chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Amnesia, Attention deficit/hyperactivity disorder, Brain injury, Cardiac valve disease, Carpal tunnel syndrome
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Cervical spinal stenosis, Dependence on enabling machine or device, Disturbance in attention, Dysarthria, Dysphagia
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Fatigue, Gait disturbance, Gastrooesophageal reflux disease, Headache, Monoparesis
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Muscle atrophy, Muscular weakness, Musculoskeletal discomfort, Paralysis flaccid, Post polio syndrome
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Scoliosis, Sleep apnoea syndrome, Spinal deformity, Surgery, Tremor
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 2.0
Sex: F
Vaccine: MMR, OPV
Symptoms: Unequal limb length
Clinical narrative: I received the polio vaccine at two years old. In a two week time period I came down with the polio virus. I wore a brace and used crutches until 2005. I now use a power chair, some of the time. In August of this year, I was diagnosed with Post-Polio Syndrome. Record received from treating facility given by pt. reporter, which is a Consult for a Sleep Study. Brief medical notes received from diagnosing MD, as patient had not been seen since 1995 prior to the 08/08/2006 visit.  Initial assessment in 1995 was for post-polio syndrome.  Visit of 8/8/2006 reports increased problems of lower extremity weakness and overall fatigue.  Endurance and strength have declined. PE: DTRs are 1-2+ and even, cranial nerves intact, normal strength in upper extremities and normal sensation in the lower extremities. Left sided paresis in the quads and significant atrophy here.  Pt. has a tremor in the tongue and right upper extremity. Ritalin prescribed for fatigue. OV 10/17/2006 reveals no new significant problems. Ritalin was helpful with activity level and ability to concentrate. No other records available. At onset of Polio I became paralized in left leg.  I have had to wear a long leg brace and to walk on crutches.  I have had to have over at least fourteen seperate operations to correct muscles over- various problems in leg.  I was unable to have my two children natural.  I had to have c-sections with both children.  In 2006 the Polio virus became active once again.  I now have progressive brain damage, Post-Polio syndrome, chronic fatique, a leaky heart valve, sleep apnia, muscle atrophy, tremors in tongue and hands, acid reflux, A.D.D.  I have scoliocise from one leg being longer than the other because of Polio.  I have carpal tunnel syndrome from walking on crutches since the age of five.  All this can be verified by my Polio Doctor. The long leg brace I wear breakes all the time.  Medicade will only pay for a new brace every five years.  To verify just how often I have to get this brace fixed or maintaine.  Having Polio is a pain in the ass!   I will have to have spine surgery I may not live through.  If I pass during my spine surgery Polio will have claimed another person. Follow-up: Infantile Paralysis Poliomyelitis or Acute Flaccid Paralysis ---10/1963. Brain damage---10/1963. Progressive brain damage--6/13/06. Post-Polio Sydrome--6/13/06. Chronic Fatigue--6/13/06. Carpal Tunnel Sydrome--6/29/06.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Convulsion
Clinical narrative: Two hours after administration of FluMist vaccine child had a questionable 3 min generalized seizure. Child was evaluated by EMS, taken to ER eval and released. Sleep dep EEG and appt with neuro pending.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain, Shoulder pain
Clinical narrative: Received Flu vaccine 10-13-2006 3p left deltoid at health department, localized soreness at injection site next morning, pain started that night below injection site to elbow, pain radiated up left arm to back of neck.  Relief with heat not cold, TYLENOL at 5 no relief.  Relief with heat only, pain stayed in left arm, shoulder and neck area till 10-28-06.  Pain for 15 days.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Hypokinesia, Injection site induration, Injection site inflammation, Pain
Clinical narrative: Chills on 10/08/2006 - Followed by 102 temperature for 2 days, upper arm completely inflamed and painful to motion. Left with a hard lump, throbs and itches. Still have lump - throbbing and itching.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus, Pyrexia
Clinical narrative: Chills on 10/08/2006 - Followed by 102 temperature for 2 days, upper arm completely inflamed and painful to motion. Left with a hard lump, throbs and itches. Still have lump - throbbing and itching.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pain, Swelling
Clinical narrative: Right deltoid area swollen, red, painful, hot to touch, no drainage, no fever 11/01/2006.  Patient advised to use ice packs locally, increase water intake and observe, report changes 11/1/06, return if worse.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated. Arm swollen. Sore L arm.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: Pt had numb arm, chills, fever 101 approx 3hr after vaccine. Sore L arm, myalgias, fever 101. Painful frequent urination.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Complained of itching on the left hand above thumb 1/2 hr after Flu inj. No complaint of SOB, no CP, no dyspnea, no hives, no difficulty swallowing BP 220/100. 11:15 called squad. 11:35 Taken via ambulance to hospital. Pt states, "I am the AHS man and we are having a major conversion today. I am selling and buying a house."
Age: 1.55
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness of left arm noted on 10/22/2006 (also 23 after vaccine), diameter at 3 cm (also swelling and pain).
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Pain, Palpitations, Pyrexia
Clinical narrative: Fever, weakness, pain in body, heart palpitations, vomiting and diarrhea. Fever 100 next day worst symptoms.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Fever, weakness, pain in body, heart palpitations, vomiting and diarrhea. Fever 100 next day worst symptoms.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Joint swelling, Pain, Tremor, Trigeminal neuralgia
Clinical narrative: Flu vaccine given 10/19 left arm became sore by evening of 10/19 sore and pain on 10/20 pt spoke doctor, he told her to to use cold. Problems developed in joints by Sat swollen knee, ankles, hands, became shaky, severe weakness and shakiness. Went to ER on 10/24 continues, Dx with tic douloureux. Still has symptoms at this time.  11/28/06 Received ER medical records which reveal patient seen 10/24/06 w/complaints of several days of left arm pain which had begun & worsened after flu shot.  On 10/24, developed severe, sharp, lancinating, electrical pain in left face & jaw.  Treated w/tegretol & trileptal. Final Dx: trigeminal neuralgia.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash macular, Urticaria
Clinical narrative: 10/25/06 9:30 pm given Fluarix within 5 minutes site started to itch, arms turned blotchy within 20 minutes had hives arms, leg, chest, back.  Face red, no swelling.  No airway problems. Throat scratchy.
Age: 5.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Developed rash 10-11-06 with no known fever. 10/12/06 telephone call- no hives-doing fine, recovered (used interpreter).
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Localized swelling/redness to right bicep with itching; pain and swelling from right shoulder down to right elbow, problem started approx 8 hours after injection administered.
Age: 8.0
Sex: M
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Rash
Age: 59.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Rash
Clinical narrative: Rash on upper torso, hands, face, neck and arms. Rash on hands continue with itching.
Age: 23.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Injection site reaction, Injection site urticaria, Rash macular, Skin burning sensation
Clinical narrative: Pt received 2nd series of Hep A at 1400, At 1500 pt started to having burning at injection sit right deltoid and positive urticaria, red blotches noted on bilateral upper extremities. no sob no difficulty swallowing. Pt seen by MD who administered Benadryl 50 mg PO at 15:15. Pt observed for 30 minutes after.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: TD booster given 10/09/06. On 10/11/06 she reported red area to the side and below the injection site, was evaluated at urgent care center. Received Rocephin injection and Septra PO. On 10/16 there was no inflammation, no palpable knot, still a little sore.
Age: 35.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Unintended pregnancy
Clinical narrative: Pt received MMR on 06/28/06 and 8/15/06, pt got pregnant around 8/10/06.
Age: 35.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Pregnancy test false positive
Clinical narrative: Pt received MMR on 06/28/06 and 8/15/06, pt got pregnant around 8/10/06.
Sex: F
Vaccine: TD
Symptoms: Chest pain, Dyspnoea, Muscle spasms
Clinical narrative: After receiving a Td shot patient experienced shortness of breath and muscle spasms.  4 days after she experienced some chest pain which led her to the hospital, where she was told it was not her heart.  Patient is still experiencing chest pain and shortness of breath and her doctor sis not know what to prescribe her to help alleviate the pain.  Now she can only walk short distances as she gets out out of breath.  Follow up on 10/31/2006 and 11/01/2006: Two attempts have been made to contact the patient.  Both unsuccessful as the number is temporarily disconnected.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Hyperhidrosis, Myocardial infarction
Clinical narrative: A report was received from a healthcare professional in the USA, via a company representative on 10/26/06, concerning a 55 year old male vaccinee. The vaccinee has a significant cardiac history. No details were provided regarding the vaccinee's concomitant medications. On 10/22/06, the vaccinee was administered Fluvirin, IM. On the same day, 10/20/06, the vaccinee experienced sweating and stomach pains. He called an ambulance and was admitted to the Emergency room with Myocardial Infarction. The vaccinee is still hospitalized. The nurse does not believe the vaccinee continues to have symptoms. The nurse does not consider the symptoms to be related to the vaccine due to the vaccinee's cardiac medical history. Follow up information will be sought.
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Influenza like illness, Pain
Clinical narrative: A report was received from a health care professional in the USA on 10/20/2006 concerning a female vaccinee. No other patient identifiers or details regarding the vaccinees past medical history or concomitant medications were provided. On the 10/13/06 the vaccinee received a dose of influenza vaccine (potentially Fluvirin). Later that day, the vaccinee developed severe pain in her arm and flu-like symptoms. The pain progressed and emergency medical care was summoned. The patient was eventually placed in the intensive care unit due to blood pressure instability. Outcome of the events is not yet known. Further information is requested.
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Difficulty in walking, Feeling hot, Headache, Muscular weakness, Nausea
Clinical narrative: Mom states was fine when went to bed, 10/27, but when got up the next morning, fell to ground as muscle weakness in both legs and unable to bear weight. Slight nausea also. Legs felt very warm, but they were not red or discolored. Doctor notified and sent to ER where hospitalized for observation - woke the next morning and legs fine and able to walk fine. MR received from pediatrician revealing a healthy 12 yr old in exam dated 10/27/2006.  On the day following his Adacel/HepA vax. the child awoke unable to bear weight on his legs, and feeling nauseated. Admitted to hospital for observation. The following day he was able to bear weight without difficulty and was discharged. Hospital MR received confirming above. Admitted for LE weakness, H/A, and fever, R/O Guillian Barre.  H&P reveals a previously healthy 12 yr old with LE pain and weakness as well as fever. Symptoms completely resolved by following morning. Neurology consult doubts "correlation between this finding and immunization", although parent's instructed to inform physician of event at time of next vaccination.  Discharge Dx.: Leg weakness, Headache, fever.  No discharge summary written.
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Pyrexia
Clinical narrative: Mom states was fine when went to bed, 10/27, but when got up the next morning, fell to ground as muscle weakness in both legs and unable to bear weight. Slight nausea also. Legs felt very warm, but they were not red or discolored. Doctor notified and sent to ER where hospitalized for observation - woke the next morning and legs fine and able to walk fine. MR received from pediatrician revealing a healthy 12 yr old in exam dated 10/27/2006.  On the day following his Adacel/HepA vax. the child awoke unable to bear weight on his legs, and feeling nauseated. Admitted to hospital for observation. The following day he was able to bear weight without difficulty and was discharged. Hospital MR received confirming above. Admitted for LE weakness, H/A, and fever, R/O Guillian Barre.  H&P reveals a previously healthy 12 yr old with LE pain and weakness as well as fever. Symptoms completely resolved by following morning. Neurology consult doubts "correlation between this finding and immunization", although parent's instructed to inform physician of event at time of next vaccination.  Discharge Dx.: Leg weakness, Headache, fever.  No discharge summary written.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Hypoaesthesia, Injection site pain, Syncope
Clinical narrative: Per pt arm where Gardasil was administered felt painful then numb and then pt fainted for a few seconds.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Unevaluable event
Clinical narrative: None stated
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: 24 hours after immunizations pt developed 5x12cm local site reaction at Pneumovax site and fever up to 38.5 C.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Headache
Clinical narrative: This female subject was enrolled in the prophylactic open study. On 10/23/06, she received a dose of influenza vaccine (lot # AFLUA201A, IM, LA). On 10/23/06, about 30 minutes after the 1st dose of Fluarix, this 50 year old subject developed cardiac pain, shortness of breath, and headache and was hospitalized. The pain was intermittent. Her blood pressure was 127/77 and pulse rate 75. She was put on oxygen therapy. Chest was clear. Myocardial infarction was ruled out. The subject was on no concomitant medications. The events were unresolved at the time of reporting. The investigator considered that there was a reasonable possibility that the cardiac pain, shortness of breath and headache may have been caused by influenza vaccine and that the events were possibly due to study participation.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Leukocytosis, Pyrexia, Vaccination complication, White blood cell count increased
Clinical narrative: High fever - elevated white count.  11/27/06 Received medical records from hospital which reveal patient admitted 11/2/06 w/Dx: leukocytosis, fever & shot reaction.  Received IV & IM antibiotics./ss
Age: 46.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Rash, Rash pruritic
Clinical narrative: Vaccine administered 10/19/06 at 1pm. Rash noticed next morning 10/20/06 7am across upper chest and throat. Rash spread to back, shoulders, neck by 10/21/06. mild itch.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Cellulitis, Eye oedema, Face oedema, Injection site oedema
Clinical narrative: Arm weakness, swelling Advil, 11/01/06 lips, eyes swollen, arm pain, Advil, 11/01/06 went to emergency dept.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: Arm weakness, swelling Advil, 11/01/06 lips, eyes swollen, arm pain, Advil, 11/01/06 went to emergency dept.
Age: 1.07
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site reaction, Pyrexia, Rash vesicular
Clinical narrative: Chicken pox lesions around injection site, fever.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dyspnoea, Throat tightness, Tremor, Urticaria
Clinical narrative: Gave Pneumonia shot to pt. Within minutes, pt felt dizzy and had trouble breathing. She said throat was closing and hands were shaking. I administered one shot of Epi Pen in same arm vaccine was given. Pt had almost instant relief. Medic came and check pt. After 20 minutes they let her go home. Called back at 7pm. She broke out in hives after taking a Beta. She was going to take Benadryl. If no relief, she was going to ER.
Age: 1.04
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Given Varicella vaccine 6/15/2006, but developed Varicella 11/2/2006-mild/moderate case.  Patient doing well.  Developed disease after vaccine 4 months later.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Pain, Throat tightness
Clinical narrative: Patient received flu shot at 1330 on 11/5/2005 and within one-half hour developed left arm pain radiating to left hand. Pain progressed throughout afternooon and at approx 1700, she developed some shortness of breath and a closing sensation in her throat.  She presented to Emergency dept at 1817 and was given Benadryl 50 mg IM and Vicodin 5/500, 2 tabs, and heating pad to shoulder.  Chest symptoms and pain improved. She states she has no egg allergy and has received flu shots in the past without problems.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site reaction, Swelling
Clinical narrative: Child received immunizations the morning of October 26th and the following day the mother noted redness, swelling, warmth on upper right arm.  Mother took child to ER either Friday or Saturday.  ER Dr. stated child has cellulitis and gave RXs of Batrim for 5days and Motrin.  Mother stated child never had fever.
Age: 0.0
Sex: F
Vaccine: TDAP
Symptoms: Vertigo
Clinical narrative: Severe vertigo commencing a few hours after vaccine given and lasting 24hr.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Anorexia, Asthenia, Coordination abnormal, Diarrhoea
Clinical narrative: Following the vaccine(2 hrs later)the patient developed nausea, vomiting, diarrhea and lethargy.  Later that night she began to spike a fever.  The lethargy, weakness, fever, and fussiness continued to progress over a couple of weeks along with some anorexia.  On 10/18 her speech got worse and she was inable to walk with unwillingness to hold urine or stool.  11/16/06 Received medical records from hospital which reveal patient admitted 10/21/06 after 3 week history of progressive malaise, ataxia, anorexia & decreased speech after being transferred from outlying hospital.  Had developed N/V/D & fever approx 2 hours after flu shot.  Initial exam revealed irritable & lethargic patient with mild shotty lymphadenopathy.  Tx w/high dose steroids. PMH: HOP, eczema, UTI Birth Hx: c-section, 8 lbs, 3.8 oz, No complications. Family Hx: 4 yo brother w/febrile seizure.  D/C dx:  Acute disseminated encephalomyelitis, resolving./ss
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Encephalitis, Faecal incontinence, Irritability, Lethargy, Leukocytosis
Clinical narrative: Following the vaccine(2 hrs later)the patient developed nausea, vomiting, diarrhea and lethargy.  Later that night she began to spike a fever.  The lethargy, weakness, fever, and fussiness continued to progress over a couple of weeks along with some anorexia.  On 10/18 her speech got worse and she was inable to walk with unwillingness to hold urine or stool.  11/16/06 Received medical records from hospital which reveal patient admitted 10/21/06 after 3 week history of progressive malaise, ataxia, anorexia & decreased speech after being transferred from outlying hospital.  Had developed N/V/D & fever approx 2 hours after flu shot.  Initial exam revealed irritable & lethargic patient with mild shotty lymphadenopathy.  Tx w/high dose steroids. PMH: HOP, eczema, UTI Birth Hx: c-section, 8 lbs, 3.8 oz, No complications. Family Hx: 4 yo brother w/febrile seizure.  D/C dx:  Acute disseminated encephalomyelitis, resolving./ss
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Speech disorder, Urinary incontinence, Vomiting
Clinical narrative: Following the vaccine(2 hrs later)the patient developed nausea, vomiting, diarrhea and lethargy.  Later that night she began to spike a fever.  The lethargy, weakness, fever, and fussiness continued to progress over a couple of weeks along with some anorexia.  On 10/18 her speech got worse and she was inable to walk with unwillingness to hold urine or stool.  11/16/06 Received medical records from hospital which reveal patient admitted 10/21/06 after 3 week history of progressive malaise, ataxia, anorexia & decreased speech after being transferred from outlying hospital.  Had developed N/V/D & fever approx 2 hours after flu shot.  Initial exam revealed irritable & lethargic patient with mild shotty lymphadenopathy.  Tx w/high dose steroids. PMH: HOP, eczema, UTI Birth Hx: c-section, 8 lbs, 3.8 oz, No complications. Family Hx: 4 yo brother w/febrile seizure.  D/C dx:  Acute disseminated encephalomyelitis, resolving./ss
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Medication error
Clinical narrative: MMR Vaccination   given IM instead of SQ  No adverse reactions
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Ocular hyperaemia, Pain, Pharyngolaryngeal pain, Stomatitis
Clinical narrative: Approx 2 hrs after receiving flu vaccine - inside of mouth burning and stinging.  Throat hurting and feeling like something in it.  Face reddened.  Eyes turned bloodshot and discharging mucus from them.  Wheezing and vomiting.  Later, body very achy.  Went to urgent care facility - gave me antihistamine, but didn't seem to know much.  The same thing happened to me last year when I received the flu vaccine.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting, Wheezing
Clinical narrative: Approx 2 hrs after receiving flu vaccine - inside of mouth burning and stinging.  Throat hurting and feeling like something in it.  Face reddened.  Eyes turned bloodshot and discharging mucus from them.  Wheezing and vomiting.  Later, body very achy.  Went to urgent care facility - gave me antihistamine, but didn't seem to know much.  The same thing happened to me last year when I received the flu vaccine.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Injection site pain, Rash
Clinical narrative: Soreness/pain present since post-injection. Redness, rash, 1-2 vesicles noted on 10/30/2006. Seen by doctor today, 11/03/2006, and prescribed Kenalog 0.1% cream, Lodine 400mg bid, and Ultram prn.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Aphthous stomatitis, Blister, Hypoaesthesia, Injection site pain, Myalgia
Clinical narrative: Upon receiving the shot:  pain and burning under skin from shot area to distal extremity.  Followed by numbness and heaviness immediately after.  This lasted approximately 6-8 hours (shot administered 12:30, Thursday).  Friday, localized pain and (muscular) soreness at site with no reddness.  Noticed canker sores found in mouth.  "Pimple (chicken pox like) or "bug bike like" on my scalp and nose.  Saturday,  more of these found on my scalp, abdomnial area, and back.  Sunday, more found on my torso and proximal extremities.  Appearing more like blisters/lesions.  Monday, more found on my face, torso, buttock and proximal extremities.  Some itch and some burning sensation.  Sore throat.  Went to ER, lesions were found on the back of my throat.  Went to Dermatologist that day, biopsy done.  Given prednisone 30 mg once a day. Tuesday, more new "blisters" with pus filled.  Wednesday, saw Dermatologist- one was scaped for culture I believe.  Dermatologist instructed me to stop taking the prednisone.  Wednesday evening - phone call from dermatologist to confirm PLEVA(pityriasis lichenoides et varioliformis acuta/mucha haberman disease).  Treatment:  minocycline 100mg BID.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Sensation of heaviness, Skin burning sensation
Clinical narrative: Upon receiving the shot:  pain and burning under skin from shot area to distal extremity.  Followed by numbness and heaviness immediately after.  This lasted approximately 6-8 hours (shot administered 12:30, Thursday).  Friday, localized pain and (muscular) soreness at site with no reddness.  Noticed canker sores found in mouth.  "Pimple (chicken pox like) or "bug bike like" on my scalp and nose.  Saturday,  more of these found on my scalp, abdomnial area, and back.  Sunday, more found on my torso and proximal extremities.  Appearing more like blisters/lesions.  Monday, more found on my face, torso, buttock and proximal extremities.  Some itch and some burning sensation.  Sore throat.  Went to ER, lesions were found on the back of my throat.  Went to Dermatologist that day, biopsy done.  Given prednisone 30 mg once a day. Tuesday, more new "blisters" with pus filled.  Wednesday, saw Dermatologist- one was scaped for culture I believe.  Dermatologist instructed me to stop taking the prednisone.  Wednesday evening - phone call from dermatologist to confirm PLEVA(pityriasis lichenoides et varioliformis acuta/mucha haberman disease).  Treatment:  minocycline 100mg BID.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt had swollen red area on 11/1/2006 came home from school told mother that arm hurt from other child hitting him but teacher stated that no child hit him.  Mother concluded that mmr and dtap in arm made it swell and turn red and hard. mother gave child benadryl, tylenol, and motrin since 11/01/2006 child also has had a cold x1 week that mother has been treating with otc meds.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Local swelling and redness of the injected site. Swelling extended upto back of her neck and caused pain. It improved spontaneously and today when I examined it the swelling is 10x10 cm and erythematous.
Age: 91.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Muscle twitching, Speech disorder, Tongue oedema, Vomiting
Clinical narrative: Approx. 30min after administration of the inactivated Influenza vaccine, resident had a swollen tounge, facial drooping, and vomiting. Garbled speech and twitching noted, son stated that speech and twitching was normal for her. VS remained WNL.  Resident was able to follow simple directions.  Son did not want resident to be sent out to the hospital for evaluation.  Advance Directives state DNR and comfort measures only.  Resident has a history of TIA's and seizures.  Resident was monitored and kept comfortable.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Diarrhoea, Pruritus, Skin ulcer
Clinical narrative: 4 PINPOINT LESIONS THAT "ITCHED" ON CHEST ONSET OF SX 110306. C/O STOMACH ACHE WITH DIARRHEA ONSET 110106.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Blood creatinine increased, Contusion, Dysgeusia, Epistaxis, Petechiae
Clinical narrative: One week after second shot, pt developed rashes and bruising and started with no bleeding that wasn't healing. Was told to see the health nurse and was then referred to the ED. Was in hospital for 3 days.  Hospital MR received which revealed a previously healthy and well 28 yr old man who developed loss of taste and nose bleeds following HepB vax (#2) on 3/14/2006. One week later he noted petechial hemorrhages developing and bruising covering his body, beginning on the chest and spreading to the extremities. Emergency room visit revealed a platelet count of 4,000.  He was admitted and started on high dose oral prednisone. Platelet count rose to 16,000 the following day. The patient was discharged in stable condition.  Discharge Diagnosis: 1)Idiopathic thrombocytopenia purpura 2) Renal insufficiency. Records received from hematologist revealing a diagnosis of ITP. Significant drops in platelet count were attributed to stopping prednisone, or missing prednisone doses.  Splenectomy recommended.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Renal failure, Renal function test abnormal, Thrombocytopenia, Thrombocytopenic purpura
Clinical narrative: One week after second shot, pt developed rashes and bruising and started with no bleeding that wasn't healing. Was told to see the health nurse and was then referred to the ED. Was in hospital for 3 days.  Hospital MR received which revealed a previously healthy and well 28 yr old man who developed loss of taste and nose bleeds following HepB vax (#2) on 3/14/2006. One week later he noted petechial hemorrhages developing and bruising covering his body, beginning on the chest and spreading to the extremities. Emergency room visit revealed a platelet count of 4,000.  He was admitted and started on high dose oral prednisone. Platelet count rose to 16,000 the following day. The patient was discharged in stable condition.  Discharge Diagnosis: 1)Idiopathic thrombocytopenia purpura 2) Renal insufficiency. Records received from hematologist revealing a diagnosis of ITP. Significant drops in platelet count were attributed to stopping prednisone, or missing prednisone doses.  Splenectomy recommended.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt received Pneumovax in Lt. Deltoid on 10/31/06 @ 9:35am.  Symptoms began early evening on 10/31/06.  Had swelling, redness, heat, and pain at injection site.  Used OTC pain reliever and hot compresses.  All symptoms have subsided except the redness and patient states that is slowly improving.  Instructed patient to continue with hot compresses and OTC pain meds as needed and to call if symptoms worsen or don't continue to improve.
Age: 47.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Cellulitis, Chills, Erythema, Hepatic failure, Hepatitis C virus
Clinical narrative: A fever started 12 hours post Hep A, penumococcal and Flu vaccine accompanied by shaking and chills.  Presented to the ED on the morning of 10/14 and was admitted.  His chest x-ray revealed a new LLL consolidation.  He also noticed tenderness at right arm injection site.  He was started on Piperacillin/Tazobactam and Levaquin on 10/14.  Vancomycin was started on 10/16.  Piperacillin/Tazobatam and Levaquin were D/C on 10/17.  His right arm had increased redness and swelling though discharge on 10/20 when he was sent home on Levaquin 750 mg daily. 11/28/06 Received medical records from hospital which reveal patient had advanced liver disease caused by biopsy confirmed hep C virus infection & pulmonary fibrosis caused by biopsy confirmed interstitial pneumonitis.  He was seen in hospital to w/u for liver/lung transplant & vax with Hep A, pneumo & flu was given 10/12/06 in preparation for transplantation.  Patient developed fever & chills, SOB, cough, malaise & diaphoresis following day with local reaction at injection site.  Dx in ER was LLL pneumonia & cellulitis & patient admitted for IV antibiotics. DX: LLL pneumonia; right arm cellulitis; pulmonary fibrosis secondary to interstitial pneumonitis; advanced liver disease caused by hep C.
Age: 47.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Injection site pain, Interstitial lung disease, Laboratory test abnormal, Pneumonia, Pyrexia
Clinical narrative: A fever started 12 hours post Hep A, penumococcal and Flu vaccine accompanied by shaking and chills.  Presented to the ED on the morning of 10/14 and was admitted.  His chest x-ray revealed a new LLL consolidation.  He also noticed tenderness at right arm injection site.  He was started on Piperacillin/Tazobactam and Levaquin on 10/14.  Vancomycin was started on 10/16.  Piperacillin/Tazobatam and Levaquin were D/C on 10/17.  His right arm had increased redness and swelling though discharge on 10/20 when he was sent home on Levaquin 750 mg daily. 11/28/06 Received medical records from hospital which reveal patient had advanced liver disease caused by biopsy confirmed hep C virus infection & pulmonary fibrosis caused by biopsy confirmed interstitial pneumonitis.  He was seen in hospital to w/u for liver/lung transplant & vax with Hep A, pneumo & flu was given 10/12/06 in preparation for transplantation.  Patient developed fever & chills, SOB, cough, malaise & diaphoresis following day with local reaction at injection site.  Dx in ER was LLL pneumonia & cellulitis & patient admitted for IV antibiotics. DX: LLL pneumonia; right arm cellulitis; pulmonary fibrosis secondary to interstitial pneumonitis; advanced liver disease caused by hep C.
Age: 47.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Swelling, Tremor
Clinical narrative: A fever started 12 hours post Hep A, penumococcal and Flu vaccine accompanied by shaking and chills.  Presented to the ED on the morning of 10/14 and was admitted.  His chest x-ray revealed a new LLL consolidation.  He also noticed tenderness at right arm injection site.  He was started on Piperacillin/Tazobactam and Levaquin on 10/14.  Vancomycin was started on 10/16.  Piperacillin/Tazobatam and Levaquin were D/C on 10/17.  His right arm had increased redness and swelling though discharge on 10/20 when he was sent home on Levaquin 750 mg daily. 11/28/06 Received medical records from hospital which reveal patient had advanced liver disease caused by biopsy confirmed hep C virus infection & pulmonary fibrosis caused by biopsy confirmed interstitial pneumonitis.  He was seen in hospital to w/u for liver/lung transplant & vax with Hep A, pneumo & flu was given 10/12/06 in preparation for transplantation.  Patient developed fever & chills, SOB, cough, malaise & diaphoresis following day with local reaction at injection site.  Dx in ER was LLL pneumonia & cellulitis & patient admitted for IV antibiotics. DX: LLL pneumonia; right arm cellulitis; pulmonary fibrosis secondary to interstitial pneumonitis; advanced liver disease caused by hep C.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema
Clinical narrative: ERYTHEMA APPROX. 5CMBY 5CM TO RT UPPER ARM.