chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Angiogram normal, Asthenia, Back pain, Bilevel positive airway pressure, CSF glucose normal
Clinical narrative: 54 y/o F with PMH of Crohn's disease presents to ED on 12/05 with acute onset right facial numbness that started approximately one month prior to admission along with mild dysarthria. She reported headache, neck pain and generalized weakness. It initially started with bilateral foot numbness and hand numbness which then progressed upwards. She started to have gait instability, bilateral lower extremities weakness and numbness. The numbness went from her feet up to her knees, with the right side being worse. She denies recent sickness or change in health. In the ED, stroke alert was activated. NIHSS:7 for mild to moderate sensory loss and bilateral lower weakness. CTA was negative for stroke. LP was performed and CSF was remarkable for elevated protein, normal glucose, and normal WBC. She reported that she received influenza vaccine 2 months prior, and weakness began shortly thereafter. Physician diagnosed the patient with Guillain-Barre Syndrome as a possible result of the influenza vaccine. On 12/06, she received Immune Globulin 24 GM Q24H IV one time. The patient's symptoms became worse with increasing lower back pain and worsening of respiratory effort; therefore, she was deemed to have failed IVIG treatment. On 12/07, she was transferred to the ICU for intubation and closer monitoring of her respiratory status. Neurologist discontinued IVIG and started the patient on plasmapheresis for 5 exchanges every other day starting on 12/07 and last exchange was on 12/14. On 12/09, she was extubated, and developed Pneumothorax, which led to place a tube in her chest and she was receiving pain management for her back pain, which was radiating down into her legs. On 12/12, she suffered from another episode of respiratory distress, and she was placed on BIPAP, Duonebs, and nystatin to swish and swallow. In addition, she developed dysphagia contributed to GBS. Hence, speech therapy was consulted with advanced diet recommendation. She had significant weakness throughout, although lower extremities are improving. As of 12/14, she is gaining her strength slowly and she stated feeling weak but better and able to move arms and legs.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: CSF protein increased, CSF white blood cell count negative, Chest tube insertion, Dysarthria, Dysphagia
Clinical narrative: 54 y/o F with PMH of Crohn's disease presents to ED on 12/05 with acute onset right facial numbness that started approximately one month prior to admission along with mild dysarthria. She reported headache, neck pain and generalized weakness. It initially started with bilateral foot numbness and hand numbness which then progressed upwards. She started to have gait instability, bilateral lower extremities weakness and numbness. The numbness went from her feet up to her knees, with the right side being worse. She denies recent sickness or change in health. In the ED, stroke alert was activated. NIHSS:7 for mild to moderate sensory loss and bilateral lower weakness. CTA was negative for stroke. LP was performed and CSF was remarkable for elevated protein, normal glucose, and normal WBC. She reported that she received influenza vaccine 2 months prior, and weakness began shortly thereafter. Physician diagnosed the patient with Guillain-Barre Syndrome as a possible result of the influenza vaccine. On 12/06, she received Immune Globulin 24 GM Q24H IV one time. The patient's symptoms became worse with increasing lower back pain and worsening of respiratory effort; therefore, she was deemed to have failed IVIG treatment. On 12/07, she was transferred to the ICU for intubation and closer monitoring of her respiratory status. Neurologist discontinued IVIG and started the patient on plasmapheresis for 5 exchanges every other day starting on 12/07 and last exchange was on 12/14. On 12/09, she was extubated, and developed Pneumothorax, which led to place a tube in her chest and she was receiving pain management for her back pain, which was radiating down into her legs. On 12/12, she suffered from another episode of respiratory distress, and she was placed on BIPAP, Duonebs, and nystatin to swish and swallow. In addition, she developed dysphagia contributed to GBS. Hence, speech therapy was consulted with advanced diet recommendation. She had significant weakness throughout, although lower extremities are improving. As of 12/14, she is gaining her strength slowly and she stated feeling weak but better and able to move arms and legs.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Endotracheal intubation, Gait disturbance, Guillain-Barre syndrome, Headache, Hypoaesthesia
Clinical narrative: 54 y/o F with PMH of Crohn's disease presents to ED on 12/05 with acute onset right facial numbness that started approximately one month prior to admission along with mild dysarthria. She reported headache, neck pain and generalized weakness. It initially started with bilateral foot numbness and hand numbness which then progressed upwards. She started to have gait instability, bilateral lower extremities weakness and numbness. The numbness went from her feet up to her knees, with the right side being worse. She denies recent sickness or change in health. In the ED, stroke alert was activated. NIHSS:7 for mild to moderate sensory loss and bilateral lower weakness. CTA was negative for stroke. LP was performed and CSF was remarkable for elevated protein, normal glucose, and normal WBC. She reported that she received influenza vaccine 2 months prior, and weakness began shortly thereafter. Physician diagnosed the patient with Guillain-Barre Syndrome as a possible result of the influenza vaccine. On 12/06, she received Immune Globulin 24 GM Q24H IV one time. The patient's symptoms became worse with increasing lower back pain and worsening of respiratory effort; therefore, she was deemed to have failed IVIG treatment. On 12/07, she was transferred to the ICU for intubation and closer monitoring of her respiratory status. Neurologist discontinued IVIG and started the patient on plasmapheresis for 5 exchanges every other day starting on 12/07 and last exchange was on 12/14. On 12/09, she was extubated, and developed Pneumothorax, which led to place a tube in her chest and she was receiving pain management for her back pain, which was radiating down into her legs. On 12/12, she suffered from another episode of respiratory distress, and she was placed on BIPAP, Duonebs, and nystatin to swish and swallow. In addition, she developed dysphagia contributed to GBS. Hence, speech therapy was consulted with advanced diet recommendation. She had significant weakness throughout, although lower extremities are improving. As of 12/14, she is gaining her strength slowly and she stated feeling weak but better and able to move arms and legs.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Immunoglobulin therapy, Intensive care, Muscular weakness, Neck pain, Pain in extremity
Clinical narrative: 54 y/o F with PMH of Crohn's disease presents to ED on 12/05 with acute onset right facial numbness that started approximately one month prior to admission along with mild dysarthria. She reported headache, neck pain and generalized weakness. It initially started with bilateral foot numbness and hand numbness which then progressed upwards. She started to have gait instability, bilateral lower extremities weakness and numbness. The numbness went from her feet up to her knees, with the right side being worse. She denies recent sickness or change in health. In the ED, stroke alert was activated. NIHSS:7 for mild to moderate sensory loss and bilateral lower weakness. CTA was negative for stroke. LP was performed and CSF was remarkable for elevated protein, normal glucose, and normal WBC. She reported that she received influenza vaccine 2 months prior, and weakness began shortly thereafter. Physician diagnosed the patient with Guillain-Barre Syndrome as a possible result of the influenza vaccine. On 12/06, she received Immune Globulin 24 GM Q24H IV one time. The patient's symptoms became worse with increasing lower back pain and worsening of respiratory effort; therefore, she was deemed to have failed IVIG treatment. On 12/07, she was transferred to the ICU for intubation and closer monitoring of her respiratory status. Neurologist discontinued IVIG and started the patient on plasmapheresis for 5 exchanges every other day starting on 12/07 and last exchange was on 12/14. On 12/09, she was extubated, and developed Pneumothorax, which led to place a tube in her chest and she was receiving pain management for her back pain, which was radiating down into her legs. On 12/12, she suffered from another episode of respiratory distress, and she was placed on BIPAP, Duonebs, and nystatin to swish and swallow. In addition, she developed dysphagia contributed to GBS. Hence, speech therapy was consulted with advanced diet recommendation. She had significant weakness throughout, although lower extremities are improving. As of 12/14, she is gaining her strength slowly and she stated feeling weak but better and able to move arms and legs.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Plasmapheresis, Pneumothorax, Respiratory distress, Sensory loss
Clinical narrative: 54 y/o F with PMH of Crohn's disease presents to ED on 12/05 with acute onset right facial numbness that started approximately one month prior to admission along with mild dysarthria. She reported headache, neck pain and generalized weakness. It initially started with bilateral foot numbness and hand numbness which then progressed upwards. She started to have gait instability, bilateral lower extremities weakness and numbness. The numbness went from her feet up to her knees, with the right side being worse. She denies recent sickness or change in health. In the ED, stroke alert was activated. NIHSS:7 for mild to moderate sensory loss and bilateral lower weakness. CTA was negative for stroke. LP was performed and CSF was remarkable for elevated protein, normal glucose, and normal WBC. She reported that she received influenza vaccine 2 months prior, and weakness began shortly thereafter. Physician diagnosed the patient with Guillain-Barre Syndrome as a possible result of the influenza vaccine. On 12/06, she received Immune Globulin 24 GM Q24H IV one time. The patient's symptoms became worse with increasing lower back pain and worsening of respiratory effort; therefore, she was deemed to have failed IVIG treatment. On 12/07, she was transferred to the ICU for intubation and closer monitoring of her respiratory status. Neurologist discontinued IVIG and started the patient on plasmapheresis for 5 exchanges every other day starting on 12/07 and last exchange was on 12/14. On 12/09, she was extubated, and developed Pneumothorax, which led to place a tube in her chest and she was receiving pain management for her back pain, which was radiating down into her legs. On 12/12, she suffered from another episode of respiratory distress, and she was placed on BIPAP, Duonebs, and nystatin to swish and swallow. In addition, she developed dysphagia contributed to GBS. Hence, speech therapy was consulted with advanced diet recommendation. She had significant weakness throughout, although lower extremities are improving. As of 12/14, she is gaining her strength slowly and she stated feeling weak but better and able to move arms and legs.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient presented to office w/ significant arm erythema and swelling.
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness, Palpitations, Vertigo
Clinical narrative: Pt received FLUAD shot on 11/09/2017 in the afternoon. Pt woke up in the middle of the night with lightheadedness, vertigo, and palpitations. Vertigo lasted 3 days and palpitations lasted 1 week. Pt was forced to remain laying down with head elevated for relief. Pt informed her MD who told her to take meclizine. Pt took DRAMAMINE and natural ginger. After 3 days, vertigo was relieved but pt still could not lay down in supine position without head raised even though vertigo ceased while standing. As of today, patient is completely over her reaction.
Age: 66.0
Sex: M
Vaccine: FLUA3
Symptoms: Abdominal pain upper, Diarrhoea, Muscle spasms, Pain, Vomiting projectile
Clinical narrative: Given vaccine at time indicated above 11:00 AM. By 3:00 PM (4 hours later) experienced severe stomach cramps & diarrhea and by 6:30 PM had projectile vomiting. After vomiting experienced continued severe cramps/pain & severe diarrhea with diarrhea being totally liquid. Considered seriously making a trip to the ER in the middle of the night, but around 4:30 AM in morning 12/15/2017 cramps/pain in gut subsided a bit. Diarrhea continues over 24 hours after vaccine. To this point have not sought medical attention and won't as long as continued improvement if felt.
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Electromyogram, Neck pain, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Pain in left arm and neck started 10/14/2017.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood culture, Chest X-ray, Culture urine, Differential white blood cell count, Full blood count
Clinical narrative: Fever of 101.8.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Influenza A virus test, Influenza B virus test, Metabolic function test, Pyrexia, Respiratory syncytial virus test
Clinical narrative: Fever of 101.8.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Urine analysis
Clinical narrative: Fever of 101.8.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Back pain, Chills, Headache, Pain
Clinical narrative: Returned home from receiving vaccine with back pain, burning pain, H/A, uncontrollable shivering, covered with blankets, improving, unsure if fever, will take temp and give ibuprofen.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Headache, Pain
Clinical narrative: Headache and body aches. Afebrile.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Next day presented with localized reaction: red, swollen, warm to touch. Denied SOB or wheezing. Advised Benadryl and ice, and ER precautions if worsens or difficulty breathing.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Swelling, tenderness, lump at site of injection. Redness encompassing most of the triceps area.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient came in a few days after receiving the flu vaccine complaining about bright redness at the injection site of the left arm. She claimed that the back of her arm was swollen the evening of the vaccination, warm to the touch, and bright red. When she presented to the pharmacy, her arm was slightly red and warm to the touch, but she claims it was significantly better than a few days ago. I advised her to ice the site and referred her to seek her primary care physician if her symptoms did not improve within the next few days.
Age: 51.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Dizziness, Erythema, Headache, Nausea
Clinical narrative: 12/12/17: DAY OF VACCINE, LEFT ARM WAS RED AND SORE. PATIENT HAD HEADACHE AND WAS NAUSEATED. 12/13/17: THE MORNING AFTER, BLURRED VISION, NAUSEA/VOMITING, HEADACHE MORE SEVERE, DIZZINESS AND CHILLS. SWOLLEN ARM AND REDNESS PERSISTS EVEN UNTIL 12/15/17.
Age: 51.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain in extremity, Peripheral swelling, Vision blurred, Vomiting
Clinical narrative: 12/12/17: DAY OF VACCINE, LEFT ARM WAS RED AND SORE. PATIENT HAD HEADACHE AND WAS NAUSEATED. 12/13/17: THE MORNING AFTER, BLURRED VISION, NAUSEA/VOMITING, HEADACHE MORE SEVERE, DIZZINESS AND CHILLS. SWOLLEN ARM AND REDNESS PERSISTS EVEN UNTIL 12/15/17.
Age: 83.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: PER PT, SORE, WARM, SWOLLEN, REDNESS ON LEFT ARM THAT IS 4 INCHES IN LENGTH AND SPREADING. ADVISED PT TO SEE DOCTOR IMMEDIATELY. PT HAS NOT TRIED ANYTHING TO RELIEVE SYMPTOMS. OUTCOMES PENDING.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Pain in extremity
Clinical narrative: Patient states her arm was sore after receiving the vaccine on 10/9/17, but her soreness has lingered since then. She reported the discomfort to the pharmacy on 12/15/17 and was advised to reach out to her primary care provider for further evaluation.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient had arm swelling, heat, redness, and pain in the arm the shot was given in, Reaction was described as being in the lower outer portion of the arm nearer the elbow (not near the injection site).
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Syncope after vaccination.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Fatigue, Full blood count, Measles antibody negative, Metabolic function test
Clinical narrative: 12/7/17 developed body aches, weakness, fatigue, and low grade fever 99F. Ill symptoms thru 12/10/17. On 12/11/17, developed rash on upper chest, neck, face, abdomen, and back.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: 12/7/17 developed body aches, weakness, fatigue, and low grade fever 99F. Ill symptoms thru 12/10/17. On 12/11/17, developed rash on upper chest, neck, face, abdomen, and back.
Age: 87.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Peripheral swelling
Clinical narrative: 2 days post vaccination, mild erythemia and slight swelling on the interior of left arm; not near injection site. Erythemia starts mid bicep and extends 4 inches below elbow. Pharmacist explained this is not an unusual reaction, but to watch it for worsening and go to urgent care/PCP if it doesn't resolve in a few days. Recommended applying ice x20 min on and off. Sent letter to PCP that day. Followed up with patient 1 week later and patient states "he's fine", the reaction has resolved on its own.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Allergy to vaccine, Erythema, Local reaction, Nodule, Pain in extremity
Clinical narrative: On the morning of 12-14-2017, patient called to inform us of local site reaction (egg sized knot, severe pain, redness, itching of left arm). I advised patient I would call primary care provider for her and follow up with her. I spoke to pt with Dr. and she took the message. Dr. spoke to patient in the afternoon on 12-14-2017. Today, 12/15/2017, I spoke to the patient and she stated Dr. told her to take Benadryl tablets and use hydrocortisone cream and instructed her to call back on Monday, 12-18-17. Patient stated Dr. told her she is allergic to the ZOSTAVAX vaccine and not to take the new shingles vaccine, Shingrix, in the future. As of today, 12/15/2017 , patient stated her arm is much better (swelling, redness has decreased and doesn't hurt as much but is tender and doesn't itch).
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus, Tenderness
Clinical narrative: On the morning of 12-14-2017, patient called to inform us of local site reaction (egg sized knot, severe pain, redness, itching of left arm). I advised patient I would call primary care provider for her and follow up with her. I spoke to pt with Dr. and she took the message. Dr. spoke to patient in the afternoon on 12-14-2017. Today, 12/15/2017, I spoke to the patient and she stated Dr. told her to take Benadryl tablets and use hydrocortisone cream and instructed her to call back on Monday, 12-18-17. Patient stated Dr. told her she is allergic to the ZOSTAVAX vaccine and not to take the new shingles vaccine, Shingrix, in the future. As of today, 12/15/2017 , patient stated her arm is much better (swelling, redness has decreased and doesn't hurt as much but is tender and doesn't itch).
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dyspnoea, Gait inability, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: On 11/29/17, per report of individual's employer (manager), individual began to complain of numbness and tingling in hands and feet and decreased strength which slowly progress on 11/30/17. On 12/1 individual had difficulty breathing and was unable to walk. Individual is hospitalized in critical care and has been diagnosed with Guillain-Barre syndrome according to report of family.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Intensive care, Paraesthesia
Clinical narrative: On 11/29/17, per report of individual's employer (manager), individual began to complain of numbness and tingling in hands and feet and decreased strength which slowly progress on 11/30/17. On 12/1 individual had difficulty breathing and was unable to walk. Individual is hospitalized in critical care and has been diagnosed with Guillain-Barre syndrome according to report of family.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Gait disturbance, Injection site pain, Mobility decreased, Pain
Clinical narrative: Approximately 10 minutes after injection, began feeling aching pain over entire body especially back and joint areas. Had difficulty walking and moving extremities. Waited about 10 minutes and pain subsided to milder pain. Pain slowly went away except for pain at injection site, which is still sore today.
Age: 91.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen from injection site to elbow (reported 12/15/17  by granddaughter). Given BENADRYL Q6H and ice therapy.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Administration site rash
Clinical narrative: Formation of rash around the site of administration.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash
Clinical narrative: Rash developed that night, Pruritic.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Myalgia, Peripheral swelling, Skin warm
Clinical narrative: Patient was seen by a doctor on 12/14/17 for a reaction to Pne23 shot. Patient had swelling from shoulder to elbow. Warm to touch along with some redness and muscle soreness. Patient didn't have fever, rash SOB, trouble swallowing.
Age: 84.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Local reaction: Induration with erythema 9 cm x 8 cm approximately 5 cm below injection site.  Swelling present with increased local heat. Afebrile. Treated with ice packs and Tylenol with moderate relief.  At this time patient reports arm continues to be sore when touched and when used. Induration has dissipated. Erythema and swelling are almost resolved.
Age: 84.0
Sex: F
Vaccine: PNC13
Symptoms: Local reaction, Pain
Clinical narrative: Local reaction: Induration with erythema 9 cm x 8 cm approximately 5 cm below injection site.  Swelling present with increased local heat. Afebrile. Treated with ice packs and Tylenol with moderate relief.  At this time patient reports arm continues to be sore when touched and when used. Induration has dissipated. Erythema and swelling are almost resolved.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Extreme soreness, tenderness at the site and "puffiness", Had to use R arm to lift move L arm around, Iced on the day after the vaccine. Mother called today to report Sx, child was at work. Instructed mother to call or follow up at urgent care or ER if not better. Verbalizes understanding. Will continue with ice and tyenol or motrin as needed for comfort.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Allodynia, Hypoaesthesia, Paraesthesia, Rash erythematous, Rash macular
Clinical narrative: About 1.5 weeks later he had the abrupt onset of numbness of his vertex accompanied by a blotchy  red itchy rash (explicitly non-vesicular) that affected his scalp face, trunk and extremities. This lasted for about 12 hours and resolved spontaneously. Then several days after that he noticed allodynia of his right hemicranium associated with some objective swelling (indentation of his glasses earpiece),  "like pinpricks" with even light touch. Fortunately this has subsided about "50%" by now.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash pruritic, Swelling
Clinical narrative: About 1.5 weeks later he had the abrupt onset of numbness of his vertex accompanied by a blotchy  red itchy rash (explicitly non-vesicular) that affected his scalp face, trunk and extremities. This lasted for about 12 hours and resolved spontaneously. Then several days after that he noticed allodynia of his right hemicranium associated with some objective swelling (indentation of his glasses earpiece),  "like pinpricks" with even light touch. Fortunately this has subsided about "50%" by now.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Swelling
Clinical narrative: About 1.5 weeks later he had the abrupt onset of numbness of his vertex accompanied by a blotchy  red itchy rash (explicitly non-vesicular) that affected his scalp face, trunk and extremities. This lasted for about 12 hours and resolved spontaneously. Then several days after that he noticed allodynia of his right hemicranium associated with some objective swelling (indentation of his glasses earpiece),  "like pinpricks" with even light touch. Fortunately this has subsided about "50%" by now.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Decreased appetite, Eczema, Eye swelling, Insomnia, Irritability
Clinical narrative: Rash and scratching on head, arms and body. Looks like worsening eczema and swelling around left eye. No difficulty breathing. Very fussy, not sleeping at night. Eating less.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Rash and scratching on head, arms and body. Looks like worsening eczema and swelling around left eye. No difficulty breathing. Very fussy, not sleeping at night. Eating less.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Decreased appetite, Fatigue, Headache, Insomnia
Clinical narrative: The night of  12/13, I felt very tired about 10 p.m., which is an hour and a half before my usual bedtime. When I went to bed, I had trouble sleeping, woke every 2 hours with headache, intestinal discomfort, a couple of times I had dry heaves but didn't vomit. I took a couple of generic Tylenol about 4 a.m.The next morning I could eat only half my breakfast, headache was worse and I generally did not feel well. I lay around until mid-afternoon when I realized I hadn't had any fluids since breakfast. At that time the headache was at the back of my head where it meets the top of my neck.  It felt a little like I'd had a whiplash. After I had some water, I called the Pharmacy to see if there was something I could do to feel better. The Pharmacist I spoke to advised Tylenol and fluids and said to call my doctor if I wasn't better by today. She also gave me the phone number to call to report these problems.  I felt better by evening and was able to eat something for supper, though not as much as usual. I slept OK last night, but continued the tylenol every 6 hours. Today I feel a lot better but I tire very quickly after exertion. Even though I tire easily, I was able to do 7 loads of laundry and walk a half mile outside.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Middle insomnia, Retching
Clinical narrative: The night of  12/13, I felt very tired about 10 p.m., which is an hour and a half before my usual bedtime. When I went to bed, I had trouble sleeping, woke every 2 hours with headache, intestinal discomfort, a couple of times I had dry heaves but didn't vomit. I took a couple of generic Tylenol about 4 a.m.The next morning I could eat only half my breakfast, headache was worse and I generally did not feel well. I lay around until mid-afternoon when I realized I hadn't had any fluids since breakfast. At that time the headache was at the back of my head where it meets the top of my neck.  It felt a little like I'd had a whiplash. After I had some water, I called the Pharmacy to see if there was something I could do to feel better. The Pharmacist I spoke to advised Tylenol and fluids and said to call my doctor if I wasn't better by today. She also gave me the phone number to call to report these problems.  I felt better by evening and was able to eat something for supper, though not as much as usual. I slept OK last night, but continued the tylenol every 6 hours. Today I feel a lot better but I tire very quickly after exertion. Even though I tire easily, I was able to do 7 loads of laundry and walk a half mile outside.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site discolouration, Injection site erythema, Injection site warmth, Malaise
Clinical narrative: She said she felt very sick and was in bed, she had also had the FLUZONE HD vaccination the same day. She felt better then next day but the injection of the PNEUMOVAX 23 injection was very red and hot and had a white discoloration in the middle. It did have heat in it but no streaking. A severe site reaction most likely, told her to use a cold compress, take ibuprofen and maybe diphenhydramine at bedtime. Called her on 12-15-17 pt said that the site looked much better.
Age: 25.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site rash, Injection site swelling, Type III immune complex mediated reaction
Clinical narrative: Arthus reaction: excessive swelling and rash on L deltoid injection site.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Injection site hot to touch, red, swollen, blistering. Necessitated a doctor office visit. Prescribed cephalexin 500 mg TID for 10 days.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity, Wrong technique in product usage process
Clinical narrative: Nurse squeezed upper arm extremely hard before administering shot, have had pain in upper arm since day after receiving shot, have difficulty raising my left arm and moving it to the left, experience pain nightly before falling to sleep, take TYLNEOL during the day and one ADVIL PM at night.
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Crying, Screaming
Clinical narrative: 24 hours after the immunization was given the child had a high pitched scream for 48 hours then it resolved.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Nausea
Clinical narrative: Patient is a 20 year old female with no significant medical history who received yellow fever vaccine in our clinic on 12/7/17 in preparation for an upcoming trip. She had been given a prescription for oral typhoid vaccine prior to that appointment by a provider. She started the oral typhoid vaccine on 12/11/17, taking the first dose at 7 pm. She felt fine that evening. At 5 am on 12/12/17 she work up with dull pain in the epigastric region and RUQ. The pain was fairly mild and persistent on and off throughout the day. On 12/13/17 she felt fine. She took the second dose of the oral typhoid vaccine on 12/13/17, again at 7 pm. She woke up on this morning 12/14/17 with mild epigastric pain, again radiating to the RUQ. Around 11:30 am the pain got more intense, up to an 8-9/10. She had associated diarrhea (4 watery stools in 1 1/2 hours). She also felt nauseated and had the chills. She did not vomit. She took a nap and woke up in the afternoon feeling better. By the evening of 12/14/17 she felt fine. As of 12/15/17 she had had no further symptoms.
Age: 22.0
Sex: F
Vaccine: YF
Symptoms: Altered state of consciousness, Blood glucose normal, Headache, Hyperhidrosis, Hypoacusis
Clinical narrative: Approximately 5 minutes after vaccination patient complained of "feeling like she was going to pass out". Patient felt shaky, sweaty, and complained of not hearing clearly. Patient was seated, blood pressure and pulse were attempted to be obtained- Meter failed to record BP- error reading. Distal pulse was not able to be obtained either. Patient remained conscious. 911 was called. 5 minutes later blood pressure was attempted again- same result- meter unable to record blood pressure. Patient remained conscious. After an additional 5 minutes (about 15 minutes after vaccination) EMTs arrived and obtained BP, pulse, and Blood sugar information on patient. Patient steadily improved over the next 15 to 20 minutes. Patient never lost consciousness. Patient refused to be transported to hospital.  EMTs left scene. Patient remained in pharmacy waiting area for 10-15 more minutes, then left to get a drink at coffee shop located within store. Patient's mother returned abouth 5 minutes later to state that patient was getting a headache and was going to treat with OTC medication.
Age: 22.0
Sex: F
Vaccine: YF
Symptoms: Tremor
Clinical narrative: Approximately 5 minutes after vaccination patient complained of "feeling like she was going to pass out". Patient felt shaky, sweaty, and complained of not hearing clearly. Patient was seated, blood pressure and pulse were attempted to be obtained- Meter failed to record BP- error reading. Distal pulse was not able to be obtained either. Patient remained conscious. 911 was called. 5 minutes later blood pressure was attempted again- same result- meter unable to record blood pressure. Patient remained conscious. After an additional 5 minutes (about 15 minutes after vaccination) EMTs arrived and obtained BP, pulse, and Blood sugar information on patient. Patient steadily improved over the next 15 to 20 minutes. Patient never lost consciousness. Patient refused to be transported to hospital.  EMTs left scene. Patient remained in pharmacy waiting area for 10-15 more minutes, then left to get a drink at coffee shop located within store. Patient's mother returned abouth 5 minutes later to state that patient was getting a headache and was going to treat with OTC medication.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Joint stiffness, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: About 1/2 hour after shot pain in arm lack of movement can't lift arm more than shoulder high can't sleep on that side of arm shoot pains down arm and back and joint is stiff still going on 9 days later
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Autoimmune disorder, Brain injury, Cognitive disorder, Culture, Encephalitis
Clinical narrative: Child received an MMR from the PHN at the school on 10/24/17. Three weeks later he was admitted to Hospital in a somnolent state. He was diagnosed with an acquired brain injury, encephalitis of unknown origin. All tests were negative for pathogens or other traumatic causes. He had had a cold prior to admission so they treated it as if it were a post-infectious/autoimmune cause and he was treated with IVIG and steroids as well as antibiotics and antiviral medication. He was in the PICU for 2 weeks with right sided weakness, impaired cognition and extreme somnolence. He then went to another Hospital for rehab. He continues to improve and has been discharged home approximately 5 weeks after admission.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Hemiparesis, Immunoglobulin therapy, Intensive care, Laboratory test normal, Lumbar puncture
Clinical narrative: Child received an MMR from the PHN at the school on 10/24/17. Three weeks later he was admitted to Hospital in a somnolent state. He was diagnosed with an acquired brain injury, encephalitis of unknown origin. All tests were negative for pathogens or other traumatic causes. He had had a cold prior to admission so they treated it as if it were a post-infectious/autoimmune cause and he was treated with IVIG and steroids as well as antibiotics and antiviral medication. He was in the PICU for 2 weeks with right sided weakness, impaired cognition and extreme somnolence. He then went to another Hospital for rehab. He continues to improve and has been discharged home approximately 5 weeks after admission.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Nasopharyngitis, Somnolence
Clinical narrative: Child received an MMR from the PHN at the school on 10/24/17. Three weeks later he was admitted to Hospital in a somnolent state. He was diagnosed with an acquired brain injury, encephalitis of unknown origin. All tests were negative for pathogens or other traumatic causes. He had had a cold prior to admission so they treated it as if it were a post-infectious/autoimmune cause and he was treated with IVIG and steroids as well as antibiotics and antiviral medication. He was in the PICU for 2 weeks with right sided weakness, impaired cognition and extreme somnolence. He then went to another Hospital for rehab. He continues to improve and has been discharged home approximately 5 weeks after admission.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Pain, Tenderness, Vomiting
Clinical narrative: Patient reported vomiting the night of vaccination, and nausea the next day, as well as the usual pain /tenderness in arm of the pneumonia shot (the left).
Age: 9.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Injection site erythema, Injection site mass, Local reaction
Clinical narrative: On day following vaccine administration, patient developed painless localized red lump on right arm (site of influenza vaccine). No itching or systemic symptoms. Typical of localized vaccine reaction.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Cellulitis; red swollen arm. Diagnosed by Urgent Care given cephalexin to treat
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Erythema, Local reaction, Nausea
Clinical narrative: Patient has localized reaction to Anthrax vaccine. Patient signs and symptoms are the following: Reaction on left arm (redness), nausea, and dizziness reported by paitent. No adverse reaction of swelling to throat or closed airway.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Developed hives right after vaccines. Observed until improved.
Age: 0.67
Sex: F
Vaccine: MMR
Symptoms: Autism spectrum disorder, Balance disorder, Cow's milk intolerance, Fall, Gait disturbance
Clinical narrative: Swelling, itching, and pain at the site of vaccination, with a slight bump under the skin. This has continued until today 12/15/2017, although the swelling has reduced significantly. Child experiences itchiness and sometimes pain at the area, which seems to be triggered when child consumes foods such as gluten/dairy (perhaps due to these foods causing inflammatory). Child was developing well, reaching all milestones, and even starting to walk, and consistently said eg. "mama" but suddenly stopped doing these things shortly after the vaccine. Child did not say "mama" again until 18 months, and has since struggled with learning language. Child had unusual difficulty walking and running, and would continually lose balance and fall even several months after learning to walk properly. Child is now starting to display some mild symptoms of autism.
Age: 0.67
Sex: F
Vaccine: MMR
Symptoms: Gluten sensitivity, Injection site pruritus, Regressive behaviour, Speech disorder developmental, Vaccination site pain
Clinical narrative: Swelling, itching, and pain at the site of vaccination, with a slight bump under the skin. This has continued until today 12/15/2017, although the swelling has reduced significantly. Child experiences itchiness and sometimes pain at the area, which seems to be triggered when child consumes foods such as gluten/dairy (perhaps due to these foods causing inflammatory). Child was developing well, reaching all milestones, and even starting to walk, and consistently said eg. "mama" but suddenly stopped doing these things shortly after the vaccine. Child did not say "mama" again until 18 months, and has since struggled with learning language. Child had unusual difficulty walking and running, and would continually lose balance and fall even several months after learning to walk properly. Child is now starting to display some mild symptoms of autism.
Age: 0.67
Sex: F
Vaccine: MMR
Symptoms: Vaccination site swelling
Clinical narrative: Swelling, itching, and pain at the site of vaccination, with a slight bump under the skin. This has continued until today 12/15/2017, although the swelling has reduced significantly. Child experiences itchiness and sometimes pain at the area, which seems to be triggered when child consumes foods such as gluten/dairy (perhaps due to these foods causing inflammatory). Child was developing well, reaching all milestones, and even starting to walk, and consistently said eg. "mama" but suddenly stopped doing these things shortly after the vaccine. Child did not say "mama" again until 18 months, and has since struggled with learning language. Child had unusual difficulty walking and running, and would continually lose balance and fall even several months after learning to walk properly. Child is now starting to display some mild symptoms of autism.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Patient noticed redness at site where she received ZOSTAVAX about 24 hours later. Noted that it felt inflamed and hot. She came to the pharmacy on the next day 12/15/17 and showed it to pharmacist and it looked very red and was about 2 inch x 2 inch patch on back of left arm at site of ZOSTAVAX. She also went to her MD and was told to ice and monitor.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Rash generalised, Urticaria
Clinical narrative: Covered head to toe in rash/hives. Noticed next day on her face. Did not inspect her full body until Saturday morning 12/9.
Age: 8.0
Sex: F
Vaccine: MMRV
Symptoms: Fatigue, Headache, Influenza like illness, Injection site pain, Injection site pruritus
Clinical narrative: 1. Pain and swelling at the injection site with intense itching - (Dec 1) took back to the doctor and they treated for a staph infection with augmentin 2. (Dec 2-9) Chronic headache and fatigue and flu like symptoms - rested at home 3. (Dec. 9) Measles like rash all over body with intense itching and aches in arms and legs and sore throat - treated for reaction to medicine (augmentin) by nurse line from pediatrician. 4. (Dec. 11) Continued rash and itching and aches with sore throat - confirmed adverse reaction from doctor 5. (Dec. 12-ongoing).  Recovering from rash, chronic sore throat, nausea, pain in legs and arms, general fatigue.
Age: 8.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site swelling, Nausea, Oropharyngeal pain, Pain in extremity, Pruritus
Clinical narrative: 1. Pain and swelling at the injection site with intense itching - (Dec 1) took back to the doctor and they treated for a staph infection with augmentin 2. (Dec 2-9) Chronic headache and fatigue and flu like symptoms - rested at home 3. (Dec. 9) Measles like rash all over body with intense itching and aches in arms and legs and sore throat - treated for reaction to medicine (augmentin) by nurse line from pediatrician. 4. (Dec. 11) Continued rash and itching and aches with sore throat - confirmed adverse reaction from doctor 5. (Dec. 12-ongoing).  Recovering from rash, chronic sore throat, nausea, pain in legs and arms, general fatigue.
Age: 8.0
Sex: F
Vaccine: MMRV
Symptoms: Rash generalised, Rash morbilliform, Staphylococcal infection
Clinical narrative: 1. Pain and swelling at the injection site with intense itching - (Dec 1) took back to the doctor and they treated for a staph infection with augmentin 2. (Dec 2-9) Chronic headache and fatigue and flu like symptoms - rested at home 3. (Dec. 9) Measles like rash all over body with intense itching and aches in arms and legs and sore throat - treated for reaction to medicine (augmentin) by nurse line from pediatrician. 4. (Dec. 11) Continued rash and itching and aches with sore throat - confirmed adverse reaction from doctor 5. (Dec. 12-ongoing).  Recovering from rash, chronic sore throat, nausea, pain in legs and arms, general fatigue.
Age: 45.0
Sex: M
Vaccine: FLUA3
Symptoms: Asthenia, Gait disturbance, Gait inability, Guillain-Barre syndrome, Impaired work ability
Clinical narrative: I was a foot and ankle surgeon in a busy multispecialty clinic in 2006. I worked out of an urgent care and it was a very busy flu year, at times 100 people a day were coming through. Folks would even be laying on the floor waiting to be seen. Out of an abundance of caution someone administratively mandated that everyone in our work area had to get a second booster of influenza that season. I received mine and had a one month steady rapid decline in health with flu like symptoms. The flu symptoms went away but I developed progressive weakness, and almost inability to walk up stairs, cold intolerance, axial and skeletal myopathy of unknown etiology. I had cancer chemo 20 years before and clinic thought it might have been related but no evidence. I was forced to quit doing surgery and eventually over a terrible 1.5 year struggle, I lost my practice, most friends whom were my colleagues and my health. I have piecemealed my life back together and volunteer a couple days a week. No one will hire me of course. I was 47 at the time this all happened. I got to practice about 13 years after my training but the lingering question was this all because of a flu shot gone bad? Numerous specialists could not clearly diagnose and some only admitted in retrospect that it was a partial GBS and has left me with permanent neurological damage.
Age: 45.0
Sex: M
Vaccine: FLUA3
Symptoms: Influenza like illness, Injury, Laboratory test, Myopathy, Nervous system disorder
Clinical narrative: I was a foot and ankle surgeon in a busy multispecialty clinic in 2006. I worked out of an urgent care and it was a very busy flu year, at times 100 people a day were coming through. Folks would even be laying on the floor waiting to be seen. Out of an abundance of caution someone administratively mandated that everyone in our work area had to get a second booster of influenza that season. I received mine and had a one month steady rapid decline in health with flu like symptoms. The flu symptoms went away but I developed progressive weakness, and almost inability to walk up stairs, cold intolerance, axial and skeletal myopathy of unknown etiology. I had cancer chemo 20 years before and clinic thought it might have been related but no evidence. I was forced to quit doing surgery and eventually over a terrible 1.5 year struggle, I lost my practice, most friends whom were my colleagues and my health. I have piecemealed my life back together and volunteer a couple days a week. No one will hire me of course. I was 47 at the time this all happened. I got to practice about 13 years after my training but the lingering question was this all because of a flu shot gone bad? Numerous specialists could not clearly diagnose and some only admitted in retrospect that it was a partial GBS and has left me with permanent neurological damage.
Age: 45.0
Sex: M
Vaccine: FLUA3
Symptoms: Temperature intolerance
Clinical narrative: I was a foot and ankle surgeon in a busy multispecialty clinic in 2006. I worked out of an urgent care and it was a very busy flu year, at times 100 people a day were coming through. Folks would even be laying on the floor waiting to be seen. Out of an abundance of caution someone administratively mandated that everyone in our work area had to get a second booster of influenza that season. I received mine and had a one month steady rapid decline in health with flu like symptoms. The flu symptoms went away but I developed progressive weakness, and almost inability to walk up stairs, cold intolerance, axial and skeletal myopathy of unknown etiology. I had cancer chemo 20 years before and clinic thought it might have been related but no evidence. I was forced to quit doing surgery and eventually over a terrible 1.5 year struggle, I lost my practice, most friends whom were my colleagues and my health. I have piecemealed my life back together and volunteer a couple days a week. No one will hire me of course. I was 47 at the time this all happened. I got to practice about 13 years after my training but the lingering question was this all because of a flu shot gone bad? Numerous specialists could not clearly diagnose and some only admitted in retrospect that it was a partial GBS and has left me with permanent neurological damage.