chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Antibody test negative, Asthenia, Blood culture negative, Computerised tomogram normal, Confusional state
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Cytomegalovirus test negative, Death, Dyspnoea, Ehrlichia serology, Endotracheal intubation
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Haemodynamic instability, Herpes simplex serology negative, Hypotension, Intensive care, Malaise
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Mechanical ventilation, Multi-organ failure, Nausea, Polymerase chain reaction, Pyrexia
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Renal failure, Respiratory failure, Sepsis syndrome, Septic shock, Tachycardia
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 77.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Tachypnoea
Clinical narrative: Patient is a 77-year-old male with a history of factor V Leiden, hyperlipidemia, prior history of DVTs, and diabetes mellitus type 2, who presented to the hospital on 11/21/2008 complaining of 2 days of fever, nausea, and generalized weakness and malaise.  Pt had Yellow Fever vaccination on 11/14/08 prior to his planned trip abroad. Pt has been otherwise in good health prior to admission. Influenza vaccine was given on 10/30/08. HOSPITAL COURSE:  The patient quickly progressed to hemodynamic instability and sepsis syndrome exhibited by tachypnea, tachycardia, hypotension and confusion.  Therefore, he was transferred to the MICU on 11/22/2008.  The patient was intubated for airway protection at that time and increased work of breathing.  The patient required vasopressor support for his blood pressure and was started on broad-spectrum antibiotics.  The patient subsequently developed multiorgan system failure, including respiratory failure requiring ventilator support, and oliguric renal failure requiring hemodialysis support.  Multiple cultures were sent to try and determine the etiology of the patient's symptoms and reason for septic shock.  It was noted the patient was on broad-spectrum antibiotic, antiviral and antifungal coverage.  No specific infection inciting these symptoms was ever identified.  The only cultures that were positive were drawn from the patient's access lines, which grew out Candida albicans. Infectious Disease was following along with the patient the entire time of his stay in the MICU.  Over the ensuing days, the patient failed to progress and actually worsened from 12/02 and 12/03 as exhibited by increased tachypnea and work of breathing, hypotension with continued pressor support, and  oozing from some of his lines and orifices.  At this time, the patient's family requested that the patient be made DNR and that supportive measures be withdrawn. Therefore, these steps were undertaken on the afternoon of 12/03/2008. The patient passed away officially at 1425 on 12/03/2008.  Physical exam was performed to confirm the patient's death.  The family was offered autopsy and declined. 2/3/09-records received for DOS 11/21-12/03/08-C/O Presented to ED with C/O malaise, weakness, nausea, fever and fatigue. Mechanical ventilation. Sepsis. Metabolic acidosis. Septic encephalopathy.  3/30/09-COD multi-organ failure. Septic shock.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: RECEIVED THE VACCINE  2:00P.M. MONDAY  DECEMBER 08, 2008. TUESDAY MY ARM IS SWOLLEN AND VERY RED AND HOT/
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: RECEIVED THE VACCINE  2:00P.M. MONDAY  DECEMBER 08, 2008. TUESDAY MY ARM IS SWOLLEN AND VERY RED AND HOT/
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Acute disseminated encephalomyelitis, Bladder pain, Computerised tomogram, Diplegia, Dysuria
Clinical narrative: 09/25/2008 fever miday, later tingling in legs, 09/26/2008 bladder pain could not unrinate, 11:00am doctors office possible UTI 1:00pm emergency room Cath removal 1000cc urine. Tests neg for UTI told once able to urinate will release. By 6:00PM total paralysis in both legs, MRI, CAT, and spinal tap. Treatment of antibiotics and steriods. Still has some nuerological and unrological issues and being treated along with out patient theropy.  01/06/2009 MR received for DOS 9/26-10/08/2008 with D/C DX:  ADEM.  Pt presented with several day hx of  progressive paresthesias and weakness of the lower extremities, fever, urinary retention and abnormal gait. (+) nausea and vomiting. Cathed in ER for 800ccs urine. Increasing toe, back and neck pain as well as H/A. PE (+) for shotty adenopathy of the neck, decreased strength of all 4 ext-lower>than upper, downgoing toes, decreased sensation lower ext, hyperreflexia with clonus.  Some tingling of upper extremities. Tx with Solumedrol x2 courses with improvement. D/C to rehab.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Lumbar puncture, Neurological symptom, Nuclear magnetic resonance imaging, Paraesthesia, Pyrexia
Clinical narrative: 09/25/2008 fever miday, later tingling in legs, 09/26/2008 bladder pain could not unrinate, 11:00am doctors office possible UTI 1:00pm emergency room Cath removal 1000cc urine. Tests neg for UTI told once able to urinate will release. By 6:00PM total paralysis in both legs, MRI, CAT, and spinal tap. Treatment of antibiotics and steriods. Still has some nuerological and unrological issues and being treated along with out patient theropy.  01/06/2009 MR received for DOS 9/26-10/08/2008 with D/C DX:  ADEM.  Pt presented with several day hx of  progressive paresthesias and weakness of the lower extremities, fever, urinary retention and abnormal gait. (+) nausea and vomiting. Cathed in ER for 800ccs urine. Increasing toe, back and neck pain as well as H/A. PE (+) for shotty adenopathy of the neck, decreased strength of all 4 ext-lower>than upper, downgoing toes, decreased sensation lower ext, hyperreflexia with clonus.  Some tingling of upper extremities. Tx with Solumedrol x2 courses with improvement. D/C to rehab.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Dermatitis allergic, Fatigue, Heart rate irregular, Hypertension
Clinical narrative: I took my HPV shots abroad. The first shot I took was on December 27th 2007. It didn't feel anything special after this first one. I took my first shot before March 1st 2008. Days after my second shot, I start growing out breakouts (which looks like skin allergy) on my face. It has been bothering me until now. I have also experienced increase of hair loss compared to before taking the shot. After taking the 3rd HPV shot, my skin allergic problem has worsen. It also affected my monthly menstruation cycle. It basically shifted my cycle from normally 30 days to now 34 days. After having taken all 3 shots, i feel like i get tired alot easier than before. I went for an annual body check, I was now told that I have high blood pressure. My cardio result showed that I have irregular heart beat according to the nurse.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation delayed
Clinical narrative: I took my HPV shots abroad. The first shot I took was on December 27th 2007. It didn't feel anything special after this first one. I took my first shot before March 1st 2008. Days after my second shot, I start growing out breakouts (which looks like skin allergy) on my face. It has been bothering me until now. I have also experienced increase of hair loss compared to before taking the shot. After taking the 3rd HPV shot, my skin allergic problem has worsen. It also affected my monthly menstruation cycle. It basically shifted my cycle from normally 30 days to now 34 days. After having taken all 3 shots, i feel like i get tired alot easier than before. I went for an annual body check, I was now told that I have high blood pressure. My cardio result showed that I have irregular heart beat according to the nurse.
Age: 55.0
Sex: F
Vaccine: TYP
Symptoms: Diarrhoea, Fatigue, Headache, Stomach discomfort, Vomiting
Clinical narrative: The Night after I took the second dose of the oral Typhoid vaccine, I became violently ill with vomiting, diarrhea & headache.  Upset stomach discomfort, fatigue & headache continued for 4 -5 days afterward.
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR
Symptoms: Varicella
Clinical narrative: Pt. developed chickenpox on 12/5/08. Varicella adm. 11/20/08.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Arrhythmia, Electrocardiogram, Heart rate decreased, Heart rate irregular, Laboratory test
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of arrhythmia in a 17-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). Approximately the first week in November 2008, the subject received unspecified dose of BOOSTRIX (.5 ml, unknown). In November 2008, 2 weeks after vaccination with BOOSTRIX, the subject experienced arrhythmia. Two weeks after the subject received BOOSTRIX, the subject orthodontist noticed when preparing got extract his wisdom teeth with pre-operation procedures for sedation, that his heart rate was slow and erratic. He did not have his teeth extracted. The 17-year-old was admitted to a hospital the week of 17 November 2008. He has seen many doctors since, with EKGs and other tests done. He is scheduled to get a pacemaker. The subject was hospitalised. At the time of reporting the event was unresolved.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Erythema multiforme, Rash generalised
Clinical narrative: A serious spontaneous report of erythema multiforme has been received from a physician concerning a three-year-old female, subsequent to FLUMIST.  Concomitant medications included mometasone furoate, loratadine and montelukast for allergic rhinitis and congestion (patient had a prescription but physician was not sure if the patient took montelukast).  On 17-Oct-2008, the patient received FLUMIST.  She never received FLUMIST before.  The following day on 18-Oct-2008, the child developed a rash which progressed and was described as a bullseye rash all over body.  On 19-Oct-2008, the patient was hospitalized for erythema multiforme.  The patient was hospitalized for three days.  The reporting physician did not have the patient's hospital records.  On 24-Oct-2008, the patient recovered from erythema multiforme.  Additional information received on 25-Nov-2008 was incorporated into the above narrative: a diagnosis, concomitant medication, medical history, and demographics. Follow up was obtained the Lot Number was not available.
Age: 18.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, TYP
Symptoms: Chest pain, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram, Electrocardiogram ST-T change
Clinical narrative: The Chief at facility called to report a case of Myopericarditis. The patient is an 18 y/o male who received primary SPV, AVA #1, Typhoid IM, and FLUMIST on 31 Oct 2008. He developed Flu like symptoms and chest pain requiring hospitalization on 11/29/08. Symptoms: Nausea w/ vomiting. 12/26/08-records received-chest pain. 3-3 days after vaccine C/O flu-like illness, mild headache, cough sore throat, general body achiness then would feel well and symptoms returned and included chest pain on 11/26/08. Diagnosis myocarditis, acute.
Age: 18.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, TYP
Symptoms: Influenza like illness, Myopericarditis, Nausea, Troponin increased, Vomiting
Clinical narrative: The Chief at facility called to report a case of Myopericarditis. The patient is an 18 y/o male who received primary SPV, AVA #1, Typhoid IM, and FLUMIST on 31 Oct 2008. He developed Flu like symptoms and chest pain requiring hospitalization on 11/29/08. Symptoms: Nausea w/ vomiting. 12/26/08-records received-chest pain. 3-3 days after vaccine C/O flu-like illness, mild headache, cough sore throat, general body achiness then would feel well and symptoms returned and included chest pain on 11/26/08. Diagnosis myocarditis, acute.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urinary system X-ray
Clinical narrative: Intussusception  1/6/09 Reviewed hospital medical records of 10/11-10/12/2008. FINAL DX:ileocolic intussusception Records reveal patient experienced vomiting, irritability, decreased oral intake, bloody stool w/some clots.  Noted to have dehydration, nasal congestion, cough & sneezing.  Admitted overnight for observation & d/c to home in AM.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site vesicles, Skin exfoliation
Clinical narrative: Injection site rxu described by patient's wife so not actually seen by us.  Described an almost blister - like rxu near injection site (no latex allergy) & area at site has had skin peel off.  Pt is currently applying NEOSPORIN ointment and keeping area covered.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Pt received 6 mth vaccines on Saturday 12/09/2008 and developed fever with GI Sx within 24 hrs.  Seen in ED early Saturday am returned to office today.  On 12/9 visit-fever 101, still vomiting with diarrhea, decrease in appetite.  No sign of local erythema, edema, warmth at injection sites.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Ct. received shingles vaccine on 11/21/08. Outbreak of shingles on 12/1/08. MD visit on 12/5/08 and was informed by MD to call to report to manufacturer.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Localized erythema reaction at injection site on upper lateral left arm.  Hand sized area of erythema with site blisters or vesicles.  Treated with cold packs.  Seen by physician 3 days after injection.
Age: 7.0
Sex: F
Vaccine: FLUN3, MMR, TD, VARCEL
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Clients parent reports client developed red localized reaction past receiving immunization on 11/10/08. Redness began on 11/12/08 Rt. arm- mildly between deltoid & elbow, No swelling, pain or discharge. Redness 2 1/2 inches wide,  2 inches - long. MMR given RA SQ.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Rec'd call from Patient 11/12/09.  She reported that at the time of the injection she felt the usual amount of pain but 3 hours later she could not lift her arm.  Had an appointment with Dr. for a turned left ankle 11/6/2008.  While there asked about shoulder.  Ultra sound fx's ordered.  Shoulder continues to hurt.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria, Urticaria
Clinical narrative: Father noticed red rash on right arm 11/11/2008 pm, site of flu injection.  Removed band-aid on 11-7-08 & there was no signs of redness.  Treated with zyrtec for urticarial region right upper arm.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Right deltoid warm, red, swollen and painful.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Sensation of heaviness
Clinical narrative: Redness at injection site, swollen and left arm felt heavy, cold pack applied 1:50pm BENADRYL 25 mg given by mouth and ADVIL 200 mg by mouth for pain.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling & itching at injection site- BENADRYL 25 mg PO given @ 8:30 pm.  Zyrtec 10 mg given PO @ 11:00 am.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Dysgeusia
Clinical narrative: Less than 10 minutes after receiving influenza vaccine, patient noticed metallic taste on roof of mouth.  It disappeared after lunch but noticed again in afternoon, then disappeared and has not recurred.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt. states that approximately 20 minutes after receiving vaccine she noted pain radiating up to left wrist. This sensation has continued more intermittent at the present, no inflammation at site.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Headache, Influenza like illness
Clinical narrative: hives on face- skin peeling difficulty breathing- leaching out.  Flu like feeling, dizzy, headache, diarrhea, throwing up.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Skin exfoliation, Urticaria, Vomiting
Clinical narrative: hives on face- skin peeling difficulty breathing- leaching out.  Flu like feeling, dizzy, headache, diarrhea, throwing up.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Haematoma, Immediate post-injection reaction, Injection site swelling
Clinical narrative: Immediate localized swelling around injection site.  Applied pressure X 10 min., then Re pack X 10 minutes.  Swelling mostly resolved, positive hematoma.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: No adverse reactions noted immediately following that were reported to Health Dept.  Found incidently on next office visit 11-6-08 that MMR II was given on 2/12/08.  Vaccine was given 8 days beyond expiration date.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Dyspnoea, Erythema, Feeling abnormal, Feeling hot
Clinical narrative: Received both flu + pneumonia shots.  Went shopping & came back 2-3 min later, said she "didn't feel right"; face flushed, arms red, some difficulty breathing.  Sat down, ice to neck.  After abt 20 min was better.  No longer flushed & able to breath.  Later she started having flu symptoms- fever, chills, & heat lasted till next day.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Flushing, Influenza, Pyrexia
Clinical narrative: Received both flu + pneumonia shots.  Went shopping & came back 2-3 min later, said she "didn't feel right"; face flushed, arms red, some difficulty breathing.  Sat down, ice to neck.  After abt 20 min was better.  No longer flushed & able to breath.  Later she started having flu symptoms- fever, chills, & heat lasted till next day.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site. Started patient on antibiotics for cellulitis today (10-31-08) advise if not improved tomorrow see PCP if worse later today go to ER.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain
Clinical narrative: Patient said injection hurt when administered. Patient developed black and blue mark at injection site the day after. Saw her MD a few days later- was still bruised and sore. Called me 11/10/08 to say she was still feeling sore.
Age: 41.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Burning sensation, Injection site induration, Injection site pain, Injection site swelling, Pain
Clinical narrative: Swollen hard area 18mm x 28mm developed at site of ADACEL injection (Left deltoid) given 11-5-2008. Area very painful to touch with reported shooting pain down arm when arm flexed, first tightened. Reported "burning" pain extending into hand if tries to lift a heavy object.
Age: 41.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Pain in extremity
Clinical narrative: Swollen hard area 18mm x 28mm developed at site of ADACEL injection (Left deltoid) given 11-5-2008. Area very painful to touch with reported shooting pain down arm when arm flexed, first tightened. Reported "burning" pain extending into hand if tries to lift a heavy object.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: (L) shoulder pain since flu shot 2 weeks ago. Pt. expected soreness, but he still has trouble lifting it. Pt. states injection given fairly high in his deltoid. Pt. referred to physical therapy.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Discomfort, Oedema peripheral, Skin warm
Clinical narrative: Shots admin to left anterior thigh on 11/26/08: DTAP & MMR.  Mother called office on 11/28/2008 @ 8:30 am to report left leg swelling and warmth.  Mother reports "can't even see her knee".  Instructed by this RN to see MD.  Pt.  c/o discomfort all day 11/27/08.  Attempted to contact patient on return call 12/2/08.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Had MMR 11/25/08. 11/27 fever 104 and seizure.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on Right and left thighs. Treated with BENADRYL 12.5 mg 1 tsp p.o 3 x daily.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: @ 5 hours post immunization developed 2 hives on (L) shoulder/neck. Symptoms observed by father not health care professional.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Rash within 1 week of IZ with high fever consistent with measles like rash.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chills, Dizziness, Nausea, Presyncope
Clinical narrative: Within 20 minutes of FLUZONE shot got the chills felt like fainting, throwing up and or having a bowel movement.  Called husband to come and get me.  Went home to bed...slept.  2 hours later had 101.2 degrees and by 5:30 had a 102 degrees temperature.  No other symptoms.  Next day had 100 degrees temperature by evening was 99 degrees.  Fine on Wed. 11/5/08
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Within 20 minutes of FLUZONE shot got the chills felt like fainting, throwing up and or having a bowel movement.  Called husband to come and get me.  Went home to bed...slept.  2 hours later had 101.2 degrees and by 5:30 had a 102 degrees temperature.  No other symptoms.  Next day had 100 degrees temperature by evening was 99 degrees.  Fine on Wed. 11/5/08
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Skin irritation
Clinical narrative: Irritation. Skin rash.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Pt presented for FLU vaccine.  Screening form reviewed  screening question- pt denied any food/med allergies, except mil.  Has had previous FLU shots.  After vaccine administered, pt slumped in chair- unresponsive to verbal commands.  Ready to call 911- pt awake, responsive, unaware he fainted. Pt stayed additional 10 min-alert and oriented.  Called pt at home at 2:30- pt states he feels fine, no complaints.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Lip swelling, Pharyngeal oedema
Clinical narrative: After about 4 hours patient's throat began to swell, eyes were swollen, lips swelled.  She took oral BENADRYL and went to her home town ETC where she wa given IV BENADRYL.  Swelling subsided completely after 3 days.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Hypoventilation, Injected limb mobility decreased, Pain in extremity
Clinical narrative: One hour after vaccination, experienced increasing pain through out left arm.  After 3 hours I was unable to use my arm at all.  Pain continued for 3 days.  Also shallow breathing.  Called my Dr's office to report the problem on day 2 and was told to take ADVIL for pain or go to hospital ER.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Right arm swollen; 10cmx10cm area of redness noted on right arm. Treatment BENADRYL prn.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: (L) arm swelling, redness, pain, bodily aches. 2 1/2 x 3" circular region of the deltoid, hot to touch.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Patient had injection in her left arm.  She reports redness and swelling on her arm.  SOLUMEDROL 125 mg 1Mx1 given with PREDNISONE.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Developed rash/bumps/spots all over body
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site swelling, Local reaction, Screaming
Clinical narrative: Large local reaction, severe swelling at PREVNAR injection site, screamed for hours.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling and redness at injection site on (R) thigh. Patient c/o itching but no pain.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Antineutrophil cytoplasmic antibody increased, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Blood creatine phosphokinase increased, Borrelia burgdorferi serology
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Burning sensation, C-reactive protein normal, Chest X-ray, Connective tissue disorder, Epstein-Barr virus antibody positive
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Erythema, Full blood count, Hepatitis B antibody, Hepatitis B surface antigen negative, Hepatitis C test negative
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Hyperhidrosis, Laboratory test, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Oedema peripheral
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Pain, Pain in extremity, Pallor, Parvovirus B19 serology positive, Raynaud's phenomenon
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor negative, Tenderness, Tremor, Urine analysis
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 19.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: X-ray normal
Clinical narrative: About 2-3 weeks later he began complaining of swelling of both of his hands associated with erythema and pain. The pain is described as burning and aching. At rest the pain is 1-2/10, but with any movement of the upper extremities the pain intensity goes up and at times can reach 5-6/10. As a result, the patient tends to hold the hands in a suspended posture while minimizing upper extremities movements. Shortly after developing hand swelling and pain,the patient was noted to have a fine tremor in both hands. The tremors temporarily attenuated by activities requiring use of hands. There is no associated paresis or paresthesia. MRI of the brain was unremarkable. Symptoms: tenderness, diaphoresis, pallor.
Age: 11.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Injected limb mobility decreased, Joint range of motion decreased
Clinical narrative: 3 weeks ongoing pain around left elbow greatly decreased range of motion. Shot given in (L) shoulder. Treatment on 12/1/08 with twice daily ALEVE and 40 every night PREDNISONE times 5 days.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Cognitive disorder, Convulsion, Fatigue, Haemangioma, Infertility male
Clinical narrative: 27 April 2003, Single episode of seizure activity (felt to be related to MUFLOQUINE), followed by new onset migraines, fatigue, cognitive changes and vertigo - see attached detailed history.  Patient also feels his infertility may be related to deployment vaccines.  (not discovered until 2008, but fathered last child in 1991).
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Migraine, Nuclear magnetic resonance imaging brain abnormal, Vertigo
Clinical narrative: 27 April 2003, Single episode of seizure activity (felt to be related to MUFLOQUINE), followed by new onset migraines, fatigue, cognitive changes and vertigo - see attached detailed history.  Patient also feels his infertility may be related to deployment vaccines.  (not discovered until 2008, but fathered last child in 1991).
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Headache, Injection site induration, Injection site swelling, Myalgia
Clinical narrative: 2 day duration localized, moderate induration and swelling at injection site;  followed by approx 5 days moderate, generalized body myalgia negatively affecting daily activities.  Associated HA throughout duration of symptoms.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Vomited x3d.  Starting the night after IZ. given
Age: 19.0
Sex: M
Vaccine: FLUX, HEPA, SMALL, TYP
Symptoms: Axillary pain, Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Chest pain, Erythema
Clinical narrative: 19 year old male, ADSM, is referred by primary care physician to FBVHC for evaluation of smallpox vaccine inoculation site concerns and left axillary pain.  Symptoms: flu-like symptoms <96 hours, chest pain, pain, erythema, pruritus
Age: 19.0
Sex: M
Vaccine: FLUX, HEPA, SMALL, TYP
Symptoms: Full blood count normal, Influenza like illness, Injection site reaction, Pain, Pruritus
Clinical narrative: 19 year old male, ADSM, is referred by primary care physician to FBVHC for evaluation of smallpox vaccine inoculation site concerns and left axillary pain.  Symptoms: flu-like symptoms <96 hours, chest pain, pain, erythema, pruritus
Age: 19.0
Sex: M
Vaccine: FLUX, HEPA, SMALL, TYP
Symptoms: Troponin
Clinical narrative: 19 year old male, ADSM, is referred by primary care physician to FBVHC for evaluation of smallpox vaccine inoculation site concerns and left axillary pain.  Symptoms: flu-like symptoms <96 hours, chest pain, pain, erythema, pruritus
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, IPV
Symptoms: Dizziness, Pyrexia, Rash
Clinical narrative: 12/03/08, Hep A, HPV, IVP administered. 12/05/08, red, non-raised rash bilateral antecubitals. 12/07/08, fever, high 102+/-. 12/08/08, dizziness. 12/09/08, temp 103.9 (T). Denies nausea/vomiting, rash remains. Alert and oriented c/o dizziness, advised TYLENOL prn and referred to PCP to seek medical care immediately if symptoms worsen.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Flushing, Heart rate increased, Hot flush, Oxygen saturation normal
Clinical narrative: Developed hives right arm to neck, chest tightness, left arm.  Hot flushed face.  To ER. Pulse 110. BP 148/90, O2 satl 100% on room air.   No c/o breathing difficulties.  IV lock with SOLUMEDROL 125 mg IV @ 11:10, ZANTAC 50 mg IV @ 11:14.  BENADRYL 10 mg IV @ 10:55.  Symptoms resolved.  D/C from ER @ 11:44, scripts for ZANTAC X 5 days &  PREDINSONE X 4 days.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Sinus tachycardia, Urticaria
Clinical narrative: Developed hives right arm to neck, chest tightness, left arm.  Hot flushed face.  To ER. Pulse 110. BP 148/90, O2 satl 100% on room air.   No c/o breathing difficulties.  IV lock with SOLUMEDROL 125 mg IV @ 11:10, ZANTAC 50 mg IV @ 11:14.  BENADRYL 10 mg IV @ 10:55.  Symptoms resolved.  D/C from ER @ 11:44, scripts for ZANTAC X 5 days &  PREDINSONE X 4 days.
Age: 1.3
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: fever 104 degrees, rash on trunk - macules and erythematous palpules on erythematous background, Novesicles. About 8 lesions
Age: 67.0
Sex: U
Vaccine: FLU3
Symptoms: Heart rate increased, Pain in extremity
Clinical narrative: 08 6:30 p.m. Very rapid heart rate 115/min. lasted until 6 a.m. 11-14-08. Arm very sore shoulder to elbow in muscle. 4 days - minor soreness until 11-21-08.
Age: 1.02
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: itching, red skin (red)
Age: 0.5
Sex: F
Vaccine: PNC, RV5, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap given when should have been PEDIARIX.
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 24 Hours after administration swelling 6" x 4" redness itching
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Eye burns, Eye pruritus, Flushing, Hot flush, Pharyngeal oedema
Clinical narrative: Pt states developed burning itching eyes then wheezing, flushed hot face, throat felt like it was swelling.  Took a CLARITON dose and a physician gave script for ALBUTEROL.   Symptoms lasted approximately one hour.  (not witnessed by provider.  Pt did not seek ER evaluation)
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Pt states developed burning itching eyes then wheezing, flushed hot face, throat felt like it was swelling.  Took a CLARITON dose and a physician gave script for ALBUTEROL.   Symptoms lasted approximately one hour.  (not witnessed by provider.  Pt did not seek ER evaluation)