chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: Employee received influenza vaccination in the dept she was assigned.  She stated that "within approx. one hour" she felt a sudden onset of "heart racing" and "blurred & double vision".Her co-workers put her in a wheelchair, took her BP (152/98) and took her to the ER.  She was admitted & treated for allergic reaction to flu vaccination. Treatment: chest xray = normal; EKG = normal sinus rhythm.  Medications given to her were: Decadron 10mg IM; Benadryl 25mg PO x 1; Zantac 150mg PO x1; Ativan 1 mg PO x1. She was discharged @ approx. 4:30PM with prescriptions for Prednisone 20mg (to take 3 /day x 5 days); Xanax 0.25 mg (1 -2 q 8hrs for anxiety); & Bendaryl OTC.
Age: 39.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Asthenia, Full blood count, Laboratory test, Lethargy, Pain
Clinical narrative: Patient had Pneumovax and Flu shots at another facility on 10/20.  She had shooting pains in her legs and arms and weakness and lethargy later that evening and continuing through today.
Age: 39.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain in extremity
Clinical narrative: Patient had Pneumovax and Flu shots at another facility on 10/20.  She had shooting pains in her legs and arms and weakness and lethargy later that evening and continuing through today.
Age: 15.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: PATIENT CAME IN WITH MOM AND SIB FOR FLU VACCINE, MOM STATED THAT THEY "DID NOT WANT FLUMIST BECAUSE IT CAUSED AT BLOODY NOSE. HAD NEVER HAD A BLOODY NOSE BEFORE OR AFTER THE FLUMIST."
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Blood urine present, Dizziness, Head injury, Hyperhidrosis, Hypotension
Clinical narrative: Nausea followed by syncope night of 10/20/2008 which resulted in a head injury requiring 8 stitches from ER. Had another severe dizzy spell with nausea and sweating morning of 10/22/08.  12/31/08 Reviewed ER records of 10/21/2008 & 10/22. FINAL DX: syncopal episode & scalp laceration closed w/8 staples.  Lightheaded & vertigo. Records reveal patient experienced nausea & when got up from bed to walk to bathroom fell hitting her head.  Minimal LOC.  D/C to home.  Returned to ER next day w/dizziness & vertigo.  Found to have orthostatic changes, UTI & dehydration.   Tx w/IV fluids & d/c to home on oral antibiotics.
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Nausea, Suture insertion, Syncope
Clinical narrative: Nausea followed by syncope night of 10/20/2008 which resulted in a head injury requiring 8 stitches from ER. Had another severe dizzy spell with nausea and sweating morning of 10/22/08.  12/31/08 Reviewed ER records of 10/21/2008 & 10/22. FINAL DX: syncopal episode & scalp laceration closed w/8 staples.  Lightheaded & vertigo. Records reveal patient experienced nausea & when got up from bed to walk to bathroom fell hitting her head.  Minimal LOC.  D/C to home.  Returned to ER next day w/dizziness & vertigo.  Found to have orthostatic changes, UTI & dehydration.   Tx w/IV fluids & d/c to home on oral antibiotics.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Systemic reaction: low-Grade fever, chills, severe muscle aches and splitting headache. Symptoms began just about 24 hrs after the vaccine.
Age: 37.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Abdominal pain upper, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: severe pain on and around injection site. fever up to 101.4. muscle aches, stomach cramps, headache
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Headache, Nasal congestion, Neck pain
Clinical narrative: symptoms: dizziness, weakness, headache, low-grade fever, neck sore, nasal/throat congestion                                  onset: 18 hrs after flu shot            duration: 48 hrs                                 treatment: none except rest                      recovery: complete
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: symptoms: dizziness, weakness, headache, low-grade fever, neck sore, nasal/throat congestion                                  onset: 18 hrs after flu shot            duration: 48 hrs                                 treatment: none except rest                      recovery: complete
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Swelling face, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL 0.5mg albuterol with Neb, and 5 mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30pm same day. Breathing had normalized.   11/3/08 Reviewed PCP medical records of 10/22/08. FINAL DX: bronchitis; allergic reaction to varicella vaccine. Records reveal patient experienced cough, nasal congestion & runny nose x 6 days on day of vaccination.  Dx w/bronchitis. Tx w/nebs, antibiotics & cough syrup.  Returned to office wheezing, rash all over, facial & eyelid swelling, ears red, injection site induration.  Tx w/antihistamine, nebs, steroids & d/c to home on same.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Eye swelling, Rash, Swelling face, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL 0.5mg albuterol with Neb, and 5 mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30pm same day. Breathing had normalized.   11/3/08 Reviewed PCP medical records of 10/22/08. FINAL DX: bronchitis; allergic reaction to varicella vaccine. Records reveal patient experienced cough, nasal congestion & runny nose x 6 days on day of vaccination.  Dx w/bronchitis. Tx w/nebs, antibiotics & cough syrup.  Returned to office wheezing, rash all over, facial & eyelid swelling, ears red, injection site induration.  Tx w/antihistamine, nebs, steroids & d/c to home on same.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Eye swelling, Injection site erythema, Injection site urticaria, Rash, Rash generalised
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL 0.5mg albuterol with Neb, and 5 mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30pm same day. Breathing had normalized.   11/3/08 Reviewed PCP medical records of 10/22/08. FINAL DX: bronchitis; allergic reaction to varicella vaccine. Records reveal patient experienced cough, nasal congestion & runny nose x 6 days on day of vaccination.  Dx w/bronchitis. Tx w/nebs, antibiotics & cough syrup.  Returned to office wheezing, rash all over, facial & eyelid swelling, ears red, injection site induration.  Tx w/antihistamine, nebs, steroids & d/c to home on same.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Swelling face, Urticaria, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL 0.5mg albuterol with Neb, and 5 mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30pm same day. Breathing had normalized.   11/3/08 Reviewed PCP medical records of 10/22/08. FINAL DX: bronchitis; allergic reaction to varicella vaccine. Records reveal patient experienced cough, nasal congestion & runny nose x 6 days on day of vaccination.  Dx w/bronchitis. Tx w/nebs, antibiotics & cough syrup.  Returned to office wheezing, rash all over, facial & eyelid swelling, ears red, injection site induration.  Tx w/antihistamine, nebs, steroids & d/c to home on same.
Age: 51.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest pain, Dyspnoea, Oedema peripheral
Clinical narrative: Patient started having chest pain and SOB 2 days after shot with severe swelling of (R) arm.  10/27/08 MR received for DOS 10/10-16/2008 with D/C DX: Acute Respiratory Failure. Severe Hypokalemia. Congestive Failure. COPD. Morbid Obesity. HTN. Sleep Apnea. Severe Degenerative Arthritis.  Pt presented after recent hospital d/c for sepsis, with c/o allergic rxn to Pneumovax received upon d/c. Pt developed SOB, wheezing, fever and redness and swelling of the arm. Noted to be hypokalemic on admission with bilateral wheeze and rhonchi. Tx with abx, steroids, and K+ with improved fever and SOB.
Age: 7.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Received FLUMIST on 08/25/2008. On 9/21/2008 was admitted to CMH with diagnosis ITP. Was told by specialists ITP caused by virus; per mom, only known before ITP was live FLUMIST.  11/12/08-records received for DOS 9/21-9/23/08-DC DX: ITP. Presented with petechial rash on shins bilaterally. Rash non=pruritic. Bruising later same day. Evening of admission developed raised erythematous lesion on tongue and corners of mouth. Treated with IVIG. Follow-up: As of 1/7/09 was to followup in hospital hematology clinic in 2-3 months. If counts normal then, would discharge from hematology as resolved. If counts still abnormal followup CBC's in office / clinic until resolved. Last platelets 153K (NL 150 - 450).
Age: 7.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Blood product transfusion, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Received FLUMIST on 08/25/2008. On 9/21/2008 was admitted to CMH with diagnosis ITP. Was told by specialists ITP caused by virus; per mom, only known before ITP was live FLUMIST.  11/12/08-records received for DOS 9/21-9/23/08-DC DX: ITP. Presented with petechial rash on shins bilaterally. Rash non=pruritic. Bruising later same day. Evening of admission developed raised erythematous lesion on tongue and corners of mouth. Treated with IVIG. Follow-up: As of 1/7/09 was to followup in hospital hematology clinic in 2-3 months. If counts normal then, would discharge from hematology as resolved. If counts still abnormal followup CBC's in office / clinic until resolved. Last platelets 153K (NL 150 - 450).
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Condition aggravated, Convulsion
Clinical narrative: A serious, spontaneous report of seizure was received from a Physician concerning a three year-old female patient subsequent to FLUMIST.  The patient's past medical history includes seizures.  Concomitant therapy includes levetiracetam.  The patient received FLUMIST on 13-Oct-2008 at 9:30 am.  On 13-Oct-2008 at 2:30 pm the patient experienced a seizure.  The child was seen at the emergency room, where she was evaluated and released.  The child was also seen by a pediatrician on 14-Oct-2008.  The patient's office stated the seizures had been well controlled with levetiracetam and the patient had not suffered a seizure for about one year.  The outcome for the adverse events was not reported. Follow-up: Numerous follow up attempts have been made, no new information has been received.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Depressed level of consciousness, Lethargy
Clinical narrative: About 6 hours after immunizations were given, he became very lethargic and almost unresponsive.  This lasted about 4 hours.  No seizure activity noted by mother, although patient has a history of meningitis at 4 months of age.  After about 4 hours, he was acting fine.  Is fine today.  (He has not had seizures after 5 months of age and is off sz meds).
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Swelling face, Urticaria
Clinical narrative: Hives, facial swelling and chest tightness occurred within 24 hours.  Treated with Benadryl OTC at home and Benadryl 50mg IM at clinic.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea
Clinical narrative: Had flu vaccine about 0900. Went back to work area. Because increased SOB almost shivered. Realized "things weren't right" without 15" of injection. Used Albuterol inhaler. Stayed in work area till increased SOB x 2 about 12:00. Came back to RN work area. Sent to health clinic. Given PO BENDARYL. Coworker brought inhaler. Used 2nd time. Back to  baseline by 1300.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash to lower arms, face and neck. Appear on the 17th. Today is 10-23-08 rash still over my lower arms.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Developed raised red area around injection site 2 1/2 inches across with itching.  Told patient to use diphenhydramine orally and hydrocortisone topically and contact primary MD.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: (R) arm 12 1/2 cm area of redness; non tender; Slight warmth; puritic; put on BENADRYL 50mg today (10.23.08) and 25mg (10.24.08) in am.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Tactile fever, vomiting x 7.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Oedema peripheral
Clinical narrative: Patient reports that, within 10 minutes after receiving Flu vaccine her left thumb had became swollen, hardened to touch and had sharp cramping / pulsation which lasted approx. 10 minutes - then changed to a subtle discomfort and resolved completely within one hour.
Sex: M
Vaccine: FLUX
Symptoms: Contusion, Pain in extremity
Clinical narrative: On 10-12-08 pt noticed pain and bruising on her Lt upper arm. Each day the bruise get bigger and it is almost to the elbow area. The bruise is very dark in color. Seen Dr on 10-21-08. No treatment ordered.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, warmth treated with MEDROL dose pack and cold compress
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Paraesthesia oral, Swollen tongue
Clinical narrative: About 10 minutes after receiving vaccine, pt felt tingling in tongue and felt swelling - was gone in 45-60 minutes so pt felt was her imagination - felt pain in shoulder on eve after shot the next day the arm was more painful and hurts in to left neck still painful today - No sign of problem @ injection site.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Varicella post vaccine
Clinical narrative: Fever x2 days, presented 7 days after vaccine, generalized Varicella  rash presented 9 days after vaccine. Vaccine given 10/14/08 to right upper arm.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Red raised welt/rash area on left upper arm with itching developed 6 days after vaccine.  Treated with Benadryl and if develops fever, chills, ha will treat with Keflex.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Pyrexia, Skin warm
Clinical narrative: Day after vaccine administered fever and chills.  2 days after vaccine administered arm still red and warm to touch.  Area covers whole deltoid muscle of L arm.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Received vaccine in right upper arm 10/14/08. That evening developed marked swelling, redness, and itching in right arm. Seen in office visit 10/15/08 - started on PREDISONE will have recheck in office 10/16/08.
Age: 0.7
Sex: F
Vaccine: DTAP
Symptoms: Decreased appetite, Diarrhoea, Hypotonia, Irritability, Lethargy
Clinical narrative: Low grade fever (99.5 ax) started 12 hrs after dose, continued to breakthrough despite acetaminophen dosing. Max. temp 100.5 ax for 48 hours. She was lethargic, limp, and irritable x 96 hours. One loose stool per day. Poor appetite for solids, but continued to nurse well. At 90 hrs post dose had large emesis with dry heaving. She was back to baseline behavior at 5 days post immunization. No other s/s of an URI or any other infections process.
Age: 0.7
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Retching, Streptococcal identification test negative, Vomiting
Clinical narrative: Low grade fever (99.5 ax) started 12 hrs after dose, continued to breakthrough despite acetaminophen dosing. Max. temp 100.5 ax for 48 hours. She was lethargic, limp, and irritable x 96 hours. One loose stool per day. Poor appetite for solids, but continued to nurse well. At 90 hrs post dose had large emesis with dry heaving. She was back to baseline behavior at 5 days post immunization. No other s/s of an URI or any other infections process.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Pt presently in hospital diagnosed with Guillain Barre after given flu vaccination. Hospital called for this office to report flu vaccine to CDC. 12/29/08-records received for DOS 10/18-10/25/08 and 10/31-11/10/08-DX GBS-Leucopenia. Presented on 11/17/08 with slurred speech and right LE weakness and numbness and gait disturbance. Subsequent admission on 10/31/08-presented with weakness and cyanosis, abdominal discomfort. treated with IVIG. Bilateral facial palsy. Mid to moderate oral dysphagia.Subsequent admission for fever and flank pain.
Age: 1.3
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap (BOOSTRIX) administered instead of DTaP.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Oedema peripheral, Tenderness
Clinical narrative: 10/20/08 1650 Flu vaccine given to patient.  10/21/08 called to report went to ER by 1830 10/20 due to dizziness, shortness of breath, vomiting and rapid heart rate.  Arm swollen and tender.  IV fluid given discharged by 2130.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 10/20/08 1650 Flu vaccine given to patient.  10/21/08 called to report went to ER by 1830 10/20 due to dizziness, shortness of breath, vomiting and rapid heart rate.  Arm swollen and tender.  IV fluid given discharged by 2130.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: Vaccine app 10AM, Oct 1, 2008. Thurs. aching all over (arms and legs, not head). Nausea, upset stomach.  Rash on arms, legs, maculopapular, face and chest for 3 weeks started Friday. Fever (no thermometer used) but no chills. No redness or swelling at injection site.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Stomach discomfort
Clinical narrative: Vaccine app 10AM, Oct 1, 2008. Thurs. aching all over (arms and legs, not head). Nausea, upset stomach.  Rash on arms, legs, maculopapular, face and chest for 3 weeks started Friday. Fever (no thermometer used) but no chills. No redness or swelling at injection site.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Oral pruritus, Pruritus generalised
Clinical narrative: Patient received vaccine on 10/20/08.  Several hours later she was aware of severe itching in mouth and over entire body.  No visible rash, hives or skin disorders noted.  Returned to work on 10/21/08 and informed medical staff and was offered referral to Emergency Room.  Patient refused treatment.  RN noted no rash, hives, or skin disorders "educated patient on signs/symptoms of anaphylactic shock".  Instructed to go to ER if symptoms persist or worsen.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling
Clinical narrative: Swelling at injection site left deltoid 1 - 1 1/2 hours after receiving the shot.  Ice pack applied and swelling subsided.  No other symptoms.  BP 100/70 same morning.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Swelling, Tenderness
Clinical narrative: 10 x 12 cm fluctuant swelling, pain, tenderness deltoid muscle, Fever.
Age: 13.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Dizziness, Vision blurred
Clinical narrative: 2:30 patient received immunizations and dad and child checked out.  At the check out desk the child got very dizzy and felt like she was going to pass out.  Everything looked blurry and then started getting black.  Sat her down in a chair and called the RN.  We applied cool compresses to her face and forehead.  Gave her juice and peanut butter and crackers and observed her for 30 min.  BP taken.  She was escorted downstairs by RN and dad picked her up in car.  She left with dad.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: Reddened area approx. 3 inches in diameter, hot to touch, very firm to touch.  Pt. c/o "hurts" but no itching.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest pain, Hypoaesthesia, Malaise, Pruritus
Clinical narrative: (R) arm pain/burning numbness, tingling; leg pains since June '07 - Ibuprofen and TYLENOL with codeine. Neuro and Ortho evaluation.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Burning sensation, C-reactive protein normal, Full blood count normal, Hypoaesthesia, Pain in extremity
Clinical narrative: (R) arm pain/burning numbness, tingling; leg pains since June '07 - Ibuprofen and TYLENOL with codeine. Neuro and Ortho evaluation.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: (R) arm pain/burning numbness, tingling; leg pains since June '07 - Ibuprofen and TYLENOL with codeine. Neuro and Ortho evaluation.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUN3, TYP, ANTH, FLUN3, SMALL, TYP
Symptoms: Rash papular
Clinical narrative: Pt had SVP #1, AVA #1, typhoid #1 and FLUMIST on 30 Sep 08. On 10/13/08 pt noted "pimple like, itchy rash" on right forearm which spread to his right forearm. On 10/14/08 when he went for his second AVA he reported the rash to the staff in Immunization clinic and was reassured that it was nothing to worry about. About 4 hours later the pt noted increase rash on both forearms which had also spread to his stomach/chest, back and legs. On 10/15 he noted the rash on his face. He was transferred on 10/17 and was discharged on 10/18/08. As of 10/24 the pt states that the rash is 80% improved.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUN3, TYP, ANTH, FLUN3, SMALL, TYP
Symptoms: Biopsy skin, Dermatitis, Rash generalised, Rash papular, Rash pruritic
Clinical narrative: Pt had SVP #1, AVA #1, typhoid #1 and FLUMIST on 30 Sep 08. On 10/13/08 pt noted "pimple like, itchy rash" on right forearm which spread to his right forearm. On 10/14/08 when he went for his second AVA he reported the rash to the staff in Immunization clinic and was reassured that it was nothing to worry about. About 4 hours later the pt noted increase rash on both forearms which had also spread to his stomach/chest, back and legs. On 10/15 he noted the rash on his face. He was transferred on 10/17 and was discharged on 10/18/08. As of 10/24 the pt states that the rash is 80% improved.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUN3, TYP, ANTH, FLUN3, SMALL, TYP
Symptoms: Vaccine positive rechallenge
Clinical narrative: Pt had SVP #1, AVA #1, typhoid #1 and FLUMIST on 30 Sep 08. On 10/13/08 pt noted "pimple like, itchy rash" on right forearm which spread to his right forearm. On 10/14/08 when he went for his second AVA he reported the rash to the staff in Immunization clinic and was reassured that it was nothing to worry about. About 4 hours later the pt noted increase rash on both forearms which had also spread to his stomach/chest, back and legs. On 10/15 he noted the rash on his face. He was transferred on 10/17 and was discharged on 10/18/08. As of 10/24 the pt states that the rash is 80% improved.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: Pt. called on 10/202008 and reported rash with itching several hours after vaccine given. Treated at emergency room, given a steroid shot and rx for atarax.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Pt. called on 10/202008 and reported rash with itching several hours after vaccine given. Treated at emergency room, given a steroid shot and rx for atarax.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Clinical narrative: 2 month old died following routine vaccinations.  Medical examiner was Dr.  10/28/08 Autopsy report states COD & manner of death as undetermined.  10/28 Autopsy report also states patient found lying on side unresponsive in adult bed 2 hrs s/p laid down for nap.  Had fever s/p vaccination & received tylenol.  Findings at autopsy included viscous bronchial mucus & chronic cystitis.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pallor
Clinical narrative: Received flu vaccine at around 11:15 am. Started having difficulty breathing, poor color. Was given 0.3 mL Epinephrine @ 11:51 am. B/P 142/78 P - 90. She appeared to improve slightly; was taken to E.R. for further eval
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Vision blurred
Clinical narrative: Local Reaction at injection site, redness, swelling 10-17-08. Left eye blurred vision 10-22-08.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Activated partial thromboplastin time prolonged, Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bacteria urine identified
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Band neutrophil count increased, Blood alkaline phosphatase normal, Blood bicarbonate decreased, Blood creatine phosphokinase increased, Blood creatinine increased
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture positive, Blood lactate dehydrogenase increased, Blood urea increased, Body temperature increased, Chest X-ray abnormal
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Culture negative, Echocardiogram, Electrocardiogram abnormal, Fibrin D dimer increased, Gamma-glutamyltransferase increased
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Heart rate increased, Platelet count decreased, Platelet count increased, Pneumococcal sepsis, Prothrombin time prolonged
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Septic shock, Streptococcal identification test positive, Troponin I increased, Urine human chorionic gonadotropin negative, White blood cell count increased
Clinical narrative: It was reported in a published literature article title as stated 12 days after admission.  WBC count 8,900 mm(3) 3,500-11,000, absolute band neutrophil count 2% 0-5, platelet count 780 /mm(3) 140-450, serum aspartate aminotransferase 30 U/L 10-40, serum creatinine 0.7 mgl/dL 0.5-1.0, temperature measurement 38.9 degree C, whole blood bicarbonate test 10 mmol/L 7-17, whole blood bicarbonate test 28 mmol/L 20-30, serum alanine aminotransferase 25 U/L 4-40.  Additional information has been requested.  A copy of the published article is attached as further documentation of the patient's experience.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Activities of daily living impaired, Erythema, Injected limb mobility decreased, Injection site induration, Nausea
Clinical narrative: Information has been received from a nurse concerning a 65 year old female with no pertinent medical history or drug reactions/allergies, who on 09-OCT-2008 was vaccinated with a first dose of PNEUMOVAX 23 (lot # 659199/1541U) IM into her left arm.  There was no concomitant medication.  The nurse reported that the patient experienced a fever 102F, nausea and vomiting after administration of PNEUMOVAX 23 on 09-OCT-2008.  The patient developed erythema of left arm with central induration at the injection site.  The skin was warm to touch.  She was unable to raise her left arm.  The events were considered disabling, as the patient was not able to "perform household duties".  At time of reporting, the patient had not recovered.  There were no lab diagnostic studies performed.  The patient sought medical attention with an office visit.  This is the first of three patients for reporter.  The nurse requested a lot check.  This is one of three reports from the same source.  Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin warm, Vomiting
Clinical narrative: Information has been received from a nurse concerning a 65 year old female with no pertinent medical history or drug reactions/allergies, who on 09-OCT-2008 was vaccinated with a first dose of PNEUMOVAX 23 (lot # 659199/1541U) IM into her left arm.  There was no concomitant medication.  The nurse reported that the patient experienced a fever 102F, nausea and vomiting after administration of PNEUMOVAX 23 on 09-OCT-2008.  The patient developed erythema of left arm with central induration at the injection site.  The skin was warm to touch.  She was unable to raise her left arm.  The events were considered disabling, as the patient was not able to "perform household duties".  At time of reporting, the patient had not recovered.  There were no lab diagnostic studies performed.  The patient sought medical attention with an office visit.  This is the first of three patients for reporter.  The nurse requested a lot check.  This is one of three reports from the same source.  Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a healthcare worker concerning a male patient who on 16-OCT-2008 was vaccinated with 1 dose of PNEUMOVAX 23.  On 17-OCT-2008 ("within 24 hours of administration") the patient experienced severe swelling of the arm and extreme pain in that arm.  The patient went to the ER and was admitted to the hospital.  He has been in the hospital since.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from a licensed practical nurse through the pregnancy registry for GARDASIL concerning a 17 year old female with penicillin allergy who on 11-OCT-2007 was vaccinated intramuscularly in the left arm with her first dose of GARDASIL (Lot # 655620/0171U).  There was no concomitant medication.  On 19-NOV-2007, the patient had a blood work drawn in the office for a pregnancy test which was positive (LMP approximately 22-OCT-2007).  It was reported that the patient was 3 to 4 weeks pregnant.  The patient sought unspecified medical attention in the office.  Follow-up information received indicated that on 25-JUN-2008 the patient vaginally delivered a "normal" infant.  Upon a skeletal joint exam in the hospital the baby was found to have pes adductus (club feet).  The baby's club feet were considered a congenital anomaly.  No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Dizziness, Headache, Memory impairment, Vertigo
Clinical narrative: Initial and follow up information has been received from a nurse practitioner concerning a 14 year old female patient with no known drug allergies, who on 11-SEP-2007, was vaccinated with the first dose of GARDASIL.  On 13-NOV-2007, the patient was vaccinated with the second dose of GARDASIL.  In November 2007, the patient started to report dizziness, headaches, difficulty with memory and unsure if she actually had been doing the things she had been doing or simply just thought of them.  The patient was a dancer and was unable to dance for a while.  The nurse practitioner reported that the patient tried meclizine for the vertigo.  On an unknown date, the patient had a normal brain MRI.  The nurse practitioner reported that the mom felt 90% of her daughter's symptoms resolved by summer 2008.  The patient and the mother declined to received the third dose of GARDASIL.  The events were considered to be disabling.  Additional information has been requested. 11/5/08-ED records received for DOS 8/28/08-MVA-C/O neck pain. X-rays unremarkable of cervical spine. Impression: acute cervical strain11/12/08-records received- Office visit 11/2/07-C/O dizziness and vertigo intermittently for several months and worse past week, also nausea and headache. Photophobia with headache with nausea. Vision changes. Falling at dance class. Visit 11/13/07-received 2nd Gardasil vaccine. C/O dizziness feels like in a fog. Daily headaches, difficulty with memory. Missing school. Physician concerned about possibility of abuse and depression. Visit 10/1/08-C/O sore throat with painful swallowing.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from a nurse practitioner, for the Pregnancy Registry for GARDASIL, concerning a 17 year old female patient who was vaccinated with three 0.5 ml doses of GARDASIL on an unspecified date (lot number not provided).  The patient became pregnant after getting all three doses of GARDASIL and delivered a baby on an unspecified date.  Two months later, the baby died from "DNA trim".  No additional information was provided.  The patient sought unspecified medical attention.  Additional information has been requested.
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Apnoea, Crying, Cyanosis, Respiratory arrest
Clinical narrative: Information has been received from a medical assistant concerning a 12 month old male with asthma and no illness at the time of vaccination, who on 04-APR-2008 was vaccinated with a first dose of VARIVAX (Oka/Merck) (lot # 659726/1772U) IM into the left deltoid.  The baby was not crying at the time of vaccination.  Post vaccination, the baby became cyanotic and stopped breathing for approximately 10 seconds.  With stimulation, the baby began crying and breathing again.  No resuscitation was necessary.  Vital signs were normal.  Subsequently, the baby was fine.  Upon internal review, the patient's apnea was considered to be an other important medical event.  Additional information is not expected.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Full blood count
Clinical narrative: Febrile seizure
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: 5 hours after vaccine had uncontrollable chills.  Temp was 103 7-8 hrs after vaccine.  1 hour after taking Motrin 600 mg had localized soreness 3 hours afterwards.  The next day, felt better - feel she has low grade fever (approximately 99-100).  No other sxs.  Fever up to 101 the following evening.
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Blister, Dyspnoea, Pain, Rash
Clinical narrative: Sore, weak, small rash in back spread to side, stomach. Blister on same arm as injection; popped it later 07 - Rash has worsened over days. Right now feels shortness of breath. Has doctor appointment at 3 pm. Took ADVIL for soreness but did not help.
Age: 79.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Urticaria
Clinical narrative: Per pt began as intense itching 2 days after w/ progressive redness to site. Seen today by MD - dx'd w/ allergic urticaria redness  decreased to 3" area below deltoid and itching gone.
Age: 9.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Convulsion, Fall, Malaise, Syncope, Tremor
Clinical narrative: Few hours after vaccines, developed malaise - then had syncopal episode, collapsed to ground, then had seizure - was shaking x few seconds.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Pt fainted and was advised to go to Emergency Room.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Crying, Hallucination
Clinical narrative: The evening after receiving vaccines, patient cried for 4 hrs and was possibly hallucinating.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Cyanosis
Clinical narrative: Per patient rigors, chills, and lips turned blue x 1hr.  Did not seek medical attention.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Pain, Rash
Clinical narrative: Approximately 6 1/2 months after receiving the ZOSTAVAX Shingles vaccine, diagnosed with bad case of Shingles - large, red painful rash radiating from middle of back, under (L) arm and breast. Treated with VALTREX, Lidocaine Gel, ATARAX; DARVOCET. Mod to mild pain after Shingles rash dried up. Still recovering.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient developed redness, swelling and warmth to Right upper arm, resolved on its own.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Patient developed redness, swelling, warmth, and tenderness to right upper arm, approximately measuring 3" x 5", treated with KEFLEX for ? cellulitis.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Pt. had local reaction at injection site. Area became swollen, and red, the next day. No treatment required.
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pyrexia
Clinical narrative: Fever of 100 P.O - 8-9 hours following vaccine. Chills.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site vesicles
Clinical narrative: Had vaccination 10/21/08 in PM. Early AM 10/22 noted redness, itch and induration about injection site. Seen and Rxd BENADRYL PO. Yesterday PM. Last noc. patient's wife outlined about a 15-16 cm oval area of redness. Today it is about 8 x 10 cm with associated induration as well as central vesiculation both linear and grouped. Symptomatically also somewhat improved. No evidence infection/cellulitis. No fever/chills. Will continue BENADRYL (none so far today - 10/23/8) 25 - 50 every 6 hours PO PRN. No prior Hx reactions.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria, X-ray with contrast lower gastrointestinal tract
Clinical narrative: Has hives.  Rash began yesterday (10/23/08) approximately 8 PM ie approximately 7 hrs after flu vaccine given.  Has normal gross vital signs and upper - lower respiratory tract exam.  Begun on Benadryl 250 PO this AM (10/24/08).
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Abdominal X-ray, Body temperature increased, Full blood count normal, Grunting, Screaming
Clinical narrative: 1030 am - MMR; VARIVAX, PREVNAR given. 2 pm - awakened from nap screaming and shaking and grunting lasting about 15 hours. X-ray - abd - negative except mod amt. fecal matter throughout colon - no distention. Temp 100.8 degrees @ 5:00 pm.
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Tremor, X-ray normal
Clinical narrative: 1030 am - MMR; VARIVAX, PREVNAR given. 2 pm - awakened from nap screaming and shaking and grunting lasting about 15 hours. X-ray - abd - negative except mod amt. fecal matter throughout colon - no distention. Temp 100.8 degrees @ 5:00 pm.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Pain, Rash
Clinical narrative: Approx. 4 months after receiving ZOSTAVAX vaccine, diagnosed with bad case of shingles - large red painful rash around L trunk.  Severe pain after blisters heated.  Pt said it took 7-8 wks to fully recover.
Age: 19.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Pruritus, Rash
Clinical narrative: See attached notes - C/o rash, itching both arms, trunk and neck.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Differential white blood cell count, Full blood count, Headache, Loss of consciousness, Metabolic function test
Clinical narrative: Pt received GARDASIL - dose #3 on 8-13-08. Pt to ER 10-15-08 - passed out, lower extremity weakness, no fever, has had headache - lower extremity weakness had been present x 2 wks. Also decreased sensation in lower extremities.  12/5/08 Reviewed hosptial medical records of 10/16-10/24/2008. FINAL DX: Conversion disorder; history of abuse. Records reveal patient experienced LE weakness, numbness x 2-3 wks, difficulty walking, syncopal episode w/fall.  Admitted to outlying hospital for neuro w/u which was completely WNL.  Referred for psych & transferred for inpatient rehab.  Progressed well & d/c to home w/continued outpatient PT & counseling.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Pregnancy test, Sensory disturbance
Clinical narrative: Pt received GARDASIL - dose #3 on 8-13-08. Pt to ER 10-15-08 - passed out, lower extremity weakness, no fever, has had headache - lower extremity weakness had been present x 2 wks. Also decreased sensation in lower extremities.  12/5/08 Reviewed hosptial medical records of 10/16-10/24/2008. FINAL DX: Conversion disorder; history of abuse. Records reveal patient experienced LE weakness, numbness x 2-3 wks, difficulty walking, syncopal episode w/fall.  Admitted to outlying hospital for neuro w/u which was completely WNL.  Referred for psych & transferred for inpatient rehab.  Progressed well & d/c to home w/continued outpatient PT & counseling.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Lymphadenopathy, Oedema peripheral, Pain in extremity
Clinical narrative: Left upper extremity cellulitis (pain and swelling in his left deltoid area with lymphadenopathy under his arm). Required antibiotic therapy.  10/29/2008 MR received for ER visit 10/08/08 with DX: L arm Cellulitis, Pneumonia, Fever and DOS 10/10-11/2008 with D/C DX: Allergic Reaction to Flu and Pneumonia shot.  Probable Cellulitis, L arm.  Non-ischemic cardiomyopathy.  Bronchial asthma.  Depression.  Anxiety.  HTN.  Hyperlipidemia.  Chronic shoulder pain. Pt presented to ER 10/08/08 with c/o pain, redness and swelling in the L deltoid/triceps/axilla, mild cough with increased wheeezing and H/A.  PE(+) for 14x10cm area of irregular erythema, swelling and marked tenderness. Tx with pain meds, nebs and steroids. Returned 10/10/08 with worening sx including fever and nausea. Injection site itching and painful, with tightness noted near the elbow.. TX with keflex and Prednisone with improvement.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: complained of some soreness then redness on 10/22/08 and increase soreness with some swelling.  I told her to use heat and take tylenol.  I looked at her arm on 10/23/08 and it did have some redness, arm felt tight but could not determine if it was swollen.  She was still having pain in her arm and she was going to see the nurse practitioner at the doctor office.  She stated the heat helped.  Practitioner said it looked like cellulitis.  This is Adacel Tdap vaccine unable to pick that from list below.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Eye pruritus, Headache
Clinical narrative: Severe headache, chest pain and SOB, scratchy eyes the afternoon and evening after receiving the vaccine at ~noon.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain
Clinical narrative: Pt felt no pain at the time of the vaccine administration, but felt pain 2/10 at rest, increasing to 8/10 with palpation, within 2-3 hours after administration.  Deep bruising noticed within 2-3 hours after administration, that is still visible today, 8 days later.  The arm is still tender on palpation.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dysgeusia, Dyspnoea, Feeling drunk, Headache
Clinical narrative: ON 10-21-08 AT 1100 RECEIVED VACCINE 1115 COMPLAINT OF FEELING DRUNK AND THEN TOOK BENADRYL 25MG AND CALLED MEDICAL  ARRIVED IN MEDICAL AT 1130 COMPLAINING OF METALLIC TASTE IN MOUTH AND FEELING LIKE SHE DRANK A 6 PACK OF BEER AND HAVING NUMBNESS AND TINGLING IN HANDS COMPLAINED OF THROAT CLOSING AND CHEST TIGHTNESS VITALS 100/70-96-22 AND PULSE OX ON ROOM 99% EPINEPHRINE 1/1000 0.3MG WAS ADMINISTERED, AMBULANCE CALLED, NO SOB AND NO HIVES, OXYGEN APPLIED TRANSPORTED TO ALTOONA HOSPITAL ER. I SPOKE WITH EMPLOYEE TODAY AND SHE SAID THAT SHE RECEIVED BENADRYL IM IN AMBULANCE AND AFTER ARRIVEING IN ER SHE DEVELOPED A HEADACHE AND BEGAN TO ITCH ALL OVER BUT NO RASH OR HIVES DEVELOPED. SHE SAID SHE RECEVED A STEROID INJECTION IN THE ER AND WAS FINALLY RELEASED FORM THE ER AT 1615. SHE WAS PRESCRIBED STEROIDS X 7 DAYS AND BENADRYL PRN FOR TICHING.  SHE IS STILL COMPLAINING OF A HEADACHE AND ITCHING AND FEELS SOME CHEST TIGHTNESS WHICH SHE ATTRIBUTES TO THE RAPID LABORED BREATHING THAT SHE SAYS SHE DEVELOPED AFTER THE ADMINISTRATION OF THE EPINEPHRINE.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus generalised, Throat tightness, Urticaria
Clinical narrative: ON 10-21-08 AT 1100 RECEIVED VACCINE 1115 COMPLAINT OF FEELING DRUNK AND THEN TOOK BENADRYL 25MG AND CALLED MEDICAL  ARRIVED IN MEDICAL AT 1130 COMPLAINING OF METALLIC TASTE IN MOUTH AND FEELING LIKE SHE DRANK A 6 PACK OF BEER AND HAVING NUMBNESS AND TINGLING IN HANDS COMPLAINED OF THROAT CLOSING AND CHEST TIGHTNESS VITALS 100/70-96-22 AND PULSE OX ON ROOM 99% EPINEPHRINE 1/1000 0.3MG WAS ADMINISTERED, AMBULANCE CALLED, NO SOB AND NO HIVES, OXYGEN APPLIED TRANSPORTED TO ALTOONA HOSPITAL ER. I SPOKE WITH EMPLOYEE TODAY AND SHE SAID THAT SHE RECEIVED BENADRYL IM IN AMBULANCE AND AFTER ARRIVEING IN ER SHE DEVELOPED A HEADACHE AND BEGAN TO ITCH ALL OVER BUT NO RASH OR HIVES DEVELOPED. SHE SAID SHE RECEVED A STEROID INJECTION IN THE ER AND WAS FINALLY RELEASED FORM THE ER AT 1615. SHE WAS PRESCRIBED STEROIDS X 7 DAYS AND BENADRYL PRN FOR TICHING.  SHE IS STILL COMPLAINING OF A HEADACHE AND ITCHING AND FEELS SOME CHEST TIGHTNESS WHICH SHE ATTRIBUTES TO THE RAPID LABORED BREATHING THAT SHE SAYS SHE DEVELOPED AFTER THE ADMINISTRATION OF THE EPINEPHRINE.