chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient with no known drug allergies. On an unknown date the patient was vaccinated with GARDASIL. On an unknown date the patient received dose 3 of GARDASIL one year after dose 2. No symptoms reported. Additional information has been requested.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a pharmacist concerning a 75 year old male patient with no pertinent medical history and drug reactions/allergies. On 16-SEP-2012, the patient was vaccinated with ZOSTAVAX (19400, units unspecified) (dose, route and lot number unspecified). No concomitant medications were reported. On 19-SEP-2012, the patient subsequently experienced the shingles. No treatment was provided. The patient sought medical attention. The outcome of shingles was reported as not resolved. The relatedness for the event was unknown for ZOSTAVAX. Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a physician refers to a patient of unknown age. On an unspecified date the patient was vaccinated with a first dose of RECOMBIVAX HB (lot # not reported). Then the patient was vaccinated with a second dose of RECOMBIVAX HB (lot # not reported) on an unspecified date, described as five days after the first vaccination. No adverse effect reported. It was unknown if the patient sought medical attention or not. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: This spontaneous report as received from a physician refers to a 14 years old female patient with no pertinent medical history and no drug reactions or allergies. On 21-SEP-2012, the patient was vaccinated with the first dose of GARDASIL, lot # 672547/1745AA, exp. date 13-SEP-2014, 0.5 ml, intramuscularly (IM). No other co-suspects were reported. No concomitant medications were reported. Physician reported that on 21-SEP-2012, immediately after administration of first dose of GARDASIL the patient experienced syncope. It was reported that the patient sought medical attention in office. The patient was monitored and given sugar water (also reported as no treatment was given for adverse event). On 21-SEP-2012, the patient's outcome was reported as fully recovered without requiring medical treatment. The relatedness for the patient's event was unknown for GARDASIL. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Expired drug administered
Clinical narrative: This spontaneous report as received from a pharmacist refers to a female patient of unknown age. The patient was vaccinated with lot # (669776/0614AA), 1 DF PNEUMOVAX23. No other co-suspects were reported. No concomitant medications were reported. On 01-OCT-2012 the patient experienced expired vaccine used. No treatment information was reported. The outcome of expired vaccine used is unknown. Expired vaccine used is not related to PNEUMOVAX23. {Additional information has been requested. /Additional information is not expected.}
Sex: M
Vaccine: VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Information has been received from a pharmacist concerning a male who on 24-SEP-2012 was vaccinated with an expired dose of ZOSTAVAX (lot number 669692/0615AA, expiration 02-JUL-2012) 0.65 ml subcutaneous (site not reported). No adverse effect was reported. Additional information is not expected.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy
Clinical narrative: This spontaneous report was received from a register nurse concerning a 26 year old female patient with seasonal allergies (unspecified) and seafood allergy and no pertinent medical history who on 25-JUL-2012 was vaccinated with dose 1 of GARDASIL, intramuscularly in the left arm (lot number 1696AA, expiration date 12-SEP-2014). No other co-suspects were reported. Concomitant therapy included fluconazole, one tablet administered later the dame day the vaccine was administered). The nurse reported that about two weeks after vaccination (approximately on 08-AUG-2012) with GARDASIL the patient experienced swollen glands in her armpits. The nurse reported that the patient's swollen glands first occurred about two weeks after vaccination. The nurse reported that the swollen glands went away but reoccurred about a week later and had continued to recur to the present time (exacts dates, number of occurrences and duration of the swollen glands was unspecified). The nurse reported that the swollen glands occurred under both armpits at the same time and at other times under one armpit (with can be either the left armpit or the right armpit). At the time of the report, the patient had not recovered from the event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a physician refers to a female patient of unknown age. The patient was vaccinated with the first, the second and the third dose of GARDASIL (dose, route and lot number not reported) on an unspecified date in 2007, in May of 2012 and in September of 2012, respectively. No other co-suspects were reported. No concomitant medications were reported. No adverse symptoms reported. No treatment information was reported. At the time of report, the patient's outcome was unknown. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, Maternal exposure during pregnancy, Pregnancy test urine positive
Clinical narrative: Information has been received from a registered nurse, for GARDASIL, a Pregnancy Registry product, concerning a 15 years old female patient without drug reaction. The patient's medical history included allergic conjunctivitis of the left eye (date of allergic conjunctivitis unspecified). The patient's history of previous pregnancies and live births was unknown. The patient was vaccinated the first, second and third dose of GARDASIL (lot number 665547/1318Y, 662518/0087Y, 672547/1745AA) on 08-MAY-2010, 06-NOV-2010 and 16-JUN-2012, respectively. No other co-suspects were reported. Concomitant medications included WESTCORT-CREAM, MOTRIN, PATANOL and ondansetron. Subsequently, the patient became pregnant. The nurse was not sure about the gestation or LMP, but provided that the expected delivery date was 07-NOV-2012. Initial exposure to GARDASIL was at 14 week(s). The patient was exposed to GARDASIL during trimester 2. Prenatal vitamins with iron were given as treatment. Urine pregnancy test was performed on 05-JUL-2012. The patient contacted office for seek medical attention. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site injury, Injection site swelling, Injection site warmth, Rash
Clinical narrative: This spontaneous report was received from a company representative concerning a 67 year old female patient. On an unknown date, the patient was vaccinated with ZOSTAVAX, 0.65 millimeter (ml), subcutaneously. No concomitant medications were reported. On an unknown date, the patient experienced rash on her arm, the injection site was swollen and hot and there was a little bit of a hole where the needle had been inserted into her arm. No treatment was provided. The patient was not recovered from the events as all the events were still present at the time of reporting (also provided as unknown). Relatedness for all the events was unknown for ZOSTAVAX. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis, Pyrexia
Clinical narrative: This spontaneous report was received from healthcare worker concerning a male patient of unknown age. The patient's medical history and drug reactions/allergies were not reported. Recently in 2012, the patient was vaccinated with PNEUMOVAX23. Dose and route were not reported. Lot number H209826 (in validation). No other co-suspects were reported. No concomitant medications were reported. In 2012, the patient experienced severe reactions as fever of 102 F and cellulitis at the injection site. No treatment information was reported. The outcome of fever of 102 F and cellulitis at the injection site was unknown. The relatedness for fever of 102 F and cellulitis at the injection site was unknown for PNEUMOVAX23. This is one of two reports received from the same source. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Hyperacusis
Clinical narrative: This spontaneous report was received from a consumer calling on behalf of her 5 year old son. The patient was vaccinated with the first dose of M-M-R II when she was 3 years old of age, MMRII Lot 1777Y, and the second dose of MMRII when he was 4 years of age, MMRII Lot 1250Z. No other co-suspects were reported. No concomitant medications were reported. The consumer stated that last year she noticed that her child was having sensory problems with loud noises, such as barking, the movie theater, and ice skating rink, in which her child would cover his ears. The consumer stated that she followed up with her son's primary health care provider who stated this is a common reaction to loud sounds. However, the consumer stated that her child never did that before. The consumer stated that her son does not have any known allergies but when he got vaccinated with PEDVAXHIB and an unspecified flu vaccine at 15 months of age, he developed hard bumps, like pimples on his face and the back of his arms. They were like "build up of thick skin". The patient's present status is reported as not recovered. No other information was provided. Additional information has been requested.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Dermatitis psoriasiform, Injection site rash, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 77 years old male patient. The patient had no drug reactions/allergies. The patient's medical history included psoriasis. The patient was vaccinated with ZOSTAVAX (lot # 0366AE, expire date 23-MAR-2013) (vaccination site unknown) (route and strength unknown) on 24-AUG-2012. No other co-suspects and concomitant medications were reported. On 25-AUG-2012 the patient developed a rash following vaccination with ZOSTAVAX. The pharmacist described the rash as psoriasis like rash, red, flaky and itchy. The rash was all over the patient's body, sites mentioned included the included the injection site, the hands and the patient's head. The exact development of the whole body psoriasis rash was unspecified at the time of the call. The patient received an unspecified dose of an unspecified steroid as the treatment of the adverse events. The outcome was reported as not recovered/not resolved. The patient sought medical attention via contacted physician. Additional information has been requested.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin exfoliation
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 77 years old male patient. The patient had no drug reactions/allergies. The patient's medical history included psoriasis. The patient was vaccinated with ZOSTAVAX (lot # 0366AE, expire date 23-MAR-2013) (vaccination site unknown) (route and strength unknown) on 24-AUG-2012. No other co-suspects and concomitant medications were reported. On 25-AUG-2012 the patient developed a rash following vaccination with ZOSTAVAX. The pharmacist described the rash as psoriasis like rash, red, flaky and itchy. The rash was all over the patient's body, sites mentioned included the included the injection site, the hands and the patient's head. The exact development of the whole body psoriasis rash was unspecified at the time of the call. The patient received an unspecified dose of an unspecified steroid as the treatment of the adverse events. The outcome was reported as not recovered/not resolved. The patient sought medical attention via contacted physician. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash vesicular
Clinical narrative: Information has been received from a field representative who received reported AE information from a pharmacist regarding a 69 year old female who was administered ZOSTAVAX (lot# 670820/0660AA, expiration date 04-AUG-2012) on 24-APR-2012. "A few weeks later", the patient developed a rash starting on her neck. The rash "looks like chickenpox". The patient had been evaluated by an unspecified dermatologist but the rash had been persistent. No further details were noted. No further information is expected.
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Information had been received from a field representative who was informed by a pharmacist that a female patient who had received ZOSTAVAX (lot# H009779) on 18-SEP-2012 experienced "cellulitis". The representative also said that the patient had "a red spot the size of a small lemon with a lighter shade of red covering the injection site to her elbow". It was verified with the representative that she learned of the AE on 23-SEP-2012 (onset date not provided). No other AE information was given. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This spontaneous report as received from a other health professional refers to a patient of unknown age. The patient was vaccinated with dose 2, 1 DF PNEUMOVAX 23 on 28-SEP-2012. No other co-suspects were reported. No concomitant medications were reported. On an unknown date the patient experienced inappropriate schedule of drug administration. No treatment information was reported. The outcome of inappropriate schedule of drug administration was reported as not recovered/not resolved. Inappropriate schedule of drug administration is not related to PNEUMOVAX 23. {Additional information has been requested. Additional information is not expected.}
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 82 years old female patient with no medical history and no drug reactions/allergies. The patient was vaccinated subcutaneously with ZOSTAVAX on 07-JAN-2009. No other co-suspects were reported. No concomitant medications were reported. The patient developed shingles twice this year (2012) after receiving ZOSTAVAX. No treatment information was reported. The outcome of shingles was reported as not recovered/not resolved. The relatedness for shingles was unknown for ZOSTAVAX. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: This spontaneous report as received from a physician refers to a female patient of unknown age. The patient was vaccinated with GARDASIL. No other co-suspects were reported. No concomitant medications were reported. On an unknown date the patient experienced syncope. No treatment information was reported. The outcome of syncope was reported as recovered/resolved with sequelae. Syncope is related to GARDASIL. Additional information is not expected.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist refers to a 59 years old female patient who on 14-SEP-2012 was vaccinated an expired dose of PNEUMOVAX 23 0.5 ml intramuscular, left deltoid (lot number 0595AA, expiration date: 30-AUG-2012). No other co-suspects were reported. No concomitant medications were reported. No adverse effects reported. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Lymphadenopathy, Urinary retention
Clinical narrative: This spontaneous report was received from healthcare worker concerning a male patient of unknown age. The patient's medical history and drug reactions/allergies were not reported. Recently in 2012, the patient was vaccinated with PNEUMOVAX23. Dose and route were not reported. Lot number was H209825 (in validation). No other co-suspects were reported. No concomitant medications were reported. In 2012, the patient experienced severe reactions as urinary retention and lymph node problems. No treatment information was reported. The outcome of urinary retention and lymph node problems was unknown. The relatedness for urinary retention and lymph node problems was unknown for PNEUMOVAX23. This is one of two reports received from the same source. Additional information has been requested.
Age: 78.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lip swelling, Oedema mouth, Oral pain
Clinical narrative: Client noticed lips and mouth starting to swell so he took a Benadryl.
Age: 78.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lip swelling
Clinical narrative: Client noticed lips and mouth starting to swell so he took a Benadryl.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Lacrimation increased, Nasal congestion, Oropharyngeal pain, Stomatitis, Throat irritation
Clinical narrative: Scratchy throat, stuffy nose, watery eyes.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Lacrimation increased, Nasal congestion, Throat irritation
Clinical narrative: Scratchy throat, stuffy nose, watery eyes.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chills, Headache, Malaise
Clinical narrative: Patient's parent stated that patient is not feeling well before lunch, and after the vaccination. Patient complained about headache, chills, and feeling sick. Patient returned to immunization clinic within two hours after vaccination with above complaint. Patient was instructed to rest on the bed, Vital signs was checked every 5 minute X3. At 1:46 PM-Temperature 100.5, B/p 97/57, Respiration 20, Pulse Oximeter 99%. Patient was later sent to Emergency room for further evaluation.
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Blood bilirubin increased, Gastrointestinal disorder, Gastrooesophageal reflux disease, Jaundice, Pain
Clinical narrative: Within hours of patient's HepB vaccination her bilirubin score went from perfectly normal to 19. Bili-light treatment and nursing would bring it down only for it to spike again...up to a score of 23 3 days after vaccination.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Left upper arm pink warm around injection site-5 inches diameter. Pt c/o itching.
Age: 6.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Fever 105, cool tub to lower fever.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Itching, swelling, rash, around the site of the needle, by morning it was bright red and very sore, latest until 10-4-2012.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Contraindication to vaccination
Clinical narrative: Live vaccines (MMR and varicella) were administered to a patient on PROGRAF, an immunosuppressive drug. This is a contraindication.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: See attached.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Initial report was received from a health care professional on 25 September 2012. A 33-year-old male patient who had no concurrent illness and no medical history, had received an intramuscular left deltoid injection of FLUZONE, lot number UH711AB on 22 September 2012 and within minutes of receiving the vaccine, he became dizzy with numbness and tingling of his hands and around his mouth. His blood pressure was 180/111 and heart rate was >100. He was transported to the emergency room by ambulance, treated and released. Outcome was recovered. Documents held by sender: None.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Urticaria and difficulty breathing.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram PR shortened, Electrocardiogram ST-T change, Electrocardiogram abnormal, Loss of consciousness, Syncope
Clinical narrative: Syncope after received a flu shot. Loss of consciousness for less than one minute.
Age: 30.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Alpha 1 foetoprotein normal, Caesarean section, Gestational diabetes, Gestational hypertension, Laboratory test normal
Clinical narrative: Initial report received from a health care professional on 22 September 2011. A 30-year-old female patient received dose 1 of an intramuscular injection (site not reported) of ADACEL, sanofi pasteur Ltd lot number C3921AA, on 12 September 2011. The patients' weeks of gestation at the time of vaccination and the Estimated Date of Delivery were unknown. The date of the patient's Last Menstrual was reported as 26 July 2011. The patient's obstetrical history, current medical history and concomitant medication were unknown. The patient experienced no adverse event. The outcome was reported as unknown. Follow-up information was received from a health care professional on 24 September 2012. The patient developed gestational diabetes and hypertension during pregnancy. Based upon this new information received, it was determined this case now meets seriousness criteria and it has been upgraded from non-serious to serious. The patient's estimated date of delivery was 02 May 2012. Diagnostic testing included cystic fibrosis negative, AFPU negative and ultrasounds normal. A single male child was delivered at 39 weeks gestation by cesarean section on 23 April 2012. Apgar scores were 9 and 9 at one minute and five minutes respectively. Height was 50 cm and weight was 4 kg. Congenital abnormalities were reported as no. Documents held by sender: None.
Age: 30.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Maternal exposure during pregnancy, Ultrasound antenatal screen normal
Clinical narrative: Initial report received from a health care professional on 22 September 2011. A 30-year-old female patient received dose 1 of an intramuscular injection (site not reported) of ADACEL, sanofi pasteur Ltd lot number C3921AA, on 12 September 2011. The patients' weeks of gestation at the time of vaccination and the Estimated Date of Delivery were unknown. The date of the patient's Last Menstrual was reported as 26 July 2011. The patient's obstetrical history, current medical history and concomitant medication were unknown. The patient experienced no adverse event. The outcome was reported as unknown. Follow-up information was received from a health care professional on 24 September 2012. The patient developed gestational diabetes and hypertension during pregnancy. Based upon this new information received, it was determined this case now meets seriousness criteria and it has been upgraded from non-serious to serious. The patient's estimated date of delivery was 02 May 2012. Diagnostic testing included cystic fibrosis negative, AFPU negative and ultrasounds normal. A single male child was delivered at 39 weeks gestation by cesarean section on 23 April 2012. Apgar scores were 9 and 9 at one minute and five minutes respectively. Height was 50 cm and weight was 4 kg. Congenital abnormalities were reported as no. Documents held by sender: None.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Rash, Rash erythematous
Clinical narrative: Rash on trunk of body started to appear 24 hours after flu vaccine given. Rash worsened (red and more profuse) on 10/4/2012 (24-48 hours post dose).  Rash started to improve on 10/5/12. Not yet resolved.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Local reaction, Pain, Pruritus, Pyrexia
Clinical narrative: Large swelling area, Very Red with slight streak, Feverish, Sore to touch. I took the recommended Tylenol or Motrin. I had to go to our Occupational Health office on 10/4/12 because the swelling was still present, redness area had tripled, pain/fever. Was provided Hydrocortisone Cream for itching (helped) and instructed to place warm compresses hourly and after 48 hours to begin the cold compresses.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Arm was sore 9/28/12, on the evening. Noticed on 10/1/12, after he woke up, that his arm was swollen. Had itching on top of head & below ears on 10/1/12. Right hand swollen. He used iced pack & that reduced swelling.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Left upper extremity swelling, pain and redness that was dependent (lower) from the injection site. Treatment:  advised appling a sling to help relieve some of the pain, Zyrtec and increase fluids.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Ear infection, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with upper right thigh redness, swelling, hot to the touch, and covered most of the upper thigh, Started oral treatment of sulfamethoxazole-trimethoprim 200/40 mg per 5mL 17 mL twice daily X 10 days but patient also had ear infect. and patient is sched. for follow-up on 10/05/2012.
Age: 12.0
Sex: F
Vaccine: FLUN3, HEPA, HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Patient received Tdap, HPV, Hep A, and Flu Mist.  Patient experienced a syncopal episode.  Duration 2-3 minutes.  No injury occurred.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Heart rate increased, Pain, Pyrexia
Clinical narrative: Chills, severe body aches, fever, increased HR for 3 days.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site paraesthesia, Paraesthesia
Clinical narrative: Tingling sensation down left arm to wrist, pain extending from left shoulder to cervical spine.
Age: 53.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Pain, Rash pruritic, Swelling
Clinical narrative: Swelling, body aches, itchy rash, fatigue.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Induration, Swelling
Clinical narrative: Local induration, swelling, heat, redness 4 cm x 8 cm.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Basophil count normal, Eosinophil count normal, Haematocrit normal, Haemoglobin normal, Immediate post-injection reaction
Clinical narrative: Pt received her flu vaccine and Pneumovax prior to being discharged from the hospital.  She reports that the pain started immediately after receiving her Pneumovax.  She is complaining of left arm pain and swelling.  Treatment:  Prednisone for 6 days, ultram for pain and zyrtec.  CBC to assess allergic versus infectious type reaction.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Lymphocyte count normal, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume normal, Monocyte count increased
Clinical narrative: Pt received her flu vaccine and Pneumovax prior to being discharged from the hospital.  She reports that the pain started immediately after receiving her Pneumovax.  She is complaining of left arm pain and swelling.  Treatment:  Prednisone for 6 days, ultram for pain and zyrtec.  CBC to assess allergic versus infectious type reaction.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Neutrophil count increased, Oedema peripheral, Pain in extremity, Platelet count normal, Red blood cell count normal
Clinical narrative: Pt received her flu vaccine and Pneumovax prior to being discharged from the hospital.  She reports that the pain started immediately after receiving her Pneumovax.  She is complaining of left arm pain and swelling.  Treatment:  Prednisone for 6 days, ultram for pain and zyrtec.  CBC to assess allergic versus infectious type reaction.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Red cell distribution width increased, White blood cell count increased
Clinical narrative: Pt received her flu vaccine and Pneumovax prior to being discharged from the hospital.  She reports that the pain started immediately after receiving her Pneumovax.  She is complaining of left arm pain and swelling.  Treatment:  Prednisone for 6 days, ultram for pain and zyrtec.  CBC to assess allergic versus infectious type reaction.
Age: 29.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Activities of daily living impaired, Fatigue, Feeling abnormal, Malaise, Palpitations
Clinical narrative: Beginning 09/25/12 experienced frequent intense heart palpitations, flip-flopping feeling, (8-10 per minute) whenever sitting or lying down (visited Dr. for this on 09/27/12). Beginning 09/28/12 experienced extreme fatigue (even tired by things such as walking to the kitchen or upstairs) and general malaise which did not improve with sleep or lying down. I have a daily work-out routine and a very healthy lifestyle and was not able to work out or do much at all except lay down and try to rest or sleep. Beginning 09/29/12 experienced low grade fever (99-99.9 degrees F) which was intermittent throughout the days. All symptoms lasted until 10/03/12 PM. Fever and fatigue resolved on 10/04/12 and less frequent heart palpitations occurred on 10/04/12. All symptoms resolved by 10/05/12.
Age: 29.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Pyrexia
Clinical narrative: Beginning 09/25/12 experienced frequent intense heart palpitations, flip-flopping feeling, (8-10 per minute) whenever sitting or lying down (visited Dr. for this on 09/27/12). Beginning 09/28/12 experienced extreme fatigue (even tired by things such as walking to the kitchen or upstairs) and general malaise which did not improve with sleep or lying down. I have a daily work-out routine and a very healthy lifestyle and was not able to work out or do much at all except lay down and try to rest or sleep. Beginning 09/29/12 experienced low grade fever (99-99.9 degrees F) which was intermittent throughout the days. All symptoms lasted until 10/03/12 PM. Fever and fatigue resolved on 10/04/12 and less frequent heart palpitations occurred on 10/04/12. All symptoms resolved by 10/05/12.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal
Clinical narrative: I felt as if all the blood had been drained from my limbs and replaced with molten lead.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: 7" x 7"edematous area in right deltoid area. Warm too touch. Doesn't fluctuate. No rash, erythema or bruising noted. Denies shortness of breath.
Age: 39.0
Sex: F
Vaccine: PPV, TD, PPV
Symptoms: Headache, Injected limb mobility decreased, Injection site swelling, Pain, Pyrexia
Clinical narrative: High fever, body aches, massive headache, large swelling spot at site of injection, could not lift my arm.
Age: 39.0
Sex: F
Vaccine: PPV, TD, PPV
Symptoms: Asthenia, Chills, Erythema, Headache, Injection site erythema
Clinical narrative: High fever, body aches, massive headache, large swelling spot at site of injection, could not lift my arm.
Age: 39.0
Sex: F
Vaccine: PPV, TD, PPV
Symptoms: Injection site pain, Injection site swelling, Myalgia, Oedema peripheral, Pain
Clinical narrative: High fever, body aches, massive headache, large swelling spot at site of injection, could not lift my arm.
Age: 39.0
Sex: F
Vaccine: PPV, TD, PPV
Symptoms: Pyrexia, Tenderness
Clinical narrative: High fever, body aches, massive headache, large swelling spot at site of injection, could not lift my arm.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Arm where shot was given started swelling, turning red, and warm to touch. Mom stated PCP is out of town and she didn't want to go there, advised going to local urgent care as ther was no doctor at The Health Dept. today.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Acne, Blood glucose decreased
Clinical narrative: Low blood sugar and acne.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills, Dizziness, Headache, Vomiting
Clinical narrative: Severe headache, chills, vomiting, stomach cramps, dizziness.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site anaesthesia
Clinical narrative: Arm numbness from shoulder to hand on the same arm vaccine administered to.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Red, sore, raised quarter size at site.  No other problems reported.
Age: 83.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: LOCAL PAIN, REDNESS, AND SWELLING AT THE SITE OF THE INJECTION (RIGHT ARM).  SWELLING AND REDNESS TRAVELING DOWN THE ARM.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site papule, Injection site vesicles
Clinical narrative: Diffuse erythema entire left upper arm, lateral aspect, with moderate tenderness, single vesicle about 1 cm from site of injection, with tiny circular margin of raised papules surrounding injection punctum, headache in morning, and weakness of legs.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Muscular weakness
Clinical narrative: Diffuse erythema entire left upper arm, lateral aspect, with moderate tenderness, single vesicle about 1 cm from site of injection, with tiny circular margin of raised papules surrounding injection punctum, headache in morning, and weakness of legs.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV, TDAP, FLU3, PPV, TDAP
Symptoms: Chest pain, Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Pt received a PPSV23 when she did not meet any risk factors, also within 5 hrs pt developed fever, chills, body ached and pain into chest. We saw pt 2 days later and pt still having muscle pain and achiness. Pt also received a Tdap when pt was given one here in our office in 2009.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV, TDAP, FLU3, PPV, TDAP
Symptoms: Blood test abnormal, Infection, Myositis, Pain, Pain in extremity
Clinical narrative: Pt received a PPSV23 when she did not meet any risk factors, also within 5 hrs pt developed fever, chills, body ached and pain into chest. We saw pt 2 days later and pt still having muscle pain and achiness. Pt also received a Tdap when pt was given one here in our office in 2009.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV, TDAP, FLU3, PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Pt received a PPSV23 when she did not meet any risk factors, also within 5 hrs pt developed fever, chills, body ached and pain into chest. We saw pt 2 days later and pt still having muscle pain and achiness. Pt also received a Tdap when pt was given one here in our office in 2009.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Nervousness, Pruritus, Urticaria
Clinical narrative: Thirty minutes after receiving Influenza vaccine, employee began having itching, face flushing, hives and nervousness. BENADRYL and Epinephrine administered.
Age: 72.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Pain of skin, Rash erythematous
Clinical narrative: Red rash, approx. size of a lemon, tender to rt. arm.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Pyrexia, Rash, Skin warm
Clinical narrative: Severe pain at site of injection, sever swelling, redness and hot to touch, fever by evening with development of rash.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Severe pain at site of injection, sever swelling, redness and hot to touch, fever by evening with development of rash.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, chills, and sore throat
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye swelling
Clinical narrative: Her eyes were swollen, had breathing problem.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site joint pain, Myalgia, Tremor
Clinical narrative: Joint pain in arm where injection was given.  Generalized muscle aches and pains.  Generalized tremors.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: VIIth nerve paralysis, Vision blurred
Clinical narrative: Developed Bell's Palsy on right side of face; right eye and face were drooping as well as blurred vision in right eye; saw eye doctor on 9/25/12; he diagnosed Bell's palsy. Went to primary care physician on 10/1/12. He concurred with diagnosis, but was sure the condition is only transient. As of today, 10/5/12, it is almost entirely gone. He is also convinced it probably has nothing to do with the flu shot, but thought it would be appropriate to inform you of the occurrence since it happened so soon after the flu shot.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rash
Clinical narrative: Rash.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills
Clinical narrative: Extreme chills & later stomach ache chills were treated w/ibuprofen & stomach ache by no food intake until pain subsided early next morning.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Headache, Pain, Pyrexia
Clinical narrative: Cough, SOB, fever, body aches, headaches.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Pruritus, Rash, Scab
Clinical narrative: Developed bump behind left ear.  Another 2 bumps developed 1-2 later also behind left ear. Mildly itchy and mild discomfort associated with bumps. Bumps scabbed over.  Also itchy area on back that scabbed. No fever.  Does not feel ill. Reports getting better.
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Local reaction, Local swelling
Clinical narrative: Localized redness and swelling 5 x 5 cm on 10/04/12.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood culture, Cellulitis, Chills, Erythema
Clinical narrative: 1 day after injection (10/2/12) developed high fevers, chills, nausea, body aches, weakness and fatigue and also had a noticeable racing heart.  This was documented in the ER as well, but before discharge it had declined to 100 BPM. Elevated WBC of 17.4 with a left shift. Blood cultures pending. Fatigued and sore. L upper arm around site of vaccine injection is very red and extremely tender. Dx: cellulitis and placed on Bactrim. 10/5/12: seen at office. Expanding, erythematous and tender left arm without fluctuance. Admitted to Hospital for IV abx for cellulitis.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injection site erythema, Injection site pain, Nausea, Pain
Clinical narrative: 1 day after injection (10/2/12) developed high fevers, chills, nausea, body aches, weakness and fatigue and also had a noticeable racing heart.  This was documented in the ER as well, but before discharge it had declined to 100 BPM. Elevated WBC of 17.4 with a left shift. Blood cultures pending. Fatigued and sore. L upper arm around site of vaccine injection is very red and extremely tender. Dx: cellulitis and placed on Bactrim. 10/5/12: seen at office. Expanding, erythematous and tender left arm without fluctuance. Admitted to Hospital for IV abx for cellulitis.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Palpitations, Pyrexia, Tenderness, White blood cell count increased
Clinical narrative: 1 day after injection (10/2/12) developed high fevers, chills, nausea, body aches, weakness and fatigue and also had a noticeable racing heart.  This was documented in the ER as well, but before discharge it had declined to 100 BPM. Elevated WBC of 17.4 with a left shift. Blood cultures pending. Fatigued and sore. L upper arm around site of vaccine injection is very red and extremely tender. Dx: cellulitis and placed on Bactrim. 10/5/12: seen at office. Expanding, erythematous and tender left arm without fluctuance. Admitted to Hospital for IV abx for cellulitis.
Age: 60.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Urticaria
Clinical narrative: Patient had hives on bilateral arms.
Age: 45.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Large area of redness and swelling around injection area and now swelling and redness continuing down left arm/using ice and ibuprofen.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy artery abnormal, Computerised tomogram, Headache, Nuclear magnetic resonance imaging, Red blood cell sedimentation rate
Clinical narrative: Started with headaches 8/18/12 had a CT, MRI, was on 2400 mg. MOTRIN, IMITREX and then on Prednisone. 1 wk. supply, went to hospital on 9/5/12. Had 2 biopsies done. Results were positive for temporal arteritis. I am on high doses of Prednisone, will wean doses to 10 mg - will stay on 10 mg. for quite a long time.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Temporal arteritis
Clinical narrative: Started with headaches 8/18/12 had a CT, MRI, was on 2400 mg. MOTRIN, IMITREX and then on Prednisone. 1 wk. supply, went to hospital on 9/5/12. Had 2 biopsies done. Results were positive for temporal arteritis. I am on high doses of Prednisone, will wean doses to 10 mg - will stay on 10 mg. for quite a long time.
Age: 64.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Administered 10-4-12 (PNEUMOVAX) reaction of raised red patches quarter sized and smaller around injection site and under arm noted 10-5-12 given steroids.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Skin discolouration, Skin hyperpigmentation
Clinical narrative: HYPERPIGMENTATION/DARK-BROWN SKIN SPOTS.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site reaction, Myalgia, Pain in extremity, Sensation of heaviness
Clinical narrative: Woke up with both arms sore, no redness or swelling noted, no fever. Muscle aches still persist in both arms where vaccine administered.  Not worse, but no improvement.  Describes as "heavy" feeling.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient states developed itching to scalp, then noticed a hive on left side of face.  No shortness of breath, no chest pain, no throat swelling, no difficulty swallowing.  Treated with Benadryl 25mg PO x1 with relief of symptoms.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Nasopharyngitis
Clinical narrative: Cold/flu like symptoms.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Cheilitis, Cough, Dry throat, Hypoaesthesia oral, Ocular hyperaemia
Clinical narrative: Throat became dry and irritated lips became numb started to cough was wheezing eyes became very very red the next day had a red rash over my neck and trunk.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Rash, Rash erythematous, Wheezing
Clinical narrative: Throat became dry and irritated lips became numb started to cough was wheezing eyes became very very red the next day had a red rash over my neck and trunk.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Feeling cold, Feeling hot, Nausea
Clinical narrative: Dizziness, hot, cold, and clammy. Nausea.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: Patient developed large area of cellulitis around injection site.  Was seen in our office and treat with Keflex and resolved.
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site urticaria, Urticaria
Clinical narrative: Left shoulder injection site - urticaria left sub scapular chest skin - urticaria immediately following injection of IM vaccine (L). BP 100/70 - seated, P = 67, T = 97.8 orally. BENADRYL/Diphenhydramine 50mg po orally.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea
Clinical narrative: Diarrhea.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Back pain, Feeling of body temperature change, Hallucination
Clinical narrative: States woke with hallucinating dreams and had nausea, headache, neck, back, and joint pain.  Pain so severe almost went to hospital.  States was having hot and cold flashes but never took temperature.  Also complained of soreness at injection site that is now red with a lump.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Nausea
Clinical narrative: States woke with hallucinating dreams and had nausea, headache, neck, back, and joint pain.  Pain so severe almost went to hospital.  States was having hot and cold flashes but never took temperature.  Also complained of soreness at injection site that is now red with a lump.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: States woke with hallucinating dreams and had nausea, headache, neck, back, and joint pain.  Pain so severe almost went to hospital.  States was having hot and cold flashes but never took temperature.  Also complained of soreness at injection site that is now red with a lump.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Pain
Clinical narrative: FLUZONE vaccine received 9/19/12. Patient states injection was given near shoulder (not in deltoid) which resulted in pain requiring a cortisone short.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain
Clinical narrative: Sharp pain bilaterally to lower back pain lasting 5-10 minutes. Gave 50g BENADRYL.
Age: 27.0
Sex: M
Vaccine: FLU3
Symptoms: Needle issue, X-ray limb normal
Clinical narrative: Gave pt. flu injection, removed needle from lt. arm. No needle on end of syringe, looked on floor, near vicinity - no needle seen. Marked site on arm, sent pt. to Urgent Care for x-ray.
Age: 0.11
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: PT received PENTACEL, PREVNAR and Rotavirus at 5 1/2 weeks of age. CDC contacted: valided the vaccines.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Flushing
Clinical narrative: Patient got the flu shot in her right arm. About an hour later, she felt "warm, flush" all over her body. Her face was very red. She took TYLENOL, she eventually felt better.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out after Tdap administration ambulance were called. Pt stated he always pass out after injections. Pt stated NKDA and no health conditions prior to adm. Pt refused to be taken to hospital.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & erythema on (R) leg at administration site of DTaP. BENADRYL & ibuprofen prn.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Anti-thyroid antibody negative, Antinuclear antibody negative, Blood thyroid stimulating hormone normal, Full blood count normal
Clinical narrative: Mom states the patient has had thinning hair 1st noted on a PE on 3/22/2012 and worse that this cause cracked toenails, muscle strain & recent onset of mollescum contegiosam are all due to HPV vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Metabolic function test normal, Molluscum contagiosum, Muscle strain, Nail disorder, Red blood cell sedimentation rate normal
Clinical narrative: Mom states the patient has had thinning hair 1st noted on a PE on 3/22/2012 and worse that this cause cracked toenails, muscle strain & recent onset of mollescum contegiosam are all due to HPV vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroxine normal, Tri-iodothyronine normal
Clinical narrative: Mom states the patient has had thinning hair 1st noted on a PE on 3/22/2012 and worse that this cause cracked toenails, muscle strain & recent onset of mollescum contegiosam are all due to HPV vaccine.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Pyrexia
Clinical narrative: Pt. experienced symptoms of fever, chills, felt cold the night the vaccine was administered. Woke up in middle of night and husband had to warm her up w/ blankets. Only lasted for about 3 min.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: This child is a twin, and both received the flu vaccine 926-12. When I made a follow-up call to the mother inquiring about another incident, the parent informed me that both girls developed a rash 9-30-12 in axillae and on abdomen. She took them to the pediatrician who did not know what it was and Rx's ZYRTECC and cortisone cream. Mother gave oatmeal baths.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administration error, Rash
Clinical narrative: I gave this client a .5 cc injection of air accidentally (see previous form). In the follow-up call I made to the mother 5 days after the event on 10-1-12 she stated both girls who had received the IM injection developed a rash in armpits and abdomen 4 days afterwards. She took them to the pediatrician who didn't know the etiology; Rx'd cortisone cream and ZYRTEC. Mother gave oatmeal baths.