chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal stiffness, Nuclear magnetic resonance imaging normal, Paraesthesia, Sensory loss
Clinical narrative: 10-23-08: Stiff neck, tingling of trigeminal nerve, sense of dread. 10-24-08: Increased tingling of face, all 4 extremities, trunk. ER visit 10-24. 10-27-08: Increase in symptoms, loss of sensation in a wave from mid shin, thigh and again up to waist. ER visit. 10-25-08 Admit to hospital, progressed to upper arm weakness. Extensive diagnostic work-up. IV SOLU-MEDROL x 3 days. Good response to steroids, remains with sensory dysathesias.  1/5/09-records received for DOS 10/24/08 and 10/28-10/31/08-DC DX: Possible vaccinal induced central nervous system postvaccinal autoimmune reaction. Presented with C/O multifocal dysesthesia and weakness. Postauricular pain, numbness, dizziness and left facial pain day prior. Electrical sharp shooting impulses down extremities mainly right side. Fully retained reflexes. IV steroid therapy. Developed respiratory distress, dysnpena and chest tightness. Ventricular tachycardia.
Age: 0.5
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Electroencephalogram abnormal, Facial spasm, Infantile spasms
Clinical narrative: Infantile spasms onset 5/12/07. Vaccine given 4/10/07. Mom recorded video 1 day after shots and on review saw facial movements that were part of infantile spasms when fully expressed 1 mo later. Was Rx'd with IM ACTHAR and recovered fully. 12/13/08 MR received for DOS 5/22-24/07 with DX:  Infantile spasms.  Pt presented with abnormal movements of increasing frequency x % days. Mainly upper extremity myoclonic movements. Neuro exam WNL. Tx with Pyridoxine and d/c for out pt f/u.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Oedema peripheral
Clinical narrative: LUE swelling on evening of vaccines. Went to ER on 10/22/08. IV abx d/c'd home on Th 10/23/2008.  3/23/09 Received hospital medical records for 10/22-10/23/2008. FINAL DX: hypovolemic hyponatremia; symptomatic orthostasis; left arm vaccine site reaction; SIADH; DM; HTN; Parkinsonism. Records reveal patient experienced syncope, fatigue, UOP decreased, left arm swelling, warmth, redness & pain from Td & pneumo injection sites to midforearm x 1 day.  Improved w/IVF & antibiotics.  D/C to home on continued oral antibiotics w/PCP f/u of labs.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Cognitive disorder, Cough, Myalgia, Oropharyngeal pain, Sinus disorder
Clinical narrative: Less than 1/2 hour after injection loss of cognitive ability slept 4 hours better next day. After 1 week sore throat and sore muscles, cough, sinus problem 3 days still having symptoms.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, chills, achiness, exhausted diarrhea, 10/30/2008. Better on Tues. 11/4/08.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Convulsion, Electroencephalogram abnormal, Incontinence, Loss of consciousness, Stupor
Clinical narrative: Seizure lasting more than 5 min. with incontinence & loss of consciousness.  Stupor with return of consciousness.  Transported by ambulance to hospital, then to other hospital. 1/15/09-records received for DOS 11/1-11/3/08- DC DX: Seizure-like activity; viral infection with fever. Presented with seizure-like activities. Jerking movements, shaking all over, head jerking backwards, eyes rolled toward back of head. Urinated on self. Unresponsive throughout the 5 minute activity. Lethargic. Blood pressure increased, heart rate increased, temperature elevated.  Vomited, drowsy and tired. PE: eczema.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Balanitis, Hypoaesthesia facial, Hypoaesthesia oral, Rash, Swelling
Clinical narrative: Left cheek and left side of lower lip, numb, noticed pm of 10-11-08. Then noticed rash on waist and then lower back and groin area. Also swelling of penis foreskin for 2 days. Sunday 10-12-08 started noticing rash under arms. Swelling by left temple area on 10-14-08. Doctor visit on 10-15-08. Numbness on right cheek on the night of 10-14-08, this prompted me to call Doctor on the morning of 10-15-08. After exam in his office Doctor was fairly certain it was "Hives".
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Left cheek and left side of lower lip, numb, noticed pm of 10-11-08. Then noticed rash on waist and then lower back and groin area. Also swelling of penis foreskin for 2 days. Sunday 10-12-08 started noticing rash under arms. Swelling by left temple area on 10-14-08. Doctor visit on 10-15-08. Numbness on right cheek on the night of 10-14-08, this prompted me to call Doctor on the morning of 10-15-08. After exam in his office Doctor was fairly certain it was "Hives".
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Diarrhoea, Loss of consciousness, Nausea, Vomiting
Clinical narrative: 10/31/08 630 pm - diarrhea and nausea (all fine until then eating/drinking, sleeping all ok). Nausea increased, vomited 3x. Passed out, not sure for how long as alone. Vomited another couple times and again passed out; when this happened again she was home and husband took to ER. Give IV fluids and heart monitored. Received anti-seizure and anti-nausea meds.  3/3/09 MR received for DOS 10/31-11/1/2008 with D/C DX:  Neurocardiogenic syncope with prominent cardioinhibitory features.  Psoriatic arthritis.  Leukocytosis.  pt presented to ER after several episodes of syncope with nausea and vomiting. 1st episode pt was driving, became nauseous and passed out and fell while exiting the car. Awoke covering in emesis. 2nd episode was witnessed and pt vomited, became flaccid, lost consiousness and had circumoral and fingertip cyanosis. Loss of bladder control as well. PE (+) for contusion on R forehead otherwise WNL. Initially suspicious for seizure. One episode witness by neurologist w/o seizure activity. Systolic murmur noted by cardiologist. W/u for cardiomyopathy (-). No further w/u or tx at this time.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Dizziness, Dyspnoea, Heart rate increased, Nausea
Clinical narrative: Anaphylaxis: swelling, hives, BP decreased, heart rate increased, difficulty breathing, dizzy, nausea, vomiting, itching, faint. 12/23/08-records received-for DOs 10/30/08-DX-Allergic reaction. Anaphylaxis influenza vaccine. C/O flushed, vomiting, hives.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Swelling, Syncope, Urticaria, Vomiting
Clinical narrative: Anaphylaxis: swelling, hives, BP decreased, heart rate increased, difficulty breathing, dizzy, nausea, vomiting, itching, faint. 12/23/08-records received-for DOs 10/30/08-DX-Allergic reaction. Anaphylaxis influenza vaccine. C/O flushed, vomiting, hives.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, headache, vomiting, body aches, coughing.  12/30/08 MR received for DOS 11/14-17/2008 with D/C DX:  Fever, Vomiting with dehydration, Bronchitis, Bilateral OM, anemia. Pt presented with 4 day hx of fever, vomiting. Had been seen for cough 4 days prior and given Flumist.  PE (+) for TM infection, dry mouth and throat, rhonchi, tachycardia. Tx IV abx and nebs.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood glucose decreased, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Full blood count normal
Clinical narrative: Approx 2 min after admin of vaccines, mother of pt reported pt was "playing" & acting silly, then started to "shake all over".  Initially rhythmic jerking of arms & legs & flexion of neck & rapid respirations were observed for 15 seconds.  Approx 2-3 later, again had generalized jerking of arms & legs- lasted -1 min.  Pt was given BENADRYL 50mg IM in clinic & transported to hospital.  DC from hospital the next day.  Diagnosed with Convulsive syncope.  Had EEG as out pt on 11/13/08-normal negative CT screen at hospital.  Blood sugar in ambulance was 55. 1/26/09-records received for DOS 11/10-11/11/08-DC DX: Likely convulsive syncope can not rule out seizure due to hypoglycemia. Presetned after convulsive syncope following HPV and Hep A vaccine. Prior to event C/O feeling dizzy and flailing arms and legs with tonic/clonic movements with second episode accompanied by rapid respirations and unresponsive for several minutes and not oriented to time and place.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Heart rate increased, Metabolic function test normal, Respiratory rate increased, Syncope, Tremor
Clinical narrative: Approx 2 min after admin of vaccines, mother of pt reported pt was "playing" & acting silly, then started to "shake all over".  Initially rhythmic jerking of arms & legs & flexion of neck & rapid respirations were observed for 15 seconds.  Approx 2-3 later, again had generalized jerking of arms & legs- lasted -1 min.  Pt was given BENADRYL 50mg IM in clinic & transported to hospital.  DC from hospital the next day.  Diagnosed with Convulsive syncope.  Had EEG as out pt on 11/13/08-normal negative CT screen at hospital.  Blood sugar in ambulance was 55. 1/26/09-records received for DOS 11/10-11/11/08-DC DX: Likely convulsive syncope can not rule out seizure due to hypoglycemia. Presetned after convulsive syncope following HPV and Hep A vaccine. Prior to event C/O feeling dizzy and flailing arms and legs with tonic/clonic movements with second episode accompanied by rapid respirations and unresponsive for several minutes and not oriented to time and place.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood creatine phosphokinase, Blood urea, Chest pain, Chills, Culture
Clinical narrative: Patient rec'd pneumonia vaccine right deltoid on 11/13/08.  Patient reports that she began with chills and body aches that evening which then led to dry heaves.  By 11/15/08 patient presented to ER with CELLULITIS at injection site.  She was hospitalized overnight.  Pt developed chest pain also.  12/19/2008 MR received for DOS 11/16-17/2008 with DX: Right upper extremity cellulitis and chest pain. Pt presented with swelling and pain in Rarm. Pt also developed chest pressure and R arm discomfort. PE (+) for RUE erythema, warmth and tenderness and shingles rash present prior to vax. Tx with abx and Valtrex for shingles.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Full blood count, Glomerular filtration rate, Injection site cellulitis, Laboratory test, Pain
Clinical narrative: Patient rec'd pneumonia vaccine right deltoid on 11/13/08.  Patient reports that she began with chills and body aches that evening which then led to dry heaves.  By 11/15/08 patient presented to ER with CELLULITIS at injection site.  She was hospitalized overnight.  Pt developed chest pain also.  12/19/2008 MR received for DOS 11/16-17/2008 with DX: Right upper extremity cellulitis and chest pain. Pt presented with swelling and pain in Rarm. Pt also developed chest pressure and R arm discomfort. PE (+) for RUE erythema, warmth and tenderness and shingles rash present prior to vax. Tx with abx and Valtrex for shingles.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Retching, Troponin, Urine analysis
Clinical narrative: Patient rec'd pneumonia vaccine right deltoid on 11/13/08.  Patient reports that she began with chills and body aches that evening which then led to dry heaves.  By 11/15/08 patient presented to ER with CELLULITIS at injection site.  She was hospitalized overnight.  Pt developed chest pain also.  12/19/2008 MR received for DOS 11/16-17/2008 with DX: Right upper extremity cellulitis and chest pain. Pt presented with swelling and pain in Rarm. Pt also developed chest pressure and R arm discomfort. PE (+) for RUE erythema, warmth and tenderness and shingles rash present prior to vax. Tx with abx and Valtrex for shingles.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Amblyopia, Hypotonia, Motor dysfunction, Screaming, Speech disorder
Clinical narrative: 9.24.99 - Screaming unconsolably approx. 4-6 hrs after shots were administered.  Very floppy, very low muscle tone & severe overall delay in gross motor, fine motor, speech, Ambylopia.  Treated with therapy.  1/08/2009 MR received dated 8/4/99-7/2001. 2 month WCC 9/24/99 with URI sx x 1 week.  DX:  URI.  Vax given. TC from parent that afternoon for uncontrollable screaming. Tylenol rx. Next visit 10/5/99 for BOM. C/o decreased activity, more fussy. Bulging red TM noted. Tx abx. Noted to be allergic to Pertussis-useDT. Seborrhea dx 11/9/99. PE 12/6/99-healthy. Vax given 2/11/00. Returned 3/1/00-not acting himself, not eating well, sleep problems.PE WNL.  Assess:  Sleep problems.  Constipation. 9 mon check 4/25/00-not wanting to crawl or stand. Started wearing glasses 6/2000. Decreased tone noted 7/21/00. Assess:  Developmental delay ? r/t vision problems vs hypotonia.  1/25/01 Gross Motor delay/hypotonia. Referred to Neurology. 2 yr check 7/30/2001 -Assessment: Developmental delay, hypotonia, poor vision of unknown etiology.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Headache, Hypoaesthesia, Joint stiffness, Malaise
Clinical narrative: Swelling/redness from shoulder to elbow lasting approximately 48 hours, with joint stiffness and numbness/tingling in arm.  Also generalized malaise, headache, muscle ache, nausea, cramping, & generalized rash.  All symptoms recorded.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle spasms, Myalgia, Nausea, Oedema peripheral, Paraesthesia
Clinical narrative: Swelling/redness from shoulder to elbow lasting approximately 48 hours, with joint stiffness and numbness/tingling in arm.  Also generalized malaise, headache, muscle ache, nausea, cramping, & generalized rash.  All symptoms recorded.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Rash generalised
Clinical narrative: Swelling/redness from shoulder to elbow lasting approximately 48 hours, with joint stiffness and numbness/tingling in arm.  Also generalized malaise, headache, muscle ache, nausea, cramping, & generalized rash.  All symptoms recorded.
Age: 0.55
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Computerised tomogram normal, Full blood count, Scan brain, White blood cell count increased
Clinical narrative: Prolonged seizure at 5 AM the morning following administration of vaccines.   12/18/08 Received ER medical records of 11/12/2008. FINAL DX: status epilipticus Records reveal patient experienced general seizure x approx 10 min.  Tx w/meds & transferred to higher level of care.  1/20/09 Received hospital medical records of 11/12-11/13/2008. FINAL DX: complex febrile seizure Records reveal patient experienced generalized tonic-clonic seizures w/fever 101.5.  Tx w/meds & admitted to PICU.  Neuro consult obtained.  No further seizures overnight & d/c to home on no meds.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Similar reaction on previous exposure to drug, Tremor
Clinical narrative: I encountered patient casually 4 days post vaccination, and he recounted how he had fever and the "shakes" that evening after receiving the flu shot. He was ok the next day. He said, he had had a previous reaction such as this 2 years before, last year was ok. His consent had a "no" answer to the previous rx question. He did not call MD.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm swollen and erythematous, about 10 cm mid upper arm, including injection site. Mother reports swelling and redness much less over last 2 days.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Migraine
Clinical narrative: When patient was in for her 12 yr. WCC mom refuse HPV #2 due to "reaction" of severe migraine.  1st HPV was given on 10-17-07 & patient end up with migraine headache that night & ended up in ER- got meds.
Age: 5.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left arm red, irregular, & swollen.  Area is firm, slightly raised & warm to the touch.  Approximate size 3 finger breadths wide & long.  Mom will admin ADVIL or TYLENOL & apply ice as needed.
Age: 1.51
Sex: M
Vaccine: DTAP, FLUX, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 1. Red swelling induration 2" X 1" noted on right thigh.  2. Warm compress and observation. Right thigh lateral side red and swelling around DTap injection site, it is about 5 X 6cm with mild tenderness. Warm compress and observation
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Chest discomfort, Chills, Diarrhoea, Full blood count
Clinical narrative: Fever, chills, nausea, vomiting, diarrhea, chest tightness, pain at site of injection as well as alone injection arm & axulliary pain.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Liver function test, Metabolic function test, Nausea, Pyrexia
Clinical narrative: Fever, chills, nausea, vomiting, diarrhea, chest tightness, pain at site of injection as well as alone injection arm & axulliary pain.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Fever, chills, nausea, vomiting, diarrhea, chest tightness, pain at site of injection as well as alone injection arm & axulliary pain.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Meningitis viral
Clinical narrative: Flu shot given 11/12/2008, patient admitted to Hospital 11/13/2008 for viral meningitis, still there today. Via mother's report.  1/14/09 Reviewed hospital medical records of 11/13-11/15/2008 FINAL DX: Viral meningitis Records reveal patient experienced HA, photophobia, fever, abdominal pain & vomiting x 1 day.  Neuro consult & LP done.  Tx w/IV antibiotics, IVF & pain mgt.  Improved & d/c to home w/PCP f/u.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: ADACEL given 11/6/08. On 11/14/08 patient returned to office with Erythemia, swelling and warmth.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Hyperaesthesia, Pain, Skin warm, Swelling
Clinical narrative: Swollen, redness, hot, sensitive to touch and pain down front of arm, shoulder towards chest.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash
Clinical narrative: Pt states rash developed on trunk, arms & head itches since 1 day post receiving GARDASIL #1.  Rash is lessening but still has it.  Denies HA of fever.  Has not taken any rx.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Bone pain, Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 10-27-08 approx 9:00 pm severe Rt arm/neck pain 1st, complete skeletal pain-joint, long bone, muscle pain, no sleep. 10-28-08 am increased fever 101 deg to 102.7 deg TYLENOL, 2 tab every 3 hrs, arm pain with x2 swelling-severe redness Rt arm injection sites and shoulder to elbow. 10-29-08 temps increased 102 deg, began breaking 12:00 pm-2:00 pm decreased 98 deg and up nights with greater swelling and redness Rt arm with pain. Amoxicillin by physician cellulitis, begin 10-30-08 - 11/8/08 over all gradual complete 11/10
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Insomnia, Myalgia, Pain, Pyrexia
Clinical narrative: 10-27-08 approx 9:00 pm severe Rt arm/neck pain 1st, complete skeletal pain-joint, long bone, muscle pain, no sleep. 10-28-08 am increased fever 101 deg to 102.7 deg TYLENOL, 2 tab every 3 hrs, arm pain with x2 swelling-severe redness Rt arm injection sites and shoulder to elbow. 10-29-08 temps increased 102 deg, began breaking 12:00 pm-2:00 pm decreased 98 deg and up nights with greater swelling and redness Rt arm with pain. Amoxicillin by physician cellulitis, begin 10-30-08 - 11/8/08 over all gradual complete 11/10
Sex: M
Vaccine: DTAP, FLUN3, IPV
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Emergency Room Doctor from hospital called that patient had a febrile seizure. His temperature at the hospital was 100.7. No tests run.  1/16/09-records received for DOS 11/5/08-presented to ED with C/O single seizure just prior to arrival. Lost consciousness and was unresponsive, generalized motor activity observed. Fever 101.3. Tachycardic. Impression: Febrile seizure.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor, Pruritus
Clinical narrative: Symptoms occurred 1 hr after vaccine given. Diaphoretic, paleness, weakness including "legs giving out", dizziness, itching.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Apnoea, Blood culture, C-reactive protein increased, Cardiac monitoring, Full blood count normal
Clinical narrative: On 11/25/08 at 2017, infant with increasing number & severity of apneic episodes. On 11/26/08, apnea not responsive to vigorous stim, req'd resuscitation with PPV at 1215, 2005, 2125, & 11/27 at 0545. Was made NPO, septic work-up & antibiotics begun.  1/6/09 MR received for DOS 9/20-12/24/2008. Infant born 9/2008 at 26 weeks gestation with IUGR, twin c-sec delivery. Immediately to NICU. Received 1st vax 11/24/08 which increased episodes of apnea, O2 desaturations and bradycardia requiring PEEP. By 12/22/08 on RA with occ O2 for feeds.  Improved with theophylline by 12/24/08.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Oxygen saturation, Unresponsive to stimuli
Clinical narrative: On 11/25/08 at 2017, infant with increasing number & severity of apneic episodes. On 11/26/08, apnea not responsive to vigorous stim, req'd resuscitation with PPV at 1215, 2005, 2125, & 11/27 at 0545. Was made NPO, septic work-up & antibiotics begun.  1/6/09 MR received for DOS 9/20-12/24/2008. Infant born 9/2008 at 26 weeks gestation with IUGR, twin c-sec delivery. Immediately to NICU. Received 1st vax 11/24/08 which increased episodes of apnea, O2 desaturations and bradycardia requiring PEEP. By 12/22/08 on RA with occ O2 for feeds.  Improved with theophylline by 12/24/08.
Age: 56.0
Sex: U
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Electroencephalogram normal, Heart rate increased
Clinical narrative: Got flu shot 3pm 11/18/08.  8 hrs. later suddently became light headed, heart rate increased from 60 to 90, blood pressure from 125/75 to 200/95.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Collapse of lung, Fatigue, Mechanical ventilation
Clinical narrative: Fatigue, (R) lung collapse necessitating mechanical ventilation thought possibly due to Guillain-Barre Syndrome, although no LP done, MRI not conclusive. Still under investigation at hospital. 1/13/09-records received for DOS 11/5-12/20/08-DC DX: Pneumonia and pleural effusion. Neuromuscular disorder.  Presented with 3 week history of jerking movements as well as weakness of legs. Required mechanical ventilation. Video swallowing studies showed pooling of fluid in vallecula with incomplete emptying. TachycardicTreated with IVIG and plasmapheresis.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: Pre-syncope, tonic.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Nuclear magnetic resonance imaging brain abnormal, Spinal X-ray normal, Virus culture negative
Clinical narrative: Stomatitis, posterior lesion seen 10-20-08 in office. Symptomatic Rxment improved. Came in 10-31-08 for scheduled Flu immunization seen by nurse, well -> gave immunization: 3 days later ataxia, seen at ER. Admitted-MRI +ve ADEM, hospitalized 11 days. I.V. steroid, acyclovir.   12/16/08 MR received for DOS 11/4-15/2008 with DX:  ADEM. Pt presented with fever, decreased appetite, and ataxia.  PE (+) for a fussy, sick looking irritable pt. Mild dehydration and refusal to walk. Pustule noted on L buttock. No ataxia reported in initial H&P. Admitted to r/o encephalitis. Neuro consult with Dx: ADEM presents with ataxia, somnolence, irritability, R facial palsy, Babinski's sign and brisk DTRs. Tx with abx, steroids, IVIG with improvement.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Auricular swelling, Pharyngeal oedema, Tinnitus, Tinnitus
Clinical narrative: Swelling of throat and ears with severe tinnitus in left ear which was followed by tinnitus in right ear. The right is still "ringing" as of 11/13/08.  3/5/09 Received vaccine records & PCP medical records for 10/29/2008. FINAL DX: tinnitus Patient reported via phone call that he developed tinnitus same day as vaccine & then developed nasal/head congestion & chilld on 10/29.  No reaction to previous flu shots. No MD visit. 02/01/2010 Tinnitus especially bad in the right ear (in both ears).
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Brain neoplasm benign, Computerised tomogram, Convulsion, Electroencephalogram normal
Clinical narrative: 12/18/07 given 1st GARDASIL vaccine. 2/15/08 admitted to hospital with sudden onset lower extremity weakness unable to walk resolved w/in 24 hours. Neurological w/u revealed benign brain cyst & working diagnosis is seizure. Parents told by Neurologist could have been caused by GARDASIL.  2/27/09-records received presented to ED 2/14/08 with C/O 3 days of leg weakness and 1 episode of urinary incontinence at bedtime and mild CP. Occasional infrequent headaches. Impression: Benign brain cyst.  5/15/09 Medical records received DOS 2/15/08 to 12/11/08 FINAL DIAGNOSIS: Arachnoid cyst, seizure disorder Post vaccination: seizure. chest pain, unable to wake up, weak legs/arms, legs give way and falls, foot drop, numbness and tingling in feet, incontinant -waking up soaked, seizures, insect bite with rash under chin.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Muscular weakness, Neurological examination
Clinical narrative: 12/18/07 given 1st GARDASIL vaccine. 2/15/08 admitted to hospital with sudden onset lower extremity weakness unable to walk resolved w/in 24 hours. Neurological w/u revealed benign brain cyst & working diagnosis is seizure. Parents told by Neurologist could have been caused by GARDASIL.  2/27/09-records received presented to ED 2/14/08 with C/O 3 days of leg weakness and 1 episode of urinary incontinence at bedtime and mild CP. Occasional infrequent headaches. Impression: Benign brain cyst.  5/15/09 Medical records received DOS 2/15/08 to 12/11/08 FINAL DIAGNOSIS: Arachnoid cyst, seizure disorder Post vaccination: seizure. chest pain, unable to wake up, weak legs/arms, legs give way and falls, foot drop, numbness and tingling in feet, incontinant -waking up soaked, seizures, insect bite with rash under chin.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: After receiving flu shot about 3 days after had numbness on lunar side (pinky side ) of left hand.  Has remained the same.  Was out of country for 3 weeks & now still has the numbness & tingling in the left pinky.  Went to doctor.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Achy on day of injection then noted tingling burning from lateral aspect of scapula thru shoulder down (L) arm thru lateral aspect of elbow joint continuing down arm thru to pulmar side of hand- numbness and tingling- tried hot/cold compresses, Tylenol, aleu, Ibuprofen Repostan no relief.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Computerised tomogram, Nuclear magnetic resonance imaging, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: Tingling followed by pain in fingers of left hand followed by a lot of pain & swelling in left hand & arm.  Hand remained swollen especially at night & tends to quiet during the day-  less pain & swelling.  Gets severe at night a comes & goes several times during nite.  Seems to be getting better at ct less episodes at night but still under doctors care. Conts to have pain-under doctors care.
Age: 22.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus generalised, Rash
Clinical narrative: Generalized itching- small bumps on arms and chest advised pt to take Benadryl sx appeared at 8:45pm.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Pt received vaccine on 11/4 & called on 12/3 to report that his arm was continuing to feel tender & appeared to be swollen.  His MD has been notified.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Gait disturbance, Immediate post-injection reaction, Nausea, Pallor, Vomiting
Clinical narrative: Pt received GARDASIL #3 and within a five minutes became pale, limp, nauseous. Pt vomited twice, after lying down for about 20 minutes, recovered fully.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Surgery
Clinical narrative: Patient got flu + pneumonia vaccine in left arm 11/13/08.  Arm became red the following day and gradually worsened and became swollen.  Patient went to primary care physician who sent to hospital.  It was originally thought to be MRSA but was eventually determined to be Cellulitis.  Required surgical draining of tissue.  12/23/08 Reviewed hospital medical records of 11/15-11/16/2008. FINAL DX: Cellulitis  Records reveal patient experienced left arm redness, swelling & pain along w/nausea & fever day after receiveing both vaccines in left arm.  Saw PCP & tx w/oral antibiotics.  Condition worsened & admitted for IV antibiotics.  Taken to OR for exploration, I&D done.  Improved markedly s/p surgery & d/c to home on continued oral antibiotics.
Age: 7.0
Sex: F
Vaccine: DTP, HEP, IPV, MMR
Symptoms: Injection site dryness, Injection site mass, Injection site pain, Injection site pruritus, Injection site scar
Clinical narrative: Tender mass on left detoid, risk of bleeding, infection, discomfort.  Complete removal and scar formation, but after surgery it grew back in 3 months.  Itching and dryness and sting.  (KENOLOG injection) *came out right after the shot*.  2/24/09 MR received from derm dated 12/1/06-8/29/07.  Pt presented 12/1/06 for eval of firm tender keloidal mass on the L deltoid. Removed by excision with full thickness flap. Dx:  Keloid L deltoid. Seen for stitch removal and acne 12/15/06.  Keloid had recurred by 6/07. Tx steroid cream.
Age: 7.0
Sex: F
Vaccine: DTP, HEP, IPV, MMR
Symptoms: Laboratory test normal, Surgery
Clinical narrative: Tender mass on left detoid, risk of bleeding, infection, discomfort.  Complete removal and scar formation, but after surgery it grew back in 3 months.  Itching and dryness and sting.  (KENOLOG injection) *came out right after the shot*.  2/24/09 MR received from derm dated 12/1/06-8/29/07.  Pt presented 12/1/06 for eval of firm tender keloidal mass on the L deltoid. Removed by excision with full thickness flap. Dx:  Keloid L deltoid. Seen for stitch removal and acne 12/15/06.  Keloid had recurred by 6/07. Tx steroid cream.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Headache, Vomiting
Clinical narrative: Stomach pain, emesis, uncontrollable chills and headache. Temperature increased to 101.6 from normal over 2 hours despite TYLENOL.
Age: 53.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Pain, Tenderness
Clinical narrative: Pt got HAVRIX 9-30-08- called office 12-2-08 asking when to get booster as she still has very achy and sore arm at times. Is now improving - will call office if does not completely resolve.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Blood culture negative, Full blood count, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever to 104 7 TMNX fever started day of vaccines - 103 first night / 104 7 next night - referred to ER by our office - leg swelling and pain (L thigh)
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Myalgia, Pyrexia, Swelling
Clinical narrative: Redness, swelling, fever muscle ache developed 2hr after injection.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash on forearms- both arms - worse on arm vaccinated.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Pyrexia
Clinical narrative: Fever, dehydration 4% by wt.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Enema administration, Haematochezia, Intussusception, Vomiting
Clinical narrative: Intussusception. Pt had blood in stool & vomiting at 3AM. Pt came to office with blood in diaper after stool. Pt sent to hospital. Air contrast enema was given for reduction which was successful.  1/12/09 Reviewed hospital medical records of 11/11-11/12/2008. FINAL DX: Intussusception Records reveal patient experienced blood ini stool. Developed reduced oral intake & vomiting.  Admitted overnight for observation s/p enema reduction of IS.  Progressed well & d/c to home.
Age: 17.0
Sex: F
Vaccine: FLUX, MNQ
Symptoms: Chills, Headache, Influenza serology negative, Nausea, X-ray normal
Clinical narrative: 1 d. after received Influenza vaccine and MENACTRA, pt developed nausea/HA/chills. HA persisted for 1 week, "mild" and "nagging". seen 11/20/08. Discussed possibility of non-vaccine related causes. F/u planned. HA not resolved yet.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Cough, Pyrexia
Clinical narrative: Cough and fever 2 days after FLUZONE Imm.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Dizziness, Fatigue, Headache, Pain in extremity
Clinical narrative: Patient had fever, hot, chilled, headache, dizzy and fatigue. Arm pain 3 days after receiving GARDASIL.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: Patient had fever, hot, chilled, headache, dizzy and fatigue. Arm pain 3 days after receiving GARDASIL.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Dyskinesia, Electroencephalogram normal, Head titubation, Neurological examination, Ophthalmological examination normal
Clinical narrative: Within hours of vaccines, patient began with involuntary movements of head and lip smacking, back arching and jerking motions of arms. Temp 101.8. Admitted to hosp. to R/O seizure. Thought to be secondary to vaccines. 1/15/09-records received for DOS 11/8-11/10/08- DC DX:Involuntary jerking movement. Lip smacking. Presented to ED with intermittent jerking movements,head to left. Lip smacking. Temperature 101.8, irritability.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Opisthotonus, Tardive dyskinesia
Clinical narrative: Within hours of vaccines, patient began with involuntary movements of head and lip smacking, back arching and jerking motions of arms. Temp 101.8. Admitted to hosp. to R/O seizure. Thought to be secondary to vaccines. 1/15/09-records received for DOS 11/8-11/10/08- DC DX:Involuntary jerking movement. Lip smacking. Presented to ED with intermittent jerking movements,head to left. Lip smacking. Temperature 101.8, irritability.
Age: 41.0
Sex: M
Vaccine: FLUN3
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Urticaria pruritis and shortness of breath.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy
Clinical narrative: Bilateral facial paralysis. 1/16/2009 MR received for DOS 11/10-13/2008 with D/C DX: Guillain-Barre Syndrome. Pt presented to ER with 7 day hx of L eye burning, numbness of the face, facial palsy. Initially dx with Bell's Palsy by PCP. Pt developed taste alterations and facial swelling. PE (+) for bilateral facial nerve paralysis, slurred speech , decreased muscle strength shoulder area, slightly decreased DTRs. Started on steroids without progression of symptoms. D/C for outpt f/u. 11/4/09:  Medical Records and Discharge Summary for dates of service 11/10/08 to 11/13/08 received.  No new information.     11/4/09:  ICD 9 Codes received:  357.0, 344.9.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Pain, Pharyngeal oedema, Pyrexia, Streptococcal identification test negative
Clinical narrative: 2 hrs after vaccination developed body aches, 100 fever. Woke during night with feeling that throat was swelling. Was breathing normally. When woke in the morning, chest felt tight.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Persistent inconsolable crying lasting 3 hrs.
Age: 0.7
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, IPV, PNC
Symptoms: Cough, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, variable between 100.1 & 102.5 on the same day as shots, also runny nose cough.
Age: 62.0
Sex: F
Vaccine: FLU3, MMR, TD
Symptoms: Injection site induration
Clinical narrative: Induration, half dollar coin size at site of injection.
Age: 0.3
Sex: M
Vaccine: DTAPH, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: TRIHIBIT combo given before 15 months of age. No side effects reported.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Had hives over body.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Culture throat, Rash scarlatiniform, Streptococcal identification test negative
Clinical narrative: Patient developed a scarlatini form line rash after receiving five vaccines and eating gelatin almost simultaneously.  Rash occurred within 1 hour.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Fever, flu like illness 3 hrs after vaccination
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate normal, Pallor, Palpitations
Clinical narrative: Pt said he felt like his heart was racing. He looked pale, just after receiving the flu shot. He was asked to lay down. his pulse  and BP were checked  P62 - BP 136/70. He was alert and oriented. Rested awhile, sat up, sipped some water, sat and stood for awhile while been observed. Felt okay to go home.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure normal, Dizziness, No reaction on previous exposure to drug, Pain
Clinical narrative: 11/9 Dizziness and weakness 2 days after vaccination by 4pm on the 9th felt better. Experienced same symptoms plus light headedness & body aches on 11/11/08 x2hrs, then felt better, BP WNL 132/75 at home. HX of receiving flu shot in past w/ no RXNS.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itching developed 5 hrs after injection around site of TD.  Then, about 12 hrs. after injection pain started, and then 24 hrs. after injection redness, warmth, and swelling developed.  Local reaction suspected but cellulitis could not be ruled out so VEFLEX were given for 10 days.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient received shots 10/20/2008 woke up 10/21/2008 with, fever 101, dizzy, achy and sore arms fever lasted all day till approximately 8:30 pm. Treated with Benadryl and Tylenol as told by Hospital.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Amnesia, Blood glucose increased, Body temperature, Feeling hot, Heart rate normal
Clinical narrative: Patient felt like waves of heat came over her, all over body.  Could not feel her legs yet she could ambulate.  Numbness in hands and legs lasted 30 seconds.  Says vision blurry and has temporary memory loss for 10-60 seconds.  She had 8-10 episodes in 1 1/2 hours.  Temperature 98.2, Pulse 92, Blood Pressure 156/82, BG 210mg/dl.  Sent to ED.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Vision blurred
Clinical narrative: Patient felt like waves of heat came over her, all over body.  Could not feel her legs yet she could ambulate.  Numbness in hands and legs lasted 30 seconds.  Says vision blurry and has temporary memory loss for 10-60 seconds.  She had 8-10 episodes in 1 1/2 hours.  Temperature 98.2, Pulse 92, Blood Pressure 156/82, BG 210mg/dl.  Sent to ED.
Age: 47.0
Sex: M
Vaccine: HPV4
Symptoms: Wrong drug administered
Clinical narrative: MA gave pt GARDASIL when pt needed Tdap. Will have pt return for Tdap.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site urticaria
Clinical narrative: Hives around injection site - Treatment Benadryl prn.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Influenza, Nasal congestion, Ocular hyperaemia, Pyrexia
Clinical narrative: 4 hrs after flu shot - wheezing, coughing, red eyes. 9 hrs after flu shot - All symptoms of the flu including fever of 100.8 - stuffiness in nose and sinuses - restless night. 22 hrs after flu shot - no symptoms - back to normal health.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Restlessness, Wheezing
Clinical narrative: 4 hrs after flu shot - wheezing, coughing, red eyes. 9 hrs after flu shot - All symptoms of the flu including fever of 100.8 - stuffiness in nose and sinuses - restless night. 22 hrs after flu shot - no symptoms - back to normal health.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal stiffness, Oedema peripheral, Pain in extremity
Clinical narrative: Swelling, some pain, stiff can't move a lot. Left arm.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure normal, Dizziness, Dyspnoea, Headache, Oxygen saturation normal
Clinical narrative: Headache within 10 minutes of injection. Dizziness, developed SOB and was advised by EMS to go to hospital. C/O SOB at 7 pm - no other signs of allergy - EMS took to hosp.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Herpes zoster, Pain in extremity, Rash erythematous, Rash papular
Clinical narrative: Came in 11/4/08 @ 5pm to vote and show me his arm had usual mild pain from shot then on Mon 10/27 started to get red rash it seemed swollen. We was fishing for a few days so did nothing. Rash worsened- got blisters and down arm. (flexor surface mainly). One patch ^3" diameter on red base lesion coalesced and blisters flattened and look like white plaques now. Also has a patch 2" red papules. Referred to MD-ER staph or strep infection. ? shingles cellulitis. Don't feel related to flu shot.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Came in 11/4/08 @ 5pm to vote and show me his arm had usual mild pain from shot then on Mon 10/27 started to get red rash it seemed swollen. We was fishing for a few days so did nothing. Rash worsened- got blisters and down arm. (flexor surface mainly). One patch ^3" diameter on red base lesion coalesced and blisters flattened and look like white plaques now. Also has a patch 2" red papules. Referred to MD-ER staph or strep infection. ? shingles cellulitis. Don't feel related to flu shot.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Aphonia, Cough, Dyspnoea, Eye swelling, Nasal congestion
Clinical narrative: Started w/ coughing to clear throat losing voice some trouble getting a full breath. About an hour later started w/ body aches, sore throat fever, stuffed nose. Pale and swelling under eyes. Took Benadryl and Ibuprofen. Felt mostly better the next day.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain, Pallor, Pyrexia
Clinical narrative: Started w/ coughing to clear throat losing voice some trouble getting a full breath. About an hour later started w/ body aches, sore throat fever, stuffed nose. Pale and swelling under eyes. Took Benadryl and Ibuprofen. Felt mostly better the next day.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Dyspepsia, Swelling
Clinical narrative: Patient telephoned 12/3/08. Stated she'd had stomach pain, heartburn and swollen uterus.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Fatigue
Clinical narrative: Received flu vaccine 11-24-08; c/o fatigue, behavior changes begging 11-27-08 in AM that worsened until 11-30-08 in pm. C/O began to slightly improve beginning 12-1-08. Pt. has been afebrile entire time.
Age: 0.35
Sex: M
Vaccine: DTAPH, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: PENTACEL combo given before 15 months of age. No side effects reported
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Cold sweat, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Fatigue 12/1 3PM; dull headache 12/1 8PM - 12/2 4PM; Nausea 12/1 9PM, 12/2 1AM and 9AM. Felling faint 12/2 7AM worse 9AM - along with feeling clammy and sweaty
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea
Clinical narrative: Fatigue 12/1 3PM; dull headache 12/1 8PM - 12/2 4PM; Nausea 12/1 9PM, 12/2 1AM and 9AM. Felling faint 12/2 7AM worse 9AM - along with feeling clammy and sweaty
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Chest X-ray, Chest pain, Cough, Herpes zoster, Pneumonia
Clinical narrative: Twelve hrs after vaccines, had dry cough, 4 days later progressed to chest pain, seen at hospital, CXR showed pneumonia ; and shingles rash developed (L) abdomen. The day she was seen for pneumonia! Both diagnosed by doctor.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure increased, Dizziness, Visual impairment
Clinical narrative: Approx. 2 hrs after receiving vaccine, pt. reported c/o weakness, vision changes, and ligthheadedness. BP checked and 150/90's. Went to urgent care, BP rechecked 140/87, and was sent to ER. Started feeling better and BP decreased to 130/79, pt. sent home. Pt. reports having received flu shot in past without any problems or reactions.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: Administered FLUVIRIN five min later pt complained of tongue swelling and SOB. Administered Epi- Pen. Sx resolved called MD next day.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Headache, Tremor
Clinical narrative: For 3hrs pt c/o SOB, dizzy, sharp pains in head, shaking a lot. Sx went away when taking Clonazepam and COMBIVENT
Age: 1.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Convulsion, Crying, Loss of consciousness
Clinical narrative: Pt cried during vaccines, then pussed out right after.  Pt was kept in office for 20 min.  Nursing well and went home.  Around 6pm had a seizure lasting 15-20 sec.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody positive, Arthralgia, Autoimmune disorder, Connective tissue disorder, Double stranded DNA antibody
Clinical narrative: Nonspecific autoimmune/connective tissue disorder with joint pain, diagnosed after vaccine given.  3/9/09 Received Lupus consult medical records of 4/10/07-2/16/2009. FINAL DX: SLE; Raynaud phenonmenon; anticardiolipin antibodies; mild alopecia Records reveal patient experienced acute onset polyarthralgias in 10/06 3 days after HPV vaccine & lasted approx 4-6 wks.  Had been referred to Rheum.  Had scaly rash over elbows & knees.  Had recurrence of polyarthralgias, stiffness & ankle swelling 2/2008.  Had episode of vaginal ulcer x 1 in 4/2008 which was neg for herpes.  No history of oral herpes. 5/2008 found to have polyclonal gammopathy & started on plaquenil w/great improvement.  Had developed another vaginal sore thought to be psoriasis.  BCP & acne meds d/c 2/09 when found to have pathologic antibody & started on lose dose ASA.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Herpes zoster, Injection site erythema, Injection site rash, Injection site vesicles
Clinical narrative: Patient returned to clinic today with rash at varicella vaccine site. Left anterior thigh with patch of vesicles on red base.
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Swelling
Clinical narrative: Mom states - "The day after the flu shot he started to swell all over".  No respiratory distress or wheezing.  "Also developed a fine, red rash".  Mom gave Benadryl and went to ER.  Rash and swelling went away that same day.  Mom states she knows what hives look like and was not hives.
Sex: M
Vaccine: FLUX
Symptoms: Dehydration, Diarrhoea, Dizziness, Nausea, Vomiting
Clinical narrative: Diarrhea, dehydrated, nausea, vomit, dizzy.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: See attached info. provided by client.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Myalgia, Oedema peripheral, Oral pain, Oropharyngeal blistering, Pain in extremity
Clinical narrative: See attached info. provided by client.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Paraesthesia, Rash erythematous, Skin exfoliation, Stevens-Johnson syndrome, Weight increased
Clinical narrative: See attached info. provided by client.
Age: 7.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Dyspnoea, Pallor
Clinical narrative: Trouble breathing and pale. Patient has history of asthma is on XOPENEX and had URI(upper respiratory infection) and slight change prior to the VARIVAX.