chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Herpes zoster
Clinical narrative: Initial report received on 07 March 2007 from other manufacturer (under the reference number 1-101246764).  The report was initially reported by a consumer.  A female patient received on 25 October 2006 an unspecified flu shot (manufacturer unknown, lot number not reported) and woke up the next day and had shingles.  She believed the flu shot caused her to get shingles.  No additional information was provided.  Follow-up information received from the patient on 16 April 2007.  The patient (who had a history of diabetes and congestive heart failure) developed shingles the next day, after receiving Fluzone (lot number U2188AA) in the right deltoid and pneumococcal vaccine Merck (lot number 0391F) in the left deltoid on 25 October 2006 at 4:30PM.  She was put on Valtrex, triamcinolone and calamine lotion.  She had bacteria pneumonia - 08 February 2006 and was hospitalized for 8 days.  At the time of the vaccinations, she reported that she had a cold.  She had received an influenza vaccine over 5 years before and received the pneumococcal vaccine in 1995.  In December 2006, she had a "virus" and was prescribed Robitussin DM for cough and Sudafed.  As of 2 January 2007, she did not have any blisters.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Initial report received on 16 January 2007 from the patient. A 49-year-old female patient, with a history of fibromyalgia, osteoporosis and past "reaction to flu vaccine lasting 24 hours" (date of vaccination not reported), had received a dose of FLUZONE SV '2006-'2007 USP on 01 December 2006. The lot number, route and site of administration was not reported. Five minutes after receiving the Fluzone vaccine, the patient was in her care and began having knife-like pain in her chest lasting for five minutes. The patient returned to the doctors office where she was treated with Nexium. Further treatments and diagnostic tests performed were not reported. The patient had last received a flu vaccination in 1998. Information regarding that vaccination was not provided. At the time of this report, the patient was still having "little tinges" of pain in her chest.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain
Clinical narrative: Initial report received on 16 January 2007 from the patient. A 49-year-old female patient, with a history of fibromyalgia, osteoporosis and past "reaction to flu vaccine lasting 24 hours" (date of vaccination not reported), had received a dose of FLUZONE SV '2006-'2007 USP on 01 December 2006. The lot number, route and site of administration was not reported. Five minutes after receiving the Fluzone vaccine, the patient was in her care and began having knife-like pain in her chest lasting for five minutes. The patient returned to the doctors office where she was treated with Nexium. Further treatments and diagnostic tests performed were not reported. The patient had last received a flu vaccination in 1998. Information regarding that vaccination was not provided. At the time of this report, the patient was still having "little tinges" of pain in her chest.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
Clinical narrative: Information has been received from a Registered Nurse (R.N.) and a physician (the patient's mother) concerning an 18 year old female patient who on 15-MAR-2007 was vaccinated with a first dose of Gardasil.  One or two days after the injection, the patient developed leg, ankle and knee pain.  Unspecified medical attention was sought.  The patient's outcome was unknown.  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Information has been received from a Registered Nurse (R.N.) and a physician (the patient's mother) concerning an 18 year old female patient who on 15-MAR-2007 was vaccinated with a first dose of Gardasil.  One or two days after the injection, the patient developed leg, ankle and knee pain.  Unspecified medical attention was sought.  The patient's outcome was unknown.  Additional information has been requested.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chills, Injected limb mobility decreased, Injection site pain, Pain, Pyrexia
Clinical narrative: Initial report received on 05 October 2006 from the patient.  A 62-year-old female had received a right deltoid injection of Fluzone SV, lot number not reported; and a right deltoid injection of Pneumovax, manufacturer Merck, lot number not reported; on 04 October 2006. Five to six hours later, she developed fever and waves of pain.  The site of the "waves of pain" was not specified.  Per the reporter, she still had muscle pains and aches and plans to see a physician.  At the time of this report, recovery status was reported as unknown.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Initial report received on 05 October 2006 from the patient.  A 62-year-old female had received a right deltoid injection of Fluzone SV, lot number not reported; and a right deltoid injection of Pneumovax, manufacturer Merck, lot number not reported; on 04 October 2006. Five to six hours later, she developed fever and waves of pain.  The site of the "waves of pain" was not specified.  Per the reporter, she still had muscle pains and aches and plans to see a physician.  At the time of this report, recovery status was reported as unknown.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Abdominal pain upper, Convulsion, Headache
Clinical narrative: Nausea, stomach ache, put head on lap, lasted 2-3 minutes then was OK (hx retrospective-unaware of this at the time).
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Abdominal pain upper, Nausea
Clinical narrative: Nausea, stomach ache, put head on lap, lasted 2-3 minutes then was OK (hx retrospective-unaware of this at the time).
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eye swelling, Rash pruritic, Streptococcal identification test negative
Clinical narrative: Information has been received concerning a 10 year old female who on 02-Oct-2007 was vaccinated intramuscularly with HPV rL1 6 11 16 18 VLP vaccine (yeast).  Concomitant therapy included omeprazole (Prilosec) and esomeprazole magnesium (Nexium).  On 03-Oct-2007 the patient developed a facial rash.  The patient's facial rash persisted and has gotten worse since 03-Oct-2007.  Patient sought unspecified medical attention at the physician's office.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash
Clinical narrative: Information has been received concerning a 10 year old female who on 02-Oct-2007 was vaccinated intramuscularly with HPV rL1 6 11 16 18 VLP vaccine (yeast).  Concomitant therapy included omeprazole (Prilosec) and esomeprazole magnesium (Nexium).  On 03-Oct-2007 the patient developed a facial rash.  The patient's facial rash persisted and has gotten worse since 03-Oct-2007.  Patient sought unspecified medical attention at the physician's office.  Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral
Clinical narrative: Information has been received from a pharmacist concerning a 48 year old female patient with no medical history or allergies who on 30-OCT-2007, was vaccinated IM into the left arm with a first 0.5ml dose of Pneumovax 23 (Lot# 658074/0803U). There was no concomitant therapy. The day of the vaccination, the patient experienced minor swelling and the patient was unable to move her arm due to pain. On 31-OCT-2007, the patient went to the clinic and was treated with sulfamethoxazole (+) trimethoprim (BACTRIM) and acetaminophen (+) propoxyphene napsylate (DARVOCET) for the pain. Subsequently, the patient had fully recovered. No product quality complaint was involved. Severe arm pain, unable to move her arm and minor swelling were considered to be disabling. This is one of 4 reports from the same source. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a pharmacist concerning a 48 year old female patient with no medical history or allergies who on 30-OCT-2007, was vaccinated IM into the left arm with a first 0.5ml dose of Pneumovax 23 (Lot# 658074/0803U). There was no concomitant therapy. The day of the vaccination, the patient experienced minor swelling and the patient was unable to move her arm due to pain. On 31-OCT-2007, the patient went to the clinic and was treated with sulfamethoxazole (+) trimethoprim (BACTRIM) and acetaminophen (+) propoxyphene napsylate (DARVOCET) for the pain. Subsequently, the patient had fully recovered. No product quality complaint was involved. Severe arm pain, unable to move her arm and minor swelling were considered to be disabling. This is one of 4 reports from the same source. Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Information has been received from a pharmacist concerning a 56 year old female patient with no medical history or allergies who on 30-OCT-2007 was vaccinated IM into the left deltoid with a first .5ml dose of Pneumovax 23 (Lot# 658074/0803U). There was no concomitant medication. Approximately 4 hours after the administration, the patient experienced severe arm pain extending from the injection site to the elbow. Approximately 8 hours after the vaccination, the patient developed a 12 inch radius rash that extended down the patient's arm, to her back and chest. The patient also experienced difficulty moving the affected arm which has caused significant disability. On 31-OCT-2007, the patient went to the clinic and received diphenhydramine hydrochloride (BENADRYL) and ibuprofen (MOTRIN) for the events. The next day the patient received hydroxyzine hydrochloride (ATARAX) and methylprednisolone (MEDROL) dose pack. The final diagnosis was reported as allergic reaction. Laboratory diagnostic studies were not performed. At the time of this report, the patient had recovered but her arm had a bruised feeling but no bruise was present. No product quality complaint was involved. The reporter considered the events to be related to Pneumovax 23 vaccine. Severe arm pain, allergic reaction, difficulty moving affected arm and rash were considered to be disabling. This is one of 4 reports from the same source. Additional information is not expected.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Hypersensitivity, Injected limb mobility decreased, Injection site pain, Pain in extremity, Rash
Clinical narrative: Information has been received from a pharmacist concerning a 56 year old female patient with no medical history or allergies who on 30-OCT-2007 was vaccinated IM into the left deltoid with a first .5ml dose of Pneumovax 23 (Lot# 658074/0803U). There was no concomitant medication. Approximately 4 hours after the administration, the patient experienced severe arm pain extending from the injection site to the elbow. Approximately 8 hours after the vaccination, the patient developed a 12 inch radius rash that extended down the patient's arm, to her back and chest. The patient also experienced difficulty moving the affected arm which has caused significant disability. On 31-OCT-2007, the patient went to the clinic and received diphenhydramine hydrochloride (BENADRYL) and ibuprofen (MOTRIN) for the events. The next day the patient received hydroxyzine hydrochloride (ATARAX) and methylprednisolone (MEDROL) dose pack. The final diagnosis was reported as allergic reaction. Laboratory diagnostic studies were not performed. At the time of this report, the patient had recovered but her arm had a bruised feeling but no bruise was present. No product quality complaint was involved. The reporter considered the events to be related to Pneumovax 23 vaccine. Severe arm pain, allergic reaction, difficulty moving affected arm and rash were considered to be disabling. This is one of 4 reports from the same source. Additional information is not expected.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Dizziness, Dyspnoea, Pyrexia
Clinical narrative: Dizziness, chills, shortness of breath and chest pain, fever of 102 degrees. Benadryl was given as treatment.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Information has been received from a pharmacist concerning a patient who was vaccinated with a dose of Pneumovax 23. Within a few hours after the administration, the patient experienced severe arm pain extending from the injection site to the elbow. The patient also experienced difficulty moving the affected arm which has caused significant disability. Unspecified medical attention was sought. It is unknown if laboratory diagnostic studies were performed. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. This is one of 4 reports from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Information has been received from a pharmacist concerning a patient who was vaccinated with a dose of Pneumovax 23. Within a few hours after the administration, the patient experienced severe arm pain extending from the injection site to the elbow. The patient also experienced difficulty moving the affected arm which has caused significant disability. The patient was examined in their physician's office and was prescribed an unspecified pain medication. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. This is one of 4 reports from the same source. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician's assistant concerning a 17 year old female who, on an unspecified date, was vaccinated with Gardasil. Three weeks after the vaccination, the patient experienced a miscarriage. The patient was not known to be pregnant at the time the vaccine was administered. The patient was examined in a local emergency room, but no details are available. The patient was examined in the office as follow-up, but no details were provided. Upon internal review, miscarriage was determined to be an other important medical event. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLUX, HIBV, PNC, RV5
Symptoms: Allergy test negative, Culture stool negative, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 6 month old male with no pertinent medical history or drug allergies who on 30-OCT-2007 was vaccinated PO with his third 2.0 ml dose of Rotateq. Concomitant vaccinations administered on that same day included a dose of PedvaxHib (manufacturer unknown), a dose of (PREVNAR), a dose of (PEDIARIX) and a dose of influenza virus vaccine (unspecified). On 01-NOV-2007 the patient experienced blood in the stool which was still occurring at the time of the report. The patient was seen by the physician and the following labs and diagnostic studies were performed: Clostridium difficile, rotavirus, salmonella, and shigella and allergy testing for egg, soy and milk. The patient was not recovered. There was no product quality complaint. Upon internal review, blood in the stool was determined to be an other important medical event. Follow-up information has been received from a physician indicating that the patient's lab diagnostic studies performed: Clostridium difficile, salmonella, shigella, rotavirus, egg, soy and milk allergy testing were all negative. The patient was not diagnosed with intussusception. The physician also noted the patient recovered. Additional information has been requested.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose decreased
Clinical narrative: Initial report received on 02 November 2007 from a health care professional. A 60-year-old male patient had received an injection of Fluzone SV, lot number unknown, route and site of administration unknown, on 02 November 2007 at 10:00 am. Approximately 90 minutes post-vaccination, the patient was admitted to the hospital with a glucose of 22. The patient had reportedly exercised that morning and not eaten breakfast. He was admitted for 24 hours, his glucose level was stabilized, and he was discharged. The patient had a past history of unknown allergies. He had a family history but no personal history of diabetes. Illness at the time of vaccination and other medications were unknown. Recovery status was not reported.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Bronchitis, Cough, Dyspnoea, Oxygen supplementation, Wheezing
Clinical narrative: Initial report received from a patient on 01 November 2007. A 72-year-old female with history of allergies to multiple medications had received a dose of flu vaccine (trade name, manufacturer, lot number, route/site of administration not reported). The symptoms progressed until the patient was hospitalized for two weeks on oxygen and breathing treatments. The patient indicated that they were unable to find the cause, but she also reported being that it was probably due to bronchitis No additional information had been provided at the time of this report. The reporter of this case is the same as for case 2007-03697, which involves increasing difficulty breathing, wheezing and cough experienced by the same patient following receipt of Fluzone SV 2007-2008, lot number unknown.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram, Cough, Dyspnoea
Clinical narrative: Initial report received from a patient on 01 November 2007. A 73-year-old female with history of allergies to multiple medications had received a left deltoid injection of Fluzone SV 2007-2008 (lot number and route of administration unknown) on 17 October 2007. Soon after (exact date not reported), the patient experienced difficulty breathing that worsened over the next two weeks. The patient also had wheezing and a cough. On 28 October 2007, the patient went to the emergency room where results were normal for a chest x-ray, EKG, CT scan and blood work. The patient was discharged from the emergency room and was subsequently seen by her physician who ordered prednisone. At the time of the report, the patient indicated that she was still very short of breath with coughing and wheezing, but also stated that it was improving. The patient reported having the same symptoms last year after receiving a flu vaccine (unknown brand) at the same location. The patient was scheduled to follow-up with her physician on 05 November 2007. The reporter of this case is the same as for case 2007-03698, which involves difficulty breathing, cough and wheezing experienced by the same patient last year following receipt of a flu vaccine (unknown brand).
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram normal, Vaccine positive rechallenge, Wheezing
Clinical narrative: Initial report received from a patient on 01 November 2007. A 73-year-old female with history of allergies to multiple medications had received a left deltoid injection of Fluzone SV 2007-2008 (lot number and route of administration unknown) on 17 October 2007. Soon after (exact date not reported), the patient experienced difficulty breathing that worsened over the next two weeks. The patient also had wheezing and a cough. On 28 October 2007, the patient went to the emergency room where results were normal for a chest x-ray, EKG, CT scan and blood work. The patient was discharged from the emergency room and was subsequently seen by her physician who ordered prednisone. At the time of the report, the patient indicated that she was still very short of breath with coughing and wheezing, but also stated that it was improving. The patient reported having the same symptoms last year after receiving a flu vaccine (unknown brand) at the same location. The patient was scheduled to follow-up with her physician on 05 November 2007. The reporter of this case is the same as for case 2007-03698, which involves difficulty breathing, cough and wheezing experienced by the same patient last year following receipt of a flu vaccine (unknown brand).
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Heart rate increased, Hypotension, Incorrect route of drug administration, Urticaria
Clinical narrative: Initial report received on 31 October 2007 from a physician. A female patient (date of birth and age not provided), who denied any concurrent illnesses, and who had past medical history of hypertension and hypercholesterolemia that was being tested with Altace, antihypertensives, and Lipitor, had received a subcutaneous right deltoid dose of FLUZONE SV 2007-2008 (lot number U2491AA) on 18 October 2007. Subcutaneous injections of Fluzone SV 2007-2008 is not a recommended route of administration by the manufacturer. The following day after receiving the vaccination, the patient developed generalized hives, hypotension (blood pressure 90/50, and increased heart rate of 140 beats per minute. The patient did not seek medical attention until the following day (20 October 2007) when she was evaluated by a physician in the office and treated with steroids and then taken to the emergency room. The patient was treated with Benadryl and Epinephrine in the emergency room. A complete blood count was normal. The patient was released the same day on oral steroids. At the time of this report, the patient had recovered.
Sex: M
Vaccine: HEP
Symptoms: Alanine aminotransferase increased
Clinical narrative: elevated SGPT level after having two hepatitis B vaccine.  no symptoms. labs drawn for other reasons
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Injection site erythema, Injection site pruritus, Throat irritation
Clinical narrative: GIVEN A FLU SHOT ON 10/09/07, FOLLOWED BY REDNESS AND ITCHING AT THE INJECTION SITE, SCRATCHY THROAT AND WHILE IN TRIAGE PATIENT BECAME A LITTLE LIGHTHEADED.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Chest discomfort
Clinical narrative: PT FELT CHEST DISCOMFORT DAY AFTER IMMUNIZATIONS WERE GIVEN AND PERSISTED FOR 10 DAYS, AT WHICH POINT THE PT WENT TO ER TO BE CHECKED OUT. NO ABNORMALITIES WERE NOTED UPON EXAMINATION. AND PAIN MEDICATION WAS PERSCRIBED. PT STILL HAS TIGHTENING IN CHEST.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt had 4 cm red, warm ,raised at injection site rt deltoid site.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Accidental overdose, Inappropriate schedule of drug administration, Medication error
Clinical narrative: patient received influenza vaccine at clinic held at his day treatment program on 11/09/07, he had already recieved the influenza vaccine.  Thus he received vaccination twice.
Age: 27.0
Sex: M
Vaccine: RV5
Symptoms: Accidental exposure
Clinical narrative: Father of patient was holding child who had just received an oral dose of Rotateq. The child coughed and fluid from his mouth made contact with the father's eye. Unsure if fluid was just saliva or vaccine. Eye flushed at eye wash station. Father did not have any complaints of pain or burining in the eye. Father showed copy of package insert and denies allergy to any ingredients listed. Call placed to Merck. Spoke with physician who recommended observation for now. Most likely will not contract rotavirus as it requires oral transmission and Dad has probably had the virus at some time in the past. Could have local reaction at site of splash. Needs to observe for irritation, swelling, eye pain, visual changes. If any concerning sx, needs to seek medical care. This information relayed to father. Informed that we would be doing a VAERS report. Dad verbalized understanding.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Body temperature increased, Gastritis, Vaccination complication
Clinical narrative: Patient complained about stomach cramps 6 hours after she received the flumist dose.  Stomach cramps continued throughout the evening and she developed a temperature of 105 degrees F.  Friday morning, Nov. 9th, her pediatrician instructed them to go to the Emergency Room.  The patient was seen and diagnosis with gastritis from the flumist.  She was placed on a liquid diet.  She still has mild stomach cramps to this day.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Skin warm, Wheezing
Clinical narrative: Varivax given and redness and swelling @ site since vaccine. 2 to 3cm warm to touch. Shortness of breath 11/13/2007. Posite for wheezing. 11/14/07 given albuterol, benadryl and predisone.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle twitching, Myalgia
Clinical narrative: Shot was given very high near shoulder, have had pain in muscle from shot site down to elbow, and have noticed a twitch in my left index finger that began approx. 1 week after shot to current.  Called my physician and was told to take ibuprofen for pain.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Electroencephalogram normal, Headache, Lumbar puncture abnormal, Musculoskeletal stiffness
Clinical narrative: Headache, Photophobia, Neck Stiffness Beginning 3 days after vaccine seizure, 10 days after vaccine 4/7/08-records received for DOS 10/27-11/03/07-DC DX: Questional aseptic menignitis vs encephalitis. New onset of left bundle branch block. Seen in ED after being found unresponsive at home. Feeling unwell, tired and weak, headache and tinnitus. Woke up screaming and found with eyes folled back, not responding. Seizures observed with jerking movements. Status epilepticus in ED, intubated. Wide complex tachycardia. Temperature increase to 102.9.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain normal, Photophobia
Clinical narrative: Headache, Photophobia, Neck Stiffness Beginning 3 days after vaccine seizure, 10 days after vaccine 4/7/08-records received for DOS 10/27-11/03/07-DC DX: Questional aseptic menignitis vs encephalitis. New onset of left bundle branch block. Seen in ED after being found unresponsive at home. Feeling unwell, tired and weak, headache and tinnitus. Woke up screaming and found with eyes folled back, not responding. Seizures observed with jerking movements. Status epilepticus in ED, intubated. Wide complex tachycardia. Temperature increase to 102.9.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Guillain-Barre syndrome, Pancreatitis
Clinical narrative: Admitted with Guillain Barre and pancreatitis
Age: 0.4
Sex: F
Vaccine: PNC, RV5
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Full blood count normal
Clinical narrative: Mother states that after shots/vaccines administered she took the baby to day care, fed the baby, and then left work. Then, within 1 hour, received call that baby was having a seizure - mom took baby to MD listed above.  12/21/07 Reviewed vax record which confirms lot #s as reported. Reviewed hospital medical records which reveal patient experienced runny nose & low grade fever on 10/30/07 day of vax.  Patient had apparent seizure while at daycare later in morning of 10/30/07 w/blank staring spell & inability to respond to stimuli then started shaking violently.  Alert after shaking stopped.  No further seizure activity noted.  Taken to pcp who sent to ER.  Very sleepy in pcp office & in ER. Admitted 10/30-10/31/2007. FINAL DX: no d/c summary available.  Epilepsy.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Blood test, Chest discomfort, Diarrhoea, Dysarthria
Clinical narrative: Awoke from nap 3 hours after vaccination with headache, fever, bloodshot eyes, diarrhea x  once, chest tightness, swollen tongue, throat tightness, slurred speech, expressive aphasia. Admitted for TIA workup. All tests normal. Neurology workup inconclusive. Symptoms completely resolved. Fetus unaffected. Fever 99.8F 12/12/07-records received for DOS 11/1-/07-Admitted with mental status changes and episode of slurred speech, headache. Resolved by arrival at hospital.   PE WNL. Denied numbness and weakness. Felt tired that morning. Neuro consult felt speech difficulty due to swollen tongue. C/O throat tightness.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Echocardiogram, Electrocardiogram normal, Headache, Ocular hyperaemia, Pyrexia
Clinical narrative: Awoke from nap 3 hours after vaccination with headache, fever, bloodshot eyes, diarrhea x  once, chest tightness, swollen tongue, throat tightness, slurred speech, expressive aphasia. Admitted for TIA workup. All tests normal. Neurology workup inconclusive. Symptoms completely resolved. Fetus unaffected. Fever 99.8F 12/12/07-records received for DOS 11/1-/07-Admitted with mental status changes and episode of slurred speech, headache. Resolved by arrival at hospital.   PE WNL. Denied numbness and weakness. Felt tired that morning. Neuro consult felt speech difficulty due to swollen tongue. C/O throat tightness.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Scan brain, Swollen tongue, Throat tightness, Ultrasound Doppler
Clinical narrative: Awoke from nap 3 hours after vaccination with headache, fever, bloodshot eyes, diarrhea x  once, chest tightness, swollen tongue, throat tightness, slurred speech, expressive aphasia. Admitted for TIA workup. All tests normal. Neurology workup inconclusive. Symptoms completely resolved. Fetus unaffected. Fever 99.8F 12/12/07-records received for DOS 11/1-/07-Admitted with mental status changes and episode of slurred speech, headache. Resolved by arrival at hospital.   PE WNL. Denied numbness and weakness. Felt tired that morning. Neuro consult felt speech difficulty due to swollen tongue. C/O throat tightness.
Age: 69.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Rash
Clinical narrative: Patient requested and received a flu & zostavax R vaccines on 10/29/2007.  On 11/12/2007 he went to his primary care physician for painless rashes that have started on 11/9/2007.
Age: 14.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Blood pressure, Dizziness, Vision blurred
Clinical narrative: After vaccines pt c/o feeling dizzy & blurry vision.
Age: 2.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh red and swollen.
Age: 41.0
Sex: F
Vaccine: FLUN3
Symptoms: Chills, Fatigue, Myalgia, Pyrexia, Rash macular
Clinical narrative: Rcied FluMist about 11am 11/2.  At 4am on 11/3 2 sudden onset rigors & fever, muscle aches/fatigue & extreme high fevers 103+ in spite of Advil.  Tamiflu began about 3pm & symptoms reduced by about 1/2.  Rash also developed in morning on 11/3 (macular & transient).  Rash spread on 11/5 on extremities, myalgias, increased Medrol Dose Pak & Claritin began. Symptoms slowly improved over next couple days.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site swelling, Pain in extremity
Clinical narrative: Per parent reaction to shot on back of right arm-red streak, swollen, whole arm sore.  Improved since Saturday 11/10/07.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Gingival pain, Irritable bowel syndrome, Lip swelling, Pharyngolaryngeal pain
Clinical narrative: I wish to report a reaction to the flu shot administered around 2:00 p.m. on October 29--something much worse than just feeling like I have caught a cold.  I was at Bell Choir practice (7:00-8:00 p.m. on Monday) and my throat became excruciatingly sore--like a burning furnace.  A cough drop was of no help at all; however by the next morning my throat felt back to normal.  I tried to talk to my daughter and granddaughter on the way home and couldn't get more than two words out and then gagging.  This continued all the way home--some 15-20 miles.  I didn't try talking and the problem disappeared by the next morning.  My mouth became exceedingly dry and my lips swelled.  The inside of my lower lip still feels "spongy" and the gums continue to hurt when I brush my teeth--especially the lower teeth.  This has not disappeared.  (I had a thorough dental exam and teeth cleaning on October 4 and there were no problems then).
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Retching, Throat irritation
Clinical narrative: I wish to report a reaction to the flu shot administered around 2:00 p.m. on October 29--something much worse than just feeling like I have caught a cold.  I was at Bell Choir practice (7:00-8:00 p.m. on Monday) and my throat became excruciatingly sore--like a burning furnace.  A cough drop was of no help at all; however by the next morning my throat felt back to normal.  I tried to talk to my daughter and granddaughter on the way home and couldn't get more than two words out and then gagging.  This continued all the way home--some 15-20 miles.  I didn't try talking and the problem disappeared by the next morning.  My mouth became exceedingly dry and my lips swelled.  The inside of my lower lip still feels "spongy" and the gums continue to hurt when I brush my teeth--especially the lower teeth.  This has not disappeared.  (I had a thorough dental exam and teeth cleaning on October 4 and there were no problems then).
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Received both vaccines in right deltoid (unable to use left deltoid due to lymphedema) on Monday, 11/5/07.  Evening of 11/5 had chills and fever.  Tuesday, 11/6 noted redness on arm approximately 3"x5" and edema.  Had pain and unable to use arm.  Saw doctor on 11/7 and gave Prednisone Taper.  Arm continued to improve with redness, edema and pain.  Has returned to normal activity.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dysphonia, Nasopharyngitis, Ocular hyperaemia
Clinical narrative: 11-8-07 - Shot given at 250 pm; finished work - home by 515 pm, Horse voice, chest tight, mucus, Eyes Red, musucsey, cold, chills, runny nose, Sinus congest slept on n off. Went to work; came home after one hr - Slept - Eyes red - better by 630 ish pm.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Sinus congestion, Sleep disorder
Clinical narrative: 11-8-07 - Shot given at 250 pm; finished work - home by 515 pm, Horse voice, chest tight, mucus, Eyes Red, musucsey, cold, chills, runny nose, Sinus congest slept on n off. Went to work; came home after one hr - Slept - Eyes red - better by 630 ish pm.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Aphasia, Hemiparesis, Influenza like illness, Pharyngitis
Clinical narrative: Pt seen by PMD 10/9/07.  Dx with sinusitis & pharyngitis, flu like symptoms.  Then present to ER x3 on consecutive days 10/15/07, 10/16/07 & 10/17/07.  Pt was told she had Guillain Barre syndrome, never hospitalized.  Pt reported unable to walk, talk.  Then resolved by 11/17/07 but L sided weakness recurred.  11/16/07 Hospital ER records reviewed which reveal patient experienced intermittently a line showing up on left side of face from left eye to left corner of mouth.  Neuro & psych consults done at outlying hospital & was d/c.  Neuro consult repeated & was found to be WNL.  Recommended observation admit & formal psych evaluation but refused.  D/C to home & outpatient psychiatric f/u. FINAL ER Diagnosis: Bipolar disordr; & conversion reaction. 1/15/08 Reviewed ER medical records which reveal patient experienced 4 days of progressive weakness, body aches, tingling, numbness, difficulty moving extremities, sudden loss of speech when seen 10/15/07 after transfer from outlying ER.  Neuro consult done & found reflexes intact, speech intact & able to move all extremities.  Observed & d/c to home. FINAL DX: weakness. Returned to ER 10/16/07 w/confusion, left arm numbness, unable to walk.  Exam revealed DTRs intact & would speak only to husband.  Attempted to obtain psych consult but patient angry & left. FINAL DX: psychogenic dx.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Sinusitis
Clinical narrative: Pt seen by PMD 10/9/07.  Dx with sinusitis & pharyngitis, flu like symptoms.  Then present to ER x3 on consecutive days 10/15/07, 10/16/07 & 10/17/07.  Pt was told she had Guillain Barre syndrome, never hospitalized.  Pt reported unable to walk, talk.  Then resolved by 11/17/07 but L sided weakness recurred.  11/16/07 Hospital ER records reviewed which reveal patient experienced intermittently a line showing up on left side of face from left eye to left corner of mouth.  Neuro & psych consults done at outlying hospital & was d/c.  Neuro consult repeated & was found to be WNL.  Recommended observation admit & formal psych evaluation but refused.  D/C to home & outpatient psychiatric f/u. FINAL ER Diagnosis: Bipolar disordr; & conversion reaction. 1/15/08 Reviewed ER medical records which reveal patient experienced 4 days of progressive weakness, body aches, tingling, numbness, difficulty moving extremities, sudden loss of speech when seen 10/15/07 after transfer from outlying ER.  Neuro consult done & found reflexes intact, speech intact & able to move all extremities.  Observed & d/c to home. FINAL DX: weakness. Returned to ER 10/16/07 w/confusion, left arm numbness, unable to walk.  Exam revealed DTRs intact & would speak only to husband.  Attempted to obtain psych consult but patient angry & left. FINAL DX: psychogenic dx.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling hot, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient noticed a hot sensation immediately after the injection at 11am on 11/08/07.  At 1pm patient noticed increasing soreness and redness at the injection site.  The pain and redness increased through the day and night.  On 11/09/07 the pain, redness and hot sensation was severe and consistent.  She started acetaminophen 1000 mg q 4hr for a total of 4 doses.  11/10/07 symptoms still present and severe.  She made a call to the pharmacist who recommended ice compresses and Tylenol.  She used these q 4hr.  On 11/11/07 symptoms improved slightly and on 11/12/07 symptoms improved & almost absent.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Patient went to e.d. at night 11/7/07 with fever and upper right arm swelling.  Told to take Benedryl and follow up in clinic in a.m.  Patient came to clinic 11/8/07, arm warm to touch from elbow to shoulder right arm.  Told to continue benedryl and if no improvement, return to clinic or go to e.d.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Given TDaP booster 11-9-07 per lot #.  Seen 11-12-07 L deltoid red, hot, tender, 5" x 3" area of firm swelling.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Given TDaP booster 11-9-07 per lot #.  Seen 11-12-07 L deltoid red, hot, tender, 5" x 3" area of firm swelling.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: 1 day after administration of tetanus, noted rash on face.  Notes worse when in sun.  P.O. benadryl as needed.  Note: no urticaria, no reaction or rash in area of vaccine.  Note: on OTC weight loss medication.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Headache, Muscular weakness, Sensory loss
Clinical narrative: Headache, dizzy, muscle weakness of lower extremities, decrease sensation of lower extremities.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: Arm felt itchy, hot, looked red.  All symptoms close to elbow, not at injection site.
Age: 3.0
Sex: F
Vaccine: HIBV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: 3yr old received Boostrix (Tdap) instead of indicated Daptacel (DTaP).  No adverse events reported.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: 3 hours of non stop crying.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Tender, firm, red area 6 cm surrounding vaccine site.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Eye pain, Headache, Migraine
Clinical narrative: 10-22-07 Pt called c/o headache with "backs of eyes hurting" that began 3 days after Tdap vaccine was administered and continues daily.  Referred for medical evaluation.  Pt evaluated at clinic.  Clinic notes have presumptive etiology: migraine headache.  Rx: Relpax 40 mg 1 tab QD prn.  Pt reported on 11-2-07 that the medication relieved the headache.  No headache x1 week, no other symptoms.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pruritus
Clinical narrative: Itching, redness.  Given Epinephrine 0.3 mg subq
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: 10-24-07 Mom phoned stating that as soon as she left the health unit her child had fever.  10-19-07, 10-20-07, 10-21-07, 10-22-07, 10-23-07-states she never took his temperature because she does not have thermometer.  Child developed welps on torso and back of neck, saw PMD.  10-23-07-Dx of urticaria, Rx for Pediaped & Benadryl.  Mom states child did not miss any school.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy test, Urticaria
Clinical narrative: Patient given flu vaccine 10/29/07 - awoke 10/30/07 with hives encompassing torso and face.  Mother to child to urgent care and was treated with benadryl and prednisone.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Bilateral rash, both arms x 12 days.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hyperhidrosis, Hypersomnia, Limb discomfort, Muscle tightness
Clinical narrative: ON MY WAY HOME FELT TIGHTNESS IN ARM AND NECK. PAIN IN RIGHT ARM LEADING TO RIGHT SIDE OF NECK - FELT LIKE PULLED MUSCLE. TOOK BENADRYL AND TYLENOL - WOKE UP WITH CHILLS THEN SWEAT - SLEPT 12 HOURS. (SOME ACHES TODAY - NECK AND ARM SORE)
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal discomfort, Pain in extremity
Clinical narrative: ON MY WAY HOME FELT TIGHTNESS IN ARM AND NECK. PAIN IN RIGHT ARM LEADING TO RIGHT SIDE OF NECK - FELT LIKE PULLED MUSCLE. TOOK BENADRYL AND TYLENOL - WOKE UP WITH CHILLS THEN SWEAT - SLEPT 12 HOURS. (SOME ACHES TODAY - NECK AND ARM SORE)
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Full body rash, itching within 20 minutes of Fluarix flu prefilled vaccine. Airway patent. No known latex or egg allergy.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Headache, Pain
Clinical narrative: 11/1/07 Flu vaccine, states eye drainage x 2 days; HA x 3 days, body aches.
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Pain
Clinical narrative: Felt achy several hours after vaccine.  In a.m., 102 temperature, took motrin 2x, H/A during daytime.  Friday a.m., felt fine.  States similar episode when she received injection last time (2 years ago).
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Tachycardia
Clinical narrative: Pt received Influenza vaccine; became diaphoretic and tachycardic about 15 min after received vaccine - Pt recovered in supine position on exam table. EMS responded transported to medical center.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Insomnia, Paraesthesia, Rash
Clinical narrative: Patient had numbness/tingling shortly after (in arm) that resolved same day. Patient developed rash at margin of bandage which eventually looked like cut that was not healing. She saw doctor on 10/18 and was prescribed Bactrim DS. she did not complete 7 day course because of insomnia. The wound did scab over and was healing as of 10/25/2007.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal rigidity, Computerised tomogram, Tremor, Ultrasound scan
Clinical narrative: Patient reported feeling shaky, experienced severe abdominal spasms the night of & the next AM following the vaccination.  She thought it might be an MI.  She went to hospital & had ultrasound, CAT scan.  She reports that her MD is not sure of the cause but thought it might have been from the vaccine.
Age: 85.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash pruritic
Clinical narrative: Approximately 1 week after the vaccine, I developed an itchy pink, raised rash on several areas of my face.  These still persist.  I have used no new facial products for many months.  There are no other areas of my body affected.  I am using castile soap for cleaning and aquaphore ointment on the areas with no change yet.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Malaise, Neck pain, Oedema peripheral, Pain in extremity
Clinical narrative: Pain, hot to touch, swelling on R deltoid and up to neck.  Ill feeling.  Seen by FNP.  Placed on Prednisone.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Pain, hot to touch, swelling on R deltoid and up to neck.  Ill feeling.  Seen by FNP.  Placed on Prednisone.
Age: 21.0
Sex: F
Vaccine: TYP, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: In evening of 11/3/07, pt noticed itching & hives on upper body & face.  No breathing or swallowing difficulty.  Seen in ER and Rx'd w/ Benadryl.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Blood glucose increased, Diabetes mellitus, Feeling hot, Heart rate increased, Malaise
Clinical narrative: Post-injection patient complained of feeling hot, ill, & that tongue was tingling & tarty.  Lying supine.  Patient is diabetic.  She had not administered her insulin dose prior to eating lunch, but she ate a normal meal.  Checked her heart rate & it was rapid at 120 bpm. Called 911 since patient kept stating feeling ill & that her tongue was tingling.  Patient then mentioned that she feels like this whenever her blood sugars are high.  Instructed patient to check blood sugar & her level was 329.  Advised her to give insulin & she did.  Her heart rate almost went down immediately to 96 bpm.  She began to feel better when emergency personnel arrived.  Her blood sugar decreased & her heart rate dropped to 80 bpm.  Patient refused emergency treatment & signed a waiver of release & did not go to hospital.  Bouts occurred around 3pm on 11-13-07.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia oral
Clinical narrative: Post-injection patient complained of feeling hot, ill, & that tongue was tingling & tarty.  Lying supine.  Patient is diabetic.  She had not administered her insulin dose prior to eating lunch, but she ate a normal meal.  Checked her heart rate & it was rapid at 120 bpm. Called 911 since patient kept stating feeling ill & that her tongue was tingling.  Patient then mentioned that she feels like this whenever her blood sugars are high.  Instructed patient to check blood sugar & her level was 329.  Advised her to give insulin & she did.  Her heart rate almost went down immediately to 96 bpm.  She began to feel better when emergency personnel arrived.  Her blood sugar decreased & her heart rate dropped to 80 bpm.  Patient refused emergency treatment & signed a waiver of release & did not go to hospital.  Bouts occurred around 3pm on 11-13-07.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received 3 doses of Hep A vaccine. No signs or symptoms or treatment needed.
Age: 1.1
Sex: F
Vaccine: HBHEPB, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Dehydration
Clinical narrative: 8 days after immunizations the child developed high temps 102.3 - 103.8 and dehydration.  He was treated at ER.  This information was disclosed to me yesterday 11-13-07.
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Dehydration, Muscle twitching, Pyrexia
Clinical narrative: Information was disclosed to me yesterday 11/13/07.  After 6 mo shots, the child developed high fever 103.5, "twitching", and dehydration.  She was treated at ER.