chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Gram stain positive, HIV test negative, Herpes simplex serology negative, Herpes virus infection, Human herpes virus 6 serology negative
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Human rhinovirus test positive, Immunoglobulin therapy, Influenza B virus test, Influenza virus test negative, Intensive care
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Jaundice, Klebsiella infection, Klebsiella test positive, Legionella test, Lipids
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Lumbar puncture abnormal, Lymphocyte stimulation test, Measles antibody negative, Mumps antibody test, Muscular weakness
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Mycoplasma test, Natural killer cell count, Nervous system disorder, Neurological decompensation, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Nuclear magnetic resonance imaging spinal abnormal, Organic acid analysis, Parasite stool test negative, Polymerase chain reaction, Pseudomonas infection
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Rash papular, Rhinovirus infection, Rubella antibody test, Scab, Serum ferritin increased
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Stool analysis normal, T-lymphocyte count decreased, Thyroxine decreased, Transfusion, Tuberculin test negative
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Urine analysis normal, Varicella virus test positive, Viral test negative, Vitamin B12, Warm type haemolytic anaemia
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: White matter lesion
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Biopsy skin abnormal, CSF culture positive, CSF test abnormal, Continuous positive airway pressure, Endotracheal intubation
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Haemolytic anaemia, Mumps, Nervous system disorder, Nuclear magnetic resonance imaging brain abnormal, Rubella
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL, MMR, VARCEL
Symptoms: Transfusion, Varicella post vaccine, Varicella virus test positive
Clinical narrative: Patient presented to urgent care on 8/1/13 with 2 day history of diarrhea, possible fever, decreased energy, and jaundice.  She also developed a disseminated flesh colored papular rash which would rapidly scab over. She was found to be profoundly anemic to 5.4 and was admitted to hospital. She required nearly daily transfusions due to new onset warm Ab hemolytic anemia which only improved slightly with a burst of high dose steroids as well as two treatments with IVIG.  She also developed three other rashes during this hospital course.  She had a massive diagnostic workup at Hospital, and had a skin biopsy of a lesion that appeared to be consistent with a herpes virus infection but was negative for HSV1 or HSV2.  She was treated with IV acyclovir at meningitic dosing for 14 days. She also developed worsening encephalopathy with decreased ability to clear her own secretions.  It was determined that she was deteriorating clinically and required further diagnostic workup at a tertiary care center.  She was transferred to another hospital on 9/4/13. She was admitted to the PICU due to worsening neurologic status and has required prolonged intubation due to concern for neuromuscular weakness. LP on admission and subsequent skin lesion sample was positive for VZV DNA by PCR, and MRI brain and neck has shown diffuse cerebral atrophy and hyperintensity of basal ganglia, medulla, and cervical spine.  She was treated with a burst of high dose steroids and 3 back-to-back doses of IVIG with improvement in her transfusion requirements. She was also treated with acyclovir and subsequently foscarnet with improvement in symptoms.  Of note, she has had multiple infections during her hospital courses including rhinovirus, adenovirus, Pseudomonas, Ambiotrophia, and Klebsiella.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Urticaria
Clinical narrative: Generalized urticaria.  No cardiac/pulmonary symptoms.
Age: 43.0
Sex: M
Vaccine: TTOX
Symptoms: Loss of consciousness, Vomiting
Clinical narrative: 09/18/2013 Dnr passed out just after injecting Tetanus vaccine, but before retracting needle. Dnr was sitting on exam table with back against wall and didn't fall. Aministrator of vaccine was abe to support dnr and withdraw needle. Dnr was helped to lying down position on his back. He came to within about 10 seconds. Vital signs were taken, legs were elevated, and oral water was administered. After lying down approximately 30 minutes he sat up, vomited, and stated he felt much better and his VS returned to a  normal level after having been in the low range.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Increased upper airway secretion, Productive cough
Clinical narrative: Cough and shortness of breath.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Pain, Pruritus, Skin warm
Clinical narrative: Red swollen and hot and sensitive.  Itch and burns.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Red swollen and hot and sensitive.  Itch and burns.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Nausea, Pain, Vomiting
Clinical narrative: Severe fatigue, body aches, followed by nausea and vomiting.
Age: 1.65
Sex: M
Vaccine: FLUX
Symptoms: Muscle spasms, Retching, Vomiting projectile
Clinical narrative: Projectile vomiting.  Continued to dry-heave after emptying stomach contents.  Continued to dry-heave/have muscle spasms every 10 minutes for the following 30 minutes.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Arthralgia, Gait disturbance, Mobility decreased, Nausea, Pain in extremity
Clinical narrative: Arm extremely sore, could not lift it, next day at school became nauseated, picked up early, came home and went to sleep for remainder of the day and complained of stabbing pain in right hip, limping to get around.
Age: 21.0
Sex: M
Vaccine: RAB
Symptoms: Headache
Clinical narrative: Complains of headache after vaccine series.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Rash erythematous, Swelling
Clinical narrative: Swelling, red rash. Pt reported symptoms to me today, 9/18/13, stating that the site was not painful or hot, just red and itchy, and that the symptoms had improved since the reaction started on 9/13/13.
Age: 67.0
Sex: M
Vaccine: DTAP, PPV, VARZOS, PPV, TDAP, VARZOS
Symptoms: Muscle strain, Pain, Rash
Clinical narrative: T12 dermatomal, painful rash, Right sided, 1 week after vaccination Acyclovir, lidocaine gel, Norco 5-325 mg, (Baclofen for back strain).
Age: 67.0
Sex: M
Vaccine: DTAP, PPV, VARZOS, PPV, TDAP, VARZOS
Symptoms: Pain, Rash
Clinical narrative: T12 dermatomal, painful rash, Right sided, 1 week after vaccination Acyclovir, lidocaine gel, Norco 5-325 mg, (Baclofen for back strain).
Age: 57.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure increased, Flushing, Injection site erythema, Injection site pain, Lacrimation increased
Clinical narrative: Area around injection site red and tender. Pt started flushing and feeling unwell. Eye watering and face swelling. BP 200/100 and pt sought medical help at emergency room around 3 pm.
Age: 57.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Malaise, Swelling face
Clinical narrative: Area around injection site red and tender. Pt started flushing and feeling unwell. Eye watering and face swelling. BP 200/100 and pt sought medical help at emergency room around 3 pm.
Age: 57.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Anaphylactic reaction, Dyspnoea
Clinical narrative: Area around injection site red and tender. Pt started flushing and feeling unwell. Eye watering and face swelling. BP 200/100 and pt sought medical help at emergency room around 3 pm.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site nodule, Injection site warmth
Clinical narrative: INJECTION SITE WAS HOT TO TOUCH WITH GOLFBALL SIZE KNOT AT SITE.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea
Clinical narrative: Watery discharge from anus for 1 full day and 2 half days (still ongoing);(reacts similarly to stress, but claims she was not stressed and this corresponded w/ flu shot); drank fluids (tea, flat coke).
Sex: U
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: This spontaneous report as received from a consumer concerning her daughter's cousin of unknown age and gender. On unspecified date, the patient was vaccinated with M-M-R II dose 1 (lot #, route and dose not reported). The reporter informed that her daughter's cousin had a seizure "days after" receiving M-M-R II at an unspecified time. At time of reporting, the patient's outcome of seizure was unknown. Upon internal review convulsion was considered to be medically significant. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Contusion
Clinical narrative: Per pt's daughter, patient developed bruises on the day of receiving vaccines. However, patient does not feel any pain. Bruises were shown on (R) arm.
Age: 1.28
Sex: F
Vaccine: DTAP, FLU3, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling on left thigh noted today 9/17 and treated with cephalexin 125 mg/5 ml take 1 tsp 3 times a day and prednisone 15 mg/5 ml oral syrup take 3 times daily for five days.
Age: 71.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Local swelling, Pain in extremity
Clinical narrative: Within 6 days or less arm painful, swollen, spreading erythema developed cellulitis.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Post vaccination pt, developed severe hyperemia swelling and pain wh/progressed from the injection site to involve the entire upper (L) arm pt self medicated and the situation resolved over several wks. Pt reported  this on 9/17/13.
Age: 12.0
Sex: F
Vaccine: FLU4, FLUN4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was accidentally given LAIV4 and IIV4 same day. No adverse reactions per Mom (9-18/13 at 4:55 pm).
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth, Staphylococcal infection
Clinical narrative: Pt called 9-16-13 stating his arm was swollen down to elbow and felt feverish. Told pt to go to doctor. He was diagnosed w/ staph infection.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Cold sweat, Headache, Pain, Pollakiuria, Urine abnormality
Clinical narrative: Extreme Pain-Vomiting; Cold Sweat, 12 hours; Urination every 30 min-Dark, Cloudy, Heavy Odor; Headache, 24 hours
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Urine odour abnormal, Vomiting
Clinical narrative: Extreme Pain-Vomiting; Cold Sweat, 12 hours; Urination every 30 min-Dark, Cloudy, Heavy Odor; Headache, 24 hours
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Diarrhoea, Fatigue
Clinical narrative: GI upset, fatigue, diarrhea 9/17-9/18.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Agitation, Anaphylactic reaction, Condition aggravated, Eczema, Hypersensitivity
Clinical narrative: This case was reported by a consumer (the subject's mother) and described the occurrence of allergic reaction in a 5-year-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included eczema. Concurrent medications included Vitamin. On 26 August 2013 at 14:00 the subject received unspecified dose of INFANRIX (details unknown). On 27 August 2013 (in the morning), 1 day after vaccination with INFANRIX, the subject experienced allergic reaction. The consumer reported that the subject's eczema "normally flares up when he has a vaccine but not to the point it did this time". It was not specified whether the allergic reaction corresponded to the eczema flare up, or if other events had occurred. The consumer reported that a healthcare provider was consulted regarding the events. At the time of reporting, the allergic reaction was improved and the outcome of the eczema flare up was unspecified. Follow up was received on 29 August 2013. The case has been upgraded to serious. On follow up, the mother reported that the subject was "severely allergic to bovine casein." The mother reported that the subject "recently had an injection of INFANRIX" and reported anaphylactic reactions "to it". The mother reported "it to her physician but was not satisfied with his response." A physician or other health care professional has not verified this report. Additional information was received on 29 August 2013 from the mother. The mother stated that 1 day after vaccination with INFANRIX, the subject experienced anaphylactic reaction, hives, "hive-like itching", swollen (described as "swollenness"), swollen mouth, swollen throat, hyperactive (described as "became very hyper"), and feeling hyper (agitated) (described as "very 'hyper' and or agitated"). The outcome of all events were unknown. A physician or other health care professional has not verified this report.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema mouth, Pharyngeal oedema, Pruritus, Psychomotor hyperactivity, Swelling
Clinical narrative: This case was reported by a consumer (the subject's mother) and described the occurrence of allergic reaction in a 5-year-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included eczema. Concurrent medications included Vitamin. On 26 August 2013 at 14:00 the subject received unspecified dose of INFANRIX (details unknown). On 27 August 2013 (in the morning), 1 day after vaccination with INFANRIX, the subject experienced allergic reaction. The consumer reported that the subject's eczema "normally flares up when he has a vaccine but not to the point it did this time". It was not specified whether the allergic reaction corresponded to the eczema flare up, or if other events had occurred. The consumer reported that a healthcare provider was consulted regarding the events. At the time of reporting, the allergic reaction was improved and the outcome of the eczema flare up was unspecified. Follow up was received on 29 August 2013. The case has been upgraded to serious. On follow up, the mother reported that the subject was "severely allergic to bovine casein." The mother reported that the subject "recently had an injection of INFANRIX" and reported anaphylactic reactions "to it". The mother reported "it to her physician but was not satisfied with his response." A physician or other health care professional has not verified this report. Additional information was received on 29 August 2013 from the mother. The mother stated that 1 day after vaccination with INFANRIX, the subject experienced anaphylactic reaction, hives, "hive-like itching", swollen (described as "swollenness"), swollen mouth, swollen throat, hyperactive (described as "became very hyper"), and feeling hyper (agitated) (described as "very 'hyper' and or agitated"). The outcome of all events were unknown. A physician or other health care professional has not verified this report.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: This case was reported by a consumer (the subject's mother) and described the occurrence of allergic reaction in a 5-year-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included eczema. Concurrent medications included Vitamin. On 26 August 2013 at 14:00 the subject received unspecified dose of INFANRIX (details unknown). On 27 August 2013 (in the morning), 1 day after vaccination with INFANRIX, the subject experienced allergic reaction. The consumer reported that the subject's eczema "normally flares up when he has a vaccine but not to the point it did this time". It was not specified whether the allergic reaction corresponded to the eczema flare up, or if other events had occurred. The consumer reported that a healthcare provider was consulted regarding the events. At the time of reporting, the allergic reaction was improved and the outcome of the eczema flare up was unspecified. Follow up was received on 29 August 2013. The case has been upgraded to serious. On follow up, the mother reported that the subject was "severely allergic to bovine casein." The mother reported that the subject "recently had an injection of INFANRIX" and reported anaphylactic reactions "to it". The mother reported "it to her physician but was not satisfied with his response." A physician or other health care professional has not verified this report. Additional information was received on 29 August 2013 from the mother. The mother stated that 1 day after vaccination with INFANRIX, the subject experienced anaphylactic reaction, hives, "hive-like itching", swollen (described as "swollenness"), swollen mouth, swollen throat, hyperactive (described as "became very hyper"), and feeling hyper (agitated) (described as "very 'hyper' and or agitated"). The outcome of all events were unknown. A physician or other health care professional has not verified this report.
Sex: F
Vaccine: FLU4, UNK
Symptoms: Coeliac disease
Clinical narrative: This case was reported by a consumer (subject) and described the occurrence of celiac symptoms nos in an adult female subject who was vaccinated with FLUARIX (GlaxoSmithKline), unspecified vaccine. A physician or other health care professional has not verified this report. On 12 September 2013 the subject received a dose of FLUARIX (unknown details), unspecified dose of vaccine (unknown details). On 13 September 2013, 1 day after vaccination with FLUARIX and vaccine (unspecified), the subject experienced celiac symptoms nos (described as a "celiac attack"). The subject stated that the "celiac attack" onset "24 hours after vaccination." The subject refused to provide details regarding her experience as she "was not sure" if her "celiac attack was related to the FLUARIX vaccination or another vaccine she received on the same day." No further details were provided. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: This spontaneous report as received from a physician refers to a 18 month old male patient with none medical history and drug allergies. On 06-MAR-2013, the patient was vaccinated with a dose of VARIVAX (Merck) lot # H016911, expired date 01-SEP-2014, 5 ml, subcutaneous for recommended immunization (dose unspecified). Concomitant medication was reported as none. On 06-SEP-2013, the patient developed an unspecified rash. On 09-SEP-2013, 185 days after onset of therapy, the patient was seen by the physician and was diagnosed by the physician with shingles. Lab diagnostic studies were not performed. The physician prescribed the patient ZOVIRAX for the shingles.  The outcome of unspecified rash and shingles was reported as not recovered. The causality between VARIVAX (Merck) and the events was not reported. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: This spontaneous report as received from a registered pharmacist refers to a 60 year old female patient with no pertinent medical history and no drug reactions or allergies. On 13-SEP-2013, the patient was vaccinated with a 0.65 ml dose of ZOSTAVAX (Lot # J001698 expiration date 08-MAY-2014) subcutaneously. Concomitant therapies included unspecified "beta blocker". The pharmacist reported that the patient's husband reported to him that on an unknown date, the patient experienced a red, itchy area at the injection site. At the time of the report, the patient had not recovered. This is one of several reports received from the same source. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Back pain, Dyspnoea, Erythema, Feeling abnormal, Local swelling
Clinical narrative: Red spot on arm warm to touch lump on neck, back pain, fatigue, short of breath, limbs felt achy, heavy. 1 to 2 hours after shot started feeling poorly, aches and neck swelling.
Age: 54.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Mass, Pain, Pain in extremity, Sensation of heaviness, Skin warm
Clinical narrative: Red spot on arm warm to touch lump on neck, back pain, fatigue, short of breath, limbs felt achy, heavy. 1 to 2 hours after shot started feeling poorly, aches and neck swelling.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Rash erythematous, Rash pruritic
Clinical narrative: This spontaneous report as received from a 61 year old female consumer (reporting on herself) with allergy to penicillin and mites allergy, had epipen. The patient's medical history included vein ligation 20 years ago (??-??-1993) and hysterectomy. On an unknown date, the patient was vaccinated with a dose of ZOSTAVAX (Lot # not reported) (0.5ml dose, route not reported). Concomitant therapy included omega-3 marine triglycerides, unspecified multivitamins and CALCICHEW. On 04-SEP-2013, she broke out in a very itchy red rash on the left side in the middle of her scapula. She stated it has little bumps but has not blistered. The size is about 2x2 and round. She also advised that the injection site was red about the size of a silver dollar and itchy as well. She went back to see her doctor on 07-SEP-2012. Her doctor advised her that about 1 percent of the people injected get shingles after being injected. The patient felt her immune system was not compromised. She advised that she saw what dosage was given to her which was 0.5 and that she had read the normal dosage was 0.675 to 0.7 and wanted to confirm dosage. She did not provide name of nurse that injected her and did not have any further information on address. The patient sought medical attention and she was advised to use over the counter hydrocortisone as well as taking over the counter BENADRYL at night. The patient's outcome was unknown. Additional information has been requested.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report as received from a registered nurse refers to an 83 year old female patient. The patient's medical history included "vasectomy". On 11-DEC-2012, the patient was vaccinated with a 0.65 ml dose of ZOSTAVAX (route and lot # not reported). The nurse reported that on 19-DEC-2012, the patient was diagnosed with shingles. The patient was seen in the physician's office for treatment on three separate occasions after 19-DEC-2012, the patient was diagnosed with shingles. The patient was seen in the physician's office for treatment on three separate occasions after 19-DEC-2012. The nurse described that the shingles outbreak was on the trunk area of the patient's body. The nurse explained that the physician believed the outbreak to be the result of a change in the brand of the undergarment the patient used (brand unspecified). The nurse stated that the patient suffered no long term effects after "about three months" after she was diagnosed with shingles. The patient was treated with unspecified pain medication. There were no Lab diagnosis or studies performed. The outcome of shingles was unknown. Additional information has been requested.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: This spontaneous report as received from a consumer refers to a 80 year old female patient. No medical history or current conditions were reported. On an unknown date the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) (dosing information and route not reported) (lot # and exp date not reported). No concomitant medications were reported. On an unknown date, after vaccination the patient thought she was going to die from it. The outcome and action taken of adverse event was unknown. This is one of several reports from the same source. Additional information is not expected.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain upper, Decreased appetite, Insomnia, Malaise
Clinical narrative: This spontaneous report as received from a physician and the patient's mother concerning a 3 year old female patient with delayed reactions and above average immune levels. The patient's medical history included unspecific reaction to PENTACYL. On 11-SEP-2013, the patient was vaccinated with M-M-R II dose 1 (dose route and lot number not reported). The physician stated that the patient was fine the day the MMR II was administered however within the next 24 hours. The patient's mother, reported that on 12-SEP-2013, her daughter experienced insomnia, as well as a stomachache (belly ache). The caller stated that her daughter generally sleeps 9-10 hours a night; however, after the M-M-R II dose, the child "wasn't hungry" and slept less than 7 hours that night. The mother stated that her daughter said that she "doesn't feel tired" and slept only short periods in the past 48 hours. The patient's mother informed that she herself has had reactions to drugs: drugs have "almost killed" her, and when she was in childbirth she was given PITOCIN and suffered hallucinations. As well, caller mentioned that her father died (unspecific death) after being on unspecified drugs. ON 12-SEP-2013 2 days after onset of therapy the patient experienced insomnia, the patient was generally "not feeling well" the child "wasn't hungry" and stomach ache. The outcome of insomnia, the patient was generally "not feeling well", and child "wasn't hungry" and stomachache was reported as not recovered/not resolved. ON 13-SEP-2013, the physician called in regard to the adverse event filed by the mother of the patient. The mother of the patient also stated that the patient was generally "not feeling well" since receiving M-M-R II dose 1. All time of reporting the patient had not recovered. This is one of several reports from the same source. No further information is available.