chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Frequent bowel movements, Gastrointestinal disorder, Haematochezia, Haemorrhoids, Headache
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Hypertension, Immediate post-injection reaction, Incontinence, Injection site cellulitis, Injection site swelling
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Laboratory test normal, Migraine, Multiple allergies, Muscle twitching, Neurological examination
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Palpitations, Parasitic test, Photosensitivity reaction
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Pyrexia, Restless legs syndrome, Sleep study, Somnolence, Tinnitus
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Age: 44.0
Sex: F
Vaccine: ANTH, ANTH, ANTH, SMALL
Symptoms: Vestibular disorder, Vestibular function test, Weight decreased
Clinical narrative: Immediate HTN 150-185/ 98-108 remained untreated and sent on deployment. Febrile 102.8 unresolved with Tylenol/Motrin and fluids for 7 days. Immediate cellulitis to left arm concerned about compartmental syndrome. Very painful. Diarrhea for the first 1- 1 year then bloody watery stool 1.5 years, now still watery/unformed and painful past 3-6 months (ongoing for 3 years), Chronic cluster headaches unresolved with Maxalt, Neurontin, dizziness continues to be problematic starting Topamax/vestibular treatment and acupuncture, tinnitus (same as s/sx as mentioned with dizziness), migraines (SAME S/SX TX as mentioned with HA, migraines, and tinnitus), Chest Pain remains unresolved. Cardiac monitor during period of no felt symptoms revealed PVC, Palpitations remain but less significant since starting hydrochlorothiazide and a second antihypertensive medication 9-11 months ago, Palpitations, neurological twitches to face and periorbital spaces, hands and fingers, Restless Legs, chronic fatigue continues to be problematic especially at work and major difficulty with getting up in the morning (snooze alarm for 1-3 hours), cellulitis to left proximal posterior and anterior arm (from shoulder to elbow 1/2 inch of swelling in height). Photosensitivity continues. Hemorrhoids continue. Now the intestinal lining is being eaten away closest diagnosis is ulcerative pan colitis and celiac sprue not responding completely to current medications of Azacol, Colazol, and Inuran. Complete change in life with now intermittent periods of incontinence and urgency. Painful abdomen and frequency with bowel movement interfere with usual daily activities, late to work every morning, missed several days of work, unable to do leisure activities without having a bathroom nearby. Have Lost 20 pounds in body weight. Started on Nuerontin for RLS.
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Hyperventilation, Injection site pruritus
Clinical narrative: Initial report was received on 21 March 2011 from a health care professional.  A female patient had received a DTAP (manufacturer, lot number, route, site, and date of administration not reported) during a reported school immunization drive and experienced a "syncope episode".  The patient was evaluated by her physician after the episode.  Treatments were not reported.  The physician reports that the patient had already had a "Tdap" booster according to their records and did not need the vaccine.  No further information was available at the time of the report.  The patient's outcome was not reported.  Documents held by sender: none.
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Syncope
Clinical narrative: Initial report was received on 21 March 2011 from a health care professional.  A female patient had received a DTAP (manufacturer, lot number, route, site, and date of administration not reported) during a reported school immunization drive and experienced a "syncope episode".  The patient was evaluated by her physician after the episode.  Treatments were not reported.  The physician reports that the patient had already had a "Tdap" booster according to their records and did not need the vaccine.  No further information was available at the time of the report.  The patient's outcome was not reported.  Documents held by sender: none.
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Loss of consciousness, Simple partial seizures, Staring, Unresponsive to stimuli
Clinical narrative: Initial report was received on 18 March 2011 from a consumer who is also the patient's parent. A male patient (date of birth not reported) had received DAPTACEL (lot number, route and site of administration not reported) on an unspecified date in June of 2009 and the next day, experienced a seizure, was unresponsive and had a blank stare. The event duration was about a minute. According to the reporter the patient had no thrashing of the arms and legs. The patient was evaluated by a physician and was treated with an unspecified homeopathic remedy. Concomitant medications, illness at the time of vaccination and adverse events following prior vaccinations were all reported as unknown. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: none.
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Convulsion, Staring, Unresponsive to stimuli
Clinical narrative: Initial report was received on 18 March 2011 from a consumer who is also the patient's parent. A male patient (date of birth not reported) had received DAPTACEL (lot number, route and site of administration not reported) on an unspecified date in June of 2009 and the next day, experienced a seizure, was unresponsive and had a blank stare. The event duration was about a minute. According to the reporter the patient had no thrashing of the arms and legs. The patient was evaluated by a physician and was treated with an unspecified homeopathic remedy. Concomitant medications, illness at the time of vaccination and adverse events following prior vaccinations were all reported as unknown. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: none.
Age: 23.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, FLU3, HEPA, MNQ, TDAP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: 15 minutes after receiving c/o rash redness, denies any throat tightness or shortness of breath, mild itching. Q10 Date of Vaccination: Invalid date/time entry: Q11 Date of Adverse Event: Invalid date/time entry.
Age: 23.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, FLU3, HEPA, MNQ, TDAP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 15 minutes after receiving c/o rash redness, denies any throat tightness or shortness of breath, mild itching. Q10 Date of Vaccination: Invalid date/time entry: Q11 Date of Adverse Event: Invalid date/time entry.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Rash pustular, Urticaria, Vasculitis
Clinical narrative: 21 Y/O M with rash that was urticarial in nature and easily blanched on the upper and lower extremities. Pustular formations on thighs and forearms. TX: Pt started on H1 and H2 blockers, with 50 mg of ZANTAC now and ATARAX 50 mg q 6 hrs, SIQ 24 hrs.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pallor, Rash, Rash pustular, Urticaria
Clinical narrative: 21 Y/O M with rash that was urticarial in nature and easily blanched on the upper and lower extremities. Pustular formations on thighs and forearms. TX: Pt started on H1 and H2 blockers, with 50 mg of ZANTAC now and ATARAX 50 mg q 6 hrs, SIQ 24 hrs.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Joint stiffness
Clinical narrative: SHOULDER JOINT SORENESS AND TIGHTNESS IN EXCESS OF WHAT THE PATIENT THOUGHT HE SHOULD HAVE PATIENT VISITED FAMILY DOCTOR
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Herpes simplex, Herpes zoster
Clinical narrative: Information has been received from a physician concerning a 73 year old female patient with a history of shingles "on her left side in the S2 region of her body in September, 2007" who in approximately March 2009, was vaccinated with a dose of ZOSTAVAX (Merck) (Lot #, expire date and route not reported), 0.65 ml. Physician stated that in February 2011, the patient presented with acute zoster in the same region, on her left side in the S2 region of her body. The patient was treated with an unspecified anti-viral and an unspecified pain medication. The patient sought unspecified medical attention. At the time of the report, patient's outcome was unknown. Follow-up information was received from the physician concerning a female with allergy to sulfa, atenolol and statins, diabetes, hypertension, chronic obstructive pulmonary disease (COPD), hypothyroidism, atherosclerotic cardiovascular disease and a history of an initial event on 12-SEP-2007 on the S2 left HSV outbreak treated with VALTREX who in February 2009 (previously reported as approximately March 2009, by the physician), was vaccinated with the first dose of ZOSTAVAX (Merck), intramuscularly in the left deltoid at a pharmacy. The physician stated that on 23-FEB-2011 (previously reported as in February 2011) at 10 a.m., the patient was diagnosed with a second S2 left HSV outbreak and since 16-FEB-2011, the patient required a high dose of acyclovir 800 mg five times a day for 10 days. The second S2 HSV outbreak was considered by the physician to be an other important medical event. Additional information has been requested.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Asthma, Bacterial infection, Bronchitis, Nasopharyngitis
Clinical narrative: Cold symptoms progressed to asthma exasperation and full bronchitis bacterial infection by 3/26/2011.
Age: 21.0
Sex: M
Vaccine: FLU3, HEPA, HPV4, PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Individual is incarcerated. Nursing staff notified at 8:00am that patient's had left arm pain.  Nurse noted Left deltoid area 1 1/2 diameter area reddened, swollen, tender to touch and warm to touch.  Temp taken and was 100.6.  Tylenol and Benadryl was given.  Left arm evaluated at 10:00am and no change noted, temp taken was now 99.1.  Contact on 3/29 and information that arm is normal at this time.
Age: 21.0
Sex: M
Vaccine: FLU3, HEPA, HPV4, PPV
Symptoms: Pain in extremity
Clinical narrative: Individual is incarcerated. Nursing staff notified at 8:00am that patient's had left arm pain.  Nurse noted Left deltoid area 1 1/2 diameter area reddened, swollen, tender to touch and warm to touch.  Temp taken and was 100.6.  Tylenol and Benadryl was given.  Left arm evaluated at 10:00am and no change noted, temp taken was now 99.1.  Contact on 3/29 and information that arm is normal at this time.
Age: 0.21
Sex: F
Vaccine: DTAPH, HEP, IPV, PPV, RVX
Symptoms: Bronchiolitis
Clinical narrative: Bronchiolitis
Age: 64.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Slight pain first evening, swelling and feverish next day at shot location area of three inches across.  Very red, terribly swollen and feverish two days later, and still itchy and feverish four days later, now swelling is one inch hard knot.
Age: 64.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Slight pain first evening, swelling and feverish next day at shot location area of three inches across.  Very red, terribly swollen and feverish two days later, and still itchy and feverish four days later, now swelling is one inch hard knot.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Pt. presented to our office on 3/1/11 w/ redness, warmth, slight swelling and tenderness. Severe local reaction - upper arm.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Oedema peripheral
Clinical narrative: 1 day after vaccine - fever, chills, fatigue. Swelling (L) arm - not at injection site. Headache, decreased appetite.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 1 day after vaccine - fever, chills, fatigue. Swelling (L) arm - not at injection site. Headache, decreased appetite.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt developed hives over posterior (R) arm.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Insomnia
Clinical narrative: Started having pain within three hours after shot in my left arm in that area; dark red and swelling; and chills, then fever every other minute or an up and down situation, (did not take temperature). (In am) next day, per Dr.'s office, I applied heat, trying to sleep that evening, was upsetting/difficult.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Started having pain within three hours after shot in my left arm in that area; dark red and swelling; and chills, then fever every other minute or an up and down situation, (did not take temperature). (In am) next day, per Dr.'s office, I applied heat, trying to sleep that evening, was upsetting/difficult.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Neurological examination normal, Unresponsive to stimuli
Clinical narrative: Possible syncopal episode after vaccine adm. per MA, she gave pt flu vac. As she turned around to dispose the needle, she heard a loud noise & found pt fell down on exam table nonresponsive she ran to get me. Within a couple minutes, we ran back & found her sitting on exam table alert & oriented. She didn't recall what happened.
Age: 14.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Pruritus, Skin lesion
Clinical narrative: Raised, flat red lesions up to size of 25 cent piece. Mostly on face. Pruritic took ZYRTEC at 6:30 AM 2/28/11. Partially resolving by 1pm 2/28/11.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with redness and heat on the (L) deltoid measuring 4.5 inches in width and 5 inches in length. There was swelling and minimal pain.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Pain, Pyrexia, Weight bearing difficulty
Clinical narrative: High fever 101-104 refused to bear weight very painful.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Swelling at site of injection; fever. Tx - comfort measures.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Decreased appetite, Eyelid ptosis, Fatigue, Mental impairment, Pain in extremity
Clinical narrative: Left eye does not want to open all the way; patient showing extreme fatigue, pain in limbs, difficulty understanding speech. Loss of appetite and 101 degrees fever.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Left eye does not want to open all the way; patient showing extreme fatigue, pain in limbs, difficulty understanding speech. Loss of appetite and 101 degrees fever.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Contraception, Depression, Headache, Hyperhidrosis, Mood altered
Clinical narrative: Birth control, no PMS for 3 years, headaches, depressed, moody, sweaty hand and feet (extremely).
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 17.0
Sex: M
Vaccine: HEPA, TDAP, TDAP, TDAP
Symptoms: Anaphylactic reaction
Clinical narrative: Initial case was retrieved from the scientific literature on 22 March 2011. The article reported a case of anaphylactic reaction in a child. An unidentified child, with a milk-allergy, received an injection (route and site not reported) of DTAP, manufacturer and lot number not reported. The patient developed an anaphylactic reaction to DTAP. The outcome was not reported. Documents held by sender: None.
Age: 17.0
Sex: M
Vaccine: HEPA, TDAP, TDAP, TDAP
Symptoms: Anaphylactic reaction, Blood immunoglobulin E increased, Flushing, Respiratory distress, Wheezing
Clinical narrative: Initial case was retrieved from the scientific literature on 22 March 2011. The article reported a case of anaphylactic reaction in a child. An unidentified child, with a milk-allergy, received an injection (route and site not reported) of DTAP, manufacturer and lot number not reported. The patient developed an anaphylactic reaction to DTAP. The outcome was not reported. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Rt arm became red & swollen day of 3-15-11.
Age: 53.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: Reports that 3 days after she was immunized, her (R) deltoid was very sore & it has gotten worse each day. No redness, no swelling no nodule felt. Enc. to use warm compress - TYLENOL for discomfort.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Fatigue, Paraesthesia oral
Clinical narrative: Approximately 1 hr after receiving flu vaccine pt reported tingling of lips, "heavy" chest, fatigue, BP 159/96 HR 82 resp 18, chest clear, coherent, speaking, using cell phone.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Haemorrhage, Hypoaesthesia, Nausea, Oedema peripheral
Clinical narrative: Arm bled after immunization applied pressure, bleeding stopped. Mom called in later to report more bleeding. She applied pressure and it stopped. Mom applied ice pack to the area and elevated the (L) arm. Mom reported child complained of numbness in the arm & swelling & felt like he was going to vomit. Referred pt to Dr.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: 16 pox noted on body.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: (L) deltoid approx 4" x 5" reddened are at injection site. Warm to touch. Occurring approx 2 days after injection. Treated with ice and BENADRYL.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RVX
Symptoms: Bottle feeding, Breast feeding, Vomiting, Weight decreased
Clinical narrative: PE 3/16/11; received immunizations. On 3/17/11, began vomiting (non-bloody, non-bilious)-daily episodes but continued to breast/bottle feed. Wet diapers; no diarrhea. Wt loss.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Vomiting
Clinical narrative: Mom states pt started vomiting after vaccines, 3-4 hours after rec. & he did not stop, pt taken to ER. See record attached.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMRV, PNC13
Symptoms: Asthenia, Fatigue, Gait disturbance, Injection site haematoma, Injection site pain
Clinical narrative: Became very tired, napped from 4pm-7pm 3/17/11, c/o pain in legs/ difficulty walking upon wakening, feeling weak. Slept from 8pm -1am, awoke with fever 101 degrees Axillary, vomiting & pain in legs. Fever down at 4am. Mom called in at 10:30am 3/18, no longer hurting, temp 98.0 Ax. Gave 2 tsp Children's TYLENOL & Calcium Carbonate at 1am for symptoms. Bruising noted on (L) leg, no swelling on either leg. Mom also applied ice packs to legs & had child sit in warm bath for discomfort.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMRV, PNC13
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Became very tired, napped from 4pm-7pm 3/17/11, c/o pain in legs/ difficulty walking upon wakening, feeling weak. Slept from 8pm -1am, awoke with fever 101 degrees Axillary, vomiting & pain in legs. Fever down at 4am. Mom called in at 10:30am 3/18, no longer hurting, temp 98.0 Ax. Gave 2 tsp Children's TYLENOL & Calcium Carbonate at 1am for symptoms. Bruising noted on (L) leg, no swelling on either leg. Mom also applied ice packs to legs & had child sit in warm bath for discomfort.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Activities of daily living impaired, Body temperature increased, Tremor
Clinical narrative: Mtr called 3/18/11 and reported that pt has had occasional shaking episodes since yesterday. Mtr reports he has not had any of these episodes before he took his last immunizations. Mtr reports "slight" elevated temp. Mtr denies any other symptoms. Mtr reported that the child was shaking so bad last night that he had difficulty eating. Child has not been to see MD. Mtr contributes symptoms due to extra MMR pt. received at visit. Mtr advised to take child to MD immediately.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Seasonal Influenza vaccine administered 3/4/2011. Personal risk-healthcare worker. Reported 3/15/2011 to Infection prevention and central nurse that she began experiencing numbness and tingling of her hands and feet on 3/8/2011. Referred to MD for evaluation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Rt. upper arm swollen & red 2 cm by 4 cm seen 3/28/11.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Inflammation, Injection site erythema, Injection site swelling, Injection site warmth, Skin disorder
Clinical narrative: Large area of swelling, warmth, redness around vaccine site. Skin breakdown centrally with clear exudate.
Age: 4.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site papule, Injection site swelling, Injection site warmth
Clinical narrative: Large area of swelling, redness, warmth that spread down leg now with red papules at periphery of area of redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain
Clinical narrative: Proximal right arm pain, tenderness on palpation, no swelling, no erythema.
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Blood culture, Blood test, Culture urine, Dry mouth, Dyspnoea
Clinical narrative: Sinus congestion, itchy throat, low grade fever, dry mouth, hives, swollen red right arm at site of injection, dyspnea, hives and dyspnea did not begin until 03/29/2011
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site swelling, Pyrexia, Sinus congestion, Throat irritation, Urine analysis
Clinical narrative: Sinus congestion, itchy throat, low grade fever, dry mouth, hives, swollen red right arm at site of injection, dyspnea, hives and dyspnea did not begin until 03/29/2011
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: Sinus congestion, itchy throat, low grade fever, dry mouth, hives, swollen red right arm at site of injection, dyspnea, hives and dyspnea did not begin until 03/29/2011
Age: 68.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Diarrhoea, Weight decreased
Clinical narrative: Severe, persistent diarrhea (as many as 7 episodes in a 10-hour period, as well as during the night, associated with abdominal cramping and pain). The diarrhea still persists as of this date, despite anti-motility agents. Patient has lost 7 lbs. There has been no nausea, vomiting, fever, or blood in stools, and no recent foreign travel.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood test normal, Convulsion
Clinical narrative: witnessed seizure
Age: 53.0
Sex: F
Vaccine: HEPA, MMR, TDAP, TYP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Chills, Erythema, Injection site pain, Swelling
Clinical narrative: Chills, erythema, injection site pain, swelling and back pain.
Age: 0.18
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Intussusception
Clinical narrative: Intestinal intussusception, requiring surgical procedure
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Asthenia, Condition aggravated, Convulsion, Dyskinesia
Clinical narrative: after client was given both vaccine she said i feel week so i sat here down and she went into a 10 sec seizure with left arm jerking
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling hot, Nausea
Clinical narrative: Pt. states woke up feeling nauseous and hot. States she feels like she has a fever.
Age: 14.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: 14 y/o received Varicella and HPV vaccines to left arm on 3-1-11. Pt presented on 3/3 and 3/4 with large area of swelling and erythema 15x16 cm pink changes 6x4 cm of induration & erythema.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Bone pain, Epicondylitis, Hypoaesthesia, Injection site erythema
Clinical narrative: 36 y/o female who received seasonal influenza vaccine on 20 Dec 2010 as a condition of employment. Employee received the injection in her left mid-upper arm and did not note anything unusual about vaccine administration. She reports minimal redness, swelling, and tenderness at the vaccination site lasting <72 hours. Approximately 30 days following vaccine receipt, employee noted significant persistent left upper arm pain and intermittent swelling, primarily affecting the area of her vaccination site. Around the same time, she noted numbness in her left fingertips, which was intermittent for about 1-2 months, but has since subsided. Employee describes upper arm pain as "in my bone". Pain is significantly increased when pressure is applied against the affected area. Due to this pain, she has limited carrying infants in her left arm and she no longer carries her purse on the left side. Initially, the pain awoke her from her sleep, but she has learned to avoid positions that place pressure on her left upper arm. She notes a slight increase in pain when L)UE is held straight out in front of her, otherwise, she denies significant limitations in range of motion. Employee reports L)UE weakness. She has sought evaluation through her Primary care provider and was diagnosed with tennis elbow. She was prescribed LODINE and PERCOCET for pain management with improvement of pain, but she tries to limit medication use. About 3 weeks ago, a L)UE ultrasound was completed and reported as normal. Patient reported feeling well day of and prior to vaccinations. She denies significant or prolonged fever/chills, headaches, fatigue or generalized body aches following vaccine receipt. She denies a history of past trauma or injury to her L)UE. She reports no prior vaccine reactions. She reports a negative PMH except for asthma for which she uses an Albuterol inhaler.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Pain in extremity, Sleep disorder, Ultrasound scan normal, Vaccination site pain
Clinical narrative: 36 y/o female who received seasonal influenza vaccine on 20 Dec 2010 as a condition of employment. Employee received the injection in her left mid-upper arm and did not note anything unusual about vaccine administration. She reports minimal redness, swelling, and tenderness at the vaccination site lasting <72 hours. Approximately 30 days following vaccine receipt, employee noted significant persistent left upper arm pain and intermittent swelling, primarily affecting the area of her vaccination site. Around the same time, she noted numbness in her left fingertips, which was intermittent for about 1-2 months, but has since subsided. Employee describes upper arm pain as "in my bone". Pain is significantly increased when pressure is applied against the affected area. Due to this pain, she has limited carrying infants in her left arm and she no longer carries her purse on the left side. Initially, the pain awoke her from her sleep, but she has learned to avoid positions that place pressure on her left upper arm. She notes a slight increase in pain when L)UE is held straight out in front of her, otherwise, she denies significant limitations in range of motion. Employee reports L)UE weakness. She has sought evaluation through her Primary care provider and was diagnosed with tennis elbow. She was prescribed LODINE and PERCOCET for pain management with improvement of pain, but she tries to limit medication use. About 3 weeks ago, a L)UE ultrasound was completed and reported as normal. Patient reported feeling well day of and prior to vaccinations. She denies significant or prolonged fever/chills, headaches, fatigue or generalized body aches following vaccine receipt. She denies a history of past trauma or injury to her L)UE. She reports no prior vaccine reactions. She reports a negative PMH except for asthma for which she uses an Albuterol inhaler.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site swelling
Clinical narrative: 36 y/o female who received seasonal influenza vaccine on 20 Dec 2010 as a condition of employment. Employee received the injection in her left mid-upper arm and did not note anything unusual about vaccine administration. She reports minimal redness, swelling, and tenderness at the vaccination site lasting <72 hours. Approximately 30 days following vaccine receipt, employee noted significant persistent left upper arm pain and intermittent swelling, primarily affecting the area of her vaccination site. Around the same time, she noted numbness in her left fingertips, which was intermittent for about 1-2 months, but has since subsided. Employee describes upper arm pain as "in my bone". Pain is significantly increased when pressure is applied against the affected area. Due to this pain, she has limited carrying infants in her left arm and she no longer carries her purse on the left side. Initially, the pain awoke her from her sleep, but she has learned to avoid positions that place pressure on her left upper arm. She notes a slight increase in pain when L)UE is held straight out in front of her, otherwise, she denies significant limitations in range of motion. Employee reports L)UE weakness. She has sought evaluation through her Primary care provider and was diagnosed with tennis elbow. She was prescribed LODINE and PERCOCET for pain management with improvement of pain, but she tries to limit medication use. About 3 weeks ago, a L)UE ultrasound was completed and reported as normal. Patient reported feeling well day of and prior to vaccinations. She denies significant or prolonged fever/chills, headaches, fatigue or generalized body aches following vaccine receipt. She denies a history of past trauma or injury to her L)UE. She reports no prior vaccine reactions. She reports a negative PMH except for asthma for which she uses an Albuterol inhaler.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Clumsiness, Gait disturbance, Hypoaesthesia oral, Joint stiffness, Nerve conduction studies
Clinical narrative: In early November, tingling of toes.  Mid-November had tingling of hands as well, shortly followed by clumsiness, numb mouth, stiff joints, trouble rising, difficulty with stairs
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Somnolence
Clinical narrative: In early November, tingling of toes.  Mid-November had tingling of hands as well, shortly followed by clumsiness, numb mouth, stiff joints, trouble rising, difficulty with stairs
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Injection site warmth, Local swelling, Nausea
Clinical narrative: Pt states she began to experience chills/nausea 3/25 evening which then subsided by the next morning. States that she awoke 3/27/11 with noticeable localized redness, minimal localized swelling and warmth below the injection site. Pt evlauated today- advised to continue with ibuprofen, cool compresses and Benadryl prn. To c/b if symptoms persist, worsen.
Age: 0.01
Sex: M
Vaccine: HEP
Symptoms: Convulsion, Muscle twitching
Clinical narrative: Twitches/seizures which lasted about 1-2 minutes multiple times throughout the day for about 3 to 4 weeks after receiving Hep B shot
Age: 43.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness, Fatigue, Myalgia, Urticaria
Clinical narrative: Dizziness and fatigue, muscle tenderness, hives on trunk and upper arms
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Impaired driving ability, Mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Extremely sore arm (not injection site) my whole bicep is sore and some days I cannot lift my arm further than my waist! Could use it to drive (couldnt hold steering wheel). Feels very stiff and painful to use. It has been over one month since the TDAP was given to me. My life is much more difficult to manage 3 kids and everyday life with this side effect. I have trouble sweeping the floor even! Feels like there is a heavy weight on my arm pushing against me.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Sensation of heaviness
Clinical narrative: Extremely sore arm (not injection site) my whole bicep is sore and some days I cannot lift my arm further than my waist! Could use it to drive (couldnt hold steering wheel). Feels very stiff and painful to use. It has been over one month since the TDAP was given to me. My life is much more difficult to manage 3 kids and everyday life with this side effect. I have trouble sweeping the floor even! Feels like there is a heavy weight on my arm pushing against me.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Developed swelling in L upper arm with some redness at inj site shoulder to elbow swelling. Saw 48 hrs after injection; worse night of injection.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Haemoglobin, Syncope
Clinical narrative: Syncopal episode in elevator after leaving our office. Seen for well child visit. Rec'd ADACEL & MENACTRA and hemoglobin test. Initial BP: 117/56 HR 55. Post episode: 102/69 HR 50.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site swelling, Pyrexia, Tremor
Clinical narrative: Swelling & shaking of left leg with fever 102 degrees F.
Age: 89.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Back pain, Blood creatine phosphokinase normal, Chest discomfort, Electrocardiogram normal, Flushing
Clinical narrative: Patient's face and body became very flushed within minutes of injection. She then complained of chest discomfort and lower back pain.
Age: 89.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Back pain, Chest pain, Electrocardiogram, Erythema, Feeling hot
Clinical narrative: Patient's face and body became very flushed within minutes of injection. She then complained of chest discomfort and lower back pain.
Age: 89.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Generalised erythema, Muscle spasms
Clinical narrative: Patient's face and body became very flushed within minutes of injection. She then complained of chest discomfort and lower back pain.
Age: 1.37
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Erythema, Induration, Rash, Skin warm
Clinical narrative: Half dollar size rash 11 days after vaccine. Area red, hot & hard. Watch & call if s/s change, worse.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Musculoskeletal stiffness
Clinical narrative: C/o redness & pain Rt deltoid s/p tdap on 3/25/11; neck stiffness.
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Body temperature increased
Clinical narrative: T-101 day after imms. give TYLENOL, monitor, call if worse or sx change.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Came into office limping. 2" round, red, warm, swollen area at injection site. Advised monitor size. Call if streaking, dischg or s/s infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom called 2 days after vaccines given to report both child's arms red, swollen and warm to touch. Advised cool compresses, TYLENOL, call if no improvement.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Vomiting
Clinical narrative: Dad called in PM, day of immunization stated child vomited x 4 since receiving vaccine. Advice given re: possible virus illness. Call if change or no improvement.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Rec call from pt stating after TDAP on 3/21/11 she developed fever on 3/22 of 102 degrees & body aches - decreased after APAP area of injection site sl red & swollen but improving did not want to come in.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right deltoid - redness, swelling, warm to touch & tenderness (22 mm).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: The whole Rt upper arm swollen & below the elbow red with a blister upper arm 1cm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Erythema, Induration
Clinical narrative: The whole Rt upper arm swollen & below the elbow red with a blister upper arm 1cm.
Age: 0.04
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Drug administered to patient of inappropriate age, Vomiting
Clinical narrative: Information has been received from a medical assistant concerning a 14 day old patient, who on 27-DEC-2010 was inadvertently administered a dose of ROTATEQ (Lot # not reported) orally when the infant's mother provided the incorrect birth date. No known adverse effects were reported. Follow up information was received from the medical assistant who reported that the patient had been experiencing diarrhea since receipt the vaccine. At the time of the report, the outcome of the patient was unknown. Follow up information was received from the medical assistant indicating that the male patient with respiratory distress, left club foot and a history of prematurity, with no illness at time of vaccination, had vomiting and diarrhea on approximately 28-DEC-2010, "next day" of vaccination with a first dose of ROTATEQ (Lot # 667989/0687Z). The patient did not seek medical attention. The patient recovered on 19-JAN-2011. Additional information is not expected.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abasia, Areflexia, Blister, Cast application, Facial pain
Clinical narrative: This letter is in regard to my case 1-281-768-0126 that I have on file with your company. I am writing this letter to summarize this issues that contracting shingles has caused, post shingles vaccine (12/09). Contracting shingles has turned my life upside down. I first got them at the beginning of November and initially was evaluated for  a back problem due the numbness in my lower left leg and pain in my lower back and down my left leg. The MRI's were negative. There had been no suspicion of shingles as I had the vaccine 1 months prior! Finally I was diagnosed. The lesions spread from my back, down my outer thigh, to BOTH sides of my left calf! The pain was excruciating. After 2 trips to the ER for the intense pain, I was diagnosed and put on acyclovir.  I was also given pain medication. Eventually, due to the severity of the pain, I was given LYRICA. On December 6th, knowing that my lower calf was numb, I had also developed weakness in my left knee. My knee gave out and I crumbled, causing 3 fractures to the tibia/fibula. I had surgery to both bones with screws and plates to put the ankle back together. As of today, I still have full time care ad cannot out any weight on my foot/ankle. It has been so humiliating to have to have to ask for help with everything from using the commode to helping me get dressed. Most of my holiday was spent in bed and in deep depression over this.