chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pain, Pain
Clinical narrative: Pain at Tdap site starting 1 day after done and progressed to generalized aching in a few hours. Unable to reach pt since.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Cerebral atrophy
Clinical narrative: Child passed away 10/18/06. Patient was chronically ill with pontocerebellar atrophy, had shortened life expectancy 1/11/07 Received medical records from hospital which reveal patient admitted 10/13/06 secondary to cardiopulmonary arrest.  Apparently had been in usual state of health & was riding in car w/parent when suddenly became pale with circumoral cyanosis & stopped breathing.  Parent initiated rescue breathing & called EMS who then initiated CPR, intubated & gave epi during transport to outlying hospital before transfer to this Hospital. Made DNR & expired on 10/18/06.  PMH: undefined degenerative neurologic disorder, feeding tube, salivary gland removal.  Hx of previous arrest from respiratory secretions.  Had otitis media 10 days prior to admit tx w/antibiotics.   Birth HX: Adopted.  Normal development till 9 mos of age when lost milestones.  Currently, eyes open spontaneously, non verbal, sits only with support. unable to grasp.  Joint contractures of all extremities. LABS: MRI revealed hypoxic/ischemic event to putamen/caudate (some new), cerebral atrophy & cerebellar degenerative changes.  Trach c/s grew pan susceptible pseudomonas.  Blood & urine c/s all neg.  WBC 12.8 on admit, max of 26.8 on 10/16.  CXR showed LLL density due to atelectasis & collapse. FINAL DX:  None provided. 4/6/07 Received Death Certificate which reveals COD as upper airway obstruction; hypoxic ischemic encephalopathy; cerebral atrophy; and neuromuscular disease (unspecified).
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hypokinesia, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: On 11/28/06 i woke up around 10pm I could not move my left arm where the shot was given or my left side of my neck on 11/29/06 I went to my doctor for this problem by this time I had a knot on arm where the shot was given and my arm was red and hot, I also had a bad headache. I was off work for 2 days because I couldn't move very well and still had the headache. By 12/1/06 I returned still with some pain but am getting better.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Pain
Clinical narrative: On 11/28/06 i woke up around 10pm I could not move my left arm where the shot was given or my left side of my neck on 11/29/06 I went to my doctor for this problem by this time I had a knot on arm where the shot was given and my arm was red and hot, I also had a bad headache. I was off work for 2 days because I couldn't move very well and still had the headache. By 12/1/06 I returned still with some pain but am getting better.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Got Flu shot Mon, and Tuesday got pneumonia same arm site today 12/06 shoulder right sore hurts to move his arm, he is not got redness ore warmth to area, has been using hear advised him to use anti inflammatory Q 4-6, ice to sore area 3-4 x today with movement of arm, ability, when RX has lessened pain. Call tomorrow 12/07/06
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Asthenia, Chills, Cough, Diarrhoea
Clinical narrative: Pt here for flu shot am clinic 12/04/06. Reported cough in chest lots  of questions had not gotten flu vaccine in a long time. Prior to vaccine lots of counseling PC from Rt 12/06/06 5:20 pt states 5pm 12/04/06 vomiting several times, chills, weak, stomach upset bloating, diarrhea, chills, headache, muscle aches, miserable, drinking only water. No anti inflammation, referred to medical provider if conditions worsens, fluids tums, anti inflammatory hard hygiene till I talk with her tomorrow, her relative to call if help needed. Tired 12/07/06 3pm better headache tired but tolerated soup, fluids today.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Malaise, Myalgia, Stomach discomfort
Clinical narrative: Pt here for flu shot am clinic 12/04/06. Reported cough in chest lots  of questions had not gotten flu vaccine in a long time. Prior to vaccine lots of counseling PC from Rt 12/06/06 5:20 pt states 5pm 12/04/06 vomiting several times, chills, weak, stomach upset bloating, diarrhea, chills, headache, muscle aches, miserable, drinking only water. No anti inflammation, referred to medical provider if conditions worsens, fluids tums, anti inflammatory hard hygiene till I talk with her tomorrow, her relative to call if help needed. Tired 12/07/06 3pm better headache tired but tolerated soup, fluids today.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Pt here for flu shot am clinic 12/04/06. Reported cough in chest lots  of questions had not gotten flu vaccine in a long time. Prior to vaccine lots of counseling PC from Rt 12/06/06 5:20 pt states 5pm 12/04/06 vomiting several times, chills, weak, stomach upset bloating, diarrhea, chills, headache, muscle aches, miserable, drinking only water. No anti inflammation, referred to medical provider if conditions worsens, fluids tums, anti inflammatory hard hygiene till I talk with her tomorrow, her relative to call if help needed. Tired 12/07/06 3pm better headache tired but tolerated soup, fluids today.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, PNC, VARZOS
Symptoms: Headache, Injection site erythema, Injection site oedema, Pyrexia, Viral infection
Clinical narrative: Administered Zostavax for varicella on 11/15/06, 11/16/06 site of vaccine red and swollen then went down, 11/22/06 low grade fever, headache, Chicken pox broke out 11/24/06, back and under arms back of knees.
Age: 1.01
Sex: F
Vaccine: FLU3, PNC, VARZOS
Symptoms: Abnormal behaviour, Body temperature increased, Decreased appetite, Headache, Insomnia
Clinical narrative: Mis administered Zostavax for varicella on 11/15/06 11/22/06 alerted parent, He stated child had no fever, no problems to date 11/23/06 sleeping trouble, fever, headache, wanted to be carried wasn't eating like normal. 6/17/10 This is in follow-up to report(s) previously submitted on 12/14/2006. Information has been received from a registered nurse concerning a 12 month old female who on 15-NOV-2006 was vaccinated SC with a 0.5 mL first dose of varicella-zoster virus vaccine live (Merck) (lot # 652946/1012P) instead of a dose of MMR II (Merck upgrade process). Concomitant vaccination on the same day included an IM first dose on the right thich of FLUZONE (lot # U2175HA) and an IM fourth dose in the right thigh of PREVNAR (lot # B08682E). There was no illness at the time of vaccination. It was noted that there was no product confusion. No medical attention was sought. Additional information was received from the administering nurse who reported that there was no confusion with the packaging. They kept MMR II and varicella-zoster virus vaccine live (Merck) in the freezer together with an intranasal flu vaccine. Occasionally, the flu vaccine would fall onto the other small vaccine boxes. They took the top lid off the boxes so they could easily get to the vials of vaccine. At some point, the boxes got tipped over and someone put the vaccine into the wrong box. The reporter looke for MMR II  in the purple box and grabbed the vial, not realizing that the lid was the wrong color. Essentially, someone put the vaccine in the wrong box and he did not catch it. He realized a week later that the wrong vaccine was given. Additional information has been received from the administering nurse wh on reported that according to the parent, from 23-NOV-2006 to 30-NOV-2006, the patient had a low grade fever, difficulty sleeping, wanted to be held and was not eating normally. After seven days she was back to normal, recovered and doing well. Additional information is not expected.
Age: 1.01
Sex: F
Vaccine: FLU3, PNC, VARZOS
Symptoms: Pyrexia, Wrong drug administered
Clinical narrative: Mis administered Zostavax for varicella on 11/15/06 11/22/06 alerted parent, He stated child had no fever, no problems to date 11/23/06 sleeping trouble, fever, headache, wanted to be carried wasn't eating like normal. 6/17/10 This is in follow-up to report(s) previously submitted on 12/14/2006. Information has been received from a registered nurse concerning a 12 month old female who on 15-NOV-2006 was vaccinated SC with a 0.5 mL first dose of varicella-zoster virus vaccine live (Merck) (lot # 652946/1012P) instead of a dose of MMR II (Merck upgrade process). Concomitant vaccination on the same day included an IM first dose on the right thich of FLUZONE (lot # U2175HA) and an IM fourth dose in the right thigh of PREVNAR (lot # B08682E). There was no illness at the time of vaccination. It was noted that there was no product confusion. No medical attention was sought. Additional information was received from the administering nurse who reported that there was no confusion with the packaging. They kept MMR II and varicella-zoster virus vaccine live (Merck) in the freezer together with an intranasal flu vaccine. Occasionally, the flu vaccine would fall onto the other small vaccine boxes. They took the top lid off the boxes so they could easily get to the vials of vaccine. At some point, the boxes got tipped over and someone put the vaccine into the wrong box. The reporter looke for MMR II  in the purple box and grabbed the vial, not realizing that the lid was the wrong color. Essentially, someone put the vaccine in the wrong box and he did not catch it. He realized a week later that the wrong vaccine was given. Additional information has been received from the administering nurse wh on reported that according to the parent, from 23-NOV-2006 to 30-NOV-2006, the patient had a low grade fever, difficulty sleeping, wanted to be held and was not eating normally. After seven days she was back to normal, recovered and doing well. Additional information is not expected.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC, VARZOS, DTAPHEPBIP, HEPA, HIBV, PNC, VARZOS
Symptoms: Headache, Vomiting, Wrong drug administered
Clinical narrative: Mis-administered Zostavax for Varicella 11/15/06. 11/22/06 Alerted parent- no reaction at this time.11/23/06  Headache and throwing up, fine after that.
Age: 2.0
Sex: M
Vaccine: BCG
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 104.7 on 11-15-06 rash on chest.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HEPA, MMRV
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left leg upper thigh red, raised, hot are with very defined border.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Red and swollen area.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 12/5/06 Patient received routine vaccines including DTaP IM, left deltoid and MMRV SQ left upper arm SQ. Received IPV, Influenza and Hep A in right arm. Approximately 2pm, 12/7/06 mother noted inflamed, swollen left upper arm. reported to pediatrician and PHN arranged appointment with pediatrician who saw at 10 am 12/7/06. Report from pediatrician indicates left arm 4 cm circumference larger than right, too redness, swelling and pruritic. Treating with chewable Benadryl TID, prn itching.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, MMRV
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Vaccines given on 12-06-06. Rash noted on 12-10-06 red blotchy, spreading all over body.
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Lymphangitis
Clinical narrative: Cellulitis and secondary lymphangitis and 1 cm tender axillary lymph nodes. Vaccine site revealed major type reaction. concurrent wound right hand between 3rd and 4th digit. Treated with Levaquin.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 32.0
Sex: F
Vaccine: FLU3, JEV, MNQ
Symptoms: Pruritus, Tremor
Clinical narrative: On 11-26 7 days after JE vaccine patient stood began to feel like this was really bad used handrail for support. Then had 10 seconds shaking both extremities. Patient awake/aware but unable to stop. Post itch state. No treatment given.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Medication error
Clinical narrative: Rotateq vaccine dose #1 given at age 17 weeks. As per manufacturer dose #1 not to be given after 12 weeks of age.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness all around site of injection about 4" X 9" in size. Puffy gradually reduced in size, but lasted approximately 9 days altogether. (Still reddish)
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Abasia, Asthenia, Chest pain, Dyspnoea
Clinical narrative: Initial report received on 08 December 2002 from a consumer, the patient's step father. A 19 year old male patient received Menactra (lot number not reported) approximately at the beginning of December 2006. On 08 December 2006, approximately one week post vaccination, the patient woke up in the morning with chest pain, difficulty breathing and weakness. He could not walk, was taken to ER and hospitalized. At the time of this report, 08 December 2006, the patient had not recovered. Concomitant vaccines and treatment were not reported. Seen in ER 12/8/06-DX:bronchitis, pharyngitis.
Age: 79.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chronic lymphocytic leukaemia, Lymphadenopathy, Lymphocyte count increased, No reaction on previous exposure to drug, Splenomegaly
Clinical narrative: Information has been received from a physician concerning a 79 year old male with unspecified chronic heart disorder and reportedly had well tolerated previous vaccinations who on 27 Oct 2006 was vaccinated intramuscularly in the right upper arm with Pneumococcal 23v polysaccharide vaccine (lot 654243/0049F and Batch ND58630) and was concomitantly vaccinated with secondary suspect therapy Influsplit (lot not reported), intramuscularly in the left arm. three to four days post vaccination the patient experienced enlarged lymph nodes in the right axilla and an enlarged spleen that was enlarged (14 centimeters) in length. At the time of the report it was not reported if the patient recovered. Follow up information has been received. Further investigations revealed that the patient has chronic lymphatic leukaemia. leukocyte count was 63100, among them 77% lymphocytes. The reporter considered that there was no causal link between the event and Pneumococcal 23v polysaccharide vaccine. Upon internal review, chronic lymphatic leukaemia was considered to be an other important medical event (OMIC). No additional information is available. The case was closed. Other business partner numbers included E200605692. Annual followup 01/4/2010 Pt diagnosed with chronic lymphatic leukemia. The reporter considered that there was no causal link between the eent and the pneumovax.
Age: 79.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: White blood cell count increased
Clinical narrative: Information has been received from a physician concerning a 79 year old male with unspecified chronic heart disorder and reportedly had well tolerated previous vaccinations who on 27 Oct 2006 was vaccinated intramuscularly in the right upper arm with Pneumococcal 23v polysaccharide vaccine (lot 654243/0049F and Batch ND58630) and was concomitantly vaccinated with secondary suspect therapy Influsplit (lot not reported), intramuscularly in the left arm. three to four days post vaccination the patient experienced enlarged lymph nodes in the right axilla and an enlarged spleen that was enlarged (14 centimeters) in length. At the time of the report it was not reported if the patient recovered. Follow up information has been received. Further investigations revealed that the patient has chronic lymphatic leukaemia. leukocyte count was 63100, among them 77% lymphocytes. The reporter considered that there was no causal link between the event and Pneumococcal 23v polysaccharide vaccine. Upon internal review, chronic lymphatic leukaemia was considered to be an other important medical event (OMIC). No additional information is available. The case was closed. Other business partner numbers included E200605692. Annual followup 01/4/2010 Pt diagnosed with chronic lymphatic leukemia. The reporter considered that there was no causal link between the eent and the pneumovax.
Age: 16.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Abscess, Bacterial infection, Chills, Hyperhidrosis, Pyrexia
Clinical narrative: On 11/17 pt began having fevers which continued for 2 weeks with sweating and chills. Patient diagnosed with MSSA bacteremia and later found to have a large left hemipelvic abscess. 03/12/07-records received from facility for DOS 12/8-12/20/16-DC DX: Methicillin sensitive staphylococcus aureus bacteremia. Multiloculated left hemi pelvic abscess. Left sacroiliac septic arthritis and extension into spinal canal. Osteomyelitis. Sustained a laceration on his left shin from a desk on 11/13/06. Shortly after, he began to experience mild left lumbar pain that was attributed to muscle strain from basketball practice. Received vaccines on 11/16/06. Developed fever which persisted and pain progressed to include right shoulder and migrated to his left. REceived vaccines in right and left deltoid. Left elbow hot and myalgias grew to encompass his entire body, fevers contined for 2 weeks with maximum temperature 102 at home along with sweating and chills. Nausea, vomiting and diarrhea for 1 week. Postiive localized left groin pain time 1. Lost 23 pounds.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Abnormally sore arm, low-grade fever for two days, silver dollar sized red mark (slightly raised: hot) about 1/2" below injection site. Flu shot on Monday, fever on Tuesday and Wednesday.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Became dizzy about 10-15 minutes after her received the flu vaccine, came to University Health Services. Vital signs P72, R20, B/P 134/84.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain, erythema, heat at vaccine site (left deltoid) 24 hours after peaked at approximately 48 hours. Started on oral Septra better (improving not gone) at 72 hours.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Fatigue
Clinical narrative: 2:00 PM 12/6/06 returned to clinic approximately 3 hours after injection. Complain of SOB, dizziness and fatigability, temperature 98.9, blood pressure 131/104, Pulse 76, Rate 24. Treatment- Bedrest and O2 mask and 10 minutes. PMD doctor notified. Patient declined to hospital seen by doctor 12/7/06. He said "I'm fine".
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Convulsion, Hypersensitivity, Pallor, Tremor
Clinical narrative: 12/4/06 14 year old female received flu vaccine within 2 min patient starts to seize which lasted approximately 1.5-2 min and then throws herself on her Mom and collapsed.  EpiPen 0.3 mg given right leg IM.  ER notified.  Patient transferred to ER via wheelchair.  12/15/06 Received ER records from hospital which reveal patient began to shake & turned pale within 5 min of flu vax shot.  Admin Epi Pen w/good results but patient felt weak & vision turned black prior to epi.  Taken to ER for observation for 4 hours.  Patient d/c to home on steroids, benadryl & given epi pen for prn use.  Referred for allergy testing. Final Dx: possible allergic reaction to flu shot.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Visual disturbance
Clinical narrative: 12/4/06 14 year old female received flu vaccine within 2 min patient starts to seize which lasted approximately 1.5-2 min and then throws herself on her Mom and collapsed.  EpiPen 0.3 mg given right leg IM.  ER notified.  Patient transferred to ER via wheelchair.  12/15/06 Received ER records from hospital which reveal patient began to shake & turned pale within 5 min of flu vax shot.  Admin Epi Pen w/good results but patient felt weak & vision turned black prior to epi.  Taken to ER for observation for 4 hours.  Patient d/c to home on steroids, benadryl & given epi pen for prn use.  Referred for allergy testing. Final Dx: possible allergic reaction to flu shot.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash over right deltoid area, intense, deep itching interfering with sleep.  Follow-up - symptoms resolved 3/20/07.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site warmth, Pain, Swelling
Clinical narrative: Received vaccine 12/12/06. On 12/13/06 became red/warm/swollen/painful. Saw in office on 12/14/06. Red area measured 2 1/2 x 4 cm.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.  Follow-up - None - No adverse Rxw - adult vaccine given to child.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None. No adverse event adult vaccine given to child.
Age: 52.0
Sex: M
Vaccine: DT, FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Patient reported instant burning sensation and pain. Arm (right deltoid) became red, warm to touch, knot at injection site at size of quarter.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Erythema, Injection site induration
Clinical narrative: Right interior thigh erythematous and indurated to 12 X 15 cm.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site induration, Injection site warmth
Clinical narrative: 10 cm x 11 cm red, warm induration, left lateral thigh.
Age: 1.41
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: Mother states child cried, ran fever of 101-102.0 did not like to move legs, cried when touched for 4 days.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Back pain, Dermatitis bullous, Rash
Clinical narrative: Herpes Zoster Varivax given 12-5-06 (Patient had mild varicella Jan 1998- age 2). Complain of back pain 12/8, rash 12/9/06. Seen in office 12-14-06 with 2 patches of drying vesicular lesions left lower back.
Age: 0.39
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site abscess
Clinical narrative: Staph abscess and fistula formation at site of injections on right thigh after 4 month vaccines (as below) were given. Patient required surgery 9/30/05. Patient had similar reaction to left thigh when 2 month shots were given at another facility.
Sex: F
Vaccine: UNK, FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Patient in office of PCP 12/11/06 in ER 12/10/06 and walk in care clinic with numbness. Referred to facility reported diagnose Guillain Barre. Per information received from annual follow recipeint has 0 impairment per treating doctor-work comp doctor. Claimant may be litigating-against manufactuer due to alleged unknown issues.
Sex: F
Vaccine: UNK, FLU3
Symptoms: Dizziness, Swelling
Clinical narrative: Patient in office of PCP 12/11/06 in ER 12/10/06 and walk in care clinic with numbness. Referred to facility reported diagnose Guillain Barre. Per information received from annual follow recipeint has 0 impairment per treating doctor-work comp doctor. Claimant may be litigating-against manufactuer due to alleged unknown issues.
Age: 32.0
Sex: F
Vaccine: MMRV
Symptoms: Pruritus, Rash, Tenderness
Clinical narrative: Patient was vaccinated on 12/5/6.  She noticed rash on back of upper left arm on 12/8.  Prior to 12/8 she was aware of tenderness and itching in the same area.
Age: 63.0
Sex: M
Vaccine: DTAP, FLU3, PPV, VARZOS
Symptoms: Chills, Malaise, Pain, Pyrexia, Swelling
Clinical narrative: Local tissue pain and swelling.  Several days of chill, fever and generalized pain and malaise.
Age: 85.0
Sex: F
Vaccine: YF
Symptoms: Cardiac failure, Cardiac failure congestive, Dyspnoea, Fatigue, Hepatic enzyme abnormal
Clinical narrative: Received YF vaccine on 12/9/06. On 12/13/06 felt tired and said she didn't feel well. On 12/14/06, had respiratory arrest and was intubated in Hospital. Is being admitted to ICU. Currently has fever of 102. No labs results available yet. DOS 12/14-12/23/06- Admitted with severe shortness of breath. PMH: Hypertension Prior history of hospitalization for respiratory failure intubated and later extubated after left hip open reduction and internal fixation followed by cardiac arrest.  Complete heart block followed by permanent pacemaker 7/06. Hospital course:intubated on mechanical ventilator Possibility of drug reaction from yellow fever vaccination but it seems unlikely. Elevated liver function tests, likely due to shock liver secondary to heart failure. Vaccine probably triggered heart failure. Temp on admission 101.4. Extubated on 12/7/06. 01/04/07-DC Summary received and reviewed for DOS 12/14-12/23/06 DC DX: Congestive Heart Failure Respiratory failure requiring mechanical ventilation Cardiomyopathy with ejection fraction of 25% Severe aortic stenosis Moderate mitral regurgitation Elevated liver enzymes, likely secondary to shock liver, now resolved. Negative hepatitis profile as well as ultrasound of liver History of biventricular pacemaker placed Hypothyroidism on Synthroid supplement Candida urinary tract infection.
Age: 85.0
Sex: F
Vaccine: YF
Symptoms: Hypertension, Hypothyroidism, Hypoxia, Laboratory test abnormal, Malaise
Clinical narrative: Received YF vaccine on 12/9/06. On 12/13/06 felt tired and said she didn't feel well. On 12/14/06, had respiratory arrest and was intubated in Hospital. Is being admitted to ICU. Currently has fever of 102. No labs results available yet. DOS 12/14-12/23/06- Admitted with severe shortness of breath. PMH: Hypertension Prior history of hospitalization for respiratory failure intubated and later extubated after left hip open reduction and internal fixation followed by cardiac arrest.  Complete heart block followed by permanent pacemaker 7/06. Hospital course:intubated on mechanical ventilator Possibility of drug reaction from yellow fever vaccination but it seems unlikely. Elevated liver function tests, likely due to shock liver secondary to heart failure. Vaccine probably triggered heart failure. Temp on admission 101.4. Extubated on 12/7/06. 01/04/07-DC Summary received and reviewed for DOS 12/14-12/23/06 DC DX: Congestive Heart Failure Respiratory failure requiring mechanical ventilation Cardiomyopathy with ejection fraction of 25% Severe aortic stenosis Moderate mitral regurgitation Elevated liver enzymes, likely secondary to shock liver, now resolved. Negative hepatitis profile as well as ultrasound of liver History of biventricular pacemaker placed Hypothyroidism on Synthroid supplement Candida urinary tract infection.
Age: 85.0
Sex: F
Vaccine: YF
Symptoms: Pulmonary oedema, Pyrexia, Respiratory failure, Urinary tract infection
Clinical narrative: Received YF vaccine on 12/9/06. On 12/13/06 felt tired and said she didn't feel well. On 12/14/06, had respiratory arrest and was intubated in Hospital. Is being admitted to ICU. Currently has fever of 102. No labs results available yet. DOS 12/14-12/23/06- Admitted with severe shortness of breath. PMH: Hypertension Prior history of hospitalization for respiratory failure intubated and later extubated after left hip open reduction and internal fixation followed by cardiac arrest.  Complete heart block followed by permanent pacemaker 7/06. Hospital course:intubated on mechanical ventilator Possibility of drug reaction from yellow fever vaccination but it seems unlikely. Elevated liver function tests, likely due to shock liver secondary to heart failure. Vaccine probably triggered heart failure. Temp on admission 101.4. Extubated on 12/7/06. 01/04/07-DC Summary received and reviewed for DOS 12/14-12/23/06 DC DX: Congestive Heart Failure Respiratory failure requiring mechanical ventilation Cardiomyopathy with ejection fraction of 25% Severe aortic stenosis Moderate mitral regurgitation Elevated liver enzymes, likely secondary to shock liver, now resolved. Negative hepatitis profile as well as ultrasound of liver History of biventricular pacemaker placed Hypothyroidism on Synthroid supplement Candida urinary tract infection.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pruritus, Swelling, Swelling face
Clinical narrative: 5 hrs after vaccine given, onset sx of itching eyes, mouth swelling, sore throat. presented to ER following AM w/ sx of headache and facial swelling. tx in  ER with benadryl 50 mg po and decadron 4 mg po and was discharged with decadron 4 mg.
Age: 44.0
Sex: F
Vaccine: FLU3, HEPAB, TYP
Symptoms: Blood glucose decreased, Cognitive disorder, Disorientation, Dizziness, Encephalopathy
Clinical narrative: 9/20/05-Received TD vaccine (lot #U1597AA) 10/3/05-Received vaccines listed in box 14 below.  10/4/05-Dizziness lasting 24 hours. 11/7/05-Received vaccines listed in box 13 below. 11/8/05-Dizziness, hallucinations and disorientation lasting for 24 hours. She was seen by PMD and endocrinologist who suggested this was probably due to low blood sugar and not vaccine related.  In April or May of 2006, had a cognitive decline that was not gradual. She regressed and was unable to perform ADL's including dressing and feeding self and had mental slowing. She was evaluated at a Hospital  and in her home country. On 11-17--06 diagnositc impression was encephalopathy that affects the basal gangalion. She will be evaluated at a Clinic on Jan. of 2007. She is improved, but still not able to articulate well and appears slow to process information.  1/2/07 Received medical records from hospital which reveal patient seen in Memory & Cognitive disorders clinic on 7/18/06. HPI: indicates that symproms started 9/05 with unexplained weight loss of about 12 lbs; 10/05 a series of syncopal episodes; 1/06 allodynia, fatigue & malaise, restless leg syndrome;  The consult notes that symptoms started in 9/05 after received vax for a trip to Africa which did not occur.  Developed memory & cognitive problems with an abrupt onset in May/06 with panic type symptoms & insomnia.  Had a recent ear infection & resultant bells ringing in ears.  ALso headaches, trouble walking, weakness, shaking & dizziness.  Neuropsychological exam:  testing at another facility revealed frontal lobe dysfunction w/variable memory problems.  Testing at current hospital also revealed inconsistencies & was unable to provide a Final Dx. Patient out of country 7/19/06 & was to return to US 11 or 12/06.  Further f/u was to be done in foreign country. 1/29/07 Received medical records from Clinic which reveal patient evaluated on 1/8/07 for sudden memory loss, insult to brain & lack of equilibrium/balance since 5/06.  Records from a foreign university  where patient had been evaluated for dementia & records from 1st hospital clinic were reviewed. 1/06 patient dx by rheumatologist with reactive arthritis.  Had pain, nausea, insomnia, burning sensations of legs/feetanxiety attaches which were severe enough to cause patient to go to ER x3.  All symptoms except short term memory loss resolved.  Exam was notable for decreased visual & verbal interaction, hypophonic speech & tendency toward mask like facies.  Impaired smooth pursuits throughout but no cogwheel rigidity or resting tremor.   FINAL DX: Possible static encephalopathy secondary to YF vax. Repeat MRI requested & repeat neuropsychiatric testing to look for possible progressive cognitive inefficiencies.   Additional specialty consultation was requested.  Possible spongiform encephalitis & EEG was ordered to look for rhythmic discharges.
Age: 44.0
Sex: F
Vaccine: FLU3, HEPAB, TYP
Symptoms: Hallucination
Clinical narrative: 9/20/05-Received TD vaccine (lot #U1597AA) 10/3/05-Received vaccines listed in box 14 below.  10/4/05-Dizziness lasting 24 hours. 11/7/05-Received vaccines listed in box 13 below. 11/8/05-Dizziness, hallucinations and disorientation lasting for 24 hours. She was seen by PMD and endocrinologist who suggested this was probably due to low blood sugar and not vaccine related.  In April or May of 2006, had a cognitive decline that was not gradual. She regressed and was unable to perform ADL's including dressing and feeding self and had mental slowing. She was evaluated at a Hospital  and in her home country. On 11-17--06 diagnositc impression was encephalopathy that affects the basal gangalion. She will be evaluated at a Clinic on Jan. of 2007. She is improved, but still not able to articulate well and appears slow to process information.  1/2/07 Received medical records from hospital which reveal patient seen in Memory & Cognitive disorders clinic on 7/18/06. HPI: indicates that symproms started 9/05 with unexplained weight loss of about 12 lbs; 10/05 a series of syncopal episodes; 1/06 allodynia, fatigue & malaise, restless leg syndrome;  The consult notes that symptoms started in 9/05 after received vax for a trip to Africa which did not occur.  Developed memory & cognitive problems with an abrupt onset in May/06 with panic type symptoms & insomnia.  Had a recent ear infection & resultant bells ringing in ears.  ALso headaches, trouble walking, weakness, shaking & dizziness.  Neuropsychological exam:  testing at another facility revealed frontal lobe dysfunction w/variable memory problems.  Testing at current hospital also revealed inconsistencies & was unable to provide a Final Dx. Patient out of country 7/19/06 & was to return to US 11 or 12/06.  Further f/u was to be done in foreign country. 1/29/07 Received medical records from Clinic which reveal patient evaluated on 1/8/07 for sudden memory loss, insult to brain & lack of equilibrium/balance since 5/06.  Records from a foreign university  where patient had been evaluated for dementia & records from 1st hospital clinic were reviewed. 1/06 patient dx by rheumatologist with reactive arthritis.  Had pain, nausea, insomnia, burning sensations of legs/feetanxiety attaches which were severe enough to cause patient to go to ER x3.  All symptoms except short term memory loss resolved.  Exam was notable for decreased visual & verbal interaction, hypophonic speech & tendency toward mask like facies.  Impaired smooth pursuits throughout but no cogwheel rigidity or resting tremor.   FINAL DX: Possible static encephalopathy secondary to YF vax. Repeat MRI requested & repeat neuropsychiatric testing to look for possible progressive cognitive inefficiencies.   Additional specialty consultation was requested.  Possible spongiform encephalitis & EEG was ordered to look for rhythmic discharges.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: The second dose of Adult Hepatitis B was administered on 11/28/2006.  Patient developed rash on abdomen and legs beginning 11/29/2006.  The rash was red 1-2 mm flat rash, diffuse.  No specific configuration mid abdomen and both legs, most prominent near ankles, spreading in upward fashion.  Patient initially given Prednisone 20 mgm, 3qdx3;1qdx3.  Also Loratadine  10 mgm i po BID prn itching.  This all occurred on 12/01/2006 with office visit and medication being ordered.  Patient initially doing better, then phoned office on 12/06/2006 to report that she began increased itching the night  before and the "red spots" became more raised.  The nurse practioner spoke with the Medical Director and he advised to keep total daily dose of prednisone at 60 mgm (patient had gradually decreased dosage).  On 12/07/2006 patient felt the red spots were improving and fading and no new spots have been noted by patient.  On 12/08/2006 patient reports rash resolving distal areas more pronounced near lower abd prox thighs.  To continue prednison 20 mgm i po BID for 10 days.  Patient seen on 12/12/2006 by Medical Director---a sed rate and CBC were drawn and sent to local hospital lab.  The rash is improving but continues to come and go.  Patient was referred to a specialist in Dermatology for consult however patient is uncertain about money for the visit as she has no health insurance. Patient given phone number for physician to schedule her appointment.
Age: 1.24
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Oedema peripheral, Paraesthesia, Pruritus, Rash
Clinical narrative: Rash and itching on arms within two hours of vaccine.  Itching on legs within 12 hours.  Itching on palms of hands and soles of feet within 24 hours.  Swelling of hands and feet within three days of vaccine. Numbness and tingling of hands, legs and feet within four days.  Numbness has subsided but still some tingling right away in the morning and still some swelling of hands and feet.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Back pain, Decreased appetite, Myalgia
Clinical narrative: This 64 year old retired military family member received her yearly IM influenza vaccine on 19 October 2006. She reported being in "good and stable" health despite numerous medical conditions being able to function independently working 6 hours a day as a FNP at a health center. She would walk @ 2 times a week 3-4 blocks slowly due to requiring home oxygen use.Over the next few weeks her muscular aches worsened from a 1-2/10 onset to 2-3/10 without resolution. By the third week post vaccination her discomfort was now 5-6/10 with "increasing pains to all joints". She self adjusted her Relafen to 2 tablets twice a day for one week. She described this pain as a dull to spastic-sharp zap that was most searing to her lower back ... specifically the "right SI joint and sacral area". Over the Thanksgiving holiday her pain progressed to where she could not cook and was limited to sitting in a chair watching family events she use to participate in. She returned to work stating she "hurt" but it was not depilating".  By Tuesday 11/30/06 she complained of "being run over by a mack truck" with "searing pain all over her body...especially her back".  She saw MD December 1, 2006 for multiple myalgia/arthralgia and now new onset of right upper quadrant pain with decreasing appetite due to the pain.  He diagnosed her with arthralgia with normal labs ("3 WBC in us, neg culture, BS 140, H1AC 8.9, RUQ ultrasound wnl with chronic fatty liver").  She was placed on titrating Prednisone 60 mg decreasing 5 mg/day and Vicodin for pain.  She was re-evaluated by MD on 11 December 2006 where she reported being better but still in pain.  She can now ambulate @ 15 minutes before hurting and is receiving physical therapy TID.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, CSF test abnormal, Chest discomfort, Dyspnoea, Guillain-Barre syndrome
Clinical narrative: 11/5/06 Tingling in hands, leg weakness, arm grip weakness, back pain, leg pain, chest discomfort with shortness of breath, facial numbness.  Hx of Chronic Obstructive Pulmonary disease Hx thyroid takes synthroid Vital Capacity decreased and intubated and later required tracheostomy.Pt is currently in rehab. facility Pt also was noted to have a cerebrospinal fluid Lyme antibody positive and placed on Rocephin 2 gm IV q 24hr x 3wks. 12/21/06-records received and reviewed for DOS 11/7/06-12/2/06 DC DX: Guillan Barre syndrome respiratory failure requiring intubation secondary to Guilland Barre syndrome status post tracheostomy leukopenia secondary to Neurontin positive cerebrospinal fluid for Lyme serology Panic disorder chronic back pain history of old tobacco usage history of chronic obstructive pulmonary disease.  MRI of head: multiple sulci with increased flare and T2 signal throughout the pervitricular white matter which was nonspecific.  MRS: showed no significant stenosis, aneurysmal dilation or vascular malformation. LP: protein: 106.5, IgG was 15.8 Trach placed after extubation. TX: IV immunoglubulin G. Noted increasing strength of her lower extremities.  CSF: lume antibody reactive  CSF cultures: negative, all other cultures negative ANA >5 WBC 2.9.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoxia, Laboratory test abnormal, Leukopenia, Muscular weakness
Clinical narrative: 11/5/06 Tingling in hands, leg weakness, arm grip weakness, back pain, leg pain, chest discomfort with shortness of breath, facial numbness.  Hx of Chronic Obstructive Pulmonary disease Hx thyroid takes synthroid Vital Capacity decreased and intubated and later required tracheostomy.Pt is currently in rehab. facility Pt also was noted to have a cerebrospinal fluid Lyme antibody positive and placed on Rocephin 2 gm IV q 24hr x 3wks. 12/21/06-records received and reviewed for DOS 11/7/06-12/2/06 DC DX: Guillan Barre syndrome respiratory failure requiring intubation secondary to Guilland Barre syndrome status post tracheostomy leukopenia secondary to Neurontin positive cerebrospinal fluid for Lyme serology Panic disorder chronic back pain history of old tobacco usage history of chronic obstructive pulmonary disease.  MRI of head: multiple sulci with increased flare and T2 signal throughout the pervitricular white matter which was nonspecific.  MRS: showed no significant stenosis, aneurysmal dilation or vascular malformation. LP: protein: 106.5, IgG was 15.8 Trach placed after extubation. TX: IV immunoglubulin G. Noted increasing strength of her lower extremities.  CSF: lume antibody reactive  CSF cultures: negative, all other cultures negative ANA >5 WBC 2.9.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Panic reaction, Paraesthesia, Respiratory failure
Clinical narrative: 11/5/06 Tingling in hands, leg weakness, arm grip weakness, back pain, leg pain, chest discomfort with shortness of breath, facial numbness.  Hx of Chronic Obstructive Pulmonary disease Hx thyroid takes synthroid Vital Capacity decreased and intubated and later required tracheostomy.Pt is currently in rehab. facility Pt also was noted to have a cerebrospinal fluid Lyme antibody positive and placed on Rocephin 2 gm IV q 24hr x 3wks. 12/21/06-records received and reviewed for DOS 11/7/06-12/2/06 DC DX: Guillan Barre syndrome respiratory failure requiring intubation secondary to Guilland Barre syndrome status post tracheostomy leukopenia secondary to Neurontin positive cerebrospinal fluid for Lyme serology Panic disorder chronic back pain history of old tobacco usage history of chronic obstructive pulmonary disease.  MRI of head: multiple sulci with increased flare and T2 signal throughout the pervitricular white matter which was nonspecific.  MRS: showed no significant stenosis, aneurysmal dilation or vascular malformation. LP: protein: 106.5, IgG was 15.8 Trach placed after extubation. TX: IV immunoglubulin G. Noted increasing strength of her lower extremities.  CSF: lume antibody reactive  CSF cultures: negative, all other cultures negative ANA >5 WBC 2.9.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Vaccine given 11/10/06.  Within 12 hours, pt. was in severe pain at the site of the injection (upper rt. arm).  The pain was intense, at a 9/10 level on a 10-pt. scale.  The pain would decrease to a 5/6 level off and on.  This continued for 3 weeks, with no relief from prescriptions for Vicodin nor Ultram. Please note:  I do not know the name of the flu vaccine I received, so the "guess" in box 13 may well be incorrect. As the weeks continued, the pain progressed from the upper rt. arm to the rt. shoulder, across the back, up the neck, and into the left shoulder.  Pain continued varying from 5/6 to 9/10 with no discernable pattern or causation. Now in the fifth week, the pain has diminished to a consistent level 4/5.  I (the pt.) am taking up to 1800 mg. Ibuprofen daily. There never was any outward sign of trauma, no redness, swelling, hives, etc.  An MRI (rt. arm) produced 3 1/2 wks. after the injection was negative. Neither my family physician nor my neurologist could determine any cause other than the apparent vaccine.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Condition aggravated, Eczema
Clinical narrative: Outbreak of Eczema on Arms, legs, torso. Although this is not life threatening, it is something that I have not experienced for 40 years.   Not sure if it is side-effect or a coincidence. Thought you would be interested in knowing this  information for your records.
Age: 9.0
Sex: F
Vaccine: FLU3, HEP, IPV
Symptoms: Dizziness, Headache
Clinical narrative: TWENTY MINUTES AFTER RECEIVING IMMUNIZATIONS WAS TAKEN FROM CLASSROOM TO THE SCHOOL NURSE COMPLAINING OF A LITTLE HEADACHE AND DIZZINESS. BP=100/58. NO SHORTNESS OF BREATH OR DIAPHORESIS.HAD PATIENT LYING DOWN ON TABLE IN THE NURSE'S OFFICE. STATED SHE FELT A LITTLE BETTER. GIVEN WATER AND MOTHER CALLED. MOTHER CAME AND TOOK DAUGHTER HOME. PATIENT DENIES ANY BAD SYMPTOMS AFTER GETTING THE SHOTS BUT FELT BAD TWENTY MINUTES LATER AND REPORTED IT TO HER TEACHER.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Chills, Cough, Malaise
Clinical narrative: 12-07-06 Woke up with a painful soar throat, very hoarse, could hardly speak, general feeling of malaise, joints achey, no energy 12-08-06 Major joint pain, fever, chills, no energy - I could not go to work 12-09-06 Major joint pain, fever, no energy, bad head cold that would not get better with the cold/sinus otc medication that I would normally use 12-10-06 Joint pain, fever, deep cough has began, head cold has lessoned, no energy 12-11-06 Joint pain, slight fever, went to work, only stayed an hour because of general malaise, joint pain, and deep, painful cough, no energy.  Coughing will not get better with otc medication.  I made an appointment to see my primary care physician.  12-12-06 missed another day of work. deep, painful cough, joint pain, general malaise,no energy, doctor diagnosis is asthmatic bronchitis and I had a fever.  I began taking antibiotic. 12-13-06 Missed another day of work.  deep, painful cough, joint pain, general malaise, no energy. 12-14-06 Missed another day or work. persistent, deep, painful cough, joint pain, no energy.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Nasopharyngitis, Pharyngolaryngeal pain, Pyrexia, Speech disorder
Clinical narrative: 12-07-06 Woke up with a painful soar throat, very hoarse, could hardly speak, general feeling of malaise, joints achey, no energy 12-08-06 Major joint pain, fever, chills, no energy - I could not go to work 12-09-06 Major joint pain, fever, no energy, bad head cold that would not get better with the cold/sinus otc medication that I would normally use 12-10-06 Joint pain, fever, deep cough has began, head cold has lessoned, no energy 12-11-06 Joint pain, slight fever, went to work, only stayed an hour because of general malaise, joint pain, and deep, painful cough, no energy.  Coughing will not get better with otc medication.  I made an appointment to see my primary care physician.  12-12-06 missed another day of work. deep, painful cough, joint pain, general malaise,no energy, doctor diagnosis is asthmatic bronchitis and I had a fever.  I began taking antibiotic. 12-13-06 Missed another day of work.  deep, painful cough, joint pain, general malaise, no energy. 12-14-06 Missed another day or work. persistent, deep, painful cough, joint pain, no energy.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: within 2 days of injection, patient developed a large area of erythema and tenderness extending from shoulder to fleural crease of the elbow. Patient needed admission and iv clindamycin. She had fever to 102.6 at the time of admission. she remained in the hospital for almost 48 hours. 12/27/06- records received and reviewed for DOS 12/7-12/8/06 DC DX:cellulitis  right arm swollen red. temp 39
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Dyspnoea, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: by 4pm he had "excruciating" pain in the arm from site of inj. to elbow, sl. erythema, no swelling, afebrile. pain was constant, sharp,  >10 on pain scale. pain then radiated across shoulder to mid-chest and mid-back on the left side. experienced shortness of breath when lying supine. slept in lounger. couldn't raise arm until about 48 hours later. developed a bruise of 2"x6" at inj. site. took tylenol for the pain over the weekend. site is still discolored, reddish/purple.