chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic reaction, Apnoea, Cold sweat, Dizziness, Pallor
Clinical narrative: After receiving 0.5cc Fluzone, the employee complained of feeling faint (approximately  30 seconds after). After sitting her down and approximately 1 minute after, the she went into anaphylactic shock (no pulse, respirations, pale, cool/clammy, loss of bladder control). I administered 0.2cc epinephrine and she responded in approximately 30 seconds. Meanwhile, EMT arrived for transport to hospital.  Follow up on 12/03/2003: "Patient is a 48 year old healthy, white female.  She has a history of hypothyroidism and is taking Synthroid.  After reviewing her "Pt acknowledgement for Influenza" form, I asked her if she had any allergies, including those to eggs, chicken, or thimersol, and if she could be pregnant.  I also asked her if she ever got the flu vaccine.  Her response to all those questions was "no".  She stated that she was afraid of needles but has gotten more used to them since she has periodic blood draws for her thyroid levels.  She stated that she has a tendency to "faint".  I gave her the flu vaccine (.5cc, Aventis U1271AA) into her left deltoid.  Approximately 30 seconds later she said she was feeling faint, and I had her sit down and then put her head down between her knees.  Approximately 1 min. after that, I noticed that she was sitting upright and back into the chair and unresponsive.  Her skin was pale, cool and clammy, she felt rigid, pulse was barely palpable.  There was loss of bladder function.  While I sliding her to the floor, I could not feel a pulse, I yelled for help (we were in a isolated area), I prepared to give her CPR first, I injected her with .2cc epinephrine - right outer arm.  A person appeared and I told her to call "911" - quickly.  Meanwhile, pt appeared to be responding, feeling a pulse, I rolled her to her side and she became coherent at that time, EMT appeared at approximately 8:00am and VS were monitired-pulse ox98%, BP 100/68, P82.  By this time, pt was talkative and was asking what had happened, she agreed to be transported to the hospital.  After discussion with staff in the office, and gratitude for quick thinking and level-headedness.  I left for the office and notified my PC with a vm at 10:30am on 10/31/03 to inform them about the incident.  At 10:50am I received a call from the MD asking questions concerning the incident, I reiterated as the above sequence of events.  He informed me that he will be releaseing pt shortly.  At 11:00am I called the office and spoke about the events.  I plan to follow up on Monday on pt's status."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pulse absent
Clinical narrative: After receiving 0.5cc Fluzone, the employee complained of feeling faint (approximately  30 seconds after). After sitting her down and approximately 1 minute after, the she went into anaphylactic shock (no pulse, respirations, pale, cool/clammy, loss of bladder control). I administered 0.2cc epinephrine and she responded in approximately 30 seconds. Meanwhile, EMT arrived for transport to hospital.  Follow up on 12/03/2003: "Patient is a 48 year old healthy, white female.  She has a history of hypothyroidism and is taking Synthroid.  After reviewing her "Pt acknowledgement for Influenza" form, I asked her if she had any allergies, including those to eggs, chicken, or thimersol, and if she could be pregnant.  I also asked her if she ever got the flu vaccine.  Her response to all those questions was "no".  She stated that she was afraid of needles but has gotten more used to them since she has periodic blood draws for her thyroid levels.  She stated that she has a tendency to "faint".  I gave her the flu vaccine (.5cc, Aventis U1271AA) into her left deltoid.  Approximately 30 seconds later she said she was feeling faint, and I had her sit down and then put her head down between her knees.  Approximately 1 min. after that, I noticed that she was sitting upright and back into the chair and unresponsive.  Her skin was pale, cool and clammy, she felt rigid, pulse was barely palpable.  There was loss of bladder function.  While I sliding her to the floor, I could not feel a pulse, I yelled for help (we were in a isolated area), I prepared to give her CPR first, I injected her with .2cc epinephrine - right outer arm.  A person appeared and I told her to call "911" - quickly.  Meanwhile, pt appeared to be responding, feeling a pulse, I rolled her to her side and she became coherent at that time, EMT appeared at approximately 8:00am and VS were monitired-pulse ox98%, BP 100/68, P82.  By this time, pt was talkative and was asking what had happened, she agreed to be transported to the hospital.  After discussion with staff in the office, and gratitude for quick thinking and level-headedness.  I left for the office and notified my PC with a vm at 10:30am on 10/31/03 to inform them about the incident.  At 10:50am I received a call from the MD asking questions concerning the incident, I reiterated as the above sequence of events.  He informed me that he will be releaseing pt shortly.  At 11:00am I called the office and spoke about the events.  I plan to follow up on Monday on pt's status."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic shock, Apnoea, Cold sweat, Pallor, Pulse absent
Clinical narrative: After receiving 0.5cc Fluzone, the employee complained of feeling faint (approximately  30 seconds after). After sitting her down and approximately 1 minute after, the she went into anaphylactic shock (no pulse, respirations, pale, cool/clammy, loss of bladder control). I administered 0.2cc epinephrine and she responded in approximately 30 seconds. Meanwhile, EMT arrived for transport to hospital.  Follow up on 12/03/2003: "Patient is a 48 year old healthy, white female.  She has a history of hypothyroidism and is taking Synthroid.  After reviewing her "Pt acknowledgement for Influenza" form, I asked her if she had any allergies, including those to eggs, chicken, or thimersol, and if she could be pregnant.  I also asked her if she ever got the flu vaccine.  Her response to all those questions was "no".  She stated that she was afraid of needles but has gotten more used to them since she has periodic blood draws for her thyroid levels.  She stated that she has a tendency to "faint".  I gave her the flu vaccine (.5cc, Aventis U1271AA) into her left deltoid.  Approximately 30 seconds later she said she was feeling faint, and I had her sit down and then put her head down between her knees.  Approximately 1 min. after that, I noticed that she was sitting upright and back into the chair and unresponsive.  Her skin was pale, cool and clammy, she felt rigid, pulse was barely palpable.  There was loss of bladder function.  While I sliding her to the floor, I could not feel a pulse, I yelled for help (we were in a isolated area), I prepared to give her CPR first, I injected her with .2cc epinephrine - right outer arm.  A person appeared and I told her to call "911" - quickly.  Meanwhile, pt appeared to be responding, feeling a pulse, I rolled her to her side and she became coherent at that time, EMT appeared at approximately 8:00am and VS were monitired-pulse ox98%, BP 100/68, P82.  By this time, pt was talkative and was asking what had happened, she agreed to be transported to the hospital.  After discussion with staff in the office, and gratitude for quick thinking and level-headedness.  I left for the office and notified my PC with a vm at 10:30am on 10/31/03 to inform them about the incident.  At 10:50am I received a call from the MD asking questions concerning the incident, I reiterated as the above sequence of events.  He informed me that he will be releaseing pt shortly.  At 11:00am I called the office and spoke about the events.  I plan to follow up on Monday on pt's status."
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urinary incontinence
Clinical narrative: After receiving 0.5cc Fluzone, the employee complained of feeling faint (approximately  30 seconds after). After sitting her down and approximately 1 minute after, the she went into anaphylactic shock (no pulse, respirations, pale, cool/clammy, loss of bladder control). I administered 0.2cc epinephrine and she responded in approximately 30 seconds. Meanwhile, EMT arrived for transport to hospital.  Follow up on 12/03/2003: "Patient is a 48 year old healthy, white female.  She has a history of hypothyroidism and is taking Synthroid.  After reviewing her "Pt acknowledgement for Influenza" form, I asked her if she had any allergies, including those to eggs, chicken, or thimersol, and if she could be pregnant.  I also asked her if she ever got the flu vaccine.  Her response to all those questions was "no".  She stated that she was afraid of needles but has gotten more used to them since she has periodic blood draws for her thyroid levels.  She stated that she has a tendency to "faint".  I gave her the flu vaccine (.5cc, Aventis U1271AA) into her left deltoid.  Approximately 30 seconds later she said she was feeling faint, and I had her sit down and then put her head down between her knees.  Approximately 1 min. after that, I noticed that she was sitting upright and back into the chair and unresponsive.  Her skin was pale, cool and clammy, she felt rigid, pulse was barely palpable.  There was loss of bladder function.  While I sliding her to the floor, I could not feel a pulse, I yelled for help (we were in a isolated area), I prepared to give her CPR first, I injected her with .2cc epinephrine - right outer arm.  A person appeared and I told her to call "911" - quickly.  Meanwhile, pt appeared to be responding, feeling a pulse, I rolled her to her side and she became coherent at that time, EMT appeared at approximately 8:00am and VS were monitired-pulse ox98%, BP 100/68, P82.  By this time, pt was talkative and was asking what had happened, she agreed to be transported to the hospital.  After discussion with staff in the office, and gratitude for quick thinking and level-headedness.  I left for the office and notified my PC with a vm at 10:30am on 10/31/03 to inform them about the incident.  At 10:50am I received a call from the MD asking questions concerning the incident, I reiterated as the above sequence of events.  He informed me that he will be releaseing pt shortly.  At 11:00am I called the office and spoke about the events.  I plan to follow up on Monday on pt's status."
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Approximately hours after vaccine administered deltoid area left arm began to become painful, swollen and warm to touch. Patient applied ice and took Moltrin.  She repeated this, and around 15 hours post immunization area began to be less painful.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Approximately hours after vaccine administered deltoid area left arm began to become painful, swollen and warm to touch. Patient applied ice and took Moltrin.  She repeated this, and around 15 hours post immunization area began to be less painful.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Back pain, Fatigue, Headache, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Pt started with back pain starting 8/23. Presented to office 8/25 with T high 103.7, stiff neck, back pain. She was evaluated at ET and admitted for pyelonephritis. In pt on IV fluids and Cipro.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Photophobia, Pyelonephritis, Pyrexia, Vomiting
Clinical narrative: Pt started with back pain starting 8/23. Presented to office 8/25 with T high 103.7, stiff neck, back pain. She was evaluated at ET and admitted for pyelonephritis. In pt on IV fluids and Cipro.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Back pain, Musculoskeletal stiffness, Pyelonephritis, Pyrexia
Clinical narrative: Pt started with back pain starting 8/23. Presented to office 8/25 with T high 103.7, stiff neck, back pain. She was evaluated at ET and admitted for pyelonephritis. In pt on IV fluids and Cipro.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received vaccination on 11/18/2003 at that time, there were no adverse events reported/seen.  3 days later, she called and said that she was starting to experience redness and swelling around injection site and the area was warm to touch.  We advised her on what to do to care for the site and also advised her to see a physician if things worsened; will call in 2 days.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Patient received vaccination on 11/18/2003 at that time, there were no adverse events reported/seen.  3 days later, she called and said that she was starting to experience redness and swelling around injection site and the area was warm to touch.  We advised her on what to do to care for the site and also advised her to see a physician if things worsened; will call in 2 days.
Sex: U
Vaccine: HEP
Symptoms: Bacterial infection, Blood pressure decreased, Laboratory test abnormal, Malaise, Pyrexia
Clinical narrative: Information has been received on 11/10/03 from a registered nurse concerning a dialysis patient who on 10/20/03 was vaccinated IM with a first dose of hepatitis B virus vaccine (lot # 644028/1017M or 645647/0527N). Subsequently, the patient presented to the clinic with a fever, low blood pressure, and generally not feeling well. The patient had a positive blood culture for gram positive cocci. The patient was hospitalized for antibiotic therapy. Specific antibiotics were unknown. It was noted that the patient also had other issues such as catheters or other frequent needle sticks so causality of the infection had not been determined. The patient reportedly recovered. It was also reported that another dialysis patient had a positive blood culture for gram positive cocci, however this patient was not hospitalized. It was also noted that these were two of fifteen patients who were vaccinated on the same day at the same facility. Additional information has been requested.  Follow up on 12/16/03: "Subsequently, the pt presented to the clinic with a fever, low blood pressure and generally not feeling well.  The pt had a "positive blood culture for gram positive cocci."  The pt was hospitalized for antibiotic therapy.  Specific antibiotics were unknown.  It wa snoted that the pt also had other issues such as catheters or other frequent needle sticks so causality of the infection had not been determined.  The pt reportedly recovered.  Follow-up information received on 12/03/03 reported that the pt had a previous medical history of an infected vascular catheter, and the pt was again diagnosed with an infected vascular catheter this time, which needed to be replaced.  It was noted that the diagnosis was not caused by hepatitis B virus vaccine rHBsAg (yeast).  It was reported that these events were reported "prematurely and thought that the symptoms may have had something to do with the [hepatitis B virus vaccine rHBsAg {yeast}] vaccine that the pt's received, since the symptoms of fever and generally not feeling well began with in 48 hours of the vaccination.  It was also reported that another dialysis pt previously reported with a positive blood culture from gram positive cocci (WAES# 0311USA01213), who was not hospitalized, was diagnosed with pneumonia.  It was also noted that these were two of fifteen pt's who were vaccinated on the same day at the same facility.  No further information is expected."
Sex: U
Vaccine: HEP
Symptoms: Sepsis
Clinical narrative: Information has been received on 11/10/03 from a registered nurse concerning a dialysis patient who on 10/20/03 was vaccinated IM with a first dose of hepatitis B virus vaccine (lot # 644028/1017M or 645647/0527N). Subsequently, the patient presented to the clinic with a fever, low blood pressure, and generally not feeling well. The patient had a positive blood culture for gram positive cocci. The patient was hospitalized for antibiotic therapy. Specific antibiotics were unknown. It was noted that the patient also had other issues such as catheters or other frequent needle sticks so causality of the infection had not been determined. The patient reportedly recovered. It was also reported that another dialysis patient had a positive blood culture for gram positive cocci, however this patient was not hospitalized. It was also noted that these were two of fifteen patients who were vaccinated on the same day at the same facility. Additional information has been requested.  Follow up on 12/16/03: "Subsequently, the pt presented to the clinic with a fever, low blood pressure and generally not feeling well.  The pt had a "positive blood culture for gram positive cocci."  The pt was hospitalized for antibiotic therapy.  Specific antibiotics were unknown.  It wa snoted that the pt also had other issues such as catheters or other frequent needle sticks so causality of the infection had not been determined.  The pt reportedly recovered.  Follow-up information received on 12/03/03 reported that the pt had a previous medical history of an infected vascular catheter, and the pt was again diagnosed with an infected vascular catheter this time, which needed to be replaced.  It was noted that the diagnosis was not caused by hepatitis B virus vaccine rHBsAg (yeast).  It was reported that these events were reported "prematurely and thought that the symptoms may have had something to do with the [hepatitis B virus vaccine rHBsAg {yeast}] vaccine that the pt's received, since the symptoms of fever and generally not feeling well began with in 48 hours of the vaccination.  It was also reported that another dialysis pt previously reported with a positive blood culture from gram positive cocci (WAES# 0311USA01213), who was not hospitalized, was diagnosed with pneumonia.  It was also noted that these were two of fifteen pt's who were vaccinated on the same day at the same facility.  No further information is expected."
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Eye swelling, Injection site pain, Ocular hyperaemia, Pruritus, Urticaria
Clinical narrative: Information has been received from a 50 year old female who on 11/05/03 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. There was no concomitant medication. Subsequently, on 11/05/03 her arm was sore at the injection site. On the morning of 11/6/03 her eyes were red and swollen. By 14:30 on 11/6/03 she was itching all over. On the morning of 11/7/03 she reported that the injection site was gone but she had hives over her entire body. She visited her doctor and was given a shot of steroids and a prescription for methylprednisone. She was reported to be recovering with sequelae. No product quality complaint was involved. Upon internal review, arm was sore at injection site, eyes were red and swollen, itching all over, and hives over her entire body were determined to be other important medical events (OMIC). Additional information has been requested.  Follow up on 11/26/2003: "Information has been received from a nurse and a 50 year old female w/allergies to PCN and sulfa medications who on 11/05/03 at a well visit was vaccinated with a first dose of pneumococcal 23v polysaccharide vaccine (Lot # 645853/0256N).  There was no concomitant medication.  The pt was well at the time of the visit.  Subsequently, on 11/05/03 her arm was sore at the injection site.  On the morning of 11/06/2003 her eyes were red and swollen.  by 14:30 on 11/06/03 she was "itching all over".  On the morning of 11/07/03 she reported that the pain at the injection site was gone but she had hives over her entire body.  The nurse reported that she had developed urticaria.  She visited her MD and was trated with hydroxyzine hydrochloride (ATARAX) 50mg, triamcinolone acetonide (KENALOG) 80mg IM, and was given a prescription for a methylprednisone dose pak.  The patient has since recovered.  It was noted that this was only the second time that the pt was seen at this office.  No product quality complaint was involved.  Upon internal review, arm was sore at the injection site, eyes were red and swollen, itching all over, and urticaria were determined to be other important medical events (OMIC).  Additional information had been requested."  Follow up on 01/12/04: "No further information is expected."
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Information has been received from a certified medical assistant concerning a 52 year old female with IHSS, (reporter was unsure if this means idiopathic hypertrophic subaortic stenosis) and cardiac symptoms who on 11/11/03 was vaccinated in the left arm with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 645646/0068N). Concomitant therapy included furosemide. On 11/12/03 the patient presented to the physician's office with cellulitis of the left arm at the site of the injection that was hot to the touch, swollen (14cm wide by 12cm long) and had increasing pain. The patient was treated with sulfamethoxazole (+) trimethoprim 2 times daily for 7 days. It was reported that the patient was recovering with sequelae. It was also noted that the physician's office had not heard from the patient because the patient had plans to go out of town. No product quality complaint was involved. Upon internal review, cellulitis of the left arm at the site of injection was determined to be an other important medical event (OMIC). Additional information has been requested. It was also reported that another female was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine and felt sick and developed cellulitis.
Age: 1.42
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Aphasia, Brain oedema, Encephalitis, Hemiplegia, Irritability
Clinical narrative: 11/12 Fever (temp 102) for about 72 hours; increased sleepiness. 11/13 Macular papular rash on face and chest, epolatal petechiae, severe irritability. 11/15 Slept all day. 11/16 Woke up paralysis of left upper and lower extremity; no speech. Swelling of the brain, lost speech, lost all feeling in left side. 1-14-03 my son gets ot & pt & speech 3 times a weeks for each. 60 day follow up 01/28/2004: Parent states her son has physical therapy 3 times a week.
Age: 1.42
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Petechiae, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder
Clinical narrative: 11/12 Fever (temp 102) for about 72 hours; increased sleepiness. 11/13 Macular papular rash on face and chest, epolatal petechiae, severe irritability. 11/15 Slept all day. 11/16 Woke up paralysis of left upper and lower extremity; no speech. Swelling of the brain, lost speech, lost all feeling in left side. 1-14-03 my son gets ot & pt & speech 3 times a weeks for each. 60 day follow up 01/28/2004: Parent states her son has physical therapy 3 times a week.
Age: 24.0
Sex: M
Vaccine: ANTH, MMR, YF, ANTH, MMR, YF, SMALL
Symptoms: Convulsion, Migraine, Oedema, Pain, Sleep disorder
Clinical narrative: Severe testicle pain, migraines. Hospitalized for seizure and sleeping disorder. The follow up received on 12/1/03 states testicular swelling. Pt treated with several courses of antibiotics; however, testicular pain and swelling persist. Pt treated x 2 days with Dilantin for seizure. No recurrence to date. No further Anthrax vaccines received.
Age: 24.0
Sex: M
Vaccine: ANTH, MMR, YF, ANTH, MMR, YF, SMALL
Symptoms: Convulsion, Epididymitis, Hernia, Migraine, Oedema
Clinical narrative: Severe testicle pain, migraines. Hospitalized for seizure and sleeping disorder. The follow up received on 12/1/03 states testicular swelling. Pt treated with several courses of antibiotics; however, testicular pain and swelling persist. Pt treated x 2 days with Dilantin for seizure. No recurrence to date. No further Anthrax vaccines received.
Age: 24.0
Sex: M
Vaccine: ANTH, MMR, YF, ANTH, MMR, YF, SMALL
Symptoms: Pain, Sleep disorder
Clinical narrative: Severe testicle pain, migraines. Hospitalized for seizure and sleeping disorder. The follow up received on 12/1/03 states testicular swelling. Pt treated with several courses of antibiotics; however, testicular pain and swelling persist. Pt treated x 2 days with Dilantin for seizure. No recurrence to date. No further Anthrax vaccines received.
Age: 24.0
Sex: M
Vaccine: ANTH, MMR, YF, ANTH, MMR, YF, SMALL
Symptoms: Infection transmission via personal contact, Skin ulcer
Clinical narrative: Severe testicle pain, migraines. Hospitalized for seizure and sleeping disorder. The follow up received on 12/1/03 states testicular swelling. Pt treated with several courses of antibiotics; however, testicular pain and swelling persist. Pt treated x 2 days with Dilantin for seizure. No recurrence to date. No further Anthrax vaccines received.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Dehydration, Otitis media, Sepsis, Urinary tract infection
Clinical narrative: Strep pneumococcal sepsis 10/31/03. hafnia Alvei urinary tract infection 10/31/03. Rocephin IM x 3 days then follow-up Augmentin X 10 days. treated out-patient. The medical record received on 12/10/03 states dehydration, decreased appetite and OM.
Age: 20.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abscess, Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Fever to 104 deg, pain, swelling, redness R arm with development of localized severe sterile abscess R deltoid.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Pruritus, Rash, Swelling
Clinical narrative: Pruritus and hives with complaints of right arm being red, swollen and painful since getting his pneumonia vaccines this week. Allergies: Patient answered NKA. General Appearance: Well developed male in no acute distress. Lungs: CTA BL, chest wall rise is symmetrical. Heart: Normal S1 and S2. There are no murmurs, gallops or rubs. Skin: erythematous area right upper radiating down arm into elbow area. ED Course: Moist compresses x20 minutes q2b. Assessment: local reaction to Pneumovax. Plan: no more Pneumovax vaccine, Benadryl 25mg tid prn itching, Hytone 2.5% cream applied to affected areas bid. Patient has new allergies. New allergy: Pneumovax/erythematous rash
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Pruritus and hives with complaints of right arm being red, swollen and painful since getting his pneumonia vaccines this week. Allergies: Patient answered NKA. General Appearance: Well developed male in no acute distress. Lungs: CTA BL, chest wall rise is symmetrical. Heart: Normal S1 and S2. There are no murmurs, gallops or rubs. Skin: erythematous area right upper radiating down arm into elbow area. ED Course: Moist compresses x20 minutes q2b. Assessment: local reaction to Pneumovax. Plan: no more Pneumovax vaccine, Benadryl 25mg tid prn itching, Hytone 2.5% cream applied to affected areas bid. Patient has new allergies. New allergy: Pneumovax/erythematous rash
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Apnoea, Cyanosis, Dyspepsia, Gastrooesophageal reflux disease, Pyloric stenosis
Clinical narrative: 0650 Hepatitis B vaccine given IM, left anterior thigh. 0655 Color blue and apneic; stimulated to recovery. By 07/15, 3 more episodes of apnea requiring stimulation and oxygen. Doctor notified; antibiotics and IV started. Parents notified. The medical record received on 2/18/04 states the diagnosis was pyloric stenosis with pyloric spasm.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Marked local reaction on arm with axillary tenderness, no node increase, redness measuring 3" long x 2" wide, area raised and warm. Denies fever/malaise. Has Hx "other" allergies. 1st flu vaccine! Tx: Zyrtec tabs given by Corp Health MD. Seen by MD for discomfort. Follow up on 12/10/03: "Less than 24 hours after vaccination, began AM of 10/30/2003."
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: No significant adverse reaction. Myalgia 2 hours to flu vaccine, local reaction. Fuce ROM.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Injection site oedema, Pain
Clinical narrative: This pt received a flu and pneumonia vaccine on 10/23/03. Pain, swelling and bruising to right deltoid, elbow and forearm. Treated with Ibuprofen. Resolved as of 11/14/03.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain
Clinical narrative: Left deltoid with 2-4 cm bruising. C/o pain and tenderness at site. Impression: minor injection site reaction. Symptoms resolved as of 11/14/03.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site mass
Clinical narrative: <30mm "pump knot" and bruise to left deltoid at injection site. No site bleeding, no systemic Sx's. Full ROM. Impression: traumatic injection with bruising.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: 11/5/03: Right deltoid full ROM, no fever, rash or bruising, no system symptoms, sensation WNL equal strength. Advised Ibuprofen for muscle tenderness. RTC on 11/14/03 with continual symptoms. Continue same care.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Blister, Face oedema, Joint swelling, Oedema
Clinical narrative: 10/27/03 Pt c/o blisters and itching of scalp for 2 days. Rash moved to neck and forehead, rash and swelling. Next AM hives over body, lips swollen, joint swelling and pain. Impression: Possible adverse flu vaccine reaction. Symptoms resolved as of 11/10/2003.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 10/27/03 Pt c/o blisters and itching of scalp for 2 days. Rash moved to neck and forehead, rash and swelling. Next AM hives over body, lips swollen, joint swelling and pain. Impression: Possible adverse flu vaccine reaction. Symptoms resolved as of 11/10/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Erythema, swelling and tactile warmth. The pt not seen by provider. Grandfather left with child before he could be seen by provider. 10/29/03 TC to grandmother. All symptoms resolved.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Muscle twitching
Clinical narrative: Pt returned to STD clinic, appeared anxious, stating upper lip "quivering" at times. NP examined pt, noted upper lip intermittent twitching. Gave Benadryl 50mg oral dose. Sx subsided. Pt given instructions to take Benadryl 25mg orally every 6 hours for 24 hours. Sx resolved.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema, Pruritus, Urticaria
Clinical narrative: Six hours after injection developed hives all over body. Face became swollen, was itchy. Pt was seen in urgent care, was given a steroid injection and prescriptions for prednisone and Atarax.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Right arm red, swelling. Rx of Keflex given if Sx worsen/cellulitis.
Age: 23.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis left arm. Rx given of Keflex.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Eye oedema, Pruritus
Clinical narrative: 90 minutes after receiving flu shot returned to clinic c/o swollen right eye, hoarse voice and slight itching right leg. Rx with 50mg Benadryl IM, evaluated by 911 but refused transport to ER. Better by next AM.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: 20 minutes after receiving flu shot c/o "throat closing". Given 50 mg Benadryl IM, after 10 minutes still c/o tightness, given 1:000 Epi. Transported via 911 to ER for observation and eventual discharge after several hours.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: 5 minutes after flu shot, c/o tightness/thickness in throat. Rx with 0.3cc Epinephrine SQ, Benadryl 50 mgm IM and 0.2cc Epheph. Within next 45 minutes; evaluated by 911 but refused to go with them; transported by family to private MD. Pt states was better by next AM after 2 more doses of po Benadryl.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site pain, Myalgia
Clinical narrative: I noticed around noon on Sat. 11/15/03 that my bicep not only hurt, but was sensitive to touch. By that evening red streaks had started from armpit to below the elbow. By morning, sensitivity was great and streaks were angry They continued below the elbow.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Cough, Feeling abnormal, Headache, Injection site erythema
Clinical narrative: Pt received flu shot on 11/11/03 in AM. The next day felt "bad". After 24 [hours] developed fever up to 104 degrees F., chills, cough, headache and started having (unreadable) local reaction. Left gluteal area with localized redness. Went to ER. Found to have CXR abnormality and given Zithromax for apparent pneumonia and sent home. Pt has been having fever for 2 days and came to my office 4 days after a flu shot. She had no fever, her physical exam was remarkable for wheezing (she is chronic COPD pt) and localized redness (measuring 16 x 10cm in the left gluteal region where flu shot was administered. Pt was given Avelox 400, po for 5 more days and Bartoban cream to apply on a red skin area. Pt is now recovering well (no fever, localized redness disappearing as of 11/18/03).
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pneumonia, Pyrexia, Wheezing
Clinical narrative: Pt received flu shot on 11/11/03 in AM. The next day felt "bad". After 24 [hours] developed fever up to 104 degrees F., chills, cough, headache and started having (unreadable) local reaction. Left gluteal area with localized redness. Went to ER. Found to have CXR abnormality and given Zithromax for apparent pneumonia and sent home. Pt has been having fever for 2 days and came to my office 4 days after a flu shot. She had no fever, her physical exam was remarkable for wheezing (she is chronic COPD pt) and localized redness (measuring 16 x 10cm in the left gluteal region where flu shot was administered. Pt was given Avelox 400, po for 5 more days and Bartoban cream to apply on a red skin area. Pt is now recovering well (no fever, localized redness disappearing as of 11/18/03).
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Sleep disorder
Clinical narrative: C/o pain in right deltoid when raising arm to adduction or rotating arm internally. Very painful at night, wakes me up at night hurting.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: States "broke out in nickel size hives over entire body" 4 hours after getting shot. Took Benadryl and states they appear to be going away. Instructed to notify her MD.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Localized reaction: arm where injection was given became warm, red, felt hard, swollen to size of grapefruit.
Age: 29.0
Sex: M
Vaccine: ANTH, FLU3, MEN
Symptoms: Hypoaesthesia, Injection site erythema, Injection site oedema, Pain, Paraesthesia
Clinical narrative: Moderate swelling of area where shot was given, redness, tingling, aching and numbness in fingers and elbow, aching in armpit, pain.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Dyspnoea
Clinical narrative: Returned to clinic area after 15 minutes with SOB and loss of voice. Had administered albuterol prior to coming in room. 911 called. Administered .3 cc epinephrine. Right arm after tourniquet placed above injection site left arm. Felt better 2 minutes later. EMS arrived and took pt to hospital.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness, Urticaria
Clinical narrative: Hives - started 10/29/03 lasted 2 weeks. Shot given 10/27/03. Steroids administered - pill form and Benadryl. Inside throat swollen.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Joint range of motion decreased, Pain
Clinical narrative: Onset 1 hour after injection noted pain upper right arm - shoulder - couldn't lift shoulder, arm - very painful. Redness evening of injection upper right arm. Pain better now. Redness inner aspect upper arm/anticubetal area now.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Urticaria
Clinical narrative: 45 minutes after receiving flu shot pt developed hives - upper chest, face, neck and some chest heaviness. Pt has numerous food allergies and had eaten at Wendy's after injection. Treatment: Benadryl 50 mg IM, Zyrtec 10 mg PO suspension and Diprosone 0.05% cream.
Age: 38.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Swelling from just below shoulder to just above elbow (left arm). Tricep was red, hot to the touch, accompanied by low grade fever (101 degrees for 36 hours). Followed by bruising. (Recovering 6+ days).
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt had 3" diameter band swath around upper arm - inch below injection site, edematous and red for 3 days post vaccination.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Pyrexia
Clinical narrative: 1 minute generalized seizure. Follow up 12/08/2003: "Occurred while sleeping with mother.  1 min shaking, followed by brief flacid period.  There were no postictal drowsiness.  Child under tx for cough, prurulent runny nose, sinusitis.  During or immediately before the seizure, the patient had a fever.  It is unknown what the temperature was before the seizure.  The seizure lasted approximately 1 minute. Augmentin-started day before.  Tylenol 9 hours before seizure onset.  Date of first clinic/ER hospital visit for the reported seizure: 11/18/2003.  Diagnosis was made by ER physician.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Pruritus
Clinical narrative: Itching, mild flushing 11:00 p.o. Zyrtec 10mg administered. Rx: Epi Pen given to pt with instructions if needed.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain lower, Arthralgia, Hot flush, Myalgia, Pyrexia
Clinical narrative: 12 hours after vaccination, severe joint and muscle pain, fever, lower abdominal pain lasting 38 hours.  Still having abdominal pain and intermittent hot flashes-temperature normal at 96.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Right arm with large area erythema, urticaria extending from mid upper arm to elbow.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Per mom received flu vaccine at 15:40, nothing during evening-not sure what time-hives developed.  Gave Benadryl per mouth, no distress.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Received influenza vaccine-2003 on 11/04/2003 at 09:00.  Noticed he was breaking out with a rash to arms by around 16:00.  On 11/04/2003, continued to break out with rash to arms, trunk and legs.  Rash pinpoint raised and red.  Also complained of rash being itchy.  Seen at medical center on 11/06/2003 by MD and advised to take Benadryl 50mg, every 4 hours as needed and to return for re-check on 11/07/2003.  Does state he had a cold about 1 week ago which is almost gone.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Significant pain and swelling at injection site extending to shoulder and entire upper arm (right).
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Erythema, Skin burning sensation
Clinical narrative: 1) Burning sensation dorsum of hands; 2) Redness of face, neck, chest, ear; 3) Lightheadedness; (Accidentally took PCN tab - not took same pill again and had anaphylactic reaction)
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Sedation, Skin burning sensation
Clinical narrative: 10/09-flu shot given first time getting a flu shot.  Dull, slight burning, soreness left deltoid.  Hurts when moving the arm a certain way and pain with palpation of the left deltoid.  Left deltoid-normal appearance-no systemic reaction.
Age: 2.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Erythema, Injection site induration, Injection site warmth
Clinical narrative: Right leg area red spots, hard and hot, went to clinic.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Pain at injection site, fever.  19x9cm erythema, heat, tenderness at left lateral arm.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Redness at site, warmth, swelling.  Tylenol as needed for discomfort.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Febrile convulsion, Pyrexia, Somnolence
Clinical narrative: Patient was in her usual state of good health prior to following her immunizations on 11/19/2003.  Patient was reportedly sleepier in the afternoon and developed a high fever at bedtime and had a febrile seizure at 02:00 and brought to the hospital.
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Hypokinesia, Oedema, Sensation of heaviness
Clinical narrative: On 11/08/2003 noticed right knee felt heavy and difficulty bending.  "Felt tight" Within 12 hours both knee involved both knees swollen.  Decreased flexibility.  Has applied heat, cold and take ibuprofen.  Right knee is more involved than left knee.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Chills, Feeling hot, Headache, Pain, Urticaria
Clinical narrative: Pt reports approx 20 hours after injection experiencing aching and chilling for 2 days and then a dull headache on 3rd day. Arm hurt with movement and had welts in circular pattern on upper arm below injection site area warm to touch on day 5. Welts are also resolving.
Age: 1.6
Sex: M
Vaccine: PNC
Symptoms: Anorexia, Cyanosis, Erythema, Injection site oedema, Irritability
Clinical narrative: Had fever 100-101 on 11/11/2003 following immunizations with Prevnar.  Gave Tylenol with good results.  Wednesday 11/12/2003 continued to have fever 101-102, face red, fussy, no appetite.  21:00 11/12/2003, child was "shaking" and face "turned blue".  Parent called 911 ambulance came and took child to hospital.  MD said child had reaction to "shot" and gave "antibiotic" for swollen thigh where immunization given.
Age: 1.6
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Tremor
Clinical narrative: Had fever 100-101 on 11/11/2003 following immunizations with Prevnar.  Gave Tylenol with good results.  Wednesday 11/12/2003 continued to have fever 101-102, face red, fussy, no appetite.  21:00 11/12/2003, child was "shaking" and face "turned blue".  Parent called 911 ambulance came and took child to hospital.  MD said child had reaction to "shot" and gave "antibiotic" for swollen thigh where immunization given.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Feeling cold, Flushing, Hyperhidrosis
Clinical narrative: HBV #1 given on 10/11/2003 in afternoon.  Approximately 1.5-2 hours later, patient started to chill, felt flushed and had to go to bed.  Woke up throughout the night sweating and intermittently chilling.  Unable to get out of bed except for short period of time.  Felt fine in AM.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: IM 10/20/2003.  Noticed redness 10/21/2003 area warmth.  Approximately 8cm erythema on 10/22/2003.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Pruritus, Rash papular, Skin ulcer
Clinical narrative: 3 ulcerated dark centered lesions, 2 papular lesions.  Right leg at vaccine administration site.  Rash on 10/24/2003.  1 papular lesion on lower right leg.  Itchy/some redness at site.  Prescribed Benadryl for itching; Calamine lotion; Neosporin ointment
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Oedema
Clinical narrative: Left deltoid with swelling, hypoedema, warm to touch area with MMR/DTAP vaccine given on 10/02/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Swelling, redness on right arm. Warmth on right deltoid area, nontender.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Vaccine reaction upper right arm (DTAP).  (+) swollen right upper arm.  Warm to touch.  Local reaction to vaccine.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swollen left leg because of DTAP.  Upper left leg warm to touch.  Erythematous.
Age: 2.7
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Telephone call from parent stating redness and swelling at injection site of DTAP and HAV.  10/29/2003: telephone call from mother stating swelling and redness is gone.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Rash
Clinical narrative: Raised, blanching, red rash on arms, legs, back, no wheeze.  Benadryl 12.5mg given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site of Daptacel LD.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: 11/08/2003: Received DTAP, IPV left deltoid.  11/19/2003: Mom noted area red, hard, swollen.  Seen 11/20/2003- noted 7x2 area of rubor, color, induration, edema.  Prescribed Keflex and Benadryl.
Age: 3.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Varicella disease with lesions over face, neck and back.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Rash started right upper arm on 11/09, come and goes with itches, using HC.  11/17/2003-seen and treated with Keflex 20/uL for 10 days and Elocon cream twice daily as needed.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: 10-14 chicken pox noticed.
Age: 33.0
Sex: F
Vaccine: ANTH, HEPA, SMALL, TD, TYP
Symptoms: Injection site oedema, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Day 1: Nausea; Day3: Soreness under arm, low temperature; Day 7: Hard to move arm-felt like pulled muscle under arm-armpit area.  Vomited one.  Swollen area at shot.  Day 8: Saw medical staff, advised sleep, tylenol and vitamin C.  100 temperature.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Crying, Dyskinesia, Irritability, Pyrexia
Clinical narrative: Given immunizations on 11/12/03 around 11 am. Baby seemed ok during day slightly fussy was given Tylenol. She woke up around midnight screaming. When mom picked her up she felt hot T 102.3 R-Tylenol given. Had temp thru night also had jerking of arms legs thru night. Pt had sepsis work up at hosp. ER-neg.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Arthritis, Muscle spasms, Myalgia, Pain
Clinical narrative: Back muscle pain, back muscle spasm. Rheumatic arthiritis pain.
Age: 1.25
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Rash papular, Urticaria
Clinical narrative: Developed < 20 lesions, scratched them developed impetigo, Rx with Keflex and developed hives. lesions papules not c/in 10d of vaccine mom associates the two.
Age: 68.0
Sex: U
Vaccine: PPV
Symptoms: Headache, Heart rate increased, Pain, Pyrexia
Clinical narrative: Body aches, headache, fever, (heart rate 120 beats per min). (Blood pressure 98/88) for 2 days, Temp 100 deg.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Oedema peripheral, Pyrexia
Clinical narrative: Lower extremity swelling (waist to toes) of both legs. Low grade fever and fussiness to do cool compresses and to administer Tylenol every 4-6 hrs. Family to call if child worsens.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: ARNP for Dr reported-symptoms of chicken pox type rash on trunk and arms-she did not look at legs. No rash in mouth or ears. No fever or runny nose, did have ear infection and was given Zithromax. No loss of appetite, expect full recovery. Follow up on 12/02/03: "Sorry I missed this and needed to write better for the name spelling."