chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Eyelid margin crusting, Ocular hyperaemia, Wheezing
Clinical narrative: Chills/wheezing/eyes red crusty eyes in morning short of breath 6 pm to 2 am. 11/12 c/o HA (7) today T - 97.9 degrees F.
Age: 1.0
Sex: U
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular rash started 1 week following vaccination. No other symptoms.
Age: 1.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MMR, VARCEL
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Electroencephalogram normal, Endotracheal intubation
Clinical narrative: Vaccines rec'd 11/1/10 - Pt developed prolonged atypical febrile seizure requiring intubation.
Age: 1.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MMR, VARCEL
Symptoms: Febrile convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Vaccines rec'd 11/1/10 - Pt developed prolonged atypical febrile seizure requiring intubation.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: (L) arm sore for 2 days/red rash at site called MD.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 8 x 6cm erythematous, firm, itchy area over injection site.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Oedema peripheral, Pain
Clinical narrative: Reported on 11-15-10 by employee. Reported arm swelling, site redness, and pain in area surrounding vaccine. Onset 24 hrs post vac. lasted 48 hours.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Administration site reaction, Fluid retention, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, & warmness at vaccine administration site. On right upper arm were reaction occurred patient's skin is swollen & filled with water.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Skin swelling
Clinical narrative: Swelling, redness, & warmness at vaccine administration site. On right upper arm were reaction occurred patient's skin is swollen & filled with water.
Age: 42.0
Sex: F
Vaccine: TYP
Symptoms: Chills, Dizziness, Headache, Nausea, Neck pain
Clinical narrative: C/o headache, nausea, chills pain in Rt arm & neck. BP 112/78, P96 Temp 37.7 degrees C. Dizziness also present. Military transported to ER.
Age: 42.0
Sex: F
Vaccine: TYP
Symptoms: Pain in extremity
Clinical narrative: C/o headache, nausea, chills pain in Rt arm & neck. BP 112/78, P96 Temp 37.7 degrees C. Dizziness also present. Military transported to ER.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Dizziness, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Mother returned to Health Dept at 1625 requesting someone to assess her daughter and that something was wrong. Upon immediate assessment: Client pale, cool to touch, lethargic then within a minute awakened to touch and voice. Pupils 3mm equal and reactive and speech clear and non slurred. Client c/o nauseated, HA and lightheaded. Had not eaten since approx noon today. Thready radial HR 60, manual B/P 96/60 HR 72. Juice x 2 given, cool AC to improve sweaty clammy skin. Time period approx 20 min then s/sx subsided. Followed up with client's mother 11/10/10. Mother states "she felt a little nauseated through evening but otherwise she is feeling fine". Mother states "injection site a little red, but no other problems".
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Lethargy, Nausea, Pallor, Peripheral coldness
Clinical narrative: Mother returned to Health Dept at 1625 requesting someone to assess her daughter and that something was wrong. Upon immediate assessment: Client pale, cool to touch, lethargic then within a minute awakened to touch and voice. Pupils 3mm equal and reactive and speech clear and non slurred. Client c/o nauseated, HA and lightheaded. Had not eaten since approx noon today. Thready radial HR 60, manual B/P 96/60 HR 72. Juice x 2 given, cool AC to improve sweaty clammy skin. Time period approx 20 min then s/sx subsided. Followed up with client's mother 11/10/10. Mother states "she felt a little nauseated through evening but otherwise she is feeling fine". Mother states "injection site a little red, but no other problems".
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Injection site erythema
Clinical narrative: Patient reported severe pain between breasts, coughing and shortness of breath, shaking, fever, and chills on Tuesday night (11/16/2010), then chills and night sweats on Wednesday night (11/17/2010).  Patient considered calling paramedics Tuesday night, but did not do so.  Pain, redness, and swelling at injection site area of right arm continuing.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Night sweats, Pyrexia
Clinical narrative: Patient reported severe pain between breasts, coughing and shortness of breath, shaking, fever, and chills on Tuesday night (11/16/2010), then chills and night sweats on Wednesday night (11/17/2010).  Patient considered calling paramedics Tuesday night, but did not do so.  Pain, redness, and swelling at injection site area of right arm continuing.
Age: 25.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain, Blindness, Blood test, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Started with burning and pain in eyes. Then sudden loss of vision, blurry and double vision. She was a healthy girl with excellent vision. Abdominal pains that come and go. Lack of appetite and loss of weight. Severe headaches and light sensitivity. Eyes have been abnormally dilated since sudden onset of vision loss. Muscle weakness and listless. A week has passed and the only improvement is that her double vision is gone. But vision is still blurry and other symptoms still remain as well.    Doctors are not very helpful and have not taken appropriate action to help her. We have see the pediatrician, eye doctor, emergency room, neurologist and our family doctor. My daughter has not been given any treatment. We have only been told to give her Motrin and Tylenol. She has vision loss and pains yet we have been brushed off and treated as if nothing is wrong with her. Her abdomen has not even been checked. We had to demand bloodwork to be done. The Emergency room failed to recognize other possible exams and treatments.  I've never been so disgusted in my life.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Decreased appetite, Diplopia, Eye irritation, Eye pain, Headache
Clinical narrative: Started with burning and pain in eyes. Then sudden loss of vision, blurry and double vision. She was a healthy girl with excellent vision. Abdominal pains that come and go. Lack of appetite and loss of weight. Severe headaches and light sensitivity. Eyes have been abnormally dilated since sudden onset of vision loss. Muscle weakness and listless. A week has passed and the only improvement is that her double vision is gone. But vision is still blurry and other symptoms still remain as well.    Doctors are not very helpful and have not taken appropriate action to help her. We have see the pediatrician, eye doctor, emergency room, neurologist and our family doctor. My daughter has not been given any treatment. We have only been told to give her Motrin and Tylenol. She has vision loss and pains yet we have been brushed off and treated as if nothing is wrong with her. Her abdomen has not even been checked. We had to demand bloodwork to be done. The Emergency room failed to recognize other possible exams and treatments.  I've never been so disgusted in my life.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Listless, Muscular weakness, Mydriasis, Nuclear magnetic resonance imaging normal, Photophobia
Clinical narrative: Started with burning and pain in eyes. Then sudden loss of vision, blurry and double vision. She was a healthy girl with excellent vision. Abdominal pains that come and go. Lack of appetite and loss of weight. Severe headaches and light sensitivity. Eyes have been abnormally dilated since sudden onset of vision loss. Muscle weakness and listless. A week has passed and the only improvement is that her double vision is gone. But vision is still blurry and other symptoms still remain as well.    Doctors are not very helpful and have not taken appropriate action to help her. We have see the pediatrician, eye doctor, emergency room, neurologist and our family doctor. My daughter has not been given any treatment. We have only been told to give her Motrin and Tylenol. She has vision loss and pains yet we have been brushed off and treated as if nothing is wrong with her. Her abdomen has not even been checked. We had to demand bloodwork to be done. The Emergency room failed to recognize other possible exams and treatments.  I've never been so disgusted in my life.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Vision blurred, Weight decreased
Clinical narrative: Started with burning and pain in eyes. Then sudden loss of vision, blurry and double vision. She was a healthy girl with excellent vision. Abdominal pains that come and go. Lack of appetite and loss of weight. Severe headaches and light sensitivity. Eyes have been abnormally dilated since sudden onset of vision loss. Muscle weakness and listless. A week has passed and the only improvement is that her double vision is gone. But vision is still blurry and other symptoms still remain as well.    Doctors are not very helpful and have not taken appropriate action to help her. We have see the pediatrician, eye doctor, emergency room, neurologist and our family doctor. My daughter has not been given any treatment. We have only been told to give her Motrin and Tylenol. She has vision loss and pains yet we have been brushed off and treated as if nothing is wrong with her. Her abdomen has not even been checked. We had to demand bloodwork to be done. The Emergency room failed to recognize other possible exams and treatments.  I've never been so disgusted in my life.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Fatigue, Pain, Urticaria
Clinical narrative: body aches, welts on arm, redness, sore, fatigue, for 4 days.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling of left leg at injection site and redness
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site haematoma, Injection site inflammation, Injection site pain, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Site sore and some tenderness at injection site.  Pain using arm.  Not severe.  Assured by employee health it was normal.  Returned to employee health on 3 subsequent occasions within the year and on third visit was instructed to follow up with my physician.  An MRI was done and revealed a 3 cm calcified hematoma and localized inflammation at the injection site.  This limits mobility and is very painful to palpation and any pressure.  It is yet undetermined how to treat.  I was referred to orthopedic who was unsure how to treat and have now been referred to a hand arm specialist.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: Site sore and some tenderness at injection site.  Pain using arm.  Not severe.  Assured by employee health it was normal.  Returned to employee health on 3 subsequent occasions within the year and on third visit was instructed to follow up with my physician.  An MRI was done and revealed a 3 cm calcified hematoma and localized inflammation at the injection site.  This limits mobility and is very painful to palpation and any pressure.  It is yet undetermined how to treat.  I was referred to orthopedic who was unsure how to treat and have now been referred to a hand arm specialist.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: shingles to left forehead.
Age: 1.02
Sex: M
Vaccine: FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Altered state of consciousness, Lethargy, Pyrexia, Rubella antibody positive
Clinical narrative: high fever for 2 weeks, lethargy, loss of awareness
Age: 1.03
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, HEPA, MMRV, PNC13
Symptoms: Unevaluable event
Clinical narrative: Possible seizure parents called EMS and was transported to ER parents stated they were waiting to long and went home with out being seen by a doctor.
Sex: M
Vaccine: MNQ
Symptoms: Bone pain, Depressed level of consciousness, Face oedema, Fatigue, Hypersensitivity
Clinical narrative: Combined initial and follow-up report received from a health care professional on 04 Nov 2010 and via committee on 15 Nov 2010: This patient with an unknown medical history was vaccinated MENVEO (batch number unknown) intramuscularly on 30 Sep 2010. After vaccination with MENVEO, the patient experienced allergic reaction, itchy, fever, skin exfoliation, face edema, fatigue and malaise on 01 Oct 2010. The patient took chlorpheniramine maleate (CTM) (antihistaminic), dexamethasone, paracetamol and salicylic acid on 02 Oct 2010. In between 05 Oct 2010 and 12 Oct 2010, the reaction increased so patient stopped treatment with chlorpheniramine maleate (CTM), dexamethasone, and paracetamol. On 13 Oct 2010, the reactions were worsened and the physician advised to hospitalize but the patient refused. The physician gave antihistaminic (unspecified), ciprofloxacin (antibiotics), chlorpheniramine maleate (CTM) and dexamethasone. On 18 Oct 2010, the reaction was still continued and on 26 Oct 2010, the patient was hospitalized due to decrease in consciousness (according to patient's family). On 03 Nov 2010, the patient experienced bone pain and fatigue again. The outcome of the allergic reaction was reported as complete recovery. The causal relationship was under investigation by committee, whether it was related or not.
Sex: M
Vaccine: MNQ
Symptoms: Malaise, Pruritus, Pyrexia, Skin exfoliation
Clinical narrative: Combined initial and follow-up report received from a health care professional on 04 Nov 2010 and via committee on 15 Nov 2010: This patient with an unknown medical history was vaccinated MENVEO (batch number unknown) intramuscularly on 30 Sep 2010. After vaccination with MENVEO, the patient experienced allergic reaction, itchy, fever, skin exfoliation, face edema, fatigue and malaise on 01 Oct 2010. The patient took chlorpheniramine maleate (CTM) (antihistaminic), dexamethasone, paracetamol and salicylic acid on 02 Oct 2010. In between 05 Oct 2010 and 12 Oct 2010, the reaction increased so patient stopped treatment with chlorpheniramine maleate (CTM), dexamethasone, and paracetamol. On 13 Oct 2010, the reactions were worsened and the physician advised to hospitalize but the patient refused. The physician gave antihistaminic (unspecified), ciprofloxacin (antibiotics), chlorpheniramine maleate (CTM) and dexamethasone. On 18 Oct 2010, the reaction was still continued and on 26 Oct 2010, the patient was hospitalized due to decrease in consciousness (according to patient's family). On 03 Nov 2010, the patient experienced bone pain and fatigue again. The outcome of the allergic reaction was reported as complete recovery. The causal relationship was under investigation by committee, whether it was related or not.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Injection site pain, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Combined initial report and follow up information received from the health care professional on 28 Oct 2010 and 08 Nov 2010 respectively: This pregnant patient with the current condition of allergies to latex was vaccinated with FLUVIRIN (lot number 1116903P) suspension, 0.5 ml, intramuscularly on 08 Oct 2010. The patients concomitant medication included FLINTSTONES (vitamins nos) 2 daily received since an unspecified date. On 08 Oct 2010, the patient experienced pain at injection site which radiated down to left arm and hand with swelling. The physician made diagnosis of myositis. On an unspecified date, the patient received treatment with the ibuprofen 3 times a day. The outcome of the events was reported as patient was feeling better. Following internal review on 16 Nov 2010 of the data received on 28 Oct 2010, it was identified that the patient had viral myositis and not myositis (as reported earlier). The event viral myositis was considered as medically significant.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Viral myositis
Clinical narrative: Combined initial report and follow up information received from the health care professional on 28 Oct 2010 and 08 Nov 2010 respectively: This pregnant patient with the current condition of allergies to latex was vaccinated with FLUVIRIN (lot number 1116903P) suspension, 0.5 ml, intramuscularly on 08 Oct 2010. The patients concomitant medication included FLINTSTONES (vitamins nos) 2 daily received since an unspecified date. On 08 Oct 2010, the patient experienced pain at injection site which radiated down to left arm and hand with swelling. The physician made diagnosis of myositis. On an unspecified date, the patient received treatment with the ibuprofen 3 times a day. The outcome of the events was reported as patient was feeling better. Following internal review on 16 Nov 2010 of the data received on 28 Oct 2010, it was identified that the patient had viral myositis and not myositis (as reported earlier). The event viral myositis was considered as medically significant.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Guillain-Barre syndrome, Neurological examination, Neuropathy peripheral
Clinical narrative: Peripheral neuropathy Guillain-Barre syndrome
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Aphonia, Chest discomfort, Cough, Dyspnoea, Hot flush
Clinical narrative: Initial consumer report received on 03 Nov 2010: This polymedicated patient with an unknown medical history was vaccinated with FLUVIRIN (batch number unknown) on an unspecified date. The patient also received VIVELLE DOT 0.05 mg patch, CIPRO and MUCINEX for unspecified indications since non-reported dates. About one and half month after vaccination, the patient became sick with flu-like symptoms with pain and presented with cough, breathing difficulty and sinus. The patient felt like sinus cold or allergies from outsides and experienced stiffness and chest tightness. The patient experienced full blown episode of a bad sinus infection or cold. The patient was sick and could not seem to shake it. Also the patient lost her voice for few days. The patient also presented with hot flashes. It was reported that medicines are not working. The patient got flashes every 25 minutes. The patient took antibiotics and other cold medicines which did not work. The physician advised the patient to try the patch first. Final outcome of the events was not reported.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Musculoskeletal stiffness, Nasopharyngitis, Pain, Sinus disorder
Clinical narrative: Initial consumer report received on 03 Nov 2010: This polymedicated patient with an unknown medical history was vaccinated with FLUVIRIN (batch number unknown) on an unspecified date. The patient also received VIVELLE DOT 0.05 mg patch, CIPRO and MUCINEX for unspecified indications since non-reported dates. About one and half month after vaccination, the patient became sick with flu-like symptoms with pain and presented with cough, breathing difficulty and sinus. The patient felt like sinus cold or allergies from outsides and experienced stiffness and chest tightness. The patient experienced full blown episode of a bad sinus infection or cold. The patient was sick and could not seem to shake it. Also the patient lost her voice for few days. The patient also presented with hot flashes. It was reported that medicines are not working. The patient got flashes every 25 minutes. The patient took antibiotics and other cold medicines which did not work. The physician advised the patient to try the patch first. Final outcome of the events was not reported.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Sinusitis
Clinical narrative: Initial consumer report received on 03 Nov 2010: This polymedicated patient with an unknown medical history was vaccinated with FLUVIRIN (batch number unknown) on an unspecified date. The patient also received VIVELLE DOT 0.05 mg patch, CIPRO and MUCINEX for unspecified indications since non-reported dates. About one and half month after vaccination, the patient became sick with flu-like symptoms with pain and presented with cough, breathing difficulty and sinus. The patient felt like sinus cold or allergies from outsides and experienced stiffness and chest tightness. The patient experienced full blown episode of a bad sinus infection or cold. The patient was sick and could not seem to shake it. Also the patient lost her voice for few days. The patient also presented with hot flashes. It was reported that medicines are not working. The patient got flashes every 25 minutes. The patient took antibiotics and other cold medicines which did not work. The physician advised the patient to try the patch first. Final outcome of the events was not reported.
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Injection site rash, Nausea, Tachycardia
Clinical narrative: Initial report received from a nurse on 03 Nov 2010: This patient was vaccinated with FLUVIRIN (lot number 111773P1) 0.5 ml, intramuscularly on 02 Nov 2010. On 03 Nov 2010, the patient experienced tachycardia and elevated blood pressure of 140/100, nausea, dizziness and rash at injection site. Outcome of the events was reported as condition unchanged.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site rash, Pallor
Clinical narrative: Rash at (R) upper leg nontender not warm blanches.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Scan
Clinical narrative: Pt is unable to move arm very well. He subsequently went to dr and physical therapy. A diagnosis has not yet been determined according to pt's wife, as of 11/18/10.
Age: 24.0
Sex: F
Vaccine: FLU3, HEP, HPV4, PPV
Symptoms: Activities of daily living impaired, Erythema, Injected limb mobility decreased, Injection site discharge, Injection site swelling
Clinical narrative: Client called on 11/19/2010 @ 9 am to report that she was having severe swelling, redness, and pain in her right arm. She said "at first it was bubbly and puffy where I got the shot and then it got worse and became searing pain up to my armpit. I can't move my right arm." Client stated she was unable to work or go to school because of the pain. Public Health Nurse recommended a cold compress and take analgesic medication and to seek medical evaluation. Client stated she had already done the first aid activities and was scheduled to see a doctor on 11/19/2010.
Age: 24.0
Sex: F
Vaccine: FLU3, HEP, HPV4, PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Client called on 11/19/2010 @ 9 am to report that she was having severe swelling, redness, and pain in her right arm. She said "at first it was bubbly and puffy where I got the shot and then it got worse and became searing pain up to my armpit. I can't move my right arm." Client stated she was unable to work or go to school because of the pain. Public Health Nurse recommended a cold compress and take analgesic medication and to seek medical evaluation. Client stated she had already done the first aid activities and was scheduled to see a doctor on 11/19/2010.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, MEN, PPV, TDAP
Symptoms: Full blood count, Injection site pain, Red blood cell sedimentation rate increased, Urine analysis normal, White blood cell count increased
Clinical narrative: Pain to right arm and shoulder (deltoid area).
Age: 49.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 15-20 minutes after receiving Fluvirin and Tdap vaccinations, employee developed significant congestion & runny nose
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Latex allergy, Oropharyngeal pain, Pain in extremity
Clinical narrative: Client came the following day to the clinic and said she was having an "allergic reaction that keeps getting worse from the latex in the pneumonia shot." She checked online and found a website that said people w/latex allergies may have a severe reaction to the shot. Client stated, "It started with my arm getting sore and painful and feeling like it was getting cut off. This morning it went to my throat." She stated she was taking Benadryl and other medication that doctors have told her to take in the past. Two public health nurses strongly recommended that she see her doctor or go to an ED. She said she had to go to class.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Adverse reaction, Paraesthesia
Clinical narrative: Patient had an adverse reaction to the Afluria vaccine:  patient retuned about 15 minutes after administration and reported tinging down right arm that dissipated quickly.  The vaccine was administered correctly and per protocol/prescription.
Age: 23.0
Sex: M
Vaccine: HPV4, PPV
Symptoms: Bursa disorder, Infection, Inflammation
Clinical narrative: Infected bursa. Inflamed (R) lower arm. Clindamycin IV and PO.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Culture positive, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient had his 1 yr shots on 10/29/10/. Pt developed red rash on (R) upper thigh. Mom became alarmed over rash became raised, swollen, painful. She went to ED 11/2/10 was diagnosed & cultured with Staph > abscess. We saw ED on 11/8/2010.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Staphylococcal abscess, Staphylococcus test positive
Clinical narrative: Patient had his 1 yr shots on 10/29/10/. Pt developed red rash on (R) upper thigh. Mom became alarmed over rash became raised, swollen, painful. She went to ED 11/2/10 was diagnosed & cultured with Staph > abscess. We saw ED on 11/8/2010.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Nervousness, Ocular hyperaemia, Pruritus
Clinical narrative: Client received her flu vaccine at 3:20pm & waited. She then left work & called a co-worker at 4pm stating she felt a "little shaky" & her (L) eye was puffy & red & she had "itching feeling" on her scalp. I called her back & she was at store getting BENADRYL & then was going straight home. Her mother lives very close she said & was aware of her symptoms. She had had dental work on 11/16/10 & was on Amoxicillin- no other meds & no allergies or medical conditions. No respiratory or throat issues noted although she has had sinus drainage recently & was clearing her throat. She stated she had eaten chili earlier in the day for the first time in many years so wasn't sure if it could be something related to that. She felt fine to drive but I encouraged her to have her mother come to get her. Her 11 year old daughter was with her. I gave her my number to call as soon as she got home. I spoke to her again at 4:25pm & she c/o her hands feeling itchy & the other symptoms remaining - she had taken a BENADRYL & was not shaky now & did not have any respiratory/throat s/s. She stated she had taken BENADRYL in the past (6 yrs ago) for poison ivy & it was usually effective although it made her sleepy. She also stated in addition to the dental work yesterday she had had a root canal last week for a broken tooth & the dentist had "hit a nerve" & her face was swollen & she was taking EXCEDRIN prn. I encouraged her to get a ride to an urgent care & gave her the name of flu shot given & to call me from the urgent care if needed. I spoke to her again at 4:55pm & she had returned from the urgent care & they could not determine if it was related to the injection, the dental work & anesthesia or the chili or a combination of the above. She received an anti itch cream & an oatmeal bath wash & was aware to call them or her doctor with any further s/s. No local site irritation noted. Left message on client's phone & contact persons's phone on 11/18/10 to follow up with client status. 11/19/10 3PM I reached patient and she said her eye swelling and itchiness resolved. She does have a "golf ball" size lump at injection site. Denies any other discomfort or problem.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Nausea, Sensation of foreign body
Clinical narrative: Approx 1-2 min after injection pt c/o feeling hot - palm hand - red splotches 5-10 min lump in the throat - nauseous.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspepsia, Dyspnoea, Lethargy, Muscle spasms, Nasal congestion
Clinical narrative: Pt. called stated he had flu shot about 10 days ago at pharmacy. C/o tingling effects to (L) arm & shoulder, dull HA, lethargic, spasms or cramps to (L) arm, sl. SOB, stuffy for past 2 days & indigestion.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Paraesthesia
Clinical narrative: Pt. called stated he had flu shot about 10 days ago at pharmacy. C/o tingling effects to (L) arm & shoulder, dull HA, lethargic, spasms or cramps to (L) arm, sl. SOB, stuffy for past 2 days & indigestion.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Flushing, Headache, Heart rate increased, Pyrexia
Clinical narrative: Severe flushing, fever, headache, dizziness, rapid heart rate, hives and rash. Sent home, BENADRYL 50mg - & continued BENADRYL x 2 day.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Severe flushing, fever, headache, dizziness, rapid heart rate, hives and rash. Sent home, BENADRYL 50mg - & continued BENADRYL x 2 day.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site injury, Injection site pain, Injection site swelling
Clinical narrative: The patient experienced severe pain, swelling, tissue damage at the site of injection, requiring medical intervention. The symptoms of pain started at the time immediately following the injection, and she is still experiencing it to this day.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Ocular hyperaemia, Pharyngeal oedema, Pruritus
Clinical narrative: Itching, red eyes, throat swelling, difficulty swallowing. Treated w/IV SOLU-MEDROL, REGLAN.
Age: 36.0
Sex: M
Vaccine: DTAP
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Pt reports the night following the vaccine he devolved fatigue and a fever. The following morning he experienced a "tight feeling" in his shoulder which made it difficult to move. Patient also developed localized erythema and swelling extending from shoulder to elbow.  Patient has had an intermittent fever of 102. Treatment includes Mortin 800mg.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Decreased appetite, Headache, Malaise, Oropharyngeal pain
Clinical narrative: Patient begain feeling ill after a short time and temp. was 104.7 at Midnight. Grandmother was giving pt. Motrin and Tylenol alternating every 2 hours. Fever was reduced slightly and she put him in cool bath which reduced temp. to 102 This continued until 10/21/10 at noon. He also c/o headache and pain in throat and poor appetite.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain
Clinical narrative: Sharp knife like pains under arm. Lasted for several days.
Age: 53.0
Sex: F
Vaccine: DTP, HEPAB
Symptoms: Dizziness, Dysphagia, Nausea, Odynophagia, Pain
Clinical narrative: 11/16/10 Tonsils painful at 6:00 PM; 11/17/10 Tonsils painful continued; 11/18/10 12:00 AM awaken with severe tonsil pain, can no longer swallow due to pain, 7:00 AM continued pain and felt dizzy almost blackening out and nausea. Went back to bed, reawakened at 10:00 AM symptoms were mild - so I went on about my normal business. Returned home at 6:00 PM directly went to bed, slept from 6:00 PM until 8:00 AM 11/19/10 (day 4)
Age: 53.0
Sex: F
Vaccine: DTP, HEPAB
Symptoms: Tonsillar disorder
Clinical narrative: 11/16/10 Tonsils painful at 6:00 PM; 11/17/10 Tonsils painful continued; 11/18/10 12:00 AM awaken with severe tonsil pain, can no longer swallow due to pain, 7:00 AM continued pain and felt dizzy almost blackening out and nausea. Went back to bed, reawakened at 10:00 AM symptoms were mild - so I went on about my normal business. Returned home at 6:00 PM directly went to bed, slept from 6:00 PM until 8:00 AM 11/19/10 (day 4)
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site swelling, Injection site urticaria, Oedema peripheral, Urticaria
Clinical narrative: Urticaria & swelling at injection site spreading down to forearm. Given Benadryl and rash resolved.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Convulsion
Clinical narrative: Mother reports child had a seizure (her first ever) that lasted several minutes. No temperature was taken. After seizure child suffered no other effects and was fine. She was not taken to the PCP or ER.
Age: 64.0
Sex: M
Vaccine: TD
Symptoms: Muscle twitching, Myalgia
Clinical narrative: Complained of deep muscle aches in arms, shoulders and upper thighs.  Of most important to note, patient has uncontrollable muscle twitching in one of the muscle bellies of the triceps muscle.  Patient shows that the vaccine was given in the deltoid by pointing to the site.  The twitching is distal to the injection site.  The twitching is visually noticable.
Age: 42.0
Sex: M
Vaccine: ANTH, DTAP, HEPA
Symptoms: Pruritus, Skin burning sensation, Skin mass
Clinical narrative: Felt intense itching and burning to chin and neck, noticable bumps on skin of chin and neck.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Oedema peripheral, Pain in extremity
Clinical narrative: Arm swollen and very sore. Bruise started went down arm to elbow - approx 3" wide.
Age: 67.0
Sex: F
Vaccine: FLUX(H1N1), PPV
Symptoms: Chills, Decreased appetite, Lethargy, Oedema peripheral
Clinical narrative: Chills, swollen arm, lethargic, lack of appetite
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever over 102, congestion, runny nose, cough, stomach pains, vomiting, virus in eye; lower lid and in nose (got mist).
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Viral infection, Vomiting
Clinical narrative: Fever over 102, congestion, runny nose, cough, stomach pains, vomiting, virus in eye; lower lid and in nose (got mist).
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse reaction, Antinuclear antibody negative, Arthralgia, Blood iron normal, Blood potassium decreased
Clinical narrative: Mon. 10/18-numbness began in my finger tips. Thurs. 10/21-numbness was now above wrists, so I went to my primary care-Dr. He drew labs and all came back normal: -ANA comprehensive panel: Anti-DNA, RNP antibodies, Smith Antibodies, Antiscleroderma, Sjogren's, Antichromatin Antibodies, Anti-Jo-1, Anti-Centromere B Antibodies, iron, B12, Thyroid studies, Sed Rate, Rheumatoid Factor, CBC W/diff. Wed. 10/27-numbness in arms and legs, with shooting, nauseating, toe curling pains in shoulders, and up into hips, went back to Dr., got lab results and my B12 was not low, but (389 with normal range 223-995) he gave me a B12 shot and told me I needed to see a neurologist. His office called late that afternoon and said my apt. was in January. By that evening, the numbness was across my chest, in my back and abdomen. We decided to go on to ER. They immediately did an MRI w/ and w/o contrast and started IV steroids and gave me Lortab. I was admitted. Thurs. 10/28-Neurologist came in and said my MRI was normal and he wanted me to have a NCT/EMG done, but I could go home and come back for that. Sat. 10/30-pain began shooting up into the left side of my head around my eye over night and worsened after getting up. My spine and neck felt so tight, I could not get comfortable. We went back to ER and they did a CT scan and gave me IV Dilauded/Zofran. CT was normal, sent me home with Lortab. They said my potassium was low and they gave me 2 pills. Mon. 11/1-Worst Day- Had to take 10mg Lortab every 4 hours just to stay semi-comfortable. Pain in head was worse, numbenss and tingling all over and shooting pains were bad. Tues. 11/2-Went for EMG/NCT. They were normal. Dr. said he did not know what was wrong and wanted me to see a Rheumatologist. Pain in head was better. Tues. 11/16-Saw Rheumatologist. He said that I checked out perfectly fine as far as he was concerned and his opinion was that my body had had a reaction to something. He mentioned that it could be from the flu vaccine, but it is impossible to tell for sure. It is the only thing I did outside of my normal routine around the time the symptoms started. Pain management is all that can be done now.  PRESENT-11/19/10-I have continued to gradually improve. Most days I still have to take Lortab at least once, but that is still much better than I was the first 2 weeks.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram head, Computerised tomogram normal, DNA antibody negative, Differential white blood cell count normal, Discomfort
Clinical narrative: Mon. 10/18-numbness began in my finger tips. Thurs. 10/21-numbness was now above wrists, so I went to my primary care-Dr. He drew labs and all came back normal: -ANA comprehensive panel: Anti-DNA, RNP antibodies, Smith Antibodies, Antiscleroderma, Sjogren's, Antichromatin Antibodies, Anti-Jo-1, Anti-Centromere B Antibodies, iron, B12, Thyroid studies, Sed Rate, Rheumatoid Factor, CBC W/diff. Wed. 10/27-numbness in arms and legs, with shooting, nauseating, toe curling pains in shoulders, and up into hips, went back to Dr., got lab results and my B12 was not low, but (389 with normal range 223-995) he gave me a B12 shot and told me I needed to see a neurologist. His office called late that afternoon and said my apt. was in January. By that evening, the numbness was across my chest, in my back and abdomen. We decided to go on to ER. They immediately did an MRI w/ and w/o contrast and started IV steroids and gave me Lortab. I was admitted. Thurs. 10/28-Neurologist came in and said my MRI was normal and he wanted me to have a NCT/EMG done, but I could go home and come back for that. Sat. 10/30-pain began shooting up into the left side of my head around my eye over night and worsened after getting up. My spine and neck felt so tight, I could not get comfortable. We went back to ER and they did a CT scan and gave me IV Dilauded/Zofran. CT was normal, sent me home with Lortab. They said my potassium was low and they gave me 2 pills. Mon. 11/1-Worst Day- Had to take 10mg Lortab every 4 hours just to stay semi-comfortable. Pain in head was worse, numbenss and tingling all over and shooting pains were bad. Tues. 11/2-Went for EMG/NCT. They were normal. Dr. said he did not know what was wrong and wanted me to see a Rheumatologist. Pain in head was better. Tues. 11/16-Saw Rheumatologist. He said that I checked out perfectly fine as far as he was concerned and his opinion was that my body had had a reaction to something. He mentioned that it could be from the flu vaccine, but it is impossible to tell for sure. It is the only thing I did outside of my normal routine around the time the symptoms started. Pain management is all that can be done now.  PRESENT-11/19/10-I have continued to gradually improve. Most days I still have to take Lortab at least once, but that is still much better than I was the first 2 weeks.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Electromyogram normal, Eye pain, Full blood count normal, Headache, Hypoaesthesia
Clinical narrative: Mon. 10/18-numbness began in my finger tips. Thurs. 10/21-numbness was now above wrists, so I went to my primary care-Dr. He drew labs and all came back normal: -ANA comprehensive panel: Anti-DNA, RNP antibodies, Smith Antibodies, Antiscleroderma, Sjogren's, Antichromatin Antibodies, Anti-Jo-1, Anti-Centromere B Antibodies, iron, B12, Thyroid studies, Sed Rate, Rheumatoid Factor, CBC W/diff. Wed. 10/27-numbness in arms and legs, with shooting, nauseating, toe curling pains in shoulders, and up into hips, went back to Dr., got lab results and my B12 was not low, but (389 with normal range 223-995) he gave me a B12 shot and told me I needed to see a neurologist. His office called late that afternoon and said my apt. was in January. By that evening, the numbness was across my chest, in my back and abdomen. We decided to go on to ER. They immediately did an MRI w/ and w/o contrast and started IV steroids and gave me Lortab. I was admitted. Thurs. 10/28-Neurologist came in and said my MRI was normal and he wanted me to have a NCT/EMG done, but I could go home and come back for that. Sat. 10/30-pain began shooting up into the left side of my head around my eye over night and worsened after getting up. My spine and neck felt so tight, I could not get comfortable. We went back to ER and they did a CT scan and gave me IV Dilauded/Zofran. CT was normal, sent me home with Lortab. They said my potassium was low and they gave me 2 pills. Mon. 11/1-Worst Day- Had to take 10mg Lortab every 4 hours just to stay semi-comfortable. Pain in head was worse, numbenss and tingling all over and shooting pains were bad. Tues. 11/2-Went for EMG/NCT. They were normal. Dr. said he did not know what was wrong and wanted me to see a Rheumatologist. Pain in head was better. Tues. 11/16-Saw Rheumatologist. He said that I checked out perfectly fine as far as he was concerned and his opinion was that my body had had a reaction to something. He mentioned that it could be from the flu vaccine, but it is impossible to tell for sure. It is the only thing I did outside of my normal routine around the time the symptoms started. Pain management is all that can be done now.  PRESENT-11/19/10-I have continued to gradually improve. Most days I still have to take Lortab at least once, but that is still much better than I was the first 2 weeks.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Intraocular pressure test, Laboratory test normal, Muscle tightness, Musculoskeletal pain, Nausea
Clinical narrative: Mon. 10/18-numbness began in my finger tips. Thurs. 10/21-numbness was now above wrists, so I went to my primary care-Dr. He drew labs and all came back normal: -ANA comprehensive panel: Anti-DNA, RNP antibodies, Smith Antibodies, Antiscleroderma, Sjogren's, Antichromatin Antibodies, Anti-Jo-1, Anti-Centromere B Antibodies, iron, B12, Thyroid studies, Sed Rate, Rheumatoid Factor, CBC W/diff. Wed. 10/27-numbness in arms and legs, with shooting, nauseating, toe curling pains in shoulders, and up into hips, went back to Dr., got lab results and my B12 was not low, but (389 with normal range 223-995) he gave me a B12 shot and told me I needed to see a neurologist. His office called late that afternoon and said my apt. was in January. By that evening, the numbness was across my chest, in my back and abdomen. We decided to go on to ER. They immediately did an MRI w/ and w/o contrast and started IV steroids and gave me Lortab. I was admitted. Thurs. 10/28-Neurologist came in and said my MRI was normal and he wanted me to have a NCT/EMG done, but I could go home and come back for that. Sat. 10/30-pain began shooting up into the left side of my head around my eye over night and worsened after getting up. My spine and neck felt so tight, I could not get comfortable. We went back to ER and they did a CT scan and gave me IV Dilauded/Zofran. CT was normal, sent me home with Lortab. They said my potassium was low and they gave me 2 pills. Mon. 11/1-Worst Day- Had to take 10mg Lortab every 4 hours just to stay semi-comfortable. Pain in head was worse, numbenss and tingling all over and shooting pains were bad. Tues. 11/2-Went for EMG/NCT. They were normal. Dr. said he did not know what was wrong and wanted me to see a Rheumatologist. Pain in head was better. Tues. 11/16-Saw Rheumatologist. He said that I checked out perfectly fine as far as he was concerned and his opinion was that my body had had a reaction to something. He mentioned that it could be from the flu vaccine, but it is impossible to tell for sure. It is the only thing I did outside of my normal routine around the time the symptoms started. Pain management is all that can be done now.  PRESENT-11/19/10-I have continued to gradually improve. Most days I still have to take Lortab at least once, but that is still much better than I was the first 2 weeks.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Nerve conduction studies normal, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: Mon. 10/18-numbness began in my finger tips. Thurs. 10/21-numbness was now above wrists, so I went to my primary care-Dr. He drew labs and all came back normal: -ANA comprehensive panel: Anti-DNA, RNP antibodies, Smith Antibodies, Antiscleroderma, Sjogren's, Antichromatin Antibodies, Anti-Jo-1, Anti-Centromere B Antibodies, iron, B12, Thyroid studies, Sed Rate, Rheumatoid Factor, CBC W/diff. Wed. 10/27-numbness in arms and legs, with shooting, nauseating, toe curling pains in shoulders, and up into hips, went back to Dr., got lab results and my B12 was not low, but (389 with normal range 223-995) he gave me a B12 shot and told me I needed to see a neurologist. His office called late that afternoon and said my apt. was in January. By that evening, the numbness was across my chest, in my back and abdomen. We decided to go on to ER. They immediately did an MRI w/ and w/o contrast and started IV steroids and gave me Lortab. I was admitted. Thurs. 10/28-Neurologist came in and said my MRI was normal and he wanted me to have a NCT/EMG done, but I could go home and come back for that. Sat. 10/30-pain began shooting up into the left side of my head around my eye over night and worsened after getting up. My spine and neck felt so tight, I could not get comfortable. We went back to ER and they did a CT scan and gave me IV Dilauded/Zofran. CT was normal, sent me home with Lortab. They said my potassium was low and they gave me 2 pills. Mon. 11/1-Worst Day- Had to take 10mg Lortab every 4 hours just to stay semi-comfortable. Pain in head was worse, numbenss and tingling all over and shooting pains were bad. Tues. 11/2-Went for EMG/NCT. They were normal. Dr. said he did not know what was wrong and wanted me to see a Rheumatologist. Pain in head was better. Tues. 11/16-Saw Rheumatologist. He said that I checked out perfectly fine as far as he was concerned and his opinion was that my body had had a reaction to something. He mentioned that it could be from the flu vaccine, but it is impossible to tell for sure. It is the only thing I did outside of my normal routine around the time the symptoms started. Pain management is all that can be done now.  PRESENT-11/19/10-I have continued to gradually improve. Most days I still have to take Lortab at least once, but that is still much better than I was the first 2 weeks.