chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pustule, Injection site swelling, Purulent discharge
Clinical narrative: Information has been received from a health professional concerning an 83 year old male patient who on 22-OCT-2009 was hospitalized due to cardiac failure congestive and hypoxia who on 25-OCT-2009 while he was hospitalized was vaccinated in the left deltoid with a dose of PNEUMOVAX and also was vaccinated in the right deltoid with a dose of influenza virus vaccine (unspecified) (manufacturer unknown) the same day. The patient was vaccinated with a dose of PNEUMOVAX 10 years prior, in 1999. The patient was discharged from the hospital on 25-OCT-2009. On 16-NOV-2009 the patient was seen in the physician office because he developed cellulitis in the left arm. The injection site area was red and swollen and there was a 5x5 area of induration. The patient had pustules and purulent drainage from the area. A culture was performed but no microorganisms were seen. The patient was change from CIPRO to LEVAQUIN. On 23-NOV-2009 the patient returned to the office for a follow-up visit, the physician observed some improvement but the purulent drainage continued. The wound was incised and drained. On 28-NOV-2009 the patient was readmitted to the hospital for shortness of breath and difficulty breathing. The cellulitis on the left arm was still mildly tender and draining. On an unspecified date the patient was discharged from the hospital. On 07-DEC-2009 the patient had a follow up visit with the physician. At the time of the report the patient's outcome was unspecified. Additional information has been requested. This is one of several cases reported by the same source.
Age: 83.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Tenderness
Clinical narrative: Information has been received from a health professional concerning an 83 year old male patient who on 22-OCT-2009 was hospitalized due to cardiac failure congestive and hypoxia who on 25-OCT-2009 while he was hospitalized was vaccinated in the left deltoid with a dose of PNEUMOVAX and also was vaccinated in the right deltoid with a dose of influenza virus vaccine (unspecified) (manufacturer unknown) the same day. The patient was vaccinated with a dose of PNEUMOVAX 10 years prior, in 1999. The patient was discharged from the hospital on 25-OCT-2009. On 16-NOV-2009 the patient was seen in the physician office because he developed cellulitis in the left arm. The injection site area was red and swollen and there was a 5x5 area of induration. The patient had pustules and purulent drainage from the area. A culture was performed but no microorganisms were seen. The patient was change from CIPRO to LEVAQUIN. On 23-NOV-2009 the patient returned to the office for a follow-up visit, the physician observed some improvement but the purulent drainage continued. The wound was incised and drained. On 28-NOV-2009 the patient was readmitted to the hospital for shortness of breath and difficulty breathing. The cellulitis on the left arm was still mildly tender and draining. On an unspecified date the patient was discharged from the hospital. On 07-DEC-2009 the patient had a follow up visit with the physician. At the time of the report the patient's outcome was unspecified. Additional information has been requested. This is one of several cases reported by the same source.
Age: 1.46
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash, Rash generalised
Clinical narrative: Possible face and body rash d/t MMR vaccine.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Information has been received from a pharmacist concerning his 19 year daughter who on 28-AUG-2009 was vaccinated with a dose of GARDASIL, 0.5 mL, I.M. and a dose of PNEUMOVAX concomitantly in the same arm. Subsequently, the patient fainted instantly after getting GARDASIL. She regained consciousness and was shaking. She brought to the ER of an unspecified hospital but was not admitted. She seemed to be alright. On an unspecified date, the patient recovered from the AE. The pharmacist also said that, at the time of the report, the patient has "significant swelling" at the site where she was administered PNEUMOVAX. The patient sought unspecified medical attention. Follow-up information was received from the pharmacist via medical records indicating that his daughter was a 19 year old college student with no pre-existing allergies, birth defects or medical conditions (also reported as having asthma). On 28-AUG-2009, at 17:40 (also reported as 17:45), the patient received a first dose of GARDASIL (Lot #659054/0311Y) IM in the left deltoid. On the same day, prior to the GARDASIL injection, the patient received a first dose of PNEUMOVAX (Lot # 661741/0870X) SQ in the left triceps. There was no illness at time of vaccination. Other concomitant therapy included ALLEGRA, DUAC and DIFFERIN. It was reported that the patient immediately became lightheaded, pale and then fainted upon delivery of the GARDASIL almost as soon as the needle was removed (also reported as 17:45). Patient was unresponsive for less than 1 minute. As she was regaining consciousness, she was exhibiting convulsive shaking behavior which prompted the 911 call and an emergency room visit. She was also nauseated, clammy and sweaty. She presented no adverse symptoms at the time when she was vaccinated with PNEUMOVAX. However, on 30-AUG-2009 (also reported at 29-AUG-2009), her arm became very reddened and swollen, accompanied by a high fever which then persisted for 3 days preventing her from leaving for college as planned on 30-AUG-2009. The reaction was described as generalized reaction at injection site, redness, swelling and inflammation. Patient also experienced malaise. It was reported that the events occurred at home. She visited her primary care physician on 31-AUG-2009 who prescribed a medrol dosepak and an antibiotic to help with the swelling and inflammation. On 04-SEP-2009 upon arriving at college, she again visited a physician because of continued redness and swelling and was prescribed prednisone for an additional 2 weeks. The pharmacist reported that the patient recovered from the events. Upon internal review, convulsive shaking behaviour was determined to be an other important medical event. Additional information has been requested. All available medical records will be provided upon request.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Cold sweat, Convulsion, Dizziness, Erythema, Hyperhidrosis
Clinical narrative: Information has been received from a pharmacist concerning his 19 year daughter who on 28-AUG-2009 was vaccinated with a dose of GARDASIL, 0.5 mL, I.M. and a dose of PNEUMOVAX concomitantly in the same arm. Subsequently, the patient fainted instantly after getting GARDASIL. She regained consciousness and was shaking. She brought to the ER of an unspecified hospital but was not admitted. She seemed to be alright. On an unspecified date, the patient recovered from the AE. The pharmacist also said that, at the time of the report, the patient has "significant swelling" at the site where she was administered PNEUMOVAX. The patient sought unspecified medical attention. Follow-up information was received from the pharmacist via medical records indicating that his daughter was a 19 year old college student with no pre-existing allergies, birth defects or medical conditions (also reported as having asthma). On 28-AUG-2009, at 17:40 (also reported as 17:45), the patient received a first dose of GARDASIL (Lot #659054/0311Y) IM in the left deltoid. On the same day, prior to the GARDASIL injection, the patient received a first dose of PNEUMOVAX (Lot # 661741/0870X) SQ in the left triceps. There was no illness at time of vaccination. Other concomitant therapy included ALLEGRA, DUAC and DIFFERIN. It was reported that the patient immediately became lightheaded, pale and then fainted upon delivery of the GARDASIL almost as soon as the needle was removed (also reported as 17:45). Patient was unresponsive for less than 1 minute. As she was regaining consciousness, she was exhibiting convulsive shaking behavior which prompted the 911 call and an emergency room visit. She was also nauseated, clammy and sweaty. She presented no adverse symptoms at the time when she was vaccinated with PNEUMOVAX. However, on 30-AUG-2009 (also reported at 29-AUG-2009), her arm became very reddened and swollen, accompanied by a high fever which then persisted for 3 days preventing her from leaving for college as planned on 30-AUG-2009. The reaction was described as generalized reaction at injection site, redness, swelling and inflammation. Patient also experienced malaise. It was reported that the events occurred at home. She visited her primary care physician on 31-AUG-2009 who prescribed a medrol dosepak and an antibiotic to help with the swelling and inflammation. On 04-SEP-2009 upon arriving at college, she again visited a physician because of continued redness and swelling and was prescribed prednisone for an additional 2 weeks. The pharmacist reported that the patient recovered from the events. Upon internal review, convulsive shaking behaviour was determined to be an other important medical event. Additional information has been requested. All available medical records will be provided upon request.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site inflammation, Injection site swelling, Malaise
Clinical narrative: Information has been received from a pharmacist concerning his 19 year daughter who on 28-AUG-2009 was vaccinated with a dose of GARDASIL, 0.5 mL, I.M. and a dose of PNEUMOVAX concomitantly in the same arm. Subsequently, the patient fainted instantly after getting GARDASIL. She regained consciousness and was shaking. She brought to the ER of an unspecified hospital but was not admitted. She seemed to be alright. On an unspecified date, the patient recovered from the AE. The pharmacist also said that, at the time of the report, the patient has "significant swelling" at the site where she was administered PNEUMOVAX. The patient sought unspecified medical attention. Follow-up information was received from the pharmacist via medical records indicating that his daughter was a 19 year old college student with no pre-existing allergies, birth defects or medical conditions (also reported as having asthma). On 28-AUG-2009, at 17:40 (also reported as 17:45), the patient received a first dose of GARDASIL (Lot #659054/0311Y) IM in the left deltoid. On the same day, prior to the GARDASIL injection, the patient received a first dose of PNEUMOVAX (Lot # 661741/0870X) SQ in the left triceps. There was no illness at time of vaccination. Other concomitant therapy included ALLEGRA, DUAC and DIFFERIN. It was reported that the patient immediately became lightheaded, pale and then fainted upon delivery of the GARDASIL almost as soon as the needle was removed (also reported as 17:45). Patient was unresponsive for less than 1 minute. As she was regaining consciousness, she was exhibiting convulsive shaking behavior which prompted the 911 call and an emergency room visit. She was also nauseated, clammy and sweaty. She presented no adverse symptoms at the time when she was vaccinated with PNEUMOVAX. However, on 30-AUG-2009 (also reported at 29-AUG-2009), her arm became very reddened and swollen, accompanied by a high fever which then persisted for 3 days preventing her from leaving for college as planned on 30-AUG-2009. The reaction was described as generalized reaction at injection site, redness, swelling and inflammation. Patient also experienced malaise. It was reported that the events occurred at home. She visited her primary care physician on 31-AUG-2009 who prescribed a medrol dosepak and an antibiotic to help with the swelling and inflammation. On 04-SEP-2009 upon arriving at college, she again visited a physician because of continued redness and swelling and was prescribed prednisone for an additional 2 weeks. The pharmacist reported that the patient recovered from the events. Upon internal review, convulsive shaking behaviour was determined to be an other important medical event. Additional information has been requested. All available medical records will be provided upon request.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Nausea, Oedema peripheral, Pallor, Pyrexia, Syncope
Clinical narrative: Information has been received from a pharmacist concerning his 19 year daughter who on 28-AUG-2009 was vaccinated with a dose of GARDASIL, 0.5 mL, I.M. and a dose of PNEUMOVAX concomitantly in the same arm. Subsequently, the patient fainted instantly after getting GARDASIL. She regained consciousness and was shaking. She brought to the ER of an unspecified hospital but was not admitted. She seemed to be alright. On an unspecified date, the patient recovered from the AE. The pharmacist also said that, at the time of the report, the patient has "significant swelling" at the site where she was administered PNEUMOVAX. The patient sought unspecified medical attention. Follow-up information was received from the pharmacist via medical records indicating that his daughter was a 19 year old college student with no pre-existing allergies, birth defects or medical conditions (also reported as having asthma). On 28-AUG-2009, at 17:40 (also reported as 17:45), the patient received a first dose of GARDASIL (Lot #659054/0311Y) IM in the left deltoid. On the same day, prior to the GARDASIL injection, the patient received a first dose of PNEUMOVAX (Lot # 661741/0870X) SQ in the left triceps. There was no illness at time of vaccination. Other concomitant therapy included ALLEGRA, DUAC and DIFFERIN. It was reported that the patient immediately became lightheaded, pale and then fainted upon delivery of the GARDASIL almost as soon as the needle was removed (also reported as 17:45). Patient was unresponsive for less than 1 minute. As she was regaining consciousness, she was exhibiting convulsive shaking behavior which prompted the 911 call and an emergency room visit. She was also nauseated, clammy and sweaty. She presented no adverse symptoms at the time when she was vaccinated with PNEUMOVAX. However, on 30-AUG-2009 (also reported at 29-AUG-2009), her arm became very reddened and swollen, accompanied by a high fever which then persisted for 3 days preventing her from leaving for college as planned on 30-AUG-2009. The reaction was described as generalized reaction at injection site, redness, swelling and inflammation. Patient also experienced malaise. It was reported that the events occurred at home. She visited her primary care physician on 31-AUG-2009 who prescribed a medrol dosepak and an antibiotic to help with the swelling and inflammation. On 04-SEP-2009 upon arriving at college, she again visited a physician because of continued redness and swelling and was prescribed prednisone for an additional 2 weeks. The pharmacist reported that the patient recovered from the events. Upon internal review, convulsive shaking behaviour was determined to be an other important medical event. Additional information has been requested. All available medical records will be provided upon request.
Age: 19.0
Sex: F
Vaccine: HPV4, PPV, HPV4, PPV
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Information has been received from a pharmacist concerning his 19 year daughter who on 28-AUG-2009 was vaccinated with a dose of GARDASIL, 0.5 mL, I.M. and a dose of PNEUMOVAX concomitantly in the same arm. Subsequently, the patient fainted instantly after getting GARDASIL. She regained consciousness and was shaking. She brought to the ER of an unspecified hospital but was not admitted. She seemed to be alright. On an unspecified date, the patient recovered from the AE. The pharmacist also said that, at the time of the report, the patient has "significant swelling" at the site where she was administered PNEUMOVAX. The patient sought unspecified medical attention. Follow-up information was received from the pharmacist via medical records indicating that his daughter was a 19 year old college student with no pre-existing allergies, birth defects or medical conditions (also reported as having asthma). On 28-AUG-2009, at 17:40 (also reported as 17:45), the patient received a first dose of GARDASIL (Lot #659054/0311Y) IM in the left deltoid. On the same day, prior to the GARDASIL injection, the patient received a first dose of PNEUMOVAX (Lot # 661741/0870X) SQ in the left triceps. There was no illness at time of vaccination. Other concomitant therapy included ALLEGRA, DUAC and DIFFERIN. It was reported that the patient immediately became lightheaded, pale and then fainted upon delivery of the GARDASIL almost as soon as the needle was removed (also reported as 17:45). Patient was unresponsive for less than 1 minute. As she was regaining consciousness, she was exhibiting convulsive shaking behavior which prompted the 911 call and an emergency room visit. She was also nauseated, clammy and sweaty. She presented no adverse symptoms at the time when she was vaccinated with PNEUMOVAX. However, on 30-AUG-2009 (also reported at 29-AUG-2009), her arm became very reddened and swollen, accompanied by a high fever which then persisted for 3 days preventing her from leaving for college as planned on 30-AUG-2009. The reaction was described as generalized reaction at injection site, redness, swelling and inflammation. Patient also experienced malaise. It was reported that the events occurred at home. She visited her primary care physician on 31-AUG-2009 who prescribed a medrol dosepak and an antibiotic to help with the swelling and inflammation. On 04-SEP-2009 upon arriving at college, she again visited a physician because of continued redness and swelling and was prescribed prednisone for an additional 2 weeks. The pharmacist reported that the patient recovered from the events. Upon internal review, convulsive shaking behaviour was determined to be an other important medical event. Additional information has been requested. All available medical records will be provided upon request.
Age: 12.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Hypersensitivity, Injection site swelling, Laboratory test, Pain in extremity, Raynaud's phenomenon
Clinical narrative: Arm swelled from shoulder to elbow.  Then on Nov 7th her both hands turned bright deep purple and were swollen. She was seen in local ER.  She was given several blood tests, venous study, ECG and referred to her family physician.  The next morning, hands still pale and purple she was seen at her family physician.  This was thought to be a immune reaction and she was placed on Prednisone and Thyroid meds as her thyroid was not functioning properly.  After speaking with a physician with government we had more labs drawn about a week later.  She was found to have normal thyroid function at that time so meds were stopped.  On Dec 2nd her hands turned purple once again and we had hand xrays taken and she was referred to a pediatric Rheumatologist.  On Dec 16th we saw this physician.  More blood tests were ran.  At this point she is still suffering with swollen achy sometimes blue hands.  All tests have come back normal except for her ANA which is minimally detectable.  The thoughts are to send her to specialty hospital.  Also, this is now thought to be a immune reaction to the H1N1 vaccine.  We are not done in findings.  Labs are pending and a trip to the specialty hospital is probably in our future.
Age: 12.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Skin discolouration, X-ray
Clinical narrative: Arm swelled from shoulder to elbow.  Then on Nov 7th her both hands turned bright deep purple and were swollen. She was seen in local ER.  She was given several blood tests, venous study, ECG and referred to her family physician.  The next morning, hands still pale and purple she was seen at her family physician.  This was thought to be a immune reaction and she was placed on Prednisone and Thyroid meds as her thyroid was not functioning properly.  After speaking with a physician with government we had more labs drawn about a week later.  She was found to have normal thyroid function at that time so meds were stopped.  On Dec 2nd her hands turned purple once again and we had hand xrays taken and she was referred to a pediatric Rheumatologist.  On Dec 16th we saw this physician.  More blood tests were ran.  At this point she is still suffering with swollen achy sometimes blue hands.  All tests have come back normal except for her ANA which is minimally detectable.  The thoughts are to send her to specialty hospital.  Also, this is now thought to be a immune reaction to the H1N1 vaccine.  We are not done in findings.  Labs are pending and a trip to the specialty hospital is probably in our future.
Age: 12.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Antinuclear antibody increased, Blood thyroid stimulating hormone normal, Electrocardiogram normal, Oedema peripheral, Pallor
Clinical narrative: Arm swelled from shoulder to elbow.  Then on Nov 7th her both hands turned bright deep purple and were swollen. She was seen in local ER.  She was given several blood tests, venous study, ECG and referred to her family physician.  The next morning, hands still pale and purple she was seen at her family physician.  This was thought to be a immune reaction and she was placed on Prednisone and Thyroid meds as her thyroid was not functioning properly.  After speaking with a physician with government we had more labs drawn about a week later.  She was found to have normal thyroid function at that time so meds were stopped.  On Dec 2nd her hands turned purple once again and we had hand xrays taken and she was referred to a pediatric Rheumatologist.  On Dec 16th we saw this physician.  More blood tests were ran.  At this point she is still suffering with swollen achy sometimes blue hands.  All tests have come back normal except for her ANA which is minimally detectable.  The thoughts are to send her to specialty hospital.  Also, this is now thought to be a immune reaction to the H1N1 vaccine.  We are not done in findings.  Labs are pending and a trip to the specialty hospital is probably in our future.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Wheezing
Clinical narrative: Initial case received from a physician on 15 December 2009. A 5-year-old male patient received injections of DAPTACEL  (lot number C3322BA) and IPOL (lot number B1090-2) on 14 December 2009. The patient had a history of asthma, and allergies to milk, eggs, peanuts, beef, and amoxicillin. He was not ill at the time of vaccination. Five minutes post-vaccination he experienced an anaphylactic reaction, with symptoms of wheezing, bad cough, and breathing difficulty. The patient was treated with albuterol and started to recover within 5 to 10 minutes, however he continued to experience wheezing. He was sent to the emergency room for observation, and was treated with PRELONE and then discharged after 3 to 4 hours. According to the physician, the child was upset during the vaccination process and "might have been wheezing due to the emotional distress". The patient was followed by an allergist for his wheezing. Outcome was not reported. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Wheezing
Clinical narrative: Initial case received from a physician on 15 December 2009. A 5-year-old male patient received injections of DAPTACEL  (lot number C3322BA) and IPOL (lot number B1090-2) on 14 December 2009. The patient had a history of asthma, and allergies to milk, eggs, peanuts, beef, and amoxicillin. He was not ill at the time of vaccination. Five minutes post-vaccination he experienced an anaphylactic reaction, with symptoms of wheezing, bad cough, and breathing difficulty. The patient was treated with albuterol and started to recover within 5 to 10 minutes, however he continued to experience wheezing. He was sent to the emergency room for observation, and was treated with PRELONE and then discharged after 3 to 4 hours. According to the physician, the child was upset during the vaccination process and "might have been wheezing due to the emotional distress". The patient was followed by an allergist for his wheezing. Outcome was not reported. Documents held by sender: None.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1), FLU3, FLU(H1N1), FLU3
Symptoms: Asthenia, Balance disorder, Blood immunoglobulin A, Demyelination, Dyspnoea
Clinical narrative: Patient presented to clinic on 11/9/09 with complaints of shoulder and neck pain radiating with hand and feet numbness x 1-2 weeks. He received both seasonal and H1N1 injections that day in clinic. He presented back to clinic on 11/10/ and 11/12. He had developed a Bell's palsy, weakness, was off balance and short of breath. He was seen in the emergency room on 11/14, ruled out for stroke, and given steroid treatment for his Bell's palsy. Upon reviewing his nerve conduction studies, pt had a demyelinating neuropathy. This in conjunction with his clinical history was very concerning for Guillian Barre. He then was admitted through the ER on 12/2/09. Pt was given IVIG, BENADRYL, acetaminophen and GABAPENTIN and discharged on 12/8/09.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1), FLU3, FLU(H1N1), FLU3
Symptoms: Facial palsy, Lumbar puncture, Nerve conduction studies abnormal, Neuropathy peripheral
Clinical narrative: Patient presented to clinic on 11/9/09 with complaints of shoulder and neck pain radiating with hand and feet numbness x 1-2 weeks. He received both seasonal and H1N1 injections that day in clinic. He presented back to clinic on 11/10/ and 11/12. He had developed a Bell's palsy, weakness, was off balance and short of breath. He was seen in the emergency room on 11/14, ruled out for stroke, and given steroid treatment for his Bell's palsy. Upon reviewing his nerve conduction studies, pt had a demyelinating neuropathy. This in conjunction with his clinical history was very concerning for Guillian Barre. He then was admitted through the ER on 12/2/09. Pt was given IVIG, BENADRYL, acetaminophen and GABAPENTIN and discharged on 12/8/09.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1), FLU3, FLU(H1N1), FLU3
Symptoms: Asthenia, Balance disorder, Blood immunoglobulin A, Blood product transfusion, Condition aggravated
Clinical narrative: Patient presented to clinic on 11/9/09 with complaints of shoulder and neck pain radiating with hand and feet numbness x 1-2 weeks. He received both seasonal and H1N1 injections that day in clinic. He presented back to clinic on 11/10/ and 11/12. He had developed a Bell's palsy, weakness, was off balance and short of breath. He was seen in the emergency room on 11/14, ruled out for stroke, and given steroid treatment for his Bell's palsy. Upon reviewing his nerve conduction studies, pt had a demyelinating neuropathy. This in conjunction with his clinical history was very concerning for Guillian Barre. He then was admitted through the ER on 12/2/09. Pt was given IVIG, BENADRYL, acetaminophen and GABAPENTIN and discharged on 12/8/09.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1), FLU3, FLU(H1N1), FLU3
Symptoms: Demyelinating polyneuropathy, Dyspnoea, Facial palsy, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Patient presented to clinic on 11/9/09 with complaints of shoulder and neck pain radiating with hand and feet numbness x 1-2 weeks. He received both seasonal and H1N1 injections that day in clinic. He presented back to clinic on 11/10/ and 11/12. He had developed a Bell's palsy, weakness, was off balance and short of breath. He was seen in the emergency room on 11/14, ruled out for stroke, and given steroid treatment for his Bell's palsy. Upon reviewing his nerve conduction studies, pt had a demyelinating neuropathy. This in conjunction with his clinical history was very concerning for Guillian Barre. He then was admitted through the ER on 12/2/09. Pt was given IVIG, BENADRYL, acetaminophen and GABAPENTIN and discharged on 12/8/09.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1), FLU3, FLU(H1N1), FLU3
Symptoms: Lumbar puncture abnormal, Musculoskeletal pain, Neck pain, Nerve conduction studies abnormal
Clinical narrative: Patient presented to clinic on 11/9/09 with complaints of shoulder and neck pain radiating with hand and feet numbness x 1-2 weeks. He received both seasonal and H1N1 injections that day in clinic. He presented back to clinic on 11/10/ and 11/12. He had developed a Bell's palsy, weakness, was off balance and short of breath. He was seen in the emergency room on 11/14, ruled out for stroke, and given steroid treatment for his Bell's palsy. Upon reviewing his nerve conduction studies, pt had a demyelinating neuropathy. This in conjunction with his clinical history was very concerning for Guillian Barre. He then was admitted through the ER on 12/2/09. Pt was given IVIG, BENADRYL, acetaminophen and GABAPENTIN and discharged on 12/8/09.
Age: 74.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient developed hives and itching 2 days after shot given.  Patient treated with Medrol on 12/15/2009 with improvement. No sign of involvement on recheck 12/21/2009.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pain
Clinical narrative: Started with aches, then nausea. No other symptoms
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Bronchitis, Cough, Infection, Influenza
Clinical narrative: Started with a cough and ended up getting the flu shortly after the vaccine. Was not around anyone else with known symptoms. After all the recalls, safe to assume that it was from the nasal h1n1 vaccination. A month later, still battling a secondary infection of bronchitis. It would be nice if the government would actually come out and say that you can in fact get the flu from the vaccine if they vaccine isn't strong enough. This was straight from my doctor.
Age: 22.0
Sex: F
Vaccine: HEPA, IPV, YF
Symptoms: Convulsion, Heart rate increased, Hyperhidrosis, Loss of consciousness
Clinical narrative: Abrupt loss of consciousness, diaphoresis, increased pulse, possibly lowered blood pressure. Patient's mother reported what she believed to be a very brief seizure. I did not witness the seizure-like event but arrived at scene a few seconds later, after she regained consciousness.
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Anxiety, Dyspnoea, Pruritus, Throat tightness, Tremor
Clinical narrative: SOB shaking and anxious @ 3:30 pm. 911 called taken to local ED. Rxed with Benadryl 50 mg and prednisone x 5days. Pt c/o hives on both extremities, generalized itching and throat closing.
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: SOB shaking and anxious @ 3:30 pm. 911 called taken to local ED. Rxed with Benadryl 50 mg and prednisone x 5days. Pt c/o hives on both extremities, generalized itching and throat closing.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Injection site pustule, Malaise, Pain, Pyrexia
Clinical narrative: The next day felt very ill and Vomit (15 times), very weak, body aches, light fever (temp not taken). Lost weight 12 pounds in 2 days (gained back in 5 days). One pustule formed in addition to inoculation site.  Pt. popped pustule and 2 more formed (auto inoculation).
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting, Weight decreased
Clinical narrative: The next day felt very ill and Vomit (15 times), very weak, body aches, light fever (temp not taken). Lost weight 12 pounds in 2 days (gained back in 5 days). One pustule formed in addition to inoculation site.  Pt. popped pustule and 2 more formed (auto inoculation).
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Diarrhoea, Malaise, Nausea, Pyrexia
Clinical narrative: Low grade fever, weakness, nausea, mild diarrhea. Increased glucose reading had passed kidney stone & felt mildly ill the day prior to injection. Felt worse after inj after 3 days symptoms not as severe.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urine analysis
Clinical narrative: Low grade fever, weakness, nausea, mild diarrhea. Increased glucose reading had passed kidney stone & felt mildly ill the day prior to injection. Felt worse after inj after 3 days symptoms not as severe.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose increased, Body temperature normal, Cold sweat, Dysphagia, Hypoaesthesia
Clinical narrative: Clammy skin, difficulty swallowing, numbness and itching.  Rash all around body.  Treated with 50mg Benadryl PO at 4:15 PM.  Prescription for additional Benadryl given by provider.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash generalised
Clinical narrative: Clammy skin, difficulty swallowing, numbness and itching.  Rash all around body.  Treated with 50mg Benadryl PO at 4:15 PM.  Prescription for additional Benadryl given by provider.
Age: 51.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Misadministration - nasal administered outside of age parameters.
Age: 8.0
Sex: F
Vaccine: TYP
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Widespread papular eruption, pruitic, covering most of torso. Extremities and face spared. No signs of illness. Treated with prednisone and Atarax. REsolved.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Dizziness, Headache, Injection site pain, Nausea
Clinical narrative: Within 2hrs of administration and MENACTRA pt c/o pain at injection site which radiated to arm. This was followed by bodyache, HA, dizziness chills and nausea. S/S persistent thru the night. 4pm 12/22/09 pt noted only mild nausea and pain @ inj site.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pain
Clinical narrative: Within 2hrs of administration and MENACTRA pt c/o pain at injection site which radiated to arm. This was followed by bodyache, HA, dizziness chills and nausea. S/S persistent thru the night. 4pm 12/22/09 pt noted only mild nausea and pain @ inj site.
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse event. 62 year old client was given live H1N1 nasal instead of injectable H1N1 vaccine.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza, Lymph node pain, Lymphadenopathy, Rash, Rash morbilliform
Clinical narrative: On 12/23/09 receive phone call from the client complaining of reaction after receiving H1N1 vaccine. Client stated that she and her boyfriend received H1N1 vaccines at the same time on 12/17/09. Two days later she and her boyfriend had developed rash on the face "measles like" and painful and swollen lymph nodes under the arm on the side of the shot. Client stated that her boyfriend and she received preventive course of Tamiflu for five days prior to the vaccination because her daughter was diagnose with Swine flu.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Convulsion, Heart rate increased
Clinical narrative: Immediately after receiving the vaccine the client learned forward in the chair, and was help to the floor.  He experienced a seizure that lasted for about 50 seconds.  Upon recovery his BP was found to be slightly elevated 138/90 and his heart rate was rapid. He fully recovered within 10 minutes and returned to the nurses office.  His parent was called and he went home.  The PCP was called by the parent and according to the school nurse, no additional action was taken.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: Nose bleeding. Roughly 500ml of blood was collected hours after each bleeding (twice~ one after first and boost).   The bleeding eased and stopped in about 15 ~ 20 minutes.   We are not sure if it was caused by the vaccination.   I am just thinking if other children have the similar reactions observed after the vaccination maybe the parents should be advised.  This is my only reason to make this report.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Flushing, Nervousness
Clinical narrative: Client stated that she began feeling shaky and had flushed cheeks.  VS were stable at 128/76, 98.3, 76, 16.  Had similar reaction 4 yrs ago.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Wrong drug administered
Clinical narrative: Patient has asthma and was given nasal mist. Should have received injectable.
Age: 77.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Dizziness, cold respiration and nausea episodes began Nov 28. H1N1 vaccine cause. Both my wife and I are experiencing this since Nov 28 and were vaccinated together.
Age: 79.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Dizziness, cold perspiration and nausea episodes they experienced together and vaccinated at same time.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Gastrointestinal disorder, Haematoma, Head injury, Syncope
Clinical narrative: The child received the vaccine then returned to her classroom.  About 15 minutes later she asked to go to the nurse's office with complaints of GI symptoms.  Before she could get out of the classroom, she fainted hitting her head on a hard objection.  She sustained a hematoma.  She recovered quickly from the the fainting spell and was transported to the ER for evaluation of the hematoma.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Ammonia increased, Blepharospasm, Blood culture negative, Blood potassium increased, Brain scan abnormal
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: CSF culture negative, Carbon dioxide decreased, Cerebral palsy, Computerised tomogram abnormal, Condition aggravated
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Culture urine positive, Developmental delay, Disturbance in attention, Dyskinesia
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Electroencephalogram abnormal, Failure to thrive, Gaze palsy, Hypotonia, Infantile spasms
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Microcephaly, Muscle disorder, Nuclear magnetic resonance imaging abnormal, Platelet count increased, Pyrexia
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 0.21
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Staring, Tremor, White blood cell count increased
Clinical narrative: Seizures - Patient was hospitalized two days after given vaccines. Was hospitalized for a week. Medical tests/labs results showed an unclear diagnosis but showed patient is now developmentally delayed, has a seizure disorder including infantile spasms, microcephaly and FTT.
Age: 52.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Ocular hyperaemia
Clinical narrative: H1N1 vaccination adverse reaction, side effect redness in eyes and lids approx 5hrs after injection. Took Benadryl 2 25mg Approx 2hrs after eyes returned to normal color.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Received #2 H1N1 injection on 12/02/2009.  On 12/09/2009 Mother reports child c/o of bilateral toe pain.  12/10/2009, child c/o bilateral foot numbness. Mother of child, called HD 12/10/2009 3:50 pm regarding the above information.  Mother instructed to call pediatrician at once for evaluation.  Child seen 12/10/2009 pm. Was told to continue to moniter and be reevaluated if condition worsened. 12/14/2009 Mother states child c/o of continued pain bilaterally at toes and balls of feet.  12/23/2009  Mother states child continues to have bilateral toe pain.  Will continue to moniter.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Low grade fever of 99.8. Generalized pain in shoulders, knees, hips and sharp pain radiating up the spine. Next day, fever of 103, day 2, fever of 104, day 3, fever of 100-103, day4, fever of 99.3-99.8, day 5, no fever.
Age: 32.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood glucose decreased, Blood glucose normal, Cold sweat, Hyperhidrosis, Hypoglycaemia
Clinical narrative: H1N1 vaccine started yesterday, patient in 1A1 had a hypoglycemic episode, he received the vaccine @16:30 and at 20:00 he was diaphoretic, cold and clammy and had a accu check of 42, with stable vital signs and was given juice and food and improved. This morning he is fine and accu check 140 after breakfast. He is not diabetic and meds reviewed and no evidence of any wrong meds administration, as patient also confirms that as he knows his meds and state he did not get any different or extra meds yesterday. May need to notify staff to monitor patients for any symptoms after vaccine.
Age: 32.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nasopharyngitis
Clinical narrative: H1N1 vaccine started yesterday, patient in 1A1 had a hypoglycemic episode, he received the vaccine @16:30 and at 20:00 he was diaphoretic, cold and clammy and had a accu check of 42, with stable vital signs and was given juice and food and improved. This morning he is fine and accu check 140 after breakfast. He is not diabetic and meds reviewed and no evidence of any wrong meds administration, as patient also confirms that as he knows his meds and state he did not get any different or extra meds yesterday. May need to notify staff to monitor patients for any symptoms after vaccine.
Age: 55.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Disorientation, Fall, Nausea
Clinical narrative: Disoriented, problems with balance (equilibrium was off), nauseous, fell against a wall. No tx sought. Lasted approx 36 hours
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Patient received the pneumococcal vaccine on 10/8/08 and then experienced a rash on 10/9/2008. Treatment drug used: 1 - Prednisone, dose: 30, 25, 15, 10, 5 - Units: MG - Freq: - Other route: PO
Age: 15.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Cold sweat, Syncope
Clinical narrative: Fainting, clammy hands.
Age: 12.0
Sex: M
Vaccine: FLUN3
Symptoms: Periorbital oedema, Pruritus, Rash
Clinical narrative: Peri-orbital edema, itching, rash.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, TDAP
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: I ordered this 2 year old child and her twin sister to receive PEDIARIX and some other vaccines. They were a few months behind on immunizations. My nursing assistant mistakenly selected BOOSTRIX instead of PEDIARIX from our vaccine refrigerator and administered the BOOSTRIX. Because of this error both children received an insufficient dose of DIPHTHERIA vaccine and no HEPATITIS B or POLIO vaccine at that visit, thus requiring additional vaccinations. In discussion with the nursing assistant, it became apparent that all other vaccine vials are easily distinguished because each of the plastic caps is a unique color. However, PEDIARIX and BOOSTRIX differ ONLY in the color of a stripe around the neck of the vial. The TOPS of the two vials are exactly the same color, making it more likely for an error in vaccine selection to occur. I believe that the manufacturer of PEDIARIX and BOOSTRIX should change the color of the vaccine vial tops, so that the ENTIRE top of each vial is a unique color, thus reducing considerably the risk of vaccine misidentification by a busy nurse.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Eye pruritus, Nasal congestion, Ocular hyperaemia
Clinical narrative: Pt received TIV in previous year & developed itchy eyes/ trunks but room being cleaned and it was very dusty. On filling in permission form pt stated allergic to eggs - on questionnaire she said she vomits after eating cooked eggs but not when eggs included in backed goods. About 1 hr after administered vaccine pt had cough, difficulty in breathing, red, itchy eyes, stuffy nose, wheeze (pt requested vaccine be given).
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Pt received TIV in previous year & developed itchy eyes/ trunks but room being cleaned and it was very dusty. On filling in permission form pt stated allergic to eggs - on questionnaire she said she vomits after eating cooked eggs but not when eggs included in backed goods. About 1 hr after administered vaccine pt had cough, difficulty in breathing, red, itchy eyes, stuffy nose, wheeze (pt requested vaccine be given).
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough
Clinical narrative: No hx of asthma or allergies. 3 d after FLUMIST, cough in AM with exercise, began without intercedent illness.
Age: 1.29
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Irritability, Rash papular
Clinical narrative: Quarter sized area of erythema containing some papules, but no induration. Child fussy, without other systemic symptoms. Treatment only with topical Diphenhydramine PRN.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise
Clinical narrative: Was sick for weeks, and have gotten sick more often since!
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Lymphadenopathy
Clinical narrative: Lymph nodule on R arm 8 x 9 cm.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema mouth, Swollen tongue
Clinical narrative: Vaccine received at 4 pm - bottom of mouth and under tongue swelled. Called doctor, took 2 BENADRYL, subsided by morning.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Inflammation, Musculoskeletal stiffness, Tinnitus
Clinical narrative: Ringing in left ear, metallic taste - just after shot - 1-2 days after hand and foot inflammation and stiffness.
Age: 75.0
Sex: U
Vaccine: UNK
Symptoms: Dizziness, Malaise
Clinical narrative: Dizzy & sick 12-09 at 10:00pm.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Dizziness, Feeling hot
Clinical narrative: Nausea, weakness, diarrhea, stomach cramps, hands shaky, occ dizziness, feel "really hot". Temp unknown.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Tremor
Clinical narrative: Nausea, weakness, diarrhea, stomach cramps, hands shaky, occ dizziness, feel "really hot". Temp unknown.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pyrexia
Clinical narrative: Fever and headache lasting only an hour.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU(H1N1), FLUN3, IPV
Symptoms: Erythema, Pruritus generalised
Clinical narrative: Pt went to ER after vaccines were given with red, itchy skin all over body. Treated with oral med for allergic reaction. Pt called to day to inform us of this.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Pain, Pain in extremity, Rash pruritic, Sensory disturbance
Clinical narrative: Pt describes sensation of needle "hitting some thing" on entry. 6 hrs later developed pruritis with mild generalized "almost" "rash, GI upset". Denies fever, vomiting, diarrhea. Generalized s/s resolved 12/15/09 noc. L arm now hurts when lifted or rotated. Shoulder area and "pops". PHN advised rest and ice this pm with F/U phone call 12/17/09. 12/17/09 08:10 Pt reports pain to arm "popping" noise gone.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Vision blurred
Clinical narrative: On Monday Dec. 14, 2009 received H1N1 vaccine IM @ 2:05pm. Within 15-20 minutes of receiving vaccine felt nauseated and dizzy. Within about another 15 to 20 minutes reported blurry vision. ER physician suggested to tx symptoms with Benadryl.