chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis R arm within 24 hours of flu shot-hospitalized for IV antibiotics 1/29/07 Received medical records from hospital which reveal patient experienced pain, circumferential redness, swelling of the entire right arm w/limited elbow flexion s/p flu & pneumovax both received right arm.  Also had chest pain & was hypotensive on admit.  Afebrile on admit.  Developed a brief run of atrial fib.  Treated w/antibiotics & improved significantly. D/C to home w/continued oral antibiotics & to f/u w/PCP day after d/c.  FINAL DX: right arm cellulitis.
Age: 65.0
Sex: F
Vaccine: TYP, VARZOS
Symptoms: Injection site mass, Tenderness
Clinical narrative: Tender lump identified at vaccine site 12/04/06 Zostavax.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Stated half of her arm red after flu vaccine, Fluzone given in left arm.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Tenderness
Clinical narrative: 3 hrs after administration began swelling and tender to touch, 6 hrs after admin started fever. 24 hrs after red and still tender.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site pain
Clinical narrative: Pt states pain both arms after flu vax, TD, Pneumovax.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Discomfort, Injection site pain
Clinical narrative: 12/06/2006 pt complained of lingering pain at injection site to me on 12/06/06, injection given 11/15/06. Patient with discomfort at date 12/06/2006.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt reported that she developed hives the next morning following taking the flu vaccine. Talked to her physician was told to take Benadryl, which she did. Condition improved.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Joint range of motion decreased, Rash
Clinical narrative: Pt reports after shot. Reports unable to lift arm overhead and swollen that night. By next day same symptoms, but redness. Resolving some on Sunday. PT called Monday to report. Also rashy to lower area of extremity. Pt called PMD, no tx needed. Pt was not seen by doctor, only phone conversation. Pt instructed to use warm compresses and Tylenol if needed. Pt reported vomiting 12/06/06.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Pt reports after shot. Reports unable to lift arm overhead and swollen that night. By next day same symptoms, but redness. Resolving some on Sunday. PT called Monday to report. Also rashy to lower area of extremity. Pt called PMD, no tx needed. Pt was not seen by doctor, only phone conversation. Pt instructed to use warm compresses and Tylenol if needed. Pt reported vomiting 12/06/06.
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Wild type VZV after vaccine, vaccine was given at pediatric healthcare.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea
Clinical narrative: Diarrhea after 3rd set of vaccine 11/10/06 (Hib, Dtap, IPV) when child only 4 months old. Unclear if related. 1st set 8/31/06 in another office 2nd 9/19/06.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Joint range of motion decreased, Tenderness
Clinical narrative: Pt came into clinic next day (12/5/06) at 10:10am, c/o pain and limited ROM right arm, as well as redness around injection site, induration of tissue surrounding site and tenderness to touch at site and around site, and up into right shoulder blade (back). Pt was seen by physician at that time a order given for application of ice, pain medication. (Above c/o were same at assessments by nurse and physician).
Age: 65.0
Sex: F
Vaccine: HEPAB
Symptoms: Dermatitis contact, Erythema, Oedema peripheral, Pruritus, Rash
Clinical narrative: Received 2nd Twinrix 11/20/06, 11/21/06 in PM developed itchy, red, generalized rash, middle finger right hand swollen, took Benadryl 11/22 still itchy, by PM hands swelling and itchy took Benadryl, 11/23 continued Benadryl rash remained hands and wrist swollen. 11/24 Hospital ER, DX contact dermatitis VS vaccine reaction, RX with steroids and antihistamines. TC to ACHD 11/27 to discuss above, TC 12/08/06 responded to RX okay.
Age: 1.31
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site oedema
Clinical narrative: Right thigh mild edema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Red, indurated, area on right upper arm. Started several hours after vaccine administration. No purulence, no fluctuance, treated with Keflex.
Age: 21.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Asthenia, Blood glucose normal, Decreased activity, Dizziness
Clinical narrative: Syptoms developed about 20 minutes after receiving flu vaccine.  Initial complaints were dizziness, lightheadedness, gray vision, spots in his field of vision.  HR was 120 bpm; respirations 6 per minute.  An ambulance was called and took him to the ER for examination.  Benadryl seemed to relieve symptoms and he was sent home.  Twenty-four hours later, developed leg weakness and fatigue.  He saw his primary physician on Friday, December 1. He suggested the problem might be Guillian Barre Syndrome, although his symptoms were atypical of GBS.  A call was made to the Nurse also advised the possiblility of GBS, even with atypical symptoms.  Because of his worsening symptoms (greater weakness, leg pain, difficulty walking and loss of sensation in hands) an ER visit resulted in an admission to the hospital from Sunday evening until Tuesday mornig (Dec 3-Dec 5).  The staff neurologists ruled out GBS due to normal findings with MRI, LP and neuro exam.  The neurological symptoms, though, remained.  He saw his own neurologist On Wednesday, December 6. She has not ruled out GBS. She performed an EMG on Thursday, Dec 7, results were equivical. She continues to keep a close eye on him with with weekly office visits at the present time. She also advised he have at least one family member with him at all times, ordered an EPI pen and a peak flow meter.  He returned to the ER on Wednesday, December 6th with a severe spinal headache.  He has an appointment for a blood patch on Monday, December 11.  1/30/07 Received medical records from PCP which reveal on day of vax patient had ingrown toenail & eczema.  On way home, had dizziness, flushing & lightheadedness.  EMS called & taken to ER.  Tx w/Benadryl & IVF & responded well.  D/C to home.  Continued to have muscle soreness & complained of heavy legs.  Seen in office 12/1 & exam revealed mild weakness in legs but reflexes were present.  Dx w/reaction to flu shot.  PCP called neuro & discussed case & felt it was not GBS.  Had f/u neuro appt on 12/4 but went to ER on 12/3 & was admitted 12/3-12/5/06.  Seen by neuro on 12/6 w/continued weakness & HA when gets up.  Neuro dx early GBS & EMG ordered for 12/7. 1/30/07 Received medical records from hospital which reveal: 11/29/06 Seen in ER for dizziness, flushing, weakness & lightheadedness.  Received IV Benadryl & IVF.  Responded well & d/c to home. FINAL DX: allergic drug reaction to flu shot. 12/3/06-12/5/06 Admitted to hospital for ascending weakness for approx 1 wk.  Also had rash & hives after eating eggs on day of admit.  Admitted for neuro eval & w/u. Had vasovagal reaction after LP done.  Neuro eval was WNL.  Tx w/steroids & Benadryl.  D/C to home for further neuro & psych w/u as outpatient.  FINAL DX: Vasovagal episode. 12/6/06 Seen again in ER for continued complaints of HA, weakness, numbness & tingling in legs & nausea/vomiting.  Seen by 2nd opinion neuro that AM who dx possible early GBS.  T/C to neuro & was to see 12/7 as outpatient. D/C to home. FINAL DX: weakness & s/p LP headache.
Age: 21.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Feeling hot, Hypersensitivity, Impaired work ability, Insomnia, Nuclear magnetic resonance imaging
Clinical narrative: Syptoms developed about 20 minutes after receiving flu vaccine.  Initial complaints were dizziness, lightheadedness, gray vision, spots in his field of vision.  HR was 120 bpm; respirations 6 per minute.  An ambulance was called and took him to the ER for examination.  Benadryl seemed to relieve symptoms and he was sent home.  Twenty-four hours later, developed leg weakness and fatigue.  He saw his primary physician on Friday, December 1. He suggested the problem might be Guillian Barre Syndrome, although his symptoms were atypical of GBS.  A call was made to the Nurse also advised the possiblility of GBS, even with atypical symptoms.  Because of his worsening symptoms (greater weakness, leg pain, difficulty walking and loss of sensation in hands) an ER visit resulted in an admission to the hospital from Sunday evening until Tuesday mornig (Dec 3-Dec 5).  The staff neurologists ruled out GBS due to normal findings with MRI, LP and neuro exam.  The neurological symptoms, though, remained.  He saw his own neurologist On Wednesday, December 6. She has not ruled out GBS. She performed an EMG on Thursday, Dec 7, results were equivical. She continues to keep a close eye on him with with weekly office visits at the present time. She also advised he have at least one family member with him at all times, ordered an EPI pen and a peak flow meter.  He returned to the ER on Wednesday, December 6th with a severe spinal headache.  He has an appointment for a blood patch on Monday, December 11.  1/30/07 Received medical records from PCP which reveal on day of vax patient had ingrown toenail & eczema.  On way home, had dizziness, flushing & lightheadedness.  EMS called & taken to ER.  Tx w/Benadryl & IVF & responded well.  D/C to home.  Continued to have muscle soreness & complained of heavy legs.  Seen in office 12/1 & exam revealed mild weakness in legs but reflexes were present.  Dx w/reaction to flu shot.  PCP called neuro & discussed case & felt it was not GBS.  Had f/u neuro appt on 12/4 but went to ER on 12/3 & was admitted 12/3-12/5/06.  Seen by neuro on 12/6 w/continued weakness & HA when gets up.  Neuro dx early GBS & EMG ordered for 12/7. 1/30/07 Received medical records from hospital which reveal: 11/29/06 Seen in ER for dizziness, flushing, weakness & lightheadedness.  Received IV Benadryl & IVF.  Responded well & d/c to home. FINAL DX: allergic drug reaction to flu shot. 12/3/06-12/5/06 Admitted to hospital for ascending weakness for approx 1 wk.  Also had rash & hives after eating eggs on day of admit.  Admitted for neuro eval & w/u. Had vasovagal reaction after LP done.  Neuro eval was WNL.  Tx w/steroids & Benadryl.  D/C to home for further neuro & psych w/u as outpatient.  FINAL DX: Vasovagal episode. 12/6/06 Seen again in ER for continued complaints of HA, weakness, numbness & tingling in legs & nausea/vomiting.  Seen by 2nd opinion neuro that AM who dx possible early GBS.  T/C to neuro & was to see 12/7 as outpatient. D/C to home. FINAL DX: weakness & s/p LP headache.
Age: 21.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain, Respiratory depression
Clinical narrative: Syptoms developed about 20 minutes after receiving flu vaccine.  Initial complaints were dizziness, lightheadedness, gray vision, spots in his field of vision.  HR was 120 bpm; respirations 6 per minute.  An ambulance was called and took him to the ER for examination.  Benadryl seemed to relieve symptoms and he was sent home.  Twenty-four hours later, developed leg weakness and fatigue.  He saw his primary physician on Friday, December 1. He suggested the problem might be Guillian Barre Syndrome, although his symptoms were atypical of GBS.  A call was made to the Nurse also advised the possiblility of GBS, even with atypical symptoms.  Because of his worsening symptoms (greater weakness, leg pain, difficulty walking and loss of sensation in hands) an ER visit resulted in an admission to the hospital from Sunday evening until Tuesday mornig (Dec 3-Dec 5).  The staff neurologists ruled out GBS due to normal findings with MRI, LP and neuro exam.  The neurological symptoms, though, remained.  He saw his own neurologist On Wednesday, December 6. She has not ruled out GBS. She performed an EMG on Thursday, Dec 7, results were equivical. She continues to keep a close eye on him with with weekly office visits at the present time. She also advised he have at least one family member with him at all times, ordered an EPI pen and a peak flow meter.  He returned to the ER on Wednesday, December 6th with a severe spinal headache.  He has an appointment for a blood patch on Monday, December 11.  1/30/07 Received medical records from PCP which reveal on day of vax patient had ingrown toenail & eczema.  On way home, had dizziness, flushing & lightheadedness.  EMS called & taken to ER.  Tx w/Benadryl & IVF & responded well.  D/C to home.  Continued to have muscle soreness & complained of heavy legs.  Seen in office 12/1 & exam revealed mild weakness in legs but reflexes were present.  Dx w/reaction to flu shot.  PCP called neuro & discussed case & felt it was not GBS.  Had f/u neuro appt on 12/4 but went to ER on 12/3 & was admitted 12/3-12/5/06.  Seen by neuro on 12/6 w/continued weakness & HA when gets up.  Neuro dx early GBS & EMG ordered for 12/7. 1/30/07 Received medical records from hospital which reveal: 11/29/06 Seen in ER for dizziness, flushing, weakness & lightheadedness.  Received IV Benadryl & IVF.  Responded well & d/c to home. FINAL DX: allergic drug reaction to flu shot. 12/3/06-12/5/06 Admitted to hospital for ascending weakness for approx 1 wk.  Also had rash & hives after eating eggs on day of admit.  Admitted for neuro eval & w/u. Had vasovagal reaction after LP done.  Neuro eval was WNL.  Tx w/steroids & Benadryl.  D/C to home for further neuro & psych w/u as outpatient.  FINAL DX: Vasovagal episode. 12/6/06 Seen again in ER for continued complaints of HA, weakness, numbness & tingling in legs & nausea/vomiting.  Seen by 2nd opinion neuro that AM who dx possible early GBS.  T/C to neuro & was to see 12/7 as outpatient. D/C to home. FINAL DX: weakness & s/p LP headache.
Age: 21.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Fatigue, Heart rate increased, Muscular weakness, Respiratory rate decreased
Clinical narrative: Syptoms developed about 20 minutes after receiving flu vaccine.  Initial complaints were dizziness, lightheadedness, gray vision, spots in his field of vision.  HR was 120 bpm; respirations 6 per minute.  An ambulance was called and took him to the ER for examination.  Benadryl seemed to relieve symptoms and he was sent home.  Twenty-four hours later, developed leg weakness and fatigue.  He saw his primary physician on Friday, December 1. He suggested the problem might be Guillian Barre Syndrome, although his symptoms were atypical of GBS.  A call was made to the Nurse also advised the possiblility of GBS, even with atypical symptoms.  Because of his worsening symptoms (greater weakness, leg pain, difficulty walking and loss of sensation in hands) an ER visit resulted in an admission to the hospital from Sunday evening until Tuesday mornig (Dec 3-Dec 5).  The staff neurologists ruled out GBS due to normal findings with MRI, LP and neuro exam.  The neurological symptoms, though, remained.  He saw his own neurologist On Wednesday, December 6. She has not ruled out GBS. She performed an EMG on Thursday, Dec 7, results were equivical. She continues to keep a close eye on him with with weekly office visits at the present time. She also advised he have at least one family member with him at all times, ordered an EPI pen and a peak flow meter.  He returned to the ER on Wednesday, December 6th with a severe spinal headache.  He has an appointment for a blood patch on Monday, December 11.  1/30/07 Received medical records from PCP which reveal on day of vax patient had ingrown toenail & eczema.  On way home, had dizziness, flushing & lightheadedness.  EMS called & taken to ER.  Tx w/Benadryl & IVF & responded well.  D/C to home.  Continued to have muscle soreness & complained of heavy legs.  Seen in office 12/1 & exam revealed mild weakness in legs but reflexes were present.  Dx w/reaction to flu shot.  PCP called neuro & discussed case & felt it was not GBS.  Had f/u neuro appt on 12/4 but went to ER on 12/3 & was admitted 12/3-12/5/06.  Seen by neuro on 12/6 w/continued weakness & HA when gets up.  Neuro dx early GBS & EMG ordered for 12/7. 1/30/07 Received medical records from hospital which reveal: 11/29/06 Seen in ER for dizziness, flushing, weakness & lightheadedness.  Received IV Benadryl & IVF.  Responded well & d/c to home. FINAL DX: allergic drug reaction to flu shot. 12/3/06-12/5/06 Admitted to hospital for ascending weakness for approx 1 wk.  Also had rash & hives after eating eggs on day of admit.  Admitted for neuro eval & w/u. Had vasovagal reaction after LP done.  Neuro eval was WNL.  Tx w/steroids & Benadryl.  D/C to home for further neuro & psych w/u as outpatient.  FINAL DX: Vasovagal episode. 12/6/06 Seen again in ER for continued complaints of HA, weakness, numbness & tingling in legs & nausea/vomiting.  Seen by 2nd opinion neuro that AM who dx possible early GBS.  T/C to neuro & was to see 12/7 as outpatient. D/C to home. FINAL DX: weakness & s/p LP headache.
Age: 21.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Visual disturbance
Clinical narrative: Syptoms developed about 20 minutes after receiving flu vaccine.  Initial complaints were dizziness, lightheadedness, gray vision, spots in his field of vision.  HR was 120 bpm; respirations 6 per minute.  An ambulance was called and took him to the ER for examination.  Benadryl seemed to relieve symptoms and he was sent home.  Twenty-four hours later, developed leg weakness and fatigue.  He saw his primary physician on Friday, December 1. He suggested the problem might be Guillian Barre Syndrome, although his symptoms were atypical of GBS.  A call was made to the Nurse also advised the possiblility of GBS, even with atypical symptoms.  Because of his worsening symptoms (greater weakness, leg pain, difficulty walking and loss of sensation in hands) an ER visit resulted in an admission to the hospital from Sunday evening until Tuesday mornig (Dec 3-Dec 5).  The staff neurologists ruled out GBS due to normal findings with MRI, LP and neuro exam.  The neurological symptoms, though, remained.  He saw his own neurologist On Wednesday, December 6. She has not ruled out GBS. She performed an EMG on Thursday, Dec 7, results were equivical. She continues to keep a close eye on him with with weekly office visits at the present time. She also advised he have at least one family member with him at all times, ordered an EPI pen and a peak flow meter.  He returned to the ER on Wednesday, December 6th with a severe spinal headache.  He has an appointment for a blood patch on Monday, December 11.  1/30/07 Received medical records from PCP which reveal on day of vax patient had ingrown toenail & eczema.  On way home, had dizziness, flushing & lightheadedness.  EMS called & taken to ER.  Tx w/Benadryl & IVF & responded well.  D/C to home.  Continued to have muscle soreness & complained of heavy legs.  Seen in office 12/1 & exam revealed mild weakness in legs but reflexes were present.  Dx w/reaction to flu shot.  PCP called neuro & discussed case & felt it was not GBS.  Had f/u neuro appt on 12/4 but went to ER on 12/3 & was admitted 12/3-12/5/06.  Seen by neuro on 12/6 w/continued weakness & HA when gets up.  Neuro dx early GBS & EMG ordered for 12/7. 1/30/07 Received medical records from hospital which reveal: 11/29/06 Seen in ER for dizziness, flushing, weakness & lightheadedness.  Received IV Benadryl & IVF.  Responded well & d/c to home. FINAL DX: allergic drug reaction to flu shot. 12/3/06-12/5/06 Admitted to hospital for ascending weakness for approx 1 wk.  Also had rash & hives after eating eggs on day of admit.  Admitted for neuro eval & w/u. Had vasovagal reaction after LP done.  Neuro eval was WNL.  Tx w/steroids & Benadryl.  D/C to home for further neuro & psych w/u as outpatient.  FINAL DX: Vasovagal episode. 12/6/06 Seen again in ER for continued complaints of HA, weakness, numbness & tingling in legs & nausea/vomiting.  Seen by 2nd opinion neuro that AM who dx possible early GBS.  T/C to neuro & was to see 12/7 as outpatient. D/C to home. FINAL DX: weakness & s/p LP headache.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Patient c/o fast heart rate since receiving flu shot.  Also c/o some dizziness.  Evaluated in ER and seen by PCP.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Pruritus, Rash
Clinical narrative: Approx. two weeks after I received the HPV vaccine I started breaking out in red bumps mostly all over my lower body and now I have this weird purple spots on my right thigh.  It has itched me so bad that I have bruises all over my legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: REDNESS, SWELLING AND PAIN AT INJECTION SITE MEASURING 1 1/2" BY 2 1/4"
Age: 0.13
Sex: M
Vaccine: DTAPHEPBIP, RV5
Symptoms: Faeces pale, Pyrexia
Clinical narrative: Pt received 1 month immunizations (DtaP, IPV, HBV and Rotavirus) on 12/5/06 (6 weeks of age). Pt presented on 12/8/06 with green, foul-smelling stools and temperature 38.8. Otherwise well-appearing. Work-up for full rule-out sepsis (blood, urine & CSF) negative. Received Ceftriaxone and hospitalization for 48 hours.  1/9/07 Received medical records from hospital which reveal patient admitted 12/8/06-12/11/06 with emesis, foul smelling diarrhea, fever 101.8 & decreased oral intake for 3 days following multi vax including Rotateq.  Treated with IV antibiotics empirically & IVF for hydration.  Improved during hospital stay with good oral intake, no further fever & formed stools. FINAL DX: R/O sepsis; diarrhea; & fever.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Back pain, Fatigue, Headache, Hypersensitivity, Influenza like illness
Clinical narrative: localized swelling of the arm and muscle spasms, headache, very painful arm/back/neck soreness, fatigue, nausea, and flu like symptoms all appearing within a few hours of injection and lasting for 48 hours. The swelling, muscle spasms and soreness still apparent after 48 hours.   (experience a similar reaction as an infant, but that the doctor assumed it was from the pertussis).
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Muscle spasms, Nausea, Neck pain, Swelling, Type III immune complex mediated reaction
Clinical narrative: localized swelling of the arm and muscle spasms, headache, very painful arm/back/neck soreness, fatigue, nausea, and flu like symptoms all appearing within a few hours of injection and lasting for 48 hours. The swelling, muscle spasms and soreness still apparent after 48 hours.   (experience a similar reaction as an infant, but that the doctor assumed it was from the pertussis).
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Grand mal convulsion
Clinical narrative: Information has been received from a physician concerning a 15 year old female with type 1 diabetes mellitus who on 9/22/2006 was vaccinated by injection with her first dose of HPV vaccine (lot 654540/0800F). Concomitant therapy included insulin. On 9/23/06, the day after receiving the HPV vaccine, the pt experienced a Grand mal seizure. the physician reported the pt was hospitalized for 3 days. The pt had the following lab diagnostic studied. spinal tap, MRI, EEG, blood work and urine. The physician stated the pt returned to the office to received the second dose of HPV vaccine, but the physician decided not to reintroduce the HPV vaccine. At the time of the report, the pt had recovered. The physician considered the pts Grand Mal Seizure to be an other important medical event (OMIC). Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: FLUX, PPV, TYP
Symptoms: Decreased appetite, Hypoaesthesia, Influenza like illness, Injection site warmth, Pain
Clinical narrative: Arm pain, gradually increasing from day the shot was given.  One day after shot, a lump formed under skin that gradually got larger as days passed.  Larget is was was 3/4 size of ping pong ball.  Area was black, blue, green and very sensitive to touch almost immediately.  Also caused flu like symptoms approximately 12 hours after shot was administered.  Infection grew worse over next few days and sought out medical treatment 7 days after shot was given.  Was given Diclocil antibiotics.  By this time the arm was very sore to move, hot to the touch and getting worse by the hour.  It also caused slow and increasing swelling of my entire body from day one of the shot.  At one point, The area was so bad, it looked as if someone had taken a mellon ball scooper and scooped out all the tissue around the sizeable lump right down to the bone.  By this time, the rest of my arm had begun to swell to the point of making my fingers numb and I thought I was in danger of serious blood infection or arm amputation. I sought medical attention 7 days after the shot was given, I was overseas and had to go to hospital there. I was advised that this was a very serious infection and I was not to leave the Bangkok area for at least 12 days to make sure the infection was under control.  During the time after the shot was given, sweats and chills were prominent, and fever up to 101.3 were detected, with other fevers hovering at 100.00.  The swelling of my whole body progressed with time.  After I started the antibiotics, the swelling subsided about 20% and the lump gradually diminished to about 1/3 the largest size it had been.  After 7 days of anti-biotics, the infection came back rapidly, within 12 hours of the last pill, and developed rapidly. Over the course of 3 hours the arm had swollen significantly and the lump tripled in size and the discoloration began to return.  Two days after ending the first round of antibiotics, I saw urgent care at home. I was advised to take augmentin for 10 days and if it did not improve within the first three days of treatment, to go to the ER to have it drained and get stronger drugs.  So far, the augmentin has made the swelling go down, the lump has diminished but is not gone, and the over all sick feeling has subsided to some degree.  The color is improving but you can still see the marks from the worst it had been.  This has been a very scary infection for me.  It does not want to seem to go away.  I am resting and drinking fluids and eating easily digestible foods, although my appetite is zero.
Age: 30.0
Sex: F
Vaccine: FLUX, PPV, TYP
Symptoms: Pyrexia, Skin discolouration, Skin hypertrophy, Swelling
Clinical narrative: Arm pain, gradually increasing from day the shot was given.  One day after shot, a lump formed under skin that gradually got larger as days passed.  Larget is was was 3/4 size of ping pong ball.  Area was black, blue, green and very sensitive to touch almost immediately.  Also caused flu like symptoms approximately 12 hours after shot was administered.  Infection grew worse over next few days and sought out medical treatment 7 days after shot was given.  Was given Diclocil antibiotics.  By this time the arm was very sore to move, hot to the touch and getting worse by the hour.  It also caused slow and increasing swelling of my entire body from day one of the shot.  At one point, The area was so bad, it looked as if someone had taken a mellon ball scooper and scooped out all the tissue around the sizeable lump right down to the bone.  By this time, the rest of my arm had begun to swell to the point of making my fingers numb and I thought I was in danger of serious blood infection or arm amputation. I sought medical attention 7 days after the shot was given, I was overseas and had to go to hospital there. I was advised that this was a very serious infection and I was not to leave the Bangkok area for at least 12 days to make sure the infection was under control.  During the time after the shot was given, sweats and chills were prominent, and fever up to 101.3 were detected, with other fevers hovering at 100.00.  The swelling of my whole body progressed with time.  After I started the antibiotics, the swelling subsided about 20% and the lump gradually diminished to about 1/3 the largest size it had been.  After 7 days of anti-biotics, the infection came back rapidly, within 12 hours of the last pill, and developed rapidly. Over the course of 3 hours the arm had swollen significantly and the lump tripled in size and the discoloration began to return.  Two days after ending the first round of antibiotics, I saw urgent care at home. I was advised to take augmentin for 10 days and if it did not improve within the first three days of treatment, to go to the ER to have it drained and get stronger drugs.  So far, the augmentin has made the swelling go down, the lump has diminished but is not gone, and the over all sick feeling has subsided to some degree.  The color is improving but you can still see the marks from the worst it had been.  This has been a very scary infection for me.  It does not want to seem to go away.  I am resting and drinking fluids and eating easily digestible foods, although my appetite is zero.
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Arthropathy, Dermatomyositis, Myasthenic syndrome, Skin disorder
Clinical narrative: A consumer report was received on 29 Nov 2006 concerning a 5 year old male vaccinee. No details concerning the vaccinees past medical history or concomitant medications were provided. On 05 Nov 2005 the vaccinee received an influenza vaccine. Approximately 1-2 weeks later the vaccinee developed sores on his feet, then lumps on the joints of his toes. This then progressed to warty sores on his hands then the joints of his fingers. The condition progressed and the vaccinee developed muscle involvement. The events were diagnosed as dermatomyositis. The events are ongoing and the vacinee is currently being treated with Prednisone. Further information is requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient received vaccine on 11/20/06 and developed reaction that night. Came back to pharmacy next day with symptoms of redness, pain and swelling from the left shoulder to elbow. Went to ER next day.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Erythema
Clinical narrative: DTAP, MMR, Influenza given on 11-29-2006 started small red area on right thigh this am, now enlarged. No fever, or chills just itches on this evening. Ice pack to arm pain. Benadryl 12.5 mgs/5mls/5 ml take 5 ml PO four times a day as needed.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Redden area at the site. No fever, no treatment.
Sex: M
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Itching in legs, and abdomen.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site reaction, Pruritus, Swelling
Clinical narrative: Local allergic reaction-erythema, moderate swelling, warmth, itch.
Sex: F
Vaccine: HEPA
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: Rash on body, swelling of eyes and lips, urticaria generalized.
Age: 65.0
Sex: F
Vaccine: HEP, TD, TYP, YF
Symptoms: Pain, Pyrexia
Clinical narrative: On Friday night client started with pain and low grade fever 99.8 by Saturday mid-morning temperature returned to normal. On Saturday. 11/18/06 arm felt warm, client used ice packs also soaked in hot tub. On 11/19/06 went to ER, reports severe pain in right arm reports never had such pain in her life.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Information has been receive from a licensed practical nurse concerning a 60-70 yea old male who was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot 654977/088F). Subsequently, last week the pt developed redness, swelling and pain in the injection are. The pt was treated with Benadryl. It was reported that the adverse event lasted 2-3 days. The reporter considered redness, swelling and pain in the injection arm to be disabling. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Information has been received from a physician concerning a female pt with seizures who in approx Oct 2006, about two months ago, was vaccinated IM with a first 0.5ml dose of HPV vaccine. Right after receiving the vaccination, the pt started to have seizures every day for about two weeks after receiving the vaccine. It was noted that the pt already has seizures but had them once or twice a week not everyday. Subsequently, the pt recovered. Upon internal review, seizures was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Anxiety, Asthenia, Blood creatine phosphokinase increased, Chest pain, Convulsion
Clinical narrative: Woke up 10/24/06 with fever 101F and feeling sick 10/26/06 developed rash left wrist area size of fist 11/03/06 had seizure was hospitalized for 3 days 11/09/06 continues to have left arm weakness, hands and feet drawing up to have MRI 11/10/06.  MR received revealing an ER admission for c/o sharp, mid-sternal chest pain, teeth chattering and body aches.  Pain was intermittant and occasionally radiated into her left arm.  Admitted to r/o MI. PE essentially negative with the exception of significant anxiety and depression. Discharged home in stable condition. Discharge DX:  1) Non-cardiac chest pain 2) Hypertension 3) Hyperlipidemia 3) Anxiety
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Hyperlipidaemia, Hypertension, Laboratory test abnormal, Malaise, Pyrexia
Clinical narrative: Woke up 10/24/06 with fever 101F and feeling sick 10/26/06 developed rash left wrist area size of fist 11/03/06 had seizure was hospitalized for 3 days 11/09/06 continues to have left arm weakness, hands and feet drawing up to have MRI 11/10/06.  MR received revealing an ER admission for c/o sharp, mid-sternal chest pain, teeth chattering and body aches.  Pain was intermittant and occasionally radiated into her left arm.  Admitted to r/o MI. PE essentially negative with the exception of significant anxiety and depression. Discharged home in stable condition. Discharge DX:  1) Non-cardiac chest pain 2) Hypertension 3) Hyperlipidemia 3) Anxiety
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Woke up 10/24/06 with fever 101F and feeling sick 10/26/06 developed rash left wrist area size of fist 11/03/06 had seizure was hospitalized for 3 days 11/09/06 continues to have left arm weakness, hands and feet drawing up to have MRI 11/10/06.  MR received revealing an ER admission for c/o sharp, mid-sternal chest pain, teeth chattering and body aches.  Pain was intermittant and occasionally radiated into her left arm.  Admitted to r/o MI. PE essentially negative with the exception of significant anxiety and depression. Discharged home in stable condition. Discharge DX:  1) Non-cardiac chest pain 2) Hypertension 3) Hyperlipidemia 3) Anxiety
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 10/27/06 received immunization. onset 11/05 of numbness and tingling in hands and feet. Hospitalized 11\8. No hosp docum of parasthesias. Readmitted 11/27 with numbness and tingling. Received testing and neuro consult. Pt stated r/o Guillian Barre. Continues to have problems. 12/27/06-records received and reviewed for DOS 11/27-11/30/06 DC DX: Peripheral neuropathy possible due to flu shot Prostate cancer borderline dyslipidemia EMG:nerve conduction and late response studies are consistent with peripheral neuropathy, mild to moderately severe, predominately sensory type with mixed features of axonal loss and demyelination.  PMH: cancer of prostate, status post irradiation treatment, 2 laminectomies and cholecystectomy.
Age: 1.31
Sex: M
Vaccine: FLU3, MMRV
Symptoms: Febrile convulsion
Clinical narrative: 9 days post immunization had complex febrile seizure, see attached report. EEG MRI pending.
Age: 85.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Received flu shot on 11/13/06 at a community clinic at approximately 11:30 am. At bed time (10 pm) patient noticed itching from waist down. by 12 midnight itching intensified. Patient denies seeing any rash. Patient denies any other symptoms. He reported that by morning itching had resolved and no further problems noted.
Age: 50.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Client stated right arm began swelling with redness and tenderness approximately one hour after receiving Tdap. R deltoid sore to touch and warm for about a week. Swelling subsided after that time period. No further follow up recommended. Was accessed by Medical Director. Warm to cold compresses recommended.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, pain, redness, skin hot to touch onset 10/25/2006 then present (alternate warm and cold compress and Motrin).
Age: 40.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Skin burning sensation, Swelling
Clinical narrative: Noted burning, soreness then swelling approximately 1 hour post immunizations. Swelling encomposed entire R deltoid lasting for 11 days. Noted a nodule after swelling subsided for 3 days. Area assessed by Medical Director. Warm to cold compresses recommended.
Age: 60.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Abscess, Rash erythematous
Clinical narrative: Patient returned to clinic on 12/01/06 with a red raised area on right arm with yellow drainage. Rocephin 1 gram IM given. Wound care supplies, Bacitracin ointment and instructions for wound care given also cephalaxin 500 mg 1 BID for 14 days.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Parent reported child had 102 fever and general aches beginning 12 hours after vaccines. Fever lasted about 24 hours.
Age: 67.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Erythema, Injection site mass, Injection site warmth
Clinical narrative: Patient states he noticed a knot with red area on 11/02/06 on left arm. No drainage noted on left arm Td area. Patient also noticed lump at Flu site area 11-4-06. Observed 12mm ulcerated area on left arm approximately 3 inches below injection site. Red area with warmth noted. Patient states.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient complains of being dizzy when standing and walking. He feels ok when lying down.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Pallor, Pruritus, Rash
Clinical narrative: Approximately 10 minutes after vaccine administered, child complain of dizziness, itching. Mother reported child pale. Stayed in health department for 40 minutes after leaving . Mother reports that child broke out in rash on chest and right arm. Rash was red, itchy and lasted about 1 hour. Did not to medical doctor. No problem since.
Age: 27.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: 10/25/06 and 10/26/06 swelling and pain in left deltoid at injection site of Tdap, called health department on 10/27/06 complaining of redness, swelling and difficulty in raising arm. Advised to come by health department for nurse to look at arm. Advised as of wet compresses alternating cool and warm to reduce swelling and redness. Client called on 10/31/06 and came by for nurse to look at left deltoid arm. There is edema of arm 3-4" from site of injection. Area is tight and warm to touch. client complain of itching and still some tenderness. Advised warm moist compresses to area. Instructed to take ASA (no allergy) to reduce inflammation. She is to see doctor on 11/01/2006. Instructed to keep appointment.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient states she received a flu shot and the next day woke up with a rash on her body covering her head, back, legs, abdomen, hands and feet. She went to ER at hospital and received a sternal shot. Doctor told her she was allergic to vaccine and not to take the shot again.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: Benadryl 25mg intramuscular one time. Given in right deltoid. No driving. Watch for fever. If develops go to ER.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site induration, Injection site warmth, Oedema
Clinical narrative: Within 2 hours after injection arm became sore, hot, edematous. 11/10/2006 visualized edema, warm, red, indurated area 3 inches x 55 mm at site with welt-like raised areas pattern of band-aide previously on site.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Glossitis, Headache, Pruritus, Pyrexia
Clinical narrative: Itching under bra line and inner thighs with rash. Tongue swelling, headache, fever. Lasted about 16 hours then patient was fine. Took aspirin for fever.
Age: 1.57
Sex: M
Vaccine: DTAP, FLU3, HIBV
Symptoms: Erythema, Feeling hot, Injection site inflammation
Clinical narrative: Area around shot site of either DTP or Hib titer 2 in. in diameter, mild erythema, slight warmth but no tenderness and no induration.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Erythema, Injection site swelling, Pain
Clinical narrative: Two days past immunization patient complained of increased pain with swelling at left arm.  With distal small area of erythema "Probable reaction to Pneuomax. Evaluated at 11-19-06. Patient went to ER 11-30-06 with increase pain.
Age: 12.0
Sex: M
Vaccine: FLU3, HEPA, PPV
Symptoms: Anxiety, Erythema, Feeling hot, Pain
Clinical narrative: Patient came in for vaccines with mother. Very anxious and agitated. Patient had to be held down in order to give shots as he was combative, otherwise tolerates well. Patient returns for PDD reading 11/27/06, Left deltoid area red, warm and painful. Foster mom already using Tylenol and cortisone cream, told to continue.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Dyskinesia, Eye movement disorder, Nausea
Clinical narrative: AFter vaccine was given IM, patient said felt nausea.  I asked her to sit down and instructed to go to bathroom if needed and to wait in store for 15 minutes.  3 minutes later, patients eyes rolled in back of head and she had seizure like symptoms.  Patient refused epi pen and was breathing.  Patient was laid on floor until paramedics arrived.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Dizziness
Clinical narrative: Dizziness, off balance, uneven walk 0600 hrs 16 Nov 06. Treatment- stop all medication. Waited till symptoms resided. 0800 hrs 20 Nov 06.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Temp 102 for 12 hours. 5 "welts" for 3 days
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Contusion, Injection site pain, Myalgia, Swelling
Clinical narrative: Injection site sore immediately swelled and turned black within 2 hours. Knees and elbow became sore. Left knee never recovered. Swelled and sore for 2 weeks. 12/3/06 received Cortisone shot, better today.
Age: 19.0
Sex: F
Vaccine: TTOX
Symptoms: Fatigue, Nausea, Pruritus, Rash
Clinical narrative: Vaccine given. About 1/2 hour later noticed itching of right lower arm and noticed rash. Also left arm itching and rash. States also has nausea feeling and feeling really tired.  Did have blood drawn prior to this reaction. Benadryl 25mg po.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Fatigue, Flushing, Headache, Myalgia
Clinical narrative: 2 hours after Hep B experienced headache, flushing, fever, fatigue, muscle aches. Scratchy throat, nausea, anorexia, vomiting, photo sensitivity. Denise allergy.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pharyngolaryngeal pain, Photosensitivity reaction, Pyrexia, Vomiting
Clinical narrative: 2 hours after Hep B experienced headache, flushing, fever, fatigue, muscle aches. Scratchy throat, nausea, anorexia, vomiting, photo sensitivity. Denise allergy.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: One hour after vaccination temp 101 and breaking then fever 104F about 1 1/5 hour after immunization out with hives.  Went to ER then went to hospital. Hives and was told reaction was reaction to immunization. Observation for 6 hours. Received Tylenol infant dose 1-2 doses.
Age: 53.0
Sex: M
Vaccine: IPV, PPV
Symptoms: Pain
Clinical narrative: Severe deltoid pain unable to abduct Left arm.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: 11/18/06 developed vesicular rash over entire body (trunk and extremities).
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Contusion, Erythema, Swelling
Clinical narrative: Swelling, redness on left thigh 25cent size. Bruising.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Swelling
Clinical narrative: Mom to health department 11-20-06. States left arm very swollen 11-18-06 & 11-19-06 from shoulder to elbow. Only quarter size spot today. Patient moves arm without any problem. Mom states much better and she gave her Benadryl past 2 days. Pulse good in both arms. Advised mom to call Dr. if any further problem.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Rec Dtap and started running fever during night of 3/21/05. Parent noted pain, redness, swelling to right thigh upon awakening on 3/22/05. Seen by MD 3/22 DX cellulitis. Put on Bactrim PO.
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Erythematous warm swollen area about 8" long and 5 1/2" wide over area left upper arm, area arm at shot site indurated about 2" diameter, no fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Patient received Dtap IM R arm 7/18/06 and Prevnar IM R arm 7/18/06. Returned to clinic 7/19/06 with erythema and swelling R deltoid to distal UE no excoriation + SL tender.
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint stiffness, Lymphadenopathy, Rash
Clinical narrative: Received MMR 10/06/06 on 11/17/06 developed swollen lymph nodes in neck, 11/20 rash on trunk, 11/22 joint pain, stiffness, 11/26 fine and asymptomatic.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Erythema, Injection site induration, Pyrexia
Clinical narrative: Fever 104F Tylenol with good response. leg tenderness, high pitch cry, slight erythema, slightly induration about 1.5cm.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tenderness
Clinical narrative: Fever 104F Tylenol with good response. leg tenderness, high pitch cry, slight erythema, slightly induration about 1.5cm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: 3 days after shots he developed rash on right arm, groupings of papules on erythematous base. 1 patch upper arm, one on hypothenar eminenic and several on fingers. never became overt vesicles, never drained.  Follow up information received 03/27/2010. Adverse event onset 11/21/2006 at 8:00AM
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Convulsion, Encephalitis, Respiratory failure
Clinical narrative: Patient was admitted to hospital. 11/13/06 Symptoms of stomache, not feeling well, then she had a seizure. Was brought to Emergency Room. Then to PICU for encephalitis, respiratory failure (intubated). 8/6/08-records received for DOS 11/13-11/29/06-DC DX: Glomerulonephritis status post seizure. Admitted with facial swelling and abrupt onset of altered mental status and seizure. Over 2 weeks prior to admission facial swelling persisted and gradually developed similar swelling in hands and feet. Four days prior to admission found to have proteinuria which is also date of immunizations. One day prior to admission developed malaise confusion and headache. On day of admission developed nausea and abdominal pain and vomiting. Began shaking entire body and was unresponsive for approximately 30 minutes. Intubated and ICU.
Age: 36.0
Sex: F
Vaccine: TTOX
Symptoms: Hypersensitivity, Nausea, Oedema peripheral, Pain
Clinical narrative: 11/15/06 felt sick in the stomach and arm hurt; 11/16/06 arm hurt and now red and swollen at site of Tetanus shot; 11/17/06 arm hurt and still red and swollen. Redness spreading down arm near shot site. Went to urgent care-instructed to take Benadryl and apply ice due to allergic reaction to Tetanus shot.