chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Weight fluctuation
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 4.0
Sex: M
Vaccine: DTAP, DTAPIPV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Pyrexia
Clinical narrative: My son have two knot very  swollen and red around the shot site in his two arms and fever 100.7 for two days. It wont go away wit tylenol or motrin .we had to used both
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DPP, DTAP, HPV4, MNQ
Symptoms: Rash, Systemic lupus erythematosus
Clinical narrative: This case was received from a physician on 18 June 2009. A 14-year-old female patient, with no reported medical history, received the following vaccinations on 26 March 2009: a first intramuscular right deltoid injection of MENACTRA (lot number U2580AA); a first intramuscular right deltoid injection of BOOSTRIX (GSK, lot number AC52B018BA); and an intramuscular left deltoid injection of GARDASIL (Merck, lot number 1312X). She was recovering from a cold at the time of vaccination. One month post-vaccination, the patient developed a rash on the left cheek. A few months later, she was diagnosed with Lupus. No additional information was reported. Additional documents held by sender: None.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DPP, DTAP, HPV4, MNQ
Symptoms: Condition aggravated, Rash, Systemic lupus erythematosus
Clinical narrative: This case was received from a physician on 18 June 2009. A 14-year-old female patient, with no reported medical history, received the following vaccinations on 26 March 2009: a first intramuscular right deltoid injection of MENACTRA (lot number U2580AA); a first intramuscular right deltoid injection of BOOSTRIX (GSK, lot number AC52B018BA); and an intramuscular left deltoid injection of GARDASIL (Merck, lot number 1312X). She was recovering from a cold at the time of vaccination. One month post-vaccination, the patient developed a rash on the left cheek. A few months later, she was diagnosed with Lupus. No additional information was reported. Additional documents held by sender: None.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DPP, DTAP, HPV4, MNQ
Symptoms: Rash, Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient who on 26-MAR-2009 was vaccinated with the first and only dose of GARDASIL (lot # 661846/1312X) IM 0.5 ml. Concomitant therapy included DTaP (manufacturer unknown), MENACTRA and ADACEL. Prior to the vaccination, the patient had a small rash on her nose. However, 4 weeks after the vaccination, the patient developed more rashes on her face. The patient was referred to a dermatologist and was diagnosed with lupus and given the treatments for lupus. The patient had not recovered at the time of reporting. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DPP, DTAP, HPV4, MNQ
Symptoms: Condition aggravated, Rash, Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient who on 26-MAR-2009 was vaccinated with the first and only dose of GARDASIL (lot # 661846/1312X) IM 0.5 ml. Concomitant therapy included DTaP (manufacturer unknown), MENACTRA and ADACEL. Prior to the vaccination, the patient had a small rash on her nose. However, 4 weeks after the vaccination, the patient developed more rashes on her face. The patient was referred to a dermatologist and was diagnosed with lupus and given the treatments for lupus. The patient had not recovered at the time of reporting. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Antibody test, Blood grouping, Drug exposure during pregnancy, Full blood count
Clinical narrative: Information has been received from a certified medical assistant, for the pregnancy registry for GARDASIL, concerning a 20 year old female with a history of migraine who on 22-OCT-2007 was vaccinated with the first dose of GARDASIL. On 22-APR-2009 the patient received the second dose of GARDASIL, 0.5ml/IM. No other vaccines were administered at the time of either GARDASIL dose. On 08-JUN-2008 the patient had a pregnancy test done and the office found out that she was pregnant at the time of the second dose of GARDASIL. Other labs test performed were: CBC, ABO grouping, STD screen and antibody screen (results not reported). The patient's last menstrual cycle was the end of March 2009. The patient was scheduled for surgery to terminate her pregnancy on 17-JUN-2009 for personal reasons. On 18-JUN-2009 the certified medical assistant reported that the patient terminated her pregnancy on 17-JUN-2009 as scheduled. At the report time the outcome was unknown. Upon internal review termination of pregnancy was considered an Other Important Medical Events. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Pregnancy test positive
Clinical narrative: Information has been received from a certified medical assistant, for the pregnancy registry for GARDASIL, concerning a 20 year old female with a history of migraine who on 22-OCT-2007 was vaccinated with the first dose of GARDASIL. On 22-APR-2009 the patient received the second dose of GARDASIL, 0.5ml/IM. No other vaccines were administered at the time of either GARDASIL dose. On 08-JUN-2008 the patient had a pregnancy test done and the office found out that she was pregnant at the time of the second dose of GARDASIL. Other labs test performed were: CBC, ABO grouping, STD screen and antibody screen (results not reported). The patient's last menstrual cycle was the end of March 2009. The patient was scheduled for surgery to terminate her pregnancy on 17-JUN-2009 for personal reasons. On 18-JUN-2009 the certified medical assistant reported that the patient terminated her pregnancy on 17-JUN-2009 as scheduled. At the report time the outcome was unknown. Upon internal review termination of pregnancy was considered an Other Important Medical Events. Additional information has been requested.
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Full blood count abnormal, Full blood count decreased
Clinical narrative: Information has been received from a lawyer concerning her approximately 6 year old grand daughter who on an unspecified date was vaccinated with MMR II (lot number not reported). After getting the vaccination the patient experienced low blood count. Subsequently the patient was admitted in hospital for an unspecified number of days. No further information is available.
Age: 0.16
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 15-APR-2009 was vaccinated with a first dose of ROTATEQ (LOT# not reported). Concomitant vaccinations included, "Usual 2 month routine vaccinations", DTAP (unspecified), HIB conj vaccine (unspecified carrier) and PREVNAR. On 04-JUN-2009 the patient developed intussusception. The patient was admitted to a hospital and after treating with air enema the patient recovered on an unspecified date. The intussusception was considered to be immediately life-threatening. Additional information has been requested.  7/31/09 Consultant medical records received DOS 6/03/09. Assessment: Intussusception. Patent reports patient fed formula. 2 hours later was screaming drawing her legs towards her chest, clenching fists, and had piercing scream. Burping made worse. Patient presents with hyperactive bowel sounds. Mild distension abdomen. Generalized rash, flat macular red lesions. Eczema abdomen.  ICD-9 Codes: Fussy baby 780.91   Free text DX - rule out intussusception 999.99   8/6/09 Hospital records received DOS 6/03/09 to 6/4/09. Assessment: Colicky Abdominal Pain. Patient presents with 8 hour history of intermittant colicky pain. Drawing legs up to chest and flailing her arms. Mild erythematous rash on trunk.  ICD-9 Codes: 789.00 Abdominal pain unspecified site.
Age: 0.08
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Intensive care, Mechanical ventilation, Pneumonia, Respiratory distress
Clinical narrative: Information has been received from a physician concerning an approximately 14-week-old male patient who was vaccinated with the first dose of ROTATEQ about 2 months ago (in approximately April 2009).  Two weeks after vaccination the patient was admitted to hospital for pneumonia and respiratory distress.  He was in the ICU and on a breathing machine and getting sicker.  He also had diarrhea and was positive for rotavirus.  The patient was not recovered at the time of report.  The reporting physician felt that the respiratory distress, pneumonia and diarrhea/positive for rotavirus were other important medical events.  Additional information has been requested.  8/21/09 Hospital records including extensive lab testing received DOS 6/8/09 to 6/23/09. Assessment: Respiratory failure, Adult respiratory distress syndrome, anemia, coagulopathy. Immune deficiency, most likely common variable immune deficiency. presents with tacky mucous membranes, anterior fontanelle slightly sunken, crackles in bilateral lung fields. Tachypneic, grunting.  Patient was sick and having episodes of spitting up. Developed fever, short shallow breaths. Decreased oral intake and decreased urine output. More fussy. Liver edge palpable 2-3 cm below right costal margin. PICU. 11/16/09:  ICD 9 Codes received:  799.02, 518.81, 584.9, 482.89, 276.2, 518.0, 279.00, 780.61, 285.9, 780.91, 782.7, 276.8, 079.3, 079.89.
Age: 0.08
Sex: M
Vaccine: RV5
Symptoms: Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning an approximately 14-week-old male patient who was vaccinated with the first dose of ROTATEQ about 2 months ago (in approximately April 2009).  Two weeks after vaccination the patient was admitted to hospital for pneumonia and respiratory distress.  He was in the ICU and on a breathing machine and getting sicker.  He also had diarrhea and was positive for rotavirus.  The patient was not recovered at the time of report.  The reporting physician felt that the respiratory distress, pneumonia and diarrhea/positive for rotavirus were other important medical events.  Additional information has been requested.  8/21/09 Hospital records including extensive lab testing received DOS 6/8/09 to 6/23/09. Assessment: Respiratory failure, Adult respiratory distress syndrome, anemia, coagulopathy. Immune deficiency, most likely common variable immune deficiency. presents with tacky mucous membranes, anterior fontanelle slightly sunken, crackles in bilateral lung fields. Tachypneic, grunting.  Patient was sick and having episodes of spitting up. Developed fever, short shallow breaths. Decreased oral intake and decreased urine output. More fussy. Liver edge palpable 2-3 cm below right costal margin. PICU. 11/16/09:  ICD 9 Codes received:  799.02, 518.81, 584.9, 482.89, 276.2, 518.0, 279.00, 780.61, 285.9, 780.91, 782.7, 276.8, 079.3, 079.89.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Lymphadenopathy, Malaise, Myalgia, Oropharyngeal pain
Clinical narrative: Pt states he felt sinus congruent with sore throat, muscle aches allover, Temp, congestion (sinus), general malaise swollen lymph Glands @ neck.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Sinus congestion
Clinical narrative: Pt states he felt sinus congruent with sore throat, muscle aches allover, Temp, congestion (sinus), general malaise swollen lymph Glands @ neck.
Age: 14.0
Sex: F
Vaccine: HEPA, IPV, MNQ
Symptoms: Dizziness, Injection site reaction, Nausea, Sensation of heaviness, Tremor
Clinical narrative: Shakiness legs + arms heaviness arm R where shot administered nausea + dizziness.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling to injection site 3x3 round raised. Orapred + Altabax
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Blood glucose normal, Dizziness, Oxygen saturation decreased, Pallor, Sleep disorder
Clinical narrative: Client became pale and lightheaded at clinic, but recovered on own.  Mother called in this AM to report taking client to ER on 06/19/09 PM near midnight due to c/o dizzy, room spinning when eyes closed, afraid to go to sleep, thinking she was going to pass out; says O2 was a little low, unsure how low, blood sugar was fine, vitals were ok, never seen by MD x 7 hours, left.  Reports similar episode last PM, but not taken back to ER, plans to schedule appt with PHP today.  RN encouraged f/u with PHP, discussed continued symptoms with District Immunization Coordinator.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Vertigo
Clinical narrative: Client became pale and lightheaded at clinic, but recovered on own.  Mother called in this AM to report taking client to ER on 06/19/09 PM near midnight due to c/o dizzy, room spinning when eyes closed, afraid to go to sleep, thinking she was going to pass out; says O2 was a little low, unsure how low, blood sugar was fine, vitals were ok, never seen by MD x 7 hours, left.  Reports similar episode last PM, but not taken back to ER, plans to schedule appt with PHP today.  RN encouraged f/u with PHP, discussed continued symptoms with District Immunization Coordinator.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth and swelling at administration site.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Biopsy, Erythema, Pruritus, Rash erythematous, Rash papular
Clinical narrative: Vaccinated with ACAM 2000 (lot VV04-003A) vaccinia live virus vaccine on June 12 2009.  Normal take documented on June 18, 2009. No adverse side effects noted on June 18. On June 22 07:30 am, patient presenting with small amount of red papules with small white pustules on both arms and on inner thighs.  Also, one small pustule on upper chest.  Patient also presenting with sunburn on both arms.  No headache, no fever, no malaise, no nausea, no vomiting. Patient's vaccination site now appears as a robust take with some satellite lesions at the vaccination site and on both arms as noted above. Patient reports some mild nausea at night-time June 21. Benadryl by mouth prescribed and patient given 24 hours home rest by physician in am of June 22.  On June 22, 2:00pm, patient reports that the small red papules with a whitish pustule are increasing in number on inner thighs, both arms, upper chest, upper back, abdomen. No fever, no nausea, no vomiting, no malaise, no headache. Dermatology appointment coordinated for patient by physician, and patient given instructions to report to ER if symptoms get worse. On June 23 2009 at 09:00am patient is seen by dermatology and Claritin is prescribed.  Pt receives appointment with primary care physician at 1030am and Zyrtec is prescribed. Patient is given one week home rest order. Patient to follow up with primary physician in one week.  On June 24, patient reports no new lesions on body. Patient reports that redness is decreasing and itching is decreased. No draining lesions. Patient says she feels better. No fever, no nausea, no vomting, no malaise, no headache.  7/16/09 Medical records received DOS 2/08/08 to 7/15/09.  Assessment: Vaccinia from Vaccination. Patient presented with diffuse vesicular rash on extremities and trunk. Mild nausea. Lesions become dry, macular. New lesions on hairline, neck.  8/19/09 Consultant report received DOS 6/23/09 to 6/25/09. Final Diagnosis: Non-Viral Pustulosis associated with recent inoculation with vaccinia. Patient presented with 1-3mm, erythema-based papules having white to clear tops over arms, chest, upper back, and anterior thigh, particularly sun exposed areas with intense pruritus.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pustular, Sunburn, Vaccination complication
Clinical narrative: Vaccinated with ACAM 2000 (lot VV04-003A) vaccinia live virus vaccine on June 12 2009.  Normal take documented on June 18, 2009. No adverse side effects noted on June 18. On June 22 07:30 am, patient presenting with small amount of red papules with small white pustules on both arms and on inner thighs.  Also, one small pustule on upper chest.  Patient also presenting with sunburn on both arms.  No headache, no fever, no malaise, no nausea, no vomiting. Patient's vaccination site now appears as a robust take with some satellite lesions at the vaccination site and on both arms as noted above. Patient reports some mild nausea at night-time June 21. Benadryl by mouth prescribed and patient given 24 hours home rest by physician in am of June 22.  On June 22, 2:00pm, patient reports that the small red papules with a whitish pustule are increasing in number on inner thighs, both arms, upper chest, upper back, abdomen. No fever, no nausea, no vomiting, no malaise, no headache. Dermatology appointment coordinated for patient by physician, and patient given instructions to report to ER if symptoms get worse. On June 23 2009 at 09:00am patient is seen by dermatology and Claritin is prescribed.  Pt receives appointment with primary care physician at 1030am and Zyrtec is prescribed. Patient is given one week home rest order. Patient to follow up with primary physician in one week.  On June 24, patient reports no new lesions on body. Patient reports that redness is decreasing and itching is decreased. No draining lesions. Patient says she feels better. No fever, no nausea, no vomting, no malaise, no headache.  7/16/09 Medical records received DOS 2/08/08 to 7/15/09.  Assessment: Vaccinia from Vaccination. Patient presented with diffuse vesicular rash on extremities and trunk. Mild nausea. Lesions become dry, macular. New lesions on hairline, neck.  8/19/09 Consultant report received DOS 6/23/09 to 6/25/09. Final Diagnosis: Non-Viral Pustulosis associated with recent inoculation with vaccinia. Patient presented with 1-3mm, erythema-based papules having white to clear tops over arms, chest, upper back, and anterior thigh, particularly sun exposed areas with intense pruritus.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Eye swelling, Hypotonia, Lip swelling, Rash, Screaming
Clinical narrative: Patient screamed inconsolably for 3.5 hours. He also apparently went limp for a few seconds, but did not turn blue. He had a fine pinpoint rash and swollen lips and under eyes.  He was given benedryl in ER and improved and sent home.
Age: 0.24
Sex: F
Vaccine: HEPA, PNC
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: The patient inadvertantly received a Hepatitis A vaccine instead of the appropriate Hepatitis B #1 vaccine at 3 months of age.  The patient had no adverse reaction.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion, Electroencephalogram normal, Hypotonia, Nuclear magnetic resonance imaging normal, Pallor
Clinical narrative: Patient received 4 immunizations in the office at approx. 3:15 PM.  Mother called after hours at7:23 to report the child was grey/pale and limp.  No respiratory distress was reported.  Child sent to ER for evaluation.  Was then transferred to hospital for testing.  EEG and MRI were normal as was the child the next morning.  Neurology stated it might have been a seizure vs. a reaction to the immunizations.  No positive confirmation.  7/30/09 Hospital records received DOS 5/21/09 to 5/24/09. Assessment: Fever of unknown origin. Parent states child was crying as if he was in pain, pale, poor response to painful stimulus. Became limp, unresponsive. Heart rate 180. Fever. Nasal congestion. Minimal cough. Few bowel movements. Pale, ashen. Minimal left hemiparesis. Mild spasticity. Cortical fisting. Clonus ankles.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Vaccination complication
Clinical narrative: Patient received 4 immunizations in the office at approx. 3:15 PM.  Mother called after hours at7:23 to report the child was grey/pale and limp.  No respiratory distress was reported.  Child sent to ER for evaluation.  Was then transferred to hospital for testing.  EEG and MRI were normal as was the child the next morning.  Neurology stated it might have been a seizure vs. a reaction to the immunizations.  No positive confirmation.  7/30/09 Hospital records received DOS 5/21/09 to 5/24/09. Assessment: Fever of unknown origin. Parent states child was crying as if he was in pain, pale, poor response to painful stimulus. Became limp, unresponsive. Heart rate 180. Fever. Nasal congestion. Minimal cough. Few bowel movements. Pale, ashen. Minimal left hemiparesis. Mild spasticity. Cortical fisting. Clonus ankles.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Varicella, Vomiting
Clinical narrative: pt was given 1st varicella on 06/12/2009 pt returned to the office 6/24/2009 with the c/o spots on belly, fever, vomiting. Pt was dx with chicken pox.
Age: 51.0
Sex: M
Vaccine: RAB
Symptoms: Fall, Intensive care, Loss of consciousness
Clinical narrative: Patient received Rabies Post Exposure Vaccine (Imovax) for Dose #2/Day 3, on 6/18/2009 at 10:00 a.m.  At 1:35 am, patient was transported to hospital.  Patient had fallen and was unconscious.  Patient remains hospitalized in ICU.  Cause of fall and current diagnosis unknown. Rabies post exposure vaccine will be continued in hospital, per protocol.  8/26/09 Hospital records received 6/19/09 to 7/8/09. Assessment: Acute and chronic alcoholism, status post fall, bilateral deep venous thrombosis both lower extremities, status post enterococcus upper respiratory infection. Rabies series initiated after a skunk bite. Patient admitted for complications of his fall. Closed head trauma, left occipital contusion, cerebral concussion. Alcohol and opiate withdrawal. Admitted to psychiatry for evaluation and recommendations regarding the patient's history of drug and alcohol dependence and depression. While in the hospital the patient had his rabies vaccine series, which had been started outpatient, completed.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Parotid gland enlargement
Clinical narrative: swollen right parotid gland without fever. chills, malaise, myalgias or fatigue.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 2nd day after administration of zostavax patient stated she had redness at injection site about the size of a quarter, 3rd day after injection, site is red, puritic and size of an egg per patient. NP had patient begin taking benedryl p.o per package directions for the next few days and apply ice to site x 15 min every 1-2 hours while awake.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left arm redness and swelling approximately 4 inches in diameter. Warm to touch, fever 2 days post vaccination. Dr. saw pt. Advised parents to ice area and give benadryl otc (parents have at home) Parents were told to return to clinic if not better by tommorow. No induration, 3 X 4 cm reddened area...
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Dizziness, General physical health deterioration, Hyperhidrosis, Hypersomnia
Clinical narrative: Right after i recieved the vaccination i did not feel well and slept all afternoon i recieved the shot in the morning. I was vomitting, almost fainted, sweating uncontrollably. Then my whole body was shaking and would not stop. This happened the morning after i recieved the vaccination. I was very dizzy and had to go to the emergency room that afternoon to recieve medicine to stop shaking, vomitting. I stayed in bed for two days straight sleeping. I was very dizzy. Now I still have stomach issues and my body and health does not feel the same.  6/29/09 Received ER medical records for 6/19/2009. FINAL DX: Vaccine reaction Records reveal patient experienced dizziness, chills, shakiness, vomiting x 1, near syncope x 1 day.  No previous reactions to immunizations.  Tx w/IVF & meds.  Improved & d/c tohome w/anti vertigo meds.    8/10/09 Received PCP medical records for 6/18-19/09 Records reveal patient on antidepressant & requesting BCP.  Meds adjusted & vax provided.  6/19/09 reported lightheadedness & shaking jerky movements of UEs.  Sent to ER.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Malaise, Presyncope, Tremor, Vomiting
Clinical narrative: Right after i recieved the vaccination i did not feel well and slept all afternoon i recieved the shot in the morning. I was vomitting, almost fainted, sweating uncontrollably. Then my whole body was shaking and would not stop. This happened the morning after i recieved the vaccination. I was very dizzy and had to go to the emergency room that afternoon to recieve medicine to stop shaking, vomitting. I stayed in bed for two days straight sleeping. I was very dizzy. Now I still have stomach issues and my body and health does not feel the same.  6/29/09 Received ER medical records for 6/19/2009. FINAL DX: Vaccine reaction Records reveal patient experienced dizziness, chills, shakiness, vomiting x 1, near syncope x 1 day.  No previous reactions to immunizations.  Tx w/IVF & meds.  Improved & d/c tohome w/anti vertigo meds.    8/10/09 Received PCP medical records for 6/18-19/09 Records reveal patient on antidepressant & requesting BCP.  Meds adjusted & vax provided.  6/19/09 reported lightheadedness & shaking jerky movements of UEs.  Sent to ER.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, PPV
Symptoms: Chills, Cough, Crying, Dyspnoea, Irritability
Clinical narrative: The evening of immunizations he threw up 2 times, became chilled, spiked a fever, and began having breathing difficulty similar to the reaction at 2 months of age.  Was very fussy & cried a lot the next day c nasal drainage & cough.  Saw the doctor today, 6/24/09, and was diagnosed with LUL Pnuemonia.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, PPV
Symptoms: Pneumonia, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: The evening of immunizations he threw up 2 times, became chilled, spiked a fever, and began having breathing difficulty similar to the reaction at 2 months of age.  Was very fussy & cried a lot the next day c nasal drainage & cough.  Saw the doctor today, 6/24/09, and was diagnosed with LUL Pnuemonia.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Itching at site the day after immunization.  Warm red rash extending 5-7 cm around site 6 days after immunization.  No fever, chills, drainage.  Seen in office on day 7 and treated with cephalexin and xyzal due to possibility of cellulitis and itching/swelling.  Unclear if all local allergic reaction or secondary infection since rash didn't develop for 6 days, despite onset of itching within 24 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood culture negative, Cerebellar ataxia, Culture urine negative, Drug screen negative, Full blood count normal
Clinical narrative: Received immunizations on 06.16.09. Fever and vomiting started on 6.17.09. Ataxia started on 6.20.09. Hospitalized from 6.20.09 - 6.22.09. Post infectious Cerebellar Ataxia.   7/7/09 Hospital records received DOS 6/20/09 to 6/22/09. Assessment: Postinfectious Cerebellar Ataxia, Global Developmental Delay. Patient presented with gastroenteritis, nausea, vomiting, fever, not feeling good, sudden onset of gait difficulty. Wobbly gait. Wide base and ataxic gait.  7/28/09 ICD-9 Codes: 780.69 Fever unspecified, 781.2 Abnormality of gait, 315.8 Developmental Delays, 780.91 Fussy infant
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Metabolic function test, Nuclear magnetic resonance imaging brain abnormal, Pyrexia, Urine analysis normal, Vomiting
Clinical narrative: Received immunizations on 06.16.09. Fever and vomiting started on 6.17.09. Ataxia started on 6.20.09. Hospitalized from 6.20.09 - 6.22.09. Post infectious Cerebellar Ataxia.   7/7/09 Hospital records received DOS 6/20/09 to 6/22/09. Assessment: Postinfectious Cerebellar Ataxia, Global Developmental Delay. Patient presented with gastroenteritis, nausea, vomiting, fever, not feeling good, sudden onset of gait difficulty. Wobbly gait. Wide base and ataxic gait.  7/28/09 ICD-9 Codes: 780.69 Fever unspecified, 781.2 Abnormality of gait, 315.8 Developmental Delays, 780.91 Fussy infant
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Deafness bilateral, Hearing aid user
Clinical narrative: Mom stated Pt developed hearing loss to both ears Dec 07 shortly after completing GARDASIL series. Dose #1 1/23/07 - Dose#2 3/29/07 - Dose#3 8/6/07 - Pt now wears hearing aids.  7/8/09 Medical records received DOS 8/6/07 to 6/24/09. Assessment: Hearing impaired in both ears. Patient's parent reports that child has failed school hearing test, now wears hearing aids. Acne, headaches, fatigue. Palpitations. Urinating more frequently. Dizziness. Mood swings. Menstrual cycles heavy and irregular. Thoracic spine, mild curvature to the left.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hearing aid user, Hearing impaired
Clinical narrative: Mom stated Pt developed hearing loss to both ears Dec 07 shortly after completing GARDASIL series. Dose #1 1/23/07 - Dose#2 3/29/07 - Dose#3 8/6/07 - Pt now wears hearing aids.  7/8/09 Medical records received DOS 8/6/07 to 6/24/09. Assessment: Hearing impaired in both ears. Patient's parent reports that child has failed school hearing test, now wears hearing aids. Acne, headaches, fatigue. Palpitations. Urinating more frequently. Dizziness. Mood swings. Menstrual cycles heavy and irregular. Thoracic spine, mild curvature to the left.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Fall, Loss of consciousness
Clinical narrative: Pt. received Tdap and then GARDASIL. she was sitting on end of exam table talking. She stopped talking fell forward into my arms and I laid her back on exam table. Pt appeared to pass out for about 5 seconds.
Age: 1.2
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Mother states "bumpy rash" to both arms & legs 1 day after vaccine. Followed up with pediatrician & dermatologist who Rx cream & rash subsided temporarily but came back after the cream & prednisone was complete. Now is seeing allergist who is running tests.
Age: 28.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Antibody test positive, Herpes simplex serology negative, Lymphadenopathy, Rash erythematous, Rash maculo-papular
Clinical narrative: 28 y/o female who presented as walk-in to clinic reporting development of itchy red rash over bilateral hands evening of 6/16/2009; possibly spreading up right forearm today. Received AVA#2 & repeat SPV (right deltoid) 6/7/2009. Initial SPV given 5/2/2009 resulted in equivocal take. She denied fever, chills, systemic symptoms; was well prior to & day of vaccinations; denied sick contacts, other environmental exposures, no prior hx eczema, atopic dermatitis, immunosuppression, or HSV; is otherwise well, not on medications; no known allergies to drugs, foods, latex, insect stings; she has had natural VZV infection in childhood. Pt was seen 6/17/2009 with non-urticarial patchy maculopapular rash over bilateral dorsal surfaces hands with faint erythema on palms, no vesicles; SPV site right deltoid consistent with major take/scab, no surrounding erythema, edema, or satellites, mild right axillary lymphadenopathy; treated with antihistamine & noted dramatic improvement within 24 hrs later. On 6/18 she reported similar but milder eruptions over bilateral dorsal feet & lateral ankles, but completely resolved by 6/19; as of 6/19 she reported mild hyperpigmentation over dorsal hands only - palms clear; no new eruptions; as of 6/23, no recurrence.
Age: 28.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic, Skin hyperpigmentation
Clinical narrative: 28 y/o female who presented as walk-in to clinic reporting development of itchy red rash over bilateral hands evening of 6/16/2009; possibly spreading up right forearm today. Received AVA#2 & repeat SPV (right deltoid) 6/7/2009. Initial SPV given 5/2/2009 resulted in equivocal take. She denied fever, chills, systemic symptoms; was well prior to & day of vaccinations; denied sick contacts, other environmental exposures, no prior hx eczema, atopic dermatitis, immunosuppression, or HSV; is otherwise well, not on medications; no known allergies to drugs, foods, latex, insect stings; she has had natural VZV infection in childhood. Pt was seen 6/17/2009 with non-urticarial patchy maculopapular rash over bilateral dorsal surfaces hands with faint erythema on palms, no vesicles; SPV site right deltoid consistent with major take/scab, no surrounding erythema, edema, or satellites, mild right axillary lymphadenopathy; treated with antihistamine & noted dramatic improvement within 24 hrs later. On 6/18 she reported similar but milder eruptions over bilateral dorsal feet & lateral ankles, but completely resolved by 6/19; as of 6/19 she reported mild hyperpigmentation over dorsal hands only - palms clear; no new eruptions; as of 6/23, no recurrence.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pain, Pyrexia, Rash, Urticaria
Clinical narrative: Mild fever. Soreness at site (L arm). Hives/rash - legs & ankles. Stable no other SX.
Age: 1.28
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Decreased activity, Depressed level of consciousness, Diarrhoea, Eye movement disorder, Fatigue
Clinical narrative: 6/19/09 at 3PM increased fussiness & strange eye movement. "Out of it" & fever started. 6/20/09 - Tired & diarrhea. 6/21/09 - "Very out of it". Limited activity & fever 103. 6/22/09 - Fever ended, but still "out of it" still w/ diarrhea. 6/24/09 - More interactive & playful, but still tired.
Age: 1.28
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Irritability, Pyrexia
Clinical narrative: 6/19/09 at 3PM increased fussiness & strange eye movement. "Out of it" & fever started. 6/20/09 - Tired & diarrhea. 6/21/09 - "Very out of it". Limited activity & fever 103. 6/22/09 - Fever ended, but still "out of it" still w/ diarrhea. 6/24/09 - More interactive & playful, but still tired.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Crying, Insomnia, Irritability
Clinical narrative: Mom reports that approximately 7 hours after vaccine was administered, infant became very irritable and cried inconsolably. Infant only slept 1 1/2 hours during the night. Continued to cry next day (6/23/09) until 700pm. Then infant slept through the night. Awakened in am 6/24/9-acting completely normal. No fever noticed.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Induration, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Pt came in upper arm swelling, warm to touch with some induration. Pt c/o some itching, denies pain. Advised to use cold compress and take BENADRYL. Pt given Rx for AUGMENTIN 400mg - 51mg 15mL oral susp. to avoid infection.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Rash, Skin warm, Tenderness
Clinical narrative: Pt given PNEUMOVAX (L) deltoid 6/23/09. Pt had pain later same day (+) redness of skin. Rash spread (+) tender (-) drainage (+) felt warm (-) chills (-) respiratory issue.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria rash involving mainly the axilla and groin area appearing 48 hrs after vaccine. No associated fevers. BENADRYL 3/4 Tsp every 4-6 hours.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Injection site pain, Nausea
Clinical narrative: 11:45 am: RN at Dr's office called stating pt had a Hepatitis B shot at our clinic and now was having a reaction. Complains of nausea, "feeling woozy" and soreness at site. No s/s of anaphylaxis. They are having her lay down for awhile.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm
Clinical narrative: Hot, reddened skin from elbow to shoulder on L UE. Benadryl if needed.
Age: 26.0
Sex: M
Vaccine: PPV, RAB
Symptoms: Body temperature increased, Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt. reported "low grade fever" the evening of 6/19/09 -> reported warmth pain and redness at site of the PNEUMOVAX vaccination on 6/20/09. Reported 102 degrees F/oral temp on 6/20 and again on 6/21/09 when he was seen at clinic -> treated with Cephalexin. Pt. f/u on 6/22/09 confirmed diagnosis of left arm cellulitis -> antibiotic changed to BACTRIM DS (Temp 98.8).
Age: 26.0
Sex: M
Vaccine: PPV, RAB
Symptoms: Pyrexia
Clinical narrative: Pt. reported "low grade fever" the evening of 6/19/09 -> reported warmth pain and redness at site of the PNEUMOVAX vaccination on 6/20/09. Reported 102 degrees F/oral temp on 6/20 and again on 6/21/09 when he was seen at clinic -> treated with Cephalexin. Pt. f/u on 6/22/09 confirmed diagnosis of left arm cellulitis -> antibiotic changed to BACTRIM DS (Temp 98.8).
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Culture, Injection site erythema, Injection site pruritus, Injection site vesicles, Injection site warmth
Clinical narrative: R arm warmth eryth and 1 vesicle just inferior to injection site.  Itchy, no fever, no malaise.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Late evening of day she received vaccines, developed fever, left deltoid redness, swelling and warm to touch and soreness.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Received vaccine at 830 AM and by 1030 AM left deltoid swollen, hard to touch and soreness.
Age: 68.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Erythema, Skin discolouration
Clinical narrative: Pt. with erythematous plaque to L deltoid posterior to injection site. No heat, no streaking, no tenderness, no s/s of infection. Pt denies pain, has FROM, only concerned regarding discoloration erythema started 1 wk after injection - likely injection is not the cause. Ice, Ibuprofen, RTC if pain or loss of ROM or increasing in size.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: 6-11-09 approx 2 pm ZOSTAVAX given approx 1:30 am. Pt experienced rapid pulse of 80-93; BP 146/84, went down to normal after 2 hours, reported 6-24-09.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Angiogram, Computerised tomogram, Condition aggravated, Conversion disorder, Deafness
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Echocardiogram, Electroencephalogram, Epistaxis, Gait disturbance, Lumbar puncture
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Migraine, Muscular weakness, Myalgia, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Palpitations, Regressive behaviour, Syncope
Clinical narrative: Information has been received from a consumer concerning her 21 year old daughter with "immune deficiency runs in family" who on 15-JUN-2007 and on 15-OCT-2007 was vaccinated with first dose (route not reported, lot number 0469U) and second dose (route not reported, lot number 654539/0742U) respectively of GARDASIL. The patient's mother reported that her daughter has been severely ill since receiving the second dose of the vaccine. It was reported that on 17-OCT-2007, the patient's symptoms started with chest pain, migraines, fainting, facial flushing, seizure and nausea. It was reported that she now has emotional regression and spectrum disorder, swelling of legs and feet, inability to walk, pain all over her body, felt "shocks to her brain", clonic tonic symptoms, hair loss, foaming from mouth, nosebleeds, hallucinations, hearing loss, weight gain, shaking like PARKINSON's disease, acid reflux, irritable bowel and high testosterone levels. She reported that her daughter was gone to the hospital over fifteen times and had been admitted nine times to three different hospitals. The patient has been seen by many doctors including neurologist and neuropsychiatrist. She had also had alternative medicine treatments including detoxification, cranial massage and reflexology. It was reported that she was now using a wheelchair and needed to be carried. Lab tests performed included lumbar puncture, cerebral angiogram, EEG and many others which were all negative. As of 19-JUN-2009, the patient had not recovered from the events. Additional information has been requested. 02/01/2010 Seizures, syncope, numbness, tingling, profound deafness, hair loss, bloddy nose, chronic pain, fatigue, shortness of breath, regression occassional inability to walk, legs give out, brain fog, confusion.