chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient recieved vaccine on 10/18/08 at our store flu clinic. She said that the following day when she woke-up her right arm was very red, warm, and swollen from the shoulder to her elbow. She took Benadrly and Ibuprofen for the swelling and pain but it did not seem to help. She came into the pharmacy on sunday 10/19/08 to show me her arm and I referred her to EPN Urgent care accross the street to have them take a look at it. They told her that she should continue to take Benadryl and Ibuprofen and that it did look like cellulitus but they did not think it was bacterial. They also told her to follow-up with her PCP if it did not provide any relief or got worse after 2 days. Patient stopped by pharmacy yesterday and stated that it was really not getting any better, from my perspective it appeared the same, and she was going to call her PCP to make an appointment. I called the patient today to see what if any progress was made and am currently waiting to hear back.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Cough, Dizziness, Dysphonia, Dyspnoea
Clinical narrative: At or around 2:30pm I was in the salon getting my hair done and started having difficulty breathing, I would cough when breathing out-I was light headed.  It wasn't like I needed to go to the hospital.  Then around 5:30 pm I went home and my eyes started getting red, I started loosing my voice and started getting back pain.  By 8:00pm I was in bed and my husband told me that my eyes looked bloody red-I had no white part in my eyes-freaky!  I didn't go to the hospital because I don't have health insurance.  I went to bed and woke up Sunday morning and I was better.  I want to go to the doctor and make sure that my sight is fine and I have no other reactions I don't know about.  I wonder if I should take the shot next year.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Ocular hyperaemia
Clinical narrative: At or around 2:30pm I was in the salon getting my hair done and started having difficulty breathing, I would cough when breathing out-I was light headed.  It wasn't like I needed to go to the hospital.  Then around 5:30 pm I went home and my eyes started getting red, I started loosing my voice and started getting back pain.  By 8:00pm I was in bed and my husband told me that my eyes looked bloody red-I had no white part in my eyes-freaky!  I didn't go to the hospital because I don't have health insurance.  I went to bed and woke up Sunday morning and I was better.  I want to go to the doctor and make sure that my sight is fine and I have no other reactions I don't know about.  I wonder if I should take the shot next year.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Pericarditis
Clinical narrative: Pt had vaccine on the 5th of Oct and on the 10th of Oct 2008 he started having shortness of breath and chest pains.  He went to his MD who referred him to MC where he went to the ER and was admitted overnight on telemetry with a diagnosis of Pericarditis.  He was discharged the next day with orders to report back on the 28th of Oct for an appointment with Cardiology clinic.  1/6/09 Additional f/u records received for DX of Pericarditis s/p smallpox vaccine.   Asymptomatic by 10/28/08. However developed occasional L sided chest pressure and tingling lasting 10-15 secs with slight SOB by 11/26/08. Dx as atypical chest pain.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Blepharospasm
Clinical narrative: Patient describes "twitching" of right eye 1-2 hours of receiveing the flu vaccine. He went to bed early around 8:30pm hoping to see if sleep would help.  "twitching" remains today. he called the Health Center to report the observation. He is in no distress otherwise. Recommended he call his primary  physician. Health department contacted for advice.  Other than report to private MD, no other advice noted.  VAERS report.  Contact with patient at 11am notes no relief from "twitch".
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Neck pain, No reaction on previous exposure to drug
Clinical narrative: Received Fluarix vaccine in left deltoid (lot # AFLUA356AA exp date 5/31/09 at approx 04:30 this am.  States approx 15min later noted pain into neck and radiating down left arm; approx 4 hours later noted raised bumps on both forearms; approx 15 min later petichiae on left arm distal to elbow;  approximately 45 min later noticed progression of numbness into jaw, mouth, head.  Sent to Emergency Room.  Previously received Fluarix in 2005 & 2006 with no adverse reaction.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Petechiae, Rash
Clinical narrative: Received Fluarix vaccine in left deltoid (lot # AFLUA356AA exp date 5/31/09 at approx 04:30 this am.  States approx 15min later noted pain into neck and radiating down left arm; approx 4 hours later noted raised bumps on both forearms; approx 15 min later petichiae on left arm distal to elbow;  approximately 45 min later noticed progression of numbness into jaw, mouth, head.  Sent to Emergency Room.  Previously received Fluarix in 2005 & 2006 with no adverse reaction.
Sex: U
Vaccine: FLU3, FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: Broke out in hives,the same day,Went to the emergency room,about 6:pm.Recieved a shot and a prescription for Atarax 25mg.   Treated at medical Center.I had Influenza vaccine shot on 10-17-2008. Treated for Hives the same day
Sex: U
Vaccine: FLU3, FLU3, FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Broke out in hives,the same day,Went to the emergency room,about 6:pm.Recieved a shot and a prescription for Atarax 25mg.   Treated at medical Center.I had Influenza vaccine shot on 10-17-2008. Treated for Hives the same day
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash pruritic
Clinical narrative: Pt received vaccine and was in waiting area for 5 minutes when he noticed a red itchy bump on his R arm.  He reported it to the Immunization staff and was escorted to the ER at MC.  They saw his bump on the way to the ER.  The ER saw him and observed him for a few hours and then released him back to his unit without further treatment or follow up needed.
Age: 5.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Electroencephalogram, Grand mal convulsion
Clinical narrative: Possible generalized tonic-clonic seizure lasting <5 minutes on 10/10/08 early am.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site mass, Pain
Clinical narrative: small lump and pain day of vaccination-next day very red on upper arm
Age: 0.43
Sex: F
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Staphylococcal bacteraemia, Staphylococcal infection
Clinical narrative: Our daughter started getting fevers up to 103 degrees and then spiked to 105...we went to emergency room and then was advised that a staph infection formed inside the bloodstream that was risk of death.  We then had to spend 1 months in the hospital with continued fevers spiking to 104+ and 21 days of antibiotic treatments.  Eventually our daughter was diagnosed with neutropenia and her neutrophil count has not been able to rise over 900 since then.  1/9/09 Reviewed hospital medical records of 7/10-7/22/2008. FINAL DX: MSSA bacteremia & neutropenia Records reveal patient experienced fever, pink maculopapular rash.  Rash resolved but fever continued intermittently, decreased energy, oral intake reduced, increased irritability, SOB, vomiting, lymphadenopathy.  Seen in outlying hospital where dx w/multifocal pneumonia.  Transferred to higher level of care. ID consult done.  Tx w/IV antibiotics.  Improved & d/c to home w/PICC line for continued IV antibiotics for 21 days.  To f/u with ID & PCP & serial labs.  12/5/08 Reviewed hospital medical records of 7/6-7/10/2008. FINAL DX: Pneumonia Records reveal patient experienced worsening lethargy, fever, cough & respiratory distress x 1 week.  Admitted & tx w/IV antibiotics.  Condition worsened & was transferred to higher level of care.  12/11/08 Reviewed heme/onc medical records of 7/25-12/1/08. FINAL DX: autoimmune neutropenia, probably cyclic; anemia; s/p MSSA infection. Records reveal patient did well s/p hospitalization until late 11/08 when hospitalized x 2 days for fever & tx w/antibiotics.  Received neupogen multiple episodes for decreased neutrophils. 1/28/2010 Our daughter is still Neutropenic and still is affected. ANCA continues to cause the Neutropenia and we still feel the vaccination schedule is the primary cause.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Neuralgia, Oedema peripheral, Oral discomfort
Clinical narrative: Local site reaction: warm, red, swollen  Left upper arm times 3 days;   No fever                Six days post treatment, 10/20/08, in A.M., patient noted pain and tingling in right hand, traveled to right wrist and arm over course of day; the same evening, same symptoms began in left hand, right foot and right thigh. A.M. of 10/21/08, this "deep nerve pain" is felt same locations as well as a "cinnamon like burning" around mouth.  No redness or swelling of face. Also noted at this time, marked heaviness noted in both legs. No swelling, discoloration noted in hands, arms, ankles, or legs. 12/15/2009  MR received from PCP. Pt initially seen for local reaction to flu shot-redness & swelling which resolved in 4 days. Now reporting pain, numbness and tingling in the R hand/arm. Decreased sensation in extremities Impression:  Paresthesia-arms and legs.   Neurology consult 11/3/08 with DTRs hypoactive in arms and legs with normal strength.  Spinal H/A 2' to LP.  Assessment: EMG c/w median and ulnar neuritis.  No evidence of GBS. Probable lumbosacral radicular irritation.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Sensation of heaviness, Skin warm
Clinical narrative: Local site reaction: warm, red, swollen  Left upper arm times 3 days;   No fever                Six days post treatment, 10/20/08, in A.M., patient noted pain and tingling in right hand, traveled to right wrist and arm over course of day; the same evening, same symptoms began in left hand, right foot and right thigh. A.M. of 10/21/08, this "deep nerve pain" is felt same locations as well as a "cinnamon like burning" around mouth.  No redness or swelling of face. Also noted at this time, marked heaviness noted in both legs. No swelling, discoloration noted in hands, arms, ankles, or legs. 12/15/2009  MR received from PCP. Pt initially seen for local reaction to flu shot-redness & swelling which resolved in 4 days. Now reporting pain, numbness and tingling in the R hand/arm. Decreased sensation in extremities Impression:  Paresthesia-arms and legs.   Neurology consult 11/3/08 with DTRs hypoactive in arms and legs with normal strength.  Spinal H/A 2' to LP.  Assessment: EMG c/w median and ulnar neuritis.  No evidence of GBS. Probable lumbosacral radicular irritation.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia
Clinical narrative: Had moderate/severe knee joint pain (both knees) lasting  24-30 hours. Never had knee pain in my life & can not link it to any previous activities. Symptoms began 35-48 hours after immunization. Took Ibuprofen for a few days (2 tablets / 4-6 hrs).
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Local swelling, Pruritus
Clinical narrative: 5-6 raised quarter-sized areas on back of neck only.  Areas were itchy.  1st noted Sat 11th. No other symtoms noted.  Only tx was topical benadry.  Areas were gone Sun 12th.
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swollen, hot, red 5 1/2 inches by 4 1/2 inches from injection site on 4th day from injection.  TREATMENT:  Benadryl and Mortin.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Joint swelling, Oedema peripheral, Pain, Rash
Clinical narrative: Developed rash from the waist down about 12-16 hours after receiving FluMist.  Also developed swelling in the feet and ankles the following day.  Child was having pain.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Herpes zoster, Hypokinesia, Joint range of motion decreased, Oedema peripheral
Clinical narrative: On 9/10/08 patient had terrible pain down right side of chest and right arm; went to ED and was discharged with "sprained arm" and a splint. Went to family physician the next day and was diagnosed with shingles; was referred to dermatologist for second opinion and diagnosis was confirmed.  Patient placed on Valtrex.  Sts pain and swelling on right elbow was excruciating. States "felt like a huge boil that wouldn't erupt." Unable to bend arm for a few days.  Pain lasted approx. 3 weeks.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: On 9/10/08 patient had terrible pain down right side of chest and right arm; went to ED and was discharged with "sprained arm" and a splint. Went to family physician the next day and was diagnosed with shingles; was referred to dermatologist for second opinion and diagnosis was confirmed.  Patient placed on Valtrex.  Sts pain and swelling on right elbow was excruciating. States "felt like a huge boil that wouldn't erupt." Unable to bend arm for a few days.  Pain lasted approx. 3 weeks.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Apathy, Cyanosis, Decreased appetite, Feeling cold, Pyrexia
Clinical narrative: Vacc. given on 10/06/08 at 8.50 am. Moderate fever started same day after nap at 4.00 pm. 10/07/08 Fever climbed to 40 C on the next morning. Patient declined to eat much. Patient slept 7 hrs during day (instead of 2-3 hrs, although he had slept through  the night.) Called doc. office for advise as patient was  apathetic. Rec: Lower fever. I lowered fever with Ibprophen. 10/08/08 doctors office visit in the morning. Dr. examined child. Dr. said, that fever came to soon after shot. It might have other cause. No other cause was found (ears, throat, lungs, urine). Patient was released. I cont. to lower fever which still was in the 40 C without medication. Patient declined to eat much, was apathetic. 10/09/08 Patient was feeling worse. Whining, drinking but not eating much. Could hardly stay awake. After nap at 4.00 patient was suddenly feeling cold. Body temp droped to 34.8 C. Called office. Nurse said: "You measured wrong!" I said: "His hands and feet and face are kind of blue." On my way to ER at 6.30 pm he recovered suddenly. Started talking. Stared eating little. I didn't check him in although I was staying literally right in front of the hospital. In the late evening and drning the next day his recovery cont. No fever, feeling better.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Somnolence
Clinical narrative: Vacc. given on 10/06/08 at 8.50 am. Moderate fever started same day after nap at 4.00 pm. 10/07/08 Fever climbed to 40 C on the next morning. Patient declined to eat much. Patient slept 7 hrs during day (instead of 2-3 hrs, although he had slept through  the night.) Called doc. office for advise as patient was  apathetic. Rec: Lower fever. I lowered fever with Ibprophen. 10/08/08 doctors office visit in the morning. Dr. examined child. Dr. said, that fever came to soon after shot. It might have other cause. No other cause was found (ears, throat, lungs, urine). Patient was released. I cont. to lower fever which still was in the 40 C without medication. Patient declined to eat much, was apathetic. 10/09/08 Patient was feeling worse. Whining, drinking but not eating much. Could hardly stay awake. After nap at 4.00 patient was suddenly feeling cold. Body temp droped to 34.8 C. Called office. Nurse said: "You measured wrong!" I said: "His hands and feet and face are kind of blue." On my way to ER at 6.30 pm he recovered suddenly. Started talking. Stared eating little. I didn't check him in although I was staying literally right in front of the hospital. In the late evening and drning the next day his recovery cont. No fever, feeling better.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, HEPA, PNC
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Left thigh erythema swelling heat, induration of 8cm in diameter.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Hypersomnia, Vomiting
Clinical narrative: Pt was evaluated for possible reaction to Flu vaccine on 10-20-08 by Dr. His documentation: "There is an area drawn around the original area of erythema which is 2x3 cm. Now redness extends to just above the elbow." Plan of care: "I suspect this is cellulitis. Doubt local reaction but she did have immediate reaction (vomited and slept excessively). Will treat as cellulitis but report as adverse reaction." Per Dr.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Induration, Skin warm, Soft tissue infection
Clinical narrative: 3 days after receiving Tdap vaccine patient reports to student health stating that since she received the Tdap a red circular spot on skin has been spreading across her uppper right arm.  The area was red, har, slightly raised and warm to touch. Doctor assessed area as a Local soft tissue infection. DX. Cellulitis treated with Keflex 500 mg one capsule every 12 hours for 7 days and to apply cool compresses to the area also.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: 3 days after receiving Tdap vaccine patient reports to student health stating that since she received the Tdap a red circular spot on skin has been spreading across her uppper right arm.  The area was red, har, slightly raised and warm to touch. Doctor assessed area as a Local soft tissue infection. DX. Cellulitis treated with Keflex 500 mg one capsule every 12 hours for 7 days and to apply cool compresses to the area also.
Age: 60.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Anxiety, Blister, Chest pain, Condition aggravated, Dizziness
Clinical narrative: Reason for admission: Pt received flu shot 10-18-08 at approximately 0815; came to Emerg Dept on 10-18-08 at 1645 c/o itching and rash, was given diphenhydramine 50mg IM at 1758; returned to Emerg Dept 10-19-08 at 1038 w/complaints of rash all over body and blisters and whelps, was given methylprednisolone 125mg IM and hydroxyzine 50mg IM; Returned 10-20-08 to Emerg Dept w/complaints of CP mid/lt sternal on a scale of 8/10 along with lightheadedness and SOB; reports on admission that he is pain free but rash and blisters are returning. The Pt was admitted due to his hx of CAD, but it is felt he had an anxiety reaction to his continuing circumstances, as his chest pain resolved quickly upon admission without any actual treatment of the chest pain itself. Pt also received diphenhydramine 25 mg IV q 8 x 2, prednisone 20 mg q am and cetirizine 10 mg q am as an inpt.
Age: 60.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Pruritus, Rash, Rash generalised, Urticaria
Clinical narrative: Reason for admission: Pt received flu shot 10-18-08 at approximately 0815; came to Emerg Dept on 10-18-08 at 1645 c/o itching and rash, was given diphenhydramine 50mg IM at 1758; returned to Emerg Dept 10-19-08 at 1038 w/complaints of rash all over body and blisters and whelps, was given methylprednisolone 125mg IM and hydroxyzine 50mg IM; Returned 10-20-08 to Emerg Dept w/complaints of CP mid/lt sternal on a scale of 8/10 along with lightheadedness and SOB; reports on admission that he is pain free but rash and blisters are returning. The Pt was admitted due to his hx of CAD, but it is felt he had an anxiety reaction to his continuing circumstances, as his chest pain resolved quickly upon admission without any actual treatment of the chest pain itself. Pt also received diphenhydramine 25 mg IV q 8 x 2, prednisone 20 mg q am and cetirizine 10 mg q am as an inpt.
Age: 60.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Pruritus, Rash generalised, Urticaria
Clinical narrative: Reason for admission: Pt received flu shot 10-18-08 at approximately 0815; came to Emerg Dept on 10-18-08 at 1645 c/o itching and rash, was given diphenhydramine 50mg IM at 1758; returned to Emerg Dept 10-19-08 at 1038 w/complaints of rash all over body and blisters and whelps, was given methylprednisolone 125mg IM and hydroxyzine 50mg IM; Returned 10-20-08 to Emerg Dept w/complaints of CP mid/lt sternal on a scale of 8/10 along with lightheadedness and SOB; reports on admission that he is pain free but rash and blisters are returning. The Pt was admitted due to his hx of CAD, but it is felt he had an anxiety reaction to his continuing circumstances, as his chest pain resolved quickly upon admission without any actual treatment of the chest pain itself. Pt also received diphenhydramine 25 mg IV q 8 x 2, prednisone 20 mg q am and cetirizine 10 mg q am as an inpt.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Approx 2 hours after vaccine was administered I became very dizzy and sick to my stomache and vomited.  This lasted approx 24hours. Vaccine was administered on Monday October 6, 2008
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus, Rash, Urticaria
Clinical narrative: Pt. complained of fatigue on day of vaccine administration.  The next day, pt. had shortness of breath.  Pt. then began to develop pruritis on entire body and then developed hives on wrists, groin, waist, back, stomach.  Pt. had a reddened rash to face and chest.  Pt. called her MD on 10/17/2008.  Pt. was instructed by MD to take Benadryl and follow-up with an appointment for allergry testing.
Age: 19.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient Recieved vaccines on 10/18/08 at a store flu clinic. On Monday the patient reported that her arm was red and sore to a pharmacy technician. I called her today to see get all of the details and see how she was doing. she said that her right arm from shoulder to elbow was red, sore, warm the touch, and swollen. she said that she has limited range of motion of her arm and that she can't put weight on it. I asked her if she had been to a physician yet and she said NO. She has taken tylenol for the pain but is unable to take an antihistamine because she is allergic to the class. I urged patient to see  physician because she said that it is progressively getting "worse". Patient said she did not want to go to the ER because to expensive and I told her about the  urgent care across the street and they only charge an office visit copay. She said she will try to go there tomorrow.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: The patient stated approximately 1-2 hours after getting the influenza vaccine at our office 10/20/08  8:45 a.m.  Soon after, he began to get hives in the bend of the right arm at the site of a venipuncture he had received earlier that morning. Then his groin, and thigh areas started whelping up with hives and itching along with his hands becoming red and swollen. He was still unable to wear his rings on either hand. No respiratory problems reported. He was seen 10/21/08 in our office for appointment regarding the above symptoms. Patient was given an injection of Kenalog 40mg/ml 1ml IM in his L Dorsogluteal area.  The patient tolerated this well. Patient also given prescription for Atarax 25mg 1 po tid prn itching.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Per patient the reaction started around 8pm. Ithching subsided around 11pm. Swelling was gone when patient awoke the next morning. Rash gone after next day.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Body temperature increased, Diarrhoea
Clinical narrative: Patient had a high temperature for 4 days (101-104 degrees throughout the four days).  He also had had diarrhea.
Age: 11.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: seiler had a high fever of 100- 103 degrees for 4 days. he also had severe diarea
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Eye irritation, Eye pruritus, Eye swelling, Headache
Clinical narrative: Within hours of the flu vaccine I developed a severe headache, burning, red, itchy, swollen eyes, tight feeling in lungs, all over ache.  *I do have problems with allergies, although this seemed worse than usual.   I also have asthma but had been fine all throughout the day.  My husband had been not feeling well over the weekend, as well.   I'm not sure if it was related to the vaccine, but when a friend told me she had a very simliar reaction after receiving the shot I thought I'd report it.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Ocular hyperaemia, Pain
Clinical narrative: Within hours of the flu vaccine I developed a severe headache, burning, red, itchy, swollen eyes, tight feeling in lungs, all over ache.  *I do have problems with allergies, although this seemed worse than usual.   I also have asthma but had been fine all throughout the day.  My husband had been not feeling well over the weekend, as well.   I'm not sure if it was related to the vaccine, but when a friend told me she had a very simliar reaction after receiving the shot I thought I'd report it.
Age: 45.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Swelling face, Tenderness
Clinical narrative: The MMR was given on 9/29/08. On 10/17/08 mild to moderate swelling in front of the left ear down to jaw and into top part of neck. No fever, mild tenderness and itching sensation in swollen areas. No pain in the ear or throat.
Age: 57.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Infection, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: approx. 24 hours after vaccination was given, employee complained of skin hot to touch, red area, tenderness and swelling from site of injection (deltoid) to anitcubital space.  He would be interested to know what he possibly reacted to in the vaccine.  No reaction from the influenza vaccine given in the other arm.
Age: 57.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: approx. 24 hours after vaccination was given, employee complained of skin hot to touch, red area, tenderness and swelling from site of injection (deltoid) to anitcubital space.  He would be interested to know what he possibly reacted to in the vaccine.  No reaction from the influenza vaccine given in the other arm.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site discolouration, Injection site scab, Skin discolouration
Clinical narrative: Patient received two doses of Gardasil at the appropriate intervals on 3/12/08 and 5/14/08. On 9/10/08 she refused the third dose and showed us her right arm. She stated that the vaccine had "bleached her skin white". The patient is darker skinned. Her arm displayed a circular area at what would have been the site of injection that was the size of a quarter and was very light in color, markedly lighter than the surrounding skin. She denied pain at the site. She also stated that the injection site on the opposite arm did not "heal" well and displayed a 1-2 mm scabbed area at what would have been an injection site. This was several months after the injection was given. No treatment was initiated.
Age: 61.0
Sex: M
Vaccine: HEPAB, TDAP, TYP
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: recieved immunes on 10/16/2008. States arms were that sore that day. On 10/18/2008 had sore neck and shoulders. Still has sore neck and shoulders. Will go to PCP tomorrow if neck is not better/worse
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Tachycardia
Clinical narrative: Patient received the first dose of Gardacil at a school vaccination clinic on 3/12/08. She received the second dose on 5/14/08. She claimed she became ill after receiving the second dose and after the Public Health nurse left the school. She stated the school called an ambulance and she was taken to the local health clinic. Patient's mother stated the girl experienced tachycardia, was seen and sent home. Public Health was informed about the above incident on 9/10/08 when we sheduled the third dose which was refused.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysphagia, Dyspnoea, Pharyngeal oedema, Urticaria
Clinical narrative: minor hives, then swelling of airway, trouble swallowing and breathing, 911 was called - ER administered IV Benadryl STAT and then Prednisone orally and Zantac.  IV drip and observation for several hours.  Monitor of heart and several exams of airway and outside of throat. hives were about 3 hrs. after shot airway was about 6 hours after shot
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Throat tightness, Urticaria
Clinical narrative: minor hives, then swelling of airway, trouble swallowing and breathing, 911 was called - ER administered IV Benadryl STAT and then Prednisone orally and Zantac.  IV drip and observation for several hours.  Monitor of heart and several exams of airway and outside of throat. hives were about 3 hrs. after shot airway was about 6 hours after shot
Age: 37.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthma, Condition aggravated
Clinical narrative: Patient had been previously diagnosed with Asthma in January 2008 after returning home from a 15-month deployment where asthma symptoms began. After about one month of treatment, all symptoms ceased and patient ceased to take any medication. Symptoms had been nonrecurrent since February 2008. Within 24 hours of Flumist administration, asthma symptoms returned in full force. Patient says symptoms are identical to the ones he had when they began in 2007.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dark circles under eyes, Eye pruritus, Eye swelling
Clinical narrative: Several hours after flu shot, began to have severe coughing and itching, rash.  Then tongue became swollen.  Went to doctor who ordered antihistamine, aderol, flonaise, prednisone.  Several hours later had chills, fever of 100.7 and nausea.  Next day symptoms improved but also had swelling under eyes causing dark circles and itchiness.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Rash pruritic, Swollen tongue
Clinical narrative: Several hours after flu shot, began to have severe coughing and itching, rash.  Then tongue became swollen.  Went to doctor who ordered antihistamine, aderol, flonaise, prednisone.  Several hours later had chills, fever of 100.7 and nausea.  Next day symptoms improved but also had swelling under eyes causing dark circles and itchiness.
Sex: U
Vaccine: PPV
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: RECEIVED SHOT AROUND 1430 IN THE AFTERNOON OF 10/20/2008....STARTING INCHING AROUND 2030-2100 THAT NIGHT...WHEN I REMOVED MY CLOTHES, I NOTICE HIVES ON LEGS , ARMS & STOMACH..
Sex: U
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pyrexia, Swelling face, Tremor
Clinical narrative: Patient returns to clinic 10/21/2008 reports that shortly after influenza vaccine on 10/19/2008 had fever, swelling of face and shaking with the fever and shaking stopping and that the swelling of the face remains and sore throat - very scant swelling of bilateral eyebrow area - airway open- no respiratory distress - throat without redness, swelling, odor, exudate or post nasal drip and without visable tonsils. Cervical lymph chain without lymphadenopathy or tenderness to palpation. Referred to urgent care with instructions of need to be seen tonight and to list influenza vaccine as allergy with patient verbalizing understanding to all instruction
Age: 1.58
Sex: M
Vaccine: HIBV
Symptoms: Anorexia, Cough, Diarrhoea, Erythema, Pyrexia
Clinical narrative: Same day - no rxn. Day 1 - temp 101-102, Day 2 - Temp 101-102/anorexia/diarrhea, Infant Tylenol was given as directed on package.  Day 3 - Same as day 2 and misses school, Infant Tylenol given. Day 4 - Temp normalized/anorexia/diarrhea, Day 5 - Same as day 4 plus erythematous cheeks, Day 6 - began eating again/diarrhea/non-palpable rash on chest neck and stomach/red streaks appear under diaper area that look like scratches but out of reachable area of child, Day 7 - same as day 6, Day 10 - symptoms gradually resolved by this time.  Patient did not present to clinic until day 14 at which time these symptoms had resolved.  He now has a runny nose and a mild cough.  Full physical exam was done and was all normal.
Age: 1.58
Sex: M
Vaccine: HIBV
Symptoms: Rash, Rhinorrhoea
Clinical narrative: Same day - no rxn. Day 1 - temp 101-102, Day 2 - Temp 101-102/anorexia/diarrhea, Infant Tylenol was given as directed on package.  Day 3 - Same as day 2 and misses school, Infant Tylenol given. Day 4 - Temp normalized/anorexia/diarrhea, Day 5 - Same as day 4 plus erythematous cheeks, Day 6 - began eating again/diarrhea/non-palpable rash on chest neck and stomach/red streaks appear under diaper area that look like scratches but out of reachable area of child, Day 7 - same as day 6, Day 10 - symptoms gradually resolved by this time.  Patient did not present to clinic until day 14 at which time these symptoms had resolved.  He now has a runny nose and a mild cough.  Full physical exam was done and was all normal.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal mass, Abdominal pain, Aspartate aminotransferase increased, Barium enema, Blood bilirubin normal
Clinical narrative: A serious, post-marketed study report of intussusception and viral syndrome was received from a study investigator concerning a 31-month-old male (PID 27395430), who is enrolled in the MI-MA162 study. On the day of FLUMIST vaccination, "cough and nasal congestion x two weeks-resolving" and eczema on the toe and finger were noted. No concomitant medications have been reported. The subject received FLUMIST on 08-Jan-2008. On the same day of receipt of FLUMIST, the subject complained of abdominal pain. The subject was seen at a clinic and abdominal pain was assessed as benign and possible constipation. There was no report of fever, vomiting or diarrhea. The following day the subject was seen in the emergency room due to persistent vomiting. Intravenous hydration was done, subject became stable and was discharged home. On 10-Jan-2008, the subject was seen back in the emergency room due to persistent abdominal pain and vomiting "green color" fluid and was subsequently admitted to the hospital. The subject pointed to his right side as the site of abdominal pain and stated having the pain every 30-45 minutes. The subject's weight was noted to have gone down from 35lbs on 08-Jan-2008 to 33 lbs on 10-Jan-2008. At the time of exam, the abdomen was noted to be soft with decreased bowel sounds and mid-right side palpable mass. A KUB (kidney, ureter, bladder) xray showed opacification on the right mid area consistent with intussusception. Other laboratory findings included white blood count = 15.7; hgb = 13.6; platelet count = 469; neutrophils = 80; lymphocytes = 17; urine ketones = 40; bilirubin, total = 0.1 and aspartate aminotransferase = 68. The subject underwent an attempted reduction by barium enema but was unable to reduce the intussusception. The subject was then transferred to the operating room and underwent surgical reduction of intussusception without bowel resection. Following operative reduction of his intussusception, the subject developed a short episode of post-operative pain and low grade fever of 101.9 degrees Fahrenheit which was felt to be consistent with a viral prodrome and as such resolved spontaneously without antibiotics or further invasive therapy. The subject made a generally uncomplicated recovery and was discharged on 13-Jan-2008. The events were considered resolved on 15-Jan-2008. The study investigator assessed the severity of the events as moderate and provided a causality assessment of possibly related for the events of intussusception and viral syndrome. Follow-up information received on 27-Aug-2009 clarified the onset date of the events to meet serious criteria as 10-Jan-2008.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Diarrhoea, Enema administration, Gastrointestinal sounds abnormal, Haemoglobin normal, Intussusception
Clinical narrative: A serious, post-marketed study report of intussusception and viral syndrome was received from a study investigator concerning a 31-month-old male (PID 27395430), who is enrolled in the MI-MA162 study. On the day of FLUMIST vaccination, "cough and nasal congestion x two weeks-resolving" and eczema on the toe and finger were noted. No concomitant medications have been reported. The subject received FLUMIST on 08-Jan-2008. On the same day of receipt of FLUMIST, the subject complained of abdominal pain. The subject was seen at a clinic and abdominal pain was assessed as benign and possible constipation. There was no report of fever, vomiting or diarrhea. The following day the subject was seen in the emergency room due to persistent vomiting. Intravenous hydration was done, subject became stable and was discharged home. On 10-Jan-2008, the subject was seen back in the emergency room due to persistent abdominal pain and vomiting "green color" fluid and was subsequently admitted to the hospital. The subject pointed to his right side as the site of abdominal pain and stated having the pain every 30-45 minutes. The subject's weight was noted to have gone down from 35lbs on 08-Jan-2008 to 33 lbs on 10-Jan-2008. At the time of exam, the abdomen was noted to be soft with decreased bowel sounds and mid-right side palpable mass. A KUB (kidney, ureter, bladder) xray showed opacification on the right mid area consistent with intussusception. Other laboratory findings included white blood count = 15.7; hgb = 13.6; platelet count = 469; neutrophils = 80; lymphocytes = 17; urine ketones = 40; bilirubin, total = 0.1 and aspartate aminotransferase = 68. The subject underwent an attempted reduction by barium enema but was unable to reduce the intussusception. The subject was then transferred to the operating room and underwent surgical reduction of intussusception without bowel resection. Following operative reduction of his intussusception, the subject developed a short episode of post-operative pain and low grade fever of 101.9 degrees Fahrenheit which was felt to be consistent with a viral prodrome and as such resolved spontaneously without antibiotics or further invasive therapy. The subject made a generally uncomplicated recovery and was discharged on 13-Jan-2008. The events were considered resolved on 15-Jan-2008. The study investigator assessed the severity of the events as moderate and provided a causality assessment of possibly related for the events of intussusception and viral syndrome. Follow-up information received on 27-Aug-2009 clarified the onset date of the events to meet serious criteria as 10-Jan-2008.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Lymphocyte count, Neutrophil percentage increased, Platelet count increased, Pyrexia, Surgery
Clinical narrative: A serious, post-marketed study report of intussusception and viral syndrome was received from a study investigator concerning a 31-month-old male (PID 27395430), who is enrolled in the MI-MA162 study. On the day of FLUMIST vaccination, "cough and nasal congestion x two weeks-resolving" and eczema on the toe and finger were noted. No concomitant medications have been reported. The subject received FLUMIST on 08-Jan-2008. On the same day of receipt of FLUMIST, the subject complained of abdominal pain. The subject was seen at a clinic and abdominal pain was assessed as benign and possible constipation. There was no report of fever, vomiting or diarrhea. The following day the subject was seen in the emergency room due to persistent vomiting. Intravenous hydration was done, subject became stable and was discharged home. On 10-Jan-2008, the subject was seen back in the emergency room due to persistent abdominal pain and vomiting "green color" fluid and was subsequently admitted to the hospital. The subject pointed to his right side as the site of abdominal pain and stated having the pain every 30-45 minutes. The subject's weight was noted to have gone down from 35lbs on 08-Jan-2008 to 33 lbs on 10-Jan-2008. At the time of exam, the abdomen was noted to be soft with decreased bowel sounds and mid-right side palpable mass. A KUB (kidney, ureter, bladder) xray showed opacification on the right mid area consistent with intussusception. Other laboratory findings included white blood count = 15.7; hgb = 13.6; platelet count = 469; neutrophils = 80; lymphocytes = 17; urine ketones = 40; bilirubin, total = 0.1 and aspartate aminotransferase = 68. The subject underwent an attempted reduction by barium enema but was unable to reduce the intussusception. The subject was then transferred to the operating room and underwent surgical reduction of intussusception without bowel resection. Following operative reduction of his intussusception, the subject developed a short episode of post-operative pain and low grade fever of 101.9 degrees Fahrenheit which was felt to be consistent with a viral prodrome and as such resolved spontaneously without antibiotics or further invasive therapy. The subject made a generally uncomplicated recovery and was discharged on 13-Jan-2008. The events were considered resolved on 15-Jan-2008. The study investigator assessed the severity of the events as moderate and provided a causality assessment of possibly related for the events of intussusception and viral syndrome. Follow-up information received on 27-Aug-2009 clarified the onset date of the events to meet serious criteria as 10-Jan-2008.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Urinary system X-ray, Urine ketone body present, Viral infection, Vomiting, Weight decreased
Clinical narrative: A serious, post-marketed study report of intussusception and viral syndrome was received from a study investigator concerning a 31-month-old male (PID 27395430), who is enrolled in the MI-MA162 study. On the day of FLUMIST vaccination, "cough and nasal congestion x two weeks-resolving" and eczema on the toe and finger were noted. No concomitant medications have been reported. The subject received FLUMIST on 08-Jan-2008. On the same day of receipt of FLUMIST, the subject complained of abdominal pain. The subject was seen at a clinic and abdominal pain was assessed as benign and possible constipation. There was no report of fever, vomiting or diarrhea. The following day the subject was seen in the emergency room due to persistent vomiting. Intravenous hydration was done, subject became stable and was discharged home. On 10-Jan-2008, the subject was seen back in the emergency room due to persistent abdominal pain and vomiting "green color" fluid and was subsequently admitted to the hospital. The subject pointed to his right side as the site of abdominal pain and stated having the pain every 30-45 minutes. The subject's weight was noted to have gone down from 35lbs on 08-Jan-2008 to 33 lbs on 10-Jan-2008. At the time of exam, the abdomen was noted to be soft with decreased bowel sounds and mid-right side palpable mass. A KUB (kidney, ureter, bladder) xray showed opacification on the right mid area consistent with intussusception. Other laboratory findings included white blood count = 15.7; hgb = 13.6; platelet count = 469; neutrophils = 80; lymphocytes = 17; urine ketones = 40; bilirubin, total = 0.1 and aspartate aminotransferase = 68. The subject underwent an attempted reduction by barium enema but was unable to reduce the intussusception. The subject was then transferred to the operating room and underwent surgical reduction of intussusception without bowel resection. Following operative reduction of his intussusception, the subject developed a short episode of post-operative pain and low grade fever of 101.9 degrees Fahrenheit which was felt to be consistent with a viral prodrome and as such resolved spontaneously without antibiotics or further invasive therapy. The subject made a generally uncomplicated recovery and was discharged on 13-Jan-2008. The events were considered resolved on 15-Jan-2008. The study investigator assessed the severity of the events as moderate and provided a causality assessment of possibly related for the events of intussusception and viral syndrome. Follow-up information received on 27-Aug-2009 clarified the onset date of the events to meet serious criteria as 10-Jan-2008.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: White blood cell count increased
Clinical narrative: A serious, post-marketed study report of intussusception and viral syndrome was received from a study investigator concerning a 31-month-old male (PID 27395430), who is enrolled in the MI-MA162 study. On the day of FLUMIST vaccination, "cough and nasal congestion x two weeks-resolving" and eczema on the toe and finger were noted. No concomitant medications have been reported. The subject received FLUMIST on 08-Jan-2008. On the same day of receipt of FLUMIST, the subject complained of abdominal pain. The subject was seen at a clinic and abdominal pain was assessed as benign and possible constipation. There was no report of fever, vomiting or diarrhea. The following day the subject was seen in the emergency room due to persistent vomiting. Intravenous hydration was done, subject became stable and was discharged home. On 10-Jan-2008, the subject was seen back in the emergency room due to persistent abdominal pain and vomiting "green color" fluid and was subsequently admitted to the hospital. The subject pointed to his right side as the site of abdominal pain and stated having the pain every 30-45 minutes. The subject's weight was noted to have gone down from 35lbs on 08-Jan-2008 to 33 lbs on 10-Jan-2008. At the time of exam, the abdomen was noted to be soft with decreased bowel sounds and mid-right side palpable mass. A KUB (kidney, ureter, bladder) xray showed opacification on the right mid area consistent with intussusception. Other laboratory findings included white blood count = 15.7; hgb = 13.6; platelet count = 469; neutrophils = 80; lymphocytes = 17; urine ketones = 40; bilirubin, total = 0.1 and aspartate aminotransferase = 68. The subject underwent an attempted reduction by barium enema but was unable to reduce the intussusception. The subject was then transferred to the operating room and underwent surgical reduction of intussusception without bowel resection. Following operative reduction of his intussusception, the subject developed a short episode of post-operative pain and low grade fever of 101.9 degrees Fahrenheit which was felt to be consistent with a viral prodrome and as such resolved spontaneously without antibiotics or further invasive therapy. The subject made a generally uncomplicated recovery and was discharged on 13-Jan-2008. The events were considered resolved on 15-Jan-2008. The study investigator assessed the severity of the events as moderate and provided a causality assessment of possibly related for the events of intussusception and viral syndrome. Follow-up information received on 27-Aug-2009 clarified the onset date of the events to meet serious criteria as 10-Jan-2008.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUN3, HEPA, IPV, MMR
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Dyspnoea, Fluid intake reduced
Clinical narrative: A serious event of pneumonia was reported by a Study Investigator concerning a four-year-old male subject (Pat ID# 42458400) enrolled in a post-marketed study MI-MA162.  Medical history included cough and congestion with intermittent fever for three weeks.  Concomitant vaccinations included DTaP, IPV, MMR and Hep A and were received on the same day FLUMIST was received.  The subject received FLUMIST on 29-Nov-2007.  The subject had been feeling better for a few days after his vaccinations on 29-Nov-2007, he then developed a fever of 104 degrees Fahrenheit, was vomiting and taking only sips of fluid.  On 04-Dec-2007 the subject was seen by his primary physician and diagnosed with pneumonia after a chest x-ray showed a right middle lobe infiltrate.  He was prescribed amoxicillin and sent home.  The subject's condition did not improve with continued cough, occasional post-tussive emesis, fever and worsened breathing.  He was admitted to the hospital on 06-Dec-2007 with a oxygen saturation of 91% on room air and a respiratory rate of 55.  The subject was treated with intravenous fluids, ceftriaxone, albuterol nebulizers and supplemental oxygen.  A NP swab done 05-Dec-2007 was positive for RSV. On 08-Dec-2007 the subject was discharged from the hospital and per the father he was reported as doing "fine" with an occasional cough.  The pneumonia was considered resolved on 08-Dec-2007.  No additional doses of FLUMIST were received.  The Study Investigator considered the event of pneumonia as possibly related to study drug.