chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Antinuclear antibody negative, Antiphospholipid antibodies negative, Audiogram abnormal, Balance disorder, Blood immunoglobulin G normal
Clinical narrative: Within first day or two after receipt of AVA on 8/16/2007 pt had mild local injection site tenderness with a small nodule at the injection site but no systemic symptoms. He received DRYVAX vaccine on 9/3/2007. 96 hours later, on 9/7/2007, he experienced sudden profound left-sided hearing loss with ear fullness but no pain, discharge, headache, fever/chills, malaise, vertigo, tinnitus, other neurologic or systemic symptoms. 13 hours after the onset of his acute hearing loss he developed vertigo with imbalance which lasted 6 weeks. This has diminished to mild/intermittent vertigo without imbalance, persistent to date. With the onset of vertigo he also developed intermittent mild left ear tinnitus which has remained stable to date. On 12/7/2007 he was diagnosed by ENT with sudden sudden sensorineural hearing loss (SNHL). He was treated with high dose oral steroids & antiviral medication; several days later, an intra-tympanic steroid injection was tried without improvement. To date he has not recovered hearing in his left ear. Pt had no prior history antecedent illness/infections, head trauma, baro-trauma, exotic travel, bites, exposure to ototoxic drugs or extreme loud noises, personal or family history autoimmune disorders or coagulopathies. His prior audiogram in Apr 2007 indicated completely normal bilateral hearing. Post-event diagnostic audiograms in Sep 2007 were consistent with profound left sensorineural hearing loss; brain & Internal auditory canal MRIs w/ gad were normal; video ENG consistent with Vestibular dysfunction. Etiology of his sudden SNHL remains unclear to date; no systemic symptoms have developed.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Blood immunoglobulin M increased, Borrelia burgdorferi serology positive, Deafness neurosensory, Deafness unilateral, Ear congestion
Clinical narrative: Within first day or two after receipt of AVA on 8/16/2007 pt had mild local injection site tenderness with a small nodule at the injection site but no systemic symptoms. He received DRYVAX vaccine on 9/3/2007. 96 hours later, on 9/7/2007, he experienced sudden profound left-sided hearing loss with ear fullness but no pain, discharge, headache, fever/chills, malaise, vertigo, tinnitus, other neurologic or systemic symptoms. 13 hours after the onset of his acute hearing loss he developed vertigo with imbalance which lasted 6 weeks. This has diminished to mild/intermittent vertigo without imbalance, persistent to date. With the onset of vertigo he also developed intermittent mild left ear tinnitus which has remained stable to date. On 12/7/2007 he was diagnosed by ENT with sudden sudden sensorineural hearing loss (SNHL). He was treated with high dose oral steroids & antiviral medication; several days later, an intra-tympanic steroid injection was tried without improvement. To date he has not recovered hearing in his left ear. Pt had no prior history antecedent illness/infections, head trauma, baro-trauma, exotic travel, bites, exposure to ototoxic drugs or extreme loud noises, personal or family history autoimmune disorders or coagulopathies. His prior audiogram in Apr 2007 indicated completely normal bilateral hearing. Post-event diagnostic audiograms in Sep 2007 were consistent with profound left sensorineural hearing loss; brain & Internal auditory canal MRIs w/ gad were normal; video ENG consistent with Vestibular dysfunction. Etiology of his sudden SNHL remains unclear to date; no systemic symptoms have developed.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Electronystagmogram abnormal, Full blood count normal, HIV test negative, Hepatitis C antibody negative, Injection site nodule
Clinical narrative: Within first day or two after receipt of AVA on 8/16/2007 pt had mild local injection site tenderness with a small nodule at the injection site but no systemic symptoms. He received DRYVAX vaccine on 9/3/2007. 96 hours later, on 9/7/2007, he experienced sudden profound left-sided hearing loss with ear fullness but no pain, discharge, headache, fever/chills, malaise, vertigo, tinnitus, other neurologic or systemic symptoms. 13 hours after the onset of his acute hearing loss he developed vertigo with imbalance which lasted 6 weeks. This has diminished to mild/intermittent vertigo without imbalance, persistent to date. With the onset of vertigo he also developed intermittent mild left ear tinnitus which has remained stable to date. On 12/7/2007 he was diagnosed by ENT with sudden sudden sensorineural hearing loss (SNHL). He was treated with high dose oral steroids & antiviral medication; several days later, an intra-tympanic steroid injection was tried without improvement. To date he has not recovered hearing in his left ear. Pt had no prior history antecedent illness/infections, head trauma, baro-trauma, exotic travel, bites, exposure to ototoxic drugs or extreme loud noises, personal or family history autoimmune disorders or coagulopathies. His prior audiogram in Apr 2007 indicated completely normal bilateral hearing. Post-event diagnostic audiograms in Sep 2007 were consistent with profound left sensorineural hearing loss; brain & Internal auditory canal MRIs w/ gad were normal; video ENG consistent with Vestibular dysfunction. Etiology of his sudden SNHL remains unclear to date; no systemic symptoms have developed.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Injection site pain, Metabolic function test, Nuclear magnetic resonance imaging normal, Red blood cell sedimentation rate normal, Rheumatoid factor positive
Clinical narrative: Within first day or two after receipt of AVA on 8/16/2007 pt had mild local injection site tenderness with a small nodule at the injection site but no systemic symptoms. He received DRYVAX vaccine on 9/3/2007. 96 hours later, on 9/7/2007, he experienced sudden profound left-sided hearing loss with ear fullness but no pain, discharge, headache, fever/chills, malaise, vertigo, tinnitus, other neurologic or systemic symptoms. 13 hours after the onset of his acute hearing loss he developed vertigo with imbalance which lasted 6 weeks. This has diminished to mild/intermittent vertigo without imbalance, persistent to date. With the onset of vertigo he also developed intermittent mild left ear tinnitus which has remained stable to date. On 12/7/2007 he was diagnosed by ENT with sudden sudden sensorineural hearing loss (SNHL). He was treated with high dose oral steroids & antiviral medication; several days later, an intra-tympanic steroid injection was tried without improvement. To date he has not recovered hearing in his left ear. Pt had no prior history antecedent illness/infections, head trauma, baro-trauma, exotic travel, bites, exposure to ototoxic drugs or extreme loud noises, personal or family history autoimmune disorders or coagulopathies. His prior audiogram in Apr 2007 indicated completely normal bilateral hearing. Post-event diagnostic audiograms in Sep 2007 were consistent with profound left sensorineural hearing loss; brain & Internal auditory canal MRIs w/ gad were normal; video ENG consistent with Vestibular dysfunction. Etiology of his sudden SNHL remains unclear to date; no systemic symptoms have developed.
Age: 35.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Tetanus antibody positive, Tinnitus, Vertigo
Clinical narrative: Within first day or two after receipt of AVA on 8/16/2007 pt had mild local injection site tenderness with a small nodule at the injection site but no systemic symptoms. He received DRYVAX vaccine on 9/3/2007. 96 hours later, on 9/7/2007, he experienced sudden profound left-sided hearing loss with ear fullness but no pain, discharge, headache, fever/chills, malaise, vertigo, tinnitus, other neurologic or systemic symptoms. 13 hours after the onset of his acute hearing loss he developed vertigo with imbalance which lasted 6 weeks. This has diminished to mild/intermittent vertigo without imbalance, persistent to date. With the onset of vertigo he also developed intermittent mild left ear tinnitus which has remained stable to date. On 12/7/2007 he was diagnosed by ENT with sudden sudden sensorineural hearing loss (SNHL). He was treated with high dose oral steroids & antiviral medication; several days later, an intra-tympanic steroid injection was tried without improvement. To date he has not recovered hearing in his left ear. Pt had no prior history antecedent illness/infections, head trauma, baro-trauma, exotic travel, bites, exposure to ototoxic drugs or extreme loud noises, personal or family history autoimmune disorders or coagulopathies. His prior audiogram in Apr 2007 indicated completely normal bilateral hearing. Post-event diagnostic audiograms in Sep 2007 were consistent with profound left sensorineural hearing loss; brain & Internal auditory canal MRIs w/ gad were normal; video ENG consistent with Vestibular dysfunction. Etiology of his sudden SNHL remains unclear to date; no systemic symptoms have developed.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Computerised tomogram normal, Convulsion, Electroencephalogram, Fall
Clinical narrative: On June 20, 2007 my daughter had her first series HPV - GARDASIL shot. She started having bad headaches daily we thought it was due to stress from school work and activities. On 12/27/2007, she had her second series HPV GARDASIL shot. On 1/8/2008 at 5:30 am she was blow drying her hair in the bathroom. We heard a bang and went to open the door and found her on the floor seizing. We did not know what to do because she has always been a healthy girl and have never experienced seizures. We called 911 and took her to the hospital, they asked us several questions regarding her history and if she had taken any new medications the only thing that came to mind was the shot. She had a CAT scan which was normal and was referred to her Pediatrician. They did several test and found nothing, they referred us to a Neurologist. The Neurologist ran test, EEG, MRI, and prescribed her TOPAMAX which would help with the headaches. He did not fully diagnose her with Epilepsy because had only one seizure. She was on TOPAMAX for two months and started having side effects such as numbing of feet, hands, lips and stomach. The doctor said we can take her off and try another medicine or take off completely. The seizure may have been a fluke thing and she may be ok. The only way to know is by taking her off. She was off the medication for 21 days. She had another seizure on 5/11, 5/14 which we started her on LAMICTAL. On 5/24 she had 3 seizures - 8:30 & 2:00 and we called 911 and had her taken to the hospital. In the emergency room she had another seizure at 3:15 and was hospitalized for 3 days. They added another medication KEPPRA in the hospital and was released. She was on 300MG of LAMICTAL and 3,000 MG of KEPPRA for 3 months seizure free. Due to again side effects from KEPPRA and LAMICTAL the doctor said we can try other medicines so we did in 12/13/2008 in which she has been having seizures since with the new medication - ZONEGRAN. So we put her back on LAMICTAL since she was seizure free with this medicine. So she is currently on ZONEGRAN and LAMICTAL. As you can see she has had over 12 seizures since she has had the shot and has not been able to live a normal teenage life.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia oral, Nuclear magnetic resonance imaging
Clinical narrative: On June 20, 2007 my daughter had her first series HPV - GARDASIL shot. She started having bad headaches daily we thought it was due to stress from school work and activities. On 12/27/2007, she had her second series HPV GARDASIL shot. On 1/8/2008 at 5:30 am she was blow drying her hair in the bathroom. We heard a bang and went to open the door and found her on the floor seizing. We did not know what to do because she has always been a healthy girl and have never experienced seizures. We called 911 and took her to the hospital, they asked us several questions regarding her history and if she had taken any new medications the only thing that came to mind was the shot. She had a CAT scan which was normal and was referred to her Pediatrician. They did several test and found nothing, they referred us to a Neurologist. The Neurologist ran test, EEG, MRI, and prescribed her TOPAMAX which would help with the headaches. He did not fully diagnose her with Epilepsy because had only one seizure. She was on TOPAMAX for two months and started having side effects such as numbing of feet, hands, lips and stomach. The doctor said we can take her off and try another medicine or take off completely. The seizure may have been a fluke thing and she may be ok. The only way to know is by taking her off. She was off the medication for 21 days. She had another seizure on 5/11, 5/14 which we started her on LAMICTAL. On 5/24 she had 3 seizures - 8:30 & 2:00 and we called 911 and had her taken to the hospital. In the emergency room she had another seizure at 3:15 and was hospitalized for 3 days. They added another medication KEPPRA in the hospital and was released. She was on 300MG of LAMICTAL and 3,000 MG of KEPPRA for 3 months seizure free. Due to again side effects from KEPPRA and LAMICTAL the doctor said we can try other medicines so we did in 12/13/2008 in which she has been having seizures since with the new medication - ZONEGRAN. So we put her back on LAMICTAL since she was seizure free with this medicine. So she is currently on ZONEGRAN and LAMICTAL. As you can see she has had over 12 seizures since she has had the shot and has not been able to live a normal teenage life.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Injection site swelling
Clinical narrative: This case was received on 18 March 2009 from a health care professional. A 54 year old male patient with a history of asthma received ADACEL (lot number C3070AA) intramuscularly in the left deltoid on 04 March 2009. On 06 March 2009 the patient developed swelling to the injection site with pain and tingling down the left arm. He rated his pain a 10/10 based on a pain scale. He was treated with Prednisone for one week which helped his pain. He continued to have left index and middle finger burning sensation. The patient did not have redness or discharge at the injection site. The patient's recovery status was not reported. List of Documents held by Sender: none.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Burning sensation, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: This case was received on 18 March 2009 from a health care professional. A 54 year old male patient with a history of asthma received ADACEL (lot number C3070AA) intramuscularly in the left deltoid on 04 March 2009. On 06 March 2009 the patient developed swelling to the injection site with pain and tingling down the left arm. He rated his pain a 10/10 based on a pain scale. He was treated with Prednisone for one week which helped his pain. He continued to have left index and middle finger burning sensation. The patient did not have redness or discharge at the injection site. The patient's recovery status was not reported. List of Documents held by Sender: none.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Axillary pain, Headache, Paraesthesia, Vertigo
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 20 year old female with allergies to BENADRYL and BACTRIM who on 18-AUG-2008, 24-NOV-2008 and 05-MAR-2009 was vaccinated with a first, second and third dose of GARDASIL (lot # 1702X, 0.5 ml, IM into the left arm for dose 3), respectively. Concomitant therapy given on 05-MAR-2009 included ADACEL. On 06-MAR-2009 after receiving her third dose, the patient experienced dizziness, headache, weakness, pain and tingling in both arms. The patient sought medical attention via phone call to the physician's office. The patient was treated in the emergency room with IV fluids, COMPAZINE and TORADOL, and then released. The patient's heart rate in the emergency room was 124. An electrocardiogram (EKG) was performed with results within normal limits. As of 19-MAR-2009, the patient's symptoms have improved but she continued to have arm pain. The reporter considered the adverse events to be disabling. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Asthenia, Dizziness, Electrocardiogram normal, Headache, Pain
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 20 year old female with allergies to BENADRYL and BACTRIM who on 18-AUG-2008, 24-NOV-2008 and 05-MAR-2009 was vaccinated with a first, second and third dose of GARDASIL (lot # 1702X, 0.5 ml, IM into the left arm for dose 3), respectively. Concomitant therapy given on 05-MAR-2009 included ADACEL. On 06-MAR-2009 after receiving her third dose, the patient experienced dizziness, headache, weakness, pain and tingling in both arms. The patient sought medical attention via phone call to the physician's office. The patient was treated in the emergency room with IV fluids, COMPAZINE and TORADOL, and then released. The patient's heart rate in the emergency room was 124. An electrocardiogram (EKG) was performed with results within normal limits. As of 19-MAR-2009, the patient's symptoms have improved but she continued to have arm pain. The reporter considered the adverse events to be disabling. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 20 year old female with allergies to BENADRYL and BACTRIM who on 18-AUG-2008, 24-NOV-2008 and 05-MAR-2009 was vaccinated with a first, second and third dose of GARDASIL (lot # 1702X, 0.5 ml, IM into the left arm for dose 3), respectively. Concomitant therapy given on 05-MAR-2009 included ADACEL. On 06-MAR-2009 after receiving her third dose, the patient experienced dizziness, headache, weakness, pain and tingling in both arms. The patient sought medical attention via phone call to the physician's office. The patient was treated in the emergency room with IV fluids, COMPAZINE and TORADOL, and then released. The patient's heart rate in the emergency room was 124. An electrocardiogram (EKG) was performed with results within normal limits. As of 19-MAR-2009, the patient's symptoms have improved but she continued to have arm pain. The reporter considered the adverse events to be disabling. Additional information has been requested.
Age: 90.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash generalised, Rash pruritic, Varicella
Clinical narrative: Pt broke out in full body rash consisting of small, red, itchy dots 10 days after vaccine was administered.  Pt saw a dermatologist who told him he had chicken pox and prescribed an "antihistamine and sav (steroid cream)" according to the patients spouse.  No oral or respiratory symptoms have been reported.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Nausea, Oxygen supplementation
Clinical narrative: 3/17/09 Approx. 11:15am shingles vaccine administered to L arm SQ, tolerated well.  Approx. 11:30 am client complained of nausea VS taken B/P 130/90 HR=100 R=16 unlabored.  Also complained warm to face, ice pack applied to face.  B/P rechecked 170/100 L arm sitting.  EMS notified pw 911, O2 administered per face mask.  Client c/o "light headed".  EMS VS taken 160/98 HR=98 transported to hospital, per ER RN to be released.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Eyelid oedema, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Initial information was received on 26 November 2008 from a health care professional. A female patient received an injection of FLUZONE SV 2008-2009 (lot number not reported) on 18 September 2008. On the day of vaccination the patient developed redness and swelling at the injection site and had swelling of the eyelid. The patient had a doctor's visit and was prescribed an antibiotic for the localized reaction. The recovery status was not reported. Follow-up information was received from a health care professional on 12 March 2009 which indicated that the patient had been hospitalized for five days. Based on this new information, the case has been upgraded to serious. The patient, a 67-year-old female, received FLUZONE SV 2008-2009 and PNEUMOVAX (Merck, lot not reported) on 18 September 2008. Approximately 48 hours post-vaccination, she developed swelling of the eyelid and injection site inflammation, and was subsequently hospitalized for five days. The event recovered. List of Documents held by sender: None.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Apnoea, Blood test abnormal, Haemophilus infection, Influenza serology positive, Pneumonia
Clinical narrative: Information has been received from a physician who received a "health alert" from the state health department concerning a 16 week old patient who was vaccinated with unspecified PEDVAXHIB (manufacturer unknown) (Lot# not reported). Shortly after receiving the unspecified PEDVAXHIB (manufacturer unknown) the patient developed HIB. The outcome of adverse events was unknown. It was not reported whether the patients sought medical attention. This is one of several reports received from the same resource. Follow-up information was received from the Health Alert Coordinator who stated that she had received the faxed request from Merck for the Health Alert sheet dated on 09-MAR-2009. She stated that she had given the request to the registered nurse, regional nurse manager. The case involved a 16 week old male with an onset of February 24th. Diagnoses included apnea, sepsis, and bilateral pneumonia. Health history included premature delivery at 24 weeks gestation and bronchopulmonary dysplasia. H. influenzae was isolated from blood with serogroup b. The infant had received the recommended first dose of HIB containing vaccine at 2 months of age. Upon internal review apnea was determined to be an other important medical event. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Sepsis
Clinical narrative: Information has been received from a physician who received a "health alert" from the state health department concerning a 16 week old patient who was vaccinated with unspecified PEDVAXHIB (manufacturer unknown) (Lot# not reported). Shortly after receiving the unspecified PEDVAXHIB (manufacturer unknown) the patient developed HIB. The outcome of adverse events was unknown. It was not reported whether the patients sought medical attention. This is one of several reports received from the same resource. Follow-up information was received from the Health Alert Coordinator who stated that she had received the faxed request from Merck for the Health Alert sheet dated on 09-MAR-2009. She stated that she had given the request to the registered nurse, regional nurse manager. The case involved a 16 week old male with an onset of February 24th. Diagnoses included apnea, sepsis, and bilateral pneumonia. Health history included premature delivery at 24 weeks gestation and bronchopulmonary dysplasia. H. influenzae was isolated from blood with serogroup b. The infant had received the recommended first dose of HIB containing vaccine at 2 months of age. Upon internal review apnea was determined to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Laboratory test, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a registered nurse and a nurse practitioner, for GARDASIL, a Pregnancy Registry product, concerning a 16 year old female patient who on 20-Jan-2009 was vaccinated with the first dose of GARDASIL (lot # 661764/0650X). The patient was pregnant. LMP was 04-JAN-2009, and estimated delivery date was 11-OCT-2009. The patient's mother had history of coagulation disorders, so blood work was taken on the patient with results pending to determine if the patient also had any unknown medical conditions that would affect the pregnancy. On 03-FEB-2009 urine pregnancy test was performed with positive result. The patient sought unspecified medical attention. Follow-up information was received from a nurse practitioner, for GARDASIL, a Pregnancy Registry product, concerning a 16 year old female patient with a history of 0 previous pregnancies and 0 of previous live births, who on 10-FEB-2008 (5 weeks from LMP) had a spontaneous abortion. The patient had not received any prenatal testing. The products of conception were not examined. The patient's mother had a history of coagulopathy which was not diagnosed. Upon internal review, spontaneous abortion was determined to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: DTOX, HEPA, HPV4, MEN, TTOX, VARCEL
Symptoms: Caesarean section, Drug exposure during pregnancy, Large for dates baby
Clinical narrative: Information has been received from a consumer, who was the guardian of the patient, for the Pregnancy Registry for GARDASIL, concerning a 14 year old female with no pertinent medical history or drug reactions or allergies who on 08-APR-2008 was vaccinated with a 0.5 ml dose of GARDASIL. On the same day, the patient was also vaccinated with VARIVAX (Merck), tetanus toxoid vaccine, diphtheria toxoid vaccine, meningococcal conj vaccine (unspecified), hepatitis A virus vaccine (unspecified) (manufacturer unknown) and "ACHD". Concomitant therapy included calcium (unspecified), iron (unspecified) and prenatal vitamins. It was reported that the patient would be delivering next week. There were no lab tests performed. It was reported that the patient had no ill effects from this. The patient sought unspecified medical attention via the physician. Follow-up information was received from a staff member in the physician's office via phone call. It was reported that the patient delivered a healthy and normal baby boy on 05-OCT-2008 via C-section. The C-section was performed because the baby was "like 12 lbs". The reporter did not have any additional information to provide. Upon internal review, the baby was "like 12 lbs" that required C-section was considered to be other important medical event. Additional information is not expected.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Guillain-Barre syndrome, Idiopathic thrombocytopenic purpura
Clinical narrative: 4-20-07 - onset "bruising" dx: ITP. 4-25-08 - GUILLAIN-BARRE Syndrome - hosp 32 days.  4/1/09  MR received for 4 DOS- 11/27-29/07 with DX:  Thrombocytopenia, 12/3-9/07 with DX: ITP, 12/14-19/07 with dx ITP and 4/25-5/27/2008 with D/C DX:  Guillain-Barre Syndrome which is slightly improved. Pt initially presented  to PCP's office for c/o bruising on hands and buttocks and blood blisters in the mouth.  Platelet count found to be 7K and pt referred for admission. Reports recent dizziness and near syncope. Tx with platelet transfusions and steroids with platelet count 47K by d/c. Readmitted 12/3/07 for dropping platelet count (5K) with bruising and bleeding. Started on IVIG with count up to 128K by 12/8/07. D/C to f/u as outpt.  Pt returned 4/25/08 with c/o diffuse weakness, decreased grip strength. Reflexes were initially intact but lost in several days with progressive weakness. Tx with IVIG and steroids with little improvement, then plasmapheresis. Recovery was very slow and pt d/c to rehab 5/27/08.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Nausea, Pyrexia
Clinical narrative: Severe Nausea, vomiting, fever + joint pain. 6/19/09 Pt reports she never sought medical tx.  Took Benadryl.  Case closed
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mom noticed around 7:00 AM this morning that (R) upper arm was very red and very swollen. Redness about 4 inches on diameter and arm is very swollen compared to (L) arm. Child says (R) upper arm hurts. Instructed mom to take child to PCP for evaluation. Dr. told parent to give BENADRYL to child at home. Warm soaks and TYLENOL. Letter from doctor stating no more tetanus vaccines.
Age: 11.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Erythema, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Red-itchy-warm to touch-rash over entire upper arm- shoulder pain and swelling radiating down arm- Referred to family doctor. Pt is 31, she got an MMR II of her left arm at the health department earlier today, and presented here complaining of having a reaction with swelling, pain, shortness of breath. On presentation her blood pressure is 130/80. She doesn't have any angioneurotic edema. Her lungs are clear. Cardiac rhythm is regular without murmurs, rubs or gallops. She has some erythema and swelling at the site of the injection site that is fairly impressive looking. She is given 25 of BENADRYL, and 60 of KENALOG IM, and observed and did well. She was instructed to take BENADRYL 25 mgs. q4 hours for the remainder of the night and recheck as needed for any problems. M.D.
Age: 11.0
Sex: F
Vaccine: MMR
Symptoms: Musculoskeletal pain, Oedema peripheral, Pruritus, Rash, Skin warm
Clinical narrative: Red-itchy-warm to touch-rash over entire upper arm- shoulder pain and swelling radiating down arm- Referred to family doctor. Pt is 31, she got an MMR II of her left arm at the health department earlier today, and presented here complaining of having a reaction with swelling, pain, shortness of breath. On presentation her blood pressure is 130/80. She doesn't have any angioneurotic edema. Her lungs are clear. Cardiac rhythm is regular without murmurs, rubs or gallops. She has some erythema and swelling at the site of the injection site that is fairly impressive looking. She is given 25 of BENADRYL, and 60 of KENALOG IM, and observed and did well. She was instructed to take BENADRYL 25 mgs. q4 hours for the remainder of the night and recheck as needed for any problems. M.D.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Rec'd flu vacc 110708; presented to ER 110808 with itchy red rash over entire body face, extrem. Started with neck, broke out with all over rash next morning.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: pain in (R) arm at inj site. redness, warmth, temp 100 deg. SEPTRA given for possible cellulitis. TYLENOL/MOTRIN for discomfort, apply cool compresses to site. Refer to V.I.S given at time of admin. of vaccine
Age: 23.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: After vaccination, patient collapsed to floor - fainting lasted 5 seconds or less.  BP 118/80, no dizzness, nausea, headache.  Left with mother walked out of clinic.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Immediate post-injection reaction, No reaction on previous exposure to drug, Presyncope
Clinical narrative: Pt experienced vasovagal reaction within one minute following injection of HPV # 3.  She was sitting on the exam table during vaccine administration. Nurse completed administration, applied bandage, & turned to put syringe in sharps container. Pt fell off table and hit back/side of head on the floor. Pt was observed for approximately 30 minutes and examined by physician before being allowed to leave office. We feel that this was a vasovagal reaction not related to the vaccine itself.  Pt has had two other Gardisil vaccines without any problems.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEP
Symptoms: Injection site pain, Musculoskeletal stiffness, Screaming
Clinical narrative: Mother states client woke up from a nap around 4pm the same day of vaccination and his legs were stiff and he was screaming in pain.  Mom states she took him to the ER and the dr stated it was related to the pain of the injection.  His pain was more in his right leg than his left.  The ER dr told mom to continue motrin or tylenol for pain as needed.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy test negative, Blood test normal, Computerised tomogram normal, Headache, Insomnia
Clinical narrative: Approximately 4:00PM 12/7/08 Symptom: Headache This came on suddenly.  Pain level was a 5.  Described as aching pain on back (upper) head.  Was seen in ER on 12/9/08 after pain had continued for 48+ hours with no abatement (increased to level 7 pain) and getting < 4hrs of sleep per night. ER treated with Toradol, Midrin and Phenegrin. Pain level reduced to 4 and discharged from ER.  Pain continued and increased to Level 7.  Again treated at ER with no long term benefits.  This has continued since 12/7.  Pain is continual 24 x7. 3 ER visits and 4 day hospital admittance on 2/23/09 for high dose steroids IV.  This did not aleviate pain. Insomnia that has occurred since 12/7 has been treated with Ambien since 2/26/09 3/26/09-records received for ED visit 12/9/08-C/O gradual onset of headache began 3 days ago. Bilateral sharp pain 7 out of 10. Nausea.  Assessment:Headache.  4/20/09-records received-for DOS 2/23-2/26/09-Presented with headaches since 12/7/08 constant and localized to occipital region throbbing in character. HA is made worse by activity and unable to attend school for past 2 months. As HA worsens C/O feeling nauseous and has had decreased PO intake with 15 pound weight loss. Insomnia. Malaise, weakness, fatigue. Abdominal pain.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging abnormal, Sleep disorder, Sleep study abnormal, Ventricular extrasystoles
Clinical narrative: Approximately 4:00PM 12/7/08 Symptom: Headache This came on suddenly.  Pain level was a 5.  Described as aching pain on back (upper) head.  Was seen in ER on 12/9/08 after pain had continued for 48+ hours with no abatement (increased to level 7 pain) and getting < 4hrs of sleep per night. ER treated with Toradol, Midrin and Phenegrin. Pain level reduced to 4 and discharged from ER.  Pain continued and increased to Level 7.  Again treated at ER with no long term benefits.  This has continued since 12/7.  Pain is continual 24 x7. 3 ER visits and 4 day hospital admittance on 2/23/09 for high dose steroids IV.  This did not aleviate pain. Insomnia that has occurred since 12/7 has been treated with Ambien since 2/26/09 3/26/09-records received for ED visit 12/9/08-C/O gradual onset of headache began 3 days ago. Bilateral sharp pain 7 out of 10. Nausea.  Assessment:Headache.  4/20/09-records received-for DOS 2/23-2/26/09-Presented with headaches since 12/7/08 constant and localized to occipital region throbbing in character. HA is made worse by activity and unable to attend school for past 2 months. As HA worsens C/O feeling nauseous and has had decreased PO intake with 15 pound weight loss. Insomnia. Malaise, weakness, fatigue. Abdominal pain.
Age: 59.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Paraesthesia
Clinical narrative: 59 yo BF presented to clinic 3/24/09 with c/o pins and needles and tingling in right arm x ~ 3.5 weeks. Onset was weeks following 02/09/2009 vaccination with Hepatitis B vaccine and influenza IM injections in the right arm. MD will continue to monitor. Unclear association at this time. Pt will return to clinic for f/u in ~1 month.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Musculoskeletal pain, Musculoskeletal stiffness, Pain, Paraesthesia
Clinical narrative: 1. Severe pain/muscle locking approximately five days after vaccine administered at left shoulder and left elbow, tingling in left hand           2. Prolonged pain at left shoulder, left elbow, and left shoulder blade, occasional tingling in left hand
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Influenza like illness, Nausea, Pain
Clinical narrative: Hep B vaccine administered in Lt Deltoid IM on 3/20/09.  within 24 hiours patient reported left arm and hand numb.  She experienced flu like symptoms with body aches and nausea, no fever.  there was no local reaction, no reddness or swelling at administration site.  symptoms lasted 3 days, and had totally resolved by 3/23/09.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Abdominal pain, Abdominal pain upper, Acute abdomen, Alanine aminotransferase normal, Aspartate aminotransferase increased
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood amylase decreased, Blood bilirubin normal, Blood calcium increased
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood chloride decreased, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood phosphorus normal
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Body temperature increased, Carbon dioxide normal
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chills, Colectomy, Computerised tomogram abnormal, Fatigue, Gamma-glutamyltransferase
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.
Age: 29.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Haematocrit decreased, Haemoglobin decreased, Intestinal mass, Lymph node pain, Lymphadenopathy
Clinical narrative: 29 y/o male w/ no significant past medical history received smallpox vaccination by scarification on 10MAR09. Pt then deployed. On 20MAR09, pt presented to my clinic c/o a tender, enlarged left submandibular lymph node. He had no other symptoms.  He informed me of his recent immunization, and I treated him w/ a course of Motrin. On 23MAR09, pt f/u, and his lymphadenopathy had largely resolved. He noted new symptoms of chills and fatigue lasting one hour daily for the past two days, occuring 2-3hrs postprandially. Pt was asymptomatic during the visit, so no therapy was prescribed. On 24MAR09, pt presented c/o worsening chills and fatigue. Basic labs were obtained (CBC, chemistry, liver function panel) which were w/in normal limits. A monospot test was also negative. Five hours later, pt presented w/ rigors and new onset belly pain in the RLQ. Oral temp was 101.1F, and abdominal exam revealed an acute abdomen w/ RLQ rebound pain. Pt was immediately transported to the hospital. CT revealed a 3 cm cystic lesion at the base of the appendix. The pt was taken to the operating room, and a R hemicolectomy was performed to remove the suspicious mass found on the lumen side of the bowel wall just distal to the ileocecal junction. The specimen was sent for evaluation. The pt tolerated the operation well and was sent to recover. He arrived on 25MAR09 and was in stable condition. 4/1/09-records received-office visit 3/28/09- s/p R hemicolectomy 3/24/09.  3/10/09-presented to clinic with C/O L sided sumandible lymph node that was resolving per 3/23/09 note.