chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness and itching at injection site. No treatment as of yet.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Feeling cold, Hypoaesthesia, Pain, Tearfulness
Clinical narrative: Awoke in early AM with chills; in morning 96.6F temp, fingers and toes numb with cold, tearful, whole body aches; no s/sx of infection at injection site.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site urticaria
Clinical narrative: Hives around injection site.
Age: 39.0
Sex: F
Vaccine: HEPAB, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Injection site infection, Mass, Oedema peripheral
Clinical narrative: Redness and swelling and painful area on right lower arm. Approx. location of MMR vaccine. Treated thru ER with 10 day course of Cipro for infection/celluitis. Lump remains at current date and is sometimes sore to touch. No redness or swelling at this time.
Age: 39.0
Sex: F
Vaccine: HEPAB, MMR, VARCEL
Symptoms: Pain
Clinical narrative: Redness and swelling and painful area on right lower arm. Approx. location of MMR vaccine. Treated thru ER with 10 day course of Cipro for infection/celluitis. Lump remains at current date and is sometimes sore to touch. No redness or swelling at this time.
Age: 67.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Back pain, Balance disorder, Malaise
Clinical narrative: Started experiencing problems around 9/6 or 9/7. First thought they were related to recovery from surgery. Tightness in arm, stomach, hands, pain in back, weakness, imbalance, joint pain. Increased in severity. Has not been feeling well for about 2 weeks. Will contact doctor today.
Age: 67.0
Sex: M
Vaccine: HEP
Symptoms: Skin tightness
Clinical narrative: Started experiencing problems around 9/6 or 9/7. First thought they were related to recovery from surgery. Tightness in arm, stomach, hands, pain in back, weakness, imbalance, joint pain. Increased in severity. Has not been feeling well for about 2 weeks. Will contact doctor today.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Fatigue, Feeling cold, Pain
Clinical narrative: Starting to feel cold and achy. Temp by ear was 100.5. Feel fatigued.  Haven't sought medical attention. Waiting to see if symptoms get worse.
Age: 1.05
Sex: F
Vaccine: DTAP
Symptoms: Abnormal behaviour, Aggression, Irritability
Clinical narrative: Unusual behavior change- Extreme fussiness, crankiness, throwing a fit, from an otherwise, happy content toddler.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Mild swelling and redness.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Nausea
Clinical narrative: PT SEEMS TO GET SICK TO HER STOMACH AND NAUSEOUS FOR 2-3 DAYS.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Red and warm to the touch and it is moving to the left arm and very itchy. Ice, Tylenol recommended Benadryl.
Age: 11.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth, Joint stiffness
Clinical narrative: Mild redness and swelling without pain noticed at the injection site in right deltoid, the day after MENVEO vaccine given.  The second day, increased redness and swelling with warmth noticed with complaint of discomfort and tightness in arm when moving shoulder joint.  No fever.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Syncope, Visual impairment
Clinical narrative: Stomach upset, dizzy/whoozy, weakness, faint, saw stars, had to sit down for 45 minutes.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, ANTH
Symptoms: Computerised tomogram abnormal, Deep vein thrombosis, Dyspnoea, Fatigue, Laboratory test normal
Clinical narrative: SOB and leg swelling Dx with DVT and PE, also c/o fatigue for past yr. In May 2011 developed another DVT.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, ANTH
Symptoms: Oedema peripheral, Pulmonary embolism
Clinical narrative: SOB and leg swelling Dx with DVT and PE, also c/o fatigue for past yr. In May 2011 developed another DVT.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, ANTH
Symptoms: Abdominal pain upper, Anaemia, Back pain, Barrett's oesophagus, Benign prostatic hyperplasia
Clinical narrative: SOB and leg swelling Dx with DVT and PE, also c/o fatigue for past yr. In May 2011 developed another DVT.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, ANTH
Symptoms: Deep vein thrombosis, Dyspnoea exertional, Hypertonic bladder, Neck mass, Oedema peripheral
Clinical narrative: SOB and leg swelling Dx with DVT and PE, also c/o fatigue for past yr. In May 2011 developed another DVT.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, ANTH
Symptoms: Pulmonary embolism, Serum ferritin decreased
Clinical narrative: SOB and leg swelling Dx with DVT and PE, also c/o fatigue for past yr. In May 2011 developed another DVT.
Age: 22.0
Sex: M
Vaccine: FLUX, IPV, MEN
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Erythema, Feeling hot
Clinical narrative: Patient request exemption to influenza and AVA vaccine. Influenza vaccine concerns: He reported being "incapacitated for 3 days" following receipt of all past influenza vaccines and was told he was a "hyper-responder". He described similar reactions following 8 influenza vaccines as being very weak with diffuse headaches (3-4/10), dull throbbing joint pain (bilateral shoulders, knees, elbows, hips), and being hot, sweating and subjective fevers (did not take temperature or seek medical care). All symptoms resolved within 3 days with no further sequelae with bed rest and TYLENOL. He advised this set of events occurred with all 8 flu vaccine (1999-2010) without increase in severity or duration. Anthrax vaccine concerns: Patient reported onset of symptoms following 3 "bad batches" of Anthrax vaccinations (AVA) in 2003. He described the following reactions: his reaction to first Anthrax vaccine given 10/9/2003 (BIOTHRAX FAV077) as an annoying "normal" diffuse headache 3-4/10 within 24 hours after vaccination that resolved with TYLENOL; AVA vaccine #2 (BIOTHRAX FAV077) was given 10/21/2003 with complaints 24-48 hours later of diffuse headache (5-6/10) and on sides of chest itching/red spots again resolving with TYLENOL and something for itching; and AVA vaccine #3 (BIOTHRAX FAV079) given 11/7/2003 with severe headache to left temporal side of head shooting into the back of his head (8-9/10) lasting for 2 days resolving with TYLENOL use. He denied any systemic reactions such as phonophobia, photophobia, nausea, vomiting, dizziness or neuro deficits with all headache episodes. He also complained of "red itchy skin" day 2 after AVA #3 vaccine lasting for 10-14 days. He denied any new detergents, deodorants, clothing, travel, food groups, medications, soaps, etc. He reported that he and several others were seen by flight surgeon with similar complaints (headache, itching). While TYLENOL provided effective headache relief, the patient stated that he required its use for about 10 days.
Age: 22.0
Sex: M
Vaccine: FLUX, IPV, MEN
Symptoms: Headache, Hyperhidrosis, Pain, Pruritus, Pyrexia
Clinical narrative: Patient request exemption to influenza and AVA vaccine. Influenza vaccine concerns: He reported being "incapacitated for 3 days" following receipt of all past influenza vaccines and was told he was a "hyper-responder". He described similar reactions following 8 influenza vaccines as being very weak with diffuse headaches (3-4/10), dull throbbing joint pain (bilateral shoulders, knees, elbows, hips), and being hot, sweating and subjective fevers (did not take temperature or seek medical care). All symptoms resolved within 3 days with no further sequelae with bed rest and TYLENOL. He advised this set of events occurred with all 8 flu vaccine (1999-2010) without increase in severity or duration. Anthrax vaccine concerns: Patient reported onset of symptoms following 3 "bad batches" of Anthrax vaccinations (AVA) in 2003. He described the following reactions: his reaction to first Anthrax vaccine given 10/9/2003 (BIOTHRAX FAV077) as an annoying "normal" diffuse headache 3-4/10 within 24 hours after vaccination that resolved with TYLENOL; AVA vaccine #2 (BIOTHRAX FAV077) was given 10/21/2003 with complaints 24-48 hours later of diffuse headache (5-6/10) and on sides of chest itching/red spots again resolving with TYLENOL and something for itching; and AVA vaccine #3 (BIOTHRAX FAV079) given 11/7/2003 with severe headache to left temporal side of head shooting into the back of his head (8-9/10) lasting for 2 days resolving with TYLENOL use. He denied any systemic reactions such as phonophobia, photophobia, nausea, vomiting, dizziness or neuro deficits with all headache episodes. He also complained of "red itchy skin" day 2 after AVA #3 vaccine lasting for 10-14 days. He denied any new detergents, deodorants, clothing, travel, food groups, medications, soaps, etc. He reported that he and several others were seen by flight surgeon with similar complaints (headache, itching). While TYLENOL provided effective headache relief, the patient stated that he required its use for about 10 days.
Age: 22.0
Sex: M
Vaccine: FLUX, IPV, MEN
Symptoms: Rash erythematous, Vaccination complication
Clinical narrative: Patient request exemption to influenza and AVA vaccine. Influenza vaccine concerns: He reported being "incapacitated for 3 days" following receipt of all past influenza vaccines and was told he was a "hyper-responder". He described similar reactions following 8 influenza vaccines as being very weak with diffuse headaches (3-4/10), dull throbbing joint pain (bilateral shoulders, knees, elbows, hips), and being hot, sweating and subjective fevers (did not take temperature or seek medical care). All symptoms resolved within 3 days with no further sequelae with bed rest and TYLENOL. He advised this set of events occurred with all 8 flu vaccine (1999-2010) without increase in severity or duration. Anthrax vaccine concerns: Patient reported onset of symptoms following 3 "bad batches" of Anthrax vaccinations (AVA) in 2003. He described the following reactions: his reaction to first Anthrax vaccine given 10/9/2003 (BIOTHRAX FAV077) as an annoying "normal" diffuse headache 3-4/10 within 24 hours after vaccination that resolved with TYLENOL; AVA vaccine #2 (BIOTHRAX FAV077) was given 10/21/2003 with complaints 24-48 hours later of diffuse headache (5-6/10) and on sides of chest itching/red spots again resolving with TYLENOL and something for itching; and AVA vaccine #3 (BIOTHRAX FAV079) given 11/7/2003 with severe headache to left temporal side of head shooting into the back of his head (8-9/10) lasting for 2 days resolving with TYLENOL use. He denied any systemic reactions such as phonophobia, photophobia, nausea, vomiting, dizziness or neuro deficits with all headache episodes. He also complained of "red itchy skin" day 2 after AVA #3 vaccine lasting for 10-14 days. He denied any new detergents, deodorants, clothing, travel, food groups, medications, soaps, etc. He reported that he and several others were seen by flight surgeon with similar complaints (headache, itching). While TYLENOL provided effective headache relief, the patient stated that he required its use for about 10 days.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Nausea, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Patient complained of severe swelling and bruising on arm of injection site. Pain. fever & nausea & vomiting for first 2 days. Improving slowly after 3 days. Still has swelling.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Patient complained of severe swelling and bruising on arm of injection site. Pain. fever & nausea & vomiting for first 2 days. Improving slowly after 3 days. Still has swelling.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Patient reported welt (redness and swelling) a few hours after vaccination. She came in to report adverse reaction and presented with 3-4 in. diameter welt. Patient advised to take diphenhydramine and ibuprofen. Patient went to ER & given shots of BENADRYL and TORADOL. Patient is slowly recovering. Pain has subsided.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Administered shot and right after taking needle out of arm pt said felt lightheaded, then continued to say fingers felt numb. Monitored pt & took blood pressure. Called 911 within 2 minutes of administering. No treatment was given here. She was transported to ER.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypersensitivity
Clinical narrative: Administered shot and right after taking needle out of arm pt said felt lightheaded, then continued to say fingers felt numb. Monitored pt & took blood pressure. Called 911 within 2 minutes of administering. No treatment was given here. She was transported to ER.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Pt developed shingles rash on 9/1/12.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Patient experience allergic reaction to Flu Mist vaccine three minutes after vaccine was administered. Patient's reaction was small hives. Patient was assesed by physician and treated with Benadryl, observed for 30 mins. until patient was cleared.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Death, Faecal incontinence, Musculoskeletal stiffness, Pain
Clinical narrative: Patient complained of "achiness" around 2:30 to 3:00 pm. His symptoms progressed to stiffness and soreness by bedtime and needed help with his clothing before bed. Around Midnight, there was a loss of bowel control and he passed away.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Atelectasis, Blood electrolytes normal, Cardiac stress test normal, Cardiomyopathy, Cellulitis
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Chest X-ray normal, Chest pain, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Echocardiogram normal, Ejection fraction normal, Electrocardiogram T wave inversion, Erythema
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Full blood count normal, Injection site erythema, Injection site inflammation, Insomnia
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Lymph nodes scan abnormal, Nuclear magnetic resonance imaging abnormal, Pyrexia, Scan myocardial perfusion abnormal, Vaccination site eschar
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccination site infection, Vaccination site pain, Vaccination site swelling, Wheezing, White blood cell count normal
Clinical narrative: 31 yo male received primary smallpox vaccination (SPV) on 3/4/2012. Approximately 3/15/2012 he awoke with 6/10 "indigestion-like" chest pain and shortness of breath. He was unable to return to sleep stating his pain was worse lying flat and eased by sitting up. He has no history of asthma, does not smoke, had no preceding viral illness, nor any lower extremity discomfort or activity that might predispose to thrombosis. Later that day his chest pain worsened to 8/10 climbing stairs with increased dyspnea ("gasping"). He presented to nearby ER with complaints of fever/chills, fatigue, chest pain, dry cough, wheezing, shortness of breath, and redness-swelling to left arm vaccination site. His admission note made no mention of chest pain or dyspnea but concentrated on admission for an "infected vaccination site" describing increasing erythema and redness to left arm up to shoulder and into axilla and chest x 48 hours. His SPV site was described as tender with black eschar and encircling erythema. He was admitted x 3 days with a diagnosis of cellulitis, given IV ROCEPHIN 1 gram every 12 hours, and oral TYLENOL 650 mg and BENADRYL as needed. Because the patient still complained of cough and shortness of breath, he was provided nasal O2 and a lung CT was obtained. The radiologist noted nonspecific abnormal lymph nodes in left axilla. Bibasilar dependent atelectasis in both lung bases. Otherwise CT chest without the contrast is unremarkable, and according to the attending physician ruled out any chest abnormality including any kind of clot. His EKG showed NSR without ischemic changes, CBC/WBC and electrolytes were normal. There were no cardiac studies (troponin, CK-MB, etc.) performed. His CXR was normal. A CT scan of his chest to rule out thrombi as potential cause of shortness of breath and cough was normal with nonspecific abnormal lymph nodes in left axilla and bibasilar dependent atelectasis, no clot. O2 sats were normal. He was diagnosed with cellulitis left shoulder and released 3 days later with resolving site inflammation but had a persistent dry cough and sensation of shortness of breath. The patient states that his chest pain and dyspnea slowly lessened from onset and by the 17th was total resolved. His office contacted the health care office for chest pain after receipt of smallpox vaccination. Correspondence occurred between health care providers and this patient's physicians for possible myopericarditis following receipt of SPV. The health care Vaccine-Associated Myopericarditis Algorithm was provided and cardiac enzymes were requested. Patient left in April 2012 completing his assignment without sequelae. A follow up interview by health care identified patient healthy, no further chest pain or shortness of breath. He runs 1.5 miles 2-4 x/wk without incident. He completed his annual PT 2 weeks ago passing easily.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Vomiting
Clinical narrative: Vomiting, elevated BP.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Abasia, Arthralgia, Lethargy, Pain, Pyrexia
Clinical narrative: Ongoing & continued hip joint pain....followed by low grade fever and lethargy and slight vomit. Joint pain started about 9/14 and reached peak 9/21. My son could not walk and in severe pain.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Synovitis, Vomiting, X-ray
Clinical narrative: Ongoing & continued hip joint pain....followed by low grade fever and lethargy and slight vomit. Joint pain started about 9/14 and reached peak 9/21. My son could not walk and in severe pain.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Bone pain, Musculoskeletal stiffness, Respiratory tract irritation
Clinical narrative: Bone/joint pain/aches. Stiff neck. Lung irritation.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Eyelid oedema, Lip swelling
Clinical narrative: Swelling of the lower eyelids and lower lip. Pt was instructed to take Benadryl, and if symptoms don't improve or worsen (especially swelling of tongue and throat) to seek medical attention.
Age: 38.0
Sex: M
Vaccine: MMR, PPV
Symptoms: Chills, Hyperhidrosis, Local swelling, Oedema peripheral, Paraesthesia
Clinical narrative: LEFT ARM-SWELLING, SWELLING UP THE LEFT SIDE OF THE NECK AND LEFT SIDE OF HEAD, FEVER, CHILLS, SWEATS, ARM FELT WARM AND TINGLY, WENT TO ER AROUND MIDNIGHT AND WAS GIVEN STEROIDS AND PAIN REDUCERS.
Age: 38.0
Sex: M
Vaccine: MMR, PPV
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: LEFT ARM-SWELLING, SWELLING UP THE LEFT SIDE OF THE NECK AND LEFT SIDE OF HEAD, FEVER, CHILLS, SWEATS, ARM FELT WARM AND TINGLY, WENT TO ER AROUND MIDNIGHT AND WAS GIVEN STEROIDS AND PAIN REDUCERS.
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Pain of skin
Clinical narrative: Patient reported a severe headache on one side of his head. Also described "scalp" pain. Resolved in 3 to 5 days. Self-treated with Tylenol.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash on trunk, and itchy back.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphagia, Pruritus, Urticaria
Clinical narrative: Hives, itching, coughing, trouble swallowing.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: Muscle pain in arm at site of injection.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Red itchy area around the injection site.  Area is larger than a quarter.  Patient visited PCP and they told her to ice.  Called pharmacy 9/21/2012 - patient told to use Tylenol for pain and Benadryl for itch. Cover the area.  Seek physician help in 48 hours if it is not better.  If it gets worse seek medical attention immediately.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Formication, Pruritus generalised
Clinical narrative: Patient felt itchy all over her body. She said it felt like ants all over her body
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Hyperhidrosis, Vomiting
Clinical narrative: 09/21/2012  SEVERE VOMITING, CHILLS, SWEATS. PHARMACIST RECOMMENDED GATOR ADE OR PEDIALYTE.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal sensation in eye, Eye pain, Headache, Nausea, Neck pain
Clinical narrative: Severe neck pain and head ache. Pain was so intense I could not lift my head up off a pillow. Pain was 10/10 (0-10 scale) and is currently a 6/10 with persistent unrelenting squeezing "like a vice" type pain. OTC pain reliever has not worked. Severe nausea present throughout. Severe ocular pain, photophobia and ocular pressure.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Photophobia
Clinical narrative: Severe neck pain and head ache. Pain was so intense I could not lift my head up off a pillow. Pain was 10/10 (0-10 scale) and is currently a 6/10 with persistent unrelenting squeezing "like a vice" type pain. OTC pain reliever has not worked. Severe nausea present throughout. Severe ocular pain, photophobia and ocular pressure.
Age: 8.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Flushing, Headache, Irritability, Nasal congestion
Clinical narrative: Nasal congestion severe headache for two days, flush skin, nose dripping combined with congestion chills for two days irritated emotionally.
Age: 8.0
Sex: F
Vaccine: FLUX
Symptoms: Respiratory tract congestion, Upper-airway cough syndrome
Clinical narrative: Nasal congestion severe headache for two days, flush skin, nose dripping combined with congestion chills for two days irritated emotionally.
Sex: U
Vaccine: VARZOS
Symptoms: Nail discolouration, Pruritus, Pyrexia, Rash generalised
Clinical narrative: Low grade fever - rash covering most of body sick to my stomach itchy these symptoms lasted 5 days.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient complaining of swollen left arm where pneumonia vaccine administered. Site was also red & warm, patient stated he worked out with weights after being injected on 9-13-12. I spoke to patient again today at 5:50 pm & he stated arm does not hurt & swelling went down.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Sharp muscle pain, cannot lift arm above shoulder.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin lesion
Clinical narrative: Broke out with large red lesion on stomach. Itching. Took several doses of antihistamine. Put med. powder to stop clothes from chafing.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Movement disorder, Oedema peripheral
Clinical narrative: Patient came in Sunday afternoon with entire arm swollen and unable to bend. She went to ER and got IV BENADRYL and steroids. Said she felt much better.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warm to touch, itchy, knot where injection was given. Pt was told to take BENADRYL and use ice for swelling. Pt came in office to be rechecked on 9-17-12.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site nodule, Nodule, Oedema peripheral, Pain
Clinical narrative: Pt states arm swollen from shoulder to hand, softball size knot at injection site, redness, knot under arm, painful.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Drug hypersensitivity, Immediate post-injection reaction, Oedema peripheral, Paraesthesia
Clinical narrative: Rcd Influenza vaccine on 9/12/12, felt immediate tingling to entire arm. Worsened next 24 hours. No SOB. No itching to mouth/ lips/ ears. Felt dizzy & arm (R) swollen on deltoid area.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Patient states that he had chills and aches and very painful arm hindering movement. Area of imms (Rt. deltoid) reddened approx 3-4 cm. diameter, warm, painful to touch.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Patient states that he had chills and aches and very painful arm hindering movement. Area of imms (Rt. deltoid) reddened approx 3-4 cm. diameter, warm, painful to touch.
Age: 18.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling, Tenderness
Clinical narrative: Redness, swollen warmth to touch itchiness, 9mm x 7mm erythema, tender.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Immediate post-injection reaction, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Had immediate pain and swelling of the arm. Eight hours after you were vaccinated got chills and shakes had fever to 103 Fahrenheit and nausea. No rash no breathing problems. Has seasonal allergies but NKDA. Went to the ER was discharged w/ dx of fever given acetaminophen. Next day still has fever and little nausea.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Tremor
Clinical narrative: Had immediate pain and swelling of the arm. Eight hours after you were vaccinated got chills and shakes had fever to 103 Fahrenheit and nausea. No rash no breathing problems. Has seasonal allergies but NKDA. Went to the ER was discharged w/ dx of fever given acetaminophen. Next day still has fever and little nausea.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Pyrexia, Tremor
Clinical narrative: About 7 hours after administration patient had high fever (103.5), shaking and headache. Was examined, treated & released from medical center after about 1 hour & told to rest for 2 days.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: (L) arm 9 x 3 area, red, swollen. Warm to touch. Painful.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a consumer refers to her male friend of an unknown age who on an unknown date, was vaccinated under the skin with a dose of ZOSTAVAX (dose and lot number not reported). No other co-suspects were reported. No concomitant medications were reported. The consumer reported that her friend got a shingles about a year after getting the "shingles shot" on an unknown date. The consumer stated that her friend ended up in the hospital for 2 weeks. No treatment information was reported. At the time of the report, the patient's outcome was unknown. The relatedness for the patient got shingles about a year after getting the shingles shot was unknown for ZOSTAVAX. Additional information is not expected.
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Headache, Vomiting
Clinical narrative: 12 hours after vaccine, woke up with severe vomiting, no diarrhea (+) headache, no fever lasted 3 hours.
Age: 1.5
Sex: M
Vaccine: HPV4
Symptoms: Blood test, Convulsion, Drug administered to patient of inappropriate age, Gastroenteritis viral, Pyrexia
Clinical narrative: This spontaneous report was received from a consumer concerning his 18 months (also reported as 20 months) old son with no pertinent medical history and no drug reactions or allergies. Approximately on an unknown date in July 2012 (about a month and half ago), the patient received a dose of GARDASIL (lot #, dose and route not reported) shot in error at the age of 18 months. No concomitant medications were reported. On an unknown date in July 2012 (about a month and half ago), after receiving the shot of vaccine in error, the patient experienced a seizure, fever and a stomach virus. He was hospitalized on an unknown date. On an unknown date, blood tests (unspecified) were performed and the result was unknown at the time of reporting. Therapy with GARDASIL was discontinued. The patient was recovering from seizure, fever and stomach virus at the time of reporting. The relatedness for seizure, stomach virus and fever was unknown for GARDASIL. Additional information is not expected.
Age: 58.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Ecchymosis, Swelling
Clinical narrative: "Slight ecchymosis and swelling, non tender, full ROM w/o pain" per note.
Age: 40.0
Sex: M
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine - Rotavirus expired 8-6-2012.
Age: 11.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (+) Erythema and swelling right and left deltoid.
Age: 11.0
Sex: M
Vaccine: HPV4, VARCEL
Symptoms: Cellulitis, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Patient vaccinated on 9.5.12 with HPV4 & VARICELLA. Mom states on 9.6.12 he came home from school with swollen (L) arm & warm to touch with a fever. Mom states she took him to ER where they measured swelling of 9 x 9 dx him with cellulitis & prescribed KEFLEX & BENADRYL. Mom states swelling increased so she took him back to ER on 9.7.12 & states ER measured swelling at 14 x 13. They prescribed BACTRIM & prednisone.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was given ADACEL instead of DAPTACEL. Patient was monitored for one month. There were no reaction to the injection. Patient had no high temperature or any other reaction.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV, VARZOS
Symptoms: Erythema, Skin warm
Clinical narrative: Red large circle, warm to touch, on about 4 inch diameter. Underside of right arm not surrounding injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme lower legs.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling at injection site.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4, MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen left upper arm. Hot to the touch. *2 vaccines given in (L) deltoid.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Received FLUARIX vaccine at 0815. One hour later experienced intense itching, hives to arms. BENADRYL 50mg IM given & epinephrine.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Diarrhoea, Myalgia, Pyrexia
Clinical narrative: Muscle aches, fever, diarrhea.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Patient c/o arm tingling and "locking up".
Age: 0.9
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives all over body. Liquid BENADRYL recommended for treatment.
Sex: M
Vaccine: FLU3
Symptoms: Haematoma, Haemorrhage, Immediate post-injection reaction
Clinical narrative: Upon withdrawing needle, patient bled and formed small hematoma.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Feeling cold, Gaze palsy, Hyporesponsive to stimuli, Hypotonia, Pallor
Clinical narrative: 6 hrs after vaccine: Cool, pale, hypotonic, hyporesponsive eyes up in head. No tonic or clonic activ. Duration: 20 min.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Ocular hyperaemia
Clinical narrative: FLUZONE was given around 11:15 am 9/21/12 around 3 pm patient reported she felt tightness of her chest, red eyes. Patient came back to store, we gave her 1 cap diphenhydramine 25 mg immediately.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth, Skin lesion
Clinical narrative: Pt developed redness, warmth and induration measuring approximately 2" l x 3" w in an ovoid-shaped lesion at site of SQ injection on (R) arm.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left deltoid with 12 by 14 cm of redness and swelling.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia oral, Pruritus, Tongue disorder
Clinical narrative: Pt reports she starting itching Wednesday (9/19) evening. On 9/20, the itching was worse. She took 2 BENADRYL liquitabs about 500 pm which helped. On 9/21 she awakened & her tongue felt thick and her lips felt numb. To clinic 1115am to ER 9/21/12.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Patient received a flu shot & pneumonia shot. The arm where the pneumonia shot was administered was red & swollen. Patient said it was very uncomfortable.
Age: 19.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Severe left deltoid pain and localized induration without redness starting 10 hrs after immunization.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy rash on face appearing that night = 9/19/12 (no rash on vaccination arm). 9/20/12 = Asked pt to take BENADRYL.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS, FLU3, VARZOS
Symptoms: Amnesia, Headache, Nausea, Tinnitus, Vomiting
Clinical narrative: Headache, nausea, vomiting, memory loss, ear ringing started shortly after vaccines given. Vomiting continued through the night and all symptoms still present 24 hrs. later. Started feeling better with memory 36 hrs later. Nausea continues 48 hrs later.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: About 1 hr after receiving flu shot, breaking out around neck & low back - itching & hives - took BENADRYL 25 mg x 2 - hives spread over about 50% of body - got better after BENADRYL - was gone next morning.