chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain, X-ray
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Arthralgia, Arthralgia, Blood test, Bone scan
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chills, Computerised tomogram, Convulsion, Dyskinesia, Dyskinesia
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Electrocardiogram, Electroencephalogram, Gaze palsy, Headache
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint lock, Muscle spasms, Muscle twitching, Musculoskeletal pain, Nervous system disorder
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Opisthotonus, Ovarian cyst, Paraesthesia, Prothrombin time, Screaming
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Speech disorder, Throat tightness, Tremor, Urine analysis, X-ray
Clinical narrative: Headaches starting January 3rd. Nausea and flu-like symptoms starting around January 15th. Low back pain started early January. February 2, patient had one "violent seizure-like episode" with strong involuntary muscle contractions at school. Ambulance was called, patient went to ER. Diagnosed with low potassium. February 3, patient had several more episodes at school. Ambulance was called again, patient went to ER and had several more episodes in the ER, and admitted to hospital. Possible dystonia? Several more episodes in the hospital with total lab and diagnostic test work-up. Discharged February 8 with diagnosis of anxiety. Was given Kepra which took her from 30 seizures a day to 15 a day. Patient taking 500 mg bid. Back pain remains at an 8 which increases to 10 right before an episode. Patient is aware and alert during seizure-like episodes and states they are extremely painful muscular contractions. Has follow-up testing with pediatrician and ob-gyn, and has been referred to specialist.2/27/09-records received-for DOS 2/3-/2/8/09-presented with back spasms after 1 day history of multiple episodes of flexing back and flexing hands foreward and flexing legs backwards with severe pain.  10/8/09 Multiple hospital records, DC summaries, and ER record received.   Service dates: 2/3/09 to 2/8/09. Patient admitted for back spasms. Multiple episodes of flexing of back, flexing of hands forward, and flexing of legs backwards.  LABS and DIAGNOSTICS: EEG - Normal. MRI - WNL.  Service dates: 4/1/09 to 4/5/09. Admitted for worsening of muscle spasms and dystonia which appear to be affecting her breathing.  ER Service date 4/12/09 Patient c/o nightly episodes of spasm-like pain. Spasms of feet, arms, neck amd eyes. Extension of neck, eyes roll back. Head jerking and screaming. Nausea and abdominal discomfort. Depressed. Not attending school. Presented with feet plantar flexed with fully extended legs, slight tremor. Wrists in decorticate position and head turned to left. Speech difficult. Heat intolerance. Admitted to hospital.  Service dates: 4/12/09 to 4/14/09. Admitted for increasing dystonic reactions. Intractable muscle spasms.  ICD-9 Codes: 781.0 Abnormal involuntary movement, 786.09 Dyspnea & respiratory abnormallity, 780.2 Syncope and collapse, 724.8 Symptoms of back.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza, Influenza serology
Clinical narrative: Developed Influenza A
Age: 48.0
Sex: M
Vaccine: FLU3, HEPAB, IPV, MNQ, PPV, TDAP, TYP, YF
Symptoms: Alanine aminotransferase increased, Arthralgia, Blood glucose increased, Chest pain, Chills
Clinical narrative: Night after vaccine administered patient developed joint pain, insomnia, numbness of certain areas on right side of body (cheek, elbow, thumb, heel), had headache, chilles, some complaint of chest pain.  3/12/09 MR received from PCP.  Pt in 2/3/09 for multiple vax (8 total) prior to travel abroad.  TC from pt 2/5/09 with c/o H/A and generalized aching, joint pain, and sporadic numbness in the L arm and face.  Seen 2/9/09 for numbness on the R side of body, R arm and hand pain, bilateral knee pain, heaviness in the head. chills, night sweats, chest pain and voice alteration. ROS (+) for fatigue, poor appetite, weight loss, nasal congestion, post nasal drip, muscle pain, joint pain and tingling in addition to above. PE (+) for murmur, sensory disturbance over the R cheek and mandible as well as R heel, numbness R elbow, knee effusion.  Impression:  R sided numbness in various locations.  Joint pain, primarily in R hand & knees.  Recent vaccines.  DM.  Bicuspid aortic valve with aortic insufficiency.  Chest pain.  Neurologist consulted suggests ? mild encephalitis.  Suspect r/t YF vaccine. F/U 3/9/09-overall better but still reports elbow pain and voice alteration.
Age: 48.0
Sex: M
Vaccine: FLU3, HEPAB, IPV, MNQ, PPV, TDAP, TYP, YF
Symptoms: Headache, Hypoaesthesia, Insomnia, Metabolic function test, Nuclear magnetic resonance imaging
Clinical narrative: Night after vaccine administered patient developed joint pain, insomnia, numbness of certain areas on right side of body (cheek, elbow, thumb, heel), had headache, chilles, some complaint of chest pain.  3/12/09 MR received from PCP.  Pt in 2/3/09 for multiple vax (8 total) prior to travel abroad.  TC from pt 2/5/09 with c/o H/A and generalized aching, joint pain, and sporadic numbness in the L arm and face.  Seen 2/9/09 for numbness on the R side of body, R arm and hand pain, bilateral knee pain, heaviness in the head. chills, night sweats, chest pain and voice alteration. ROS (+) for fatigue, poor appetite, weight loss, nasal congestion, post nasal drip, muscle pain, joint pain and tingling in addition to above. PE (+) for murmur, sensory disturbance over the R cheek and mandible as well as R heel, numbness R elbow, knee effusion.  Impression:  R sided numbness in various locations.  Joint pain, primarily in R hand & knees.  Recent vaccines.  DM.  Bicuspid aortic valve with aortic insufficiency.  Chest pain.  Neurologist consulted suggests ? mild encephalitis.  Suspect r/t YF vaccine. F/U 3/9/09-overall better but still reports elbow pain and voice alteration.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: PATIENT RECIEVED A SUB-Q DOSE OF ZOSTAVAX IN HER RIGHT ARM ON 2/12/2009. THE PATIENT TOLERATED THE SHOT VERY WELL; NO PAIN, SWELLING, REDNESS OR ITCHING AT THE TIME OF VACCINATION. OVER THE WEEKEND THE PATIENT'S INJECTION SITE BECAME RED AND SWOLLEN AND VERY ITCHY. SHE CALLED THE PHARMACY, SPOKE WITH MYSELF, AND WAS CONCERNED BECAUSE HER HUSBAND DID NOT HAVE SIMILAR SYMPTOMS AFTER GETTING HIS SHOT. I TOLD THE PATIENT THAT THE REACTION IS MOST LIELY JUST FROM GETTING THE SHOT, AND SHE IS MOST LIKELY NOT HAVING AN ALLERGIC REACTION. I TOLD HER TO USE COLD COMPRESSES TO HELP THE SWELLING, AND TO USE HYDROCORTISONE CREAM TO HELP WITH THE ITCHING. I CONTACTED THE PATIENT'S PHYSICIAN, AND HE AGREED WITH OUR COURSE OF ACTION.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Chills, Chronic fatigue syndrome, Ear pain, Headache
Clinical narrative: Patient received 1st dose of Gardasil vaccine on 8/8/08 in Dr. office, since having the vaccine she has had recurring headaches, severe joint pain, chronic fatigue syndrome, and chronic swollen glands, chills, fever, sore throat, ear pain, numness in arms. On 12/2/08 she received her 2nd MMR and Menoccical vaccine at her pediatrician.  3/11/09 MR received from PCP from 8/7/08-2/15/09. Seen 9/28/09 with c/o sore throat and congestion. DX:  sinusitis. Pharyngitis. Seen again 10/6/08 after falling off horse with c/o neck pain. DX:  Spasm-R SCM muscle.  URI and BSOM 10/13/09.  Sinusitis 11/12/08.  MCV4 and MMR given 12/2/08. Seen again 2/5/09 for c/o ear pain, chills, fever with congestion.  DX:  allergy.  RSOM. Seen 2/12/09 for c/o fever, scratchy throat,cough, lip swelling,congestion and achy joints.  DX:  Pharyngitis.  Bronchitis. Seena 2/15/09 with c/o difficulty breathing, cough, wheezing, H/A.  DX:  URI.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Influenza serology, Laboratory test, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Patient received 1st dose of Gardasil vaccine on 8/8/08 in Dr. office, since having the vaccine she has had recurring headaches, severe joint pain, chronic fatigue syndrome, and chronic swollen glands, chills, fever, sore throat, ear pain, numness in arms. On 12/2/08 she received her 2nd MMR and Menoccical vaccine at her pediatrician.  3/11/09 MR received from PCP from 8/7/08-2/15/09. Seen 9/28/09 with c/o sore throat and congestion. DX:  sinusitis. Pharyngitis. Seen again 10/6/08 after falling off horse with c/o neck pain. DX:  Spasm-R SCM muscle.  URI and BSOM 10/13/09.  Sinusitis 11/12/08.  MCV4 and MMR given 12/2/08. Seen again 2/5/09 for c/o ear pain, chills, fever with congestion.  DX:  allergy.  RSOM. Seen 2/12/09 for c/o fever, scratchy throat,cough, lip swelling,congestion and achy joints.  DX:  Pharyngitis.  Bronchitis. Seena 2/15/09 with c/o difficulty breathing, cough, wheezing, H/A.  DX:  URI.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: Patient received 1st dose of Gardasil vaccine on 8/8/08 in Dr. office, since having the vaccine she has had recurring headaches, severe joint pain, chronic fatigue syndrome, and chronic swollen glands, chills, fever, sore throat, ear pain, numness in arms. On 12/2/08 she received her 2nd MMR and Menoccical vaccine at her pediatrician.  3/11/09 MR received from PCP from 8/7/08-2/15/09. Seen 9/28/09 with c/o sore throat and congestion. DX:  sinusitis. Pharyngitis. Seen again 10/6/08 after falling off horse with c/o neck pain. DX:  Spasm-R SCM muscle.  URI and BSOM 10/13/09.  Sinusitis 11/12/08.  MCV4 and MMR given 12/2/08. Seen again 2/5/09 for c/o ear pain, chills, fever with congestion.  DX:  allergy.  RSOM. Seen 2/12/09 for c/o fever, scratchy throat,cough, lip swelling,congestion and achy joints.  DX:  Pharyngitis.  Bronchitis. Seena 2/15/09 with c/o difficulty breathing, cough, wheezing, H/A.  DX:  URI.
Age: 45.0
Sex: F
Vaccine: HEPA
Symptoms: Burning sensation, Rash pruritic
Clinical narrative: Pt. developed burning, itching rash on both upper arms, chest and upper thighs over 3 day period post vaccination;   to Er on day 3 -received IV solumedrol 125 mg and Benadry 25 mg IV;  given prednisone # 8 to take  po BID x 4 days.
Age: 14.0
Sex: M
Vaccine: MEN
Symptoms: Dizziness, Heart rate increased, Pyrexia
Clinical narrative: Fever,dizziness & fast heart beat
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Malaise, Syncope
Clinical narrative: My daughter received Gardisil vaccine today..Number 3, and she fainted about 8 minutes after the shot.  She was okay..nurse kept us a few minutes to be sure, but then walking to the check out desk she said she didn't feel well and fainted onto the floor (I caught her on the way donw)She had no reaction to the first 2 doses, but fainted after this one.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Back pain, Dyspnoea, Nausea
Clinical narrative: Patient experiences severe flushing episodes, nausea, severe abdominal pain, back pain, difficulty breathing.  Several physicians and tests find nothing causing it.  Alls symptoms developed after the first Gardasil injection.  Symptoms still present two months later.  /24/09 Received vaccine records & PCP medical records of 12/1/08-2/17/2009. FINAL DX: likely dermatographism Records reveal patient experienced HA & dizziness intermittently x 2 yrs.  Meds had been d/c'd but HA & dizziness persisted.  Missed school due to HAs.  Allergy consult done 2/2/09 due to rash & flushing episodes since 12/29/08.  Allergy testing neg except for cedar pollen.  Tx w/antihistamine.  Had been hospitalized w/RLQ pain & dx w/constipation, treated w/enema & diet.  RTC 2/17/09 w/dizziness, flushing, abdominal pain.  Exam revealed orthostatic BP w/tachycardia.  Referred to known Neuro for additional w/u.  3/30/09 Received ER & Outpatient clinic records of 1/25/08-2/11/2009. FINAL DX: convulsive syncope Records reveal patient experienced continued dizziness, HA.  Had outside MRI considered to be abnormal & had been referred to Neuro.  RTC 9/08 off meds & mood markedly improved.  Continued w/HA, dizziness followed by syncope & tonic posturing w/some clonic jerks, last episode 8/08 & occurring approx q6mo, lasting approx 30-60 secs.  Seen in ER 1/13/09 for intermittent RUQ abdominal pain, right shoulder & shoulder blade pain; hot flashes & nausea x 1-2 wks. Dx w/acute gastroenteritis & constipation.  Tx w/fluids & enema.  Seen in GYN clinic 2/11/09 for recurring hot flashes, felt to be neurologic rather than GYN in origin as exam WNL.
Age: 0.18
Sex: M
Vaccine: 6VAX-F, PNC, RV5
Symptoms: Abdominal pain, Bowel movement irregularity, Constipation, Ultrasound scan normal
Clinical narrative: My son has had chronic constipation with abdominal pain since administered the oral vaccine (Rotateq).  He has not been able to have a bowl movement without stimulation or laxitaves since that date.  His original bowl pattern was at least 4 - 5 large BMs daily. The patient was seen by a GI specialist on 2/6/09 and 2/26/09. The baby brest feed exclusively and the mother began a milk free diet on 2/6/2009 and soy free diet on 2/26/2009 to rule out food allergy. The stools were bloody with a lot of mucus. The baby had iuncresed reflux between 1/20/2009 and 3/31/2009. The U/S was normal on 1/26/2009. The last does of milk of magnesia was given on 2/25/2009 and a bowl movement occurred on 3/1/2009 (less mucus; noo blood).
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Fatigue, Headache
Clinical narrative: Fever, headache, nausea, joint pain, unusual tiredness/weakness, aching muscles, muscle weakness, bad stomach ache.  2/18/09 Received vaccine records & PCP medical records of FINAL DX: viral syndrome & vaccine allergic reaction Records reveal patient experienced left arm pain s/p vaccination w/fever, HA, facial swelling, difficulty swallowing, gen aching, nausea, & seen in ER 2/6/09.  Tx w/IVF & meds, imiproved & d/c to home.  Missed 3 days of school.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Nausea, Pyrexia, Urine analysis
Clinical narrative: Fever, headache, nausea, joint pain, unusual tiredness/weakness, aching muscles, muscle weakness, bad stomach ache.  2/18/09 Received vaccine records & PCP medical records of FINAL DX: viral syndrome & vaccine allergic reaction Records reveal patient experienced left arm pain s/p vaccination w/fever, HA, facial swelling, difficulty swallowing, gen aching, nausea, & seen in ER 2/6/09.  Tx w/IVF & meds, imiproved & d/c to home.  Missed 3 days of school.
Age: 1.4
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Full blood count, Swelling face
Clinical narrative: MMR given 1/21/09.  Came in with swollen R side of face on 2/9/09
Sex: F
Vaccine: HEP
Symptoms: Grand mal convulsion
Clinical narrative: This case was reported by a healthcare professional via another manufacturer and described the occurrence of grand mal seizure in an adult female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included hepatitis C and seizure disorder. On an unspecified date the subject received 1st and 2nd dose of ENGERIX B (unknown). At an unspecified time after each administration of ENGERIX B, the subject experienced grand mal seizure. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified. It was reported that the subject would be receiving the 3rd dose of ENGERIX B despite the seizures.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Electromyogram, Nerve conduction studies, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Leg Pain
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Myalgia, Tachycardia
Clinical narrative: Fatigue, myalgia. Episode of tachycardia 24 hours after vaccine, lasted 5-6 minutes.
Age: 8.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Muscle spasms, Palpitations
Clinical narrative: Diffuse abdominal pain after first dose.  Chest pain, difficulty breathing, shortness of breath, palpitations and cramping after second dose.  No wheezing on exam.
Age: 10.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: DTap given outside guidelines. Per MFG. No need to revaccinate.
Age: 72.0
Sex: M
Vaccine: YF
Symptoms: Asthenia, Atrial fibrillation, Chills, Diarrhoea, Hypovolaemic shock
Clinical narrative: Fever, chills, weakness, RUQ pain and tenderness.  2/24/09 Mr received for DOS 1/30-2/7/09 with D/C DX:  Hypovolemic shock r/t profuse diarrhea and vomiting.  Viserotropic reaction to Yellow Fever.  Mild diverticulitis.  Atrial Fibrillation with rapid ventricular response which is probably new onset.  Hypokalemia, hypocalcemia, hypomagnesemia, hypophospatemia.  Transient renal insufficiency.  Fluid retention r/t low albumin.   Pt presented to ER with profuse diarrhea, vomiting, evidence of hypotension, hyponatremia and fever x 5-6 days. Hypotension, dehydration and electrolyte abnormalities reslved with fluids. Started on abx until all cx back (-) which resolved fever.  Fever returned on d/c of abx.  Diverticulitis then noted on CT and abx resumed. LFTs, BUN and creatinine improving by d/c. Will f/u A-fib as outpt.
Age: 72.0
Sex: M
Vaccine: YF
Symptoms: Pain, Pyrexia, Tenderness, Vomiting
Clinical narrative: Fever, chills, weakness, RUQ pain and tenderness.  2/24/09 Mr received for DOS 1/30-2/7/09 with D/C DX:  Hypovolemic shock r/t profuse diarrhea and vomiting.  Viserotropic reaction to Yellow Fever.  Mild diverticulitis.  Atrial Fibrillation with rapid ventricular response which is probably new onset.  Hypokalemia, hypocalcemia, hypomagnesemia, hypophospatemia.  Transient renal insufficiency.  Fluid retention r/t low albumin.   Pt presented to ER with profuse diarrhea, vomiting, evidence of hypotension, hyponatremia and fever x 5-6 days. Hypotension, dehydration and electrolyte abnormalities reslved with fluids. Started on abx until all cx back (-) which resolved fever.  Fever returned on d/c of abx.  Diverticulitis then noted on CT and abx resumed. LFTs, BUN and creatinine improving by d/c. Will f/u A-fib as outpt.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Induration, Rash papular, Skin discolouration
Clinical narrative: Pink papule on L Tricep Area with wheal of induration, ? early vesicle formation at center of papule.  Scattered papules on Trunk and extremities Approx 8-10 Lesions.
Age: 1.0
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Cough, Pneumonia, Pyrexia, Sinus congestion
Clinical narrative: Infant had some sinus congestion at the time of her vaccinations. Two days later she developed fever and cough. She was diagnosed with pneumonia 2-6-09. She responded well to Azithromycin treatment.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature, Consciousness fluctuating, Dizziness, Dyskinesia, Oxygen saturation
Clinical narrative: Pt c/o feeling dizzy after shot.  Pt told to sit-  down - given a cold compress.  Pt LOL for under 1min with some jerking movements ammonia inhalant used  with little effect Pt cont.  to go in and out of consciousness.  MD call to Pt.  911 called as per MD.  O2 given.  Pt taken to hospital via amb.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Oedema
Clinical narrative: Patient was given two tetanus injections (ADACEL) in 1 year. Denies pain. Edema problems after 4 days.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Urticaria
Clinical narrative: Rash. swelling pain @ injection site hives present both arms.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal discomfort, Antinuclear antibody negative, Autopsy, Cardiac enzymes increased, Catheterisation cardiac normal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 17 year old female was vaccinated with the second dose of GARDASIL (Lot # 659962/1740U) intramuscularly on 24-JUL-2008. The patient presented on 03-AUG-2008 with an approximately 4-day history of nonspecific nausea and abdominal discomfort. This was initially thought to be dyspepsia. The patient was treated with Pepto-Bismol. There may had been some initial improvement; however, the patient continued to have persisting abdominal discomfort. Upon admission, patient had increased symptoms of shortness of breath with dizziness and left upper extremity and left lower extremity numbness. The patient also had crushing substernal left-sided chest discomfort. The patient presented to the emergency department, at which point cardiac enzymes ordered were significantly elevated. Patient was given Zofran for her nausea. Patient was also given aspirin 81 mg x3. D-dimer was checked (2). Patient was started on dopamine drip. Due to the patient's deteriorating status, the patient was taken emergently by Cardiologist for a right and left heart catheterization. Based on report, left heart catheterization showed no evidence of coronary disease. Ejection fraction was measured at 23%. Based on the verbal report from the doctor, there was no tamponade physiology on right heart catheterization. Patient has no previous surgical or significant medical history. She had recently received the GARDASIL from her primary care physician. Patient denies history of asthma, cardiac disease. Secondary to her ejection fraction, an intraaortic balloon pump was placed and the patient was returned to critical care unit. However, over the next 6-8 hours, her function continued to deteriorate, she went into V tach which led her to further decompensate. She was resuscitated for more than 1-1/2 hours to maintain her blood pressure above 90. Cardiothoracic surgery was consulted to place her on bypass and place her on an assistive device. However, due to her current status, it was elected not to do so. CPR continued until the priest was available, and care was withdrawn. Patient was pronounced dead on 04-AUG-2008. A Coxsackie virus antibody panel was negative. Streptolysin antibody 200 (pos); Adenovirus, Echovirus, Influenza A, Influenza B (32-past or recent inf), ANA tests were performed with negative results. The autopsy found: fulminant lymphocytic myocarditis, myocardial hypoperfusion. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the research center and was released. The original reporting source was not provided. The Vaers # is: 325063. No further  information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest discomfort, Coxsackie virus serology test negative, Death, Dizziness, Dyspnoea
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 17 year old female was vaccinated with the second dose of GARDASIL (Lot # 659962/1740U) intramuscularly on 24-JUL-2008. The patient presented on 03-AUG-2008 with an approximately 4-day history of nonspecific nausea and abdominal discomfort. This was initially thought to be dyspepsia. The patient was treated with Pepto-Bismol. There may had been some initial improvement; however, the patient continued to have persisting abdominal discomfort. Upon admission, patient had increased symptoms of shortness of breath with dizziness and left upper extremity and left lower extremity numbness. The patient also had crushing substernal left-sided chest discomfort. The patient presented to the emergency department, at which point cardiac enzymes ordered were significantly elevated. Patient was given Zofran for her nausea. Patient was also given aspirin 81 mg x3. D-dimer was checked (2). Patient was started on dopamine drip. Due to the patient's deteriorating status, the patient was taken emergently by Cardiologist for a right and left heart catheterization. Based on report, left heart catheterization showed no evidence of coronary disease. Ejection fraction was measured at 23%. Based on the verbal report from the doctor, there was no tamponade physiology on right heart catheterization. Patient has no previous surgical or significant medical history. She had recently received the GARDASIL from her primary care physician. Patient denies history of asthma, cardiac disease. Secondary to her ejection fraction, an intraaortic balloon pump was placed and the patient was returned to critical care unit. However, over the next 6-8 hours, her function continued to deteriorate, she went into V tach which led her to further decompensate. She was resuscitated for more than 1-1/2 hours to maintain her blood pressure above 90. Cardiothoracic surgery was consulted to place her on bypass and place her on an assistive device. However, due to her current status, it was elected not to do so. CPR continued until the priest was available, and care was withdrawn. Patient was pronounced dead on 04-AUG-2008. A Coxsackie virus antibody panel was negative. Streptolysin antibody 200 (pos); Adenovirus, Echovirus, Influenza A, Influenza B (32-past or recent inf), ANA tests were performed with negative results. The autopsy found: fulminant lymphocytic myocarditis, myocardial hypoperfusion. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the research center and was released. The original reporting source was not provided. The Vaers # is: 325063. No further  information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Echovirus serology test negative, General physical health deterioration, Hypoaesthesia, Hypoperfusion, Influenza serology negative
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 17 year old female was vaccinated with the second dose of GARDASIL (Lot # 659962/1740U) intramuscularly on 24-JUL-2008. The patient presented on 03-AUG-2008 with an approximately 4-day history of nonspecific nausea and abdominal discomfort. This was initially thought to be dyspepsia. The patient was treated with Pepto-Bismol. There may had been some initial improvement; however, the patient continued to have persisting abdominal discomfort. Upon admission, patient had increased symptoms of shortness of breath with dizziness and left upper extremity and left lower extremity numbness. The patient also had crushing substernal left-sided chest discomfort. The patient presented to the emergency department, at which point cardiac enzymes ordered were significantly elevated. Patient was given Zofran for her nausea. Patient was also given aspirin 81 mg x3. D-dimer was checked (2). Patient was started on dopamine drip. Due to the patient's deteriorating status, the patient was taken emergently by Cardiologist for a right and left heart catheterization. Based on report, left heart catheterization showed no evidence of coronary disease. Ejection fraction was measured at 23%. Based on the verbal report from the doctor, there was no tamponade physiology on right heart catheterization. Patient has no previous surgical or significant medical history. She had recently received the GARDASIL from her primary care physician. Patient denies history of asthma, cardiac disease. Secondary to her ejection fraction, an intraaortic balloon pump was placed and the patient was returned to critical care unit. However, over the next 6-8 hours, her function continued to deteriorate, she went into V tach which led her to further decompensate. She was resuscitated for more than 1-1/2 hours to maintain her blood pressure above 90. Cardiothoracic surgery was consulted to place her on bypass and place her on an assistive device. However, due to her current status, it was elected not to do so. CPR continued until the priest was available, and care was withdrawn. Patient was pronounced dead on 04-AUG-2008. A Coxsackie virus antibody panel was negative. Streptolysin antibody 200 (pos); Adenovirus, Echovirus, Influenza A, Influenza B (32-past or recent inf), ANA tests were performed with negative results. The autopsy found: fulminant lymphocytic myocarditis, myocardial hypoperfusion. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the research center and was released. The original reporting source was not provided. The Vaers # is: 325063. No further  information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myocarditis, Nausea, Polymerase chain reaction, Streptococcal identification test positive, Surgery
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 17 year old female was vaccinated with the second dose of GARDASIL (Lot # 659962/1740U) intramuscularly on 24-JUL-2008. The patient presented on 03-AUG-2008 with an approximately 4-day history of nonspecific nausea and abdominal discomfort. This was initially thought to be dyspepsia. The patient was treated with Pepto-Bismol. There may had been some initial improvement; however, the patient continued to have persisting abdominal discomfort. Upon admission, patient had increased symptoms of shortness of breath with dizziness and left upper extremity and left lower extremity numbness. The patient also had crushing substernal left-sided chest discomfort. The patient presented to the emergency department, at which point cardiac enzymes ordered were significantly elevated. Patient was given Zofran for her nausea. Patient was also given aspirin 81 mg x3. D-dimer was checked (2). Patient was started on dopamine drip. Due to the patient's deteriorating status, the patient was taken emergently by Cardiologist for a right and left heart catheterization. Based on report, left heart catheterization showed no evidence of coronary disease. Ejection fraction was measured at 23%. Based on the verbal report from the doctor, there was no tamponade physiology on right heart catheterization. Patient has no previous surgical or significant medical history. She had recently received the GARDASIL from her primary care physician. Patient denies history of asthma, cardiac disease. Secondary to her ejection fraction, an intraaortic balloon pump was placed and the patient was returned to critical care unit. However, over the next 6-8 hours, her function continued to deteriorate, she went into V tach which led her to further decompensate. She was resuscitated for more than 1-1/2 hours to maintain her blood pressure above 90. Cardiothoracic surgery was consulted to place her on bypass and place her on an assistive device. However, due to her current status, it was elected not to do so. CPR continued until the priest was available, and care was withdrawn. Patient was pronounced dead on 04-AUG-2008. A Coxsackie virus antibody panel was negative. Streptolysin antibody 200 (pos); Adenovirus, Echovirus, Influenza A, Influenza B (32-past or recent inf), ANA tests were performed with negative results. The autopsy found: fulminant lymphocytic myocarditis, myocardial hypoperfusion. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the research center and was released. The original reporting source was not provided. The Vaers # is: 325063. No further  information is available.