chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Urine analysis
Clinical narrative: Unexplained bruising lower extremity (09/03). 11/03 persistent non-productive cough; occasional dizziness post cough. Feeling of abdominal fullness/anorexia; and non-developed dyspnea on exertion. Pre-syncopal feeling; chest pain; lower extremity edema 12/1/03. 12/3/03 admitted. Echo done ( I don't have results). Elevated liver enzymes by report early in course. Hospitalized 12/3-5/03. The follow up received on 12/10/03 states pleural effusion, perimyocarditis, and hx of nephrolitiasis. The follow up received on 1/13/04 states it is agreed tha this man did not receive a SP immunization in 8/03 as there is no documentation for it. Late date for which an immunization was recorded is 11/2/02 flu. No record can be found of this vaccine we are unsure as to whether he received this immunization.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Agitation, Dysphonia, Haemangioma, Pruritus, Tachypnoea
Clinical narrative: About 5-10 minutes after getting DTaP, IPV, and MMR, child developed hives, nasal itching; also some hemangioma. Admitted and given Benadryl, Solumedrol, and IV fluid. Discharge summary states hoarse, agitated, tachnipnic. msv
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: About 5-10 minutes after getting DTaP, IPV, and MMR, child developed hives, nasal itching; also some hemangioma. Admitted and given Benadryl, Solumedrol, and IV fluid. Discharge summary states hoarse, agitated, tachnipnic. msv
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Cellulitis, Diarrhoea, Injection site erythema, Injection site pain
Clinical narrative: Pt developed raised red warm area 6cm diameter at injection site very painful. Also c/o fever to 102.5, diarrhea, vomiting, arthralgias, myalgia. Discharge summary states cellulitis. msv
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Myalgia, Pyrexia, Vomiting
Clinical narrative: Pt developed raised red warm area 6cm diameter at injection site very painful. Also c/o fever to 102.5, diarrhea, vomiting, arthralgias, myalgia. Discharge summary states cellulitis. msv
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Pt developed raised red warm area 6cm diameter at injection site very painful. Also c/o fever to 102.5, diarrhea, vomiting, arthralgias, myalgia. Discharge summary states cellulitis. msv
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Vaccinated 11/23/03 at SRP military clinic. 2 days ago (12/2/03) first noted few lesions on shoulder. Then 1 day ago noted crossed shoulders. Today on back and chest. Denies fever, muscle aches.
Age: 56.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, left arm pain, left leg pain.
Age: 82.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Fever, redness left arm.
Age: 1.08
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea
Clinical narrative: Mother reports very loose stools after both influenza #1 and #2 doses, resolved 4-5 days. No symptoms to suggest gastroenteritis.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Nausea, Oedema, Pyrexia, Urticaria
Clinical narrative: Nausea began on 7th; 8th nausea, vomiting, fever 101-102 degrees all day; 9th fever broke about 3 PM. Red welt continued to grow in size from approx 3" to 4 1/2-6 1/2". Patient to MD on 11/10/03.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Nausea began on 7th; 8th nausea, vomiting, fever 101-102 degrees all day; 9th fever broke about 3 PM. Red welt continued to grow in size from approx 3" to 4 1/2-6 1/2". Patient to MD on 11/10/03.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Sinus bradycardia
Clinical narrative: Pt was given influenza vaccine. He denied any allergies to eggs, Thimerosol, or any other contraindications. 5 minutes after he returned to me, stated he wasn't feeling well. He lay down on the floor. Blood pressure was 90/60, HR 50. 911 was called. Epinephrine 0.3cc 1:1000 given SW into abdominal wall. Paramedics arrived and pt was monitoring sinus bradycardia. He was able to stand. He was transported to the hospital for observation.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Oedema, Pain, Pyrexia
Clinical narrative: Fever, body aches, swelling, cough. [Much of Box 7 is too faint to read]
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Soreness in deltoid muscle where injection was administered, up to 2 weeks following administration. Denies redness or swelling at site. No fever or other signs of infection or nerve problem. Recommended to see physician.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Oedema peripheral, Pain
Clinical narrative: Achy, swelling in knees and fingers.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration, Injection site oedema, Oedema, Pain
Clinical narrative: Upper arm tenderness, extreme swelling from shoulder to elbow, bright redness of swollen area; swelling has reduced but needle site remains hard and swollen yet, about the size of a half dollar.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Returned to MD office 11/28/03. Left arm presenting large red circular area over flu shot injection site very itchy.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Significant pain in arm starting within 3 hours of injection gradually making arm unusable. Some bruising at injection site, was becoming better by Tuesday, 11/11/03. Then Wed (11/12) started becoming worse again until Friday (11/14) saw doctor. Doctor prescribed Vioxx 25 mg and pt says she has improved to where there is only small amount of pain when she moves arm a certain way.
Age: 75.0
Sex: M
Vaccine: FLUX
Symptoms: Dermatitis, Injection site oedema, Pruritus, Skin burning sensation
Clinical narrative: Severe dermatitis. "Broke out with red bumps from shoulder to elbow. Had itching, swelling and burning at site of injection and from shoulder to elbow of left arm". MD gave him salve that helped reducee itching, swelling and burning.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Sore arm, shoulder and neck with limited arm movement.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Pyrexia, Syncope
Clinical narrative: Near syncopal episode after vaccine (about 5-10 seconds). Blood pressure normal. Responded to all questions and able to converse with MD. Pulse initially 60/minute up to 80/minute. T 97.9. Received epinephrine SC 0.3ml.
Age: 6.0
Sex: F
Vaccine: HIBV
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Pt left office, was visiting dad in hospital, and "passed out", maybe seizure like activity. Then acted fine. No problems, not disoriented.
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Rhinorrhoea
Clinical narrative: Itching all over; runny nose. Doctor gave me Prednisone 20mg.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed large, itchy raised hives in trunk, legs, arms approx 8-9 hours after receiving vaccine. Partially relieved by Benadryl 25 PO every 6 hours. Hives continue to persist and have exacerbated 48 hours after flu vaccine administration.
Age: 49.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Palpitations
Clinical narrative: 2 days after immunization, pt experienced palpitations intermittently. Saw physician assistant 1 time, then MD again 11/8. Rx'd atenolol. P 100, BP 190+/100 when she checked during episodes. Peak of symptoms on 11/8, no episodes today.
Age: 1.0
Sex: U
Vaccine: FLU3, MMR, VARCEL
Symptoms: Feeling hot, Pyrexia
Clinical narrative: Mother states she recognized fever around 10:00 PM, gave Tylenol at this time. Child felt hot temp 102, proceeded to ER. Temp checked 2:00 AM at 104.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling cold, Pulmonary function test decreased, Rhinorrhoea
Clinical narrative: Nose was slight sniffles pre-vaccine, now running flood gate! Lungs tight. Used 3 doses of Albuterol which he hasn't had to use in a long time. Called back same day. Cold symptoms seen exacerbated although resp symptoms lowered and are improved.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Received call from pt 10/28/03 08:00: reports miserable night. Extreme pain in leg, hard to bear weight, nausea and emesis. Did report going home and gardening till early evening when felt increased pain. Took narcotic pain reliever which she uses for other health problems. Had emesis and increased pain through night and next 2 days off work.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Pt sent a note to PHN, dated 10/27/03, outlining swelling, redness and soreness across entire back of her arm to the elbow. By 4th day it had subsided to soreness and itching. By 6th day, still sore and less itching. Note sent.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Headache, Pyrexia, Tremor, Vomiting
Clinical narrative: Fever, shakes, dizziness, vomiting and headaches. Started 1 day after vaccinated.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash pruritic
Clinical narrative: 10/31/03: Received Flu and pneumo in afternoon and by that evening developed itchy rash on back, arms and stomach. Reports rash and itchiness have decreased but still present today 11/3/03. Reports she has not had any previous reactions to annual flu or pneumo given in 1997. Referred to PMD.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Fatigue, Feeling hot
Clinical narrative: Pt had a 4 1/2 cm wide x 5 cm long circle area of deep redness and warmth. No pain or itching. Fatigue symptoms for short duration.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pain
Clinical narrative: Pt called health dept c/o redness and soreness at injection site of pneumonia vaccine. Reports red and sore 10/28/03 but increased soreness reported on 10/29/03. Advised pt to contact PCP if symptoms worsened.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Vaccine received 4 PM 11/17/03; pt stated within 4-5 hours vaccination site red and swollen, hot to touch, c/o severe pain and discomfort in upper arm 11/18/03. Took Ibuprofen. 11/19/03 came to local HD, right arm and area of redness, swelling and warmth from antecubital area upward approx 3 inches in inner arm.
Age: 32.0
Sex: M
Vaccine: ANTH, HIBV
Symptoms: Headache, Injection site erythema, Injection site oedema, Pain
Clinical narrative: A 32 y/o male was seen at hospital on 11/16/2003. Anthrax adverse reaction. Date of onset: 11/13/03. Localized erythema and edema involving the subcutaneous tissue of the left posterior arm. Pain and tenderness extended to the shoulder, elbow and fingertips. Strength and sensation noted within normal limits upon exam. Motor skills are intact. Labs: none. Global headache.
Age: 35.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Headache, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: A 35 year old male was seen on 11/16/2003.  Clinical information: Vaccine Related Adverse Event, specifically Anthrax.  Date of Onset: 11/13/2003.  Symptoms: Localized erythema and edema involving the SC tissue of left posterior arm. Labs: none.  Local Reaction: Injection site erythema, 1-5cm (dia) or mild tenderness within 24 hours.  Systemic Reaction: Global headache within 24 hours.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Angioneurotic oedema, Pruritus, Speech disorder, Throat tightness
Clinical narrative: Vaccine administered at 10:55.  Patient presented with symptoms at approximately 11:20.  Complained of throat closing, tightness, angioedema, difficulty speaking, itching all over. The medical records states anaphylaxis.
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy, Speech disorder
Clinical narrative: "Bells Palsy"-6 hours after receiving (diagnosis MD).  Paralysis right side of face, right lip/right eye.  Affected speech - not clear.  Stays open (right eye) using gtts-ing over the counter.  History of Bells Palsy 25 years ago.  Telephone contact made 11/24/2003 by PHN: Patient first noticed the paralysis of the right side of his face in the morning of 11/21/2003.  He could not close his right eyelid and the right side of his mouth was paralyzed; his speech was "not clear".  He used over the counter eye drops until he could talk to his opthalmologist.  He was seen at the hospital ER on 11/21/2003 and was diagnosed as Bells Palsy.  Patient stated that he had Bells Palsy approximately 25 years ago.  He has had flu shots every year without any problems.  12/01/2003: Follow-up telephone call made by the Clinic Supervisor.  Patient stated he was seeing slight improvement in his speech and had no obvious signs of paralysis in his face.  His eyelid continued to not close.  He had received prescription eye drops that were helping him.  Patient was given the supervisor's name and phone number for future contact as needed.  He was instructed to discuss receiving future flu shots with his private MD.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Hypersensitivity, Injection site pain, Peripheral coldness, Sensation of heaviness
Clinical narrative: Severe pain at site and heaviness of arm.  Pain up to shoulder.  Fingers got cold for a short time.  Pain was severe enough that she was seen in clinic.  Also saw physician.  Diagnosis: Reaction to PPD.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Constipation, Diarrhoea, Pain, Pyrexia
Clinical narrative: Within 2 days, I felt feverish, chills, constipation, then diarrhea, every bone in my body hurt, mucus, after 2 days of this, went to bed and stayed there except for trips to bathroom and to get meds.  Doubled up on Aleve, took Tylenol, used vicks, have a humidifier and cool mist vaporizor.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Rhinorrhoea
Clinical narrative: Within 2 days, I felt feverish, chills, constipation, then diarrhea, every bone in my body hurt, mucus, after 2 days of this, went to bed and stayed there except for trips to bathroom and to get meds.  Doubled up on Aleve, took Tylenol, used vicks, have a humidifier and cool mist vaporizor.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pain
Clinical narrative: Rashes started 11/23/03 aching behind the eye.  Went to see PMD.  Not continuable Benadryl for reaction from flu shot, 3 tab day.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Employee received flu vaccination (2nd in her life time) 10/28/2003 about 11:30.  By 5 or 6 pm that same day, employee noted redness and swelling at site of injection.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Received flu shot 10/28/2003.  Changed cloths 10/29/2003 and noted red hot area where flu shot had been given.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Flu shot 10/27.  On 10/29 rash on back.  Took Benadryl cleared up went away.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site oedema
Clinical narrative: Flu shot given, RN pulled back-no blood return in syringe.  After shot, immediate bruising and swelling.  No other side effects.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Platelet count increased, Thrombocytopenic purpura
Clinical narrative: Pt received influenza vaccine on 11/12/2003.  On 11/24/2003, patient developed idiopathic thrombocytopenic purpura with a platelet count of 3,000.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema
Clinical narrative: Had DTAP on 10/22/2003.  Right arm redness in 24 hours as shown in picture.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, PNC
Symptoms: Bronchitis, Otitis media, Pyrexia, Somnolence, Vomiting
Clinical narrative: Vomiting, temperature 102, drowsy for 3-4 days beginning 11/22/2003.  Seen 12/03/2003 for bronchitis and ruptured left tympanic membrane.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Skin ulcer
Clinical narrative: Patient complained of recurring pruritic erythematous lesion at right arm inoculation site-resolved in 1-2 days.  Has recurred several times since 08/25 immunization.  Asymptomatic today.
Age: 53.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Difficulty in walking, Disorientation, Fatigue, Laboratory test abnormal
Clinical narrative: 11/2000-Burning bottom of foot.  Extreme fatigue, severe joint/muscle pain, stiffness, difficulty walking and going upstairs.  Sometimes have to crawl up stairs, forgetfulness, disorientation, blurry vision, shin splints, burning sensation-hand.  When on floor I have to crawl to furniture to get up.
Age: 53.0
Sex: F
Vaccine: LYME
Symptoms: Memory impairment, Musculoskeletal stiffness, Myalgia, Skin burning sensation, Vision blurred
Clinical narrative: 11/2000-Burning bottom of foot.  Extreme fatigue, severe joint/muscle pain, stiffness, difficulty walking and going upstairs.  Sometimes have to crawl up stairs, forgetfulness, disorientation, blurry vision, shin splints, burning sensation-hand.  When on floor I have to crawl to furniture to get up.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 2 month old infant received 2 month immunizations on 12/02/2003.  Mother reports fever the evening of shots and 1 day later a rash on left and right thighs were shots were given.  No edema or redness reported.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Hyperaemia, Injection site oedema
Clinical narrative: Swelling, hyperemia, warmth, left upper arm.
Age: 4.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Viral infection
Clinical narrative: Diagnosed with varicella 11/20/2003- was vaccinated 05/11/2000 vaccine failure.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Rash
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: PPules and vesicular face, scalp, arms, back.  Father had shingles 3 weeks ago.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Patient fell, went to ER for evaluation, was given tetanus booster in ER, next day developed redness, pain, swelling in right arm at site of injection.  NO fever, area of redness, induration about 10 cm diameter.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Pyrexia, Rash vesicular, Rhinorrhoea, Vomiting
Clinical narrative: Vomiting 3 days prior with cough, runny nose, low grade temperature about 100.  Vesicles on face, trunk and spreading (+) exposure to varicella 2 weeks ago at school  Began Acyclovir for 5 days. (10.3 y)
Age: 0.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema, Rash macular, Urticaria
Clinical narrative: Mom says blotches on arms, stomach, face, big red swollen and white welts in center (hives diagnosed by MD).
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Local redness and itching distal to site.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Right thigh with 12 cm diameter area of erythema/induration/warmth.  No apparent tenderness from ER chart on 11/08/2003.  (day after DTAP given in that thigh).  Patient put on Keflex for possible infection.  Patient seen by me 11/10/2003; still redness 19 cmx 17 cm of thigh, some resolved, no tenderness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Rash
Clinical narrative: Welt on left thigh with swelling-right thigh with swelling and rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Hives and local reaction-redness and swelling.
Age: 25.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Itchy, red, rash with confluent raised area hive-like and hives area.  Claritin reditab; Hydrocortisone cream; Aveeno baths; Atarax 25mg hs.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Left thigh with 1.5x1cm redness, extreme leg soreness (cried with light touch to leg).
Age: 2.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration around injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Swelling, redness, induration, warmth right arm.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Rash papular, Skin ulcer
Clinical narrative: Rash papular erythematous lesion 2-3 mm (about 4 lesions) on left thigh 11/4/03.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site warmth, Irritability, Pyrexia
Clinical narrative: Given DTaP3/Hib3/Prevnar 3 immunizations on 12/1/03 12:15 PM. Very fussy starting at 2 hours. After shots noticed dime size red/hot to touch area on right thigh last night - quarter size today. T 100 R.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dry skin, Rash, Rash erythematous
Clinical narrative: On 9/23/03 pt's mother stopped in nurse's office and said that her son had immunizations done 8/18/03 and then developed a rash on 8/28/03 on his trunk. It has extended to his legs and arms the past few days. She said the rash on chest and back is less reddened now. I examined his rash and it was slightly raised, red, and scattered on arms, legs and chest and back (1-2 mm in size). Appears like text book picture of measles. Mother states child has not been sick or complained of pruritis. 9/24/03: Call to state Dept of Health Immunization Program staff and they recommended I call National Immunization hotline since the rash usually occurs in 7-10 days and this rash is still occurring over a month later. 9/24/03: Call to National Immunizations Hotline and was told a rash can occur up to one month after the immunization but that is rare. Recommended see physician. 9/23/03: Mother took pt to his pediatrician, and she did CBC, platelets, urinalysis. All tests were reported "normal." The doctor recommended child be seen by a dermatologist. On 9/24/03, the dermatologist said it looked like dry skin and recommended vaseline and triamcionolone ointment daily after bath times 5 days. 9/25/03: I called Merck to discuss above and they said such a reaction was unusual and requested I complete an adverse reaction sheet. 10/16/03: I called mother. She said the rash on pt's back and chest is gone but he still has it on his legs. It is fading. Has a few scabs on waist line and ankle. She did not follow-up with the dermatologist as she really did not believe the rash was due to dry skin. The vaseline and triamcinolone ointment "made no difference in the rash," stated the mother. I explained to her that I would complete an adverse reaction report for health dept and for manufacturer. She was receptive to that. She took pictures of Bobby's rash and will bring me a picture of it to send in with the report. (copy of photos attached)
Age: 1.08
Sex: M
Vaccine: HEP, IPV, MMR, PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Fever, fussiness 11/1/03 to 11/3/03. Rash 11/3/03. Sx all subsided 11/6/03.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Feeling cold, Hot flush, Injection site erythema
Clinical narrative: Received shot Tues PM at 1:30. Began having hot flashes and cold flashes which stopped around 5:30 after a couple of Bufferin Immediate Release, heart rate began. Took Blemeds around 6 PM. Had pt on same arm as injection that day. Fluid and redness around injection area. Started on antibiotics and redness is better.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Had Varivax 4/23/96. Had mild case of chicken pox diagnosed 10/30/03.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: High pitched cry for 24 hours. Fever 101 after DTaP #2 (suspect pertussis vaccine).
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash macular
Clinical narrative: In ER 10/26/03 2:10 PM (99.9 (TM) 138 24). Fever, rash over torso for 24 hours (macular-not vesicular). Also macule at site of MMR injection left thigh.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Angioneurotic oedema, Erythema, Pruritus, Skin burning sensation
Clinical narrative: Approx 7 days after vaccine given, developed angioedema, deep itching and burning in hands and feet, reddening behind ears and other areas with intense itching. Has been on Zantec and Benadryl for 6 weeks. When stops Rx, symptoms return. Less severe now.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Face oedema, Oedema peripheral
Clinical narrative: Received MMR yesterday at 11:30 AM. C/o swelling in legs (not abnormal because on disability) around 2 PM. C/o arms and hands and face swelling around 5:30 AM to 11 AM gone down about 1/2. Has not taken Benadryl. Has appt with MD at 1 PM. Advised to call back if any further reactions. She was given a steroid shot as well as Benadryl. Pt stated that the swelling has subsided and she is better. No further action taken.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Whelping rash to hands, arms, chest, back, legs. Itching to face. Rash present before injection. Symptoms occurred within one hour post injection. To ER. Given Benadryl 12.5/5cc tsp qid for 5 days. (History received from Nurse Practitioner and ER record)
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Mother noticed a red blotchy rash on trunk on 12/1/03. Today (12/2/03) it had spread to the arms and legs.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Per ER report 11/15/03 12:24, right arm red swollen for 4 days post tetanus shot. Benadryl for itching, Keflex as directed.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Left arm with 4cm erythematous and warm area with exudate or induration.  Left arm cellulitis.  Keflex 500mg 1 per mouth twice a day and Ibuprofen 600mg 1 per mouth twice a day.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Rash macular
Clinical narrative: Blotchy, erythematous patches over scalp and trunk.  Began about 5 minutes after shot was administered.  Lasted about 15 minutes with complete resolution.  No airway compromise.  No localized swelling or erythema at site of injection.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure 24 hours after immunizations.
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 11/24/03 child was administered DTAP #6 IM LD and Hep A #1 IM LD at approximately 15:00.  Mother states child started to complain Tuesday 11/25 in PM.  States complained of soreness at site and erythema and swelling noticeable left deltoid area.  States today Wed 11/26 swelling, erythema and soreness has decreased since yesterday.  Upon examination swelling to left arm 3x4inches, hot to touch with slight redness.  NO problem noted with ability to move arm.
Age: 14.0
Sex: M
Vaccine: HEP, TD
Symptoms: Erythema, Pain, Pallor, Rash, Skin burning sensation
Clinical narrative: On 11/21/2003 had 2 immunizations.  See below.  1-2 hrs after immunizations, family noted "prickly heat appearing" rash on back, chest, under right eye, and right upper arm.  Hands from wrist down.  bilaterally red.  No respiratory distress.  Grandfather gave 2 Benadryl at bedtime.  On weekends works at local restaurant scrubbing dirty dishes.  Wore no gloves used mild detergent with dish washing.  When got off work Saturday.  Hands from wrist down were solid red bilaterally; right upper arm reddened, dry.  Lotion was applied which "burned".  Benadryl was given by grandfather.  11/23/03: Client worked, he did wear gloves.  Hands from wrist down had slight bilateral pitting edema, were sore and red.  He reported lotions and Vaseline "burned" when applied.  No respiratory problems, no muscle aching, no fever or weakness noted.  Benadryl was given at HS by grandfather.  11/24/03; Grandfather and patient into public health to report the above.  Patient has no rash on back, has a few pinpoint scattered rashes on abdomen, wrists, and hands bilaterally.  He had dry, rough, red and chapped skin with dried white cracks in skin.  No edema noted.  No rash or redness at injection sites.  Arms pale with mottling blue veins visible under skin.  Patient states his arms have never appeared this way before.  Outer right lower leg appears to have rough skin.  No itching.  He continues to have "burning" of skin when lotion is applied and has some soreness under right armpit.  Grandfather states the rash is drying out.  PHN instructed regarding the importance of going to ER if respiratory problems occur. 11/25/03: TC to patient and grandfather.  Rash on hands is "drying".  Olive oil is being applied with relief.  No new foods or new hand soap or laundry detergents.  Above information reported.
Age: 14.0
Sex: M
Vaccine: HEP, TD
Symptoms: Skin exfoliation, Skin warm
Clinical narrative: On 11/21/2003 had 2 immunizations.  See below.  1-2 hrs after immunizations, family noted "prickly heat appearing" rash on back, chest, under right eye, and right upper arm.  Hands from wrist down.  bilaterally red.  No respiratory distress.  Grandfather gave 2 Benadryl at bedtime.  On weekends works at local restaurant scrubbing dirty dishes.  Wore no gloves used mild detergent with dish washing.  When got off work Saturday.  Hands from wrist down were solid red bilaterally; right upper arm reddened, dry.  Lotion was applied which "burned".  Benadryl was given by grandfather.  11/23/03: Client worked, he did wear gloves.  Hands from wrist down had slight bilateral pitting edema, were sore and red.  He reported lotions and Vaseline "burned" when applied.  No respiratory problems, no muscle aching, no fever or weakness noted.  Benadryl was given at HS by grandfather.  11/24/03; Grandfather and patient into public health to report the above.  Patient has no rash on back, has a few pinpoint scattered rashes on abdomen, wrists, and hands bilaterally.  He had dry, rough, red and chapped skin with dried white cracks in skin.  No edema noted.  No rash or redness at injection sites.  Arms pale with mottling blue veins visible under skin.  Patient states his arms have never appeared this way before.  Outer right lower leg appears to have rough skin.  No itching.  He continues to have "burning" of skin when lotion is applied and has some soreness under right armpit.  Grandfather states the rash is drying out.  PHN instructed regarding the importance of going to ER if respiratory problems occur. 11/25/03: TC to patient and grandfather.  Rash on hands is "drying".  Olive oil is being applied with relief.  No new foods or new hand soap or laundry detergents.  Above information reported.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Crying intensely.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Pharyngolaryngeal pain, Swelling
Clinical narrative: Left cervical lymph node; raised/hard. Left deltoid slightly edematous with erythema. Patient also complained of sore throat. Treatment: Ibuprofen 600mg T PO TID for 10 days. Erythromycin 500mg T PO TID for 10 days.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Left deltoid erythematous with increased warmth for 2 days. Left axillary node tenderness for two days. Treatment: Cephalexin 500mg PO BID for 10 days. Ibuprofen 800mg PO BID for 10 days.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left deltoid: increased warmth and erythematous and edema. Treatment with cephalexin 500mg PO BID for 10 days. Ibuprofen 800mg PO BID for 15 days.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Approximately 24 hours after shot he ran a fever of 103, then 104 and 2.5 days later it went up to 106.4 (105.4 axillary).
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Back pain, Influenza like illness, Injection site pain, Malaise
Clinical narrative: Pt received smallpox vaccination on 15 Nov 03 in Left arm.  Four days after that PT c/o of not feeling well and visited the clinic.  Patient was adminstered the FLU vaccination.  Pt stated at time of the flu vaccination he did not have a fever.  About 1 week after the flu vaccination patient started to exibit flu like with excreciating pain at the smallpox vaccination site and lower back.  Pt was treated in hospital for 5 days with IV antibiotics.
Age: 10.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Headache, Hyperhidrosis, Pain, Vomiting
Clinical narrative: Two weeks, four days after vaccine, very quick course of cold sweats, vomiting, extreme diarrhea, heachace and body aches.  Lasted for approx. 60 hours (2-1/2 days).  Same thing happened exactly two wks after last years vaccination 10/2002. Rest, drank clear fluids.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: approximately 1 hour after recieving flu vaccine hives appeared on trunk of body and spread to extremities over the course of next 5 hours.  Took antihistimine and used topical cream to relieve itching and swelling.  Swelling was reduced by next morning but hives returned when antihistimine wore off.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Injection site erythema, Injection site swelling, Injection site warmth, Myalgia
Clinical narrative: 12hrs after vaccination pt c/o reddness and warmth at vaccination site, @ 18hrs c/o swelling at site, @ 24hrs c/o temp 101, muscle aches, nasal congestion and cough.  Pt also c/o nodule developing at elbow.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Pyrexia, Skin nodule
Clinical narrative: 12hrs after vaccination pt c/o reddness and warmth at vaccination site, @ 18hrs c/o swelling at site, @ 24hrs c/o temp 101, muscle aches, nasal congestion and cough.  Pt also c/o nodule developing at elbow.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Labyrinthitis, Nausea, Vertigo, Vomiting
Clinical narrative: 3 Days post vaccination had acute onset of vertigo( dizziness, nausea and vomitting) lasting 3 days. Equilibrium loss still occurring. Was told by Physicians and Specialists that I suffered from Viral Labrynthitis that may be related to Flu vaccine and could take months to years to fully resolve.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain
Clinical narrative: C/O Sore arm at site of vaccination on the evening of the vaccination.  Then arm sore and painful into ring finger.  TC 12-03-03 in AM reported noted s/s as above says is improving.
Age: 10.0
Sex: F
Vaccine: MMR, TD
Symptoms: Coma, Convulsion, Drooling, Hyperventilation
Clinical narrative: Client received immunizations on December 9, 2003 at 8:15 AM, left office by 8:25, returning briefly to pick up immunization record. At 8:30AM, a man came in stating a girl who had just had shots was lying on the ground outside drooling. Ambulance called by bystander. Nurse ran outside while I retrieved our AED. Nurse states child was seizuring when she arrived. On my arrival approximately 1 minute later, she had snoring respirations and was unresponsive to verbal stimuli. Airway maintained, pulse 66 and regular, respirations 22 unlabored. Pupils 3mm and equal. Aroused slightly, verbalizing "stop, stop" as the ambulance arrived. Child accompanied by custodial grandmother. She states she picked up child on Friday and was unaware of medical history of seizures, adverse reactions to immunizations, or egg allergy. Grandmother preferred ambulance take her to hospital. Grandmother was told by EMT to retrieve child's medications from home.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Asthma, Erythema, Feeling hot, Pyrexia, Swelling
Clinical narrative: He was seen on 11/12 for symptoms of asthma for 2 days, possibly in the context of a mile URI without fever.  He was started on albuterol aerosols and was seen the next day.  He had improved and was given the influenza vaccine on 11/13.    On 12/8 (iover three weeks later) he developed facial urticaria.  This progressed to bilateral warmth, swelling, and erythema of both elbow areas with overlying wheals.  He had fever of >102 rectally.  No other symptoms were present and he hs limited contacts with other children.  A rapid strep assay was negative.    He was treated symptomatically with antipyretics and diphenhydramine.    He tolerates eggs without reaction. No medications were being given other than the albuterol three weeks previously, which had been stopped.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Upper respiratory tract infection, Urticaria
Clinical narrative: He was seen on 11/12 for symptoms of asthma for 2 days, possibly in the context of a mile URI without fever.  He was started on albuterol aerosols and was seen the next day.  He had improved and was given the influenza vaccine on 11/13.    On 12/8 (iover three weeks later) he developed facial urticaria.  This progressed to bilateral warmth, swelling, and erythema of both elbow areas with overlying wheals.  He had fever of >102 rectally.  No other symptoms were present and he hs limited contacts with other children.  A rapid strep assay was negative.    He was treated symptomatically with antipyretics and diphenhydramine.    He tolerates eggs without reaction. No medications were being given other than the albuterol three weeks previously, which had been stopped.
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash maculo-papular
Clinical narrative: Arms ,legs, and back area  developed  small maculopapular rash approximately 5-6 days after administration of vaccines. Patient went to his PCP and received a steroid shot and steroid ointment to which the rash responded pretty well, but has not completly cleared.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Eye movement disorder, Heart rate irregular, Hyperhidrosis
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Lethargy, Loss of consciousness, Pain, Pallor, Vomiting
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Eye movement disorder, Hyperhidrosis, Hypotonia
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Lethargy, Vomiting
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Abdominal pain, Coma, Hyperhidrosis, Lethargy, Loss of consciousness
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: This case was reported by a nurse and described the occurrence of unresponsiveness to verbal commands in a 4 year old male pt who received Infanrix for prophylaxis. The pt had a history of allergy to penicillin and cefprozil. On 11/21/03, the pt received the fifth dose of Infanrix injected into the left deltoid. On the same date, the pt also received IPOL in the left deltoid and MMR II in the right deltoid. Approximately five minutes after administration of the vaccines, on 11/21/03, the pt developed abdominal pain, vomiting, diaphoresis and passed out. The reporter stated that the upon regaining consciousness, the pt was "unresponsive to verbal commands and lethargic." The pt was treated with oxygen and epinephrine in the physician's office. He was also seen at the ER on 11/21/03. Upon arrival to the ER, the events improved. On 11/21/03, the abdominal pain, vomiting, and diaphoresis resolved. This case was considered to be serious (OMIC) as intervention (administration of epinephrine) was required.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Intracranial pressure increased
Clinical narrative: This case was reported by a nurse and described the occurrence of pseudotumor cerebri in a 12 year old female pt who received hep B vaccine recombinant (Engerix B) for prophylaxis. On an unspecified date in August 2003, the pt received the first dose of Engerix B. At an unspecified time following the first dose of Engerix B, in 2003, the pt was seen by an opthalmologist and was diagnosed with pseudotumor cerebri. The outcome of the event is unknown. This case was considered medically serious (OMIC) by manfuacturer.
Age: 1.9
Sex: M
Vaccine: FLU3
Symptoms: Cardiac arrest, Respiratory arrest, Wheezing
Clinical narrative: Wheezing followed by cardio respiratory arrest on ventilator, chest tubes recovering.
Age: 50.0
Sex: F
Vaccine: HEPA
Symptoms: Chest pain, Hypoaesthesia, Pneumonia, Vomiting
Clinical narrative: 11/13 While working, had emesis and pain shot up from chest and down left arm. Left fingers numb. 11/18 had same pain and went to ER. X-rays done and dye injected to detect clogged arteries; none noted. Given antibiotics for pneumonia left lung. Hospitalized 11/19-11/22. Patient states she called report in today 12/5/03. The adverse events described by the clinet may have been incidental to vaccine reception.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Bronchitis, Dysphagia, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Patient vaccinated 10/17/03 11 AM. Patient presented to ER 11/02 with back pain; was sent home only to return to ER with more pain 11/4. Sent home again. Returned to ER with  numbness and tingling in legs on 11/6. Was admitted to hospital where developed paralysis and on 11/10 had to be intubated. The medical record received on 2/5/04 states tracheal bronchitis and dysphagia. GBS follow up survey states Guillain Barre Syndrome. Follow up 2/09/05: Patient states she is 100% recovered. She spent 3 months in the hospital. Has occassional numbness in hands and feet. Has consistent tingling in hands.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Paraesthesia, Paralysis
Clinical narrative: Patient vaccinated 10/17/03 11 AM. Patient presented to ER 11/02 with back pain; was sent home only to return to ER with more pain 11/4. Sent home again. Returned to ER with  numbness and tingling in legs on 11/6. Was admitted to hospital where developed paralysis and on 11/10 had to be intubated. The medical record received on 2/5/04 states tracheal bronchitis and dysphagia. GBS follow up survey states Guillain Barre Syndrome. Follow up 2/09/05: Patient states she is 100% recovered. She spent 3 months in the hospital. Has occassional numbness in hands and feet. Has consistent tingling in hands.
Age: 47.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site oedema, Pain
Clinical narrative: States had a local reaction to tetanus vaccine in 1994. Wanted to get another as update. Was advised in 1994 to get in half doses. On 11/20/2003 given 1/2 dose. One week later 11/28/03, right upper arm swollen and tender. Status and swelling from earlier in the week. Postponed next dose.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Red, raised rash upper arms. Administered Benadryl 25 mg PO, talked to pt by phone at 4 PM: "rash gone and no other symptoms reported".