chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Hypersomnia, Screaming, Staring, Vaccine positive rechallenge
Clinical narrative: Slept nearly nonstop x 24h, waking only for formula, then after 24h had 8 hours of alternately screaming, staring blankly and sleeping; repeated over and over then after 8h fell asleep and woke up acting normally. **Please note symptoms recurred but worse after vaccinated again at 4 mo.**.
Age: 0.33
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Abnormal behaviour, Crying, Emotional distress, Fatigue, Gaze palsy
Clinical narrative: 3 hours after vacc started having sleepiness, vacant staring, non-responsive, milk leaking from mouth, restless and waking every 2h then hyperactive panting. Hypotonic, limp, not reaching to play, head lolls, unhappy. Symptoms lasting 3 days with no improvement then mom did not call back or return phone call so do not know length of symptoms.
Age: 0.33
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Heart rate increased, Hypotonia, Irritability, Pallor, Psychomotor skills impaired
Clinical narrative: 3 hours after vacc started having sleepiness, vacant staring, non-responsive, milk leaking from mouth, restless and waking every 2h then hyperactive panting. Hypotonic, limp, not reaching to play, head lolls, unhappy. Symptoms lasting 3 days with no improvement then mom did not call back or return phone call so do not know length of symptoms.
Age: 0.33
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Respiratory rate increased, Unresponsive to stimuli
Clinical narrative: 3 hours after vacc started having sleepiness, vacant staring, non-responsive, milk leaking from mouth, restless and waking every 2h then hyperactive panting. Hypotonic, limp, not reaching to play, head lolls, unhappy. Symptoms lasting 3 days with no improvement then mom did not call back or return phone call so do not know length of symptoms.
Age: 0.33
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Abnormal behaviour, Depressed mood, Drooling, Hypotonia, Psychomotor hyperactivity
Clinical narrative: 3 hours after vacc started having sleepiness, vacant staring, non-responsive, milk leaking from mouth, restless and waking every 2h then hyperactive panting. Hypotonic, limp, not reaching to play, head lolls, unhappy. Symptoms lasting 3 days with no improvement then mom did not call back or return phone call so do not know length of symptoms.
Age: 0.33
Sex: F
Vaccine: DTAP, DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Respiratory rate increased, Restlessness, Somnolence, Staring, Unresponsive to stimuli
Clinical narrative: 3 hours after vacc started having sleepiness, vacant staring, non-responsive, milk leaking from mouth, restless and waking every 2h then hyperactive panting. Hypotonic, limp, not reaching to play, head lolls, unhappy. Symptoms lasting 3 days with no improvement then mom did not call back or return phone call so do not know length of symptoms.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood test, Decreased appetite, Dehydration, Dizziness, Electrocardiogram
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Muscular weakness, Myocardial infarction, Nausea, Urine analysis
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: X-ray
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Activities of daily living impaired, Body temperature increased, Cardiac enzymes increased, Decreased appetite, Echocardiogram abnormal
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Heart rate irregular, Influenza like illness, Malaise, Myocardial infarction
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Urinary tract infection
Clinical narrative: Information has been received from a male patient with a history of shingles in approximately March 2009 (reported as 1.5 year ago) who on approximately 03-SEP-2010 (reported as "3 weeks ago") was vaccinated with a dose of ZOSTAVAX (Merck).  On approximately 03-SEP-2010 evening (reported as "later that same day in the evening), he could not get out of bed to go to the bathroom, felt exhausted, and did not feel well.  The patient could not eat for 3 days.  He felt like "how one would feel if one had the flu".  The patient went to hospital and was there for 2 days.  He was seen by 6 different physicians of which 2 physicians said he had a silent heart attack and the other 4 physicians said he had a side effect reaction to ZOSTAVAX (Merck).  An unspecified cardiologist who saw him in the hospital told him that by the "amount of heart enzymes showing in the blood", he had a silent heart attack.  The patient did not have any chest pains.  The echocardiogram was not normal, it showed the heart beating irregular on the left side.  The patient once in the hospital was found to have a fever of 102.4F due to an urinary tract infection.  The patient was treated with amoxicillin for 2 weeks and recovered.  The patient saw an unspecified cardiologist on 23-SEP-2010 and the patient had an angiocardiogram scheduled for on 01-OCT-2010 to see what type if any type of heart damage occurred.  At the time of the report, the outcome for the events except urinary tract infection was unknown.  No further information is available.  The patient was hospitalized.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Condition aggravated, Dizziness, Tonic clonic movements, Vision blurred
Clinical narrative: 3-1-10 after administering vaccines pt was observed sweaty, pale and disoriented. Proceeded to transfer patient to the emergency room for medical evaluation. See progress notes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Disorientation, Hyperhidrosis, Pallor
Clinical narrative: 3-1-10 after administering vaccines pt was observed sweaty, pale and disoriented. Proceeded to transfer patient to the emergency room for medical evaluation. See progress notes.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blister, Erythema, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Initial report was received on 24 September 2010 from a consumer who is also the patient. An 80-year-old female patient with a past medical history of hypothyroid, MVP, osteoporosis, rebound hyperglycemia and multiple allergies, had received an intramuscular right deltoid injection of FLUZONE HIGH-DOSE, lot number U3603AA on 13 September 2010. On 14 September 2010, the patient had experienced a swollen tongue, swollen lips, blotches on her left arm, small blotches on both her legs and the skin on her right breast was reddened. She also stated she had a large red, itchy, warm to the touch and raised like "hives" blotches at the right deltoid in a "three by five area". The patient was examined by an allergist and was recommended corrective treatment of topical Cortisone and oral BENADRYL. No further information was available at the time of this report. The patient's outcome was reported as not recovered. Documents held by sender: none.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Initial report was received on 24 September 2010 from a consumer who is also the patient. An 80-year-old female patient with a past medical history of hypothyroid, MVP, osteoporosis, rebound hyperglycemia and multiple allergies, had received an intramuscular right deltoid injection of FLUZONE HIGH-DOSE, lot number U3603AA on 13 September 2010. On 14 September 2010, the patient had experienced a swollen tongue, swollen lips, blotches on her left arm, small blotches on both her legs and the skin on her right breast was reddened. She also stated she had a large red, itchy, warm to the touch and raised like "hives" blotches at the right deltoid in a "three by five area". The patient was examined by an allergist and was recommended corrective treatment of topical Cortisone and oral BENADRYL. No further information was available at the time of this report. The patient's outcome was reported as not recovered. Documents held by sender: none.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Initial report was received on 24 September 2010 from a consumer who is also the patient. An 80-year-old female patient with a past medical history of hypothyroid, MVP, osteoporosis, rebound hyperglycemia and multiple allergies, had received an intramuscular right deltoid injection of FLUZONE HIGH-DOSE, lot number U3603AA on 13 September 2010. On 14 September 2010, the patient had experienced a swollen tongue, swollen lips, blotches on her left arm, small blotches on both her legs and the skin on her right breast was reddened. She also stated she had a large red, itchy, warm to the touch and raised like "hives" blotches at the right deltoid in a "three by five area". The patient was examined by an allergist and was recommended corrective treatment of topical Cortisone and oral BENADRYL. No further information was available at the time of this report. The patient's outcome was reported as not recovered. Documents held by sender: none.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Lip swelling, Rash macular, Skin warm, Swollen tongue
Clinical narrative: Initial report was received on 24 September 2010 from a consumer who is also the patient. An 80-year-old female patient with a past medical history of hypothyroid, MVP, osteoporosis, rebound hyperglycemia and multiple allergies, had received an intramuscular right deltoid injection of FLUZONE HIGH-DOSE, lot number U3603AA on 13 September 2010. On 14 September 2010, the patient had experienced a swollen tongue, swollen lips, blotches on her left arm, small blotches on both her legs and the skin on her right breast was reddened. She also stated she had a large red, itchy, warm to the touch and raised like "hives" blotches at the right deltoid in a "three by five area". The patient was examined by an allergist and was recommended corrective treatment of topical Cortisone and oral BENADRYL. No further information was available at the time of this report. The patient's outcome was reported as not recovered. Documents held by sender: none.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Body temperature, Chest pain, Dyspnoea, Hypoaesthesia
Clinical narrative: Fingers and Toes went numb and tingling. Legs went weak. SOB. Chest Pain. Stomach upset but not nauseas.  Temperature.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Fingers and Toes went numb and tingling. Legs went weak. SOB. Chest Pain. Stomach upset but not nauseas.  Temperature.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injected limb mobility decreased, Injection site pain, Oedema peripheral, Pain in extremity
Clinical narrative: Received Tetanus shot, and arm hurt for first few days, mild soreness near site, no redness. Minimal swelling.  After that the pain increased, and went to doctors after two weeks.  DR. said she felt mild swelling, and to wait it out, taking Advil and using warm compresses.  Called after three weeks, again told to take Advil and apply warm compresses.  Was told that there is nothing that can be done, and that it will go away.  Now on week four, and pain is getting worse, more targeted, and hard to lift arm.  Have called Doctor and waiting to hear back.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: RASH GENERALIZED
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Eye discharge, Glossitis, Lacrimation increased
Clinical narrative: Rcv'd high dose flu at 1:30PM.  At 2:00PM c/o sore throat, at 4:00 PM c/o bilateral swollen glands and "raw underside of tongue", 7:30 PM bilateral bloodshot and watery eyes with thick white drainage, temp 99.9 with chills.  Please note, flu clinic was a drive thru flu clinic held outside.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Rcv'd high dose flu at 1:30PM.  At 2:00PM c/o sore throat, at 4:00 PM c/o bilateral swollen glands and "raw underside of tongue", 7:30 PM bilateral bloodshot and watery eyes with thick white drainage, temp 99.9 with chills.  Please note, flu clinic was a drive thru flu clinic held outside.
Age: 22.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Rash, Rash pruritic, Urticaria, Vaccination complication
Clinical narrative: States she woke up from a nap about 10:30 AM on 9/23 with a rash on her face, trunk, and upper legs. States "her mother thought it looked like "hives". No increase temp. Said the rash itched a little. Encouraged to see her doctor. Reported later when contacted in the afternoon that she had gone to "Prompt Care". She had been on an antibiotic for the last week. The doctor at Prompt Care stated she had a reaction to the TDAP. She received PREDNISONE and BENADRYL. 9/27 - Spoke to pt. and she said she was feeling much better and looking better.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Mammogram, Muscle spasms, Pregnancy test positive
Clinical narrative: Information has been received from a registered nurse (R.N), for GARDASIL, a Pregnancy Registry product, concerning a 25 year old female with sulfonamide allergy who on 24-JUN-2010 was vaccinated with a dose of GARDASIL (Lot number 665266/1378Y). Concomitant therapy included TRI-SPRINTEC. The nurse reported that the patient was pregnant when she received GARDASIL. On 24-JUN-2010, the patient took a home pregnancy test which was positive. Mammogram was performed "the last week", approximately in 01-JUL-2010, with no results provided. The patient sought unspecified medical attention. At the time of this report, the patient's outcome was unknown. Follow-up information has been received from a nurse who reported that on 07-AUG-2010 the patient experienced a spontaneous miscarriage. On 03-AUG-2010 the patient had a sonogram which revealed a positive fetal heartbeat but a "small sac". On 07-AUG-2010, the patient was evaluated at a local emergency room with cramping and vaginal bleeding. The diagnosis was miscarriage of the pregnancy. On 10-AUG-2010, the patient was seen in the office for a final visit and she was transferred to another unspecified practice. At the time of report, the patient's outcome was unknown. Upon internal review, miscarriage was considered to be an other important medical event. No further information is available.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound antenatal screen abnormal, Vaginal haemorrhage
Clinical narrative: Information has been received from a registered nurse (R.N), for GARDASIL, a Pregnancy Registry product, concerning a 25 year old female with sulfonamide allergy who on 24-JUN-2010 was vaccinated with a dose of GARDASIL (Lot number 665266/1378Y). Concomitant therapy included TRI-SPRINTEC. The nurse reported that the patient was pregnant when she received GARDASIL. On 24-JUN-2010, the patient took a home pregnancy test which was positive. Mammogram was performed "the last week", approximately in 01-JUL-2010, with no results provided. The patient sought unspecified medical attention. At the time of this report, the patient's outcome was unknown. Follow-up information has been received from a nurse who reported that on 07-AUG-2010 the patient experienced a spontaneous miscarriage. On 03-AUG-2010 the patient had a sonogram which revealed a positive fetal heartbeat but a "small sac". On 07-AUG-2010, the patient was evaluated at a local emergency room with cramping and vaginal bleeding. The diagnosis was miscarriage of the pregnancy. On 10-AUG-2010, the patient was seen in the office for a final visit and she was transferred to another unspecified practice. At the time of report, the patient's outcome was unknown. Upon internal review, miscarriage was considered to be an other important medical event. No further information is available.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Herpes zoster, Ligament rupture
Clinical narrative: Information has been received from an 82 year old male patient with "codeine allergy" and a history of knee operation who "2 year ago" was vaccinated with a dose of ZOSTAVAX (Merck) (SC, 0.65ml).  Concomitant therapy was reported as valacyclovir HC1 and acetaminophen/oxycodone hydrochloride and doxepin.  It was reported that the patient had pain under his ribs from his chest all the way to his back bone, and went to the emergency room on 06-AUG-2010, an EKG and a chest x-ray were performed and the results were good, so he was told that he had a strain muscle at the hospital.  Two days later, the same pain was there so he went back and from a rash pronounced with the Shingles at hospital on 08-AUG-2010.  On the 16th of August he was given some medicine that did not any good.  The medicine was Gabapentin (manufacturer unspecified).  On 01-SEP-2010, the patient went to see a dermatologist who prescribed him doxepin and valacyclovir HC1 (manufacturers unspecified).  The patient went to see a nurse practitioner on 02-SEP-2010, who game me a shot (name and manufacturer unspecified).  The patient had not recovered at time of report.  Follow up information has been received regarding an 82 year old male patient who "approximately 2 years ago" was vaccinated with a dose of ZOSTAVAX (Merck).  On 08-JUL-2010 (previously reported as 06-AUG-2010) he began experiencing severe pains in chest and spinal areas and went to ER and was diagnosed with a torn ligament.  Pt reported pain continued to be excruciating.  Pt reported that as a nurse was attempting to administer an EKG, the nurse noticed a rash on back area and rib.  ER doctor confirmed case of shingles (previously reported 08-AUG-2010).  The patient was given pain pills and advised to consult family doctor.  Family doctor confirmed diagnosis and gave Rx for gabapentin 100mg tid.  Pain did not subside.  The patient saw a dermatologist and was given oxycodone/APAP and a topical ointment 45gm prudoxine 5%.  Pain continued and it was recommended to consult Pain Management Clinic in hopes to block nerve endings.  Follow-up information has been received from a physician concerning a retired patient with unknown history of chicken pox, and no recent exposure to chicken pox or herpes zoster, who on 26-OCT-2007 (also reported as 26-AUG-2007) was vaccinated into his right arm with his first dose of ZOSTAVAX (Merck) (Lot # 658084/0888U).  The physician stated that on 06-AUG-2010 (previously reported on 08-AUG-2010) the patient developed herpes zoster into his right chest wall ( 8/10 with significant post herpetic neuralgia).  There was not a direct fluorescent antibody, no specimen was collected for PCR and no photos was taken of the lesion.  At the time of report, the patient had not recovered from the herpes zoster with significant post herpetic neuralgia.  Herpes Zoster with significant post herpetic neuralgia was considered to be disabling.  No further information is available.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Muscle strain, Pain, Post herpetic neuralgia, Rash, Skin lesion
Clinical narrative: Information has been received from an 82 year old male patient with "codeine allergy" and a history of knee operation who "2 year ago" was vaccinated with a dose of ZOSTAVAX (Merck) (SC, 0.65ml).  Concomitant therapy was reported as valacyclovir HC1 and acetaminophen/oxycodone hydrochloride and doxepin.  It was reported that the patient had pain under his ribs from his chest all the way to his back bone, and went to the emergency room on 06-AUG-2010, an EKG and a chest x-ray were performed and the results were good, so he was told that he had a strain muscle at the hospital.  Two days later, the same pain was there so he went back and from a rash pronounced with the Shingles at hospital on 08-AUG-2010.  On the 16th of August he was given some medicine that did not any good.  The medicine was Gabapentin (manufacturer unspecified).  On 01-SEP-2010, the patient went to see a dermatologist who prescribed him doxepin and valacyclovir HC1 (manufacturers unspecified).  The patient went to see a nurse practitioner on 02-SEP-2010, who game me a shot (name and manufacturer unspecified).  The patient had not recovered at time of report.  Follow up information has been received regarding an 82 year old male patient who "approximately 2 years ago" was vaccinated with a dose of ZOSTAVAX (Merck).  On 08-JUL-2010 (previously reported as 06-AUG-2010) he began experiencing severe pains in chest and spinal areas and went to ER and was diagnosed with a torn ligament.  Pt reported pain continued to be excruciating.  Pt reported that as a nurse was attempting to administer an EKG, the nurse noticed a rash on back area and rib.  ER doctor confirmed case of shingles (previously reported 08-AUG-2010).  The patient was given pain pills and advised to consult family doctor.  Family doctor confirmed diagnosis and gave Rx for gabapentin 100mg tid.  Pain did not subside.  The patient saw a dermatologist and was given oxycodone/APAP and a topical ointment 45gm prudoxine 5%.  Pain continued and it was recommended to consult Pain Management Clinic in hopes to block nerve endings.  Follow-up information has been received from a physician concerning a retired patient with unknown history of chicken pox, and no recent exposure to chicken pox or herpes zoster, who on 26-OCT-2007 (also reported as 26-AUG-2007) was vaccinated into his right arm with his first dose of ZOSTAVAX (Merck) (Lot # 658084/0888U).  The physician stated that on 06-AUG-2010 (previously reported on 08-AUG-2010) the patient developed herpes zoster into his right chest wall ( 8/10 with significant post herpetic neuralgia).  There was not a direct fluorescent antibody, no specimen was collected for PCR and no photos was taken of the lesion.  At the time of report, the patient had not recovered from the herpes zoster with significant post herpetic neuralgia.  Herpes Zoster with significant post herpetic neuralgia was considered to be disabling.  No further information is available.
Age: 78.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Ageusia, Anosmia, Arthralgia, Blood test normal, Renal pain
Clinical narrative: 9/23/10 - Received call - pt received H1N1 shot 11/21/09. 5 days later developed severe pain in all joints. Patient concern is whether of not she should receive the vaccine this year. Five days after vaccination patient developed severe joint pain all over her body. She lost the sense of smell and taste and developed severe kidney pain with a UTI. She states the symptoms lasted for months and the pain would come and go every 10 days. States she has seen several doctors, including infectious disease doctors, and they are unable to find anything. She is a kidney transplant recipient. Left kidney pain has abated after months and blood work is normal. Has been on numerous antibiotics. She also had diabetes and hypertension.
Age: 78.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Urinary tract infection
Clinical narrative: 9/23/10 - Received call - pt received H1N1 shot 11/21/09. 5 days later developed severe pain in all joints. Patient concern is whether of not she should receive the vaccine this year. Five days after vaccination patient developed severe joint pain all over her body. She lost the sense of smell and taste and developed severe kidney pain with a UTI. She states the symptoms lasted for months and the pain would come and go every 10 days. States she has seen several doctors, including infectious disease doctors, and they are unable to find anything. She is a kidney transplant recipient. Left kidney pain has abated after months and blood work is normal. Has been on numerous antibiotics. She also had diabetes and hypertension.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Vaccination site swelling
Clinical narrative: Patient reported red/swollen area at vaccination site. Family physician diagnosed cellulitis, prescribed antibiotic. Left arm, (ZOSTAVAX site).
Age: 1.07
Sex: M
Vaccine: FLU3, MMRV
Symptoms: Injection site rash
Clinical narrative: Developed rash at injection site approx. 1 1/2 weeks after injection given in (Lt) leg. Treatment plan was cold packs and topical BENADRYL.
Age: 12.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Chest pain, Nausea, Throat tightness
Clinical narrative: Nausea, chest pain, tightening of throat.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Half dollar size red, raised area around injection site.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Aphagia, Chills, Dizziness, Dysstasia, Erythema
Clinical narrative: Patient received the 2010-11 Flu vaccine at our pharmacy. That evening she became fatigued, had chills, a headache, nausea, and dizziness to the point where she could not stand. She could not eat simple soup. Her boyfriend nearly took her to the hospital because she couldn't stand up. The site of the injection was very swollen, warm to the touch and red. She was sick all weekend into Monday. She came in today, and her arm was still sore, red and somewhat swollen.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received the 2010-11 Flu vaccine at our pharmacy. That evening she became fatigued, had chills, a headache, nausea, and dizziness to the point where she could not stand. She could not eat simple soup. Her boyfriend nearly took her to the hospital because she couldn't stand up. The site of the injection was very swollen, warm to the touch and red. She was sick all weekend into Monday. She came in today, and her arm was still sore, red and somewhat swollen.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Patient received the 2010-11 Flu vaccine at our pharmacy. That evening she became fatigued, had chills, a headache, nausea, and dizziness to the point where she could not stand. She could not eat simple soup. Her boyfriend nearly took her to the hospital because she couldn't stand up. The site of the injection was very swollen, warm to the touch and red. She was sick all weekend into Monday. She came in today, and her arm was still sore, red and somewhat swollen.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Chills, Headache, Insomnia, Nausea
Clinical narrative: Patient reports chills the evening of receiving vaccines. She could not sleep. In the morning, chills are gone and she reports nausea and headache. No self-treatment measures taken.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: Pt passed out after receiving vaccines (likely vasovagal response/reaction).
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Hyperhidrosis, Pain in extremity
Clinical narrative: Pain in arm - Difficult breathing - Tightness in chest starting 1 week after injection.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: X-ray normal
Clinical narrative: Pain in arm - Difficult breathing - Tightness in chest starting 1 week after injection.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Screaming
Clinical narrative: Slept 3 hrs. after immunizations woke and screamed for 8 hrs. No temp, no redness or induration.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: See attached
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Full blood count normal, Headache, Injection site pain, Nausea
Clinical narrative: Arm pain at site of vaccine administration - headache, dizziness, nausea.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: CSF test normal, Computerised tomogram normal, Electroencephalogram, Partial seizures
Clinical narrative: Focal seizure without fever one day following MMR/VARIVAX. Admitted to hospital.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site urticaria
Clinical narrative: Local urticaria Rt arm near injection site.
Age: 52.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Pain
Clinical narrative: Local swelling, redness, tenderness at injection site with diffuse aches and fever 101. 1 day after shots in a.m. pt had extreme pain in (R) deltoid radiating down tricep under arm around to pec muscle. Pt states pain was gone by noon on 9/26/10 pt took TYLENOL 500-1000mg Q 6 hours for fever reducement.
Age: 52.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Local swelling, redness, tenderness at injection site with diffuse aches and fever 101. 1 day after shots in a.m. pt had extreme pain in (R) deltoid radiating down tricep under arm around to pec muscle. Pt states pain was gone by noon on 9/26/10 pt took TYLENOL 500-1000mg Q 6 hours for fever reducement.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Low-grade fever and Right arm red, hot and swollen from shoulder to elbow. Painful to touch.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse event, Blood pressure increased, Chest discomfort, Dry throat, Echocardiogram normal
Clinical narrative: Patient described that throat got really dry and that was not relieved by drinking water.  As she left work that night and was driving home she said that her chest got really tight.  She then went to the emergency room.  While at the emergency room she reported that her eyes became blood-shot.  Her blood pressure was taken at the ER and was "slightly elevated".  Doctors at the ER performed a ECHO and found nothing significant with the heart.  Also performed a strep test--not significant.  Doctors reported that her throat did look red and irritated.  Patient reports that she kept drinking water and that her dry throat was beginning to be relieved while she was still at the ER.  Doctors at the ER believe she had an adverse event.  She left the ER with a prescription for some antibiotic drops for her eyes.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pharyngeal erythema, Streptococcus test negative, Throat irritation
Clinical narrative: Patient described that throat got really dry and that was not relieved by drinking water.  As she left work that night and was driving home she said that her chest got really tight.  She then went to the emergency room.  While at the emergency room she reported that her eyes became blood-shot.  Her blood pressure was taken at the ER and was "slightly elevated".  Doctors at the ER performed a ECHO and found nothing significant with the heart.  Also performed a strep test--not significant.  Doctors reported that her throat did look red and irritated.  Patient reports that she kept drinking water and that her dry throat was beginning to be relieved while she was still at the ER.  Doctors at the ER believe she had an adverse event.  She left the ER with a prescription for some antibiotic drops for her eyes.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Diarrhoea, Viral infection, Vomiting
Clinical narrative: Massive diarrhea, weakness, some vomiting, couldn't keep fluids/food down, 72 hours duration.  Patient attributed symptoms to influenza vaccine, but was advised sx were likely due to another viral illness.
Age: 82.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Nausea, Skin laceration, Syncope
Clinical narrative: dizziness, weakness, nausea, fainted cut above eye
Age: 30.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fatigue and muscle soreness starting around 6 PM. Chills and vertigo started around 7 PM. Fever and severe headache around 8 PM. Symptoms persisted until next morning. 400 mg ibuprofen administered 2 AM, 9/30/2010 - fever broke soon after.
Age: 30.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Vertigo
Clinical narrative: Fatigue and muscle soreness starting around 6 PM. Chills and vertigo started around 7 PM. Fever and severe headache around 8 PM. Symptoms persisted until next morning. 400 mg ibuprofen administered 2 AM, 9/30/2010 - fever broke soon after.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pyrexia, Upper respiratory tract congestion
Clinical narrative: Fever Stuffiness in head Blood shot eyes
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pruritic, Rash vesicular
Clinical narrative: Rash on abd-back-arms-legs consisting of scattered tiny vesicles on red base.  No fever or other symptoms, minimal itch, no yellow crusts.
Age: 0.19
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RV5
Symptoms: Haematochezia, Mucous stools, Occult blood, White blood cells stool
Clinical narrative: Blood and mucous in multiple stools.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed white raised area and redness around site.  Measurements unknown as pt did not voice this until 9/29/2010.
Age: 40.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: REDNESS AND SWELLING TO LEFT UPPER ARM DURING.  ALLERGIES- PCN, CODEINE.  WAS PRESCRIBED LEVAQUIN 500MG X1 PO DAILY AND NAPROSYN 500MG X 1 PO BID.  NO DIFFUCULTY IN BREATHING.  SITE IS RED AND TENDER TO TOUCH.
Age: 80.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Incisional drainage, Joint range of motion decreased, Musculoskeletal pain, Swelling
Clinical narrative: Into ER with severe pain to shoulder in arm of Pneumovax.  Pain, swelling and limited range of motion.  Ortho saw patient opened shoulder to find purulent drainage.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever, Fatigue
Age: 10.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Fever of 102, extreme pain from knee to hip.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Developed small white raised bumps to injection site. Itching to injection site.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Constipation, Convulsion, Decreased eye contact, Feeding disorder neonatal, Foaming at mouth
Clinical narrative: Baby screamed for more than 24 hours, stopped sleeping, stopping breastfeeding on both sides and only made it through one side before starting to throw up, stopped pooping immediately after shot and had normally pooped 5-6 times a day, didn't poop again for 4 days and had to have a suppository to do it, rash on forehead, staring off into space, seizure like behaviors with body convulsing/foam at mouth, stopped breathing and turned purple, stopped making eye contact. After not pooping again, admitted to ICU after ER visit. Second round of not pooping again went on for 7 days and suppository came out whole twice. Went to a new pediatrician who put baby on cleansing system and special vitamins to get her system back up and running. Her nervous system and digestive system had shut down.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Gastrointestinal disorder, Infantile spitting up, Insomnia, Intensive care, Movement disorder
Clinical narrative: Baby screamed for more than 24 hours, stopped sleeping, stopping breastfeeding on both sides and only made it through one side before starting to throw up, stopped pooping immediately after shot and had normally pooped 5-6 times a day, didn't poop again for 4 days and had to have a suppository to do it, rash on forehead, staring off into space, seizure like behaviors with body convulsing/foam at mouth, stopped breathing and turned purple, stopped making eye contact. After not pooping again, admitted to ICU after ER visit. Second round of not pooping again went on for 7 days and suppository came out whole twice. Went to a new pediatrician who put baby on cleansing system and special vitamins to get her system back up and running. Her nervous system and digestive system had shut down.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Nervous system disorder, Rash, Respiratory arrest, Screaming, Skin discolouration
Clinical narrative: Baby screamed for more than 24 hours, stopped sleeping, stopping breastfeeding on both sides and only made it through one side before starting to throw up, stopped pooping immediately after shot and had normally pooped 5-6 times a day, didn't poop again for 4 days and had to have a suppository to do it, rash on forehead, staring off into space, seizure like behaviors with body convulsing/foam at mouth, stopped breathing and turned purple, stopped making eye contact. After not pooping again, admitted to ICU after ER visit. Second round of not pooping again went on for 7 days and suppository came out whole twice. Went to a new pediatrician who put baby on cleansing system and special vitamins to get her system back up and running. Her nervous system and digestive system had shut down.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Staring
Clinical narrative: Baby screamed for more than 24 hours, stopped sleeping, stopping breastfeeding on both sides and only made it through one side before starting to throw up, stopped pooping immediately after shot and had normally pooped 5-6 times a day, didn't poop again for 4 days and had to have a suppository to do it, rash on forehead, staring off into space, seizure like behaviors with body convulsing/foam at mouth, stopped breathing and turned purple, stopped making eye contact. After not pooping again, admitted to ICU after ER visit. Second round of not pooping again went on for 7 days and suppository came out whole twice. Went to a new pediatrician who put baby on cleansing system and special vitamins to get her system back up and running. Her nervous system and digestive system had shut down.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Flu vaccine administered 9/27/10 developed local tenderness, swelling and warmth at injection site within 48 hrs.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling, pruritus, tenderness/pain (L) deltoid.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Inflammation, Skin warm, Tenderness
Clinical narrative: Pt. received PNEUMOVAX vaccination on 9/27 & returned to us on 9/29. Pt's arm on inner side was red, inflamed, tender, & warm to touch. Pt. went to clinic & was diagnosed with cellulitis. AUGMENTIN and Ibuprofen was prescribed.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Given VARIVAX - 5 weeks later developed VARICELLA like rash.
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site erythema
Clinical narrative: 3x4" reddened area at site. IBUPROFEN PRN. Triamcinolone cream BID.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Eye pruritus, Myalgia, Oropharyngeal pain, Pain
Clinical narrative: Sore throat. At 9pm itchy eyes. On 9/24 morning red itchy eyes. Muscles ached badly until 9/28; painful to bend. No medication taken.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Eye pain, Eye pruritus, Eye swelling, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Sore throat right away. Eyes hurt red itchy eyes swelled nearly shut for 48 hours. No medication taken.
Age: 16.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Child received 3 vaccines on 9-28-10. Next day Mom reported that (L) upper arm had swelling and redness. Arm has about 8 cm x 8 cm indurated area which is red, swollen and warm to touch at site of VARIVAX SQ injection.
Age: 1.01
Sex: F
Vaccine: MMR, PNC13
Symptoms: Body temperature increased, Cough, Measles, Otitis media, Pyrexia
Clinical narrative: Pt received MMR on 9/10/2010, returned on 9/14/2010 with fever, tmax 102/8, diagnosed with otitis media and started on augmentin. Fever subsided after 1 day and she developed a rash on 9/21/2010 per the mother who brought the kid back to the office on 9/27/2010. That day baby had maculopapular rash over the body and koplik spots in the mouth and minimal cough that had started that day. Otherwise, baby was feeding well and active.