chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Gastric emptying study, Gastroenteritis viral, Gastrooesophageal reflux disease, Haemorrhoids
Clinical narrative: This patient was a 34 year old male Officer with no medical problems prior to receiving anthrax vaccination #5 in Apr 1999. In Aug and Sept of that year while stationed abroad he had 2 episodes of diarrhea, nausea and weakness where he was diagnosed with viral gastroenteritis and dehydration. In early Oct he had severe chest pain for which cardiac causes were ruled out and he was given H2 blockers. In late Oct he received Anthrax #6 and rapidly developed diarrhea and more severe reflux pain. Within 2 weeks the symptoms worsened and he began having sharp abdominal pains related to eating and lost weight. He was treated with antibiotics and proton pump inhibitors but symptoms continued. In Jan 00 he was aerovaced where an UGI and small bowel series were performed. Findings suggested duodenitis and jejunitis but biopsies of the antrum, duodenum and random colon were all normal following the corresponding EGD and colonoscopy. A gastric emptying study revealed some delayed emptying, however no treatment was started. In the summer of '00 he was referred to behavioral health for continued chest pains, difficulty sleeping, anxiety and fatigue. Symptoms continued and he developed rectal bleeding secondary to chronic constipation, continued wt loss and weakness. He had multiple flexible sigmoidoscopies, continued where hemorrhoids and anal fissures were found. In 2003 he had another EGD to r/o Barrett's esophagus but tissue pathology was not diagnostic. It was determined that he had a mild non-erosive gastropathy and was treated with pantoprazole. In late 2004 a gastric emptying study demonstrated 85% retention of food at 90 minutes. By the time of this diagnosis he had lost 32 lb and had developed chronic fatigue, myalgias, fasciculations, tremors, paresthesias, poor sleep, short term memory loss and migraine headaches. Medications included metoclopromide which was changed to tegaserod which greatly improved symptoms. In 2007 an abdominal X-ray showed a dilated stomach and distention of the splenic flexure of the colon. He was then changed to domperidone. Currently his symptoms are controlled on domperidone along with a strict bland diet and he remains on active duty. Diagnosis: Gastroparesis/Hypogonadism.   1/23/09 Received medical records. FINAL DX:gastroparesis, testicular hypofunction, depressive disorder, Migraine, GERD, insomnia, amnesia, malaise, fatigue Records reveal patient experienced dizziness, almost passed out, weakness, trembling, heart rate increased, BP elevated.  Dx w/dehydration & tx w/IVF.  Recovered but later developed trembling, diarrhea, difficulty sleeping, fatigue, nausea, decreased appetite & disorientation.  Tx multiple times for dehydration, viral gastroenteritis & kidney stone. Developed chest pain, tingling, chronic diarrhea, weight loss, inability to sleep lying down, testicular pain.  Symptoms currently controlled w/meds.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Impaired gastric emptying, Insomnia, Muscle contractions involuntary, Myalgia, Nausea
Clinical narrative: This patient was a 34 year old male Officer with no medical problems prior to receiving anthrax vaccination #5 in Apr 1999. In Aug and Sept of that year while stationed abroad he had 2 episodes of diarrhea, nausea and weakness where he was diagnosed with viral gastroenteritis and dehydration. In early Oct he had severe chest pain for which cardiac causes were ruled out and he was given H2 blockers. In late Oct he received Anthrax #6 and rapidly developed diarrhea and more severe reflux pain. Within 2 weeks the symptoms worsened and he began having sharp abdominal pains related to eating and lost weight. He was treated with antibiotics and proton pump inhibitors but symptoms continued. In Jan 00 he was aerovaced where an UGI and small bowel series were performed. Findings suggested duodenitis and jejunitis but biopsies of the antrum, duodenum and random colon were all normal following the corresponding EGD and colonoscopy. A gastric emptying study revealed some delayed emptying, however no treatment was started. In the summer of '00 he was referred to behavioral health for continued chest pains, difficulty sleeping, anxiety and fatigue. Symptoms continued and he developed rectal bleeding secondary to chronic constipation, continued wt loss and weakness. He had multiple flexible sigmoidoscopies, continued where hemorrhoids and anal fissures were found. In 2003 he had another EGD to r/o Barrett's esophagus but tissue pathology was not diagnostic. It was determined that he had a mild non-erosive gastropathy and was treated with pantoprazole. In late 2004 a gastric emptying study demonstrated 85% retention of food at 90 minutes. By the time of this diagnosis he had lost 32 lb and had developed chronic fatigue, myalgias, fasciculations, tremors, paresthesias, poor sleep, short term memory loss and migraine headaches. Medications included metoclopromide which was changed to tegaserod which greatly improved symptoms. In 2007 an abdominal X-ray showed a dilated stomach and distention of the splenic flexure of the colon. He was then changed to domperidone. Currently his symptoms are controlled on domperidone along with a strict bland diet and he remains on active duty. Diagnosis: Gastroparesis/Hypogonadism.   1/23/09 Received medical records. FINAL DX:gastroparesis, testicular hypofunction, depressive disorder, Migraine, GERD, insomnia, amnesia, malaise, fatigue Records reveal patient experienced dizziness, almost passed out, weakness, trembling, heart rate increased, BP elevated.  Dx w/dehydration & tx w/IVF.  Recovered but later developed trembling, diarrhea, difficulty sleeping, fatigue, nausea, decreased appetite & disorientation.  Tx multiple times for dehydration, viral gastroenteritis & kidney stone. Developed chest pain, tingling, chronic diarrhea, weight loss, inability to sleep lying down, testicular pain.  Symptoms currently controlled w/meds.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Non-cardiac chest pain, Paraesthesia, Rectal haemorrhage, Tremor, Weight decreased
Clinical narrative: This patient was a 34 year old male Officer with no medical problems prior to receiving anthrax vaccination #5 in Apr 1999. In Aug and Sept of that year while stationed abroad he had 2 episodes of diarrhea, nausea and weakness where he was diagnosed with viral gastroenteritis and dehydration. In early Oct he had severe chest pain for which cardiac causes were ruled out and he was given H2 blockers. In late Oct he received Anthrax #6 and rapidly developed diarrhea and more severe reflux pain. Within 2 weeks the symptoms worsened and he began having sharp abdominal pains related to eating and lost weight. He was treated with antibiotics and proton pump inhibitors but symptoms continued. In Jan 00 he was aerovaced where an UGI and small bowel series were performed. Findings suggested duodenitis and jejunitis but biopsies of the antrum, duodenum and random colon were all normal following the corresponding EGD and colonoscopy. A gastric emptying study revealed some delayed emptying, however no treatment was started. In the summer of '00 he was referred to behavioral health for continued chest pains, difficulty sleeping, anxiety and fatigue. Symptoms continued and he developed rectal bleeding secondary to chronic constipation, continued wt loss and weakness. He had multiple flexible sigmoidoscopies, continued where hemorrhoids and anal fissures were found. In 2003 he had another EGD to r/o Barrett's esophagus but tissue pathology was not diagnostic. It was determined that he had a mild non-erosive gastropathy and was treated with pantoprazole. In late 2004 a gastric emptying study demonstrated 85% retention of food at 90 minutes. By the time of this diagnosis he had lost 32 lb and had developed chronic fatigue, myalgias, fasciculations, tremors, paresthesias, poor sleep, short term memory loss and migraine headaches. Medications included metoclopromide which was changed to tegaserod which greatly improved symptoms. In 2007 an abdominal X-ray showed a dilated stomach and distention of the splenic flexure of the colon. He was then changed to domperidone. Currently his symptoms are controlled on domperidone along with a strict bland diet and he remains on active duty. Diagnosis: Gastroparesis/Hypogonadism.   1/23/09 Received medical records. FINAL DX:gastroparesis, testicular hypofunction, depressive disorder, Migraine, GERD, insomnia, amnesia, malaise, fatigue Records reveal patient experienced dizziness, almost passed out, weakness, trembling, heart rate increased, BP elevated.  Dx w/dehydration & tx w/IVF.  Recovered but later developed trembling, diarrhea, difficulty sleeping, fatigue, nausea, decreased appetite & disorientation.  Tx multiple times for dehydration, viral gastroenteritis & kidney stone. Developed chest pain, tingling, chronic diarrhea, weight loss, inability to sleep lying down, testicular pain.  Symptoms currently controlled w/meds.
Age: 25.0
Sex: M
Vaccine: FLUX, HEP, IPV, MEN, MMR
Symptoms: Asthenia, Blindness, CSF bacteria no organisms observed, CSF glucose increased, CSF mononuclear cell count increased
Clinical narrative: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220.  1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation.  Hospital admit 1/08.  Developed migraine HA after LP.  Continued w/decreased vision, unsteady gait & poor muscle coordination.  Tx w/meds including interferon.  Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.
Age: 25.0
Sex: M
Vaccine: FLUX, HEP, IPV, MEN, MMR
Symptoms: CSF polymorphonuclear cell count decreased, CSF protein normal, Computerised tomogram head, Coordination abnormal, Cytomegalovirus antibody negative
Clinical narrative: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220.  1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation.  Hospital admit 1/08.  Developed migraine HA after LP.  Continued w/decreased vision, unsteady gait & poor muscle coordination.  Tx w/meds including interferon.  Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.
Age: 25.0
Sex: M
Vaccine: FLUX, HEP, IPV, MEN, MMR
Symptoms: Disability, Epstein-Barr virus antibody negative, Fungus CSF test negative, Headache, Laboratory test normal
Clinical narrative: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220.  1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation.  Hospital admit 1/08.  Developed migraine HA after LP.  Continued w/decreased vision, unsteady gait & poor muscle coordination.  Tx w/meds including interferon.  Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.
Age: 25.0
Sex: M
Vaccine: FLUX, HEP, IPV, MEN, MMR
Symptoms: Lumbar puncture, Migraine, Multiple sclerosis, Muscular weakness, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220.  1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation.  Hospital admit 1/08.  Developed migraine HA after LP.  Continued w/decreased vision, unsteady gait & poor muscle coordination.  Tx w/meds including interferon.  Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.
Age: 25.0
Sex: M
Vaccine: FLUX, HEP, IPV, MEN, MMR
Symptoms: Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Red blood cell count increased, White blood cell count increased
Clinical narrative: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220.  1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation.  Hospital admit 1/08.  Developed migraine HA after LP.  Continued w/decreased vision, unsteady gait & poor muscle coordination.  Tx w/meds including interferon.  Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: 1-05-2009 received flu vaccine. Pt reports that evening feeling chilled, dizzy, weak, severe aching bit. Forearm and difficulty breathing, pale, HR102,BLP 132/751 no fever, lasting approximately 4 hours or until going to sleep
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain, Pallor, Pyrexia
Clinical narrative: 1-05-2009 received flu vaccine. Pt reports that evening feeling chilled, dizzy, weak, severe aching bit. Forearm and difficulty breathing, pale, HR102,BLP 132/751 no fever, lasting approximately 4 hours or until going to sleep
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Pyrexia, Vomiting
Clinical narrative: Pt developed cellulitis on the site of Pneumococcal vaccine with fever, vomiting 01/9/09.  11 1/2 hours after the shot treated with Abx augmentin.
Age: 22.0
Sex: F
Vaccine: HPV4, TYP, YF
Symptoms: Drooling, Syncope, Tonic clonic movements
Clinical narrative: Patient received yellow fever and typhoid injections without incident. Approximately 15 mins later GARDASIL inj given. Within mins patient had syncopal episode with tonic movements of both upper extremities and drooling. Treatment was supportive in nature-moved to supine position  when LOC returned. Advised not to drive home. Rested approximately 30 mins.
Age: 67.0
Sex: U
Vaccine: VARZOS
Symptoms: Discomfort, Skin warm, Swelling, Tenderness
Clinical narrative: Within 18 hours-swelling 2"x3" raised 1/2-3/4 inch, hot, have been-icing/heat pack-5th day=still swollen, very tender and hot-very uncomfortable.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injection site pain, Sleep disorder
Clinical narrative: Flu Shot was fine at first but overtime developed aching where vaccine was deposited inside arm to point of interfering with sleep. Also general arm weakness and sharper pain at vaccine site with use. Clinic visit ruled out infection. Tried RX 6-day decreasing course of methylprednisolone. With Rx applied heat. Symptoms decreased with meds and heat but still had some pain with use and general weakness into December. By end of Dec was symptom free.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Injection site pain, Pyrexia, Weight bearing difficulty
Clinical narrative: Pain at sight, fever, non-weight bearing
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Injection site pain, Pyrexia, Weight bearing difficulty
Clinical narrative: Pain at injection site, fever, non-weight bearing
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Fungal infection, Lymphadenopathy, Smear cervix abnormal
Clinical narrative: Prior to 3 doses of GARDASIL I had all normal pap tests between the years 2004 to 12-1-20066.  After 3 doses of GARDASIL I had 2 abnormal pap tests.  I also had a yeast infection on my right armpit, and on/ about 11-2008, I was seen by my OBGYN for a swollen gland in my groin area.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Dizziness, Dysstasia, Gait disturbance, Headache
Clinical narrative: After first shot of GARDASIL on 2-7-08 had dizziness, headache, missed school. Second shot 5-7-08 had dizziness and severe headache - missed school. Fever 3rd 9-29-08 major dizziness sever headache needed help getting up and walking missed school.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: After first shot of GARDASIL on 2-7-08 had dizziness, headache, missed school. Second shot 5-7-08 had dizziness and severe headache - missed school. Fever 3rd 9-29-08 major dizziness sever headache needed help getting up and walking missed school.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Chills, Erythema, Headache, Injection site reaction, Malaise
Clinical narrative: 27 y.o. AD AA male SM presents with 2-day history of SPV innoculation site concerns.  Reports HA, malaise, chills, and myalgia.  Chills, Headache, general, Muscle Pain, Erythema.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Myalgia
Clinical narrative: 27 y.o. AD AA male SM presents with 2-day history of SPV innoculation site concerns.  Reports HA, malaise, chills, and myalgia.  Chills, Headache, general, Muscle Pain, Erythema.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site rash, Rash pustular
Clinical narrative: SM received his primary SPV on 11/27/07.  Never developed Jennerian pustule.  3 weeks post inoculation, he developed a small, red, raised lesion at inoculation site that gradually grew to 3 x 4 cm scaly, erythemtous lesion.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Electrocardiogram, Immediate post-injection reaction
Clinical narrative: Less than one minute after receiving anthrax #1 and 2, she had very brief episodes of chest pain, lasting less than 2 min that resolved without intervention.  Chest Pain Start: 01/08/2008 Comment: brief, 3/10
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site oedema, Pain, Swelling
Clinical narrative: SM developed redness, swelling, pain approx 24 hrs after receipt of anthrax vaccine.  Swelling Start: 12/16/2007; Erythema Start: 12/16/2007; Edema @ injection site 50-120mm Start: 12/16/2007; Pain Start: 12/16/2007
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site oedema, Injection site streaking, Rash, Tenderness
Clinical narrative: noted rash on arm, redness into his armpit about 10 days after receipt of primary SPV  Symptom: Edema @ injection site >120 mm not beyond elbow Start: 12/10/2007  Symptom: Erythema Start: 12/10/2007  Symptom: Tenderness Start: 12/10/2007
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Condition aggravated, Eczema, Erythema, Skin lesion
Clinical narrative: SM with h/o eczema that received SPV and had exacerbation of his eczema.  His concern is more focused on his children at home, 2 of whom have more severe eczema.  Erythma Start: 12/2007 Lesions, patch Start: 12/2007
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling, Tenderness
Clinical narrative: SM noted redness, swelling around primary SPV site approx. 6 days after receiving vaccine.  Symptom: Erythema Start: 12/10/2007 Symptom: Swelling Start: 12/10/2007 Symptom: Tenderness Start: 12/10/2007
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, YF
Symptoms: Erythema, Injection site oedema, Local reaction, Pain
Clinical narrative: SM had large local reaction with his 3rd and 4th anthrax shots.  Symptom: Edema @ injection site 50-120mm Start: 06/2003; Edema @ injection site 50-120mm Start: 09/2004; Pain Start: 06/2003; Erythema Start: 09/2004; Pain Start: 09/2004
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: SM notes he had large local reaction with his 3rd, 4th and 5th anthrax shots, including redness, swelling and pain at injection site. Erythema Start: 07/2003; Swelling Start: 07/2003; Pain Start: 07/2003; Pain Start: 09/2004; Erythema Start: 09/2004; Swelling Start: 09/2004; Erythema Start: 07/2006; Pain Start: 07/2006
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Local reaction, Pain, Swelling
Clinical narrative: Developed large local reaction to anthrax vaccine  Erythema Start: 05/2007; Swelling Start: 05/2007; Pain Start: 05/2007
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Diarrhoea, Erythema, Headache, Injection site pain, Malaise
Clinical narrative: SM went to PCP for evaluation of HA, body aches, general malaise and diarrhea she developed after being vaccinated with SPV, anthrax and typhoid.  After 2 days of using PERCOCET, still having pain in L arm where SPV was given.  SM placed on 2 days of quarters by PCP.  Given PT profile and light duty by VHC. Recommend use of ibuprofen and cold compresses to SPV site.  Erythema Start: 11/05/2007; Swelling Start: 11/05/2007; Tenderness Start: 11/05/2007; Pain Start: 11/05/2007
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: SM went to PCP for evaluation of HA, body aches, general malaise and diarrhea she developed after being vaccinated with SPV, anthrax and typhoid.  After 2 days of using PERCOCET, still having pain in L arm where SPV was given.  SM placed on 2 days of quarters by PCP.  Given PT profile and light duty by VHC. Recommend use of ibuprofen and cold compresses to SPV site.  Erythema Start: 11/05/2007; Swelling Start: 11/05/2007; Tenderness Start: 11/05/2007; Pain Start: 11/05/2007
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a physician concerning a male who was vaccinated with a dose of MMR II and was diagnosed with autism.  The physician was unsure if the diagnosis of autism has anything to do with getting vaccinated with MMR II.  The patient sought medical attention by visiting the physician's office.  Upon internal review, autism was determined to be an other important medical event.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Premature labour
Clinical narrative: Information has been received, for the Pregnancy Registry for GARDASIL, from a nurse practitioner concerning a 16 year old female with no pertinent medical history who on 03-JUN-2008, "while pregnant", was vaccinated with a first dose of GARDASIL. It was reported that the patient was hospitalized for delivery. On 14-SEP-2008 the patient delivered healthy, but premature twins. The babies were about 29 week gestation. It was reported that the babies were healthy, but had "typical premature problems". On 14-SEP-2008 the mother recovered. Follow-up information was received on 08-JAN-2008 via a telephone call from the N.P. in a pediatric practice where the mother was seen. On 03-JAN-2008 the mother received her first dose of GARDASIL (Lot #659180/1758U, expiration date 25-JUN-2010). The nurse was unaware if the patient received any subsequent doses of GARDASIL, there was no record of any further doses given in their office. The nurse did not have any specific information about the patient's obstetrical history, as the next time they saw the patient, she was there with the babies. The babies were born on 14-SEP-2008, both are male. There was no record of the mother's estimated conception date, but the babies were reported to have been delivered at 29 weeks gestation (delivery type was not reported). The nurse did not know if the patient's hospitalization was longer than a "typical" stay for a vaginal or C-section delivery. It was reported that baby "A" weighed 1420 grams and baby "B" weighed 1450 grams. Baby "A" spent one month in the Neonatal Intensive Care Unit and required one week on a ventilator. He had no bleeds, however was diagnosed with necrotizing enterocolitis, which resolved with a formula change. On 15-NOV-2008 baby "A" was re-admitted to the hospital for two days with pneumonia (no further details). Baby "B" was "OK" as far as the nurse knew, no ventilator and no bleeds. Upon internal review, "premature baby with 29 weeks gestation" was determined to be an other important medical event. Additional information has been requested.
Age: 0.2
Sex: U
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician's assistant (P.A.) concerning a approximately 3 month old patient who was vaccinated with a dose of ROTATEQ (lot # not reported) at the age of 6 weeks, in approximately Nov 2008. It was reported that the patient experienced intussusception "at 3 months of age", in approximately Jan 2009. Unspecified medical attention was sought. The baby had surgery and was hospitalized on 07-JAN-2009. As of 08-JAN-2009, the patient's outcome was unknown. Intussusception was considered to be an other important medical event by the reporter. Additional information has been requested.  2/17/09 MR received for DOS 1/7-10/2009 with D/C DX:  Intussusception.  Pt presented with 1 day hx of persistant nausea with bilious emesis, decreased UO, obstipation, lethargy and irritability. PE (+) for RLQ tenderness. IS noted on US.  Reduction attempted with air contrast enema, but unsucessful.  To OR for exploratory lap and reduction.  Bowel fxn returned 24 hrs post-op and diet advanced.  D/C home 1/10/09. .
Age: 0.46
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Intussusception, Ultrasound scan
Clinical narrative: Intussusception. First began with bloody diarrhea 1-10-09. Resolved 1-11-09. Recurred 1-14-09. US 1-15-09. Intussusception at cecum.  1/29/09 Received ER medical records of 1/15/2009. FINAL DX: cecal intussusception Records reveal patient experienced bloody stools.  Transferred to higher level of care by flight.  2/2/2009 Received hospital medical records of 1/15-1/16/2009. FINAL DX: ileocecal intussusception Records reveal patient experienced watery diarrhea & was dx w/rotavirus infection 8 days prior to presentation; 4 days prior to admit had bloody stools that resolved.  Day of admit had bloody mucous stool & taken to outlying ER where air enema only partially reduced IS & was transfered to higher level of care by flight.  Repeat air enema showed resolution of IS.  Surg consult done.  Admitted for overnight observation.  Did well & d/c to home.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Injection site erythema, Injection site induration, Pain, Rash pruritic
Clinical narrative: Bright red, hard area approximately 2 1/2" in diam. at injection site. Sore and burning. Approximately 12 days after injection, developed bumpy, itchy rash on forearm of injection arm.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, Decreased appetite, Irritability
Clinical narrative: Mother reported elevated temperatures of 104.0 degree F the morning after vaccines, also mentioned extreme fussiness and slight decreased appetite.  All symptoms resolved within 8 hrs of first report.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness developed at injection site the day of administration. Complains of itching at site. Erythematous from top of deltoid to 4cm above elbow. Cool compress, Benadryl, Motrin as needed
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Dizziness, Heart rate normal, Respiratory rate increased, Vision blurred
Clinical narrative: About 2-3 mins after receiving vaccine pt stated that he felt dizzy & had blurry vision.  He was placed in supine position with feet elevated v/s HR 100/mt, RR 21/nt, BP 90/60.  Pt reports same reactions after immunizations in Oct 2008.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Joint swelling
Clinical narrative: Patient states that right wrist was swollen on 01/10/09 about 24 hours after MENACTRA and HAVRIX was administered in right arm.
Age: 1.4
Sex: F
Vaccine: FLU3, PNC
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, warm to touch rash at injection site.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Full blood count normal, Haematochezia, Irritability
Clinical narrative: Mother noted blood in infant's stool one day after immunizations were given.  Infant was fussy the evening of vaccines, but has been fine since.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Irritability, Lethargy, Screaming
Clinical narrative: high pitched screaming for hours on end, severe irritability, lethargy
Age: 2.0
Sex: F
Vaccine: DTAPIPV, HBHEPB
Symptoms: Urticaria
Clinical narrative: Mother reports hives on back- upper torso
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient reported raised red very painful spot at site of injection, which got better with time.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Body temperature increased, Dyspnoea, Lip swelling, Swollen tongue
Clinical narrative: Motehr called and reported need to go to ER folllowing immunizations given 12/31/2008. She stated respirations became labored and temperature 102.7.  Tongue and lower lip were swollen.  At ER treated with Benadryl and was fine within 1 hour.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Blood test, Fall, Fatigue, Gait disturbance
Clinical narrative: Within 3 days of receiving the 2nd round of the HPV vaccination, my daughter began with severe pain in her arms, legs, and hips, difficulty walking which progressed to needing assistance, excruciating pain, numbness/tingling in her lower extremities/feet with weakness in her legs, inability to hold up her body weight, legs would buckle and she would fall when trying to stand, constant muscle cramps and charly horses just with normal movement, her skin was painful to touch, severe aching even with rest, fatigued, pale, lethargic, generalized weakness.  1/21/09 MR received for DOS 1/1-2/2009 with D/C DX:  Fibromyalgia.  L lens cataract s/p surgical correction.  Idiopathic anaphylaxis.  H/o syncopal spells.  GERD.  Migraine H/As. S/P T&A. H/o prematurity.  Pt presented to ER with c/o generalized muscle pain, paresthesias and weakness since vax on 12/17/08. Pt has been "bed bound" except for trips to BR with assistance. Also reports generalized weakness, fatigue and anorexia. Currently tapering off steroids prescribed by PCP.  PE (+) for antalgic gait and lower extremity pain. 2/20/09 MR received. Pt initially presented 12/26/08 with c/o pain all over since 2nd HPV shot. Had some aches after 1st but pain flared after most recent. Seen by GI for abdominal pain and given dx of inflammation if GI. Assessment:  Adverse reaction to Gardasil flaring ANS.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Lethargy, Muscle spasms, Nerve conduction studies, Pain
Clinical narrative: Within 3 days of receiving the 2nd round of the HPV vaccination, my daughter began with severe pain in her arms, legs, and hips, difficulty walking which progressed to needing assistance, excruciating pain, numbness/tingling in her lower extremities/feet with weakness in her legs, inability to hold up her body weight, legs would buckle and she would fall when trying to stand, constant muscle cramps and charly horses just with normal movement, her skin was painful to touch, severe aching even with rest, fatigued, pale, lethargic, generalized weakness.  1/21/09 MR received for DOS 1/1-2/2009 with D/C DX:  Fibromyalgia.  L lens cataract s/p surgical correction.  Idiopathic anaphylaxis.  H/o syncopal spells.  GERD.  Migraine H/As. S/P T&A. H/o prematurity.  Pt presented to ER with c/o generalized muscle pain, paresthesias and weakness since vax on 12/17/08. Pt has been "bed bound" except for trips to BR with assistance. Also reports generalized weakness, fatigue and anorexia. Currently tapering off steroids prescribed by PCP.  PE (+) for antalgic gait and lower extremity pain. 2/20/09 MR received. Pt initially presented 12/26/08 with c/o pain all over since 2nd HPV shot. Had some aches after 1st but pain flared after most recent. Seen by GI for abdominal pain and given dx of inflammation if GI. Assessment:  Adverse reaction to Gardasil flaring ANS.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pallor, Paraesthesia, Weight bearing difficulty
Clinical narrative: Within 3 days of receiving the 2nd round of the HPV vaccination, my daughter began with severe pain in her arms, legs, and hips, difficulty walking which progressed to needing assistance, excruciating pain, numbness/tingling in her lower extremities/feet with weakness in her legs, inability to hold up her body weight, legs would buckle and she would fall when trying to stand, constant muscle cramps and charly horses just with normal movement, her skin was painful to touch, severe aching even with rest, fatigued, pale, lethargic, generalized weakness.  1/21/09 MR received for DOS 1/1-2/2009 with D/C DX:  Fibromyalgia.  L lens cataract s/p surgical correction.  Idiopathic anaphylaxis.  H/o syncopal spells.  GERD.  Migraine H/As. S/P T&A. H/o prematurity.  Pt presented to ER with c/o generalized muscle pain, paresthesias and weakness since vax on 12/17/08. Pt has been "bed bound" except for trips to BR with assistance. Also reports generalized weakness, fatigue and anorexia. Currently tapering off steroids prescribed by PCP.  PE (+) for antalgic gait and lower extremity pain. 2/20/09 MR received. Pt initially presented 12/26/08 with c/o pain all over since 2nd HPV shot. Had some aches after 1st but pain flared after most recent. Seen by GI for abdominal pain and given dx of inflammation if GI. Assessment:  Adverse reaction to Gardasil flaring ANS.
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: patient was accidently give Tdap instead of Td
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Dizziness, Fatigue, Lethargy, Nausea
Clinical narrative: High fevers 102+, Nausea, Dizzy, lethargic, weak & tired
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pyrexia
Clinical narrative: High fevers 102+, Nausea, Dizzy, lethargic, weak & tired
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Dizziness, Nausea, Pyrexia
Clinical narrative: High fevers 102+, Nausea, Dizzy, lethargic, weak & tired
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Pt R leg 11 x 7 cm reddened area noted this am.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site induration, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Lower upper arm is very swollen and hard after receiving Shingle vaccine.  Red circle approximately four inches in length is present.  Some itchy.  Very painful at site and over the entire arm/shoulder area.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: Received 3rd hep B injection on 12/8/08. Within one day developed tender left axillar adenopathy lasting 2-3 days, followed by swelling, erythema and pruritis over injection area of deltoid on 12/12/08. Symptoms nearly resolved by visit on 12/15/08 with no abnormal findings on exam.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Dehydration, Heart rate increased, Pyrexia, Vomiting
Clinical narrative: low grade fever, vomiting, dehydration, elevated heart rate
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Patient complained of persistent redness, edema, was febrile and noticed streaks down arm  post vaccination. Treated by on-call physician with an antibiotic which did not work, patient went to ER and treated with Bactrim DS + Cephalexin X 10 days (currently). Redness, edema and streaks have all but disappeared. No loss of movement or feeling. Hx splenectomy 2002.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Basilar artery thrombosis, Ischaemic stroke, Thrombectomy
Clinical narrative: Acute icshemic stroke (basilar artery thrombus).  Underwent mechanical thrombectomy 11/25/08.  2/2/09 Received ER medical records of 11/19/2008. FINAL DX: acute non-specific HA Records reveal patient experienced worsening HA x 5 days w/cloudy vision left eye, fatigue, irritability & nausea.  Had been seen by PCP 2 days prior & dx w/left otitis media.  Tx w/oral antibiotics.  Exam in ER was WNL & tx w/IVF & IV meds.  Improved & d/c to home.  2/3/09 Received PCP office records of 11/17/08-1/18/2009. FINAL DX: left OM w/viral URI Records reveal patient experienced left eye vision deficit, decreased hearing left ear, left side headache, decreased appetite & energy.  Tx w/oral antibiotics & would refer to Ophtho if s/s persisted.  RTC 11/21 s/p ER visit w/URI & OM resolving.  RTC 11/22 w/persistent but intermittent HA & had missed school.  OM had resolved but tx w/oral antibiotics.  Referred for MRI.  RTC 1/12/09 s/p recent hospitalization for acute ischemic stroke with basilar artery thrombus occlusion s/p mechanical thrombectomy on 11/25/08  & having vomiting.  Sent for urgent MRI.  RTC 1/15/09 for conference.  2/09/09 Received hospital medical records of 11/24-12/3/2008. FINAL DX: acute ischemic stroke, basilar artery thrombus occlusion w/resultant bilateral posterior circulation strokes; s/p mechanical thrombectomy 11/25/08. D/C Summary mixed in with records which reveal patient had been transferred to PICU from outlying ER.  Patient experienced retroorbital eye pain & HA x 10 days prior to admit.  One week prior to admit had trouble catching ball from left side.  Five days prior to admit had severe HA behind left eye.  One day prior to admit had dizziness, vomiting, peripheral vision loss but no pain.  On day of admit, had generalized pain, abnormal behavior, talking nonsense, incomplete sentences.  Deficits at d/c included: right arm dysmetria w/minimal weakness, LLE dysmetria, quandrantanopia, dysarthria & left side sensory deficit, required assist to walk due to incoordination.  D/C to inpatient rehab on continued ASA.  was to f/u w/peds neuro & ophtho when d/c from rehab & to have repeat labs.  Neuro. Ophtho clinic notes of 2/3/2009.  Doing well & had returned to school.  Reading speed was significantly slower but otherwise approx same level as prior to stroke.  Had developed behavior issues w/hyperactivity & outbursts. Visual fields deficits.  2/17/09 Received ER records of 11/23 & 11/24/2008. FINAL DX: right occipital lobe AV malformation; acute ischemic stroke left occipital lobe; altered mental status secondary to above; leukocytosis secondary to above. Pt transferred by ambulance due to inclement weather to higher level of care.  Incomplete homonymous hemianopsia, behaviour problems.
Age: 50.0
Sex: M
Vaccine: IPV, TDAP, TYP, YF
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Syncope
Clinical narrative: Following receipt of vaccines in travel clinic client experienced syncope episode, i.e., lost consciousness, became pale, dyaphoretic.  B/P 110/70; client positioned in a reclining position with legs elevated.  Juice and crackers were provided to client following recovery from fainting.  B/P @ 15 min. post-incident:  90/60.  B/P 30 min. post-incident:  100/60.  Client stated he is physically active and typically has a low B/P.   40 min. post-incident client was discharged from clinic with the following instructions:  follow-up with PCP to have pre-travel physical exam, increase salt intake and to eat protein during lunch.  Follow-up phone call on 1/15/09 @ 1645 re:  status of client's condition.  Client stated he "felt fine" and did not experience any problems after discharge from clinic.  State he would follow through with recommendation to see his PCP prior to trave.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Patient received vaccine 01/06/2009 and called pharmacy 01/14/2009 with complaint of a red rash at the injection site approximately 2 inches in diameter.  Primary care physician prescribed Famvir 500mg twice daily for 5 days.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia universalis, Blood thyroid stimulating hormone normal, Constipation, Dysphagia, Hepatitis B antibody positive
Clinical narrative: Hepatitus B Vaccine series given at start of new job (1st dose 9/13/2006) because blood work showed no immunity present from previous immunizations.  Within weeks of each injection patches of hair fell out.  At one point had several patches of hair (half dollar sized and smaller) gone.  And 6 months (8/23/2007) after final injection (2/14/2007) of the series all body hair was lost within 2 weeks.  First hair to fall out was on the scalp, followed by eyebrows, eyelashes, and pubic hair.  Since, losting all noticable hair, realized that all soft hairs on arms, legs, face and lining nose are also gone.  Was evaluated by PMD and was referred to Endocrinologist, no specific results from test revealed cause of sudden alopecia.  At current date 1/15/2008 no hair has grown back.  2/27/09 MR received for ER visit 2' to medication exposure at work .  Pt left without being seen.  No mention of alopecia in Hx.  3/18/2008 MR received from endocrine consult. Seen 10/13/08 for thyroid nodule. pt notes feeling tired, run down, constipated.  pt with wt gain and having difficulty swallowing.  DX:  Thyroid nodule.  Alopecia.  HYpothyroid. F/U 2/17/09 for thyroid issues. Follow-up: Alopecia Universalis still present.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Occupational exposure to drug, Weight increased
Clinical narrative: Hepatitus B Vaccine series given at start of new job (1st dose 9/13/2006) because blood work showed no immunity present from previous immunizations.  Within weeks of each injection patches of hair fell out.  At one point had several patches of hair (half dollar sized and smaller) gone.  And 6 months (8/23/2007) after final injection (2/14/2007) of the series all body hair was lost within 2 weeks.  First hair to fall out was on the scalp, followed by eyebrows, eyelashes, and pubic hair.  Since, losting all noticable hair, realized that all soft hairs on arms, legs, face and lining nose are also gone.  Was evaluated by PMD and was referred to Endocrinologist, no specific results from test revealed cause of sudden alopecia.  At current date 1/15/2008 no hair has grown back.  2/27/09 MR received for ER visit 2' to medication exposure at work .  Pt left without being seen.  No mention of alopecia in Hx.  3/18/2008 MR received from endocrine consult. Seen 10/13/08 for thyroid nodule. pt notes feeling tired, run down, constipated.  pt with wt gain and having difficulty swallowing.  DX:  Thyroid nodule.  Alopecia.  HYpothyroid. F/U 2/17/09 for thyroid issues. Follow-up: Alopecia Universalis still present.
Age: 1.25
Sex: M
Vaccine: DTAP, FLUX, HIBV
Symptoms: Anger, Injection site erythema, Screaming, Staring
Clinical narrative: Uncontrollable screaming and fits of rage lasting for 15 minutes at a time, happening since an hour and a half after vaccination. At current time, symptoms still continuing. These screaming/raging bouts are followed by a state of staring and being unaware of surroundings for 5-10 minutes. These bouts have occured at a frequency if about 25 times in the last 48 hours. Redness at injection site is present.  Was told to wait it out, that the symptoms should subside.  Dr. encouraged us to come back if they continue into next week.
Age: 42.0
Sex: F
Vaccine: DTAP
Symptoms: Lymphadenopathy, Rash maculo-papular
Clinical narrative: Onset of reactive lymphadenopathy and swelling in left anterior cervical chain and supraclavicular areas on 1/15/09 with torso macularpapular rash
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Patient had a febrile seizure with a temperature of 106.8 degrees and rising 7 days post MMRV shot.  He'd had a double-ear infection as well at the time of the seizure, but I can't remember if he had that prior to immediately prior to vaccination or not. He also had subsequent febrile seizures.  Initial seizure was 12/7/06.
Age: 4.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Dizziness, Headache, Heart rate normal, Oxygen saturation, Respiratory rate increased
Clinical narrative: Dar reported patient "almost passed out" and patient stated he had headache. I observed the patient to be alert/ appropriately responsive.
Age: 1.6
Sex: F
Vaccine: PNC
Symptoms: Injection site mass, Injection site swelling
Clinical narrative: Mom called-mosquito bite size area where received vaccine, no fever, no other issues. No drainage, no bigger, not painful. 2 days later had lump there.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: High-pitched crying
Clinical narrative: When pt was brought to my office for the next set of vaccines, his parents described 8 hours of high - pitched screaming post the prev vaccines.  No other problems were described