chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Influenza like illness, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Received 1st AVA 4/17/2007 with flu like s/s in 1-2 days x 1 wk.  2nd AVA 5/12/07 with same s/s X 1 wk.  3rd AVA 2/6/08 with nausea, sore throat, flu s/s, fever, sweaty, myalgia, fatigue, arthralgia, slept alot X 1-2 weeks.  PRN numbness w/wt loss, sweating, dizziness, DOE over next 6 months.  8/22-26/08 admitted w/syncopal episode, 16 secnds asystole w/sz like activity.  Still under neuro/cardiac evaluation for ?dx new onset epilepsy. 12/10/08-records received-after each vaccine C/O worsening fatigue, nauseas, felt out of it, groggy, sore throat, flu like symptoms, muscle aches, fever, numbness, weight loss, dizziness, shortness of breath. 8/21/08-C/O tingling, numbness in bilateral arms, hands, increased dizziness, nausea, headache, increased thirst and urination.Admitted 8-23-8/26/08-vasodepressor epidsode in ER 8/22/08 while having blood drawn. DX: vertigo. Two events of asystole associated with seizure-like activity both assoicated with sinus tachycardia. Vasovagal episode.9/10/08-fever, dizzy, low blood sugar, felt lightheaded/dizzy with difficulty breathing, chest pain.presented on 10/31/08 C/O recurrent scrotal pain x 1.5 months. Treated for epidiymitis. Symtpoms returned 3 days ago. DX: inguinal groin pain, scrotal pain.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Syncope, Vaccine positive rechallenge, Weight decreased
Clinical narrative: Received 1st AVA 4/17/2007 with flu like s/s in 1-2 days x 1 wk.  2nd AVA 5/12/07 with same s/s X 1 wk.  3rd AVA 2/6/08 with nausea, sore throat, flu s/s, fever, sweaty, myalgia, fatigue, arthralgia, slept alot X 1-2 weeks.  PRN numbness w/wt loss, sweating, dizziness, DOE over next 6 months.  8/22-26/08 admitted w/syncopal episode, 16 secnds asystole w/sz like activity.  Still under neuro/cardiac evaluation for ?dx new onset epilepsy. 12/10/08-records received-after each vaccine C/O worsening fatigue, nauseas, felt out of it, groggy, sore throat, flu like symptoms, muscle aches, fever, numbness, weight loss, dizziness, shortness of breath. 8/21/08-C/O tingling, numbness in bilateral arms, hands, increased dizziness, nausea, headache, increased thirst and urination.Admitted 8-23-8/26/08-vasodepressor epidsode in ER 8/22/08 while having blood drawn. DX: vertigo. Two events of asystole associated with seizure-like activity both assoicated with sinus tachycardia. Vasovagal episode.9/10/08-fever, dizzy, low blood sugar, felt lightheaded/dizzy with difficulty breathing, chest pain.presented on 10/31/08 C/O recurrent scrotal pain x 1.5 months. Treated for epidiymitis. Symtpoms returned 3 days ago. DX: inguinal groin pain, scrotal pain.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Facial palsy
Clinical narrative: Flu vaccination on 11/6 - 11/9 -> developed B1ell's palsy. 12/22/08-records received for ED visit 11/7/08-C/O foot pain status post injury 11/6/08. Pain with walking. PE: rhinorrhea.  Assessment right ankle contusion. Edema. no record of hospitalization.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Hyperhidrosis, Memory impairment, Panic reaction, Screaming
Clinical narrative: Child 5 years old usually walks at night time past 3-4 weeks 90 minutes. After going to sleep gets up, screams, panic sweats, eyes wide open and non responsive. When wakes up does not remember anything.  Starting to be very tired every morning since this has gone on so long.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Child 5 years old usually walks at night time past 3-4 weeks 90 minutes. After going to sleep gets up, screams, panic sweats, eyes wide open and non responsive. When wakes up does not remember anything.  Starting to be very tired every morning since this has gone on so long.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Cardiac flutter, Chest pain, Cold sweat, Heart rate increased, Hyperhidrosis
Clinical narrative: 9/17/2008 PM of injection, pt reported increased pulse rate, heart fluttering, sweaty and clammy with some chest pain and pain up (L) side of neck into jaw x approx. 5 hrs. Then it subsided without any preventative interventions. Since has had sl. incidents then last pm another full blown episode x 2hrs- Pt sent to Cardiologist.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain
Clinical narrative: 9/17/2008 PM of injection, pt reported increased pulse rate, heart fluttering, sweaty and clammy with some chest pain and pain up (L) side of neck into jaw x approx. 5 hrs. Then it subsided without any preventative interventions. Since has had sl. incidents then last pm another full blown episode x 2hrs- Pt sent to Cardiologist.
Age: 1.14
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Left upper arm cellulitis - Swollen, red, warm site of HepA vaccine. Treated with KEFLEX 250mg/5ml BID for 7 days.
Age: 11.0
Sex: F
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 3 cm circular area of redness and warmth with induration, 2 days post injection- Rx BACTRIM DS tab bid x 7 days, BENADRYL 25-50 mg q 6-8 hrs prn.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Cough, Hypoaesthesia oral, Lip swelling, Ocular hyperaemia
Clinical narrative: Rec. Vac. 4pm 10/15/2008.  At approx 8pm started having a cough with some wheezing (mild).  At 10:30pm upper lip became swollen and numb.  By 12 mn had extreme eye redness, fever, chills & generalized aches.  It resolved without treatment in 24 hrs.  Yrs. ago, had 1 episode of fever & chills 8 hr after flu vac which resolved overnight.  0 food allergies. Did not eat evening of 10/15/2008.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Vaccine positive rechallenge, Wheezing
Clinical narrative: Rec. Vac. 4pm 10/15/2008.  At approx 8pm started having a cough with some wheezing (mild).  At 10:30pm upper lip became swollen and numb.  By 12 mn had extreme eye redness, fever, chills & generalized aches.  It resolved without treatment in 24 hrs.  Yrs. ago, had 1 episode of fever & chills 8 hr after flu vac which resolved overnight.  0 food allergies. Did not eat evening of 10/15/2008.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Dizziness, Headache, Pyrexia
Clinical narrative: Onset 12/02/2008 HA; dizziness; stomach & current (12/3/08) fever- 100.0-100.5
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Skin plaque
Clinical narrative: Large erythematous plaque covering most of left upper arm.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Headache, Hypersomnia
Clinical narrative: Pt. called and reported he had a reaction to the flu vaccine that he received on 11/24/08. Stated he had a bad headache and was disoriented. He had to leave work and went home to bed, and did not wake until next AM. Stated he felt fine the day he called on 11/25/08.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Site reaction, area swollen and tender. No treatment.
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4, UNK
Symptoms: Head injury, Hot flush, Loss of consciousness
Clinical narrative: 3 - 5 min. after vaccines (HPV,flu shot, TST) client felt a warm flush, passed out and slid to the floor from her chair, bumped head RT side - no swelling.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Significant arm pain limiting mobility x 5 days. Rates pain 7/10. Resolved.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Dysgeusia, Headache, Immediate post-injection reaction
Clinical narrative: Immediately after receiving flu vaccine got headache and metallic taste in mouth. No further problem. Took Tylenol for headache.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Muscle spasms, Myalgia
Clinical narrative: muscle ache with "spasm" like feeling @ injection site.  Zero redness.  Zero swelling.  Advised alternating warm/cold compress with IBUPROFEN.  Call after 1 week if zero better.
Age: 41.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Headache, Injection site pain, Pyrexia, Tuberculin test negative
Clinical narrative: Within one hr of TD vac., Pt. experienced headache 2 Tylenol reduced pain which rebounded w/i 3hrs. Pt also states she had low grade fever on the evenings of 12/1 and 12/2/08 and continues to have soreness at site. Symptoms remain (no headache).
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site warmth
Clinical narrative: Streaking on left arm near PNEUMOVAX injection site, sore, tender to touch, red and warm.
Age: 1.32
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site oedema, Injection site swelling
Clinical narrative: Injection site (L) thigh with raised firm nodule < 1mm. Inner distal thigh with edema and mild redness 8X4 cm edema and mild warmth present, non tender
Age: 1.32
Sex: M
Vaccine: DTAP
Symptoms: Injection site warmth
Clinical narrative: Injection site (L) thigh with raised firm nodule < 1mm. Inner distal thigh with edema and mild redness 8X4 cm edema and mild warmth present, non tender
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling left lower deltoid area, redness induration noticed day after vaccine given.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Chills, Crying, Pyrexia, Rhinitis allergic, Upper respiratory tract infection
Clinical narrative: Excessive crying, low grade fever T max 101.5, shivering. Saw in office next-day - diagnosed with URI/allergic rhinitis.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Significant swelling of left arm with accompanying severe left shoulder pain developed within 1hr. of vaccine administration. No erythema, increased warmth, or arthalgias. Low grade fever 98%. on 11/25/2008.
Age: 1.8
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: MO reports welps on abd, chest and under arms on 11-15-08 went to health services in city.  Clinical impression acute allergic reaction. Resolved with BENADRYL & PRELONE
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 8/27/08 mother called via phone and said childs LUA is very red and swollen from shoulder to elbow. Did not voice any other s/s. Instructed mother to use warm packs, Tylenol. Instructed mother to take child to see doctor and bring her by our office to complete VAERS form. Mother has been lost to follow up since. Has not returned phone calls or letters.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Chest pain, Cough, Oxygen saturation normal, Rash erythematous, Rash pruritic
Clinical narrative: 5-10 min after administration of MMR vaccine, pt developed chest pain, became tachycardic.  Subsequently he developed cough & mild wheezing.  Given EPIPEN Jr. & ALBUTEROL treatment.  Recovered fully.  Taken to ER for observation. He had generalized erythema, pruritic rash the following day. Resolved after 1 day.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Tachycardia, Wheezing
Clinical narrative: 5-10 min after administration of MMR vaccine, pt developed chest pain, became tachycardic.  Subsequently he developed cough & mild wheezing.  Given EPIPEN Jr. & ALBUTEROL treatment.  Recovered fully.  Taken to ER for observation. He had generalized erythema, pruritic rash the following day. Resolved after 1 day.
Sex: U
Vaccine: DTAPIPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of swelling injection site in a subject of unspecified age and gender who was vaccinated with KINRIX (GlaxoSmithKline). In September 2008, the subject received 1st dose of KINRIX (unknown, unknown thigh). In September 2008, immediately after vaccination with KINRIX, the subject experienced swelling injection site and injection site redness. It was reported, that the subject received a KINRIX injection in the leg one month ago and immediately began experiencing swelling and redness at the injection site. At the time of reporting the events were resolved. The physician considered the events were probably related to vaccination with KINRIX.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: 1 week after vaccination - severe vomitting and diarrhea that lasted several days - 1 week.  Pedidalyte.  Rotateq vaccine given on same day as ComVax - lot 0376U.  We didn't complete anymore rotateq vaccines due to thought that was cause of vomiting and diarrhea
Age: 30.0
Sex: F
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Chills, Feeling abnormal, Lip exfoliation, Malaise
Clinical narrative: Started with nasal conjestion; fever & chills; malaise; vomited X 1 mucus; general feeling bad;  Face& sinus area swollen under eyes; lips peeling;  eyes - light sensitive; Went to local emergency room - received medication consisting of Amoxicillin, Zyrtec, Ibuprofen. Felt better for 1 day and then vomited X 3 and had fever & chills - stopped medications.  Saw Regional Medical Doctor.  Patient was off work 4 days. Patient states she will never get another flu vaccine.
Age: 30.0
Sex: F
Vaccine: FLUN3
Symptoms: Nasal congestion, Photophobia, Pyrexia, Swelling face, Vomiting
Clinical narrative: Started with nasal conjestion; fever & chills; malaise; vomited X 1 mucus; general feeling bad;  Face& sinus area swollen under eyes; lips peeling;  eyes - light sensitive; Went to local emergency room - received medication consisting of Amoxicillin, Zyrtec, Ibuprofen. Felt better for 1 day and then vomited X 3 and had fever & chills - stopped medications.  Saw Regional Medical Doctor.  Patient was off work 4 days. Patient states she will never get another flu vaccine.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Rash
Clinical narrative: patient got his immunization approx. 8:30 am. mom brought him back to office approx. 11 am with red patchy rash on extremity and trunk. Pt was given oral BENADRYL at that time in the office. Never affected breathing and when mom was called back the next day the rash was gone by that evening (11/12/08).
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Facial bones fracture, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old female patient who on 25-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 0053X). There was no concomitant medication. It was reported that the patient fainted 1 to 2 minutes after receiving the dose. Patient hit her face on the wall and broke her nose which was considered to be disabling. Patient sought medical attention with the nurse practitioner. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Initial report received on 24 November 2008 from a health care professional. A 36-year-old female patient (date of birth not provided), who denied any concurrent illnesses, and who has a past medical history of asthma, had received an intramuscular left deltoid injection of FLUZONE SV 2008-2009 (lot number U2747AA) on 19 November 2008 at 15:05 pm. Twenty minutes after receiving the FLUZONE vaccine, the patient experienced severe wheezing, facial swelling, increased heart rate to 155 beats/minute and she was diaphoretic and had severe nausea and vomiting. She was also shaking and felt "dizzy and tingly." The patient was evaluated by the "vaccine provider" (not identified) less than five minutes after receiving the vaccine and was given epinephrine (route not provided). Emergency Medical Team was called and the patient was transported to the hospital emergency room by ambulance. It was not reported whether any relevant diagnostic tests/laboratory data were performed. At the time of this report, the "vaccine provider" reported that the patient was recovered and back to work (dates not provided). Documents held by sender: None.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Swelling face, Tremor, Vomiting, Wheezing
Clinical narrative: Initial report received on 24 November 2008 from a health care professional. A 36-year-old female patient (date of birth not provided), who denied any concurrent illnesses, and who has a past medical history of asthma, had received an intramuscular left deltoid injection of FLUZONE SV 2008-2009 (lot number U2747AA) on 19 November 2008 at 15:05 pm. Twenty minutes after receiving the FLUZONE vaccine, the patient experienced severe wheezing, facial swelling, increased heart rate to 155 beats/minute and she was diaphoretic and had severe nausea and vomiting. She was also shaking and felt "dizzy and tingly." The patient was evaluated by the "vaccine provider" (not identified) less than five minutes after receiving the vaccine and was given epinephrine (route not provided). Emergency Medical Team was called and the patient was transported to the hospital emergency room by ambulance. It was not reported whether any relevant diagnostic tests/laboratory data were performed. At the time of this report, the "vaccine provider" reported that the patient was recovered and back to work (dates not provided). Documents held by sender: None.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Laboratory test
Clinical narrative: Days post medication administered, baby exhibited moderate vomiting & diarrhea for 2 1/2 weeks; 1 episode in doctor's office.  12/15/2008 Office notes and vax rec received from PCP. Seen for 2 mon well visit and vax 4/29/08. Imp: Well infant ? GER.   Returned 5/7/08 with c/o projectile vomiting, diarrhea, decreased appetite, not resting well, rash on face and extremities. DX:  Viral GE. Seen 5/13/08 still projectile vomiting.  Stool cx sent and (-). 3 month checkup 5/23/08-noted to be well.
Age: 25.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness, tenderness (3X3cm) (L) upper arm at vaccine site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Eye discharge, Eye swelling
Clinical narrative: 90 mins after vaccine pt got cough, chest tightness and took BENADRYL that improved sx. Eye swollen with mild D/C. Developed next fever to 101.7 and chills. Migraine like HA with nausea and vomiting.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Migraine, Nausea, Pyrexia, Vomiting
Clinical narrative: 90 mins after vaccine pt got cough, chest tightness and took BENADRYL that improved sx. Eye swollen with mild D/C. Developed next fever to 101.7 and chills. Migraine like HA with nausea and vomiting.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: expired vaccine given
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: b/L UE muscle ache and soreness. 10/21/08 continues with some improvement in the LUE. No weakness no numbness Advil as needed. Vaccine administered 10/17/08 RUE.
Age: 53.0
Sex: M
Vaccine: MMR
Symptoms: Dyspnoea, Influenza like illness, Rash macular
Clinical narrative: Macular rash on trunk and upper extremities 14 days after MMR vaccine no Temp, no cervical adenopathy- states flu like symptoms 2 days prior to rash with shortness of breath.
Age: 35.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, No adverse event, Wrong drug administered
Clinical narrative: Information has been received from a health  professional concerning a 35 year old female with no known allergies who on 09-JAN-2008 was vaccinated with GARDASIL.  Concomitant therapy included unspecified vitamins.  On 09-JAN-2008 the patient received the wrong vaccine.  Instead of receiving the flu vaccine (manufacturer unknown), the patient received GARDASIL.  No adverse experience was reported.  The patient sought unspecified medical attention.  The outcome of the patient was not reported.  On 14-JAN-2008, additional information was received for the Pregnancy Registry for GARDASIL from the patient's brother-in-law.  He reported that the patient was pregnant when she received her first accidental dose of GARDASIL.  No adverse experience was reported. The patient sought unspecified medical attention.  Follow-up information has been received which reported that on an unknown date the patient delivered a normal infant with no congenital anomalies.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Drug exposure during pregnancy, Pregnancy test, Ultrasound scan normal, Weight gain poor
Clinical narrative: Information has been received through pregnancy registry from a licensed practical nurse concerning a 16 year old female, with an allergy to AMOXICILLIN, AUGMENTIN and no pertinent medical history, who on 02-OCT-2007 was vaccinated with her first dose of GARDASIL (lot # reported as 656371/0181U).  On 27-DEC-2007, the patient was vaccinated with her second dose of GARDASIL (lot # reported as 656371/0181U).  Concomitant therapy included MENACTRA.  Subsequently, the patient became pregnant.  The patient's last menstrual period was in November 2007.  No symptoms were reported.  The patient sought medical attention.  A home pregnancy test was performed and the patient had an ultrasound on 12-FEB-2008 which reported that the patient was 12 1/7 weeks of pregnancy and with normal findings.  Follow-up information was received from a physician who reported that during the pregnancy, the patient gained low maternal weight (7.4 pound).  On 25-AUG-2008 the patient gave birth to a live  born female weighing 7 lbs.  15 oz APGAR= 7/8.  She was 40 weeks from her last menstrual period.  The infant was reported to be normal and there were no congenital anomalies or other complications.  Additional information is not expected.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain upper, Arthralgia, Body temperature increased, Fatigue, Headache
Clinical narrative: Temp: 100 - 101.7 Wed evening through Sat, 8/30/08.  Flu like symptoms: fatigue, joints ached, nausea, stomach ache, severe headache. Injection site (right arm) swollen. Mobility of right arm limited for a week (could only lift arm alittle bit); it took 2 weeks to be free of pain, tenderness.   Could not do usual activities for 4 days. Very weak for a week, as if a charging freight train had hit me.  Called emergency Thurs evening, 8/28/08.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Influenza like illness, Injection site swelling, Mobility decreased, Nausea, Pain
Clinical narrative: Temp: 100 - 101.7 Wed evening through Sat, 8/30/08.  Flu like symptoms: fatigue, joints ached, nausea, stomach ache, severe headache. Injection site (right arm) swollen. Mobility of right arm limited for a week (could only lift arm alittle bit); it took 2 weeks to be free of pain, tenderness.   Could not do usual activities for 4 days. Very weak for a week, as if a charging freight train had hit me.  Called emergency Thurs evening, 8/28/08.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Tenderness
Clinical narrative: Temp: 100 - 101.7 Wed evening through Sat, 8/30/08.  Flu like symptoms: fatigue, joints ached, nausea, stomach ache, severe headache. Injection site (right arm) swollen. Mobility of right arm limited for a week (could only lift arm alittle bit); it took 2 weeks to be free of pain, tenderness.   Could not do usual activities for 4 days. Very weak for a week, as if a charging freight train had hit me.  Called emergency Thurs evening, 8/28/08.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Oedema peripheral, Pruritus
Clinical narrative: Received vaccination in upper left arm.  The following day my arm from my shoulder to my elbow was red, puffy, and itchy.  It encompassed about 3/4 the circumfrence of the area.  It lasted for about 5 days.  I still have some itchiness but not bad at all as well as a knot where the injection was given.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fatigue, Rash
Clinical narrative: Pt complains of Dizziness, fatigue, and rash starting 12/3/08.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: High fever to 103. Irritibility and lethargy.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Pain, Pruritus, Rash vesicular
Clinical narrative: Fifteen days (12/02/08) after receiving his second dose of Varivax on 11/17/08, my son developed a varicella-like lesion/blister on his forehead. On the following day (12/03/08), he developed two additional blisters. They were immediately vesicular. There was no maculo-papular stage as usually seen with the varicella-like rash of associated with vaccine adverse events. I have been treating with Caladryl lotion. He is complaining of pain and itching. Thankfully he has not had a fever.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Dyskinesia, Gaze palsy
Clinical narrative: Mother stated that seven days after receiving the MMR and VZV child had a seizure. States that eyes rolled back and body jerking, ?length of time seizure lasted.Child was not taken to hospital. In speaking with the mom she stated that child had been sick and running a "high fever" on the day he had the seizure. Temp not taken.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, No reaction on previous exposure to drug, Swelling face
Clinical narrative: Approximately 5-6 hrs post vaccination, wife of client reports that client reported facial swelling and malaise. She did not report SOB. She did state client has had flu shots in the post 5-6 years and has not had this reaction with every shot. She states He did have this reaction last year when he received a flu shot from his drs. office.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash pruritic, Tongue disorder
Clinical narrative: itching rash on several areas of his body including his head, middle of his back,  under his left arm pit, stomach and groin area. Says his mouth feels and his "tongue thick."  Veteran denies any shortness of breath or chest pain.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: G-mom here today for the 4 month immunizations, hesitant to receive.  States @ 2 month immunizations on day of injections-fretful and crying all day--hard to console even after Tylenol given.  Redness/swelling @ site both thighs. Hot to touch, fever but did not take reading.  Dr. called but did not see. States swelling to both legs were complete thigh artea.  Immunizations held today per G-mom.  Has an appt with Dr tomorrow for well child visit and will discuss with Dr and let her decide to vaccinate or not.  At 2 month IZ visit was given VIS for each antigen a d was also told signs and symlptoms of reaction and to consult Dr. or hospital in event of reaction.  States infant was "OK" the next day.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Knot in arm at site of injection; size of small fist, no fever, no redness c/o soreness at site. Client went to school 12/01/08 still swollen 4 days post Imm. Client reports it feels better today. This information was collected in a series of phone calls today;We have not actually seen the client. Mother was to bring him after school but they didn't come today.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Wheezing
Clinical narrative: Patient had large local eyrethatous patch at injection site that was raised. Patient later presented with wheezes to the ER.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Convulsion, Drooling, Dyskinesia, Gaze palsy, Pyrexia
Clinical narrative: When childs mother had sibling in office for Immunizations, she was asked about serious reactions to other vaccines, thats when she related that patient had a seizure after MMRV. She stated that child had been sick day before vaccine, on 01/18/2006 patient was seen by clinic MD and vaccines were given. Mother relates that later that evening child was running fever and she was giving her motrin, she then noted that child was not looking "right" she saw childs eyes rolling back and body jerking with clenched fists, and some drooling was noted. Child was taken to ED where temp was 104.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: One hour after receiving vaccines patient broke out in hives.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Blood immunoglobulin A, Blood immunoglobulin E, Cellulitis, Culture urine negative
Clinical narrative: Vaccine administered as outpatient. Next day started with fever 103F, pain 7 on a scale to 10, warmth and redness x 2 days.  Emergency room treated with Tylenol and Ancef and admitted to rule out other infection process and treat cellulitis of arm. Ancef continued and changed to Keflex at discharge.  Length of stay 3 days.  Near resolution at that time. 12/17/08-records received for DOS 9/26-9/29/08-DC DX: Probably cellulitis of right upper extremity,  possibel allergic reaction to pneumovax. Admitted with fever and chills. Injection site red, swollen hot.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Echocardiogram, Erythema, Full blood count, Pain, Pyrexia
Clinical narrative: Vaccine administered as outpatient. Next day started with fever 103F, pain 7 on a scale to 10, warmth and redness x 2 days.  Emergency room treated with Tylenol and Ancef and admitted to rule out other infection process and treat cellulitis of arm. Ancef continued and changed to Keflex at discharge.  Length of stay 3 days.  Near resolution at that time. 12/17/08-records received for DOS 9/26-9/29/08-DC DX: Probably cellulitis of right upper extremity,  possibel allergic reaction to pneumovax. Admitted with fever and chills. Injection site red, swollen hot.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Skin warm
Clinical narrative: Vaccine administered as outpatient. Next day started with fever 103F, pain 7 on a scale to 10, warmth and redness x 2 days.  Emergency room treated with Tylenol and Ancef and admitted to rule out other infection process and treat cellulitis of arm. Ancef continued and changed to Keflex at discharge.  Length of stay 3 days.  Near resolution at that time. 12/17/08-records received for DOS 9/26-9/29/08-DC DX: Probably cellulitis of right upper extremity,  possibel allergic reaction to pneumovax. Admitted with fever and chills. Injection site red, swollen hot.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Chest pain, Vomiting
Clinical narrative: Headache, vomiting, chest pain  2/9/09 Received PCP medical records. FINAL DX: none provided Records reveal patient experienced migraine HA, nausea & emesis.  Records are difficult to follow but it appears patient had exercise induced asthma on day of HPV #2, otherwise in good health.  No further records available. Will attempt to obtain Lot#s
Age: 46.0
Sex: F
Vaccine: HEPAB, IPV, MNQ
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Pt developed severe redness and swelling of right extremity rising from location of polio injection.  This swelling involved nearly the entire arm per client report
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Induration
Clinical narrative: Patient had received a flu vaccination in left arm from flu site.  She informed a lady about 3 inches down from injection site she has a bruise and a litle firmness, no redness.... Patient contacted flu coordinator for on 10/28...was told by coordinator to continue to watch it and to contact physician if any further problems...On call back at a later time patient indicated it was better.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Chest X-ray normal, Cough, Fatigue, Malaise
Clinical narrative: Prior to vaccination pt was on inhaler for asthma developed  hoarseness  and treating physician  (FMD) discontinued the inhaler.  Hoarseness improved and pt's doctor ok'd flu shot.                                            -Approximately one week post flu vaccination pt developed wheezing. FMD prescribed Amoxil with noimprovement.                                   - Two weeks post  flu vaccination pt developed cough, body aches, extreme fatigue and FMD prescribed  Levaquin    which helped her symptoms but seemed to have a relapse according to pt and  needed to take an additional week of    Levaquin.   Cough resolved  but up to present pt notes upper extremity aches, neck soreness and malaise.     She did note that overall she feels much better but there is residual.                                         -  Due to persistence of symptoms pt's FMD drew bloodwork today.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain, Wheezing
Clinical narrative: Prior to vaccination pt was on inhaler for asthma developed  hoarseness  and treating physician  (FMD) discontinued the inhaler.  Hoarseness improved and pt's doctor ok'd flu shot.                                            -Approximately one week post flu vaccination pt developed wheezing. FMD prescribed Amoxil with noimprovement.                                   - Two weeks post  flu vaccination pt developed cough, body aches, extreme fatigue and FMD prescribed  Levaquin    which helped her symptoms but seemed to have a relapse according to pt and  needed to take an additional week of    Levaquin.   Cough resolved  but up to present pt notes upper extremity aches, neck soreness and malaise.     She did note that overall she feels much better but there is residual.                                         -  Due to persistence of symptoms pt's FMD drew bloodwork today.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Cellulitis, Crying, Injection site erythema, Injection site pustule, Injection site swelling
Clinical narrative: From last Saturday pt was fussy and crying a lot. Sunday night  pt had fever a little over 100 degrees. Over night very fussy, next day while bathing dad noticed redness and swelling of the right arm. He has been having high fevers (103-104). Due to fever, restlessness and arm swelling pt was taken to PCP. At PCP's office pt was diagnosed with cellulitis and was sent to clinic for further evaluation. In hospital swelling/erythema initially worsened despite being placed on ancef. Switched to clindamycin and patient's condition began to improve after 24 hours. Erythema localized to injection site, swelling persisted. Following 48hrs of clindamycin 10-15 small white pustules developed at site. Ultrasound showed no abcess but did show muscle irregularities suggestive of myositis. 5/26/09-records received-DX:MRSA wound infection at the site of vaccine. Infection localized no abscess with incision and drainage after developing erythema and was diagnosed with cellulitis.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Irritability, Myositis, Pyrexia, Restlessness, Ultrasound scan abnormal
Clinical narrative: From last Saturday pt was fussy and crying a lot. Sunday night  pt had fever a little over 100 degrees. Over night very fussy, next day while bathing dad noticed redness and swelling of the right arm. He has been having high fevers (103-104). Due to fever, restlessness and arm swelling pt was taken to PCP. At PCP's office pt was diagnosed with cellulitis and was sent to clinic for further evaluation. In hospital swelling/erythema initially worsened despite being placed on ancef. Switched to clindamycin and patient's condition began to improve after 24 hours. Erythema localized to injection site, swelling persisted. Following 48hrs of clindamycin 10-15 small white pustules developed at site. Ultrasound showed no abcess but did show muscle irregularities suggestive of myositis. 5/26/09-records received-DX:MRSA wound infection at the site of vaccine. Infection localized no abscess with incision and drainage after developing erythema and was diagnosed with cellulitis.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: White blood cell count increased
Clinical narrative: From last Saturday pt was fussy and crying a lot. Sunday night  pt had fever a little over 100 degrees. Over night very fussy, next day while bathing dad noticed redness and swelling of the right arm. He has been having high fevers (103-104). Due to fever, restlessness and arm swelling pt was taken to PCP. At PCP's office pt was diagnosed with cellulitis and was sent to clinic for further evaluation. In hospital swelling/erythema initially worsened despite being placed on ancef. Switched to clindamycin and patient's condition began to improve after 24 hours. Erythema localized to injection site, swelling persisted. Following 48hrs of clindamycin 10-15 small white pustules developed at site. Ultrasound showed no abcess but did show muscle irregularities suggestive of myositis. 5/26/09-records received-DX:MRSA wound infection at the site of vaccine. Infection localized no abscess with incision and drainage after developing erythema and was diagnosed with cellulitis.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Feeling abnormal
Clinical narrative: approx. 30-60 minutes after receiving influenza vaccine, pt. c/o feeling anxious and "not right".  Had a reaction to Cipro in past and felt the same way.  Taken to ED, IV meds given.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dry skin, Dyspnoea, Fatigue
Clinical narrative: Client recieved a flu shot at 1045 on 120308 with Sanofi Pasteur vaccine Lot number U2760AA IM in the right deltoid by a nursing student.  1415 The client returned to the flu clinic compaining of shortmess of breath and spongie legs---felt like her legs wouldn't hold her up.  Client appears pale.  Skin is warm and dry to touch.  Blood pressure is 130/80, Pulse 65 BPM, lung sounds are non congested, no wheezing or rales.  Good S1 and S2 sounds.   Denies any tightnesss or feeling of the throat swelling shut.  1422 Administered 4 liters of O2----color returned to pink.  Client indicates Dr at the clinic is her Dr.  RN called the clinic and Dr is out of the office until 010609 and advised RN to call the ER and talk to Dr.  1425 RN clled the hospital ER and spoke to RN and PA called RN back.  PA felt this client had a reaction to the flu shot and indicated some of the shortness of breath could be anxiety and wanted client to wait 30 minutes at the flu shot clinic and to have 50 mg of Benadryl IM if client wanted the Benadryl.  Client refused to have her husband or family called and requested her co worker and boss to take her home.  Benadryl 50 mg/ml given IM in the left deltoid at 1452.  O2 discontinued and client tolerated this well and denied shortness of breath, but was feeling a little sleepy.   At 1515 client was walked down to first floor per elevator with assistence of RN and her bosss.  Client indicated she was sleepy and slightly dizzy.  Client was driven home by one of her co workers.  120408 1330 Telephone call to the client's work---she is home today.   Called client at home and she indicated she slept all of yesterday afternoon and all night.  Today she feels tired, weak, and feels like she has a fever (hasn't taken temperature).  Denies any shortness of breath but does feel letharic.  RN advised client to go to clinic or ER if she has any future problms and another RN will chck on her on 120808.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Lethargy, Muscular weakness, Oxygen supplementation, Pallor
Clinical narrative: Client recieved a flu shot at 1045 on 120308 with Sanofi Pasteur vaccine Lot number U2760AA IM in the right deltoid by a nursing student.  1415 The client returned to the flu clinic compaining of shortmess of breath and spongie legs---felt like her legs wouldn't hold her up.  Client appears pale.  Skin is warm and dry to touch.  Blood pressure is 130/80, Pulse 65 BPM, lung sounds are non congested, no wheezing or rales.  Good S1 and S2 sounds.   Denies any tightnesss or feeling of the throat swelling shut.  1422 Administered 4 liters of O2----color returned to pink.  Client indicates Dr at the clinic is her Dr.  RN called the clinic and Dr is out of the office until 010609 and advised RN to call the ER and talk to Dr.  1425 RN clled the hospital ER and spoke to RN and PA called RN back.  PA felt this client had a reaction to the flu shot and indicated some of the shortness of breath could be anxiety and wanted client to wait 30 minutes at the flu shot clinic and to have 50 mg of Benadryl IM if client wanted the Benadryl.  Client refused to have her husband or family called and requested her co worker and boss to take her home.  Benadryl 50 mg/ml given IM in the left deltoid at 1452.  O2 discontinued and client tolerated this well and denied shortness of breath, but was feeling a little sleepy.   At 1515 client was walked down to first floor per elevator with assistence of RN and her bosss.  Client indicated she was sleepy and slightly dizzy.  Client was driven home by one of her co workers.  120408 1330 Telephone call to the client's work---she is home today.   Called client at home and she indicated she slept all of yesterday afternoon and all night.  Today she feels tired, weak, and feels like she has a fever (hasn't taken temperature).  Denies any shortness of breath but does feel letharic.  RN advised client to go to clinic or ER if she has any future problms and another RN will chck on her on 120808.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm, Somnolence
Clinical narrative: Client recieved a flu shot at 1045 on 120308 with Sanofi Pasteur vaccine Lot number U2760AA IM in the right deltoid by a nursing student.  1415 The client returned to the flu clinic compaining of shortmess of breath and spongie legs---felt like her legs wouldn't hold her up.  Client appears pale.  Skin is warm and dry to touch.  Blood pressure is 130/80, Pulse 65 BPM, lung sounds are non congested, no wheezing or rales.  Good S1 and S2 sounds.   Denies any tightnesss or feeling of the throat swelling shut.  1422 Administered 4 liters of O2----color returned to pink.  Client indicates Dr at the clinic is her Dr.  RN called the clinic and Dr is out of the office until 010609 and advised RN to call the ER and talk to Dr.  1425 RN clled the hospital ER and spoke to RN and PA called RN back.  PA felt this client had a reaction to the flu shot and indicated some of the shortness of breath could be anxiety and wanted client to wait 30 minutes at the flu shot clinic and to have 50 mg of Benadryl IM if client wanted the Benadryl.  Client refused to have her husband or family called and requested her co worker and boss to take her home.  Benadryl 50 mg/ml given IM in the left deltoid at 1452.  O2 discontinued and client tolerated this well and denied shortness of breath, but was feeling a little sleepy.   At 1515 client was walked down to first floor per elevator with assistence of RN and her bosss.  Client indicated she was sleepy and slightly dizzy.  Client was driven home by one of her co workers.  120408 1330 Telephone call to the client's work---she is home today.   Called client at home and she indicated she slept all of yesterday afternoon and all night.  Today she feels tired, weak, and feels like she has a fever (hasn't taken temperature).  Denies any shortness of breath but does feel letharic.  RN advised client to go to clinic or ER if she has any future problms and another RN will chck on her on 120808.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Injection site reaction 5cm in diameter(erythemic reaction with induation and pain)
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dry eye, Pain, Pharyngeal oedema, Pyrexia
Clinical narrative: Pt reported on 10/31/08 that she received Influenza injection on 10/30/08 at aprox 1:00pm. Pt reports that aprox 5:30pm she felt the following symptoms:eyes felt dry,vision blurry, coughing,throat felt enlarged, fever of 101 and had body aches. She took Ibuprofen and nyquill at 10:30pm on 10/30/08.  On 10/31/08 at aprox 4:00pm she took Benadryl 25mg and aprox 30 minutes later her swollen throat felt better.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: Pt reported on 10/31/08 that she received Influenza injection on 10/30/08 at aprox 1:00pm. Pt reports that aprox 5:30pm she felt the following symptoms:eyes felt dry,vision blurry, coughing,throat felt enlarged, fever of 101 and had body aches. She took Ibuprofen and nyquill at 10:30pm on 10/30/08.  On 10/31/08 at aprox 4:00pm she took Benadryl 25mg and aprox 30 minutes later her swollen throat felt better.
Age: 13.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: According to shot record brought by mother the patient was due for MCV. After giving vaccine it was noted in the registry that it was given on May 11, 2006. The patient recieved 2 doses.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Erythema, Pruritus
Clinical narrative: She had recieved the HPV(Gardsil)# 2 vaccine in her left deltoid, when she got home a few hours later her whole left side of her body turned red and was itchy. This lasted for a couple of hours and went away, she did not seek medical attention.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 12/1/08 @ 2:30pm TDAP vaccine administered.  Client returned to clinic on 12/3/08.  Related a minor sore arm on 12/2, and then on 12/3 early am developed a 2" area at vaccine site that was red and slightly tender.  By 10am on 12/3/08 the area of redness had increased, was warm, and was increasing in size.  At 11:30am in clinic the area was noted to be red, tender and warm to touch, and approx. 4" X 3 1/2".  Appeared to be spreading toward elbow area.  Clients temp was 98 degree and she had no other complaints.  No history of previous allergies or vaccine reactions.  Dr. was contacted and prescribed Augmentin 1000 mg QD X 7 days with a recheck of vaccine site on 12/4/08, and ER visit if S&S of respiratory distress or progression of rash or swelling.  Return to clinic 12/4.  Reaction site was improved.  measured 4X 5 1/2 inches with decreased redness an induration.  Client states that swelling extended from shoulder to elbow last PM before starting Augmentin.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: No reaction on previous exposure to drug, Oedema peripheral, Pain in extremity
Clinical narrative: 12/1/08 @ 2:30pm TDAP vaccine administered.  Client returned to clinic on 12/3/08.  Related a minor sore arm on 12/2, and then on 12/3 early am developed a 2" area at vaccine site that was red and slightly tender.  By 10am on 12/3/08 the area of redness had increased, was warm, and was increasing in size.  At 11:30am in clinic the area was noted to be red, tender and warm to touch, and approx. 4" X 3 1/2".  Appeared to be spreading toward elbow area.  Clients temp was 98 degree and she had no other complaints.  No history of previous allergies or vaccine reactions.  Dr. was contacted and prescribed Augmentin 1000 mg QD X 7 days with a recheck of vaccine site on 12/4/08, and ER visit if S&S of respiratory distress or progression of rash or swelling.  Return to clinic 12/4.  Reaction site was improved.  measured 4X 5 1/2 inches with decreased redness an induration.  Client states that swelling extended from shoulder to elbow last PM before starting Augmentin.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Right arm swelled from elbow to above shoulder 2 to 3 times normal.  Was hot, red, itchy and painful lasting 7 days.  Was given claritin daily for one week to help with itching.  Cold packs applied for several days.  Onset was several hours after injection.