chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site warmth, Pain
Clinical narrative: Hard lump at insertion site, very warm to touch at site, red, itchy, very sore, unable to move arm without significant pain. Headache for 24 hours.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema, warmth measuring 6 x 6 cm at injection site.
Age: 58.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: Pruritus generalised, Respiratory tract congestion, Sneezing
Clinical narrative: Patient came in our pharmacy w/ Rx for 3 shots: Tdap; PNEUMOVAX & ZOSTAVAX. I gave him 3 shots approximately 12:30 pm today. Around 12:45 pm he reported some sneezing & congestion then itching all body approximately 12: 55 pm. Then at that time, I gave him 1 IM of BENADRYL (50 mg) at 1 pm.
Age: 28.0
Sex: F
Vaccine: FLU3, HEPA, IPV, TDAP, YF
Symptoms: Chills, Headache, Nausea, Vomiting
Clinical narrative: Headache, nausea, vomiting, chills, IV fluids, ZOFRAN IV.
Age: 20.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Otitis media, VIIth nerve paralysis
Clinical narrative: Patient was diagnosed with OM & Bell's palsy on 2/24/12 at ER.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Vomiting
Clinical narrative: Vomiting began immediately post vaccine administration and continued through the night.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Tremor
Clinical narrative: Information has been received from a health care professional, author of a literature article, concerning a 38-year-old woman who underwent a general health examination in 1987, in preparation for starting a job as a nurse. Because she had negative serum rubella titers, she received an MMR II (dose, route and lot number not reported). Soon after the vaccination, she developed nausea and left-sided slowness, weakness, and upper extremity tremor. Over the following months, she was evaluated by several neurologists who also noted rigidity and bradykinesia involving her left side. Brain magnetic resonance imaging (MRI) at the time and at present revealed scattered periventricular and deep T2/FLAIR hyperintensities in the bilateral thalami, internal capsule, and left cerebellar hemisphere, none of which enhance with gadolinium. These hyperintensities had neither enhanced nor changed in configuration on serial MRIs over 20 years, and were believed to be consistent with post-vaccination encephalomyelitis. In the year following her vaccination, her left upper extremity rest tremor worsened and she developed a parkinsonian gait. She was initially treated with amantadine, which helped her rest tremor. Soon afterwards, carbidopa/levodopa (manufacturer unknown) were added which further improved her tremor. Approximately five to seven years after starting carbidopa/levodopa (manufacturer unknown), she experienced wearing-off symptoms with prominent left-sided rigidity (WAES#1202USA03822) for which pramipexole was effective. She expressed interest in Deep brain stimulation (DBS) in 2005, but was not offered surgery due to her diagnosis of secondary parkinsonism. Her best "on" times tended to come in the mornings. During these times she felt loose and could walk with minimal assistance. This allowed her to work in the garden independently, an important aspect of her quality of life. During her "off" times she was completely dependent on her husband for all activities. She never had dyskinesias, hallucinations, depression, or cognitive complaints. Neuropsychological evaluation showed no dementia. Her MDS-UPDRS motor score was 79 off medications and 54 on medications, representing a 32% improvement with dopaminergic therapy. Her medications included carbidopa/levodopa (manufacturer unknown) 25/100, 2 pills given 5 times daily, pramipexole 1.5 mg four times daily, amantadine 100 mg three times daily, entacapone 200 mg three times daily, and oxybutynin 5 mg three times daily. The patient underwent bilateral STN DBS electrode placement followed a month later by implantation of a Kinetra stimulator and had no tremor or wearing-off symptoms once stimulation parameters were optimized. At six month follow-up, MDS-UPDRS motor scores were 63 off-medication/on-stimulation and 44 on-medication/on-stimulation. At one year follow-up, her MDS-UPDRS scores remained stable at 53 off-medication/on-stimulation and 45 on-medication/on-stimulation. LED was reduced by 57% at one year follow up. Additional information has been requested.
Age: 1.18
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Injection site urticaria, Vaccination site haematoma, Vaccination site swelling
Clinical narrative: Hives on leg, swelling where vaccine was given, bruising where vaccine administered.
Age: 67.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Electromyogram abnormal, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: 11/8/11 noted (L) foot slap, tingling, feet/hands. Admitted to hospital 11/10/11 with progressive weakness, numbness. Ultimately progressed to full paralysis, respiratory failure. EMG consistent with Guillain-Barre syndrome. Received IVIG and subsequent plasmapheresis. Ultimately received trach and transferred to rehab facility on 1/13/12.
Age: 67.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia, Paralysis, Peroneal nerve palsy, Plasmapheresis, Respiratory failure
Clinical narrative: 11/8/11 noted (L) foot slap, tingling, feet/hands. Admitted to hospital 11/10/11 with progressive weakness, numbness. Ultimately progressed to full paralysis, respiratory failure. EMG consistent with Guillain-Barre syndrome. Received IVIG and subsequent plasmapheresis. Ultimately received trach and transferred to rehab facility on 1/13/12.
Age: 67.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Tracheostomy
Clinical narrative: 11/8/11 noted (L) foot slap, tingling, feet/hands. Admitted to hospital 11/10/11 with progressive weakness, numbness. Ultimately progressed to full paralysis, respiratory failure. EMG consistent with Guillain-Barre syndrome. Received IVIG and subsequent plasmapheresis. Ultimately received trach and transferred to rehab facility on 1/13/12.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood creatinine increased, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm/shoulder is swollen, slightly warm to touch, and sore. Cool compress applied.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. got VZV #2 vaccination 2/29/12 & returned to office 3/2/12 to get PPD read & pt. mentioned her arm at site felt sore & was red/swollen. Dr. looked at site & concluded there was no evidence of infection & advised pt. to apply ice & call back if symptoms persist or worsen.
Age: 41.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Cellulitis, Erythema, Oedema, Pyrexia
Clinical narrative: Edema. Blisters. Erythema. Fever. Treated in ER 48 hours after injection. Diagnosis - cellulitis Rx Prednisone, KEFLEX.
Age: 5.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Heart rate increased, Pyrexia
Clinical narrative: Mother called to report that child developed fever and feeling of rapid heartbeat on 02-12-2012. She took child to Emergency Room on 2-12-2012. Child was evaluated and discharged. Child saw Dr. on 02-14-2012 for continued rapid heart rate. Child was referred to a cardiologist and has an appointment on 03-01-2012. Heart rate 131.
Age: 5.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Urine analysis
Clinical narrative: Mother called to report that child developed fever and feeling of rapid heartbeat on 02-12-2012. She took child to Emergency Room on 2-12-2012. Child was evaluated and discharged. Child saw Dr. on 02-14-2012 for continued rapid heart rate. Child was referred to a cardiologist and has an appointment on 03-01-2012. Heart rate 131.
Age: 18.0
Sex: U
Vaccine: HPV4
Symptoms: Blood electrolytes normal, Borrelia test negative, Confusional state, Electroencephalogram normal, Metabolic function test
Clinical narrative: GARDASIL #2 given 10/11/11, on 10/26/11, had episode awakening confused, abnormal speech x10 minutes, bloody tongue. EEG performed & was normal. 2/1/12, had 2nd episode. MRI normal, Lyme (-), electrolytes normal. Will get neuro consult.
Age: 18.0
Sex: U
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Speech disorder, Tongue haemorrhage
Clinical narrative: GARDASIL #2 given 10/11/11, on 10/26/11, had episode awakening confused, abnormal speech x10 minutes, bloody tongue. EEG performed & was normal. 2/1/12, had 2nd episode. MRI normal, Lyme (-), electrolytes normal. Will get neuro consult.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash generalised
Clinical narrative: Rash over body.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Anaphylactic reaction, Face oedema, Immediate post-injection reaction, Lip oedema, Pharyngeal oedema
Clinical narrative: Immediate anaphylaxis after varicella administration. Facial/pharynx/lip edema, urticaria to face and trunk, vomited x1. Epi 0.5cc SC, albuterol neb with Epi, DECADRON 8mg IM, DEPO MEDROL 80mg IM within 3 mins of vaccine administration. Oral steroid and antihistamines x7 days. Reported fever night after vaccine.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: Immediate anaphylaxis after varicella administration. Facial/pharynx/lip edema, urticaria to face and trunk, vomited x1. Epi 0.5cc SC, albuterol neb with Epi, DECADRON 8mg IM, DEPO MEDROL 80mg IM within 3 mins of vaccine administration. Oral steroid and antihistamines x7 days. Reported fever night after vaccine.
Age: 1.05
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Staring
Clinical narrative: Child began having a "staring off seizure". Parent called 911. Child began convulsing and was taken to hospital. Seizure continued on and off for over 1.5 hours. Three medications given before seizing stopped. CT scan and EEG done - everything normal. No sign that seizure was caused by anything else. Shot assumed.
Age: 0.54
Sex: M
Vaccine: DTAPIPV, HEP, HIBV, RVX
Symptoms: Crying, Middle insomnia, Poor quality sleep, Screaming
Clinical narrative: High pitched screaming despite Tylenol. Screaming lasted until he fell asleep and returned every time he woke up. He slept poorly, waking often throughout the night. It is now 815 AM the next day and the high pitched screaming is continuing. This is in a child who rarely cries.
Age: 47.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pain, Pruritus, Urticaria
Clinical narrative: Large wheal with erythema; continued to enlarge for several days. Painful initially. Eventually began to itch.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Lethargy
Clinical narrative: Lethargy.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site reaction
Clinical narrative: Severe Herpes Zoster infection following administration of Zostavax, in the same dermatome of the injection in an otherwise healthy person.
Age: 36.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria
Clinical narrative: Small hives over entire body. Solu-Medrol 125 mg IM given.
Age: 1.28
Sex: F
Vaccine: VARCEL
Symptoms: Flushing, Influenza virus test negative, Pyrexia, Rash generalised, Streptococcus test negative
Clinical narrative: High fever (102+), flushed skin, rash all over body.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Itchy Raised Rash entire body.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral, Pyrexia, Skin warm, Vomiting
Clinical narrative: Swelling of R arm, hot to the touch. Pt vomiting x 1, fever 101.1.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient came in on 3/1/12 reporting minor slight swelling and pain around injection site.  Today, 3/2/12, she returned and it has spread to about a 2-3 inch radius in swelling around injection site.  Patient has not taken any treatment.  Referred to physician.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: SYNCOPE.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain in extremity
Clinical narrative: Client reports that her right arm began to swell near the injection site, with redness and warmth in the area. Client denies fever. Client states her arm "hurt real bad".
Age: 47.0
Sex: F
Vaccine: FLU3, MEN, TD, TDAP
Symptoms: Biopsy skin, Bone pain, Granuloma annulare, Pruritus, Scar
Clinical narrative: Granuloma agullare, bone pain, scarring of skin, itching.
Age: 47.0
Sex: F
Vaccine: FLU3, MEN, TD, TDAP
Symptoms: Scar
Clinical narrative: Granuloma agullare, bone pain, scarring of skin, itching.
Age: 21.0
Sex: M
Vaccine: HEP, HPV4, HEP, HPV4
Symptoms: Abdominal pain upper, Haematology test, Headache, Laboratory test, Rash
Clinical narrative: Pt presented to ER with upper abd pain and diffuse rash, and mild headache. No fever, pulse oximetry 98%.
Age: 21.0
Sex: M
Vaccine: HEP, HPV4, HEP, HPV4
Symptoms: Urine analysis
Clinical narrative: Pt presented to ER with upper abd pain and diffuse rash, and mild headache. No fever, pulse oximetry 98%.
Age: 21.0
Sex: M
Vaccine: HEP, HPV4, HEP, HPV4
Symptoms: Abdominal pain upper, Headache, Rash generalised
Clinical narrative: Pt presented to ER with upper abd pain and diffuse rash, and mild headache. No fever, pulse oximetry 98%.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: 3/1/12 Employee seen for Tdap reaction. Induration and swelling from acromion process to elbow.  Erythema measures 30 cm x 28 cm, induration measures 13 cm x 14 cm. Temp 38.3, c/o Pain 7/10. No epitrochlear or axillary lymphedema. Regular s1s2, @ 80 BPM, BP 118/72, lung sounds CTA. Hep C positive, takes no daily meds. Currently being treated at a clinic. VAERS completed. Evaluated by ARNP.
Age: 30.0
Sex: F
Vaccine: HPV4
Symptoms: Blood calcium increased, Blood potassium increased, Blood test, Burning sensation, Confusional state
Clinical narrative: Woke all in sweat with two fingers numb on the right hand, all back in burning sensation, stood up from bed and went to the toilet, almost faded, was about to pass out for 40 min, had very strong nausea, started to feel burning sensation all over the body and tingling, especially on the face, head and back. Went to the emergency room, left leg felt numb, was having on and off nausea and burning sensation, felt dizzy and confused, around 4 pm in the ER started to feel burning tingling sensation very strong on chest and neck. My blood pressure was high for me. Doctors performed blood and urine tests, told me it looks like I have a virus, but overall said analysis are fine, sent me home at 12.00 AM next day. When I came home I started to have nausea and burning sensation again all over my body, couldn't sleep till 6 a.m, still have the same symptoms.
Age: 30.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Hypertension, Hypoaesthesia, Insomnia
Clinical narrative: Woke all in sweat with two fingers numb on the right hand, all back in burning sensation, stood up from bed and went to the toilet, almost faded, was about to pass out for 40 min, had very strong nausea, started to feel burning sensation all over the body and tingling, especially on the face, head and back. Went to the emergency room, left leg felt numb, was having on and off nausea and burning sensation, felt dizzy and confused, around 4 pm in the ER started to feel burning tingling sensation very strong on chest and neck. My blood pressure was high for me. Doctors performed blood and urine tests, told me it looks like I have a virus, but overall said analysis are fine, sent me home at 12.00 AM next day. When I came home I started to have nausea and burning sensation again all over my body, couldn't sleep till 6 a.m, still have the same symptoms.
Age: 30.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphocyte count decreased, Metabolic function test abnormal, Monocyte count decreased, Nausea, Paraesthesia
Clinical narrative: Woke all in sweat with two fingers numb on the right hand, all back in burning sensation, stood up from bed and went to the toilet, almost faded, was about to pass out for 40 min, had very strong nausea, started to feel burning sensation all over the body and tingling, especially on the face, head and back. Went to the emergency room, left leg felt numb, was having on and off nausea and burning sensation, felt dizzy and confused, around 4 pm in the ER started to feel burning tingling sensation very strong on chest and neck. My blood pressure was high for me. Doctors performed blood and urine tests, told me it looks like I have a virus, but overall said analysis are fine, sent me home at 12.00 AM next day. When I came home I started to have nausea and burning sensation again all over my body, couldn't sleep till 6 a.m, still have the same symptoms.
Age: 30.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Urine analysis, Viral infection, White blood cell count normal
Clinical narrative: Woke all in sweat with two fingers numb on the right hand, all back in burning sensation, stood up from bed and went to the toilet, almost faded, was about to pass out for 40 min, had very strong nausea, started to feel burning sensation all over the body and tingling, especially on the face, head and back. Went to the emergency room, left leg felt numb, was having on and off nausea and burning sensation, felt dizzy and confused, around 4 pm in the ER started to feel burning tingling sensation very strong on chest and neck. My blood pressure was high for me. Doctors performed blood and urine tests, told me it looks like I have a virus, but overall said analysis are fine, sent me home at 12.00 AM next day. When I came home I started to have nausea and burning sensation again all over my body, couldn't sleep till 6 a.m, still have the same symptoms.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Induration, Local swelling, Tenderness
Clinical narrative: Local swelling/tenderness/mild induration.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Blood immunoglobulin G increased, Fatigue, Guillain-Barre syndrome, Headache
Clinical narrative: Gradual onset fatigue< weakness and muscle pain. Severe headache on 1/17/12. Acute transverse myelitis on 1/19/12 with ascending paralysis.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Myalgia, Mycoplasma infection, Mycoplasma test positive, Myelitis transverse, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Gradual onset fatigue< weakness and muscle pain. Severe headache on 1/17/12. Acute transverse myelitis on 1/19/12 with ascending paralysis.
Age: 11.0
Sex: M
Vaccine: FLUN3, HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Student came back to Health office 2/2/2012 and showed right deltoid. Rt Deltoid swollen and red, warm to touch. Complained that site was itchy. Instructed student to put warm compress over site, also told student to have mom put warm compress at home as soon as he gets home from school.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Chills, Headache, Injection site mass, Pain
Clinical narrative: Large egg-sized mass on R deltoid. Whole body weakness, headache 6/10 sharp and intermittent, body aches and chills. No fever, cough or N/V.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Body temperature increased, Febrile convulsion, Gaze palsy, Tremor
Clinical narrative: Approximately 8 hours after vaccines given in clinic, patient developed right-sided arm shaking, eyes rolling in back of head, concern for seizure activity. EMS was called, patient evaluated at Emergency room. Diagnosed with febrile seizures (history of tactile temps at home to 105), but afebrile to 37.2 in our ER during his ED visit.  No further workup, discharged with diagnosis of "Febrile seizure".
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site discharge, Injection site erythema, Injection site pruritus, Injection site pustule, Injection site reaction
Clinical narrative: 10 days post smallpox vaccination (SPV) with multiple lesions around primary site on left arm.  Began about 7 days ago and have not changed much.  Feeling well.  She has some enlarged lymph nodes left axilla and redness around lesions.  Lesions are draining so that she changes the dressing bid.  Mild itching; no pain. No trauma fever, chills, chest pain, SOB.  No history of eczema, psoriasis or other skin disorder.  No history of any medical problems.  She has always been very healthy. 1. DERMATITIS DUE TO DRUGS AND MEDICINES GENERALIZED: Autoinoculation.  Appears very well.  12 pustules in the same stage on left deltoid.  Vary in size from eraser-size to 1/2 dime in a cluster 1 1/2 x 3 inches.  Tan--reports no change in color.  Mild erythema spreading 3 inches below and 1-2 inches on sides and top. Reviewed site care and need for extra caution with the excess drainage.  Good handwashing.  Medical reactive exemption for future SPV immunizations.  VAERS submitted.
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Lymphadenopathy, Skin lesion
Clinical narrative: 10 days post smallpox vaccination (SPV) with multiple lesions around primary site on left arm.  Began about 7 days ago and have not changed much.  Feeling well.  She has some enlarged lymph nodes left axilla and redness around lesions.  Lesions are draining so that she changes the dressing bid.  Mild itching; no pain. No trauma fever, chills, chest pain, SOB.  No history of eczema, psoriasis or other skin disorder.  No history of any medical problems.  She has always been very healthy. 1. DERMATITIS DUE TO DRUGS AND MEDICINES GENERALIZED: Autoinoculation.  Appears very well.  12 pustules in the same stage on left deltoid.  Vary in size from eraser-size to 1/2 dime in a cluster 1 1/2 x 3 inches.  Tan--reports no change in color.  Mild erythema spreading 3 inches below and 1-2 inches on sides and top. Reviewed site care and need for extra caution with the excess drainage.  Good handwashing.  Medical reactive exemption for future SPV immunizations.  VAERS submitted.
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Dermatitis, Injection site discharge, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 10 days post smallpox vaccination (SPV) with multiple lesions around primary site on left arm.  Began about 7 days ago and have not changed much.  Feeling well.  She has some enlarged lymph nodes left axilla and redness around lesions.  Lesions are draining so that she changes the dressing bid.  Mild itching; no pain. No trauma fever, chills, chest pain, SOB.  No history of eczema, psoriasis or other skin disorder.  No history of any medical problems.  She has always been very healthy. 1. DERMATITIS DUE TO DRUGS AND MEDICINES GENERALIZED: Autoinoculation.  Appears very well.  12 pustules in the same stage on left deltoid.  Vary in size from eraser-size to 1/2 dime in a cluster 1 1/2 x 3 inches.  Tan--reports no change in color.  Mild erythema spreading 3 inches below and 1-2 inches on sides and top. Reviewed site care and need for extra caution with the excess drainage.  Good handwashing.  Medical reactive exemption for future SPV immunizations.  VAERS submitted.
Age: 19.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site pustule, Injection site reaction, Lymphadenopathy, Post vaccination autoinoculation, Skin lesion
Clinical narrative: 10 days post smallpox vaccination (SPV) with multiple lesions around primary site on left arm.  Began about 7 days ago and have not changed much.  Feeling well.  She has some enlarged lymph nodes left axilla and redness around lesions.  Lesions are draining so that she changes the dressing bid.  Mild itching; no pain. No trauma fever, chills, chest pain, SOB.  No history of eczema, psoriasis or other skin disorder.  No history of any medical problems.  She has always been very healthy. 1. DERMATITIS DUE TO DRUGS AND MEDICINES GENERALIZED: Autoinoculation.  Appears very well.  12 pustules in the same stage on left deltoid.  Vary in size from eraser-size to 1/2 dime in a cluster 1 1/2 x 3 inches.  Tan--reports no change in color.  Mild erythema spreading 3 inches below and 1-2 inches on sides and top. Reviewed site care and need for extra caution with the excess drainage.  Good handwashing.  Medical reactive exemption for future SPV immunizations.  VAERS submitted.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Oropharyngeal pain, Sinus congestion
Clinical narrative: Clogged Sinuses, Sore Throat, Lack of Energy.
Age: 1.2
Sex: M
Vaccine: HEP, HEPA, HIBV, MMR, PPV
Symptoms: Vomiting
Clinical narrative: Throwing up everything he eats and drinks. This is the second time after shots that this has occurred.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy muscle, Blood test, Chromaturia, Mobility decreased, Muscular weakness
Clinical narrative: Muscle weakness unable to lift arm, brown urine.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Swelling face
Clinical narrative: Swelling of face and "rash" very close to eye.
Age: 50.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Feeling hot, Injection site reaction, Myalgia, Pyrexia, Rash erythematous
Clinical narrative: High fever, extremely painful muscular pain from administration site through to chest plate, large, hot red rash growing after 03/02/2012.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Induration, Neck pain, Pain in extremity
Clinical narrative: Vet indicated he went to the Emergency room where injection site was assessed and was given MOTRIN 600mg to take for pain every 6 hours as needed for pain and was instructed to use warm compress 20 minutes on and off. Vet denies any fevers, skin irritation or redness (although he is very dark skin color). He indicated that since he had the flu shot injection area became indurated and the pain started spreading up to his neck and back. Pain is not at injection site but at left supraclavicular area more on upper trapezius muscle.
Age: 1.03
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None. Normal exam.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Returned 24 hours later with 4 inch diameter red swollen area at injection site.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: 1 hr after immunization developed facial swelling and urticaria, progressing to widespread pruritus no dysphagia or respiratory distress - self-medicated with BENADRYL with some relief; seen 3/2/12 and placed on steroids. Follow up scheduled.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Full blood count, Injection site erythema
Clinical narrative: Moderate, to severe reaction to pneu. red - area - where shot was given. 4 x 5 cm on 3-1-2012. 5 x 6 cm on 3-2-12.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea, Oedema peripheral, Urticaria
Clinical narrative: Patient states she received flu shot from the clinic at an off-site location from employee health. Unable to tell from chart which vaccine she was given (or lot #, etc). This is a 36-year-old female with a history of multiple drug allergies. Yesterday morning she was given an injection of a flu shot into her left deltoid. She developed swelling and hives in her left upper extremity across her left chest. She was referred to hospital ER she was given pills of prednisone and sent home. When she went home she developed a cough difficulty breathing and chest tightness. She was not given IV SOLU-MEDROL and she states she has a severe allergy to BENADRYL. Allergy to BENADRYL in the past and her description sounds like anaphylaxis.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Erythema, Fatigue, Headache, Hypertension
Clinical narrative: About 45 min to 1 hour after shot, she had low grade fever & her hands were red, warm, & little tingly. Next morning, she had headache, sore throat & her BP was high. Two hour later, she was ok (only headache & tired).
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Paraesthesia, Pyrexia, Skin warm
Clinical narrative: About 45 min to 1 hour after shot, she had low grade fever & her hands were red, warm, & little tingly. Next morning, she had headache, sore throat & her BP was high. Two hour later, she was ok (only headache & tired).
Age: 1.27
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Day of vaccine swelling & redness at injection site the size of a dime. Next day became the size of a nickel to quarter. Two days after injection there is redness & swelling the size of a lemon on RVL. Warm to the touch. Pt does not want it to be touched.
Age: 40.0
Sex: F
Vaccine: HEPAB
Symptoms: Dizziness, Injection site pain, Nausea
Clinical narrative: Nauseated, light head, pain in arm (left) U arm.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Laboratory test, Pyrexia, Rash papular, Rash pruritic
Clinical narrative: Patient developed fever, 100 degrees, 2 days after flu vaccine; rash on feet, buttocks, mouth; raised, individual, itchy. Feet fiery red. Went to ER 2/17/12. Given prednisolone with BENADRYL x 5d. As of 3/1/12 feet peeling.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Skin exfoliation
Clinical narrative: Patient developed fever, 100 degrees, 2 days after flu vaccine; rash on feet, buttocks, mouth; raised, individual, itchy. Feet fiery red. Went to ER 2/17/12. Given prednisolone with BENADRYL x 5d. As of 3/1/12 feet peeling.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Crying, Eating disorder, Hypersomnia, Speech disorder
Clinical narrative: Not speaking > 1 word. Not eating. No fever or cough, just sleeping. Peed bed. Crying at 2AM. Sleeping all day.
Age: 32.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Blood test, Chest X-ray, Cough, Injection site haematoma, Injection site pain
Clinical narrative: Patient stated p.m. of 2-28-12 noticed grape size bruise like appearance with an increas in size on 2/29/12. Noted at injection site of varicella now swelling size of plum - with noted increased appearance itching/burning on 3-1-12 p. m. C/O scratchy throat now has sneezing and running nose -> noted slight cough d/t scratchy throat, fatigue. Has taken BENADRYL for itching reaction.
Age: 32.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site pruritus, Injection site swelling, Rhinorrhoea, Sneezing, Throat irritation
Clinical narrative: Patient stated p.m. of 2-28-12 noticed grape size bruise like appearance with an increas in size on 2/29/12. Noted at injection site of varicella now swelling size of plum - with noted increased appearance itching/burning on 3-1-12 p. m. C/O scratchy throat now has sneezing and running nose -> noted slight cough d/t scratchy throat, fatigue. Has taken BENADRYL for itching reaction.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Cardiac discomfort, Cardiac flutter, Chest pain, Cough
Clinical narrative: Tire very easy fatigue. Feel cold or chilled. Get winded very easy. Heart rate seems increase without much exertion. Left leg has discomfort when walking. Not able to walk as fast or as long. "Feel" my heart in my chest. One time experienced a pain in the jaw line and discomfort of the heart area. Experienced a 30 minute coughing* episode while feeling my heart flutter. *Cough was associated with loss of breathe it seemed. Feel slight pains in the chest area.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Feeling cold, Gait disturbance
Clinical narrative: Tire very easy fatigue. Feel cold or chilled. Get winded very easy. Heart rate seems increase without much exertion. Left leg has discomfort when walking. Not able to walk as fast or as long. "Feel" my heart in my chest. One time experienced a pain in the jaw line and discomfort of the heart area. Experienced a 30 minute coughing* episode while feeling my heart flutter. *Cough was associated with loss of breathe it seemed. Feel slight pains in the chest area.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Limb discomfort, Pain in jaw
Clinical narrative: Tire very easy fatigue. Feel cold or chilled. Get winded very easy. Heart rate seems increase without much exertion. Left leg has discomfort when walking. Not able to walk as fast or as long. "Feel" my heart in my chest. One time experienced a pain in the jaw line and discomfort of the heart area. Experienced a 30 minute coughing* episode while feeling my heart flutter. *Cough was associated with loss of breathe it seemed. Feel slight pains in the chest area.
Age: 65.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Activated partial thromboplastin time shortened, Aspiration pleural cavity, Chest X-ray abnormal, Coagulopathy, Computerised tomogram abnormal
Clinical narrative: Coagulopathy noted prior to scheduled thorocentesis. 02/16/10 syncope episode, GI bleed secondary to rupture of esophageal varices, INR increased to 2.4 swelling and hematoma beginning on left arm around vaccination site which grew over the course of approximately 5 days to entire arm, hand, shoulder and half of back. Left pleural effusion.
Age: 65.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Gastrointestinal haemorrhage, Haematocrit decreased, Haematoma, Haemoglobin decreased, Injection site reaction
Clinical narrative: Coagulopathy noted prior to scheduled thorocentesis. 02/16/10 syncope episode, GI bleed secondary to rupture of esophageal varices, INR increased to 2.4 swelling and hematoma beginning on left arm around vaccination site which grew over the course of approximately 5 days to entire arm, hand, shoulder and half of back. Left pleural effusion.
Age: 65.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: International normalised ratio increased, Oedema peripheral, Oesophageal varices haemorrhage, Packed red blood cell transfusion, Platelet count decreased
Clinical narrative: Coagulopathy noted prior to scheduled thorocentesis. 02/16/10 syncope episode, GI bleed secondary to rupture of esophageal varices, INR increased to 2.4 swelling and hematoma beginning on left arm around vaccination site which grew over the course of approximately 5 days to entire arm, hand, shoulder and half of back. Left pleural effusion.
Age: 65.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Platelet transfusion, Pleural effusion, Prothrombin time prolonged, Swelling, Syncope
Clinical narrative: Coagulopathy noted prior to scheduled thorocentesis. 02/16/10 syncope episode, GI bleed secondary to rupture of esophageal varices, INR increased to 2.4 swelling and hematoma beginning on left arm around vaccination site which grew over the course of approximately 5 days to entire arm, hand, shoulder and half of back. Left pleural effusion.
Age: 65.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Ultrasound scan abnormal, Vaccination site haematoma, Vaccination site swelling
Clinical narrative: Coagulopathy noted prior to scheduled thorocentesis. 02/16/10 syncope episode, GI bleed secondary to rupture of esophageal varices, INR increased to 2.4 swelling and hematoma beginning on left arm around vaccination site which grew over the course of approximately 5 days to entire arm, hand, shoulder and half of back. Left pleural effusion.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Biopsy skin normal, Injection site mass, Mass excision, Pain in extremity, Vaccination site discharge
Clinical narrative: Grew a lump at vaccination site (right arm). Fluid/pus discharge for first year (was told it was normal) and then lump hardened until excised recently. Biopsy was negative.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Vaccination site induration
Clinical narrative: Grew a lump at vaccination site (right arm). Fluid/pus discharge for first year (was told it was normal) and then lump hardened until excised recently. Biopsy was negative.
Age: 0.51
Sex: F
Vaccine: DTAPH, IPV, PNC
Symptoms: Irritability, Rash erythematous, Rash generalised
Clinical narrative: Patient was being fussier than usual and then I noticed what appeared to be bug bites, similar to mosquito bites, on her thighs.  There were maybe 10 on each leg.  I thought maybe something had bitten her while she was playing on the floor, so I picked her up, changed her, and put pants on her.  Then I noticed more were appearing on her arms, ankles, chin, and around her mouth.  There ended up being maybe 45 marks over her whole body.  They were red, slightly elevated spots.  I called the pediatrician's office, and they denied that it was a result of the vaccinations, but she had not had any new foods, detergents, etc. that could have triggered a reaction like this.  The nurse told me to put Hydrocortisone cream on her, and I did.  They were still visible the next day (03/02/2012), but as of today (03/03/2012), they appear to be gone.
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abdominal discomfort, Chills, Feeling abnormal, Injection site reaction, Nausea
Clinical narrative: Achy, sore and radiating pain in arm. Shivering and shakes. She felt like she had a fever, but did not take her temp. Currently no fever. Had blotchy area around injection site. She also developed some nausea - upset stomach. She described the pain as severe. Felt horrible. Improving now. Blotchy area like a rash.
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pain in extremity, Pyrexia, Rash macular, Tremor
Clinical narrative: Achy, sore and radiating pain in arm. Shivering and shakes. She felt like she had a fever, but did not take her temp. Currently no fever. Had blotchy area around injection site. She also developed some nausea - upset stomach. She described the pain as severe. Felt horrible. Improving now. Blotchy area like a rash.
Age: 39.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Influenza like illness, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pt. developed fever and chills. Myalgias, severe pain and swelling in arm at injection site. Feels like he has the flu. Never had a reaction like this before following vaccinations. Painful to move arm.
Age: 39.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Pt. developed fever and chills. Myalgias, severe pain and swelling in arm at injection site. Feels like he has the flu. Never had a reaction like this before following vaccinations. Painful to move arm.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling (size of a softball) & itching at injection site.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Onset of pain in the opposite arm (right arm) from the injection site, where I had pain from singles that I had some 7 years ago.  Scale of pain is like having shingles again, (8 out of 10).  No blisters present to date with this episode.
Age: 11.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Initially a small area of redness and warmth developed over the injection site. Within a few areas, the area grew in size to 10 x 9.5 cm with induration, warmth, and redness.  Minimal pain at site but pruruitic.  Applied ice, ibuprofen with increased redness at 36 hours past vaccine.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Angioedema, Burning sensation, Laboratory test, Pruritus
Clinical narrative: Burning in upper extremities and torso and back. Never directly at injection site 1 hr to 2 hrs after injection. Later at night time 3-4AM severe itching with hives that would go away at about 6 AM. The above reaction went on until 02/24. The reaction became more severe with angioedema & anaphylactic progressing quickly. When my tongue started to swell up and felt throat tightened up took BENADRYL 50 mg and 25 mg every 6 hrs plus MOTRIN. The welts and the itching continued all day all night now. Reported the reaction to the institution. The Nurse refused to believe that the adverse reaction is from the flu vaccine. However the infectious control personnel took me to the ER for treatment.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Throat tightness, Urticaria
Clinical narrative: Burning in upper extremities and torso and back. Never directly at injection site 1 hr to 2 hrs after injection. Later at night time 3-4AM severe itching with hives that would go away at about 6 AM. The above reaction went on until 02/24. The reaction became more severe with angioedema & anaphylactic progressing quickly. When my tongue started to swell up and felt throat tightened up took BENADRYL 50 mg and 25 mg every 6 hrs plus MOTRIN. The welts and the itching continued all day all night now. Reported the reaction to the institution. The Nurse refused to believe that the adverse reaction is from the flu vaccine. However the infectious control personnel took me to the ER for treatment.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Body temperature decreased, Cold sweat, Crying, Fatigue, Lethargy
Clinical narrative: Fever of 102, gave baby Tylenol (1 time at night, 1 time in morning), fever continued around 100 degrees until the following afternoon, baby was lethargic at times.  Fever broke that afternoon, baby had some sleep disruption that night.  The following evening baby had a sudden drop in temperature to 96.8, began crying inconsolably and broke into cold sweats.  Mother held her against her bare skin and covered baby with several dry blankets.  Baby passed out (fell asleep from exhaustion) while crying at 10pm.  Mother held and warmed baby all night. Cold sweats continued as baby slept.   In the morning baby's temperature was 98.1 and seemed better.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Loss of consciousness, Pyrexia, Sleep disorder
Clinical narrative: Fever of 102, gave baby Tylenol (1 time at night, 1 time in morning), fever continued around 100 degrees until the following afternoon, baby was lethargic at times.  Fever broke that afternoon, baby had some sleep disruption that night.  The following evening baby had a sudden drop in temperature to 96.8, began crying inconsolably and broke into cold sweats.  Mother held her against her bare skin and covered baby with several dry blankets.  Baby passed out (fell asleep from exhaustion) while crying at 10pm.  Mother held and warmed baby all night. Cold sweats continued as baby slept.   In the morning baby's temperature was 98.1 and seemed better.
Age: 44.0
Sex: M
Vaccine: FLU3, HEPAB
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: AT OR ABOUT 11:30 AM ON 04 MAR 12. PATIENT WAS ADMINISTERED THE INFLUENZA VACCINE INCORRECTLY. ROUTE INDICATED INTRAMUSCULAR, ROUTE ADMINSTERED NASAL. PATIENT OBSERVED BY MEDICAL PROVIDER. NO ADVERSE REACTION.
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After vaccine was administered, I felt light-headed and passed out.  Other medical people responded and I am convinced their quick action saved my life.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Fatigue, Irritability, Pyrexia
Clinical narrative: 99-101 F fever, general fussiness and fatigue.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Blister, Pain
Clinical narrative: Rapid development of blisters on both legs from toes to groin.  Severe pain.  Admitted to the hospital by 08/27/2011.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Pain in same shoulder as vaccination, which was administered high on the deltoid. Pain increased daily.  Steroid injection done on 11/09/2011.  Physical therapy 11/23/2011 for 4 weeks.   Pain continues to this day.
Age: 1.35
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Crying, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling redness soreness the size of a half dollar at injection site cried for 20 minutes straight in the middle of the night for 2+ days fever of 101 for 2 days.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abdominal pain, Back pain, Burning sensation, Lumbar puncture abnormal, Myelitis transverse
Clinical narrative: App. 8 am 2/24/12 pain & burning down left leg progressed to lwr. back & abdomen. In 3 days progressed to complete paralysis from upr waist down.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis
Clinical narrative: App. 8 am 2/24/12 pain & burning down left leg progressed to lwr. back & abdomen. In 3 days progressed to complete paralysis from upr waist down.
Age: 20.0
Sex: M
Vaccine: JEV1, SMALL, HEPAB, JEV1, SMALL, TYP
Symptoms: Axillary mass, Chest pain, Encephalitis, Encephalomyelitis, Headache
Clinical narrative: The following information was received via VAERS download on 20 Feb 2012. A 20-year old male received IXIARO (batch-no. JEV10656F [incorrect batch number; most likely JEV10G56F]) i.m. on 05 Oct 2011. Concomitant medication included smallpox vaccination on an unspecified date. On 13 Nov 2011 vaccinee developed lump in axilla, chest pain, photophobia, vomiting, nausea, headache. Lab data indicated encephalitis or encephalomyelitis due to smallpox vaccine. In addition, the database included pneumothorax as an adverse event term. Vaccinee was hospitalized for five days and recovered.
Age: 20.0
Sex: M
Vaccine: JEV1, SMALL, HEPAB, JEV1, SMALL, TYP
Symptoms: Laboratory test abnormal, Nausea, Photophobia, Pneumothorax, Vomiting
Clinical narrative: The following information was received via VAERS download on 20 Feb 2012. A 20-year old male received IXIARO (batch-no. JEV10656F [incorrect batch number; most likely JEV10G56F]) i.m. on 05 Oct 2011. Concomitant medication included smallpox vaccination on an unspecified date. On 13 Nov 2011 vaccinee developed lump in axilla, chest pain, photophobia, vomiting, nausea, headache. Lab data indicated encephalitis or encephalomyelitis due to smallpox vaccine. In addition, the database included pneumothorax as an adverse event term. Vaccinee was hospitalized for five days and recovered.
Age: 20.0
Sex: M
Vaccine: JEV1, SMALL, HEPAB, JEV1, SMALL, TYP
Symptoms: Nausea, Photophobia, Vomiting
Clinical narrative: The following information was received via VAERS download on 20 Feb 2012. A 20-year old male received IXIARO (batch-no. JEV10656F [incorrect batch number; most likely JEV10G56F]) i.m. on 05 Oct 2011. Concomitant medication included smallpox vaccination on an unspecified date. On 13 Nov 2011 vaccinee developed lump in axilla, chest pain, photophobia, vomiting, nausea, headache. Lab data indicated encephalitis or encephalomyelitis due to smallpox vaccine. In addition, the database included pneumothorax as an adverse event term. Vaccinee was hospitalized for five days and recovered.