chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Gingival swelling, Nervousness, Oropharyngeal pain, Paraesthesia, Rash
Clinical narrative: Friday day of shot shot was given in afternoon extreme nervousness 08-11-2007, 08-12-2007, 08-13-07, 08-14-2007} woke up with anal + vaginal rash - swollen doctor gynecology appointment Rx Estrogen: 08-17-2007 doctor - shins + arms tingling - Rx Val: 08-30-2007 doctor - swollen right leg - stop Estrogen; 09-08-2007 both legs swollen - knees to ankles - gums swollen in my mouth; 09-08-2007 tongue swollen; 09-12-2007 doctor - Rx BLM suspension first mouthwash; 09-15-2007 left big toe swollen; 09-18-2007 doctor - throat and tongue swollen - Rx Nystatin; 09-19-2007 doctor; 09-24-2007, 10-03-2007; doctor - oral surgeon 10-05-07 doctor ENT.  10/30/07 Received pcp medical records which reveal patient not seen by MD on day of vax.  RTC 8/17 with c/o nervous, genital soreness & swelling, incontinence, rectal irritation, tingling of arms & legs x 1 day.  Injection site w/swelling & warmth.  RTC 8/30 with c/o leg edema & aching but no edema evident on exam.  RTC 9/12, 9/18, 9/19 w/tongue swelling x 4 days w/blisters, pain & difficulty swallowing.  Exam revealed swollen tongue w/white patches. Tx w/nystatin.  10/3/07 continues to c/o sore throat but exam is WNL.  Referred to ENT & otolaryngeal surgeon. FINAL DX: atrophic vaginitis; UTI; glossodynia; anxiety reaction. 11/16/07 Received oral surgeon medical records which reveal patient experienced swollen & painful tongue x 2 wks when seen on 9/24/07.  Exam WNL.  Returned 10/3 w/increased s/s.  Exam still WNL. 11/27/07 Reviewed otolaryngology & neurotology clinic notes of 10/5/07 reveal dx of pharyngitis; sensorineural hearing loss & tinnitus.  Return to clinic of 10/18/07 & added dx of atypical glossodynia. Per 60 day follow up: I have extreme nervousness, a constant swollen tongue & (achy gums sometimes) and trouble staying asleep. I have't had any help or results with my doctor so I just suffer and I am really depressed. Can you help me? I need to see a doctor. Do you have any suggestions? 1/12/2010 Center of tongue on top still burning and swollen. Nervous and anxiety. Trouble going to sleep and staying asleep. Follow-up Information 21-NOV-2007: I have been to an oral surgeon  2 time - 10-3-07, 9-24-07, a Ear Nose and Throat (ENT) 2 time - 10-5-07, 10-18-07, an ophthalmologist for red eyes - 11-02-07 almost every weeks since to. Dr - 10-03-07, 10-22-07, 11-07-07, 11-13-07. I've had all kinds of blood test but 5 no end to a solution. My tongue, left big toe are swollen and sore. Plus my back had a pinched nerve for the last week. I have an allergy test set for 11-28-07 I have even quit drinking a acup of tea in the morning to calm my nerves a little. I haven't felt good since 2 hrs after I received the Zostavax injection for shingles. Do you know of anything to help me. I feel just awful
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Sleep disorder, Swelling, Swollen tongue, Vaginal infection
Clinical narrative: Friday day of shot shot was given in afternoon extreme nervousness 08-11-2007, 08-12-2007, 08-13-07, 08-14-2007} woke up with anal + vaginal rash - swollen doctor gynecology appointment Rx Estrogen: 08-17-2007 doctor - shins + arms tingling - Rx Val: 08-30-2007 doctor - swollen right leg - stop Estrogen; 09-08-2007 both legs swollen - knees to ankles - gums swollen in my mouth; 09-08-2007 tongue swollen; 09-12-2007 doctor - Rx BLM suspension first mouthwash; 09-15-2007 left big toe swollen; 09-18-2007 doctor - throat and tongue swollen - Rx Nystatin; 09-19-2007 doctor; 09-24-2007, 10-03-2007; doctor - oral surgeon 10-05-07 doctor ENT.  10/30/07 Received pcp medical records which reveal patient not seen by MD on day of vax.  RTC 8/17 with c/o nervous, genital soreness & swelling, incontinence, rectal irritation, tingling of arms & legs x 1 day.  Injection site w/swelling & warmth.  RTC 8/30 with c/o leg edema & aching but no edema evident on exam.  RTC 9/12, 9/18, 9/19 w/tongue swelling x 4 days w/blisters, pain & difficulty swallowing.  Exam revealed swollen tongue w/white patches. Tx w/nystatin.  10/3/07 continues to c/o sore throat but exam is WNL.  Referred to ENT & otolaryngeal surgeon. FINAL DX: atrophic vaginitis; UTI; glossodynia; anxiety reaction. 11/16/07 Received oral surgeon medical records which reveal patient experienced swollen & painful tongue x 2 wks when seen on 9/24/07.  Exam WNL.  Returned 10/3 w/increased s/s.  Exam still WNL. 11/27/07 Reviewed otolaryngology & neurotology clinic notes of 10/5/07 reveal dx of pharyngitis; sensorineural hearing loss & tinnitus.  Return to clinic of 10/18/07 & added dx of atypical glossodynia. Per 60 day follow up: I have extreme nervousness, a constant swollen tongue & (achy gums sometimes) and trouble staying asleep. I have't had any help or results with my doctor so I just suffer and I am really depressed. Can you help me? I need to see a doctor. Do you have any suggestions? 1/12/2010 Center of tongue on top still burning and swollen. Nervous and anxiety. Trouble going to sleep and staying asleep. Follow-up Information 21-NOV-2007: I have been to an oral surgeon  2 time - 10-3-07, 9-24-07, a Ear Nose and Throat (ENT) 2 time - 10-5-07, 10-18-07, an ophthalmologist for red eyes - 11-02-07 almost every weeks since to. Dr - 10-03-07, 10-22-07, 11-07-07, 11-13-07. I've had all kinds of blood test but 5 no end to a solution. My tongue, left big toe are swollen and sore. Plus my back had a pinched nerve for the last week. I have an allergy test set for 11-28-07 I have even quit drinking a acup of tea in the morning to calm my nerves a little. I haven't felt good since 2 hrs after I received the Zostavax injection for shingles. Do you know of anything to help me. I feel just awful
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Acute myocardial infarction, Antinuclear antibody negative, Arteriogram coronary abnormal, Blood calcium decreased, Blood creatine phosphokinase MB
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Blood creatine phosphokinase increased, Blood glucose increased, Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone decreased
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Blood urea decreased, Blood urea increased, C-reactive protein increased, Cardiac failure, Cardiac stress test
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Cough, Dyspnoea
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Echocardiogram normal, Electrocardiogram, Electrocardiogram abnormal, Glycosylated haemoglobin normal, Haemoglobin normal
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Hyperhidrosis, Left ventricular dysfunction, Malaise, Pain, Pharyngolaryngeal pain
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Platelet count normal, Prinzmetal angina, Red blood cell sedimentation rate increased, Serum ferritin normal, Sinus bradycardia
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Sleep disorder, Tremor, Troponin increased, White blood cell count normal
Clinical narrative: No problems with his health until 23 Jul 04. Prior to this change in health he received (anthrax) AVA #1 on 18 June 04 and # 2 on 6 Jul 04 with no reported. He received both smallpox and yellow fever on 21 Jun 04 and stated that he had no problems with these vaccines. On 21 Jul 04 he received AVA #3 and noted the following day that he felt ill, with shakes in his hands and a "blah" feeling. On the 23 of Jul he noticed "intense, squeezing pressure" in his chest. This pain was not assoc with activity, position changes, and did not radiate. He denied nausea and vomiting but reported diaphoresis and shortness of breath. He denied chest tenderness and stated that the pain would rate a #8 on scale of 1-10 with 10 being worse. He did state that this pain woke him from his sleep a couple of times. He stated that he would have a cough with the pain. He denied cough any other time and reports never having pain like this before. He denied seeking medical attention because he did not want to lose his flying status, so he kept his pain to himself. He stated this pain continued to occur 5-6 times per day a couple days per week. It remained at the same intensity and was not associated with or relieved by activity or rest. This pain continues and he had an episode at the mid to end of 2006 when he had a severe intense pain that caused him to go to ground. This episode lasted approx 20 min. He did not seek medical attention with this episode. On 28 Jan 07 while at home he had another episode of severe intense pain that was off the scale. He went to the hospital where he was admitted and was told he had an MI. Prior to this hospitalization he was seen for a sore throat that was strep negative, and was treated for possible tonsillitis. He denied cough and no one else around him was ill. Currently he stated his meds are controlling his pain, and he notes decreased frequency, but not intensity. He was told his arteries are clean and they think he is having spasm. He stated his current diagnosis is Prinzmetal's angina. He was questions again about his smallpox vaccination. He stated he had no problems, and that it healed normally. He denied any chest pain, pressure, discomfort, or heaviness until Jul 23. He also denied any respiratory problems or muscle aches or soreness around the time of his vaccination. 11/3/07-records received for DOS 1/28-1/31/07- DC DX: Non-Q wave myocardial infarction. Troponin maximum 13.12, CK-MB maximum 22.3. Cor angiography documenting normal coronaries. Secondary DX: dyslipidemia. Low HDL. hyperglycemia with stress. Ischemic cardiomyopathy. On morning of admission developed anterior chest discomfort with radiation down both arms, severity severe.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site cellulitis, Oedema peripheral, Pruritus
Clinical narrative: (R) arm swelling, redness, itchiness - cellulitis at injection and down arm. Treated with Keflex 500 mg BID x 7 days and Benadryl PRN.
Age: 2.0
Sex: M
Vaccine: PNC, RUB
Symptoms: Petechiae, Platelet count decreased
Clinical narrative: Petechiae on examination (day of check-up). To Hematology - admitted to hosp. Idiopathic thrombocytopenia purpura. 11/14/07-records received for DOS 10/4-10/6/07-DC DX: Thrombocytopenia. Generalized purpura times 1 day, negative hematuria, melena, epistaxis. Febrile for 2 days, diarrhea approximately 1 week. PE: purpura of mucosa. Treated with IVIG.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site haematoma
Clinical narrative: Patient had Pneumovax and developed hematoma (on Coumadin) at local injection site. Later in week developed a redness below injection site about egg size - now resolved. Slight pinkness there, doesn't look like old blood. She only showed her arm after redness mostly resolved.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Tenderness
Clinical narrative: Noted about 12 hours after shots, (L) arm pit tender to touch. No swelling or redness. Instructed.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site pain, Injection site papule
Clinical narrative: Client reports redness, pain and raised pimples around injection site (Left deltoid) Started within 24 hours of infection and are still occurring on 10/16/07
Age: 64.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Abdominal pain, Chills, Fatigue, Feeling hot, Musculoskeletal stiffness
Clinical narrative: Low level pain at administration time and plus 10 hours. Abdominal pain and muscular stiffness increased; took 3 aspirin. Overnight symptoms included chills, muscular aches, overheating, restlessness (30-45 minute sleeping periods). 10-17-07: Muscular aches, tired, stayed home from work.
Age: 64.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Myalgia, Pain, Restlessness, Sleep disorder
Clinical narrative: Low level pain at administration time and plus 10 hours. Abdominal pain and muscular stiffness increased; took 3 aspirin. Overnight symptoms included chills, muscular aches, overheating, restlessness (30-45 minute sleeping periods). 10-17-07: Muscular aches, tired, stayed home from work.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema of eyelid, Eyelid oedema, Rash, Rash erythematous, Rash papular
Clinical narrative: Right eye lid and under eye was red and swollen. She said there was a rash on her forehead that had pretty much gone away-just a little red but no rash
Age: 69.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Biopsy skin, Herpes zoster, Rash, Varicella zoster virus serology positive
Clinical narrative: Pt states rash over stomach/(L) shoulder about 1 wk after Zostavax vaccine. Rash "like little pimples" that itch/burn. Seen at clinic, given oral steroids. Seen at dermatologist x 2, given steroid creams. Pt states biopsy = + zoster.
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash erythematous, Tenderness
Clinical narrative: Erythematous, Edematous rash extending from right shoulder down to right elbow. Tender to touch Benadryl, ice to site, ibuprofen Pt noted discomfort to arm within 1-2 hours after admission Required Medrol dose pak to alleviate symptoms.
Age: 1.75
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Injection site swelling
Clinical narrative: 6 cm swollen area on right lateral thigh-Pt family members notified office next day and was seen in office. Recommended ice and ibuprofen-Follow up if not resolving.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Wheezing
Clinical narrative: Got flu vaccine at 1330. Around 2000 started wheezing and chest got tight. Used home nebulizer without relief. Took Benadryl 25 mg. Not getting better. Took another Benadryl 25 mg and nebulizer treatment. Not much better went to ED.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Haematology test, Laboratory test, Laboratory test normal
Clinical narrative: Fever; Dyspnea; Malaise; Exhaustion Normal labs and x rays
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Pyrexia, X-ray normal
Clinical narrative: Fever; Dyspnea; Malaise; Exhaustion Normal labs and x rays
Age: 15.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Pain down (L) arm for several hrs after shot Fever 102-103 by touch 4 diffuse ache and headache 12 hrs after immunization
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Dyskinesia, Irritability, Muscle twitching, Sleep disorder
Clinical narrative: Fussy, doesn't sleep more than 3 hours and arm and legs move (Jerky) lasts for 1-2 second-no tonic movements No eyeballs moving upward. Per parents childs legs were moving like "twitch".
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dizziness, Dyspnoea, Injection site pruritus
Clinical narrative: "Tightness in chest, short of breath", dizzy, chills lightheaded, increasing itching at injection site Treatment-O2 at 6 L/min, Aqueous Epinephrine 1:1000, 0.3 cc SQ, Transported to ER in ambulance
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Erythema, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: SOB on evening of vaccine with palpitations. Red/exanthema, raised area at site c/o itching/pain/burning at site of injection.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Palpitations, Rash
Clinical narrative: SOB on evening of vaccine with palpitations. Red/exanthema, raised area at site c/o itching/pain/burning at site of injection.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large area of erythema and induration surrounding shot outer-not tender
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Varicella rash
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Varicella Rash
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Erythema, Nodule
Clinical narrative: Large 4 x 2cm bruise and erythemic nodule lasting greater than 1 week.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: a sore throat the next day and for two days sore throat and running nose.  next saturday hoarseness and slight shorness of breathing.  Today still slight hoarseness.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed redness, swelling and pain in left arm approximately 2 days after receiving vaccine.  Patient visited emergency room and was diagnosed with cellulitis.  Treated with Doxycycline.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Burning sensation, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Received vaccine at approx 2:PM on 10-15-07, within 14 hours experienced excruciating, disabling, burning pain in legs and feet upon standing and  arms and hands when hanging at sides. Pain radiated down entire back of leg to bottom of foot and continued on to top of foot. Pain in arms and hands radiated down backs of arms and hands and produced numbness in wrists and hands. Walking, sitting and lying down produced minimal pain. Standing still produced pain of "10" on a scale of 1 to 10 resulting in loss of 3-1/2 days of work. Pain gradually subsided completely after 6 full days.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Convulsion
Clinical narrative: One day after vaccine mother state patient had a seizure lasting ten min.  Mother states prior to that patient had a temp. of 101 to 103 F.  Mother took patient to hospital where septic w/u was done and at this point remains negative11/28/07-Hospital records received ED DX: Fever of unknown origin. Febrile seizure. Temp 103 (r). Mother states she thinks the baby may have had a seizure about 15 minutes prior. PE: WNL.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: I got shingles after getting the shinges vaccine on the left side of my face and head
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Fear, Injection site erythema, Injection site pruritus
Clinical narrative: Pt reported body aches and sore arm on Sat with egg size swelling, heat, redness to site on Sun and itching. Today swelling less but s/s persists. Denies n/v/d, dizziness, weakness, fever, sob, cp, or paresthesia. Did have episode of tunnel vision and weakness x 1 hr post vaccine attributed to fear of needles. Had white light in periphery as if going to faint, felt like was "sweating ice", but not diaphoretic, no airway obstruct or distress, no dysphagia. Onset about 5 min post vac lasting 1 hour then resolved. Was alone in office.  Had never had reaction to vac/injection like this before.  Denied any anaphylactic reactions.  Works with newborns and is a nurse. Will come to HC for documentation purposes.  Has allergy to chicken feathers, down pillows, all feathers (tested as child by pediatrician- pt never had skin testing), cats, long haired dogs...eyes swell and can't breathe. Can eat eggs w/o problems.  Did note this felt like Versed reaction when BP dropped out 66/42, sweating, distant hearing.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Pain, Pain in extremity, Tunnel vision
Clinical narrative: Pt reported body aches and sore arm on Sat with egg size swelling, heat, redness to site on Sun and itching. Today swelling less but s/s persists. Denies n/v/d, dizziness, weakness, fever, sob, cp, or paresthesia. Did have episode of tunnel vision and weakness x 1 hr post vaccine attributed to fear of needles. Had white light in periphery as if going to faint, felt like was "sweating ice", but not diaphoretic, no airway obstruct or distress, no dysphagia. Onset about 5 min post vac lasting 1 hour then resolved. Was alone in office.  Had never had reaction to vac/injection like this before.  Denied any anaphylactic reactions.  Works with newborns and is a nurse. Will come to HC for documentation purposes.  Has allergy to chicken feathers, down pillows, all feathers (tested as child by pediatrician- pt never had skin testing), cats, long haired dogs...eyes swell and can't breathe. Can eat eggs w/o problems.  Did note this felt like Versed reaction when BP dropped out 66/42, sweating, distant hearing.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint swelling
Clinical narrative: Started experiencing pain in L knee day after vaccine (Thursday). By Friday AM could not hardly bend my L knee due to swelling and pain. (I have had no prior injuries or arthritis in my L knee.) Treated it with ibuprofen, ice and heat. Saturday AM my R knee felt just like my L knee did. Treated it the same way. The pain moved down into my calves on or about the 7th day. It has gotten better very slowly over the last 12 days, but still now back to normal.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration
Clinical narrative: 10/11/2007 L deltoid / inferior humerus subcutaneous soft tissue erythema approx 2 cm oval distribution, induration. nontender  recommended benadryl 50 mg po q 6 hours / warm compresses. reevaluated 24 hours later 10 cm induration nontender , recheck 10/15/2007 completely resolved
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: Patient had pain and numbness in right arm and hand with receiving her HPV#1 on 8/3/07. This lasted a few hours. On October 2, 2007 patient received HPV#2 stating she had the same numbness and tingling but this time lasting about 2 weeks.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Dizziness, Pruritus, Somnolence
Clinical narrative: Very dizzy-off-balance, very itchy,sleepnesses.  Symptoms started on Saturday morning 10/13 and continued until Monday 10/15.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: feverish, fatique, lymph node above left clavicle, muscle soreness of entire left shoulder and arm .  Instructed to use ibuprofen, heat and rest arm.  She will follow up daily for the next 3 days.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Dizziness, Electrocardiogram normal, Gait disturbance, Headache
Clinical narrative: Sudden onset 6 hours after injection. Was feeling normal, and within minutes, severe feeling of vertigo, lightheaded and dizzy. Room seemed to spin as if I were intoxicated Needed to hold onto furniture to walk.  Could not walk straight, and could not focus on reading material. Slight headache.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Scan brain, Vertigo, Visual disturbance
Clinical narrative: Sudden onset 6 hours after injection. Was feeling normal, and within minutes, severe feeling of vertigo, lightheaded and dizzy. Room seemed to spin as if I were intoxicated Needed to hold onto furniture to walk.  Could not walk straight, and could not focus on reading material. Slight headache.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to arthropod sting, Food allergy, Pain in extremity, Paraesthesia oral, Pyrexia
Clinical narrative: C/O tingling in lips and pain in arm.  per patient report - Went to urgent care did have fever at urgent care.  received Benedryl and Tylenol at urgent care per patient report.  3 days later patient states does not feel energetic.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient lost conciousness 5 minutes after vaccine was administered. She came around after 1 minute. She may have had a seizure. She rested, recovered and went home.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Next day had general body aches, soreness in arm, raised red hot area size of egg around injection site.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Convulsion, Crying, Fall, Gaze palsy
Clinical narrative: 30 seconds to 1 minute lapsed after shots given.  Child was standing up and crying; fell backwards into her fathers arms, convulsed (shook), eyes rolled back in head, affect of face went flat.  Event lasted 1-2 seconds.  Child was then conscious and responsive.  Father inst to call doctor.  Seizure-like activity.  The RN supervisor took over patient care immediately following the event.  Patient was placed in a supine position with legs elevated and cold packs applied to head and neck.  She remained the that position for 8-10 minutes at which time she sat in a chair and drank some coke and had some cookies.  Child left facility with father about 7 minutes later ambulatory and alert.  Multiple atempts have been made to contact parent by phone, today 10/11/07, but line consistently rings busy
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Developed bilateral joint pain in knees later in evening; large size of 21/2 X 2 1/2 area at injection site, red, raised warm to touch
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Anxiety, Blood pressure decreased, Dizziness, Heart rate, Nausea
Clinical narrative: Client fainted for 5-10 seconds right as she rec'd the HPV vaccine. Had already had 2 injections and was vey anxious at that time. grandmother with her at that time was holing her hand and client face was covered. client came back to and c\o feeling dizzy with nausea.BP-80/50,P-52. 30 minutes later BP-110/74,P-70.called on 10/22/07 spoke with client and no other adverse reacion noted since injection
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Client fainted for 5-10 seconds right as she rec'd the HPV vaccine. Had already had 2 injections and was vey anxious at that time. grandmother with her at that time was holing her hand and client face was covered. client came back to and c\o feeling dizzy with nausea.BP-80/50,P-52. 30 minutes later BP-110/74,P-70.called on 10/22/07 spoke with client and no other adverse reacion noted since injection
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Pain
Clinical narrative: Our completely healthy daughter who never had a case of chicken pox was vaccinated for chicken pox in 1995.  Patient developed a horrible case of shingles at the young age of 13.  The loocation of the shingles was the nerve running the length of her right ear and down to her jaw.  Patient had yet another episode of shingles just recently at the age of 16.  Same location.  On both occassions she was in excruciating pain and missed a week of school.  In both instances the physicians initial diagnosis was incorrect and we had to return the follow day (one to the ER) to have the proper diagnosis and to begin the treatment of famvir and prednisone.  10/25/07 Per email from FDA: 294016 did not receive Zostavax vaccine (called physician)--patient received varicella in 1995, developed shingles x 2. 10/26/07 Reviewed hospital ER records of 9/29/2007 which reveal patient experienced pain of the right ear & cheek x 2 days, body aches, sore throat & fatigue x 2 wks.  Had been seen by pcp on 9/28 & given oral antibiotics & ear drops.  Exam revealed blinsters within right ear canal.  D/C to home w/antiviral, steroids & pain med FINAL DX: otalgia, herpes zoster.  10/26/07 Received internist medical records which reveal patient experienced good health on 8/8/07. Received Adacel that day. Next vs on 9/28/07 for right ear pain.  URI s/s week prior to ear pain.  Exam revealed no vesicles but w/erythema & edema, TM erythema.  Tx w/oral antibiotics. FINAL DX: otitis externa & otitis media. 11/30/07 Reviewed vax record from pcp & VAERS database updated w/same.
Age: 33.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Wheezing
Clinical narrative: Wheezing , unable to breath, coughing
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Vaccine positive rechallenge
Clinical narrative: Pt. complained of itching after HPV#1 and HPV#2
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Diarrhea, vomiting, and fever.  Has continued throughout the day.  Lower back pain.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Breath sounds abnormal, Chest X-ray, Dysarthria, Dyspnoea
Clinical narrative: Presented to ER the day after receiving the flu vaccine.  C/O lethargy, SOB.  Pt with temp of 100.8 degrees F.  Pt having slurred speech, twitching and decreased lung sounds throughout.    Pt reported allergies include sulfa, contrast, theophylline, ACE inhibitors, NSAIDs and iodine.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Lethargy, Muscle twitching
Clinical narrative: Presented to ER the day after receiving the flu vaccine.  C/O lethargy, SOB.  Pt with temp of 100.8 degrees F.  Pt having slurred speech, twitching and decreased lung sounds throughout.    Pt reported allergies include sulfa, contrast, theophylline, ACE inhibitors, NSAIDs and iodine.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abscess drainage, Blood culture negative, Full blood count, Injection site discharge, Injection site erythema
Clinical narrative: Pt Received vaccinations and 1 week later noted erythema and lumps at the site then about 1 month after vaccination abcesses with pus drainage was noted at the immunization sites.  No fever noted.  Pt otherwise well.  11/2/07 Received medical records from pcp which are only ER records of 10/18/07 & reveal patient experienced induration & ecchymosis at bilateral thigh vax sites, left greater than right.  D/C home on oral antibiotics & pcp f/u. FINAL DX: Cellulitis of thighs & local immunization reaction.