chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Malaise, Oedema peripheral, Pain
Clinical narrative: Starting feeling ill, achy, arm swollen and red (3x normal size 2-3 inches above and below injection sites.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Erythema, firmness to arm, red area warm to touch, itchy no pain. Patient treated with course of antibiotics (Augmentin) for 10 days. Per follow up via phone conversation on 12/17/11, s/s resolving. Mom with no concerns.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug eruption, Urticaria
Clinical narrative: Hives, drug rash.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Palpitations, Urticaria
Clinical narrative: Hives, drug rash.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria, Pruritus, DIPHENHYDRAMINE.
Age: 17.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Asthenia, Nausea
Clinical narrative: Patient reported feeling weak, dizzy and nauseous. Patient indicated he hadn't eaten before coming when questioned. Patient advised to sit back, take slow, deep breaths and was given a snack and some juice. After 15 min pt reported feeling better and was able to ambulate alone left office with mother.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Electromyogram, Injected limb mobility decreased, Injection site pain, Muscular weakness, Nerve conduction studies
Clinical narrative: Burning sensation at time of injection (left deltoid) - site x 2 days - weakness in left arm on day  3 or 4 -> unable to left arm fully - progressively worse - saw PCP - XR/sonar normal - went to ER first week of October - Diagnosed: Reaction to flu shot - > referred to neurologist - "Brachial plexus neuritis" - started PT - EMG/NCS 10/23/11 - started improving.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Radiculitis brachial, Ultrasound scan normal, Vaccination complication, X-ray normal
Clinical narrative: Burning sensation at time of injection (left deltoid) - site x 2 days - weakness in left arm on day  3 or 4 -> unable to left arm fully - progressively worse - saw PCP - XR/sonar normal - went to ER first week of October - Diagnosed: Reaction to flu shot - > referred to neurologist - "Brachial plexus neuritis" - started PT - EMG/NCS 10/23/11 - started improving.
Age: 1.54
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Erythema, Swelling face
Clinical narrative: Facial swelling and redness was given BENADRYL and it resolved. Began the night after it was given (vaccines).
Age: 12.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Skin hyperpigmentation
Clinical narrative: VAR administered 12-20-11 in right deltoid subcutaneous. Anterior deltoid 1 cm area of mild redness and induration around injection site, warm and tender to touch. Distal to site there was a line of hyperpigmented skin.
Age: 73.0
Sex: M
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Rash.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypoaesthesia, Palpitations, Presyncope
Clinical narrative: Flu shot 3pm, 40 minutes later developed numbness in arms and legs, severe lightheadedness, near syncope, palpitations, given EPIPEN by nurse in hospital. Patient was observed for recurrence of reaction and discharged with diphenhydramine.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Oedema, Pruritus, Skin warm
Clinical narrative: Pt given INFLUENZA vaccine. Called EHS c/o upper arm tenderness, erythema, edema, warmth and pruritus. C/O dizziness 9/19/11.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Pt given INFLUENZA vaccine. Called EHS c/o upper arm tenderness, erythema, edema, warmth and pruritus. C/O dizziness 9/19/11.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Skin rash. HYDROXYZINE, PREDNISONE.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Rash, Swelling, Urticaria
Clinical narrative: Started 6 days after vaccination and lasted 7 days. Skin rash and hives, rash, swelling, large vesicles on hands, forearms, neck. DIPHENHYDRAMINE, METHYLPREDNISONE.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Oropharyngeal pain, Rash, Urticaria
Clinical narrative: Rash, urticaria & joint swelling (knees and elbows), sore throat.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: Left sided neck pain, worse with swallowing.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Computerised tomogram, Demyelination, Hypoaesthesia, Lumbar puncture
Clinical narrative: Back and feet pain; drop (right) foot; numbness in left foot; urinary retention; transverse myelitis demyelinated nerve; right foot recovered at about 60 % use w constant pain.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Peroneal nerve palsy, Urinary retention
Clinical narrative: Back and feet pain; drop (right) foot; numbness in left foot; urinary retention; transverse myelitis demyelinated nerve; right foot recovered at about 60 % use w constant pain.
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Acute disseminated encephalomyelitis, Arthralgia, CSF oligoclonal band present, Central nervous system lesion, Cognitive disorder
Clinical narrative: Case number PHHY2011US107075 is an initial literature report received on 06 Dec 2011: The authors presented a case of multiple sclerosis after vaccination with a rabies vaccine. This report refers to a 21-year-old male patient. He was vaccinated with three doses of Purified chick embryo cell rabies vaccine (manufacturer and batch number: unknown therefore conservatively taken as RABAVERT INN) on undetermined dates. 10 days after the final dose, he developed stabbing pains in his left wrist. Two days later, this progressed to numbness in his right hand and right posterior neck. He also had daily headaches, urinary urgency, frequency and incomplete emptying, and his family reported cognitive changes. Ten days after symptom onset, brain MRI revealed more than 30 enhancing lesions, with notable involvement of the left temporal lobe, the area near the corpus callosum and the cerebellum. An MRI of the cervical spine showed more than 10 enhancing lesions, and there were ten CSF oligoclonal bands. A diagnosis of acute disseminated encephalomyelitis was suspected. He received methylprednisolone with limited improvement of his symptoms. Follow-up imaging studies at two months revealed new enhancing lesions, and multiple sclerosis was diagnosed. He started receiving interferon beta-1a and, after six months of treatment, he had one relapse. The authors commented that a close temporal relationship and the fulminant onset of disease suggested a causative role for the vaccine.
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Hypoaesthesia, Micturition urgency, Multiple sclerosis, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Case number PHHY2011US107075 is an initial literature report received on 06 Dec 2011: The authors presented a case of multiple sclerosis after vaccination with a rabies vaccine. This report refers to a 21-year-old male patient. He was vaccinated with three doses of Purified chick embryo cell rabies vaccine (manufacturer and batch number: unknown therefore conservatively taken as RABAVERT INN) on undetermined dates. 10 days after the final dose, he developed stabbing pains in his left wrist. Two days later, this progressed to numbness in his right hand and right posterior neck. He also had daily headaches, urinary urgency, frequency and incomplete emptying, and his family reported cognitive changes. Ten days after symptom onset, brain MRI revealed more than 30 enhancing lesions, with notable involvement of the left temporal lobe, the area near the corpus callosum and the cerebellum. An MRI of the cervical spine showed more than 10 enhancing lesions, and there were ten CSF oligoclonal bands. A diagnosis of acute disseminated encephalomyelitis was suspected. He received methylprednisolone with limited improvement of his symptoms. Follow-up imaging studies at two months revealed new enhancing lesions, and multiple sclerosis was diagnosed. He started receiving interferon beta-1a and, after six months of treatment, he had one relapse. The authors commented that a close temporal relationship and the fulminant onset of disease suggested a causative role for the vaccine.
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Nuclear magnetic resonance imaging spinal cord abnormal, Pollakiuria, Urinary retention
Clinical narrative: Case number PHHY2011US107075 is an initial literature report received on 06 Dec 2011: The authors presented a case of multiple sclerosis after vaccination with a rabies vaccine. This report refers to a 21-year-old male patient. He was vaccinated with three doses of Purified chick embryo cell rabies vaccine (manufacturer and batch number: unknown therefore conservatively taken as RABAVERT INN) on undetermined dates. 10 days after the final dose, he developed stabbing pains in his left wrist. Two days later, this progressed to numbness in his right hand and right posterior neck. He also had daily headaches, urinary urgency, frequency and incomplete emptying, and his family reported cognitive changes. Ten days after symptom onset, brain MRI revealed more than 30 enhancing lesions, with notable involvement of the left temporal lobe, the area near the corpus callosum and the cerebellum. An MRI of the cervical spine showed more than 10 enhancing lesions, and there were ten CSF oligoclonal bands. A diagnosis of acute disseminated encephalomyelitis was suspected. He received methylprednisolone with limited improvement of his symptoms. Follow-up imaging studies at two months revealed new enhancing lesions, and multiple sclerosis was diagnosed. He started receiving interferon beta-1a and, after six months of treatment, he had one relapse. The authors commented that a close temporal relationship and the fulminant onset of disease suggested a causative role for the vaccine.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Left deltoid injection w/ erythema, itching and small raised bump at injection site. Patient treating at home.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Red blotchy area on upper arm where injection was given with slight swelling.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Nerve compression, Pain in extremity
Clinical narrative: Right arm hurt when raised and drawn towards chest feels like pinched nerve and can't take shirt off over my head.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain
Clinical narrative: Pain in shoulder when raising arm. No treatment. Just hurts when arm is raised straight out. Taking off shirt hurts shoulder.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Syncope
Clinical narrative: Patient received the 4 vaccinations and 1-2 minutes after, experienced a syncope episode. He had superficial injuries, no significant lacerations and was able to walk with no further difficulties after 5-10 minutes of rest.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient reported no allergies. Approximately 5 minutes after receiving vaccine she reported redness and itching around the injecetion site. She reported no problem with swallowing or breathing. She reported mild itching at the site.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Labyrinthitis, Otitis media
Clinical narrative: Labrynthitis.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dry skin, Fatigue, Headache, Nausea
Clinical narrative: 1:00 PM 0.5mL flu vaccine given IM. 1:30 PM BP 130/80, P 72, Resp 20. 1:33 PM complaints of dizziness and nausea, skin warm, dry, resp 20. 2:00 PM complaints of headache and decreased dizziness. 2:45 PM no headache or dizziness, slight nausea and fatigue. Discharged home to rest, no respiratory distress, instructed to call 911 with any shortness of breath.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: 1:00 PM 0.5mL flu vaccine given IM. 1:30 PM BP 130/80, P 72, Resp 20. 1:33 PM complaints of dizziness and nausea, skin warm, dry, resp 20. 2:00 PM complaints of headache and decreased dizziness. 2:45 PM no headache or dizziness, slight nausea and fatigue. Discharged home to rest, no respiratory distress, instructed to call 911 with any shortness of breath.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Eye swelling, Ocular hyperaemia, Pain
Clinical narrative: RED SWOLLEN EYES, BODY ACHES AND CHILLS.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysgeusia, Dysphagia, Flushing
Clinical narrative: Patient received flu shot and within 30 minutes states had a strong metallic taste in throat with difficulty swallowing. After one hour became slightly dizzy without any loss of balance. Two hours after injection became flushed. Vitals normal. Patient states this was the first time to receive flu vaccination and stated was very apprehensive about receiving it. At 4:30 PM dizziness decreased and slight metallic taste in mouth.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Mobility decreased, Nausea, Pain in extremity, X-ray normal
Clinical narrative: Severe arm pain, dizzy, nauseous, limited arm movement.
Age: 20.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: (L) thigh warm and red around shot site, but not indurated.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Full blood count normal, Induration, Influenza virus test negative, Pyrexia
Clinical narrative: Patient telephone on 12/21/2011 to report chill & fever. She was scheduled an appointment. She was examined and had no redness/swelling noted at appt. Patient reports to clinic again 12/22/2011. Patient with induration of 8-10 cm/no erythema/tenderness/afebrile at visit.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Streptococcus test negative, Urine analysis normal
Clinical narrative: Patient telephone on 12/21/2011 to report chill & fever. She was scheduled an appointment. She was examined and had no redness/swelling noted at appt. Patient reports to clinic again 12/22/2011. Patient with induration of 8-10 cm/no erythema/tenderness/afebrile at visit.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEP, MMR, VARCEL
Symptoms: Hypersomnia, Pyrexia, Rash, Vomiting
Clinical narrative: Pt. developed high fever 103.1 degrees F, vomited twice & developed a "pimple like" facial rash that lasted 2-3 hrs. Parent gave Ibuprofen every 4 hrs. Fever decreased, was low grade on 12/18 & gone by 12/19. Parents stated pt. slept a lot on 12/17 but is ok now. Parents stated the facial rash was similar to a previous rash pt. developed after using sunscreen. Pt. is feeling fine now no further f/u.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: On 12/21/11 pt. tells me since his flu shot he can't lift his (L) arm higher than his shoulder. He received his shot on 9/27/11. He says he felt the shot was very painful. But said nothing at the time.
Sex: F
Vaccine: TDAP
Symptoms: Caesarean section, Maternal exposure during pregnancy, Neonatal disorder
Clinical narrative: This prospective pregnancy case was reported by a healthcare professional and described the occurrence of plagiocephaly in a newborn female subject who was exposed to BOOSTRIX (GlaxoSmithKline) which her mother received. Co-suspect medication included clobestasol received topically by the mother (dates and details unknown). The neonate was also exposed to MVI and ALLEGRA which the mother took concurrently. On 25 May 2011 at 10:30 the subject's mother received a dose of BOOSTRIX (.5 ml). The neonate was exposed to BOOSTRIX during the second trimester of the pregnancy. On 16 September 2011, 114 days after exposure to BOOSTRIX and an unknown time after exposure to clobestasol, the neonate was delivered by cesarian section and weighed 3.6 kg. and was 51 cm. long. APGAR scores were 8 and 9 at 1 and 5 minutes, respectively. A birth defect of mild right plagiocephaly (occipital deformation) was noted. This defect was not evident from any prenatal testing. At the time of reporting, the outcome of the event was unknown. The event was considered to be a congenital anomaly. Please see report A0929221A for details regarding the mother case.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Vaccination complication
Clinical narrative: 12-15-2011 clinic visit for Tdap reaction. Arm with 9x11 cm erythema; increased warmth, no induration.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Electrocardiogram, Laboratory test, Nausea, Syncope
Clinical narrative: At a well visit on 12/21/2011 at approx. 5p.m. patient who complained only of a minimal sore throat received her DPT in her right deltoid. Fine last pm - no site rxn - no fever - awoke felt nauseous x2, lightheaded x2, in shower she had a syncopal event.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discharge, Injection site exfoliation, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Pt. reported having pain, lump, pus, edema to site a few days after Tdap. Tdap given 12-5-11. Pt. reported this to me 12/19/11.  Lump, sloughing skin.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site joint pain, Muscular weakness
Clinical narrative: Client reports pain (L) shoulder which started after getting flu vaccine 11/17/11. States it hurt immediately after getting shot. Today he reports pain (L) shoulder on ROM & weakness (L) arm. I have advised him to see a provider at health center & he refuses.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: Initial report was received from a consumer, who was also the patient's mother, on 13 December 2011. A 30-year-old male patient (date of birth not reported) had received an intramuscular injection in the left arm of INFLUENZA vaccine (manufacturer, lot number and exact date of administration not reported) in 2010. The patient's left arm had been hurting since the vaccine last year and the doctor said it may be tendonitis. It was not reported if the patient had any illness at the time of vaccination, pre-existing medical conditions or took any concomitant medications. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Age: 85.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Below injection site right deltoid arm - redness, swelling & warmth.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Initial report was received from a health care professional on 15 December 2011. The reporter also reported another adverse event which is captured in case 2011-12361. A 46-year-old female patient (age reported as 37-years) had received the first dose of an intradermal injection in the left forearm of TUBERSOL 5 TU, sanofi pasteur Ltd., lot number C3763AA on 26 September 2011. The patient also received an intramuscular injection in the left deltoid of FLUZONE, sanofi pasteur Inc., lot number UH454AB on 26 September 2011. Six hours later (date not reported), the patient had shortness of breath and wheezing. The patient was seen by Urgent Care and the emergency room (ER) where she was treated with prednisone. Illness at time of vaccination and concomitant medications were reported as none. The patient had no known allergies (NKA). No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: none.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy test positive, Allergy to vaccine, Erythema, Hypoaesthesia, Joint swelling
Clinical narrative: Initial report was received from a health care professional on 12 December 2011. An 11-year-old female patient received an intramuscular injection in the left deltoid of FLUZONE, lot number UH463AB on 05 October 2011 and developed symptoms on the same day. On 07 October 2011, the patient was seen for complaints of a swollen left hand, fingers were numb and tingling and hand was red and itchy. The patient was treated with BENADRYL. On 14 October 2011, the patient was seen again with hives all over her body and a swollen left knee and foot. The patient was treated with ZYRTEC and BENADRYL. The patient was seen again on 10 December 2011 and tested positive for an allergy to FLUZONE. Illness at time of vaccination was reported as none. The patient took no concomitant medications and has no known allergies (NKA). No further information was available at the time of the report. The patient's outcome was unknown. Documents held by sender: none.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Paraesthesia, Pruritus, Urticaria
Clinical narrative: Initial report was received from a health care professional on 12 December 2011. An 11-year-old female patient received an intramuscular injection in the left deltoid of FLUZONE, lot number UH463AB on 05 October 2011 and developed symptoms on the same day. On 07 October 2011, the patient was seen for complaints of a swollen left hand, fingers were numb and tingling and hand was red and itchy. The patient was treated with BENADRYL. On 14 October 2011, the patient was seen again with hives all over her body and a swollen left knee and foot. The patient was treated with ZYRTEC and BENADRYL. The patient was seen again on 10 December 2011 and tested positive for an allergy to FLUZONE. Illness at time of vaccination was reported as none. The patient took no concomitant medications and has no known allergies (NKA). No further information was available at the time of the report. The patient's outcome was unknown. Documents held by sender: none.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Angioedema, Lip swelling
Clinical narrative: Swollen lip, angioedema 48 hrs after vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Given Pneumovax on 12-21, pm.  Returned to clinic 12-22 approx 8:45, Left arm swollen, hot to touch, painful.  Seen by PAC, given Benadryl, left
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Glossodynia, Headache, Oral discomfort, Oral herpes, Pruritus generalised
Clinical narrative: Itching all over, headache the day after the vaccine, cold sore on her mouth, burning in her mouth and tongue.
Age: 0.15
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Apnoea, Bradycardia, Condition aggravated
Clinical narrative: Bradycardia and Apnea after injection of Pentacel.
Age: 0.15
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Apnoea, Bradycardia
Clinical narrative: Bradycardia and apnea after injection of Pentacel.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pain in extremity
Clinical narrative: Immediate shooting pain down arm, and constant pain since.
Age: 0.15
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Apnoea, Bradycardia, Condition aggravated
Clinical narrative: Bradycardia and apnea after injection of Pentacel.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Apnoea, Bradycardia, Condition aggravated
Clinical narrative: Bradycardia and apnea after Pentacel injection.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Muscular weakness, Pain, Pruritus
Clinical narrative: Not sure when adverse reaction started, she reported the reaction on 11/10/2011. S&S: red, itchy, sore and experiencing muscle weakness.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pruritus, Papule, Scab
Clinical narrative: Erythema on arms, crusted papule on shoulder, forearm and upper lip. No fever. Reports intense itching of sites.
Age: 48.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Urticaria
Clinical narrative: Pt received Tdap & Flu vaccine 12/06/11. She called 12/12/11 to state that 4 days later she awoke with hives under buttock, behind knees, elbows and around lips. She self-treated with OTC Benadryl and called to inform our office 12/12/11. No medical treatment was done per pt.
Age: 1.35
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on face, arms, legs, buttocks, abdomen.
Age: 25.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Auricular swelling, Eye swelling, Swelling face, Throat tightness
Clinical narrative: Began to have swelling of face and eye that then traveled to right ear.  She had tightening of her throat.  Mother took her to ER.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Generalized rash.
Age: 11.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Fatigue, Muscular weakness, Pyrexia
Clinical narrative: Weakness, fever.
Age: 56.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Wrong technique in drug usage process
Clinical narrative: Nurse was using the intradermal flu vaccine for the first time. The nurse experienced difficulty in dispersing the vaccine from the syringe. The patient was injected twice, but no actual fluid went into the patient. The patient was aware. The patient was called the next day and agreed to come in for a repeat injection as he did not recieve the vaccine the first two times.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash macular
Clinical narrative: Patient returned to pharmacy about a half hour after receiving shot because her arm was itchy.  I examined her arm to find a red splotch starting where I gave the injection seeming to go the length of the needle.  The patient had no swelling or shortness of breath and reported that her arm was not very itchy anymore.  I believe that it is either an irritation or allergy to either the vaccine or even the alcohol prep pad I used to prepare her arm.  I gave the patient 6 Benadryl capsules and instructed her to take 2 now then to repeat the dose with 1 to 2 capsules every 4 to 6 hours if the rash persists.  She is to contact her physician if it gets worse and/or spreads.  Her husband looked at the rash with me and he will be monitoring it at home.
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Expired drug administered, No adverse event
Clinical narrative: No adverse event noted; vaccine had expired 12/08/2011.
Age: 22.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Activities of daily living impaired, Anti-GAD antibody negative, Blood glucose increased, Fatigue, Feeling abnormal
Clinical narrative: 22 y/o was in his usual state of excellent health prior to Feb-Mar 2010. At the time, he was attending college. Looking back, around Feb 2010, former SM recalls developing fatigue and the feeling of being run down - "activity taking more out of me". He recalls experiencing polydipsia and polyuria during the month of March 2010. He was not aware of weight loss, but he recalls a few people asking him about how much weight he had lost. He did not experience visual changes, N/V, polyphagia or numbness and tingling in his extremities. By 21 Apr 2010, his symptoms had increased significantly to the point they were interfering with his daily activities and he sought evaluation with his PCM. At that time, glucose level of 318, trace positive urine ketones, and HgbA1c of 10.5 led to his diagnosis of T1DM. Insulin was initiated as outpatient at time of diagnosis. Patient then received DSME and his insulin was titrated as needed. Around May, he was evaluated by his Endocrinologist and in August 2010, he was placed on an insulin pump. He was medically discharged from Army National Guard in Feb 2011. He currently is working and has found a local PCM, but continues Endocrinology follow up. SM received Hepatitis B and influenza vaccines in Nov 2009 and MMR vaccine in July 2009- See left column for Vaccine History. He denies any unusual or prolonged reactions within the first 1-2 weeks following vaccine receipt. He does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Patient does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea in months prior to his diagnosis of T1DM. He denies a history of an elevated glucose levels, elevated blood pressure levels or history of hypertension prior to diagnosis of TIDM. He was not overweight and stayed very active. He has no family Hx of T1DM.
Age: 22.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Glycosylated haemoglobin increased, Insulin C-peptide, Polydipsia, Polyuria, Type 1 diabetes mellitus
Clinical narrative: 22 y/o was in his usual state of excellent health prior to Feb-Mar 2010. At the time, he was attending college. Looking back, around Feb 2010, former SM recalls developing fatigue and the feeling of being run down - "activity taking more out of me". He recalls experiencing polydipsia and polyuria during the month of March 2010. He was not aware of weight loss, but he recalls a few people asking him about how much weight he had lost. He did not experience visual changes, N/V, polyphagia or numbness and tingling in his extremities. By 21 Apr 2010, his symptoms had increased significantly to the point they were interfering with his daily activities and he sought evaluation with his PCM. At that time, glucose level of 318, trace positive urine ketones, and HgbA1c of 10.5 led to his diagnosis of T1DM. Insulin was initiated as outpatient at time of diagnosis. Patient then received DSME and his insulin was titrated as needed. Around May, he was evaluated by his Endocrinologist and in August 2010, he was placed on an insulin pump. He was medically discharged from Army National Guard in Feb 2011. He currently is working and has found a local PCM, but continues Endocrinology follow up. SM received Hepatitis B and influenza vaccines in Nov 2009 and MMR vaccine in July 2009- See left column for Vaccine History. He denies any unusual or prolonged reactions within the first 1-2 weeks following vaccine receipt. He does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Patient does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea in months prior to his diagnosis of T1DM. He denies a history of an elevated glucose levels, elevated blood pressure levels or history of hypertension prior to diagnosis of TIDM. He was not overweight and stayed very active. He has no family Hx of T1DM.
Age: 22.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urine ketone body present, Weight decreased
Clinical narrative: 22 y/o was in his usual state of excellent health prior to Feb-Mar 2010. At the time, he was attending college. Looking back, around Feb 2010, former SM recalls developing fatigue and the feeling of being run down - "activity taking more out of me". He recalls experiencing polydipsia and polyuria during the month of March 2010. He was not aware of weight loss, but he recalls a few people asking him about how much weight he had lost. He did not experience visual changes, N/V, polyphagia or numbness and tingling in his extremities. By 21 Apr 2010, his symptoms had increased significantly to the point they were interfering with his daily activities and he sought evaluation with his PCM. At that time, glucose level of 318, trace positive urine ketones, and HgbA1c of 10.5 led to his diagnosis of T1DM. Insulin was initiated as outpatient at time of diagnosis. Patient then received DSME and his insulin was titrated as needed. Around May, he was evaluated by his Endocrinologist and in August 2010, he was placed on an insulin pump. He was medically discharged from Army National Guard in Feb 2011. He currently is working and has found a local PCM, but continues Endocrinology follow up. SM received Hepatitis B and influenza vaccines in Nov 2009 and MMR vaccine in July 2009- See left column for Vaccine History. He denies any unusual or prolonged reactions within the first 1-2 weeks following vaccine receipt. He does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Patient does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea in months prior to his diagnosis of T1DM. He denies a history of an elevated glucose levels, elevated blood pressure levels or history of hypertension prior to diagnosis of TIDM. He was not overweight and stayed very active. He has no family Hx of T1DM.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Onset 12/21 of itching, redness, swelling to RA at vacc inj site; size approx 2" diam; instructed to apply warm compresses & take BENADRYL 25mg q6 hours prn.
Sex: U
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a nurse (R.N.) concerning a patient who on an unspecified date was vaccinated a dose of GARDASIL (lot # unspecified). The patient from another office fainted and had seizures after administration of GARDASIL. The outcome was unknown. Upon internal review, seizures were considered to be other important medical events. This is one of several reports received from the same source. Additional information has been requested.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Dysstasia, Erythema, Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Pt states Rt arm (+) pain (+) swelling (+) redness. 24 hrs. since vac. now "much better" 14 x 14 cm (+) erythema (+) induration (+) swelling, no pruritus. Pt states night of vac "couldn't stand" but took "alot of meds -> lorazepam, NYQUIL, sleeping pill".
Age: 0.33
Sex: F
Vaccine: DTAP, RV5
Symptoms: Urticaria
Clinical narrative: Hives - began on (L) leg about 24 h after vaccine and then spread to abdomen - Mom gave BENADRYL.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain and induration in right upper arm.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Deafness, Dysphagia, Dyspnoea, Hypoacusis
Clinical narrative: Symptoms began with tightening of my throat and difficulty swallowing. Then my chest tightened up and I had difficulty breathing, and was wheezing. It was mild to moderate, so I didn't call the doctor, but around 3:00 pm, I almost completely lost my hearing. It was very scary. Everyone and everything sounded like the volume had been turned WAY down. I couldn't even hear my own voice. By around 8:00pm, my hearing returned to almost normal. My eyes were severely bloodshot for 2 days. Within 24 hours, my chest finally felt relaxed and I wasn't wheezing anymore.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Ocular hyperaemia, Throat tightness, Wheezing
Clinical narrative: Symptoms began with tightening of my throat and difficulty swallowing. Then my chest tightened up and I had difficulty breathing, and was wheezing. It was mild to moderate, so I didn't call the doctor, but around 3:00 pm, I almost completely lost my hearing. It was very scary. Everyone and everything sounded like the volume had been turned WAY down. I couldn't even hear my own voice. By around 8:00pm, my hearing returned to almost normal. My eyes were severely bloodshot for 2 days. Within 24 hours, my chest finally felt relaxed and I wasn't wheezing anymore.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Rhinorrhoea, Urticaria
Clinical narrative: Diffuse urticarial reaction; at time of f/u visit for urticaria child did have cough and runny nose.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Abnormal dreams, Asthenia, Diarrhoea, Hyperhidrosis, Nausea
Clinical narrative: Started feeling nauseous soon after having breakfast after office visit. Did not vomit, but had to lie down all afternoon, only sipping small amounts of water. I felt certain that if I had not begun to rest, I would have lost my breakfast of an open beef souvlaki with scrambled eggs, coffee and ice water. Had large loose bowel movement around 8:30 PM. Took two capsules of OTC loperamide hydrochloride afterwards. Continued resting, consumed about two cups of homemade beef stew after 11:30 PM. Had another loose bowel movement about 12:45 PM. Went to bed and slept several hours, dreaming about being in a rowboat with actress Kristen Stewart and inventing a spray to stick foam blocks together after two failed attempts. The following day I still felt weak and mildly feverish, but no longer nauseous. Rested all day again. Did not check temperature, but perspired more than usual while resting. Had another bowel movement about 10 AM and at 4 PM, but no longer felt the need for additional medication. This is being written about 5 PM.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Started feeling nauseous soon after having breakfast after office visit. Did not vomit, but had to lie down all afternoon, only sipping small amounts of water. I felt certain that if I had not begun to rest, I would have lost my breakfast of an open beef souvlaki with scrambled eggs, coffee and ice water. Had large loose bowel movement around 8:30 PM. Took two capsules of OTC loperamide hydrochloride afterwards. Continued resting, consumed about two cups of homemade beef stew after 11:30 PM. Had another loose bowel movement about 12:45 PM. Went to bed and slept several hours, dreaming about being in a rowboat with actress Kristen Stewart and inventing a spray to stick foam blocks together after two failed attempts. The following day I still felt weak and mildly feverish, but no longer nauseous. Rested all day again. Did not check temperature, but perspired more than usual while resting. Had another bowel movement about 10 AM and at 4 PM, but no longer felt the need for additional medication. This is being written about 5 PM.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect dose administered
Clinical narrative: Pt has not had an event however, per the mother pt received a total of 6 injections for the HPV/Gardasil vaccine. Our records in our clinic showed that patient received 2 HPV shots and needed the 3rd. Patient herself did not remember receiving the injection. Mom later reports that her PCP gave patient 2 doses of HPV.
Age: 81.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema
Clinical narrative: Pt had no problems with site of Tdap in arm until 8 days after reaction she had a severe redness at site of inoculation. 5-6cm in diameter. Circular with central clearing. Cellulitis versus delayed hypersensitivity reaction.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: PT REPORTS SORENESS STARTING 5 MINUTES AFTER VACCINATION, THEN COULDNT MOVE ARM WITHOUT PAIN FOR A COUPLE OF DAYS... NOW, 5 WEEKS LATER, IT IS STILL SORE: SHE CANNOT RAISE ARM ABOVE SHOULDER LEVEL WITHOUT PAIN.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness, Seizure like phenomena
Clinical narrative: Pt. was complaining of dizziness to mom Mom and learned on Moms shoulder - pt. then passed out and Mom laid pt. on floor, pt. starting having seizure like activity.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Pt rec'd vaccine and developed a red bump on area - it doesn't hurt and appears to be disappearing.
Age: 23.0
Sex: F
Vaccine: FLU3, HEPA, PPV
Symptoms: Injection site erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: Swelling. Redness (L) arm from shoulder to elbow. Tenderness. Fever to 102 degrees.
Age: 10.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site warmth, Local reaction
Clinical narrative: Local reaction after receiving Tdap vaccine to right deltoid measuring 90 x 50 mm warm to touch, ice pack given & applied.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Bruxism, Pruritus generalised, Rash generalised, Throat irritation
Clinical narrative: 12-19-11 received Flu vac 0.25ml 2 hrs later pt had rash to cheeks, all over body after vaccine c/o grinding teeth a lot, itching in throat, scratching all over body, 12-20-11 PRELONE 15/5 1/2 tsp P.O. QD x 3 days, SOLU-MEDROL 20mg IM, returned no improvement 12-22-11 ATARAX 1/4 tsp P.O. Q 6-8 hrs PRN, Dexamethasone 2.5mg IM x 1 today. No fever. No N/V or D.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3
Symptoms: Irritability, Pruritus, Urticaria
Clinical narrative: Hives Pt. seen 12-20-11 for well child ck & imm. at 1200 noon. On 12-21-11 pt had pancakes for breakfast. Mother gave BENADRYL at 1100 & was helpful for hives. Hives returned in evening - repeated BENADRYL. Itchy & slightly crabby but playful & eating. Denied: fever, runny nose, cough, SOB, tongue/lip/face swelling, wheezing, vomit, diarr., abd pn or joint pn. Continue BENADRYL. Contact clinic if site increase.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Hives and swelling with tenderness at the site of injection 24hrs after immunization administration. BENADRYL 2 tsp given x1.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient c/o pain in right leg with weight bearing - referred to pediatrician 12/22/11 seen at office.
Age: 0.17
Sex: M
Vaccine: 6VAX-F
Symptoms: Apnoea, Bradycardia, Condition aggravated
Clinical narrative: Bradycardia and apnea after Pentacel injection.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash, Rash maculo-papular
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of hives in a 2-month-old female subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included PEDVAXHIB (Merck), ROTATEQ (Merck) and PREVNAR (Wyeth Labs) all given on 15 March 2011. There were no concurrent medications. On 15 March 2011 at 13:30 the subject received unspecified dose of PEDIARIX at 0.5 ml in the left leg. On 16 March 2011, 1 day after vaccination with PEDIARIX, the subject experienced hives. At the time of reporting the event was resolved. The healthcare professional considered the event was probably related to vaccination with PEDIARIX. It was noted that this date of PEDIARIX was the 1st DTaP, 1st IPV and 1st hepatitis B vaccine. Follow-up information was received on 25 July 2011. It was reported that the subject experience rash and hives following administration of PEDIARIX on 15 March 2011. The onset date of events was unclear from follow-up received. The events did resolve and were considered by the reporter, probably related to treatment with PEDIARIX. It was, however, pointed out that these events could have possibly been viral. It was reported that these event occurred again with the next DTaP administered. Date of vaccination and onset of events was not indicated. A note was made that future administration would be spread out.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of hives in a 2-month-old female subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included PEDVAXHIB (Merck), ROTATEQ (Merck) and PREVNAR (Wyeth Labs) all given on 15 March 2011. There were no concurrent medications. On 15 March 2011 at 13:30 the subject received unspecified dose of PEDIARIX at 0.5 ml in the left leg. On 16 March 2011, 1 day after vaccination with PEDIARIX, the subject experienced hives. At the time of reporting the event was resolved. The healthcare professional considered the event was probably related to vaccination with PEDIARIX. It was noted that this date of PEDIARIX was the 1st DTaP, 1st IPV and 1st hepatitis B vaccine. Follow-up information was received on 25 July 2011. It was reported that the subject experience rash and hives following administration of PEDIARIX on 15 March 2011. The onset date of events was unclear from follow-up received. The events did resolve and were considered by the reporter, probably related to treatment with PEDIARIX. It was, however, pointed out that these events could have possibly been viral. It was reported that these event occurred again with the next DTaP administered. Date of vaccination and onset of events was not indicated. A note was made that future administration would be spread out.
Age: 1.52
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Diarrhoea, Irritability, Pyrexia, Streptococcus test, Streptococcus test negative
Clinical narrative: Fever, loose stool, irritability.
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Rash, Urticaria
Clinical narrative: Pt returned to office approximately 2 hours after getting shots with rash - rash c/w hives/urticaria no resp distress - we gave him sq EPI (1:1000) 0.1cc x 1 - rash resolved - VSS. Pt d/c'ed on ATARAX.
Age: 23.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Dizziness, Full blood count, Headache, Hyperaesthesia, Myalgia
Clinical narrative: Fever about 12 hours after vaccination, headache, myalgias, dizziness, skin sensitivity.
Age: 23.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Pyrexia, White blood cell count normal
Clinical narrative: Fever about 12 hours after vaccination, headache, myalgias, dizziness, skin sensitivity.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Arm swelled, red, painful, shoulder to elbow.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Wheezing
Clinical narrative: Shortness at breathe and, tightness in chest and wheezing started 1 hour after receiving the vaccine.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Woke up today - 1 week after vaccine with generalized urticaria and hives, took BENADRYL with relief. Has has same reaction in past.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, CSF protein increased, Computerised tomogram head, Hypoaesthesia
Clinical narrative: 11/16 numbness, pins & needles in (R) foot progressing to (L) foot 11/17 numbness in bilateral hands, progressing into muscle weakness, feeling of heaviness in legs 11/18 facial paralysis, core weakness 11/20 unable to walk 11/21 admitted to hospital IVIG treatment through 11/28.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Immunoglobulin therapy, Laboratory test, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging brain
Clinical narrative: 11/16 numbness, pins & needles in (R) foot progressing to (L) foot 11/17 numbness in bilateral hands, progressing into muscle weakness, feeling of heaviness in legs 11/18 facial paralysis, core weakness 11/20 unable to walk 11/21 admitted to hospital IVIG treatment through 11/28.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Sensation of heaviness, VIIth nerve paralysis
Clinical narrative: 11/16 numbness, pins & needles in (R) foot progressing to (L) foot 11/17 numbness in bilateral hands, progressing into muscle weakness, feeling of heaviness in legs 11/18 facial paralysis, core weakness 11/20 unable to walk 11/21 admitted to hospital IVIG treatment through 11/28.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Computerised tomogram, Electromyogram, Fall
Clinical narrative: I began feeling weak and my legs were like rubber on 11 Oct. On the 12 Oct I had trouble walking and fell down. On 13 Oct I couldn't walk so my husband took me to the ER. While there I lost the feeling in my feet and legs and couldn't move them. I was admitted and treated for Guillain Barre syndrome. I was transferred to a nursing facility for rehabilitation and am still there.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Mobility decreased
Clinical narrative: I began feeling weak and my legs were like rubber on 11 Oct. On the 12 Oct I had trouble walking and fell down. On 13 Oct I couldn't walk so my husband took me to the ER. While there I lost the feeling in my feet and legs and couldn't move them. I was admitted and treated for Guillain Barre syndrome. I was transferred to a nursing facility for rehabilitation and am still there.