Shingles Vaccine on Left arm: 1st day no problem. 2nd day 1" red area; sore, warm to touch. 3rd day 2"hard red area with 2" red welt around; hurt, hot to touch; called DR told to go to clinic. 4th day 3"hard red area with 4"red welt around, hot to touch, itchy; went to clinic and Dr gave me Antihisitines. 5th day swelling down, itchy.  6th day small light red at sign of shot, no swelling, no welt, bit itchy.
Age: 54.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Skin warm, Urticaria
Clinical narrative: Shingles Vaccine on Left arm: 1st day no problem. 2nd day 1" red area; sore, warm to touch. 3rd day 2"hard red area with 2" red welt around; hurt, hot to touch; called DR told to go to clinic. 4th day 3"hard red area with 4"red welt around, hot to touch, itchy; went to clinic and Dr gave me Antihisitines. 5th day swelling down, itchy.  6th day small light red at sign of shot, no swelling, no welt, bit itchy.
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Was admin. 8/21/09. Noticed reaction 8/22/09 in evening 8:30pm. Rt thigh swollen increase to hip area down to ankle 0 hard warm to touch - taken to Emergency room for evaluation
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Oedema, Skin warm
Clinical narrative: Left thigh became red and swollen one day after DTaP. Worse on second day . Plus warmth plus edema. No induration no tenderness.
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Rash, Throat irritation
Clinical narrative: 24 hours after vaccine broke out in rash - dime size red bumps. Itchy throat and extremities. Treatment: BEANDRYL, ice, cold bath, MEDROL dose pack. Pt began resolving in 72 hrs after vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Rash - red, raised - to chest, back, stomach, inner thighs. Mom treated with BEANDRYL 1 X 4 days. Mom states this happens every time with immunizations.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Erythema, Rash
Clinical narrative: Rash - red, raised - to chest, back, stomach, inner thighs. Mom treated with BEANDRYL 1 X 4 days. Mom states this happens every time with immunizations.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Rash red and raised to chest, back, stomach, inner thighs.  Mom treated with benadryl for four days.  Mom states this happens every time with immunizations
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Erythema, Rash
Clinical narrative: Rash red and raised to chest, back, stomach, inner thighs.  Mom treated with benadryl for four days.  Mom states this happens every time with immunizations
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Electroencephalogram abnormal, Eye disorder, Myoclonic epilepsy, Myoclonus
Clinical narrative: See attached sheets.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Asthma
Clinical narrative: This spontaneous case was received from a health care professional on 26 August 2009. A 48-year-old female patient, with a history of asthma and allergies to cats and smoke, received a right deltoid intramuscular injection of ADACEL (lot number C3250AA) on 20 August 2009. Approximately 12 hours post-vaccination, she experienced an asthma attack. She was seen by a physician, and the event was still ongoing at the time of the report. Concomitant medications included PROVENTIL, TUSSINEX, XOPENEX, AND SYMBICORT.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling in (L) arm - site of where vaccine was placed; (+) swelling; (+) tenderness; (-) warmth; (-) induration; erythema.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Autism spectrum disorder, Computerised tomogram, Dyspnoea, Pyrexia, Speech disorder developmental
Clinical narrative: Information has been received from a consumer concerning her 6 year old son with no pertinent medical history and no known drug allergies who was vaccinated with "one dose" of RECOMBIVAX HB (injection, lot# not reported). There was no concomitant medication. The consumer reported that the patient was already in the hospital when he was administered the "hepatitis B vaccine" (manufacturer unknown). The consumer reported that the patient developed high fever "within hours" of receiving the hepatitis B vaccine and he had difficulty breathing. The consumer also reported that the patient was diagnosed with pervasive developmental disorder (PDD) which was a form of autism and he had a speech delay. Hospital demographics were unspecified. A computed axial tomography (CT scan) and an X-ray were performed but the outcome were unknown. At the time of the report, the patient had not recovered. Upon internal review, pervasive developmental disorder (PDD) which was a form of autism and speech delay was determined to be an other important medical event. No further information is available.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: X-ray
Clinical narrative: Information has been received from a consumer concerning her 6 year old son with no pertinent medical history and no known drug allergies who was vaccinated with "one dose" of RECOMBIVAX HB (injection, lot# not reported). There was no concomitant medication. The consumer reported that the patient was already in the hospital when he was administered the "hepatitis B vaccine" (manufacturer unknown). The consumer reported that the patient developed high fever "within hours" of receiving the hepatitis B vaccine and he had difficulty breathing. The consumer also reported that the patient was diagnosed with pervasive developmental disorder (PDD) which was a form of autism and he had a speech delay. Hospital demographics were unspecified. A computed axial tomography (CT scan) and an X-ray were performed but the outcome were unknown. At the time of the report, the patient had not recovered. Upon internal review, pervasive developmental disorder (PDD) which was a form of autism and speech delay was determined to be an other important medical event. No further information is available.
Age: 49.0
Sex: M
Vaccine: RAB
Symptoms: Blister, Headache, Nausea
Clinical narrative: Approx 9-10:00pm on day of immunization patient stated had headache and nausea. Drank SPRITE, laid down and symptoms resolved about 2 hours later. On 08/17/09 patient stated he developed blisters on legs (1 on left, 2 on right) and blisters have not resolved. No other complaints.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Both vaccines administered in same arm (not stated if L or R deltoid).  Upper arm became warm, red & painful.  Steroid administered @ clinic on 8/4.  All signs & symptoms resolved by 8/7.  Info as per irate mother:  clinic nonresponsive.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure orthostatic, Haemoglobin, Menorrhagia, Transfusion, Uterine dilation and curettage
Clinical narrative: Presented to clinic 4/30/07 with 2d menorrhagia. Orthostatic with HCT 28.5. Admitted to hospital. Required D&C to stop bleeding, IV estrogen didn't work. D/C from hosp. 5/4/07. Transfusion x 2. Received Microgestin until 2/08.   9/18/09 Received hospital d/c summary of 4/30-5/4/2007. FINAL DX: menorrhagia; anemia; anovulation Records reveal patient experienced 11 days of menstrual bleeding with heavy blood loss & clots.  Tx w/ oral & IV hormones.  D&C was done 5/3/07.  Transfused with PRBCs & tx w/oral iron.  Improved & d/c to home.  10/20/2009 received ICD-9 codes: 625.3, 695.9, 285.1 and 259.1.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Vaginal haemorrhage
Clinical narrative: Presented to clinic 4/30/07 with 2d menorrhagia. Orthostatic with HCT 28.5. Admitted to hospital. Required D&C to stop bleeding, IV estrogen didn't work. D/C from hosp. 5/4/07. Transfusion x 2. Received Microgestin until 2/08.   9/18/09 Received hospital d/c summary of 4/30-5/4/2007. FINAL DX: menorrhagia; anemia; anovulation Records reveal patient experienced 11 days of menstrual bleeding with heavy blood loss & clots.  Tx w/ oral & IV hormones.  D&C was done 5/3/07.  Transfused with PRBCs & tx w/oral iron.  Improved & d/c to home.  10/20/2009 received ICD-9 codes: 625.3, 695.9, 285.1 and 259.1.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Pyrexia, Urticaria
Clinical narrative: Mother states patient ran a fever of 104 degrees for 8 hours and developed hives fever and hives resolved after 8 hours, but patient continued to be nauseous.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a pediatric resident physician concerning an approximately 6 month old patient who on an unspecified date was vaccinated with a dose of ROTATEQ (lot # not reported) orally. On an unspecified date the patient was diagnosed with intussusception and on an unspecified date the patient was hospitalized. Intussusception outcome was unknown. Additional information has been requested.  11/10/2009 hospital records for 8/11-8/14/2009.DC DX Intussusception.  patient with c/o's fever, nausea, vomiting, abdominal pain, blood in stools, and lethargy. Abd Us + for intussusception which was reduced. Tx: IVF, IV ABX.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Brain oedema, Bronchitis, Convulsion, Crying, Irritability
Clinical narrative: Stop sleeping nights, fever, irritability, very fussy. Sleepy but would not sleep but 4 a min his cry changed. Seizures (But we did not realize what they were).  03-09-09 Vaccine records received.  10/23/09 Discharge summary received for DOS 3/24-4/20.  FINAL DX: Subdural bleed status post craniotomy, bilateral retinal hemorrhages, shaken baby syndrome.  Infant brought to ER for unresponsiveness and respiratory failure. Apparent  seizure. Suspected non-accidental head trauma. Intubated. Large subdural bleed. Subsequently evacuated.  Bilateral retinal hemorrhages noted per ophthalmology consult. C/W shaken baby syndrome. Significant neurological deficits including not following light with eyes, pupils nonreactive to light, flaccid left side, negative grasp reflex L side. Reduced tactile stimulus response L side. Moving all limbs spontaneously. Discharged to long term care.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Respiratory failure, Sleep disorder, Somnolence
Clinical narrative: Stop sleeping nights, fever, irritability, very fussy. Sleepy but would not sleep but 4 a min his cry changed. Seizures (But we did not realize what they were).  03-09-09 Vaccine records received.  10/23/09 Discharge summary received for DOS 3/24-4/20.  FINAL DX: Subdural bleed status post craniotomy, bilateral retinal hemorrhages, shaken baby syndrome.  Infant brought to ER for unresponsiveness and respiratory failure. Apparent  seizure. Suspected non-accidental head trauma. Intubated. Large subdural bleed. Subsequently evacuated.  Bilateral retinal hemorrhages noted per ophthalmology consult. C/W shaken baby syndrome. Significant neurological deficits including not following light with eyes, pupils nonreactive to light, flaccid left side, negative grasp reflex L side. Reduced tactile stimulus response L side. Moving all limbs spontaneously. Discharged to long term care.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Blepharospasm, Dysphagia, Hypoaesthesia facial, Hypoaesthesia oral, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Patient had Varicella vaccination about 3:30 pm. His mother drove him to football practice. About 5:00 PM he took a very hard hit. 15-30 minutes later he started to experience tongue swelling, tingling and numbness of the tongue and one side of his face. One eyelid twitching and closing. Air evacted to hospital. Later transferred to another hospital. Still hospitalized, can't swallow, has had aspiration pneumonia.  9/22/09 Hospital records received DOS 8/20/09 to 9/4/09. Assessment: Lateral medullary infarct/Wallenberg Syndrome. Patient admitted after football injury, hit on left side of face. Later developed numbness on left side of face and tongue. Problems with swallowing and ataxia. Aspiration pneumonia, dysphonic voice. Scissoring and steppage gait. Deficits of ADLs. NG tube feeding. Impairment of cognition.  ICD-9 Codes: 959.01, 434.91, 507.0, 781.2, 787.20, 754.70, 351.0, E886.0 E849.4, V57.89, 438.11, 438.84
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Paraesthesia, Paraesthesia oral, Pneumonia aspiration, Sports injury, Swollen tongue
Clinical narrative: Patient had Varicella vaccination about 3:30 pm. His mother drove him to football practice. About 5:00 PM he took a very hard hit. 15-30 minutes later he started to experience tongue swelling, tingling and numbness of the tongue and one side of his face. One eyelid twitching and closing. Air evacted to hospital. Later transferred to another hospital. Still hospitalized, can't swallow, has had aspiration pneumonia.  9/22/09 Hospital records received DOS 8/20/09 to 9/4/09. Assessment: Lateral medullary infarct/Wallenberg Syndrome. Patient admitted after football injury, hit on left side of face. Later developed numbness on left side of face and tongue. Problems with swallowing and ataxia. Aspiration pneumonia, dysphonic voice. Scissoring and steppage gait. Deficits of ADLs. NG tube feeding. Impairment of cognition.  ICD-9 Codes: 959.01, 434.91, 507.0, 781.2, 787.20, 754.70, 351.0, E886.0 E849.4, V57.89, 438.11, 438.84
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Thrombosis
Clinical narrative: Patient had Varicella vaccination about 3:30 pm. His mother drove him to football practice. About 5:00 PM he took a very hard hit. 15-30 minutes later he started to experience tongue swelling, tingling and numbness of the tongue and one side of his face. One eyelid twitching and closing. Air evacted to hospital. Later transferred to another hospital. Still hospitalized, can't swallow, has had aspiration pneumonia.  9/22/09 Hospital records received DOS 8/20/09 to 9/4/09. Assessment: Lateral medullary infarct/Wallenberg Syndrome. Patient admitted after football injury, hit on left side of face. Later developed numbness on left side of face and tongue. Problems with swallowing and ataxia. Aspiration pneumonia, dysphonic voice. Scissoring and steppage gait. Deficits of ADLs. NG tube feeding. Impairment of cognition.  ICD-9 Codes: 959.01, 434.91, 507.0, 781.2, 787.20, 754.70, 351.0, E886.0 E849.4, V57.89, 438.11, 438.84
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Fall, Headache, Injection site pain, Insomnia
Clinical narrative: Information has been received from a physician concerning a 19 year old female patient who at the time of vaccination was with fever and congestion, on 02-Dec-2008 was vaccinated with 0.5ml of the "first and only dose" of GARDASIL (lot not reported) intramuscularly. There was no concomitant medication. On the same day of vaccination, 02-Dec-2008, the patient fainted, fell over, and had seizures after receiving her GARDASIL. The patient recovered at the office. She also experienced muscle soreness at the injection site, sleeplessness, and headaches after the vaccination from which she also recovered. Upon internal review seizures were considered to be other important medical event. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a 19 year old female patient who at the time of vaccination was with fever and congestion, on 02-Dec-2008 was vaccinated with 0.5ml of the "first and only dose" of GARDASIL (lot not reported) intramuscularly. There was no concomitant medication. On the same day of vaccination, 02-Dec-2008, the patient fainted, fell over, and had seizures after receiving her GARDASIL. The patient recovered at the office. She also experienced muscle soreness at the injection site, sleeplessness, and headaches after the vaccination from which she also recovered. Upon internal review seizures were considered to be other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Wrong drug administered
Clinical narrative: Pt. given Hep A VFC, instead of Hep B, VFC. She had already received 2 Hep A 's.
Age: 1.7
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Grand mal convulsion, Pyrexia
Clinical narrative: Pt received vaccine on 8/14/09.  Pt developed fever (101-102) on 8/23/09 with generalized tonic clonic seizure.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Anaphylactic reaction, Immediate post-injection reaction, Lethargy, Rash, Swelling
Clinical narrative: Pt. broke out in a rash, swelling, vomiting, lethargic.  Pt. was administered BENADRYL, EPI-PEN JR. and escorted to Emergency Dept.  Anaphylaxis symptoms developed within 1-2 minutes of vaccine administration.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Pt. broke out in a rash, swelling, vomiting, lethargic.  Pt. was administered BENADRYL, EPI-PEN JR. and escorted to Emergency Dept.  Anaphylaxis symptoms developed within 1-2 minutes of vaccine administration.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever to 102, night of GARDASIL #2, Varicella #2, and MENACTRA - reduced with TYLENOL, no other symptoms.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever to 102, night of GARDASIL and 2 Varicella 2 MENACTRA., resolved with Tylenol, no other symptoms.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site haematoma, Injection site warmth
Clinical narrative: Pt received hep A (L deltoid) and ADACEL (R deltoid) on 8/25 @ about 10 AM. By 8/26 @ about 2000 pt had marked swelling of L deltoid with erythema, warmth, of bruising @ needle injection site. No fevers or chills, resp difficulty.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of injection site. BENADRYL and anti inflammatories given.
Age: 12.0
Sex: F
Vaccine: MEN, VARCEL
Symptoms: Body temperature increased, Muscle swelling
Clinical narrative: Both arms between shoulders and elbows "whole back muscle swollen" : T increase. Returned to clinic on 8/4. Oral steroid administered and 'cream' applied to skin. All signs and symptoms resolved by 8/7. Info as per mother=clinic nonresponsive.  Repeated requests to the report originating physicians and/or clinics to provide the missing information on the orginal VAERS submittals were unsuccessful.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: I received the shingles vaccine on 22 Aug 07. I was diagnosed with shingles on 2 Jul 09. I had hurt and had breakouts for several weeks prior to suspecting shingles. Doctor prescribed 2 prescriptions, Valtrex and Lyrica. I could not take Lyrica because it made me really dizzy.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune disorder, Colitis
Clinical narrative: Female vaccinated with GARDASIL.  Shortly after she developed Colitis, inflammatory bowel disease, an autoimmune disease.  12/18/09 MR received for DOS 12/31/08. Chief complaint: Hematochezia. Pt c/o bright red stool in the stool.  Pt reported 3 bowel movements per day. System review negative. Rectal exam revealed no hemorrhoids. Tx: imiquimod topical.  MR for DOS 07/28/09. Pt reported DX of Colitis given by the GI specialist. Pt had reoccurrence of blood in stool.  Pt treated with Omeprazole, prednisone, imiquimod topical.  MR for DOS 08/06/09. Pt started Asacol per GI specialist. MR for DOS 10/26/09. DX: Ulcerative colitis. Physician discussed with Pt possible relation of HPV vaccine to this event, but stated that likely no causal link will ever be established. Pt counseled about the risk of cervical cancer and importance of routine screening. Tx: Mesalamine.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Headache, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Vaccinated with ZOSTAVAX for shingles prevention in upper arm under flesh. Developed extreme swelling & fever at the area. This morning, aching soreness in area, itching, severe headache.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Contusion, Erythema, Headache, Injection site swelling, Pain
Clinical narrative: Vaccinated with ZOSTAVAX for shingles prevention in upper arm under flesh. Developed extreme swelling & fever at the area. This morning, aching soreness in area, itching, severe headache.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Pruritus, Pyrexia
Clinical narrative: Vaccinated with ZOSTAVAX for shingles prevention in upper arm under flesh. Developed extreme swelling & fever at the area. This morning, aching soreness in area, itching, severe headache.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, HPV4, VARCEL
Symptoms: Feeling hot, Syncope
Clinical narrative: Fainting/feeling hot. Placed patient on floor, resp, pulse were normal limits. Pt recovered quickly, keep lying down for 15 minutes. No adverse affects noted.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Injection site swelling, Swelling face, Tachycardia
Clinical narrative: Received ADACEL 8/27/09 - 8/28/09, seen at ED for site of vaccine, (L) arm swelling with pain, 3/10, pain level (x'd I.V. Vancomycin, stopped due to itching, then given BENADRYL 50mg IV became tachycardic with chills. She was sent home and given BACTRIM to take, which she did returned to ED, with facial swelling. All medications stopped. 8/31/09: seen at clinic, (L) Deltoid: non swollen, non erythematous, full ROM. skin warm /dry.
Age: 15.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Body temperature increased, Dyspnoea, Influenza
Clinical narrative: On 8/10/09 - 7 pm client taken to ER by ambulance c/o difficulty breathing. Temp 103 degrees. Tx 1000 cc NS IV - ROCEPHIN 1 gram IV piggy back. Lorazepam 0.5mg IV push. TYLENOL 650 mg Po x 1. MOTRIN 800mg Po x1 - Dx influenza - D/c from ER.
Age: 35.0
Sex: M
Vaccine: ANTH, FLU3, TYP
Symptoms: Blood homocysteine normal, Burning sensation, Discomfort, Electrophoresis protein, Free thyroxine index normal
Clinical narrative: On 27 April 2009 he received AVA #2 to left deltoid. He again experienced site burning and soreness. Within 6-8 hours he was awakened from sleep with diffuse muscle aches, nausea and a headache. He was able to return to sleep. Within 12 hours post vaccination (28 Apr 09) he awoke complaining of paresthesia to lateral aspect of his right knee extending anteriorly down calf to dorsum of right foot ("along L5 nerve pattern"). He described this paresthesia as pins and needles or a buzzing sensation with no weakness or loss of sensation. He had been in the gym and undergoing physical therapy (PT) for lower back pain and attributed this discomfort to his exercises. 29 April 2009 (day 2) he awoke with paresthesia to both right and left lateral lower legs (L5 distribution pattern as above R>L) down to dorsum of both feet with lower back pain (3/10). He used MOBIC for pain with minimal relief. About day 4 he denied any myalgia, headache or nausea, but he was treated with a MEDROL dose pack for persistent paresthesia with partial relief (eased but did not eliminate). May 2009 PT notes report improvement in LBP (2/10) with traction treatment and decrease in "numbness/tingling" in right lateral calf and foot; however patient stated he stopped traction because symptoms were worse. 2009 Neurological examinations were normal. Review of Sept-Oct 2008 c-spine x-rays and MRI documented C5-7 central canal stenosis and degenerative disc disease and facet arthritis. (No lumbar studies available - was in theater). Paresthesia complaints persisted unchanged (denied numbness or weakness) until 04 July 2009 when he awoke with a strong stiff neck pain that he could not stretch out. O5 July 2009 he noted first bilateral upper extremity paresthesia (numbness and tingling) along ulnar nerve-C8 distribution pattern and later perineal-perianal tingling (no bowel-bladder incontinence) with spastic feelings in feet. Neck pain and bilateral upper extremity paresthesia worsened with flexion and extension of neck (such as bending over patients intubating or doing other procedures). 09 July 2009 exam noted 2 beats clonus bilaterally with L>R UE paresthesia. Spinal surgeon suspected central HNP, provided MEDROL dose pack and medevaced him to back. Patient advised "genital" paresthesia resolved within 1 1/2 weeks after using MEDROL with marked decrease in UE/LE paresthesia. However extremity paresthesia did not fully resolve. As of 11 Aug 2009, he continues to experience moderate to severe neck > lower back pain described as a stiff annoying aching (5/10) discomfort to posterior neck region. He has infrequent paresthesia at rest, experiencing paresthesia to all four extremities mainly with lifting and stretching. His paresthesia occurs with the pain and is described as a "burning feeling" lasting 30 seconds. His SF36 identified limitations with vigorous activities (running, lifting heavy objects) and with climbing several flights of stairs, kneeling, bending or stooping due to pain (not paresthesia).
Age: 35.0
Sex: M
Vaccine: ANTH, FLU3, TYP
Symptoms: Glycosylated haemoglobin, HLA marker study, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: On 27 April 2009 he received AVA #2 to left deltoid. He again experienced site burning and soreness. Within 6-8 hours he was awakened from sleep with diffuse muscle aches, nausea and a headache. He was able to return to sleep. Within 12 hours post vaccination (28 Apr 09) he awoke complaining of paresthesia to lateral aspect of his right knee extending anteriorly down calf to dorsum of right foot ("along L5 nerve pattern"). He described this paresthesia as pins and needles or a buzzing sensation with no weakness or loss of sensation. He had been in the gym and undergoing physical therapy (PT) for lower back pain and attributed this discomfort to his exercises. 29 April 2009 (day 2) he awoke with paresthesia to both right and left lateral lower legs (L5 distribution pattern as above R>L) down to dorsum of both feet with lower back pain (3/10). He used MOBIC for pain with minimal relief. About day 4 he denied any myalgia, headache or nausea, but he was treated with a MEDROL dose pack for persistent paresthesia with partial relief (eased but did not eliminate). May 2009 PT notes report improvement in LBP (2/10) with traction treatment and decrease in "numbness/tingling" in right lateral calf and foot; however patient stated he stopped traction because symptoms were worse. 2009 Neurological examinations were normal. Review of Sept-Oct 2008 c-spine x-rays and MRI documented C5-7 central canal stenosis and degenerative disc disease and facet arthritis. (No lumbar studies available - was in theater). Paresthesia complaints persisted unchanged (denied numbness or weakness) until 04 July 2009 when he awoke with a strong stiff neck pain that he could not stretch out. O5 July 2009 he noted first bilateral upper extremity paresthesia (numbness and tingling) along ulnar nerve-C8 distribution pattern and later perineal-perianal tingling (no bowel-bladder incontinence) with spastic feelings in feet. Neck pain and bilateral upper extremity paresthesia worsened with flexion and extension of neck (such as bending over patients intubating or doing other procedures). 09 July 2009 exam noted 2 beats clonus bilaterally with L>R UE paresthesia. Spinal surgeon suspected central HNP, provided MEDROL dose pack and medevaced him to back. Patient advised "genital" paresthesia resolved within 1 1/2 weeks after using MEDROL with marked decrease in UE/LE paresthesia. However extremity paresthesia did not fully resolve. As of 11 Aug 2009, he continues to experience moderate to severe neck > lower back pain described as a stiff annoying aching (5/10) discomfort to posterior neck region. He has infrequent paresthesia at rest, experiencing paresthesia to all four extremities mainly with lifting and stretching. His paresthesia occurs with the pain and is described as a "burning feeling" lasting 30 seconds. His SF36 identified limitations with vigorous activities (running, lifting heavy objects) and with climbing several flights of stairs, kneeling, bending or stooping due to pain (not paresthesia).
Age: 35.0
Sex: M
Vaccine: ANTH, FLU3, TYP
Symptoms: Laboratory test normal, Musculoskeletal stiffness, Myalgia, Nausea, Neck pain
Clinical narrative: On 27 April 2009 he received AVA #2 to left deltoid. He again experienced site burning and soreness. Within 6-8 hours he was awakened from sleep with diffuse muscle aches, nausea and a headache. He was able to return to sleep. Within 12 hours post vaccination (28 Apr 09) he awoke complaining of paresthesia to lateral aspect of his right knee extending anteriorly down calf to dorsum of right foot ("along L5 nerve pattern"). He described this paresthesia as pins and needles or a buzzing sensation with no weakness or loss of sensation. He had been in the gym and undergoing physical therapy (PT) for lower back pain and attributed this discomfort to his exercises. 29 April 2009 (day 2) he awoke with paresthesia to both right and left lateral lower legs (L5 distribution pattern as above R>L) down to dorsum of both feet with lower back pain (3/10). He used MOBIC for pain with minimal relief. About day 4 he denied any myalgia, headache or nausea, but he was treated with a MEDROL dose pack for persistent paresthesia with partial relief (eased but did not eliminate). May 2009 PT notes report improvement in LBP (2/10) with traction treatment and decrease in "numbness/tingling" in right lateral calf and foot; however patient stated he stopped traction because symptoms were worse. 2009 Neurological examinations were normal. Review of Sept-Oct 2008 c-spine x-rays and MRI documented C5-7 central canal stenosis and degenerative disc disease and facet arthritis. (No lumbar studies available - was in theater). Paresthesia complaints persisted unchanged (denied numbness or weakness) until 04 July 2009 when he awoke with a strong stiff neck pain that he could not stretch out. O5 July 2009 he noted first bilateral upper extremity paresthesia (numbness and tingling) along ulnar nerve-C8 distribution pattern and later perineal-perianal tingling (no bowel-bladder incontinence) with spastic feelings in feet. Neck pain and bilateral upper extremity paresthesia worsened with flexion and extension of neck (such as bending over patients intubating or doing other procedures). 09 July 2009 exam noted 2 beats clonus bilaterally with L>R UE paresthesia. Spinal surgeon suspected central HNP, provided MEDROL dose pack and medevaced him to back. Patient advised "genital" paresthesia resolved within 1 1/2 weeks after using MEDROL with marked decrease in UE/LE paresthesia. However extremity paresthesia did not fully resolve. As of 11 Aug 2009, he continues to experience moderate to severe neck > lower back pain described as a stiff annoying aching (5/10) discomfort to posterior neck region. He has infrequent paresthesia at rest, experiencing paresthesia to all four extremities mainly with lifting and stretching. His paresthesia occurs with the pain and is described as a "burning feeling" lasting 30 seconds. His SF36 identified limitations with vigorous activities (running, lifting heavy objects) and with climbing several flights of stairs, kneeling, bending or stooping due to pain (not paresthesia).