chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Allergy to vaccine, Asthenia, Clumsiness, Dizziness, Fatigue
Clinical narrative: I started feeling unwell on the 18th.  I was aching more than usual, and felt fatigued and weak.  By Tuesday, 9/22/09, I was suffering from severe pain and some weakness in the left arm, in the muscle where the vaccine was injected, and the injection site was surrounded by a red circle which was increasing in size.  The injection site itched badly, but when I touched it, it felt like a severe bruise.  Muscle aches continued to worsen, especially in the left hand and arm.  The feeling of fatigue worsened, and my heart was beating hard (not fast - just hard).  I felt dizzy and clumsy, and my left hand and forearm got tingly - a pins and needles sensation.  By 1:30 on 9/22/09, my right hand tingled as well.  By 2:00 p.m. on 9/22/09, I left work and went to the ER.  I was told it was probably a vaccine allergy and that I would be fine.  By the evening of 9/22/09 (around 6:00), hives started popping up all over my body and itched like mad.  Topical anti-itch creams, lotions, sprays, and powders had no effect.  Benadryl had no effect - even at a high dosage.  The hives were on my arms, legs, trunk, hands, feet, palms, and in my external woman parts.  I had some in my ears, and they were also on my neck, chest, breasts, back, pretty much every skin surface of my body.  It was the worst case of hives I've had in my life; there were countless hives grouped close together - I was blanketed with them.  They were slightly larger than the hives I usually get, but not big enough to be called giant hives.  The very worst of it was centered around the injection site, which was red-purple and itched like crazy, although it hurt to touch it.  By 9/23/09, I was on high-dose prednisone, which also had no effect.  The hives finally started to lessen by the morning of 9/25/09 and continued to fade slowly.  The itching continued, but not as bad.  It took until 9/29/09 for the hives to go away, although the scabs I had from scratching the hives off (mostly in my sleep) continued to itch until they healed.  By then I was feeling really sick, and I was tentatively diagnosed with H1N1 flu, which may be unrelated.  I think I was exposed to the flu in the clinic on the day I got the regular flu vaccine (9/15/09).  I had a fever for 12 days and was very sick, but I didn't qualify for government-funded H1N1 testing, so I decided to forego the formal test.  It's hard to say exactly where the allergic reaction ended and the H1N1 flu began, or if the onset of the flu had something to do with the reaction.  I can say with certainty, though, that the vaccine was the initial cause of the allergic reaction, especially since it started at the vaccination site.  The ER doctor told me he's seen a lot more allergic reactions to this year's flu vaccine, incidentally.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Hyperaesthesia, Influenza, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: I started feeling unwell on the 18th.  I was aching more than usual, and felt fatigued and weak.  By Tuesday, 9/22/09, I was suffering from severe pain and some weakness in the left arm, in the muscle where the vaccine was injected, and the injection site was surrounded by a red circle which was increasing in size.  The injection site itched badly, but when I touched it, it felt like a severe bruise.  Muscle aches continued to worsen, especially in the left hand and arm.  The feeling of fatigue worsened, and my heart was beating hard (not fast - just hard).  I felt dizzy and clumsy, and my left hand and forearm got tingly - a pins and needles sensation.  By 1:30 on 9/22/09, my right hand tingled as well.  By 2:00 p.m. on 9/22/09, I left work and went to the ER.  I was told it was probably a vaccine allergy and that I would be fine.  By the evening of 9/22/09 (around 6:00), hives started popping up all over my body and itched like mad.  Topical anti-itch creams, lotions, sprays, and powders had no effect.  Benadryl had no effect - even at a high dosage.  The hives were on my arms, legs, trunk, hands, feet, palms, and in my external woman parts.  I had some in my ears, and they were also on my neck, chest, breasts, back, pretty much every skin surface of my body.  It was the worst case of hives I've had in my life; there were countless hives grouped close together - I was blanketed with them.  They were slightly larger than the hives I usually get, but not big enough to be called giant hives.  The very worst of it was centered around the injection site, which was red-purple and itched like crazy, although it hurt to touch it.  By 9/23/09, I was on high-dose prednisone, which also had no effect.  The hives finally started to lessen by the morning of 9/25/09 and continued to fade slowly.  The itching continued, but not as bad.  It took until 9/29/09 for the hives to go away, although the scabs I had from scratching the hives off (mostly in my sleep) continued to itch until they healed.  By then I was feeling really sick, and I was tentatively diagnosed with H1N1 flu, which may be unrelated.  I think I was exposed to the flu in the clinic on the day I got the regular flu vaccine (9/15/09).  I had a fever for 12 days and was very sick, but I didn't qualify for government-funded H1N1 testing, so I decided to forego the formal test.  It's hard to say exactly where the allergic reaction ended and the H1N1 flu began, or if the onset of the flu had something to do with the reaction.  I can say with certainty, though, that the vaccine was the initial cause of the allergic reaction, especially since it started at the vaccination site.  The ER doctor told me he's seen a lot more allergic reactions to this year's flu vaccine, incidentally.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site urticaria, Malaise, Muscular weakness, Myalgia, Pain
Clinical narrative: I started feeling unwell on the 18th.  I was aching more than usual, and felt fatigued and weak.  By Tuesday, 9/22/09, I was suffering from severe pain and some weakness in the left arm, in the muscle where the vaccine was injected, and the injection site was surrounded by a red circle which was increasing in size.  The injection site itched badly, but when I touched it, it felt like a severe bruise.  Muscle aches continued to worsen, especially in the left hand and arm.  The feeling of fatigue worsened, and my heart was beating hard (not fast - just hard).  I felt dizzy and clumsy, and my left hand and forearm got tingly - a pins and needles sensation.  By 1:30 on 9/22/09, my right hand tingled as well.  By 2:00 p.m. on 9/22/09, I left work and went to the ER.  I was told it was probably a vaccine allergy and that I would be fine.  By the evening of 9/22/09 (around 6:00), hives started popping up all over my body and itched like mad.  Topical anti-itch creams, lotions, sprays, and powders had no effect.  Benadryl had no effect - even at a high dosage.  The hives were on my arms, legs, trunk, hands, feet, palms, and in my external woman parts.  I had some in my ears, and they were also on my neck, chest, breasts, back, pretty much every skin surface of my body.  It was the worst case of hives I've had in my life; there were countless hives grouped close together - I was blanketed with them.  They were slightly larger than the hives I usually get, but not big enough to be called giant hives.  The very worst of it was centered around the injection site, which was red-purple and itched like crazy, although it hurt to touch it.  By 9/23/09, I was on high-dose prednisone, which also had no effect.  The hives finally started to lessen by the morning of 9/25/09 and continued to fade slowly.  The itching continued, but not as bad.  It took until 9/29/09 for the hives to go away, although the scabs I had from scratching the hives off (mostly in my sleep) continued to itch until they healed.  By then I was feeling really sick, and I was tentatively diagnosed with H1N1 flu, which may be unrelated.  I think I was exposed to the flu in the clinic on the day I got the regular flu vaccine (9/15/09).  I had a fever for 12 days and was very sick, but I didn't qualify for government-funded H1N1 testing, so I decided to forego the formal test.  It's hard to say exactly where the allergic reaction ended and the H1N1 flu began, or if the onset of the flu had something to do with the reaction.  I can say with certainty, though, that the vaccine was the initial cause of the allergic reaction, especially since it started at the vaccination site.  The ER doctor told me he's seen a lot more allergic reactions to this year's flu vaccine, incidentally.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Palpitations, Paraesthesia, Pruritus, Pyrexia, Scab
Clinical narrative: I started feeling unwell on the 18th.  I was aching more than usual, and felt fatigued and weak.  By Tuesday, 9/22/09, I was suffering from severe pain and some weakness in the left arm, in the muscle where the vaccine was injected, and the injection site was surrounded by a red circle which was increasing in size.  The injection site itched badly, but when I touched it, it felt like a severe bruise.  Muscle aches continued to worsen, especially in the left hand and arm.  The feeling of fatigue worsened, and my heart was beating hard (not fast - just hard).  I felt dizzy and clumsy, and my left hand and forearm got tingly - a pins and needles sensation.  By 1:30 on 9/22/09, my right hand tingled as well.  By 2:00 p.m. on 9/22/09, I left work and went to the ER.  I was told it was probably a vaccine allergy and that I would be fine.  By the evening of 9/22/09 (around 6:00), hives started popping up all over my body and itched like mad.  Topical anti-itch creams, lotions, sprays, and powders had no effect.  Benadryl had no effect - even at a high dosage.  The hives were on my arms, legs, trunk, hands, feet, palms, and in my external woman parts.  I had some in my ears, and they were also on my neck, chest, breasts, back, pretty much every skin surface of my body.  It was the worst case of hives I've had in my life; there were countless hives grouped close together - I was blanketed with them.  They were slightly larger than the hives I usually get, but not big enough to be called giant hives.  The very worst of it was centered around the injection site, which was red-purple and itched like crazy, although it hurt to touch it.  By 9/23/09, I was on high-dose prednisone, which also had no effect.  The hives finally started to lessen by the morning of 9/25/09 and continued to fade slowly.  The itching continued, but not as bad.  It took until 9/29/09 for the hives to go away, although the scabs I had from scratching the hives off (mostly in my sleep) continued to itch until they healed.  By then I was feeling really sick, and I was tentatively diagnosed with H1N1 flu, which may be unrelated.  I think I was exposed to the flu in the clinic on the day I got the regular flu vaccine (9/15/09).  I had a fever for 12 days and was very sick, but I didn't qualify for government-funded H1N1 testing, so I decided to forego the formal test.  It's hard to say exactly where the allergic reaction ended and the H1N1 flu began, or if the onset of the flu had something to do with the reaction.  I can say with certainty, though, that the vaccine was the initial cause of the allergic reaction, especially since it started at the vaccination site.  The ER doctor told me he's seen a lot more allergic reactions to this year's flu vaccine, incidentally.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Swine influenza, Urticaria
Clinical narrative: I started feeling unwell on the 18th.  I was aching more than usual, and felt fatigued and weak.  By Tuesday, 9/22/09, I was suffering from severe pain and some weakness in the left arm, in the muscle where the vaccine was injected, and the injection site was surrounded by a red circle which was increasing in size.  The injection site itched badly, but when I touched it, it felt like a severe bruise.  Muscle aches continued to worsen, especially in the left hand and arm.  The feeling of fatigue worsened, and my heart was beating hard (not fast - just hard).  I felt dizzy and clumsy, and my left hand and forearm got tingly - a pins and needles sensation.  By 1:30 on 9/22/09, my right hand tingled as well.  By 2:00 p.m. on 9/22/09, I left work and went to the ER.  I was told it was probably a vaccine allergy and that I would be fine.  By the evening of 9/22/09 (around 6:00), hives started popping up all over my body and itched like mad.  Topical anti-itch creams, lotions, sprays, and powders had no effect.  Benadryl had no effect - even at a high dosage.  The hives were on my arms, legs, trunk, hands, feet, palms, and in my external woman parts.  I had some in my ears, and they were also on my neck, chest, breasts, back, pretty much every skin surface of my body.  It was the worst case of hives I've had in my life; there were countless hives grouped close together - I was blanketed with them.  They were slightly larger than the hives I usually get, but not big enough to be called giant hives.  The very worst of it was centered around the injection site, which was red-purple and itched like crazy, although it hurt to touch it.  By 9/23/09, I was on high-dose prednisone, which also had no effect.  The hives finally started to lessen by the morning of 9/25/09 and continued to fade slowly.  The itching continued, but not as bad.  It took until 9/29/09 for the hives to go away, although the scabs I had from scratching the hives off (mostly in my sleep) continued to itch until they healed.  By then I was feeling really sick, and I was tentatively diagnosed with H1N1 flu, which may be unrelated.  I think I was exposed to the flu in the clinic on the day I got the regular flu vaccine (9/15/09).  I had a fever for 12 days and was very sick, but I didn't qualify for government-funded H1N1 testing, so I decided to forego the formal test.  It's hard to say exactly where the allergic reaction ended and the H1N1 flu began, or if the onset of the flu had something to do with the reaction.  I can say with certainty, though, that the vaccine was the initial cause of the allergic reaction, especially since it started at the vaccination site.  The ER doctor told me he's seen a lot more allergic reactions to this year's flu vaccine, incidentally.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Feeling abnormal, Heart rate increased, Memory impairment, Paraesthesia
Clinical narrative: heart was beating fast, light-headed, foggy brain, body felt tingly, trouble remembering things
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Dyspnoea, Muscular weakness
Clinical narrative: Suspected Guillain-Barre'syndrome.  Pt presented with a one and a half week worsening weakness which started in her feet and extended up to her thighs.  Now she has weakness in her arms as well.  She associates the beginning of her symptoms with a flu shot which she got on the 14th.  The same day, she started having some shortness of breath which was similar to her asthma exacerbation.  Shortness of breath did not stay there for a long time, and she has been having it on and off for the last week and a half.  She can walk, but she does not even try to run or go up stairs.  10/28/09 PCP medical records received service dates 10/24/09 to 10/26/09. Includes some ED / hospital records. Assessment: Possibility of Guillain-Barre' Syndrome', hypothyroidism. Patient presents with shortness of breath, exacerbation of asthma, muscles 'rubbery', dizziness, hasn't 'felt right' since flu shot. Chest tightness, some nasal congestion. Progressive muscle weakness feet, thighs, arms. Nasal erythema. Patient severely hypothyroid. Absent deep tendon reflexes. 'Feels like something stuck in back of throat' food gets stuck. Pinprick sensation decreased in lower extremity.  12/1/09 Hospital records, discharge summary, service dates 10/25/09 to 10/27/09. Assessment: Neuropathy unknown etiology. Mild well controlled asthma. Patient presented with lower and upper extremity weakness and sensation changes. Concerns regarding Guillain-Barre syndrome. Ascending pattern of tingling and numbness feet, thighs, arms. Mild dysphagia, feeling that food stuck in throat, shortness of breath with exertion. Decreased deep tendon reflexes, paresthesia, decreased pinprick sensation in feet. Unsteady, dizzy. Difficult tandem gait.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pain swelling redness. Hardness @ injection site. States fever over weekend.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Polymerase chain reaction, Pruritus, Rash papular, Secondary transmission, Skin lesion
Clinical narrative: received call from CDC Epidemiologist regarding 19 y/o female with possible vaccinia contact transmission. Girlfriend with recent intimate contact with active duty service member vaccinated with SPV. 10/30/2009 MD records dated 10/22/2009. Patient presented with rash, lesions on face, hands and vulva. The vulvar lesions were "weeping with pus". Patient developed these lesions after intimate contact with a boyfriend who had recently received a smallpox vaccination. Patient went to ED on 10/21/2009, no tx was noted.  Lab test: PCR assay test noted no Non-variola orthopoxvirus detected.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Palpitations, Throat tightness
Clinical narrative: Seasonal flu vaccine given approx 10:30 am. At about 9:30 pm patient experienced chest pain, pounding feeling in her chest and the feeling her throat was closing. This lasted about 1 hour. She woke 1 time during the night feeling the same and states she felt it again in the morning for a short while.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Cough, Full blood count, Nausea, Pharyngeal oedema
Clinical narrative: 10/09/09 received immunization; that evening nauseated, coughing, some swelling tongue and throat; Saturday hives face and neck-took BENADRYL; Sunday hives all over took prednisone; 10/12/09 office visit prednisone; 10/13/09 ER and 10/23/09 ER->IM SOLU-MEDROL and KENALOG, PO pred. 10/27/09 clinic.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Urticaria
Clinical narrative: 10/09/09 received immunization; that evening nauseated, coughing, some swelling tongue and throat; Saturday hives face and neck-took BENADRYL; Sunday hives all over took prednisone; 10/12/09 office visit prednisone; 10/13/09 ER and 10/23/09 ER->IM SOLU-MEDROL and KENALOG, PO pred. 10/27/09 clinic.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Blood pressure increased, Musculoskeletal stiffness, Oxygen saturation decreased, Pallor, Syncope
Clinical narrative: @ 10:55am after Varicell administration pt muscle stiffen pale 02 - 91 L 23 101/45 syncope episode. Pt received 02 = 100% spc 2 BP up 109/62 P47. Pt alert and oriented x3 @ 10:57 @ 11:10 113/74 P98.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Beta 2 microglobulin, Blood 25-hydroxycholecalciferol, Migraine, Vitamin D
Clinical narrative: AVA x 5 Feb 1999-May 2000. Joint pains and migraines in 2002. Denied problems with vaccine at that time. Denies any body aches prior to receipt of the vaccine. Joint aches: Inc in AM of elbows, shoulders, knees and ankles, improves during the day. No swelling or redness. Duration of hours to all day. Daily pains since onset in 2002, with intensity usually 6-7/10 but at times higher or lower. Is able to participate in weekly exercise regimen. Evaluated by rheum with no auto immune findings. Headaches ("migraines"): varying onset lasting 3-4 hours, OTC medications help. No aura. Frequency 1-2 times per week, longest period without a headache about 1 month. Pain is usually at level of about 7/10, occas 10/10. Pain resolves on own if OTC medications do not help. Denies photophobia, nausea, vomiting, etc. No neuro evaluation to date and no actual diagnosis of migraine noted in record review. Symptoms: Joint pain, multiple joints, headache, general, muscle pain. Pt doesnot know exact date and time. Reported Sx approx 2 years after last AVA.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Chills, Full blood count, Oedema peripheral, Pain in extremity
Clinical narrative: Received pneumococcal vaccine 10/13/09-L-arm. Pt. states that she began chills,fever 10/13/09 in PM hours. L-arm was very swollen, tender, hot to touch. Fever subsided in AM on 10/14, but arm continued to be hot, swollen, tender. Saw MD on 10/16/09 and was treated with antibiotics for cellulitis. Condition improving, arm still painful.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin warm, Tenderness
Clinical narrative: Received pneumococcal vaccine 10/13/09-L-arm. Pt. states that she began chills,fever 10/13/09 in PM hours. L-arm was very swollen, tender, hot to touch. Fever subsided in AM on 10/14, but arm continued to be hot, swollen, tender. Saw MD on 10/16/09 and was treated with antibiotics for cellulitis. Condition improving, arm still painful.
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Heart rate increased, Wheezing
Clinical narrative: Wheezing ,Chills,and Rapid heart beat
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Pruritus, Rash erythematous, Rash macular
Clinical narrative: red splotches to posterior torso within 5-6 minutes after administration of vaccine. Patient denies pain, c/o itching.  T 99.3, 52.5 lbs, HR 92, BP 106/64. Treated with 29 mg Benadryl IM LDT and observed for 30 minutes. No s/s of deterioration during observation period. VS after 30 minutes: T98.7 F, BO 100/62, R24, HR 93. No redness on posterior torso. Pt discharged home with instructions to go to ER for any S/S of detioration of condition.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Pyrexia, Vomiting
Clinical narrative: vomiting/stomach ache/fever
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Immunisation reaction, Malaise, Vomiting
Clinical narrative: Started approximately 9:00 pm "not feeling good", then about 10:00 pm started with diarrhea every 20 to 30 minutes for the next several hours. Then sometime between 1:00 -2:00am he started with vomiting.  Both lasted throughout the night. Wife called in to Health Department at 9:30 am on 10/22/09 and also spoke to his private MD, who thinks it might be a reaction to the flu shot and was told to drink plenty of fluids to prevent dehydration but did not need to see MD.  Spoke with wife on 10/26/2009, he is feeling better and has returned to work.
Age: 2.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough
Clinical narrative: Worsening cough
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hemiparesis, Muscular weakness, Paraesthesia, Vaccination complication
Clinical narrative: That night left foot/ankle became tingly and weak. Since that night it has slowly spread to my entire left side of my body. A neurologist confirmed it was a flu shot reaction on 10/27/09. Treatment as of now is Advil and to return to the neurologist on 11/2 and a possible nerve conduction test.11/5/2009 Neuro MD records from 10/27 and 11/4/2009 . Patient with c/o's lt face, arm and leg numbness. Neuro exam neg. Rx'd Ibuprofen.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash macular, Urticaria
Clinical narrative: Raised red blotches, looking like welts or hives all over stomach area extending to both left and right sides.  Took benadryl.  Symptoms dissipated on Saturday, October 24th late in the evening.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site discolouration, Injection site haematoma, Injection site papule, Injection site rash, Injection site urticaria
Clinical narrative: Pt developed a large bruise at injection site and then proceded to develop a gradual onset of hives, small raised and pink and additionally developed a fine sandpaper rash.
Age: 0.5
Sex: F
Vaccine: FLUX
Symptoms: Muscle twitching, Pyrexia, Vaccination complication
Clinical narrative: High fever (103.8) and twitching. Dr. visit the next day where they said it was a reaction to the flu shot.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: severe Chills fever 103, headache, joint pain
Age: 25.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Caesarean section, Cervix disorder, Drug exposure during pregnancy, Influenza like illness, Premature labour
Clinical narrative: GRAVIDA 1 PARA 0 26 WEEK GESTATION RECEIVED SEASONAL FLU 9/17/2009.  HAD FLU LIKE SYMPTOMS START 10/9.  CALLED DOCTOR AND RECEIVED TAMIFLU, COUGH MED AND Z-PAK.  RECEIVED H1N1 10/21/2009.  WENT INTO LABOR 10/24/2009.  C-SECTION DONE.  DOCTOR FELT LIKE IT WAS FROM A WEAK CERVIX.  10/28/09 Medical records received for DOS 10/9-10/24. Office notes and ED H&P.  Promigravida at 26 weeks. Developed cramping/abd pain post upper resp/ILI infection (cough, chest cong) and vaccine. Some vag bleeding.  Fully dialted. Intact membranes bulging. fetal heart tones at 140. Footling breech. Emergency c-section w/o complication. Post c-section small amt green incisional d/c noted. No fever. 10/30/2009 received hospital records stating baby boy born per emergency C-section at 26 wks gestation on 10/24/2009. Baby with low Apgar scores, in respiratory distress, initially bagged and then intubated and vent dependent. PE noted chest with retractions, rales throughout lungs. Dx RDS, after stabilized  baby tranferred to another facility to NICU.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: HIVES ALL OVER BODY
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Chills, Cough, Headache, Oropharyngeal pain
Clinical narrative: 10/18/09 Cough and headache and sore throat, fever 101 and achiness continued same symptoms with increase 10/20/09 of shakiness, chills, 103.  10/27/09 f/u with mother - cough persists - has twin sister with s/s
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: 10/18/09 Cough and headache and sore throat, fever 101 and achiness continued same symptoms with increase 10/20/09 of shakiness, chills, 103.  10/27/09 f/u with mother - cough persists - has twin sister with s/s
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Bilirubin conjugated increased, Blood bilirubin increased, Blood electrolytes normal, Cholestasis, Haemoglobin decreased
Clinical narrative: Patient was seen by Surgery clinic and also by study Physician (writer) and labs were obtained.  The patient was found to have a hemaglobin level of 5.3.  She required brief observation and transfusion of 2 units of Packed Red Blood Cells. AE not related to vaccine. 11/2 and 11/3/2009 records from ED visits on 10/6 and 10/11/2009 and DC summary for dates 10/12-10/15/2009. Patient was seen for a critically low hgb of 5.3 done at MD office and was tranfused with 2 units PRBC's and DC'd with hgb 13.6. 10/11/2009 patient was seen with c/o's fever and erythema around broviac cath site, (patient is S/P jejunostomy with closure of and broviac catheter placement on 9/1/2009 and is TPN dependent) was dc'd home after neg labs and normal cxr. On 10/12/2009 patient was called back and admitted to hospital for + blood culture  with dx of ? line sepsis. Tx'd with IV ABX. Repeat blood cultures came back neg. Ongoing: Patient has had trend of elevated bilirubin (total and direct) levels associated with short bowel syndrome and TPN cholestasis. Unlikely to be related to vaccination. 12/7/09 DC summary and medical records received for dates 10/12/09 to 10/15/09. DX: pyrexia of unknown duration. Presented to ER initially w/ fever. Pt was eval and dc after blood tests WNL. The following day blood cults returned that were (+)gram pos. cocci in clusters. Pt was then admitted. Pt is TPN dependent w/ h/o short gut syndrome. Repeat cultures were negative, and it was determined first blood culture bacteria was of skin source and pt did not have (+)blood culture. Pt. dc home w/ unknown reason for fevers.12/29/2009 MR and DC summary for 10/6-10/7/2009 admitted for critically low hgb of 5.3, transfused, hgb at 13.6 at discharge.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Packed red blood cell transfusion, Parenteral nutrition, Short-bowel syndrome, Transfusion
Clinical narrative: Patient was seen by Surgery clinic and also by study Physician (writer) and labs were obtained.  The patient was found to have a hemaglobin level of 5.3.  She required brief observation and transfusion of 2 units of Packed Red Blood Cells. AE not related to vaccine. 11/2 and 11/3/2009 records from ED visits on 10/6 and 10/11/2009 and DC summary for dates 10/12-10/15/2009. Patient was seen for a critically low hgb of 5.3 done at MD office and was tranfused with 2 units PRBC's and DC'd with hgb 13.6. 10/11/2009 patient was seen with c/o's fever and erythema around broviac cath site, (patient is S/P jejunostomy with closure of and broviac catheter placement on 9/1/2009 and is TPN dependent) was dc'd home after neg labs and normal cxr. On 10/12/2009 patient was called back and admitted to hospital for + blood culture  with dx of ? line sepsis. Tx'd with IV ABX. Repeat blood cultures came back neg. Ongoing: Patient has had trend of elevated bilirubin (total and direct) levels associated with short bowel syndrome and TPN cholestasis. Unlikely to be related to vaccination. 12/7/09 DC summary and medical records received for dates 10/12/09 to 10/15/09. DX: pyrexia of unknown duration. Presented to ER initially w/ fever. Pt was eval and dc after blood tests WNL. The following day blood cults returned that were (+)gram pos. cocci in clusters. Pt was then admitted. Pt is TPN dependent w/ h/o short gut syndrome. Repeat cultures were negative, and it was determined first blood culture bacteria was of skin source and pt did not have (+)blood culture. Pt. dc home w/ unknown reason for fevers.12/29/2009 MR and DC summary for 10/6-10/7/2009 admitted for critically low hgb of 5.3, transfused, hgb at 13.6 at discharge.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Blood culture negative, Blood culture positive, Catheter sepsis, Micrococcus infection
Clinical narrative: Patient was seen by Surgery clinic and also by study Physician (writer) and labs were obtained.  The patient was found to have a hemaglobin level of 5.3.  She required brief observation and transfusion of 2 units of Packed Red Blood Cells. AE not related to vaccine. 11/2 and 11/3/2009 records from ED visits on 10/6 and 10/11/2009 and DC summary for dates 10/12-10/15/2009. Patient was seen for a critically low hgb of 5.3 done at MD office and was tranfused with 2 units PRBC's and DC'd with hgb 13.6. 10/11/2009 patient was seen with c/o's fever and erythema around broviac cath site, (patient is S/P jejunostomy with closure of and broviac catheter placement on 9/1/2009 and is TPN dependent) was dc'd home after neg labs and normal cxr. On 10/12/2009 patient was called back and admitted to hospital for + blood culture  with dx of ? line sepsis. Tx'd with IV ABX. Repeat blood cultures came back neg. Ongoing: Patient has had trend of elevated bilirubin (total and direct) levels associated with short bowel syndrome and TPN cholestasis. Unlikely to be related to vaccination. 12/7/09 DC summary and medical records received for dates 10/12/09 to 10/15/09. DX: pyrexia of unknown duration. Presented to ER initially w/ fever. Pt was eval and dc after blood tests WNL. The following day blood cults returned that were (+)gram pos. cocci in clusters. Pt was then admitted. Pt is TPN dependent w/ h/o short gut syndrome. Repeat cultures were negative, and it was determined first blood culture bacteria was of skin source and pt did not have (+)blood culture. Pt. dc home w/ unknown reason for fevers.12/29/2009 MR and DC summary for 10/6-10/7/2009 admitted for critically low hgb of 5.3, transfused, hgb at 13.6 at discharge.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Bilirubin conjugated increased, Blood bilirubin increased, Blood bilirubin unconjugated increased, Haemoglobin decreased, Packed red blood cell transfusion
Clinical narrative: Patient was seen by Surgery clinic and also by study Physician (writer) and labs were obtained.  The patient was found to have a hemaglobin level of 5.3.  She required brief observation and transfusion of 2 units of Packed Red Blood Cells. AE not related to vaccine. 11/2 and 11/3/2009 records from ED visits on 10/6 and 10/11/2009 and DC summary for dates 10/12-10/15/2009. Patient was seen for a critically low hgb of 5.3 done at MD office and was tranfused with 2 units PRBC's and DC'd with hgb 13.6. 10/11/2009 patient was seen with c/o's fever and erythema around broviac cath site, (patient is S/P jejunostomy with closure of and broviac catheter placement on 9/1/2009 and is TPN dependent) was dc'd home after neg labs and normal cxr. On 10/12/2009 patient was called back and admitted to hospital for + blood culture  with dx of ? line sepsis. Tx'd with IV ABX. Repeat blood cultures came back neg. Ongoing: Patient has had trend of elevated bilirubin (total and direct) levels associated with short bowel syndrome and TPN cholestasis. Unlikely to be related to vaccination. 12/7/09 DC summary and medical records received for dates 10/12/09 to 10/15/09. DX: pyrexia of unknown duration. Presented to ER initially w/ fever. Pt was eval and dc after blood tests WNL. The following day blood cults returned that were (+)gram pos. cocci in clusters. Pt was then admitted. Pt is TPN dependent w/ h/o short gut syndrome. Repeat cultures were negative, and it was determined first blood culture bacteria was of skin source and pt did not have (+)blood culture. Pt. dc home w/ unknown reason for fevers.12/29/2009 MR and DC summary for 10/6-10/7/2009 admitted for critically low hgb of 5.3, transfused, hgb at 13.6 at discharge.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Blood culture negative, Blood culture positive, Catheter sepsis
Clinical narrative: Patient was seen by Surgery clinic and also by study Physician (writer) and labs were obtained.  The patient was found to have a hemaglobin level of 5.3.  She required brief observation and transfusion of 2 units of Packed Red Blood Cells. AE not related to vaccine. 11/2 and 11/3/2009 records from ED visits on 10/6 and 10/11/2009 and DC summary for dates 10/12-10/15/2009. Patient was seen for a critically low hgb of 5.3 done at MD office and was tranfused with 2 units PRBC's and DC'd with hgb 13.6. 10/11/2009 patient was seen with c/o's fever and erythema around broviac cath site, (patient is S/P jejunostomy with closure of and broviac catheter placement on 9/1/2009 and is TPN dependent) was dc'd home after neg labs and normal cxr. On 10/12/2009 patient was called back and admitted to hospital for + blood culture  with dx of ? line sepsis. Tx'd with IV ABX. Repeat blood cultures came back neg. Ongoing: Patient has had trend of elevated bilirubin (total and direct) levels associated with short bowel syndrome and TPN cholestasis. Unlikely to be related to vaccination. 12/7/09 DC summary and medical records received for dates 10/12/09 to 10/15/09. DX: pyrexia of unknown duration. Presented to ER initially w/ fever. Pt was eval and dc after blood tests WNL. The following day blood cults returned that were (+)gram pos. cocci in clusters. Pt was then admitted. Pt is TPN dependent w/ h/o short gut syndrome. Repeat cultures were negative, and it was determined first blood culture bacteria was of skin source and pt did not have (+)blood culture. Pt. dc home w/ unknown reason for fevers.12/29/2009 MR and DC summary for 10/6-10/7/2009 admitted for critically low hgb of 5.3, transfused, hgb at 13.6 at discharge.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Bilirubin conjugated increased, Blood bilirubin increased, Blood electrolytes normal, Cholestasis, Haemoglobin decreased
Clinical narrative: Patient was admitted for suspected line sepsis from 10/12 - 10/15/2009.  The patient received IV vancomycin and cefepime/cefotaxime therapy.  Central line blood cultures were negative.  The initial peripheral blood culture was positive to Micrococcus sp., a probably contaminant. Repeat cultures from the central line and peripheral blood were negative. This AE was related to the patient's underlying illness and not the vaccine.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Packed red blood cell transfusion, Parenteral nutrition, Short-bowel syndrome, Transfusion
Clinical narrative: Patient was admitted for suspected line sepsis from 10/12 - 10/15/2009.  The patient received IV vancomycin and cefepime/cefotaxime therapy.  Central line blood cultures were negative.  The initial peripheral blood culture was positive to Micrococcus sp., a probably contaminant. Repeat cultures from the central line and peripheral blood were negative. This AE was related to the patient's underlying illness and not the vaccine.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Blood culture negative, Blood culture positive, Catheter sepsis, Micrococcus infection
Clinical narrative: Patient was admitted for suspected line sepsis from 10/12 - 10/15/2009.  The patient received IV vancomycin and cefepime/cefotaxime therapy.  Central line blood cultures were negative.  The initial peripheral blood culture was positive to Micrococcus sp., a probably contaminant. Repeat cultures from the central line and peripheral blood were negative. This AE was related to the patient's underlying illness and not the vaccine.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Bilirubin conjugated increased, Blood bilirubin increased, Blood bilirubin unconjugated increased, Haemoglobin decreased, Packed red blood cell transfusion
Clinical narrative: Patient was admitted for suspected line sepsis from 10/12 - 10/15/2009.  The patient received IV vancomycin and cefepime/cefotaxime therapy.  Central line blood cultures were negative.  The initial peripheral blood culture was positive to Micrococcus sp., a probably contaminant. Repeat cultures from the central line and peripheral blood were negative. This AE was related to the patient's underlying illness and not the vaccine.
Age: 0.35
Sex: F
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Blood culture negative, Blood culture positive, Catheter sepsis
Clinical narrative: Patient was admitted for suspected line sepsis from 10/12 - 10/15/2009.  The patient received IV vancomycin and cefepime/cefotaxime therapy.  Central line blood cultures were negative.  The initial peripheral blood culture was positive to Micrococcus sp., a probably contaminant. Repeat cultures from the central line and peripheral blood were negative. This AE was related to the patient's underlying illness and not the vaccine.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Blister, Injection site rash, Injection site vesicles, Rash
Clinical narrative: Mother stated that on afternoon of 09/17/2009 a rash appeared on proximal right leg, which consisted of "water blisters", that also appeared on toes of child. On 09/18/2009 the same rash and "water blisters" appeared on left leg and toes also. This reaction lasted for approx. one week. Mother did not seek medical attention during this week and did not treat areas.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Neurological examination, Paraesthesia
Clinical narrative: Received H1N1 at 11:00 AM and began to have numbness and tingling from left elbow to left neck almost immediately.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abnormal behaviour, Syncope, Vertigo
Clinical narrative: H1N1 Mist given to pt. Her brother reacted dramatically when he received his H1N1 Mist and Hgb. Pt fainted and recovered rapidly. Gave her Coca Cola. Mom phoned at approx. 5 PM and said pt said her brain was going round and round. Had been playing all afternoon. Mom phoned in 12-09 and said pt seemed fine and was not dizzy.
Age: 52.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Lymphadenopathy, Pruritus
Clinical narrative: Swollen lymph nodes on neck. Itchy upper back, possible hives. No fever.
Age: 52.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Lymphadenopathy, Pruritus
Clinical narrative: Swollen lymph nodes on neck.  Ichy upper back, possible hives.  No fever.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Nasal congestion, Pyrexia, Respiratory tract congestion
Clinical narrative: stuffy nose, cough, congestion, fever
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Heart rate increased, Pyrexia
Clinical narrative: Fever up to 102.6, severe chills, headache, rapid pulse. MD visit, prescribed Tamiflu prn. Did not take. Afebrile by 9:00 10/23/09; all symptoms resolved
Age: 25.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood test normal, Cardiac stress test normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Extreme sore throat and headaches soon after administration of H1N1 nasal mist vaccine. Fatigue and wheezing days following. on 10/24/2009, chest pain during the day behind left nipple became sharp, extreme chest pains, numbness of left arm and hand, difficulty breathing, couldn't catch breath, rapid heart rate, blackout or memory several times before and during ambulance transport.
Age: 25.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Fatigue, Headache, Heart rate increased, Hypoaesthesia, Loss of consciousness
Clinical narrative: Extreme sore throat and headaches soon after administration of H1N1 nasal mist vaccine. Fatigue and wheezing days following. on 10/24/2009, chest pain during the day behind left nipple became sharp, extreme chest pains, numbness of left arm and hand, difficulty breathing, couldn't catch breath, rapid heart rate, blackout or memory several times before and during ambulance transport.
Age: 25.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Memory impairment, Oropharyngeal pain, Wheezing
Clinical narrative: Extreme sore throat and headaches soon after administration of H1N1 nasal mist vaccine. Fatigue and wheezing days following. on 10/24/2009, chest pain during the day behind left nipple became sharp, extreme chest pains, numbness of left arm and hand, difficulty breathing, couldn't catch breath, rapid heart rate, blackout or memory several times before and during ambulance transport.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: redness of injection site spreading over a 5 cm diameter. "Itchy"
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Expired drug administered
Clinical narrative: NO SIGNS OR SYMPTOMS.  PATINET WAS GIVEN TD ON 1/28/09 THAT HAD EXPIRED ON 1/19/09.  INSTRUCTED TO REPORT TO VAERS.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: possible syncopal episode while in the care on the way home, lasting approx. 30 seconds, patient subsequently awoke, but groggy per mom. NO seizure activity noted.  Observed in office, alert and responsive, then fell asleep (nap time, per mom).
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Rhinorrhoea
Clinical narrative: Mild runny nose and cough start on 10/25/2009, AM. Temperature 100.4 to 100.6. Remove his long sleeve clothes. Temperature went down. At 2:00 AM, 10/27/2009 temperature went back to 100.5. Motrin was given at around 4:00 AM. Temperature went down around 4:30 AM. He woke up, runny nose and cough worsen until now 10:00 AM. Dr. has been contacted and have been in conversation with the nurse. Decision is if he have another temperature, difficult to breath or cough worsen, he need to see Dr.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on buttocks and back of legs, disappeared by morning, came back the next night.
Age: 43.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Blood culture negative, Cough, Influenza serology negative, Influenza serology positive
Clinical narrative: Pt started 10/18/09 developing dry, nonproductive cough, fevers to 103, generalized body aches and joint pains.  10/28/09:  Medical records received for dates 10/20/09 to 10/22/09. Final DX:  Viral Syndrome with fever.  Assessment: Scratchy throat progressed to dry, nonproductive cough, sore throat, fevers to 103 and generalized body aches and joint pains, specifically worse in the hips and knees.  Also has some HA which gets worse with coughing.    11/17/09 Hospital records received for dates 10/20/09 to 10/22/09. DX: viral syndrome with fever. SX: fever, cough, chills, sore throat, body aches. ID consult DX viral syndrome.   ICD9 codes: 780.6, 079.99, 462, V58.66
Age: 43.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia, Sputum culture, Streptococcal identification test negative
Clinical narrative: Pt started 10/18/09 developing dry, nonproductive cough, fevers to 103, generalized body aches and joint pains.  10/28/09:  Medical records received for dates 10/20/09 to 10/22/09. Final DX:  Viral Syndrome with fever.  Assessment: Scratchy throat progressed to dry, nonproductive cough, sore throat, fevers to 103 and generalized body aches and joint pains, specifically worse in the hips and knees.  Also has some HA which gets worse with coughing.    11/17/09 Hospital records received for dates 10/20/09 to 10/22/09. DX: viral syndrome with fever. SX: fever, cough, chills, sore throat, body aches. ID consult DX viral syndrome.   ICD9 codes: 780.6, 079.99, 462, V58.66
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Throat tightness, Urticaria
Clinical narrative: Hives, throat tight.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy
Clinical narrative: Erthyema/ induration: L arm 40x35mm, R arm 50x45mm. 10/28/2009 MD records for 10/22/2009. Patient presents with areas of erythema and induration at vaccination sites. Tx: tylenol and warm compresses.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Eye swelling, Malaise, Ocular hyperaemia
Clinical narrative: 14-groggy, deep chest cough. 18th fever. 20 went to doctor, fever 103, eyes swelled shut, red splotches over eyes, sick, coughing. Goes back to doctor 10/22/09. 3 day steroid started 10/20/09 with amoxicillin.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Somnolence
Clinical narrative: 14-groggy, deep chest cough. 18th fever. 20 went to doctor, fever 103, eyes swelled shut, red splotches over eyes, sick, coughing. Goes back to doctor 10/22/09. 3 day steroid started 10/20/09 with amoxicillin.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Nasal congestion
Clinical narrative: 6 days after Mist, elevated T 100 cough + nasal congestion. Was seen on 10/20/2009.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Feeling hot, Heart rate increased, Immediate post-injection reaction, Nausea
Clinical narrative: Pt saw shooting stars immediately after injection. Then that went away and felt lightheaded and nauseous. BP 139/95 and pulse 104 which are both high for patient. No fever, no hives, felt warm, + nausea.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Visual impairment
Clinical narrative: Pt saw shooting stars immediately after injection. Then that went away and felt lightheaded and nauseous. BP 139/95 and pulse 104 which are both high for patient. No fever, no hives, felt warm, + nausea.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination
Clinical narrative: None. Was told to report H1N1 LAIV intranasal vaccine given to patient. Patient HIV (+).
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Head injury, Pallor, Syncope
Clinical narrative: After inj pt walked and stood by the door pt brother had anH1N1 inj too after disposing of the 2nd inj in shurps container. Pt fainted Pt slid to the left and hit his head on the door knob. Pt was very weak and pail pt was helped to a chair in the room, then helped to a wheel chair, then helped to a bed where his feet were elevated and a cold compress was put on his head and he layed down for 20 min.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema
Clinical narrative: Erythema under let arm noted 4 hours after injection in L deltoid. Additional erythema noted, 18 hours after injection, on L breast. Red, linear, slightly raised. No itching. Treated with one application of Bacitracin.
Age: 12.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Headache, Heart rate increased, Vomiting
Clinical narrative: 3 days after mist, increased T 102.9, cough, H/A, vomiting, increased HR to 120-140, went to ER for IVF. Fever last for 2 days, now with residual cough.