chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Viral infection
Clinical narrative: Information has been received from a physician concerning a 45 year old female with a history of three shingles outbreaks (two in early 2006 and in in May 2006) and no allergies or other medical history who on 7/1/06 was vaccinated SC with a dose of varicella Zoster virus vaccine live. It was noted that a physician gave the vaccination to boost the pts immunity. On 10/13/06, the pt experienced a fourth outbreak of shingles. The pt experienced less pain and the outbreak was less severe than the first three outbreaks. She was treated with triamcinolone Acetonide (Kenalog) 1cc and Famciclovir (Famvir) 500 mg TID since 10/13/06. No diagnostic lab test were preformed. At the time of the report, the pts case of shingles was less severe and she was recovering. A product quality complaint was no involved. Shingles was considered to be an other important medical event by the reporter (OMIC). Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Asthenia
Clinical narrative: Information has been received from a physician concerning a 4 year old male with no known allergies or pertinent medical history who on 8/30/06 was vaccinated SC in the right arm with a 0.5ml dose of Varicella vaccine (lot 648315/0072R). Concomitant vaccination included a dose of MMR II, a dose of Polio vaccine, and a dose of Dtap. Two weeks after immunization, on approx 9/13/06 the pt developed weakness of the right arm. Medical attention was sought. An X ray of the right arm was performed and was within normal limits. Labs performed included, creatinine kinase, complete blood count, and sedimentation rate, results pending. At the time of the report the pt had not recovered. There was no product quality complaint involved. The right arm weakness was considered to be disabling. Additional information has been requested.
Age: 0.34
Sex: F
Vaccine: RV5
Symptoms: Dyskinesia, Muscle spasms
Clinical narrative: Information has been received from a physician concerning a 24 week old female, with no medical history and no allergies, who, "2 months ago", on approximately 12-AUG-2006, was vaccinated with a first oral 2 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653755/0319F).  Concomitant vaccines administered on the same day included a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR), a dose of diphtheria toxoid (+) Pertussis acellular 5-component vaccine (+) tetanus toxoid (DAPTACEL), a dose of Hib conj-hepatitis B vaccine and a dose of poliovirus vaccine inactivated (IPOL).  "Three weeks ago", on approximately 21-SEP-2006, the patient developed spasms, described as a "jumping" type movement.  The patient was evaluated in the hospital and released.  It was reported that the patient recovered.  Unspecified medical attention was sought.  No product quality complaint was involved. No other information was provided.  Follow up information from a physician indicated that on 02-OCT-2006 the patient was seen in the office and was observed for 15 minutes and had four episodes of spasms and "jumping-type" movements which looked seizure-like.  On that same day the patient was admitted to the hospital.  While hospitalized, the patient underwent an MRI and a 24 hour EEG both of which were negative for any seizure activity.  The patient was subsequently discharged from the hospital ( date not known).  The patient was seen by the physician on 11-OCT-2006 and was noted to be recovered, as she had not had any additional episodes of spasms and "jumping-type" movements.  Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Diabetes mellitus, Hypertension, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pneumovax injection given in right deltoid and had erythema, pain. edema from shoulder to the elbow. (OMIC)
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Lipids increased
Clinical narrative: Pneumovax injection given in right deltoid and had erythema, pain. edema from shoulder to the elbow. (OMIC)
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pneumovax injection given in right and had erythema, pain, and edema from shoulder to the elbow. (OMIC)
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Pneumovax injection given in right deltoid and experienced hives all over her body. (OMIC)
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction, Dyspnoea, Erythema, Feeling hot, Hyperhidrosis
Clinical narrative: Returned to work after shot did not feel well, hot, red, sweaty, difficulty breathing, swelling at inject site. Taken to walk in clinic at her work site, for anaphylactic reaction. Treated with IV/meds. Now on prednisone. DOS 10/11/06 Assessment: allergic rhinitis to hepatitis B vaccine. Chief Complaint: chest tightness due to reaction to hepatitis B vaccine. PE: WNL except for slight erythema across face and rash above the breast bilaterally with mild erythema, slight erythema across the shoulders posteriorly. RX with sol-medrol IV and 50mg Benadryl IV. Rash resolved no more episodes of chest tightness. DC with RX for Zyrtec and Prednisone.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Injection site oedema, Malaise, Rhinitis allergic
Clinical narrative: Returned to work after shot did not feel well, hot, red, sweaty, difficulty breathing, swelling at inject site. Taken to walk in clinic at her work site, for anaphylactic reaction. Treated with IV/meds. Now on prednisone. DOS 10/11/06 Assessment: allergic rhinitis to hepatitis B vaccine. Chief Complaint: chest tightness due to reaction to hepatitis B vaccine. PE: WNL except for slight erythema across face and rash above the breast bilaterally with mild erythema, slight erythema across the shoulders posteriorly. RX with sol-medrol IV and 50mg Benadryl IV. Rash resolved no more episodes of chest tightness. DC with RX for Zyrtec and Prednisone.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase increased, Difficulty in walking, Haematuria, Hypokinesia, Myoglobinuria
Clinical narrative: Severe leg pain, refusal to walk, increased CK in blood, hematuria. Summary: Previously healthy almost 4 yr old presented to pediatrician 3 days S/P Fluzone injection on 10/14/06 with c/o pain and refusal to walk.  Vomited the night before.  Admitted for observation to R/O Guillian-Barre vs. acute myositis.   Discharged 1 day later. No D/C summary was written.  F/U visit to PCP on 10/25/06 with  DX: "myositis following an influenza vaccine".  Energy and activity level now normal.  Urinating well.  Status: Resolved./pc
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Myositis, Pain, Urine analysis abnormal, Vaccination complication, Vomiting
Clinical narrative: Severe leg pain, refusal to walk, increased CK in blood, hematuria. Summary: Previously healthy almost 4 yr old presented to pediatrician 3 days S/P Fluzone injection on 10/14/06 with c/o pain and refusal to walk.  Vomited the night before.  Admitted for observation to R/O Guillian-Barre vs. acute myositis.   Discharged 1 day later. No D/C summary was written.  F/U visit to PCP on 10/25/06 with  DX: "myositis following an influenza vaccine".  Energy and activity level now normal.  Urinating well.  Status: Resolved./pc
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Arthritis bacterial, Arthropathy, Hypertension, Infection, Laboratory test abnormal
Clinical narrative: Within 2-3 hours of being vaccinated my body was totally in pain. My left arm (vaccination site) was frozen (bent upward at the elbow). Taken to ER at Hospital, where the arm could only be pried open partially, a shoulder tap revealed septicemia and admitted to same hospital surgery on septic shoulder, blood tests showed presence of foreign substance resembling algae (pond scum). Pic line was inserted into the Pericardium of right ventricle with an antibiotic drip for approx one month, to prevent the heart from vegetating. It as the strongest anti agent a human can endure. The alternative was certain death. I was hospitalized for one month. I have not recovered.  11/02/2006 MR received from treating hospital which revealed that patient was initially seen in ER approx. 24 hours post pneumococcal vax. with c/o severe left shoulder pain and a fever of 101.4F.  She also reported a feeling of being "paralyzed" and was unable to leave her car for that 24 hour period, after which she walked to a church where 911 was called. PMH: recently dx'd hypertension, EKG evidence of past MI in 1998.  Treated with IV Vancomycin x 10 days in the hospital, then transferred to a skilled nursing facility for the remainder of her 30 days of IV antibiotics. Discharge DX: 1. Septic left shoulder joint." The cause of the septic shoulder joint remains unclear.  It was felt the injection she received was probably coincidental, as the onset was so quick and the injection should not likely have entered the synovial joint space."  2. Hypertension./pc
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Synovitis
Clinical narrative: Within 2-3 hours of being vaccinated my body was totally in pain. My left arm (vaccination site) was frozen (bent upward at the elbow). Taken to ER at Hospital, where the arm could only be pried open partially, a shoulder tap revealed septicemia and admitted to same hospital surgery on septic shoulder, blood tests showed presence of foreign substance resembling algae (pond scum). Pic line was inserted into the Pericardium of right ventricle with an antibiotic drip for approx one month, to prevent the heart from vegetating. It as the strongest anti agent a human can endure. The alternative was certain death. I was hospitalized for one month. I have not recovered.  11/02/2006 MR received from treating hospital which revealed that patient was initially seen in ER approx. 24 hours post pneumococcal vax. with c/o severe left shoulder pain and a fever of 101.4F.  She also reported a feeling of being "paralyzed" and was unable to leave her car for that 24 hour period, after which she walked to a church where 911 was called. PMH: recently dx'd hypertension, EKG evidence of past MI in 1998.  Treated with IV Vancomycin x 10 days in the hospital, then transferred to a skilled nursing facility for the remainder of her 30 days of IV antibiotics. Discharge DX: 1. Septic left shoulder joint." The cause of the septic shoulder joint remains unclear.  It was felt the injection she received was probably coincidental, as the onset was so quick and the injection should not likely have entered the synovial joint space."  2. Hypertension./pc
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Urticaria
Clinical narrative: On Wed 10/11 had itching on left arm, beginning in the morning. on 10/12 had hive all over left arm on 10/13 noticed hives on right arm. Has not called MD has not taken any meds at time of report.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: 4"x3.75" erythema on left lateral arm, cellulitis area receiving warm compress, and antibiotic Omnicef.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site oedema, Nausea
Clinical narrative: Noticed swelling and redness around injection site (approx size of 50 cent piece) within 24 hours. Had headache and nausea about 48 hours following injection which lasted for 24 hours. Feels completely fine today (10/20). No treatment required.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pruritus, Urticaria
Clinical narrative: Arm was hurting one hour after shot was given, pt developed hives and itching 6 hours later. Pt saw PCP next day at 4pm and received Decadron shot, prednisone and Atarax.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Headache, Musculoskeletal stiffness
Clinical narrative: Both arms started hurting at 3:30pm by 11:30pm she was weak, dizzy and her arms aches. Temp 102. Awoke at 3am with chills and severe body ache, nausea, no vomiting. Had rabies vaccine in veterinary school in 2000. Does not know brand. Only SX was headache, 10/19/06 pt got severe stiff neck and headache 10/13/06 about 10pm lasted 24 hours and disappeared spontaneously.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Both arms started hurting at 3:30pm by 11:30pm she was weak, dizzy and her arms aches. Temp 102. Awoke at 3am with chills and severe body ache, nausea, no vomiting. Had rabies vaccine in veterinary school in 2000. Does not know brand. Only SX was headache, 10/19/06 pt got severe stiff neck and headache 10/13/06 about 10pm lasted 24 hours and disappeared spontaneously.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Pruritus
Clinical narrative: He had an influenza vaccine on the right arm on 10/13/06 and a Pneumovax on the left arm. He had a previous pneumovax in 994 without any difficulty. The day following this injection, his left arm became more swollen over the posterior medial aspect extending down to the forearm. The arm was itchy. he did not have any face or throat itchiness or rashes. He called the ER and they advised him just to monitor the situation. Today he fells the arm is better and the swelling is going down. Itching is slight, but resolving. The pt as outlined before had a fall with a fracture of the left clavicle, which has been treated conservatively. He has no other specific complaints.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pyrexia
Clinical narrative: Erythema, body aches, fever to 99.2
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Tongue oedema
Clinical narrative: Tongue swelling, difficulty breathing, needed Benadryl Prednisone, Albuterol.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Bursa disorder, Injected limb mobility decreased, Neck pain, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Right arm could not be lifted, front, back, or up. That lasted until the following week. Still have trouble lifting anything or raising arm. Hurts right in the shoulder and sometimes to the neck. Mostly still can't move without pain. 05-FEB-2010: P. shot given high on right shoulder, still causing pain when raised to side. Painful most of time. Went to MRI fluid on bursa. 2/1/10
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain, Shoulder pain
Clinical narrative: Right arm could not be lifted, front, back, or up. That lasted until the following week. Still have trouble lifting anything or raising arm. Hurts right in the shoulder and sometimes to the neck. Mostly still can't move without pain. 05-FEB-2010: P. shot given high on right shoulder, still causing pain when raised to side. Painful most of time. Went to MRI fluid on bursa. 2/1/10
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Herpes zoster, Viral infection
Clinical narrative: Given Varivax, Hep A and Fluzone 10/10/2006. Shingle like rash downL5-S1 dermatome about 48 hours later. Have HX of previous chicken pox.
Age: 0.93
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme, Hypersensitivity, Rash, Urticaria
Clinical narrative: Infant developed hives over entire body several hours after vaccine. MR received from hospital which documents three separate ER visits (10/17,10/18, and 10/20/2006) for generalized welts over the childs body, which began on the day of Flu vaccine.  Initially thought to be an allergic reaction to Augmentin, which the child was taking for otitis media and an URI(resolved). Augmentin was stopped 10/17/06 but welts persisted despite tx. with Benedryl and Decadron IM. Third ER visit on 10/20 resulted in tx with Benedryl and Solumedrol IV. Dicharged home to F/u with PCP. Dicharge DX: Erythema Multiforme, allergic reaction with rash.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Flushing, Pruritus
Clinical narrative: 30 minutes after taking flu shot and 2 Tylenol ears flushed, neck started itching no shortness of breath, cool compress applied, 30 min later creases of both arms red, no itching ice pack applied, 30 mins later, ear redness, redness on neck gone. 45 mins later took 50 mg Benadryl 1 hour later no itching or redness.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site mass, Injection site warmth
Clinical narrative: Bruise, hot to touch, lump and Ibuprofen, heat.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Confusional state, Dizziness, Thinking abnormal
Clinical narrative: My head/brain not working right experiencing much confusion was spacey, light headed, dizzy. Legs extremely weak. On 10/13/06 legs were twice as weak-came close to falling that day. Legs were actually trying to collapse.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Angioneurotic oedema, Arthritis, Proteinuria, Purpura
Clinical narrative: Buttocks and lower extremity purpura rash with angioedema, arthritis symptoms BL ankles. child also received Zithromax antibiotic and Lodrane D same day as flu shot.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Had the vaccines listed below on 10/10/06 also had for the first time pediatric Ibuprofen and rice cereal.
Age: 1.08
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Febrile convulsion, Otitis media
Clinical narrative: 10/12/2006 had febrile seizure 10:30am saw ER Dr at hospital that Dr called another Dr. Dr thought it was more likely to be from the ear infection. instead of the MMRV.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: ProQuad 10/18/2006. 10/20/2006 thigh warm, red, no drainage. Benadryl PO, local reaction to MMR/V.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site oedema, Rash erythematous, Tenderness
Clinical narrative: 10/17/06 ProQuad given left upper arm SC. Tolerated procedure well. Mother states day care worker observed swelling redness, tenderness and raised red rash with c/o 24 hours after injection. Mother did not notice till 48 hours post injection and brought child in for exam. Compresses applied left arm tolerated well. Advised Motrin orally for pain. Return and observe the improvement to center.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site urticaria, Pyrexia
Clinical narrative: Left arm pain, swelling, redness, erythema 6x4", Urticaria 2x1", fever, Ice, observation Keflex 500mg TID.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pain, Redness, and swelling right upper thigh. Mom states childs complaint started 10/13/06 after going to school am. Seen at 10:00am at out office. Site on right upper thigh redness and swelling was the size of a quarter and mom states Hot to the touch. Advised per Dr to use cold compress at site.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: 10/18/06 had ProQuad thigh, 10/20/06 saw MD red, warm, non itching rash site of 50 cent piece at injection site.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Rash pruritic
Clinical narrative: Itching of the skin, rash on the skin.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Pruritus
Clinical narrative: Is feeling an itch all over my skin since I was vaccinated.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Blister
Clinical narrative: Blisters across chest and on side of neck pt given Benadryl. Bandages applied to cover site.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Arthritis, Gastrooesophageal reflux disease, Infection, Myalgia
Clinical narrative: Spontaneous burning sensation on the skin, reflux, skin infections, muscle and joint pain, arthritic, weight gain.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Skin burning sensation, Skin disorder, Weight increased
Clinical narrative: Spontaneous burning sensation on the skin, reflux, skin infections, muscle and joint pain, arthritic, weight gain.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Hypokinesia, Injection site erythema, Injection site inflammation, Muscular weakness
Clinical narrative: Right after injection 2 inch band of redness around site, pharmacist said it was from rubbing borders too define and distinct according to pt thought. He asked to stay a few minutes and then he left. Then told them they could stay longer outside of office. His shift was up at 6:00 and pt was sitting there in pain she feels in joint. He gave it with a springloaded syringe and she asked before how to aspirate with that , He didn't seem to understand how that was accomplished, why you would need to do that. Pain during the injection during the night, pain kept increasing all night. And so much muscle weakness that she couldn't lift it without assistance. Muscle would tremor because it was weak. In the morning saw DR. He did A X ray, said it wasn't an allergic reaction but inflammation. He ordered Vicodin 500 Tablets, she only took 2 the 1st day and then no more. A steroid Etodolac 400mg 2x day generic Lodine. It has improved, your shoulder, but it clicks at is painful. And plan to go back to Dr today 10/24/06. Pt started going to physical therapy a week ago for right arm & shoulder where vaccine was given. Three times a week for 1 month.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Shoulder pain, Tremor, X-ray
Clinical narrative: Right after injection 2 inch band of redness around site, pharmacist said it was from rubbing borders too define and distinct according to pt thought. He asked to stay a few minutes and then he left. Then told them they could stay longer outside of office. His shift was up at 6:00 and pt was sitting there in pain she feels in joint. He gave it with a springloaded syringe and she asked before how to aspirate with that , He didn't seem to understand how that was accomplished, why you would need to do that. Pain during the injection during the night, pain kept increasing all night. And so much muscle weakness that she couldn't lift it without assistance. Muscle would tremor because it was weak. In the morning saw DR. He did A X ray, said it wasn't an allergic reaction but inflammation. He ordered Vicodin 500 Tablets, she only took 2 the 1st day and then no more. A steroid Etodolac 400mg 2x day generic Lodine. It has improved, your shoulder, but it clicks at is painful. And plan to go back to Dr today 10/24/06. Pt started going to physical therapy a week ago for right arm & shoulder where vaccine was given. Three times a week for 1 month.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Asthenia, Bone disorder, Hypokinesia, Injection site erythema, Injection site pain
Clinical narrative: Right after injection 2 inch band of redness around site, pharmacist said it was from rubbing borders too define and distinct according to pt thought. He asked to stay a few minutes and then he left. Then told them they could stay longer outside of office. His shift was up at 6:00 and pt was sitting there in pain she feels in joint. He gave it with a springloaded syringe and she asked before how to aspirate with that , He didn't seem to understand how that was accomplished, why you would need to do that. Pain during the injection during the night, pain kept increasing all night. And so much muscle weakness that she couldn't lift it without assistance. Muscle would tremor because it was weak. In the morning saw DR. He did A X ray, said it wasn't an allergic reaction but inflammation. He ordered Vicodin 500 Tablets, she only took 2 the 1st day and then no more. A steroid Etodolac 400mg 2x day generic Lodine. It has improved, your shoulder, but it clicks at is painful. And plan to go back to Dr today 10/24/06. Pt started going to physical therapy a week ago for right arm & shoulder where vaccine was given. Three times a week for 1 month.
Age: 60.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injury, Medication error
Clinical narrative: Right after injection 2 inch band of redness around site, pharmacist said it was from rubbing borders too define and distinct according to pt thought. He asked to stay a few minutes and then he left. Then told them they could stay longer outside of office. His shift was up at 6:00 and pt was sitting there in pain she feels in joint. He gave it with a springloaded syringe and she asked before how to aspirate with that , He didn't seem to understand how that was accomplished, why you would need to do that. Pain during the injection during the night, pain kept increasing all night. And so much muscle weakness that she couldn't lift it without assistance. Muscle would tremor because it was weak. In the morning saw DR. He did A X ray, said it wasn't an allergic reaction but inflammation. He ordered Vicodin 500 Tablets, she only took 2 the 1st day and then no more. A steroid Etodolac 400mg 2x day generic Lodine. It has improved, your shoulder, but it clicks at is painful. And plan to go back to Dr today 10/24/06. Pt started going to physical therapy a week ago for right arm & shoulder where vaccine was given. Three times a week for 1 month.
Age: 29.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Unevaluable event
Clinical narrative: See attached
Age: 13.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Acne, Rash pustular, Viral infection
Clinical narrative: Immunized on 10/03/06. parent called on 10/06/06 stated child had about 6-8 pimple like pustules on stomach and back, 10/09/06 parent called stated child covered with pox, 10/10/06 MD confirmed chicken pox. 10/11/06 pox dried and crusted over.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Oedema, Rash macular
Clinical narrative: Mother noticed redness and blotchiness to his face last night but he was ???, so nothing else was noticed on face. This morning he had extended areas of swelling to his hands, chest, back. Now 7 hours later, he has blotchy swelling to his arms, neck, legs, He says it does not itch.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Constipation, Crying, Screaming
Clinical narrative: 1st shots 9/21/06, crying x 3 hours ER visit DR said constipated and gave enema or lax ok afterwards per dad.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Right arm red, warm to touch.
Age: 1.51
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Irritability, Pyrexia
Clinical narrative: Developed temp of 102.8F on 10/15/06 a approx 2:00pm, irritable, favored right leg, small lump where vaccine was given. Fever remained (provided Tylenol) 3-4 days. Better on 10/18/06.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site vesicles, Tenderness
Clinical narrative: 10/17/2006 Had Dtap LA, 10/19/06 LA swollen, red, blisters, tender touch at injection site. Area about 5" diameter. Tylenol, compresses RX come in if not better, child has had no fever.
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: About 1cm firm, mobile, non tender, non erythematous mass (likely scar tissue) at right and left anteriolateral thigh at injection sites.
Age: 1.03
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Pt broke out with varicella like rash after being immunized.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Received Dtap, vaccination in right arm, Next day developed localized itching, redness and swelling at right deltoid area.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Nausea
Clinical narrative: Right arm became swollen and red, painful according to husband. Also had alot of nausea.
Age: 1.05
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: Redness and itching with pneumovax shot.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Fatigue, Myalgia, Pyrexia, Somnolence
Clinical narrative: Shot given 10/11/06 pt had c/o fever 100F and redness on Sat 10/13/06 she slept 24 hours 10/14/06 muscle aching alot. 10/16/06 pt had to get up 2nd leave home, returned very tired and more sleep husband called to report and ask is that normal. Advised pt to see her MD.
Age: 1.37
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Developed chicken pox 10/16/06
Age: 1.01
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Developed chicken pox 10/17/06
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: 3x3cm left upper arm warmth, redness, raised, slightly indurated, blanching, not tender.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Hypersensitivity, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Mother states area of injection site red, swollen, itching she c/o of leg hurting. I have an allergy to eggs event happened 10/14/06 the day with receiving the shot.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus
Clinical narrative: Mother states area of injection site red, swollen, itching she c/o of leg hurting. I have an allergy to eggs event happened 10/14/06 the day with receiving the shot.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site abscess, Injection site haemorrhage, Injection site mass
Clinical narrative: 1 month after vaccine administration presented with 4cm left thigh in diameter mass at inoculation site that was expanding. no fever 1cm of induration. Started on Keflex later changed to Clinda on follow up. After 1 week started to have exadated discharge. On follow up noted to be 1cm in diameter. Will follow up with Surgeon due to vessel seen on ultrasound
Age: 40.0
Sex: F
Vaccine: YF
Symptoms: Chills, Diarrhoea, Fatigue, Pyrexia, Vomiting
Clinical narrative: Vaccinated on 10/3/06.  Began having chills and fever on 10/09.  Improved on 10/10 during the evening.  On morning of 10/11 experienced symptoms of fever, vomiting, and diarrhea. 10/12:  Symptoms once again stopped.  Lingering fatigue with no other symptoms.
Age: 34.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Hypersensitivity, Injection site pain, Injection site reaction
Clinical narrative: High Fever (103-104 F), redness and extremely sore.  Left deltoid region for 4 days, hospitalized for 4 days which cost me $19,100.00 and I don't have any health insurance. I went to one of the flu shot camps on 3rd October 2006 to take the flu shot because the flu season just began.  I went there and filled out the form and ready to take flu shot when administering nurse offered if I would also like to take a pneumonia shot which cost me $40 nd total of $65 including flu shot.  But I was not aware that this pneumonia shot will cost me thousands of dollars.  In the evening of the same day I started to feel little achy and getting little temperature.  But next day in the morning I had a fever about 103 F and body was aching which prompted me to go to the emergency room.  I went there and after few hours of diagnostic and few blood tests they admitted me to the emergency room and started IV.  At this time, my left upper arm was all red and sore that one cannot even touch that part of the hand.  I stayed in the hospital for 4 days because of this pneumonia shot which nurse offered.  Doctor said at the hospital that because of the pneumonia shot there is an adverse effect which kept me in the hospital  for 4 days.  I am only 34 years old and doctor was surprised that why I would need this shot.  He said this shot is only for person above 65 years of age.  I do not have any kind of health coverage and now the hospital bill is $19,100.60.  My income is very low to pay bill.  Now who is responsible for such an event?? Drug store, manufacturer of the vaccine, or the Nurse who offered it?? Hospital MR received which revealed a previously healthy 33 yr old man who presented to the ER with fever, muscle aches, redness, swelling and pain at the site of his Pneumovax.  Admission H&P shows symptoms are consistant with cellulitis, but underlying abcess needs to be ruled out.    Infectious disease consult with the following impression: 1) Fever and leukocytosis 2) Systemic reaction to Pneumococcal vaccine 3) Local reaction and local cellulitis to the injection site 4) Allergic reaction with small hives noted. Treated with antibiotics and steroids. Discharge Summary received. By 3rd hospital day patient was afebrile, no swelling or tenderness, minimal erythema. Discharged home on prednisone to F/U in one week if any problems. DISCHARGE DIAGNOSIS: "Adverse reaction to pneumococcal vaccine, local reaction resolved."
Age: 34.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Leukocytosis, Myalgia, Pain, Pyrexia, Swelling
Clinical narrative: High Fever (103-104 F), redness and extremely sore.  Left deltoid region for 4 days, hospitalized for 4 days which cost me $19,100.00 and I don't have any health insurance. I went to one of the flu shot camps on 3rd October 2006 to take the flu shot because the flu season just began.  I went there and filled out the form and ready to take flu shot when administering nurse offered if I would also like to take a pneumonia shot which cost me $40 nd total of $65 including flu shot.  But I was not aware that this pneumonia shot will cost me thousands of dollars.  In the evening of the same day I started to feel little achy and getting little temperature.  But next day in the morning I had a fever about 103 F and body was aching which prompted me to go to the emergency room.  I went there and after few hours of diagnostic and few blood tests they admitted me to the emergency room and started IV.  At this time, my left upper arm was all red and sore that one cannot even touch that part of the hand.  I stayed in the hospital for 4 days because of this pneumonia shot which nurse offered.  Doctor said at the hospital that because of the pneumonia shot there is an adverse effect which kept me in the hospital  for 4 days.  I am only 34 years old and doctor was surprised that why I would need this shot.  He said this shot is only for person above 65 years of age.  I do not have any kind of health coverage and now the hospital bill is $19,100.60.  My income is very low to pay bill.  Now who is responsible for such an event?? Drug store, manufacturer of the vaccine, or the Nurse who offered it?? Hospital MR received which revealed a previously healthy 33 yr old man who presented to the ER with fever, muscle aches, redness, swelling and pain at the site of his Pneumovax.  Admission H&P shows symptoms are consistant with cellulitis, but underlying abcess needs to be ruled out.    Infectious disease consult with the following impression: 1) Fever and leukocytosis 2) Systemic reaction to Pneumococcal vaccine 3) Local reaction and local cellulitis to the injection site 4) Allergic reaction with small hives noted. Treated with antibiotics and steroids. Discharge Summary received. By 3rd hospital day patient was afebrile, no swelling or tenderness, minimal erythema. Discharged home on prednisone to F/U in one week if any problems. DISCHARGE DIAGNOSIS: "Adverse reaction to pneumococcal vaccine, local reaction resolved."
Age: 34.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: High Fever (103-104 F), redness and extremely sore.  Left deltoid region for 4 days, hospitalized for 4 days which cost me $19,100.00 and I don't have any health insurance. I went to one of the flu shot camps on 3rd October 2006 to take the flu shot because the flu season just began.  I went there and filled out the form and ready to take flu shot when administering nurse offered if I would also like to take a pneumonia shot which cost me $40 nd total of $65 including flu shot.  But I was not aware that this pneumonia shot will cost me thousands of dollars.  In the evening of the same day I started to feel little achy and getting little temperature.  But next day in the morning I had a fever about 103 F and body was aching which prompted me to go to the emergency room.  I went there and after few hours of diagnostic and few blood tests they admitted me to the emergency room and started IV.  At this time, my left upper arm was all red and sore that one cannot even touch that part of the hand.  I stayed in the hospital for 4 days because of this pneumonia shot which nurse offered.  Doctor said at the hospital that because of the pneumonia shot there is an adverse effect which kept me in the hospital  for 4 days.  I am only 34 years old and doctor was surprised that why I would need this shot.  He said this shot is only for person above 65 years of age.  I do not have any kind of health coverage and now the hospital bill is $19,100.60.  My income is very low to pay bill.  Now who is responsible for such an event?? Drug store, manufacturer of the vaccine, or the Nurse who offered it?? Hospital MR received which revealed a previously healthy 33 yr old man who presented to the ER with fever, muscle aches, redness, swelling and pain at the site of his Pneumovax.  Admission H&P shows symptoms are consistant with cellulitis, but underlying abcess needs to be ruled out.    Infectious disease consult with the following impression: 1) Fever and leukocytosis 2) Systemic reaction to Pneumococcal vaccine 3) Local reaction and local cellulitis to the injection site 4) Allergic reaction with small hives noted. Treated with antibiotics and steroids. Discharge Summary received. By 3rd hospital day patient was afebrile, no swelling or tenderness, minimal erythema. Discharged home on prednisone to F/U in one week if any problems. DISCHARGE DIAGNOSIS: "Adverse reaction to pneumococcal vaccine, local reaction resolved."
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema, Swelling face
Clinical narrative: Approximately 10:30 am on 10/24/2006 injected patient with Fluzone 2006 0.5 ml. Approximately 10:45 am patient left building felt fine.  Approximately 11:20 am patient returned complain of swollen lip, throat swelling.  Approximately 11:25 am gave Epi pen injection called medical doctor to inform.  Approximately 11:30 am Emergency Medical Technician took blood pressure 168/108 gave them Epi pen and left to emergency room. observation stay on 10/25/2006 experienced swelling of lips and inability to speak. Symptoms began approximately 45 minutes prior to arrival. No difficulty breathing. No difficulty swallowing. Symptoms began 20 minutes after vaccine. PMH:lip swelling from oral AB once in the past. IN ER some slight swelling of lips. some swelling of the arms but no rash or pruritis.  RX with Solu-Medrol and Benadryl. Per annual follow up: Pt was kept overnight at hospital for observation. Spoke to pt after she was released and was doing well.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Activated partial thromboplastin time normal, Blood urine present, Computerised tomogram normal, Contusion, Ecchymosis
Clinical narrative: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms.  DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy.  Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets  drop to <20,000 about every 2 months.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Ecchymosis, Full blood count normal, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms.  DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy.  Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets  drop to <20,000 about every 2 months.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, International normalised ratio normal, Petechiae, Photophobia
Clinical narrative: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms.  DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy.  Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets  drop to <20,000 about every 2 months.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, Urine analysis abnormal
Clinical narrative: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms.  DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy.  Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets  drop to <20,000 about every 2 months.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: White blood cell count increased
Clinical narrative: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms.  DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy.  Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets  drop to <20,000 about every 2 months.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Skin discolouration
Clinical narrative: Pt reported rash (dark spots on thorax, abdomen, arms, and shoulder, beginning 10-12 hours after receiving Influenza vaccine at work in hospital on 10/20/2006.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Hypokinesia, Pyrexia
Clinical narrative: 10/21/2006 pt developed low fever on 10/21, went up to 103, felt lousy.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Neck pain
Clinical narrative: Painful left neck-TYLENOL or MOTRIN, ice, heat, ROM (range of motion).  Began am after vaccines given resolved in few days.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pyrexia, Swelling
Clinical narrative: Chills and fever, right elbow red swollen.
Age: 1.27
Sex: F
Vaccine: FLU3, HIBV, MMR
Symptoms: Erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Diffuse erythematous macules/papular rash with congestive and low grade fever.  10 days after immunizations.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Injection site warmth
Clinical narrative: 7 cm X 7cm warm, redden area to left deltoid.  No treatment.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Hyperaesthesia, Injection site warmth, Pain
Clinical narrative: Noted bruised and red, swollen, tender area mid right deltoid warm and painful to touch.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Noted bruised and red, swollen, tender area mid right deltoid warm and painful to touch.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site warmth
Clinical narrative: 60 mm round, red area, sore and hot to touch.  Oral temperature 97.8, no other signs and symptoms.