chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Patient Receive second dose of Hep A and a PPD test. A few minutes after receiving the vaccines patient step out of immunization door and fainted.  Everyone was notified to intercom for Code Blue and doctors came right away to assist patient.  Patient was brought back to immunization room and laid down. 2-3 Minutes later patient woke up and was given a drink of water.  Pt feels better and was discharged by the doctor.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Pruritus, Rash generalised
Clinical narrative: Initial information was received on 01 December 2008 from a health care professional. A 32 year old female patient with a possible sulfa allergy received an intramuscular right deltoid injection (lot number unknown) on 27 October 2008. 48 hours post vaccination, the patient developed a rash that began on her lower extremities and had spread everywhere except for her face. She was treated with ATARAX, MEDROL, and PREDNISONE. The rash persisted despite treatment. The rash was described as red, slightly raised with an abrasion type feeling. She also complained of itching and burning. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 1.9
Sex: F
Vaccine: FLU3
Symptoms: Blood urea increased, Haematemesis, Vomiting, White blood cell count increased
Clinical narrative: Initial report was received 03 December 2008 from a health care professional. A 22-month old female patient with no past medical history, had received FLUZONE No Preservative 2008-2009 (route and site not reported), lot number UT2794GA on 02 December 2008 and 30 minutes later, she began vomiting which worsened to where the patient was vomiting bile and a coffee ground substance. The child was taken to the emergency room and admitted overnight. Laboratory test results included elevated WBC and BUN levels. The patient was discharged on 03 December 2008. The patient had no concurrent illness at the time of vaccination. The patient had not been taking any concomitant medications and had not received any other vaccines during the four weeks prior to receipt of FLUZONE. At the time of the report, the patient was not recovered from the event. This report was received as a cluster report. The reporter for this case is the same as in case 2008-03866 which involved the patient's twin sibling. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dilatation atrial, Dilatation ventricular, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Information has been received from a physician assistant concerning an 18 year old female who on 12-OCT-2007 was vaccinated with the first dose of GARDASIL, the second dose of GARDASIL on 08-FEB-2008, and the third dose of GARDASIL on 02-JUL-2008 (lot numbers and routes were not specified). Concomitant therapy included YASMIN. It was reported that on 02-JUL-2008 after the administration of her third dose the patient experienced shortness of breath and tachycardia upon exertion. The patient has experienced two seizures, the first one was two weeks ago and the second one 3 days ago. An echocardiogram performed on 26-NOV-2008 showed right dilated atrium and ventricle with mitral valve and tricuspid regurgitation. The patient's heart rate increased from 80 to 150 after a short walk in the physician's office on 05-DEC-2008. Patient was admitted into the hospital on 05-DEC-2008. Shortness of breath, tachycardia, seizures, resulted in hospitalization and were considered to be disabling and immediately life-threatening. Additional information has been requested.   12/23/08 Reviewed hospital medical records of 12/5-12/12/2008. FINAL DX: severe pulmonary hypertension, etiology unknown; seizure vs pseudoseizure secondary to hypoxia & tachycardia; mild obesity. Records reveal patient experienced SOB, chest pain x approx 6 wks, syncope & seizures x 2.  Cardiac consult done.Tx w/meds & improved.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Mitral valve incompetence, Tachycardia, Tricuspid valve incompetence
Clinical narrative: Information has been received from a physician assistant concerning an 18 year old female who on 12-OCT-2007 was vaccinated with the first dose of GARDASIL, the second dose of GARDASIL on 08-FEB-2008, and the third dose of GARDASIL on 02-JUL-2008 (lot numbers and routes were not specified). Concomitant therapy included YASMIN. It was reported that on 02-JUL-2008 after the administration of her third dose the patient experienced shortness of breath and tachycardia upon exertion. The patient has experienced two seizures, the first one was two weeks ago and the second one 3 days ago. An echocardiogram performed on 26-NOV-2008 showed right dilated atrium and ventricle with mitral valve and tricuspid regurgitation. The patient's heart rate increased from 80 to 150 after a short walk in the physician's office on 05-DEC-2008. Patient was admitted into the hospital on 05-DEC-2008. Shortness of breath, tachycardia, seizures, resulted in hospitalization and were considered to be disabling and immediately life-threatening. Additional information has been requested.   12/23/08 Reviewed hospital medical records of 12/5-12/12/2008. FINAL DX: severe pulmonary hypertension, etiology unknown; seizure vs pseudoseizure secondary to hypoxia & tachycardia; mild obesity. Records reveal patient experienced SOB, chest pain x approx 6 wks, syncope & seizures x 2.  Cardiac consult done.Tx w/meds & improved.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Confusional state, Convulsion, Dyskinesia, Loss of consciousness
Clinical narrative: Information has been received from a registered nurse concerning a 26 year old female patient who on 09-DEC-2008 was vaccinated with the first dose of GARDASIL, lot # was not specified. After being vaccinated, the patient passed out completely for 60-90 seconds. The nurse stated that 4-5 minutes after the patient came to, she did not make sense and her arms were moving about as if she was having a seizure. The patient reported to her nurse that she had bad luck when it comes to vaccinations (unspecified products and reactions). The patient was referred to primary care physician. Patient recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Motor dysfunction, Neurological symptom, Neuromyelitis optica, Sensory loss, Urinary incontinence
Clinical narrative: Vaccine given 10/6. Onset of progress neuologic sx starting 10/18. Initially sensory loss w/ T6 level progressed to motor loss LE w/loss of bladder control. Transferred to hosp. 11/15. Current working diagnosis is Neuromyelitis Optica. 12/29/08-records received for DOS 11/15/08-presented with C/O bilateral lower extremity weakness with T4 down decreased feeling and electric pins in her back when trying to move. Bladder incontinence and bowel constipation times 2 weeks. All symptoms began on 1025/08 with bilateral foot numbness slowly went up her legs and subsequent fall. Assessment: plantar neuropathy. Hyperglycemia steroid induced.  Gait disturbance. Deficits of activities of daily living.  Loss of vision in left eye. 4/8/09-DC Summary 11/26-12/17/08-DC DX:Transverse myelitis. Paraplegia. Neuropathic pain. Urinary tract infection with Klebsiella pneumoniae. Urinary rentention/neurogenic bladder. Neurogenic bowel. Spasticity. Treated with plasmapheresis.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Autism, Body temperature increased, Injection site rash, Laboratory test, Pyrexia
Clinical narrative: Pt received 12 month MMR during the day of 3/17/07 and by that night he had a temperature of 102.5 and screamed all through the night - also had rash on neck and injection site (lasted for 1 1/2 yrs). He lost all words (5-6) and eye contact within 2 weeks. He has never recovered - Diagnosed with Autism 5/08.   01/07/2009 MR received from PCP from 3/16/07-3/2007. Pt presented for WCC 3/16/07 with Assessment:  Well child-12 months.  Normal 12 month development noted. Vax given.  Pt returned 3/24/07 with c/o rash, fever and "not himself". Heat rash noted on PE. Seen again 4/11/07 for parental concern that pt had change in behavior since 12 month exam, no longer saying mama, dada, wants to play alone, social before, and now a picky eater with screaming at mealtime.  Normal exam. DX:  Feeding problems.  Neuro eval 4/24/07 notes behavior and personality changes and regression of speech.  Seen for 15 month WCC 7/5/07. Developmental exam "No" for several milestones. Loose stools noted.  24 month WCC 3/19/08 with parental concerns re: development, specifically speech. ? Autism. Dx: Development Disorder, speech unspecified. Referred for neuro eval 5/24/07 with sx suggestive of Autism. DX of Autism Spectrum Disorder with GI componant noted in 7/2008. Now receiving PT, OT and Speech Tx.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Rash, Screaming, Selective IgG subclass deficiency, Social avoidant behaviour, Speech disorder
Clinical narrative: Pt received 12 month MMR during the day of 3/17/07 and by that night he had a temperature of 102.5 and screamed all through the night - also had rash on neck and injection site (lasted for 1 1/2 yrs). He lost all words (5-6) and eye contact within 2 weeks. He has never recovered - Diagnosed with Autism 5/08.   01/07/2009 MR received from PCP from 3/16/07-3/2007. Pt presented for WCC 3/16/07 with Assessment:  Well child-12 months.  Normal 12 month development noted. Vax given.  Pt returned 3/24/07 with c/o rash, fever and "not himself". Heat rash noted on PE. Seen again 4/11/07 for parental concern that pt had change in behavior since 12 month exam, no longer saying mama, dada, wants to play alone, social before, and now a picky eater with screaming at mealtime.  Normal exam. DX:  Feeding problems.  Neuro eval 4/24/07 notes behavior and personality changes and regression of speech.  Seen for 15 month WCC 7/5/07. Developmental exam "No" for several milestones. Loose stools noted.  24 month WCC 3/19/08 with parental concerns re: development, specifically speech. ? Autism. Dx: Development Disorder, speech unspecified. Referred for neuro eval 5/24/07 with sx suggestive of Autism. DX of Autism Spectrum Disorder with GI componant noted in 7/2008. Now receiving PT, OT and Speech Tx.
Age: 20.0
Sex: M
Vaccine: MEN, MEN
Symptoms: Death
Clinical narrative: Pt with a history of menigitis at 10 yrs old. Vaccinated with MENOMUNE prior to college entrance. Contracted meningitis and passed away at age 19 on 11/20/08. MD stated he will fill out VAERS himself and fax to agency. No further info provided.  1/27/09 Death certificate states COD as disseminated intravascular coagulation w/meningococcemia as contributing factor. DOD corrected to 11/17/2008.  12/31/08 Reviewed hospital medical records of 11/13-11/14/2008. FINAL DX: septic shock w/multiorgan failure, DIC, respiratory failure, acute renal failure, lactic acidosis, metabolic acidosis & suspected meningococcemia Records reveal patient experienced myalgia, malaise, generalized aching, nausea, vomiting, diarrhea, fever, petechial rash, sweating, photophobia, neck stiffness, SOB, abdominal pain, back pain.  Taken to hospital.  Intubated in ER & admitted to ICU in isolation.  Exam revealed tachycardia, hypotension(on pressors), anasarca, fever, thrombocytopenia, coagulopathy.  Renal, ID, pulmonary consults done.  Tx w/IV antibiotics, pressors, steroids, blood product transfusions & hemodialysis. Transferred to higher level of care.  01/14/09 Reviewed hospital medical records of 11/14-11/17/2008. FINAL DX: meningococcemia; purpura fulminans; multiorgan system failure. Records reveal patient experienced purpura fulminans.  Had been transferred from outlying hospital.  Noted to have had HA in addition to other presenting symptoms as noted in prior records.  Tx w/CVVHD, antibiotics & pressors.  Developed atrial fib/flutter & was cardioverted.  Developed ARDS, acites & anasarca.
Age: 20.0
Sex: M
Vaccine: MEN, MEN
Symptoms: Death, Meningitis
Clinical narrative: Pt with a history of menigitis at 10 yrs old. Vaccinated with MENOMUNE prior to college entrance. Contracted meningitis and passed away at age 19 on 11/20/08. MD stated he will fill out VAERS himself and fax to agency. No further info provided.  1/27/09 Death certificate states COD as disseminated intravascular coagulation w/meningococcemia as contributing factor. DOD corrected to 11/17/2008.  12/31/08 Reviewed hospital medical records of 11/13-11/14/2008. FINAL DX: septic shock w/multiorgan failure, DIC, respiratory failure, acute renal failure, lactic acidosis, metabolic acidosis & suspected meningococcemia Records reveal patient experienced myalgia, malaise, generalized aching, nausea, vomiting, diarrhea, fever, petechial rash, sweating, photophobia, neck stiffness, SOB, abdominal pain, back pain.  Taken to hospital.  Intubated in ER & admitted to ICU in isolation.  Exam revealed tachycardia, hypotension(on pressors), anasarca, fever, thrombocytopenia, coagulopathy.  Renal, ID, pulmonary consults done.  Tx w/IV antibiotics, pressors, steroids, blood product transfusions & hemodialysis. Transferred to higher level of care.  01/14/09 Reviewed hospital medical records of 11/14-11/17/2008. FINAL DX: meningococcemia; purpura fulminans; multiorgan system failure. Records reveal patient experienced purpura fulminans.  Had been transferred from outlying hospital.  Noted to have had HA in addition to other presenting symptoms as noted in prior records.  Tx w/CVVHD, antibiotics & pressors.  Developed atrial fib/flutter & was cardioverted.  Developed ARDS, acites & anasarca.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. reported development of redness and swelling below injection site; received injection at 11:57 AM, and symptoms developed that same evening on 11/12/08. Treated with Cephalexin 250 mg, one capsule four times a day for 10 days.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Fall, Full blood count normal, Head injury, Syncope
Clinical narrative: Rec'd Fluzone 0.25 ml for firsts time. About 3 minutes after vaccination, client fainted - fell to floor- hit back of head. Had approximately 30 second seizure. Call to 911 - went to ER. Labs WNL - discharged to home. To follow up with MD today. MD doesn't feel vaccine was case of seizure. Is ordering sleep deprived brain wave test.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Shingles.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test, Cardiac function test, Chest pain, Dizziness, Fatigue
Clinical narrative: First day of symptoms included severe muscular pain throughout my body, followed by strapping chest pains, which required hospital emergency visit. Weeks to follow included pains throughout chest, legs, arms, face, head, tingling in scalp and soreness. Extreme fatigue. Tightness in calves. Continual weak legs, head soreness and lightheadedness to date (5/6 weeks).
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Muscle tightness, Myalgia, Pain, Paraesthesia, Thyroid function test
Clinical narrative: First day of symptoms included severe muscular pain throughout my body, followed by strapping chest pains, which required hospital emergency visit. Weeks to follow included pains throughout chest, legs, arms, face, head, tingling in scalp and soreness. Extreme fatigue. Tightness in calves. Continual weak legs, head soreness and lightheadedness to date (5/6 weeks).
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Ultrasound Doppler
Clinical narrative: First day of symptoms included severe muscular pain throughout my body, followed by strapping chest pains, which required hospital emergency visit. Weeks to follow included pains throughout chest, legs, arms, face, head, tingling in scalp and soreness. Extreme fatigue. Tightness in calves. Continual weak legs, head soreness and lightheadedness to date (5/6 weeks).
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Full blood count normal, Pyrexia, Rash, Urine analysis normal
Clinical narrative: Fever and rash.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Back pain, Body temperature increased, Chest pain
Clinical narrative: Night of vaccination experienced chest and back aches. Following day was achy all over, temp of 100 degrees. Didn't work Friday 10/30, had no energy. Went back to work 11/3. Said has had several cold sores since. Also said knees ached.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Oral herpes, Pain
Clinical narrative: Night of vaccination experienced chest and back aches. Following day was achy all over, temp of 100 degrees. Didn't work Friday 10/30, had no energy. Went back to work 11/3. Said has had several cold sores since. Also said knees ached.
Age: 4.1
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 5 1/2 cm across by 2 1/2 cm longitudinal, non-tender, non-indurated redness posterior aspect of mid-upper arm on left.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Electrocardiogram, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Lympedema entire rue & breast redness, warmth, pain, rue.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Mammogram
Clinical narrative: Lympedema entire rue & breast redness, warmth, pain, rue.
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Culture, Rash vesicular
Clinical narrative: Pt. received a PROQUAD 0.5 ml SQ LT on 9/9/08.  Pt's mother called 12/1/08 to report a "cluster" rash on forehead @ right midline.  Seen 12/2/08 & cultured vesicular lesions right forehead does not cross midline.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: C/O (R) arm, shoulder, neck pain since receiving flu shot on 10/10/08. Pt states reaction started aprx 1 month after recieving vaccine. No time given. 1-6-09 Pt states pain in sholder started within a few days of her flu shot but she cant remember exactly
Age: 0.3
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Within 2 days of ROTATEQ vaccination, he developed severe diarrhea of 3 weeks duration. No causes found.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Administered site for pneumococcal vaccine became swollen and painful. Had hard time raising the arm up. Symptoms lasted 4 days. Pt. had no reactions for the administered site of flu vaccine.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Blood creatine phosphokinase increased, Borrelia burgdorferi serology negative, Carbon dioxide decreased, Disturbance in attention, Full blood count normal
Clinical narrative: Near syncope at time of injection. Then noted nausea and muscle twitches in (R) arm and chest the following day. 5 days later, still weak and tremulous. Also, c/o decreased concentration/attention in class. Exam WNL. CK 66. Lyme titer, negative. Negative CBC, Chem seven, normal, except low CO2; TSA, normal.  1/5/09 Reviewed PCP medical records. FINAL DX: none provided. Records reveal patient experienced with HPV#1 on 10/27/2008: pale, diaphoretic, BP 70/30, P56 post injection. Within 10 min, color improved, BP98/70, P64.  Malaise, feverish, muscle twitches & had sore arm next day.  By 11/3/08 felt uncoordinated, confused, staring, fatigue, weak legs, muscle tremors, pale, puffy eyes.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle twitching, Nausea, Presyncope, Tremor
Clinical narrative: Near syncope at time of injection. Then noted nausea and muscle twitches in (R) arm and chest the following day. 5 days later, still weak and tremulous. Also, c/o decreased concentration/attention in class. Exam WNL. CK 66. Lyme titer, negative. Negative CBC, Chem seven, normal, except low CO2; TSA, normal.  1/5/09 Reviewed PCP medical records. FINAL DX: none provided. Records reveal patient experienced with HPV#1 on 10/27/2008: pale, diaphoretic, BP 70/30, P56 post injection. Within 10 min, color improved, BP98/70, P64.  Malaise, feverish, muscle twitches & had sore arm next day.  By 11/3/08 felt uncoordinated, confused, staring, fatigue, weak legs, muscle tremors, pale, puffy eyes.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Knuckles painful and swollen couple of days after flu shot given.
Sex: U
Vaccine: FLU3
Symptoms: Local reaction
Clinical narrative: Large local reaction involving most of right upper arm.  24 hrs post administration of vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3
Symptoms: Crying, Dyspnoea, Erythema, Facial pain, Immediate post-injection reaction
Clinical narrative: Patient given FLUMIST, then DTap injection. Within 2-3 minutes began to complain of not being able to breath through nose, crying loudly, then nose/mouth hurt, then rash/redness was evident over face, becoming clearly hives within 5 more minutes. She was given EPI 1:1000 (0.25 cc) immediately(and BENADRYL 25 mg po(by mouth). Hives were never hypotensive. SQ/IM gone within 10 minutes and she felt well.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3
Symptoms: Rash, Urticaria
Clinical narrative: Patient given FLUMIST, then DTap injection. Within 2-3 minutes began to complain of not being able to breath through nose, crying loudly, then nose/mouth hurt, then rash/redness was evident over face, becoming clearly hives within 5 more minutes. She was given EPI 1:1000 (0.25 cc) immediately(and BENADRYL 25 mg po(by mouth). Hives were never hypotensive. SQ/IM gone within 10 minutes and she felt well.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hyperhidrosis, Malaise, Nausea, Pain
Clinical narrative: Pt. phoned health unit to report that feeling ill after receiving the flu vaccine. Pt. report that she was nauseated, diaphoretic, weak, and general body aches. Instructed to report to ER for evaluation.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Feeling hot, Hyperhidrosis, Musculoskeletal stiffness
Clinical narrative: States woke up morning after receiving flu shot with very stiff and painful back, feeling achy and stiff all over, but especially back and spinal cord area. Didn't take temp but feels feverish with sweating and chills. Took OTC fever/pain reducer. States felt achy for about 4 days in bed for most and of that period. Spoke to patient again on 11/17/08. States feels good now except same lower back stiffness and pain. occasionally.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: States woke up morning after receiving flu shot with very stiff and painful back, feeling achy and stiff all over, but especially back and spinal cord area. Didn't take temp but feels feverish with sweating and chills. Took OTC fever/pain reducer. States felt achy for about 4 days in bed for most and of that period. Spoke to patient again on 11/17/08. States feels good now except same lower back stiffness and pain. occasionally.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Childhood disintegrative disorder, Mood altered
Clinical narrative: "After 12 month visit (10/13/08) the next morning and for about 6 weeks, we did not have our baby". Flat affect did not want anything to do with us. Was almost walking , went back to crawling again. Will not let self feed. Will not chew. Will not pick up food to mouth, still sucks food off spoon. Will walk around coffee table now, around and around forever.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Dermatitis, Erythema, Swelling
Clinical narrative: Moderate swelling with erthema from shoulder to just proximal elbow, mild swelling of whole arm.  Dx: Dermatitis fx: CARAITIN/MOTRIN.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Pain, Tenderness
Clinical narrative: Received Pneumococcal vaccine 12/3/08- Called on 12/5/08 to report extreme arm tenderness, with red streaks down right arm, (also reported achiness and chills).   Pt made appt. with her doctor that day- no treatment or meds given.  On 12/8, patient reported arm much better.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Developed hives on day of immunization. Hives were still present on follow up on 12/5/08. No respiratory symptoms.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Skin warm
Clinical narrative: Came on 12-4-08, c/o right arm itchy, warm to touch.  Raised area approx 4 cm in diameter.  Looked at by FNP.  Pt given 1 LOMTIDINE 10 mg po.  Approx 4:45 pm.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Chest X-ray, Chest discomfort, Cough, Pain, Rash
Clinical narrative: 1 day after 2nd ANTRAX had severe body aches. 4 days after developed rah on arm where shot was given as well as chest tightness, congestion and cough. Took BENADRYL and prescription cough medicine.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Respiratory tract congestion
Clinical narrative: 1 day after 2nd ANTRAX had severe body aches. 4 days after developed rah on arm where shot was given as well as chest tightness, congestion and cough. Took BENADRYL and prescription cough medicine.
Age: 16.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Patient given DTap instead of Tdap.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Ear pain, Mass, Sinus disorder
Clinical narrative: Received PPV23 on 11/10/08 afternoon. States noticed "lump" to side of neck. States had some sinus irritation and ear pain prior to vaccination. Ear pain on same side of lump (lymphnode).
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt. received d/t booster in ER on 11-24. On 11-25, reported injection site reaction of : red, warm, and itching. Nurse practitioner observed 6" x 6" raised, red, circular site. Given ZYRTEC and betamethasone cream. Also reported to VAERS.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Activities of daily living impaired, Amnesia, Arthralgia, Back pain, Colonoscopy
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Coordination abnormal, Dysphagia, Dyspnoea, Fatigue, Gastrointestinal disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Grip strength decreased, Hearing impaired, Hypoaesthesia, Joint swelling, Knee operation
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Loss of libido, Lung abscess, Lung disorder, Lung lobectomy, Lymphadenopathy
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Muscle spasms, Musculoskeletal pain, Night sweats, Pain, Palpitations
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Paraesthesia, Proctalgia, Rectal cancer, Rectal spasm, Sleep disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Tinnitus, Urinary tract disorder, Visual impairment
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain and swelling in a male subject of unspecified age who was vaccinated with LYMERIX. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). On an unspecified date after vaccination with LYMERIX, the subject experienced pain and swelling in his joints, fatigue, tingling, visual problems, hearing problems, swollen glands, sleep disturbance, urinary dysfunction, gastrointestinal problems, possible autoimmune disease, decreased activities of daily life, and possible neurological injuries. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 05 December 2008 via an interview between the subject and attorney (s). The subject received his 1st, 2nd, and 3rd vaccinations with LYMERIX in March 1999 or April 1999, May 1999, and March 2000. In August 1999 he developed left elbow swelling. In late 1999 or early 2000, he developed left knee pain and bilateral shoulder pain. In 2000 he experienced loss of libido and general aches, pains, and fatigue. In early 2001 he developed left hip pain. In approximately 2001, he experienced rectal pain/cramps. In approximately 2002 he experienced ringing in the ears and night sweats. In 2002 or 2003, he experienced numbness and tingling, swollen glands under the left jaw, and decreased hand coordination/grip strength. In 2003 he experienced memory loss. In 2004 he experienced lung problems (difficulty breathing, growth on lung, possible asthma) and heart palpitations. In 2005 or 2006 he developed back pain and spasms. In 2006 he experienced difficulty swallowing. He reportedly underwent testing to rule out lupus (results not provided). Treatment included muscle relaxants, anti-inflammatory medications, LYRICA, cortisone, RYTHMOL, ADVAIR, and other unspecified medication (s). He also underwent a colonoscopy, knee surgeries (unspecified date (s), and in September 2008), and surgery for removal of the "lower quarter" of his lung. This case was assessed to be medically significant based upon follow up information. With the exception of left elbow swelling, decreased hand coordination/grip strength, and loss of libido, the events were unresolved at the time of reporting.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Inflammation roughly the size of a golf ball at injection site starting a few hours after injection - It is still there 7 days later but emitting; redness roughly size of baseball persisted in past 48 hours but is not worsening - advised patient to see primary physician.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Injection site reaction. Red, sore, shaped like an egg, but not swollen. Appeared 2 days after injection, redness is subsiding.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Approx 5 days post had vaccine had change in pain of Lt arm @ injection area; that same pain persists; using Ibuprotin, at hapizal KETAPROTN given.
Age: 15.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Erythema, Injected limb mobility decreased, Pain in extremity, Tenderness
Clinical narrative: 12-9-08 Pa from pt father; c/o soreness of Rt arm since flu vaccine of 11-4-08; initially had some redness which resolved; pain began approx 7 wk later; pt c/o difficulty lifting arm due to pain.
Age: 0.76
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Postictal state, Pyrexia
Clinical narrative: Patient was carried into the emergency department.  Source of history: Both parents.  9 month old female presents with seizure and fever.  The symptoms began a few minutes ago and lasted for approximately 5 minutes, the patient was then post-ictal.  No diarrhea, productive cough, vomiting, rash or recent URI.  No history of recent head trauma.  No history of previous admission.  No history of recent illness.  No recent antibiotic treatment.  The parents state the patient received several immunizations today and that she is 4 months behind with immunizations, so she received the 2 month vaccine series today.  The parents also state the patient had a fever with the last series of immunizations, but did not have any seizure activity.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Pruritus, Swelling
Clinical narrative: States on 12/9/08 around 6:00 p.m. pain to R deltoid injection site.  States she has been using warm compresses and ice packs.  States last night 12/14/08 states pain better.  Started itching this morning, area reddened and slightly swollen.  Is going to see her PCP.  Temp 97.8.
Age: 14.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Hepatitis A, adult dose given to 14 yr old when Hepatitis A pediatric dose should have been given. Med error.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site irritation, Injection site pain
Clinical narrative: Site of injection left deltoid with pain, burning up to 4d after vaccine.
Sex: F
Vaccine: HEP
Symptoms: Palpitations, Pyrexia, Stomach discomfort, Swelling face
Clinical narrative: Pt complained 3 days after receiving her first dose of the Hepatitis B Vaccine that on the day she received it she had a fever of 99.8, racing heart, upset stomach and felt like vomitting. She also complained that her bottom lip and right side of face (side vaccine administered on) felt "puffy". States she took tylenol and went to bed and symptoms were gone when she woke up.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: red itchy hot rash appeared within 30 mins of shot, face brought out in bright red rash. I have actually broken out since this shot 5 more times the same way. I start getting warm and feel it coming on and within 10 mins of that feeling I am completely broken out and it lasts over 1 hour with taking benedryl. The rash comes and goes now and I had Epsten Barr Virus exposure in the military, so not sure but it feels like it trigger something in my body now.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Patient received TIV (0.5mL, Sanofi Pasteur) into the right deltoid on 12-12-2008 in the afternoon.  Mom called 12-12-2008 at 4:21 to report that patient had a bright red, pruritic rash, from head to toe within 1 hour following the Influenza vaccine.  Mom reports  that he has a history of allergy to tomato skin, but to nothing else.  Mom took patient to a prompt care and was given a prescription for Benadryl. The rash was completely gone by Sunday afternoon.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Fever 99-100 for 48 hours following vaccine administration, along with shaking chills and fatigue. Tylenol taken Q4H and Naproxin Q12H. Severe muscle soreness at injection site limiting use.  Erythema at site began on 12/13 at 8 cm.  Muscle soreness is less, but reddness contines to date.