chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: DT, TYP, YF, TD, TYP, YF, TD, TYP, YF
Symptoms: CSF white blood cell count increased, Chills, Computerised tomogram abnormal, Faecaloma, Headache
Clinical narrative: Initial report received on 07 March 2008 from the Centers for Disease Control and Prevention's Yellow Fever Working Group, VAERS# 304960. A 23-year-old male patient had received an injection of YF-VAX (first dose), TYPHIM VI, and Td, manufacturer not reported; on 19 December 2007. Lot numbers were not reported. At an unknown interval post-vaccination, the patient developed a fever (temperature not specified) and a rash. He then took a trip. On 01 February 2008, the patient was hospitalized for six days for encephalomyelitis. He was treated with intravenous steroids and "improved." Serum IgM was positive and IgG was negative. Cerebrospinal fluid was IgM positive. Additional information was not provided. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) on 30 June 2008. The patient had an acute onset of lower greater than upper extremity weakness and numbness after returning from a trip. He was hospitalized on 08 February 2008 and was diagnosed with encephalomyelitis with urinary retention. It was felt that the patient likely had encephalomyelitis secondary to possible yellow fever vaccination. He initially had complained of severe frontal headache, fever, urinary and fecal retention, as well as cutaneous hyperesthesia. He had evidence of CNS inflammation on analysis of his spinal fluid. He was noted to have mosquito bites, fever and chills. His CSF showed elevated protein, WBC 40 with lymphocytes. An MRI of the brain showed no abnormalities. A CT of the abdomen and pelvis disclosed a large amount of stool in the colon. The patient was discharged from the hospital on 18 February and readmitted on 23 February 2008. He presented with a headache, nausea, vomiting, and ataxia since the day before. A suprapubic catheter was placed. An MRI of the spine was completed on 25 February 2008 and favored a viral or immune mediated encephalomyelitis. There was an interval improvement of ill-defined patchy signal abnormality throughout the cervical and thoracic cordas. There was also a new T2 hyperintense lesion involving the left middle cerebellar peduncle, pons, and left medullary pyramid since 08 February 2008. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) (VAERS ID # 304960) on 30 September 2008. Day 7 (relative to symptom onset) serum and CSF (cerebrospinal fluid) specimens were obtained. Results support the development of an antibody response in the periphery. There was IgM detected against YF in the CSF but the PRNTs (serum dilution-plaque reduction neutralization tests) were low 1:2. Given the delay between vaccination and the onset of symptoms, in conjunction with the laboratory results, the CDC neurologist thought that this case was consistent with post vaccination ADEM (acute disseminated encephalomyelitis). Per this information, diagnosis has been amended to acute disseminated encephalomyelitis.
Age: 23.0
Sex: M
Vaccine: DT, TYP, YF, TD, TYP, YF, TD, TYP, YF
Symptoms: Hyperaesthesia, Hypoaesthesia, Leukoencephalomyelitis, Nausea, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Initial report received on 07 March 2008 from the Centers for Disease Control and Prevention's Yellow Fever Working Group, VAERS# 304960. A 23-year-old male patient had received an injection of YF-VAX (first dose), TYPHIM VI, and Td, manufacturer not reported; on 19 December 2007. Lot numbers were not reported. At an unknown interval post-vaccination, the patient developed a fever (temperature not specified) and a rash. He then took a trip. On 01 February 2008, the patient was hospitalized for six days for encephalomyelitis. He was treated with intravenous steroids and "improved." Serum IgM was positive and IgG was negative. Cerebrospinal fluid was IgM positive. Additional information was not provided. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) on 30 June 2008. The patient had an acute onset of lower greater than upper extremity weakness and numbness after returning from a trip. He was hospitalized on 08 February 2008 and was diagnosed with encephalomyelitis with urinary retention. It was felt that the patient likely had encephalomyelitis secondary to possible yellow fever vaccination. He initially had complained of severe frontal headache, fever, urinary and fecal retention, as well as cutaneous hyperesthesia. He had evidence of CNS inflammation on analysis of his spinal fluid. He was noted to have mosquito bites, fever and chills. His CSF showed elevated protein, WBC 40 with lymphocytes. An MRI of the brain showed no abnormalities. A CT of the abdomen and pelvis disclosed a large amount of stool in the colon. The patient was discharged from the hospital on 18 February and readmitted on 23 February 2008. He presented with a headache, nausea, vomiting, and ataxia since the day before. A suprapubic catheter was placed. An MRI of the spine was completed on 25 February 2008 and favored a viral or immune mediated encephalomyelitis. There was an interval improvement of ill-defined patchy signal abnormality throughout the cervical and thoracic cordas. There was also a new T2 hyperintense lesion involving the left middle cerebellar peduncle, pons, and left medullary pyramid since 08 February 2008. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) (VAERS ID # 304960) on 30 September 2008. Day 7 (relative to symptom onset) serum and CSF (cerebrospinal fluid) specimens were obtained. Results support the development of an antibody response in the periphery. There was IgM detected against YF in the CSF but the PRNTs (serum dilution-plaque reduction neutralization tests) were low 1:2. Given the delay between vaccination and the onset of symptoms, in conjunction with the laboratory results, the CDC neurologist thought that this case was consistent with post vaccination ADEM (acute disseminated encephalomyelitis). Per this information, diagnosis has been amended to acute disseminated encephalomyelitis.
Age: 23.0
Sex: M
Vaccine: DT, TYP, YF, TD, TYP, YF, TD, TYP, YF
Symptoms: Nuclear magnetic resonance imaging brain normal, Pyrexia, Rash, Urinary retention, Vomiting
Clinical narrative: Initial report received on 07 March 2008 from the Centers for Disease Control and Prevention's Yellow Fever Working Group, VAERS# 304960. A 23-year-old male patient had received an injection of YF-VAX (first dose), TYPHIM VI, and Td, manufacturer not reported; on 19 December 2007. Lot numbers were not reported. At an unknown interval post-vaccination, the patient developed a fever (temperature not specified) and a rash. He then took a trip. On 01 February 2008, the patient was hospitalized for six days for encephalomyelitis. He was treated with intravenous steroids and "improved." Serum IgM was positive and IgG was negative. Cerebrospinal fluid was IgM positive. Additional information was not provided. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) on 30 June 2008. The patient had an acute onset of lower greater than upper extremity weakness and numbness after returning from a trip. He was hospitalized on 08 February 2008 and was diagnosed with encephalomyelitis with urinary retention. It was felt that the patient likely had encephalomyelitis secondary to possible yellow fever vaccination. He initially had complained of severe frontal headache, fever, urinary and fecal retention, as well as cutaneous hyperesthesia. He had evidence of CNS inflammation on analysis of his spinal fluid. He was noted to have mosquito bites, fever and chills. His CSF showed elevated protein, WBC 40 with lymphocytes. An MRI of the brain showed no abnormalities. A CT of the abdomen and pelvis disclosed a large amount of stool in the colon. The patient was discharged from the hospital on 18 February and readmitted on 23 February 2008. He presented with a headache, nausea, vomiting, and ataxia since the day before. A suprapubic catheter was placed. An MRI of the spine was completed on 25 February 2008 and favored a viral or immune mediated encephalomyelitis. There was an interval improvement of ill-defined patchy signal abnormality throughout the cervical and thoracic cordas. There was also a new T2 hyperintense lesion involving the left middle cerebellar peduncle, pons, and left medullary pyramid since 08 February 2008. Follow-up information was received from the Centers for Disease Control and Prevention (CDC) (VAERS ID # 304960) on 30 September 2008. Day 7 (relative to symptom onset) serum and CSF (cerebrospinal fluid) specimens were obtained. Results support the development of an antibody response in the periphery. There was IgM detected against YF in the CSF but the PRNTs (serum dilution-plaque reduction neutralization tests) were low 1:2. Given the delay between vaccination and the onset of symptoms, in conjunction with the laboratory results, the CDC neurologist thought that this case was consistent with post vaccination ADEM (acute disseminated encephalomyelitis). Per this information, diagnosis has been amended to acute disseminated encephalomyelitis.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Depressed level of consciousness, Dysphagia, Eyelid oedema, Flushing, Lip swelling
Clinical narrative: Information has been received from a physician (also reported to VAERS - temporary # E24922) concerning a 5 year old male who, on 24-SEP-2008 at 4:15 pm, was vaccinated with a second dose of MMR II (manufactured with rHA), (Lot # 660209/1119X), SC, right arm. Suspect therapy included a second dose of VARIVAX, (Lot # 661556/1002X), SC, left arm. Concomitant therapy included FLUMIST (MEDIMMUNE VACCINES, INC.) (Lot # 500545P), intranasal; a fifth dose of DAPTACEL (SANOFI PASTEUR), (Lot # C2956AA), IM, left arm; and a fourth dose of IPOL (SANOFI PASTEUR) (Lot # A0836), IM, right arm. On 24-SEP-2008 at 4:45 pm, 30 minutes after leaving the (physician's) office and after receiving immunizations at his well child check, the patient returned with his mother. At the time of his return, he was flushed with hives present; eyelids, tongue, and lips were swollen, the patient was having difficulty swallowing; and there was decreased responsiveness (eyes open but not talking). 911 was called. The patient was tachycardic upon exam by responsible physician with normal respiratory rates. An Epi-pen Jr. was administered to the patient's left thigh. Oxygen saturation was 96-98%. Paramedics arrived within 5 minutes and the patient was transported to the emergency room in stable condition for further evaluation and unspecified treatment. The patient recovered and was released. No product quality issues were involved. Upon internal review, the event of drug hypersensitivity was considered to be an other important medical event. No further information is available.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Oxygen saturation normal, Respiratory rate, Swollen tongue, Tachycardia, Urticaria
Clinical narrative: Information has been received from a physician (also reported to VAERS - temporary # E24922) concerning a 5 year old male who, on 24-SEP-2008 at 4:15 pm, was vaccinated with a second dose of MMR II (manufactured with rHA), (Lot # 660209/1119X), SC, right arm. Suspect therapy included a second dose of VARIVAX, (Lot # 661556/1002X), SC, left arm. Concomitant therapy included FLUMIST (MEDIMMUNE VACCINES, INC.) (Lot # 500545P), intranasal; a fifth dose of DAPTACEL (SANOFI PASTEUR), (Lot # C2956AA), IM, left arm; and a fourth dose of IPOL (SANOFI PASTEUR) (Lot # A0836), IM, right arm. On 24-SEP-2008 at 4:45 pm, 30 minutes after leaving the (physician's) office and after receiving immunizations at his well child check, the patient returned with his mother. At the time of his return, he was flushed with hives present; eyelids, tongue, and lips were swollen, the patient was having difficulty swallowing; and there was decreased responsiveness (eyes open but not talking). 911 was called. The patient was tachycardic upon exam by responsible physician with normal respiratory rates. An Epi-pen Jr. was administered to the patient's left thigh. Oxygen saturation was 96-98%. Paramedics arrived within 5 minutes and the patient was transported to the emergency room in stable condition for further evaluation and unspecified treatment. The patient recovered and was released. No product quality issues were involved. Upon internal review, the event of drug hypersensitivity was considered to be an other important medical event. No further information is available.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Drug hypersensitivity, Dysphagia, Eyelid oedema, Flushing, Hypokinesia
Clinical narrative: Information has been received from a physician (also reported to VAERS - temporary # E24922) concerning a 5 year old male who, on 24-SEP-2008 at 4:15 pm, was vaccinated with a second dose of MMR II (manufactured with rHA), (Lot # 660209/1119X), SC, right arm. Suspect therapy included a second dose of VARIVAX, (Lot # 661556/1002X), SC, left arm. Concomitant therapy included FLUMIST (MEDIMMUNE VACCINES, INC.) (Lot # 500545P), intranasal; a fifth dose of DAPTACEL (SANOFI PASTEUR), (Lot # C2956AA), IM, left arm; and a fourth dose of IPOL (SANOFI PASTEUR) (Lot # A0836), IM, right arm. On 24-SEP-2008 at 4:45 pm, 30 minutes after leaving the (physician's) office and after receiving immunizations at his well child check, the patient returned with his mother. At the time of his return, he was flushed with hives present; eyelids, tongue, and lips were swollen, the patient was having difficulty swallowing; and there was decreased responsiveness (eyes open but not talking). 911 was called. The patient was tachycardic upon exam by responsible physician with normal respiratory rates. An Epi-pen Jr. was administered to the patient's left thigh. Oxygen saturation was 96-98%. Paramedics arrived within 5 minutes and the patient was transported to the emergency room in stable condition for further evaluation and unspecified treatment. The patient recovered and was released. No product quality issues were involved. Upon internal review, the event of drug hypersensitivity was considered to be an other important medical event. No further information is available.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Lip swelling, Swollen tongue, Tachycardia, Urticaria
Clinical narrative: Information has been received from a physician (also reported to VAERS - temporary # E24922) concerning a 5 year old male who, on 24-SEP-2008 at 4:15 pm, was vaccinated with a second dose of MMR II (manufactured with rHA), (Lot # 660209/1119X), SC, right arm. Suspect therapy included a second dose of VARIVAX, (Lot # 661556/1002X), SC, left arm. Concomitant therapy included FLUMIST (MEDIMMUNE VACCINES, INC.) (Lot # 500545P), intranasal; a fifth dose of DAPTACEL (SANOFI PASTEUR), (Lot # C2956AA), IM, left arm; and a fourth dose of IPOL (SANOFI PASTEUR) (Lot # A0836), IM, right arm. On 24-SEP-2008 at 4:45 pm, 30 minutes after leaving the (physician's) office and after receiving immunizations at his well child check, the patient returned with his mother. At the time of his return, he was flushed with hives present; eyelids, tongue, and lips were swollen, the patient was having difficulty swallowing; and there was decreased responsiveness (eyes open but not talking). 911 was called. The patient was tachycardic upon exam by responsible physician with normal respiratory rates. An Epi-pen Jr. was administered to the patient's left thigh. Oxygen saturation was 96-98%. Paramedics arrived within 5 minutes and the patient was transported to the emergency room in stable condition for further evaluation and unspecified treatment. The patient recovered and was released. No product quality issues were involved. Upon internal review, the event of drug hypersensitivity was considered to be an other important medical event. No further information is available.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Blood test normal, Convulsion, Electromyogram abnormal, Headache, Hypoaesthesia
Clinical narrative: When I got home from the hospital I was fine.  I had some dinner and fell asleep on my recliner. When I woke up my left leg felt diffrent. I remember I wiggled my left foot around and I knew something was wrong.Getting off the chair I felt some cramping in my left calf and a numb thick feeling on the bottom and left side of my foot. As time went on the cramping got worse and tingeling in my hands started. By the time I went In for my fourth vaccination shot of RabAvert my right foot was 1/4% numb and the left foot 1/2% numb and very painful and time frame August 27, 2007. Medication given were: Tramadol HCL 50 mg - Diazepan 2 mg - Ibuprofen 800 mg - Amitriptyline HCL 25 mg.  At the end of November my health was getting worse and my worker's comp doctor took me off work on December 3rd 2007. These are the first symptoms in 2007. My workers' comp doctor released me from his care on March 11th 2008 saying that these side effect have nothing to do with the rabies vaccinations (RabAvert). My health continues to worsen my own private doctor says that it looks like Perrpneral Neuropathy and Cephalgra (shooting pain in the head). The medications I'm on now are Gabapentin 300 mg for nerve pain and Carbamazepine 200 mg to prevent and control seizures. Please feel free to contact me anytime.  Thank You 11/18/08-records received for DOS 08/1/07-Presented with bite by feral cat. Immediately after vaccine developed pain in left calf and numbness in lateral aspect of foot 3 days prior to 8/17/07-DX: possible adverse reaction to rabies vaccine. Second vaccine given 8/17/07. 8/31/07-worsening complaints of paresthesia in lower extremities radiating all way to hip. Under stress at home and work. Received next dose of rabies vaccine.  9/10/07-increasing pain in left lower extremity now in heel burning radicular fashion, paresthesias in first 3 fingers of left hand. Received last rabies vaccine. 9/21/07-increasing problems with worsening pain in left heel and spasms in right shoulder, episodic disorientation while driving and headaches. 9/24/07-increasing paresthesias with some improvement in tingling. Possible conversion reaction.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Impaired work ability, Muscle spasms, Nerve conduction studies normal, Neuralgia, Neuropathy peripheral
Clinical narrative: When I got home from the hospital I was fine.  I had some dinner and fell asleep on my recliner. When I woke up my left leg felt diffrent. I remember I wiggled my left foot around and I knew something was wrong.Getting off the chair I felt some cramping in my left calf and a numb thick feeling on the bottom and left side of my foot. As time went on the cramping got worse and tingeling in my hands started. By the time I went In for my fourth vaccination shot of RabAvert my right foot was 1/4% numb and the left foot 1/2% numb and very painful and time frame August 27, 2007. Medication given were: Tramadol HCL 50 mg - Diazepan 2 mg - Ibuprofen 800 mg - Amitriptyline HCL 25 mg.  At the end of November my health was getting worse and my worker's comp doctor took me off work on December 3rd 2007. These are the first symptoms in 2007. My workers' comp doctor released me from his care on March 11th 2008 saying that these side effect have nothing to do with the rabies vaccinations (RabAvert). My health continues to worsen my own private doctor says that it looks like Perrpneral Neuropathy and Cephalgra (shooting pain in the head). The medications I'm on now are Gabapentin 300 mg for nerve pain and Carbamazepine 200 mg to prevent and control seizures. Please feel free to contact me anytime.  Thank You 11/18/08-records received for DOS 08/1/07-Presented with bite by feral cat. Immediately after vaccine developed pain in left calf and numbness in lateral aspect of foot 3 days prior to 8/17/07-DX: possible adverse reaction to rabies vaccine. Second vaccine given 8/17/07. 8/31/07-worsening complaints of paresthesia in lower extremities radiating all way to hip. Under stress at home and work. Received next dose of rabies vaccine.  9/10/07-increasing pain in left lower extremity now in heel burning radicular fashion, paresthesias in first 3 fingers of left hand. Received last rabies vaccine. 9/21/07-increasing problems with worsening pain in left heel and spasms in right shoulder, episodic disorientation while driving and headaches. 9/24/07-increasing paresthesias with some improvement in tingling. Possible conversion reaction.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging normal, Pain in extremity, Paraesthesia, Scan brain
Clinical narrative: When I got home from the hospital I was fine.  I had some dinner and fell asleep on my recliner. When I woke up my left leg felt diffrent. I remember I wiggled my left foot around and I knew something was wrong.Getting off the chair I felt some cramping in my left calf and a numb thick feeling on the bottom and left side of my foot. As time went on the cramping got worse and tingeling in my hands started. By the time I went In for my fourth vaccination shot of RabAvert my right foot was 1/4% numb and the left foot 1/2% numb and very painful and time frame August 27, 2007. Medication given were: Tramadol HCL 50 mg - Diazepan 2 mg - Ibuprofen 800 mg - Amitriptyline HCL 25 mg.  At the end of November my health was getting worse and my worker's comp doctor took me off work on December 3rd 2007. These are the first symptoms in 2007. My workers' comp doctor released me from his care on March 11th 2008 saying that these side effect have nothing to do with the rabies vaccinations (RabAvert). My health continues to worsen my own private doctor says that it looks like Perrpneral Neuropathy and Cephalgra (shooting pain in the head). The medications I'm on now are Gabapentin 300 mg for nerve pain and Carbamazepine 200 mg to prevent and control seizures. Please feel free to contact me anytime.  Thank You 11/18/08-records received for DOS 08/1/07-Presented with bite by feral cat. Immediately after vaccine developed pain in left calf and numbness in lateral aspect of foot 3 days prior to 8/17/07-DX: possible adverse reaction to rabies vaccine. Second vaccine given 8/17/07. 8/31/07-worsening complaints of paresthesia in lower extremities radiating all way to hip. Under stress at home and work. Received next dose of rabies vaccine.  9/10/07-increasing pain in left lower extremity now in heel burning radicular fashion, paresthesias in first 3 fingers of left hand. Received last rabies vaccine. 9/21/07-increasing problems with worsening pain in left heel and spasms in right shoulder, episodic disorientation while driving and headaches. 9/24/07-increasing paresthesias with some improvement in tingling. Possible conversion reaction.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Cognitive disorder, Electromyogram abnormal, Facial pain, Neuropathy peripheral, Nuclear magnetic resonance imaging abnormal
Clinical narrative: When I got home from the hospital I was fine.  I had some dinner and fell asleep on my recliner. When I woke up my left leg felt diffrent. I remember I wiggled my left foot around and I knew something was wrong.Getting off the chair I felt some cramping in my left calf and a numb thick feeling on the bottom and left side of my foot. As time went on the cramping got worse and tingeling in my hands started. By the time I went In for my fourth vaccination shot of RabAvert my right foot was 1/4% numb and the left foot 1/2% numb and very painful and time frame August 27, 2007. Medication given were: Tramadol HCL 50 mg - Diazepan 2 mg - Ibuprofen 800 mg - Amitriptyline HCL 25 mg.  At the end of November my health was getting worse and my worker's comp doctor took me off work on December 3rd 2007. These are the first symptoms in 2007. My workers' comp doctor released me from his care on March 11th 2008 saying that these side effect have nothing to do with the rabies vaccinations (RabAvert). My health continues to worsen my own private doctor says that it looks like Perrpneral Neuropathy and Cephalgra (shooting pain in the head). The medications I'm on now are Gabapentin 300 mg for nerve pain and Carbamazepine 200 mg to prevent and control seizures. Please feel free to contact me anytime.  Thank You 11/18/08-records received for DOS 08/1/07-Presented with bite by feral cat. Immediately after vaccine developed pain in left calf and numbness in lateral aspect of foot 3 days prior to 8/17/07-DX: possible adverse reaction to rabies vaccine. Second vaccine given 8/17/07. 8/31/07-worsening complaints of paresthesia in lower extremities radiating all way to hip. Under stress at home and work. Received next dose of rabies vaccine.  9/10/07-increasing pain in left lower extremity now in heel burning radicular fashion, paresthesias in first 3 fingers of left hand. Received last rabies vaccine. 9/21/07-increasing problems with worsening pain in left heel and spasms in right shoulder, episodic disorientation while driving and headaches. 9/24/07-increasing paresthesias with some improvement in tingling. Possible conversion reaction.
Age: 49.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Pain in extremity
Clinical narrative: When I got home from the hospital I was fine.  I had some dinner and fell asleep on my recliner. When I woke up my left leg felt diffrent. I remember I wiggled my left foot around and I knew something was wrong.Getting off the chair I felt some cramping in my left calf and a numb thick feeling on the bottom and left side of my foot. As time went on the cramping got worse and tingeling in my hands started. By the time I went In for my fourth vaccination shot of RabAvert my right foot was 1/4% numb and the left foot 1/2% numb and very painful and time frame August 27, 2007. Medication given were: Tramadol HCL 50 mg - Diazepan 2 mg - Ibuprofen 800 mg - Amitriptyline HCL 25 mg.  At the end of November my health was getting worse and my worker's comp doctor took me off work on December 3rd 2007. These are the first symptoms in 2007. My workers' comp doctor released me from his care on March 11th 2008 saying that these side effect have nothing to do with the rabies vaccinations (RabAvert). My health continues to worsen my own private doctor says that it looks like Perrpneral Neuropathy and Cephalgra (shooting pain in the head). The medications I'm on now are Gabapentin 300 mg for nerve pain and Carbamazepine 200 mg to prevent and control seizures. Please feel free to contact me anytime.  Thank You 11/18/08-records received for DOS 08/1/07-Presented with bite by feral cat. Immediately after vaccine developed pain in left calf and numbness in lateral aspect of foot 3 days prior to 8/17/07-DX: possible adverse reaction to rabies vaccine. Second vaccine given 8/17/07. 8/31/07-worsening complaints of paresthesia in lower extremities radiating all way to hip. Under stress at home and work. Received next dose of rabies vaccine.  9/10/07-increasing pain in left lower extremity now in heel burning radicular fashion, paresthesias in first 3 fingers of left hand. Received last rabies vaccine. 9/21/07-increasing problems with worsening pain in left heel and spasms in right shoulder, episodic disorientation while driving and headaches. 9/24/07-increasing paresthesias with some improvement in tingling. Possible conversion reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Infection
Clinical narrative: Information has been received from a health professional concerning a 55 year old female who on 03-OCT-2008, in the afternoon, was vaccinated with a dose of PNEUMOVAX23 (Lot # 660718/0551X). Concomitant therapy included FLUVIRIN administered in the opposite arm. On 03-OCT-2008, "later that night", the patient was admitted to the hospital with an infection of her arm that was vaccinated with PNEUMOVAX 23. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Aphasia, Convulsion, Disorientation, Fall
Clinical narrative: Information has been received from a consumer concerning her daughter a 14 year old female with migraine who on 07-SEP-2007, 14-NOV-2008 and 19-MAR-2008 was administered her first, second and third doses with GARDASIL. Concomitant therapy included propranolol HCL. On 19-MAY-2008 the patient experienced seizure. On 20-MAY 2008 the patient "had another seizure in her sleep. Her eyes rolled back into her head", subsequently she was hospitalized for 5 days. On 23-AUG-2008 the patient came into the house "disoriented" after falling outside. Her mother suspected she had a seizure. The hospital did an X-ray which came out fine. Patient's right arm could not move, she did not remember the falling incident, and she was not herself at all. One of her eyes would go off to the side and her other eye to the other side, her mouth was twisted, her right side paralyzed, and she could not walk or talk or feel her right side. Even though her vision was checked and was 20/20, the patient's eyes still "kind of go off to the side when being talked to." Lab diagnostics studies performed included: MRI, MRA, EKG, EEG, X-ray, tests for drugs, heart problems diabetes, STD's, and pregnancy (results not reported). The patient will see a neurologist 09-OCT-2008. The patient present status was unknown. No more information reported. Upon internal review, right side paralysis was considered to be an other important event. Additional information has been requested.  12/2/08 Reviewed hospital medical records of 5/20-5/24/2008. FINAL DX: right-sided weakness; possible seizures Records reveal patient experienced episodes of weakness & unresponsiveness. Had been picked up from school w/migraine HA.  Had posturing movements, was unresponsive, & collapsed in restaurant.  Taken to ER & released.  Next AM had recurrent symptoms.  Taken to peds clinic & admitted.   Neuro consult done.  11/18/08 Reviewed neuro medical records of 06/12/2008. FINAL DX: Spell, seizure vs complex migraines vs non-epileptic/functional; HA migraines vs stress vs functional; Chiari brain malformation; abnormal EEG. Record reveals patient experienced migraine HA then began posturing, gaze palsy, drooling, unable to talk lasting approx 3 min.  Seen & released from ER w/EKG & tox screen neg.  Difficulty awakening next AM & then had another episode similar to initial episode.  Unable to use right arm for approx 1 hour.  No memory of either event.  Meds prescribed & referred for MRI of c-spine to rule out syrinx.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Gaze palsy, Hemiplegia, Ophthalmological examination normal, Pregnancy test, X-ray normal
Clinical narrative: Information has been received from a consumer concerning her daughter a 14 year old female with migraine who on 07-SEP-2007, 14-NOV-2008 and 19-MAR-2008 was administered her first, second and third doses with GARDASIL. Concomitant therapy included propranolol HCL. On 19-MAY-2008 the patient experienced seizure. On 20-MAY 2008 the patient "had another seizure in her sleep. Her eyes rolled back into her head", subsequently she was hospitalized for 5 days. On 23-AUG-2008 the patient came into the house "disoriented" after falling outside. Her mother suspected she had a seizure. The hospital did an X-ray which came out fine. Patient's right arm could not move, she did not remember the falling incident, and she was not herself at all. One of her eyes would go off to the side and her other eye to the other side, her mouth was twisted, her right side paralyzed, and she could not walk or talk or feel her right side. Even though her vision was checked and was 20/20, the patient's eyes still "kind of go off to the side when being talked to." Lab diagnostics studies performed included: MRI, MRA, EKG, EEG, X-ray, tests for drugs, heart problems diabetes, STD's, and pregnancy (results not reported). The patient will see a neurologist 09-OCT-2008. The patient present status was unknown. No more information reported. Upon internal review, right side paralysis was considered to be an other important event. Additional information has been requested.  12/2/08 Reviewed hospital medical records of 5/20-5/24/2008. FINAL DX: right-sided weakness; possible seizures Records reveal patient experienced episodes of weakness & unresponsiveness. Had been picked up from school w/migraine HA.  Had posturing movements, was unresponsive, & collapsed in restaurant.  Taken to ER & released.  Next AM had recurrent symptoms.  Taken to peds clinic & admitted.   Neuro consult done.  11/18/08 Reviewed neuro medical records of 06/12/2008. FINAL DX: Spell, seizure vs complex migraines vs non-epileptic/functional; HA migraines vs stress vs functional; Chiari brain malformation; abnormal EEG. Record reveals patient experienced migraine HA then began posturing, gaze palsy, drooling, unable to talk lasting approx 3 min.  Seen & released from ER w/EKG & tox screen neg.  Difficulty awakening next AM & then had another episode similar to initial episode.  Unable to use right arm for approx 1 hour.  No memory of either event.  Meds prescribed & referred for MRI of c-spine to rule out syrinx.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Ultrasound scan abnormal, Umbilical cord abnormality
Clinical narrative: Initial and follow-up information has been received from a medical assistant, for the Pregnancy Registry for GARDASIL, concerning a 21 year old female with no known drug allergies and a history of chickenpox and depression in past who on 12-OCT-2007 was vaccinated with the first dose of GARDASIL (lot no. 658556/1060U). On 12-DEC-2007 the patient was vaccinated with the second dose of GARDASIL (lot no. 659435/1265U). On 12-JUN-2008 the patient was vaccinated with the third dose of GARDASIL (lot no. 659964/1978U). The patient is now pregnant. As of 22-JUL-2008, it was reported that the pregnancy was normal to date. The patient was seen in the office to seek unspecified medical attention. Follow-up information was received which reported in September 2004 the patient had one previous pregnancy and delivered a baby boy at 39 week gestation. The previous live born child was healthy and well. On 05-AUG-08, the initial physical examination was performed. The pregnancy was essentially unremarkable. On 02-SEP-2008, the follow-up physical examination was performed. No fetal heart tones were detected. On the same day, ultrasound confirmed the intrauterine fetal demise. On 08-SEP-2008 the baby was delivered in the evening at approximately 18:00. The mother denied use of tobacco and alcohol in excess during the pregnancy. Her only medications include prenatal vitamins, some Omega-3 fatty acids over-the-counter and acetaminophen over-the-counter. On 08-SEP-2008, the parents reported the baby was active until approximately a week ago. The physical examination of the baby was performed. The infant weighted 85 grams. Cranium was intact. Ears were normally formed and positioned for a 17 week gestation. Palpebral opening were horizontal with very slight fusion still present. Nose, cheeks and philtrum appeared to be normal. Palate is intact. Tongue appeared to be normal. Mandible is only slightly recessed. Cervical area was unremarkable. Thorax was normally developed. Abdomen was negative palpably. There was a very small narrowing at the umbilicus. Umbilical cord measured 18.5 cm in length. External genitalia were normal male with testes undescended, consistent with gestational age. Anus appeared to be patent. Overall skin was gray with some early maceration consistent with the demise over a week ago. No anomalies of the skin were detected. No contractures were evident in the extremities. Fingers, toes, hands and feet all appeared to be normally formed. No evidence of polydactyly or syndactyly. The impression was 17 week male intrauterine fetal demise, mild cord stenosis and no significant dysmorphia. Upon internal review, intrauterine fetal demise was considered to be other important medical events. Additional information is not expected.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Immediate post-injection reaction, Injection site mass, Injection site swelling, Palpitations
Clinical narrative: Pt. received flu shot and site immediately began to swell. A lump formed at the site and increased. Pt. stated heart was racing, no shortness of breath. Neck became blotchy and red. 911 was called. Epi was given 1 dose at the site. Paramedics responded and took pt. to hospital.  2/2/09 MR received for ER visit 10/1/08 with DX:  Medication reaction. Pt developed local reaction, chest tightness and redness to neck and chest after receipt of Flu shot. Epipen given on scene after which pt became tachycardic at 160 BPM.  Chest tighness resolving on arrival to ER.  In sinus tach on arrival. Ice placed on hard area at injection site. Tx with Benadryl and D/C
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Rash macular
Clinical narrative: Pt. received flu shot and site immediately began to swell. A lump formed at the site and increased. Pt. stated heart was racing, no shortness of breath. Neck became blotchy and red. 911 was called. Epi was given 1 dose at the site. Paramedics responded and took pt. to hospital.  2/2/09 MR received for ER visit 10/1/08 with DX:  Medication reaction. Pt developed local reaction, chest tightness and redness to neck and chest after receipt of Flu shot. Epipen given on scene after which pt became tachycardic at 160 BPM.  Chest tighness resolving on arrival to ER.  In sinus tach on arrival. Ice placed on hard area at injection site. Tx with Benadryl and D/C
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal X-ray, Asthenia, Blood product transfusion, Chest X-ray, Electrocardiogram
Clinical narrative: Guillain-Barre Syndrome Dx at hospital 7/13/07-Spinal Tap 6/25/08-Started falling down-Then became weaker loss of function of upper and lower extremities-Pain in arms and legs- TMT at hospital IVIG-5 tmts-Extensive Rehab. 10/28/08 Reviewed hospital medical records of 7/4-7/10/2007. FINAL DX: likely acute inflammatory demyelinating polyneuropathy. Records reveal patient experienced fatigue, anorexia & progressively ascending weakness x 10 days.  Recent UTI tx w/antibiotics.  Exam revealed areflexia throughout. Tx w/IVIG x 5 days.  Improved but still w/significant weakness & d/c to rehab facility.    10/31/08 Reviewed EMG/NCS report of 7/5/07 which states findings c/w primarily axonal motor sensory polyneuropathy with suggestion of mild conduction block that implies superimposed demyelinating component.  Diabetic neuropathy w/possible superimposed acute or subacute inflammatory process suspected.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Guillain-Barre syndrome, Lumbar puncture, Mobility decreased, Pain in extremity
Clinical narrative: Guillain-Barre Syndrome Dx at hospital 7/13/07-Spinal Tap 6/25/08-Started falling down-Then became weaker loss of function of upper and lower extremities-Pain in arms and legs- TMT at hospital IVIG-5 tmts-Extensive Rehab. 10/28/08 Reviewed hospital medical records of 7/4-7/10/2007. FINAL DX: likely acute inflammatory demyelinating polyneuropathy. Records reveal patient experienced fatigue, anorexia & progressively ascending weakness x 10 days.  Recent UTI tx w/antibiotics.  Exam revealed areflexia throughout. Tx w/IVIG x 5 days.  Improved but still w/significant weakness & d/c to rehab facility.    10/31/08 Reviewed EMG/NCS report of 7/5/07 which states findings c/w primarily axonal motor sensory polyneuropathy with suggestion of mild conduction block that implies superimposed demyelinating component.  Diabetic neuropathy w/possible superimposed acute or subacute inflammatory process suspected.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: 4X6 Erythematous, Warm, Tender and Swollen area left arm. Prescription: Keflex and Benadryl   Px : Cellulitis
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain
Clinical narrative: Flu Vaccine was given with pneumoning without any problems. Noted, about 15min patient came and stated her back hurt. Blood pressure 150/80, Pulse-60 regular rhythm rate. No other signs and symptoms went shopping after.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Condition aggravated, Migraine, Nausea, Tremor
Clinical narrative: Per MOC: Pt woke at A.M. with migraine headache continued all night. In A.M. nauseated felt like vomiting, movement made condition worse. Shaking when she (mom) called health Dept.  Pt. has history of migraines since age three. Has them frequently (last 2 months). Treated with Extra Strength TYLENOL & rest. New to area no medical care.  Care resource of clinic: seen 10/03/2008 A.M. at Clinic. Child home from school 10/03/2008 improved after rest & TYLENOL.
Age: 11.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Injection site erythema, Pain, Pruritus, Skin warm
Clinical narrative: Redness, itching, pain, spot sore/hot to touch -(antibiotic course, BENADRYL) headache - redness at injection site as large as a baseball)
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, HPV4
Symptoms: Cyanosis, Dizziness, Pallor
Clinical narrative: Color lose, Lips turned blue, felt faint, placed cool rag on forehead, laid down on exam table. Recovered in about 10 minutes.
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Eye swelling, Feeling hot, Headache
Clinical narrative: Dizziness, headache, felt like something caught in throat, felt feverish, swollen eyes/shortness of breath.
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Dizziness, headache, felt like something caught in throat, felt feverish, swollen eyes/shortness of breath.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Per TC with mom diarrhea X 1 at 7 P.M. and blood in stool X 1 at 11 P.M. No fever- No vomiting. Breast Fed
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity, Urticaria
Clinical narrative: Severe discomfort  from shoulder to elbow with minimal movement of entire Rt. arm. Symptoms started the evening of vaccines. 10/08/2008 hives started in arm.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic, Rash vesicular
Clinical narrative: Vaccine given 6/09/2008. Varicella like rash-diffuse. Papules, vesicular, pruritic trunk and legs began 9/20/08 for one week. New eruptions. No fever. No systemic symptoms.
Age: 62.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Fever 102.5- Pain, swelling, Erythema at site, Myalgia, fatigue.
Age: 62.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Fever 102.5- Pain, swelling, Erythema at site, Myalgia, fatigue.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration
Clinical narrative: 6 cm x 6 cm area erythema, induration.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Blood test, Fatigue, Hypersensitivity, Palpitations
Clinical narrative: I experienced an adrenalin allergic reaction 3 days following the injection.  (The 1st 2 days was extreme fatigue).  My heart was racing, thoughts racing, talking and reacting very hyper.  This lasted approximately 10 days and now experiencing extreme fatigue - it is debilitating and interferes in daily life.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Psychomotor hyperactivity, Thinking abnormal, Thyroid function test
Clinical narrative: I experienced an adrenalin allergic reaction 3 days following the injection.  (The 1st 2 days was extreme fatigue).  My heart was racing, thoughts racing, talking and reacting very hyper.  This lasted approximately 10 days and now experiencing extreme fatigue - it is debilitating and interferes in daily life.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Activities of daily living impaired, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. received vaccine in her left arm. She said it started itching today about 10:00 and she started scratching it. Pt. said it then became red and raise and hurt to touch. School nurse called pt's mom- mom brought pt to HD. area measure 2X1 1/2 red, raised. Just to give BENADRYL and TYLENOL and cool cloth.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Throat irritation
Clinical narrative: Patient received flu shot, returned approximately 20 minutes later with Complains Of "scratchy throat and hoarse voice". Denies 5oB, itching ,or abdominal pain. Vital Signs Stable=blood pressure 149/115, P73, R16. Patient Benadryl  shot. Given 25mg  Intramusclar. Patient reports not taking home blood pressure medicine this morning, and having allergic reaction yesterday to a bee sting. Patient recovers after observation
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Blood culture negative, Chest X-ray normal, Cough, Full blood count normal
Clinical narrative: Myalgias, low grade fever, cough, anorexia. Doxycycline 100 mg BID X 10 d
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pyrexia
Clinical narrative: Myalgias, low grade fever, cough, anorexia. Doxycycline 100 mg BID X 10 d
Age: 24.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Nodule, Pain, Skin warm
Clinical narrative: On 10/2 it was warm and red.  Continues to be warm, red + very painful.  On 10/7 2 knots formed.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Muscle spasms
Clinical narrative: Received injections @ 5pm increased pain and red swollen, cramping at sites by 12am next day.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injected limb mobility decreased, Musculoskeletal stiffness, Oedema peripheral, Similar reaction on previous exposure to drug
Clinical narrative: Upon leaving clinic pt could not raise or move her R arm. Red, warm swollen, stiff TYLENOL taken with zero relief pt states plus reaction from flu years ago.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Upon leaving clinic pt could not raise or move her R arm. Red, warm swollen, stiff TYLENOL taken with zero relief pt states plus reaction from flu years ago.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain
Clinical narrative: Patient  With Lower back pain 5-10 minutes after her vaccination, 911 was called, They checked the patient, vitals were all normal. Patient was transferred  to the  MCN.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chest discomfort, Chest pain, Erythema, Headache
Clinical narrative: 10/01/2008 - at 1:30pm symptoms started:  chest tightness, pain from left clavicle to mid-sternum and in back.  Face was red.  Took 3- ADVIL, and worked entire shift to 7pm.  Took 3 more ADVIL at 9pm.  Thurs. 10/2 had headache across back of head, no fever, mild aching, didn't "feel good"  and actually drove out in front of another car.  Fri 10/3- no symptoms
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Pain
Clinical narrative: 10/01/2008 - at 1:30pm symptoms started:  chest tightness, pain from left clavicle to mid-sternum and in back.  Face was red.  Took 3- ADVIL, and worked entire shift to 7pm.  Took 3 more ADVIL at 9pm.  Thurs. 10/2 had headache across back of head, no fever, mild aching, didn't "feel good"  and actually drove out in front of another car.  Fri 10/3- no symptoms
Age: 2.0
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Rash, Varicella post vaccine, Viral DNA test positive
Clinical narrative: Seen 9/25 in clinic with rash.  Culture sent.  Positive Varicella (post vaccine 10/25/07).
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cold sweat, Convulsion, Hypoaesthesia, Pain in extremity, Pallor
Clinical narrative: 1st dose to arm feeling numb and Heavy . 2nd dose to Arm Felt immediately numb and heavy, Fainted  1HR 50minutes ago. Pale Clammy "shock like" 5 seconds of shaking (seziure) other arm and feet felt a little numb pain in fist.