chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Dizziness, Dyspnoea, Eye discharge, Feeling hot
Clinical narrative: Initial report was received from a consumer on 25 September 2009, who is also the patient. A 41-year-old female patient with no concurrent illness or past medical history who had been taking TOPAMAX concomitantly, had received an injection (route not reported) of FLUZONE SV 2009-2010, lot number U3205CA on 24 September 2009, and 4 hours later, she complained of difficulty breathing, itchy throat, mouth and tongue, lips burning, mucous discharge from both eyes, eyes reddened, muscle aches/ pain, dizziness, nausea and feeling feverish. The patient self medicated with ADVIL and 2-3 doses of BENADRYL until she went to bed. The next day, all symptoms were resolved except for a "feeling of tingling skin all over". The patient had not been evaluated by their health care provider and at the time of the report, they had not recovered. Documents held by sender: None.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Ocular hyperaemia, Oral pruritus, Paraesthesia
Clinical narrative: Initial report was received from a consumer on 25 September 2009, who is also the patient. A 41-year-old female patient with no concurrent illness or past medical history who had been taking TOPAMAX concomitantly, had received an injection (route not reported) of FLUZONE SV 2009-2010, lot number U3205CA on 24 September 2009, and 4 hours later, she complained of difficulty breathing, itchy throat, mouth and tongue, lips burning, mucous discharge from both eyes, eyes reddened, muscle aches/ pain, dizziness, nausea and feeling feverish. The patient self medicated with ADVIL and 2-3 doses of BENADRYL until she went to bed. The next day, all symptoms were resolved except for a "feeling of tingling skin all over". The patient had not been evaluated by their health care provider and at the time of the report, they had not recovered. Documents held by sender: None.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Initial report was received from a consumer on 25 September 2009, who is also the patient. A 41-year-old female patient with no concurrent illness or past medical history who had been taking TOPAMAX concomitantly, had received an injection (route not reported) of FLUZONE SV 2009-2010, lot number U3205CA on 24 September 2009, and 4 hours later, she complained of difficulty breathing, itchy throat, mouth and tongue, lips burning, mucous discharge from both eyes, eyes reddened, muscle aches/ pain, dizziness, nausea and feeling feverish. The patient self medicated with ADVIL and 2-3 doses of BENADRYL until she went to bed. The next day, all symptoms were resolved except for a "feeling of tingling skin all over". The patient had not been evaluated by their health care provider and at the time of the report, they had not recovered. Documents held by sender: None.
Sex: U
Vaccine: FLU3
Symptoms: Ear pain, Gastrointestinal disorder, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Initial report received from a health care professional on 24 September 2009. This patient is part of a cluster of 10 unidentified patients. The other nine patients experienced non-serious events and have been captured in case number 2009-04085. An unidentified patient had received an intramuscular left deltoid injection of FLUZONE SV 2009-2010, lot number U3194AA on 22 September 2009 and within 24 to 48 hours (also reported as 23 September 2009), they developed a swollen throat which required an emergency room visit. Additional symptoms may have included a scratchy throat, headache, general malaise, ear pain, GI symptoms and a red itchy injection site. According to the reporter, the patient had not recovered from the event. No additional information was provided. The reporter for this case is the same as for case 2009-04085. Documents held by sender: None.
Sex: U
Vaccine: FLU3
Symptoms: Malaise, Pharyngeal oedema, Throat irritation
Clinical narrative: Initial report received from a health care professional on 24 September 2009. This patient is part of a cluster of 10 unidentified patients. The other nine patients experienced non-serious events and have been captured in case number 2009-04085. An unidentified patient had received an intramuscular left deltoid injection of FLUZONE SV 2009-2010, lot number U3194AA on 22 September 2009 and within 24 to 48 hours (also reported as 23 September 2009), they developed a swollen throat which required an emergency room visit. Additional symptoms may have included a scratchy throat, headache, general malaise, ear pain, GI symptoms and a red itchy injection site. According to the reporter, the patient had not recovered from the event. No additional information was provided. The reporter for this case is the same as for case 2009-04085. Documents held by sender: None.
Age: 67.0
Sex: U
Vaccine: FLU3
Symptoms: Acute coronary syndrome
Clinical narrative: Initial case received from a pharmacist on 25 September 2009. A 67-year-old patient, with no reported history, presented to the hospital with "acute coronary" and possible autoimmune hemolytic anemia six days after receiving FLUZONE SV (lot not reported) on 12 September 2009. The patient presented to the emergency department on 18 September 2009 with acute coronary, and at the time of the report was being assessed for autoimmune hemolytic anemia. The reporter did not provide any additional information.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Convulsion
Clinical narrative: Initial report was received from a health care professional on 28 September 2009. An 18-year-old female patient had received an injection of MENACTRA (lot number, route and site of administration not reported) and an injection of Hepatitis A vaccine (manufacturer, lot number, route and site of administration not reported) on 18 September 2009 and six hours later, she experienced a seizure. The patient had no past history of seizures. The patient's recovery status was not reported and no additional information was provided at the time of the report. Documents held by sender: None.
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: Initial report received on 24 September 2009 from a health care professional. This case pertains to one of a cluster of three patients involving misuse. The same reporter provided information regarding three patients who had been exposed to an investigational product involving a clinical trial sponsored by Sanofi Pasteur (reference number FIM07), but who were not enrolled in the study. All three patients had received investigational product instead of a marketed influenza vaccine. Information regarding the other two patients is reported in cases 2009-04114 and 2009-04113. A pregnant female patient, had received a dose of investigational product INFLUENZA VIRUS VACC USP TRIVAL A&B HIGH DOSE, SUBVIRION-U on an unspecified date. No other information was reported. It was not reported whether the patient has experienced any adverse events after being vaccinated. Documents held by sender: None.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Laboratory test normal, Ultrasound scan normal, Wrong drug administered
Clinical narrative: Initial report received on 24 September 2009 from a health care professional. This case pertains to one of a cluster of three patients involving misuse. The same reporter provided information regarding three patients who had been exposed to an investigational product involving a clinical trial sponsored by Sanofi Pasteur (reference number FIM07), but who were not enrolled in the study. All three patient's received investigational product instead of marketed influenza vaccine. Information regarding the other two patients is reported in cases 2009-04114 and 2009-04157. A healthy 25-year-old pregnant female , had received a first intramuscular right deltoid injection of investigational product INFLUENZA VIRUS VACC USP TRIVAL A&B HIGH DOSE, SUBVIRION-U, (lot number UD12307) on 23 September 2009. Obstetrical history included one prior pregnancy that resulted in one live birth with no congenital anomalies. The date of the patient's last menstrual period was on 09 January 2009, and her expected date of delivery is on 16 October 2009. Prenatal tests include Serology test performed in July 2009 (reported as 2006), and an ultrasound on 28 May 2009 that were normal. The patient had not experienced any adverse events. Documents held by sender: None
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: right arm swollen, red and warm to touch
Age: 65.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Erythema, Mobility decreased, Muscle spasms, Oedema peripheral, Pain in extremity
Clinical narrative: swelling, soreness, hard to raise arm, redness all the way wrapped around from deltoid muscle to front and bottom of biceps, cramping of bicep muscle
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspepsia
Clinical narrative: Heartburn feeling stomach and throat
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching face, arms and head; generalized hives
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Night sweats
Clinical narrative: night sweats, enlarged supraclavicular lymph node
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Headache, Increased appetite, Pain, Pain in extremity
Clinical narrative: Sore arm, fever, achy, headache, fatigue, ravenous appetite
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Sore arm, fever, achy, headache, fatigue, ravenous appetite
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: given 3rd dose of varicella vaccine in error. (only requires 2 doses)   no reactions at time of vaccine or report
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Anaemia, Cardiac monitoring, Heart rate irregular, Oligomenorrhoea, Syncope
Clinical narrative: Started having severely long menstural cycle that lasted up to 6weeks and large blood clotting, now she's had what I feel are TIA's or what doc feels fainting spell, but most recently she's seeing a cardiologist her heart has started beating irregular beats and she's wearing a heart monitor.  1/11/10:  10/8/09 Medical records received from PCP for dates 4/30/08 to 10/2/09. Routine PE exam 4/30/08 WNL, received first of three doses of gardasil. OV from 7/9/09 DX: Menorrhegia  7/17/09 DX: severe anemia, menorrhegia, palpitations, abnormal ECG, dizziness and visual disturbance.  Presenting symptoms: Pt went for general PE 4/08 and received gardasil vaccine 1 of 3 final dose was given 11/08. On 7/9/09 pt c/o heavy menses. 7/17/09 pt c/o continued heavy menses, dizziness, tired, HA, weakness, slight shortness of breath, palpitations. 10/2/09: pt f/u appt from ER and cardiac consult with possible DX of long QT syndrome. ICD9 codes:  278.0, 286.9, 626.2, 794.31, 780.4, 368.8 12/30/2009 ED records for visit 7/17/2009 patient with c/o's excessive vaginal bleeding. Impression: Menorrhagia 12/30/2009 Ed records for 9/28/2009 patient with c/o's heart palpitations, chest pain, Impression: syncope  01/06/10 Cardiology notes received for 10/01/09. DX: borderline prolonged QT interval. Pt evaluated for dizziness, vision blurry, ears ringing, face going numb, nausea.  Pt reported h/o stabbing chest pain q2mos. ECG: normal, ECHO: normal. Pt to return for exercise study.  Cardiology notes received for 10/05/09. DX: borderline prolonged QT interval. Pt underwent an exercise stress test. Pt had increased heart rate, one premature ventricular contraction. Pt did not loose consciousness. ECG was done and normal, except QT prolonged. Pt placed in transtelephonic event monitor to capture supraventricular tachycardia related to preexcitation.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Thrombosis
Clinical narrative: Started having severely long menstural cycle that lasted up to 6weeks and large blood clotting, now she's had what I feel are TIA's or what doc feels fainting spell, but most recently she's seeing a cardiologist her heart has started beating irregular beats and she's wearing a heart monitor.  1/11/10:  10/8/09 Medical records received from PCP for dates 4/30/08 to 10/2/09. Routine PE exam 4/30/08 WNL, received first of three doses of gardasil. OV from 7/9/09 DX: Menorrhegia  7/17/09 DX: severe anemia, menorrhegia, palpitations, abnormal ECG, dizziness and visual disturbance.  Presenting symptoms: Pt went for general PE 4/08 and received gardasil vaccine 1 of 3 final dose was given 11/08. On 7/9/09 pt c/o heavy menses. 7/17/09 pt c/o continued heavy menses, dizziness, tired, HA, weakness, slight shortness of breath, palpitations. 10/2/09: pt f/u appt from ER and cardiac consult with possible DX of long QT syndrome. ICD9 codes:  278.0, 286.9, 626.2, 794.31, 780.4, 368.8 12/30/2009 ED records for visit 7/17/2009 patient with c/o's excessive vaginal bleeding. Impression: Menorrhagia 12/30/2009 Ed records for 9/28/2009 patient with c/o's heart palpitations, chest pain, Impression: syncope  01/06/10 Cardiology notes received for 10/01/09. DX: borderline prolonged QT interval. Pt evaluated for dizziness, vision blurry, ears ringing, face going numb, nausea.  Pt reported h/o stabbing chest pain q2mos. ECG: normal, ECHO: normal. Pt to return for exercise study.  Cardiology notes received for 10/05/09. DX: borderline prolonged QT interval. Pt underwent an exercise stress test. Pt had increased heart rate, one premature ventricular contraction. Pt did not loose consciousness. ECG was done and normal, except QT prolonged. Pt placed in transtelephonic event monitor to capture supraventricular tachycardia related to preexcitation.
Age: 28.0
Sex: F
Vaccine: HEP, PPV, VARCEL
Symptoms: Anxiety, Discomfort, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Right tricep area was swollen, red, and warm to touch; and a hive approx 2 1/4 inches diameter was noted. Area felt itchy. Employee reported this when she came to work, after having it checked by another RN. 10/7/09 called saying swollen red area, itchy at site of varicella vaccine (RTR). Recommended ice pack & ibuprofen. Called back later 10/7- 2 to 2 1/4" hive @ site, hot, red, itchy concerned & very unconfortable. Ref to Dr. Referred to urgent care facility as workers comp case. Told not life threating & not an unexpected reaction continue ibuprofen & ice pack. Was given an antipraritic pres as well well. 10/8-swelling rednessdecreased. Taking antipruitic. 11/6 had Hep B # 2 in RDT. Nothing abnormal noted. Applied ice pack and tried not to scratch the area. Employee was very uncomfortable and worried, had area checked by an ARNP, who called employee health back. Employee health nurse contacted Medical Director, who arranged for employee to be seen by our worker's comp. provider.  Employee was asked to continue the use of the ice pack as necessary to avoid scratching the area, and given a prescription for Fexofonadine 60 mg. one BID prn pruritis (#20).
Age: 28.0
Sex: F
Vaccine: HEP, PPV, VARCEL
Symptoms: Injection site urticaria, Injection site warmth
Clinical narrative: Right tricep area was swollen, red, and warm to touch; and a hive approx 2 1/4 inches diameter was noted. Area felt itchy. Employee reported this when she came to work, after having it checked by another RN. 10/7/09 called saying swollen red area, itchy at site of varicella vaccine (RTR). Recommended ice pack & ibuprofen. Called back later 10/7- 2 to 2 1/4" hive @ site, hot, red, itchy concerned & very unconfortable. Ref to Dr. Referred to urgent care facility as workers comp case. Told not life threating & not an unexpected reaction continue ibuprofen & ice pack. Was given an antipraritic pres as well well. 10/8-swelling rednessdecreased. Taking antipruitic. 11/6 had Hep B # 2 in RDT. Nothing abnormal noted. Applied ice pack and tried not to scratch the area. Employee was very uncomfortable and worried, had area checked by an ARNP, who called employee health back. Employee health nurse contacted Medical Director, who arranged for employee to be seen by our worker's comp. provider.  Employee was asked to continue the use of the ice pack as necessary to avoid scratching the area, and given a prescription for Fexofonadine 60 mg. one BID prn pruritis (#20).
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Induration, Injection site pain, Myalgia, Pyrexia
Clinical narrative: S:self reported fever on 2nd night of 102 F and pain in LUE muscles, self administer tylenol for fever/pain  O:8x17cm erythemic induration w/ small areas of mild skin breakdown,
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Skin disorder
Clinical narrative: S:self reported fever on 2nd night of 102 F and pain in LUE muscles, self administer tylenol for fever/pain  O:8x17cm erythemic induration w/ small areas of mild skin breakdown,
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: Large red swollen area from shoulder to slightly above elbow. On 10/06/2009 area became more swollen and itching with hives. Took 50 mg of Benadryl. it is still swollen and red and somewhat itchy.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Local swelling, Oedema peripheral, Swelling face
Clinical narrative: SWELLING OF INJECTION SITE, FOLLOWED BY ARM, FOLLOWED BY FACE/NECK
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Allergy test negative, Hypersensitivity, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The flu vaccine (regular flu not H1N1) was given in patient's left arm.  When giving him a bath the next evening I noticed it was red, hot, and swollen.  The redness extended from his shoulder to his elbow.  He had a fever of 101 degrees.  We called our family doctor and he didn't not think we needed to seek treatment at that time.  We gave patient Ibuprofen and put cold compresses on his arm.  We drew an outline around the redness and by the next day the redness had increased.  We went to see Dr.  He said the redness and swelling was a reaction to the flu vaacine and not an infection.  He said it was a severe reaction and advised us not to get patient any more flu vaccinations.  On 10-1-09 we took patient to see an allergist.  He also agreed it was a reaction and not an infection.  He said it was a pretty severe local reaction.  He was puzzled by the delayed onset of the reaction and the fact that patient had had several flu vaccines before with no ill effects.  He did scratch tests to test for allergies to eggs and the flu vaccine.  They were negative.  He also did a patch test which contained the flu vaccine and was left on patient's back for 4 days.  No reaction occured.  Patient was on Zyrtec all during this time.
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: The flu vaccine (regular flu not H1N1) was given in patient's left arm.  When giving him a bath the next evening I noticed it was red, hot, and swollen.  The redness extended from his shoulder to his elbow.  He had a fever of 101 degrees.  We called our family doctor and he didn't not think we needed to seek treatment at that time.  We gave patient Ibuprofen and put cold compresses on his arm.  We drew an outline around the redness and by the next day the redness had increased.  We went to see Dr.  He said the redness and swelling was a reaction to the flu vaacine and not an infection.  He said it was a severe reaction and advised us not to get patient any more flu vaccinations.  On 10-1-09 we took patient to see an allergist.  He also agreed it was a reaction and not an infection.  He said it was a pretty severe local reaction.  He was puzzled by the delayed onset of the reaction and the fact that patient had had several flu vaccines before with no ill effects.  He did scratch tests to test for allergies to eggs and the flu vaccine.  They were negative.  He also did a patch test which contained the flu vaccine and was left on patient's back for 4 days.  No reaction occured.  Patient was on Zyrtec all during this time.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site pain, Pain
Clinical narrative: Soreness at injection site 2 area's of induration one 2cm by 2cm one 4cm by 4cm, pain with pressure, 2-3/10. Pain with arm use overhead. No warmth,no lymphadenopathy, no drainage.
Age: 27.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Pruritus, Swelling face
Clinical narrative: Facial Swelling, Head and Feet Itching, Air Way not compromised, Tretment of Benadryl 50 mg PO, and EMS Activated
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Chromaturia, Dizziness, Pruritus
Clinical narrative: Client complains of severe itching, no rash noted.  The itching started mild on evening after receiving the Hepatitis B vaccination.  He also complains that his urine is dark orange.  Client complains that he experienced two episodes of lightheadedness.  He took benadryl Monday morning prior to coming in to report his adverse event.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal discomfort, Blood test, Cough, Influenza serology, Oropharyngeal pain
Clinical narrative: Low grade Fever, throat hurting,upset stomach, croupe, cough, congestion
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Streptococcal identification test, Upper respiratory tract congestion
Clinical narrative: Low grade Fever, throat hurting,upset stomach, croupe, cough, congestion
Age: 66.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Back pain, Hypertonic bladder, Inflammation, Irritability, Musculoskeletal pain
Clinical narrative: inflamed right upper arm from shoulder to elbow; overactive bladder,kidney; frequent urination; flu-like pain in lower back and right shoulder--general sluggishness and irritability
Age: 66.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Pollakiuria, Renal disorder, Sluggishness
Clinical narrative: inflamed right upper arm from shoulder to elbow; overactive bladder,kidney; frequent urination; flu-like pain in lower back and right shoulder--general sluggishness and irritability
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, nasal congestions, followed by fever, body aches, chills, and headache.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Sore throat, nasal congestions, followed by fever, body aches, chills, and headache.
Age: 0.33
Sex: F
Vaccine: RVX
Symptoms: Irritability, Vomiting
Clinical narrative: A little fussy, then profuse vomiting
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Erythema, Injection site erythema, Pain
Clinical narrative: Redness on l-arm, around injection site and upper shoulder; accompanied by mild pain and chills.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Erythema, Injection site warmth, Pain, Pain in extremity
Clinical narrative: redness, warmth of inner upper right arm. warmth at injection site.Entire right upper arm (shoulder to elbow) painfull. Diagnosed as cellulitis.Clindomycin prescribed.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Fatigue, Injection site swelling, Myalgia
Clinical narrative: Within 24 hours of receiving ZOSTAVAX vaccine pt developed extreme fatigue, redness in legs, joint pains hip, ankles, knees, myalgia glut max-pain swelling at injection site.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Soreness, swelling, redness, pain. Started in L deltoid and moved to medial aspect. Pt had PNEUMOVAX 5 yrs ago.
Age: 29.0
Sex: U
Vaccine: FLUN3
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Erythema, Hypersensitivity
Clinical narrative: After receiving FLUMIST patient reported chest tightness. When assessed patient was holding chest and breathing difficulty teary eyes, red skin feeling dizzy slow speech mild allergic reaction. One shot of EPINEPHRINE administered. Patient had a relief from the respiratory distress. Dispatched ambulance transferred patient for further evaluation. Later, released soldier with diagnosis of mild allergic reaction.
Age: 29.0
Sex: U
Vaccine: FLUN3
Symptoms: Lacrimation increased, Respiratory distress, Speech disorder
Clinical narrative: After receiving FLUMIST patient reported chest tightness. When assessed patient was holding chest and breathing difficulty teary eyes, red skin feeling dizzy slow speech mild allergic reaction. One shot of EPINEPHRINE administered. Patient had a relief from the respiratory distress. Dispatched ambulance transferred patient for further evaluation. Later, released soldier with diagnosis of mild allergic reaction.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid disorder, Hallucination, Monoplegia, Nausea, Syncope
Clinical narrative: Fainted, nausea, could not open eyes, could not move legs, hallucination (thought she was on the phone with husband). Follow up with patient's husband-she is doing OK.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Erythema
Clinical narrative: Shot given approx 0900, then about 2 PM became short of breath, " felt like someone sitting on my chest."  Then about 4 PM became "bright red."
Age: 18.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Dizziness, Nausea, Syncope
Clinical narrative: 5 min. after receiving immunization, patient had chills, patient started to feel nausea. On the way to bathroom, she felt dizziness & fainted for 5 sec. in bathroom.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site rash, Pruritus, Urticaria
Clinical narrative: Rash near injection site - hives, itching & along shoulder too, & inside of arm.  Red, itchy hives.
Age: 16.0
Sex: F
Vaccine: FLU3, HEP, HPV4, IPV, VARCEL
Symptoms: Abortion spontaneous
Clinical narrative: 9-28-09 Patient received vaccines. 10-03-09 Patient miscarried/spontaneous abortion at ER. She was 6 weeks pregnant.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Bell Palsy to right side of face starting 10/4/09. No treatment. Improving spontaneously. 12/2/09 Medical records received for date 10/7/09. DX: Bell's palsy. Presenting SX: c/o cannot close rt. eye or smile w/ rt side of mouth x3 days w/ gradual improvement. Pt received flu shot x2wks ago. Assessment: rt eyelid not able to close completely, rt side mouth not able to abduct completely.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain at injection site. Patient advised to take ALEVE and use cold compresses for comfort, right arm.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Warm and bulging around injection site within 2 1/2 hours later. No trouble breathing, itching none. Gave EPIPEN shot at 18:50 by 19:30 pain gone.
Age: 1.04
Sex: M
Vaccine: FLU3, MMR, PNC
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable screaming all night x 2 nights per report of parents.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Loss of consciousness, Presyncope
Clinical narrative: Patient passed out immediately after the vaccination. He appeared to have a seizure for 1-2 minutes. His mother referred to it as a vasovagal response.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Hot flush, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Immediate redness at the site of injection. Patient complained of a burning sensation running down her arm immediately after the shot. Gave her 25mg BENADRYL & observed 30 minutes with no worsening. As of 6pm today she has had no worsening of symptoms but c/o "hot flashes".
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Injection site erythema, Injection site rash
Clinical narrative: Red rash spreading from area where shot was administered. Diarrhea several days.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema induration at injection site, 7x4 cm within 4 hours decreased erythema today. No warmth or induration patient has no allergy to contacts and solution.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching and redness to L deltoid. Itching/redness and swelling to R deltoid. 10/2/09 at 11:31-phone check to pt and she reports doing better and no more redness to sites.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Fatigue, Nausea, Vomiting
Clinical narrative: Within 24 hrs status post FLUVIRIN vaccine, employee developed severe nausea/vomiting, stomach cramping and fatigue causing her to call in "sick" to work.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Tendonitis, Unevaluable event
Clinical narrative: None Stated Arm sore after shot but later came back and said not due to shot but tendonitis concidence. Patienct came in for third time to say saw another MD and said arm was due to the shot she got 11/19/090
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Patient received DTaP and MENACTRA on left deltoid 2 days prior developed redness 8cm area and painful no fever treated with CEPHALEXIN for presumptive cellulitis.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vertigo positional
Clinical narrative: Vertigo (positional, worse when on side or back). Nausea started 24 hours after vaccine. Continuing for 6 days. Patient went to urgent care recovered antivert on day 4. Slightly relieved but still present slowly improving.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms
Clinical narrative: Patient describes feeling like she has a charlie horse, does not get worse, she said this and she probably held arm funny during vaccination.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Injection site erythema
Clinical narrative: Pt received PREVNAR, ROTAVIRUS, PENTACEL vaccines at 1:30 pm. At 4:30 pm, pt developed high pitched cry-not consolable. mom noticed redness around immun site on L thigh. Seen in clinic 2 hrs later. Crying resolved after pt given Tylenol, Sweet Ease, and warm compress.
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain upper, Dizziness, Urticaria, Wheezing
Clinical narrative: 1 hr after receiving vaccine pt c/o feeling dizzy then in the next hr started wheezing and developed hives on upper body. Also had stomach pain. Pt gave self BENADRYL and used ALBUTEROL inhaler every 2-3 hours. She was feeling fine by 00:00. I gave FLUZONE at 14:30.
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Similar reaction on previous exposure to drug, Urticaria, Wheezing
Clinical narrative: 1 hr after receiving vaccine pt c/o feeling dizzy then in the next hr started wheezing and developed hives on upper body. Also had stomach pain. Pt gave self BENADRYL and used ALBUTEROL inhaler every 2-3 hours. She was feeling fine by 00:00. I gave FLUZONE at 14:30.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Ocular hyperaemia
Clinical narrative: Bilateral eye redness and swelling X 2 hours after vaccine.  Now resolved.  Per pt report.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Body temperature increased, Hallucination
Clinical narrative: Per mom report-had temp and hallucinated within 12 hours of receiving imm.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Red itchy area developed 24 hrs after vaccination. Report received 10/2. Patient described previously diagnosed allergy to thimerosal-did not inform vaccinator of this. Also did not report latex allergy at time of vaccination.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Encephalitis, Mental status changes
Clinical narrative: 10/3 - started with mental changes 24 hours after influenza vaccine. Dx with encephalitis.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Abnormal behaviour, Arthralgia, Arthritis, Depression, Generalised anxiety disorder
Clinical narrative: Joint pain, permanent damage. Depression, G.A.D. Behavior problems. Arthritis.
Age: 1.17
Sex: M
Vaccine: HEP, IPV, MMR, PPV, VARCEL
Symptoms: Autism, Autism spectrum disorder, Developmental delay, Pyrexia, Sensory disturbance
Clinical narrative: Developmental delays. Loss of acquired language. Sensory issues. Fevers. 10/13/2009 records from specialist for ov 2/13/2009. Patient with sx noted at 18 months: loss of vocabulary, lack of interest, decreased social skills, resistant to physical contact, unresponsive to name and poor eye contact. PE significant for low muscle tone and bilateral simian creases.  DX'd with Autism. Recommended TX: behavioral, occupational, speech therapy, full time autistic support classroom, dietary changes. Recommended lab studies to r/o a genetic or metabolic cause of autism: DNA/Gene studies, CBC, CMP, ferritin levels,  blood and urine tests for amino and organic acids. Referred to PCP for these tests.  10/23/09:  Primary care and Immunization records recieved for dates of service 1/9/07 to 9/24/07. Seen on 1/9/07 for vomiting and rash x 3 days, groin and butttocks with peeling rash;  dx:  gastroenteritis, monilia. 3/15/07 runny nose, congestion x 1 month; bilateral OM.  3/27/07 discharge and tugging at ears;  OM resolved.  8/6/07 Rash on face and legs x 2 days; Insect bites-fleas?   7/10/07 Well child check;  immunized with MMR, Varivax, Hep B, Prevnar.  9/13/07 Well child check;  DTaP, HIB and Hep A given.   9/24/07 PPD given.
Age: 1.17
Sex: M
Vaccine: HEP, IPV, MMR, PPV, VARCEL
Symptoms: Speech disorder developmental
Clinical narrative: Developmental delays. Loss of acquired language. Sensory issues. Fevers. 10/13/2009 records from specialist for ov 2/13/2009. Patient with sx noted at 18 months: loss of vocabulary, lack of interest, decreased social skills, resistant to physical contact, unresponsive to name and poor eye contact. PE significant for low muscle tone and bilateral simian creases.  DX'd with Autism. Recommended TX: behavioral, occupational, speech therapy, full time autistic support classroom, dietary changes. Recommended lab studies to r/o a genetic or metabolic cause of autism: DNA/Gene studies, CBC, CMP, ferritin levels,  blood and urine tests for amino and organic acids. Referred to PCP for these tests.  10/23/09:  Primary care and Immunization records recieved for dates of service 1/9/07 to 9/24/07. Seen on 1/9/07 for vomiting and rash x 3 days, groin and butttocks with peeling rash;  dx:  gastroenteritis, monilia. 3/15/07 runny nose, congestion x 1 month; bilateral OM.  3/27/07 discharge and tugging at ears;  OM resolved.  8/6/07 Rash on face and legs x 2 days; Insect bites-fleas?   7/10/07 Well child check;  immunized with MMR, Varivax, Hep B, Prevnar.  9/13/07 Well child check;  DTaP, HIB and Hep A given.   9/24/07 PPD given.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dyspnoea, Eye pruritus, Eye swelling
Clinical narrative: Eyes became red, itchy & swollen. Developed cough, wheeze & difficulty breathing, throat tightening. Took BENADRYL 50 mg PO. Then chills, achiness, nausea & vomiting. Fell asleep feeling better by 2 am in morning. Fell asleep feeling better by 2 AM in morning. 9/30/09 - developed rash/hives on chest & abdomen.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Ocular hyperaemia, Pain, Rash, Throat tightness
Clinical narrative: Eyes became red, itchy & swollen. Developed cough, wheeze & difficulty breathing, throat tightening. Took BENADRYL 50 mg PO. Then chills, achiness, nausea & vomiting. Fell asleep feeling better by 2 am in morning. Fell asleep feeling better by 2 AM in morning. 9/30/09 - developed rash/hives on chest & abdomen.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria, Vomiting, Wheezing
Clinical narrative: Eyes became red, itchy & swollen. Developed cough, wheeze & difficulty breathing, throat tightening. Took BENADRYL 50 mg PO. Then chills, achiness, nausea & vomiting. Fell asleep feeling better by 2 am in morning. Fell asleep feeling better by 2 AM in morning. 9/30/09 - developed rash/hives on chest & abdomen.
Age: 1.1
Sex: F
Vaccine: PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Tachycardia
Clinical narrative: Fussiness, decreased appetite, low grade fever, tachycardia to 150- 180s.
Age: 0.44
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Seizures-onset 22 hours after immunization (2nd round).
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Myalgia, Tenderness, Vision blurred
Clinical narrative: Muscle pain/tenderness in trunk/R leg. Headache, blurred vision.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Myalgia, Paraesthesia, Vision blurred
Clinical narrative: Muscle pain / tingling sensation throughout L leg dizziness and blurred vision.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Activated partial thromboplastin time prolonged, Activities of daily living impaired, Alanine aminotransferase decreased, Anion gap normal, Aspartate aminotransferase increased
Clinical narrative: The patient is a recalled reservist preparing to deploy over seas.  The pt received AVA #1 on 9/18/09.  He had no local reaction.  On 9/20/09 the pt noted generalized body achiness (7/10).  That evening he noted chills and a minor sore throat.  He denied: fever, cough, sneezing, rhinorrhea, or congestion.  The pt took MOTRIN and on 9/21/09 am his muscle achiness was improved but he had a decreased appetite, no N, no V, no diarrhea, no abd pain.  He continued with a "minor" sore throat until 9/22/09.  When the pt awoke on 9/22/09 he noted difficulty opening the MOTRIN bottle.  He also had difficulty with tying his shoe laces and buttoning his shirt.  Later on the 22nd he received the SMALLPOX, TDAP and FLUMIST vaccinations.  On 9/23/09 the pt's symptoms of bilateral hand weakness were worse so he went to hospital for evaluation.  The pt was referred to the health center and Neurology.  When evaluated on 9/24/09 he stated that he was slightly better in that he could tie his shoes more easily.  He also noted that for the last 12 hours he had some intermittent tingling in his index and middle fingers (bilaterally).  The pt denied lower extremity symptoms or issues with swallowing, speech, ocular symptoms, or visual changes.  The exam revealed hand weakness, no shoulder, arm or neck weakness.  No sensory deficits.  The pt was also evaluated by Neurology on 9/24/09.  See ahlta note for details.  MRI of C Spine and labs were ordered (see results below).  On reevaluation by neurology on 9/28/09 it was noted that the "symptoms have dramatically improved.  The exact etiology of his transient weakness is unclear-given the mild elevated CK along with mild generalized myalgias and weakness without sensory symptoms or reflex changes, would consider a postvaccinial myositis.  GBS seems unlikely and there is no evidence to suggest a central etiology."  The pt was released to full duty without deployment restrictions from a neurological standpoint.  The pt was referred to Hematology for evaluation of an elevated PTT X 2.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: The patient is a recalled reservist preparing to deploy over seas.  The pt received AVA #1 on 9/18/09.  He had no local reaction.  On 9/20/09 the pt noted generalized body achiness (7/10).  That evening he noted chills and a minor sore throat.  He denied: fever, cough, sneezing, rhinorrhea, or congestion.  The pt took MOTRIN and on 9/21/09 am his muscle achiness was improved but he had a decreased appetite, no N, no V, no diarrhea, no abd pain.  He continued with a "minor" sore throat until 9/22/09.  When the pt awoke on 9/22/09 he noted difficulty opening the MOTRIN bottle.  He also had difficulty with tying his shoe laces and buttoning his shirt.  Later on the 22nd he received the SMALLPOX, TDAP and FLUMIST vaccinations.  On 9/23/09 the pt's symptoms of bilateral hand weakness were worse so he went to hospital for evaluation.  The pt was referred to the health center and Neurology.  When evaluated on 9/24/09 he stated that he was slightly better in that he could tie his shoes more easily.  He also noted that for the last 12 hours he had some intermittent tingling in his index and middle fingers (bilaterally).  The pt denied lower extremity symptoms or issues with swallowing, speech, ocular symptoms, or visual changes.  The exam revealed hand weakness, no shoulder, arm or neck weakness.  No sensory deficits.  The pt was also evaluated by Neurology on 9/24/09.  See ahlta note for details.  MRI of C Spine and labs were ordered (see results below).  On reevaluation by neurology on 9/28/09 it was noted that the "symptoms have dramatically improved.  The exact etiology of his transient weakness is unclear-given the mild elevated CK along with mild generalized myalgias and weakness without sensory symptoms or reflex changes, would consider a postvaccinial myositis.  GBS seems unlikely and there is no evidence to suggest a central etiology."  The pt was released to full duty without deployment restrictions from a neurological standpoint.  The pt was referred to Hematology for evaluation of an elevated PTT X 2.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase increased
Clinical narrative: The patient is a recalled reservist preparing to deploy over seas.  The pt received AVA #1 on 9/18/09.  He had no local reaction.  On 9/20/09 the pt noted generalized body achiness (7/10).  That evening he noted chills and a minor sore throat.  He denied: fever, cough, sneezing, rhinorrhea, or congestion.  The pt took MOTRIN and on 9/21/09 am his muscle achiness was improved but he had a decreased appetite, no N, no V, no diarrhea, no abd pain.  He continued with a "minor" sore throat until 9/22/09.  When the pt awoke on 9/22/09 he noted difficulty opening the MOTRIN bottle.  He also had difficulty with tying his shoe laces and buttoning his shirt.  Later on the 22nd he received the SMALLPOX, TDAP and FLUMIST vaccinations.  On 9/23/09 the pt's symptoms of bilateral hand weakness were worse so he went to hospital for evaluation.  The pt was referred to the health center and Neurology.  When evaluated on 9/24/09 he stated that he was slightly better in that he could tie his shoes more easily.  He also noted that for the last 12 hours he had some intermittent tingling in his index and middle fingers (bilaterally).  The pt denied lower extremity symptoms or issues with swallowing, speech, ocular symptoms, or visual changes.  The exam revealed hand weakness, no shoulder, arm or neck weakness.  No sensory deficits.  The pt was also evaluated by Neurology on 9/24/09.  See ahlta note for details.  MRI of C Spine and labs were ordered (see results below).  On reevaluation by neurology on 9/28/09 it was noted that the "symptoms have dramatically improved.  The exact etiology of his transient weakness is unclear-given the mild elevated CK along with mild generalized myalgias and weakness without sensory symptoms or reflex changes, would consider a postvaccinial myositis.  GBS seems unlikely and there is no evidence to suggest a central etiology."  The pt was released to full duty without deployment restrictions from a neurological standpoint.  The pt was referred to Hematology for evaluation of an elevated PTT X 2.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Blood fibrinogen increased, Blood fibrinogen normal, Blood folate normal, Blood glucose normal, Blood potassium normal
Clinical narrative: The patient is a recalled reservist preparing to deploy over seas.  The pt received AVA #1 on 9/18/09.  He had no local reaction.  On 9/20/09 the pt noted generalized body achiness (7/10).  That evening he noted chills and a minor sore throat.  He denied: fever, cough, sneezing, rhinorrhea, or congestion.  The pt took MOTRIN and on 9/21/09 am his muscle achiness was improved but he had a decreased appetite, no N, no V, no diarrhea, no abd pain.  He continued with a "minor" sore throat until 9/22/09.  When the pt awoke on 9/22/09 he noted difficulty opening the MOTRIN bottle.  He also had difficulty with tying his shoe laces and buttoning his shirt.  Later on the 22nd he received the SMALLPOX, TDAP and FLUMIST vaccinations.  On 9/23/09 the pt's symptoms of bilateral hand weakness were worse so he went to hospital for evaluation.  The pt was referred to the health center and Neurology.  When evaluated on 9/24/09 he stated that he was slightly better in that he could tie his shoes more easily.  He also noted that for the last 12 hours he had some intermittent tingling in his index and middle fingers (bilaterally).  The pt denied lower extremity symptoms or issues with swallowing, speech, ocular symptoms, or visual changes.  The exam revealed hand weakness, no shoulder, arm or neck weakness.  No sensory deficits.  The pt was also evaluated by Neurology on 9/24/09.  See ahlta note for details.  MRI of C Spine and labs were ordered (see results below).  On reevaluation by neurology on 9/28/09 it was noted that the "symptoms have dramatically improved.  The exact etiology of his transient weakness is unclear-given the mild elevated CK along with mild generalized myalgias and weakness without sensory symptoms or reflex changes, would consider a postvaccinial myositis.  GBS seems unlikely and there is no evidence to suggest a central etiology."  The pt was released to full duty without deployment restrictions from a neurological standpoint.  The pt was referred to Hematology for evaluation of an elevated PTT X 2.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Blood sodium normal, Blood urea normal, Borrelia burgdorferi serology negative, Carbon dioxide normal, Chills
Clinical narrative: The patient is a recalled reservist preparing to deploy over seas.  The pt received AVA #1 on 9/18/09.  He had no local reaction.  On 9/20/09 the pt noted generalized body achiness (7/10).  That evening he noted chills and a minor sore throat.  He denied: fever, cough, sneezing, rhinorrhea, or congestion.  The pt took MOTRIN and on 9/21/09 am his muscle achiness was improved but he had a decreased appetite, no N, no V, no diarrhea, no abd pain.  He continued with a "minor" sore throat until 9/22/09.  When the pt awoke on 9/22/09 he noted difficulty opening the MOTRIN bottle.  He also had difficulty with tying his shoe laces and buttoning his shirt.  Later on the 22nd he received the SMALLPOX, TDAP and FLUMIST vaccinations.  On 9/23/09 the pt's symptoms of bilateral hand weakness were worse so he went to hospital for evaluation.  The pt was referred to the health center and Neurology.  When evaluated on 9/24/09 he stated that he was slightly better in that he could tie his shoes more easily.  He also noted that for the last 12 hours he had some intermittent tingling in his index and middle fingers (bilaterally).  The pt denied lower extremity symptoms or issues with swallowing, speech, ocular symptoms, or visual changes.  The exam revealed hand weakness, no shoulder, arm or neck weakness.  No sensory deficits.  The pt was also evaluated by Neurology on 9/24/09.  See ahlta note for details.  MRI of C Spine and labs were ordered (see results below).  On reevaluation by neurology on 9/28/09 it was noted that the "symptoms have dramatically improved.  The exact etiology of his transient weakness is unclear-given the mild elevated CK along with mild generalized myalgias and weakness without sensory symptoms or reflex changes, would consider a postvaccinial myositis.  GBS seems unlikely and there is no evidence to suggest a central etiology."  The pt was released to full duty without deployment restrictions from a neurological standpoint.  The pt was referred to Hematology for evaluation of an elevated PTT X 2.