chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Borrelia burgdorferi serology, Facial palsy, Hypoaesthesia facial, Red blood cell sedimentation rate
Clinical narrative: Facial numbness w\drooping. Bells palsy. Predisone/CT scan.  11/14/08 Reviewed PCP medical records of 9/11-11/06/2008. FINAL DX: Bell's palsy Records reveal patient experienced intermittent redness & inflammation of conjunctivae bilaterally.  Right calf also swollen & painful w/equivocal Homan's.  Referred to ophtho & vein center.  RTC 11/1/08 w/numbness/tingling left face w/HA x 2 days.  Tx w/steroids.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Facial droop. Bells palsy Famciclovir 750 mg TID x 7 days predisone 60mg PO x 7 days, Neurontin 300 mg x 10 days.  11/25/08 Reviewed PCP medical records of 10/29-11/5/2008. FINAL DX: Bell's palsy Records reveal patient experienced right facial droop, HA, shooting pain in throat. Exam noted droop of right mouth & eyelid, decreased smile on right.  Tx w/antiviral & steroids & neurontin for pain.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Knee operation, Rash pruritic, Rash pustular
Clinical narrative: Pt states rash with itchy began week of Oct 20th. Pustule forming over weekend of 10-25-08 - 10-26-08. Itchy t/o body but rash contained to waist area. Pustules starting to scab over as of Mon 10-27-08. Pt checked on per phone call on 10-29-08. Done well takes Benadryl 25mg PO if its to help with itchy as directed by nurse on 10-27-08. Able to go on with life & "not bothering much at all."
Age: 26.0
Sex: U
Vaccine: FLUX
Symptoms: Dyspnoea, Fatigue, Pneumonia, Pruritus, Respiratory distress
Clinical narrative: Received 3 influenza vaccines (1988,1994, 1997 dates unknown). 1988 mild pruritis; 1994 pruritic hives to body; 1997 resp distress, red hives, fatigue, wheezing, difficulty breathing tx'd with pred, inhaler, antibiotic after dx changed to pneumonia. Symptoms: Dyspnea (shortness of breath), Wheezing, Hives, Pruritus.
Age: 26.0
Sex: U
Vaccine: FLUX
Symptoms: Urticaria, Wheezing
Clinical narrative: Received 3 influenza vaccines (1988,1994, 1997 dates unknown). 1988 mild pruritis; 1994 pruritic hives to body; 1997 resp distress, red hives, fatigue, wheezing, difficulty breathing tx'd with pred, inhaler, antibiotic after dx changed to pneumonia. Symptoms: Dyspnea (shortness of breath), Wheezing, Hives, Pruritus.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL
Symptoms: Anorexia, Crying, Pain, Pyrexia
Clinical narrative: Child received immunizations on 10/28/08 around 11:00 AM, he developed fever about 700PM that evening, per mother of child. He cried at intervals thru the night, the next AM he was noted having a high pitch cry and loss of appetite. He was taken to Hospital ER that evening with temp of 103 degrees. Childs crying was secondary to pain from immunizations. Pt was tx with Tylenol. Mom states child continued a high pitch cry at intervals until 11/3/08. Fever abated on 11/2/08, Mom told incident to Health Dept on 11/5/08.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Lymphadenopathy, Rash, Respiratory tract congestion, Swollen tongue
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives. She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue. The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives. She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue. The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Lymphadenopathy, Pulmonary congestion, Rash, Swollen tongue
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives. She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue. The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Lymphadenopathy, Rash, Respiratory tract congestion, Swollen tongue
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives.  She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue.  The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives.  She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue.  The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Lymphadenopathy, Pulmonary congestion, Rash, Swollen tongue
Clinical narrative: 3 hours after administration of flu vaccine, patient developed sudden onset cough, chest congestion, swollen cervical lymph nodes and hives.  She took Alavert antihistamine and about 3 hours later, awoke with a swollen tongue.  The tongue swelling and rash had resolved by the time the patient called our office the day after her reaction.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria on back, upper extremities, abdomen. Treated with topical aloe/calamine (no antihistamine, per pharmacist, because pt on stimulants.
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Wheezing
Clinical narrative: Pt received Flumist on 11/04/08. On 11/7/08 pt presented to urgent care with cough and wheezing.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain lower, Dizziness, Nausea
Clinical narrative: Dizziness, lightheadedness, nausea, lower abdominal pain. Began in morning 11/5/08, symptoms subsided within 6 hours.
Age: 11.0
Sex: F
Vaccine: DTAPHEPBIP, FLUN3, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Pediarix instead of Tdap
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Rash macular
Clinical narrative: local reaction/redness progressed to size 3" and blotchy down thigh.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Swelling, Tenderness
Clinical narrative: On 11-5-2008 (mom reports) red, itchy, tender with swelling. Applied topical BENADRYL. Came to our office Friday 11-7-2008, no edema still red and tender, itchy. Area was 1 1/2 cm x 1 1/2 cm.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Alanine aminotransferase normal, Amnesia, Anion gap normal, Aspartate aminotransferase normal, Basophil count normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Basophil percentage, Blood albumin increased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Blood chloride normal, Blood creatinine normal, Blood folate normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Blood thyroid stimulating hormone, Blood urea normal, Blood urine absent, C-reactive protein normal, Carbon dioxide normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Cold sweat, Diarrhoea, Disturbance in attention, Dizziness, Eosinophil count normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Eosinophil percentage, Erythema, Fatigue, Glucose urine absent, Glycosylated haemoglobin normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site swelling, Lead urine normal, Lymphocyte count abnormal, Lymphocyte percentage
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema peripheral, Palpitations, Platelet count normal, Protein total increased, Protein urine absent
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Red blood cell count normal, Red cell distribution width normal, Specific gravity urine normal, Urine arsenic, Urine bilirubin decreased
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urine mercury normal, Urobilin urine absent, Vaccine positive rechallenge
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Vitamin B12 normal, White blood cell count normal, pH urine normal
Clinical narrative: Pt states that he had AVA#1 on 6/18/07 without adverse event. On 9/7/07 the pt was given AVA#2 in his left arm. On 9/8/07 he noted swelling and redness around the injection site (about 1/2 inches in diameter). He had no decrease in ROM or numbness in his left arm or hand. This lasted about 3 weeks. Additionally, he had dizziness which was constant, did not interfere with activities for 5 days. On 9/9/07 he had a severe headache (the top of his head), 8/10, for 48 hours. The headache then became intermittent; MOTRIN decreased the pain but did not completely alleviate the  pain; resolved in 2 weeks. 9/9/07 he noted that his heart was beating "hard", not rapid, "I could see the bed move with each heart beat". This symptom was constant for 5 days and has continued to present being intermittent, only occurring at night when he lies down or when he gets up to the BR to void. 9/9/08 he had the sensation that "my blood was hot and I could feel my blood pulsing through my entire body". The pt was not febrile. This sensation was constant for 48 hours and has occurred about 4 times since - occurring during the nite while lying down. On 9/9/07 he noted difficulty concentrating/focusing - it was like "being in a fog" which lasted one month. On 9/9/07 he also experienced fatigue ("I was tired all the time") which also lasted one month. On 9/15/07 the pt started to have loose, watery, frequent (3-4/day) stools which lasted about one month. He had no bloody stool, nausea, vomiting, abdominal pain or decrease in appetite. The pt received AVA#3 on 11/14/07 in the left arm. Immediately he had left arm swelling and redness (less severe than with AVA#2). He again experienced headache, N, cold sweats, diarrhea, pound heart beat, fatigue and difficultly concentrating lasting from 2 days to 2 weeks. Symptoms: Memory Loss, short term, Weakness, Diarrhea, Cognitive deficiency, Fatigue, Malaise < 60 days, Erythema, Edema @ injection site < 30 mm, Clamminess, Nausea w/o vomiting, Palpitations, Diarrhea, Headache, general, Clamminess, Pain, Nausea w/o vomiting, Palpitations, Cognitive deficiency, Fatigue, Malaise <60 days, Edema @ injection site < 30 mm, Erythema, Dizziness
Age: 0.37
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Cold sweat, Erythema, Eye swelling, Peripheral coldness, Tachycardia
Clinical narrative: swelling and redness around the eyes,tachycardia, cold hands, cold and clammy forehead
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Headache, Pyrexia
Clinical narrative: Developed a slight fever and weakness as well as headaches.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Heart rate increased, Pyrexia, Wheezing
Clinical narrative: 6 hours after getting the flu shot I Developed a fever that rose to 103 degrees. I had difficuly breathing and my heartrate was faster than normal and I was wheezing.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV, TD, FLU3, PPV, TD
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Rash
Clinical narrative: Pt states had vaccinations on 10/29/08. Pneumonia and Flu vaccine on the Right arm and Td on the left arm. On 11/04/08 in the afternoon pt states left arm started itching.  That evening pt noticed that left arm was red, swollen, warm to touch, hurting and with a rach.  On 11/05/08 pt calls the clinic with above complaints.  Advised pt to come to the clinic for further evaluations.  On evaluation it was found that arm was red, swollen (area of 6x3 inches with a 3mm elevation), warm to touch, itching and painful.  Small milia-like shape pumps were also noticed.  Pt was advised to place cold compresses on the arm, take benadryl for itching and tylenol for the pain.  Also advised pt that if symptoms got worst to go to ER.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV, TD, FLU3, PPV, TD
Symptoms: Skin warm
Clinical narrative: Pt states had vaccinations on 10/29/08. Pneumonia and Flu vaccine on the Right arm and Td on the left arm. On 11/04/08 in the afternoon pt states left arm started itching.  That evening pt noticed that left arm was red, swollen, warm to touch, hurting and with a rach.  On 11/05/08 pt calls the clinic with above complaints.  Advised pt to come to the clinic for further evaluations.  On evaluation it was found that arm was red, swollen (area of 6x3 inches with a 3mm elevation), warm to touch, itching and painful.  Small milia-like shape pumps were also noticed.  Pt was advised to place cold compresses on the arm, take benadryl for itching and tylenol for the pain.  Also advised pt that if symptoms got worst to go to ER.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Headache, Hyperhidrosis, Lethargy
Clinical narrative: Member received Anthrax # 5 2Nov08. Contacted clinic 4Nov08 C/O fever, sweats, H/A, and lethargy. Member advised to follow up with Provider for care. Member did not feel the need at the time to see their provider. Member contacted the clinic 6Nov08 C/O edema, erythema, pain & tenderness non-localized to injection site. Patient instructed to proceed to nearest appropriate medical facility for Tx. Patient received Dx of cellulitis.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pain, Pyrexia, Tenderness
Clinical narrative: Member received Anthrax # 5 2Nov08. Contacted clinic 4Nov08 C/O fever, sweats, H/A, and lethargy. Member advised to follow up with Provider for care. Member did not feel the need at the time to see their provider. Member contacted the clinic 6Nov08 C/O edema, erythema, pain & tenderness non-localized to injection site. Patient instructed to proceed to nearest appropriate medical facility for Tx. Patient received Dx of cellulitis.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye irritation, Fatigue, Headache, Ocular hyperaemia
Clinical narrative: Patient received Fluzone Lot u2768aa on Wednesday 11/5/08 about 9 AM.  She began to experience fatigue, body aches and pains, bright red eyes with burning, fever, and at 2 pm lung tightness. She went to bed at 7 pm, experiencing a headache about 9 pm.  Thursday am she felt better but still had bright red eyes.  She suspects ocular respiratory syndrome
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Patient received Fluzone Lot u2768aa on Wednesday 11/5/08 about 9 AM.  She began to experience fatigue, body aches and pains, bright red eyes with burning, fever, and at 2 pm lung tightness. She went to bed at 7 pm, experiencing a headache about 9 pm.  Thursday am she felt better but still had bright red eyes.  She suspects ocular respiratory syndrome
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Area of redness/swelling at injection site - Motrin for comfort
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Hypoaesthesia facial, Swelling face
Clinical narrative: 10/9/08 onset facial swelling and numbness affecting jaw, parotid, and cheek area.  Seen by Urgent Care phys and referred to EENT. Tx w/ antibx and prednisone w/o results. CT scan neg. Swelling and numbness persist.
Age: 50.0
Sex: F
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration, Vision blurred
Clinical narrative: noticed a sensation of a film over my eves.  L eye is fine (11/6) but R eye feels like there's a contact lens in my eye.  seems to be resolving.  No treatment.  Is wondering if this is a potential side effect
Age: 55.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Bacterial culture negative, Pruritus, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: 10/10/08 ITCHING, RED FLAT RASH ON BOTH ARMS & LEGS. ONE WEEK LATER SEVERE VAGINITIS & FEVERISH.
Age: 55.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Urine analysis normal, Vaginal infection
Clinical narrative: 10/10/08 ITCHING, RED FLAT RASH ON BOTH ARMS & LEGS. ONE WEEK LATER SEVERE VAGINITIS & FEVERISH.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Chills, Feeling abnormal, Nasopharyngitis, Ocular hyperaemia
Clinical narrative: Patientdescribed fever, chills, "blah" feeling, loss of appetite that developed around 6pm 11/4/08 in a phone call to pharmacist on 11/5. I tried to follow up on 11/6 & she returned my call 11/7 in am. She is still having cold symptons but is feeling better. Also reported to me that her eyes became red in the pm on 11/4.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Patientdescribed fever, chills, "blah" feeling, loss of appetite that developed around 6pm 11/4/08 in a phone call to pharmacist on 11/5. I tried to follow up on 11/6 & she returned my call 11/7 in am. She is still having cold symptons but is feeling better. Also reported to me that her eyes became red in the pm on 11/4.
Age: 0.13
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: About four hours after immunization patient developed a fever of 102-103. Fever lasted 3-4 hours.  Was unconsolably crying during that time except for when nursing.  Crying lasted greater than 3 hours.
Age: 48.0
Sex: F
Vaccine: HEPAB
Symptoms: Dizziness, Flushing, Hypoaesthesia, Immediate post-injection reaction, Pain in jaw
Clinical narrative: Immediately folloing administration of vaccine to left deltoid, patient had tingling and numbness in left arm.  Then left jaw pain and facial flushing.  She complained of feeling dizzy and faint.  EMS was called and patient was trasported to local emergency room for evaluation.
Age: 48.0
Sex: F
Vaccine: HEPAB
Symptoms: Paraesthesia
Clinical narrative: Immediately folloing administration of vaccine to left deltoid, patient had tingling and numbness in left arm.  Then left jaw pain and facial flushing.  She complained of feeling dizzy and faint.  EMS was called and patient was trasported to local emergency room for evaluation.
Age: 35.0
Sex: F
Vaccine: HEPAB
Symptoms: Paraesthesia, Rash generalised, Urticaria
Clinical narrative: Vaccine administered on 11/4/08.  at 3am the following morning, the patient woke up with hives and a rash all over.  She also had a tingling sensation all over.  She took benadryl 50mg at 4am and again at 6:30am.  Called our office at 8:30 am 11/5/08 still with rash and hives.  Advised patient to go to local emergency room to be evaluated.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: rednesss & swelling approximate size of golf ball at injection site, accompanied by moderate soreness
Age: 1.67
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 102.7 for three days, mild rash on chest and stomach.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Culture throat, Headache, Myalgia, Nasal aspiration, Oropharyngeal pain
Clinical narrative: Patient developed fever, headache, sore throat and myalgias 4 hours after receiving Inactivated Influenza Vaccine. Evaluated the following day.  Physical exam was within normal limits except for fever of 101.  Seen 1 day later with continued fever and intense headache. Referred to the Emergency Department for further evaluation