chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: Child large red duration to left deltoid as stated by mother. Cellulitis to arm. Follow up on 06/24/04 states: "The time and date of onset is unknown as written in on the form. The health department was contacted prior to submitting the form. They did not have specific information. It was sometime between 09/22/03 when the vaccine was administered and 09/26/03 when it was reported."
Age: 56.0
Sex: F
Vaccine: TYP
Symptoms: Chest pain, Headache, Malaise, Nausea, Pain
Clinical narrative: Nausea, chest pain, headache, malaise, body aches starting 48 hours after first dose. Worsening with 2nd dose. Tightness in chest lasted for 3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Redness and swelling at site of DTaP injection. No tenderness. Low fever on 10/14/03. Resolved with Tylenol. Swelling and redness gone on Thursday 10/16/03.
Age: 0.17
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Lethargy
Clinical narrative: Child "lethargic" with "froth at mouth" per parent, when tried to awaken from nap. Called 911, transferred per ambulance (O2 given during trip), to ER. In hospital given Tylenol. All symptoms resolved upon arrival. Consulted own physician, who recommended returning to our site for next shots, but give separately. On 9/29 gave Hib #2, PCV #2, no problems. On 10/6 gave DTaP #2 and IPV #2, no problems.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Rec'd imm 10/16/03. Mom reported that 2 days later child covered in rash with red area upper left thigh. Was seen in office 10/20/03 with urticaria chest, legs and arms.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Lt arm/shoulder redness, swelling post IM vaccines (DTaP & IPV) yesterday. No nausea, vomiting, fever. Tylenol prn was given.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: R thigh 3x3cm area of sl. tender induration, 4x8cm area of erythema. No fever or limp or injection site discharge.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Shot given at 9am. The next am, L deltoid area was red, hot, swollen and hard. On 10/17/03 area is hard, swollen, red and has some broken blisters on surface that are weeping. Atarax for itch and Keflex given 10/18/03 per pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus
Clinical narrative: Shot given at 9am. The next am, L deltoid area was red, hot, swollen and hard. On 10/17/03 area is hard, swollen, red and has some broken blisters on surface that are weeping. Atarax for itch and Keflex given 10/18/03 per pediatrician.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt had fever and seizure on 10/11/03.
Age: 12.2
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Oedema peripheral, Rash, Urticaria
Clinical narrative: Pt received Td. & hep B, mom dropped daughter off at school, within 20-30 minutes arms were red, swollen, and rashy with hives, reported to mom. Referred to physician for f/u. Dr. visit, hives distributed over body, Rx for antihistamine, stop hep B series. Today hives gone back to school.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Face oedema
Clinical narrative: 10 minutes after Td booster pt c/o lip swelling, redness and burning. Treated w/ Benadryl 50mg IM and IV line started. 10 minutes later c/o throat tingling treated w/ Solumedrol 125mg IV and Epinephrine .3ml sp. Also Albuterol nebulizer.
Age: 0.08
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Hypokinesia, Hypotonia
Clinical narrative: Decreased tone LL extremity, (-) babinski, (-) grasp, decreased movement.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Local reaction only. 3" x 3". Increased warmth, edema. (This was the 6th dose). DTaP, DTaP, DTaP, DTaP, DT, DTaP. We gave for "P" component. Resolved in 2 days.
Age: 1.17
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: 2 days of fever without other symptoms. Riding in car seat and had seizure. Given Diastat 2.5mg. 911 EMS when arrived pt post-ictal.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Generalized red raised rash, fever. Seen by Peds ID, said could be related to some other components including Neomycin or the gelatin component.
Age: 19.0
Sex: M
Vaccine: TD
Symptoms: Muscular weakness, Paraesthesia, Pyrexia
Clinical narrative: Developed fever and tingling in injected arm and weakness of grip which lasted several days. Now 10 years later fears getting booster. Titer checked and still very high. No shot given.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site oedema, Joint range of motion decreased, Nasal congestion
Clinical narrative: Fever in 3 hours after shot. Began having severe headache, fever up to 102. I took Tylenol but did not bring fever down for 2 1/2 days. My arm swelled and was red from armpit to below elbow. I put ice on it and finally went down in 5 days. I had to lift my arm with my left hand. Still having runny nose and headaches.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Fever in 3 hours after shot. Began having severe headache, fever up to 102. I took Tylenol but did not bring fever down for 2 1/2 days. My arm swelled and was red from armpit to below elbow. I put ice on it and finally went down in 5 days. I had to lift my arm with my left hand. Still having runny nose and headaches.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Haematochezia, Pyrexia
Clinical narrative: 10/14/03: Temperature started 6:30 PM of 101.7, gave Tylenol. 10/15/03: Temp 102.7, diarrhea. MD did X-ray, Rx Advil. 10/16/03: Temp 103, diarrhea, blood in stool, pt went to ER, checked WBC, Rx Trimox. 10/17/03: Temp 101.4, diarrhea, blood, checked WBC. 10/20/03: Stool culture normal.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Cough
Clinical narrative: Persistent productive cough for 3 weeks.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Paraesthesia
Clinical narrative: Pt reported that about 10 minutes after receiving vaccine, she became lightheaded and sat down. 15 minutes later improved but feels tired and left arm tingling.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache
Clinical narrative: Pt received Hep B vaccine and left area, returned to c/o light headedness. B/P 110/60. Pt lie down and c/o headache for about 1/2 hour.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Zoster mid back to vagina.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint range of motion decreased, Oedema, Pain, Pyrexia
Clinical narrative: Global severe body ache with fever. 24 hours later: onset progressively worse joint pain and swelling in wrist, hands, fingers and knees with associated restriction of movement.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Hyperhidrosis, Injection site oedema, Lymphadenopathy
Clinical narrative: Chills, sweating (fever unknown, did not take temperature). Local swelling, lymph nodes swelled under right arm.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Headache, Pyrexia
Clinical narrative: Severe headache persisted for 3 days accompanied by fever 102.7 and stomach cramping.
Age: 1.0
Sex: M
Vaccine: MM, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and rash, advised pt to use Tylenol for fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Erythema, itching at site of injection.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt reported an episode of erythema and warmth of entire upper arm lasting 2-3 days.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, and "hot to touch" in Right arm.  No pain in arm or other symptoms.  Mom states it is about the size of a baseball.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Dysarthria, Facial palsy, Lacrimation increased, Pain
Clinical narrative: Running eye, slurred speech, drooping of left side of face. Symptoms appeared appx. 72 Hrs. after flu shot.     CAT scan to rule out stroke.   Famvir 500mg for virus, AKWA tears for eye problem. Medical record states pain. msv
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Fatigue, Headache, Migraine, Myalgia
Clinical narrative: 10/07/03- received smallpox vaccine. 10/17/03- started to experience fever (temp not taken), ha ("on and off" "migraine"), drowsiness, upper airway congestion, dizziness, fatigue, nausea, myalgia, and "red circular dots"- the rash started to spread to chest, back, and shoulders. 10/18/03- went to ER- labs, CXR, head CT- "all normal". 10/20/03- above sxs all dissipated.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Nasal congestion, Nausea, Pyrexia, Rash, Somnolence
Clinical narrative: 10/07/03- received smallpox vaccine. 10/17/03- started to experience fever (temp not taken), ha ("on and off" "migraine"), drowsiness, upper airway congestion, dizziness, fatigue, nausea, myalgia, and "red circular dots"- the rash started to spread to chest, back, and shoulders. 10/18/03- went to ER- labs, CXR, head CT- "all normal". 10/20/03- above sxs all dissipated.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Syncope
Clinical narrative: PATIENT FAINTED APPROXIMATELY 1 MINUTE AFTER BEING ADMINISTERED THE INFLUENZA VACCINATION.  NO S/S WERE PRESENT TO ME (THE VA) PRIOR TO BEING GIVEN THIS SHOT.  PT WAS PLACED ON THE FLOOR, AND AFTER ABOUT 2 MINUTES, SHE AWAKENED.  PATIENT HAD NO RECOLLECTION OF THE EVENT.  HER PULSE WAS TAKEN AT THIS TIME, AND IT WAS 54 BPM.  AMBULANCE WAS CALLED, AND PATIENT WAS CHECKED OUT BY THE PARAMEDICS, BUT SHE REFUSED TO GO TO THE HOSPITAL.  SHE WAS GIVEN A SODA AND ASKED TO SIT IN OUR WAITING ROOM FOR A FEW MINUTES.  HER HUSBAND WAS CALLED TO COME AND PICK HER UP.  I BELIEVE SHE WENT TO THE DOCTOR 2 DAYS LATER AND WAS TOLD THAT SHE WAS VERY FATIGUED AT THE TIME THE VACCINE WAS ADMINISTERED.  PT HAS RECEIVED FLU SHOTS IN THE PAST WITH NO PROBLEMS.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, High-pitched crying, Vomiting
Clinical narrative: mom reports patient had high pitched scream for 2 days assoc. with vomiting and appetite loss after immunization
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Nausea, Tremor
Clinical narrative: Dizzy, nauseated, shaking, difficulty breathing apporx.  1-2 hours after receiving vaccine.  Taken by ambulanc to Heartland ER.  Symptoms had subsided by the time they reached the ER.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Face oedema, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: Intense itching in upper L arm. Area hot, some swelling, red, blotchy.  sweaty/clamy.  No shortness of breath, swelling of lips,tongue.  Refused Benadryl. Refused epinephrine injection. Area iced and patient observed closely. Itching, warmth, reddness disappeared approximately 45 minutes after flu injection
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Pruritus, Rash macular, Tongue oedema
Clinical narrative: Intense itching in upper L arm. Area hot, some swelling, red, blotchy.  sweaty/clamy.  No shortness of breath, swelling of lips,tongue.  Refused Benadryl. Refused epinephrine injection. Area iced and patient observed closely. Itching, warmth, reddness disappeared approximately 45 minutes after flu injection
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Oedema peripheral, Pain, Syncope
Clinical narrative: PATIENT WAS GIVEN BOTH THE FLU SHOT AN PNEUMONIA SHOTS ON 10/15/03.  A FEW HOURS AFTER SHE RECEIVED THEM, SHE WENT HOME AND HER RIGHT ARM BEGAN SWELLING (RIGHT ARM-FLU/LEFT ARM-PNEUMONIA).  SHE CLAIMS THAT IT WAS DOUBLE THE SIZE THAT IT IS NORMALLY.  SHE ALSO STATED THAT SHE FELT WEAK.  LATER ON IN THE AFTERNOON, BETWEEN 4 AND 5 PM, SHE WENT TO EAT DINNER WITH A NEIGHBOR AND BEGAN FEELING VERY ILL.  THEY LEFT THE RESTAURANT AND WHEN SHE GOT HOME, SHE FAINTED.  THE PARAMEDICS WERE CALLED BUT DID NOT FIND ANYTHING ON EXAMINATION. SHE CONTINUED TO FEEL VERY BAD FOR THE NEXT 4 DAYS, AND ON 10/20/03 SHE WENT TO HER PHYSICIAN.  HE ALSO EXAMINED HER AND FOUND NOTHING. I SPOKE WITH HER TODAY, AND SHE STATED THAT SHE STILL DOES NOT FEEL WELL. PATIENT HAS RECEIVED FLU VACCINES IN THE PAST WITH NO PROBLEM.  I ALSO ASKED HER IF THE SHOT HURT WHEN IT WAS ADMINISTERED.  SHE CLAIMS THAT THERE WAS A SLIGHT STINGING SENSATION BUT NO SEVERE PAIN.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Feeling hot, Hyperhidrosis, Hypokinesia
Clinical narrative: C/O arm stiff, unable to move, very painful, swelling, hot, red.  2nd day wife stated he had had a very uncomfortable night.  Chills, sweating, nausea, achy.  She stated his arm was swollen about that again of the other arm. However, he was able to move it and had left for coffee.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Pain, Swelling
Clinical narrative: C/O arm stiff, unable to move, very painful, swelling, hot, red.  2nd day wife stated he had had a very uncomfortable night.  Chills, sweating, nausea, achy.  She stated his arm was swollen about that again of the other arm. However, he was able to move it and had left for coffee.
Age: 23.0
Sex: M
Vaccine: FLU3, SMALL, TYP, FLUX, SMALL, TYP
Symptoms: Chest pain, Cough, Dyspnoea, Headache, Laboratory test abnormal
Clinical narrative: History of Present Illness:  Patient developed pleuritic chest pain two weeks after receiving his primary SPV, typhoid vaccination, and influenza vaccination and was admitted to Medical Center with a diagnosis of myopericarditis.  See table below. Primary Smallpox Vaccination (L arm) Influenza, Typhoid PPD  10 Oct 03 No problems on this date.  Reports he had received the briefing on smallpox vaccination. 18 Oct 03 While shooting at the 9mm range, he began experiencing a headache, ringing in his ears, and chest pain.  He described the chest pain as localized to his left side.  Rated it as a 5-6 on a 0 (no pain)  10 (worst pain ever) scale.  Took Advil with slight relief. After leaving the rifle range, his headache persisted but the chest pain had eased off.  He was able to fall asleep but was awakened from his sleep around 1 AM with chest pain.   19 Oct 03 Chest pain continued and at approximately 7:30 am, he was experiencing sharp, stabbing pain that had increased to a 7-8 on a pain scale.  Pain also radiated down his left arm.  Worse with inspiration.  Noted the pain even without exertion.  Experienced shortness of breath with the pain.  Also complained of a dry cough. Service member reports that he has had episodes of chest pain in the past but they were not similar to this chest pain.  Previously it was centered on the left side of his chest with no radiation.  At times, the pain could increase to a 5-6 on the pain scale.  No change with breathing or exertion.  No complaints of heartburn.  Has not been medically evaluated in the past for chest pain. Went to Medical Center Emergency Room and was admitted with a diagnosis of myocarditis.  EKG normal but cardiac enzymes elevated.  Initial CXR was normal. 20 Oct 03-23 Oct 03 Remained hospitalized at Medical Center.  Medications included aspirin 325 mg po QID, Morphine 2 mg prn pain, Percocet prn pain, Ibuprofen 800 mg q 8 hr, and Lovenox 100 mg q 12 hr.  He also had some temperature spikes while in the hospital.  Blood and urine cultures were negative.  He was placed on Tylenol 650 mg q 4-6 hours prn.  Through the course of hospital stay, patient's chest pain and headache resolved.  No further shortness of breath.  Follow-up CXR showed small left pleural effusion.  Echocardiogram showed LVEF =45-50%.  Cardiac enzymes decreased and patient was discharged home on 23 Oct 2003.  He was placed on a 6-month convalescent leave. 27 Oct 03 Follow-up conducted with patient at home.  No further complaints of chest pain or shortness of breath.  He was discharged on Motrin prn but has not needed it.  He has a follow-up appointment with the Hospital tomorrow. 60-day follow up 2/17/04:  He continues to experience occasional exertional chest pain approximately once every 3 days, along with some dyspnea on exertion. He is now due for his 6-12 month follow up. Once the evaluation is completed, I will file a follow up report.
Age: 23.0
Sex: M
Vaccine: FLU3, SMALL, TYP, FLUX, SMALL, TYP
Symptoms: Myocarditis, Pleural effusion, Pleurisy, Tinnitus
Clinical narrative: History of Present Illness:  Patient developed pleuritic chest pain two weeks after receiving his primary SPV, typhoid vaccination, and influenza vaccination and was admitted to Medical Center with a diagnosis of myopericarditis.  See table below. Primary Smallpox Vaccination (L arm) Influenza, Typhoid PPD  10 Oct 03 No problems on this date.  Reports he had received the briefing on smallpox vaccination. 18 Oct 03 While shooting at the 9mm range, he began experiencing a headache, ringing in his ears, and chest pain.  He described the chest pain as localized to his left side.  Rated it as a 5-6 on a 0 (no pain)  10 (worst pain ever) scale.  Took Advil with slight relief. After leaving the rifle range, his headache persisted but the chest pain had eased off.  He was able to fall asleep but was awakened from his sleep around 1 AM with chest pain.   19 Oct 03 Chest pain continued and at approximately 7:30 am, he was experiencing sharp, stabbing pain that had increased to a 7-8 on a pain scale.  Pain also radiated down his left arm.  Worse with inspiration.  Noted the pain even without exertion.  Experienced shortness of breath with the pain.  Also complained of a dry cough. Service member reports that he has had episodes of chest pain in the past but they were not similar to this chest pain.  Previously it was centered on the left side of his chest with no radiation.  At times, the pain could increase to a 5-6 on the pain scale.  No change with breathing or exertion.  No complaints of heartburn.  Has not been medically evaluated in the past for chest pain. Went to Medical Center Emergency Room and was admitted with a diagnosis of myocarditis.  EKG normal but cardiac enzymes elevated.  Initial CXR was normal. 20 Oct 03-23 Oct 03 Remained hospitalized at Medical Center.  Medications included aspirin 325 mg po QID, Morphine 2 mg prn pain, Percocet prn pain, Ibuprofen 800 mg q 8 hr, and Lovenox 100 mg q 12 hr.  He also had some temperature spikes while in the hospital.  Blood and urine cultures were negative.  He was placed on Tylenol 650 mg q 4-6 hours prn.  Through the course of hospital stay, patient's chest pain and headache resolved.  No further shortness of breath.  Follow-up CXR showed small left pleural effusion.  Echocardiogram showed LVEF =45-50%.  Cardiac enzymes decreased and patient was discharged home on 23 Oct 2003.  He was placed on a 6-month convalescent leave. 27 Oct 03 Follow-up conducted with patient at home.  No further complaints of chest pain or shortness of breath.  He was discharged on Motrin prn but has not needed it.  He has a follow-up appointment with the Hospital tomorrow. 60-day follow up 2/17/04:  He continues to experience occasional exertional chest pain approximately once every 3 days, along with some dyspnea on exertion. He is now due for his 6-12 month follow up. Once the evaluation is completed, I will file a follow up report.
Age: 23.0
Sex: M
Vaccine: FLU3, SMALL, TYP, FLUX, SMALL, TYP
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Laboratory test abnormal
Clinical narrative: History of Present Illness:  Patient developed pleuritic chest pain two weeks after receiving his primary SPV, typhoid vaccination, and influenza vaccination and was admitted to Medical Center with a diagnosis of myopericarditis.  See table below. Primary Smallpox Vaccination (L arm) Influenza, Typhoid PPD  10 Oct 03 No problems on this date.  Reports he had received the briefing on smallpox vaccination. 18 Oct 03 While shooting at the 9mm range, he began experiencing a headache, ringing in his ears, and chest pain.  He described the chest pain as localized to his left side.  Rated it as a 5-6 on a 0 (no pain)  10 (worst pain ever) scale.  Took Advil with slight relief. After leaving the rifle range, his headache persisted but the chest pain had eased off.  He was able to fall asleep but was awakened from his sleep around 1 AM with chest pain.   19 Oct 03 Chest pain continued and at approximately 7:30 am, he was experiencing sharp, stabbing pain that had increased to a 7-8 on a pain scale.  Pain also radiated down his left arm.  Worse with inspiration.  Noted the pain even without exertion.  Experienced shortness of breath with the pain.  Also complained of a dry cough. Service member reports that he has had episodes of chest pain in the past but they were not similar to this chest pain.  Previously it was centered on the left side of his chest with no radiation.  At times, the pain could increase to a 5-6 on the pain scale.  No change with breathing or exertion.  No complaints of heartburn.  Has not been medically evaluated in the past for chest pain. Went to Medical Center Emergency Room and was admitted with a diagnosis of myocarditis.  EKG normal but cardiac enzymes elevated.  Initial CXR was normal. 20 Oct 03-23 Oct 03 Remained hospitalized at Medical Center.  Medications included aspirin 325 mg po QID, Morphine 2 mg prn pain, Percocet prn pain, Ibuprofen 800 mg q 8 hr, and Lovenox 100 mg q 12 hr.  He also had some temperature spikes while in the hospital.  Blood and urine cultures were negative.  He was placed on Tylenol 650 mg q 4-6 hours prn.  Through the course of hospital stay, patient's chest pain and headache resolved.  No further shortness of breath.  Follow-up CXR showed small left pleural effusion.  Echocardiogram showed LVEF =45-50%.  Cardiac enzymes decreased and patient was discharged home on 23 Oct 2003.  He was placed on a 6-month convalescent leave. 27 Oct 03 Follow-up conducted with patient at home.  No further complaints of chest pain or shortness of breath.  He was discharged on Motrin prn but has not needed it.  He has a follow-up appointment with the Hospital tomorrow. 60-day follow up 2/17/04:  He continues to experience occasional exertional chest pain approximately once every 3 days, along with some dyspnea on exertion. He is now due for his 6-12 month follow up. Once the evaluation is completed, I will file a follow up report.
Age: 23.0
Sex: M
Vaccine: FLU3, SMALL, TYP, FLUX, SMALL, TYP
Symptoms: Nausea, Pericarditis, Vision blurred
Clinical narrative: History of Present Illness:  Patient developed pleuritic chest pain two weeks after receiving his primary SPV, typhoid vaccination, and influenza vaccination and was admitted to Medical Center with a diagnosis of myopericarditis.  See table below. Primary Smallpox Vaccination (L arm) Influenza, Typhoid PPD  10 Oct 03 No problems on this date.  Reports he had received the briefing on smallpox vaccination. 18 Oct 03 While shooting at the 9mm range, he began experiencing a headache, ringing in his ears, and chest pain.  He described the chest pain as localized to his left side.  Rated it as a 5-6 on a 0 (no pain)  10 (worst pain ever) scale.  Took Advil with slight relief. After leaving the rifle range, his headache persisted but the chest pain had eased off.  He was able to fall asleep but was awakened from his sleep around 1 AM with chest pain.   19 Oct 03 Chest pain continued and at approximately 7:30 am, he was experiencing sharp, stabbing pain that had increased to a 7-8 on a pain scale.  Pain also radiated down his left arm.  Worse with inspiration.  Noted the pain even without exertion.  Experienced shortness of breath with the pain.  Also complained of a dry cough. Service member reports that he has had episodes of chest pain in the past but they were not similar to this chest pain.  Previously it was centered on the left side of his chest with no radiation.  At times, the pain could increase to a 5-6 on the pain scale.  No change with breathing or exertion.  No complaints of heartburn.  Has not been medically evaluated in the past for chest pain. Went to Medical Center Emergency Room and was admitted with a diagnosis of myocarditis.  EKG normal but cardiac enzymes elevated.  Initial CXR was normal. 20 Oct 03-23 Oct 03 Remained hospitalized at Medical Center.  Medications included aspirin 325 mg po QID, Morphine 2 mg prn pain, Percocet prn pain, Ibuprofen 800 mg q 8 hr, and Lovenox 100 mg q 12 hr.  He also had some temperature spikes while in the hospital.  Blood and urine cultures were negative.  He was placed on Tylenol 650 mg q 4-6 hours prn.  Through the course of hospital stay, patient's chest pain and headache resolved.  No further shortness of breath.  Follow-up CXR showed small left pleural effusion.  Echocardiogram showed LVEF =45-50%.  Cardiac enzymes decreased and patient was discharged home on 23 Oct 2003.  He was placed on a 6-month convalescent leave. 27 Oct 03 Follow-up conducted with patient at home.  No further complaints of chest pain or shortness of breath.  He was discharged on Motrin prn but has not needed it.  He has a follow-up appointment with the Hospital tomorrow. 60-day follow up 2/17/04:  He continues to experience occasional exertional chest pain approximately once every 3 days, along with some dyspnea on exertion. He is now due for his 6-12 month follow up. Once the evaluation is completed, I will file a follow up report.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Erythema, Feeling hot, Hyperhidrosis, Nausea
Clinical narrative: c/o nausea, vomiting, R upper arm very sore, swelling in this arm, hot, red, sweaty, achy, dizzy.  no shortness of breath, swelling of tongue, wheezing.  Refused to go to ER.  Recommended icing area for short period, being quiet, ibuprofen/tylenol and if things changed to go to the ER.  Arm was swollen approx 3x the size of the other arm on day 2.  Also had fluid which extended down to elbow.  Very red, very hot.  On day 5 fluid was disappearing, swelling down, and heat and redness disappear.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Swelling, Vomiting
Clinical narrative: c/o nausea, vomiting, R upper arm very sore, swelling in this arm, hot, red, sweaty, achy, dizzy.  no shortness of breath, swelling of tongue, wheezing.  Refused to go to ER.  Recommended icing area for short period, being quiet, ibuprofen/tylenol and if things changed to go to the ER.  Arm was swollen approx 3x the size of the other arm on day 2.  Also had fluid which extended down to elbow.  Very red, very hot.  On day 5 fluid was disappearing, swelling down, and heat and redness disappear.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Joint range of motion decreased, Nausea, Pain, Pyrexia
Clinical narrative: Temp: 103.3; extreme pain in vaccinated arm resulting in inability to move or lift arm; nausea, headache; symptoms unset less than 24 hrs after injection. TX: Tylenol and bedrest
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 10/14 slight soreness in arm that night 10/16 redness and swelling on underside of L upper arm
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: diffuse erythema around injection site of pneumovax
Age: 1.4
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: Hx of siezure activity since age 7 months 3/13/2003 Immunizations given 3/14/2003 Seizure activity post immunization  on seizures med daily, PMD referred for immunizations
Age: 20.0
Sex: F
Vaccine: ANTH, FLUX
Symptoms: Erythema, Injection site induration, Injection site warmth, Oedema peripheral
Clinical narrative: RECD ANTHRAX #4 ON 10/22/03, ON 10/25/03 ARM SWOLLEN, HARD RED, HOT, PRURITIC FROM ARM PIT TO ELBOW. ARM WAS ALSO PAINFUL 5/10. WNET TO ER AND WAS GIVEN MOTRIN, BENADRYL, AND VICODIN. FOLLOWING MORNING SOMEWHAT RESOLVED. NOT COMPLETELY RESOLVED AS OF YET 10/28/2003.
Age: 1.04
Sex: F
Vaccine: IPV, MMR, PPV, VARCEL
Symptoms: High-pitched crying, Hypokinesia, Nervous system disorder
Clinical narrative: 4 days after MMR, she screamed bloody murder all night long. Took her to Dr., found nothing, prescribed Tylenol with Codeine. About 10 days after vaccination, she began to regress in her motor skills by no longer crawling, sitting, and barely able to hold head up or feed herself. She was sent to a Neurologist who found a brain abnormality from the MRI. This abnormality was where the brain controls motor skills. As of now, she is able to hold her head up, but still cannot sit or crawl and remains up most nights.
Age: 0.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: generalized hives and pruritis; onset within 10-15 post injection.  Diphenhydramine 25mg administered within 30 minutes of injection.  Patient monitored for 2 hours with symptoms mostly resolving with only slight redness upon discharge.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash
Clinical narrative: 36 hr. after vaccine. Mild rash and itching developed. By 48 hr. rash was severe widespread. Treated with 40 mg. predisone X 4 days along with benedryl. Symtoms gone after 3 days.
Age: 12.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: RED, TENDER SWELLING ON RIGHT LATERAL DELTOID 2 1/2" X 1 3/4"
Age: 70.0
Sex: U
Vaccine: FLU3
Symptoms: Fatigue, Heart rate increased, Pain, Pyrexia
Clinical narrative: Had flu shot at noon on 21st of October.  By noon next day had body aches.  Pulse was 100 and body temperature was 99.8.  The fever subsided by midnight.  I still feel fatigued although it has been one week since I had the shot. Vaccine lot No. U1256AA, Manufacturer Adventis
Age: 60.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Erythema, Rash pustular
Clinical narrative: Recurring lesions-cyclical.  End of April 2003-lesions at vaccination site.  End of June 2003-lesions at vaccination site.  August 4, 2003-lesions at site; reported to physicians at CDC.  August 25, 2003-lesion right mammary; reported to Dr.; seen by Dr. on August 26, 2003.  Lesions have continued recurring.  September 2003-left elbow.  October 2003-right chest near clavicle. Follow up on 06/24/04 states: "The adverse event onset was the end of April 2003. She cannot pinpoint the time anymore precisely than that."
Age: 60.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site vesicles, Skin ulcer
Clinical narrative: Recurring lesions-cyclical.  End of April 2003-lesions at vaccination site.  End of June 2003-lesions at vaccination site.  August 4, 2003-lesions at site; reported to physicians at CDC.  August 25, 2003-lesion right mammary; reported to Dr.; seen by Dr. on August 26, 2003.  Lesions have continued recurring.  September 2003-left elbow.  October 2003-right chest near clavicle. Follow up on 06/24/04 states: "The adverse event onset was the end of April 2003. She cannot pinpoint the time anymore precisely than that."
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Death in crib within 24 hours; infant was prone in crib.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Cardiac failure, Coma, Condition aggravated, Deep vein thrombosis, Fluid overload
Clinical narrative: This subject is a 69 year old male who died while enrolled in RSV11 S & I study with RSV vaccine. The subject received RSV vaccine or Placebo and influenza vaccine on 10/22/02. The subject died 342 days post immunization on 10/01/2003. Subject was admitted on 9/29/03. He was transferred from ICU post AKA for decrease MS and possible CHF exacerbation. He was volume overloaded on admission and IV diuresis was started. Pt showed bilateral DVT's and was placed on Heparin and then Lovenox the same day. He remained stable until October 1, 2003 in the evening when he was found unresponsive and pulseless. Subject expired more than 30 minutes of unsuccessful resuscitation. Diagnosis: DVT with presumed PE, cardiopulmonary failure secondary to DVT, CHF exacerbation, DM, GRI, and altered MS. The death was reported by the investigator as not related to the study vaccine. Follow up on 11/26/03: "Initial SAE report received on 10/22/03.  This subject is a 69 year old male who died while enrolled in RSV11 S & I study with RSV vaccine.  The subject received RSV vaccine or Placebo and Influenza vaccine on 10/22/02.  The subject died 342 days post immunization on 10/01/2003.  Subject was admitted on 09/29/03.  He was transferred from ICU post AKA for decreased MS and possible CHF exacerbation.  He was volume overloaded on admission and IV diuresis was started.  Patient showed bilateral DVT's and was placed on Heparin and then Lovenox the same day.  He remained stable until 10/01/03 in the evening when he was found unresponsive and pulseless.  Subject expired after more than 30 minutes of unsuccessful resuscitation.  Diagnosis:  1) DVT with presumed PE. 2) Cardiopulmonary failure secondary to #1. 3) CHF exacerbation. 4) DM. 5) GRI. 6) Altered MS. The death was reported by the Investigator was not related to the study vaccine.  Additional information received 11/18/03.  Death certificate: Cause of death: Pulmonary Embolism due to deep vein thrombosis due to congestive heart failure.  The pulmonary embolism secondary to deep vein thrombosis secondary to congestive heart failure was reported by the investigator as not related to the study vaccine."
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Mental impairment, Pulse absent
Clinical narrative: This subject is a 69 year old male who died while enrolled in RSV11 S & I study with RSV vaccine. The subject received RSV vaccine or Placebo and influenza vaccine on 10/22/02. The subject died 342 days post immunization on 10/01/2003. Subject was admitted on 9/29/03. He was transferred from ICU post AKA for decrease MS and possible CHF exacerbation. He was volume overloaded on admission and IV diuresis was started. Pt showed bilateral DVT's and was placed on Heparin and then Lovenox the same day. He remained stable until October 1, 2003 in the evening when he was found unresponsive and pulseless. Subject expired more than 30 minutes of unsuccessful resuscitation. Diagnosis: DVT with presumed PE, cardiopulmonary failure secondary to DVT, CHF exacerbation, DM, GRI, and altered MS. The death was reported by the investigator as not related to the study vaccine. Follow up on 11/26/03: "Initial SAE report received on 10/22/03.  This subject is a 69 year old male who died while enrolled in RSV11 S & I study with RSV vaccine.  The subject received RSV vaccine or Placebo and Influenza vaccine on 10/22/02.  The subject died 342 days post immunization on 10/01/2003.  Subject was admitted on 09/29/03.  He was transferred from ICU post AKA for decreased MS and possible CHF exacerbation.  He was volume overloaded on admission and IV diuresis was started.  Patient showed bilateral DVT's and was placed on Heparin and then Lovenox the same day.  He remained stable until 10/01/03 in the evening when he was found unresponsive and pulseless.  Subject expired after more than 30 minutes of unsuccessful resuscitation.  Diagnosis:  1) DVT with presumed PE. 2) Cardiopulmonary failure secondary to #1. 3) CHF exacerbation. 4) DM. 5) GRI. 6) Altered MS. The death was reported by the Investigator was not related to the study vaccine.  Additional information received 11/18/03.  Death certificate: Cause of death: Pulmonary Embolism due to deep vein thrombosis due to congestive heart failure.  The pulmonary embolism secondary to deep vein thrombosis secondary to congestive heart failure was reported by the investigator as not related to the study vaccine."
Age: 0.5
Sex: F
Vaccine: DTAP, DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Bacterial infection, Meningitis, Sepsis
Clinical narrative: Vaccine failure. Patient had received 2 doses of PCV-7. Diagnosed and hospitalized with meningitis (streptococcus pneumoniae). Discharge summary states septicemia. Follow up states CDC lab results for strep pneumoniae serotyping, result was A8 which is not covered by Prevnar.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Hypersensitivity, Pharyngeal oedema
Clinical narrative: Received hepatitis B injection afternoon of 10/21/03. About 1 hour later throat swelled tight; could not breathe. Taken to ER; given Adrenaline, Bendryl and some other injections. Was discharged afternoon of 10/23/03. Sent home on Claritin for 4 days (was unable to take Allegra).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Dyspnoea, Encephalopathy, Pyrexia, Sepsis
Clinical narrative: 8/10/03 Presented to hospital with status epilepticus and agonal respirations. Temperature 41.2 degrees C. No prior history of illness; treated with Lorazepam which stopped seizure but child intubated for inadequate respiratory effort. She was stabilized and transferred to another hospital where she remained 5.5 weeks. Diagnosed with septic shock. Discharged on phenobarbital for seizure. Shows head lag and questionable visual acuity. The 60 day follow up received on 1/13/04 states generalized seizure disorder and diffuse encephalopathy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Shock, Status epilepticus, Visual disturbance
Clinical narrative: 8/10/03 Presented to hospital with status epilepticus and agonal respirations. Temperature 41.2 degrees C. No prior history of illness; treated with Lorazepam which stopped seizure but child intubated for inadequate respiratory effort. She was stabilized and transferred to another hospital where she remained 5.5 weeks. Diagnosed with septic shock. Discharged on phenobarbital for seizure. Shows head lag and questionable visual acuity. The 60 day follow up received on 1/13/04 states generalized seizure disorder and diffuse encephalopathy.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abscess bacterial, Injection site abscess, Laboratory test abnormal, Oedema peripheral
Clinical narrative: Oxacillin-susceptible staph aureus abscess of left thigh extending retroperitoneally. Presented with left leg swelling, abdominal mass. Required open surgical drainage. Received 3 weeks IV oxacillin. Parents report that swelling occurred after vaccine; was progressive. Discharge summary on 05/02/04 states no new information.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: 4 hours after shot, shaking both arms, no loss of consciousness, no biting tongue, not aware of situation.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dehydration, Pyrexia, Vomiting
Clinical narrative: Mom states child taken to ER later in day after getting 4 month old immunizations (8/18/03). Child had a fever of 106 and was hospitalized for 3 days. Child has been hospitalized 3 times since 8/03 with high fever (>105) per mom. Child has been diagnosed with asthma, reflux and uses nebulizer at home. Vomiting and dehydration.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Hypoaesthesia, Peripheral coldness
Clinical narrative: Left hand numb, upper lip, left cheek, left foot/toes numb. Left hand cold compared to right. Told to report to local ER. Went to clinic this hospital. Admitted for CVA. Discharged 10/18/03 as reported by patient. 60-day follow up on 02/02/04: "No new information received."
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Dizziness, no loss of consciousness. 1 event was fine within a few minutes. Pt has no underlying disease and currently in good health.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Chills, Dizziness, Flushing, Pain
Clinical narrative: On 10/17/03 around 12 noon she began feeling aches. At around 3pm she began feeling feverish and flushed. At 7pm her temperature was 102 orally. The fever, chills, aches, pains and lack of appetite lasted for 48 hours. On 10/18/03 at 7am her temp was 99.8 and at 8pm her temp was 101.5. She had also experienced dizziness, this started on 10/18/03 and lasted through this am 10/21/03. She also noted two hard nodules at the base of her skull; these are still present but have improved. Overall she feels 100% better as of this afternoon 10/21/03. She admits to a history of asthma, but currently not having any symptoms. Also, she is breast-feeding her 10-month-old baby. The Monday (10/13/03) before she got the flu shot her baby had been sick with a three-day viral condition, which included vomiting, fever, and minimal diarrhea.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Skin nodule
Clinical narrative: On 10/17/03 around 12 noon she began feeling aches. At around 3pm she began feeling feverish and flushed. At 7pm her temperature was 102 orally. The fever, chills, aches, pains and lack of appetite lasted for 48 hours. On 10/18/03 at 7am her temp was 99.8 and at 8pm her temp was 101.5. She had also experienced dizziness, this started on 10/18/03 and lasted through this am 10/21/03. She also noted two hard nodules at the base of her skull; these are still present but have improved. Overall she feels 100% better as of this afternoon 10/21/03. She admits to a history of asthma, but currently not having any symptoms. Also, she is breast-feeding her 10-month-old baby. The Monday (10/13/03) before she got the flu shot her baby had been sick with a three-day viral condition, which included vomiting, fever, and minimal diarrhea.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Area around injection site red and swollen 14.5 x 9cm.
Age: 57.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Dyspepsia, Injection site discolouration, Injection site oedema
Clinical narrative: Left deltoid area became hot, swollen, hard. White from top of shoulder to elbow afternoon of pneumococcal vaccine.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches starting 48 hours after shot. Diarrhea and headache also prominent.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Pain
Clinical narrative: Returned day after vaccine given with swelling and tender in left upper arm. 3 x 4cm area of swelling.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Abscess, Hypersensitivity, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Day after vaccine admini - allergic reaction, sterile abscess. Red, swollen, hot to touch arm.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Reported onset of cough, sore throat, fever, weakness on 10/23/03, states symptoms are somewhat better today (10/24), but remains weak with lingering cough.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting starting 10/18/03, pt to PCP started on antiemetic. Still having nausea and vomiting, poor food/fluid intake.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Headache, Myalgia, Pyrexia
Clinical narrative: Temp 101, chilling, muscle aches, headache
Age: 5.0
Sex: M
Vaccine: FLU3, IPV
Symptoms: Confusional state, Dizziness, Hypersensitivity, Hypoaesthesia, Pain in extremity
Clinical narrative: Pt reported legs/feet were numb, unable to wiggle toes or move feet, was able to stand but c/o dizziness. Deny pain/injury. Pt seemed confused to mother. Taken to ER by parents. Medical records state allergic reaction, foot pain. msv
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypersensitivity, Pyrexia
Clinical narrative: Immunized at 11:00 AM. About 2:00 PM had local reaction at injection site. About 5:00 PM had difficulty breathing. Took Albuterol nebulizer then and every 4-6 hours. Saw doctor 10/23/03 at noon and was told she had allergic reaction. Told to use nebulizer and Aleve. Had temp 104 degrees.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Dysphonia, Urticaria, Wheezing
Clinical narrative: Hoarseness then hives that ended that night (on face). Wheezing started 10/15/03, used Albuterol inhaler and Claritin-D and reg. until Dr visit 10/19/03. Rx Prednisone Z-Pak.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Fall, Feeling abnormal, Heart rate decreased
Clinical narrative: Pt received his 1st flu shot, went to waiting room to check out. He felt funny while sitting, then fell forward onto the floor, hitting his head and possibly having a brief seizure. He was incontinent, but got up into chair. He did not respond to voice for about 1 minute but then was helped onto the floor in a recovery position. BP and pulse were low initially then nl. Accucheck 103 (after Gatorade).
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dysphonia
Clinical narrative: Reports about an hour after getting her vaccine she noticed raspiness in voice. Noticed at lunch she felt some mild difficulty swallowing. Voice became increasingly hoarse. Did not seek medical care. Did not take antihistamine. Sx lessened. Slight residual hoarseness today.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives started evening of flu shot. Covering legs, back, arms, feet. Received 10/17/03. Itchy. Treated with Benadryl and Calamine cream/lotion.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Balance disorder, Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Fever of 101 degrees for 2 days post injection. Redness, warmth, swelling at injection site. "Equilibrium" off.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Injection site swelling, Malaise, Pain
Clinical narrative: Flu shot given 10/24 about 2 PM. No unusual sx noted until 8:30 AM after intense yoga. Pt felt over exerted, achy, fatigue, mild malaise. Sxs continued, not worsening, until 10/27/03. On 10/26, pt noted "burning" on left side of neck, "superficial". Pt noted a pain and ache from left neck down to injection site on left arm. Pt did not examine himself until 10/27/03 at 6 PM, he saw a scattered groupings of pin like pustules, raised. No bleeding. No discharge. More itching, less heat. Discussed case with MD, ruled out shingles.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Pain
Clinical narrative: c/o soreness at site. Upper arm swollen. Took pain medication, applied ice.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Joint range of motion decreased
Clinical narrative: Limited mobility of arm. Arm swollen, red, hot to touch. Applied ice, took pain medication.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Pain, Pruritus, Urticaria
Clinical narrative: 10/21: flu shot given. 10/22: localized mild soreness with mild inflammation and 3 hives near site. 10/23: seen in clinic for the above and it was noted as a localized reaction. 10/24: pt reports waking with itching to face and extremities with NO rash/SOB noted. Resolved.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Facial palsy, Laryngitis
Clinical narrative: Developed Bell's Palsy two days after Fluzone vaccine. The medical record received on 12/10/03 states laryngitis. Medical records sttes ear pain. msv
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hot flush, Injection site erythema, Injection site oedema, Nausea, Pain
Clinical narrative: Whole body felt hot (continuous hot flash) all night, next day swelled arm from injection area to elbow and really red. Doctor treated with Allegra (for 1 day) and then with medrol and benadryl. Even today have ache around elbow. Sick to stomach while taking medication. Problem with left arm (pneumococcal).
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Pruritus, Rash, Wheezing
Clinical narrative: Received flu vaccine IM 6:00 PM, 15 minutes later mother noted cough, wheeze, itchy neck, hive-like rash x 2mo. Mom gave albuterol puffs, less rash.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Disturbance in attention, Dizziness, Malaise
Clinical narrative: At 4 AM woke up during night with nausea. Then during next day 10/22 felt light headed and difficulty concentrating and just felt weak and "not well". Then on 10/23 developed localized reaction red, raised area on arm approx 2.5mm and developed cough. No fever or any other symptoms.