chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Crying, Dysphagia, Hypersensitivity
Clinical narrative: After vaccine, allergies seem exacerbated. Friday woke up crying - couldn't swallow. Mom gave BENADRYL 50mg po and then symptoms resolved slowly over next 24 hours.
Age: 3.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Probable shingles (per a dermatologist) on trunk (localized).
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Pt. noticed on 10-21/11 - 50 cent sized red circle around injection site, no swelling, itches a little bit.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis, Dyspnoea, Sinusitis, Swelling face, Swollen tongue
Clinical narrative: Breathing difficulty, Swelling of face, tongue, and sinus.  Arthritic symptoms in hands and arms. Used rescue inhaler for breathing.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctivitis infective, Cough, Dyspnoea, Eye pruritus, Eye swelling
Clinical narrative: Treated for pink eye.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Increased upper airway secretion, Pain, Respiratory tract congestion, Wheezing
Clinical narrative: Treated for pink eye.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Started breaking out (red hives) on breast and spread to torso and legs, then on back over a couple of hours after getting vaccine. I took Benadryl 25mg when I got home and then 25mg 5 hrs later. I used hydrocortisone ointment on the rash.
Age: 29.0
Sex: M
Vaccine: FLUX
Symptoms: Headache, Nausea, Pain, Vomiting
Clinical narrative: Body Ache (severe) Nausea Vomiting Headache (severe)
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Exophthalmos, Eye pruritus, Ocular hyperaemia, Throat tightness
Clinical narrative: Eyes red, itchy and bulging, throat closing up, couldn't breathe.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: C/o itching welts three hours after vaccine.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Round puffy patch about 2.5" across with redness, itchiness, and heat.
Age: 9.0
Sex: M
Vaccine: TYP, YF
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Arthralgia, Joint swelling, Juvenile arthritis, Laboratory test, Musculoskeletal stiffness
Clinical narrative: Stiffness in fingers, swollen finger joints, painful joints.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Blood test normal, Joint swelling, Juvenile arthritis, Limb discomfort, X-ray limb normal
Clinical narrative: Stiffness in fingers, swollen finger joints, painful joints.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Fatigue, Headache, Heart rate increased, Musculoskeletal pain
Clinical narrative: DIARRHEA, HEADACHE, EXTREME PAIN REAR LEFT SHOULDER BLADE, NECK PAIN, RAPID HEART BEAT, FATIGUE LASTING 8 DAYS.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: DIARRHEA, HEADACHE, EXTREME PAIN REAR LEFT SHOULDER BLADE, NECK PAIN, RAPID HEART BEAT, FATIGUE LASTING 8 DAYS.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Fatigue, Headache, Lacrimation increased, Musculoskeletal pain
Clinical narrative: DIARRHEA, HEADACHE, NECK AND SHOULDER PAIN, UPPER RESPIRATORY CONDITIONS, WATERY EYES, FATIGUE STILL ONGOING 9 DAYS LATER.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Upper respiratory tract infection
Clinical narrative: DIARRHEA, HEADACHE, NECK AND SHOULDER PAIN, UPPER RESPIRATORY CONDITIONS, WATERY EYES, FATIGUE STILL ONGOING 9 DAYS LATER.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Swollen tear duct
Clinical narrative: 10/27/2011 Right arm, deltoid area warm to touch, pink tinged, tenderness with some swelling under the right arm.  10/28/2011 Right tear duct is slightly swollen today.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Neck pain
Clinical narrative: SEVERE HEADACHE, NECK PAIN, FATIGUE STILL ONGOING.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site discomfort, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site right deltoid. Lower deltoid developed red blotchy areas, warm to touch w/ min discomfort and min swelling. Pt stated that 24 hours after injection arm was very sore and had difficulty raising arm. Then the next day had minimal pain but by evening noticed red blotchy area. Instructed pt to apply cool compresses and take an antihistamine. Also instructed to f/u prn for worsening s/s.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Pain in extremity, Rash macular
Clinical narrative: Injection site right deltoid. Lower deltoid developed red blotchy areas, warm to touch w/ min discomfort and min swelling. Pt stated that 24 hours after injection arm was very sore and had difficulty raising arm. Then the next day had minimal pain but by evening noticed red blotchy area. Instructed pt to apply cool compresses and take an antihistamine. Also instructed to f/u prn for worsening s/s.
Age: 30.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth, Local reaction, Rash macular
Clinical narrative: Local reaction: about a 4"red area with little red blotches toward the armpit area. Pt states that it showed up the next day, and has remained the same. Pt reports that it has not gotten bigger. Pt reports no other symptoms. The site is warm to the touch and red only.
Age: 1.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Hard, red, warm, sore lump around the injection site.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Herpes zoster, Injection site pain, Injection site reaction, Pain
Clinical narrative: Developed very painful, stinging, burning, itching rash that spread from elbow to shoulder to wrist all up and down right arm (where Gardasil shot given).  Dx'd shingles.  No fever.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Rash pruritic
Clinical narrative: Developed very painful, stinging, burning, itching rash that spread from elbow to shoulder to wrist all up and down right arm (where Gardasil shot given).  Dx'd shingles.  No fever.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to injection site - right upper thigh.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Warm, erythema, and induration over site of injection. Advised warm compress. Per mom, it didn't seem to bother the patient.
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Initial report was received on 21 October 2011 from a company representative who is also the patient's daughter. A female patient (date of birth not reported) with no reported past medical history had received on 19 October 2011 one shot in each arm of INFLUENZA VACCINE (manufacturer, lot number, route and exact site of administration not reported) and a Pneumo vaccine (manufacturer, lot number, route and exact site of administration not reported) and within 24 hours after vaccination experienced swelling, redness, pain and elevated heat of the arm vaccinated with the influenza vaccine. The patient was evaluated by a school nurse and was told to "wait and that it may be a mild reaction to the shot". The patient returned to the nurse and reported that her arm was not getting any better, the symptoms had increased and she now had swelling into her back and front beyond her shoulder area. The patient contacted her physician's office. She spoke with a nurse who suspected cellulitis based on the symptoms reported. Treatments included cephalexin. According to the reporter, the reaction was actually in the arm that the patient had received the Pneumo vaccine. It was also reported that the physician does not think that the reaction was from either vaccination. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain in extremity, Swelling
Clinical narrative: Initial report was received on 21 October 2011 from a company representative who is also the patient's daughter. A female patient (date of birth not reported) with no reported past medical history had received on 19 October 2011 one shot in each arm of INFLUENZA VACCINE (manufacturer, lot number, route and exact site of administration not reported) and a Pneumo vaccine (manufacturer, lot number, route and exact site of administration not reported) and within 24 hours after vaccination experienced swelling, redness, pain and elevated heat of the arm vaccinated with the influenza vaccine. The patient was evaluated by a school nurse and was told to "wait and that it may be a mild reaction to the shot". The patient returned to the nurse and reported that her arm was not getting any better, the symptoms had increased and she now had swelling into her back and front beyond her shoulder area. The patient contacted her physician's office. She spoke with a nurse who suspected cellulitis based on the symptoms reported. Treatments included cephalexin. According to the reporter, the reaction was actually in the arm that the patient had received the Pneumo vaccine. It was also reported that the physician does not think that the reaction was from either vaccination. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye pruritus, Headache, Lacrimation increased, Ocular hyperaemia
Clinical narrative: Events occurred on 10/19/11: 9:15 am - received flu shot. 1:15 pm - eyes (red, itchy, watery). 1:30 pm - tongue swelling, throat itchy/scratchy and had chills, eyes still red/watery. 1:45 pm - took BENADRYL. 2:30 pm - tongue still swollen but not worse, felt achy with chills red/watery eyes. 4:45 pm - arrived at home took THERAFLU, headache began. 6:00 pm - swelling of tongue better still had headache. Thursday - felt better.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Swollen tongue, Throat irritation
Clinical narrative: Events occurred on 10/19/11: 9:15 am - received flu shot. 1:15 pm - eyes (red, itchy, watery). 1:30 pm - tongue swelling, throat itchy/scratchy and had chills, eyes still red/watery. 1:45 pm - took BENADRYL. 2:30 pm - tongue still swollen but not worse, felt achy with chills red/watery eyes. 4:45 pm - arrived at home took THERAFLU, headache began. 6:00 pm - swelling of tongue better still had headache. Thursday - felt better.
Age: 62.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysphagia, Erythema, Eye swelling, Fatigue, Lip swelling
Clinical narrative: 9:15 pm - pt complains of "something stuck in throat" and "feeling tired". Self admin. BENADRYL with no relief. In bed 30 minutes - lips tingling, throat "tighter", eyes, lips & face swollen, chest - "bright red". Drive to ER by daughter. Decreased in swallowing difficulty at ER. MD admin. ZANTAC, steroids & BENADRYL with relief. Discharged 4:30 am on 10/26/11 with 5 day Rx of ZANTAC, steroid, BENADRYL.
Age: 62.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia oral, Sensation of foreign body, Swelling face, Throat tightness
Clinical narrative: 9:15 pm - pt complains of "something stuck in throat" and "feeling tired". Self admin. BENADRYL with no relief. In bed 30 minutes - lips tingling, throat "tighter", eyes, lips & face swollen, chest - "bright red". Drive to ER by daughter. Decreased in swallowing difficulty at ER. MD admin. ZANTAC, steroids & BENADRYL with relief. Discharged 4:30 am on 10/26/11 with 5 day Rx of ZANTAC, steroid, BENADRYL.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test normal, Pruritus, Urticaria
Clinical narrative: Itching, hives started 45 mins after injection, given BENADRYL IV, Simvastatin in ED.
Age: 2.0
Sex: F
Vaccine: PER
Symptoms: Convulsion, Learning disorder
Clinical narrative: Initial report was received 13 October 2011 via a company sponsored web site from a consumer, who is also the patient. A female patient who was two year-old at the time of the event had received the PERTUSSIS VACCINE (manufacturer, lot number, route, site and date of administration not reported) and within 10 minutes, experienced a "sesure" (seizure) that lasted for 45 minutes. According to the patient, "now that I'm older I have slow learning problems". No further information was available at the time of the report. Outcome is not recovered. Documents held by sender: none.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Amnesia, Arthropathy, Condition aggravated, Convulsion, Tongue biting
Clinical narrative: Had a seizure: some memory loss, bit tongue very severely, possible broken or dislocated bone in her shoulder. (She has an appointment with a orthopedic specialist).
Age: 4.0
Sex: M
Vaccine: DTAP, FLUN3, IPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis.
Age: 1.25
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Asthenia, Cerebellar ataxia, Gait disturbance, Nuclear magnetic resonance imaging normal
Clinical narrative: Unsteady gait, weakness 24 hours following immunization. Observed in hospital. Dx cerebellar ataxia.
Sex: F
Vaccine: DTP
Symptoms: Blood test abnormal, Bordetella test positive, Cough, Fatigue, Pertussis
Clinical narrative: Initial report was received 13 October 2011 via a company sponsored web site from a consumer, who is the patient's parent. A female patient (who was 49 years of age at the time of this report) had received all her recommended shots, including a DTP vaccination series as a child (DTP manufacturer, lot numbers, route, site and dates of administration not reported). Two years ago, the patient developed pertussis and pneumonia at the same time. Subsequently, for the last couple of weeks, she had a deep cough and felt exceptionally tired. She received unspecified blood tests and it was determined she again had whooping cough. The patient had been taking an antibiotic and was feeling better. The patient had a history of rheumatoid arthritis and a compromised immune system. It was not reported if the patient fully recovered. Documents held by sender: None.
Sex: F
Vaccine: DTP
Symptoms: Pneumonia
Clinical narrative: Initial report was received 13 October 2011 via a company sponsored web site from a consumer, who is the patient's parent. A female patient (who was 49 years of age at the time of this report) had received all her recommended shots, including a DTP vaccination series as a child (DTP manufacturer, lot numbers, route, site and dates of administration not reported). Two years ago, the patient developed pertussis and pneumonia at the same time. Subsequently, for the last couple of weeks, she had a deep cough and felt exceptionally tired. She received unspecified blood tests and it was determined she again had whooping cough. The patient had been taking an antibiotic and was feeling better. The patient had a history of rheumatoid arthritis and a compromised immune system. It was not reported if the patient fully recovered. Documents held by sender: None.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Henoch-Schonlein purpura, Pain, Platelet count normal, Pyrexia
Clinical narrative: HSP (Henoch Schonlein Purpura); admitted to hospital because of painful purpura, fever and abdominal pain with emesis.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary system X-ray, Urine analysis normal, Vomiting, X-ray normal
Clinical narrative: HSP (Henoch Schonlein Purpura); admitted to hospital because of painful purpura, fever and abdominal pain with emesis.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Swelling of lips.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Mobility decreased, Nausea, Pain
Clinical narrative: My joints began to ache, I developed a fever and chills and by 8:00pm, I was in so much pain I could hardly move (9-10 on the pain scale). I was completely nauseous and could not keep down any food.  The pain lessened the next day (7-8) but continued.  I'm now in day 3 -- and I still have pain at the 7-8 scale.  The fever has dropped, but I can't even smell food.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Vomiting
Clinical narrative: My joints began to ache, I developed a fever and chills and by 8:00pm, I was in so much pain I could hardly move (9-10 on the pain scale). I was completely nauseous and could not keep down any food.  The pain lessened the next day (7-8) but continued.  I'm now in day 3 -- and I still have pain at the 7-8 scale.  The fever has dropped, but I can't even smell food.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Erythema, Heart rate irregular, Incoherent, Pain
Clinical narrative: Initial reaction from after receiving the vaccine was soreness, some swelling, and redness.  By the 2nd day on 10/26/2011, I developed a fever, had difficulty breathing, became incoherent, and experienced an irregular heart beats.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Swelling
Clinical narrative: Initial reaction from after receiving the vaccine was soreness, some swelling, and redness.  By the 2nd day on 10/26/2011, I developed a fever, had difficulty breathing, became incoherent, and experienced an irregular heart beats.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Nausea, Pharyngeal oedema
Clinical narrative: NAUSEA, CHILLS, SWELLING OF THROAT FRIDAY SLEPT 10HRS, SATURDAY FINE WENT TO MEETING THEN CAME HOME SLEPT 8HRS SORE BACK.
Age: 57.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Death, Intensive care, Multi-organ failure, Septic shock
Clinical narrative: Reported to us that patient received Flu shot on 10/17/2011 and went to ER.  Admitted to ICU with septic shock and multiple organ failure.
Age: 57.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Death
Clinical narrative: Reported to us that patient received Flu shot on 10/17/2011 and went to ER.  Admitted to ICU with septic shock and multiple organ failure.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Generalised erythema, Swelling
Clinical narrative: REDNESS, SWELLING, ALL OVER BODY FOR 2 WEEKS.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Immediate swelling at injection site that was approximately 2 inches wide with a hard lump in the middle.  The swelling began to go down after approximately five minutes, but remained elevated.  There was no itching, redness, warmth, or bruising at the site.  The patient was observed for approximately 20 minutes.  She was questioned if she was experiencing any SOB, wheezing, dizziness. The patient was ready to leave and did not want to wait any longer.  She was called later and attested that the swelling had gone down and there was only a hard knot.  The patient came into the pharmacy on 10/28/11 to be observed.  The swelling was gone, but a small knot could be palpated but not visible.  The patient reported some injection site pain that was not out of the ordinary after an intramuscular injection.  She endorses that it is controlled with Tylenol.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Oedema peripheral
Clinical narrative: Swelling in arm, then temp to 101 x 24 hrs. Tylenol and warm compresses.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Heart rate increased, Injection site erythema, Nausea, Pyrexia, Vomiting
Clinical narrative: NAUSEA, VOMITING, FEVER, HIGH HEART RATE AND BLOOD PULSE AND REDNESS AT INJECTION SITE.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Local swelling
Clinical narrative: Pt presented with erythema and swelling that was localized.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cold sweat, Dyspnoea, Headache, Hyperhidrosis
Clinical narrative: Clammy, short breathing, headache, sweating, shivering, shaking, loss of control on my limbs.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Loss of control of legs, Movement disorder, Tremor
Clinical narrative: Clammy, short breathing, headache, sweating, shivering, shaking, loss of control on my limbs.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dizziness, Dry eye, Eye pruritus, Pruritus
Clinical narrative: 4 hours after vaccine was administered pt. experienced hives all over body, dizziness, itchiness, dry and itchy eyes and has developed a cough.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 4 hours after vaccine was administered pt. experienced hives all over body, dizziness, itchiness, dry and itchy eyes and has developed a cough.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Intense, severe pain in my upper arm, radiating out from the site of the shot. The pain was so intense that I could not use my arm. This pain stayed at the same intensity for about 3 hours, even though I took ibuprofen and Tylenol about an hour after I received the vaccine. The pain started to subside VERY slightly after about 4 hours, and was much better the next day.  I have never experienced such an adverse reaction to the flu shot.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea and vomiting.
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Influenza like illness, Pain
Clinical narrative: Flu-like symptoms for the first 4 days (body extremely sore all over), then turned into headache for next 4 days (today).
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Abnormal behaviour
Clinical narrative: Sister states he has had behavioral changes since injection.
Age: 26.0
Sex: F
Vaccine: HEPAB, VARCEL
Symptoms: Burning sensation, Erythema, Oedema peripheral, Skin warm
Clinical narrative: Red area 70 MM across on upper arm.  30 mm area inside larger area is raised somewhat.   Hot to touch.  Burning sensation.   Patient has no fever. No itching.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Malaise, Rash, Varicella
Clinical narrative: Pt stated she started feeling very tired and sick; a day later she started having little bumps and then the 3rd day after the bumps got a little bigger. Pt went to dr on 10/26 and dr diagnosed pt with chicken pox.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Haematoma, Pain, Soft tissue disorder
Clinical narrative: Formation of half-dollar size hematoma, soreness and thickening of the tissue. Applied warm compress two to three times each day.  Soreness subsided on 10/27/2011.  Hematoma and thickening of the tissue still present on 10/28/2011.
Age: 59.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Diarrhoea, Headache
Clinical narrative: Headache, chills, diarrhea.
Age: 42.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Shortly after receiving the FluMist I got a headache and bad sore throat.  Later that night I became light headness and notice some wheezing when I took a deep breath.   The next day headache and sore throat continue but started with muscle aches all over.   Heart rate went up 40 beats from my baseline and felt like I was crawling out of my skin.  Never had a fever.   Second day felt better, just like I  had a bad cold, sore throat, head ache, runny nose and cough, tired.     4 days later still with bad cold symptoms.
Age: 42.0
Sex: F
Vaccine: FLUN3
Symptoms: Myalgia, Oropharyngeal pain, Pain, Rhinorrhoea, Wheezing
Clinical narrative: Shortly after receiving the FluMist I got a headache and bad sore throat.  Later that night I became light headness and notice some wheezing when I took a deep breath.   The next day headache and sore throat continue but started with muscle aches all over.   Heart rate went up 40 beats from my baseline and felt like I was crawling out of my skin.  Never had a fever.   Second day felt better, just like I  had a bad cold, sore throat, head ache, runny nose and cough, tired.     4 days later still with bad cold symptoms.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Baseball sized lump hot and red at injection site. Dr said give Benadryl and Benadryl cream but it's just getting bigger.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site swelling
Clinical narrative: AREA VACCINATED IS SWOLLEN, REDDENED, AND HARD TO THE TOUCH.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Irritability, Rash
Clinical narrative: Rash that began on neck and extended down chest, abdomen, back. Extreme irritability.
Age: 1.51
Sex: M
Vaccine: FLU3
Symptoms: Culture throat, Pyrexia
Clinical narrative: Fever (High of 103 degrees).
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Local swelling
Clinical narrative: Swelling and redness of ~10cm in diameter, improved with Benadryl and cool compresses.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dysgeusia, Dyskinesia, Eyelid function disorder, Facial pain
Clinical narrative: Bells Palsy: discomfort of L eye, strange taste in mouth, followed by weakness of L side of mouth and L eyelid. Tx w prednisone 60mg/day x 1 weeks and acyclovir 400mg qid x 1 week. 10/28 sx are improving, but still with inability to close L eyelid and weakness and decreased movement of upper lip on L. Local pain when face is touched.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular discomfort, VIIth nerve paralysis
Clinical narrative: Bells Palsy: discomfort of L eye, strange taste in mouth, followed by weakness of L side of mouth and L eyelid. Tx w prednisone 60mg/day x 1 weeks and acyclovir 400mg qid x 1 week. 10/28 sx are improving, but still with inability to close L eyelid and weakness and decreased movement of upper lip on L. Local pain when face is touched.
Age: 35.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Asthenia, Headache, Myalgia, Pyrexia
Clinical narrative: High fever, headache, muscle and joint aches, and weakness. Started Friday evening and lasted through Sunday afternoon.
Age: 37.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Diarrhoea, Headache, Injection site erythema, Injection site swelling
Clinical narrative: High fever, headache, muscle and joint ache, diarrhea, and redness and swelling/hives where shot was given.
Age: 37.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site urticaria, Myalgia, Pyrexia
Clinical narrative: High fever, headache, muscle and joint ache, diarrhea, and redness and swelling/hives where shot was given.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient states that developed redness and warmth at the site of the injection on 10/25/11.  Patients reported by 10/28/11 warth has resolved and redness is fading.
Age: 9.0
Sex: F
Vaccine: FLU3, IPV, MMR, TDAP, VARCEL
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Ataxia, Cerebellar syndrome, Headache
Clinical narrative: Pt began having headaches that were described as throbbing at her temples b/l. Initially the headaches were relieved with Tylenol or Motrin. Over the next 3 days the headaches worsened in severity and were not relieved with Tylenol or Motrin alone. Pt also began developing photophobia and N/V when pain was severe. Headaches would wake her up from sleep. Basically she developed neurological symptoms of ataxia, dysmetria, hyperreflexia, urinary retention, AMS, and weakness and was found to have ADEM on 10/25 MRI.
Age: 9.0
Sex: F
Vaccine: FLU3, IPV, MMR, TDAP, VARCEL
Symptoms: Hyperreflexia, Nausea, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Photophobia
Clinical narrative: Pt began having headaches that were described as throbbing at her temples b/l. Initially the headaches were relieved with Tylenol or Motrin. Over the next 3 days the headaches worsened in severity and were not relieved with Tylenol or Motrin alone. Pt also began developing photophobia and N/V when pain was severe. Headaches would wake her up from sleep. Basically she developed neurological symptoms of ataxia, dysmetria, hyperreflexia, urinary retention, AMS, and weakness and was found to have ADEM on 10/25 MRI.
Age: 9.0
Sex: F
Vaccine: FLU3, IPV, MMR, TDAP, VARCEL
Symptoms: Poor quality sleep, Urinary retention, Vomiting
Clinical narrative: Pt began having headaches that were described as throbbing at her temples b/l. Initially the headaches were relieved with Tylenol or Motrin. Over the next 3 days the headaches worsened in severity and were not relieved with Tylenol or Motrin alone. Pt also began developing photophobia and N/V when pain was severe. Headaches would wake her up from sleep. Basically she developed neurological symptoms of ataxia, dysmetria, hyperreflexia, urinary retention, AMS, and weakness and was found to have ADEM on 10/25 MRI.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills
Clinical narrative: Weakness, chills.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Local swelling
Clinical narrative: Large local swelling, improved w/ Benadryl.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Activities of daily living impaired, Chills, Crying, Dry mouth, Dyspnoea
Clinical narrative: Extreme pain and weakness right arm.  Injection arm.  Headache, chills, fever, crying, trouble breathing, body aches, dry mouth, cannot move arm today at all. Had to miss work.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Injected limb mobility decreased, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Extreme pain and weakness right arm.  Injection arm.  Headache, chills, fever, crying, trouble breathing, body aches, dry mouth, cannot move arm today at all. Had to miss work.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Extreme pain and weakness right arm.  Injection arm.  Headache, chills, fever, crying, trouble breathing, body aches, dry mouth, cannot move arm today at all. Had to miss work.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia
Clinical narrative: Patient had severe muscle pain in the injection arm.  Was unable to move the arm. Patient saw physician who prescribe anti-inflammatory medication.  As of 10/28/11 still has some tenderness at injection site.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Dysphonia, Headache, Hyperhidrosis
Clinical narrative: Extremely sore throat. Headache, post nasal drip, body ache, mild sweating and chills. Developed a cough the next day. Developed hoarseness with partial loss of voice on day 2 and 3.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Extremely sore throat. Headache, post nasal drip, body ache, mild sweating and chills. Developed a cough the next day. Developed hoarseness with partial loss of voice on day 2 and 3.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: VIIth nerve paralysis
Clinical narrative: Patient was given a chickenpox vaccine at school. Shortly after having that vaccine the entire right side of her face got paralyzed. Neither she was able to close her eye, nor move her mouse or nose. Patient's mom took her to ER, they checked patient for a stroke and some other things, and told to contact pediatrician.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Erythema, Fear, Rash macular
Clinical narrative: Progressive SOB, dizziness, circular blotchy white/pink rash on chest, redness on arms. SOB got worse -> gave epipen, called ambulance. Pt got better 10 min later father pick up to go home. BP 140/80 HRPP following epi pt was seated which contributed to rxn (see back for more info). Pt returned to pharmacy 10 minutes after receiving flu shot (FLUVIRIN) complaining of dizziness and shortness of breath. I told pt to sit down, gave cold wet towel in ziplock bag to put on forehead, told to put head between knees. Also in few minutes I gave her icepack wrapped in teeshirt. I told her to take off coat to help breath - she said is getting worse. I noticed circles forming on chest and becoming more pronounced and redness on arms. Pt said he did not have those circles before. I told tech to call 911 and I was sitting with pt - she was getting worse - shaking, saying SOB getting worse. I administered epipen 1 dose in thigh - pt was sitting. Within 5 min ambulance arrived. They were going to give her BENADRYL but then few minutes later she was feeling better so they decided not to. They offered to take her to the hospital. 10 min later her father came to window and told me that pt was doing better, he said he saw this circular rash this morning but pt told me and paramedics that she did not have it before and that was why combining with progressive SOB and rash I thought it was allergic reaction. Her BP after epipen was 140/80 hr 80. After epi injection breathing slowly returned to normal. Pt was scared and I think it contributed to the reaction. Pt's father told me that pt was feeling ok and decided not to go to ER and just home to rest. I called pt home twice at 6 pm and 8 pm to check on her - she said she was back to normal. Pt stated that arm was not sore but a little sore at EPI pen injection site. I told pt to follow up with MD tomorrow in case reaction returns. I called and left message for supervisor regarding incident.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Progressive SOB, dizziness, circular blotchy white/pink rash on chest, redness on arms. SOB got worse -> gave epipen, called ambulance. Pt got better 10 min later father pick up to go home. BP 140/80 HRPP following epi pt was seated which contributed to rxn (see back for more info). Pt returned to pharmacy 10 minutes after receiving flu shot (FLUVIRIN) complaining of dizziness and shortness of breath. I told pt to sit down, gave cold wet towel in ziplock bag to put on forehead, told to put head between knees. Also in few minutes I gave her icepack wrapped in teeshirt. I told her to take off coat to help breath - she said is getting worse. I noticed circles forming on chest and becoming more pronounced and redness on arms. Pt said he did not have those circles before. I told tech to call 911 and I was sitting with pt - she was getting worse - shaking, saying SOB getting worse. I administered epipen 1 dose in thigh - pt was sitting. Within 5 min ambulance arrived. They were going to give her BENADRYL but then few minutes later she was feeling better so they decided not to. They offered to take her to the hospital. 10 min later her father came to window and told me that pt was doing better, he said he saw this circular rash this morning but pt told me and paramedics that she did not have it before and that was why combining with progressive SOB and rash I thought it was allergic reaction. Her BP after epipen was 140/80 hr 80. After epi injection breathing slowly returned to normal. Pt was scared and I think it contributed to the reaction. Pt's father told me that pt was feeling ok and decided not to go to ER and just home to rest. I called pt home twice at 6 pm and 8 pm to check on her - she said she was back to normal. Pt stated that arm was not sore but a little sore at EPI pen injection site. I told pt to follow up with MD tomorrow in case reaction returns. I called and left message for supervisor regarding incident.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction, Rash macular
Clinical narrative: Severe left upper arm pain. Red blotchy skin tone to left upper arm.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient described swelling in arm at site of injection, later that night & redness! Pharmacy was not notified until weeks later.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Apnoeic attack, Syncope
Clinical narrative: Patient had syncope/apneic episodes x 4-5 starting 3 min. after immunizations.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: One minute after receiving flu vaccine, patient had syncope for approximately 10 seconds. Had patient continue to lie down with legs elevated for 15 minutes before allowing patient to leave the office. Patient got approximately 5 hours sleep night before.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dysstasia, Feeling cold, Hypotension, Laboratory test normal
Clinical narrative: Pt was given the FLUZONE vaccine on 10/20/11 at 1pm. 9pm that same day pt. experienced feeling very cold, felt weak, her husband stated she fainted, the ambulance was called, her blood pressure was low unable to stand. Went to ER, they ran test and found nothing wrong.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Pt was given the FLUZONE vaccine on 10/20/11 at 1pm. 9pm that same day pt. experienced feeling very cold, felt weak, her husband stated she fainted, the ambulance was called, her blood pressure was low unable to stand. Went to ER, they ran test and found nothing wrong.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt. recv'd the flu shot on 10/4/11. After leaving had a very sore and painful arm.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Pt. recv'd the flu shot on 10/4/11. After leaving had a very sore and painful arm.
Age: 1.16
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient in for vaccines, as requested to split up shots due at 1 yr. MMR, Varicella, Hep A and Influenza ordered and given. During routine paperwork discovered 2nd MMR had been given on Oct. 7, 2011.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Erythema, Injection site pruritus, Injection site reaction, Pruritus
Clinical narrative: Red pimple developed on 10/16/11 around navel & stomach w/ itching couple of pimples around injection site & itching. Opposite arm - (l) itching when arm bends.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood creatine phosphokinase increased, Gait disturbance, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: 10/21/11 FLUMIST. 10/23/11 URI & fever onset. 10/26/11 Myalgia onset. 10/27/11 Refusal to walk with calf tenderness. 10/28/11 AF walking today.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Upper respiratory tract infection
Clinical narrative: 10/21/11 FLUMIST. 10/23/11 URI & fever onset. 10/26/11 Myalgia onset. 10/27/11 Refusal to walk with calf tenderness. 10/28/11 AF walking today.
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Vaccine given - obs x15 w/o complaint. Shortly after c/o frontal H/A - Sec r/s, no paleness, no dizziness. Obs x30 min w/o change. Spoke with mother via phone. Hx of H/A for varied reasons - nothing specific.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blister, Erythema, Herpes zoster, Pain
Clinical narrative: Awoke on 10/16/11 with redness & pain on left side bra area and going around her back. Says blisters appeared on Monday 10/17/11. Dx with Shingles by telephone.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Vomiting.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Cardiac disorder, Condition aggravated, Nervous system disorder, Renal disorder
Clinical narrative: Pt rec'd FLUVIRIN; 3-5 days later, all of LUPUS sx increased (to include renal cardiac, CNS & arthritis), sx remained x 5-7 days, then tapered; pt was in contact w/MD after 5-6 days after vaccine. MD directed pt to increase MTX - prednisone to control sx. Sx still present, but not as severe - worst flair since pt was on DM agent.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Systemic lupus erythematosus
Clinical narrative: Pt rec'd FLUVIRIN; 3-5 days later, all of LUPUS sx increased (to include renal cardiac, CNS & arthritis), sx remained x 5-7 days, then tapered; pt was in contact w/MD after 5-6 days after vaccine. MD directed pt to increase MTX - prednisone to control sx. Sx still present, but not as severe - worst flair since pt was on DM agent.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site - red, hot swollen at site of Varicella vaccine - 2" x 3", painful, swollen hot; c/o joint pain. Tx with KEFLEX/Steroid --> took 4 D to resolve.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Nausea, Oral pruritus, Pruritus generalised
Clinical narrative: Patient received flu shot - within 10 minutes had itching on her lips. Pt closely observed and within next 5 minutes developed generalized itches; flushing and nausea. Pt taken to emergency department and was discharged the same day.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Pt described being severely sore for few days, having severe fatigue and headaches. Had never had rxns previously with regular FLUVIRIN vs HIGH DOSE.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Myalgia
Clinical narrative: Muscle pain in left shoulder next AM after flu shot. (9/17) states that now, 4 wks later, has pain now in right shoulder, very painful in AM, lessening to very little pain, if any by the evening. More painful when laying down, much better when standing. Pt initially went to MD, he said it was normal with HD shot, but now after 4 wks, pt feels it might not be normal and reported to me.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Patient fainted slightly after administration of FLUZONE 2011-12 vaccine. She was later conscious again and all vitals (verified by paramedic) are fine. Patient was followed up by doctor.
Age: 48.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received INFLUENZA & PNEUMOVAX vaccine on 10-13-11. On the next day called complaining site of injection red - swollen & painful. Went to immediate care on 10/14/11 told she had cellulitis to site. Follow-up appt on 10-17-11 with dr. Patient started on antibiotic therapy by immediate care physician.
Age: 10.0
Sex: M
Vaccine: FLUX, HEPA
Symptoms: Injection site erythema
Clinical narrative: Pt was given flu vaccine in (L) arm and hep A in (R) noted redness around (L) arm injection site. It was worse on 10-26-2011.
Age: 7.0
Sex: M
Vaccine: FLUX, HEPA, IPV
Symptoms: Pruritus, Swelling
Clinical narrative: Mom reported by phone that right arm started itching the day after receiving INFLUENZA vaccine in that arm. Also c/o minimal swelling. Spoke with dr who advised BENADRYL 25 mg every 6 hours and call for appt. next day if persists.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives to face per patient's report and itching to skin of trunk and arms. Pt managed symptoms with BENADRYL.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness appeared within 24 hours of administration; 5 days later spot was 4-6 cm in diameter, then swelling and redness reduced and patient is better. Administered 10-23-2011.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Oedema peripheral, Paraesthesia, Sensation of heaviness
Clinical narrative: Day after vaccine administered pt felt swelling & discomfort in (R) axilla & heaviness in (R) arm with tingling of (R) hand.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Full blood count normal, Lymphadenopathy, Swelling, Tenderness
Clinical narrative: Cervical lymphadenopathy with large swelling and tenderness.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: At 1:10 PM administered vaccine 1:20PM - 1:50PM patient experienced dizziness blood pressure increased to 203/107. At 1:50PM paramedics called to take patient for observation.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Tinnitus, Vision blurred
Clinical narrative: At 1:10 PM administered vaccine 1:20PM - 1:50PM patient experienced dizziness blood pressure increased to 203/107. At 1:50PM paramedics called to take patient for observation.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Limb discomfort, Oedema peripheral, Skin warm
Clinical narrative: Pt states he got a PSV vaccine on 10/27/2011 at this Clinic. Here now with swelling/warm to Lt arm. No pain but discomfort.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL, MMR, VARCEL, DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Obsessive-compulsive disorder
Clinical narrative: This case was reported by a health care professional and described the occurrence of obsessive compulsive disorder in a 5-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline), MMR II (non-gsk), (non-gsk) VARIVAX and (non-gsk) FLUMIST. The subject's medical history included delayed speaking and premature birth at 34 weeks. Concurrent medical conditions included streptococcal throat. On 27 January 2011 at 10:30 the subject received unspecified dose of KINRIX (details unknown). On 27 January 2011 the subject also received unspecified dose of MMR (non-gsk) (details unknown), unspecified dose of VARIVAX (details unknown) and unspecified dose of FLUMIST (details unknown). It was not specified whether all the vaccinations were administered at the same time. On 27 January 2011, 90 minutes after vaccination with KINRIX, less than one day after vaccination with MMR II vaccine (Non-GSK), VARIVAX and FLUMIST, the subject experienced obsessive compulsive disorder episodes. The health care professional reported that the subject planned to follow-up with his physician on an unknown date. The health care professional considered the event was disabling. At the time of reporting the event was unresolved.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL, MMR, VARCEL, DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Electroencephalogram normal, Immunology test normal, Laboratory test normal, Obsessive-compulsive disorder, Streptococcus test
Clinical narrative: This case was reported by a health care professional and described the occurrence of obsessive compulsive disorder in a 5-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline), MMR II (non-gsk), (non-gsk) VARIVAX and (non-gsk) FLUMIST. The subject's medical history included delayed speaking and premature birth at 34 weeks. Concurrent medical conditions included streptococcal throat. On 27 January 2011 at 10:30 the subject received unspecified dose of KINRIX (details unknown). On 27 January 2011 the subject also received unspecified dose of MMR (non-gsk) (details unknown), unspecified dose of VARIVAX (details unknown) and unspecified dose of FLUMIST (details unknown). It was not specified whether all the vaccinations were administered at the same time. On 27 January 2011, 90 minutes after vaccination with KINRIX, less than one day after vaccination with MMR II vaccine (Non-GSK), VARIVAX and FLUMIST, the subject experienced obsessive compulsive disorder episodes. The health care professional reported that the subject planned to follow-up with his physician on an unknown date. The health care professional considered the event was disabling. At the time of reporting the event was unresolved.