chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspepsia, Erythema, Inflammation, Lip swelling, Muscular weakness
Clinical narrative: I received my flu injection @ 10:10 AM. @ 11:00 AM I started having my symptoms.Itching all over my body(soles of feet,palms,back,head ect.), bright red skin color, problem focusing my vision, eyes & lips swelling,uncontrollable shaking and severe indigestion.My breathing was normal. BP 115/70,O2 SAT 96%.I received 50 mg. of benedryl IM @ 11:15AM.I was transferred to the ER(BP 90/59 SAT 96%) and treated with IV steroids,benedryl and meds for my indigestion. I began feeling better and was d/c'd home @ 15:00.Home medications were prednisone 20mg po x 4 days,benedryl and pepcid AC x3 days. I woke up with severe pain & slight weakness in both legs on 10/11. My medical physician on 10/13 stated it was probably inflammation I had normally and the steroids made me feel better. When I stopped the steroids (it was not a tapered dose)the inflammation came back with force. I was treated w/Advil for seven days. I have had no more problems.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Oxygen saturation normal, Pain in extremity, Pruritus generalised, Tremor, Vision blurred
Clinical narrative: I received my flu injection @ 10:10 AM. @ 11:00 AM I started having my symptoms.Itching all over my body(soles of feet,palms,back,head ect.), bright red skin color, problem focusing my vision, eyes & lips swelling,uncontrollable shaking and severe indigestion.My breathing was normal. BP 115/70,O2 SAT 96%.I received 50 mg. of benedryl IM @ 11:15AM.I was transferred to the ER(BP 90/59 SAT 96%) and treated with IV steroids,benedryl and meds for my indigestion. I began feeling better and was d/c'd home @ 15:00.Home medications were prednisone 20mg po x 4 days,benedryl and pepcid AC x3 days. I woke up with severe pain & slight weakness in both legs on 10/11. My medical physician on 10/13 stated it was probably inflammation I had normally and the steroids made me feel better. When I stopped the steroids (it was not a tapered dose)the inflammation came back with force. I was treated w/Advil for seven days. I have had no more problems.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site haemorrhage
Clinical narrative: Recieved vaccine @ right DELTOID (arm) after 7 hrs noted blue eccymoised area distial to site on inner aspect of upper arm 3x3 inches wide
Age: 16.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Medical Assistant gave the Varicella vaccine IM instead of SQ.  No problems noted with the patient after the injection and neither when patient was checked 3 hours later.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: red and warm area at injection site within 24 hrs. area continues to ache with sharp pinches down arm 2 weeks after
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Myalgia, Pain in extremity
Clinical narrative: Received injection at approximately 1330on 10/27/08, 3-4 hours later noticed sore L) arm.  At 2100 10/27/08, noted sore trapezium muscle and fatigue. Woke up on 10/28/08, noted to have enlarged and painful L) supraclavicular lymph node.  10/30/08 1345 came to Employee Health clinic after beling told by clinic doctor to go to employee health and have them report reaction.  Patient stated that suprclavicular lymph node is larger today than it was on 10/28 and with increase pain.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient reports arm pain when lifting since influenza vaccine on 10/15/08.  No treatment. Advised patient to call MD and report sx.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Crying, Hypoaesthesia
Clinical narrative: 4:03PM, about 3 minutes after vaccine was administered, the patient complained of numbness in the left arm.  4:15 PM BP 110/60, P 88, R 16.  Tearful.  No itching or respiratory distress.  4:25PM, vital signs unchanged, numbness decreased.  Left clinic site with instructions to return to Health Services as needed.  10/30/08-patient called by Health services staff and reports she is "fine".
Age: 10.0
Sex: F
Vaccine: FLU3, HEP, TDAP
Symptoms: Injection site warmth
Clinical narrative: Redness of left 3.0 cm x 6.5 cm, warm to touch at injection site of either Tdap or flu vaccine given to left deltiod on Monday immunization clinic.  Contacted/reported to Dr. (LM). Instructed parents to take benadryl and to apply cortisone cream to the site.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Full blood count normal, Pruritus, Red blood cell sedimentation rate normal
Clinical narrative: Severe itching, chest heaviness, cough beginning 15 min after shot and lasting for 24 hours. Saw Dr. and treated with loratadine then Benadryl and albuterol inhaler.  No lab work or CRX done.   Pt had VAERS1 a year earlier - blamed on MMR.  She had + ANA 1:640 speckled/homogenous.  Repeat pending.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rheumatoid factor negative
Clinical narrative: Severe itching, chest heaviness, cough beginning 15 min after shot and lasting for 24 hours. Saw Dr. and treated with loratadine then Benadryl and albuterol inhaler.  No lab work or CRX done.   Pt had VAERS1 a year earlier - blamed on MMR.  She had + ANA 1:640 speckled/homogenous.  Repeat pending.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient's right arm was sore after flu shot. No rash or swelling noted by patient. Patient developed aches and pains which start around the arm and radiate into her back, neck, hips, and other arm.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Headache, Irritability, Lethargy, Muscular weakness
Clinical narrative: initally sleepy.  within 6 days began fever. high temp to 101.5 with tylenol .progessing irritablity and lethargy.  by 10/15 unable to hold head up and acting as if his head hurt.  crying.  Taken to Urgent Care worked up for meningitis unable to get a spinal tap after 5 attempt.  continues to get worse. projectile vomiting by 20 days after injection. admitted to hospital.  11/10/2008 MR received for several outpatient, ER and inpatient records. Infant with previous hx of GERD. Seen in ER 10/14/08 after falling from parent's arms and hit bathtub. PE WNL except clicking near 12th rib.  DX: Back pain and d/c home.  Returned 10/21/08 with fever and vomiting. Pt moaning, lethargic with projectile vomiting on triage. Recent poor weight gain.  GI and Immunology consults showed concern for non-accidental trauma-large head and full fontanelle. Ophth consult (+) for subconjunctival hemorrhages, pre-retinal and intraretinal hemorrhage with old hemorrhages visible.  Impression:  Hemorrhagic retinopathy in the context of subdural hematoma. Final DX:  Non-accidental trauma. GERD. Emesis resolved.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Pyrexia, Somnolence, Ultrasound scan abnormal, Vomiting projectile
Clinical narrative: initally sleepy.  within 6 days began fever. high temp to 101.5 with tylenol .progessing irritablity and lethargy.  by 10/15 unable to hold head up and acting as if his head hurt.  crying.  Taken to Urgent Care worked up for meningitis unable to get a spinal tap after 5 attempt.  continues to get worse. projectile vomiting by 20 days after injection. admitted to hospital.  11/10/2008 MR received for several outpatient, ER and inpatient records. Infant with previous hx of GERD. Seen in ER 10/14/08 after falling from parent's arms and hit bathtub. PE WNL except clicking near 12th rib.  DX: Back pain and d/c home.  Returned 10/21/08 with fever and vomiting. Pt moaning, lethargic with projectile vomiting on triage. Recent poor weight gain.  GI and Immunology consults showed concern for non-accidental trauma-large head and full fontanelle. Ophth consult (+) for subconjunctival hemorrhages, pre-retinal and intraretinal hemorrhage with old hemorrhages visible.  Impression:  Hemorrhagic retinopathy in the context of subdural hematoma. Final DX:  Non-accidental trauma. GERD. Emesis resolved.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Band neutrophil percentage, Cough, Dyspnoea, Full blood count, Lacrimation increased
Clinical narrative: Had the flu vaccine at 0800 10-30-2008 and approximately 1 1/2 hours after receiving the vaccine pt reported continuous dry cough then rhinitis, red watery eyes, sore itchy throat, slight shortness of breath and soreness in throat with breathing and especially with coughing returned to clinic, CBC w/diff was drawn, saline lock started and 1000cc Normal Saline bolus, also given was Benadryl 25mg IVP, Decadron 4mg IVP and Solumedrol 80mg IVP Lab results showed Patient improved with treatment and was dc'd to home in stable condition.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphocyte percentage decreased, Monocyte percentage, Neutrophil percentage increased, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Had the flu vaccine at 0800 10-30-2008 and approximately 1 1/2 hours after receiving the vaccine pt reported continuous dry cough then rhinitis, red watery eyes, sore itchy throat, slight shortness of breath and soreness in throat with breathing and especially with coughing returned to clinic, CBC w/diff was drawn, saline lock started and 1000cc Normal Saline bolus, also given was Benadryl 25mg IVP, Decadron 4mg IVP and Solumedrol 80mg IVP Lab results showed Patient improved with treatment and was dc'd to home in stable condition.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinitis, Throat irritation, White blood cell count increased
Clinical narrative: Had the flu vaccine at 0800 10-30-2008 and approximately 1 1/2 hours after receiving the vaccine pt reported continuous dry cough then rhinitis, red watery eyes, sore itchy throat, slight shortness of breath and soreness in throat with breathing and especially with coughing returned to clinic, CBC w/diff was drawn, saline lock started and 1000cc Normal Saline bolus, also given was Benadryl 25mg IVP, Decadron 4mg IVP and Solumedrol 80mg IVP Lab results showed Patient improved with treatment and was dc'd to home in stable condition.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Cough
Clinical narrative: I had my first flu shot ever this morning at ~10am and as of about 1pm I developed a mild cough reminiscent of ORS. I was confused at first because none of the flu shot symptoms I read about mentioned coughing (other than for the inhalant form of the vaccine). I did more research and discovered ORS, which I'm pretty sure this is (symptoms are not worsening, nor have any new symptoms arisen). Not even the advice nurse knew what ORS was. Other than the mild cough, I feel fine and will not be seeking treatment from a doctor.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Activities of daily living impaired, Induration, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Hard, painful swelling above elbow on posterior, lateral, upper arm.  Applicatin of heat seemed to help.  Claims she was in bed for 5 days and could not move her arm.  Patient did not seek treatment.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Erythema, Fatigue, Headache, Hypokinesia, Induration
Clinical narrative: Hard, painful swelling above elbow on posterior, lateral, upper arm.  Applicatin of heat seemed to help.  Claims she was in bed for 5 days and could not move her arm.  Patient did not seek treatment.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pyrexia
Clinical narrative: Hard, painful swelling above elbow on posterior, lateral, upper arm.  Applicatin of heat seemed to help.  Claims she was in bed for 5 days and could not move her arm.  Patient did not seek treatment.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Axillary pain, Paraesthesia
Clinical narrative: He describes pain in Left anterior axillary fold, and some tingling down into the elbow. There was no erythema, induration, increased warmth, swelling, or other injection site reactions. There were no motor or sensory deficits in L arm or shoulder. There was no epitrochlear, supraclavicular, or axillary adenopathy.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Hypotonia, Posture abnormal, Syncope
Clinical narrative: Immediately after receipt of intramuscular influenza vaccine, child fainted--eyes closed, head rolled to side, arms flacid--while still sitting in chair. Assisted child to floor whence she immediately regained consciousness with orientation to person, place, event. Allowed to lie still for 1 minute. Assisted to a chair, observed for 15 minutes with no further issues. Accompanied to classroom by school nurse.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Malaise, Pyrexia, Throat tightness
Clinical narrative: Apporoximately 70 hours after vaccine administration, patient developed fever, joint pain and tightening of the throat that persisted for roughly 12 hours. No permanent injury occured due to the tightening of the throat. No treatment of the symptoms was performed by the patient. Patient subsequently had general malaise for 72 hours. Patient did not follow-up for evaluation or treatment during the symptoms and did not treat self for the symptoms. The symptoms resolved on their own.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Arthritis, Discomfort, Hypokinesia, Pain
Clinical narrative: In September of 2007, one month after receiving the third installment of the Gardasil vaccine, I began to have joint pain and body aches.  The pain increased through October and November.  The joints throughout my body were inflamed, I had a fever, disruption of sleep due to pain and discomfort, and severe restriction in movement.  Tests revealed that I had severe inflammation.  I was treated with Prednisone and Methotrexate as a preventative measure for arthritis.  The inflammation decreased following medication treatment.  However, when the medicines are reduced the inflammation of joints returns.  There was also calcification in my wrist joints following the inflammation, causing restriction in joint flexibility.  1/16/2009 MR received from Rheumatologist. DX:  Polyarthritis. Pt initially presented 11/26/07 with c/o abrupt onset of pain-joint pain: hands, knees, PIP, MCP, wrists, feet, hips, shoulders, lumbosacral spine and cervical spine, morning stiffness x 2 hrs, sleep disturbance, low energy and feeling moody and depressed.  Initially thought to be RA with (-) markers. C/o sore throats, H/As and mild upset stomach 12/6/07. Tx with anti-inflammatories, Pred and Methotrexate with some improvement, however worsening with reduced doses. Reported chest pain, nausea and bruising 1/8/08. Increased H/A, neck pain and knee tightness 3/08.  Increased fatigue despite sleeping well 11/08. Pain improved.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: In September of 2007, one month after receiving the third installment of the Gardasil vaccine, I began to have joint pain and body aches.  The pain increased through October and November.  The joints throughout my body were inflamed, I had a fever, disruption of sleep due to pain and discomfort, and severe restriction in movement.  Tests revealed that I had severe inflammation.  I was treated with Prednisone and Methotrexate as a preventative measure for arthritis.  The inflammation decreased following medication treatment.  However, when the medicines are reduced the inflammation of joints returns.  There was also calcification in my wrist joints following the inflammation, causing restriction in joint flexibility.  1/16/2009 MR received from Rheumatologist. DX:  Polyarthritis. Pt initially presented 11/26/07 with c/o abrupt onset of pain-joint pain: hands, knees, PIP, MCP, wrists, feet, hips, shoulders, lumbosacral spine and cervical spine, morning stiffness x 2 hrs, sleep disturbance, low energy and feeling moody and depressed.  Initially thought to be RA with (-) markers. C/o sore throats, H/As and mild upset stomach 12/6/07. Tx with anti-inflammatories, Pred and Methotrexate with some improvement, however worsening with reduced doses. Reported chest pain, nausea and bruising 1/8/08. Increased H/A, neck pain and knee tightness 3/08.  Increased fatigue despite sleeping well 11/08. Pain improved.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Paraesthesia
Clinical narrative: Nerve tingling on one side (right) around eye and down the neck
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Rt upper arm area of vaccine with widespread red rash , no pustules
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, PPV
Symptoms: Bacteria stool test, Diarrhoea, Measles post vaccine, Pyrexia, Rash
Clinical narrative: Three days after the shot he started vomiting, had diarrhea, and had fever. The fever lasted for one day and the vomiting and diarrhea lasted for seven days.He was takened back to the doctor three days after the shot and treatment was a BRAT diet. Bananas, rice, and toast. Child was takened back to the doctor on 5/5/08 and treatment was the same. Child was brought back in for weight check on 5/7/08 and a stool test was sent off around that date. It later came back negative for bacteria. After the 7th day of illness, the diarrhea stopped. Around 11 days after vaccination, child broke out in a rash. Child was brought back to the doctor who confirmed it was the measles.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, MMR, PPV
Symptoms: Stool analysis normal, Vomiting
Clinical narrative: Three days after the shot he started vomiting, had diarrhea, and had fever. The fever lasted for one day and the vomiting and diarrhea lasted for seven days.He was takened back to the doctor three days after the shot and treatment was a BRAT diet. Bananas, rice, and toast. Child was takened back to the doctor on 5/5/08 and treatment was the same. Child was brought back in for weight check on 5/7/08 and a stool test was sent off around that date. It later came back negative for bacteria. After the 7th day of illness, the diarrhea stopped. Around 11 days after vaccination, child broke out in a rash. Child was brought back to the doctor who confirmed it was the measles.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of elevated white blood cell count in a 68-year-old male subject who was vaccinated with FLULAVAL (GlaxoSmithKline). Concurrent medical conditions included Crohn's disease. Concurrent medications included MESALAMINE, loratadine, omeprazole, prednisone, terazosin, clonazepam, gabapentin, multivitamin, simethicone, propranolol and loperamide. On 16 October 2008 the subject received a dose of FLULAVAL at 0.5 ml. On 16 October 2008, less than one day after vaccination with FLULAVAL, the subject experienced elevated white blood cell count and fever. The subject was already hospitalized and ready to be discharged when the flu vaccine was administered. The subject's hospital stay was extended because of the fever and elevated white blood cell count. The pharmacist considered the events were disabling, life threatening and clinically significant (or requiring intervention). The subject was treated with antibiotic. At the time of reporting the subject's elevated white blood cell count was improved and the fever was resolved. In the reporter's opinion, the elevated white blood cell count was probably related to treatment with FLULAVAL. The relationship of the fever to FLULAVAL was unknown. The reporting pharmacist did state that in hindsight, they probably should have not started the antibiotic therapy and his extended stay could be related to that and not the actual flu vaccine.
Age: 12.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Anaphylactic reaction, Erythema, Throat tightness, Type I hypersensitivity, Urticaria
Clinical narrative: This case was reported in a literature article and described the occurrence of anaphylactic reaction in a 12-year-old male subject who was vaccinated with DTAP (manufacturer unspecified), Meningococcal vaccine and strain not specified. The subject's medical history included no food or drug allergy. The subject did not have any adverse event after previous vaccinations. The subject had a history of asthma and most recently had an acute exacerbation 3 months earlier. On an unspecified date the subject received unspecified dose of DTAP (unknown), unspecified dose of Meningococcal vaccine (unknown). Within 30 minutes after vaccination with DTAP and Meningococcal vaccine, the subject experienced hives and redness of his face and chest, wheezing and throat tightness. The subject was treated with Albuterol inhaler and the subject returned to the clinic, where he was treated with oral diphenhydramine and intramuscular Epinephrine. His symptoms completely resolved over the next 2 hours. This was very consistent with an immediate type Ig E-mediated hypersensitivity reaction. The subject was referred to an allergist for further evaluation. the reaction was considered as anaphylactic reaction. An additional dose of TD was indicated in 5-10 years. Additional doses of Meningococcal vaccine were not currently recommended. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved. The author considered the events were possibly related to vaccination with DTAP and Meningococcal vaccine.
Age: 12.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Wheezing
Clinical narrative: This case was reported in a literature article and described the occurrence of anaphylactic reaction in a 12-year-old male subject who was vaccinated with DTAP (manufacturer unspecified), Meningococcal vaccine and strain not specified. The subject's medical history included no food or drug allergy. The subject did not have any adverse event after previous vaccinations. The subject had a history of asthma and most recently had an acute exacerbation 3 months earlier. On an unspecified date the subject received unspecified dose of DTAP (unknown), unspecified dose of Meningococcal vaccine (unknown). Within 30 minutes after vaccination with DTAP and Meningococcal vaccine, the subject experienced hives and redness of his face and chest, wheezing and throat tightness. The subject was treated with Albuterol inhaler and the subject returned to the clinic, where he was treated with oral diphenhydramine and intramuscular Epinephrine. His symptoms completely resolved over the next 2 hours. This was very consistent with an immediate type Ig E-mediated hypersensitivity reaction. The subject was referred to an allergist for further evaluation. the reaction was considered as anaphylactic reaction. An additional dose of TD was indicated in 5-10 years. Additional doses of Meningococcal vaccine were not currently recommended. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved. The author considered the events were possibly related to vaccination with DTAP and Meningococcal vaccine.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Apnoea, Body temperature increased, Chest X-ray normal, Cyanosis, Electroencephalogram abnormal
Clinical narrative: 4 hours after vaccination, child developed T=100.7; developed apnea of 15 seconds, turned blue, pale, limp afterwards. EMS called; admitted to hospital. Abn EEG - (L) central sharp waves with clinical sz.  11/4/08 Reviewed hospital medical records of 10/24-10/25/2008. FINAL DX: ALTE; hypotensive-hyporesponsive reaction to acellular pertussis; seizures.  Records reveal patient experienced irritability, crying & gurgling, then suddenly stopped breathing for approx 10 sec, pale, lips blue then became very pale & limp.  Had received tylenol in PCP office w/vaccines.  Temp on admit 100.7.  No further episodes in hospital.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Hypotonia, Pallor
Clinical narrative: 4 hours after vaccination, child developed T=100.7; developed apnea of 15 seconds, turned blue, pale, limp afterwards. EMS called; admitted to hospital. Abn EEG - (L) central sharp waves with clinical sz.  11/4/08 Reviewed hospital medical records of 10/24-10/25/2008. FINAL DX: ALTE; hypotensive-hyporesponsive reaction to acellular pertussis; seizures.  Records reveal patient experienced irritability, crying & gurgling, then suddenly stopped breathing for approx 10 sec, pale, lips blue then became very pale & limp.  Had received tylenol in PCP office w/vaccines.  Temp on admit 100.7.  No further episodes in hospital.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Full blood count normal, Headache, Metabolic function test, Rash, Rash papular
Clinical narrative: SM received SPV, AVA #1, 10/20/08 & had mild headache same day. On 10/28/08 friends noticed red bumps on neck and chest. SM presented to PCM 10/29/08 for evaluation; at the time eruptions were confined to upper chest and appeared to be folliculitis; CBC & CMP were normal; he was afebrile and overall felt normal. SM had f/u with PMC 10/30/08 at which time eruptions were spread over entire torso-papular and pustular in nature, but otherwise asymptomatic. Derm photos were sent to the agency with diagnosis immune-mediated xanthem. At time of VAERS completion, skin eruptions remain.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash pustular
Clinical narrative: SM received SPV, AVA #1, 10/20/08 & had mild headache same day. On 10/28/08 friends noticed red bumps on neck and chest. SM presented to PCM 10/29/08 for evaluation; at the time eruptions were confined to upper chest and appeared to be folliculitis; CBC & CMP were normal; he was afebrile and overall felt normal. SM had f/u with PMC 10/30/08 at which time eruptions were spread over entire torso-papular and pustular in nature, but otherwise asymptomatic. Derm photos were sent to the agency with diagnosis immune-mediated xanthem. At time of VAERS completion, skin eruptions remain.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye swelling, Speech disorder
Clinical narrative: Pt seen in the ED with eye swelling, difficulty talking, non-radiating chest pressure treated with BENADRYL 25mg po. 10/15/08.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Full blood count, Headache, Nausea
Clinical narrative: Headache, mild nausea and fatigue. Since evening of vaccine - 10/28/08.
Age: 1.3
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Rash generalised
Clinical narrative: Per Mom - Patient has rash "all over" body. Booked her an appointment with Dr. to be seen on 10.30.08. Dx believes rash is not due to vaccines.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Malaise, Pain, Pyrexia
Clinical narrative: Fever 100-102 degrees, chills, aches.
Age: 1.3
Sex: M
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Crying, Vaccine positive rechallenge
Clinical narrative: Mom states pt cried "non-stop" for 5 hours after receiving 15 month shots. Child was not ill @ the time. Child woke from sound sleep and cried for 5 hrs. Fell back asleep - woke up fine. Mom also states this happened after 2 month shots 9/20/07 but never reported to physician.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Within 30 minutes of vaccine, injection site began itching, swelling. Erythema of 8 cm. with minimal induration at actual injection site.
Age: 5.2
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Flu shot Tues, 10/28/08 - Wed. morning 10/29/08 (+) redness and tenderness at injection site. (+) pain, redness, and spreading tenseness into today. No facial abscess or fluctuant mass noted. Tenderness, (-) induration.
Age: 14.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Myalgias. Fevers. Headache.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Oxygen saturation decreased, Wheezing
Clinical narrative: (1) Pain started from right shoulder on 10/28/08 evening, extended to right elbow joint and right finger joints, next day, and getting worse. (2) Wheezing for 2 days. (3) Local injection site is symptom free.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given influenza vaccine x2 within the same day. Approximately 2 hrs apart.
Age: 1.1
Sex: F
Vaccine: FLU3, PNC, VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Rash developed 1/29/08 - slowly more lesions developed.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Dizziness, Erythema, Feeling hot, Headache
Clinical narrative: Swollen arm at site, headache, nausea (no vomiting) body aches, dizziness when arising, no laying down, red and hot, chills/sweating.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hyperhidrosis, Injection site swelling, Nausea, Pain
Clinical narrative: Swollen arm at site, headache, nausea (no vomiting) body aches, dizziness when arising, no laying down, red and hot, chills/sweating.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling face, Vomiting
Clinical narrative: Pt. received vaccine at 730 PM. He start throwing up in the morning. His face area swollen per his sister. Tried to call twice to get some more details and what medical help he received but did not get any answer. He got the flu shot 1st time.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Nausea, Pain, Pyrexia
Clinical narrative: All general symptoms attributed to flu - general malaise, nausea, fever and aches and pains beginning at 3 AM the night preceeding the vaccination. Lasted for 2 days with resolution on 3rd day.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: L arm red & swollen @ site. Was not treated with ABX @ ED.
Age: 2.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Erythema, Oedema peripheral, Skin discolouration, Skin warm
Clinical narrative: Mother sts. pt. started having some redness to (L) arm 10/20/08 p.m. increased redness swelling on 10/21/08 - 10/22/08 warm to touch swollen across bicep of (L) arm with white ring took pt. to ER @ 2:30 pm on 10/22/08 - Given SEPTRA susp bid.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: fever increased 102-104.8 vomited X 1
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Muscular weakness
Clinical narrative: Joint swelling and pain to left shoulder and upper arm
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Joint swelling, Musculoskeletal pain, Pain in extremity
Clinical narrative: Joint swelling and pain to left shoulder and upper arm
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Epstein-Barr virus antibody positive, Fatigue, Gastrointestinal disorder
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Hepatic enzyme increased, Hepatitis, Hepatitis A antibody negative, Malaise, Nausea
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Ocular icterus, Vomiting
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Anorexia, Biopsy liver abnormal, Chromaturia, Diarrhoea, Dizziness
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Fatigue, Feeling abnormal, Feeling hot, Foreign travel, Hepatitis
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Hepatomegaly, Hypersomnia, Liver injury, Nausea, Pruritus
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 31.0
Sex: F
Vaccine: YF, HEPA, YF
Symptoms: Pyrexia, Urticaria, Vaginal haemorrhage, Vomiting
Clinical narrative: January 10, 2008 - got the two vaccines. The first reaction I had was January 12, 2008 which was intense shocking itching and my right hand  broke out into hives. January 13, 2008 I had to sing and I remember that day clearly I had lost my appetite. January 14, 2008 I went out to dinner and after eating my meal began vomiting uncontrollably. After that between January 14-16, 2008 I then experienced extreme tiredness, vomiting and diarrhea. I believe I flew out of the country on January 16, 2008 and again was very tired and felt nauseated. When I was abroad I continued to feel bad and developed a very high fever. I could not tell how high my fever was because I was not able to check it. I was in a very small village. My back and spine felt incredibly hot and my urine turned to a rusty color. A large amount of blood discharged out of my vagina and vomited at the airport. I felt and looked so sick that the staff from the airline did not want me to fly and I was rushed through the security line because I felt very faint. When I returned home I slept for two days and experienced the same tiredness and vomiting. On January 23, 2008 I went to the Emergency Room where I have been treated every since. I have had two liver biopsy's the first done on February 28, 2008 indicating that I had an unknown type of Hepatitis and was put on Prednisone and Imuran. The second biopsy was done on October 10, 2008 indicating that my liver has scarring and yet inflamed. I am again on 10mgs of Prednisone and 50mgs of Imuran. I have another appointment on November 11, 2008.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: App. 4-5 hours after receiving injection, broke out in "Hives" went to emergency room.  Had shot and got prescription, on 10-22-08.  Went to family doctor.  More prescriptions med. given.
Age: 69.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Pruritus, Rash
Clinical narrative: App. 4-5 hours after receiving injection, broke out in "Hives" went to emergency room.  Had shot and got prescription, on 10-22-08.  Went to family doctor.  More prescriptions med. given.
Age: 81.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Headache, Pain, Pyrexia, Throat irritation
Clinical narrative: Vaccine given at 10:40 a.m. 10-29-08.  Headache in afternoon lasting until next day.  I never have headaches.  Tickle in throat during nap in afternoon.  Chills and fever at ll p.m bedtime.  Severe shivering until warmed by bed covers.  Achey that day and next day
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: R arm cellulitis, treated with KEFLEX
Age: 23.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, TDAP, VARCEL
Symptoms: Chills, Cough, Decreased appetite, Headache, Nasopharyngitis
Clinical narrative: Patient was admitted in hospital on Oct. 14, 2008.  He is still in the hospital.  The patient is a 23 year old male.  C/O seen over weekend for headache and fever, low grade SIQ then felt better, rashes 2 days ago, did not tell.  Today scattered more at face, body, scalp and arms plus sore throat and low grade fever today.  No abdomen pain, appetite down and cold and cough 3 days, no breathing problems.  ROS unchanged.  Problem list reviewed and medication list reviewed.  No generalized pain, energy level not specified, not feeling tired or poorly, and no lethargy.  Chills.  Watery nasal discharge.  No hoarseness.  Sore throat.  Skin lesion(s): No head symptoms.  No neck symptoms.  No cardiovascular symptoms.  No pulmonary symptoms.  Appetite not decreased.  No genitourinary symptoms.  No hematologic symptoms.  No musculoskeletal symptoms.  No dizziness, no confusion or disorientation, no focal disturbances, no motor disturbances, and good coordination.  No psychological symptoms.  11/03/2008 MR received for DOS 10/14-21/2008 with D/C Dx:  Varicella. Pt initially presented to clinic with c/o fatigue, H/A and feeling poorly-myalgias and arthragias and fever. PE (+) for tenderness to palpation of bilateral parotids, decreased neck suppleness. Assessment H/A.  Returned 10/14/08 with rash all over-erythmatous, papular lesions, slighly pruritic. Mild throat erythema. Assessment: R/O Varicella. URI. Referred for admission. Presented to ER with Varicella rash and 3 week hx of cough. Placed on Respiratory isolation and tx with Acyclovir with improvement.
Age: 23.0
Sex: M
Vaccine: FLUN3, HEPAB, MMR, MNQ, TDAP, VARCEL
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, Skin lesion
Clinical narrative: Patient was admitted in hospital on Oct. 14, 2008.  He is still in the hospital.  The patient is a 23 year old male.  C/O seen over weekend for headache and fever, low grade SIQ then felt better, rashes 2 days ago, did not tell.  Today scattered more at face, body, scalp and arms plus sore throat and low grade fever today.  No abdomen pain, appetite down and cold and cough 3 days, no breathing problems.  ROS unchanged.  Problem list reviewed and medication list reviewed.  No generalized pain, energy level not specified, not feeling tired or poorly, and no lethargy.  Chills.  Watery nasal discharge.  No hoarseness.  Sore throat.  Skin lesion(s): No head symptoms.  No neck symptoms.  No cardiovascular symptoms.  No pulmonary symptoms.  Appetite not decreased.  No genitourinary symptoms.  No hematologic symptoms.  No musculoskeletal symptoms.  No dizziness, no confusion or disorientation, no focal disturbances, no motor disturbances, and good coordination.  No psychological symptoms.  11/03/2008 MR received for DOS 10/14-21/2008 with D/C Dx:  Varicella. Pt initially presented to clinic with c/o fatigue, H/A and feeling poorly-myalgias and arthragias and fever. PE (+) for tenderness to palpation of bilateral parotids, decreased neck suppleness. Assessment H/A.  Returned 10/14/08 with rash all over-erythmatous, papular lesions, slighly pruritic. Mild throat erythema. Assessment: R/O Varicella. URI. Referred for admission. Presented to ER with Varicella rash and 3 week hx of cough. Placed on Respiratory isolation and tx with Acyclovir with improvement.
Age: 37.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chest X-ray abnormal, Dehydration, Feeling hot, Headache, Nasal congestion
Clinical narrative: Patient received influenza and pneumovax vaccinations on 10/1/08 in the clinic. Patient reported that on 10/2/08, he had new onset of head congestion, nasal congestion, headache with facial tenderness, feeling hot, generalized body aches, chest congestion with frequent cough of yellow secretions. Patient was seen to rule out pneumonia and dehydration due to fever and nausea and vomiting. Patient was treated with antibiotics, promethazine, acetaminophen and recovered. Symptoms: Fever, Wheeze, dehydration, nausea, vomiting.
Age: 37.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Nasopharyngitis, Nausea, Pain, Productive cough, Pyrexia
Clinical narrative: Patient received influenza and pneumovax vaccinations on 10/1/08 in the clinic. Patient reported that on 10/2/08, he had new onset of head congestion, nasal congestion, headache with facial tenderness, feeling hot, generalized body aches, chest congestion with frequent cough of yellow secretions. Patient was seen to rule out pneumonia and dehydration due to fever and nausea and vomiting. Patient was treated with antibiotics, promethazine, acetaminophen and recovered. Symptoms: Fever, Wheeze, dehydration, nausea, vomiting.