chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: ANTH, SMALL, ANTH, HEP, MEA, MU, RUB, SMALL, ANTH, HEP, MMR, SMALL, TYP
Symptoms: Pain, Pyrexia, Systemic lupus erythematosus
Clinical narrative: This case was derived from a newspaper and describes the occurrence of lupus and the subsequent death in a female subject of unknown age receiving hepatitis B vaccine for prophylaxis. Co-suspect drugs included measles vaccine, smallpox vaccine, mumps vaccine, anthrax, measles vaccine and typhoid fever vaccine. Early this year (about 3/03), the subject received shots against rubella, smallpox, mumps, anthrax, measles, typhoid fever and hepatitis B vaccine. In 4/03, she died from a complicated illness diagnosed as like lupus. According to the surgeon general's officer, receiving several shots at once is considered safe and not uncommon and the subject had no skin conditions or immune system issues that would have excluded her from having the smallpox vaccine and that the vaccination policies for the military will not be changed. According to the Army, 2 civilial medical panels reviewed the subject's case and there were agreed that her death was probably or possibly related to the vaccines.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Pruritus, Rash, Vomiting
Clinical narrative: From initial information received on 04/30/2003 from a pediatric office regarding an adverse event occurring in the USA, it was reported that a four year old male patient received a fifth dose of DT ADS PED USP, Lot # U0750AA, given IM in the left thigh, a fourth dose of IPOL, Lot # W0750, given IM in the left thigh and a second dose of MMR, manufacturer Merck, Lot # 0977M, given SC in the right thigh at 15:00 on 04/22/2003.  Within ten to fifteen minutes, the patient experienced difficulty breathing, and itchy rash on his trunk, coughing and vomited once.  The patient's lungs were clear.  The patient was administered 1 1/4 to 1 1/2 teaspoons of Benadryl, was observed for an hour and a half at the physician's office and was noted to be active and alert.  He was not seen in the ER.  Reportedly, the patient recovered from these events. 08Dec03: During internal review, it was found that one of these adverse events was ticked as serious. A new version was created to correct this to non-serious. No other information provided.
Age: 4.0
Sex: M
Vaccine: DT, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Rash pruritic, Vomiting
Clinical narrative: From initial information received on 04/30/2003 from a pediatric office regarding an adverse event occurring in the USA, it was reported that a four year old male patient received a fifth dose of DT ADS PED USP, Lot # U0750AA, given IM in the left thigh, a fourth dose of IPOL, Lot # W0750, given IM in the left thigh and a second dose of MMR, manufacturer Merck, Lot # 0977M, given SC in the right thigh at 15:00 on 04/22/2003.  Within ten to fifteen minutes, the patient experienced difficulty breathing, and itchy rash on his trunk, coughing and vomited once.  The patient's lungs were clear.  The patient was administered 1 1/4 to 1 1/2 teaspoons of Benadryl, was observed for an hour and a half at the physician's office and was noted to be active and alert.  He was not seen in the ER.  Reportedly, the patient recovered from these events. 08Dec03: During internal review, it was found that one of these adverse events was ticked as serious. A new version was created to correct this to non-serious. No other information provided.
Age: 50.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Pruritus
Clinical narrative: From initial information received on 05/21/2003 from the reporter, regarding an adverse event occurring in the USA, it was reported that a 50 year old male patient received IMOVAX RABIES, Lot # U1388, administered IM in the left deltoid on 05/14/2003 at 9:30 AM.  Three days later the patient experienced itching on his arms without visible rash.  Arm itching subsided by 05/19/2003, when he began itching on his palms and the anterior surface of his feet for one to two hours.  These symptoms also subsided.  The patient was treated with a single dose of Benadryl 25mg per mouth.  The patient reportedly recovered from this event.  The patient had also received a first dose of IMOVAX RABIES, TYPHIM VI and IPOL (lot numbers, routes and sites not reported) on 05/07/2003, as well as Twinrix (manufacturer SKB) and Yellow Fever (manufacturer not reported) on 05/05/2003).  No further information is anticipated, this case is considered closed.
Age: 50.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Rash pruritic
Clinical narrative: From initial information received on 05/21/2003 from the reporter, regarding an adverse event occurring in the USA, it was reported that a 50 year old male patient received IMOVAX RABIES, Lot # U1388, administered IM in the left deltoid on 05/14/2003 at 9:30 AM.  Three days later the patient experienced itching on his arms without visible rash.  Arm itching subsided by 05/19/2003, when he began itching on his palms and the anterior surface of his feet for one to two hours.  These symptoms also subsided.  The patient was treated with a single dose of Benadryl 25mg per mouth.  The patient reportedly recovered from this event.  The patient had also received a first dose of IMOVAX RABIES, TYPHIM VI and IPOL (lot numbers, routes and sites not reported) on 05/07/2003, as well as Twinrix (manufacturer SKB) and Yellow Fever (manufacturer not reported) on 05/05/2003).  No further information is anticipated, this case is considered closed.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Crying, Injection site erythema, Injection site oedema
Clinical narrative: From initial correspondence received at AP on 12/17/2002, it was reported that a 2 month old female patient received first dose of ACTHIB, Lot # UA735AA, IM in the right thigh, IPOL, Lot # W00632, IM in the left thigh, TRIPEDIA, Lot # U0582AA, IM in the right thigh and HEPATITIS B VACCINE, Merck manufacturer, Lot # 0513M, IM in the left thigh at 11:00 on 12/02/2002.  At 12:00PM on 12/02/2002, the patient experienced redness and swelling at the injection site and inconsolable crying for 2 to 4 hours.  The patient recovered.  The case is closed.  Linked to cases: U2002-01041, U2002-01099, U2002-01114, U2002-01115, U2002-01117.
Age: 0.1
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Crying, Injection site erythema, Injection site oedema
Clinical narrative: From faxed correspondence received at AP, Inc. on 11/26/2002, it was reported that a 1 month old female infant was vaccinated with ACTHIB, AP, Lot # UA666AA, IM in the right thigh, IPOL, AP, Lot # 16452, IM in the left thigh, TRIPEDIA, AP, Lot # U0582AA, IM in the right thigh and HEPATITIS B VACCINE, Merck, Lot # 0513M, IM in the left thigh at 11:00am on 11/14/2002.  All of the vaccinations given on this date were primary doses, except for the Hepatitis B vaccine, which was the second dose.  The patient received a first dose of Hepatitis B vaccine, Merck, Lot # 0513M, IM in the right thigh on 10/17/2002.  The patient experienced redness and puffiness at the injection site and inconsolable crying at 12:00pm on the same day as vaccination.  The patient recovered.  Linked to cases: U2002-01114, U2002-0114, U2002-01117, U2002-01138.  From additional correspondence received on 04/14/2003 from the reporter, no further information was provided.  This case is closed.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Apnoea, Cyanosis, Dyspnoea, Hypotonia
Clinical narrative: Anaphylactic reaction and subsequent shock. ACLS Protocol: Epi, Benadryl, Solu-cortef, Atropine, Sod. Bicarb, Cricothyrotomy. The hospital discharge summary received on 1/28/04 states cyanotic, dyspnea, apneic and limpness.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Shock
Clinical narrative: Anaphylactic reaction and subsequent shock. ACLS Protocol: Epi, Benadryl, Solu-cortef, Atropine, Sod. Bicarb, Cricothyrotomy. The hospital discharge summary received on 1/28/04 states cyanotic, dyspnea, apneic and limpness.
Age: 0.56
Sex: M
Vaccine: DTAP, FLU3, IPV, PNC
Symptoms: Cardiac arrest
Clinical narrative: DOA 11/27/03. The autopsy states cardiorespiratory arrest.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Crying, Electroencephalogram abnormal, Hypotonia
Clinical narrative: This case was reported by a physician and described the occurrence of seizures in a 7 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed and hepatitis B vaccine for prophylaxis. The patient had no relevant medical history or concurrent medical conditions and no concurrent medications. The patient had no adverse events following receipt of prior immunizations. On 10/14/03 the patient received the third dose of Infanrix (lot DTPA582A2) in the left leg. Also, on that same day, the patient received the third dose of hepatitis B vaccine, inactivated poliomyelitis virus vaccine, 7-valent pneumococcal conjugate vaccine, and Haemophilus influenzae type B conjugate vaccine. Approximately 4 hours post-immunization, the patient began to experience prolonged crying. The parents contacted the physician and took the patient to an emergency room; the patient was not admitted. Within 48 hours of immunization, on 10/15/03, the patient began to experience seizures and hypotonic episodes between crying. The physician reported that the patient had a total of three physician office visits and four visits to an emergency room. During one emergency room visit, a physician witnessed the patient having a seizure lasting less than ten minutes; again, the patient was not admitted to the hospital. Electroencephalogram results were abnormal. CAT scan results were normal. The prolonged crying resolved on 10/16/03. The seizures and hypotonic episodes were unresolved as of 11/17/03. The reporting physician considered the events to be probably related to vaccination with Infanrix. The physician noted that she was trying to get the patient admitted for further testing and diagnosis and to be placed on anti-seizure medications. The seizures, hypotonic episodes, and abnormal EEG are considered to be medically serious (OMIC).
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Cardiac arrest, Myocardial infarction
Clinical narrative: An 82 year old male with past history of hypertension and diabetes but no prior cardiac history. He had no previous documented allergies. He had previously received flu vaccine in my office in 2001 and in 2002. He received the Fluvirin on 10/10/03. He was found at home expired with a presumed sudden cardiac death on 10/15/03. The death certificate received on 12/3/03 states cardiac arrhythmia and myocardial infarction.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arrhythmia, Cardiac arrest
Clinical narrative: A 68 year old female with a past history of hypertension and hypercholesterolemia but no prior cardiac history. She had a documented allergy to PCN. She had also received flu vaccine in my office in 2001 and in 2002. She received her Fluvirin dose on 10/02/03. The pt was found dead at home of a presumed sudden cardiac death on 10/20/03. The death certificate received on 12/3/03 states cardiac arrhythmia and cardiac arrest.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Cardiac arrest
Clinical narrative: An 84 year old male with a past history of diabetes but no other medical problems, no lipid abnormalities and no prior cardiac history. He had a documented allergy to Iodine. This pt had received flu shots in my office every year since 1997. He received his Fluvirin dose this year on 1/18/03. He was found dead at home of a presumed sudden cardiac death on 11/20/03. The death certificate received on 12/3/03 states sudden cardiac death.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Condition aggravated, Systemic lupus erythematosus
Clinical narrative: An anonymised single patient print report was received from a regulatory authority on 11/19/03 concerning a 45 year old female vaccinee who experienced lupus erythematous, which was considered to be disabling, on the same day as receiving Fluvirin and Pneumovax II vaccine on 10/22/03. The vaccinee has a medical history of systemic lupus erythematous, penicillin allergy and allergic reaction to iodine, terbinafine and buprenorphine. On 10/22/03, the vaccinee experienced lupus erythematous. The vaccinee recovered 6 days later, on 10/28/03. There was insufficient information to determine the reporter's causality assessment. No follow up pending.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Dysarthria, Injection site erythema, Injection site rash, Joint swelling
Clinical narrative: From initial information received on 11/21/03 from a pharmacist regarding an adverse event occurring in the USA, it was reported that a four year old male patient received a dose of FLUZONE, lot number, route and site of administration not reported, on 11/14/03. That night, the patient developed soreness in his arm and shoulder. The Monday following vaccination, the patient developed a local rash around the injection site, some redness to the arm down below the elbow, and generalized pain between his shoulder and elbow. By 11/18/03, the rash was spreading down to the arm and on the chest and the child complained of many aching joints. The child was taken to a physician and received prescriptions for Zyrtec and Oraped. He also had some wheezing, but does have a history of asthma and normally takes Proventil syrup. By 11/20/03, the rash was getting worse and his joints were painful and swollen down to the knees. The child also had a swollen neck and slurred speech. He was brought to the emergency room and was admitted to the hospital. The patient's recovery status was not reported.  Please note the original date of vaccine!!!  If I sent anything to you only a year ago it was because you continued to pester us about the reaction and I probably told you we have no idea.  This is the inpatient pharmacy which oversees patients coming through the E.R. and we have no continuing contact with patient.  It is a wast of tax dollars for you to continually contact us about this matter.  Patient's physician is the only one who may know.  Per 60 day follow up: 60 days someone from your office contacted me! If you will please note I contacted you 3 1/2 years ago when the incident happened. I have no clue what happened to the child. Seems this is a little late to be following up!
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Local swelling, Musculoskeletal pain, Pain in extremity, Swelling, Wheezing
Clinical narrative: From initial information received on 11/21/03 from a pharmacist regarding an adverse event occurring in the USA, it was reported that a four year old male patient received a dose of FLUZONE, lot number, route and site of administration not reported, on 11/14/03. That night, the patient developed soreness in his arm and shoulder. The Monday following vaccination, the patient developed a local rash around the injection site, some redness to the arm down below the elbow, and generalized pain between his shoulder and elbow. By 11/18/03, the rash was spreading down to the arm and on the chest and the child complained of many aching joints. The child was taken to a physician and received prescriptions for Zyrtec and Oraped. He also had some wheezing, but does have a history of asthma and normally takes Proventil syrup. By 11/20/03, the rash was getting worse and his joints were painful and swollen down to the knees. The child also had a swollen neck and slurred speech. He was brought to the emergency room and was admitted to the hospital. The patient's recovery status was not reported.  Please note the original date of vaccine!!!  If I sent anything to you only a year ago it was because you continued to pester us about the reaction and I probably told you we have no idea.  This is the inpatient pharmacy which oversees patients coming through the E.R. and we have no continuing contact with patient.  It is a wast of tax dollars for you to continually contact us about this matter.  Patient's physician is the only one who may know.  Per 60 day follow up: 60 days someone from your office contacted me! If you will please note I contacted you 3 1/2 years ago when the incident happened. I have no clue what happened to the child. Seems this is a little late to be following up!
Age: 44.0
Sex: M
Vaccine: TD
Symptoms: Laboratory test abnormal, Pyrexia
Clinical narrative: From initial information received on 11/25/03 from a nurse regarding an adverse event occurring in the USA, it was reported that a 44 year old male patient received an 0.5ml dose of TD ADS ADULT, lot number U0841AA, administered IM in the left deltoid on 11/14/03 at approximately 3:30 PM in an emergency room following laceration. At 10:00PM, the patient returned to the emergency room with an elevated temperature of over 103 degrees F. He was admitted to the hospital and treated with IV antibiotics. The patient was diagnosed with an acute febrile illness. Reportedly, the patient recovered from this event. From additional information received on 2/6/04 from the reporter, the patient has had no further problems and is doing fine. The responsible physician states that no further investigation or follow up is needed. No further information is anticipated, this case is considered closed.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Viral infection
Clinical narrative: On 10/5/03-had seizure somewhat prolonged. Associated with fever. This was 8 day after vaccination with MMR and Varivax. I have no way of knowing if events related.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Erythema multiforme, Gastroenteritis, Injection site rash, Laboratory test abnormal
Clinical narrative: Pt woke up with rash from waist up 11/20/03. circular urticarial lesions at injection site and elsewhere. Seen in ER for worsening rash 11/21/03 and in office. Dx erythema multiforme. rx Atarax was on Benadryl. Fever 103.1 (ax) on 11/21/03. 104 on 11/22/03. The discharge summary received on 3/22/04 states vomiting, gastroenteritis, fever, abdominal pain, and runny nose.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rhinorrhoea, Urticaria, Vomiting
Clinical narrative: Pt woke up with rash from waist up 11/20/03. circular urticarial lesions at injection site and elsewhere. Seen in ER for worsening rash 11/21/03 and in office. Dx erythema multiforme. rx Atarax was on Benadryl. Fever 103.1 (ax) on 11/21/03. 104 on 11/22/03. The discharge summary received on 3/22/04 states vomiting, gastroenteritis, fever, abdominal pain, and runny nose.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Swelling L upper arm w/ pain, redness, low grade temp. The medical record received on 3/3/04 indicates final dignosis was cellulitis. The rrecord also noted that this was most likely a vaccine reaction to the pertussis portion of DTaP.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Anorexia, Irritability, Laboratory test abnormal, Medication error, Oliguria
Clinical narrative: 11/6/03 this 2 month was given flu vaccine in error. Immunization coord. was informed of this error manufacturer and immunization hotline was contacted and they advised there should be no ill effects from this but the infant would not develop antibodies from the vaccine. They advised that mom should contact such as soreness at the site of immunziation and see MD if any adverse reactions occur. She had been instructed on this and given after the vaccine literature. 11/7/03 1105am received phone call from infant's mother who states infant won't take formula. Last bottle was about 3am and she took 2oz. then she states infant had fever last night of 102.4, she gave Tylenol and fever broke. I called kidsmed and explained the vaccine error and infant's symptoms. Talked with PA, she recommended mom bring infant in to be checked. PA said infant could be getting sick with something else but needs to be checked anyway, due to vaccine error, if she was having problems. Appt. was obtained for 2pm today. Infant's mother was contacted and informed of appt. time. I explained to her that I had given pt flu vaccine in error. She stated that pt seemed "okay but she just won't take her milk." Imm. coord., informed of these developments. 3pm received phone call from kidsmed requesting copy of imm. record. This was faxed to them. 305pm received phone call from Dr who saw infant. He said he was going to admit her because she needs fluids til she started eating again. He said that he didn't know whether her symptoms (not eating, decreased urine output) were from the flu vaccine of other vaccines but he was admitting her to give her fluids. Dr also stated that he didn't feel she would have any permanent damage. 11/8/03 at my request imm. coord., called medical center and talked with charge nurse on pt's floor. Charge nurse said infant was taking formula and keeping it down. She was doing well and would probably be discharged that afternoon. 11/10/03 phone call to mother of infant. Mom states baby was discharged 11/8/03 from hospital. Has a return appt with Dr. states infant is doing fine. The medical recoreds state irritable.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: 11/6/03 this 2 month was given flu vaccine in error. Immunization coord. was informed of this error manufacturer and immunization hotline was contacted and they advised there should be no ill effects from this but the infant would not develop antibodies from the vaccine. They advised that mom should contact such as soreness at the site of immunziation and see MD if any adverse reactions occur. She had been instructed on this and given after the vaccine literature. 11/7/03 1105am received phone call from infant's mother who states infant won't take formula. Last bottle was about 3am and she took 2oz. then she states infant had fever last night of 102.4, she gave Tylenol and fever broke. I called kidsmed and explained the vaccine error and infant's symptoms. Talked with PA, she recommended mom bring infant in to be checked. PA said infant could be getting sick with something else but needs to be checked anyway, due to vaccine error, if she was having problems. Appt. was obtained for 2pm today. Infant's mother was contacted and informed of appt. time. I explained to her that I had given pt flu vaccine in error. She stated that pt seemed "okay but she just won't take her milk." Imm. coord., informed of these developments. 3pm received phone call from kidsmed requesting copy of imm. record. This was faxed to them. 305pm received phone call from Dr who saw infant. He said he was going to admit her because she needs fluids til she started eating again. He said that he didn't know whether her symptoms (not eating, decreased urine output) were from the flu vaccine of other vaccines but he was admitting her to give her fluids. Dr also stated that he didn't feel she would have any permanent damage. 11/8/03 at my request imm. coord., called medical center and talked with charge nurse on pt's floor. Charge nurse said infant was taking formula and keeping it down. She was doing well and would probably be discharged that afternoon. 11/10/03 phone call to mother of infant. Mom states baby was discharged 11/8/03 from hospital. Has a return appt with Dr. states infant is doing fine. The medical recoreds state irritable.
Age: 10.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abasia, Anorexia, Asthenia, Headache, Laboratory test abnormal
Clinical narrative: Unable to walk, hurts "all over," loss of appetite. The medical records state sore throat, rash, weakness and headache. The medical record received on 1/28/04 states leg pain, rash and viral myalgias.
Age: 10.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Myalgia, Pain, Pharyngolaryngeal pain, Rash
Clinical narrative: Unable to walk, hurts "all over," loss of appetite. The medical records state sore throat, rash, weakness and headache. The medical record received on 1/28/04 states leg pain, rash and viral myalgias.
Age: 10.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Balance disorder, Dizziness, Rash
Clinical narrative: Unable to walk, hurts "all over," loss of appetite. The medical records state sore throat, rash, weakness and headache. The medical record received on 1/28/04 states leg pain, rash and viral myalgias.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Myelitis transverse, Neurogenic bladder, Paralysis, Urinary incontinence
Clinical narrative: Pt presented to my office one week after her flu shot with lower extremities paralysis and loss of bladder control. She was hospitalized for one week on high dose steroids and is currently in a rehab facility. MRI of spine-transverse myelitis. Neurogenic bladder lower extremity weakness.
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL, IPV, PNC, VARCEL
Symptoms: Abdominal pain, Intussusception
Clinical narrative: On 11/21/03, pt developed abdominal pain. He was seen in the office and sent to the ER where an ultrasound showed intussusception. The condition was treated in the presence of a pediatric surgeon. The pt was observed overnight and discharged on 11/22/03. Since then, he has been well.
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL, IPV, PNC, VARCEL
Symptoms: Abdominal distension, Intussusception, Laboratory test abnormal
Clinical narrative: On 11/21/03, pt developed abdominal pain. He was seen in the office and sent to the ER where an ultrasound showed intussusception. The condition was treated in the presence of a pediatric surgeon. The pt was observed overnight and discharged on 11/22/03. Since then, he has been well.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Anxiety, Asthenia, Chest discomfort, Dyspnoea, Hyperventilation
Clinical narrative: Client states had headache 7 PM 10/28/03. Took Tylenol and 1/2 Ambien and went to sleep. 10/29/03 7 PM, noticed hives on upper right arm and axilla. Complained of tender, swollen lymph glands in right axilla. Used hydrocortisone cream. 10/30/03 12:55 PM into health department to show RN the hives on right upper arm. Complains that it is swollen (arm upper) and complains that she things she is somewhat short of breath; no cyanosis noted. Encouraged her to seek medical attention in light of her increasing apprehension. Client states she felt ok to drive to physician's office. 11/17/03 Client came into health department to complete report. States that she went to the doctor's office on 10/30/03. She states that she became ill and started heaving, vomiting and hyperventilating while waiting in the lobby to be seen by the doctor. She states that they gave her solumedrol and then transported her to the hospital by emergency squad. She was kept in the hospital for one day. States no ill effects following release from hospital. The medical record received on 12/31/03 states anxiety, weakness, achy, itching, tightness in chest and nausea.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Lymphadenopathy, Myalgia, Nausea, Pruritus, Retching
Clinical narrative: Client states had headache 7 PM 10/28/03. Took Tylenol and 1/2 Ambien and went to sleep. 10/29/03 7 PM, noticed hives on upper right arm and axilla. Complained of tender, swollen lymph glands in right axilla. Used hydrocortisone cream. 10/30/03 12:55 PM into health department to show RN the hives on right upper arm. Complains that it is swollen (arm upper) and complains that she things she is somewhat short of breath; no cyanosis noted. Encouraged her to seek medical attention in light of her increasing apprehension. Client states she felt ok to drive to physician's office. 11/17/03 Client came into health department to complete report. States that she went to the doctor's office on 10/30/03. She states that she became ill and started heaving, vomiting and hyperventilating while waiting in the lobby to be seen by the doctor. She states that they gave her solumedrol and then transported her to the hospital by emergency squad. She was kept in the hospital for one day. States no ill effects following release from hospital. The medical record received on 12/31/03 states anxiety, weakness, achy, itching, tightness in chest and nausea.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria, Vomiting
Clinical narrative: Client states had headache 7 PM 10/28/03. Took Tylenol and 1/2 Ambien and went to sleep. 10/29/03 7 PM, noticed hives on upper right arm and axilla. Complained of tender, swollen lymph glands in right axilla. Used hydrocortisone cream. 10/30/03 12:55 PM into health department to show RN the hives on right upper arm. Complains that it is swollen (arm upper) and complains that she things she is somewhat short of breath; no cyanosis noted. Encouraged her to seek medical attention in light of her increasing apprehension. Client states she felt ok to drive to physician's office. 11/17/03 Client came into health department to complete report. States that she went to the doctor's office on 10/30/03. She states that she became ill and started heaving, vomiting and hyperventilating while waiting in the lobby to be seen by the doctor. She states that they gave her solumedrol and then transported her to the hospital by emergency squad. She was kept in the hospital for one day. States no ill effects following release from hospital. The medical record received on 12/31/03 states anxiety, weakness, achy, itching, tightness in chest and nausea.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Cyanosis, Dizziness, Dyspnoea, Eye movement disorder
Clinical narrative: Eyes rolled back into head, turned pale with blueness around lip area, lost consciousness, dizziness. Doctor called immediately, still in office. Rapid heartbeat, quickened pulse, chest pain, hard to breathe.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate increased, Loss of consciousness, Pallor
Clinical narrative: Eyes rolled back into head, turned pale with blueness around lip area, lost consciousness, dizziness. Doctor called immediately, still in office. Rapid heartbeat, quickened pulse, chest pain, hard to breathe.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dysphagia, Dysphonia, Dyspnoea
Clinical narrative: 11/30/03: Sore throat, dry cover, nasal congestion, fever, chills, hoarseness, SOB, difficulty swallowing. 11/26/03: Depo Medrol ice injection. Medrol dose pack.  12/1/03: Dry cough and hoarseness. No SOB, fever or chills.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 11/30/03: Sore throat, dry cover, nasal congestion, fever, chills, hoarseness, SOB, difficulty swallowing. 11/26/03: Depo Medrol ice injection. Medrol dose pack.  12/1/03: Dry cough and hoarseness. No SOB, fever or chills.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthma, Pyrexia
Clinical narrative: 6 hours after shot temp went to 104, then to 105. Cold shower 104 + 1 hour. 105. Back to shower for about 5 cycles approx 10 hours. 24 hours later severe "asthma-like" attack for about 4 hours, then cleared up.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Hypoaesthesia, Injection site oedema
Clinical narrative: Swelling of left arm; dizziness, numbness around the mouth, decrease in blood pressure. Tx: Benadryl 25mg po x 2. Cold pack.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives: pt now remembers he had this same reaction to the injection years ago, not as bad.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives, to mouth, hands, feet and upper back of legs.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills
Clinical narrative: Chills, weakness - congestion. Visit to Dr revealed viral; no meds, Nasocort nasal spray. II episode chills and weakness 11/13/03.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Malaise, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Sore throat, loss of voice, fever up to 104, malaise lasted 7 days. Treated with Zithomax.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Asthenia, Chest pain, Dyspnoea, Malaise
Clinical narrative: Loss of voice, shortness of breathe, chest pain, fever, weakness, malaise. Treated with Zithromycin (Z-pack) x 2.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Loss of voice, shortness of breathe, chest pain, fever, weakness, malaise. Treated with Zithromycin (Z-pack) x 2.
Age: 94.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Decreased appetite, Pyrexia
Clinical narrative: Temperature, felt very weak, food repulsive: following morning, lasted all day. Felt slightly better next day.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pain, Pruritus
Clinical narrative: Day after vaccine, redness, heat, pain, itching. On 2nd day redness 17 x 9cm, tender, decreased with antihistamine.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anxiety, Fatigue, Feeling cold, Injection site oedema, Injection site pain
Clinical narrative: Severely cold for approx 3 days. Completely exhausted and falling asleep early. My right arm swelled severely and couldn't be even touched lightly. Couldn't do anything but go to bed - should have called my doctor or gone to emergency ward. Anxiety. Lethargic mentally. Note: I believe both vaccines shouldn't be given at same time.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Lethargy, Somnolence
Clinical narrative: Severely cold for approx 3 days. Completely exhausted and falling asleep early. My right arm swelled severely and couldn't be even touched lightly. Couldn't do anything but go to bed - should have called my doctor or gone to emergency ward. Anxiety. Lethargic mentally. Note: I believe both vaccines shouldn't be given at same time.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Pain
Clinical narrative: Terrible achiness, chills, mild headache. The aches and chills (on and off) lasted 3 weeks. Treatments, reflexology, acupuncture, Quartine, bedrest.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: After 5 PM 11/13/03 broke out in hives - legs, trunk of body. Called PP, was prescribed Medrol dose pack (received flu shot around 10 AM 11/13/03).
Age: 4.5
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: She had picked up virus in doctors office.  Sorry for inconvenience! Thank you.
Age: 1.3
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Erythema, Rash macular
Clinical narrative: The day after patient received 1st 1/2 of her dose (on 11/13/2003) patient developed diffuse erythematous macular rash from nape of neck down her torso and extremities.  Also developed diarrhea.
Age: 49.0
Sex: F
Vaccine: JEV
Symptoms: Hypokinesia, Injection site pain
Clinical narrative: Felt pain left shoulder after flu vaccine injected left deltoid.  Pain on-going from shoulder to neck to back; now also decreased mobility.  Saw MD 11/12/2003 and called MD 11/19/2003.  Pain felt immediately upon receiving vaccine.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Round, red, swollen area around vaccine.
Age: 1.6
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Pyrexia
Clinical narrative: Fever (101F) for 4 days following administration.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Fluzone given 10/09-arm red, swollen, painful (right arm).  Lasted 3 days, stand day after injection (given in right arm)-arm swollen from shoulder to elbow and red.  Had large induration-grapefruit size.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 10:10: Left deltoid (+) edema, (+) erythema (+) pain.  Administered Benadryl 50mg IM left deltoid.  11:00: Discharge to home with resolution of symptoms (-) shortness of breath, (-) no respiratory distress.
Age: 70.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Hypokinesia, Pain
Clinical narrative: Severe arm pain for 2 days (right) gradual decrease in pain for 3 weeks, still cannot sleep on affected arm, difficulty raising arm over head.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: He was given flu vaccine Friday 11/21/2003. He awakened on 11/22/2003 with hives on legs which then moved up progressively trunk-arms.  Cetestone soluspan 2 ce.  Deep Benadryl 25mg each 6 hours with 50mg HS.  Follow up 11/26/2003 if hasn't cleared.
Age: 30.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Symptoms: 13x20 cm area of redness, swelling, warmth and pruritis over left arm.  Occurred approximately 24 hours post vaccination.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Nausea
Clinical narrative: Headache ( (1-10), Nausea: 6 hours after influenza vaccine.  No treatment, resolved 48 hours.
Age: 1.6
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Feeling hot, Injection site erythema, Pruritus, Pyrexia, Respiratory rate increased
Clinical narrative: Patient received DTAP #4 in left deltoid on 11/24/2003.  That evening, patient starting having redness, warmth in left upper extremity.  From 11/24-11/26 (when patient was seen at PMD), patient with increased warmth, erythema, pruritis.  In clinic, patients temperature: 100 rectally F.  Heart rate: 130; Respiratory Rate: 20-25.  Patient given Keflex.
Age: 43.0
Sex: M
Vaccine: ANTH, FLUX, TYP
Symptoms: Oedema, Tenderness
Clinical narrative: Left check swollen and tender.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Severe left arm pain at/around vaccine site.  Slowly improving over the last few weeks.
Sex: F
Vaccine: FLUX, JEV, TYP
Symptoms: Periorbital oedema, Pruritus
Clinical narrative: Experienced generalized itching (no rash) and swelling of the eyes 5 days after vaccines listed below.  Itching lasted several days.  Ocular swelling resolved in 4-6 hours.
Age: 4.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Back pain, Chest pain, Headache, Lethargy, Pyrexia
Clinical narrative: Temperature 101 orally on 11/20/2003, after day care at 16:30.  Lethargic yesterday morning.  Complained of headache, backache "heart hurt".  Temperature 102 @ 6:00 on 11/21/2003 and given Tylenol then seems to feel better 10:00 on 11/21/2003.  Referral to provider of choice.  11/24/2003-lasted one day.
Age: 84.0
Sex: F
Vaccine: FLUX
Symptoms: Bronchitis, Chest pain, Cough
Clinical narrative: Bronchitis, cough, pain in chest.  MD shook in ER, said was on the verge of pneumonia.  Antibiotics Levaquin inhaler, cough medicine (cod).
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: When she came home from work on 11/21/2003 at 18:15, she noticed her left arm was warm, some redness, swelling, tender and had a fever.  Treatment-ibuprofen, augmentin and medrol dose pak. Still ill at time of evaluation.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Rash erythematous
Clinical narrative: Large local reaction to right arm 10x8 cm red, raised, warm to the touch.  Treated with cold compresses, continue with Claritan and Medrol DosePak started on 11/12/2003.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Patient complained of pain at the administration site left arm.  The next day complained of chills, arm swelling, temperature 101 (10/16/2003).  10/17/2003, treated in ER for cellulitis, temperature 103 and antibiotic administered.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest pain, Dizziness
Clinical narrative: Patient complained of chest pain, dizziness, and weakness on 11/04/2003 after receiving flu vaccine on 11/03/2003.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Musculoskeletal discomfort
Clinical narrative: Patient complained of generalized muscle discomfort on left side of body that extended from shoulder to left leg. Patient also complained of red discoloration at site where injection was given.  Patient was referred to private MD.  Patient returned to clinic with diagnosis of cellulitis left arm and prescription for Prednisone 20mg per mouth 4 times a day for 7 days and Flextra 650 1 tablet per mouth every 6-8 hours as needed.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Oedema, Pain
Clinical narrative: Started that the pain started right after shot.  Also stated that she had dizziness, headache after shot for a little while.  Complained of edema 2-3 inches below injection site and pain, pressure put on area.  No redness or fever.  Continues to have these symptoms 1 month after injection. 12-2-03 patient stated arm much better almost back to normal.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain
Clinical narrative: Client came into clinic 11/10/2003 with complaint of soreness and bruising.  ON exam found soreness consistent with expected side effects.  Bruise noted right deltoid approximately 1 1.2 inch in diameter.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Right upper arm began hurting last PM, noticed it was red and swollen this AM. Reddened, swollen, hot area inside right upper arm.  11/06/2003: patient was called and is improving.
Age: 57.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Erythema, Feeling hot, Oedema, Pain, Rash
Clinical narrative: Patient reports left arm began hurting on 10/23/2003.  Then rash began on 10/24/2003.  10/27/2003 redness and swelling noted over entire upper left arm from elbow to shoulder.  Area also hot to touch.
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Hot flush, Pruritus, Urticaria
Clinical narrative: Vaccine given at 12:00, patient reported flushing and feeling hot at 12:30.  Progressed to itching and localized hives.  Benadryl 150mg per mouth at 12:40.  Notified MD at 13:00.  Patient sent to clinic for follow up.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Influenza like illness, Pain
Clinical narrative: Severe flu-like symptoms for 12 hours.  Then, achiness every afternoon since.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Back pain, Headache, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Started with injection site swelling and reddening, hot to touch, pulsating.  Onset of fever-reached to 101.9 F even with taking Tylenol as prescribed.  Headache-extremely severe.  Neck and spine pain extremely severe.  Entire body extreme pain.  High fever for about 36 hours.  72 hours after injection still running 99.6 degree with headache/body pain.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Neck pain, Pain, Pyrexia
Clinical narrative: Started with injection site swelling and reddening, hot to touch, pulsating.  Onset of fever-reached to 101.9 F even with taking Tylenol as prescribed.  Headache-extremely severe.  Neck and spine pain extremely severe.  Entire body extreme pain.  High fever for about 36 hours.  72 hours after injection still running 99.6 degree with headache/body pain.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV
Symptoms: Face oedema, Urticaria
Clinical narrative: Within 3 hours of getting DTAP/IPV/Flu vaccine, his lips and face started swelling.  No respiratory distress noted, just large facial swelling and hives.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Headache, Nausea
Clinical narrative: 6 hours after flu vaccine had severe headache, joint pain, nausea. Lasted app 6-8 hours.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Dysphagia, Injection site oedema, Oedema peripheral, Pain
Clinical narrative: Pt woke up morning after flu vaccine with pain/swelling at injection site. Reports "both hands and feet very puffy/swollen. Unable to close hands." C/o some difficulty swallowing/some joint pain. No fever. Symptoms resolved over 25 hours with anti-histamine and pedi Advil.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt developed swelling, redness to injection site with extension of erythema approximately 24 hours after Pneumovax given. Pt had no reaction to flu vaccine given in other arm.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Throat tightness
Clinical narrative: Pt received 1 dose of flu vaccine on 10/31/03. Approx 20 minutes later pt c/o numbness in lips and tightness in throat. Pt took po Benadryl and symptoms slowly subsided. Refused 911.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Discomfort, Fatigue, Injection site erythema, Nasal congestion
Clinical narrative: Fri 10/31/03 and Sat 11/1/03: Extreme fatigue; Sun 11/2/03 Upper resp Sx develop, throat pain (Hx every severe case of pertussis in 2001), much like with pertussis. 11/4/03 physician visit, checked out OK, just head congestion and throat discomfort. No fever or chills. Sx continue thru 11/5-8 (missed work) non-productive cough, head and throat congestion. Resolved now other than continues to have "tight throat" with some discomfort, (Redness and pain at site of injection for 10 days).
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Throat tightness, Upper respiratory tract congestion
Clinical narrative: Fri 10/31/03 and Sat 11/1/03: Extreme fatigue; Sun 11/2/03 Upper resp Sx develop, throat pain (Hx every severe case of pertussis in 2001), much like with pertussis. 11/4/03 physician visit, checked out OK, just head congestion and throat discomfort. No fever or chills. Sx continue thru 11/5-8 (missed work) non-productive cough, head and throat congestion. Resolved now other than continues to have "tight throat" with some discomfort, (Redness and pain at site of injection for 10 days).
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Rash macular, Urticaria
Clinical narrative: RN administered dose of Synagis and dose of Fluzone (1st time for Fluzone, had Synagis one month prior, no reactions). Within 5 minutes of giving injection, infant presented with hives widespread, blotchy distribution, respiratory system unaffected, no SOB or dysporia, no wheeze. Evaluated by MD, per MD, gave infant 1/2 tsp Benadryl po at that time. MD sent infant to ER for observation.
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Rash macular, Urticaria
Clinical narrative: RN administered dose of Synagis and dose of Fluzone (0.25 cc) 1st time for Fluzone, had Synagis one month prior and was fine, no reaction. Within 5 minutes after giving injections, infant presented with hives widespread, blotchy distribution, respiratory system unaffected and no SOB or dyspnea or wheeze. Evaluated by MD. Per MD gave infant 1/2 tsp Benadryl po at that time. MD sent infant to ER for observation.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Dyspnoea, Hypersensitivity, Injection site erythema, Injection site mass
Clinical narrative: On 11/21 left upper arm red/hot to touch and sore. Awakened with SOB and wheezing "not normal for her". Note: 11/26 discussed with staff. Had baseball size hard lump, cellulitis look like it. No hives. I instructed her consider this an allergic reaction, do not take in future.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Pain, Wheezing
Clinical narrative: On 11/21 left upper arm red/hot to touch and sore. Awakened with SOB and wheezing "not normal for her". Note: 11/26 discussed with staff. Had baseball size hard lump, cellulitis look like it. No hives. I instructed her consider this an allergic reaction, do not take in future.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Dyspnoea, Urticaria, Wheezing
Clinical narrative: Developed hives all over arms, chest, abdomen, back and thighs 3 hours after vaccination. Next day, severe SOB, wheezing. Rx by family Dr for bronchitis (2-pak).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Hot flush, Nausea, Rash
Clinical narrative: 20 minutes after receiving the vaccine, felt lightheaded, felt like having a Bn, had diarrhea, went to ER. After lying down on gurney felt better. Had a rash, felt flushed, heat rash. Felt nauseated after sitting up. Started an IV on her. No SOB, felt like a lump in throat. Received Benadryl, Pepcid, Solucortef. Was on Prednisone and Pepcid.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Ocular hyperaemia, Pruritus, Speech disorder, Urticaria
Clinical narrative: Developed itchy, red eye at approx 5:30 PM on 10/23/03 which continued on 10/24/03. On 10/25/03 developed hives. On 10/26/03 developed impaired speech and difficulty swallowing. Went to hospital and was started on Prednisone. Saw dermatologist after that who increased Prednisone dosage. 11/3/03 pt recovered, no symptoms.