chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: FLUX, FLUX
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, Tendonitis, Vomiting
Clinical narrative: Case number PHHY2013US120739, is an initial report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 485714) website on 15 Oct 2013. This report refers to an adult male patient. His medical history and concomitant medications was not reported. He does have seasonal allergies. He denied any egg, food, chemical or latex allergies. He did receive other vaccinations during his career and lifetime without difficulty. He was wrongly vaccinated with seasonal influenza vaccine (unknown manufacturer, batch number: not reported) on an unspecified date in Nov 1976. He experienced fever, nausea and vomiting (see case number: PHHY2013US116888). On an unspecified date in 1985, he experienced a 3-4 days of headache, nausea, vomiting, runny nose and congestion. He was told not to receive any influenza vaccine. It was reported that he experienced symptoms of nausea, vomiting, hot/cold chills, lower abdominal cramping, weakness and dizziness, headache, loss of appetite on 19 Oct 1980, 04 Jan 1981, 19 Dec 1984, and 15 Apr 1986. It was diagnosed as acute gastroenteritis and migraines. He also experienced chronic left Achilles tendonitis on an unspecified date in 1983. Various NSAIDs like MOTRIN, INDOCIN, TOLECTIN DS and oral prednisone and KENALOG intramuscularly. It was reported that he received the last influenza vaccine on 1985. The event outcome was completely recovered. The seriousness and causality was not reported. No additional information was available.
Age: 33.0
Sex: F
Vaccine: FLUX, TTOX, VARCEL
Symptoms: Exposure during pregnancy, No adverse event, Ultrasound antenatal screen normal
Clinical narrative: Case number PHHY2013US116652, is an initial spontaneous report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 496335) web site on 15 Oct 2013. This report refers to a 33-year-old female patient. The patient had no medical history or drug allergies. No concomitant medications were reported. It was reported that the patient had 3 previous pregnancies. She had 2 full-term deliveries with no birth defect in any previous pregnancy, but a stillbirth or miscarriage occurred in previous pregnancy and pre-term births were SAB (spontaneous abortions). The patient became pregnant with last menstrual period (LMP) of 07 Dec 2012 and an estimated date of delivery (EDD) of 13 Sep 2013. The patient was vaccinated with Seasonal Influenza vaccine (manufacturer and batch number: not reported) and VARIVAX (other manufacturer and batch number: not reported) and tetanus toxoid (other manufacturer and batch number: not reported) on 27 Dec 2012 during her first trimester. The nurse reported that the patient's gestation was 7 weeks 6 days as of 31 Jan 2013. The outcome of pregnancy was unknown (outcome pending). On 12 Feb 2013, an ultrasound was performed showing 9 week 4 day intrauterine pregnancy (IUP) and cardiac activity. No adverse events reported.
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Case number PHHY2013US116655, is an initial spontaneous report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 496540) website on 15 Oct 2013. This report refers to a female patient of an unknown age. She was vaccinated with Seasonal Influenza vaccine (manufacturer and batch number: not reported) on an unknown date in 2007. In 2007, at an unspecified time after vaccination, the patient experienced injection site soreness. At the time of reporting the outcome of the event was not reported. No other information was available.
Sex: M
Vaccine: FLUX, FLUX, FLUX
Symptoms: Asthenia, Fatigue, Malaise, Pain, Pyrexia
Clinical narrative: Case number PHHY2013US122592 is an initial spontaneous report received from a Vaccine Adverse Event Reporting System (reference number: 496557) website on 15 Oct 2013. This report refers to a male patient of an unknown age. His medical history included anaphylaxis (anaphylactic reaction anything related to Penicillin in which he lost consciousness and had atrial fibrillation for several hours). His concomitant medication included amoxicillin trihydrate. His vaccination history included administration of flu vaccine (manufacturer and batch number unknown) in 2002, with experience of injection site soreness (see case PHHY2013US116690) and next in 2003 and other in unspecified year with experience of sickness, fever, weakness, tiredness and pain (see cases PHHY2013US122590 and PHHY2013US122591). On an unspecified year, 5 to 6 year ago, he was vaccinated with seasonal influenza vaccine (manufacturer and batch number unknown). He experienced flu like symptoms on an unknown date, which resolved three days later. The reporter stated that the flu-like symptoms were not serious. No causality was reported.
Sex: M
Vaccine: FLUX, FLUX, FLUX
Symptoms: Influenza like illness
Clinical narrative: Case number PHHY2013US122592 is an initial spontaneous report received from a Vaccine Adverse Event Reporting System (reference number: 496557) website on 15 Oct 2013. This report refers to a male patient of an unknown age. His medical history included anaphylaxis (anaphylactic reaction anything related to Penicillin in which he lost consciousness and had atrial fibrillation for several hours). His concomitant medication included amoxicillin trihydrate. His vaccination history included administration of flu vaccine (manufacturer and batch number unknown) in 2002, with experience of injection site soreness (see case PHHY2013US116690) and next in 2003 and other in unspecified year with experience of sickness, fever, weakness, tiredness and pain (see cases PHHY2013US122590 and PHHY2013US122591). On an unspecified year, 5 to 6 year ago, he was vaccinated with seasonal influenza vaccine (manufacturer and batch number unknown). He experienced flu like symptoms on an unknown date, which resolved three days later. The reporter stated that the flu-like symptoms were not serious. No causality was reported.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Body temperature increased, Gait disturbance, Influenza, Myalgia
Clinical narrative: Case number PHHY2013US135168 is an initial spontaneous report received from a consumer via vaccine adverse event reporting system (VAERS reference number: 504307) web site on 25 Nov 2013. This report refers to a 25-years-old female patient. Her medical history included allergy to CECLOR and concomitant medications were not reported. She was vaccinated with seasonal Influenza vaccine (manufacturer and batch number: not reported) on 25 Sep 2013. On 26 Sep 2013, about 12 hours after vaccination she had a temperature of 101 that was not responding to non-steroidal anti-inflammatory drugs (NSAIDS). Her muscles and joints were achy and she felt that her hips were out of place. She had difficulty in walking and she stated that it was comparable to actually having the Flu. The outcome of the events was reproted as condition unchanged.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiff neck.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Cellulitis, Chills, Erythema, Influenza like illness, Mobility decreased
Clinical narrative: Case number PHHY2014US171142, is an initial spontaneous report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 547720) web site on 29 Dec 2014, with the follow-up information received from Quality Assurance department (reference number: 345521) on 20 Jan 2015. This report refers to a 60 year old female patient. Current condition included type 2 diabetes controlled by pill once daily. Concomitant medications included metformin 500 mg; simvastatin 10 mg; PRISTIQ 50 mg; Losartan 50 mg; CENTRUM; Aspirin and unspecified vaccines given at school through pharmacy. On 10 Oct 2014, she was vaccinated with FLUVIRIN (batch number: unknown) intradermal into right arm. On the same day she also received PNEUMOVAX (batch number: unknown, other manufacturer) ID into right arm and TENIVAC (batch number: unknown, other manufacturer) ID into left arm. On the same day post vaccination she experienced limited and painful range of motion of arm. Following day developed fever, chills, body aches; arm quite swollen, red, aching, unable to lift and carry. By day 3, developed general flu-like symptoms lessened, but arm remained red, swollen and achy. On day 4 (Monday) diagnosed with cellulitis. On day 7 there was mild cold but no fever. Final outcome of the events was recovered. Causality assessment was not recovered. Events were reported as non-serious. Seriousness assessment of cellulitis was upgraded based on information available in the source documents. QA department stated that, as no batch number was provided, this batch review was performed based on a general review of the quality requirements for FLUVIRIN and the Annual Product Review for the FLUVIRIN, it was concluded that FLUVIRIN manufacturing process was operated at a good level of overall control and the supporting systems are effective in supporting the compliant production, testing and supply processes for FLUVIRIN vaccine. From this conclusion there was no reason or explanation to account for the reported adverse event. Non-significant follow-up information received from the Quality Assurance Department (reference number: 345521) on 09 Jan 2015: updated QA reference number only. Follow-up information received from Quality Assurance Department (reference number: 345521) on 20 Jan 2015: Updated FLUVIRIN annual product review report.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Nasopharyngitis, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Case number PHHY2014US171142, is an initial spontaneous report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 547720) web site on 29 Dec 2014, with the follow-up information received from Quality Assurance department (reference number: 345521) on 20 Jan 2015. This report refers to a 60 year old female patient. Current condition included type 2 diabetes controlled by pill once daily. Concomitant medications included metformin 500 mg; simvastatin 10 mg; PRISTIQ 50 mg; Losartan 50 mg; CENTRUM; Aspirin and unspecified vaccines given at school through pharmacy. On 10 Oct 2014, she was vaccinated with FLUVIRIN (batch number: unknown) intradermal into right arm. On the same day she also received PNEUMOVAX (batch number: unknown, other manufacturer) ID into right arm and TENIVAC (batch number: unknown, other manufacturer) ID into left arm. On the same day post vaccination she experienced limited and painful range of motion of arm. Following day developed fever, chills, body aches; arm quite swollen, red, aching, unable to lift and carry. By day 3, developed general flu-like symptoms lessened, but arm remained red, swollen and achy. On day 4 (Monday) diagnosed with cellulitis. On day 7 there was mild cold but no fever. Final outcome of the events was recovered. Causality assessment was not recovered. Events were reported as non-serious. Seriousness assessment of cellulitis was upgraded based on information available in the source documents. QA department stated that, as no batch number was provided, this batch review was performed based on a general review of the quality requirements for FLUVIRIN and the Annual Product Review for the FLUVIRIN, it was concluded that FLUVIRIN manufacturing process was operated at a good level of overall control and the supporting systems are effective in supporting the compliant production, testing and supply processes for FLUVIRIN vaccine. From this conclusion there was no reason or explanation to account for the reported adverse event. Non-significant follow-up information received from the Quality Assurance Department (reference number: 345521) on 09 Jan 2015: updated QA reference number only. Follow-up information received from Quality Assurance Department (reference number: 345521) on 20 Jan 2015: Updated FLUVIRIN annual product review report.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain
Clinical narrative: Case number PHHY2014US170436, is an initial spontaneous report received from the Vaccine Adverse Event Reporting System (VAERS reference number: 547951) website on 29 Dec 2014, with the follow-up information received from Quality Assurance Department (reference number: 344990) on 22 Jan 2015. This report refers to a 37-year-old female patient. She was vaccinated with FLUVIRIN (batch number: 145221) along with PNEUMOVAX (batch number: K004207), both intramuscularly in the right arm on 04 Oct 2014 at 01:05 pm. On 05 Oct 2014, after vaccination she experienced body aches. In the evening of the same date, her arm was turning red. She went to urgent care clinic and she was advised to go to hospital. She was in hospital for three days and was kept on antibiotics. The outcome of the events reported as recovered. The causality of the events was not reported. Based on the investigation performed, the QA department stated that, FLUVIRIN (batch number: 145221) was manufactured in accordance with the approved internal procedures and it was in compliance with the cGMP requirements. Non-significant follow up information received from the quality assurance department (reference number: 344990) on 05 Jan 2015: Updated QA reference number. Follow-up information received from the Quality Assurance Department (reference number: 344990) on 22 Jan 2015: Updated FLUVIRIN vaccine batch review report.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: This spontaneous report as received from a physician via company representative refers to a patient of unknown gender and age. On an unknown date, the patient was vaccinated with a dose of ZOSTAVAX (dose, dose number, lot/batch number, route and expiration date were not reported). On an unknown date, after receiving ZOSTAVAX, the patient experienced shingles. The outcome of shingles was unknown. The patient sought medical attention by visiting the office (date unspecified). The relatedness between the event and ZOSTAVAX was not reported. Additional information has been requested. Follow up information has been received from the physician on 28-JAN-2015. The physician reported regarding a male patient of approximately 79 years of age. The patient's medical history included lymphoma and history of chickenpox in childhood. It was reported that the patient was administered with ZOSTAVAX (lot number reported as 0162X, expiry date: unknown) in his left arm on 19-JUN-2008. The vaccine was administered by the reporting physician at a private doctors office using private funds. On 09-OCT-2014 the patient experienced a zoster breakout (herpes zoster) (medically significant). There was no rash at the site of injection or elsewhere within 42 days of vaccination. There was no history of recent exposure to chickenpox or herpes zoster. The patient had no history of prior herpes zoster. The dermatomes involved the second lumbar vertebra (L2) in the lumbar region. There were approximately 20 lesions present and the duration of herpes zoster was approximately 10 days. The pain that the patient had experienced during the event was reported as 7, as per the 0 to 10 pain scale (where 0 was no pain and 10 was maximum pain). No specimen was collected for polymerase chain reaction (PCR) analysis and there were no other diagnostic tests performed. The patient recovered on an unknown date. The reporting physician considered the event zoster breakout (herpes zoster) to be medically significant. Additional information has been requested. Patient demographics, medical history, labs, products, event and narrative were updated.
Age: 1.08
Sex: M
Vaccine: RAB, VARZOS
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: None noted at this time.
Age: 0.6
Sex: M
Vaccine: DTAPH, RVX
Symptoms: Pyrexia, Urticaria
Clinical narrative: Hives on face, neck, stomach, back, legs and genitals.
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Fatigue, Impaired work ability, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: It started with just a sore arm at injection site but developed to swelling and now redness. Also feel achy and very tired. Unable to work at my job at full capacity. Having to go to bed at 8 pm because of exhaustion. The affects are still prevalent today and I called the pharmacy yesterday to report it but they were not very receptive, telling me that it should to cause reaction because it is not a live virus shot.
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Pain
Clinical narrative: It started with just a sore arm at injection site but developed to swelling and now redness. Also feel achy and very tired. Unable to work at my job at full capacity. Having to go to bed at 8 pm because of exhaustion. The affects are still prevalent today and I called the pharmacy yesterday to report it but they were not very receptive, telling me that it should to cause reaction because it is not a live virus shot.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient reports tenderness in arm wear shot was given, very minimal swelling noted.
Age: 72.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Influenza like illness, Nausea, Vomiting
Clinical narrative: Nauseated, vomited once, flu like symptoms. No fever.
Age: 38.0
Sex: F
Vaccine: HEPAB
Symptoms: Ecchymosis, Full blood count normal, Pruritus, Purpura, Red blood cell sedimentation rate normal
Clinical narrative: Hives, itching, ecchymosis, purpura.
Age: 38.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: Hives, itching, ecchymosis, purpura.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Dysstasia, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: This spontaneous report was received from a 36-year-old female patient reporting on herself. The patient's current conditions included asthma and allergy to amoxicillin. On 19-JAN-2015, the patient was vaccinated with PNEUMOVAX 23 (in the arm, dose, route of administration, lot# and exp. date were not reported). Concomitant therapies included SYMBICORT. On 19-JAN-2015, the patient experienced injection site pain reaction. The patient stated that she had extreme and intense pain in the injection site arm. The patient also mentioned that she could not stand for a week and she could not lift her arm. The arm she could not lift was the injection site arm. On 19-JAN-2015, the patient's palms turned bright red, her finger tips also turned purple and the patient had difficulty breathing. The patient received FLEXERIL and another unspecified medication (dose and manufacturers unknown) as a treatment for the events. The patient sought for medical attention, she spoke to a nurse. No laboratory tests were performed. The outcome of the events was reported as recovering. The relatedness between vaccination with PNEUMOVAX 23 and the events was not reported. Upon internal review, the event of not being able to stand for a week was considered to be disabling. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Palmar erythema, Skin discolouration
Clinical narrative: This spontaneous report was received from a 36-year-old female patient reporting on herself. The patient's current conditions included asthma and allergy to amoxicillin. On 19-JAN-2015, the patient was vaccinated with PNEUMOVAX 23 (in the arm, dose, route of administration, lot# and exp. date were not reported). Concomitant therapies included SYMBICORT. On 19-JAN-2015, the patient experienced injection site pain reaction. The patient stated that she had extreme and intense pain in the injection site arm. The patient also mentioned that she could not stand for a week and she could not lift her arm. The arm she could not lift was the injection site arm. On 19-JAN-2015, the patient's palms turned bright red, her finger tips also turned purple and the patient had difficulty breathing. The patient received FLEXERIL and another unspecified medication (dose and manufacturers unknown) as a treatment for the events. The patient sought for medical attention, she spoke to a nurse. No laboratory tests were performed. The outcome of the events was reported as recovering. The relatedness between vaccination with PNEUMOVAX 23 and the events was not reported. Upon internal review, the event of not being able to stand for a week was considered to be disabling. Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, pain and swelling at site of VZV injection.  Pain noticed first, then upon examination the redness and swelling was discovered. On 01/28 patient took Benadryl and swelling has progressively gone down.  Still some redness and swelling at site, but pain has resolved.
Age: 14.0
Sex: F
Vaccine: HPVX
Symptoms: Injection site pain
Clinical narrative: Intense burning sensation at site of shot, 6 on pain scale at site of shot.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Drug hypersensitivity, Injection site cellulitis, Injection site erythema, Injection site induration
Clinical narrative: Arm vaccine administered in was sore, swollen, with redness at the site of injection about the size of a half dollar.  Site very warm to touch with firmness on both the injection site and bicep.  Also experienced chills and pain at site.  Physician felt that patient was experiencing a mild cellulitis at the injection site.  Physician prescribed antibiotic.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site pain, Injection site warmth, Pain in extremity, Peripheral swelling
Clinical narrative: Arm vaccine administered in was sore, swollen, with redness at the site of injection about the size of a half dollar.  Site very warm to touch with firmness on both the injection site and bicep.  Also experienced chills and pain at site.  Physician felt that patient was experiencing a mild cellulitis at the injection site.  Physician prescribed antibiotic.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fatigue, Injection site discolouration, Injection site induration, Injection site nodule
Clinical narrative: Sudden exhaustion followed the next day by extreme tiredness, unable to move arm, chills, fever, swelling of entire arm. The chills and fever lasted 3 days, the arm swelling from wrist to elbow subsided in about a 10 days, with gradual reduction of swelling from elbow to shoulder over additional 10 weeks. At 12 weeks still have hard knot and some discoloration at the injection site.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Peripheral swelling, Pyrexia
Clinical narrative: Sudden exhaustion followed the next day by extreme tiredness, unable to move arm, chills, fever, swelling of entire arm. The chills and fever lasted 3 days, the arm swelling from wrist to elbow subsided in about a 10 days, with gradual reduction of swelling from elbow to shoulder over additional 10 weeks. At 12 weeks still have hard knot and some discoloration at the injection site.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Injection site reaction, Injection site swelling, Nausea
Clinical narrative: Employee states that she had nausea, severe H/A, fatigue, tingling at injection site and in neck. Fever 100.9, exaustion. Slept 12 hours. Came to our office 0800 01/30/2015 and had pallor, moderately swollen arm on injection site. Site with out redness or heat.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Pallor, Paraesthesia, Pyrexia
Clinical narrative: Employee states that she had nausea, severe H/A, fatigue, tingling at injection site and in neck. Fever 100.9, exaustion. Slept 12 hours. Came to our office 0800 01/30/2015 and had pallor, moderately swollen arm on injection site. Site with out redness or heat.
Age: 61.0
Sex: F
Vaccine: FLUX, TTOX, VARZOS, FLUX, TTOX, VARZOS
Symptoms: Back pain, Pain
Clinical narrative: This spontaneous report as received from a 61 year old female consumer who refers to herself. The patient's pertinent medical history included: thyroid (NOS). The patient had drug reactions/allergies for animal serum. The patient's medical history included shingles in 1983. Concomitant therapies included ALEVE and unspecified thyroid medicine (dose, manufacturer not reported). On 10-NOV-2014 the patient was prescribed ZOSTAVAX (dose, strength not reported). The patient was administered a series of vaccines on the same day. The vaccines administered were ZOSTAVAX, as well as influenza virus vaccine (unspecified) (dose, strength not reported) and tetanus toxoid (dose, strength not reported) shots of unknown manufacturers. The patient stated that she developed pain within a week after receiving these vaccinations. The patient stated that she has pain across her back. The events were treated with NEOSPORIN and benzocaine (unspecified dose and manufacturer). The patient did not seek medical attention. No lab diagnostic performed. The outcome was reported as not recovered/not resolved. The relatedness between events and ZOSTAVAX was not reported. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: FLUX, TTOX, VARZOS, FLUX, TTOX, VARZOS
Symptoms: Burning sensation, Pain, Pruritus
Clinical narrative: This spontaneous report as received from a 61 year old female consumer who refers to herself. The patient's pertinent medical history included: thyroid (NOS). The patient had drug reactions/allergies for animal serum. The patient's medical history included shingles in 1983. Concomitant therapies included ALEVE and unspecified thyroid medicine (dose, manufacturer not reported). On 10-NOV-2014 the patient was prescribed ZOSTAVAX (dose, strength not reported). The patient was administered a series of vaccines on the same day. The vaccines administered were ZOSTAVAX, as well as influenza virus vaccine (unspecified) (dose, strength not reported) and tetanus toxoid (dose, strength not reported) shots of unknown manufacturers. The patient stated that she developed pain within a week after receiving these vaccinations. The patient stated that she has pain across her back. The events were treated with NEOSPORIN and benzocaine (unspecified dose and manufacturer). The patient did not seek medical attention. No lab diagnostic performed. The outcome was reported as not recovered/not resolved. The relatedness between events and ZOSTAVAX was not reported. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: RVX
Symptoms: Rotavirus test positive, Unevaluable event
Clinical narrative: None stated.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Severe arm pain and fever.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Diarrhoea, Haematochezia, Intussusception, Surgery, Vomiting
Clinical narrative: Patient developed vomiting and diarrhea at age 7 mo, on 1/11/15, was taken to ER on 1/12/15, bloody stool developed and he was transferred to hospital and was diagnosed with ileocolic intussusception, had surgery for this.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye discharge, Eye irritation, Eyelid margin crusting, Fatigue
Clinical narrative: Fatigue and body and head aches began about 3 hrs post vaccination and lasted > 24 hrs. Also about 3 hrs post, had slightly sore throat and tickle w/ cough, and scratchy eyes that later seeped and got crusty - lasted a few hours.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Oropharyngeal pain, Pain, Throat irritation
Clinical narrative: Fatigue and body and head aches began about 3 hrs post vaccination and lasted > 24 hrs. Also about 3 hrs post, had slightly sore throat and tickle w/ cough, and scratchy eyes that later seeped and got crusty - lasted a few hours.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: It was about 10-15 minutes after flu vaccine was given to patient, she and her mother were in the lobby to schedule a follow up and patient passed out while standing next to her mother, fell backwards and hit head on floor.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Cellulitis in the site of injection (right deltoid). (Inflammation, redness, pain). Went to the urgent care and received prescription for antibiotics. (Right deltoid muscle).
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abasia, Aphasia, Axillary pain, Confusional state, Erythema
Clinical narrative: Complained about severe pain in (R) arm with redness/swelling. Pain went into armpit and glands. Had sharp pain in legs, hands that night. Stay awake all night with extreme salivating. Unable to walk or call for help (confused).
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Insomnia, Lymph node pain, Pain in extremity, Peripheral swelling, Salivary hypersecretion
Clinical narrative: Complained about severe pain in (R) arm with redness/swelling. Pain went into armpit and glands. Had sharp pain in legs, hands that night. Stay awake all night with extreme salivating. Unable to walk or call for help (confused).
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Bladder dysfunction, Blood test, Catheter placement, Computerised tomogram abdomen
Clinical narrative: Started end of March, numbness, tingling, legs collapse falling: Numbness from chest down. Loss of bowels and dead bladder. Almost paralyzed. Unsteady walking. Arms, hands tingle. Ongoing catheters daily. Had IVIG 5 days May 2014. Patient has no feeling in legs and feet; But they hurt all time. It feels like needles and ice picks sticking him at all times. Patient can't tell how high to lift his feet, resulting in falling and stumbling.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Computerised tomogram pelvis, Computerised tomogram thorax, Electromyogram, Faecal incontinence, Fall
Clinical narrative: Started end of March, numbness, tingling, legs collapse falling: Numbness from chest down. Loss of bowels and dead bladder. Almost paralyzed. Unsteady walking. Arms, hands tingle. Ongoing catheters daily. Had IVIG 5 days May 2014. Patient has no feeling in legs and feet; But they hurt all time. It feels like needles and ice picks sticking him at all times. Patient can't tell how high to lift his feet, resulting in falling and stumbling.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture, Myelitis transverse
Clinical narrative: Started end of March, numbness, tingling, legs collapse falling: Numbness from chest down. Loss of bowels and dead bladder. Almost paralyzed. Unsteady walking. Arms, hands tingle. Ongoing catheters daily. Had IVIG 5 days May 2014. Patient has no feeling in legs and feet; But they hurt all time. It feels like needles and ice picks sticking him at all times. Patient can't tell how high to lift his feet, resulting in falling and stumbling.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain, Pain in extremity, Paraesthesia, Sensory loss
Clinical narrative: Started end of March, numbness, tingling, legs collapse falling: Numbness from chest down. Loss of bowels and dead bladder. Almost paralyzed. Unsteady walking. Arms, hands tingle. Ongoing catheters daily. Had IVIG 5 days May 2014. Patient has no feeling in legs and feet; But they hurt all time. It feels like needles and ice picks sticking him at all times. Patient can't tell how high to lift his feet, resulting in falling and stumbling.
Age: 42.0
Sex: M
Vaccine: FLUC3
Symptoms: Cold sweat, Loss of consciousness, Mydriasis, Syncope
Clinical narrative: After vaccine administered, patient had symptoms of fainting. Dilated pupils, cold sweats, loss of consciousness (briefly on 2 occasions). Paramedics came to evaluate patient. Patient recovered and left under own power - 30 minute time course.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV4, MNQ, TDAP
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: 9 cm erythema, pain and itching at site of MENVEO injection left lower deltoid. Symptoms started approximately 24 hrs after injection.
Age: 0.59
Sex: M
Vaccine: DTAP
Symptoms: Aphasia, Asterixis, Diarrhoea, Eye pain, Feeling abnormal
Clinical narrative: He stopped talking. Banged his head against the wall. Acted like his was "checked-out". Spacey look in his eyes. Hard blinking with his eyes as if he was in pain. He would ball up his fists, squeeze his eyes real hard and shake. Irritable. Bad smelling and watery diarrhea. Hand flapping.
Age: 0.59
Sex: M
Vaccine: DTAP
Symptoms: Head banging, Irritability, Tremor
Clinical narrative: He stopped talking. Banged his head against the wall. Acted like his was "checked-out". Spacey look in his eyes. Hard blinking with his eyes as if he was in pain. He would ball up his fists, squeeze his eyes real hard and shake. Irritable. Bad smelling and watery diarrhea. Hand flapping.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Immune thrombocytopenic purpura, Immunoglobulin therapy, Immunology test normal, Laboratory test
Clinical narrative: ITP SYMPTOMS STARTED IN JUNE 2013 BRUISING ALL OVER ARMS AND LEGS. PLATELETS DROPPED OVER 6 MONTHS AND TREATMENT WAS STARTED IN JAN 2014. IgG GIVEN 2 TIMES WITH NO SUCCESS. TESTS DONE FOR LUPUS AND OTHER AUTO IMMUNE DISORDERS WERE NEGATIVE, PLATELETS THEN DROPPED AGAIN AND SHE WAS TREATED WITH RUTUXIMAB IN 2014 SUMMER. PLATELETS HAVE REMAINED HIGH AFTER 4 DOSES AND INFUSIONS OF THE RUTUXMAB DRUG AT HOSPITAL. LOWEST PLATELET LEVELS WERE 4K. SHE WAS TREATED OVER 6 MONTHS WITH INFUSIONS.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Platelet count decreased
Clinical narrative: ITP SYMPTOMS STARTED IN JUNE 2013 BRUISING ALL OVER ARMS AND LEGS. PLATELETS DROPPED OVER 6 MONTHS AND TREATMENT WAS STARTED IN JAN 2014. IgG GIVEN 2 TIMES WITH NO SUCCESS. TESTS DONE FOR LUPUS AND OTHER AUTO IMMUNE DISORDERS WERE NEGATIVE, PLATELETS THEN DROPPED AGAIN AND SHE WAS TREATED WITH RUTUXIMAB IN 2014 SUMMER. PLATELETS HAVE REMAINED HIGH AFTER 4 DOSES AND INFUSIONS OF THE RUTUXMAB DRUG AT HOSPITAL. LOWEST PLATELET LEVELS WERE 4K. SHE WAS TREATED OVER 6 MONTHS WITH INFUSIONS.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Axillary pain
Clinical narrative: SEVERE PAIN UNDER LEFT ARMPIT-SAME SIDE AS VACCINATION.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling
Clinical narrative: Swelling of both feet.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Pain in extremity
Clinical narrative: L arm pain, unable to lift arm. PMD fu with restrictions.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Full out shingles rash as reported by provider. Rash on rib cage/torso. No injection site reaction.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Pt c/o painful, swollen and red at site, reaction increasing in size and pain daily, pain into rt shoulder and neck and reports elevated temp at home.
Age: 54.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Injection site pruritus, Injection site warmth, Pain, Swelling
Clinical narrative: Patient reports pain and swelling on 1/24/15. On 1/25/15 patient reports itching and heat at injection site. Then he reports red raised skin reaction.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Pain in muscle that is preventing me from lifting over my head, using to lift, sleeping on that side or bending from the elbow. I've had one massage that's helped a bit and take Ibuprofen and ice it.
Age: 72.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Activities of daily living impaired, Myalgia, Pain
Clinical narrative: Body ache (muscles), started with neck and right arm then spread to right and left legs and now also the calf areas. Taking Motrin but it is not helping. Took steroid shot on 01/04/2015. Felt better for just a few days but muscle ache still present. Backache post thigh & calf when bending. Took Motrin. 01/30/2015- Pain arms when lifting. Pain in back when walking. Also back of thighs/calf on bending, unable to pick up things from floor. The pain continues to spread. Still taking Motrin
Age: 1.75
Sex: M
Vaccine: DTAPHEPBIP, FLU3, MMR
Symptoms: Ear swelling, Erythema, Erythema of eyelid, Eyelid oedema, Eyelids pruritus
Clinical narrative: Swollen, red itchy eyelids, ears and hands 10 minutes after vaccines. No respiratory or GI symptoms.
Age: 1.75
Sex: M
Vaccine: DTAPHEPBIP, FLU3, MMR
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Swollen, red itchy eyelids, ears and hands 10 minutes after vaccines. No respiratory or GI symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Abdominal pain, Abnormal behaviour, Acute disseminated encephalomyelitis, Asthenia, Back pain
Clinical narrative: Patient is a previously healthy 4 year old boy who presented with new-onset seizure in the setting of one month altered behaviors, fevers, and cough. On 12/15 patient received the MMR, VZV, and DTaP-IPV vaccines (verified in CAIR). Soon after he developed fever, cough, and rhinorrhea. These symptoms lasted for approximately 2 weeks, resolving 12/30 or so. On 1/12 symptoms returned again with fever and cough. He became fatigued and moody, refusing to get out of bed much, seeming weak and refusing to walk. Fevers were daily, both daytime and nightime and with associated chills/sweats. He saw his pediatrician about a week later and was diagnosed with viral illness. On Thursday 1/15 he again saw his pediatrician, was diagnosed with possible ear infection, and prescribed "ear drops." On Saturday 1/17 he developed rapid, fast breathing and had emesis x1. He presented to ED and discharged home with Tylenol for presumed viral illness. Around 4 PM the day of admission (1/22) pt and mom were at auntie's house. After eating some soup and water pt had emesis x 1 (NBNB) and seemed to slump down in chair. He was breathing differently, as if trouble breathing. Mom asked if he could see her and he said it was hard to see. He then seemed confused and was difficult to understand. Soon after, eyes seemed to roll up into his head and his upper and lower extremities became stiff. Parents called EMS at that point and he was brought to ED. In addition to daily fevers and cough for the last 3-4 weeks, patient has also had intermittent abdominal and back pain as well as headache. He has seemed extra sensitive, occasionally complaining that walking is painful, and seems to be walking more slowly than usual. He has had normal appetite and apart from two episodes of emesis (x1 on 1/17 and x1 on 1/22) he has had no other vomiting or diarrhea. No rashes. Parents do report weight loss, dad estimates approximately 8 pounds, despite no change in appetite.  In the past month parents have also noticed changes in patient's behavior overall. He has been more moody and fatigued than usual, intermittently confused. Specifically, in addition to the episode that occurred on 1/22 just prior to admission, mom recalls him waking up around 5 AM on 1/19 confused and asking "Where am I?". Mom was able to re-orient him at that time. Patient arrived to ED seizing and was given Ativan. Labs were sent, CXR and CT head done, and he was started on vancomycin, ceftriaxone, and acyclovir at meningitis dosing. He was then admitted to the PICU. Since arrival to the PICU he has had brain MRI which showed 3 small enhancing (necrotizing?) lesions. He was initially intubated for airway protection but has since self-extubated himself. Additional labs were sent. He has required precedex drip as well as other medications for sedation. He was continued on antibiotics sent from the ER, and started on oseltamivir as well.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Central nervous system lesion, Chest X-ray, Chills, Computerised tomogram head, Confusional state
Clinical narrative: Patient is a previously healthy 4 year old boy who presented with new-onset seizure in the setting of one month altered behaviors, fevers, and cough. On 12/15 patient received the MMR, VZV, and DTaP-IPV vaccines (verified in CAIR). Soon after he developed fever, cough, and rhinorrhea. These symptoms lasted for approximately 2 weeks, resolving 12/30 or so. On 1/12 symptoms returned again with fever and cough. He became fatigued and moody, refusing to get out of bed much, seeming weak and refusing to walk. Fevers were daily, both daytime and nightime and with associated chills/sweats. He saw his pediatrician about a week later and was diagnosed with viral illness. On Thursday 1/15 he again saw his pediatrician, was diagnosed with possible ear infection, and prescribed "ear drops." On Saturday 1/17 he developed rapid, fast breathing and had emesis x1. He presented to ED and discharged home with Tylenol for presumed viral illness. Around 4 PM the day of admission (1/22) pt and mom were at auntie's house. After eating some soup and water pt had emesis x 1 (NBNB) and seemed to slump down in chair. He was breathing differently, as if trouble breathing. Mom asked if he could see her and he said it was hard to see. He then seemed confused and was difficult to understand. Soon after, eyes seemed to roll up into his head and his upper and lower extremities became stiff. Parents called EMS at that point and he was brought to ED. In addition to daily fevers and cough for the last 3-4 weeks, patient has also had intermittent abdominal and back pain as well as headache. He has seemed extra sensitive, occasionally complaining that walking is painful, and seems to be walking more slowly than usual. He has had normal appetite and apart from two episodes of emesis (x1 on 1/17 and x1 on 1/22) he has had no other vomiting or diarrhea. No rashes. Parents do report weight loss, dad estimates approximately 8 pounds, despite no change in appetite.  In the past month parents have also noticed changes in patient's behavior overall. He has been more moody and fatigued than usual, intermittently confused. Specifically, in addition to the episode that occurred on 1/22 just prior to admission, mom recalls him waking up around 5 AM on 1/19 confused and asking "Where am I?". Mom was able to re-orient him at that time. Patient arrived to ED seizing and was given Ativan. Labs were sent, CXR and CT head done, and he was started on vancomycin, ceftriaxone, and acyclovir at meningitis dosing. He was then admitted to the PICU. Since arrival to the PICU he has had brain MRI which showed 3 small enhancing (necrotizing?) lesions. He was initially intubated for airway protection but has since self-extubated himself. Additional labs were sent. He has required precedex drip as well as other medications for sedation. He was continued on antibiotics sent from the ER, and started on oseltamivir as well.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Convulsion, Cough, Disorientation, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient is a previously healthy 4 year old boy who presented with new-onset seizure in the setting of one month altered behaviors, fevers, and cough. On 12/15 patient received the MMR, VZV, and DTaP-IPV vaccines (verified in CAIR). Soon after he developed fever, cough, and rhinorrhea. These symptoms lasted for approximately 2 weeks, resolving 12/30 or so. On 1/12 symptoms returned again with fever and cough. He became fatigued and moody, refusing to get out of bed much, seeming weak and refusing to walk. Fevers were daily, both daytime and nightime and with associated chills/sweats. He saw his pediatrician about a week later and was diagnosed with viral illness. On Thursday 1/15 he again saw his pediatrician, was diagnosed with possible ear infection, and prescribed "ear drops." On Saturday 1/17 he developed rapid, fast breathing and had emesis x1. He presented to ED and discharged home with Tylenol for presumed viral illness. Around 4 PM the day of admission (1/22) pt and mom were at auntie's house. After eating some soup and water pt had emesis x 1 (NBNB) and seemed to slump down in chair. He was breathing differently, as if trouble breathing. Mom asked if he could see her and he said it was hard to see. He then seemed confused and was difficult to understand. Soon after, eyes seemed to roll up into his head and his upper and lower extremities became stiff. Parents called EMS at that point and he was brought to ED. In addition to daily fevers and cough for the last 3-4 weeks, patient has also had intermittent abdominal and back pain as well as headache. He has seemed extra sensitive, occasionally complaining that walking is painful, and seems to be walking more slowly than usual. He has had normal appetite and apart from two episodes of emesis (x1 on 1/17 and x1 on 1/22) he has had no other vomiting or diarrhea. No rashes. Parents do report weight loss, dad estimates approximately 8 pounds, despite no change in appetite.  In the past month parents have also noticed changes in patient's behavior overall. He has been more moody and fatigued than usual, intermittently confused. Specifically, in addition to the episode that occurred on 1/22 just prior to admission, mom recalls him waking up around 5 AM on 1/19 confused and asking "Where am I?". Mom was able to re-orient him at that time. Patient arrived to ED seizing and was given Ativan. Labs were sent, CXR and CT head done, and he was started on vancomycin, ceftriaxone, and acyclovir at meningitis dosing. He was then admitted to the PICU. Since arrival to the PICU he has had brain MRI which showed 3 small enhancing (necrotizing?) lesions. He was initially intubated for airway protection but has since self-extubated himself. Additional labs were sent. He has required precedex drip as well as other medications for sedation. He was continued on antibiotics sent from the ER, and started on oseltamivir as well.