chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left lateral thigh had denoted skin 1.5 cm with erythema/swelling surrounding it measuring total 4 cm diameter (the 1.5 cm was in center).  Sup. lateral left thigh at site of VARIVAX injection.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Local reaction, Neurological examination normal, Oedema peripheral, Pruritus
Clinical narrative: Developed swelling and mild redness of left upper arm from left shoulder to left elbow on 7/11/08 - examined at my office afternoon 7/11/08 and felt to be local reaction/limb swelling related to DTaP and not a cellulitis. Patient was afebrile, normal range of motion and normal neuro and peripheral vascular exam. treatment recommended - cool compresses, Benadryl prn itching, Tylenol prn pain.
Sex: U
Vaccine: DTAP, IPV
Symptoms: Contusion, Erythema, Oedema
Clinical narrative: Seen 3 days later with bruising and slight edema and erythema.  No increased warmth or fever.  No treatment given.  Anticipate full recovery.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Computerised tomogram normal, Diplopia, Dizziness, Eye disorder, Flushing
Clinical narrative: *:15 pm-IM deltoid ENGERIX-B given-immediate complained of being lightheaded, was diaphoretic-continued seated on cool room. 3:20pm-stated feeling better-reported for work duty. 3:45 am-dizzy, diaphoretic, severe headache, flushed, nausea. 4 pm-onset of double vision-right eye turned inward, tingling of fingers and tip of tongue-transported by ambulance to ER.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hyperhidrosis, Nausea, Paraesthesia, Paraesthesia oral
Clinical narrative: *:15 pm-IM deltoid ENGERIX-B given-immediate complained of being lightheaded, was diaphoretic-continued seated on cool room. 3:20pm-stated feeling better-reported for work duty. 3:45 am-dizzy, diaphoretic, severe headache, flushed, nausea. 4 pm-onset of double vision-right eye turned inward, tingling of fingers and tip of tongue-transported by ambulance to ER.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR
Symptoms: Varicella
Clinical narrative: + chickenpox.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Chest discomfort, Crying, Dyspnoea, Oxygen saturation
Clinical narrative: Vaccines given in left arm while mom held patient.  Patient cried briefly after vaccines were given but was easily consolable.  Mom and patient left shortly after and returned about ten minutes later with the patient stating that her chest felt "tight" and that it was difficult for her to breathe.  I checked her pulse ox, it was 97% and called the doctor.  Gave Benadryl as per doctor's orders.  Called 911 and took patient to treatment room.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Oedema peripheral
Clinical narrative: Rt leg swelling. Treated with CLINDAMYCIN.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness at site on left arm.  Treated with BENADRYL & clindamycin.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Gastrointestinal disorder, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Information has been received from a physician concerning a 17 year old female who on 21-NOV-2007 was vaccinated with the first dose of GARDASIL.  On 05-FEB-2008, the patient was vaccinated with the second dose of GARDASIL.  On 31-MAR-2008 the patient experienced her first seizure.  The physician did not stated if the patient had had additional seizures.  The patient had had a CT scan of brain and MRI of brain, both were negative.  The patient had been seen by 3 different neurologists.  Upon internal review, seizure was determined to be an other important medical event.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Convulsion, Scan brain
Clinical narrative: Information has been received from a physician concerning a 17 year old female who on 21-NOV-2007 was vaccinated with the first dose of GARDASIL.  On 05-FEB-2008, the patient was vaccinated with the second dose of GARDASIL.  On 31-MAR-2008 the patient experienced her first seizure.  The physician did not stated if the patient had had additional seizures.  The patient had had a CT scan of brain and MRI of brain, both were negative.  The patient had been seen by 3 different neurologists.  Upon internal review, seizure was determined to be an other important medical event.  Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Eye movement disorder, Irritability, Postictal state, Tonic convulsion
Clinical narrative: 2 episodes of 2 second tonic apperance of both arms with slight eye deviation. + Immediate recovery with post-ictal state. No other neurologic symptoms. Pt. irritable during period of time as well
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Gaze palsy, Irritability, Postictal state, Tonic clonic movements
Clinical narrative: 2 episodes of 2 second tonic apperance of both arms with slight eye deviation. + Immediate recovery with post-ictal state. No other neurologic symptoms. Pt. irritable during period of time as well
Age: 0.6
Sex: M
Vaccine: DTAP, DTPIPV, FLU3, HBHEPB
Symptoms: Autism, Crying, Developmental delay, Diarrhoea, Disturbance in social behaviour
Clinical narrative: At 6 months of age my son recvd the following vaccines.  DTaP 1, Hib1-Hep B1, IPV1, & a Flu shot. Loose stool began daily with periods of crying daily, difficulty sleeping within 24 to 72 hours of these vaccinationsbeing given. Eye contact decreased. Development stopped progressing. Poor eating habits. I expressed concern to  pediatrician of loose stool 3 times in 6-8 month time period, I am advised that my son is drinking to much formula and other liquids. GI functioning poorly.  I consult with two GI Doctors with little direction.  Neurological delays confirmed and diagnosed as autism at 22 months. My son has been confirmed to have high levels of Lead and Mercury. 9/22/2008 PCP records received. 7 month WCC 10/20/2004. Parental concerns re: not bottle holding or sitting yet. Developmental screening to be scheduled. Recieved 1st set of vax.  Seen 9/7/05 for 12 month WCC at age 17 months.  Parental concerns re: development. Concerns for speech at age 22 months.  7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays 7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays.
Age: 0.6
Sex: M
Vaccine: DTAP, DTPIPV, FLU3, HBHEPB
Symptoms: Eating disorder, Fungus stool identified, Gastrointestinal disorder, Hepatitis B antibody positive, Insomnia
Clinical narrative: At 6 months of age my son recvd the following vaccines.  DTaP 1, Hib1-Hep B1, IPV1, & a Flu shot. Loose stool began daily with periods of crying daily, difficulty sleeping within 24 to 72 hours of these vaccinationsbeing given. Eye contact decreased. Development stopped progressing. Poor eating habits. I expressed concern to  pediatrician of loose stool 3 times in 6-8 month time period, I am advised that my son is drinking to much formula and other liquids. GI functioning poorly.  I consult with two GI Doctors with little direction.  Neurological delays confirmed and diagnosed as autism at 22 months. My son has been confirmed to have high levels of Lead and Mercury. 9/22/2008 PCP records received. 7 month WCC 10/20/2004. Parental concerns re: not bottle holding or sitting yet. Developmental screening to be scheduled. Recieved 1st set of vax.  Seen 9/7/05 for 12 month WCC at age 17 months.  Parental concerns re: development. Concerns for speech at age 22 months.  7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays 7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays.
Age: 0.6
Sex: M
Vaccine: DTAP, DTPIPV, FLU3, HBHEPB
Symptoms: Lead urine increased, Parasite stool test, Stool analysis abnormal, Urine mercury abnormal
Clinical narrative: At 6 months of age my son recvd the following vaccines.  DTaP 1, Hib1-Hep B1, IPV1, & a Flu shot. Loose stool began daily with periods of crying daily, difficulty sleeping within 24 to 72 hours of these vaccinationsbeing given. Eye contact decreased. Development stopped progressing. Poor eating habits. I expressed concern to  pediatrician of loose stool 3 times in 6-8 month time period, I am advised that my son is drinking to much formula and other liquids. GI functioning poorly.  I consult with two GI Doctors with little direction.  Neurological delays confirmed and diagnosed as autism at 22 months. My son has been confirmed to have high levels of Lead and Mercury. 9/22/2008 PCP records received. 7 month WCC 10/20/2004. Parental concerns re: not bottle holding or sitting yet. Developmental screening to be scheduled. Recieved 1st set of vax.  Seen 9/7/05 for 12 month WCC at age 17 months.  Parental concerns re: development. Concerns for speech at age 22 months.  7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays 7/17/08 Developmental eval received from parent dated 2/20/06 with Diagnostic Impression:  Global Developmental Delays. Impairments in Social Interaction. Childhood Autism Rating Scale placed child in the moderate range of the Autism Spectrum. F/U visit 2/21/07 with Diagnostic Impression Autism.  Global Developmental Delays.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal discomfort, Diarrhoea, Pancreatic disorder, Upper respiratory tract infection
Clinical narrative: Per Dr., pt needed referrel to GI after receiving 2nd Anthrax vaccination.  The vaccination caused pancreaus damage.  Pt reported LLQ abdominal discomfort and diahrrhea that began a few weeks after each vaccine.  He states he currently has URI symptoms and continued loose BM's.  He continues to also have discomfort in the LLQ of the abdomen with certain movements.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None. 7/15/08 -2pm, spoke with pt. regarding 3rd was givenpt said she knew that
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Aplastic anaemia, Biopsy bone marrow, Full blood count
Clinical narrative: Information has been received from a pharmacist concerning a 62 year old female with hypercholesterolaemia and degenerative joint disease and a history of 3 episodes of infectious mononucleosis who in March 2008, was vaccinated with ZOSTAVAX. Concomitant therapy included LIPITOR and ULTRAM. Subsequently the patient developed aplastic anemia and was hospitalized. Complete blood count and bone marrow biopsy were performed (results not provided). As of 09-JUL-2008, the patient's aplastic anemia persisted. Aplastic anemia was considered to be disabling and life threatening. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune disorder
Clinical narrative: Information has been received from a physician concerning his daughter a 25 year old female who in April 2007, was vaccinated with a first dose of GARDASIL (route and administrating site not reported). In June 2007, the patient was vaccinated with a second dose of GARDASIL (route and administrating site not reported). In October 2007, the patient was vaccinated with a third dose of GARDASIL (route and administrating site not reported). In approximately November 2007, the patient experienced symptoms indicative of autoimmune disorder. Specialists were looking at her having either scleroderma or dermatomycosis. The patient's autoimmune disorder persisted and was considered to be disabling. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan
Clinical narrative: Information has been received from a physician for the Pregnancy Registry for GARDASIL concerning a female with no pertinent medical history, drug reactions or allergies who on 29-MAY-2008 was vaccinated intramuscularly with a first 0.5 ml dose of GARDASIL.  There was no concomitant medication.  Subsequently the patient was determined to be pregnant.  Her LMP was 08-MAY-2008.  Expected date of delivery was 12-FEB-2009.  On 09-JUL-2008 the patient was seen in office.  A urine pregnancy test was positive for pregnancy and an ultrasound revealed a 6-week fetal gestation.  The physician reported that the patient may have had a spontaneous abortion, a miscarriage, as per the ultrasound.  Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Paralysis
Clinical narrative: Information has been received from a physician concerning a female with a history of dental procedure in which paralysis occurred who was vaccinated with GARDASIL IM.  The patient developed paralysis after vaccination.  The patient was considered to be disabling.  The patient sought medical attention.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Premature baby, Premature labour
Clinical narrative: Information has been received from a physician, for the pregnancy registry for GARDASIL concerning a 15 year old female who on an unspecified date was vaccinated with a first dose of GARDASIL (route and administrating site not reported).  In March 2008, the patient was vaccinated with a second dose of GARDASIL (route and administrating site not reported).  The patient became pregnant during the GARDASIL series.  On approximately 01-JUL-2008 the patient was attempting to get clearance from her physician for a sport physical.  The physician insisted on a pregnancy test which was positive.  On approximately 07-JUL-2008 the patient delivered and the infant was born at 32 weeks gestation.  The infant was placed on a respirator in the Neonatal Intensive Care Unit.  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Paralysis
Clinical narrative: Information has been received from a physician concerning her daughter an 18 year old female who on an unspecified date was vaccinated with GARDASIL.  The patient experienced temporary paralysis and was hospitalized.  Subsequently, the patient recovered from temporary paralysis.  The reporter felt that temporary paralysis was related to therapy with GARDASIL.  Temporary paralysis was considered to be disabling.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Loss of consciousness, Muscle twitching, Pallor
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 09-JUL-2008 was vaccinated with a second dose of GARDASIL (lot# 657872/0515U) (route and administrating site not reported). There was no concomitant medication. After receiving the GARDASIL the patient was going to receive a tuberculin purified protein derivative. Right before the patient was going to receive the tuberculin purified protein derivative she passed out and twitched/convulsed for about thirty seconds, when the patient came to she was very dizzy and pale/white. The physician reported that when the patient came to they gave her water and the patient stayed for 15 minutes. She got color back in her face, she was fine and left the office. The physician reported that they did not end up giving the tuberculin purified protein derivative to the patient at all. When the patient received the first dose of GARDASIL she was fine. Upon internal review the twitching/convulsing was considered to be an other important medical event. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Foetal distress syndrome, Oligohydramnios, Pregnancy test positive
Clinical narrative: Information has been received as part of a pregnancy registry from a nurse practitioner concerning a 19 year old female with no prior pregnancies and a history of low grade squamous intraepithelial lesion (LSIL) with a colposcopy and atypical squamous cells of undetermined significance (ASCUS) in May 2007 with her last pap smear who on 28-JUN-2007 was vaccinated with a first dose of GARDASIL (Lot# 657868/0523U). The patient was treated with FLAGYL from 14-JUN-2007 to 21-JUN-2007 for bacterial vaginosis. The nurse reported that the patient was pregnant when she received her first dose of GARDASIL. The patient's last menstrual period (LMP) was 08-MAY-2007 and her estimated date of delivery (EDD) was 12-FEB-2008. No other symptoms were noted. Follow up information has been received from a health professional from the obstetrician's office who reported that on 06-MAR-2008 at 39 weeks estimated gestational age, the patient was induced due to oligohydraminos (amniotic fluid index (AFI) not available). The patient had subsequent non-reassuring fetal heart rate (FHR) tracing which resulted in a primary cesarean section. The patient delivered a healthy and normal male weighing 3065 grams with apgar scores of 8/9. The reporter noted that the patient and the baby were fine at the postpartum visit. Upon internal review, the patient's non-reassuring fetal heart rate resulting in a cesarean section is considered to be an other important medical event. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Amniotic cavity infection, Caesarean section, Drug exposure during pregnancy, Live birth
Clinical narrative: Information has been received from the Merck Pregnancy Registry via a physician concerning a 16 year old female who in May 2007 was vaccinated with a second dose of GARDASIL.  Subsequently, the physician reported that the patient did not know she was pregnant and may have been two months pregnant at the time of the vaccination with GARDASIL.  Unspecified medical attention was sought.  Follow up information has been received from a nurse who reported that on 19-MAR-2008, the patient delivered a live female by cesarean section.  There was a "complicating amniotic infection".  The patient was seen by home nursing care after the cesarean section.  The nurse could not verify if the delivery was full term, and had no further information.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pharyngeal oedema, Swelling face, Throat tightness
Clinical narrative: This case was received from a physician on 08 July 2008.  A 19-year-old female patient received an injection of MENACTRA (lot number, route of administration, and date of administration not reported).  Three days later, she experienced swelling of her face and throat, and "felt her throat would close".  She presented to the emergency room, and was admitted to the hospital for "a few days".  No additional information was available.
Sex: F
Vaccine: MEN
Symptoms: Back pain, Head injury, Headache, Loss of consciousness
Clinical narrative: This serious case was received from a health professional on 07 July 2008, and is part of a cluster of two patients. A female patient received an injection of MENACTRA (lot number U2409AA); date, site, and route of administration was not reported. She subsequently experienced spine pain and a headache. According to the reporter, she also "passed out, hit head, and went to ER". No additional information was provided. This health professional also reported non-serious events of spine pain and headache in another patient, captured in case number 2008-02208.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy, Headache, Syncope, Ultrasound scan
Clinical narrative: Initial report received on 07 March 2008 from a physician. A 27-year-old female patient, who had no known allergies, and whose past medical history included the current pregnancy and one previous pregnancy (outcome not reported), had received a first, intramuscular, left deltoid dose of ADACEL (lot # C2769AA), on 14 February 2008. At the time of this report, the patient was in her first trimester, and had not experienced any adverse events since her vaccination with ADACEL on 14 February 2008. The date of the patient's last menstrual period and expected date of delivery were not provided. No other relevant medically significant information was provided. Follow-up information received on 08 July 2008 from the original reporter who is a physician. The patient has past medical history of migraines and depression. On an unspecified date, the patient presented to the hospital emergency department with syncope and headache. She was treated with Compazine and found to be pregnant. At that time, the patient had a nine month old baby at home and was breast feeding. The patient had no history of alcohol or tobacco use. On 29 January 2008, the patient had an ultrasound that estimated the current pregnancy to be at six weeks gestation. From this new information this case was upgraded to serious.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Akinesia, Feeling abnormal, Lethargy, Loss of consciousness
Clinical narrative: Pt had vaccinations administered - remained in office for 30 mins after vaccination waiting for other family members to complete their appointments. AT 1:00 am received phone call from mom that pt reported feeling funny and was passing out on her. Advised to return pt to clinic - pt was lethargic, unable to move extremities to clinic. Transferred to ER. 9/16/08-records received for DOS 7/7/08-presented to ED with C/O feeling faint, weak and unable to move, felt flushed and had brief erythema all over. DX-presyncopal episode. Prolonged weakness following number one. Transient weakness status post immunizations.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dysarthria, Nausea, Vertigo, Vomiting
Clinical narrative: Vaccine administered approx 1347 hr - pt was monitored x 25 min without adverse reaction. On call MD received call that evening from ER in which pt presented with slurred speech and vertigo and N/V. 7/25/08-records received for DOS 7/8/08-presented to ED with C/O dizziness, five hours prior had first injection of Gardasil and colposcopy for abnormal cells. After sleeping for 3 hours she felt like words were slurring drunk like and dizzy, had dry heave, right sided headache.  DX: allergic reaction to Gardasil.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None, vaccine given 3 months before child turned 11yrs.
Age: 9.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event
Clinical narrative: No adverse reactions noted.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Mild case chicken pox 6/24/08
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: L arm SQ arm swelling, redness mother states no pain.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a nurse practitioner concerning a male consumer who on an unspecified date was vaccinated with a first dose of 0.65ml ZOSTAVAX. Subsequently, four days after being vaccinated the patient developed shingles. The patient was seen by the nurse practitioner, it was unspecified if lab studies were performed. At the time of the report the patient's status was unknown. There was no product quality complaint involved. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Parental report of hives.  (Not seen by the provider)  Responded to Bendaryl.  No report of respiratory distress/wheezing.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Dizziness, Electrocardiogram normal, Electroencephalogram normal, Loss of consciousness
Clinical narrative: One week after receiving second dose (Sept. 10, 2007)started passing out with no memory.  EEG, EKG, catscan, stress test, cardio MRI.  Periods of dizziness 5-6 times a day.  After third dose (Dec. 31, 2007) 45 minutes periods of now knowing who she was, where she was, who parents, teachers, friends were.  Everyday for almost 3 months.  Psych tests done, video EEG, brain MRI.  All tests negative.  All symptoms disappeared May 8, 2008.  08/19/2008 ER record received for DOS 9/16/2008 with DX: Syncopal episode of unclear etiology. Neck strain. Pt was running and felt dizzy and nauseous. Pt didn't arrive at finish line and family went to find. Pt awoke being shaken by family member. Down ~10-15 minutes. C/o neck pain on awakening and mental status changes noted by family. Returned to baseline o/n and d/c home.  8/15/08 Cardiac consult received dated 9/18/07 with f/u 10/12/07 and 1/24/08. DX: syncope, peri-exertional. No heart disease. Vasovagal etiology most likely. Seen for eval of syncopal event 9/16/07. By 10/12/07 visit c/o SOB.  Some improvement of  dizziness on Florinef. By 1/24/08 experiencing episodes of "spacing out" with dx: altered consciousness-likely vasovagal syncope.  elevated BP.  No structural heart disease. 9/11/2008 Neuro consult received for OVs 1/29/08 and 3/10/08. No definitive dx but summarized as episodes of transient alterations in awareness, including dizziness, clumsiness and confusion. Syncope, seizures and psychogenic causes are in the differential. Pt experiencing episodes several times daily with occasional 2-3 day periods with none. Pt is pale and confused and cannot feel extremities during. Recent episode began with headache and sweating.  not tired after.  PE WNL.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Psychiatric evaluation normal
Clinical narrative: One week after receiving second dose (Sept. 10, 2007)started passing out with no memory.  EEG, EKG, catscan, stress test, cardio MRI.  Periods of dizziness 5-6 times a day.  After third dose (Dec. 31, 2007) 45 minutes periods of now knowing who she was, where she was, who parents, teachers, friends were.  Everyday for almost 3 months.  Psych tests done, video EEG, brain MRI.  All tests negative.  All symptoms disappeared May 8, 2008.  08/19/2008 ER record received for DOS 9/16/2008 with DX: Syncopal episode of unclear etiology. Neck strain. Pt was running and felt dizzy and nauseous. Pt didn't arrive at finish line and family went to find. Pt awoke being shaken by family member. Down ~10-15 minutes. C/o neck pain on awakening and mental status changes noted by family. Returned to baseline o/n and d/c home.  8/15/08 Cardiac consult received dated 9/18/07 with f/u 10/12/07 and 1/24/08. DX: syncope, peri-exertional. No heart disease. Vasovagal etiology most likely. Seen for eval of syncopal event 9/16/07. By 10/12/07 visit c/o SOB.  Some improvement of  dizziness on Florinef. By 1/24/08 experiencing episodes of "spacing out" with dx: altered consciousness-likely vasovagal syncope.  elevated BP.  No structural heart disease. 9/11/2008 Neuro consult received for OVs 1/29/08 and 3/10/08. No definitive dx but summarized as episodes of transient alterations in awareness, including dizziness, clumsiness and confusion. Syncope, seizures and psychogenic causes are in the differential. Pt experiencing episodes several times daily with occasional 2-3 day periods with none. Pt is pale and confused and cannot feel extremities during. Recent episode began with headache and sweating.  not tired after.  PE WNL.
Age: 18.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Blindness transient, Computerised tomogram, Headache, Hypoaesthesia
Clinical narrative: June 26, 2008 temporarily lost sight in extreme peripherals of right eye. After sight came back (15 mins)numbness in lower right arm occurred (15 mins). After feeling came back a severe headache. After sleeping the headache went away. July 3rd temporarily lost sight in bottom right quadrant of right eye (20 mins). After sight came back severe headache, which went away after sleeping. July 6th temporarily lost sight in upper left quadrant of both eyes(30 mins). After sight came back, lost feeling in both lower parts of arms (20 mins). After feeling came back headache. Went away after sleep. July 15th temporarily lost sight in both eyes, in a kind of crescent shape on the right side of both eyes, covering approximately 35-40% of vision area. (40 mins.). After sight returned, severe headache which went away after a nap. We have seen the NP & Dr. We will also be seeing a nuerologist. I am one that believes that our children need to me immunizied, but the only reason I am reporting this is because patient is a very healthy boy and these symptoms have only happened since the immumizations. Migraines have been mentioned but they do not occur in our family. It was also mentioned that 18 is the age at when migraines start occuring. Is it a side affect of the vaccines, (by themselves, given togther)? I think this should be looked into. Scary.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure decreased, Loss of consciousness
Clinical narrative: Passed out after leaving immunization clinic room.  BP check 5:35 96/58; 5:40 104/64; 5:45 106/70; Sitting position 5:50 110/62; 5:55 104/62
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Redness and edema at site of injection (l deltoid)to left elbow.  Advised yesterday to apply ice and give po anti-inflammatory.  Today no pain or redness.  Some swelling noted.
Age: 0.54
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Body temperature increased, Musculoskeletal stiffness, Screaming
Clinical narrative: GAVE TYLENOL AT HOME 4:00PM.  THIS AM STIFF, DECREASE HEAD MOBILITY, INCREASE SCREAMING, TEMP 104
Age: 51.0
Sex: M
Vaccine: TTOX
Symptoms: Activities of daily living impaired, Burning sensation, Computerised tomogram, Hypoaesthesia, Muscular weakness
Clinical narrative: He has had numbness and pain radiating from his left shouler down to his thumb and fingers.  The pain is constant.  He occasionally complains of "stinging" and "burning" sensations throughout his arm.  He thumb is continously numb. He has significant weakness in this extremity.  He is unable to perform many of the daily tasks that he was once able to do.  These problems began within hours of receiving the vaccination.
Age: 51.0
Sex: M
Vaccine: TTOX
Symptoms: Nuclear magnetic resonance imaging, Pain
Clinical narrative: He has had numbness and pain radiating from his left shouler down to his thumb and fingers.  The pain is constant.  He occasionally complains of "stinging" and "burning" sensations throughout his arm.  He thumb is continously numb. He has significant weakness in this extremity.  He is unable to perform many of the daily tasks that he was once able to do.  These problems began within hours of receiving the vaccination.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Induration, Local reaction, Pyrexia
Clinical narrative: Fever, Localized reaction at right arm with induration for 1-2 days, treated with amoxicillin
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Acute lymphocytic leukaemia
Clinical narrative: 10 years after recieving the Anthrax shot in 1998-1999 I have been diagnosed with A.L.L. Leukemia.  The doctors where all stumped becuase no person in my family have ever had a problem or any case of cancer. Both my Oncologist and my family physician tells me that it is most likely cased by chemicals.  I have a very strong feeling that my illness has been caused by the anthrax vaccine that I recieved that was never approved by the FDA. So thank you for making me take this drug.  08/04/2008 MR received for DOS 3/10-4/02/2008 with D/C DX: Early pre-Bacute lymphcytic leukemia.  Severe bone marrow suppresion 2' to chemotherapy.  Extensive blood product support including platelets and RBCs.  Induction chemotherapy for acute leukemia. Pt admitted after several previous ER visits for c/o new onset low back pain into the thigh, leg/muscle pain and then hand and arm pain.  Platelet count noted to be dropping from 101K to 33K on DOA.  Admitted for thrombocytopenia of unknown etiology. Pt ultimately dx'd with early pre-B cell ALL. Omaya resevoir palced for chemo. Underwent chemo with good response to tx.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Diffuse maculopapular rash 10-11 days after vaccination
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Haematocrit, Pallor, Syncope
Clinical narrative: Received Adacel and #1 Gardasil.  After receiving the immunizations patient was alert and talkative.  Moved from exam table to chair.  Nurse observed pt. became very pale.  Had her put head down between her legs and then she fainted.  used Amonia Inhalant to revive.  Patient revived quickly and was examined by MD.  Observed for 15 minutes more and was discharged without further incident.
Age: 1.75
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Blister, Diarrhoea, Pyrexia, Rash, Skin lesion
Clinical narrative: Grandmother presented on 7/16/2008, states child began running fever a few days ago, then loose stools one day.  A few "bumps like mosquito bites" appeared on arms and one on face 7/14/08, which child scratched.  Three new blister-like lesions to right forearm developing today.
Age: 1.0
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Apnoea, Injection site swelling, Screaming
Clinical narrative: Hep A and Varicella given R arm. Woke that evening screaming, R arm swollen.  Parents noted pauses in breathing.  Brought by ambulance to Hospital ER for exam
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Body temperature, Fatigue, Gait disturbance, Joint swelling
Clinical narrative: TDAP WAS ADMINISTERED IN THE ED ON 6/28/08 AT 4:30AM.  EE WENT HOME TO SLEEP, WHEN SHE AWOKE THE NEXT DAY, LEFT THUMB WAS SWOLLEN AND SORE.  INITTIALLY IT WAS THOUGHT SHE HAD HYPEREXTENDED HER THUMB, BUT OVER THE NEXT 48 HOURS SHE EXPERIENCED JOINT PAIN AND SWELLING TO BILATERAL WRISTS & ANKLES, KNEES AND SHOULDERS.  ALSO HAD TEMP OF 100.8, FATIGUE AND DIFFICULTY WALKING. SHE WAS PLACED ON A MEDROL DOSE PACK & VICODIN FOR PAIN. ALL SYMPTOMS RESOLVED BY 7/15/08.
Age: 40.0
Sex: F
Vaccine: DTAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: TDAP WAS ADMINISTERED IN THE ED ON 6/28/08 AT 4:30AM.  EE WENT HOME TO SLEEP, WHEN SHE AWOKE THE NEXT DAY, LEFT THUMB WAS SWOLLEN AND SORE.  INITTIALLY IT WAS THOUGHT SHE HAD HYPEREXTENDED HER THUMB, BUT OVER THE NEXT 48 HOURS SHE EXPERIENCED JOINT PAIN AND SWELLING TO BILATERAL WRISTS & ANKLES, KNEES AND SHOULDERS.  ALSO HAD TEMP OF 100.8, FATIGUE AND DIFFICULTY WALKING. SHE WAS PLACED ON A MEDROL DOSE PACK & VICODIN FOR PAIN. ALL SYMPTOMS RESOLVED BY 7/15/08.
Age: 1.17
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Aphthous stomatitis, Blood test, Diarrhoea, Irritability, Pyrexia
Clinical narrative: Developed rash within 12 hours of vaccine, talked with Dr. after hours, Dr. triaged call recommended Tylenol and Motrin, call if worsens. Patients mother called 07-16-2008, was seen in the morning, patient was cranky through the night, had fever. Patients mother had to pick child up from daycare with fever up to 103.8, vomiting, diarrhea, canker sores in oral mucosa. Child is alert, no seizure or meningal signs noticed. After seeing Dr. and recieving treatment patients mother took her to local ER, on her own with increasing vomiting, and higher fever. ER DR. contacted Dr. with the patient having a fever of 104, by the time ER Dr. talked with DR. temp was down to 98.
Age: 1.17
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash, Vomiting
Clinical narrative: Developed rash within 12 hours of vaccine, talked with Dr. after hours, Dr. triaged call recommended Tylenol and Motrin, call if worsens. Patients mother called 07-16-2008, was seen in the morning, patient was cranky through the night, had fever. Patients mother had to pick child up from daycare with fever up to 103.8, vomiting, diarrhea, canker sores in oral mucosa. Child is alert, no seizure or meningal signs noticed. After seeing Dr. and recieving treatment patients mother took her to local ER, on her own with increasing vomiting, and higher fever. ER DR. contacted Dr. with the patient having a fever of 104, by the time ER Dr. talked with DR. temp was down to 98.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Cellulitis of left thigh on July 9, 2008 - two days after vaccines were administered.  Patient had a large amount of swelling and redness on left thigh. Patient was started on Amox 1 tsp BID for 10 days.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Immediate post-injection reaction
Clinical narrative: diarrhea six times per day for two weeks following administration of Rotateq, beginning right after vaccine administration.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Large dark red area surrounded by a light red area on right upper arm.  Also small red area on left upper arm.  Both sites very painful and itchy.  Was given EES 2 tsp BID for 14 days.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure, Hypotonia, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Client experienced complete loss of consciousness with associated flaccidity/loss of muscle control within 1 minute of adminstation of Gardasil.  Loss of consciousness lasted 1-2 minutes. Lowered client to the floor where she regained consciousness but maintained extreme pallor for the duration of her stay.  BP upon recovery 96/64.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Tdap given when Dtap should have been given.
Age: 41.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: Temperature of 101.7, stomach ache, headache, chills, tired in the evening following the injection. Took extra strength Tylenol and "felt a little better".
Age: 41.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Temperature of 101.7, stomach ache, headache, chills, tired in the evening following the injection. Took extra strength Tylenol and "felt a little better".
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Generalized rash, approximately 2 inches in diameter at location where subcutaneous injection was given in right arm.  Rash slightly raised, soreness at location of rash, and rash warm to the touch. Varicella vaccine given on 7/14/08 and did not notice rash until 7/15/08 per patient.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Axillary pain, Body temperature increased, Chills, Feeling abnormal, Feeling abnormal
Clinical narrative: CLIENT RECEIVED MENACTRA VACCINE ON 7/15/08 AROUND 1:00PM. MOTHER REPORTS CLIENT AWOKE AT 2:00 AM SHIVERING AND FEELING TERRIBLE. CLIENT TOOK HER TEMPERATURE, AND IT WAS 103. SHE TOOK 2 EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. AWOKE AGAIN AT 7:30 AM, STILL FELT BAD, TOOK 1 MORE EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. MOTHER CALLED ME AROUND 12:45 PM, SAYING THAT CLIENT'S TEMP WAS 100.2 AND THAT SHE WAS HAVING WEAKNESS IN HER LEGS. I SPOKE TO CLIENT, WHO SAID HER LEGS FELT VERY ACHEY AND WEAK, AND HAD NOT IMPROVED AFTER TAKING TYLENOL. SHE SAID HER STOMACH ALSO FELT UPSET. DENIED VOMITING. STATED SHE HAD BEEN ABLE TO EAT SOME CRACKERS AND YOGURT. I SPOKE TO MOTHER AGAIN, AND ENCOURAGED HER TO GIVE TYLENOL AGAIN AND TO MONITOR HER CONDITION, ESPECIALLY THE WEAKNESS IN THE LEGS. I GAVE HER INFORMATION ON THE RARE OCCURRENCE OF GUILLAIN-BARRE SYNDROME BEING REPORTED AFTER ADMINISTRATION OF MENACTRA. I INSTRUCTED MOTHER TO TAKE CLIENT TO SEE A DOCTOR IF LEG WEAKNESS WORSENS, OR IF SHE FEELS AT ANY TIME SHE WOULD LIKE HER DAUGHTER TO BE SEEN BY A PHYSICIAN. AT 4:30 PM I CALLED MOTHER BACK. CLIENT'S TEMP IS DOWN TO 98.3 AND SHE FEELS MUCH BETTER. HER LEGS FEEL MUCH BETTER. I ENCOURAGED MOTHER TO CONTINUE TO MONITOR CLIENT, SOLICITING INFORMATION FROM HER ON HOW SHE FEELS. I ASKED HER TO PLEASE CALL ME IF CLIENT DOES NOT CONTINUE TO IMPROVE. The client's mother phoned me thismorning to tell me that the client's temperatured has been normal since yesterday afternoon, 07/16/08, and she is no longer experiencing any weakness or aches in her legs. Late yesterday afternoon she did notice the beginning of some swelling in her left arm where she recieved the MENACTRA injection. Today, her mother states the clien't left arm is sollen all the way down to her elbow, in painful to the touch, and even hurts in the axillary area. She will administer TYLENOL,and use warm compresses to ease the pain. I asked her to please call me if any further developements.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pain, Injection site swelling, Muscular weakness, Oedema peripheral, Pain in extremity
Clinical narrative: CLIENT RECEIVED MENACTRA VACCINE ON 7/15/08 AROUND 1:00PM. MOTHER REPORTS CLIENT AWOKE AT 2:00 AM SHIVERING AND FEELING TERRIBLE. CLIENT TOOK HER TEMPERATURE, AND IT WAS 103. SHE TOOK 2 EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. AWOKE AGAIN AT 7:30 AM, STILL FELT BAD, TOOK 1 MORE EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. MOTHER CALLED ME AROUND 12:45 PM, SAYING THAT CLIENT'S TEMP WAS 100.2 AND THAT SHE WAS HAVING WEAKNESS IN HER LEGS. I SPOKE TO CLIENT, WHO SAID HER LEGS FELT VERY ACHEY AND WEAK, AND HAD NOT IMPROVED AFTER TAKING TYLENOL. SHE SAID HER STOMACH ALSO FELT UPSET. DENIED VOMITING. STATED SHE HAD BEEN ABLE TO EAT SOME CRACKERS AND YOGURT. I SPOKE TO MOTHER AGAIN, AND ENCOURAGED HER TO GIVE TYLENOL AGAIN AND TO MONITOR HER CONDITION, ESPECIALLY THE WEAKNESS IN THE LEGS. I GAVE HER INFORMATION ON THE RARE OCCURRENCE OF GUILLAIN-BARRE SYNDROME BEING REPORTED AFTER ADMINISTRATION OF MENACTRA. I INSTRUCTED MOTHER TO TAKE CLIENT TO SEE A DOCTOR IF LEG WEAKNESS WORSENS, OR IF SHE FEELS AT ANY TIME SHE WOULD LIKE HER DAUGHTER TO BE SEEN BY A PHYSICIAN. AT 4:30 PM I CALLED MOTHER BACK. CLIENT'S TEMP IS DOWN TO 98.3 AND SHE FEELS MUCH BETTER. HER LEGS FEEL MUCH BETTER. I ENCOURAGED MOTHER TO CONTINUE TO MONITOR CLIENT, SOLICITING INFORMATION FROM HER ON HOW SHE FEELS. I ASKED HER TO PLEASE CALL ME IF CLIENT DOES NOT CONTINUE TO IMPROVE. The client's mother phoned me thismorning to tell me that the client's temperatured has been normal since yesterday afternoon, 07/16/08, and she is no longer experiencing any weakness or aches in her legs. Late yesterday afternoon she did notice the beginning of some swelling in her left arm where she recieved the MENACTRA injection. Today, her mother states the clien't left arm is sollen all the way down to her elbow, in painful to the touch, and even hurts in the axillary area. She will administer TYLENOL,and use warm compresses to ease the pain. I asked her to please call me if any further developements.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Stomach discomfort
Clinical narrative: CLIENT RECEIVED MENACTRA VACCINE ON 7/15/08 AROUND 1:00PM. MOTHER REPORTS CLIENT AWOKE AT 2:00 AM SHIVERING AND FEELING TERRIBLE. CLIENT TOOK HER TEMPERATURE, AND IT WAS 103. SHE TOOK 2 EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. AWOKE AGAIN AT 7:30 AM, STILL FELT BAD, TOOK 1 MORE EXTRA-STRENGTH TYLENOL AND WENT BACK TO SLEEP. MOTHER CALLED ME AROUND 12:45 PM, SAYING THAT CLIENT'S TEMP WAS 100.2 AND THAT SHE WAS HAVING WEAKNESS IN HER LEGS. I SPOKE TO CLIENT, WHO SAID HER LEGS FELT VERY ACHEY AND WEAK, AND HAD NOT IMPROVED AFTER TAKING TYLENOL. SHE SAID HER STOMACH ALSO FELT UPSET. DENIED VOMITING. STATED SHE HAD BEEN ABLE TO EAT SOME CRACKERS AND YOGURT. I SPOKE TO MOTHER AGAIN, AND ENCOURAGED HER TO GIVE TYLENOL AGAIN AND TO MONITOR HER CONDITION, ESPECIALLY THE WEAKNESS IN THE LEGS. I GAVE HER INFORMATION ON THE RARE OCCURRENCE OF GUILLAIN-BARRE SYNDROME BEING REPORTED AFTER ADMINISTRATION OF MENACTRA. I INSTRUCTED MOTHER TO TAKE CLIENT TO SEE A DOCTOR IF LEG WEAKNESS WORSENS, OR IF SHE FEELS AT ANY TIME SHE WOULD LIKE HER DAUGHTER TO BE SEEN BY A PHYSICIAN. AT 4:30 PM I CALLED MOTHER BACK. CLIENT'S TEMP IS DOWN TO 98.3 AND SHE FEELS MUCH BETTER. HER LEGS FEEL MUCH BETTER. I ENCOURAGED MOTHER TO CONTINUE TO MONITOR CLIENT, SOLICITING INFORMATION FROM HER ON HOW SHE FEELS. I ASKED HER TO PLEASE CALL ME IF CLIENT DOES NOT CONTINUE TO IMPROVE. The client's mother phoned me thismorning to tell me that the client's temperatured has been normal since yesterday afternoon, 07/16/08, and she is no longer experiencing any weakness or aches in her legs. Late yesterday afternoon she did notice the beginning of some swelling in her left arm where she recieved the MENACTRA injection. Today, her mother states the clien't left arm is sollen all the way down to her elbow, in painful to the touch, and even hurts in the axillary area. She will administer TYLENOL,and use warm compresses to ease the pain. I asked her to please call me if any further developements.
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Pt received Td vaccine 7/1/08, presented to clinic 7/16/08 with pain and a lump to left deltoid muscle.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal distension, Anger, Blood thyroid stimulating hormone, Crying, Death of relative
Clinical narrative: Within first week after vaccination patient started having symptoms of increased moodiness, anger outburst, irritability, bloating, tearfullness.  Started menses 5/30/08 (day of vaccination) Patient states she has continued to have these symptoms periodically over the last 2 months.  She also feels her periods have become irregular since getting the shot.  Menarche, however was 2/2008 and pt reported irregular cycle the month prior.  Patient also has had many stressors recently, with maternal grandmother recently passing.  Patient in counselling and counselor is the one who states that she has had several clients with increased anger outburst and mood swings since receiving gardasil.  Currently patient states she is not having any anger or mood issues, still complains of bloating.  LMP 7/9/08
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Irritability, Menarche, Menstruation irregular, Mood swings, Stress
Clinical narrative: Within first week after vaccination patient started having symptoms of increased moodiness, anger outburst, irritability, bloating, tearfullness.  Started menses 5/30/08 (day of vaccination) Patient states she has continued to have these symptoms periodically over the last 2 months.  She also feels her periods have become irregular since getting the shot.  Menarche, however was 2/2008 and pt reported irregular cycle the month prior.  Patient also has had many stressors recently, with maternal grandmother recently passing.  Patient in counselling and counselor is the one who states that she has had several clients with increased anger outburst and mood swings since receiving gardasil.  Currently patient states she is not having any anger or mood issues, still complains of bloating.  LMP 7/9/08