chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: From initial information received on 2/6/03, it was reported that a 66 year old female patient received TD ADS ADULT, U0521AA in the left deltoid on 1/31/03. On 2/3/03, patient experienced redness 2 inches below injection site and was warm to touch down to her elbow. Patient was seen by a physician on 2/6/03 and was prescribed 500mg of Cephelexin for 10 days, 20mg of Prednisone for 6 days and Benadryl for her itching. She was diagnosed with an Edematous area on her left arm, 1 inch below the injection site, was 5x5 inches of red and swelling. Patient stated that she denies any prior adverse reaction from any vaccination. Her personal physician felt her reaction was due to medication. Patient was taking medication to lower her cholesterol. Recovery status unknown.
Sex: M
Vaccine: TD
Symptoms: Joint range of motion decreased, Swelling
Clinical narrative: From initial information received on 2/12/03 it was reported that a male patient reported swelling in arm and can't move their arm. Previous booster dose not known at this time. Patient scheduled to see doctor later for assessment. Additional information has been requested from the reporter.
Age: 46.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Fatigue, Headache, Myalgia, Pain
Clinical narrative: From initial information received on 2/12/03 from MIS, it was reported that a 46 year old male patient experienced an Arthus reaction after receiving a Td injection in his right deltoid on 1/30/03. The patient was seen on 2/11/03. The patient complained of fever of 103F and soreness with myalgia and fatigue, erythema and tenderness to touch. The patient took Tylenol for headache and fever and was given Duracef. The patient was to have followed up with his doctor on 2/13/03. Recovery status is unknown at this time.
Age: 46.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia, Type III immune complex mediated reaction
Clinical narrative: From initial information received on 2/12/03 from MIS, it was reported that a 46 year old male patient experienced an Arthus reaction after receiving a Td injection in his right deltoid on 1/30/03. The patient was seen on 2/11/03. The patient complained of fever of 103F and soreness with myalgia and fatigue, erythema and tenderness to touch. The patient took Tylenol for headache and fever and was given Duracef. The patient was to have followed up with his doctor on 2/13/03. Recovery status is unknown at this time.
Age: 32.0
Sex: F
Vaccine: FLU3, HEPA, YF
Symptoms: Chills, Pyrexia
Clinical narrative: Evening after receiving YF/HAV & Flu vaccination patient states developed fever & chills.  Contacted me the following morning and described a temperature of 37.4 C - "feel better".  Did attend classes the morning following immunizations but would have stayed home if had a choice.  Also c/o "mild" headache - described it as a normal headache for her.  Pt was self treating with rest, fluids, and Tylenol prn. Refused provider appointment.  Advised to seek emergency care if status deteriorated.  Pt stated her husband would be home with her this evening.  Also advised her of the availability of a 24 hr nurse triage line if she had further concerns and we were closed.  She is suppose to check in with me via e-mail this AM.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Anorexia, Fatigue, Pain, Vomiting
Clinical narrative: No feeling of shot.  Sick 3 days after wife.  Achy, shot throbbed. Violent vomiting, tired next day, no appetite and none for next day.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness, Opisthotonus
Clinical narrative: Child presented to clinic for flu vaccination.  following immunization, child complained of feeling faint.  Head was placed between knees.  Child then jumped up, arched back and was assisted to the floor. He regained consciousness within one minute.
Age: 30.0
Sex: F
Vaccine: PPV, TD
Symptoms: Dyspnoea
Clinical narrative: After receiving Td and Pneumovax IM, patient stated "I can't breathe".  BP=120/70, P=88,R=20.  No redness, no hives or respiratory distress noted.  Gave 50 mg Benadryl IM per protocol.  Monitored VS, all within normal limits. Discharged at 12:05.  Left clinic with friend. Followed up with phone call late afternoon.  No problem voiced.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Client called health department 11/25/03 to state he ahd developed "20" red hives on right hip during the late afternoon of 11/24/03.  Stated he had flu shot in am of 11/24/03.  Stated he did not call or go to private MD.  No other symptoms of fever reported.  States he applied "cortisone cream" to relieve his itching area of right hip.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Haematocrit decreased, Haemoglobin decreased, Laboratory test abnormal, Prothrombin level increased
Clinical narrative: HIGH INR. ACUTE DROP IN H AND H
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Cough, Diarrhoea, Dizziness, Headache
Clinical narrative: Started with sore throat and headaches.  Started diarehha on 12-4-03 and muscles aches, congestion.  Lower back is very tender.  Dizziness and fever of 101.3 degrees and a cough.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Myalgia, Nasal congestion, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Started with sore throat and headaches.  Started diarehha on 12-4-03 and muscles aches, congestion.  Lower back is very tender.  Dizziness and fever of 101.3 degrees and a cough.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Developed localized swelling, erythema, and itching measuring 120mm by 125 mm about site of subcutaneous injection on right upper arm.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety, Facial palsy, Fatigue, Fibromyalgia, Injection site mass
Clinical narrative: Shortly after the shot I had a big red lump on the area where the shot was administered. I then began feeling tired, my muscles hurt, I had ringing in my ears, I had what the doctor described as bells palsy, it seems as my symptoms just keep occuring in a circle. I suffered from anxiety attacks, lost weight, developed severe costochondritis. I finally got diagnosed with Fibromyalgia( autoimmune disorder)I was a healthy person before the shot now I'm always sick. I took the shot in 1997 and showed the localized red bump so the next year in Oct. 98 I told the doctor about the reaction the year prior and he said just go ahead and take it you'll be allright and since I worked at the hospital I had to take the flu shot. After that Oct. 98 date I've never been the same. I'm afraid to take the flu shot because I think I will have even a more violent reaction so I have not taken a flu shot since that day.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Myalgia, Tinnitus, Weight decreased
Clinical narrative: Shortly after the shot I had a big red lump on the area where the shot was administered. I then began feeling tired, my muscles hurt, I had ringing in my ears, I had what the doctor described as bells palsy, it seems as my symptoms just keep occuring in a circle. I suffered from anxiety attacks, lost weight, developed severe costochondritis. I finally got diagnosed with Fibromyalgia( autoimmune disorder)I was a healthy person before the shot now I'm always sick. I took the shot in 1997 and showed the localized red bump so the next year in Oct. 98 I told the doctor about the reaction the year prior and he said just go ahead and take it you'll be allright and since I worked at the hospital I had to take the flu shot. After that Oct. 98 date I've never been the same. I'm afraid to take the flu shot because I think I will have even a more violent reaction so I have not taken a flu shot since that day.
Age: 1.1
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: 13 mo old received vaccine with preservative.  No adverse reaction.  Mother notified.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Aspartate aminotransferase increased, Blood glucose increased, Blood urea increased, Constipation, Dysarthria
Clinical narrative: Within 15 minutes of the vaccine my legs were contorted and I was unable to move them.  Within 30 minutes from the waist down and with in 60 it was from the neck down.  I also had hives and petechiae.  It is three weeks later and I can move everything, but have MARKED weakness, am having hot flashes, bowel and bladder problems, and high blood glucose levels.  I am still in the hospital with no clear end in sight. Discharge summary states tremor, constipation. Medical records state urinary incontinence, dysarthria.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Gastrointestinal disorder, Hot flush, Hyperglycaemia, Hypokinesia, Liver function test abnormal
Clinical narrative: Within 15 minutes of the vaccine my legs were contorted and I was unable to move them.  Within 30 minutes from the waist down and with in 60 it was from the neck down.  I also had hives and petechiae.  It is three weeks later and I can move everything, but have MARKED weakness, am having hot flashes, bowel and bladder problems, and high blood glucose levels.  I am still in the hospital with no clear end in sight. Discharge summary states tremor, constipation. Medical records state urinary incontinence, dysarthria.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Paralysis, Petechiae, Tremor, Unevaluable event
Clinical narrative: Within 15 minutes of the vaccine my legs were contorted and I was unable to move them.  Within 30 minutes from the waist down and with in 60 it was from the neck down.  I also had hives and petechiae.  It is three weeks later and I can move everything, but have MARKED weakness, am having hot flashes, bowel and bladder problems, and high blood glucose levels.  I am still in the hospital with no clear end in sight. Discharge summary states tremor, constipation. Medical records state urinary incontinence, dysarthria.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Urinary incontinence, Urticaria
Clinical narrative: Within 15 minutes of the vaccine my legs were contorted and I was unable to move them.  Within 30 minutes from the waist down and with in 60 it was from the neck down.  I also had hives and petechiae.  It is three weeks later and I can move everything, but have MARKED weakness, am having hot flashes, bowel and bladder problems, and high blood glucose levels.  I am still in the hospital with no clear end in sight. Discharge summary states tremor, constipation. Medical records state urinary incontinence, dysarthria.
Age: 8.0
Sex: M
Vaccine: FLUX
Symptoms: Anorexia, Vomiting
Clinical narrative: Patient not hungry and unable to keep down food. Throwing up (x 3) 5 - 9 hours after vaccine administered. No other symptoms. Provided with Benedryl.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Flushing, Hypertension, Tachycardia, Tremor
Clinical narrative: 15 mins after injection: tachycardic,hypertensive,full body tremors,teeth chattering,facial flushing,lightheadedness
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: SIDS.
Age: 13.0
Sex: M
Vaccine: RAB
Symptoms: Abasia, Difficulty in walking, Fatigue, Headache, Lethargy
Clinical narrative: A 13 year old male patient was attacked by bats in September 2003. He received 5 doses total of RabAvert for post-exposure treatment. Treatment started on 9/6/03 through 10/4/03. Following treatment of RabAvert, on approximately 11/13/03, he developed headaches, myalgia, extreme malaise, and muscle aches in his legs to the point of being barely able to walk. The patient was unable to go to school for 1 week because he was so lethargic. He also experienced headaches during the time immediately after the RabAvert injections. Last injection of RabAvert was given was on 10/04/03. (OMIC). Follow-up information received 19 Jan 03: Approximately one month after the last rabies vaccine injection, the patient became listless and unable to walk at times. He was fatigued and also experienced muscle spasms for a period of approximately 2 weeks. The patient also had many headaches that continued until the end of Nov 03. According to the reporter, the patient has recovered from these events.
Age: 13.0
Sex: M
Vaccine: RAB
Symptoms: Listless, Malaise, Muscle spasms, Myalgia
Clinical narrative: A 13 year old male patient was attacked by bats in September 2003. He received 5 doses total of RabAvert for post-exposure treatment. Treatment started on 9/6/03 through 10/4/03. Following treatment of RabAvert, on approximately 11/13/03, he developed headaches, myalgia, extreme malaise, and muscle aches in his legs to the point of being barely able to walk. The patient was unable to go to school for 1 week because he was so lethargic. He also experienced headaches during the time immediately after the RabAvert injections. Last injection of RabAvert was given was on 10/04/03. (OMIC). Follow-up information received 19 Jan 03: Approximately one month after the last rabies vaccine injection, the patient became listless and unable to walk at times. He was fatigued and also experienced muscle spasms for a period of approximately 2 weeks. The patient also had many headaches that continued until the end of Nov 03. According to the reporter, the patient has recovered from these events.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Bacterial infection, Dyspnoea, Lethargy, Metabolic acidosis, Stupor
Clinical narrative: DTaP, IPV, Hib given on 11/19/03. Mom called evening of 11/20/03 to report unusual pattern of gasping respiration lasting approximately 2 hrs no fever (+) lethargy resolved spontaneously but recurred on 11/23/03-event to ER. FSWU done and admitted. The hospital discharge summary received on 01/02/04 states altered mental state, urinary tract infection and metabolic acidosis.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Urinary tract infection
Clinical narrative: DTaP, IPV, Hib given on 11/19/03. Mom called evening of 11/20/03 to report unusual pattern of gasping respiration lasting approximately 2 hrs no fever (+) lethargy resolved spontaneously but recurred on 11/23/03-event to ER. FSWU done and admitted. The hospital discharge summary received on 01/02/04 states altered mental state, urinary tract infection and metabolic acidosis.
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Headache, Pruritus
Clinical narrative: Individual reports pruritus at vaccination site for 2 weeks. Individual reports headaches not quite daily for 2 weeks. All symptoms now resolved.
Age: 20.0
Sex: F
Vaccine: FLUN3
Symptoms: Fatigue, Pain
Clinical narrative: Patient complained of body aches and fatigue about 5 hours after innoculation.  No treatment indicated.
Age: 32.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Dyspnoea, Hypoaesthesia, Tracheal oedema
Clinical narrative: Complained of numbness to tongue, lips, face, complained of swelling to throat and difficulty breathing. FU: 30 minutes after vaccination she felt chest pain, her vital signs, monitored every 30 minutes, were okay. Oxymetry was normal. An ambulance was called, 0.3 cc epinephrine were administered but patients symptom continued to progress. Patient was sent to ER, from where she was released after 4-5 hours.
Age: 32.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Anaphylactic reaction, Chest pain, Dyspnoea, Hypoaesthesia, Throat tightness
Clinical narrative: Complained of numbness to tongue, lips, face, complained of swelling to throat and difficulty breathing. FU: 30 minutes after vaccination she felt chest pain, her vital signs, monitored every 30 minutes, were okay. Oxymetry was normal. An ambulance was called, 0.3 cc epinephrine were administered but patients symptom continued to progress. Patient was sent to ER, from where she was released after 4-5 hours.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Chest pain, Dyspnoea
Clinical narrative: Chest pain/ shortness of breath/ anxiety
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: Rash on arms and legs.  Urticaria.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Less than 5 minutes, patient began to feel light-headed.  She stood up to find husband and blacked out/husband caught her.  Patient woke up with in seconds.  25mg Benadryl given per mouth with water.  Husband took her to ER per MD request.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Epistaxis
Clinical narrative: Patient related to writer incident of heavy epistaxis after flu shot last year-received vaccine 12/04/2003-now presents with multiple brusing arm (bilateral) and legs and denies other symptoms.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Patient returned back to office within 20-30 minutes states "having a reaction to flu shot" complained of shortness of breath and internal itching.  Patient took 2 Benadryl while in car before arriving back to office.  No apparent shortness of breath noted.  No further treatment required.  Observed for 45 minutes.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Euphoric mood, Heart rate increased, Pallor
Clinical narrative: By 14:30 was in a somewhat euphoric state and was having "wild thoughts".  Did not feel right.  By 19:00 had vomited, was woozy, had dyspnea, wheezing and was pale.  20:15 she was shaking with fast heart rate.  By 22:30 intense itching, no rash.  She laid down and meditated to help relax and symptoms finally subsided.  Took no meds.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Tremor, Vomiting, Wheezing
Clinical narrative: By 14:30 was in a somewhat euphoric state and was having "wild thoughts".  Did not feel right.  By 19:00 had vomited, was woozy, had dyspnea, wheezing and was pale.  20:15 she was shaking with fast heart rate.  By 22:30 intense itching, no rash.  She laid down and meditated to help relax and symptoms finally subsided.  Took no meds.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injection site erythema, Oedema, Pain, Skin irritation
Clinical narrative: Erythema, edema, increasing over 24 hours, initially no pain, increased discomfort and irritation, soreness for 30 hours. Resolved in 72 hours-96 hours slowly. Required Benadryl and topical steroids.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash, Rash maculo-papular
Clinical narrative: Faint body rash - erythema, extensive, near confluent macular-papular rash on all extremities including face.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Coordination abnormal, Dizziness, Guillain-Barre syndrome, Halo vision, Miller Fisher syndrome
Clinical narrative: Loss of peripheral vision and tunnel vision with halo; Miller Fischer variant of Guillain-Barre. The medical record received on 12/10/03 state pharyngitis, dizzy and ataxia.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngitis, Visual field defect
Clinical narrative: Loss of peripheral vision and tunnel vision with halo; Miller Fischer variant of Guillain-Barre. The medical record received on 12/10/03 state pharyngitis, dizzy and ataxia.
Age: 88.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiff arm for 1 day. Given Tylenol every 4 hours for 24 hours. No problems with since.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Drug administration error
Clinical narrative: Follow up on 12/10/03: "Pt given flu and pneumonia combination by mistake; advised by director to re-vaccinate with flualone." No adverse events.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Skin burning sensation
Clinical narrative: Rash (red, fine, raised) on injection site arm, spreading rest of body. Pt took 2 PO doses of Benadryl that PM and AM for itching and burning. No relief obtained.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Cyanosis, Gait disturbance, Injection site erythema, Injection site oedema, Peripheral vascular disorder
Clinical narrative: Severe local reaction involving the entire left thigh: swelling and redness within 24 hours after vaccine. Limping and acrocyanosis (9/5/03) after above local reaction subsided. The acrocyanosis and vascular instability were in all limbs.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: Pt had hives next night after Td injection, given Benadryl 25mg to take.
Age: 1.02
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Otitis media, Pneumonia, Pyrexia
Clinical narrative: Seizure, fever, pneumonia. Possible reaction to MMR? Discharge Summary received on 1/14/2004 states otitis media.
Age: 1.02
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Pneumonia, Pyrexia
Clinical narrative: Seizure, fever, pneumonia. Possible reaction to MMR? Discharge Summary received on 1/14/2004 states otitis media.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Myalgia, Pain
Clinical narrative: Beginning 3 days after 3rd dose of Hep B adult vaccine, pt began to have severe muscle pains.   Generalized pain persists.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Cyanosis, Hypotonia, Pallor
Clinical narrative: DTaP, Hib, IPV, Prevnar given at 4 PM 12/1/03. At 7:30 PM baby began crying then went limp, pale, with perioral cyanosis, fingers cyanotic, shallow resp about 10 minutes, pale for 1 hour. (Additional medical notes attached)
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Respiratory disorder
Clinical narrative: DTaP, Hib, IPV, Prevnar given at 4 PM 12/1/03. At 7:30 PM baby began crying then went limp, pale, with perioral cyanosis, fingers cyanotic, shallow resp about 10 minutes, pale for 1 hour. (Additional medical notes attached)
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Abnormal behaviour, Autism, Speech disorder
Clinical narrative: Information was received on 11/21/03 provided a PQ reference number for Acel-Imune; no new safety information. The reported lot number for Hib-TITER (M240LL) is not a valid lot number. A quality assurance investigation could not be performed due to incorrect product identification. Information was received on 10/16/03 provided a PQ reference number; no new safety information. Information was received from an attorney concerning a 15 month old male child who received his fourth dose of Acel-Imune vaccine in the left arm on 7/30/98. Concomitant vaccines included his first dose of Hib-Titer vaccine administered in the left arm as well as his first dose of MMR administered in the left arm. Relevant medical history was not provided. Indication for Acel-Imune vaccine was immunization. Product was administered on 7/30/98. Dose regimen was 1 dose 1 time per day (IM). Concomitant medications were not reported. The reporter indicated that the child was diagnosed with autism after his MMR vaccination on 7/30/98. At the age of 3 years, the child developed violent tempers, did not talk, and he ate inedible items. This event was considered medically important (OMIC). No additional information was available at the time of this report.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Cardiac arrest, Chest pain, Chills, Dizziness, Dyspnoea
Clinical narrative: Heart palpitations 3 days after vaccination, culminating in a diagnosed influenza vaccine myocarditis on Nov. 18.  Continue to suffer from random heart beat skips as of this writing. The medical records state sinus arrest, chills, headache, myalgia, chest pain, SOB, and dizziness.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Extrasystoles, Headache, Myalgia, Myocarditis, Palpitations
Clinical narrative: Heart palpitations 3 days after vaccination, culminating in a diagnosed influenza vaccine myocarditis on Nov. 18.  Continue to suffer from random heart beat skips as of this writing. The medical records state sinus arrest, chills, headache, myalgia, chest pain, SOB, and dizziness.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: White blood cell count increased
Clinical narrative: Heart palpitations 3 days after vaccination, culminating in a diagnosed influenza vaccine myocarditis on Nov. 18.  Continue to suffer from random heart beat skips as of this writing. The medical records state sinus arrest, chills, headache, myalgia, chest pain, SOB, and dizziness.
Sex: F
Vaccine: MMR, TD, YF
Symptoms: Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Pyrexia
Clinical narrative: Had sore throat several days before receiving second group of vaccines on 07/12/2003.  07/12/2002 received: Td/Yellow Fever/MMR.  Presented same day to sick with complaints of difficulty swallowing, diarrhea, started that day, lasting several days.  On 07/13/2003 "found on floor of squad bay" in "obvious respiratory distress".  See attached notes:  17 year old female patient complained of light-headedness/dizzyness/shortness of breath for 15 minutes.  Patient found on floor of squad bay upon entry of dispensory personnel in obvious respiratory distress.  Applied 15c NRB decreased to 2L after 3 min.  Instructed patient to control breathing which was successful.  Patient discharged without incident.  Diagnosis: Febrile, Upper Respiratory Infection.
Sex: F
Vaccine: MMR, TD, YF
Symptoms: Upper respiratory tract infection
Clinical narrative: Had sore throat several days before receiving second group of vaccines on 07/12/2003.  07/12/2002 received: Td/Yellow Fever/MMR.  Presented same day to sick with complaints of difficulty swallowing, diarrhea, started that day, lasting several days.  On 07/13/2003 "found on floor of squad bay" in "obvious respiratory distress".  See attached notes:  17 year old female patient complained of light-headedness/dizzyness/shortness of breath for 15 minutes.  Patient found on floor of squad bay upon entry of dispensory personnel in obvious respiratory distress.  Applied 15c NRB decreased to 2L after 3 min.  Instructed patient to control breathing which was successful.  Patient discharged without incident.  Diagnosis: Febrile, Upper Respiratory Infection.
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Chills, Headache, Influenza like illness, Lethargy, Pyrexia
Clinical narrative: Flu-like symptoms (101-degree fever, headache, chills, lethargy)
Age: 31.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Myocarditis
Clinical narrative: Chest pain dx as viral myocarditis Elevation of cardiac enzymes- CK & Troponin to 6.4 Received anti-inflammatory meds ECHO exam normal
Age: 1.5
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Eye swelling, Pyrexia, Urticaria
Clinical narrative: My daughter had welts and hives from head to toe, front and back.  Some difficulty breathing and a low grade fever and swollen eyes.  She was taken to the emergency room at 10pm and given vistarel and decadron IM.  She took the flu shot at about 10:00 am.  I picked her up from the daycare at 5pm and she was itching.  I noticed the welts at 6pm when I changed her diaper and placed some benadryl cream on her and gave her some tylenol.  Then at 10pm everything became worst.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Eye movement disorder, Pyrexia, Salivary hypersecretion, Tremor
Clinical narrative: Immunizatino given at 8:30a.m. on 12/3/03. Per mother, at 8:30p.m. on 12/3/03 child's eyes were moving from side to side, left arm shaked, and left eye drooped. Child was foaming at the mouth. Mother took child to hospital, with temp of 101. Blood and urine specimen were taken and child was monitored for a few hours and "tylenol" was given. Child sent home and mother told to see pediatrician the next day.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Pain
Clinical narrative: MORNING AFTER RECEIVNG VACCINE C/O SORENESS AND DISCOMFORT GOTTEN PROGRESSIVELY WORSE. ON 12/6/2003 CALLED PHARMASIST AND HE TOLD HER THEY SHOT THE NERVE AND TO TAKE TYLENOL.FEW HOURS LATER CALLED THE ER. AND THEY TOLD HER TO APPLY HEAT COMPRESS. NO RELEIF FROM HEAT COMPRESS.HASN'T SEEN DR. SHE SAID SHE CAN'T AFFORD IT. RECOMMENDED SHE CONTACT DR.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Infection, Keratitis, Vision blurred
Clinical narrative: bluured vision, eye infection
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, CSF test abnormal, Cholecystitis, Gastritis, Guillain-Barre syndrome
Clinical narrative: Wife reports while on vacation patient experienced tingaling in hands and legs, returned home, follow-up with physician, progressive deterioration, hospitalized Oct. 31. Now in rehab. The discharge summary received on 1/28/04 states Guillain-Barre syndrome, urinary tract infection, urinary retention, hyperglycemia, gastritis, cholecystitis, back pain, and thrombophlebitis.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperglycaemia, Paraesthesia, Thrombophlebitis, Urinary retention, Urinary tract infection
Clinical narrative: Wife reports while on vacation patient experienced tingaling in hands and legs, returned home, follow-up with physician, progressive deterioration, hospitalized Oct. 31. Now in rehab. The discharge summary received on 1/28/04 states Guillain-Barre syndrome, urinary tract infection, urinary retention, hyperglycemia, gastritis, cholecystitis, back pain, and thrombophlebitis.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Anaemia, Anorexia, Fatigue, Melaena
Clinical narrative: Platelets dropped from 468 K/micro L to 10 K/microL. The discharge summary received on 2/9/04 states itching/ puritis rash, decreased appetite, weight loss, and purpura. The medical record received on 2/10/04 states abd tender, and fatigue.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Platelet count decreased, Pruritus, Purpura, Rash, Weight decreased
Clinical narrative: Platelets dropped from 468 K/micro L to 10 K/microL. The discharge summary received on 2/9/04 states itching/ puritis rash, decreased appetite, weight loss, and purpura. The medical record received on 2/10/04 states abd tender, and fatigue.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain, Myalgia
Clinical narrative: Burning/dysesthesia at vaccine site - same arm arthralgia and myalgias for two weeks
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt stated left arm became red and swollen to elbow. lasted 3 days, did not call office, informed at next office visit. did not take any treatment, stated reddness went away by it self.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Pruritus, Urticaria
Clinical narrative: On 17NOV03,6 Hours after anthrax shot # 6, patient broke out in small red hives from neck to toes and had tightness in chest.  Went to E.R. and was given Benadryl, Prendnisone, Ranitidine and Zantac.  Patient skin returned to normal about 1 hour after drug intake.  Patient continues to have a sensation of itchy skin(bugs crawling on skin.)  Patient has taken Benadryl 5 times since event to relieve itchy skin.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Myalgia, Pyrexia, Swelling
Clinical narrative: C/o low-grade fever, myalgias, headache, and localized swelling past the elbow of the RUE
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Loss of consciousness, Pallor, Syncope, Tremor
Clinical narrative: Within 10-15 minutes after the vaccination and no complaints of illness, my son suddenly fainted and started to shake. He lost consciousnes for about 1 minute.  He looked pale white, ashey and lips were blue/gray.
Age: 36.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Headache, Tinnitus
Clinical narrative: 14SEP03 Pt reports sore arm & elbow for 4-5 days, pesistent headache not resolved by OTC analgesics. 15SEP03 Pt repports soreness in upper & lower back, chills, sweats, sore neck, sore throat, and pain in left elbow.  Ears began ringing bilaterally and headache continued at 3-4/10 intensity. 16SEP03 Headache, sore neck and ringing in ears continued and experienced generalized joint pain throughout body.  22SEP03 Arthralgias abated but the headache and tinnitus have continued.
Age: 36.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Back pain, Chills, Headache, Hyperhidrosis
Clinical narrative: 14SEP03 Pt reports sore arm & elbow for 4-5 days, pesistent headache not resolved by OTC analgesics. 15SEP03 Pt repports soreness in upper & lower back, chills, sweats, sore neck, sore throat, and pain in left elbow.  Ears began ringing bilaterally and headache continued at 3-4/10 intensity. 16SEP03 Headache, sore neck and ringing in ears continued and experienced generalized joint pain throughout body.  22SEP03 Arthralgias abated but the headache and tinnitus have continued.
Age: 36.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Neck pain, Pharyngolaryngeal pain, Tinnitus
Clinical narrative: 14SEP03 Pt reports sore arm & elbow for 4-5 days, pesistent headache not resolved by OTC analgesics. 15SEP03 Pt repports soreness in upper & lower back, chills, sweats, sore neck, sore throat, and pain in left elbow.  Ears began ringing bilaterally and headache continued at 3-4/10 intensity. 16SEP03 Headache, sore neck and ringing in ears continued and experienced generalized joint pain throughout body.  22SEP03 Arthralgias abated but the headache and tinnitus have continued.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Eye movement disorder, Heart rate irregular, Hyperhidrosis
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Lethargy, Loss of consciousness, Pain, Pallor, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Eye movement disorder, Hyperhidrosis, Hypotonia
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Lethargy, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Hyperhidrosis, Lethargy, Loss of consciousness
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with a possible penicillin and cefprozil allergy who on 11/21/03 was vaccinated with a second dose of MMR (lot #645623/0273N). Concomitant therapy included diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid and poliovirus vaccine inactivated. On 11/21/03, within a few minutes of the vaccination, the patient experience abdominal pain, began vomiting, became diaphoretic, lethargic and then became unresponsive. In follow up, the nurse reported that the patient was well at the time of vaccination, and that within minutes of receiving the vaccinations, the patient complained of abdominal pain and then began to vomit. He went limp, he was laid down on the examination table and his HR was low (measurement not reported). The nurse also reported that the child's eyes rolled up into his head, he would look at you if you called his name but he did not respond verbally. The patient was treated with epinephrine and oxygen, and taken to the ER. The patient then became responsive, and was treated and released. The patient was diagnosed with the following: unresponsive episode usually seen with whole cell vaccine. The physician was concerned about the MMR lot number. The nurse reported that the patient did not have any problems with past immunizations. The reporter considered the patient's abdominal pain, vomiting, and unresponsive episode to be disabling events. Additional information has been requested. Follow up on 12/12/03: "The health professional considered the patient's abdominal pain, vomiting and loss of consciousness to be an other important medical event. Additional info has been requested."  Follow up on 12/16/03: "The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory.  The lot complies with the standards of the Center for Biologics Evaluation and Research and was released."
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Otitis media, Pneumonia, Pyrexia
Clinical narrative: Seizure, fever, pneumonia
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Pneumonia, Pyrexia
Clinical narrative: Seizure, fever, pneumonia
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal distension, Anorexia, Chest pain, Contusion, Cough
Clinical narrative: Unexplained bruising lower extremity (09/03). 11/03 persistent non-productive cough; occasional dizziness post cough. Feeling of abdominal fullness/anorexia; and non-developed dyspnea on exertion. Pre-syncopal feeling; chest pain; lower extremity edema 12/1/03. 12/3/03 admitted. Echo done ( I don't have results). Elevated liver enzymes by report early in course. Hospitalized 12/3-5/03. The follow up received on 12/10/03 states pleural effusion, perimyocarditis, and hx of nephrolitiasis. The follow up received on 1/13/04 states it is agreed tha this man did not receive a SP immunization in 8/03 as there is no documentation for it. Late date for which an immunization was recorded is 11/2/02 flu. No record can be found of this vaccine we are unsure as to whether he received this immunization.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Full blood count, Myocarditis
Clinical narrative: Unexplained bruising lower extremity (09/03). 11/03 persistent non-productive cough; occasional dizziness post cough. Feeling of abdominal fullness/anorexia; and non-developed dyspnea on exertion. Pre-syncopal feeling; chest pain; lower extremity edema 12/1/03. 12/3/03 admitted. Echo done ( I don't have results). Elevated liver enzymes by report early in course. Hospitalized 12/3-5/03. The follow up received on 12/10/03 states pleural effusion, perimyocarditis, and hx of nephrolitiasis. The follow up received on 1/13/04 states it is agreed tha this man did not receive a SP immunization in 8/03 as there is no documentation for it. Late date for which an immunization was recorded is 11/2/02 flu. No record can be found of this vaccine we are unsure as to whether he received this immunization.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Nephrolithiasis, Oedema peripheral, Pleural effusion, Syncope, Troponin I
Clinical narrative: Unexplained bruising lower extremity (09/03). 11/03 persistent non-productive cough; occasional dizziness post cough. Feeling of abdominal fullness/anorexia; and non-developed dyspnea on exertion. Pre-syncopal feeling; chest pain; lower extremity edema 12/1/03. 12/3/03 admitted. Echo done ( I don't have results). Elevated liver enzymes by report early in course. Hospitalized 12/3-5/03. The follow up received on 12/10/03 states pleural effusion, perimyocarditis, and hx of nephrolitiasis. The follow up received on 1/13/04 states it is agreed tha this man did not receive a SP immunization in 8/03 as there is no documentation for it. Late date for which an immunization was recorded is 11/2/02 flu. No record can be found of this vaccine we are unsure as to whether he received this immunization.