chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal pain upper, Asthenia, Back pain, Dizziness, Neck pain
Clinical narrative: My daughter recived the first HPV guardasil shot on 9-16-2008.  She received meningococcal vaccine at the same time. After the first shot she had a very unusual rash breaking out lasting for about 2 weeks.   I did not make the connection until after the 2nd HPV shot on 11-19-2008 when it happened again.  In addition this time she had severe neck and back pains severe stomach cramping dizey spells,and feeling weak.  It has been 2 months since the 2nd shot.  Her doctor has seen her still rash talked to her about her other symptoms that have for the most part cleared up.  My daughter will be getting a barage of blood work tomorrow.  She is a highly allergic child and had the CDC done a better job of educating parents on their pamplets I would have never never ever let my daughter get this shot. I do not believe children that are chemically sensitive dyes excetra should ever have this shot. To this day the CDC in their pamplet still says there are NO seriouse side effects.  2/24/09 MR received from PCP from 10/8/08 to 2/05/09. WCC 10/8/08 with normal exam. HPV#2 11/19/08. Returned 12/5/08 with c/o neck and back pain and URI sx. PE (+) for discomfort when palpating musculature of posterior neck along T-spine. Impression:  URI.  BSOM.  Neck and Back pain-suspect muscular.  Returned 1/9/09 with facial rash and intermittent R hip and leg pain, abdominal cramps on and off. PE (+) for mauculopapular rash face, chest & extremities. Impression:  Contact dermatitis. R leg pain now resolved. Vaccination reaction per hx. Returned 2/5/09 with c/o H/A, joint pain, neck soreness and cough. Imp:  viral syndrome.  sinusitis.  8/18/09 TC from parent to report pt now has dx: ezcema.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Rash, Vaccine positive rechallenge
Clinical narrative: My daughter recived the first HPV guardasil shot on 9-16-2008.  She received meningococcal vaccine at the same time. After the first shot she had a very unusual rash breaking out lasting for about 2 weeks.   I did not make the connection until after the 2nd HPV shot on 11-19-2008 when it happened again.  In addition this time she had severe neck and back pains severe stomach cramping dizey spells,and feeling weak.  It has been 2 months since the 2nd shot.  Her doctor has seen her still rash talked to her about her other symptoms that have for the most part cleared up.  My daughter will be getting a barage of blood work tomorrow.  She is a highly allergic child and had the CDC done a better job of educating parents on their pamplets I would have never never ever let my daughter get this shot. I do not believe children that are chemically sensitive dyes excetra should ever have this shot. To this day the CDC in their pamplet still says there are NO seriouse side effects.  2/24/09 MR received from PCP from 10/8/08 to 2/05/09. WCC 10/8/08 with normal exam. HPV#2 11/19/08. Returned 12/5/08 with c/o neck and back pain and URI sx. PE (+) for discomfort when palpating musculature of posterior neck along T-spine. Impression:  URI.  BSOM.  Neck and Back pain-suspect muscular.  Returned 1/9/09 with facial rash and intermittent R hip and leg pain, abdominal cramps on and off. PE (+) for mauculopapular rash face, chest & extremities. Impression:  Contact dermatitis. R leg pain now resolved. Vaccination reaction per hx. Returned 2/5/09 with c/o H/A, joint pain, neck soreness and cough. Imp:  viral syndrome.  sinusitis.  8/18/09 TC from parent to report pt now has dx: ezcema.
Age: 0.6
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Child had seizure 7 hours after 2nd dose of flu vaccine; Patient went to Hospital and was admitted. 3/5/09 MR received for DOS 1/13/09 with D/C DX:  Vaccine Reaction. Pt presented with seizure-like activity of unresponsiveness, eyes rolling back and stiffness.  PE WNL in ED. No further activity. D/C home.
Age: 0.46
Sex: U
Vaccine: DTAPIPV, PNC
Symptoms: Flushing, Swelling face
Clinical narrative: Flush race on face and swelling of face. Given Benadryl 1cc per Dr.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal
Clinical narrative: Seizure within 24 hours of vaccination. No history of seizures prior to this episode. None since.  1/19/09 Reviewed hospital medical records of 01/01-01/05/2009. FINAL DX: seizure disorder suspected; child abuse suspected; overfeeding; GERD Records reveal patient experienced shaking of arms, fists clenched, arching of back x 1 day after being dropped & striking head day before episode.  No further episodes while hospitalized & d/c to home.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, CSF glucose increased, CSF lymphocyte count increased, CSF protein increased, CSF white blood cell count increased
Clinical narrative: WEAKNESS; PAIN & NUMBNESS STARTING IN LOWER EXTREMITIES; RASH LOWER EXTREMITIES (MILD, ERYTHEMATOUS; NO VESCICLES) 3/3/09-records received for DOS 1/11-1/16/09 DC DX:Medication reaction to varicella-zoster vaccine. Aseptic meningitis. Schomberg rash most likely hepatitis.hyponatremia. Presented with rash and ascending pyelonephritis, weakness and numbness in legs times 2 weeks. Rash on chest and legs and face.  urinary tract infection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Pain in extremity, Rash erythematous
Clinical narrative: WEAKNESS; PAIN & NUMBNESS STARTING IN LOWER EXTREMITIES; RASH LOWER EXTREMITIES (MILD, ERYTHEMATOUS; NO VESCICLES) 3/3/09-records received for DOS 1/11-1/16/09 DC DX:Medication reaction to varicella-zoster vaccine. Aseptic meningitis. Schomberg rash most likely hepatitis.hyponatremia. Presented with rash and ascending pyelonephritis, weakness and numbness in legs times 2 weeks. Rash on chest and legs and face.  urinary tract infection.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Bronchospasm, Cough, Dyspnoea, Fatigue
Clinical narrative: 10/16/08 1 PM-PT REPORTED FREQ NON-PRODUCTIVE COUGH AND BRONCHOCONSTRICTION (FELT LIKE CHILDHOOD ASTHMA, BUT NOT ANAPHYLAXIS). 5 PM-PT REPORTED LABORED BREATHING, MALAISE, HA, UPPER LIP SWELLING.  PT TOOK 2 BENADRYL (50 MG) AND LIP SWELLING IMPROVED.  TEMP SPIKE 101 F, VERY TIRED, HARD TO MOVE.  7 PM-PT REPORTED VISIT TO URGENT CARE.  NP SAID LUNGS SOUNDED OK, MOVING AIR FINE.  NP TOLD PT LIKELY SHE WAS MOUNTING AN IMMUNE RESPONSE.  10/17/08 AM-PT REPORTED FEELING TIRED BUT NO FEVER OR DIFFICULTY BREATHING.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Lip swelling, Malaise
Clinical narrative: 10/16/08 1 PM-PT REPORTED FREQ NON-PRODUCTIVE COUGH AND BRONCHOCONSTRICTION (FELT LIKE CHILDHOOD ASTHMA, BUT NOT ANAPHYLAXIS). 5 PM-PT REPORTED LABORED BREATHING, MALAISE, HA, UPPER LIP SWELLING.  PT TOOK 2 BENADRYL (50 MG) AND LIP SWELLING IMPROVED.  TEMP SPIKE 101 F, VERY TIRED, HARD TO MOVE.  7 PM-PT REPORTED VISIT TO URGENT CARE.  NP SAID LUNGS SOUNDED OK, MOVING AIR FINE.  NP TOLD PT LIKELY SHE WAS MOUNTING AN IMMUNE RESPONSE.  10/17/08 AM-PT REPORTED FEELING TIRED BUT NO FEVER OR DIFFICULTY BREATHING.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Injection site swelling, Injection site warmth
Clinical narrative: Right deltoid slightly swollen, with warmth to touch and client complains of numbness.
Age: 75.0
Sex: F
Vaccine: DT
Symptoms: Chills, Myalgia
Clinical narrative: Four days of chills without fever, myalgias, starting 24 hours after injection.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Itchy rash, raised bump at the site, soreness from elbow to shoulder.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Crying, Staring, Unresponsive to stimuli
Clinical narrative: My son was a very happy and relaxed baby prior to getting vaccinated. He only cried when he was hungry or gassy and was very social with everyone he came into contact with. My son began having crying fits the morning after he received his vaccinations. The fits lasted day and night for approximately 1 week. When the fits began to subside, I noticed that he would no longer smile, "coo", nor was he able to make eye contact. For lack of a better term, we referred to him as a "baby zombie" that stared off in the distance and would not respond to any stimulation. He continued to remain in this state for approximately 1 month following his vaccinations, at which point he was able to respond to us, and he would occasionally smile. Within 2 weeks of coming out of his "funk" he was back to "normal" again and he has been doing great ever since.
Age: 38.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Arthralgia, Erythema, Induration, Mass, Muscle tightness
Clinical narrative: 1-10-09 11am stiff neck, tight jaw muscles. 13:30 Left arm bottom itched, 1"x4" hard lump w. red edges sprayed w/ bactine and took anti-histimine. 16:30 lump now 2"x6". 22:30 lump 3"x7" and shoulder joints very sore. 1-11-09 9:30 lump is all pink now 5"x9" and sore. 101 Fever. took Tylonol and anti-histimine. 13:30 102 fever. muscles, joints, bones, fingers, legs, hips, groin glandsextremely sore (much worse than the flu) more tylenol. 17:00 Pain worse, fever 101 and lump 5"x10". 1-12 8:30 fever 101. pain less but extremities and hips & shoulders still bad.  Edge of lup not as distinct but larger area of original lump yellowish and the other site 1.5"  sore red lump. 1-13 pain less. Fever 99.5 left side of neck and head painful, large lump not as obvious but more yellow. Other lump still red 1.5"
Age: 38.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Pain, Pruritus
Clinical narrative: 1-10-09 11am stiff neck, tight jaw muscles. 13:30 Left arm bottom itched, 1"x4" hard lump w. red edges sprayed w/ bactine and took anti-histimine. 16:30 lump now 2"x6". 22:30 lump 3"x7" and shoulder joints very sore. 1-11-09 9:30 lump is all pink now 5"x9" and sore. 101 Fever. took Tylonol and anti-histimine. 13:30 102 fever. muscles, joints, bones, fingers, legs, hips, groin glandsextremely sore (much worse than the flu) more tylenol. 17:00 Pain worse, fever 101 and lump 5"x10". 1-12 8:30 fever 101. pain less but extremities and hips & shoulders still bad.  Edge of lup not as distinct but larger area of original lump yellowish and the other site 1.5"  sore red lump. 1-13 pain less. Fever 99.5 left side of neck and head painful, large lump not as obvious but more yellow. Other lump still red 1.5"
Age: 38.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: 1-10-09 11am stiff neck, tight jaw muscles. 13:30 Left arm bottom itched, 1"x4" hard lump w. red edges sprayed w/ bactine and took anti-histimine. 16:30 lump now 2"x6". 22:30 lump 3"x7" and shoulder joints very sore. 1-11-09 9:30 lump is all pink now 5"x9" and sore. 101 Fever. took Tylonol and anti-histimine. 13:30 102 fever. muscles, joints, bones, fingers, legs, hips, groin glandsextremely sore (much worse than the flu) more tylenol. 17:00 Pain worse, fever 101 and lump 5"x10". 1-12 8:30 fever 101. pain less but extremities and hips & shoulders still bad.  Edge of lup not as distinct but larger area of original lump yellowish and the other site 1.5"  sore red lump. 1-13 pain less. Fever 99.5 left side of neck and head painful, large lump not as obvious but more yellow. Other lump still red 1.5"
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Chest discomfort, Face oedema, Immediate post-injection reaction, Lacrimation increased, Nasal congestion
Clinical narrative: Within five minutes of vaccine administration the patient developed upper respiratory congestion and sneezing.  Over the next five to ten minutes he developed a subjective feeling of tightness in the back of his throat and in his chest.  He also had mild facial edema, watery eyes, and pallor.  Exam at this time showed a normal blood pressure (98/62), a pulse of 88, and a respiratory rate of 24 per minute.  No stridor or wheezing was heard.  The patient was given 37.5mg of Benadryl p.o.  Oxygen Saturation was 97-99%.  Over the next several minutes the patient's throat and chest symptoms began resolving.  He was observed in the office for approximately 75 minutes.  After this period of time he had no respiratory complaints except for a stuffy nose.  He was discharged to home with instructions to take Benadryl 25gm every 6 hours.  On phone follow-up the following day there were no symptoms of respiratory distress.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pallor, Sneezing, Throat tightness, Upper respiratory tract congestion
Clinical narrative: Within five minutes of vaccine administration the patient developed upper respiratory congestion and sneezing.  Over the next five to ten minutes he developed a subjective feeling of tightness in the back of his throat and in his chest.  He also had mild facial edema, watery eyes, and pallor.  Exam at this time showed a normal blood pressure (98/62), a pulse of 88, and a respiratory rate of 24 per minute.  No stridor or wheezing was heard.  The patient was given 37.5mg of Benadryl p.o.  Oxygen Saturation was 97-99%.  Over the next several minutes the patient's throat and chest symptoms began resolving.  He was observed in the office for approximately 75 minutes.  After this period of time he had no respiratory complaints except for a stuffy nose.  He was discharged to home with instructions to take Benadryl 25gm every 6 hours.  On phone follow-up the following day there were no symptoms of respiratory distress.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: Pt developed strong daily headaches.  She reports a history of sever headaches in her past history.  She noticed daily headaches after 1st Gardasil vaccine.  The headaches subsequently subsided.  She reports recurrence of headaches within days of 2nd Gardasil vaccine
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site was mildly painful, warm, red, slightly swollen beginning first day after injection and continues to be on the 3rd day following injection without worsening or improvement. Redness/swelling extends out approx. 3". Have picture of affected area from 1/13/08 if needed.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Genital herpes, Herpes simplex serology positive
Clinical narrative: Patient developed genital herpes primary episode 12/16/08. Treated with hydrontisone prior to culture result. Resolved on own. Pt and her mother reported patient had never been sexually active or nude with a partner. Brother has hx cold sores.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Blood calcium normal, Blood glucose normal, Blood thyroid stimulating hormone normal, Dizziness, Full blood count normal
Clinical narrative: Dizziness, lightheaded, tachycardia tumoritis persisting since May! Patient c/o sf since May 23 (initially seen 5/28/08 for complaints).  2/24/09 MR received from PCP from 3/2008 to 1/2009 for multiple visits with multiple c/o. PE 3/18/08 with normal exam except wrist tenderness from waitressing. HPV and TDaP given. HPV#2 5/120/08.  First seen 5/28/08 with c/o dizziness and lightheadedness x 4 days. Dx:  Dizziness-no clear etiology. F/U 6/6/08, 9/18/08 with continued sx and now with lower abd pain and suprapubic discomfort.  Neuro consult 7/9/08 with normal exam. DX: Transient lightheadedness of unclear etiology. Encouraged increased H2O and vitamins. 8/18/08 presented with SOB and dizziness. anxiety attack noted 9/18/08. Abnormal PAP with colposcopy 11/2008.Sx continue through 1/09.  W/u (-). DX:  dizziness.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test normal, Tachycardia, Tinnitus
Clinical narrative: Dizziness, lightheaded, tachycardia tumoritis persisting since May! Patient c/o sf since May 23 (initially seen 5/28/08 for complaints).  2/24/09 MR received from PCP from 3/2008 to 1/2009 for multiple visits with multiple c/o. PE 3/18/08 with normal exam except wrist tenderness from waitressing. HPV and TDaP given. HPV#2 5/120/08.  First seen 5/28/08 with c/o dizziness and lightheadedness x 4 days. Dx:  Dizziness-no clear etiology. F/U 6/6/08, 9/18/08 with continued sx and now with lower abd pain and suprapubic discomfort.  Neuro consult 7/9/08 with normal exam. DX: Transient lightheadedness of unclear etiology. Encouraged increased H2O and vitamins. 8/18/08 presented with SOB and dizziness. anxiety attack noted 9/18/08. Abnormal PAP with colposcopy 11/2008.Sx continue through 1/09.  W/u (-). DX:  dizziness.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Tachycardia, Tinnitus
Clinical narrative: Dizziness, lightheaded, tachycardia, tinnitus since May 08.  2/24/09 MR received from PCP from 3/2008 to 1/2009 for multiple visits with multiple c/o. PE 3/18/08 with normal exam except wrist tenderness from waitressing. HPV and TDaP given. HPV#2 5/120/08.  First seen 5/28/08 with c/o dizziness and lightheadedness x 4 days. Dx:  Dizziness-no clear etiology. F/U 6/6/08, 9/18/08 with continued sx and now with lower abd pain and suprapubic discomfort.  Neuro consult 7/9/08 with normal exam. DX: Transient lightheadedness of unclear etiology. Encouraged increased H2O and vitamins. 8/18/08 presented with SOB and dizziness. anxiety attack noted 9/18/08. Abnormal PAP with colposcopy 11/2008.Sx continue through 1/09.  W/u (-). DX:  dizziness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: L upper arm- erythematous mac raised.  Confluent rash surrounding.  Approximately 4cmx2.5cm.  Left upper arm in area of Dtap injection site.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Swelling of entire arm down to fingers. Erythema at site.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Developed fever of 104 degrees following day
Age: 1.7
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site swelling
Clinical narrative: Swelling to LL at site of vaccine. Advised to use cool compresses to site and to call office if more concerns.
Age: 1.01
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Inflammation, Pyrexia, Rash vesicular, Urticaria
Clinical narrative: Fever (low grade), rash of a vesicular inflamed type; located proximal to injection site, began 2 3 wks after injection, looking like a red bump that further erupted with vesicles.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: (L) dt area where she got ADACEL is tight, hot, red, swollen (about size 4-6" wide and red from elbow to shoulder). Hasn't taken any otc. meds or used compresses. I/co try BENADRYL and cool compresses, will come in.
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain, Back pain, Laboratory test normal, Muscle spasms, Nausea
Clinical narrative: Patient developed low back pain that radiated after 30 minutes to abdomen. Pain described as cramping / pressure. 7 on pain scale of 0-10 generalized over entire abdomen. c/o nausea . Pain elevated with ambulation. Most comfortable position was bending forward. Pain abated at 2pm  11-5-08. Patient was seen in employee health and referred to emergency room at hospital on the morning of 11/5/08. Labs, urine and pap smear were done. No problem identified. Referred by emergency Department for follow up at primary care provider .
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Smear cervix normal, Urine analysis normal
Clinical narrative: Patient developed low back pain that radiated after 30 minutes to abdomen. Pain described as cramping / pressure. 7 on pain scale of 0-10 generalized over entire abdomen. c/o nausea . Pain elevated with ambulation. Most comfortable position was bending forward. Pain abated at 2pm  11-5-08. Patient was seen in employee health and referred to emergency room at hospital on the morning of 11/5/08. Labs, urine and pap smear were done. No problem identified. Referred by emergency Department for follow up at primary care provider .
Age: 1.29
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Fever 104 - x2Days, Motrin/Tylenol.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Night of vaccines pt broke out in hives, lg itchy red welts --> both arm, back and chest. Benadryl given and change to Zyrtec.
Age: 16.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Fatigue, Hyperhidrosis, Nasal congestion
Clinical narrative: Mom stated child had congestion, sweats, tiredness and cough since given FLUMIST. Advised to use asthma meds and follow up w/ MD if symptoms worsen.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Pain in extremity
Clinical narrative: Left arm pain since flu shot reported on 12/5/08.  As of 12/16/08 saw MD, diagnosed with bursitis, RELAFEN prescribed.  May need cortisone injection if not better.  Pain decreased with RELAFEN.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Pt states his whole right arm was swollen, red & sore down to the elbow for 3 days following vaccination.  Did not see MD.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site swelling, Tenderness
Clinical narrative: Pt states his whole right arm was swollen red & sore from shoulder to finger tips.  Applied warm soaks with relief.  Slight swelling & redness still noted 10/27/08.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Pain
Clinical narrative: 12/10/08 Reported persistent pain after flu shot.  Saw MD, was told injection "hit a nerve".  1/5/09 Pt reports receiving cortisone shots for bursitis.  Now starting Physical Therapy.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Oedema peripheral
Clinical narrative: 1/6/09 left upper arm became red, warm & swollen.  Injection site induration to size of 50 cent piece and was fury red.  Cold compress applied.  On 1/7/09, prescribed Z-PAK.  Also took 60 mg ALLEGRA X one day and 180 mg X 2 days.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 30x50 mm area of erythema and warmth to posterolateral upper R arm
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: Day 3 post tetanus/pertussis vaccination-onset of reddness, edema, pruritits to injection site area 2-3 inch diametric day 4-apply 1 degree cortisone cream, BENEDRYL cream with 0 diuitch.  Day 5,6,7 no change in condition of injection site area
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Wrong drug administered
Clinical narrative: Pt given RECOMBIVAX HB instead of Hep A. Discovered when putting in NCIR. Medication Error.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Chills, Hypersensitivity, Infection, Pyrexia
Clinical narrative: Infection of left deltoid following Influenza vaccination on 11/4/08. 11/5/08 increased soreness, fever and chills; 11/7/08 went to primary care diagnosed allergic reaction and prescribed pain medication. 11/8/08 went to urgent care diagnosed with cellulitis prescribed cephalexin 500 mg TID 11/8/08 and 1/9/08 fevers of 102 degrees F 11/10/08 went to family practice labs done. 11/12/08 WBC 19.5 per lab on 11/11/08. Clindamycin 300mg TID x 15 days Doxycycline 100mg TID x 15 days prescribed . negative 11/12/08 all symptoms abated-patient finally recovered.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness, Ultrasound scan, White blood cell count
Clinical narrative: Infection of left deltoid following Influenza vaccination on 11/4/08. 11/5/08 increased soreness, fever and chills; 11/7/08 went to primary care diagnosed allergic reaction and prescribed pain medication. 11/8/08 went to urgent care diagnosed with cellulitis prescribed cephalexin 500 mg TID 11/8/08 and 1/9/08 fevers of 102 degrees F 11/10/08 went to family practice labs done. 11/12/08 WBC 19.5 per lab on 11/11/08. Clindamycin 300mg TID x 15 days Doxycycline 100mg TID x 15 days prescribed . negative 11/12/08 all symptoms abated-patient finally recovered.
Age: 19.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: C/O redness and swelling at injection site, (+) fever 1 day after injection; treated at student health services 1/12/09 for severe local reaction vs cellulitis.
Age: 19.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Erythema, Pyrexia, Swelling
Clinical narrative: C/O redness and swelling at injection site, (+) fever 1 day after injection; treated at student health services 1/12/09 for severe local reaction vs cellulitis.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspepsia, Dyspnoea, Eructation, Urticaria
Clinical narrative: 45 minutes after injection - developed bilat. chest pain and around to back. Short of breath. Took Benadryl 50mg PO and felt better in 5-10 min. Also had a lot of indigestion and belching.
Age: 1.3
Sex: M
Vaccine: MMRV
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a 15 month old child who on an unspecified date was vaccinated with a dose of 0.5ml of PRO-QUAD. Subsequently, the patient experienced a seizure 7-10 days after receiving the vaccination. Medical attention was sought and the patient was hospitalized. It was unspecified if lab studies were performed. It was noted that the patient recovered on an unspecified date. There was no product quality complaint involved. Additional information has been requested.
Age: 1.1
Sex: F
Vaccine: DTAP, MMRV, PNC
Symptoms: Blister, Body temperature increased, Rash, Varicella
Clinical narrative: Information has been received from a registered nurse concerning a 15 month old female child who on 01-MAY-2008 was vaccinated SQ with 0.5ml of PROQUAD (lot # 656164/1353F). Concomitant vaccinations included DTAP (unspecified) (+) tetanus toxoid (manufacturer unknown) and PREVNAR. Subsequently, on 27-JUN-2008 the patient developed a rash with 12-15 lesions on her face, scalp and back. It was noted that some of the lesions had blisters. The patient also had a temperature of 102.7 F. On 30-JUN-2008 the patient was seen in office by physician. There were no lab studies performed. The patient was diagnosed with chicken pox. The patient was treated with TYLENOL and BENADRYL as needed. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.
Sex: U
Vaccine: MMRV
Symptoms: Febrile convulsion
Clinical narrative: Information has been received from a physician concerning a child who on an unknown date was vaccinated with a dose of PROQUAD (Oka/Merck upgrade process). Subsequently the patient experienced a febrile seizure. The patient sought unspecified medical attention. Upon internal review, febrile seizure was determined to be an other important medical event. No product quality complaint was involved. No further information is available.
Age: 0.3
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Diarrhoea, Wrong drug administered
Clinical narrative: This is in follow-up to report (s) previously submitted on 1/12/2009.  Information has been received from a licensed practical nurse concerning a 4 month old male patient with a milk allergy and no other medical history who on 22-JUL-2008 was inadvertantly vaccinated SC with a 0.5 mL dose of PROQUAD (Oka/Merck upgrade process). The patient also received a PEDVAXHIB (manufacturer unknown). There were no other concomitant medications. The patient has had diarrhea since vaccination. No diagnostic laboratory tests were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.  This is in follow-up to report (s) previously submitted on 1/12/2009.  Information has been received from a licensed practical nurse concerning a 4 month old male patient with a milk allergy and no other medical history who on 22-JUL-2008 was inadvertantly vaccinated SC with a 0.5 mL dose of PROQUAD (Oka/Merck upgrade process). The patient also received a PEDVAXHIB (manufacturer unknown).  There were no other concomitant medications. The patient has had diarrhea since vaccination. No diagnostic laboratory tests were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Expired drug administered, No adverse event, Wrong drug administered
Clinical narrative: Information has been received from a physician concerning a 15 month old male with a history of sepsis treated at birth who on 07-AUG-2008 was vaccinated with an expired MMR (Oka/Merck upgrade process).  The vaccine was expired on 18-JUN-2008.  The patient was supposed to receive a dose of VARIVAX.  He instead was given MMR (Oka/Merck upgrade process).  Concomitant therapy included the first dose of VAQTA (inactive) (lot no. 653875/0926U) given intramuscularly into the thigh at 5:34 PM, the fourth dose of IPOL (lot no. ACB36) given intramuscularly into the thigh at 5:32 PM and TRIPEDIA (lot no. C2956BA) given intramuscularly into the thigh at 5:31 PM.  The patient did not experience any adverse event from this.  It was unknown if the patient sought medical attention or not.  Additional information is not expected.
Age: 31.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Description: AD sm received MENACTRA vaccine into the right arm and developed swelling, redness, pain at the injection site hours thereafter. Symptom: Edema at injection site 50-120mm Start: 09/27/2007. Comment: Swelling started at the injection site and described down the arm just above the elbow. Symptom: Erythema Start: 09/27/2007 Comment: Redness started at the injection site a few hours after the inoculation. Symptom: Tenderness Start: 09/27/2007 Comment: The member noted soreness and pain at the inflammed site.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Arthralgia, Wheelchair user, White blood cell count normal, X-ray normal
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 29-OCT-2008 was vaccinated with the third dose of GARDASIL (lot # 659657/1487U). Concomitant therapy included Varicella virus vaccine (manufacturer unknown), hepatitis A vaccine (manufacturer unknown) and influenza virus vaccine (unspecified). On 25-NOV-2008 the patient came back with a severe hip pain. The pain started in her right hip and spread to both. The patient was sent to a rheumatologist and he performed multiple test and they all came back negative. The rheumatologist did mention that the patient was unable to walk and needed a wheelchair. The physician was informed on 15-DEC-2008 that the patient was walking without a limp. Severe hip pain and unable to walk and needed a wheelchair were considered to be disabling. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Blood test, Pain in extremity, X-ray
Clinical narrative: Diagnosed with rheumatoid arthritis on 01/08/2009 by a rheumatologist at a research center.  I am 28 years old, and first noticed pain in feet about 1 month after 2nd round of GARDASIL.  I didn't think about any connection at the time,  but joint pain, etc had worsened over the year, and my hands, fingers, shoulders, feet really hurt, so I finally went to rheumatologist, everyone saying it sounded like arthritis.  There is not a history in my family of arthritis, and I am a healthy person, work as athletic trainer at university.  After my feet started hurting, I switched shoes, got insoles, thought wearing flip flops a lot may be causing problem.  Nothing has really helped.  I had some blood work last summer, checking for some idea of the problem, no problems.  I can't help fut feel there is a connection between my early onset of arthritis and this vaccine.  I see other people have had similar problems.  I just want to find out if there could be a conneciton, and possibly help with my diagnosis, recovery.  I don't want to be on arathritis meds the rest of my life!  Please contact me with any help in this matter if Merck has some suggestions to help me.
Age: 27.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Pain in extremity, Rheumatoid arthritis
Clinical narrative: Diagnosed with rheumatoid arthritis on 01/08/2009 by a rheumatologist at a research center.  I am 28 years old, and first noticed pain in feet about 1 month after 2nd round of GARDASIL.  I didn't think about any connection at the time,  but joint pain, etc had worsened over the year, and my hands, fingers, shoulders, feet really hurt, so I finally went to rheumatologist, everyone saying it sounded like arthritis.  There is not a history in my family of arthritis, and I am a healthy person, work as athletic trainer at university.  After my feet started hurting, I switched shoes, got insoles, thought wearing flip flops a lot may be causing problem.  Nothing has really helped.  I had some blood work last summer, checking for some idea of the problem, no problems.  I can't help fut feel there is a connection between my early onset of arthritis and this vaccine.  I see other people have had similar problems.  I just want to find out if there could be a conneciton, and possibly help with my diagnosis, recovery.  I don't want to be on arathritis meds the rest of my life!  Please contact me with any help in this matter if Merck has some suggestions to help me.
Age: 27.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Inappropriate schedule of drug administration, Rheumatoid arthritis
Clinical narrative: Diagnosed with rheumatoid arthritis on 01/08/2009 by a rheumatologist at a research center.  I am 28 years old, and first noticed pain in feet about 1 month after 2nd round of GARDASIL.  I didn't think about any connection at the time,  but joint pain, etc had worsened over the year, and my hands, fingers, shoulders, feet really hurt, so I finally went to rheumatologist, everyone saying it sounded like arthritis.  There is not a history in my family of arthritis, and I am a healthy person, work as athletic trainer at university.  After my feet started hurting, I switched shoes, got insoles, thought wearing flip flops a lot may be causing problem.  Nothing has really helped.  I had some blood work last summer, checking for some idea of the problem, no problems.  I can't help fut feel there is a connection between my early onset of arthritis and this vaccine.  I see other people have had similar problems.  I just want to find out if there could be a conneciton, and possibly help with my diagnosis, recovery.  I don't want to be on arathritis meds the rest of my life!  Please contact me with any help in this matter if Merck has some suggestions to help me.
Age: 29.0
Sex: M
Vaccine: MMR, TD, MMR
Symptoms: Body temperature increased, Laboratory test normal, Rhinorrhoea
Clinical narrative: FLU SYMTONS HAPPEN , DRY COUGHING,RUNNING NOSE GENERAL PAIN.
Age: 29.0
Sex: M
Vaccine: MMR, TD, MMR
Symptoms: Cough, Influenza, Pain, Rhinorrhoea
Clinical narrative: FLU SYMTONS HAPPEN , DRY COUGHING,RUNNING NOSE GENERAL PAIN.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site rash
Clinical narrative: Information has been received from a 61 year old female patient with osteoporosis, hypothyroidism and gastroparesis who on 24-OCT-2008 was vaccinated with ZOSTER (Oka/Merck) (Lot number was not available, therapy route, site unknown).  Concomitant therapy included SYNTHROID, DOMPERIDONE, TRAZODONE HC1, aspirin, calcium (unspecified) (+) vitamin D, FORTEO and ACIPHEX.  On 25-OCT-2008, one day after receiving ZOSTER (Oka/Merck), the patient experienced rash and redness on the injection site and headache.  She did not seek medical attention.  Subsequently, the patient fully recovered from all of the symptoms 5 days after experiencing those symptoms.  Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Death
Clinical narrative: My daughter had her 3rd GARDASIL vaccine in Sept. She was a very healthy young lady, she went to take a shower and died. Autopsy report states undermined death. There was no sign of trauma to the body to indicate a fall. She had pointed the shower head away from her and she got down on her knees and put her head on the edge of the tub and passed away. This has been a living nightmare for her family. She is not the only one to have had problems and death from this vaccine. Please I beg you to please take it off until it can be further tested. -not tested long enough to begin with- There will be others that will die if the cause is not found. 1/29/09-records received-COD-undetermined.   6/26/09 Medical records received DOS 10/29/07 to 1/14/08. Assessment: Immunizations and Contraceptive Management. HPV#1 10/29/07 LA Merck Lot# 1062U
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Abdominal pain upper, Autopsy, Death, Migraine
Clinical narrative: My daughter had her 3rd GARDASIL vaccine in Sept. She was a very healthy young lady, she went to take a shower and died. Autopsy report states undermined death. There was no sign of trauma to the body to indicate a fall. She had pointed the shower head away from her and she got down on her knees and put her head on the edge of the tub and passed away. This has been a living nightmare for her family. She is not the only one to have had problems and death from this vaccine. Please I beg you to please take it off until it can be further tested. -not tested long enough to begin with- There will be others that will die if the cause is not found. 1/29/09-records received-COD-undetermined.   6/26/09 Medical records received DOS 10/29/07 to 1/14/08. Assessment: Immunizations and Contraceptive Management. HPV#1 10/29/07 LA Merck Lot# 1062U
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Convulsion, Death
Clinical narrative: My daughter had her 3rd GARDASIL vaccine in Sept. She was a very healthy young lady, she went to take a shower and died. Autopsy report states undermined death. There was no sign of trauma to the body to indicate a fall. She had pointed the shower head away from her and she got down on her knees and put her head on the edge of the tub and passed away. This has been a living nightmare for her family. She is not the only one to have had problems and death from this vaccine. Please I beg you to please take it off until it can be further tested. -not tested long enough to begin with- There will be others that will die if the cause is not found. 1/29/09-records received-COD-undetermined.   6/26/09 Medical records received DOS 10/29/07 to 1/14/08. Assessment: Immunizations and Contraceptive Management. HPV#1 10/29/07 LA Merck Lot# 1062U
Age: 0.44
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Death, Encephalopathy, Shock haemorrhagic
Clinical narrative: Patient developed hemorrhagic shock w/ encephalopathy syndrome 5 days after vaccine administration and died.  1/27/2009 MR received for DOS 12/16-18/2008 which was the Date of death. Principal DX:  Multisystem organ failure 2' to Hemorrhagic Shock and Encephalopathy Syndrome (HSES). Pt initially presented with new onset seizures and diarrhea. Pt in usual state of good health a.m. of 1/16/09 except for some recent mild congestion. Later noted to be sweaty and did not respond while parent was changing clothes. Later noted to be eye rolling and making unusual movements.  In status epilepticus and metabolic acidosis on arrivial in local ED.  Intubated and medicated for seizures and transferred to higher level of care. Cool and mottled on arrival. LFTs elevated. Issues with hypoglycemia, abnormal coags  and electrolyte fluctuations with little response to tx. Parents elected to withdraw life support follwing notification of fatal status of illness. 2/12/09 Death Cert received.  COD- Multiorgan Failure.  Hemorrhagic Shock and Encephalopathy Syndrome.
Age: 1.0
Sex: M
Vaccine: VARCEL
Clinical narrative: Can the chicken pox vaccine cause herpes one simplex encephalitis? Since my child was given a live strand of the virus and it just so happen he may have been sick at the same time he got the vaccination could it have caused the encephalitis? 3/6/09 MR received for DOS 7/19-8/4/2004 with D/C DX:  HSV Encephalitis.  Seizure Activity.  Per PCP this event occured 5 months prior to reported vaccination given 12/21/04. Case closed
Age: 14.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site discharge, Injection site erythema, Injection site papule, Injection site pruritus, Injection site rash
Clinical narrative: VARIVAX & influenza given in left arm 12/1/08, returned to office 12/4/08, developed rash 12/3/08 which is expanding, area itchy, located medial left upper arm, central papular 2 X 25 cm central exudated area. 7 X 10 cm surrounding erythemea & heat, Temp 98.1 degrees F.
Age: 14.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site warmth
Clinical narrative: VARIVAX & influenza given in left arm 12/1/08, returned to office 12/4/08, developed rash 12/3/08 which is expanding, area itchy, located medial left upper arm, central papular 2 X 25 cm central exudated area. 7 X 10 cm surrounding erythemea & heat, Temp 98.1 degrees F.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Mobility decreased, Nausea, Pain, Pain in extremity
Clinical narrative: Pain in L upper arm with 2 hours of vaccine did not radiate, stabbing, difficulty lift L arm up also  2 day hx of nausea, malaise
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives after ZOSTAVAX vaccination; persisting through present - 1/12/2009-, and worsening -more; more places on body-; effectively treated with non-prescription anti-histamine -daily dose ---but what have I done to myself?
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Diarrhoea, Erythema, Nausea, Pyrexia, Rash
Clinical narrative: 12/22/08 patient called after hours with c/o fever, n/v/d since he received the flu shot on 12/18.  He told the nurse he would go to a local hospital.  I called and patient was not home.  Patient's wife stated that he was feeling better but that the arm where he got his flu shot was still red.  Will notify PCP and team nurse of condition for any f/u indicated.  12/23/08 presents to ACA for f/u on reaction to Pneumococcal vaccine administered to the L deltoid on 12-18-08.  States symptoms have resolved but rash on L arm remains.  Conveys that tricare was contacted by pt and PCP instructed pt to come in for f/u.  Alert and oriented x 4, steady gait currently denies pain.  12/23/08 chief complaint/present illness - patient is a 77 year old male in with c/o fever, and n/v/d after he received the flu shot on 12/18.  He went to a local clinic but did not require medication Tx other than Tylenol.  He is back in stating that he is feeling better but that the arm where he got his flu shot was still red.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: 12/22/08 patient called after hours with c/o fever, n/v/d since he received the flu shot on 12/18.  He told the nurse he would go to a local hospital.  I called and patient was not home.  Patient's wife stated that he was feeling better but that the arm where he got his flu shot was still red.  Will notify PCP and team nurse of condition for any f/u indicated.  12/23/08 presents to ACA for f/u on reaction to Pneumococcal vaccine administered to the L deltoid on 12-18-08.  States symptoms have resolved but rash on L arm remains.  Conveys that tricare was contacted by pt and PCP instructed pt to come in for f/u.  Alert and oriented x 4, steady gait currently denies pain.  12/23/08 chief complaint/present illness - patient is a 77 year old male in with c/o fever, and n/v/d after he received the flu shot on 12/18.  He went to a local clinic but did not require medication Tx other than Tylenol.  He is back in stating that he is feeling better but that the arm where he got his flu shot was still red.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Diarrhoea, Erythema multiforme, Nausea, Pyrexia
Clinical narrative: Fever, Erythema Multiforme, Diarrhea, Nausea, Vomiting, chills.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Fever, Erythema Multiforme, Diarrhea, Nausea, Vomiting, chills.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a Licensed Practical Nurse concerning a 16 year old female who on 30-JUN-2008 was vaccinated with the first dose of GARDASIL. On 02-SEP-2008, the patient was vaccinated with the second dose of GARDASIL. On 05-JAN-2009, at 4:20 p.m. the patient was vaccinated with the third dose of GARDASIL (lot # 661764/0650X) IM in her left arm. The patient fainted as soon as the third dose was given, and had a seizure like symptom. Blood pressure was 102/60, and the pulse was OK. Half an hour later, the patient recovered from fainted and seizure like symptom. Upon internal review, seizure like symptom was considered to be an other important medical event. No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old female with no medical history and drug allergies who on 31-DEC-2008 was intramuscularly vaccinated with the third 0.5 ml dose of GARDASIL. She had no problems after receiving the 1st and 2nd doses of GARDASIL. At 22:30 on 02-JAN-2009, 48 hours later, the patient experienced seizure type activity and convulsions, 2 more occurred by 23:30 during which time she was taken to the hospital. It was decided in the emergency room to take the patient to a hospital early on 03-JAN-2009. The patient had a total 13 seizures type activities or convulsions but it was unclear the specific time frame. Laboratory tests included an magnetic resonance imaging, ultrasound of the kidney, and "lots of unspecified lab work" (one of the results were normal kidney function). The patient has one more episode after being discharged from the hospital on 04-JAN-2009. The patient was put on XANAX and her mother felt it had helped control the seizure type activity and convulsions. The patient started KEFLEX and AZO for urinary tract infection on 02-JAN-2009. The seizures type activities or convulsions was considered to be disabling. Additional information has been requested. 2/2/09-records received for DOS 1/3-15/09-DC DX: Spells. presented to ED with difficulty breathing, rash and episodic jerking. Rash on back, chest and neck and felt short of breath. Rash would come on with shaking and improve when shaking stopped.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Kidney infection
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old female with no medical history and drug allergies who on 31-DEC-2008 was intramuscularly vaccinated with the third 0.5 ml dose of GARDASIL. She had no problems after receiving the 1st and 2nd doses of GARDASIL. At 22:30 on 02-JAN-2009, 48 hours later, the patient experienced seizure type activity and convulsions, 2 more occurred by 23:30 during which time she was taken to the hospital. It was decided in the emergency room to take the patient to a hospital early on 03-JAN-2009. The patient had a total 13 seizures type activities or convulsions but it was unclear the specific time frame. Laboratory tests included an magnetic resonance imaging, ultrasound of the kidney, and "lots of unspecified lab work" (one of the results were normal kidney function). The patient has one more episode after being discharged from the hospital on 04-JAN-2009. The patient was put on XANAX and her mother felt it had helped control the seizure type activity and convulsions. The patient started KEFLEX and AZO for urinary tract infection on 02-JAN-2009. The seizures type activities or convulsions was considered to be disabling. Additional information has been requested. 2/2/09-records received for DOS 1/3-15/09-DC DX: Spells. presented to ED with difficulty breathing, rash and episodic jerking. Rash on back, chest and neck and felt short of breath. Rash would come on with shaking and improve when shaking stopped.