chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: erythematous, warm to touch, swollen left arm from IPV-subq vaccination. x3 days ice, Benadryl prn -Local reaction no fever. 1cm nodule, 5cm swelling.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: 4/21/08 Student came in one week after HPV (GARDASIL) #2 injection on 4/14/08. Reports LUE sore in deltoid and shoulder area. N/ ROM and moves freely. Denies numbness and tingling. No redness, discoloration or swelling. CMST. Rad pulse palp. Color pink, RTC again on 5/01/08 with cont'd pain, with shoulder/arm.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain
Clinical narrative: 4/21/08 Student came in one week after HPV (GARDASIL) #2 injection on 4/14/08. Reports LUE sore in deltoid and shoulder area. N/ ROM and moves freely. Denies numbness and tingling. No redness, discoloration or swelling. CMST. Rad pulse palp. Color pink, RTC again on 5/01/08 with cont'd pain, with shoulder/arm.
Age: 58.0
Sex: F
Vaccine: TYP
Symptoms: Chest discomfort, Dizziness, Dysphonia, Feeling abnormal
Clinical narrative: 4-5 min after receiving injection pt became lightheaded and her voice became hoarse, she c/o feeling "foggy" and some chest tightness; no wheezing; she was given Benadryl 35 mg IM, Decadron 8mg IM, nebulizer RX and Prednisone 60 m PO; better after 2 hours - home with medrol dose pak - voice still a little raspy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: L upper extremity swelling and redness, itching of the area.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PPV, VARCEL
Symptoms: Abnormal behaviour, Diarrhoea, Lethargy, Loss of consciousness, Pyrexia
Clinical narrative: Patient received shots on 4/30/08. Patient started fever, vomiting, and loose stools on 5/6/08. Vomiting and loose stools ended 5/7/08. Fever and lethargic remain. Child has not been himself, child has been blacking out.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PPV, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient received shots on 4/30/08. Patient started fever, vomiting, and loose stools on 5/6/08. Vomiting and loose stools ended 5/7/08. Fever and lethargic remain. Child has not been himself, child has been blacking out.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: 5/5/08 4:45 PM Pt. into clinic reported redness and swelling with tenderness to R.arm. Received Tdap in R.arm 4/30/08. Pt. states arm became swollen on 4/30/08. Pt. has been taking Tylenol. Arm is swollen, minimal redness to area. Advised to contiue Tylenol, Cold compression today followed by warm compression tomorrow. See MD if needed.
Age: 27.0
Sex: M
Vaccine: HEP, RAB, TYP
Symptoms: Diarrhoea, Fatigue, Malaise, Nausea
Clinical narrative: Malaise, Nausea, Fatigue, Diarrea
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pneumovax 23 given to pt. on 5/6/08.  On 5/7/08 she returned to the clinic for left upper arm (shoulder to elbow area) red and warm to touch.Physician evaluated pt. and gave instructions to use ice to area and Motrin prn.
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Received MMR, Varicella & Hep A vaccines on 4/28/08.  Developed fever on 5/6/08 which resolved on 5/7/08 and developed rash on 5/7/08 which appears to be a varicella-like rash. Otherwise the baby is doing well.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Bacterial culture negative, Blood calcium decreased, Blood chloride increased, Carbon dioxide decreased, Cellulitis
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Debridement, Erythema, Full blood count, Induration, Lymphocyte morphology abnormal
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Metabolic function test, Monocyte count increased, Neutrophil count increased, Soft tissue infection, Surgery
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Swelling, White blood cell count increased
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abscess
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Culture wound positive, Erythema, Fasciotomy, Hypoaesthesia, Incision site erythema
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Incisional drainage, Induration, Purulent discharge, Staphylococcal infection, Swelling
Clinical narrative: Patient had Anthrax vaccination on 5/1/08 and developed increasing redness and welling. Was seen at MC ER on 5/3/08 and transferred to MC for definitive care. On exam, L upper extremity with very large cellulitic area extending across the deltoid, biceps and posterior left upper arm. Area of induration was present and appeared somewhat fluctuant anteriorly. This area measured 15 by 20cm. Diagnosed with L upper extremity deep soft tissue infection. Area was incised and debrided in the operating room and intraoperative cultures were taken. Hospital admission for IV Vancomycin treatment. Discharged on 5/4/08 with Vicodin and Clindamycin. Wound packing q day. Open wound to L upper arm measures 4.5 inches by 2 inches by 1.5 inches. 5/21/08-records received for DOS 5/3-5/6/08: DC DX: Cellulitis possible reaction to anthrax vaccine. Deep soft tissue infection, left upper extremity. Incision and debridement of left upper extremity soft tissue infection. PE: fluctuance and cellulitis, pain over injection site.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain, Urticaria
Clinical narrative: Red flat "baseball sized" "welt" noted. Painful.  Tylenol given.  Has been at school today.  Inst mom to continue with observation call PCP with increased symptoms.  Mother denies wheezing or diffuculty breathing inst to go to urgent care or ER with these symptoms.  Inst to call with questions or concerns.  Mother verbilizes understanding.  RN
Sex: U
Vaccine: HEP
Symptoms: Incorrect route of drug administration
Clinical narrative: Hep B vaccine given IV
Age: 11.0
Sex: M
Vaccine: HEP, MNQ, VARCEL
Symptoms: Cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Had variavax vaccine on 5/5/2008 p.m. on right SQ of arm developed sweeling, tenderness and pain at the sire 5x5 sweeling.Saw MD on 5/7/08 p.m.cellulitis , Keflex 250 mg qid for 7 days.
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Injection site had redness, warmth approximately 2.5 inches in diameter.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Blood glucose increased, Blood ketone body, Diabetic vascular disorder, Ear infection, Type 1 diabetes mellitus
Clinical narrative: Type I Diabetes  6/6/08 Reviewed outpatient clinic records & vax records.   FINAL DX: Type 1 diabetes w/peripheral cirvulatory disorder Records indicate that by 8/15 patient having difficulty sleeping, appetite decreased,irritability, polyuria & polydipsia x 2-3 weeks.  Referred to peds endocrinologist & started on insulin.  Returned to clinic 11/13 for recheck of acute suppurative OM, had completed antibiotics from 2 wks prior.   Developed hives 1/8/2008 s/p insulin injection.  6/10/08 Reviewed Endocrinology clinic medical records of 8/16/2007-5/9/2008. FINAL DX: New onset Type 1 diabetes Records reveal patient picky eater, father primary caregiver.  Family instructed on insulin & diet.  Patient received flu vaccine 10/18/07, no lot # available.  Continued w/fair diabetic control, felt would benefit from insulin pump & process started. Follow-up: Patient was diagnosed with Type 1 diabetes 1 month after receiving the Hep A vaccination. The high blood sugar symptoms began within about a week of receiving the vaccine. Type 1 diabetes will never go away. Although we recognize that Type 1 diabetes begins with an inherited susceptibility, we do still believe this vaccine had the environmental trigger that started the diabetes.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: redness and warmth at injection site after shots given on 05/05/2008. Seen in ER and treated with antibiotics for cellutitis per parent by phone call 05/08/2008 1:30 pm.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Asthenia, Dysstasia, Guillain-Barre syndrome, Mechanical ventilation, Muscle strain
Clinical narrative: Pt. was given Influenza immunization 11-05-07.  Wife states approximately 10 days later, he experienced neck pain, tingling in hands and feet.  Seen at ED, and followed up with Primary care physician.  Treated for muscle strain.  Symptoms worsened, pt became weak and was unable to stand. On 11-22-07 he was sent to hospital by ambulance, transferred to Hospital.  Was placed on ventilator.  Wife states dx: Guillain Barre syndrome.  Pt has had several episodes of pneumonia.  Is currently hospitalized at Hospital and Clinic on the Ventilator unit.  06/16/2008 MR received for DOS 11/22/2007-01/08/2008 with D/C DX: Severe Guillain Barre Syndrome.  Ventilator-assisted pneumonia of the LLL. UTI.  HTN. Respiratory Failure s/p tracheostomy.  Dysphagia s/p PEG tube placement. Neuropathic Pain.  Major depressive episode and anxiety.  Stage II skin breakdown.  Hyperglycemia. Pt presented to ER with 6 day hx of ascending weakness and tingling of the fingers and toes. Unable to ambulate, several recent falls. (+) shortness of breath while walking and talking.  PE (+) for decreased inspiratory effort, tachycardia, lower extremity flaccidity and decreased strength. Reflexes decreased. Pt developed respiratory failure and was intubated and vent dependant. Trach placed on 12/4/07. (+) Autonomic instability with tachycardia and hyper and hypotension. Tx with IVIG with no significant improvement.  Neuropathic pain present.  Pt developed some depression, anxiety, a LLL pneumonia, a stage II ulcer of the R buttocks.  PEG tube place for nutrition. Discharged to a ventilator unit for continued rehab.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Neck pain, Paraesthesia, Pneumonia
Clinical narrative: Pt. was given Influenza immunization 11-05-07.  Wife states approximately 10 days later, he experienced neck pain, tingling in hands and feet.  Seen at ED, and followed up with Primary care physician.  Treated for muscle strain.  Symptoms worsened, pt became weak and was unable to stand. On 11-22-07 he was sent to hospital by ambulance, transferred to Hospital.  Was placed on ventilator.  Wife states dx: Guillain Barre syndrome.  Pt has had several episodes of pneumonia.  Is currently hospitalized at Hospital and Clinic on the Ventilator unit.  06/16/2008 MR received for DOS 11/22/2007-01/08/2008 with D/C DX: Severe Guillain Barre Syndrome.  Ventilator-assisted pneumonia of the LLL. UTI.  HTN. Respiratory Failure s/p tracheostomy.  Dysphagia s/p PEG tube placement. Neuropathic Pain.  Major depressive episode and anxiety.  Stage II skin breakdown.  Hyperglycemia. Pt presented to ER with 6 day hx of ascending weakness and tingling of the fingers and toes. Unable to ambulate, several recent falls. (+) shortness of breath while walking and talking.  PE (+) for decreased inspiratory effort, tachycardia, lower extremity flaccidity and decreased strength. Reflexes decreased. Pt developed respiratory failure and was intubated and vent dependant. Trach placed on 12/4/07. (+) Autonomic instability with tachycardia and hyper and hypotension. Tx with IVIG with no significant improvement.  Neuropathic pain present.  Pt developed some depression, anxiety, a LLL pneumonia, a stage II ulcer of the R buttocks.  PEG tube place for nutrition. Discharged to a ventilator unit for continued rehab.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Abasia, Laboratory test, Mechanical ventilation, Movement disorder, Neck pain
Clinical narrative: Pt. was given Influenza immunization 11-05-07.  Wife states approximately 10 days later, he experienced neck pain, tingling in hands and feet.  Seen at ED, and followed up with Primary care physician.  Treated for muscle strain.  Symptoms worsened, pt became weak and was unable to stand. On 11-22-07 he was sent to hospital by ambulance, transferred to Hospital.  Was placed on ventilator.  Wife states dx: Guillain Barre syndrome.  Pt has had several episodes of pneumonia.  Is currently hospitalized at Hospital and Clinic on the Ventilator unit.  06/16/2008 MR received for DOS 11/22/2007-01/08/2008 with D/C DX: Severe Guillain Barre Syndrome.  Ventilator-assisted pneumonia of the LLL. UTI.  HTN. Respiratory Failure s/p tracheostomy.  Dysphagia s/p PEG tube placement. Neuropathic Pain.  Major depressive episode and anxiety.  Stage II skin breakdown.  Hyperglycemia. Pt presented to ER with 6 day hx of ascending weakness and tingling of the fingers and toes. Unable to ambulate, several recent falls. (+) shortness of breath while walking and talking.  PE (+) for decreased inspiratory effort, tachycardia, lower extremity flaccidity and decreased strength. Reflexes decreased. Pt developed respiratory failure and was intubated and vent dependant. Trach placed on 12/4/07. (+) Autonomic instability with tachycardia and hyper and hypotension. Tx with IVIG with no significant improvement.  Neuropathic pain present.  Pt developed some depression, anxiety, a LLL pneumonia, a stage II ulcer of the R buttocks.  PEG tube place for nutrition. Discharged to a ventilator unit for continued rehab.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Pain, Paraesthesia
Clinical narrative: Pt. was given Influenza immunization 11-05-07.  Wife states approximately 10 days later, he experienced neck pain, tingling in hands and feet.  Seen at ED, and followed up with Primary care physician.  Treated for muscle strain.  Symptoms worsened, pt became weak and was unable to stand. On 11-22-07 he was sent to hospital by ambulance, transferred to Hospital.  Was placed on ventilator.  Wife states dx: Guillain Barre syndrome.  Pt has had several episodes of pneumonia.  Is currently hospitalized at Hospital and Clinic on the Ventilator unit.  06/16/2008 MR received for DOS 11/22/2007-01/08/2008 with D/C DX: Severe Guillain Barre Syndrome.  Ventilator-assisted pneumonia of the LLL. UTI.  HTN. Respiratory Failure s/p tracheostomy.  Dysphagia s/p PEG tube placement. Neuropathic Pain.  Major depressive episode and anxiety.  Stage II skin breakdown.  Hyperglycemia. Pt presented to ER with 6 day hx of ascending weakness and tingling of the fingers and toes. Unable to ambulate, several recent falls. (+) shortness of breath while walking and talking.  PE (+) for decreased inspiratory effort, tachycardia, lower extremity flaccidity and decreased strength. Reflexes decreased. Pt developed respiratory failure and was intubated and vent dependant. Trach placed on 12/4/07. (+) Autonomic instability with tachycardia and hyper and hypotension. Tx with IVIG with no significant improvement.  Neuropathic pain present.  Pt developed some depression, anxiety, a LLL pneumonia, a stage II ulcer of the R buttocks.  PEG tube place for nutrition. Discharged to a ventilator unit for continued rehab.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Abdominal pain, Barium enema, Enema administration, Haematochezia, Intussusception
Clinical narrative: Vomiting and abdominal pain began on 5/7.  Also had bloody, mucousy stool.  Admitted to hospital and barium enema confirmed intussusception.  Transferred to Hospital in early AM of 5/8/08.  Repeat barium enema confirmed diagnosis, but unable to reduce completely.  Surgical reduction performed on 5/8/08.  At time of this report, patient recovering in hospital.  5/15/2008 MR received for DOS 5/8-10/2008 with D/C DX: S/P Intussusception reduction.  Infant presented to ER with c/o nausea, vomiting, bloody bowel movements and cramping and abdominal pain.  PE (+) for pallor and a 2x2cm abdominal mass in the R abdomen. Reduction attempted by Barium Enema x 2 at local hospital but unsuccessful at reduction.  BE at current facility also unsuccessful x 3 attempts. Pt taken to OR for Exploratory Lap with IS reduction and appendectomy. Pt developed fever 1 day post-op but was D/C on POD#2
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Mucous stools, Surgery, Vomiting
Clinical narrative: Vomiting and abdominal pain began on 5/7.  Also had bloody, mucousy stool.  Admitted to hospital and barium enema confirmed intussusception.  Transferred to Hospital in early AM of 5/8/08.  Repeat barium enema confirmed diagnosis, but unable to reduce completely.  Surgical reduction performed on 5/8/08.  At time of this report, patient recovering in hospital.  5/15/2008 MR received for DOS 5/8-10/2008 with D/C DX: S/P Intussusception reduction.  Infant presented to ER with c/o nausea, vomiting, bloody bowel movements and cramping and abdominal pain.  PE (+) for pallor and a 2x2cm abdominal mass in the R abdomen. Reduction attempted by Barium Enema x 2 at local hospital but unsuccessful at reduction.  BE at current facility also unsuccessful x 3 attempts. Pt taken to OR for Exploratory Lap with IS reduction and appendectomy. Pt developed fever 1 day post-op but was D/C on POD#2
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Intussusception, Rectal haemorrhage, Surgery, Vomiting
Clinical narrative: Vomiting and abdominal pain began on 5/7.  Also had bloody, mucousy stool.  Admitted to hospital and barium enema confirmed intussusception.  Transferred to Hospital in early AM of 5/8/08.  Repeat barium enema confirmed diagnosis, but unable to reduce completely.  Surgical reduction performed on 5/8/08.  At time of this report, patient recovering in hospital.  5/15/2008 MR received for DOS 5/8-10/2008 with D/C DX: S/P Intussusception reduction.  Infant presented to ER with c/o nausea, vomiting, bloody bowel movements and cramping and abdominal pain.  PE (+) for pallor and a 2x2cm abdominal mass in the R abdomen. Reduction attempted by Barium Enema x 2 at local hospital but unsuccessful at reduction.  BE at current facility also unsuccessful x 3 attempts. Pt taken to OR for Exploratory Lap with IS reduction and appendectomy. Pt developed fever 1 day post-op but was D/C on POD#2
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Pain, Skin disorder, Skin warm
Clinical narrative: Right arm has large dark red area approximately 3 1/2 inches, very hot, & sore.  Developed on      5-07-08
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed increase in size of lt mid bicep with redness, tenderness, and firm area of edema noticable on the day following the administration of the vaccines which increased in size and intensity over the next 2 days.  Patient returned to clinic on 5-2-08 for doctor consult regarding reaction.  Advised tylenol, benadryl, and ice for swelling and discomfort.
Age: 18.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Rash erythematous, Rash macular, Urticaria
Clinical narrative: multiple erytremius macular hive-like rash areas bilateral groin, inner thigh, bilateral arm pits, Right crease elbow, Left ankle area.Hives started 5-2-08  Hep B given 4-30-08. Took benadryl.  Medrol 4 mg dose pack given and Triamcinolone 0.1% cream to affected skin areas.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: 1 3/4 X 2.O" SWOLLEN, MILD ERYTHEMA, NOT WARM TO TOUCH
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient developed rash.  Went to Dr. After examination Dr. told patient she had shingles
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Joint range of motion decreased, Pyrexia
Clinical narrative: One day after immuniz pt. had severely sore arm, swelling and erythema in entire deltoid area.  LImited ROM of arm, fever
Age: 23.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Arthralgia, Injected limb mobility decreased, Malaise, Nausea
Clinical narrative: Given Tdap 5/5/08 -  Experienced nausea and malaise x 2 days (Mon 5/5 & 5/6) - Wed 5/7  all night, Thursday 5/8 (L) elbow pain with limited ROM (L) arm.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Patient administered Zostavax 4/25/08, contacted pharmacy 4/26/8 and said arm where injection was given became red, inflamed, & "hot."  Recommended patient to take 1 Benadryl & 600mg Advil & ice it.  Next day reported redness, soreness, swelling seemed to be dissipating, also noted headache.  Told patient to contact doctor, doctor's nurse practitioner prescribed Keflex 250 X7 days.  Spoke with patient 5/6/8-not getting better-told patient to contact doctor again.  Contacted doctor initially on 4/28/8 and again 5/6/8.  Contacted patient 5/6/8.  Saw nurse 5/7/8-wasn't prescribed more antibiotics, wasn't getting better or worse.  Still swollen & tender.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Wrong technique in drug usage process
Clinical narrative: Patient administered Zostavax 4/25/08, contacted pharmacy 4/26/8 and said arm where injection was given became red, inflamed, & "hot."  Recommended patient to take 1 Benadryl & 600mg Advil & ice it.  Next day reported redness, soreness, swelling seemed to be dissipating, also noted headache.  Told patient to contact doctor, doctor's nurse practitioner prescribed Keflex 250 X7 days.  Spoke with patient 5/6/8-not getting better-told patient to contact doctor again.  Contacted doctor initially on 4/28/8 and again 5/6/8.  Contacted patient 5/6/8.  Saw nurse 5/7/8-wasn't prescribed more antibiotics, wasn't getting better or worse.  Still swollen & tender.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema
Clinical narrative: (L) arm reddened after 24 hr. Pt saw MD 5/8/08 and was instructed to put a cold pack to area. Mother of pt states he has a latex allergy-no reaction in (R) arm where Tdap was given on the same day.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, RV5
Symptoms: Culture wound positive, Incisional drainage, Injection site abscess sterile
Clinical narrative: Sterile abscess from DTaP given in right anterior thigh 4/11/08.  Required incision & drainage 5/1/08.  No fever or tenderness.  Culture->only rare staph coag negative.
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: Redness/swelling 3x4 cm of size (R) deltoid area painful and hot at palpation.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Erythematous maculopapular rash on trunk, extremities including soles & palms on day 12.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: SHINGLES: on L3/L4 - left side of lower back along belt line, wraps around hip to cross thigh & continues down her inner side of knee & calf.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: RASH ACROSS CHEST DIAGNOSED AS SHINGLES; ONSET OF RASH ONE DAY AFTER HPV #2.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a registered nurse and through a Pregnancy Registry concerning a 17 year old female with no pertinent medical history who on 30-JUL-2007 was vaccinated intramuscularly with the third, 0.5 mL dose of GARDASIL (Lot # "09270"). There was no concomitant medication. It was reported that the patient became pregnant sometime before she received her third dose of the vaccine series. No other symptoms were noted. The patient sought unspecified medical attention. On 01-AUG-2007, the patient had a pregnancy test which was positive with an estimated date of delivery approximately in Jan 2008. No other information was available. Follow-up information was received. The patient had electively terminated her pregnancy on an unspecified date. Upon internal review abortion induced is considered to be an other important medical event. Additional information is not expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received as part of a pregnancy registry from a mother concerning her 18 year old daughter with a drug hypersensitivity to acetaminophen (+) hydrocodone bitartrate (VICODIN) that makes her sick to her stomach and "ovarian problems" that prevent her from menstruating with a history of ovarian cysts and ovarian endometriosis who on 03-AUG-2007 was vaccinated with the first dose of GARDASIL.  Concomitant therapy included hormonal contraceptives (unspecified).  In approximately September 2007, the patient became pregnant.  On 05-OCT-2007 the patient received her second dose of GARDASIL.  No adverse event was reported.  No laboratory studies were performed.  As of 25-OCT-2007 the patient was 7 weeks pregnant and her estimated date of delivery is 12-JUN-2008.  As of 25-OCT-2007, the patient had not sought medical attention.  Follow-up information was received.  On an unspecified date the patient had an abortion; elective termination.  Upon internal review abortion; elective termination is considered to be an other medical event.  Additional information is not expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood human chorionic gonadotropin positive, Caesarean section, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow-up information has been received from a mother and 18 year old daughter who on 05-MAY-2007 was vaccinated with her first dose of Gardasil (Lot #, site and route not reported).  On 09-JUL-2007 the patient was vaccinated with her second dose of Gardasil (Lot #, site and route not reported).  "Sometime in August 2007", the patient missed her period and conducted a home urine pregnancy test which was positive.  The patient also reported that she also had a pregnancy blood test which was positive (not further specified).  In "January 2008", the patient delivered her baby.  The patient was hospitalized for delivery of the baby which she had by cesarean section.  No further information was provided.  The patient did not report any adverse reaction.  It was reported that there were "no complications for the mother or the baby".  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cerebrovascular accident
Clinical narrative: Information has been received from a consumer concerning her 20 year old daughter with allergy to azithromycin (ZITHROMAX) who on 09-NOV-2007 was vaccinated with the first dose of GARDASIL, 0.5 mL, (injection form) (Lot # not reported).  On 09-JAN-2008, the patient was vaccinated with the second dose of GARDASIL, 0.5 mL, (injection form) (Lot # not reported).  Concomitant therapy included drospirenone (+) ethinyl estradiol (YAZ).  On 01-FEB-2008, after getting the second dose of GARDASIL, the patient experienced a stroke and was hospitalized.  The patient stayed in the hospital for one week.  At the time of this report, the patient was recovering from the event.  The causality of the event was not reported.  No product quality complaint was involved.  Additional information has been requested.  6/3/08 Reviewed hospital medical records for 2/4-2/8/2008. FINAL DX: small right CVA; vitamin B12 deficiency; sinus tachycardia; Wallenberg syndrome. Records reveal patient experienced dizziness, left sided numbness, diplopia, fever & vomiting x 2 days.  Developed sinus tachycardia & anxiety controlled w/meds.  Cardio & neuro consults done.  Improved left face & arm paresthesias but left thigh & lower leg paresthesias persisted at d/c to home.  Difficulty getting OOB & walking.  To have outpatient PT/OT as well as f/u w/neuro & cardio.  9/5/08 Reviewed heme, neuro & rheum consultant medical records of 3/10-5/30/2008. FINAL DX: CVA, lateral medullary syndrome (Wallenberg's) related to the occlusion of the posterior inferior cerebellar artery. Records reveal patient experienced recent CVA, 20# weight gain since CVA.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cerebrovascular accident, Contraception
Clinical narrative: Information has been received from a consumer concerning her 20 year old daughter with allergy to azithromycin (ZITHROMAX) who on 09-NOV-2007 was vaccinated with the first dose of GARDASIL, 0.5 mL, (injection form) (Lot # not reported).  On 09-JAN-2008, the patient was vaccinated with the second dose of GARDASIL, 0.5 mL, (injection form) (Lot # not reported).  Concomitant therapy included drospirenone (+) ethinyl estradiol (YAZ).  On 01-FEB-2008, after getting the second dose of GARDASIL, the patient experienced a stroke and was hospitalized.  The patient stayed in the hospital for one week.  At the time of this report, the patient was recovering from the event.  The causality of the event was not reported.  No product quality complaint was involved.  Additional information has been requested.  6/3/08 Reviewed hospital medical records for 2/4-2/8/2008. FINAL DX: small right CVA; vitamin B12 deficiency; sinus tachycardia; Wallenberg syndrome. Records reveal patient experienced dizziness, left sided numbness, diplopia, fever & vomiting x 2 days.  Developed sinus tachycardia & anxiety controlled w/meds.  Cardio & neuro consults done.  Improved left face & arm paresthesias but left thigh & lower leg paresthesias persisted at d/c to home.  Difficulty getting OOB & walking.  To have outpatient PT/OT as well as f/u w/neuro & cardio.  9/5/08 Reviewed heme, neuro & rheum consultant medical records of 3/10-5/30/2008. FINAL DX: CVA, lateral medullary syndrome (Wallenberg's) related to the occlusion of the posterior inferior cerebellar artery. Records reveal patient experienced recent CVA, 20# weight gain since CVA.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R arm, red, feverish and swelling front side of arm down to elbow
Age: 19.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Pruritus, Rash
Clinical narrative: 19 y/o male ADSM is referred from clinic to FBVHC for evaluation of skin rash eruption in temporal relationship with the receipt of Smallpox vaccine.  Symptom: Pruritus Start: 04/24/2008 Comment: Related to skin rash.  Symptom: Rash, diffuse Start: 04/24/2008 Comment: See summary for description.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pyrexia, Respiratory tract infection, Vomiting
Clinical narrative: Patient developed respiratory infection three days after the receipt of AVA #3. Symptom: Fever Start: 04/25/2008; Symptom: Nausea w/vomiting Start: 04/25/2008
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Full blood count, Injection site cellulitis
Clinical narrative: Cellulitis around vaccination site. Pt needed antibiotics - responded well. 3/19/08-records received for DOS 5/3-5/4/08-DC DX: Cellulitis left arm. Seen in Ed with C/O rash around injection site, left arm swollen, pain at injection site and reddened induration admitted overnight for IV antibiotics. Temp 102.4.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. received immunizations at 1:30pm on 4/29/08.  Within 2 hours she had area at one injection sites that red and the size of a half dollar.  The next AM the area was softball sized, red & warm to touch.
Age: 0.8
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Hives - on arms in circular pattern - rear elbow & forearm - odd shaped flat-raised areas  - come & go - dime sized - started 24 hrs after 2nd DTaP at 10 mo age - (sib with autism).
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 1 day after receiving Varivax (L) upper arm, site became reddened and painful. Seen in our office 3 days afterwards, 5" circum. warm, erythematous and tender site.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Pain, Skin warm, Swelling
Clinical narrative: Received vaccine 5/2.  5/3 some erythema & pain progressive.  Seen in ER 5/4 & diagnosed with "cellulitis" & put on Bactrim.  Seen in ofc by PCP 5/5 with 4 1/2 x 5" erythema with warmth.  By less red less tender & less swollen than from 5/4/08.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Tenderness
Clinical narrative: Received vaccine 5/2.  5/3 some erythema & pain progressive.  Seen in ER 5/4 & diagnosed with "cellulitis" & put on Bactrim.  Seen in ofc by PCP 5/5 with 4 1/2 x 5" erythema with warmth.  By less red less tender & less swollen than from 5/4/08.
Age: 1.2
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Rash
Clinical narrative: Increased temp 103 on 4/23. Rash began on 4/24 x3days then started resolving. Is doing fine now.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 4-26-08 Mother noticed "little red dot" on L leg where varicella had been given on 4-19-08.  The red area became larger & tender & more red as time went by.  Came to clinic where shots were given.  Area was approx 7 cm diameter.  Was advised to see her MD which she was.  No treatment recommended.  Area started to diminish 4/30/08 & on 5/2/08 is almost gone.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Malaise
Clinical narrative: Pt was not feeling well 4/28 am - given Motrin -at school T102 - increased to 104 deg at home approx noon - 105.3 approx 1 pm - seen at office - Ibuprofen and Tylenol given regularly T104 at 10pm- 4/30 T101 at 4pm decreased lost fever
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Crying, Oral intake reduced
Clinical narrative: Pt received the above vaccines on 050108.  Child has cried and not eaten solids x4 days.  No vomiting, no diarrhea, no rashes.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Left upper thigh had hot wheal-like lesion at 8 cm diameter. C/O (L) leg pain. No fever. Dr Rx Cephalexin x 10 days - Dx: Cellulitis to leg.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 4 1/2 yo CF presented with swollen, red, and warm (L) deltoid. Tender to touch. Symptoms occurred 1 day after vaccination administration (4/12/08). Doctor visit 4/14/08. Keflex prescribed.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Back pain, Neck pain, Pain in extremity
Clinical narrative: Complained of soreness in back, hips, arms and neck.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Full blood count, Haematocrit normal, Haemoglobin normal, Oedema peripheral, Pyrexia
Clinical narrative: Right arm Menactra 10x13cm; Left arm TDap x8cm. Fever 104. Very swollen arm.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: White blood cell count decreased
Clinical narrative: Right arm Menactra 10x13cm; Left arm TDap x8cm. Fever 104. Very swollen arm.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Axillary pain, Chills, Hyperhidrosis, Pyrexia, Rash
Clinical narrative: April 15th and 16th I experienced a light fever, night chills, sweats, and swelling and soreness in my right armpit. On April 18th 1 discovered a rash on my right shoulder spreading to my chest and abdomen.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Swelling
Clinical narrative: April 15th and 16th I experienced a light fever, night chills, sweats, and swelling and soreness in my right armpit. On April 18th 1 discovered a rash on my right shoulder spreading to my chest and abdomen.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Decreased activity, Hypotonia, Pallor
Clinical narrative: Pale, decreased muscle tone, weak cry, decreased activity. Note-not reported with 5/01/08.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash macular, Rash pruritic
Clinical narrative: Pt reported onset of red, blotching, itchy rash on side of torso - adjacent to vaccinated arm, approx 24 hrs after vaccine admin. Advised pt to use Benadryl 1 tabs/cream and call MD. Pt called MD but did not require visit. Since symptoms resolved within next 24 hrs (48 hrs after vaccine admin.).
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Pruritus, Urticaria
Clinical narrative: Client had shingles vaccine, on 5/1/08 and left the clinic. Client reported to me on 5/5/08 that on 5/2/08 Friday, at the site of injection was warm to touch and slightly raised and reddened. The client stated that on 5/2/08 in the AM, she was itchy and had what looked like hives. Client took some Benadryl. On Saturday, 5/3/08 symptoms had subsided.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Rash
Clinical narrative: Red rash on chest wall
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Abnormal behaviour, Crying, Lethargy
Clinical narrative: "out of it" x 2d after vaccination. Mom stated has been lethargic and cries all the time since initial vaccination.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip exfoliation, Lip swelling, Paraesthesia oral
Clinical narrative: 4 mos after vaccination, pt reported swelling and tingling in lower lip, cracked corners of mouth. Peeling lower lip. Treatment currently ineffective but some response to steroids (topical). Pt attributes this to vaccination.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Child developed fever approx. 20 hrs. after vaccination of up to 104.4, also had diarrhea.  Was seen in ER evening of 5/6, treated with Tylenol, Motrin & PO fluids.  Was not admitted. Fever resolved by afternoon of 5/7.  Seen by PCP on 5/8 who thought it was a reaction to vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Local reaction, Mass, Tenderness
Clinical narrative: Local reaction redness 21 x 1 cm on right arm. Firm mass, tenderness
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Neck pain, Pain, Pyrexia
Clinical narrative: Fever of 100 degrees or above (even with Motrin).  Body aches, severe.  Neck pain.  Flu-like symptoms for 2-3 days.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash on arm - no c/o.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Rash
Clinical narrative: Rash on stomach and diarrhea x 2d. Most likely not related.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Swelling, hot, redness. Pt had no fever mother stated she did not discover it till 2 days ago, pt was with baby sitter seen by physician, given Keflex antibiotics and instructed to use hot and cold compresses.
Age: 3.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swollen upper outer arm red, raised area ~ 4x6cm.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Aldolase increased, Alopecia, Amnesia, Antinuclear antibody negative, Arthralgia
Clinical narrative: Multiple health problems following receipt of anthrax vaccines December 1998 through January 1999; chronology of symptom onset as follows:  2001 - Bilateral arm paresthesias, hand numbness, neck pain, headaches.  2006 - Joint pain, intermittent diarrhea, fatigue.  2007 - Leg paresthesias, muscle spasms, hand tremors, depression, short term memory loss, hair loss.  2008 - Low back pain.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Aspartate aminotransferase increased, Back pain, Blood albumin increased, Blood cholesterol increased, Blood immunoglobulin A
Clinical narrative: Multiple health problems following receipt of anthrax vaccines December 1998 through January 1999; chronology of symptom onset as follows:  2001 - Bilateral arm paresthesias, hand numbness, neck pain, headaches.  2006 - Joint pain, intermittent diarrhea, fatigue.  2007 - Leg paresthesias, muscle spasms, hand tremors, depression, short term memory loss, hair loss.  2008 - Low back pain.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M, Blood lactate dehydrogenase increased, Blood osmolarity decreased, Blood thyroid stimulating hormone
Clinical narrative: Multiple health problems following receipt of anthrax vaccines December 1998 through January 1999; chronology of symptom onset as follows:  2001 - Bilateral arm paresthesias, hand numbness, neck pain, headaches.  2006 - Joint pain, intermittent diarrhea, fatigue.  2007 - Leg paresthesias, muscle spasms, hand tremors, depression, short term memory loss, hair loss.  2008 - Low back pain.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Blood urea decreased, Depression, Diarrhoea, Fatigue, Full blood count normal
Clinical narrative: Multiple health problems following receipt of anthrax vaccines December 1998 through January 1999; chronology of symptom onset as follows:  2001 - Bilateral arm paresthesias, hand numbness, neck pain, headaches.  2006 - Joint pain, intermittent diarrhea, fatigue.  2007 - Leg paresthesias, muscle spasms, hand tremors, depression, short term memory loss, hair loss.  2008 - Low back pain.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hypoaesthesia, Muscle spasms, Neck pain, Paraesthesia
Clinical narrative: Multiple health problems following receipt of anthrax vaccines December 1998 through January 1999; chronology of symptom onset as follows:  2001 - Bilateral arm paresthesias, hand numbness, neck pain, headaches.  2006 - Joint pain, intermittent diarrhea, fatigue.  2007 - Leg paresthesias, muscle spasms, hand tremors, depression, short term memory loss, hair loss.  2008 - Low back pain.