chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain, Fatigue, Injection site erythema, Joint range of motion decreased, Pyrexia
Clinical narrative: Fever, decrease range of motion right arm, fatigue, low back pain, 2.5 cm erythema lateral arm at sq. site. tender axillary- RX- Ibuprofen; Claritin B,D 2 pack;
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Fever, decrease range of motion right arm, fatigue, low back pain, 2.5 cm erythema lateral arm at sq. site. tender axillary- RX- Ibuprofen; Claritin B,D 2 pack;
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Developed rash, Red welts in head, lower back and legs with itching about 10 hours after vaccine given.
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Rt arm painful. Red and warm.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Fatigue, Injection site reaction, Nausea
Clinical narrative: 11/03/2005 pt phones with reaction to pneumococcal injection received injection left arm on 10/31, that evening had pain under arm, tired, nausea, chills, achy on 11/01 had increased pain left arm inside of arm had redness and red blotchy area on left breast, no redness or swelling at injection site. Yesterday tenderness pain resolved, redness fading, slight brownish tinge where redness was on breast informed to observe if worsen again needs to be seen. Vaccine reaction form mailed per Dr.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Rash macular, Skin discolouration, Tenderness
Clinical narrative: 11/03/2005 pt phones with reaction to pneumococcal injection received injection left arm on 10/31, that evening had pain under arm, tired, nausea, chills, achy on 11/01 had increased pain left arm inside of arm had redness and red blotchy area on left breast, no redness or swelling at injection site. Yesterday tenderness pain resolved, redness fading, slight brownish tinge where redness was on breast informed to observe if worsen again needs to be seen. Vaccine reaction form mailed per Dr.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site warmth
Clinical narrative: Left arm at site redness, hot to touch, pain. Local reaction 10 cm x 10 cm. Referred to Dr tomorrow if no better.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Fluid retention, Injection site vesicles
Clinical narrative: Flu shot left arm covered with band aid over nite, Next day removed band aid and has small blister at injection site. Filled with yellow fluid. Area not red, no pain, no warm to touch. First flu shot not allergic to latex, alcohol or band aid adhesive.
Age: 1.03
Sex: M
Vaccine: MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Urticaria
Clinical narrative: Gave MMR vaccine around injection site instantly started to turn red, swollen and a welt formed gave 5cc of Benadryl.
Age: 1.46
Sex: F
Vaccine: MMR
Symptoms: Erythema, Injection site discolouration, Oedema, Skin discolouration, Urticaria
Clinical narrative: MMR SQ right thigh given and with in 30 seconds of shot right thigh leg puffed white blanching appearance. With in 1 min of shot given leg from thigh to knee red with hives. Benadryl given for it.
Age: 31.0
Sex: M
Vaccine: HEPAB, TTOX
Symptoms: Asthenia, Dry throat, Erythema, Headache, Influenza like illness
Clinical narrative: Client received TD, Twinrix on 10/25/2005 9:30am. Client reports feeling irritation at 3pm same day in back of throat, felt weak that evening with flu symptoms, fever 102 F, headache. Next day vomited in am. Today noticed rash, red all over chest and back, no SOB today. No coughing per report.
Age: 31.0
Sex: M
Vaccine: HEPAB, TTOX
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Client received TD, Twinrix on 10/25/2005 9:30am. Client reports feeling irritation at 3pm same day in back of throat, felt weak that evening with flu symptoms, fever 102 F, headache. Next day vomited in am. Today noticed rash, red all over chest and back, no SOB today. No coughing per report.
Age: 1.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Dyspnoea, Irritability, Pyrexia
Clinical narrative: Fever, fussiness and episode of difficulty breathing (unclear whether stridor or wheezing) while asleep prompting mom to bring child to local ER. Good stats, no wheezing or stridor noted on ER encounter visit. Temp 102.1
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Blood pressure increased, Cough, Flushing, Ocular hyperaemia, Urticaria
Clinical narrative: Approx 30 min to 45 min after immunization child was brought back to clinic with flushed face, red eyes and coughing and started to show signs of hives on back and chest. B/p was 100/80 0.3 ml of Benadryl was given IM. He immediately started to look better.
Age: 1.13
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pyrexia
Clinical narrative: 10/12/2005 approx 12:30pm began having fever of 99.0F, fevers continued ranging from 99 max of 103 on 10/13/2005 at 10:30pm mother alternated Tylenol with Ibuprofen. At no time did Pt have any other symptoms. Pt was seen in office on 10/14/2005 with temp of 101.3.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Injection site reaction
Clinical narrative: 09/27/2005 patient presented to clinic 5 1/2 weeks after receiving immunisation with indentation in left thigh near knee possibly related to MMR given SQ Left thigh on 08/19/2005. No temperature, pain or swelling at injection site indentation removed from injection site onset unknown.
Age: 1.51
Sex: F
Vaccine: DTAP
Symptoms: Erythema
Clinical narrative: 48 hours S/P immunization to left deltoid, painless erythema without fever. Immediately noted at daycare. Ice applied with improvement. Examined non indurated area of erythema left deltoid, non tender no warmth. Pt discharged in good condition.
Age: 71.0
Sex: U
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Rash
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: On 10/26/2005 patient has febrile sensation, multiple joint pain and generalized muscle pain were noticed. Everyday about 3 pm, patient felt febrile sensation. Patient still having the same chief complaints on 11/02/2005.
Age: 3.0
Sex: F
Vaccine: UNK
Symptoms: Amnesia, Disturbance in attention, Pharyngolaryngeal pain
Clinical narrative: Loss of memory, concentration, sore throat
Age: 14.0
Sex: F
Vaccine: UNK
Symptoms: Amnesia, Disturbance in attention, Lymphadenopathy, Pharyngolaryngeal pain
Clinical narrative: Loss of memory, concentration, sore throat, mumps gland very enlarged
Age: 0.36
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site swelling
Clinical narrative: 1 x 2 1/2 cm elevated raised area on left ant (LAT) thigh.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Myalgia, Pain, Pyrexia, Tenderness
Clinical narrative: Pt reports onset of pain 1 day after vaccination. Pain is in upper left arm radiates to neck / under arm. No erythema, no warmth, no flu chance at injection site. Muscles and skin tender to even light palpation along affected area. Pt also reports spiking temperature to 102 degrees F around midnight frequently. Reports decreased and left UE strength. Exam 4/5 on left no change
Age: 51.0
Sex: F
Vaccine: PPV, TD
Symptoms: Headache, Hypoaesthesia, Myalgia, Radiculitis brachial
Clinical narrative: Brachial Neuritis - treated with Vicodin, steroids on 9/14/05. Initial  severe symptoms increase. Pt has on going deep muscle aches and cranial shooting pain, numbness head side head.
Age: 0.15
Sex: U
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Grunting, Irritability, Muscle twitching
Clinical narrative: Child became very irritable, had grunting respirations and twitching of her lower extremities approximately 24 hrs after receiving initial vaccination. Child was seen in the emergency room.
Age: 44.0
Sex: M
Vaccine: HEPA, MMR, TD
Symptoms: Injection site swelling
Clinical narrative: 9-21-05 Td was given subcutaneously. CCD information line contacted no TX advised. 9-23-05 Pt had slight swelling at injection site. 9-21-05 Warm pack and Tylenol suggested  if needed. 11-04-05 No known adverse reactions.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and redness to left arm at site of immunization. Treated with Benadryl. Also warm locally, this was treated with ibuprofen and ice packs.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Dermatitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm red after pneumonia shot on Thursday. Pneumonia vaccine is painful, red and swollen. Patient was diagnosed with localized cellulitis and dermatitis of the left upper arm, also localized reaction to vaccine. Treated with Cephalexin and ice for pain and swelling.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Oedema peripheral, Tenderness
Clinical narrative: On 10/24/2005, a 5 inch red area formed like a band around arm where injected, left upper extremity swollen, tender and warm.
Age: 1.01
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Laboratory test abnormal
Clinical narrative: child diagnosed with chicken pox, onset of symptoms 10/07/2005. Child previously had varivax 08/12/03. Vaccine failure.
Age: 1.31
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Ocular hyperaemia, Pyrexia, Rash macular
Clinical narrative: Fever, conjunctival injection . Macular rash on trunk.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site vesicles
Clinical narrative: Site swelling and raised fluid filled vesicle 15 mm in circumference and 2 mm in height. Approximately the size of a dime coin.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash
Clinical narrative: At approximately 3 AM on 11/02/05, patient deloped a rash on her right arm that "felt like bug bites".  Rash persisted on right arm and was itchy.  On 11/04/05, patient started taking Benadryl tablets and itching and rash resolved within 2 days.
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Approximately 6 hours after flu shot was administered (shot was not administered at the address listed above, it was done as part of the "Shoo the Flu" program), I began to feel lightheaded, my heart felt like it was racing, and I found myself unable to get a good breath. I have had asthma for most of my life, but this felt nothing like an asthma attack.  My wife took me to the ER, where they determined that I had some kind of reaction to the shot, since EKG, electrolytes, heart beat, pulse, and blood pressure were all normal. I was given an IV drip with Benadryl and the symptoms disappeared. No further symptoms emerged later.
Age: 19.0
Sex: M
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Anorexia, Hyperhidrosis, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: On 11/6/05 in the afternoon developed body aches.  The following day had elevated temperature (didn't measure), sweats, sore throat, headache, poor appetite.  Contacted office 11/8/05.  If no improvement or tonsils with white spots will take to doctor.
Age: 15.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Condition aggravated, Eye movement disorder, Grand mal convulsion, Salivary hypersecretion
Clinical narrative: @ 4:00p on 8/10/05 father found client on the floor "frothing at the mouth with eyes rolled back" x 15 min.  At bedtime, client in bed with Mom, had x 1 gran mal seizure.  Client has history of seizures since 2001 but hasn't had any seizures for the past 2 years.  No additional terms found in records  rec'd 12/22/2005/sr
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Arthritis, Blepharospasm, Hypokinesia, Injection site swelling, Muscle spasms
Clinical narrative: Fever, Severe pain starting in upper right arm (vaccine site) with extreme swelling at injection site (extreme swelling lasted 7 days, injection site still sore after 14 days), pain coninuing up into right shoulder then to neck, down left arm, back, hips, upper legs, knees, calves, and into feet. Muscles and joints throughout body inflamed and very painful. Patient in extreme pain and had difficulty with even minor movements. Muscles around lungs painful especially on inhalation.   Eyelid and eye muscle spasms (eye spasms continuing as of report submission date). A lyme disease test was run to rule this out.  Lyme test negative.  Diagnosis of problems - severe adverse reaction to Td vaccine. Fever lasted 2 -3 days. All over severe muscle and joint pain lasted 7 days. Patient still having difficulty with eyes, muscles and joints at time of form submission which is reason for the "NO" answer in question #9. Patient was seen by Optomolgist for eye problems - diagnosis: part of reaction to Td vaccine - patient to be rechecked 4 months from initial visit.  Patient seen by Rheumatologist for muscle/joint complaints and is receiving physical therapy to address issues.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Fever, Severe pain starting in upper right arm (vaccine site) with extreme swelling at injection site (extreme swelling lasted 7 days, injection site still sore after 14 days), pain coninuing up into right shoulder then to neck, down left arm, back, hips, upper legs, knees, calves, and into feet. Muscles and joints throughout body inflamed and very painful. Patient in extreme pain and had difficulty with even minor movements. Muscles around lungs painful especially on inhalation.   Eyelid and eye muscle spasms (eye spasms continuing as of report submission date). A lyme disease test was run to rule this out.  Lyme test negative.  Diagnosis of problems - severe adverse reaction to Td vaccine. Fever lasted 2 -3 days. All over severe muscle and joint pain lasted 7 days. Patient still having difficulty with eyes, muscles and joints at time of form submission which is reason for the "NO" answer in question #9. Patient was seen by Optomolgist for eye problems - diagnosis: part of reaction to Td vaccine - patient to be rechecked 4 months from initial visit.  Patient seen by Rheumatologist for muscle/joint complaints and is receiving physical therapy to address issues.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Dyspnoea, Rash
Clinical narrative: Red generalized rash over upper and lower extremities, face, neck, hands and groin.  Began several hours after injection.  Patient had difficulty breathing and went to the ER early Wednesday morning.  Was given a prednisone pack and sent home.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Herpes zoster, Infection, Injection site pain, Pain
Clinical narrative: This case was reported by a nurse and described the occurrence of shingles in a 56 year old female subject who was vaccinated with Fluarix for prophylaxis. Medical history included non-smoker and "moderate" consumption of alcohol. On 11 October 2005 the subject received a dose of Fluarix in the right arm (lot number not provided). The nurse reported that the subject, "has had flu shots in previous years." On 11 October 2005, at an unspecified time following the administration of Fluarix, the subject experienced, "right arm pain." On 13 October, 2 days after vaccination with Fluarix, the subject experienced pain and itching of the arm, thigh, back and buttock "all on the right side of the body." The subject was seen at a physician's office on 14 October 2005, was diagnosed with shingles. The nurse considered the shingles to require clinical intervention (OMIC) and to jeopardize the subject. At the time of follow-up reporting, 09 November 2005, the shingles had improved, the arm pain resolved, and the "pain in the right thigh, back and buttock were still present." The nurse considered the events to possibly be related to vaccination with Fluarix and stated that, "the flu shot may have precipitated immune response, then the subject got shingles."
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Anaemia, Cellulitis, Chills, Injection site reaction
Clinical narrative: Developed cellulitis around injection site within hours of injection which spread down to wrist. Required ER visit and subsequently admission for IV antibiotics. Information from medical records states chills. msv
Age: 85.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Developed cellulitis around injection site spreading down arm. Was seen in ER sent home on oral antibiotics after a course of IV antibiotics overnight.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swelling, redness,severe degree also of right arm.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria face, trunk and extremities, no wheezing no stridor. Normal blood pressure.
Age: 68.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Pt reports she ran a temp >100 10/28/05 - 10/30/05. also reports that right arm where Pneumovax was given turned bright red and was sore to the touch. Reports on 10/31/05 that arm is feeling better and not as red.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: 11/9/05 at 0845 - patient called advised us of redness and swelling in left deltoid where vaccine given. 11/10/05 - evaluated at  office - red, swollen and warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to left arm, no fever. Using arm well. Advised to use cool compresses and Tylenol for discomfort.
Age: 1.03
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Rash, Swelling
Clinical narrative: Patient stated swelling to pit arm started on 11/9/05 at 10:30am with pain that time. Swelling with rash and minimal pain noted to right arm today 11/10/05. Parent adverse to seek care w/dr if S/S persist. Parent informed nurse she will keep me updated.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dyspnoea, Heart rate increased, Pyrexia
Clinical narrative: shortness of breath with wheezing and cough lasting approx. 2 hrs followed by fever, chills and slightly rapid heart beat for several hrs.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: shortness of breath with wheezing and cough lasting approx. 2 hrs followed by fever, chills and slightly rapid heart beat for several hrs.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Pruritus, Rash, Urticaria
Clinical narrative: Received flu vaccine at 0945; noticed ocular pruritus around 1030 that progressed to pruritus around neck/upper chest and noticed red flushing rash around chest/neck and face. Returned to clinic. Initially given Zyrtec 10mg. Vital signs stable. No other symptoms. After 30 minutes new onset urticaria on face. Given 0.3mg Epinephrine intramuscularly. Symptoms resolved.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness at vaccine site R thigh, not warm to the touch.  Redness has decressed since 10/9/05. No treatment needed.  Mother applied warm compresses to reduce redness.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Throat tightness, Tongue disorder
Clinical narrative: Returned to see RN about 30 minutes after receiving flu shot, c/o throat tightening, tongue thickening & rash around throat.  BP 160/110,HR 80.  Benadryl 50 mgm IM administered, transported via 911 to ER, adrenalin adminsitered by 911.  Pt. stated (after Benadryl given by RN) that she has had a reaction in the past and had taken 25 mgm Benadryl PO at 8:30 AM, which was approximately 45 minutes prior to receiving her shot. She had not told the RN this during the pre-adminsitration screening.  Returned to work at 1415 after treatment in ED (details of treatment unknown - ?solumedrol?)
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Dysphonia, Dyspnoea
Clinical narrative: Difficulty breathing & fast heartbeat x 1day, hoarseness, weakness, dizziness, muscle aches, soreness at shot site, chills x2days (at time of filling out report.)
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Injection site pain, Myalgia
Clinical narrative: Difficulty breathing & fast heartbeat x 1day, hoarseness, weakness, dizziness, muscle aches, soreness at shot site, chills x2days (at time of filling out report.)
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: hives started 16 hours after receiving influenza vaccine  Dr. prescribed alternate schedule of Atarax and Benadryl, prednisone(oral & injection)
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Pruritus, Urticaria
Clinical narrative: Approx 36-40 hours after receiving flu shot woke up in middle of night with hives/itching on both arms & legs; began on L arm (where received shot).  Lasted 4 days; treated with Benadryl 25 mgm PO q 3 1/2 - 4 hours during day, 50 mgm at night.  On 2nd day also experienced slightly puffy eyes.  Denies any SOB, wheezing, hives on trunk or head.  Gradually resolved.  Has had hives in the past in response to stress/illness or when really sick, but was not experiencing any of those at this time.  Also had hives several years ago at end of a bout with the flu.  Spoke with PMD on phone, who recommended the Benadryl; was not evaluated in office as condition improved over the next 4 days.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Breast pain, Chest pain, Dyspnoea
Clinical narrative: I began to have a sharp pain under my right breast at about 1:00 pm 11/03/05 all across my chest and stomach felt sore. My thought was I got cold in my stomach. Then the pain worsened to the point that my breathing was causing the area around my stomach to just ache terrible. I called my family doctor 11/03/05 about 6:00pm I left a voice message. I tried to wait to hear from her but I became more agitated. Finally my daughter 11/04/05 11:00 am called a friend and took me to  the ER. I told the doctor I was having a lot of pain and it hurt to breathe. I also told him I had taken a Flu vaccine 11/01/05. The doctor ordered blood work a ultra sound a chest x ray and an EKG. I ask the doctor to give me something for pain so I could rest. I was given a shot for pain and something for my stomach. I started to feel better and there was no more pain. I stayed in the ER about six hours The doctor discharged me with two prescriptions 1 for Ranitidine 150 mg Ibuprofen 600 mg. I have a appointment to see my primary physician on  November 15 2005 at 3:00 pm.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dyspnoea, Nausea, Pallor, Speech disorder
Clinical narrative: Patient became immediately nauseated following injection. I had patient sit down and watched them for about 45 seconds. At that time she was having difficulty breathing, not tightness in chest but having a hard time breathing. Began to get clamy, pale, and having a difficult time finding the words to converse. I administered an Epi-Pen into left arm Deltoid at injection site. Called 911, Continued to observe patient until EMS arrived. She remained conscious and talking, symptoms did not worsen. EMS arrived within 4 minutes.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous
Clinical narrative: MEMBER COMPLAINED OF ITCHY RAISED RASH ON SCALP, BACK, CHEST. STARTED 2 DAYS AFTER VACCINATION. AS OF TODAY IS STILL ITCHY BUT HAS STARTED TO RESOLVE.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Pt received influenza TIV on 11.6/05 and developed swollen lymph nodes and extreme pain under the arm which received the injection.
Age: 58.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Asthenia, Chills, Dysgeusia, Hyperhidrosis, Pallor
Clinical narrative: 5:30pm developed weakness, chills, pallor, aluminum taste in mouth, feverish (did not check temp), itchiness on neck(no rash or hives). Went to bed- woke up at 3am diaphoretic, wet feeling. Feeling weak, but better today.
Age: 58.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Pruritus, Pyrexia
Clinical narrative: 5:30pm developed weakness, chills, pallor, aluminum taste in mouth, feverish (did not check temp), itchiness on neck(no rash or hives). Went to bed- woke up at 3am diaphoretic, wet feeling. Feeling weak, but better today.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: (R) arm swollen from elbow to shoulder---approx. 50% larger than normal.  The swelling continued for 5 days.  There was also itching today (11/10/05).
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Erythema, Tremor
Clinical narrative: Approx 25 minutes after receiving flu vaccine c/o feeling "shaky", hands shaking; no hives, itching or SOB at that time.  Approx 5 minutes later developed several red spots on face, but still no SOB or wheezing.  Figen Benadryl 50 mgm IM in same arm as shot.  Transported via 911 to ER.  Pt. stated she felt worse after the Benadryl.  BS 122/72, HR 120, Resp 16 as Benadryl given; EMS personnel reported systolic BP at 150 when they arrived.  Follow-up with ER - received solumedrol IV, discharged at 2:00 PM.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site reaction, Oedema peripheral
Clinical narrative: Two hours after injection, my arm swelled to 3 times its normal size. Saw Dr on sat and was told I has cellulitus from receiving  The shot either from injection site not being cleaned properly or a dirty needle. Was put on a 7 day treatment of omnicef and vicodin for pain .
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Erythema, Hypokinesia, Swelling
Clinical narrative: Two hours after injection, my arm swelled to 3 times its normal size. Saw Dr on sat and was told I has cellulitus from receiving  The shot either from injection site not being cleaned properly or a dirty needle. Was put on a 7 day treatment of omnicef and vicodin for pain .
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Headache, Hypoaesthesia oral
Clinical narrative: Approximately 30 minutes after vaccination developed numbness on tongue and some difficulty swallowing.  Per recommendation of physician and client was given oral Benadryl 50mg, and observed for 1 hour. Symptoms resolved.  On 11/04/2005 spoke with the client and she related she had a headache that PM but this resolved as well.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Aspartate aminotransferase increased, Back pain, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Laboratory test abnormal, Nausea, Pyrexia
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Aspartate aminotransferase increased, Back pain, Fatigue, Headache, Injection site erythema
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Aspartate aminotransferase increased, Blood bilirubin increased, Hepatic function abnormal, Hypoxia, Liver function test abnormal
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Multi-organ failure, Nausea, Pulmonary function test decreased, Pyrexia, Renal failure
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 23.0
Sex: F
Vaccine: YF, YF, YF
Symptoms: Vomiting
Clinical narrative: Initial report received on Oct 27 2005. a 23 year old female patient with no remarkable medical history received an injection of YF Vax, lot number not reported, and date of administration not reported. Five days post vaccination she was hospitalized with fever nausea and vomiting that rapidly progressed into multiple organ system failure. samples are being sent. Per  the reporter, who had contacted a consultant, On Oct 27 2005, she had stabilized with regard to her hepatic function AST 987 to 800 to 616, bilirubin 7.4 to 6.7, alkaline phosphatase nor normal, but other parameters were still quite unstable. She was intubated on Oct 26 2005 and is difficult to oxygenate. The impression is ARDS with high PEEP and she is receiving CVVHD with a sticky filter to address her renal failure. Clotting studies are still abnormal, and the patient is being supported with blood and clotting factors. She continues to receive steroids and was started on intravenous immunoglobulins on Oct 6 2005 although these may have been stopped due to a reaction of unspecified nature. On Oct 29, a severe progression of MOF was reported, and the patient was on extracorporial ventilation machine having failed all attempts to support lung function. Renal failure and DIC persisted, liver test had returned to normal having peaked at <1000. There was no fever or infectious complications yet. On Nov 30 despite efforts to maintain oxygenation by extracorporeal device, and CVVHD (sticky filters) the patient died.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Movement disorder, Myoclonus
Clinical narrative: A report was received from a healthcare professional in the US on 11/1/05, concerning a 6 year old female vaccinee. No details were provided regarding the vaccinee's concomitant medications. The vaccinee was already hospitalized for other reasons that were not reported. On 10/28/05, the vaccinee received Fluvirin (batch 61122), IM. On 10/30/05, the vaccinee began to experience 6 movement disorder. She was evaluated by a neurologist and the symptoms were not classified as tics but as polymyoclonia. Follow up information will be sought. (OMIC)
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Urticaria
Clinical narrative: Urticaria from waist down.
Age: 0.76
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme, Skin ulcer
Clinical narrative: Erythema multiforme- minor causes to target lesion over the face, torso, extremities but no mucosal involvement. Patient was interactive and appropriate during exam. Information from Follow-up report states: Dr called Pediatric Partners and stated that patient received a flu vaccine on November 8,2005 and had an adverse reaction to the vaccination. She was seen and treated in the office by DR and he is now requesting the lot number, expiration date, manufactuer of vaccine, and route of the influenza vaccine.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Oedema peripheral, Pain
Clinical narrative: Body aches experienced on day of immunizations. Injection site swelled and continued swelling until entire upper arm was swollen on 10/07/2005. Patient was advised to take 50mg of benadryl and follow up with doctor.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: Having Flu Symptoms for 2 days
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: Having flu symptoms for 2 days
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Dizziness, Pyrexia, Urticaria
Clinical narrative: 24 hrs after flu shot, dizzy, severe aches in joints especially one knee, fever and cold chills then hives, starting on back then neck, arm, eye lids and ankle.  Have had flue shots for years with NO adverse effects.  I am in good health, no major problems except Macular Degeneration of one eye and minor back pain. The reaction lasted approx 24 hrs. I did not call the Doctor nor go to the ER.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest pain, Cough, Dyspnoea, Pain
Clinical narrative: SOB,cough, Chest pain, body ache, R shoulder ache  comes in today first time since reaction 11am  11-11-05
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Patient experienced an injection site cellulitis -like reaction when given the vaccine.
Age: 38.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 2 dyas after the injection developed redness and pain at injection site of Tdap (Adacel)
Age: 0.53
Sex: F
Vaccine: DTAP
Symptoms: Rash
Clinical narrative: RASH ON TRUNK 24 HRS PRIOR TO VS
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Electrocardiogram abnormal, Ocular hyperaemia, Paraesthesia
Clinical narrative: Shortness of breath, bloodshot eyes, tingling lips, abnormal EKG
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: 8 hrs after flu vaccine administered, I had high fever, chills and aches everywhere.  I have had the flu in years past and I can only describe this has having a severe case of the flu for 8 hours.  This is the 2nd year I have taken the county vaccine and had this reaction.  I can only conclude that serum from some manufacturers does not agree with me.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Coma, Pain, Pulmonary embolism
Clinical narrative: 11-4-05 C/o pain rt side rt lower lobe crackles 11-5-05 rt rib pain in morning. 5pm clammy unresponsive went to ER died at hospital. Hospital reports died from pulmonary embolism. Have not received death certificate at this time. 11/18/05 Death certificate received which revealed COD as pulmonary emboli.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Eye irritation, Eye swelling, Lacrimation increased, Pharyngolaryngeal pain
Clinical narrative: Generalized vaso-vagal response, given orange juice, returned to work.  Approximately 45 minutes after injection, employee returned with c/o persistent dry cough and developing scratchy throat with puffiness tearing and itching of eyes.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope vasovagal
Clinical narrative: Generalized vaso-vagal response, given orange juice, returned to work.  Approximately 45 minutes after injection, employee returned with c/o persistent dry cough and developing scratchy throat with puffiness tearing and itching of eyes.
Age: 95.0
Sex: F
Vaccine: FLU3
Symptoms: Hypotonia, Pneumonia, Respiratory failure
Clinical narrative: 11-03-05 moist mouth breathing no verbal response. Flaccid rt arm. Bilateral rhonchi yellow phlegm. 11-04-05 Verbally responding in the am Drank water. Expired 11-05-05 at 11pm. Death certificate states respiratory failure and pneumonia as cause of death.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Fall, Fracture, Injection site erythema, Injection site reaction
Clinical narrative: Swollen red arm.  The cellulitis was treated with Ancef.  It was believed that the arm discomfort woke her up during the night and she fell and fractured her hip.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Sleep disorder
Clinical narrative: Swollen red arm.  The cellulitis was treated with Ancef.  It was believed that the arm discomfort woke her up during the night and she fell and fractured her hip.
Age: 45.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Fever, malaise, muscle aches, 12-24 hrs. after shot.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Arm soreness - more than "typical", low-grade fever onset 10/8/05 temperature ranging from 99.4 to 101.6. Swelling and rash appeared on 11/10/05 covering inside portion of left arm, below injection site and around the arm. Swelling dissipated overnight, but rash remains. Began 3 ibuprofen every 6 hours on 11/10/05.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot
Clinical narrative: Red hot arm treated with depomedrol and over the counter benadryl.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Musculoskeletal stiffness, Pain, Vomiting
Clinical narrative: Had severe body aches and stiffness. Also was light headed and had vomiting.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: pt said her arm was getting redder, more swollen and warm, she had not taken anything for the arm or contacted anyone regarding symptoms.  she came to the pharmacy 24 hours latter, I gave her Benadryl and sent her to her pcp, no difficulty  breathing reported.
Age: 11.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Facial palsy, Muscle twitching, Paralysis
Clinical narrative: Unilateral (right) facial nerve palsy beginning hours following vaccine administration. Now improving, but not yet fully recovered. Information from medical records states twitch, facial paralysis. msv
Age: 0.76
Sex: M
Vaccine: FLU3
Symptoms: Henoch-Schonlein purpura, Irritability, Purpura, Pyrexia
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received from a physician on Oct 31 2005. A nine month old male infant developed extensive purpura on lower extremities and some on the face and ears three days after receiving the first injection of Fluzone, lot number U1743JA in the left thigh on Oct 25 2005. The patient has a history of eczema and is on topical steroid betamethasone. At the time of vaccination the patient had slight diarrhea. As per reporting physician the purpura resembles HSP Henoch Schonlein Purpura. The physician reports the mom stated the child had a low grade fever and has been fussy. At the time of this report the patient had not recovered. Follow-up information received on 15/Nov/2005 from a health care professional. It was reported that the FLUZONE was administered intra-muscularly. No investigations were completed for the diarrhea the patient had at the time of vaccination and the event resolved. The diagnosis of Henoch-Schonlein Purpura was not confirmed as per the reporter. The patient did not receive a subsequent dose of FLUZONE. The patient was seen by the physician on 11/Nov/2005 and was improved at that time. He has not been seen since and his recovery status is unknown. Follow-up information received on 16/Jan/2006 from a health care professional. Per the reporter, there have been no changes or further evaluation since 15/Nov/2005. The patient is well and has recovered.
Age: 51.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Cough, Pyrexia, Wheezing
Clinical narrative: Initial report received from a registered nurse on Sept 28 2005, A 51 year old female patient developed a cough, fever and wheezing latency not reported which required hospitalization after receiving the injection of Adacel, lot number C2151AC and Fluzone, lot number U1854AA in the deltoid. Administration date, route and site not reported.  The patient has no known allergies and has a history of heart condition type unknown. She denies any illness at the time of vaccination and was on other medications, however the specific Meds are not known. It was reported that the patient was in the hospital for a week. Dates of hospitalization and treatment received not reported. As per reporter the patient was still hospitalized at the time of this report.