chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Blood pressure increased, Chest pain
Clinical narrative: 10/20/09 Elevated blood pressure, chest and back pain BP 185/100. Treated with medication after ER visit. Patient is taking hypertension medicine after ER visit. Was not taking meds prior to 10/19/09 or on day of vaccination. 10/27/09 BP meds. BP down to 130/100. (NORVASC 2.5mg qd Hg Lopressor 100 mg qd Hg ASA 81mg qd Hg).
Age: 40.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Rash
Clinical narrative: Started to break out with rash on chin Saturday (7Nov09). On Sunday (8 Nov 09) broke out with rash on legs with itching. Itching and rash have not disappeared as to today (10 Nov 09) will start taking Benadryl and apply Hydrocortisone.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: 10/22/09 Client called stating that she had a flu shot on 9/14/09 in L arm - she is rt handed. Said arm initially hurt at the injection site and when moving it to put shirt on and off. No redness, warmth evident. Said over past week pain is "subsiding with heat and use of MOTRIN, but not completely gone." Will continue to monitor and seek private doctor appt if not resolved. Given referral information.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness, Neck pain, Paraesthesia
Clinical narrative: Received shot on October 5, 2009. After 4 days reports tingling in finger, pain at injection site, going up to neck. C/O stiff neck. Received shot in left arm. No report of temperature. Saw regular doctor who prescribed FLECTOR patch.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Body temperature increased, Influenza serology positive
Clinical narrative: Pt temp. Increased from 98.0 to 103 after admin vaccine.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Oxygen saturation, Respiratory rate increased, Use of accessory respiratory muscles
Clinical narrative: Complained of "trouble breathing" Approx 1 hour after receiving nasal mist H1N1 vaccine. Presented with, SOB, increases RR - 36, sub-sternal & intercostal retractions -O2 sat 91% on rm. air - O2@8L transport to ER via ambulance.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash generalised
Clinical narrative: On 10/21/09 8am noted bumpy facial rash extending down neck - no fever, redness or itching. No soreness. On 10/22/09 am noted rash had migrated to arms, upper chest. No creams or ointments applied. 10/23/09 no spread of rash.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Hives, & states difficulty breathing several hours after vaccine administered.  PREDNISONE & BENADRYL prescribed.  12/14/09 MR received for DOS 10/16/09. DX: allergic rxn.  Pt c/o hives, mild difficulty in breathing, diffuse rash in legs and neck. Tx: prednisone.    12/18/09 Office visit notes received for DOS 11/20/09. DX: Urticaria. Pt c/o hives continuing despite Benadryl and steroid treatment. On examination: diffuse red patches suggestive of urticaria plaques resolving. Pt had wheal and flare rxn to scratching of skin. Other tx: Allegra. Dr. considered this event as possibly due to vaccination given the proximity in time.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Received vaccine, 5 minutes later c/o itching at injection site. Area became red, swollen, warm to touch and itchy from shoulder to elbow. Cheeks became red. No SOB, V/S stable, swelling slowly resolved over 3 hours. Itching and redness of arm and cheeks continued until 8pm per child. Completely resolved by this am.
Age: 78.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swollen tongue, Upper respiratory tract infection
Clinical narrative: 1) Pt history by urgent care tongue swelling occurred 11/7/09 8am. 2) Pt history to PCP 11-16-09- symptoms began 11-3-09. (note had mild URI 11-2-09 day of vaccine).
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Deformity, Electromyogram, Insomnia, Mobility decreased, Muscle atrophy
Clinical narrative: Report received from a consumer on 16-NOV-2009. A female patient (date of birth: unknown) received a 'flu shot' (manufacturer and lot number not provided) in her right arm on 06-OCT-2009. The medical history and concomitant medications are unknown. At an unknown time after the 'flu shot' was administered, the female reported experiencing a "serious" reaction to the flu shot and loss of the use of her right arm. The female presented to the emergency room on 27-OCT-2009 with severe right arm pain. After seeing several orthopedic doctors and two neurologist, she learned that the long thoracic nerve in her back had been severely damaged. She noted that the long thoracic nerve controls the muscle that holds down the scapular shoulder blade. Because the long thoracic nerve was not working, her scapula was dislocated and deformed, sticking straight out of her back, leaving her shoulder completely unstable. The patient stated that her doctors were 100% sure this was caused by the flu shot. She was advised by her doctors that there was no surgery that can help or treatment that would bring the nerve back. She reported being told this may be permanent. She reported that once the muscle in her right arm completely atrophies, which it was doing, her arm will become weaker and weaker. The patient was told she may never play tennis again if this was the case. The patient reported being told there was a chance for recovery, but only after months and months have passed. The female noted she was devastated and hadn't slept in two weeks. The patient believes that the proper individuals needed to be alerted about this event and wanted to know whether anyone else had suffered the same reaction, where the 'shot' originated from and if the 'shot' could have been tainted. The female reported she will need a lot of physical therapy and assistance with medical bills. An EMG was scheduled for 16-NOV-2009 to see if any [thoracic nerve] was left. Additional information has been requested.
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Muscular weakness, Nerve injury, Pain in extremity
Clinical narrative: Report received from a consumer on 16-NOV-2009. A female patient (date of birth: unknown) received a 'flu shot' (manufacturer and lot number not provided) in her right arm on 06-OCT-2009. The medical history and concomitant medications are unknown. At an unknown time after the 'flu shot' was administered, the female reported experiencing a "serious" reaction to the flu shot and loss of the use of her right arm. The female presented to the emergency room on 27-OCT-2009 with severe right arm pain. After seeing several orthopedic doctors and two neurologist, she learned that the long thoracic nerve in her back had been severely damaged. She noted that the long thoracic nerve controls the muscle that holds down the scapular shoulder blade. Because the long thoracic nerve was not working, her scapula was dislocated and deformed, sticking straight out of her back, leaving her shoulder completely unstable. The patient stated that her doctors were 100% sure this was caused by the flu shot. She was advised by her doctors that there was no surgery that can help or treatment that would bring the nerve back. She reported being told this may be permanent. She reported that once the muscle in her right arm completely atrophies, which it was doing, her arm will become weaker and weaker. The patient was told she may never play tennis again if this was the case. The patient reported being told there was a chance for recovery, but only after months and months have passed. The female noted she was devastated and hadn't slept in two weeks. The patient believes that the proper individuals needed to be alerted about this event and wanted to know whether anyone else had suffered the same reaction, where the 'shot' originated from and if the 'shot' could have been tainted. The female reported she will need a lot of physical therapy and assistance with medical bills. An EMG was scheduled for 16-NOV-2009 to see if any [thoracic nerve] was left. Additional information has been requested.
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Electromyogram, Injection site pain, Nerve injury, Physiotherapy, X-ray
Clinical narrative: Report received from a consumer on 16-NOV-2009. A female patient (date of birth: unknown) received a 'flu shot' (manufacturer and lot number not provided) in her right arm on 06-OCT-2009. The medical history and concomitant medications are unknown. At an unknown time after the 'flu shot' was administered, the female reported experiencing a "serious" reaction to the flu shot and loss of the use of her right arm. The female presented to the emergency room on 27-OCT-2009 with severe right arm pain. After seeing several orthopedic doctors and two neurologist, she learned that the long thoracic nerve in her back had been severely damaged. She noted that the long thoracic nerve controls the muscle that holds down the scapular shoulder blade. Because the long thoracic nerve was not working, her scapula was dislocated and deformed, sticking straight out of her back, leaving her shoulder completely unstable. The patient stated that her doctors were 100% sure this was caused by the flu shot. She was advised by her doctors that there was no surgery that can help or treatment that would bring the nerve back. She reported being told this may be permanent. She reported that once the muscle in her right arm completely atrophies, which it was doing, her arm will become weaker and weaker. The patient was told she may never play tennis again if this was the case. The patient reported being told there was a chance for recovery, but only after months and months have passed. The female noted she was devastated and hadn't slept in two weeks. The patient believes that the proper individuals needed to be alerted about this event and wanted to know whether anyone else had suffered the same reaction, where the 'shot' originated from and if the 'shot' could have been tainted. The female reported she will need a lot of physical therapy and assistance with medical bills. An EMG was scheduled for 16-NOV-2009 to see if any [thoracic nerve] was left. Additional information has been requested.
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Deformity, Injected limb mobility decreased, Insomnia, Joint dislocation, Joint instability
Clinical narrative: Report received from a consumer on 16-NOV-2009. A female patient (date of birth: unknown) received a 'flu shot' (manufacturer and lot number not provided) in her right arm on 06-OCT-2009. The medical history and concomitant medications are unknown. At an unknown time after the 'flu shot' was administered, the female reported experiencing a "serious" reaction to the flu shot and loss of the use of her right arm. The female presented to the emergency room on 27-OCT-2009 with severe right arm pain. After seeing several orthopedic doctors and two neurologist, she learned that the long thoracic nerve in her back had been severely damaged. She noted that the long thoracic nerve controls the muscle that holds down the scapular shoulder blade. Because the long thoracic nerve was not working, her scapula was dislocated and deformed, sticking straight out of her back, leaving her shoulder completely unstable. The patient stated that her doctors were 100% sure this was caused by the flu shot. She was advised by her doctors that there was no surgery that can help or treatment that would bring the nerve back. She reported being told this may be permanent. She reported that once the muscle in her right arm completely atrophies, which it was doing, her arm will become weaker and weaker. The patient was told she may never play tennis again if this was the case. The patient reported being told there was a chance for recovery, but only after months and months have passed. The female noted she was devastated and hadn't slept in two weeks. The patient believes that the proper individuals needed to be alerted about this event and wanted to know whether anyone else had suffered the same reaction, where the 'shot' originated from and if the 'shot' could have been tainted. The female reported she will need a lot of physical therapy and assistance with medical bills. An EMG was scheduled for 16-NOV-2009 to see if any [thoracic nerve] was left. Additional information has been requested.
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Muscle atrophy, Nerve injury, Pain in extremity, Vaccination complication
Clinical narrative: Report received from a consumer on 16-NOV-2009. A female patient (date of birth: unknown) received a 'flu shot' (manufacturer and lot number not provided) in her right arm on 06-OCT-2009. The medical history and concomitant medications are unknown. At an unknown time after the 'flu shot' was administered, the female reported experiencing a "serious" reaction to the flu shot and loss of the use of her right arm. The female presented to the emergency room on 27-OCT-2009 with severe right arm pain. After seeing several orthopedic doctors and two neurologist, she learned that the long thoracic nerve in her back had been severely damaged. She noted that the long thoracic nerve controls the muscle that holds down the scapular shoulder blade. Because the long thoracic nerve was not working, her scapula was dislocated and deformed, sticking straight out of her back, leaving her shoulder completely unstable. The patient stated that her doctors were 100% sure this was caused by the flu shot. She was advised by her doctors that there was no surgery that can help or treatment that would bring the nerve back. She reported being told this may be permanent. She reported that once the muscle in her right arm completely atrophies, which it was doing, her arm will become weaker and weaker. The patient was told she may never play tennis again if this was the case. The patient reported being told there was a chance for recovery, but only after months and months have passed. The female noted she was devastated and hadn't slept in two weeks. The patient believes that the proper individuals needed to be alerted about this event and wanted to know whether anyone else had suffered the same reaction, where the 'shot' originated from and if the 'shot' could have been tainted. The female reported she will need a lot of physical therapy and assistance with medical bills. An EMG was scheduled for 16-NOV-2009 to see if any [thoracic nerve] was left. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray, Chest X-ray normal, Cough, Drug hypersensitivity, Food allergy
Clinical narrative: Ten Minutes after nasal spray administered, patient developed a cough which has lasted for 2 weeks. She is under TX constantly with antibiotics for upper respiratory infection as well as ear infection. She was also awaiting results of X Ray to R/O Pneumonia diagnosis. CXR - neg Pleurisy.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Laboratory test
Clinical narrative: Ten Minutes after nasal spray administered, patient developed a cough which has lasted for 2 weeks. She is under TX constantly with antibiotics for upper respiratory infection as well as ear infection. She was also awaiting results of X Ray to R/O Pneumonia diagnosis. CXR - neg Pleurisy.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying
Clinical narrative: Inconsolable crying for greater than 6 hours.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest X-ray, Chest pain, Flushing, Mammogram, Muscle twitching
Clinical narrative: Information has been received from a pharmacist concerning a 73 year old female who on 28-JUL-2009 was vaccinated with a dose of ZOSTAVAX (Merck) (route, dose and LOT# not reported). Within a week of vaccination, the patient experienced shooting pain in her sternum. The patient was seen by a physician in office. An unspecified diagnostic test (unknown if MRI, ultrasound or CT scan) was performed that showed nothing abnormal. Physician ruled out physical reason and cardiac problem. The patient was not recovered at this time of the report. Follow-up information has been received from the pharmacist. It was reported that on 06-OCT-2009 the patient said the "twitch" seemed had traveled to her face. The pharmacist said she couldn't pinpoint where in the face, if it was superficial or deep, but thought the patient have said it was in her jaw. Follow-up information has been received from the pharmacist concerning the 73 year old female with no pertinent medical history no pre-existing allergies and no illness at time of vaccination who on 28-JUL-2009 was vaccinated subcutaneously with the first dose of ZOSTAVAX (Merck) (LOT# 664321/0561Y). There was no concomitant medication. On 06-AUG-2009 the patient experienced radiating severe pain in sternum and breast bone. The patient also developed "flush chest area" for 1-2 weeks. The mammogram and chest x-ray were performed and outcome was unknown. The patient was undergoing Chiropractic care. The patient's outcome was unknown. The pharmacist considered the radiating severe pain in sternum and breast bone and flush chest area to be disabling. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Information has been received from a pharmacist concerning a 73 year old female who on 28-JUL-2009 was vaccinated with a dose of ZOSTAVAX (Merck) (route, dose and LOT# not reported). Within a week of vaccination, the patient experienced shooting pain in her sternum. The patient was seen by a physician in office. An unspecified diagnostic test (unknown if MRI, ultrasound or CT scan) was performed that showed nothing abnormal. Physician ruled out physical reason and cardiac problem. The patient was not recovered at this time of the report. Follow-up information has been received from the pharmacist. It was reported that on 06-OCT-2009 the patient said the "twitch" seemed had traveled to her face. The pharmacist said she couldn't pinpoint where in the face, if it was superficial or deep, but thought the patient have said it was in her jaw. Follow-up information has been received from the pharmacist concerning the 73 year old female with no pertinent medical history no pre-existing allergies and no illness at time of vaccination who on 28-JUL-2009 was vaccinated subcutaneously with the first dose of ZOSTAVAX (Merck) (LOT# 664321/0561Y). There was no concomitant medication. On 06-AUG-2009 the patient experienced radiating severe pain in sternum and breast bone. The patient also developed "flush chest area" for 1-2 weeks. The mammogram and chest x-ray were performed and outcome was unknown. The patient was undergoing Chiropractic care. The patient's outcome was unknown. The pharmacist considered the radiating severe pain in sternum and breast bone and flush chest area to be disabling. Additional information has been requested.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Migraine, Pain
Clinical narrative: Pt states 10/20 pm if felt like somebody had stomped on me.  My neck, arms, and back starting hurting and felt really sore.  Wednesday 10/21 was about the same & Thursday 10/22 I felt better so I didn't call the office.  But Friday 10/23 about 4 AM I woke up drenched in sweat with a bad headache & soreness.  I could feel a migraine coming on so I went to Urgent Care.  They sent me to the ER for a spinal tap.  The ER said I had a reaction to the flu shot.
Age: 0.12
Sex: M
Vaccine: RV5
Symptoms: Rotavirus infection
Clinical narrative: Information has been received from a physician concerning a 9 week old male patient with no drug allergies who on 22-OCT-2009 was vaccinated orally with a first dose of ROTATEQ (lot# not reported). On 11-NOV-2009 the patient was diagnosed with rotavirus. The patient was hospitalized but no demographic was provided. At the time of this report, the patient had not recovered. Rotavirus was considered to be immediately disabling and life-threatening. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Right posterior arm shows an approximately 8-cm x 6-cm indeviated red plaque at site of recent Zoster vaccine.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling 3 wks following injection. Possible local infection put on Bactrim DS, warm compresses-and told to keep f/u appt. next week.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion, Drug exposure during pregnancy, No adverse event, Pregnancy test positive
Clinical narrative: Information has been received from a physician for GARDASIL, a Pregnancy Registry product, concerning a 10 year old female with no medical history or drug allergies who on 03-FEB-2009 was vaccinated intramuscularly with her first 0.5 ml dose of GARDASIL (lot# 661530/0575X) and then discovered that she was pregnant. No adverse effects were reported. The patient sought medical attention by visiting the physician's office. There was no concomitant medication. On 16-MAR-2009 pregnancy test showed positive (LMP: 17-FEB-2009, EDD =24-NOV-2009). Follow-up information has been received from a nurse practitioner. It was reported the patient had not returned to the office for follow up. The patient had an abortion performed on 17-APR-2009. When the office contacted the patient to arrange for the second dose of GARDASIL, the patient told the nurse practitioner, "I will not be getting anymore of those shots. I have been through enough with the abortion". Follow-up information has been received from the nurse practitioner. It was reported that the patient was 20-year-old not 10-year-old as previously reported. The patient had recovered from the abortion on an unspecified date. The patient had the abortion for a number of reasons including that "she was not married and was exposed to the GARDASIL. Upon internal review, "abortion" was determined to be an other important medical event. Additional information has been requested.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Injection site pain, Limb discomfort
Clinical narrative: Patient's family states that pt complaint of Rt arm discomfort after the shot. Arm hurt, then arm hurt all the way up to shoulder and down and now client has a limp. Client's family instructed to take him to seek medical care. (Client does not have a doctor).
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Computerised tomogram normal, Convulsion, Drug screen negative, Full blood count normal, Laboratory test normal
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient with no drug reactions/allergies and a history of learning disability and cognitive impairment who on 23-JAN-2009 was vaccinated intramuscularly with the first 0.5ml dose of GARDASIL (lot # 660557/0072X). There was no concomitant medication. On 20-MAR-2009 the patient received the second dose of GARDASIL (lot # 660557/0072X) and on 18-SEP-2009 the patient received the third dose of GARDASIL (lot # 663452/0671Y). On 07-NOV-2009 the patient developed a seizure and was hospitalized for 2 to 3 days. The physician saw the patient on 13-NOV-2009 "today" and the patient's mother said the patient was "fine". The patient was on an unspecified antiseizure medication. A neurology consult was pending. MRI results were pending, cat scan and blood tests were normal. Seizure was considered to be immediately life-threatening and disabling. Additional information has been requested.  11/23/2009 Out-patient progress notes and laboratory test reports received for DOS 09/18/2009-11/13/2009. Assessment: Seizure Disorder  Patient had generalized seizure (2 episodes). Hospitalized 11/07/2009 through 11/09/2009. Progress note of 11/13/2009 notes patient alert and oriented X3 and neuro intact.  12//8/09 Inpatient hospital records received. Service dates 11/7/09 to 11/9/09. Assessment: Generalized Tonic/Clonic Seizure. Mother heard strange noise, found patient stiff, head turned to left. Tonic/Clonic movements of limbs followed by postictal state. Urinary incontinence. Presents unresponsive. Seizure in ER. Cold sensation. Headache. Hand grasp weak. Slow to answer questions.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Metabolic function test normal, Nuclear magnetic resonance imaging, Pregnancy test urine negative
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient with no drug reactions/allergies and a history of learning disability and cognitive impairment who on 23-JAN-2009 was vaccinated intramuscularly with the first 0.5ml dose of GARDASIL (lot # 660557/0072X). There was no concomitant medication. On 20-MAR-2009 the patient received the second dose of GARDASIL (lot # 660557/0072X) and on 18-SEP-2009 the patient received the third dose of GARDASIL (lot # 663452/0671Y). On 07-NOV-2009 the patient developed a seizure and was hospitalized for 2 to 3 days. The physician saw the patient on 13-NOV-2009 "today" and the patient's mother said the patient was "fine". The patient was on an unspecified antiseizure medication. A neurology consult was pending. MRI results were pending, cat scan and blood tests were normal. Seizure was considered to be immediately life-threatening and disabling. Additional information has been requested.  11/23/2009 Out-patient progress notes and laboratory test reports received for DOS 09/18/2009-11/13/2009. Assessment: Seizure Disorder  Patient had generalized seizure (2 episodes). Hospitalized 11/07/2009 through 11/09/2009. Progress note of 11/13/2009 notes patient alert and oriented X3 and neuro intact.  12//8/09 Inpatient hospital records received. Service dates 11/7/09 to 11/9/09. Assessment: Generalized Tonic/Clonic Seizure. Mother heard strange noise, found patient stiff, head turned to left. Tonic/Clonic movements of limbs followed by postictal state. Urinary incontinence. Presents unresponsive. Seizure in ER. Cold sensation. Headache. Hand grasp weak. Slow to answer questions.
Age: 1.34
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Flat red rash on chest and trunk. Developed 6 hours after vaccination. No fever, no other symptoms. Behavior and intake normal.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Aphthous stomatitis, Asthenia, Cough, Fatigue
Clinical narrative: 1st 2 days-extreme fatigue. 3rd day headache/nauseousness/then pain in stomach/achy. 4th-5th & 6th day rash on lower face canker sores in mouth, wheezing, coughing. Still a little weak. 1 symptom at a time.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain, Rash, Wheezing
Clinical narrative: 1st 2 days-extreme fatigue. 3rd day headache/nauseousness/then pain in stomach/achy. 4th-5th & 6th day rash on lower face canker sores in mouth, wheezing, coughing. Still a little weak. 1 symptom at a time.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Haematoma, Pain
Clinical narrative: Has large local reaction, on right with pain on compression. Seen 11-11-09, rt deltoid with slight hematoma-pain variable on touch. No abscess or nodule noted.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Lip swelling, Rash erythematous
Clinical narrative: Client reported to pharmacy with complaints of reaction to flu shot. Pharmacist states client had red skin rash upper chest and swollen lips and appeared anxious. Benadryl issued per pharmacy and instructed client to have husband drive her to the emergency room.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Describes redness, swelling, itching at site of Shingles (Zostavax) inj. x 2 days size about 31/2 x 21/2 improved slowly over next 4-5 days.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 22 1/2 x 11 1/2 cm area of erythematous, warm skin surrounding area of injection - CEPHALEXIN 500 mg #30 PO TID x 10 days BENADRYL Q 6 hours x 24 hours
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Neck pain, Pyrexia
Clinical narrative: Patient received vaccine at 7pm Tuesday 11/10/09 and spiked fever of 103 with head and neck ache. Symptoms subsided after 24 hours.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Lip swelling
Clinical narrative: Swelling in the left upper lip. Tx BENADRYL 25 mg PO Q 6h PRN. BENADRYL 50mg PM
Age: 10.0
Sex: F
Vaccine: FLU3, HEPA, MNQ
Symptoms: Condition aggravated, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling approximately 5 cm distal of injection site of left arm. Occured approximately 24 hours after Injection. 24 Hours later an additional red spot appeared on inside of Left arm Adjacent to initial swelling spot, Aproximately 3-4 CM.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Was vaccinated for H1N1 twice, within a few days of being previously vaccinated for H1N1 at a private provider.  She received the nasal H1N1 on 11/18/2009 and received the H1N1 injectable a few days prior at a private provider.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Throat tightness
Clinical narrative: Throat tightening. 11/23/09 Hosp. recs received for dates 11/11/09. DX: Allergic reaction to H1N1 vaccine. Chief c/o throat swelling. Assessment: WNL, sinus tachycardia, cardiac murmur(+).
Age: 26.0
Sex: M
Vaccine: ANTH, FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: During administration of vaccinations, patient was administered two doses of Anthrax vaccine.
Age: 69.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Deafness, Tinnitus
Clinical narrative: No hearing in left ear, not able to hear on phone, any sounds. Went to ENT on 11/2/09 @ 09:30 am. Had examination and audiogram. Audiogram showed severe sensoryneural hearing loss left ear, right ear normal. Started on Prednisone 60 mg po daily. Had MRI on 11/4/09 which was normal. Over next two weeks hearing gradually improved accompanied by notable tinnitus. Seen again by ENT on 11/18/09 at medical center. Hearing clinically improved but still not at baseline. Continue Prednisone at 40 mg po Q day x 2 more weeks. Follow-up audiogram planned in about 2 weeks.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Hypoaesthesia, Musculoskeletal pain, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Severe right arm and shoulder pain, increasing over the next 7 days, followed within one week by progressive right arm weakness, numbness.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Pain in extremity, X-ray
Clinical narrative: Severe right arm and shoulder pain, increasing over the next 7 days, followed within one week by progressive right arm weakness, numbness.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphemia
Clinical narrative: Started stuttering.  No stuttering prior to vaccine.  Stuttering occurred on the first word of every sentence.  Repeating the first word 15-20 times.  Stuttering stopped @11/11/2009.  Speech is back to where it was prior to the Influenza vaccine.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: Stomach ache and nausea began within an hour of vaccination.  Child vomited milk on 11/20/2009 at 7:20 AM.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Bronchitis, Erythema, Wheezing
Clinical narrative: Face got beet red for approximately 3 hrs. Next day woke up with heavy wheezing and it felt like bronchitis. By next morning I was fine.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Dizziness, Paraesthesia, Screaming, Syncope
Clinical narrative: We tended to younger brother after shot, he was pale and nauseous, but likely due to 'fear' of shot. We sat and waited a good 15 minutes for him to feel better and then a nearby friend's son felt ill - his throat. We stayed to sit with them to see if they needed our help, so then my son, patient came up and indicated his arm was tingly. And then within a few minutes he came up and passed out in my arms. I laid him to the floor and called for paramedics. The lady with me is a school nurse and she indicated that she thought he had a seizure, biting his lips, eyes were strange. After going to the floor he was out perhaps 30-60 seconds and then work up screaming at me - Mom, I'm fine, let me go, Mom, I don't know how I got here! We got him calm down and his eyes were very dialated. The paramedic took his blood pressure and was 70/40. After 15-20 more minutes, he became more aware and vitals were better. We sat him up and he was dizzy, laid him back down and called ambulance. When they arrived they stood him up and indicated perhaps he didn't need to go to the hospital. Today is he fine.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Vomiting
Clinical narrative: Pt complained of dizziness, having difficulty breathing, and started vomiting. 911 called and notified supervisor.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Altered state of consciousness, Decreased appetite, Diarrhoea, Headache, Hyperhidrosis
Clinical narrative: Severe headache and bodyache followed by fever of 102.3 the following day after the shot. Also swelling at the injection site. The night of the second and third day profuse sweating and diarrhea. The diarrhea could have been due to not being able to take fluids. One more thing loss of apitite and sense of surroundings set in on the second day. Theses symptoms lasted for approximately one week with the fever tapering of a little each day. 12/22/09 DC summary and medical records received for DOS 05/09/08-05/31/08.Pt. initially presented to chemical dependency unit, referred by employer. Received pneumococcal vaccination while detoxing and developed fever and slightly elevated white count for several days which resolved. Also c/o tenderness in right arm near vaccination site, which also resolved. Pt. left AMA insisting all problems were related to vaccine. Readmitted next day to complete detox program. Became disruptive and failed to comply with program and left AMA, without option of readmission. DC DX: Opioid dependence; history of polysubstance dependence with current marijuana abuse; nicotine dependence; rule out mood disorder; rule out anxiety disorder; resolved acute withdrawal syndrome; possible pneumococcal vaccination reaction, resolved.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Pain, Pyrexia, White blood cell count increased
Clinical narrative: Severe headache and bodyache followed by fever of 102.3 the following day after the shot. Also swelling at the injection site. The night of the second and third day profuse sweating and diarrhea. The diarrhea could have been due to not being able to take fluids. One more thing loss of apitite and sense of surroundings set in on the second day. Theses symptoms lasted for approximately one week with the fever tapering of a little each day. 12/22/09 DC summary and medical records received for DOS 05/09/08-05/31/08.Pt. initially presented to chemical dependency unit, referred by employer. Received pneumococcal vaccination while detoxing and developed fever and slightly elevated white count for several days which resolved. Also c/o tenderness in right arm near vaccination site, which also resolved. Pt. left AMA insisting all problems were related to vaccine. Readmitted next day to complete detox program. Became disruptive and failed to comply with program and left AMA, without option of readmission. DC DX: Opioid dependence; history of polysubstance dependence with current marijuana abuse; nicotine dependence; rule out mood disorder; rule out anxiety disorder; resolved acute withdrawal syndrome; possible pneumococcal vaccination reaction, resolved.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Rash
Clinical narrative: rash and itchy upper torso, breast, groin steriod injection and dose pack
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: FEVER 102, ACHES, HEADACHE, NAUSEA.
Age: 24.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Rash
Clinical narrative: PT DEVELOPED A RASH
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Disturbance in attention, Drug exposure during pregnancy, Fatigue, Headache, Pain
Clinical narrative: EXTREME TIREDNESS, HEADACHE, SNIFFLES, ACHY, INABILITY TO CONCENTRATE, LASTED UNTIL PM ON 11/19/2009. 12/2/09 Medical records received. OB records from date 9/9/09 to 11/17/09. DX: pregnancy. LPM 7/1/09, EDC 4/7/10. Most recent OV 11/17/09 normal IUP. FHR(+), fetal movement(+). Received H1N1 vax.  12/3/09 medical records received for DOS range 9/24-11/17. OB/GYN notes. + FHR in 150's, + fetal movement. Nausea.Round ligament pain. Posterior placenta. Anatomic WNL Declined flu vax, but agreed to H1N1.
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rhinorrhoea
Clinical narrative: EXTREME TIREDNESS, HEADACHE, SNIFFLES, ACHY, INABILITY TO CONCENTRATE, LASTED UNTIL PM ON 11/19/2009. 12/2/09 Medical records received. OB records from date 9/9/09 to 11/17/09. DX: pregnancy. LPM 7/1/09, EDC 4/7/10. Most recent OV 11/17/09 normal IUP. FHR(+), fetal movement(+). Received H1N1 vax.  12/3/09 medical records received for DOS range 9/24-11/17. OB/GYN notes. + FHR in 150's, + fetal movement. Nausea.Round ligament pain. Posterior placenta. Anatomic WNL Declined flu vax, but agreed to H1N1.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Immediate post-injection reaction, Uterine dilation and curettage
Clinical narrative: Miscarriage immediately following vaccine, requiring D & C surgery. No fetal heart rate and fetal failure to progress. 12/10/2009 OB-GYN prenatal records for 11/11/2009, EDC 6/27/2010 Prenatal labs wnl, Pregnancy test + 12/10/2009 and 12/18/2009  MR for 11/19/2009 dx 6.5 wk embryonic demise, D&C performed
Age: 13.0
Sex: F
Vaccine: FLU(H1N1), MNQ
Symptoms: Injection site pain, Oedema peripheral, Pain
Clinical narrative: Both Meningococcal and H1N1 vaccines given IM in L deltoid. Area is painful especially when pt lifts L arm. No erythema however below inj site there is egg sized swollen area. There is no reaction directly in inj sites.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hallucination, visual
Clinical narrative: Hallucinations of people in the shadows with knives trying to kill her. She was screaming and scared. It lasted an hour until she fell asleep after for 11 hrs. Neurology was called (was seen the next day) and she was seen the next day. Dr. felt this might be vaccine related and has seen several other cases like this in the past few weeks from the H1N1 vaccine.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Electromyogram normal, Facial nerve disorder, Facial paresis, Fatigue
Clinical narrative: Facial weakness and slow pressive decrease in expression followed by inability to swallow.  She felt tired and has difficulty raising her arms, along with difficulty with upper reflexes.  11/30/2009 MR and DC summary for 10/13-10/19/2009. Patient with c/o's weakness bilateral upper and lower extremities, facial weakness, dysarthria, numbness in fingertips and toes. Neuro exam noted absent ankle reflexes bilaterally, IR guided LP. Tx: IV IGG, Dc Dx GBS
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Reflexes abnormal
Clinical narrative: Facial weakness and slow pressive decrease in expression followed by inability to swallow.  She felt tired and has difficulty raising her arms, along with difficulty with upper reflexes.  11/30/2009 MR and DC summary for 10/13-10/19/2009. Patient with c/o's weakness bilateral upper and lower extremities, facial weakness, dysarthria, numbness in fingertips and toes. Neuro exam noted absent ankle reflexes bilaterally, IR guided LP. Tx: IV IGG, Dc Dx GBS
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Urticaria
Clinical narrative: Difficulty breathing; tight chest; hives on face. Required epinephrine at ED. Vaccinated at 10:30 am reaction at 6 pm given BENADRYL; steroids-po for 1 week. 12/24/09 ED Medical records received for DOS  11/16/09.   Pt. presented with sudden onset dyspnea and sensation of throat closing off 6 hours post vaccination. Treated with benadryl and solumedrol. Discharged, improved. DX: allergic reaction 01/05/10 PCP records for DOS 11/18/09. Followup ED visit. Pt. reports symptoms improved.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Hypoaesthesia, Injection site pain
Clinical narrative: Received H1N1 shot on 11-4-09. On 11-11-09 experienced burning sensation in area of injection and then a numbing down the arm to the thumb and index finger, this has been happening day and night since 11-11-09.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction, Muscular weakness, Musculoskeletal pain
Clinical narrative: Pain down upper arm at time of injection and then continuous ache in shoulder and upper right arm with weakness and inability to raise arm above level of shoulders without increase in pain.
Age: 1.05
Sex: M
Vaccine: DTAP, MMRV, PNC
Symptoms: Herpes virus infection, Herpes zoster, Pyrexia, Rash papular, Rash pruritic
Clinical narrative: ZOSTER, papules, start from R buttock and going down the leg.  Also had a fever for a few days.  Rash was slightly itchy.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Pregnancy
Clinical narrative: Received live attenuated H1N1 vaccine 11/20/2009 Lot # 500803P exp 2/21/2010. 12/02/09 Antenatal records received for DOS: 10/05/09; 10/28/09 G1 P0; EDC 03/31/10
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Condition aggravated, Pain
Clinical narrative: Received H1N1-LAIV 10/30/09. Noticed stinging right after. Continues to sting when hangs head down to date 11/20/09.
Age: 39.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Soreness, mild numbnes/which radiates to L lower arm weakness and left scapular area. Given at workplace.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: L Jaw paresthesia; L UE paresthesia; L LE paresthesia >woke during night with these symptoms.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema
Clinical narrative: 6 x 7 redness at sit of injection.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: Nausea, headache, fever, pain and redness at site with swelling.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Nausea, headache, fever, pain and redness at site with swelling.
Age: 1.03
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine administered to inappropriate age group.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Influenza serology negative, Myalgia, Pyrexia
Clinical narrative: Muscle Aches, Stomach Pain, Fever of 101.5 to 102.7
Age: 79.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Mobility decreased, Myalgia
Clinical narrative: The morning after H1N1 vaccination, patient complaints of lower back muscle aches on arising in a.m.; difficulty in getting out of bed. Pt has been taking Motrin which has been helping the aches approximately 80%. Symptoms have been occurring daily since vaccination.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Fatigue, Headache, Oropharyngeal pain, Vomiting
Clinical narrative: PICKED UP FROM SCHOOL 11/19/2009 AT 1:30PM WITH VOMITING. VOMITED 6X. NO FEVER. SORE THROAT, H/A, TIRED, STOMACH ACHE. CALLED DR. OFFICE AND TOLD TO HOLD FLDS X2 HOURS AND THEN BEGIN SLOWLY. 11/20/09 AM NO VOMITING NOW, TAKING PO. 2 OTHER CHILDREN AT SCHOOL WITH GI SX UNRELATED TO VACCINE.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Injection site pain, Joint range of motion decreased, Musculoskeletal pain, Nausea
Clinical narrative: This patient an 82-year-old female comes to the emergency department mainly complaining of right arm pain. She had her pneumococcal vaccine shot today around 12 o'clock and then several hours later started to develop right arm pain particularly in the shoulder where she got her shot, that was followed with episode of nauseousness and dizziness which she said she felt a little lightheaded. She denied any chest pain, palpitation, shortness of breath with it. Positive nausea with no vomiting. She denied any other symptoms with the exception of that. Her shoulder pain is worse with movement and she has trouble lifting her arm because of that discomfort. She only weighs 100 pounds, does not have a lot of subcutaneous tissue and/or muscle of that shoulder. She denies any redness, fevers, paraesthesias or weakness. No focal complains. Heart: No chest pain or tachycardia. Lungs: No wheezing or shortness of breath. Abdomen: Positive nausea, no vomiting. No diarrhea or constipation or abdominal pain. GU: No hematuria or dysuria. Remainder of systems reviewed are negative except as above. Nursing notes noted. Vital signs: Blood pressure 162/68, heart rate of 91, respiratory of 18, temperature 35.9. She is 96: on room air. Constitutional: She is alert, oriented x3, nontoxic, afebrile. Answering questions appropriately, acting appropriate for age, in no acute distress. HEENT: Pupils are equal, round, react to light. Extraocular muscles are intact. Mucous membranes are moist. Neck is supple without lymphadenopathy. There is no meningismus. Chest: Regular rate, no S3, S4 or murmurs. Lungs are clear to auscultation bilaterally. No wheeze, rhonchi or rales, no tachypnea, no retractions, no stridor. Abdomen is soft, nontender, nondistended with positive bowel sounds in all 4 quadrants. Extremities: No clubbing, cyanosis or edema. Right upper extremity there is marked tenderness to palpation over the lateral aspect of the right shoulder, there is sign of where her injection was but there is no erythema, no ecchymosis, no swelling, just significant tenderness to palpation there. Grip strength is +5/5 bilaterally. Neurologic: She is moving all 4 extremities. There are no gross focal neurologic deficits. Decreased range of motion secondary to pain in the right upper extremity but no focal weakness. Skin warm and dry. She was given a small dose of MORPHINE, as well as ZOFRAN and she was reevaluated. She was markedly improved. She denied any nauseousness. She was still complaining of pain in her right arm and understands that that is going to be probably like that for the next 2 to 3 days. Return if any worsening symptoms or any other concerns. Right arm pain suspect secondary to pneumococcal vaccine possible adverse reaction.