chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.19
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Crying, Erythema, Extensive swelling of vaccinated limb, Irritability, No reaction on previous exposure to drug
Clinical narrative: Initial report received on 07 December 2009 from a health care professional. A 2-month-old male patient had received a first intramuscular right thigh injection of ACTHIB (lot number UF727AA, Sanofi Pasteur SA lot number D0586-1), and a first intramuscular left thigh injection of DAPTACEL (lot number C3157AA) on 15 October 2009. Hours post-vaccination (on the same day) the patient's chest turned red and his legs from his knees to his feet turned red as well. The right leg was swollen, and the patient was "extremely" fussy and cried for hours. No fever was reported. The patient had no concurrent illnesses at time of vaccination, and had no pre-existing medical conditions. He had previously received the Hepatitis B series with no adverse events. At the time of this report, the patient had recovered; however the recovery date was not provided.
Age: 0.54
Sex: M
Vaccine: DTAPIPV, IPV
Symptoms: Dyskinesia, Incorrect dose administered, Irritability, Wrong drug administered
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of abnormal movement in an 6-month old male subject who was vaccinated with KINRIX vaccine (GlaxoSmithKline). Concurrent medical conditions included eczema. Previous and/ or concurrent vaccination included poliomyelitis vaccine, unspecified; manufacturer unspecified; unknown; unknown given on 8 February 2010. Concurrent medications included MOTRIN. On 8 February 2010 at 14:30 the subject received unspecified dose of KINRIX (.5 ml, unknown, right thigh). On 8 February 2010, at the time of vaccination with KINRIX, the subject experienced overdose of wrong vaccine administered. At an unspecified time after vaccination with KINRIX the subject experienced abnormal movement and cranky. The mother of the subject, a registered nurse, reported that her son was supposed to received a hepatitis b vaccine, but received KINRIX. The subject planned to continue follow-up with his physician on an unknown date. At the time of reporting the abnormal movement and cranky were unresolved.
Age: 0.27
Sex: F
Vaccine: DTAPIPVHIB, RV1
Symptoms: Diarrhoea
Clinical narrative: This case was reported by a physician and described the occurrence of diarrhea in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included PENTACEL; Merck; unknown; unknown given on 17 February 2010. On 17 February 2010 at 10:30 the subject received 1st dose of ROTRARIX (oral). On 18 February 2010, approximately 24 hours after vaccination with ROTARIX, the subject experienced diarrhea and loose stools. The physician reported the subject received a ROTARIX vaccination and approximately 24 hours later the subject developed diarrhea with about six or seven loose stools a day. The physician reported the subject was not in any discomfort. The subject has had the loose stools since the day of vaccination without worsening or resolution. The subject is on a formula and breast fed, but has not experienced diarrhea prior to the vaccination. At the time of reporting the diarrhea and loose stools were resolved. The physician considered the events probably related to vaccination with ROTARIX.
Age: 0.39
Sex: M
Vaccine: HIBV, IPV
Symptoms: Cough, Off label use, Wrong drug administered
Clinical narrative: This case was reported by a consumer and described the occurrence of cough in a 4-month-old male subject who was vaccinated with HIBERIX (GlaxoSmithKline), and Polio vaccine.  A physician or other health care professional has not verified this report. On 25 or 26 January 2010 the subject received unspecified dose of HIBERIX (.5 ml, unknown, left thigh), unspecified dose of Polio vaccine (unknown). On 25 or 26 January 2010, less than one week after vaccination with Polio vaccine and HIBERIX, the subject experienced cough, wrong vaccine administered and drug use for unapproved indication. The mother reported the subject was administered HIBERIX at 4-month old on 25 or 26 January 2010 along with Polio vaccine; wrong vaccine was administered. The mother stated the subject was coughing, but was not sure if it was due to the vaccines received. At the time of reporting the cough was unresolved.
Age: 71.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Blood test, Chest X-ray, Guillain-Barre syndrome, Nuclear magnetic resonance imaging
Clinical narrative: Tingling in feet-legs-arms. Loss of balance. Treated by doctor. Diagnosed having Gullain-Barre Syndrome.
Age: 71.0
Sex: M
Vaccine: FLUX
Symptoms: Paraesthesia, Scan brain
Clinical narrative: Tingling in feet-legs-arms. Loss of balance. Treated by doctor. Diagnosed having Gullain-Barre Syndrome.
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature decreased, Chest pain, Chills, Cold sweat, Diarrhoea
Clinical narrative: Per patient report, "The day after my H1N1 vaccine, diarrhea, cold sweats, chills, and hypothermia ensued.  Despite dressing warmly and taking hot liquids over the next 36 hours, my temperature did not rise above 93F.  Monday evening, December 7, 2009, I felt pain in my chest and went immediately to Hospital, where I was admitted and stayed for the next four days.  As determined through further testing at hospital, the H1N1 vaccine caused: A) Hypothermia, B) Elevated Liver Transaminases, C) Thrombocytopenia, D) Abnormal EKG- prolonged QT syndrome, E) Hyponatremia (low sodium in the blood)."
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Electrocardiogram QT prolonged, Electrocardiogram abnormal, Hyponatraemia, Hypothermia, Thrombocytopenia
Clinical narrative: Per patient report, "The day after my H1N1 vaccine, diarrhea, cold sweats, chills, and hypothermia ensued.  Despite dressing warmly and taking hot liquids over the next 36 hours, my temperature did not rise above 93F.  Monday evening, December 7, 2009, I felt pain in my chest and went immediately to Hospital, where I was admitted and stayed for the next four days.  As determined through further testing at hospital, the H1N1 vaccine caused: A) Hypothermia, B) Elevated Liver Transaminases, C) Thrombocytopenia, D) Abnormal EKG- prolonged QT syndrome, E) Hyponatremia (low sodium in the blood)."
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Transaminases increased
Clinical narrative: Per patient report, "The day after my H1N1 vaccine, diarrhea, cold sweats, chills, and hypothermia ensued.  Despite dressing warmly and taking hot liquids over the next 36 hours, my temperature did not rise above 93F.  Monday evening, December 7, 2009, I felt pain in my chest and went immediately to Hospital, where I was admitted and stayed for the next four days.  As determined through further testing at hospital, the H1N1 vaccine caused: A) Hypothermia, B) Elevated Liver Transaminases, C) Thrombocytopenia, D) Abnormal EKG- prolonged QT syndrome, E) Hyponatremia (low sodium in the blood)."
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Adverse reaction, Agitation, Basophil percentage, Blood culture negative, Decreased appetite
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Eosinophil percentage, Erythema, Fatigue, Haematocrit normal, Haemoglobin normal
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Headache, Induration, Injected limb mobility decreased, Insomnia, Laboratory test abnormal
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Malaise, Mean cell haemoglobin concentration, Mean cell haemoglobin normal
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Mean cell volume normal, Monocyte count increased, Monocyte percentage increased, Nausea, Neutrophil count increased
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Neutrophil percentage, Oedema, Oedema peripheral, Pain, Platelet count normal
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia, Red blood cell count normal, Restlessness, Skin warm, Swelling
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Tenderness
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Anxiety, Back pain, Cellulitis, Pain, Swelling
Clinical narrative: This is an addendum to the original report dated 02/02/2010. On 12/12/09 I was hospitalized overnight at a healthcare center for medication and observation for incapacitating back pain. During my stay I was given intravenous pain medications, muscle relaxers and tranquilizers, and, according to the form I received today, I was also given a pneumococcal vaccine and an influenza vaccine. I do not remember being asked of if I had already received these vaccines or if I wanted them, (in fact I had received the yearly flu vaccine in October and had previously refused pneumonia vaccine). Worse, due to the level of sedation, I retained no memory of having received the vaccines in the hospital. On 1/22/10 I visited the doctor to whose primary care practice I wished to transfer. She recommend that I have a pneumonia vaccine and asked if I had one previously. Since I had no memory of having had the vaccine during my hospital stay. This time I agreed to the vaccination and it was administered by the Dr.'s nurse. Not surprisingly, I had a very severe reaction to this second vaccine and was hospitalized a second time on 1/24/10 with an initial diagnosis of cellulitis. It was an extremely difficult experience involving considerable pain and great anxiety. I was given intravenous antibiotics and other medications during this stay, and pain and swelling continued for over a week. On Dr.'s recommendation I made a report to the Vaccine Adverse Event Reporting System after she concluded that I had an adverse reaction to the vaccine rather than cellulitis. This episode was very frightening for me and my family and it seems to me that with preventive procedures in place it could have been avoided. (1) The combination of pain medications, muscle relaxants and tranquilizers impairs cognition and memory, and more so in an elderly person. Asking elderly people in pain and under sedation for permission to give treatment unrelated to the condition for which they were admitted is certainly unwise. (2) If such treatment must be given for some reason, then providing to the patient or her caregiver at the time of discharge a full written notification of all drugs administered would protect patient, doctors and hospital for making such errors. (3) At the time I was hospitalized in December I was between physicians. My longtime primary care physician, had left her practice in the spring and I had not yet seen my current doctor. If a patient has no primary care physician it is vital to provide the patient with adequate information about her hospital stay at the time of discharge to avoid what could well be a fatal error. Please will you follow up on this letter with the appropriate administrative or medical staff and let me know how it will be addressed in future to avoid these serious problems. I can be reached at my home phone.
Age: 58.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Gout, Pyrexia, Red blood cell sedimentation rate, Respiratory disorder, Rhinorrhoea
Clinical narrative: onset of fever, respiratory symptoms, congestion, runny nose then acute gout (never had gout before) gout started 01-27-2010. symptoms continued through 02/09/2010
Age: 58.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Upper respiratory tract congestion
Clinical narrative: onset of fever, respiratory symptoms, congestion, runny nose then acute gout (never had gout before) gout started 01-27-2010. symptoms continued through 02/09/2010
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Pruritus, Skin test positive, Throat tightness, Urticaria
Clinical narrative: Hives, itching, throat tightness--> pt took antihistamines and symptoms resolved. Pt sent to allergist who skin prick tested him to TwinRix and had positive skin test.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: One hour after injection client describes breathing difficulty, SOB, Heaviness in chest.  Used rescue inhaler, Albuterol, several times over the next day and an half.  Took Benadryl over same time period.
Age: 66.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Injection site pain
Clinical narrative: As of todays date (3/9/2010), I still have a constant ache (muscle pain) at the site of the injection. On scale of 1-10 (10 being worst), pain is about a 3. I was told that I might have discomfort for about a week or two, but it has been over a month now. Is this a symptom of the vaccine???
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Barium enema, Blood culture, Full blood count, Intussusception, Laboratory test
Clinical narrative: INTUSSUSCEPTION, FEVER.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: INTUSSUSCEPTION, FEVER.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Erythema, Pain, Pruritus
Clinical narrative: Itching and a red raised blister appeared after two months of getting vaccine administered, pt. has mild pain and soreness.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt fell when she was done with her vaccine, pt was getting up from the bed and she fell and hit her head (forehead) so we pick her up and gave pt an ice pack for her forehead. Pt did not know what had happen. We took her blood pressure, we made her lay down and retook her B/P over. Then after 20 minutes she was fine.
Age: 32.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Multiple sclerosis, Pruritus generalised, Rash generalised
Clinical narrative: Rash on arms that spread to whole body Itching on arms, chest, waist, legs & MS symptoms over 1.5 weeks. Received PREDNISONE and antihistamines.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, itchiness, warmth of R upper arm at site of immunization that began evening after vaccine administered. Pt. seen on 3/5/10-R upper arm swollen, mildly erythematous-soft swelling-treated with P.O. BENADRYL, OTC anti itch lotion.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Full blood count, Influenza serology negative, Pyrexia, White blood cell count increased
Clinical narrative: Fever 105 degrees x 1 1/2 days after injection.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1), HEPA
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Received vaccines within 5min after became nausea's, dizzy, diaphoretic and vomited once. Symptoms resolved with 15 minutes rest supine and fluids.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine administered 3/3/10. Pt seen on 3/5/10 with H/o swelling, redness, pain at upper arm that spread on 3/4/10 & was getting worse. L upper arm erythematous, indurated, swollen, very tender & hot to touch on 3/5/10. Txd with p.o. KEFLEX 7 day course.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Muscle tightness, Pyrexia, Tremor
Clinical narrative: Fever occurred the night of the vaccine, the following day he did not have a fever but had an episode of tightening of extremities and shaking movements while at the store. He was taken by ambulance to the ER. He did not need any medical intervention while in the ER and was discharged home after observation.
Age: 1.8
Sex: F
Vaccine: UNK
Symptoms: Hypokinesia, Vomiting
Clinical narrative: Later that night after the shot my child was unable to move her legs then the next day she began throwing up and just recently stopped.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Tuberculin test, Urticaria
Clinical narrative: Rash-onset 48 hours later. Rx with topical steroids and hydroxyzine.  Follow-up received - Pt required Dr. office visit M 3/4/10.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Rash erythematous
Clinical narrative: Petite red spots around eyes and ears.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Asthenia, Body temperature, Bone pain, Chills
Clinical narrative: Shivering uncontrollably head-to-toe, vomiting, severe muscle aches, severe bone aches, severe joint aches, temperature, sweating, wheezing, weakness (esp hands & legs) dizziness & headache. I wish I would have gone to Emer. Rm. The real bad symptoms seemed to end approx 12:30 AM (midnight) on 2-2-10 but I was aching and sick all week long. Aching went away on Sun. 2-7-10. -Twice as bad as any flu I ever had.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Headache, Hyperhidrosis, Myalgia, Vomiting
Clinical narrative: Shivering uncontrollably head-to-toe, vomiting, severe muscle aches, severe bone aches, severe joint aches, temperature, sweating, wheezing, weakness (esp hands & legs) dizziness & headache. I wish I would have gone to Emer. Rm. The real bad symptoms seemed to end approx 12:30 AM (midnight) on 2-2-10 but I was aching and sick all week long. Aching went away on Sun. 2-7-10. -Twice as bad as any flu I ever had.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Wheezing
Clinical narrative: Shivering uncontrollably head-to-toe, vomiting, severe muscle aches, severe bone aches, severe joint aches, temperature, sweating, wheezing, weakness (esp hands & legs) dizziness & headache. I wish I would have gone to Emer. Rm. The real bad symptoms seemed to end approx 12:30 AM (midnight) on 2-2-10 but I was aching and sick all week long. Aching went away on Sun. 2-7-10. -Twice as bad as any flu I ever had.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Had vaccines on 3/2/10. Fever, redness and warmth at L arm site.
Age: 1.28
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Rash erythematous
Clinical narrative: 5 min after DTAP dose (L) thigh - red raised area to (L) thigh & near buttocks - then some noted on back - & then some (R) thigh - 1/2 tsp PO BENADRYL given after exam by NP - no worsening after BENADRYL.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Dyspnoea, Mobility decreased, Nausea, Pruritus
Clinical narrative: Became faint about an hour after getting the shot; later began feeling itchy and a rash-shortness of breath, nausea and said she couldn't lift her arm. Seen in ER at 11pm-shot received in ER to cover the rash, etc.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Rash
Clinical narrative: Became faint about an hour after getting the shot; later began feeling itchy and a rash-shortness of breath, nausea and said she couldn't lift her arm. Seen in ER at 11pm-shot received in ER to cover the rash, etc.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Local redness and swelling at injection site developed 1-2 days following vaccine administration; by day 4 less erythema without any intervention. Diagnosed with cellulitis of arm and given KEFLEX 250 mg/5ml 2 tsp PO BID x 7 days.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Nausea
Clinical narrative: "Tightness in chest after having flu shot and TB test" ; shortness of breath, dizziness/nausea received ZOFRAN, BENADRYL, and TORADOL in ED.
Age: 95.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Body temperature increased, Confusional state
Clinical narrative: Joint pain, extreme weakness, confusion and inability to function at normal levels. Temperature of 101 and runny nose that started about 16 - 18 hours after vaccine was administered and peaked around 36 hours post vaccination. Back to normal 48 hours post vaccination.
Age: 95.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinorrhoea
Clinical narrative: Joint pain, extreme weakness, confusion and inability to function at normal levels. Temperature of 101 and runny nose that started about 16 - 18 hours after vaccine was administered and peaked around 36 hours post vaccination. Back to normal 48 hours post vaccination.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Pregnancy test urine positive
Clinical narrative: Gave client vaccine; she denied any sexual activity since starting DMPA 12/09. Found out approx 20 min later that client had + UPT when preparing to give 2 DMPA injection.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Asthma, Eczema, Lung disorder, Pruritus, Skin disorder
Clinical narrative: Pt pulmonary problems needed oxygen hospitalization. Pt eczema itching ,swelling, severe skin problems. Pt eventually developed asthma.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Swelling
Clinical narrative: Pt pulmonary problems needed oxygen hospitalization. Pt eczema itching ,swelling, severe skin problems. Pt eventually developed asthma.
Age: 1.6
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Urticaria
Clinical narrative: Uticaria-seen at Emergency Room the night after vaccines were given.
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Angiogram abnormal, Fundoscopy abnormal, Influenza like illness, Metamorphopsia, Photophobia
Clinical narrative: Initial literature report received on 01 Mar 2010: This article described acute posterior multifocal placoid pigment epitheliopathy following influenza vaccination. This patient received vaccination with influenza vaccine (manufacturer unknown) Unspecified dose intramuscular on an unknown date. One week after vaccination, the patient experienced flu-like symptoms. The patient experienced bilateral photophobia, metamorphopsia, and scotomas that were more prominent in the left eye 14 days after vaccination. The patient's best-corrected visual acuity was 20/20 bilaterally and slit-lamp anterior segment examination revealed <1+ cells and dilated fundus examination revealed mild vitritis and multiple deep yellow-white placoid lesions of variable size at the level of the retinal pigment epithelium in both eyes. The patient's fluorescein angiography showed bilateral multifocal early hypofluorescent lesions with late staining and Indocyanine-green angiography showed bilateral lesions that remained hypofluorescent at the late phase. On the basis of the clinical findings and history, and the normality of an extensive laboratory work-up, the patient was diagnosed with APMPPE and started treatment with oral PREDNISONE 0.5 mg/kg/day that was decreased gradually over 1 month. Over that period, the patient noticed significant improvement of his visual symptoms. The patient's anterior and posterior segment inflammation regressed and most of the fundus lesions disappeared. Three months after the first symptom, the patient was reported to be asymptomatic, the patient's, the patient's BCVA was still 20/20 and repeated FA and ICG angiography showed marked regression of the lesions with some remaining RPE changes. No further information available.
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Retinal pigment epitheliopathy, Scotoma, Slit-lamp examination, Visual acuity tests normal, Vitritis
Clinical narrative: Initial literature report received on 01 Mar 2010: This article described acute posterior multifocal placoid pigment epitheliopathy following influenza vaccination. This patient received vaccination with influenza vaccine (manufacturer unknown) Unspecified dose intramuscular on an unknown date. One week after vaccination, the patient experienced flu-like symptoms. The patient experienced bilateral photophobia, metamorphopsia, and scotomas that were more prominent in the left eye 14 days after vaccination. The patient's best-corrected visual acuity was 20/20 bilaterally and slit-lamp anterior segment examination revealed <1+ cells and dilated fundus examination revealed mild vitritis and multiple deep yellow-white placoid lesions of variable size at the level of the retinal pigment epithelium in both eyes. The patient's fluorescein angiography showed bilateral multifocal early hypofluorescent lesions with late staining and Indocyanine-green angiography showed bilateral lesions that remained hypofluorescent at the late phase. On the basis of the clinical findings and history, and the normality of an extensive laboratory work-up, the patient was diagnosed with APMPPE and started treatment with oral PREDNISONE 0.5 mg/kg/day that was decreased gradually over 1 month. Over that period, the patient noticed significant improvement of his visual symptoms. The patient's anterior and posterior segment inflammation regressed and most of the fundus lesions disappeared. Three months after the first symptom, the patient was reported to be asymptomatic, the patient's, the patient's BCVA was still 20/20 and repeated FA and ICG angiography showed marked regression of the lesions with some remaining RPE changes. No further information available.