chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Arthritis, Hypoaesthesia, Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: 9-12-08 LOCAL REACTION (ERYTHEMA AND MILD SWELLING AT INJECTION SITE.TX.ADVISED COLD COMPRESS AND ADVIL OR TYLENOL. 9-13-08 TO 9-23-08 CONTINUES TO C/O INTERMITTENT PAIN IN L ARM.- TREATMENT COURSE - WARM COMPRESS, ALEVE, NAPROSYN,VICODIN.RECOMMEND P.T. 9-19-08 PATIENT REPORTS VISIT WITH CHIROPRACTOR. X-RAY DONE AND SHOWED ARTHRITIS IN NECK AND VERTEBRAE. 12-04-08 PT. REPORTS IS STILL HAVING NUMBNESS IN ARM, NECK,AND BACK WITH PINS AND NEEDLES SENSATION. HAS APPT. WITH NEURO FOR NERVE CONDUCTION STUDY.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Paraesthesia, X-ray abnormal
Clinical narrative: 9-12-08 LOCAL REACTION (ERYTHEMA AND MILD SWELLING AT INJECTION SITE.TX.ADVISED COLD COMPRESS AND ADVIL OR TYLENOL. 9-13-08 TO 9-23-08 CONTINUES TO C/O INTERMITTENT PAIN IN L ARM.- TREATMENT COURSE - WARM COMPRESS, ALEVE, NAPROSYN,VICODIN.RECOMMEND P.T. 9-19-08 PATIENT REPORTS VISIT WITH CHIROPRACTOR. X-RAY DONE AND SHOWED ARTHRITIS IN NECK AND VERTEBRAE. 12-04-08 PT. REPORTS IS STILL HAVING NUMBNESS IN ARM, NECK,AND BACK WITH PINS AND NEEDLES SENSATION. HAS APPT. WITH NEURO FOR NERVE CONDUCTION STUDY.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pruritus
Clinical narrative: For the first 24 hours after vaccination I had low grade fever of about 100, joint and muscle aches, chills and severe fatigue.  Treated symptoms with tylenol and ADvil. Day two following the vaccination I experienced severe itching of my neck, chest, back and arms, palms of hands and soles of feet.  Slight rash visable to these areas.  Treatment included benadryl with some relief, but not total.  Day three following the vaccination still experiencing some itching, but much less severe and not needing treatment.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Rash
Clinical narrative: For the first 24 hours after vaccination I had low grade fever of about 100, joint and muscle aches, chills and severe fatigue.  Treated symptoms with tylenol and ADvil. Day two following the vaccination I experienced severe itching of my neck, chest, back and arms, palms of hands and soles of feet.  Slight rash visable to these areas.  Treatment included benadryl with some relief, but not total.  Day three following the vaccination still experiencing some itching, but much less severe and not needing treatment.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: PATIENT RECEIVED FLU-VACCINE AND DEVELOPED A RASH // MD TREATED PATIENT WITH CLARITIN DAILY FOR 5 DAYS
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Anosmia, Cerebral haemorrhage, Computerised tomogram, Fall, Head injury
Clinical narrative: Fainted approximately 1 to 2 minutes after the vacinnation.  Fell on head due to fainting.  Was sent to the emergency room for bleeding within my brain.  Was hospitalized for 3 days.  Resulted in permanent loss of my sense of smell due to head trauma.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainted approximately 1 to 2 minutes after the vacinnation.  Fell on head due to fainting.  Was sent to the emergency room for bleeding within my brain.  Was hospitalized for 3 days.  Resulted in permanent loss of my sense of smell due to head trauma.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Guillain-Barre syndrome
Clinical narrative: Left facial paralysis determined to be associated with Guillain-Barre Syndrome.  01/05/2009 MR received for o/n observation 11/24-25/2008 with D/C DX: Guillain-Barre Syndome.  Facial nerve disorder. Pt presented with 4-5 hx of URI sx and malaise, which were improving, but new onset of facial paresthesia and L-sided facial weakness, drooling and slightly slurred speech. Some positional unsteadiness and R arm heaviness with "funny feelings" of both hands. PE (+) for L sided facial & tongue weakness as well as fluctuating facial paresthesias. Reflexes and sensation intact per neuro consult. Bells Palsy with concern for atypical GBS. D/C for outpt f/u. 1/12/2009 MR received fron neuro consult 12/17/08 with Impression-Bell's Palsy and a mild form of Guillain-Barre, both reolving. Pt seen in f/u for hospital admission. Still with c/o leg weakness, easy fatiguability, difficulty shutting L eye and some L-sided facial and jaw pain. Facial weakness improving. Some decreased sensation still present in legs up to knees. No EMG unless sx worsen.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pneumonia primary atypical
Clinical narrative: Walking pneumonia a week later hospitalized for 4 days.
Age: 38.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Headache, Scab, Skin lesion, Varicella
Clinical narrative: Received varicella vaccine 11/12/08. 11/26/08 developed few vesicles, 11/23/08 headache. 12/1/08 admitted to hospital diagnosed with chicken pox, spinal tap & CT head (-) (CT head also negative 11/24/08). 12/3/08 pt discharged home, headache resolved 12/2/08 lesions crusty potential receptors made aware. 12/11/08-records received for DOS 12/1-12/3/08-DC DX-chickenpox activation. Two to four weeks after vaccination developed headache, fever, chills and rash on face and abdomen.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Vaccine administered 10/30/08. Diagnosis of shingles made 11/14/08. (1) with onset of symptoms 11/6/08. (2) with onset of symptoms of rash 11/8/2008.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Redness, warmth, tenderness of left upper arm. Treated with antibiotic Zithromax and Prednisone.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal pain, X-ray normal
Clinical narrative: (R) shoulder pain occurred 2-3hrs after vaccination and worsened that night. No reaction noted at the injection site eythema/edema/skin rash.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Eye pain, Fatigue, Pain
Clinical narrative: Achy all over, slight temp, eyes hurt, fatigue.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Injection site anaesthesia, Menstruation delayed, Rash, Sensation of heaviness
Clinical narrative: Delayed menses 3wks. Dizziness x 1wk. Rash on arm and numbness at injection site x 4days (red pin-dot) Arm felt heavy x 1wk Reported to office 12/04/08.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site cellulitis
Clinical narrative: 11-22-08, 11-23-08, 11-24-08, seen for f/u on localized cellutitis to (R) arm inj. site. PNEUMOVAX given, IV + po antibiotics given. (TDaP + Flu)
Age: 12.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Rash, fever, headache since 11-28-08.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Received ADACEL.  Injection was given high on L shoulder near joint.  Had worsening pain and limited range of motion for a week after the injection before it slowly began to improve.  Now, 3 months later there is still residual pain in the L shoulder when certain movements.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Pt got dizzy, sweat, nauseated, and somewhat unresponsive. Called 911 due to age, nature, and ash in color. Pt did not go to hospital, came around. Later reported severe anxiety to needles.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Pt got dizzy, sweat, nauseated, and somewhat unresponsive. Called 911 due to age, nature, and ash in color. Pt did not go to hospital, came around. Later reported severe anxiety to needles.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received both PEDIARIX and Hep B (single dose) on 10-22-08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received both PEDIARIX Hep B (single dose) on 10-15-08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt received PEDIARIX and Hep B (single dose) on 11-03-08.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt received PEDIARIX and Hep B single dose on 11/12/2008.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received PEDIARIX and Hep B (single dose) on 10-15-08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RVX
Symptoms: Wrong drug administered
Clinical narrative: Pt. received PEDIARIX and HEP B (single dose) on 11/18/08
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV, RVX
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received PEDIARIX and Hep B (single dose) on 11-11-08.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received  PEDIARIX and Hep B (Single dose) on 11/12/2008.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None.  Pt. received PEDIARIX and RECOMBIVAX HB (single dose) on 11-12-08
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt received PEDIARIX and Hep B (single dose) on 11-5-08.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: None. Pt. received PEDIARIX and Hep B (single dose) on 11-11-08.
Age: 2.0
Sex: M
Vaccine: DTAP, FLUN3, PNC
Symptoms: Cough, Upper respiratory tract congestion
Clinical narrative: Cough and congestion for 3 weeks. No fever.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Apnoea test, Crying, Hypotonia, Skin discolouration
Clinical narrative: Baby admitted to hosp. 11/26/08 3 hrs after 2 mo vaccines. Mom states slept on way home from clinic awoke crying, continued for 10 min. Mom noted child limp and purple in face when she went to change diaper. Brought to hospital with decreased tone pneumogram done-neg.with low ph started on ZANTAC. 12/22/08-records received for DOS 11/27-11/28/08-DC DX: Episode of limpness with decrease in tone, resolved. Mostly likely Diagnosis-Breath Holding Spell.Acute life threatening event.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Pain in extremity
Clinical narrative: L arm pain and burning
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Pt received PNEUMOVAX on 12-01-08. came to the office on 12-04-08  with (R) arm red, swollen warm to touch and with fever of 101. Dr informed and recommends Benadryl, cold compress and fever reducer. F/U with Dr on 12-05-08 if no better.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count normal, Laboratory test normal, Oedema peripheral, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: Left leg started swelling about 3 hours after vaccine. Developed fever 8 hours after vaccine  to 102 degrees Fahrenheit at home 101.5 in ER. No erythema at site. Taken to ER where work up negative. Seen in office 12/2 minimal swelling, no erythema, no fever.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urine analysis normal
Clinical narrative: Left leg started swelling about 3 hours after vaccine. Developed fever 8 hours after vaccine  to 102 degrees Fahrenheit at home 101.5 in ER. No erythema at site. Taken to ER where work up negative. Seen in office 12/2 minimal swelling, no erythema, no fever.
Age: 10.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Cellulitis, Erythema, Oedema, Tenderness
Clinical narrative: R upper arm edema, redness, tenderness.  Pt reports first noted symptoms Tues, 12-2-08 at school approximately 9am.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: developed red, raised, inflamed area at injection site. Applying Altabax 1% ointment to area twice daily for 5 days.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Erythema, Limb discomfort
Clinical narrative: R arm red. sore
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Incorrect route of drug administration
Clinical narrative: Client received VARIVAX via intramuscular route instead of subcutaneous route when getting her Kindergarten shots. CDC hot line called. Public Health Specialist at CDC stated the dose would not have to be repeated. Client had no reaction to the shot.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site pain, Insomnia, Mobility decreased, Musculoskeletal pain
Clinical narrative: Immobile pain on left shoulder, chills, nausea, intense pain, can't sleep, pain started 6 hrs after injection.  12-3 pain persist around the injection site.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Nausea
Clinical narrative: Immobile pain on left shoulder, chills, nausea, intense pain, can't sleep, pain started 6 hrs after injection.  12-3 pain persist around the injection site.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling/ redness at and below injection site, "size of soft ball"; heat also at site; lasted 2 days- started 12/4/08.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Injection site erythema, Screaming
Clinical narrative: Screaming and crying for more than 3 hours. Within 24 hours of receiving vaccines. Also noted redness at the injection site, right thigh.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: Headache, nausea and " a lot of myalgias" stayed home from work times 1 day improved that day.
Age: 33.0
Sex: M
Vaccine: MNQ, TYP
Symptoms: Erythema, Injection site mass, Pain in extremity
Clinical narrative: Pain/soar/redness within back of upper right arm. Lump on area where shot was given. Pain inside the arm (armpit) to chest (right side).
Sex: F
Vaccine: HEP
Symptoms: Pallor, Skin discolouration
Clinical narrative: Upon giving vaccine, skin turned white, then blue, then faded to normal skin color.
Age: 39.0
Sex: M
Vaccine: TYP
Symptoms: Cytomegalovirus infection, Fatigue, Headache, Hepatic enzyme increased, Night sweats
Clinical narrative: 10/22/08: Vaccination given (see #10 & 13). Noted on recording that interval was in advance of manufacturer recommended 2 years (last 10/10/07). Subject informed and telephone call to Physicians office in reference to matter, with subject present for physician opinion on the matter. 11/03/08: Subject attend routine physical exam w/ stress test conducted at physicians office. 11/03/08: Telephonic conversation subject remarks to feeling fatigue, night sweat, headache, makes relation to vaccination. 11/06/08: Telephonic conversation subject states prior reported sx were persisting not improving, and again remarked attributing sx to immunization. An appointment secured with physician for evaluation of symptoms. 11/07/08: Telephonic conversation subject continues to remark feeling fatigue, night sweat, headache, makes relation to vaccination. Consult physicians, on this date, for evaluation of symptoms and consideration of vaccine (or vaccination in advance of 2 year interval). Lab studies performed. 11/19/08: Subject consulted Infectious Disease Associates: impression: resolving from CMV- no long term damage from early typhoid. 11/20/08: Subject filed form CA-1, for disability benefit for employees under the Federal Employees; Compensation ACt. Subject stated as cause of injury: "after receiving an extra dose of TYPHIM Vi, apparently erroneously from the health services unit, I began to feel ill. I was later diagnosed with CMV- an infectious disease. The disease or virus caused elevated liver enzyme levels. I remain infectious. 11/21/08: Subject consulted Dr "Pt is under my medical care for acute CMV infxn (sic). It is expected that he will make a complete recovery."
Age: 86.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Neuralgia
Clinical narrative: Initial report received from a health care professional on 25 November 2008. An 86-year-old male patient with no reported medical history had received an intramuscular injection of FLUZONE SV 2008-2009, lot number U2750AA, in the left arm (also reported as the right deltoid) on 03 September 2008. On an unspecified date, possibly in September 2008, the patient developed nerve pain in the right arm. The symptoms have persisted for two months. The patient required an emergency room or doctor visit. It was not reported whether or not the patient required treatment. His recovery status is unknown. Documents held by sender: none.
Age: 44.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Radiculitis brachial, X-ray
Clinical narrative: Initial report received on 03 December 2008 from a health care professional. A 44-year-old female patient who had no concurrent illnesses or pre-existing medical conditions, and who had no known allergies had received a first intramuscular left deltoid injection of ADACEL (Lot number C3028BA) on 03 October 2008. That same day, the patient experienced pain in her left arm up to her neck and neck pain. The patient was able to move her arm and did not have any decreased sensation. However, the arm was very sore and the patient could not sleep. The patient was evaluated by a physician and diagnosed with brachial neuritis. No diagnostic tests or laboratory data were performed. It was not reported whether the patient received any treatment for the brachial neuritis. At the time of this report, the patient's recovery status was "unknown." Documents held by sender: None.
Age: 44.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Insomnia, Neck pain, Pain in extremity, Radiculitis brachial
Clinical narrative: Initial report received on 03 December 2008 from a health care professional. A 44-year-old female patient who had no concurrent illnesses or pre-existing medical conditions, and who had no known allergies had received a first intramuscular left deltoid injection of ADACEL (Lot number C3028BA) on 03 October 2008. That same day, the patient experienced pain in her left arm up to her neck and neck pain. The patient was able to move her arm and did not have any decreased sensation. However, the arm was very sore and the patient could not sleep. The patient was evaluated by a physician and diagnosed with brachial neuritis. No diagnostic tests or laboratory data were performed. It was not reported whether the patient received any treatment for the brachial neuritis. At the time of this report, the patient's recovery status was "unknown." Documents held by sender: None.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cold sweat, Convulsion, Crying, Dizziness, Dyskinesia
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 25-NOV-2008 was vaccinated with her first dose of GARDASIL (lot number 661530/0575X, route and site not reported). On 25-NOV-2008, after vaccination the patient experienced seizure-like episode and within a few minutes the patient was clammy, pale and lightheaded. The patient then was placed in the floor by the nurse who administered the vaccine to lay her down and the nurse noticed the patient's pulse was going down and her color turned from colored pale to shade gray. Patient eyes started fluttering and there was stiffening of her left arm and left leg and at one side of the body. There was a gargling sound coming from patient's throat and later her whole body started jerking. Patient woke up and didn't know where she was and started crying and they observed the patient for 20 more minutes and the patient came back to normal and was sent home. The office is not positive if the patient had a seizure or a severe fainting spell. The patient had previous vaccinations at their office without problems. Seizure-like episode was considered an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Eye movement disorder, Heart rate decreased, Memory impairment, Musculoskeletal stiffness, Pallor
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 25-NOV-2008 was vaccinated with her first dose of GARDASIL (lot number 661530/0575X, route and site not reported). On 25-NOV-2008, after vaccination the patient experienced seizure-like episode and within a few minutes the patient was clammy, pale and lightheaded. The patient then was placed in the floor by the nurse who administered the vaccine to lay her down and the nurse noticed the patient's pulse was going down and her color turned from colored pale to shade gray. Patient eyes started fluttering and there was stiffening of her left arm and left leg and at one side of the body. There was a gargling sound coming from patient's throat and later her whole body started jerking. Patient woke up and didn't know where she was and started crying and they observed the patient for 20 more minutes and the patient came back to normal and was sent home. The office is not positive if the patient had a seizure or a severe fainting spell. The patient had previous vaccinations at their office without problems. Seizure-like episode was considered an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Skin discolouration
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 25-NOV-2008 was vaccinated with her first dose of GARDASIL (lot number 661530/0575X, route and site not reported). On 25-NOV-2008, after vaccination the patient experienced seizure-like episode and within a few minutes the patient was clammy, pale and lightheaded. The patient then was placed in the floor by the nurse who administered the vaccine to lay her down and the nurse noticed the patient's pulse was going down and her color turned from colored pale to shade gray. Patient eyes started fluttering and there was stiffening of her left arm and left leg and at one side of the body. There was a gargling sound coming from patient's throat and later her whole body started jerking. Patient woke up and didn't know where she was and started crying and they observed the patient for 20 more minutes and the patient came back to normal and was sent home. The office is not positive if the patient had a seizure or a severe fainting spell. The patient had previous vaccinations at their office without problems. Seizure-like episode was considered an other important medical event. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with the first dose of GARDASIL. After the vaccination, the patient was diagnosed with Lupus. The physician felt that lupus was not related to therapy with GARDASIL. The patient's outcome was unknown. It was unspecified if the patient sought medical attention. Upon internal review, lupus was determined to be an other important medical event. Additional information has been requested.
Age: 1.4
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen (R) thigh at site of vaccine.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Aggression, Altered state of consciousness, Blood calcium normal, Blood creatinine normal, Clonus
Clinical narrative: Pt received vaccine 24hrs ago and developed nausea and vomiting for 12-24hrs and several syncopal epsoides. She presented to the Emer. Dept with clonus and tetany- type reaction but normal calcium level. She became increasingly combative and altered requiring intubation.  2/10/09 Received hospital medical records of 10/12-10/15/2008. FINAL DX: pseudoseizures Records reveal patient experienced feeling unwell, malaise, agitation, dystonia, shaking all over, staring, arching back.  Intubated to protect airway & admitted to MICU.  Did well & extubated in AM.  Referred to Psych when all tests WNL.  Meds were adjusted & d/c to home w/Psych f/u.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Endotracheal intubation, Nausea, Syncope, Vomiting
Clinical narrative: Pt received vaccine 24hrs ago and developed nausea and vomiting for 12-24hrs and several syncopal epsoides. She presented to the Emer. Dept with clonus and tetany- type reaction but normal calcium level. She became increasingly combative and altered requiring intubation.  2/10/09 Received hospital medical records of 10/12-10/15/2008. FINAL DX: pseudoseizures Records reveal patient experienced feeling unwell, malaise, agitation, dystonia, shaking all over, staring, arching back.  Intubated to protect airway & admitted to MICU.  Did well & extubated in AM.  Referred to Psych when all tests WNL.  Meds were adjusted & d/c to home w/Psych f/u.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Blood culture negative, Culture urine negative, Full blood count normal, Hypotonic-hyporesponsive episode, Metabolic function test normal
Clinical narrative: 6 month old without Hypotonic, Hyporesponsive Episode within 24 hrs of vaccine. Laboratory eval ER negative. Seen in ER 11/25. Episode continued 20 minutes.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Urine analysis normal
Clinical narrative: 6 month old without Hypotonic, Hyporesponsive Episode within 24 hrs of vaccine. Laboratory eval ER negative. Seen in ER 11/25. Episode continued 20 minutes.
Age: 16.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug hypersensitivity, Urticaria
Clinical narrative: Hives started from neck to chest, started next morning after dose, and lasted 4 days. Treated with LORATADINE.
Age: 45.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Anaphylactic shock, Blood pressure decreased, Blood test, Dyspnoea, Erythema
Clinical narrative: Information has been received from a consumer concerning her 45 year old husband with asthma and penicillin allergy who on 21-NOV-2008 was vaccinated with PNEUMOVAX 23 and influenza virus vaccine (unspecified) in the physician's office. Concomitant therapy included "SIMBACOURT" and LESCOL XL. On the same day, "about a minute after receiving PNEUMOVAX 23 vaccine", the patient went into full blown anaphylactic shock. The patient's blood pressure went to 40/0, he did not have a pulse, his face was swollen and red, he had shortness of breath and had the shakes. Since this happened at the physician's office, the patient was kept on IV drips for 3.5 hours, given epinephrine (manufacturer unspecified), BENADRYL (manufacturer unspecified) and another steroid (name and manufacturer unspecified). Once the office gave the patient these medications, the patient's carotid pulse was good and his blood pressure came back up. The patient did not have to be hospitalized and he did not go to the hospital, but he was monitored at the physician's office and went home later that day. The physician's office gave the patient an EPI pen to take home with him. The consumer reported that the patient recovered on 22-NOV-2008. The patient went to see an allergist on 24-NOV-2008 who did some blood work. But the allergist stated that they could not test him for any allergies regarding PNEUMOVAX 23 vaccine. Upon internal review, anaphylactic shock was considered to be other important medical event. Additional information has been requested.
Age: 45.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Pulse absent, Swelling face, Tremor
Clinical narrative: Information has been received from a consumer concerning her 45 year old husband with asthma and penicillin allergy who on 21-NOV-2008 was vaccinated with PNEUMOVAX 23 and influenza virus vaccine (unspecified) in the physician's office. Concomitant therapy included "SIMBACOURT" and LESCOL XL. On the same day, "about a minute after receiving PNEUMOVAX 23 vaccine", the patient went into full blown anaphylactic shock. The patient's blood pressure went to 40/0, he did not have a pulse, his face was swollen and red, he had shortness of breath and had the shakes. Since this happened at the physician's office, the patient was kept on IV drips for 3.5 hours, given epinephrine (manufacturer unspecified), BENADRYL (manufacturer unspecified) and another steroid (name and manufacturer unspecified). Once the office gave the patient these medications, the patient's carotid pulse was good and his blood pressure came back up. The patient did not have to be hospitalized and he did not go to the hospital, but he was monitored at the physician's office and went home later that day. The physician's office gave the patient an EPI pen to take home with him. The consumer reported that the patient recovered on 22-NOV-2008. The patient went to see an allergist on 24-NOV-2008 who did some blood work. But the allergist stated that they could not test him for any allergies regarding PNEUMOVAX 23 vaccine. Upon internal review, anaphylactic shock was considered to be other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Oedema, Pain, Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: Information has been received from a licensed practical nurse concerning a 17 year old female who on 17-NOV-2008 was vaccinated intramuscularly with a dose of PNEUMOVAX 23 (lot number 661528/0867X) in the right deltoid. On 18-NOV-2008 the patient experienced pain from the shoulder to the elbow. On 19-NOV-2008 the patient experienced pain, some edema and fever as high as 102.2. On 19-NOV-2008 the patient developed rash. On 20-NOV-2008 the patient went to see the physician. It was reported that the patient had an ERYTHEMATOUS rash on right upper forearm and mid forearm. The patient was given KENALOG 40 mg intramuscularly and was told to return as needed if the symptoms were not improved. At time of this report, the patient's events persisted. According to the reporter, the patient's events were considered to be other important medical events. Additional information is not expected.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Condition aggravated, Eczema, Otorrhoea
Clinical narrative: Information has been received from a physician concerning a 60 year old female patient with atopic eczema and sulfonamide allergy who on 25-NOV-2008 was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included montelukast sodium (MSD), ALLEGRA and ADVAIR. On the night of 27-NOV-2008 the patient experienced eczema, draining of her ear, vesicles on her face, ear and neck. The patient was being treated with cephalexin, gentamicin eye drops and prednicarbate. The patient sought unspecified medical attention. At the time of the report the patient was not recovered. Worsening of eczema, draining of her ear, and vesicles on her face, ear and neck were considered to be disabling. Additional information has been requested.
Age: 86.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site discolouration, Injection site pain, X-ray normal
Clinical narrative: Initial report received on the 25 Nov 2008. An 86-year-old male patient had received a dose of flu vaccine (trade name, manufacturer, lot number and route/site of administration not reported) two months ago. The next day, the patient's arm turned black at the injection site and was painful. Two months later, the patient still has the pain, which is now extending into the armpit. The patient saw an orthopedic doctor who took x-rays that were negative. The doctor administered a cortisone injection that only relieved the pain for two days. The black color went away after two weeks. Documents held by sender: None.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Injection site mass, Injection site pain, Pain, Pain in extremity
Clinical narrative: Initial report received on 29 November 2008 from a physician. An 81-year-old male patient, had received an intramuscular right deltoid injection of FLUZONE SV 2008-2009 on 28 October 2008, and the following day, developed a 4cm painful lump at the injection site. He subsequently developed generalized fatigue, pain in his legs, and aching in his body. At the time of this report, all symptoms were still persisting. The patient has extensive medical history that includes penicillin allergy, history of cerebrovascular accident (CVA), Type I Diabetes, hypertension (HTN), vitamin D deficiency, mitral valve disorder, anemia, atrial fibrillation (A-FIB), aortic valve disorder, thrombocytopenia, testicular hypofunction, edema, and hyperlipidemia. It was not reported whether the patient received any treatments for the symptoms, but it was reported that no relevant diagnostic tests or laboratory data were performed. At the time of this report, it was unknown if the patient had recovered. Documents held by sender: None.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Chills, Diarrhoea, Erythema, Pyrexia
Clinical narrative: Initial information received from a health care professional on 08 August 2008. A 28 year old female patient with no reported medical history received an injection of ADACEL (C2994BA) intramuscularly in the left deltoid on 05 August 2008. On 06 August 2008 she experienced diarrhea, chills, and a fever. She was seen on 07 August 2008 and she had 8x4 cm area of redness and demarcation. The patient was started on Bactrim DS. She was seen again by her doctor on 08 August 2008. Her symptoms persisted, although she was afebrile during this visit. The area of redness and demarcation was noted as 9x5 cm at the visit. The doctor's impression was that the area appeared to resemble Erysipelas. The patient was sent to the ER for further evaluation and labs. The patient had not recovered from the events at the time of the report. Follow-up information was received 13 October 2008 from a health care professional. The reporter completed the date field located in box eight of the VAERS form and entered a date of 08 August 2008 in that field. The patient had no illness at the time of vaccination and per the reporter, the patient recovered from the event on 11 August 2008. No additional information was provided at the time of the report. Follow-up information received on 01 December 2008 from a physician. Per the reporter, the patient was seen for evaluation in the physician office on 08 August 2008 and was subsequently evaluated in the emergency room that same day and again on 09 August 2008. The patient was diagnosed with cellulitis and received corrective treatment with intravenous Ceftriaxone. The patient recovered on 11 August 2008. Per the reporter, the case was reviewed and there is no further information to provide. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted immediately after injection of Gardasil vaccine. Patient was revived after about 10 seconds and was able to sit up. We had her rest in the office for 5 minutes. She was then able to walk out of the office on her own and is doing fine at home.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness lasting 10 days, starting two days after shot administered.  Mild nausea
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: One week following vaccination patient developed fatigue, myalgias, and arthralgias without any other signs or symptoms of acute illness. Seen in the office on this date, with persistent symptoms
Age: 61.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Swelling
Clinical narrative: erythema and swelling4cm x 4.5cm left upper arm, no systemic symptoms of infection,
Age: 20.0
Sex: F
Vaccine: TYP, YF
Symptoms: Dizziness, Electrocardiogram normal, Feeling hot, Tachycardia
Clinical narrative: Mother called to report that patient was fine after leaving office on 12/2/08 where patient rec'd YF-Vax and Typhim Vi immunizations and had no c/o the next morning.  Seen by a provider on 12/3/08 for flu immunization; became hot, dizzy, and tachycardic 15 minutes after receiving flu shot at work.  Sent to Hospital, HR reported 157.  Rxed w/ K+ & hydration. Kept overnight.  D/Ced next day, experienced another episode while at a provider's office and was sent to Hospital for ED eval.  D/C w/ neg w/u per mother's report.  To see PCP today (12/5/08).  12/11/2008 ER record received for DOS 12/04/2008 with DX:  Tachycardia.  palpitations.  Pt presented to ER for 2nd time in with c/o rapid heart rate and shaking. Told K+ low at previous ER visit. Pulse 106 on arrival. D/C home after (-) w/u.   12/22/08  ER record received for 12/3/08 with DX:  Tachycardia improved. Pt presented after developing sweating and heart racing following Flu shot. HR 120. Tx with IVF w/ KCl. D/C to f/u with PCP
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: 10 Post vaccination of Influenza vaccine patient diagnosed with Guillain-Bare Syndrome. 1/13/2009 MR received for DOS 11/7-12/5/2008 with D/C DX:  Guillain-Barre Syndrome. Pt presented 11/6/2008 with progressive extremity weakness, malaise, migrating neuropathies and difficult ambulation. Paresthesias noted in upper and lower extremities, reflexes decreased bilaterally, sensation intact. Tx with IVIG. Pt developed hyponatremia c/w SIADH.  Developed some SOB and atelectasis was noted-tx with incentive spirometry. Transferred to rehab 11/12/08 and by d/c was able to ambulate 1000 feet and assume most ADLs.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Headache, Nausea
Clinical narrative: 24 hours after receiving Tetanus/Diptheria vaccine developed a severe headache and nausea.  Note - I was not able to enter the manufacturer name in your drop down cell, so I put unknown.  But it was MassBioLogics from Boston.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Conjunctivitis, Discomfort, Injected limb mobility decreased, Injection site swelling, Insomnia
Clinical narrative: Approx 2.5 hrs after vacc. into L deltoid, pt had increasing discomfort. She had increasing pain into the night with diff. sleeping. She had c/o L lateral neck pain, decreased L arm range of motion, some swelling over injection site, but no redness. Today, neck feeling better, but onset of some left conjunctivitis. She has not taken any medication today.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain
Clinical narrative: Approx 2.5 hrs after vacc. into L deltoid, pt had increasing discomfort. She had increasing pain into the night with diff. sleeping. She had c/o L lateral neck pain, decreased L arm range of motion, some swelling over injection site, but no redness. Today, neck feeling better, but onset of some left conjunctivitis. She has not taken any medication today.
Age: 5.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Child reported to parent on Saturday, 11/15/2008, two days after immunization, a sore left arm, with redness, swelling in uupper arm.  Seen by this nurse on 11/18/2006 with redness, induration, and tenderness of upper left arm size of palm (3x4 inches).  Child wss alert, active, "out for dinner" with parents.   Mother reports that in one week child was showing now symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Right thigh developed large red area around the injection site. Redness noticed within 24 hours. Progressed to size of a fist in 2-3 days. On 12/1/08 was improving. Site of Dtap and IPV injections. Not painful, child was running, jumping, and displaying normal behavior during exam.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Right thigh developed large red area around the injection site. Redness noticed within 24 hours. Progressed to size of a fist in 2-3 days. On 12/1/08 was improving. Site of Dtap and IPV injections. Not painful, child was running, jumping, and displaying normal behavior during exam.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, CSF protein increased, Chills, Computerised tomogram normal, Facial palsy
Clinical narrative: Sudden onset of fever, chills and bodyaches on 11/10/08 less than two weeks after flu vaccination followed by neurogenic bladder which required two emergency room visits on 11/11/08 and 11/12/08 resulting in intermittent self-catherization for one week; developed peripheral neuropathy in lower extremities on 11/13/08 requiring neurologist care; developed Bell's Palsy on 11/21/08 requiring neurologist care and hospitalization from 11/22-11/30/08 with steroid treatment for Guillain-Barre Syndrome. Follow-up visit with neurologist every two weeks and recovering from nerve damage at home until January 2, 2009.  2/10/09 D/C summary received for DOS 11/22-30/2008 with D/C DX:  Autoimmune Non-demyelinating Axonopathy (variant Guillain Barre Syndrome).  Pulmonary Embolism. Pt initially presented to PCP with c/o acute urinary retention and leg weakness which began ~11/11/08. Tx with self cath. Some improvement by 11/19/08, however developed complete R facial paralysis and admitted 11/22/08.  Pt tx with Solumedrol and IVIG with improvement in sx noted. Pt developed acute dyspnea c/w PE. Started on anti-coagulation meds. At d/c facial paresis resolved. Mild easy fatigability and paresthesias in the legs.  Normal DTRs.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Lumbar puncture abnormal, Neurogenic bladder, Neuropathy peripheral, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Sudden onset of fever, chills and bodyaches on 11/10/08 less than two weeks after flu vaccination followed by neurogenic bladder which required two emergency room visits on 11/11/08 and 11/12/08 resulting in intermittent self-catherization for one week; developed peripheral neuropathy in lower extremities on 11/13/08 requiring neurologist care; developed Bell's Palsy on 11/21/08 requiring neurologist care and hospitalization from 11/22-11/30/08 with steroid treatment for Guillain-Barre Syndrome. Follow-up visit with neurologist every two weeks and recovering from nerve damage at home until January 2, 2009.  2/10/09 D/C summary received for DOS 11/22-30/2008 with D/C DX:  Autoimmune Non-demyelinating Axonopathy (variant Guillain Barre Syndrome).  Pulmonary Embolism. Pt initially presented to PCP with c/o acute urinary retention and leg weakness which began ~11/11/08. Tx with self cath. Some improvement by 11/19/08, however developed complete R facial paralysis and admitted 11/22/08.  Pt tx with Solumedrol and IVIG with improvement in sx noted. Pt developed acute dyspnea c/w PE. Started on anti-coagulation meds. At d/c facial paresis resolved. Mild easy fatigability and paresthesias in the legs.  Normal DTRs.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Pain, Pyrexia
Clinical narrative: Sudden onset of fever, chills and bodyaches on 11/10/08 less than two weeks after flu vaccination followed by neurogenic bladder which required two emergency room visits on 11/11/08 and 11/12/08 resulting in intermittent self-catherization for one week; developed peripheral neuropathy in lower extremities on 11/13/08 requiring neurologist care; developed Bell's Palsy on 11/21/08 requiring neurologist care and hospitalization from 11/22-11/30/08 with steroid treatment for Guillain-Barre Syndrome. Follow-up visit with neurologist every two weeks and recovering from nerve damage at home until January 2, 2009.  2/10/09 D/C summary received for DOS 11/22-30/2008 with D/C DX:  Autoimmune Non-demyelinating Axonopathy (variant Guillain Barre Syndrome).  Pulmonary Embolism. Pt initially presented to PCP with c/o acute urinary retention and leg weakness which began ~11/11/08. Tx with self cath. Some improvement by 11/19/08, however developed complete R facial paralysis and admitted 11/22/08.  Pt tx with Solumedrol and IVIG with improvement in sx noted. Pt developed acute dyspnea c/w PE. Started on anti-coagulation meds. At d/c facial paresis resolved. Mild easy fatigability and paresthesias in the legs.  Normal DTRs.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Injected limb mobility decreased, Musculoskeletal chest pain, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Morning post vaccination developed severe pain and stiffness in left arm and shoulder.  Can barely move arm.  Pain radiates to chest wall, breast and neck. Any movement of shoulder joint causes severe pain.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Morning post vaccination developed severe pain and stiffness in left arm and shoulder.  Can barely move arm.  Pain radiates to chest wall, breast and neck. Any movement of shoulder joint causes severe pain.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Ear pain, Facial palsy
Clinical narrative: One day after immunizations, started with pain around RT ear and face getting progressively droopy. Recent URI as well.  No rash.   PERTINENT POSITIVES: droopy RT face.  Periauricular RT pain, mainly just above ear. Mild 2/10.  PERTINENT NEGATIVES: No  Fever, visual changes, excruciating HA.  No Emesis, weakness anywhere else.
Age: 0.5
Sex: M
Vaccine: IPV, PNC
Symptoms: Cough, Injection site erythema, Injection site infection, Injection site swelling, Injection site warmth
Clinical narrative: Prevnar injection site went from 2 inches of redness at 2 pm on the 11/25 to an area about 6 inches across at 7 pm on 11/25. The area was hot to the touch, red like a sunburn, and very tight. He moved away when it was touched. The doctor saw the injury the next morning at 9:30 and measured it, 6 1/2 by 3 1/2 inches. He said it was a skin infection with surrounding the shot injection site and prescribed an antibiotic. The baby had been getting motrin for swelling and pain, and that treatment was recommended to continue. The swelling area was marked with a black marker and on the evening of the 26th, the redness and swelling did extend past the original mark about 1/2 inch. The followup appt. was for the 28th and redness and swelling had gone down considerably, but there were red spots on the baby's abdomen that the doctor could not conclude definately to be a continuation of the shot reaction or from the antibiotic, so the antibotic was changed to cleocin. As of this date, the redness and swelling is gone, but there are pinpoint size scabs on the leg, not just at the injection site, but surrounding it in 4 different places, even though there were never any scrapes to the leg. The baby also has had low fever (99-101),a persistant cough and nasal congestion ongoing since 11/30.  1/22/08 MR received from PCP.  OV 11/25/08 for c/o large, red, inflamed area on thigh where vax given 11/24/08.  Increased swelling noted. DX:  imunization reaction.Tx: abx.  F/u 11/28/08 with decreased redness, now with morbilliform rash. ? drug reaction