chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Convulsion, Pyrexia
Clinical narrative: A serious spontaneous report of seizure and high fever has been received from a mother/consumer concerning a 39-month-old male, subsequent to FLUMIST. This case will be submitted in accordance with MedImmune's FLUMIST post-marketing commitment for the indicated population of 2 years to 59 months of age. Neither medical history nor concomitant medication was reported for this patient. On an unknown date in Sep-2010, the patient received FLUMIST. One day after vaccination, the patient experienced high fever. Two days after vaccination, the patient had a seizure and then in Oct-2010, the patient had another seizure. The outcome of the events seizure and high fever was unknown at the time of report.
Age: 73.0
Sex: F
Vaccine: FLU3, FLUX, FLUX(H1N1)
Symptoms: Back pain, Dizziness, Dyspnoea, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: leg pain, intensified through 10/17/2010 loss of leg strengh, doctor admitted to Hosp on 10/18/2010. Numbness, tingling intensified and traveled upward through torso. Spinal tap confirmed Guillain Barre syndrome. Worsened and breathing affected. Admintted to ICU on 10/21/2010. Administered IVIG, and steriods for 5 days. Transferred to hospital - closer to family - 10/30/2010 sent to Rehab in and is still there. 11/11/2010.
Age: 73.0
Sex: F
Vaccine: FLU3, FLUX, FLUX(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: leg pain, intensified through 10/17/2010 loss of leg strengh, doctor admitted to Hosp on 10/18/2010. Numbness, tingling intensified and traveled upward through torso. Spinal tap confirmed Guillain Barre syndrome. Worsened and breathing affected. Admintted to ICU on 10/21/2010. Administered IVIG, and steriods for 5 days. Transferred to hospital - closer to family - 10/30/2010 sent to Rehab in and is still there. 11/11/2010.
Age: 73.0
Sex: F
Vaccine: FLU3, FLUX, FLUX(H1N1)
Symptoms: Asthenia, Blood culture, Computerised tomogram, Culture urine, Dyspnoea
Clinical narrative: leg pain, intensified through 10/17/2010 loss of leg strengh, doctor admitted to Hosp on 10/18/2010. Numbness, tingling intensified and traveled upward through torso. Spinal tap confirmed Guillain Barre syndrome. Worsened and breathing affected. Admintted to ICU on 10/21/2010. Administered IVIG, and steriods for 5 days. Transferred to hospital - closer to family - 10/30/2010 sent to Rehab in and is still there. 11/11/2010.
Age: 73.0
Sex: F
Vaccine: FLU3, FLUX, FLUX(H1N1)
Symptoms: Electromyogram, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Intensive care
Clinical narrative: leg pain, intensified through 10/17/2010 loss of leg strengh, doctor admitted to Hosp on 10/18/2010. Numbness, tingling intensified and traveled upward through torso. Spinal tap confirmed Guillain Barre syndrome. Worsened and breathing affected. Admintted to ICU on 10/21/2010. Administered IVIG, and steriods for 5 days. Transferred to hospital - closer to family - 10/30/2010 sent to Rehab in and is still there. 11/11/2010.
Age: 73.0
Sex: F
Vaccine: FLU3, FLUX, FLUX(H1N1)
Symptoms: Lumbar puncture abnormal, Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia, X-ray
Clinical narrative: leg pain, intensified through 10/17/2010 loss of leg strengh, doctor admitted to Hosp on 10/18/2010. Numbness, tingling intensified and traveled upward through torso. Spinal tap confirmed Guillain Barre syndrome. Worsened and breathing affected. Admintted to ICU on 10/21/2010. Administered IVIG, and steriods for 5 days. Transferred to hospital - closer to family - 10/30/2010 sent to Rehab in and is still there. 11/11/2010.
Age: 44.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Heart rate increased, Hypertension
Clinical narrative: Initial report received from a pharmacist on 26 Oct 2010: This patient was vaccinated with seasonal FLUVIRIN (batch number 111798p1) 0.5 mL intramuscularly on 26 Oct 2010. Immediately after administration of the vaccine on 26 Oct 2010, she felt dizzy. She had increased heart rate, anxiety and shortness of breath. She experienced tingling on the entire arm where the vaccine was administered. The outcome of the event was ongoing as of date of this report. Follow up report received from the pharmacist on 28 Oct 2010: This patient previously received flu vaccine in past but not experienced any adverse events. This patient did not experience dizziness. However after 15 minutes of vaccination (26 Oct 2010), the patient experienced increased blood pressure, increased heart rate, felt pulse racing and "still not feeling quite like herself". On 27 Oct 2010, the patient felt better. The outcome of the events was reported as condition improving (felt better).
Age: 44.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anxiety, Blood pressure increased, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: Initial report received from a pharmacist on 26 Oct 2010: This patient was vaccinated with seasonal FLUVIRIN (batch number 111798p1) 0.5 mL intramuscularly on 26 Oct 2010. Immediately after administration of the vaccine on 26 Oct 2010, she felt dizzy. She had increased heart rate, anxiety and shortness of breath. She experienced tingling on the entire arm where the vaccine was administered. The outcome of the event was ongoing as of date of this report. Follow up report received from the pharmacist on 28 Oct 2010: This patient previously received flu vaccine in past but not experienced any adverse events. This patient did not experience dizziness. However after 15 minutes of vaccination (26 Oct 2010), the patient experienced increased blood pressure, increased heart rate, felt pulse racing and "still not feeling quite like herself". On 27 Oct 2010, the patient felt better. The outcome of the events was reported as condition improving (felt better).
Age: 44.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Heart rate increased, Immediate post-injection reaction, Injection site paraesthesia, Paraesthesia
Clinical narrative: Initial report received from a pharmacist on 26 Oct 2010: This patient was vaccinated with seasonal FLUVIRIN (batch number 111798p1) 0.5 mL intramuscularly on 26 Oct 2010. Immediately after administration of the vaccine on 26 Oct 2010, she felt dizzy. She had increased heart rate, anxiety and shortness of breath. She experienced tingling on the entire arm where the vaccine was administered. The outcome of the event was ongoing as of date of this report. Follow up report received from the pharmacist on 28 Oct 2010: This patient previously received flu vaccine in past but not experienced any adverse events. This patient did not experience dizziness. However after 15 minutes of vaccination (26 Oct 2010), the patient experienced increased blood pressure, increased heart rate, felt pulse racing and "still not feeling quite like herself". On 27 Oct 2010, the patient felt better. The outcome of the events was reported as condition improving (felt better).
Age: 36.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Laboratory test normal, Tremor, Visual impairment, Vomiting
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of tachycardia in a 32-year-old male subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent vaccinations included unspecified vaccines; manufacturer unspecified; unknown given on 4 November 2010. Other vaccines were given in prefilled syringes, but the information was not available. On 4 November 2010 at 09:30 the subject received 1st dose of FLUARIX (.5 ml, unknown). On 4 November 2010, 45 minutes after vaccination with FLUARIX, the subject experienced tachycardia, out of body experience, nausea, chills, dizziness, tremor and high blood pressure. A healthcare professional reported a subject was given FLUARIX at 0930 on 04 November 2010, by 1015 the subject was complaining about side effects of chills, shaking but no fever, tachycardia at 100-125, high blood pressure and complaining about out of body experiences by 1300 he was in the doctor's office being seen by a physician and by 1400 the subject was in the emergency room (ER). The out of body experienced was described as feeling like he was standing behind his body. The healthcare professional characterized what he said looked "like an LSD trip". At the time of the report no other information was available at the time. At the time of reporting the outcome of the tachycardia, out of body experienced, nausea, chills and dizziness were unresolved; tremor and high blood pressure were unspecified. The subject was hospitalised and the healthcare professional considered the events were disabling and clinically significant (or requiring intervention). The healthcare professional considered the events were probably related to vaccination with FLUARIX.
Age: 36.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Chills, Dizziness, Feeling abnormal, Hypertension, Nausea
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of tachycardia in a 32-year-old male subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent vaccinations included unspecified vaccines; manufacturer unspecified; unknown given on 4 November 2010. Other vaccines were given in prefilled syringes, but the information was not available. On 4 November 2010 at 09:30 the subject received 1st dose of FLUARIX (.5 ml, unknown). On 4 November 2010, 45 minutes after vaccination with FLUARIX, the subject experienced tachycardia, out of body experience, nausea, chills, dizziness, tremor and high blood pressure. A healthcare professional reported a subject was given FLUARIX at 0930 on 04 November 2010, by 1015 the subject was complaining about side effects of chills, shaking but no fever, tachycardia at 100-125, high blood pressure and complaining about out of body experiences by 1300 he was in the doctor's office being seen by a physician and by 1400 the subject was in the emergency room (ER). The out of body experienced was described as feeling like he was standing behind his body. The healthcare professional characterized what he said looked "like an LSD trip". At the time of the report no other information was available at the time. At the time of reporting the outcome of the tachycardia, out of body experienced, nausea, chills and dizziness were unresolved; tremor and high blood pressure were unspecified. The subject was hospitalised and the healthcare professional considered the events were disabling and clinically significant (or requiring intervention). The healthcare professional considered the events were probably related to vaccination with FLUARIX.
Age: 36.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Tachycardia, Tremor
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of tachycardia in a 32-year-old male subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent vaccinations included unspecified vaccines; manufacturer unspecified; unknown given on 4 November 2010. Other vaccines were given in prefilled syringes, but the information was not available. On 4 November 2010 at 09:30 the subject received 1st dose of FLUARIX (.5 ml, unknown). On 4 November 2010, 45 minutes after vaccination with FLUARIX, the subject experienced tachycardia, out of body experience, nausea, chills, dizziness, tremor and high blood pressure. A healthcare professional reported a subject was given FLUARIX at 0930 on 04 November 2010, by 1015 the subject was complaining about side effects of chills, shaking but no fever, tachycardia at 100-125, high blood pressure and complaining about out of body experiences by 1300 he was in the doctor's office being seen by a physician and by 1400 the subject was in the emergency room (ER). The out of body experienced was described as feeling like he was standing behind his body. The healthcare professional characterized what he said looked "like an LSD trip". At the time of the report no other information was available at the time. At the time of reporting the outcome of the tachycardia, out of body experienced, nausea, chills and dizziness were unresolved; tremor and high blood pressure were unspecified. The subject was hospitalised and the healthcare professional considered the events were disabling and clinically significant (or requiring intervention). The healthcare professional considered the events were probably related to vaccination with FLUARIX.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, OPV, PPV
Symptoms: Crying, Feeding disorder neonatal, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swollen, red, elevated skin temperature at sites of injections on legs refusal to breast feed prolonged crying
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Dyskinesia, Pyrexia, Vomiting projectile
Clinical narrative: Projectile vomiting (no history of reflux), fever, jerking of hands and legs.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills, Vomiting
Clinical narrative: Stomach Cramps, Chills, VOMITING
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Eye irritation, Ocular hyperaemia, Photosensitivity reaction, Vision blurred
Clinical narrative: Patient stated that her eyes became blood shot and irritated and that she had blurry vision and photosensitivity lasted approximately 24 hours, contacted her doctor who said that was probably a reaction to the serum (as listed on the VIS) and she is following up with an ophthalmologist / optomatrist.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Blood electrolytes normal, Condition aggravated, Full blood count normal, Grand mal convulsion, Postictal state
Clinical narrative: Tonic-clonic seizure for about one minute, post-ictal phase, not entirely back to normal for about 6 hours.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Urine analysis normal
Clinical narrative: Tonic-clonic seizure for about one minute, post-ictal phase, not entirely back to normal for about 6 hours.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Tremor
Clinical narrative: Shortness of Breath, Weakness, rapid heart rate, and uncontrollable body shakes (severe).  Symptoms lasted approximately 6 hours.
Age: 29.0
Sex: F
Vaccine: DTAP, FLU3, PPV
Symptoms: Cellulitis, Erythema, Malaise, Pyrexia, Tenderness
Clinical narrative: PT HAD FEVER CHILLING AND GENERAL MALAISE ARM WAS INCREASINGLY RED AND TENDER-PT HAD CELLULITIS OF RT ARM REQUIRING ANTIBIOTICS IM AND PO
Age: 56.0
Sex: M
Vaccine: FLUA3
Symptoms: Feeling abnormal, VIIth nerve paralysis
Clinical narrative: Dr received the flu shot in the hospital on Oct 11. He said prior to the shot he was feeling well. Later that night and the next day he said he felt "crummy" and that he continued to feel worse over the next several days. On 10/17 he woke up with right sided face paralysis (Bells Palsy). He was treated (antivirals) and has improved but was still resolving as of 11/10/10.
Age: 26.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Myalgia, Pain, Sensation of heaviness
Clinical narrative: Patient states she had usual sore are following the shot.  Muscle pain has not improved in spite of ice and pain reliever.  States heaviness in elbow and hand of affected arm.  Continues to have pain when removing clothing or turning steering wheel of car.
Age: 26.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Muscle tightness, Muscular weakness, Pain
Clinical narrative: Patient states she had usual sore are following the shot.  Muscle pain has not improved in spite of ice and pain reliever.  States heaviness in elbow and hand of affected arm.  Continues to have pain when removing clothing or turning steering wheel of car.
Age: 43.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Activities of daily living impaired, Asthenia, Body temperature increased, Cellulitis, Chills
Clinical narrative: Received shots around 6:30 pm on 11/4/2010 at a routine physical appointment in the physician's office.  The next morning (11/5/10) at 7:45 am had a sudden onset of headache, neck pain and within an hour achiness all over body.  Took Tylenol 1000mg.  Shortly after, developed increased soreness, heat at injection sites with pain much greater on right arm to the point of not being able to lift right arm laterally.  By noon had chills and felt feverish and developed a "tickle" in chest causing coughing episodes (no thermometer to take temperature).  Took another Tylenol 1000mg.  By 6pm all symptoms had worsened, had rigors and coughing till gags.  Took more Tylenol.  By 7pm temperature was 102.4 degrees F.  Went to urgent care around 8:15pm.  Physician felt it was reaction to shots recommended rest, fluids, Ibuprofen 600mg alternating with Tylenol 1000mg every 3 hours, Benzonatate 200mg every 8 hours, and Tramadol 50 mg  every 4 hours.   Within an hour of visit developed intense nausea and unable to drink fluids.  Took Zofran 8mg during night and nausea improved.  Continued with high fever, severe head and neck pain, muscle pain and weakness all day 11/6/10 despite the treatment was unable to leave bed.  On morning of 11/7/10, fever was better, pain was present, but had improved.  That morning a large red area appeared on right arm about 3 inches below the injection site on Right upper arm.  Approximately 5 inches wide and 2 ½ inches high and warm to touch, and slightly raised.  No problems at all on the left side.  Fever and pain gradually got better throughout the day, but red area on right arm worsened and began to itch and hurt by 7pm on 11/7/10.  This trend continued throughout the day on 11/8/10 area was 7 inches wide by 5 ½ tall by evening located approximately in the middle of the upper arm between the shoulder and elbow.  The area was swollen, hot, painful, reddened with some areas purplish in color, slight itching especially on the underside of arm.  Went back to urgent care around 7:30 pm 11/8/10.  Physician diagnosed with cellulitis and prescribed Keflex 500mg tid for 10 days and Bactrim DS bid for 10 days which was started immediately.  The physician marked the area with marker and instructed patient to remark the edges each day and return if not receding in 3 days.  By evening of 11/10/10, the area looked much better.  Not as red, has not spread further, not hot, but continues to itch.  Will continue to monitor and return to physician if worsens.
Age: 43.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Cough, Erythema, Fluid intake reduced, Headache, Injected limb mobility decreased
Clinical narrative: Received shots around 6:30 pm on 11/4/2010 at a routine physical appointment in the physician's office.  The next morning (11/5/10) at 7:45 am had a sudden onset of headache, neck pain and within an hour achiness all over body.  Took Tylenol 1000mg.  Shortly after, developed increased soreness, heat at injection sites with pain much greater on right arm to the point of not being able to lift right arm laterally.  By noon had chills and felt feverish and developed a "tickle" in chest causing coughing episodes (no thermometer to take temperature).  Took another Tylenol 1000mg.  By 6pm all symptoms had worsened, had rigors and coughing till gags.  Took more Tylenol.  By 7pm temperature was 102.4 degrees F.  Went to urgent care around 8:15pm.  Physician felt it was reaction to shots recommended rest, fluids, Ibuprofen 600mg alternating with Tylenol 1000mg every 3 hours, Benzonatate 200mg every 8 hours, and Tramadol 50 mg  every 4 hours.   Within an hour of visit developed intense nausea and unable to drink fluids.  Took Zofran 8mg during night and nausea improved.  Continued with high fever, severe head and neck pain, muscle pain and weakness all day 11/6/10 despite the treatment was unable to leave bed.  On morning of 11/7/10, fever was better, pain was present, but had improved.  That morning a large red area appeared on right arm about 3 inches below the injection site on Right upper arm.  Approximately 5 inches wide and 2 ½ inches high and warm to touch, and slightly raised.  No problems at all on the left side.  Fever and pain gradually got better throughout the day, but red area on right arm worsened and began to itch and hurt by 7pm on 11/7/10.  This trend continued throughout the day on 11/8/10 area was 7 inches wide by 5 ½ tall by evening located approximately in the middle of the upper arm between the shoulder and elbow.  The area was swollen, hot, painful, reddened with some areas purplish in color, slight itching especially on the underside of arm.  Went back to urgent care around 7:30 pm 11/8/10.  Physician diagnosed with cellulitis and prescribed Keflex 500mg tid for 10 days and Bactrim DS bid for 10 days which was started immediately.  The physician marked the area with marker and instructed patient to remark the edges each day and return if not receding in 3 days.  By evening of 11/10/10, the area looked much better.  Not as red, has not spread further, not hot, but continues to itch.  Will continue to monitor and return to physician if worsens.
Age: 43.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Received shots around 6:30 pm on 11/4/2010 at a routine physical appointment in the physician's office.  The next morning (11/5/10) at 7:45 am had a sudden onset of headache, neck pain and within an hour achiness all over body.  Took Tylenol 1000mg.  Shortly after, developed increased soreness, heat at injection sites with pain much greater on right arm to the point of not being able to lift right arm laterally.  By noon had chills and felt feverish and developed a "tickle" in chest causing coughing episodes (no thermometer to take temperature).  Took another Tylenol 1000mg.  By 6pm all symptoms had worsened, had rigors and coughing till gags.  Took more Tylenol.  By 7pm temperature was 102.4 degrees F.  Went to urgent care around 8:15pm.  Physician felt it was reaction to shots recommended rest, fluids, Ibuprofen 600mg alternating with Tylenol 1000mg every 3 hours, Benzonatate 200mg every 8 hours, and Tramadol 50 mg  every 4 hours.   Within an hour of visit developed intense nausea and unable to drink fluids.  Took Zofran 8mg during night and nausea improved.  Continued with high fever, severe head and neck pain, muscle pain and weakness all day 11/6/10 despite the treatment was unable to leave bed.  On morning of 11/7/10, fever was better, pain was present, but had improved.  That morning a large red area appeared on right arm about 3 inches below the injection site on Right upper arm.  Approximately 5 inches wide and 2 ½ inches high and warm to touch, and slightly raised.  No problems at all on the left side.  Fever and pain gradually got better throughout the day, but red area on right arm worsened and began to itch and hurt by 7pm on 11/7/10.  This trend continued throughout the day on 11/8/10 area was 7 inches wide by 5 ½ tall by evening located approximately in the middle of the upper arm between the shoulder and elbow.  The area was swollen, hot, painful, reddened with some areas purplish in color, slight itching especially on the underside of arm.  Went back to urgent care around 7:30 pm 11/8/10.  Physician diagnosed with cellulitis and prescribed Keflex 500mg tid for 10 days and Bactrim DS bid for 10 days which was started immediately.  The physician marked the area with marker and instructed patient to remark the edges each day and return if not receding in 3 days.  By evening of 11/10/10, the area looked much better.  Not as red, has not spread further, not hot, but continues to itch.  Will continue to monitor and return to physician if worsens.
Age: 43.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site warmth, Myalgia, Nausea, Neck pain, Pain
Clinical narrative: Received shots around 6:30 pm on 11/4/2010 at a routine physical appointment in the physician's office.  The next morning (11/5/10) at 7:45 am had a sudden onset of headache, neck pain and within an hour achiness all over body.  Took Tylenol 1000mg.  Shortly after, developed increased soreness, heat at injection sites with pain much greater on right arm to the point of not being able to lift right arm laterally.  By noon had chills and felt feverish and developed a "tickle" in chest causing coughing episodes (no thermometer to take temperature).  Took another Tylenol 1000mg.  By 6pm all symptoms had worsened, had rigors and coughing till gags.  Took more Tylenol.  By 7pm temperature was 102.4 degrees F.  Went to urgent care around 8:15pm.  Physician felt it was reaction to shots recommended rest, fluids, Ibuprofen 600mg alternating with Tylenol 1000mg every 3 hours, Benzonatate 200mg every 8 hours, and Tramadol 50 mg  every 4 hours.   Within an hour of visit developed intense nausea and unable to drink fluids.  Took Zofran 8mg during night and nausea improved.  Continued with high fever, severe head and neck pain, muscle pain and weakness all day 11/6/10 despite the treatment was unable to leave bed.  On morning of 11/7/10, fever was better, pain was present, but had improved.  That morning a large red area appeared on right arm about 3 inches below the injection site on Right upper arm.  Approximately 5 inches wide and 2 ½ inches high and warm to touch, and slightly raised.  No problems at all on the left side.  Fever and pain gradually got better throughout the day, but red area on right arm worsened and began to itch and hurt by 7pm on 11/7/10.  This trend continued throughout the day on 11/8/10 area was 7 inches wide by 5 ½ tall by evening located approximately in the middle of the upper arm between the shoulder and elbow.  The area was swollen, hot, painful, reddened with some areas purplish in color, slight itching especially on the underside of arm.  Went back to urgent care around 7:30 pm 11/8/10.  Physician diagnosed with cellulitis and prescribed Keflex 500mg tid for 10 days and Bactrim DS bid for 10 days which was started immediately.  The physician marked the area with marker and instructed patient to remark the edges each day and return if not receding in 3 days.  By evening of 11/10/10, the area looked much better.  Not as red, has not spread further, not hot, but continues to itch.  Will continue to monitor and return to physician if worsens.
Age: 43.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Pruritus, Pyrexia, Retching, Skin warm
Clinical narrative: Received shots around 6:30 pm on 11/4/2010 at a routine physical appointment in the physician's office.  The next morning (11/5/10) at 7:45 am had a sudden onset of headache, neck pain and within an hour achiness all over body.  Took Tylenol 1000mg.  Shortly after, developed increased soreness, heat at injection sites with pain much greater on right arm to the point of not being able to lift right arm laterally.  By noon had chills and felt feverish and developed a "tickle" in chest causing coughing episodes (no thermometer to take temperature).  Took another Tylenol 1000mg.  By 6pm all symptoms had worsened, had rigors and coughing till gags.  Took more Tylenol.  By 7pm temperature was 102.4 degrees F.  Went to urgent care around 8:15pm.  Physician felt it was reaction to shots recommended rest, fluids, Ibuprofen 600mg alternating with Tylenol 1000mg every 3 hours, Benzonatate 200mg every 8 hours, and Tramadol 50 mg  every 4 hours.   Within an hour of visit developed intense nausea and unable to drink fluids.  Took Zofran 8mg during night and nausea improved.  Continued with high fever, severe head and neck pain, muscle pain and weakness all day 11/6/10 despite the treatment was unable to leave bed.  On morning of 11/7/10, fever was better, pain was present, but had improved.  That morning a large red area appeared on right arm about 3 inches below the injection site on Right upper arm.  Approximately 5 inches wide and 2 ½ inches high and warm to touch, and slightly raised.  No problems at all on the left side.  Fever and pain gradually got better throughout the day, but red area on right arm worsened and began to itch and hurt by 7pm on 11/7/10.  This trend continued throughout the day on 11/8/10 area was 7 inches wide by 5 ½ tall by evening located approximately in the middle of the upper arm between the shoulder and elbow.  The area was swollen, hot, painful, reddened with some areas purplish in color, slight itching especially on the underside of arm.  Went back to urgent care around 7:30 pm 11/8/10.  Physician diagnosed with cellulitis and prescribed Keflex 500mg tid for 10 days and Bactrim DS bid for 10 days which was started immediately.  The physician marked the area with marker and instructed patient to remark the edges each day and return if not receding in 3 days.  By evening of 11/10/10, the area looked much better.  Not as red, has not spread further, not hot, but continues to itch.  Will continue to monitor and return to physician if worsens.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bone pain, Feeling jittery, Myalgia, Nausea
Clinical narrative: Rapid onset of violent nausea/vomiting, jitteriness, weakness, muscle and bone aching.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Rapid onset of violent nausea/vomiting, jitteriness, weakness, muscle and bone aching.
Age: 30.0
Sex: F
Vaccine: DTAP
Symptoms: Back pain, Injection site swelling, Injection site warmth, Musculoskeletal pain, Pain
Clinical narrative: Large, hot swelling at injection site which failed to go away through at least today (11/11/10). Shooting pains through shoulders and back and down left arm.  On 11/8/2010, Dr. said it should be gone in 2 days or less and should be improving.  Told him it was getting worse.  He said that it was definitely an abnormal reaction, but since it was localized in the arm it was fine.  He said the other pains weren't related.  Pains continued, meds didn't help, pain spread to shooting down right arm as well.  Going back today.
Age: 30.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity
Clinical narrative: Large, hot swelling at injection site which failed to go away through at least today (11/11/10). Shooting pains through shoulders and back and down left arm.  On 11/8/2010, Dr. said it should be gone in 2 days or less and should be improving.  Told him it was getting worse.  He said that it was definitely an abnormal reaction, but since it was localized in the arm it was fine.  He said the other pains weren't related.  Pains continued, meds didn't help, pain spread to shooting down right arm as well.  Going back today.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, No reaction on previous exposure to drug, Oedema peripheral
Clinical narrative: PATIENT HAD REDNESS AND SWELLING IN HER ARM; IT WORRIED HER AS SHE HAS NEVER HAD A REACTION TO THE VACCINE BEFORE. SHE DESCRIBED IT AS A RED SWOLLEN 4 INCH BAND ALL AROUND HER ARM.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Crying, Feeling abnormal, Injection site pain, Muscle twitching, Pyrexia
Clinical narrative: Child c/o pain, distal and proximal on right arm. He stated it did not feel right. Started to cry and sob due to pain, holding arm. Mom gave Motrin for pain. Fever started at 4 am at 103. There was twitching of his arm at this time. Fever lasted until 11/10/2010 at 7:45 pm. On 11/11/2010 he was fully recovered and using arm. There was no redness only slightly pink and no swelling.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Nausea, Pain in extremity, Pyrexia
Clinical narrative: She noticed her arm being very sore and she became nauseated late in the evening of 10/25/2010.  On 10/26/2010, she noticed her arm still being very sore, red colored from the shoulder to the elbow and felt hot to the touch.  On 10/27/2010 she called the doctor's office and was told to use cold packs and take Benadryl as directed.  The arm stayed red, sore and feverish until 10/31/2010. She did use cold packs and Benadryl until 10/31/2010.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis, Asthenia, Lethargy, Movement disorder
Clinical narrative: lethargic, weak, difficulty with movement of extremities. Unable to sit, inflammed joints
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Photopsia, Vitreous floaters
Clinical narrative: severe headache like nail being pounded in to head numerous floaters, wormlike floaters, and flashing lights in left eye lasting one week
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Late in the evening on 10/25/2010, patient developed a red, sore, swollen and feverish arm from the shoulder to the elbow.  Pt. went to see Dr. on 10/26/2010 (for a different matter, but had him check her arm).  He instructed her to use cold packs and take Benadryl as instructed.  Pt. states she did as she was instructed and the swelling and redness went away on 11/04/2010.  The fever in the arm disappeared by 10/31/2010.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Pain in extremity, Pruritus, Rash
Clinical narrative: Rash developed behind left knee, then in left groin, then behind right knee, in right knee in eight hours time. Intense itching. Later that evening for about 1 1/2 hr had leg pain. Took hot bath and 1 1/2 tsp of Bendaryl liquid. Felt much better. All leg pain resolved and has not returned.  Rash today is much less however itching is remaining.
Age: 55.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm red, hot and swollen and itches. Was treated in ER 11/10/2010.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Hives on face and body, itching all over.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: soreness in shoulder...cant lift my arm...cant put my arm behind my back...still very sore...
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Movement disorder, Nausea, Paraesthesia, Pyrexia
Clinical narrative: First Chills, Fever over 101.  The next morning nausea, dry heaves (approximately 6:30).  By approximately 7:00 could not move hands and fingers on both sides. Then my legs were tingling. Had husband call doctor's office and hold phone so that I could talk on it.  The physician on call called me back in about 10 minutes and at that time I had most of my feeling and movement back. Also had a welt on my arm with a diameter of approximately 4 inches across at the longest part that was (and still is the next day) warm to the touch.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Retching, Skin warm, Urticaria
Clinical narrative: First Chills, Fever over 101.  The next morning nausea, dry heaves (approximately 6:30).  By approximately 7:00 could not move hands and fingers on both sides. Then my legs were tingling. Had husband call doctor's office and hold phone so that I could talk on it.  The physician on call called me back in about 10 minutes and at that time I had most of my feeling and movement back. Also had a welt on my arm with a diameter of approximately 4 inches across at the longest part that was (and still is the next day) warm to the touch.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Cerebellar ataxia
Clinical narrative: Acute cerebellar ataxia (diagnosed in hospital), improving despite no intervention.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Asthenia, Dizziness
Clinical narrative: Dizziness, Lightheadness, weakness
Age: 1.54
Sex: F
Vaccine: FLU3, PNC13, VARCEL
Symptoms: Blister, Local reaction
Clinical narrative: Local site reaction and then 4-5 vesicles on body.  No other infection.  reported to VAERS at parent's request.  Otherwise well.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain upper, Chills, Cold sweat
Clinical narrative: I have taken flu shots for years. I always drink lots of water (average- 8 glasses daily). Let me preface this report by saying that I've never had adverse effects with flu shots before this year's combination Flu-H1N1 shot. I am 63 years old. I do not take any prescription drugs - I take only vitamins. In 2008, I even took a flu shot and a pneumonia shot at the same time and had no problem. Last year (2009), I took a flu shot and then a few weeks later the H1N1 shot and had no problem.  Day 1 - Friday, Oct 22, 2010 - Health Center I take the combination Flu-H1N1 shot at 8:30 a.m. I notice I am testy and on edge from 11 am-4 pm and have worsening muscle pain throughout my body and very upset stomach (hard and gassy stomach).  I notice constipation along with other symptoms from 4-7 pm. Extreme body chills set in from 7-9 pm and I go to sleep. I wake up at 9:30 pm in a cold sweat, stomach ache and so dizzy that I nearly faint. Escaping air from rectum and burping revives me and I recover from dizziness and cold sweats.  Day 2 - Oct. 23 Less muscle pain but still very sore, I feel on edge, very light-headed and bad headache. Stomach still feels hard and gassy and still constipated (strange since I usually have a bowel movement twice daily). At 4 pm, I start belching which relieves some of the stomach gas and headache lessens.  Day 3 & 4 - Oct 24/25 Still constipated, muscles achy, stomach problems and belching - feels like a stomach flu.  Day 5 - Oct 26 Burning in stomach area (upper GI), still feeling on edge, digestive problems and belching, constipation and headache continues.  Day 6 - Oct 27 Finally have a bowel movement and stomach seems to be getting better - less gassy, less belching, less muscle pain but still on edge .  Day 7-10 Oct 28-31 - Stomach feels stronger, headache lessens and seems to leaving out of the top of my head as the days pass.  November 1, 2010 - first day I feel normal
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Constipation, Dizziness, Dyspepsia, Eructation, Feeling abnormal
Clinical narrative: I have taken flu shots for years. I always drink lots of water (average- 8 glasses daily). Let me preface this report by saying that I've never had adverse effects with flu shots before this year's combination Flu-H1N1 shot. I am 63 years old. I do not take any prescription drugs - I take only vitamins. In 2008, I even took a flu shot and a pneumonia shot at the same time and had no problem. Last year (2009), I took a flu shot and then a few weeks later the H1N1 shot and had no problem.  Day 1 - Friday, Oct 22, 2010 - Health Center I take the combination Flu-H1N1 shot at 8:30 a.m. I notice I am testy and on edge from 11 am-4 pm and have worsening muscle pain throughout my body and very upset stomach (hard and gassy stomach).  I notice constipation along with other symptoms from 4-7 pm. Extreme body chills set in from 7-9 pm and I go to sleep. I wake up at 9:30 pm in a cold sweat, stomach ache and so dizzy that I nearly faint. Escaping air from rectum and burping revives me and I recover from dizziness and cold sweats.  Day 2 - Oct. 23 Less muscle pain but still very sore, I feel on edge, very light-headed and bad headache. Stomach still feels hard and gassy and still constipated (strange since I usually have a bowel movement twice daily). At 4 pm, I start belching which relieves some of the stomach gas and headache lessens.  Day 3 & 4 - Oct 24/25 Still constipated, muscles achy, stomach problems and belching - feels like a stomach flu.  Day 5 - Oct 26 Burning in stomach area (upper GI), still feeling on edge, digestive problems and belching, constipation and headache continues.  Day 6 - Oct 27 Finally have a bowel movement and stomach seems to be getting better - less gassy, less belching, less muscle pain but still on edge .  Day 7-10 Oct 28-31 - Stomach feels stronger, headache lessens and seems to leaving out of the top of my head as the days pass.  November 1, 2010 - first day I feel normal
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Flatulence, Headache, Myalgia, No reaction on previous exposure to drug
Clinical narrative: I have taken flu shots for years. I always drink lots of water (average- 8 glasses daily). Let me preface this report by saying that I've never had adverse effects with flu shots before this year's combination Flu-H1N1 shot. I am 63 years old. I do not take any prescription drugs - I take only vitamins. In 2008, I even took a flu shot and a pneumonia shot at the same time and had no problem. Last year (2009), I took a flu shot and then a few weeks later the H1N1 shot and had no problem.  Day 1 - Friday, Oct 22, 2010 - Health Center I take the combination Flu-H1N1 shot at 8:30 a.m. I notice I am testy and on edge from 11 am-4 pm and have worsening muscle pain throughout my body and very upset stomach (hard and gassy stomach).  I notice constipation along with other symptoms from 4-7 pm. Extreme body chills set in from 7-9 pm and I go to sleep. I wake up at 9:30 pm in a cold sweat, stomach ache and so dizzy that I nearly faint. Escaping air from rectum and burping revives me and I recover from dizziness and cold sweats.  Day 2 - Oct. 23 Less muscle pain but still very sore, I feel on edge, very light-headed and bad headache. Stomach still feels hard and gassy and still constipated (strange since I usually have a bowel movement twice daily). At 4 pm, I start belching which relieves some of the stomach gas and headache lessens.  Day 3 & 4 - Oct 24/25 Still constipated, muscles achy, stomach problems and belching - feels like a stomach flu.  Day 5 - Oct 26 Burning in stomach area (upper GI), still feeling on edge, digestive problems and belching, constipation and headache continues.  Day 6 - Oct 27 Finally have a bowel movement and stomach seems to be getting better - less gassy, less belching, less muscle pain but still on edge .  Day 7-10 Oct 28-31 - Stomach feels stronger, headache lessens and seems to leaving out of the top of my head as the days pass.  November 1, 2010 - first day I feel normal
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Pain, Tremor
Clinical narrative: Chills, shaking, headache, general achiness.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Myalgia, Pain, Skin warm, Swelling
Clinical narrative: "redness, hot to touch, muscle soreness (touch & movement), swollen"
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Pain and swelling at injection site.  Nausea and fatigue.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dehydration, Fatigue, Malaise, Nausea, Vomiting
Clinical narrative: Patient describes excessive fatigue, malaise, and nausea/ vomiting went to emergency room on 11-11-2010 and was treated for dehydration.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: Four hours after administration, developed rash, itching, shortness of breath.
Age: 41.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Joint range of motion decreased, Muscular weakness, Pain in extremity
Clinical narrative: Intense shoulder pain on the outside of the arm, in the area of the deltoid.  Inability to move arm.  A decrease in the range of motion within that left arm.  Feeling some achiness in the left elbow from this.  Also, a general weakness in the arm.  Also, experiencing the inability to move arm above the head.  More pain when laying down for bed.  Have tried ice, heat, antibotics and have been prescribed a steroid.  This has been three weeks so far.  Scheduled for a MRI of the left shoulder to see what is going on.  So far trying to keep the arm to my side and not extend it at times due to the pain.  Also, no previous shoulder problems before this and I have had the flu shot before.  It seemed as though it was placed futher back in the arm.  I am a female at 5 4"  and weight around 132lbs.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: rash, severe itchy
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Gait disturbance, Hypotonia, Injection site pain, Joint warmth
Clinical narrative: I am an ER RN.  I received the vaccine at work, only hours before leaving for a 4 week visit to my home out of town.  On my way home I stopped at the grocery store and was overcome by such a wave of weakness I could barely walk back to the car.  I then stopped at the post office, had to lean on the wall to gather strength to walk in, and as I came through the door, the postal worker saw me and asked "ma'am, are you okay?  Do you need help?"  I assumed I was having a reaction to the flu shot and told her I'd be fine.  Although we were supposed to leave when I got home, I told my boyfriend that I felt too bad and had to nap.  As I lay on the bed, I felt pain begin in the injection site and radiate about 4 inches in all directions.  At the same time all of my joints, especially in my hips, began to burn, and all of my muscles, especially in my arms and legs seemed to get even weaker.  I noticed that when I talked, I could barely talk, I could move my jaw, but my upper lip hung limply.  If I had not just had my flu shot, I would have gone to the ER, thinking that I was having a stroke, but I knew the onset was so soon after the shot and so dramatic that the 2 events must be related and I thought I was having a bad but normal reaction.  I slept for about an hour then forced myself to get up and into the car.  My boyfriend drove while I sat, too weak and limp to even put my hands in my lap, my arms just hung at my sides.  About 50 miles away he stopped to get food but I told him I was too weak to eat but wanted a drink.  When he got a soda for me, I found that it was too heavy and I couldn't lift it to drink. By 8 pm when we stopped for supper, the worst of the symptoms had subsided;  I still felt weak, but was able to ambulate and eat.  I felt normal by the next morning.  On Nov. 9th, I took ACLS and one of the nurses mentioned that she felt bad after her flu shot.  When I described my reaction, a 3rd nurse told me of the similarity to Guillain-Barre, and after looking it up, I thought I should report it.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Speech disorder
Clinical narrative: I am an ER RN.  I received the vaccine at work, only hours before leaving for a 4 week visit to my home out of town.  On my way home I stopped at the grocery store and was overcome by such a wave of weakness I could barely walk back to the car.  I then stopped at the post office, had to lean on the wall to gather strength to walk in, and as I came through the door, the postal worker saw me and asked "ma'am, are you okay?  Do you need help?"  I assumed I was having a reaction to the flu shot and told her I'd be fine.  Although we were supposed to leave when I got home, I told my boyfriend that I felt too bad and had to nap.  As I lay on the bed, I felt pain begin in the injection site and radiate about 4 inches in all directions.  At the same time all of my joints, especially in my hips, began to burn, and all of my muscles, especially in my arms and legs seemed to get even weaker.  I noticed that when I talked, I could barely talk, I could move my jaw, but my upper lip hung limply.  If I had not just had my flu shot, I would have gone to the ER, thinking that I was having a stroke, but I knew the onset was so soon after the shot and so dramatic that the 2 events must be related and I thought I was having a bad but normal reaction.  I slept for about an hour then forced myself to get up and into the car.  My boyfriend drove while I sat, too weak and limp to even put my hands in my lap, my arms just hung at my sides.  About 50 miles away he stopped to get food but I told him I was too weak to eat but wanted a drink.  When he got a soda for me, I found that it was too heavy and I couldn't lift it to drink. By 8 pm when we stopped for supper, the worst of the symptoms had subsided;  I still felt weak, but was able to ambulate and eat.  I felt normal by the next morning.  On Nov. 9th, I took ACLS and one of the nurses mentioned that she felt bad after her flu shot.  When I described my reaction, a 3rd nurse told me of the similarity to Guillain-Barre, and after looking it up, I thought I should report it.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Injection site pain, Pain in extremity
Clinical narrative: Arm pain (aside from pain at injection site). Patient states 1 month of arm/bone pain. Has sought medical treatment at 2 facilities and will go to an orthopaedist soon.