chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Electrocardiogram, Electrocardiogram ambulatory, Electroencephalogram normal, Palpitations
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old female with no medical history and drug allergies who on 31-DEC-2008 was intramuscularly vaccinated with the third 0.5 ml dose of GARDASIL. She had no problems after receiving the 1st and 2nd doses of GARDASIL. At 22:30 on 02-JAN-2009, 48 hours later, the patient experienced seizure type activity and convulsions, 2 more occurred by 23:30 during which time she was taken to the hospital. It was decided in the emergency room to take the patient to a hospital early on 03-JAN-2009. The patient had a total 13 seizures type activities or convulsions but it was unclear the specific time frame. Laboratory tests included an magnetic resonance imaging, ultrasound of the kidney, and "lots of unspecified lab work" (one of the results were normal kidney function). The patient has one more episode after being discharged from the hospital on 04-JAN-2009. The patient was put on XANAX and her mother felt it had helped control the seizure type activity and convulsions. The patient started KEFLEX and AZO for urinary tract infection on 02-JAN-2009. The seizures type activities or convulsions was considered to be disabling. Additional information has been requested. 2/2/09-records received for DOS 1/3-15/09-DC DX: Spells. presented to ED with difficulty breathing, rash and episodic jerking. Rash on back, chest and neck and felt short of breath. Rash would come on with shaking and improve when shaking stopped.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Blood creatinine increased, Blood potassium decreased, Blood urea increased, Body temperature increased, Cellulitis
Clinical narrative: Initial and follow-up information has been received from a physician concerning a 67 year old female patient with osteoporosis and seasonal allergy who a "few months ago" was vaccinated intramuscularly into the right arm in the deltoid region with the first dose of PNEUMOVAX 23 (lot # 655766/0038U). After vaccination the patient had pain, swelling and fever. The patient went to Hospital Emergency Room and was found to be febrile and tachycardic with a systolic blood pressure around 89. The right deltoid region showed evidence of erythema, induration, tenderness and swelling. The white count was elevated at 22,000. Her potassium was 3.0. Creatinine was 1.4, BUN 28. Liver function tests were within normal range. The patient was assessed to have cellulitis and was admitted to the hospital. She was put on vancomycin and UNASYN. With antibiotics, her fever decreased. her white count improved from 22,000 to 18,000 at the time of discharge. Her swelling, induration and tenderness significantly decreased in the right deltoid region, although the patient still had erythema, which surprisingly increased a little bit. A computed tomography scan of the right upper extremity was obtained, which showed no evidence of different abscess formation. The patient had been discharged on 30-NOV-2008 on seven more days of clindamycin and montelukast sodium (MSD) and had been instructed to follow-up with the regular doctor. In addition, the patient also had episodes of nonbloody, noncramping watery diarrhea after antibiotics were initiated. The patient reported having similar symptoms in the past following the use of antibiotics. The patient had been advised to use anti-diarrheal agents on an as-needed basis, but to withhold anti-diarrheals and report to her regular doctor should she had fever or had abdominal cramps. The patient was recovered on 30-NOV-2008. Additional information is not expected. All medical records are available upon request.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Computerised tomogram normal, Diarrhoea, Erythema, Induration, Liver function test normal
Clinical narrative: Initial and follow-up information has been received from a physician concerning a 67 year old female patient with osteoporosis and seasonal allergy who a "few months ago" was vaccinated intramuscularly into the right arm in the deltoid region with the first dose of PNEUMOVAX 23 (lot # 655766/0038U). After vaccination the patient had pain, swelling and fever. The patient went to Hospital Emergency Room and was found to be febrile and tachycardic with a systolic blood pressure around 89. The right deltoid region showed evidence of erythema, induration, tenderness and swelling. The white count was elevated at 22,000. Her potassium was 3.0. Creatinine was 1.4, BUN 28. Liver function tests were within normal range. The patient was assessed to have cellulitis and was admitted to the hospital. She was put on vancomycin and UNASYN. With antibiotics, her fever decreased. her white count improved from 22,000 to 18,000 at the time of discharge. Her swelling, induration and tenderness significantly decreased in the right deltoid region, although the patient still had erythema, which surprisingly increased a little bit. A computed tomography scan of the right upper extremity was obtained, which showed no evidence of different abscess formation. The patient had been discharged on 30-NOV-2008 on seven more days of clindamycin and montelukast sodium (MSD) and had been instructed to follow-up with the regular doctor. In addition, the patient also had episodes of nonbloody, noncramping watery diarrhea after antibiotics were initiated. The patient reported having similar symptoms in the past following the use of antibiotics. The patient had been advised to use anti-diarrheal agents on an as-needed basis, but to withhold anti-diarrheals and report to her regular doctor should she had fever or had abdominal cramps. The patient was recovered on 30-NOV-2008. Additional information is not expected. All medical records are available upon request.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Swelling, Tachycardia, Tenderness
Clinical narrative: Initial and follow-up information has been received from a physician concerning a 67 year old female patient with osteoporosis and seasonal allergy who a "few months ago" was vaccinated intramuscularly into the right arm in the deltoid region with the first dose of PNEUMOVAX 23 (lot # 655766/0038U). After vaccination the patient had pain, swelling and fever. The patient went to Hospital Emergency Room and was found to be febrile and tachycardic with a systolic blood pressure around 89. The right deltoid region showed evidence of erythema, induration, tenderness and swelling. The white count was elevated at 22,000. Her potassium was 3.0. Creatinine was 1.4, BUN 28. Liver function tests were within normal range. The patient was assessed to have cellulitis and was admitted to the hospital. She was put on vancomycin and UNASYN. With antibiotics, her fever decreased. her white count improved from 22,000 to 18,000 at the time of discharge. Her swelling, induration and tenderness significantly decreased in the right deltoid region, although the patient still had erythema, which surprisingly increased a little bit. A computed tomography scan of the right upper extremity was obtained, which showed no evidence of different abscess formation. The patient had been discharged on 30-NOV-2008 on seven more days of clindamycin and montelukast sodium (MSD) and had been instructed to follow-up with the regular doctor. In addition, the patient also had episodes of nonbloody, noncramping watery diarrhea after antibiotics were initiated. The patient reported having similar symptoms in the past following the use of antibiotics. The patient had been advised to use anti-diarrheal agents on an as-needed basis, but to withhold anti-diarrheals and report to her regular doctor should she had fever or had abdominal cramps. The patient was recovered on 30-NOV-2008. Additional information is not expected. All medical records are available upon request.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Initial and follow-up information has been received from a physician concerning a 67 year old female patient with osteoporosis and seasonal allergy who a "few months ago" was vaccinated intramuscularly into the right arm in the deltoid region with the first dose of PNEUMOVAX 23 (lot # 655766/0038U). After vaccination the patient had pain, swelling and fever. The patient went to Hospital Emergency Room and was found to be febrile and tachycardic with a systolic blood pressure around 89. The right deltoid region showed evidence of erythema, induration, tenderness and swelling. The white count was elevated at 22,000. Her potassium was 3.0. Creatinine was 1.4, BUN 28. Liver function tests were within normal range. The patient was assessed to have cellulitis and was admitted to the hospital. She was put on vancomycin and UNASYN. With antibiotics, her fever decreased. her white count improved from 22,000 to 18,000 at the time of discharge. Her swelling, induration and tenderness significantly decreased in the right deltoid region, although the patient still had erythema, which surprisingly increased a little bit. A computed tomography scan of the right upper extremity was obtained, which showed no evidence of different abscess formation. The patient had been discharged on 30-NOV-2008 on seven more days of clindamycin and montelukast sodium (MSD) and had been instructed to follow-up with the regular doctor. In addition, the patient also had episodes of nonbloody, noncramping watery diarrhea after antibiotics were initiated. The patient reported having similar symptoms in the past following the use of antibiotics. The patient had been advised to use anti-diarrheal agents on an as-needed basis, but to withhold anti-diarrheals and report to her regular doctor should she had fever or had abdominal cramps. The patient was recovered on 30-NOV-2008. Additional information is not expected. All medical records are available upon request.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PNEUMOVAX 23 given 12/2/08 between 1-3pm.  On 12/3/08 am T 100 and soft ball sized warm, red area noted at injection site (LD).  MD called by pt and advised to apply cool compresses, s+s resolved on 36 hours.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Pain in extremity, X-ray
Clinical narrative: Persistent right deltoid pain after Hepatitis B #2 vaccine over a year ago.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Cough, Full blood count, Gait disturbance, Metabolic function test
Clinical narrative: Patient began with cough and upper respiratory infection after vaccine administered.  Patient began taking over the counter meds and got worse.  Patient began to have difficulty walking and unsteady gait came to the ER and was admitted to Charlton Memorial Hosp on 12/29/08.  Patient was treated with supportive therapy and IGG, and condition is improving. Patient is still in the hospital. 1/15/09- received-presented to ED with C/O cough, unsteady walking, balanace. Cough times week. ED DX: URI, bronchospasm, polypharmacy abuse. Unsteady gait. Tingling of extremities. Generalized body aches, fevers. 1/21/09-DC summary received for DOS 12/29/08-1/15/09 DC DX: Guillain-Barre syndrome, recovered almost completely. Ileus, recovered. Urinary retention. Chronic obstructive pulmonary disease (COPD). Hypertension. and DC DX summary for DOS 1/15-1/21/09 DX: Status post neuropathy likely a variant of Guillaine-Barre. Status post treatment with IVIG and high dose steroids. Painful paresthesias, tremulousness, weakness and ataxia and inability to mobilize. Treated with IVIG.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Urine analysis
Clinical narrative: Patient began with cough and upper respiratory infection after vaccine administered.  Patient began taking over the counter meds and got worse.  Patient began to have difficulty walking and unsteady gait came to the ER and was admitted to Charlton Memorial Hosp on 12/29/08.  Patient was treated with supportive therapy and IGG, and condition is improving. Patient is still in the hospital. 1/15/09- received-presented to ED with C/O cough, unsteady walking, balanace. Cough times week. ED DX: URI, bronchospasm, polypharmacy abuse. Unsteady gait. Tingling of extremities. Generalized body aches, fevers. 1/21/09-DC summary received for DOS 12/29/08-1/15/09 DC DX: Guillain-Barre syndrome, recovered almost completely. Ileus, recovered. Urinary retention. Chronic obstructive pulmonary disease (COPD). Hypertension. and DC DX summary for DOS 1/15-1/21/09 DX: Status post neuropathy likely a variant of Guillaine-Barre. Status post treatment with IVIG and high dose steroids. Painful paresthesias, tremulousness, weakness and ataxia and inability to mobilize. Treated with IVIG.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Fatigue, Headache, Nausea
Clinical narrative: 01/05/2009 Increase Tempature/  01/06/2009 Tempatrue, nausea, fatigue, headache.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Death, Meningitis bacterial
Clinical narrative: Provider notified on 1/2/09 that patient was admitted to Hospital (different institution) and prognosis is grim.  She died of Bacterial Meningitis later that day.  Upon record review, it was noted that she did receive Menactra in January of 2006. Contacted the VAERS number and she indicated I should submit information. 1/21/09-records received for DOS 1/1-1/2/09-Brain death from increased intracranial pressure with transtentorial herniation secondary to meningococcal meningitis. Sudden onset of headache and altered mental status changes. Developed severe hypertension with signs of increased intracranial pressure. Received as a transfer with fixed and dilated pupils and no evidence of any cortical or brain stem fucntion. EEG electrocerebral silence. Intubated. Mechanical ventilator.  3/11/09-probable cause of death-neisseria menengitis.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Oral herpes, Rash, Tenderness
Clinical narrative: TWO WEEKS AFTER VACCINATION PATIENT MAY HAVE COME DOWN WITH A SLIGHT CASE OF SHINGLES.  A RASH/SORES APPEARED ON ARM, THROAT, AND INNER CHEEK.  HAD FEVER SORES BREAK OUT ON LIP (NEVER BEFORE).  SEEMED LOCALIZED ON LEFT SIDE. PATIENT DOING BETTER NOW.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site rash, Rash
Clinical narrative: A little more than 24 hours I noticed a rash that started near her injection site on her thigh, on her buttocks, near the back of her neck on her back and on both arms starting at the biceps and continuing up towards the deltoids.  The rash was not raised.  No sign of irritation or discomfort.  Called on-call nurse and was told to give Benedryl and bring to clinic in morning.  Did not give Benedryl and checked rash in the morning and it was gone.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Dermatitis contact, Erythema, Pyrexia, Swelling
Clinical narrative: 2 days after receiving Hepatitis A and DTap the pt presents with redness, swelling, localized fever, and contact dermatitis.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Injection site pain, Oedema peripheral, Skin warm
Clinical narrative: THE DAY AFTER I ADMINISTERED VACCINE TO THE CHILD,THE MOTHER STATED THAT THE CHILD WOKE UP IN THE MORNING WITH SWOLLEN LEFT ARM,ON THE INJECTION SIDE,REDNESS ,WARM TO TOUCH AND TENDERNESS WHERE THE SHOT WAS GIVEN.MOTHER DENIED FEVER OR ANY OTHER COMPLAINS.THE CHILD WAS REFFERED TO THE PEDIATRICIAN.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site mass, Pyrexia
Clinical narrative: Pt ran fever to 102. Had a large knot at the site of injection.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: upper arm  7cm red/warm tender but non-indurated no streaking
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt developed fever of 104.5 with irritability. Patient still with temp of 102 48 hours after vaccine administered
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Dysphagia, Heart rate increased, Pharyngeal oedema
Clinical narrative: Flushot given around 11AM? About 3 hours after flu shot-started coughing and had a "tickle" in my throat, cough became more frequent, then heart rate up to 100-110. Felt like my throat was swollen, trouble swallowing. Gave myself 50mg of Benadryl and cough began to subside about 30min after. Swollen throat began to feel better a few hours after Benadryl. Later that evening started with fever (102-103F) and chills. Took 650mg Tylenol. Cough had completely subsided by then and throat was much better. Felt completely fine in the morning (no fever, chills, coughing, swollen throat).
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Throat irritation
Clinical narrative: Flushot given around 11AM? About 3 hours after flu shot-started coughing and had a "tickle" in my throat, cough became more frequent, then heart rate up to 100-110. Felt like my throat was swollen, trouble swallowing. Gave myself 50mg of Benadryl and cough began to subside about 30min after. Swollen throat began to feel better a few hours after Benadryl. Later that evening started with fever (102-103F) and chills. Took 650mg Tylenol. Cough had completely subsided by then and throat was much better. Felt completely fine in the morning (no fever, chills, coughing, swollen throat).
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: RED,SWOLLEN LEFT DELTOID REGION, WARM AND SLIGHTLY TENDER.  EXTENDS TO AXILLA, CANNOT RULE OUT SECONDARY CELLULITIS. PT GIVEN BENADRYL AND TREATED WITH KEFLEX.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Arthralgia, Full blood count, Injection site swelling, Urine analysis
Clinical narrative: Arm swelling (site of innoculation), arthralgias in knees and ankles bilaterally 2/9/09-records received for DOS 1/14/09-presented with C/O reaction to immunization received yesterday. Right arm sore with pain going up into shoulders and down left arm as well as into back. Progressed to legs and ankles and feet. Felt tired and weak. Fell and passed out. Prior to passing out felt tired and had blurred vision. Now C/O pain in knees and ankles bilaterally, feels tense in right arm and right hand. Pain is intermittent and stabbing.Assessnent likely to have serum sickness-like reaction to immunization. Joint arthralgia. Swelling at immunization site.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Eyelid oedema, Sneezing
Clinical narrative: Approximately 2 hours after received flu shot client starting sneezing and coughing.  Eye lids began to swell and had difficulty breathing.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Cellulitis, Erythema, Incorrect route of drug administration, Pain, Vaccination complication
Clinical narrative: Given Meningococcal (MCV4) vaccine on 01/09/09 in left arm SC instead of IM.  Pt was brought to Urgent Care on 01/11/09 with pain, erythematous in left upper arm. Dx with cellulitis, secondary to vaccine reaction.  Rx for Bactrim DS 800 mg P.O. BID for 10 days and Medrol dosepak one tab P.O. for 5 days.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Activities of daily living impaired, Chest pain, Feeling hot, Malaise
Clinical narrative: Sharp stomach pains within 2 hours of shot.  Hands then became tingly and had"pins and needles", throat then had same feeling. Then had feverish feeling then nausea and itching all over. Then took Benadryl. Then "sick" feeling, then wheezing, then chest pain, then went to emergency room.  Felt sick ,could not function. 2/17/09-records received for DOS 1/14/09-presented to ED with C/O difficulty breathing and wheezing, abdominal cramping . Allergic reaction to Gardasil Impression: anaphylaxis.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Paraesthesia, Pruritus generalised, Throat irritation, Wheezing
Clinical narrative: Sharp stomach pains within 2 hours of shot.  Hands then became tingly and had"pins and needles", throat then had same feeling. Then had feverish feeling then nausea and itching all over. Then took Benadryl. Then "sick" feeling, then wheezing, then chest pain, then went to emergency room.  Felt sick ,could not function. 2/17/09-records received for DOS 1/14/09-presented to ED with C/O difficulty breathing and wheezing, abdominal cramping . Allergic reaction to Gardasil Impression: anaphylaxis.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Anaphylactic reaction, Dyspnoea, Throat tightness, Vomiting
Clinical narrative: Sharp stomach pains within 2 hours of shot.  Hands then became tingly and had"pins and needles", throat then had same feeling. Then had feverish feeling then nausea and itching all over. Then took Benadryl. Then "sick" feeling, then wheezing, then chest pain, then went to emergency room.  Felt sick ,could not function. 2/17/09-records received for DOS 1/14/09-presented to ED with C/O difficulty breathing and wheezing, abdominal cramping . Allergic reaction to Gardasil Impression: anaphylaxis.
Age: 65.0
Sex: M
Vaccine: YF
Symptoms: Blister, Erythema, Swelling
Clinical narrative: yfvax administered 01/12/09, 01/13/09 morning red and swollen by evening small blister that increased in size to 1 inch diameter, blister broke am 1/14/09 no fever, no headache, no problems with any other anaphylatic type reaction.  Requested that if fever develops or problems with breathing or hives to see/call Dr or call 911.  Also to put antibiotic oint. and cover until weeping stops and call if any changes.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: DTaP given on 1/12/09 right arm, Had right arm swelling, redness, felt firm to touch, worsened over 2 days. Seen in clinic on 1/14/09, had indurated erythematous, warm swelling. Did ice compresses at home. Given Motrin and benadryl and asked to follow up.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea, Palpitations, Upper respiratory tract congestion
Clinical narrative: 4 hours after shot administered, felt chest pressure, heart pounding, congested chest & cough.  Breathing problems also which lasted about 25 minutes, rest of symptoms persisted for about 3.5 hours.
Age: 45.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Malaise, Paraesthesia, Swelling
Clinical narrative: 1 1/2 hours after receiving the MMR vaccine he called by phone and said he felt like he was going to "black out" but did not. He also complained of "tingling all over". He reports BP at that same time was 140/98 and he had not eaten all day. After eating an early lunch he still felt tingling in his hands and feet and just "felt bad" BP 128/86. He says he went home after lunch rested,took a nap, and symptoms were gone when he awoke.  12/11/08 he reports swelling in the left side of his neck/ear area. He saw a ENT physicain. Physician was not sure if in was vaccine related or not.  He recovered from this also.
Age: 23.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Eating disorder, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Shots at 2:30pm 12/30/08 Slight headache in afternoon, Oral Typhoid stated that evening, 2 hours later became sick. Symptoms nausea and low grade fever, woke during night feeling sick, 12/31/08 5am feeling rotten. Nausea and vomiting almost constant all morning. Fever 104. Sleeping in afternoon, 800 mg Ibuprofen, antinausea pill, Slept most of evening and night.  Left arm where Tdap was given sollen and red, felt fverish and achey.  1/01/09 Same symptoms as day before stated all over again. Not able to sleep. That evening was seen in ER. IV fluids given.   1-2 and 1-3-09 continued sick, couldn't eat. Ontinued with 102 fever.1/04/09 Feeling itchy  upper half of body.  It took almost 8 days before feeling well again.  Fingers in left arm tingly next day of vaccine.
Age: 23.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Injection site warmth, Insomnia, Malaise, Nausea, Pain
Clinical narrative: Shots at 2:30pm 12/30/08 Slight headache in afternoon, Oral Typhoid stated that evening, 2 hours later became sick. Symptoms nausea and low grade fever, woke during night feeling sick, 12/31/08 5am feeling rotten. Nausea and vomiting almost constant all morning. Fever 104. Sleeping in afternoon, 800 mg Ibuprofen, antinausea pill, Slept most of evening and night.  Left arm where Tdap was given sollen and red, felt fverish and achey.  1/01/09 Same symptoms as day before stated all over again. Not able to sleep. That evening was seen in ER. IV fluids given.   1-2 and 1-3-09 continued sick, couldn't eat. Ontinued with 102 fever.1/04/09 Feeling itchy  upper half of body.  It took almost 8 days before feeling well again.  Fingers in left arm tingly next day of vaccine.
Age: 23.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Paraesthesia, Pruritus, Pyrexia, Vomiting
Clinical narrative: Shots at 2:30pm 12/30/08 Slight headache in afternoon, Oral Typhoid stated that evening, 2 hours later became sick. Symptoms nausea and low grade fever, woke during night feeling sick, 12/31/08 5am feeling rotten. Nausea and vomiting almost constant all morning. Fever 104. Sleeping in afternoon, 800 mg Ibuprofen, antinausea pill, Slept most of evening and night.  Left arm where Tdap was given sollen and red, felt fverish and achey.  1/01/09 Same symptoms as day before stated all over again. Not able to sleep. That evening was seen in ER. IV fluids given.   1-2 and 1-3-09 continued sick, couldn't eat. Ontinued with 102 fever.1/04/09 Feeling itchy  upper half of body.  It took almost 8 days before feeling well again.  Fingers in left arm tingly next day of vaccine.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pharyngitis, Pyrexia
Clinical narrative: Patient reported having a fever, local myalgia and pharyngitis after having the TDAP vaccine. Definite time course not known, but suspected to be within 24 hours. Not reported to physician for almost 2 months later.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Coordination abnormal, Dizziness, Fall, Headache, Palpitations
Clinical narrative: Shingle Shot was administered and three hours later I experienced... Poor co-ordination.  Tripped getting out of a car and tripped again when I tried to lift my leg to step up on the curb and fell.  I was not hurt because I fell on the grass slowly after I tripped.  I experienced Dizziness, heart palpatations, and a slight headache.  Heart palpations stopped after about 60 seconds.  Dizziness lasted for about 20 minutes and slight headache lasted for a few hours.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: patient came down with Shingles. Was treated with gabapentin and acyclovir. 01/21/2009 Office note received from PCP DOS 1/14/09 with dx: Shingles outbreak.  Pt had Zostavax vaccine 5/1/2007. Pt noted rash with general malaise and arthralgias. Scattered vessicles on R chest wall in mid-thoracic dermatome distribution. Tx: Acyclovir and Neurontin
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Blister, Herpes zoster, Malaise, Rash
Clinical narrative: patient came down with Shingles. Was treated with gabapentin and acyclovir. 01/21/2009 Office note received from PCP DOS 1/14/09 with dx: Shingles outbreak.  Pt had Zostavax vaccine 5/1/2007. Pt noted rash with general malaise and arthralgias. Scattered vessicles on R chest wall in mid-thoracic dermatome distribution. Tx: Acyclovir and Neurontin
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Aphonia, Asthenia, Barium swallow, Fall, Nuclear magnetic resonance imaging
Clinical narrative: SHE RECEIVED THE FLU SHOT IN MID-OCTOBER AND DISPLAYED A FEVER DURING VETERAN'S DAY WEEKEND WITH NO OTHER SYMPTOMS.  SHE FELL OFF THE MONKEY BARS AT SCHOOL ON NOV 13 AND STARTED TO COMPLAIN OF TINGLING AND LOSS OF 'CONTROL' OF LIMBS ON RIGHT SIDE ON NOV 14.  SHE STARTED LOSING HER VOICE NOV 30.  SHE COMPLAINED OF HER HEAD TINGLING ON DEC 9 AND SUBSEQUENTLY WENT TO DOCTOR ON DEC 10 AND HAS HAD MRI'S, NERVE CONDUCTION TESTS, ETC AND WAS FINALLY DIAGNOSED WITH GBS ON/ABOUT DEC 12. 1/16/09-records received for DOS 12/10-12/13/08-DC DX: Guillain-Barre syndrome. Presented with C/O tingling all four extremities for about 4 weeks, back pain and leg pain. Day prior to hospitalization fell from monkey bar approximately 6 feet high. Subsequently C/O tingling in all 4 extremities. Seen by chiropractor. Few days later lost voice, whispery and hypophonic. DX: sciatica and recommended bedrest for 1 month. PE: reflexes absent ankle and knee jerk bilaerally. 12/29/08-follow-up visit with neurology, after 12/25/08 developed left facial palsy and at time of visit nearly resolved.  Voice remains with whisper and occasionally chokes on liquids. Jerky gait. Mild weaknesses throughout. 1/9/09-admitted with multiple cranial nerve palsy.  Began IVIG.  Discharged 1/13/09.  Follow-up 2/16/2010: Patient was down graded from GBS to CIDP and is getting monthly IVIG treatments.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: SHE RECEIVED THE FLU SHOT IN MID-OCTOBER AND DISPLAYED A FEVER DURING VETERAN'S DAY WEEKEND WITH NO OTHER SYMPTOMS.  SHE FELL OFF THE MONKEY BARS AT SCHOOL ON NOV 13 AND STARTED TO COMPLAIN OF TINGLING AND LOSS OF 'CONTROL' OF LIMBS ON RIGHT SIDE ON NOV 14.  SHE STARTED LOSING HER VOICE NOV 30.  SHE COMPLAINED OF HER HEAD TINGLING ON DEC 9 AND SUBSEQUENTLY WENT TO DOCTOR ON DEC 10 AND HAS HAD MRI'S, NERVE CONDUCTION TESTS, ETC AND WAS FINALLY DIAGNOSED WITH GBS ON/ABOUT DEC 12. 1/16/09-records received for DOS 12/10-12/13/08-DC DX: Guillain-Barre syndrome. Presented with C/O tingling all four extremities for about 4 weeks, back pain and leg pain. Day prior to hospitalization fell from monkey bar approximately 6 feet high. Subsequently C/O tingling in all 4 extremities. Seen by chiropractor. Few days later lost voice, whispery and hypophonic. DX: sciatica and recommended bedrest for 1 month. PE: reflexes absent ankle and knee jerk bilaerally. 12/29/08-follow-up visit with neurology, after 12/25/08 developed left facial palsy and at time of visit nearly resolved.  Voice remains with whisper and occasionally chokes on liquids. Jerky gait. Mild weaknesses throughout. 1/9/09-admitted with multiple cranial nerve palsy.  Began IVIG.  Discharged 1/13/09.  Follow-up 2/16/2010: Patient was down graded from GBS to CIDP and is getting monthly IVIG treatments.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Anorexia, Chills, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Fever at least 103, chills, fatigue, loss of appetite, diarrhea, vomiting; vomiting lasted at least 2 days (ongoing but getting better)
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Vomiting
Clinical narrative: Fever at least 103, chills, fatigue, loss of appetite, diarrhea, vomiting; vomiting lasted at least 2 days (ongoing but getting better)
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Cough, Dyskinesia, Epstein-Barr virus test positive, Full blood count normal
Clinical narrative: Description: 47 y/o female AD SM reports the onset of undocumented fever chills commencing 3 days after BIOTHRAX. SM went on to develop cough chest soreness, and other oral difficulties including painful swallowing and difficulty opening her mouth. She needed evaluations by ENT and her PCP. The member was concerned her symptoms could be related to her receipt of BIOTHRAX. Flu-like symptoms> 96 hours Start: 12/03/2007 Comment: Flu-like symptoms started some 3 days after AVA #6. The symptoms persisted beyond 5 December 07. Chest pain Start: 12/05/2007 Comment: The chest discomfort was described more as a 'soreness'. The chest soreness was accompanied by a cough. Odynophagia (burning pain w/swallowing) Start: 12/18/2007. SM also noted difficulty opening the mouth. She was referred by her PCP to ENT for an emergency CAT scan.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Influenza like illness, Metabolic function test, Musculoskeletal chest pain, Odynophagia, Pyrexia
Clinical narrative: Description: 47 y/o female AD SM reports the onset of undocumented fever chills commencing 3 days after BIOTHRAX. SM went on to develop cough chest soreness, and other oral difficulties including painful swallowing and difficulty opening her mouth. She needed evaluations by ENT and her PCP. The member was concerned her symptoms could be related to her receipt of BIOTHRAX. Flu-like symptoms> 96 hours Start: 12/03/2007 Comment: Flu-like symptoms started some 3 days after AVA #6. The symptoms persisted beyond 5 December 07. Chest pain Start: 12/05/2007 Comment: The chest discomfort was described more as a 'soreness'. The chest soreness was accompanied by a cough. Odynophagia (burning pain w/swallowing) Start: 12/18/2007. SM also noted difficulty opening the mouth. She was referred by her PCP to ENT for an emergency CAT scan.
Age: 20.0
Sex: U
Vaccine: FLU3, MEN, TD
Symptoms: Cough, Lacrimation increased, Nasal congestion, Pain, Postnasal drip
Clinical narrative: The patient states with every flu vaccination since 2000 he will have URI symptoms (post nasal drip, nasal congestion, rhinnorhea, dry cough, watery eyes, rare body aches. No fever, sneezing, itchy eyes, N, V, D, severe body aches) starting 2-3 days after the vaccination and lasting 2-4 days. He treats the symptoms with OTC meds. He will be symptom free for about 4 weeks and then the cycle will repeat for 7-8 months. These sysmtoms do not result in the need to increase the use of this albuterol inhaler which he typically uses 2 times per week. In 2004 and 2006 when he did not have the influenza vaccination the pt did not experience these symptoms. Symptoms: Nasal Drainage, Watery eyes, Cough dry.
Age: 20.0
Sex: U
Vaccine: FLU3, MEN, TD
Symptoms: Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: The patient states with every flu vaccination since 2000 he will have URI symptoms (post nasal drip, nasal congestion, rhinnorhea, dry cough, watery eyes, rare body aches. No fever, sneezing, itchy eyes, N, V, D, severe body aches) starting 2-3 days after the vaccination and lasting 2-4 days. He treats the symptoms with OTC meds. He will be symptom free for about 4 weeks and then the cycle will repeat for 7-8 months. These sysmtoms do not result in the need to increase the use of this albuterol inhaler which he typically uses 2 times per week. In 2004 and 2006 when he did not have the influenza vaccination the pt did not experience these symptoms. Symptoms: Nasal Drainage, Watery eyes, Cough dry.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial pain, Lymphadenopathy, Rash macular, Tenderness
Clinical narrative: Pt came in c/o pain to L side of face from nose to L ear and L scalp - tender to touch.  No lesions noted except for small macule on L upper eyelid and some shotty L nodes.  Sx occurred approximately 5 days post ZOSTAVAX.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration
Clinical narrative: Mild local hypersensitivity Rxn to vaccine & erythema/induration in L deltoid
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash generalised
Clinical narrative: Injection given on 01/13/09 in arm. Mom gave child Tylenol after injection at home. At 4:00Am (1-14-09) mom noticed rash on child all over body. Seen MD today at 9:15 AM
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Rash- has been to 2 Doctors who say it is not related to the ZOSTAVAX injection.  Rash is over trunk but she feels it is spreading.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dermatitis, Rash
Clinical narrative: Rash- has been to 2 Doctors who say it is not related to the ZOSTAVAX injection.  Rash is over trunk but she feels it is spreading.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Rt arm red & swelled where VARIVAX was given
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Lethargy, Pain
Clinical narrative: C/O chills, fever, headache, body aches and joint pain, lethargy x 6 days.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: C/O chills, fever, headache, body aches and joint pain, lethargy x 6 days.
Age: 1.2
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: There is a 6x7cm hard red patch on left leg at injection site.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Eye swelling, Pruritus
Clinical narrative: Patient eyes swollen shut, itchy. BENADRYL 2 Tsp PO Q6 PRN.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Rash erythematous
Clinical narrative: 3 erythematous areas distal to site of injection. Non tender, non indurated 1 cm in diameter.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Nausea
Clinical narrative: Lower abdominal discomfort, onset 4 days after injection with nausea.  Symptoms lasted X 5 days.
Age: 55.0
Sex: F
Vaccine: HEP, MMR, TDAP, HEP, MEA, RUB
Symptoms: Anaemia, Psoriasis, Rash
Clinical narrative: This case was reported by a consumer and described the occurrence of psoriasis in a 56-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. Previous and/or concurrent vaccinations included bacillus calmette-guerin vaccine (non-gsk); manufacturer unspecified; unknown; unknown given on 24 October 2008; live attenuated measles vaccine; manufacturer unspecified; unknown; unknown given on 24 October 2008; live attenuated rubella vaccine; manufacturer unspecified; unknown; unknown given on 24 October 2008. Concurrent medications included "Maxim" (Unknown) and Blood pressure medication. On 24 October 2008 at 16:00, the subject received 1st dose of ENGERIX B (1 ml, unknown, left arm). Three or four days after vaccination with ENGERIX B, the subject experienced arms itching. Two weeks after vaccination with ENGERIX B, the subject experienced itching (pruritus) all over body. In November 2008, at an unspecified time after vaccination with ENGERIX B, the subject experienced low blood pressure. On 10 December 2008, 47 days after vaccination with ENGERIX B, the subject experienced psoriasis. The subject reported experiencing itching all over from thighs up. The subject was diagnosed by dermatologist as psoriasis on 10 December 2008 and was prescribed steroidal cream. This case was assessed as medically serious by GSK. At the time of reporting the events were improved.
Age: 55.0
Sex: F
Vaccine: HEP, MMR, TDAP, HEP, MEA, RUB
Symptoms: Hypotension, Pruritus generalised, Psoriasis
Clinical narrative: This case was reported by a consumer and described the occurrence of psoriasis in a 56-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). A physician or other health care professional has not verified this report. Previous and/or concurrent vaccinations included bacillus calmette-guerin vaccine (non-gsk); manufacturer unspecified; unknown; unknown given on 24 October 2008; live attenuated measles vaccine; manufacturer unspecified; unknown; unknown given on 24 October 2008; live attenuated rubella vaccine; manufacturer unspecified; unknown; unknown given on 24 October 2008. Concurrent medications included "Maxim" (Unknown) and Blood pressure medication. On 24 October 2008 at 16:00, the subject received 1st dose of ENGERIX B (1 ml, unknown, left arm). Three or four days after vaccination with ENGERIX B, the subject experienced arms itching. Two weeks after vaccination with ENGERIX B, the subject experienced itching (pruritus) all over body. In November 2008, at an unspecified time after vaccination with ENGERIX B, the subject experienced low blood pressure. On 10 December 2008, 47 days after vaccination with ENGERIX B, the subject experienced psoriasis. The subject reported experiencing itching all over from thighs up. The subject was diagnosed by dermatologist as psoriasis on 10 December 2008 and was prescribed steroidal cream. This case was assessed as medically serious by GSK. At the time of reporting the events were improved.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Anal fissure, Anxiety
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: Asthenia, Constipation, Dehydration, Diarrhoea, Diet refusal
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.