chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Weight increased
Clinical narrative: 12/02/05 flu vaccine administered noticed swelling to both hands and at injection site. 12/07/05 office visit, DX mild myalgia, local swelling right deltoid. 12/09/05 return visit symptoms improved states much better. Ache left hand is all that remained. Negative exam. 01/09/06 office visit c/o cough, sob, swelling lower extremities, referred to ER and left AMA. 01/10/06 office visit increased sob, dizziness, 3x tibial edema, increased jugular venous distention, irregular heart beat, weight increase 238, went via ambulance to hospital.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Feeling cold, Hot flush, Paraesthesia, Pruritus
Clinical narrative: Started with severe bone ache with hot/cold feelings and electrical shock feelings, then a hive like rash with itching and burning pain, finally developed into a huge, severe rash on torso and pelvic area . Pictures included.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Skin burning sensation, Urticaria
Clinical narrative: Started with severe bone ache with hot/cold feelings and electrical shock feelings, then a hive like rash with itching and burning pain, finally developed into a huge, severe rash on torso and pelvic area . Pictures included.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Erythema, Hypokinesia, Pain, Swelling
Clinical narrative: After 24 hrs-next day: 1)L arm slight swollen and red at the site; 2)Arm moved only with difficulty and pain; 3)Lymph glands in axilla swollen and painful; 4)pain across back and down L breast when movement of arms.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Back pain, Chest pain, Chills, Fatigue, Hypokinesia
Clinical narrative: After 24 hrs-next day: 1)L arm slight swollen and red at the site; 2)Arm moved only with difficulty and pain; 3)Lymph glands in axilla swollen and painful; 4)pain across back and down L breast when movement of arms.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Lymphadenopathy, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: After 24 hrs-next day: 1)L arm slight swollen and red at the site; 2)Arm moved only with difficulty and pain; 3)Lymph glands in axilla swollen and painful; 4)pain across back and down L breast when movement of arms.
Age: 33.0
Sex: M
Vaccine: FLUX
Symptoms: Cellulitis
Clinical narrative: Cellulitis- treated with Avelax and Omnicef-resolved after 6 days
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Sensation of heaviness, Sinus headache
Clinical narrative: 10/31/05 received shot, 11/5/05 flat in bed too tired and ill feeling to even watch TV.  Within the next week a virus attacked me.  Started with sinus headache, congestion. I did all healthy things that I could do to fight it back.  I was ill for 3 weeks.
Age: 1.11
Sex: M
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Patient had seizure (48hrs) within of the 2nd dose of Fluzone PF vial.  Dad stated child did not feel well before shot was checked before shot was given.
Age: 1.09
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Erythema, Injection site induration
Clinical narrative: Local induration and erythema onset day of vaccine.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Diplopia, Lacrimation increased, Ocular hyperaemia, Ophthalmoplegia
Clinical narrative: Nov 4 05 awoke w/ extremely bloodshot and watery eyes, Nov 14 & 29 saw Dr because of right eye-double peripheral vision, Dec 6 Awoke with double vision, Dec 7 MRI of head-normal, more visits to doctor & optometrist.  Diagnosis-lateral rectus palsy of right eye
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: 2nd day there swelling, 3rd day swelling double (size of a softball)
Age: 23.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site induration
Clinical narrative: Large induration at both injection site no fluculeance
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Significant swelling, redness and tenderness in the right thigh
Age: 1.03
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Viral infection
Clinical narrative: On 12/28/05 child complained of vesicle on back by 12/29/05.  Had 12-15 chicken pox vesicles on trunk.  By 12/30/05 had 10 more lesions over body.  Exposed to chicken pox at school.  Had Varicella vaccine 1/31/96.  Mom called here no need to see further medical attention.  Benadryl and Tylenol given.  Child had no fever, did not feel bad.  Child recovered.
Age: 1.68
Sex: M
Vaccine: MMR
Symptoms: Dysphagia, Nasal congestion, Pyrexia, Tension
Clinical narrative: 12/31/05 6 pm fever like symptoms used infant Tylenol. 1/1/06 8 pm fever like symptoms used infant Tylenol. 1/1/06 seemed to have trouble swallowing when eating-seemed related to congestion-gave Pediacare.  1/1/06 morning noticed mild measle like rash on face and body.  Also noticed increased episodes of tightening fists and body tensing.  Still feeling effects at the time of reporting.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Skin ulcer, Viral infection
Clinical narrative: Vaccine breakthrough.  1/2/06 rash started, no fever.  1/3/06 diagnosed by Dr. with Varicella.  Had 30-50 lesions on face, trunk, extremities.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Convulsion, Febrile convulsion
Clinical narrative: Had 2 min seizure went to ER. EUAI negative.  Diagnosis Febrile Seizure.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, HIBV, MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: On 12/31/05, child developed fever of 102 and macular papular rash on anterior and posterior trunk extending up into neck and face.  Note: child was diagnosed with otitis media 12/21/05 in local emergency room and started on 5 day course of po Zithromax.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, HIBV, MMR
Symptoms: Otitis media, Pyrexia, Rash macular
Clinical narrative: On 12/31/05, child developed fever of 102 and macular papular rash on anterior and posterior trunk extending up into neck and face.  Note: child was diagnosed with otitis media 12/21/05 in local emergency room and started on 5 day course of po Zithromax.
Age: 0.28
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Swelling
Clinical narrative: inconsolable crying and R leg swelling.  Evaluated in ER-improve with Benadryl.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenitis
Clinical narrative: Large local reaction with lymphadenitis R groin.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Hypersensitivity, Rash
Clinical narrative: All over body rash with some shortness of breath without acute distress.  Seen in Emergency Room received Benadryl and DepoMedrol.  Given DepoMedrol dose pack with discharge.  Symptoms cleared significantly 1/4/06.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Pain
Clinical narrative: C/O BP elevated, dizziness x 3-4 days wich came and went, body aches.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site warmth, Pyrexia, Tenderness, Vomiting
Clinical narrative: Three hours after vaccination, client crying, vomiting, T 102ax, LE bilaterally warm and tender to touch with R>L.  All symptoms continued throughout the night.  Tylenol given with noted relief lasting 3 hours, ice applied to site with little relief.  Family physician notified by mother--recommended Tylenol and ice.  Mother states child is less restless 01/10/2006, LE remain tender to touch, denies redness, less crying noted this morning.
Age: 1.17
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: Parent-(mother) phoned the Health Department and informed to me that her daughter vomited today and she has contacted her doctor and needed to tell her doctor what vaccinations she recieved 1/9/06.She informed that her daughter has at this time of the call stopped vomiting. I gave her list of all vaccines that were given on this date and instructed to give the list to her infants doctor. I instructed to call us at the Health Department to follow up with us after she has followed up with doctor. Parent verbilizes understanding to talk to her physician.
Age: 0.76
Sex: M
Vaccine: HIBV
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Child received HIB vaccine at 2pm. A few hours later, he developed diffuse urticaria over face and body and some difficulty breathing.
Age: 0.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Grand mal convulsion
Clinical narrative: The patient suffered a brief grand mal type seizure within 24 hours of administration of the immunization.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 3 weeks after vaccination patient developed Mild molluscum contagiosum-type rash on lower abdomen and penile shaft, mild, persisting until now and requiring cryotherapy at this time. Cryotherapy was not available at the deployed location. He states he had sexual contact only prior to the vaccination/deployment and that partner is unaware of any similar condition.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Congenital anomaly, Upper respiratory tract infection
Clinical narrative: Pt was found dead in crib at 6am. Mild URI symptoms x 1-22 days. had been started on Pediatex (antihistamine only) on 12/29/2005 and was given 1st set of shots.3/20/06 Received autopsy report which revealed COD as complications from multiple congenital anomalies & abnormalities/ss
Age: 73.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Injection site infection, Pain
Clinical narrative: Pneumonia vaccine given on 12/15/05.  By 12/18/05 infection spread to my bottom forearm.  Severe pain of 4 was where the vaccine was administered.  Went to ER at 5 on 12/18/05 and released on 12/19/05.
Age: 1.09
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Erythema, Injection site induration
Clinical narrative: 2.5cm x 2cm induration, redness R Anterior thigh, 2 days after shots.  Instructions: Benadryl, Motrin, warm compresses
Age: 1.28
Sex: M
Vaccine: FLUX, HIBV, PPV
Symptoms: Swelling, Urticaria
Clinical narrative: Patient awoke from nap with welts/hives all over body, swollen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling of the left deltoid, also redness.  Dr advised patient to take Benadryl over the counter.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Abasia, Aphasia, Coma, Convulsion, Disorientation
Clinical narrative: Initial report received on 11/17/2005. A 16 year old male patient with a medical history of IgA deficiency, allergies, rhinitis and asthma, received a intramuscular injection of Menactra, lot number U1860AA on Oct 27 2005. That evening, at 7:00 pm, the patient became disoriented. He experienced a severe headache and was unable to walk. The patients parents were unable to rouse him and he could not speak. His parents contacted emergency services (911) and the patient was taken to the hospital. A spinal tap was negative. The patient was diagnosed with viral meningitis. Testing for viral meningitis, CMV and herpes simplex was completed, but no results were available at the time of this report. The patient was hospitalized for 3 days. His recovery status is unknown. Follow up information was received on 01/03/2006 from a health care professional. The testing for viral meningitis was positive for Epstein Barr Virus Meningitis. There was a questionable seizure that may have been secondary to the viral meningitis. The EEG was negative. At the time of this report the patient had recovered from these events. No further information is expected.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Meningitis, Viral infection
Clinical narrative: Initial report received on 11/17/2005. A 16 year old male patient with a medical history of IgA deficiency, allergies, rhinitis and asthma, received a intramuscular injection of Menactra, lot number U1860AA on Oct 27 2005. That evening, at 7:00 pm, the patient became disoriented. He experienced a severe headache and was unable to walk. The patients parents were unable to rouse him and he could not speak. His parents contacted emergency services (911) and the patient was taken to the hospital. A spinal tap was negative. The patient was diagnosed with viral meningitis. Testing for viral meningitis, CMV and herpes simplex was completed, but no results were available at the time of this report. The patient was hospitalized for 3 days. His recovery status is unknown. Follow up information was received on 01/03/2006 from a health care professional. The testing for viral meningitis was positive for Epstein Barr Virus Meningitis. There was a questionable seizure that may have been secondary to the viral meningitis. The EEG was negative. At the time of this report the patient had recovered from these events. No further information is expected.
Age: 2.0
Sex: F
Vaccine: FLU3, PNC, VARCEL
Symptoms: Erythema, Injection site infection, Rash
Clinical narrative: Pt. received Varivax & Prevnar on 11/9/05. Mom noticed bumps a week later after staying at aunts. Aunt had a dog with fleas, so attributed spot to fleabite. She noticed a scab (Pt. was itching it) with bumps around it (not sure if fluid filled). Took her to ER and was told had infection related to vaccine site and started on Keflex 1 tsp. TID for 10 days. Mom brought her to this office to be rechecked. Yellow scab with erythema and surrounding dry pustules on right upper thigh.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Complex regional pain syndrome, Flushing, Pain, Urticaria
Clinical narrative: Initial report received form health care professional on Oct 4 2005. A 14 year old female with no pre existing medical conditions received in the right deltoid an injection of Menactra, lot number U1750AA, on Sept 2 2005. the route of administration was not reported. She immediately experienced flushing, hives, tingling in her upper arms and a gradual intensity in pain over one week. Her physician diagnosed reflex pain syndrome and stated that the patient refused to use her arm. No paralysis was involved. After one week, there was a gradual decrease in pain. The right arm was the affected arm. As per the reporter, it is unknown whether the patient recovered from these events.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Flushing, Hypokinesia, Injection site pain, Paraesthesia, Urticaria
Clinical narrative: Initial report received form health care professional on Oct 4 2005. A 14 year old female with no pre existing medical conditions received in the right deltoid an injection of Menactra, lot number U1750AA, on Sept 2 2005. the route of administration was not reported. She immediately experienced flushing, hives, tingling in her upper arms and a gradual intensity in pain over one week. Her physician diagnosed reflex pain syndrome and stated that the patient refused to use her arm. No paralysis was involved. After one week, there was a gradual decrease in pain. The right arm was the affected arm. As per the reporter, it is unknown whether the patient recovered from these events.
Age: 53.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Hypokinesia, Pain
Clinical narrative: 01/11/2006 Phone call from patient states cannot move her arm.   Monday night  right upper arm sore and had difficulty moving it.  No redness just muscle soreness.  Will see Dr. today.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema multiforme, Pruritus, Rash
Clinical narrative: Erythema multiforme minor.  Initial report from a health care provider on 12/Oct/2005.  A 20 year old male patient with no pre-existing medical history received an intramuscular dose of Menactra in the deltoid on 17/Aug/2005 at 3:30pm.  The exact administration site was not reported.  Seven days later, he developed erythema multiforme minor on the forearms, torso and thighs.  The patient has no illness at the time of vaccination, no pre-existing medical conditions and was on no medications. The patient was treated with diphenhydramine.  Per the reporter, the patient had recovered. Follow-up received 24-Oct-2005. No additional information received. Further information requested. Follow-up information received from a literature citation on 27 Novembr 2006. The patient had developed puritic, hive-like eruptions on his forearms, trunck, groin, and legs, one to two weeks after receiving MENACTRA. He was examined at a family practive clinic, and physical examination revealed erythematous, iris-like, urticarial lesions on the forearm, trunk, and groin. These lesions collected in some areas to form plaques 2-4 cm. in diameter. The centers were pale and edematous and were surrounded by polycyclic erthematous rings. the lesions were consistent with mild erythema multiforme minor eruption. The patient had no evidence of any previous infection, had not received any other recent vaccination, and had not taken any concomitant medications. Because the disease was mild, laboratory evaluation and steroid therapy were not  indicated. The patient was treated with diphenhydramine and cool compresses. The lesions had completely resolved at his four week follow-up visit.
Sex: F
Vaccine: PNC
Symptoms: Abdominal pain upper, Bacterial infection, Dehydration, Hypoxia, Pleural effusion
Clinical narrative: Additional information received provided the hospital discharge summary that included additional source information, additional events and details of hospitalization, including dates of admission and discharge, treatment, laboratory data, and patient outcome and discharge status. Upon receipt of the additional information, this report has been upgraded to a serious unexpected cased report. Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a physician regarding a 5 year old female patient who received a dose of Prevnar on an unspecified date and developed necrotizing group A streptococcus pneumonia, dehydration, hypoxia and empyema. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was not provided. concomitant medications were not reported. On an unspecified date, the patient received a dose of Prevenar. On 31-Oct-2005, the patient was hospitalized for right lower lobe pneumonia with effusion, hypoxia (hypoxia) and dehydration (dehydration). A chest computerized tomogram done on admission showed consolidation with a large effusion. Rocephin and vancomycin were initiated. A pulmonary and pediatric consult suggested a decortication be performed. On 01-Nov-2005, video assisted thorascopic surgery with a central line placement was performed. The patient received oxygen and chest physical therapy and an unspecified medication for epigastric pain. An additional consult with infectious disease agreed with plans for an incision and drainage with video assisted thorascopic surgery and central venous placement following cultures. The patient was followed closely for her empyema (empyema) and seemed to be improving on therapy consisting of oxygen, chest tube drainage, chest physical therapy, vancomycin. Rocephin and close monitoring. Morphine and Tylenol were administered for pain. She continued to recover from her decortication, although continued to have fevers. A repeat chest computerized tomogram was obtained. On 05-Nov-2005, she began having necrotic-appearing chest tube drainage and was again taken to the operating room where it was found her right middle lobe appeared to be necrotic. This was sent for pathology, which showed a necrotizing group A streptococcus pneumonia (pneumonia necrotizing) (beta hemolytic streptococcal infection) and a right middle lobe lobectomy was performed. Post-operative treatment included oxygen, chest tube placement, "chest hygiene" and chest physical therapy. Follow-up chest x-rays showed an improving right effusion and no pneumothorax. Vancomycin was discontinued on 11-Nov-2005. The reporter observed the patient was doing well clinically and continued to improve. On 12-Nov-2005, she was discharged to home on Rocephin. Follow-up care was scheduled with the patient's primary care provider.
Sex: F
Vaccine: PNC
Symptoms: Pneumonia, Pyrexia
Clinical narrative: Additional information received provided the hospital discharge summary that included additional source information, additional events and details of hospitalization, including dates of admission and discharge, treatment, laboratory data, and patient outcome and discharge status. Upon receipt of the additional information, this report has been upgraded to a serious unexpected cased report. Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a physician regarding a 5 year old female patient who received a dose of Prevnar on an unspecified date and developed necrotizing group A streptococcus pneumonia, dehydration, hypoxia and empyema. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was not provided. concomitant medications were not reported. On an unspecified date, the patient received a dose of Prevenar. On 31-Oct-2005, the patient was hospitalized for right lower lobe pneumonia with effusion, hypoxia (hypoxia) and dehydration (dehydration). A chest computerized tomogram done on admission showed consolidation with a large effusion. Rocephin and vancomycin were initiated. A pulmonary and pediatric consult suggested a decortication be performed. On 01-Nov-2005, video assisted thorascopic surgery with a central line placement was performed. The patient received oxygen and chest physical therapy and an unspecified medication for epigastric pain. An additional consult with infectious disease agreed with plans for an incision and drainage with video assisted thorascopic surgery and central venous placement following cultures. The patient was followed closely for her empyema (empyema) and seemed to be improving on therapy consisting of oxygen, chest tube drainage, chest physical therapy, vancomycin. Rocephin and close monitoring. Morphine and Tylenol were administered for pain. She continued to recover from her decortication, although continued to have fevers. A repeat chest computerized tomogram was obtained. On 05-Nov-2005, she began having necrotic-appearing chest tube drainage and was again taken to the operating room where it was found her right middle lobe appeared to be necrotic. This was sent for pathology, which showed a necrotizing group A streptococcus pneumonia (pneumonia necrotizing) (beta hemolytic streptococcal infection) and a right middle lobe lobectomy was performed. Post-operative treatment included oxygen, chest tube placement, "chest hygiene" and chest physical therapy. Follow-up chest x-rays showed an improving right effusion and no pneumothorax. Vancomycin was discontinued on 11-Nov-2005. The reporter observed the patient was doing well clinically and continued to improve. On 12-Nov-2005, she was discharged to home on Rocephin. Follow-up care was scheduled with the patient's primary care provider.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Blister, Rash
Clinical narrative: 1/9/06 office visit.  Patient presented to clinic with over 200 vesicles scattered over entire body.  No symptom of fever.  Today is day #2 of rash.
Age: 38.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Erythema, Injection site pain, Nausea, Swelling, Vomiting
Clinical narrative: Client complained of swelling, redness and pain to R arm at vaccination site since 5am 1/11/06.  Also c/o vomiting x10 since 5am as well.  No fever.  Arrived to clinic about 8:50am c/o nausea slight swelling with quart size redder area noted to R arm.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Information has been received from a health professional concerning an 83 year old female with hypertension, high cholesterol and a shellfish allergy who on Dec 27 2005 was vaccinated IM in the left arm with a second 0.5 ml dose of Pneumococcal 23v polysaccharide vaccine (lot 651329/1047P). Concomitant therapy included lisinopril (Zestril), warfarin sodium (Coumadin), potassium chloride (K Dur), furosemide (Lasix Furosemide), metoprolol succinate (Toprol XL Tablets), atorvastatin calcium (Lipitor), sertraline HCL (Zoloft), isosorbide mononitrate (Imdur), alprazolam (Xanax) and esomepraxole magnesium (Nexium). On Dec 29 2005 the patient called her physician to report that her arm was red, warm to touch and swollen at the injection site. She reported that it started on Dec 27 2005 after vaccination and she had been icing it. She was seen by the physician on Dec 29 2005 and he prescribed diphenhydramine and hydrochloride (Benadryl) and told her to continue icing the site. At the time of the report, the patient was recovering. there was no quality complaint involved. The patients events were considered to be other important medical events (OMIC). Additional information has been requested.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Anxiety, Apnoea, Asthenia, CSF test normal
Clinical narrative: 2 day history of progressive swallowing difficulty, speech changes, and  bil. numbness and tingling of hands and feet. Bulbar weakness due to Miller-Fischer Guillain-Barre variant likely due to flu shot. Received approx 12-01-05. Medical records state somnolance, decreased reflexes, tachycardia, anxiety, apnea. msv Information received from the annual follow up indicates patient has not recovered. As of November 06, patient is still on therapy for decreased grip strength and inablity to complete ADL's due to GUILLAIN-BARRE.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Gastrointestinal tube insertion, Grip strength decreased, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: 2 day history of progressive swallowing difficulty, speech changes, and  bil. numbness and tingling of hands and feet. Bulbar weakness due to Miller-Fischer Guillain-Barre variant likely due to flu shot. Received approx 12-01-05. Medical records state somnolance, decreased reflexes, tachycardia, anxiety, apnea. msv Information received from the annual follow up indicates patient has not recovered. As of November 06, patient is still on therapy for decreased grip strength and inablity to complete ADL's due to GUILLAIN-BARRE.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Hyporeflexia, Laboratory test abnormal, Miller Fisher syndrome, Nerve conduction studies, Paraesthesia
Clinical narrative: 2 day history of progressive swallowing difficulty, speech changes, and  bil. numbness and tingling of hands and feet. Bulbar weakness due to Miller-Fischer Guillain-Barre variant likely due to flu shot. Received approx 12-01-05. Medical records state somnolance, decreased reflexes, tachycardia, anxiety, apnea. msv Information received from the annual follow up indicates patient has not recovered. As of November 06, patient is still on therapy for decreased grip strength and inablity to complete ADL's due to GUILLAIN-BARRE.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Respiratory failure, Somnolence, Speech disorder, Tachycardia
Clinical narrative: 2 day history of progressive swallowing difficulty, speech changes, and  bil. numbness and tingling of hands and feet. Bulbar weakness due to Miller-Fischer Guillain-Barre variant likely due to flu shot. Received approx 12-01-05. Medical records state somnolance, decreased reflexes, tachycardia, anxiety, apnea. msv Information received from the annual follow up indicates patient has not recovered. As of November 06, patient is still on therapy for decreased grip strength and inablity to complete ADL's due to GUILLAIN-BARRE.
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of L arm after 24hr, resolved during 48-72hrs (in the place of DTP vaccine).
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Nausea
Clinical narrative: Tiredness, nausea, vomiting, diarrhea, chills, dizziness
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Tiredness, nausea, vomiting, diarrhea, chills, dizziness
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and redness around injection site on L leg
Age: 1.03
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: After receiving MMR and Varicella and HIP and Prevnar patient got hives on trunk and face within 15 min.  Within 30 min had pulmonary wheezing but no Stridor-got dexamethasone and Benadryl and epinephrine.
Age: 1.02
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Patient got chicken pox disease after patient received vaccine.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Patient got the chicken pox disease after receiving vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site reaction, Swelling
Clinical narrative: local reaction to L upper arm, swollen, hot/warm to touch, reddened, swelling approx 7x6 cm in diameter.  Swelling extends from shoulder to mid upper arm.  Does not circumvent the arm.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chills, Cough, Dyspnoea, Feeling cold
Clinical narrative: Asthma symptoms of wheezing, SOB, and coughing began 2 hrs after flu shot,necessitating the use of an inhaler twice within 20 minutes. Breathing then eased up and flu-ish symptoms began - aching, fever(no temp taken), nausea, shivering, cold. She felt "horrible" all evening. Finally fell asleep and felt OK the next morning. Normally her asthma is very mild and affects her only occasionally. She has allergies to pollens, spores, and mold.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Nausea, Pain, Pyrexia, Wheezing
Clinical narrative: Asthma symptoms of wheezing, SOB, and coughing began 2 hrs after flu shot,necessitating the use of an inhaler twice within 20 minutes. Breathing then eased up and flu-ish symptoms began - aching, fever(no temp taken), nausea, shivering, cold. She felt "horrible" all evening. Finally fell asleep and felt OK the next morning. Normally her asthma is very mild and affects her only occasionally. She has allergies to pollens, spores, and mold.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy, Hypoaesthesia
Clinical narrative: Progressive drooping right eye, right cheek and right side of mouth/upper lip, decreased sensation right side of face and mouth over the course of two days. Diagnosed as Bell's palsy on ER visit on third day, and treated with course of steriods po. 3/6/06 - review of medical record confirms diagnosis of Bell's Palsy.
Age: 25.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Injection site hypersensitivity, Pruritus, Vaccination complication
Clinical narrative: Patient inadvertently inoculated self with smallpox.  Pt cross-contaminated self. Unknown how it happened. Pt has 2 small vesicles on left lower quadrant of abdomen. Pt is experiencing itching at site. No treatment. Pt advised to watch site and no contact to skin.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Paraesthesia
Clinical narrative: Flu vaccine given 11/15/05. Vaccine site had mild soreness, typical following any vaccine. 3-5 days later she hit the arm with force on a door jam. Client does not recall how soon the pain began following the hit on the door jam but she began to have severe pain with left arm motion (9-10 on a scale of 10). She was unable to lift her arm above her head with her elbow bent without severe pain. Pain with that motion has continued, but the pain has decreased to a 5-6. She is awakened at night with pain when sleeping on her left side. She has taken 1 Aleve per day for the last 2 weeks. She reported initial weakness in her left fingers with slight tingling, but that has resolved. She has not seen a doctor due to financial concerns.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Ecchymosis, Erythema, Feeling hot, Pain, Pruritus
Clinical narrative: Soreness, pain, tenderness, pruritus, erythema, ecchymosis, swelling, warmth, nodule formation in left deltoid.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Skin nodule, Swelling, Tenderness
Clinical narrative: Soreness, pain, tenderness, pruritus, erythema, ecchymosis, swelling, warmth, nodule formation in left deltoid.
Age: 1.01
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Febrile convulsion
Clinical narrative: Received vaccines below on 9/27/05.  Experienced adverse event on 9/28/05.  Child had febrile seizure and diarrhea.  Awaiting ER report.  Follow-up phone call to father who states daughter is now doing well.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Vaccine given SQ left lateral inferior arm, 10cmx 7 cm redness, induration 4x4cm. Tx to include Benadryl , warm pack and f/u 1-12-06 in clinic for re-eval.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Brain injury, Brain oedema, CSF culture, Cerebral haemorrhage, Convulsion
Clinical narrative: PATIENT HAD FEVER ON 6/30 EARLY AM AFTER RECEIVING VACCINE ON 6/26. PATIENT WAS TAKE TO MD AND DIAGNOSED WITH EAR INFECTION. PATIENT CONTINUED TO HAVE FEVERS. ON 7/3/04 PATIENT HAD GENERALIZED SEIZURE AND TAKEN TO LOCAL HOSPITAL.  PRELIMINARY SPINAL TAP DIAGNOSED HER WITH MENINGITIS.  PATIENT WAS STARTED ON CEFTRIAXONE AT THAT TIME.  ON 7/5/04 PATIENT HAD TONIC/CLONIC SEIZURE AND WAS TRANSFERRED TO HOSPITAL.  PATIENT WAS THEN DIAGNOSED WITH HERPES ENCEPHALITIS AND TREATED WITH ACYCLOVIR AND PUT ON DILANTIN. Information received from medical records received on 1/31/06 states patient experienced otitis media, fever, seizures, herpes meningitis, brain edema, brain hemorrhage, speech delay and hyperactivity. Patients left temporal lobe of the brain has been permently damaged. She is currently under the care of a speech therapist, develomental therapist, occupational therapist, and social worker.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Culture positive, Electroencephalogram abnormal, Encephalitis herpes, Grand mal convulsion, Herpes virus infection
Clinical narrative: PATIENT HAD FEVER ON 6/30 EARLY AM AFTER RECEIVING VACCINE ON 6/26. PATIENT WAS TAKE TO MD AND DIAGNOSED WITH EAR INFECTION. PATIENT CONTINUED TO HAVE FEVERS. ON 7/3/04 PATIENT HAD GENERALIZED SEIZURE AND TAKEN TO LOCAL HOSPITAL.  PRELIMINARY SPINAL TAP DIAGNOSED HER WITH MENINGITIS.  PATIENT WAS STARTED ON CEFTRIAXONE AT THAT TIME.  ON 7/5/04 PATIENT HAD TONIC/CLONIC SEIZURE AND WAS TRANSFERRED TO HOSPITAL.  PATIENT WAS THEN DIAGNOSED WITH HERPES ENCEPHALITIS AND TREATED WITH ACYCLOVIR AND PUT ON DILANTIN. Information received from medical records received on 1/31/06 states patient experienced otitis media, fever, seizures, herpes meningitis, brain edema, brain hemorrhage, speech delay and hyperactivity. Patients left temporal lobe of the brain has been permently damaged. She is currently under the care of a speech therapist, develomental therapist, occupational therapist, and social worker.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Lipids abnormal, Lumbar puncture, Meningitis herpes, Nuclear magnetic resonance imaging abnormal, Otitis media
Clinical narrative: PATIENT HAD FEVER ON 6/30 EARLY AM AFTER RECEIVING VACCINE ON 6/26. PATIENT WAS TAKE TO MD AND DIAGNOSED WITH EAR INFECTION. PATIENT CONTINUED TO HAVE FEVERS. ON 7/3/04 PATIENT HAD GENERALIZED SEIZURE AND TAKEN TO LOCAL HOSPITAL.  PRELIMINARY SPINAL TAP DIAGNOSED HER WITH MENINGITIS.  PATIENT WAS STARTED ON CEFTRIAXONE AT THAT TIME.  ON 7/5/04 PATIENT HAD TONIC/CLONIC SEIZURE AND WAS TRANSFERRED TO HOSPITAL.  PATIENT WAS THEN DIAGNOSED WITH HERPES ENCEPHALITIS AND TREATED WITH ACYCLOVIR AND PUT ON DILANTIN. Information received from medical records received on 1/31/06 states patient experienced otitis media, fever, seizures, herpes meningitis, brain edema, brain hemorrhage, speech delay and hyperactivity. Patients left temporal lobe of the brain has been permently damaged. She is currently under the care of a speech therapist, develomental therapist, occupational therapist, and social worker.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Psychomotor hyperactivity, Pyrexia, Speech disorder developmental
Clinical narrative: PATIENT HAD FEVER ON 6/30 EARLY AM AFTER RECEIVING VACCINE ON 6/26. PATIENT WAS TAKE TO MD AND DIAGNOSED WITH EAR INFECTION. PATIENT CONTINUED TO HAVE FEVERS. ON 7/3/04 PATIENT HAD GENERALIZED SEIZURE AND TAKEN TO LOCAL HOSPITAL.  PRELIMINARY SPINAL TAP DIAGNOSED HER WITH MENINGITIS.  PATIENT WAS STARTED ON CEFTRIAXONE AT THAT TIME.  ON 7/5/04 PATIENT HAD TONIC/CLONIC SEIZURE AND WAS TRANSFERRED TO HOSPITAL.  PATIENT WAS THEN DIAGNOSED WITH HERPES ENCEPHALITIS AND TREATED WITH ACYCLOVIR AND PUT ON DILANTIN. Information received from medical records received on 1/31/06 states patient experienced otitis media, fever, seizures, herpes meningitis, brain edema, brain hemorrhage, speech delay and hyperactivity. Patients left temporal lobe of the brain has been permently damaged. She is currently under the care of a speech therapist, develomental therapist, occupational therapist, and social worker.
Age: 61.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Blister, Erythema, Pain, Pyrexia, Swelling
Clinical narrative: 10/8/05:  Aching noted at left deltoid area. 10/10/05: Fluid-filled blisters appear on left deltoid area.  States she also had fever so she took tylenol and an antibiotic she had at home. 10/14/05:  increase in blisters.  Skin reddened and swollen down to left wrist.  Seen by MD.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Ocular hyperaemia, Pharyngolaryngeal pain
Clinical narrative: Patient complained of a sore throat and red, puffy eyes the  morning following the injection.  She came to our office at 1345 hours and requested Benadryl.  By the next morning the sore throat and red puffy eyes were gone, after taking the Benadryl.
Age: 1.26
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Rash maculo-papular
Clinical narrative: Attenuated varicella - papules/macules on face, trunk, legs.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL, HEP, VARCEL
Symptoms: Coma, Convulsion, Cough, Dizziness, Loss of consciousness
Clinical narrative: Per father, the patient recieved the vaccine at 1:15, the patient got dizzy and passed out, the nurse used ammonia to wake him up then they left the facility.  About 10 minutes after the vaccine while they were in the car, the patient grabbed his left arm injection site, began coughing, passed out, and had a seizure.  The father states that the child "stiffened up".  When I called the nurse to get the vaccine info, she states that the child wanted to keep his eyes closed before and after the vaccines and that he did not respond to verbal stimuli after the vaccines, so they used ammonia, to which the patient replied, "why did you do that?"  The nurse states they gave the child a cool, moist cloth and fanned the child.  He and his family left about 15 minutes after the shots.  Father states that the child has not had ADE's to other vaccines and no family member has had reactions to vaccines.  The child states he has had chicken pox as a child.  Has not had any vaccinations in the last month, nor is he currently ill or suffering from a fever.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL, HEP, VARCEL
Symptoms: Musculoskeletal stiffness
Clinical narrative: Per father, the patient recieved the vaccine at 1:15, the patient got dizzy and passed out, the nurse used ammonia to wake him up then they left the facility.  About 10 minutes after the vaccine while they were in the car, the patient grabbed his left arm injection site, began coughing, passed out, and had a seizure.  The father states that the child "stiffened up".  When I called the nurse to get the vaccine info, she states that the child wanted to keep his eyes closed before and after the vaccines and that he did not respond to verbal stimuli after the vaccines, so they used ammonia, to which the patient replied, "why did you do that?"  The nurse states they gave the child a cool, moist cloth and fanned the child.  He and his family left about 15 minutes after the shots.  Father states that the child has not had ADE's to other vaccines and no family member has had reactions to vaccines.  The child states he has had chicken pox as a child.  Has not had any vaccinations in the last month, nor is he currently ill or suffering from a fever.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL, HEP, VARCEL
Symptoms: Convulsion, Malaise, Musculoskeletal stiffness
Clinical narrative: Per father, the patient recieved the vaccine at 1:15, the patient got dizzy and passed out, the nurse used ammonia to wake him up then they left the facility.  About 10 minutes after the vaccine while they were in the car, the patient grabbed his left arm injection site, began coughing, passed out, and had a seizure.  The father states that the child "stiffened up".  When I called the nurse to get the vaccine info, she states that the child wanted to keep his eyes closed before and after the vaccines and that he did not respond to verbal stimuli after the vaccines, so they used ammonia, to which the patient replied, "why did you do that?"  The nurse states they gave the child a cool, moist cloth and fanned the child.  He and his family left about 15 minutes after the shots.  Father states that the child has not had ADE's to other vaccines and no family member has had reactions to vaccines.  The child states he has had chicken pox as a child.  Has not had any vaccinations in the last month, nor is he currently ill or suffering from a fever.
Age: 1.27
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Autism/PDD-NOS (symptoms began shortly after MMR).  Child also received over 100 micrograms of thimerosal contained in vaccines administered prior to MMR.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Approx 2pm flu vaccine given approx 2:20 patient experiencing itching all over, red spots noted on face and neck.  Epinephrine  1ml given per standing order.  O2 administered.  Patient sent to ED per nurse practioner
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Bacterial infection, CSF test abnormal, Cerebrovascular accident
Clinical narrative: I have completed this form on behalf of the patient. I am a local health department nurse. I have become familiar with the patient, over the past 6 years I have checked her blood pressure on a weekly basis. She received a flu vaccination on 10/14/05 in her right deltoid. On the evening 10/16/05, she states she began chilling and soon thereafter began vomiting. She also experienced diarrhea. She was able to tolerate small amounts of boost yet was unable to tolerate solid foods for five days. On 10/19/05, she saw her family physician with continued nausea and a heaviness in her legs. She was diagnosed with a UTI and treated with antibiotics. She gradually began tolerating solid foods yet remained weak. On 11/10/05, she experienced an episode of extreme numbness to her legs. 911 was called and she was admitted with a lab confirmed case of GBS. She was in the hospital for weeks then to be transferred to another facility. She does have some gross motor movement to her lower extremities and he arms are weak yet some fine motor skills evident. I spoke with one of the associates at the hospital in regards to reporting this case. He was not aware of this reporting system therefore I am reporting the case. Medical record states pain, confusion, CVA, urinary tract infection. Information received from the 60 day follow-up states 3-28-06 Client remains a resident. She is presently in therapy and making progress. She is now walking with the assistance of a walker and supervision. She is able to feed herself without problems. Client and her family feel that with continued therapy she may be able to leave the facility and move in with one of her children with the hope of someday getting back to her apartment.  Follow-up: 4-10-07 patient is able to ambulate with the use of a walker. She has been unable to move back to her home independently. She remains at a nursing home facility.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Diarrhoea, Feeling cold, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: I have completed this form on behalf of the patient. I am a local health department nurse. I have become familiar with the patient, over the past 6 years I have checked her blood pressure on a weekly basis. She received a flu vaccination on 10/14/05 in her right deltoid. On the evening 10/16/05, she states she began chilling and soon thereafter began vomiting. She also experienced diarrhea. She was able to tolerate small amounts of boost yet was unable to tolerate solid foods for five days. On 10/19/05, she saw her family physician with continued nausea and a heaviness in her legs. She was diagnosed with a UTI and treated with antibiotics. She gradually began tolerating solid foods yet remained weak. On 11/10/05, she experienced an episode of extreme numbness to her legs. 911 was called and she was admitted with a lab confirmed case of GBS. She was in the hospital for weeks then to be transferred to another facility. She does have some gross motor movement to her lower extremities and he arms are weak yet some fine motor skills evident. I spoke with one of the associates at the hospital in regards to reporting this case. He was not aware of this reporting system therefore I am reporting the case. Medical record states pain, confusion, CVA, urinary tract infection. Information received from the 60 day follow-up states 3-28-06 Client remains a resident. She is presently in therapy and making progress. She is now walking with the assistance of a walker and supervision. She is able to feed herself without problems. Client and her family feel that with continued therapy she may be able to leave the facility and move in with one of her children with the hope of someday getting back to her apartment.  Follow-up: 4-10-07 patient is able to ambulate with the use of a walker. She has been unable to move back to her home independently. She remains at a nursing home facility.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokalaemia, Lumbar puncture, Muscular weakness, Nausea, Sensation of heaviness
Clinical narrative: I have completed this form on behalf of the patient. I am a local health department nurse. I have become familiar with the patient, over the past 6 years I have checked her blood pressure on a weekly basis. She received a flu vaccination on 10/14/05 in her right deltoid. On the evening 10/16/05, she states she began chilling and soon thereafter began vomiting. She also experienced diarrhea. She was able to tolerate small amounts of boost yet was unable to tolerate solid foods for five days. On 10/19/05, she saw her family physician with continued nausea and a heaviness in her legs. She was diagnosed with a UTI and treated with antibiotics. She gradually began tolerating solid foods yet remained weak. On 11/10/05, she experienced an episode of extreme numbness to her legs. 911 was called and she was admitted with a lab confirmed case of GBS. She was in the hospital for weeks then to be transferred to another facility. She does have some gross motor movement to her lower extremities and he arms are weak yet some fine motor skills evident. I spoke with one of the associates at the hospital in regards to reporting this case. He was not aware of this reporting system therefore I am reporting the case. Medical record states pain, confusion, CVA, urinary tract infection. Information received from the 60 day follow-up states 3-28-06 Client remains a resident. She is presently in therapy and making progress. She is now walking with the assistance of a walker and supervision. She is able to feed herself without problems. Client and her family feel that with continued therapy she may be able to leave the facility and move in with one of her children with the hope of someday getting back to her apartment.  Follow-up: 4-10-07 patient is able to ambulate with the use of a walker. She has been unable to move back to her home independently. She remains at a nursing home facility.