chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: TD, DT
Symptoms: Hypotension, Rash, Rash pruritic, Tachycardia
Clinical narrative: Pt received TD toxoid 0.5 ml im at medical center on 11/10/08 at 4:30 pm. He was transferred here for ETOH detox. At ER here he developed pruritic skin rash noted at 11-23pm, initial VS were OK. He was treated with DECADRON 4 mg im and BENADRYL 50 mg im. Within one hour, he developed hypotension, tachycardia, worsening skin rash. He was given another 4 mg im of DECADRON, IV NSS, EPIPEN 0.3 mg/0.3 ml im with improvement. Comment - On 7/22/08, Pt had TD toxoid without reaction.  12/16/08 Reviewed ER medical records of 11/10/2008. FINAL DX:alleged assault, ETOH intoxication, fall, contusion of forehead & nasal avulsion. Tx w/wound care & Td.  Transferred to higher level of care.  2/18/09 Received Hospital d/c summary of 11/21/-11/24/08. FINAL DX: acute alcohol intoxication; alcohol dependent; personality disorder; DTs; alcoholic liver disease Records reveal patient w/multiple hospitalizations for same.  Improved & d/c to rehab program.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Condition aggravated, Respiratory tract congestion, Sleep apnoea syndrome, Snoring
Clinical narrative: Patient was seen for his 7 year old physical. He had a history of obstructive sleep apnea, but was getting better. Flumist was given at that time 11/4/08. Since 11/4/08- patient had onset of prolonged congestion, restart of snoring and reemergence of sleep apnea.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Blood cholesterol normal, Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Blood pressure increased, Blood triglycerides normal
Clinical narrative: Clinic visit on 11/14/08 - Left sided chest pain since 11/11 with some radiation to left arm associated with diaphoresis and elevated BP, light headache and difficulty taking deep breath. Chest pain worse on morning of 11/13/08. Pain was worse when lying flat, cough, or deep breath. Not associated with exertion. Nonprandial. Given MOTRIN at local clinic with little relief. After enzymes (+) on 11/14/08, pt referred on 11/18/08 to hospital and admitted overnight. Discharged the following day. Since this episode, he has developed cold-like symptoms (runny nose, cough), but his chest pain has been absent. Performs ADLs w/o development of chest pain, sob, or tightness.  12/5/08 Reviewed hospital medical records of 11/18-11/19/2008. FINAL DX:noncardiac chest pain; asthma; tobacco use disorder. Records reveal patient experienced left side chest pain w/radiation down left arm x 1 week, constant x 3 days then intermittent.  Evaluated at outside clinic where troponin reported to be 0.97(H).  Cardiac w/u neg.  D/C to home w/PCP f/u.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: C-reactive protein increased, Cough, Dyspnoea, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Clinic visit on 11/14/08 - Left sided chest pain since 11/11 with some radiation to left arm associated with diaphoresis and elevated BP, light headache and difficulty taking deep breath. Chest pain worse on morning of 11/13/08. Pain was worse when lying flat, cough, or deep breath. Not associated with exertion. Nonprandial. Given MOTRIN at local clinic with little relief. After enzymes (+) on 11/14/08, pt referred on 11/18/08 to hospital and admitted overnight. Discharged the following day. Since this episode, he has developed cold-like symptoms (runny nose, cough), but his chest pain has been absent. Performs ADLs w/o development of chest pain, sob, or tightness.  12/5/08 Reviewed hospital medical records of 11/18-11/19/2008. FINAL DX:noncardiac chest pain; asthma; tobacco use disorder. Records reveal patient experienced left side chest pain w/radiation down left arm x 1 week, constant x 3 days then intermittent.  Evaluated at outside clinic where troponin reported to be 0.97(H).  Cardiac w/u neg.  D/C to home w/PCP f/u.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Electrocardiogram normal, Exercise test normal, Headache, High density lipoprotein normal, Hyperhidrosis
Clinical narrative: Clinic visit on 11/14/08 - Left sided chest pain since 11/11 with some radiation to left arm associated with diaphoresis and elevated BP, light headache and difficulty taking deep breath. Chest pain worse on morning of 11/13/08. Pain was worse when lying flat, cough, or deep breath. Not associated with exertion. Nonprandial. Given MOTRIN at local clinic with little relief. After enzymes (+) on 11/14/08, pt referred on 11/18/08 to hospital and admitted overnight. Discharged the following day. Since this episode, he has developed cold-like symptoms (runny nose, cough), but his chest pain has been absent. Performs ADLs w/o development of chest pain, sob, or tightness.  12/5/08 Reviewed hospital medical records of 11/18-11/19/2008. FINAL DX:noncardiac chest pain; asthma; tobacco use disorder. Records reveal patient experienced left side chest pain w/radiation down left arm x 1 week, constant x 3 days then intermittent.  Evaluated at outside clinic where troponin reported to be 0.97(H).  Cardiac w/u neg.  D/C to home w/PCP f/u.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUN3, HEPAB, SMALL, TYP
Symptoms: Low density lipoprotein normal, Nasopharyngitis, Rhinorrhoea, Troponin I increased
Clinical narrative: Clinic visit on 11/14/08 - Left sided chest pain since 11/11 with some radiation to left arm associated with diaphoresis and elevated BP, light headache and difficulty taking deep breath. Chest pain worse on morning of 11/13/08. Pain was worse when lying flat, cough, or deep breath. Not associated with exertion. Nonprandial. Given MOTRIN at local clinic with little relief. After enzymes (+) on 11/14/08, pt referred on 11/18/08 to hospital and admitted overnight. Discharged the following day. Since this episode, he has developed cold-like symptoms (runny nose, cough), but his chest pain has been absent. Performs ADLs w/o development of chest pain, sob, or tightness.  12/5/08 Reviewed hospital medical records of 11/18-11/19/2008. FINAL DX:noncardiac chest pain; asthma; tobacco use disorder. Records reveal patient experienced left side chest pain w/radiation down left arm x 1 week, constant x 3 days then intermittent.  Evaluated at outside clinic where troponin reported to be 0.97(H).  Cardiac w/u neg.  D/C to home w/PCP f/u.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abnormal loss of weight, Electrocardiogram normal, Full blood count normal, Headache, Headache
Clinical narrative: Frontal headache began day of first dose of GARDASIL vaccine (05-02-2007) - Neurologist consulted 07/2008 after headache continued daily/constantly x over 1 yr - Neurologist states likely migraine cycle triggered by HPV vaccine - Condition now worsened to debilitating status for several days in a row. 5/12/10 Follow up: Residual migraine headaches with syncope and neurological signs.  1/21/2009 MR received from neurologist. Pt seen for several visits between 11/17/08 and 12/10/08 in f/u for Classic migraine. Seen 11/17/08 for migraine h/a sx which began 6 days prior including nausea and visual disturbance. ROS (+) for fatigue, blurred vision, eye pain, photophobia, dizziness, tachycardia, acid reflux sx of heartburn, nausea and vomiting, back pain, ataxia, confusion, fainting, headaches, memory loss, paresthesias, speech disorder, tremors, vertigo and weakness.  PE WNL. DX:  Classic migraine.  F/u 11/20/08 with no relief of sx-still with global H/A and nausea. Recent syncopal event with ER visit.  ROS now includes tinnitus, tooth pain, limb pain, myalgias. Tx with steroid, promethazine and dyphenhydramine.  F/U 12/10/08 Migraine now resolved.  ROS (+) for unintentional wt loss. On multiple meds.  1/29/2010 Chronic headache-migraine.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Syncope
Clinical narrative: Frontal headache began day of first dose of GARDASIL vaccine (05-02-2007) - Neurologist consulted 07/2008 after headache continued daily/constantly x over 1 yr - Neurologist states likely migraine cycle triggered by HPV vaccine - Condition now worsened to debilitating status for several days in a row. 5/12/10 Follow up: Residual migraine headaches with syncope and neurological signs.  1/21/2009 MR received from neurologist. Pt seen for several visits between 11/17/08 and 12/10/08 in f/u for Classic migraine. Seen 11/17/08 for migraine h/a sx which began 6 days prior including nausea and visual disturbance. ROS (+) for fatigue, blurred vision, eye pain, photophobia, dizziness, tachycardia, acid reflux sx of heartburn, nausea and vomiting, back pain, ataxia, confusion, fainting, headaches, memory loss, paresthesias, speech disorder, tremors, vertigo and weakness.  PE WNL. DX:  Classic migraine.  F/u 11/20/08 with no relief of sx-still with global H/A and nausea. Recent syncopal event with ER visit.  ROS now includes tinnitus, tooth pain, limb pain, myalgias. Tx with steroid, promethazine and dyphenhydramine.  F/U 12/10/08 Migraine now resolved.  ROS (+) for unintentional wt loss. On multiple meds.  1/29/2010 Chronic headache-migraine.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Hypoaesthesia, Intensive care
Clinical narrative: Guillain-Barre, numbness started hands and feet 10-20-08. Seen 10-27-08 for same progressed with ascending numbness and weakness and back pain. Hospitalized in ICU for one week. Mostly better now.  12/11/08 Received hospital records of 11/06/11/13/2008 FINAL DX: ascending polyneuropathy secondary to GBS Records reveal patient experienced numbness of both feet 6 days s/p vaccine which progressed to her hands,  feet heaviness & balance difficulties.  Symptoms did not improve & admitted.  Neuro consult done.  Tx w/IVIG x 5 days.  Improved & d/c to home for outpatient PT & neuro f/u.  2/11/09 Received hospital Neuro consult & hospital labs. Neuro consult indicates pt had begun outpatient w/u w/neurosurg which was WNL.  Had been referred to neuro but fell in MD office several times & was admitted to hosp w/o EMG/NCS being done.  Neuro exam in hosp revealed decreased reflexes & decreased sensation.  LP done but no EMG/NCS while in hospital due to equipment difficulty.  Tx w/IVIG.  EMG/NCS scheduled as outpatient & has been requested.  2/17/09 Received Neuro consult, EMG/NCS & CSF studies. FINAL DX: polyneuropathy Records indicate patient experienced numbness & tingling of hands/feet, unsteady gait.  Fell several times in MD office & admitted to hospital.  Exam revealed decreased reflexes of LEs.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Angiogram, Nuclear magnetic resonance imaging
Clinical narrative: Possible brain aneurysm. 12/15/2008 MR received for DOS 11/25-12/03/2008 with Dx:  Subarachnoid hemorrhage.  Abnormal electrocardiogram probably related to intracranial abnormalities. . Pt presented with 7 day hx of severe h/a which began following flu shot with stiff neck. Seen at local facility where CT scan was concerning for R temporal and R parietal subarachnoid hemorrhage. Transferred to current facility for mgmt. PE (+) for disconjugate gaze. Pt spent several days in ICU then regylar floor with slow resolution of h/a and no further development of any other sx. D/C to care of family  and for outpt f/u.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Enlarged uvula
Clinical narrative: Patient came back the day after vaccination with a swolen uvula-had difficulty swallowing.  Took BENADRLY OTC which helped.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: pain occurred approx 1 week post injection.  Constant pain
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pain occurred approx. 1 week post injection. Started intermittently, now constant pain.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: Pentacel was ordered, Pediarex was given.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Dose 3 was given too soon.  It will be repeated per CDC guidelines
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Chills, Injection site pain, Pyrexia
Clinical narrative: Tdap given on 11/24/2008- next day pt. experienced severe left deltoid pain, fever to 102F, weakness, chills.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Client states has had pain to L arm since injection.  States has achiness to L arm at injection site and up into her shoulder.  (Injection was 10-6-08)
Age: 24.0
Sex: M
Vaccine: ANTH, TDAP
Symptoms: Nerve conduction studies, Paraesthesia
Clinical narrative: Received his 4th BIOTHRAX shot in his left arm. He recalls that it was toward the back of the deltoid, but not directly in the triceps region. He also received a DTaP that day, and believes it was in the opposite arm. There was no site reaction at either site. Complained of a left arm paresthesia since. It is in an ulnar nerve distribution, and predominantly causes a dullness/tingling to the fourth and fifth digits.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Eye pruritus, Eye swelling, Ocular hyperaemia
Clinical narrative: Patient developed red puffy eyes, which were itchy. No wheezing, no respiratory difficulties.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Facial pain, Headache, Pyrexia, Sinusitis
Clinical narrative: Abrupt onset of headache, low grade fever and face pain. Patient evaluated 11/6/08 and diagnosed with sinusitis.
Age: 53.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Akinesia, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Pt has localized pain at site of injection, had vomiting, and fever.  He is unable to move arm.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Ulnar nerve injury
Clinical narrative: possible "pierce" of ulnar nerve
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Continuing pain at the site (where administered). To raise right arm is very painful.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: arm became swollen, red, warm on top part of arm.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid red, swollen, warm to touch. Had hematoma palpable @ injection site. Patient already on antibiotics. Rx spider bite
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received DAPTACEL and IPV in (L) thigh on 11-24-08 around 9am. Approx. 24 hrs later mom noted significant swelling, pain, and erythema of left thigh.
Age: 5.0
Sex: M
Vaccine: RUB
Symptoms: Electroencephalogram normal, Mental disorder, Movement disorder, Photophobia, Pneumonia
Clinical narrative: Information has been received from a mother concerning her 5 year old son with seasonal allergies and no other pertinent medical history who on 30-JUL-2007 was vaccinated with a first dose of MERUVAX II (lot # 655408/0036U). There was no concomitant medication. The mother reported that her son "slipped into a fog, started babbling and blinking real hard" three hours after vaccination. The mother stated that her son also seemed agitated and hyper and after that he started making strange facial movements and became light sensitive. Her son was diagnosed as having "transient disorder." He is still experiencing occasional sleep deprivation and movement disorder; however, it is occurring with less frequency. Unspecified medical attention was sought. Diagnostic studies included and EEG sleep deprivation test that came back normal. At the time of this report, the patient had not recovered. No further information was provided. No product quality complaint was involved. The mother also reported that her son received a dose of MERUVAX II and 5 days later he developed pneumonia. (WAES 0810USA00371). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: RUB
Symptoms: Sleep disorder
Clinical narrative: Information has been received from a mother concerning her 5 year old son with seasonal allergies and no other pertinent medical history who on 30-JUL-2007 was vaccinated with a first dose of MERUVAX II (lot # 655408/0036U). There was no concomitant medication. The mother reported that her son "slipped into a fog, started babbling and blinking real hard" three hours after vaccination. The mother stated that her son also seemed agitated and hyper and after that he started making strange facial movements and became light sensitive. Her son was diagnosed as having "transient disorder." He is still experiencing occasional sleep deprivation and movement disorder; however, it is occurring with less frequency. Unspecified medical attention was sought. Diagnostic studies included and EEG sleep deprivation test that came back normal. At the time of this report, the patient had not recovered. No further information was provided. No product quality complaint was involved. The mother also reported that her son received a dose of MERUVAX II and 5 days later he developed pneumonia. (WAES 0810USA00371). Additional information has been requested.
Age: 1.6
Sex: M
Vaccine: RUB
Symptoms: Antibody test negative, Rubella antibody negative
Clinical narrative: Information has been received from a physician concerning a 19 year old ,male with no drug allergies and a history of familial risk factor (at birth mother had positive hepatitis B surface antigen) who on 01-MAY-1990 was vaccinated with MERUVAX II. The physician reported that the patient recently (dates not specified) tested negative for rubella titer. No problems were reported. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Fall, Muscular weakness, Syncope
Clinical narrative: Patient felt dizzy within a minute of the HPV shot. She fainted, fell off the exam table and had a short seizure. She has since fallen from leg weakness which has never before this time ever happen. 12/4/08-records received--clinic visit 10/7/08-brief syncope after shots fell off table and hit head. able to get up within 2 minutes without complaints. Recent C/O abdominal pain mostly with periods. No other office visits.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: After receiving most recent injection throat swelled up within a couple of hours and had a headache. Next day became nauses with another headache.Throat still soar and swelled as of todays date.Injection site is still soar and red with a raised itchy bump.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Oropharyngeal pain, Pharyngeal oedema
Clinical narrative: After receiving most recent injection throat swelled up within a couple of hours and had a headache. Next day became nauses with another headache.Throat still soar and swelled as of todays date.Injection site is still soar and red with a raised itchy bump.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Chest discomfort, Cough, Diarrhoea, Dyspepsia
Clinical narrative: Fever 100.4 11/22, cough from 11/24 till present, brown sputum with streaks of blood for four a.m.'s following vaccine, severe sore throat upon a.m. awakening from time of vaccine till present, upper abdominal discomfort on right and left sides on 11/22, diarrhea on 11/22, runny nose from 11/24 till present, severe nausea on 11/22, headache on 11/22, feeling of mailaise on 11/22, chest tightness, heartburn.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Haemoptysis, Headache, Malaise, Nausea, Oropharyngeal pain
Clinical narrative: Fever 100.4 11/22, cough from 11/24 till present, brown sputum with streaks of blood for four a.m.'s following vaccine, severe sore throat upon a.m. awakening from time of vaccine till present, upper abdominal discomfort on right and left sides on 11/22, diarrhea on 11/22, runny nose from 11/24 till present, severe nausea on 11/22, headache on 11/22, feeling of mailaise on 11/22, chest tightness, heartburn.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Fever 100.4 11/22, cough from 11/24 till present, brown sputum with streaks of blood for four a.m.'s following vaccine, severe sore throat upon a.m. awakening from time of vaccine till present, upper abdominal discomfort on right and left sides on 11/22, diarrhea on 11/22, runny nose from 11/24 till present, severe nausea on 11/22, headache on 11/22, feeling of mailaise on 11/22, chest tightness, heartburn.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary mass, Musculoskeletal stiffness, Swelling
Clinical narrative: Patient states that the day after receiving DAPTACEL vaccine, his arm was stiff. Gradually there become a lump in his axillae area, and today there is swelling to his chest area (same sided of injection).
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Patient describes that 3 days after receiving vaccine that her arm near injection site became hard and red. It has progressively gotten worse and is now itchy. Pt. applying ice and will start BENADRYL 25 mg po q 6 hours.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Feeling abnormal, Feeling hot, Hypoacusis, Immediate post-injection reaction, Nausea
Clinical narrative: 3:15pm IM injection, 5 minutes later patient reported blurred vision and feeling strange. Had patient. Sit down. Reported feeling warm and nauseous. She ask for water, gave bottle, drank a little. Did not feel any better. Did not have breathing difficulty or swallowing 3:30pm reported she was having hearing difficulty and could not see. 345 reported difficulty hearing things. Administered EPT, call 911 EMT arrived in 10 min took her to hosp ER.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vision blurred
Clinical narrative: 3:15pm IM injection, 5 minutes later patient reported blurred vision and feeling strange. Had patient. Sit down. Reported feeling warm and nauseous. She ask for water, gave bottle, drank a little. Did not feel any better. Did not have breathing difficulty or swallowing 3:30pm reported she was having hearing difficulty and could not see. 345 reported difficulty hearing things. Administered EPT, call 911 EMT arrived in 10 min took her to hosp ER.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blindness transient, Feeling abnormal, Feeling hot, Hearing impaired, Nausea
Clinical narrative: 3:15pm IM injection, 5 minutes later patient reported blurred vision and feeling strange. Had patient. Sit down. Reported feeling warm and nauseous. She ask for water, gave bottle, drank a little. Did not feel any better. Did not have breathing difficulty or swallowing 3:30pm reported she was having hearing difficulty and could not see. 345 reported difficulty hearing things. Administered EPT, call 911 EMT arrived in 10 min took her to hosp ER.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash macular, Skin warm
Clinical narrative: Rash on upper arm. Blotchy, doesn't itch, warm to touch, no drainage, not raised. On the inner aspect of arm
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Joint swelling, Oedema peripheral
Clinical narrative: mild swelling of lower arm, wrist, and hand
Age: 1.3
Sex: M
Vaccine: DTAP, PPV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever T max 103 12 hours after vaccine administration followed by febrile seizure x 1 episode. Admitted for observation.  12/2/08 Reviewed PCP medical records of 11/25/08 & vaccination records w/o lot numbers recorded.  Records reveal patient in good health on day of vaccination.  Included hospital labs of 11/26.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives on face in the evening of the date the vaccine was administered.
Age: 0.92
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Upon data entry into the state registry, it was noted that I had given Tdap instead of the 3rd dose of DTaP. I reviewed the ACIP statement and found that because this was the third dose, it could not be counted as valid. The parents were notified of this incidence and will return in 4 weeks for the replacement dose of DTaP. Parents have been bringing the child in for one vaccine at a time so child is behind on schedule for age.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Injection site pain, Joint range of motion decreased, Neck pain
Clinical narrative: Symptoms: (have now persisted for over a month since the vaccination on Oct. 22, 2008). Include: deep aching in left upper arm, radiating into shoulder, especially when arm is at rest, such as when reading or driving; pain into left side of neck and chest (mimicks angina); difficulty placing left arm into coat sleeve due to decrease range of motion in left shoulder; no significant relief of discomfort after using Aleve, Ibuprofen or Ben Gay
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient called 11-28-08 and said her arm was still sore from vaccine. Pain is like that of a sore muscle.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Severe swelling at site of ZOSTAVAX given 2 days ago. 13 x 7 cm wheal.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea, Pharyngeal oedema, Swollen tongue, Urticaria
Clinical narrative: Throat and tongue swelling, hives, SOB anaphylaxis.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Oedema mouth
Clinical narrative: Sudden onset of facial and oral edema around 2pm after eating pizza and pineapple. Had received influenza injection about 5 hours earlier. Symptoms improved with SQ Epinephrine.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Palpitations, Vomiting
Clinical narrative: Nausea, vomiting x1 episode, heart racing. Symptoms started about 3-4 hours after vaccine. Advised to take 25mg of BENADRYL, about 4-5 hours after vaccine. 8-10 hours after vaccine, all symptoms resolved. Patient thought BENADRYL may have caused vomiting.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Eye swelling, Oedema peripheral, Pruritus
Clinical narrative: Vaccine given @ approx. 2pm @ approx 6pm. Rt knee starting hurting then about 12:30 AM severe itching started @ neck and head. Rt hand and eyes swollen. Employee event to clinic @ 12pm on 11/19/2008, given Benadryl injection.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Rash erythematous, Rash pruritic
Clinical narrative: Complain of rash on legs, stomach, and under arms. Small red bumps. itchy. Lump and pain at injection site.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Swollen, hot on lower arm, not at injection site at lower arm.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: PATIENT STATED SHE HAS DEVELOPED A RASH WITH HIVES ON HER HANDS
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Pharyngeal oedema, Sensation of foreign body
Clinical narrative: Felt like lump in throat, swelling of throat and difficult to breath.  Treatment: Benadryl
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: HAD VACCINATION ON NOV. 27.  TWO DAYS LATER IT WAS HURTING, RED, SWOLLEN AND HARD.  TODAY, NOV. 29 IT IS WORSE.  THE PAIN, SWELLING, HARDNESS ETC. ARE GETTING WORSE.  I HAVE PUT ICE ON IT AND TAKEN ADVIL WITH NO RELIEF.  I MAY HAVE TO SEE THE DOCTOR ABOUT IT.  I AM NOT SURE OF THE EXACT NAME OF THE SHOT.
Age: 10.0
Sex: F
Vaccine: FLUX
Symptoms: Induration, Pain, Swelling, Urticaria, Wrong technique in drug usage process
Clinical narrative: My daughter got the flu shot. She is a type 1 diabetic the nurse gave her the shot in the fat  and not the muscle she swelled up right after. she has a welt the size of a apple red hard and very painful. It is sat the clinic is closed but i may bring her in to ergent care.
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia
Clinical narrative: I have experienced continued achiness in upper arm where the flu shot was administered.  Most noticeable when arm is elevated to shoulder height.  This feeling has been on-going since the date the vaccine was given.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site warmth, Pain in extremity
Clinical narrative: Pt received PNEUMOVAX on 11/28 at about 2:20pm and call AM of 11/29, complaining of severe pain in right arm which was the arm that vaccinated the PNEUMOVAX. Also complained about warmth at injection site. She said could hardly move right arm, have been taking MOTRIN and TYLENOL but to no relief. Pt received FLUVIRIN in left arm but was ok with it.
Age: 52.0
Sex: F
Vaccine: DPP, TTOX
Symptoms: Erythema, Influenza like illness, Injection site pain, Injection site swelling, Muscular weakness
Clinical narrative: Intially the injection site was very swollen,extremely painful and red from my shoulder to my elbow. I had fever and flu like symptoms. The flu like symptoms lasted about three days. The pain,swelling,fever and redness in my left arm continued for over a week. I went to see my nursing director (Iam a nursing student, that is why I recieved the immunization,in order to attend my clinical rotation). When I showed the injection site to my nursing director she said that it looked like reaction and that I needed to go back to my doctor and let her see it. I went back my doctor was'nt in so I showed it to the nurse,I made an appointment to see my doctor because the pain in my arm. I have constant pain and weakness in the arm and at this point nothing seems to help. I have tried heat, cold, Ibuprophen, Tramodol with Tylenol, and currently Mobic which isn't helping. I would like some answers and help to know is this going to get better or worse and what can I do about it.
Age: 52.0
Sex: F
Vaccine: DPP, TTOX
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Intially the injection site was very swollen,extremely painful and red from my shoulder to my elbow. I had fever and flu like symptoms. The flu like symptoms lasted about three days. The pain,swelling,fever and redness in my left arm continued for over a week. I went to see my nursing director (Iam a nursing student, that is why I recieved the immunization,in order to attend my clinical rotation). When I showed the injection site to my nursing director she said that it looked like reaction and that I needed to go back to my doctor and let her see it. I went back my doctor was'nt in so I showed it to the nurse,I made an appointment to see my doctor because the pain in my arm. I have constant pain and weakness in the arm and at this point nothing seems to help. I have tried heat, cold, Ibuprophen, Tramodol with Tylenol, and currently Mobic which isn't helping. I would like some answers and help to know is this going to get better or worse and what can I do about it.
Age: 40.0
Sex: F
Vaccine: TYP
Symptoms: Headache, Nausea
Clinical narrative: Am experiencing a very bad headache. Headache has lasted continuously for more than 48 hours. Are times where headache is worse and debilitating and times where it is weaker, but is constant. Also experience short periods of nausea.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Throat tightness
Clinical narrative: Patient is a Registered Nurse. About 30 min after receiving vaccine patient began to have pressure on upper sternum and squeezing in throat. She reports, "I could only breathe if I hyperextended my neck. My husband gave me 50 mg Benedryl after 10 minutes. The sensation resolved after about 45 minutes.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Hives were found on left flank, left elbow and bilateral thighs approximately eight hours after administration.  We are not sure of when exactly the hives appeared as they did not seem to bother her.  Benadryl was given every 6 hours for the next 5 days since the hives would return.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site swelling, Musculoskeletal pain, Paraesthesia
Clinical narrative: Swelling of shot area. Tingling from area down to fingers, feels like pins and needles, can't raise arm (left), hurts around to my shoulder blade.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Ascites, Biopsy bone marrow normal, Biopsy liver normal, Biopsy skin normal, Cardiopulmonary failure
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Convulsion, Death, Dyspnoea, Encephalopathy, Endotracheal intubation
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: General physical health deterioration, Hepatosplenomegaly, Multi-organ failure, Oxygen supplementation, Peritoneal dialysis
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Platelet count decreased, Platelet transfusion, Pseudomonal sepsis, Pyrexia, Rash
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Renal failure, Thrombocytopenia
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Death, Multi-organ failure
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Sex: M
Vaccine: HEP, HEP, HEP
Symptoms: Anaphylactic reaction, Death, Hypersensitivity, Immediate post-injection reaction
Clinical narrative: Information has been received from a consumer concerning her 8 day old son who in 2007 was vaccinated with a dose of RECOMBIVAX HB. Immediately post vaccination the patient experienced an allergic/anaphylactic reaction. The patient was hospitalized. The patient did not die instantly. He lived for 47 days beyond the reaction. The cause of death was an anaphylactic reaction to the vaccination. No product quality complaint was involved. Additional information is not expected.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Swelling face, Wheezing
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 6 year old male who was vaccinated subcutaneously with a second dose of VARIVAX (Merck) (lot # not reported). Subsequently the patient developed eyes swollen shut, a large welt at injection site, rash around face, chest and then quickly spreading to extremities, and wheezing within an hour of being vaccinated. The patient sought medical attention and was treated at physician's office with an albuterol breathing treatment, BENADRYL, and a steroid injection, and then he was observed in the office for two hours. Patient was better the next day. Follow-up information was received which reported that the patient with a history of DEMEROL allergy (hives) and no known adverse events following prior vaccination who was vaccinated with the dose of VARIVAX (Merck) (lot #) in left deltoid at 11:55 am on 22-OCT-2008. The patient was diagnosed bronchitis (cold, 6 days, and some wheezing) at the time of vaccination. At 12:20 pm, 22-OCT-2008, patient developed acute hives head-to-toe within minutes of vaccination. Patient's face became swollen to the extent that he unable to open his eyes. Vaccine site developed 30 mm diameter raised. White welt with red edging. Patient's wheezing increased. The patient recovered with BENADRYL, PO, albuterol NEB treatment and DECADRON injection, IM. Treatment discontinued at 15:00 pm. The patient was given BENADRYL Q 6-8 h. It was reported that the hives resolved within 24 hours and the localized reaction resolved within 48 hours. The patient recovered on 24-OCT-2008. Acute hives was considered to be immediately life-threatening. No further information is available.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Eye swelling, Rash, Swelling face, Wheezing
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 6 year old male who was vaccinated subcutaneously with a second dose of VARIVAX (Merck) (lot # not reported). Subsequently the patient developed eyes swollen shut, a large welt at injection site, rash around face, chest and then quickly spreading to extremities, and wheezing within an hour of being vaccinated. The patient sought medical attention and was treated at physician's office with an albuterol breathing treatment, BENADRYL, and a steroid injection, and then he was observed in the office for two hours. Patient was better the next day. Follow-up information was received which reported that the patient with a history of DEMEROL allergy (hives) and no known adverse events following prior vaccination who was vaccinated with the dose of VARIVAX (Merck) (lot #) in left deltoid at 11:55 am on 22-OCT-2008. The patient was diagnosed bronchitis (cold, 6 days, and some wheezing) at the time of vaccination. At 12:20 pm, 22-OCT-2008, patient developed acute hives head-to-toe within minutes of vaccination. Patient's face became swollen to the extent that he unable to open his eyes. Vaccine site developed 30 mm diameter raised. White welt with red edging. Patient's wheezing increased. The patient recovered with BENADRYL, PO, albuterol NEB treatment and DECADRON injection, IM. Treatment discontinued at 15:00 pm. The patient was given BENADRYL Q 6-8 h. It was reported that the hives resolved within 24 hours and the localized reaction resolved within 48 hours. The patient recovered on 24-OCT-2008. Acute hives was considered to be immediately life-threatening. No further information is available.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Eye swelling, Injection site erythema, Injection site urticaria, Rash, Rash generalised
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 6 year old male who was vaccinated subcutaneously with a second dose of VARIVAX (Merck) (lot # not reported). Subsequently the patient developed eyes swollen shut, a large welt at injection site, rash around face, chest and then quickly spreading to extremities, and wheezing within an hour of being vaccinated. The patient sought medical attention and was treated at physician's office with an albuterol breathing treatment, BENADRYL, and a steroid injection, and then he was observed in the office for two hours. Patient was better the next day. Follow-up information was received which reported that the patient with a history of DEMEROL allergy (hives) and no known adverse events following prior vaccination who was vaccinated with the dose of VARIVAX (Merck) (lot #) in left deltoid at 11:55 am on 22-OCT-2008. The patient was diagnosed bronchitis (cold, 6 days, and some wheezing) at the time of vaccination. At 12:20 pm, 22-OCT-2008, patient developed acute hives head-to-toe within minutes of vaccination. Patient's face became swollen to the extent that he unable to open his eyes. Vaccine site developed 30 mm diameter raised. White welt with red edging. Patient's wheezing increased. The patient recovered with BENADRYL, PO, albuterol NEB treatment and DECADRON injection, IM. Treatment discontinued at 15:00 pm. The patient was given BENADRYL Q 6-8 h. It was reported that the hives resolved within 24 hours and the localized reaction resolved within 48 hours. The patient recovered on 24-OCT-2008. Acute hives was considered to be immediately life-threatening. No further information is available.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Swelling face, Urticaria, Wheezing
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 6 year old male who was vaccinated subcutaneously with a second dose of VARIVAX (Merck) (lot # not reported). Subsequently the patient developed eyes swollen shut, a large welt at injection site, rash around face, chest and then quickly spreading to extremities, and wheezing within an hour of being vaccinated. The patient sought medical attention and was treated at physician's office with an albuterol breathing treatment, BENADRYL, and a steroid injection, and then he was observed in the office for two hours. Patient was better the next day. Follow-up information was received which reported that the patient with a history of DEMEROL allergy (hives) and no known adverse events following prior vaccination who was vaccinated with the dose of VARIVAX (Merck) (lot #) in left deltoid at 11:55 am on 22-OCT-2008. The patient was diagnosed bronchitis (cold, 6 days, and some wheezing) at the time of vaccination. At 12:20 pm, 22-OCT-2008, patient developed acute hives head-to-toe within minutes of vaccination. Patient's face became swollen to the extent that he unable to open his eyes. Vaccine site developed 30 mm diameter raised. White welt with red edging. Patient's wheezing increased. The patient recovered with BENADRYL, PO, albuterol NEB treatment and DECADRON injection, IM. Treatment discontinued at 15:00 pm. The patient was given BENADRYL Q 6-8 h. It was reported that the hives resolved within 24 hours and the localized reaction resolved within 48 hours. The patient recovered on 24-OCT-2008. Acute hives was considered to be immediately life-threatening. No further information is available.
Age: 40.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: Diagnosed & admitted to hospital with ITP. Hospitalized from 11/06/08 till 11/16/08. Massive blood loss, areas of bruising over entire body.
Age: 40.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Contusion, Haemorrhage, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Diagnosed & admitted to hospital with ITP. Hospitalized from 11/06/08 till 11/16/08. Massive blood loss, areas of bruising over entire body.
Age: 16.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Back pain, Body temperature, C-reactive protein, Chills, Dysphagia
Clinical narrative: This serious case was received from a health professional on 21 November 2008. A 16-year-old female patient, with no reported medical history and no known allergies, received an intramuscular right arm injection of MENACTRA (lot number U2637AA) on 17 November 2008. Two days post-vaccination, on 19 November 2008, she complained of a headache, low back pain, difficulty swallowing, chills (temperature 98.2 degrees Fahrenheit) and muscle weakness in both legs and feet. She subsequently developed paresthesias in the legs and feet, experienced difficulty holding a cup, and complained of her skin being sensitive to the touch. She was admitted to the hospital on 20 November 2008, and underwent a urinalysis, metabolic profile, CRP, CMG, and sed rate analysis; results were not provided. The patient was diagnosed with Guillain-Barre syndrome. It was not known if she was taking any concomitant medications. At the time of the report, the patient had not yet recovered. Documents held by sender: None.
Age: 16.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Grip strength decreased, Headache, Hyperaesthesia, Metabolic function test, Muscular weakness
Clinical narrative: This serious case was received from a health professional on 21 November 2008. A 16-year-old female patient, with no reported medical history and no known allergies, received an intramuscular right arm injection of MENACTRA (lot number U2637AA) on 17 November 2008. Two days post-vaccination, on 19 November 2008, she complained of a headache, low back pain, difficulty swallowing, chills (temperature 98.2 degrees Fahrenheit) and muscle weakness in both legs and feet. She subsequently developed paresthesias in the legs and feet, experienced difficulty holding a cup, and complained of her skin being sensitive to the touch. She was admitted to the hospital on 20 November 2008, and underwent a urinalysis, metabolic profile, CRP, CMG, and sed rate analysis; results were not provided. The patient was diagnosed with Guillain-Barre syndrome. It was not known if she was taking any concomitant medications. At the time of the report, the patient had not yet recovered. Documents held by sender: None.
Age: 16.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Paraesthesia, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: This serious case was received from a health professional on 21 November 2008. A 16-year-old female patient, with no reported medical history and no known allergies, received an intramuscular right arm injection of MENACTRA (lot number U2637AA) on 17 November 2008. Two days post-vaccination, on 19 November 2008, she complained of a headache, low back pain, difficulty swallowing, chills (temperature 98.2 degrees Fahrenheit) and muscle weakness in both legs and feet. She subsequently developed paresthesias in the legs and feet, experienced difficulty holding a cup, and complained of her skin being sensitive to the touch. She was admitted to the hospital on 20 November 2008, and underwent a urinalysis, metabolic profile, CRP, CMG, and sed rate analysis; results were not provided. The patient was diagnosed with Guillain-Barre syndrome. It was not known if she was taking any concomitant medications. At the time of the report, the patient had not yet recovered. Documents held by sender: None.