chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Dry throat, Feeling hot, Rash
Clinical narrative: Injection given 10/8/09 afternoon. That evening a rash developed to the back of his shoulders and back (more on left side) No rash to chest or arm at injection site. Rash worse on Friday. Felt hot with dry throat and never took temperature took Benadryl Sun. Feels better Monday and rash resolving. Small amount remains on back; shoulders clear.
Age: 55.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Anxiety, Diarrhoea, Vomiting
Clinical narrative: Pt, had TDaP, flu and PPV23 given at 11:30AM 9/22/2009=> pt called PCP office around 5PM c/o severe vomiting and diahrrea. Pt very anxious and advised to go to ER. ER note from 9/22/09 at 6:30PM report s/s resolved.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms
Clinical narrative: Sever bilateral cramping in thighs, calves, shins & feet.  Started @ 4 PM -> at night bad.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site nodule
Clinical narrative: 23 Y/O male reports development of persistent nodular lesion at the original smallpox vaccination site. Patient was vaccinated in a base in 2005. Lesions has persisted until this day. No itching, pain, or drainage associated with the lesion development.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Muscular weakness, Nausea, Neurological symptom
Clinical narrative: Neurological sx-leg giving out-speech problems, nausea, weakness, fatigue.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Speech disorder
Clinical narrative: Neurological sx-leg giving out-speech problems, nausea, weakness, fatigue.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymph node pain
Clinical narrative: Vaccinated with AFLURIA 2009-2010 formula noon 09/16/09. By early evening hard 4 inch x 2 inch by 1 inch swollen area on deltoid an upper arm left. Next AM swollen lymph node left clavicle area 3. 5x2. 25 inch. tender to touch. No fever. Same afility 3 others have reported arm reactions with soreness, redness and warmth post injection.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy
Clinical narrative: Vaccinated with AFLURIA 2009-2010 formula noon 09/16/09. By early evening hard 4 inch x 2 inch by 1 inch swollen area on deltoid an upper arm left. Next AM swollen lymph node left clavicle area 3. 5x2. 25 inch. tender to touch. No fever. Same afility 3 others have reported arm reactions with soreness, redness and warmth post injection.
Age: 1.6
Sex: F
Vaccine: DTAP, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Swelling, redness, hot to touch, hospitalization. IV antibiotics clindamycin, home on oral Rx BACTRIM.     10/23/09:  Emergency Department Records and Dischrage Summary received for Date of Service 9/20/09.  Dx:  Cellulitis of the left thigh. Assessment:  Presented with 1 1/2 day of left thigh redness and pain to left thigh injection site.  Site warm to the touch.  Decrease level of activity noted.  IV antibiotics initiated.  Admitted for inpatient treatment.  Discharged in improved condition, Bactrim to be continued for an additional 5 days  Follow-up: Hospital stay x 4 days IV and oral meds.
Age: 1.6
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site warmth, Skin warm
Clinical narrative: Swelling, redness, hot to touch, hospitalization. IV antibiotics clindamycin, home on oral Rx BACTRIM.     10/23/09:  Emergency Department Records and Dischrage Summary received for Date of Service 9/20/09.  Dx:  Cellulitis of the left thigh. Assessment:  Presented with 1 1/2 day of left thigh redness and pain to left thigh injection site.  Site warm to the touch.  Decrease level of activity noted.  IV antibiotics initiated.  Admitted for inpatient treatment.  Discharged in improved condition, Bactrim to be continued for an additional 5 days  Follow-up: Hospital stay x 4 days IV and oral meds.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: Headache; Dizziness; Weakness
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Rash, Rash papular
Clinical narrative: Red bumps trunk, arms, legs.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chest X-ray, Dyspnoea, Pain in extremity, Paraesthesia
Clinical narrative: REPORTED LEGS WERE HURTING AND TINGLING ON PM OF DAY OF VACCINATION.  NEXT MORNING REPORTED HAVING TROUBLE BREATHING, STATES" FELT I COULDN'T GET ENOUGH AIR IN"
Age: 55.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: I gave vaccine that was indicated for 2-49 years of age. The client was a 55 year old healthcare worker working in our jail. Client will inform us about possible adverse events.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Eye swelling, Nasal congestion, Swelling face
Clinical narrative: Woke up in AM with swollen face and puffy eyes and serous nasal congestion  Treated with Clarinex 5 mg po in office to be given q day until swelling resolved
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Feeling abnormal, Injection site erythema, Skin warm
Clinical narrative: Walked in with Mom Friday am. In Raised erythema (area of varicella) did not feel good skin temp warm. Advised to go immediately to PMD.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersomnia, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral, Monoplegia
Clinical narrative: Couldn't wake up all day next day (Sat.). Slept on the floor while her child played. On 10/11 noted numbness in face and mouth to right shoulder. On 10/12 noted numbness and pain down right arm (shot given in left.) Began to have numbness left hand. Later, in ED, right arm became paralyzed. 11/9/09:  ED Records received for date of service 10/12/09:  Dx:  peripheral neuropathy  Assessment:  Presented with numbness of arms, fingers and mouth.  Normal reflexes, RUE weakness, no LUE weakness.  Had flu shot and  felt sick the next day:  dizzy, fatigue, slight sore throat. No lower extremity weakness.  Gait normal.  IV fluids given.  Appointment made to follow up in neurology clinic.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Couldn't wake up all day next day (Sat.). Slept on the floor while her child played. On 10/11 noted numbness in face and mouth to right shoulder. On 10/12 noted numbness and pain down right arm (shot given in left.) Began to have numbness left hand. Later, in ED, right arm became paralyzed. 11/9/09:  ED Records received for date of service 10/12/09:  Dx:  peripheral neuropathy  Assessment:  Presented with numbness of arms, fingers and mouth.  Normal reflexes, RUE weakness, no LUE weakness.  Had flu shot and  felt sick the next day:  dizzy, fatigue, slight sore throat. No lower extremity weakness.  Gait normal.  IV fluids given.  Appointment made to follow up in neurology clinic.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Diarrhoea, Rhinorrhoea, Sneezing, Vomiting
Clinical narrative: Diarrhea, runny nose sneezing.  10/12/2009 vomiting 9pm and 3am.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Balance disorder, Immediate post-injection reaction, Pyrexia, Tremor
Clinical narrative: right after, shaking hands and unsteady feeling overall.  Next day, slight fever, broke next day in am.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Condition aggravated, Dysstasia, Ear pain, Headache
Clinical narrative: chills, muscle aches especially upper back and shoulders, H/A, slight nausea, earache, activated peripheral neuropathy, hardly able to stand. Contacted her cardiologist by phone and he felt that this was a reaction to the flu shot but not unexpected
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Immunisation reaction, Myalgia, Nausea, Neuropathy peripheral
Clinical narrative: chills, muscle aches especially upper back and shoulders, H/A, slight nausea, earache, activated peripheral neuropathy, hardly able to stand. Contacted her cardiologist by phone and he felt that this was a reaction to the flu shot but not unexpected
Age: 13.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Urticaria
Clinical narrative: 10/3/09 - Received FLUMIST @ noon.  Developed hives @ 4PM.  Benadryl given per mom.  10/4/09 - Only a few hives remained on patient's trunk.  10/5/09 - Resolved; no further hives.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever of 105 last night.  Temp 102 today.  Using MOTRIN/TYLENOL.  Instructed: Sleeping since he got home from school.  Instructed to take to ER for evaluation.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Erythema, Herpes virus infection, Injection site erythema, Injection site vesicles
Clinical narrative: Initial report received on 29 September 2009 from a health care professional. A 63 year old male patient with no reported past medical history developed redness at the site which blistered within 24 hours of receiving FLUZONE SV 2009-2010 (lot number U3216AA) intramuscularly in the left deltoid on 23 September 2009. One year prior, the patient had a influenza vaccine, but did not experience any reactions to the vaccine. Concomitant therapy included blood pressure and cholesterol medication (name of medication was not specified). On 24 September 2009, the patient also experienced redness to the left side of his chest, forehead, shoulders, and armpits which also turned to blisters. The patient was advised by the reporter to contact his primary care provider for treatment. The patient was seen in the emergency room on 29 September 2009 and was diagnosed with herpes virus outbreak. The patient was prescribed antiviral medication. No further information was provided. The patient did not recover. List of Documents held by Sender: none.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug
Clinical narrative: Initial report received on 29 September 2009 from a health care professional. A 63 year old male patient with no reported past medical history developed redness at the site which blistered within 24 hours of receiving FLUZONE SV 2009-2010 (lot number U3216AA) intramuscularly in the left deltoid on 23 September 2009. One year prior, the patient had a influenza vaccine, but did not experience any reactions to the vaccine. Concomitant therapy included blood pressure and cholesterol medication (name of medication was not specified). On 24 September 2009, the patient also experienced redness to the left side of his chest, forehead, shoulders, and armpits which also turned to blisters. The patient was advised by the reporter to contact his primary care provider for treatment. The patient was seen in the emergency room on 29 September 2009 and was diagnosed with herpes virus outbreak. The patient was prescribed antiviral medication. No further information was provided. The patient did not recover. List of Documents held by Sender: none.
Sex: M
Vaccine: FLU3
Symptoms: Pain, Paraesthesia
Clinical narrative: Initial case was received from a physician on 01 October 2009. The physician, who is also the patient, reported two additional patients who experienced similar events following vaccination with FLUZONE. No identifiers were reported for the other two patients, and lot number for those patients was unknown. A male patient experienced pain and paresthesia after receiving a right arm injection of FLUZONE No Preservative 2009-2010 (lot number U3253CA) on 17 September 2009. Two days post-vaccination, on 19 September 2009, he developed paresthesia and pain in the right side of his body, from his armpit to his lower abdomen. At the time of the report, the events were still ongoing. According to the reporter, the other two patients experienced similar reactions. Documents held by sender: None.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Swollen tongue
Clinical narrative: Anaphylaxis 2 hours post injection with swollen tongue.  Patient taken to ER.  Patient reported to pharmacy on 10-5-09.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Computerised tomogram abnormal, Ear congestion, Electrocardiogram, Increased upper airway secretion
Clinical narrative: Initial report received on 02 October 2009 from a consumer. A 56 year old female patient with a "low thyroid" and allergies to mold, ragweed, KEFLEX, and BACTRIM complained of congestion "with lots of phlegm", ear congestion, watery, blurry eyes twelve hours after receiving FLUZONE SV (lot number not known) intramuscularly in the right deltoid on 25 September 2009. The patient stated that the vaccine appeared to be pink in color. On 27 September 2009 the patient went to the emergency room and was treated with PREDNISONE and ZITHROMAX. On 30 September 2009 the patient was seen again in the emergency room. No further treatment was given at that time. Concomitant therapy included herbals, "bp meds", Synthroid, oils, and vitamins. Diagnostics included: EKG (results not provided), CT chest which revealed bronchitis (dates not specified). On 27 September the patient had a negative flu test. The patient's recovery status was unknown. List of Documents held by Sender: none.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza serology negative, Lacrimation increased, Respiratory tract congestion, Vision blurred
Clinical narrative: Initial report received on 02 October 2009 from a consumer. A 56 year old female patient with a "low thyroid" and allergies to mold, ragweed, KEFLEX, and BACTRIM complained of congestion "with lots of phlegm", ear congestion, watery, blurry eyes twelve hours after receiving FLUZONE SV (lot number not known) intramuscularly in the right deltoid on 25 September 2009. The patient stated that the vaccine appeared to be pink in color. On 27 September 2009 the patient went to the emergency room and was treated with PREDNISONE and ZITHROMAX. On 30 September 2009 the patient was seen again in the emergency room. No further treatment was given at that time. Concomitant therapy included herbals, "bp meds", Synthroid, oils, and vitamins. Diagnostics included: EKG (results not provided), CT chest which revealed bronchitis (dates not specified). On 27 September the patient had a negative flu test. The patient's recovery status was unknown. List of Documents held by Sender: none.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Antinuclear antibody, Blister, HIV test, Hepatitis viral test, Purpura
Clinical narrative: Patient developed a purpuric rash and vesicles on his abdominal wall after receiving the Hepatitis B vaccine.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Rheumatoid factor, Syphilis test
Clinical narrative: Patient developed a purpuric rash and vesicles on his abdominal wall after receiving the Hepatitis B vaccine.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Injection site erythema, Rash
Clinical narrative: Patient was administered the ZOSTAVAX vaccine at 11:10 on 10/07/2009. After about half hour patient experienced allergy rash symptoms on the arms. Patient took 1 tablet of BENADRYL 25 mg. Later in the evening pt noticed rash on forehead, body and arms. Patient took half a tablet of BENADRYL 25 mg at bedtime. Next day, morning, 10/08/2009, allergy and rash symptoms subsided completely and patient had only injection site redness.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient received the FlLULAVAL 2009-2010 flu shot on 9/22/2009. He developed shingles about 4 days later and was seen at the Clinic. He still had the rash on his arm, but it is getting better.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram, Concussion, Convulsion, Fall, Immediate post-injection reaction
Clinical narrative: Information has been received from a physician concerning a 16 year old female with no known drug allergies, no pertinent medical history or concurrent conditions, who on 24-SEP-2009 was vaccinated with the 0.5 mL first dose of GARDASIL (lot # 663452/0671Y). No other vaccines or concomitant medications administered. The nurse administered the injection and the patient had immediate syncope with no warning and loss of consciousness for 15 seconds. The patient fell forward off the exam table, chip a tooth, scraped her knee, had a seizure and a concussion. The whole incident was 15 seconds. The physician stabilized her neck to open her airway, turned her on her back and patient came around. The patient was transported to emergency room and got a CT scan of head and neck performed (result not reported). Subsequently the patient recovered from the events. The physician's receptionist contacted during telephone follow-up, stated that the patient was not hospitalized and could not comment on disability or whether the event was life threatening, as there was no mention of this in the patient's chart. Seizure, syncope with no warning, fell forward off the exam table, chip a tooth, scraped her knee and concussion were determined to be an other important medical event by the physician. No further information is available. 12/30/09 PCP record received for DOS 09/28/07- 10/15/09. Patient had syncopal episode after receiving 1st dose of Gardasil on 09/24/09. Fell forward and hit head. Pt. was diaphoretic and unresponsive for 10-15 seconds with 3 second seizure. Transferred to ED.  On 09/25/09 Pt. presents for ER followup with neck pain. Tx. with Advil.  Phone call from mother on 9/28/09 reports pt. having dizziness, sleepiness and nausea.  Pt. went to school on 9/29/09 with headache and persistent sensitivity to left side of face. 01/04/10 ED records received DOS 02/21/06
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Joint injury, Loss of consciousness, Syncope, Tooth injury
Clinical narrative: Information has been received from a physician concerning a 16 year old female with no known drug allergies, no pertinent medical history or concurrent conditions, who on 24-SEP-2009 was vaccinated with the 0.5 mL first dose of GARDASIL (lot # 663452/0671Y). No other vaccines or concomitant medications administered. The nurse administered the injection and the patient had immediate syncope with no warning and loss of consciousness for 15 seconds. The patient fell forward off the exam table, chip a tooth, scraped her knee, had a seizure and a concussion. The whole incident was 15 seconds. The physician stabilized her neck to open her airway, turned her on her back and patient came around. The patient was transported to emergency room and got a CT scan of head and neck performed (result not reported). Subsequently the patient recovered from the events. The physician's receptionist contacted during telephone follow-up, stated that the patient was not hospitalized and could not comment on disability or whether the event was life threatening, as there was no mention of this in the patient's chart. Seizure, syncope with no warning, fell forward off the exam table, chip a tooth, scraped her knee and concussion were determined to be an other important medical event by the physician. No further information is available. 12/30/09 PCP record received for DOS 09/28/07- 10/15/09. Patient had syncopal episode after receiving 1st dose of Gardasil on 09/24/09. Fell forward and hit head. Pt. was diaphoretic and unresponsive for 10-15 seconds with 3 second seizure. Transferred to ED.  On 09/25/09 Pt. presents for ER followup with neck pain. Tx. with Advil.  Phone call from mother on 9/28/09 reports pt. having dizziness, sleepiness and nausea.  Pt. went to school on 9/29/09 with headache and persistent sensitivity to left side of face. 01/04/10 ED records received DOS 02/21/06
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Papilloma viral infection, Rash generalised, Smear cervix abnormal
Clinical narrative: Information has been received from a registered nurse for the Pregnancy Registry for GARDASIL, concerning a 17 year old female with depressive disorder and no known drug allergies who on 17-AUG-2007 and 11-MAY-2009 was vaccinated with first dose (lot number 656051/0244U) and second dose (659184/0843X), respectively of GARDASIL. Concomitant therapy included LEXAPRO. On an unspecified date after the patient received the second dose of GARDASIL, a PAP test was positive for HPV. The registered nurse reported that the patient is now pregnant. The patient's LMP was on 01-JUN-2009 and the EDT was 08-MAR-2010. The registered nurse reported that there was an abnormality in fetus. An initial ultrasound by their office found an abnormality and the patient was referred to an unspecified perinatologist who did another ultrasound which also showed the abnormality. There were additional work ups being done followed by perinatologist and by their office. Follow up information was received from a Licensed Practical Nurse. She reported the patient was being seen for her Ob/Gyn care. The patient received 2 doses of GARDASIL at her Pediatrician's office: the first dose was administered on 17-AUG-2007 (Lot number 656051/0244U, route not reported) and the second dose was given on 11-MAY-2009 (Lot # 659184/0843X). The patient has a history of Bipolar disorder for which she was being treated with LEXAPRO (start date not reported). The patient's LMP was reported as 01-JUN-2009 and her EDD is 08-MAR-2010. The licensed practical nurse further added that the maternal great uncle of the baby's father had a history of mental retardation. The patient was on no other concomitant medications and had no other vaccinations at the same time as her GARDASIL injections. After the patient discovered she was pregnant, she stopped taking LEXAPRO (stop date not reported). The patient had a body rash during her first trimester (no further details were provided). The patient underwent a pregnancy ultrasound, the following was noted: The fetus has a misshapen skull with anterior and posterior bulging at the forehead. The cranial contents could not be assessed due to gestational age. The fetus's left foot is partially present and fine amniotic bands were present in the amniotic fluid. The Impression of this study was of amniotic band syndrome (which was not confirmed). The LPN reported that the physician felt as though the prognosis was grim and fetal defects would be fatal, but was unsure. The patient is scheduled to have a consult with a Perinatologist on 08-OCT-2009. The patient refused an amniocentesis and was planning on continuing with the pregnancy at this time. Skull malformation, congenital deformity of foot, and Amniotic Band Syndrome were considered congenital anomalies. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan abnormal
Clinical narrative: Information has been received from a registered nurse for the Pregnancy Registry for GARDASIL, concerning a 17 year old female with depressive disorder and no known drug allergies who on 17-AUG-2007 and 11-MAY-2009 was vaccinated with first dose (lot number 656051/0244U) and second dose (659184/0843X), respectively of GARDASIL. Concomitant therapy included LEXAPRO. On an unspecified date after the patient received the second dose of GARDASIL, a PAP test was positive for HPV. The registered nurse reported that the patient is now pregnant. The patient's LMP was on 01-JUN-2009 and the EDT was 08-MAR-2010. The registered nurse reported that there was an abnormality in fetus. An initial ultrasound by their office found an abnormality and the patient was referred to an unspecified perinatologist who did another ultrasound which also showed the abnormality. There were additional work ups being done followed by perinatologist and by their office. Follow up information was received from a Licensed Practical Nurse. She reported the patient was being seen for her Ob/Gyn care. The patient received 2 doses of GARDASIL at her Pediatrician's office: the first dose was administered on 17-AUG-2007 (Lot number 656051/0244U, route not reported) and the second dose was given on 11-MAY-2009 (Lot # 659184/0843X). The patient has a history of Bipolar disorder for which she was being treated with LEXAPRO (start date not reported). The patient's LMP was reported as 01-JUN-2009 and her EDD is 08-MAR-2010. The licensed practical nurse further added that the maternal great uncle of the baby's father had a history of mental retardation. The patient was on no other concomitant medications and had no other vaccinations at the same time as her GARDASIL injections. After the patient discovered she was pregnant, she stopped taking LEXAPRO (stop date not reported). The patient had a body rash during her first trimester (no further details were provided). The patient underwent a pregnancy ultrasound, the following was noted: The fetus has a misshapen skull with anterior and posterior bulging at the forehead. The cranial contents could not be assessed due to gestational age. The fetus's left foot is partially present and fine amniotic bands were present in the amniotic fluid. The Impression of this study was of amniotic band syndrome (which was not confirmed). The LPN reported that the physician felt as though the prognosis was grim and fetal defects would be fatal, but was unsure. The patient is scheduled to have a consult with a Perinatologist on 08-OCT-2009. The patient refused an amniocentesis and was planning on continuing with the pregnancy at this time. Skull malformation, congenital deformity of foot, and Amniotic Band Syndrome were considered congenital anomalies. Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Erythema, Flushing, Headache
Clinical narrative: 12:39 pm- 0.5 cc Fluvarin seasonal vaccine injected IM into left deltoid. 12:40pm- Patient became very flushed, eyes watering, c/o "do not feel well", headache. 12:41pm- Patient got weak and headache worsening, slowly laid down to floor. Administered 0.3 cc Epinephrine sub-q  deltoid. BP 120/80  pulse 100. 12:48 pm-  Patient c/o "heavy chest", lungs clear, called 911 and requested ambulance. Pulse 92. 12:50pm-    Pink face (redness lessening), chest heaviness relieved. Pulse 89  SPO2 98%. 12:56 Ambulance/EMS arrived, SPO2 92%
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Lacrimation increased, Malaise
Clinical narrative: 12:39 pm- 0.5 cc Fluvarin seasonal vaccine injected IM into left deltoid. 12:40pm- Patient became very flushed, eyes watering, c/o "do not feel well", headache. 12:41pm- Patient got weak and headache worsening, slowly laid down to floor. Administered 0.3 cc Epinephrine sub-q  deltoid. BP 120/80  pulse 100. 12:48 pm-  Patient c/o "heavy chest", lungs clear, called 911 and requested ambulance. Pulse 92. 12:50pm-    Pink face (redness lessening), chest heaviness relieved. Pulse 89  SPO2 98%. 12:56 Ambulance/EMS arrived, SPO2 92%
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac enzymes normal, Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Hypotension
Clinical narrative: One hour after administration injection site pain that radiated into armpit, 7/10, burning and sharp,lasted one hour. Then burning,pressure started to radiate across her chest to sternum and base of neck, uncomfortable sensation, lasted into next day. No shortness of breath or wheezing. No nausea or vomiting. No numbness or tingling. No itching or skin rash. Next day still symptomatic seen in urgent care. IV fluids and Toradol IV given,symptoms resolved in 3 hours.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: One hour after administration injection site pain that radiated into armpit, 7/10, burning and sharp,lasted one hour. Then burning,pressure started to radiate across her chest to sternum and base of neck, uncomfortable sensation, lasted into next day. No shortness of breath or wheezing. No nausea or vomiting. No numbness or tingling. No itching or skin rash. Next day still symptomatic seen in urgent care. IV fluids and Toradol IV given,symptoms resolved in 3 hours.
Age: 1.75
Sex: F
Vaccine: FLUX
Symptoms: Electroencephalogram, Febrile convulsion
Clinical narrative: focal febrile seizure
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature normal, Injection site rash, Injection site swelling, Lethargy, Pyrexia
Clinical narrative: swelling at injection site, rash at inj. site, whezzing, low grade fever(99, 100) lethargy
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Wheezing
Clinical narrative: swelling at injection site, rash at inj. site, whezzing, low grade fever(99, 100) lethargy
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site abscess, Injection site erythema, Injection site swelling, Ultrasound scan
Clinical narrative: Pt presented to office with red raised areas at injection sites of recent immunizations. They were not fluctuant and did not require I&D, but was placed on antibiotics.  He presented to office 10/13/2009 with frank abscesses to both thighs at injection sites- total of 3 wounds
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site abscess sterile, Injection site pain, Local reaction, Surgery
Clinical narrative: Pt presented to office with red raised areas at injection sites of recent immunizations. They were not fluctuant and did not require I&D, but was placed on antibiotics.  He presented to office 10/13/2009 with frank abscesses to both thighs at injection sites- total of 3 wounds
Age: 22.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Received INFLUENZA A H1N1 FLU MIST 10-7-09, next day had N/V for short period of time.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Depressed level of consciousness, Dizziness, Fatigue, Flushing
Clinical narrative: Child became flushed about 15 minutes after administration.  Progressed to dizziness and became unconscious at home.  Was difficult to arouse, unknown seizure activity.  Prednisione 30 mg was given, and child was taken to Emergency Room, and was evaluated.  Has severe pounding headache, general body aches and very tired.  Has slept excessively.  12/09/09 Immunization records received  12/10/09 MR received for DOS 10/12/09. DX: vaccine reaction to gardasil.  After receiving vaccine, Pt felt flushed, lightheaded, became unresponsive for 10-15 sec, body pain. tx: orapred, motrin.  Pt discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Hypersomnia, Loss of consciousness, Pain
Clinical narrative: Child became flushed about 15 minutes after administration.  Progressed to dizziness and became unconscious at home.  Was difficult to arouse, unknown seizure activity.  Prednisione 30 mg was given, and child was taken to Emergency Room, and was evaluated.  Has severe pounding headache, general body aches and very tired.  Has slept excessively.  12/09/09 Immunization records received  12/10/09 MR received for DOS 10/12/09. DX: vaccine reaction to gardasil.  After receiving vaccine, Pt felt flushed, lightheaded, became unresponsive for 10-15 sec, body pain. tx: orapred, motrin.  Pt discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dizziness, Headache, Loss of consciousness, Myalgia, Somnolence
Clinical narrative: Child became flushed about 15 minutes after administration.  Progressed to dizziness and became unconscious at home.  Was difficult to arouse, unknown seizure activity.  Prednisione 30 mg was given, and child was taken to Emergency Room, and was evaluated.  Has severe pounding headache, general body aches and very tired.  Has slept excessively.  12/09/09 Immunization records received  12/10/09 MR received for DOS 10/12/09. DX: vaccine reaction to gardasil.  After receiving vaccine, Pt felt flushed, lightheaded, became unresponsive for 10-15 sec, body pain. tx: orapred, motrin.  Pt discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fatigue, Haematology test normal, Headache, Loss of consciousness
Clinical narrative: Child became flushed about 15 minutes after administration.  Progressed to dizziness and became unconscious at home.  Was difficult to arouse, unknown seizure activity.  Prednisione 30 mg was given, and child was taken to Emergency Room, and was evaluated.  Has severe pounding headache, general body aches and very tired.  Has slept excessively.  12/09/09 Immunization records received  12/10/09 MR received for DOS 10/12/09. DX: vaccine reaction to gardasil.  After receiving vaccine, Pt felt flushed, lightheaded, became unresponsive for 10-15 sec, body pain. tx: orapred, motrin.  Pt discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Myalgia
Clinical narrative: Child became flushed about 15 minutes after administration.  Progressed to dizziness and became unconscious at home.  Was difficult to arouse, unknown seizure activity.  Prednisione 30 mg was given, and child was taken to Emergency Room, and was evaluated.  Has severe pounding headache, general body aches and very tired.  Has slept excessively.  12/09/09 Immunization records received  12/10/09 MR received for DOS 10/12/09. DX: vaccine reaction to gardasil.  After receiving vaccine, Pt felt flushed, lightheaded, became unresponsive for 10-15 sec, body pain. tx: orapred, motrin.  Pt discharged home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Depressed level of consciousness, Dizziness, Fatigue, Flushing
Clinical narrative: Dizziness, lightheadedness, loss of conciousness, severe headache, muscleaches, excessive sleepiness
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Hypersomnia, Loss of consciousness, Pain
Clinical narrative: Dizziness, lightheadedness, loss of conciousness, severe headache, muscleaches, excessive sleepiness
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dizziness, Headache, Loss of consciousness, Myalgia, Somnolence
Clinical narrative: Dizziness, lightheadedness, loss of conciousness, severe headache, muscleaches, excessive sleepiness
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fatigue, Haematology test normal, Headache, Loss of consciousness
Clinical narrative: Dizziness, lightheadedness, loss of conciousness, severe headache, muscleaches, excessive sleepiness
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Myalgia
Clinical narrative: Dizziness, lightheadedness, loss of conciousness, severe headache, muscleaches, excessive sleepiness
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: sore arm; reddened injection site; complaint of inability to hold arm up. Employee saw personal physician; received steriod injection. Patient had an MRI performed it shows the left shoulder where the vaccination was given shows signs of inflammation.
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Mobility decreased, Tenderness
Clinical narrative: sore arm; reddened injection site; complaint of inability to hold arm up. Employee saw personal physician; received steriod injection. Patient had an MRI performed it shows the left shoulder where the vaccination was given shows signs of inflammation.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Breath sounds abnormal, Bronchitis, Cough, Nasal congestion, Pyrexia
Clinical narrative: Chief complaint of mild nasal congestion and cough. Symptoms began about 3 days ago. Fever has been high-grade. Other associated symptoms include: nosiy breathing at night. High fever 3 days, bronchitis the fever and cough came after the vaccine.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Nausea, Vomiting
Clinical narrative: Received H1N1 mist 10-7-09- started s/s of N/V- low grade temp that HS- improved next.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Seen at hospital ER for urticaria-told to take BENADRYL.
Age: 1.28
Sex: M
Vaccine: DTAP, FLU3, HIBV
Symptoms: Pyrexia, Rash
Clinical narrative: Rash and fever.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain, Activities of daily living impaired, Back pain
Clinical narrative: June 15,2009 received MENACTRA vaccine to protect against meningitis-sore arm, fever, aches. June 16, 2009 feeling sick, extreme nausea, fever, skin very pale, aches, sore arm, headache. June 17, 2009 sore arm, pale, headache, feeling a little better. June 18, 2009 seems a little better. June 22, 2009 sharp abdominal pain (localized in 2 places), back pain (localized in 2 places). June 23, 2009 on and off abdominal and back pain. June 24, 2009 abdominal pain. June 25 through June 29, 2009 abdominal pain continues, chest pain, sensation of throat closing, fearful of not being able to breathe, crying, upset. June 30, 2009 doctor visit inconclusive. July 2, 2009 pain and fear continues, called doctor: discontinue swimming. July 6, 2009 still in great pain during day, subsides in evening, hurting at night (9 PM). July 7, 2009 Dr. visit: nonspecific chest/abdomen/back pain, possible gastritis, x-rays showed constipation, NEXIUM 20 mg daily x 30 days, try MIRALAX as needed for constipation. July 23 abdominal and chest pain con't through weekend. July 27 doctor visit and lab work. August still complaining of abdominal, back and chest pain. Sept. 2 Abdominal fullness, pelvic pressure, unable to participate in enjoyable activities due to discomfort. Sept. 3 called doctor, keep on MIRALAX and bulk up fiber and water intake. Sept. 8 pain and discomfort continues. Sept. 12-13 some pain and discomfort but not lasting. Sept. 15 looks pale in afternoon, falls asleep early evening about 1 hour, woke for supper. Sept. 16 severe discomfort (3 bms during day but con't to feel urge and unable). Sept. 21-23 severe sore throat, very pale, fatigued. Sept. 22 doctor visit, strep test neg., later (evening) runny nose, congestion, headache. Sept. 28 complains of urge to urinate-after having urinated still has urge, has been going on for about 1 week or longer. Sept. 29 doctor visit, urinalysis normal. Sept.-Oct. no appreciable improvement. 10/15/2009 received PCP records for multiple ov's from 6/2009 to 10/2009. Patient has multiple c/o's: fever, sore arm, pale, abdominal pain, nausea, chest pain, pelvic pain, sore throat, fever, urine frequency, sensation of throat closing. Tx : Nexium, Miralax, Bentyl with no resolutin of sx. Referred for GI consult date 10/29/2009.  1/7/2010 received Urgent care clinic records for 7/7/2009 patient with c/o's chest/abdominal/back pain
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Blood test normal, Chest pain, Constipation, Crying, Emotional distress
Clinical narrative: June 15,2009 received MENACTRA vaccine to protect against meningitis-sore arm, fever, aches. June 16, 2009 feeling sick, extreme nausea, fever, skin very pale, aches, sore arm, headache. June 17, 2009 sore arm, pale, headache, feeling a little better. June 18, 2009 seems a little better. June 22, 2009 sharp abdominal pain (localized in 2 places), back pain (localized in 2 places). June 23, 2009 on and off abdominal and back pain. June 24, 2009 abdominal pain. June 25 through June 29, 2009 abdominal pain continues, chest pain, sensation of throat closing, fearful of not being able to breathe, crying, upset. June 30, 2009 doctor visit inconclusive. July 2, 2009 pain and fear continues, called doctor: discontinue swimming. July 6, 2009 still in great pain during day, subsides in evening, hurting at night (9 PM). July 7, 2009 Dr. visit: nonspecific chest/abdomen/back pain, possible gastritis, x-rays showed constipation, NEXIUM 20 mg daily x 30 days, try MIRALAX as needed for constipation. July 23 abdominal and chest pain con't through weekend. July 27 doctor visit and lab work. August still complaining of abdominal, back and chest pain. Sept. 2 Abdominal fullness, pelvic pressure, unable to participate in enjoyable activities due to discomfort. Sept. 3 called doctor, keep on MIRALAX and bulk up fiber and water intake. Sept. 8 pain and discomfort continues. Sept. 12-13 some pain and discomfort but not lasting. Sept. 15 looks pale in afternoon, falls asleep early evening about 1 hour, woke for supper. Sept. 16 severe discomfort (3 bms during day but con't to feel urge and unable). Sept. 21-23 severe sore throat, very pale, fatigued. Sept. 22 doctor visit, strep test neg., later (evening) runny nose, congestion, headache. Sept. 28 complains of urge to urinate-after having urinated still has urge, has been going on for about 1 week or longer. Sept. 29 doctor visit, urinalysis normal. Sept.-Oct. no appreciable improvement. 10/15/2009 received PCP records for multiple ov's from 6/2009 to 10/2009. Patient has multiple c/o's: fever, sore arm, pale, abdominal pain, nausea, chest pain, pelvic pain, sore throat, fever, urine frequency, sensation of throat closing. Tx : Nexium, Miralax, Bentyl with no resolutin of sx. Referred for GI consult date 10/29/2009.  1/7/2010 received Urgent care clinic records for 7/7/2009 patient with c/o's chest/abdominal/back pain
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Headache, Malaise, Micturition urgency, Nausea
Clinical narrative: June 15,2009 received MENACTRA vaccine to protect against meningitis-sore arm, fever, aches. June 16, 2009 feeling sick, extreme nausea, fever, skin very pale, aches, sore arm, headache. June 17, 2009 sore arm, pale, headache, feeling a little better. June 18, 2009 seems a little better. June 22, 2009 sharp abdominal pain (localized in 2 places), back pain (localized in 2 places). June 23, 2009 on and off abdominal and back pain. June 24, 2009 abdominal pain. June 25 through June 29, 2009 abdominal pain continues, chest pain, sensation of throat closing, fearful of not being able to breathe, crying, upset. June 30, 2009 doctor visit inconclusive. July 2, 2009 pain and fear continues, called doctor: discontinue swimming. July 6, 2009 still in great pain during day, subsides in evening, hurting at night (9 PM). July 7, 2009 Dr. visit: nonspecific chest/abdomen/back pain, possible gastritis, x-rays showed constipation, NEXIUM 20 mg daily x 30 days, try MIRALAX as needed for constipation. July 23 abdominal and chest pain con't through weekend. July 27 doctor visit and lab work. August still complaining of abdominal, back and chest pain. Sept. 2 Abdominal fullness, pelvic pressure, unable to participate in enjoyable activities due to discomfort. Sept. 3 called doctor, keep on MIRALAX and bulk up fiber and water intake. Sept. 8 pain and discomfort continues. Sept. 12-13 some pain and discomfort but not lasting. Sept. 15 looks pale in afternoon, falls asleep early evening about 1 hour, woke for supper. Sept. 16 severe discomfort (3 bms during day but con't to feel urge and unable). Sept. 21-23 severe sore throat, very pale, fatigued. Sept. 22 doctor visit, strep test neg., later (evening) runny nose, congestion, headache. Sept. 28 complains of urge to urinate-after having urinated still has urge, has been going on for about 1 week or longer. Sept. 29 doctor visit, urinalysis normal. Sept.-Oct. no appreciable improvement. 10/15/2009 received PCP records for multiple ov's from 6/2009 to 10/2009. Patient has multiple c/o's: fever, sore arm, pale, abdominal pain, nausea, chest pain, pelvic pain, sore throat, fever, urine frequency, sensation of throat closing. Tx : Nexium, Miralax, Bentyl with no resolutin of sx. Referred for GI consult date 10/29/2009.  1/7/2010 received Urgent care clinic records for 7/7/2009 patient with c/o's chest/abdominal/back pain
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pallor, Pelvic discomfort
Clinical narrative: June 15,2009 received MENACTRA vaccine to protect against meningitis-sore arm, fever, aches. June 16, 2009 feeling sick, extreme nausea, fever, skin very pale, aches, sore arm, headache. June 17, 2009 sore arm, pale, headache, feeling a little better. June 18, 2009 seems a little better. June 22, 2009 sharp abdominal pain (localized in 2 places), back pain (localized in 2 places). June 23, 2009 on and off abdominal and back pain. June 24, 2009 abdominal pain. June 25 through June 29, 2009 abdominal pain continues, chest pain, sensation of throat closing, fearful of not being able to breathe, crying, upset. June 30, 2009 doctor visit inconclusive. July 2, 2009 pain and fear continues, called doctor: discontinue swimming. July 6, 2009 still in great pain during day, subsides in evening, hurting at night (9 PM). July 7, 2009 Dr. visit: nonspecific chest/abdomen/back pain, possible gastritis, x-rays showed constipation, NEXIUM 20 mg daily x 30 days, try MIRALAX as needed for constipation. July 23 abdominal and chest pain con't through weekend. July 27 doctor visit and lab work. August still complaining of abdominal, back and chest pain. Sept. 2 Abdominal fullness, pelvic pressure, unable to participate in enjoyable activities due to discomfort. Sept. 3 called doctor, keep on MIRALAX and bulk up fiber and water intake. Sept. 8 pain and discomfort continues. Sept. 12-13 some pain and discomfort but not lasting. Sept. 15 looks pale in afternoon, falls asleep early evening about 1 hour, woke for supper. Sept. 16 severe discomfort (3 bms during day but con't to feel urge and unable). Sept. 21-23 severe sore throat, very pale, fatigued. Sept. 22 doctor visit, strep test neg., later (evening) runny nose, congestion, headache. Sept. 28 complains of urge to urinate-after having urinated still has urge, has been going on for about 1 week or longer. Sept. 29 doctor visit, urinalysis normal. Sept.-Oct. no appreciable improvement. 10/15/2009 received PCP records for multiple ov's from 6/2009 to 10/2009. Patient has multiple c/o's: fever, sore arm, pale, abdominal pain, nausea, chest pain, pelvic pain, sore throat, fever, urine frequency, sensation of throat closing. Tx : Nexium, Miralax, Bentyl with no resolutin of sx. Referred for GI consult date 10/29/2009.  1/7/2010 received Urgent care clinic records for 7/7/2009 patient with c/o's chest/abdominal/back pain
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, Somnolence, Stool analysis normal
Clinical narrative: June 15,2009 received MENACTRA vaccine to protect against meningitis-sore arm, fever, aches. June 16, 2009 feeling sick, extreme nausea, fever, skin very pale, aches, sore arm, headache. June 17, 2009 sore arm, pale, headache, feeling a little better. June 18, 2009 seems a little better. June 22, 2009 sharp abdominal pain (localized in 2 places), back pain (localized in 2 places). June 23, 2009 on and off abdominal and back pain. June 24, 2009 abdominal pain. June 25 through June 29, 2009 abdominal pain continues, chest pain, sensation of throat closing, fearful of not being able to breathe, crying, upset. June 30, 2009 doctor visit inconclusive. July 2, 2009 pain and fear continues, called doctor: discontinue swimming. July 6, 2009 still in great pain during day, subsides in evening, hurting at night (9 PM). July 7, 2009 Dr. visit: nonspecific chest/abdomen/back pain, possible gastritis, x-rays showed constipation, NEXIUM 20 mg daily x 30 days, try MIRALAX as needed for constipation. July 23 abdominal and chest pain con't through weekend. July 27 doctor visit and lab work. August still complaining of abdominal, back and chest pain. Sept. 2 Abdominal fullness, pelvic pressure, unable to participate in enjoyable activities due to discomfort. Sept. 3 called doctor, keep on MIRALAX and bulk up fiber and water intake. Sept. 8 pain and discomfort continues. Sept. 12-13 some pain and discomfort but not lasting. Sept. 15 looks pale in afternoon, falls asleep early evening about 1 hour, woke for supper. Sept. 16 severe discomfort (3 bms during day but con't to feel urge and unable). Sept. 21-23 severe sore throat, very pale, fatigued. Sept. 22 doctor visit, strep test neg., later (evening) runny nose, congestion, headache. Sept. 28 complains of urge to urinate-after having urinated still has urge, has been going on for about 1 week or longer. Sept. 29 doctor visit, urinalysis normal. Sept.-Oct. no appreciable improvement. 10/15/2009 received PCP records for multiple ov's from 6/2009 to 10/2009. Patient has multiple c/o's: fever, sore arm, pale, abdominal pain, nausea, chest pain, pelvic pain, sore throat, fever, urine frequency, sensation of throat closing. Tx : Nexium, Miralax, Bentyl with no resolutin of sx. Referred for GI consult date 10/29/2009.  1/7/2010 received Urgent care clinic records for 7/7/2009 patient with c/o's chest/abdominal/back pain