chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: MNQ
Symptoms: Axillary pain, Erythema, Induration, Reflex test abnormal, Skin warm
Clinical narrative: (L) upper post. arm with 17 cm x 13 cm area of redness warmth to touch, tender, 6 cm x 6 cm induration. Mild (L) axillary tenderness. DTR's intact in (L) arm. NL ROM. Chest = clear. Ht = RRR without M RG.
Age: 60.0
Sex: F
Vaccine: MNQ
Symptoms: Tenderness
Clinical narrative: (L) upper post. arm with 17 cm x 13 cm area of redness warmth to touch, tender, 6 cm x 6 cm induration. Mild (L) axillary tenderness. DTR's intact in (L) arm. NL ROM. Chest = clear. Ht = RRR without M RG.
Age: 61.0
Sex: M
Vaccine: MNQ
Symptoms: Axillary pain, Erythema, Induration, Rash papular, Reflex test normal
Clinical narrative: (L) upper post arm central red papule 0.5 cm x 0.5 cm with 6 cm x 5 cm tender induration. Slightly warm to touch, mild (L) axillary tenderness DTR's intact in (L) arm. NL. ROM. Lungs = clear. Ht = RRR without M R, G.
Age: 61.0
Sex: M
Vaccine: MNQ
Symptoms: Skin warm
Clinical narrative: (L) upper post arm central red papule 0.5 cm x 0.5 cm with 6 cm x 5 cm tender induration. Slightly warm to touch, mild (L) axillary tenderness DTR's intact in (L) arm. NL. ROM. Lungs = clear. Ht = RRR without M R, G.
Age: 49.0
Sex: M
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: On 18 Oct 2008, service member rec'd Flu mist via nostril at about 1330. Service member subsequently experienced nose bleeding from bilateral nostrils @ about 1730 - "It was a large amount" per service member. At about 2130, service member experienced another nose bleed and was apparently "more" per service member. After both episodes, bleeding was controlled via conservative means (i.e. 2 pressure, cool packs).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills
Clinical narrative: I am a nurse practitioner employed by minute clinic. A colleague administered the vaccine (INFLUENZA 2008/2009) on 10/17/08. That evening I experienced true rigors lasting about 1 hr.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: About 7-8 hours after HPV #1 on 8/18/08, the patient noted lightheadedness, slumped to floor and fell asleep. Patient awoke 2-3 hours later alert and oriented. No seizure activity or residual limb weakness, or aphasia.
Age: 10.9
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Induration, Swelling
Clinical narrative: VZV given (L) deltoid (10/17/08). Erythema/ +1 - induration swelling noted 10/19/08 (PM) worse AM. 10/20 - seen late in day - resolving/ no sign cellulitis.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Immediate post-injection reaction, Loss of consciousness, Nausea, Pallor, Syncope
Clinical narrative: Within 2 minutes of vaccine administration completion, pt became nauseous. Pt then passed out; fainted. Pt was pale, and out for about one minute. She was laid on the floor. Upon waking, or coming out of faint spell, pt was very coherent, no shivering, but did not remember passing out. She thought she'd went to sleep and had a dream. Pt was monitored for a time period not less than 20 mins after fainting and showed no other signs or symptoms. All vitals were with normal limits 10 mins after pt "woke up". Pt's 11 years old sister was also given the same immunizations as pt and suffered no effects whatsoever. (same lot #'s and everything).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion
Clinical narrative: Was given PEDIARIX on 09/29/08 and was seen for seizure that evening.
Age: 5.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Local site reaction (erythema, swelling, itching) approximately 24 hrs after vaccination with flu vac. in left quad. At time of exam, redness and swelling was 12.5 cm in diameter.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: Hives on arm and chest. Took diphenhyramine, resolved in two days.
Age: 0.8
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Crying, Full blood count normal, Infantile spasms, Metabolic function test normal, Tremor
Clinical narrative: Patient with episode arms and legs shaking, unable to suck on pacifier and difficulty holding head upright patient crying throughout episode; episode lasted about 10-15 minutes. Patient seen in ER and diagnosed with infantile spasms.
Age: 1.3
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Injection site urticaria
Clinical narrative: Mild redness (urticarial wheal) at (R) thigh at site of immunization (PREVNAR) began within 24 hours - treated with oral BENADRYL - seen in clinic on 10/17/08
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Muscle spasms
Clinical narrative: Pt. called c/o abd and bilateral bicep cramping since immunization.
Age: 36.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Bursitis, Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Immediate excruciating pain at injection site. Persistent pain and decreased ROM of shoulder. Confirmed bursitis by MRI treated with steroids.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Anorexia, Asthenia, Disorientation, Pain, Pyrexia
Clinical narrative: Extreme weakness. Body aches. Loss of appetite. 101 degrees fever. Some disorientation. Time course for event - 2 days. Treatment - after physician consult - (3) 325 mg TYLENOL.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain, Urticaria
Clinical narrative: Severe swelling, welts (hives from elbow to shoulder. Severe pain - Hydrocortisone cream, BENADRYL 50mg
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Patient received a FLUVARIN and PNEUMOVAX injection in the same (L) arm on 10/14/08, symptoms started on 10/15/08 per patient. Daughter called and notified me of problem on 10/17/08. Area on upper left arm was hard, bright red and hot to touch. Patient is not aware of which injection is inflamed.
Age: 15.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Alopecia
Clinical narrative: Reports bald patch at back of head - onset one month after receiving MENACTRA, Flu and GARDASIL 2/11/08, condition has worsened over past 5 months - seen 9/25/08 for this condition. Treated - Triamcinolone - referred to Dermatologist.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Disorientation, Hallucination, visual, Tachycardia
Clinical narrative: Weakness, disorientation, visual hallucinations, tachycardia. Occurred approx. 2 hours after administration of flu vaccine, physician notified. BENADRYL given, hospitalist notified (arrived in 10 mins).
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Incorrect dose administered
Clinical narrative: Pt was inadvertently given 1mL dose of INFLUENZA vaccine instead of correct 0.5 dose. Pt reported no skin reaction and no adverse events.
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Malaise
Clinical narrative: About 1 week after receiving flu shot pt became very sick, went to MD and diagnosed with a severe case of Shingles. Possibly due to flu shot affecting resistance.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Injection site erythema, Injection site pruritus
Clinical narrative: Pt. was inadvertently given a double dose of the vaccine (FLUZONE 1mL instead of 0.5mL). Pt reported itching and redness at site, which gradually resolved and was completely gone by 10/13/08. Pt was seen in office 10/10 and 10/13
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Immediately following vaccine administration soreness/pain in left arm below injection site. Has gotten progressively worse to cause pain that radiates down and into left arm. Patient reports inability to lift left arm on occasion. Dr visit required.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Induration
Clinical narrative: Pt had a large induration hot to touch 4" x 3 1/2".  Dx: Cellulitis.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever (101.7), achy, headache, light headed/dizzy, congestion.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract congestion
Clinical narrative: Chills, fever (101.7), achy, headache, light headed/dizzy, congestion.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Feeling cold, Headache, Pain
Clinical narrative: Diarrhea, "very bad" headache (similar to a migraine headache), aching, feeling very cold.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Amnesia, Computerised tomogram, Electrocardiogram, Headache, Lumbar puncture
Clinical narrative: Bad headache on 8-26 following shot. Headaches continued 9-5 saw Dr. 9-10 did CAT Scan. 9-11 did MRI. 9-26 got up and had memory loss of what had gone on for past day. Dr said go to ER. There 5 hours running tests memory came back. Saw Neurologist 10-3. Ordered MRA 10-1 did MRA. 10-7 did Lumbar puncture which stopped headaches for now.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging
Clinical narrative: Bad headache on 8-26 following shot. Headaches continued 9-5 saw Dr. 9-10 did CAT Scan. 9-11 did MRI. 9-26 got up and had memory loss of what had gone on for past day. Dr said go to ER. There 5 hours running tests memory came back. Saw Neurologist 10-3. Ordered MRA 10-1 did MRA. 10-7 did Lumbar puncture which stopped headaches for now.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Vomiting
Clinical narrative: Mild rash on the trunk and vomiting x once.
Age: 18.0
Sex: F
Vaccine: DTP, HEP, HIBV, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt. arrived for appt at 11:20. Seen for rash that began on 10-15-08, spread to trunk and draper area, arms, legs, hands and feet. resembles measles rash. No other s/s of infection.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Next day, Right arm hurts from shoulder (in back) through elbow down arm through thumb, and is hot to the touch, sight of infection red and puffy. By Sunday, (4 days after shot) all symptoms are gone. No pain or swelling left.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Muscle spasms
Clinical narrative: Sever headache, legs (conjunctions) cramps
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Diarrhoea, Lymphadenopathy, Measles antibody positive, Muscle spasms, Pyrexia
Clinical narrative: 10/4/08 - rash, fever, diarrhea, leg cramps, lymphadenopathy (mild), sx's resolved 10/9/08.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: 10/4/08 - rash, fever, diarrhea, leg cramps, lymphadenopathy (mild), sx's resolved 10/9/08.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: within 30 minutes of receiving the flulaval started having urticaria no hives no SOB.  given 50 mg benadryl IM and within 15 minutes urticaria reduced to minor areas. given 50 mg benadryl QID for 3 days with f/u in 24 hours from time vaccine given. pt was observed for over 1 hour. PT states the last two flu vaccinations resulted in hives or urticaria, was seen by provider and treated with benadryl, but was not told he was allergic. last flu vaccine was flu mist and the only vaccination at the time.  was given anthrax, small pox, typhoid, hep b and a without any urticaria. pt is able to each chicken without urticaria.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Neck pain
Clinical narrative: Patient reported swollen upper right arm with 2 large knots, injection site hot to the touch, and a sore neck. No fever. Symptoms began 2 days after receiving vaccination. All symptoms had resolved after an additional 2 days. Patient also received influenza vaccination in the left deltoid, but reported no adverse reactions at the site.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever,congestion,cough,headache,runny nose,sore throat,very tired receive the flu shot at work
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever,congestion,cough,headache,runny nose,sore throat,very tired receive the flu shot at work
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm
Clinical narrative: On 10.23.08 an area approximately 11/2 by 11/2 oblong on left latersl arm noted. Arm warm to touch reddened area. vaccine administered on 10/21/08. Advised to take an antihistamine at night. will continue to monitor untill resolved
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Blood test normal, Bowel movement irregularity, Crying, Culture stool negative, Diarrhoea
Clinical narrative: Diarrhea onset 1 day post-vaccine.  Continued 4+ weeks with several periods of no stool for 1-5 days in between.  4 episodes of intense, nonstop screaming for several hours between 2 & 3 weeks post-vaccine.  Mild eczema-type rash on legs.  Irritibility, difficulty sleeping, fussiness & crying when trying to feed.  X-rays, bloodwork, stool cultures all normal.  Consulted pediatric gastroenterologist.  Presumed dx - milk protein allergy.  Breastfeeding mom eliminated all dairy from diet & supplement with Nutramigen when needed.  Rash continued & more dry, rashy patches appeared on trunk & face while supplementing with Nutramigen.  As of report date, stopped supplementing & is exclusively breastfeeding (with no milk products for mom) to see if rash resolves.  Diarrhea ceased 4 weeks post-vaccine but stools still not regular.  Parent notes that vaccine baby received contains milk protein.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Eczema, Insomnia, Irritability, Rash, Screaming
Clinical narrative: Diarrhea onset 1 day post-vaccine.  Continued 4+ weeks with several periods of no stool for 1-5 days in between.  4 episodes of intense, nonstop screaming for several hours between 2 & 3 weeks post-vaccine.  Mild eczema-type rash on legs.  Irritibility, difficulty sleeping, fussiness & crying when trying to feed.  X-rays, bloodwork, stool cultures all normal.  Consulted pediatric gastroenterologist.  Presumed dx - milk protein allergy.  Breastfeeding mom eliminated all dairy from diet & supplement with Nutramigen when needed.  Rash continued & more dry, rashy patches appeared on trunk & face while supplementing with Nutramigen.  As of report date, stopped supplementing & is exclusively breastfeeding (with no milk products for mom) to see if rash resolves.  Diarrhea ceased 4 weeks post-vaccine but stools still not regular.  Parent notes that vaccine baby received contains milk protein.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: X-ray normal
Clinical narrative: Diarrhea onset 1 day post-vaccine.  Continued 4+ weeks with several periods of no stool for 1-5 days in between.  4 episodes of intense, nonstop screaming for several hours between 2 & 3 weeks post-vaccine.  Mild eczema-type rash on legs.  Irritibility, difficulty sleeping, fussiness & crying when trying to feed.  X-rays, bloodwork, stool cultures all normal.  Consulted pediatric gastroenterologist.  Presumed dx - milk protein allergy.  Breastfeeding mom eliminated all dairy from diet & supplement with Nutramigen when needed.  Rash continued & more dry, rashy patches appeared on trunk & face while supplementing with Nutramigen.  As of report date, stopped supplementing & is exclusively breastfeeding (with no milk products for mom) to see if rash resolves.  Diarrhea ceased 4 weeks post-vaccine but stools still not regular.  Parent notes that vaccine baby received contains milk protein.
Age: 19.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: NONE
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Patient developed pox along the lumbar 2 region (backside) within a few days of vaccination
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Hyperhidrosis, Palatal oedema, Pharyngeal oedema, Tachycardia
Clinical narrative: Extreme and uncontrollable coughing (this started about 2 hours and 15 minutes after administration of vaccine), wheezing, tachycardia, sweating, swelling of the uvula and back of throat.  An insurance nurse line was called and the nurse instructed us to call 911.  My husband took me to the ER at the closest hospital.  I was there for about 3 hours and received oxygen, an epi pen, steroids, and breathing treatments.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: Extreme and uncontrollable coughing (this started about 2 hours and 15 minutes after administration of vaccine), wheezing, tachycardia, sweating, swelling of the uvula and back of throat.  An insurance nurse line was called and the nurse instructed us to call 911.  My husband took me to the ER at the closest hospital.  I was there for about 3 hours and received oxygen, an epi pen, steroids, and breathing treatments.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Body aches, sore throat, weakness, swelling, redness, and pain @ injection site.Wed - weakness and some muscle aches.Injection site still red and sore.23rd injection site inflammed and sore, still weak.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia, Oropharyngeal pain, Pain
Clinical narrative: Body aches, sore throat, weakness, swelling, redness, and pain @ injection site.Wed - weakness and some muscle aches.Injection site still red and sore.23rd injection site inflammed and sore, still weak.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: marked swelling and redness to entire upper arm that injection was given in. Soreness, tenderness.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: RECEIVED FLU SHOT ON 10/9/08 AND WOKE UP WITH LEFT ARM SWOLLEN AND RED 2 DAYS LATER. REDNESS EXTENDED DOWN TO THE ELBOW, ITCHING. NO PAIN WITH TOUCH. ADVISED ICE PACKS AND BENADRYL.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Oedema peripheral
Clinical narrative: Swollen arm, pain, redness and induration on the site of injection (12 cm x 8 cm)
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Crying, Screaming
Clinical narrative: For 7 nights following vaccination woke up screaming or wimpering. History of encephalitis as a new born
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia
Clinical narrative: fever to 101  malaise 2 inches + erythema  and tenderness at site
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: pruritis, erythema at site
Sex: U
Vaccine: DTP
Symptoms: Unevaluable event
Clinical narrative: pps
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Heart rate, Oxygen saturation, Swelling face
Clinical narrative: 02.40pm swelling of eyes and across nasal bridge, o2 at 10 liters via 100% rebreather pulse ox 96%, pulse 160-170,B.P 112/62, no respiratory distress lungs clear airway clear. Benadryl 12.5mg I.M., 911 called,2:45pm.2:50pm.EMS here, Epinepherine 1:1000 0.3ml given by EMS. 2:55 Pt. transported via ambulance to hospital.  10/24/2008 MR received for DOS 10/21-22/2008 with D/C DX:  Anaphylactic reaction 2' to Flu vaccine. Static encephalopathy.  G-tube dependent. Pt presented to ER from PCP's office where pt developed immediate facial, eye, tongue and body swelling, difficulty breathing and agitation.  Epipen and Benadryl given on site and transported via EMS. Tx with Solumedrol and admitted for observation. PE (+) for periorbital edema and tongue enlargement. Pt did well and didn't require O2. D/C home next day.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Electrocardiogram, Presyncope, Throat tightness, Vision blurred
Clinical narrative: Initial symptoms: dizziness, blurred vision, tightness in throat, near syncopal. Patient was seen in the emergency room and monitored.  Treatment included diphenhydramine 50 mg IM.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Abasia, Aphasia, Ataxia, Balance disorder, Childhood disintegrative disorder
Clinical narrative: HAD A FEVER 24 HOURS AFTER THE VACCINE. AFTER A COUPLE OF WEEKS LOST MOTOR/SPEECH SKILLS. MONTHS  PROGRESSED AND STARTED TREMORS ALL OVER BODY, AND GLOBAL DEVELOPMENTAL DELAYS. MRI SHOWED ABNORMAL SIGNAL IN WHITE MATTER WITH LOW VOLUME, SECOND MRI 6 MONTHS AFTER SHOW NO CHANGE. CURRENTLY, PATIENT IS ATAXIC, LOSING BALANCE, HAS ABSOLUTELY NO SPEECH, CANNOT WALK UNASSISTED, MULTIPLE FOOD ALLERGIES. ALL GENETIC TESTING(EXETENSIVE) IS NEGATIVE LYSOSOMAL STORAGE, VERY LONG CHAIN FATTY ACID TESTS ALL NEGATIVE. EEG NEGATIVE. PATIENT IS IN THE SAME AGE LEVEL AS WHEN THE VACCINE WAS ADMINISTERED  1/6/09 MR received from multiple specialists dated 6/14/07-9/2008. DX: Congenital Encephalopathy, Cognitive defecits, speech-language disorder, motor dysfunction, hypotonicity and hyperactivity with attention difficulties.  Initially seen for low weight gain with dx:  failure to thrive. GI consult for eosinophilic esophagitis.  Seen 7/11/07 for speech dalay and possible autistic features.  PE(+) for small head circumference, drooling, shotty lymphadenopathy, eczematous lesions. Neuro consult reports regression around age 1. Resting tremor noted 4/11/08. Ataxic gait. W/u thus far essentially (-) except for abnormal MRI.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Cytogenetic analysis normal, Developmental delay, Electroencephalogram normal, Food allergy, Inappropriate schedule of drug administration
Clinical narrative: HAD A FEVER 24 HOURS AFTER THE VACCINE. AFTER A COUPLE OF WEEKS LOST MOTOR/SPEECH SKILLS. MONTHS  PROGRESSED AND STARTED TREMORS ALL OVER BODY, AND GLOBAL DEVELOPMENTAL DELAYS. MRI SHOWED ABNORMAL SIGNAL IN WHITE MATTER WITH LOW VOLUME, SECOND MRI 6 MONTHS AFTER SHOW NO CHANGE. CURRENTLY, PATIENT IS ATAXIC, LOSING BALANCE, HAS ABSOLUTELY NO SPEECH, CANNOT WALK UNASSISTED, MULTIPLE FOOD ALLERGIES. ALL GENETIC TESTING(EXETENSIVE) IS NEGATIVE LYSOSOMAL STORAGE, VERY LONG CHAIN FATTY ACID TESTS ALL NEGATIVE. EEG NEGATIVE. PATIENT IS IN THE SAME AGE LEVEL AS WHEN THE VACCINE WAS ADMINISTERED  1/6/09 MR received from multiple specialists dated 6/14/07-9/2008. DX: Congenital Encephalopathy, Cognitive defecits, speech-language disorder, motor dysfunction, hypotonicity and hyperactivity with attention difficulties.  Initially seen for low weight gain with dx:  failure to thrive. GI consult for eosinophilic esophagitis.  Seen 7/11/07 for speech dalay and possible autistic features.  PE(+) for small head circumference, drooling, shotty lymphadenopathy, eczematous lesions. Neuro consult reports regression around age 1. Resting tremor noted 4/11/08. Ataxic gait. W/u thus far essentially (-) except for abnormal MRI.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Laboratory test normal, Motor dysfunction, Pyrexia, Tremor
Clinical narrative: HAD A FEVER 24 HOURS AFTER THE VACCINE. AFTER A COUPLE OF WEEKS LOST MOTOR/SPEECH SKILLS. MONTHS  PROGRESSED AND STARTED TREMORS ALL OVER BODY, AND GLOBAL DEVELOPMENTAL DELAYS. MRI SHOWED ABNORMAL SIGNAL IN WHITE MATTER WITH LOW VOLUME, SECOND MRI 6 MONTHS AFTER SHOW NO CHANGE. CURRENTLY, PATIENT IS ATAXIC, LOSING BALANCE, HAS ABSOLUTELY NO SPEECH, CANNOT WALK UNASSISTED, MULTIPLE FOOD ALLERGIES. ALL GENETIC TESTING(EXETENSIVE) IS NEGATIVE LYSOSOMAL STORAGE, VERY LONG CHAIN FATTY ACID TESTS ALL NEGATIVE. EEG NEGATIVE. PATIENT IS IN THE SAME AGE LEVEL AS WHEN THE VACCINE WAS ADMINISTERED  1/6/09 MR received from multiple specialists dated 6/14/07-9/2008. DX: Congenital Encephalopathy, Cognitive defecits, speech-language disorder, motor dysfunction, hypotonicity and hyperactivity with attention difficulties.  Initially seen for low weight gain with dx:  failure to thrive. GI consult for eosinophilic esophagitis.  Seen 7/11/07 for speech dalay and possible autistic features.  PE(+) for small head circumference, drooling, shotty lymphadenopathy, eczematous lesions. Neuro consult reports regression around age 1. Resting tremor noted 4/11/08. Ataxic gait. W/u thus far essentially (-) except for abnormal MRI.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Hyperhidrosis, Influenza like illness, Throat tightness
Clinical narrative: Dizziness, blurred vision, throat tightening, chills, sweats - about 2-3 hours after the vaccination.  Treated in ER with Tylenol, Benadryl and observation.  Felt fairly severe flu like symptoms for next 24-36 hours
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: Dizziness, blurred vision, throat tightening, chills, sweats - about 2-3 hours after the vaccination.  Treated in ER with Tylenol, Benadryl and observation.  Felt fairly severe flu like symptoms for next 24-36 hours
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Pt given HPV vaccine, 5minutes after vaccine administered pt fainted.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Rash generalised, Sleep disorder
Clinical narrative: I was working in the urgent care and the father brought this child in 24 hours after he was given his 2mo vaccines.  Per father ~ 12 hours after receiving the vaccines child broke out in rash; beginning at head and slowly spreading over face, then back and trunk and arms.  When I saw him the rash had extended onto his legs.  He was well prior to receiving the vaccines and family felt sure rash was from vaccines.  He also had increased irritability and did not sleep all night.  when I saw him he looked well except for the rash.  He was alert and playful.  He had no respiratory of GI symptoms.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle atrophy
Clinical narrative: Deltoid muscle atrophy which was first noted by patient on approx 6/08 as a depression in Left shoulder muscle of approz 2cm x 2 cm
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Aura, Headache, Injection site erythema, Injection site induration, Injection site irritation
Clinical narrative: C/O more intense burning at injection site at time of vaccine administration.  No bleeding observed, inj site re wiped with alcohol swab and Bandaide applied.  HA began 4 hrs after inj. R-sided migraine type with a little blurred vision and color aura (which is normal for this person when a migraine occurs).  Took 600 mg Ifuprofen at 4 pm.which is what she normally takes for HA.  Had slight injection site irritation and swelling that evening.  Removed bandaid and applied ice at 6 pm.  No further c/o or action taken that evening.  Tues 10/21/08 upon arising noted itching, redness, heat, swelling at the inj site.  HA continued.  Took Ifuprofen 600 mg at 6 am and 12 noon without relief for HA.  Purchased generic extra stringth "Excedrin Migraine" took two tablets at 5:30 pm.  Arm continued with burning, itching, redness and localized pain.  HA continued but was resolved by AM 10/22/08.  Arm symptoms continued 10/22 but no action taken.  10/23/08 contacted individual who administered immunization to report current symptoms of reddness, and itching. Seen by RN.  Noted 2.5" x 4.5" area of induration, warmth and firmness.  Skin color not changed.  Rec ice or heat for comfort, OTC cream/lotion for itching if needed.  See PMD if symptons worsen.  CDC/VEARS report completed.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Migraine, Vision blurred
Clinical narrative: C/O more intense burning at injection site at time of vaccine administration.  No bleeding observed, inj site re wiped with alcohol swab and Bandaide applied.  HA began 4 hrs after inj. R-sided migraine type with a little blurred vision and color aura (which is normal for this person when a migraine occurs).  Took 600 mg Ifuprofen at 4 pm.which is what she normally takes for HA.  Had slight injection site irritation and swelling that evening.  Removed bandaid and applied ice at 6 pm.  No further c/o or action taken that evening.  Tues 10/21/08 upon arising noted itching, redness, heat, swelling at the inj site.  HA continued.  Took Ifuprofen 600 mg at 6 am and 12 noon without relief for HA.  Purchased generic extra stringth "Excedrin Migraine" took two tablets at 5:30 pm.  Arm continued with burning, itching, redness and localized pain.  HA continued but was resolved by AM 10/22/08.  Arm symptoms continued 10/22 but no action taken.  10/23/08 contacted individual who administered immunization to report current symptoms of reddness, and itching. Seen by RN.  Noted 2.5" x 4.5" area of induration, warmth and firmness.  Skin color not changed.  Rec ice or heat for comfort, OTC cream/lotion for itching if needed.  See PMD if symptons worsen.  CDC/VEARS report completed.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Activities of daily living impaired, Nausea, Vomiting
Clinical narrative: 09/15/08 Hep B vaccine #1 given in R del by LPN. 10/16/08 Hep B vaccine #2 given in R del by RN. 10/23/08 Pt called to report that after the first vaccine was given 5 days later,  she experienced severe vomiting and nausea and missed 2 days work because of it.  Stated she had the same symptoms again today but not "quite as severe as the first." I checked with the Dr. on call and he told me to check with the pharmacy as to what direction to take re: completion of the series. Pharmacist said to complete the series (#3) in 5 months.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: IPV vaccine given in error (also gave Kinrix)-- no adverse effects
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Similar reaction on previous exposure to drug, Urticaria
Clinical narrative: Flu Shot given at workplace at 9:30 am on 10/16/2008.  Fever beginning at 5:00 pm lasting until 10/19/08.  Hives beginning at 8:00 pm 10/16/08.  After calling Dr. on 10/17 patient began taking Benadryl and Zantac.  Worsening hives requires patient to go to the After Hours clinic on 10/20/08.  Shot of steroids was given and a prescription given for Prednisone 30 mg per day tapering dosage over next seven days. In addition take Zyrtec 1X day and Zantac 150 MG 2X day.  As of today's date condition is mildly improved.  History of sensitivity to sulfites, wonders if the vaccine contained sulfites used as a preservative.  Was hospitalized in 1993 for severe allergic reaction from flu vaccine but have taken numerous flu shots in following years with no problem.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Agitation, Allergy test positive, Food allergy, Opisthotonus, Screaming
Clinical narrative: about 20m after receiving routine 1 yr shots(MMR, Varivax, Hep a), in the car on the way home, baby began screaming , arching, grabbing at her face..extrememely agitated..called office.gave benadryl and was directed to ER..en route she improved and subsequently was normal.  Mom was very frightened by the intensity of this reaction.Child had tested positive on skin tests for egg allergy ( test done becaues of eczema);no hx of rash, swelling, diff breathing.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Local reaction, Rash
Clinical narrative: Extended local reaction...5cm x 10cm rash
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC, RV5
Symptoms: Dehydration, Diarrhoea, Vomiting
Clinical narrative: Infant developed frequent vomiting 10/21-22/08 overnight to the point of dehydration.  He also had some diarrheal stools.  He did not require IV fluids or hospitalization but responded to oral rehydration with Pedialyte.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Body temperature increased, Erythema, Feeling abnormal, Headache
Clinical narrative: Woke up during the night of 10/8 with severe arm pain/ redness, swelling and lymph node tenderness.  Felt terrible.  Not sure which vaccination it was seeing the nurse gave them to me in the same arm.  I do know the 2nd one really hurt and I asked her which one that was and she replied, I don't know. Called doctor office on 10/9 and told RN who had administered the shots how I felt and was informed to give it a day or so.  That I wa having a mild reaction.  Although I knew better. Went home and checked temp. 101.  Went to bed.  Miserable night, much worse in morning. Went to urgent care at 8:00 am on 10/10.  Much closer to work, plus they opened at 8:00 am vs. waiting another hour (9:00 AM DR. office opens then)Saw dr. and was diagnosed with cellulitis.  temp 102.2 now. Was given an injection and two scripts.  One for Keflex and another for percocet. Dr. traced armed before I left around the red/swelling area.  Told to come back if it got worse.  Head and neck were killing me at this time. Called dr. at 1:00 pm on 10/10 and told him I was worse.  He told me to wait a couple of hours to give the meds a chance to kick in.  Left work at 3:10 pm and went back to urgent care. Took one look at my arm and told me I needed to be admitted to hospital.I was admitted on 10/10/08 with severe cellulitis and was discharged on 10/15/08 after 6 days of living hell. Had needle remove some of the infection. I sure would like someone to be responsible and reimburse me for my hospital stay, loss wages and ongoing dr. visit.  Today is 10/23/08 and my arm is still not back to normal!!! unfortunatly, all I have is the shots lot number.  There is nothing else indicated on my medical records which I received after I decided NEVER to return to family dr. again.  10/31/2008 MR received for DOS 10/10-15/2008 with D/C Dx: Cellulitis and abscess of upper arm and forearm.  Coronary atherosclerosis of native coronary vessel. Unspecified hyperlipidemia.  Essential hypertension, unspecified benign or malignant.  Unspecified chronic bronchitis. Pt presented with c/o of L upper arm pain radiating into the shoulder which began immediately after vaccines.  PE (+) for LUE swelling, warmth and tenderness. ID consult reports redness and fevers in addition to above with dx: severe cellulitis. Tx with abx
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Immunisation reaction, Infection, Lymph node pain, Neck pain, Pain in extremity
Clinical narrative: Woke up during the night of 10/8 with severe arm pain/ redness, swelling and lymph node tenderness.  Felt terrible.  Not sure which vaccination it was seeing the nurse gave them to me in the same arm.  I do know the 2nd one really hurt and I asked her which one that was and she replied, I don't know. Called doctor office on 10/9 and told RN who had administered the shots how I felt and was informed to give it a day or so.  That I wa having a mild reaction.  Although I knew better. Went home and checked temp. 101.  Went to bed.  Miserable night, much worse in morning. Went to urgent care at 8:00 am on 10/10.  Much closer to work, plus they opened at 8:00 am vs. waiting another hour (9:00 AM DR. office opens then)Saw dr. and was diagnosed with cellulitis.  temp 102.2 now. Was given an injection and two scripts.  One for Keflex and another for percocet. Dr. traced armed before I left around the red/swelling area.  Told to come back if it got worse.  Head and neck were killing me at this time. Called dr. at 1:00 pm on 10/10 and told him I was worse.  He told me to wait a couple of hours to give the meds a chance to kick in.  Left work at 3:10 pm and went back to urgent care. Took one look at my arm and told me I needed to be admitted to hospital.I was admitted on 10/10/08 with severe cellulitis and was discharged on 10/15/08 after 6 days of living hell. Had needle remove some of the infection. I sure would like someone to be responsible and reimburse me for my hospital stay, loss wages and ongoing dr. visit.  Today is 10/23/08 and my arm is still not back to normal!!! unfortunatly, all I have is the shots lot number.  There is nothing else indicated on my medical records which I received after I decided NEVER to return to family dr. again.  10/31/2008 MR received for DOS 10/10-15/2008 with D/C Dx: Cellulitis and abscess of upper arm and forearm.  Coronary atherosclerosis of native coronary vessel. Unspecified hyperlipidemia.  Essential hypertension, unspecified benign or malignant.  Unspecified chronic bronchitis. Pt presented with c/o of L upper arm pain radiating into the shoulder which began immediately after vaccines.  PE (+) for LUE swelling, warmth and tenderness. ID consult reports redness and fevers in addition to above with dx: severe cellulitis. Tx with abx
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: White blood cell count increased
Clinical narrative: Woke up during the night of 10/8 with severe arm pain/ redness, swelling and lymph node tenderness.  Felt terrible.  Not sure which vaccination it was seeing the nurse gave them to me in the same arm.  I do know the 2nd one really hurt and I asked her which one that was and she replied, I don't know. Called doctor office on 10/9 and told RN who had administered the shots how I felt and was informed to give it a day or so.  That I wa having a mild reaction.  Although I knew better. Went home and checked temp. 101.  Went to bed.  Miserable night, much worse in morning. Went to urgent care at 8:00 am on 10/10.  Much closer to work, plus they opened at 8:00 am vs. waiting another hour (9:00 AM DR. office opens then)Saw dr. and was diagnosed with cellulitis.  temp 102.2 now. Was given an injection and two scripts.  One for Keflex and another for percocet. Dr. traced armed before I left around the red/swelling area.  Told to come back if it got worse.  Head and neck were killing me at this time. Called dr. at 1:00 pm on 10/10 and told him I was worse.  He told me to wait a couple of hours to give the meds a chance to kick in.  Left work at 3:10 pm and went back to urgent care. Took one look at my arm and told me I needed to be admitted to hospital.I was admitted on 10/10/08 with severe cellulitis and was discharged on 10/15/08 after 6 days of living hell. Had needle remove some of the infection. I sure would like someone to be responsible and reimburse me for my hospital stay, loss wages and ongoing dr. visit.  Today is 10/23/08 and my arm is still not back to normal!!! unfortunatly, all I have is the shots lot number.  There is nothing else indicated on my medical records which I received after I decided NEVER to return to family dr. again.  10/31/2008 MR received for DOS 10/10-15/2008 with D/C Dx: Cellulitis and abscess of upper arm and forearm.  Coronary atherosclerosis of native coronary vessel. Unspecified hyperlipidemia.  Essential hypertension, unspecified benign or malignant.  Unspecified chronic bronchitis. Pt presented with c/o of L upper arm pain radiating into the shoulder which began immediately after vaccines.  PE (+) for LUE swelling, warmth and tenderness. ID consult reports redness and fevers in addition to above with dx: severe cellulitis. Tx with abx
Age: 9.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: 6cm in diameter area of erythema and edema. Advised guardian to give benedryl.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Tremor, Vaccination complication
Clinical narrative: Mother called health dept. about child having elevated temp of 102 and uncontrollable shaking for 3-4 hours after receiving the flu shot on 10-22-08 . Took the child to the Dr. on 10-23-08 and Dr . instructed mom to not get the child the second flu shot this season since this was probably a reaction to the flu vaccine .
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Eye discharge, Pyrexia, Throat tightness
Clinical narrative: Cough, hoarseness, throat felt full, fever, eye mattering, mild wheezing.  Went to urgent care and then sent to ED where she received an SVN treatment.  Symptoms resolved by day after vaccination.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Cough, hoarseness, throat felt full, fever, eye mattering, mild wheezing.  Went to urgent care and then sent to ED where she received an SVN treatment.  Symptoms resolved by day after vaccination.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 102 1 day post vaccination.  Rash developed 2 days post vaccination started on head and progressed distally down body. Parent adminsitered Tylenol and fever resolved as of second day post vaccination. Rash still present at time of call from parent 2nd day post vaccination.
Age: 10.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site reaction, Injection site urticaria
Clinical narrative: Pt had localized uticarial reaction at site of vaccine administration in right deltoid.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received a flu immunization intramuscularly in Left arm at public flu clinic on 10/22/08.  Reports severe increased swelling, redness and pain at site, requiring cold compresses and Acetaminophen
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Grip strength decreased, Joint swelling, Pain in extremity, Sleep disorder
Clinical narrative: PATIENT STATES THAT PAIN BEGAN ON 9/25 AFTER HITTING HER THUMB.  SHE HAD PAIN IN HER RIGHT THUMB, INDEX, AND MIDDLE FINGERS. SHE ATTRIBUTED IT TO THE BUMP.  THE NEXT DAY ON 9/26 HER ENTIRE RIGHT HAND WAS PAINFUL, HER KNUCKLES WERE SWOLLEN.  ON 10/4, BOTH HER KNEES WERE SWOLLEN AND SHE WAS UNABLE TO SQUEEZE HER HANDS CLOSED. ON OCTOBER 8, SHE REPORTED IMPROVEMENT AND THERE WAS MINIMAL SWELLING.  OCTOBER 13, PATIENT STILL REPORTED TROUBLE WITH HER HANDS. sHE REPORTED PAIN MOSTLY WHEN SHE TRIES TO REST AND SHE IS NOT SLEEPING WELL. sHE FEELS THE SWELLING INCREASES WHEN SHE LIES DOWN. SHE HAS SEEN HER FMD. ON OCTOBER 16, SHE IS STILL HAVING PAIN IN BOTH HANDS AND NOT SLEEPING WELL.  HER GRIP IS GREATER IN THE RIGHT THAN THE LEFT. HER HANDS WERE NOT OBIOUSLY SWOLLEN.  ON OCTOBER 23, THE PAIN CONTINUES TO WAKE HER UP AND NOT SLEEPING WELL.
Sex: M
Vaccine: ANTH, FLUN3, HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received Anthrax vaccination on 10/04/2008 in the right deltoid area and within hours developed redness and swelling at the injection site which got worse, he did not experience any temperature elevations or drainage. He was admitted to into the hospital and was given Cipro and vancomycin.  It was not determined by the physician if this was an allergic process or an actual infection.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Convulsion
Clinical narrative: SEIZURE; TEMPERATURE OF 100.2 DEGREES F.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased
Clinical narrative: ELEVATED TEMP 101.4 DEGREES F ON 10/14/08 AND 104.5 DEGREES F ON 10/15/08.  GIVEN TYLENOL AND MOTRIN. SENT TO EMERGENCY DEPARTMENT AND THEN ADMITTED TO HOSPITAL WHERE HE REMAINS AT TIME OF REPORT. 10/31/08-records received for DOS 10/16-10/26/08-DC DX: Acute encephalopathy secondary to acute viral meningoencephalitis. Acute renal failure secondary to ischemic acute tubular necrosis which resolved once the dehydration was corrected. Hypotension with ischemic hepatitis which subsequently trended down to normal. Rhabdomyolysis. New diagnosis of Parkinson's disease. Hypernatremia secondary to dehydration. New diagnosis of right lower extremity deep vein thrombosis. Systemic inflammatory reactive syndrome secondary to hypotension, fever. Admitted with fever, decreased mentation, tachycardia, blood pressure of 56/36.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Erythema, Pain, Pruritus
Clinical narrative: PATIENT HAD FLU SHOT AROUND 12:30PM. REMOVED BANDAID AROUND 8PM AND HAD NO APPARENT PROBLEM BUT SHORTLY THEREAFTER SHE EXPERIENCED ITCHING, PAIN, AND ARM WARM TO THE TOUCH. THEN SHE HAD REDNESS, SWELLING AND CHILLS,FEVER AND WEAKNESS. SHE SAID SHE HAD A ROUGH NIGHT AND IN THE MORNING HAD A RATHER LARGE RED AND SWOLLEN AREA IN THE DELTOID REGION, AND AROUND THE ARM AND AXILLA
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: PATIENT HAD FLU SHOT AROUND 12:30PM. REMOVED BANDAID AROUND 8PM AND HAD NO APPARENT PROBLEM BUT SHORTLY THEREAFTER SHE EXPERIENCED ITCHING, PAIN, AND ARM WARM TO THE TOUCH. THEN SHE HAD REDNESS, SWELLING AND CHILLS,FEVER AND WEAKNESS. SHE SAID SHE HAD A ROUGH NIGHT AND IN THE MORNING HAD A RATHER LARGE RED AND SWOLLEN AREA IN THE DELTOID REGION, AND AROUND THE ARM AND AXILLA
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema, Pain in extremity, Skin warm
Clinical narrative: Severe edema and erythema to R deltoid; No systemic reactino; Pain to arm when raising; warmth in area of edema and errythema. Instructed caregiver to alternate warm and cold compresses; Resolved in three days
Age: 1.83
Sex: F
Vaccine: FLU3
Symptoms: Injection site urticaria
Clinical narrative: Hives around the injection site down R) leg and to her arms 24hrs after injection.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Erythema, Eye discharge, Eye swelling
Clinical narrative: 5 hours after influenza vaccine, developed dry, hacky cough. Over the next hours, bilateral eye swelling with whitish, yellow drainage, erythemia and tenderness of chest wall and nipples, chills, swelling of tongue and gums. Felt like tongue was "on fire". No SOB or wheezing. Took one Singulair tab. Sx mostly subsided over 24 hours.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Gingival swelling, Glossodynia, Musculoskeletal chest pain, Swollen tongue
Clinical narrative: 5 hours after influenza vaccine, developed dry, hacky cough. Over the next hours, bilateral eye swelling with whitish, yellow drainage, erythemia and tenderness of chest wall and nipples, chills, swelling of tongue and gums. Felt like tongue was "on fire". No SOB or wheezing. Took one Singulair tab. Sx mostly subsided over 24 hours.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pruritus
Clinical narrative: Patient developed a local reaction type 6 twenty-four hours after a SQ booster dose of the anthrax vaccine.  Erythema and swelling developed from the site of vaccination to below the elbow.  Topical steriods were used for pruritus and the swelling and erythema had resolved by 72 after onset of swelling.  No lost work days as a result of reaction.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PPV, RVX
Symptoms: Fatigue, Muscular weakness, Somnolence
Clinical narrative: Sleepiness, Muscle weakness, tiredness for 24 hours;was administered Tylenol at bedtime once
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Patient given Flumist on 10/1/08. No problems noted at time of administration. On 10/6/08 patient developed pruritic rash.  Seen in office on several occasions. Started Orapred on 10/10/08. Spoke with mother on 10/23/08 and child has urticara-free since 10/14/08.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Fatigue, Headache, Nausea
Clinical narrative: Headache,nausea,fever,chills, fatigue and severe back pain.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Headache,nausea,fever,chills, fatigue and severe back pain.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Diplopia, Electrocardiogram normal, Hypersensitivity, Palpitations
Clinical narrative: Employee received influenza vaccination in the dept she was assigned.  She stated that "within approx. one hour" she felt a sudden onset of "heart racing" and "blurred & double vision".Her co-workers put her in a wheelchair, took her BP (152/98) and took her to the ER.  She was admitted & treated for allergic reaction to flu vaccination. Treatment: chest xray = normal; EKG = normal sinus rhythm.  Medications given to her were: Decadron 10mg IM; Benadryl 25mg PO x 1; Zantac 150mg PO x1; Ativan 1 mg PO x1. She was discharged @ approx. 4:30PM with prescriptions for Prednisone 20mg (to take 3 /day x 5 days); Xanax 0.25 mg (1 -2 q 8hrs for anxiety); & Bendaryl OTC.