chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Tuberculosis test, Urticaria
Clinical narrative: Patient was given the second injection of the Gardasil vaccine on 4/8/08 by her pediatrician.  It was the only injection she received.   A few days later she experienced severe joint pain and swelling plus skin hives/rashes.  Her pediatrician put her on 60 mg of Prednisone for 3 days.  When the symptoms worsened, we were sent to hospital on 4/23/08.  Patient was diagnosed with Serum Sickness from the Gardasil vaccine.  We started seeing Dr. in Rheumatology on 6/12/08.  Dr. prescribed pulse IV Solumedrol administered by a home care nurse along with the oral steroids.   Patient experienced a reoccurrence of symptoms on 8/15/08 and 9/3/08.  With each reoccurrence she was unable to walk, with joint and abdominal swelling and pain.  Methotraxate and Enbrel were prescribed along with the oral and IV steroids.  Patient relapsed again and was admitted to hospital for testing on 10/15/08.  When no new diagnosis or treatment came out of three days of inpatient examination, we sought a second opinion with Dr. in Pediatric Rheumatology.  She stopped the Enbrel and Methotraxate and started reducing the steroids.  Patient also saw Dr. in Gastroenterology for her constant nausea.  Testing has been inconclusive.  Patient experienced another reoccurrence of symptoms in February and March of 2009.  Patient began physical therapy on 3/14/09 to help with the joint pain.  Patient missed 30 days of school her first semester of senior year, and has already missed 10 days of her second semester due to this illness.  Patient takes 10 pills every morning and 6 every evening, along with other medication as needed.  She continues to experience consistent fatigue and nausea along with intermittent joint pain and skin hives/rashes.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL, HEPA, PNC, VARCEL
Symptoms: Rash, Swelling
Clinical narrative: Information has been received from a licensed practical nurse (LPN) concerning a 12 month old female who on 16-JAN-2009 was vaccinated SQ with the first dose of VARIVAX (LOT# 661993/1286X). Concomitant therapy included the fourth dose of PREVNAR, the first dose of HAVRIX, POLY-VI-SOL (on 16-JAN-2009) and amoxicillin for 7 days (9-JAN-2009-16-JAN-2009). On 17-JAN-2009 the patient developed a varicella-like rash on thighs, face, and arms after administration of her first dose of VARIVAX. By 8 PM on 17-JAN-2009 the patient's hands, face, and ankles swelled. The patient was examined in the Emergency Room at hospital on 17-JAN-2009 but was not admitted. The patient was treated with BENADRYL and steroid. On 20-JAN-2009, the patient recovered from the adverse events. It was reported that the patient sought medical attention via telephone. Additional information has been received from the licensed practical nurse who reported that the patient with otitis media and URI at time of vaccination who was on amoxicillin for otitis media and URI since 9-JAN-2009, and started vitamins (unspecified) (POLY-VI-SOL) 1 dose on 16-JAN-2009. On 17-JAN-2009, the patient went to Emergency Room for rash on face and arms, swelling of face, hand swelling and ankle swelling. The patient was treated with BENADRYL and steroid. On 18-JAN-2009, symptoms decreased. On 19-JAN-2009, the patient recovered from the adverse events. Follow-up information was received from the physician who reported that the patient without illness at time of vaccination (it was previously reported by the nurse that the patient had otitis media and URI at the time of vaccination) and no pre-existing allergies, birth defects and medical conditions. The patient's AE required emergency room/doctor visit. The physician reported that the patient's experience was an other important medical event requiring medical intervention. No further information is available.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL, HEPA, PNC, VARCEL
Symptoms: Joint swelling, Oedema peripheral, Rash vesicular, Swelling face
Clinical narrative: Information has been received from a licensed practical nurse (LPN) concerning a 12 month old female who on 16-JAN-2009 was vaccinated SQ with the first dose of VARIVAX (LOT# 661993/1286X). Concomitant therapy included the fourth dose of PREVNAR, the first dose of HAVRIX, POLY-VI-SOL (on 16-JAN-2009) and amoxicillin for 7 days (9-JAN-2009-16-JAN-2009). On 17-JAN-2009 the patient developed a varicella-like rash on thighs, face, and arms after administration of her first dose of VARIVAX. By 8 PM on 17-JAN-2009 the patient's hands, face, and ankles swelled. The patient was examined in the Emergency Room at hospital on 17-JAN-2009 but was not admitted. The patient was treated with BENADRYL and steroid. On 20-JAN-2009, the patient recovered from the adverse events. It was reported that the patient sought medical attention via telephone. Additional information has been received from the licensed practical nurse who reported that the patient with otitis media and URI at time of vaccination who was on amoxicillin for otitis media and URI since 9-JAN-2009, and started vitamins (unspecified) (POLY-VI-SOL) 1 dose on 16-JAN-2009. On 17-JAN-2009, the patient went to Emergency Room for rash on face and arms, swelling of face, hand swelling and ankle swelling. The patient was treated with BENADRYL and steroid. On 18-JAN-2009, symptoms decreased. On 19-JAN-2009, the patient recovered from the adverse events. Follow-up information was received from the physician who reported that the patient without illness at time of vaccination (it was previously reported by the nurse that the patient had otitis media and URI at the time of vaccination) and no pre-existing allergies, birth defects and medical conditions. The patient's AE required emergency room/doctor visit. The physician reported that the patient's experience was an other important medical event requiring medical intervention. No further information is available.
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Joint pain and fevers.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Asthenia, Body temperature increased, Chills, Dizziness
Clinical narrative: Achy feeling all over started and headache 45 minutes after shot received, but able to still function.  Took Tylenol 1000 mg about 3 hours later due to achy feeling getting worse.  About 9 hours later achy feeling worse, low-grade fever and feeling cold.  About 2 hours later chills and uncontrollable shivering began.  Oral temp was 100.3. Took 400 mg of Ibuprofen and chills stopped about 30 minutes later.  Slight feeling of nausea, but never had emesis.  Woke up about 9 hours later feeling very achy and very weak and tired.  Had a low grade fever, took 400 mg of Ibuprofen and it didn't drop the fever or help with achiness.  Achiness continued throughout day and low grade fever continued throughout day.  Highest temp during day was 100.3 and lowest temp was 99.3.  Took Ibuprofen 400 mg again about 4 hours after last dose due to having temp of 100.3.  About 27 hours later from time of shot,  still feeling achy and weak and when I try to do simple, like getting dressed, wears me out and I have to lay down and sleep for a while.  Dizziness comes on when I stand up every once in a while but goes away in a few seconds.  I have had pain at the injection site from the time of the shot until now (pain when site touched or when I move my right arm).  Currently about 31 hours later achy feeling still ongoing, but feel a little bit more strength and energy.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Feeling cold, Headache, Injection site pain, Nausea
Clinical narrative: Achy feeling all over started and headache 45 minutes after shot received, but able to still function.  Took Tylenol 1000 mg about 3 hours later due to achy feeling getting worse.  About 9 hours later achy feeling worse, low-grade fever and feeling cold.  About 2 hours later chills and uncontrollable shivering began.  Oral temp was 100.3. Took 400 mg of Ibuprofen and chills stopped about 30 minutes later.  Slight feeling of nausea, but never had emesis.  Woke up about 9 hours later feeling very achy and very weak and tired.  Had a low grade fever, took 400 mg of Ibuprofen and it didn't drop the fever or help with achiness.  Achiness continued throughout day and low grade fever continued throughout day.  Highest temp during day was 100.3 and lowest temp was 99.3.  Took Ibuprofen 400 mg again about 4 hours after last dose due to having temp of 100.3.  About 27 hours later from time of shot,  still feeling achy and weak and when I try to do simple, like getting dressed, wears me out and I have to lay down and sleep for a while.  Dizziness comes on when I stand up every once in a while but goes away in a few seconds.  I have had pain at the injection site from the time of the shot until now (pain when site touched or when I move my right arm).  Currently about 31 hours later achy feeling still ongoing, but feel a little bit more strength and energy.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Achy feeling all over started and headache 45 minutes after shot received, but able to still function.  Took Tylenol 1000 mg about 3 hours later due to achy feeling getting worse.  About 9 hours later achy feeling worse, low-grade fever and feeling cold.  About 2 hours later chills and uncontrollable shivering began.  Oral temp was 100.3. Took 400 mg of Ibuprofen and chills stopped about 30 minutes later.  Slight feeling of nausea, but never had emesis.  Woke up about 9 hours later feeling very achy and very weak and tired.  Had a low grade fever, took 400 mg of Ibuprofen and it didn't drop the fever or help with achiness.  Achiness continued throughout day and low grade fever continued throughout day.  Highest temp during day was 100.3 and lowest temp was 99.3.  Took Ibuprofen 400 mg again about 4 hours after last dose due to having temp of 100.3.  About 27 hours later from time of shot,  still feeling achy and weak and when I try to do simple, like getting dressed, wears me out and I have to lay down and sleep for a while.  Dizziness comes on when I stand up every once in a while but goes away in a few seconds.  I have had pain at the injection site from the time of the shot until now (pain when site touched or when I move my right arm).  Currently about 31 hours later achy feeling still ongoing, but feel a little bit more strength and energy.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Human papilloma virus test positive, Smear cervix abnormal
Clinical narrative: Information has been received from a Certified Nurse Midwife concerning a female with a penicillin allergy who on 01-FEB-2008 was vaccinated IM with the first dose of GARDASIL. Subsequently the patient became pregnant. Her LMP is 14-JAN-2008. The patient received a PAP test and was positive for HPV. Follow up information was received from the C.N.W. who reported that the patient had terminated the pregnancy in March 2008. Upon internal review, pregnancy termination was considered to be an other important medical event. Additional information is not expected.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from an office manager and a physician, for the Pregnancy Registry for GARDASIL, concerning a 23 year old female who on 25-OCT-2007 was vaccinated with a 0.5 mL first dose of GARDASIL (Lot # 658488/1264U). On 22-JAN-2008 the patient was vaccinated with a 0.5mL second dose of GARDASIL (Lot # 659657/1487U). At the end of January the patient had a positive pregnancy test (LMP: 15-Jan-2008, EDD: 21-OCT-2008) and is now two months pregnant. The patient sought unspecified medical attention. Follow up information was received from a healthcare worker who reported that at the time of reporting the patient had not "actually" delivered her baby, although, "everything was fine now." Upon internal review, implied pregnancy loss was considered as an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Anaphylactic reaction, Food allergy, Lip swelling, No reaction on previous exposure to drug, Oxygen saturation decreased
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female with history of mild reaction (itching) to orange who on 23-DEC-2008 was vaccinated with the first dose of GARDASIL (Lot# not reported), on 5-MAR-2009 11:00 AM was vaccinated IM with the second dose of GARDASIL (Lot# 655604/0052X) in the upper deltoid. On 05-MAR-2009 the patient had an anaphylactic reaction. The patient left the office at 11:45 AM with no reactions. The patient went back to school, had basketball practice and around 4 PM ate an orange and took a shower. The patient's lips at an unspecified time started to swell. The mother of the patient called the office and the patient went back to the office. The patient arrived at the office at 4:30 PM and the patient went into respiratory distress. The patient was treated with Epipen, Benadryl and a breathing treatment while waiting for the ambulance. The patient's "pulse ox" was 78 when she 1st arrived at the office. The patient's "pulse ox" was 92 or 93 after treatment and when the ambulance arrived. The patient was taken to medical center. The nurse practitioner checked on the patient at 7 PM and the patient had fully recovered and was released that same night. The mother of the patient mentioned that the patient had shown a mild reaction (itching) to an orange before. The nurse practitioner mentioned there had been reports of people having reactions after eating oranges in her center. The nurse practitioner would not giving the 3rd dose of GARDASIL. The patient did not have any problems with the 1st dose of GARDASIL. It was reported that the patient sought medical attention: in the office. Respiratory distress, lip swelling and anaphylactic reaction were determined to be other important medical events, and life threatening. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Respiratory distress
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female with history of mild reaction (itching) to orange who on 23-DEC-2008 was vaccinated with the first dose of GARDASIL (Lot# not reported), on 5-MAR-2009 11:00 AM was vaccinated IM with the second dose of GARDASIL (Lot# 655604/0052X) in the upper deltoid. On 05-MAR-2009 the patient had an anaphylactic reaction. The patient left the office at 11:45 AM with no reactions. The patient went back to school, had basketball practice and around 4 PM ate an orange and took a shower. The patient's lips at an unspecified time started to swell. The mother of the patient called the office and the patient went back to the office. The patient arrived at the office at 4:30 PM and the patient went into respiratory distress. The patient was treated with Epipen, Benadryl and a breathing treatment while waiting for the ambulance. The patient's "pulse ox" was 78 when she 1st arrived at the office. The patient's "pulse ox" was 92 or 93 after treatment and when the ambulance arrived. The patient was taken to medical center. The nurse practitioner checked on the patient at 7 PM and the patient had fully recovered and was released that same night. The mother of the patient mentioned that the patient had shown a mild reaction (itching) to an orange before. The nurse practitioner mentioned there had been reports of people having reactions after eating oranges in her center. The nurse practitioner would not giving the 3rd dose of GARDASIL. The patient did not have any problems with the 1st dose of GARDASIL. It was reported that the patient sought medical attention: in the office. Respiratory distress, lip swelling and anaphylactic reaction were determined to be other important medical events, and life threatening. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Ovarian cyst, Surgery
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female who in approximately March 2008 and in October 2008, was vaccinated with first and second doses GARDASIL (dose, route and lot number not provided). The medical assistant reported that on 13-FEB-2009 the patient had surgery for ovarian cysts. The reporter stated that the patient was hospitalized (name, address and phone number of hospital unspecified) but did not specify how long the patient was in the hospital. The reporter considered ovarian cysts as an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: HEP
Symptoms: Asperger's disorder, Autism
Clinical narrative: Information has been received regarding a case in litigation concerning a 4 year old male who on 13-OCT-2000 was given a multi-vial (first) dose of RECOMBIVAX HB (lot # not reported). On 20-DEC-2000, at the age of 2 months old, the patient was given a (second) dose of RECOMBIVAX HB (lot # not reported). On 25-APR-2001, at the age of 6 months old, the patient was given a multi-vial dose (3rd dose) of RECOMBIVAX HB (lot # not reported). Between October 2000 and November 2004, the patient was vaccinated with vaccines made with the preservative Thimerosal, which contains toxic substance mercury, causing him to develop and sustain autism. In 2004 the patient's doctor diagnosed him with Autism-"ASBERGER". Upon internal review, the patient's Autism-"ASBERGER"was considered to be an other important medical event. No further information is available.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Parent stated that right arm was swelling, warm, red and firm to touch. States child c/o hurting and swelling seemed to be increasing. Parent took child to ER was given antibiotics and MOTRIN. Was told it was cellulitis. Child at school today, doing better.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pain
Clinical narrative: Parent stated that right arm was swelling, warm, red and firm to touch. States child c/o hurting and swelling seemed to be increasing. Parent took child to ER was given antibiotics and MOTRIN. Was told it was cellulitis. Child at school today, doing better.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Autism, Condition aggravated, Decreased appetite, Diarrhoea, Disbacteriosis
Clinical narrative: Information has been received from a consumer concerning her son (a "6 year old" male) with history of gastrointestinal dysbiosis and high yeast levels as well as drug reaction to Amoxicillin who in February 2004 was vaccinated with a dose of MMR II (644981/1235M). Concomitant therapy included a dose of VARIVAX (647265/1097N) in February 2004. It was reported that at first there was nothing immediately wrong with the patient but then around 12 months of age (approximately year 2004) the patient stopped eating well and had yellow loose stools, which turned into "gastrointestinal dysbiosis". Then around 18 months (approximately year 2005) the patient stopped learning new words and at 2 years of age the patient stopped saying old words and was totally spaced out, and was diagnosed with autism. The consumer reported that the patient had high levels of yeast and also had excessively high measles titers. Unspecified medical attention was sought and at the time of the report, the patient was going through ADA therapy and biomedical protocols and there was slow progression with his autism." The patient sought unspecified medical attention. Upon internal review, autism was determined to be an other important medical event. No additional information is expected.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Faeces pale, Feeling abnormal, Fungal infection, Gastrointestinal disorder, Measles antibody positive
Clinical narrative: Information has been received from a consumer concerning her son (a "6 year old" male) with history of gastrointestinal dysbiosis and high yeast levels as well as drug reaction to Amoxicillin who in February 2004 was vaccinated with a dose of MMR II (644981/1235M). Concomitant therapy included a dose of VARIVAX (647265/1097N) in February 2004. It was reported that at first there was nothing immediately wrong with the patient but then around 12 months of age (approximately year 2004) the patient stopped eating well and had yellow loose stools, which turned into "gastrointestinal dysbiosis". Then around 18 months (approximately year 2005) the patient stopped learning new words and at 2 years of age the patient stopped saying old words and was totally spaced out, and was diagnosed with autism. The consumer reported that the patient had high levels of yeast and also had excessively high measles titers. Unspecified medical attention was sought and at the time of the report, the patient was going through ADA therapy and biomedical protocols and there was slow progression with his autism." The patient sought unspecified medical attention. Upon internal review, autism was determined to be an other important medical event. No additional information is expected.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Speech disorder developmental
Clinical narrative: Information has been received from a consumer concerning her son (a "6 year old" male) with history of gastrointestinal dysbiosis and high yeast levels as well as drug reaction to Amoxicillin who in February 2004 was vaccinated with a dose of MMR II (644981/1235M). Concomitant therapy included a dose of VARIVAX (647265/1097N) in February 2004. It was reported that at first there was nothing immediately wrong with the patient but then around 12 months of age (approximately year 2004) the patient stopped eating well and had yellow loose stools, which turned into "gastrointestinal dysbiosis". Then around 18 months (approximately year 2005) the patient stopped learning new words and at 2 years of age the patient stopped saying old words and was totally spaced out, and was diagnosed with autism. The consumer reported that the patient had high levels of yeast and also had excessively high measles titers. Unspecified medical attention was sought and at the time of the report, the patient was going through ADA therapy and biomedical protocols and there was slow progression with his autism." The patient sought unspecified medical attention. Upon internal review, autism was determined to be an other important medical event. No additional information is expected.
Sex: M
Vaccine: MMR
Symptoms: Autism, Familial risk factor
Clinical narrative: Information has been received from a reporter who mentioned that he heard of a boy in a family was vaccinated with one dose of MMR II on an unspecified date. One or two weeks later, the boy was diagnosed with autism. At the time of this report, the patient was not recovered. It was not specified if the patient sought medical attention or not. The reporter also heard another boy in the family was diagnosed with autism after receiving MMR II (MSD) (WAES#0903USA04509). Upon internal review, autism was considered to be other important medical event. Follow-up information could not be obtained to verify the existence of an identifiable patient.
Sex: M
Vaccine: MMR
Symptoms: Autism, Familial risk factor
Clinical narrative: Information has been received from a reporter who mentioned that he heard of a boy in a family was vaccinated with one dose of MMR II on an unspecified date. One or two weeks later, the boy was diagnosed with autism. At the time of this report, the patient was not recovered. It was not specified if the patient sought medical attention or not. The reporter also heard another boy in the family was diagnosed with autism after receiving MMR II (WAES#0903USA03958). Upon internal review, autism was considered to be other important medical event. Follow-up information could not be obtained to verify the existence of an identifiable patient.
Age: 0.68
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Accidental overdose, Wrong drug administered
Clinical narrative: Patient was accidentally administered PEDIARIX (instead of PENTACEL) et Hepatitis B resulting in an extra dose of Hepatitis B given. Patient was called et informed (patient's parents). Denied any problems at this time.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Irritability, Lymphadenopathy, Pyrexia
Clinical narrative: Mild fever, fussiness and swollen glands.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Pyrexia
Clinical narrative: Diaphoresis and lightheadedness shortly after Tdap administration, resolved after 15 minutes. Fever 103 by history 18 hours after injection, lasted 2 days, also diaphoresis.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Fatigue
Clinical narrative: 1 wk. after pt. received vaccine she started c/o feeling tired.  Pt had several weeks of fatigue symptoms that continued until Feb. 2008.  Several different laboratory evaluations were performed and nothing could be related to pts. symptoms.  Mom saw a television talk where another female child had similar problems.  So mom wanted this reported.  Mom is also a nurse and is concerned the vaccine may have been the reason for fatigue s/s for so long.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Rash
Clinical narrative: Rash on back, chest, abdomen with itching.  Resolved OTC antihistamines.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Two days after receiving immunization, injection site red, hot & larger in size.  On exam:  Right anterior thigh injection site is firm, slightly warm, & tender.  Pinkish blue color, about 4x4cms.  Tx- CEFZIL 250mg/5ml, 8ml BID x 10 days.
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Arm swelling & redness at injection site 3-20-09 Tx. cephalexin 125 mg PO TID X 10 days.
Age: 18.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt was given Tripedia U2397BA instead of Td with pertussis. No adverse event reaction. Adverse reporting notified.  Physician states that re-vaccination was not required.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt was given Tripedia U2397BA instead of Td with pertussis. No adverse reaction. Adverse reporting notified. States that re-vaccination was not required.
Age: 13.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse problem- Pt was given DTAP Tripedia U2397BA instead of Td with pertusis- was told revaccination not needed.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: As per mom left thigh red, hot and swollen since vaccine given on 2/25/09.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: As per mom left upper arm with erythema, hot elevated rash 3"x 2 1/2 ".  2nd degree to vaccine area.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Arthralgia, Body temperature increased, C-reactive protein increased, Headache, Influenza serology negative
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Musculoskeletal pain, Myoglobin blood increased, Red blood cell sedimentation rate increased, Streptococcal identification test positive, White blood cell count increased
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Activities of daily living impaired, Arthralgia, Blood creatinine normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: C-reactive protein increased, Gait disturbance, Headache, Influenza serology negative, Injected limb mobility decreased
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Injection site pain, Joint stiffness, Laboratory test abnormal, Lymphadenopathy, Lymphocyte percentage decreased
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Myoglobin blood, Myoglobin urine present, Neutrophil percentage increased, Oropharyngeal pain, Pain in jaw
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Pharyngitis streptococcal, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Streptococcal identification test
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 39.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Streptococcal identification test positive, Thyroxine free normal, Tonsillar disorder, White blood cell count increased
Clinical narrative: Developed headache within 2-3 hours after Typhoid vaccine. Within 24-30 hr joint paint in hips,shoulders,elbows and knees. Elevated temp at 72 hours after injection lasting 4 days. Seen 3/2/09 1 wk after injection placed on Clindamycin for 10days. Continues on Naprosyn and Motrin for joint pain. Has had 4 outpatient visits related to symptoms.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Guillain-Barre syndrome, Muscle strain
Clinical narrative: DURING LATTER PART OF FEBRUARY PATIENT REPORTED TO LOCAL EMERGENCY ROOM WITH COMPLAINT OF WEAKNESS AND LEG PAIN.  WAS TOLD HE HAD A MUSCLE STRAIN GIVEN ANTI-INFLAMMATORY (IBUPROFEN) AND SENT HOME.  RETURNED A SECOND TIME SOME DAYS LATER UNABLE TO WALK AND IN EXTREME PAIN.  THE EMERGENCY ROOM PHYSICIAN AT THAT TIME WITH THE HELP OF NEUROLOGY SPECIALIST AT CLINIC GAVE THE DIAGNOSIS OF GUILLAIN BARRE SYNDROME.  PATIENT WAS SUBSEQUENTLY TRANSPORTED TO THE HOSPITAL WHERE HE WAS STABILIZED AND THEN SENT TO THE REHABILITATION SECTION OF THIS HOSPITAL.  THE PATIENT IS CURRENTLY (03/27/2009) IN THIS FACILITY.  4/15/09 received hospital medical records of 3/8-3/24/2009. FINAL DX: acute Guillain-Barre syndrome; UTI; stage 2 coccyx decubitus ulcer; hyponatremia, resolved; neuropathic bladder; deconditioning. Records reveal patient experienced progressive LE weakness, left facial droop; UE weakness; urinary retention.  Had been out of country 1/09 & had cold, fever, cough, nasal congestion.  Approx 2/28/09 began to feel unwell, developed pain in legs & back.  Seen in ER & dx w/muscle sprain.  No improvement w/meds & in fact developed weakness of LEs requiring walker use.  Saw PCP & noted to have UTI & tx w/antibiotics.  Progressive weakness continued until pt unable to get OOB & developed left facial droop.  Seen again in ER & transferred to higher level of care.  Neuro & Uro consults done.  LP done.  Tx w/IVIG x 5 days.  Feeding tube placed.  Gradually improved & transferred to inpatient rehab.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Varicella
Clinical narrative: NOT CLASSIC LESIONS, BUT HAS RECIEVED 2 VARIRAX AND THE DISTRIBUTION AND ITCHINESS ARE C/W CHICKENPOX.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Dizziness, Fatigue, Headache, Hypotension
Clinical narrative: Headaches and Fatigue increasing in first 6 months after, leading up to dizzy and fainting spells, low blood pressure, and Migraines. Still experiencing the Headaches, Migraines, Fatigue, Hypotension, and Dizziness.  6/22/09  MR received from PCP including neuro consults from 10/24/08-3/29/09 with Dx: headache (784.0), R/O aneurysm, non-ruptured cerebral (437.3), Pharyngitis (462), Concussion NOS (850.9), Syncope (780.2), Lumbar radiculopathy (724.4), Scoliosis, ideopathic (737.3) and low back pain syndrome (724.2). Pt initially presented with c/o H/A s/p fainting episode with LOC and vomiting on 10/4/08. Dx as Vasovagal in ER. Since that time c/o H/A with occ vomiting.  Using Benadryl to sleep. LMP 10/4/08. Neuro consults beginning  1/21/09 after 2nd episode 12/28/08. Pt felt sx coming on.  Felt shaky and sat down. Vomited after. Episodes have been assoc with heartracing/palpitations/flutter. Reports difficulty reading. Neuro exam WNL. Assessment:  Syncopal episodes w/o evidence of seizure.  Seen 3/23/09 with c/o sore throat, h/a, lightheadedness, fatigue. Exposure to strep throat. PE (+) for tender anterior cervical nodes, pharyngeal erythema.  Neuro f/u 3/23/09. Still reporting dizziness and daily h/a since initial event. Reports poor memory. To monitor BP at home. Heavy periods noted. MRI (+) for sinusitis.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Migraine, Syncope, Urine analysis
Clinical narrative: Headaches and Fatigue increasing in first 6 months after, leading up to dizzy and fainting spells, low blood pressure, and Migraines. Still experiencing the Headaches, Migraines, Fatigue, Hypotension, and Dizziness.  6/22/09  MR received from PCP including neuro consults from 10/24/08-3/29/09 with Dx: headache (784.0), R/O aneurysm, non-ruptured cerebral (437.3), Pharyngitis (462), Concussion NOS (850.9), Syncope (780.2), Lumbar radiculopathy (724.4), Scoliosis, ideopathic (737.3) and low back pain syndrome (724.2). Pt initially presented with c/o H/A s/p fainting episode with LOC and vomiting on 10/4/08. Dx as Vasovagal in ER. Since that time c/o H/A with occ vomiting.  Using Benadryl to sleep. LMP 10/4/08. Neuro consults beginning  1/21/09 after 2nd episode 12/28/08. Pt felt sx coming on.  Felt shaky and sat down. Vomited after. Episodes have been assoc with heartracing/palpitations/flutter. Reports difficulty reading. Neuro exam WNL. Assessment:  Syncopal episodes w/o evidence of seizure.  Seen 3/23/09 with c/o sore throat, h/a, lightheadedness, fatigue. Exposure to strep throat. PE (+) for tender anterior cervical nodes, pharyngeal erythema.  Neuro f/u 3/23/09. Still reporting dizziness and daily h/a since initial event. Reports poor memory. To monitor BP at home. Heavy periods noted. MRI (+) for sinusitis.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Headache, Hypotension, Lyme disease, Syncope
Clinical narrative: Headaches and Fatigue increasing in first 6 months after, leading up to dizzy and fainting spells, low blood pressure, and Migraines. Still experiencing the Headaches, Migraines, Fatigue, Hypotension, and Dizziness.  6/22/09  MR received from PCP including neuro consults from 10/24/08-3/29/09 with Dx: headache (784.0), R/O aneurysm, non-ruptured cerebral (437.3), Pharyngitis (462), Concussion NOS (850.9), Syncope (780.2), Lumbar radiculopathy (724.4), Scoliosis, ideopathic (737.3) and low back pain syndrome (724.2). Pt initially presented with c/o H/A s/p fainting episode with LOC and vomiting on 10/4/08. Dx as Vasovagal in ER. Since that time c/o H/A with occ vomiting.  Using Benadryl to sleep. LMP 10/4/08. Neuro consults beginning  1/21/09 after 2nd episode 12/28/08. Pt felt sx coming on.  Felt shaky and sat down. Vomited after. Episodes have been assoc with heartracing/palpitations/flutter. Reports difficulty reading. Neuro exam WNL. Assessment:  Syncopal episodes w/o evidence of seizure.  Seen 3/23/09 with c/o sore throat, h/a, lightheadedness, fatigue. Exposure to strep throat. PE (+) for tender anterior cervical nodes, pharyngeal erythema.  Neuro f/u 3/23/09. Still reporting dizziness and daily h/a since initial event. Reports poor memory. To monitor BP at home. Heavy periods noted. MRI (+) for sinusitis.
Age: 31.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt came in to have TB test read 3/13/09 1300. Rt deltoid where Tdap injection had been given "circle slightly larger than a quarter is red, warm to touch, and tender. Reviewed with Dr." (on call) and pt advdised to take Benadryl prn, apply warm/cold pack to area. Pt to report if sx worsen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site warmth
Clinical narrative: VACCINES ADMINISTERED IN AM ON 3/24/2009.  T/C FROM MOC 3/27/09 AT 9:15 AM TO REPORT CHILD C/O HER LEFT ARM ITCHING.  aRM IS RED, INFLAMMED AND WARM,ABOUT THE CIRCUMFERENCE OF AN ORANGE, NO PAIN.  MOC ADVISED TO APPLY WARM COMPRESSES TODAY, AND THAT IT IS USUALLY SELF LIMITING AND SHOULD START TO RESOLVE BUT IF GETS WORSE TO CALL PMD.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Balance disorder, Blood product transfusion, Diarrhoea, Fall
Clinical narrative: 64M h/o DM, HTN, HLD, BPH p/w weakness that started yesterday midmorning.  He first felt weak during work, when he noticed that he could not keep a good grip on his handtools; he had trouble squeezing the trigger on the nailgun and using his screwdriver. The weakness was equal on both sides.   Morning of admission, the patient was feeling even more weak, and he fell once in his house because of weakness in his legs, R>L.  He has had a lot of problems walking and keeping his balance.  There have been no changes to his medication regimen.  He has not had any previous episodes of this type of weakness.  He says the weakness is equal on both sides.  He has not had any blurry vision or double vision.  Denies slurred speech, drooping or drooling out of one side of his face, problems swallowing/choking, or confusion/disorientation.  He recently got his flu shot 10/16 (about one month prior to  presentation).  He also had a stomach infection last weekend (seven  days prior to presentation) where he had a lot of liquid diarrhea,  especially on the day of onset of that illness.  He also had nausea and  vomiting that weekend, and was unable to keep any food down until  Monday.  Since Monday, there was complete resolution of his symptoms.   He did not try any new foods; he did not eat any old/expired canned foods; no one around him is sick.  No recent travels.   Patient was felt to have an acute inflammatory  demyelinating polyneuropathy (Guillain Barre Syndrome) and was treated with IVIG. Patient is currently in a skilled nursing unit, has a motorized wheelchair.  4/8/09 Received hospital medical records of 11/13-12/1/2008. FINAL DX: Guillain Barre syndrome; SIADH resolved; hypotension resolved. Records reveal patient experienced nausea/vomiting/diarrhea following flu shot & developed progressive distal to proximal weakness.  LP done & found to have high protein.  Admitted to ICU.  Tx w/IVIG x 5 days. Improved slowly & transferred to SNF for inpatient rehab.     4/21/09 Received additional hospital medical records including: EMG/NCS report; Neuro & Neurosurg consults; Derm, Dental Uro consults; d/c summary of 1/28-2/2/09 rehospitalization for UTI while in rehab; additional labs.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Gastrointestinal infection, Grip strength decreased, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: 64M h/o DM, HTN, HLD, BPH p/w weakness that started yesterday midmorning.  He first felt weak during work, when he noticed that he could not keep a good grip on his handtools; he had trouble squeezing the trigger on the nailgun and using his screwdriver. The weakness was equal on both sides.   Morning of admission, the patient was feeling even more weak, and he fell once in his house because of weakness in his legs, R>L.  He has had a lot of problems walking and keeping his balance.  There have been no changes to his medication regimen.  He has not had any previous episodes of this type of weakness.  He says the weakness is equal on both sides.  He has not had any blurry vision or double vision.  Denies slurred speech, drooping or drooling out of one side of his face, problems swallowing/choking, or confusion/disorientation.  He recently got his flu shot 10/16 (about one month prior to  presentation).  He also had a stomach infection last weekend (seven  days prior to presentation) where he had a lot of liquid diarrhea,  especially on the day of onset of that illness.  He also had nausea and  vomiting that weekend, and was unable to keep any food down until  Monday.  Since Monday, there was complete resolution of his symptoms.   He did not try any new foods; he did not eat any old/expired canned foods; no one around him is sick.  No recent travels.   Patient was felt to have an acute inflammatory  demyelinating polyneuropathy (Guillain Barre Syndrome) and was treated with IVIG. Patient is currently in a skilled nursing unit, has a motorized wheelchair.  4/8/09 Received hospital medical records of 11/13-12/1/2008. FINAL DX: Guillain Barre syndrome; SIADH resolved; hypotension resolved. Records reveal patient experienced nausea/vomiting/diarrhea following flu shot & developed progressive distal to proximal weakness.  LP done & found to have high protein.  Admitted to ICU.  Tx w/IVIG x 5 days. Improved slowly & transferred to SNF for inpatient rehab.     4/21/09 Received additional hospital medical records including: EMG/NCS report; Neuro & Neurosurg consults; Derm, Dental Uro consults; d/c summary of 1/28-2/2/09 rehospitalization for UTI while in rehab; additional labs.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting, Wheelchair user
Clinical narrative: 64M h/o DM, HTN, HLD, BPH p/w weakness that started yesterday midmorning.  He first felt weak during work, when he noticed that he could not keep a good grip on his handtools; he had trouble squeezing the trigger on the nailgun and using his screwdriver. The weakness was equal on both sides.   Morning of admission, the patient was feeling even more weak, and he fell once in his house because of weakness in his legs, R>L.  He has had a lot of problems walking and keeping his balance.  There have been no changes to his medication regimen.  He has not had any previous episodes of this type of weakness.  He says the weakness is equal on both sides.  He has not had any blurry vision or double vision.  Denies slurred speech, drooping or drooling out of one side of his face, problems swallowing/choking, or confusion/disorientation.  He recently got his flu shot 10/16 (about one month prior to  presentation).  He also had a stomach infection last weekend (seven  days prior to presentation) where he had a lot of liquid diarrhea,  especially on the day of onset of that illness.  He also had nausea and  vomiting that weekend, and was unable to keep any food down until  Monday.  Since Monday, there was complete resolution of his symptoms.   He did not try any new foods; he did not eat any old/expired canned foods; no one around him is sick.  No recent travels.   Patient was felt to have an acute inflammatory  demyelinating polyneuropathy (Guillain Barre Syndrome) and was treated with IVIG. Patient is currently in a skilled nursing unit, has a motorized wheelchair.  4/8/09 Received hospital medical records of 11/13-12/1/2008. FINAL DX: Guillain Barre syndrome; SIADH resolved; hypotension resolved. Records reveal patient experienced nausea/vomiting/diarrhea following flu shot & developed progressive distal to proximal weakness.  LP done & found to have high protein.  Admitted to ICU.  Tx w/IVIG x 5 days. Improved slowly & transferred to SNF for inpatient rehab.     4/21/09 Received additional hospital medical records including: EMG/NCS report; Neuro & Neurosurg consults; Derm, Dental Uro consults; d/c summary of 1/28-2/2/09 rehospitalization for UTI while in rehab; additional labs.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Pruritus, Rash
Clinical narrative: ITCHING,PAIN LEFT SHOULDER SINCE INJECTION-  POSITIVE RASH
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Heart rate increased, Vomiting
Clinical narrative: She received vaccine on Fri.  She did not experience any adverse effects until waking up the next day.  She was dizzy, had some episodes of rapid heartrate, and vomited bile one time.  She went to the doctor and he thought it was related to the vaccine.  She started feeling better Monday night.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Crying, Pain, Pyrexia, Rash
Clinical narrative: On March 3rd 2009 my son recieved the Varicella vaccine along with the Hepatitis A and MMR vaccine. Seven days later he had a slight fever around 100 degrees which I was expecting around 7 - 12 days after being vaccinated.About 30 minutes later I noticed that he had a rash on one side of his body, front and back. The fever and rash was gone by the next day. However that day I noticed a small red bump/blister. I thought it was a bug bite and monitored it to see if it was a spider bite. Over the next few days it progressively grew larger until it reached the size of a thumb print.About a week later as this blister crusted and finally went away another spot appeared and went through the same cycle but is still present to this day March 27th along with two other small formations that I dont believe will continue the entire blistering process. With my concerns on these symptoms I looked on the internet for a list of side effects for the Varicella vaccine that I believe was the cause.It stated that 1% of patients can get chicken pox from the vaccine (this was not on the paper I recieved for vaccine). It also said it can cause shingles(again not stated on info given to me). Many other serious side-effects were seizures, pneumonia, mood changes, brain damage. In conclusion I believe that my son developed a mild case of shingles and possibly chickenpox. This had a major affect on his mood. He cried randomly as if in pain (shingles causes alot of pain). I know it may have been a worse case if he had developed it naturally and it is great if the vaccine prevented him from more severe symptoms. However I feel as if I was not properly informed on all the possible side effects from the vaccine. If I had been informed on all the possible side effects of the vaccine my reaction would not have been as critical. I hope the FDA and CDC will consider these parental concerns and decide to further inform parents of everything to expect from these vaccines instead of telling them that basically nothing bad can happen.