chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Insomnia, Vomiting
Clinical narrative: I received an anthrax shot at 0830 on 01AUG09.  As lunch time drew near, I began getting a terrible headache.  I ate lunch and the headache persisted.  I then started to have stomach pain and broke into a cold sweat.  At 1530, I drove home and vomited violently.  I noticed blood in the vomit.  After vomiting again, my wife drove me to the hospital.  I vomited again 3 hours later.  I spent the night in the hospital on an I.V.  I was not able to attend my drill on Sunday due to doctor's orders.  I was also extremely weak from the vomiting and lack of sleep.  I was in drill status on 01AUG09 when the incident occurred.  I am still quite weak today, 04AUG09.  In addition, on 01AUG09, I had a physical fitness test immediately before receiving the anthrax shot.  I was still hot and sweating. 8/25/09-ED records received for DOS 8/1/09-DX-Headache, vomiting. C/O headache, vomiting, feeling dizzy. 9/28/09 ICD9 codes received: 784.0, 787.03, E948.8
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Contusion, Ecchymosis, Grip strength decreased, Paraesthesia
Clinical narrative: Vaccination administered in left deltoid.  Left axillary pain and fever one day following vaccination.  Large bruise developed one day later.  Left forearm and hand tingling associated with grip deficiency developed one day later.  12 cm. by 13 cm. area of ecchymosis ultimately noted.  Suspected left brachial radiculopathy treated with gabapentin.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Radiculopathy
Clinical narrative: Vaccination administered in left deltoid.  Left axillary pain and fever one day following vaccination.  Large bruise developed one day later.  Left forearm and hand tingling associated with grip deficiency developed one day later.  12 cm. by 13 cm. area of ecchymosis ultimately noted.  Suspected left brachial radiculopathy treated with gabapentin.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Chest discomfort, Dyspnoea, Skin lesion, Urticaria
Clinical narrative: SHORTNESS OF BREATH, CHEST PRESSURE, HIVES, AND SORES
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pruritus generalised, Rash
Clinical narrative: Patient complained of rash, redness at injection site and itchy all over. Mild rash noted on patient's chest as well.
Age: 19.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Abdominal pain, Convulsion, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately after receiving vaccines patient had full body seizure. Did not void. Remained unconscious over five minutes, until revived with ammonia inhalent. Upon being awakened, c/o severe abdominal pain, all quadrents. VS 118/76, 72, 18. Transported to ER with EMS and mother in attendance.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red Swollen at site of injection
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Food allergy, Milk allergy, Rash erythematous, Rash macular, Swelling
Clinical narrative: Vaccines were given at about 1030am 8/5/09. Patient was without symptoms when she left the office. Family stopped at a fast food restaurant after leaving the office and patient drank a "slushie" at about 1130am mom called office to report that patient was covered in hives and starting to swell. Instructed to give benadryl and return to office. On arrival patient was covered in fine erythematous macular rash from scalp to mid thigh with several small urticarial lesions, no respiratory distress, bp 110/64, pulse 105, pulse ox ~95%, no complaints of dizziness or weakness. She was given additional beanadryl (25mg total for weight 76#) and observed for about 30min. During abservation her symptoms decreased and she was discharged to home on oral benadryl.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Vaccines were given at about 1030am 8/5/09. Patient was without symptoms when she left the office. Family stopped at a fast food restaurant after leaving the office and patient drank a "slushie" at about 1130am mom called office to report that patient was covered in hives and starting to swell. Instructed to give benadryl and return to office. On arrival patient was covered in fine erythematous macular rash from scalp to mid thigh with several small urticarial lesions, no respiratory distress, bp 110/64, pulse 105, pulse ox ~95%, no complaints of dizziness or weakness. She was given additional beanadryl (25mg total for weight 76#) and observed for about 30min. During abservation her symptoms decreased and she was discharged to home on oral benadryl.
Age: 2.0
Sex: F
Vaccine: 6VAX-F, HEPA, MMR, PNC, VARCEL
Symptoms: Crying, Decreased appetite, Irritability, Pain in extremity, Poor quality sleep
Clinical narrative: Received vaccines on 7/13/09. Family contacted health department on 8/3/09 stating that child had a rash that began early am on 8/3/09 after several days of fever. Fever began 7/20/09 but as of 8/3/09 has resolved. Appetite decreased but taking fluids. Sleeping poorly, easily irritated. Family thinks symptoms might be related to immunizations.  Family states that rash is disappearing as of this afternoon. Family called PHD on 8/4/09 stating that child is fretfull, crying and slept poorly last night. States child is walking but favors R leg as if it hurts.  Advised to seek medical attention
Age: 2.0
Sex: F
Vaccine: 6VAX-F, HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash, Weight bearing difficulty
Clinical narrative: Received vaccines on 7/13/09. Family contacted health department on 8/3/09 stating that child had a rash that began early am on 8/3/09 after several days of fever. Fever began 7/20/09 but as of 8/3/09 has resolved. Appetite decreased but taking fluids. Sleeping poorly, easily irritated. Family thinks symptoms might be related to immunizations.  Family states that rash is disappearing as of this afternoon. Family called PHD on 8/4/09 stating that child is fretfull, crying and slept poorly last night. States child is walking but favors R leg as if it hurts.  Advised to seek medical attention
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Immediate post-injection reaction, Pallor
Clinical narrative: Immediately after Hepatitis B vaccination only on 6-30-09 dose 1 and 8-30-09 dose 2 pt was pale, dizzy and lightheaded.  Observed patient both times, gave juice and talked with patient.  Prior to vaccinating with dose 2 patient ate breakfast.  Pts mom got patient lunch while patient was being observed after dose 2.  After dose one patient felt better within one hour.  After dose two patient patient felt better after 3 hours/observed for 3 hours.  Patient said she is worried when she comes in for shots and doesn't like the thought of stuff being put in her body.  No local redness or swelling noted on either visit.  Both doses were 0.5ml and dose one was gsk AHBVB659AA IM left arm. Dose 2 was merck lot # 0726x IM keft arm.  Spoke with mom the next day and patient was better when she got home the same day.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Blister, Scab
Clinical narrative: Fluid-filled blister, scab forming after
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Fatigue, Feeling abnormal, Headache
Clinical narrative: Weakness, body aches, joint pain, headaches, fatigue, overall feeling of being out of it and in a lot of pain. So far, this has lasted 12 days and is not getting any better. No treatment as of yet.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Pain
Clinical narrative: Weakness, body aches, joint pain, headaches, fatigue, overall feeling of being out of it and in a lot of pain. So far, this has lasted 12 days and is not getting any better. No treatment as of yet.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dyskinesia, Loss of consciousness
Clinical narrative: After receiving MCV4, while seated, client moved forward, passed out, slipped to the floor.  Patient was lying prone on floor, arms at sides, with jerking movements in arms.  Patient recovered quickly, rolled onto back, cool compress applied to forehead.  Offered water, and patient remained in supine position.  After a few minutes, patient helped up and assisted to exam room to lay on exam table for 15 minutes.  Patient awake alert, color good, BP 112/68, offered crackers.  Color good.  Cool compress to left ear.  Slight scrap to left cheek area.  Patient then stood and walked without assistance.  Follow-up phone call 8/4/09, spoke to patient who verbally reported no other problems over weekend.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Headache, Nausea, Vomiting, Chills, body aches, tiredness, difficulty breathing, paleness, weakness, dizziness, redness and tenderness at injection site, fever. Needed to be hospitalized.  8/6/09 Hospital record received DOS 8/4/09. Assessment: Fever, possible reaction to 'TDP' immunization. Patient presents with fever, chills, and 'flu'. Sweating, shortness of breath, headache. Right arm pain. Mild distress, anxious.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site pain, Nausea, Pain
Clinical narrative: Headache, Nausea, Vomiting, Chills, body aches, tiredness, difficulty breathing, paleness, weakness, dizziness, redness and tenderness at injection site, fever. Needed to be hospitalized.  8/6/09 Hospital record received DOS 8/4/09. Assessment: Fever, possible reaction to 'TDP' immunization. Patient presents with fever, chills, and 'flu'. Sweating, shortness of breath, headache. Right arm pain. Mild distress, anxious.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor, Pyrexia, Vomiting
Clinical narrative: Headache, Nausea, Vomiting, Chills, body aches, tiredness, difficulty breathing, paleness, weakness, dizziness, redness and tenderness at injection site, fever. Needed to be hospitalized.  8/6/09 Hospital record received DOS 8/4/09. Assessment: Fever, possible reaction to 'TDP' immunization. Patient presents with fever, chills, and 'flu'. Sweating, shortness of breath, headache. Right arm pain. Mild distress, anxious.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Fatigue, Malaise, Nodule, Tenderness
Clinical narrative: Mother brought child to HD office 8/3/09 PM to report that child's arm became tender, with redness over deltoid spreading to just aboeve the elbow PM 7/31/09.  c/o being tired and "just not feeling well" continuing today.  there had been a "knot" in her arm, but it is now gone. Did not check for fever.  Gave Ibuprofen, used cool compress off and on for 2 days.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Rash, Renal impairment, Vomiting, White blood cell count decreased
Clinical narrative: 48 hours after the vacination of Gardasil, I has a reaction. My legs swelled and I had small red bumps all over my legs. I couldn't walk because of the pain and large amout of swelling in my knees and ankles. About 8 days after I had severe abdominal pain with vomiting and fever. I went to the doctor about a week after the shot because my legs were swelling all over and so were my elbows. The dots were spreading and they stung. She looked and examined me and we concluded I had HSP. It's an autoimmune desease that causes the blood veins to pop and leak. It is supposed to go away after 4-8 weeks. I have had it since Sep. 11th of 2008. We went to a skin doctor to make sure and he took a biopsy of my leg in 2 places and it was in fact HSP. About a month or 2 after we found out what I had, we started noticing I got sick very easily. I had my blood and urine tested and the doctors saw that I had an extremely high level of protein and blood in my urine. In the blood they took they saw that my iron was low and I had a low white blood cell count. We kept testing one or twice every 2 or 3 weeks. The protien and blood went up and down but was never at a normal or healthy amount. We then went to a doctor. He looked at my urine and blood and decided to preform a kidney biopsy. He saw that I had scarring on my kidneys and found that I have an IgA protien that causes my kidneys to overwork. I was put on blood pressure medicine and bottomed out so we stopped that. We are still to this day trying to find out what to do about the situation. We've also been to an allergist. She saw that the ingredients in Gardasil along with the protien in my body are reacting. I can't take any medication because I might have a reaction. Plus it goes to my kidneys which could cause damage. I might be put on steroids but we aren't sure. I just hope more people know about Gardasil before someone else gets what I have or worse.  8/17/09 PCP medical records received DOS 8/12/08 to 7/13/09. Assessment: Henoch-Schoenlein Purpura. Patient presents with palpable purple bruises around ankles and lower legs. Mild respiratory virus. Injury to right Achilles tendon. Sudden onset abdominal pain. Constipation. Significant flare of HSP with multiple purpura on buttock, lower legs, ankles, and feet. HSP continues to persist with lesions on forearms. Swelling of legs. Cough and congestion. Orthostatic proteinuria. Chest pain. Inflamed pustular lesions on face. Pneumonia, wheezing. dysmenorrhea and premenstrual syndrome, acne. UTI. ADHD. Herpetic infection. Insomnia. Blood in stool. Anal fissure. Placed on oral contraceptives. HSP Nephritis with IgA nephropathy. Cold intolerance, hands and feet cold. Sunburn.  8/17/09 Consultant records and labs received DOS 11/18/08 to 8/10/09. Assessment: Henoch-Schoenlein Purpura. Patient presents for evaluation of purpuric leasions consistant with Henoch-Schoenlein pupura. Also had pain in both ankles which were swollen. Skin with purpuric lesions distributed over both buttocks and lower and upper extremities.
Age: 70.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Dysphagia, Ear pain, Facial pain, Facial palsy, Facial paresis
Clinical narrative: Within a week, I had begun to experience severe left sided pain in my face. I was treated for different causes (all wrong) when finally on Aug 2nd, I went to the ER with facial paresis (left side) and facial movement only on the right side. I was diagnosed with Bells Palsy; my left eye does not blink or close, extreme pain persists in my left ear, my mouth is sore and keeps me from swallowing, my trachea is experiencing a sore throat. When I was started on Valtrex, within 1/2 hour all of the pain ceased in these areas - it was remarkable. I was able to eat, sleep, etc. I have to treat my left eye with covering it most of the time, as it is always open. But because of receiving the Shingles vaccine one week before, it is highly suspicious that I should start with shingles of the face
Age: 70.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Oral pain, Oropharyngeal pain
Clinical narrative: Within a week, I had begun to experience severe left sided pain in my face. I was treated for different causes (all wrong) when finally on Aug 2nd, I went to the ER with facial paresis (left side) and facial movement only on the right side. I was diagnosed with Bells Palsy; my left eye does not blink or close, extreme pain persists in my left ear, my mouth is sore and keeps me from swallowing, my trachea is experiencing a sore throat. When I was started on Valtrex, within 1/2 hour all of the pain ceased in these areas - it was remarkable. I was able to eat, sleep, etc. I have to treat my left eye with covering it most of the time, as it is always open. But because of receiving the Shingles vaccine one week before, it is highly suspicious that I should start with shingles of the face
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Balance disorder, Dizziness, Eye pain, Mental status changes, Musculoskeletal pain
Clinical narrative: Mother is stating that 7days after vaccine was given child has "throat spasms", dizziness for 4days,right side pain in shoulder,eye,foot. Also stating balance is off and at times her mental status is unclear.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity, Scan brain, Throat irritation
Clinical narrative: Mother is stating that 7days after vaccine was given child has "throat spasms", dizziness for 4days,right side pain in shoulder,eye,foot. Also stating balance is off and at times her mental status is unclear.
Age: 3.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: My daughter received a DTAP vaccination on 7/31/09.  She experienced significant swelling, redness, pain, and heat at the injection site in an area about 4" in diameter which lasted for 48 hours.  I did not inspect the site prior to putting her to bed but discovered the swollen area the next morning while we were swimming.  At 72 hours, she still had redness, heat, tenderness, and some swelling in an area approximately 4" in diameter but it was beginning to resolve.  It is now 5 days after the shot (8/5/09) and the site is still reddish in an area approximately 4" in diameter but the heat is gone and it is no longer tender to the touch.  There is quite a large lump in the center of the red area which is painful when pressed.  My dr. encouraged us to use ice packs, benadryl, arnica montana, and Motrin during the first 72 hours.  The benadryl was administered for the first time about 48 hours after the injection and seemed to have an almost immediate effect as the site was much improved the following morning.  I've got photos showing the red area and the extent of the swelling taken over several days if they would be helpful.
Age: 3.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: My daughter received a DTAP vaccination on 7/31/09.  She experienced significant swelling, redness, pain, and heat at the injection site in an area about 4" in diameter which lasted for 48 hours.  I did not inspect the site prior to putting her to bed but discovered the swollen area the next morning while we were swimming.  At 72 hours, she still had redness, heat, tenderness, and some swelling in an area approximately 4" in diameter but it was beginning to resolve.  It is now 5 days after the shot (8/5/09) and the site is still reddish in an area approximately 4" in diameter but the heat is gone and it is no longer tender to the touch.  There is quite a large lump in the center of the red area which is painful when pressed.  My dr. encouraged us to use ice packs, benadryl, arnica montana, and Motrin during the first 72 hours.  The benadryl was administered for the first time about 48 hours after the injection and seemed to have an almost immediate effect as the site was much improved the following morning.  I've got photos showing the red area and the extent of the swelling taken over several days if they would be helpful.
Age: 40.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Anorexia, Chest pain, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Arms and fingers feeling numb.  Body hurts.  Head hurts.  Nausea, vomited x2.  Fatigued.  Lethargic.  Loss of appetite.  Chest pain across top of chest and underneath chest.
Age: 40.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Lethargy, Nausea, Pain, Vomiting
Clinical narrative: Arms and fingers feeling numb.  Body hurts.  Head hurts.  Nausea, vomited x2.  Fatigued.  Lethargic.  Loss of appetite.  Chest pain across top of chest and underneath chest.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Asthenia, Body temperature increased, Diarrhoea, Dizziness
Clinical narrative: Redness and pain at injection site for 3 days.  Improved now. Some swelling present.Now has muscle aches, shaking, weakness, lightheadness, and intermittent fever.  Lightheadedness occurs when standing from sitting.  Frontal headaches upon waking in morning.  Tmax <100.  Has abdominal pain.  Loose stool 3 times for past two days.   No blood in stool.  No cough, sore throat, nausea, or runny nose. No HA at present   No adverse reactions to injection before.  Did have minimal swelling for 3 days after last tetanus shot in 1999.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Redness and pain at injection site for 3 days.  Improved now. Some swelling present.Now has muscle aches, shaking, weakness, lightheadness, and intermittent fever.  Lightheadedness occurs when standing from sitting.  Frontal headaches upon waking in morning.  Tmax <100.  Has abdominal pain.  Loose stool 3 times for past two days.   No blood in stool.  No cough, sore throat, nausea, or runny nose. No HA at present   No adverse reactions to injection before.  Did have minimal swelling for 3 days after last tetanus shot in 1999.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: No reaction on previous exposure to drug, Pyrexia, Tremor
Clinical narrative: Redness and pain at injection site for 3 days.  Improved now. Some swelling present.Now has muscle aches, shaking, weakness, lightheadness, and intermittent fever.  Lightheadedness occurs when standing from sitting.  Frontal headaches upon waking in morning.  Tmax <100.  Has abdominal pain.  Loose stool 3 times for past two days.   No blood in stool.  No cough, sore throat, nausea, or runny nose. No HA at present   No adverse reactions to injection before.  Did have minimal swelling for 3 days after last tetanus shot in 1999.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: skin erythema and warm to touch  - adecel over right deltoid on 7/30 - developed erthema today morning, slightly larger over time - 8x8 cm area of induration - warm to touch - no fevers or chills - mild pain to touch - no fluctuance - no reaction after shot.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: vomiting, diarrhea, fever of 102 x 2 days
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Noticed redness/swelling/warmth at site starting two-three days after injection. Denies fevers, chills. Ibuprofen relieves pain around site. Area by shot improving per pt-less red, less warm, less painful.  Cellulitis treated with cephalexin
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Patient received Pentacel vaccine component DTaP IPV and second dose IPV during routine 4 yr-old immunizations. Mom was made aware of incident and to monitor child for any adverse or unusual reactions. FNP was notified immediately. HIB component of Pentacel was not given.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Swelling face, Wheezing
Clinical narrative: CHILD SEEN IN EMERGENCY ROOM FOR FACIAL SWELLING AND WHEEZING. VACCINE APPOINTMENT AT 1:45 PM VACCINE GIVEN APROXIMITLY AT 2:15 PM. ER PERSONNEL STATES MOM GAVE BENADRYL AT HOME. CHILD BROUGHT IN FOR WHEEZING AROUND 4:15PM. CALL PLACED TO OUR CLINIC TO INQUIRE OF VACCINE GIVEN AT ABOUT 4:45PM. CHILD WILL BE DISCHARGED TO HOME THIS EVENING.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Muscular weakness, Musculoskeletal pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Pneumovax administered at approx 1100. Pt called at 1500 to report severe pain in her shoulder. I examined her on 8/3/09. At that time she was unable to raise her arm due to severe pain and weakness in the deltoid muscle and shoulder. She showed me the alleged injection site high on the upper arm over the brachial tendon. I believe the injection was given into the tendon rather than muscle. Today, 8-5-2009 the patient reports she can raise her arm enough to touch the side of her head but cannot hold it there yet. She has been using heat and cold to the area alternating and taking Lortab for pain.
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Inflammation, Local reaction, Pyrexia, Skin warm
Clinical narrative: Localized red, warm , tender, inflammed 20 cm oval around right posterior upper arm 2 days s/p injection with single dose of "tetanus and pertussis" by Pediatrician. Mild fever of 100.0F
Sex: M
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Localized red, warm , tender, inflammed 20 cm oval around right posterior upper arm 2 days s/p injection with single dose of "tetanus and pertussis" by Pediatrician. Mild fever of 100.0F
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Asthenia, Fatigue, Renal pain
Clinical narrative: Severe stomach pain and weakness.   Very tired and barely able to get out of bed.  Kidney pain.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Angiogram, Nuclear magnetic resonance imaging, Vestibular neuronitis
Clinical narrative: Developed vestibular neuritis 12 days after receiving the shingles vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Dyskinesia, Loss of consciousness, Pallor, Urinary incontinence
Clinical narrative: Lost consciousness with skin pallor, abnormal extremity movement & incontinence of bladder. Episode lasted approximately <30 seconds.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large (about size of baseball) Lt thigh red & hard area around injection site.  Area improved over the wk.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Muscular weakness, Pain, Pruritus, Rash
Clinical narrative: After a few days of the initial vaccine, red bumps, itching & weakness in my left hand & arm occurred. Now, 1 year & 5 months later the site still is red, has bumps & continues to itch & sting.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site pain, Injection site swelling
Clinical narrative: Pt with Hx radiation to skin years ago for mycosis fungoides, was given ZOSTAVAX in right arm -sq- 7/24/2009. Two days later she complained of pain at the site and had a warm raised slightly tender area that was 6 1/2 cm x 4 cm. Pt treated it with oral BENADRYL. Five or six days after the vaccination she noticed one blister and by 8 days pt had 6-7 blisters noted in that area.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Pyrexia, Rash
Clinical narrative: Vaccines (PENTACEL, PREVNAR & ROTATEQ) were given on 7/28/09. Baby developed moderate fever (up to 102 degrees) & intermittent mild rash that evening. Was seen in office the next day & advised to cont with TYLENOL. Fever resolved that evening and rash totally resolved by 7-31-09.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Asthenia, Body temperature increased, Chills, Dizziness, Dyspnoea
Clinical narrative: On the day of the vaccine was given, the patient developed chills, lightheadedness, dizziness, weakness and body aches. She also complained of shortness of breath. Temp was 105 degrees. Felt better in morning, consulted with provider by phone who advised her to increase fluids, take TYLENOL and call if worsens.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Pain
Clinical narrative: On the day of the vaccine was given, the patient developed chills, lightheadedness, dizziness, weakness and body aches. She also complained of shortness of breath. Temp was 105 degrees. Felt better in morning, consulted with provider by phone who advised her to increase fluids, take TYLENOL and call if worsens.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Nausea, Pharyngeal oedema
Clinical narrative: Patient given GARDASIL vaccine about 4:00 PM.  At about 4:10 PM patient states throat swelling, unable to breath, nausea.  Patient out in supine position for about 15 minutes with frequent checks.  Felt much better - release to parent.
Age: 44.0
Sex: M
Vaccine: ANTH, HEPAB, TYP
Symptoms: Blood test normal, Facial nerve disorder, Fatigue, Headache, Hypoaesthesia
Clinical narrative: On 12/15/07, SM received AVA (2), TYPHOID (VICPS), and TWINRIX vaccines.  He recalls increased tenderness at vaccination sites lasting < 48 hours.  (He believes all vaccines were given in the same arm.)  SM was at military base preparing for deployment over seas between 6 December 2007 and February 2008.  In general, while he was there, he recalls "not feeling very well the whole time".  He traveled over the holidays (within 2 weeks of vaccine receipt) and recalls experiencing a disabling headache.  The remainder of the time, he experienced frequent "distracting" headache pain which was similar in character to previous "sinus - related symptoms.  On 2/6/08, SM received AVA (3).  He recalls increased tenderness, redness and taut skin surrounding the vaccination site, as well as a small nodule at the site.  His whole arm was sore and he "could hardly move it" for 3-4 days.  He did not experience any numbness or tingling in his affected extremity.  Systemically, he experienced increased fatigue around the same time and he can pinpoint a change in his headaches to this time period.  He began "living with mild headaches" which were similar to previous sinus headaches, but without other associated sinus-related symptoms.  Within 6-8 weeks, he started awakening in the middle of the night with headaches and sometimes the headaches would intensify to the point he would need to leave work.  He also experienced visual changes associated with headaches described as tunnel vision.  Around this same time, SM first noted numbness and tingling on the left side of the mid-thoracic area of his back.  At first it was on "spot" on his-mid back and then the area increased from waistline to lower scapular area, from midline to left mid-axillary area.  Soon after, hid left upper extremity and then lower extremity were affected.  He had no weakness, but had problems with grasp/gripping and dropping small objects.  No bowel/bladder dysfunction.  Around July or August 2008, SM noted left-sided facial numbness and tingling.  He had no drooping of his eyelid or mouth.  He was initially evaluated in theater, and then medi-evac'd to Medical Center and most recently, another Medical Center.
Age: 44.0
Sex: M
Vaccine: ANTH, HEPAB, TYP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site nodule, Injection site pain, Malaise
Clinical narrative: On 12/15/07, SM received AVA (2), TYPHOID (VICPS), and TWINRIX vaccines.  He recalls increased tenderness at vaccination sites lasting < 48 hours.  (He believes all vaccines were given in the same arm.)  SM was at military base preparing for deployment over seas between 6 December 2007 and February 2008.  In general, while he was there, he recalls "not feeling very well the whole time".  He traveled over the holidays (within 2 weeks of vaccine receipt) and recalls experiencing a disabling headache.  The remainder of the time, he experienced frequent "distracting" headache pain which was similar in character to previous "sinus - related symptoms.  On 2/6/08, SM received AVA (3).  He recalls increased tenderness, redness and taut skin surrounding the vaccination site, as well as a small nodule at the site.  His whole arm was sore and he "could hardly move it" for 3-4 days.  He did not experience any numbness or tingling in his affected extremity.  Systemically, he experienced increased fatigue around the same time and he can pinpoint a change in his headaches to this time period.  He began "living with mild headaches" which were similar to previous sinus headaches, but without other associated sinus-related symptoms.  Within 6-8 weeks, he started awakening in the middle of the night with headaches and sometimes the headaches would intensify to the point he would need to leave work.  He also experienced visual changes associated with headaches described as tunnel vision.  Around this same time, SM first noted numbness and tingling on the left side of the mid-thoracic area of his back.  At first it was on "spot" on his-mid back and then the area increased from waistline to lower scapular area, from midline to left mid-axillary area.  Soon after, hid left upper extremity and then lower extremity were affected.  He had no weakness, but had problems with grasp/gripping and dropping small objects.  No bowel/bladder dysfunction.  Around July or August 2008, SM noted left-sided facial numbness and tingling.  He had no drooping of his eyelid or mouth.  He was initially evaluated in theater, and then medi-evac'd to Medical Center and most recently, another Medical Center.
Age: 44.0
Sex: M
Vaccine: ANTH, HEPAB, TYP
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Pain in extremity, Paraesthesia, Skin tightness, Visual impairment
Clinical narrative: On 12/15/07, SM received AVA (2), TYPHOID (VICPS), and TWINRIX vaccines.  He recalls increased tenderness at vaccination sites lasting < 48 hours.  (He believes all vaccines were given in the same arm.)  SM was at military base preparing for deployment over seas between 6 December 2007 and February 2008.  In general, while he was there, he recalls "not feeling very well the whole time".  He traveled over the holidays (within 2 weeks of vaccine receipt) and recalls experiencing a disabling headache.  The remainder of the time, he experienced frequent "distracting" headache pain which was similar in character to previous "sinus - related symptoms.  On 2/6/08, SM received AVA (3).  He recalls increased tenderness, redness and taut skin surrounding the vaccination site, as well as a small nodule at the site.  His whole arm was sore and he "could hardly move it" for 3-4 days.  He did not experience any numbness or tingling in his affected extremity.  Systemically, he experienced increased fatigue around the same time and he can pinpoint a change in his headaches to this time period.  He began "living with mild headaches" which were similar to previous sinus headaches, but without other associated sinus-related symptoms.  Within 6-8 weeks, he started awakening in the middle of the night with headaches and sometimes the headaches would intensify to the point he would need to leave work.  He also experienced visual changes associated with headaches described as tunnel vision.  Around this same time, SM first noted numbness and tingling on the left side of the mid-thoracic area of his back.  At first it was on "spot" on his-mid back and then the area increased from waistline to lower scapular area, from midline to left mid-axillary area.  Soon after, hid left upper extremity and then lower extremity were affected.  He had no weakness, but had problems with grasp/gripping and dropping small objects.  No bowel/bladder dysfunction.  Around July or August 2008, SM noted left-sided facial numbness and tingling.  He had no drooping of his eyelid or mouth.  He was initially evaluated in theater, and then medi-evac'd to Medical Center and most recently, another Medical Center.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Pt. c/o fever of 102.5, left arm red, swollen and warm.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Induration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Would this 8/4 L thigh swollen red + warm to touch,cover front of thigh + hurts to walk.
Age: 36.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Nausea, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Patient reported fever, left arm pain, swelling and redness, nausea, vomiting approximately 2 days after vaccination with ADACEL & PNEUMOVAX.  Seen at Urgent care, treated with KELFEX & ROCEPHIN injection 1 gram IM.
Age: 36.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Vomiting
Clinical narrative: Patient reported fever, left arm pain, swelling and redness, nausea, vomiting approximately 2 days after vaccination with ADACEL & PNEUMOVAX.  Seen at Urgent care, treated with KELFEX & ROCEPHIN injection 1 gram IM.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood thyroid stimulating hormone decreased, Computerised tomogram normal, Dizziness, Fall, Full blood count normal
Clinical narrative: Pt getting up from exam table fell forward, brushed head on wall and was caught by staff. Laid down, vitals stable, woke up and was able to drink fluids. She remained dizzy x 1 week. Head CT negative, TSH low 0.3 (nl 0.4-4.0), CBC wnl.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Blister, Erythema, Pain, Pyrexia, Rash pustular
Clinical narrative: Red, sore, hot, fever, blister pustules popping - oozing liquid.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Skin warm
Clinical narrative: Red, sore, hot, fever, blister pustules popping - oozing liquid.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Headache, Malaise, Pyrexia, Vomiting
Clinical narrative: After vaccine given mom then tells RN patient had the chicken pox.  RN explained he may have some reaction to vaccine and if she had told RN or Dr this.  He would not have been admin. @ 0600 7-17-09 mom called this RN @ home reported patient was c/o not feeling well.  Had fever of 100.9 oral.  Emesis, headache.  Had given ASA.  RN instructed not to give ASA again.  Give cool bath, push fluids if not feeling better by 0830 to call medical office for appt (see back of form).
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Convulsion
Clinical narrative: Pt. received vaccines. Mom stated pt. had seizure in car. PMC staff did not witness any seizure activity. Pt. walked back to bus with mom. vs stable/oriented x3. Mom states pt. did not have breakfast. Given juice, crackers and cool pack placed on head observed for 20 mins on bus. No problems observed. Pt. sent home with mom.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles, Musculoskeletal pain
Clinical narrative: Left upper arm, shoulder pain, swelling and redness to vaccine site, few small blisters to area; 4 1/2 in diameter of redness. Treatment consisted of ibuprofen prn and calamine lotion.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic, Rash vesicular
Clinical narrative: Pt got a rash on her wrist, arm, chest and back, mostly on her right side. She got the vaccine in her left arm. The rash on her back: looks like chicken pox and it itches, but there is no pain. (rash not yet resolved).
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: Redness to upper arm fever 102 degrees-103.9 for 3 days pain in upper arm. Took TYLENOL and BENADRYL.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Induration, Skin warm, Swelling
Clinical narrative: Cellulitis, redness, swelling, warmth and induration noted by patient the following day after vaccination. Treated with KEFLEX and Hydroxyzine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylaxis ~  1/2 in after receipt of IPV and DTAP
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Blood glucose increased, Blood pressure increased, Chills, Drug exposure during pregnancy, Dyspnoea
Clinical narrative: 28 yo girl presented to clinic at 4:05 pm stating began feeling tingling over all of body, difficulty speaking, chills, pain to bilateral hands since 3:00pm. Pregnant 33 weeks. ENC-09/20/09. While at clinic, pt began to be unable to speak. Continued pending to hospital. Well, difficulty forming words, began with difficulty breathing arms became very rigid, Also hands very rigid. Pt denied pain. No pain to vaccine site. Pt was placed on NST (non stress test) which showed baby reactive with FHR 150's. Pt was transported to VRMC via ambulance at 4:30pm
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Muscle rigidity, Pain in extremity, Paraesthesia, Speech disorder
Clinical narrative: 28 yo girl presented to clinic at 4:05 pm stating began feeling tingling over all of body, difficulty speaking, chills, pain to bilateral hands since 3:00pm. Pregnant 33 weeks. ENC-09/20/09. While at clinic, pt began to be unable to speak. Continued pending to hospital. Well, difficulty forming words, began with difficulty breathing arms became very rigid, Also hands very rigid. Pt denied pain. No pain to vaccine site. Pt was placed on NST (non stress test) which showed baby reactive with FHR 150's. Pt was transported to VRMC via ambulance at 4:30pm
Age: 23.0
Sex: M
Vaccine: HEP, TD
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: On 7/20/09 received a T booster F and first Hepatitis B vaccine- 3 days later hot red itchy urticarial rash - this spread from torso out to limbs. No other suspicious cause.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Injection site pruritus, Injection site pustule, Injection site rash
Clinical narrative: Local popular pruritic rash around site on upper arm. Began the day after admin, peaked 5 days after.
Age: 86.0
Sex: M
Vaccine: PPV
Symptoms: Abasia, Asthenia, Blood test, Nuclear magnetic resonance imaging
Clinical narrative: Debilitating weakness all over, unable to sit up in bed.  Once on edge of bed & assisted standing legs would not / could not step.  As if would not listen to her brain.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count increased
Clinical narrative: From initial information received on 10/Nov/2004 from the FDA (VAERS # 2283438) regarding an adverse event, it was reported that a 70-year-old male patient received FLUZONE SV '2004-'2005 USP vaccination, lot number U1478AA, administered on 14/Oct/2004. Prior to the patient's flu immunization the patient exhibited a cough on 20/Sep/2004 and on 07/Oct/2004 he began choking and coughing with food. Six days post vaccination, on 20/Oct/2004, the patient's cough became worse and he had developed lung congestion. His blood oxygen was 80-85%, oxygen was 26. The following day, on 21/Oct/2004, the patient's vital signs were temperature 97.4 degrees Fahrenheit, blood pressure 150/80 and blood oxygen was 92% with oxygen. On 21/Oct/2004 hospice care was ordered. On 22/Oct/2004 the patient's vital signs were temperature 99 degrees Fahrenheit, blood pressure 130/70 and oxygen saturation was 90% with three liters of oxygen. At 11am that day the patient was unresponsive. At 5:35am on 23/Oct/2004 the patient expired. According to the nursing director of the nursing facility where the patient expired, an autopsy was not performed on the patient. From the medical records it was reported that the patient experienced under hospice care which had been initiated a few days prior to his death. Lab results were included in the records for a CBC drawn on 24/Oct/2004. The WBC's were 12.2 and the HCT was 40.9. On the day prior to the patient's death his temperature was 101 degrees Fahrenheit. There were no new orders noted for antibiotic therapy. On 22/Oct/2004, the day prior to the patient's death he was started on morphine and ROXANOL. At 5:30am on 23/Oct/2004, no blood pressure, no pulse or respirations were detected. The reporter of this case is the same reporter of cases 2004-03646, 2004-03647 and 2004-03648. All four cases came from the same Long Term Care facility. From additional information received on 16/Nov/2004 from an internal e-mail communication from a VAERS nurse researcher, it was reported that the death certificate was received. The cause of death was listed as end-stage dementia and COPD. No other information was provided. Additional information concerning this patient was identified on 27 July 2009 from a literature citation. Purpose: To evaluate a possible association between influenza vaccination and four deaths and four serious illnesses among 114 recent influenza vaccinees in a long-term care facility (LTCF) and two deaths from a nearby physician's office. All had received vaccine from the same lot (Lot A). Methods Field investigation including (1) a retrospective cohort study among LTCF residents who received Lot A or other influenza vaccine, (2) review of medical records of cases of death or serious illness, (3) active surveillance of deaths among 1500 community based Lot A vaccinees and (4) laboratory testing of vaccine from available Lot A vials. Results Medical record reviews showed no common clinical syndrome or cause of death. Laboratory testing of Lot A samples revealed no evidence of tampering and no differences
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Autopsy, Cardiac arrest, Condition aggravated, Coronary artery disease, Coronary artery occlusion
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 63 year old male with hypertension and previous illness reported as none who on 27-SEP-2007 was vaccinated with a first dose of ZOSTAVAX (Merck) (lot # 657767/0740U) subcutaneously into left arm. On 29-SEP-2007 the patient died in his sleep presumed cardiac arrest by autopsy. On 15-JAN-2008 reviewed autopsy report which states cause of death as occlusive coronary artery disease with hypertension and sleep apnea as contributing factors. Findings at autopsy include: Right Carotid Artery (RCA) 70% occluded: Left Anterior Descending artery (LAD) 80-90% occluded; left coronary artery (LCA) 70% occluded; microscopic evidence of ischemic heart disease with increased fibrosis in tissue; fatty infiltration into right ventricle wall of heart; and chronic hypertension. The patient died in his sleep after recently complained of being tired. There were no diagnostic laboratories study performed. This originally reporting source was not provided. The VAERS ID # is 292395. A standard lot check investigation was performed. All in-process quality checks for the lot number 657767/0740U 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 Center and was released. No further information is available.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Death, Fatigue, Hypertension, Myocardial ischaemia, Sleep apnoea syndrome
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 63 year old male with hypertension and previous illness reported as none who on 27-SEP-2007 was vaccinated with a first dose of ZOSTAVAX (Merck) (lot # 657767/0740U) subcutaneously into left arm. On 29-SEP-2007 the patient died in his sleep presumed cardiac arrest by autopsy. On 15-JAN-2008 reviewed autopsy report which states cause of death as occlusive coronary artery disease with hypertension and sleep apnea as contributing factors. Findings at autopsy include: Right Carotid Artery (RCA) 70% occluded: Left Anterior Descending artery (LAD) 80-90% occluded; left coronary artery (LCA) 70% occluded; microscopic evidence of ischemic heart disease with increased fibrosis in tissue; fatty infiltration into right ventricle wall of heart; and chronic hypertension. The patient died in his sleep after recently complained of being tired. There were no diagnostic laboratories study performed. This originally reporting source was not provided. The VAERS ID # is 292395. A standard lot check investigation was performed. All in-process quality checks for the lot number 657767/0740U 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 Center and was released. No further information is available.