chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Death, Drug administered to patient of inappropriate age
Clinical narrative: Initial report was received from a consumer on 14 November 2012, and involves a case of misuse, inappropriate age at vaccine administration. An 88-year-old female patient received an injection of FLUZONE Intradermal, sanofi pasteur Inc., (lot number, route, site, side and dose in series not reported) on 22 September 2012, which is indicated for patients 18 to 64 years of age. On 08 October 2012, 16 days post vaccination, the patient was found dead. The patient's past medical history was reported as not applicable (n/a) and illness at time of vaccination was reported as none. The patient used home oxygen. It was not reported if an autopsy was done. No other details were provided. The patient's outcome was reported as fatal on 08 October 2012. Documents held by sender: None.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Death, Sudden infant death syndrome
Clinical narrative: Died of SIDS 2 days after receiving vaccines.
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Initial report was received from a health care professional on 16 November 2012. A male patient (age and date of birth not reported) had received an intramuscular injection in the left deltoid of FLUZONE High-Dose, lot number U4524AA, on 20 October 2012. On an unspecified date, to the time of the report, the patient continued to have painful left arm. Treatment included a nerve pain medication but doesn't feel it has helped the pain. The patient has no known allergies. Outcome was not recovered. Documents held by sender: None.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Antineutrophil cytoplasmic antibody increased, Antineutrophil cytoplasmic antibody positive
Clinical narrative: Initial report was received from the scientific literature on 16 November 2012. The following is verbatim from the report: "A 68-year-old woman developed elevated anti-neutrophil cytoplasmic antibodies following influenza vaccination. She was referred to a clinic with elevated anti-myeloperoxidase and anti-proteinase 3 antibodies. The antibodies were elevated on 18 October 2010. She had received an influenza vaccine on 06 October 2010 (route and dosage not stated). Four months after her vaccination, there was a sharp drop in ANCA titres. They had normalised after 7 months. Authors comment: Noteworthy in this case is the 4- to 7-month period for normalization of ANCA titers, which can be used as a guide when elevated ANCAs are suspected to be from influenza vaccination." The patient's outcome was recovered. Documents held by sender: None.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Bone pain, Muscular weakness, Musculoskeletal pain, Myalgia
Clinical narrative: Initial report was received from a health care professional on 15 November 2012. A 55-year-old female patient had received an intramuscular injection in the left deltoid of FLUZONE, lot number UH712AB, on 30 October 2012. On 31 October 2012, the patient reported development of symptoms over a four day period after the vaccination. The patient complained of pain in the shoulder, trapezius muscle, neck, clavicle and left arm. She also had weakness in the left arm that interfered with her activities outside of work such as exercise. Treatment included SOLU-MEDROL. Since then, the pain has decreased but weakness in the left arm has increased. She cannot do push-ups or any exercises that utilize both arms. The patient had no past medical history and no illness at the time of vaccination. Outcome was not recovered. Documents held by sender: None.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Initial report was received from a health care professional on 15 November 2012. A 55-year-old female patient had received an intramuscular injection in the left deltoid of FLUZONE, lot number UH712AB, on 30 October 2012. On 31 October 2012, the patient reported development of symptoms over a four day period after the vaccination. The patient complained of pain in the shoulder, trapezius muscle, neck, clavicle and left arm. She also had weakness in the left arm that interfered with her activities outside of work such as exercise. Treatment included SOLU-MEDROL. Since then, the pain has decreased but weakness in the left arm has increased. She cannot do push-ups or any exercises that utilize both arms. The patient had no past medical history and no illness at the time of vaccination. Outcome was not recovered. Documents held by sender: None.
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Brachial plexus injury, Hypoaesthesia, Muscular weakness, Musculoskeletal pain, Nerve stimulation test abnormal
Clinical narrative: This case was retrieved via a search of the scientific literature on 13 November 2012. The following is verbatim from the aforementioned article: "Case Description: A 47-year-old man with no significant past medical history presented to clinic 2 days after awakening with pain (left shoulder, posterior aspect of upper left arm, medial aspect of left forearm), numbness (over left 5th finger & posterior lateral aspect of left arm), and muscle weakness (left arm & left hand). He also described shooting pain down his left arm with any movement of the left shoulder most prominently with arm abduction. He reported similar symptoms of shooting pain with palpation of the anterior aspect of his left shoulder. The patient was without any known trauma or preexisting pathological condition to his neck, shoulder, or arms. The only significant recent event was receiving a flu shot 12 days prior to the start of his symptoms. Setting: Tertiary care hospital. Results or Clinical Course: Physical examination revealed no cervical spinal tenderness. Motor testing revealed weakness in his left biceps, left deltoid, and with external shoulder rotation on the left. Adson's sign was positive on the left. Neural tension stretch testing was positive on the left when specifically stretching the median nerve. The patient was prescribed a prednisone taper and pain medication (ULTRACET). Subsequent MRI was significant for findings consistent with a brachial plexus injury (likely Parsonage-Turner Syndrome) considering the patient's symptoms, history, and physical examination findings." It was not reported that patient was hospitalized. The patient's outcome was not reported. Documents held by sender: None.
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Neuralgic amyotrophy, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity
Clinical narrative: This case was retrieved via a search of the scientific literature on 13 November 2012. The following is verbatim from the aforementioned article: "Case Description: A 47-year-old man with no significant past medical history presented to clinic 2 days after awakening with pain (left shoulder, posterior aspect of upper left arm, medial aspect of left forearm), numbness (over left 5th finger & posterior lateral aspect of left arm), and muscle weakness (left arm & left hand). He also described shooting pain down his left arm with any movement of the left shoulder most prominently with arm abduction. He reported similar symptoms of shooting pain with palpation of the anterior aspect of his left shoulder. The patient was without any known trauma or preexisting pathological condition to his neck, shoulder, or arms. The only significant recent event was receiving a flu shot 12 days prior to the start of his symptoms. Setting: Tertiary care hospital. Results or Clinical Course: Physical examination revealed no cervical spinal tenderness. Motor testing revealed weakness in his left biceps, left deltoid, and with external shoulder rotation on the left. Adson's sign was positive on the left. Neural tension stretch testing was positive on the left when specifically stretching the median nerve. The patient was prescribed a prednisone taper and pain medication (ULTRACET). Subsequent MRI was significant for findings consistent with a brachial plexus injury (likely Parsonage-Turner Syndrome) considering the patient's symptoms, history, and physical examination findings." It was not reported that patient was hospitalized. The patient's outcome was not reported. Documents held by sender: None.
Sex: F
Vaccine: FLU3
Symptoms: Serum sickness
Clinical narrative: Case number PHEH2012US022742 is an initial spontaneous report received from a physician on 14 Nov 2012: This report refers to a female patient of unknown age group. She was vaccinated with a seasonal influenza vaccine (manufacturer and batch number: unknown) on an unspecified date in the past. After vaccination she had a serum sickness reaction. No further information about outcome and causality was reported.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza A virus test positive, Polymerase chain reaction
Clinical narrative: Initial report was received on 13 November 2012 from a healthcare professional. This case was originally part of a cluster of approximately 17 patients (six elderly patients, two adolescent patients and approximately nine unidentified patients), who tested PCR positive for influenza A/H3N2. The two adolescent patients were captured in case number 2012-05659 and the ten unidentified patients (previously reported as nine patients) were captured in case numbers 2012-05660, 2012-06067, 2012-06068, 2012-06069, 2012-06070, 2012-06071, 2012-06072, 2012-06073. In addition this case was previously part of the six elderly patient's case 2012-05658. The other elderly patient cases have been captured in case numbers 2012-10691, 2012-10692, 2012-10693 and 2012-10694. An 92 year-old female patient had received on 11 October 2011 a dose of FLUZONE, lot number UH454AC (route and site of administration not reported). The patient participated in an influenza surveillance program. The patient's approximate treatment date and "collection date" was 24 January 2012. According to the reporter, the type of influenza was flu A and the subtype of influenza was H3N2. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was recovered (date not reported). Documents held by sender: none.
Sex: U
Vaccine: FLUX
Symptoms: Adverse event
Clinical narrative: This spontaneous consumer report (initial receipt: 12-Nov-2012) with sparse information concerns a patient, who had adverse effects from the flu shot (influenza virus vaccine, manufacturer, brand name and batch number were not provided) received. The patient was admitted to hospital for medical treatment. The date of the event was 21-Oct-2012.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza B virus test positive, Pain, Pyrexia
Clinical narrative: Initial report was received from a healthcare professional on 13 November 2012. An 8-year-old male patient received an injection in the left arm of FLUZONE, lot number U4481CC, on 20 October 2012 (route of administration not reported). On 10 November 2012, the patient experienced body aches, fever, and increased temperature. The patient required doctor visit and tested positive for type B. The test BIMAX NOW card was used to test the mucous. Patient's past medical history was unknown. The patient had no illness at time of vaccination. The patient's outcome was not recovered. Documents held by sender: None.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Client felt pain upon injection; it seemed "more than usual injection pain," soreness continued for 2-3 weeks. It was hard to move her arm for 17 days afterwards. Took ibuprofen for pain. As of the 18th day her arm began to feel better. It is still sore as of day 20, but she can lift it above her head with less soreness. Still taking ibuprofen. No other sxs.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza A virus test positive, Polymerase chain reaction
Clinical narrative: Initial report was received on 13 November 2012 from a healthcare professional. This case was originally part of a cluster of approximately 17 patients (six elderly patients, two adolescent patients and approximately nine unidentified patients) who test PCR positive for influenza A/H3N2. The two adolescent patients were captured in case number 2012-05659 and the ten unidentified patients (previously reported as nine patients) were captured in case numbers 2012-05660, 2012-06067, 2012-06068, 2012-06069, 2012-06070, 2012-06071, 2012-06072, 2012-06073. In addition this case was previously part of the six elderly patient's case 2012-05658. The other elderly patient cases have been captured in case number 2012-10692, 2012-10693, 2012-10694 and 2012-10695. An 89 year-old female patient had received on 11 October 2011 a dose of FLUZONE, lot number UH454AC (route and site of administration not reported). The patient participated in an influenza surveillance program. The patient's approximate treatment date and "collection date" was 24 January 2012. According to the reporter, the type of influenza was flu A and the subtype of influenza was H3N2. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was recovered (date not reported). Documents held by sender: None.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza A virus test positive, Polymerase chain reaction
Clinical narrative: Initial report was received on 13 November 2012 from a healthcare professional. This case was originally part of a cluster of approximately 17 patients (six elderly patients, two adolescent patients and approximately nine unidentified patients) who tested PCR positive for influenza A/H3N2. The two adolescent patients were captured in case number 2012-05659 and the ten unidentified patients (previously reported as nine patients) were captured in case numbers 2012-05660, 2012-06067, 2012-06068, 2012-06069, 2012-06070, 2012-06071, 2012-06072, 2012-06073. In addition this case was previously part of the six elderly patient's case 2012-05658. The other elderly patient cases have been captured in case numbers 2012-10691, 2012-10692, 2012-10694 and 2012-10695. A 73 year-old female patient had received on 11 October 2011 a dose of FLUZONE, lot number UH454AC (route and site of administration not reported). The patient participated in an influenza surveillance program. The patient's approximate treatment date and "collection date" was 29 February 2012. According to the reporter, the type of influenza was flu A and the subtype of influenza was H3N2. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was recovered (date not reported). Documents held by sender: none.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster, Vaccination site reaction
Clinical narrative: Initial report was received 12 November 2012 from a health care professional which involved a cluster of two patients. The other patient has been captured in case number 2012-10632. A 58-year-old female patient who had no current illness, had received a left deltoid intramuscular injection of FLUZONE, lot number UH752AB on 05 November 2012 and three days later, she developed shingles on her left arm, back, and on her left arm at the vaccination site. Laboratory and diagnostic data was reported as "none". The patient received treatment in the office (not specified). Outcome was reported as both recovered and not recovered (therefore, unknown). Documents held by sender: None.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Condition aggravated, Headache, Intracranial hypotension, Musculoskeletal stiffness
Clinical narrative: Initial report was received from a consumer on 13 November 2012. A 46-year-old female patient had received FLUZONE Intramuscular (lot number and site not reported) at the employee health center of the hospital and 4 days later experienced severe headache, neck stiffness, generalized weakness, nausea and vomiting. "A few days later" a rash developed between her scapula which looked like a bruise. Relevant diagnostic tests included an MRI which showed CSF leak. No corrective treatment was reported. The patient had a medical history of occasional headache. No further information was available at the time of the report. The patient outcome was not recovered. Documents held by sender: None.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Nuclear magnetic resonance imaging abnormal, Rash, Vomiting
Clinical narrative: Initial report was received from a consumer on 13 November 2012. A 46-year-old female patient had received FLUZONE Intramuscular (lot number and site not reported) at the employee health center of the hospital and 4 days later experienced severe headache, neck stiffness, generalized weakness, nausea and vomiting. "A few days later" a rash developed between her scapula which looked like a bruise. Relevant diagnostic tests included an MRI which showed CSF leak. No corrective treatment was reported. The patient had a medical history of occasional headache. No further information was available at the time of the report. The patient outcome was not recovered. Documents held by sender: None.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Gastrointestinal pain, Loss of consciousness, Pain in extremity
Clinical narrative: Initial case was received from a consumer on 13 November 2012. A 62-year-old male patient, after fasting in the morning, received dose one of a right arm intramuscular injection of ADACEL, sanofi pasteur Ltd., lot number unknown, on 06 November 2012 at 10:30AM. The patient ate lunch. At 1:30pm on 06 November 2012, three hours post vaccination; the patient developed intestinal cramping and then passed out for four minutes. His wife, a registered nurse (RN) took care of him at home and he did not go to the emergency room (ER); however, the patient did contact his physician. The arm of the injection had soreness for one week. Laboratory, diagnostic tests or treatments were not reported. The patient past medical history included allergies to shellfish, iodine, and questionably thimerosal. Illness at time of vaccination was reported as none. The patient's outcome was reported as recovered on an unspecified date. Documents held by sender: None.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Guillain-Barre syndrome, Incorrect dose administered
Clinical narrative: Case number PHHY2012US107065 is an initial literature report received on 21 Nov 2012. The authors presented a self-controlled analysis on the risk of Guillain-Barre syndrome associated with H1N1 and seasonal influenza vaccines. This report refers to an unspecified age and gender patient. The patient was vaccinated with two-doses of H1N1 vaccine (manufacture and batch number: unknown, conservatively considered as pandemic influenza vaccine INN) on an unspecified date. After vaccination, on an unspecified date, the patient experienced Guillain-Barre syndrome. The outcome, seriousness and causality of the event was not reported. The authors concluded that, these attributable risks are similar to those of some previous formulations of seasonal influenza vaccine (about one to two cases per million doses administered), suggesting a low risk of GBS following the H1N1 vaccine that was not clearly higher than that of seasonal influenza vaccines.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Bacteraemia, Pneumococcal infection, Pyrexia, Sinusitis bacterial
Clinical narrative: This spontaneous report as received from a physician refers to a 86 years old female patient. The patient was vaccinated with a dose of pneumococcal vaccine (unknown name, manufacture unknown) (dose, route and lot number not provided) on an unknown date, "many years ago". No other co-suspects were reported. No concomitant medications were reported. On an unknown date the patient developed sinusitis with streptococcus pneumoniae. The patient also developed fever and bacteremia. The patient was hospitalized. The patient was given vancomycin as treatment for the adverse events. The outcome of sinusitis with streptococcus pneumoniae, bacteremia and fever was reported as recovering/resolving. The reporter considered bacteremia as life threatening. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dysphonia, Gait disturbance, Lethargy, Resuscitation
Clinical narrative: On 6 November 2012 at approximately 1010 hrs, 27 year old female was vaccinated with Afluria flu vaccine to left deltoid (off site location). At 1015 patient experienced a possible anaphylactic reaction to the Afluria vaccine and needed emergency medical care.  Approximately 5 minutes after being vaccinated pt presented with lethargy, drowsiness, low voice and having difficulty keeping eyes open. Pt was ambulatory with unsteady gait and oriented. EMS contacted. Pt continued to become more lethargic and was placed in a supine position with knee bent.  At 1015 hrs EpiPen 0.3 mg was administered to left thigh. Pt began to shiver after EpiPen given and was covered.  At approximately 1032 hrs the patient became unresponsive and CPR was initiated and the patient cough, resumed breathing and regained consciousness right away and was place in recovery position. At approximately 1045 hrs the ambulance arrived, IVF started and medication administered by ambulance doctor and EMS transported the patient to the Hospital.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence, Unresponsive to stimuli
Clinical narrative: On 6 November 2012 at approximately 1010 hrs, 27 year old female was vaccinated with Afluria flu vaccine to left deltoid (off site location). At 1015 patient experienced a possible anaphylactic reaction to the Afluria vaccine and needed emergency medical care.  Approximately 5 minutes after being vaccinated pt presented with lethargy, drowsiness, low voice and having difficulty keeping eyes open. Pt was ambulatory with unsteady gait and oriented. EMS contacted. Pt continued to become more lethargic and was placed in a supine position with knee bent.  At 1015 hrs EpiPen 0.3 mg was administered to left thigh. Pt began to shiver after EpiPen given and was covered.  At approximately 1032 hrs the patient became unresponsive and CPR was initiated and the patient cough, resumed breathing and regained consciousness right away and was place in recovery position. At approximately 1045 hrs the ambulance arrived, IVF started and medication administered by ambulance doctor and EMS transported the patient to the Hospital.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Hypoaesthesia, Paraesthesia
Clinical narrative: Elevated blood pressure, verbal report of tingling and numbness in left hand and fingers.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Electromyogram, Inflammatory pain, Polyneuropathy chronic
Clinical narrative: Diffuse post vaccine inflammatory painful chronic polyneuropathy.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Asthenia, Injection site erythema, Injection site swelling, Pain
Clinical narrative: A few hours after receiving a Tdap vaccination patient had some swelling and redness of left deltoid/ after icing and using Benadryl the swelling decreased/through out the day she felt like she had been punched in he left arm, neck and whole left side of her body/next day pain was everywhere per patient/ patient states she had a decrease in strength and it was difficult for her to change her clothes.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Muscle tightness, Myalgia, Nausea
Clinical narrative: Nausea, headache, muscle tension, muscles aches/pains.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Emotional distress, Pain in extremity
Clinical narrative: My arm has been in incredible pain ever since I got the flu shot. It hurts all the time, and nothing helps!! I take Advil, etc., and nothing helps. I have never had pain like this before from a vaccination. It is so upsetting. It hurts so much!!
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Client states left upper arm has sharp pain with movement that started the evening of vaccination. States she is still having pain in upper arm with movement 11/26/2012. Denies any arm redness or edema.
Age: 1.47
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Convulsion, X-ray
Clinical narrative: Seizure.
Age: 28.0
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody negative, Arthralgia, C-reactive protein, Injection site pain
Clinical narrative: Pain at injection site starting on day of vaccination, gradually spreading into shoulder, followed by pain in other joints. Most significantly has pain & swelling of joints of hands. Also c/o recurrent subjective fevers. At 3 wks post-vacc had positive labs for rheumatoid arthritis. Currently symptomatic, undergoing work-up & Tx for RA. Has been given Prednisone without significant change in Sx, other meds contraindicated b/c pt is breastfeeding.
Age: 28.0
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Joint swelling, Pyrexia, Rheumatoid arthritis, Rheumatoid factor increased
Clinical narrative: Pain at injection site starting on day of vaccination, gradually spreading into shoulder, followed by pain in other joints. Most significantly has pain & swelling of joints of hands. Also c/o recurrent subjective fevers. At 3 wks post-vacc had positive labs for rheumatoid arthritis. Currently symptomatic, undergoing work-up & Tx for RA. Has been given Prednisone without significant change in Sx, other meds contraindicated b/c pt is breastfeeding.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Chills, Dizziness, Feeling abnormal, Feeling cold, Headache
Clinical narrative: On Friday, November 23, 2012 I received two vaccines.  The two vaccines were for Shingles and Pneumococcal disease. A few hours after I had the two vaccines I got sick.  Because of the timing, this illness was a possible side effect to the vaccines, although I can't rule out getting some unrelated disease by coincidence.  I am usually healthy and didn't have any cold or flu symptoms before I received the vaccines. Here is an approximate timeline: I received the two shots at about 11:00 AM on Friday, November 23, 2012.  I felt fine the rest of the day but may have begun to experience minor symptoms by evening.  I went to bed early. When I got up on Saturday, November 24, 2012 I didn't feel good.  However, I wasn't so sick that I couldn't follow a fairly normal schedule for awhile.  By mid-morning I was having fever and chills.  This intensified for the rest of the morning and was most severe between noon and 6:00 PM when I went to bed.  Specifically, I alternated between feeling very cold and very hot.  When I felt cold I put on two sets of long underwear, two sweaters and a stocking cap, got under a big blanket and still felt cold.  When I felt hot I took everything off and still felt hot. Although I sometimes felt cold, I think I had a fever the entire time.  I took my temperature one time in the afternoon and it was a little over 101.  That doesn't sound high but it was actually about five or six degrees of fever because my normal temperature reading with the thermometer I used is about 96.  This morning it was 95.8. The fever and the chills were the most severe symptom but I also was achy, and sometimes dizzy.  One time when I was standing up I had to quickly sit down because I felt like I was about to faint.  I also had a minor headache at times but I think that was associated with the fever. The fever broke in the middle of the night, perhaps 36 hours after the vaccinations. I am writing this on Sunday morning, November 25, 2012, about 48 hours after the vaccinations.  The fever is gone and I feel much better, but I still have a slight feeling of queasiness.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Malaise, Nausea, Pain, Pyrexia
Clinical narrative: On Friday, November 23, 2012 I received two vaccines.  The two vaccines were for Shingles and Pneumococcal disease. A few hours after I had the two vaccines I got sick.  Because of the timing, this illness was a possible side effect to the vaccines, although I can't rule out getting some unrelated disease by coincidence.  I am usually healthy and didn't have any cold or flu symptoms before I received the vaccines. Here is an approximate timeline: I received the two shots at about 11:00 AM on Friday, November 23, 2012.  I felt fine the rest of the day but may have begun to experience minor symptoms by evening.  I went to bed early. When I got up on Saturday, November 24, 2012 I didn't feel good.  However, I wasn't so sick that I couldn't follow a fairly normal schedule for awhile.  By mid-morning I was having fever and chills.  This intensified for the rest of the morning and was most severe between noon and 6:00 PM when I went to bed.  Specifically, I alternated between feeling very cold and very hot.  When I felt cold I put on two sets of long underwear, two sweaters and a stocking cap, got under a big blanket and still felt cold.  When I felt hot I took everything off and still felt hot. Although I sometimes felt cold, I think I had a fever the entire time.  I took my temperature one time in the afternoon and it was a little over 101.  That doesn't sound high but it was actually about five or six degrees of fever because my normal temperature reading with the thermometer I used is about 96.  This morning it was 95.8. The fever and the chills were the most severe symptom but I also was achy, and sometimes dizzy.  One time when I was standing up I had to quickly sit down because I felt like I was about to faint.  I also had a minor headache at times but I think that was associated with the fever. The fever broke in the middle of the night, perhaps 36 hours after the vaccinations. I am writing this on Sunday morning, November 25, 2012, about 48 hours after the vaccinations.  The fever is gone and I feel much better, but I still have a slight feeling of queasiness.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue
Clinical narrative: Severe rigors and fatigue.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria, whelps.
Age: 1.37
Sex: F
Vaccine: HEP, HIBV, PPV
Symptoms: Crying, Decreased appetite, Eye discharge, Eye infection, Eyelid oedema
Clinical narrative: Patient repeatedly began waking up frightened and crying (sometimes inconsolably). The condition continued throughout the night the patient woke up every hour frightened and complaining of a "bo bo."  The following morning the areas around her eyes became very puffy and there was some green discharge (her eyes however were not red or pink) the patient continued to be very irritable. (By midday the patient relentlessly started scratching her bottom complaining of a "bo bo." A rash soon developed). Later that night patient awoke at 8PM crying uncontrollably this time her eyes would barely open because they were so swollen. There was only only minimal if any discharge from they eye it was simply very red and very swollen to the point she was unrecognizable, it looked like one having a severe allergic reaction. The Dr prescribed antibiotic eye drops claiming it was an eye infection (which we administered then). By morning it was not so much better and we gave her Benadryl which helped reduced the swelling and improved her mood overall. (of note the patient had fever the night after the vaccination but that went away the following morning and she has lost her appetite since)
Age: 1.37
Sex: F
Vaccine: HEP, HIBV, PPV
Symptoms: Fear, Hypersensitivity, Irritability, Middle insomnia, Ocular hyperaemia
Clinical narrative: Patient repeatedly began waking up frightened and crying (sometimes inconsolably). The condition continued throughout the night the patient woke up every hour frightened and complaining of a "bo bo."  The following morning the areas around her eyes became very puffy and there was some green discharge (her eyes however were not red or pink) the patient continued to be very irritable. (By midday the patient relentlessly started scratching her bottom complaining of a "bo bo." A rash soon developed). Later that night patient awoke at 8PM crying uncontrollably this time her eyes would barely open because they were so swollen. There was only only minimal if any discharge from they eye it was simply very red and very swollen to the point she was unrecognizable, it looked like one having a severe allergic reaction. The Dr prescribed antibiotic eye drops claiming it was an eye infection (which we administered then). By morning it was not so much better and we gave her Benadryl which helped reduced the swelling and improved her mood overall. (of note the patient had fever the night after the vaccination but that went away the following morning and she has lost her appetite since)
Age: 1.37
Sex: F
Vaccine: HEP, HIBV, PPV
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Patient repeatedly began waking up frightened and crying (sometimes inconsolably). The condition continued throughout the night the patient woke up every hour frightened and complaining of a "bo bo."  The following morning the areas around her eyes became very puffy and there was some green discharge (her eyes however were not red or pink) the patient continued to be very irritable. (By midday the patient relentlessly started scratching her bottom complaining of a "bo bo." A rash soon developed). Later that night patient awoke at 8PM crying uncontrollably this time her eyes would barely open because they were so swollen. There was only only minimal if any discharge from they eye it was simply very red and very swollen to the point she was unrecognizable, it looked like one having a severe allergic reaction. The Dr prescribed antibiotic eye drops claiming it was an eye infection (which we administered then). By morning it was not so much better and we gave her Benadryl which helped reduced the swelling and improved her mood overall. (of note the patient had fever the night after the vaccination but that went away the following morning and she has lost her appetite since)
Age: 19.0
Sex: M
Vaccine: MMR
Symptoms: Musculoskeletal stiffness, Oedema peripheral, Rash
Clinical narrative: One week after receiving the MMR vaccine a small bump apeared on the side of joint to the little finger on the right hand with mild stiffness and swelling. No pain or any other reaction verbalized. Client denied any trauma to finger. Referred for evaluation by M.D.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Back disorder, Bronchitis, Bronchospasm, Chest pain, Eye irritation
Clinical narrative: I got the flu shot from my work.  They brought in some nurses. About 1 week after the injection, I started to have severe allergic reaction.  Throat, chest and eyes were burning. My lymph nodes under my jaw swelled. I made an appointment with my Allergist.  Then, a few days later, I developed bronchitis. My symptoms had no phlegm but bronchial spasms.  I had a very low grade fever. My spams lasted about 4 weeks.  I went to my allergist, regular doctor.  They thought it was asthma which I don't have. The inhaler they gave caused heart palpitations and my low back to go out.  But, my concern was the bronchial spasms.  I've never had that for that long.  I ended up in the emergency room on 11/7/2012.  This all happened 1 week after the flu shot.  They said it was preservative free. I've had sickness before when I had the Preservative based flu shot so I always try to use the preservative free.  I've never had lung issues with any of the flu shots in the past. It's 11/26/2012 and I feel I've just gotten over all my symptoms.  I wanted to add that the emergency room doctor on 11/7/2012 said it was a virus and he couldn't do anything for a virus except give me more inhalers.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Hypersensitivity, Lymphadenopathy, Palpitations, Pyrexia, Throat irritation
Clinical narrative: I got the flu shot from my work.  They brought in some nurses. About 1 week after the injection, I started to have severe allergic reaction.  Throat, chest and eyes were burning. My lymph nodes under my jaw swelled. I made an appointment with my Allergist.  Then, a few days later, I developed bronchitis. My symptoms had no phlegm but bronchial spasms.  I had a very low grade fever. My spams lasted about 4 weeks.  I went to my allergist, regular doctor.  They thought it was asthma which I don't have. The inhaler they gave caused heart palpitations and my low back to go out.  But, my concern was the bronchial spasms.  I've never had that for that long.  I ended up in the emergency room on 11/7/2012.  This all happened 1 week after the flu shot.  They said it was preservative free. I've had sickness before when I had the Preservative based flu shot so I always try to use the preservative free.  I've never had lung issues with any of the flu shots in the past. It's 11/26/2012 and I feel I've just gotten over all my symptoms.  I wanted to add that the emergency room doctor on 11/7/2012 said it was a virus and he couldn't do anything for a virus except give me more inhalers.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Viral infection
Clinical narrative: I got the flu shot from my work.  They brought in some nurses. About 1 week after the injection, I started to have severe allergic reaction.  Throat, chest and eyes were burning. My lymph nodes under my jaw swelled. I made an appointment with my Allergist.  Then, a few days later, I developed bronchitis. My symptoms had no phlegm but bronchial spasms.  I had a very low grade fever. My spams lasted about 4 weeks.  I went to my allergist, regular doctor.  They thought it was asthma which I don't have. The inhaler they gave caused heart palpitations and my low back to go out.  But, my concern was the bronchial spasms.  I've never had that for that long.  I ended up in the emergency room on 11/7/2012.  This all happened 1 week after the flu shot.  They said it was preservative free. I've had sickness before when I had the Preservative based flu shot so I always try to use the preservative free.  I've never had lung issues with any of the flu shots in the past. It's 11/26/2012 and I feel I've just gotten over all my symptoms.  I wanted to add that the emergency room doctor on 11/7/2012 said it was a virus and he couldn't do anything for a virus except give me more inhalers.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm, Swelling, Tenderness
Clinical narrative: Redness, tender, itchy, swollen, warm to touch. Symptoms improved by 11/16/2012 (after 3 days). No treatment was given.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Malaise, Vertigo, Vomiting projectile
Clinical narrative: I had the flu shot on 10/16/2012 at 2 PM. (You did not administer it.) I wanted to go on record that it must have been a very strong lot. I was feeling sick by 4:30 PM and it got worse from there. By 5:30 PM, when I left work, I wasn't sure to ask for a ride or go to the ER.  I've never been so sick in 50 years. I felt if I gave in I'd pass out for sure. I drove home hugging the wheel. (Thinking I'd talk myself out of the feeling and a bit embarrassed over it.) By the time I arrived home I was projectile vomiting and diarrhea along with my head spinning. This went on till 3 AM Wednesday morning. I didn't feel somewhat normal till 11:30 AM Wednesday.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Lacrimation increased, Ocular hyperaemia, Pyrexia, Respiratory tract congestion
Clinical narrative: HISTORY: EE presents to the EHO  ALLERGIC TO COCONUTS, LOBSTER AND RUM.-swelling of throat --- carries an epi pen. Reaction 2012 OCT 10 to flu vaccine: red eyes, coughing, congestion and low grade fever (101.9). In 2011, temp was 101.2 with the same reaction. Treated with ibuprofen (800 mg X 1 dose) and Claritin (10mg q day) X 2 days. 10-11-12 Skin of the orbits of eyes are pinker than the surrounding facial tissue, eyes are watery in appearance and reddened. EE is fair skinned normally.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccine positive rechallenge
Clinical narrative: HISTORY: EE presents to the EHO  ALLERGIC TO COCONUTS, LOBSTER AND RUM.-swelling of throat --- carries an epi pen. Reaction 2012 OCT 10 to flu vaccine: red eyes, coughing, congestion and low grade fever (101.9). In 2011, temp was 101.2 with the same reaction. Treated with ibuprofen (800 mg X 1 dose) and Claritin (10mg q day) X 2 days. 10-11-12 Skin of the orbits of eyes are pinker than the surrounding facial tissue, eyes are watery in appearance and reddened. EE is fair skinned normally.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Borrelia test, Computerised tomogram head, Dysgeusia, Eyelid function disorder, Full blood count
Clinical narrative: Pt complained of not being able to shut her eye completely, stated that when she was eating that everything tasted funny, and then when she smiled, one half of her face didn't move. On 11/25/12, my daughter was taken to the Emergency Room to find out what happened, lab work drawn, and CT of the head was performed as well. After 3 hours in the ER, diagnosed with Bells palsy, and then followed up with her doctor on 11/26/2012, which also confirmed Bells Palsy.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Metabolic function test, VIIth nerve paralysis
Clinical narrative: Pt complained of not being able to shut her eye completely, stated that when she was eating that everything tasted funny, and then when she smiled, one half of her face didn't move. On 11/25/12, my daughter was taken to the Emergency Room to find out what happened, lab work drawn, and CT of the head was performed as well. After 3 hours in the ER, diagnosed with Bells palsy, and then followed up with her doctor on 11/26/2012, which also confirmed Bells Palsy.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Migraine, Pain, Pain in extremity, Pyrexia
Clinical narrative: Arm very sore, feeling weaker and weaker, aching, migraine, fever 101, vomiting -- visit MD on Monday.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Arm very sore, feeling weaker and weaker, aching, migraine, fever 101, vomiting -- visit MD on Monday.
Age: 69.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Nasal congestion, Rhinorrhoea
Clinical narrative: Nasal congestion, runny nose....started about 1 week later and is still ongoing.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Hives, itching and red spots that look like Shingles.  I had the Shingles shot, Zoster yesterday. Just wanted to report this reaction to the vaccine.
Age: 2.0
Sex: M
Vaccine: FLU3, PNC
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Rash
Clinical narrative: Mom noted fever (99-100), pain in both thighs, slight swelling as well as small "spots" on both facial cheeks within 24 hours after receiving vaccines. Pain in thighs gradually improved over next 48-72 hours. Spots on face disappeared by time of appt. Pt had f/u appt on 21 Nov 12 - normal exam at that time.
Age: 28.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The patient had a half dollar sized red raised area on right deltoid where Tdap injection was given.
Age: 44.0
Sex: F
Vaccine: IPV, YF
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Arm sore with local redness at injection site.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Patient states a few weeks after she received the vaccine she developed a painful lump under the skin at the injection site. It is still present so she presented for an office visit today.
Age: 33.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site reaction
Clinical narrative: Symptoms of serum sickness were present upon awakening 11/17/12 but were not evident the night before.  Localized injection site reaction, severe headache, muscle pain in neck and arm, fever, exhaustion lasting two days. Injection site swelling and erythema persisted through 11/20/12, with itching remaining through 11/26/12.
Age: 33.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site swelling, Myalgia, Pyrexia, Serum sickness
Clinical narrative: Symptoms of serum sickness were present upon awakening 11/17/12 but were not evident the night before.  Localized injection site reaction, severe headache, muscle pain in neck and arm, fever, exhaustion lasting two days. Injection site swelling and erythema persisted through 11/20/12, with itching remaining through 11/26/12.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain, redness worse over 2 days extending 10 x 20 cm around injection site with right deltoid pain.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Abdominal pain, Arthralgia, Back pain, Cardiac enzymes normal, Computerised tomogram normal
Clinical narrative: Client was given Pneumovax and flu to left del. She was joking and laughing in the clinic room. Walked out and in to the hall with her employer and was laughing and joking with him. He reports she doubled over in pain, got her a chair to sit in she was bright red, screaming loudly, c/o pain to lower back, abdomen and knees. became SOB she was placed on O2 and given EPI 1:1000 and Benadryl 50mg. EMS called.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Dyspnoea, Erythema, Laboratory test normal, Screaming
Clinical narrative: Client was given Pneumovax and flu to left del. She was joking and laughing in the clinic room. Walked out and in to the hall with her employer and was laughing and joking with him. He reports she doubled over in pain, got her a chair to sit in she was bright red, screaming loudly, c/o pain to lower back, abdomen and knees. became SOB she was placed on O2 and given EPI 1:1000 and Benadryl 50mg. EMS called.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Hypersensitivity, Pain
Clinical narrative: Client was given Pneumovax and flu to left del. She was joking and laughing in the clinic room. Walked out and in to the hall with her employer and was laughing and joking with him. He reports she doubled over in pain, got her a chair to sit in she was bright red, screaming loudly, c/o pain to lower back, abdomen and knees. became SOB she was placed on O2 and given EPI 1:1000 and Benadryl 50mg. EMS called.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Urine analysis
Clinical narrative: Client was given Pneumovax and flu to left del. She was joking and laughing in the clinic room. Walked out and in to the hall with her employer and was laughing and joking with him. He reports she doubled over in pain, got her a chair to sit in she was bright red, screaming loudly, c/o pain to lower back, abdomen and knees. became SOB she was placed on O2 and given EPI 1:1000 and Benadryl 50mg. EMS called.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Axillary pain, Chest pain, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Pain severe soreness, with some numbness and tingling to her arm she also developed some welts in the arm. Pain/soresness was under the arm with radiation to her chest.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: Pain severe soreness, with some numbness and tingling to her arm she also developed some welts in the arm. Pain/soresness was under the arm with radiation to her chest.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Presented to primary physician on 11/21/2012 with abnormal gait which had been evolving over ~ 10-14 days prior.  Exam and history consistent with Guillain-Barre syndrome, which was agreed upon by the pediatric neurologist who then got involved and continues to follow her.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient complained of left arm pain to pharmacist a couple of days later.  Rph told her that muscle soreness was normal, to apply ice, and take Tylenol, and will call pt back in a couple of days to see how she was doing. 2 days later, rph called her back and pt said she still had pain. Rph suggested she see her doctor.