chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Oedema peripheral, Rash, Urticaria
Clinical narrative: Patient called and said she had swelling in her knuckles, rash on the inside of the elbows and a welt on her skin. She said she did not seek medical treatment. By Monday all the symptoms were gone.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Abdominal distension, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Client with reddened site, swelling on left leg, hip and slightly into abdomen. Denies fever. To clinic on 3/10 or 3/11. PAC told mom to give Benadryl-today 3/12 soreness at site, swelling down. Client "running around"-feeling well.
Age: 41.0
Sex: M
Vaccine: RAB
Symptoms: Dyspnoea, Fatigue, Lethargy, Wheezing
Clinical narrative: Wheezing, shortness of breath, lethargic, fatigue. Albuterol nebulizer, steroids.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood test normal, Chills, Fatigue, Headache
Clinical narrative: Shoulder (felt in arm received vaccine) pain starting developing with fever-3 hrs. after vaccine chills and headache-5hrs. nausea/weakness/tiredness. 6hrs. severe joint left shoulder pain. Could not move left arm or raise it. 3-3-10 Shoulder pain began to reduced and slight use returned-over 3 weeks almost full range of motion but still some limitation in mobility of raising arm fully extended over head. A dull ache still remains in that shoulder. Still unresolved after 3 weeks.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Nausea, Pyrexia, X-ray limb abnormal
Clinical narrative: Shoulder (felt in arm received vaccine) pain starting developing with fever-3 hrs. after vaccine chills and headache-5hrs. nausea/weakness/tiredness. 6hrs. severe joint left shoulder pain. Could not move left arm or raise it. 3-3-10 Shoulder pain began to reduced and slight use returned-over 3 weeks almost full range of motion but still some limitation in mobility of raising arm fully extended over head. A dull ache still remains in that shoulder. Still unresolved after 3 weeks.
Age: 83.0
Sex: M
Vaccine: PPV
Symptoms: Arrhythmia, Heart rate increased, Pyrexia
Clinical narrative: Rapid heart beat, fever, cardiac arrhythmia. I am the patient making this report, I had the stated symptoms after.
Age: 2.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Morning after vaccine was administered noticed a plum size red welt on vaccine site.
Age: 3.0
Sex: U
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site warmth
Clinical narrative: (L) thigh red, swollen, lump, hot to touch.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash pruritic
Clinical narrative: PT C/O OF ITCHY RASH TO LEFT ARM, LEGS AND LEFT SIDE OF WAIST SINCE RECEIVING FLU AND  PNEUMOCOCCIAL VACCINE 1/21/09. REFERS NOT USING ANY OTC MEDICATION TO TREAT RASH.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event
Clinical narrative: none
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: Child found unresponsive by parents and taken to local ED
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blood uric acid normal, C-reactive protein increased, Metabolic function test, Myalgia
Clinical narrative: serum sickness with myalgias, arthralgias
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid factor negative, Serum sickness
Clinical narrative: serum sickness with myalgias, arthralgias
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Abasia, Aspiration joint, Oedema peripheral, Pain in extremity
Clinical narrative: Pt woke with L leg pain, later swelling developed from thigh to knee and pt would not walk on L leg.  No localized swelling at the injection site, but swelling distal to that.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Alopecia
Clinical narrative: Patient states approximately 1 month after receiving the Seasonal Influenza vaccine she began loosing the hair on her scalp
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Alopecia
Clinical narrative: States 1 month after receiving the vaccine began losing hair on head.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Acute hepatic failure
Clinical narrative: Reported to ER with Acute Liver Failure.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Abasia, Confusional state, Hepatic failure, Influenza like illness, Vision blurred
Clinical narrative: Reported to ER with Acute Liver Failure.
Age: 1.51
Sex: F
Vaccine: HEPA
Symptoms: Discomfort, Rash generalised, Rash macular
Clinical narrative: Monday morning she had very some red bumps over most over body, by Tuesday they had spend to every part of her body and then they got and more splotchy. It was very intense on her legs. Wed they got bad on her face and she seemed to be in a lot of discomfort with this. Started her with hydroxyzine and then the doc prscribed prednisolone on Thursday today.
Age: 44.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia, Local swelling, Rash erythematous
Clinical narrative: Started with mild joint pain 3/20, on 3/22 began with red spots all over body, on 3/24 reported joint pain, swelling of neck, red bumps over entire body. Took Motrin 800 q 8 hours, Benadryl at night and Claritin during the day.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Enuresis, Pollakiuria, Scan abnormal, Thirst, Type 1 diabetes mellitus
Clinical narrative: Frequent thirst, frequent urination, bed-wetting after a year of sleeping through the night.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness, Feeling drunk, Injection site warmth, Nausea
Clinical narrative: Client returned after receiving injection of H1N1 injection at 1:30 p.m. and complained of feeling lightheaded, nauseated, and just "off". She complained of "drunk feeling" and warm feeling at the injection site and across the left side of the chest. There was no redness to the left arm or chest. The client then complained of heaviness in the chest and left arm. An ambulance was called and the client was taken to the hospital.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sensation of heaviness, Skin warm
Clinical narrative: Client returned after receiving injection of H1N1 injection at 1:30 p.m. and complained of feeling lightheaded, nauseated, and just "off". She complained of "drunk feeling" and warm feeling at the injection site and across the left side of the chest. There was no redness to the left arm or chest. The client then complained of heaviness in the chest and left arm. An ambulance was called and the client was taken to the hospital.
Age: 44.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chest pain, Dizziness, Fatigue, Hypoaesthesia, Injection site pain
Clinical narrative: Noticeable numbness on left side (same side as injection) - arm and leg; moderate chest pain that lasted about 3 seconds; slight dizziness; fingers slightly numb; no pain the next day but was fatigued after walking or climbing stairs; some numbness that subsided after a couple of days; injection site was sore for about two weeks; no treatment
Age: 64.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Myalgia, Pain
Clinical narrative: Sore muscles in shoulder & arm.  Dull general soreness not localized.  Painful during some movements of arm.
Age: 31.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Vision blurred
Clinical narrative: Vision blurred sort of as if I had just been staring into a bright light. I was unable to read words on my computer screen when I got back to work.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Cough, Wheezing
Clinical narrative: Developed cough & wheezing 5 minutes after vaccines were given.
Age: 24.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Echocardiogram normal, Electrocardiogram normal, Pericardial disease, Troponin I increased
Clinical narrative: This case was received on 26/June/2009 via a QScan search on the VAERS database, under reference # 342455. A 24-year-old subject received the following vaccinations on 08 December 2008: ACAM2000 (lot number unknown), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number unknown). Fourteen days after vaccination, unspecified disease of the pericardium was reported. An electrocardiogram was performed on 10 February 2009 with normal results. No diagnosis or additional information was provided. Follow-up information received from the investigator on 17 March 2010. An echocardiogram, performed on 10 February 2009, was normal. A Troponin I, performed on 18 December 2008 was 0.29 ng/mL (abnormal). The subject's medical history included psychiatric illness. No additional information or outcome was provided. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram abnormal, Myocarditis, Troponin I increased
Clinical narrative: This case was received on 26/June/2009 via a QScan search on the VAERS database, under reference # 342457. A 23 year old male subject received ACAM2000 (lot number unknown) on 12 January 2009. Non-specific myocarditis was reported with an onset of 10 days after vaccination. The subject had an electrocardiogram and Troponin I performed and both were abnormal. No other information was provided. Follow-up information received from the investigator on 17 March 2010. The subject had no previous cardiac history. The electrocardiogram and Troponin I were performed on 22 January 2009 (10 days post vaccination). Note: There is no reported causality assessment as this is a safety surveillance (data-mining, non-interventional) study. List of documents held by sender (17 March 2010): None.
Age: 22.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TYP
Symptoms: Electrocardiogram abnormal, Nuclear magnetic resonance imaging abnormal, Pericardial disease, Pericarditis, Troponin I
Clinical narrative: This case was received on 26/June/2009 via a QScan search on the VAERS database, under reference # 342458. A 22-year-old subject received the following vaccinations on 09 December 2008: ACAM2000 (sanofi pasteur, lot number VV04003A), TYPHIM VI (lot number B0347) and MMR II (Merck, lot number 1248X). Unspecified acute pericarditis was reported. Troponin I and an electrocardiogram were performed on 19 December 2008 and an MRI was performed on 22 December 2008. Results from these tests were not reported. No additional information was reported. Follow-up information received from the investigator on 17 March 2010. The subject also received anthrax vaccine on 09 December 2008 (manufacturer and lot number were not reported). The subject was diagnosed with acute pericarditis 12 days post vaccination. Troponin I performed on 19 December 2008 was normal. Electrocardiogram performed on 19 December 2008 was abnormal. MRI performed 22 December 2008 was abnormal. The subject's record also included ICD-9 code 423.9: unspecified disease of pericardium with a diagnosis date of 07 January 2009. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-intervention) study. List of documents held by sender (17 March 2010): none.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Echocardiogram normal, Electrocardiogram normal, Myocarditis, Troponin I increased
Clinical narrative: This case was received on 26 June 2009 via a QScan search on the VAERS database. A 29 year-old male patient received ACAM2000 (lot number VV04-003A) on 02 February 2009. Sixteen days later the patient was diagnosed with non-specific myocarditis. The patient had an electrocardiogram done on 18 February 2009 and Troponin I level drawn (12 February 2009). Both were reported as abnormal. No additional information was reported. Follow-up information received from the investigator on 17 March 2010. The subject had no cardiac medical history. The Troponin I performed on 12 February 2009 was 2.62 ng/mL (abnormal). An electrocardiogram performed on 18 February 2009 was normal and an echocardiogram performed on 12 February 2009 was normal. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): None.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Chest pain, Pericardial disease, Pericarditis, Troponin I increased
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Bronchospasm, Chest pain, Chills, Electrocardiogram abnormal, Fatigue
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Nasal congestion, Pericarditis, Productive cough, Rhinorrhoea, Sputum discoloured
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Troponin increased
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Bronchospasm, Chest pain, Chills, Fatigue, Nasal congestion
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Pericarditis, Productive cough, Rhinorrhoea
Clinical narrative: This case was received on 26/June/2009 via QScan search on the VAERS database, under reference # 344545. A 22-year-old subject received the following vaccinations on 09-March 2009: ACAM2000 (lot number VV04-003-A), TYPHIM VI (lot number B0347) and BIOTHRAX (Emergent Biosolutions, lot number FAV149). The subject was seen in the emergency room on 19 March 2009 for chest pain which increased when lying down. He was treated with a non-steroidal anti-inflammatory drug and inhaler. He had a Troponin I performed which was abnormal. The patient returned to the emergency room the next day (20 March 2009) for a follow-up visit and reported relief of his symptoms. The final diagnosis was reported to be pericarditis. Follow-up information received from the investigator on 17 March 2010. The subject's record also included unspecified disease of pericardium with an onset date of 20 March 2009. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender (17 March 2010): none.
Age: 40.0
Sex: M
Vaccine: ANTH, HEP, MNQ, SMALL
Symptoms: Alanine aminotransferase increased, Blood chloride decreased, Blood creatine phosphokinase increased, Blood triglycerides increased, Chest pain
Clinical narrative: This case was received on 13 August 2009 via QScan search on the VAERS database. A 40 year old male subject received the following vaccines on 06 January 2009: ACAM2000 (lot number unknown) MENACTRA (lot number U2616AA); and RECOMBIVAX HB (Merck, lot number 0398X). Twenty one days after vaccination the subject reported chest pain over the left breast. the patient was hospitalized (dates of admission and discharge not provided). Medical records from 27 January 2009 through 5 February 2009 include final diagnosis of atypical chest pain, hypertension and obesity. Troponin I (performed 27 January 2009) and electrocardiogram (performed 26 January 2009) were reported as normal. Additional laboratory results include: cardiac-creatine kinase, 248 (H); creatine kinase MB/creatine kinase total, 3 (L); total cholesterol/HDL ratio, increased; hemoglobin, increased; alanine aminotransferase, increased; blood chloride, decreased; and blood triglycerides, increased. No additional information was provided. Follow-up information received from investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 06 January 2009. The subject's medical history includes hypertension. The outcome was not reported. The event of obesity was deleted as there is no information to confirm it as a new event versus subject history. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study.
Age: 40.0
Sex: M
Vaccine: ANTH, HEP, MNQ, SMALL
Symptoms: Condition aggravated, Electrocardiogram normal, Haemoglobin increased, Hypertension, Obesity
Clinical narrative: This case was received on 13 August 2009 via QScan search on the VAERS database. A 40 year old male subject received the following vaccines on 06 January 2009: ACAM2000 (lot number unknown) MENACTRA (lot number U2616AA); and RECOMBIVAX HB (Merck, lot number 0398X). Twenty one days after vaccination the subject reported chest pain over the left breast. the patient was hospitalized (dates of admission and discharge not provided). Medical records from 27 January 2009 through 5 February 2009 include final diagnosis of atypical chest pain, hypertension and obesity. Troponin I (performed 27 January 2009) and electrocardiogram (performed 26 January 2009) were reported as normal. Additional laboratory results include: cardiac-creatine kinase, 248 (H); creatine kinase MB/creatine kinase total, 3 (L); total cholesterol/HDL ratio, increased; hemoglobin, increased; alanine aminotransferase, increased; blood chloride, decreased; and blood triglycerides, increased. No additional information was provided. Follow-up information received from investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 06 January 2009. The subject's medical history includes hypertension. The outcome was not reported. The event of obesity was deleted as there is no information to confirm it as a new event versus subject history. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study.
Age: 40.0
Sex: M
Vaccine: ANTH, HEP, MNQ, SMALL
Symptoms: Total cholesterol/HDL ratio increased, Troponin I
Clinical narrative: This case was received on 13 August 2009 via QScan search on the VAERS database. A 40 year old male subject received the following vaccines on 06 January 2009: ACAM2000 (lot number unknown) MENACTRA (lot number U2616AA); and RECOMBIVAX HB (Merck, lot number 0398X). Twenty one days after vaccination the subject reported chest pain over the left breast. the patient was hospitalized (dates of admission and discharge not provided). Medical records from 27 January 2009 through 5 February 2009 include final diagnosis of atypical chest pain, hypertension and obesity. Troponin I (performed 27 January 2009) and electrocardiogram (performed 26 January 2009) were reported as normal. Additional laboratory results include: cardiac-creatine kinase, 248 (H); creatine kinase MB/creatine kinase total, 3 (L); total cholesterol/HDL ratio, increased; hemoglobin, increased; alanine aminotransferase, increased; blood chloride, decreased; and blood triglycerides, increased. No additional information was provided. Follow-up information received from investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 06 January 2009. The subject's medical history includes hypertension. The outcome was not reported. The event of obesity was deleted as there is no information to confirm it as a new event versus subject history. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Activated partial thromboplastin time shortened, Anxiety, Blood creatine phosphokinase increased, Blood glucose increased, Chest X-ray normal
Clinical narrative: This case was received on 13 August 2009 via a QScan search on the VAERS database, under reference # 346405. A 38 year old male patient received ACAM2000 (lot number VV04003A) and TYPHIM VI (lot number BO424) on 13 January 2009. Twenty one days after vaccination the patient complained of substernal chest pain, palpitations at rest, jaw pain, chest tightness and feeling anxious. The patient was hospitalized (dates of admission and discharge not provided). Medical records from 21 January 2009 through 3 February 2009 report that the palpitations had resolved. Troponin I (performed 15 January 2009) was normal. An electrocardiogram (performed 15 January 2009) was abnormal. The records also included a normal electrocardiogram however a date was not provided for this test. The following are additional laboratory results noted from the record: chest x-ray, normal; WBC, increased; creatine phosphokinase, increased; aPTT, shortened; neutrophil count, increased; blood glucose, increased; and single photon emission computerised tomogram, abnormal. Follow-up information received from the investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 13 January 2009. The subject had no reported cardiac medical history. The outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-intervention) study. List of documents held by sender (17 March 2010): None.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Chest discomfort, Chest pain, Electrocardiogram abnormal, Neutrophil count increased, Pain in jaw
Clinical narrative: This case was received on 13 August 2009 via a QScan search on the VAERS database, under reference # 346405. A 38 year old male patient received ACAM2000 (lot number VV04003A) and TYPHIM VI (lot number BO424) on 13 January 2009. Twenty one days after vaccination the patient complained of substernal chest pain, palpitations at rest, jaw pain, chest tightness and feeling anxious. The patient was hospitalized (dates of admission and discharge not provided). Medical records from 21 January 2009 through 3 February 2009 report that the palpitations had resolved. Troponin I (performed 15 January 2009) was normal. An electrocardiogram (performed 15 January 2009) was abnormal. The records also included a normal electrocardiogram however a date was not provided for this test. The following are additional laboratory results noted from the record: chest x-ray, normal; WBC, increased; creatine phosphokinase, increased; aPTT, shortened; neutrophil count, increased; blood glucose, increased; and single photon emission computerised tomogram, abnormal. Follow-up information received from the investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 13 January 2009. The subject had no reported cardiac medical history. The outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-intervention) study. List of documents held by sender (17 March 2010): None.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Palpitations, Single photon emission computerised tomogram abnormal, Troponin I, White blood cell count increased
Clinical narrative: This case was received on 13 August 2009 via a QScan search on the VAERS database, under reference # 346405. A 38 year old male patient received ACAM2000 (lot number VV04003A) and TYPHIM VI (lot number BO424) on 13 January 2009. Twenty one days after vaccination the patient complained of substernal chest pain, palpitations at rest, jaw pain, chest tightness and feeling anxious. The patient was hospitalized (dates of admission and discharge not provided). Medical records from 21 January 2009 through 3 February 2009 report that the palpitations had resolved. Troponin I (performed 15 January 2009) was normal. An electrocardiogram (performed 15 January 2009) was abnormal. The records also included a normal electrocardiogram however a date was not provided for this test. The following are additional laboratory results noted from the record: chest x-ray, normal; WBC, increased; creatine phosphokinase, increased; aPTT, shortened; neutrophil count, increased; blood glucose, increased; and single photon emission computerised tomogram, abnormal. Follow-up information received from the investigator on 17 March 2010. The subject also received anthrax vaccine (manufacturer and lot number not reported) on 13 January 2009. The subject had no reported cardiac medical history. The outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-intervention) study. List of documents held by sender (17 March 2010): None.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Wrong technique in drug usage process
Clinical narrative: Pain in upper left deltoid, radiated to upper arm; decreased range of motion; currently bothersome but "acute" pain is gone. Injected near top of left shoulder. Pain continues.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Pain in left shoulder radiating to hand and fingers. Injection near top of left shoulder. Pain continues.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Immediate pain in left shoulder; decreased range of motion; pain radiating to elbow; decreased strength and pain on exertion; injection given near top of left shoulder. Pain continues.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Wrong technique in drug usage process
Clinical narrative: Immediate pain in left shoulder; decreased range of motion; pain radiating to elbow; decreased strength and pain on exertion; injection given near top of left shoulder. Pain continues.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Asthenia, Cyanosis, Eye disorder, Fall, Headache
Clinical narrative: Had syncope and what seems to be 30 sec tonic seizure. Awoke and spoke appropriately with us before allowing her to leave after observation period.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Pain, Skin discolouration, Tongue disorder
Clinical narrative: Had syncope and what seems to be 30 sec tonic seizure. Awoke and spoke appropriately with us before allowing her to leave after observation period.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Urinary incontinence
Clinical narrative: Had syncope and what seems to be 30 sec tonic seizure. Awoke and spoke appropriately with us before allowing her to leave after observation period.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TD, HPV4, MNQ, TDAP
Symptoms: Syncope, Tonic convulsion
Clinical narrative: Had syncope and what seems to be 30 sec tonic seizure. Awoke and spoke appropriately with us before allowing her to leave after observation period.
Age: 49.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Diagnostic procedure, Nerve injury, Oedema peripheral, Pain in extremity
Clinical narrative: Soreness 'swelling and nerve damage to my right hand.
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Epistaxis, Eyelid oedema, Headache
Clinical narrative: On Saturday 20 Mar 10 received a H1N1 on his unit. Next day developed eyelid swelling lower side, dry coughing, headache, one episode of nosebleeding. Previous Influenza Nov 09, no symptoms given at worst. Pt hx of DM II, HTN, BA, on ADVAIR, Lotrimen (Provadia) and Avandia med.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Swelling, erythema, induration circular around injection site 8 cm.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1), HEPAB, IPV, MNQ, TDAP
Symptoms: Pruritus
Clinical narrative: approx. 10 mins after vaccination of the Bicillin Injection c/o itching in lower torso
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: L leg swollen slight red  6 x 7'. Warm but no fever. FROM in hip and knee joint.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Hypertension
Clinical narrative: Veteran reports poor blood pressure control ever since receiving the H1N1 influenza vaccine on 1/29/10.
Age: 1.84
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Computerised tomogram normal, Facial palsy
Clinical narrative: 22 months at onset of adverse event. Pt presented to ED with right sided facial drooping x 24 hours 1/27/10 pt. followed up with primary care doctor. ED started 14 day course of steroid taper and acyclovir x 10 days. Symptoms resolved over next few weeks. Final diagnosis was Bell's Palsy.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema
Clinical narrative: Had temp to 103 48 hours after and with continued redness upper arm > one week with no sign of infection.
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Antinuclear antibody, Blood creatine phosphokinase MB, Full blood count, Injection site pain, Metabolic function test
Clinical narrative: C/O Severe muscle aches--injection site (R deltoid), back, legs, arms, soles of feet. Took OTC MOTRIN w/o relief. No prior reaction to TD. Saw PMD on 3/23/10. Date of onset: 3/20/10. Date reported: 3/23/10. No known drug allergies or prior hx of adverse vaccine reaction.
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Myalgia, No reaction on previous exposure to drug, Red blood cell sedimentation rate
Clinical narrative: C/O Severe muscle aches--injection site (R deltoid), back, legs, arms, soles of feet. Took OTC MOTRIN w/o relief. No prior reaction to TD. Saw PMD on 3/23/10. Date of onset: 3/20/10. Date reported: 3/23/10. No known drug allergies or prior hx of adverse vaccine reaction.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Muscle twitching
Clinical narrative: Persistent thumb twitching on side where I received the shot. Began about a week after the shot (I think) and it ongoing. Also reported right arm muscle twitching which resolved 1 wk after receiving the vaccine.
Age: 0.25
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Breath holding, Condition aggravated, Convulsion
Clinical narrative: Patient with known seizure d/o and hydrocephalus had breath holding with vaccine and brief Sz. Tx'd with O2 and Obs x 15 mins.
Age: 13.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Pt. received 3 vaccines, (TDAP, HEP A and VZV). Immed. afterwards, client c/o nausea and became pale. Client was placed in supine position. BP 80/70 laying #2 BP 88/76 #3 BP sitting 88/70, BP 98/73 standing 98/78.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Syncope
Clinical narrative: Pt. fainted
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Pt fainted.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local swelling of right thigh with redness, non-tender seen 2 days after KINRIX (DTaP, IPVS administered in right thigh. Cool compress and Benadryl orally.
Age: 1.02
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site papule
Clinical narrative: Erythema (R) thigh 2cm X 1cm, 3 1mm- 2mm red papules.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Twenty four hours after injection felt tired, without usual energy. Warm to touch. Forty-eight hours after injection had terrible headache and had red, swollen, 1/2 dollar size area @ injection site. No fever. Lasted 2 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Twenty four hours after injection felt tired, without usual energy. Warm to touch. Forty-eight hours after injection had terrible headache and had red, swollen, 1/2 dollar size area @ injection site. No fever. Lasted 2 days.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Dysphagia
Clinical narrative: 1/2 hour after receiving injection had difficulty swallowing. When he did eat, it felt like food got "stuck" in in mid chest area. Had epigastric pain lasting a few minutes. Difficulty swallowing lasted 36 hours.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Skin wrinkling
Clinical narrative: Seeing patient for  aquagenic wrinkling of the palms. By history patient 1st noted after 1st GARDASIL vaccine. It was improving by history then worsened after her booster about 6 months later.
Age: 1.43
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Injection site rash, Rash papular
Clinical narrative: Papular rash outer thighs bilateral legs - No erythema, no nodules.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Anxiety, Dyspnoea, Syncope
Clinical narrative: 5-10 min after vaccination pt collapsed and c/o shortness of breath and impending door. Given Epi, O2, Benadryl and monitored until return to WNL conditions.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), HEPA
Symptoms: Feeling hot, Headache, Neck pain, Oropharyngeal pain
Clinical narrative: Felt like her head was going to explode. She felt hot, woke up with sore throat and post-neck pain.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Induration and pain at injection site. 24 hours after injection. Induration approx 20 mm.
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema
Clinical narrative: 3" X 3.5" area of redness directly under injection site on left deltoid area of arm.
Age: 1.65
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Rash - Red macula papular face & body.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Diarrhoea, Immunisation reaction, Injection site erythema, Injection site warmth
Clinical narrative: Had diarrhea a few hours after vaccine - that resolved. Later developed warmth, redness of left arm. Treated as cellulite vs vaccine reaction with antibiotic and antihistamine.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Discomfort, Ear infection, Fall, Guillain-Barre syndrome
Clinical narrative: Tingling in my hand and feet every couple of days. In early Jan, 2009 I had an ear infection - In early Feb the tingling in the hands and feet was continuous. Around the first of March my back started burning inside the skin. I could not get comfortable in any position. I had to stand up all night, the tingling in hands and feet continued. On March 9 I walked home from a meeting and my feet felt like they had combat boots on them. My feet were very heavy. I also started losing my balance and falling. I started falling more for the next few days and we made an appointment to see a Dr. on March 13, she sent me to the emergency room. In the next week they diagnosed me with Guillain Barre Syndrome and Valley fever, I still am very weak in my legs and feel like I have rocks in my toes. The address we furnished on the form is only good until April 18, 2009 when we go to our home in another state.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Paraesthesia, Rift Valley fever, Sensation of heaviness, Skin burning sensation
Clinical narrative: Tingling in my hand and feet every couple of days. In early Jan, 2009 I had an ear infection - In early Feb the tingling in the hands and feet was continuous. Around the first of March my back started burning inside the skin. I could not get comfortable in any position. I had to stand up all night, the tingling in hands and feet continued. On March 9 I walked home from a meeting and my feet felt like they had combat boots on them. My feet were very heavy. I also started losing my balance and falling. I started falling more for the next few days and we made an appointment to see a Dr. on March 13, she sent me to the emergency room. In the next week they diagnosed me with Guillain Barre Syndrome and Valley fever, I still am very weak in my legs and feel like I have rocks in my toes. The address we furnished on the form is only good until April 18, 2009 when we go to our home in another state.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient with (L) arm reaction - redness- swelling - itchy.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and swelling of Left thigh - Entire thigh from mid thigh to knee.  C/o itching and pain of thigh.  AMOXCILLIN - Po & CLARULANATE 600 - 42.9 mg/ 5 ml.  7.5 ml. BID 10 day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Redness, inflammation, tender to touch (Rt arm).  Warm to touch.  Treated with TYLENOL, BENADRYL.
Age: 28.0
Sex: M
Vaccine: TDAP, TYP
Symptoms: Influenza, Urticaria
Clinical narrative: Mild flu symptoms evening of the vaccination. Widespread hives the next day, with full-blown flu. Hives exacerbated by heat.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right arm swollen, red and warm to touch; no pain per patient
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Nerve conduction studies abnormal, Neuropathy peripheral, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient stated that both hands and feet went completely numb.  He has complete mobility and strength in all four extremities.  Around 2-9-10 he consulted a Dr. who did an MRI.  The MRI showed no problems with discs or spine.  He was referred to a Neurologist.  He saw this Dr. on approx. 3-10-10.  Several tests were conducted and this Dr. diagnosed pt. with Neuropathy caused by the H1N1 vaccination.  Patient is currently being treated with Lyrica.  He has a follow-up appt. with the Neurologist in April.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Areflexia, Guillain-Barre syndrome, Immunoglobulin therapy, Mental status changes
Clinical narrative: Areflexia in upper and lower extremities, altered mental status, fingers/toes numb.  Guillain-Barre diagnosed by nerve conduction studies. Patient was treated with IVIG.  Patient also received Haldol, Droperidol, Ativan, IV fluids, and potassium replacement.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Blood test, Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Loss of control of legs
Clinical narrative: Areflexia in upper and lower extremities, altered mental status, fingers/toes numb.  Guillain-Barre diagnosed by nerve conduction studies. Patient was treated with IVIG.  Patient also received Haldol, Droperidol, Ativan, IV fluids, and potassium replacement.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lumbar puncture, Movement disorder, Nuclear magnetic resonance imaging, Paraesthesia, Paralysis
Clinical narrative: Areflexia in upper and lower extremities, altered mental status, fingers/toes numb.  Guillain-Barre diagnosed by nerve conduction studies. Patient was treated with IVIG.  Patient also received Haldol, Droperidol, Ativan, IV fluids, and potassium replacement.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site pain
Clinical narrative: Arm pain at site left deltoid.
Age: 59.0
Sex: F
Vaccine: JEV1
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 1.08
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injected limb mobility decreased, Injection site pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Painful injection; loss of strength and range of motion in arm; pain radiated to fingers; injection given near top of right shoulder. Pain continues.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Pain in shoulder joint, injection given near top of right shoulder. Pain 3 x weeks.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Pain initially high up on left shoulder then radiated to elbow; decreased range of motion in shoulder; currently receiving physical therapy. Injection given near top of left shoulder. Pain continues.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Chronic severe pain in left shoulder; relieved with anti inflammatories; injection given near top of left shoulder. Pain x 1 month.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Myalgia, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Muscle soreness in left arm, pain in left shoulder causing decreased range of motion; given near top of left shoulder. Pain x 4 weeks.
Age: 50.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Wrong technique in drug usage process
Clinical narrative: Pain near left shoulder; pain is localized and increases when lifting arm over head; injection given near top of left shoulder. Pain continues.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Musculoskeletal pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Pain in left shoulder radiating down whole arm; swollen lymph nodes; injection given near top of left shoulder. pain X 6 weeks.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Pain in left shoulder; decreased strength in left arm; injection given near top of left shoulder. Pain continues.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Musculoskeletal pain, Pain, Wrong technique in drug usage process
Clinical narrative: Immediate pain in left shoulder; decreased range of motion; pain localized; some what alleviated by IBUPROFEN. Injection given near top of left shoulder. Pain x 8 weeks.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Wrong technique in drug usage process
Clinical narrative: Pain in left shoulder joint, localized. Injection given near top of left shoulder. Pain x 4 weeks.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Onset pain quick in right shoulder; increased pain on movement; radiated down arm and around to back of right shoulder; decreased range of motion; injection given near top of shoulder.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Myalgia, Pain, Wrong technique in drug usage process
Clinical narrative: Pain started within hours of vaccination. Muscle tenderness worsening to pain on movement of shoulder; decreased range of motion; injection given near top of left shoulder - pain continues.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Pain in upper left arm; relieved by cortisone shot decreased range of motion; pain radiated to fingers at times. Injection given near top of left shoulder. Pain x 4 months.