chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Body temperature increased, Cough, Immunisation reaction, Increased upper airway secretion, Malaise
Clinical narrative: The patient came in to day at 8 years of age with his mother and his 2 siblings (who have similar symptoms) with complaint of an illness of 2 days duration since Saturday evening (today is Monday). Of note is the fact that the patient and his 2 siblings were all immunized for the flu on October 9 and all 3 have become ill. The patient himself received the FLUMIST vaccine. His sibling received the injectable flu vaccine. The patient is complaining of cough and congestion as well as some slightly elevated temperature at this point. The patient was previously more ill but now has improved. He still complains of "phlegm in his throat." The patient does have a history of wheezing during infancy that was treated with ALBUTEROL but according to the parents improved dramatically after a tonsillectomy. The patient appears to be in no distress. There are no meningeal signs. The patients weight is 61 pounds, temperature 99.1, pulse is 80, respiratory rate is 20, and blood sugar is 102/70. There were no meningeal signs. Tympanic permits bilaterally are normal. Examination to the nose mouth and pharynx is unremarkable. There was no adenopathy neck. Auscultation of the chest was completely clear heart sounds were normal without murmurs. Assessment URI versus viral syndrome (influenza?) Reaction to FLUMIST? Plan I reviewed symptomatic treatment in detail with the parents. Report will be submitted.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Respiratory tract congestion, Upper respiratory tract infection, Viral infection
Clinical narrative: The patient came in to day at 8 years of age with his mother and his 2 siblings (who have similar symptoms) with complaint of an illness of 2 days duration since Saturday evening (today is Monday). Of note is the fact that the patient and his 2 siblings were all immunized for the flu on October 9 and all 3 have become ill. The patient himself received the FLUMIST vaccine. His sibling received the injectable flu vaccine. The patient is complaining of cough and congestion as well as some slightly elevated temperature at this point. The patient was previously more ill but now has improved. He still complains of "phlegm in his throat." The patient does have a history of wheezing during infancy that was treated with ALBUTEROL but according to the parents improved dramatically after a tonsillectomy. The patient appears to be in no distress. There are no meningeal signs. The patients weight is 61 pounds, temperature 99.1, pulse is 80, respiratory rate is 20, and blood sugar is 102/70. There were no meningeal signs. Tympanic permits bilaterally are normal. Examination to the nose mouth and pharynx is unremarkable. There was no adenopathy neck. Auscultation of the chest was completely clear heart sounds were normal without murmurs. Assessment URI versus viral syndrome (influenza?) Reaction to FLUMIST? Plan I reviewed symptomatic treatment in detail with the parents. Report will be submitted.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt stated she got a rash around her eyes 45 minutes after receiving the flu vaccine. She took Benadryl orally and Benadryl CR topically.
Age: 1.03
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 8 days after injections 3x5 cm area of redness and induration at injection site, requiring oral antibiotic for possible infection. HIB and HEP A given at this site on 9/28, VARIVAX given nearby (left thigh).
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nuclear magnetic resonance imaging
Clinical narrative: Pt returned to clinic on Oct 2nd complaining of a severe headache ever since the day after receiving the influenza vaccine-no previous headaches except in puberty.
Age: 30.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Asthenia, Injection site pain, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Onset of fever (101) R arm pain progressing to generalized muscle pain & weakness within 24 of vaccine. Increased pain at site of injection of pneumovax but no visible local reaction. No cellulitis, 1 day later developed hives. Pt has multiple sclerosis & Crohns disease, depression.
Age: 30.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Urticaria
Clinical narrative: Onset of fever (101) R arm pain progressing to generalized muscle pain & weakness within 24 of vaccine. Increased pain at site of injection of pneumovax but no visible local reaction. No cellulitis, 1 day later developed hives. Pt has multiple sclerosis & Crohns disease, depression.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Flushing, Pyrexia, Throat irritation
Clinical narrative: About 10 minutes after given influenza vaccine c/o itching throat, "fever", skin face, neck was flushed, given diphenhydramine 25mg IM right deltoid and 50 mg diphenhydramine PO, call 911 and EMS respond
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Lip blister, Peripheral vascular disorder
Clinical narrative: Vaccine given on 9/21/09. Developed chills, N/V, blisters on lips 7 hours after injection. Episode lasted 6 hours. N/V resolved in 24. Blisters on lips lasted 2 weeks. No medical treatment sought.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Dizziness, Nausea
Clinical narrative: Pt had seizure minor episode, dizzieness, nauseaus sensation within 5 minutes of FLUVIRIN shot. It lasted fo 15 min and was taken to St. Peters ER. Pt. was administered 0.3 mg Epipen injection at 4:25 pm on 10/9/09, after the reaction. Patient is in stable condition now per Dr.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Myalgia
Clinical narrative: Myalgia, headache.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Blood glucose, Blood glucose increased, Dizziness, Pyrexia
Clinical narrative: Fever, trembling, weakness, dizzy (1st notice 3 days after injection) sugar level 220 (2 weeks after injection).
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Fever, trembling, weakness, dizzy (1st notice 3 days after injection) sugar level 220 (2 weeks after injection).
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Body temperature increased, Decreased appetite, Influenza, Somnolence, Upper respiratory tract congestion
Clinical narrative: History.  The patient came today at 4 years of age with his mother and 2 siblings who have similar symptoms with complaint of illness since yesterday.  Of note is the fact that the child received the FLUMIST vaccine on October 9 as did one of his siblings the other sibling having received the injectable flu vaccine.  All 3 children are now ill.  The patient has been very sleepy, anorexic.  He has not had any diarrhea or vomiting.  He was no ALBUTEROL for wheezing during infancy.  Exam.  Patient's weight is 32 pounds, temperature 101.8 degrees, pulse 108, respiratory rate is 20, and blood pressure is 80/58.  There are no meningeal signs.  Tympanic permits bilaterally are normal.  Examination the nose mouth and pharynx is unremarkable.  Auscultation of the chest revealed upper airway congestion sounds.  Heart sounds were normal without murmurs.  The abdomen was soft without organomegaly or masses.  Assessment.  Viral syndrome (probable influenza) Reaction to FLUMIST?  Plan.  I recommended to mother to begin NEBULIZER ALBUTEROL if chest congestion increases but it can also be done at this point.  I also recommended a trial of steam inhalation.  TYLENOL or ibuprofen can be used for her treatment of the fever.   If the child develops additional concerning symptoms they should be reevaluated.  Report will be submitted to VAERS.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Viral infection
Clinical narrative: History.  The patient came today at 4 years of age with his mother and 2 siblings who have similar symptoms with complaint of illness since yesterday.  Of note is the fact that the child received the FLUMIST vaccine on October 9 as did one of his siblings the other sibling having received the injectable flu vaccine.  All 3 children are now ill.  The patient has been very sleepy, anorexic.  He has not had any diarrhea or vomiting.  He was no ALBUTEROL for wheezing during infancy.  Exam.  Patient's weight is 32 pounds, temperature 101.8 degrees, pulse 108, respiratory rate is 20, and blood pressure is 80/58.  There are no meningeal signs.  Tympanic permits bilaterally are normal.  Examination the nose mouth and pharynx is unremarkable.  Auscultation of the chest revealed upper airway congestion sounds.  Heart sounds were normal without murmurs.  The abdomen was soft without organomegaly or masses.  Assessment.  Viral syndrome (probable influenza) Reaction to FLUMIST?  Plan.  I recommended to mother to begin NEBULIZER ALBUTEROL if chest congestion increases but it can also be done at this point.  I also recommended a trial of steam inhalation.  TYLENOL or ibuprofen can be used for her treatment of the fever.   If the child develops additional concerning symptoms they should be reevaluated.  Report will be submitted to VAERS.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: " Deep pain " in arm where vaccine given. Treatment unknown.
Age: 18.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3" raised red not area around id injection site. Pt state is recovering 10/12/09
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Diplegia, Hypoaesthesia
Clinical narrative: Numbness and paralysis in both arms, lasted several days.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Diarrhoea, Headache, Heart rate normal, Immediate post-injection reaction
Clinical narrative: The patient came to day at 6 years of age with his mother and his 2 siblings who have similar symptoms with complaint of an illness of 3 days duration. Of note is the fact that the patient receive the injectable flu vaccine on October 9, 2009 and subsequently was not to become ill the next day. The patient's brother received the FLUMIST vaccine on the same day and also subsequently became ill with a flu like syndrome as did his other brother who also received the FLUMIST vaccine. The patient has complained of fever, headache and diarrhea for the past 3 days area the headache is frontal. He is a temperature elevation of 104 and has been very sleepy. Exam The patient appears to be in no distress. The patient weight is 41 pounds, temp 102.3, pulse 98, resp rate 20, and blood pressure 98/60. There no meningeal signs. Tympanic bilaterally are normal. Examination the nose mouth and pharynx was significant for mucous membranes being moist. There is no adenopathy neck. Auscultation of the chest was clear heart sounds were normal without murmurs. The abdomen was soft without organomegaly or masses. Assessment Viral syndrome (probable influenza) reaction to FLUMIST vaccine that was given to a sibling? Probable influenza immediately after receiving injectable flu vaccine. Plan I discussed symptomatic treatment in details with parents. ALBUTEROL should be used via metered dose inhaler on a prn basis. I would recommend following the action plan provided by the patient's pulmonologist. The parents informs me that the child has been restarted on SINGULAIR and is also been continously on FLOVENT. Stimulation should be tried for cough and congestion and honey as cough suppressant. If the child develops additional concerning symptoms then he should certainly be reevaluated.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Immunisation reaction, Influenza, Influenza like illness, Pyrexia, Respiratory rate
Clinical narrative: The patient came to day at 6 years of age with his mother and his 2 siblings who have similar symptoms with complaint of an illness of 3 days duration. Of note is the fact that the patient receive the injectable flu vaccine on October 9, 2009 and subsequently was not to become ill the next day. The patient's brother received the FLUMIST vaccine on the same day and also subsequently became ill with a flu like syndrome as did his other brother who also received the FLUMIST vaccine. The patient has complained of fever, headache and diarrhea for the past 3 days area the headache is frontal. He is a temperature elevation of 104 and has been very sleepy. Exam The patient appears to be in no distress. The patient weight is 41 pounds, temp 102.3, pulse 98, resp rate 20, and blood pressure 98/60. There no meningeal signs. Tympanic bilaterally are normal. Examination the nose mouth and pharynx was significant for mucous membranes being moist. There is no adenopathy neck. Auscultation of the chest was clear heart sounds were normal without murmurs. The abdomen was soft without organomegaly or masses. Assessment Viral syndrome (probable influenza) reaction to FLUMIST vaccine that was given to a sibling? Probable influenza immediately after receiving injectable flu vaccine. Plan I discussed symptomatic treatment in details with parents. ALBUTEROL should be used via metered dose inhaler on a prn basis. I would recommend following the action plan provided by the patient's pulmonologist. The parents informs me that the child has been restarted on SINGULAIR and is also been continously on FLOVENT. Stimulation should be tried for cough and congestion and honey as cough suppressant. If the child develops additional concerning symptoms then he should certainly be reevaluated.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Respiratory tract congestion, Somnolence, Viral infection
Clinical narrative: The patient came to day at 6 years of age with his mother and his 2 siblings who have similar symptoms with complaint of an illness of 3 days duration. Of note is the fact that the patient receive the injectable flu vaccine on October 9, 2009 and subsequently was not to become ill the next day. The patient's brother received the FLUMIST vaccine on the same day and also subsequently became ill with a flu like syndrome as did his other brother who also received the FLUMIST vaccine. The patient has complained of fever, headache and diarrhea for the past 3 days area the headache is frontal. He is a temperature elevation of 104 and has been very sleepy. Exam The patient appears to be in no distress. The patient weight is 41 pounds, temp 102.3, pulse 98, resp rate 20, and blood pressure 98/60. There no meningeal signs. Tympanic bilaterally are normal. Examination the nose mouth and pharynx was significant for mucous membranes being moist. There is no adenopathy neck. Auscultation of the chest was clear heart sounds were normal without murmurs. The abdomen was soft without organomegaly or masses. Assessment Viral syndrome (probable influenza) reaction to FLUMIST vaccine that was given to a sibling? Probable influenza immediately after receiving injectable flu vaccine. Plan I discussed symptomatic treatment in details with parents. ALBUTEROL should be used via metered dose inhaler on a prn basis. I would recommend following the action plan provided by the patient's pulmonologist. The parents informs me that the child has been restarted on SINGULAIR and is also been continously on FLOVENT. Stimulation should be tried for cough and congestion and honey as cough suppressant. If the child develops additional concerning symptoms then he should certainly be reevaluated.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: App. 8cm. Round erythema at injection site.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Diarrhoea, Fatigue, Induration, Pyrexia, Rash generalised
Clinical narrative: Fever up to 102.8 (Ax) started 9/25/09 --> 9-27-09 (L) cheek hard, swollen - 2 episodes of diarrhea RASH developed 9/28/09 - all over body until 10-1-09 excessive tiredness.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Swelling face
Clinical narrative: Fever up to 102.8 (Ax) started 9/25/09 --> 9-27-09 (L) cheek hard, swollen - 2 episodes of diarrhea RASH developed 9/28/09 - all over body until 10-1-09 excessive tiredness.
Age: 0.8
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Child was given 0.5 ml FLUVIRIN for 4 yrs old and up instead of FLUZONE for 6 - 35 mo of age on accident. NO treatment needed, child asymptomatic.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema and warmth at injection site.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Rash
Clinical narrative: The patient came to the pharmacy on 10-5-09 complaining of rash and soreness from the shot he received on 9-24-09. I instructed the patient to see his physician. The patient came back 1 hour later and stated his doctor told him to use hydrocortisone cream and he was ok.
Age: 0.19
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV1
Symptoms: Hypersomnia
Clinical narrative: Child slept for 7-10 hours after 2 month shots. This was not know to doctor until the 4 month check.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria, Pruritus
Clinical narrative: Red rash, whelps, itching rash and whelps were in immunized arm around the elbow.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial palsy, Musculoskeletal pain, Paraesthesia, Paraesthesia oral
Clinical narrative: 11:30 Shingles vaccine Zostavax administered in left arm. 1:15 Left shoulder soreness & pain. 1:30 Tingling started on left side of lips & cheeks; my face felt like it was slack on the left side & my mouth was drooping, but it didn't look like that in the mirror. Tingling spread to my left ear. 2:30 Identical symptoms spread to the right side of lips, cheek & ear. 3:30 Called my doctor. He told me to take Tylenol & call him back if symptoms didn't ease up. 4:15 symptoms lessened about 80%. Took another Tylenol at bedtime. Next day most a slight amount of symptoms remained now all better.
Age: 4.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Rt arm deltoid red 4 1/2 x 6" and swollen.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Cellulitis, Chest X-ray, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: Redness and swelling around injection site (approx 4" circle around site). Skin is warm to the touch. Patient experiencing pain in arm. oc 1/21/10 follow up - cellulitis, heart rate increased, blood pressure increased, electrocardiogram abnormal, electrocardiogram st segment depression;this is in follow-up to reports previously submitted on 10/15/2009, 10/22/2009, 12/2/2009,12/8/2009  information has been received from a registered nurse concerning a 23 year old male employee with no drug reactions/allergies and a history of childhood asthma, who on 05-oct-2009 was vaccinated  intramuscularly in the right upper arm with a 0.5 ml dose of pneumococcal 23v polysaccharide vaccine (lot #662268/1134y). on 05-oct-2009 (the night before) and was taking acetaminophen (tyle heanol). the nurse noted that his temperature was 102.6  heart rate was 130, right  was red, his blood pressure was elevated at 148/94, his EKG was a little abnormal and there was a depression in his st.  he was given intravenously diphenhydramine hydrochloride (benadryl) at health services, then he was sent to the emergency room because he was "starting to get blotchy". it was unspecified if the patient had had pneumococcal 23v polysaccharide vaccine in the past.  at the time of the report it was unkown if the patient recovered. no laboratory diagnostics studies were performed. the adverse experience was considered to be an other important medical event by the reporter.  follow up information was received from the nurse practitioner via phone call who stated that the patient was admitted to a hospital.  the patient was hospitalized from 08-0ct-2009 to 11-oct-2009. the patient was diagnosed with cellulititis and was treated with iv antibiotics.  the patient recovered (on an unspecified date).  follow up information has been received from a physician.  the patient received the following discharge instructions, patient could have physical activity with no restrictions as tolerated and to follow up with physican one week after discharge. the patient's discharge diagnosis was cellulitis. lab test performed included chest xrays (results not provided). additional information is not expected. lansdale hospital - abington memorial hospital. all available medical records will be provided upon request.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Rash macular, Skin warm
Clinical narrative: Redness and swelling around injection site (approx 4" circle around site). Skin is warm to the touch. Patient experiencing pain in arm. oc 1/21/10 follow up - cellulitis, heart rate increased, blood pressure increased, electrocardiogram abnormal, electrocardiogram st segment depression;this is in follow-up to reports previously submitted on 10/15/2009, 10/22/2009, 12/2/2009,12/8/2009  information has been received from a registered nurse concerning a 23 year old male employee with no drug reactions/allergies and a history of childhood asthma, who on 05-oct-2009 was vaccinated  intramuscularly in the right upper arm with a 0.5 ml dose of pneumococcal 23v polysaccharide vaccine (lot #662268/1134y). on 05-oct-2009 (the night before) and was taking acetaminophen (tyle heanol). the nurse noted that his temperature was 102.6  heart rate was 130, right  was red, his blood pressure was elevated at 148/94, his EKG was a little abnormal and there was a depression in his st.  he was given intravenously diphenhydramine hydrochloride (benadryl) at health services, then he was sent to the emergency room because he was "starting to get blotchy". it was unspecified if the patient had had pneumococcal 23v polysaccharide vaccine in the past.  at the time of the report it was unkown if the patient recovered. no laboratory diagnostics studies were performed. the adverse experience was considered to be an other important medical event by the reporter.  follow up information was received from the nurse practitioner via phone call who stated that the patient was admitted to a hospital.  the patient was hospitalized from 08-0ct-2009 to 11-oct-2009. the patient was diagnosed with cellulititis and was treated with iv antibiotics.  the patient recovered (on an unspecified date).  follow up information has been received from a physician.  the patient received the following discharge instructions, patient could have physical activity with no restrictions as tolerated and to follow up with physican one week after discharge. the patient's discharge diagnosis was cellulitis. lab test performed included chest xrays (results not provided). additional information is not expected. lansdale hospital - abington memorial hospital. all available medical records will be provided upon request.
Age: 57.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Angioedema, Swollen tongue
Clinical narrative: Swollen tongue, which continued to swell. Pt diagnosed with Angio Edema given prednisone, benedryl, and Pepcid. Pt took dose of benedryl prior to going to ER following ap with PCP.
Age: 23.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Abdominal pain, Injection site erythema, Injection site swelling, Nausea, Vomiting
Clinical narrative: Developed red swollen area to left arm at site of varicella. Vomiting began 9-29-09; nausea and abd. pain.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Erythema, Haemorrhage, Immediate post-injection reaction
Clinical narrative: Patient had some bleeding in her arms and her arms also started to swell within a couple of minutes of the shot. She started to feel chills, light-headedness, and her chest started to turn red. "911" was called and paramedics came shortly and brought her to the hospital.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: Patient had some bleeding in her arms and her arms also started to swell within a couple of minutes of the shot. She started to feel chills, light-headedness, and her chest started to turn red. "911" was called and paramedics came shortly and brought her to the hospital.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Injection site erythema, Wheezing
Clinical narrative: Wheezing, SOB, local erythema at injection site.
Age: 66.0
Sex: F
Vaccine: HEP, TD, TYP
Symptoms: Axillary pain, Oedema peripheral, Pain in extremity
Clinical narrative: Received Typhoid VI and tetanus/Dip to left deltoid on 9/29/09 - says experienced slight swelling/pain left arm same day - says went to personal physician on 10/9/09 with complaints of pain in arm pit (left side)- says pain on arm pit started around 10/4/09 - Says pain and discomfort easing up today as compared to when episode started.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Urticaria
Clinical narrative: Patient was pregnant and received her FLUVIRIN around 5 pm - At 6pm she called the pharmacy saying she had hives on her arms and legs. Because she was pregnant, I recommended she go to the ER. She had no difficulty breathing.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Rash generalised
Clinical narrative: Rash all over body. Slight itch 10/13/09, 6 days age had FLUMIST.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Flushing, Hypertension, Pallor, Palpitations, Panic reaction
Clinical narrative: Pt felt palpitations, panic feeling and blurred vision within 10 minutes of receiving influenza (seasonal) vaccination. Continued to have high BP 160/90, 184/90, 200/? after supine. Began shaking, tearful. Pale initially then flushed. Taken to ED for further evaluation.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Tearfulness, Tremor, Vision blurred
Clinical narrative: Pt felt palpitations, panic feeling and blurred vision within 10 minutes of receiving influenza (seasonal) vaccination. Continued to have high BP 160/90, 184/90, 200/? after supine. Began shaking, tearful. Pale initially then flushed. Taken to ED for further evaluation.
Age: 0.98
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose, Body temperature decreased, Hypothermia, Irritability
Clinical narrative: Hypothermia - in 48 hours after vaccine and irritability/fussiness - in 24 - 48 hours after vaccine. T 95.5 rectally-required Emergency department visit & warmer applied.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Loss of consciousness, Rash, Vomiting
Clinical narrative: Mother said child had temp elevated earlier in week up to yesterday. No elevated temp today. Mother took child home. Mother called child vomited lites were worse got rash, passed out. Encouraged mother to take child to ER on to MD. Called mother on second occasion unable to reach her. Still unable to reach 10/12/09.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Eye discharge, Respiratory tract congestion, Wheezing
Clinical narrative: Within 2 hrs - wheezing X 10 hours w/cong, clear mucous and eye drainage. No SOB
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Erythema at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Increased redness, swelling - no c/o pain or tenderness.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash, Injection site urticaria, Rash
Clinical narrative: Received seasonal flu vaccine (IM inactivated).  Approximately 45 min after injection right deltoid area started itching.  2 hives noted at this site.  Rash at injection site radiating to neck chest area.  Resolved with BENADRYL 25 mg orally.  No adverse effects noted.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Oedema peripheral, Pyrexia, Tenderness, Vomiting
Clinical narrative: Within 24 hrs of vaccination pt reports right tender arm w/swelling, fever 100 F, diarrhea and vomit X1. Symptoms resolved 10/12/09.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Muscle spasms
Clinical narrative: 2 hours after shot, muscle spasms started at injection site, approximately once every hour for the past 4 days - I suggested an ice pack, and MOTRIN, and call PCP.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast pain, Erythema, Injection site streaking, Nausea, Pain
Clinical narrative: 4" red streak behind (L) arm where vaccine was administered. Arm sore all the way up into her left breast. Nausea, aching for 3 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: 4" red streak behind (L) arm where vaccine was administered. Arm sore all the way up into her left breast. Nausea, aching for 3 days.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site streaking, Injection site swelling, Injection site urticaria
Clinical narrative: Red raised streak around injection area on R arm - pneu shot. Got larger as day went on - like hives - 3 days later started to itch. Size larger than a golf ball. Day #4 - went away. Local reaction only.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Local reaction
Clinical narrative: Red raised streak around injection area on R arm - pneu shot. Got larger as day went on - like hives - 3 days later started to itch. Size larger than a golf ball. Day #4 - went away. Local reaction only.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: 3 days after vaccination for shingles I got shingles! Doctor prescribed VALTREX right side of face; mouth & scalp.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Sciatica
Clinical narrative: Herpes Zoster left lower extremity with sciatic perip.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis over shoulder where shot administered.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Injection site turned red, began to swell. Pt said she had difficulty breathing and itching - Symptoms occurred after patient had been home for a short time.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Influenza, Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: This case was reported by a consumer and described the occurrence of influenza in a 41-year-old female subject who was vaccinated with Flu vaccine (manufacturer unspecified). A physician or other health care professional has not verified this report. The subject's medical history included mosquito allergy, allergy to wasp and bee sting allergy. Concurrent medications included XANAX, LEXAPRO, LORCET, SIMVASTATIN, SINGULAIR, OMEPRAZOLE, SYMBICORT and Unknown injection (unknown if it was a vaccine or a vitamin B-12 shot). On 8 October 2009 at 10:00 the subject received 1st dose of Flu vaccine (unknown, right arm). On 8 October 2009, the same day after vaccination with Flu vaccine, the subject experienced a red, hot welt at the injection site. On 12 October 2009 (at mid-day), four days after vaccination with Flu vaccine, the subject experienced influenza. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the red, hot welt at the injection site was unknown and the symptoms of the influenza were unresolved. The consumer consulted a health care professional regarding the event(s). On 13 October 2009, the consumer reported that she was given an unknown manufacturer's flu shot. The injection was given on 08 October 2009. The subject reports that a red, hot welt appeared at the injection site on the day of the injection. The subject also reports that she developed the flu. Her flu symptoms began on 12 October 2009. At time of report, symptoms of the flu were unresolved. The subject said that she was given an injection in the gluteal area. She does not know if this was a vaccine or a vitamin B-12 shot.
Age: 5.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: At dinner time child vomited and fever was 100 degree Fahrenheit.  Mother gave Ibuprofen every 6 hours and fever continued off and on.  This morning vomited again and fever went to 102 degree Fahrenheit.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Chest discomfort, Condition aggravated, Cough, Headache
Clinical narrative: Headache, sinus pressure, runny nose, cough, slight chest discomfort associated with cough, questionable chills (unknown if fever), low back pain, increased urination
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pollakiuria, Rhinorrhoea, Sinus headache
Clinical narrative: Headache, sinus pressure, runny nose, cough, slight chest discomfort associated with cough, questionable chills (unknown if fever), low back pain, increased urination
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray abnormal, Cough, Lung infiltration, Respiratory distress, Wheezing
Clinical narrative: Croupy cough/wheezing/respiratory distress
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Sensation of foreign body, Throat irritation
Clinical narrative: C/O "scratchy throat with lump and itching on chest, neck and left arm". #24 angiocath to right AC. 500 Normal saline up.  Benadry 25mg IVP.  Medrol dose pak called in and patient kept at infusion center x 2 hrs. to monitor.  VS monitored.  Pt d/c to home with family member without incident.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Urticaria
Clinical narrative: Child developed hives and itching lasting 2 days.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Chest X-ray normal, Death, Respiratory rate increased
Clinical narrative: Temp 103.2 at 0240 AM, rapid respirations began approx 12 hours later. 10/19/09 Death Certificate DOD 10/5/09 - Complications / effects of Influenza Vaccine.   10/19/09 Nursing Home medical records received service dates 10/1/09 to 10/5/09. Patient develops elevated temperature. Tylenol given, blankets removed and cool cloths applied. Oxygen via face mask. Respiration rate increased, mouth breathing. Appetite poor, not eating. Lethargic. Coughing. Unable to swallow. Unresponsive to voice or painful stimuli. Unable to obtain BP or radial pulse. Labored respirations. Stopped breathing. Death.  Concurrent Illness: Toe has red flat area.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dizziness, Pyrexia
Clinical narrative: High fever up to 103.1, cough, and dizziness.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: AFTER RECEIVING TDAP IMMUNIZATION PATIENT REMAINED IN ROOM FOR 10 MINUTES THEN PROCEEDED TO LEAVE.  AS SHE REACHED DESK, PATIENT STATED SHE GOT DIZZY AND EVERYTHING WENT BLACK AND SHE PASSED OUT.
Age: 1.95
Sex: F
Vaccine: FLU3
Symptoms: Febrile convulsion, Influenza serology negative, Pyrexia, Vomiting
Clinical narrative: Vaccinated on Friday, by Saturday the patient vomited once, spiked a fever to 104 and had a febrile seizure.  Pt taken to ER, blood drawn and released home.  Pt on Tylenol and Motrin at time of f/up.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Cough, Dysphonia, Heart rate increased, Oropharyngeal pain
Clinical narrative: Burning sensation in sinusis, sore throat, took a Clairiten D that night woke up with heart racing, next morning congested, sore throat, cough, racing heart, fever, took Alive  went back to clinic, heart beat was 120 fever 99.4, she recommended I continue on Alive and switch to Benadryl, that night fever was at 100.4 all symptoms continued Next morning fever broke and temp was 96.0 my normal is 98.0 sore throat has eased, still congested but not as before, hoarse
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Pyrexia, Respiratory tract congestion, Sinus disorder
Clinical narrative: Burning sensation in sinusis, sore throat, took a Clairiten D that night woke up with heart racing, next morning congested, sore throat, cough, racing heart, fever, took Alive  went back to clinic, heart beat was 120 fever 99.4, she recommended I continue on Alive and switch to Benadryl, that night fever was at 100.4 all symptoms continued Next morning fever broke and temp was 96.0 my normal is 98.0 sore throat has eased, still congested but not as before, hoarse
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: none
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Convulsion, Musculoskeletal stiffness, Vomiting
Clinical narrative: SEIZURE LIKE ACTIVITY STARTING APPROXIMATELY 24 HOURS AFTER VACCINE ADMINISTRATION 7/20/2009.  DENIES ANY PROBLEMS YESTERDAY. VOMITED ONE TIME. THIS MORNING BODY BECAME STIFF. 10/19/09 Emergency Room records received for date of service 7/2/09.  Dx:  Otitis media. Assessment:  Presents with low grade fever and nasal congestion. Middle ear infection diagnosed, amoxicilliin prescribed.    10/19/09 & 10/20/09  Hospital record  and discharge summary received for date of service 7/21/09.  Dx:  Prolonged seizure at least 1 hour long s/p immunization, hypoxemia, severe globally developmental delayed child.   Assessment:  Seizure started at 10:00 or 10:30 arrived at ED at 12:00, given 1 dose of diazepam with mild resolution. Had vomiting earlier in the day. Later another seizure developed and a second dose of diazepam was given.  Pulse ox was 89%, given oxygen by NC, increased O2 sat. to 98%.  Phenobarbital level was 16 (low side of normal), Phenobarbital dose increased while in hospital.  Discharged seizure free x 24 hours.  Pt. to be followed up in 1 week by PCP and 2-3 weeks by neurologist.  ICD-9 Codes:  780.39  10/20/09 ER records received service date 9/29/09. Assessment: Recurrent Status Epilepticus. Viral Syndrome. Febrile Convulsions. Patient had vomiting prior to generalized tonic clonic and local motor seizure. Weight loss, cough, nausea, diarrhea, dyspnea on exertion.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Joint stiffness, Pyrexia
Clinical narrative: S/S STARTED AFTER ABOUT 3-4 HOURS AND LASTED 24 HOURS.  FEVER OF ABOUT 100 DEGREES, JOINT PAIN AND STIFFNESS
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Insomnia, Musculoskeletal pain, Myalgia
Clinical narrative: 1.  Arm Pain-intense pain in deltoid muscle, unable to move right arm, unable to sleep, in agony 2.  Shoulder Pain-shoulder pain when moving arm-felt like shot was given too high, pain so intense-unable to sleep 3.  Primary Physician-prescribed anti inflammatory, sent me to orthopedic 4.  Orthopedic Physician-prescribed prednisone,flector patches, return visit 5.  Massage Therapy-to help the shoulder and arm start to move 6.  Medications-tons of tylenol extra strength, advil, flector patches, prednisone, sleeping pills 7.  Agony which caused me to have only a few hours of sleep at night. Pain during the day
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pain in extremity
Clinical narrative: 1.  Arm Pain-intense pain in deltoid muscle, unable to move right arm, unable to sleep, in agony 2.  Shoulder Pain-shoulder pain when moving arm-felt like shot was given too high, pain so intense-unable to sleep 3.  Primary Physician-prescribed anti inflammatory, sent me to orthopedic 4.  Orthopedic Physician-prescribed prednisone,flector patches, return visit 5.  Massage Therapy-to help the shoulder and arm start to move 6.  Medications-tons of tylenol extra strength, advil, flector patches, prednisone, sleeping pills 7.  Agony which caused me to have only a few hours of sleep at night. Pain during the day
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure increased, Contraception, Menorrhagia, Pain, Polycystic ovaries
Clinical narrative: After receiving the Gardisal vaccine, my daughter went from having no pain during menestration to developing poly- cystic ovaries, she now has to be on the birth control pill to control the exttreme pain( which was so bad, it caused her blood pressuire to rise, and her to develope a fever),and heavy bleeding involved in this disorder.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Ultrasound scan, X-ray
Clinical narrative: After receiving the Gardisal vaccine, my daughter went from having no pain during menestration to developing poly- cystic ovaries, she now has to be on the birth control pill to control the exttreme pain( which was so bad, it caused her blood pressuire to rise, and her to develope a fever),and heavy bleeding involved in this disorder.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hypoaesthesia, Injection site swelling, Oedema peripheral, Pain
Clinical narrative: Fever - she had no thermometer at home, swollen arm in arm that had injection(right)including fingers, stated initially in the Am her arm felt numb like it was asleep, soreness, achey and chills, and congestion
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever - she had no thermometer at home, swollen arm in arm that had injection(right)including fingers, stated initially in the Am her arm felt numb like it was asleep, soreness, achey and chills, and congestion
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Blood product transfusion, Endotracheal intubation, Guillain-Barre syndrome, Intensive care, Plasmapheresis
Clinical narrative: ascending paralysis, resp failure requiring intubation, IVIG x5 days followed by plasmapheresis x5 days.  patient remains intubed and in ICU 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09. Current DX: GBS. Pt. presented to ER on 10/1/09 with c/o numbness in all extremities, pain, weakness in legs, back pain, numbness in mouth. Pt. was in ER 1 day prior and sent home, sx. Increased pt. returned to ER. Pt c/o flu like sx 10 days prior. pt received gardasil vax 8/17/09. Assessment: WNL except, absent knee reflexes, hypoflex of lower extremities. (+)intramuscular fluid around spine at the occipital cervical junction. DX at time of assessment: GBS vs. idiopathic polyneuropathy vs. MS. Pt. admitted to medical unit, sx. deteriorated transferred to ICU. Further assessments: absent deep tendon reflexes of upper and lower extremities, c/o pain throughout entire spine. MRI of spine (+)arachnoid cyst. 10/5/09 pt. intubated,  tx IVIG with no response. Plasmapheresis. DX: GBS, respiratory failure, hemothorax. 10/15 tracheotomy placed.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Respiratory failure
Clinical narrative: ascending paralysis, resp failure requiring intubation, IVIG x5 days followed by plasmapheresis x5 days.  patient remains intubed and in ICU 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09. Current DX: GBS. Pt. presented to ER on 10/1/09 with c/o numbness in all extremities, pain, weakness in legs, back pain, numbness in mouth. Pt. was in ER 1 day prior and sent home, sx. Increased pt. returned to ER. Pt c/o flu like sx 10 days prior. pt received gardasil vax 8/17/09. Assessment: WNL except, absent knee reflexes, hypoflex of lower extremities. (+)intramuscular fluid around spine at the occipital cervical junction. DX at time of assessment: GBS vs. idiopathic polyneuropathy vs. MS. Pt. admitted to medical unit, sx. deteriorated transferred to ICU. Further assessments: absent deep tendon reflexes of upper and lower extremities, c/o pain throughout entire spine. MRI of spine (+)arachnoid cyst. 10/5/09 pt. intubated,  tx IVIG with no response. Plasmapheresis. DX: GBS, respiratory failure, hemothorax. 10/15 tracheotomy placed.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Limb discomfort, Pain
Clinical narrative: Patient complains of pain in her left arm at the injection site since receiving her first dose of Gardasil on 10/7/2009.  She first reported this complaint to our office on 10/14/2009 and stated that the pain was worse with movement and she was experiencing difficulty using her left arm due to the discomfort, and she was advised to try ibuprofen and heat.  She returned to our office on 10/16/2009 for evaluation and reports that ibuprofen has not provided adequate relief and heat made the pain worse.  Upon examination, there is no erythema or swelling at the site and no tenderness to palpation.  There is full range of motion and normal grip and fine motor movement in both hands.  She was given a prescription for a non-steroidal anti-inflammatory medication and will follow up next week to report on her condition.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Musculoskeletal stiffness, Staring, Unresponsive to stimuli
Clinical narrative: Prior to vaccination, patient stated that she always "passes out" when she receives vaccinations, but it had been several years since her last vaccine.  About 5 minutes after receiving vaccine, patient appeared to have seizure-like response with stiff body posture, eyes wide open, and unresponsive for about 10-15 seconds.  When patient became responsive, she was unaware of what had just happened.  Patient was follow-up with the next day, and stated that she was fine.  Patient was encouraged to contact her physician for follow-up.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Visual field defect
Clinical narrative: Fluviran given on 10/13/2009.  Patient visted me on 10/15/2009.  Stated Dizziness. Also, had bright field of vision in middle of visual field.  Vitalsigns stable/normal
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Acoustic stimulation tests, Deafness unilateral, Dizziness, Vertigo
Clinical narrative: room spinning dizzines lastin four days, left ear hearing loss still present.  taking Prednisone.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Injection site swelling, Swelling face
Clinical narrative: Patients wife reported facial swelling and swelling at site of reaction as well as chills.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Pruritus
Clinical narrative: Developed pruritis and redness around face/neck/upper chest and around injection site for influenza vaccine on right arm.  mild erythema patches on bilateral cheeks - more intense erythema on neck, supraclavicular area bilaterally, and also on proximal right arm.
Age: 1.01
Sex: F
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Weight bearing difficulty
Clinical narrative: PATIENT WOULD NOT PUT ANY WEIGHT ONTO LEFT LEG SINCE INJECTION. SEEN BY DR ON 10-05-2009, SEEN BY ANOTHER DR ON THE 10-14-09. SINCE 10-15-09 SHE PUT WEIGHT ON LEFT LEG.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Chills, Cough, Dizziness, Dyspnoea
Clinical narrative: High fever-102, dizzy, chills, short of breath, severe headache, vomiting within 12 hours of shot and lasting 48 hours, then weakness, and coughing for next four days.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: High fever-102, dizzy, chills, short of breath, severe headache, vomiting within 12 hours of shot and lasting 48 hours, then weakness, and coughing for next four days.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Red swollen arm and itchy. Came into office to check out.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site became sore and swollen. On 10/15 measured 40x45 millimeters across the middle. Hot and red. 10/16/09 decresed to 35x45 millimeters across w/no redness.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Discomfort, Dyspnoea, Hyperhidrosis, Injection site pain, Pain
Clinical narrative: Extreme pain at site of vaccination, sweating, body paid and discomfort for the next 3 days shortness of breath.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye pruritus, Injection site pruritus, Pruritus generalised, Wheezing
Clinical narrative: Itching at site and then all over, wheezing, chest tightness, itching eyes
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site pruritus
Clinical narrative: Patient developed white spot on arm at injection site a week after being vaccinated. Associated with itching.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Cellulitis, Oedema peripheral, Skin warm, Urticaria
Clinical narrative: Approximately 30 min after PNEUMOVAX arm became warm progressively swelling to twice size, with hives, by next a.m. Temp of 101 degree F Pt contacted us, we advised to talk w/primary care doc, which she was planning to do. Went to doc treated for hives and cellulitis with complete recovery in 48 hours.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Culture urine negative, Irritability
Clinical narrative: Pt. had excessive crying for 5 days following administration of 4 m immunization including Pentacel, Prevnar, Rotateq fussy after 1st doses at 2m x 24 hours.