chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nasopharyngitis, Sinus disorder
Clinical narrative: Right after getting shot I had not been in good health for about 12 days thereafter, Days 1 & 2 I felt lack luster, I just wanted to be in bed then from there on I began 2 be sick with a different kind of illness everyday. I got a headache, then felt upset stomach then next day a sinus cold. Then a cough, felt as if I had a slight flu at times, is all this from the shot? I also had moved into another house. It could have been that.
Age: 1.02
Sex: F
Vaccine: HEPA, HIBV, PNC, VARCEL
Symptoms: Feeling abnormal, Herpes virus infection, Injection site vesicles, Pyrexia, Rash vesicular
Clinical narrative: Herpetic vesicular irruption @ site of 1st VARIVAX inoculation with mild systemic symptoms of low grade fever & fussiness.
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Erythema, Haemoglobin, Oedema peripheral, Pain
Clinical narrative: Pr received H1N1 shot in left deltoid (IM) at about 11:35 AM on 2/3/10. Later that night left hand began to swell and turn red, became painful. Pt went to clinic on 2/4 to receive an RX for CEPHALEXIN. Diagnosed with skin infection. Also presented on 2/5/10 to see doctor for dizziness had hemoglobin checked.
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Skin infection
Clinical narrative: Pr received H1N1 shot in left deltoid (IM) at about 11:35 AM on 2/3/10. Later that night left hand began to swell and turn red, became painful. Pt went to clinic on 2/4 to receive an RX for CEPHALEXIN. Diagnosed with skin infection. Also presented on 2/5/10 to see doctor for dizziness had hemoglobin checked.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: cellulitis left thigh
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyskinesia, Muscle twitching
Clinical narrative: Information received on 17 February 2010 from a consumer who is a health care professional. A 37 year old female patient with a history of sulfa allergies developed twitching in her fingers the evening after she received an intramuscular right deltoid dose of Influenza A (H1N1) 2009 Monovalent Vaccine - Preservative (lot number UP013AA) on 31 October 2009. The twitching progressed to chronic generalized twitching all over her body over the next month. The patient also reported jerking movements in her legs and shoulders. The patient was seen by a neurologist, however details were not provided. Approximately four weeks prior to vaccination the patient had also received Seasonal FLUZONE (lot number not reported). Concomitant medication included birth control. Of note, the patient had "strep" one month prior to vaccination. The patient did not recover at the time of this report. List of Documents held by Sender: none.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Initial case received 19 February from a patient. A 45 year old female patient received a left deltoid injection of Influenza A (H1N1) 2009 Monovalent Vaccine - Preservative (lot number UPU112A-not a valid sanofi pasteur lot number) on 29 October 2009. Five days post vaccination (approximately 03 November 2009) the patient experienced intermittent weakness in both legs. She was able to walk, but had paresthesia, numbness and "felt like legs were so weak that she was going to fall." The patient had no illness at the time of the vaccination. Concomitant medications included multivitamins. She had an allergy to Sulfa and a sensitivity to latex. The patient reported that the weakness of legs lasted a couple of weeks. She had no further problems or symptoms as of this report. Documents held by sender: None.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blood culture positive, Pneumonia pneumococcal, Renal failure
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 20-month-old male patient who experienced severe pneumonia with a positive blood culture for S. Pneumoniae and renal failure. The patient received the fourth dose on 15-Apr-2009. The patient also received the first dose of VARIVAX (Merck & Co Inc) and the first dose of MMR (Sanofi Pasteur) on 15-Apr-2009. Additional suspect medication included PREVNAR. The patient experienced severe pneumonia with a positive blood culture for S. Pneumoniae and renal failure and on 05-Jan-2010. Additional lab results were not provided. VARIVAX and MMR were considered additional suspect vaccines for renal failure. The outcome of the events is unknown. The events either caused or prolonged hospitalization and were considered life threatening. No additional information was available at the time of this report.
Age: 19.0
Sex: M
Vaccine: FLU(H1N1), HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: went to ER.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1), FLUN3, HEP, TD
Symptoms: Body temperature increased, Headache, Malaise, Pyrexia
Clinical narrative: Headache, fever, malaise. Fever in ED=100.5 F. Seen at hospital ED.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Presyncope, Tetany
Clinical narrative: Near syncope. Carpo-pedal spasm. Went to Hospital ER for treatment.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Amnesia, Balance disorder, Blindness, Hemiparesis
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of weakness on one side in a 15-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 17 October 2008 the subject received 1st dose of BOOSTRIX (unknown). On 20 October 2008, 3 days after vaccination with BOOSTRIX, the subject experienced weakness on one side, bilateral vision loss, loss of short term memory, balance disorder, chronic migraine. The healthcare professional, the subject's mother, reported the subject experienced one-sided weakness, short term memory loss, balance disorder, chronic migraines and had to be hospitalized several times since receiving the vaccine. The subject also had to be home schooled (inability to perform daily activities). The subject was hospitalised and the healthcare professional considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the weakness on one side, bilateral vision loss, loss of short term memory and balance disorder were unresolved; chronic migraine and inability to perform daily activities were unspecified. The healthcare professional considered the bilateral vision loss, loss of short term memory and balance disorder were unresolved were probably related to vaccination with BOOSTRIX and weakness on one side was possibly related to vaccination with BOOSTRIX.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Migraine
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of weakness on one side in a 15-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 17 October 2008 the subject received 1st dose of BOOSTRIX (unknown). On 20 October 2008, 3 days after vaccination with BOOSTRIX, the subject experienced weakness on one side, bilateral vision loss, loss of short term memory, balance disorder, chronic migraine. The healthcare professional, the subject's mother, reported the subject experienced one-sided weakness, short term memory loss, balance disorder, chronic migraines and had to be hospitalized several times since receiving the vaccine. The subject also had to be home schooled (inability to perform daily activities). The subject was hospitalised and the healthcare professional considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the weakness on one side, bilateral vision loss, loss of short term memory and balance disorder were unresolved; chronic migraine and inability to perform daily activities were unspecified. The healthcare professional considered the bilateral vision loss, loss of short term memory and balance disorder were unresolved were probably related to vaccination with BOOSTRIX and weakness on one side was possibly related to vaccination with BOOSTRIX.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Aura, Computerised tomogram normal, Convulsion, Headache
Clinical narrative: Information has been received from a consumer's husband concerning his 61 year old wife with penicillin allergy and a history of epilepsy who on 30-NOV-2009 was vaccinated with a 0.65ml dose of ZOSTAVAX (Oka/Merck). It was reported that in her early 20's, the patient had epilepsy and was on phenobarbital and phenytoin. She has not had a seizure in 40 years and off medication for the epilepsy for 20 year. The patient experienced an "aura" after the first 24 hours of being vaccinated. These "auras" continued and had slightly increased frequency and intensity but never went into a seizure. Then the morning of 30-JAN-2010 she experienced a severe headache and had her first seizure. She was taken to the hospital by ambulance. She was seen by a physician at the ER and proceeded to have a second seizure. Cat scan was performed and came back negative. The patient was not admitted to hospital. The patient was on KEPPRA after the seizure. At the time of the report, the patient was recovering. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Asthenia, Dizziness, Dysstasia, Ear pain, Hypersensitivity
Clinical narrative: ears started hurting, eyes bloodshot, weakness,dizziness,nausea, unable to get up without help. Call Dr. then 911 and went by ambulance to ER. They gave her meds to counter allergic reation. Observed for several hours at ER and was sent home, with prescription for Epi Pen and Zyrtec, Benedryl.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Nausea, Ocular hyperaemia
Clinical narrative: ears started hurting, eyes bloodshot, weakness,dizziness,nausea, unable to get up without help. Call Dr. then 911 and went by ambulance to ER. They gave her meds to counter allergic reation. Observed for several hours at ER and was sent home, with prescription for Epi Pen and Zyrtec, Benedryl.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Nausea, Paraesthesia, Urticaria
Clinical narrative: ears started hurting, eyes bloodshot, weakness,dizziness,nausea, unable to get up without help. Call Dr. then 911 and went by ambulance to ER. They gave her meds to counter allergic reation. Observed for several hours at ER and was sent home, with prescription for Epi Pen and Zyrtec, Benedryl.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Hypersensitivity, Myalgia, Oropharyngeal pain, Rash
Clinical narrative: Facial rash, sore throat, body aches - T - 91'. (Allergic reaction)
Age: 22.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: Onset of fever, reached 104 degress by 4 pm.  Went to Emergency Room due to high fever. Given Tylenol and IV Fluids for 4-5 hours and released.
Age: 57.0
Sex: F
Vaccine: HEPA
Symptoms: Wheezing
Clinical narrative: Started with wheezing in chest-got worse next day then went to hopsital on Sunday and it had traveled to my sinus and worse in chest on antibotics and breathing meds and inhaler
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pityriasis rosea, Rash erythematous, Rash pruritic, Skin lesion, Vaccination complication
Clinical narrative: One round flat lesion on my left breast appeared. I was originially misdiagnosed as having ring worm and was given 10 day course of treatment. At end of 10 days the spot had not resolved and I was given a 10 day steroid cream. Within 3 days after starting the steroid cream, I broke out into an itchy red rash on my torso and back. Another trip to the doctor for a steroid shot and 7 day oral steroid. After another 7 days there was slight relief but it had not cleared. I then went to a dermatologist who believes that it could be pytariasis rosea and may have been an adverse reaction brought on by the H1N1 nasal mist. She prescribed another round of steroid foam and antihistimines. It has been over a month and I still suffer with this and am told that it could last for up to 6 months. It is uncomfortable, unsightly and incredibly inconvenient (affecting my work, travel and psychological state). Had I known the result I would have never chosen to get this vaccine and won't again.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No Adverse Events.  As I was entering the H1N1 vaccine into the computer after the H1N1 clinic was over, I found where this child had already received a dose of H1N1. The child's mother had told me I was giving her first dose. According to agency, the first dose was given on 2/5/2010.  The first dose was an injection (Sanofi).  The dose I gave was the mist (Medimmune).
Age: 0.61
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Rash
Clinical narrative: Rash on torso
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Erythema, Heart rate increased, Hot flush
Clinical narrative: Rapid pulse, heated and flushed feeling. Red face, dizziness.   Was evaluated in ER. Was monitored for 4 hours at the hospital. Felt flushed and dizzy off an on for about a week.
Age: 60.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Discomfort, Headache, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: Both right arm and left arm very swollen,red with rash and VERY painful the first day. The second day I had to stay in bed because of the fever,pain,rash, and general discomfort. I went back to wrk on the third day after the vaccines , however althought the acute had subsided the swelling had gone into my forearms and I began to experience runny nose, scratchy throat, and some chest congest and a horrible headache ( I rarely get headaches). I was told to continue to take the 800mg Ibruprofin and Benedryl and take the steroid s given as prescribed for 5 days on a graduated basis.
Age: 60.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Pyrexia, Rash, Rash erythematous, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Both right arm and left arm very swollen,red with rash and VERY painful the first day. The second day I had to stay in bed because of the fever,pain,rash, and general discomfort. I went back to wrk on the third day after the vaccines , however althought the acute had subsided the swelling had gone into my forearms and I began to experience runny nose, scratchy throat, and some chest congest and a horrible headache ( I rarely get headaches). I was told to continue to take the 800mg Ibruprofin and Benedryl and take the steroid s given as prescribed for 5 days on a graduated basis.
Age: 60.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Throat irritation
Clinical narrative: Both right arm and left arm very swollen,red with rash and VERY painful the first day. The second day I had to stay in bed because of the fever,pain,rash, and general discomfort. I went back to wrk on the third day after the vaccines , however althought the acute had subsided the swelling had gone into my forearms and I began to experience runny nose, scratchy throat, and some chest congest and a horrible headache ( I rarely get headaches). I was told to continue to take the 800mg Ibruprofin and Benedryl and take the steroid s given as prescribed for 5 days on a graduated basis.
Age: 40.0
Sex: F
Vaccine: DT
Symptoms: Blood arsenic increased, Diplegia, Skin burning sensation
Clinical narrative: lower body paralysis, skin burning per patient
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reactive (L) Deltoid to the KINRIX. Swollen of 6 cm x 6 1/2 cm, has redness mom gave MOTRIN & apply ice on the arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Parotitis, Salivary gland enlargement
Clinical narrative: Pt. had swelling on salivary gland (diagnosed - parotitis) 3 days after receiving immunizations.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Lymphadenopathy, Pyrexia
Clinical narrative: Fever of 102.6 degrees - Tenderness injection site and enlarged axillary lymph node.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Joint swelling, Paraesthesia, Swelling
Clinical narrative: Started after 6 PM same day - swelling, dizzy, pressure on back of head, tingling sensation at back of skull:  Right headed swelling on face, extremities; swelling persisted on both ankles as of 2/24; pt rank it 8 of 10 still.  Used NSAIDS.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swelling face
Clinical narrative: Started after 6 PM same day - swelling, dizzy, pressure on back of head, tingling sensation at back of skull:  Right headed swelling on face, extremities; swelling persisted on both ankles as of 2/24; pt rank it 8 of 10 still.  Used NSAIDS.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Lethargy, Listless, Ocular hyperaemia, Pyrexia
Clinical narrative: Pt fine until 8 PM 2/25/10; then had fever > 104.  Lethargy, listless, rapid resps. eyes bloodshot; area of rash @ injection site.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Respiratory rate increased
Clinical narrative: Pt fine until 8 PM 2/25/10; then had fever > 104.  Lethargy, listless, rapid resps. eyes bloodshot; area of rash @ injection site.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Rash
Clinical narrative: ..... that turned to a rash. Started at neck and went down to hand........... started right after shot was received (about 2 hours post injection). "Tightness in chest".
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Redness and swelling at injection site, extended up and down arm about 10 cm in both directions.  Blister about 2 X 3 cm.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Pyrexia
Clinical narrative: Client had a low grade fever X 36 hours.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Induration, Rash
Clinical narrative: Blistery rash approximately 2x2" surrounded by erythema Rash/blisters appeared 2/26/10 with erythema/induration since several hours after vaccine.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blister, Rash generalised, Scab, Skin lesion
Clinical narrative: About 10 days after vaccination with VARIVAX she developed a generalized rash that developed into small blisters and than scabbed - 50-60 lesions.  No systemic symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PT had large red, hot lump on left thigh where vaccine was administered.
Age: 84.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: 3X8cm erythema/induration at site of KINRIX and VARIVAX injection. Treated for cellulitis with KEFLEX.
Age: 21.0
Sex: M
Vaccine: TTOX
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: C/O headache 5 mins after shot, then next day c/o hard warm nodule, swollen, red, sore arm at injection site.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Back pain, Body temperature increased, Headache, Hyperhidrosis, Nausea
Clinical narrative: Pt called to say arm felt sore after injection yesterday-overnight developed temp max to 101 with headache, sweats, body aches, back pain & nausea. Today at 730am temp 100.2 & at 11am temp to 99.5-Wondering if reaction-no other focal symptoms. Rx-Rest, ADVIL & monitor.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: Pt called to say arm felt sore after injection yesterday-overnight developed temp max to 101 with headache, sweats, body aches, back pain & nausea. Today at 730am temp 100.2 & at 11am temp to 99.5-Wondering if reaction-no other focal symptoms. Rx-Rest, ADVIL & monitor.
Age: 76.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Brain natriuretic peptide increased, Cardiac failure congestive, Chest pain, Condition aggravated, International normalised ratio increased
Clinical narrative: Per history, patient had not felt well since day of vaccination.  11/25/10 had episode of chest pain.  MI ruled out.  On admission, patient with CHF exacerbation.  No history of frequent exacerbations in this patient. INR supratherapeutic
Age: 76.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Malaise
Clinical narrative: Per history, patient had not felt well since day of vaccination.  11/25/10 had episode of chest pain.  MI ruled out.  On admission, patient with CHF exacerbation.  No history of frequent exacerbations in this patient. INR supratherapeutic
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Basophil count normal, Basophil percentage, Blood test, Dermatitis exfoliative, Eosinophil count normal
Clinical narrative: S:  Pt is here with chief complaint of rash-present for the past 2 days, this is day # 3, reports it started the next day after starting the ranitidine, he reports he didn't get it right away, and was taking the naproxen without any stomach problems but started the ranitidine as ordered and placed in his med box, and now doesn't know which pill.  The rash has gotten worse each day, is on all of body "except his toe nails", and he laughs. Allergies:  POLYESTER From PA note 1/27/10 after multiple visits to PA and NP plus consult to dermatologist. Ranitidine was ruled out. Zostavax was never ruled as a cause.  This is only coincidence that this submitter felt needed to be reported. "After admission, on approximately 12/26/09, he developed symptoms of pruritis and appearance of pink papular rash which quickly became more confluent. This was first called to attention of this provider on 12/29/09. This was initially thought to be possible atopic reaction to oral ranitidine which was discontinued. Veteran verifies he wears only 100% cotton clothes/underwear due to his allergy to polyester. He had no constitutional symptoms of fever, nausea, vomiting, diarrhea, vital signs remained normal. At one point at least 2 weeks later, he reported "my throat might have been sore for a day or two." He was put on an oral prednisone taper. Over the years, he had had similar episodes of "unexplained rashes" and was even seen in dermatology MD in 2007. No distinct etiology was ever found for his intermittent outbreaks of "red skin and itch". The syndrome was called "erythroderma" by dermatologist. Records were  scanned. In early January, his rash progressed to involve most of his trunk and extremities, neck and lower check. He never had swelling or intra/extraoral involvement. By this time, all of his oral medications except prednisone and doxepin to help pruritis at night had been discontinued. He continued to use hypoallergenic topical moisturizers.  On 1/6/10, the skin overnight become markedly red, taut, shiny, with involvement palms and soles. The rash was entirely confluent up to his lower jaw/earlobes. Above that, he had some pink and peeling skin. At this time, he was sent to Urgent Care where he had lab testing that later revealed elevated ASO titer 380, normal C3 118 and elevated C4 of 54. A throat culture came back negative, there was never a clinical appearance related to strep throat. There was suspicion for  Group A strep colonization/"scalded skin syndrome" causing his skin changes and he was put on a 14 day course of oral penicillin which has been completed at time of discharge. Refer to notes by authors (name removed) PA-C and (name removed), PA-C for additional information. On his skin, there were never any bullae/blisters/fissures. Within several days, profuse peeling of skin began over his entire body, including genitals. He did develop some superficial excoriations on posterior calves from scratching. These were healing well at time of discharge and peeling was almost gone.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Eosinophil percentage, Erythema, Excoriation, Haematocrit normal, Haemoglobin normal
Clinical narrative: S:  Pt is here with chief complaint of rash-present for the past 2 days, this is day # 3, reports it started the next day after starting the ranitidine, he reports he didn't get it right away, and was taking the naproxen without any stomach problems but started the ranitidine as ordered and placed in his med box, and now doesn't know which pill.  The rash has gotten worse each day, is on all of body "except his toe nails", and he laughs. Allergies:  POLYESTER From PA note 1/27/10 after multiple visits to PA and NP plus consult to dermatologist. Ranitidine was ruled out. Zostavax was never ruled as a cause.  This is only coincidence that this submitter felt needed to be reported. "After admission, on approximately 12/26/09, he developed symptoms of pruritis and appearance of pink papular rash which quickly became more confluent. This was first called to attention of this provider on 12/29/09. This was initially thought to be possible atopic reaction to oral ranitidine which was discontinued. Veteran verifies he wears only 100% cotton clothes/underwear due to his allergy to polyester. He had no constitutional symptoms of fever, nausea, vomiting, diarrhea, vital signs remained normal. At one point at least 2 weeks later, he reported "my throat might have been sore for a day or two." He was put on an oral prednisone taper. Over the years, he had had similar episodes of "unexplained rashes" and was even seen in dermatology MD in 2007. No distinct etiology was ever found for his intermittent outbreaks of "red skin and itch". The syndrome was called "erythroderma" by dermatologist. Records were  scanned. In early January, his rash progressed to involve most of his trunk and extremities, neck and lower check. He never had swelling or intra/extraoral involvement. By this time, all of his oral medications except prednisone and doxepin to help pruritis at night had been discontinued. He continued to use hypoallergenic topical moisturizers.  On 1/6/10, the skin overnight become markedly red, taut, shiny, with involvement palms and soles. The rash was entirely confluent up to his lower jaw/earlobes. Above that, he had some pink and peeling skin. At this time, he was sent to Urgent Care where he had lab testing that later revealed elevated ASO titer 380, normal C3 118 and elevated C4 of 54. A throat culture came back negative, there was never a clinical appearance related to strep throat. There was suspicion for  Group A strep colonization/"scalded skin syndrome" causing his skin changes and he was put on a 14 day course of oral penicillin which has been completed at time of discharge. Refer to notes by authors (name removed) PA-C and (name removed), PA-C for additional information. On his skin, there were never any bullae/blisters/fissures. Within several days, profuse peeling of skin began over his entire body, including genitals. He did develop some superficial excoriations on posterior calves from scratching. These were healing well at time of discharge and peeling was almost gone.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Oropharyngeal pain, Pharyngitis streptococcal, Platelet count normal, Pruritus, Rash generalised
Clinical narrative: S:  Pt is here with chief complaint of rash-present for the past 2 days, this is day # 3, reports it started the next day after starting the ranitidine, he reports he didn't get it right away, and was taking the naproxen without any stomach problems but started the ranitidine as ordered and placed in his med box, and now doesn't know which pill.  The rash has gotten worse each day, is on all of body "except his toe nails", and he laughs. Allergies:  POLYESTER From PA note 1/27/10 after multiple visits to PA and NP plus consult to dermatologist. Ranitidine was ruled out. Zostavax was never ruled as a cause.  This is only coincidence that this submitter felt needed to be reported. "After admission, on approximately 12/26/09, he developed symptoms of pruritis and appearance of pink papular rash which quickly became more confluent. This was first called to attention of this provider on 12/29/09. This was initially thought to be possible atopic reaction to oral ranitidine which was discontinued. Veteran verifies he wears only 100% cotton clothes/underwear due to his allergy to polyester. He had no constitutional symptoms of fever, nausea, vomiting, diarrhea, vital signs remained normal. At one point at least 2 weeks later, he reported "my throat might have been sore for a day or two." He was put on an oral prednisone taper. Over the years, he had had similar episodes of "unexplained rashes" and was even seen in dermatology MD in 2007. No distinct etiology was ever found for his intermittent outbreaks of "red skin and itch". The syndrome was called "erythroderma" by dermatologist. Records were  scanned. In early January, his rash progressed to involve most of his trunk and extremities, neck and lower check. He never had swelling or intra/extraoral involvement. By this time, all of his oral medications except prednisone and doxepin to help pruritis at night had been discontinued. He continued to use hypoallergenic topical moisturizers.  On 1/6/10, the skin overnight become markedly red, taut, shiny, with involvement palms and soles. The rash was entirely confluent up to his lower jaw/earlobes. Above that, he had some pink and peeling skin. At this time, he was sent to Urgent Care where he had lab testing that later revealed elevated ASO titer 380, normal C3 118 and elevated C4 of 54. A throat culture came back negative, there was never a clinical appearance related to strep throat. There was suspicion for  Group A strep colonization/"scalded skin syndrome" causing his skin changes and he was put on a 14 day course of oral penicillin which has been completed at time of discharge. Refer to notes by authors (name removed) PA-C and (name removed), PA-C for additional information. On his skin, there were never any bullae/blisters/fissures. Within several days, profuse peeling of skin began over his entire body, including genitals. He did develop some superficial excoriations on posterior calves from scratching. These were healing well at time of discharge and peeling was almost gone.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Staphylococcal scalded skin syndrome, White blood cell count increased
Clinical narrative: S:  Pt is here with chief complaint of rash-present for the past 2 days, this is day # 3, reports it started the next day after starting the ranitidine, he reports he didn't get it right away, and was taking the naproxen without any stomach problems but started the ranitidine as ordered and placed in his med box, and now doesn't know which pill.  The rash has gotten worse each day, is on all of body "except his toe nails", and he laughs. Allergies:  POLYESTER From PA note 1/27/10 after multiple visits to PA and NP plus consult to dermatologist. Ranitidine was ruled out. Zostavax was never ruled as a cause.  This is only coincidence that this submitter felt needed to be reported. "After admission, on approximately 12/26/09, he developed symptoms of pruritis and appearance of pink papular rash which quickly became more confluent. This was first called to attention of this provider on 12/29/09. This was initially thought to be possible atopic reaction to oral ranitidine which was discontinued. Veteran verifies he wears only 100% cotton clothes/underwear due to his allergy to polyester. He had no constitutional symptoms of fever, nausea, vomiting, diarrhea, vital signs remained normal. At one point at least 2 weeks later, he reported "my throat might have been sore for a day or two." He was put on an oral prednisone taper. Over the years, he had had similar episodes of "unexplained rashes" and was even seen in dermatology MD in 2007. No distinct etiology was ever found for his intermittent outbreaks of "red skin and itch". The syndrome was called "erythroderma" by dermatologist. Records were  scanned. In early January, his rash progressed to involve most of his trunk and extremities, neck and lower check. He never had swelling or intra/extraoral involvement. By this time, all of his oral medications except prednisone and doxepin to help pruritis at night had been discontinued. He continued to use hypoallergenic topical moisturizers.  On 1/6/10, the skin overnight become markedly red, taut, shiny, with involvement palms and soles. The rash was entirely confluent up to his lower jaw/earlobes. Above that, he had some pink and peeling skin. At this time, he was sent to Urgent Care where he had lab testing that later revealed elevated ASO titer 380, normal C3 118 and elevated C4 of 54. A throat culture came back negative, there was never a clinical appearance related to strep throat. There was suspicion for  Group A strep colonization/"scalded skin syndrome" causing his skin changes and he was put on a 14 day course of oral penicillin which has been completed at time of discharge. Refer to notes by authors (name removed) PA-C and (name removed), PA-C for additional information. On his skin, there were never any bullae/blisters/fissures. Within several days, profuse peeling of skin began over his entire body, including genitals. He did develop some superficial excoriations on posterior calves from scratching. These were healing well at time of discharge and peeling was almost gone.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Convulsion, Pallor, Unresponsive to stimuli
Clinical narrative: pt given 4 vaccine shots on 1/29/2010, after last vaccine hpv pt. became very pale unresponsive with petit mild seizure, applied cold compresses to face neck and forehead, at which time pt responded, was alert and was given sips of ginger ale, then she was allowed to lie down on exam table for 20-30 minutes, was later discharge home with father.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Headache, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: L hand tingling and numbness. URI symptoms. 2PM developed L abd pain radiating to hand. In AM, numbness/tingling L hand and L headache. Seen in ER.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Upper respiratory tract infection
Clinical narrative: L hand tingling and numbness. URI symptoms. 2PM developed L abd pain radiating to hand. In AM, numbness/tingling L hand and L headache. Seen in ER.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Chills, Fatigue, Inappropriate schedule of drug administration, Injected limb mobility decreased, Mobility decreased
Clinical narrative: Extreme soreness in arm.  Painful to even move it. Fever of 99 degrees lasting 2 days.  achiness, chills, tiredness.  Still can't move arm, and it is two days later.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Extreme soreness in arm.  Painful to even move it. Fever of 99 degrees lasting 2 days.  achiness, chills, tiredness.  Still can't move arm, and it is two days later.
Age: 41.0
Sex: M
Vaccine: HIBV, MNQ, PPV, TD
Symptoms: Headache, Inappropriate schedule of drug administration, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Fever, body aches all over, Swelling at injection sites, sick feeling for 3 days, headache that advil won't help.  Injection sites hurt a lot.  Won't go away.  Can't sleep very well.
Age: 41.0
Sex: M
Vaccine: HIBV, MNQ, PPV, TD
Symptoms: Pain, Pyrexia, Sleep disorder
Clinical narrative: Fever, body aches all over, Swelling at injection sites, sick feeling for 3 days, headache that advil won't help.  Injection sites hurt a lot.  Won't go away.  Can't sleep very well.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLU3, MMR
Symptoms: Fatigue, Pyrexia
Clinical narrative: He developed a fever of 104.9 the evening following the vaccine, even with receiving children Tylenol and ibuprofen (alternating between the 2) every 4 hours.  Mom contacted the local emergency room department and was instructed to monitor and continue the Tylenol and Ibuprofen and bring him to the emergency room with a fever of 107 degrees.  His temp never went any higher and mom continued the Tylenol and ibuprofen.  The next day his temp was lower at 102 degrees.  He continued to run a fever the next day.  He was feeling better by 10/31/2009, but still very tired.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Injection site haematoma, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: 6"x4" rash at vaccination site w/ itching and sore like a bruise.  Today 2/26/2010-rash still there, still sore/hurt like bruise, but now 3'x2", so it's getting smaller.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: VOMITING LOTS OF MUCUS AND DIARRHEA
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, RVX
Symptoms: Blood culture negative, Convulsion, Culture urine negative, Electroencephalogram normal, Lumbar puncture normal
Clinical narrative: Seizure of appx 2 minutes. Went to ER where she had blood culture, blood tests, spinal tap, cath urine. All negative.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, RVX
Symptoms: Neurological examination normal
Clinical narrative: Seizure of appx 2 minutes. Went to ER where she had blood culture, blood tests, spinal tap, cath urine. All negative.
Age: 25.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: High fever, myalgia in both arms and legs, headaches
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Blood alkaline phosphatase increased, Blood culture negative, Blood sodium decreased, Computerised tomogram abnormal, Computerised tomogram head
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Culture urine negative, Feeding disorder of infancy or early childhood, Hypokinesia, Lumbar puncture normal, Skin warm
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Staring, Tremor
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Basophil percentage increased, CSF culture negative, CSF glucose increased, CSF protein decreased, CSF white blood cell count negative
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Dyskinesia, Electroencephalogram normal, Encephalopathy, Gram stain, Granulocyte percentage
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Haematocrit normal, Haemoglobin normal, Hypertonia, Listless, Lymphocyte percentage
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: Platelet count increased, Pyrexia, Red blood cells CSF positive, Staring, Unresponsive to stimuli
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 0.65
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPHEPBIP, PNC, RV5
Symptoms: White blood cell count increased
Clinical narrative: Pt noted to be febrile, listless, staring into space and non responsive, with occasional jerks of upper and lower extremities when stimulated. Pt found in ER to by hypertonic and encephalopathic.
Age: 1.02
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella vaccine given 02/16/10. On 02/27/10 dev rash starting on neck & spreading to trunk, UE/LE, scalp, face. Appearance & pattern consistent with varicella.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Dyspnoea, Ear discomfort
Clinical narrative: Pt felt pressure behind ears. Pt felt trouble taking deep breaths. Pt blood pressure was elevated. EMS called and patient treated. Taken to ER.
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Heart rate increased, Hypokalaemia, Hypotension, Nausea
Clinical narrative: Nausea, dizziness, vasovagal syncope (fainting), vomiting
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Syncope, Vomiting
Clinical narrative: Nausea, dizziness, vasovagal syncope (fainting), vomiting
Age: 1.92
Sex: M
Vaccine: DTAP, PPV
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Vomiting
Clinical narrative: Vomited two times, fever.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Blood pressure decreased, Dehydration, Dizziness, Nausea
Clinical narrative: I was ouside on the flight line working on a jet and began to feel light headed and nauseated around 8:40 AM.  I told someone I thought I was having a reaction to the Anthrax vaccine shot I received earlier that morning.  They told me to get in the truck we had with us and he took me to the base clinic where I was helped out of the truck into the clinic.  Once in the clinic they removed my coat and shirt and had me lay down on an exam table. This was around 8:50 AM.  They took my blood pressure and said it was well below my baseline and after I had been there for almost an hour they said it had still not come back up.  The clinic personnel then called an off base ambulance and I was taken to hospital.  While in the ambulance they plugged an IV into me to rehydrate me.  While at the hospital they waited until the entire IV had gone into me and then they took my blood pressure laying, sitting and then standing.  My blood pressure was normal in all three positions, so they discharged me at around 11:00 AM.  The Doctor at the hospital told me not to take the vaccine again since it seems that I have developed an allergic reaction to it.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Crying, Injection site erythema, Injection site pain, Injection site streaking, Injection site swelling
Clinical narrative: Patient's leg (where shot was administered) doubled in size (for two weeks), the injection site was red, about 3" in diameter along with pink streaks radiating outward, large amounts of pain (causing the child to cry consistently), fever. Called the Clinic and talked to their on-call nurse since after hours (around 8pm). She said to give the child Motrin and we only needed to take her to the ER if she developed breathing issues; there was nothing that they could do and the swelling should dissipate in 2-3 days.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pyrexia
Clinical narrative: Patient's leg (where shot was administered) doubled in size (for two weeks), the injection site was red, about 3" in diameter along with pink streaks radiating outward, large amounts of pain (causing the child to cry consistently), fever. Called the Clinic and talked to their on-call nurse since after hours (around 8pm). She said to give the child Motrin and we only needed to take her to the ER if she developed breathing issues; there was nothing that they could do and the swelling should dissipate in 2-3 days.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Dizziness, Headache, Nausea
Clinical narrative: pt felt dizzy and nauseous and had headache and diarrhea the morning following vaccine administration
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Antinuclear antibody, Asthenia, Borrelia burgdorferi serology, Electrophoresis protein, Full blood count
Clinical narrative: neuritis symptoms of upper and lower extremities starting distally in the feet and hands moving to above the elbows and knees and lower face over several weeks. Weakness of hands. Intermittent weakness of legs. Current treatment: Lyrica to relieve dysesthesia. Symptoms ongoing.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hepatitis B, Hepatitis C, Laboratory test, Lumbar puncture, Muscular weakness
Clinical narrative: neuritis symptoms of upper and lower extremities starting distally in the feet and hands moving to above the elbows and knees and lower face over several weeks. Weakness of hands. Intermittent weakness of legs. Current treatment: Lyrica to relieve dysesthesia. Symptoms ongoing.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nerve conduction studies, Neuritis, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Red blood cell sedimentation rate
Clinical narrative: neuritis symptoms of upper and lower extremities starting distally in the feet and hands moving to above the elbows and knees and lower face over several weeks. Weakness of hands. Intermittent weakness of legs. Current treatment: Lyrica to relieve dysesthesia. Symptoms ongoing.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Somatosensory evoked potentials, Vitamin B12
Clinical narrative: neuritis symptoms of upper and lower extremities starting distally in the feet and hands moving to above the elbows and knees and lower face over several weeks. Weakness of hands. Intermittent weakness of legs. Current treatment: Lyrica to relieve dysesthesia. Symptoms ongoing.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Neuralgia, Pruritus
Clinical narrative: Had pox, 8-9, nerves on top of back hurt and then itched.  Looked like chicken pox, went to Doctor and she confirmed it was Shingles.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt had ZOSTAVAX vaccine about 9:30 P.M. Tuesday, 2-23-2010 with her husband. On Thursday morning she said injection site was red "warm" and swollen. She went to a doctor and she was treated. Friday all symptoms were gone.  Doctor thought it was a "fluke."
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Feeling cold, Pain, Wheezing
Clinical narrative: Pt reports 2 days of cough, wheezing, "freezing", general achiness. No fever reported.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt's arm was swollen from shoulder to elbow, red, hot, generalized swelling. Pt felt feverish. Pt iced area and swelling went down & didn't spread. The next day pt said it was better.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injection site pain, Injection site vesicles, Periarthritis, Scab
Clinical narrative: shoulder sore at injection site (frozen shoulder).  Also, developed a blister at injection site, scab slow to heal.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Headache, Injection site discomfort, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: The site of administration of the tetanus (we unsure if TD or Tdap) was on the back/bottom of the arm (normal SQ administration). Night of administration the injection site was sore, red and hard, pt also reported having fever and headaches which continue. The next morning the red area around injection site was considerably larger, warm and painful on movement. Doctor was notified and stated that the patient is probably having a reaction to the vaccine itself. Pictures of site was taken that shows the injection site on the posterior aspect of arm and length/width of redness/swelling. Friday evening the red site was larger and surpassed the markings made from the evening before. Saturday evening, redness and swelling has progressed to majority of upper arm with significant pain. He has been taking ibuprofen and Benadryl to alleviate some of the discomfort. Plan is when he returns Mon. night he will be going back to the doctor's office for intervention on Tuesday.