chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis, Troponin I, Vaccinia virus infection
Clinical narrative: Patient reported chest pain that started 19 Sep 09 while assigned to foreign country.  After receiving small pox vaccination patient developed flu like symptoms with chest pain.  Flu symptoms stopped, but chest pain continued, described as unrelated to activity, retrosternal, radiating to the back, exacerbated by supine position.  Patient using Naprosyn 500mg PO BID x 7 days then PRN.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Burning sensation, Chest pain, Dizziness, Electrocardiogram ST segment elevation, Influenza
Clinical narrative: Patient reported chest pain that started 19 Sep 09 while assigned to foreign country.  After receiving small pox vaccination patient developed flu like symptoms with chest pain.  Flu symptoms stopped, but chest pain continued, described as unrelated to activity, retrosternal, radiating to the back, exacerbated by supine position.  Patient using Naprosyn 500mg PO BID x 7 days then PRN.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis
Clinical narrative: Patient reported chest pain that started 19 Sep 09 while assigned to foreign country.  After receiving small pox vaccination patient developed flu like symptoms with chest pain.  Flu symptoms stopped, but chest pain continued, described as unrelated to activity, retrosternal, radiating to the back, exacerbated by supine position.  Patient using Naprosyn 500mg PO BID x 7 days then PRN.
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Haematemesis, Vomiting
Clinical narrative: He received the H1N1 shot on Monday 9-21-09. He called me last night to tell me that he had a severe stomach ache all day today - tried to eat and about 11:00 pm ended up throwing up and was very concerned because there was a significant amount of blood in the matter he threw up.  He went to the watch and they took him to the emergency room where they gave him one day of sick in quarters.  I don't know what the diagnosis was, but usually you are pretty ill to get SIQ. My son never has stomach aches.  Rarely throws up. Never has thrown up blood.   He was not running a fever, but the whole event scared him enough that he asked me what he thought he should do because they don't like people to "cry" sick.   I told him to make them take him to the emergency room.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea, Headache, Lacrimation increased
Clinical narrative: Headache, throat closing up, chest heavy and tight, hives, pins and needles feeling, uncontrollable coughing, runny nose, watery eyes, SOB, got shot at 11 am, s/s at 2pm. Ambulance called, went to ER, received benadryl and prednisone.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Rhinorrhoea, Throat tightness, Urticaria
Clinical narrative: Headache, throat closing up, chest heavy and tight, hives, pins and needles feeling, uncontrollable coughing, runny nose, watery eyes, SOB, got shot at 11 am, s/s at 2pm. Ambulance called, went to ER, received benadryl and prednisone.
Age: 49.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Body temperature increased, Chills, Malaise, Pain of skin, Tremor
Clinical narrative: Received vaccines @ 0915, felt bad @ 1600, skin hurt @ 2000(took tylenol), awakened @ midnight with chills, shakes, and temp of 101.8 F(took tylenol).  This morining temperature of 99.4.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever of 101 degrees, body aches, nausea, vomiting, abdominal cramps two hours after vaccination
Age: 31.0
Sex: M
Vaccine: ANTH, HEPA
Symptoms: Inflammation
Clinical narrative: Right Arm inflameed after recieving Anthrax Vaccine
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Blood culture negative, Computerised tomogram normal, Influenza serology negative, Respiratory syncytial virus test negative, Unresponsive to stimuli
Clinical narrative: Unresponsive spell lasting approximately 30 minuntes 5 days after receiving DTaP.  Full evaluation at a Hospital with no cause found. 10/15/09 Hospital records received for dates 9/19/09 to 9/22/09. DC DX: Apnea, Acute life threatening event. Presenting symptoms: Brought to ER pt crying and fussy. Parent states pt stopped breathing for a short period of time. Pt was unresponsive to voice and touch. Began breathing independently, but shallow for approx 10 minutes, parent states pt. was limp. When EMS arrived pt was sleeping easy to arouse. Parent denies any c/o prior to event pt. received vaccinations 5 days prior to this episode. Admit to hospital for further testing.  Course of stay pt. improved and dc home. Physical exam: pt crying without cessation, otherwise exam WNL.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Blood test, Dizziness, Electrocardiogram, Nausea
Clinical narrative: Dizziness, light-headedness, unsteadiness in walking, paleness, nausea.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Pallor
Clinical narrative: Dizziness, light-headedness, unsteadiness in walking, paleness, nausea.
Age: 4.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Pt had onset of red macular rash with pruritis within 24 hours of receiving HAVRIX and FLUMIST. Rash associated with significant pruritis but not associated with any symptoms of respiratory distress or mouth/tongue swelling. Rash treated with BENADRYL and resolved by 72-96 hrs.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Sensation of heaviness
Clinical narrative: Pt reports pain in left upper arm/shoulder since administration of vaccine in superior deltoid about finger width below acromion worsening in last 48 hours with difficulty raising L arm above shoulder and sensation of heaviness in L arm.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Injection site erythema, Injection site warmth, Wheezing
Clinical narrative: L upper arm-irregular red, warm patch & mod. increase COPD related wheezes.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Stiff neck/sore arm/ shoulder.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented to office with L thigh area red, swollen, and hot. Area size approx. 3 in. x 4 in. and spreading into groin area. Instructed to apply ice packs off and on and ATARAX was prescribed.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Lt deltoid injection-10 min. later pain shot to hand and lt thumb numb. Injection site noted in std location, belly of deltoid.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Pt. started itch on palms and soles of feet, progressed to scalp and torso; took BENADRYL about 12:00/13:00-itching improved. Itching returns without BENADRYL. Pt. states condition is "much better."
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Decreased appetite, Eye irritation, Headache, Nausea, Ocular hyperaemia
Clinical narrative: Presented 9/24/09, 2:22, eyes bloodshot, red. Hasn't eaten since yesterday. HA started after vaccine and nausea, bloodshot eyes start couple of hours after. Eyes were burning initially and arm itching a little. Had it before last year the flu and pneumonia and previous years.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Presented 9/24/09, 2:22, eyes bloodshot, red. Hasn't eaten since yesterday. HA started after vaccine and nausea, bloodshot eyes start couple of hours after. Eyes were burning initially and arm itching a little. Had it before last year the flu and pneumonia and previous years.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Cough, Headache, Pyrexia, Sneezing
Clinical narrative: Patient had considerable cough and sneezing after dose was given on 9/16/2009. Within 24 hours patient developed low grade fever. By 48 hours after dose, patient developed headache, stomach ache and vomiting ( no further fever). Patient had intermittent emesis for 24-36 hours then recovered.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Vomiting
Clinical narrative: Patient had considerable cough and sneezing after dose was given on 9/16/2009. Within 24 hours patient developed low grade fever. By 48 hours after dose, patient developed headache, stomach ache and vomiting ( no further fever). Patient had intermittent emesis for 24-36 hours then recovered.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Somnolence
Clinical narrative: Tingling in left leg at 7:15pm. Tingling in left leg and arm; sleepiness at 8:15pm.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Condition aggravated, Headache, Hypersensitivity, Throat tightness
Clinical narrative: I received Flu vaccine 2 hrs after my throat started to close up. I develop Hives over Body. Headache & Joint Pains & Vomiting.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria, Vomiting
Clinical narrative: I received Flu vaccine 2 hrs after my throat started to close up. I develop Hives over Body. Headache & Joint Pains & Vomiting.
Age: 1.23
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash generalised, Rash pustular
Clinical narrative: Rash all over body. Red circle, areas pustules on abd, back, legs and diaper.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Face oedema
Clinical narrative: Pt experience facial edema, eye swelling. No SOB, no difficulty swallowing. Tx at hospital Ed with BENADRYL and PREDNISONE.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Erythema, Injection site reaction, Paraesthesia, Skin tightness
Clinical narrative: Within 5 min. tingling injection site, right arm, spread to entire arm, red area above wrist. Tingle and tightness spread to head, arms, legs.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient received PNEUMOVAX and FLUZONE injections on 9/16/09. States that on 9/17 she noted swelling, erythema and pain in arm below injection site. "Rash" and tenderness now approx. 3 " below injection area. Pt given MEDROL dose pack with instructions for warm compresses, NSAIDS and elevation and instructions to follow up if no improvement or worsening occurs in 24-48 hours.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt left arm from the shoulder to the elbow has become swollen, red, and hot to touch.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Noted reddened area around site of injection & hardened area 10 mm site of injection.
Sex: U
Vaccine: HPV4
Symptoms: Neurological symptom
Clinical narrative: Information has been received from the patient's mother concerning her daughter with allergy to latex, who on an unknown date was vaccinated with a dose of GARDASIL. The patient's mother stated that on an unknown date, her daughter experienced symptoms that "mimicked a stroke". Upon internal review "mimicked a stroke" was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Biopsy skin, Blood blister, Cough, Hypokinesia
Clinical narrative: Information has been received from a female patient with a history of low white blood cell count, who on 04-JUL-2009 was vaccinated with a 0.5ml dose of PNEUMOVAX 23 as part of what one of her nurses told her was standard procedure. Concomitant medication included mood stabilizers (name and manufacturer unspecified). She stated that she was in the hospital to monitor a low white blood cell count. Within 3 hours after the vaccination, the patient developed a blood blister on her nose and experienced minor joint pain. The next day on 05-JUL-2009 every joint in her body hurt and she could barely move. The patient went to the emergency room and within 20 minutes was completely paralyzed and was admitted to the hospital (name, address and length of stay unspecified). The patient was diagnosed with "vascecularitis." Her arms and legs had raw patches on them that were peeling. She had also developed a chronic cough. Labs and diagnostic tests included skin biopsy, result not reported. At the time of the report, the patient was recovering. Upon internal review, paralysis was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Paralysis, Skin exfoliation, Vasculitis, White blood cell count decreased
Clinical narrative: Information has been received from a female patient with a history of low white blood cell count, who on 04-JUL-2009 was vaccinated with a 0.5ml dose of PNEUMOVAX 23 as part of what one of her nurses told her was standard procedure. Concomitant medication included mood stabilizers (name and manufacturer unspecified). She stated that she was in the hospital to monitor a low white blood cell count. Within 3 hours after the vaccination, the patient developed a blood blister on her nose and experienced minor joint pain. The next day on 05-JUL-2009 every joint in her body hurt and she could barely move. The patient went to the emergency room and within 20 minutes was completely paralyzed and was admitted to the hospital (name, address and length of stay unspecified). The patient was diagnosed with "vascecularitis." Her arms and legs had raw patches on them that were peeling. She had also developed a chronic cough. Labs and diagnostic tests included skin biopsy, result not reported. At the time of the report, the patient was recovering. Upon internal review, paralysis was considered to be an other important medical event. Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: 9/258/09 09:30 Telephone report from school nurse states this student did receive FLUMIST nasal spray yesterday. Today school nurse states that the child is complaining that he is having difficulty in swallowing and that there is some tongue swelling. Speech does not seem to be impaired. No apparent problems breathing. Referred to PMD.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Large red, circular area where injection was given; also painful and itchy at site. Doctor was contacted and cold compress and TYLENOL was prescribed. Patient still complaining of pain and redness after two days.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anaphylactoid reaction, Movement disorder, Oedema peripheral, Pain in extremity, Tremor
Clinical narrative: Information has been received from a registered nurse concerning a 65 year old female patient with hyperlipidemia and hypertension and a history of herpes zoster who on 14-SEP-2009 morning was vaccinated with the first dose of PNEUMOVAX (lot# 663486/0507Y). Concomitant vaccine administered on the same day included influenza virus vaccine (unspecified) (manufacturer unknown) in the other arm. By the evening of 14-SEP-2009 the patient could not move her arm. It was extremely swollen and painful. The patient was seen in the office and was given SOLUMEDRIL as it "looked like an anaphylactoid reaction". She was shaking and was taken to an unspecified hospital. The patient was hospitalized. The other arm administered the influenza virus vaccine (unspecified) had no reaction. The nurse stated that the patient developed "more of a reaction than you would expect". The office would like a lot check on lot# 663486/0507Y. Could not moving her arm, extremely swollen arm, extremely painful arm, anaphylactoid reaction and shaking were considered to be disabling. Additional information has been requested. This is one of several reports from the same source. A lot check has been initiated. 11/17/09:  Hospital Records received for dates of service 11/14/09 to 11/16/09. Dx: Allergic reaction.  Assessment:  Pt. states that immediately upon receiving the pneumonococcal vaccine she felt pain in her shoulder and then became SOB.  She also received the Influenza vaccine in the other arm. Pulse oxymetry was 83%.  Given Solumedrol in MD office.  Shoulder pain persisted and she presented to the ED and was admitted with shoulder pain bilaterally. Shoulder ROM limited due to discomfort.
Age: 10.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Disorientation, Fear, Injection site pain, Vision blurred
Clinical narrative: Injections of tDap and Flu shot were received at approx.  2pm.  Mom describes patient complaining of pain at site of injection at bedtime, so she layed with him.  Soon after, he became disoriented and scared.  Asked, "Mom, where am I?"  He also had blurry vision.  No fevers.  No seizures.  Patient was taken to ER.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, No reaction on previous exposure to drug, Pain
Clinical narrative: Severe pain deep to injection site right deltoid shortly after injection, worsened over next several hours and unable to abduct arm without pain. Limited ROM arm, shooting pains in area.  No edema erythema induration.  No discrete paralysis. Has had multiple flu shots as well as other vaccines in military and never had reaction.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Patient had a large bruise on her arm at administration site.
Age: 0.47
Sex: F
Vaccine: IPV
Symptoms: Crying, Emotional distress, Irritability
Clinical narrative: Client received IPV after 1pm. When arrived at home started to cry, fuss and was completely and utterly inconsolable. She did nurse , and had periodic small naps of 10 minutes, would jerk awake cry very shrill cries. That continued up to 7pm when she finally went to sleep. after thsi no more episodes of crying. No fever or other symptoms displayed. Presently well.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling to R thigh Dx: Cellulitis. treatment Keflex250/5ml 7cc TID
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash erythematous, Rash vesicular
Clinical narrative: The patient stopped by pharmacy clinic today complaining of pruritis and a rash  that she states began on 6/20 after she received Zostavax on 6/16. She denies  starting any new medications around this time and cannot recall any unusual  foods she may have eaten that would cause an allergic reaction. She has been  taking Benadryl regularly for this and she states this has helped the itching.  She has had chicken-pox in the past and states this rash is similar to chicken- pox, except not as severe. She has red spots over her trunk, legs, and arms and  states they were also on her face but those have went away. She tells me the  areas are healing now and the redness and itching is subsiding.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Oxygen saturation decreased, Pruritus, Respiratory rate increased, Wheezing
Clinical narrative: Child in for immunizations. within 15 minutes of administering child with cough,wheezing,itchy nose.0s saturation 88%. Before immunizations administered lungs were clear.Benedryl po was given as well as albuterol 2.5mg neb x 1. child remained in clinic for 2 hours after incident and symptoms resolved.
Age: 11.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Headache, Lethargy, Pain, Pyrexia
Clinical narrative: Fever 101.9, Vomiting, Lethargy, achy, headache, dizzy. Symptoms started about 7 hours after vaccination on 9/24/09
Age: 11.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Fever 101.9, Vomiting, Lethargy, achy, headache, dizzy. Symptoms started about 7 hours after vaccination on 9/24/09
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: immediate syncope event following vaccination.
Age: 7.0
Sex: F
Vaccine: IPV
Symptoms: Dizziness, Heart rate increased, Oropharyngeal pain, Pallor, Tachycardia
Clinical narrative: Patient received her polio vaccine on Wednesday August 19, 2009 after 3:30 Pm during her scheduled well exam. On Saturday August 22nd at about 3PM she experienced these symptoms:paleness, sore throat, dizziness & rapid heart beat. When the rapid heart beat did not subside, she waw taken to the ER. There she was diagnosed with tachycardia.
Age: 5.0
Sex: M
Vaccine: DPP, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: AT INJECTION SITE PATIENT DEVELOPED A LOCAL RED AND INDURATED CIRCULAR REACTION THAT MEASURED 5 INCHES IN DIAMETER. PATIENT WAS TAKEN BACK TO CLINIC FOR EVALUATION OF REACTION AND SEEN BY A PHYSICIAN WHO MEASURED THE DIAMETER OF THE REDDENED CIRCULAR REACTION TO DTAP.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: PAIN IN LEFT ARM BEGAN WITHIN 1/2 HR. OF RECEIVING FLU SHOT.  PAIN INTENSIFIED AND WENT TO THE HIP AND LEFT LEG AND AROUND THE NECK.  PAIN WAS INTESE FOR 5 HOURS AND I AM STILL HAVING PAIN IN MY HIP,ARM, LEG & NECK APPROXIMATELY 17 HOURS LATER.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pallor, Rash erythematous, Rash generalised, Rash macular
Clinical narrative: PATIENT DEVELOPED A BLANCHING, MACULAR, ERYTHEMATOUS, NONTENDER, NONEDEMATOUS RASH ON FACE, TRUNK, BACK, EXTREMITIES, AND GROIN WITHOUT EVIDENCE OF BACTERIAL SUPERINFECTION.  THE RASH DEVELOPED 11-12 DAYS AFTER IMMUNIZATION WITH PCV,MMR AND VARIVAX.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: immediate syncope event folling all shots
Age: 0.59
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PPV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient febrile 09/25/2009 mother took patient to hospital emergency room. While a patient in the emergency room under care of Dr. patient had a febrile seizure.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site pain, Pain in extremity, Rash, Skin warm
Clinical narrative: Evening after vaccine, pt felt pain in Left arm above elbow to shoulder.  Next day, pt noted 3" diameter red area on upper arm but below vaccine site.  It was warm, painful and grew larger. She developed another, smaller red area under her arm above elbow. Rash slightly raised, nonitchy.  On 09/24 pt saw PA who gave her antihistamine and stated that she'd had a reaction.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site induration
Clinical narrative: received kinrix on 09-22-09 l thigh and started with area of induraion about 2 inches in diameter on 09-23-09 and on 09-24-09 induration enlarged to 10 inches. no other complaints. given benadryl and prednisone.
Age: 58.0
Sex: U
Vaccine: PNC
Symptoms: Pneumothorax
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized for Pneumothorax. Vaccination took place 1/27/2009. According to the physician the relationship is 'None'. We would be happy to forward the Study's SAE reporting form upon request.  10/1/09 D/C Summary received for DOS 8/6-10/2009 with DX:  Left Pneumothorax.  Pt was receiving a CT guided lung biopsy for a lung nodule when pt suffered a >30% pneumothorax.  Chest tubes placed x 2 and admitted for observation in RICU.  SubQ epmphysema and decreased breath sounds noted on the Left. Concurrent COPD exacerbation. Ptx resolved and pt to f/u as outpt.
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Injection site discolouration, Injection site pruritus
Clinical narrative: Discoloration of skin where vaccine given and itching at site for appox. 6 weeks after vaccination
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying
Clinical narrative: Pt. age at vaccination time was 7 weeks.  Vaccines given @ approx 4:45 pm 9/24/2009.  Mom called County Health Dept at 2:00pm 9/25/2009 and stated infant had been having nonstop crying starting at 9:30pm 9/24/2009 until about 4:30 am 9/25/2009, and has been crying all day. Sleeping now, instructed Mom to take infant to ER.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Death, Respiratory failure
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, died due to respiratory failure secondary to COPD. Vaccination took place 9/19/2007. According to the physician the relationship is 'None'. We would be happy to forward the Study's SAE reporting form upon request.   10/1/09 PSCC Report DOS 6/2/09 Assessment: Death Due to COPD. Subject died in hospital from respiratory failure secondary to COPD. 10/06/09 Death certificate states COD as COPD w/diabetes mellitus, atril flutter, hypertension & CVA as contributing factors ICD-9 Code: 491.20 10/6/09 Death certificate received. Cause of death: COPD
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Face oedema, Injection site erythema, Malaise, Oedema peripheral, Pyrexia
Clinical narrative: Moderate redness at injection site, low-grade fever within hours of injection. Approximately 8 hours later noted small amount of facial and peripheral edema. C/o malaise.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Injection site pain, Oedema peripheral, Pruritus
Clinical narrative: Pt said shot hurt like hell when it was given. By 9/15 arm was red and swollen. By 9/16 area was hard, swollen, red, itchy, painful. Swollen area was fist-sized. By 9/18 it was still itchy, sore, very tender all the way down to wrist. With little bumps, like goose bumps all the way down to wrist.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Tenderness
Clinical narrative: Pt said shot hurt like hell when it was given. By 9/15 arm was red and swollen. By 9/16 area was hard, swollen, red, itchy, painful. Swollen area was fist-sized. By 9/18 it was still itchy, sore, very tender all the way down to wrist. With little bumps, like goose bumps all the way down to wrist.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Pt received Influenza vaccine IM on Tuesday September 22, 2009.  That evening pt had leg pain causing pt to limp and parents noticed swelling and redness.  The symptoms have persisted.  Pt was seen By Dr. in office on 9/25/09 and has large local swelling and erythema.  Dr feels it is from the vaccine pt received.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyspnoea, Fatigue, Headache, Joint stiffness
Clinical narrative: dizzy, very bad headache, stiff joints, stiff and painful neck, trouble breathing and short of breath, fever, ligh-headed, tired, whole body sore to the touch--fainting.  felt like I was becoming paralayzed--  was like this for 2 days.       I WILL NOT HAVE THE 3RD DOSE.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Pyrexia, Syncope
Clinical narrative: dizzy, very bad headache, stiff joints, stiff and painful neck, trouble breathing and short of breath, fever, ligh-headed, tired, whole body sore to the touch--fainting.  felt like I was becoming paralayzed--  was like this for 2 days.       I WILL NOT HAVE THE 3RD DOSE.
Age: 15.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Extreme swelling, redness of the injection site. Headache, High Fever (101.6 - 102 degrees), Neck stiffness, Chills, Dizziness, Nausea
Age: 15.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Extreme swelling, redness of the injection site. Headache, High Fever (101.6 - 102 degrees), Neck stiffness, Chills, Dizziness, Nausea
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Aggression, Irritability, Upper respiratory tract infection
Clinical narrative: Parent called - described significant behavioral changes over 36-48 hours after flu vaccine - aggressive, fussy, much more significant than baseline - no fever- no tenderness at injection site - mom also said uri present over the week
Age: 6.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm, Vaccine positive rechallenge
Clinical narrative: He got the flu shot in his L arm and that evening his upper arm got red, swollen, and hot to touch, he has also had fevers off and on since he got it.  I have been giving him Motrin and benedryl, as of now its  still the same his arm has not gone down, as far as swollen, red, and hot.  He got the same reaction last year when given the flu shot.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Confusional state, Encephalitis, Headache
Clinical narrative: Severe headache, confused state and diagnosed with encephalitis. H - Aug 21 - Sept. 12, 2009. 12/04/09 Discharge Summary, ED, and hospital records received for DOS 08/22/09-09/09/09. Pt. c/o stomachache and headache x 1 day; not focusng at all; walking off balance. Admitted to ICU; tx. with IV fluids. Tamiflu and antibiotics; renal consult for elevated creatinine; ID and neurology consults obtained Intubated on 08/28/09 for airway protection. Focal seizure activity required treatment with Ativan and Fosphentoin. Continued to have confusion and combativeness; treated with antipsychotics, transferred to psychiatric facility.   DC DX: meningoencephalitis, cognitive disorder; acute renal failure, encephalopathy
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Bone densitometry, Guillain-Barre syndrome
Clinical narrative: 1. Was hospitalized 9/16/08. 2. Hospitalized 01/30/09. 3. Hospitalized for GBS - 02/06/09.  12/11/09 DC summary for DOS 09/16/08  09/20/08: Final DX: R upper lobe pneumonia. Pt c/o malaise, decreased appetite, fever, weakness bilaterally.  On examination: leukocytosis.  Tx: antibiotics.  Pneumonia resolving.  Pt discharged home.    12/11/09 ED note for DOS 01/30/09 DX: paresthesias. Pt c/o numbness BLE and BUE. Decreased sensation hands and feet. Pt discharged with cardiology f/u.  12/03/09 DC summary for DOS 02/06/09  02/10/09. Final DX: GBS. Pt c/o weakness and tingling of U and L extremities. Pt had transthoracic echocardiogram:  moderate enlarged LA, mild L inferior hypertrophy, mild enlarged RA. Also, LP performed.  12/03/09 DC summary for DOS 02/13/09  02/16/09 Final DX: GBS. Pt readmitted for further observation of GBS.  On 02/14/09, Pt had unsteady gait.  Pt's GBS was slowly progressing, but there were no health concerns during the hospital stay.  Pt was stable and able to ambulate with cane.  Pt discharged home with OT/PT f/u.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: About six hours after DAPTACEL. Pt developed rash at site, red, warm, c/o itching. Referred to Dr. on 9/25/09 and appears that it might be fading. Con. to c/o itching 4 cm diam. R leg.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Patient described tingling in the face on the same side as vaccine.
Age: 27.0
Sex: M
Vaccine: FLUN3, HEPAB, YF
Symptoms: Bradycardia, Swelling, Urticaria, Wheezing
Clinical narrative: O2 Sat 93%. Hives, wheezing and swelling, bradycardia EPI x 2 then transported via EMS to staff and hospital ER.
Age: 2.0
Sex: U
Vaccine: FLUN3, HEPA
Symptoms: Pyrexia, Vomiting
Clinical narrative: Mom reports pt had continued vomiting from 0700-1100 with fever of 103.0F. Mom states by late afternoon pt acting & eating WNL.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: 9/21/09 Received TC from client-received AFLURIA yesterday-stiffness in neck today. Questions if flu shot related. Advised call MD-putting ice on site, sore and took TYLENOL.
Sex: F
Vaccine: FLU3
Symptoms: Injection site cellulitis, Vaccine positive rechallenge
Clinical narrative: 9/21 Received AFLURIA yesterday-now has cellulitis at site. Same thing happened last year-she called MD-on KEFLEX 4 x day. 9/24 Doing better-to see MD today for a recheck appt.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient reported redness, swelling, pain in left arm to pharmacist on duty the evening of 9/24/09. She was vaccinated with PNEUMOVAX in that arm. Pharmacist on duty advised cold compresses, BENADRYL. On 9/25/09 patient reported continuing pain, swelling, redness and fever in arm. She said she would watch it over the weekend and follow up with her MD if not better.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: I was vaccinating family of 5. It turned out youngest needed FLUMIST. I filled 4 out of 5 syringes. I picked up 3 filled  1 empty syringe. Patient was injected with empty syringe. I saw patient next day no adverse reaction.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Inflammation
Clinical narrative: Patient said her knee got inflamed and went to her doctor and doctor said it was probably related to the Flu shot.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Wheezing
Clinical narrative: Received FLUZONE at approx. 07:00. 08:00 dry cough progressing to audible wheezing with increasing severity. Treated with 25 mg BENADRYL IM with symptom improvement.
Age: 29.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site abscess, Injection site inflammation
Clinical narrative: Very inflamed at site of injection. Had to go to Dr.-told inj. site had abscessed, given CEPHALEXIN.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Dizziness, Feeling hot, Feeling of body temperature change
Clinical narrative: Upon giving vaccine employee states she felt chills, then approximately 15 mins later she felt chills again. At 1845 she felt hot, flushed cheeks, and diaphoresis, then cold chills approx 15 min. episodes each on 9/25/2009 symptoms lasting approx 2 hrs and 15 min. Tem 103 degrees with hallucinations approx 1 degree stopped after fever brake. Emesis x4  states it was stomach and then dry because approx 10 - 15 min. She applied cold towels to head/body. Awoke next morning with dizziness and muscle pain. IBUPROFEN taken for muscle pain relief.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Hallucination, Hyperhidrosis, Myalgia, Vomiting
Clinical narrative: Upon giving vaccine employee states she felt chills, then approximately 15 mins later she felt chills again. At 1845 she felt hot, flushed cheeks, and diaphoresis, then cold chills approx 15 min. episodes each on 9/25/2009 symptoms lasting approx 2 hrs and 15 min. Tem 103 degrees with hallucinations approx 1 degree stopped after fever brake. Emesis x4  states it was stomach and then dry because approx 10 - 15 min. She applied cold towels to head/body. Awoke next morning with dizziness and muscle pain. IBUPROFEN taken for muscle pain relief.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chest pain, Immediate post-injection reaction
Clinical narrative: Chest ache/tightness x 10 min. immediately after vaccine admin.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Right after shot as patient was at car; patient experienced transient chest ache which went away. Next morning upon awakening, severe chest ache/tightness took place x 1/2 day.
Age: 12.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Induration, Inflammation, Local reaction, Skin warm
Clinical narrative: Local inflammation reaction. Area of induration, redness, heat is about 3 inches diameter.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Pain, Rash
Clinical narrative: Vaccine on 8/13/09. Rash on lower torso 8/20/09-pain saw Dr. on 8/21/09. Received ACYCLOVIR and PERCOCET, missed vacation-better now 9-10-09.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Injection site swelling, Musculoskeletal stiffness, Nausea
Clinical narrative: After 4-6 hours of getting FLUVIRIN vaccine. Pt had following symtoms/RXN. All over body rash, Hives, swelling at injection site. Body aches, neck & back stiffness, dizziness nausea & diarrhea.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Rash generalised, Urticaria
Clinical narrative: After 4-6 hours of getting FLUVIRIN vaccine. Pt had following symtoms/RXN. All over body rash, Hives, swelling at injection site. Body aches, neck & back stiffness, dizziness nausea & diarrhea.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Swelling
Clinical narrative: 1:40 pm-slight bleeding @ injection site-stopped immediately, but rapid swelling 1/4-1/2" around; applied gentle pressure & ice-patient denied am discomfort & unconcerned. Sent ice home w/pt. 3pm called patient @ home-was fine, no swelling, nausea, soreness or bleeding.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: Injection site sore, pain in left shoulder radiating into neck. Headache after injection, gone after 12 hours.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Light headedness 2 hrs after appointment Dizzy. Symptoms gone by the next day.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Haematocrit decreased, Haemoglobin normal, Lip swelling, Nasal congestion
Clinical narrative: Developed rash, oral paresthesias, itching rash swollen lips " foggy stuffy head" Rash on lips and legs red blotches - pt relates she had milder re last yr. But didn't connect it to FLU vac until now. RX DECADIN, PREDNESONE, BENADRYL.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia oral, Rash, Rash macular, Rash pruritic, Vaccine positive rechallenge
Clinical narrative: Developed rash, oral paresthesias, itching rash swollen lips " foggy stuffy head" Rash on lips and legs red blotches - pt relates she had milder re last yr. But didn't connect it to FLU vac until now. RX DECADIN, PREDNESONE, BENADRYL.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dysarthria, Fatigue, Speech disorder
Clinical narrative: About 30-45 minutes after my shot, I noticed my speech was slurring. I was very tired and also saying words that did not apply to what I was talking about. The slurring was not constant.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Dizziness, Myalgia, Vision blurred
Clinical narrative: Muscle ache, Joint pain, dizziness vision was blurry 2 hrs after receiving injection the symptoms started.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: PATIENT CALLED 9/23/09 STATING SHE IS STILL IN EXCRUCIATING PAIN. SAID SHE WAS VERY PAINFUL ON ADMINISTRATION AND IS STILL VERY PAINFUL 2 WKS LATER.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Patient presented to Pharmacist approximately 1 hours after vaccination with red face, arms, & legs. RPh immediately administered 50mg diphenhydramine IM and monitored patient for next hour. The redness steadily decreased, patient went home. He called later to inform RPh that he was feeling much better.
Age: 20.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain in upper left arm-unable to lift left arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Malaise, Pain
Clinical narrative: No ADE after giving shot directly. Patient called from home stating "hot feeling well, body aches, diarrhea, RPh/administrator explained couldn't get Flu from inactivated FLUVIRIN.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Pain, redness, numbness and tingling the next day. Pt given MOBIC 15 mg 1 dly. Advised to apply ice and rest arm. No work 9-22-09 and 9-23-09.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: After patient received vaccine, patient (while still in chair) passed out. PT was out for more than 15 seconds. Patient woke up and was fine. Paramedics were called and they escorted her out of the store.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swollen and sore under arm pit are the same side FLU shot was given one day later
Age: 37.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: 37 y/o male developed a moderately large local reaction over left deltoid involving erythema, tenderness, & left axillary tenderness without warmth, rash itching or systemic symptoms; swelling measured 35 x 35 mm; reaction onset was within 24 hrs following receipt AVA#7 & MGC vaccines both given in left deltoid on 9/18/2009. Prior dose of AVA#6 was May 2000. Pt reported swelling was improved but not resolved by 9/24 so he RTC on 9/24 for f/u - diagnosed with possible cellulitis & prescribed oral antibiotics.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Notice the swelling the next day after vaccine was administered (09/23/09). Red and hard, swollen 4 cm x 4 cm, but as per mom has reduced from 9/24/09.
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Muscle tightness
Clinical narrative: C/o severe tightness all muscles, especially lower extremities-OTC Motrin provides tempory relief but must be taken q 3-4 hrs.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Rash maculo-papular, Varicella post vaccine
Clinical narrative: Information has been received from a physician concerning a 5 year old female who was vaccinated with PROQUAD (Merck) (lot # not reported). The physician reported that the patient developed a breakthrough chicken pox rash more than one year after receiving PROQUAD (Merck) (dates unspecified). The patient, now 6 years old, was seen in the office on 28-MAY-2008 with 15 to 25 maculopapular lesions on the torso, without fever. The patient was not treated. On 05-JUN-2008, a representative from the physician's called and indicated that she did not think this case was for one of their patients, since their office does not administer PROQUAD. The representative looked in the physician's database for patients seen on 28-MAY-2008 and confirmed that no 6 year old females were on the schedule that day. Additional information is not expected.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Body temperature increased, Pruritus, Rash
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old boy who on 01-MAY-2008 was vaccinated with the first dose of OKA/MERCK injection. On 10-OCT-2006 the patient received ENDERS-EDMONSTON, JERYL LYN, WISTAR RA 27/3, OKA/MERCK upgrade process, MSD for second dose. On 15-MAY-2008 the patient came to physician's office with a temperature 100'F and the patient had developed spots under his arms and on his body and they think that it is chicken pox, but not definite yet because they ran some tests but are still waiting for the test results to confirm it. Per nurse, the patient's spots were itchy. The patient's adverse events persisted. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: After 3-4 minutes of receiving vaccine patient reported of dizziness. When try to help, patient refused any help to be given. Contacted patient's doctor and doctor said they will try to contact patient. Patient was in the store for 20-25 minutes walking around.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain
Clinical narrative: Chestpain
Age: 50.0
Sex: U
Vaccine: IPV, TDAP, TYP
Symptoms: Blister, Blood urea normal, Erythema, Full blood count normal, Oedema peripheral
Clinical narrative: Patient was vaccinated with IPV, typhoid vaccine, and TdAP all in the left deltoid on 9/23/09 by RN at nursing clinic. On the following day (9/24/09) she developed left shoulder redness, swelling & blisters and was seen in the ER. She received steroids & underwent bullae drainage, with improvement in the ER, and she was discharged to home with a steroid taper, and recommendations to take Benadryl.
Age: 50.0
Sex: U
Vaccine: IPV, TDAP, TYP
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: Patient was vaccinated with IPV, typhoid vaccine, and TdAP all in the left deltoid on 9/23/09 by RN at nursing clinic. On the following day (9/24/09) she developed left shoulder redness, swelling & blisters and was seen in the ER. She received steroids & underwent bullae drainage, with improvement in the ER, and she was discharged to home with a steroid taper, and recommendations to take Benadryl.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Inflammation, Lymph node pain, Lymphadenopathy
Clinical narrative: Inflamed Lymph Node under the left armpit, injection was given IM into left arm.The swollen node feels like a golf ball and quite painful, it developed ( started hurting) the day after receiving the vaccination
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Immediate post-injection reaction, Injection site discomfort, Injection site pain, Pain in extremity
Clinical narrative: 3rd dose of Anthrax series.  Patient noted immediate discomfort at injection site. Has had mild left arm pain to date that occasionally radiates to fingers.  Point tenderness at injection site.  No history of adverse reaction to anthrax immunization.
Age: 0.51
Sex: F
Vaccine: DTP, FLUX, HEP, OPV, PPV
Symptoms: Eye swelling, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: 30 minutes to 2 hours after shot: Swelling of left eye (eye completely shut), some hives on back, and swelling and redness of injection site (left leg). Day after shot: continued swelling of left eye (less severe) and some swelling of right eye.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site rash, Rash generalised
Clinical narrative: BROKE OUT WITH A RASH..STARTED WITH ONE SPOT ON BOTTOM THEN ONE ON RIGHT THIGH WHERE INJECTION WAS GIVEN. RASH IS CURRENTLY SPREADING ONTO BACK. RASH BEGAN 9-25-09. TREATMENT IS TO LIMIT EXPOSURE TO OTHERS, MONITOR RASH AND ADMINISTER ZYRTEC FOR ITCH IF ITCH DEVELOPS.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling, Rash
Clinical narrative: Received Seasonal Influenza Vaccine at approximately 11:30 am, returned to clinic at 12:00 with reddish rash around mouth. Slight swelling inside lower lip. No difficulty breathing, no itching, no rash on any other body part. Refered to Private MD, called prior to leaving clinic and mom waiting on return call. Discussed with mom that if and shortness of breath or spreading of rash, to call 911 and seek Emergency care.
Age: 70.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Heart rate increased
Clinical narrative: ABOURT 10-15 MINUTES AFTER RECEIVING FLUVIRIN AND ZOSTAVAX PT EXPERIENCED INCREASED HEART RATE WHICH LASTED ABOUT 30 MINUTES OR LESS.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Gaze palsy, Presyncope, Respiratory arrest, Tremor
Clinical narrative: Patient laying down when shot was given. Approximately 2 minutes following vaccine administration patient layed back down and exhibited shaking/tremors with eyes rolling back.  Nurse reports patient appeared cyanotic and was not breathing for approximately1 minute.  Physician contacted.  Felt it may have been a vasovagal response.  Father stated "the exact same thing happened last year.  Offered patient provider visit.  Family declined and patient ambulated out independently.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Vaccine positive rechallenge
Clinical narrative: Patient laying down when shot was given. Approximately 2 minutes following vaccine administration patient layed back down and exhibited shaking/tremors with eyes rolling back.  Nurse reports patient appeared cyanotic and was not breathing for approximately1 minute.  Physician contacted.  Felt it may have been a vasovagal response.  Father stated "the exact same thing happened last year.  Offered patient provider visit.  Family declined and patient ambulated out independently.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Decreased appetite, Fatigue, Hypersomnia, Pyrexia
Clinical narrative: Hepatitis A was given at the county health dept and 4 hours later patient get a high fever of 102.2 and was very tired and slept a lot and had lost of appetite for 4 days.