chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chills, Dehydration, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Initial report was received from a health care professional on 13 September 2010. A 67 year old female patient had received an intramuscular injection of FLUZONE HIGH-DOSE, lot number U3599AA and an intramuscular injection of PNEUMOVAX (Merck, lot number 131YY) on 01 September 2010. On 02 September 2010 she had experienced nausea and vomiting (N&V), chills, dehydration and was hospitalized for two days (date unspecified). She also had redness and swelling at the PNEUMOVAX immunization site. The patient was reported to have recovered. No further information was available at the time of this report. The reporter for this case are the same for 2010-04971, 2010-04972, 2010-04973, 2010-04974, 2010-04975, 2010-04976, 2010-04977, 2010-04978, 2010-04979, 2010-04981 and 2010-04982. Documents held by sender: none.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Initial report was received from a health care professional on 13 September 2010. A 67 year old female patient had received an intramuscular injection of FLUZONE HIGH-DOSE, lot number U3599AA and an intramuscular injection of PNEUMOVAX (Merck, lot number 131YY) on 01 September 2010. On 02 September 2010 she had experienced nausea and vomiting (N&V), chills, dehydration and was hospitalized for two days (date unspecified). She also had redness and swelling at the PNEUMOVAX immunization site. The patient was reported to have recovered. No further information was available at the time of this report. The reporter for this case are the same for 2010-04971, 2010-04972, 2010-04973, 2010-04974, 2010-04975, 2010-04976, 2010-04977, 2010-04978, 2010-04979, 2010-04981 and 2010-04982. Documents held by sender: none.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Cough, Dyspnoea
Clinical narrative: Initial report and a copy of the patient's vaccination consent release form were received 13 September 2010 from a health care professional. A 75-year-old male patient had received a left deltoid intramuscular injection of FLUZONE HIGH-DOSE, lot number U3602AA at 7:00 PM on 10 September 2010 and two hours later, he began coughing. At 10:00 PM, he developed a breathing problem (not specified) and went to the emergency room. At the time of vaccination, concomitant medications included Pravastatin and METAPREL. The patient had no concurrent illness and no serious allergies to any medications or foods. He had received tetanus, pneumonia, and shingles vaccines in the past and he had no serious reactions following prior vaccinations. According to the reporter, the event outcome was recovered (date not reported). No further information was provided at the time of the report. Of note: the date 10 September 2010 was entered in box 8 (seriousness criteria section) of the VAERS form; however it was not specified what this date pertained to. The reporter for this case is the same as for case numbers 2010-04972, -04973, -04974, -04975, 04976, -04977, -04978, -04979, -04980 and -04982. Documents held by sender: Immunization consent form.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Dyspnoea, Laboratory test, Non-cardiac chest pain
Clinical narrative: Initial and follow-up reports received on 09 September 2010 and 13 September 2010 (respectively) from a patient.  A 69-year-old female patient had received a dose of FLUZONE High-Dose vaccine (lot number unknown) at 12:00 pm on 07 September 2010.  Fifteen minutes after vaccination at 12:15 pm, she experienced what she called a serious reaction to FLUZONE High Dose vaccine of cough (with mucus) followed by shortness of breath.  She went to an urgent care facility where she was sent by ambulance to the emergency room.  Per the patient, the physicians at the urgent care facility were not familiar with the High dose FLUZONE vaccine and were concerned about her shortness of breath and the pain in her "diaphragm."  The patient reported having 4 EKG's, 2 chest x-rays, a CAT scan and blood work to rule out cardiac problems.  The results of these tests were not reported.  The doctors in the emergency room told the patient she had experienced a reaction to the flu shot.  The patient had no known allergies and had received the flu shot for 40 years with no reactions.  It was noted the patient takes blood pressure medication, medication for diabetes, and cholesterol medication.  At the time of this report, the patient still had pain in her stomach muscles from the cough.  The reporter for this case is the same as for case 2010-04963.  Documents held by sender:  None.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Initial and follow-up reports received on 09 September 2010 and 13 September 2010 (respectively) from a patient.  A 69-year-old female patient had received a dose of FLUZONE High-Dose vaccine (lot number unknown) at 12:00 pm on 07 September 2010.  Fifteen minutes after vaccination at 12:15 pm, she experienced what she called a serious reaction to FLUZONE High Dose vaccine of cough (with mucus) followed by shortness of breath.  She went to an urgent care facility where she was sent by ambulance to the emergency room.  Per the patient, the physicians at the urgent care facility were not familiar with the High dose FLUZONE vaccine and were concerned about her shortness of breath and the pain in her "diaphragm."  The patient reported having 4 EKG's, 2 chest x-rays, a CAT scan and blood work to rule out cardiac problems.  The results of these tests were not reported.  The doctors in the emergency room told the patient she had experienced a reaction to the flu shot.  The patient had no known allergies and had received the flu shot for 40 years with no reactions.  It was noted the patient takes blood pressure medication, medication for diabetes, and cholesterol medication.  At the time of this report, the patient still had pain in her stomach muscles from the cough.  The reporter for this case is the same as for case 2010-04963.  Documents held by sender:  None.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electrocardiogram, Myalgia, Productive cough, Vaccination complication
Clinical narrative: Initial and follow-up reports received on 09 September 2010 and 13 September 2010 (respectively) from a patient.  A 69-year-old female patient had received a dose of FLUZONE High-Dose vaccine (lot number unknown) at 12:00 pm on 07 September 2010.  Fifteen minutes after vaccination at 12:15 pm, she experienced what she called a serious reaction to FLUZONE High Dose vaccine of cough (with mucus) followed by shortness of breath.  She went to an urgent care facility where she was sent by ambulance to the emergency room.  Per the patient, the physicians at the urgent care facility were not familiar with the High dose FLUZONE vaccine and were concerned about her shortness of breath and the pain in her "diaphragm."  The patient reported having 4 EKG's, 2 chest x-rays, a CAT scan and blood work to rule out cardiac problems.  The results of these tests were not reported.  The doctors in the emergency room told the patient she had experienced a reaction to the flu shot.  The patient had no known allergies and had received the flu shot for 40 years with no reactions.  It was noted the patient takes blood pressure medication, medication for diabetes, and cholesterol medication.  At the time of this report, the patient still had pain in her stomach muscles from the cough.  The reporter for this case is the same as for case 2010-04963.  Documents held by sender:  None.
Age: 19.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin increased, Cervix carcinoma stage I, Drug exposure during pregnancy, Loop electrosurgical excision procedure
Clinical narrative: Initial case was received on 30 Jun 2010 from a healthcare professional. A 19 year old female patient received on 25 June 2010, an injection of MENACTRA (lot number U3076AA), an injection of VARICELLA (lot number 1299Y), an injection of GARDASIL (lot number 1318Y) and BOOSTRIX (GlaxoSmithKline, lot number AC52B061BA). The patient's medical history included irregular menses. The patient was pregnant at the time of the vaccinations and her last menstrual period was 26 April 2010. Her estimated date of delivery is 08 March 2011. The estimated date of delivery does not correspond with LMP date of pregnancy, but was assigned on basis of blood work. The patient does not use alcohol, tobacco or recreational drugs. No concomitant medications were reported. She experienced no adverse events at the time of this report. Follow-up information was received from a health care professional on 07 September 2010. This case has been upgraded to serious. The patient had a spontaneous abortion prior to 20 weeks gestation on 10 July 2010. The mother's health during pregnancy was reported as healthy and there were no pregnancy complications. The patient had a history of two previous pregnancies and one live birth. The patient had one previous birth with congenital anomaly of CHARGE syndrome. The patient was administered the MENACTRA, GARDASIL and BOOSTRIX intramuscularly (IM) and the VARICELLA subcutaneously (SQ). The patient took the concomitant medication BENADRYL 25 milligrams (mg). The outcome was not reported. Documents held by sender: None.
Age: 19.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Initial case was received on 30 Jun 2010 from a healthcare professional. A 19 year old female patient received on 25 June 2010, an injection of MENACTRA (lot number U3076AA), an injection of VARICELLA (lot number 1299Y), an injection of GARDASIL (lot number 1318Y) and BOOSTRIX (GlaxoSmithKline, lot number AC52B061BA). The patient's medical history included irregular menses. The patient was pregnant at the time of the vaccinations and her last menstrual period was 26 April 2010. Her estimated date of delivery is 08 March 2011. The estimated date of delivery does not correspond with LMP date of pregnancy, but was assigned on basis of blood work. The patient does not use alcohol, tobacco or recreational drugs. No concomitant medications were reported. She experienced no adverse events at the time of this report. Follow-up information was received from a health care professional on 07 September 2010. This case has been upgraded to serious. The patient had a spontaneous abortion prior to 20 weeks gestation on 10 July 2010. The mother's health during pregnancy was reported as healthy and there were no pregnancy complications. The patient had a history of two previous pregnancies and one live birth. The patient had one previous birth with congenital anomaly of CHARGE syndrome. The patient was administered the MENACTRA, GARDASIL and BOOSTRIX intramuscularly (IM) and the VARICELLA subcutaneously (SQ). The patient took the concomitant medication BENADRYL 25 milligrams (mg). The outcome was not reported. Documents held by sender: None.
Age: 19.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Initial case was received on 30 Jun 2010 from a healthcare professional. A 19 year old female patient received on 25 June 2010, an injection of MENACTRA (lot number U3076AA), an injection of VARICELLA (lot number 1299Y), an injection of GARDASIL (lot number 1318Y) and BOOSTRIX (GlaxoSmithKline, lot number AC52B061BA). The patient's medical history included irregular menses. The patient was pregnant at the time of the vaccinations and her last menstrual period was 26 April 2010. Her estimated date of delivery is 08 March 2011. The estimated date of delivery does not correspond with LMP date of pregnancy, but was assigned on basis of blood work. The patient does not use alcohol, tobacco or recreational drugs. No concomitant medications were reported. She experienced no adverse events at the time of this report. Follow-up information was received from a health care professional on 07 September 2010. This case has been upgraded to serious. The patient had a spontaneous abortion prior to 20 weeks gestation on 10 July 2010. The mother's health during pregnancy was reported as healthy and there were no pregnancy complications. The patient had a history of two previous pregnancies and one live birth. The patient had one previous birth with congenital anomaly of CHARGE syndrome. The patient was administered the MENACTRA, GARDASIL and BOOSTRIX intramuscularly (IM) and the VARICELLA subcutaneously (SQ). The patient took the concomitant medication BENADRYL 25 milligrams (mg). The outcome was not reported. Documents held by sender: None.
Age: 19.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin decreased, Drug exposure during pregnancy
Clinical narrative: Initial case was received on 30 Jun 2010 from a healthcare professional. A 19 year old female patient received on 25 June 2010, an injection of MENACTRA (lot number U3076AA), an injection of VARICELLA (lot number 1299Y), an injection of GARDASIL (lot number 1318Y) and BOOSTRIX (GlaxoSmithKline, lot number AC52B061BA). The patient's medical history included irregular menses. The patient was pregnant at the time of the vaccinations and her last menstrual period was 26 April 2010. Her estimated date of delivery is 08 March 2011. The estimated date of delivery does not correspond with LMP date of pregnancy, but was assigned on basis of blood work. The patient does not use alcohol, tobacco or recreational drugs. No concomitant medications were reported. She experienced no adverse events at the time of this report. Follow-up information was received from a health care professional on 07 September 2010. This case has been upgraded to serious. The patient had a spontaneous abortion prior to 20 weeks gestation on 10 July 2010. The mother's health during pregnancy was reported as healthy and there were no pregnancy complications. The patient had a history of two previous pregnancies and one live birth. The patient had one previous birth with congenital anomaly of CHARGE syndrome. The patient was administered the MENACTRA, GARDASIL and BOOSTRIX intramuscularly (IM) and the VARICELLA subcutaneously (SQ). The patient took the concomitant medication BENADRYL 25 milligrams (mg). The outcome was not reported. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling, Urticaria
Clinical narrative: Pt. symptom began on 9/12/10 - pain, swelling, redness, hives pruritus went to the E.R. on 9/12 pm was sent home BENADRYL - Prednisone. Symptoms continued 9/13 went back to ER in pm. Sent home with BENADRYL - ZANTAC came to PMD 9/15 - Tx with ZANTAC PM, BENADRYL/CLARITIN and F/U 9/21.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt returned to pharmacy 2 days after receiving vaccine w/ red & swollen arm. Required PCP visit.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Red blotchy rash chest, shoulders, trunk, neck and face, itchy.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Malaise, Pain
Clinical narrative: Received pneumonia shot 9/13/2010, reports 9/14/2010 achy, malaise, arm red & warm 9/16/2010 arm continues with extreme redness small blister. Treated with CIPRO and Hydroxyzine.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Local reaction
Clinical narrative: Marked local reaction - disable from usual activity x 3 days. No fever. No abscess.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Mass, Tenderness
Clinical narrative: 2 inch tender lump right arm.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Choking, Cough, Dyspnoea, Erythema, Eye swelling
Clinical narrative: Patient and mom in waiting area after injections and mom called to front office staff that patient "choking." I went to waiting area immediately and patient having difficulty talking. Face red with swelling noted around eyes. We brought patient immediately to exam room for assessment and treatment. Patient coughing with O2 sat @ 97% RA. Patient able to answer questions. Verbally with labored breathing. Per Doctor - Epi pen Jr. admin started (L) thigh. BENADRYL 25mg and PREDNISONE 30mg. PO given with desired effect. 911 called and pt taken to hospital in stable condition.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Speech disorder
Clinical narrative: Patient and mom in waiting area after injections and mom called to front office staff that patient "choking." I went to waiting area immediately and patient having difficulty talking. Face red with swelling noted around eyes. We brought patient immediately to exam room for assessment and treatment. Patient coughing with O2 sat @ 97% RA. Patient able to answer questions. Verbally with labored breathing. Per Doctor - Epi pen Jr. admin started (L) thigh. BENADRYL 25mg and PREDNISONE 30mg. PO given with desired effect. 911 called and pt taken to hospital in stable condition.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Febrile infection, Muscular weakness, Poliomyelitis
Clinical narrative: Leg weakness developed 9/30/09. Febrile illness 9/26/09 with development of (L) leg weakness by 9/30/09 - eventually diagnosed with non polio poliomyelitis; specific virus not identified.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: 2 hours after vaccination, severe headache, stiff neck, dizziness, fever. This continued until 9/17/10.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: RD - low grade fever, 8 cm round red, tenderness started 9-14 day after administered (MCV4, HPV). LD - 4cm round, low grade tenderness started 9-14-2010 (Tdap).
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Grand mal convulsion
Clinical narrative: Generalized tonic-clonic seizure on 4/14/2010. No additional treatment.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, PNC13
Symptoms: Injection site movement impairment, Injection site pain, Injection site rash, Rash
Clinical narrative: Phone call received 8-31-10. Mo stated client complained of pain & refused to walk on (R) leg. Scattered "spots" on both legs, buttocks and up back. Called 9-1-10 client increased running around - spots clearing. 9-9-10 skin is clear.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Activities of daily living impaired, Antibiotic resistant Staphylococcus test positive, Cough, Drug hypersensitivity, Dyspnoea
Clinical narrative: The patient went to his doctor on Wed.  11/25/09 for a regular checkup.  Dr. told him his lungs sounded better than they had in a long time.  Patient asked for regular flu shot but Dr. office was out so decided to give H1N1 vaccination instead.  Patient was fine on Wed. evening 11/25/09 acting and eating normal.  Thursday morning 11/26/09 Thanksgiving, patient got up with terrible cough and complaining the inside of his mouth was sore like it had blisters in it.  Dr. was not in her office and he would not go to ER since it was Thanksgiving.  Friday morning 11/27/09 patient had to be taken to ER complaining of not being able to breathe.  Patient was admitted to hospital and was started on oxygen and steroids.  Saturday 11/28/09 patient had not slept for two days and 2 nights so was given ATIVAN to help him relax.  Patient had an allergic reaction to that and had to be put in the Intensive Care Unit to be monitored.  Monday morning, 11/30/09 his breathing was worse so had to be put on a ventilator.  Four days later had to put a trach in.  His stay in ICU was three weeks.  He was then put on a feeding tube.  Dec. 18th, 2009 patient was moved to clinic for rehabilitation for his lungs.  He stayed there 28 days where his trach was removed but not the feeding tube.  January 14, 2010 he was moved to a nursing home to be taken off the feeding tube and rehabed to walk again.  We were not pleased with his care and no progress was made so we moved him on January 21, 2010.  January 21, 2010 he was moved to nursing home where he was taken off the feeding tube and rehabilitated.  He was taught to eat, learned to walk again, was taught how to bathe again and toilet trained again, an got to come home March 12, 2010.  Patient's short term memory has been affected by this-otherwise, he is doing fine.  He does not remember anything from his stays in the hospital or the nursing homes.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eating disorder, Endotracheal intubation, Gait disturbance, Gastrointestinal tube insertion, Hypersensitivity
Clinical narrative: The patient went to his doctor on Wed.  11/25/09 for a regular checkup.  Dr. told him his lungs sounded better than they had in a long time.  Patient asked for regular flu shot but Dr. office was out so decided to give H1N1 vaccination instead.  Patient was fine on Wed. evening 11/25/09 acting and eating normal.  Thursday morning 11/26/09 Thanksgiving, patient got up with terrible cough and complaining the inside of his mouth was sore like it had blisters in it.  Dr. was not in her office and he would not go to ER since it was Thanksgiving.  Friday morning 11/27/09 patient had to be taken to ER complaining of not being able to breathe.  Patient was admitted to hospital and was started on oxygen and steroids.  Saturday 11/28/09 patient had not slept for two days and 2 nights so was given ATIVAN to help him relax.  Patient had an allergic reaction to that and had to be put in the Intensive Care Unit to be monitored.  Monday morning, 11/30/09 his breathing was worse so had to be put on a ventilator.  Four days later had to put a trach in.  His stay in ICU was three weeks.  He was then put on a feeding tube.  Dec. 18th, 2009 patient was moved to clinic for rehabilitation for his lungs.  He stayed there 28 days where his trach was removed but not the feeding tube.  January 14, 2010 he was moved to a nursing home to be taken off the feeding tube and rehabed to walk again.  We were not pleased with his care and no progress was made so we moved him on January 21, 2010.  January 21, 2010 he was moved to nursing home where he was taken off the feeding tube and rehabilitated.  He was taught to eat, learned to walk again, was taught how to bathe again and toilet trained again, an got to come home March 12, 2010.  Patient's short term memory has been affected by this-otherwise, he is doing fine.  He does not remember anything from his stays in the hospital or the nursing homes.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Insomnia, Intensive care, Mechanical ventilation, Memory impairment, Oral pain
Clinical narrative: The patient went to his doctor on Wed.  11/25/09 for a regular checkup.  Dr. told him his lungs sounded better than they had in a long time.  Patient asked for regular flu shot but Dr. office was out so decided to give H1N1 vaccination instead.  Patient was fine on Wed. evening 11/25/09 acting and eating normal.  Thursday morning 11/26/09 Thanksgiving, patient got up with terrible cough and complaining the inside of his mouth was sore like it had blisters in it.  Dr. was not in her office and he would not go to ER since it was Thanksgiving.  Friday morning 11/27/09 patient had to be taken to ER complaining of not being able to breathe.  Patient was admitted to hospital and was started on oxygen and steroids.  Saturday 11/28/09 patient had not slept for two days and 2 nights so was given ATIVAN to help him relax.  Patient had an allergic reaction to that and had to be put in the Intensive Care Unit to be monitored.  Monday morning, 11/30/09 his breathing was worse so had to be put on a ventilator.  Four days later had to put a trach in.  His stay in ICU was three weeks.  He was then put on a feeding tube.  Dec. 18th, 2009 patient was moved to clinic for rehabilitation for his lungs.  He stayed there 28 days where his trach was removed but not the feeding tube.  January 14, 2010 he was moved to a nursing home to be taken off the feeding tube and rehabed to walk again.  We were not pleased with his care and no progress was made so we moved him on January 21, 2010.  January 21, 2010 he was moved to nursing home where he was taken off the feeding tube and rehabilitated.  He was taught to eat, learned to walk again, was taught how to bathe again and toilet trained again, an got to come home March 12, 2010.  Patient's short term memory has been affected by this-otherwise, he is doing fine.  He does not remember anything from his stays in the hospital or the nursing homes.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Simplex virus test positive, Sputum culture positive, Tracheostomy
Clinical narrative: The patient went to his doctor on Wed.  11/25/09 for a regular checkup.  Dr. told him his lungs sounded better than they had in a long time.  Patient asked for regular flu shot but Dr. office was out so decided to give H1N1 vaccination instead.  Patient was fine on Wed. evening 11/25/09 acting and eating normal.  Thursday morning 11/26/09 Thanksgiving, patient got up with terrible cough and complaining the inside of his mouth was sore like it had blisters in it.  Dr. was not in her office and he would not go to ER since it was Thanksgiving.  Friday morning 11/27/09 patient had to be taken to ER complaining of not being able to breathe.  Patient was admitted to hospital and was started on oxygen and steroids.  Saturday 11/28/09 patient had not slept for two days and 2 nights so was given ATIVAN to help him relax.  Patient had an allergic reaction to that and had to be put in the Intensive Care Unit to be monitored.  Monday morning, 11/30/09 his breathing was worse so had to be put on a ventilator.  Four days later had to put a trach in.  His stay in ICU was three weeks.  He was then put on a feeding tube.  Dec. 18th, 2009 patient was moved to clinic for rehabilitation for his lungs.  He stayed there 28 days where his trach was removed but not the feeding tube.  January 14, 2010 he was moved to a nursing home to be taken off the feeding tube and rehabed to walk again.  We were not pleased with his care and no progress was made so we moved him on January 21, 2010.  January 21, 2010 he was moved to nursing home where he was taken off the feeding tube and rehabilitated.  He was taught to eat, learned to walk again, was taught how to bathe again and toilet trained again, an got to come home March 12, 2010.  Patient's short term memory has been affected by this-otherwise, he is doing fine.  He does not remember anything from his stays in the hospital or the nursing homes.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea
Clinical narrative: Anaphylaxis, trouble breathing occurred about 5 hours after vaccination. Treated in emergency room and hospitalized for 1 night.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Feeling abnormal, Heart rate increased, Migraine, Nausea
Clinical narrative: Pt. states after getting injection she became very tired, sore and sick to stomach. Next day she had rapid heart rate, migraine and vomiting. C/O aching all over and just not feeling right. Feels better at present.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Vomiting
Clinical narrative: Pt. states after getting injection she became very tired, sore and sick to stomach. Next day she had rapid heart rate, migraine and vomiting. C/O aching all over and just not feeling right. Feels better at present.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt vaccinated on 9/14/10 & returned 9/16/10 with redness & swelling to left upper arm - 11x7 induration. No other symptoms reported. Tx - ice to area.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Activities of daily living impaired, Burning sensation, Pain, Urticaria
Clinical narrative: L arm. 1/2 dollar raised welt on arm, burning sensation, hurts to raise arm, defined area circular pillows within the area "bubbled" appearance. Pt was sent home from school.
Age: 54.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema
Clinical narrative: (2) lg. areas of erythema, one inferior aspect of (R) upper arm & elbow.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Chest pain, Dyspnoea, Pruritus
Clinical narrative: After 15 min of observation, no adverse reaction noted, but 25 minutes later when pt returned, pt c/o difficulty breathing, chest pain, and itching. EPI PEN Adult 0.3mg administered. Transferred to ER.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Nausea, Pain in extremity, Pruritus
Clinical narrative: Patient's husband called stating patient experiencing whole arm pain, nausea around the liver, chest hurting, rash, dizziness, and itching when around things such as grass.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient's husband called stating patient experiencing whole arm pain, nausea around the liver, chest hurting, rash, dizziness, and itching when around things such as grass.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 8 cm area of erythema and swelling at injection site ((L) deltoid).
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blindness transient, Loss of consciousness
Clinical narrative: Pt received 0.5 ml FLUVIRIN Monday 9/13/10 around noon. Pt receives flu vaccination yearly without adverse events. Pt returned to pharmacy 9/16/10 around 4-5pm saying he blacked out for a few seconds while driving around a corner at 1am 9-16-10 delivering newspapers. He claims he could not see for a few seconds. No motor vehicle accident occurred or property damage. Pt also states it could have been due to his eye implants. He denied my request to call MD. Pt states no further problems.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Grand mal convulsion
Clinical narrative: Generalized tonic clonic seizure on airplane lasting 2 mins. No illness.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electroencephalogram, Grand mal convulsion, Nuclear magnetic resonance imaging
Clinical narrative: Generalized tonic clonic seizure on airplane lasting 2 mins. No illness.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Was given DTAP in (R) thigh 2 days ago... today came in with erythema, swelling of (R) thigh... no fever.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Pyrexia
Clinical narrative: Severe stomach cramps. Fever of 104 degrees. Dizziness. Mild chest pain.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash erythematous
Clinical narrative: Erythematous rash to upper back, nape, (R) cheek and upper chest approx. two hours after admin. of above named vaccines. No associated breathing difficulty nor body swelling noted. Diphenhydramine 3.125mg P.O. given & infant closely monitored in clinic. Was referred to ER in case of further reaction but was d/ced home.
Age: 56.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Cough
Clinical narrative: Coughing, followed by 102 degree temperature.  Coughing lasting for 1-2 hrs, temp for 3 hrs+.
Age: 38.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Back pain, Malaise, Myalgia, Neck pain, Pain in extremity
Clinical narrative: 9/16/10 Patient called reporting muscle aches, local hives & pain, general ill feeling. Advised MD visit or urgent care visit but patient didn't feel she could get to MD or urgent care because of distance so went to local ER. Symptoms included fever (101.2F), leg/neck/back pain, local hives/pain, general ill feeling at ER (per patient report). Overnight observation in ER refused & agreed to MD follow up. Given Morphine at ER & Rx for DILAUDID. Has appointment with MD today.
Age: 38.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia, Urticaria
Clinical narrative: 9/16/10 Patient called reporting muscle aches, local hives & pain, general ill feeling. Advised MD visit or urgent care visit but patient didn't feel she could get to MD or urgent care because of distance so went to local ER. Symptoms included fever (101.2F), leg/neck/back pain, local hives/pain, general ill feeling at ER (per patient report). Overnight observation in ER refused & agreed to MD follow up. Given Morphine at ER & Rx for DILAUDID. Has appointment with MD today.
Age: 89.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Asthenia, Blister, Chapped lips, Decreased appetite
Clinical narrative: Feeling like coming down with flu. Did not take temperature, but arms felt very hot, hands very cold. Very weak - could not get out of bed all night and the next day. Fell when attempted to go to the bathroom. Left arm very red and blistered from wrist to mid-upper arm. Lips chapped. Did not eat for over 24 hours.
Age: 89.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Fall, Malaise, Peripheral coldness, Skin warm
Clinical narrative: Feeling like coming down with flu. Did not take temperature, but arms felt very hot, hands very cold. Very weak - could not get out of bed all night and the next day. Fell when attempted to go to the bathroom. Left arm very red and blistered from wrist to mid-upper arm. Lips chapped. Did not eat for over 24 hours.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Decreased appetite, Dizziness, Ear, nose and throat examination abnormal, Hearing impaired
Clinical narrative: I woke up feeling VERY dizzy and nauseous. Had to have help to get to bathroom so I could walk. After 4 hours of laying in bed and trying to throw up (dry heaves or phlegm or bile is all that I brought up), it passed and I was able to eat and drink and go about my day.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Retching, Vomiting
Clinical narrative: I woke up feeling VERY dizzy and nauseous. Had to have help to get to bathroom so I could walk. After 4 hours of laying in bed and trying to throw up (dry heaves or phlegm or bile is all that I brought up), it passed and I was able to eat and drink and go about my day.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient describes pain from shoulder to wrist. Advised to try Ibu or APAP.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: Itchiness all over
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Dizziness
Clinical narrative: Patient dizzy after 10 minutes. Called patient M.D. office. Told patient to relax at home and call if problems + call M.D. in AM
Age: 70.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Balance disorder, Muscular weakness
Clinical narrative: Muscle weakness on both legs. Patient said he almost lost balance a day after the vaccination.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Culture throat negative, Dizziness, Haemoptysis, Headache, Musculoskeletal stiffness
Clinical narrative: Stiff neck 2-3 hours post vaccination, dizziness at night along with headache, congestion, severe sore throat at times bloody sputum.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Stiff neck 2-3 hours post vaccination, dizziness at night along with headache, congestion, severe sore throat at times bloody sputum.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red patch right below the injection site, feels warm.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient woke up on AM of 9-11-10 and had a rash of right arm (same as arm immunized), rash decreased with time.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Swelling, pain - Arm doubled in size, red, painful to touch.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt. has hives which appeared on mid-Saturday. Shot given Thursday.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Dyspnoea, Heart rate increased
Clinical narrative: Increased blood pressure/ HR that started about 30 minutes to 90 minutes after injection. Also labored breathing. Patient later went to ER and was given medication to lower blood pressure.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dyspnoea, Feeling abnormal, Heart rate increased, Paraesthesia
Clinical narrative: Patient returned to site about 30 minutes after injection with symptoms- tongue/ cheek tingling, increased BP/ HR and uneasy feeling. Also labored breathing. Symptoms decreased after about 45 minutes, then patient went home. Later she felt worse and went to ER!
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia oral
Clinical narrative: Patient returned to site about 30 minutes after injection with symptoms- tongue/ cheek tingling, increased BP/ HR and uneasy feeling. Also labored breathing. Symptoms decreased after about 45 minutes, then patient went home. Later she felt worse and went to ER!
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Dry throat, Hypoaesthesia oral, Throat irritation
Clinical narrative: 1 hr after receiving vaccine, pt had numbness in lips, dry throat, itchy. Pt went to ED & received epinephrine, prednisone.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Onset of hives on 9/16/10 in the afternoon hours. Patient denies any swelling or shortness of breath. Hives and itching on bilateral lower extremities and insides of both upper extremities, at waistline, and back. No treatments at this point but advised her to call her pcp.
Age: 77.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Adverse event, Myalgia, Pain in extremity
Clinical narrative: PAIN LEFT MUSCLE OF LEFT ARM
Age: 77.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: PAIN LEFT MUSCLE OF LEFT ARM
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Lip swelling, Ophthalmological examination, Pruritus
Clinical narrative: eyes swelled-lip swelled-intense itching Benadryl-prednisone-nystatin ointment
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Headache, Hypoaesthesia, Injected limb mobility decreased, Insomnia
Clinical narrative: Significant swelling, Pain with numbness, decrease in mobility of Left arm, nausea, Vomiting, Chills, temporary fever (client did not report temp, difficulty sleeping, headache.  Client took two Tylenol 500 mg morning of 9/17 recommended to take 600 mg OTC ibuprofen 2-3 times daily. Follow up this afternoon.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Pain, Pyrexia, Swelling, Vomiting
Clinical narrative: Significant swelling, Pain with numbness, decrease in mobility of Left arm, nausea, Vomiting, Chills, temporary fever (client did not report temp, difficulty sleeping, headache.  Client took two Tylenol 500 mg morning of 9/17 recommended to take 600 mg OTC ibuprofen 2-3 times daily. Follow up this afternoon.
Age: 42.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: I had a diagnosed case of the shingles in Oct. 2009.  I caught it early and never developed the rash.  My doctor suggested I get the vaccine to prevent a recurrence.  In July 2010, 8 days after I got the vaccine I felt the same symptoms in the same location, a tingling and sizzling on the left side of my face.  I went to the doctor less than two days after the symptoms started, started the medicine, and again didn't get the rash.  I'm fine now, but still feel an occasional tingling on the one side of my face.
Age: 79.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Pain
Clinical narrative: Extreme Ache Chills
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Chills, Diarrhoea, Discomfort, Dizziness
Clinical narrative: Client got out of bed and felt dizzy. Got a cigarette and coffee. Thirty minutes later felt "Loopy, weak, loose). Stomach started to feel nauseated and uncomfortable went to bathroom and had loose stool. States had 3 loose stools yesterday and has had no loose stools today. States he has not had a fever, but feels bad. On September 16th at about 9:00n PM got up to urinate and felt really cold while in the bathroom. Went back to couch with chills and a minute later got very hot. Within 2-3 minutes it was oer and the episode has not been repeated.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling abnormal, Feeling of body temperature change, Nausea
Clinical narrative: Client got out of bed and felt dizzy. Got a cigarette and coffee. Thirty minutes later felt "Loopy, weak, loose). Stomach started to feel nauseated and uncomfortable went to bathroom and had loose stool. States had 3 loose stools yesterday and has had no loose stools today. States he has not had a fever, but feels bad. On September 16th at about 9:00n PM got up to urinate and felt really cold while in the bathroom. Went back to couch with chills and a minute later got very hot. Within 2-3 minutes it was oer and the episode has not been repeated.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: At 5:45 PM I noticed one of my nostrils and part of my lip had a burning sensation.  It eventually went away.  Later that night around midnight my fingers started tingling and eventually my left hand fingers were burning, very strongly like they were on fire.  An hour later the burning sensation had subsided.
Age: 42.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Headache, Injection site pain, Oropharyngeal pain, Pain
Clinical narrative: soreness at injection point, headache, sore throat, all over body aches
Age: 79.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Dyspnoea, Feeling cold, Insomnia, Pain
Clinical narrative: Severe chills for about 7 hours. Fever of 102.5 at 7 PM. Some breathing difficulty. Couldn't sleep. Had unusual aches and pains that lasted through the next morning. Used electric blanket, heating pad and lots of covers to get warm. Took full strength aspirin.
Age: 79.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Severe chills for about 7 hours. Fever of 102.5 at 7 PM. Some breathing difficulty. Couldn't sleep. Had unusual aches and pains that lasted through the next morning. Used electric blanket, heating pad and lots of covers to get warm. Took full strength aspirin.
Age: 43.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Rash generalised, Rash papular
Clinical narrative: Papular rash beginning on interior of arms and on legs becoming diffuse over next 2 days to include trunk, all aspects of arms and legs, scalp and back.  Treated with high dose antihistimines, steroid ointment.  Resolved over approx. 30 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Disturbance in attention, Flushing, Hyperhidrosis, Nervousness
Clinical narrative: Flushing, Heart racing, clammy, sweating, shaky, unable to concentrate
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations
Clinical narrative: Flushing, Heart racing, clammy, sweating, shaky, unable to concentrate
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Feeling abnormal, Headache, Lymphadenopathy, Pruritus, Skin lesion
Clinical narrative: Pt has multiple satellite lesions over entire body to include face/mouth/torso/legs/groin/arms.  Afebrile.  General pruritis.  Headache.  Swollen lymph nodes.  Generally "feeling lousy".
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Erythema, Fatigue, Pallor
Clinical narrative: Light headed. Redness on arm. Threw up 8 times, paleness, and very tired and weak.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Light headed. Redness on arm. Threw up 8 times, paleness, and very tired and weak.
Age: 7.0
Sex: M
Vaccine: DTAP, HEP
Symptoms: Oedema peripheral
Clinical narrative: entire left arm swollen shoulder to wrist
Age: 74.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Hives rash & bumps  Benadryl 50 mg every 6 hours prednisone 5 days (50 mg, 40mg, 30 mg, 20 mg, 10 mg)
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Fever pt reported 102F, body aches and arm pain at site of injection, fever decreased by morning.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Back pain, Body temperature increased, Carbon dioxide increased, Chest X-ray abnormal
Clinical narrative: 56 YO F with poorly controlled DM/HTN, HL, HCV, depression with self mutilation, presented to the emergency room with fever and altered mental status. Per family, on 09/13 the pt was in regular state of health, presented to the clinic for prescription refills of amitriptyline, gabapentin and trazodone. She then took an unkown quantity of pills throughout the day and slept for the remainder of the day. She woke up the following day abruptly with altered mental status, confusion, agitation, talking to inanimate objects, so the family called EMS. In the ED the patient had low back pain, fever to 40.4 C, tachycardia, PO2=88. CXR  showed perihilar infiltrate and increased interstitial markings. Leucocytosis to 17.7. An LP was performed and later the pt was found to obtunded with increased CO2, so she was intubated. She was then admitted to the medical ICU. Where she improved and then walked out AMA today (2 days later). The patient told the medical resident that she had received 2 flu shots prior to the event. The local pharmacy has a record of giving 1 Flu vaccine to her on 09/13 (lot 111776P, exp 03/31/2011/Novartis/Fluvirin).
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Depressed level of consciousness, Endotracheal intubation, Hallucination, Hypersomnia
Clinical narrative: 56 YO F with poorly controlled DM/HTN, HL, HCV, depression with self mutilation, presented to the emergency room with fever and altered mental status. Per family, on 09/13 the pt was in regular state of health, presented to the clinic for prescription refills of amitriptyline, gabapentin and trazodone. She then took an unkown quantity of pills throughout the day and slept for the remainder of the day. She woke up the following day abruptly with altered mental status, confusion, agitation, talking to inanimate objects, so the family called EMS. In the ED the patient had low back pain, fever to 40.4 C, tachycardia, PO2=88. CXR  showed perihilar infiltrate and increased interstitial markings. Leucocytosis to 17.7. An LP was performed and later the pt was found to obtunded with increased CO2, so she was intubated. She was then admitted to the medical ICU. Where she improved and then walked out AMA today (2 days later). The patient told the medical resident that she had received 2 flu shots prior to the event. The local pharmacy has a record of giving 1 Flu vaccine to her on 09/13 (lot 111776P, exp 03/31/2011/Novartis/Fluvirin).
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Intensive care, Leukocytosis, Lumbar puncture, Lung infiltration, Mental status changes
Clinical narrative: 56 YO F with poorly controlled DM/HTN, HL, HCV, depression with self mutilation, presented to the emergency room with fever and altered mental status. Per family, on 09/13 the pt was in regular state of health, presented to the clinic for prescription refills of amitriptyline, gabapentin and trazodone. She then took an unkown quantity of pills throughout the day and slept for the remainder of the day. She woke up the following day abruptly with altered mental status, confusion, agitation, talking to inanimate objects, so the family called EMS. In the ED the patient had low back pain, fever to 40.4 C, tachycardia, PO2=88. CXR  showed perihilar infiltrate and increased interstitial markings. Leucocytosis to 17.7. An LP was performed and later the pt was found to obtunded with increased CO2, so she was intubated. She was then admitted to the medical ICU. Where she improved and then walked out AMA today (2 days later). The patient told the medical resident that she had received 2 flu shots prior to the event. The local pharmacy has a record of giving 1 Flu vaccine to her on 09/13 (lot 111776P, exp 03/31/2011/Novartis/Fluvirin).