chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Ocular hyperaemia, Pruritus, Rhinorrhoea, Urticaria, Wheezing
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Anaphylactic reaction, Circulatory collapse, Ocular hyperaemia, Pruritus, Rhinorrhoea
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Stridor, Urticaria, Wheezing
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Allergy test positive, Anaphylactic reaction, Circulatory collapse, Condition aggravated, Food allergy
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Ocular hyperaemia, Pruritus, Rhinorrhoea, Skin test positive, Stridor
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: Initial report was received from a health care professional on 23 March 2011. Additional information was received on 25 March 2011, under temporary VAERS E-Report Number of E-52580. A four year-old female patient with a history of allergies to egg, chicken and peanuts, had received the following vaccines on 23 March 2011 at 8:30 AM: a fifth dose intramuscular left thigh injection of DAPTACEL, lot number C3618AA; a fourth dose subcutaneous left thigh injection of IPOL, lot number D0480; a second dose subcutaneous right thigh injection of VARIVAX, Merck lot number 1319Z; a second dose subcutaneous left thigh injection of MMR II, Merck lot number 0741Z and a first dose intramuscular right thigh injection of PREVNAR 13, Pfizer/Wyeth lot number 915346. At 9:00 AM, the patient experienced an anaphylactic reaction with circulatory collapse, stridor, wheezing, hives, itching, runny nose (reported as note) and eye redness. The patient was treated with epinephrine, albuterol and BENADRYL. She was transported to the ER (emergency room) by ambulance. The patient was reported to be improving several hours later. No further information was available at the time of the report. The patient's outcome was reported as recovered. Documents held by sender: Temporary VAERS E-Report.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Irritable & crying uncontrollably 2 1/2 hr after vaccine until 5-6 hrs later. Then 101.5 fever.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Grand mal convulsion, Nuclear magnetic resonance imaging abnormal
Clinical narrative: tonic-clonic seizure
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Pain, Pyrexia
Clinical narrative: Pt. states she was freezing cold, reported a Fever.. did not take with a thermometer. Aching all over.Treatment: went to the After Hours clinic 11AM on saturday 4/2/2011. Given Benadryl and Tylenol and advised that her condition was a reaction to the pertussus inthe Tdap she had received 4/1/2011.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Joint swelling, Myalgia, Pyrexia, Serum sickness-like reaction
Clinical narrative: Information has been received from a registered pharmacist (R. Ph.) concerning a male who in August 2010, was vaccinated with a dose of PNEUMOVAX 23 (lot # not reported). Concomitant therapy included prednisone. The reporter stated that patient experienced body joint pain that resolved except in one hand. Reporter didn't know what hand. The patient was diagnosed with Dequervain syndrome and received prednisone. On an unknown date the patient recovered. The patient sought unspecified medical attention. Follow up information has been received which reported that a 60 year old male physician with no illness at time of vaccination and allergy to nonsteroidal anti-inflammatory drug (unspecified) and calcitonin, who in August 2010, was vaccinated with a dose of PNEUMOVAX 23 (lot # not reported). In September 2010, the patient experienced joint swelling, fever and myalgias-felt to be serum sickness like syndrome. Prednisone was given for adverse events and symptoms resolved in September 2010. There were no tests done. It was unknown if the patient sought medical attention. Serum sickness like syndrome was considered to be other important medical events. No further information is available.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Tenosynovitis stenosans
Clinical narrative: Information has been received from a registered pharmacist (R. Ph.) concerning a male who in August 2010, was vaccinated with a dose of PNEUMOVAX 23 (lot # not reported). Concomitant therapy included prednisone. The reporter stated that patient experienced body joint pain that resolved except in one hand. Reporter didn't know what hand. The patient was diagnosed with Dequervain syndrome and received prednisone. On an unknown date the patient recovered. The patient sought unspecified medical attention. Follow up information has been received which reported that a 60 year old male physician with no illness at time of vaccination and allergy to nonsteroidal anti-inflammatory drug (unspecified) and calcitonin, who in August 2010, was vaccinated with a dose of PNEUMOVAX 23 (lot # not reported). In September 2010, the patient experienced joint swelling, fever and myalgias-felt to be serum sickness like syndrome. Prednisone was given for adverse events and symptoms resolved in September 2010. There were no tests done. It was unknown if the patient sought medical attention. Serum sickness like syndrome was considered to be other important medical events. No further information is available.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth of RT thigh (site of DTaP-IPV).
Age: 0.15
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Dyskinesia, Injection site erythema, Injection site swelling, Rash, Staring
Clinical narrative: Pt was given shots at 10:30am. Mom called back about 3:53pm stating child had an episode of staring off in one direction and head jerking a little. Thighs were red and swollen and baby has a rash on her face. Mom was instructed to come back in with child. Dr saw pt et gave infant TYLENOL et infant BENADRYL per mom. Pt. was fine by the next day.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, X-ray normal
Clinical narrative: Pt. said the shot felt painful. She received flu shots in the past but did not have this kind of pain. There was no redness, only pain. She saw the Dr. who took an xray looking for crystals but it was clear. She was prescribed Ibu 600 mg & a MEDROL dose pack. She said the pain went from 8 out of 10 to 4 out of 10. It still aches. She ices it daily and takes Ibuprofen is she's doing strenuous activity.
Age: 0.62
Sex: F
Vaccine: FLU3
Symptoms: Eyelid oedema, Oedema peripheral, Urticaria
Clinical narrative: Pt received her 2nd flu vaccine and broke out with hives. She then started swelling around the eyes and hands 2 days after flu shot.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The site of injection was hot, swollen & red. CNP prescribed cephalexin 500mg 1 PO TID x 7 days.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: (R) arm edema, warmth, erythema.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: Pt. presented to the ER with a temperature of 102.5 (rectal).
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site streaking, Injection site swelling
Clinical narrative: Left upper arm tender, swollen, sore, firm. Malaise all weekend with nausea. Two red streaks medial to area of injection, warm to touch. Feverish all weekend.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site warmth, Malaise, Nausea, Pyrexia
Clinical narrative: Left upper arm tender, swollen, sore, firm. Malaise all weekend with nausea. Two red streaks medial to area of injection, warm to touch. Feverish all weekend.
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: (R) deltoid with 4 cm by 2.5 cm area of indistinct redness, slightly warm, no tenderness. (L) Subq area with 2.5 cm by 2 cm of redness, slightly warm, no tenderness, no duration either area. Roughly shaped like bandaid.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain of skin, Pruritus, Pyrexia, Rash
Clinical narrative: Over a period of 8 wks. Painful rash on arms, neck & chest, itchy, low grade fever 99-100. MEDROL & antihistamine, ELIDEL cream, Hydrocortisone Valerate cream. Vasculitis - 20 day course of Prednisone 20mg (80, 60, 40, 20, 10), ELIDEL cream, Hydrocortisone Valerate cream.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: PCV13 vaccine given in office IM into left arm on 03/28/11. Mother reports redness, warm and soreness starting a "few hours after vaccine was given". Seen in office 03/30/11 with continued localized redness. Patient was treated with KEFLEX and BENADRYL.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: At site of injection there is an induration, warm to touch & tenderness of an area of 5x10 cm - (L) arm - Prescribed ZYRTEC.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Varicella vaccine administered on 3/28/11. On 3/29/11 evening, patient noted localized redness and swelling at injection site. On 3/30/11, I confirmed mild redness, and swelling to injection site left arm measuring 5.5 cm x 3 cm. Mild tenderness to touch. 4-1-11 - Redness, swelling, tenderness resolved.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Limb discomfort, Pyrexia, Vaccination site pain, Vaccination site swelling
Clinical narrative: Less than 24 hours after getting the vacc. pt. developed a fever (101 degrees), vacc. site became swollen & achy, pt. had gen. flu-like sx. Pt. used BENADRYL q 6 hours & ADVIL q 4 hours to help with sx. Pt. also applied ice to her arm. Pt. took BENADRYL prior to receiving the vacc. d/t a similar reaction about 10 yrs. ago. Arm discomfort lasted 1 wk.
Age: 55.0
Sex: U
Vaccine: UNK
Symptoms: Cough, Dysphonia, Eating disorder, Increased upper airway secretion, Insomnia
Clinical narrative: Hoarseness, severe coughing - severe itching of throat. Severe draining of mucus in back of throat like water running. Tickle itching moving from tonsil to tonsil - severe cough when eating. Could not eat at times. Could not sleep for coughing.
Age: 55.0
Sex: U
Vaccine: UNK
Symptoms: Throat irritation
Clinical narrative: Hoarseness, severe coughing - severe itching of throat. Severe draining of mucus in back of throat like water running. Tickle itching moving from tonsil to tonsil - severe cough when eating. Could not eat at times. Could not sleep for coughing.
Age: 22.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Pruritus generalised
Clinical narrative: Body itchy all over. Tx BENADRYL 50mg IM STAT single dose. BENADRYL 25 mg PO TID.
Age: 22.0
Sex: M
Vaccine: SMALL, ANTH, SMALL
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Myocarditis, Troponin I increased
Clinical narrative: H-406-005: A Phase IV Enhanced Safety Surveillance Study of ACAM2000.  Subject #: 5000102.  This study case was received from the investigator in the above mentioned trial on 29 March 2011.  A 22 year-old male subject with no significant medical history was found to have non-specific myocarditis 20 days after he received an injection of ACAM2000 (lot number, route and site of administration not reported) and ANTHRAX 1 (manufacturer name, lot number, route and site of administration not reported) on 07 August 2010.  Relevant laboratory data included: an abnormal Troponin I with the highest recorded value of 04.76, an abnormal electrocardiogram (ECG), and a normal Echocardiogram.  Lumbar puncture and MRI of brain, spinal cord, and heart were not performed.  Treatments were not reported.  The subject's outcome was not reported.  Additional information will be requested from the investigator.  Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study.  Documents held by sender: none.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: VIIth nerve paralysis
Clinical narrative: Patient states after shot triggered symptoms of Bell's Palsy.
Sex: U
Vaccine: PPV
Symptoms: Erythema, Full blood count, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Acute redness/swelling of RUE (arm/forearm) following pneumonia vaccine 3/28/11. Sent to hosp.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Pain in extremity, Pyrexia
Clinical narrative: Dizziness and sore arm. Later in afternoon, developed headache and fever (did not take temperature).  Took Tylenol.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site pain, Joint range of motion decreased, Lymphadenopathy, Rash
Clinical narrative: L shoulder pain with limited range of motion due to pain, L axillary lymphadenopathy, rash on dorsal aspect of both hand and inner thigh appeared on 3/28/2011 ( 3 days ) after vaccination.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Influenza like illness, Pain
Clinical narrative: 3/18/11 Client's husband contacted Health Dept. Client began having chills/body aches 3/17/11 in evening before going to bed. 3/18 continued to have body aches, chills & headache but feeling better. Husband called ER but they would not give advise over phone. Advised to call PCP. Client stated to her husband, she felt like she had the flu.
Age: 27.0
Sex: F
Vaccine: YF
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: LOOSE STOOLS, NAUSEA, REDNESS AND SWELLING ON SITE, SOME PAIN
Age: 1.01
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Crying, Injection site discolouration, Injection site swelling, Insomnia, Pyrexia
Clinical narrative: Rash covering entire body except head, rash is large/welp-like, followed by fever on 4/1/2011, uncharacteristic crying/sleep trouble since onset of fever, injection site is swollen and purple, prior to this, injection site couldn't be seen
Age: 1.01
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: Rash covering entire body except head, rash is large/welp-like, followed by fever on 4/1/2011, uncharacteristic crying/sleep trouble since onset of fever, injection site is swollen and purple, prior to this, injection site couldn't be seen
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Contusion, Epistaxis, Gingival bleeding, Platelet count decreased, Rash
Clinical narrative: Patient reports that he was in another state at the end of December, 2010, when he first began having nosebleeds, and he also noticed that his gums would bleed after brushing his teeth. He returned home to a foreign country and he then began to notice a "red rash" on his chest and upper back. He returned to school on January 24th and continued playing sports. He first noticed a bruise on the left side of his abdomen, then his right arm, left knee and right wrist. He would still continue to have nosebleeds, but was not seen for these symptoms. Patient went home around March 11th for break and he had a blood test that showed that his platelets were low. He had another test the next day, and the platelets were lower. He was referred to a Hematologist and was seen in the ER and admitted to the hospital. He was treated with IV Dexmethasone. He returned to school on March 27th and was feeling better. He is now on oral steroids.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: Patient reports that he was in another state at the end of December, 2010, when he first began having nosebleeds, and he also noticed that his gums would bleed after brushing his teeth. He returned home to a foreign country and he then began to notice a "red rash" on his chest and upper back. He returned to school on January 24th and continued playing sports. He first noticed a bruise on the left side of his abdomen, then his right arm, left knee and right wrist. He would still continue to have nosebleeds, but was not seen for these symptoms. Patient went home around March 11th for break and he had a blood test that showed that his platelets were low. He had another test the next day, and the platelets were lower. He was referred to a Hematologist and was seen in the ER and admitted to the hospital. He was treated with IV Dexmethasone. He returned to school on March 27th and was feeling better. He is now on oral steroids.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Discomfort, Mobility decreased, Paraesthesia
Clinical narrative: Patient reported on April 4, 2011 experiencing "difficulty raising her arm, tingling, and discomfort" starting the same week as receiving the vaccine.  She stated she has applied ice/cool compress to the area and has taken acetaminophen since without relief.  She also states she has seen a Chiropractor who told her he thought a nerve may have been affected at the injection site.  She reported temporary relief from the Chiropractic visit but the problem persists.  I advised contacting her primary care physician and keep me aware of any developments.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Discomfort, Mobility decreased, Pain, Paraesthesia, Swelling
Clinical narrative: Patient reported on April 4, 2011 experiencing "difficulty raising her arm, tingling, and discomfort" starting the same week as receiving the vaccine.  She stated she has applied ice/cool compress to the area and has taken acetaminophen since without relief.  She also states she has seen a Chiropractor who told her he thought a nerve may have been affected at the injection site.  She reported temporary relief from the Chiropractic visit but the problem persists.  I advised contacting her primary care physician and keep me aware of any developments.
Age: 40.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness
Clinical narrative: The flu shot injection was extremely painful. After receiving it I had constant pain at the injection site and limited use of that arm due to arm weakness/pain for about a month. The pain was worse at night. After about a month the pain decreased and rather than constant I would feel it occasionally throughout the day.  The pain sometimes was as far as 6 inches away from the injection site near the elbow or shoulder. About two months after the vaccination, I went several days without having pain. Then the pain started occurring again several times throughout the day. It's now been about 7 months since the vaccination and I still sometimes feel pain at or near the injection site if I lay it a certain way or after doing some exercises but now it's more like every couple of weeks that I feel it.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Sl. edema & slightly tender posterior (L) arm at/near injection site. Tx: Ibuprofen tid x 5d & recheck prn.
Age: 65.0
Sex: F
Vaccine: MMR
Symptoms: Conjunctivitis, Joint swelling, Pain, Rash
Clinical narrative: Rash, conjunctivitis, joint swelling & pain.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Erythema, Injection site erythema, Injection site warmth, Pallor
Clinical narrative: Right deltoid erythematous and warm to touch, several blanching red areas of skin - face & upper torso.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Pt developed rash, heat, pain & itching on (L) upper arm the day after she received ADACEL shot 3/30.
Age: 37.0
Sex: F
Vaccine: YF
Symptoms: Computerised tomogram, Convulsion, Electrocardiogram, Electroencephalogram, Full blood count
Clinical narrative: Seizure
Age: 37.0
Sex: F
Vaccine: YF
Symptoms: Nuclear magnetic resonance imaging, Ultrasound scan
Clinical narrative: Seizure
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness, Swelling at the site. Fever of 101. Saw Dr. in office. Antibiotic ordered.  Swelling described as softball size, now tennis ball size.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Vaccination site swelling
Clinical narrative: REDNESS AND SWELLING AT VACCINATIONS SITE, REDNESS SPREAD TO UPPER TORSO. PARENT CALLED, TOOK HOME GAVE BENADRYL, SWELLING AND REDNESS GONE FROM ALL AREAS EXCEPT INJECTION SITE 3 HRS POST EVENT. AFEBRILE.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Full blood count abnormal, Haematocrit decreased, Joint swelling, Oedema
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral, Pain, Pyrexia, Renal failure acute
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Adverse drug reaction, Arthralgia, Arthritis bacterial, Arthritis reactive
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Aspiration joint, Cellulitis, Chest X-ray normal, Erythema, Full blood count abnormal
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Haematocrit decreased, Impaired work ability, Infection, Joint effusion, Joint swelling
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Limb injury, Oedema, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Polyarthritis, Pyrexia, Renal failure acute, Skin warm, Somnolence
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 39.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Wound complication
Clinical narrative: I was starting a low grade fever.  I bilateral hand/knuckle joints were sore and swollen.  My R Knee was the size of a softball and my right foot was swollen with pitting edema around 2+.  I had seen Dr with this earlier in the week and he had prescribed a 100 mg prednison taper along with pain meds.  Later the next day or so I called Dr's cover and upon explaining my first recent bout with serum sickness from abx and the size of swelling when I described my right knee he told me to waste no time and go to hospital which I did.  In the meantime I had ace wrapped my knee.  Upon arriving at hospital I was seen promptly but had noticed that my swelling had gone down sufficiently along with my hands and R lower leg.  M.D's did not know why this would happen and agreed I needed to see an immunologist, rheumatologist in case my rt knee needed draining again, and a pain consult since this was continuing to be a pain problem.  The ER doctor thought that since all my lands had not come back out of range I was safe to go home and have this all done outpatient despite the fact I explained I was on limited COBRA.   I know have what seems to be chronic joint pain and have to wear a special medical alert band because any drug you put in my I can most likely to have a reaction too.  I also lost a lucrative nursing contract over this disease because I was too sick to show up for work.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood test, Electromyogram, Lumbar puncture, Mean cell volume
Clinical narrative: Pins and needles beginning in my lower legs and feet followed by weakness and sometimes pain. 4 days later also in my fore arms and hands. Eventually ascending up my body. Residual weakness and loss of strength with pins and needles in my extremities and sometimes pain.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia, Urine analysis
Clinical narrative: Pins and needles beginning in my lower legs and feet followed by weakness and sometimes pain. 4 days later also in my fore arms and hands. Eventually ascending up my body. Residual weakness and loss of strength with pins and needles in my extremities and sometimes pain.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Per mom, redness and swelling noted 2 days after injection on the site where Kinrix was injected.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Expanding area of redness/swollen around injection site. Regular Physician put me on Keflex on 04/04/2011.
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Abdominal pain, Headache, Laboratory test
Clinical narrative: Patient has had chronic headaches and stomach aches in the last year since the last vacccine.
Age: 0.81
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: C-reactive protein increased, Chest X-ray normal, Full blood count, Hypophagia, Metabolic function test
Clinical narrative: Per pt's mother, pt was given vaccine in outpatient clinic where given vaccine. By 5 PM 1/14/11 presented to ED w/ 1 day of emesis, fever to 103 degrees F on 1/13/11 at home, decreased O2 sats, increased resp rate, poor PO intake. Observed in ER. Labs done (CBC, BMP, CRP). CXR done. D/C'd home in stable condition that night.
Age: 0.81
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Oxygen saturation decreased, Pyrexia, Respiratory rate increased, Vomiting
Clinical narrative: Per pt's mother, pt was given vaccine in outpatient clinic where given vaccine. By 5 PM 1/14/11 presented to ED w/ 1 day of emesis, fever to 103 degrees F on 1/13/11 at home, decreased O2 sats, increased resp rate, poor PO intake. Observed in ER. Labs done (CBC, BMP, CRP). CXR done. D/C'd home in stable condition that night.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injected limb mobility decreased, Pain in extremity
Clinical narrative: (L) shoulder - received a tetanus shot on 1/11/11. Pt. is complaining of joint pain in shoulder and down arm for a couple of months. Has diff. raising arm above head.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Injection site infection, Staphylococcal infection
Clinical narrative: Patients mother called and reported that patient was in hospital, that the Dtap/polio vaccination had given her child a Staph infection. Where injection was given it was a softball size.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Computerised tomogram, Crying, Depressed mood, Dyskinesia, Electroencephalogram
Clinical narrative: Patients mother called and reported that patient was in hospital, that the Dtap/polio vaccination had given her child a Staph infection. Where injection was given it was a softball size.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Eye haemorrhage, Fall, Gait disturbance, Haematochezia, Injection site erythema
Clinical narrative: Patients mother called and reported that patient was in hospital, that the Dtap/polio vaccination had given her child a Staph infection. Where injection was given it was a softball size.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Injection site swelling, Injection site warmth, Insomnia, Mucous stools, Nuclear magnetic resonance imaging
Clinical narrative: Patients mother called and reported that patient was in hospital, that the Dtap/polio vaccination had given her child a Staph infection. Where injection was given it was a softball size.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Personality change, Tremor, Unresponsive to stimuli
Clinical narrative: Patients mother called and reported that patient was in hospital, that the Dtap/polio vaccination had given her child a Staph infection. Where injection was given it was a softball size.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Dyspnoea
Clinical narrative: Day following vaccine admin developed increased WOB and was hospitalized x 1 wk.
Age: 1.01
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Death, Lethargy, Nasopharyngitis, Pyrexia, Vomiting
Clinical narrative: Patient received her shots on Feb 25, 2011. On Thursday March 3rd patient seemed like she was coming down with a cold. We bathed her and she ended up throwing up what little food she ate for dinner. On Friday March 4th patient seemed OK during the day according to her daycare, but at home that night she seemed lethargic and was running a 100.4 fever. Was given a little infants ADVIL and was put to bed at 8:15pm, checked her at 10:15pm, and then at 3:15 am when she had already passed in her sleep.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash, Rash macular
Clinical narrative: Patient developed a diffuse macular rash on face, trunk, & legs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Abdominal pain, Diarrhoea, Dyspnoea, Pallor, Pruritus
Clinical narrative: About 10 minutes after receiving DTaP & IPV, while walking to the car, pt complained of belly pain, shortness of breath & itch. Returned to office. RR = 24, no audible wheeze (still sobbing), slight pallor & faint urticaria noted on abdomen & back. Had emesis after attempt to give 1 tsp. BENADRYL. After about 30 min of observation, resps even & non-labored. Improving rash. Had additional emesis & diarrhea x 1 at home - resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Urticaria, Vomiting
Clinical narrative: About 10 minutes after receiving DTaP & IPV, while walking to the car, pt complained of belly pain, shortness of breath & itch. Returned to office. RR = 24, no audible wheeze (still sobbing), slight pallor & faint urticaria noted on abdomen & back. Had emesis after attempt to give 1 tsp. BENADRYL. After about 30 min of observation, resps even & non-labored. Improving rash. Had additional emesis & diarrhea x 1 at home - resolved.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Local swelling
Clinical narrative: Local redness 2 x 2 cm with swelling, no induration, non-tender.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Eye swelling, Lip swelling, Swelling face
Clinical narrative: Swelling of face (lips, eyes).
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Syncope, Trendelenburg position, Unresponsive to stimuli
Clinical narrative: Patient experienced lightheadedness and fainted within 15 minutes of receiving HPV. She was standing at the onset of symptoms. We laid her down in the Trendelburg position after she awoke (lasting 10-15 seconds of unresponsiveness). She felt fine and fully recovered and left our office 15 minutes later.
Age: 36.0
Sex: M
Vaccine: FLUX, YF
Symptoms: Angiotensin converting enzyme increased, Antinuclear antibody negative, Areflexia, Bacterial test negative, Basophil percentage decreased
Clinical narrative: 1981, when he was 22 years of age, he received an influenza shot. Over the next 24 hours he remembers his feet feeling numb but attributed to new shoes. The next day his hands were numb with arms and legs feeling weak. He was unable to open packages and sought medical care. He was admitted to the ICU for about 10 days with difficulty walking. He did not receive plasmapheresis or IVIG. He denied any respiratory, speech impairment or difficulty swallowing. He advised it took about 6 months for all symptoms to resolve. He received influenza and yellow fever vaccination 11/30/1995. About 1/9/1996 (day 39), his records document complaints of cold like symptoms, such as a stuffy nose and sore throat. On 1/16/1996 (day 47 after vaccination and 9 days after onset viral illness) he experienced tingling and numbness of his feet and hands after standing up for a long period of time. On 1/17/1996 he was unable to grip or swing his golf clubs stating his hands felt clumsy. Medical documented normal neuro exam and released. On 1/18/1996 he was admitted to Hospital for 6 days testing and observation. Neurologist documented extensor weakness of his left foot (4/5), he could not walk on his left heel, and had absent ankle reflexes bilaterally otherwise normal neuro exam. An EMG and nerve conduction velocities were negative. Lab studies included CBC, chemistry, ESR, RA, ANA, TFT, LFT, Lyme, campylobacter stool cultures, 24 hr urine porphyrin screen (see below). Findings were consistent with recurrent Guillain-Barre syndrome. Symptoms slowly improved with physical therapy. He was released in no acute distress to f/u with neuro on no medications.