chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Pyrexia, Viral infection
Clinical narrative: Tuesday 11/4/03 Received flu shot about 2:00 Pm. Thursday 11/6/03 7:00 PM started getting extreme rapid heart beat. After a couple hours, heart rate went lower but was still rapid. Friday 11/7/03 Heart rate was still rapid but felt like it dropped considerably. Felt a little warm so started taking Tylenol. That made me feel better so I felt like was beating it so I did not call doctor Friday. I was wrong; my throat started hurting Friday night. Saturday 11/8/03 throat was worse and could not stop coughing. Saturday morning, had temp of 100. Saturday night had temp of 101. Called clinic consulting nurse at 9:20 PM. She said if temp got over 101 to go to the emergency room at hospital. Did not go to emergency room and seen doctor first thing Monday morning 11/10/03. Monday 11/10/03 AM When I arrived at doctor's office, I had extreme rapid heart beat. At one point, they said my rate was 165. They sent me immediately by ambulance to Emergency room at hospital to get my heart rate down. They wouldn't even let my wife ride in ambulance with me. Took 3 hours to get heart rate down. They released me to go home. After a couple days my heart was back on track. Had slight temperatures on and off and it took four weeks for coughing to stop. I was coughing so hard and it felt like a lot of the time it was coming from center of my stomach so stomach hurt for several days. If you need further information from my medical records, I will approve for release to you. I was in good health on 11/4/03 when I received flu shot. Of course, we don't know if it was the flu shot that created the extreme rapid heart beat, sore throat, high temperature and so much coughing. I have never had this type of flu before with extreme rapid heart beat. Right now I have mixed feelings about ever taking another flu shot. I will be meeting with my doctor in August and discuss the upcoming flu season and flu shot. I would not want anyone to get this particular flu that I had. And as I said above, any medical information you want from my records I will approve for release. Nurse follow up on 05/25/04: "atrial fib, viral syndrome."
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Angina pectoris, Chest discomfort, Chest pain, Dyspnoea, Laboratory test abnormal
Clinical narrative: Severe chest, shoulder, arms, throat and jaw pain, shortness of breath, occurs every 7 to 8 hours for 2 months. Relieved only by pain pills. After 2 months, shortness of breath, lightness in chest and pain in both jaws. Relieved by pain pills after a 4 day stay in the hospital. Doctor has me on nitro patches. Still have shortness of breath and tightness in chest. Doctor said it was angina pectoris htn. Never had this problem before I got flu shot. Per annual report-has severe breathing problems and cannot work because of it.  He has been out of work for over a year and it looks like he will not be returning to work.  He has not received any compensation because of this.  Since receiving the flu shot  health has been going downhill ever since.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in jaw, Shoulder pain
Clinical narrative: Severe chest, shoulder, arms, throat and jaw pain, shortness of breath, occurs every 7 to 8 hours for 2 months. Relieved only by pain pills. After 2 months, shortness of breath, lightness in chest and pain in both jaws. Relieved by pain pills after a 4 day stay in the hospital. Doctor has me on nitro patches. Still have shortness of breath and tightness in chest. Doctor said it was angina pectoris htn. Never had this problem before I got flu shot. Per annual report-has severe breathing problems and cannot work because of it.  He has been out of work for over a year and it looks like he will not be returning to work.  He has not received any compensation because of this.  Since receiving the flu shot  health has been going downhill ever since.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Asthma, Bronchitis, Cough, Hyperventilation, Rash
Clinical narrative: Rash developed 8 days after MMR injection to USQ. Rash located on trunk, arms and legs. Follow up on 05/14/04: "Reactive airway disease, bronchitis, increased respiration, cough, gagging."
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Rash developed 8 days after MMR injection to USQ. Rash located on trunk, arms and legs. Follow up on 05/14/04: "Reactive airway disease, bronchitis, increased respiration, cough, gagging."
Age: 38.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Chest discomfort, Eye pain, Fatigue, Headache
Clinical narrative: Joint pain-hips,knees, shoulders, neck, fingers, toes; flu-like symptoms, fatique, muscle pain-esp biceps, forearms, legs, eye pain, pressure, facial numbness, headaches, random sharp pain and twitching, chest pressure and pain with radiating numbness
Age: 38.0
Sex: F
Vaccine: LYME
Symptoms: Hypoaesthesia, Influenza like illness, Muscle twitching, Myalgia, Neck pain
Clinical narrative: Joint pain-hips,knees, shoulders, neck, fingers, toes; flu-like symptoms, fatique, muscle pain-esp biceps, forearms, legs, eye pain, pressure, facial numbness, headaches, random sharp pain and twitching, chest pressure and pain with radiating numbness
Age: 38.0
Sex: F
Vaccine: LYME
Symptoms: Pain in extremity, Sensation of pressure
Clinical narrative: Joint pain-hips,knees, shoulders, neck, fingers, toes; flu-like symptoms, fatique, muscle pain-esp biceps, forearms, legs, eye pain, pressure, facial numbness, headaches, random sharp pain and twitching, chest pressure and pain with radiating numbness
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Anorexia, Arthralgia, Back pain, Dizziness, Nausea
Clinical narrative: Received injections around 11:00AM at 1PM same day,4/7/04,became faint feeling, dizzy, temp 102 degrees, joints aching-back hurts, neck hurts, nauseated, not eating, back and spine hurts. Seen ER. On 4/8/04 and 04/11/04.  4/12/04 seen ER. 04/13/04 phone call from pt "feeling a little better, still fever"
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Neck pain, Pyrexia
Clinical narrative: Received injections around 11:00AM at 1PM same day,4/7/04,became faint feeling, dizzy, temp 102 degrees, joints aching-back hurts, neck hurts, nauseated, not eating, back and spine hurts. Seen ER. On 4/8/04 and 04/11/04.  4/12/04 seen ER. 04/13/04 phone call from pt "feeling a little better, still fever"
Age: 1.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Presented to ER 4/27/04 at 11:00PM with temp 104.1 Rectal and actively seizing. Diagnosed with febrile seizure. No other illness noted. Treated with Motrin, Tylenol, and rocephin. Discharged at 3:00AM 4/28/04 in improved condition.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: 4/22: Swelling at injection site 4/23: Swelling is worse with redness, seen by MD- dx. with cellulitis - treated with antibiotics
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Eye swelling, Injection site erythema, Injection site swelling
Clinical narrative: 4/21/2004: Reported red, swollen area on left leg at injection site. 4/21/2004: Called back c/o: child's eye swollen
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: 4/23/04: Mom called stating redness and swelling at injection site left leg. Welt noted and is very hot to touch. Mom advised to have him seen-she states better today will wait.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: 04/23/04: Seen by NP for redness, swelling at injection site. Dx. with cellulitis and started on antibiotics.
Age: 19.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Erythema, Fatigue, Headache, Malaise, Nausea
Clinical narrative: Nausea, headache, vertigo, malaise, fatigue since injections. Pruritis, redness started 4/10 to left shoulder for 4 days.
Age: 19.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Pruritus, Vertigo
Clinical narrative: Nausea, headache, vertigo, malaise, fatigue since injections. Pruritis, redness started 4/10 to left shoulder for 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Pruritus, Skin nodule
Clinical narrative: Has 6 X 8 cm, red, indurated area left upper arm. The pain slightly itchy.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Swelling, redness and tenderness over the anterior aspect of the right thigh.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Hepatomegaly
Clinical narrative: Third shot experienced severe diarrhea, fever and pain in right side (liver) tremors, rashes, light sensitivity, headaches, joint pain, chronic fatigue, nausea, high liver function AST between 860 and 650 out of school for 6 months to date severe agitation, behavior change.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Liver function test abnormal, Nausea, Pain, Photosensitivity reaction, Pyrexia
Clinical narrative: Third shot experienced severe diarrhea, fever and pain in right side (liver) tremors, rashes, light sensitivity, headaches, joint pain, chronic fatigue, nausea, high liver function AST between 860 and 650 out of school for 6 months to date severe agitation, behavior change.
Age: 13.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Rash, Splenomegaly, Tremor
Clinical narrative: Third shot experienced severe diarrhea, fever and pain in right side (liver) tremors, rashes, light sensitivity, headaches, joint pain, chronic fatigue, nausea, high liver function AST between 860 and 650 out of school for 6 months to date severe agitation, behavior change.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Gave MMR, IPV, DPT 11:30, 12:30 mom called ears red, face, hands swelling. Brought back gave Benadryl. Seen by doctor. Instructions & released. Whole body was red & swelling.
Age: 25.0
Sex: M
Vaccine: TYP
Symptoms: Skin ulcer
Clinical narrative: I assume the vaccine was administered. Pt developed mild generalized vaccinia. Weeping lesion in left axilla with lymphongitis multiple lesions of thorax.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Feeling hot, Oedema
Clinical narrative: Swelling and fever in thigh and around knee of left leg.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site reaction, Skin ulcer
Clinical narrative: 3 cm- 6 cm lesions at site of DTaP injection, resolved spontaneously.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Pt with single raised- pink area right arm not tender to touch.
Age: 0.42
Sex: M
Vaccine: DTP, HIBV, PNC
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Fever of 102.7 F with 2 inch red circle with swelling. Baby cranky. Same size today. Gave Tylenol fever decreased to 101.7. Advised ice pack continue Tylenol, call pmd.
Age: 39.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling cold, Pruritus, Pyrexia, Urticaria
Clinical narrative: Was given the tetanus shot due to multiple lacerations of the face due to a fall accident at my mother's home. After I received the tetanus shot, I began itching everywhere. I immediately thought I had a reaction to the Tylenol with codeine so I only took 1 dose. The next day, I was covered in hives and by the following morning I was cold and itching and I went back to the ER for my fever. They gave me liquid Tylenol,  for my pain. They gave me Prednisone for my hives. They gave me liquid Benadryl all in IV form and later prescriptions for them all too.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Child developed fever x 2, then generalized rash 2 to 4 days after MMR, Varicella and Comvax vaccines were given.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Erythema, Injection site induration, Pyrexia, Skin ulcer
Clinical narrative: Fever for greater than or equal to 7 days. Crusted lesions on chin and roof of mouth. Localized induration and erythema of right leg (around 4 cm diameter) lasting 4 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Inflammation, Injection site induration, Swelling
Clinical narrative: Localized reaction, inflammation, swelling. 6cmx3cm induration.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Left thigh upper half all red, warm to touch.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Localized cellulitis appeared 24 hours after injections.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 2nd day after injection site (DTaP site). Swelling, redness, "caked" feeling, warm to touch. Red area approximately 4-5 cim.
Age: 51.0
Sex: F
Vaccine: HEPA, TTOX, TYP, YF
Symptoms: Pain, Radiculitis brachial
Clinical narrative: There was no seriousness criteria reported. Based upon appropriate medical judgement the reported event was considered serious. From initial information received on 4/21/04 from a physician, regarding an adverse event occurring in the USA, it was reported that a 51 year old female patient received a dose of YF VAX, lot number UB363AA, administered SC in the right arm, a dose of TET TOX ADS USP, lot number U1044AA, administered IM in the left arm, a dose of TYPHIM Vi, lot number U1511-2, administered administered IM in the left arm and a dose of HEPATITIS A VACCINE, lot number VHA750AH, administered IM in the right arm on 1/12/04. Three days later, on 1/15/04, the patient experienced irretrievable pain in the right deltoid. The patient was seen by a neurologist and diagnosed with acute brachial neuritis (Parsonage-Turner Syndrome). Treatment included Vioxx and Neurontin once daily. It is unknown whether the patient recovered from these events.    Follow up on 07/16/04 states: "From additional information received on 07/12/04 from the initial reporter, it was reported that the pt was vaccinated at a private doctor's office/hospital in the county and purchased the vaccines with private funds. It was also reported that an EMG completed on 04/16/04 revealed acute brachial neuritis." From additional information received from another manufacturer on 7SEP2004, it was reported that the Hepatitis A vaccine administered to the patient was Havrix, manfaturer GSK. It was also reported that the immunization series with Havrix was discontinued. The event was ongoing as of 6JUL2004. The physician considered the events to be non-serious and to possibly be related to vaccination with Havrix. Reportedly the patient has not recovered from the events.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Abortion spontaneous, Antepartum haemorrhage, Metrorrhagia
Clinical narrative: Became pregnant approx 2nd week of Feb 2004, About 2 weeks after receiving LAIV. On 04/16/04 in the afternoon began spotting. 04/15/04 HCG blood draw done. 04/18/04 HCG blood draw done. Count dropped by 1/2. Emergency D&C done on 04/20/04 for hemmoraging. To return for next Or. visit during week of 04/26/04. This was 5th pregnancy. Has no previous history of miscarriages.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Patient developed hives/whelps at vaccine sites as well as local erythema with in one minute of receiving vaccines, noted as allergy and will not administer further doses. Pt evaluated by physician in office and given 12.5mg benadryl P.O.-to continue as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: SITE ON LEFT ARM BECAME RAISED AND RED WITHIN 24 HOURS.   SITE BECAME LARGER AND WARM IN 48 HOURS.  MOM BROUGHT CHILD IN AT 72 HOURS WITH NO CHANGE.  PATIENT SAW PROVIDER, DIAGNOSED WITH CELLULITIS, AND WAS PRESCRIBED KEFLEX T.I.D.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Convulsion
Clinical narrative: Patient had a generalized tonic clonic seizure approximately 45 post vaccine. Went to ER. All lab work was WNL no treatment given
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Coma, Convulsion, Delirium, Encephalopathy, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Within 24hours of being vaccinated with the mmr, a rash developed on the left and right buttocks and on right facial cheek.  6 days after the mmr, he developed a fever of 101 in the evening.  On 4-23-04, 7 days after shot, his fever was around 102.  Around 6:30 that evening, he started to stare into space and I couldnt get him to react to me.  Called 911, when we got to the emergency room he started to shake.  They thought his seizure was about an hour, (he had never had a seizure pryor to this).  They gave him 4.5 mg of ativan and a big dose of dilantin to stop the seizure.  While in his 5 day hospital stay, he had chest xray, eeg, and mri.  He also developed and ear infection, on the chest xray they thought it look like slight pneumonia.  They redid the xray and it came back ok, but that was after the fact, he was given antibiotics.  His eeg and mri showed damage to the white matter of the brain.  The doctors said that they don't know what kind of damage it has done, it may turn out to be nothing, we just have to wait and see.  Some of the side affects to the MMR shot were rash, fever, ear infection, pneumonia, seizures (staring & jerking), and brain damage.  He has all the signs.  For treatment he has to go to a neurologist clinic once a month and stay on phenobarbital for the unknown future.  Nurse follow up on 08/23/04 states: "Discharge summary states diagnoses of status epilepticus, postictal encephalopathy, and fever."
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Otitis media, Pneumonia, Pyrexia, Rash, Staring
Clinical narrative: Within 24hours of being vaccinated with the mmr, a rash developed on the left and right buttocks and on right facial cheek.  6 days after the mmr, he developed a fever of 101 in the evening.  On 4-23-04, 7 days after shot, his fever was around 102.  Around 6:30 that evening, he started to stare into space and I couldnt get him to react to me.  Called 911, when we got to the emergency room he started to shake.  They thought his seizure was about an hour, (he had never had a seizure pryor to this).  They gave him 4.5 mg of ativan and a big dose of dilantin to stop the seizure.  While in his 5 day hospital stay, he had chest xray, eeg, and mri.  He also developed and ear infection, on the chest xray they thought it look like slight pneumonia.  They redid the xray and it came back ok, but that was after the fact, he was given antibiotics.  His eeg and mri showed damage to the white matter of the brain.  The doctors said that they don't know what kind of damage it has done, it may turn out to be nothing, we just have to wait and see.  Some of the side affects to the MMR shot were rash, fever, ear infection, pneumonia, seizures (staring & jerking), and brain damage.  He has all the signs.  For treatment he has to go to a neurologist clinic once a month and stay on phenobarbital for the unknown future.  Nurse follow up on 08/23/04 states: "Discharge summary states diagnoses of status epilepticus, postictal encephalopathy, and fever."
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Inconsolable crying starting 1.5 hours after the administration of vaccinations on 3/2/04. Inconsolable crying for continuous 4 hours.
Age: 0.3
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: #5 DTaP given 4/28/04 right thigh IM, Redness, swelling approx. 4" in diameter and hot to the touch. Denies pain or fever. Given ER precautions. Advised cool compresses tylenol if needed. Return if gets worse
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site swelling, Rash pruritic
Clinical narrative: + pruritic rash arond injection site that is raised - no treatment needed - recommended no further Havrix
Age: 1.2
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Apnoea, Cardiac arrest, Coma, Cyanosis, Dyspnoea
Clinical narrative: After vaccination, pt irritable and emesis 1-2 x.  No fever.  Acting better by morning.  Mom gave pt bottle at ~4:30 am.  Pt developed respiratory difficulty at ~5-5:30 am.  Dad initiated CPR and ambulance called.  Pt received CPR to local hospital.  Coded there for 30-45 min (not at my facility).  Pronounced dead at ~6:30 am.  Nurse follow up on 05/14/04 states: Unresponsive, cyanosis, pupils fixed, apneic, asystold (stupor, cyanosis, mydriasis, apnea, heart arrest).
Age: 1.2
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Irritability, Mydriasis, Vomiting
Clinical narrative: After vaccination, pt irritable and emesis 1-2 x.  No fever.  Acting better by morning.  Mom gave pt bottle at ~4:30 am.  Pt developed respiratory difficulty at ~5-5:30 am.  Dad initiated CPR and ambulance called.  Pt received CPR to local hospital.  Coded there for 30-45 min (not at my facility).  Pronounced dead at ~6:30 am.  Nurse follow up on 05/14/04 states: Unresponsive, cyanosis, pupils fixed, apneic, asystold (stupor, cyanosis, mydriasis, apnea, heart arrest).
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Headache, Herpes zoster, Pain, Thermal burn
Clinical narrative: Patient developed burning pain on right side of neck which spread from rear to the front.  Symptoms started two days after receiving anthrax shot in left arm.  Diagnosed with a case of shingles.  One blister broke out on right earlobe 5 days after recievng vaccination.  Pain, headaches, and occasional earaches continue to occur almost two weeks after vaccination.  Patient trated with antibiotics, antiviral drugs, and Motrin.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Dizziness, Dysphonia, Joint stiffness
Clinical narrative: high fever, swelling of gland of neck, pain and stiffness in the joints, hoarseness, weakness,  dizziness.   no treatment so far.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: high fever, swelling of gland of neck, pain and stiffness in the joints, hoarseness, weakness,  dizziness.   no treatment so far.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Neck pain, Rash, Shoulder pain
Clinical narrative: Received anthrax vaccine 06 Apr 03, was seen in Clinic on 11 MAR 04, because of a rash, neck, joint, and shoulder pain. Slowly improving over time. Family history of atopy.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Crying, Irritability, Rash, Tremor
Clinical narrative: My grandson is in the hospital right now. He has been having seizures since having the DaPT shot administered to him. We don't have the outcome yet. Should I resubmit this when we do? Please call my daughter at the phone number listed above. her doctors have been trying to down play this but it is very disturbing to watch him. He never had these before the shot. Follow up on 05/06/04: "Rash within a few hours of vaccination. Appeared on one arm, elbow to wrist. Arm not specified. "Baby was also fussy and crying in between seizures."  Nurse follow up on 07/29/04 states: "Per review of discharge summary, final diagnosis was tremor."
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Hyperaesthesia, Lymphadenopathy, Polyarthritis
Clinical narrative: Had 5 days of hand joint pain and fatigue following 2nd Anthrax shot in series. Same symptoms but worse after 3rd shot (mild systemic illness). After 4th Anthrax shot experienced 2 weeks of hand swelling, joint pain all over and fatigue. 5th shot has caused 4 weeks of polyarthropathy, extreme fatigue, lymph node swelling and sensitive skin, symptoms just now improving
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: Had 5 days of hand joint pain and fatigue following 2nd Anthrax shot in series. Same symptoms but worse after 3rd shot (mild systemic illness). After 4th Anthrax shot experienced 2 weeks of hand swelling, joint pain all over and fatigue. 5th shot has caused 4 weeks of polyarthropathy, extreme fatigue, lymph node swelling and sensitive skin, symptoms just now improving
Age: 49.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Infection, Pruritus, Skin ulcer
Clinical narrative: 3/22/04 Client noted with lesion (white pustule 5 mm in diameter), intact, with no drainage 1-2 mm below left eyebrow. Client noted signs/symptoms began 3/19/2004 with itchiness/redness.
Age: 49.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Pruritus, Skin ulcer
Clinical narrative: 3/22/04 Client noted with lesion (white pustule 5 mm in diameter), intact, with no drainage 1-2 mm below left eyebrow. Client noted signs/symptoms began 3/19/2004 with itchiness/redness.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Lung disorder, Pulmonary oedema, Unevaluable event
Clinical narrative: Administered immunizations 4/5/04. Received call from coroner's office stating child expired 4/6/04. No other information available.  Nurse follow up on 06/14/04 states: "acute pulmonary congestion;  acute pulmonary edema."
Age: 0.6
Sex: M
Vaccine: IPV, PNC, DTAPHEPBIP, IPV, PNC
Symptoms: Lung disorder, Sudden infant death syndrome
Clinical narrative: Sudden infant death approximately 72 hours following receipt of vaccines.  Nurse follow up on 06/18/04 states: "Add: Chronic lung dx."
Age: 0.6
Sex: M
Vaccine: IPV, PNC, DTAPHEPBIP, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Sudden infant death approximately 72 hours following receipt of vaccines.  Nurse follow up on 06/18/04 states: "Add: Chronic lung dx."
Age: 0.6
Sex: M
Vaccine: IPV, PNC, DTAPHEPBIP, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Sudden infant death approximately 72 hours following receipt of vaccines.  Nurse follow up on 06/18/04 states: "Add: Chronic lung dx."
Sex: F
Vaccine: OPV
Symptoms: Dyspnoea, Lung neoplasm malignant
Clinical narrative: This case is considered medically important (OMIC). Information regarding a polio vaccine was received from an attorney regarding a female patient who received a dose in the late 1950's early 1960's. The patient has a past history of chemical poisoning. She was reportedly exposed to asbestos and asbestos-containing products. Indication for the polio vaccine was immunization. Product was administered on an unspecified date in the late 1950's early 1960's. Concomitant medications were not reported. According to the legal complaint, the plaintiff was diagnosed with mesothelioma on or about 1/03. Reportedly, the plaintiff received a polio vaccination that was contaminated with SV40 virus which was a substantial factor, and therefore a cause of the plaintiff's mesothelioma. The legal complaint states that the plaintiff's exposure to asbestos, asbestos-containing products, talc and talc-containing products and the SV40 virus caused severe and permanent injury to the plaintiff including, but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma, and/or other lung damage. On or about 1/03, the patient was diagnosed with mesothelioma.
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Agitation, Erythema, High-pitched crying, Hypersensitivity, Otitis media
Clinical narrative: 5 hours after getting varicella injection, patient developed high fever (104.3). Unable to get temperature down. Took to ER at 7 PM and admitted to hospital. High pitch cry, red rash on chest. Was given IV antibiotics and antibiotics to take PO. Discharged from hospital 4/30/04.  Nurse follow up on 07/30/04 states: "allergic reaction immunization; otitis media; irritability."
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 5 hours after getting varicella injection, patient developed high fever (104.3). Unable to get temperature down. Took to ER at 7 PM and admitted to hospital. High pitch cry, red rash on chest. Was given IV antibiotics and antibiotics to take PO. Discharged from hospital 4/30/04.  Nurse follow up on 07/30/04 states: "allergic reaction immunization; otitis media; irritability."
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Lethargy, Tremor
Clinical narrative: Baby had immunization on 4/16/04 which included DTaP, IPV, ,HIB and Prevnar. On 4/19/04, she was seen in office for lethargy and . She was admitted to hospital and spinal tap, blood cultures; all were negative. Nurse follow up on 05/18/04: decreased intake, tremors.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, vomiting tx. with Motrin and phenergan supp.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Diarrhoea, Flushing, Myalgia, Nausea
Clinical narrative: 04/29/04 4:16 vaccine given. 12:30 A Entire arm sore, chills, nausea, diarrhea 8 times, face flushed. Evaluated in ED on 4/30 at 10:30A
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt received Varivax on 10/22/1997 at age 16 mos. Confirmed chicken pox after exposure to father with shingles on 04/19/04. Was seen in ER on that date + office on 04/22/04.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Extensive swelling reaction in left arm after 5th dose of DTaP vaccine. Two days after vaccination swelling=60x110mm. Redness=110x130mm. Increase of mid-arm circumference of 2.6cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Extensive swelling reaction after 5th dose of DTaP vaccine. Swelling on day after vaccination=60x80mm. In addtion, redness of 50x75mm. All reactions in left arm.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Extensive Erythematous maculopapular rash all over body
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Chest pain, Pharyngitis, Pyrexia, Rash
Clinical narrative: Received Hepatitis vaccine 4/16/04, developed high fever and chest pain. 4/18/04- rash 4/19/04. Fever  lasted 3-4 days pt was given a course of Zithromax on 4/19/04 for a pharyngitis but throat culture was negative for Strep A
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness, swelling at and around injection site starting 24 hours after injection also with fever to 102 degrees.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope, Tremor, Urinary incontinence
Clinical narrative: Client left clinic area, while in parking lot fainted/shaking and became incontinent of urine, via ambulance to hospital.
Age: 7.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Pruritus, Rash
Clinical narrative: Pt woke in AM with fluid filled blister rash over body.  Pt complaining of itching.  Appointment today with diagnosis.  Symptom treatment.
Age: 20.0
Sex: U
Vaccine: VARCEL
Symptoms: Skin ulcer
Clinical narrative: Lesions under right armpit, wrist and 2 spots on back.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Anorexia, Lethargy, Pyrexia, Rash
Clinical narrative: Lethargic, change in behavior, fever (high) for approximately 6 days.  Refusal to eat, play, increase sleep, rash on arms and torso for approximately 2 weeks, ear irritation, cold (runny nose).
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Rhinorrhoea, Somnolence
Clinical narrative: Lethargic, change in behavior, fever (high) for approximately 6 days.  Refusal to eat, play, increase sleep, rash on arms and torso for approximately 2 weeks, ear irritation, cold (runny nose).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: Mother brought pt in for preschool boosters.  Within an hour of vaccination time, mom called PHN from their home.  Complaining of child broke out in whelp type rash all over-child taken to clinic, seen by MD and given IM Decadron and per mouth Benadryl.
Age: 1.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Pinpoint erythematous papular rash in different sizes.
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Dyspnoea, Headache, Pyrexia
Clinical narrative: Headache, fever, difficulty breathing after 2 hours of vaccine.  Subsided by itself on the same day.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Irritability, Pyrexia
Clinical narrative: On evening of the day vaccine was given child developed fever of 102.  Next morning temperature was 101.7, also child had decreased activity level and was fussy.  Seen 03/10/04, was a little better, temperature 100.3, still somewhat fussy, crabby.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Pt had immunizations on 04/20/04, played tug of war yesterday.  Grandmother noticed redness after that, mod redness starts (d) area and extendes to elbow.  Is using arm freely.  Left arm.  04/23/04: Recheck arm-much improved, left peak, full range of motion.  Grandmother to apply warm soaks and will recheck 04/26/04.  04/26/04: Telephone call from Grandmother-arm totally clear.  No transportation to bring in.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema, Injection site erythema, Swelling, Urticaria, Vomiting
Clinical narrative: After receiving his immunizations (MMR, DTaP, IPV), patient presented with redness to arm at site of DTaP almost immediately. Followed by redness and hives over his entire body. Some swelling around mouth and eyes. No respiratory distress noted. He was given Benadryl liquid. He then vomited several times. After about 10 minutes of no to little improvement, he was given Epinephrine 1 mg/ml, 0.18ml SQ. He showed marked improvement and was transferred via EMS to hospital. Patient was ambulating at time of transport.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Extensive swelling reaction in right arm after 5th dose of DTAP vaccine.  Two days after vaccination swelling = 45x60mm.  Redness = 60x90mm.  Increase of mid-arm circumference of 1.3cm.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Grand mal convulsion, Hypotension, Loss of consciousness, Pallor, Rash
Clinical narrative: Loss of consciousness, grand mal seizure, rash, pallor, hypotension.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 04/22/04: DTAP given left arm IM.  Mom called 04/23/04: Describing 3 inch diameter redness, swelling, tenderness, using Tylenol.  Encouraged Motrin/Advil.  04/26/04: Continuing redness, decreased swelling. Encouraged Advil/Motrin.  Did increase to 4 inch diameter.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: DTAP administered 04/21/04.  Lower left thigh-per mom area began to turn red and swelled 3 inches on 04/22/04.  She thought was bee sting.  Gave Benadryl by 04/23/04 was larger.  Called office of PCP was told to to in, when seen at office, area 12 inch in diameter red and warm to touch.  Instructed to use Benadryl and hydrocortisone cream.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large local reaction with redness and swelling 24-48 hours after DTAP and HibTiter given in left thigh.  No fever, no systemic symptoms (6x3 inch left anterior thigh).
Age: 3.0
Sex: M
Vaccine: DTAPH, HEPA, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: One day later he developed warm erythema in the right thigh, around injection site.  By day 2 it had grown in size and he was treated for mild cellulitis with Keflex (5-7 day course).  No fevers or other symptoms.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and swelling at the injection site.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Child developed varicella rash on 04/24/04.
Age: 9.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Broke out in chickenpox.
Age: 1.4
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Urticaria
Clinical narrative: 3 days after shot, 103 deg F temperature for 3 days.  5 days after shot, hives appeared all over his body.  Hives lasted for 7 days.  Fever reducer and Benadryl given.
Age: 22.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Erythema, Feeling hot
Clinical narrative: Left arm- 4cm erythema, heat
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Right arm red, swollen 1.25 in induration per mo 2.5-1.5 swelling per mo Tx: Tylenol/ Benadryl/Ice
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Rt Deltoid 6 cm diameter erythema and induration.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Medication error
Clinical narrative: Immunization given (Pneumovax) not recommended for children <age 2 years.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Slight mild erythema to left deltoid
Sex: U
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Mild erythema w/ slight induration to left deltoid
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Mild to moderate erythema to right deltoid
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Croup infectious, Febrile convulsion, Pyrexia
Clinical narrative: 3/10/04 MMR + varicella 3/19/04 Febrile Seizure Had some croup symptoms. Had already had fever x 2 days before seizure occured.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Received immun. 3 days ago- yest. started swelling and redness with fever 101 degrees
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Erythema, Injection site induration, Swelling
Clinical narrative: Thigh with erythema, firm swelling when DTaP administered crying for 45 mins tx with infant Advil 10 mg
Sex: U
Vaccine: UNK, TD
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Since the weekend of July 22,03 Post vaccination w tetanus experiencing severe hives, must be controlled w antihistamine (after W 2nd generation)
Sex: U
Vaccine: UNK, TD
Symptoms: Enzyme abnormality, Urticaria
Clinical narrative: Since the weekend of July 22,03 Post vaccination w tetanus experiencing severe hives, must be controlled w antihistamine (after W 2nd generation)
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Alopecia, Anorexia, Blood pressure increased, Chills, Diarrhoea
Clinical narrative: A report was received from a health care professional on 2/9/04 concerning a female vaccinee of unspecified age who experienced ear pain within a few days of vaccination and neck pain, chills, headaches, post-nasal drip, muscle spasms, an increase in blood pressure, an increase in heart rate, fluid in her ear, sinus congestion, a sensation of her body being on fire, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps, fatigue, cough, tingling in the head and jaw and was unable to turn her head an unspecified length of time after receiving Fluvirin on the right side on 10/23/03.  On an unspecified date the vaccinee experienced right ear pain within a few days of vaccination and right-sided neck pain, chills, headaches which lasted approximately 1.5 weeks, severe post-nasal drip (on the right side only), muscle spasms in the jaw and neck, an increase in blood pressure, an increase in heart rate, fluid in her right ear, severe sinus congestion, a sensation of her body being on fire lasting for about 10 hours, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps in her right calf and thigh, fatigue, cough, a sensation of tingling in the head and jaw and was unable to turn her head. The reporter indicated that all symptoms began shortly after receiving Fluvirin. The vaccinee indicated that most of the symptoms had subsided but continues to have problems with sinus congestion, nasal discharge, fatigue, blocked ears, and muscle pain but not as significant as when experienced initially. The vaccinee also experienced some symptoms on the left side but were less intense. The vaccinee was unable to exercise when the symptoms were most intense. At the time of reporting she had commenced exercising again and noted that the muscles on the right side of her body were significantly more painful than the muscles on the left side. Laboratory tests including thyroid function and head CT were normal. It was suggested that the symptoms experienced by the vaccinee may be due to a reaction to the immunization or may be due to a type of flu virus. There was insufficient information to determine the reporter's causality. Update 1, 4/20/04: Further information was received from a health care professional who is also the 49 year old consumer who experienced neuropathies and paraesthesia after receiving Fluvirin. The vaccinee's symptoms were considered to be disabling. The vaccinee has undergone numerous tests. However, no diagnosis has been confirmed and she continues to experience neuropathies, paraesthesias and muscle spasms. The vaccinee has a medical history of normal childhood illnesses. The vaccinee was treated with gabapentin, cyclobenzaprine hydrochloride and physical and massage therapy. Follow up pending.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Ear pain, Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: A report was received from a health care professional on 2/9/04 concerning a female vaccinee of unspecified age who experienced ear pain within a few days of vaccination and neck pain, chills, headaches, post-nasal drip, muscle spasms, an increase in blood pressure, an increase in heart rate, fluid in her ear, sinus congestion, a sensation of her body being on fire, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps, fatigue, cough, tingling in the head and jaw and was unable to turn her head an unspecified length of time after receiving Fluvirin on the right side on 10/23/03.  On an unspecified date the vaccinee experienced right ear pain within a few days of vaccination and right-sided neck pain, chills, headaches which lasted approximately 1.5 weeks, severe post-nasal drip (on the right side only), muscle spasms in the jaw and neck, an increase in blood pressure, an increase in heart rate, fluid in her right ear, severe sinus congestion, a sensation of her body being on fire lasting for about 10 hours, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps in her right calf and thigh, fatigue, cough, a sensation of tingling in the head and jaw and was unable to turn her head. The reporter indicated that all symptoms began shortly after receiving Fluvirin. The vaccinee indicated that most of the symptoms had subsided but continues to have problems with sinus congestion, nasal discharge, fatigue, blocked ears, and muscle pain but not as significant as when experienced initially. The vaccinee also experienced some symptoms on the left side but were less intense. The vaccinee was unable to exercise when the symptoms were most intense. At the time of reporting she had commenced exercising again and noted that the muscles on the right side of her body were significantly more painful than the muscles on the left side. Laboratory tests including thyroid function and head CT were normal. It was suggested that the symptoms experienced by the vaccinee may be due to a reaction to the immunization or may be due to a type of flu virus. There was insufficient information to determine the reporter's causality. Update 1, 4/20/04: Further information was received from a health care professional who is also the 49 year old consumer who experienced neuropathies and paraesthesia after receiving Fluvirin. The vaccinee's symptoms were considered to be disabling. The vaccinee has undergone numerous tests. However, no diagnosis has been confirmed and she continues to experience neuropathies, paraesthesias and muscle spasms. The vaccinee has a medical history of normal childhood illnesses. The vaccinee was treated with gabapentin, cyclobenzaprine hydrochloride and physical and massage therapy. Follow up pending.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Nasal congestion, Neck pain, Night sweats, Pain
Clinical narrative: A report was received from a health care professional on 2/9/04 concerning a female vaccinee of unspecified age who experienced ear pain within a few days of vaccination and neck pain, chills, headaches, post-nasal drip, muscle spasms, an increase in blood pressure, an increase in heart rate, fluid in her ear, sinus congestion, a sensation of her body being on fire, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps, fatigue, cough, tingling in the head and jaw and was unable to turn her head an unspecified length of time after receiving Fluvirin on the right side on 10/23/03.  On an unspecified date the vaccinee experienced right ear pain within a few days of vaccination and right-sided neck pain, chills, headaches which lasted approximately 1.5 weeks, severe post-nasal drip (on the right side only), muscle spasms in the jaw and neck, an increase in blood pressure, an increase in heart rate, fluid in her right ear, severe sinus congestion, a sensation of her body being on fire lasting for about 10 hours, diarrhea, palpitations with shortness of breath, loss of appetite, hair loss, night sweats, pain in the right deltoid, pain in the right shoulder joint, numbness in the fingers, muscle cramps in her right calf and thigh, fatigue, cough, a sensation of tingling in the head and jaw and was unable to turn her head. The reporter indicated that all symptoms began shortly after receiving Fluvirin. The vaccinee indicated that most of the symptoms had subsided but continues to have problems with sinus congestion, nasal discharge, fatigue, blocked ears, and muscle pain but not as significant as when experienced initially. The vaccinee also experienced some symptoms on the left side but were less intense. The vaccinee was unable to exercise when the symptoms were most intense. At the time of reporting she had commenced exercising again and noted that the muscles on the right side of her body were significantly more painful than the muscles on the left side. Laboratory tests including thyroid function and head CT were normal. It was suggested that the symptoms experienced by the vaccinee may be due to a reaction to the immunization or may be due to a type of flu virus. There was insufficient information to determine the reporter's causality. Update 1, 4/20/04: Further information was received from a health care professional who is also the 49 year old consumer who experienced neuropathies and paraesthesia after receiving Fluvirin. The vaccinee's symptoms were considered to be disabling. The vaccinee has undergone numerous tests. However, no diagnosis has been confirmed and she continues to experience neuropathies, paraesthesias and muscle spasms. The vaccinee has a medical history of normal childhood illnesses. The vaccinee was treated with gabapentin, cyclobenzaprine hydrochloride and physical and massage therapy. Follow up pending.