chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Rash macular, White blood cell count increased
Clinical narrative: Information has been received from a 31 year old female consumer with a history of a right shoulder condition and a cyst on her stomach cord who in October 2007, was vaccinated with a dose of Pneumovax 23 while she was hospitalized for double pneumonia. Concomitant therapy included influenza virus vaccine (unspecified) administered on the same day, hormonal contraceptives (unspecified), estrogens (unspecified), trazodone hydrochloride (TRAZADONE) and rizatriptan benzoate (MAXALT). On 04-DEC-2007 around 4:00 pm, the patient went to her physician's office and received another dose of Pneumovax 23. On 05-DEC-2007 around 5:30 am, the patient woke up and her arm was swollen. Then later on that day around 1:30 pm she started to get a fever that went up to 103.2, chills, her skin hurt, her swollen arm got worse, and her body ached all over and she had red blotches on her arm as well. Later that night, the patient went to the hospital and was admitted for about three days. It was reported that the chills, fever, body aches and her hurting skin went away, but her arm is still a little bit swollen and it hurts when she touches it. No product quality complaint was involved. No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician's assistant concerning an 18 year old female who in June 2007, was vaccinated with a first dose of Gardasil (lot# unknown) 0.5 mL injection. In June 2007, on an unspecified date the patient experienced "seizures and became code blue" after receiving Gardasil. Medical attention was sought. No further information was provided. Upon internal review, seizure is considered to be an other medical event (OME). Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: TYP, YF
Symptoms: Anorexia, Dysgeusia, Full blood count, Nausea
Clinical narrative: Nausea, loss of appetite. Bitter taste in mouth for 4-6 weeks.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: SITE OF INJECTION WITH ERYTHEMIC FIRM AREA OF 6X6 CM WITH INJECTION SITE IN MIDDLE --
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety, Insomnia, Pain, Tremor
Clinical narrative: I received a flu shot and The first 3 days I had some soreness. But then the following days I was completely unable to sleep. I had trembling in my body and anxiety. I was not able to sleep even when I took Benadryl. I did not sleep for a week. The dr. had to give me doxepin in order for me to sleep. The flu shot I found out had hydrocortisone. I think this was what produced my reaction.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Arthropathy, Aspiration joint
Clinical narrative: I have currently been having problems with both of my knees and also my elbows.  I've had both of my knees drained numerous times and have seen two different orthopedic surgeons and both of them have referred me to a rheumatologist.  They believe I have rheumatoid arthritis, but I haven't been officially diagnosed.  I have a consult with a rheumatologist on the 19th of March.  I believe these adverse side effects are from the Anthrax vaccine which I believe contained the substance Squalene.
Age: 1.24
Sex: F
Vaccine: DTAPH, MMR, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: On 1/02/08 Patient was given TriHib, Prevnar, and MMR.  That evening patient had a fever of 104.5F and seizure.
Age: 0.88
Sex: F
Vaccine: PNC
Symptoms: Abnormal behaviour, Confusional state, Cough, Crying, Irritability
Clinical narrative: Patient cried for 1.5 hours after the vaccine was administered and then cried for almost 3 hours inconsolably (2 hrs. 52 minutes to be exact starting a little before 12:30pm).  She continued fussing and crying for several hours more and then started a high pitched squeal/scream that lasted almost an hour (7:15pm-8:11pm).  She slept and cried on and off that night and also made gulping noises frequently.  On 1/15/08 she continued to be fussy and irritable and cried frequently (very unusual for her).  She cried inconsolably again from 10:00pm-11:52pm and then she sat up in bed and acted like she did not know where she was or who I was (her mother).  She kept this confusion up for about an hour and half and kept looking at everything like it was new.  Eventually she went to sleep for a couple of hours and then woke crying again.  On 1/16/08 she developed a cough with congestion (first time she has ever been sick).  Smiled a little this day for the first time after the vaccine.  1/18/08 still not herself and has a cough with congestion.
Age: 0.88
Sex: F
Vaccine: PNC
Symptoms: Nasal congestion, Screaming
Clinical narrative: Patient cried for 1.5 hours after the vaccine was administered and then cried for almost 3 hours inconsolably (2 hrs. 52 minutes to be exact starting a little before 12:30pm).  She continued fussing and crying for several hours more and then started a high pitched squeal/scream that lasted almost an hour (7:15pm-8:11pm).  She slept and cried on and off that night and also made gulping noises frequently.  On 1/15/08 she continued to be fussy and irritable and cried frequently (very unusual for her).  She cried inconsolably again from 10:00pm-11:52pm and then she sat up in bed and acted like she did not know where she was or who I was (her mother).  She kept this confusion up for about an hour and half and kept looking at everything like it was new.  Eventually she went to sleep for a couple of hours and then woke crying again.  On 1/16/08 she developed a cough with congestion (first time she has ever been sick).  Smiled a little this day for the first time after the vaccine.  1/18/08 still not herself and has a cough with congestion.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Rash, Rash pruritic
Clinical narrative: Patient received first Gardasil injection on Monday January 14, 2007. She noted an itchy red rash extending from the injection site Right deltoid across upper chest and across upper back the next day.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Body temperature increased, Heart rate increased, Moaning, Skin discolouration, Tremor
Clinical narrative: MY DAUGHTER RECIEVED POLIO, HEP B, & DPT SHOT (ALL IN ONE) IN MORNING (10 AM).  THAT EVENING @7:30 SHE WOKE FROM NAP MOANING AND TREMBLING.  LAID HER ON COUCH TO CHECK HER AND HER HANDS AND LEGS WERE PURPLE. THE NEIGHBOR, A ER NURSE CHECKED HER AND SAID AIRWAY CLEAR AND HEART A LITTLE FAST.  CALLED 911.  WHILE WAITING AT @ 8PM SHE VOMITED FORMULA. @8:30 WE WENT TO ER, SHE STARTED LOOKING BETTER AND ACTING BETTER.  AT ER SHE HAD 102 TEMP THEY GAVE HER TYLENOL.  BY THEN SHE WAS ACTING NORMAL AGAIN.  COLOR NORMAL ALSO.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Vomiting
Clinical narrative: MY DAUGHTER RECIEVED POLIO, HEP B, & DPT SHOT (ALL IN ONE) IN MORNING (10 AM).  THAT EVENING @7:30 SHE WOKE FROM NAP MOANING AND TREMBLING.  LAID HER ON COUCH TO CHECK HER AND HER HANDS AND LEGS WERE PURPLE. THE NEIGHBOR, A ER NURSE CHECKED HER AND SAID AIRWAY CLEAR AND HEART A LITTLE FAST.  CALLED 911.  WHILE WAITING AT @ 8PM SHE VOMITED FORMULA. @8:30 WE WENT TO ER, SHE STARTED LOOKING BETTER AND ACTING BETTER.  AT ER SHE HAD 102 TEMP THEY GAVE HER TYLENOL.  BY THEN SHE WAS ACTING NORMAL AGAIN.  COLOR NORMAL ALSO.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Gave Tdap approx. @ 9AM. Went to state med. later in morning for nursing physical. Patient complained of low grade temp., some nausea in afternoon, sore arm (difficulty getting top off), red 7 swollen to finger tips. Advised patient to use comfort measures (ice & ibuprofen). If no improvement or symptoms get worse, go to MD or ER. Temp. was 98.1.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, itching, swelling, and warmth at the injection site.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Feeling hot, Nausea, Pain, Pallor, Ultrasound scan
Clinical narrative: While sitting at her work desk about four hours following the vaccine, she became very nauseous, pallid and warm. She experienced severe pain in her lower right side.
Age: 1.44
Sex: F
Vaccine: HIBV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: No treatment needed.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: 11/8/07 Gardasil injection given, patient reports rash on both arms & trunk.  Rash resolved after went 1 week with no treatment.
Age: 19.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Blood pressure, Dizziness, Fall, Haematocrit decreased, Head injury
Clinical narrative: Gardasil was administered in the left arm and Hepatitis B vaccine was administered in the right arm, both with the patient standing. Within less than one minute of the second vaccine administration, the patient fainted, falling against a counter and bumping her head before falling to the floor. She revived within about one minute. She was taken to an examining room and laid on the examining table for about 15 minutes before leaving the doctor's office. At that time BP was 102/62 and HCT was 36%. She experienced pain at the injection site in both arms immediately after the shots, with the left arm worse than the right. For 2-3 days afterwards she experienced headache, dizziness, malaise, nausea and somnolence. She continues to have headaches and dizziness daily. She has received numerous vaccinations over her lifetime and this has been the only occurrence of fainting.
Age: 19.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Headache, Injection site pain, Malaise, Nausea, Somnolence
Clinical narrative: Gardasil was administered in the left arm and Hepatitis B vaccine was administered in the right arm, both with the patient standing. Within less than one minute of the second vaccine administration, the patient fainted, falling against a counter and bumping her head before falling to the floor. She revived within about one minute. She was taken to an examining room and laid on the examining table for about 15 minutes before leaving the doctor's office. At that time BP was 102/62 and HCT was 36%. She experienced pain at the injection site in both arms immediately after the shots, with the left arm worse than the right. For 2-3 days afterwards she experienced headache, dizziness, malaise, nausea and somnolence. She continues to have headaches and dizziness daily. She has received numerous vaccinations over her lifetime and this has been the only occurrence of fainting.
Age: 19.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Syncope
Clinical narrative: Gardasil was administered in the left arm and Hepatitis B vaccine was administered in the right arm, both with the patient standing. Within less than one minute of the second vaccine administration, the patient fainted, falling against a counter and bumping her head before falling to the floor. She revived within about one minute. She was taken to an examining room and laid on the examining table for about 15 minutes before leaving the doctor's office. At that time BP was 102/62 and HCT was 36%. She experienced pain at the injection site in both arms immediately after the shots, with the left arm worse than the right. For 2-3 days afterwards she experienced headache, dizziness, malaise, nausea and somnolence. She continues to have headaches and dizziness daily. She has received numerous vaccinations over her lifetime and this has been the only occurrence of fainting.
Age: 9.0
Sex: M
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Erythema
Clinical narrative: Reddened area raised measuring 6.9 cm by 5 cm on upper left arm.
Age: 9.0
Sex: M
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Reddened area raised measuring 8 cm by 5 cm on upper left arm
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Influenza like illness, Injection site anaesthesia, Injection site pain, Limb discomfort
Clinical narrative: 1. Day of injection-pain at site.  2.  2nd day after injection-general body aches (flu-like), no URI sx x2 wks.  3. Noted numbness from injection site to finger tips, persists now. This is in follow-up to report(s) previously submitted on 2/14/2008; 4/7/2008. Initial and follow up information has been received from a licensed practical nurse concerning a 24 year old patient with a history of whiplash from a motor vehicle accident (resolved) and carpal tunnel) (resolved) and allergies to PENICILLIN, SULFONAMIDE and AZITHROMYCIN who on 18-OCT-2007 was vaccinated IM with a first of GARDASIL (Lot#658561/1063U). On 18-OCT-2007 at 10:00 am, the patient was vaccinated into upper left arm with a second dose of GARDASIL (Lot#658282/1263U). Concomitant therapy included YAZ and ALLEGRA. On 18-DEC-2007, the day of the vaccination, the patient experienced soreness and numbness in her arm (also reported as pain at the injection site) where the vaccine was given. On 19-DEC-2007, the second day after the injection, the patient reported that she felt very achy, as if she was coming down with something (general body aches, flu-Like symptoms, but no urinary symptoms) and felt very ill. Then the patient noted numbness from the injection site to her fingers. Unspecified medical attention was sought. Then the patient noted numbness from the injectionsite to her fingers. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. Follow up information stated that the patient had full range of motion in the arm she received the injection in. On 11-FEB-2008, it was reported that the patient still had pain and numbness and that nothing had changed. The patient declined her third dose of GARDASIL. On 18-MAR-2008, the patient stated that her condition was worse. She had discomfort extending the length of her arm to her shoulder and back. It was reported that she saw her primary care physician in January 2008 and has another appointment in April 2008. No product quality complaint was involved. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain
Clinical narrative: 1. Day of injection-pain at site.  2.  2nd day after injection-general body aches (flu-like), no URI sx x2 wks.  3. Noted numbness from injection site to finger tips, persists now. This is in follow-up to report(s) previously submitted on 2/14/2008; 4/7/2008. Initial and follow up information has been received from a licensed practical nurse concerning a 24 year old patient with a history of whiplash from a motor vehicle accident (resolved) and carpal tunnel) (resolved) and allergies to PENICILLIN, SULFONAMIDE and AZITHROMYCIN who on 18-OCT-2007 was vaccinated IM with a first of GARDASIL (Lot#658561/1063U). On 18-OCT-2007 at 10:00 am, the patient was vaccinated into upper left arm with a second dose of GARDASIL (Lot#658282/1263U). Concomitant therapy included YAZ and ALLEGRA. On 18-DEC-2007, the day of the vaccination, the patient experienced soreness and numbness in her arm (also reported as pain at the injection site) where the vaccine was given. On 19-DEC-2007, the second day after the injection, the patient reported that she felt very achy, as if she was coming down with something (general body aches, flu-Like symptoms, but no urinary symptoms) and felt very ill. Then the patient noted numbness from the injection site to her fingers. Unspecified medical attention was sought. Then the patient noted numbness from the injectionsite to her fingers. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. Follow up information stated that the patient had full range of motion in the arm she received the injection in. On 11-FEB-2008, it was reported that the patient still had pain and numbness and that nothing had changed. The patient declined her third dose of GARDASIL. On 18-MAR-2008, the patient stated that her condition was worse. She had discomfort extending the length of her arm to her shoulder and back. It was reported that she saw her primary care physician in January 2008 and has another appointment in April 2008. No product quality complaint was involved. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Injection site pain, Malaise, Pain, Pain in extremity
Clinical narrative: 1. Day of injection-pain at site.  2.  2nd day after injection-general body aches (flu-like), no URI sx x2 wks.  3. Noted numbness from injection site to finger tips, persists now. This is in follow-up to report(s) previously submitted on 2/14/2008; 4/7/2008. Initial and follow up information has been received from a licensed practical nurse concerning a 24 year old patient with a history of whiplash from a motor vehicle accident (resolved) and carpal tunnel) (resolved) and allergies to PENICILLIN, SULFONAMIDE and AZITHROMYCIN who on 18-OCT-2007 was vaccinated IM with a first of GARDASIL (Lot#658561/1063U). On 18-OCT-2007 at 10:00 am, the patient was vaccinated into upper left arm with a second dose of GARDASIL (Lot#658282/1263U). Concomitant therapy included YAZ and ALLEGRA. On 18-DEC-2007, the day of the vaccination, the patient experienced soreness and numbness in her arm (also reported as pain at the injection site) where the vaccine was given. On 19-DEC-2007, the second day after the injection, the patient reported that she felt very achy, as if she was coming down with something (general body aches, flu-Like symptoms, but no urinary symptoms) and felt very ill. Then the patient noted numbness from the injection site to her fingers. Unspecified medical attention was sought. Then the patient noted numbness from the injectionsite to her fingers. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. Follow up information stated that the patient had full range of motion in the arm she received the injection in. On 11-FEB-2008, it was reported that the patient still had pain and numbness and that nothing had changed. The patient declined her third dose of GARDASIL. On 18-MAR-2008, the patient stated that her condition was worse. She had discomfort extending the length of her arm to her shoulder and back. It was reported that she saw her primary care physician in January 2008 and has another appointment in April 2008. No product quality complaint was involved. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: 2 doses of Menactra given.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Abscess bacterial, Bacillus infection, Bacterial culture positive
Clinical narrative: Pt. had a Bacillus abscess on his calf about 1 week after receiving vaccines.  Could there be any link to recalled vaccines.
Age: 29.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature, Chills, Fatigue, Injection site swelling, Pain
Clinical narrative: Pt given Adacel vaccine on 1/10/2008 at 8:00AM.  On 1/11/2008 3PM pt called to report swelling at site, body aches, fatigue & chills.  Pt was seen by Dr. on 1/11/2008.
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Mobility decreased, Oedema peripheral
Clinical narrative: R hand swelling 2 days after immunizations given, decreased speed of R finger movement.  Strength within normal & capillary refill normal.  Sent to ER to evaluate.  Afebrile.
Age: 1.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Blister, Full blood count normal, Pyrexia, Varicella, Virus culture
Clinical narrative: Varicella vaccine given 1/9/08, broke out with varicella on 1/12/08.  102 degree fever on 1/12/08 and 2 blisters of varicella on abdomen on 1/12/08.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Immediate dizziness, weakness, nausea-recovered in 1/2 hour.  Head between knees and cold pack to neck were only treatment.
Age: 0.8
Sex: F
Vaccine: FLU3, HEP
Symptoms: Blood culture negative, Culture urine negative, Grand mal convulsion, Pyrexia
Clinical narrative: Child received flu vaccine #1 on 1/4/08.  On 1/7 pm developed fever, on 1/8 pm had generalized tonic-clonic seizure with fever up to 103.6 degrees.  Lasted about 15 l/q.  EMS called.  Seen at ER-nl exam & discharged without meds, Tylenol/Motrin.
Age: 28.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect route of drug administration
Clinical narrative: MMR shot given, IM not SQ.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Blister, Injection site vesicles
Clinical narrative: Received vaccination.  Blisters on legs.  MMR, Hep AV, Varivax, Prevnar.  Blister both thighs size 1 cm.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site vesicles, Pyrexia
Clinical narrative: Received vaccination.  Blisters on legs.  MMR, Hep AV, Varivax, Prevnar.  Blister both thighs size 1 cm.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Facial palsy, Facial paresis, Hypoaesthesia facial
Clinical narrative: Suspect Bell's palsy.  Developed left sided facial numbness, weakness following flu vaccine.  Sent to ER but declined CT eval to r/o stroke (also had elevated BP at time).  02/06/2008 MR received for DOS 1/14/2008 with DX: Bell's Palsy.  Hypertension and Hx of same.  Pt presented to ER with c/o inability to close the L eye and drooling out of the L side of her mouth.  Pt developed severe headache 1 day following flu shot which progressed to neck pain the following day.  H/A and neck pain have subside but pt noticed facial weakness and was refered to ER for dx.  BP elevated on arrival to ER.   PE (+) for facial weakness, otherwise WNL.  Pt's BP txd and pt d/cd to F/u with PCP after declining CT scan.
Age: 7.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC, VARCEL
Symptoms: Cough, Nasopharyngitis, Pruritus, Rash
Clinical narrative: Mother called to report patient has rash on trunk, arms, complained of itching last evening 1/16/08.  Took OTC Benadryl last evening.  1/17/08, still has rash but no itching.  Also medicated with Tylenol.  Did have residual cough from cold but needed immunizations in order to get into school.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Epistaxis, Limb discomfort, Sensation of heaviness, Tremor
Clinical narrative: 1640 female with epistaxis evening of vaccination adm. following day pt dev. L. arm shaking, tremor. L arm felt heavy, achy and was shaking P142 bmp. Resolved, until following day felt L. arm heaviness and pain-resolved. Pt seen recovered at exam.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving immunizations.
Age: 13.0
Sex: F
Vaccine: HPV4, MMR, TDAP
Symptoms: Syncope
Clinical narrative: Pt fainted after receiving immz.
Age: 1.1
Sex: M
Vaccine: FLU3, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Patient was diagnosed with the chicken pox on 1/14/08.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Local reaction, Rash, Skin warm
Clinical narrative: Red, raised, square rash, warm to touch.  Local reaction-treated with ice, Benadryl.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy, symptoms began a few hours after receiving Td vaccine.
Age: 46.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Diarrhoea, Medication error, Nausea, Vomiting
Clinical narrative: Patient called OHS and spoke to doctor on 1/14/08.  After taking 1 Vivotif tablet developed nausea and vomiting and diarrhea.  Did not complete the course prescribed.  Patient stated she had not refrigerated vaccine even though instructed in writing.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Disorientation, Fall, Hot flush, Rash, Tremor
Clinical narrative: 4 hours after injection developed red raised hive like rash on neck, under arms, groin area.  24 hours after injection became shaky, hot disoriented-fell forward at desk.  Did not lose consciousness.  Another episode about 4 hours later and third episode while at ER.  Says episodes now less frequent.  Had one this AM.  On Benadryl.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 4 hours after injection developed red raised hive like rash on neck, under arms, groin area.  24 hours after injection became shaky, hot disoriented-fell forward at desk.  Did not lose consciousness.  Another episode about 4 hours later and third episode while at ER.  Says episodes now less frequent.  Had one this AM.  On Benadryl.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Mom states patient complained of right arm pain and swelling started night.  1/15/08 erythema, edema and swollen injection site 24 hours later.  Patient had URI 1/15/08 for which she was given an antihistamine.  On 1/16/08 patient was also given Motrin and topical steroid.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, swelling and itching in a 4 cm area immediately below the site of injection.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash
Clinical narrative: 1 1/2 x 6 cm red sl. raised area around site of injection.  Treated with Keflex, Benadryl & ice.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site swelling, Nightmare, Somnolence
Clinical narrative: swelling of upper thigh where DTaP was injected, along with redness covering the entire thigh; increased sleepiness; nightmares
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL, FLUN3, HEPA, VARCEL
Symptoms: Chest discomfort, Eye pruritus, Swelling face, Throat irritation, Urticaria
Clinical narrative: Received immunizations during a well child visit, noted itchy eyes before leaving office, left office, walked a block, symptoms of itchy throat, chest tightness, facial swelling, returned immediately to office, brought into a room, given albuterol nob for expiratory wheeze, hives noted over body were worsening.  Given 0.2 ml of lmg/ml of epinephrine sub-Q and 2 mg/kg of Orapred.  EMS contacted, given IM Benadryl, observed at hospital for approximately 5.5 hours.  D/C to home, seen back in clinic next day and still well.  Time courses approximately 30 minutes after immunization, given Epi.  No history of egg allergy.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL, FLUN3, HEPA, VARCEL
Symptoms: Wheezing
Clinical narrative: Received immunizations during a well child visit, noted itchy eyes before leaving office, left office, walked a block, symptoms of itchy throat, chest tightness, facial swelling, returned immediately to office, brought into a room, given albuterol nob for expiratory wheeze, hives noted over body were worsening.  Given 0.2 ml of lmg/ml of epinephrine sub-Q and 2 mg/kg of Orapred.  EMS contacted, given IM Benadryl, observed at hospital for approximately 5.5 hours.  D/C to home, seen back in clinic next day and still well.  Time courses approximately 30 minutes after immunization, given Epi.  No history of egg allergy.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Back pain, Chills, Diagnostic procedure
Clinical narrative: Description: A 29 year old African American male who reported he was in good health until he received a total of 4 doses of the anthrax vaccine (AVA) from Dec 02-Jun 03.  He received AVA #1 on 17 Dec 02.  He initially reported no soreness or redness of the arm and had no problems until 2-3 days later when he began to notice cold chills and fatigue.  he did not recall if he had a temperature but stated that he was extremely fatigued and the fatigue continued for 2-3 wks.  He reported that he felt he had returned to normal by the time of his second shot on 6 Jan03.  With AVA #2 he reported no local reaction, chills, or fatigue.  What he did notice was nausea with a couple episodes of emesis.  No bld noted in emesis and no changes in bowel habits.  The nausea persisted intermittently throughout his deployment in the desert Feb 03 and eventually included burning in the throat.  He also stated that he began to notice that his skin was dry and itchy.  Denies rashes or lesions at that time.  He stated that after AVA #3 on 20 Jan 03 the nausea persisted and may have worsened a little.  He denied any local reaction, fatigue, or chills.  He reported that between his 3rd and 4th shot he began to notice sharp pain along his back and left shoulder and neck area associated with decrease strength.  Denies altered sensation.  He also stated that his joints would hurt, especially his knees.  He denied swelling and stated that he noticed the pain before his injury.  He could not recall anything that made the pain better or worse.  He stated that he also began to notice mood swings towards the end of May but has them currently under control.  He also has no recall of anything specific around his fourth AVA.  He also reported that in 05 it was noted he had protein in his urine. After further evaluation and biopsy it was discovered that he had focal segmental glomerulosclerosis.  He stated that his kidney function has not worsened and he is doing well on prescribed medications.  Symptom: Fatigue, malaise <60 days.  Start: 12/20/2002.  End: 01/2003.  Comment: 780.79.  Symptom: Nausea w/ vomiting.  Start: 01/13/2003.  Comment: 787.01 mostly nausea occas emesis.  Symptom: Joint pain, multiple joints.  Start: 03/2003.  Comment: 719.49 back, knee, scapula area.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Dry skin, Fatigue, Feeling cold, Focal segmental glomerulosclerosis, Malaise
Clinical narrative: Description: A 29 year old African American male who reported he was in good health until he received a total of 4 doses of the anthrax vaccine (AVA) from Dec 02-Jun 03.  He received AVA #1 on 17 Dec 02.  He initially reported no soreness or redness of the arm and had no problems until 2-3 days later when he began to notice cold chills and fatigue.  he did not recall if he had a temperature but stated that he was extremely fatigued and the fatigue continued for 2-3 wks.  He reported that he felt he had returned to normal by the time of his second shot on 6 Jan03.  With AVA #2 he reported no local reaction, chills, or fatigue.  What he did notice was nausea with a couple episodes of emesis.  No bld noted in emesis and no changes in bowel habits.  The nausea persisted intermittently throughout his deployment in the desert Feb 03 and eventually included burning in the throat.  He also stated that he began to notice that his skin was dry and itchy.  Denies rashes or lesions at that time.  He stated that after AVA #3 on 20 Jan 03 the nausea persisted and may have worsened a little.  He denied any local reaction, fatigue, or chills.  He reported that between his 3rd and 4th shot he began to notice sharp pain along his back and left shoulder and neck area associated with decrease strength.  Denies altered sensation.  He also stated that his joints would hurt, especially his knees.  He denied swelling and stated that he noticed the pain before his injury.  He could not recall anything that made the pain better or worse.  He stated that he also began to notice mood swings towards the end of May but has them currently under control.  He also has no recall of anything specific around his fourth AVA.  He also reported that in 05 it was noted he had protein in his urine. After further evaluation and biopsy it was discovered that he had focal segmental glomerulosclerosis.  He stated that his kidney function has not worsened and he is doing well on prescribed medications.  Symptom: Fatigue, malaise <60 days.  Start: 12/20/2002.  End: 01/2003.  Comment: 780.79.  Symptom: Nausea w/ vomiting.  Start: 01/13/2003.  Comment: 787.01 mostly nausea occas emesis.  Symptom: Joint pain, multiple joints.  Start: 03/2003.  Comment: 719.49 back, knee, scapula area.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Mood swings, Musculoskeletal pain, Nausea, Neck pain, Protein urine present
Clinical narrative: Description: A 29 year old African American male who reported he was in good health until he received a total of 4 doses of the anthrax vaccine (AVA) from Dec 02-Jun 03.  He received AVA #1 on 17 Dec 02.  He initially reported no soreness or redness of the arm and had no problems until 2-3 days later when he began to notice cold chills and fatigue.  he did not recall if he had a temperature but stated that he was extremely fatigued and the fatigue continued for 2-3 wks.  He reported that he felt he had returned to normal by the time of his second shot on 6 Jan03.  With AVA #2 he reported no local reaction, chills, or fatigue.  What he did notice was nausea with a couple episodes of emesis.  No bld noted in emesis and no changes in bowel habits.  The nausea persisted intermittently throughout his deployment in the desert Feb 03 and eventually included burning in the throat.  He also stated that he began to notice that his skin was dry and itchy.  Denies rashes or lesions at that time.  He stated that after AVA #3 on 20 Jan 03 the nausea persisted and may have worsened a little.  He denied any local reaction, fatigue, or chills.  He reported that between his 3rd and 4th shot he began to notice sharp pain along his back and left shoulder and neck area associated with decrease strength.  Denies altered sensation.  He also stated that his joints would hurt, especially his knees.  He denied swelling and stated that he noticed the pain before his injury.  He could not recall anything that made the pain better or worse.  He stated that he also began to notice mood swings towards the end of May but has them currently under control.  He also has no recall of anything specific around his fourth AVA.  He also reported that in 05 it was noted he had protein in his urine. After further evaluation and biopsy it was discovered that he had focal segmental glomerulosclerosis.  He stated that his kidney function has not worsened and he is doing well on prescribed medications.  Symptom: Fatigue, malaise <60 days.  Start: 12/20/2002.  End: 01/2003.  Comment: 780.79.  Symptom: Nausea w/ vomiting.  Start: 01/13/2003.  Comment: 787.01 mostly nausea occas emesis.  Symptom: Joint pain, multiple joints.  Start: 03/2003.  Comment: 719.49 back, knee, scapula area.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Throat irritation, Vomiting
Clinical narrative: Description: A 29 year old African American male who reported he was in good health until he received a total of 4 doses of the anthrax vaccine (AVA) from Dec 02-Jun 03.  He received AVA #1 on 17 Dec 02.  He initially reported no soreness or redness of the arm and had no problems until 2-3 days later when he began to notice cold chills and fatigue.  he did not recall if he had a temperature but stated that he was extremely fatigued and the fatigue continued for 2-3 wks.  He reported that he felt he had returned to normal by the time of his second shot on 6 Jan03.  With AVA #2 he reported no local reaction, chills, or fatigue.  What he did notice was nausea with a couple episodes of emesis.  No bld noted in emesis and no changes in bowel habits.  The nausea persisted intermittently throughout his deployment in the desert Feb 03 and eventually included burning in the throat.  He also stated that he began to notice that his skin was dry and itchy.  Denies rashes or lesions at that time.  He stated that after AVA #3 on 20 Jan 03 the nausea persisted and may have worsened a little.  He denied any local reaction, fatigue, or chills.  He reported that between his 3rd and 4th shot he began to notice sharp pain along his back and left shoulder and neck area associated with decrease strength.  Denies altered sensation.  He also stated that his joints would hurt, especially his knees.  He denied swelling and stated that he noticed the pain before his injury.  He could not recall anything that made the pain better or worse.  He stated that he also began to notice mood swings towards the end of May but has them currently under control.  He also has no recall of anything specific around his fourth AVA.  He also reported that in 05 it was noted he had protein in his urine. After further evaluation and biopsy it was discovered that he had focal segmental glomerulosclerosis.  He stated that his kidney function has not worsened and he is doing well on prescribed medications.  Symptom: Fatigue, malaise <60 days.  Start: 12/20/2002.  End: 01/2003.  Comment: 780.79.  Symptom: Nausea w/ vomiting.  Start: 01/13/2003.  Comment: 787.01 mostly nausea occas emesis.  Symptom: Joint pain, multiple joints.  Start: 03/2003.  Comment: 719.49 back, knee, scapula area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Nodule, Swelling
Clinical narrative: Redness, swelling, hard bump.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Confusional state, Headache
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Blood immunoglobulin G increased, Blood immunoglobulin M decreased, CSF culture negative, CSF glucose normal, CSF lymphocyte count normal
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: CSF monocyte count, CSF neutrophil count increased, CSF protein increased, CSF white blood cell count increased, Demyelination
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Encephalitis, Polymerase chain reaction, Virus serology test positive
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Asthenia, Blood folate normal, Blood immunoglobulin G normal, Borrelia burgdorferi serology negative, CSF culture negative
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: CSF glucose normal, CSF immunoglobulin increased, CSF lymphocyte count normal, CSF monocyte count, CSF myelin basic protein increased
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: CSF neutrophil count increased, CSF protein increased, CSF test abnormal, CSF white blood cell count increased, Cognitive disorder
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Demyelination, Drug screen negative, Encephalitis, HIV test negative, Hypokinesia
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Polymerase chain reaction, Respiratory failure, Syphilis test negative, Viral infection
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Viral test negative, Virus serology test positive, Vitamin B12 normal
Clinical narrative: Patient presented 11 days after Gardasil vaccination with meningoencephalitis of uncertain etiology. A specific viral infection could not be identified. The patients CSF was suggestive of a demyelinating process. She was hospitalized from 12/26/07 until 1/15/08 with complication of respiratory failure. She was discharged to a rehabilitation hospital with motor weakness and slowed cognition.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint swelling, Malaise, Musculoskeletal pain, Oedema peripheral
Clinical narrative: Pain, swelling and stiffness in wrist, fingers, knees and shoulders;  Malaise.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Pain in extremity, Red blood cell sedimentation rate increased
Clinical narrative: Pain, swelling and stiffness in wrist, fingers, knees and shoulders;  Malaise.
Age: 33.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site erythema, Injection site swelling
Clinical narrative: Member complains of extreme swelling of the immune sight.  Described as the size of small baseball.  Excessive redness, and headache experienced.
Age: 58.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Patient complains of rash.  Red rash surrounds immunization sight.
Sex: U
Vaccine: MEN
Symptoms: Headache, Injection site swelling
Clinical narrative: PATIENT COMPLIANS OF HEADACHE AND EXCESSIVE SWELLING AT THE IMMUNES SIGHT.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and diarrhea x 3 days; Treatment: 1/2 oz. Pedialyte q 20-30 minutes as tolerated.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and Diarrhea x 3 days; Treatment: admitted to hospital for IV fluids. 2/14/08-records received for DOS 1/18-1/20/08-DC DX: Gastroenteritis. Presented to ED with vomiting and diarrhea for 1 1/2 days. Watery diarrhea, non-bilious vomiting. Decreased oral intake and decreased urine output.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Immunisation reaction, Oedema peripheral, Skin warm
Clinical narrative: Edema of right deltoid, erythema positive warmth non tender to deep palp. skin structure intact.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt received Tdap on 1/12/08. On 1/13/08 pt noticed left arm was swollen, red and hot to touch. Pt did not receive treatment at that time. Pt arrived in our
Age: 5.0
Sex: U
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Hypoaesthesia, Pain in extremity, Skin discolouration, Staphylococcal infection
Clinical narrative: Child received 6 shots on 1/15/08.  Thursday, 1/17/08 child complained of pain in left arm, and areas that were numb. Mom also stated left upper arm was purple with a white center.  Mom took child to the ER 1/17/08.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Emotional distress
Clinical narrative: Information has been received via the Merck pregnancy registry, from a physician, concerning a 17 year old female patient who was 2-3 weeks pregnant in October 2007, when she was vaccinated with the first dose of Gardasil (lot # not reported). On 13-JAN-2008, the patient had a miscarriage and was hospitalized (details and dates not provided). The physician stated that the patient was "traumatized." At the time of this report, the outcome of miscarriage and patient traumatized was unknown. The physician considered the miscarriage to be disabling/incapacitating due to the patient being traumatized. Additional information has been requested.
Age: 0.5
Sex: U
Vaccine: RV5
Symptoms: Shock
Clinical narrative: Information has been received from a nurse practitioner concerning an approximately 6 month old patient who in August 2007, was vaccinated with a second dose of Rotateq and three weeks later came into the office for a regular check up and "did not look good".  The physician prescribed some medication and sent the patient home.  The next day, the patient's mother brought the patient back to the office and the patient was already in shock.  The patient was taken to the emergency room and has been hospitalized since November 2007.  Onset date reported as mid November 2007.  The nurse practitioner also mentioned that "the baby may not make it".  It was reported that the patient was "fine" after the first dose of Rotateq.  There was no product quality complaint.  The patient "did not look good" and shock persisted and were considered to be immediately life-threatening.  Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Rash
Clinical narrative: Pt received shingles, flu and pneumonia vaccine. Reported to a Minor Emergency Clinic one week later due to breaking out with red painful patches to right side of body. Patient also was seen at Dermatology Clinic one day later. Physician stated rash was due to vaccine administered. The Minor ER started patient on Valtrex 1gm t.i.d. The Dermatology clinic con't the Valtrex and also Tylenol or Ibuprofen for pain. Pt stated mother had a severe case of shingles which caused mother to have a stoke and decease.