chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hyporeflexia, Mobility decreased, Muscular weakness, Oedema peripheral, Pain in extremity
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Polyneuropathy, Skin discolouration, Skin lesion
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Deep vein thrombosis, Electromyogram abnormal, Erythema, Fall, Hyporeflexia
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Mobility decreased, Muscular weakness, Oedema peripheral, Pain in extremity, Polyneuropathy
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Skin discolouration, Skin lesion
Clinical narrative: Initial report and a copy of the patient's immunization record was received 03 January 2011 from a health care professional, who is also the patient's spouse. A 75-year-old male patient had received a first dose intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U3609AA on 14 October 2010 and six days later on 20 October 2010, he developed weakness in his right leg. On 21 October 2010, the patient experienced a fall at home and he had developed bright red lesions on his right leg. He was seen by his physician on 25 October 2010 and was prescribed "VALTRAX" for Herpes and physical therapy. On 03 November 2010, the patient had intense bilateral leg pain. An EMG was performed and the patient was diagnosed with bilateral polyneuropathy. He also had a swollen leg, 3+ edema of the right leg, and his foot was discolored. On 29 November 2010 the patient was hospitalized. He was diagnosed with bilateral multiple DVT and received corrective treatment with LOVENOX and was prescribed PT (physical therapy) and rehabilitation for mobility. On 22 December 2010 (hospital duration was also reported as 21 days duration), the patient was discharged home on COUMADIN. Bilateral leg weakness, decreased mobility and decreased leg reflexes continued. Outcome was not recovered. The patient was scheduled to see their physician on 04 January 2011. Documents held by sender: Immunization record.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Appetite disorder, Inappropriate schedule of drug administration, Overdose
Clinical narrative: This case was reported by a healthcare professional and describe the occurrence of change in appetite in a 2-month-old male subject who was vaccinated with ENGERIX B adult (GlaxoSmithKline). Concurrent vaccination included dtpa-polio-hib (non-gsk); non-GSK manufacturer; unknown given on 10 September 2010; ROTARIX; GlaxoSmithKline given on 10 September 2010; pneumococcal vaccines (non-gsk); non-GSK manufacturer; unknown given on 10 September 2010. On 10 September 2010 at 15:00 the subject received a dose of ENGERIX B adult (unknown, route, right thigh) as the 3rd dose in the series, and experienced overdose and drug dose administration interval too short. On 10 September 2010, the same day after vaccination with ENGERIX B adult, the subject experienced change in appetite. At the time of reporting the event was improved. Follow-up information was received on 30 September 2010. It was reported that the events occurred on 10 September 2010. Change in appetite resolved by 17 September 2010. ENGERIX B (3rd dose), PREVNAR and PENTACEL were all given intramuscularly. The overdose and inappropriate interval were the result of a nursing medication error.
Age: 25.0
Sex: F
Vaccine: SMALL, YF
Symptoms: Lymphadenopathy, Vaccination complication, Vaccination site erythema
Clinical narrative: Pt was vaccinated with Smallpox, pt returned to clinic for take-check follow up and noticed satellite lesions around the vaccination site. Mild axillary lymphadenopathy and erythema surrounding vaccination.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Paraesthesia
Clinical narrative: Pain in arm where vaccine administered, unable to fully lift arm over head, tingling, numbness radiating down arm.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Mom called around 1:00 pm to state child had a fever of 103 before giving Tylenol. Mom states to nurse who gave immunizations that morning that patient did not have a fever and was not sick.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Thrombosis, Ultrasound foetal, Uterine dilation and curettage
Clinical narrative: Passed blood clot. Called Dr. OB. Was seen in office 01/05/2011 Ultrasound showed no fetal heartbeat-had D/C.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, MMR
Symptoms: Vomiting
Clinical narrative: Patient vomited within 10 minutes of receiving immunizations.
Age: 4.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Convulsion
Clinical narrative: RESISTANT SEIZURE REQUIRING MIDAZOLAM DRIP, PHENOBARB, LORAZEPAM TO CONTROL
Age: 4.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Convulsion, Intensive care
Clinical narrative: RESISTANT SEIZURE REQUIRING MIDAZOLAM DRIP, PHENOBARB, LORAZEPAM TO CONTROL
Age: 4.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Convulsion
Clinical narrative: Child had a seizure at school hours after receiving the Influenza vaccine. Child was hospitalized & is currently in PICU.
Age: 4.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Convulsion, Intensive care
Clinical narrative: Child had a seizure at school hours after receiving the Influenza vaccine. Child was hospitalized & is currently in PICU.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy to vaccine, Myalgia
Clinical narrative: Allergic reaction to Flu vac 1-14-07. Extreme pain to operate muscles. Two visits to clinic. (See attached diary of events and treatment, enclosed for details).
Age: 12.0
Sex: F
Vaccine: MEN, TDAP, VARCEL
Symptoms: Rash, Rash erythematous
Clinical narrative: Within 5 minutes of receiving vaccine patient's face, neck, chest, and arms developed a red rash. The Dr. immediately brought her to the back and gave her Benadryl and monitored her breathing because she is an asthma patient. We stayed there an extra two hours for monitoring. She was kept on Benadryl every 6 hours for 48 hours.
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: (L) shoulder pain radiating down arm into hand, esp. ulnar aspect.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Eye swelling, Pharyngeal oedema, Swelling face
Clinical narrative: Face swelled up, her eye swelled shut down to throat (was able to breath w/o difficulty) she called ER nurse advised her to get BENADRYL. Pt was given BENADRYL x 24 hrs.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: C-reactive protein increased, Fatigue, Hypoaesthesia, Joint swelling, Musculoskeletal pain
Clinical narrative: Started with shoulder pain, the shoulder the shot was given in. Fatigue was present at the same time. Then I had numbness and tingling in the lower arm and hand of the same side. The symptoms then presented in both arms/shoulder, then knees, ankles, feet, then I had swelling of the hands, feet and knees. The intial symptoms started in mid November and progressed quickly into December with worsening in January. I started seeing a doctor in early December, then a Neurologist late that month and then finally a Rheumatologist in February, who then diagnosed me with Rheumatoid Arthritis.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Paraesthesia, Platelet count increased, Rheumatoid arthritis, X-ray limb abnormal
Clinical narrative: Started with shoulder pain, the shoulder the shot was given in. Fatigue was present at the same time. Then I had numbness and tingling in the lower arm and hand of the same side. The symptoms then presented in both arms/shoulder, then knees, ankles, feet, then I had swelling of the hands, feet and knees. The intial symptoms started in mid November and progressed quickly into December with worsening in January. I started seeing a doctor in early December, then a Neurologist late that month and then finally a Rheumatologist in February, who then diagnosed me with Rheumatoid Arthritis.
Age: 1.28
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC13, VARCEL
Symptoms: Varicella
Clinical narrative: Mild symptoms of varicella
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Asthma, Colitis ulcerative, Condition aggravated, Dyspnoea
Clinical narrative: flare of ulcerative colitis symptoms, fatigue, weakness, asthma exacerbation with shortness of breath, decreased exercise capacity, wheezing
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Exercise tolerance decreased, Fatigue, Wheezing
Clinical narrative: flare of ulcerative colitis symptoms, fatigue, weakness, asthma exacerbation with shortness of breath, decreased exercise capacity, wheezing
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Grand mal convulsion
Clinical narrative: Initial consumer (patient) report received on 05 Jan 2011: This patient with an unknown medical history was vaccinated with 1 dose of FLUVIRIN 2010/2011 (batch number: unknown) intramuscularly on 25 Oct 2010. The patient experienced a grand mal seizure on 27 Oct 2010. He did not have other incident since this seizure. The outcome and causality were not reported.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Body temperature increased, Crying, Dysphonia, Screaming, Wheezing
Clinical narrative: Baby had been asleep since leaving doctors office.  Baby awoke screaming crying with a remarkably hoarse voice and wheezing (possibly stridor).  No wheezing when baby was calm.  Symptoms lasted until about midnight.  Sometime between 10pm-12am rectal temp taken for 1st time, 100.8 degrees Fahrenheit. Tylenol given.    Next morning Temp of 100 at 6AM. Tylenol given. 10AM there was some hoarseness with crying lasting a half hour. No other episode. Went to doctor at 1pm.  O2SAT was 100%, no wheezing or hoarseness.
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site began to swell and turn red. Pt began to feel pain and discomfort.
Age: 1.31
Sex: F
Vaccine: FLU3
Symptoms: Electroencephalogram, Full blood count, Gaze palsy, Metabolic function test, Pupil fixed
Clinical narrative: 10-15 second episode of eyes rolling up and outward, fixed with tonic-clonic shaking of extremities. Then became very sleepy afterwards. Pt was taken by ambulance to local hospital for evaluation and transferred to another hospital.
Age: 1.31
Sex: F
Vaccine: FLU3
Symptoms: Somnolence, Tonic clonic movements
Clinical narrative: 10-15 second episode of eyes rolling up and outward, fixed with tonic-clonic shaking of extremities. Then became very sleepy afterwards. Pt was taken by ambulance to local hospital for evaluation and transferred to another hospital.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Condition aggravated, Discomfort, Hypoaesthesia, Injection site pain
Clinical narrative: Provider notes from Dec 8 2010 complaining of severe pain down the right arm. Intensity 7/10. Describes it as sharp lancinating with numbness into the fifth digit and also the first, second, and third digit. There is no fever. There is no history of trauma. I saw him approximately 10 days ago for the same thing. Patient does tell me this is all triggered by receiving the flu vaccine. It all started 2-3 days afterwards.  Neurology notes dec 17th This is a gentleman who is complaining of pain in the right arm for about a month in which he had awakened. He was complaining of pain in the right side of his ribs, radiating to the right shoulder and right biceps area. This patient had seen Dr. in the past, a few months ago. He then went to the Emergency Room for the extreme pain and has been started on several medications which include OxyContin and Morphine. He also complains of numbness of the right hand. There was no involvement of the right leg or the facial region. Again, he denies any injury prior to the onset of this discomfort. He states that there have been no tests performed to determine the cause of this discomfort. ASSESSMENT AND PLAN:  The veteran has a history of right upper extremity discomfort with paresthesias. Appears to be acute in onset with no precipitating injury. The examination demonstrated hypoesthesia and mild weakness of the right upper extremity. With the above findings, a neurogenic process with emphasis on radiculopathy is a consideration. I will schedule him for an electromyelography study of the right upper extremity as well as cervical spine x-rays. I will then contact him with the results of these tests and if this is neurogenic in nature, I will pursue further investigation.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Provider notes from Dec 8 2010 complaining of severe pain down the right arm. Intensity 7/10. Describes it as sharp lancinating with numbness into the fifth digit and also the first, second, and third digit. There is no fever. There is no history of trauma. I saw him approximately 10 days ago for the same thing. Patient does tell me this is all triggered by receiving the flu vaccine. It all started 2-3 days afterwards.  Neurology notes dec 17th This is a gentleman who is complaining of pain in the right arm for about a month in which he had awakened. He was complaining of pain in the right side of his ribs, radiating to the right shoulder and right biceps area. This patient had seen Dr. in the past, a few months ago. He then went to the Emergency Room for the extreme pain and has been started on several medications which include OxyContin and Morphine. He also complains of numbness of the right hand. There was no involvement of the right leg or the facial region. Again, he denies any injury prior to the onset of this discomfort. He states that there have been no tests performed to determine the cause of this discomfort. ASSESSMENT AND PLAN:  The veteran has a history of right upper extremity discomfort with paresthesias. Appears to be acute in onset with no precipitating injury. The examination demonstrated hypoesthesia and mild weakness of the right upper extremity. With the above findings, a neurogenic process with emphasis on radiculopathy is a consideration. I will schedule him for an electromyelography study of the right upper extremity as well as cervical spine x-rays. I will then contact him with the results of these tests and if this is neurogenic in nature, I will pursue further investigation.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Activities of daily living impaired, Arthralgia, Grip strength decreased, Hypoaesthesia, Monoplegia
Clinical narrative: Provider notes from Dec 8 2010 complaining of severe pain down the right arm. Intensity 7/10. Describes it as sharp lancinating with numbness into the fifth digit and also the first, second, and third digit. There is no fever. There is no history of trauma. I saw him approximately 10 days ago for the same thing. Patient does tell me this is all triggered by receiving the flu vaccine. It all started 2-3 days afterwards.  Neurology notes dec 17th This is a gentleman who is complaining of pain in the right arm for about a month in which he had awakened. He was complaining of pain in the right side of his ribs, radiating to the right shoulder and right biceps area. This patient had seen Dr. in the past, a few months ago. He then went to the Emergency Room for the extreme pain and has been started on several medications which include OxyContin and Morphine. He also complains of numbness of the right hand. There was no involvement of the right leg or the facial region. Again, he denies any injury prior to the onset of this discomfort. He states that there have been no tests performed to determine the cause of this discomfort. ASSESSMENT AND PLAN:  The veteran has a history of right upper extremity discomfort with paresthesias. Appears to be acute in onset with no precipitating injury. The examination demonstrated hypoesthesia and mild weakness of the right upper extremity. With the above findings, a neurogenic process with emphasis on radiculopathy is a consideration. I will schedule him for an electromyelography study of the right upper extremity as well as cervical spine x-rays. I will then contact him with the results of these tests and if this is neurogenic in nature, I will pursue further investigation.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Provider notes from Dec 8 2010 complaining of severe pain down the right arm. Intensity 7/10. Describes it as sharp lancinating with numbness into the fifth digit and also the first, second, and third digit. There is no fever. There is no history of trauma. I saw him approximately 10 days ago for the same thing. Patient does tell me this is all triggered by receiving the flu vaccine. It all started 2-3 days afterwards.  Neurology notes dec 17th This is a gentleman who is complaining of pain in the right arm for about a month in which he had awakened. He was complaining of pain in the right side of his ribs, radiating to the right shoulder and right biceps area. This patient had seen Dr. in the past, a few months ago. He then went to the Emergency Room for the extreme pain and has been started on several medications which include OxyContin and Morphine. He also complains of numbness of the right hand. There was no involvement of the right leg or the facial region. Again, he denies any injury prior to the onset of this discomfort. He states that there have been no tests performed to determine the cause of this discomfort. ASSESSMENT AND PLAN:  The veteran has a history of right upper extremity discomfort with paresthesias. Appears to be acute in onset with no precipitating injury. The examination demonstrated hypoesthesia and mild weakness of the right upper extremity. With the above findings, a neurogenic process with emphasis on radiculopathy is a consideration. I will schedule him for an electromyelography study of the right upper extremity as well as cervical spine x-rays. I will then contact him with the results of these tests and if this is neurogenic in nature, I will pursue further investigation.
Age: 41.0
Sex: F
Vaccine: DTAP, FLUX
Symptoms: Aphthous stomatitis, Pyrexia, Rash, Streptococcus test, Tonsillar ulcer
Clinical narrative: Fever, rash on legs and arms, and canker sores in mouth and throat, over weekend, vaccine was on friday morning. Pt returned to original doctor on Wednesday morning and then to her physician that same day. The canker sores have been a problem for over three weeks.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: fever over 101
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Dysgeusia, Hypoaesthesia, Insomnia, Malaise
Clinical narrative: Patient is a pharmacy technician and was given the MMR vaccine due to her vaccine titers showing she wasn't fully protected.  She reports that she has never had a reaction to a vaccine.  She is allergic to PCN and Sulfa but she has never had problems with neomycin or gelatin.  She has never had problems eating gummy bears or etc  She reports that she got the shot at about 1530 and by 1715 she started noticing that she felt like she might have a URI coming on and then she started having a metallic taste in her mouth.  This sensation of not feeling well has persisted and she reports that the metallic taste has been present for about 24 hours.  She reports that she doesn't feel hungry due to this sensation.  She reports that over the last two hours she has been having some numbness in the nose and reports prior to this she had some numbness.  She denies stomach cramps.  No lightheadedness.  Possibly dizzy but not sure if it from being tired  she did not sleep last night due having a unusual nightmare like event.  She feels like the overall symptoms are not getting better.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Nightmare
Clinical narrative: Patient is a pharmacy technician and was given the MMR vaccine due to her vaccine titers showing she wasn't fully protected.  She reports that she has never had a reaction to a vaccine.  She is allergic to PCN and Sulfa but she has never had problems with neomycin or gelatin.  She has never had problems eating gummy bears or etc  She reports that she got the shot at about 1530 and by 1715 she started noticing that she felt like she might have a URI coming on and then she started having a metallic taste in her mouth.  This sensation of not feeling well has persisted and she reports that the metallic taste has been present for about 24 hours.  She reports that she doesn't feel hungry due to this sensation.  She reports that over the last two hours she has been having some numbness in the nose and reports prior to this she had some numbness.  She denies stomach cramps.  No lightheadedness.  Possibly dizzy but not sure if it from being tired  she did not sleep last night due having a unusual nightmare like event.  She feels like the overall symptoms are not getting better.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Large area of edema and erythema from shot site extending down arm 6-7". About 3.5" wide. Hot to touch and painful per patient. Raised from normal skin 1/2-1".
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: local erythema and induration around injection site 5cm x 7cm area
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: local erythema and induration at injection site   6cm x 8 cm area
Age: 1.37
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Listless, Pyrexia
Clinical narrative: Fever of 105 degrees F with temporal artery thermometer, listlessness.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Abscess, Cellulitis, Culture positive, Gram stain positive, Injection site erythema
Clinical narrative: Cellulitis & Abscess Unspecified Sites  Left arm swollen - red: arm began to swell painful to touch or move after Flu Vaccine given; seen in ER
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Pain
Clinical narrative: Cellulitis & Abscess Unspecified Sites  Left arm swollen - red: arm began to swell painful to touch or move after Flu Vaccine given; seen in ER
Sex: M
Vaccine: PPV
Symptoms: Wrong drug administered
Clinical narrative: Baby was given pneumococcal polysaccharide vaccine (adult dose) instead of Hepatitis B vaccine.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PNC13
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Redness, swelling, and tenderness of thigh around vaccine site
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Flushing, Nausea, Vomiting
Clinical narrative: dizziness, nausea/vomiting, flushing
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, IPV, RVX
Symptoms: Bowel movement irregularity, Cough, Crying, Dyspnoea, Faeces discoloured
Clinical narrative: Patient all of a sudden went from smiling and laughing in her father's arms to very uncontrollably upset. She began crying harder than she ever does and it took us about 15-20 minutes to get her to calm down. This kind of behavior never happens with her, ever.   The next day (Thursday) she did not have a bowel movement at all. The following day (Friday) she had two tiny BM's and then a very liquidy, green and bloody stool at about 5:00 pm. We went to the after hours pediatrician and they sent the stool to labs for testing. The next week she only had one BM every OTHER day which is not usual for her as she is exclusively breastfed and typically has 4-5 BMs each day.   It has now been 8 days (Thursday 1/13/11) and she just had a second BM today (her first time to do this in a week) and I was thrilled until I noticed there was blood in it again. She has also had shorter breaths every once in a while and last night became congested which has not gone away. She also coughs every once in a while whether awake or asleep. My pediatrician is supposed to be calling me back to tell me what I should do next.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, IPV, RVX
Symptoms: Haematochezia, Respiratory tract congestion, Rotavirus test, Stool analysis normal
Clinical narrative: Patient all of a sudden went from smiling and laughing in her father's arms to very uncontrollably upset. She began crying harder than she ever does and it took us about 15-20 minutes to get her to calm down. This kind of behavior never happens with her, ever.   The next day (Thursday) she did not have a bowel movement at all. The following day (Friday) she had two tiny BM's and then a very liquidy, green and bloody stool at about 5:00 pm. We went to the after hours pediatrician and they sent the stool to labs for testing. The next week she only had one BM every OTHER day which is not usual for her as she is exclusively breastfed and typically has 4-5 BMs each day.   It has now been 8 days (Thursday 1/13/11) and she just had a second BM today (her first time to do this in a week) and I was thrilled until I noticed there was blood in it again. She has also had shorter breaths every once in a while and last night became congested which has not gone away. She also coughs every once in a while whether awake or asleep. My pediatrician is supposed to be calling me back to tell me what I should do next.
Age: 19.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Allergy to vaccine, Chest X-ray normal, Chest pain, Hypoaesthesia, Laboratory test normal
Clinical narrative: Mbr awoke in the morning with mild chest pain but when away. The rest of the day was uneventful until later that night when the pain in his chest got worse along with numbness in all 4 of his appendages. Mbr went to the ER and was later cleared by the doctor as having a reaction to Anthrax. Mbr is good condtion with no issues as of 01/13/2011.
Age: 19.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Pain
Clinical narrative: Mbr awoke in the morning with mild chest pain but when away. The rest of the day was uneventful until later that night when the pain in his chest got worse along with numbness in all 4 of his appendages. Mbr went to the ER and was later cleared by the doctor as having a reaction to Anthrax. Mbr is good condtion with no issues as of 01/13/2011.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blood test, Chest X-ray normal, Crying, Febrile convulsion, Gaze palsy
Clinical narrative: Baby became fussy and lethargic.  Under arm temperature was 101 degrees.  Gave baby Tylenol every 8 hours.  Baby's temperature lowered to 100 degress the following day and was not as fussy as the day before.  He played in the am and afternoon so I did not give him Tylenol during the next 9 hours as I checked several more times during the day and baby maintained under arm temp of 100-101 degrees.  Then at 4:00 pm, baby once again became fussy and lethargic.  Under arm temperature was at 103.5.  I gave him a lukewarm bath to cool his body and took another underarm temp which was 102.5.  Baby then began twitching with his right arm and was crying alot so we took him to the ER at 5:00 pm. The ER nurse took a rectal temp of 102 degrees when we arrived.  The baby was given a Tylenol suppository and then 30 minutes later, he once again began to twitch and suffered a fever seizure.  ER attendants rushed to administer oxygen as the baby looked like he was going to pass out with eyes rolling up and head bobbing.   The seizure lasted about a minute.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Irritability, Lethargy, Lumbar puncture, Muscle twitching, Posture abnormal
Clinical narrative: Baby became fussy and lethargic.  Under arm temperature was 101 degrees.  Gave baby Tylenol every 8 hours.  Baby's temperature lowered to 100 degress the following day and was not as fussy as the day before.  He played in the am and afternoon so I did not give him Tylenol during the next 9 hours as I checked several more times during the day and baby maintained under arm temp of 100-101 degrees.  Then at 4:00 pm, baby once again became fussy and lethargic.  Under arm temperature was at 103.5.  I gave him a lukewarm bath to cool his body and took another underarm temp which was 102.5.  Baby then began twitching with his right arm and was crying alot so we took him to the ER at 5:00 pm. The ER nurse took a rectal temp of 102 degrees when we arrived.  The baby was given a Tylenol suppository and then 30 minutes later, he once again began to twitch and suffered a fever seizure.  ER attendants rushed to administer oxygen as the baby looked like he was going to pass out with eyes rolling up and head bobbing.   The seizure lasted about a minute.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Urine analysis normal
Clinical narrative: Baby became fussy and lethargic.  Under arm temperature was 101 degrees.  Gave baby Tylenol every 8 hours.  Baby's temperature lowered to 100 degress the following day and was not as fussy as the day before.  He played in the am and afternoon so I did not give him Tylenol during the next 9 hours as I checked several more times during the day and baby maintained under arm temp of 100-101 degrees.  Then at 4:00 pm, baby once again became fussy and lethargic.  Under arm temperature was at 103.5.  I gave him a lukewarm bath to cool his body and took another underarm temp which was 102.5.  Baby then began twitching with his right arm and was crying alot so we took him to the ER at 5:00 pm. The ER nurse took a rectal temp of 102 degrees when we arrived.  The baby was given a Tylenol suppository and then 30 minutes later, he once again began to twitch and suffered a fever seizure.  ER attendants rushed to administer oxygen as the baby looked like he was going to pass out with eyes rolling up and head bobbing.   The seizure lasted about a minute.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Abdominal pain upper, Headache, Nausea
Clinical narrative: Headache, nausea, stomach pain
Age: 40.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Guillain-Barre syndrome
Clinical narrative: Diagnosed with GUILLAIN-BARRE Syndrome on 1/12/11.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Axillary pain, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt called 1/13/11 to report he had almost immediate pain, redness and swelling at injection site radiating under the right arm (axilla). Another pt. in our clinic reported similar reaction to same med, same lot #.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pallor, Presyncope
Clinical narrative: Approx 5-10 min after receiving vaccines, pt became pale in the face & had near-syncope. He laid down approximately 10 min and was fine.
Age: 12.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Syncope
Clinical narrative: Patient was given shot and fainted.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ
Symptoms: Fall, Lip injury, Syncope
Clinical narrative: Approx 5 min after receiving vaccines, pt was standing in hallway doing vision test where she suddenly fainted, fell forward & hit face on the ground. Top braces slipped off of teeth, minor lip lac.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ
Symptoms: Syncope
Clinical narrative: Approx 5 min after receiving vaccines, pt was standing in hallway doing vision test where she suddenly fainted, fell forward & hit face on the ground. Top braces slipped off of teeth, minor lip lac.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Erythema, Malaise, Oedema peripheral, Pyrexia
Clinical narrative: TDAP administered on 1/10/11 on to (L) deltoid. Pt developed (L) arm erythema, swelling and tenderness, fever to 101, joint aches, malaise.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: TDAP administered on 1/10/11 on to (L) deltoid. Pt developed (L) arm erythema, swelling and tenderness, fever to 101, joint aches, malaise.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Pallor
Clinical narrative: Per mother at 4 m/o imms: about 2 hrs after 2 month imms pt was sleeping. Went to wake and pt was grey/ashen. Stimulated pt to wake and pt was ok in 30 minutes.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA, PNC13
Symptoms: Injection site haematoma, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Local reaction noted following morning, firm tender oval nodule, no fevers, bruising note 48 hrs later.
Age: 21.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Axillary pain, Erythema, Infection, Injection site erythema, Injection site pain
Clinical narrative: Pt called 1/4/11 after vaccine given on 1/3/11. He c/o pain, swelling, & redness by inj site radiating to armpit. 1/5/11 pt was tx via an urgent care w/pain meds and KEFLEX for infection. Another pt in our clinic reported similar reaction after have PNEUMOVAX w/same lot #.
Age: 21.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Swelling
Clinical narrative: Pt called 1/4/11 after vaccine given on 1/3/11. He c/o pain, swelling, & redness by inj site radiating to armpit. 1/5/11 pt was tx via an urgent care w/pain meds and KEFLEX for infection. Another pt in our clinic reported similar reaction after have PNEUMOVAX w/same lot #.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abdominal discomfort, Influenza
Clinical narrative: Upset stomach flu symptoms.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient reports - 1-11-11 of painful, stiff injection site w/redness & swelling, also w/itching - she had an additional site on the same arm.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chills, Diarrhoea, Dizziness, Eye swelling
Clinical narrative: Mouth, tongue, gums, lips, cheeks (on outside) aching - slightly swollen but mostly pain which went into head, jaws & neck- throbbing inside mouth & taste buds didn't work - nite - aching & chills arm hurt swollen eyes, malaise, diarrhea abdominal pain dizziness.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Movement disorder, Pain, Swelling
Clinical narrative: Mouth, tongue, gums, lips, cheeks (on outside) aching - slightly swollen but mostly pain which went into head, jaws & neck- throbbing inside mouth & taste buds didn't work - nite - aching & chills arm hurt swollen eyes, malaise, diarrhea abdominal pain dizziness.
Age: 48.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Lymphadenopathy
Clinical narrative: Large red area at injection site, hard tissue around area, lymph nodes under arm swollen, (R) arm could not lift arm. TDAP.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Injection site pain, Injection site swelling, Lethargy
Clinical narrative: Joint pain - current weakness - current lethargic - current pain & swelling at injection site (at least 6 days) pain runs down back of arm when attempting to lift even a pc of paper. MD recommended MOTRIN or ULTRAM (not helping).
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Joint pain - current weakness - current lethargic - current pain & swelling at injection site (at least 6 days) pain runs down back of arm when attempting to lift even a pc of paper. MD recommended MOTRIN or ULTRAM (not helping).
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Wrong drug administered
Clinical narrative: Experiences dull ache at injection site (L) arm says he was given "wrong" injection - first (different needle) has seen MD.
Age: 10.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Within one hour or vaccinations, pt's arms began it get pruritic. She noticed the skin on her arms, neck and ears got red and pruritic.
Age: 0.27
Sex: F
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Urticaria, Vomiting
Clinical narrative: Approximately 4-5 hours after receiving 1st dose of HIB vaccine at age 3mo, pt developed redness and swelling of full left thigh, hives on chest, and vomiting. Pt was seen in Emergency Dept and given BENADRYL. Symptoms improved, and fully resolved in 3 days.
Age: 1.13
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Rash, Rash erythematous
Clinical narrative: After vaccine administration patient developed a red pinpoint rash on the face and scalp. He also had a 3/4 in. diameter red circle around the inj. site. Children's BENADRYL 1 tsp was administered by mouth which improved redness and decreased the number of spots on his face (Inj. site on the (R) leg).
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema, Urticaria
Clinical narrative: Localized erythema at the site of injection that progressed to diffuse urticarial rash, all starting about 4-5 days after vaccine administration.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dyspnoea, Nausea, Syncope, Urticaria, Wheezing
Clinical narrative: Nausea, syncope, difficulty breathing, wheezing, hives Tx - Albuterol, BENADRYL, Epinephrine, O2.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Body temperature increased, Cardiac enzymes, Chest discomfort, Chest pain, Chills
Clinical narrative: 20 y/o male calls Vaccine Call Center on 30 DEC 2010 on day #9 s/p receipt of primary SPV in LUE on 21 DEC 10. Denied other vaccines on the same day, but did receive AVA #1 and (?) Hep A/B about a month ago. Developed chills, body ache, fatigue and neck pain w/o rigidity on 29DEC10. Went to local ER at hospital on 30DEC10, as he was concerned that his smallpox lesion (vaccinia) was "spreading." "I have (2) spots that are like my vaccine site, one about 1 inch below the original shot site, left upper arm, and another on my hairline at the base of my neck." ER told me not to come back, unless my temp. was >104F. SM calls Vaccine Call Center later that evening (30DEC10) reporting temp of 101F, mild pleuritic SOB and new onset, dull, constant, midsternal, non-radiating chest pain/pressure in center of his chest, which he rated as a "2/10" initially and which increased in supine position and felt better when sitting up and leaning forward. At peak of CP ("4-5"/10) around 10PM, pt endorsed slight nausea w/o vomiting or diaphoresis. Stated that it hurt to take a deep breath. Call Center RN advised pt to have someone drive him back to the ER immediately and to ask the ER doctor to contact the Vaccine Call Center for needed clarification or clinical guidance re the Myopericarditis Algorithm. Pt admitted to hospital sometime after midnight (31DEC10) and ER doctor notified Deputy Chief Dr. that pt was responding to NSAIDS- CP & SOB resolved. Initial EKG ER was "normal," but bloodwork indicated a mild elevation of troponins. Pt kept in hospital till 02JAN11. Serial EKG's repeated & cardiac enzymes drawn with downward trend. SM d/c'd to parents' home sx free on 02JAN11, with d/c orders for "restricted activity" x 6 weeks- no fire-fighting or heavy lifting, continue Rx with ibuprofen 800 mg po tid WF x 1 week, no deployment x 6 months, cardiology f/u at 3 & 6 months. Outpatient echocardiogram on 04JAN11. F/U with PCM on 06JAN11 with echo results. Pt states the doctor told him his heart was good and that the test was normal. Pt denies any recurrent CP or SOB. States that he feels "back to normal." PMH: no chronic dz, no prior CVD, no genetic or auto-immune dz, no prior hospitalizations or surgeries. Fx rt thumb at 15 yrs age. Social Hx: single, on 06JAN11, but now cannot deploy x 6 months. No tobacco use, no ETOH or illicit drug use. FH: M-50(L) DM2, obese; F-50(L) healthy; Sister 17(L) healthy. NKDA. No known food, nut, dye, shellfish, latex, or environmental allergies. MEDS: Ibuprofen 800 mg po tid WF x 1 week.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fatigue, Impaired work ability
Clinical narrative: 20 y/o male calls Vaccine Call Center on 30 DEC 2010 on day #9 s/p receipt of primary SPV in LUE on 21 DEC 10. Denied other vaccines on the same day, but did receive AVA #1 and (?) Hep A/B about a month ago. Developed chills, body ache, fatigue and neck pain w/o rigidity on 29DEC10. Went to local ER at hospital on 30DEC10, as he was concerned that his smallpox lesion (vaccinia) was "spreading." "I have (2) spots that are like my vaccine site, one about 1 inch below the original shot site, left upper arm, and another on my hairline at the base of my neck." ER told me not to come back, unless my temp. was >104F. SM calls Vaccine Call Center later that evening (30DEC10) reporting temp of 101F, mild pleuritic SOB and new onset, dull, constant, midsternal, non-radiating chest pain/pressure in center of his chest, which he rated as a "2/10" initially and which increased in supine position and felt better when sitting up and leaning forward. At peak of CP ("4-5"/10) around 10PM, pt endorsed slight nausea w/o vomiting or diaphoresis. Stated that it hurt to take a deep breath. Call Center RN advised pt to have someone drive him back to the ER immediately and to ask the ER doctor to contact the Vaccine Call Center for needed clarification or clinical guidance re the Myopericarditis Algorithm. Pt admitted to hospital sometime after midnight (31DEC10) and ER doctor notified Deputy Chief Dr. that pt was responding to NSAIDS- CP & SOB resolved. Initial EKG ER was "normal," but bloodwork indicated a mild elevation of troponins. Pt kept in hospital till 02JAN11. Serial EKG's repeated & cardiac enzymes drawn with downward trend. SM d/c'd to parents' home sx free on 02JAN11, with d/c orders for "restricted activity" x 6 weeks- no fire-fighting or heavy lifting, continue Rx with ibuprofen 800 mg po tid WF x 1 week, no deployment x 6 months, cardiology f/u at 3 & 6 months. Outpatient echocardiogram on 04JAN11. F/U with PCM on 06JAN11 with echo results. Pt states the doctor told him his heart was good and that the test was normal. Pt denies any recurrent CP or SOB. States that he feels "back to normal." PMH: no chronic dz, no prior CVD, no genetic or auto-immune dz, no prior hospitalizations or surgeries. Fx rt thumb at 15 yrs age. Social Hx: single, on 06JAN11, but now cannot deploy x 6 months. No tobacco use, no ETOH or illicit drug use. FH: M-50(L) DM2, obese; F-50(L) healthy; Sister 17(L) healthy. NKDA. No known food, nut, dye, shellfish, latex, or environmental allergies. MEDS: Ibuprofen 800 mg po tid WF x 1 week.