chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Started itching of scalp, spread to entrie body, palm of hands and sole of foot more intense.  Noticed hives and redness 4-5 hours after receinvg vaccine.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose normal, Convulsion, Fall, Gaze palsy, Heart rate decreased
Clinical narrative: PT RECEIVED GARDISIL(LOT 0548X EXP. 11/29/2010 MERCK) 0.5 ML IM RIGHT DELTOID WITHOUT DIFFICULTY. AS PATIENT WAS CHECKING OUT SHE FAINTED AND FELL AND WAS DESCRIBED AS HAVING SEIZURE SYMPTOMS(ARMS STIFF, EYES ROLLED IN BACK OF HEAD).  BP 110/80, BS 89, PULSE 49-50 AND IMPROVED TO 70 BPM WITHIN MINUTES, PULSOX 98%.  EMS WAS CALLED AND PT WAS TRANSPORTED TO THE HOSPITAL.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Oxygen saturation normal, Syncope
Clinical narrative: PT RECEIVED GARDISIL(LOT 0548X EXP. 11/29/2010 MERCK) 0.5 ML IM RIGHT DELTOID WITHOUT DIFFICULTY. AS PATIENT WAS CHECKING OUT SHE FAINTED AND FELL AND WAS DESCRIBED AS HAVING SEIZURE SYMPTOMS(ARMS STIFF, EYES ROLLED IN BACK OF HEAD).  BP 110/80, BS 89, PULSE 49-50 AND IMPROVED TO 70 BPM WITHIN MINUTES, PULSOX 98%.  EMS WAS CALLED AND PT WAS TRANSPORTED TO THE HOSPITAL.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Mother reports quarter size redened area at injection site the evening of flu vaccine administration.  Reports child was irritable and fussy.  No reported fever until 10/30/08.  Redness and swelling continued and was seen by local physician on 10/31/08 with fever 101 with Tylenol.  Redness reported from shoulder to elbow.  Physician started benadryl 4time per day.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Eye discharge, Eye pruritus, Nausea
Clinical narrative: Thick tongue, eyes itchy then matted shut, face swollen, hard to talk, achiness, nausea, vomiting, chills, coughing - difficult to clear throat. Swelling in face resolved in 2 days.  No redness, swelling or pain at site of injection. Did not seek medical treatment - no health insurance.  Did call a nurse information line & was told it is not vaccine related.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Speech disorder, Swelling face, Throat irritation, Tongue disorder
Clinical narrative: Thick tongue, eyes itchy then matted shut, face swollen, hard to talk, achiness, nausea, vomiting, chills, coughing - difficult to clear throat. Swelling in face resolved in 2 days.  No redness, swelling or pain at site of injection. Did not seek medical treatment - no health insurance.  Did call a nurse information line & was told it is not vaccine related.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Thick tongue, eyes itchy then matted shut, face swollen, hard to talk, achiness, nausea, vomiting, chills, coughing - difficult to clear throat. Swelling in face resolved in 2 days.  No redness, swelling or pain at site of injection. Did not seek medical treatment - no health insurance.  Did call a nurse information line & was told it is not vaccine related.
Age: 37.0
Sex: M
Vaccine: FLU3, PNC
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Shot administered in patient's right shoulder above bi-cep. Patient experienced significant pain at the site of injection. Patient also developed a swelling, discolored red skin, and sensitivity to touch from the site of injection extending down the arm and around the inner bicep. Symptoms lasted 6 days and was treated with ibuprofin.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Seen in our office on 10/28/08 for 4 year WCU.  Recieved Dtap, MMr, FLu, IPOL, and Varivax.  Woke up on 10/31/08 with left upper arm swellung, red and indurated.  Seen in our office and prescibed Augmentin.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Discomfort, Erythema
Clinical narrative: patient called to complain  of a red ring that developed around her arm the day after receiving pneumovax. She also complained of some discomfort and chills which she said were improved from the previous evening. Advised her to to take Tylenol and see dr if symptoms did not improve or worsened. Pt said symtoms lasted until the sunday after receiving the shot (3 days), and have resolved completely.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm where vaccine was given is very red, swollen, painful - about the size of a softball.Advised ice, ibuprofen as needed.  If need be, can be seen by provider.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Dyspnoea, Feeling hot, Flushing, Heart rate normal
Clinical narrative: Employee called ~30 minutes after receiving fluzone to report that she felt itchy all over and face felt hot. Upon examination of employee, this RN observed no blotching or rash despite employee's need to scratch. Her face appeared flush. Her breathing was WNL without distress. Benadryl 25mg PO was administered immediately and EE remained under observation for 30 minutes with improvement of symptoms. At that time she drove home and stopped at her Allergist's office, who treated her with Prednisone taper, Zyrtec & Xopenex inhaler. The next day 10/21/08 she went home from work early not feeling well with respiratory complaints. On 10/22/08, while at work, she felt SOB. Dr. went to her desk to examine her. VSS, 130/92, 76. O2 mask applied. BS clear, no stridor. BP lowered to 130/80. Upon consultation with her Allergist, EE sent to local ER.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Oxygen supplementation, Pruritus generalised, Respiratory disorder
Clinical narrative: Employee called ~30 minutes after receiving fluzone to report that she felt itchy all over and face felt hot. Upon examination of employee, this RN observed no blotching or rash despite employee's need to scratch. Her face appeared flush. Her breathing was WNL without distress. Benadryl 25mg PO was administered immediately and EE remained under observation for 30 minutes with improvement of symptoms. At that time she drove home and stopped at her Allergist's office, who treated her with Prednisone taper, Zyrtec & Xopenex inhaler. The next day 10/21/08 she went home from work early not feeling well with respiratory complaints. On 10/22/08, while at work, she felt SOB. Dr. went to her desk to examine her. VSS, 130/92, 76. O2 mask applied. BS clear, no stridor. BP lowered to 130/80. Upon consultation with her Allergist, EE sent to local ER.
Age: 2.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: High fever, site swelling and redness progressively increasing in size; very sick
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Dizziness, Headache, Influenza like illness
Clinical narrative: Pt reported flu like symptoms, chills, dizziness, nausea, headache and back ache within 4 hours of receiving the vaccination.  Pt called pharmacy and was told to get some tylenol for the bach aches and the headache.  Pt called the pharmacy the second time and was told to contact her physician.  Pt did go to ER the night of the vaccination for the symptoms previously reported.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Pt reported flu like symptoms, chills, dizziness, nausea, headache and back ache within 4 hours of receiving the vaccination.  Pt called pharmacy and was told to get some tylenol for the bach aches and the headache.  Pt called the pharmacy the second time and was told to contact her physician.  Pt did go to ER the night of the vaccination for the symptoms previously reported.
Age: 5.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Site swelling/redness; fever; sister with symptoms more severe.
Age: 38.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Dehydration, Malaise, Myalgia, Pain
Clinical narrative: within 5 hours, individual became symptomatic with congestion, cough, chest tight.  At 72 hours, reported significant congestion, cough, aches, fever. On day 5, was admitted en the evening through ED with severe dehydration, malaise, myalgia, flu symptoms.   Recieved pain medication, IV fluids, anti-emetics after pain medicine.  Remained in hospital observation for two days. 11/4/08-records received for DOS 10/30-10/31/08-DC DX: Influenza-like illness, secondary to vaccine reaction. Presented to ED 5 hours after receipt of vaccine with C/O generalized myalgias, cough, pleuritic chest pain, malaise and headache. Received hydration overnight and discharged.
Age: 38.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: within 5 hours, individual became symptomatic with congestion, cough, chest tight.  At 72 hours, reported significant congestion, cough, aches, fever. On day 5, was admitted en the evening through ED with severe dehydration, malaise, myalgia, flu symptoms.   Recieved pain medication, IV fluids, anti-emetics after pain medicine.  Remained in hospital observation for two days. 11/4/08-records received for DOS 10/30-10/31/08-DC DX: Influenza-like illness, secondary to vaccine reaction. Presented to ED 5 hours after receipt of vaccine with C/O generalized myalgias, cough, pleuritic chest pain, malaise and headache. Received hydration overnight and discharged.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pneumovax given in Left Deltoid on 10-17-08.  Pt's husband states that patient developed redness swelling tenderness and low grade fever 48 hours after the vaccination in the left arm.  States that a prescription was called in for Keflex by him (husband is a physician) and the patient made a full recovery.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Urticaria
Clinical narrative: Patient went to ER with hives, fatigue.  Given PO prednisone
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Recieved phone call from clients mother at 10:30 this morning.  Mother stated that child had recieved flu shot at flu clinic on 10/29/08.  Later that evening she noted red hives developing, she did not give her anything at that time but in the morning she was red all over and had all over.  Mother has been giving patient Benadryl about every 5 hours and she did go to school today.  States maybe she didn't need any Benadryl but I did give her some before she went to school.  Mother had spoke with friends of hers about the reaction and they advised her to keep giving the Benadryl until syptoms had gone away and that she needed to let us know this so a report could be completed.  This is the first time patient had recieved the flu vaccination and does not have any allergies to eggs.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Aggression, Autism spectrum disorder, Bowel movement irregularity, Childhood disintegrative disorder, Crying
Clinical narrative: Our daughter had long lasting reactions to vaccines every time she was given some.  She would cry and be very irritable for weeks and weeks after each one.  After the initial ones when she was too young to realize what was going on, she became more and more distant after every vaccine session.  After her 1 yr vaccines she just "went away" and lost a lot of previously learned language.  She started living in her own world and did not care much for ours.  Either she was not responding to us when we tried to get her to, or she was tantruming.   She could no longer have a bowel movement without medication.  She was dx as autism spectrum at about 1.5-2 yrs old. This has gone on for years now.  She is better with a lot of treatments, but she may never be the same sweet, smiling, laughing, happy kid that we once knew.   We found out that she should not have been given all of these vaccines when she was on prophylactic antibiotics for ureter reflux.   We are working on finding out the manufacturers and lot numbers.  If this is important, please let us know.  1/6/09 MR received from PCP from June 2004-2007. Normal exams on WCCs 6/29/04 and 9/10/04 with exception of UTI. Vax given 9/10/04. Frequent sick visits.  Asess 3/31/05-Healthy 18 mon old1) hx of vesicoureteral reflux Grade I/V. Intolerant to lactose. Noted to be a picky eater with some behavioral concerns. Temper tantrums noted 9/13/05. Developmental eval 4/24/06 (+) for Sensory Integration Dysfunction. DX of Autism Spectrum  Disorder, PDD 11/12/2007.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Irritability, Social avoidant behaviour, Speech disorder developmental, Unresponsive to stimuli
Clinical narrative: Our daughter had long lasting reactions to vaccines every time she was given some.  She would cry and be very irritable for weeks and weeks after each one.  After the initial ones when she was too young to realize what was going on, she became more and more distant after every vaccine session.  After her 1 yr vaccines she just "went away" and lost a lot of previously learned language.  She started living in her own world and did not care much for ours.  Either she was not responding to us when we tried to get her to, or she was tantruming.   She could no longer have a bowel movement without medication.  She was dx as autism spectrum at about 1.5-2 yrs old. This has gone on for years now.  She is better with a lot of treatments, but she may never be the same sweet, smiling, laughing, happy kid that we once knew.   We found out that she should not have been given all of these vaccines when she was on prophylactic antibiotics for ureter reflux.   We are working on finding out the manufacturers and lot numbers.  If this is important, please let us know.  1/6/09 MR received from PCP from June 2004-2007. Normal exams on WCCs 6/29/04 and 9/10/04 with exception of UTI. Vax given 9/10/04. Frequent sick visits.  Asess 3/31/05-Healthy 18 mon old1) hx of vesicoureteral reflux Grade I/V. Intolerant to lactose. Noted to be a picky eater with some behavioral concerns. Temper tantrums noted 9/13/05. Developmental eval 4/24/06 (+) for Sensory Integration Dysfunction. DX of Autism Spectrum  Disorder, PDD 11/12/2007.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Patient descibed reaction as low grade fever, muscle aches and fatigue lasting around 24 - 48 hours.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, DNA antibody positive, Encephalitis, Mental status changes, Systemic lupus erythematosus
Clinical narrative: Patient developed arthralgias, change in mental status. Diagnosed with Systemic Lupus Erythematous on 10/23, based on +ANA and +dsDNA. Admitted to Hospital for changes in mental status, thought to be from lupus cerebritis. records received 11/14/08-presented to ED 10/28/08-C/O short term retrograde amnesia. Intermittent blurry vision. C/O joint pain, headaches nausea for 4 weeks. Left hand weakness. One and half months prior C/O pain in hands and feet, isolated papules. Difficulty sleeping.    12/1/08-DC summary received for DOS 10/28-11/6/08-DX:Lupus cerebritis. Change in mental status.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Oedema peripheral, Pain
Clinical narrative: Apprx 0.5 mm  L postauricularlymphadenpathy, swolllen L deltoid, pt c/o pain when move head to L, denies; fever, difficulty chewing/swallowing or decreased ROM of arm. Instructed pt to continue ibuprofen 400 mg every 6-8 hours with warm compress, report to PCP if unresolved in 48 hours or ER if drooling, high fever, difficulty chewing/swallowing or neck pain.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Periarthritis
Clinical narrative: Left shuolder frozen shoulder, throbbing when laying down at night.  Flu vaccination on Friday & Saturday evening shoulder became sore.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Injection site mass, Pyrexia, Rash
Clinical narrative: Rash on back and stomach on 10/04/08-10/06/08 11 days after immunizations (9/23/08) Mother noticed left leg lump on 10/08/08 and says patient has had an on and off occuring fever and low appetite.
Age: 7.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Breath sounds abnormal, Cough, Cyanosis, Face oedema, Immediate post-injection reaction
Clinical narrative: Patient received immunizations and immediately began coughing, developed cyanosis, severe respiratory distress, and oral and facial edema. Oxygen sats at first assessment 55-60 percent, BP 120/90, HR 160. Was alert and able to talk with difficulty. Lung fields decreased aeration bilaterally. Oxygen cannula and Albuterol nebulization administered. Epi pen applied (lot 7EM841, exp 07/09). Pt responded immediately, pulse ox increased to 100%. Patient transferred to ER by ambulance.  11/11/2008 MR received for ER visit 10/22/08 with DX:  Allergic Reaction-serum, anaphylactic shock. Immediately after receiving vax pt began coughing, became SOB, fell to the ground and turned blue. TX with epipen and nebs and transferred to ER via EMS. Upon arrival in ER sx had resolved.
Age: 7.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oxygen saturation decreased, Oxygen supplementation, Respiratory distress
Clinical narrative: Patient received immunizations and immediately began coughing, developed cyanosis, severe respiratory distress, and oral and facial edema. Oxygen sats at first assessment 55-60 percent, BP 120/90, HR 160. Was alert and able to talk with difficulty. Lung fields decreased aeration bilaterally. Oxygen cannula and Albuterol nebulization administered. Epi pen applied (lot 7EM841, exp 07/09). Pt responded immediately, pulse ox increased to 100%. Patient transferred to ER by ambulance.  11/11/2008 MR received for ER visit 10/22/08 with DX:  Allergic Reaction-serum, anaphylactic shock. Immediately after receiving vax pt began coughing, became SOB, fell to the ground and turned blue. TX with epipen and nebs and transferred to ER via EMS. Upon arrival in ER sx had resolved.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Palpitations
Clinical narrative: Patient states that approx. 3 hrs. after vaccine,suffered from shortness of breath, palpitations, cough. Went to nearby walk-in clinic. States she received a "breathing treatment" that alleviated her symptoms.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: About 3 minutes after giving flu immunization, patient complained of being light-headed and fainted. Very diaphoretic and weak.  Ambulance called and sent to Hospital where he was diagnosed as a fainting spell and sent home.  Back to work the following day. Dr. did not feel it was an allergic reaction to the flu immunization.
Age: 72.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Activities of daily living impaired, Balance disorder, Gait disturbance
Clinical narrative: Zostavax was the vaccine given, it is not in the list of vaccines below. Patient stated she was very off balance the next morning.  She stayed in bed all day Thursday.  Friday, Sat., and Sunday she was "off balance"  Used a cane to help her get around.  Pt. did not feel like it was vertigo.  She said she staggered around.  By Monday she was better and has not reported any more problems
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest pain, Chills, Dizziness, Dysphonia, Dyspnoea
Clinical narrative: SORE THROAT WITH EAR PAIN, FEVERISH & CHILLS ON&OFF, EYES HURT, DIZZY, TIRED, CONGESTION, HAY FEVER SNEEZING, HEADACHES, SHORTNESS OF BREATH, CHEST PAINS, BODY ACHES...LASTED OVER A WEEK...STAYED IN BED ON DAY 3 & 4(SUNDAY...PLANNED ON ER VISIT ON MONDAY, IF COULD NOT GET OUT OF BED), TIRENESS, SORE THROAT, & SNEEZING LINGERED TO DAY 10-11 OF DAY OF FLUMIST.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Ear pain, Eye irritation, Eye pain, Fatigue, Headache
Clinical narrative: SORE THROAT WITH EAR PAIN, FEVERISH & CHILLS ON&OFF, EYES HURT, DIZZY, TIRED, CONGESTION, HAY FEVER SNEEZING, HEADACHES, SHORTNESS OF BREATH, CHEST PAINS, BODY ACHES...LASTED OVER A WEEK...STAYED IN BED ON DAY 3 & 4(SUNDAY...PLANNED ON ER VISIT ON MONDAY, IF COULD NOT GET OUT OF BED), TIRENESS, SORE THROAT, & SNEEZING LINGERED TO DAY 10-11 OF DAY OF FLUMIST.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Lacrimation increased, Nasal congestion, Oropharyngeal pain, Pain, Pallor
Clinical narrative: SORE THROAT WITH EAR PAIN, FEVERISH & CHILLS ON&OFF, EYES HURT, DIZZY, TIRED, CONGESTION, HAY FEVER SNEEZING, HEADACHES, SHORTNESS OF BREATH, CHEST PAINS, BODY ACHES...LASTED OVER A WEEK...STAYED IN BED ON DAY 3 & 4(SUNDAY...PLANNED ON ER VISIT ON MONDAY, IF COULD NOT GET OUT OF BED), TIRENESS, SORE THROAT, & SNEEZING LINGERED TO DAY 10-11 OF DAY OF FLUMIST.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia, Respiratory tract congestion, Seasonal allergy, Sneezing
Clinical narrative: SORE THROAT WITH EAR PAIN, FEVERISH & CHILLS ON&OFF, EYES HURT, DIZZY, TIRED, CONGESTION, HAY FEVER SNEEZING, HEADACHES, SHORTNESS OF BREATH, CHEST PAINS, BODY ACHES...LASTED OVER A WEEK...STAYED IN BED ON DAY 3 & 4(SUNDAY...PLANNED ON ER VISIT ON MONDAY, IF COULD NOT GET OUT OF BED), TIRENESS, SORE THROAT, & SNEEZING LINGERED TO DAY 10-11 OF DAY OF FLUMIST.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Asthenia, Dizziness, Loss of consciousness, Pallor
Clinical narrative: PATIENT HAS HIVES, PALENESS, WEAKNESS, DIZZINESS.  i TOOK PATIENT TO EMERG. ROOM ON 10-26-08.  sTEROID SHOT AND STEROIDS GIVEN.  TOOK PATIENT TO FAMILY DR ON 10-27-08 TOLD TO DOUBLE STEROIDS AND WAS GIVEN STEROID CREAM.  MY SON IS NO BETTER! HIVES ARE, BUT HE PASSED OUT AT SCHOOL TODAY 11-03-2008! oUR DR. WOULD NOT SEEM HIM DUE TO OUR NEW INSUR COVERAGE!  iM OUT RAGED AND WORRIED ABOUT MY SON!
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: PATIENT HAS HIVES, PALENESS, WEAKNESS, DIZZINESS.  i TOOK PATIENT TO EMERG. ROOM ON 10-26-08.  sTEROID SHOT AND STEROIDS GIVEN.  TOOK PATIENT TO FAMILY DR ON 10-27-08 TOLD TO DOUBLE STEROIDS AND WAS GIVEN STEROID CREAM.  MY SON IS NO BETTER! HIVES ARE, BUT HE PASSED OUT AT SCHOOL TODAY 11-03-2008! oUR DR. WOULD NOT SEEM HIM DUE TO OUR NEW INSUR COVERAGE!  iM OUT RAGED AND WORRIED ABOUT MY SON!
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Nausea, Pain, Tremor
Clinical narrative: Got flu vaccine 10/28/08 @ 3pm.  Around 5 pm, felt nauseated; around 7:30 felt achy all over, especially shoulders and back.  Then had chills and shakiness, vomited 5-6 times. that evening.  Weak but much better next day did not go to physician.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Got flu vaccine 10/28/08 @ 3pm.  Around 5 pm, felt nauseated; around 7:30 felt achy all over, especially shoulders and back.  Then had chills and shakiness, vomited 5-6 times. that evening.  Weak but much better next day did not go to physician.
Age: 4.0
Sex: F
Vaccine: FLUN3, IPV, MMR, VARCEL
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: The child developed a generalized, itching rash on 11/2/08 at night.  Vaccines given on 10/31/08.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye pruritus, Ocular hyperaemia, Throat tightness
Clinical narrative: Presented to ED approximately 4 hours after vaccination reporting throat tightness, chest heaviness, and red itchy eyes. She was given 4mg Decadron and 50mg Diphenhydramine IM. Slight improvement in ER. Sent home with prednisone.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Blood test normal, Condition aggravated, Generalised erythema, Mouth ulceration
Clinical narrative: Tremors started in upper left arm: Mid to late May,'08. They continue today with body twitches and muscle spasms and painful shoulder muscles and stiff neck. August 23,'08: Blistery, painful rash on arms; looks like shingles. August 24,'08: Rash gone but arms appear Very sunburned and still have stinging/burning sensation. Skin retains red appearance today: Rash and bumps in skin may be present. September 19,'08: Large 'cold sore' appears on upper right lip. September 22,'08: Huge 'cold sore' @ left nostril; in nostril and almost to upper lip. October 14,'08: Small sore on lower lip; inside and outside mouth. October 29,'08: Small sore on tongue. I have not had any 'cold sores', previous to these, since 1992. Historically, I would have a rare small 'sore' on my right upper lip.  11/14/08 Reviewed PCP medical records of 7/11-8/25/2008. FINAL DX: probable motor neuron disease, possible motor neuropathy vs neuronopathy; chronic anxiety, depression; records reveal patient experienced muscle twitches & diffuse fascilulations of UEs & LEs, numbness & tingling, neck pain, anxious, depressed, was under stress & having difficulty sleeping, 10# weight loss.  Exam revealed mild hyperreflexia.  Referred for MRI & neuro consult.  RTC 8/25 w/vesicular rash x 2 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle spasms, Muscle twitching, Musculoskeletal pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: Tremors started in upper left arm: Mid to late May,'08. They continue today with body twitches and muscle spasms and painful shoulder muscles and stiff neck. August 23,'08: Blistery, painful rash on arms; looks like shingles. August 24,'08: Rash gone but arms appear Very sunburned and still have stinging/burning sensation. Skin retains red appearance today: Rash and bumps in skin may be present. September 19,'08: Large 'cold sore' appears on upper right lip. September 22,'08: Huge 'cold sore' @ left nostril; in nostril and almost to upper lip. October 14,'08: Small sore on lower lip; inside and outside mouth. October 29,'08: Small sore on tongue. I have not had any 'cold sores', previous to these, since 1992. Historically, I would have a rare small 'sore' on my right upper lip.  11/14/08 Reviewed PCP medical records of 7/11-8/25/2008. FINAL DX: probable motor neuron disease, possible motor neuropathy vs neuronopathy; chronic anxiety, depression; records reveal patient experienced muscle twitches & diffuse fascilulations of UEs & LEs, numbness & tingling, neck pain, anxious, depressed, was under stress & having difficulty sleeping, 10# weight loss.  Exam revealed mild hyperreflexia.  Referred for MRI & neuro consult.  RTC 8/25 w/vesicular rash x 2 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging normal, Oral disorder, Oral herpes, Pain, Rash vesicular
Clinical narrative: Tremors started in upper left arm: Mid to late May,'08. They continue today with body twitches and muscle spasms and painful shoulder muscles and stiff neck. August 23,'08: Blistery, painful rash on arms; looks like shingles. August 24,'08: Rash gone but arms appear Very sunburned and still have stinging/burning sensation. Skin retains red appearance today: Rash and bumps in skin may be present. September 19,'08: Large 'cold sore' appears on upper right lip. September 22,'08: Huge 'cold sore' @ left nostril; in nostril and almost to upper lip. October 14,'08: Small sore on lower lip; inside and outside mouth. October 29,'08: Small sore on tongue. I have not had any 'cold sores', previous to these, since 1992. Historically, I would have a rare small 'sore' on my right upper lip.  11/14/08 Reviewed PCP medical records of 7/11-8/25/2008. FINAL DX: probable motor neuron disease, possible motor neuropathy vs neuronopathy; chronic anxiety, depression; records reveal patient experienced muscle twitches & diffuse fascilulations of UEs & LEs, numbness & tingling, neck pain, anxious, depressed, was under stress & having difficulty sleeping, 10# weight loss.  Exam revealed mild hyperreflexia.  Referred for MRI & neuro consult.  RTC 8/25 w/vesicular rash x 2 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin burning sensation, Tremor, Urine analysis normal
Clinical narrative: Tremors started in upper left arm: Mid to late May,'08. They continue today with body twitches and muscle spasms and painful shoulder muscles and stiff neck. August 23,'08: Blistery, painful rash on arms; looks like shingles. August 24,'08: Rash gone but arms appear Very sunburned and still have stinging/burning sensation. Skin retains red appearance today: Rash and bumps in skin may be present. September 19,'08: Large 'cold sore' appears on upper right lip. September 22,'08: Huge 'cold sore' @ left nostril; in nostril and almost to upper lip. October 14,'08: Small sore on lower lip; inside and outside mouth. October 29,'08: Small sore on tongue. I have not had any 'cold sores', previous to these, since 1992. Historically, I would have a rare small 'sore' on my right upper lip.  11/14/08 Reviewed PCP medical records of 7/11-8/25/2008. FINAL DX: probable motor neuron disease, possible motor neuropathy vs neuronopathy; chronic anxiety, depression; records reveal patient experienced muscle twitches & diffuse fascilulations of UEs & LEs, numbness & tingling, neck pain, anxious, depressed, was under stress & having difficulty sleeping, 10# weight loss.  Exam revealed mild hyperreflexia.  Referred for MRI & neuro consult.  RTC 8/25 w/vesicular rash x 2 days.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Lymph node pain, Lymph node palpable, Lymphadenopathy, Vaccine positive rechallenge
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of lymphadenopathy in a 45-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). The subject's medical history included allergy to SUPRAX, allergy to ZITHROMAX, environmental allergy and penicillin allergy. With the exception of the influenza virus vaccine, the subject had no adverse events following receipt of other previous immunizations. Concurrent medications included Oral contraceptives, NASACORT, XYZAL and Allergy shot. The subject received no other vaccinations on the date of receipt of FLUARIX. On an unspecified date in 2007, the subject received unspecified dose of Influenza vaccine (unknown). On an unspecified date in 2007, less than one year after vaccination with Influenza vaccine, the subject experienced lymphadenopathy. The lymphadenopathy resolved after eight days. On 28 October 2008 between 5:00 p.m. and 5:30 p.m., the subject received unspecified dose of FLUARIX (.5 ml, unknown, right arm). On the morning of 29 October 2008, 1 day after vaccination with FLUARIX, the subject experienced lymphadenopathy, erythema, lymph node palpable and lymph node tenderness. The healthcare professional considered the events that occurred on 29 October 2008 were clinically significant (or requiring intervention). The subject received treatment with steroids. At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with FLUARIX. Nurse practitioner states subject received FLUARIX on 28 October 2008, and the following morning she developed lymphadenopathy on her neck region. Specifically, she has swollen lymph nodes above her clavicle on the right side mid-way up, and it is the diameter of a golf ball and is raised approximately 1-2 centimeters, and there is generalized erythema at this site. The swollen node is visible without palpation. Surrounding that area, there are palpable nodes that are each a centimeter in size. Below the clavicle, there are several poorly defined palpable nodes. Additionally, there are tender infraclavicular anterior nodes, axillary nodes, and tender nodes at the groove between the shoulder and chest. There is also a weblike red pattern over the neck area and upper chest. Currently, the subject is being treated with steroids. The reporter believes this is probably caused by FLUARIX since the subject experienced the same events last year after receiving the flu vaccine (Lymphadenopathy was experienced at the same location after receiving last year's flu vaccine (unknown which brand), however, it occurred a little bit later and lasted for 8 days).
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX
Symptoms: Convulsion, Inappropriate schedule of drug administration, Tremor
Clinical narrative: This case was reported by a consumer and described the occurrence of seizure in a 3-year-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. The subject's medical history included bone marrow transplant, chronic skin disorder, immune deficiency, reflux unspecified and seizure. Previous and/or concurrent vaccination included influenza virus vaccine; manufacturer unspecified; unknown given on 6 June 2007. Concurrent medications included KEPPRA, PRILOSEC, CLARITIN, Vitamin D, Selenium and ZINC. On 6 June 2007 and 30 October 2008, the subject received 1st dose and 2nd dose of PEDIARIX (unknown, left thigh). On 6 June 2007, 5 minutes after vaccination with PEDIARIX, the subject experienced tremors of hands and lips. On 11 June 2007, 5 days after vaccination with PEDIARIX the subject experienced seizures, then again on 16 June 2007. On 30 October 2008, 5 minutes after vaccination with PEDIARIX, the subject experienced tremors of hands and lips and inappropriate schedule of vaccine administered. This case was assessed as medically serious by GSK. The immunization series was delayed, and symptom recurred following subsequent administration. The subject consulted a healthcare professional. The reporter stated the subject received PEDIARIX on 06 June 2007, and approximately five minutes after the injection he experienced hand tremors and lip tremors lasting approximately 10 to 30 seconds. On 11 June 2007, he experienced a seizure and on 16 June 2007, he had two additional seizures. The subject has a history of seizure and is taking seizure medication KEPPRA. On 30 October 2008, the subject received 2nd dose in the series of PEDIARIX (inappropriate schedule of vaccine administered) and again experience tremors of the hands and lips approximately five minutes after the injection lasting for 20 to 30 seconds. The subject was 3-years old at the time of the initial injection and 4-years old at the time of the most recent adverse event. On 30 October 2008, the events were resolved.
Sex: F
Vaccine: HEP
Symptoms: Condition aggravated, Convulsion
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of seizure in an adult female subject who was vaccinated with ENGERIX B (GlaxoSmithKline).  Concurrent medical conditions included a history of seizures.  On an unspecified date the subject received 1st dose of ENGERIX B (unknown).  At an unspecified time after vaccination with ENGERIX B, the subject experienced seizure.  This case was assessed as medically serious by GSK.  At the time of reporting the event was resolved.  At the time of event, the seizure was not thought to be related to vaccination with ENGERIX B because of the subject's history of seizures.  Then after the second dose on 17 October 2008, the subject experienced another seizure.  For details regarding the 2nd seizure, refer to suffix case A0754680B.  The sales representative reported that she was almost sure the nurse said ENGERIX B, but the drug could have been TWINRIX.
Sex: F
Vaccine: HEP
Symptoms: Condition aggravated, Convulsion, Grand mal convulsion
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of seizure in an adult female subject who was vaccinated with ENGERIX B (GlaxoSmithKline).  Concurrent medical conditions included a history of seizures.  Previous vaccination included 1st dose of ENGERIX B (GlaxoSmithKline) given on an unspecified date.  The subject experienced a seizure following the 1st administration which resolved.  On 17 October 2008, the subject received a 2nd dose of ENGERIX B (unknown).  At an unspecified time after vaccination with ENGERIX B, on 17 October 2008, the subject experienced a grand mal seizure.  This case was assessed as medically serious by GSK.  At the time of reporting the event was resolved.  In the reporter's opinion, the event was considered probably related to treatment with ENGERIX B.  The nurse reported to the sales representative that the subject experienced a seizure after the first dose of ENGERIX B (date not specified), but at the time of event, the seizure was not thought to be related to vaccination with ENGERIX B because of the subject's history of seizures.  Then after the second dose on 17 October 2008, the subject experienced another seizure.  For details regarding the 1st seizure, refer to suffix case A0754680A.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Bacteria blood identified, Bacteria stool identified, Diarrhoea haemorrhagic, Pyrexia
Clinical narrative: A serious spontaneous report of positive salmonella culture in blood and stool, bloody diarrhea and fever was received from a physician concerning a six-year-old male, subsequent to FLUMIST. The patient's medical history and concomitant medications were not reported. The patient received one dose of FLUMIST on 01-Oct-2008. The patient received a total of one dose before onset of the events 10 days later. On 11-Oct-2008 the physician reported her patient had symptoms of fever and bloody diarrhea. On 18-Oct-2008 the patient was hospitalized and noted to have positive blood and stool cultures for Salmonella. The patient was placed on intravenous antibiotics. it was reported that the patient is improving but remains hospitalized. The causality of the events to FLUMIST was not reported.  11/7/08 Reviewed hospital medical records of 10/18-10/23/2008. FINAL DX: salmonella gastroenteritis; bacteremia, resolved; diarrhea, resolved. Records reveal patient experienced HA, myalgia, fever & diarrhea x 7 days; developed bloody stools 10/13 & seen by PCP.  Peds ID consult done.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash bilateral arms, chest, back, face within 10 min. of injection. Gave 25 mg BENADRYL IM and 80 mg DEPO MEDROL IM. Within 5 minutes of BENADRYL rash beginning to resolve; within 15 minutes of BENADRYL rash completely cleared. No edema of face, throat, lips.
Sex: F
Vaccine: FLUX, TTOX
Symptoms: Injection site pain
Clinical narrative: (R) St red pain (pain rating 9 on 0-10 scale) injection given 10/16/08 it in office today 10/27/08 c/o severe pain
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling, Throat irritation
Clinical narrative: Patient stated that on 11/2/08 the day after the vaccine given that she had swollen lips and scratchy throat for approximately 2 hrs. -went away with no treatment necessary
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Back pain, Musculoskeletal discomfort
Clinical narrative: severe bilat hip/waist low back pain; difficulty dressing from exam table.  CMP, CPK, UDIP, Uni Acid, SULINDAL Rx given today.  (exam:  non tender, from hip, & rash) (4- d out still after Sx)
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Acute febrile neutrophilic dermatosis, Aspartate aminotransferase, Biopsy skin, Haematocrit, Myalgia
Clinical narrative: Sweet's syndrome with (R) ankle lesion. Fever, myalgias, beginning approx. 12 July 2008. Rx: oral corticosteroids, NSAIDS
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Skin lesion
Clinical narrative: Sweet's syndrome with (R) ankle lesion. Fever, myalgias, beginning approx. 12 July 2008. Rx: oral corticosteroids, NSAIDS
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Electrocardiogram, Tachycardia
Clinical narrative: Patient experienced tachycardia 7 days post vaccination.  MD attributed this to vaccination.  Patient required treatment with a beta blocker (Bystolic 5mg).  Pt took only 1 dose.  Had EKG done at MD office.  Pt stated HR approximately 60 normally and 93 when experiencing symptoms.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Tooth abscess
Clinical narrative: Pt complains of sore arm persisting today after flu shot about 5 weeks ago. Took Tylenol #4 for a dental abscess and had not noticed any improvement. Pharmacist recommended she see MD and may try Ibuprofen or Naproxen in the meantime to help with pain and inflammation. Patient has MD appointment in approximately 2 weeks (around 11/13/08).
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: fever to 104 degree x 72hr
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Lip swelling, Nausea, Swollen tongue, Throat tightness
Clinical narrative: 5 min after vaccine felt nauseated, lightheaded.  BP= 130/80 Laid down for 20 min, left for home.  c/o 11:00 AM swelling of tongue + lips and throat felt tight no breathing problems, rested with HOB increase for rest of day.  All symptoms gone in AM.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Heart rate increased, Hyperhidrosis, Nausea
Clinical narrative: 20 min after vaccine, emp. c/o lightheadedness, tunnel vision, nausea, dizziness, report to supervisor and UWO- instructor who had employee lie down.  EMP. became shaky, clammy, diaphoretic, BP=140/80, P=120 T=98.6.  S/S continued X 4 hrs monitor by OR staff and doctor.  Drove self home later.  Symptoms gone in AM.  Took own BENADRYL.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, Tunnel vision
Clinical narrative: 20 min after vaccine, emp. c/o lightheadedness, tunnel vision, nausea, dizziness, report to supervisor and UWO- instructor who had employee lie down.  EMP. became shaky, clammy, diaphoretic, BP=140/80, P=120 T=98.6.  S/S continued X 4 hrs monitor by OR staff and doctor.  Drove self home later.  Symptoms gone in AM.  Took own BENADRYL.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pharyngeal oedema, Pyrexia, Swelling face, Vomiting
Clinical narrative: Facial swelling, throat swelling, fever 104 degrees, nausea vomiting.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hypoaesthesia oral, Lip swelling, Nausea, Vomiting
Clinical narrative: Received flu shot 10/29/08 @ 10:30 am.  At 5:30 pm she had sudden numbness and swelling of her lower lip, also had nausea, vomiting & chills.  No dyspnea.  No ocular edema.  Treated with MEDROL dose pack- improving as of 10/31.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Skin warm
Clinical narrative: 10/31/08 - developed rash around neck, chest, upper torso. Warm feeling on skin -went to ER on 11-1-08 AM of 11-1-08.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Hot flush, Nausea, Pain
Clinical narrative: Pt c/o body aches, hot and cold flashes, and nausea.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Fall, Head injury, Loss of consciousness, Syncope vasovagal
Clinical narrative: 340P pt had vasovagal syncope, fell and hit head after injection with prompt recovery. 6p-pt returned to have arm checked for fx and became weak and passed out while sitting, pt sent to ER.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Patient came in 2 wks after vaccine's were given complaining of pain in her arm that radiates down her arm.  Pain still persists & wakes pt up at night.  She has been treating it with ADVIL.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia
Clinical narrative: Sore at injection site-feels like muscle is sore deep ache. Pain has continued from 10/16/08 to 11/03/08. Tender to palpation at injection site- no bruising or redness noted.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 10/23/2008 @ 13:00 2 1/4 cm x 2 1/2 cm reddened slightly swollen, slightly warm to touch @ injection site.  No fever aches/pain.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Dtap redness notice 10/30/08 swelling redness measure 20mm x 20mm apply ice right away
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Eye swelling, Full blood count, Metabolic function test, Pyrexia, Rash
Clinical narrative: Patient received vaccines (MMR, Varicella, and ACT Hib) on 9-23-08. Patient reported to emergency room on 10-02-08 with rash, intermittent fever and eyelid swelling.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Computerised tomogram normal, Injection site erythema, Injection site warmth
Clinical narrative: (+) erythema, (+) increased warmth at site of immunization (+) SOB.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Full body hives one hour after receiving flu vaccine
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of lump at the injection site in a 39-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). There were no concurrent medications. On 2 September 2008 at 10:00 the subject received unspecified dose of FLULAVAL at 0.5 ml, subcutaneously, in the left arm. On 3 September 2008, 24 hours after vaccination with FLULAVAL, the subject experienced lump at the injection site, injection site warmth and injection site redness. The drug was also
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of lump at the injection site in a 21-year-old female subject who was vaccinated with influenza vaccine FLULAVAL, (GlaxoSmithKline).  There were no concurrent medications.  On 2 September 2008 at 10:00 the subject received unspecified dose of FLULAVAL at 0.5 ml, subcutaneously, in the left arm.  On 3 September 2008, 24 hours after vaccination with FLULAVAL, the subject experienced lump at the injection site, injection site warmth and injection site redness.  The drug was also administered via the incorrect route.  FLULAVAL should have been given intramuscularly.  At the time of reporting the events were unresolved.  This event occurred in three subjects.  Linked cases included A0746645A and A0746649A.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Expired drug administered
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of expired vaccine used in a 51-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline).  On 05 September 2008, the subject received the 1st dose of FLULAVAL (.5 ml, unknown, left arm).  The FLULAVAL vaccine administered had expired (Lot # ASLLA030AA; expired July 2008).
Sex: U
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of possible allergic reaction in a subject of unspecified age and gender who was vaccinated with FLULAVAL (GlaxoSmithKline).  On an unspecified date, the subject received unspecified dose of FLULAVAL (unknown).  At an unspecified time after vaccination with FLULAVAL, the subject experienced a possible allergic reaction.  An office staff member contacted the GSK Response Center and ask if FLULAVAL could be diluted, due to an allergic reaction.  The GSK representative who took the call stated that she realized after disconnection that the reporter may have been referring to a previous administration of FLULAVAL, not necessarily the components of another flu vaccine.  The GSK representative attempted to call back for further information, but the office was closed.  At the time of reporting, the outcome of the event was unspecified.  Follow-up information received on 07 October 2008 indicated that the vaccine given was not FLULAVAL.  It was apparently a reaction described by the reporter that occurred 20 years ago.  No additional information.