chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Hypokalaemia, Hypomagnesaemia, Induration, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a pharmacist concerning a 30 year old hospitalized male with cystic fibrosis and drug hypersensitivity to piperacillin sodium + tazobactam sodium (Zosyn) who on 10/30/06 was vaccinated SW with a 0.5ml dose of Pneumococcal 23v polysaccharide vaccine upon discharge from the hospital. Concomitant therapy included Zyvox. Subsequently the pt developed progressive swelling, tenderness and redness to the upper arm in a 7 by 8 cm area. ON 11/2/06, the pt was readmitted to the hospital. At the time of the report, the pt had not recovered. The pharmacist reported that the pt was vaccinated with lot 653283/0001F, 655587/0882F, 654981/0674F or 651149/0088F. The pharmacist could not narrow down which lot number the pt received and requested a lot check for each of them. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site pain, Injection site swelling, Malaise, Mobility decreased, Oedema peripheral
Clinical narrative: Information has been received from a pharmacist concerning a 30 year old hospitalized male with cystic fibrosis and drug hypersensitivity to piperacillin sodium + tazobactam sodium (Zosyn) who on 10/30/06 was vaccinated SW with a 0.5ml dose of Pneumococcal 23v polysaccharide vaccine upon discharge from the hospital. Concomitant therapy included Zyvox. Subsequently the pt developed progressive swelling, tenderness and redness to the upper arm in a 7 by 8 cm area. ON 11/2/06, the pt was readmitted to the hospital. At the time of the report, the pt had not recovered. The pharmacist reported that the pt was vaccinated with lot 653283/0001F, 655587/0882F, 654981/0674F or 651149/0088F. The pharmacist could not narrow down which lot number the pt received and requested a lot check for each of them. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Pain in extremity, Pyrexia, Renal failure, Skin warm, Sputum purulent
Clinical narrative: Information has been received from a pharmacist concerning a 30 year old hospitalized male with cystic fibrosis and drug hypersensitivity to piperacillin sodium + tazobactam sodium (Zosyn) who on 10/30/06 was vaccinated SW with a 0.5ml dose of Pneumococcal 23v polysaccharide vaccine upon discharge from the hospital. Concomitant therapy included Zyvox. Subsequently the pt developed progressive swelling, tenderness and redness to the upper arm in a 7 by 8 cm area. ON 11/2/06, the pt was readmitted to the hospital. At the time of the report, the pt had not recovered. The pharmacist reported that the pt was vaccinated with lot 653283/0001F, 655587/0882F, 654981/0674F or 651149/0088F. The pharmacist could not narrow down which lot number the pt received and requested a lot check for each of them. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Vaccination complication, Vomiting
Clinical narrative: Information has been received from a pharmacist concerning a 30 year old hospitalized male with cystic fibrosis and drug hypersensitivity to piperacillin sodium + tazobactam sodium (Zosyn) who on 10/30/06 was vaccinated SW with a 0.5ml dose of Pneumococcal 23v polysaccharide vaccine upon discharge from the hospital. Concomitant therapy included Zyvox. Subsequently the pt developed progressive swelling, tenderness and redness to the upper arm in a 7 by 8 cm area. ON 11/2/06, the pt was readmitted to the hospital. At the time of the report, the pt had not recovered. The pharmacist reported that the pt was vaccinated with lot 653283/0001F, 655587/0882F, 654981/0674F or 651149/0088F. The pharmacist could not narrow down which lot number the pt received and requested a lot check for each of them. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: FLU3, PPV, PPV
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Information has been received from a pharmacist concerning a 30 year old hospitalized male with cystic fibrosis and drug hypersensitivity to piperacillin sodium + tazobactam sodium (Zosyn) who on 10/30/06 was vaccinated SW with a 0.5ml dose of Pneumococcal 23v polysaccharide vaccine upon discharge from the hospital. Concomitant therapy included Zyvox. Subsequently the pt developed progressive swelling, tenderness and redness to the upper arm in a 7 by 8 cm area. ON 11/2/06, the pt was readmitted to the hospital. At the time of the report, the pt had not recovered. The pharmacist reported that the pt was vaccinated with lot 653283/0001F, 655587/0882F, 654981/0674F or 651149/0088F. The pharmacist could not narrow down which lot number the pt received and requested a lot check for each of them. Additional information has been requested.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Pt med with flu vaccine at 1435 went back to work. Called me 1445 stating she was feeling left side numbness from lip to ear progressing to left eye, denies dysphasia or dyspnea.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Joint range of motion decreased
Clinical narrative: Right arm sore, itching, swollen, bright red, hot to touch, very painful to touch, restricted motion. Lasted approximately one week.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pruritus
Clinical narrative: Right arm sore, itching, swollen, bright red, hot to touch, very painful to touch, restricted motion. Lasted approximately one week.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Erythema, Joint range of motion decreased, Myalgia, Pain, Pruritus
Clinical narrative: Right arm sore, itching, swollen, bright red, hot to touch, very painful to touch, restricted motion. Lasted approximately one week.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Swelling
Clinical narrative: Right arm sore, itching, swollen, bright red, hot to touch, very painful to touch, restricted motion. Lasted approximately one week.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Right arm swollen, itchy, red, painful, headache
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Right arm swollen, itchy, red, painful, headache
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Thirty-six hours following injection noted redness, swelling and warmth progressing over next 12 hours. No fever, systemic signs of illness.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Convulsion, Pyrexia, Rash
Clinical narrative: Fever with seizures, rash occurred apprx 9 days after immunizations given. Symptoms resolved completely. No treatment.
Age: 23.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Malaise, Pallor, Syncope
Clinical narrative: Onset dizzy/faint feeling, pallor, general malaise and slightly "funny" feeling in stomach.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Drug ineffective, Pruritus, Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Information has been received from a physician concerning a 67 year old female who on approximately 25-Oct-2006 was vaccinated with a dose of varicella-zoster virus vaccine live.  On 03-Nov-2006, the patient developed acute varicella characterized by pruritic lesions on her chest and a low-grade fever of 99.4 degrees Fahrenheit.  Unspecified medical attention was sought and the patient was being treated with valacyclovir hydrochloride (VALTREX) 1 gm TID.  A product quality complaint was not involved.  Acute varicella was considered to be an other important medical event by the physician.  Additional information has been requested. (OMIC)
Age: 30.0
Sex: M
Vaccine: MMR
Symptoms: Pain, Radiculitis brachial
Clinical narrative: Information has been received from a registered nurse concerning a male weight lifter in his thirties with no known allergies who in May 2006, was vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live.  On an unspecified date, the patient developed brachial plexus neuritis and had severe pain for two months post vaccination. The patient's experience was considered to be disabling by the reporter.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Feeling cold, Haemorrhage, Hot flush, Nausea
Clinical narrative: concerning a 19 year old female with diabetes and hypothyroidism on 8/31/06 was vaccainted IM with a first dose of HPV vaccine. Concomitant therapy included an insulin pump, Levothyroxine (Synthroid) and (Loworval). On 10/3/06 (also reported as a month later), the pt experienced hot flushes and cold flashed, nausea, a temp less than 100F and abnormal bleeding. On 11/4/06, the pt experienced right lower quadrant abdominal pain and was hospitalized. She has had a CAT scan, MRI, laparoscopy and a few ultrasounds of the area but all have been neg. The pt was treated wit IV fluids. At the time of this report, the pt had not recovered. No product quality complaint was involved. Right lower quadrant abdominal pain was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: concerning a 19 year old female with diabetes and hypothyroidism on 8/31/06 was vaccainted IM with a first dose of HPV vaccine. Concomitant therapy included an insulin pump, Levothyroxine (Synthroid) and (Loworval). On 10/3/06 (also reported as a month later), the pt experienced hot flushes and cold flashed, nausea, a temp less than 100F and abnormal bleeding. On 11/4/06, the pt experienced right lower quadrant abdominal pain and was hospitalized. She has had a CAT scan, MRI, laparoscopy and a few ultrasounds of the area but all have been neg. The pt was treated wit IV fluids. At the time of this report, the pt had not recovered. No product quality complaint was involved. Right lower quadrant abdominal pain was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Back pain, Cellulitis, Feeling cold, Headache
Clinical narrative: Information has been received from a health professional concerning a 56 year old female pt with COPD and asthma and a past medical history of numerous hospitalizations for asthma who on 9/25/06 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651373/0320F). On 9/27/06 the pt telephoned the physicians office with complaints of a sore back and shoulder, headache, nausea, vomiting, could barely move, arms were very weak and sore, and she was hot and cold. She was seen at the physicians office that day and instructed to go to the ER. She was hospitalized that same day with a diagnosis of cellulitis. On 9/30/06 she was discharged and had recovered. It was reported that the pt had a similar reaction 10 years ago after receiving Pneumococcal 23v polysaccharide vaccine. The reporter asked for a lot check for this lot number. No product quality complaint was noted. Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Hot flush, Hypokinesia, Nausea, Pain, Shoulder pain
Clinical narrative: Information has been received from a health professional concerning a 56 year old female pt with COPD and asthma and a past medical history of numerous hospitalizations for asthma who on 9/25/06 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651373/0320F). On 9/27/06 the pt telephoned the physicians office with complaints of a sore back and shoulder, headache, nausea, vomiting, could barely move, arms were very weak and sore, and she was hot and cold. She was seen at the physicians office that day and instructed to go to the ER. She was hospitalized that same day with a diagnosis of cellulitis. On 9/30/06 she was discharged and had recovered. It was reported that the pt had a similar reaction 10 years ago after receiving Pneumococcal 23v polysaccharide vaccine. The reporter asked for a lot check for this lot number. No product quality complaint was noted. Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Information has been received from a health professional concerning a 56 year old female pt with COPD and asthma and a past medical history of numerous hospitalizations for asthma who on 9/25/06 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651373/0320F). On 9/27/06 the pt telephoned the physicians office with complaints of a sore back and shoulder, headache, nausea, vomiting, could barely move, arms were very weak and sore, and she was hot and cold. She was seen at the physicians office that day and instructed to go to the ER. She was hospitalized that same day with a diagnosis of cellulitis. On 9/30/06 she was discharged and had recovered. It was reported that the pt had a similar reaction 10 years ago after receiving Pneumococcal 23v polysaccharide vaccine. The reporter asked for a lot check for this lot number. No product quality complaint was noted. Additional information has been requested.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: Crying
Clinical narrative: Information has been received from a physician concerning a 2 month old pt with no drug reactions or allergies who was vaccinated with a PO first dose of Rotavirus vaccine. Subsequently one week after vaccination the pt developed intussusception and was hospitalized. X rays were performed, results not reported. At the time of the report the pt was recovering. There was no product quality complaint involved. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Optic neuritis, Vision blurred
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/6/06 from the pt. An 18 year old male pt, with no concurrent illnesses, and a past medical history of TMJ (temporamandibular joint disorder), had received a first dose of Menactra in Sept 2006. The day of vaccination, lot number, route and site of administration were not reported. Two weeks post immunization, the pt developed blurred vision in the right eye, and some complaint of headache. The pt exhibited no other symptoms. On 11/3/06, the pt was evaluated by an ophthalmologist and diagnosed with possible optic neuritis. The pt has been scheduled for some tests, but the name and date of the tests were not reported. The contact information fir the ophthalmologist was provided. At the time of this report, the pt had not recovered.
Age: 30.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Anorexia, Headache, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Seriousness criteria other medically significant (OMIC). A 30 year old female pt received an initial dose of Adacel, lot number C2559AA, administered in the left deltoid, and a dose of influenza vaccine, lot number not reported, administered in the right deltoid on 11/3/06. The needle sizes and gauges were not known. 24 hours later, the pt experienced severe body aches, systemic anorexia, lethargy, and a temp of 101 degs F. Her left deltoid was swollen at the site of injection to golf ball size and was red and painful. the pt also experienced a headache, for which she took Motrin as needed. It was not reported whether the pt required any medical intervention. The pt reported that her body aches subsided by 11/6/06. At the time of this report on 11/7/06, the local site swelling, pain and lethargy continued and the pt had not recovered.
Age: 30.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: Seriousness criteria other medically significant (OMIC). A 30 year old female pt received an initial dose of Adacel, lot number C2559AA, administered in the left deltoid, and a dose of influenza vaccine, lot number not reported, administered in the right deltoid on 11/3/06. The needle sizes and gauges were not known. 24 hours later, the pt experienced severe body aches, systemic anorexia, lethargy, and a temp of 101 degs F. Her left deltoid was swollen at the site of injection to golf ball size and was red and painful. the pt also experienced a headache, for which she took Motrin as needed. It was not reported whether the pt required any medical intervention. The pt reported that her body aches subsided by 11/6/06. At the time of this report on 11/7/06, the local site swelling, pain and lethargy continued and the pt had not recovered.
Sex: M
Vaccine: TDAP
Symptoms: Chills, Hypoaesthesia, Pain, Paralysis, Pyrexia
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/8/06 from a health care professional. A male pt (demographics not reported) with a past medical history of Transverse myelitis, had received a dose of Adacel on 11/3/06. The lot number, route and site of administration were not reported. Two days post immunization, the pt complained of fever, chills, body aches, and had developed numbness and paralysis to the right side of his face. The pt self medicated with Ibuprofen. The pt was evaluated by a physician on an unspecified date. Per the reporter, it was unk if the pt had any illnesses at the time of the vaccination. At the time of this report, the recovery status of the pt was unk.
Age: 32.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Chest pain, Chills, Laboratory test abnormal, Malaise, Myalgia
Clinical narrative: 32 year old male soldier developed recurring fevers starting on 11/03/06 associated with myalgias, and malaise.  Chest pain then developed by the evening of 11/05/06 prompting a visit to the Emergency room and subsequent hospitalization.  Fever Start: 11/03/2006 End: 11/07/2006 Comment: The maximum fever over the weekend prior to hospitalization was 101F.  Chills Start: 11/03/2006 End: 11/07/2006 Comment: Associated with fevers.  Muscle pain Start: 11/03/2006 End: 11/07/2006 Comment: Patient noted multiple myalgias in association with fever and chills.. Chest pain developed on the evening of 11/5 prompting the ER visit.  Vomiting Start: 11/05/2006 End: 11/05/2006 Comment: Patient vomited x 1 on his way to the hospital.  11/20/06 Received medical records which reveal patient admitted to hospital 11/6-11/7/06 after presenting to ER with N/V, chest pain, fever, chills & myalgias for 3 days & 11 days s/p vax.  Then had sharp chest pain on 11/5 which worsened overnight.  On admit, temp 100.7, tachycardic.  Admitted to CCU & treated symtomatically with NSAIDS & hydration.   Final Dx: myocarditis./ss
Age: 32.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Myocarditis, Pyrexia, Tachycardia
Clinical narrative: 32 year old male soldier developed recurring fevers starting on 11/03/06 associated with myalgias, and malaise.  Chest pain then developed by the evening of 11/05/06 prompting a visit to the Emergency room and subsequent hospitalization.  Fever Start: 11/03/2006 End: 11/07/2006 Comment: The maximum fever over the weekend prior to hospitalization was 101F.  Chills Start: 11/03/2006 End: 11/07/2006 Comment: Associated with fevers.  Muscle pain Start: 11/03/2006 End: 11/07/2006 Comment: Patient noted multiple myalgias in association with fever and chills.. Chest pain developed on the evening of 11/5 prompting the ER visit.  Vomiting Start: 11/05/2006 End: 11/05/2006 Comment: Patient vomited x 1 on his way to the hospital.  11/20/06 Received medical records which reveal patient admitted to hospital 11/6-11/7/06 after presenting to ER with N/V, chest pain, fever, chills & myalgias for 3 days & 11 days s/p vax.  Then had sharp chest pain on 11/5 which worsened overnight.  On admit, temp 100.7, tachycardic.  Admitted to CCU & treated symtomatically with NSAIDS & hydration.   Final Dx: myocarditis./ss
Age: 38.0
Sex: F
Vaccine: HEP, TYP, YF
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Developed a fever 12 hrs after shot with chills. next day vomit  x 14 times. Episodes of chills and fever of over 103.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Anaphylactic reaction, Vaccination complication
Clinical narrative: Approx 2 minutes after administration of PPV, pt experienced anaphylaxis. Epi Pen 0.3 mg administered with recovery of air way within 1 minute. Pt transported to hospital, recovered completely.  Received MR. HPI: 54 yr. old who developed facial swelling, SOB and wheezing within 1 minute of Pneumovax.  Patient was treated with an Epi-pen and given several Duo-nebs, then transported to the ER via ambulance.   PE WNL with the exception of diffuse, faint breath sounds with expiratory wheezes and a prolonged expiratory phase. Txed with Benadryl po, pepcid, and prednisone.  Duo-nebs given x2.  Condition improved and discharged home same day. Impression: Adverse Drug Reaction to Pneumovax
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: Acute disseminated encephalomyelitis, Anaemia, Asthenia, CSF glucose increased, CSF lymphocyte count abnormal
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: CSF monocyte count increased, CSF neutrophil count increased, CSF protein increased, CSF test abnormal, Crying
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: Fine motor delay, Gastrointestinal haemorrhage, Hypotonia, Ileus, Laboratory test abnormal
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: Lumbar puncture abnormal, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: Occupational therapy, Physiotherapy, Pneumatosis intestinalis, Red blood cell sedimentation rate increased, Red blood cells CSF positive
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, HEPA, MMRV
Symptoms: Spinal muscular atrophy, Transfusion, Upper respiratory tract infection
Clinical narrative: 10/17/06 given MMR-V, Hep B-Hib, Hep A, and Flu vaccine. 10/31/06 acute onset transverse myelitis.  12/4/06 Received medical records from hospital which reval patient admitted 10/31/06-11/21/06 for generalized weakness & inability to move extremities well x 1 day.  Had viral URI s/s for approx 1 day. Neuro exam revealed global weakness & decreased tone from the neck down.  Had diminished cry.  Developed UGI bleed possibly secondary to high dose steroids.  Developed ileus probably secondary to ADEM.  Treated with decompression & multiple anti virals & antibiotics.  Neuro, GI & PM&R followed patient & was to received services at home upon d/c. Final Dx: probable ADEM.  Pneumatosis intestinalis, resolved.  Anemia requiring multiple transfusions. Per 60 day follow up: Not fully back to his baseline. He still has grars and fine motor delays. Not sitting unassisted. His getting weekly OT and PT. He has lower extermity atrophy. He is making slow progress developementally. He still has global developmental delays.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 10/11/06 given Td IM (lot number 03915) right deltoid. 10/16/06 had 70 x 115 local redness and warmth, no tenderness.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Confusional state, Gait disturbance, Muscle rigidity, Speech disorder, Tremor
Clinical narrative: Pt developed confusion, decreased spontaneous speech, tremors, muscle rigidity and gait unsteadiness a day after getting the flu shot in a church.
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This 86 year old woman was given a Zostavax on 10/06/2006. On 11/02/2006 she developed herpes zoster of the first division of the fifth cranial nerve, fortunately without eye involvement. (OMIC) She did have an episode of zoster - not due to flu vaccine & did better than expected due to the vaccine
Age: 44.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Pyrexia
Clinical narrative: Erythema, fever, chills 24 hours post injection
Age: 3.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Erythema, Swelling
Clinical narrative: Swelling under right eye. Red flat spot on chest, back and legs. Swelling going away in face already.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus
Clinical narrative: Pt received vaccination early in AM. Called later that afternoon and was itching all over. took Benadryl which helped.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Pyrexia
Clinical narrative: Mother of patient called Monday 11-13-06. States child got fever 102 degrees three hours after receiving Fluzone flu vaccine 0.5 ml and bad headache. Still headache next day with fever 101 degrees (11-11-06). On 11-21-06, headache a little better with fever 99-100 degrees.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Injection site induration, Tenderness
Clinical narrative: Right arm redness, warm and tender. Hardness around area where vaccine was given. Bloodwork ordered, Augmentin ordered. follow up next day.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Pain, Pyrexia, Swelling
Clinical narrative: Treated in hospital for Right arm pain, fever of 101.0. Small bruise at injection site. 10-30-06 Patient complains of arm pain and swelling. Stated it is not any worse.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site within 5 hours. Travels to elbow. Saw a Dr on 11-13-06, placed on antibiotic. Arm still red and swollen. Recommended ice to be used.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest pain, Decreased appetite, Dyspnoea
Clinical narrative: Patient getting squeezing in chest.  Not able to bet in a deep breath.  No couth.  Getting DOE.  No temp elevation.  O2 sat 98%.  CXR neg.  Albuterol inhaler provided relief and prescription given for albuterol MDI. 11/20/06 Received medical records from provider which reveal patient in good health but with AM stomach aches even on non school days.  Peppermint candy relieves.  Poor appetite.  Received FluMist on 10/27 & became ill on 10/28 with squeezing in chest & SOB.  Treated w/albuterol MDI.  CXR was WNL.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Eye swelling, Hypotension, Ocular hyperaemia
Clinical narrative: Shortness of breath, red and swollen eyes, rash on neck and chest, hypotension, tachycardia, chest pain. Developed in evening after receiving vaccine at approximately 1pm. Treated in ER for possible allergic reaction to flu vaccine. 1st flu shot employee had ever received.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Tachycardia
Clinical narrative: Shortness of breath, red and swollen eyes, rash on neck and chest, hypotension, tachycardia, chest pain. Developed in evening after receiving vaccine at approximately 1pm. Treated in ER for possible allergic reaction to flu vaccine. 1st flu shot employee had ever received.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Ear pain, Headache, Otitis media, Pyrexia, Vomiting
Clinical narrative: Developed headache, fever, earache, vomiting. Diagnosed with right otitis media 24 hours after nasal flumist. Temp in office 101.7 F.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Wrong drug administered
Clinical narrative: Developed headache, fever, earache, vomiting. Diagnosed with right otitis media 24 hours after nasal flumist. Temp in office 101.7 F.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus, Swelling
Clinical narrative: Swelling, hot to the touch, itching.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Ophthalmoplegia, Pyrexia
Clinical narrative: Bell's palsy on Right and weak right eyelid, decrease scotopic threshold response, asymmetric smile, able to follow brow bilateral seems to be improving. No treatment. 12/18/06 Received medical records from reporter which reveal patient seen 7/06 & dx w/strep throat, treated/resolved & then otitis media, treated/resolved.  Received flu shot at pharmacy on 10/11. Seen by reporter on 11/3/06 after being evaluated by eye dr who dx bells palsy.  Facial weakness had been present for approx 1 week. Right eyelid weakness, right corner of mouth drooping, able to wrinkle forehead bilaterally.  Temp 99.5. Final Dx: Bells Palsy.  Mother reported to reporter on 12/6/06 that all symptoms had resolved.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Heart rate increased, Nausea, Pain
Clinical narrative: That evening just not feeling well. Serum going in arm was very uncomfortable. Arm from shoulder to elbow hurt rest of day. Next day woke up with very rapid racy heart beat, weakness, dizziness, slight nausea.  All symptoms lasted two full days and night. "Slight" recurrence 5 days later lasting half of day with same symptoms.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Vaccination complication
Clinical narrative: That evening just not feeling well. Serum going in arm was very uncomfortable. Arm from shoulder to elbow hurt rest of day. Next day woke up with very rapid racy heart beat, weakness, dizziness, slight nausea.  All symptoms lasted two full days and night. "Slight" recurrence 5 days later lasting half of day with same symptoms.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot
Clinical narrative: Mom reports: redness and warmth. 3 inch circumference at site of injection left thigh.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Difficulty in walking, Injection site swelling, Malaise, Pain
Clinical narrative: Had influenza vax given 11/7/06 in left thigh. 24hours later had pain in leg and did not want to walk. Developed red raised bumps which later became a ringed area around inject site and swelling went down. Associated malaise.
Age: 3.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Erythema, Injection site rash
Clinical narrative: DTAP-arm turned red from elbow to shoulder;Varicella-rash approximately 1/2 in around needle site; Flu-rash around needle site approximately 1 inch
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: 15cm diameter localized swelling at injection site. Local reaction.
Age: 1.29
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site nodule
Clinical narrative: 11 days after vaccine, Right injection with red bump
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: 7:55 a.m. Client received a flu shot in left deltoid. Gave her a sheet on (What you need to known 2006-07 Influenza vaccines. instructed her to stay around people for the next 30 minutes in case of an allergic reaction. 8:10 a.m. Client came back to office complaining that her throat feels tight and has tingling in her hands. Client states" My throat started feeling different when I got back to class but it kept getting worse. My throat has a fullness to it now it is getting worse." 8:15 a.m. Epi-pen 0.3 mg administered to RIGHT THIGH LOT#5EM436 expires 03/07. 2 Puffs from Albuterol inhaler and Benadryl (50mg) given. Person name called ambulance service and client's husband. Blood pressure 140/80, pulse 90. 8:25 a.m. Ambulance Service arrived and transported to hospital emergency room.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain
Clinical narrative: Clinic participant complained of sudden, non-radiating lower back pain after receiving injections. Pain resolved after sitting for approximately 10 minutes. Pulse was 76 beats/minutes. Blood pressure 140/80. Ambulance was called. Client symptoms had resolved. He declined to be assessed at ER. Primary HCP notified.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Abdominal cramping and diarrhea for 72 hours.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Diarrhoea, Erythema, Feeling hot, Pruritus
Clinical narrative: Diarrhea with abdominal pain. 6cm area of redness, swelling and warmth at injection site with itching for 3 days.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Swelling
Clinical narrative: Diarrhea with abdominal pain. 6cm area of redness, swelling and warmth at injection site with itching for 3 days.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain, Rash macular
Clinical narrative: Shortly after vaccine, at home patient felt pain, developed edema and redness of right arm(upper). With range of motion -she had more severe pain. Took Tylenol and applied ice to area. This lasted through the next day Wednesday and some on Thursday. Friday (11-10-06), pain subsided to about 15%. Edema decreased. Has red blotches. Called home health nurse.
Age: 1.22
Sex: M
Vaccine: FLU3
Symptoms: Urticaria, Wheezing
Clinical narrative: The child received the Flu shot on 11/1/06 in the Right thigh. During the evening mom stated he started to wheeze, began breakingout with hives on both cheeks, Left axillary and both thighs.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Ocular hyperaemia, Paraesthesia, Swelling face
Clinical narrative: Per employer, she received flu vaccine at work on 24-OCT-2006 at approximately 8:15 am. The only symptom reported on Thursday was "red eyes." 25-OCT-2005 when she got out of bed she noted a tingling sensation of both her tongue and face. When she looked in the mirror she observed that her face was flushed and both lips were swollen. She denied any difficulty with breathing or swallowing.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Feeling hot, Hypersensitivity, Pyrexia, Swelling
Clinical narrative: 11-1-06 call received from mother. Child temp 101.2. Left lower extremity hot and was providing Motrin regularly. Complained of left side shaking and thirst. Advised ER at ER temp 101.2, O2 Sat 99%, left thigh and face swollen. Upper arm some redness. Diagnosis: Acute allergic reaction to immunization with fever. Improved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Tremor
Clinical narrative: 11-1-06 call received from mother. Child temp 101.2. Left lower extremity hot and was providing Motrin regularly. Complained of left side shaking and thirst. Advised ER at ER temp 101.2, O2 Sat 99%, left thigh and face swollen. Upper arm some redness. Diagnosis: Acute allergic reaction to immunization with fever. Improved.
Age: 0.59
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: High fever 103.9. No other symptoms.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Erythema, Fatigue, Flushing
Clinical narrative: Injection at 10:45-headache by noon within 2 hours. Noticed flashes, fatigue, shivering, flushed skin. Over day 1 and day 2; on day 3 swelling of hands, face, chest hurt, red skin, generalized itching. Required MD attention and adrenalin injection at local immediate care facility.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pruritus, Swelling
Clinical narrative: Injection at 10:45-headache by noon within 2 hours. Noticed flashes, fatigue, shivering, flushed skin. Over day 1 and day 2; on day 3 swelling of hands, face, chest hurt, red skin, generalized itching. Required MD attention and adrenalin injection at local immediate care facility.
Age: 1.9
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Crying, Grunting, Pyrexia
Clinical narrative: Acute onset crying, grunting respiration, fever, distress.  11/30/06 Received medical records from PCP which reveal patient in good health on day of vax.  Returned to office after waking from nap crying & shaking & grunting with each breath.  PCP felt it was probable immunization reaction & after about 2 hours of observation in the office was sent home.  Symptoms returned & worsened at home & was admitted to hospital for additional management & observation.  Temp on admit was 103 & patient had faint lacy macular rash over her arms, legs & torso.  CXR & abdominal films were WNL./ss 12/8/06 Received medical records from hospital which reveal patient admitted to hospital 11/9/06 with acute grunting & fever, rule out sepsis or intussusception.  Continued to improve while hospitalized & was d/c to home on 11/11/06.  No d/c summary included with records & no final dx available.
Age: 19.0
Sex: M
Vaccine: FLUN3, JEVX, SMALL
Symptoms: Chills, Decreased appetite, Epistaxis, Lymphadenopathy, Pain
Clinical narrative: Description: 19 year old male developed multiple symptoms after vaccination with SPV, JEV, and Flumist. Symptom: Epistaxis start: 11/07/2006. Comment: Reports an episode of 1.5hrs of bleeding on last week. One episode of 10 minutes on yesterday. Reports a problem of 'chronic nosebleeds' in the past and prior to vaccination. Symptom: Pain start: 11/07/2006. Comment: Reported pain in his neck and back since last week, helped by Tylenol. Symptom: Lymphadenopathy, axillary. Start: 11/07/2006. Comment: Very painful left axilla on last week; resolved now. Symptom: Fever. Start: 11/08/2006. Comment: Patient has felt feverish but his measured temps have been normal. Temp yesterday was 98-98.7F. Symptom: Chills. Start: 11/08/2006. Comment: Alternating with the previous fever. Symptom: Vomiting. Start:11/13/2006. Comment: X 1 episode with 'streaks' of blood. Symptom: Anorexia. Start: 11/07/2006. Comment: patient reports his appetite had been decreased by half for the past few days.
Age: 19.0
Sex: M
Vaccine: FLUN3, JEVX, SMALL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Description: 19 year old male developed multiple symptoms after vaccination with SPV, JEV, and Flumist. Symptom: Epistaxis start: 11/07/2006. Comment: Reports an episode of 1.5hrs of bleeding on last week. One episode of 10 minutes on yesterday. Reports a problem of 'chronic nosebleeds' in the past and prior to vaccination. Symptom: Pain start: 11/07/2006. Comment: Reported pain in his neck and back since last week, helped by Tylenol. Symptom: Lymphadenopathy, axillary. Start: 11/07/2006. Comment: Very painful left axilla on last week; resolved now. Symptom: Fever. Start: 11/08/2006. Comment: Patient has felt feverish but his measured temps have been normal. Temp yesterday was 98-98.7F. Symptom: Chills. Start: 11/08/2006. Comment: Alternating with the previous fever. Symptom: Vomiting. Start:11/13/2006. Comment: X 1 episode with 'streaks' of blood. Symptom: Anorexia. Start: 11/07/2006. Comment: patient reports his appetite had been decreased by half for the past few days.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Irritability, Lethargy, Malaise, Pyrexia
Clinical narrative: Lethargic, temp 103, extremely agitated, fussiness, acting ill-No Other Symptoms
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site swelling, Tenderness
Clinical narrative: Patient returned on 9/29/06 with swollen left upper arm at injection site. Induration 8cmx3cm and erythema 10cmx5cm. Warm and tender. No history of previous reactions.
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Connective tissue disorder, Joint stiffness, Laboratory test abnormal
Clinical narrative: Sore, stiff joint (like arthritis) has lasted off and on until present. Motrin, Darvocet used for treatment pain at first. Doctors diagnosed use with drug induced non specified connective tissue disease
Age: 72.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Chills, Pyrexia, Swelling
Clinical narrative: Left arm swelled 4x6 inch. Associated with fever, chilled for 4 days. Arm now better and fever now gone.
Age: 47.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling, Tenderness
Clinical narrative: Patient presented on 9/22/06 with red swollen upper left arm. Erythema 12cmx8cm, induration 10cmx5cm. Warm and tender. Diphtheria Toxoid absorbed for adult use.
Age: 1.07
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Headache, Pyrexia, Rash, Rash vesicular
Clinical narrative: Patient developed fever 2 days prior to development of rash. Temp ranged 102-103. Patient started breaking out into red, vesicular lesions on trunk, buttocks, and face. Patient positive for headache at onset of symptoms.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Within 6 hours she developed right arm pain, generalized myalgias, temp to 104, headache and nausea. Emergency Room that day. WBC 16,600, ESR 6. Blood culture- negative. Antibiotics given and she has recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUX, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Patient seen in ER 11-NOV-2006 14:45. Mother reported itching on left thigh 10-NOV-2006. 11-NOV-2006 noticed redness and swelling and warmth left thigh. Treated with Benadryl 25 mg PO every 6 hours until symptoms gone. Prenisone 5 mg and ice to area.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Hyperhidrosis, Nausea, Syncope, Tremor
Clinical narrative: Took shot at 9:30 a.m. At 4:30 p.m. severe chills and shaking. Next morning when I got out of bed I became very nauseated and began to perspire at which point I fainted.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Hyperhidrosis, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever (sweating), temperature unknown, on night of 9/25 and during day of 9/26. Raised, swollen, red, hot at site of injection.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Fatigue, Heart rate increased, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Lips numb, tongue tingling, check neck back. Heart racing, palms sweating, very tired, explosive diarrhea in the night.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Paraesthesia
Clinical narrative: Lips numb, tongue tingling, check neck back. Heart racing, palms sweating, very tired, explosive diarrhea in the night.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Coordination abnormal
Clinical narrative: Received only influenza vaccine 11/16/06. Awoke with mild-moderate ataxia within 24 hours. Otherwise well. No evidence of weakness but DTR's 1+ equal bilaterally. No nystagmus. EOMs normal.
Age: 37.0
Sex: M
Vaccine: FLUN3
Symptoms: Ascites, Cardiac failure congestive, Cardiomyopathy, Dyspnoea, Fatigue
Clinical narrative: Patient administered FLUMIST vaccine and one week post vaccine, patient developed flulike syndrome, followed by fatigue and shortness of breath that worsened over 6 weeks before being referred to local cardiologist presenting with severe cardiomyopathy and associated congestive heart failure. 12/22/06 Received medical records from hospital which reveal patient admitted 11/10/06-11/14/06 after having flu like s/s of fever, malaise & body aches for approx 1 week after received the FluMist vax, followed by SOB & fatigue that continued to worsen over approx 6 wk period before presented to cardiologist office profoundly symptomatic.  Exam revealed JVD & est CVP of 10-12; summation gallop; small amount of ascites; trace bipedal edema Final DX: Congestive heart failure, compensated; cardiomyopathy, severe & presumably post-viral.