chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Pruritus, Rash vesicular
Clinical narrative: Vesicular, itchy rash-diffusely scattered over face, neck, back, abd, gluteals, legs.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Headache, Injection site pain, Pyrexia
Clinical narrative: #2 hep B L arm #1 hep A R arm began complaining of headache, tenderness at noon, rc'd shot 8:30, Received 650mg Tylenol orally at noon. Fever spiked 103 deg F ~ 9pm. Took Tylenol.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash pruritic
Clinical narrative: itching rash on arms and neck, began morning after pneumonia and flu shot
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Administered Fluzone vaccine to patient around 2:30 pm on 11/12/02.  Patient left health unit and returned to office.  Approximately 30 minutes later, a co-worker of the patient entered health unit and stated "I think one of my co-workers is having a seizure."  Entered patient's office around 3 pm and found him sitting in his chair, A&Ox3.  No apparent seizure activity.  Answered all questions appropriately.  +PEARRL.  Gait steady.  MAE x4.  BP 136/96, HR 80's.  States he had taken his medication as usual today (for seizure disorder).  Also states he believes he did have a seizure prior to my arrival.  Co-workers state there was no physical activity, but a change in LOC and orientation.  No seizure activity noted by nurse upon arrival.  No treatment needed.  Discussed possible relation between flu vaccine and seizure with patient.  Unable to determine if there is a correlation.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Nasal congestion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Starting Nov 8, experience severe sore throat, low grade fever, terrible cough, and stuffy nose. Very tired and in bed 5 days. Saw physician on Nov 9.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Pain, Pyrexia, Stomach discomfort
Clinical narrative: Fever,achiness,stomach upset and headache.Recovered about 5 days
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypokinesia, Oedema, Pain
Clinical narrative: Right arm painful, red, swollen, unable to use
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: R deltoid swollen 9.5 x 9cm approximately 4 hrs after injection, painful.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Site of injection swollen to size of "half an orange," painful R deltoid.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Skin discolouration
Clinical narrative: Flu vaccine administered 10/11/02. 10/13/02 developed brown discoloration. Slightly red injection site and swollen.
Age: 33.0
Sex: M
Vaccine: YF
Symptoms: Erythema, Pyrexia, Urticaria
Clinical narrative: Discovered small welt 11/3/02; 11/4/02 small welt spread to reddened area 6x6cm went to med. Rx Benadryl, Tylenol; return to clinic AM 11/5/02 reddened area now 12x12cm, sent to ER. Low grade temp.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Abortion
Clinical narrative: Spontaneus AB approx 1 week after Vaccine given
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Condition aggravated, Dizziness, Erythema, Oedema, Pruritus
Clinical narrative: I was dizzy about five minutes after the shot, and the dizzyness increased through the day.  When active or eating, the dizzyness went away a little.  When I went to bed at night, as I began to relax more, the room began to spin.  I could not take my medication - Prilosec - before I ate in the evening, because I was afraid that it would make me more dizzy.  I could not drive in the evening.  Also, the pain I suffer in the rest of my abdomen from chronic endometriosis increased greatly.  My abdomen swelled, making my clothing tight at the waist.  This was not because I had skipped taking the Prilosec, because this occured in a different part of the abdomen.  Due to recent endometriosis symptoms (prior to this vaccine), I have been eating less, and my clothing has been loose at the waist, before yesterday.  Even though endometriosis is a condition that I usually must deal with, I need to know just how vaccinations affect it.  I had the flu last spring, and my internist had strongly suggested that I get a flu shot this year, but I am not sure if my endometriosis will increase.  I also suffer from chronic excema problems, but today, my entire face is red and itchy, much more than usual.  I am less dizzy today.  However, my abdomen is still more swollen than usual.  I am seeing my gynecologist tomorrow.  I have had no other vaccines recently.  I have had recent abdominal pain, probably due to a return of endometriosis, but adding stress from any source can cause further problems.  Stress increases hormone levels, which increase the growth of endometriosis tissue at locations where it should not be.  Although I am most concerned about the abdominal stress, I am also concerned about the dizzyness, and I do not know the source of that.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Patient recieved the pneumonia vaccine on 11/11/02 She came back to the clinic today (11/13/02) and her arm was red and warm to touch. The redness extended down to the elbow and up to the shoulder. She states that the redness and pain started the next day after the shot on 11/12/02. She was prescribed a Medrol Dose Pack by Dr. Patient states that it has been painful and she could not put pressure on that arm. 60 day follow-up states patient recovered.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: patient states he recieced his pnuemonia vaccine on 11/4/02 the next day it was red and warm. He states the redness went down to his elbow. It was painful, but he did not seek medical attention. The report of the reaction was brought to my attention from another person who works in our facillity. Patient did not call our office with any complaints, but I did contact him after hearing that he had a reaction I did speak to him today (11/13/02) and the redness has almost diappeared
Age: 50.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Pain, Swelling
Clinical narrative: Information has been received from a registered nurse concerning a 50 year old white male who on 10/02/02 was vaccinated IM in the left deltoid with the first dose of pneumococcal vaccine 23 polyvalent. On 10/3/02, the pt was vaccinated IM in the left deltoid with a dose of concomitant suspect therapy influenza virus vaccine (Fluzone), which was last administered in 2001. On 10/3/02, the pt's arm became extremely swollen and painful. The registered nurse reported that the pt was instructed to seek medical attention. The pt was treated with Augmentin, Tylenol and moist heat. The pt continued to be in pain and became very weak. The pt was admitted to the hospital for three days (dates not reported), and was treated with IV antibiotics. The registered nurse reported that the pt was "home and recovering." *In follow-up, the registered nurse reported that the PT had recovered from the experience.* No further info is expected. A 15-day follow up report received 7/15/2003 adds: The pt was admitted to the hospital for 3 days (dates not reported) and was treated with IV antibiotics. The registered nurse reported that the pt was "home and recovering". In folow-up the registered nurse reported that the pt had recovered from the experience. It was noted that the pt and the pt's sibling had no adverse events following prior vaccination. The case is closed, no additional info is anticipated. This is an amended report. The adverse event onset date and time (10/02/2002 at 4:00 PM) have been updated and the date and time of administration of secondary suspect vaccination (10/02/2002 at 4:00 PM) has been updated. This is a corrected report, as amended.
Age: 50.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site oedema, Injection site pain, Muscular weakness
Clinical narrative: Information has been received from a registered nurse concerning a 50 year old white male who on 10/02/02 was vaccinated IM in the left deltoid with the first dose of pneumococcal vaccine 23 polyvalent. On 10/3/02, the pt was vaccinated IM in the left deltoid with a dose of concomitant suspect therapy influenza virus vaccine (Fluzone), which was last administered in 2001. On 10/3/02, the pt's arm became extremely swollen and painful. The registered nurse reported that the pt was instructed to seek medical attention. The pt was treated with Augmentin, Tylenol and moist heat. The pt continued to be in pain and became very weak. The pt was admitted to the hospital for three days (dates not reported), and was treated with IV antibiotics. The registered nurse reported that the pt was "home and recovering." *In follow-up, the registered nurse reported that the PT had recovered from the experience.* No further info is expected. A 15-day follow up report received 7/15/2003 adds: The pt was admitted to the hospital for 3 days (dates not reported) and was treated with IV antibiotics. The registered nurse reported that the pt was "home and recovering". In folow-up the registered nurse reported that the pt had recovered from the experience. It was noted that the pt and the pt's sibling had no adverse events following prior vaccination. The case is closed, no additional info is anticipated. This is an amended report. The adverse event onset date and time (10/02/2002 at 4:00 PM) have been updated and the date and time of administration of secondary suspect vaccination (10/02/2002 at 4:00 PM) has been updated. This is a corrected report, as amended.
Age: 47.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Loss of consciousness
Clinical narrative: Mon 10/21/02 9:15am IM flu vaccine. 10am headache. 10:30am nausea, dizziness. 1:00 fatigue. 1:00-6 at work at home exhausted passed out at home under three blankets, sweating, up, down from bed to urinate slept till 7am Tue 10/22/02.
Age: 47.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Subcutaneous nodule
Clinical narrative: Mon 10/21/02 9:15am IM flu vaccine. 10am headache. 10:30am nausea, dizziness. 1:00 fatigue. 1:00-6 at work at home exhausted passed out at home under three blankets, sweating, up, down from bed to urinate slept till 7am Tue 10/22/02.
Age: 47.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: Mon 10/21/02 9:15am IM flu vaccine. 10am headache. 10:30am nausea, dizziness. 1:00 fatigue. 1:00-6 at work at home exhausted passed out at home under three blankets, sweating, up, down from bed to urinate slept till 7am Tue 10/22/02.
Age: 47.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Nausea, Pollakiuria
Clinical narrative: Mon 10/21/02 9:15am IM flu vaccine. 10am headache. 10:30am nausea, dizziness. 1:00 fatigue. 1:00-6 at work at home exhausted passed out at home under three blankets, sweating, up, down from bed to urinate slept till 7am Tue 10/22/02.
Age: 29.0
Sex: F
Vaccine: DT, MMR, VARCEL
Symptoms: Abdominal pain, Abortion, Headache, Menorrhagia, Pyrexia
Clinical narrative: Information has been received from a consumer, through the Pregnancy Registry for varicella virus vaccine live concerning a 29 year old female pt with no past medical history, who on 10/23/02 was vaccinated with a 0.5mg dose of varicella virus vaccine live (lot 643117/0502M). Concomitant therapy on 10/23/02 included 0.5mg MMR II Ilot 643392/0525M), and 0.5mg Td for adult use. On 10/24/02 the female pt developed following: low-grade fever, headache, painful stomach cramps, and heavy mentrual bleeding. The reporter indicated there may have been a "possibility" his wife "was pregnant" when she received the vaccines, but was unaware. It was noted the reporter expressed the reason his wife was bleeding heavily was that she "may be experiencing spontaneous abortion." The pt did not have a pregnancy test, she did not seek medical attention. Additional info received from a health professional indicated the pt denied being pregnant at the time vaccines were administered. It was noted the pt is an immigrant and she was vaccinated with varicella virus vaccine live for immigration purposes. The reporter indicated the pt will not be seen again as she was vaccinated through the health department's immigration services. The reporter confirmed vaccines were administered on 10/23/02. Additional info has been requested. This is an amended report. Upon internal review of the file, it was determined that the pt was administered diphtheria toxoid (+) tetanus toxoid instead of diphtheria toxoid/tetanus toxoid (Tetanus & Diphtheria for adult use).
Sex: M
Vaccine: PPV
Symptoms: Pneumonia
Clinical narrative: Information has been received from a consumer concerning her husband with no known drug allergies who on 11/25/1979 was vaccinated with a dose of penumococcal vaccine 23 polyvalent. Concomitant therapy included clopidogrel bisulfate, levothyroxine Na, lisinopril, Paroxetine HCl and insulin, although no past medical history was reported by the consumer. In approximately 10/22, the patient became ill with what doctors felt may be pneumonia and was hospitalized. The patient sought unspecified medical attention. Additional information has been requested.
Age: 6.0
Sex: U
Vaccine: DTP, HIBV
Symptoms: Cyanosis, Hypotonia, Skin disorder
Clinical narrative: Information has been received from a physician concerning a 6 year old pt who was vaccinated with doses of Haemophilus B conjugate vaccine (manuf unk), and concomitant therapy diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. Subsequently one day after the vaccines were administered the pt became cyanotic, and floppy. It was noted that at a 60 day follow-up the pt had been diagnosed with diffuse cutaneous mastocytosis. It was indicated that either vaccine may have caused the mastocyte release, and subsequent drop in blood pressure and cyanosis. This was originally reported by a health care professional. VAERS ID number 174721-1. Upon internal review it has been determined that cyanosis and diffuse cutaneous mastocytosis are other important medical events (OMIC). Additional info has been requested.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Asthenia, Eczema, Hypoaesthesia, Influenza like illness
Clinical narrative: Two weeks after flu-pneumonia shots I got flu like symptoms and skin rash. Gradually the rash on my legs turns in vasulitis and foot drop. In December of last year I contracted unusual and extremely severe skin rash and flu like symptoms, just two weeks after my flu-pneumonia shots. One week later, I got typical flu like symptoms, with joint pain, fevers with temperatures over a 100 deg. F. This condition went on for five weeks. I spent five days in a local hospital. I was treated with antibiotic Augmentum and eventually my temperatures came down to normal by 1/20. However, the rash which started before the flu gradually spread all over my body. It was of very unusual character, extremely irritating burning and itching to a point where I was not able to sleep. Eventually the rash spread all over my body. The dermatologist ordered a biopsy, which was done and came back negative, so no pathogen was found responsible and that condition was diagnosed as eczema. A variety of cortisone ointments were prescribed with little or no healing effect. In early February, I noticed swelling on my ankles and some strange pinching sensation when I pressed with my finger the soft tissue. MD, who was subtitling for my primer physician did not make any conclusion and simply said it is common for older people. Later the same month, I again went to see my primer physician MD and I was started on ointments Triamcinolone Acenonide cream 0.025%. This was the first cream which started to reduce the rash and itching. However, the rash persisted to stay on both legs. Under the skin patches of very painful strips developed along the tibia bone. In late May 2002 this condition worsened even more and then started a pinching and stabbing sensation. Also both legs and ankles got more swollen and the swelling gradually has spread further up to the knee. The reddish spots were inflamed and sensitive to touch and it started to appear around the front leg bone and some dark blue spots occurred on the right leg. This condition was getting worse and w...The medical records state thrombophilebitis, and edema of leg.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Marrow hyperplasia, Oedema, Oedema peripheral, Pain, Paralysis
Clinical narrative: Two weeks after flu-pneumonia shots I got flu like symptoms and skin rash. Gradually the rash on my legs turns in vasulitis and foot drop. In December of last year I contracted unusual and extremely severe skin rash and flu like symptoms, just two weeks after my flu-pneumonia shots. One week later, I got typical flu like symptoms, with joint pain, fevers with temperatures over a 100 deg. F. This condition went on for five weeks. I spent five days in a local hospital. I was treated with antibiotic Augmentum and eventually my temperatures came down to normal by 1/20. However, the rash which started before the flu gradually spread all over my body. It was of very unusual character, extremely irritating burning and itching to a point where I was not able to sleep. Eventually the rash spread all over my body. The dermatologist ordered a biopsy, which was done and came back negative, so no pathogen was found responsible and that condition was diagnosed as eczema. A variety of cortisone ointments were prescribed with little or no healing effect. In early February, I noticed swelling on my ankles and some strange pinching sensation when I pressed with my finger the soft tissue. MD, who was subtitling for my primer physician did not make any conclusion and simply said it is common for older people. Later the same month, I again went to see my primer physician MD and I was started on ointments Triamcinolone Acenonide cream 0.025%. This was the first cream which started to reduce the rash and itching. However, the rash persisted to stay on both legs. Under the skin patches of very painful strips developed along the tibia bone. In late May 2002 this condition worsened even more and then started a pinching and stabbing sensation. Also both legs and ankles got more swollen and the swelling gradually has spread further up to the knee. The reddish spots were inflamed and sensitive to touch and it started to appear around the front leg bone and some dark blue spots occurred on the right leg. This condition was getting worse and w...The medical records state thrombophilebitis, and edema of leg.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Peroneal nerve palsy, Pruritus, Pyrexia, Rash, Sleep disorder
Clinical narrative: Two weeks after flu-pneumonia shots I got flu like symptoms and skin rash. Gradually the rash on my legs turns in vasulitis and foot drop. In December of last year I contracted unusual and extremely severe skin rash and flu like symptoms, just two weeks after my flu-pneumonia shots. One week later, I got typical flu like symptoms, with joint pain, fevers with temperatures over a 100 deg. F. This condition went on for five weeks. I spent five days in a local hospital. I was treated with antibiotic Augmentum and eventually my temperatures came down to normal by 1/20. However, the rash which started before the flu gradually spread all over my body. It was of very unusual character, extremely irritating burning and itching to a point where I was not able to sleep. Eventually the rash spread all over my body. The dermatologist ordered a biopsy, which was done and came back negative, so no pathogen was found responsible and that condition was diagnosed as eczema. A variety of cortisone ointments were prescribed with little or no healing effect. In early February, I noticed swelling on my ankles and some strange pinching sensation when I pressed with my finger the soft tissue. MD, who was subtitling for my primer physician did not make any conclusion and simply said it is common for older people. Later the same month, I again went to see my primer physician MD and I was started on ointments Triamcinolone Acenonide cream 0.025%. This was the first cream which started to reduce the rash and itching. However, the rash persisted to stay on both legs. Under the skin patches of very painful strips developed along the tibia bone. In late May 2002 this condition worsened even more and then started a pinching and stabbing sensation. Also both legs and ankles got more swollen and the swelling gradually has spread further up to the knee. The reddish spots were inflamed and sensitive to touch and it started to appear around the front leg bone and some dark blue spots occurred on the right leg. This condition was getting worse and w...The medical records state thrombophilebitis, and edema of leg.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Thrombophlebitis, Vasculitis
Clinical narrative: Two weeks after flu-pneumonia shots I got flu like symptoms and skin rash. Gradually the rash on my legs turns in vasulitis and foot drop. In December of last year I contracted unusual and extremely severe skin rash and flu like symptoms, just two weeks after my flu-pneumonia shots. One week later, I got typical flu like symptoms, with joint pain, fevers with temperatures over a 100 deg. F. This condition went on for five weeks. I spent five days in a local hospital. I was treated with antibiotic Augmentum and eventually my temperatures came down to normal by 1/20. However, the rash which started before the flu gradually spread all over my body. It was of very unusual character, extremely irritating burning and itching to a point where I was not able to sleep. Eventually the rash spread all over my body. The dermatologist ordered a biopsy, which was done and came back negative, so no pathogen was found responsible and that condition was diagnosed as eczema. A variety of cortisone ointments were prescribed with little or no healing effect. In early February, I noticed swelling on my ankles and some strange pinching sensation when I pressed with my finger the soft tissue. MD, who was subtitling for my primer physician did not make any conclusion and simply said it is common for older people. Later the same month, I again went to see my primer physician MD and I was started on ointments Triamcinolone Acenonide cream 0.025%. This was the first cream which started to reduce the rash and itching. However, the rash persisted to stay on both legs. Under the skin patches of very painful strips developed along the tibia bone. In late May 2002 this condition worsened even more and then started a pinching and stabbing sensation. Also both legs and ankles got more swollen and the swelling gradually has spread further up to the knee. The reddish spots were inflamed and sensitive to touch and it started to appear around the front leg bone and some dark blue spots occurred on the right leg. This condition was getting worse and w...The medical records state thrombophilebitis, and edema of leg.
Age: 1.3
Sex: F
Vaccine: HBHEPB
Symptoms: Antisocial behaviour, Convulsion, Electroencephalogram abnormal, Neurodevelopmental disorder, Neurological symptom
Clinical narrative: Myoclonic-like seizure began approximately 48 hrs after vaccine. Seizures occurred over 1-2 hrs periods, with up to 400 seizures in one hour. Seizures peaked for about 2 weeks, then tapered off. Seizures have continued for 8+months, with no benefits seen from medication. Developmental delays have also appeared. 60 day follow up states patient has continued daily seizures, poor sleeping patterns, and developmental delays (gross and fine motor, speech). The annual follow up received on 12/10/03 states continued neurological symptoms (tests pending). Continued developmental delays (gross motor, fine motor, social, academic, and self help). Continued severe language and speech delays. Seizure activity appears to have diminished. However, the onset clearly began two days after the above vaccination and seizures continued daily for 18 months to follow.
Age: 1.3
Sex: F
Vaccine: HBHEPB
Symptoms: Sleep disorder, Speech disorder
Clinical narrative: Myoclonic-like seizure began approximately 48 hrs after vaccine. Seizures occurred over 1-2 hrs periods, with up to 400 seizures in one hour. Seizures peaked for about 2 weeks, then tapered off. Seizures have continued for 8+months, with no benefits seen from medication. Developmental delays have also appeared. 60 day follow up states patient has continued daily seizures, poor sleeping patterns, and developmental delays (gross and fine motor, speech). The annual follow up received on 12/10/03 states continued neurological symptoms (tests pending). Continued developmental delays (gross motor, fine motor, social, academic, and self help). Continued severe language and speech delays. Seizure activity appears to have diminished. However, the onset clearly began two days after the above vaccination and seizures continued daily for 18 months to follow.
Age: 1.4
Sex: F
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Febrile convulsion, Otitis media
Clinical narrative: Febrile seizure-atypical.  Nurse follow up on 07/20/04 states: "febrile seizure, right otitis media."
Age: 1.4
Sex: F
Vaccine: HEPA, TYP, HEPA, TYP
Symptoms: Convulsion, Heart rate increased, Pyrexia
Clinical narrative: Febrile seizure-atypical.  Nurse follow up on 07/20/04 states: "febrile seizure, right otitis media."
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Arthritis, Gait disturbance, Hypokinesia, Infection, Irritability
Clinical narrative: Irritable-2 weeks starting 2nd week in Aug. Aug. 31st-visit to ER-extending irritability, no fever. Sept. 1, 2002-visit to ER-would not use left leg. Sept. 3, 2002-visit to doctor for leg. Sept. 9, 2002-cast put on left leg. Sept. 13-surgery for septic joint on the knee.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Pharyngitis, Pyrexia, Red blood cell sedimentation rate increased, Synovitis
Clinical narrative: Irritable-2 weeks starting 2nd week in Aug. Aug. 31st-visit to ER-extending irritability, no fever. Sept. 1, 2002-visit to ER-would not use left leg. Sept. 3, 2002-visit to doctor for leg. Sept. 9, 2002-cast put on left leg. Sept. 13-surgery for septic joint on the knee.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Cyanosis, Flushing, Pallor, Swelling
Clinical narrative: Within minutes after shots, baby developed generalized pallor. Remained alert, smiling. Normal muscle tone and movements. Pallor lasted ~ 15-20 mins. Baby started to cry, flushed and sweaty then pale "blueness around nose." Alert. MD advised amb-ER. Baby admitted to hospital. 2nd episode-duration 30 min.  Nurse follow up on 07/22/04 states: "No new information."
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Affect lability, Asthenia, Confusional state, Disorientation, Myalgia
Clinical narrative: Present with weakness, confusion, dissorientation, sore area at upper arm. IV therapy CMP, CBC, CT scan head. Presents with weakness. Had pneumovax yesterday. This am is enable to help with assistant. Is emotional post HF of curt. Both legs sluggish and not moving well.  Chief complaint; severe weakness and pain in riht arm. This 79 yr old white male pt post stroke does normally stay at home with his wife and is able to ambulate with a walker by himself. He received Pneumovax vaccination in his right upper arm today and now has complaints of swelling and pain in his arm and severe weakness in his legs. His wife is concerned that he may have a stroke. He did seem guite confused and disoriented this morning upon awakening, although now a couple hours later he appears improved and he also exhibited profound weakness being unable to get himself up from the bed which he normally can do. He has no fever. no recent illness. No sore throat. He denies cough, nausea, vomiting, and denies chest pain. As per acknowledgement letter, Wyeth is the manufact. for vaccine #1 but the lot number is not available.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site oedema, Injection site warmth, Pyrexia, Skin discolouration
Clinical narrative: Apprx. 6 inches below and forward of inject site is sore, swollen, hot , hard and discolored are apprx. 3 in long x 1 in wide. Afebrile. Hx Slint (rt coronary artery) 11/2/2000. Treated 10/09/2002 for abcessed tooth and subsequently 3 courses of antibiotics due to degree of infection.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: 10/24/02 Felt tired with aches in PM following exercise (swimming). 10/25/02 Right arm with swelling and redness extending from site to wlbow on outer arm in 3" width; fever 101. 10/26/02 Redness worsened, site warm; fever down; felt better. 10/28/02 Still some redness, less swelling. 10/29/02 Some redness but no swelling.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: 10/24/02 Felt tired with aches in PM following exercise (swimming). 10/25/02 Right arm with swelling and redness extending from site to wlbow on outer arm in 3" width; fever 101. 10/26/02 Redness worsened, site warm; fever down; felt better. 10/28/02 Still some redness, less swelling. 10/29/02 Some redness but no swelling.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Chills, Headache, Pharyngolaryngeal pain, Tremor
Clinical narrative: Severe shakes & chills, Sore throat, Mild headache, Severe backache - To bed
Age: 42.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site erythema, Injection site induration, Joint range of motion decreased, Malaise, Myalgia
Clinical narrative: Patient has 17.5cm long by 9cm high induration with erythema to right lower deltoid/upper arm. Area tender to palpitation. Right shoulder with reduced range of motion. Malaise/Myalgia.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Tenderness
Clinical narrative: Patient has 17.5cm long by 9cm high induration with erythema to right lower deltoid/upper arm. Area tender to palpitation. Right shoulder with reduced range of motion. Malaise/Myalgia.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Developed large red, raised wamr to touch area were shot was given, approximately 6cm by 5-7cm. Area was sore, employee able to use arm, no hives, rashes or other problem. Area resloved within couple of days. No residual problem.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Nausea, Vomiting
Clinical narrative: Patient was given Pneumovax injection on the morning of the 11/1/02. That night he was seen in the ER with a swollen, red arm that was warm to the touch. The patient complained of nausea/vomiting and trouble using his arm. He was treated with ice and analgesics. He was seen at this clinic on 11/04/02 and reported that the redness has moved down arm and is somewhat numb. He was treated with Medrol and Keflex.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: 11-4-02 Lili complained of tenderness under the arm by armpit and breast area. I sent her to urgent care to be examined. She came back with a keflex prescription for infection, which she later decided not to take because she had an allergic reaction to the Rocephin. Shot in the E.R. The keflex was swtiched to Augmentin
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Heart rate increased, Nausea, Pain
Clinical narrative: Very high fever, nausea, pounding and rapid heart rate, intense headache, inability to sleep. My arm became swollen, red and sore over an area about the size of my hand. I became very upset when my husband went out to take care of our dogs and didn't come right back. I imagined he had died, and I cried uncontrollably.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Sleep disorder, Swelling
Clinical narrative: Very high fever, nausea, pounding and rapid heart rate, intense headache, inability to sleep. My arm became swollen, red and sore over an area about the size of my hand. I became very upset when my husband went out to take care of our dogs and didn't come right back. I imagined he had died, and I cried uncontrollably.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm deltoid swollen & red, Meds given
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Myalgia
Clinical narrative: Flu administered 10/22/02. On 10/24/02 patient woke up with a sore left arm, very red.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Rash all over body. Still have it, First noticed 11/05/02 5:30 am, Using hydrocortisone cream.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 8 cm radius induration - tender, red
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pain in left deltoid with radiation to neck, throbbing.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Tremor
Clinical narrative: Got the chills very bad, Lasted from about 4:00 PM threw (sic) the night. Couldn't get warm, Shook all night, My bones hurt and muscles. The next day, I was very tired and slept most of the day. The next day, I was very weak and couldn't do much without having to lay back down. I was unable to do much for 2 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Left upper arm swollen due to flu shot.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Pyrexia, Rash, Swelling, Tenderness
Clinical narrative: Shot administered at 13:30 PM Saturday 11/2/2002. Chills and fever at 02:00 Sunday. Patient noticed severe rash and elbow/shoulder swelling in arm. Fever 102. Forearm still tender. Grip strenth poor still.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: Localized reaction approximately 5cm circumference. Hot to touch. Client state is allergic to latex(could possibly be allergic reaction from that)
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Low grade fever, Malaise, Myalgia; TX: Ibuprofen 400mg q 6 hours
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature decreased, Feeling hot, Headache, Injection site erythema, Pain
Clinical narrative: Left arm 3" below site of injection. 3" red area warm to touch, sore; started 10/28/02 increasing. Complained of body aches, headache, temperature 97.5. Ibuprofen given. Ice pack to arm.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hot flush
Clinical narrative: Within 10-15 minutes of injection, patient became hot and flushed all over. Took benadryl 25mg PO and symptoms subsided.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Fatigue, Headache, Myalgia
Clinical narrative: Given vaccine approximately 03:15PM. About an hour later, I began to feel weak and tired, developed a headache, the muscle aches in neck and body; got very tired and slept most of the next day and a half.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection given 10/11/02, right Arm IM, On 10.12/02 noted swelling & redness around injection site. On 10/13/02, skin was red, Swollen skin stretched, Pt took Benadryl & Bufferine. On 10/13/02, went to ER because the swelling was moving to forearm & down toward wrist. On 1/15/2002, returned to ER and was put on antibiotics. At present, pt is fine with no effect.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Hypoaesthesia, Throat tightness
Clinical narrative: Received flu vacine 8A-215P developed numb lips, swollen lips and tough-scratchy throat-felt like it was closing. Rx ER steroids and antihistamines.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscular weakness, Swelling face
Clinical narrative: Patient states lips swollen and tongue numb and legs weakened approximately five minutes after flu vaccine administered. On advice of nurse went to ER given generic pepcid AC and prescribed for pepcid AC. When brand name pepcid AC taken, allergic reaction exacerbated. Went back to ER and give presciption for generic pepcid AC.
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Broke out in hives starting on her back then to buttocks and legs. Took Benadryl tabs for next 24 hours.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pain, Pruritus
Clinical narrative: Cellulitis left arm. Pain and little itching.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Pain
Clinical narrative: Area on left deltoid approximately (4cm); red and warm, slightly sore to touch.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Drug eruption, Flushing
Clinical narrative: Flushing noted by pt -  face,arms, legs, No hives, Vital signs WNL, DX by doctor "dermatitis medicamentosus", Given Allegra 60 mgm po,Then this evening & BID if necessary.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Face oedema, Nausea
Clinical narrative: Nausea, facial swelling, and neck discomfort 30 minutes after injection. Shortness of breath with treatment in ER 3 hours later.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Swollen, red, and warm. Itching at temperature site. Itching after injection with large red, warm area size of orange at injection site withitching.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Hyperhidrosis, Pain, Somnolence
Clinical narrative: Redness and sore right arm. Chills, shakes, woozy, nerve syncope. Right arm swelled, spackled; episodes of diaphoresis.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling, Syncope, Tremor
Clinical narrative: Redness and sore right arm. Chills, shakes, woozy, nerve syncope. Right arm swelled, spackled; episodes of diaphoresis.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Labyrinthitis
Clinical narrative: beginning 10/16/2002 6:30 am upon wakening had dizziness Began Bonine that night, Saw Med One MD  for eval, 10/19/02 Continue Bonine, Dx: could be reaction to the vacc or Labrinthitis ,11/22/02 Saw ENT specialist for eval ,RX: Antivert BID, Poss reaction to flu vaccine, Labrunthitis  may last 2-3 or longer
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: 24 hours influenza vaccination first time recipient reports itching at site x 3 days.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient received injection on 11-1-02 after injection had severe pain, swelling and redness. At 12:29pm on 11-2-02 went to ER received IV Timentin, Salumedrol IV, Epinephrine SQ and Bendryl 50 mg IM. Patient also had reaction to Timentin(hives & itch) was discharged at 6:20pm from ER and follow up with ER on 11-3-02 and again on 11-4-02 at primary care physician office.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: On 10/8/02 child got MMR and varivax in left leg and had cellulitis after immunization (initially 14cmx9cm on visit 10/11/02) treated with Augmentin markedly improved after a few days and resolved completely when antibiotics completed.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Hyperhidrosis
Clinical narrative: Approximately nine minutes after pnemovax, complained of shortness of breath, face flushed, sweaty. BP 140/88, P 104, R 20. Oxygen via face mask, redned, no hives, no swelling, denied itching, pain. Reclined approximately fifteen minutes. Recovered without further complaints. History of passing out to pain(per patient).
Age: 15.0
Sex: M
Vaccine: HEP, IPV, TD
Symptoms: Mental impairment
Clinical narrative: Approx 9:28am client rec'd Td and IPV L arm and became quiet slow to respond. BP difficult to hear. Reclined with feet up. BP 124/68 P 80 R 16. Reclined 20+mins, ate juice, crackers, denied pain, N/V stated does not like shot. Given hep B vaccine R arm without incident. D/C amb. alert and oriented BP 118/64 P 82 R 16 on D/C.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Decreased appetite, Irritability, Oral pain, Pyrexia, Rash
Clinical narrative: Developed 103.9 temp one day following above immuniz. Fussiness and decreased appetite noted. Temp deminished from above max over two days. May have had mouth pain on 2nd day after vacc. Fine macular eruption noted on physical exam 3rd day (8/8/02). Exam otherwise neg.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: Developed 103.9 temp one day following above immuniz. Fussiness and decreased appetite noted. Temp deminished from above max over two days. May have had mouth pain on 2nd day after vacc. Fine macular eruption noted on physical exam 3rd day (8/8/02). Exam otherwise neg.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pain, swelling, redness of L arm.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Redness, heat, induration of L thigh. Afebrile, no limp.
Age: 2.8
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis aat injection site.
Age: 1.02
Sex: F
Vaccine: UNK
Symptoms: Blister, Rash
Clinical narrative: Rash, vesicles scattered on buttock, legs and face for 3 days.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Blister, Pyrexia
Clinical narrative: Fever 101, widespread vesicles x past three days, some crusted over body.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Arm swelled up and was hot-then after treatment with antibiotics the swelling and blood moved down arm- lasted more than 10 days.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Rash on face, errythmic flat red wheals < 1/4cm round.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Cellulitis at injection site (+) erythema/edema. Given Keflex 200mg po q 6 hrs x 7 days.
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Oedema, Skin nodule
Clinical narrative: Pt with swollen, warm to touch knot-benadryl q 6 hrs, Motrin or Tylenol-report in 24-48 hrs now pt is doing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus, Pyrexia
Clinical narrative: Day after vaccination, upper arm red, fever that night, swollen and itchy from shoulder to elbow by afternoon. Redness and swelling the size of baseball around injection site, not an inner aspect of arm. Temp 99.1.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Diarrhoea, Erythema, Pyrexia, Rash
Clinical narrative: Watery non-bloody diarrhea, fever to 101.8 deg F, Cephalaud to caudal red dotting rash.
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Injection site rash, Irritability, Rash macular
Clinical narrative: On the day of vaccination very irritable, knot in leg. No fever. 3.5-4cm red area with blotchy red rash distal to injection site. No sign of infection at site.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Eczema, Erythema, Eye oedema, Face oedema, Rash
Clinical narrative: Received immunization hep B #2, mid afternoon 10/28/02. By 10/29 pt noticed increased eczema on arms by 11/1/02 face developed rash and 11/2/02 lips and eyes got puffy and red. Started Benadryl 11/2 evening causing improvement after 6 hrs symptoms got worse again.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Rash-erythematous, confluent, non-raised, pruretic. Face, neck, trunk (front and back), arms. Onset 0800 11/5/02. Tx with Benadryl, Medrol dosepack. Rash fading.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: In 10/30/01 am mom noticed redness, small bump, swelling by 6pm redness and swelling had increased by 10/31/02. Today 11/01/02 redness increased to 25cm by 12cm L. Benadryl, Keflex 250/5cc 1 1/2 tsp tid.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Erythema, Rash maculo-papular
Clinical narrative: Approx 1 min post vaccine given little white splotches appeared the skin became pink then red and traveled down legs turning purpleinto both feet. Pt crying and wouldn't stop. Provider called into room. Benadryl ordered and given. Color returned to normal. Pt stopped crying. No resp distress ntoed.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site reaction, Pruritus, Rash
Clinical narrative: Rash, itching. Local cellulitus at injection site. Given reflex antibiotics.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site oedema
Clinical narrative: Injection in L arm began to burn after completed night of 11/05/02 pt noted swollen area under arm. Swelling lasted 3-4 days. Treated with hot compress.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site mass, Injection site oedema, Oedema
Clinical narrative: Shot on 11/11/02. Reaction on 11/12/02 am stated swelling to thigh, then 11/13/02 swelling and knee, hard bump, warm compress to area and Tylenol.
Age: 79.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Dizziness, Nausea
Clinical narrative: Dizzy spells, nausea and lose bowels spells, diarrhea.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Screaming, Vomiting
Clinical narrative: Crying x 4 hrs, vomiting x 1 one day after receiving vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Severe total body urticaraa, including on lips, but no respiratory distress, no choking. Afebrile, symptoms began to subside within 15 mins of administration of Benadryl.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site swelling, Pruritus
Clinical narrative: Rec'd phone call from mother on 11/12/02 at 8:50am. Mom reports that within one hour of vaccine, child started scratching at Lg. She reports leg from groin to knee (swollen), red, raised area above inj site. Warm to touch, denies fever of resp distress.
Age: 55.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Headache, Pyrexia, Stomach discomfort
Clinical narrative: Patient experienced diarrhea, upset stomach, fever 100, headache for < 24 hours. Medical care was not sought.  Note: following first immunization for Anthrax; nausea & headache was experienced. No care was received & no report submitted
Age: 56.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Feeling hot
Clinical narrative: Pt felt a "warm feeling" upon leaving the immunization department.  No other significant reactions were noted.  V/S taken, patient observed for 20 minutes.
Age: 1.0
Sex: F
Vaccine: DTP, FLUX, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Crying, Pyrexia
Clinical narrative: Febrile 39C 26 hours after injections.  Uncontroled, unconsolable crying dring the night (11/13-11/14).  Tylenol 10mg/kg q6  alternating with Children's Motrin 5mg/kg q8.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Feeling cold, Pyrexia, Tremor, Vomiting
Clinical narrative: Continued vomiting until administered phenergen.  High fever, diarrhea and sever body shaking from the feeling of being very cold.  My wife took me to Hospital Emergency Room.  Was adminstered Toradol, phenergen, Motrin, Tylenol, mylanta and multiple IVs.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Oedema, Syncope
Clinical narrative: On 11/13/02, pt. woke up with c/o left arm feeling sore & heavy.  C/o swollen gland in left axilla.  States she fainted at home in the bathroom.  Was seen at Hospital E.D. at 8:15 am, was evaluated and treated with benedryl 50 mg. p.o. Per 60 day follow up: Pt has recovered. 01/20/2003 spoke with pt- finally recovered.