chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injection site nodule
Clinical narrative: Information has been received from a licensed Practical Nurse (L.P.N.) concerning a 64 year old male patient with rheumatoid arthritis, diabetes, high cholesterol, hypertension and methotrexate allergy. The patient's medical history included heart attack. The patient was vaccinated with PNEUMOVAX 23, 0.5 ml once, on 18SEP2012 (lot # 672370/1851AA; exp date 05AUG2013). Concomitant medications included WELCHOL, hydrochlorothiazide, metoprolol, montelukast sodium (MSD), nitroglycerin, AMBIEN and PRILOSEC. On 18SEP2012 the patient developed a large "knot" the size of a fist on his left arm, at the injection site, after receiving a dose of PNEUMOVAX 23. Treatment for the event included: BENADRYL, ice and TYLENOL. The outcome of large "knot" the size of a fist on left arm was not specified. Additional information is not expected. This is one of three reports from the same source.
Age: 50.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Asthenia, Fatigue, Injection site erythema, Pyrexia
Clinical narrative: This spontaneous report was received from a pharmacist regarding a 50 year old male patient. The patient was vaccinated with a single dose of ZOSTAVAX, 0.65 mL on 10-SEP-2012. On the same day (10-SEP-2012) and in the same arm, the patient also received an unknown dose of ADACEL. The pharmacist reported that the patient was very thin and muscular, with very little subcutaneous tissue and was concerned that the ZOSTAVAX might have been injected into muscle tissue rather than subcutaneous tissue. On 11-SEP-2012, the patient developed a mild fever and became tired and weak after receiving ZOSTAVAX. The pharmacist also reported that the patient developed redness on his arm at the injection site after receiving ZOSTAVAX. The patient sought medical attention reported as he called the pharmacist and the pharmacist went out to see the patient. No treatment reported. The patient recovered from the events on an unspecified date. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Information has been received from a pharmacist who reported that on 15Sep2012 an expired dose of PNEUMOVAX 23 (lot # 669579/0595AA, expiration date 30Aug20120, 0.5ml, intramuscularly, was administered to a patient. No adverse effects were reported. No additional information was provided. No further information is expected.
Sex: M
Vaccine: VARCEL
Symptoms: Foetal exposure during pregnancy, Small for dates baby
Clinical narrative: Information has been received from a registered nurse for VARIVAX (Merck), a Pregnancy Registry product, concerning an actually 15 days normal infant male patient who was expose through his mother who was vaccinated with VARIVAX (Merck) (0.5 ml dose once, SC) (lot number 671080/0828AA, exp: 06/02/2013) on 11-NOV-2011, during pregnancy. The patient was born in 38 weeks from last menstrual period. The patient was reported as small for gestational age. The outcome was not reported. The mother experienced severe preeclampsia and uterine atony during labor/delivery. The mother case was included in the MARRS # 1201USA03414. Additional information is not expected.
Sex: U
Vaccine: MMR
Symptoms: Measles antibody negative
Clinical narrative: This spontaneous report as received from a registered nurse refers to about 6 patients of unknown age. The reported stated she had about 6 international students that she drew titers on that failed to seroconvert to either the measles or other components of the M-M-R II vaccine. Nurse stated students were vaccinated in their country, beginning at 9 months of age. It was unknown if the patients had sought medical attention. The outcome was unknown. Additional information is not expected.
Sex: U
Vaccine: PPV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Information has been received from a field representative after speaking to a pharmacist concerning two patients of unknown age and gender who on an unspecified date were vaccinated with 25/0.5 of PNEUMOVAX 23, (route not provided). The pharmacist reported that the patients were administered expired doses of PNEUMOVAX 23. The patients were unaware that the vaccines were expired. No adverse reaction was reported. At the time of the report outcome was unknown. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a female patient of unknown age who on an unspecified date was vaccinated with 0.5 ml of PNEUMOVAX 23, intramuscularly (lot number 1851AA). The L.P.N. reported that the patient called the office after developing redness, soreness and warmth at the injection site after receiving a dose of PNEUMOVAX 23. It was reported that the patient sought medical attention. At the time of the report the patient's outcome was unknown. Additional information has been requested. This is one of three reports from the same source.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Anogenital warts, Gestational diabetes, Live birth, Maternal exposure during pregnancy, Pre-eclampsia
Clinical narrative: Information has been received from a registered nurse for VARIVAX (Merck), a Pregnancy Registry product, concerning a 24 year old female patient with no pertinent medical history and no drug reactions/allergies who on 11-NOV-2011, was vaccinated with VARIVAX (Merck) (0.5 ml dose once, SC) (lot number 671080/0828AA, exp: 06/02/2013). There was no concomitant medication. The registered nurse reported that the patient found out that she was pregnant on an unspecified date post vaccination. As of 24-JAN-2012, the patient was 9 weeks pregnant. No adverse effects reported. The estimated Last Menstrual Period was approximately 22-NOV-2011. Estimated Delivery Date would be approximately 28-AUG-2012. The patient phoned employee health nurse. There was no laboratory test performed. Follow up information has been received from a physician concerning a patient who was vaccinated with VARIVAX (Merck). The physician reported that the patient was not tested for varicella antibodies before vaccination. The ultrasound was performed on 20-JAN-2012 for dating. Results of ultrasound were: normal IUP (Intra Uterine Pregnancy) and (+)FHB (Foetal Heartbeat). The patient had no previous pregnancies. There was no local reaction at vaccination site, varicella symptoms or herpes zoster symptoms post vaccination. Follow up information was received from the physician who reported that on an unknown date during pregnancy the patient experienced genital warts and gestational diabetes. The patient delivered live born normal male infant on 09-AUG-2012 (weight 5lb9oz) at the 38 week from last menstrual period. She also experienced severe preeclampsia and uterine atony during labor/delivery. The baby was reported as small for gestational age (MARRS # 1209USA009241). There was no feature of congenital varicella zoster syndrome in infant. At the time of the report the patient's outcome was not reported. The case for a baby was included in the MARRS # 1209USA009241. Additional information is not expected.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Small for dates baby, Ultrasound antenatal screen normal, Uterine atony
Clinical narrative: Information has been received from a registered nurse for VARIVAX (Merck), a Pregnancy Registry product, concerning a 24 year old female patient with no pertinent medical history and no drug reactions/allergies who on 11-NOV-2011, was vaccinated with VARIVAX (Merck) (0.5 ml dose once, SC) (lot number 671080/0828AA, exp: 06/02/2013). There was no concomitant medication. The registered nurse reported that the patient found out that she was pregnant on an unspecified date post vaccination. As of 24-JAN-2012, the patient was 9 weeks pregnant. No adverse effects reported. The estimated Last Menstrual Period was approximately 22-NOV-2011. Estimated Delivery Date would be approximately 28-AUG-2012. The patient phoned employee health nurse. There was no laboratory test performed. Follow up information has been received from a physician concerning a patient who was vaccinated with VARIVAX (Merck). The physician reported that the patient was not tested for varicella antibodies before vaccination. The ultrasound was performed on 20-JAN-2012 for dating. Results of ultrasound were: normal IUP (Intra Uterine Pregnancy) and (+)FHB (Foetal Heartbeat). The patient had no previous pregnancies. There was no local reaction at vaccination site, varicella symptoms or herpes zoster symptoms post vaccination. Follow up information was received from the physician who reported that on an unknown date during pregnancy the patient experienced genital warts and gestational diabetes. The patient delivered live born normal male infant on 09-AUG-2012 (weight 5lb9oz) at the 38 week from last menstrual period. She also experienced severe preeclampsia and uterine atony during labor/delivery. The baby was reported as small for gestational age (MARRS # 1209USA009241). There was no feature of congenital varicella zoster syndrome in infant. At the time of the report the patient's outcome was not reported. The case for a baby was included in the MARRS # 1209USA009241. Additional information is not expected.
Sex: U
Vaccine: BCG
Symptoms: Incorrect route of drug administration, No adverse event, Wrong drug administered
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age. The patient was vaccinated a dose of with BCG VACCINE USP (lot number not reported) intravesically instead of TICE on 17-SEP-2012. No other co-suspects were reported. No concomitant medications were reported. Pharmacist stated the BCG VACCINE USP was reconstituted with sterile, preservative-free saline, 0.9% Sodium Chloride Injection USP as diluent. The BCG VACCINE USP was reconstituted and administered to the patient according to the directions in the TICE prescribing information. No symptoms reported. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Information has been received from a certified medical assistant concerning a patient of unknown age and gender, who on 14-AUG-2012 was administered with an expired dose of VARIVAX (Merck) subcutaneously (dose not reported) (lot # 668650/1040Z, Exp: 11-AUG-2012). No adverse effects reported. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Very swollen and itching. Patient states that swelling is baseball size at injection site.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Very swollen and itching. Patient states that swelling is baseball size at injection site.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic reaction
Clinical narrative: Initial report was received from a healthcare professional on 17 September 2012, with follow-up on 19 September 2012. It represents a cluster of four patients (employees in a hospital), who developed adverse reactions after they received FLUZONE Intradermal, lot number UT4470AA (approximately 300 employees were immunized by FLUZONE Intradermal that day). The reports of those four patients from this reporter are captured in case numbers 2012-08138, 2012-08560 and 2012-08707. This is a single patient from the cluster of four patients. A 27-year-old female (employee) patient received a dose of intradermal injection of FLUZONE intradermal, sanofi pasteur Inc., lot number UT4470AA (site not reported) on 06 September 2012. Approximately one hour after vaccination, the patient experienced cardiovascular symptoms of heart racing, dizziness and nausea. The patient had no known drug allergies (NKDA). No other medical history was reported. Treatment included drank juice, walked around a bit and she then felt fine. The patient was offered transfer to emergency room or to have her husband pick her up. She was advised to seek medical care if symptoms returned or for any concerns. She was discharged to home. The patient's outcome was recovered on 06 September 2012. Documents held by sender: None.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Nausea, Palpitations
Clinical narrative: Initial report was received from a healthcare professional on 17 September 2012, with follow-up on 19 September 2012. It represents a cluster of four patients (employees in a hospital), who developed adverse reactions after they received FLUZONE Intradermal, lot number UT4470AA (approximately 300 employees were immunized by FLUZONE Intradermal that day). The reports of those four patients from this reporter are captured in case numbers 2012-08138, 2012-08560 and 2012-08707. This is a single patient from the cluster of four patients. A 27-year-old female (employee) patient received a dose of intradermal injection of FLUZONE intradermal, sanofi pasteur Inc., lot number UT4470AA (site not reported) on 06 September 2012. Approximately one hour after vaccination, the patient experienced cardiovascular symptoms of heart racing, dizziness and nausea. The patient had no known drug allergies (NKDA). No other medical history was reported. Treatment included drank juice, walked around a bit and she then felt fine. The patient was offered transfer to emergency room or to have her husband pick her up. She was advised to seek medical care if symptoms returned or for any concerns. She was discharged to home. The patient's outcome was recovered on 06 September 2012. Documents held by sender: None.
Age: 57.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Oral pruritus, Throat irritation, Urticaria
Clinical narrative: Initial report was received from a healthcare professional on 17 September 2012, with follow-up on 19 September 2012. It represents a cluster of four patients (employees in a hospital), who developed adverse reactions after they received FLUZONE Intradermal, lot number UT4470AA (approximately 300 employees were immunized by FLUZONE Intradermal that day). The reports of those four patients from this reporter are captured in case numbers 2012-08138, 2012-08560 and 2012-08708. This is a single patient from the cluster of four patients. A 57-year-old female (employee) patient received a dose of intradermal injection of FLUZONE intradermal, sanofi pasteur Inc., lot number UT4470AA (site not reported) on 06 September 2012. Thirty minutes after vaccinations, the patient experienced itching, tight throat (respiratory), and shortness of breath. The patient was treated with one dose of 0.3 milligram (MG) of epinephrine intramuscularly (IM) and oral steroids. The patient was transferred to a hospital emergency department for further treatment. The patient's discharge diagnosis was allergic reaction. Discharge medications included XOPENEX, Prednisone, PEPCID, ATARAX and EPI-PEN. The patient had allergies to BENADRYL, thimerosal, DARVOCET, cephalosporins, fragrance, dogs and cats. The patient had received Influenza vaccine in the past without difficulty. The patient's outcome was not reported. Documents held by sender: None.
Age: 57.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Hypersensitivity, Pruritus, Throat tightness
Clinical narrative: Initial report was received from a healthcare professional on 17 September 2012, with follow-up on 19 September 2012. It represents a cluster of four patients (employees in a hospital), who developed adverse reactions after they received FLUZONE Intradermal, lot number UT4470AA (approximately 300 employees were immunized by FLUZONE Intradermal that day). The reports of those four patients from this reporter are captured in case numbers 2012-08138, 2012-08560 and 2012-08708. This is a single patient from the cluster of four patients. A 57-year-old female (employee) patient received a dose of intradermal injection of FLUZONE intradermal, sanofi pasteur Inc., lot number UT4470AA (site not reported) on 06 September 2012. Thirty minutes after vaccinations, the patient experienced itching, tight throat (respiratory), and shortness of breath. The patient was treated with one dose of 0.3 milligram (MG) of epinephrine intramuscularly (IM) and oral steroids. The patient was transferred to a hospital emergency department for further treatment. The patient's discharge diagnosis was allergic reaction. Discharge medications included XOPENEX, Prednisone, PEPCID, ATARAX and EPI-PEN. The patient had allergies to BENADRYL, thimerosal, DARVOCET, cephalosporins, fragrance, dogs and cats. The patient had received Influenza vaccine in the past without difficulty. The patient's outcome was not reported. Documents held by sender: None.
Age: 51.0
Sex: F
Vaccine: TDAP, VARZOS, VARZOS
Symptoms: Blister, Papule, Skin lesion
Clinical narrative: Information has been received from a registered nurse concerning a 51 years old female patient with allergy to penicillin, sulfa and LEVAQUIN and with no pertinent medical history, who on 04-SEP-2012 was vaccinated with a dose of ZOSTAVAX 0.65 mL subcutaneously (lot # not reported). No other co-suspects were reported. There was no concomitant medications. The nurse reported that on 07-SEP-2012 the patient developed a rash after receiving ZOSTAVAX. VALTREX was given as a treatment. The outcome of rash was reported as not recovered. The relatedness for rash unknown for ZOSTAVAX. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention - she contacted nurse. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: TDAP, VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Information has been received from a registered nurse concerning a 51 years old female patient with allergy to penicillin, sulfa and LEVAQUIN and with no pertinent medical history, who on 04-SEP-2012 was vaccinated with a dose of ZOSTAVAX 0.65 mL subcutaneously (lot # not reported). No other co-suspects were reported. There was no concomitant medications. The nurse reported that on 07-SEP-2012 the patient developed a rash after receiving ZOSTAVAX. VALTREX was given as a treatment. The outcome of rash was reported as not recovered. The relatedness for rash unknown for ZOSTAVAX. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention - she contacted nurse. Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site induration, Injection site rash, Injection site warmth, Oedema peripheral
Clinical narrative: Redness approximately 3 inch circle by 8 inches wide from shoulder to back of arm.
Age: 44.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema
Clinical narrative: Redness approximately 3 inch circle by 8 inches wide from shoulder to back of arm.
Age: 1.0
Sex: F
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Severe, prolonged varicella infection (diffuse chickenpox rash and fever).
Age: 1.0
Sex: F
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Polymerase chain reaction, Pyrexia, Rash, Varicella post vaccine, Varicella virus test positive
Clinical narrative: Severe, prolonged varicella infection (diffuse chickenpox rash and fever).
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Malaise
Clinical narrative: Malaise, progressing to induration and erythema on arm of vaccination.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Asthenia, Chills, Crying, Feeling abnormal, Feeling hot
Clinical narrative: At 7:00pm my daughter compained of her throat feeling "weird". Up until approximatly 8:00pm she was acting normal. At 8:00pm she began complaining of having chills and was observed to be shaking harder than what would be considered normal; however, this was non-seizure shaking. Her fever was taken and read at 101.2. She also complained of feeling weak all over. I administered medication to help with the fever and she went to bed. At approximately 10:00pm, she vomited and began crying saying that she felt "so hot that her skin might burn off". Due to a dead battery in the thermometer, I was unable to take her temperature again but felt her skin and it was very hot to the touch. She then complained that her tongue, throat and mouth felt numb. I also observed her face to be slightly swollen-particularly in the nose area and the lower part of the jaws. At approximately 11:45pm she vomited a second time. At approximately 12:00am, these symptoms were reported to her doctor. The doctor suggested that I administer Benadryl and watch her symptoms. At approximately 12:35am, Benadryl was administered and she returned to bed.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Hypoaesthesia oral, Pharyngeal hypoaesthesia, Pyrexia, Skin warm, Swelling face
Clinical narrative: At 7:00pm my daughter compained of her throat feeling "weird". Up until approximatly 8:00pm she was acting normal. At 8:00pm she began complaining of having chills and was observed to be shaking harder than what would be considered normal; however, this was non-seizure shaking. Her fever was taken and read at 101.2. She also complained of feeling weak all over. I administered medication to help with the fever and she went to bed. At approximately 10:00pm, she vomited and began crying saying that she felt "so hot that her skin might burn off". Due to a dead battery in the thermometer, I was unable to take her temperature again but felt her skin and it was very hot to the touch. She then complained that her tongue, throat and mouth felt numb. I also observed her face to be slightly swollen-particularly in the nose area and the lower part of the jaws. At approximately 11:45pm she vomited a second time. At approximately 12:00am, these symptoms were reported to her doctor. The doctor suggested that I administer Benadryl and watch her symptoms. At approximately 12:35am, Benadryl was administered and she returned to bed.
Age: 9.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Tremor, Vomiting
Clinical narrative: At 7:00pm my daughter compained of her throat feeling "weird". Up until approximatly 8:00pm she was acting normal. At 8:00pm she began complaining of having chills and was observed to be shaking harder than what would be considered normal; however, this was non-seizure shaking. Her fever was taken and read at 101.2. She also complained of feeling weak all over. I administered medication to help with the fever and she went to bed. At approximately 10:00pm, she vomited and began crying saying that she felt "so hot that her skin might burn off". Due to a dead battery in the thermometer, I was unable to take her temperature again but felt her skin and it was very hot to the touch. She then complained that her tongue, throat and mouth felt numb. I also observed her face to be slightly swollen-particularly in the nose area and the lower part of the jaws. At approximately 11:45pm she vomited a second time. At approximately 12:00am, these symptoms were reported to her doctor. The doctor suggested that I administer Benadryl and watch her symptoms. At approximately 12:35am, Benadryl was administered and she returned to bed.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Full blood count normal, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness of the left upper arm including the entire deltoid and shoulder region.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site discolouration, Injection site swelling, Pyrexia
Clinical narrative: Seen by MD on 9/14/12 for reaction on leg, fever, leg swollen and discolored. Per Dr. note.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Generalised erythema, Headache, Muscle rigidity, Syncope, Vomiting
Clinical narrative: Pt left office with father, he took her home, as getting out of car states she went ridged & fainted. Mother called office to ask if this is normal- states father says she is red all over, pt then started vomiting & c/o headache- instructed family to have her checked.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Diarrhoea, Vomiting
Clinical narrative: Chills, increased temp 103, vomiting, diarrhea.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pain in extremity, Pyrexia
Clinical narrative: By the afternoon of receiving the vaccine - the patient - started feeling aches to Rt. arm - reddened area appeared around injection site - patient started having fever 101 degrees - 102 degrees by the night of vaccine rec'd.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Injection site erythema, Oedema peripheral, Pyrexia
Clinical narrative: By afternoon - patient experienced redness at injection site and swelling/arm was firm to touch. Pt. had fever of 101-102 degrees.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Activities of daily living impaired, Dizziness, Fatigue, Headache, Influenza virus test negative
Clinical narrative: 9/21/12 Friday night started to have nausea, Saturday 9/22/12 didn't feel well in the morning. Saturday night felt sick- headache, fatigue, dizziness, nausea. Sunday went to ER + Tuesday. Was tested for flu. Test negative. Sick Wednesday & Thursday. Missed 2 days of work.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Malaise, Nausea
Clinical narrative: 9/21/12 Friday night started to have nausea, Saturday 9/22/12 didn't feel well in the morning. Saturday night felt sick- headache, fatigue, dizziness, nausea. Sunday went to ER + Tuesday. Was tested for flu. Test negative. Sick Wednesday & Thursday. Missed 2 days of work.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Injection site pain, Swelling
Clinical narrative: 9/21/12 Right upper arm tender to touch, erythematous, and slightly swollen. No local reaction around the injection site. Majority of erythema is inferior to injection site Rx KEFLEX 500mg BID x 7d.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Fatigue, Headache, Herpes zoster, Neck pain
Clinical narrative: Pt developed headache, fatigue, feverish feeling on 9-15-12 with onset of stabbing pain back of neck and rash on (L) face (mandibular area) to (L) ear on 9-19-12. Exam on 9-21-12: classic papulovesicular lesions of herpes Zoster.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash, Rash papular
Clinical narrative: Pt developed headache, fatigue, feverish feeling on 9-15-12 with onset of stabbing pain back of neck and rash on (L) face (mandibular area) to (L) ear on 9-19-12. Exam on 9-21-12: classic papulovesicular lesions of herpes Zoster.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Decreased appetite, Fatigue, Influenza like illness, Pain
Clinical narrative: Aching - tired loss of appetite for 36 hrs. Mini flu reaction. Treatment - TYLENOL sleeping unable to function.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: Aching - tired loss of appetite for 36 hrs. Mini flu reaction. Treatment - TYLENOL sleeping unable to function.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Patient with a big, red, warm to touch bump on (R) deltoid, the day after vaccine was administered.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash macular
Clinical narrative: Fever to 101 & diffuse macular rash from head to toe eval. Palms/soles.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Body temperature increased, Headache, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Initial temp 100 degrees F, myalgia, HA approx 4 hours after vaccination. Approx 18 hours after immunization, (L) arm pain, erythema, warmth, edema to PNEUMOVAX site. Developed approx 3 cm dia clear fluid filled blister, approx 4 cm dia induration, pain. Tx cool compress, ibp/TYLENOL as directed - monitor.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site pain, Injection site vesicles, Injection site warmth, Myalgia, Pain in extremity
Clinical narrative: Initial temp 100 degrees F, myalgia, HA approx 4 hours after vaccination. Approx 18 hours after immunization, (L) arm pain, erythema, warmth, edema to PNEUMOVAX site. Developed approx 3 cm dia clear fluid filled blister, approx 4 cm dia induration, pain. Tx cool compress, ibp/TYLENOL as directed - monitor.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: About 6 hours after flu administered; pt c/o rash over chest & upper back, both arms. Began to itch after questioned about itch. Rash gone in 24 hours.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Electrocardiogram normal, Malaise
Clinical narrative: Chest pain, SOB, malaise. 25 mg BENADRYL IM, 20 mg prednisone PO.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: 4"X 1" red, warm when touch, rash on left arm where the needle went in for my shingles shot on F 14 Sept 2012 16:00 EST.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pt got vaccine Wednesday & Thursday at 1am pt got fever & then (Rt) upper arm painful redness/swelling. Treated for cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration
Clinical narrative: Pt having induration 64 x 64 mm. having redness mom notice yesterday afternoon. Pt not complaining any pain or itchiness.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Urticaria
Clinical narrative: Red, raised hive warm to touch approx 2 in x 2 in in size.
Age: 84.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Stevens-Johnson syndrome
Clinical narrative: Steven Johnson like syndrome.
Age: 84.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Chills, Dyspnoea, Pyrexia, Rash, Stevens-Johnson syndrome
Clinical narrative: Steven Johnson like syndrome.
Age: 66.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Myalgia
Clinical narrative: Muscle aches progressing to fever and chills to hard chills. Swelling and redness at Rt Upper arm site 4 inches By 6 inches raised and warm to touch.
Age: 66.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: Muscle aches progressing to fever and chills to hard chills. Swelling and redness at Rt Upper arm site 4 inches By 6 inches raised and warm to touch.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness below site.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Anaphylactic reaction, Angioedema, Nausea, Swollen tongue, Urticaria
Clinical narrative: Patient presented to the Emergency Room for a concussion associated with abrasion of the forehead. This was treated with local wound care and the ER attending administered a tetanus shot. Relatively suddenly, the patient started to develop hives on her axillary area and then started to spread on arms and toward the belly. She started to develop nausea. Tongue swelling reported. (anaphylaxis angioedema hives).  Vaccine Lot #C4114AA from Sanofi Pasteur
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pallor, Syncope
Clinical narrative: About 30 minutes after injection, patient got pale, faint, and nausea which lasted the rest of the day.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Mom noted left upper arm redness and swelling.  He was also itchy.  There was no pain.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, PNC13
Symptoms: Apnoea, Bradycardia, Differential white blood cell count normal, Full blood count normal, Pallor
Clinical narrative: Bradycardia with apnea; pale; episode required mild stimulation. Multiple events occurred throughout 09/24/2012.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Right arm swollen, pain, red symptoms began 5 days after injection. Advised warm compress and NSAIDS.
Age: 74.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Cellulitis, Erythema, Pruritus, Rash
Clinical narrative: Area on right arm about 4x8in. red, elevated and itching.  No fever or other symptoms. Client saw MD who diagnosed cellulitis and prescribed Sulfameth TMPDS 800-160 mg BID for 14 days.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Breast tenderness, Injection site erythema, Injection site nodule, Pain in extremity
Clinical narrative: Initially pain in the arm then the next day she developed tender red nodules on the upper arm not in a nerve distribution.
Age: 42.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Hypoaesthesia, Lymphadenopathy
Clinical narrative: Experienced numbness in face on lt side as well as in pinky and ringer finger. Also experienced swollen lymph nodes in arm pit region.
Age: 42.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Experienced numbness in face on lt side as well as in pinky and ringer finger. Also experienced swollen lymph nodes in arm pit region.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Pyrexia
Clinical narrative: Fever to 103.4 F.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Hyperhidrosis, Immediate post-injection reaction, Injection site erythema, Injection site pain
Clinical narrative: Immediate reaction. Painful, red, swollen where she received sub q shingles. Also had sore neck. Received pneumonia and shingles both in same arm. Feeling better since first day when she had chills fever and sweating. She took Tylenol for fever and pain.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site swelling, Neck pain, Pyrexia
Clinical narrative: Immediate reaction. Painful, red, swollen where she received sub q shingles. Also had sore neck. Received pneumonia and shingles both in same arm. Feeling better since first day when she had chills fever and sweating. She took Tylenol for fever and pain.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm around injection site red, swollen, hot and painful to touch.
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Rash, Urticaria
Clinical narrative: Had spot on rear end.  Showed his sister, but did not tell adults.  8:45 PM severe hives on arms, legs, trunk, started on face.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site is red, swollen and puffy (about 4 inches in diameter).
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Pain in extremity, Skin reaction, Skin warm
Clinical narrative: Patient presented to clinic with red warm area on upper arm of 8 cm. Patient stated that the area was "hard" yesterday, but today just redness and warm to touch. She does state that it is painful over the reddened area. Patient advised by MD to watch for further reaction and report to clinic tomorrow if reaction is worsening.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Dyspnoea
Clinical narrative: C/O dyspnea x 2 hours. 25 mg. BENADRYL, IM, 20 mg prednisone PO, albuterol 2 puffs, 500 cc N/S IV.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Rash and whelps on lower right abodmen.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Immediate itching at the side.  Today a lump/redness and worsened itching at the injection site.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Hypoaesthesia
Clinical narrative: Patient received HPV Gardasil vaccine in left deltoid muscle. Within 5 minutes complained of numbness extending from left side of neck extending down arm to hand. Monitored in office for 45 minutes, referred to ER for evaluation.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Arthralgia, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Joint pain, muscle pain, nausea, headache, fever, decreased urinary output. Saw his physician and was started on antibiotics for UTI.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Urinary tract infection, Urine output decreased
Clinical narrative: Joint pain, muscle pain, nausea, headache, fever, decreased urinary output. Saw his physician and was started on antibiotics for UTI.
Age: 29.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Area around injection site became swollen, reddened and hard in texture. By the following day, 9/26/12 and 9/27/12 the area became angry red in color, area around injection site was swollen and hard. Skin is intact, no openings, no drainage.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Redness, heat, swelling, inflammation surrounding injection site - roughly 3 inches in diameter surrounding site. Itching and burning sensation. Tender to touch. Soreness radiating throughout arm. Symptoms gradually worsening. No fever.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pruritus, Tenderness
Clinical narrative: Redness, heat, swelling, inflammation surrounding injection site - roughly 3 inches in diameter surrounding site. Itching and burning sensation. Tender to touch. Soreness radiating throughout arm. Symptoms gradually worsening. No fever.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Arm red and swollen.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red, warm site after 7 day duration.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Chills, Fatigue, Headache, Hypoaesthesia
Clinical narrative: 1:00 pm numbness and tingling extending from elbow to 4th & 5th fingers on left (injected side) arm, mostly resolving within 15 minutes but lingering somewhat on 9/27/2012 9:00 pm extremely cold hands, shivering, fatigue 10:00 pm shivering underneath heavy blankets, mild fever 12:00 am chills ended, mild fever continues 3:00 am headache, mild nasal congestion 9/26 all day: headache, fatigue, inflammation around eyes.  Stayed home from work and remained in bed most of the day. 9/27 Mild nausea in the a.m. but no longer fatigued.  Returned to work.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Inflammation, Nasal congestion, Nausea, Paraesthesia, Peripheral coldness
Clinical narrative: 1:00 pm numbness and tingling extending from elbow to 4th & 5th fingers on left (injected side) arm, mostly resolving within 15 minutes but lingering somewhat on 9/27/2012 9:00 pm extremely cold hands, shivering, fatigue 10:00 pm shivering underneath heavy blankets, mild fever 12:00 am chills ended, mild fever continues 3:00 am headache, mild nasal congestion 9/26 all day: headache, fatigue, inflammation around eyes.  Stayed home from work and remained in bed most of the day. 9/27 Mild nausea in the a.m. but no longer fatigued.  Returned to work.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: 1:00 pm numbness and tingling extending from elbow to 4th & 5th fingers on left (injected side) arm, mostly resolving within 15 minutes but lingering somewhat on 9/27/2012 9:00 pm extremely cold hands, shivering, fatigue 10:00 pm shivering underneath heavy blankets, mild fever 12:00 am chills ended, mild fever continues 3:00 am headache, mild nasal congestion 9/26 all day: headache, fatigue, inflammation around eyes.  Stayed home from work and remained in bed most of the day. 9/27 Mild nausea in the a.m. but no longer fatigued.  Returned to work.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Nausea, Paraesthesia, Vomiting
Clinical narrative: Taken to ED with c/o numbness tingling to hands, feet & face nausea and vomiting. Was treated for symptoms and sent home. Brought back to ED on 9/26 with same and increasing symptoms and was admitted to neuro unit with preliminary dx of Guillain Barre syndrome.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral, Skin warm
Clinical narrative: 9/25: (LEFT) Arm red, swollen and hot to touch, became red and swollen from shoulder below elbow by 9/26. 9/27 patient states arm swelling as if water around elbow.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Hyperhidrosis, Injection site induration, Injection site swelling, Nausea
Clinical narrative: Arm very painful, felt nauseous, faint, diaphoretic. Upper arm became hard and swollen.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Arm very painful, felt nauseous, faint, diaphoretic. Upper arm became hard and swollen.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red/raised area around site, warm to the touch, difficulty breathing. Went to PCP.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: About 36 hrs after injection, arm is red, warm to touch, swollen on inside of elbow. Nurse suggested he take Tylenol or Advil for pain, Benadryl for itching or allergic reaction he's having and to ice his arm for swelling.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Blood lead, Chills, Erythema, Injection site erythema, Nausea
Clinical narrative: C/O Nausea, lethargy, fever with chills, redness and swelling around vaccine site. 9/21 OV 3 in x arm width area of erythema, tenderness to palpation OV and hot to touch below injection site T 98.1 degrees F. Rx: Clindamycin 300 mg TID x 7d.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Pyrexia, Skin warm, Tenderness, Vaccination site swelling
Clinical narrative: C/O Nausea, lethargy, fever with chills, redness and swelling around vaccine site. 9/21 OV 3 in x arm width area of erythema, tenderness to palpation OV and hot to touch below injection site T 98.1 degrees F. Rx: Clindamycin 300 mg TID x 7d.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient complains of gradually worsening pain in arm in the exact area where vaccine was administered.  There was never swelling or redness observed.
Age: 35.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain, Back pain, Chest pain, Chills, Chromaturia
Clinical narrative: I received my flu shot around 6:20 PM yesterday evening.  The injection site (upper left arm) was sore fairly quickly after receiving the shot, but the pain was completely manageable and quite frankly, as expected.  Before going to bed. At approximately 12:30 AM on 9/27/12 I woke up with severe pain in both arms, both shoulders, my neck and my upper back. My arms also felt weak, tingly and slightly numb...the best way I can describe the feeling is that it felt as if my arms were 'asleep'.  The pain continued to worsen in my shoulders and neck and my grip strength deteriorated quickly.  The pain continued to be sharp and I was unable to find any relief as it spread to my chest, lower back and abdomen.  The pain was intense and quite severe (as an aside, I generally have a high tolerance for pain having played soccer through a torn ACL and multiple fractures).  This pain was sharp, constant and all-encompassing of my upper body.  I was also experiencing intermittent periods of chills. In an effort to find relief I paced my basement and tried stretching out my upper body.  Unfortunately, nothing seemed to help the pain and sitting and laying were extremely uncomfortable.  Thus, I spent the next 3.5 hours or so pacing my basement trying to get my mind off the pain.  At around 4:00 AM the pain had moved past its peak and was beginning to lessen a bit.  Slowly, but surely, the pain became more tolerable and around 5:30 AM I was finally able to lay down and fall asleep.  Around 7:00 AM I woke up on the couch with my clothes soaked through, almost as if a fever had broken or something. Today I am sore all over my upper body, but don't really have any pain to speak of.  I feel 'off', but I'm guessing that has more to do with lack of sleep than anything.  I am definitely dehydrated today as indicated by my headache and urine color. I have received a flu shot in each of the past four years.  This is the second time I have had a 'reaction' to the immunization.  Two years ago after receiving my flu shot I came down with chills, aches and fever almost exactly six hours after the shot was administered.  Interestingly, it seems it took exactly six hours for me to experience a reaction this year as well.  The other two years I received a flu shot I had no adverse reaction to speak of.
Age: 35.0
Sex: M
Vaccine: FLUX
Symptoms: Dehydration, Feeling abnormal, Grip strength decreased, Headache, Hypoaesthesia
Clinical narrative: I received my flu shot around 6:20 PM yesterday evening.  The injection site (upper left arm) was sore fairly quickly after receiving the shot, but the pain was completely manageable and quite frankly, as expected.  Before going to bed. At approximately 12:30 AM on 9/27/12 I woke up with severe pain in both arms, both shoulders, my neck and my upper back. My arms also felt weak, tingly and slightly numb...the best way I can describe the feeling is that it felt as if my arms were 'asleep'.  The pain continued to worsen in my shoulders and neck and my grip strength deteriorated quickly.  The pain continued to be sharp and I was unable to find any relief as it spread to my chest, lower back and abdomen.  The pain was intense and quite severe (as an aside, I generally have a high tolerance for pain having played soccer through a torn ACL and multiple fractures).  This pain was sharp, constant and all-encompassing of my upper body.  I was also experiencing intermittent periods of chills. In an effort to find relief I paced my basement and tried stretching out my upper body.  Unfortunately, nothing seemed to help the pain and sitting and laying were extremely uncomfortable.  Thus, I spent the next 3.5 hours or so pacing my basement trying to get my mind off the pain.  At around 4:00 AM the pain had moved past its peak and was beginning to lessen a bit.  Slowly, but surely, the pain became more tolerable and around 5:30 AM I was finally able to lay down and fall asleep.  Around 7:00 AM I woke up on the couch with my clothes soaked through, almost as if a fever had broken or something. Today I am sore all over my upper body, but don't really have any pain to speak of.  I feel 'off', but I'm guessing that has more to do with lack of sleep than anything.  I am definitely dehydrated today as indicated by my headache and urine color. I have received a flu shot in each of the past four years.  This is the second time I have had a 'reaction' to the immunization.  Two years ago after receiving my flu shot I came down with chills, aches and fever almost exactly six hours after the shot was administered.  Interestingly, it seems it took exactly six hours for me to experience a reaction this year as well.  The other two years I received a flu shot I had no adverse reaction to speak of.