chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: HEPAB, MNQ
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Pyrexia, Upper respiratory tract congestion
Clinical narrative: Within about 3-4 hours I had a tight chest and nagging cough when I took a deep breath.  Little dizzy on day 2 and blood spot in my eye (never had that happen before, but I kind of assumed it was related to just coughing at night) and cough got a little worse, but still went for a bike ride, so it wasn't that bad and I assumed it was normal.  By Sunday morning I was definitely sick, felt feverish periodically during the day, and slept most of the day.  Coughing and sore throat. Still a little dizzy and congested today (Monday) with stiff neck and muscles, Monday morning (now). Waiting to start Typhoid oral until I feel better. Just filling this out for the record.  I don't imagine this is a big deal, but will call doctor tomorrow if I'm not feeling better.  I haven't had a cold or flu for almost a year, which is a long time for me so maybe it's just a coincidence that I finally got sick the same time as the vaccines.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Blister, Oedema, Rash, Rash generalised, Swelling face
Clinical narrative: MMR given 4/07/09- she developed a rash on trunk 6 days later on 4/13/09-it was scattered over her upper trunk area- she called Employee Health on 4/17/09 stating the rash was transient and would come and go over different areas of her body- but was concentrated on trunk.  She described the rash as raised blister like without drainage.  She saw PCP on 4/17/09- was treated with zyrtec, prednisone and zantac.  4/29/09 continued to have symptoms-rash scattered over body- PCP felt she may be infectious- was held out of work until 05/05/09- when the hives cleared up and she came back to work.6/11/09 states hives came back - today mostly on legs- a few scattered over the abd. Saw allergist earlier in the week- taken off her meds- for allergy testing which was neg.  6/17/09 developed facial swelling and edema in mouth and throat- was admitted to hospital -started on high dose steroids and Plaquenil and diagnosed with vasculitis.  Is to be seen by Rhumatolgist. 6/22/09- denies any hives or itching.  7/30/09 Hospital records received DOS 6/17/09 6/19/09. Assessment: Urticarial vasculitis, viral induced vs underlying SLE. Angioedema, pruritis, hyponatremia and hyperglycemia. Patient presented with rash causing facial swelling and swelling of the lips, tongue and throat.  ICD-9 Codes: 708.9  995.1  287.0  276.1  E928.9  790.29  V58.69
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria, Vasculitis
Clinical narrative: MMR given 4/07/09- she developed a rash on trunk 6 days later on 4/13/09-it was scattered over her upper trunk area- she called Employee Health on 4/17/09 stating the rash was transient and would come and go over different areas of her body- but was concentrated on trunk.  She described the rash as raised blister like without drainage.  She saw PCP on 4/17/09- was treated with zyrtec, prednisone and zantac.  4/29/09 continued to have symptoms-rash scattered over body- PCP felt she may be infectious- was held out of work until 05/05/09- when the hives cleared up and she came back to work.6/11/09 states hives came back - today mostly on legs- a few scattered over the abd. Saw allergist earlier in the week- taken off her meds- for allergy testing which was neg.  6/17/09 developed facial swelling and edema in mouth and throat- was admitted to hospital -started on high dose steroids and Plaquenil and diagnosed with vasculitis.  Is to be seen by Rhumatolgist. 6/22/09- denies any hives or itching.  7/30/09 Hospital records received DOS 6/17/09 6/19/09. Assessment: Urticarial vasculitis, viral induced vs underlying SLE. Angioedema, pruritis, hyponatremia and hyperglycemia. Patient presented with rash causing facial swelling and swelling of the lips, tongue and throat.  ICD-9 Codes: 708.9  995.1  287.0  276.1  E928.9  790.29  V58.69
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Skin warm, Testicular swelling
Clinical narrative: Large area (from knee to buttock) of redness and swelling.  Warm to touch.  Starte >36 hours after injection
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Head injury, Pallor
Clinical narrative: child received HPV and had fingerstick for hemoglobin.  left exam room and was sitting alone in conference room began to feel light headed and was heard to hit her head on desk.  She had not eaten breakfast.  Child was kept on the floor and given oxygen and felt better.  She again sat up and shortly afterwards became pale and light headed again and was laid down on the floor.  She was sent to the ER for further evaluation and management since head trauma was unwitnessed
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: ON 6-17-2009, ONE DAY AFTER RECIEVING DTAP, MOTHER REPORTED MODERATE TO LARGE AMT. OF SWELLING AT INJECTION SITE. REDNESS, WARMTH, AND SWELLING FROM TOP OF ACRONIAN PROCESS EXTENDING TO THE ELBOW. TEMP 99.3. INSTRUCTED TO MONITOR AND REPORT TEMP GREATER THAN 100, DARKNESS OF ARM INCREASE SWELLING NUMBNESS OR TINGLING.
Sex: M
Vaccine: HEPA
Symptoms: Headache, Pyrexia
Clinical narrative: Fever 103 & throbbing headache
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Local tenderness and swelling over posterior aspect of left upper arm on 5/28/09 @16:53. Treatment: Ice to area 3-4 times daily, Medrol dose pack, Follow up with Employee Health on 05-30-09.
Age: 17.0
Sex: M
Vaccine: TYP, YF
Symptoms: Chills, Tremor
Clinical narrative: Mother notified office approx 45 minutes to 1 hour after vaccination that patient was having chills and was shaking.  Denies pain in arm.  Instructed mom to notify pediatrician who was ordering physician.
Age: 79.0
Sex: U
Vaccine: PNC
Symptoms: Chronic obstructive pulmonary disease
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized on 02/23/2009 with COPD Exacerbation. Vaccination took place on 10/10/2008. According to the physician the relationship is 'None'. We would be happy to forward the Study's SAE reporting form upon request.  7/9/09 Clinical Research Network summary received DOS 2/23/09 to 2/26/09. Assessment: COPD Exacerbation.
Age: 27.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Rash macular
Clinical narrative: Pneumovax 23 was given 6/17/09. Within 24 hours, he began to feel some discomfort in that arm and developed a macular red rash around the injection site associated with discomfort. The redness was bigger on day 2.  Saw PCP 6/20/19, It measures 10 x 10 cm prescription for Biaxin 500 b.i.d. for 7 days was given 6/20/09. On 6/21/09 the pt stated "it is less red and getting better"
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: VACCINE WAS GIVEN ALONE IN DELTOID AREA. NEXT DAY PT RETURNED WITH SWELLING, PRURITUS OVER WHOLE DELTOID AREA.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dyskinesia, Excoriation, Fall, Immediate post-injection reaction, Laceration
Clinical narrative: Patient was given a HPV injection and within seconds she fell over with loss of consciousness and jerking movements.  Fell off of exam table.  Pt. was taken to the ED and treated for a nasal laceration, eye abrasion and x-rays.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, X-ray
Clinical narrative: Patient was given a HPV injection and within seconds she fell over with loss of consciousness and jerking movements.  Fell off of exam table.  Pt. was taken to the ED and treated for a nasal laceration, eye abrasion and x-rays.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Reaction to Pneumovax with the sweeling, induration,erythema, warthm  and pain in the R arm and forearm
Age: 1.25
Sex: F
Vaccine: MMR, PNC
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: ITP treated with Win. 9/29/09.  Hospital records received DOS 4/8/09 to 4/9/09. Assessment: Idiopathic Thrombocytopenic Purpura. Child presents with 'rash' on stomach. cough. Petechia and bruising diffusely spread on body. Crying.  ICD-9 Codes: 287.31 Immune Thrombocytic Purpura, 782.7 Spontaneous Ecchymosis.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Pt mentioned she had warm facial cheeks and red rash on facial cheeks - both facial cheeks - warm to touch. Received vaccine on 06-15-09.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: 6/19/09 MMR given Left arm. 2nd in series #/MMR 5/14/09. 6/20/09 Noticed bruising, swelling, tender. 6 inch oblong area of redness and warm to touch. 6/22/09 2 inch circle of bruised, tender, swollen and red area around injection. Warm to to touch. Advised to use cool compress, antipyretics and monitor. If worsens contact care provider.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Pt. had syncopal event after administration of 4 vaccines (see below).  Was caught before fell to floor, was sat on chair, as soon as sat, her eyes opened she was fully conscious (alert & oriented).  Stated felt "dizzy" and "weak".  Had not eaten in several hours gave her candy  and water.  Observed for 20 min., was fine stated felt better:  Went home with mother.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Since Zostavax was administered in the R deltoid area, Ms. Cubelic has had intermittent intense itching in the right arm distal to the injection site.  This happens 3 to 4 times a week and lasts up to 15 minutes. Resolves spontaneously. No associated rash, hives or systemic symptoms.  Please note that this vaccine was administered at a local pharmacy due to Medicare payment issues.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Body temperature increased, Rash generalised, Rash morbilliform
Clinical narrative: Classic measles vaccination rash. Red, raised areas over all of body. Low Grade temp.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site haemorrhage, Oedema peripheral, Skin warm
Clinical narrative: Pain, swelling of from deltoid to just above elbow with redness and increased heat to palpitation. plus increased bleeding at injection site with subsequent ecchymosis. No fever. 4/6/09 CIPRO 500 BID x 10 days. ED visit.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pt. States 2 days post injection. Left deltoid area became swollen and inflamed with a 1/2 dollar red lump that was painful and warm. Generalized muscle pain, Left deltoid resolved 5 days post injection.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: Pt. States 2 days post injection. Left deltoid area became swollen and inflamed with a 1/2 dollar red lump that was painful and warm. Generalized muscle pain, Left deltoid resolved 5 days post injection.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Rash, Rash macular
Clinical narrative: Began with rash (small red dots) in diaper area 06/19/09) on 06/20 and 06/21/09 had red checks, low grade temp. slow progression of rash up abd to neck and back to occipital; rash is now blotchy, flat, no itchiness; child taking food/fluids; bowels/bladder moving.
Age: 15.0
Sex: F
Vaccine: HEP, MMR, MNQ
Symptoms: Antibody test, Asthenia, Full blood count, Malaise, Metabolic function test
Clinical narrative: Pt c/o. not feeling well. Generalized weakness. Cold hands and goose bumps noted. V/S HR 88/minute RR 20; B. P 90/60. Placed in supine position. Pt reports not eating that morning. Orange juice given. Observed. No other reactions occurred.
Age: 15.0
Sex: F
Vaccine: HEP, MMR, MNQ
Symptoms: Peripheral coldness, Piloerection, Urine human chorionic gonadotropin
Clinical narrative: Pt c/o. not feeling well. Generalized weakness. Cold hands and goose bumps noted. V/S HR 88/minute RR 20; B. P 90/60. Placed in supine position. Pt reports not eating that morning. Orange juice given. Observed. No other reactions occurred.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Tachycardia
Clinical narrative: Pt c/o feeling dizzy. V/S - HR 100/minute, RR 20, BP 100/60. Pt placed in supine position with feet elevated. Observed for other reactions. Pt reported not having eaten. No other reactions experienced.
Age: 33.0
Sex: M
Vaccine: ANTH, MNQ, TYP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Generalized pain and swelling of 3" x 3" in L tricep area. Site showed no redness, duration x 2 days, character is constant, alleviating factors: nothing, exacerbating factors: moving and lifting. Treatment: ice and Naproxen, 500 mg PO BID, PRN # 20.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: Patient became faint for about 15 seconds then woke up fine. Was checked (provider) then discharged. Was watched for 30-45 minutes. Pt had clonic-tonic movements for about 30 secs and unresponsive. When responsive-pt knew who she was, mom and where she was. RN.
Age: 40.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse events reported by patient.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: About 10 cm, overlying cellulitis.
Age: 2.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Contusion, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: - Child received MMR and Hep A on 4-10-08, at age 2. - Mom noticed increase bruising 1 wk prior to office visit for the same. She was seen on 5-20-08 and Dxd to have Idiopathic Thrombocytopenia; Mom recently let me know that she believes this was a result of vaccination.
Sex: U
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Change in sustained attention, Decreased appetite, Insomnia
Clinical narrative: Information has been received from a healthcare worker who worked with 15 patients with no medical history who were vaccinated with a dose of MMR II.  The 15 patients became autistic within a year after administration of MMR II.  The parents of the patients reported a slow decrease in their vocabulary, eye contact, sleeping, eating, and social interaction.  Most behavioral changes occurred between the age of 2 and 3.  Unspecified medical attention was sought and the outcomes were unknown.  Upon internal review, it was determined that autism was serious as an other important medical event.  Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report.  Additional information will be provided if available.
Sex: U
Vaccine: MMR
Symptoms: Social avoidant behaviour, Speech disorder developmental
Clinical narrative: Information has been received from a healthcare worker who worked with 15 patients with no medical history who were vaccinated with a dose of MMR II.  The 15 patients became autistic within a year after administration of MMR II.  The parents of the patients reported a slow decrease in their vocabulary, eye contact, sleeping, eating, and social interaction.  Most behavioral changes occurred between the age of 2 and 3.  Unspecified medical attention was sought and the outcomes were unknown.  Upon internal review, it was determined that autism was serious as an other important medical event.  Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report.  Additional information will be provided if available.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Febrile convulsion, Pyrexia, Urine analysis normal, White blood cell count increased
Clinical narrative: Fever (103.8) and febrile seizure 12 hours after vaccines administered.
Age: 71.0
Sex: U
Vaccine: TD
Symptoms: Arthralgia, Flushing, Headache, Malaise, Myalgia
Clinical narrative: Given adult diphtheria/tetanus vaccine on 06/16/2009.  The following day experienced headache, muscle and joint aching, flushing of skin, and malaise.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Baseball-sized red area back of right arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness 13 1/2 cm x 17 1/2 cm, swelling at left deltoid, upper arm
Age: 4.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Injection site haematoma, Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: Left arm deltoid 10 cm bruise. Warm/Induration, Rash.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site inflammation, Injection site urticaria, Rash, Streptococcal identification test negative, Urticaria
Clinical narrative: Mother of pt states she developed a hive on her face approx 48 hrs after receiving vaccines.  Then 12 hrs later developed hive-like rash on arms, buttocks + legs.  Seen at office 72 hrs after receiving vaccine.  Temp 98 degrees ax Dx: urticaria prob 2 hours from injection inflammation but was delayed 24.48 hrs so not consistent with allergy.
Age: 49.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Dysphagia, Swelling, Tenderness, Throat irritation
Clinical narrative: Within 15-20" minutes of vaccines my throat was scratchy. This progressed to swelling & severe tenderness of lower, external neck X 1wk. Hard to swallow.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Employee's left deltoid was red + swollen.  Redness measured 4cm, swelling measured 3-4 cm.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Blood pressure decreased, Dizziness, Headache, Heart rate normal, Nausea
Clinical narrative: Date: 5/28/09. Vaccines were administered and the patient remained in the exam room in a supine position for 15 minutes, with an additional 10 minutes spent in the clinic. One hour later, she presented to the school nurse with complaints of dizziness and nausea. Per the school nurse, her BP at that time was 88/62, pulse 96. (Her BP on previous exam ranged from 97/66 to 110/73). She had no dyspnea, pruritis, hives, diaphoresis, or mental status changes. Her nausea improved, but she complained of a headache after 15 minutes, at which point her BP was 88/64, pulse 76. At discharge home in the care of her parent, the school nurse also reported the patient's entire right arm was warm to the touch, with tremors. The patient experienced brief dizziness when she first sat up, but recovered quickly. OTC BENADRYL was administered by patient's mother. The patient returned to school the following day and reported no further episodes.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Skin warm, Tremor
Clinical narrative: Date: 5/28/09. Vaccines were administered and the patient remained in the exam room in a supine position for 15 minutes, with an additional 10 minutes spent in the clinic. One hour later, she presented to the school nurse with complaints of dizziness and nausea. Per the school nurse, her BP at that time was 88/62, pulse 96. (Her BP on previous exam ranged from 97/66 to 110/73). She had no dyspnea, pruritis, hives, diaphoresis, or mental status changes. Her nausea improved, but she complained of a headache after 15 minutes, at which point her BP was 88/64, pulse 76. At discharge home in the care of her parent, the school nurse also reported the patient's entire right arm was warm to the touch, with tremors. The patient experienced brief dizziness when she first sat up, but recovered quickly. OTC BENADRYL was administered by patient's mother. The patient returned to school the following day and reported no further episodes.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Imm. 2 days ago.  No pain or fever.  Itching @ site - no one else has had reaction very large redness & swelling right ant thigh 10.5 cm X 9 cm
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Condition aggravated, Pruritus
Clinical narrative: First GARDASIL given 5/11/09. She called my office on 6/17/09 to say she had itching in her fingers and water blisters after inj. She gets same rxn when exposed to sulfa.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site pain
Clinical narrative: Woke up this am with shot area painful - per mother.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA, PNC
Symptoms: Wrong drug administered
Clinical narrative: MD ordered LPN to give Hep A and PREVNAR. PENTACEL given by LPN instead of PREVNAR. Patient recalled same day / stable / no adverse effects noted / pt given needed PREVNAR / discussed incident w/ mom. No fever / no localized reaction.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Induration, Mass
Clinical narrative: Rec #2 VARICELLA left deltoid on 6/15/09 approximately 9:30 am, child noticed redness, induration and hard bump 36 hr later as he showered, denies pan unless pushed on it.  Returned to prim MD 06/17/09 approximately 4 pm she gave AUGUMENTIN 50 mg BID X 10 days and hot packs, no limits on physical activity
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea
Clinical narrative: Diarrhea (5-8/day) for 2 weeks following the vaccine. Finally changed from Soy to Alimentum and so far is better.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Pyrexia
Clinical narrative: Fever up to 103.3  within 24 hours of 2nd set of immunizations
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomited the day of the vaccine, had diarrhea for the week after reported to me 6/22/09
Age: 35.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Lymphadenopathy
Clinical narrative: Swollen glands on left side of neck.
Age: 18.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Cold sweat, Feeling abnormal
Clinical narrative: Patient at check-out area stating "i just don't feel right". Skin clammy patient escorted to exam room, had her lay down, lower extremities raised. Orange juice. Provider.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Grand mal convulsion, Immediate post-injection reaction
Clinical narrative: Seconds after PPD placement and GARDASIL < 10 second witnessed ?generalized tonic/clonic seizure. No post ictal no incontinence.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Blood glucose normal, Convulsion, Syncope, Tuberculin test
Clinical narrative: Seconds after PPD placement and GARDASIL < 10 second witnessed ?generalized tonic/clonic seizure. No post ictal no incontinence.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt started with dizziness and SOB
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Activities of daily living impaired, Body temperature increased, Conjunctivitis, Decreased appetite, Fatigue
Clinical narrative: I work in a hospital. I was informed about the meningitis vaccine which is a series of 3 shots. It was suggested that I have the vaccines. After the first shot I had several swollen joints. I did not know of any possible reactions that I could have. After 2nd shot I developed swollen joints again but this time much worse. I had a temp. of approx. 103-104 degrees. The glands in the back of my head were the size of golf balls. This caused severe headache. I had conjunctivitis in my eyes. When I open my mouth I saw a bright red rash on the roof of my mouth. Light bothered my eyes and I could not get out of bed for about 2.5 weeks. All I did was sleep, ate very little. When I did get up to shower and finished I noticed a bright pink/ red rash from my neck and down. I needed help coming down the stairs. Really though I was going to die during this time. I have never been so sick before. When I was in the ER they did not know what to do and said to go home and that this could be contagious. They ? lymes. I cont. to have episodes of joint pain with no obvious injury, headaches, pain in the back on my head and severe fatigue. After years of nor knowing what was going on and lasting I was told I had RA. I have been suffering ever since. I did not get the 3rd shot as I was convinced this was from the vaccines. I recently read on the internet that there have been other reports of this in other people. I felt the need to inform you of my story as that there should be side effects told to the public on these vaccines. 7/15/09 Spoke with vax provider MD.  Pt recd Hep B  series in 1989. Did not receive meningitis vax in 1998 or at any other time. Did c/o arthralgias after Recombivax #2 on 4-10-89 #2 and did not continue the series. She will fax pertinent data. 7/17/09 Records rec'd from vax provider. Pt reported fever and arthralgias 2 days s/p Hep B#2.  R wrist boggy and synovium tender at 4th and 5th MCP. No further f/u from this provider.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hypersomnia, Joint swelling, Lymphadenopathy, Photophobia
Clinical narrative: I work in a hospital. I was informed about the meningitis vaccine which is a series of 3 shots. It was suggested that I have the vaccines. After the first shot I had several swollen joints. I did not know of any possible reactions that I could have. After 2nd shot I developed swollen joints again but this time much worse. I had a temp. of approx. 103-104 degrees. The glands in the back of my head were the size of golf balls. This caused severe headache. I had conjunctivitis in my eyes. When I open my mouth I saw a bright red rash on the roof of my mouth. Light bothered my eyes and I could not get out of bed for about 2.5 weeks. All I did was sleep, ate very little. When I did get up to shower and finished I noticed a bright pink/ red rash from my neck and down. I needed help coming down the stairs. Really though I was going to die during this time. I have never been so sick before. When I was in the ER they did not know what to do and said to go home and that this could be contagious. They ? lymes. I cont. to have episodes of joint pain with no obvious injury, headaches, pain in the back on my head and severe fatigue. After years of nor knowing what was going on and lasting I was told I had RA. I have been suffering ever since. I did not get the 3rd shot as I was convinced this was from the vaccines. I recently read on the internet that there have been other reports of this in other people. I felt the need to inform you of my story as that there should be side effects told to the public on these vaccines. 7/15/09 Spoke with vax provider MD.  Pt recd Hep B  series in 1989. Did not receive meningitis vax in 1998 or at any other time. Did c/o arthralgias after Recombivax #2 on 4-10-89 #2 and did not continue the series. She will fax pertinent data. 7/17/09 Records rec'd from vax provider. Pt reported fever and arthralgias 2 days s/p Hep B#2.  R wrist boggy and synovium tender at 4th and 5th MCP. No further f/u from this provider.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Rheumatoid arthritis, Vaccine positive rechallenge
Clinical narrative: I work in a hospital. I was informed about the meningitis vaccine which is a series of 3 shots. It was suggested that I have the vaccines. After the first shot I had several swollen joints. I did not know of any possible reactions that I could have. After 2nd shot I developed swollen joints again but this time much worse. I had a temp. of approx. 103-104 degrees. The glands in the back of my head were the size of golf balls. This caused severe headache. I had conjunctivitis in my eyes. When I open my mouth I saw a bright red rash on the roof of my mouth. Light bothered my eyes and I could not get out of bed for about 2.5 weeks. All I did was sleep, ate very little. When I did get up to shower and finished I noticed a bright pink/ red rash from my neck and down. I needed help coming down the stairs. Really though I was going to die during this time. I have never been so sick before. When I was in the ER they did not know what to do and said to go home and that this could be contagious. They ? lymes. I cont. to have episodes of joint pain with no obvious injury, headaches, pain in the back on my head and severe fatigue. After years of nor knowing what was going on and lasting I was told I had RA. I have been suffering ever since. I did not get the 3rd shot as I was convinced this was from the vaccines. I recently read on the internet that there have been other reports of this in other people. I felt the need to inform you of my story as that there should be side effects told to the public on these vaccines. 7/15/09 Spoke with vax provider MD.  Pt recd Hep B  series in 1989. Did not receive meningitis vax in 1998 or at any other time. Did c/o arthralgias after Recombivax #2 on 4-10-89 #2 and did not continue the series. She will fax pertinent data. 7/17/09 Records rec'd from vax provider. Pt reported fever and arthralgias 2 days s/p Hep B#2.  R wrist boggy and synovium tender at 4th and 5th MCP. No further f/u from this provider.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient was given ZOSTAVAX on May 22, 2009.  Developed Zoster from neck to wrist on June 8, 2009.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, VARCEL
Symptoms: Erythema, Hyperaemia, Oedema peripheral
Clinical narrative: Rt Arm edema erythema hyperemia from elbow extending to shoulder.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL, DTAP, IPV, VARCEL
Symptoms: Hyperaemia, Injection site erythema, Injection site oedema
Clinical narrative: Rt Arm edema erythema hyperemia from elbow extending to shoulder.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Leg swollen; red and 3 in x 4 in area- warm to touch. Today blisters on leg. Using MOTRIN and ice on leg.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt's mother called 6-19-09 reporting redness, swelling and warmth to touch at injection site on right arm. She stated not sure how long, but patient just made her aware.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Injection site anaesthesia, Paraesthesia
Clinical narrative: Hepatitis B vaccine booster administered @ 3:45 PM.  At approx. 8PM, health care worker (HCW) began to experience numbness, tingling @ injection site traveling down to right handy transient chills, feeling of light headness & fatigue.  Vital signs remained within a normal range.  No skin changes at the site.  HCW took 2 TYLENOL tabs; symptoms relieved by 9:30 PM.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right and left arm red and swollen. Treatment - Benadryl 1/2 tsp TID
Age: 7.0
Sex: F
Vaccine: HEPA
Symptoms: Fall, Oxygen saturation normal, Pallor
Clinical narrative: Pt was checking out after check-up appointment and fell to the floor, white and pale. After 5 minutes, pt's color is good and pt is A and O. Pt's vs normal- referred to ER for follow-up.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Varicella post vaccine
Clinical narrative: Developed rash c/w very mild VARICELLA
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Wrong drug administered
Clinical narrative: 3rd varicella given, supposed to be HAV.  No reaction seen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 9 1/2 x 7cm red area (L) Thigh. DTaP and Varicella given on 6-19-09.
Age: 78.0
Sex: M
Vaccine: PPV, TD
Symptoms: Erythema, Fatigue, Swelling
Clinical narrative: Left deltoid redness/swelling, fatigue 2 days after PNEUMOVAX injection.
Age: 43.0
Sex: M
Vaccine: RAB
Symptoms: Rash
Clinical narrative: Donor reported a rash that developed on back, neck and arms. Rash cleared up the same day.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Given vaccine 6/3/09. Fever 101 degrees 6/4/09. 101 degrees-103 degrees 6/5/09. Pain at vaccine site.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pain/redness starting 6/11/2009.  R arm 8cm x 9cm redness, warmth, slight indurated area,  faint bruise under erythema able to move arm.  Ice/tylenol-ibuprofen. F/u prn.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Monoparesis
Clinical narrative: Pain/redness starting 6/11/2009.  R arm 8cm x 9cm redness, warmth, slight indurated area,  faint bruise under erythema able to move arm.  Ice/tylenol-ibuprofen. F/u prn.
Age: 64.0
Sex: M
Vaccine: FLUX, FLUX, FLUX, FLU3
Symptoms: Cerebral infarction, Computerised tomogram abnormal, Death, Haemorrhage intracranial, International normalised ratio fluctuation
Clinical narrative: This case was reported in a literature article and described the occurrence of hemorrhagic cerebral infarction in a 64-year-old male subject who was vaccinated with influenza virus vaccine (influenza vaccine, manufacturer unspecified). Concurrent medical conditions included atrial fibrillation, chronic obstructive pulmonary disease, depression, diabetes mellitus (type2), gastroesophageal reflux, hypercholesterolemia and hypertension. Concurrent medications included Warfarin 5 mg every other day alternating with 2,5 mg, Celecoxib 200 mg as needed for pain, ipratropium/albuterol inhaler 2 puffs twice daily, diltiazem 120 mg twice daily, metformin 500 mg twice daily, hydrochlorothiazide/losartan 25 mg/100 mg daily, escitalopram 20 mg daily, lansoprazole 30 mg daily, propranolol 40 mg twice daily, and ezetimibe/simvastatin 10 mg/40 mg daily. All medication regimens were unchanged for at least 6 months. None of his medications was altered. The patient had been seen in the clinic 5 weeks prior to presentation. At the time, his INR was 2,0 and he received unspecified dose of Influenza vaccine (unknown route, unknown injection site). Lot number was not available. 5 weeks after vaccination with Influenza vaccine, the subject was hospitalized after becoming unresponsive at home. At the admission, the patient had been unresponsive for approximately 1 hour. The patient was experiencing rectal bleeding for the previous 2 days. The initial international normalized ratio (INR) was greater than 15; INR values over the previous 6 months were relatively stable. Relevant test were performed and showed the following results: Hemoglobin: 8,3 g/dL (normal range 14-18); Hematocrit: 24% (normal range 42-52); Platelet count: 412 x 10^3 /uL (normal range 150-430); low serum albumin: 3,1 g/dL (normal range 3,5-5,0); total bilirubin: 0,8 mg/dL (normal range 0,2-1,0); aspartate aminotransferase: 16 IU/L (normal range 10-42); alanine aminotransferase:12 IU/L (normal range 10-40); blood pressure: 166/60 mm Hg, heart rate: 62 beats/min; respiration rate:16 breaths/min; temperature was not documented. A non-contrast computed tomography scan of the head revealed a large parenchymal hemorrhagic infarction involving the left temporal, parietal, and occipital lobes. The radiologist noted a significant mass effect including 12mm rightward midline shift and impending uncal herniation. The subject was treated in the emergency department with Nitroglycerin infusion to maintain systolic blood pressure in the range of 140-160 mm Hg as well as the infusion of 4 units of fresh frozen plasma and 10 mg of vitamin K. Following a neurosurgery evaluation, it was determined that nothing meaningful could be done to alter the patient's outcome positively. Comfort measures were implemented and the patient died approximately 17 hours after admission. The author considered the events were possibly related to the interaction between Warfarin and vaccination with Influenza vaccine.
Age: 64.0
Sex: M
Vaccine: FLUX, FLUX, FLUX, FLU3
Symptoms: Rectal haemorrhage, Unresponsive to stimuli
Clinical narrative: This case was reported in a literature article and described the occurrence of hemorrhagic cerebral infarction in a 64-year-old male subject who was vaccinated with influenza virus vaccine (influenza vaccine, manufacturer unspecified). Concurrent medical conditions included atrial fibrillation, chronic obstructive pulmonary disease, depression, diabetes mellitus (type2), gastroesophageal reflux, hypercholesterolemia and hypertension. Concurrent medications included Warfarin 5 mg every other day alternating with 2,5 mg, Celecoxib 200 mg as needed for pain, ipratropium/albuterol inhaler 2 puffs twice daily, diltiazem 120 mg twice daily, metformin 500 mg twice daily, hydrochlorothiazide/losartan 25 mg/100 mg daily, escitalopram 20 mg daily, lansoprazole 30 mg daily, propranolol 40 mg twice daily, and ezetimibe/simvastatin 10 mg/40 mg daily. All medication regimens were unchanged for at least 6 months. None of his medications was altered. The patient had been seen in the clinic 5 weeks prior to presentation. At the time, his INR was 2,0 and he received unspecified dose of Influenza vaccine (unknown route, unknown injection site). Lot number was not available. 5 weeks after vaccination with Influenza vaccine, the subject was hospitalized after becoming unresponsive at home. At the admission, the patient had been unresponsive for approximately 1 hour. The patient was experiencing rectal bleeding for the previous 2 days. The initial international normalized ratio (INR) was greater than 15; INR values over the previous 6 months were relatively stable. Relevant test were performed and showed the following results: Hemoglobin: 8,3 g/dL (normal range 14-18); Hematocrit: 24% (normal range 42-52); Platelet count: 412 x 10^3 /uL (normal range 150-430); low serum albumin: 3,1 g/dL (normal range 3,5-5,0); total bilirubin: 0,8 mg/dL (normal range 0,2-1,0); aspartate aminotransferase: 16 IU/L (normal range 10-42); alanine aminotransferase:12 IU/L (normal range 10-40); blood pressure: 166/60 mm Hg, heart rate: 62 beats/min; respiration rate:16 breaths/min; temperature was not documented. A non-contrast computed tomography scan of the head revealed a large parenchymal hemorrhagic infarction involving the left temporal, parietal, and occipital lobes. The radiologist noted a significant mass effect including 12mm rightward midline shift and impending uncal herniation. The subject was treated in the emergency department with Nitroglycerin infusion to maintain systolic blood pressure in the range of 140-160 mm Hg as well as the infusion of 4 units of fresh frozen plasma and 10 mg of vitamin K. Following a neurosurgery evaluation, it was determined that nothing meaningful could be done to alter the patient's outcome positively. Comfort measures were implemented and the patient died approximately 17 hours after admission. The author considered the events were possibly related to the interaction between Warfarin and vaccination with Influenza vaccine.
Age: 64.0
Sex: M
Vaccine: FLUX, FLUX, FLUX, FLU3
Symptoms: Brain herniation, Brain mass, Computerised tomogram abnormal, Death, Haematocrit decreased
Clinical narrative: This case was reported in a literature article and described the occurrence of hemorrhagic cerebral infarction in a 64-year-old male subject who was vaccinated with influenza virus vaccine (influenza vaccine, manufacturer unspecified). Concurrent medical conditions included atrial fibrillation, chronic obstructive pulmonary disease, depression, diabetes mellitus (type2), gastroesophageal reflux, hypercholesterolemia and hypertension. Concurrent medications included Warfarin 5 mg every other day alternating with 2,5 mg, Celecoxib 200 mg as needed for pain, ipratropium/albuterol inhaler 2 puffs twice daily, diltiazem 120 mg twice daily, metformin 500 mg twice daily, hydrochlorothiazide/losartan 25 mg/100 mg daily, escitalopram 20 mg daily, lansoprazole 30 mg daily, propranolol 40 mg twice daily, and ezetimibe/simvastatin 10 mg/40 mg daily. All medication regimens were unchanged for at least 6 months. None of his medications was altered. The patient had been seen in the clinic 5 weeks prior to presentation. At the time, his INR was 2,0 and he received unspecified dose of Influenza vaccine (unknown route, unknown injection site). Lot number was not available. 5 weeks after vaccination with Influenza vaccine, the subject was hospitalized after becoming unresponsive at home. At the admission, the patient had been unresponsive for approximately 1 hour. The patient was experiencing rectal bleeding for the previous 2 days. The initial international normalized ratio (INR) was greater than 15; INR values over the previous 6 months were relatively stable. Relevant test were performed and showed the following results: Hemoglobin: 8,3 g/dL (normal range 14-18); Hematocrit: 24% (normal range 42-52); Platelet count: 412 x 10^3 /uL (normal range 150-430); low serum albumin: 3,1 g/dL (normal range 3,5-5,0); total bilirubin: 0,8 mg/dL (normal range 0,2-1,0); aspartate aminotransferase: 16 IU/L (normal range 10-42); alanine aminotransferase:12 IU/L (normal range 10-40); blood pressure: 166/60 mm Hg, heart rate: 62 beats/min; respiration rate:16 breaths/min; temperature was not documented. A non-contrast computed tomography scan of the head revealed a large parenchymal hemorrhagic infarction involving the left temporal, parietal, and occipital lobes. The radiologist noted a significant mass effect including 12mm rightward midline shift and impending uncal herniation. The subject was treated in the emergency department with Nitroglycerin infusion to maintain systolic blood pressure in the range of 140-160 mm Hg as well as the infusion of 4 units of fresh frozen plasma and 10 mg of vitamin K. Following a neurosurgery evaluation, it was determined that nothing meaningful could be done to alter the patient's outcome positively. Comfort measures were implemented and the patient died approximately 17 hours after admission. The author considered the events were possibly related to the interaction between Warfarin and vaccination with Influenza vaccine.
Age: 64.0
Sex: M
Vaccine: FLUX, FLUX, FLUX, FLU3
Symptoms: Haemoglobin decreased, Haemorrhagic infarction, International normalised ratio increased, Platelet count normal, Rectal haemorrhage
Clinical narrative: This case was reported in a literature article and described the occurrence of hemorrhagic cerebral infarction in a 64-year-old male subject who was vaccinated with influenza virus vaccine (influenza vaccine, manufacturer unspecified). Concurrent medical conditions included atrial fibrillation, chronic obstructive pulmonary disease, depression, diabetes mellitus (type2), gastroesophageal reflux, hypercholesterolemia and hypertension. Concurrent medications included Warfarin 5 mg every other day alternating with 2,5 mg, Celecoxib 200 mg as needed for pain, ipratropium/albuterol inhaler 2 puffs twice daily, diltiazem 120 mg twice daily, metformin 500 mg twice daily, hydrochlorothiazide/losartan 25 mg/100 mg daily, escitalopram 20 mg daily, lansoprazole 30 mg daily, propranolol 40 mg twice daily, and ezetimibe/simvastatin 10 mg/40 mg daily. All medication regimens were unchanged for at least 6 months. None of his medications was altered. The patient had been seen in the clinic 5 weeks prior to presentation. At the time, his INR was 2,0 and he received unspecified dose of Influenza vaccine (unknown route, unknown injection site). Lot number was not available. 5 weeks after vaccination with Influenza vaccine, the subject was hospitalized after becoming unresponsive at home. At the admission, the patient had been unresponsive for approximately 1 hour. The patient was experiencing rectal bleeding for the previous 2 days. The initial international normalized ratio (INR) was greater than 15; INR values over the previous 6 months were relatively stable. Relevant test were performed and showed the following results: Hemoglobin: 8,3 g/dL (normal range 14-18); Hematocrit: 24% (normal range 42-52); Platelet count: 412 x 10^3 /uL (normal range 150-430); low serum albumin: 3,1 g/dL (normal range 3,5-5,0); total bilirubin: 0,8 mg/dL (normal range 0,2-1,0); aspartate aminotransferase: 16 IU/L (normal range 10-42); alanine aminotransferase:12 IU/L (normal range 10-40); blood pressure: 166/60 mm Hg, heart rate: 62 beats/min; respiration rate:16 breaths/min; temperature was not documented. A non-contrast computed tomography scan of the head revealed a large parenchymal hemorrhagic infarction involving the left temporal, parietal, and occipital lobes. The radiologist noted a significant mass effect including 12mm rightward midline shift and impending uncal herniation. The subject was treated in the emergency department with Nitroglycerin infusion to maintain systolic blood pressure in the range of 140-160 mm Hg as well as the infusion of 4 units of fresh frozen plasma and 10 mg of vitamin K. Following a neurosurgery evaluation, it was determined that nothing meaningful could be done to alter the patient's outcome positively. Comfort measures were implemented and the patient died approximately 17 hours after admission. The author considered the events were possibly related to the interaction between Warfarin and vaccination with Influenza vaccine.