chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Felt dizzy and had headache after getting up at 11am on */18/2010.  Tried to work at home but had to lay down because of dizziness.  Left arm was painful since getting the shot, but client noticed redness and swelling and heat at injection site starting Wednesday AM and continuing today.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Injection site warmth
Clinical narrative: Felt dizzy and had headache after getting up at 11am on */18/2010.  Tried to work at home but had to lay down because of dizziness.  Left arm was painful since getting the shot, but client noticed redness and swelling and heat at injection site starting Wednesday AM and continuing today.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: APPROXIMATELY 3 MINS. POST VACCINATION CLIENT COMPLAINED OF SEVERE ITCHING AFTER BANDAID APPLIED TO INJECTION SITE, NOTED APPROX. 7 CM REDDENED, SLIGHTLY RAISED AREA TO RIGHT UPPER ARM. IMMEDIATELY EVAL PER PHYSICIAN. CLIENT ALERT, AWAKE, AND ORIENTED WITHOUT ANY RESP. DISTRESS. ADULT PARENT ACCOMPANYING. MD EVAL. CLIENT ADVISED BENADRYL INJEC. CLIENT AND PARENT DECLINED THIS TREATMENT, PLAN TO TAKE OTC BENADRYL. LEFT WITHOUT ANY FURTHER PROBLEMS. CLIENT PARENT CALLED BACK @1:30PM, FEELING BETTER AFTER TAKING OTC BENADRYL, SWELLING DECREASING AND ITCHING HAS COMPLETELY SUBSIDED. THANKS.
Age: 26.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: itching, redness, swelling at site  treated with moist heat at site
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Rash, Skin warm, Urticaria
Clinical narrative: spreading rash, redness, pain, skin becoming hot, hives
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Convulsion
Clinical narrative: Information has been received from a consumer concerning her current 17 year old son who in approximately 1994, at the age of 12 months was vaccinated with a first dose of MMR II (Lot# unknown). Second dose of MMR II (Lot# unknown) was given in approximately 1997 at the age of four and a half years. The consumer reported that her son was diagnosed with autism after receiving his first dose of MMR II at age of 12 months, and experienced seizures after receiving his second dose of MMR II at age of four and a half years. Caller also stated that her son's autism had been cured by chelation therapy. At the time of the report, the outcome of seizure was unknown. The patient sought unspecified medical attention. Upon internal review, autism and seizures were considered to be an other important medical events. No further information is available.
Sex: F
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome, Paralysis
Clinical narrative: Initial report received on 11 August 2010 from a health care professional. An female patient (age at time of vaccination not reported), who was 33 years of age at the time of the report, had received a flu vaccine (manufacturer, lot number, route and site of administration not reported) "seven years ago in November" and the following April she experienced Guillain-Barre syndrome (reported as GBS) with "complete paralysis for one week". No additional information was available at the time of this report. Documents held by sender: none.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Discomfort, Injection site erythema
Clinical narrative: REDNESS AT INJECTION SITE OF VARICELLA VACCINE, SIZE PALM OF HAND AND SOME DISCOMFORT
Age: 8.0
Sex: U
Vaccine: DTAP
Symptoms: Pertussis
Clinical narrative: Initial case was received on 11 August 2010 from a healthcare professional. The reporter was aware of an 8 year old patient, who had received "all DTaP vaccines" (manufacturer and lot number not reported) "on schedule" (dates not reported). On an unspecified date the patient "had come down" with pertussis. The reporter had no specific information and was unable to obtain additional information. List of Documents held by sender: None.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Gait disturbance
Clinical narrative: malaise, feeling very faint & weak like I could pass out, joint & muscle aches, difficulty walking, night sweats, overwhelming fatigue
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Myalgia, Night sweats
Clinical narrative: malaise, feeling very faint & weak like I could pass out, joint & muscle aches, difficulty walking, night sweats, overwhelming fatigue
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis, Vaccine breakthrough infection
Clinical narrative: Initial report was received 11 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in this case (2010-04349) and case number 2010-04350); and three who had previously received an unspecified TdaP vaccine (captured in case numbers 2010-04352, 2010-04353 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 and 2010-04376). At the time of the report, no information was available for the eighth unidentified patient. An 11-year-old female patient had received an injection of ADACEL, lot number C3158AA (also reported as lot number C3507AA which corresponds to TUBERSOL) "at the end of April", and an unspecified amount of time later, she developed a break through case of pertussis and tested positive for pertussis. The patient's siblings, an 11 year old twin and an eight year old, had also experienced the same event. No further information was provided at the time of the report. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis, Vaccine breakthrough infection
Clinical narrative: Initial report was received 11 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in this case 2010-04350 and case number 2010-04349); and three who had previously received an unspecified TdaP vaccine (captured in case numbers 2010-04352, 2010-04353 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 and 2010-04376). At the time of the report, no information was available for the eighth unidentified patient. An 11-year-old female patient  had received an injection of ADACEL, lot number C3158AA (also reported as lot number C3507AA which corresponds to Tubersol) "at the end of April", and an unspecified amount of time later, she developed a break through case of pertussis and tested positive for pertussis. The patient's siblings, an 11 year old twin and an eight year old, had also experienced the same events. Outcome was not reported. No further information was provided at the time of the report.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Bordetella test positive, Pertussis
Clinical narrative: Initial report was received 11 August 2010 with additional information received 16 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in case number 2010-04349 and 2010-04350); and  three who had previously received an unspecified Tdap vaccine (captured in case number 2010-04352, 2010-04353 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 (this case) and 2010-04376). At the time of the report, no information was available for the eighth unidentified patient. An 8-year-old male patient had received five previous injections of DtaP (manufacturers, lot numbers, routes and sites of administration not reported) and an unspecified amount of time later, he developed a break through case of pertussis and tested positive for pertussis. The patient had two 11-year-old twin siblings who experienced the same event. Outcome was not reported and no further information was provided at the time of the report. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis, Vaccine breakthrough infection
Clinical narrative: Initial report was received 11 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in case numbers 2010-04349 and 2010-04350); and three who had previously received an unspecified TdaP vaccine (captured in this case (2010-04352) and in case numbers 2010-04353 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 and 2010-04376). At the time of the report, no information was available for the eight unidentified patient. A 12-year-old male patient had received an injection of TdaP on 20 July 2009 (manufacturer, lot number, route and site of administration not reported) and 355 days later on 10 July 2010, he was diagnosed with pertussis. Laboratory test results were positive for pertussis. Outcome was not reported, and no further information was provided at the time of report. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis
Clinical narrative: Initial report was received 11 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in case numbers 2010-04349 and 2010-04350); and three who had previously received an unspecified TdaP vaccine (captured in this case (2010-04353) and in case numbers 2010-04352 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 and 2010-04376). At the time of the report, no information was available for the eight unidentified patient. A 12-year-old female patient had received an injection of TdaP on 28 May 2009 (manufacturer, lot number, route and site of administration not reported) and 432 days later on 03 August 2010, she was diagnosed with pertussis. Laboratory test results were positive for pertussis. Outcome was not reported, and no further information was provided at the time of the report. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Bordetella test positive, Pertussis
Clinical narrative: Initial report was received 11 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in case numbers 2010-04349 and 2010-04350); and three who had previously received an unspecified TdaP vaccine (captured in this case (2010-04354) and in case numbers 2010-04353 and 2010-04352), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in case numbers 2010-04351 and 2010-04376). At the time of the report, no information was available for the eight unidentified patient. An 11-year-old male patient had received an injection of TdaP on 12 April 2010 (manufacturer, lot number, route and site of administration not reported) and 81 days later on 02 July 2010, he was diagnosed with pertussis. Laboratory test results were positive for pertussis. Outcome was not reported, and no further information was provided at the time of the report. Documents held by sender: None.
Age: 9.0
Sex: F
Vaccine: DTAP
Symptoms: Bordetella test positive, Pertussis
Clinical narrative: Initial report was received 11 August 2010 with additional information received on 16 August 2010 from a health care professional which involved a cluster of eight patients who tested positive for pertussis. Patient identifiers were provided for seven patients; two who had previously received ADACEL (captured in case numbers 2010-04349 and 2010-04350); and three who had previously received an unspecified TdaP vaccine (captured in case numbers 2010-04352, 2010-04353 and 2010-04354), and two patients who had not received ADACEL, but had previously received a full DtaP vaccination series (captured in this case (2010-04376) and case number 2010-04351). At the time of the report, no information was available for the eight unidentified patient. A 9-year-old female patient had received five previous injections of DtaP (manufacturers, lot numbers, routes and sites of administration not reported) and an unspecified amount of time later on 21 June 2010, she was diagnosed with pertussis. Laboratory test results were positive for pertussis. Outcome was not reported and no further information was provided at the time of the report. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood glucose normal, Gaze palsy, Grand mal convulsion
Clinical narrative: 30 second tonic clonic seizure with eyes deviating to left witnessed by MD
Age: 3.0
Sex: M
Vaccine: MMR, PPV
Symptoms: Rash macular
Clinical narrative: Middle Back region, Large Red Blotches horizontally, some exhibiting small peaks, from 8:30 AM on, Put Benadryl lotion on early AM, 2:30 PM administered Benadryl PO, and applied hydrocortisone cream.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: S: Mom noticed raised reddened area, tender this AM that was not there yet PM. TYLENOL given w/rel of discomfort. O: Approximately 2 1-/2 raised area w/mild erythema L thigh.
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red, warm area at injection site (Rt) upper arm, warm to touch, itches, size of an egg.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Dysphonia, Injection site erythema, Injection site pruritus
Clinical narrative: Approx. 8 mins after receiving VARIVAX, pt. reported redness & itching around shot site. Area 2" x 3" on (L) upper arm. Denies SOB, lip and/or tongue swelling, hoarseness. Given 2 tsp. BENEDRYL p.o..
Age: 2.0
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large indurated area of erythema developed around vaccine site within 24 hours.
Age: 1.06
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash pustular
Clinical narrative: Bumps w/pus all over arms - diagnosed as shingles.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling, itching at site. Treatment advised - ice packs and BENADRYL.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Headache, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Pt. received TDAP in (L) deltoid on 081610. On 081710 mother called c/o redness & swelling the size of a quarter - told to apply warm moist heat and take anti-inflammatory. Pt. presented to clinic 081810 at 3:30 pm with arm swollen to 90 x 75 mm, red, hot to touch, instructed to continue heat and anti-inflammatorys & to see private MD if worsens or no improvement. Also c/o mild headache and low grade temp.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Pt. received TDAP in (L) deltoid on 081610. On 081710 mother called c/o redness & swelling the size of a quarter - told to apply warm moist heat and take anti-inflammatory. Pt. presented to clinic 081810 at 3:30 pm with arm swollen to 90 x 75 mm, red, hot to touch, instructed to continue heat and anti-inflammatorys & to see private MD if worsens or no improvement. Also c/o mild headache and low grade temp.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Otitis externa, Urticaria
Clinical narrative: Patient received vaccines on 8/12/10. Developed diffuse hives 8/17/10. Treated with oral BENADRYL until 8/18/10 was seen by physician, given KENALOG 80 mg and XYZAL 5 mg. Pt. also had Lt. otitis externa 8/18/10 - treated with FLOXIN OTIC.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Injection site pain
Clinical narrative: Onset-same day c/o progressive (R) upper arm pain with associated dizziness, fatigue, chills, low grade fever --> nausea, diarrhea, vertigo, and increased swelling (R) arm (+) axillary & cervical lymphadenopathy @ day 6 after vaccine.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphadenopathy, Nausea, Pyrexia, Vertigo
Clinical narrative: Onset-same day c/o progressive (R) upper arm pain with associated dizziness, fatigue, chills, low grade fever --> nausea, diarrhea, vertigo, and increased swelling (R) arm (+) axillary & cervical lymphadenopathy @ day 6 after vaccine.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Mother notes fever with T Ax 101.5 and treated with wt. approp. TYLENOL. Exam on 7/14/10 (24 hours after shot) revealed T Ax 99.4 (40 min. after TYL). There was no other source of fever. The shot site was nl appearing.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth at inj. site. Cellulitis at inj. site. Treated with Sxs care, KEFLEX 500 # 2 bid x 10d.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L deltoid moderate redness swelling and warm - patient put on KEFLEX.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Pain in extremity, Tendonitis
Clinical narrative: Pt returned for 2nd dose of HPV. Pt states has had pain in right shoulder and back of right arm since 1st HPV given in that arm. Pt states has difficulty raising right arm. Pt states symptoms began 2 days after shot was given. Pt denies injury. Pt states she has been taking ibuprofen for the pain. Pt went to see PMD Monday 8/2/2010. States was given a steroid and anti-inflammatory shot. Stated MD though pt had tendonitis or possibly torn ligament. Pt to revisit MD if symptoms continue past treatment.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Patient was vaccinated on 8/10/10 and on 8/13/10 presented with swelling and redness measuring 10cm x 10cm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Had DTAP (L) arm and IPV (R) arm 8/5/10. Mom noticed a lot of redness, warmth, swelling (L) arm 24 - 72 hours after.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Softball size area of swelling & tenderness mid anterior left thigh.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Diarrhoea, Flushing, Hyperhidrosis, Listless
Clinical narrative: Within 2 hrs of receiving shots pt. became sweaty, flushed, & crying "inconsolably". TYLENOL was given. She cried during evening & it was difficult to comfort her. She slept restlessly. 2 days later she had 2-4 very loose, mucousy stools for several days. She remained moody, listless, and weepy for 1 wk. before returning to normal.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Mood altered, Mucous stools, Poor quality sleep
Clinical narrative: Within 2 hrs of receiving shots pt. became sweaty, flushed, & crying "inconsolably". TYLENOL was given. She cried during evening & it was difficult to comfort her. She slept restlessly. 2 days later she had 2-4 very loose, mucousy stools for several days. She remained moody, listless, and weepy for 1 wk. before returning to normal.
Age: 3.0
Sex: U
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: (R) arm erythema 10 x 5 cm, (+) warm, (+) edema. Symptoms started few hours after vaccines were given 2 days ago.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Fever of 99.4 F and spotty rash on trunk and arms with onset about 8d s/p immunization with MMR.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1), HPV4, MNQ, TDAP
Symptoms: Asthenia, Blood pressure decreased, Dizziness, Electrocardiogram normal, Grip strength decreased
Clinical narrative: 14 yr old male given 4 vaccines syncopal episode after administration. Assisted to prone position. B/P 138/70 pulse 56 then B/P 80/60. Hydrated, ate crackers, leaving with mom, felt dizzy weak, monitored in prone position c/o blurry peripheral vision, weak grips bilaterally. 911 called at 1725 VS WNL, BS 72, EKG normal. Mother states she would bring to ER but she did not. RN called to check on client next day and he was fine.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1), HPV4, MNQ, TDAP
Symptoms: Heart rate decreased, Syncope, Visual field defect
Clinical narrative: 14 yr old male given 4 vaccines syncopal episode after administration. Assisted to prone position. B/P 138/70 pulse 56 then B/P 80/60. Hydrated, ate crackers, leaving with mom, felt dizzy weak, monitored in prone position c/o blurry peripheral vision, weak grips bilaterally. 911 called at 1725 VS WNL, BS 72, EKG normal. Mother states she would bring to ER but she did not. RN called to check on client next day and he was fine.
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Balance disorder, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Patient is seen for symptoms following a shingles vaccination on March 1st. The patient states that after the shingles shot, he felt very sick and lousy severely for 2 days. Ever since then he has not felt quite right, complaining of feeling woozy, off balance, and visual symptoms that do not seem to be corrected over glasses. He does note that his daughter contracted Guillaine-Barre syndrome after receiving the flu vaccine. Patient states his symptoms are persistent but do not occur every day. He has good and bad days, whereas in the beginning he had mostly bad days. He also had associated headache and he still gets a headache from time to time now with severe back pain going from his low back to his neck. He had got a chronic rhinitis since the vaccination as well. He did not complain of any headaches prior to the injections. Patient did have a history for double vision in the past. I suspect the patient has had suffered a viral meningitis related to the vaccine, the differential diagnosis would include Miller Fisher variant of Guillain Barre. He is currently nearly 4 months since the onset and at this time, the ability to diagnosis from lumbar puncture and even more conduction studies would be low. Symptoms: Symptoms: 1. Blurred Vision, 2. Dizziness, 3. Headache, 4. Myalgia, 5. fatigue
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Malaise, Meningitis viral, Myalgia, Neck pain
Clinical narrative: Patient is seen for symptoms following a shingles vaccination on March 1st. The patient states that after the shingles shot, he felt very sick and lousy severely for 2 days. Ever since then he has not felt quite right, complaining of feeling woozy, off balance, and visual symptoms that do not seem to be corrected over glasses. He does note that his daughter contracted Guillaine-Barre syndrome after receiving the flu vaccine. Patient states his symptoms are persistent but do not occur every day. He has good and bad days, whereas in the beginning he had mostly bad days. He also had associated headache and he still gets a headache from time to time now with severe back pain going from his low back to his neck. He had got a chronic rhinitis since the vaccination as well. He did not complain of any headaches prior to the injections. Patient did have a history for double vision in the past. I suspect the patient has had suffered a viral meningitis related to the vaccine, the differential diagnosis would include Miller Fisher variant of Guillain Barre. He is currently nearly 4 months since the onset and at this time, the ability to diagnosis from lumbar puncture and even more conduction studies would be low. Symptoms: Symptoms: 1. Blurred Vision, 2. Dizziness, 3. Headache, 4. Myalgia, 5. fatigue
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Rhinitis, Vision blurred, Visual impairment
Clinical narrative: Patient is seen for symptoms following a shingles vaccination on March 1st. The patient states that after the shingles shot, he felt very sick and lousy severely for 2 days. Ever since then he has not felt quite right, complaining of feeling woozy, off balance, and visual symptoms that do not seem to be corrected over glasses. He does note that his daughter contracted Guillaine-Barre syndrome after receiving the flu vaccine. Patient states his symptoms are persistent but do not occur every day. He has good and bad days, whereas in the beginning he had mostly bad days. He also had associated headache and he still gets a headache from time to time now with severe back pain going from his low back to his neck. He had got a chronic rhinitis since the vaccination as well. He did not complain of any headaches prior to the injections. Patient did have a history for double vision in the past. I suspect the patient has had suffered a viral meningitis related to the vaccine, the differential diagnosis would include Miller Fisher variant of Guillain Barre. He is currently nearly 4 months since the onset and at this time, the ability to diagnosis from lumbar puncture and even more conduction studies would be low. Symptoms: Symptoms: 1. Blurred Vision, 2. Dizziness, 3. Headache, 4. Myalgia, 5. fatigue
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site rash
Clinical narrative: Hypersensitivity reaction - rash around injection site. Rash seen outlining bandaid. Injection given 8-12-10 at 3:40pm; upper left deltoid. Rash observed at 2pm 8-13-10. BENADRYL given.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Electroencephalogram normal, Nervousness
Clinical narrative: Patient had episodes of jumping even when not startled. Looked like a motor reflex, EEG - N seen by neurology.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Fatigue, Feeling abnormal, Mydriasis, Syncope, Vomiting
Clinical narrative: When client stood up, stated "I feel funny had her sit back down, when she sit down she then fainted-nurse lowered her to ground to lie with feet elevated. Client then woke with pupils dilated to 8. Oriented x 3. Pulse - 90 Resp 18 124/84 - After client rested for 15 min B/P 116/64 Pulse 74 Resp 16. Client states she did not eat breakfast or lunch today. Drank glass of water, 15 mins later 110/60 Resp 16 Pulse 70 strong and regular. Denies all s/s-states just feels tired. Client states had nausea on 8/16 at theme park, pupils not dilated-escorted to car per grandmother.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient was lightheaded, sweaty, felt faint.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: Approx. 2 inch whelping with another 1 inch redness around it, warm to touch. Pt does not have fever now, father denies fever or c/o pain. TYLENOL given per wt. and cold pack applied. Script given for cortisone cream & BACTRIM.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Abnormal behaviour, Aggression, Anger, Fatigue, Irritability
Clinical narrative: behavioral change; very moody; irritable; tired; angry; throwing hour long fits, then goes back to being ok and happy
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Mood altered
Clinical narrative: behavioral change; very moody; irritable; tired; angry; throwing hour long fits, then goes back to being ok and happy
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, PNC13
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Fever up to 103, rash left upper arm, mild edema diffusely.
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Blood culture, Chest X-ray, Contraindication to vaccination, Dehydration, Fatigue
Clinical narrative: Fever above 103.4 x 48+ hours, nausea, dehydration, fatigue (thus far).
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Nausea, Pyrexia, Urine analysis
Clinical narrative: Fever above 103.4 x 48+ hours, nausea, dehydration, fatigue (thus far).
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever above 103.4 x 48+ hours, nausea, dehydration, fatigue (thus far).
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Blood culture, Chest X-ray, Contraindication to vaccination, Dehydration, Fatigue
Clinical narrative: Mom reports a fever today 08/18/2010.  Reported to RN.
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Nausea, Pyrexia, Urine analysis
Clinical narrative: Mom reports a fever today 08/18/2010.  Reported to RN.
Age: 13.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PPV, DTAPHEPBIP, HIBV, MMR, PPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Mom reports a fever today 08/18/2010.  Reported to RN.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness, Head discomfort, Lethargy
Clinical narrative: Within 45 mins. of receiving vaccination, symtoms occurred including: Head felt heavy, felt faint, hives on chest (remains today, fever of 101-102, lethargic, muscle aches, upset stomach and diarrhea.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia, Pyrexia, Urticaria
Clinical narrative: Within 45 mins. of receiving vaccination, symtoms occurred including: Head felt heavy, felt faint, hives on chest (remains today, fever of 101-102, lethargic, muscle aches, upset stomach and diarrhea.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Broke out in hives, progressivly got worse all over body. 8-16-10 Went to Dr office.. prescribed Prednisone for 7 days.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Pain
Clinical narrative: Injection site severely throbbing. Ague like syptoms - all over body aching and chills.  The symptoms lasted for 30 hours.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Pharyngeal oedema, Wheezing
Clinical narrative: Patient left clinic after receiving vaccine but returned after a few minutes stating her "throat feels funny". Stated it felt like a "thickening" of the throat. Also c/o wheezing. Wheezing auscultated bilaterally at end of respiration. Pt given dose of Benadryl and observed for one hour. No signs of rash, hives, itching, or swelling. Vitals stable. Pt condition did not worsen. Pt given instructions on what to do if conditions changes or worsens.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Oedema peripheral, Pharyngeal oedema, Tenderness
Clinical narrative: PPD test placed intradermally in clients left lower foremarm 8/16/2010 at 9:05 am. At approximately 1:00 pm, the client noticed her left arm and hand, below the elbow only, were slighly swollen and tender to the touch. There was no fever or redness noted. Her throat was also slightly swollen, no difficulty breathing. She also had extreme tiredness. Client took Tylenol at approximately 1:30 pm. Late in the afternoon, her throat was back to normal on 8/16/10. On 8/17/10, by early afternoon, she noticed that her arm and hand were also back to their normal state. PPD was read on 8/18/10 with 0mm, negative results.   Tubersol--Manufacturer: Aventis Pasteur--Lot: C3584AC  Under vaccines admin. PPD was not an option, so I have placed the pertinent intormation here.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Constipation, Diarrhoea, Flatulence, Haematochezia, Irritability
Clinical narrative: 8/12 and 8/13 she had no stools, then on 8/14 had a large mucousy stool with streaks of blood. Some liquid stools since, very fussy, very gassy. 8/19 was feeling better and had normal appearing stools.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Mucous stools, Occult blood
Clinical narrative: 8/12 and 8/13 she had no stools, then on 8/14 had a large mucousy stool with streaks of blood. Some liquid stools since, very fussy, very gassy. 8/19 was feeling better and had normal appearing stools.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Autonomic nervous system imbalance, CSF protein increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyogram abnormal, Guillain-Barre syndrome
Clinical narrative: Numbness, tingling, paresthesis, paralysis, autonomic nervous system dysfunction, diagnosed with Guillain-Barre syndrome in July 1999 and then later changed to CIDP in October 1999.  Hospitalized from July 16th, 1999 until January 2000.  In physical therapy for 3 years.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia, Paralysis
Clinical narrative: Numbness, tingling, paresthesis, paralysis, autonomic nervous system dysfunction, diagnosed with Guillain-Barre syndrome in July 1999 and then later changed to CIDP in October 1999.  Hospitalized from July 16th, 1999 until January 2000.  In physical therapy for 3 years.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Intussusception, Laboratory test, X-ray
Clinical narrative: Patient diagnosed with intussusception to hepatic flexure on 8/12/10 (3 months of age). On 7/22/10, she was given ROTATEQ, (DTaP, Hib, and IVP=>PENTACEL), and PREVNAR.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Abdominal X-ray, Enema administration, Hypophagia, Intussusception, Lacrimation decreased
Clinical narrative: Patient diagnosed with intussusception to hepatic flexure on 8/12/10 (3 months of age). On 7/22/10, she was given ROTATEQ, (DTaP, Hib, and IVP=>PENTACEL), and PREVNAR.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Occult blood positive, Urine output decreased, Vomiting, X-ray abnormal
Clinical narrative: Patient diagnosed with intussusception to hepatic flexure on 8/12/10 (3 months of age). On 7/22/10, she was given ROTATEQ, (DTaP, Hib, and IVP=>PENTACEL), and PREVNAR.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Pain, Wrong technique in drug usage process
Clinical narrative: Patient was given an intramuscular pneumococcal vaccine in the right arm via a student nurse while in the hospital. Patient was in good health at time of discharge, when the patient arrived home she had a temperature of 104 F, pain, immobility of the right arm, and was delusional. The patient's husband called an ambulance and the patient was taken to a local hospital. Orthopedic surgeon consult felt the vaccine was injected into the patient's bursa (too high).
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Ammonia normal, Blood lactic acid normal, Differential white blood cell count, Drug screen, Electroencephalogram abnormal
Clinical narrative: Presented with twin sister with GTC seizures (3 episodes) day of immunizations.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Full blood count normal, Grand mal convulsion, Haematocrit normal, Metabolic function test
Clinical narrative: Presented with twin sister with GTC seizures (3 episodes) day of immunizations.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Ammonia normal, Blood lactic acid normal, Computerised tomogram head, Computerised tomogram normal, Drug screen negative
Clinical narrative: She and twin sister presented with seizures (GTC) several hours after receiving 4 month immunizations.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Electroencephalogram abnormal, Full blood count normal, Grand mal convulsion
Clinical narrative: She and twin sister presented with seizures (GTC) several hours after receiving 4 month immunizations.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARZOS
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was given ZOSTAVAX instead of Varicella - No adverse reaction was reported.
Age: 0.24
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Breath holding, Musculoskeletal stiffness, Staring, Vomiting
Clinical narrative: Patient received PENTACEL and PCV7 on 8/13/10 45 min later, mother found baby stiffening, eyes open but dazed look, lasted 5 sec, Pt also holding her breath - 911 called. Pt threw up once, taken to ER at hospital.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Crying, Pain, Pruritus, Urticaria
Clinical narrative: Per pt's mother pt c/o increased pain at 8 pm. Pt. began itching et crying at 1200 AM. Pt taken to ED, dx of hives, given Rx for Prednisone et IM inj. of BENADRYL. Pt's hives resolved this AM.
Age: 42.0
Sex: M
Vaccine: MNQ
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Fever (101 degrees), diffuse body aches/stiffness with onset of about 3 hours following vaccine administration.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Chest pain, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling redness, induration at site chest pain.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Knot at inject site, redness surrounding area about the diameter of a baseball (not swollen to size of baseball). Pt has appointment scheduled with dermatologist today & will ask him to evaluate. Pt advised cold pack and BENADRYL. Redness and itching progressing over last 6 days.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Injection site pustule, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: 08/18/2010 Father brought patient into health department  reporting a swollen, red, painful left arm. Had shots on 8/16/10 about 10 AM. Pain and redness and rash started about 2 pm same day. Area of about 5" x 4" on (L) arm erythemic with about 20 small and one 3/4" fluid filled pustule around site of injection. Referred to PMD. TC to Father 8/18 at 2pm doctor prescribed antibiotic and BENADRYL.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Expired drug administered
Clinical narrative: Unknown - nothing reported. Expired PEDIARIX given to patient. Nothing reported by parents/patient.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site rash, Injection site swelling, Rash maculo-papular
Clinical narrative: Received vaccines listed below 8/16/10 approx 3:30pm. Mom noted redness & swelling (L) upper arm approx 8pm 8/17/10. Patient seen in office 8/18/10 4:15pm-BENADRYL 1 tsp and q 6hrs given-Ibuprofen 1 tsp q 6hrs. Maculopapular red rash mid left anterolateral upper arm mild edema upper (L) arm to (L) elbow.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Mom returned to office approx. 10 min after vaccines given due to childs arm having a welt and being red and swollen. A circle was drawn around red area and BENADRYL was given in office.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Dyspnoea, Headache
Clinical narrative: Back ache, fever 104.2, numbness & tingling both arms/hands, n/v, mid upper epigast. pain, HA, muscle & joint pain, dyspnea, rapid pulse.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Heart rate increased, Hypoaesthesia, Myalgia, Nausea, Paraesthesia
Clinical narrative: Back ache, fever 104.2, numbness & tingling both arms/hands, n/v, mid upper epigast. pain, HA, muscle & joint pain, dyspnea, rapid pulse.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia, Vomiting
Clinical narrative: Back ache, fever 104.2, numbness & tingling both arms/hands, n/v, mid upper epigast. pain, HA, muscle & joint pain, dyspnea, rapid pulse.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swollen, warm to touch 5 inch diameter around shot site.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Convulsion, Immediate post-injection reaction, Presyncope, Somnolence
Clinical narrative: Severe vagal response with convulsion-like activity immediately following vaccination with MENACTRA. 2 more vagal episodes followed over 10-15 minutes. Remained drowsy and very weak. Transported to ER via ambulance.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, pain developed in left upper arm on the night the injection was given. Referred to hospital treated with clindamycin for cellulitis.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Blister, Rash, Skin discolouration, Skin necrosis
Clinical narrative: Reported to pharmacist- 4 days post: rash with clear blisters turning necrotic-pharmacist viewed lesions active blisters/black tissue-left arm lower. Localized in 1" circle-viewed 8-18-10.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Oedema peripheral, Pain in extremity, Rash
Clinical narrative: On 8/17 when pt. got up she had a rash looked like mosquito bites on a patch of her leg & arm. It spread by afternoon. 8/18 AM she was covered with the rash. She complained that her hands & feet hurt & edema hard to close her hand. Mom gave 3 doses of BENADRYL during the day. 8/19 improved but legs swollen - took BENADRYL & went to work.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Itching, redness, tenderness and hardening at the injection site.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Itching, redness, tenderness and hardening at the injection site.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Blood test, Fatigue, Headache, Insomnia
Clinical narrative: Tingling in hands. Headache. Insomnia. Fatigue. Muscle aches. GI distress.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: Tingling in hands. Headache. Insomnia. Fatigue. Muscle aches. GI distress.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives on (L) side of face.
Age: 3.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling to (L) arm from shoulder to elbow.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia
Clinical narrative: Client states, "I developed a fever of 101 degrees the night of receiving vaccine along with general body aches. No respiratory problems". Lasted about 24 hrs. I called my PCP no treatment ordered.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site atrophy
Clinical narrative: Over 3 weeks, patient/mother noted dimpling over (Lt) thigh injection site measures 3 cm in diameter. No pain referred to plastic surgeon for consult. We will also refer to peds/derm. (Mother defers additional referrals)
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pain
Clinical narrative: Received DTAP (L) deltoid on 8/17/10. Next day in AM mom noticed redness at site of injection & pt c/o of pain in past 24 hrs pain increased, redness & swelling increased. Pt examined today 5x4cm area of redness, induration and tenderness noted.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 2.5.in x 4in Red area around injection site. Red, warm to touch.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Complication of delivery, Drug exposure during pregnancy, Dyspepsia, Foetal disorder, Premature baby
Clinical narrative: A serious, spontaneous report of received H1N1 and found out pregnant, pulmonary embolism, the umbilical cord was short and when the doctor tugged on it the cord snapped, heartburn and itching was received from a 27-year-old registered nurse/healthcare professional concerning herself, subsequent to H1N1 vaccine, Intranasal. This case is linked to MEDI-0011469. Neither relevant medical and obstetrical history nor concomitant medications have been reported for this patient. The expected delivery date was 30-Jul-2010. On 05-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. On 15-Nov-2009, the patient found out that she was pregnant. The patient started taking prenatal vitamins. From the middle of the 2nd trimester, the patient was taking diphenhydramine for itching and ranitidine hydrochloride for heartburn, both on a daily basis. On 24-Jun-2010, she delivered a baby girl at 35 weeks and six days gestation. The birth weight of the baby was 6 lbs and 4 ounces; apgar score at both one and five minutes was nine. The delivery was vaginal, the only complication was the umbilical cord was short and when the doctor tugged on it, the cord snapped. The doctor therefore had to deliver the placenta manually. The baby was perfectly healthy at birth. Four weeks after delivery, the patient had a pulmonary embolism, she was unsure if that was related to the H1N1 vaccine. The patient was hospitalised on 26-Jul-2010 and treated with intravenous heparin and was discharged on 31-Jul-2010 and was on warfarin sodium at the time of report. The outcome of 'vaccine exposure during pregnancy' and 'the umbilical cord was short and when the doctor tugged on it the cord snapped' was considered recovered. The outcome of pulmonary embolism, heartburn and itching was unknown at the time of report. Additional information was received on 09-Aug-2010 and incorporated into the narrative: Case upgraded from AESI to 15-day, since information of two serious events received. Serious events experienced by the patient are "pulmonary embolism" and 'the umbilical cord was short and when the doctor tugged on it the cord snapped" and two non-serious events are "heartburn" and "itching". Medications during pregnancy, newborn information, treatment medications.