chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Pallor, Peripheral vascular disorder, Stupor, Tremor
Clinical narrative: 36 hr later, awoke from sleep, tremulous, hypo responsive, pale face, blue lips and hard (1/2 hr). ER normal exam.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Feeling hot, Swelling
Clinical narrative: Warm to touch, swollen, bruise (purple, yellow) no fever or pain
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 3 inch area - red, hard, swollen and hot to touch.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration, Rash maculo-papular
Clinical narrative: Bright red splotches which coalesced into 1 large hard patch.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Glossodynia, Pharyngolaryngeal pain, Swelling
Clinical narrative: 5 hours after flu shot developed acute burning in throat, swelling of tongue and under tongue, and gums. No shortness of breath. Today (the next day) still has sore throat and swollen tongue and gums (false teeth not fitting) and palate
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Received flu shot on Oct 22nd,2005 "inj hurt," red, swollen and began itching 12 hrs post inj. Used Benadryl po and ice packs to site. "Was much better 1 day later.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria 4 hours after vaccine (influenza)
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Numbness and tingling in right arm, starting approximately 3-4 weeks ago. Dull pain noted in shoulder area. These symptoms subsided but pain present in right scapular area, radiating up right side of neck, still present.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Chills, Infection, Injection site erythema, Injection site oedema
Clinical narrative: Pain, swelling, redness, warmth at site of injection right arm. Chills. Progressed to cellutites in right arm. Infection on right arm from pneumonia shot. Tenderness
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site pain, Injection site warmth, Tenderness
Clinical narrative: Pain, swelling, redness, warmth at site of injection right arm. Chills. Progressed to cellutites in right arm. Infection on right arm from pneumonia shot. Tenderness
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Chest pain, Chills, Erythema, Feeling hot
Clinical narrative: Pain, swelling, redness, warmth at site of injection right arm. Chills. Progressed to cellutites in right arm. Infection on right arm from pneumonia shot. Tenderness
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site reaction, Muscle disorder
Clinical narrative: Pain, swelling, redness, warmth at site of injection right arm. Chills. Progressed to cellutites in right arm. Infection on right arm from pneumonia shot. Tenderness
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Tenderness, Urine analysis abnormal
Clinical narrative: Pain, swelling, redness, warmth at site of injection right arm. Chills. Progressed to cellutites in right arm. Infection on right arm from pneumonia shot. Tenderness
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Contusion, Erythema, Injection site reaction
Clinical narrative: Bruise and cellulitis at site of vaccination. Redness extended deltoid to elbow
Age: 0.69
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Pyrexia, Rash
Clinical narrative: 102 degrees - 1:00 am -  minus 7 degrees after received shot. Soreness at the site. No redness, or swelling H/A response. Rash/Line elbow.
Age: 29.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Pruritus, Urticaria, Vaccine positive rechallenge
Clinical narrative: Pruritus, hives within 5 minutes of vaccination. Given Benadryl 50 mg IM, Symptoms resolved within 30 minutes.
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Patient developed generalize allergic reaction with itching and hives treated with antihistamine Benadryl she did visit her family Doctor.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mildly swollen, red area on upper left arm site measures 15cm vertical x 13 cm horizontal. Pt c/o headaches on 10/26/2005 pm. Pt c/o no itching.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Syncope
Clinical narrative: Lightheadedness, near syncope about 20 min after flu shot, while still in clinic. Similar symptoms in recent months independent of today's injection, may be unrelated.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Oedema, Pain, Skin burning sensation
Clinical narrative: Report from client left arm was size of baseball, aching down to hands, burning sensation relieved with Benadryl and ice, red, blisters developing sore.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Pain, Urticaria
Clinical narrative: Increasing soreness in arm starting yesterday treated with ice, ibuprofen, OTC antihistamine today reports welts and can hardly move arm. MD appointment.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pharyngolaryngeal pain
Clinical narrative: Paresthesia lower lip, tingling feeling left arm and leg, painful throat.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TD
Symptoms: Erythema, Headache, Oedema, Pain, Tenderness
Clinical narrative: Left upper arm swollen, red, tender to touch, body aches, headache.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Malaise, Nasal congestion, Vomiting
Clinical narrative: Pt felt right sided nasal congestion after flu vaccine, followed by fell lousy, emesis x1, chest tightness. HX of same when dry weather/winds. Uses inhaler PRN.
Age: 0.24
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Crying, Decreased appetite, Injection site oedema, Irritability, Nasal congestion
Clinical narrative: 10/28/2005 fussy after shots, screaming in evening along with nasal congestion, decreased appetite. No fever or redness. Swelling at injection sites. Went to GR 10/30/2005 seen by doctor. He settled down once then got GR. Saw doctor on 11/01/2005. Felt vaccine related. Instructed to give him Pedicare.
Age: 0.24
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Screaming
Clinical narrative: 10/28/2005 fussy after shots, screaming in evening along with nasal congestion, decreased appetite. No fever or redness. Swelling at injection sites. Went to GR 10/30/2005 seen by doctor. He settled down once then got GR. Saw doctor on 11/01/2005. Felt vaccine related. Instructed to give him Pedicare.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Seizures
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Face oedema, Mouth ulceration, Skin burning sensation
Clinical narrative: Student was given Hep B #2 at school. Several hours later she noticed her lips were puffy and burned the next day there were several sores around her mouth. Saw physician who advised not to have hep #3.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Injection site pain, Joint range of motion decreased
Clinical narrative: Painful injection site, Pt reports decreased grip affected side within one day of receiving injection. States pain throbbing. Exam find no increased local temperature, no palpable mass day after injection. Still pain with ROM 10 day later. States shoulder painful. Ortho DX tendinopathy rotator cuff probable. Final outcome of symptom progression/resolution uknown at this time.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dyspnoea, Flushing, Nausea
Clinical narrative: Within 15-20 seconds of IM administration pt became flushed (face and neck only) and c/o nausea, dizziness and sob. B/P 194/104 right supine AP:100 vital signs recheck every 10-15 min for 90 minutes and recheck on by MD every 30. Vital signs slowly returned to normal with cessation of pt's symptoms, both objectively and subjectively.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis, Memory impairment
Clinical narrative: Memory, trouble remembering recent information. Dermatitis
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Right deltoid with redness and slightly raised area 3 inches by 1 inch - itching generalized body itching. Patient present to clinic 10/31 examined-treated with Benadryl
Age: 0.18
Sex: M
Vaccine: DTAP, DTAP, HIBV, IPV
Symptoms: Medication error
Clinical narrative: NONE Stated DTAP (Infanrix) was administered, vaccine expiration date 10/10/05. the MA told me when she filled up vaccine adm. record. I called the manufacturer and subsequently referred to CDC for guidelines. To repeat the DTAP, administer new 10/27/05.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Eye swelling, Face oedema, Headache, Myalgia, Swelling
Clinical narrative: Received shot about 1 pm, arm began to swell over next few hours, then fever, muscle aches, headache, wheezing, swelling of eyes and face. Used my Albuterol inhaler (max air) 2 puffs wheezing stopped.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Wheezing
Clinical narrative: Received shot about 1 pm, arm began to swell over next few hours, then fever, muscle aches, headache, wheezing, swelling of eyes and face. Used my Albuterol inhaler (max air) 2 puffs wheezing stopped.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Convulsion
Clinical narrative: Seizure 10 minutes post vaccine, convulsions lasted 15-30 seconds.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site swelling, Injection site vesicles, Pyrexia
Clinical narrative: Fever 10/24/05 vesicles/swelling at injection site 11/1/05
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Presented in office 10/20/05 C/O rash L leg X 3 days. Received immunization on 1/17/05. DTAP LT, MMR RT, Dx with reaction to DTAP.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Arm red/swollen that evening (9/27/05). Rash appeared on legs following day (9/28/05). Full body rash appeared (9/29/05). ER clinic ran blood tests that doctor ordered chest x-ray, Benadryl.
Age: 66.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Myalgia, Pyrexia, Tremor
Clinical narrative: Client called on 9/13/05 took 1st typhoid on 9/9/05. Felt ok on 9/10/05, took 2nd typhoid 9/14/05 had fever, chills, shaking and muscle aches all day. Stated "just felt awful " felt ?? on 9/12/05. Remaining 2 typhoid pills not taken. 10/10/05 client states  S&S were like sulfur allergy.
Age: 0.84
Sex: F
Vaccine: HIBV
Symptoms: Injection site mass
Clinical narrative: Right thigh know walnut size for 10 days.`
Age: 1.52
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Erythema, warmth, and induration of approx. 4cm diameter around injection site of Prevnar and Varivax.
Age: 0.62
Sex: M
Vaccine: PNC
Symptoms: Ear disorder, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Pinpoint raised, slightly red rash developed slowly on same day of vaccination- may be itchy. 9/29 Temp 102 R, 10/1 102.5. Bulging eardrum also 10/1 placed on amoxicillin 1 1/4 tsp BID X 10 days plus Benadryl (rash became systemic head to toes) Benadryl is relieving symptoms.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Injection site vesicles
Clinical narrative: Developed yellow blisters at injection site next day after MMR. Crusted over and healed
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: Mother reports, patient developed a red raised rash on chest and stomach 1 hour after receiving a Hep A immunization. Rash lasted for several hours ad slowly resolved.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: 6/15/05 linear rash L arm started as red bumps, from finger to scapula. Did not bother child slowly developed and slowly resolved over 2-3 wks, Not taken to doctor. 10/5/05 rash started as "spider (looking) bite  L forearm, next day another developed which looked different - seven "clusters" of vesicular eruptions on erythematous base. Painful X 1 day. (runny nose, unsure if related ) looked like same rash he had in June. Differential diagnosis - dermatitis. herpetiformis - however dermatoma in distribution looks like varicella zoster - but not painful.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Redness and swelling to L arm from shoulder to hand beginning day after (9/24/05). On 9/26/05 called KPHC - redness only to elbow now and swelling gone. Elbow is tender to touch and movement. Reports "feel like arthritis".
Age: 21.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Developed flat red hive around R arm injection site within 30 minutes- ? end hives across upper back - no respiratory symptoms, vitals stable, monitored in clinic for 1 hr. hives mostly resolved. BP 120/70 HR 80. Discharged 130/80 HR 72. Follow-up call 90 minutes later no change no increased hives. 10/25/05   follow-up call hives have resolved.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site swelling, Rash macular
Clinical narrative: At injection site R buttock area swollen red, bruised  3 days after injection. Rash-macular on both forearm and torso.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Joint range of motion decreased, Pyrexia
Clinical narrative: 8 hours after injection developed pain, swelling & warmth, inability to lift arm. Fever up to 100F. It lasted 3 days used ice pack and Tylenol.
Age: 1.3
Sex: F
Vaccine: DTAPH, MMR
Symptoms: Urticaria, Vomiting
Clinical narrative: Shots given 11/04/2005. Had vomiting episode that night. Woke on 11/05 with large whelps have persisted. Seen 11/07 whelps on face, arms legs, none on trunk. More vomiting on 11/06. Better on 11/07.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Hives Prednisone 60mg x1 day, 40mg x 2 days, 30mg x 3 days, 20mg x 2 days, 10mg x 2 days.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt states site is somewhat painful. Area is hot, swollen approx 5 in in irregular diameter.
Age: 1.78
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema multiforme, Injection site induration, Injection site reaction, Skin ulcer
Clinical narrative: This case was reported by a nurse and described the occurrence of erythema multiforme in a 21 month old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed for prophylaxis. The subject had no pre-existing medical conditions. On 10/26/05, the subject received second dose of Infanrix in the right hip (lot AC14A006AA). On 10/26/05, the subject was also vaccinated with Haemophilus influenzae type B conjugate vaccine and 7-valent pneumococcal conjugate vaccine. On 10/31/05, 5 days after vaccination with Infanrix, the subject experienced irregular round erythematous blanchable lesions located around the indurated area of the injection site of Infanrix. The subject was seen at a physician's office on 11/1/05 and was diagnosed with erythema multiforme. The nurse reported that the erythema multiforme was limited to the area around the site of injection. The vaccination course with Infanrix was discontinued. The outcome of the erythema multiforme was not provided. The nurse considered the events to probably be related to vaccination with Infanrix. Comment: Erythema multiforme was assessed as medically serious (OMIC).
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 04 NOV 05: Patient presented 3 weeks s/p smallpox immunization with c/o generalized rash over face/trunk/extremeties; positive odynophagia; no fevers/chills/nausea/vomiting/diarrhea/photophobia.  No history of excema/seborrhea. Diagnosed with generalized smallpox vaccination reaction (self-limited).  Prescribed Prednisone.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site reaction, Pain, Pyrexia
Clinical narrative: Pt given both flu and Pneumovax in same arm by persons at CVS pharmacy. Site reaction, body aches, temp. Pt seen in our office 2 days later.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: TD given 11/04/2005 Presents 11/07/2005 6 x 10cm area red, swollen, T 99.5, ice, Benadryl.
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 7.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD
Symptoms: CSF test abnormal, Fatigue, Guillain-Barre syndrome, Headache, Myalgia
Clinical narrative: Admitted 10/28/2005 with GBS. In PICU for a few days. Now on rehab floor As of 11/03/2005.  10/23/06 Received medical records from hospital which reveal patient had admitting dx & d/c dx: Buillain Barre & Headache.  Admitted from 10/28/05-11/10/05 HPI: patient complained of midfrontal HA for 8 days prior to admit & also leg pain for unclear number of days prior to admit.  It was difficult for her to climb stairs for several days & to ambulate on the day of admission.  She had been extra fatigued & sleeping more than usual with decreased oral intake.  She was incontinent of urine on day of admission. Exam revealed marked weakness of the LEs. & DTRs in LEs were low.  Had difficulty with heel walking & rising from floor w/o using hands. Hospital Course: Neuro - MRI was WNL.  LP done & CSF studies showed elevated protein with normal glucose.  NCS consistent with demyelination on 10/29/05.  Received IVIG x 5 days.  Significant gains were made after IVIG. D/C to PCP, Neuro & REhab follow up as well as outpatient PT & mental health evaluation. 10/23/06 Received medical records from PCP which reveal patient seen 10/26/05 for HA & legs hurting, decreased appetite, not feeling well & shaky in AM.  Next visit on 12/1/05 s/p hospitalization.  Patient was approx 90% back to normal.  Strength was WNL in UE with good heel walking, poor toe walking & still unable to rise from sitting w/o using hands.  Last visit was on 2/14/06 when patient had fever, sore throat & stuffy nose.  Dx: pharyngitis & URI.
Age: 7.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD
Symptoms: Urinary incontinence
Clinical narrative: Admitted 10/28/2005 with GBS. In PICU for a few days. Now on rehab floor As of 11/03/2005.  10/23/06 Received medical records from hospital which reveal patient had admitting dx & d/c dx: Buillain Barre & Headache.  Admitted from 10/28/05-11/10/05 HPI: patient complained of midfrontal HA for 8 days prior to admit & also leg pain for unclear number of days prior to admit.  It was difficult for her to climb stairs for several days & to ambulate on the day of admission.  She had been extra fatigued & sleeping more than usual with decreased oral intake.  She was incontinent of urine on day of admission. Exam revealed marked weakness of the LEs. & DTRs in LEs were low.  Had difficulty with heel walking & rising from floor w/o using hands. Hospital Course: Neuro - MRI was WNL.  LP done & CSF studies showed elevated protein with normal glucose.  NCS consistent with demyelination on 10/29/05.  Received IVIG x 5 days.  Significant gains were made after IVIG. D/C to PCP, Neuro & REhab follow up as well as outpatient PT & mental health evaluation. 10/23/06 Received medical records from PCP which reveal patient seen 10/26/05 for HA & legs hurting, decreased appetite, not feeling well & shaky in AM.  Next visit on 12/1/05 s/p hospitalization.  Patient was approx 90% back to normal.  Strength was WNL in UE with good heel walking, poor toe walking & still unable to rise from sitting w/o using hands.  Last visit was on 2/14/06 when patient had fever, sore throat & stuffy nose.  Dx: pharyngitis & URI.
Age: 1.44
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Hypersensitivity, Oedema, Pyrexia, Rash, Rash papular
Clinical narrative: Patient had fever of 38.2, 11/02/2005 am, upon onset, no fever at home. Also swelling in face and over body which started 11/02/2005 al per mom Fever started when swelling began. Fine red rash over body and pustules in head. DX was allergic reaction to egg in flu, varicella, and rash to hours to MMR. Admitted to Pediatric floor, 11/02/2005 am. DC DX: Allergic Reaction. Admitted with SOB, face and eyelid swollen times 2 weeks. One hour after immunization eye became swollen and discharge (yellow and clear). Temp in ER 99.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Feeling hot, Injection site hypersensitivity, Injection site pain, Platelet count decreased
Clinical narrative: Large area of redness, pain, warmth at site 20 cm x 10 cm, fever 104, vomiting, diarrhea, decreased platelets to 30k.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Large area of redness, pain, warmth at site 20 cm x 10 cm, fever 104, vomiting, diarrhea, decreased platelets to 30k.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Diarrhoea, Eye pain, Face oedema, Facial palsy
Clinical narrative: Patient received his flu shot the afternoon of Tuesday, Oct 25. On Oct 26 he began complaining of a feeling like an abscessed tooth with pain in his left lower jaw. he developed numbness and swelling in his mouth and lips, like a novocaine feeling. he was given Augmentin 875 mg BID on Thursday, Oct 27. He had severe pain, numbness, and swelling in his lower jaw. he actually had swelling in his whole face. His symptoms progressed, and on Sunday, Oct 30, he presented to the ER with very sore eyes. He could not see when he bent over and his eyes were watering a lot. There it was determined that basically he had facial muscle paralysis, he could not move any of the muscles in his face. He could move his jaw up and down and he did have function of his tongue. He could not close his eyes all the way, squint, move the muscles in his forehead, smile, frown, etc. In the ER he underwent a spinal tap, CAT scan, and multiple blood work, and he was admitted for an overnight stay, with a working diagnosis of possible Guillain Barre syndrome. After a neurology consult it was decided that he most likely had a reaction to the flu shot, with his 7th nerve being attacked. He has been placed on prednisone and Famvir with further neurology follow up planned. His neurologist is anticipating a 6 to 12 month recovery period. Information from 60 day follow-up report states: He recovered, hopefully completely, as of mid December. His neurologist feels it was related to the flu shot. Thank you for your interest and your follow up. Discharge summary disproved GBS diagnosis. Medical records state diarrhea.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Hypoaesthesia, Lacrimation increased, Nerve injury, Ophthalmoplegia
Clinical narrative: Patient received his flu shot the afternoon of Tuesday, Oct 25. On Oct 26 he began complaining of a feeling like an abscessed tooth with pain in his left lower jaw. he developed numbness and swelling in his mouth and lips, like a novocaine feeling. he was given Augmentin 875 mg BID on Thursday, Oct 27. He had severe pain, numbness, and swelling in his lower jaw. he actually had swelling in his whole face. His symptoms progressed, and on Sunday, Oct 30, he presented to the ER with very sore eyes. He could not see when he bent over and his eyes were watering a lot. There it was determined that basically he had facial muscle paralysis, he could not move any of the muscles in his face. He could move his jaw up and down and he did have function of his tongue. He could not close his eyes all the way, squint, move the muscles in his forehead, smile, frown, etc. In the ER he underwent a spinal tap, CAT scan, and multiple blood work, and he was admitted for an overnight stay, with a working diagnosis of possible Guillain Barre syndrome. After a neurology consult it was decided that he most likely had a reaction to the flu shot, with his 7th nerve being attacked. He has been placed on prednisone and Famvir with further neurology follow up planned. His neurologist is anticipating a 6 to 12 month recovery period. Information from 60 day follow-up report states: He recovered, hopefully completely, as of mid December. His neurologist feels it was related to the flu shot. Thank you for your interest and your follow up. Discharge summary disproved GBS diagnosis. Medical records state diarrhea.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in jaw, Visual disturbance
Clinical narrative: Patient received his flu shot the afternoon of Tuesday, Oct 25. On Oct 26 he began complaining of a feeling like an abscessed tooth with pain in his left lower jaw. he developed numbness and swelling in his mouth and lips, like a novocaine feeling. he was given Augmentin 875 mg BID on Thursday, Oct 27. He had severe pain, numbness, and swelling in his lower jaw. he actually had swelling in his whole face. His symptoms progressed, and on Sunday, Oct 30, he presented to the ER with very sore eyes. He could not see when he bent over and his eyes were watering a lot. There it was determined that basically he had facial muscle paralysis, he could not move any of the muscles in his face. He could move his jaw up and down and he did have function of his tongue. He could not close his eyes all the way, squint, move the muscles in his forehead, smile, frown, etc. In the ER he underwent a spinal tap, CAT scan, and multiple blood work, and he was admitted for an overnight stay, with a working diagnosis of possible Guillain Barre syndrome. After a neurology consult it was decided that he most likely had a reaction to the flu shot, with his 7th nerve being attacked. He has been placed on prednisone and Famvir with further neurology follow up planned. His neurologist is anticipating a 6 to 12 month recovery period. Information from 60 day follow-up report states: He recovered, hopefully completely, as of mid December. His neurologist feels it was related to the flu shot. Thank you for your interest and your follow up. Discharge summary disproved GBS diagnosis. Medical records state diarrhea.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose increased, Condition aggravated, Pyrexia, Vomiting
Clinical narrative: Fever 103-104 vomiting, sugar increased to 400, all symptoms with in 4 hours time span after receiving vaccine.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Inflammation, Lymphadenopathy
Clinical narrative: Developed left axillary adenitis 3 days after receiving flue vaccine in left deltoid.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Pyrexia
Clinical narrative: Pt received flu shot at work on 10/13/2005, the evening of the flu shot she began to feel tired and started with fevers. Fevers continued through 11/08/2005 ranging 100.5 - 101.3. no UA, no culture no mono no CBC. Please contact her employer where she received the flu shot for this information.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Hypokinesia, Nausea
Clinical narrative: Has received flu shots in past 7 years with no problem. Could not raise arm above shoulder height. By 8:30 pm got headache, chills, temp was normal, took Tylenol and slept for 1 hour. Woke up at 1:30 am with severe chills, shaking 100.9 temp, nausea, vomiting for 1 hour, called doctor who recommended ER if could not keep liquids. Went to ER by 3am. At 4am seen by ER doctor and got IV fluids and anti nausea medication. At 5:30am temperature of 100.8 given Tylenol left at about 6am on 10/30/2005 slept until 1 pm woke up feeling better, a bit tired, but overall fine.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Has received flu shots in past 7 years with no problem. Could not raise arm above shoulder height. By 8:30 pm got headache, chills, temp was normal, took Tylenol and slept for 1 hour. Woke up at 1:30 am with severe chills, shaking 100.9 temp, nausea, vomiting for 1 hour, called doctor who recommended ER if could not keep liquids. Went to ER by 3am. At 4am seen by ER doctor and got IV fluids and anti nausea medication. At 5:30am temperature of 100.8 given Tylenol left at about 6am on 10/30/2005 slept until 1 pm woke up feeling better, a bit tired, but overall fine.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Asthenia, Dizziness, Dysphonia, Flushing, Pruritus
Clinical narrative: Dizzy, weak, pale.  Called doctor but said it was okay because even if blood pressure low not racing, rested all day.  Next day got rash around pneumonia shot.  Took claritin and used hydrocortisone lotion for rash and itchiness, it helped.  Hoarseness started Saturday and continues to today.
Age: 70.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Rash
Clinical narrative: Dizzy, weak, pale.  Called doctor but said it was okay because even if blood pressure low not racing, rested all day.  Next day got rash around pneumonia shot.  Took claritin and used hydrocortisone lotion for rash and itchiness, it helped.  Hoarseness started Saturday and continues to today.
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Difficulty in walking, Fatigue, Headache
Clinical narrative: After 5-6 hours felt tired, felt not dizzy but lacked equilibrium, so hard to walk, mild headache.  Symptoms mild on Saturday and Sunday.  Symptoms hardly noticeable today.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypokinesia, Shoulder pain
Clinical narrative: Sore area in the right shoulder area.  Movement also slower or limited.  Hurts with movement or when lying down.  Has gotten worse but not red.  Slightly swollen.
Age: 64.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site rash
Clinical narrative: Rash at injection site and warmth at left deltoid muscle to touch.  Diphenhydramine and Ibuprofen 3 times a day, helped it subside.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Myalgia, Rash
Clinical narrative: Muscle pain in right arm, rash on right shoulder, trouble breathing.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injection site pain, Nausea
Clinical narrative: 10/30/2005 Reports experiencing nausea/lack of energy/increased phlegm and some soreness at site.  10/31/2005  Soreness at site, red, swollen at site.  No further nausea and reports other than her arm, she feels okay.  Referred to primary doctor.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Felt nauseous at 17:00, progressed to chills, fever, temp not taken, general malaise, muscle aches, headache. Pt had to retire to bed at 20:00. Woke next morning feeling slightly ill, all symptoms resolved by 11:00. Pt took Advil.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Felt nauseous at 17:00, progressed to chills, fever, temp not taken, general malaise, muscle aches, headache. Pt had to retire to bed at 20:00. Woke next morning feeling slightly ill, all symptoms resolved by 11:00. Pt took Advil.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: med. rash itching on torso.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Rash, Wheezing
Clinical narrative: Wheezing, shortness of breath, rash on arm and torso.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pharyngolaryngeal pain, Throat tightness
Clinical narrative: Site of vaccine red, hot and patient desribed sore throat/ throat tightness 24 hrs after shot administration.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Feeling hot, Pruritus, Swelling, Tenderness
Clinical narrative: Swelling and itching of the left upper arm. Swelling 6" x 3" warm to touch. No erythema. Tender 6/10. No red streaks. Benadryl 25 mg TLD and cold compress. To flu if symptoms increase.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: Upper arm started swelling in a few hours. The swelling slowly moved down arm to wrist over several days with slight redness. It took a week until the swelling was going. Took Benadryl for several days
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Confusional state, Guillain-Barre syndrome, Headache, Nausea
Clinical narrative: Probable Guillain Barre onset 11 days after flu vaccine administered.  12/27/05 Received medical records 10/20-10/22/2005. Records state decreased reflexes, paresthesia, asthenia, headache, nausea, confusion, hand weakness progressing x 2 days approx 2 wks s/p flu shot. Weakness & difficulty walking progressed s/p d/c & was readmitted 10/24-10/26/2005.  Neuro consult done, demyelinating neuropathy per NCV..  Tx w/IVIG.  No LP done per pt refusal.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Probable Guillain Barre onset 11 days after flu vaccine administered.  12/27/05 Received medical records 10/20-10/22/2005. Records state decreased reflexes, paresthesia, asthenia, headache, nausea, confusion, hand weakness progressing x 2 days approx 2 wks s/p flu shot. Weakness & difficulty walking progressed s/p d/c & was readmitted 10/24-10/26/2005.  Neuro consult done, demyelinating neuropathy per NCV..  Tx w/IVIG.  No LP done per pt refusal.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Diarrhoea, Fatigue, Food allergy, Injection site swelling
Clinical narrative: Patient states she had a golf ball sized, slightly raised red area where injection was given. Lasted one week. Also C/O cough and fatigue. About pt also on Coumadin, states that since being on Coumadin, has not been able to tolerate eggs, usually gets diarrhea. Started Coumadin 1997. Received yrly flu shot since 2000.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, swelling, warmth and pain 2 days after shot was administered.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Nausea, Rhinorrhoea, Vomiting
Clinical narrative: About 5 hours after receiving influenza vaccine noticed runny nose, chills, nausea, vomiting, and diarrhea. Vomiting stopped by 03:00 10/29/05. Nauseous, diaphoretic and chills lasted 4 days. Took 1 Phenergan supp 10/08/05. Increased fluid / Gatorade. Did not seek emergency treatment.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Erythema, Headache, Pyrexia, Stomach discomfort
Clinical narrative: Low-grade headache, minor upset stomach, very weak, red swelling and fever in right arm, redness spread all around right arm down from shot place and elbow. Very weak till October 28th,05. Eating or drinking anything caused minor stomach upset.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Low-grade headache, minor upset stomach, very weak, red swelling and fever in right arm, redness spread all around right arm down from shot place and elbow. Very weak till October 28th,05. Eating or drinking anything caused minor stomach upset.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Feeling hot, Tremor
Clinical narrative: Phone call from mom 1 hours after shot. He was at school in nurses office. He was shaking and couldn't stop-ears and cheek were red and hot. No trouble breathing, no rash, advised to go to ER now.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Fall, Loss of consciousness, Tremor
Clinical narrative: After injection, patient passed out, stiffened and had very short period of "shaking" of extremities falling to floor, responsive in few (5-7) came to. Was aware of surroundings.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Hyperhidrosis
Clinical narrative: Clammy, sweating, dizzy. Ammonia capsule BP 76/50 10/15; P 88; BF 82/70 10/28
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Hyperhidrosis, Hypokinesia, Pruritus, Pyrexia
Clinical narrative: Pneumovax - Swollen, rash, restriction of movement. Started in evening lasted 4 days still itch 11/1/05. Fluarix - light headiness, sweating for 2 rest body. Temp of 108.3 degrees F. Ok today 10/28/05
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash, Swelling
Clinical narrative: Pneumovax - Swollen, rash, restriction of movement. Started in evening lasted 4 days still itch 11/1/05. Fluarix - light headiness, sweating for 2 rest body. Temp of 108.3 degrees F. Ok today 10/28/05
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration, Pain, Pyrexia
Clinical narrative: Temp 100.2-102. Induration upper right arm 7 x 9 cm, w/erythema painful to touch and when raising arms. No nausea/vomiting/sob. No physical findings for abscess
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Feeling cold, Hypoventilation, Pruritus, Pyrexia
Clinical narrative: Burning cough, shallow breathing with itching on outer skin of throat and back. That lasted about an hour. Then had range of fever 99.2-99.8. Felt really cold and sick. Took Tylenol. Fever left at 5:30 am and I got better.
Age: 7.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: Left arm red and swollen. Treat with ice, Benadryl and Keflex 250/5 Tps every 8 hours x 10 days
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: 20 min after injection developed hives and itching all over. Gave her Allegra 150mg times 1, Albuterol MDI 2 puffs and Singular 10mg times 1
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Swelling
Clinical narrative: Swelling, erythema, at injection site in left and right deltoid
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Oedema, Pain, Pyrexia, Rash
Clinical narrative: Swollen left arm, both shots same arm (Oct 27-28 all day and night). Rash on left arm, rash on both breast. Still there Nov 3rd- Flu like symptoms, fever aching body.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Vertigo
Clinical narrative: Approximately 10 min after admin pt felt "woozy" and head was swirly and needed to sit down. Pharmacist called and CMS pt refused transfer and was assisted to her car
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Eye discharge, Eye inflammation, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Sore throat followed by constricted airway followed by eye redness/discharge followed by mild elevated temperature, chills, and  and  achiness followed by sinus headache. Course: 24 hours.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Sinus headache, Throat tightness
Clinical narrative: Sore throat followed by constricted airway followed by eye redness/discharge followed by mild elevated temperature, chills, and  and  achiness followed by sinus headache. Course: 24 hours.
Age: 4.0
Sex: M
Vaccine: DTP, FLU3, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of upper part of 2 arms. develop. During 40 - 48 hours a prev vaccine. No fever, No pain. Reaction resolved at 72.
Age: 16.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Erythema, Pyrexia
Clinical narrative: Administered on 10-25-05 3pm, 101.6 temp 10-26-05 6pm. 10-27-05 2 inch red spot right arm and 101 temp 6 am. 10-27-05 reddened area doubled in size by 11 am.  Physician (allergist) notified. Seen by physician at 4pm, size increasing, moving around arm. Tx with augmentin.  Received 2 doses by 10-28-05(16th birthday), fever continues as well as growth of area.  By 10 am 10-28-05 fever 104, arm very hot to touch.  Returned to pediatrician due to close proximity to home as instructed by allergist.  Decision by both physicians to admitto hospital to treat for sever case of cellulitis.  Admitted to hospital. Blood culture , cbc, creatine protein, etc drawn.  Iv clindamycin Q 8hours started at 6 pm x 48 hours.  Discharged 10-30-05 on po clindamycin x 10 days.  The area ended up extending from below the shoulder to just below the elbow and almost encirling the upper arm. Discharge summary states cellulitis. msv
Age: 10.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Injection site induration, Pain
Clinical narrative: REDNESS TO L UPPER ARM  THE DAY AFTER VACCINE GIVEN.  OVER WEEKEND INCRESED PAIN AND INCREASE REDNESS.  AREA RED ROUND INDURATED MACULAE AT INJECTION SITE.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site warmth, Joint stiffness, Pain
Clinical narrative: injection site-warmth, tenderness, aches that lasted 2 days after injection. Resolved without intervention. Joint stiffness in pinky and ring fingers of both hands. Symptoms most severe the 2 days after injection. Joints are still stiff in the a.m. 7 days after the injection.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Discomfort, Hypoaesthesia
Clinical narrative: Patient received flu vaccine 11/03/2005. Telephoned 11/04 AM reporting upper left chest pain and discomfort and numbness down left arm and into fingertips. Reports symptoms have lasted "several hours".
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cerebrovascular accident, Convulsion
Clinical narrative: BECAME ILL AFTER VACCINE -WEAK- DURING THAT NIGHT HAD SEIZURE- NO FEVER, WHITE COUNT NORMAL,WENT ON TO HAVE SEIZURES, IN INTENSIVE CARE UNIT, SYMPTOMS WORSENED AND CVA SYMPTOMS AND TRANSFERRED TO HOSPITAL.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema, Pain, Pyrexia, Rash pruritic, Urticaria
Clinical narrative: Patient noted that several hours after receiving the Flu Vaccine, 11/04/05. She broke out with an itching rash,and hives. She called the ER and they recommended that she take benadryl and and cool bath. The next day,11/05/05 she still had the hives and again called the Er. They advised her to continue taking the benadryl, which she did and then slept most of the day and night. On 11/06/05, she woke with a fever(100), aches all over, a swollen upper lip, and broken out further with hurtful hives. Her family took her to the ER about 3:30 P.M. At the ER she as given SoluMedrol 250mg.I.M. She had decreased itching and was given a second dose of SoluMedrol 250mg I.M. She at no time had any respiratory problems or evidence of Hives in her mouth. She was considered stable and was discharged  about one and one/half hours after admission. She was prescribed Prednisone 20mg; six(6) tablets;take twice a day for three days. She was also to followup with her family physician in two days, A telephome call was made to the patient 11/08/05 to check her status. The hives  have diminished and she can only see the outlines at this time. Has an appointment with her family physician 11/08/05 in the P.M.
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Anorexia, Cough, Headache, Influenza like illness, Pruritus
Clinical narrative: I WAS TOOK THE VACCIN THEN AFTER THREE DAY I WAS SO SICK. I HAD FLUE FOR TWO WEEKS. RUNNING NOSE, HEADACHE, FEVER, LOOSE APPETITES, SNEEZING, COUGHING AND ITCHING THE WHOLE BODY  SINCE THEN NEVER TAKE ANY VACCINE. NOW I AM WORRY ABOUT MY HEALTH. IT IS SO HARD ME TO TAKE THE VACCINE AGAIN.
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: I WAS TOOK THE VACCIN THEN AFTER THREE DAY I WAS SO SICK. I HAD FLUE FOR TWO WEEKS. RUNNING NOSE, HEADACHE, FEVER, LOOSE APPETITES, SNEEZING, COUGHING AND ITCHING THE WHOLE BODY  SINCE THEN NEVER TAKE ANY VACCINE. NOW I AM WORRY ABOUT MY HEALTH. IT IS SO HARD ME TO TAKE THE VACCINE AGAIN.
Age: 76.0
Sex: F
Vaccine: FLUN3
Symptoms: Bronchitis, Nasal congestion, Pharyngitis, Pharyngolaryngeal pain, Rhinitis
Clinical narrative: (per pt's description) "Severe cold symptoms, worst cold ever! Very Congested, very painful throat, couldn't talk. Bronchitis for 10 days (I was perfectly healthy before I received the vaccine) the vacceine made me very sick"  (HCP decription) - pt came in and wanted a vaers report filled out. I copied her description into this box. Pt said she was getting over her cold and was doing better. She said she had not come into contact with anyone who was sick.
Age: 76.0
Sex: F
Vaccine: FLUN3
Symptoms: Speech disorder
Clinical narrative: (per pt's description) "Severe cold symptoms, worst cold ever! Very Congested, very painful throat, couldn't talk. Bronchitis for 10 days (I was perfectly healthy before I received the vaccine) the vacceine made me very sick"  (HCP decription) - pt came in and wanted a vaers report filled out. I copied her description into this box. Pt said she was getting over her cold and was doing better. She said she had not come into contact with anyone who was sick.
Age: 83.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: PATIENT DEVELOPED REDNESS AND SWELLING OF THE RIGHT UPPER EXTREMITY TREATED WITH BENADRYL AND STEROIDS
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Blister, Erythema, Injection site induration, Injection site mass, Pyrexia
Clinical narrative: DEVELOPED TEMP OF 100.4, KNOT IN RIGHT ARM WITH A LOT OF REDNESS AND TENDER TO TOUCH, SORENESS IN RT AXILLARY AREA ON 10/21/05. WAS TOLD TO KEEP TAKING HER BENADRYL. PRESENTED TO OFFICE 10/24/05 WITH NORMAL TEMP, 5.6 CM RED INDURATED AREA OR RT ARM. WAS TOLD TO ROTATE WARM COMPRESSES AND COLD PACKS OVER NEXT 24-48 HOURS AND TAKE BENADRYL 25 TID FOR NEXT 3 DAYS. ANTIBIOTIC FOR 7 DAYS. ON 10/26/05 AREA REMAINS RED WITH 1-1.5CM BLISTERS WITH SEVERAL SMALLER BLISTERS. ENTIRE AREA IS ABOUT 3.5"X6".
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: DEVELOPED TEMP OF 100.4, KNOT IN RIGHT ARM WITH A LOT OF REDNESS AND TENDER TO TOUCH, SORENESS IN RT AXILLARY AREA ON 10/21/05. WAS TOLD TO KEEP TAKING HER BENADRYL. PRESENTED TO OFFICE 10/24/05 WITH NORMAL TEMP, 5.6 CM RED INDURATED AREA OR RT ARM. WAS TOLD TO ROTATE WARM COMPRESSES AND COLD PACKS OVER NEXT 24-48 HOURS AND TAKE BENADRYL 25 TID FOR NEXT 3 DAYS. ANTIBIOTIC FOR 7 DAYS. ON 10/26/05 AREA REMAINS RED WITH 1-1.5CM BLISTERS WITH SEVERAL SMALLER BLISTERS. ENTIRE AREA IS ABOUT 3.5"X6".
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Injection site discolouration, Injection site erythema, Injection site warmth, Tenderness
Clinical narrative: Reaction to immunization:  Large erythematous patch distal to injection site, redness, warm to touch, blanchable, mild tenderness with palpation.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dysphonia, Pyrexia
Clinical narrative: mild weakness & dizziness with associated fever and hoarseness.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Dyspnoea, Electrocardiogram abnormal, Guillain-Barre syndrome, Hyperglycaemia
Clinical narrative: Patient said he started getting numb on tips of both feet/toes on Friday Morning.  By Saturday he started getting numb in the shin area and knees.  Sunday numb in waist and hands.  Monday he went to the doctor, stated he couldn't walk.  Dr. sent him to hosp.  He was directly admitted to ICU.  A lumbar puncture was performed and immune globulin started (15 bottles).  protein levels extremely high in spinal fluid.  Hospitalized one week.  Presently has braces on both legs, using a walker, receiving physical therapy.  To follow-up with primary physician in one week.  To follow-up with neurologist in three weeks.  Requesting info on lot # and manufacturer. Information from 60 day follow-up report states: 1/18/06 Spoke with patient regarding recovery status his knees down has no feeling, has regained feeling in thighs with pain consistantly. He has braces on his legs. Presently no therapy is being provided. Physician is estimating recovery to be 6-12 months.  12/29/05 Medical record received for 10/17-10/21/2005 FINAL DX: Guiliain Barre syndrome, dyspnea.  Records reveal patient experienced progressive aching & weakness of legs, numbness of feet & difficulty walking x 2 days & 2 days s/p flu shot.  Reflexes absent.  Neuro & Pulmo consult done, ICU, tx w/IVIG.  Improved & d/c to home.