chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Nausea, Vision blurred
Clinical narrative: This case was reported by a physician and a healthcare professional and described the occurrence of anaphylactic type reaction in a 19-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included long QT syndrome. The physician was unable to confirm whether the long QT syndrome was ongoing or historical, but reported that there was no note of current medication. On 7 September 2011 at 08:20 the subject received 2nd dose of ENGERIX B (unknown route, left arm). On 7 September 2011, 1 hour after vaccination with ENGERIX B, the subject experienced anaphylactic type reaction, with dizziness, feeling hot, chest pain, nausea, elevated blood pressure and blurred vision. The subject was transported to the emergency room by ambulance. It was unknown what procedures, tests or treatments were performed. The healthcare professional reported that the subject was hospitalized. The physician considered the events were clinically significant (or requiring intervention), and reported that the subject was discharged the same day and referred to follow-up with a doctor. At the time of reporting the outcome of the events was unspecified. The vaccination course with ENGERIX B was discontinued. The physician and healthcare professional considered the events were possibly related to vaccination with ENGERIX B. The healthcare professional noted that the subject may have an allergy to an ingredient of the vaccine, even though it was the subject's 2nd dose. The physician and healthcare professional reported that two subject's had experienced adverse events with the same lot number of ENGERIX B. This is case 2 of 2 (see case ID A0944505A for details of the other report).
Age: 19.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Allergy to vaccine, Anaphylactoid reaction, Blood pressure increased, Chest pain, Dizziness
Clinical narrative: This case was reported by a physician and a healthcare professional and described the occurrence of anaphylactic type reaction in a 19-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included long QT syndrome. The physician was unable to confirm whether the long QT syndrome was ongoing or historical, but reported that there was no note of current medication. On 7 September 2011 at 08:20 the subject received 2nd dose of ENGERIX B (unknown route, left arm). On 7 September 2011, 1 hour after vaccination with ENGERIX B, the subject experienced anaphylactic type reaction, with dizziness, feeling hot, chest pain, nausea, elevated blood pressure and blurred vision. The subject was transported to the emergency room by ambulance. It was unknown what procedures, tests or treatments were performed. The healthcare professional reported that the subject was hospitalized. The physician considered the events were clinically significant (or requiring intervention), and reported that the subject was discharged the same day and referred to follow-up with a doctor. At the time of reporting the outcome of the events was unspecified. The vaccination course with ENGERIX B was discontinued. The physician and healthcare professional considered the events were possibly related to vaccination with ENGERIX B. The healthcare professional noted that the subject may have an allergy to an ingredient of the vaccine, even though it was the subject's 2nd dose. The physician and healthcare professional reported that two subject's had experienced adverse events with the same lot number of ENGERIX B. This is case 2 of 2 (see case ID A0944505A for details of the other report).
Age: 19.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Feeling hot, Nausea, Vision blurred
Clinical narrative: This case was reported by a physician and a healthcare professional and described the occurrence of anaphylactic type reaction in a 19-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included long QT syndrome. The physician was unable to confirm whether the long QT syndrome was ongoing or historical, but reported that there was no note of current medication. On 7 September 2011 at 08:20 the subject received 2nd dose of ENGERIX B (unknown route, left arm). On 7 September 2011, 1 hour after vaccination with ENGERIX B, the subject experienced anaphylactic type reaction, with dizziness, feeling hot, chest pain, nausea, elevated blood pressure and blurred vision. The subject was transported to the emergency room by ambulance. It was unknown what procedures, tests or treatments were performed. The healthcare professional reported that the subject was hospitalized. The physician considered the events were clinically significant (or requiring intervention), and reported that the subject was discharged the same day and referred to follow-up with a doctor. At the time of reporting the outcome of the events was unspecified. The vaccination course with ENGERIX B was discontinued. The physician and healthcare professional considered the events were possibly related to vaccination with ENGERIX B. The healthcare professional noted that the subject may have an allergy to an ingredient of the vaccine, even though it was the subject's 2nd dose. The physician and healthcare professional reported that two subject's had experienced adverse events with the same lot number of ENGERIX B. This is case 2 of 2 (see case ID A0944505A for details of the other report).
Age: 0.54
Sex: F
Vaccine: DTAP, PNC13
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: High fever, extreme irritability, lack of appetite
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Musculoskeletal pain, Rash
Clinical narrative: Intense shoulder pain, tried Ibuprofen, and heating pad, which then caused a severe rash.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Grip strength decreased, Mobility decreased, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Severe pain from shoulder all the way down to my hand. Feels like muscle pain. I can't pick up things & cant lift arm over shoulder with out severe pain. Please note I have been told I have a high tolerence for pain. Don't know what to do & don't know how long this will last. People on line who have had same issues after shots say it last for months. I already have limited use on right side due to lymph nodes being removed (breast cancer) now I can't use my left. This pain is actually going up to my neck area on left side.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Haemorrhage, Injected limb mobility decreased, Injection site induration, Oedema peripheral
Clinical narrative: Today received 3rd dose of Hepatitis series (FYI). On vaccination day, bled completely through clothes. About 1 1/2 hours later swelling on arm. Hard spot at injection site like if vaccine did not go in body. Applied hot & cold compresses could not move arm huge bruise. Sore for 3 to 4 days. Still sore and bruised. Has improved somewhat. Received pneumonia vaccine 5 years ago with no problem.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Today received 3rd dose of Hepatitis series (FYI). On vaccination day, bled completely through clothes. About 1 1/2 hours later swelling on arm. Hard spot at injection site like if vaccine did not go in body. Applied hot & cold compresses could not move arm huge bruise. Sore for 3 to 4 days. Still sore and bruised. Has improved somewhat. Received pneumonia vaccine 5 years ago with no problem.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Musculoskeletal stiffness, Rash
Clinical narrative: Stiffness L knee, left wrist Lon back of hand at L wrist area. systemic rash
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia, Muscle tightness, Musculoskeletal pain, Pain in extremity
Clinical narrative: Client complained of left shoulder, arm and fingers #2 & #3 hurting and numb. Muscles in left arm 'tight'. He complained symptoms began the day after he received the vaccine and came for an office visit on 9/13/2011 with his primary care physician. We sent him to the ER for evaluation and treatment.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Burning sensation, Dizziness, Injection site pain, Injection site swelling
Clinical narrative: At first/after injection, only slight warm feeling, followed within an hour by a feeling that the "needle was left in muscle". Within 4 hours (5:00 pm) feeling dizzy, light headed, nausea. Next am, noticed swelling and heat at injection site. Still felt as if needle was left in. Noticed tingling/burning radiating down rt arm (injection arm) to thumb, accented by any prolonged use of rt arm. During day 2 still noticed/felt warmth and could not lay on/have any pressure on or around injection site. Felt general malaise and feverish to touch. Day 3 still having pain upon pressure around site, still warm feeling, still tingling/burning down to thumb on rt arm, only slight feverish feeling, and more energy. Today, so far only the issue with the pressure to/around injection site, which is limiting my being able to work around house and on my vehicle, which is made worse yet by attempting to and using my rt arm---painful---like after being stabbed or shot in first few days after surgery---
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site warmth, Instillation site foreign body sensation, Malaise, Nausea, Paraesthesia
Clinical narrative: At first/after injection, only slight warm feeling, followed within an hour by a feeling that the "needle was left in muscle". Within 4 hours (5:00 pm) feeling dizzy, light headed, nausea. Next am, noticed swelling and heat at injection site. Still felt as if needle was left in. Noticed tingling/burning radiating down rt arm (injection arm) to thumb, accented by any prolonged use of rt arm. During day 2 still noticed/felt warmth and could not lay on/have any pressure on or around injection site. Felt general malaise and feverish to touch. Day 3 still having pain upon pressure around site, still warm feeling, still tingling/burning down to thumb on rt arm, only slight feverish feeling, and more energy. Today, so far only the issue with the pressure to/around injection site, which is limiting my being able to work around house and on my vehicle, which is made worse yet by attempting to and using my rt arm---painful---like after being stabbed or shot in first few days after surgery---
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: At first/after injection, only slight warm feeling, followed within an hour by a feeling that the "needle was left in muscle". Within 4 hours (5:00 pm) feeling dizzy, light headed, nausea. Next am, noticed swelling and heat at injection site. Still felt as if needle was left in. Noticed tingling/burning radiating down rt arm (injection arm) to thumb, accented by any prolonged use of rt arm. During day 2 still noticed/felt warmth and could not lay on/have any pressure on or around injection site. Felt general malaise and feverish to touch. Day 3 still having pain upon pressure around site, still warm feeling, still tingling/burning down to thumb on rt arm, only slight feverish feeling, and more energy. Today, so far only the issue with the pressure to/around injection site, which is limiting my being able to work around house and on my vehicle, which is made worse yet by attempting to and using my rt arm---painful---like after being stabbed or shot in first few days after surgery---
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness
Clinical narrative: bilateral leg weakness
Age: 1.32
Sex: M
Vaccine: DTAPIPVHIB, HEPA, VARCEL
Symptoms: Rash, Urticaria, Wheezing
Clinical narrative: Mom says 24 hours after immunizations given, pt has rash, hives on his face and some wheezing. Mom brought pt to ER and was given DECADRON orally which helped and advised to use BENADRYL as needed.
Age: 7.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Computerised tomogram abnormal, Nausea, Vomiting
Clinical narrative: Patient developed nausea, vomiting, was admitted to hospital overnight. C.T. scan showed possible inflammatory bowel disease.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity
Clinical narrative: Hypersensitivity reaction on (L) thigh.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered FLUMIST about 1522 on 9/6/11 - next day realized pt needed second VZV - later learned that MMR and VZV should wait a month after other live vaccine. The package insert does not state this for FLUMIST. This is also missing on VZV insert but is on MMR insert. Need to change FLUMIST and VZV inserts.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Streptococcus test, Streptococcus test positive
Clinical narrative: Patient was diagnosed with an acute pharyngitis on 7/18/11 and given amoxicillin. She had rapid strep done 7/26/11 which was positive and treated with AUGMENTIN. We gave her a Tdap vaccine (BOOSTRIX) on 7/27/11 as preventive vaccine. Within 48 hours she developed pain in right hip, then right elbow, then left hip. She went to prompt care 8/10/11 and had lab work. She went to ER 8/12/11 due to joint pains. She saw me 8/16/11 and we put her on Prednisone - she took it for about 2 weeks and her symptoms resolved and have not come back.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site reaction, Rash erythematous, Rash macular
Clinical narrative: Red rash on left thigh from hip to knee, red splotches on left upper arm and left upper back. Pt was given 0.1mL epinephrine IM at 2:22 PM. Pt was taken to ER by mom, seen at 4:30 PM at Hospital. Per mom, pt was given Benadryl in the ER and sent home with a Benadryl prescription.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysgeusia, Ear pain, Facial pain, Peripheral nerve palsy, VIIth nerve paralysis
Clinical narrative: Patient presented 12 Sep with several days of altered taste, facial droop, pain anterior to left mastoid, found to have left 7th nerve peripheral palsy (Bell's Palsy).  Began prednisone, valcyclovir, pt to have MRI with contrast, consult to neurologist (who patient sees for epilepsy) for second opinion
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Pain, Pyrexia
Clinical narrative: Redness, swelling, fever at site for 6 days; next day, all of above plus body fever aches, 2nd-6th day - lesions, swelling, redness, and pain in 2 inch diameter around injection site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Redness, swelling, fever at site for 6 days; next day, all of above plus body fever aches, 2nd-6th day - lesions, swelling, redness, and pain in 2 inch diameter around injection site.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt noticed redness with TTP to left deltoid today 15SEP11. Pt was seen by Occ Hlth for tx.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Asthenia, Ataxia, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Weakness, nausea, vomiting, abdominal pain, decreased level of consciousness ataxia 1 hour post flu immunization.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Depressed level of consciousness, Nausea, Urinary system X-ray, Vomiting, X-ray normal
Clinical narrative: Weakness, nausea, vomiting, abdominal pain, decreased level of consciousness ataxia 1 hour post flu immunization.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Nodule
Clinical narrative: Redness & firm nodule 1 x 1 1/2 in diam.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local swelling, Oedema peripheral, Pruritus
Clinical narrative: Localized redness & itching & swelling that radiated down upper arm & shoulder.
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician's assistant concerning a 16 year old male patient with no history of seizures who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route and lot # not reported). The physician's assistant reported that on an unspecified date, the patient suffered a seizure after leaving the office, following a GARDASIL immunization. The physician's assistant did not know if the patient was admitted to the hospital, only that the patient was transported to a hospital. It was also not known which shot in the series this was, first, second or third. At the time of the report, the patient's outcome was unknown. Upon internal review, a seizure was considered to be an other important medical event. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Chills, Joint swelling, Liver function test normal
Clinical narrative: Information has been received from a physician concerning a 65 year old female patient with diabetes and no known drug allergies who on 17-AUG-2011 was vaccinated IM with the first dose of PNEUMOVAX 23 (lot number: 668009/1174Z, expiration date: 10-MAR-2012), 0.5 ml. Secondary suspect therapy included metformin hydrochloride (+) sitagliptin phosphate (MSD) 500/50 mg tablet, twice daily for approximately two months. Concomitant therapy included amlodipine, glimepiride, hydrochlorothiazide (manufacturer unknown), isosorbide, levothyroxine Na, lisinopril (manufacturer unspecified), ezetimibe (MSD) and PLAVIX. On approximately 24-AUG-2011, the following week after receiving her first dose of PNEUMOVAX 23, the patient experienced generalized joint and muscle pain, joint swelling in both hands, and elevation CPK levels. She also complained of chills and fever. No treatment was given for the treatment of the adverse events. The patient sought medical attention by an office visit. On approximately 29-AUG-2011, metformin hydrochloride (+) sitagliptin phosphate (MSD) therapy was discontinued by the physician in case the adverse event was associated with metformin hydrochloride (+) sitagliptin phosphate (MSD). At the time of the report, the patient had not recovered. The patient's generalized joint and muscle pain, joint swelling in both hands, elevation CPK level, chills and fever were considered to be disabling by the physician. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor negative
Clinical narrative: Information has been received from a physician concerning a 65 year old female patient with diabetes and no known drug allergies who on 17-AUG-2011 was vaccinated IM with the first dose of PNEUMOVAX 23 (lot number: 668009/1174Z, expiration date: 10-MAR-2012), 0.5 ml. Secondary suspect therapy included metformin hydrochloride (+) sitagliptin phosphate (MSD) 500/50 mg tablet, twice daily for approximately two months. Concomitant therapy included amlodipine, glimepiride, hydrochlorothiazide (manufacturer unknown), isosorbide, levothyroxine Na, lisinopril (manufacturer unspecified), ezetimibe (MSD) and PLAVIX. On approximately 24-AUG-2011, the following week after receiving her first dose of PNEUMOVAX 23, the patient experienced generalized joint and muscle pain, joint swelling in both hands, and elevation CPK levels. She also complained of chills and fever. No treatment was given for the treatment of the adverse events. The patient sought medical attention by an office visit. On approximately 29-AUG-2011, metformin hydrochloride (+) sitagliptin phosphate (MSD) therapy was discontinued by the physician in case the adverse event was associated with metformin hydrochloride (+) sitagliptin phosphate (MSD). At the time of the report, the patient had not recovered. The patient's generalized joint and muscle pain, joint swelling in both hands, elevation CPK level, chills and fever were considered to be disabling by the physician. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pt became light headed, dizzy and diaphoretic after GARDASIL was administered at 1420. Doctor notified and Pt was instructed to lay prone. Symptoms subsided at 1455.
Age: 0.76
Sex: F
Vaccine: FLU3, HEP
Symptoms: Convulsion
Clinical narrative: Received Hep B & influenza (preservative free) vaccines at approximately 145pm on 9/13/11. Awoke from sleep at approximately 930pm & proceeded to have generalized seizure approximately 5-10 mins duration. 911 called. Paramedics evaluated.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Severe headache persisting greater than 24 hours.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling upper part Lt. arm, redness, fever, edema elbow to shoulder.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Influenza, Malaise, Oropharyngeal pain, Pain
Clinical narrative: Aching over whole body. Then headaches and general malaise worsening. Severe sore throat by 06.09.2011 developing to full flu symptoms still continuing today 14.09/2011. Managing them at home since I have nursing experience.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Paranasal sinus hypersecretion, Respiratory tract congestion
Clinical narrative: Aching over whole body. Then headaches and general malaise worsening. Severe sore throat by 06.09.2011 developing to full flu symptoms still continuing today 14.09/2011. Managing them at home since I have nursing experience.
Age: 38.0
Sex: M
Vaccine: DTAP
Symptoms: Asthenia, Muscle twitching, Pain, Vomiting
Clinical narrative: Body aching, fever, extremely weak, vomiting, muscular twitching, did not seek revisit clinic due to ill state and fear of driving.  Called clinic and said they could not assist to either come in for a visit or call 911.
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Back pain, Influenza like illness, Injection site pain, Pain
Clinical narrative: Flu like symtoms: Achy all over especially mid back, sore arm at injection site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Approximately 4 inch circular area of redness to left upper arm. Patient reports area feels warm. Afebrile.
Age: 23.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Flatulence, Headache, Pain, Sinus congestion
Clinical narrative: Entire body aching, sinuses inflamed and filling with mucus, headache, gas, no energy, coughing, temporary scratchy throat, sneezing.
Age: 23.0
Sex: M
Vaccine: FLUX
Symptoms: Sinusitis, Sneezing, Throat irritation
Clinical narrative: Entire body aching, sinuses inflamed and filling with mucus, headache, gas, no energy, coughing, temporary scratchy throat, sneezing.
Age: 39.0
Sex: F
Vaccine: RAB
Symptoms: Activities of daily living impaired, Carpal tunnel syndrome, Condition aggravated, Injection site pain
Clinical narrative: Client reported painful injection site and a flare-up of her carpal tunnel symptoms in her right hand.  Client reported reaction the morning after the injection and contacted her doctor who advised her to use a cool compress and take Ibuprofen for the pain. Client had pain to the point that she sould not go to work on 9/13/11 and 9/14/11.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Swelling and redness in Right arm. Saw Doctor on 9/14 and was told to take Benadryl and ibuprofen.  Saw Doctor on 9/15 was told she had cellulitis and was given oral antibiotics and a injection of antibiotics. She had a temperature.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea, Pruritus
Clinical narrative: stated she felt nauseated right after injection- thought it was a need to eat- after eating she became no better- stated then became dizzy and stayed nauseated-then stated she began to itch-no noted rash-
Age: 18.0
Sex: F
Vaccine: MEN, VARCEL
Symptoms: Arthralgia, Chest X-ray abnormal, Cough, Delusion, Full blood count
Clinical narrative: achy muscles and joints high fever 103.2 cough headache delusional at night
Age: 18.0
Sex: F
Vaccine: MEN, VARCEL
Symptoms: Headache, Myalgia, Pneumonia, Pyrexia, Urine analysis
Clinical narrative: achy muscles and joints high fever 103.2 cough headache delusional at night
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Fatigue, Injection site erythema, Nausea, Pain
Clinical narrative: Raised red cirles around injection site that spread across chest, abdomen, neck and arms. Achy, tired, nausea, diarrhea.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Skin reaction
Clinical narrative: Raised red cirles around injection site that spread across chest, abdomen, neck and arms. Achy, tired, nausea, diarrhea.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Headache, Hypoaesthesia, Insomnia, Pain
Clinical narrative: Alternating chills and fever (103), severe body aches, hand numbness, frontal headache, insomnia
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Alternating chills and fever (103), severe body aches, hand numbness, frontal headache, insomnia
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: C-reactive protein normal, Erythema multiforme, Injection site erythema, Injection site induration, Red blood cell sedimentation rate normal
Clinical narrative: First the site of the injection was firm and red approx 2 days after admin, then target lesions developed on shins, spreading to body and face and palms.  I diagnosed her as erythema Multiforme.  Consistent with a reaction to herpes and it was the ZOSTAVAX vaccine
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: First the site of the injection was firm and red approx 2 days after admin, then target lesions developed on shins, spreading to body and face and palms.  I diagnosed her as erythema Multiforme.  Consistent with a reaction to herpes and it was the ZOSTAVAX vaccine
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash, Pruritus, Swelling
Clinical narrative: Developed itching/swelling day of administration symptoms include itching and rash in area of injection about the size of playing card.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Dizziness, Malaise
Clinical narrative: 09.13.11 approximately 3 hours post vaccination developed chills, light headedness, fever, malaise, myalgia. Initiated ibuprofen 600 mg po every 4-6 hours. 09.14.11 symptoms continue with stomach cramps and diarrhea. 09.15.11 symptoms continue less severe.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: 09.13.11 approximately 3 hours post vaccination developed chills, light headedness, fever, malaise, myalgia. Initiated ibuprofen 600 mg po every 4-6 hours. 09.14.11 symptoms continue with stomach cramps and diarrhea. 09.15.11 symptoms continue less severe.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Pain, Paraesthesia, X-ray limb
Clinical narrative: Pain and tingling and bruise after Td given 8/31/11.
Age: 0.54
Sex: M
Vaccine: FLU3
Symptoms: Mass
Clinical narrative: Lump (penny) size. Cool compresses to area TYLENOL prn.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13
Symptoms: Crying, Injection site swelling
Clinical narrative: Swollen left thigh, inconsolable.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13
Symptoms: Injection site swelling
Clinical narrative: Swollen left thigh, inconsolable.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash maculo-papular, Skin lesion, Varicella post vaccine
Clinical narrative: Maculopapular lesions on trunk. Developed chicken pox.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Radiating pain in upper left arm.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Expired drug administered, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PHN gave PNEUMOVAX during Family Planning clinic due to client smoking > 1 pk/day. Given 7/20/11 - vaccine expired 7/3/11. Client informed & supervisor notified. CDC contacted. Recommended repeating dose ASAP. Client notified. Dose repeated 8/18/11 as recommended. That evening client had redness below shoulder area to 2" above elbow. Upper arm ached & was swollen. Client advised to use ibuprofen & apply cool compresses. Client reports symptoms resolved by 8/21/11 with above treatment.
Age: 16.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pruritus, Throat irritation, Urticaria
Clinical narrative: Pt received Flu vaccine. Approximately 5 min later c/o itching. Hives noted to trunk & upper extremities. MD called to scene & ordered 25 mg PO BENADRYL. Pt then c/o throat tickle & itching. EPIPEN 0.3 mg administered. Pt voices immediate relief from throat discomfort. Itching remains. D/C home w/ prednisone PO, ZANTAC PO & EPIPEN.
Age: 16.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Immediate post-injection reaction, Nasal congestion, Rash, Throat irritation
Clinical narrative: Pt received Flu vaccine. Approximately 5 min later c/o itching. Hives noted to trunk & upper extremities. MD called to scene & ordered 25 mg PO BENADRYL. Pt then c/o throat tickle & itching. EPIPEN 0.3 mg administered. Pt voices immediate relief from throat discomfort. Itching remains. D/C home w/ prednisone PO, ZANTAC PO & EPIPEN.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Paraesthesia, Pyrexia
Clinical narrative: Fever started 7 hr after immunization & peaked at 102 degrees (15 hrs after immunization). Tingling both legs from 3-11pm on 9/13. Pt reported being very tired from 11 am-3pm on 9/13 slept overnight & felt fine on 9/14.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Swelling
Clinical narrative: C/o pain, redness, swelling - redness measures 6" in length 3 1/2" in diameter - induration.
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Chest pain, Paraesthesia, Presyncope
Clinical narrative: C/o chest pain, almost passed out this am when she awoke. Some tingling in arms & legs. No fever.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: CSF glucose normal, CSF protein increased, CSF test normal, Mental status changes, Red blood cells CSF positive
Clinical narrative: Vaccine administered at 2PM. Patient developed acute mental status change around 9PM. Patient admitted to Medical Center and worked up for possible meningitis. CSF has been clean thus far in treatment, patient's mental status moderately improved on 9/15.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Muscular weakness, Musculoskeletal chest pain, Neck pain, Pain
Clinical narrative: Received a call from patient indicating that she had extreme body aches throughout body with more pain centered in her legs and ribs. She was unable to make a fist on 9/13 but, had improved slightly on 9/14. Follow up call made on 9/15 and she indicated that her body aches were improving but, remained with a lot of aching in her neck and c/o a headache that is unrelieved with Ibuprofen or Tylenol.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Received a call from patient indicating that she had extreme body aches throughout body with more pain centered in her legs and ribs. She was unable to make a fist on 9/13 but, had improved slightly on 9/14. Follow up call made on 9/15 and she indicated that her body aches were improving but, remained with a lot of aching in her neck and c/o a headache that is unrelieved with Ibuprofen or Tylenol.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: PAIN, SWELLING, AND REDNESS TO LEFT ARM
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Furuncle, Swelling
Clinical narrative: Per patient, a few days after receiving vaccine, noticed swelling, on 9/8/2011 boil developed and burst 09/12/2011.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Injection site pruritus, Malaise, Pruritus
Clinical narrative: Itchiness at site, some itchiness on face, malaise, mild headache. Symptoms started within 3-4 hours of vaccination.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: fever, swelling right deltoid
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Pinpoint red dots on left arm and both lower legs
Age: 98.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Flushing, Heart rate irregular, Skin warm
Clinical narrative: 15 minutes after injection, felt chest tighten, warm and flushed.  Pulse irregular.  Stated she had hx of atrial fib.  States L ear is warm.  Chest tightness subsided after 2 or 3 minutes.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: DTaP GIVEN RATHER THAN Tdap. NO ADVERSE EFFECTS AT TIME OF ADMINISTRATION OR ON FOLLOW UP.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Headache, Nausea
Clinical narrative: Nausea, slight headache, weakness
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Local swelling, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Pain and swelling in upper arm and shoulder.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Redness, swelling, discomfort, pruritis, localized urticaria (6 inch diameter surrounding Menactra injection site). No associated respiratory complaints.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Urticaria
Clinical narrative: Redness, swelling, discomfort, pruritis, localized urticaria (6 inch diameter surrounding Menactra injection site). No associated respiratory complaints.
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Cough, Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: sore throat 09/12/2011 PM sore throat, cough, sore muscles and joints, fatigue on 09/13/2011 AM
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Swelling and redness in right leg at site of vaccine.  Took back to the doctor and was told to apply warm compresses and watch for increased redness or red lines extending down the leg. This may lead to infection. if it gets worse bring baby back to the doctor or E.R.
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cough, Feeling abnormal, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: We left the doctors office and I brought patient back to school. He went to the lunch room and by then the site of the vaccine for Chicken Pox was swollen and hot, with a 4 inch diameter cicle of red around it. I went home (10 Minutes), got some ibprofen 150mg and had patient take that. I had asked the nurse if I should give him ibprofen becasue that is what I have been told in the past and she said no. So I didn't give it to him then. In about an hour the swelling and redness was dissapearing. When I pick him up at daycare he was coughing and his nose was stuffy and clear liquid. Tuesday morning he didn't feel well and was still coughing. Wendesday night he coughed all night and look and felt awful. I took him to the doctors Wednesday Sept 14th. She said he was having a reaction to the shot. Last night he didn't cough all night, just a little. Today, Sept 15, he seems to be feeling ok, and the cough and stuffy nose is going away. I was told to report this reaction to you by my doctor.
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Malaise, Nasal congestion, Rhinorrhoea, Vaccination complication
Clinical narrative: We left the doctors office and I brought patient back to school. He went to the lunch room and by then the site of the vaccine for Chicken Pox was swollen and hot, with a 4 inch diameter cicle of red around it. I went home (10 Minutes), got some ibprofen 150mg and had patient take that. I had asked the nurse if I should give him ibprofen becasue that is what I have been told in the past and she said no. So I didn't give it to him then. In about an hour the swelling and redness was dissapearing. When I pick him up at daycare he was coughing and his nose was stuffy and clear liquid. Tuesday morning he didn't feel well and was still coughing. Wendesday night he coughed all night and look and felt awful. I took him to the doctors Wednesday Sept 14th. She said he was having a reaction to the shot. Last night he didn't cough all night, just a little. Today, Sept 15, he seems to be feeling ok, and the cough and stuffy nose is going away. I was told to report this reaction to you by my doctor.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Local swelling, Pain, Skin warm
Clinical narrative: Swelling on shoulder, hot to the touch, pain
Age: 92.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site infection, Oedema peripheral, Vaccination site swelling
Clinical narrative: Pt returned to clinic.  Told practitioner that he visited the ER on 9/14/11 as the site of pneumonia vaccination was red and swollen, staes that ER treated him with antibiotic for infection at site, at this time 9/15/11 10 am site L arm is erythematous from site of injection L deltoid extending down to L wrist, slight edema in this extremity, no warmth or induration at site, pt denies having a fever, states that he is on blood thinner medication.
Age: 90.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: pt spouse came by the clinic and states that his wife developed severe redness and swelling at injection site
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Patient recieved Zoster at 13:20. Patient denied sensitiveity to gelatin, yeast, or neomycin. Patient indicated sensitivity to tetnus toxoids (horse serum). At 13:30 patient presented with itching and redness at the injection site. The injection site appears red with a 4cm wheal and splotchy erythema covering the upper arm. There was no laryngeal swelling.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain
Clinical narrative: sore throat
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Antiacetylcholine receptor antibody positive, Asthenia, Atrial fibrillation, Atrial tachycardia, Autoimmune neuropathy
Clinical narrative: I had the H1N1 2009 inactivated vaccine on December 2009. A month later I started developing symptoms of autonomic dysfunction. Initial symptoms included (new onset) post-prandial hypotension, gastrointestinal dysmotility, atrial fibrillation, weakness and impotence. The Atrial Fibrillation required hospitalization for two days in April 2010. These symptoms were then followed by fatigue, postural orthostatism, postural tachycardia, faintness and syncope. The syncope or near syncope episodes required four emergency room visits. The above symptoms progressively worsened but the cause (autoimmune neuropathy) was not found until later. The diagnosis was delayed because cardiac causes where initially suspected. I was diagnosed with "Vasovagal Syncope" by MD after head-up tilt table testing on October 2010. I had also reported postural tachycardia at home to my doctor and this was indeed confirmed much later, in a second tilt table test on March 2011, by another MD. The diagnosis became "Postural Orthostatic Tachycardia Syndrome" or POTS and was attributed to Autonomic Neuropathy of unknown cause. A 30% improvement was achieved with occupational therapy and symptomatic treatment (Midodrine and Metoprolol), but several neurologic sequella remained, manifesting via the above symptoms. The precise cause of the autonomic neuropathy was found in July 2011 with the facility Autoimmune Dysautonomia Evaluation. I tested positive for the Alpha-3 Ganglionic Acetylcholine Receptor Autoantibody. I was diagnosed with Autoimmune Autonomic Ganglionopathy by Dr. at facility. He reviewed that the antibody has been shown to be pathogenic and causative for dysautonomia. He advised that the neurological sequella could respond to immunomodulation via Intravenous Immunoglobulin followed by oral immunosuppressants.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Autonomic nervous system imbalance, Autonomic neuropathy, Cardiac disorder, Chest pain, Dizziness
Clinical narrative: I had the H1N1 2009 inactivated vaccine on December 2009. A month later I started developing symptoms of autonomic dysfunction. Initial symptoms included (new onset) post-prandial hypotension, gastrointestinal dysmotility, atrial fibrillation, weakness and impotence. The Atrial Fibrillation required hospitalization for two days in April 2010. These symptoms were then followed by fatigue, postural orthostatism, postural tachycardia, faintness and syncope. The syncope or near syncope episodes required four emergency room visits. The above symptoms progressively worsened but the cause (autoimmune neuropathy) was not found until later. The diagnosis was delayed because cardiac causes where initially suspected. I was diagnosed with "Vasovagal Syncope" by MD after head-up tilt table testing on October 2010. I had also reported postural tachycardia at home to my doctor and this was indeed confirmed much later, in a second tilt table test on March 2011, by another MD. The diagnosis became "Postural Orthostatic Tachycardia Syndrome" or POTS and was attributed to Autonomic Neuropathy of unknown cause. A 30% improvement was achieved with occupational therapy and symptomatic treatment (Midodrine and Metoprolol), but several neurologic sequella remained, manifesting via the above symptoms. The precise cause of the autonomic neuropathy was found in July 2011 with the facility Autoimmune Dysautonomia Evaluation. I tested positive for the Alpha-3 Ganglionic Acetylcholine Receptor Autoantibody. I was diagnosed with Autoimmune Autonomic Ganglionopathy by Dr. at facility. He reviewed that the antibody has been shown to be pathogenic and causative for dysautonomia. He advised that the neurological sequella could respond to immunomodulation via Intravenous Immunoglobulin followed by oral immunosuppressants.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Electrocardiogram QRS complex, Electrocardiogram QT interval, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Electroencephalogram abnormal
Clinical narrative: I had the H1N1 2009 inactivated vaccine on December 2009. A month later I started developing symptoms of autonomic dysfunction. Initial symptoms included (new onset) post-prandial hypotension, gastrointestinal dysmotility, atrial fibrillation, weakness and impotence. The Atrial Fibrillation required hospitalization for two days in April 2010. These symptoms were then followed by fatigue, postural orthostatism, postural tachycardia, faintness and syncope. The syncope or near syncope episodes required four emergency room visits. The above symptoms progressively worsened but the cause (autoimmune neuropathy) was not found until later. The diagnosis was delayed because cardiac causes where initially suspected. I was diagnosed with "Vasovagal Syncope" by MD after head-up tilt table testing on October 2010. I had also reported postural tachycardia at home to my doctor and this was indeed confirmed much later, in a second tilt table test on March 2011, by another MD. The diagnosis became "Postural Orthostatic Tachycardia Syndrome" or POTS and was attributed to Autonomic Neuropathy of unknown cause. A 30% improvement was achieved with occupational therapy and symptomatic treatment (Midodrine and Metoprolol), but several neurologic sequella remained, manifesting via the above symptoms. The precise cause of the autonomic neuropathy was found in July 2011 with the facility Autoimmune Dysautonomia Evaluation. I tested positive for the Alpha-3 Ganglionic Acetylcholine Receptor Autoantibody. I was diagnosed with Autoimmune Autonomic Ganglionopathy by Dr. at facility. He reviewed that the antibody has been shown to be pathogenic and causative for dysautonomia. He advised that the neurological sequella could respond to immunomodulation via Intravenous Immunoglobulin followed by oral immunosuppressants.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erectile dysfunction, Fatigue, Gastrointestinal motility disorder, Heart rate increased, Hypotension
Clinical narrative: I had the H1N1 2009 inactivated vaccine on December 2009. A month later I started developing symptoms of autonomic dysfunction. Initial symptoms included (new onset) post-prandial hypotension, gastrointestinal dysmotility, atrial fibrillation, weakness and impotence. The Atrial Fibrillation required hospitalization for two days in April 2010. These symptoms were then followed by fatigue, postural orthostatism, postural tachycardia, faintness and syncope. The syncope or near syncope episodes required four emergency room visits. The above symptoms progressively worsened but the cause (autoimmune neuropathy) was not found until later. The diagnosis was delayed because cardiac causes where initially suspected. I was diagnosed with "Vasovagal Syncope" by MD after head-up tilt table testing on October 2010. I had also reported postural tachycardia at home to my doctor and this was indeed confirmed much later, in a second tilt table test on March 2011, by another MD. The diagnosis became "Postural Orthostatic Tachycardia Syndrome" or POTS and was attributed to Autonomic Neuropathy of unknown cause. A 30% improvement was achieved with occupational therapy and symptomatic treatment (Midodrine and Metoprolol), but several neurologic sequella remained, manifesting via the above symptoms. The precise cause of the autonomic neuropathy was found in July 2011 with the facility Autoimmune Dysautonomia Evaluation. I tested positive for the Alpha-3 Ganglionic Acetylcholine Receptor Autoantibody. I was diagnosed with Autoimmune Autonomic Ganglionopathy by Dr. at facility. He reviewed that the antibody has been shown to be pathogenic and causative for dysautonomia. He advised that the neurological sequella could respond to immunomodulation via Intravenous Immunoglobulin followed by oral immunosuppressants.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Palpitations, Postural orthostatic tachycardia syndrome, Presyncope, Sinus tachycardia, Supraventricular extrasystoles
Clinical narrative: I had the H1N1 2009 inactivated vaccine on December 2009. A month later I started developing symptoms of autonomic dysfunction. Initial symptoms included (new onset) post-prandial hypotension, gastrointestinal dysmotility, atrial fibrillation, weakness and impotence. The Atrial Fibrillation required hospitalization for two days in April 2010. These symptoms were then followed by fatigue, postural orthostatism, postural tachycardia, faintness and syncope. The syncope or near syncope episodes required four emergency room visits. The above symptoms progressively worsened but the cause (autoimmune neuropathy) was not found until later. The diagnosis was delayed because cardiac causes where initially suspected. I was diagnosed with "Vasovagal Syncope" by MD after head-up tilt table testing on October 2010. I had also reported postural tachycardia at home to my doctor and this was indeed confirmed much later, in a second tilt table test on March 2011, by another MD. The diagnosis became "Postural Orthostatic Tachycardia Syndrome" or POTS and was attributed to Autonomic Neuropathy of unknown cause. A 30% improvement was achieved with occupational therapy and symptomatic treatment (Midodrine and Metoprolol), but several neurologic sequella remained, manifesting via the above symptoms. The precise cause of the autonomic neuropathy was found in July 2011 with the facility Autoimmune Dysautonomia Evaluation. I tested positive for the Alpha-3 Ganglionic Acetylcholine Receptor Autoantibody. I was diagnosed with Autoimmune Autonomic Ganglionopathy by Dr. at facility. He reviewed that the antibody has been shown to be pathogenic and causative for dysautonomia. He advised that the neurological sequella could respond to immunomodulation via Intravenous Immunoglobulin followed by oral immunosuppressants.