chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Somnolence
Clinical narrative: 9:30 am received vaccine, about 12 hrs later felt dizzy, sleepy, after 20-30 minutes of sleep awoke diaphoretic - felt hot & sweaty for about 2 hrs; no redness or swelling at injection site, recovered next am.  NOTE:  has had flu vaccine in the past (# doses unknown) without problems.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site pain, Malaise, Nausea
Clinical narrative: Received vaccine about 11 am; within an hr, developed quarter sized hard knot at injection site, area tender & became unable to raise LA without difficulty.  Experienced nausea & malaise for remainder of evening.  The next day arm slightly tender, symptoms completely resolved in 36 hrs.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Delirium, Dizziness, Pain, Pyrexia
Clinical narrative: Mother states that patient was achy, dizzy, and had a fever.  She also says she was "delirious" and almost took her to the ER.  The symptoms lasted for less than 12 hours and were gone by the next morning.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Asthenia, Blood creatine phosphokinase increased, Blood creatinine normal, Blood culture negative, C-reactive protein increased
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Chest X-ray normal, Chills, Confusional state, Culture throat negative, Culture wound positive
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Drug hypersensitivity, Dyspnoea, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Hyperhidrosis, Inflammation, Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Malaise, Neutrophil count increased, Pain, Pyrexia, Skin ulcer
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Streptococcal identification test, Tonsillar inflammation, Tricuspid valve incompetence, Troponin I increased, White blood cell count increased
Clinical narrative: Patient presented on 10/24/2007 to ER 8 days post vaccination series as listed in #13.  Per ER report he noted approx 4 days previously (20 Oct) to have began experiencing redness and swelling in L-deltoid vaccination site, along with vague malaise and achiness.  Day prior to ER presentation he noted obvious enlarging redness and small ulceration.  Additional symptoms included chills.  Upon ER presentation it was noted that he was afebrile but had elevated WBC (11.4)--he was treated with IV ABX (Unasyn 3 gm), Toradol for his achiness, and sent home for ER follow-up in am.  He returned the next day with reported high fever, aching, chills, and per his wife weak, shortness of breath, confused during night. T-101, P-120, R-18 BP 140/87.  ER doctor felt he was toxic appearing upon this presentation.  Other clinical findings include diaphoretic, mild-moderate ill appearing, erythematous tonsillar pillars with positive exudate, shoddy anterior adenopathy, L-supraclavicular adenopahty, L-deltoid 10 X 8 cm erythema that surrounds a 1 cm ulcerated area with lymphangitis extending to shoulder, marked L-axillary adenopathy.  Patient was then transferred to Medical Center for inpatient care and further evaluation.  Upon arrival patient was stable, non-toxic appearing with vitals: T-97.5, R-18, P-86,  BP-139/86 P/O-100% RA.  L-deltoid erythema noted to be 9cm X 8cm with 1cm ulceration at vaccination site with lymphangitis extending superiorly onto shoulder.  Adenopathy was noted bilaterally shoddy anterior cervical, L-supraclavicular, and moderate L-axillary.  Bilateral tonsillar pillars noted to be erythematous, no exudates, no petichia noted.  Marked improvement in symptoms by hospital day 1 noted (post vaccine day 10).  Upon admission patient was placed on Contact Isolation, IV fluids for hydration secondary to increased creatinine until it normalized, IV AB-Unasyn continued until results returned coag neg staph (wound culture), and blood cultures negative.  An ECHO was perfomed and consultation was obtained with Cardiology immediatly upon patient arrival given elevated troponin--diagnosis was given for myopericarditis (mild) secondary to small pox vaccination given elevated troponin.  Patient was treated with 7 days of Ibuprofen 600mg every 6 hours.  Contact was made with Health Center  and recommendations for myopericarditis protocol initiated to include cardiology follow-up.  Patient was discharged on HD #3 when troponin was trended down and under the normal range as per protocol.  During presentation and hospitatlization denied any symptoms of chest pain/discomfort, no shortness of breath or difficulty breathing.  Planned follow-up includes Hospital follow up in 1 week, Cardiology follow-up in 4 weeks, follow-up Medical Center or Medical Center-- Health Care Center.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: If you are tallying adverse reactions to flu shots, you can add mine:  I received a flu shot at my local pharmacy on Tuesday, October 16, 2007.  My reaction was a sore arm, as usual; however, what was not usual was an itching, swollen, red and feverish upper arm, from shot site to elbow--one huge hive.  I treated it with Benadryl spray and internal Benadryl capsules, which gave relief from the itching.  The swelling and redness lasted a long time.  Now, more than two weeks later, there is still residual redness.  I have received flu shots every year since they were first introduced in the 70's.  I always have soreness for a few days, but I have never had a hive reaction before.  Just thought you would like the input.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Pain in extremity
Clinical narrative: If you are tallying adverse reactions to flu shots, you can add mine:  I received a flu shot at my local pharmacy on Tuesday, October 16, 2007.  My reaction was a sore arm, as usual; however, what was not usual was an itching, swollen, red and feverish upper arm, from shot site to elbow--one huge hive.  I treated it with Benadryl spray and internal Benadryl capsules, which gave relief from the itching.  The swelling and redness lasted a long time.  Now, more than two weeks later, there is still residual redness.  I have received flu shots every year since they were first introduced in the 70's.  I always have soreness for a few days, but I have never had a hive reaction before.  Just thought you would like the input.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling cold, Headache, Pyrexia
Clinical narrative: At 8pm same day of vaccination client began to have severe chilling. At 1am felt hot, temp 103 severe headache. By the next morning temp 100. Severe headache continued through the next day. On the following day client went to see his doctor and was given an Rx for codeine and ibuprofen. Client took both as prescribed x1 and the severe headache subsided.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: My right upper arm became red, itchy & swollen. I could not move my arm due to severe & constant pain.I called my doctor, who told me to ice the affected area. My arm remained red & swollen for approx. 4days, inspite of applying hydrocortisone cream & ice.I have never had any type of reaction to a flu shot before & this episode was most uncomfortable. My right upper arm remained sore for about 10 days.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Arthralgia, Diarrhoea, Headache, Hypoaesthesia
Clinical narrative: she states she became ill 5 days after receiving the vaccination with nausea, headache, diarrhea. The next day her arm was sore and it progressed to arm numbness, swelling, joint pain in all her joints(knees, hips, fingers). She has missed 3 days of work because of the  pain. She has never had this happen before from a vaccination.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, No reaction on previous exposure to drug, Pain in extremity, Swelling
Clinical narrative: she states she became ill 5 days after receiving the vaccination with nausea, headache, diarrhea. The next day her arm was sore and it progressed to arm numbness, swelling, joint pain in all her joints(knees, hips, fingers). She has missed 3 days of work because of the  pain. She has never had this happen before from a vaccination.
Age: 24.0
Sex: F
Vaccine: DT, PPV
Symptoms: Cold compress therapy, Dysphagia, Injection site swelling
Clinical narrative: Moderate right arm swelling (site of injection), with radiation to shoulder and neck.  Some difficulty swallowing.  Symptoms noticed the day following the injection.  Pt called office, advice was given to apply cold/ice compress, take NSAID.  Pt responded well to this and was much improved by the next day and recovered fully within 48 hours.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Irritability
Clinical narrative: 2-3 hrs after vaccine administration baby had red swollen right thigh and irritability
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: pt experienced pain in upper arm 4 hours post vaccination. 8 hours post, pt also experienced red rash and generalized swelling in an approximate radius of 12 inches from the injection site and swelling/rash extending down the arm to a point about 2 inches past the elbow. Pt self treated with BenadrylMotrin until 48 hours post vaccination at which time she was seen at a medical clinic. She received prescriptions for hydroxyzine and for a medrol dose pack.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Hypersensitivity, Injected limb mobility decreased, Injection site pain, Pain in extremity, Rash
Clinical narrative: pt experienced pain in upper arm 4 hours post vaccination. 8 hours post, pt also experienced red rash and generalized swelling in an approximate radius of 12 inches from the injection site and swelling/rash extending down the arm to a point about 2 inches past the elbow. Pt self treated with BenadrylMotrin until 48 hours post vaccination at which time she was seen at a medical clinic. She received prescriptions for hydroxyzine and for a medrol dose pack.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus, Injection site vesicles
Clinical narrative: Red, blistering, itching rash on arm at site of injection where Zostavax was given five days previously.  Diagnosed as cellulitis.  Presently taking Keflex for seven days.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, blistering, itching rash on arm at site of injection where Zostavax was given five days previously.  Diagnosed as cellulitis.  Presently taking Keflex for seven days.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Asthma, Blood test normal, Chest discomfort, Computerised tomogram normal
Clinical narrative: Received vaccine at 11:45 am on October 30.  Around 1 or 1:30 pm felt like something lodged in throat, followed by tightness in chest and racing heart.  Wasn't sure if it was a reaction, but it got worse and was followed by diarrhea and nausea, and asthma attack.  By 3:30 pm I collapsed in bathroom and coworkers called an ambulance to take me to ER.  I was given anti-nausea medicine en route and at ER.  After meeting with doctor and tests administered, including EKG and blood tests, I was given Benadryl and the throat felt better.  I was also prescribed Prednisone for 5 days.  I left the ER at about 7 pm.  I had to go back to ER at around 11pm due to stomach pains and fever of 101.  I wasn't seen until after 1 am and they did a cat scan of stomach area and found nothing wrong and determined it was probably more of the allergic reaction, so I left at around 2:30 am.  11/2/07 Received t/c from patient/reporter.  States she is feeling somewhat better & able to return to work partial day.  Still on steroids & benadryl.  Has appt w/allergist next week as she has had flu shots many times in past w/o any problems.  11/30/07 Reviewed ER medical records which reveal patient experienced gradual onset of throat tightness & abdominal pain & cramps beginning several hours after flu vax. She had an asthma attack w/subsequent SOB, wheezing & dry cough followed by nausea, diarrhea, malaise & weakness.  Had received flu shots in past w/o problems.  Tx w/antihistamine & symptoms completely resolved.  D/C to home but returned to ER 7 hours later w/worsening RLQ abdominal pain & temp of 101 w/urinary frequency & decreased UO. FINAL DX: acute allergic reaction to influenza vaccine & RLQ abdominal pain, resolving. Per 60 day follow up I had allergy tests done after this event to see if I had afood allergy but everything came back negative so it must have been the flu shot only that caused it.  Follow-up Information 14-NOV-2008: Abstaining from flu shots indefinitely.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Electrocardiogram normal, Hypersensitivity, Nausea, Palpitations
Clinical narrative: Received vaccine at 11:45 am on October 30.  Around 1 or 1:30 pm felt like something lodged in throat, followed by tightness in chest and racing heart.  Wasn't sure if it was a reaction, but it got worse and was followed by diarrhea and nausea, and asthma attack.  By 3:30 pm I collapsed in bathroom and coworkers called an ambulance to take me to ER.  I was given anti-nausea medicine en route and at ER.  After meeting with doctor and tests administered, including EKG and blood tests, I was given Benadryl and the throat felt better.  I was also prescribed Prednisone for 5 days.  I left the ER at about 7 pm.  I had to go back to ER at around 11pm due to stomach pains and fever of 101.  I wasn't seen until after 1 am and they did a cat scan of stomach area and found nothing wrong and determined it was probably more of the allergic reaction, so I left at around 2:30 am.  11/2/07 Received t/c from patient/reporter.  States she is feeling somewhat better & able to return to work partial day.  Still on steroids & benadryl.  Has appt w/allergist next week as she has had flu shots many times in past w/o any problems.  11/30/07 Reviewed ER medical records which reveal patient experienced gradual onset of throat tightness & abdominal pain & cramps beginning several hours after flu vax. She had an asthma attack w/subsequent SOB, wheezing & dry cough followed by nausea, diarrhea, malaise & weakness.  Had received flu shots in past w/o problems.  Tx w/antihistamine & symptoms completely resolved.  D/C to home but returned to ER 7 hours later w/worsening RLQ abdominal pain & temp of 101 w/urinary frequency & decreased UO. FINAL DX: acute allergic reaction to influenza vaccine & RLQ abdominal pain, resolving. Per 60 day follow up I had allergy tests done after this event to see if I had afood allergy but everything came back negative so it must have been the flu shot only that caused it.  Follow-up Information 14-NOV-2008: Abstaining from flu shots indefinitely.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Syncope, Throat tightness, Urine analysis normal
Clinical narrative: Received vaccine at 11:45 am on October 30.  Around 1 or 1:30 pm felt like something lodged in throat, followed by tightness in chest and racing heart.  Wasn't sure if it was a reaction, but it got worse and was followed by diarrhea and nausea, and asthma attack.  By 3:30 pm I collapsed in bathroom and coworkers called an ambulance to take me to ER.  I was given anti-nausea medicine en route and at ER.  After meeting with doctor and tests administered, including EKG and blood tests, I was given Benadryl and the throat felt better.  I was also prescribed Prednisone for 5 days.  I left the ER at about 7 pm.  I had to go back to ER at around 11pm due to stomach pains and fever of 101.  I wasn't seen until after 1 am and they did a cat scan of stomach area and found nothing wrong and determined it was probably more of the allergic reaction, so I left at around 2:30 am.  11/2/07 Received t/c from patient/reporter.  States she is feeling somewhat better & able to return to work partial day.  Still on steroids & benadryl.  Has appt w/allergist next week as she has had flu shots many times in past w/o any problems.  11/30/07 Reviewed ER medical records which reveal patient experienced gradual onset of throat tightness & abdominal pain & cramps beginning several hours after flu vax. She had an asthma attack w/subsequent SOB, wheezing & dry cough followed by nausea, diarrhea, malaise & weakness.  Had received flu shots in past w/o problems.  Tx w/antihistamine & symptoms completely resolved.  D/C to home but returned to ER 7 hours later w/worsening RLQ abdominal pain & temp of 101 w/urinary frequency & decreased UO. FINAL DX: acute allergic reaction to influenza vaccine & RLQ abdominal pain, resolving. Per 60 day follow up I had allergy tests done after this event to see if I had afood allergy but everything came back negative so it must have been the flu shot only that caused it.  Follow-up Information 14-NOV-2008: Abstaining from flu shots indefinitely.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal behaviour, Blood culture negative, Blood electrolytes normal, CSF cell count normal, CSF culture negative
Clinical narrative: Patient received Pediarix, Hib #2, PCV7#2, Rotateq #2 or 9/10/2007. On 9/12/2007, 2 days later, mom stated that patient woke up from 2.5 hour nap and did not seem herself. She was "glassy-eye" and lethargic and her hands and feet were bluish. Seemed to get better and then developed these symptoms again on 9/13/2007. Exam on 9/13/07 ---> hypotonia and mental status change went to Children's ER 4p possibility had HHE. 12/10/07-records received  9/14/07-Assessment: hypotonia. Possible seizure activity. C/O vomiting then unresponsive but not unconscious. Hands and feet turned dusky color. Sleepy period, pinpoint pupils. Glassy eyed episodes.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Computerised tomogram normal, Culture urine negative, Cyanosis, Full blood count normal, Gram stain negative
Clinical narrative: Patient received Pediarix, Hib #2, PCV7#2, Rotateq #2 or 9/10/2007. On 9/12/2007, 2 days later, mom stated that patient woke up from 2.5 hour nap and did not seem herself. She was "glassy-eye" and lethargic and her hands and feet were bluish. Seemed to get better and then developed these symptoms again on 9/13/2007. Exam on 9/13/07 ---> hypotonia and mental status change went to Children's ER 4p possibility had HHE. 12/10/07-records received  9/14/07-Assessment: hypotonia. Possible seizure activity. C/O vomiting then unresponsive but not unconscious. Hands and feet turned dusky color. Sleepy period, pinpoint pupils. Glassy eyed episodes.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, Laboratory test normal, Lethargy, Lumbar puncture normal, Mental status changes
Clinical narrative: Patient received Pediarix, Hib #2, PCV7#2, Rotateq #2 or 9/10/2007. On 9/12/2007, 2 days later, mom stated that patient woke up from 2.5 hour nap and did not seem herself. She was "glassy-eye" and lethargic and her hands and feet were bluish. Seemed to get better and then developed these symptoms again on 9/13/2007. Exam on 9/13/07 ---> hypotonia and mental status change went to Children's ER 4p possibility had HHE. 12/10/07-records received  9/14/07-Assessment: hypotonia. Possible seizure activity. C/O vomiting then unresponsive but not unconscious. Hands and feet turned dusky color. Sleepy period, pinpoint pupils. Glassy eyed episodes.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Toxicologic test
Clinical narrative: Patient received Pediarix, Hib #2, PCV7#2, Rotateq #2 or 9/10/2007. On 9/12/2007, 2 days later, mom stated that patient woke up from 2.5 hour nap and did not seem herself. She was "glassy-eye" and lethargic and her hands and feet were bluish. Seemed to get better and then developed these symptoms again on 9/13/2007. Exam on 9/13/07 ---> hypotonia and mental status change went to Children's ER 4p possibility had HHE. 12/10/07-records received  9/14/07-Assessment: hypotonia. Possible seizure activity. C/O vomiting then unresponsive but not unconscious. Hands and feet turned dusky color. Sleepy period, pinpoint pupils. Glassy eyed episodes.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Abnormal behaviour, Delusion, Dizziness, Laboratory test, Motion sickness
Clinical narrative: Extreme weakness dizziness or sensitivity to motion behavior change - delusions 1/4/08-records received for DOS 10/26/10/29/07-DX:oropharyngeal dysphagia probably related to MS related fatigue but not necessarily a new lesion, weight loss, delirium.  One week history of progressively worsening dysphagia. C/O weight loss, generalized weakness. Neurology concluded that dysphagia is not MS in origin as MRI did not indicate significant worsening of the disease.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure increased, Injection site pain, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: This patient received Pneumovax on June 1, 2007, during a routine physical examination as she had turned 65. The patient describes having severe pain at the injection site approximately 6 hours alter, and since that time she has had multiple somatic complaints of unclear etiology. She has even developed high blood pressure for which she has been started on medication. She has seen two other physicians for evaluation of these problems and has had multiple studies with minimal abnormality. One MRI did show some local tendonitis. 11/2/07-medical records included with report. Complained of injection site pain and shoulder pain. Blood pressure increased since vaccination. On date of vaccination 6/1/07- BP 144/88. HX Osteopenia, kidney stone, hyperglycemia.  11/2/07-medical records included with report. Complained of injection site pain and shoulder pain. Blood pressure increased since vaccination. On date of vaccination 6/1/07- BP 144/88. HX Osteopenia, kidney stone, hyperglycemia. Per 60 day follow up: The same previously reported though possibly not as severe. 1/13/2010 Still with severe pain and tingling thighs. improved.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Tendonitis
Clinical narrative: This patient received Pneumovax on June 1, 2007, during a routine physical examination as she had turned 65. The patient describes having severe pain at the injection site approximately 6 hours alter, and since that time she has had multiple somatic complaints of unclear etiology. She has even developed high blood pressure for which she has been started on medication. She has seen two other physicians for evaluation of these problems and has had multiple studies with minimal abnormality. One MRI did show some local tendonitis. 11/2/07-medical records included with report. Complained of injection site pain and shoulder pain. Blood pressure increased since vaccination. On date of vaccination 6/1/07- BP 144/88. HX Osteopenia, kidney stone, hyperglycemia.  11/2/07-medical records included with report. Complained of injection site pain and shoulder pain. Blood pressure increased since vaccination. On date of vaccination 6/1/07- BP 144/88. HX Osteopenia, kidney stone, hyperglycemia. Per 60 day follow up: The same previously reported though possibly not as severe. 1/13/2010 Still with severe pain and tingling thighs. improved.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: After flu shot the local area started swelling up and got hardened. Did not spread or came down
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Paraesthesia
Clinical narrative: Joint pain, tingling in hands and feet one week after injection
Sex: M
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Large area of erythema on Rt. deltoid approximately 5 inches long by 4 inches wide. Treatment with Benadryl and cool compresses.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fatigue, Local reaction, Pain in extremity
Clinical narrative: -Dizziness tiredness, pain in legs, pain in left arm -Tylenol, Benadryl prn pain, local reaction, push fluids for dizziness
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Injection site urticaria, Pyrexia
Clinical narrative: Welp saucer size right under injection site Flu like symptoms, fever at 102 deg
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Red rash, warm to touch. Across bicep touching tricep
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Influenza like illness
Clinical narrative: extremely cold, shivering-flu-like symptoms
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Urticaria
Clinical narrative: Pt presents with urticaria on her legs approximately 20 min after her influenza injection. Within 5 minutes had widespread systemic urticaria and rash. Pt received 50mg po Benadryl. Pt transferred to an urgent care where she was monitored and received 25mg IM Benadryl. Pt d/c to home.
Age: 9.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Cough, Dyspnoea, Face oedema, Flushing, Lacrimation increased
Clinical narrative: cough, facial flushing/edema, wheezing, SOB epiphora.
Age: 9.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Wheezing
Clinical narrative: cough, facial flushing/edema, wheezing, SOB epiphora.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Blood immunoglobulin M, Eye irritation, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling and redness at site of injection (R) deltoid; "Zoster-like" rash on left upper back area, itching and B/L eye irritation.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Rash vesicular
Clinical narrative: Swelling and redness at site of injection (R) deltoid; "Zoster-like" rash on left upper back area, itching and B/L eye irritation.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Rash, Swelling
Clinical narrative: 26 y.o q rn c/o arthralgias, swelling and facial rash after influenza vaccine and 10/26/07.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Malaise, Pallor
Clinical narrative: Pt was waiting for 10 min after flu vaccine because it was a question of receiving vaccine for 1st time. Approx 10-15 min after vaccine. Pt. c/o not feeling well color pale diaphoretic. I placed him on the floor in supine position and placed a coat under and over legs. Pt. was pale and diaphoretic 10:35 BP 100/62.
Age: 12.0
Sex: F
Vaccine: FLU3, MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Vaccine adm. on 10/29/07-woke up 10/30/07 with arm swollen-red and itchy today 11-1-07 swelling increased but still itchy.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Full blood count, Hypoaesthesia, Hypoaesthesia oral, Laboratory test, Red blood cell sedimentation rate
Clinical narrative: Numbness starting in feet, now hands and mouth. No muscle weakness 12/11/07-records received for DOS 10/30/07 C/O numbness to hands and feet began last week 10/17/07. Numbness in hands and lower arms as well as lips and face. 11/12/07-seen by neurologist, DX Postinfection cerebelitis, improving. Right Bell's palsy, improving. Current clinical events are not related to vaccination with Gardasil.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Mobility decreased, Neck pain, Pain in extremity, Periarthritis
Clinical narrative: Client received flu vaccine on Mon 10/22, by Tue 10/23: she was c/o pain up her arm to neck with a headache. Wed prn she was unable to life her head due to severe neck pain. Thur. she saw her MD who related this to "capsulitis" and instructed her to use Advil and Claritin for 2 wks Along with PT for 2 wks
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Flu shot given at approx 10am within 24 hr (L) arm red, swellign, warm to touch throbbing pain. H/A yesterday and felt flushed. Today slightly better.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Flu shot given at approx 10am within 24 hr (L) arm red, swellign, warm to touch throbbing pain. H/A yesterday and felt flushed. Today slightly better.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in jaw
Clinical narrative: Sharp pains in jaw the night he was given the Tetanus shot. Pain moves around the jaw.
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Unevaluable event
Clinical narrative: see attached
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nervousness, Pyrexia
Clinical narrative: Patient c/o dizziness, fever 105 degrees F, nervousness. Patient parent contacted us today 11-1-07 about the reaction patient was given unknown med at ER for reaction.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Overdose, Wrong drug administered
Clinical narrative: Patient was given an extra dose of Flu vaccine .5cc in right arm. Nurse giving injection thought it was Pneumonia.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Colonoscopy, Dysphonia, Pallor, Palpitations, Presyncope
Clinical narrative: Injection given at 2:30pm - 9:00pm while at home patient became very pale, heart palpitations almost fainted - ready to call 911 feeling passed 10-15 minutes later - became hoarse and throat tightened up for 15 minutes then was o.k.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Injection given at 2:30pm - 9:00pm while at home patient became very pale, heart palpitations almost fainted - ready to call 911 feeling passed 10-15 minutes later - became hoarse and throat tightened up for 15 minutes then was o.k.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Eye swelling, Loss of consciousness, Pruritus, Throat irritation, Urticaria
Clinical narrative: Injection around 9:30 am began itching at 10:00 am. Full hives around 10:30, swollen eyes scratchy throat, wheezing. Took over counter Benadryl - no help. Passed out taken to ER - rev'd Epi-pen, IV Prednisone, Benadryl breathing at treatments
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: Injection around 9:30 am began itching at 10:00 am. Full hives around 10:30, swollen eyes scratchy throat, wheezing. Took over counter Benadryl - no help. Passed out taken to ER - rev'd Epi-pen, IV Prednisone, Benadryl breathing at treatments
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Swelling face, Throat tightness
Clinical narrative: anaphylaxis-swollen face, "throat tight" Given Epinephrine by EMS. Seen in ED D/C home on Medrol dose pack.
Sex: M
Vaccine: HEP, MNQ, TD, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.1
Sex: M
Vaccine: HBHEPB, HEPA, MMRV, PNC, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated.
Age: 10.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Injection site abscess sterile, Injection site erythema, Injection site induration
Clinical narrative: Sterile abscess over site of injection, with an approximately 4 x 4cm indurated center and 6 x 6 cm erythematous area.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Baseball sized red, hot swollen area on left deltoid.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pruritus generalised
Clinical narrative: Approximately 12 hours after Flu shot, whole body itching and bilateral hand swelling Tx'd with Zyrtec and improved.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus generalised, Rash
Clinical narrative: Generalized itching, reddened skin, flat rash; areas on chest and neck- large (5 inches diameter) and red. Patient took 25mg Benadryl per her request. 1500 redness and itching subsiding, not completely gone. Took 25mg Benadryl at home in a.m.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema, induration at site of injection
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Injection site erythema, Injection site warmth
Clinical narrative: Approximately 12 hours after vaccine, noted discomfort and redness around but more distal to injection site. Denies swelling in area. 36 hours after injection reported red area 4 1/2" x 2" in size - still no swelling just hot and red. Reported to PCP. Took Ibuprofen prn.
Age: 0.4
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: 8 hours after administration of Prevenar, patient developed temperature to 102.7
Age: 3.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient woke up day after, thigh at injection site red swollen warm to touch and blances. Gave 12.5mg IM Benadryl
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site papule
Clinical narrative: Patient came for sick visit on 11-1-07 and wanted us check thighs where shots were given, areas are red - maybe one papule at shot site, no vesicles. Lateral side 6-8 round raised papules, treat as if chicken pox. Dxc? chickenpox - vaccine related
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 6 x 6cm area of erythema and induration to left anterior thigh at injection site with extended area of erythema (extending toward inner thigh) measuring a total of 10cm - no palp inguinal nodes, no systemic symptoms
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Unevaluable event
Clinical narrative: On 10/5/07 patient received final dose (#5) of Rabivert for post-exposure. Had initially reported during assessment that no side effects were noted after prior administration on 9/21/07 upon receiving invoice for insurance - patient reported.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Chickenpox diagnosed after vaccine given