chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Rash, Tremor
Clinical narrative: 1. Redness at site of injection at 48 hours post vaccine and 3 cm diameter in size. 2. Rash on forearms ?? urticarial at 24 hours post vaccine. Already had cleared by 48 hours. 3. Felt shaking.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Nasal congestion, Pain, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Patient developed following Sxs approximately 5 1/2 hours after receiving flu vaccine - sore throat, runny stuffy nose, aches, pains and exhaustion. Went to bed, slept for 12 hrs and felt fine when she woke up.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: Patient developed following Sxs approximately 5 1/2 hours after receiving flu vaccine - sore throat, runny stuffy nose, aches, pains and exhaustion. Went to bed, slept for 12 hrs and felt fine when she woke up.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Later in the evening was in hot tub and noticed rash on abdomen. Got out and rash continue to spread to arms, chest and neck. Have used hot tub many times before - no problems. Called physician next day - recommended Benadryl- hydrocortisone  cream.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Erythema, Fatigue, Nausea, Paraesthesia
Clinical narrative: About 3:30 pm - Began feeling weak, tired, nauseous. Approx one hour later, skin began feeling tingling and itchy. By 7:30 pm temperature was 101 degrees F, skin was red and very itchy/tingling. Skin continued to be bothered beyond 24 hours. Temp at 8:00 am 11/15 was 99 degrees F.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Pyrexia, Skin disorder
Clinical narrative: About 3:30 pm - Began feeling weak, tired, nauseous. Approx one hour later, skin began feeling tingling and itchy. By 7:30 pm temperature was 101 degrees F, skin was red and very itchy/tingling. Skin continued to be bothered beyond 24 hours. Temp at 8:00 am 11/15 was 99 degrees F.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Pyrexia, Urticaria, Vomiting
Clinical narrative: Vaccine at 8 am approx 11:00 am hives - at pm 8:30/9:00 pm running fever increase itching. Next am - started vomiting, fever progressing all day. Gave Benadryl/Tylenol/Motrin next morning. Total illness lasted about 3 days.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Convulsion
Clinical narrative: Seizure generalized tonic clonic lasting about 30 sec. Resolved spontaneously. Evaluation normal after event.
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Fatigue, Swelling, Urticaria
Clinical narrative: Telephone call from pt. 11/25/05 states he had swelling in axilla right and red welts on right shoulder. Beginning 1 hour after vaccination. He began taking Benadryl. Had some fatigue several days, 11/2//05 wife state "at work feeling better."
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Adacel administered on 11/28/05 right arm. Mother called today with report of 25 cent piece sized, red, warm, very little discomfort. (12/1/05) Menactra given in left arm no symptoms.
Age: 88.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Client reports the same day arm had egg sized red area with pain and swelling. Called DR office again and found she just had it in April and this is why she reacted she said she forgot she had it.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Patient reported have generalized hives lasting for 1 hour.
Age: 1.28
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: 6 year old received Varivax at age 16 mo. Developed herpes-zoster (shingles) in right L-5 dermatome Nov 2005. No history of natural chicken pox infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: 8cm red, warm to touch. Benadryl x 2-3 days return to office if painful or getting worse.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Hypoaesthesia, Pain, Paraesthesia, Pruritus
Clinical narrative: Few hours after vaccine she developed pain in arm claims gets prickling, itching sensation in arm whenever it gets warm. Also gets sharp pain in the arm and elbow lasting 10 minutes or less. Left hand gets numb. This is persisting to this day.
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea, Pallor
Clinical narrative: At 6:00 PM on 11/30/05, became very nauseated. At 7:00 AM on 12/1/05, upon rising, was dizzy, pale with headache. At 11:00 AM on 12/1/05 after eating began to feel better. No temp or localized reaction at site.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Viral infection
Clinical narrative: Patient had mild fever and rash for 3 days. Came to office after 3 days and doctor diagnosed varicella.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Pruritus, Tenderness
Clinical narrative: 24 hours after injection, erythema, some induration by 72 hours, had reddened 10cm diameter. Minimal tenderness, slight itchy.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Immunized 11/29. Complained of swelling left deltoid and redness 11/30 with itching at site. Area about 3cmx6cm slightly increased warmth. Per parent, less swelling and less redness today.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Injection site erythema, Swelling
Clinical narrative: Presented 11/2/05 with swelling and redness over left thigh, including the knee. Patient complaining of pain when walking. No limitation in ROM. Redness at injection site only. Given Clarinex syrup, Prednisone 15mg, Orapred BID for 3-4 days, Dermatop .1% for 3-4 days.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Tingling hands, weakness of arms and legs on 11/23/05. Patient seen at ED 11/23/05. Transferred to another hospital for possible admission. Symptoms resolved completely. Patient discharged to home that evening.
Age: 5.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blister, Pain, Rash, Viral infection
Clinical narrative: Varicella vaccine breakthrough. Patient seen 11/29/05 in our office by doctor and diagnosed with varicella. Had body aches starting 11/27/05. Rash started 11/29/05. Had 8 lesions with central vesicle on face with some crusted. No fever. Had varicella vaccine in another country.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Face oedema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 4:00 PM Redness, swelling, pain at injection site. 5:00 PM Increased swelling, redness progressed down arm to hands, face swollen, lips tingling, persistent cough. 5/:10 Saw doctor; IM prednisone administered. Started on Benadryl 50mg every 4-6 hours. Started on Prednisone PO 40mg BID for 7 days.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: 4:00 PM Redness, swelling, pain at injection site. 5:00 PM Increased swelling, redness progressed down arm to hands, face swollen, lips tingling, persistent cough. 5/:10 Saw doctor; IM prednisone administered. Started on Benadryl 50mg every 4-6 hours. Started on Prednisone PO 40mg BID for 7 days.
Age: 0.64
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives
Age: 49.0
Sex: M
Vaccine: ANTH, FLU3, MEN, SMALL, TYP
Symptoms: Cough, Dizziness, Dyspnoea, Ear pain, Headache
Clinical narrative: ATYPICAL PNEUMONIA, MICROPLASMA IN UPPER HALF OF RIGHT LUNG.
Age: 49.0
Sex: M
Vaccine: ANTH, FLU3, MEN, SMALL, TYP
Symptoms: Hepatic enzyme abnormal, Influenza, Pneumonia, Toothache, Vision blurred
Clinical narrative: ATYPICAL PNEUMONIA, MICROPLASMA IN UPPER HALF OF RIGHT LUNG.
Age: 32.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Patient vaccinated on 12/2/05 and complained of vomiting, headache and 103 fever for 2 days approximately 27 hours status post vaccination.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Myocardial infarction
Clinical narrative: Patient vaccinated with smallpox on 27 Nov 05. Then had myocardial infarction on 29 Nov 05.
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Fatigue, Hypoaesthesia, Hypokinesia, Muscular weakness, Neuropathy
Clinical narrative: Unable to maintain my running regiment. Pain in lower limbs, diagnosed with neuropathy.  1/31/06 Review of 27-page medical record confirms neuropathy. Additional symptoms include: weakness in legs, numbness in feet, and fatigue. Per 60 day follow up report-my ability to run continues to deteriorate. My pace at which I run has also drastically slowed down. Also, the neuropathy condition in my left foot appears to be getting worse. Per annual follow-up: Running ability is much harder
Age: 44.0
Sex: M
Vaccine: LYME
Symptoms: Pain
Clinical narrative: Unable to maintain my running regiment. Pain in lower limbs, diagnosed with neuropathy.  1/31/06 Review of 27-page medical record confirms neuropathy. Additional symptoms include: weakness in legs, numbness in feet, and fatigue. Per 60 day follow up report-my ability to run continues to deteriorate. My pace at which I run has also drastically slowed down. Also, the neuropathy condition in my left foot appears to be getting worse. Per annual follow-up: Running ability is much harder
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: Large local reaction to left thigh and no systemic signs all within 24 hours of vaccine.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Nerve injury, Pain, Sleep disorder
Clinical narrative: My arm hurt immediately. By Sunday morning, I went to emergency room. I had severe pain down my entire right arm from the shoulder. I couldn't sleep because of the pain. It still hurts.
Age: 0.84
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Developed rash on face/body. Seen in ER. Physical examination - urticarial rash. Rx: Benadryl 6.25mg PO, Prednisone 18mg PO. Decreased erythema.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives - treated with Benadryl.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Lethargy, Oral intake reduced, Pyrexia, Restlessness, Vomiting
Clinical narrative: 11/15 Mom reports that child received flu shot at approximately 3:00 PM. At 7:00 PM, she began vomiting, no dinner. Restless in the NOC, temp 104. Mom gave Gatorade in NOC. Next AM, eating little, no emesis. Questionable temp. To PCP. No problems identified (Wed). Thurs, no fever, no emesis, eating and returned to school. More quiet than usual. By Thursday evening, ate good dinner and slept well. Yesterday (11/14) temp again increased to 105, poor appetite and lethargy. Better today. Kept home from school 11/15/05.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Blood pressure decreased, Dyspnoea, Heart rate increased, Injection site pain
Clinical narrative: Telephone call to clinic 11/8. Client states at 11:00 PM she experienced nausea and difficulty breathing. Complained of feeling achy all over. Awake off and on all NOC. In AM, continued to complain of achiness; had trouble getting going. Stayed home from work. Had also complained of abdominal pain and syncope in the NOC. Abdominal pain relieved after stool. Had increased pulse at 112/min and decreased BP at 88/58. Had taken a dose of Trazadone at HS (Med is not new). Eating/Drinking FLDS. 11/10/05 Telephone call follow up states felt ok. 11/9 returned to work. Complained of light soreness at injection site. Did not go to doctor. No history of previous injection reactions. Continued to be fine today. Client states I wonder if the Trazadone made me feel this way.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Syncope
Clinical narrative: Telephone call to clinic 11/8. Client states at 11:00 PM she experienced nausea and difficulty breathing. Complained of feeling achy all over. Awake off and on all NOC. In AM, continued to complain of achiness; had trouble getting going. Stayed home from work. Had also complained of abdominal pain and syncope in the NOC. Abdominal pain relieved after stool. Had increased pulse at 112/min and decreased BP at 88/58. Had taken a dose of Trazadone at HS (Med is not new). Eating/Drinking FLDS. 11/10/05 Telephone call follow up states felt ok. 11/9 returned to work. Complained of light soreness at injection site. Did not go to doctor. No history of previous injection reactions. Continued to be fine today. Client states I wonder if the Trazadone made me feel this way.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Diarrhoea
Clinical narrative: Flu symptoms after a few days-diarrhea developed.  Saw Dr.  Stool test came back negative.  Given Pepto Bismol then put on Imodium.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dry throat, Eye irritation
Clinical narrative: Pt called to report "burning in both eyes and "scratchy" throat several hours after influenza vaccine administered.  Denies tightness in throat or chest or difficulty breathing.  Has taken vaccine in past with no problems.  Relieved with PO Benadryl within 24hrs.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Eye disorder, Headache, Injection site erythema, Skin burning sensation
Clinical narrative: Bright red at injection site.  Swollen and sore for over two weeks.  Felt strange.  Sensitive to air inside and outside-burning.  Ensuing days awaken to inability to open eyes.  Cranial pressure, aching joints.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Swelling
Clinical narrative: Bright red at injection site.  Swollen and sore for over two weeks.  Felt strange.  Sensitive to air inside and outside-burning.  Ensuing days awaken to inability to open eyes.  Cranial pressure, aching joints.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Hives on face within 5-10 months of receiving immunizations.
Age: 1.47
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash
Clinical narrative: Pt at clinic with mother for illness on 12/6/05.  Mother asked about child's upcoming need for further immunizations.  Mother stated child developed generalized body rash 2 days after receiving immunizations on 9/30/02.  Rash lasted 2 months.  Complete recovery after 2 months.  No prior problems with previous immunizations.
Age: 6.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: 24 hrs after DTP patient developed swelling and erythema.  Normal range of motion of arm.  No fever.  Swelling oval shape 6 in x 6 in.  PE today 12/2/05.
Age: 1.04
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Erythema
Clinical narrative: Vaccine administered 10/10/05 mom states redness appeared next day 10/11/05.  On 10/13/05 patient started guarding leg.  Mom states she tried or is doing no treatment for any symptoms.  Small vesicle appeared 10/19/05 (maybe from mosquito bites mom states) bilateral leg appears to have bites.
Age: 16.0
Sex: M
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Swelling face
Clinical narrative: In evening swelling of eyes, face, mouth 11-03-05 still swollen 11-04-05.  Client was instructed to go to Physician took Benadryl 11-04-05 and went to school.  Sent home from school to go to Dr. 11/04/05.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Disturbance in attention, Fatigue, Headache, Hypersensitivity
Clinical narrative: Headache reported at 4pm, treated with Aleve symptoms worse by 7pm.  Took 2 more Aleve at 7:30 PM, went to bed slept 13 hours, aching all over body, seen by Dr., diagnosed allergies, gave Allegra D, seen again by Dr. on 10-24.  Augmentin ordered, continued to go back to doctors for tests, continues to complain of headaches, low grade fever 100.6, aches all over body, weakness, inability to concentrate, easily fatigued.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Pain, Pyrexia
Clinical narrative: Headache reported at 4pm, treated with Aleve symptoms worse by 7pm.  Took 2 more Aleve at 7:30 PM, went to bed slept 13 hours, aching all over body, seen by Dr., diagnosed allergies, gave Allegra D, seen again by Dr. on 10-24.  Augmentin ordered, continued to go back to doctors for tests, continues to complain of headaches, low grade fever 100.6, aches all over body, weakness, inability to concentrate, easily fatigued.
Age: 1.38
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Patient presented with spots on chest, back and legs.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Swelling
Clinical narrative: Mom reports that he has been very cranky and fussy since vaccines given on 11/22/05. T 99.2. Legs also really swollen.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: Client has a 46cm circular red area noted to R deltoid at the infection site.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Fluarix vaccine given to patient under the age of 18.  Lot # afluaa147 exp 8/4/06.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dry throat
Clinical narrative: C/O severe dizziness and dry throat 30 minutes after receiving immunization.  Benadryl 50mg IM/EKG.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Heart rate increased, Myalgia, Nausea, Pyrexia
Clinical narrative: Pt received 1st dose of vaccine on 11/15/2005 and reported no problems with vaccine. pt received 2nd dose of vaccine on 11/22/2005. when pt came back to clinic on 12/6/2005 to receive 3rd dose, she told the RN that she had severe headache, nausea, muscle aches, fever and fast heart rate after getting her 2nd dose. Under doctors order, the third dose was not given and a titer was drawn. pt was instructed to call her primary care provider for further instructions.
Age: 0.18
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Pyrexia
Clinical narrative: Pt received all 4 Prevnar vaccinations and developed Strep pneumoniae bacteremia at 17 months old.  Prevnar was given 4 separate dates but the lot numbers are below.  Dates of 8/19/04, 12/16/04, 5/13/05, 8/15/05.  The vaccines were NOT given the same day.
Age: 43.0
Sex: F
Vaccine: MMR, TD
Symptoms: Rash
Clinical narrative: Reports rash over entire body about 3 days after administration of vaccines. Went to ED .Was given 5 day course of Prednisone. Rash subsided. Stated on 12-7-05 that rash recurred 2-3 days ago.She has already consulted her personal physician.
Age: 0.51
Sex: F
Vaccine: DTAPH, FLU3, IPV, PNC
Symptoms: Crying, Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: LOW-GRADE FEVER, REDNESS/SWELLING AT INJECTION SITE, FUSSINESS IN CHILD WITH NON-STOP CRYING EPISODES LASTING OVER THREE HOURS.  THIS OCCURRED EARLY IN MORNING FOLLOWING IMMUNIZATIONS. REPORTED TO OFFICE 12/7/05 ORAPRED AND BENADRYL ORDERED.
Age: 37.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Discomfort, Pain, Swelling
Clinical narrative: Patient c/o swelling to left deltoid with pain and discomfort. Local edema noted on left deltoid.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure like activity.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Joint range of motion decreased, Joint swelling, Pain, Paraesthesia
Clinical narrative: Patient received Hepatitis B vaccine on 11/4/05.  Immediately felt pain to left arm.  Over the next few weeks pain did not go away. In the last 3-4 days symptoms progressed to numbness, tingling in arm and hand.  Coolness to left hand with swelling of joints and discoloration (purple) in fingers.  Swelling has increased.  Range of motion to left arm is limited.  Physical Therapy started.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Peripheral coldness, Skin discolouration
Clinical narrative: Patient received Hepatitis B vaccine on 11/4/05.  Immediately felt pain to left arm.  Over the next few weeks pain did not go away. In the last 3-4 days symptoms progressed to numbness, tingling in arm and hand.  Coolness to left hand with swelling of joints and discoloration (purple) in fingers.  Swelling has increased.  Range of motion to left arm is limited.  Physical Therapy started.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Fatigue, Injection site induration, Lacrimal disorder, Pain
Clinical narrative: Events are all typical symptoms expected for the smallpox vaccine.  Day #9 of vaccination.  Extreme fatigue, fevers, chills, and bodyaches.  Wound appears normal with wide induration and central lesion (sligtly less than dime size)  Extreme tenderness at left axilla.      I submit this report in accordance with DoD request for quarters.  I placed her on quarters for tomorrow - will miss day of work and thus I submit this report.
Age: 28.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Events are all typical symptoms expected for the smallpox vaccine.  Day #9 of vaccination.  Extreme fatigue, fevers, chills, and bodyaches.  Wound appears normal with wide induration and central lesion (sligtly less than dime size)  Extreme tenderness at left axilla.      I submit this report in accordance with DoD request for quarters.  I placed her on quarters for tomorrow - will miss day of work and thus I submit this report.
Age: 0.87
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: POST 10 MINUTES OF RECIEVING INFLUENZA VACCINE. PATIENT DEVELOPED RASH ON TRUNK OF BODY. M.D ADMINISTERED 3/4 TSP. OF BENADRYL BY MOUTH. CHILD WAS DISCHARGE IN NO APPARENT DISTRESS. SMILING, ACTIVE, CONSCIOUS.
Age: 36.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Dizziness, Heart rate increased, Similar reaction on previous exposure to drug
Clinical narrative: Patient described heart racing, feeling "weak", and dizziness about 3 hours after taking her first typhoid pill.  She felt better within about 6 hours.  No treatment needed.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Constipation, Cough, Nasal congestion, Pyrexia
Clinical narrative: On 11/08/05,Mother of patient called to say patient has rectal temperature of 104.8 (had flu vaccine on 11/07/05). 11/09/05, ear temperature of 101.3.  11/10/05, ear temperature of 103.9. Mom writes on notes about those days, "her son has a horrible cough, vomiting, no appetite".  Patient was taken to see a physician on 11/10/05, where he had temp of 99.9, was diagnosed with "viral syndrome". Mom says later that Dr. said the fever was not related to the flu vaccine. On progress notes from the Dr. visit, cough, congestion, nasal discharge, vomiting, constipation, fever, no appetite were listed as presenting symptoms.  Treatment recommended as follows: ibuprofen alternating as needed with tylenol, fluids, rest.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea, Viral infection, Vomiting
Clinical narrative: On 11/08/05,Mother of patient called to say patient has rectal temperature of 104.8 (had flu vaccine on 11/07/05). 11/09/05, ear temperature of 101.3.  11/10/05, ear temperature of 103.9. Mom writes on notes about those days, "her son has a horrible cough, vomiting, no appetite".  Patient was taken to see a physician on 11/10/05, where he had temp of 99.9, was diagnosed with "viral syndrome". Mom says later that Dr. said the fever was not related to the flu vaccine. On progress notes from the Dr. visit, cough, congestion, nasal discharge, vomiting, constipation, fever, no appetite were listed as presenting symptoms.  Treatment recommended as follows: ibuprofen alternating as needed with tylenol, fluids, rest.
Age: 0.38
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: High-pitched crying, Injection site rash
Clinical narrative: Received DTaP, Comvax, IPV, Prevnar at about 11:30 am today.  Seemed fine.  Went down for afternoon nap and woke screaming at 4pm.  Cried for 45 minutes.  Treated with only 0.4 ml of Tylenol (dose should be 0.8 ml).  Settled down a little by walking in stroller at 5pm.  Also has red bumps where immunizations were given.  I spoke with mom at that time and advised giving an additional 0.4 ml of Tylenol and to continue 0.8 ml of Tylenol every 6 hours until tomorrow.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea, Hypoxia
Clinical narrative: Anaphylactic reaction, chest tightness, SOB, spO2 dropped to 64 %. 0.3 mg epinephrine and 25 mg Benadryl given. Onset of symptoms occurred approx 5 minutes post injection of Fluzone. 911 was called Pt was transported to hospital for observation.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Flushing, Injection site reaction, Throat tightness, Urticaria
Clinical narrative: 30 minutes after injection, hives developed at injection site. Developed flushing and hives across chest, throat closing, wheezing. Pt is being worked up for possible carcinoma due to ongoing, repeated espiodes of the anaphylactic reaction.\ Medical records state urticaria, dyspnea. msv
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: 30 minutes after injection, hives developed at injection site. Developed flushing and hives across chest, throat closing, wheezing. Pt is being worked up for possible carcinoma due to ongoing, repeated espiodes of the anaphylactic reaction.\ Medical records state urticaria, dyspnea. msv
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid retraction, Facial palsy, Hypokinesia
Clinical narrative: 12/2 Awoke in AM with inability to smile and close right eyelid. Went to ER and diagnosed with Bell's Palsy. Rx with Acyclovir and Prednisone. Lyme titer done - no results yet. CT scan of head negative.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: 10:05 Patient given 0.5cc Fluarix flu vaccine IM left deltoid without incident. 10:20 Complaints of rash and pruritus upper chest, neck and facial area; face flushed. Given Benadryl 25mg PO 2 times and reported to doctor. Advised contact personal MD or present to clinic for Solumedrol PRX. 12/1 No rash/pruritus reported.
Age: 1.05
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site hypersensitivity, Injection site reaction, Urticaria
Clinical narrative: Redness and welt at site of MMR immediately after injection. Resolved with in 20 minutes with no other symptoms.
Age: 38.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Received Hep B and Flu for first time. Approx 20 minutes after, started itching on torso. Arrived home later pm discovered numerous hives, torso, back, legs, arms. No fever, no resp distress, no local reactions. Called health access took Benadryl, SXS relieved but have reappeared. Continues with Benadryl. Contact DR for advice direction for future IMS.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Neuropathy peripheral
Clinical narrative: Peripheral neuritis in left 4 and 4th digits vaccine administered in left deltoid.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Erythema, Feeling hot, Irritability
Clinical narrative: Following immunization pt became very fussy and inconsolable within minutes. He also developed intense erythema and warmth of lower extremities. After giving Tylenol and some formula, he fell asleep (30*-45mins). After 1 hour the erythema faded. The erythema did not involve the area of injection.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site reaction, Tenderness
Clinical narrative: DTaP administered 11/22/2005. 11/23/2005 Thigh swollen, tender, red. Ice and Benadryl. 11/24/2005 increased swelling and pain sent to ER
Age: 57.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Confusional state, Neurological symptom
Clinical narrative: Information has been received from a LPN concerning a 56 year old disabled white male with multiple sclerosis who on 25-OCT-2005 was vaccinated IM in the left outer quadricep with a first dose of Pneumovax 23 (lot # 651523/0604R). Concomitant therapy included tizanidine hydrochloride (ZANAFLEX) and interferon beta-la (AVONEX). On approximately 25-OCT-2005 ("very shortly after receiving the vaccination"), the pt developed a "more severe reaction that usual" to the vaccine which included extreme soreness at the injection  site. On the morning of 26-OCT-2005 the pt developed severe abdominal muscle spasms and was disoriented. He was sent to the hospital for further evaluation and spent 8 days in the hospital. The diagnosis was sepsis. The pt tested positive for staphylococcus hominus and was negative for C. difficile. An investigation into the lot number was requested by the physician. Subsequently, on 03-NOV-2005, the pt recovered from sepsis and severe abdominal muscle spasms. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of CBER and was released.  Additional information is not expected.
Age: 57.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Abdominal pain, Bacterial infection, Disorientation, Injection site pain, Laboratory test abnormal
Clinical narrative: Information has been received from a LPN concerning a 56 year old disabled white male with multiple sclerosis who on 25-OCT-2005 was vaccinated IM in the left outer quadricep with a first dose of Pneumovax 23 (lot # 651523/0604R). Concomitant therapy included tizanidine hydrochloride (ZANAFLEX) and interferon beta-la (AVONEX). On approximately 25-OCT-2005 ("very shortly after receiving the vaccination"), the pt developed a "more severe reaction that usual" to the vaccine which included extreme soreness at the injection  site. On the morning of 26-OCT-2005 the pt developed severe abdominal muscle spasms and was disoriented. He was sent to the hospital for further evaluation and spent 8 days in the hospital. The diagnosis was sepsis. The pt tested positive for staphylococcus hominus and was negative for C. difficile. An investigation into the lot number was requested by the physician. Subsequently, on 03-NOV-2005, the pt recovered from sepsis and severe abdominal muscle spasms. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of CBER and was released.  Additional information is not expected.
Age: 57.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Muscle spasms, Sepsis
Clinical narrative: Information has been received from a LPN concerning a 56 year old disabled white male with multiple sclerosis who on 25-OCT-2005 was vaccinated IM in the left outer quadricep with a first dose of Pneumovax 23 (lot # 651523/0604R). Concomitant therapy included tizanidine hydrochloride (ZANAFLEX) and interferon beta-la (AVONEX). On approximately 25-OCT-2005 ("very shortly after receiving the vaccination"), the pt developed a "more severe reaction that usual" to the vaccine which included extreme soreness at the injection  site. On the morning of 26-OCT-2005 the pt developed severe abdominal muscle spasms and was disoriented. He was sent to the hospital for further evaluation and spent 8 days in the hospital. The diagnosis was sepsis. The pt tested positive for staphylococcus hominus and was negative for C. difficile. An investigation into the lot number was requested by the physician. Subsequently, on 03-NOV-2005, the pt recovered from sepsis and severe abdominal muscle spasms. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of CBER and was released.  Additional information is not expected.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3, FLU3
Symptoms: Cough, Dysphagia, Eye discharge, Headache, Lethargy
Clinical narrative: At 3 hours after vaccination, patient felt swelling in throat (no itching, difficulty breathing), noticed eyes puffy; went to clinic and given Zantac. Symptoms resolved 1 hour later.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3, FLU3
Symptoms: Ocular hyperaemia, Throat tightness
Clinical narrative: At 3 hours after vaccination, patient felt swelling in throat (no itching, difficulty breathing), noticed eyes puffy; went to clinic and given Zantac. Symptoms resolved 1 hour later.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3, FLU3
Symptoms: Pharyngeal oedema
Clinical narrative: At 3 hours after vaccination, patient felt swelling in throat (no itching, difficulty breathing), noticed eyes puffy; went to clinic and given Zantac. Symptoms resolved 1 hour later.
Age: 48.0
Sex: F
Vaccine: FLUX, FLU3, FLU3
Symptoms: Eye swelling, Pharyngeal oedema
Clinical narrative: At 3 hours after vaccination, patient felt swelling in throat (no itching, difficulty breathing), noticed eyes puffy; went to clinic and given Zantac. Symptoms resolved 1 hour later.
Age: 1.07
Sex: M
Vaccine: FLU3, MMR, VARCEL, FLU3, HIBV, MMR, VARCEL
Symptoms: Apnoea, Malaise, Upper respiratory tract infection
Clinical narrative: Fever lethargy questionable duration. Sleeps in same bed as mother (a 16 year old), who on 11/26/2005 at 5:00 am noted "funny breathing", then found infant unresponsive - EMS also unresponsive. Resus at hospital (see attached form).
Age: 1.07
Sex: M
Vaccine: FLU3, MMR, VARCEL, FLU3, HIBV, MMR, VARCEL
Symptoms: Abnormal sleep-related event, Coma, Lethargy, Pyrexia, Respiratory disorder
Clinical narrative: Fever lethargy questionable duration. Sleeps in same bed as mother (a 16 year old), who on 11/26/2005 at 5:00 am noted "funny breathing", then found infant unresponsive - EMS also unresponsive. Resus at hospital (see attached form).
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Hypokinesia, Oedema, Pain
Clinical narrative: Within 30 minutes my arm started hurting by night fall, red, hot, swollen, could not lift arm, Lasted until Sunday.
Sex: U
Vaccine: PPV
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Information has been received from a physician and a health care worker concerning apt who was vaccinated SC with a 0.5 ml dose of Pneumovax 23. Subsequently the pt developed "swelling and heated skin in the area of the injection". It was reported that the pt sought unspecified medical attention and was hospitalized. At the time of the report, it was unknown if the pt recovered. Additional information has been requested.
Sex: F
Vaccine: VARCEL
Symptoms: Epilepsy, Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a lawyer concerning a female patient who was vaccinated with varicella virus vaccine live. The reporter requested information on the use of varicella virus vaccine live and pregnancy. The lawyer also asked if there was any information on scarring in the brain and late onset epilepsy. The reporter indicated that there was a specific patient involved, but was not able to provide any other information. Upon internal review, the patient's late onset epilepsy was considered to be an other important medical event (OMIC). No further information is available.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Initial and follow up information has been received from a physician concerning a 70 year old retired male (previously reported as a female patient (age not specified)) with chronic myelodysplasia and a history of an allergic reaction possibly to vidaza injections. On 9/29/05 (previously reported as 10/18/05), in the AM, the patient was vaccinated with PNEUMOVAX 23 (lot # 649694/0386P) in the left deltoid. The patient was reported to have chronic myelodysplasia at the time of vaccination. On 9/29/05, in the PM, the patient developed redness and swelling at the site of injection spreading down to elbow, a warmth sensation and cellulitis. It was previously reported that on approximately 10/18/05, 6 hours after the vaccination the patient developed cellulitis in the affected arm. It was reported as raised rash and warm to touch. The patient was treated with cephalexin and diphenhydramine hydrochloride. It was reported that the patient had forgotten to tell the physician that she had been vaccinated the previous year with PNEUMOVAX 23. The patient sought unspecified medical attention. In follow up it was reported that the male patient developed an acute allergic reaction IMK which revealed local cellulitis. The patient was given a Medrol dose pack to use as directed. At the time of this report, the outcome of the events were unknown. The reporting physician considered the events to be other important medical events. No further information is available.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Injection site warmth, Rash erythematous
Clinical narrative: Initial and follow up information has been received from a physician concerning a 70 year old retired male (previously reported as a female patient (age not specified)) with chronic myelodysplasia and a history of an allergic reaction possibly to vidaza injections. On 9/29/05 (previously reported as 10/18/05), in the AM, the patient was vaccinated with PNEUMOVAX 23 (lot # 649694/0386P) in the left deltoid. The patient was reported to have chronic myelodysplasia at the time of vaccination. On 9/29/05, in the PM, the patient developed redness and swelling at the site of injection spreading down to elbow, a warmth sensation and cellulitis. It was previously reported that on approximately 10/18/05, 6 hours after the vaccination the patient developed cellulitis in the affected arm. It was reported as raised rash and warm to touch. The patient was treated with cephalexin and diphenhydramine hydrochloride. It was reported that the patient had forgotten to tell the physician that she had been vaccinated the previous year with PNEUMOVAX 23. The patient sought unspecified medical attention. In follow up it was reported that the male patient developed an acute allergic reaction IMK which revealed local cellulitis. The patient was given a Medrol dose pack to use as directed. At the time of this report, the outcome of the events were unknown. The reporting physician considered the events to be other important medical events. No further information is available.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site warmth, Nausea, Rash, Urticaria
Clinical narrative: Information has been received from a RN concerning a 70 + year old female with a penicillin allergy who on 03-OCT-2005 between 9:30 and 10:00 am was vaccinated IM in the left deltoid with a second dose of Pneumovax 23 (lot # 650082/0691P). There was no illness at the time of vaccination. On 03-OCT-2005, at 21:00, the pt developed a hives-like rash, urticaria noted on her left upper arm and on her face and forehead area. The left upper arm was warm to the touch. The pt also complained of nausea. Unspecified medical attention was sought and no respiratory symptoms were noted. The pt was diagnosed with an allergic reaction and treated with Clarinex. It was reported that the pt recovered as of 07-OCT-2005. No product quality complaint was involved. The reporter considered the pt's adverse experience to be other important medical events (OMIC). Additional information is not expected.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema
Clinical narrative: Patients arm was red, swollen, hot 2 days after shots were given right arm.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: Skin itches terrible especially when exposed to cold. Hives did develop on knees and upper legs. Itching was on hands, feet, legs and a bit on arms.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Injection site hypersensitivity, Injection site oedema, Lymphadenitis, Type III immune complex mediated reaction
Clinical narrative: Arthus reactions, (redness, swelling, plus wheezing and lymphadenitis with intermittent chest pain.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Wheezing
Clinical narrative: Arthus reactions, (redness, swelling, plus wheezing and lymphadenitis with intermittent chest pain.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema
Clinical narrative: Patients left arm was red, slightly swollen, hot 2 days after shots were given left arm.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Urticaria
Clinical narrative: Pt developed hives about 5 hours after vaccinations, improved with Benadryl.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and rash.
Age: 1.26
Sex: M
Vaccine: DTAP, FLU3, PNC, VARCEL
Symptoms: Malaise, Pyrexia, Rash, Viral infection
Clinical narrative: Pt here for 15 month check and well at time. Rash began 11/17/2005  on face, by noon rash head, neck, tummy. Seen and diagnoses as varicella at 6pm 11/17/2005. Fever to 104 on 11/22. No known exposure to disease. Pt was ill for 10 days with fever for 7 days.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Eye oedema, Pruritus, Urticaria
Clinical narrative: Mom describes reaction occurred about 6 hours after Menactra given left eye swollen, itchy. Dad described hives, mother did not see rash, described redness from scratching give one dose of prednisone and Benadryl by dad, Seen today 12/02/2005 no rash or swelling noted.
Age: 31.0
Sex: F
Vaccine: RUB
Symptoms: Loss of consciousness
Clinical narrative: Loss of consciousness for approx one minute treated with ammonia inhalant, cool compresses.
Age: 25.0
Sex: M
Vaccine: TTOX
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Area Became Red, warm, swollen at time of report about 4 inches.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Localized redness and swelling approx 4 inch in diameter.
Age: 1.06
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Approx 10 lesions
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, IPV
Symptoms: Unevaluable event
Clinical narrative: Pediarix, IPV, and Hib given, no treatment required.
Age: 1.1
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Swelling to upper left arm, advised warm compresses.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 1.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Atypical varicella rash 2 weeks after being exposed to a boy with wild type varicella.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mother brought child on 12/1/05 with these symptoms: swelling and redness of RUE, no pain, fever, no improvement of swelling with ice. No prior immunization reactions. NRA, no respiratory difficulty. Doctor examined child and prescribed Benadryl (12.5/5cc) 2.5cc PO every 4-6 hours until reaction resolved and Amoxicillin (250mg/5cc) 5cc PO TID for 10 days. Instructed to RTC/ER PRN respiratory difficulty, worsening S/S or other concerns.
Age: 0.64
Sex: F
Vaccine: HIBV, IPV, PNC
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site induration, Irritability, Pyrexia
Clinical narrative: Feverish 5 hours after injection and at 3am mom noticed injection site right leg was red, warm and hard, size of nickel. Baby irritable. 12/08 12:30 baby still irritable, spot turning blue/purple.
Age: 0.64
Sex: F
Vaccine: HIBV, IPV, PNC
Symptoms: Skin discolouration
Clinical narrative: Feverish 5 hours after injection and at 3am mom noticed injection site right leg was red, warm and hard, size of nickel. Baby irritable. 12/08 12:30 baby still irritable, spot turning blue/purple.
Age: 1.04
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Rash, hives to face then spread to torso.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: CSF test abnormal, Difficulty in walking, Guillain-Barre syndrome, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Awoke 11/05/05 am with numbness and tingling (gradual onset over 1 week time period) from waist down and in both hands.  Went to MD at Doctor's Care on 11/12.  On 11/13: unable to walk; went to Urgent Care and was scheduled for MRI and sent home.  On 11/13 pm - more difficulty walking - went to ER - X-ray and referral to neurologist.  On 11/14: saw family MD and was admitted to Hospital.  Spinal tap and multiple MRIs done.  Neurologist's diagnosis was Guillian Barre' Syndrome Medical records state urinary tract infection, pain.  Utilized brace (leg) and cane to assist with ambulation.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Urinary tract infection
Clinical narrative: Awoke 11/05/05 am with numbness and tingling (gradual onset over 1 week time period) from waist down and in both hands.  Went to MD at Doctor's Care on 11/12.  On 11/13: unable to walk; went to Urgent Care and was scheduled for MRI and sent home.  On 11/13 pm - more difficulty walking - went to ER - X-ray and referral to neurologist.  On 11/14: saw family MD and was admitted to Hospital.  Spinal tap and multiple MRIs done.  Neurologist's diagnosis was Guillian Barre' Syndrome Medical records state urinary tract infection, pain.  Utilized brace (leg) and cane to assist with ambulation.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pyrexia, Somnolence
Clinical narrative: Child had vaccination of TDAP on Tuesday December 6, 2005. Started PM of 12/7 with temperature of 103, headache, and sleepiness.
Age: 1.03
Sex: M
Vaccine: FLU3, HBHEPB, PNC, VARCEL
Symptoms: Erythema, Hypokinesia, Irritability, Pain
Clinical narrative: Patient received the Prevnar vaccine, Comvax vaccine, Varivax vaccine, and athe Fluzone vaccine on 11-29-05 around 9 am.  Patient's mother called at 138 pm to report that the patient was very fussy, acting like his entire body was in pain especially the leg area.  She was advised to give a dose of Tylenol and call back in 45 minutes if there was no improvement. The patient's mother called back at 405pm to report that he had fallen asleep after the tylenol but when he woke up he is crying when any pressure is applied to the legs and was refusing to stand or walk on it, the patient's mother was advised to bring the child back in to the doctor's office to be re evaluated.  Mother returned with the patient at 7pm and was seen MD the patient's legs were found to have small red puncture marks but no swelling and the patient was doing beter by the time of the visit.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Skin burning sensation
Clinical narrative: Client complained of a "skin burning" feeling that is constant since time of the injection.  He says burning is from his upper arm at immunization site down to the inside of wrist.  Client denies any loss of function and has not taken any medicine for this complaint.  During the past 23 days he says pain is no better and no worse, just the same.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Oedema, Pulmonary congestion
Clinical narrative: Pt reports started with chest congestion 11/28, sweating at night but not sure if any fever. Complained of R arm being swollen but unable to say when swelling started. Saw MD 11/30. Pt states the MD said"your immune system is too good". He was treated with Symmetrel 100 mg and hydrocodone/ap
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site oedema, Injection site warmth, Myalgia
Clinical narrative: 7-8 CM AREA OF REDNESS, HEAT AND SWELLING APPROX 1 INCH BELOW LOWER INJECTION SITE ON L UPPER ARM AND SECOND S/P MASTECTOMY R SIDE.  C/O MUSCLE ACHE, SORENSS @ REDDEN AREA. DEVELOPED CHILLS, BODY ACHES AND "JUST DIDN'T FEEL WELL DAY AFTER IMMUNIZATION LASTING 11/29/2005-12/01/2005. REDDEN L ARM PRESENT TO ELBOW.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 69.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Cough, Eye irritation, Fatigue, Headache
Clinical narrative: Approximately four hours after administration of flu vaccine (and concurrent pneumococcal vaccine), patient felt flu symptoms.  Within 2-3 hours, full case of flu developed with chills/fever, full-body muscle aching, eye irritation, dry cough, headache, fatigue.  Patient spent next 36 hours in bed.  Fever broke after appox. 30 hours.  Dry cough persists into fourth day after vaccination.  Treatment was bed rest, aspirin, OTC cough suppressant.  Patient is not illness-prone, has not had flu for more than five years prior.  Patient in generally strong health, except for Type II diabetes, which is well controlled by diet, medication, and exercise.  No adverse reaction with any prior influenza vaccination.