chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local erythema - 3 cm, with large area of swelling surrounding. Recommended ice compresses; Benadryl
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Lacrimation increased, Syncope
Clinical narrative: Watery (R) eye/abdominal pain syncope about 10 min after immunization
Age: 43.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Injection site papule, Injection site urticaria, Pain in extremity, Swelling
Clinical narrative: Employee comes in 10-17-07 @ 1630-says her arm very sore, red and puffy. 30cm x 15 cm red raised bump at injection site; then 135 cm x 100 cm red "hive" below inj site. 10-19-07 called empl. says no longer red, just tender to touch. 10-24-07 pain gone now. Resolved
Age: 43.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Tenderness
Clinical narrative: Employee comes in 10-17-07 @ 1630-says her arm very sore, red and puffy. 30cm x 15 cm red raised bump at injection site; then 135 cm x 100 cm red "hive" below inj site. 10-19-07 called empl. says no longer red, just tender to touch. 10-24-07 pain gone now. Resolved
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Body temperature increased, Swelling
Clinical narrative: 1 day after immunizations pt. c/o increased temp 103 and swelling @ face-no trouble breathing.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: pruritus, edema, & erythema in hands & knees beginning night of vaccine and continuing throughout the next day-did not reside with Claritin or Benadryl MD visit needed
Age: 29.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: 10-22-07 1115 Employee comes in to office. shows nurse red, hot, swollen area on arm. States it has "come-down" from yesterday. Measure 32 cm x 55 cm (R) deltoid. Will recheck. 10-23-07/1500 same, no chge. 10-25-07/1315 Empl states all redness and pain gone.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Blister
Clinical narrative: 10-17-07 Tdap given 4 days later a blister appeared, popped 10/22/07. Child rec'd MMR to opsite arm on 10/23/07. 10/24/07 mom reports scabed over. 10/25/07 small reddened area with pinpt
Age: 1.1
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMRV
Symptoms: Convulsion, Full blood count, Laboratory test
Clinical narrative: Parent reports short sz like event 2-3 hours post vaccines x1 and then similar event within 48 hours at day care - no hospitalization. Event last < 5 min, EMS evaluated at scene and referred her. No prior illness, afebrile at time per parent.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Pallor, Rash papular
Clinical narrative: Fine blanchable papular rash over cheek/trunk/extremities upward the day after vaccination. No fever, no itchy. No history of allergic reaction.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dysarthria, Fatigue, Injection site pain, Nasal congestion, Speech disorder
Clinical narrative: On 10/23/07. Pt c/o feeling tired 1-2 hrs after vaccination, congestion on L basal/side of face and tongue swelling. Felt some words were slurred and speech thick. (not observed today). Her injection site was sore-no redness or induration or swelling. no rashes. no wheezing.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face, Swollen tongue
Clinical narrative: On 10/23/07. Pt c/o feeling tired 1-2 hrs after vaccination, congestion on L basal/side of face and tongue swelling. Felt some words were slurred and speech thick. (not observed today). Her injection site was sore-no redness or induration or swelling. no rashes. no wheezing.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Anaphylactic reaction, Dysphonia, Headache, Hyperhidrosis
Clinical narrative: Got vax 10/22-After 20 minutes developed episode of anaphylaxis, hoarseness, sweating, headache, and stomach cramps. Patient took Benadryl
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Inflammation, Pain in extremity
Clinical narrative: Pain in (L) arm with localized redness and inflammation evident 2 days post inoculation. Pt states that although her arm is still very uncomfortable to use, it seems to be resolving on its own.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation, Tongue disorder, Urticaria
Clinical narrative: hives/urticarial w/in 15 minutes ER within 1 hr throat weird sensation tongue thick AL Alavert 10 mg 3 Epinephrine Rx Medrol dose pk IV fluids IV steroid Pepcid
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash generalised
Clinical narrative: 1. flu shot approx 11:30-12 noon (Thursday) 2. Had Egg Salad Sandwich for lunch-same day 3. 8-9 pm same day started with itchy back 4. Next day rash spread to front of trunk (upper chest) 5. Sat. rash covers back, front of trunk and arms, sees MD who presc. Methylprednisolone taper for 7 days and Benadryl 25 mg tab. 6 per 24 hrs. did so for 2 days.
Age: 3.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema multiforme, Sick relative
Clinical narrative: Erythema Multiforme 8 days after receiving Fluvax and Hep A brother also ill at the time with presumed 5th disease.
Age: 43.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: Patient given pediatric Hep B after consult with HD. Patient given adult Hep B vaccine approx 15 minutes after Peds dose. No adverse symptoms noted.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: Aches, fever x 2 nights (101), nausea, diarrhea (never vomited).
Age: 83.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Discomfort, Oedema peripheral, Pain
Clinical narrative: Extreme swelling shoulder to elbow, excruciating pain from shoulder down to hands excessive amount of aspirin taken of 3 days now swelling has receded, discomfort is tolerable.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Upper right arm was red and swollen. Treated by doctor and he thought it was allergic reaction. Treating with Benadryl and Cephalexin. Right arm is affected area.
Age: 56.0
Sex: F
Vaccine: HEPAB, IPV, PPV, TDAP, YF
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Oedema peripheral
Clinical narrative: 10/13-Headache; Fever 101 deg; Rash Rt arm 10/14 Headache; Fever 102; Fatigue-went to urgent care. No treatment 10/15-Redness Rt arm-fever 98 deg-feeling much better 10/16-Rt arm swollen and painful-seen by Dr-diagnosed Cellulitis-Antibiotics given
Age: 56.0
Sex: F
Vaccine: HEPAB, IPV, PPV, TDAP, YF
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: 10/13-Headache; Fever 101 deg; Rash Rt arm 10/14 Headache; Fever 102; Fatigue-went to urgent care. No treatment 10/15-Redness Rt arm-fever 98 deg-feeling much better 10/16-Rt arm swollen and painful-seen by Dr-diagnosed Cellulitis-Antibiotics given
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema nodosum, Injection site reaction
Clinical narrative: Erythema Nodosum Syndrome at site of injection ((R) upper arm) ? if this due to shot.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Blood test normal, Laboratory test, Rash
Clinical narrative: Rash began on face - under both eyes. Spread over face, behind neck, ears, on back, buttocks, and upper thighs. Went away without treatment. Returned much milder form 6 weeks later and again resolved without treatment. Testing performed by pediatrician and pediatric dermatologist - all tests normal - no known etiology for rash. Not returned since.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Severe swelling - pain at injection site. MD visit x 3 diagnosis cellulitis
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Red swollen area, warm around area. No drainage.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling below injection site on left arm approximately 8cm x 6cm in diameter.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Fatigue, Rash pruritic, Urticaria
Clinical narrative: 10/21 Onset of generalized pruritic rash 36-40 hours after receiving Fluzone vaccine, + fatigue, mild abdominal pain, No fever, chills, myalgias, headache. Rx with OTC Claritin and Benadryl. 10/22 patient saw her primary PCP - diagnosed with hives by PCP - Rx with Zyrtec QD and Benadryl PRN HS Cod tepid both PRN no signs of anaphylaxis.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Movement disorder, Myoclonus
Clinical narrative: Movement disorder; Myoclonic jerks 10/29/07-records received for DOS 10/23/07-Impression. acute onset of movement disorder. Not improving. Tic-like movements involving head and neck and right upper extremity. The question of streptococcus induced movement disorder is raised. Symptoms should slowly improve. Medical management of her streptococcal infection. C/O neck and back pain from twitiching movements. PE: intermittent head and neck tic-like movements particularly of the right side, rare movements noted in right upper extremity and few abnormal movements in her trunk. The intensity of movements tended to vary during course of examination, she did have some momentary control over them.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure, Chest discomfort, Electrocardiogram normal, Erythema
Clinical narrative: Within 10-15 seconds starting turning red in face and head - hot - feel bad all down her spine. Settled in lower back. 12:08 (8 minutes) later, feeling better. Had tightness in chest 2 5 minutes onto reaction. Had called MD - when chest tight - hung up and called 911. 12:12pm much better drank water
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Malaise, Nausea, Pain, Skin warm
Clinical narrative: Left arm - erythema, warm to touch pain scale at "7." Complains of not being able to move arm without pain - nausea and vomiting over weekend malaise - unable to sleep comfortably. She as out of work for 2 days.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Left arm - erythema, warm to touch pain scale at "7." Complains of not being able to move arm without pain - nausea and vomiting over weekend malaise - unable to sleep comfortably. She as out of work for 2 days.
Age: 27.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MMR vaccine administered earlier than the 28 day recommendations. No adverse reactions reported by employee (patient).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Patient received vaccines at 5 year patient 10/24/07. No calling today to report red, swollen, painful hard area size of baseball left arm. Tylenol for discomfort no itching
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Swelling left arm within 12 hours after Varivax given but recovering well. No cellulitis no pain. No use of arm - seen 10-25-07.
Age: 0.4
Sex: M
Vaccine: DTAPH, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Trihibet vaccine should not have been given. - To young for this combo, - when it was given.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema multiforme
Clinical narrative: 1 Week after Varivax #2 erythema multiforme rash on trunk also has mild URI Rx Benadryl and observation
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Lethargy, Nuclear magnetic resonance imaging
Clinical narrative: Approximately 4 days after Hep B immunization right thumb and pointer finger became numb, within a week numbness traveled to slightly above right elbow. Felt lethargic. Family physician referred her to doctor neurologist MRI showed lesions on brain. Neurologist referred patient to doctor MS Clinic doctor.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Pain, swelling, red, fever
Age: 1.0
Sex: M
Vaccine: HEPA, MM, VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Developed redness and hives at each of the injection sites.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria, Wheezing
Clinical narrative: On Friday 10-19-07 after patient received the shots his mother called and said he had some wheezing and hives and swelling of LA. Advised to take him to MD. Mom said he was not that bad. Hives subsided over weekend after Benadryl.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Insomnia, Irritability, Pyrexia, Vomiting
Clinical narrative: Fever 103.6 F, extreme irritability, vomiting and diarrhea, insomnia
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Influenza, Nasopharyngitis
Clinical narrative: "Aching in chest, cold - flu symptoms, feverish" after Tdap placed on 10/16/07. Treatment with Amoxicillin and Dumt JSS GP:
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash generalised
Clinical narrative: Mom called office 10/19/2007 4:00pm to tell staff that he baby was covered in a rash from head to toe.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Erythema from shoulder to elbow on side of injection, no fever, chills, began to resolve prior to office visit.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Ear pain, Fatigue, Headache, Injection site pruritus
Clinical narrative: site of injection - pruritis, headache, insomnia, pruritic macular erythematous rash on face neck trunk and arms, near syncope, fatigue, sore throat, ear ache, fever-subjective, joint aches, nausea, vomiting, malaise
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Insomnia, Malaise, Nausea, Pharyngolaryngeal pain, Presyncope
Clinical narrative: site of injection - pruritis, headache, insomnia, pruritic macular erythematous rash on face neck trunk and arms, near syncope, fatigue, sore throat, ear ache, fever-subjective, joint aches, nausea, vomiting, malaise
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Rash erythematous, Rash macular, Rash pruritic, Vomiting
Clinical narrative: site of injection - pruritis, headache, insomnia, pruritic macular erythematous rash on face neck trunk and arms, near syncope, fatigue, sore throat, ear ache, fever-subjective, joint aches, nausea, vomiting, malaise
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Swelling, redness and aching at injection site, spreading from top of the shoulder to halfway down to the elbow.  Headache, body aches and nausea also present.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Swelling, redness and aching at injection site, spreading from top of the shoulder to halfway down to the elbow.  Headache, body aches and nausea also present.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Pruritus generalised, Rash, Rash macular
Clinical narrative: 3 yo boy with history of cerebral palsy and seizure disorder, off seizure medications for 3 mos (phenobarbital, keppra) developed generalized pruritic salmon pink rash on face, neck, arms, axilla trunk, back one hour after administration of flu vaccine.  Some raised macules on face, blanching.  Rash resolving after administration of Benadryl.  No hemodynamic instability.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dizziness, Dysphonia, Fatigue, Heart rate increased
Clinical narrative: I felt fine until around seven hours after the injection and then suddenly felt very tired and dizzy.  The next morning I woke up and was still very tired, like I'd not slept in several days. (I had a full 8 hours of sleep that night.)  I drove to work. On the way to work, it seemed to worsen.  I began feeling more dizzy - almost like I was drunk. I wasn't short of breath, but my voice was scratchy.  I stopped at a stoplight and fell asleep for a few seconds and then jolted awake.  I felt like my heart was beating fast, but that sensation only lasted a little while.  My arm was hurting from my neck all the way down to my wrist.  It was sore to the touch and had jolting pain when I lifted my arm.  The rest of the day I seemed to feel gradually better.  By 3 in the afternoon (a little more than 24 hours after the injection), I just felt a bit tired, my arm was still really hurting, but I was no longer dizzy. I did develop a cough later on in the day which lasted another 24 hours and then went away. I feel normal now.  The injection site is slightly tender, but no other symptoms.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperaesthesia, Injection site pain, Pain in extremity, Somnambulism
Clinical narrative: I felt fine until around seven hours after the injection and then suddenly felt very tired and dizzy.  The next morning I woke up and was still very tired, like I'd not slept in several days. (I had a full 8 hours of sleep that night.)  I drove to work. On the way to work, it seemed to worsen.  I began feeling more dizzy - almost like I was drunk. I wasn't short of breath, but my voice was scratchy.  I stopped at a stoplight and fell asleep for a few seconds and then jolted awake.  I felt like my heart was beating fast, but that sensation only lasted a little while.  My arm was hurting from my neck all the way down to my wrist.  It was sore to the touch and had jolting pain when I lifted my arm.  The rest of the day I seemed to feel gradually better.  By 3 in the afternoon (a little more than 24 hours after the injection), I just felt a bit tired, my arm was still really hurting, but I was no longer dizzy. I did develop a cough later on in the day which lasted another 24 hours and then went away. I feel normal now.  The injection site is slightly tender, but no other symptoms.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Per patient's son, right arm was swollen, red, and hot.  Swelling started on the tricep and worked its way to the bicep.  Her physician prescribed a steroid.  She also took Benadryl.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Pain, Swelling, Tenderness
Clinical narrative: 2 large raised, red, tender and painful areas on right upper arm. first noticed about 30 hours after injection. self  treated with ibuprofen and benadryl oral and topical
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Autopsy, Body temperature increased, Death, Pulse absent, Respiratory arrest
Clinical narrative: Mother awakened in early morning and noticed that patient was not breathing or moving. Resuscitation attempted by father and by EMS and hospital personnel. By report, first recorded temperature during resuscitation was 102 F. Pulse was never reported to have been attained.  4/1/08 Autopsy report states COD as sudden unexplained infant death & manner of death not determined.  Report states patient had recent URI.  Found unresponsive on soft pillow on couch w/parent.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Resuscitation
Clinical narrative: Mother awakened in early morning and noticed that patient was not breathing or moving. Resuscitation attempted by father and by EMS and hospital personnel. By report, first recorded temperature during resuscitation was 102 F. Pulse was never reported to have been attained.  4/1/08 Autopsy report states COD as sudden unexplained infant death & manner of death not determined.  Report states patient had recent URI.  Found unresponsive on soft pillow on couch w/parent.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Employee's R arm began aching a couple of days(10/12)after receiving (10/9)the influenza vaccine. Thought pain would disapate but instead R shoulder became involved. Seen in Office 10/25 with mild swelling anterior medial aspect of rt shoulder and limited ROM.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Balance disorder, Balance disorder, Brain scan abnormal, Cough, Dyskinesia
Clinical narrative: seizures began 20 days after MMR/DTaP, HepA vaccinations.  Perfectly healthy before vaccinations.  Extremely unbalanced 2 days before first seizure.  Spent 5 days in special care.  Has had 7 grand mal seizures (40 seconds - 2 minutes long) in last 5 months, and 6-8 drop seizures. 1/2/08-records received-4/18/07 well baby visit. 5/7/07-C/O cold symptoms for past week, temperature 99-100, pulling on his ears. Been swimming. Seemed to be falling and little more unstable than normal. PE: WNL-viral illness with otitis media-5/8/07-Reeval. Episode where he rolled eyes back in his head and had jerking of arms and legs. 7/14/07-Fevers last night and for last one to two days. Mild runny nose. Couple of episodes over past few days where he appears to suddenly fall. 7/18/07-continues on antibiotics for ear infection. 8/15/07-episode of wheezing seen in ED DX asthma. 8/28/07-URI with history of viral encephalitis and subsequent seizrues. 9/6/07-Otalgia. No evidence of ear infection. 10/29/07-C/O fever and cough over past two days seems to be off balance. Grand mal seizure. Continues to have fluid in right ear. Probably sinusitis. 115/07-vomiting night prior. Diarrhea. Presumptive gastroenteritis.  1/8/08-records received-11/13/07-neurology consult-seen for management of seizures. First seizure at 15 months of age, 20 days after his 15 month immunizations. upper respiratory tract infection with fever approximately 1 week after immunication were given. Experienced seizure approximately 2 weeks after URI resolved which was approximately 20 days after receiving immunizations. Genreralized tonic-clonic lasting approximately 2 mintues or less. Prior to discharge he experienced fever and 2 generalized tonic- clonic seizures. Four months ago began to experience "drop seizures" characterized by generalized muscle jerk and forceful fall backwards while either sitting or standing. None since 10/24/07 when medication changed from Trileptal to Keppra. Some speech delay. On target developmentally except for expressive speech. Impression: findings are consistent with an infectious or post infectious process, suggestive of acute diseminated encephalomyelitis (ADEM). krk Per 60 day follow up: Still experiencing seizures, currently being evaluated for developmental delay in speech & cognative areas. Also immune system has been weakened since this event.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Ear infection, Electroencephalogram, Encephalitis viral, Fall, Grand mal convulsion
Clinical narrative: seizures began 20 days after MMR/DTaP, HepA vaccinations.  Perfectly healthy before vaccinations.  Extremely unbalanced 2 days before first seizure.  Spent 5 days in special care.  Has had 7 grand mal seizures (40 seconds - 2 minutes long) in last 5 months, and 6-8 drop seizures. 1/2/08-records received-4/18/07 well baby visit. 5/7/07-C/O cold symptoms for past week, temperature 99-100, pulling on his ears. Been swimming. Seemed to be falling and little more unstable than normal. PE: WNL-viral illness with otitis media-5/8/07-Reeval. Episode where he rolled eyes back in his head and had jerking of arms and legs. 7/14/07-Fevers last night and for last one to two days. Mild runny nose. Couple of episodes over past few days where he appears to suddenly fall. 7/18/07-continues on antibiotics for ear infection. 8/15/07-episode of wheezing seen in ED DX asthma. 8/28/07-URI with history of viral encephalitis and subsequent seizrues. 9/6/07-Otalgia. No evidence of ear infection. 10/29/07-C/O fever and cough over past two days seems to be off balance. Grand mal seizure. Continues to have fluid in right ear. Probably sinusitis. 115/07-vomiting night prior. Diarrhea. Presumptive gastroenteritis.  1/8/08-records received-11/13/07-neurology consult-seen for management of seizures. First seizure at 15 months of age, 20 days after his 15 month immunizations. upper respiratory tract infection with fever approximately 1 week after immunication were given. Experienced seizure approximately 2 weeks after URI resolved which was approximately 20 days after receiving immunizations. Genreralized tonic-clonic lasting approximately 2 mintues or less. Prior to discharge he experienced fever and 2 generalized tonic- clonic seizures. Four months ago began to experience "drop seizures" characterized by generalized muscle jerk and forceful fall backwards while either sitting or standing. None since 10/24/07 when medication changed from Trileptal to Keppra. Some speech delay. On target developmentally except for expressive speech. Impression: findings are consistent with an infectious or post infectious process, suggestive of acute diseminated encephalomyelitis (ADEM). krk Per 60 day follow up: Still experiencing seizures, currently being evaluated for developmental delay in speech & cognative areas. Also immune system has been weakened since this event.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Immune system disorder, Influenza like illness, Lumbar puncture, Nervous system disorder, Nuclear magnetic resonance imaging abnormal
Clinical narrative: seizures began 20 days after MMR/DTaP, HepA vaccinations.  Perfectly healthy before vaccinations.  Extremely unbalanced 2 days before first seizure.  Spent 5 days in special care.  Has had 7 grand mal seizures (40 seconds - 2 minutes long) in last 5 months, and 6-8 drop seizures. 1/2/08-records received-4/18/07 well baby visit. 5/7/07-C/O cold symptoms for past week, temperature 99-100, pulling on his ears. Been swimming. Seemed to be falling and little more unstable than normal. PE: WNL-viral illness with otitis media-5/8/07-Reeval. Episode where he rolled eyes back in his head and had jerking of arms and legs. 7/14/07-Fevers last night and for last one to two days. Mild runny nose. Couple of episodes over past few days where he appears to suddenly fall. 7/18/07-continues on antibiotics for ear infection. 8/15/07-episode of wheezing seen in ED DX asthma. 8/28/07-URI with history of viral encephalitis and subsequent seizrues. 9/6/07-Otalgia. No evidence of ear infection. 10/29/07-C/O fever and cough over past two days seems to be off balance. Grand mal seizure. Continues to have fluid in right ear. Probably sinusitis. 115/07-vomiting night prior. Diarrhea. Presumptive gastroenteritis.  1/8/08-records received-11/13/07-neurology consult-seen for management of seizures. First seizure at 15 months of age, 20 days after his 15 month immunizations. upper respiratory tract infection with fever approximately 1 week after immunication were given. Experienced seizure approximately 2 weeks after URI resolved which was approximately 20 days after receiving immunizations. Genreralized tonic-clonic lasting approximately 2 mintues or less. Prior to discharge he experienced fever and 2 generalized tonic- clonic seizures. Four months ago began to experience "drop seizures" characterized by generalized muscle jerk and forceful fall backwards while either sitting or standing. None since 10/24/07 when medication changed from Trileptal to Keppra. Some speech delay. On target developmentally except for expressive speech. Impression: findings are consistent with an infectious or post infectious process, suggestive of acute diseminated encephalomyelitis (ADEM). krk Per 60 day follow up: Still experiencing seizures, currently being evaluated for developmental delay in speech & cognative areas. Also immune system has been weakened since this event.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Sinusitis, Viral infection, Vomiting, Wheezing
Clinical narrative: seizures began 20 days after MMR/DTaP, HepA vaccinations.  Perfectly healthy before vaccinations.  Extremely unbalanced 2 days before first seizure.  Spent 5 days in special care.  Has had 7 grand mal seizures (40 seconds - 2 minutes long) in last 5 months, and 6-8 drop seizures. 1/2/08-records received-4/18/07 well baby visit. 5/7/07-C/O cold symptoms for past week, temperature 99-100, pulling on his ears. Been swimming. Seemed to be falling and little more unstable than normal. PE: WNL-viral illness with otitis media-5/8/07-Reeval. Episode where he rolled eyes back in his head and had jerking of arms and legs. 7/14/07-Fevers last night and for last one to two days. Mild runny nose. Couple of episodes over past few days where he appears to suddenly fall. 7/18/07-continues on antibiotics for ear infection. 8/15/07-episode of wheezing seen in ED DX asthma. 8/28/07-URI with history of viral encephalitis and subsequent seizrues. 9/6/07-Otalgia. No evidence of ear infection. 10/29/07-C/O fever and cough over past two days seems to be off balance. Grand mal seizure. Continues to have fluid in right ear. Probably sinusitis. 115/07-vomiting night prior. Diarrhea. Presumptive gastroenteritis.  1/8/08-records received-11/13/07-neurology consult-seen for management of seizures. First seizure at 15 months of age, 20 days after his 15 month immunizations. upper respiratory tract infection with fever approximately 1 week after immunication were given. Experienced seizure approximately 2 weeks after URI resolved which was approximately 20 days after receiving immunizations. Genreralized tonic-clonic lasting approximately 2 mintues or less. Prior to discharge he experienced fever and 2 generalized tonic- clonic seizures. Four months ago began to experience "drop seizures" characterized by generalized muscle jerk and forceful fall backwards while either sitting or standing. None since 10/24/07 when medication changed from Trileptal to Keppra. Some speech delay. On target developmentally except for expressive speech. Impression: findings are consistent with an infectious or post infectious process, suggestive of acute diseminated encephalomyelitis (ADEM). krk Per 60 day follow up: Still experiencing seizures, currently being evaluated for developmental delay in speech & cognative areas. Also immune system has been weakened since this event.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: No reaction on previous exposure to drug, Pruritus, Rash
Clinical narrative: Patient received flu and penumonia vaccine on 10/24/07, she called her son at 6am on 10/25/07 and complained of itching, son saw her at 8:30am noticed rash on her arm and torso and upper leg. Her son gave her topical hydrocortisone cream and 1 dose of benadryl capsule 25mg. Patient stated having the flu shot given before with no problems.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Pharyngeal oedema
Clinical narrative: After receiving the Flu vaccine on 10/25/07 at approximately noon, client felt unusually fatigued for the rest of the day. Upon waking, she felt 'like there was a 20 lb weight on her chest and increased swelling in throat and felt some difficulty breathing. Physical exam did not reveal any worrisome issues. recommended that she take diphenhydramine 50 mg QID prn swelling, sense of difficulty breathing. Reviewed emergency care available in area if needed later during weekend.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza, Injection site mass, Muscle swelling, Myalgia, Pain
Clinical narrative: Fever of 100.9 F, aches all over (like flu symptoms) on evening of vaccination. This continued for 24 hours. On 2nd day post-vaccination, had a knot in muscle of administration with localized, non-pruritic rash of red, splotchy areas with muscle tenderness/soreness.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 100.9 F, aches all over (like flu symptoms) on evening of vaccination. This continued for 24 hours. On 2nd day post-vaccination, had a knot in muscle of administration with localized, non-pruritic rash of red, splotchy areas with muscle tenderness/soreness.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Malaise, Muscle spasms, Pyrexia
Clinical narrative: Employee received influenza vaccination on 10/22/07 at approx. 9:30 am and at approx. 6:15 pm the employee started to not feel well, dizziness, warm and developed a headache, Leg/feet cramps bilateral lasting a few minutes two times that evening(per employee toes curled), approx 10:00 pm employee states fever of 103 F.  Employee went to sleep, woke up aprox 1:00 am soaking wet, no fever. Headache remained.  Employee called department manager next am to call in sick for work, employee still had headache, planned on coming in later in afternoon.  Dept Mgr called this nurse and reported incident. This nurse called employee, employee stated "I'm doing better now"Headache remained, no fever, no dizziness, no return of leg/toe cramps.  Employee instructed if symptoms persist or return of fever, or new symtoms to call this nurse or ER as needed. Emp. reported to work 10/23 at 1:00 pm with mild headache, no other symptoms.  Aprox. 8:15 pm on 10/23 employee stated "I felt back to normal".  10/24 Emp. reported no further problems.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Hypoaesthesia, Ocular hyperaemia
Clinical narrative: PT HAD CHILLS, NUMBNESS, AND REDNESS OF EYES
Age: 5.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: VARICELLA AND FLU VACCINE GIVEN ON 10/22/07 LEFT ARM.  PATIENT RETURN TO CLINIC ON 10/24/2007.  HE SAW DR.  PRESENTED WITH LEFT ARM SWOLLEN AND RED FROM ELBOW TO SHOULDER AND WARM TO TOUCH.  PER DR. BENADRYL WAS ADMINITERED PO 25 MG.
Age: 63.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Mass, Pruritus, Swelling, Urticaria
Clinical narrative: Pt received Tdap and Pnuem. on 10/15/07. Today caller states that she has a hive-like mass on l. deltoid area, larger than a quarter in size, red, swollen, and extremely itchy. Pt states she took benadryl last pm w/ no relief. TOday she took a warm shower and that has seemed to help relieve the itching. Pt referred to PCP for F/U and instructed to return call back to this supervisor with case disposition.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Headache, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: 2-3 hours after vaccination, pt had extreme headache, pain and redness at the sight.  Later developed respiratory difficulty, controlled by use of pro-air inhaler.  Next morning pt's headache remained and had large local reaction at the site of the injection.  Pt called the office and came in for an evalution.
Sex: F
Vaccine: ANTH
Symptoms: Complement factor C3, Complement factor C4, Complement factor abnormal, Erythema, Injection site erythema
Clinical narrative: received anthrax vaccination on 9/20/07 left arm. The night had swelling and redness at injection site. Later in the evening pt noted red, raised, itchy bumps on left arm. The next day the rash on on both arms and her abdomen. Denied headache, fever, SOB or diarrhea.
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Pruritus
Clinical narrative: received anthrax vaccination on 9/20/07 left arm. The night had swelling and redness at injection site. Later in the evening pt noted red, raised, itchy bumps on left arm. The next day the rash on on both arms and her abdomen. Denied headache, fever, SOB or diarrhea.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Scab
Clinical narrative: Client called today to report that 2 days after receiving Zostavax vaccine she came down with shingles. They started on her right thigh, progressed to right hip and buttocks and down her right leg.  The lesions are almost all scabbed over as of today. She did visit her doctor, but did not take any medications to treat the rash.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: Pt states he received flu shot at approx. 10:00 a.m. today (10/26/07).  Started having mild nausea and lightheadedness/dizziness at approx. 12:15 p.m.  Was advised dizziness was considered a severe reaction and was advised to be seen at Emergency Room.  Pt states he was not going to go to the Emergency Room; that he was instead going to go play golf and would seek medical attention if symptoms worsened or persisted to 10/27/07.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Neck pain
Clinical narrative: 8 cm erythemic, ecchymotic area of induration at the injection site and same sided neck pain (right).
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Gaze palsy, Syncope, Unresponsive to stimuli
Clinical narrative: Within 15-30 min of receiving immunizations, patient had a 1-2 minute episode of eyes rolling, decreased responsiveness to voice and pain, no obvious seizure activity. ? Syncopal Episode. Pt returned to usual self within several minutes.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Heart rate increased, Hypersensitivity, Respiratory rate increased
Clinical narrative: First time individual received a flu shot. 1 hour after immunization felt as though she was having trouble swallowing, tried to ignore it.  4 hours after flu shot reports to this facility that she is having trouble breathing.  Resp rapid and shallow, pulse rapid. Given Benadryl 50 mg IM and Epinephrine 1:1000 0.3 mg SC with no change in symptoms until ambulance arrival. Transported to ER. Was told that she had an allergic reaction and if she had reported it sooner the Benadryl probably would have taken care of it.  Put on Prednisone and given an epi pen for emergency use.  Advised to see an allergist to determine actual cause of allergic reaction. Warned that the next exposure could cause a more rapid and more severe reaction.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Similar reaction on previous exposure to drug
Clinical narrative: First time individual received a flu shot. 1 hour after immunization felt as though she was having trouble swallowing, tried to ignore it.  4 hours after flu shot reports to this facility that she is having trouble breathing.  Resp rapid and shallow, pulse rapid. Given Benadryl 50 mg IM and Epinephrine 1:1000 0.3 mg SC with no change in symptoms until ambulance arrival. Transported to ER. Was told that she had an allergic reaction and if she had reported it sooner the Benadryl probably would have taken care of it.  Put on Prednisone and given an epi pen for emergency use.  Advised to see an allergist to determine actual cause of allergic reaction. Warned that the next exposure could cause a more rapid and more severe reaction.
Age: 45.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Chills, Erythema, Induration, Inflammation
Clinical narrative: Systemic reaction with fever, chills, myalgias, and arthralgias with local inflammation and induration and erythema.  Began the day after injection and continued for two days
Age: 45.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Local reaction, Myalgia, Pyrexia
Clinical narrative: Systemic reaction with fever, chills, myalgias, and arthralgias with local inflammation and induration and erythema.  Began the day after injection and continued for two days
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood glucose abnormal, Gait disturbance
Clinical narrative: 35 minutes after receiving flu vaccine started to feel weak, as though legs were giving out on her. Gait unsteady, felt as though she couldn't control her legs. Pupils = and react to light; hand grip strength strong and =; foot strength =; pinprick sensation = on feet. Rested 20 min - felt better, no symptoms apparent, returned to work.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Face oedema
Clinical narrative: patient woke up this am at 9:00 with swelling to left side of face near jaw line.  Came to clinic to see Dr., states swelling down from 3 hours ago.  Had Menactra vaccine at 9:30am on 10/25/07
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Gaze palsy, Tremor
Clinical narrative: On Saturday, August 18th following vaccine administration, patient had what appeared to be 2 seizures lasting approx. 30 seconds, 2 minutes apart.  He was shaking, his eyes rolled back and afterwards he was unresponsive.  He was taken to ER immediately.  A CAT Scan and EEG were done with negative results.  He was kept in the hospital for 2 days for observation and discharged on Monday, August 20th.  He has had no seizures since that time and no other health problems.  He is being followed by a neurologist who has requested that patient not be given the DTaP vaccine.  He will be given Ped. DT.  11/01/2007 MR received for DOS 8/18-20/2007 with DX New onset seizure ? related to DPT.  Child presented to ER after episode of new onset seizure.  Neuro consult done by No further seizures during hospital observation.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: On Saturday, August 18th following vaccine administration, patient had what appeared to be 2 seizures lasting approx. 30 seconds, 2 minutes apart.  He was shaking, his eyes rolled back and afterwards he was unresponsive.  He was taken to ER immediately.  A CAT Scan and EEG were done with negative results.  He was kept in the hospital for 2 days for observation and discharged on Monday, August 20th.  He has had no seizures since that time and no other health problems.  He is being followed by a neurologist who has requested that patient not be given the DTaP vaccine.  He will be given Ped. DT.  11/01/2007 MR received for DOS 8/18-20/2007 with DX New onset seizure ? related to DPT.  Child presented to ER after episode of new onset seizure.  Neuro consult done by No further seizures during hospital observation.
Age: 1.5
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Chills, Fatigue, Pyrexia
Clinical narrative: Fever of 101 - 103 starting 4 days after vaccination.  Loss of appetite, fatigue, and chills so far lasting 3 days and on going.  The only treatment is Tylenon and Motrin.
Age: 11.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: vaccine administered to child was not licensed for this age.
Age: 9.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: vaccine given was not licensed for this age group
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: vaccine given was not licensed for this age group
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: vaccine given was not licensed for this age group.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: vaccine given was not licensed for this age group
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Fluid retention, Pharyngeal oedema
Clinical narrative: Chest tightness, throat swelling,fluid around the neck area.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: about 8 hr post-vaccine, awakened with severe headache, nausea, muscle pain & pain at injection site; took Naproxen (2) & 2.5 mg Zomig for relief of headache.  1 am - Naproxen repeated; headache continued for 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Lip swelling, Oedema peripheral
Clinical narrative: 24 hours after receiving DTaP, IPV, MMR, Hep A and Influenza patient experience lip and left upper extremity swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV
Symptoms: Urticaria
Clinical narrative: Presented to ER with Urticaria 24 hours after administration of:Influenza ; Dtap; IPV
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Paraesthesia, Pruritus
Clinical narrative: Tingling sensations hands,palms.,Flush face, itching neck area
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Musculoskeletal stiffness, Neck pain
Clinical narrative: After receiving the Anthrax vaccination, I experienced headaches, neck stiffness and pain for 1 week.  I experienced localized and neck swelling for 3-4 days.
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Patient experienced cellulitis in the left arm injected with both the flu and pneumonia vaccines
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Blood product transfusion, CSF glucose normal, CSF lymphocyte count normal, CSF neutrophil count decreased, Grip strength decreased
Clinical narrative: I contracted guillian barre syndrome from a flu shot administered at work. I spent a month in the hospital being treated and rehabing. I then die 6 months of outpatient renhab and I am now receiving disability.  11/6/07 Reviewed hospital medical records which reveal patient experienced progressive numbness & weakness of all extremities x 4 days beginning 3 days s/p vaccine. Progressed to where patient could not even stand or walk.  Admitted to ER 11/15/2006 & transferred to higher level of care same day.  Exam revealed reduced reflexes.  Neuro consult obtained & LP done.  Records requested from transfer hospital. ER Dx: Guillain Barre syndrome. 12/7/07 Reviewed hospital medical records from transfer hospital which reveal patient experienced diarrhea, progressive weakness, aching & tingling, unsteady gait & trouble w/motor control of hands since 11/12/2006.  Admitted 11/16-11/21/2006.  Pulmonary consult done.  Tx w/IVIG x 5 doses.  Improved & transferred to rehab facility. FINAL DX: Guillian Barre syndrome. Per 60 day follow up: My hands have diminished strength and I must wear braces & crutches in order to walk now. I could not return to work and I new receive social security disability benefits & long term term disability from work. I have not had any health insurance since June 1, 2007 and will not be qualified for Medicare until June of 2009. This makes it very difficult to get any continuing health care. 1/13/2010 I still have weakness in my hands and need braces in order to walk.
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome, Impaired work ability, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging brain normal
Clinical narrative: I contracted guillian barre syndrome from a flu shot administered at work. I spent a month in the hospital being treated and rehabing. I then die 6 months of outpatient renhab and I am now receiving disability.  11/6/07 Reviewed hospital medical records which reveal patient experienced progressive numbness & weakness of all extremities x 4 days beginning 3 days s/p vaccine. Progressed to where patient could not even stand or walk.  Admitted to ER 11/15/2006 & transferred to higher level of care same day.  Exam revealed reduced reflexes.  Neuro consult obtained & LP done.  Records requested from transfer hospital. ER Dx: Guillain Barre syndrome. 12/7/07 Reviewed hospital medical records from transfer hospital which reveal patient experienced diarrhea, progressive weakness, aching & tingling, unsteady gait & trouble w/motor control of hands since 11/12/2006.  Admitted 11/16-11/21/2006.  Pulmonary consult done.  Tx w/IVIG x 5 doses.  Improved & transferred to rehab facility. FINAL DX: Guillian Barre syndrome. Per 60 day follow up: My hands have diminished strength and I must wear braces & crutches in order to walk now. I could not return to work and I new receive social security disability benefits & long term term disability from work. I have not had any health insurance since June 1, 2007 and will not be qualified for Medicare until June of 2009. This makes it very difficult to get any continuing health care. 1/13/2010 I still have weakness in my hands and need braces in order to walk.