chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: ANTH, FLUN3, HEP, SMALL, TYP
Symptoms: Chest pain, Echocardiogram, Electrocardiogram abnormal, Pain in extremity, Pericarditis
Clinical narrative: This case was received on 17 December 2008 via a search of the VAERS database (reference number 330598). It was originally reported to VAERS by another manufacturer. A 43-year-old male patient received the following vaccinations on 07 October 2008: smallpox (ACAM2000, lot not reported), TYPHIM VI, lot not reported), BIOTHRAX (lot not reported), FLUMIST (lot not reported), and ENGERIX (lot not reported) and six days later (also reported as 17 October 2008), he developed acute onset of substernal chest pressure at rest. The pressure became a sharp pain that worsened with deep breathing and also radiated down the left arm. According to the reporter, the patient's symptoms and EKG findings were most consistent with mild pericarditis and a viral syndrome, most likely as a result of the smallpox vaccine. An echocardiogram was to be performed to assess for a pericardial effusion and to ensure cardiac function was normal. The patient recovered from the event. Documents held by sender: None
Age: 43.0
Sex: M
Vaccine: ANTH, FLUN3, HEP, SMALL, TYP
Symptoms: Viral infection
Clinical narrative: This case was received on 17 December 2008 via a search of the VAERS database (reference number 330598). It was originally reported to VAERS by another manufacturer. A 43-year-old male patient received the following vaccinations on 07 October 2008: smallpox (ACAM2000, lot not reported), TYPHIM VI, lot not reported), BIOTHRAX (lot not reported), FLUMIST (lot not reported), and ENGERIX (lot not reported) and six days later (also reported as 17 October 2008), he developed acute onset of substernal chest pressure at rest. The pressure became a sharp pain that worsened with deep breathing and also radiated down the left arm. According to the reporter, the patient's symptoms and EKG findings were most consistent with mild pericarditis and a viral syndrome, most likely as a result of the smallpox vaccine. An echocardiogram was to be performed to assess for a pericardial effusion and to ensure cardiac function was normal. The patient recovered from the event. Documents held by sender: None
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a child who was vaccinated with a dose of ROTATEQ. Subsequently, the patient had developed a bloody stool ever since the patient was administered ROTATEQ "when it has been a couple weeks." The patient's outcome was not reported. Upon internal review, haematochezia was considered to be an other important medical event. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Choking, Hypotonia, Respiratory arrest, Underdose
Clinical narrative: Information has been received from a physician concerning an 8 week old female who on 17-DEC-2008 was vaccinated with the first dose of ROTATEQ. The physician reported that the patient "choked, was not breathing and became limp for 2 minutes." The patient did not receive the entire dose of the medication. The patient was observed in the office and recovered. Upon internal review, respiratory arrest was considered to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein normal, Caesarean section, Drug exposure during pregnancy, Failed trial of labour, Pre-eclampsia
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.), for the Pregnancy Registry for GARDASIL, concerning a 14 year old female with Ascus positive HR HPV, late care who on 14-AUG-2007 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (Lot #657617/0384U), on 15-OCT-2007 was vaccinated intramuscularly with the second 0.5 ml dose of GARDASIL (Lot #657617/0384U) and on 13-MAR-2008 was vaccinated intramuscularly with the third 0.5 ml dose of GARDASIL (Lot #758222/0927U). Concomitant therapy included prenatal vitamins (PVN). There was no concomitant medication. The patient was pregnant, and her last menstrual period was 18-FEB-2008 and the estimated delivery date will be on 17-NOV-2008 (previously reported as 24-NOV-2008). No adverse event was reported. Medical attention was sought via office visit. Follow up information was received which reported that on 02-NOV-2008, the patient delivered a normal and healthy male baby. The patient had complications, she had mild preclampsia and she was scheduled for induction on 31-OCT-2008. The patient underwent CERVIDIL and PITOCIN, the patient failed to dilate past 4 cm. The patient and partner elected for C/section. There was no infections or illness during pregnancy reported. During the pregnancy was used PROCARDIA, 10 mg, every four hours for threatened pre term labor. Upon internal review failed to dilate was considered an other important medical event because the patient required a C-section. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Threatened labour, Ultrasound scan normal
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.), for the Pregnancy Registry for GARDASIL, concerning a 14 year old female with Ascus positive HR HPV, late care who on 14-AUG-2007 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (Lot #657617/0384U), on 15-OCT-2007 was vaccinated intramuscularly with the second 0.5 ml dose of GARDASIL (Lot #657617/0384U) and on 13-MAR-2008 was vaccinated intramuscularly with the third 0.5 ml dose of GARDASIL (Lot #758222/0927U). Concomitant therapy included prenatal vitamins (PVN). There was no concomitant medication. The patient was pregnant, and her last menstrual period was 18-FEB-2008 and the estimated delivery date will be on 17-NOV-2008 (previously reported as 24-NOV-2008). No adverse event was reported. Medical attention was sought via office visit. Follow up information was received which reported that on 02-NOV-2008, the patient delivered a normal and healthy male baby. The patient had complications, she had mild preclampsia and she was scheduled for induction on 31-OCT-2008. The patient underwent CERVIDIL and PITOCIN, the patient failed to dilate past 4 cm. The patient and partner elected for C/section. There was no infections or illness during pregnancy reported. During the pregnancy was used PROCARDIA, 10 mg, every four hours for threatened pre term labor. Upon internal review failed to dilate was considered an other important medical event because the patient required a C-section. Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Arthralgia, Blood immunoglobulin M, C-reactive protein normal, Carpal tunnel syndrome, Joint swelling
Clinical narrative: Information has been received from a 62 year old male physician with environmental allergies, asthma and atopic dermatitis who on 09-NOV-2008 was vaccinated subcutaneously with a 0.5 ml dose of MMR II (rHA, lot # 660208/0454X). On 09-NOV-2008 the patient was also vaccinated with RECOMBIVAX HB (manufacturer unspecified). Other concomitant therapy included montelukast sodium (MSD) and ADVAIR. On 24-NOV-2008 the patient experienced pain and swelling of both wrists, hands right ankle and left knee after receiving the MMR II. The patient also experienced carpal tunnel syndrome in both hands. Laboratory diagnostic tests included sedimentation rate, C-reactive protein (CRP) and rubella IGM titer and the results were all within normal limits. The patient sought medical attention via office visit. At time of reporting, the patient was recovering. Pain and swelling of both wrists, hands, right ankle and left knee and carpal tunnel syndrome in both hands were considered to be disabling. Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Red blood cell sedimentation rate normal, Rubella antibody test
Clinical narrative: Information has been received from a 62 year old male physician with environmental allergies, asthma and atopic dermatitis who on 09-NOV-2008 was vaccinated subcutaneously with a 0.5 ml dose of MMR II (rHA, lot # 660208/0454X). On 09-NOV-2008 the patient was also vaccinated with RECOMBIVAX HB (manufacturer unspecified). Other concomitant therapy included montelukast sodium (MSD) and ADVAIR. On 24-NOV-2008 the patient experienced pain and swelling of both wrists, hands right ankle and left knee after receiving the MMR II. The patient also experienced carpal tunnel syndrome in both hands. Laboratory diagnostic tests included sedimentation rate, C-reactive protein (CRP) and rubella IGM titer and the results were all within normal limits. The patient sought medical attention via office visit. At time of reporting, the patient was recovering. Pain and swelling of both wrists, hands, right ankle and left knee and carpal tunnel syndrome in both hands were considered to be disabling. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a patient (age and gender not reported) who on an unspecified date was vaccinated with ROTATEQ. Concomitant medications were not reported. Subsequently on an unspecified date, the patient experienced intussusception and was hospitalized. Subsequently on an unspecified date, the patient recovered from intussusception. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Local reaction of redness, swelling, itching at injection site.
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Rash vesicular
Clinical narrative: Vesicular eruption, 3-4 lesions consistent with Varicella lesions. Fever of 103 and febrile convulsions lasting approx. one minute.
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Hypersensitivity, Nausea, Pruritus generalised
Clinical narrative: As reported by patient, he began to complain of generalized itching, then nausea approximately 30 min. to 1 hr. after Hep B vaccine administration.  He was taken to local Urgent Care where he was assessed, determined to be having an allergic reaction and Epinephrine was administered.  He was discharged.
Age: 0.62
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: Fever of 102 within 24 hours of immunization, small pink lesions on trunk.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Pyrexia
Clinical narrative: Fever of 101 beginning within 24 hours of imm.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Pyrexia
Clinical narrative: Fever of 100.5 within 24 hours of immunization. No other illness symptoms.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dry skin, Dyskinesia, Erythema, Fall, Immediate post-injection reaction
Clinical narrative: Was in reception area immediately after injection of Gardasil and fell to floor and had full body twitching for 5 to 10 seconds.  Was not observed falling.  Mother had back to her while paying receptionist.  No complete loss of consciousness noted.  Has redness on right side of face and c/o of pain in right temple area.  PERL. Pale. Skin warm and dry.  Not involuntary of bodily functions.  Full ROM and good grasp and answers commands appropriately.  No prior Hx of medical conditions except anemia when younger.  BP130/90. Pulse 88reg. Happened at 9:50am and ambulance arrived to take her to ER at 9:57am.  Phone call from mother stating she was discharged to go home at  11:20am.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle twitching, Pain, Pallor, Skin warm
Clinical narrative: Was in reception area immediately after injection of Gardasil and fell to floor and had full body twitching for 5 to 10 seconds.  Was not observed falling.  Mother had back to her while paying receptionist.  No complete loss of consciousness noted.  Has redness on right side of face and c/o of pain in right temple area.  PERL. Pale. Skin warm and dry.  Not involuntary of bodily functions.  Full ROM and good grasp and answers commands appropriately.  No prior Hx of medical conditions except anemia when younger.  BP130/90. Pulse 88reg. Happened at 9:50am and ambulance arrived to take her to ER at 9:57am.  Phone call from mother stating she was discharged to go home at  11:20am.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Child was given an adult Hep A dose instead of a pediactric dose.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Adult Hep A given to child instead of a pediactric dose.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Approximately 8 hours after receiving vaccines child spiked fever of 104 degrees(rectal) with vomiting and diarrhea. Twin sister had fever spike as well without the vomiting and diarrhea. Mother took both children to urgent care and was told by the attending physician that is was likely caused by the flu vaccine.  Child was treated with alternating tylenol and motrin with resolution three days later.
Age: 0.5
Sex: F
Vaccine: DTPPHIB, FLU3, HEP, PNC
Symptoms: Pyrexia
Clinical narrative: Received vaccines along with twin sister and spiked a fever of 103 degrees (rectal) within 8 hours after administration.  She wasn't having the vomitting and diarrhea that her sister was experiencing but she was also seen by physician at urgent care.  Attending physician told parents that it was from the flu vaccine. Continued with what mother describes as low grade fever for approximately three days.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Irritability, Pyrexia
Clinical narrative: Pt fussy with low-grade fever of 100.8 within 24 hours of immunizations.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Injection site pain, Injection site urticaria
Clinical narrative: 3cm x 4cm raised tender eryth around injection site, temperature of 99.8
Age: 20.0
Sex: F
Vaccine: YF
Symptoms: Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Slight fever, chills; local redness, swelling at site of imm. Symptoms developed 7 days after imm.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Amenorrhoea, Back pain, Blood test, Computerised tomogram, Ear pain
Clinical narrative: syncope or seizure still being determined,events  started in june of 08, she has experienced over 100 syncope episodes since that time, a month or so after inoculation, co administered with Hep A, episodes began in june, again in august, september, weekly in november, december, has experienced immobility, nausea, irregular and missed periods, migraine like headaches, left ear pain, leg pain and tingling in hands and feet, lower back pain, to date she has been to the ER 7 times and had two hospital stays for issues of passing out from 3 minutes to over 30 minutes as she passes out repeatedly, no medical treatment other than rest up until this point, she is being admitted for further neurological understanding and a three day hospital evaluation. 2/4/09 Neurology consult received dated 12/22/08 for eval of episodic LOC.  Pt initially began having lapses of consciousness in 6/2008 on vacation.  Seen in ER and found to be dehydrated, possibly r/t alcohol consumption.  Repeat attacks however were with good hydration status. 1 week after 1st episode pt was feeling ill and unable to walk/stand w/o having an episode. W/U (-). Pt may have weeks w/o episodes, but then begin with teeth chattering, then a "head rush", dizziness and the feeling of going to pass out. Holter monitor did not register any abnormalities during episodes.  Episode in 8/2008, pt was unable to roused x 30 minutes. W/U (-). In 12/08 episode did not involve complete LOC but had bifrontal H/A with photophobia after.  Some events involve hand shaking or whole body shaking.   Pt to be admitted for further eval.D/C Summary received for DOS 1/5-8/2009 with D/C DX: Unexplained LOC. PE WNL. One mild event noted during admission with teeth chattering and tremulous movements of the upper extremities, L>R. No LOC. No further events during admission.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Headache, Immobile, Loss of consciousness, Menstruation irregular, Migraine
Clinical narrative: syncope or seizure still being determined,events  started in june of 08, she has experienced over 100 syncope episodes since that time, a month or so after inoculation, co administered with Hep A, episodes began in june, again in august, september, weekly in november, december, has experienced immobility, nausea, irregular and missed periods, migraine like headaches, left ear pain, leg pain and tingling in hands and feet, lower back pain, to date she has been to the ER 7 times and had two hospital stays for issues of passing out from 3 minutes to over 30 minutes as she passes out repeatedly, no medical treatment other than rest up until this point, she is being admitted for further neurological understanding and a three day hospital evaluation. 2/4/09 Neurology consult received dated 12/22/08 for eval of episodic LOC.  Pt initially began having lapses of consciousness in 6/2008 on vacation.  Seen in ER and found to be dehydrated, possibly r/t alcohol consumption.  Repeat attacks however were with good hydration status. 1 week after 1st episode pt was feeling ill and unable to walk/stand w/o having an episode. W/U (-). Pt may have weeks w/o episodes, but then begin with teeth chattering, then a "head rush", dizziness and the feeling of going to pass out. Holter monitor did not register any abnormalities during episodes.  Episode in 8/2008, pt was unable to roused x 30 minutes. W/U (-). In 12/08 episode did not involve complete LOC but had bifrontal H/A with photophobia after.  Some events involve hand shaking or whole body shaking.   Pt to be admitted for further eval.D/C Summary received for DOS 1/5-8/2009 with D/C DX: Unexplained LOC. PE WNL. One mild event noted during admission with teeth chattering and tremulous movements of the upper extremities, L>R. No LOC. No further events during admission.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Nausea, Pain in extremity, Paraesthesia, Syncope
Clinical narrative: syncope or seizure still being determined,events  started in june of 08, she has experienced over 100 syncope episodes since that time, a month or so after inoculation, co administered with Hep A, episodes began in june, again in august, september, weekly in november, december, has experienced immobility, nausea, irregular and missed periods, migraine like headaches, left ear pain, leg pain and tingling in hands and feet, lower back pain, to date she has been to the ER 7 times and had two hospital stays for issues of passing out from 3 minutes to over 30 minutes as she passes out repeatedly, no medical treatment other than rest up until this point, she is being admitted for further neurological understanding and a three day hospital evaluation. 2/4/09 Neurology consult received dated 12/22/08 for eval of episodic LOC.  Pt initially began having lapses of consciousness in 6/2008 on vacation.  Seen in ER and found to be dehydrated, possibly r/t alcohol consumption.  Repeat attacks however were with good hydration status. 1 week after 1st episode pt was feeling ill and unable to walk/stand w/o having an episode. W/U (-). Pt may have weeks w/o episodes, but then begin with teeth chattering, then a "head rush", dizziness and the feeling of going to pass out. Holter monitor did not register any abnormalities during episodes.  Episode in 8/2008, pt was unable to roused x 30 minutes. W/U (-). In 12/08 episode did not involve complete LOC but had bifrontal H/A with photophobia after.  Some events involve hand shaking or whole body shaking.   Pt to be admitted for further eval.D/C Summary received for DOS 1/5-8/2009 with D/C DX: Unexplained LOC. PE WNL. One mild event noted during admission with teeth chattering and tremulous movements of the upper extremities, L>R. No LOC. No further events during admission.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Computerised tomogram, Electrocardiogram, Electroencephalogram, Nuclear magnetic resonance imaging, Syncope
Clinical narrative: syncope or seizure still being determined,events  started in june of 08, she has experienced over 100 syncope episodes since that time, a month or so after inoculation, co administered with Hep A, episodes began in june, again in august, september, weekly in november, december, has experienced immobility, nausea, irregular and missed periods, migraine like headaches, left ear pain, leg pain and tingling in hands and feet, lower back pain, to date she has been to the ER 7 times and had two hospital stays for issues of passing out from 3 minutes to over 30 minutes as she passes out repeatedly, no medical treatment other than rest up until this point, she is being admitted for further neurological understanding and a three day hospital evaluation. 2/4/09 Neurology consult received dated 12/22/08 for eval of episodic LOC.  Pt initially began having lapses of consciousness in 6/2008 on vacation.  Seen in ER and found to be dehydrated, possibly r/t alcohol consumption.  Repeat attacks however were with good hydration status. 1 week after 1st episode pt was feeling ill and unable to walk/stand w/o having an episode. W/U (-). Pt may have weeks w/o episodes, but then begin with teeth chattering, then a "head rush", dizziness and the feeling of going to pass out. Holter monitor did not register any abnormalities during episodes.  Episode in 8/2008, pt was unable to roused x 30 minutes. W/U (-). In 12/08 episode did not involve complete LOC but had bifrontal H/A with photophobia after.  Some events involve hand shaking or whole body shaking.   Pt to be admitted for further eval.D/C Summary received for DOS 1/5-8/2009 with D/C DX: Unexplained LOC. PE WNL. One mild event noted during admission with teeth chattering and tremulous movements of the upper extremities, L>R. No LOC. No further events during admission.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Vulvovaginal discomfort
Clinical narrative: Beginning 12/11/08 Pt reports bumps on the back of hands bilaterally approx 1cm in diameter that spread all over body.  Pt repots the bumps are very itchy.  Pt was seen by GYN due to irritation in vaginal area and used Monistat cream twice without success.  Patient's GYN prescribed prednisone and a vaginal cream, which will start today.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: BROKE OUT W/ CHICKEN POX
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Induration, Skin warm, Swelling, Tenderness
Clinical narrative: Marked local swelling, induration, erythema, warmth, and tenderness resulting in a physician office visit.
Age: 38.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Pain
Clinical narrative: Patient describes reaction as increased temp of 103F, Red hot swollen right arm, body aches and nausea. Patient was seen at ED and recieved Benadryl, Ibuprofen, Phenergan and Dilaudid as well as a prescription for Oxycontin.
Age: 38.0
Sex: M
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Patient describes reaction as increased temp of 103F, Red hot swollen right arm, body aches and nausea. Patient was seen at ED and recieved Benadryl, Ibuprofen, Phenergan and Dilaudid as well as a prescription for Oxycontin.
Age: 1.5
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Condition aggravated, Convulsion, Febrile convulsion, Otitis media acute, Pyrexia
Clinical narrative: Seizure lasting 1-5minutes.  Fever 104+.  Final Diagnosis:  Febrile Convulsions. Additional: Acute Suppurative OM w/o ruptured eardrum.  Treatments: TYLENOL & AMOXICILLIN.
Age: 1.5
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Tympanic membrane perforation
Clinical narrative: Seizure lasting 1-5minutes.  Fever 104+.  Final Diagnosis:  Febrile Convulsions. Additional: Acute Suppurative OM w/o ruptured eardrum.  Treatments: TYLENOL & AMOXICILLIN.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Has area on L arm located about 2-3 in away from affected area where shot was administered. There were a 2 rounded red areas and then several  other reddened areas- flat not raised. States ache from shoulder to elbow.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Dry skin, Haemoglobin, Lipoprotein (a), Metabolic function test, Pruritus
Clinical narrative: Dry, Flaky, Skin, Circular, Itchy.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Skin exfoliation
Clinical narrative: Dry, Flaky, Skin, Circular, Itchy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Seen at hospital 12/03/08 for swelling of right upper arm, treated with Bactrim, seen again 12/4/08 for flu area slightly bigger, sent to hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Seen at hospital 12/03/08 for swelling of right upper arm, treated with Bactrim, seen again 12/4/08 for flu area slightly bigger, sent to hospital
Age: 37.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Swelling, redness, induration, warmth in posterior upper arm (triceps area);  occurred one mo. after vaccine.
Age: 10.0
Sex: M
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Confusional state, Syncope, Unresponsive to stimuli
Clinical narrative: Pt received vaccines below and appeared well with no complaints.  Upon exiting, pt collapsed in hallway.  Pt unresponsive for a short time, with slight confusion following.  ABC's intact with no problem.  EMT's called.  Pt taken to ER per ambulance.  Pt discharged after several hours to home.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen, tender supra clavicular lymphadenopathy.  Also some milder adenopathy in brachial region.  Both were in left arm, which had received DTAP.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Nov 3rd got flu shot and needle insertion didn't hurt, but "it felt like the needle hit something". Reports he had a "fireball" of pain when medicine injected. For 2 hours pain at injection site #5-6 then decreased #2 until Nov 29, 2008 when pain went up to 8-9 and he could "hardly move his arm".
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Pain in extremity
Clinical narrative: (2008) Received flu shot Nov 3 & ok until Nov. 22nd.  Woke up and had #6 pain left arm (upper only) with pain to left LUE distal to that.  Still has some pain (#2 at rest), increased #8 with movement.  Pain described as "weakness" & "achy".  No new routine or activity noted post flu shot given to cause pain.  Exercises but not since flu shot.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Received flu shot left deltoid on 11/3/08.  No significant increased pain when administered flu shot as compared with other years when got flu shot.  Continues with pain at injection site # 6 at activity; # 0 at rest.  Denies cons dehersitious (L)UE.  Pain does not radiate past injection site.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Injected limb mobility decreased, Insomnia, Laboratory test, Musculoskeletal pain
Clinical narrative: Nov 3rd 2008 rec'd flu shot pt sore for 1st couple of days. Ok until Nov. 15 pain (L) shoulder just below acromion #3. Nov 20 call Dr. & used Alleve, Tylenol. Nov 19 pain increased #8 no sleeping. Nov-22 went to ER walkin clinic. Nov 22 pain. #10. Couldn't lift her own arm- someone had to lift arm. Took Alleve, Tylenol and took 1/2 tab of codeine. Now decreased #4. Will follow up with Dr to get physical therapy. No abscess found faxed x-ray.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: Nov 3rd 2008 rec'd flu shot pt sore for 1st couple of days. Ok until Nov. 15 pain (L) shoulder just below acromion #3. Nov 20 call Dr. & used Alleve, Tylenol. Nov 19 pain increased #8 no sleeping. Nov-22 went to ER walkin clinic. Nov 22 pain. #10. Couldn't lift her own arm- someone had to lift arm. Took Alleve, Tylenol and took 1/2 tab of codeine. Now decreased #4. Will follow up with Dr to get physical therapy. No abscess found faxed x-ray.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Grip strength decreased, Hypoaesthesia, Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: Pt reports getting her shot 11/3/2008.  Reports bowling that night and noticing sore arm.  Reports on 11/13/08 noticed she was dropping things.  Having aching pain.  Reports loss of movements.  Reported limited ROM and pain with movements.  C/o numbness in her entire arm.  Evaluated in ER on 12-2-08.  Has F/U apt in Ortho on 12/5/08.  Pt also reports "where shot was given it is sore".  Pt asking if injection was given too high.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt reports getting her shot 11/3/2008.  Reports bowling that night and noticing sore arm.  Reports on 11/13/08 noticed she was dropping things.  Having aching pain.  Reports loss of movements.  Reported limited ROM and pain with movements.  C/o numbness in her entire arm.  Evaluated in ER on 12-2-08.  Has F/U apt in Ortho on 12/5/08.  Pt also reports "where shot was given it is sore".  Pt asking if injection was given too high.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: Nov 3, 2008, shot given Nov 4 & 5 sore arm, "went away".  Nov 8 & 9 am sore arm around injection site.  Reports some tingling left arm shoulder to elbow posteriorly & occasional tingling to left pinky finger.  Pain aggravated with reaching, pushing, lifting (high up).  Painful at night-wakes him up.  TYLENOL is without relief.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: c/o left arm pain. Refusal RN interview. Therefore below is not completed.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: He received his flu shot on Nov 3, 2008. States 1-2 days after the shot he had stiffness in his arm (left)... "Can't lay on it"...." have to move it around a lot in the morning to get it going". No changes. Pain comes back stronger after rests for a while.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain
Clinical narrative: Flu shot received 11/3/08. States toward the end of November (approx. Nov 12th) he developed an achiness in both shoulders rating it a #5. States elbows also sensitive. (L) elbow ached first then  (R) elbow. Was going to see an MD, but pain disappeared "98%" so did not seek medical care.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Pain
Clinical narrative: Since 11/3/08- W/E of Nov 8 & 9. -> sender couldn't hardly life her arm - was weak.  On & off ever since.  12/1/08 left arm- had to hold arm close to her body & use right arm to lift left arm.  I had taken ADVIL 200 mg X 6 tabs at one time on evening 11-30-08 for # 8 pain; went down to 2 or 4.  Since then gets bad & goes away for a couple of days.  (Education given on proper dose of ADVIL.)
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pain, Pruritus, Rash
Clinical narrative: Patient got rash after getting vaccine, 12 days after rash blister appeared, a few days after that blister were gone but area still itchy and painful. Patient received prescription for VALTREX 1gr TID x 7d.
Age: 41.0
Sex: M
Vaccine: FLUX
Symptoms: Musculoskeletal pain
Clinical narrative: On Nov 3, 2008 flu shot given left arm.  Nov 4, noted tensed muscle feel- expected. 8-10 days later right shoulder started hurting in rotator cuff-intensity peaked around 11/27/08.  No further problems with LUE at injection site.  No activity noted unusual with RUE.  No pain radiation RUE + no cons changes.
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Injection site vesicles
Clinical narrative: Site of injection was blistered , raised , red and tender to touch. No fever.  Plus irritability. Area around site was red x an elongated area appears "burned". Site raised.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Arthralgia, Influenza like illness, Pain, Pain in extremity
Clinical narrative: Mom reports child with "severe" hip and joint pain. Complains of severe pain in legs, feels like she has the flu, mom feels this is more than an average reaction, achy all over 12/31/08 feeling a little better, mom did not want daughter to receive anymore HPV vaccines.
Age: 69.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness, itching one vaccine left arm administered area. Symptoms started 11/25/2008,  Dx Arthrus reaction. Rx with ATARAX 25 mg QID as needed KEFLEX 500mg one TID.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Fever on 12/30/2008- Temp 101 degrees- redness and induration at left upper thigh.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received Menactra vaccine on 12-31-2008. Rapidly developed redness and swelling at injection site only. Area of redness was 5 in x 5 in. Area also was itchy. Physician recommended Benedryl every 6 hours and cold compress application to injection site. On 1-2-09 area of redness and swelling had diminished in size.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed Shingles 3 days after vaccination.  Patient had no prior history of Shingles, was not ill, had not been ill for atleast 3 months prior to vaccination and did not have a history or reason for a low WBC or other immunilogical problems.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Burning sensation, Erythema, Hypersensitivity, Immediate post-injection reaction, Pruritus
Clinical narrative: Reaction occurred immediately after the shot was administered. large raised red area approximately 6 inches in circumference with itching and burning. Allergic reaction occurred above the shot and in shoulde area. Benadryl was administered a number of times as the hives came and went. Additionally, the spot would reduce with benadryl administered and then return in size as the medication wore off. This continued for about 4 days. It is now day 6 and the red spot is fading and there are no more hives.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Swelling, Urticaria
Clinical narrative: Reaction occurred immediately after the shot was administered. large raised red area approximately 6 inches in circumference with itching and burning. Allergic reaction occurred above the shot and in shoulde area. Benadryl was administered a number of times as the hives came and went. Additionally, the spot would reduce with benadryl administered and then return in size as the medication wore off. This continued for about 4 days. It is now day 6 and the red spot is fading and there are no more hives.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Raised red area approximately 4 inches in diameter with a pink circular eurthmia approximately another 2 inches surrounding the outer portion of the immediate raised area. Benadryl was administered but to no affect. Over the past 4 days the size of the red raised area has reduced
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Oedema peripheral, Pain, Pyrexia
Clinical narrative: The patient complains of major swelling in the arm where the vaccine was administered. Swelling to the point where he could not lift his arm.  He complained of a lot of pain. The patient also complained of a high fever and chills. The fever began 12 hours after the vaccine was administered.  The fever was as high as 103 degrees.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysphagia, Pruritus, Rash, Skin warm
Clinical narrative: Patient was given Zostavax vaccine at approximately 12:30pm on 12/20/08 (subcutaneously per protocol) at Pharmacy. He had no problems at time of injection and stayed at pharmacy for approximately 15 to 20 minutes after injection). Later that evening, the patient experienced itching and warmth in groin and axillary areas. He also had a sensation of trouble swallowing but reported no problem breathing. He called his primary physician and was instructed to take diphenhydramine (or loratadine) and ranitidine. I spoke to him on Sunday (12/21/08) and he told me what had transpired the night before. He said his physician felt it was an allergic reaction to one of the components in the vaccine and not Shingles. On Monday (12/22/08), the rash had spread to other parts of his body but the difficulty swallowing had subsided. He saw his physician and was prescribed a methylprednisolone dose pak. I called him on Monday night and again on Tuesday and he was doing much better. The rash cleared completely by end of dosepak and patient has had no other problems (recovered completely).
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood creatine phosphokinase MB, Blood culture negative, Blood pressure fluctuation, Body temperature decreased, Chills
Clinical narrative: Pt states he had itching at injection site beginning soon after vaccine given (given 12/19). Around midnight 12/21, pt awoke to get out of bed and had syncopal episode. Wife noted skin was red. EMS was called. BP 67/47 and patient became syncopal every time they tried to sit him upright. Pt was given BENADRYL 50mg IV and NS fluids bolus and transported to ER. In ER pt was experiencing rigors and chills and temp was found to be 95.3 and BP = 215/165. Pt was noted to have a diffuse blanching erythematous rash. Pt received SOLUMEDROL 125mg IV, PEPCID 20mg IV, and ZYRTEC 10mg PO. Pt stated he remembered feeling like his throat would close. Vital signs in ER: Temp: 95.5, 97.4, 97.8, 97.9; Pulse: 90, 79, 64, 63, 73, 76, 81, 87, 83; Resp: 17, 79, 18, 18, 18, 18, 18, 18, 18; Syst: 215, 158, 142, 128, 140, 158, 159, 133, 119; Diast: 165, 64, 79, 87 89, 84 94 85, 78; O2 Sat: 96, 93, 100, 100, 100, 100, 100, 100, 98. Pt was admitted on PREDNISONE 15mg PO BIX and ZYRTEC 10mg daily. Pt discharged home on 12/24 with ZYRTEC 10mg PO daily x 5 days, PREDNISONE 10mg daily x 2 days followed by 5mg daily x 2 days.  01/06/2009 MR receoved for DOS12/22-24/2008 with D/C DX:  Transient shock probably related to anaphylaxis.  No evidence of sepsis.  Organic heart disease with inferior wall ischemia on stress testing.  Type 2 DM, non-insulin requiring.  Dyslipidemia. Pt presented with injection site itching, chills, rigors, diffuse erythema and weakness. EMS noted BP to be low with subnormal temp. Diffuse erythema of skin noted, otherwise normal PE and VS. Tx with steroids and IVF with K+ with no further problems.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Culture urine, Erythema, Injection site pruritus, Pallor, Rash erythematous
Clinical narrative: Pt states he had itching at injection site beginning soon after vaccine given (given 12/19). Around midnight 12/21, pt awoke to get out of bed and had syncopal episode. Wife noted skin was red. EMS was called. BP 67/47 and patient became syncopal every time they tried to sit him upright. Pt was given BENADRYL 50mg IV and NS fluids bolus and transported to ER. In ER pt was experiencing rigors and chills and temp was found to be 95.3 and BP = 215/165. Pt was noted to have a diffuse blanching erythematous rash. Pt received SOLUMEDROL 125mg IV, PEPCID 20mg IV, and ZYRTEC 10mg PO. Pt stated he remembered feeling like his throat would close. Vital signs in ER: Temp: 95.5, 97.4, 97.8, 97.9; Pulse: 90, 79, 64, 63, 73, 76, 81, 87, 83; Resp: 17, 79, 18, 18, 18, 18, 18, 18, 18; Syst: 215, 158, 142, 128, 140, 158, 159, 133, 119; Diast: 165, 64, 79, 87 89, 84 94 85, 78; O2 Sat: 96, 93, 100, 100, 100, 100, 100, 100, 98. Pt was admitted on PREDNISONE 15mg PO BIX and ZYRTEC 10mg daily. Pt discharged home on 12/24 with ZYRTEC 10mg PO daily x 5 days, PREDNISONE 10mg daily x 2 days followed by 5mg daily x 2 days.  01/06/2009 MR receoved for DOS12/22-24/2008 with D/C DX:  Transient shock probably related to anaphylaxis.  No evidence of sepsis.  Organic heart disease with inferior wall ischemia on stress testing.  Type 2 DM, non-insulin requiring.  Dyslipidemia. Pt presented with injection site itching, chills, rigors, diffuse erythema and weakness. EMS noted BP to be low with subnormal temp. Diffuse erythema of skin noted, otherwise normal PE and VS. Tx with steroids and IVF with K+ with no further problems.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Syncope, Throat tightness, Troponin, White blood cell count increased
Clinical narrative: Pt states he had itching at injection site beginning soon after vaccine given (given 12/19). Around midnight 12/21, pt awoke to get out of bed and had syncopal episode. Wife noted skin was red. EMS was called. BP 67/47 and patient became syncopal every time they tried to sit him upright. Pt was given BENADRYL 50mg IV and NS fluids bolus and transported to ER. In ER pt was experiencing rigors and chills and temp was found to be 95.3 and BP = 215/165. Pt was noted to have a diffuse blanching erythematous rash. Pt received SOLUMEDROL 125mg IV, PEPCID 20mg IV, and ZYRTEC 10mg PO. Pt stated he remembered feeling like his throat would close. Vital signs in ER: Temp: 95.5, 97.4, 97.8, 97.9; Pulse: 90, 79, 64, 63, 73, 76, 81, 87, 83; Resp: 17, 79, 18, 18, 18, 18, 18, 18, 18; Syst: 215, 158, 142, 128, 140, 158, 159, 133, 119; Diast: 165, 64, 79, 87 89, 84 94 85, 78; O2 Sat: 96, 93, 100, 100, 100, 100, 100, 100, 98. Pt was admitted on PREDNISONE 15mg PO BIX and ZYRTEC 10mg daily. Pt discharged home on 12/24 with ZYRTEC 10mg PO daily x 5 days, PREDNISONE 10mg daily x 2 days followed by 5mg daily x 2 days.  01/06/2009 MR receoved for DOS12/22-24/2008 with D/C DX:  Transient shock probably related to anaphylaxis.  No evidence of sepsis.  Organic heart disease with inferior wall ischemia on stress testing.  Type 2 DM, non-insulin requiring.  Dyslipidemia. Pt presented with injection site itching, chills, rigors, diffuse erythema and weakness. EMS noted BP to be low with subnormal temp. Diffuse erythema of skin noted, otherwise normal PE and VS. Tx with steroids and IVF with K+ with no further problems.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Death, Dyspnoea
Clinical narrative: Chest tightness, shortness of breath, and rapid demise to death within 4 hours of receiving vaccine. 1/7/09-records received for ED DOS 9/29/08-presented to ED with C/O chest pain, while enroute to ED became diaphoretic, SOB required cardioconversion, intubation. V fib. DX and COD-Pulmonary embolus.  Expired 9/29/08. 2/9/09-COD-pulmonary embolism.
Age: 0.51
Sex: F
Vaccine: FLU3
Symptoms: Blood culture negative, Computerised tomogram normal, Convulsion, Electroencephalogram normal, Febrile convulsion
Clinical narrative: Received flu vaccine 12/8. On 12/10 developed fever and seizures. Sepsis work up negative, head CT negative. Dx: complex febrile seizures. 3/3/09-records received-on 12/10/08 2 episodes brief stiffness and eyes rolling back during fever of 103.7. 12/11/08-additional episodes of stiffness and eyes rolling back.
Age: 0.51
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture normal, Pyrexia
Clinical narrative: Received flu vaccine 12/8. On 12/10 developed fever and seizures. Sepsis work up negative, head CT negative. Dx: complex febrile seizures. 3/3/09-records received-on 12/10/08 2 episodes brief stiffness and eyes rolling back during fever of 103.7. 12/11/08-additional episodes of stiffness and eyes rolling back.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cold sweat, Confusional state, Dizziness
Clinical narrative: Severe congestion-nasal,ears,head - vision and hearing. Severe headaches. Chills - cold sweats- fever, severe weakness, confusion- very, very bad!!!. Dizziness- all the worse than the flu!!. 12/27/08 still weak and congested, my vision and hearing still damaged.  1/09/2009 MR received from HD for OV 1/8/09 with DX: Serous otitis by hx.  Adverse effects Flu shot. Pt presented with c/o dizziness, confusion, head congestion ear popping, and hearing a cricket-like sound in her ears. Sx lasted 7 days except R ear still popping. Now c/o weakness and decreased vision. PE WNL except vision. Referred to ophth. Follow-up: On Thursday January 8, 2009 I was examined by Dr. at the county health dept. I had never been seen by Dr. before, but rather by whom I desire to continue seeing as long as I live in this county---I trust her sincerely. Upon my exam I complained of "flu like" conditions that began soon after receiving a flu vaccine. On that office visit I was suffering from flu-like intestinal condition. That had started around 01-02-09---I was still very week, body aches congestion, hoarse throat and of course my most concern ...the impaired vision and hearing. No "in-house" blood work (pricking of finger to discern viral vs bacterial) was taken!! No X-rays were given or requested! Lungs...ect. And the most disturbing---no referrals for eye exam or ear and throat specialist --- event though I requested those. Therefore I will arrange these appointment on my own and will share the conclusions with VAERS and the courts. Disclosure. When I first filed the VAERS report dated 12-27-08 I was not aware that my mother's ER admission and several days stay to hospital ---in November of 2008- - had anything to do with the flu vaccine .....however, on Friday January 9, 2009 I was informed that indeed she did suffer a major adverse reaction!
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hearing impaired, Hyperhidrosis, Nasal congestion, Pyrexia
Clinical narrative: Severe congestion-nasal,ears,head - vision and hearing. Severe headaches. Chills - cold sweats- fever, severe weakness, confusion- very, very bad!!!. Dizziness- all the worse than the flu!!. 12/27/08 still weak and congested, my vision and hearing still damaged.  1/09/2009 MR received from HD for OV 1/8/09 with DX: Serous otitis by hx.  Adverse effects Flu shot. Pt presented with c/o dizziness, confusion, head congestion ear popping, and hearing a cricket-like sound in her ears. Sx lasted 7 days except R ear still popping. Now c/o weakness and decreased vision. PE WNL except vision. Referred to ophth. Follow-up: On Thursday January 8, 2009 I was examined by Dr. at the county health dept. I had never been seen by Dr. before, but rather by whom I desire to continue seeing as long as I live in this county---I trust her sincerely. Upon my exam I complained of "flu like" conditions that began soon after receiving a flu vaccine. On that office visit I was suffering from flu-like intestinal condition. That had started around 01-02-09---I was still very week, body aches congestion, hoarse throat and of course my most concern ...the impaired vision and hearing. No "in-house" blood work (pricking of finger to discern viral vs bacterial) was taken!! No X-rays were given or requested! Lungs...ect. And the most disturbing---no referrals for eye exam or ear and throat specialist --- event though I requested those. Therefore I will arrange these appointment on my own and will share the conclusions with VAERS and the courts. Disclosure. When I first filed the VAERS report dated 12-27-08 I was not aware that my mother's ER admission and several days stay to hospital ---in November of 2008- - had anything to do with the flu vaccine .....however, on Friday January 9, 2009 I was informed that indeed she did suffer a major adverse reaction!