chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Patient was given PEDIARIX (LT), HIB (LT), PREVNAR (RT) & ROTATEQ vaccines on 6/17/08 and went to the ER that evening for seizure (strange twitching). She was admitted to the hosp with fever 103.3, sterile abscess to (L) leg and febrile seizure.7/7/08-ER records received for DOS 6/18/08-DX:Immunization reaction. Subjective fever, crying and jerking this morning. Small sterile abcess right upper thigh.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Autism, Inappropriate schedule of drug administration
Clinical narrative: 1 year after last vaccines were given, patient diagnosed with autism.  Mom believes these are related, despite any current evidence otherwise.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Headache, Migraine, Nausea
Clinical narrative: Received MCV4 in pm on 6/11/08 at 2 am 6/11/08 awoke and c/o nausea and severe HA with temp 102 deg Sx not resolved with TYLENOL migraine also reported. Awoke with whole body, feeling like it is on fire. Denies any localized pain, redness, or inflammation to injection site. To see doctor 1:30 pm to go to ER if s/sx worsen.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Arthropathy, Exfoliative rash, Musculoskeletal pain, Pain in extremity
Clinical narrative: -red scaly rash on hand reported to doctor 10 March 2006. -soreness in arm, shoulder in hand still present to this day. -trouble lifting things and doing every day activities. - generalized arthropathy diagnosed by doctor
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash erythematous
Clinical narrative: -red scaly rash on hand reported to doctor 10 March 2006. -soreness in arm, shoulder in hand still present to this day. -trouble lifting things and doing every day activities. - generalized arthropathy diagnosed by doctor
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Musculoskeletal pain, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: L shoulder began swelling 1 day after administration.  Pt. c/o pain, swelling, itching, redness & heat.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Blister, Scab
Clinical narrative: (P) approx 20 vesicles, crusted over. S/P VARIVAX (MMRV) 3/22/07
Age: 1.78
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC, VARCEL
Symptoms: Erythema, Rash, Rash erythematous, Tonsillitis
Clinical narrative: Mother called 6/17/08 1-5:00pm.  She reported that patient had following signs and symptoms:  Redness on top of ears, rash.  She also said now after out in sun, he broke out with red rash, small spots on back.  Not raised and big patch on arm.  No temperature.  She questioned if this could be from the shots.  Onset - noted 6/16/08 4PM when she picked him up from sitters.  Was playing outside. 0/20 mother recieved call form grandmother on 6/19. She reported that she took child to see family doctor 6/19 after she was seen @ family health ctr on 6/18. Dr told her he has itonibtes & said that he did nto believe the rash was related to shots.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood glucose normal, Electrocardiogram normal, Headache, Hyperhidrosis, Pallor
Clinical narrative: Syncopal episode with prolonged (approx 45 minute). Sleepy state afterwards. c/o headache. arrousable but then would close eyes and not interact, pale, diaphoretic positive postural vital sign changes.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Somnolence, Syncope
Clinical narrative: Syncopal episode with prolonged (approx 45 minute). Sleepy state afterwards. c/o headache. arrousable but then would close eyes and not interact, pale, diaphoretic positive postural vital sign changes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Alopecia, Dizziness, Tremor
Clinical narrative: (1) hair loss June 08', (2) eye lashes falling out Nov 07', (3) dizzy/shaking/light headedness Nov 07'
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: 4.5x3cm area of erythema, mild edema.  Not warm to touch, not painful, but itchy.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Pruritus, Rash macular
Clinical narrative: Itch on Left foot within 30-45 minutes round red blotch formed w/blister in middle. During night, more itching on leg with 2 more red spots and blisters plus 3 on right leg. Used Listerine and Cortaid.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram, Convulsion, Electrocardiogram, Laboratory test normal, Loss of consciousness
Clinical narrative: Probable seizure ~2 hrs. after vaccine.  Found unconscious, ~1 hr. post-ictal state.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Postictal state
Clinical narrative: Probable seizure ~2 hrs. after vaccine.  Found unconscious, ~1 hr. post-ictal state.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgeusia, Flushing, Malaise, Pruritus, Pyrexia
Clinical narrative: On 6/17/08, an hour after injection, patient experienced generalized pruritis and flushing and metal taste.  Was seen by health center doctor, given Zyrtec, offered Prednisone, declined Prednisone.  Referred to ER if worse.  Patient states on 6/18/08 had malaise and 102 fever, took Ibuprofen, did not see MD.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain, Injection site swelling
Clinical narrative: Vaccine given on 6/3/08.  On 6/7/08 pt called to report swelling at injection site and pain as well as "flu-like" symptoms lasting one day.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine given on 6/16/08.  Patient called on 6/18/08 with complaint of her L arm swelling/bruising at injection site with some mild pain for past 12 hours.  Also said area was warm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral, Pain
Clinical narrative: 6/15/08: Office visit: patient came in for swollen arm due to immunization.  MD notes: moderate swelling with erythema and tenderness, about 15 x 7 cm area around vaccination site of left upper arm.  Patient/parent instruction given by MD: Can take Motrin every 6 hours to help with pain for a day or so.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Rash
Clinical narrative: 6/13/2008 clinic visit with complaint of rash on both arms.  Physicians notes: right arm with 12cm. x 8cm. erythema with warmth on right humerus.  Two puncture marks were vaccines were given were in upper part of erythema.  Diagnosis: cellulitis.  MD ordered: trimethoprim - sulfamethoxazole 160-800mg 1 tab 2x 1 day x10 days.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Body temperature increased, Rash
Clinical narrative: Temp x2d x102.6-103, 4-5 red "bites" on trunk and inside of thighs.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass
Clinical narrative: Patient received flu shot to left deltoid, IM on 10-31-07.  Patient noticed small 1/16" lump in injection area.  This lump is not red or painful but has persisted.
Age: 30.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Hypoaesthesia, Nausea, Paraesthesia, Vomiting
Clinical narrative: Received Tdap vaccine rt. deltoid on 6/16/08.  Received hepatitis-B vaccine lt. deltoid on 6/16/08.  Became nauseated with vomiting on 6/17/08.  Rt. hand and fingers numbness and tingling on 6/17/08.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Joint injury, Syncope
Clinical narrative: Patient had received her 1st GARDASIL injection.  While receiving return visit instructions, patient fainted, hitting her head L elbow & L knee.  Attended by staff & MD.  Vital signs WNL, examined by MD & given po fluids prior to discharge home.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling of body temperature change, Headache, No reaction on previous exposure to drug, Vomiting
Clinical narrative: Received GARDASIL #3-within 30 minutes has headache, vomiting x1, and hot/cold flashes.  No prior reaction to vaccine.
Age: 5.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: None stated
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Body temperature increased, Fatigue, Nausea, Pain, Pallor
Clinical narrative: Mother called 6/20/08 with questioning vaccine info from 6/18/08. States pt awoke feeling achy all over and tired, noted low grade temp 99? and pale and nauseated for a day.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Headache, Pain in extremity
Clinical narrative: Pt c/o headache after flying to another state that day. Took MOTRIN 400 mg and felt better 2 hr later. Sore arm as well 6/14/08 c/o headache again/low grade temp. MOTRIN again with relief.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Paraesthesia, Rash
Clinical narrative: Rash on torso, front and back, both upper arms, groin area, neck - bright red - "prickly" feeling started same time 4-16-08 and continued to fill in all areas of skin in above areas into 4/17/08 = given Solumedrol 40mg IM at 1330 on 4/17/08
Age: 52.0
Sex: F
Vaccine: RAB, TD
Symptoms: Pruritus, Rash generalised, Urticaria
Clinical narrative: On May 30, 2008, I received my 3rd Rabies Vaccine at approximately 3:30 PM in the ER. The following morning my inner thighs broke out in hives (eventually my thighs looked like welty splotches). It started out pea size changing to the size of quarters and then migrating together giving a splotchy appearance. It spread to my chest, back, arms and legs until I was covered from head to toe within several days. I was very concerned how fast it spread but fortunately I had only mild itching. I called the ER and was told to take Benadryl every 6 hours as needed. I used the store brand called Diphenhydramine Hydrochloride. The rash worsened and I called ER again. They called in a prescription of Hydroxyzine HCL 25 MG for itching and I was told not to use the Benadryl with this product. My condition improved greatly, but I am still splotchy on my inner thighs as they have always been the most sensitive area since the Hives started. I decided to discontinue the last 2 shots and may follow up with my doctor if the condition persists.
Age: 1.0
Sex: M
Vaccine: HEPA, IPV, PNC, VARCEL
Symptoms: Rash generalised, Staring
Clinical narrative: Child received immunizations (Varicella, IPV, Prevnar, Hep A). Left office and was about 4 miles away. Mom called - came back in. Red raised rash to face; splotchy on neck, back, shoulders, over body, "was in a daze", per mom. Administered Benadryl 1 tsp. at 1540.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Atelectasis, Chest X-ray, Cough, Hypokinesia, Musculoskeletal pain
Clinical narrative: 4 hours after shot, developed cough and nasal congestion c/w (L) sided upper bicep area extending to shoulder and scapular regions, musculoskeletal pain progressing to inability to use (L) UE. L-side vaccine was received.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Pain in extremity
Clinical narrative: 4 hours after shot, developed cough and nasal congestion c/w (L) sided upper bicep area extending to shoulder and scapular regions, musculoskeletal pain progressing to inability to use (L) UE. L-side vaccine was received.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Body temperature increased, Erythema, Skin lesion, Urticaria
Clinical narrative: On 6/13, 4 days after imms, patient developed red wheals on same leg as imms site but not directly around the site. Over the next 3 days the wheals spread to include the whole body and face; some minor lesions on palms and soles. No oral lesions; Low grade fever. Given Benadryl
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, PNC, VARCEL
Symptoms: Erythema, Musculoskeletal pain, Myalgia, Oedema peripheral, Skin discolouration
Clinical narrative: 2 of age got vaccinated, swelling of shoulder, (+) erythema, color (+), (+) pain, (+) tenderness.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Blister, Discomfort, Erythema, Oedema peripheral
Clinical narrative: Pt. received DTaP/MMR on 6-11-08 next day arm red swollen-blisters come in for appt on 6-13-08 area was 5 1/2 x 6. Pt advised TYLENOL for discomfort. (took picture to put in
Age: 8.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: DTaP - Tripedia was given. No adverse reaction was reported.
Age: 62.0
Sex: F
Vaccine: HEPAB
Symptoms: Diarrhoea, Eructation, Stomach discomfort
Clinical narrative: Stomach rolling, belching, diarrhea on 6/14/08. Went to Dr. on 6/16/08
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site rash
Clinical narrative: Rash at the injection site. Left deltoid
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Osteoarthritis
Clinical narrative: Had severe arthritis develop in knees, lasting 8 months. Treated w/ physical therapy and massages and homeopathic medicine.
Age: 17.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Gave DTaP and was supposed to give Tdap
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Abnormal behaviour, Convulsion, Diarrhoea, Haematochezia, Injection site mass
Clinical narrative: Seizure, fever, diarrhea, bump where shot was given, rash, blood in stool, acting abnormal and fever lasted for 1 1/2 weeks. - Infants Motrin Drops was given for fever. - Blood work done at hospital
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Seizure, fever, diarrhea, bump where shot was given, rash, blood in stool, acting abnormal and fever lasted for 1 1/2 weeks. - Infants Motrin Drops was given for fever. - Blood work done at hospital
Age: 61.0
Sex: M
Vaccine: HEPAB
Symptoms: Asthenia, Diarrhoea, Vomiting
Clinical narrative: Vomiting, diarrhea, weakness, started vomiting around 9:00 PM 6/17/08 and vomited til after 5:00 AM. Went to ER then back home at 8:00 AM. Appt with doctor 6/16/08.
Age: 46.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash pustular
Clinical narrative: Developed a rash on numerous parts of body...small pustules.
Age: 1.25
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Erythema, Pruritus, Varicella
Clinical narrative: Had VARIVAX shot 11-21-07 however contracted chickenpox pustular lesions on erythematous bases post neck. (L) check, (R) hip and pruritis (has had sev. d). Obviously not shot Rx
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 103.7
Age: 23.0
Sex: F
Vaccine: YF
Symptoms: Dyspnoea, Injection site erythema, Pruritus, Swelling face
Clinical narrative: LEFT ARM, REDNESS AROUND THE VACCINE SITE. HEAD WAS ITCHING, FACE WAS SWOLLEN HAD TROUBLE BREATH, BENADRYL WAS GIVEN @ THE EMERGENCY ROOM
Age: 68.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Blister, Injection site erythema, Injection site pain, Injection site swelling, Skin lesion
Clinical narrative: Client received Td and Zostavax vaccine on Tuesday June 17, 2008.  On June 18th  she noticed an itchy bump on her thorax, near her bra line.  June 19th she noticed 5 more spots that she described as blisters.  On June 20th she noticed more spots.  She called the Health District and was advised to see her doctor.  She did not have fever.  She did report redness, soreness and swelling at the site of injection.  She eventually developed 12 lesions spread over stomach, chest, shoulder and axilla.  There have been no new lesions since June 21st.  On June 23rd she reports they are still present but seem to be going away.  She reports no crusting or scabbing.  She did see her physician on June 20th.   She has a history of breast cancer. She has had no cancer meds since January.
Age: 0.92
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hep A administered 11 days too early
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pharyngitis streptococcal, Pruritus generalised, Rash generalised
Clinical narrative: 3-24-08 - SPOKE WITH CHILD'S FATHER PER PHONE. FATHER REPORTS THAT CHILD RECEIVED SHOTS 3-21-08 AND THAT ON 3-23-08 - CHILD C/O ITCHING WITH RED RASH OVER ENTIRE BODY. FATHER DENIES FEVER OR OTHER PROBLEMS AT THIS TIME, ADVISED FATHER TO TAKE CHILD TO MO TO MD TODAY.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Joint swelling, Oedema peripheral
Clinical narrative: LT OUTER ARM RED & SWOLLEN AND LT HIP RED & SWOLLEN
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Lymphadenopathy, Malaise
Clinical narrative: MMR combination vaccination administered to childcare worker on 6/16/08 after request for mumps booster for negative mumps titer. Recipient reports the following day upon awakening she felt extremely "tired" and "throat started feeling tight" No breathing problems but glands in neck felt swollen and had a sore throat. Five days after vsaccination developed nasal congestion and some shortness of breath. Recipient is asthmatic but did not seek medical attention,and did not have her Albuterol inhaler,"lost it". Now 7 days later chest tightness is relieved but continues to have general malaise.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Mumps antibody test negative, Nasal congestion, Pharyngolaryngeal pain, Throat tightness
Clinical narrative: MMR combination vaccination administered to childcare worker on 6/16/08 after request for mumps booster for negative mumps titer. Recipient reports the following day upon awakening she felt extremely "tired" and "throat started feeling tight" No breathing problems but glands in neck felt swollen and had a sore throat. Five days after vsaccination developed nasal congestion and some shortness of breath. Recipient is asthmatic but did not seek medical attention,and did not have her Albuterol inhaler,"lost it". Now 7 days later chest tightness is relieved but continues to have general malaise.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Malaise, Rash
Clinical narrative: FACIAL RASH; GENERAL MALAISE/FATIGUE ADVISED DAD TO V /C PHYSICIAN. WILL LET ME KNOW HOW PT IS.
Age: 23.0
Sex: F
Vaccine: HEPAB
Symptoms: Back pain, Dysphagia, Myalgia, Pharyngolaryngeal pain, Swollen tongue
Clinical narrative: Pt called ECDH on 6/24/08 to c/o back pain and muscle aches along w sore throat, swollen tongue, and unable to swallow saliva.Pt spoke clearly. Pt directed to nearest ER for care. Pt voiced concerns over having no health insurance.Reinforced need to go to ER w her complaints.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA, HIBV, MNQ, TDAP
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: 3/26/08 PRESENTED TO ER 3/27/08 IN DRS OFFICE C/O CHILLS FEVER & NAUSEA. Z-PACK & PHENERGAN PRESCRIBED. NO LABS DONE
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Allergy test, Body temperature increased, Hypoaesthesia oral, Injection site pain, Lymph node pain
Clinical narrative: Approximately 2 hours after receiving the vaccine, patient experienced nausea and temperature.  Lymph nodes in neck on left side enlarged constricting airway. "My mouth felt funny like when you get the shot at the dentist office". The temperature rose as high as 101 degrees and finally broke on Monday, June 23 around 3:00 AM.  She never sought medical attention although in retrospect believes she should have gone to the emergency room.  Today she is reporting continued tenderness and swelling of the lymph nodes as well as soreness at the injection site.  She has been tested for allergies and is sensitive to a number of allergens.  She has been advised to call her personal physician for evaluation today.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Nausea, Upper airway obstruction
Clinical narrative: Approximately 2 hours after receiving the vaccine, patient experienced nausea and temperature.  Lymph nodes in neck on left side enlarged constricting airway. "My mouth felt funny like when you get the shot at the dentist office". The temperature rose as high as 101 degrees and finally broke on Monday, June 23 around 3:00 AM.  She never sought medical attention although in retrospect believes she should have gone to the emergency room.  Today she is reporting continued tenderness and swelling of the lymph nodes as well as soreness at the injection site.  She has been tested for allergies and is sensitive to a number of allergens.  She has been advised to call her personal physician for evaluation today.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Hypertension, Malaise
Clinical narrative: Starting 1-2 days after vaccine, he developed profound fatigue and malaise, with a mild hypertensive response. Symptoms lasted 4-5 days
Age: 17.0
Sex: M
Vaccine: MEN
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Local reaction: 4cm circular area: erythematous and significant induration
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Induration, Inflammation, Skin warm
Clinical narrative: Grapefruit size inflammed area, very hot to touch; hardening of tissue & quarter size bruising on right arm
Age: 48.0
Sex: M
Vaccine: TYP
Symptoms: Erythema, Skin warm, Swelling face
Clinical narrative: Patient developed redness, warmth, and swelling of the face about 15 hours after his third oral typhoid dose.  He describes the swelling as "puffiness" around the eyes.  When I talked to him 4 hours later, symptoms were much improved.
Age: 34.0
Sex: F
Vaccine: HIBV, TDAP
Symptoms: Asthenia, Dysphonia, Urticaria
Clinical narrative: 4-2-08 STATE HAS HIVES, HOARSENESS & WEAKNESS ON 4-3-08
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Rash, Rash generalised
Clinical narrative: DTAP, IPV, MMR, HEP A ADM RASH STARTED ON LA & MOVED TO TRUNK. AND RT EXTREMITY WITHIN A FEW MINUTES
Age: 1.3
Sex: M
Vaccine: VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: VARICELLA 1: 6-02-2003; VARICELLA 2: 5-18-2007
Age: 1.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Erythema, Induration
Clinical narrative: ERYTHEMA & INDURATION 30 X 30 MM OVER R-ARM (PCV7) - NO TREATMENT EXCEPT FOR WARM COMPRESS
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Listless, Pyrexia
Clinical narrative: PATEINT REPORTED TO MD AT F/U APPT 6/08 THAT SHE HAD EXPERIENCED ADVERSE REACTION  AFTER BOTH GARDASIL INJECTIONS IN MARCH,2008 AND MAY 2008. REACTION INCLUDED FATIGUE,FEVER, LISTLISSNESS LESS THAN 24 HOURS AFTER RECEIVING INJECTIONS LASTING ABOUT 4- 5 DAYS. PATIENT FOLLOWED UP WITH PRIMARY CARE PHYSICIAN RATHER THAN THROUGH HER GYN PHYSICIAN AND DID NOT MAKE OFFICE AWARE THAT SHE HAD HAD AN ADVERSE REACTION AFTER IST VACCINE
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Mass, Oedema peripheral, Skin warm
Clinical narrative: Right thigh has a raised, red, warm knot. Growing in size. Pt. seen by the provider and given antihistamines and told to follow up if no better.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Child had swelling and redness in left upper arm that began on 6/19/08 and DTap #4 was given in left upper arm on 6/18/08. Child treated with Bactrim suspension 7.5ml PO BID x 7days and given a follow-up appointment in 4 days.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC
Symptoms: Erythema, Urticaria
Clinical narrative: PT CAME IN AS A WALK IN IMMUNIZATION. PT'S MOM RECEIVED CONSENT FORM AND QUESTIONAIRE OVER IMMUNIZATIONS. MOM READ & SIGNED. PT HAD NO ALLERGIES OF ANY KIND. PT RECEIVED HEP A, PCV7, DTAP ON L THIGH, MMR & VARICELLA ON R THIGH. WHILE PT WAS CHECKING PT OUT ABOUT 10 MINUTES AFTER VACCINES WERE ADMIN. PT HAD REDNESS & HIVES HAD GENERALIZED OVER PT BODY. PT WAS TREATED W 0.25CC OF BENADRYL SQ (L) ARM.
Age: 57.0
Sex: M
Vaccine: FLU3, HEP, HEPA, TYP
Symptoms: Anorexia, Asthenia
Clinical narrative: loss of appetite, no energy
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site infection, Vaccination complication
Clinical narrative: Satelitte infection on left shoulder, 1 cm below vacination site and two on left upper back.
Age: 10.0
Sex: F
Vaccine: TD
Symptoms: Body temperature increased, Erythema, Skin warm, Swelling
Clinical narrative: 3"X4" AREA OF REDDNESS & SWELLING - WARM TO TOUCH - PT. TEMPERATURE 99' ON 3-27-08, ICE APPLIED, ADVIL TAKEN PO.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain of skin, Rash
Clinical narrative: RECEIVED SHINGLES SHOT ON 4/9/08. HAD A RASH TO (LT) HIP/THIGH. CLIENT CAN'T REMEMBER IF SHE DEVELOPED RASH BEFORE OR W SHOT. REALLY NOTICED IT TO BE PAINFUL ON 4/12/08. WENT TO ER ON 4/14 - NO DIAGNOSTIC TEST DONE.
Age: 71.0
Sex: F
Vaccine: HEPA
Symptoms: Herpes zoster
Clinical narrative: STATES SHE BROKE OUT W/SHINGLES ON HER FACE 7 - 10 DAYS AFTER VACCINE. SHE SAID THIS WAS DIAGNOSED BY HER PHYSICIAN. CALL TO REPORT THIS ON 3/21/08.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site haemorrhage, Injection site swelling, Injection site urticaria
Clinical narrative: WHEN GIVING THE VARICELLA IMMUNIZATION INTO THE (R) LEG, AFTER ADMINISTERING THE SHOT A LARGE WELT APPEARED AND AREA BECAME SWOLLEN. THERE WAS BLEEDING. THE SITE WAS RUBBED & MASSAGED. THE MOTHER REQUESTED FOR NURSE TO CEASE RUBBING AND TO CALL THE DR. THE DOCTOR WAS IMMEDIATELY CALLED. UPON THE DR. EXAM. THE SITE HAD DECREASED IN SWELLING & THE PT WAS PLAYING & IN NO DISTRESS 20 MINUTES AFTER THE SHOT.
Age: 30.0
Sex: F
Vaccine: TTOX
Symptoms: Dyspnoea, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: the following afternoon after my treatment I experienced shortness of breath, racing of the heart, headache, nausea, muscle ache, severe swelling and soreness in the are where the shot was given and fatigue.
Age: 30.0
Sex: F
Vaccine: TTOX
Symptoms: Myalgia, Nausea, Palpitations
Clinical narrative: the following afternoon after my treatment I experienced shortness of breath, racing of the heart, headache, nausea, muscle ache, severe swelling and soreness in the are where the shot was given and fatigue.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema mouth, Rash pruritic, Swollen tongue
Clinical narrative: Within 24 hours of vaccine administration, patient developed an itchy rash, tongue and soft palate swelling.  This reaction resulted in two additional doctor visits requiring and injection of steroids, and a prescription of a steroid dose pack.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pigmentation disorder, Pityriasis, Rash erythematous, Rash generalised, Skin swelling
Clinical narrative: Returned to clinic on 06/18/08, with diffuse slightly raised erythematous rash:  oval plaques & some round on abdomen, chest, back, arms and legs.  Some hypopigmented areas - look to be clearing.  "Pityriasis like", non-itching.  No treatment ordered.  Advised to re-check in 2-3 weeks.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Developed redness on face and whelps in various places within one hour of vaccinations.  Given benadryl prior to MD visit.  After arrival at doctor's office swelling of lips was noted.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Cold sweat, Gait disturbance, Injection site erythema, Injection site mass
Clinical narrative: -Weakness(barely able to walk) - pain in arm so severe it cause nausea - fever - bump, redness and itching at injection site - fever like symptoms x4days - cold sweats in sleep;(took 2 Aleve every 12 hours x 4days); -> when I stopped symptoms returned.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Nausea, Pain in extremity, Pyrexia
Clinical narrative: -Weakness(barely able to walk) - pain in arm so severe it cause nausea - fever - bump, redness and itching at injection site - fever like symptoms x4days - cold sweats in sleep;(took 2 Aleve every 12 hours x 4days); -> when I stopped symptoms returned.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood lactate dehydrogenase, Blood uric acid normal, Chest X-ray abnormal, Full blood count normal, Lymphadenopathy
Clinical narrative: (L) supraclavicular lymphadenopathy - chest x-ray, blood work, referral to oncology.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood lactate dehydrogenase, Blood uric acid, C-reactive protein, Chest X-ray, Full blood count
Clinical narrative: Right supraclavicular LAD; CXR, labs, referral to oncology
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Metabolic function test, Red blood cell sedimentation rate, Ultrasound scan
Clinical narrative: Right supraclavicular LAD; CXR, labs, referral to oncology
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache, Injected limb mobility decreased, Injection site pain, Nausea
Clinical narrative: Fever, headache, nausea, vomiting. dizzy, sleepiness, sluggishness, pain at the injection site (could not raise R arm without pain).
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Sluggishness, Somnolence, Vomiting
Clinical narrative: Fever, headache, nausea, vomiting. dizzy, sleepiness, sluggishness, pain at the injection site (could not raise R arm without pain).
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Movement disorder, Nerve injury, Nuclear magnetic resonance imaging, Viral infection
Clinical narrative: Mid January, pt developed "curling" of the three middle fingers associated with the ulnar nerve (ring, small and middle). The fingers can't be opened straight on exam must be held open. MRIs 3/28/08. Neurologist told pt that based on the blood work, it was a viral infection of the ulnar nerve related to the flu vaccine.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Pain in extremity, Skin exfoliation, Urticaria
Clinical narrative: Hives all over body, x 5days, scaling feet and  hands, pain feet with walking, c/w severe sickness; treated Prednisone P8. Benadryl. hives still continue /on/off
Age: 1.1
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Inappropriate schedule of drug administration, Pain, Pyrexia, Skin warm
Clinical narrative: large area of erythema-warm to touch generalized body aches x 2 days febrile x 1 day
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Non-painful rash in the left neck area for a couple days prior to being seen. No tx given - too late for antiviral, should resolve on won. Appears to be shingles. Pt was given Shingles vaccine 4 months prior.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Blood pressure, Crying, Dizziness, Malaise
Clinical narrative: After receiving vaccines- patient cried and said she did not fell well, then lightheaded, was called into office, patient was lying on table stating-was dizzy. BP-90/58- HRR=68, gave soda to drink; pt waited in office for 15 minutes then was discharged to home
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient presented to office 2 days after inoculation with his left injection site red, swollen and tender - Dr suggested Motrin and Benadryl in addition to topical cortisone prn.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Crying, Dyspnoea, Erythema, Flushing, Hyperhidrosis
Clinical narrative: 6/23/08 at 0940 AM patient had 4 vaccination, DTaP, polio, MMR and Varicella. Patient was crying a little nervous but did really well during immunization at 10:15 am. Dad brought her to clinic with face flushed and red, pale, sweating, mild SOB. O2 administered BENADRYL x 2 PREDNISOLONE given PO, albuterol Tx O2 99%
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Nervousness, Pallor
Clinical narrative: 6/23/08 at 0940 AM patient had 4 vaccination, DTaP, polio, MMR and Varicella. Patient was crying a little nervous but did really well during immunization at 10:15 am. Dad brought her to clinic with face flushed and red, pale, sweating, mild SOB. O2 administered BENADRYL x 2 PREDNISOLONE given PO, albuterol Tx O2 99%
Age: 1.7
Sex: M
Vaccine: IPV, PNC
Symptoms: Erythema, Skin warm
Clinical narrative: Erythema, localized, warm to touch, circumferential about 3 cm. Tx with Diphenhydramine and ice.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: None. Only reporting because DTaP was given instead of Tdap.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at injection site also blotchy red spot, face, arm around injection site - injection site - left leg.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: rash first noticed on (R) arm where varicella vaccine was administered. rash is warm; pruritic, erythematous, 15 mm papules; increased in size
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Urticarial rash on face - raised red patches - resolved after Benadryl dose x 1.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Injected limb mobility decreased, Muscular weakness, Musculoskeletal pain, Pain in extremity
Clinical narrative: Temporary VAERS E-report number: E-20977. Initial report received on 20 February 2008 from a nurse who provided us with a copy of the electronic VAERS report that she submitted to Centers For Disease Control and Prevention (CDC). A 44-year-old male patient with no concurrent illnesses or pre-existing medical conditions, had received an intramuscular left deltoid dose of ADACEL (lot number C2769AA; and an intramuscular right arm dose of FLUVIRIN (manufacturer Novartis, lot number 08682) on 29 November 2007. Approximately one week post-vaccination (around 05 December 2007), the patient reported he developed pain and impaired range of motion/function to his left arm. At that time, the patient reported pain radiating from his left shoulder to his elbow, and his arm was "weak". He stated that he had difficulty abducting his left arm; however, he was able to move his left shoulder with full range of movement. The patient stated he was unable to lift items with his left arm for a period of a "few" weeks. He also reported these symptoms slowly improved over time, and at the time he had reported this to the Nurse on 14 February 2007, he was able to demonstrate active range of motion to the left shoulder and arm without evidence of limitation, and that he was currently only experiencing "pain from my shoulder to my elbow when I cough". The patient did not seek medical attention. Treatments received and diagnostic tests performed were not provided. The patient was referred to another physician for evaluation. The contact information of that physician was not provided. At the time of this report, the patient had not recovered. Follow-up information received on 19 June 2008 from the original reporter who is a nurse. The patient did not participate in any sports prior to, or after vaccination on 29 November 2007. Per the reporter, the patient did not seek medical care for his symptoms prior to reporting the events to them. By the time the patient had reported the events to them, he had almost completely recovered. After the reporter discussed the case with the medical director, who is a physician, the patient's symptoms appeared to be consistent with descriptions of brachial neuritis in the literature, and at that time "the logical conclusion was that this was "in fact brachial neuritis that had nearly resolved." As of May 2008 the patient had fully recovered from the temporary pain and impaired range of motion/function of his left arm. Per this new information, this case was upgraded to serious.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Injected limb mobility decreased, Joint range of motion decreased, Muscular weakness, Pain in extremity, Radiculitis brachial
Clinical narrative: Temporary VAERS E-report number: E-20977. Initial report received on 20 February 2008 from a nurse who provided us with a copy of the electronic VAERS report that she submitted to Centers For Disease Control and Prevention (CDC). A 44-year-old male patient with no concurrent illnesses or pre-existing medical conditions, had received an intramuscular left deltoid dose of ADACEL (lot number C2769AA; and an intramuscular right arm dose of FLUVIRIN (manufacturer Novartis, lot number 08682) on 29 November 2007. Approximately one week post-vaccination (around 05 December 2007), the patient reported he developed pain and impaired range of motion/function to his left arm. At that time, the patient reported pain radiating from his left shoulder to his elbow, and his arm was "weak". He stated that he had difficulty abducting his left arm; however, he was able to move his left shoulder with full range of movement. The patient stated he was unable to lift items with his left arm for a period of a "few" weeks. He also reported these symptoms slowly improved over time, and at the time he had reported this to the Nurse on 14 February 2007, he was able to demonstrate active range of motion to the left shoulder and arm without evidence of limitation, and that he was currently only experiencing "pain from my shoulder to my elbow when I cough". The patient did not seek medical attention. Treatments received and diagnostic tests performed were not provided. The patient was referred to another physician for evaluation. The contact information of that physician was not provided. At the time of this report, the patient had not recovered. Follow-up information received on 19 June 2008 from the original reporter who is a nurse. The patient did not participate in any sports prior to, or after vaccination on 29 November 2007. Per the reporter, the patient did not seek medical care for his symptoms prior to reporting the events to them. By the time the patient had reported the events to them, he had almost completely recovered. After the reporter discussed the case with the medical director, who is a physician, the patient's symptoms appeared to be consistent with descriptions of brachial neuritis in the literature, and at that time "the logical conclusion was that this was "in fact brachial neuritis that had nearly resolved." As of May 2008 the patient had fully recovered from the temporary pain and impaired range of motion/function of his left arm. Per this new information, this case was upgraded to serious.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Oedema peripheral, Rash papular, Skin lesion
Clinical narrative: PT RECEIVED SMALLPOX VACCINATION 9 FEB 08. 26 FEB PT WAS SEEN IN ER FOR SWELLING OF BOTH HANDS ELBOWS & EARS W/LEASIONS AND PAPULES. HIBICLENS ORDERED.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Auricular swelling, Joint swelling, Oedema peripheral, Rash papular, Skin lesion
Clinical narrative: PT RECEIVED SMALLPOX VACCINATION 9 FEB 08. 26 FEB PT WAS SEEN IN ER FOR SWELLING OF BOTH HANDS ELBOWS & EARS W/LEASIONS AND PAPULES. HIBICLENS ORDERED.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Electrocardiogram ambulatory, Myocarditis
Clinical narrative: VACCINATED W/ THE SMALLPOX "1ST WEEK IN MARCH" CHEST PN STARTED 2 WEEKS LATER. PT HOSPITALIZED 22 MAR 08. DX MYOCARDITIS.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Catheterisation cardiac, Chest pain, Echocardiogram, Electrocardiogram ambulatory, Myocarditis
Clinical narrative: VACCINATED W/ THE SMALLPOX "1ST WEEK IN MARCH" CHEST PN STARTED 2 WEEKS LATER. PT HOSPITALIZED 22 MAR 08. DX MYOCARDITIS.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Encephalopathy, Lumbar puncture abnormal
Clinical narrative: 11 year old girl with no prior problems was given GARDASIL on May 1, 2008. The following day she began having fevers. The next day she had seizures. She has been in the hospital since May 3, 2008. She can not walk or talk and must be spoon fed. The mother has been told there is encephalopathy, but no cause has been determined. No physicians have advised the parents of the medical cause. The mother has questioned the drug "GARDASIL" because the girl was fine until having been given the drug. The treating physicians have not determined the nature and extent of any permanency at this time.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Activities of daily living impaired, Aphasia, Computerised tomogram, Convulsion
Clinical narrative: 11 year old girl with no prior problems was given GARDASIL on May 1, 2008. The following day she began having fevers. The next day she had seizures. She has been in the hospital since May 3, 2008. She can not walk or talk and must be spoon fed. The mother has been told there is encephalopathy, but no cause has been determined. No physicians have advised the parents of the medical cause. The mother has questioned the drug "GARDASIL" because the girl was fine until having been given the drug. The treating physicians have not determined the nature and extent of any permanency at this time.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Diagnostic procedure, Encephalopathy, Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: 11 year old girl with no prior problems was given GARDASIL on May 1, 2008. The following day she began having fevers. The next day she had seizures. She has been in the hospital since May 3, 2008. She can not walk or talk and must be spoon fed. The mother has been told there is encephalopathy, but no cause has been determined. No physicians have advised the parents of the medical cause. The mother has questioned the drug "GARDASIL" because the girl was fine until having been given the drug. The treating physicians have not determined the nature and extent of any permanency at this time.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Scan brain
Clinical narrative: 11 year old girl with no prior problems was given GARDASIL on May 1, 2008. The following day she began having fevers. The next day she had seizures. She has been in the hospital since May 3, 2008. She can not walk or talk and must be spoon fed. The mother has been told there is encephalopathy, but no cause has been determined. No physicians have advised the parents of the medical cause. The mother has questioned the drug "GARDASIL" because the girl was fine until having been given the drug. The treating physicians have not determined the nature and extent of any permanency at this time.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Bacterial culture negative, CSF white blood cell count increased, Encephalitis, Virus culture negative
Clinical narrative: 11 year old girl with no prior problems was given GARDASIL on May 1, 2008. The following day she began having fevers. The next day she had seizures. She has been in the hospital since May 3, 2008. She can not walk or talk and must be spoon fed. The mother has been told there is encephalopathy, but no cause has been determined. No physicians have advised the parents of the medical cause. The mother has questioned the drug "GARDASIL" because the girl was fine until having been given the drug. The treating physicians have not determined the nature and extent of any permanency at this time.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Dysgeusia, Eye movement disorder, Facial palsy, Hyperacusis
Clinical narrative: This case was received from a health professional on 13 June 2008. The reporter also submitted the case to the Centers for Disease Control and Prevention via Vaccine Adverse Event Reporting System, and the event was assigned a temporary VAERS e-report number (E22890). SERIOUS CRITERIA: OTHER - MEDICALLY SIGNIFICANT; A 25 year-old male patient, with a history of seasonal and environmental allergies, received an intramuscular left arm injection of ADACEL (lot number C2899AA) on 06 May2008. According to the reporter, the patient was not ill at the time of vaccination, and was "in excellent health". He had most recently received a tetanus booster (manufacturer not reported) on 02 June 1997. Approximately one week after vaccination, on 14 May 2008, the patient experienced difficulties closing his left eye and chewing normally. He presented to the emergency room, where he was diagnosed with Bell's Palsy and treated with Prednisone, Acyclovir, and artificial tears. An MRI of the brain showed linear enhancement of the left facial nerve within the apex of the left internal auditory canal, and in all of the segments of the nerve within the fallopian canal. No masslike abnormal enhancement was present. Findings were consistent with Bell's Palsy. On 21 May 2008 he was evaluated by a neurologist, and at that time was noted to have some facial droop, weakness in closing the eye, changes in taste sensation, and hyperacusis. The symptoms were determined to be consistent with a 7th nerve palsy. On 13 June 2008 he presented to the reporting physician. He was noted to have regained most of his facial muscle strength, and no longer required the use of artificial tears. The event was considered to be resolved.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Movement disorder, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: This case was received from a health professional on 13 June 2008. The reporter also submitted the case to the Centers for Disease Control and Prevention via Vaccine Adverse Event Reporting System, and the event was assigned a temporary VAERS e-report number (E22890). SERIOUS CRITERIA: OTHER - MEDICALLY SIGNIFICANT; A 25 year-old male patient, with a history of seasonal and environmental allergies, received an intramuscular left arm injection of ADACEL (lot number C2899AA) on 06 May2008. According to the reporter, the patient was not ill at the time of vaccination, and was "in excellent health". He had most recently received a tetanus booster (manufacturer not reported) on 02 June 1997. Approximately one week after vaccination, on 14 May 2008, the patient experienced difficulties closing his left eye and chewing normally. He presented to the emergency room, where he was diagnosed with Bell's Palsy and treated with Prednisone, Acyclovir, and artificial tears. An MRI of the brain showed linear enhancement of the left facial nerve within the apex of the left internal auditory canal, and in all of the segments of the nerve within the fallopian canal. No masslike abnormal enhancement was present. Findings were consistent with Bell's Palsy. On 21 May 2008 he was evaluated by a neurologist, and at that time was noted to have some facial droop, weakness in closing the eye, changes in taste sensation, and hyperacusis. The symptoms were determined to be consistent with a 7th nerve palsy. On 13 June 2008 he presented to the reporting physician. He was noted to have regained most of his facial muscle strength, and no longer required the use of artificial tears. The event was considered to be resolved.
Age: 25.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Dysgeusia, Eyelid function disorder, Facial palsy, Facial paresis, Hyperacusis
Clinical narrative: This case was received from a health professional on 13 June 2008. The reporter also submitted the case to the Centers for Disease Control and Prevention via Vaccine Adverse Event Reporting System, and the event was assigned a temporary VAERS e-report number (E22890). SERIOUS CRITERIA: OTHER - MEDICALLY SIGNIFICANT; A 25 year-old male patient, with a history of seasonal and environmental allergies, received an intramuscular left arm injection of ADACEL (lot number C2899AA) on 06 May2008. According to the reporter, the patient was not ill at the time of vaccination, and was "in excellent health". He had most recently received a tetanus booster (manufacturer not reported) on 02 June 1997. Approximately one week after vaccination, on 14 May 2008, the patient experienced difficulties closing his left eye and chewing normally. He presented to the emergency room, where he was diagnosed with Bell's Palsy and treated with Prednisone, Acyclovir, and artificial tears. An MRI of the brain showed linear enhancement of the left facial nerve within the apex of the left internal auditory canal, and in all of the segments of the nerve within the fallopian canal. No masslike abnormal enhancement was present. Findings were consistent with Bell's Palsy. On 21 May 2008 he was evaluated by a neurologist, and at that time was noted to have some facial droop, weakness in closing the eye, changes in taste sensation, and hyperacusis. The symptoms were determined to be consistent with a 7th nerve palsy. On 13 June 2008 he presented to the reporting physician. He was noted to have regained most of his facial muscle strength, and no longer required the use of artificial tears. The event was considered to be resolved.