chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature, Erythema, Immediate post-injection reaction, Injection site erythema, Injection site pain
Clinical narrative: CC:  Shot actionre. History of Present Illness: Shot was given approx 11 AM.  Redness and swelling started almost immediately afterwards- ie by the time she got home.  Last night had a temp up to 100.8.  Local sxs had spread when she woke up but actually a little less sore this AM and feels like temp is gone.  No antipyretic this AM.  No face or lip or throat swelling.  No SOB or wheeze.  No rash aside from arm.  Knows it was the pneumovacc she got in this arm and not her flu shot b/c she and MA talked about this ahead of time and she wanted the flu shot in her non-dominant arm. Works as cashier at babys R us so lots of lifting.  Wonders about work today.    Acute Visit History: The patient complains of musculoskeletal symptoms.  These symptoms began one day ago.  Other comments include: Pt had a pneumonia shot in her R arm yesterday and today she has a red painful and itchy reaction in the deltoid. Medications reviewed. Changes made.  Risk Factors:  Tobacco use:  current, Cigarettes:  Yes -- 3/4 pack(s) per day Passive smoke exposure:  no Drug use:  no HIV high-risk behavior:  no Caffeine use:  1-4 drinks per day Alcohol use:  no Exercise:  no Seatbelt use:  100 % Sun Exposure:  rarely  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  no  Mammogram History: Date of Last Mammogram:  01/31/2007  Vital Signs: Patient Profile: 65 Year Old Female Height: 67.50 inches (171.45 cm) Weight: 139 pounds BMI: 21.53 Temp: 98.4 degrees F oral Pulse rate: 88 / minute Pulse rhythm: regular Resp: 18 per minute BP sitting: 102 / 66  (left arm) Cuff size: regular  Physical Exam General: alert and in no apparent distress;  Mouth: No lip or facial swelling Skin: R uppler lateral arm with approx 10cm irreg area of soft pink swelling and erythema. Slightly warm, but not hot, tense, or fluctuant.  No other skin changes or rash.   Psych: alert, oriented and appropriate with normal affect;   Impression & Recommendations: Problem # 1:  Minor dx of OTHER SERUM REACTION NOT ELSEWHERE CLASSIFIED (ICD-999.5) Assessment: New Advised this appears to be localized reaction to immunization without sign of infection or systemic allergic rxn.  Discussed sxs to watch for as signs of those.  Would expect maybe a little more spread of sxs tomorrow and then gradual resolution.  If any systemic sxs or sig spread or recurrent fever then should seek eval.  OK to use otc prn benadryl 25 to 50 mg po q hs with caution RE sedation and loratidine 10mg po q day although advised not sure how beneficial these would be.  Also OK to try some ibuprofen if normal kidney fx and no GI SEs.   Advised ROM bid or more of shoulder gently.  She agrees.  Advised shouldnt be a contraindication to other vaccines in the future unless this became a recurrent issue.  May want to observe a little longer after next vaccine. Orders: 99213 Exp (CPT-99213)
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pruritus, Musculoskeletal disorder, Swelling
Clinical narrative: CC:  Shot actionre. History of Present Illness: Shot was given approx 11 AM.  Redness and swelling started almost immediately afterwards- ie by the time she got home.  Last night had a temp up to 100.8.  Local sxs had spread when she woke up but actually a little less sore this AM and feels like temp is gone.  No antipyretic this AM.  No face or lip or throat swelling.  No SOB or wheeze.  No rash aside from arm.  Knows it was the pneumovacc she got in this arm and not her flu shot b/c she and MA talked about this ahead of time and she wanted the flu shot in her non-dominant arm. Works as cashier at babys R us so lots of lifting.  Wonders about work today.    Acute Visit History: The patient complains of musculoskeletal symptoms.  These symptoms began one day ago.  Other comments include: Pt had a pneumonia shot in her R arm yesterday and today she has a red painful and itchy reaction in the deltoid. Medications reviewed. Changes made.  Risk Factors:  Tobacco use:  current, Cigarettes:  Yes -- 3/4 pack(s) per day Passive smoke exposure:  no Drug use:  no HIV high-risk behavior:  no Caffeine use:  1-4 drinks per day Alcohol use:  no Exercise:  no Seatbelt use:  100 % Sun Exposure:  rarely  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  no  Mammogram History: Date of Last Mammogram:  01/31/2007  Vital Signs: Patient Profile: 65 Year Old Female Height: 67.50 inches (171.45 cm) Weight: 139 pounds BMI: 21.53 Temp: 98.4 degrees F oral Pulse rate: 88 / minute Pulse rhythm: regular Resp: 18 per minute BP sitting: 102 / 66  (left arm) Cuff size: regular  Physical Exam General: alert and in no apparent distress;  Mouth: No lip or facial swelling Skin: R uppler lateral arm with approx 10cm irreg area of soft pink swelling and erythema. Slightly warm, but not hot, tense, or fluctuant.  No other skin changes or rash.   Psych: alert, oriented and appropriate with normal affect;   Impression & Recommendations: Problem # 1:  Minor dx of OTHER SERUM REACTION NOT ELSEWHERE CLASSIFIED (ICD-999.5) Assessment: New Advised this appears to be localized reaction to immunization without sign of infection or systemic allergic rxn.  Discussed sxs to watch for as signs of those.  Would expect maybe a little more spread of sxs tomorrow and then gradual resolution.  If any systemic sxs or sig spread or recurrent fever then should seek eval.  OK to use otc prn benadryl 25 to 50 mg po q hs with caution RE sedation and loratidine 10mg po q day although advised not sure how beneficial these would be.  Also OK to try some ibuprofen if normal kidney fx and no GI SEs.   Advised ROM bid or more of shoulder gently.  She agrees.  Advised shouldnt be a contraindication to other vaccines in the future unless this became a recurrent issue.  May want to observe a little longer after next vaccine. Orders: 99213 Exp (CPT-99213)
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Eye disorder, Eye irritation, Headache, Lymph node pain
Clinical narrative: My eyes were extremely strained and were burning. I couldn't focus and it was giving me a bad headache. I returned to my doctor. Two days later I developed cold symptoms, a cough and sore throat and on 1/24/2010 I had muscular pain in my neck, it's very stiff and painful and all my lymph nodes seem sore; under my arms, my groin and my neck. I returned to the doctor. He tested me for strep because of the sore throat, it was negative. He prescribed over the counter remedies for pain and discomfort.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Musculoskeletal stiffness, Myalgia, Nasopharyngitis, Oropharyngeal pain, Streptococcal identification test negative
Clinical narrative: My eyes were extremely strained and were burning. I couldn't focus and it was giving me a bad headache. I returned to my doctor. Two days later I developed cold symptoms, a cough and sore throat and on 1/24/2010 I had muscular pain in my neck, it's very stiff and painful and all my lymph nodes seem sore; under my arms, my groin and my neck. I returned to the doctor. He tested me for strep because of the sore throat, it was negative. He prescribed over the counter remedies for pain and discomfort.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vision blurred
Clinical narrative: My eyes were extremely strained and were burning. I couldn't focus and it was giving me a bad headache. I returned to my doctor. Two days later I developed cold symptoms, a cough and sore throat and on 1/24/2010 I had muscular pain in my neck, it's very stiff and painful and all my lymph nodes seem sore; under my arms, my groin and my neck. I returned to the doctor. He tested me for strep because of the sore throat, it was negative. He prescribed over the counter remedies for pain and discomfort.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: Miscarriage at 4 1/2 weeks.  Began bleeding 6 hours after receiving shot.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dysphagia, Nausea, Sensation of foreign body
Clinical narrative: DIFFICULTY SWALLOWING STARTED ON 1/22/2010 ABOUT 7:00PM.  IT FEELS LIKE A LUMP IS IN MY THROAT ALTHOUGH MY THROAT IS NOT SORE.  NAUSEA ALSO STARTED 1/25/2010 ABOUT 6:00AM.
Age: 41.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Dry mouth, Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: Watery nose, chills, and tiredness, fatigue by 10:00 PM. 01/25/2010 dried mouth, minor fever, and tiredness, and running nose with clear mucous at morning.  I taken Theraflu over the counter medicine and slept, until 5 PM. I have ate dinner and feel better, but still running nose and feared about the vaccine.  I wanted to try it, but sort felt that it is not necessary because I have been at home for 2 years without work and not exposed to the public much.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain upper, Anxiety, Arthralgia, Condition aggravated, Confusional state
Clinical narrative: 7:00 PM: Onset of dizziness, extreme sense of panic (anxiety), Onset of nausea, mild lethargy 9:00 PM: Severe/persistent dizziness, severe/persistent nausea, increased lethargy 11:00 PM: Vomiting, Diarrhea, Stomach Pains, Fever of 101 degrees, increased/severe dizziness, confusion, lethargy. 12-2:00 AM: Severe dizziness, Continuing fever, increased confusion, increased lethargy, continued vomiting/diarrhea, severe joint pain and muscle aches, muscle spasms.  1/18/2010 11:00 AM: Symptoms from 1/17/2010 continuing with no relief, muscle spasms more frequent, body aches more frequent, fever continues. 1/19/2010: Continuing of above symptoms, fever downgrades to 100 degrees. 1/20/2010: Relief of symptoms.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Dizziness, Lethargy, Muscle spasms, Myalgia
Clinical narrative: 7:00 PM: Onset of dizziness, extreme sense of panic (anxiety), Onset of nausea, mild lethargy 9:00 PM: Severe/persistent dizziness, severe/persistent nausea, increased lethargy 11:00 PM: Vomiting, Diarrhea, Stomach Pains, Fever of 101 degrees, increased/severe dizziness, confusion, lethargy. 12-2:00 AM: Severe dizziness, Continuing fever, increased confusion, increased lethargy, continued vomiting/diarrhea, severe joint pain and muscle aches, muscle spasms.  1/18/2010 11:00 AM: Symptoms from 1/17/2010 continuing with no relief, muscle spasms more frequent, body aches more frequent, fever continues. 1/19/2010: Continuing of above symptoms, fever downgrades to 100 degrees. 1/20/2010: Relief of symptoms.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Pain, Panic reaction, Pyrexia, Vomiting
Clinical narrative: 7:00 PM: Onset of dizziness, extreme sense of panic (anxiety), Onset of nausea, mild lethargy 9:00 PM: Severe/persistent dizziness, severe/persistent nausea, increased lethargy 11:00 PM: Vomiting, Diarrhea, Stomach Pains, Fever of 101 degrees, increased/severe dizziness, confusion, lethargy. 12-2:00 AM: Severe dizziness, Continuing fever, increased confusion, increased lethargy, continued vomiting/diarrhea, severe joint pain and muscle aches, muscle spasms.  1/18/2010 11:00 AM: Symptoms from 1/17/2010 continuing with no relief, muscle spasms more frequent, body aches more frequent, fever continues. 1/19/2010: Continuing of above symptoms, fever downgrades to 100 degrees. 1/20/2010: Relief of symptoms.
Age: 80.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: elevated (fast) heartbeat / blood pressure lasting several hours.  Blood pressure medication and aspirin taken as precaution
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: 2 days after vaccination, patient experienced itchy rash at site of injection along with redness and swelling. Advised to contact MD and Claritin (patient allergic to Benadryl).
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Reddness, swelling (R) deltoid. Some pain. V/S 98.6-68-20-118/72. Area appx 3 1/2" length 1 1/4" width. Some warmth to touch.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness, warmth to (L) upper arm.
Age: 49.0
Sex: F
Vaccine: HEPAB
Symptoms: Hypoaesthesia, Injection site nodule, Paraesthesia
Clinical narrative: Patient says she is having a numbness and tingling down her arm and to her middle finger some of the time. I gave her the shot in the lower C form on her left deltoid. She stated she had fallen the day before but on her knees, may be sore. She had a nodule at injection but it has gone away. She will call her MD. She called her MD.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Headache, Pain, Pain in extremity
Clinical narrative: Fever within 24 hrs, intense arm pain to fingers/across back/up neck on (L) side, headache, chills. Fever up to 102 degrees. All symptoms x 48 hours (72 hrs from injection). At 48 hrs from injection red blotches appeared. Azythromycin prescribed. Arm increased to red/hot 6 inch diameter. Cleared mostly by 1 week after injection.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Rash macular, Skin warm
Clinical narrative: Fever within 24 hrs, intense arm pain to fingers/across back/up neck on (L) side, headache, chills. Fever up to 102 degrees. All symptoms x 48 hours (72 hrs from injection). At 48 hrs from injection red blotches appeared. Azythromycin prescribed. Arm increased to red/hot 6 inch diameter. Cleared mostly by 1 week after injection.
Age: 2.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 6X7cm redness + induration to injection site, to give Ibuprofen.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Dry skin, Eczema, Erythema, Laboratory test abnormal
Clinical narrative: This 29 year old male, received five (5) AVA vaccinations starting 5/17/1999, 6/1/1999, 6/15/1999, 11/29/1999 and 5/12/2000. He is concerned about onset of peeling hands/feet during this time frame. The following review was completed with a comprehensive medical record review as patients' memories of events (onset, timing, triggers, where about, etc in relation to vaccine administration and symptom onset are vague). This individual reported the onset of small tender itchy "blisters" to his left foot (sole and 3rd interdigital space) that began in July 1999; and 34 days after receipt of his third AVA vaccine (6/15/1999). The skin was dry with scales but had had a clear discharge when blisters broke. He described blisters as a small pimple like bump that broke causing further blisters in clusters around central area similar to initial blister. He was diagnosed and treated for tinea pedis. He continued treatment with Mycelet 1% until September 1999 with varied responses, when these blisters spread to bilateral fingers, toes, anterior/posterior hands/feet, forearms, trunk back and thighs. There were blisters to groin region for 2 weeks which resolved with Mycelet 1%. These blisters were pruritic and painful when broken with a clear discharge that stains clothing yellow. There was no bleeding when scratched or broken. Providers documented isolated erythemic papules with edema, TTP and 1-2 mm eczematous appearing vesicles with mild crusting/peeling of skin to feet and between toes. He reported resolution of torso, thigh, & forearm blisters within 2-3 weeks of onset being treated with Trimacinolone 0.1% ointment without reoccurrence; however various outbreaks continued along bilateral sides of fingers/toes, to webbing of hands/feet, and /or to palms/soles only. These blisters would last up to one month sometimes returning within a few days or it could be months between outbreaks. Lab/diagnostic studies included 2 negative KOH different sites (unknown sites) and a third as equivocal positive KOH (9/7/99), negative RPR and scables. Dermatology diagnosed hand eczema and ID reaction secondary to tinea pedis. Outbreaks occurred about 3-4 times a year (1999) until 2009 when he reported a decrease to 1-2 outbreaks per year. He did not remember any increase or if he had blisters prior to or after receipt of 11/29/1999 or 5/12/2000 AVA vaccinations. His last outbreaks were in August 2008  and then around June 2009 each lasting less than 1-2 weeks. He self treats with triamcinolone cream and "increasing protein in diet". Outbreaks occur any time if year. He denied any known triggers such as heat, cold, new clothing/socks, wearing gloves, new boots/shoes, soaps, deodorants, chemical exposure, insect/bug bites, prolonged wet feet (water/sweat).
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pruritus, Rash papular, Skin exfoliation, Tinea pedis
Clinical narrative: This 29 year old male, received five (5) AVA vaccinations starting 5/17/1999, 6/1/1999, 6/15/1999, 11/29/1999 and 5/12/2000. He is concerned about onset of peeling hands/feet during this time frame. The following review was completed with a comprehensive medical record review as patients' memories of events (onset, timing, triggers, where about, etc in relation to vaccine administration and symptom onset are vague). This individual reported the onset of small tender itchy "blisters" to his left foot (sole and 3rd interdigital space) that began in July 1999; and 34 days after receipt of his third AVA vaccine (6/15/1999). The skin was dry with scales but had had a clear discharge when blisters broke. He described blisters as a small pimple like bump that broke causing further blisters in clusters around central area similar to initial blister. He was diagnosed and treated for tinea pedis. He continued treatment with Mycelet 1% until September 1999 with varied responses, when these blisters spread to bilateral fingers, toes, anterior/posterior hands/feet, forearms, trunk back and thighs. There were blisters to groin region for 2 weeks which resolved with Mycelet 1%. These blisters were pruritic and painful when broken with a clear discharge that stains clothing yellow. There was no bleeding when scratched or broken. Providers documented isolated erythemic papules with edema, TTP and 1-2 mm eczematous appearing vesicles with mild crusting/peeling of skin to feet and between toes. He reported resolution of torso, thigh, & forearm blisters within 2-3 weeks of onset being treated with Trimacinolone 0.1% ointment without reoccurrence; however various outbreaks continued along bilateral sides of fingers/toes, to webbing of hands/feet, and /or to palms/soles only. These blisters would last up to one month sometimes returning within a few days or it could be months between outbreaks. Lab/diagnostic studies included 2 negative KOH different sites (unknown sites) and a third as equivocal positive KOH (9/7/99), negative RPR and scables. Dermatology diagnosed hand eczema and ID reaction secondary to tinea pedis. Outbreaks occurred about 3-4 times a year (1999) until 2009 when he reported a decrease to 1-2 outbreaks per year. He did not remember any increase or if he had blisters prior to or after receipt of 11/29/1999 or 5/12/2000 AVA vaccinations. His last outbreaks were in August 2008  and then around June 2009 each lasting less than 1-2 weeks. He self treats with triamcinolone cream and "increasing protein in diet". Outbreaks occur any time if year. He denied any known triggers such as heat, cold, new clothing/socks, wearing gloves, new boots/shoes, soaps, deodorants, chemical exposure, insect/bug bites, prolonged wet feet (water/sweat).
Age: 1.28
Sex: F
Vaccine: HEPA, HIBV, VARCEL
Symptoms: Affect lability, Blood culture, Chest X-ray, Decreased appetite, Full blood count
Clinical narrative: Fever, listlessness, appetite decreased, clingy and fussy
Age: 1.28
Sex: F
Vaccine: HEPA, HIBV, VARCEL
Symptoms: Irritability, Listless, Pyrexia, Urine analysis
Clinical narrative: Fever, listlessness, appetite decreased, clingy and fussy
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Patient stated the she developed a red rash 1 day following shingle vax. Patient did not go to ER or PCP but did contact PCP by phone and was prescribed BENADRYL 25 mg 4 x daily.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Incorrect route of drug administration, Injection site erythema, Irritability
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of inappropriate route of vaccination in a 4-month-old female subject who was vaccinated with ROTARIX (Glaxosmithkline). Previous and/or concurrent vaccination included PENTACEL (non-gsk), manufacturer unspecified, unknown given on 15 September 2009; PREVNAR (non-gsk); manufacturer unspecified given on 15 September 2009. On 15 September 2009 at 11:00, the subject received 2nd dose of ROTARIX (intramuscular, right thigh) and experienced inappropriate route of vaccination. The lot number was as "A41SA802A". A 4-month old female subject was administered ROTARIX intramuscularly on 15 September 2009. No additional information was available. Follow up information was received on 20 October 2009. It was reported that the vaccine was diluted on a vial and withdrawn in a regular syringe with a needle. The medical assistant stated she had not given ROTARIX before and assumed it was intramuscular injection. The lot number was A41FA802A. On 15 September 2009, the subject experienced fussiness. On 16 September 2009, the subject experienced redness on both thighs. The outcome of the events was unspecified.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Areflexia, Ataxia, Cranial nerve disorder, Diplopia, Dysphonia
Clinical narrative: Double vision, followed by a progression of numbness and tingling in hands and feet, difficulty breathing, weakness, and loss of reflexes.  Hospitalized and treated for Guillian Barre Syndrome, possibly Miller Fisher Variant, with IVIG.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dyspnoea, Guillain-Barre syndrome, Miller Fisher syndrome, Muscular weakness, Paraesthesia
Clinical narrative: Double vision, followed by a progression of numbness and tingling in hands and feet, difficulty breathing, weakness, and loss of reflexes.  Hospitalized and treated for Guillian Barre Syndrome, possibly Miller Fisher Variant, with IVIG.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Areflexia, Asthenia, Blood product transfusion, Diplopia, Dyspnoea
Clinical narrative: Double vision, followed by a progression of numbness and tingling in hands and feet, difficulty breathing, weakness, and loss of reflexes.  Hospitalized and treated for Guillian Barre Syndrome, possibly Miller Fisher Variant, with IVIG.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Electromyogram, Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: Double vision, followed by a progression of numbness and tingling in hands and feet, difficulty breathing, weakness, and loss of reflexes.  Hospitalized and treated for Guillian Barre Syndrome, possibly Miller Fisher Variant, with IVIG.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Aptyalism, Computerised tomogram abnormal, Diarrhoea haemorrhagic, Dry eye, Ear discomfort
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Ear disorder, Ear operation, Ear pain, Eye movement disorder, Foreign body sensation in eyes
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Gingival recession, Hyperacusis, Incorrect route of drug administration, Injection site erythema, Injection site swelling
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Labyrinthine fistula, Lacrimation decreased, Nuclear magnetic resonance imaging normal, Salivary gland disorder, Stomatitis
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Surgery, Tinnitus
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Autophony, Blood test, Computerised tomogram abnormal, Diarrhoea haemorrhagic, Dry eye
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dry mouth, Ear discomfort, Ear pain, Gingival recession, Hyperacusis
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site swelling, Laboratory test, Labyrinthine fistula, Lacrimal disorder
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Myringotomy, Nuclear magnetic resonance imaging normal, Ocular hyperaemia, Saliva altered, Sjogren's syndrome
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Stomatitis, Surgery, Tinnitus
Clinical narrative: Immediately following a 5k training run, I had a large, profusely bright red bloody diarrhea. After showering, I noted the vaccine injection site on my right arm between the deltoid and tricep muscle to be red and swollen. The following morning I awakened to loud tinnitus bilaterally, never having had it before. It has persisted and worsened continually (24/7) in the 14 mos. since. Over the next several days, I developed excruciating pain and pressure in the left ear, along with severe hyperacusis and autophony bilaterally, L > R. A myringotomy was performed on my left ear, a 14 day steroid course, then 10 days AUGMENTIN, all without relief. A subsequent MRI was normal; a CT scan showed bilateral semicircular canal dehiscence (SCD) I underwent left SCD plugging surgery (middle cranial fossa brain approach) on 7/31/09 at a hospital. Post-op I have had no symptom improvement with the exception of no longer "hearing " my L eye movement. About the same time as onset of ear symptoms, I quit producing saliva and tears. I take EVOXAC for extremely dry mouth to help prevent more gum recession that also resulted, and to allow me to eat and swallow. I use RESTASIS for my dry, red, gritty eyes. I continue to have sores in my mouth along with all the other SJOGREN'S syndrome symptoms,despite excellent vitamin supplementation, diet and exercise. I have seen otolaryngologists, multiple neurotologists, a tinnitus expert, counselors, an acupuncturist, in addition to my primary care physician. I continue to aggressively pursue treatment, as this has severely disabled me, and my quality of life. It hurts to just exist, with the pain and tinnitus, hurts to talk with the painful autophony, and hurts to hear with the hyperacusis, esp. in noisy environments.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Vaginal haemorrhage
Clinical narrative: At time of vaccination, I was four weeks preganent. However, I started vaginal bleeding 7 days after the vaccination. The bleeding lasted two weeks. I lost my baby on Jan. 11th.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Pyrexia
Clinical narrative: Fever/Chills. Treated with Tylenol and recovered in 1 day.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Cough, Fatigue, Pain
Clinical narrative: Achiness, cough, and fatigue beginning about half an hour after the shot.  Increasing in severity through the next day.  Spent 1/20 in bed.  Better now, though still a bit achy.
Age: 14.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Seasonal Flu mist given instead of H1N1 mist (dispensed by pharmacy - packaging very similar)
Age: 14.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Seasonal FLUMIST given instead of H1N1 mist. (dispensed by pharmacy, packaging very similar).
Age: 13.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Seasonal flu mist given instead of H1N1 mist (dispensed by pharmacy - packaging very similar)
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Seasonal FLUMIST given instead of H1N1 mist (dispensed by pharmacy-packaging very similar).
Age: 13.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Seasonal FLUMIST given instead of H1N1 mist (dispensed by pharmacy-packaging very similar).
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child received third H1N1 flu vaccine at school on 1/15/10. Previous two dose given 12/11/09 & 1/11/10 at doctor's office unknown at that time. Parent forgot about consenting to vaccine to be given at school.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Rash macular
Clinical narrative: Administered vaccine at 0810 on 1-25-10 at doctors. This was 2nd dose. Child had no adverse reactions with 1st dose 11/16/10. Left deltoid had red rash at injection site blotchy 2 inches in diameter, no edema or whelping. Denied any pain itching SOB or any problems. Vitals : Applied pulse 82, resp 20, B/P 100/108 8:32. Applied pulse 88, resp 16, B/P 100/60, 8:42. Administered 2 tsp Benadryl PO.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fall, Head injury, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Child received H1N1 vaccine - IM R deltoid immediately fell to floor, color pale, diaphoretic - unconscious x 5 seconds - woke parents state child did not eat. Child ate crackers. drank water.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pallor
Clinical narrative: Child received H1N1 vaccine - IM R deltoid immediately fell to floor, color pale, diaphoretic - unconscious x 5 seconds - woke parents state child did not eat. Child ate crackers. drank water.
Age: 1.06
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: -HIVES ON ABDOMINAL AREA AS WELL AS ON BOTH THIGHS. -PATIENT ALERT AND PLAYFUL ALL THIS TIME. -NO RESPIRATORY DISTRESS. -GIVEN ZYRTEC (CETIRIZINE) 2.5mg po, syrup, STAT.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre Syndrome.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Dyspnoea, Oropharyngeal pain, Pharyngeal oedema, Pyrexia
Clinical narrative: Sore throat, chills, fever.  The following morning, I couldn't breathe, felt like my throat was closing.  Went to hospital.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Streptococcal identification test negative
Clinical narrative: Sore throat, chills, fever.  The following morning, I couldn't breathe, felt like my throat was closing.  Went to hospital.
Age: 62.0
Sex: F
Vaccine: DTAP, VARZOS
Symptoms: Blister, Burning sensation, Culture, Paraesthesia, Rash vesicular
Clinical narrative: Burning, tingling sensation at right anterior rib cage. 48 - 72 hrs later developed vesicles on skin in area.  Seen on 01/25/2010 with grouped vesicular lesions to anterior thorax in the T5 dermatomal pattern. Pt had cultures taken and given rx of Valtrex 1gram 3 x a day for 7 days.
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Rash vesicular, Varicella zoster virus serology positive
Clinical narrative: Classic varicella rash with fever due to vaccine strain VZV (confirmed by PCR testing).
Age: 79.0
Sex: M
Vaccine: FLUX
Symptoms: Areflexia, Blood product transfusion, Death, Guillain-Barre syndrome, Lumbar puncture abnormal
Clinical narrative: PT PRESENTED TO ER WITH NEUROPOTHY AND LEG WEAKNESS.WEAKNESS WAS BILATERAL, SYMMETRICAL, AND DEEP TENDON REFLEXES WERE ABSENT. FELT TO BE GUILLAIN-BARRE SYNDROME. PT WAS STARTED ON IVIG.
Age: 79.0
Sex: M
Vaccine: FLUX
Symptoms: Muscular weakness, Neuropathy peripheral, Protein total, Protein total abnormal
Clinical narrative: PT PRESENTED TO ER WITH NEUROPOTHY AND LEG WEAKNESS.WEAKNESS WAS BILATERAL, SYMMETRICAL, AND DEEP TENDON REFLEXES WERE ABSENT. FELT TO BE GUILLAIN-BARRE SYNDROME. PT WAS STARTED ON IVIG.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Shoulder, neck and arm pain. Pain continued to escalate through Monday. Severe pain in shoulder. Three Motrin doesn't help pain. Today is Tuesday and pain continues.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood product transfusion, CSF protein increased, Electromyogram abnormal, Guillain-Barre syndrome, Hyporeflexia
Clinical narrative: Pt was admitted with signs and symptoms of Guillain-Barre Syndrome. Pt presented with bilateral and symmetrical limb weakness, and deep tendon reflexes were decreased. Pt was treated with IVIG.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Lumbar puncture abnormal, Muscular weakness
Clinical narrative: Pt was admitted with signs and symptoms of Guillain-Barre Syndrome. Pt presented with bilateral and symmetrical limb weakness, and deep tendon reflexes were decreased. Pt was treated with IVIG.
Age: 20.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 20 year old given pediatric HAV and HBV