chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Blood culture negative, Chest X-ray normal, Convulsion, Culture urine negative, Laboratory test normal
Clinical narrative: Child had single vaccine administered on 6/7/89. Was in good health until 6/23/89. Had unexplained seizure. No fever. Admitted to hospital x 2 days - spinal tap, blood/urine cultures, cxr - all negative
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Lumbar puncture normal
Clinical narrative: Child had single vaccine administered on 6/7/89. Was in good health until 6/23/89. Had unexplained seizure. No fever. Admitted to hospital x 2 days - spinal tap, blood/urine cultures, cxr - all negative
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Feeling abnormal, Muscle spasms, Musculoskeletal stiffness, Pain
Clinical narrative: 9/15/10 around 8 PM, started to ache all over, then started shaking. Stiff, tight muscles in neck, hands crampy & achy & sore. Knees weak & legs painful to walk, Lasted until about 10 AM. Took 1/2 XANAX 0.25mg before retiring. Miserable all night. Took 2 ADVIL early AM - seemed to help Dr. said "immune response".
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Tremor
Clinical narrative: 9/15/10 around 8 PM, started to ache all over, then started shaking. Stiff, tight muscles in neck, hands crampy & achy & sore. Knees weak & legs painful to walk, Lasted until about 10 AM. Took 1/2 XANAX 0.25mg before retiring. Miserable all night. Took 2 ADVIL early AM - seemed to help Dr. said "immune response".
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash generalised
Clinical narrative: Patient presented with generalized rash and itching on torso, legs and arms. BP 130/75 - Pulse 67 - Temp 98.9 degrees F.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Pt. received 1st vaccine on 9-28-10. Bloody stool on 9/29/10.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Convulsion, Laboratory test normal
Clinical narrative: Pt. had seizure for 2-3 minutes, 4 hrs. after vaccines. No previous hx. of seizures.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral, Pyrexia, Streptococcus test
Clinical narrative: Entire thigh swelled with erythema, fevers to 102.5 x 2 days.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal chest pain
Clinical narrative: Redness and swelling in (L) upper arm, swelling site comparable to a "football", fever up to 100.5, severe pain at site of inj. extending to (L) ribcage causing shortness of breath. Pt. Tx at Emergency room.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Redness and swelling in (L) upper arm, swelling site comparable to a "football", fever up to 100.5, severe pain at site of inj. extending to (L) ribcage causing shortness of breath. Pt. Tx at Emergency room.
Age: 89.0
Sex: F
Vaccine: PPV
Symptoms: Dyspepsia, Myalgia
Clinical narrative: Thought she was having a heart attack. All muscles hurt (whole body). Terrible indigestion.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Pallor, Vision blurred
Clinical narrative: Within 5 mins of FLUZONE RA admin, pt. "felt clammy"; pt. was pale in face with visible diaphoresis; after 2-3 mins, pt. continued to complain of blurred vision and light headedness. Resolved in approx 15 mins after pt. supine with legs elevated pt. able to stand/ambulate without dizziness and subsequently left pharmacy on own accord.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abasia, Erythema, Mental status changes, Pain, Pyrexia
Clinical narrative: Recieved high dose flu and PNEUMOVAX. Next day was brought into clinic w/complaints of altered mental status, unable to walk, fever, arm reddened, swollen, sore.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Recieved high dose flu and PNEUMOVAX. Next day was brought into clinic w/complaints of altered mental status, unable to walk, fever, arm reddened, swollen, sore.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 4cmx4cm area of redness at site of DTAP.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician, for the Pregnancy Registry for GARDASIL concerning a 19 year old female patient who in November 2008, was vaccinated with her first dose of GARDASIL. The patient was vaccinated with her second dose of GARDASIL in January 2009. The patient became pregnant on an unspecified date after receiving GARDASIL doses. The patient had not yet received her third dose. No adverse effect was reported. The patient had called the physician for medical attention. Follow-up information received from the doctor's assistant indicating that originally the patient transferred to another Health Center. At some point during her pregnancy she then transferred to an obstetrician. The obstetrician delivered the patient who had a Cesarean Section (indication not known, date and outcome unknown). The reporter added that after the patient delivered, she then went back to the Health Center for care. The reporter thought the baby was fine "because she kept the baby and seems happy." Upon internal review, Cesarean section was considered to be an other important medical event. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a 26 year old female consumer with no pertinent medical history, for GARDASIL, a Pregnancy Registry product, it was reported that on 04-JUN-2009 she was vaccinated with the second dose of GARDASIL and 4 days later (08-JUN-2009) found out she was pregnant. There was no concomitant therapy. At the time of reporting, there was no AE reported. In approximately March 2009, the patient was vaccinated with the first dose of GARDASIL. There was no concomitant medication. Medical attention was not sought by the patient. Follow-up information has been received from an office staff person who reported that the patient terminated her pregnancy the same week she got the vaccine. She stated the practice did not know the patient was pregnant at the time of vaccine. The office staff person stated that the patient chose to terminate the pregnancy due to the vaccine. She had no further information to provide. Upon internal view, terminate the pregnancy was considered to be an other important medical event. Additional information is not expected.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Rash over body 2 days post injection, treated with BENDARYL.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Ocular hyperaemia, Pruritus, Throat irritation, Wheezing
Clinical narrative: Swollen lips, itchy throat and ear canals; inspiratory wheezing per auscultation (pt not aware) bloodshot eyes. ER 50 mg Prednisone PO; BENADRYL 50 PO in ER x 3 days
Age: 66.0
Sex: U
Vaccine: FLU3
Symptoms: Oedema peripheral, Swelling face
Clinical narrative: Patient called pharmacy 2 days after receiving vaccine and said her arms and hands were swollen and her face was a little swollen but she was having no difficulty breathing. We recommended taking BENADRYL and calling her MD.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Fibromyalgia, Irritable bowel syndrome
Clinical narrative: fibromyalgia, IBS, chronic fatigue
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Anorectal disorder, CSF glucose normal, CSF lymphocyte count abnormal, CSF monocyte count decreased, CSF myelin basic protein increased
Clinical narrative: Initial case was retrieved from the scientific literature on 30 September 2010.  "A 36-year-old woman presented to Medical Center with a 1-week history of progressive leg weakness, numbness below the chest, and urinary retention.  The symptoms began 4 weeks after a routine influenza vaccination (0.5 ml, inactivated, trivalent, split antigen).  No antecedent illnesses were identified; the vaccination had been otherwise well tolerated.  Neurological examination revealed mild to moderate weakness and hyperreflexia of the lower extremities, a discrete sensory deficit below the T-3 level, and a decrease in rectal tone.  Conventional spin-echo MRI of the cervical and rostral thoracic spine (General Electric 1.5-T Signa scanner) at admission revealed mild diffuse fusiform enlargement of the spinal cord extending from C-3 to the visualized upper thoracic levels, best appreciated on T1-weighted images (Fig 1).  These same areas showed confluent intramedullary lesions containing increased T2 signal (Fig 2).  After administration of intravenous contrast (gadopentetate dimeglumine), no abnormal enhancement was noted (not shown).  In addition, MRI of the brain, both with and without contrast material, was unremarkable (not shown).  The cerebrospinal fluid contained 84 white blood cells (90% lymphocytes and 10% monocytes), 3 erythrocytes, a total protein concentration of 96 mg/dl, and a normal glucose level; myelin basic protein was elevated (6 ng/ml; normal, <2).  An extensive laboratory evaluation for an alternative underlying cause was unrevealing (Table).  Intravenous methylprednisolone therapy (1 gm/day for 5 days) led to a marked recovery by 2 weeks.  At a routine outpatient visit 6 months later, she reported only minimal bowel incontinence and occasional exercise-induced leg paresthesias.  Results of a neurological examination were normal except for trace weakness in the left quadriceps and pin-induced paresthesias of the lower extremities.  One year later, she demonstrated a complete recovery with no incontinence or paresthesias; the neurological examination was completely normal.  A repeat MRI examination was not performed."  Documents held by sender: None.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: CSF protein increased, CSF white blood cell count increased, Faecal incontinence, Hyperreflexia, Hypoaesthesia
Clinical narrative: Initial case was retrieved from the scientific literature on 30 September 2010.  "A 36-year-old woman presented to Medical Center with a 1-week history of progressive leg weakness, numbness below the chest, and urinary retention.  The symptoms began 4 weeks after a routine influenza vaccination (0.5 ml, inactivated, trivalent, split antigen).  No antecedent illnesses were identified; the vaccination had been otherwise well tolerated.  Neurological examination revealed mild to moderate weakness and hyperreflexia of the lower extremities, a discrete sensory deficit below the T-3 level, and a decrease in rectal tone.  Conventional spin-echo MRI of the cervical and rostral thoracic spine (General Electric 1.5-T Signa scanner) at admission revealed mild diffuse fusiform enlargement of the spinal cord extending from C-3 to the visualized upper thoracic levels, best appreciated on T1-weighted images (Fig 1).  These same areas showed confluent intramedullary lesions containing increased T2 signal (Fig 2).  After administration of intravenous contrast (gadopentetate dimeglumine), no abnormal enhancement was noted (not shown).  In addition, MRI of the brain, both with and without contrast material, was unremarkable (not shown).  The cerebrospinal fluid contained 84 white blood cells (90% lymphocytes and 10% monocytes), 3 erythrocytes, a total protein concentration of 96 mg/dl, and a normal glucose level; myelin basic protein was elevated (6 ng/ml; normal, <2).  An extensive laboratory evaluation for an alternative underlying cause was unrevealing (Table).  Intravenous methylprednisolone therapy (1 gm/day for 5 days) led to a marked recovery by 2 weeks.  At a routine outpatient visit 6 months later, she reported only minimal bowel incontinence and occasional exercise-induced leg paresthesias.  Results of a neurological examination were normal except for trace weakness in the left quadriceps and pin-induced paresthesias of the lower extremities.  One year later, she demonstrated a complete recovery with no incontinence or paresthesias; the neurological examination was completely normal.  A repeat MRI examination was not performed."  Documents held by sender: None.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Neurological examination abnormal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia
Clinical narrative: Initial case was retrieved from the scientific literature on 30 September 2010.  "A 36-year-old woman presented to Medical Center with a 1-week history of progressive leg weakness, numbness below the chest, and urinary retention.  The symptoms began 4 weeks after a routine influenza vaccination (0.5 ml, inactivated, trivalent, split antigen).  No antecedent illnesses were identified; the vaccination had been otherwise well tolerated.  Neurological examination revealed mild to moderate weakness and hyperreflexia of the lower extremities, a discrete sensory deficit below the T-3 level, and a decrease in rectal tone.  Conventional spin-echo MRI of the cervical and rostral thoracic spine (General Electric 1.5-T Signa scanner) at admission revealed mild diffuse fusiform enlargement of the spinal cord extending from C-3 to the visualized upper thoracic levels, best appreciated on T1-weighted images (Fig 1).  These same areas showed confluent intramedullary lesions containing increased T2 signal (Fig 2).  After administration of intravenous contrast (gadopentetate dimeglumine), no abnormal enhancement was noted (not shown).  In addition, MRI of the brain, both with and without contrast material, was unremarkable (not shown).  The cerebrospinal fluid contained 84 white blood cells (90% lymphocytes and 10% monocytes), 3 erythrocytes, a total protein concentration of 96 mg/dl, and a normal glucose level; myelin basic protein was elevated (6 ng/ml; normal, <2).  An extensive laboratory evaluation for an alternative underlying cause was unrevealing (Table).  Intravenous methylprednisolone therapy (1 gm/day for 5 days) led to a marked recovery by 2 weeks.  At a routine outpatient visit 6 months later, she reported only minimal bowel incontinence and occasional exercise-induced leg paresthesias.  Results of a neurological examination were normal except for trace weakness in the left quadriceps and pin-induced paresthesias of the lower extremities.  One year later, she demonstrated a complete recovery with no incontinence or paresthesias; the neurological examination was completely normal.  A repeat MRI examination was not performed."  Documents held by sender: None.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Red blood cells CSF positive, Sensory loss, Spinal cord injury cervical, Spinal cord injury thoracic, Urinary retention
Clinical narrative: Initial case was retrieved from the scientific literature on 30 September 2010.  "A 36-year-old woman presented to Medical Center with a 1-week history of progressive leg weakness, numbness below the chest, and urinary retention.  The symptoms began 4 weeks after a routine influenza vaccination (0.5 ml, inactivated, trivalent, split antigen).  No antecedent illnesses were identified; the vaccination had been otherwise well tolerated.  Neurological examination revealed mild to moderate weakness and hyperreflexia of the lower extremities, a discrete sensory deficit below the T-3 level, and a decrease in rectal tone.  Conventional spin-echo MRI of the cervical and rostral thoracic spine (General Electric 1.5-T Signa scanner) at admission revealed mild diffuse fusiform enlargement of the spinal cord extending from C-3 to the visualized upper thoracic levels, best appreciated on T1-weighted images (Fig 1).  These same areas showed confluent intramedullary lesions containing increased T2 signal (Fig 2).  After administration of intravenous contrast (gadopentetate dimeglumine), no abnormal enhancement was noted (not shown).  In addition, MRI of the brain, both with and without contrast material, was unremarkable (not shown).  The cerebrospinal fluid contained 84 white blood cells (90% lymphocytes and 10% monocytes), 3 erythrocytes, a total protein concentration of 96 mg/dl, and a normal glucose level; myelin basic protein was elevated (6 ng/ml; normal, <2).  An extensive laboratory evaluation for an alternative underlying cause was unrevealing (Table).  Intravenous methylprednisolone therapy (1 gm/day for 5 days) led to a marked recovery by 2 weeks.  At a routine outpatient visit 6 months later, she reported only minimal bowel incontinence and occasional exercise-induced leg paresthesias.  Results of a neurological examination were normal except for trace weakness in the left quadriceps and pin-induced paresthesias of the lower extremities.  One year later, she demonstrated a complete recovery with no incontinence or paresthesias; the neurological examination was completely normal.  A repeat MRI examination was not performed."  Documents held by sender: None.
Age: 0.2
Sex: M
Vaccine: DTP
Symptoms: Computerised tomogram normal, Cyanosis, Lethargy, Tremor
Clinical narrative: Initial case was received on 30 September 2010 from another manufacturer with service request number 1-3708860854. The initial reporter was a consumer. A 2 month old male patient received in 1983 an injection of DTP (lot number and manufacturer not reported) and the next day he was shaking head to toe. The following day he was lethargic, turning blue, possibly seizing. A subsequent CAT scan was negative "for injury." No further information was available. Document's held by sender: None.
Age: 0.76
Sex: M
Vaccine: FLU3
Symptoms: Bronchiolitis, Pyrexia, Respiratory syncytial virus infection, Vomiting
Clinical narrative: Initial report was received on 05 October 2010 from a health care professional which involved a cluster of four patients who experienced adverse events after receiving FLUZONE No Preservative 2010-2011, lot number UT3570DA.  This report represents one patient and the other three patients have been captured in case numbers 2010-05757, -05758, and -05759.  A nine-month-old male patient had received a first dose intramuscular injection of FLUZONE No Preservative 2010-2011, lot number UT3570DA on 22 September 2010 and one day later, he developed vomiting and a fever.  On 24 September 2010, he was seen by his physician for the same symptoms.  On 25 September 2010, he was sent to the emergency room and was hospitalized for four days.  The patient was diagnosed with bronchiolitis and RSV.  The patient had not received any seasonal influenza or A/H1N1 influenza vaccinations in the past.  Outcome was reported as unknown.  No further additional was provided at the time of the report.  The reporter for this case is the same as case number 2010-05761.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Guillain-Barre syndrome, Sensory loss
Clinical narrative: Initial report received from a health care professional on 05 October 2010. A male patient, with no medical history provided, received on an unknown date an injection (route and site not provided) of FLUZONE SV 2010-2011, lot number U3655AA. The patient developed Guillain Barre' Syndrome (GBS) 2-3 days after the administration of FLUZONE. The patient started with back pain and then he lost feeling on the left side of his body and it then moved to the right side of the body. The patient was hospitalized on 28 September (year not provided) and spent over a week in the hospital. The outcome was not reported. Documents held by sender: None.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Heart rate increased, Influenza like illness, Oedema mouth
Clinical narrative: Initial report received from a health care professional on 06 October 2010. A 41-year-old female patient received on 05 October 2010 at 9:15 an intramuscular (IM) left deltoid injection of FLUZONE SV 2010-2011, lot number UH181AC and received last week a Hepatitis B vaccine (manufacturer and lot number not reported). The patient had no illness at the time of vaccination and no known allergies (NKA). Her medical history and concomitant medications were unknown. On 05 October 2010 at 2:00 PM the patient developed congestion, scratchy throat and flu-like symptoms. She was seen by her physician in the afternoon with swelling of her tongue and mouth. The patient was sent to the Emergency Room (ER) where she was treated with oral BENADRYL, steroids and a nebulizer treatment for having trouble breathing, sneezing, coughing, runny nose and rapid heart beat. The outcome was unknown. Documents held by sender: None.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract congestion, Rhinorrhoea, Sneezing, Swollen tongue, Throat irritation
Clinical narrative: Initial report received from a health care professional on 06 October 2010. A 41-year-old female patient received on 05 October 2010 at 9:15 an intramuscular (IM) left deltoid injection of FLUZONE SV 2010-2011, lot number UH181AC and received last week a Hepatitis B vaccine (manufacturer and lot number not reported). The patient had no illness at the time of vaccination and no known allergies (NKA). Her medical history and concomitant medications were unknown. On 05 October 2010 at 2:00 PM the patient developed congestion, scratchy throat and flu-like symptoms. She was seen by her physician in the afternoon with swelling of her tongue and mouth. The patient was sent to the Emergency Room (ER) where she was treated with oral BENADRYL, steroids and a nebulizer treatment for having trouble breathing, sneezing, coughing, runny nose and rapid heart beat. The outcome was unknown. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Appendicectomy, Cholecystectomy, Hypersensitivity, Injection site pain, Pyrexia
Clinical narrative: Initial report was received 06 October 2010 from a consumer, who is also the patient. A 17-year-old female patient with no concurrent illness had received an injection of PANDEMIC INFLUENZA VACCINE (manufacturer sanofi pasteur, Inc.) on 10 November 2009 and four days later, she experienced pain at the site and fever, and she was hospitalized for appendix and gall bladder removal because of "allergic reactions" after vaccination. Following hospitalization and treatment, the events resolved and the patient stated she had no further problems. Outcome was recovered. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Oedema mouth
Clinical narrative: Initial report was received 07 October 2010 from a health care professional.  A 90-year-old female patient had received an intramuscular injection of FLUZONE HIGH-DOSE No Preservative 2010-2011, lot number U3604BA on 04 October 2010 and two days later, the patient reported she had swollen lips and the inside of her mouth was swollen.  She had no concurrent illness at the time of vaccination.  Outcome was reported as unknown.  No additional information was provided at the time of the report.  Documents held by sender: None
Age: 58.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Lip swelling, Oedema peripheral, Paraesthesia, Paraesthesia oral, Pruritus
Clinical narrative: Initial report was received on 07 October 2010 from a health care professional. A 58-year-old male patient who had no concurrent illness, had received a left deltoid intramuscular injection of ADACEL, lot number C3487AA and a right deltoid intramuscular injection of FLUVIRIN (manufacturer Novartis), lot number 1116904P on 01 October 2010. The patient was reported to have eaten shellfish after vaccination, and more than 24 hours later (also reported as 02 October 2010), he developed itching, swelling, swelling and tingling of his lips and his fingers on both hands. The patient was seen in the ER and given MEDROL Dose Pack and BENADRYL as corrective treatment. Relevant laboratory and diagnostic data was reported as "none". Outcome was recovered. Documents held by sender: None
Age: 58.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Swelling
Clinical narrative: Initial report was received on 07 October 2010 from a health care professional. A 58-year-old male patient who had no concurrent illness, had received a left deltoid intramuscular injection of ADACEL, lot number C3487AA and a right deltoid intramuscular injection of FLUVIRIN (manufacturer Novartis), lot number 1116904P on 01 October 2010. The patient was reported to have eaten shellfish after vaccination, and more than 24 hours later (also reported as 02 October 2010), he developed itching, swelling, swelling and tingling of his lips and his fingers on both hands. The patient was seen in the ER and given MEDROL Dose Pack and BENADRYL as corrective treatment. Relevant laboratory and diagnostic data was reported as "none". Outcome was recovered. Documents held by sender: None
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Disorientation, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Became very hot and flushed an hour after receiving the shot.  Arm started to hurt and a red circle around the injection site was visible 2 hrs after the shot was received.  Next morning arm was very sore and a round red raised tennis ball ring surrounded the site.  Felt dizzy and disoriented rest of day.  Next day fever reached 102 degrees, very sore, muscles ached along my neck and shoulders.  Extreme fatigue and breathing seemed strained.  Remained sick with fever til present day--now low grade.  Continue to have fatigue past 96 hrs of injection.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Flushing, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Became very hot and flushed an hour after receiving the shot.  Arm started to hurt and a red circle around the injection site was visible 2 hrs after the shot was received.  Next morning arm was very sore and a round red raised tennis ball ring surrounded the site.  Felt dizzy and disoriented rest of day.  Next day fever reached 102 degrees, very sore, muscles ached along my neck and shoulders.  Extreme fatigue and breathing seemed strained.  Remained sick with fever til present day--now low grade.  Continue to have fatigue past 96 hrs of injection.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Became very hot and flushed an hour after receiving the shot.  Arm started to hurt and a red circle around the injection site was visible 2 hrs after the shot was received.  Next morning arm was very sore and a round red raised tennis ball ring surrounded the site.  Felt dizzy and disoriented rest of day.  Next day fever reached 102 degrees, very sore, muscles ached along my neck and shoulders.  Extreme fatigue and breathing seemed strained.  Remained sick with fever til present day--now low grade.  Continue to have fatigue past 96 hrs of injection.
Age: 26.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Dizziness, Erythema, Headache, Pain in extremity, Pruritus
Clinical narrative: Pt complained of dizziness and a severe headache approx. 30 minutes after vaccination.  The following day she reported her arm became sore, red, warm and itchy.  She also reported a welt the size of a half dollar that was raised.
Age: 26.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Skin warm, Urticaria
Clinical narrative: Pt complained of dizziness and a severe headache approx. 30 minutes after vaccination.  The following day she reported her arm became sore, red, warm and itchy.  She also reported a welt the size of a half dollar that was raised.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: Flu like symptoms several hours after shot.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Fatigue, Induration, Pain in extremity
Clinical narrative: PT reported induration with overlaying erythema. Also pain in arm, fatigue.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain
Clinical narrative: REDNESS, EDEMA, SORENESS
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of control of legs, Muscle strain, Pyrexia
Clinical narrative: Client reports "legs and back gave out" while walking back to her room at the Assisted Living facility. Also reports she had a fever of 103F during the night. Feels better this morning. She did not seek medical treatment.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchitis
Clinical narrative: went to doctor on AM of 10/10/2010 diagnosis as Acute Bronchitis Treatment with Cough Syrup W/Codeine Prednisone 20mg 2 a day 5b days Doxycycline Monohydrate 100mg 20 10days. Albuterol Sulfate 2.5mg/3ml 3 times every day
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash, Rash macular
Clinical narrative: Full rash on upper arm. Large, somewhat circular, blotchy.  Lasted approximately 5 days.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Patient came back a week after receiving vaccinations stating great pain in her arm, unable to lift.  States went to primary doctor who stated vaccine went into joint not muscle causing the pain.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain, Skin warm
Clinical narrative: redness, edema, soreness, hot to touch
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Neuralgia
Clinical narrative: Pain at injection site, pinched nerve sensation, radiating between shoulder, elbow and wrist lasted 2 days.  Treated with Aleve and resolved 48 hours after onset.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal distension, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Diarrhea, bloating, fever, chills, muscle aches, head-ache, fatigue.  48 hours total: Felt ill first 24 hour and felt really bad the last 24 hours.  Took Advil and Immodium then slept for 15 hours.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Diarrhea, bloating, fever, chills, muscle aches, head-ache, fatigue.  48 hours total: Felt ill first 24 hour and felt really bad the last 24 hours.  Took Advil and Immodium then slept for 15 hours.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Patent went to ER with swelling of 10x15cm at the site of injection, ER Doctor diagnosed as cellulitis and prescribed antibiotics, reports adverse reaction to immunization.
Age: 21.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Wheezing
Clinical narrative: I got the flu shot at 9:00 am and around noon I was having trouble breathing. My airways felt really tight and I was wheezing and couldn't breath normally. I went home from school and took my dad's inhaler. It helped open my airway back up. I have never had the flu shot before and I am not allergic to eggs.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Biopsy muscle, Condition aggravated, Culture positive, Debridement, Hypotension
Clinical narrative: Recieved pneumococcal vacination to R deltoid.  Subsequently developed pain, swelling, fever, hypotension, thrombocytopenia, and worsening renal failure.  Patient's R shoulder was operative explored with frozen path showing evidence of myositis.  Patient transferred to ICU for 36 hours for treatment of hypotension.  Improved with debridement and antibiotics.  Suspect staph toxic shock syndrome.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Intensive care, Myositis, Pain, Periarthritis, Pyrexia
Clinical narrative: Recieved pneumococcal vacination to R deltoid.  Subsequently developed pain, swelling, fever, hypotension, thrombocytopenia, and worsening renal failure.  Patient's R shoulder was operative explored with frozen path showing evidence of myositis.  Patient transferred to ICU for 36 hours for treatment of hypotension.  Improved with debridement and antibiotics.  Suspect staph toxic shock syndrome.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Renal failure, Shoulder operation, Swelling, Thrombocytopenia, Toxic shock syndrome staphylococcal
Clinical narrative: Recieved pneumococcal vacination to R deltoid.  Subsequently developed pain, swelling, fever, hypotension, thrombocytopenia, and worsening renal failure.  Patient's R shoulder was operative explored with frozen path showing evidence of myositis.  Patient transferred to ICU for 36 hours for treatment of hypotension.  Improved with debridement and antibiotics.  Suspect staph toxic shock syndrome.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Breast pain, Musculoskeletal chest pain, Musculoskeletal pain, Pain
Clinical narrative: Started with a sharp pain under left rib cage, progressed to under left breast and shot up to shoulder.  Lasted 3 days. Treated with ibuprofen with relief.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye swelling, Pain, Pyrexia
Clinical narrative: Fever, chills, entire body hurting, swollen eyes
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and Edema to Left Upper Extremity
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Oedema peripheral
Clinical narrative: Pt developed swelling in her arm.  No redness or warmth.  No evidence of hematoma, just a golf ball-sized area of firmness.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure fluctuation, Eye irritation, Eye pruritus, Flushing, Gingival bleeding
Clinical narrative: Client came to Health Department with complaints about possible reaction to flu vaccine. States developed itching and burning of eyes on 10/03, Visine helped.  Hx of problems with itching of eyes in the past "from pollen."  The itching and burning lasted one day.  On 10/05/2010 developed fever, did not take temperature, "not real hot".  Ibuprofen brings the temperature down.  States he has a fever every day.  He has taken ibuprofen on and off for years for gout and arthritis.  He developed bleeding gums on 10/10/2010.  He also developed left arm pain on 10/10/2010, takes Tylenol #3 for that, which helps.  History of SOB x 1 year, not any worse now.  Hx HTN, states BP has been elevated off and on for the past 1 1/2 weeks, 160/80 today.  He takes Norvasc and Allupurinol 300 mg every am.  Recent change of gout med, doesn't know why.  He stopped taking a diuretic on his own about 1 year ago.  In our clinic on 10/11/2010, he appears flushed and a little sweaty.  I did not take his temperature.  Instructed to see private provider about these issues.  Phone call to client to see how he was doing, phone "disconnected".  Will send letter to request client to call Health Department to see how he is doing, and if he saw private provider.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Pain in extremity, Pyrexia
Clinical narrative: Client came to Health Department with complaints about possible reaction to flu vaccine. States developed itching and burning of eyes on 10/03, Visine helped.  Hx of problems with itching of eyes in the past "from pollen."  The itching and burning lasted one day.  On 10/05/2010 developed fever, did not take temperature, "not real hot".  Ibuprofen brings the temperature down.  States he has a fever every day.  He has taken ibuprofen on and off for years for gout and arthritis.  He developed bleeding gums on 10/10/2010.  He also developed left arm pain on 10/10/2010, takes Tylenol #3 for that, which helps.  History of SOB x 1 year, not any worse now.  Hx HTN, states BP has been elevated off and on for the past 1 1/2 weeks, 160/80 today.  He takes Norvasc and Allupurinol 300 mg every am.  Recent change of gout med, doesn't know why.  He stopped taking a diuretic on his own about 1 year ago.  In our clinic on 10/11/2010, he appears flushed and a little sweaty.  I did not take his temperature.  Instructed to see private provider about these issues.  Phone call to client to see how he was doing, phone "disconnected".  Will send letter to request client to call Health Department to see how he is doing, and if he saw private provider.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Initial consumer report received on 05 Oct 2010: This patient with an unknown medical history had received a dose of Influenza virus vaccine (unknown manufacturer, unknown batch number), 3 to 4 years ago (date not specified). The patient subsequently developed shingles. The outcome was not reported.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haematoma, Muscle injury
Clinical narrative: Patient reported that area where injection was given originally bruised. He said the bruise then "ran down the muscle".  Injection given in left deltoid -- large bruise on inside of left arm evident on 10/11/2010 when he returned to pharmacy to pick up a prescription. He agreed to allow Pharm D to photograph & told that he had showed it to his MD that had administered the corticosteroid shot.  He stated that MD told him it was a bruise & he did not seem too concerned.  Follow up on 10/13/2010 with pt on phone & he states bruise remains approx. the same as when he brought it to our attention. Pharm D asked if he was taking any blood thinners (i.e. aspirin, etc.) and he stated that he has been on Naproxen 500mg twice daily for the past several weeks.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Large welts and extreme itching in skin from the waist down, which are the typical reaction that he receives when he eats eggs. The Welts and itching subsided after 30 minues following the administration of an antihistimine.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Patient reports that he developed redness and swelling in this right upper arm at the site of his PPV23 vaccine that he received in the AM.  Patient reports his arm redness and swelling worsened and his "whole arm and hand swelled up."  He reports he saw a doctor that prescribed an Rx of Augmentin and his symptoms have continued to improve.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysgeusia, Electrocardiogram normal, Palpitations
Clinical narrative: metallic taste in mouth; palpitations, lightheadedness
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Dizziness, Injected limb mobility decreased, Injection site cellulitis, Injection site erythema
Clinical narrative: Redness, swelling, fever, chills, dizziness, unable to use right arm.  Patient went to urgent care on 10/13/2010 was diagnosed with cellulitis at injection site and prescribed Dicloxacillin.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Redness, swelling, fever, chills, dizziness, unable to use right arm.  Patient went to urgent care on 10/13/2010 was diagnosed with cellulitis at injection site and prescribed Dicloxacillin.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash pruritic
Clinical narrative: Pts. mom reported rash, redness, and some swelling on upper right arm. Rash does itch. Pt. has not had to go to ER or PMD. No difficulty breathing. Pt. still going to school. Has been putting Benadryl gel on site with cool cloths. Called pt.10/7/10 and reported doing better.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Chest discomfort, Dyspepsia, Heart rate increased
Clinical narrative: After the flu shot in the morning, I felt for the following two nights discomfort in my chest.  Faster heart rate, pressure in the chest and heart burn.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient states that her lips felt tingly, site was sore, raised and slightly red. C/O painful arm x 2 days.  No hives or SOB.  Lasted til about 10:00pm.  She also felt "hot" initially.  Bandaids applied to both sites.  Flu shot site ok.  Latex free.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Paraesthesia oral
Clinical narrative: Patient states that her lips felt tingly, site was sore, raised and slightly red. C/O painful arm x 2 days.  No hives or SOB.  Lasted til about 10:00pm.  She also felt "hot" initially.  Bandaids applied to both sites.  Flu shot site ok.  Latex free.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling of body temperature change, Muscle spasms, Nausea, Vomiting
Clinical narrative: Pt fasted for a blood draw at 10:00 am on 10/7.  She ate a peanut butter sandwich at 11:00. This is much later than she usually eats. At about 11 she felt cold and hot alternately.  She felt nauseous.  At 1 pm she vomited lots of tea colored fluid. At 2 pm she vomited bile.  She then slept until 5:00 pm and had a light supper and spent quite a lot of time on the exercise bike.  This was a new activity for her.  She experienced leg cramps until 2 am. Pt was well by 10/8.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Dizziness, Feeling hot, Feeling jittery
Clinical narrative: Rapid heartbeat, chest pain, lightheaded, dizzy, hot, chills, sweating, jittery
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Hyperhidrosis
Clinical narrative: Rapid heartbeat, chest pain, lightheaded, dizzy, hot, chills, sweating, jittery
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Myalgia, Pain, X-ray limb
Clinical narrative: Achy Muscles and it hurts at night to sleep and it hurts to move her arm.  Patient also states the pain goes into her breast.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Approximately 2 hours postvaccination, patient began to feel "puny." When she woke up today (vaccine was yesterday), her right arm (injection site was right deltoid) was painful, hot to the touch, and swollen and red from the injection site down to the elbow. It has now been 24 hours since the vaccine and the symptoms persist. She has taken oral OTC pain relievers to this point but nothing else.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient was infected with shingles.  Occured twice 02/24/2010 and 06/01/2010 prescriptions filled for va
Age: 52.0
Sex: M
Vaccine: FLUX, PPV, TDAP
Symptoms: Dizziness, Erythema, Fatigue, Injection site haematoma, Injection site pain
Clinical narrative: Lght headed, point of injection began to hurt, the next morning entire bicep area was red and hot to the touch, 2nd day after: fatigued and bicep area of arm swollen, 3rd day out-signs of recovery. 9 days out today, area of injection is bruised, no swelling or redness.
Age: 52.0
Sex: M
Vaccine: FLUX, PPV, TDAP
Symptoms: Oedema peripheral, Skin warm, Sleep disorder
Clinical narrative: Lght headed, point of injection began to hurt, the next morning entire bicep area was red and hot to the touch, 2nd day after: fatigued and bicep area of arm swollen, 3rd day out-signs of recovery. 9 days out today, area of injection is bruised, no swelling or redness.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood test normal, Chest X-ray normal, Dyspnoea, Electrocardiogram normal, Headache
Clinical narrative: Rapid pulse and heart rate, problems catching breath, pasty colored skin and headache. Severe pain all over body.  Later developed a fever of 101.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Heart rate increased, Mononucleosis heterophile test negative, Pain, Pallor, Pyrexia
Clinical narrative: Rapid pulse and heart rate, problems catching breath, pasty colored skin and headache. Severe pain all over body.  Later developed a fever of 101.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Streptococcus test negative
Clinical narrative: Rapid pulse and heart rate, problems catching breath, pasty colored skin and headache. Severe pain all over body.  Later developed a fever of 101.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Computerised tomogram, Electroencephalogram, Grand mal convulsion, Nuclear magnetic resonance imaging, Postictal paralysis
Clinical narrative: Grand Mal Seizure, Todd's Paralysis
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Vaccination received on 10/12/2010.  Employee reported to Corporate office at 4pm on 10/13/2010 to show the Director of Education the symptoms she was experiencing. Symptoms are as follows:   Swelling, warmth, redness and bruising noted on left deltoid.  Left axillary lymph node and lymph glands in neck bilaterally swollen.   She was sent to our employee health clinic for evaluation.   Results of visit pending.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Heart rate increased, Pyrexia, Respiratory rate increased, Streptococcus test
Clinical narrative: Fever Fatigue Increased heart rate Increased resp rate
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Chest discomfort, Excoriation, Mechanical urticaria, Pallor
Clinical narrative: Pt recieved flu shot in ER where she works as AD ER RN.  She developed rapid onset of globus, chest and throat tightness and tachypnea.  ER MD assessed patient as having anaphylactic reaction and administered Epi 0.5mg IM x3, Duoneb x4, O2, Benedryl, Zantac, Visteril and called Allergy (me) after 45min.  Patient seen by me with pallor and rapid breathing.  Started to scratch and noted excoriations and mild dematographism but no hives.  No hypoxia but ER clinical impression was that of impressive reaction.  Requested tryptase and histamine be drawn and pending.  Pt admitted for observation and will f/u with me for further recommendations.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory rate increased, Scratch, Sensation of foreign body, Tachypnoea, Throat tightness
Clinical narrative: Pt recieved flu shot in ER where she works as AD ER RN.  She developed rapid onset of globus, chest and throat tightness and tachypnea.  ER MD assessed patient as having anaphylactic reaction and administered Epi 0.5mg IM x3, Duoneb x4, O2, Benedryl, Zantac, Visteril and called Allergy (me) after 45min.  Patient seen by me with pallor and rapid breathing.  Started to scratch and noted excoriations and mild dematographism but no hives.  No hypoxia but ER clinical impression was that of impressive reaction.  Requested tryptase and histamine be drawn and pending.  Pt admitted for observation and will f/u with me for further recommendations.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Rash, Urticaria
Clinical narrative: Woke up with face bright red and raised rash. No itch, burns a little.  At bedtime noted hives all over her body. She took Allegra and the hives were gone the next morning. Red face w/rash still present (day 2). Pt denies SOB or other difficulties.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN(H1N1), FLUN3
Symptoms: CSF protein increased, Facial spasm, Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture abnormal
Clinical narrative: Left facial numbness, left facial hemispasm, and left arm/leg numbness (less than face).  Symptoms rapidly resolving with observation only.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN(H1N1), FLUN3
Symptoms: Computerised tomogram, Cough, Dysphemia, Hypoaesthesia facial, Lumbar puncture
Clinical narrative: Left facial numbness, left facial hemispasm, and left arm/leg numbness (less than face).  Symptoms rapidly resolving with observation only.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN(H1N1), FLUN3
Symptoms: Muscle twitching, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Pain, Respiratory tract congestion
Clinical narrative: Left facial numbness, left facial hemispasm, and left arm/leg numbness (less than face).  Symptoms rapidly resolving with observation only.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN(H1N1), FLUN3
Symptoms: Sneezing
Clinical narrative: Left facial numbness, left facial hemispasm, and left arm/leg numbness (less than face).  Symptoms rapidly resolving with observation only.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Blood potassium decreased, Chest X-ray, Dizziness, Electrocardiogram
Clinical narrative: Extreme Dizziness on Friday the 8th of October associated with being extremely weak. Again on Monday, October 11th, 2010 @ 8:00pm had Heart Palpitations and dizziness, was taken to the Emergency Room, @ 8:39 pm was given EKG, Chest X-ray and blood work. All tests were normal except a low potassium count. Was given a potassium pill and sent home.  Was told by ER physician could be having a bad adverse affect from the Flu vaccine.