chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Expired drug administered, Headache, Irritability, Vomiting
Clinical narrative: Initial report received from the patient's parent on 04 November 2010. This is a case of misuse where expired vaccine was administered. A healthy 5-year-old female patient had received a third left deltoid injection of expired DT ADS PED USP vaccine (lot number U2105BA, expiration date 29 January 2010) on 03 November 2010 at 17:00. The following day around 5:00 am, 12 hours-post vaccination, the patient woke up with vomiting, temperature of 102.0 degrees Fahrenheit (T102), headache (HA), and as irritable (whiny). The patient's physician was called and the patient was prescribed TYLENOL. Per the reporter, the length of the needle used to administer the vaccine was unknown. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Decreased appetite, Frequent bowel movements, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Here with father, follow up visit from ED visit on the 1st. Told symptoms secondary to flu vaccine. Received FLUMIST on the 31st. Developed stiff neck and fever on the 1st. Did not do LP, did rapid strep and culture, both negative. Temp to 101 yesterday. Sleeping well. Appetite decreased. Headache now is very mild. Nausea, no vomiting. Normal urination, history of UTIs. More frequent BMs but normal consistency.
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Here with father, follow up visit from ED visit on the 1st. Told symptoms secondary to flu vaccine. Received FLUMIST on the 31st. Developed stiff neck and fever on the 1st. Did not do LP, did rapid strep and culture, both negative. Temp to 101 yesterday. Sleeping well. Appetite decreased. Headache now is very mild. Nausea, no vomiting. Normal urination, history of UTIs. More frequent BMs but normal consistency.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Periarthritis
Clinical narrative: Pt states she experienced increasing pain in shoulder where vaccine was administered. Severe pain & "frozen shoulder" still & is seeing an orthopedist for tx.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling on the injection site --> ice pack applied. (offered analgesic but declined)
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Eye pruritus, Fatigue, Headache
Clinical narrative: 50 yo female received flu shot for the 1st time. After 2 seconds pt experienced itchy eyes & chest area, achy body, HA, cough, and fatigue (no energy). She did not take anything, just relaxed. Pt felt better the next day and today she feels normal. Pt called the pharmacy to let me know.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pruritus
Clinical narrative: 50 yo female received flu shot for the 1st time. After 2 seconds pt experienced itchy eyes & chest area, achy body, HA, cough, and fatigue (no energy). She did not take anything, just relaxed. Pt felt better the next day and today she feels normal. Pt called the pharmacy to let me know.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient still has pain at injection site. Patient informed she should visit her regular doctor.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: Flu shot was administered on 11/7/11. Patient's arm (left) got swollen on 11/8/11.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Blindness, Blood pressure decreased, Dizziness, Mydriasis
Clinical narrative: Pt had not eaten, was afraid of injection. 1715 - dilated pupils, loss of vision, weakness, dizziness, drop in BP. 1725 - pupils returned to normal size, able to see, still some weakness. 1735 - checked by EMT - no emergent symptoms at this time advised to seek medical care if symptoms return/persist.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Throat tightness
Clinical narrative: Pt's 1st flu shot. Complains of "tightness" in throat about 10 mins after shot. Pt quite anxious abt. shot. Has clear breaths sounds, easy resp. effort given 1 tab of BENADRYL, vs stable.
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Nausea, Vomiting
Clinical narrative: Initial report was received from a health care professional on 21 September 2010 which involved a cluster of five patients (same lot number, same reporter) which consisted of one male and four female patients. This case has captured four female patients, and the fifth male patient has been captured in case number 2010-05251. A cluster of four female patients with an unreported past medical history, had received FLUZONE HIGH DOSE, lot number U3617AA (date, route and site of administration not reported) and an unspecified amount of time later, experienced nausea, vomiting and "green discharge from the eyes". No further information was available at the time of this report. The patient's outcomes were not reported. Follow-up information was received on 04 October 2010 and 25 October 2010 from a health care professional who stated they were unaware of the four unidentified female patients previously referenced in this case. The reporter stated they had not been informed about these patients by any of the doctors at their clinic and they had no further information to provide. The reporter of this case is the same as for case 2010-05251. Documents held by sender: none.
Age: 1.03
Sex: M
Vaccine: FLU3, HEPA, PNC13, VARCEL
Symptoms: Activities of daily living impaired, Otitis media, Pyrexia, Rash papular, Upper respiratory tract infection
Clinical narrative: Fever with papular vesicular rash and UR with sxs 2 weeks after VARIVAX. Toddler diagnosed with OM & probable chickenpox rash. Rx fever with TYLENOL, x 1 week and OM with Amox. No daycare or out in public until afebrile x 48hours & rash resolved.
Age: 1.03
Sex: M
Vaccine: FLU3, HEPA, PNC13, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Fever with papular vesicular rash and UR with sxs 2 weeks after VARIVAX. Toddler diagnosed with OM & probable chickenpox rash. Rx fever with TYLENOL, x 1 week and OM with Amox. No daycare or out in public until afebrile x 48hours & rash resolved.
Sex: U
Vaccine: FLU3
Symptoms: Induration, Injection site erythema, Vaccination site swelling
Clinical narrative: Initial report was received on 14 September 2011 from a health care professional which involved a cluster of six patients who experienced adverse events after receiving FLUZONE, lot number UH476AB. This case captures one of the two patients who had additional adverse events. The other patient with additional adverse events and the cluster of six have been captured in case numbers 2011-08637 and 2011-08644. An unidentified patient, had received FLUZONE, lot number UH476AB (route, site and date of administration not reported) and an unspecified amount of time later, experienced redness and swelling at the vaccination site. The patient also experienced redness and induration of the entire upper arm from shoulder area to the elbow. Concomitant medications and past medical history were not reported. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Cough, Fatigue, Headache, Pain
Clinical narrative: Initial case was received on 16 September 2010 from a healthcare professional. It contains information for a cluster of 5 unidentified patients. Five unidentified patients received on 15 September 2010 an injection of FLUZONE (lot number U3568AA). Approximately 24 hours later on 16 September 2010, the 5 patients all complained of a severe headache, body aches, and fatigue. No further information was provided. As of this report, the patients had not recovered. Follow-up information was received on 12 November 2010 from a healthcare professional. The reporter provided individual patient identifiers for each of the five previously reported unidentified patients. The information for the initial case (2010-05065) now contains information for the first of five patients. A 44 year old female received the previously reported injection of FLUZONE (lot number U3568AA) on 15 September 2010 in her left arm. She had no pre-existing medical conditions. On an unspecified date, she started with coughing and wheezing, and experienced a low fever, severe headache and body aches. On day 2 (date not reported), she was very tired, and had "bit of aches" and headache. On day 3 she was feeling better. Following prior vaccinations the patient experienced "feeling a bit tired if anything". The patient recovered on an unspecified date. The reporter for this case (2010-05065) is the same reporter for cases 2010-06445, 2010-06446, 2010-06447 and 2010-06448. Documents held by sender: None.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Wheezing
Clinical narrative: Initial case was received on 16 September 2010 from a healthcare professional. It contains information for a cluster of 5 unidentified patients. Five unidentified patients received on 15 September 2010 an injection of FLUZONE (lot number U3568AA). Approximately 24 hours later on 16 September 2010, the 5 patients all complained of a severe headache, body aches, and fatigue. No further information was provided. As of this report, the patients had not recovered. Follow-up information was received on 12 November 2010 from a healthcare professional. The reporter provided individual patient identifiers for each of the five previously reported unidentified patients. The information for the initial case (2010-05065) now contains information for the first of five patients. A 44 year old female received the previously reported injection of FLUZONE (lot number U3568AA) on 15 September 2010 in her left arm. She had no pre-existing medical conditions. On an unspecified date, she started with coughing and wheezing, and experienced a low fever, severe headache and body aches. On day 2 (date not reported), she was very tired, and had "bit of aches" and headache. On day 3 she was feeling better. Following prior vaccinations the patient experienced "feeling a bit tired if anything". The patient recovered on an unspecified date. The reporter for this case (2010-05065) is the same reporter for cases 2010-06445, 2010-06446, 2010-06447 and 2010-06448. Documents held by sender: None.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Blood test normal, Bone pain, Condition aggravated, Immediate post-injection reaction
Clinical narrative: Initial report received from a patient on 16 December 2010. A 67-year-old female patient, who has no relevant medical history, had received an intramuscular left deltoid injection of FLUZONE HIGH-DOSE (lot number not reported) on 20 September 2010 at 18:00 pm. Immediately post-vaccination, the patient had bad pain in her arm and could not raise the left arm requiring medical evaluation. The pain subsequently radiated to her shoulder and breast bones. The pain keeps her awake at night. X-rays completed revealed some arthritis, but blood work was normal. Follow-up information was received from a health care professional on 31 January 2011. The lot number of the FLUZONE HIGH-DOSE was U3603AA. The patient had a prior history of shoulder pain or arthritis. She was not seen in the Emergency Room (ER) but saw a doctor. The patient's x-rays showed arthritis and the final diagnosis was arthritis. The outcome was reported as recovered. Documents held by sender: None.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Middle insomnia, Musculoskeletal pain, Pain in extremity, X-ray abnormal
Clinical narrative: Initial report received from a patient on 16 December 2010. A 67-year-old female patient, who has no relevant medical history, had received an intramuscular left deltoid injection of FLUZONE HIGH-DOSE (lot number not reported) on 20 September 2010 at 18:00 pm. Immediately post-vaccination, the patient had bad pain in her arm and could not raise the left arm requiring medical evaluation. The pain subsequently radiated to her shoulder and breast bones. The pain keeps her awake at night. X-rays completed revealed some arthritis, but blood work was normal. Follow-up information was received from a health care professional on 31 January 2011. The lot number of the FLUZONE HIGH-DOSE was U3603AA. The patient had a prior history of shoulder pain or arthritis. She was not seen in the Emergency Room (ER) but saw a doctor. The patient's x-rays showed arthritis and the final diagnosis was arthritis. The outcome was reported as recovered. Documents held by sender: None.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram head, Computerised tomogram normal, Confusional state, Fatigue, Pyrexia
Clinical narrative: Initial report received from a health care professional on 05 January 2011. An 81-year-old female patient received on 22 September 2010 at 3:00 PM an injection (route and site not reported) of FLUZONE (unspecified), lot number not reported. The patient's had a medical history of non-insulin dependent diabetes mellitus (NIDDM), hypothyroidism, and arteriosclerotic heart disease (ASHD). The patient had no illness at the time of vaccination, no other vaccines within 4 weeks of the FLUZONE and had no adverse events following prior vaccinations. The patient's concomitant medications included LIPITOR, ZETIA, metformin, ARICEPT, ATENOLOL, SYNTHROID, BONIVA and FOLACID. On 22 September 2010 at 11:00 PM, the patient developed fatigue, confusion and a fever. The patient was seen in the Emergency Room (ER) where a computed tomography (CT) scan was performed and was negative. The outcome was reported as recovered. Follow-up information received from a health care professional on 18 February 2011. The patient received a left deltoid intramuscular injection of FLUZONE HIGH-DOSE, lot number U3601AA. The outcome remained recovered. Follow-up information received from a health care professional on 11 March 2011. The patient had a computed tomography of the head without contrast which was reported as negative. The patient required no treatment. The date of recovery was reported as 24 September 2010. Documents held by sender: None.
Sex: U
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: A patient (age and sex not reported) received on an unknown date an injection (route and site not reported) of FLUZONE HIGH-DOSE, lot number not reported. On an unknown date the patient experienced a rash. No further information provided. The outcome was not reported. Follow-up information was received 24 March 2011 from a health care professional who reported that the patient was recovered. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Burning sensation
Clinical narrative: Initial report was received 30 June 2011 from a health care professional. A male patient (age not reported) had received an injection of FLUZONE HIGH-DOSE last year (during this current flu season) (lot number, route, site and date of administration not reported) and the next day, he felt like he was "on fire". Outcome was not reported. No additional information was provided at the time of the report. Follow-up information was received 12 August 2011 from a health care professional. The patient was identified as a 74-year-old male who had a history of hypertension, gout and high cholesterol. Concomitant medications consisted of Amlodipine, Metoprolol, Lisinopril, Naproxen, Colchicine, Omega-3, LIPITOR and Aspirin. The patient received a first dose intramuscular injection of FLUZONE HIGH-DOSE, lot number U3607AA on 22 September 2010. The reported event began at 5PM on the day of vaccination (previously reported as the next day). According to the reporter, the patient drank water and went to bed and was fine the next day. The patient had no concurrent illness at the time of vaccination and he had not received any other vaccinations within four weeks of FLUZONE HIGH-DOSE. Outcome was recovered. Documents held by sender: None.
Sex: U
Vaccine: FLU3
Symptoms: Fatigue, Gastric disorder, Malaise, Pain
Clinical narrative: Initial report was received from a multiple health care professionals on 19 July 2011. A cluster of unidentified patients (total number of patients not reported) had received FLUZONE HIGH-DOSE (lot numbers, routes, sites and dates of administration were not reported) and an unspecified amount of time later, the patient's had reactions ranging from pain, stomach issues, fatigue and an overall ill feeling. No further information was available at the time of the report. The patient's outcomes were not reported. Documents held by sender: none.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Blood glucose increased, Glycosylated haemoglobin increased, Type 1 diabetes mellitus
Clinical narrative: Diagnosed with Type 1 Diabetes. No family history.  Unable to rule out causal relationship to Anthrax vaccine series.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: Fatigued, diarrhea, nausea, loss of appetite, general muscle aches, stayed home in bed and hydrated for seven days.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: Veteran was administered vaccine that did not meet the necessary storage requirement. Freezer malfunctioned and reached a temperature of ~89 degrees at least once. Symptoms: & no reaction.
Age: 0.89
Sex: F
Vaccine: FLU3
Symptoms: Dyskinesia, Electroencephalogram abnormal
Clinical narrative: Paroxysmal movements/jerks. EEG done abnormal.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: Service Member presented to the clinic Nov 10. He states the day after receiving Anthrax experienced some left facial paresthesia that lasted a couple of hours. States symptoms resolved on their own, denied any further symptoms or recurrence.
Age: 33.0
Sex: M
Vaccine: ANTH, JEV1, MNQ
Symptoms: Erythema, Hypoaesthesia, Injection site erythema, Injection site induration, Injection site joint pain
Clinical narrative: Pt received AVA #6 on 10/25/11 at 8am in the right arm (pt is right handed). The pt also received JE and Meningococcal in the left arm. When the pt woke on 10/26/11 both injection sites were slightly sore. At 1800 on 10/26/11 the pt noted that his right arm was swollen, red and painful. The pt's wife (a nursing student) measured the erythema as 14cm and his right upper arm circumference as 40cm. The pt started MOTRIN 800mg, BENADRYL 25mg and applied heat. At 1230 on 10/27/11 the area of erythema was 19cm and his right upper arm circumference was 45.6 cm. The pt went to Urgent Care Clinic; was prescribed MOTRIN and ice compresses and SIQ'd for 24 hours. Upon return to his unit, the flight surgeon gave the pt a RX for antibiotics and BENADRYL. On 10/27/11, Immunizations requested that that pt be seen. He complained of right upper arm and right shoulder pain (2-3/10). The pt also complained of "slight" numbness and tingling in his fingers of his right hand. He denied headache, N, V, skin rashes or other joint or muscle pain. On PE he had full range of motion of his right shoulder although painful. The right upper arm circumference measured 48cm and the area of erythema and induration was 22.5 x 22cm and was TTP (left arm circumference was 41.5cm). The right arm was slightly paler in color than left but equal warmth to the touch. Capillary refill to nail beds was brisk and equal. Radial pulses were strong and equal. No right axillary lymphadenopathy was noted. The was prescribed Prednisone 50mg po qd for 4 days; WESTCORT 0.2% ointment to AAA bid; cool compresses for 15-20 min qd and prn; MOTRIN 800mg tid prn (with food) for pain; continue BENADRYL; instructed not to start the antibiotics at this time. The pt was reevaluated on 10/28 and 10/31 with improvement of his symptoms On 11/31/11 all induration, swelling and erythema had resolved. The pt stated that his symptoms were 90% improved with "slight tightness" of his right shoulder. As of 11/9/11 all of the patient's symptoms had resolved.
Age: 33.0
Sex: M
Vaccine: ANTH, JEV1, MNQ
Symptoms: Injection site pain, Injection site reaction, Joint stiffness, Oedema peripheral, Pain in extremity
Clinical narrative: Pt received AVA #6 on 10/25/11 at 8am in the right arm (pt is right handed). The pt also received JE and Meningococcal in the left arm. When the pt woke on 10/26/11 both injection sites were slightly sore. At 1800 on 10/26/11 the pt noted that his right arm was swollen, red and painful. The pt's wife (a nursing student) measured the erythema as 14cm and his right upper arm circumference as 40cm. The pt started MOTRIN 800mg, BENADRYL 25mg and applied heat. At 1230 on 10/27/11 the area of erythema was 19cm and his right upper arm circumference was 45.6 cm. The pt went to Urgent Care Clinic; was prescribed MOTRIN and ice compresses and SIQ'd for 24 hours. Upon return to his unit, the flight surgeon gave the pt a RX for antibiotics and BENADRYL. On 10/27/11, Immunizations requested that that pt be seen. He complained of right upper arm and right shoulder pain (2-3/10). The pt also complained of "slight" numbness and tingling in his fingers of his right hand. He denied headache, N, V, skin rashes or other joint or muscle pain. On PE he had full range of motion of his right shoulder although painful. The right upper arm circumference measured 48cm and the area of erythema and induration was 22.5 x 22cm and was TTP (left arm circumference was 41.5cm). The right arm was slightly paler in color than left but equal warmth to the touch. Capillary refill to nail beds was brisk and equal. Radial pulses were strong and equal. No right axillary lymphadenopathy was noted. The was prescribed Prednisone 50mg po qd for 4 days; WESTCORT 0.2% ointment to AAA bid; cool compresses for 15-20 min qd and prn; MOTRIN 800mg tid prn (with food) for pain; continue BENADRYL; instructed not to start the antibiotics at this time. The pt was reevaluated on 10/28 and 10/31 with improvement of his symptoms On 11/31/11 all induration, swelling and erythema had resolved. The pt stated that his symptoms were 90% improved with "slight tightness" of his right shoulder. As of 11/9/11 all of the patient's symptoms had resolved.
Age: 33.0
Sex: M
Vaccine: ANTH, JEV1, MNQ
Symptoms: Pallor, Paraesthesia, Skin warm
Clinical narrative: Pt received AVA #6 on 10/25/11 at 8am in the right arm (pt is right handed). The pt also received JE and Meningococcal in the left arm. When the pt woke on 10/26/11 both injection sites were slightly sore. At 1800 on 10/26/11 the pt noted that his right arm was swollen, red and painful. The pt's wife (a nursing student) measured the erythema as 14cm and his right upper arm circumference as 40cm. The pt started MOTRIN 800mg, BENADRYL 25mg and applied heat. At 1230 on 10/27/11 the area of erythema was 19cm and his right upper arm circumference was 45.6 cm. The pt went to Urgent Care Clinic; was prescribed MOTRIN and ice compresses and SIQ'd for 24 hours. Upon return to his unit, the flight surgeon gave the pt a RX for antibiotics and BENADRYL. On 10/27/11, Immunizations requested that that pt be seen. He complained of right upper arm and right shoulder pain (2-3/10). The pt also complained of "slight" numbness and tingling in his fingers of his right hand. He denied headache, N, V, skin rashes or other joint or muscle pain. On PE he had full range of motion of his right shoulder although painful. The right upper arm circumference measured 48cm and the area of erythema and induration was 22.5 x 22cm and was TTP (left arm circumference was 41.5cm). The right arm was slightly paler in color than left but equal warmth to the touch. Capillary refill to nail beds was brisk and equal. Radial pulses were strong and equal. No right axillary lymphadenopathy was noted. The was prescribed Prednisone 50mg po qd for 4 days; WESTCORT 0.2% ointment to AAA bid; cool compresses for 15-20 min qd and prn; MOTRIN 800mg tid prn (with food) for pain; continue BENADRYL; instructed not to start the antibiotics at this time. The pt was reevaluated on 10/28 and 10/31 with improvement of his symptoms On 11/31/11 all induration, swelling and erythema had resolved. The pt stated that his symptoms were 90% improved with "slight tightness" of his right shoulder. As of 11/9/11 all of the patient's symptoms had resolved.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Influenza like illness, Lip swelling, Productive cough, Swollen tongue
Clinical narrative: Initial report was received 03 November 2011 from a health care professional. A 55-year-old male patient with a history of COPD and allergy to Codeine had received an intramuscular left deltoid injection of FLUZONE, lot number UH486AE on 01 November 2011 and on the day of vaccination, he developed a swollen tongue, swollen lower lip, expectorating mucus and shortness of breath. The patient did not report any self treatment. The patient received FLUZONE yearly and state they felt "flu like" each time they received the vaccine. The patient had no concurrent illness, no concomitant medications and he had not received any other vaccines within four weeks of FLUZONE. Outcome was not reported. Documents held by sender: None.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Arthralgia, Axillary pain, Fatigue, Local swelling, Lymphadenopathy
Clinical narrative: The day after receiving the TDAP, pt. felt tired and c/o body aches, joint pain, (R) arm & arm pit pain & swelling, (R) lymph nodes swelling, tiredness, throat and neck swelling with hives. Today 11/3, 7 days later all but lymph nodes increased have resolved. He spent the weekend in bed.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Pain, Pain in extremity, Pharyngeal oedema, Urticaria
Clinical narrative: The day after receiving the TDAP, pt. felt tired and c/o body aches, joint pain, (R) arm & arm pit pain & swelling, (R) lymph nodes swelling, tiredness, throat and neck swelling with hives. Today 11/3, 7 days later all but lymph nodes increased have resolved. He spent the weekend in bed.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Mobility decreased, Oedema peripheral, Pain, Pain in extremity, Pharyngeal oedema
Clinical narrative: The day after receiving the TDAP, pt. felt tired and c/o body aches, joint pain, (R) arm & arm pit pain & swelling, (R) lymph nodes swelling, tiredness, throat and neck swelling with hives. Today 11/3, 7 days later all but lymph nodes increased have resolved. He spent the weekend in bed.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Urticaria
Clinical narrative: The day after receiving the TDAP, pt. felt tired and c/o body aches, joint pain, (R) arm & arm pit pain & swelling, (R) lymph nodes swelling, tiredness, throat and neck swelling with hives. Today 11/3, 7 days later all but lymph nodes increased have resolved. He spent the weekend in bed.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Intussusception, Surgery, Vomiting
Clinical narrative: On 10-19-11 developed vomiting diagnosed with intussusception requiring surgery. On 11-2-11 again developed intussusception that resolved without surgery.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: No adverse event
Clinical narrative: Split family - biological mother brought child to local medical clinic - FLUMIST given 10/27/11. Biological father signed school flu consent form FLUMIST administered at school on 10/27/11. Both parents contacted. No adverse side effects from receiving 2 doses. Error found when trying to enter data into state immun registry.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying
Clinical narrative: High pitch cry noted after immunization per mom.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure immeasurable, Bruxism, Cold sweat, Convulsion, Dizziness
Clinical narrative: Vaccine administered at 10:15 am. Client wasn't sure if he had had a vaccine before. At 10:20 client passed out. Skin pale, cold & clammy. 911 called. Radial pulse thready - difficult to count. BP hard to detect but systolic heard at 90. At 10:25 client had a seizure I was taking his pulse in the right wrist when his arm stiffened, followed by his (L) arm stiffening and then his whole body went rigid - jaw clenched & body rigid with tremors. Seizure last 15-20 sec. at most. Administered EPI at 10:28. Client continued to have cold & clammy skin. After the seizure client was awake & alert asking what had happened. Medics arrived - BP 100/60 HR 60. Client stated he felt "funny". Also stated he did not have a hx of seizures. Client stated he felt "dizzy" before he passed out. Medics took over care - he was transferred to hospital for observation & monitoring.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Loss of consciousness, Muscle rigidity, Musculoskeletal stiffness, Pallor
Clinical narrative: Vaccine administered at 10:15 am. Client wasn't sure if he had had a vaccine before. At 10:20 client passed out. Skin pale, cold & clammy. 911 called. Radial pulse thready - difficult to count. BP hard to detect but systolic heard at 90. At 10:25 client had a seizure I was taking his pulse in the right wrist when his arm stiffened, followed by his (L) arm stiffening and then his whole body went rigid - jaw clenched & body rigid with tremors. Seizure last 15-20 sec. at most. Administered EPI at 10:28. Client continued to have cold & clammy skin. After the seizure client was awake & alert asking what had happened. Medics arrived - BP 100/60 HR 60. Client stated he felt "funny". Also stated he did not have a hx of seizures. Client stated he felt "dizzy" before he passed out. Medics took over care - he was transferred to hospital for observation & monitoring.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Pulse abnormal, Radial pulse abnormal, Tremor
Clinical narrative: Vaccine administered at 10:15 am. Client wasn't sure if he had had a vaccine before. At 10:20 client passed out. Skin pale, cold & clammy. 911 called. Radial pulse thready - difficult to count. BP hard to detect but systolic heard at 90. At 10:25 client had a seizure I was taking his pulse in the right wrist when his arm stiffened, followed by his (L) arm stiffening and then his whole body went rigid - jaw clenched & body rigid with tremors. Seizure last 15-20 sec. at most. Administered EPI at 10:28. Client continued to have cold & clammy skin. After the seizure client was awake & alert asking what had happened. Medics arrived - BP 100/60 HR 60. Client stated he felt "funny". Also stated he did not have a hx of seizures. Client stated he felt "dizzy" before he passed out. Medics took over care - he was transferred to hospital for observation & monitoring.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Blister, Breast pain, Diarrhoea, Herpes zoster
Clinical narrative: Sept. 28, 2011 got the vaccine. Sept. 30 pain in under rt. breast & upper stomach - through to Rt. shoulder and diarrhea that night. Oct. 1 continued diarrhea, 1 blister on back, pain continued under Rt breast & Rt shoulder. Oct. 2. Pain more intense in shoulder, a few (4) blisters on back. Pain in Rt breast. Oct. 3. Intense pain in Rt shoulder & Rt breast, rash & blisters across back & Rt breast. Severe pain during night. Oct. 4 went to walk in clinic, seen Dr. confirmed shingles. Prescribed Acyclovir & Hydrocodone with acetaminophen 5-500 tab. Pain in Rt shoulder, under Rt arm & Rt breast. Oct. 11 went to my Dr. as recommended by Dr. Dr. prescribed Gabapentin 30 mg, Hydro-codone & LIDODERM - 3 patches a day. Still have rash on Rt breast & back. Very painful on breast, under arm and back Rt shoulder. Oct 25 went back to Dr. for a recheck for the shingles. Rash better - still pain in Rt shoulder and Rt breast. Still on Gabapentin & LIDODERM patches, and sometimes Hydro-codone. Nov 10, 2011 still in a lot of pain Rt breast & Rt shoulder & down Rt arm from shoulder to elbow.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Pain in extremity, Rash
Clinical narrative: Sept. 28, 2011 got the vaccine. Sept. 30 pain in under rt. breast & upper stomach - through to Rt. shoulder and diarrhea that night. Oct. 1 continued diarrhea, 1 blister on back, pain continued under Rt breast & Rt shoulder. Oct. 2. Pain more intense in shoulder, a few (4) blisters on back. Pain in Rt breast. Oct. 3. Intense pain in Rt shoulder & Rt breast, rash & blisters across back & Rt breast. Severe pain during night. Oct. 4 went to walk in clinic, seen Dr. confirmed shingles. Prescribed Acyclovir & Hydrocodone with acetaminophen 5-500 tab. Pain in Rt shoulder, under Rt arm & Rt breast. Oct. 11 went to my Dr. as recommended by Dr. Dr. prescribed Gabapentin 30 mg, Hydro-codone & LIDODERM - 3 patches a day. Still have rash on Rt breast & back. Very painful on breast, under arm and back Rt shoulder. Oct 25 went back to Dr. for a recheck for the shingles. Rash better - still pain in Rt shoulder and Rt breast. Still on Gabapentin & LIDODERM patches, and sometimes Hydro-codone. Nov 10, 2011 still in a lot of pain Rt breast & Rt shoulder & down Rt arm from shoulder to elbow.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Following day pt. presented with redness and swelling on bicep of arm injected. No pain. Saw ER MD and was prescribed antibiotic. (Clindamycin 300 mg 1 q 6 h x 5 d).
Age: 17.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Headache, Lethargy, Loss of consciousness, Staring
Clinical narrative: Morning after vaccination patient complained of severe headache and dizziness Mom stated she became lethargic just stared and passed out briefly. Patient taken to ED. Advised to follow-up with neurologist. Patient complained of dizziness for 2-3 days following vaccine.
Age: 0.8
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Blood calcium normal, Blood electrolytes normal, Computerised tomogram head, Computerised tomogram normal, Grand mal convulsion
Clinical narrative: Received vaccines in afternoon on 11-8-11. Seizure at 0230 on 11-9-11. Generalized tonic clonic SZ lasting 3 hrs. Received phenobarbital 10 mg/kg & ATIVAN (0.5 mg x 2) & VALIUM IV. (1mg x 4) at Q5H; VALIUM PR 5 mg x 1 in transport; started on KEPPRA in hospital.
Age: 0.8
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Received vaccines in afternoon on 11-8-11. Seizure at 0230 on 11-9-11. Generalized tonic clonic SZ lasting 3 hrs. Received phenobarbital 10 mg/kg & ATIVAN (0.5 mg x 2) & VALIUM IV. (1mg x 4) at Q5H; VALIUM PR 5 mg x 1 in transport; started on KEPPRA in hospital.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchospasm, Pharyngeal oedema
Clinical narrative: Throat swelling, severe bronchospasm.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Severe headache w/i 2 1/2 hrs, dizziness with nausea, hard chills, fever 101.2. Excessive thirst 4+ hrs. Chills intermittent 2 hr. Sx 48 hours with extreme fatigue for 3 days.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Thirst
Clinical narrative: Severe headache w/i 2 1/2 hrs, dizziness with nausea, hard chills, fever 101.2. Excessive thirst 4+ hrs. Chills intermittent 2 hr. Sx 48 hours with extreme fatigue for 3 days.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Erythema w/ possible infection at injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Hypersensitivity, Pyrexia
Clinical narrative: Mother called health dep. to report child had high fever, 104 degrees and higher, took child to local ER, states almost had seizure.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, warmth, & redness at injection site.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site haemorrhage, Nodule, Swelling
Clinical narrative: Upon vaccination patient bled and I applied pressure to the site. It appeared to be bleeding under the skin and formed a knot on her arm that was quarter-size in diameter. It puffed up a little. I asked her to stay 15 min and at that time it was about the same size. (Still has a bruise 2 days later). I called to check on the patient.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Haematochezia, Mucous stools, Occult blood positive
Clinical narrative: Blood streaks and mucus in stool on 11/8 & 11/12-13/2011. Seen in office on 11/14/11 with positive fecal occult blood test.
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Mononucleosis heterophile test, Pruritus, Rash
Clinical narrative: Patient is a recruit in basic training and received the smallpox vaccine. He then began experiencing a rash around 05 days later covering his trunk and arms. Antibiotic and steroid Tx had no effect on rash. Rash causes mild itch but no other side effects occurred.
Age: 1.26
Sex: M
Vaccine: HIBV, PPV
Symptoms: Pyrexia, Respiratory rate increased
Clinical narrative: Panting and fast heavy breathing, fever of 100.8.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Vaccine positive rechallenge, Vomiting projectile
Clinical narrative: Projectile vomiting, lasting throughout the night into 11/13 morning; followed by diarrhea on 11/13, 3 episodes. Everything residing by 6pm on 11/13. No fever present. This was after his 2nd dose of flu vaccine and a repeat of the previous years events.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Headache, Urticaria
Clinical narrative: Sunday 11/13 felt slightly dizzy and headache.  On 11/14 approx 1:45pm began to have trouble breathing, felt faint, broke out in hives and very dizzy.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Dysphagia, Dyspnoea, Oedema peripheral, Rash, Skin warm
Clinical narrative: Swelling and heat in arm, rash down arm of injection, dfficulty breathing/swallowing.
Age: 31.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus, Rash
Clinical narrative: Noticed rash after shower.  Reports the rash worsened over couple days.  No fevers or chills, + pruritus that is worse at night.
Age: 41.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Body temperature increased, Chest discomfort, Dysphonia, Dyspnoea exertional, Wheezing
Clinical narrative: Pt developed hoarseness and intermittent wheezing with chest tightness as well as dyspnea with exertion that is relieved by rest. Also has low grade temp, 99.6.
Age: 41.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Aphonia, Dysphonia, Wheezing
Clinical narrative: Pt developed hoarseness and intermittent wheezing with chest tightness as well as dyspnea with exertion that is relieved by rest. Also has low grade temp, 99.6.
Age: 41.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Body temperature increased, Chest discomfort, Dysphonia, Dyspnoea exertional, Wheezing
Clinical narrative: Hoarseness started on 11/14/11 in the AM and then later that day I lost my voice about 8:00 PM.  Starting wheezing 11/14/11 around 6:00 PM.  I went back to clinic on 11/15/11 and received albuterol and Medrol pak for symptoms.
Age: 41.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Aphonia, Dysphonia, Wheezing
Clinical narrative: Hoarseness started on 11/14/11 in the AM and then later that day I lost my voice about 8:00 PM.  Starting wheezing 11/14/11 around 6:00 PM.  I went back to clinic on 11/15/11 and received albuterol and Medrol pak for symptoms.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Become pale and faint 5 minutes after receiving his flu vaccination.  Placed supine with feet elevated to prevent injury. Vitals and neuros monitored.  Recovery time was 1 1/2 hours as he would became pale and dizzy when repositioned to sitting and standing.  He did not eat lunch prior to appointment so he was provided juice & crackers 1/2 hour into assessment.  Mother contacted his local physician and she stated Dr felt he was being managed fine and did not need to be seen by physician.  I followed up with father at 4:55 pm that day.  He reported patient was doing fine.  No further episodes of dizziness or apparent injuries.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Fatigue, Pain, Pyrexia, Throat irritation
Clinical narrative: Started with fatigue, scratchy throat and hoarseness that night.  Over the next 2 days developed a fever of 101, aches and pains and continued hoarseness.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Altered state of consciousness, Oedema peripheral, Swelling
Clinical narrative: Pt had onset of hand swelling, which progressed to whole body swelling within a few minutes.  Mom became very concerned, gave him liquid Benadryl, then drove him to the ER.  Pt was having altered consciousness by triage in the ER and was unable to see or hear, then slumped in his chair.  Pt was given steroids, and was sent home with a course of Prednisone for 14 days.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Endotracheal intubation, Gait disturbance, Mechanical ventilation, Muscular weakness
Clinical narrative: On November 7th patient noticed gait had changed and was shuffling when he walked.  Weakness progressed to hands and arms.  Admitted to Medical Center. Patient intubated on a ventilator with diagnosis of possible GBS.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Blood fibrinogen increased, Epistaxis, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, Maternal exposure during pregnancy
Clinical narrative: Patient states that on 11/13/11 she developed a severe bloody nose that would not really stop and also noticed petechiae and wet purpura on her cheeks and tongue.  On 11/14/11 she contacted her OB/GYN then presented to the ED.  She states that she has had a history of some minor nosebleeds in the last few weeks but none prior to this pregnancy.  She denies any recent illnesses.  She had received a flu vaccination on 11/1/11, otherwise she has been previously healthy with no other changes to condition or medications.  She had no issues with bleeding in the past that she is aware of.  Patient's platelets on 9/23/11 were 223,000.  On presentation platelets were <5,000.  The patient is diagnosed with idiopathic thrombocytopenic purpura.  She was intiated on Prednisolone 70 mg PO daily and IVIG 70 grams daily for 2 doses.  Today is day 2 of therapy.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Mean platelet volume, Petechiae, Platelet count decreased, Purpura, Smear site unspecified normal
Clinical narrative: Patient states that on 11/13/11 she developed a severe bloody nose that would not really stop and also noticed petechiae and wet purpura on her cheeks and tongue.  On 11/14/11 she contacted her OB/GYN then presented to the ED.  She states that she has had a history of some minor nosebleeds in the last few weeks but none prior to this pregnancy.  She denies any recent illnesses.  She had received a flu vaccination on 11/1/11, otherwise she has been previously healthy with no other changes to condition or medications.  She had no issues with bleeding in the past that she is aware of.  Patient's platelets on 9/23/11 were 223,000.  On presentation platelets were <5,000.  The patient is diagnosed with idiopathic thrombocytopenic purpura.  She was intiated on Prednisolone 70 mg PO daily and IVIG 70 grams daily for 2 doses.  Today is day 2 of therapy.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Chest pain, Headache, Lymphadenitis, Musculoskeletal pain, Nausea
Clinical narrative: Pain in left arm radiating to shoulder and chest (5 days). Lymphadenitis, headache x 3 weeks, nausea/vomiting x 3wks. Seen in neurology on zolmitriptan 20mig, ELAVIL, FIORICET, MIGRANOL.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Vomiting
Clinical narrative: Pain in left arm radiating to shoulder and chest (5 days). Lymphadenitis, headache x 3 weeks, nausea/vomiting x 3wks. Seen in neurology on zolmitriptan 20mig, ELAVIL, FIORICET, MIGRANOL.
Age: 35.0
Sex: M
Vaccine: MMR
Symptoms: Mumps antibody test positive, Parotitis
Clinical narrative: On 11/12 he came down with Parotitis bilat. Dx at ER.
Age: 32.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Petechiae
Clinical narrative: Petechial rash on chest. No itch. Prednisone tapering dose & BENADRYL.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Flushing, Induration, Skin warm, Tenderness
Clinical narrative: 8x7 cm area of induration and erythema, warm and tender feels flushed but no reported fevers.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Dyspnoea, Swelling face, Throat tightness, Urticaria
Clinical narrative: Face started swelling, hives noted around eyes, patient reported unable to breathe, throat closing. Epinephrine was administered with resolution of symptoms. Patient was observed for one hour by pediatrician for return of symptoms, and she did again begin to have hives and some throat swelling sensation, Benadryl was administered and symptoms resolved. She was prescribed an Epi-pen, and went home with no further symptoms.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Joint swelling
Clinical narrative: Swelling of the knee.
Age: 19.0
Sex: F
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Human chorionic gonadotropin negative, Secondary transmission
Clinical narrative: Patient is the spouse of an Active Duty Service member who was given the Smallpox Vaccine on 26OCT2011. The patient developed a similar sore to that of her husband more than 1 week later. She states that he did keep it clean and covered as instructed, but they share bed sheets, towels, etc. Now the patient has a typical "major reaction" to a smallpox vaccine on her Right Forearm.
Age: 0.01
Sex: M
Vaccine: HEP
Symptoms: Crying, Emotional distress, Irritability
Clinical narrative: Crying non-stop, fussy, unconsolable.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Injection site reaction - red and inflamed area at site, approximate dimensions: 2x3 inches.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: After injection and next few days she noted a red warm tender raised area on left deltoid. Returned to MD on 10/31/11 for check of area.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus
Clinical narrative: Began complaining of itching at injection site.  Took off bandaid and cleaned area.  After 40 minutes of injection, itching subsided.  No med given.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Rash generalised
Clinical narrative: Pt stated after 4-5 hrs after receiving flu vaccination  she developed rash that hurt all over her body and they hurt.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Injection site pruritus, Injection site urticaria, Nausea
Clinical narrative: Itching, hives at injection site, lightheaded and nausea.
Age: 18.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Foaming at mouth, Syncope, Tremor
Clinical narrative: Observed pt. have an syncope episode with legs tremors and foaming at the mouth.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Blood pressure increased, Erythema, Eye swelling, Full blood count normal
Clinical narrative: On 10/22, corner of right eye was swollen.  !0/24, right eye extremely swollen and fluid pocket below eye.  Left side of lip and left cheek swollen.  These symptoms disappeared towards evening.  On 10/25, bottom of feet and palms were red and itching.  Some spots appeared on torso, legs, and arms.  On 10/26, front and back of upper torso and upper and lower limbs had rash, which appeared as blisters after getting up in the morning, then dissipated throughout the day.  Took 25 mg of Benadryl and this controlled the symptoms.  They then gradually become worse.  Went to clinic on 11/8, with severe rash on body, except for face and head, and pubic area.  Doctor stated it appeared as shingles, but rash covered the whole body, not just one side or in a line.  CBC blood test and metabolic panel results were within normal limits.  Blood pressure elevated to 170/100.  MD unable to make diagnosis or have any suggestions to cause of events.  On 11/9 in evening, lungs began to fill with fluid.  Benadryl taken again.  11/10, went to see an allergist.  He gave cortisone injection and one week of prednisone.  After two days of prednisone, rash disappeared.  Blood pressure now back to normal.