chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Tongue oedema, Urticaria
Clinical narrative: Patient experienced hives all over her body, even soles of her feet; tongue swelled, even hives on tongue became worse, went to hospital ER at 6:30 AM 10/30/04 and was treated.
Age: 40.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis of right upper extremity.
Age: 1.72
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Gastroenteritis, Irritability, Screaming
Clinical narrative: Screaming, irritability and holding abdomen as if in pain, from approximately 2 hours after immunization until two days later. Medical Records received on 1/12/2005 state gastroenteritis.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Eye disorder, Eye swelling
Clinical narrative: + Bilateral swelling and erythema of both eyes 2 hours after receiving the influenza vaccine. Patient given Epinephrine 0.3 mg SQ with significant improvement. Prescribed Benadryl 25mg q 6 hours x48 hours.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Contusion, Hypokinesia, Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: Pneumonia Vax was given up in shoulder bone, it caused dark bruising.  5 hours later unable to move because of pain, kind of paralyzed. Doctor advised to take Advil/ Ibuprofen and put heat. Today there is still bruising and pain at site but have movement.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Skin discolouration
Clinical narrative: Pneumonia Vax was given up in shoulder bone, it caused dark bruising.  5 hours later unable to move because of pain, kind of paralyzed. Doctor advised to take Advil/ Ibuprofen and put heat. Today there is still bruising and pain at site but have movement.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Malaise, Pruritus, Pyrexia, Rash
Clinical narrative: Client received Fluzone flu shot IMLD on 10/19/2004 at 8:20pm. Client phoned me on Saturday 10/23/04 and advised me of the following: on Thursday 10/21/04 around noon he noticed rash to arms, legs and groin area, worse to groin. Itchy. Rash began as scattered , pink, non-raised to slightly raised, then developed a dark red dot in centers and elevated more and spread, with blotches connecting. Rash became dark red/ purplish. He was without wheezing or breathing difficulties. He did have some occasional dizziness without passing out. Positive for malaise. He is up and moving about with periods of rest. He states that he feels like he had been running a fever, temperature not taken. Denies any new foods, medicines, detergents or sea food consumption. On Friday 10/22/04 around 3AM he went to hospital ER where he was told that the rash was not likely caused by the flu shot, but was more likely a virus. Blood was drawn and was okay. No other diagnostic tests were performed. Prednisone 150 mg or 175 mg was given IM injection and Prednisone 50 mg i p.o. q. am was ordered. On Saturday 10/23/04 around 4 am he returned to the ER for rash and itch not improving. He saw a different doctor than the previous day who said that the rash may be related to something he ate. Prednisone 20 mg prescription given. I advised client that rash client that rash/itch may or may not be related to the flu shot and to call his PCP. He did  so and an appointment was set up for Sunday 10/24/04 at the hospital. Over the phone, doctor advised client to change Prednisone to 25 mg am and 25 mg pm, by cutting 50 mg tablets in half and use up supply. Client called me back after Sunday's visit with doctor and told me that doctor said his rash/itch is related to the flu vaccine and that his body's antibodies are working extra hard to fight off the vaccine. After Prednisone 50 mg's are gone, use Prednisone 10 mg am and 10 mg pm by cutting the 20 mg in half until gone. I spoke to client by phone on Monday 10/25/04. Rash/ itch is improving, but same malaise . Has appointment with doctor today at 3:45 pm at office. 1.5 Prednisone 50 mg tablets left and 10 Prednisone 20 mg tablets left. On Monday 10/25/04 at 11 am. I left a message on client's answering machine to advise doctor if he has been out in the woods lately. Client has a history of heart fibrillation and HTN which he takes medication for. He states that he did not have a reaction to last years flu shot, but that he did have a bad flu, without rash, several times after receiving the flu shot form the railroad.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Rash macular
Clinical narrative: Client received Fluzone flu shot IMLD on 10/19/2004 at 8:20pm. Client phoned me on Saturday 10/23/04 and advised me of the following: on Thursday 10/21/04 around noon he noticed rash to arms, legs and groin area, worse to groin. Itchy. Rash began as scattered , pink, non-raised to slightly raised, then developed a dark red dot in centers and elevated more and spread, with blotches connecting. Rash became dark red/ purplish. He was without wheezing or breathing difficulties. He did have some occasional dizziness without passing out. Positive for malaise. He is up and moving about with periods of rest. He states that he feels like he had been running a fever, temperature not taken. Denies any new foods, medicines, detergents or sea food consumption. On Friday 10/22/04 around 3AM he went to hospital ER where he was told that the rash was not likely caused by the flu shot, but was more likely a virus. Blood was drawn and was okay. No other diagnostic tests were performed. Prednisone 150 mg or 175 mg was given IM injection and Prednisone 50 mg i p.o. q. am was ordered. On Saturday 10/23/04 around 4 am he returned to the ER for rash and itch not improving. He saw a different doctor than the previous day who said that the rash may be related to something he ate. Prednisone 20 mg prescription given. I advised client that rash client that rash/itch may or may not be related to the flu shot and to call his PCP. He did  so and an appointment was set up for Sunday 10/24/04 at the hospital. Over the phone, doctor advised client to change Prednisone to 25 mg am and 25 mg pm, by cutting 50 mg tablets in half and use up supply. Client called me back after Sunday's visit with doctor and told me that doctor said his rash/itch is related to the flu vaccine and that his body's antibodies are working extra hard to fight off the vaccine. After Prednisone 50 mg's are gone, use Prednisone 10 mg am and 10 mg pm by cutting the 20 mg in half until gone. I spoke to client by phone on Monday 10/25/04. Rash/ itch is improving, but same malaise . Has appointment with doctor today at 3:45 pm at office. 1.5 Prednisone 50 mg tablets left and 10 Prednisone 20 mg tablets left. On Monday 10/25/04 at 11 am. I left a message on client's answering machine to advise doctor if he has been out in the woods lately. Client has a history of heart fibrillation and HTN which he takes medication for. He states that he did not have a reaction to last years flu shot, but that he did have a bad flu, without rash, several times after receiving the flu shot form the railroad.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Joint range of motion decreased, Pain, Sleep disorder, Swelling
Clinical narrative: Evening of 10/4/04: noticed right arm hurt and it was hard to sleep. No swelling at that time; morning of 10/5: arm still sore. Took 1x Advil, arm sore all day. That night arm swollen and could only lift arm to shoulder, able to sleep. This morning 10/6 arm increased swelling, redness and sore: right arm swollen from deltoid to mid forearm, elbow right arm red and swollen, better ROM this morning. No other symptoms.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Evening of 10/4/04: noticed right arm hurt and it was hard to sleep. No swelling at that time; morning of 10/5: arm still sore. Took 1x Advil, arm sore all day. That night arm swollen and could only lift arm to shoulder, able to sleep. This morning 10/6 arm increased swelling, redness and sore: right arm swollen from deltoid to mid forearm, elbow right arm red and swollen, better ROM this morning. No other symptoms.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: Had fever on the first day after receiving vaccines. Reported red band around the upper arm below the injection site. Denies any fever, pain or swelling now. The red band is increasing, warm to touch according to the client's daughter.
Age: 83.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: Doctor presented with redness and swelling to right upper extremity, in area of Pneumovax vaccination SQ area. Stated occurred within 12 hours of receiving vaccine. Area remains slightly reddened.
Sex: F
Vaccine: FLU3, MMR, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Mom requesting for VAERS form to be filled out. Mom states child developed vomiting the night of 10/15/2004 and is insistant that it was caused by the flu vaccine. Patient seen 10/21/2004 Oral temperature. Vomiting still. Patient education given. Mom still insistent caused.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Chills, Dysphonia, Dyspnoea, Headache
Clinical narrative: Bad headaches, chills, fever of 102. Every bone and muscle aching. Difficult breathing, chest hurting. Bad cough with  a lot of congestion. Sore throat with hoarseness. Now I am having bad problem with my kidneys and cramp in legs. Headaches.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Muscle spasms, Nasal congestion, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Bad headaches, chills, fever of 102. Every bone and muscle aching. Difficult breathing, chest hurting. Bad cough with  a lot of congestion. Sore throat with hoarseness. Now I am having bad problem with my kidneys and cramp in legs. Headaches.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Renal impairment
Clinical narrative: Bad headaches, chills, fever of 102. Every bone and muscle aching. Difficult breathing, chest hurting. Bad cough with  a lot of congestion. Sore throat with hoarseness. Now I am having bad problem with my kidneys and cramp in legs. Headaches.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: 10/14/2004: raised pink spots with deep pink border noted on groin, then back , abdomen, extremities. 10/15: Mycolog cream; Benadryl 50 mg TID. No improvement. 10/19: Medrol dose pack. Resolved 10/25/04.
Sex: U
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: New Varicella Rash (was vaccinated as toddler)
Age: 1.27
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 5 days after MMR vaccine: Temperature increased to 103 degrees. Fine rash on skin.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV
Symptoms: Injection site induration
Clinical narrative: Induration of 2.5 inch x 3.0 inch on left leg. Follow up: problem site to be at DTa site per doctor.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: Significant redness of upper arm firm elbow to shoulder. Minimal pain; but + pruritus . No fever. Began resolving 3 days after administration. Onset was about 24 hours after vaccine.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Shoulder pain
Clinical narrative: rash: next day at site of injection and shoulder pain next day.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching several hours after vaccine administered.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Difficulty in walking, Dyspnoea, Feeling cold, Myalgia, Tremor
Clinical narrative: Felt "cold", started shaking uncontrollably, had muscle aches across back, in arms and legs. Went to ER about midnight. They did "blood work" and x-ray because patient was having difficulty breathing. 10/13/04: continues to have muscle aches, 'difficulty getting around" , very week. Afebrile.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site induration
Clinical narrative: Erythematous area extending from top of arm to mid humus area. Firmness around injection site about around 5 inches wide.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Muscular weakness, Tenderness
Clinical narrative: Flu vaccination 10/04/2004 left deltoid. PC 10/27/04 complaints of soreness left arm with weakness. States it started the day of the injection. States he is unable to raise his arm above chest when holding it in front of him. states it's getting worse last couple of days.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Localized reaction left deltoid with 5-7 cm redness. Warm to the touch. Child voices no complaints of pain. Normal ROM. Advised Tylenol x warm compresses QID, RTC if no improvement.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: 10/21/04: developed rash . 10/22/04: seen by clinic. Rash perisists.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Reported "soreness" beginning 8 hours after injection. Redness/ swelling noticed 2 days later. Fever in local area reported today (third day after injection).
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: On 10/13/04, when I woke up and tried getting out of bed, the room spun so violently that I thought I was going to pass out! When I tried laying down the same thing happened. When I did manage to get out of bed, I felt dizzy and extremely nauseated. I called my husband at work who called a friend to come check on me. Everytime I tried to lay down, the room seemed to spin out of control. Even when my friend did manage to help me back to bed, the extreme dizziness and nausea persisted.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Painful, erythema, swelling localized reaction. Treatment: Zyrtec 10 mg daily.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Muscle spasms, Pain
Clinical narrative: Had sharp pain at arm; muscle spasm, sweats, involuntary muscle spasm,causing motor vehicle accident.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: Painful right arm: unable to abduct at injection site.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pruritus
Clinical narrative: Shot given 3 days prior to presentation with erythema extending beyond elbow with complaints of pruritus. Denies paresthesia/ weakness; nor constitutanol symptoms.
Age: 31.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Hypoaesthesia, Liver function test abnormal, Pollakiuria
Clinical narrative: joint pain , high level enzyme liver numbness. Frequent urination.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction, Pruritus
Clinical narrative: 15 minutes after Hepatitis B administered, developed "internal itching" at site of injection. No swelling, allergies, shortness of breath, dyspnea , rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypokinesia, Joint range of motion decreased, Pain
Clinical narrative: Left arm swollen , red and hot to touch. Hurt to move arm upward position. Given Keflex.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Left arm swollen , red and hot to touch. Hurt to move arm upward position. Given Keflex.
Age: 0.28
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Pyrexia
Clinical narrative: Mom states with last shots which child received at 10AM on 7/26/04, 3 hours later the child started crying inconsolably with high pitched cry . She states around 4PM, the temperature spiked to 104.9 rectally. Stayed there x 3 hours. Around 8PM mother took child to hospital. They gave child 2 doses of Tylenol which brought temp down to 102. They told mom child had reaction to vaccine. They discharged child from ER at temp at 101. This event was not reported to health clinic until today. We received a verbal order form doctor to give ped DT today.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Pruritus, Rash macular
Clinical narrative: Slightly blotchy, not raised area. Slight pain and itchy. Advised cool compress to area.
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Febrile reaction, day after immunizations were given. Gave Tylenol to treat fever.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Pain, Swelling, Tenderness
Clinical narrative: Cellulitis 9 days after smallpox vaccine. Redness, swelling, pain, streaky +TTP , Treated with one gram Keflex BID x 5 days. Resolved in 4 days.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: Reaction Unevaluable
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash
Sex: M
Vaccine: UNK
Symptoms: Viral infection
Clinical narrative: Had chickenpox mild disease after vaccine
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash papular, Viral infection
Clinical narrative: Pt was seen in our office by Dr on 10/26/04 with varicella. Rash started 10/24/04. Pt had scattered papules, approx 25 lesions, on torso and behind ears, face and legs. Pt was afebrile. Had varicella vaccine on 11/25/98.
Age: 11.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Developed redness and swelling at injection site within 2-3 days of administration. Treated with warm compresses.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Oedema, Pruritus, Urticaria
Clinical narrative: Swelling, warm to touch, itching arm, hives to arm, to ER 4 days after vaccine.
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Redness, warmth, swelling
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling of forearm. Tx: warm compresses.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pox like lesions appeared within 72 hours on back and legs.
Age: 1.11
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Generalized maculopapular rash on body, shotty post cervical nodes, low grade fever.
Age: 1.42
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Very red, swollen, warm , left thigh 10/19/04 in clinic
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 10/23 Left arm swollen, hot and extremely painful to touch; 10/24 less painful to touch and decrease in edema; 10/25 no edema; pink from mid-bicep inner aspect above elbow to deltoid.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Pt presented to clinic with father. Hives visible on chest, back, arms. Father states they come and go. Denies respiratory problems. Denies prior occurrence. Denies h/o any allergies or ingesting any different type of food in past week. Pt denies discomfort. No high temp or other signs of illness. Gave parent info on medical clinics he could use for pt, prn advised Benadryl.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Onset symptoms 10/19/04 PM at HS Arm redness, swelling. 10/20/04 9AM parent notified MD. Tx Ibuprofen PO and Ice. F/U office 10/20/04 3:30PM less swelling but continues red, will continue tx ibuprofen. F/U as needed.
Age: 62.0
Sex: M
Vaccine: LYME
Symptoms: Joint stiffness, Pain
Clinical narrative: Pain, stiffness and burning in hands and wrists.
Age: 54.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling at injection site. Localized reaction.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Local reaction, pain, redness, swelling.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid red swollen
Age: 42.0
Sex: M
Vaccine: MMR, TD
Symptoms: Oedema
Clinical narrative: Severe swelling neck/tonsil started 2 days after
Age: 0.51
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: Temp seen in clinic 10/08/2004. Sent to children's ER for further evaluation. All labs and all negative
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Chills, Dizziness, Dyspnoea, Hyperhidrosis, Hypoxia
Clinical narrative: Td vaccine given 10/27/04 at 1:50PM imm after vaccine was given child stated he had SOB, dizziness, child broke into sweat, had chills and was pale. We imm laid him down, took B/P, T, P, and gave oxygen. Vitals were norm, offered water and contacted Dr.  Dr came and re examined the pt. Pt stated he felt a lot better. Advised parent to stay home today and not to get a Td vaccine ever. Side effect were also given, we are to call back 10/28/04 to check on pt. Pt left 2:30PM.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Pallor
Clinical narrative: Td vaccine given 10/27/04 at 1:50PM imm after vaccine was given child stated he had SOB, dizziness, child broke into sweat, had chills and was pale. We imm laid him down, took B/P, T, P, and gave oxygen. Vitals were norm, offered water and contacted Dr.  Dr came and re examined the pt. Pt stated he felt a lot better. Advised parent to stay home today and not to get a Td vaccine ever. Side effect were also given, we are to call back 10/28/04 to check on pt. Pt left 2:30PM.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Rash maculo-papular, Rash pruritic
Clinical narrative: Red, raised, itchy rash to site around injection LAT.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Left upper arm and shoulder swelling, redness, pain and warm to touch 1 day status post vaccine administration.
Age: 3.0
Sex: M
Vaccine: TD
Symptoms: Lethargy, Rhinorrhoea
Clinical narrative: From initial information received on 7/12/04 from the patient's parent regarding an adverse event occurring in the USA, it was reported that a three year old male patient received his first TD ADS PED vaccination, lot number U0750AB, administered IM in the left thigh on 7/2/04 at 10:30 AM. The same day at 12:30 PM the patient became very lethargic and also developed a runny nose. The events reportedly lasted a few days and the patient recovered. He was not seen by a physician. From additional information received on 8/30/04 from a physician, it was reported that the patient was behind on his vaccinations at the time the product was administered. No other new medication information was provided. No further information is anticipated, this case is considered closed.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: approximately 2 days post vaccine, recipient developed tingling in left armpit radiating to left breast nipple.  Vaccine recipient now (11/2/04) describes "electrical current-like, tickle sensation" in same area as noted above and across upper back.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Vaccine positive rechallenge
Clinical narrative: Breathing problems, Shortness of Breath, burning feeling with breathing, started 3 days after anthrax vaccination.  Treated with IV Benadryl.  Dx with Late Reaction after Anthrax injection.  Similar problems six months prior after previous anthrax shot; patient required prednisone and rest at home then.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Coordination abnormal, Guillain-Barre syndrome, Headache, Sensory disturbance
Clinical narrative: Pt is a plastic surgery resident who noticed numbness and tingling in her left lower extremity following a flu shot on 10/25.  Sx progressed to involve paresthesias and abnormal sensations in both lower extremities and then the upper extremities.  She also noticed decreased coordination while at work although mentation remained sharp.  Pt denied any sports or trauma injuries, any recent travels, or any new foods.  She did note some chronic shoulder sx which were musculoskeletal in nature and related to posture and ergonomics from doing long surgeries at work.  Diagnosis was possible Guillain-Barre syndrome.  MRI was significant only for mild multi-level DJD, but there was no cord compression and no lesions noted in the brain or cord.  On 10/28, the pt was thought to have some weakness on exam along with her sensory changes.  An EMG perfomed 10/28 failed to show any evidence of a neuropathy, but it was believed that the pt's onset timing was too acute and that repeat EMG and repeat LP may have shown changes more consistent with GB syndrome.  Throughout her hospital stay, pt did endorse neuropathic changes noting paresthesias in her arms and legs which later progressed to her trunk.  Pt was discharged on 10/29 with a scheduled f/u appointment with Neurology.  Pt was improved at time of discharge although it was still not fully clear as to the cause of her neuropathic sx.  01/25/05 Discharge Summary of 10/27-10/30/2004. FINAL DX: Probable GBS Patient experienced problems with numbness and tingling in lower extremity day of flu shot.  Symptoms were progressive and she was admitted 2 days' later and treated aggressively w IVIG therapy.  Neuro consults for origional evaluation at admission and when blood patch placed.  She was successfully treated for post LP headache with a blood patch.  02/02/05 Neuro Clinic records: Post discharge office evaluation. Findings at that time showed minimal residual changes and that she was back to work, if not for the prolonged periods she had tolerated prior to the attack.
Age: 1.86
Sex: F
Vaccine: DTP, HIBV, VARCEL
Symptoms: Corneal disorder, Viral infection
Clinical narrative: Approximately two months after receiving the varicella vaccination my daughter broke out with a herpes infection in her right eye and continues to get break outs every year for the last 7 years. As a result she has scar tissue on her cornea and may eventually need a transplant.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Joint stiffness, Laboratory test abnormal, Oedema peripheral
Clinical narrative: MMR vaccine administered 10/14/04 due to equivocal antibody level. Presented to ED on 10/29/04 with complaint of aches and stiffness to joints and swelling in hands. Treated with Toradol 60mg IM and referred to Rheumatologist. Also instructed to take Motrin 500mg TID and Zantac 150mg BID. Meds prior to ED visit: Flonase,Zyrtec, Estrogen and Progesterone.
Age: 0.79
Sex: F
Vaccine: PNC
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Irritability
Clinical narrative: High fever- 104, stomach cramps, diarrhea, green mucous in diarrhea, blood in stools, lethargic, dehydration, slept alot, cranky.  Got shot Thursday a.m. got signs by afternoon, peak of the worst hit Friday evening.  Went to the hospital and was given an I.V. because of her dehydration and her lethargic behavior.  Gave her an antibiotic in her I.V. and went to the doctor the next 48 hrs. and they gave her an injection of an antibiotic as well as put her on amoxicyillin.  She still seems to be in stomach discomfort and her sleeping pattern is disturbed.  She had the same symptoms at her 2 and 4 month old shots, blood in stool, green, mucousy diarrhea, and a fever.  Only she didn't get hospitalized.
Age: 0.79
Sex: F
Vaccine: PNC
Symptoms: Lethargy, Pyrexia, Sleep disorder, Somnolence, Vaccine positive rechallenge
Clinical narrative: High fever- 104, stomach cramps, diarrhea, green mucous in diarrhea, blood in stools, lethargic, dehydration, slept alot, cranky.  Got shot Thursday a.m. got signs by afternoon, peak of the worst hit Friday evening.  Went to the hospital and was given an I.V. because of her dehydration and her lethargic behavior.  Gave her an antibiotic in her I.V. and went to the doctor the next 48 hrs. and they gave her an injection of an antibiotic as well as put her on amoxicyillin.  She still seems to be in stomach discomfort and her sleeping pattern is disturbed.  She had the same symptoms at her 2 and 4 month old shots, blood in stool, green, mucousy diarrhea, and a fever.  Only she didn't get hospitalized.
Age: 1.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Rash macular
Clinical narrative: Parent relates that child began developing a "strange rash" slightly more than 24 hours after vaccine administration.  Rash was described as appearing on patient's legs, torso  chest, neck face and diaper area.  The rash on patient's legs was described as numerous raised red bumps,  Her abdomenchest area reportedly was more solid blotchy-red. The areas on her neck and face were red rasied on the edges with a small depression in the center.  Child was noted to scratch the rash in the area around the back of her ears. The rash on her diaper region where the elastic portion of her dipaer fit against was described as purply bruised looking. Rash began to fade within 48 hours after its appearance and was completley resolved 2 days later. Mom had administered 2 doses of Benadryl. Child was not seen by this provider at any time she had the rash.  There was no fever, child remained alert, ate slept and played as usual.
Age: 31.0
Sex: F
Vaccine: LYME
Symptoms: Anaemia, Arthralgia, Blood pressure decreased, Cellulitis, Eyelid ptosis
Clinical narrative: Initially I experience some right sided numbness, headaches, joint pain, weight loss, anemia, right eye dropping and uneven pupil dialation, low grade fevers. Today I still have joint pain right sided flank pain, Gi problems, muscle spasms, hematuria, syncope, low blood pressure. I have been hospitalized 4 times in 2 years with cellulitis infections, have decreased c3-c4 compliments, iron abnormalities, neuropathy. Additional Info: Dose #2 Lymerix 9/2/99 LY116A2, Dose #3 Lymerix 08/30/00. As per follow up report I am currently receiving therapy to try an drepair nerve damage. I am taking Florinef to raise my blood pressure to reduce vagal phase episodes.
Age: 31.0
Sex: F
Vaccine: LYME
Symptoms: Facial palsy, Gastrointestinal disorder, Haematuria, Headache, Hypoaesthesia
Clinical narrative: Initially I experience some right sided numbness, headaches, joint pain, weight loss, anemia, right eye dropping and uneven pupil dialation, low grade fevers. Today I still have joint pain right sided flank pain, Gi problems, muscle spasms, hematuria, syncope, low blood pressure. I have been hospitalized 4 times in 2 years with cellulitis infections, have decreased c3-c4 compliments, iron abnormalities, neuropathy. Additional Info: Dose #2 Lymerix 9/2/99 LY116A2, Dose #3 Lymerix 08/30/00. As per follow up report I am currently receiving therapy to try an drepair nerve damage. I am taking Florinef to raise my blood pressure to reduce vagal phase episodes.
Age: 31.0
Sex: F
Vaccine: LYME
Symptoms: Hypotension, Laboratory test abnormal, Muscle spasms, Nerve injury, Neuropathy
Clinical narrative: Initially I experience some right sided numbness, headaches, joint pain, weight loss, anemia, right eye dropping and uneven pupil dialation, low grade fevers. Today I still have joint pain right sided flank pain, Gi problems, muscle spasms, hematuria, syncope, low blood pressure. I have been hospitalized 4 times in 2 years with cellulitis infections, have decreased c3-c4 compliments, iron abnormalities, neuropathy. Additional Info: Dose #2 Lymerix 9/2/99 LY116A2, Dose #3 Lymerix 08/30/00. As per follow up report I am currently receiving therapy to try an drepair nerve damage. I am taking Florinef to raise my blood pressure to reduce vagal phase episodes.
Age: 31.0
Sex: F
Vaccine: LYME
Symptoms: Pupils unequal, Pyrexia, Syncope, Syncope vasovagal, Weight decreased
Clinical narrative: Initially I experience some right sided numbness, headaches, joint pain, weight loss, anemia, right eye dropping and uneven pupil dialation, low grade fevers. Today I still have joint pain right sided flank pain, Gi problems, muscle spasms, hematuria, syncope, low blood pressure. I have been hospitalized 4 times in 2 years with cellulitis infections, have decreased c3-c4 compliments, iron abnormalities, neuropathy. Additional Info: Dose #2 Lymerix 9/2/99 LY116A2, Dose #3 Lymerix 08/30/00. As per follow up report I am currently receiving therapy to try an drepair nerve damage. I am taking Florinef to raise my blood pressure to reduce vagal phase episodes.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Muscle necrosis, Pain, Rash, Sleep disorder, Swelling
Clinical narrative: After receiving shot on 12/4/03 I was back in office in two days with rash and seemed to me like some swelling of upper arm.  Was given medicine for rash - my upper arm continued to give me pain and in October of this year I was sent to orthopedic physician and I had MRI and MRI with GAD and it is not a shoulder problem.  They have said that since, in the reactions form given out when you get a tetanus shot, is was stated that severe reactions can have muscle wasting in the upper arm.  I can not put on a bra correctly, I hardly can get my hand on my waist, my golf game stinks since I can not follow through the whole way with my left arm.  Even if I try and hit a balloon with my grandchildren, the pain can make me go to my  knees since it hurts so much.  My biggest problem is getting a good nights sleep.  No one knows how to get rid of this problem.  I have been to doctor about 4 times with this pain.  Today I asked for the lot number etc. of the shot and am writing you with my concerns.  My doctor is aware that I am doing this and says this is a good idea.  Has anyone else had such a reaction?  If so, WHAT CAN I DO?  I can not lay on my left side to sleep, need to keep a pillow under my left arm to sleep and the pain is bad.  Thanks for having this form available for me. It will be a year on Dec. 4 that I have had this shot.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Vaccine given 10-27-04 in the AM.  Generalized itching and rash developed in the PM 10-27-04.  Fine, pinpoint rash present on neck, chest and abdomen.  Rash remains present as of 11-2-04.  Using Benadryl PRN.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Eyelid oedema, Pyrexia, Urticaria
Clinical narrative: after returning home from visit, felt warm to touch. no temperature taken. then approximately 24 hrs after administration of Influenza vaccine, developed bilateral eyelid swelling and hives. was given Benadryl, Tylenol and Advil. seen in clinic 2 days after administration of vaccine. T101.1. still with bilateral eyelid swelling and erythema. no rash present. discharged home to continue symptomatic treatment.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Back pain, Cellulitis, Chills, Dyspnoea, Feeling cold
Clinical narrative: Admission diagnoses: Febrile illness, dehydration, N/V, DM. Discharge diagnoses: fever of unknown origin, ARF, severe CAD, DM, S/P pulmonary edema and respiratory failure, S/P episode of ICU psychoses with polyneuropathy. The patient was a 45 year old male S/P catheterization on 3/16/04. He also received a pneumococcal vaccine the same day. He was discharged the next day, and had a few chills throughout the day on 3/17/04, as well as into the night, and awoke on 3/18/04 with a HA, nausea, low back pain, diaphoresis, feeling cold, and a temp of 101 degrees. He called his cardiologist, and was told to come into the Emergency Department. On day 2 of admission, the patient had a dramatic cellulitic response and swelling on the right deltoid area where he received the Pneumovax, and it was believed that this was the reason for his fever. Infectious disease was consulted. Fever was resolved with empiric ATB treatment and cellulitis improved. The patient was switched to cephalexin and was afebrile for 36 hours, and then spiking a fever to a high of 103.2 degrees. On hospital admission day 5, the patient got increasingly short of breath that did not resolve with IV Lasix and required intubation and transfer to the ICU/CCU area. Pulmonology service was consulted. The patient required vent management for approximately 6 days. It was believed that respiratory failure was secondary to severe pulmonary edema. The patient was discharged on 4/3/04. Physicians felt this was a reaction to the vaccine.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Hyperhidrosis, Hypoxia, Injection site reaction, Nausea
Clinical narrative: Admission diagnoses: Febrile illness, dehydration, N/V, DM. Discharge diagnoses: fever of unknown origin, ARF, severe CAD, DM, S/P pulmonary edema and respiratory failure, S/P episode of ICU psychoses with polyneuropathy. The patient was a 45 year old male S/P catheterization on 3/16/04. He also received a pneumococcal vaccine the same day. He was discharged the next day, and had a few chills throughout the day on 3/17/04, as well as into the night, and awoke on 3/18/04 with a HA, nausea, low back pain, diaphoresis, feeling cold, and a temp of 101 degrees. He called his cardiologist, and was told to come into the Emergency Department. On day 2 of admission, the patient had a dramatic cellulitic response and swelling on the right deltoid area where he received the Pneumovax, and it was believed that this was the reason for his fever. Infectious disease was consulted. Fever was resolved with empiric ATB treatment and cellulitis improved. The patient was switched to cephalexin and was afebrile for 36 hours, and then spiking a fever to a high of 103.2 degrees. On hospital admission day 5, the patient got increasingly short of breath that did not resolve with IV Lasix and required intubation and transfer to the ICU/CCU area. Pulmonology service was consulted. The patient required vent management for approximately 6 days. It was believed that respiratory failure was secondary to severe pulmonary edema. The patient was discharged on 4/3/04. Physicians felt this was a reaction to the vaccine.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Pulmonary oedema, Pyrexia, Respiratory failure, Vomiting
Clinical narrative: Admission diagnoses: Febrile illness, dehydration, N/V, DM. Discharge diagnoses: fever of unknown origin, ARF, severe CAD, DM, S/P pulmonary edema and respiratory failure, S/P episode of ICU psychoses with polyneuropathy. The patient was a 45 year old male S/P catheterization on 3/16/04. He also received a pneumococcal vaccine the same day. He was discharged the next day, and had a few chills throughout the day on 3/17/04, as well as into the night, and awoke on 3/18/04 with a HA, nausea, low back pain, diaphoresis, feeling cold, and a temp of 101 degrees. He called his cardiologist, and was told to come into the Emergency Department. On day 2 of admission, the patient had a dramatic cellulitic response and swelling on the right deltoid area where he received the Pneumovax, and it was believed that this was the reason for his fever. Infectious disease was consulted. Fever was resolved with empiric ATB treatment and cellulitis improved. The patient was switched to cephalexin and was afebrile for 36 hours, and then spiking a fever to a high of 103.2 degrees. On hospital admission day 5, the patient got increasingly short of breath that did not resolve with IV Lasix and required intubation and transfer to the ICU/CCU area. Pulmonology service was consulted. The patient required vent management for approximately 6 days. It was believed that respiratory failure was secondary to severe pulmonary edema. The patient was discharged on 4/3/04. Physicians felt this was a reaction to the vaccine.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Numbness right side of cheek and lip. Follow up: First office visit 10/27/04. Diagnosis: reaction to flu vaccine. No treatment given. Seen for FU 10/29/2004 and had improved.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Localized red reaction with hard area R/T flu vaccine.
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Delusion, Hallucination, Malaise
Clinical narrative: After flu vaccine was injected, patient became very delusional with hallucinations and malaise. She believed there were people in the room when there were actually no one present. She was in her own bed and she believed she was in a hotel overseas. She became irate and demanded we take her home. This is very unusual behavior on her part. She has never been diagnosed with Alzheimers.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash maculo-papular, Tongue oedema
Clinical narrative: Individual given influenza vaccine (as is in high risk group) on 10/4/04 in left deltoid without difficulty. Later that day, developed diffuse maculopapular rash on stomach, sides, back armpits, and down arms and mild itching. 2 days later swelling to tongue. Doctor prescribed tapering doses of Prednisone for 6 days; still requiring Allegra. Symptoms are decreased in severity but still persist as of this date 10/18/04. Follow up 02/4/05: symptoms resolved entirely after several days, no complaints since then.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular rash 10 days after MMR and Varivax. No itching and no fever.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Mother called clinic 10/27/04 stating site red and indurated slightly larger than a quarter. No fever. Patient is running, playing, happy. Advised Ibuprofen q 8 hours, ice to site, TID if patient tolerates.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh at injection site red, edematous, hot, firm area approximately 5cmx5cm. Localized vaccine reaction. Warm soaks tid, Tylenol PRN, Cefzil BID PO for 10 days. Recheck 4 days; did not show for follow up.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Received flu shot 10/29/04. Site was hard and tender Saturday as reddened, hard area 2.5"x2.5". Area around injection site warm and red. By Tuesday when reported, area had decreased in swelling and hard area but still red and round. Very tired and decreased energy Sunday and Monday. Some shortness of breath. Monday with frequent cough. Treatment: Monitor for now.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: Received flu shot 10/29/04. Site was hard and tender Saturday as reddened, hard area 2.5"x2.5". Area around injection site warm and red. By Tuesday when reported, area had decreased in swelling and hard area but still red and round. Very tired and decreased energy Sunday and Monday. Some shortness of breath. Monday with frequent cough. Treatment: Monitor for now.
Age: 87.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm red, swollen, and sore/painful from elbow up to injection site. Self treated with Tylenol and ice packs. Doctor treated with Keflex for 10 days and Allegra for 10 days.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Right arm pain, red, hot, and lump at injection site. Redness and pain spread from site to 2"-3" below elbow. Patient treated with ES Tylenol, cold compressions until doctor's appointment. Doctor treated with Rocephin IM, Zyrtec for 10 days and Keflex for 10 days.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Patient complained of severe pain in left arm. Patient describes as sore to touch, not an ache. Started approximately two days status post injection. Site of pain is below injection site. Pain worse yesterday and improving today. No redness or swelling.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Flushing, Heart rate increased
Clinical narrative: Immunized with 0.5ml Fluzone at approximately 9:30 AM. 12:40 PM, feet itchy and flushed upper left arm with redness of area, followed by flush/dizzy spells and tightness across chest. Seen in ER; blood pressure and heart rate increased. Symptoms lasted about 3 hours then subsided gradually.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Immunized with 0.5ml Fluzone at approximately 9:30 AM. 12:40 PM, feet itchy and flushed upper left arm with redness of area, followed by flush/dizzy spells and tightness across chest. Seen in ER; blood pressure and heart rate increased. Symptoms lasted about 3 hours then subsided gradually.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Oedema, Rash, Thermal burn
Clinical narrative: Patient had rash, edema and burning in left arm after second pneumonia immunization. Has been administered within 2 weeks.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Hypotonia, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: Left arm went totally limp with severe pain; like electrical shocks up and down arm muscles. Went to hospital; x-rays done, no breaks. Given pain medication (hydrocodone). See ortho next day. Ortho couldn't explain complete loss of arm use so quickly. Now had rash 3" wide and about 6" long. Full arm swelling plus hand.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Injection given and night of injection right arm swelled and was red from elbow up and unable to use because of pain. Was some better the next day. Called office and instructed to use ice massage. Back to normal 2-3 days later.
Age: 44.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 10/28/04 About 7 PM got a PPV and tetanus dose. Friday morning, saw doctor who said I had a reaction: swelling, redness, pain. Advised to take Ibuprofen. Called Saturday and asked if Aleve could be taken. Had flu symptoms, pain, more swelling and redness going down arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Where injection was given red, swollen, warm to touch. Had a lump. Mother applied cool compresses and gave Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: 2 days after received vaccines left arm noted to be red 5cm x 4 cm marked area. Slight warm to touch.
Age: 1.69
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling
Clinical narrative: Swollen right upper eyelid (second patient: with this after follow up shot) Pupil and conjunctiva normal.
Age: 32.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Injection site swelling, Rash, Urticaria
Clinical narrative: Telephone call for patient on 11/01/2004, complaints of hives and small rashes all over body; injection site when yellow fever was given "has a huge swelling about 3 inches wide." Advised to call PCP for follow up. Telephone call to patient today. She was advised to take Benadryl for itch which she hasn't taken any. She felt fine.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Feeling hot, Pain, Pyrexia
Clinical narrative: Patient states went to hospital ER 10/23 with temperature of 103 and severe upper left arm pain. Status post Fluzone and PCV7 vaccine 10/21. On 10/26/2004 evaluated at clinic with ongoing severe left upper arm pain, warmth and redness. Diagnosed with cellulitis.
Age: 9.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain upper, Malaise, Pruritus, Rash, Urticaria
Clinical narrative: Post exposure prophylaxis after raccoon bite. 24 hours after dose one: client vomited. Went to ER : nothing done. 24 hours after dose two client reported upset stomach. 48 hours after dose 2: generalized urticaria, itching and malaise. No difficulty breathing. Recommended Benadryl q 6 hours until rash disappeared. To seek medical care if rash progressed or child had difficulty breathing. Went to ER: rash progressed. Atarax IM given. Given reaction for Atarax PO. Rash improved, no itching on day 5.