chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Zostavax/shingles vaccine administered 1/9/08.    Rash occured at base of spine by the end of the month.  Self treated with Johnson & Johnson Calamine spray 5-7 days.
Age: 77.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Zostavax/shingles vaccine administered 1/9/08.    Rash occured at base of spine by the end of the month.  Self treated with Johnson & Johnson Calamine spray 5-7 days.
Age: 0.75
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Wheezing
Clinical narrative: Four episodes of wheezing when active.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Alopecia effluvium, Anxiety, Burning sensation, Laboratory test normal
Clinical narrative: About 1 week after receiving the first shot, I noticed my hair started to fall out. I went to the dermatologist who said I had telogen effluvium (temporary hair loss). They said it occurs when something "shocks" the bodies system. I have also seen an endocrinologist to rule out all illnesses/diseases (all tests came back negative). I have seen so many doctors and everyone tells me something different. I saw another dermatologist who said the hair loss can last from 6 months to 2 years. I am now suffering from anxiety and stress because of this and nothing seems to be working. My scalp is sore all the time and sometimes burns. It is extremely uncomfortable. The dermatologist can't see anything (meaning it is some underlying symptom).
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Pain of skin, Stress
Clinical narrative: About 1 week after receiving the first shot, I noticed my hair started to fall out. I went to the dermatologist who said I had telogen effluvium (temporary hair loss). They said it occurs when something "shocks" the bodies system. I have also seen an endocrinologist to rule out all illnesses/diseases (all tests came back negative). I have seen so many doctors and everyone tells me something different. I saw another dermatologist who said the hair loss can last from 6 months to 2 years. I am now suffering from anxiety and stress because of this and nothing seems to be working. My scalp is sore all the time and sometimes burns. It is extremely uncomfortable. The dermatologist can't see anything (meaning it is some underlying symptom).
Age: 36.0
Sex: F
Vaccine: HEPAB
Symptoms: Anaemia, Laboratory test normal, Vaginal haemorrhage
Clinical narrative: Received initial immunization - within 2 days began SEVERE vaginal bleeding lasting for 6 weeks.Due to extreme blood loss I became severely anemic...I required several visits to the ER and numerous tests for any existing conditions all of which came back negative.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Bone pain, Oedema peripheral, Pain in extremity, X-ray
Clinical narrative: Patient developed painful swelling of left foot in 6/08.  At one point, pain had traveled up her leg to her back/spine and neck.  She continues to have painful swelling of the foot.  There was no injury reported.  Bloodwork and xrays have not yielded a diagnosis.  She is on pain medication only with minimal improvement.  She has been referred to a rheumatologist.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Electrocardiogram, Electroencephalogram, Fall, Laboratory test
Clinical narrative: Patient had a ground level fall, she landed on the right side of her head, this occurred while she was "warming up" to run track.  EMS called. Bystanders suggest there might have been some seizure-type activity.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Blood test, Bronchoscopy, Chest X-ray, Diet refusal, Intensive care
Clinical narrative: After receiving vaccinations, within a few hours, son started running a high fever of appr. 103.8.  Contacted physician was advised to give tylenol, motrin.  Within a day or two, son started to wheeze and stopped eating and would eventually stop taking bottle.  Several trips to ER at Hospital.  Several of the trips, son was kept 2-4 days and released with no diagnosis.  In February/March after spending appr. 30 days, son wound up in ICU his pulse ox was 85.  After locating 5th new doctor, a bronchoscope with lung wash was performed and son was diagnosed with Moraxella catarrhalis, streptococcus pneumonia, Respiratory syncytial virus and two other unidentified bacteria/germs. Treatment included steriods, antibiotics, preventative medications, etc. His long term disability is scaring of the lungs and long term medications.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Lung disorder, Oxygen saturation decreased, Pneumonia streptococcal, Pyrexia, Respiratory syncytial virus infection
Clinical narrative: After receiving vaccinations, within a few hours, son started running a high fever of appr. 103.8.  Contacted physician was advised to give tylenol, motrin.  Within a day or two, son started to wheeze and stopped eating and would eventually stop taking bottle.  Several trips to ER at Hospital.  Several of the trips, son was kept 2-4 days and released with no diagnosis.  In February/March after spending appr. 30 days, son wound up in ICU his pulse ox was 85.  After locating 5th new doctor, a bronchoscope with lung wash was performed and son was diagnosed with Moraxella catarrhalis, streptococcus pneumonia, Respiratory syncytial virus and two other unidentified bacteria/germs. Treatment included steriods, antibiotics, preventative medications, etc. His long term disability is scaring of the lungs and long term medications.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Urine analysis, Wheezing
Clinical narrative: After receiving vaccinations, within a few hours, son started running a high fever of appr. 103.8.  Contacted physician was advised to give tylenol, motrin.  Within a day or two, son started to wheeze and stopped eating and would eventually stop taking bottle.  Several trips to ER at Hospital.  Several of the trips, son was kept 2-4 days and released with no diagnosis.  In February/March after spending appr. 30 days, son wound up in ICU his pulse ox was 85.  After locating 5th new doctor, a bronchoscope with lung wash was performed and son was diagnosed with Moraxella catarrhalis, streptococcus pneumonia, Respiratory syncytial virus and two other unidentified bacteria/germs. Treatment included steriods, antibiotics, preventative medications, etc. His long term disability is scaring of the lungs and long term medications.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Injections were extremely painful.  Second injection caused flu like symptons associated with fever.  Site at injections were extremely painful, sore and red for several days.  Guardisil was the injections given.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Sinusitis, Streptococcal identification test positive
Clinical narrative: On July 25, 2007 patient went into the Pediatrician's office for a School Physical.  The nurse practitioner recommended the Gardasil vaccine.  After discussing with her the possible side effects and the fact that patient, has many allergies and I was concerned about possible reactions to the vaccine.  The nurse assured us that the vaccine that should not give her a problem.  I agreed to the vaccine.  The second shot was given to patient on or about October 22, 2007.  Within a week of getting, the second vaccine patient started complaining of generally not feeling well.  Patient began feeling very tired and generally "achy" all over.  She started missing school.  Through the entire month of November, patient missed school occasionally due to fatigue and overall achiness.   This progressed and became worse.  By the end of December, patient had started missing entire weeks of school.  She had headaches, joint pain, ached all over, fatigue, difficulty breathing on occasion.  Because patient was so ill that when it was time to receive the 3rd shot of Gardasil, we chose to wait even though the doctors reassured us that it would be alright.  The symptoms appeared to be consistent with Mono, so in early January we took her to the doctor.  He ran Mono tests, Strep tests and blood tests.  The strep test was positive, the mono test was negative and the blood tests showed no problems.  The doctor prescribed on Antibiotics for the strep.  Through the entire Month of January, she was ill, and went through several rounds of antibiotics.  Her glands were swollen, her body was in pain, her stomach and chest hurt, legs and joints hurt (at times you could not even touch her, she would cry in pain).  There were days that she just could not get out of bed, severe fatigue.    By February, patient had developed pneumonia and was so ill that the doctor contemplated putting her in the hospital.  The only reason he did not hospitalize her was that due to her allergies to antibiotics he indicated that he really did not have anything he could treat her with intravenously and "there are things going around the hospital that if she were to get, we would have no defense for!"  We were visiting the doctor's office on a weekly basis.  Prior to the diagnosis of pneumonia, the diagnosis was"just a virus."    By the beginning of March, patient started having the severe headaches, stomach pain, fatigue and continued with overall pain.  The doctor diagnosed her with a "sinus infection," and put her on Antibiotics for several weeks.  After two or three rounds of the antibiotic, with no improvement in her condition, she stopped taking the antibiotics.  n addition to the above noted symptoms reported to the doctors, patient reported difficulty concentrating.     We have enlisted the help of a Integrated Manual Therapist to get the toxins out of her body.  She has been in treatment since mid April and has been improving.  She still has occasional severe headaches and stomach pain, but not to the extent, they were.  The fatigue is still an issue but much less.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain, Cold sweat, Pallor, Vomiting
Clinical narrative: Patient reports approximately 15 hours after receiving vaccines, experienced abdominal cramping, became very pale, felt cold and sweaty, and vomited once.  After vomiting, states she felt better, but still felt cold.  Patient also says she is due for her menses.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Arthralgia, Disturbance in attention, Dizziness, Drug hypersensitivity
Clinical narrative: Patient was 11 on July 25, 2007 when she went into the Pediatrician's office for a School Physical.  Patient received the first vaccine during the visit and received the second shot on or about October 22, 2007.  Patient began struggling with fatigue and general achiness about 2 weeks after the vaccine.  This progressed and became worse.  She had issues with fatigue and overall body pain, joint pain, headaches and stomachaches.  Patient was able to work through it part of the time but still missed a lot of school.   At the end of February, Patient had severe headaches, dizziness, stomach pain, and fatigue. Patient had virtually stopped eating.  She had lost 10 pounds in a matter of a month.  The diagnosis was "sinus infection."  The doctor prescribed an antibiotic.  Patient had an adverse reaction to the antibiotic and had to be prescribed a different one.   She was on Antibiotics for several weeks without any improvement.  In addition to the above noted symptoms reported to the doctors, patient  reported difficulty concentrating and severe leg pain and tingling down to her ankles.   We have enlisted the help of a Integrated Manual Therapist to get the toxins out of her body.  She has been in treatment since mid April and has been improving.  She is still having occasional severe headaches, stomach pain and fatigue.  Patient has begun eating again but has not gained any weight back (she has lost a total of 20 pounds).
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Eating disorder, Fatigue, Headache, Pain, Paraesthesia
Clinical narrative: Patient was 11 on July 25, 2007 when she went into the Pediatrician's office for a School Physical.  Patient received the first vaccine during the visit and received the second shot on or about October 22, 2007.  Patient began struggling with fatigue and general achiness about 2 weeks after the vaccine.  This progressed and became worse.  She had issues with fatigue and overall body pain, joint pain, headaches and stomachaches.  Patient was able to work through it part of the time but still missed a lot of school.   At the end of February, Patient had severe headaches, dizziness, stomach pain, and fatigue. Patient had virtually stopped eating.  She had lost 10 pounds in a matter of a month.  The diagnosis was "sinus infection."  The doctor prescribed an antibiotic.  Patient had an adverse reaction to the antibiotic and had to be prescribed a different one.   She was on Antibiotics for several weeks without any improvement.  In addition to the above noted symptoms reported to the doctors, patient  reported difficulty concentrating and severe leg pain and tingling down to her ankles.   We have enlisted the help of a Integrated Manual Therapist to get the toxins out of her body.  She has been in treatment since mid April and has been improving.  She is still having occasional severe headaches, stomach pain and fatigue.  Patient has begun eating again but has not gained any weight back (she has lost a total of 20 pounds).
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sinusitis, Weight decreased
Clinical narrative: Patient was 11 on July 25, 2007 when she went into the Pediatrician's office for a School Physical.  Patient received the first vaccine during the visit and received the second shot on or about October 22, 2007.  Patient began struggling with fatigue and general achiness about 2 weeks after the vaccine.  This progressed and became worse.  She had issues with fatigue and overall body pain, joint pain, headaches and stomachaches.  Patient was able to work through it part of the time but still missed a lot of school.   At the end of February, Patient had severe headaches, dizziness, stomach pain, and fatigue. Patient had virtually stopped eating.  She had lost 10 pounds in a matter of a month.  The diagnosis was "sinus infection."  The doctor prescribed an antibiotic.  Patient had an adverse reaction to the antibiotic and had to be prescribed a different one.   She was on Antibiotics for several weeks without any improvement.  In addition to the above noted symptoms reported to the doctors, patient  reported difficulty concentrating and severe leg pain and tingling down to her ankles.   We have enlisted the help of a Integrated Manual Therapist to get the toxins out of her body.  She has been in treatment since mid April and has been improving.  She is still having occasional severe headaches, stomach pain and fatigue.  Patient has begun eating again but has not gained any weight back (she has lost a total of 20 pounds).
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Approx. 1 day after administration of Tdap developed erythema, heat, edema at injection site. Approx 6x6 cm.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Concussion, Fall, Gaze palsy, Head injury, Loss of consciousness
Clinical narrative: Client had sat in imms room for approximately ten minutes after receiving the vaccinations prior to going to waiting room. Client was waiting for mother to take care of business with clerk for a few more minutes and she went unconscious. Her head hit the floor very hard on the back of her head. Per mother her eyes rolled back and client was non responsive. A rather large hematoma occurred approximately 5 cm by 2 cm and raised approximately .5 cm. Our physician on site assessed client and gave instructions to mother and told mother that Client has a level 1 or 2 concussion.  Ice was applied to hematoma and mother was told if confusion or lethargy was to occur she should take client to the hospital. Later that afternoon mother felt client was having trouble staying awake and kept dozing off. Client was taken to ER  (09/08/2008) and sent to another facility for observation over night. Hospital discharged client 09/09/2008 with a diagnosis of a small intracranial bleed per clients mother.  7/11/08 Reviewed ER medical records of 7/8/2007. FINAL DX: intracranial hemorrhage of subdural hematoma & subarachnoid hemorrhage Records reveal patient experienced syncope at MD office w/lightheadedness, fall, LOC x 30-45 secs w/head & neck pain when awakened.  Exam revealed tenderness at base of skull.  Transferred to higher level of care.  8/5/08 Reviewed hospital medical records of 7/8-7/9/2008. FINAL DX: SAH & small SDH s/p fall Records reveal patient continued to experience HA s/p fall. Kept overnight for observation.  Did well w/minimal scalp tenderness next AM & D/C to home w/PCP f/u.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Somnolence, Unresponsive to stimuli
Clinical narrative: Client had sat in imms room for approximately ten minutes after receiving the vaccinations prior to going to waiting room. Client was waiting for mother to take care of business with clerk for a few more minutes and she went unconscious. Her head hit the floor very hard on the back of her head. Per mother her eyes rolled back and client was non responsive. A rather large hematoma occurred approximately 5 cm by 2 cm and raised approximately .5 cm. Our physician on site assessed client and gave instructions to mother and told mother that Client has a level 1 or 2 concussion.  Ice was applied to hematoma and mother was told if confusion or lethargy was to occur she should take client to the hospital. Later that afternoon mother felt client was having trouble staying awake and kept dozing off. Client was taken to ER  (09/08/2008) and sent to another facility for observation over night. Hospital discharged client 09/09/2008 with a diagnosis of a small intracranial bleed per clients mother.  7/11/08 Reviewed ER medical records of 7/8/2007. FINAL DX: intracranial hemorrhage of subdural hematoma & subarachnoid hemorrhage Records reveal patient experienced syncope at MD office w/lightheadedness, fall, LOC x 30-45 secs w/head & neck pain when awakened.  Exam revealed tenderness at base of skull.  Transferred to higher level of care.  8/5/08 Reviewed hospital medical records of 7/8-7/9/2008. FINAL DX: SAH & small SDH s/p fall Records reveal patient continued to experience HA s/p fall. Kept overnight for observation.  Did well w/minimal scalp tenderness next AM & D/C to home w/PCP f/u.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Rash, Scab
Clinical narrative: on 7/1/2008 developed bilateral rash on arms,legs and groin.  Blisters.  Now all crusted.
Age: 5.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Pt was given a Tdap in the emergency room on 6/18/2008 for a horse bite.
Age: 1.58
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Pt was given a Tdap in the emergency room on 6/28/2008 for right foot wound.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site anaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Approx 12 hrs after Tdap administered pt developed numbness at site, 36 hrs later noted to have erythema, swelling and heat at site. Apprx 6x7 cm, painful
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Electromyogram abnormal
Clinical narrative: In September 2007 patient had her very first seizure. Then on February 14 2008 she had a second seizure. On March 8 2008 she began to have some weakness in her right arm. I took her to the emergency room the next day when she was no longer able to move her arm. It was paralized, from her shoulder to her finger tips.After admitting her to the hospital, her arm became extremely painful.She was on morphine for 3 weeks. The pain went away but her arm is still paralized, with some slight improvem7/21/08-records received for DOS 3/08-3/23/08-DC DX:right brachial neuritis or plexitis. Right arm weakness and pain. Seizure disorders. Constipation. Previously healthy until September 2007, presented in September with altered level of consciousness. Asymptomatic until February 14, presented with altered consciousness.Two days prior to admission felt twitching in right arm, progressed to pain with noted weakness. Work-up negative for stroke. No seizure activity while in hospital.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Monoplegia, Muscular weakness, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: In September 2007 patient had her very first seizure. Then on February 14 2008 she had a second seizure. On March 8 2008 she began to have some weakness in her right arm. I took her to the emergency room the next day when she was no longer able to move her arm. It was paralized, from her shoulder to her finger tips.After admitting her to the hospital, her arm became extremely painful.She was on morphine for 3 weeks. The pain went away but her arm is still paralized, with some slight improvem7/21/08-records received for DOS 3/08-3/23/08-DC DX:right brachial neuritis or plexitis. Right arm weakness and pain. Seizure disorders. Constipation. Previously healthy until September 2007, presented in September with altered level of consciousness. Asymptomatic until February 14, presented with altered consciousness.Two days prior to admission felt twitching in right arm, progressed to pain with noted weakness. Work-up negative for stroke. No seizure activity while in hospital.
Age: 14.0
Sex: F
Vaccine: DTAP, MEN, VARCEL
Symptoms: Chest X-ray abnormal, Chest pain, Cough, Fatigue, Headache
Clinical narrative: July 3-meningitis, dTap, and chicken pox vaccine administered.  July 6 - chest hurts,fast heartbeat, sore throat, body aches, headache, fatigue.  July 7 - fever 102, sore throat, body aches, dry cough, fainting, paleness.  Took to urgent care; strep test negative.  Given amoxicillin.  July 8 - hives begin to appear that resemble chicken pox.  Took to urgent care.  Stopped amoxicillin.  Chest x-ray confirmed pneumonia.  Z-pac started.  Fever 103.  By 10pm, spots (hives) worsen, and itchy.  By 3am, spots covering whole body and itchy.  Given ibuprofen, z-pac, Benadryl, and applied Caladryl to spots.  July 9 - spots worsen, itchy; new sympton - swollen lips appear.  Fever down to 98.  Vomited on 7/8 at 10:30 pm.
Age: 14.0
Sex: F
Vaccine: DTAP, MEN, VARCEL
Symptoms: Heart rate increased, Lip swelling, Pain, Pallor, Pharyngolaryngeal pain
Clinical narrative: July 3-meningitis, dTap, and chicken pox vaccine administered.  July 6 - chest hurts,fast heartbeat, sore throat, body aches, headache, fatigue.  July 7 - fever 102, sore throat, body aches, dry cough, fainting, paleness.  Took to urgent care; strep test negative.  Given amoxicillin.  July 8 - hives begin to appear that resemble chicken pox.  Took to urgent care.  Stopped amoxicillin.  Chest x-ray confirmed pneumonia.  Z-pac started.  Fever 103.  By 10pm, spots (hives) worsen, and itchy.  By 3am, spots covering whole body and itchy.  Given ibuprofen, z-pac, Benadryl, and applied Caladryl to spots.  July 9 - spots worsen, itchy; new sympton - swollen lips appear.  Fever down to 98.  Vomited on 7/8 at 10:30 pm.
Age: 14.0
Sex: F
Vaccine: DTAP, MEN, VARCEL
Symptoms: Pneumonia, Pruritus, Pyrexia, Streptococcal identification test negative, Syncope
Clinical narrative: July 3-meningitis, dTap, and chicken pox vaccine administered.  July 6 - chest hurts,fast heartbeat, sore throat, body aches, headache, fatigue.  July 7 - fever 102, sore throat, body aches, dry cough, fainting, paleness.  Took to urgent care; strep test negative.  Given amoxicillin.  July 8 - hives begin to appear that resemble chicken pox.  Took to urgent care.  Stopped amoxicillin.  Chest x-ray confirmed pneumonia.  Z-pac started.  Fever 103.  By 10pm, spots (hives) worsen, and itchy.  By 3am, spots covering whole body and itchy.  Given ibuprofen, z-pac, Benadryl, and applied Caladryl to spots.  July 9 - spots worsen, itchy; new sympton - swollen lips appear.  Fever down to 98.  Vomited on 7/8 at 10:30 pm.
Age: 14.0
Sex: F
Vaccine: DTAP, MEN, VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: July 3-meningitis, dTap, and chicken pox vaccine administered.  July 6 - chest hurts,fast heartbeat, sore throat, body aches, headache, fatigue.  July 7 - fever 102, sore throat, body aches, dry cough, fainting, paleness.  Took to urgent care; strep test negative.  Given amoxicillin.  July 8 - hives begin to appear that resemble chicken pox.  Took to urgent care.  Stopped amoxicillin.  Chest x-ray confirmed pneumonia.  Z-pac started.  Fever 103.  By 10pm, spots (hives) worsen, and itchy.  By 3am, spots covering whole body and itchy.  Given ibuprofen, z-pac, Benadryl, and applied Caladryl to spots.  July 9 - spots worsen, itchy; new sympton - swollen lips appear.  Fever down to 98.  Vomited on 7/8 at 10:30 pm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site mass, Injection site nodule, Injection site pain, Local reaction
Clinical narrative: Parents reported that approx 1week after vaccination patient developed a bump in left arm at site of DTaP vaccination.  They waited to see if would resolve and brought him for evaluation on 7/3/08 at which time he had a small subcutaneous nodule at site of injection with a central pin-point black spot.  Mildly tender to palpation.  No erythema, fevers, or signs of infection but does have mild hyperpigmentation at site.  5/27/08 he received DTaP & MMR in left arm.  However the reaction occurred only at the site of the DTaP injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Skin hyperpigmentation
Clinical narrative: Parents reported that approx 1week after vaccination patient developed a bump in left arm at site of DTaP vaccination.  They waited to see if would resolve and brought him for evaluation on 7/3/08 at which time he had a small subcutaneous nodule at site of injection with a central pin-point black spot.  Mildly tender to palpation.  No erythema, fevers, or signs of infection but does have mild hyperpigmentation at site.  5/27/08 he received DTaP & MMR in left arm.  However the reaction occurred only at the site of the DTaP injection.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Back pain, Dehydration, Headache, Laboratory test normal
Clinical narrative: pt. had LGF 2 hrs after HAV given (2nd HAV).  The next day woke with 101 F, started vomiting, and c/o back/stomach pain, and H/A. Went to ER that eve w/ fever 102.5.  Received 500cc IV fluids for dehydration.  lab work was NL. Unable to keep fluids down, was given Tylenol suppository.  Woke this AM with fever 103.5 and seen at our office.  Patient did not have any local reaction at injection site.  States no pain at site this AM. Taking fluids well, alert, active, walking. UA - WNL, mild dehydration.  Prescribed Tylenol suppositories 325mg q 4-6 hrs prn, pedialyte, clears, then BRAT diet.  Vomited x1 after office visit.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Urine analysis normal, Vomiting
Clinical narrative: pt. had LGF 2 hrs after HAV given (2nd HAV).  The next day woke with 101 F, started vomiting, and c/o back/stomach pain, and H/A. Went to ER that eve w/ fever 102.5.  Received 500cc IV fluids for dehydration.  lab work was NL. Unable to keep fluids down, was given Tylenol suppository.  Woke this AM with fever 103.5 and seen at our office.  Patient did not have any local reaction at injection site.  States no pain at site this AM. Taking fluids well, alert, active, walking. UA - WNL, mild dehydration.  Prescribed Tylenol suppositories 325mg q 4-6 hrs prn, pedialyte, clears, then BRAT diet.  Vomited x1 after office visit.
Age: 42.0
Sex: F
Vaccine: HEPAB, TD, TYP
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Syncope after vaccination, within 5 minutes. Afterwards had nausea and dizziness, was flushed and sweating. Nurse observed me, had me lie down, raised my feet, and gave me juice and cookies, continued to observe me until symptoms subsided, about 15 or 20 minutes.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Fatigue, Feeling cold, Groin pain, Hyperhidrosis
Clinical narrative: I presented to the doctor with the flu on Monday March 10 2008. The doctor said that it did not matter for the injection. The nurse was called and I was given the first injection. That night all through the night my arm became swollen and sore, I had intense pain in my lower back, groin and shooting pains down my legs. I had tingling in my feet and arms. The next day I nearly fainted when I sat up and every time I moved I had chronic dizziness coupled with ringing in my ears and black outs. Later that evening a red rash started to appear on my arm. I couldn't move my arm without extreme pain. I felt paralysed. A rash appeared on my lower back it looked like a heat rash. I had high fevers and intense pain lots of sweat and then I would feel very cold as if my spine was frozen. The back rash dissappeared but the arm rash increased in size. I went back to the doctor who said the rash would go down - the doctor did not administer anything. The rash did not go down. By the Thursday the rash had increased in size, my upper arm was swollen and itchy, I could not move my arm, I was pale, dizzy, feverish and I had pains in my back and legs. I had insomnia. I consulted a homeopath (as I no longer trusted the doctor) who administered china and apis and other herbs. It wasn't until I started taking these that the rash went down and the fever broke. During the month after the injection I suffered terrible insomnia and dizziness and pain at the injection site. During the two months after the injection I had inexplicable fatigue. Now, (5 months on) I experience a dull throb at the injection site, pain down my arm to my fingers with tingling. I am still experiencing intense fatigue and I believe my immune system is very poor.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia, Loss of consciousness, Oedema peripheral
Clinical narrative: I presented to the doctor with the flu on Monday March 10 2008. The doctor said that it did not matter for the injection. The nurse was called and I was given the first injection. That night all through the night my arm became swollen and sore, I had intense pain in my lower back, groin and shooting pains down my legs. I had tingling in my feet and arms. The next day I nearly fainted when I sat up and every time I moved I had chronic dizziness coupled with ringing in my ears and black outs. Later that evening a red rash started to appear on my arm. I couldn't move my arm without extreme pain. I felt paralysed. A rash appeared on my lower back it looked like a heat rash. I had high fevers and intense pain lots of sweat and then I would feel very cold as if my spine was frozen. The back rash dissappeared but the arm rash increased in size. I went back to the doctor who said the rash would go down - the doctor did not administer anything. The rash did not go down. By the Thursday the rash had increased in size, my upper arm was swollen and itchy, I could not move my arm, I was pale, dizzy, feverish and I had pains in my back and legs. I had insomnia. I consulted a homeopath (as I no longer trusted the doctor) who administered china and apis and other herbs. It wasn't until I started taking these that the rash went down and the fever broke. During the month after the injection I suffered terrible insomnia and dizziness and pain at the injection site. During the two months after the injection I had inexplicable fatigue. Now, (5 months on) I experience a dull throb at the injection site, pain down my arm to my fingers with tingling. I am still experiencing intense fatigue and I believe my immune system is very poor.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pain in extremity, Pallor, Paraesthesia, Presyncope
Clinical narrative: I presented to the doctor with the flu on Monday March 10 2008. The doctor said that it did not matter for the injection. The nurse was called and I was given the first injection. That night all through the night my arm became swollen and sore, I had intense pain in my lower back, groin and shooting pains down my legs. I had tingling in my feet and arms. The next day I nearly fainted when I sat up and every time I moved I had chronic dizziness coupled with ringing in my ears and black outs. Later that evening a red rash started to appear on my arm. I couldn't move my arm without extreme pain. I felt paralysed. A rash appeared on my lower back it looked like a heat rash. I had high fevers and intense pain lots of sweat and then I would feel very cold as if my spine was frozen. The back rash dissappeared but the arm rash increased in size. I went back to the doctor who said the rash would go down - the doctor did not administer anything. The rash did not go down. By the Thursday the rash had increased in size, my upper arm was swollen and itchy, I could not move my arm, I was pale, dizzy, feverish and I had pains in my back and legs. I had insomnia. I consulted a homeopath (as I no longer trusted the doctor) who administered china and apis and other herbs. It wasn't until I started taking these that the rash went down and the fever broke. During the month after the injection I suffered terrible insomnia and dizziness and pain at the injection site. During the two months after the injection I had inexplicable fatigue. Now, (5 months on) I experience a dull throb at the injection site, pain down my arm to my fingers with tingling. I am still experiencing intense fatigue and I believe my immune system is very poor.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Pyrexia, Rash erythematous, Tinnitus
Clinical narrative: I presented to the doctor with the flu on Monday March 10 2008. The doctor said that it did not matter for the injection. The nurse was called and I was given the first injection. That night all through the night my arm became swollen and sore, I had intense pain in my lower back, groin and shooting pains down my legs. I had tingling in my feet and arms. The next day I nearly fainted when I sat up and every time I moved I had chronic dizziness coupled with ringing in my ears and black outs. Later that evening a red rash started to appear on my arm. I couldn't move my arm without extreme pain. I felt paralysed. A rash appeared on my lower back it looked like a heat rash. I had high fevers and intense pain lots of sweat and then I would feel very cold as if my spine was frozen. The back rash dissappeared but the arm rash increased in size. I went back to the doctor who said the rash would go down - the doctor did not administer anything. The rash did not go down. By the Thursday the rash had increased in size, my upper arm was swollen and itchy, I could not move my arm, I was pale, dizzy, feverish and I had pains in my back and legs. I had insomnia. I consulted a homeopath (as I no longer trusted the doctor) who administered china and apis and other herbs. It wasn't until I started taking these that the rash went down and the fever broke. During the month after the injection I suffered terrible insomnia and dizziness and pain at the injection site. During the two months after the injection I had inexplicable fatigue. Now, (5 months on) I experience a dull throb at the injection site, pain down my arm to my fingers with tingling. I am still experiencing intense fatigue and I believe my immune system is very poor.
Age: 0.33
Sex: M
Vaccine: RVX
Symptoms: Vomiting
Clinical narrative: vomiting at least once a day for 3 to 4 days after dose
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Allergy to vaccine, Asthenia, Brain injury, Dysphonia, Fatigue
Clinical narrative: I just wanted to make you aware that one of your students has been very ill and in the hospital over this summer break.  If you didn't know, patient got deathly sick around the 23rd of June.  The local hospitals couldn't determine what was wrong with her, so she was sent to the hospital.  She came home last week.  The Doctors determined she had a rare allergic reaction to her recent Whooping Cough Booster Shot.  A 1 in 1 million chance of this side effect.  My understanding is...she can now stand to get to the bathroom, but is confined to wheelchair.  She is slowly improving, but has to be watched for a possible relapse for the next 12 weeks.7/24/08-records received for DOS 6/25-7/3/08-DC DX: ADEM(acute demyelinating Encephalomyelitis). Neurogenic bladder. Presented to ED with bilateral lower extremity weakness, started week prior with an episode of nausea and abdominal pain, evening prior to arrival legs felt sore. Dysesthesia of lateral aspects of thighs, low grade fever 99.7. During night attempted to walk and as a result fell, at that time temp 101.9. Sleepier, hypophonia. 1/25/2010 Follow-up: Activity is still being limited and is continuing with follow-up appointments (Sept 2009 and Feb 2010) for the weakness and tiredness with activity.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Hypersensitivity, Malaise, Neurogenic bladder, Neutrophil count decreased, Pyrexia
Clinical narrative: I just wanted to make you aware that one of your students has been very ill and in the hospital over this summer break.  If you didn't know, patient got deathly sick around the 23rd of June.  The local hospitals couldn't determine what was wrong with her, so she was sent to the hospital.  She came home last week.  The Doctors determined she had a rare allergic reaction to her recent Whooping Cough Booster Shot.  A 1 in 1 million chance of this side effect.  My understanding is...she can now stand to get to the bathroom, but is confined to wheelchair.  She is slowly improving, but has to be watched for a possible relapse for the next 12 weeks.7/24/08-records received for DOS 6/25-7/3/08-DC DX: ADEM(acute demyelinating Encephalomyelitis). Neurogenic bladder. Presented to ED with bilateral lower extremity weakness, started week prior with an episode of nausea and abdominal pain, evening prior to arrival legs felt sore. Dysesthesia of lateral aspects of thighs, low grade fever 99.7. During night attempted to walk and as a result fell, at that time temp 101.9. Sleepier, hypophonia. 1/25/2010 Follow-up: Activity is still being limited and is continuing with follow-up appointments (Sept 2009 and Feb 2010) for the weakness and tiredness with activity.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Wheelchair user
Clinical narrative: I just wanted to make you aware that one of your students has been very ill and in the hospital over this summer break.  If you didn't know, patient got deathly sick around the 23rd of June.  The local hospitals couldn't determine what was wrong with her, so she was sent to the hospital.  She came home last week.  The Doctors determined she had a rare allergic reaction to her recent Whooping Cough Booster Shot.  A 1 in 1 million chance of this side effect.  My understanding is...she can now stand to get to the bathroom, but is confined to wheelchair.  She is slowly improving, but has to be watched for a possible relapse for the next 12 weeks.7/24/08-records received for DOS 6/25-7/3/08-DC DX: ADEM(acute demyelinating Encephalomyelitis). Neurogenic bladder. Presented to ED with bilateral lower extremity weakness, started week prior with an episode of nausea and abdominal pain, evening prior to arrival legs felt sore. Dysesthesia of lateral aspects of thighs, low grade fever 99.7. During night attempted to walk and as a result fell, at that time temp 101.9. Sleepier, hypophonia. 1/25/2010 Follow-up: Activity is still being limited and is continuing with follow-up appointments (Sept 2009 and Feb 2010) for the weakness and tiredness with activity.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Pain
Clinical narrative: Within 24hrs of administering TDAP 0.5ml IM left deltoid. The injection site swelled to the size of a tennis ball. C/O moderate pain. Pt was still able to perform activities of daily living. No fever, no drainage and no extra heat noted to injection site. Pt left yesterday morning to go commercial fishing. He denied need for medical attention now. Agreed to seek medical attention only if condition worsens.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncope-few sec.  Laid on floor.  Nl mental status.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Bone pain, Computerised tomogram, Dizziness, Electrocardiogram, Fall
Clinical narrative: Woke up this AM with headache and neck pain radiating down to thoracic spine. Approximately 1/2 hr pt fell and due to dizziness/passed out and hit (Lt) side of head above eye. Pt states she doesn't "feel right".
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Feeling abnormal, Full blood count, Head injury, Headache, Laboratory test
Clinical narrative: Woke up this AM with headache and neck pain radiating down to thoracic spine. Approximately 1/2 hr pt fell and due to dizziness/passed out and hit (Lt) side of head above eye. Pt states she doesn't "feel right".
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Loss of consciousness, Neck pain
Clinical narrative: Woke up this AM with headache and neck pain radiating down to thoracic spine. Approximately 1/2 hr pt fell and due to dizziness/passed out and hit (Lt) side of head above eye. Pt states she doesn't "feel right".
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Lymphadenopathy, Oedema peripheral, Pain in extremity
Clinical narrative: Left arm pain/swelling; Left axilla lymphadenopathy swelling
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Dysmenorrhoea, Nausea, Vomiting
Clinical narrative: Soon (1-2 minutes) after last vaccine given, pt had a strong menstrual cramps (which she was having prior to visit) and became nauseous. She vomited x2 and felt weak. She recovered in 20-30 minutes and went home.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Pain, Skin discolouration, Skin warm
Clinical narrative: 4 cm x 1 cm erythema.  Streak on right anterior thigh, painful to touch, warm.  Augmentin 400/5 4 tsp PO BID x 10 days.  HCTZ cream 2.5% BID; Bactroban ointment tid for 7 days.  Bromhist pdx 3/4 ml po every 6 hours prn.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient developed a raised red spot at site of injection. On the afternoon the day after the injection it was 1 inch by her estimate. When I saw her 2 days after it was raised, indurated 5x5 1/2 cm. I saw her again day 3 and it was now 8.5x7cm with more induration. I started her on BENADRYL and SEPTRA for a DDX of reaction vs cellulitis. I saw her day 4. The erythema was still 15x7 but fading and felt better.
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: "Patient" fainted right after I gave GARDASIL injection. She was only out for a few seconds.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth, Pyrexia
Clinical narrative: Low grade fever (101.0), red raised welt from knee to hip on both legs, warm to touch, went to ER, no meds were given, was better 9 hrs after immunizations given.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Cl given HPV & Tdap vaccine & fainted in hallway 5-10 minutes later.  Mother eased her to floor & no apparent injury.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Fall, Syncope
Clinical narrative: Client fainted after administration of vaccines. Approximately 5 minutes after given was standing up and fell to floor. No apparent injury.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Hives at injection site. Given BENADRYL.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: 06/17/08 Got PNEUMOVAX. 6/18/08 Developed hives on and off. 06/19/08 Went to ER.
Age: 72.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: Zosterform eruption to torso.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Cellulitis, Hypersensitivity
Clinical narrative: Left thigh allergic reaction and cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Mass, Pain, Skin warm
Clinical narrative: Lump, left thigh, red and hard, about size of softball.  No fever. Warm to touch.  A little painful.  Advised to give Motrin and ice area.  No streaking.  Follow up if acting ill or see red streaks.
Age: 15.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Pt received highly recommended vaccinations of Meningococcal AND HPV into right deltoid. The first 12 hours very sore with localized redness and some swelling; ice compress and ibuprofen choice of treatment. 48 hours post injection the site is very painful, red, swollen. A new isolated area below primary site is now becoming inflamed with shooting pain radiating to right ring finger. Also discomfort to right pectoralis. No s/s of dyspnea,pallor,or parasthesia; Benadryl 25mg by mouth administered along with thin topical benadryl cream.
Age: 15.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Pt received highly recommended vaccinations of Meningococcal AND HPV into right deltoid. The first 12 hours very sore with localized redness and some swelling; ice compress and ibuprofen choice of treatment. 48 hours post injection the site is very painful, red, swollen. A new isolated area below primary site is now becoming inflamed with shooting pain radiating to right ring finger. Also discomfort to right pectoralis. No s/s of dyspnea,pallor,or parasthesia; Benadryl 25mg by mouth administered along with thin topical benadryl cream.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Full blood count normal, Impaired work ability, Injection site pain, Injection site warmth, Sleep disorder
Clinical narrative: Very sore, warm injection site; patient reports pain interferes with sleep and work.
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest X-ray abnormal, Condition aggravated, Dyspnoea, Echocardiogram abnormal, Malaise
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning an 83 year old male who on 14-MAY-2008 was vaccinated with ZOSTAVAX 0.65ml via subcutaneous route. Site of injection was not reported. Subsequently the patient was not feeling well. On 24-MAY-2008 the patient called the office and reported that he also gained about seven pounds. The physician diagnosed with worsening "mitral regurgitation". The patient was put on LASIX 40 mg and potassium 10 milliequivalents. On 02-JUN-2008, the patient was feeling better. He also lost seven pounds. The patient saw a cardiologist and was put on the short course of MEDROL and reduced the CARDURA dose  from 8 mg to 4 mg. On 03-JUN-2008 the patient called into the office stating that he felt much better. Follow up information was received from a physician reported that on 27-MAY-2008 the 83 year old white male went to see a cardiologist and reported that he felt bad after received ZOSTAVAX and had dyspnea and weight gain. At the same day, echo was performed and the result indicated "worsening mitral regurgitation". The patient was put on LASIX and potassium. The patient was referred to a cardiologist. On 02-JUN-2008 the patient felt some improvement and lost seven pounds. Blood work and chest X-ray were done and the results showed that the patient had pleural effusions (small). On 20-JUN-2008 the patient felt better but continued to have pleuritic type discomfort, the patient was put on MEDROL DOSEPAK. On 22-JUN-2008 the patient called to say he felt much better. Dyspnea, worsening mitral regurgitation, pleural effusions and pleuritic type discomfort were considered to be other important medical event. Additional information is not expected.