chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: F
Vaccine: DTP, HEP, HIBV, IPV, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Diarrhoea, Insomnia, Pyrexia, Vomiting
Clinical narrative: Throwing up, high fevers, diarrhea, crying, no sleeping.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Hyperhidrosis, Injection site erythema, Injection site oedema, Injection site warmth, Lymphadenopathy
Clinical narrative: After 3 days of vaccination, patient complained of redness, itching pain at night of vaccination along with pain in axillary.  No leculation.  Followed by fever of 101-102F, 3 increased in NBC.  On 8-0 Levaquin and Surgical evaluation.  No surgical evaluation.  Resolved fever by 11/13/2003.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Malaise, Nausea, Pyrexia, Rhinitis
Clinical narrative: After 3 days of vaccination, patient complained of redness, itching pain at night of vaccination along with pain in axillary.  No leculation.  Followed by fever of 101-102F, 3 increased in NBC.  On 8-0 Levaquin and Surgical evaluation.  No surgical evaluation.  Resolved fever by 11/13/2003.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Injection site erythema, Pain, Pruritus, Pyrexia
Clinical narrative: After 3 days of vaccination, patient complained of redness, itching pain at night of vaccination along with pain in axillary.  No leculation.  Followed by fever of 101-102F, 3 increased in NBC.  On 8-0 Levaquin and Surgical evaluation.  No surgical evaluation.  Resolved fever by 11/13/2003.
Age: 65.0
Sex: M
Vaccine: DT, PPV
Symptoms: Cellulitis, Rash erythematous
Clinical narrative: More than 24 hours after vaccination in right deltoid, pt developed 2 erythematous papules (0.5cm each) on anterior deltoid and red streaking from deltoid to axilla.  No fever.  No area of induration or fluctuance in deltoid.  Pt sent home with Keflex.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Anaphylactic reaction, Dyspnoea
Clinical narrative: Information has been received from a nurse practitioner concerning a 41 year old male with environmental allergies and no past medical history who in approximately 1993, "ten years ago," was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. There was no concomitant medication. Subsequently the pt expereinced an anaphylactic reaction with SOB. The pt received one dose of epinephrine and the symptoms resolved. The pt indicated that he is unsure if he had ever previously received the vaccine. A recent titer was negative. No additional info was available at the time of the report. Unspecified medical attention was sought. There was no product quality complaint. Anaphylactic reaction and shortness of breath were considered to be immediately life-threatening. Additional info has been requested. Follow up on 12/19/03: "Follow up information received from a nurse practioner indicated that the pt's "pneumovax titers" were unprotected.  The pt did not visit the ER and recovered without sequela.  The pt was not revaccinated.  Anaphylatic reaction and shortness of breath were considered to be immediately life-threatening.  No further information is expected."
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Abnormal behaviour, Delirium, Fatigue, Headache, Laboratory test abnormal
Clinical narrative: Information has been received from a literature article, concerning a 20 year old "healthy" male who was vaccinated with a second dose of hep A virus vaccine inactivated. Subsequently, "less than three hours" later, the pt developed headache, visual disturbance, fatigue, vomiting and behavioral changes. The pt was afebrile and a complete physical examination was normal with the exception of cognitiion and behavior. Minor inconsistencies in his response to questions rapidly progressed to severe delirium, requiring physical and pharmacologic restraint. Complete blood count, and creatinine; and liver function were normal. Phosphorous level was low at 1.7mg/dL and corrected with supplementation. Toxicological screening for volatiles, stimulants, narcotics, cannabinoids, hypnotics, antidepressants, transquilizers, hallucinogens, cardiac drugs, anticonvulsants, muscle relaxnats and over the counter medications was negative. Noncontrast computed tomographic scan of the head was normal. Psychiatric consultation supported the working diagnosis of delirium. Symptoms peaked within the first 12 hrs after vaccination, but all symptoms resolved 24 hrs after his initial presentation. His neurological examination and behavior were normal and he did not demonstrate any further psychiatric abnormalities. All laboratory studies were normal and he was discharged home without any subsequent complications. The relation between the vaccine and the symptoms remained speculative. It was noted that one possible explanation may have been an inadvertent intravascular injection resulting in toxicity from aluminum hydroxy phosphate, a component of the vaccine. It was reported that there was no known mechanism for such neurological events after vaccination but the short duration of symptoms would support a toxic rather than an immunologic effect. It was also reported that an acute toxicity to such a small amoutn of aluminum 0.45mg would be unusual, but would be supported by the pt's low phosphorous level. Severe delirium requiring physical and pharmacologic restraint was considered to be an other important medical event (OMIC). No further info is available.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Visual disturbance, Vomiting
Clinical narrative: Information has been received from a literature article, concerning a 20 year old "healthy" male who was vaccinated with a second dose of hep A virus vaccine inactivated. Subsequently, "less than three hours" later, the pt developed headache, visual disturbance, fatigue, vomiting and behavioral changes. The pt was afebrile and a complete physical examination was normal with the exception of cognitiion and behavior. Minor inconsistencies in his response to questions rapidly progressed to severe delirium, requiring physical and pharmacologic restraint. Complete blood count, and creatinine; and liver function were normal. Phosphorous level was low at 1.7mg/dL and corrected with supplementation. Toxicological screening for volatiles, stimulants, narcotics, cannabinoids, hypnotics, antidepressants, transquilizers, hallucinogens, cardiac drugs, anticonvulsants, muscle relaxnats and over the counter medications was negative. Noncontrast computed tomographic scan of the head was normal. Psychiatric consultation supported the working diagnosis of delirium. Symptoms peaked within the first 12 hrs after vaccination, but all symptoms resolved 24 hrs after his initial presentation. His neurological examination and behavior were normal and he did not demonstrate any further psychiatric abnormalities. All laboratory studies were normal and he was discharged home without any subsequent complications. The relation between the vaccine and the symptoms remained speculative. It was noted that one possible explanation may have been an inadvertent intravascular injection resulting in toxicity from aluminum hydroxy phosphate, a component of the vaccine. It was reported that there was no known mechanism for such neurological events after vaccination but the short duration of symptoms would support a toxic rather than an immunologic effect. It was also reported that an acute toxicity to such a small amoutn of aluminum 0.45mg would be unusual, but would be supported by the pt's low phosphorous level. Severe delirium requiring physical and pharmacologic restraint was considered to be an other important medical event (OMIC). No further info is available.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Back pain, Fatigue, Hypokinesia, Musculoskeletal stiffness
Clinical narrative: Information has been received from a 43 year old female with an allergy to aspirin who on 10/29/03 was vaccinated IM with a 10mcg dose of hepatitis B virus vaccine. There was no concomitant medication. Subsequently, after being administered the vaccine, the patient developed fatigue, weakness, back pain, neck pain, neck stiffness, and slowness of speech and writing. On 11/3/03 the patient was hospitalized. A CT scan and blood tests were performed. No treatment was required. On 11/4/03 the patient was released from the hospital. It was reported that the patient was recovering with sequelae. No additional information was provided. It was also noted that the patient was no longer a patient with the reported physician's practice. No product quality complaint was involved. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain, Speech disorder
Clinical narrative: Information has been received from a 43 year old female with an allergy to aspirin who on 10/29/03 was vaccinated IM with a 10mcg dose of hepatitis B virus vaccine. There was no concomitant medication. Subsequently, after being administered the vaccine, the patient developed fatigue, weakness, back pain, neck pain, neck stiffness, and slowness of speech and writing. On 11/3/03 the patient was hospitalized. A CT scan and blood tests were performed. No treatment was required. On 11/4/03 the patient was released from the hospital. It was reported that the patient was recovering with sequelae. No additional information was provided. It was also noted that the patient was no longer a patient with the reported physician's practice. No product quality complaint was involved. Additional information has been requested.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Information has been received from a physician who is the husband of a 78 year old female with a medical history of high blood pressure and several heart attacks who in 1998 and on 10/29/03 was vaccinated with a first and (second dose in the left upper arm) of pneumococcal 23v polysaccharide vaccine, respectively. It was noted that with the first vaccine she had no adverse symptoms. Concomitant therapy included blood pressure, nadolol, captopril, hormones, clopidogrel bisulfate, vitamins, clonidine and lysonopril. On 10/29/03, within 2 hours, the patient developed pain, slight swelling and decreased range of motion in the shoulder. On 10/30/03, the next day, the patient had severe pain described as continues with a knot of pain in the site and increased swelling. She was started on an unnamed steroid and has had physical therapy for 8 or 9 days for the symptoms. At this time she is using heat to the area and continuing physical therapy. It was noted that she did not receive physical therapy prior to this event. An x-ray of the shoulder was negative for bursitis or calcifications of the shoulder. It was also noted that the doctor received the pneumococcal 23v polysaccharide vaccine from the same vial as the patient and had no adverse symptoms. The physician feels that the joint lining may be inflamed from the injection placed into the synovium rather than the deltoid. Medical attention was sought. There was no product quality complaint involved. Upon internal review the severe pain, decreased range of motion in the shoulder and increased swelling were considered other important medical events (OMIC). Additional information has been requested.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Malaise, Oedema peripheral, Pain
Clinical narrative: Information has been received from a CMA concerning an 85 year old female with high lipids, hypothyroid, osteopenia, fatigue syndrome, lower extremity edema, insomnia and an allergy to sulfa medications who on 9/2/03 at a well visit was vaccinated in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (643785/0872M). The pt was well at the time of vaccination. On 9/4/03, two days post vaccination, the pt felt sick and her left arm was swollen and red, with a circumference of 16cm wide and 18 by 5cm long with increasing pain. She was diagnosed with cellultiis. She was treated with three doses of Keflex. On 9/5/03 the pt was seen in the physician's office and stated that she was feeling better and was recovering. Treatment was continued with Keflex 500mg 4 times daily and Benadryl 25mg 4 times daily. Subsequently, the pt has since recovered. It was noted that the pt had only been with this practice since her first visit on 10/3/00 and the reporter was not sure if this was the pt's first vaccination with pneumococcal 23v polysaccharide vaccine or not. No product quality complaint was involved. Upon internal review, cellulitis and felt sick were determined to be other important medical events (OMIC). Additional info has been requested. Follow up on 12/19/03: "Information has been received from a certified medical assistant and a physician concerning an 85 year old white retired female with high lipids, hypothyroid, osteopenia, fatigue syndrome, lower extremity edema, insomnia and an allergy to sulfa medications who on 09/02/03 at a "well visit" was vaccinated IM in the left deltoid with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 643785/0872M).  Concomitant therapy included levothyroxine Na, aspirin, garlic extract, calcium and multivitamins.  There was no illness at the time of vaccination.  ON 09/03/03, the pt felt sick and her left arm was swollen and red, with a circumference of 16cm wide and 18 by 5 cm long with increasing pain.  She was diagnosed with cellulitis.  She was treated with three doses of cephalexin.  On 09/05/03 the pt was seen in the physician's office and stated that she was feeling better and was recovering.  Treatment was continued for 3 days with cephalexin, 500mg 4 times daily and diphenhydramine 25mg 4 times daily.  The pt's symptoms worsened.  After 3 days with cephalexin the pt went to the ER.  She was switched to dicloxacillin QID for an unknown duration.  On 09/10/03 the pt recovered.  It was noted that the pt had only been with this practive since her first visit on 10/03/00 and the reporter was not sure if this was the pt's first vaccination with pneumococcal 23v polysaccharide or not.  No product quality complaint was involved.  Upon internal review, cellulitis and felt sick were determined to be other important medical events (OMIC).  No further information is expected.  It was also reported that another pt was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine and developed injection site cellulitis (WAES # 0311USA01583)."
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Cardiomyopathy, Chest pain, Diarrhoea, Heart rate increased
Clinical narrative: Rapid heart rate, frequent stools, wt loss (7lbs), chest heaviness, throat pain, neck tenderness, loss of appetite, lasting 4-6 wks. all symptoms with the exception of rapid heart rate and chest heaviness reslved. hospitalized 10/10-11/14. Dx idiopathic cardiomyopathy. THe medicao records received on on 2/11/04 state tachycardia and idiopathic cardiomyoopathy were confirmed andd premature beats.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Palpitations, Pharyngolaryngeal pain, Tenderness, Weight decreased
Clinical narrative: Rapid heart rate, frequent stools, wt loss (7lbs), chest heaviness, throat pain, neck tenderness, loss of appetite, lasting 4-6 wks. all symptoms with the exception of rapid heart rate and chest heaviness reslved. hospitalized 10/10-11/14. Dx idiopathic cardiomyopathy. THe medicao records received on on 2/11/04 state tachycardia and idiopathic cardiomyoopathy were confirmed andd premature beats.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Diabetes mellitus, Dizziness, Gait disturbance, Hemiparesis
Clinical narrative: 30 minutes after receiving flu shot (patient was at home by then), complained of feeling lightheaded. After 2 hours told her daughter, who noted left sided weakness. Patient admitted to hospital with diagnosis of right CVA; hospital for 7 days, then in rehab facility. The discharge summary state diabetic, and hypertensive. Recover partially (according to daughter) has residual weakness- uses a walker, needs 24 personal care assistance.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension
Clinical narrative: 30 minutes after receiving flu shot (patient was at home by then), complained of feeling lightheaded. After 2 hours told her daughter, who noted left sided weakness. Patient admitted to hospital with diagnosis of right CVA; hospital for 7 days, then in rehab facility. The discharge summary state diabetic, and hypertensive. Recover partially (according to daughter) has residual weakness- uses a walker, needs 24 personal care assistance.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Gastritis, Laboratory test abnormal, Myalgia, Renal pain
Clinical narrative: 11/5/03 Pain right kidney spreading midsection front and back. Skull felt on fire; front chest pressure. 11/7/03 ED; told injection from flu shot; week in hospital.  No pain.  11/15 back home. 11/16 ED; testing done; nothing found. So question flu shot. The discharge summary state myalgia and gastric erosion. Annual follow up on 02/10/04: "Pt has recovered from adverse events."
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Febrile convulsion, Oral candidiasis, Skin candida
Clinical narrative: High fever over 103 deg which resulted to two focal seizures. The medical records received on 2/11/03 states final diagnosis was comlex febriel seizure. Additional discharge diagnoses included r/o sepsis, yeast infections of mouth and skin, and diarrhea. 60-day follow up on 02/10/04: "Pt has recovered from adverse events. Pt was given her 6 month immunizations in January. Her doctor decided to give her a DT shot instead of a DTAP in hopes that she would not obtain a fever, in which, she did not. I was advised to give her Tylenol and Motrin every 3 hours for 3 days after to prevent a fever.  I'm not sure if it was the change in the vaccine or the Tylenol/Motrin, but she did not develop any reaction at all. Thank goodness!!"
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Dehydration, Diarrhoea, Drug ineffective, Laboratory test abnormal, Pneumonia
Clinical narrative: Patient was admitted 11/14/03 with fever and was diagnosed with pneumonia with empyema and required a surgical procedure (VATS decortication) and coverage with IV Penicillin G. The hospital discharge summary received on 1/6/04 states dehydration, vomiting and diarrhea.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Pulmonary oedema, Pyrexia, Vomiting
Clinical narrative: Patient was admitted 11/14/03 with fever and was diagnosed with pneumonia with empyema and required a surgical procedure (VATS decortication) and coverage with IV Penicillin G. The hospital discharge summary received on 1/6/04 states dehydration, vomiting and diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Right arm 11 1/2cm x 18 1/2cm redness without warmth.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Right upper arm with about 10cm redness, induration and warmth.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Pt c/o "very" sore arm after receiving the flu shot. Sometimes he could not lift arm. States it's lasted for 2 weeks. Did not have any bruising of swelling. Will see personal physician on 11/26/03.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Discomfort, Injection site erythema, Injection site induration, Malaise, Nausea
Clinical narrative: On 9/13/03, 4 x 11cm area of erythema, 7 x 9cm area induration, 4 x 6cm central clearing area with tiny papules noted left lateral thigh per Dr. C/o bilateral hip discomfort, fever (T 99.0), malaise, nausea, vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Pyrexia, Rash papular, Vomiting
Clinical narrative: On 9/13/03, 4 x 11cm area of erythema, 7 x 9cm area induration, 4 x 6cm central clearing area with tiny papules noted left lateral thigh per Dr. C/o bilateral hip discomfort, fever (T 99.0), malaise, nausea, vomiting.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pyrexia, Urticaria
Clinical narrative: 40 hours post Pneumococcal vaccine: Temp 101.1, injection site with erythema, mild hives
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pain, Pruritus, Urticaria
Clinical narrative: Within several hours of receiving flu shot started having hives on face, back, tops of arms and legs. Also has severe itching/discomfort of both eyes. Self medicating with Benadryl PO and Visine, strongly encouraged on 11/19 to see PMD ASAP! Still has hives.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dehydration, Diarrhoea, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swollen (area of the site of injections) at the site area and even below the arm it hurt!!! Warmth and a pinkiness, 4" x 1", meandering. Then on Day 3 and for 24 hours, never-before-experienced severity of diarrhea, to dehydration and fainting twice.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Syncope
Clinical narrative: Swollen (area of the site of injections) at the site area and even below the arm it hurt!!! Warmth and a pinkiness, 4" x 1", meandering. Then on Day 3 and for 24 hours, never-before-experienced severity of diarrhea, to dehydration and fainting twice.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Nausea, Panic reaction, Tongue oedema
Clinical narrative: Injection 11/10/2003 received flu vaccine.  Next day, felt run down lightheadness (Tuesday).  Friday in PM had diarrhea and nausea and felt like tongue was swelling.  Went to ER diagnosis with panic attack.  Also had one 9 days later just feels like she is getting the flu.  2nd time she had flu shot, 1st time felt bad all winter.
Age: 14.0
Sex: U
Vaccine: FLU3
Symptoms: Pruritus, Rash, Skin burning sensation
Clinical narrative: 6 hours after administration, developed localized rash right arm that progressed and generalized to bilateral arms/chest/anterior thighs.  Patient complained of severe burning and pruritis.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Myoclonus
Clinical narrative: Patient developed diffuse myoclonic activity 2-5 days after vaccine with subsequent full resolution.
Age: 81.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling on both arms one day after flu shot.  Treated with Benadryl, soluMedrol, Pepcid.
Age: 92.0
Sex: F
Vaccine: FLUX
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash, 4 days after flu shot.  Medrol dosepak, allegra and zantac administered.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Rash erythematous
Clinical narrative: Entire facial area flush on color.  Bilateral wrist redness and slightly raised.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid pneumococcal vaccine site swelling with erythema.  Treatment ice packs, then moist packs, then warm packs.  Decreased swelling by 10/17 area resolving Keflex 500mg every 6 hours for 5 days.  Patient discharged to home 10/18/2003.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Hypokinesia, Injection site erythema
Clinical narrative: Length 13cm by Width 15cm.  Redness warm to touch, limited range of motion to arm.  Treatment: Medrol dose pak, Allegra 180mg, cool compresses.  Return to office if no improvement.
Age: 73.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Right deltoid started itching 11/19.  Redness, swelling and warmth.  Went to MD today 11/20.  MD prescribed Allegra 180mgm 1 daily for 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: 104.2 Temperature (the high).  Treated with Tylenol for increased temperatures.  Temperature increased and decreased for 2 days.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Received a phone call from patient to report that she has been having a problem with her arm since she received her flu shot on Friday 11/07/2003.  Got it about noon then went and worked a 12 hour shift.  By the time she got home it was very tender, hot and swollen.  Tried to just wait for it to get better but on Monday called her care provider and went in to get it checked on Tuesday 11/11.  Was put on Keflex three times a day and Motrin 800mg three times a day.  Went back to provider again this week and Keflex was increased to 4 times per day and Vicoden was added.  Has an EMG scheduled for 11/26.  Reports it remains swollen and if she does not take pain pills she can't lift her arm to put on deodorant or other such moves.  Will give update after she has the EMG and knows more about what's going on.
Age: 1.3
Sex: F
Vaccine: DTPHIB, FLU3, IPV, MMR
Symptoms: Blood glucose increased, Blood sodium decreased, Bronchitis, Convulsion, Febrile convulsion
Clinical narrative: 103.9 axillary temperature, O2 sat 92-94% on room air seizure. Follow up on 12/10/03: "Date and time of first seizure after flumist administration: 11/13/2003 after 6PM, child in bed at time.  Time interval between flumist vaccination and onset of seizure: 12 hours.  The seizure was generalized in both sides of the body.  There was postictal drowsiness.  Parents report: unresponsive, eyes rolled back in head, tonic-clonic contractions of extremities lasting several minutes.  Child felt warm at 6PM given Tylenol.  Seizure lasted "several minutes".  Tylenol medicine was administered before the seizure started.  Date of first clinic/ER/hospital visit for the reported seizure: 11/13/2003.  Diagnosis made by ER physician.  Non recorded in seizure activity in ER.  Diagnosis noted either on the date of first clinic/ER/hospital visit following the seizure episode or within 4 weeks afterwards: Upper Respiratory Infection; Acute Sinusitis; Acute Bronchitis; Febrile Seizure;
Age: 1.3
Sex: F
Vaccine: DTPHIB, FLU3, IPV, MMR
Symptoms: Laboratory test abnormal, Pyrexia, Sinusitis, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: 103.9 axillary temperature, O2 sat 92-94% on room air seizure. Follow up on 12/10/03: "Date and time of first seizure after flumist administration: 11/13/2003 after 6PM, child in bed at time.  Time interval between flumist vaccination and onset of seizure: 12 hours.  The seizure was generalized in both sides of the body.  There was postictal drowsiness.  Parents report: unresponsive, eyes rolled back in head, tonic-clonic contractions of extremities lasting several minutes.  Child felt warm at 6PM given Tylenol.  Seizure lasted "several minutes".  Tylenol medicine was administered before the seizure started.  Date of first clinic/ER/hospital visit for the reported seizure: 11/13/2003.  Diagnosis made by ER physician.  Non recorded in seizure activity in ER.  Diagnosis noted either on the date of first clinic/ER/hospital visit following the seizure episode or within 4 weeks afterwards: Upper Respiratory Infection; Acute Sinusitis; Acute Bronchitis; Febrile Seizure;
Age: 65.0
Sex: M
Vaccine: FLUX
Symptoms: Fatigue, Pain
Clinical narrative: Extreme fatigue, intestinal pain, appendix area too.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: States fever that same night 23:00 10/15-next AM, arm red from shoulder half way to elbow.  Hot to touch, swollen.  Called MD office-instructed to take aspirin.  I then reported to the health department.  10/17/2003: Called client-improving decreased in redness and swelling.
Age: 81.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Woke up next day (10/16/2003) after vaccination, right arm swollen, red, hot to touch, no fever.  Hot packed arm 2 times that day.  On 10/17/2003, arm still somewhat swollen from injection site to wrist, warm to touch, red.  Able to use arm.  10/17/2003, but could not on 10/16/2003.  Doing better today 10/17/2003.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema
Clinical narrative: 10/16/2003: Awakened 06:30-red band around shoulder-in afternoon, redness (deep red) to right side of chest.  Saw MD 15:00 10/16/2003.  Did not receive any prescription.  10/17/2003, redness increased to left side of chest.  Up to arm pit.  Stopped to see nurse in MD office-she suggested taking Benadryl 1 tab every 4-6 hours.  No improvement at this time 15:45, 10/17/2003.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Fatigue, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Evening of shot very tired and achy.  11/06-site of shot red and sore, size of 2 inch diameter.  Morning of 11/07, red rash on chest at base of throat to breasts.  Itching on neck, arms, shoulders.  Called MD to report. Purchased generic Benadryl, took twice and itching and rash went away.  Knot in arm where shot given gone by 11/09.  First time I had flu shot. Follow up on 12/08/2003: "Unknown to me, please contact health department."
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Rash
Clinical narrative: Evening of shot very tired and achy.  11/06-site of shot red and sore, size of 2 inch diameter.  Morning of 11/07, red rash on chest at base of throat to breasts.  Itching on neck, arms, shoulders.  Called MD to report. Purchased generic Benadryl, took twice and itching and rash went away.  Knot in arm where shot given gone by 11/09.  First time I had flu shot. Follow up on 12/08/2003: "Unknown to me, please contact health department."
Age: 2.0
Sex: M
Vaccine: FLU3, MMR, TYP
Symptoms: Feeling cold, Malaise, Myalgia, Vomiting
Clinical narrative: Sudden onset within 10-15 minutes or vomiting, chills, myalgia, and general malaise that lasted 36-48 hours.  This information was given to me over the phone by mom-I did not see him.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Headache, Hypokinesia, Pain
Clinical narrative: Injection at 15:00 by 17:00 dull pain up arm to neck with headache by next AM, patient so weak she could not move also pain to entire body, taken to ER.
Age: 1.0
Sex: U
Vaccine: HBHEPB, VARCEL
Symptoms: Cough, Diarrhoea, Otitis media, Pyrexia, Rash vesicular
Clinical narrative: 3 weeks after receiving varivax, developed vesicular rash, fever and cough, diarrhea.  Imp varicella like rash >10 lesions 2 hours right otitis media.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Left shoulder redness, pain, warmth.  Possible cellulitis.  Keflex 500mg 4 times a day for 7 days.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Erythema, Feeling hot, Headache, Pruritus
Clinical narrative: Approximately 48 hours after vaccine administration patient experienced red splotches on chest with itching.  72 hours later, the red "splotches" increasing as welts increased intensity of itching.  Feeling hot, slight headache.  Temperature 97.6 F (oral), Blood pressure 107/70.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Approximately 48 hours after vaccine administration patient experienced red splotches on chest with itching.  72 hours later, the red "splotches" increasing as welts increased intensity of itching.  Feeling hot, slight headache.  Temperature 97.6 F (oral), Blood pressure 107/70.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site pain, Tinnitus
Clinical narrative: Erythema, pain shot site.  Extending an area of 8 inches.  Also had tinuitus and fatigue.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Tenderness
Clinical narrative: After getting shots, noted tender lymph nodes under right arm and "red streaks" approximately 2x1.5inch under right arm and on front side of arm.  States this morning "going away".  Instructed to call her physician.
Age: 6.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Mom noted redness, swelling the day after injection.  Patient seen when brother in for exam on 11/14/2003.  Erythema, induration, 4x4 inches left thigh.  Diagnosis: Cellulitis.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: hives.
Age: 0.3
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Rash macular, Rash papular
Clinical narrative: Flu shot 0.5cc IM given left deltoid 10/15/2003.On 11/07/2003, mom called and stated that on 11/06/2003 took patient in to ER for a g-tube replacement-they noticed left deltoid red, swollen, warmth.  The rash was macular-papular. No axillary or cervical nodes.
Age: 45.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Asthenia, Dizziness, Hypoaesthesia, Nausea
Clinical narrative: November 1st while at work and before work, I felt exaberated and very dizzy.  Nov 2nd continued to feel nausea and dizzy and between legs weak, losing feeling in my legs, unable to work.  By Nov 7th, increased dizziness, increased weakness in legs and now my back and arms.
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Convulsion, Stupor, Viral infection
Clinical narrative: Generalized tonic/clonic seizure lasting 1-2 minutes while in bed with parents. No fever. Short postiltal phase. No prior history. Follow up on 12/10/03: "The seizure was generalized. The pt did not have a fever. Seizure lasted 1-2 minutes.  Neurologist putting on Trileptal. Medical records states viral infection, stupor. msv
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: Generalized tonic/clonic seizure lasting 1-2 minutes while in bed with parents. No fever. Short postiltal phase. No prior history. Follow up on 12/10/03: "The seizure was generalized. The pt did not have a fever. Seizure lasted 1-2 minutes.  Neurologist putting on Trileptal. Medical records states viral infection, stupor. msv
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema
Clinical narrative: The AM I received my shot it swelled up so large it made my bicep shirt sleeve tight from my shoulder to my wrist.  Recieved meds from clinic.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site inflammation, Irritability, Skin burning sensation
Clinical narrative: After anthrax #2; local burning sensation.  This irritating, sometimes throbbing and burning has intermittently flared just in area of shot.  No radiation, no weakness, no parathesias.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pyrexia, White blood cell count increased
Clinical narrative: Fever-101.1.  Pain at injection site starting approximately 1 hour after injection with fever onset approximately 5 hours after injection.  Treatment with Cipro 1 gram every 10 days.
Age: 10.0
Sex: M
Vaccine: HEPA, TTOX
Symptoms: Decreased appetite, Headache, Urticaria
Clinical narrative: 09/15/2003: Booster Td and Hep A #1 given left thigh.  Have headache, decreased appetite in week following injections.  09/21/2003-hives noted on left thigh and 09/22-few hives trunks, right leg.
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: Patient had a swollen bump at site of the Pneumovax right deltoid.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Chills, Pyrexia
Clinical narrative: Had fever to 102.7 after 4 month immunizations (DTAP, IPV, HIB, PCV-7) with chills, lasted about 36 hours.  Occurred about 4-6 hours after immunizations.
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Child had varivax 07/18/1997 was diagnosed with shingles 08/01/2003.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Incessant crying for 48 hours.  No localized reaction, no fever.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Swelling and redness at injection site; temperature of 100.9 for 1.5 days; sever headache for 3 days.
Sex: F
Vaccine: DTAP
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Several minutes after DTAP #5 given, developed about 6 inch raised, red, itchy wheal at injection site and hives on arm-fingers which injection given in.  No respiratory symptoms.
Sex: U
Vaccine: FLUX
Symptoms: Abnormal behaviour
Clinical narrative: Behavior-emotional outburst (no treatment). Normally get flu like symptoms that are controlled with ibuprofen.  I took 3 200mg tablets at 11:00 and 22:00 day of vaccination.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 3x4inch round red bump left arm.  Prescribed Zyrtec 1 tsp two times a day.  Patient had already had DTAP #4 on 09/19/2002).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site erythema, Oedema
Clinical narrative: 11/19: Marked swelling, erythema elbow to shoulder to left side of face.  Went to ER, shot given left deltoid.  Prescribed Keflex 250 two times a day for 7 days and Benadryl every 6 hours.  Seen follow up office 11/21/2003.  Decreased redness, swelling, right eye with Rordeola, recovering.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Rash pustular
Clinical narrative: Rash pustulant
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site inflammation, Injection site oedema
Clinical narrative: Leg inflamed/swollen. Tx with oral ATB for 5 days.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: 5 days after administration of Varivax, pt developed urticaria (diffuse, without associated respiratory symptoms). Treated with diptenhydramine.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Atrial fibrillation, Heart rate increased, Heart rate irregular
Clinical narrative: Irregular and fast heart beat 2 hours. Rest and medication.  Follow up: Information unknown.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Rash erythematous
Clinical narrative: Red spot on arm, left.  Seen in ED 10/26/2003. Treated with antibiotics and improved in a few days.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash - neck area.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain, Pyrexia
Clinical narrative: I was awakened by severe pain in my left arm. Besides being very painful to touch, it was highly erythematous between shoulder and elbow, top to bottom X's 5 days. Treatment included ice and Tylenol for pain and fever as high as 101.8 X's 3 days.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash, Rash macular, Urticaria
Clinical narrative: Immediately following vaccine injection, pt developed hives on both legs surrounding the area of vaccination and also blotchy rash on face. No respiratory distress.
Age: 0.92
Sex: F
Vaccine: HBHEPB, IPV
Symptoms: Hypersensitivity, Rash
Clinical narrative: Allergy to MMR. Rash noted all over.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema, Pain, Pruritus
Clinical narrative: Redness, swelling, ache at injection site. Itching (2 days post injection). Still with some erythema in right upper arm.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Elevated temperature for 5 days.  Achiness, cough.  Upper respiratory infection symptoms.  Nausea, arm pain at administration site.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Upper respiratory tract infection
Clinical narrative: Elevated temperature for 5 days.  Achiness, cough.  Upper respiratory infection symptoms.  Nausea, arm pain at administration site.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Treated with Cefzil, topical bacitracian.  Cefzil samples given, patient uninsured.  1cm area of induration surrounded by a 10x6cm area of erythema on left arm deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration at right deltoid, no fever.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 104.7 rectal
Age: 4.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Had varivax 3 years ago.  Broke out with chickenpox 11/18/2003.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: DTAP to left shoulder.  Shoulder red and swollen and warm after 24-48 hours.
Age: 58.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large indurated erythematous reaction at site of injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Left arm with redness, swelling, warmth
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm red, swollen, warm
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Left arm with 4.5x4 cm red, raised.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Rash papular
Clinical narrative: Complained of rash all over body.  As per mom, rash started on 11/21 (shots given on 11/20) and since shots has been crying about 3 hours at a stretch.  Was seen in ER.  NO fever, no U/D, no URI.  Alert, smiling, well cooing.  Fine papular rash scattered on trunk, legs and arms.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: Rash on right leg-4 lesions red and starting to crust right groin.
Age: 0.9
Sex: M
Vaccine: UNK
Symptoms: Erythema, Rash macular, Urticaria
Clinical narrative: Blotchy red areas like hives-face, extremities
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Feeling hot, Flushing, Headache, Injection site erythema, Injection site oedema
Clinical narrative: The day after vaccination, patient developed nausea and vomiting. Severe headache and flushed face.  Left arm around area of immunization was red, swollen and warm to touch. Parents did not take her temperature.  The following day, the nausea, vomiting and headache was gone.  3 days after vaccination, patients tongue was coated with a grayish, black substance.  By the 4th day arm is less red and swollen and substance on tongue is almost gone.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Nausea, Tongue black hairy, Vomiting
Clinical narrative: The day after vaccination, patient developed nausea and vomiting. Severe headache and flushed face.  Left arm around area of immunization was red, swollen and warm to touch. Parents did not take her temperature.  The following day, the nausea, vomiting and headache was gone.  3 days after vaccination, patients tongue was coated with a grayish, black substance.  By the 4th day arm is less red and swollen and substance on tongue is almost gone.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Influenza like illness, Nasal congestion, Pain, Pyrexia
Clinical narrative: I received the flu vaccine on Tues. 11-25-2003. The following day, Wed. 11-26-2003, I was very sick. I had the symptoms of the flu(whole body aches, feverish, congestion in head) except I was also vomiting. I am still very achy and feverish. I have had the flu vaccine before but I have never any symptoms from it. I don't know if this was a coincidence or if I got sick from the vaccine. I called the physicians office and was told that they had had several reports of this after the vaccine was administered and there was nothing they could do, they advised to get bed rest, take something like acetominiphen for pain and drink lots of fluids. So now I wonder if something is wrong with the vaccine. I don't know how many people have gotten sick from it.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Started about 5pm yesterday, pain, redness, swelling, warmth, 1 inch from injection site, Red redness 8X15 cm; low grade fever (99.3).  Tx. Extra strength Tylenol , cold packs  Returned to clinic  this am for further evaluation and to report occurence.
Age: 20.0
Sex: F
Vaccine: YF
Symptoms: Influenza like illness, Malaise, Myalgia, Rheumatoid arthritis, Systemic lupus erythematosus
Clinical narrative: Having problems, 15 years now. I started getting ill after receiving my basic training vaccinations in Nov 1987, not real bad, just enough to feel like I had the flu all the time. I received more vaccinations and it's been down hill from that point.  I continue to struggle daily. I've gone from doctor to doctor and they run tests and still don't know what to make of my problems, which are symptoms ranging from Lupus, Fibromyalgia and Rheumatoid arthritis. I have and will continue to work full time, as long as my health will allow me too, and I'm not concerned with compensation from anyone else that may have caused my health problems, I just want answers and some hope that my health can be fixed, I want my life back. I dont know what vaccinens I was given and was told my medical records were lost when i requested them in 1991.
Age: 9.0
Sex: M
Vaccine: FLUX
Symptoms: Injury, Syncope
Clinical narrative: Patient fainted several minutes after getting the shot.  In the fall, the patient tore his ear and the doctor used glue to repair it.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Urticaria
Clinical narrative: Dizziness within 1/2 hour. Hives within 3 hours
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Dizziness, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: Client complained of discomfort when vaccine injected from vaccine not the needle stick.  Within 30 minutes presented with arm at site of injection red/swollen/warm with redness radiating up shoulder and neck. No SOB at this point. BP132/84. Benedryl 50mg IM in opposite deltoid and cold compresses applied to injection site.  Fifteen minutes post Benadryl complains of nausea/dizziness,slight SOB sensation. BP120/82 P88; redness on neck reduced in size/color. Unable to locate family to transport client, PMD called and advised EMS transport. Approx. 70min. after injection client transported to hospital. Redness in all sites reduced and site swelling slightly reduced.  Follow-up conversation on 11/26/03 with client who reports spent several hours in ER due to fluctuation in BP. Received IV fluids while there. Seen two days after incident in PMD office; was advised not to take flu vaccinations in the future. Client reports slept most of weekend after vaccination which is out of ordinary for her.  Returned to work on 11/24 still feeling fatigued.  However, by time of follow-up conversation was feeling fine.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Nausea
Clinical narrative: Client complained of discomfort when vaccine injected from vaccine not the needle stick.  Within 30 minutes presented with arm at site of injection red/swollen/warm with redness radiating up shoulder and neck. No SOB at this point. BP132/84. Benedryl 50mg IM in opposite deltoid and cold compresses applied to injection site.  Fifteen minutes post Benadryl complains of nausea/dizziness,slight SOB sensation. BP120/82 P88; redness on neck reduced in size/color. Unable to locate family to transport client, PMD called and advised EMS transport. Approx. 70min. after injection client transported to hospital. Redness in all sites reduced and site swelling slightly reduced.  Follow-up conversation on 11/26/03 with client who reports spent several hours in ER due to fluctuation in BP. Received IV fluids while there. Seen two days after incident in PMD office; was advised not to take flu vaccinations in the future. Client reports slept most of weekend after vaccination which is out of ordinary for her.  Returned to work on 11/24 still feeling fatigued.  However, by time of follow-up conversation was feeling fine.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Laboratory test abnormal, Visual disturbance
Clinical narrative: Onset of severe HEADACHE on 11/09/03 after Flu Vaccine on 10/29/03 Ultimately she had MRI(brain) CT (brain), ER visits *3+ ,Hospitalization with LP. Still has residual HA although is less and she is able to partially function. The medical records state visual disturbance and dizziness. 60-day follow up on 02/05/04 and 02/09/04: "Pt has not recovered from adverse events. Persistent headache."