chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: TDAP
Symptoms: Neuroblastoma, Oligohydramnios, Rubella antibody negative, Ultrasound scan normal
Clinical narrative: Initial report was received 27 December 2008 from an investigator as part of a study for which Sanofi Pasteur is not a sponsor. A neonate male patient received an initial dose of ADACEL (lot number C2456AA) at approximately 24 weeks gestation placentally. The patient's mother was taking LABETALOL and prenatal vitamins concomitantly throughout the pregnancy. The patient's mother had the following prenatal testing completed: On 16/Mar/2006: parvovirus IgG 5.7, parvovirus IgM negative, Rubella- Imm, NBsAg-NR, HIV-NR, antibody negative. On 04/Aug/2006, 08/Aug/2006, 14/Aug/2006, 17/Aug/2006 normal reactive NST (non fetal stress test). On 12/Jan/2006, 04/Jul/2006, 20/Jun/2006, 05/Jul/2006, 10/Aug/2006 all normal ultrasounds. On 02/Aug/2006: bilateral hydroceles and oliohydramnios AF1-7.3. On 27/Apr/2006: the patient's mother was GBS (group B strep) positive. On 20/Aug/2006 the patient was born at 38 5/7 weeks gestation. The patient had an APGAR score of 9 at one minute and 9 at five minutes. The patient did not have any complications during delivery. List of Documents held by Sender: None. Another case was created for the baby's mother which captured in case number 2008-04114. The reporter of this case is same as cases 2008-04101, 2008-04102, 2008-04103, 2008-04104, 2008-04105, 2008-04106, 2008-04107, 2008-04108, 2008-04109, 2008-04110, 2008-04111, 2008-04112, 2008-04113, 2008-04114.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Initial information was received on 20 October 2008 from a health care professional. A 51 year old female patient received an intramuscular injection of FLUZONE (lot number U2765AA) on 16 October 2008. On 17 October 2008 the patient complained of itching with "welts" on the palms of her hands, axillary area, back, upper trunk, and abdomen approximately 24 hours post vaccination. The patient self medicated with Benadryl and had some relief. the patient continued to take the Benadryl and the symptoms persisted. The patient was not recovered at the time of the report. Follow-up information received on 31 December 2008 from a health care professional. The patient had no past medical history, or use of other medications at the time of vaccination on 16 October 2008. The adverse events of welts and itching were treated with Solu-Medrol injection and Prednisone tapering dose pack. No final overall diagnosis was made. The patient fully recovered on 24 October 2008, which was seven days after onset of first symptoms. Per this new information, this case was upgraded to serious. List of Documents held by Sender: None.
Age: 6.0
Sex: M
Vaccine: FLU3, HEPA, MNQ
Symptoms: Condition aggravated, Injection site discolouration, Injection site erythema, Injection site warmth
Clinical narrative: Some shots have given patient the not unexpected warmth and redness at the shot site. What is unusual is that he subsequently developed hyper pigmentation where the redness was that lingers for several weeks to months. Interesting he has had similar reactions to minor cellulitis.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Diagnostic procedure, Rash
Clinical narrative: Information has been received from a consumer concerning his 77 year old wife with depression, Penicillin allergy, Sulfonamide allergy, LEVAQUIN allergy and AVELOX allergy and a history of thyroid removal due to cancer who on 11-Nov-2008 was vaccinated with a dose of ZOSTAVAX "injection". Concomitant therapy included BENICAR, ZOLOFT, SYNTHROID, Aspirin, ACTONEL, LIPITOR, LUNESTA, NEXIUM, RESTASIS and an unspecified pain medication. On approximately 14-Nov-2008, "3 to 4" days after vaccination", the patient experienced red rash on her arms and chest after receiving ZOSTAVAX. The patient was treated with prednisone and the rash resolved but returned after she discontinued therapy with Prednisone. The consumer reported that the physician felt that the rash may be related to lupus but they are unsure at this point. On an unspecified date, "unspecified blood tests" were performed (results not provided). The patient was not recovered. The patient sought physician and dermatologist medical attention. Upon internal review, possible lupus was considered to be an other important event. Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: ANTH, HEP, TYP
Symptoms: Pruritus, Rash
Clinical narrative: Rash appeared 3 days after immunization was given.  Rash is located behind the left ear and has spread onto the neck.  Rash is described as itchy.
Age: 1.0
Sex: F
Vaccine: DTPHIB, MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash generalised, Vomiting
Clinical narrative: 10 days past her 1 yr. shots she started running a 100,5 temp. she had vomiting and loose stools..she also developed a rash all over..i was told the rash would go away in a few days and to give tylenol for temp.,and to call if she was not better in a wk..
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Headache, Injection site erythema
Clinical narrative: Severe headache 48 hours after administration of Zostivax and pneumococcal vaccines.  Redness to site of zoster vaccination.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Anaemia, Blood culture negative, Chest X-ray normal, Cough, Diet refusal
Clinical narrative: Patient developed upper respiratory symptoms, cough, and fussiness one day following his 2 month immunizations. 7 days following vaccination he developed a fever to 102.7, lethargy and poor formula intake. He developed significant wheezing. Cough and wheezing lasted for about 1 month following onset. No sick contacts. Fever resolved spontaneously in 72 hours. Multiple doctor visits required for follow up in the acute setting.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Irritability, Lethargy, Pyrexia, Respiratory disorder, Respiratory syncytial virus test
Clinical narrative: Patient developed upper respiratory symptoms, cough, and fussiness one day following his 2 month immunizations. 7 days following vaccination he developed a fever to 102.7, lethargy and poor formula intake. He developed significant wheezing. Cough and wheezing lasted for about 1 month following onset. No sick contacts. Fever resolved spontaneously in 72 hours. Multiple doctor visits required for follow up in the acute setting.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Streptococcal identification test negative, Wheezing, White blood cell count normal
Clinical narrative: Patient developed upper respiratory symptoms, cough, and fussiness one day following his 2 month immunizations. 7 days following vaccination he developed a fever to 102.7, lethargy and poor formula intake. He developed significant wheezing. Cough and wheezing lasted for about 1 month following onset. No sick contacts. Fever resolved spontaneously in 72 hours. Multiple doctor visits required for follow up in the acute setting.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Severe dizziness lasting 6 - 8 hours.  No other symptoms.  Completely resolved in approximately 18 hours.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Blister, Rash, Reaction to previous exposure to any vaccine
Clinical narrative: Pt developed a blister like rash on top of left hand about 2 hours after receiving the vaccine parents administered 2 children's chewable Benadryl child woke up this am and rash was gone.  Had similiar instance with a pertussis vaccine several years ago
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MEN
Symptoms: Dizziness, Nausea, Pallor, Tinnitus
Clinical narrative: Dizziness, nauseous, ringing in the ears, paleness for about 10 minutes after the vaccine.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Child came in one day later with hives, treated with atarax.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Patient presented to Immunization clinic on 01/06/09 for the second dose of HPV vaccine, having received the first dose on 08/19/08. During screening, patient stated that she has experienced pain in the upper 3/4 of the upper left arm since the 08/19/08 immunization. She reports that the affected area has been tender to firm touch since then, and that it is painful if she lies on it. She has full use of the arm, with normal strength and ROM. She reports that she experienced no unusual redness, swelling, or excessive pain immediately after the 08/19/08 vaccination. Her account of SX is confirmed by her mother.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site reaction, Muscular weakness
Clinical narrative: Patient complained of severe pain, weakness in upper arm from site of injection to elbow onset immediately post vaccine. Reported 12/15/08, advised to contact us if persistant for one month. 1/7/09, reported no improvement, referred to private physician. Patient stated that she had read on the internet that predinisone was recommended treatment, and would refuse prednisone.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: 1 day after vaccine administration, painful, red swelling of left upper arm
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: PT SUFFERED FROM HIVES, RASHES AND A MILD GRADE FEVER FOR 7 DAYS FOLLOWING VACCINATION. THE PT RECEIVED TX WITH PREDNISONE AND RECOVERED WITHIN DAYS.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Left Deltoid area on arm warm and swollen.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Differential white blood cell count, Full blood count, Injection site cellulitis, Injection site erythema
Clinical narrative: f/u redness and swelling to left upper arm x 4 days s/p pneumococcal vaccination 28NOV08. Reports onset of symptoms one day following vaccination with fevers and chills at onset. Reports mild stiff neck and general myalgias currently. Currently treating symptoms with motrin. Diagnosis-CELLULITIS: Area of erythema and level of discomfort increased from yesterday will initiate treatment with septra DS borders marked. Pt advised to limit activity with left arm f/u 24 hrs. Dec 19 08, f/u of cellulitis to left shoulder. Reports redness and swelling resolved after completing course of septra last week. Reports pain improved but never completely resolved now having increased pain and mild redness for past few days. Reports subjective fevers. ELLULITIS: Pt with cellulitis to left deltoid s/p pneumococcal vaccination originally improved with septra now having increased symptoms will tx with double strength septra and rifampin.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Monocyte count increased, Musculoskeletal stiffness, Myalgia, Pyrexia
Clinical narrative: f/u redness and swelling to left upper arm x 4 days s/p pneumococcal vaccination 28NOV08. Reports onset of symptoms one day following vaccination with fevers and chills at onset. Reports mild stiff neck and general myalgias currently. Currently treating symptoms with motrin. Diagnosis-CELLULITIS: Area of erythema and level of discomfort increased from yesterday will initiate treatment with septra DS borders marked. Pt advised to limit activity with left arm f/u 24 hrs. Dec 19 08, f/u of cellulitis to left shoulder. Reports redness and swelling resolved after completing course of septra last week. Reports pain improved but never completely resolved now having increased pain and mild redness for past few days. Reports subjective fevers. ELLULITIS: Pt with cellulitis to left deltoid s/p pneumococcal vaccination originally improved with septra now having increased symptoms will tx with double strength septra and rifampin.
Age: 0.75
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Irritability, Rash erythematous
Clinical narrative: One day after receiving the first dose of the injectable flu vaccine, the patient developed red bumps. There were three larger bumps near the injection site and smaller bumps over the body. The baby was 'grumpy' for two days but no fever and no itching. The bumps disappeared in three days. The mother did not bring the baby to clinic for evaluation, thus all symptoms were reported by the mother.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Pain, Vaginal discharge
Clinical narrative: Patient had Gardasil shot and then Depo-Provera about 1 week later. 2 months later, this past Friday she passed a mass of tissue vaginally that was approximately 5" X 2" and was in pain similar to labor. This child is not sexually active, has experience severe cramping. Concerned may have caused permanent damage to her uterus. Ultrasound today, gyn in the next few.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: I Called Pt. Wed night to check up on anything and wife told me he was in bed. He noticed earlier that evening hive-like red bumps on arms, torso and legs. He told wife he thought he had chicken pox.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: On Jan 2, arm began itching. Got worse and 1 day later heat & redness began than increased until the patient took Benadryl. I advised ice- good results.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Chest X-ray, Mobility decreased, Pain in extremity
Clinical narrative: Arm was sore after receiving flu shot for a prolonged amount of time initially felt burning 3 weeks following. Arm was painful and hard to lift.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Initial information was received on 02 December 2008 from a health care professional.  A 40 year old female patient with a nut allergy received an intramuscular right deltoid injection of FLUZONE No preservative 2008-2009 (lot number UT2758AA) on 20 November 2008.  On 24 November 2008 the patient called her physician to report she had pain at the injection site.  She took IBUPROFEN without relief.  On 26 November 2008 she was seen by her physician.  The physician stated that "nothing appeared to be at the site".  The patient was prescribed VOLTAREN.  The patient continued to have pain at the time of the report.  No other symptoms were reported.  The recovery status was not provided.  List of Documents held by Sender:  None.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Cellulitis, Erythema, Skin warm, Tenderness
Clinical narrative: Left cellulitis; red, warm, tender treated with Keflex and Septra
Age: 9.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Axillary pain, Chest pain, Erythema, Neck pain, Oral pain
Clinical narrative: My daughter received her second injection of GARDASIL on December 22, 2008.  On December 31, 2008 she had a sudden and severe hives reaction-  inner thighs of both legs and feet, blood red, swelled, very painful and itchy.  We went to the emergency room where she was treated unsuccessfully with BENADRYL and then was given steroids, which after 12 hours reduced the horrific hives.  Then on Friday, January 2, 2009 she started to complain about severe pain in her armpits.  By Sunday night the pain spread up her chest, neck, jaw and lips. We have an appointment at our Dr. this afternoon, but felt that since there was NO other reason - sickness, strange meal, etc. I should report this event immediately.4/14/09-records received-presented to ED 12/30/08- C/O rash on legs began morning of visit to ED. Pruritic. Has had similar rash in past. DX: urticaria. Subsequently developed aches in neck and axillae, legs. Assessment: viral syndrome. 1/12/09 C/O body aches and generalized weakness and low back pain and buring of hands. Now severe headache with photophobia and neck stiffness, slight nausea. 4/28/09-office visit 15/09-C/O musculoskeletal symptoms and rash. Previously seen in ED for allergice reaction. Now have aches in neck, axillae, legs. Impression: Viral syndrome. 1/7/09 continues to C/O leg pain and hand and arm pain. Impression: Myalgia. 1/12/09-second opinion for C/O jaw pain, muscle pain and headache. Light sensitive. Spots in eyes. Impression: Parent child concerns. 1/13/09-seen in ED for worst headache of her life.  Parent refuses LP.  Impression: headache. headache maybe migranoid with photophobia. Myalgia. 1/19/09-C/O blood in urine, fever and sore throat. 3 week history of evolving UTI and strep throat per parent.
Age: 9.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain, Pain in jaw, Pruritus, Swelling, Urticaria
Clinical narrative: My daughter received her second injection of GARDASIL on December 22, 2008.  On December 31, 2008 she had a sudden and severe hives reaction-  inner thighs of both legs and feet, blood red, swelled, very painful and itchy.  We went to the emergency room where she was treated unsuccessfully with BENADRYL and then was given steroids, which after 12 hours reduced the horrific hives.  Then on Friday, January 2, 2009 she started to complain about severe pain in her armpits.  By Sunday night the pain spread up her chest, neck, jaw and lips. We have an appointment at our Dr. this afternoon, but felt that since there was NO other reason - sickness, strange meal, etc. I should report this event immediately.4/14/09-records received-presented to ED 12/30/08- C/O rash on legs began morning of visit to ED. Pruritic. Has had similar rash in past. DX: urticaria. Subsequently developed aches in neck and axillae, legs. Assessment: viral syndrome. 1/12/09 C/O body aches and generalized weakness and low back pain and buring of hands. Now severe headache with photophobia and neck stiffness, slight nausea. 4/28/09-office visit 15/09-C/O musculoskeletal symptoms and rash. Previously seen in ED for allergice reaction. Now have aches in neck, axillae, legs. Impression: Viral syndrome. 1/7/09 continues to C/O leg pain and hand and arm pain. Impression: Myalgia. 1/12/09-second opinion for C/O jaw pain, muscle pain and headache. Light sensitive. Spots in eyes. Impression: Parent child concerns. 1/13/09-seen in ED for worst headache of her life.  Parent refuses LP.  Impression: headache. headache maybe migranoid with photophobia. Myalgia. 1/19/09-C/O blood in urine, fever and sore throat. 3 week history of evolving UTI and strep throat per parent.
Age: 9.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Kawasaki's disease, Pain, Urticaria
Clinical narrative: My daughter received her second injection of GARDASIL on December 22, 2008.  On December 31, 2008 she had a sudden and severe hives reaction-  inner thighs of both legs and feet, blood red, swelled, very painful and itchy.  We went to the emergency room where she was treated unsuccessfully with BENADRYL and then was given steroids, which after 12 hours reduced the horrific hives.  Then on Friday, January 2, 2009 she started to complain about severe pain in her armpits.  By Sunday night the pain spread up her chest, neck, jaw and lips. We have an appointment at our Dr. this afternoon, but felt that since there was NO other reason - sickness, strange meal, etc. I should report this event immediately.4/14/09-records received-presented to ED 12/30/08- C/O rash on legs began morning of visit to ED. Pruritic. Has had similar rash in past. DX: urticaria. Subsequently developed aches in neck and axillae, legs. Assessment: viral syndrome. 1/12/09 C/O body aches and generalized weakness and low back pain and buring of hands. Now severe headache with photophobia and neck stiffness, slight nausea. 4/28/09-office visit 15/09-C/O musculoskeletal symptoms and rash. Previously seen in ED for allergice reaction. Now have aches in neck, axillae, legs. Impression: Viral syndrome. 1/7/09 continues to C/O leg pain and hand and arm pain. Impression: Myalgia. 1/12/09-second opinion for C/O jaw pain, muscle pain and headache. Light sensitive. Spots in eyes. Impression: Parent child concerns. 1/13/09-seen in ED for worst headache of her life.  Parent refuses LP.  Impression: headache. headache maybe migranoid with photophobia. Myalgia. 1/19/09-C/O blood in urine, fever and sore throat. 3 week history of evolving UTI and strep throat per parent.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Blister, Rash erythematous, Rash papular, Rash vesicular, Scab
Clinical narrative: Mild varicella-like rash - Rt upper arm 3 clustered vesicles erupting 1 wk ago, now crusted and 2 1-2 mm erythematous papules on ant. chest.  + URI Sx, no fever.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Upper respiratory tract infection
Clinical narrative: Mild varicella-like rash - Rt upper arm 3 clustered vesicles erupting 1 wk ago, now crusted and 2 1-2 mm erythematous papules on ant. chest.  + URI Sx, no fever.
Age: 4.0
Sex: F
Vaccine: FLU3, IPV, MMR
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Local reaction with itching, redness, and swelling on right thigh at the site of Flu vaccine.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Injection site erythema, Pyrexia
Clinical narrative: Dizziness, fever 106 degrees F, redness at injection site.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: Patient received first dose of GARDASIL and may have been pregnant 7/31/08-LMP-5/15/08 received GARDASIL 16-1608
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Syncope
Clinical narrative: Syncope within minutes of administration of vaccines.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tremor
Clinical narrative: GARDASIL administered 12/22/08, within hours patient noticed "tremors" (looks like she is having chills). Family and friends noticed episodes too. Episodes are less frequent but still occurring.  1/12/09 Receied PCP medical records of 10/16/08-1/6/2009. FINAL DX: tremors Records reveal patient experienced intermittent bilateral tremors of arms, hands & fingers since 12/22 w/decreasing intensity & duration.  No tx rendered & patient was to RTC if worsened.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Headache, Insomnia, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Sleepless night, back pain, fever, headache, neck, stiffness, and arm pain.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Sleepless night, back pain, fever, headache, neck, stiffness, and arm pain.
Age: 0.6
Sex: F
Vaccine: DTAP
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Initial report received on 05 January 2009 from an other manufacturer who had provided a copy of a litigation report. The report referenced a case. From the report: A female patient had been healthy up until January 2001 when she began to have infantile spasms. Her condition improved while she was on medication, although "the extent of her improvement and whether the improvement was permanent are disputed strenuously." Subsequently, on 27 March 2001, the patient received a third dose of DTaP (trade name, manufacturer name, lot number, route and site of administration not provided) and within minutes of vaccination she began to experience seizures. Diagnostic tests performed and treatment rendered were not provided. It was not reported whether the patient required hospitalization, or if she recovered. Per the report, the Vaccine Court special master ruled that petitioners failed to prove that the DTaP vaccine caused a significant aggravation of infantile spasms. Documents held by sender: None.
Age: 7.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Tenderness
Clinical narrative: Next morning arm swollen, red and hard very tender.
Sex: M
Vaccine: DTAP
Symptoms: Brain injury, Convulsion, Death
Clinical narrative: Initial report was received 05 January 2008 from another manufacturer, document number 455211201. The initial reporter to this manufacturer had been a consumer, who is the patient's sister. According to the reporter, her brother received a "DTAP" vaccination (manufacturer unknown, lot number not reported) on an unspecified date and an unspecified amount of time later, "he developed severe seizures and he ended up with severe brain damage". Due to complications, he passed away. No cause of death was reported and no additional information was provided at the time of the report. Documents held by sender: None.
Age: 78.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Wrong technique in drug usage process
Clinical narrative: On Oct. 27th Monday:  Nurse at medical center gave me Pneumonia shot on Right shoulder. The shot was high on the shoulder and it pricked the Bone.  Oct 29th went to Dr and complained about the shot.  My arm is paralyzed!! Dr. said take ASPIRIN and it will get better.  It has been over 2 mo.  It still not better.  3/16/09 Received PCP medical records of 10/29/08-1/6/2009. FINAL DX: right shoulder impingement syndrome; left frozen shoulder Records reveal patient received Pneumo #3 & Flu #12 vaccines on  10/25/2008 but no lot #s or sites provided.  RTC 11/12 w/frozen left shoulder since 8/08 w/decreased strength & ROM.  Tx w/PT.  RTC 1/6/09 w/right neck & shoulder pain since flu shot.  Dx w/right shoulder impingement syndrome, neck muscle spasm, insomnia.  Referred to Ortho & PT.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: CSF test normal, Computerised tomogram normal, Convulsion
Clinical narrative: Pt developed seizure activity < 12 hours. S/P Hep A vaccine #2. Admitted and started on Anticonvulsants. 3/3/09 MR received for DOS 1/7-10/2009 with D/C DX:  Status Epilepticus.  Fever. Seizure-epileptic, tonic clonic. Pt presented following suspected generalized convulsive seizure in status epilepticus on arrival.  T=101.8'F.  Tx with Ativan.  Lethargic initially then began seizing again. Tx Cerebyx and phenobarb.  Intubated 2' to lethargy. Stable and seizure free remainder of admission.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Death, Pyrexia
Clinical narrative: Patient seen on 12/18/08, received immunizations, had low grade fever next day and then was brought to ER lifeless. 2/17/09-records received COB bacterial sepsis. Other significant conditions contributing to death but not related to terminal conditions:sickle cell anemia trait. krk
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Diabetes mellitus, Pollakiuria, Type 1 diabetes mellitus
Clinical narrative: Diagnosed with juvenile onset diabetes mellitus 17 days after live flu vaccine. 1/12/09-records received for DOS 12/14-12/15/08-DC DX: New onset diabetes mellitus. presented with C/O increased thirst, urination, sugar high.  02/01/2010 The original event reported was a temporal associatioon of the FluMist and developent of Juvenile diabetes.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Pruritus, Skin discolouration, Urticaria
Clinical narrative: 10/17/08 3:30 am Hives hospital ER. (10/18/08 9:22 am city hospital ER cover in hives- extreme itching-skin turning black and blue from top to bottom. BP 206/148). $ 585.81
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Insomnia, Oropharyngeal pain, Pain, Postnasal drip
Clinical narrative: 10/22/08 - 8pm- Body aches, fever/chills, post nasal drip, sore throat.  Evening of 10/23/08, had increased sinus congestion, body aches, fever/chills and unable to sleep.  10/24 AM, saw Dr.  for viral infection and sinus infection.  Given Zithromax.   Relieved of fever & chills.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Sinus congestion, Sinusitis, Viral infection
Clinical narrative: 10/22/08 - 8pm- Body aches, fever/chills, post nasal drip, sore throat.  Evening of 10/23/08, had increased sinus congestion, body aches, fever/chills and unable to sleep.  10/24 AM, saw Dr.  for viral infection and sinus infection.  Given Zithromax.   Relieved of fever & chills.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope, Syncope vasovagal
Clinical narrative: Patient administered  flu vaccine; patient began to faint (vasovagal episode) occurred; vital signs taken.
Age: 6.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Local redness & swelling - started - by 4-5 pm on 1-5-09 - gotten progressively worse & longer. > 50 cent. noted at office visit 1-7-09 445pm.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Swelling face, Urticaria
Clinical narrative: Child had facial swelling hives body approximately 3 hours after receiving immunization contacted PCP- MD given ZYRTEC not seen by PCP. Mother reports sx x 3 days resp. difficulty called PCP wasn't seen by PCP.
Sex: U
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Injected in left arm - net sore at first - but after 2 days very painful when lifting, putting on coat - etc. Lasted about 2 weeks. Daughter was injected as well.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain
Clinical narrative: Swollen left arm, pain
Age: 60.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Cellulitis, Injection site swelling, Oedema peripheral
Clinical narrative: 60 y/o male with left arm swelling from mid upper arm to mid lower arm. After speaking with provider possibly cellulitis not associated. However starts at site of injection.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Skin lesion
Clinical narrative: Patient received VARIVAX on 9/26/02 in the right thigh.  She returns to clinic on 9/22/03 with a diagnosis of shingles.  It is described in the medical record as "cluster of shallow lesions without drainage in an area from right lateral lower abdomen down to public area.  Single lesion on upper right buttocks."
Age: 1.26
Sex: F
Vaccine: VARCEL
Symptoms: Chest pain, Herpes zoster, Rash vesicular
Clinical narrative: Patient received VARIVAX on 1/12/98 at another facility. Site of immunization is not recorded in records. She came to our facility on 11/26/99 with a diagnosis of shingles. Described in medical record as "rash developed on left chest 4-5 days ago - very painful. Small cluster - vesicular rash left chest lateral."
Age: 1.18
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Herpes simplex serology negative, Herpes zoster, Rash papular
Clinical narrative: Patient received VARIVAX on 5/7/07 in the right thigh. She returns to clinic on 10/09/08 with diagnosis of shingles described in medical record as "localized area of reddened vesicular papular rash with areas of coalescence over right side lower abdomen, onto perineum, right labia. Also with more widely scattered vesicles on right buttock and right upper leg".
Sex: U
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash vesicular
Clinical narrative: Patient received VARIVAX on 2/15/05 and 9/18/07.  Both immunizations were administered in the left thigh.  Patient returns to clinic on 3/2/06 with a diagnosis of shingles.  The case was described in the medical record as "chicken pox like lesions or rt. mid side in nerve line pattern like shingles."
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash erythematous, Rash papular
Clinical narrative: Patient received VARIVAX on 12/27/02 and returns to clinic on 6/2/04 with a diagnosis of shingles. She received the VARIVAX in the right arm. The shingles are described in the medical record as "right lateral breast with area of clustered rained vesiculopapules with erthem base, about 3-4 cm diameter. No other sensitivity or lesions anterior lateral or post chest. No discharge or crusting."
Sex: M
Vaccine: UNK
Symptoms: Dysphagia, Hypersensitivity, Nervousness, Pruritus, Sleep disorder
Clinical narrative: Reacción alergica, ronchas, comezón, mano, problemas al tragar, se me hincho la cara, hasta la fecha no se me quita el dolor de cabeza, me siento muy nervioso no puedo dormir.  Anxiety and Stress reaction.  (See attached for Box 7)
Sex: M
Vaccine: UNK
Symptoms: Swelling face, Urticaria
Clinical narrative: Reacción alergica, ronchas, comezón, mano, problemas al tragar, se me hincho la cara, hasta la fecha no se me quita el dolor de cabeza, me siento muy nervioso no puedo dormir.  Anxiety and Stress reaction.  (See attached for Box 7)
Sex: U
Vaccine: UNK
Symptoms: Anxiety, Dizziness, Dysphagia, Headache, Hypersensitivity
Clinical narrative: Allergic reaction, hives, itchiness, dizziness, problem swallowing,  my face was swollen, to this day my headache doesn't go away, I feel very nervous i can't sleep. Anxiety and stress reaction.
Sex: U
Vaccine: UNK
Symptoms: Insomnia, Nervousness, Pruritus, Stress, Swelling face
Clinical narrative: Allergic reaction, hives, itchiness, dizziness, problem swallowing,  my face was swollen, to this day my headache doesn't go away, I feel very nervous i can't sleep. Anxiety and stress reaction.
Sex: U
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Allergic reaction, hives, itchiness, dizziness, problem swallowing,  my face was swollen, to this day my headache doesn't go away, I feel very nervous i can't sleep. Anxiety and stress reaction.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Human papilloma virus test positive, Papilloma viral infection
Clinical narrative: Information has been received from a physician concerning an 18 year old female with no relevant medical history or allergies who in approximately 2007, also reported as last year was vaccinated intramuscularly with a first, second and third 0.5 ml dose of GARDASIL (lot number and injection site not reported).  There was no concomitant medication.  The physician reported that the patient tested positive for GARDASIL.  The patient called the physician's office and unspecified medical attention was sought.  At time of this report, the patient's event persisted.  Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: 12/15/08--Patient received Td on 9/26/2008 and started having soreness at beginning of November/08--started having upper arm, neck pain (left side) when moving arm in full range of motion.  Has pain of 9.5 on scale of 1-10.  Pain is in left arm.  1/7/09--followup with patient.  Pt states the pain still comes and goes, still has full range of movement.  The pain seems to be better, but still can't go all day without hurting.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Contusion, Injection site erythema, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Pt. has increased swelling on L arm from top of shoulder to mid-humerus, rednessover same area with itching. Pt. also complains of pain upon movement. A small circular briuse is noted around injection site approx. 1cm in diameter, with redness around at injection site. Slight swelling was noted one day after vaccine was given, increasing to above discription two days after injection.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Hypoaesthesia, Limb immobilisation, Oedema peripheral
Clinical narrative: Redness on arm and spreading. Hot to touch, child could not move arm said it felt numb. Swollen
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Asthenia, Erythema, Headache, Oedema peripheral
Clinical narrative: The patient received the Pneumovax injection in the Right arm and on 1/7/09 she had noticed increased pain in the arm along with 2 areas of redness and swelling. The patient also complained of genralized joint pain, weakness and a headache.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: The patient received the Pneumovax injection in the Right arm and on 1/7/09 she had noticed increased pain in the arm along with 2 areas of redness and swelling. The patient also complained of genralized joint pain, weakness and a headache.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Tremor, Vomiting
Clinical narrative: Within about one minute of receiving Gardasil I immediately started throwing up, became dizzy, covered in sweat, shaking, and felt faint. I was required to lay down for about 45 minutes and then was allowed to leave when these symptoms went away. I did not continue with the other two shots in the series.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia
Clinical narrative: Pt telephoned 1/08/09 and stated that she had spoken with her friend who had a reaction to the Tetanus vaccine, and she wanted to report that she had a reaction as well. She had a Tdap on September 9, and developed knee pain in October. She did report a history of joint pain in her ankles 2 yrs previously. Is currently being treated with anti-inflammatory medication. Advised that this was unlikely to be a vaccine reaction, but that this would be reported at her request.
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased, Hyperhidrosis, Pallor
Clinical narrative: after the vacc,pt c/o dizzyness,when seen pt looked pale and sweaty,pulse 55,bp 88/54,pt put on table at trendlenberg position felt better ,bp 99/69,pulse 82
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Flumist was administered at 11:00am on Monday.  By 10:00pm Tuesday evening patient has an extremely running nose, coughing, low fever ~100, severe sore throat, and headache.
Age: 0.75
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives, starting 1 day after shot.  Strong family history of allergy to flu shot, in mother and brother.
Age: 29.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Fatigue, Malaise, Musculoskeletal pain, Nausea, Neck pain
Clinical narrative: Received a call from patient above stating that she became very ill 4 days after the 2 vaccines were given.  Pt. reported nausea, extreme fatigue, which she states she "went to sleep and passed out" for a period of time?, Had R shoulder and R neck pain that was so severe that she could not move.  Injection given L deltoid.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Gait disturbance, Injection site discolouration, Injection site erythema, Injection site mass
Clinical narrative: Fell asleep after injection.  Awoke limping with red, hot, tender swollen leg within 5 hours of IZ. Remained hot, became itchy, leg color uneven with dots on back of thigh.  Sxs x 1 1/2 weeks.  Carried > 1 week.  Temp 100 1 week later for 2 days.  Now with bump.  Wakes at night saying my shot is hurting me and asks mom to massage.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Sleep disorder
Clinical narrative: Fell asleep after injection.  Awoke limping with red, hot, tender swollen leg within 5 hours of IZ. Remained hot, became itchy, leg color uneven with dots on back of thigh.  Sxs x 1 1/2 weeks.  Carried > 1 week.  Temp 100 1 week later for 2 days.  Now with bump.  Wakes at night saying my shot is hurting me and asks mom to massage.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, C-reactive protein normal, Fatigue, Guillain-Barre syndrome, Mononucleosis heterophile test negative
Clinical narrative: Patient experienced acute leg weakness progressing to include arm weakness and overall body weakness within a two-week period. Saw family physician on 12/8/08. Extensive lab testing was completed with normal results. Had follow-up visit with family physician who then referred patient to neurologist. Diagnosed by neurologist on 1/5/09 with Guillain-Barre. Patient still experiencing weakness and fatigue.  1/23/2009 MR received from Neurologist for DOS 1/5/2009 with DX: Acute Demyelinating Immune Polyneuropathy (Guillain-Barre syndrome). Appears to be a mild case already improving.  Possibly r/t Flu shot although not certain.  Pt presented for eval of weakness which developed in mid November 2008. Pt's legs felt rubbery and gait was abnormal. No muscle pain or sensory loss. Remained stable x 1 month, now improving x 2 weeks. More easily fatigued.  PE (+) for slight waddling type gait, decreased strength (3/5) of the interossei upper and 4/5 lower extremities, absent tendon reflexes. No tx since pt was improving w/o tx.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Thyroid function test normal
Clinical narrative: Patient experienced acute leg weakness progressing to include arm weakness and overall body weakness within a two-week period. Saw family physician on 12/8/08. Extensive lab testing was completed with normal results. Had follow-up visit with family physician who then referred patient to neurologist. Diagnosed by neurologist on 1/5/09 with Guillain-Barre. Patient still experiencing weakness and fatigue.  1/23/2009 MR received from Neurologist for DOS 1/5/2009 with DX: Acute Demyelinating Immune Polyneuropathy (Guillain-Barre syndrome). Appears to be a mild case already improving.  Possibly r/t Flu shot although not certain.  Pt presented for eval of weakness which developed in mid November 2008. Pt's legs felt rubbery and gait was abnormal. No muscle pain or sensory loss. Remained stable x 1 month, now improving x 2 weeks. More easily fatigued.  PE (+) for slight waddling type gait, decreased strength (3/5) of the interossei upper and 4/5 lower extremities, absent tendon reflexes. No tx since pt was improving w/o tx.
Age: 20.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Dyspnoea, Throat irritation, Throat tightness, Urticaria
Clinical narrative: 9:50 am:  phone call received by health department nurse from patient's mother with complaints of patient having itching throat, hives, and SOB, stating "feels her throat closing up" which just started after receiving vaccines earlier.  Mother advised to have child seen in ED ASAP.  2:30 pm:  nurse spoke with mom & daughter doing better.  Given benadryl
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Sleep disorder, Tenderness
Clinical narrative: 23 year old female presented to Student Health Center at TAMU on 11/25/08 with complaint of right arm pain ever since she got her flu shot in mid october 2008. It hurts to lift her arm and it is tender to touch. She wakes up when she lies on it during the night.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Full blood count, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pt came three days later w/complaint of fever, chills for two days. Has large, warm, reddened area at site, swelling. States began the day after injection. 1/6/08. Pt given Medrol 4 mg as directed and also placed on Keflex 500mg course of treatment.
Age: 44.0
Sex: F
Vaccine: HPV4
Symptoms: Grip strength decreased, Hypoaesthesia, Neuropathy peripheral, Paraesthesia
Clinical narrative: Pt reports tingling and numbness/neuropathy-type symptoms in arm vaccine was administered (right).  She also states some motor symptoms, mainly difficulty at times with gripping in the arm vaccine was given.  There are some symptoms on the left as well, but less pronounced.  1/23/09 Received PCP medical records which consisted of  Neuro consult. FINAL DX: cervical radiculopathy Neuro Records of 10/21/08 reveal patient experienced numbness & weakness of right arm x 3 mos, right hand trmor, neck & shoulder pain, difficulty lifting arm, disequilibrium, muscle aches, blurry vision & HA.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Received the shots on 10/23/2008 at 19:45 pm.  After 24 hours developed itching and swelling of the forearm that extended to the entire arm. The are also became warm after 48 hrs. The swelling subsided after two weeks. She was only given Ibuprofen syrup
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Confusional state, Dizziness, Fatigue, Pain, Tinnitus
Clinical narrative: Five to ten minutes after Td shot pt. had seizure in car with mother. Pt. reported dizziness, ears ringing, confusion upon arousal. Pt. reporting body aches, fatigue, vomiting after seizure. Mother took patient to hospital, doctor said most likely a reaction to vaccine. Mother reports patient had febrile seizures as infant, none since and none related to vaccines.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Five to ten minutes after Td shot pt. had seizure in car with mother. Pt. reported dizziness, ears ringing, confusion upon arousal. Pt. reporting body aches, fatigue, vomiting after seizure. Mother took patient to hospital, doctor said most likely a reaction to vaccine. Mother reports patient had febrile seizures as infant, none since and none related to vaccines.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Dermatologic examination, Ear, nose and throat examination, Herpes zoster, Ophthalmological examination
Clinical narrative: SHINGLES FACE; NOSE; EYE NOT INVOLVED TREATED WITH ACYCLOVIR 800MG 5X/DAY
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Angiopathy, Blood albumin increased, Cerebrovascular accident, Computerised tomogram head, Guillain-Barre syndrome
Clinical narrative: GUILLIAN BARRE Syndrome after receiving the flu shot.  Very severe case, currently in intensive care at Hospital 2/25/09-records received for DOS 1/5-2/9/09-DC DX:Central Nervous System Vasculopoathy due to Primary versus Secondary Central Nervous System Vasculitis. Bilateral parietoccipital ischemic strokes. GUILLIAN-BARRE syndrome MILLDER FISHER variant.  Presented with uncontrollable back pain and body aches, general malaise, nausea and vomiting.PE: Gait instability, ataxia, dysmetria. Altered mental status and hypertensive crisis and autonomic instability. Patellar reflexes absent, mild left facial palsy. IVIG treatment. Mechanical ventilation and intubation with tracheostomy.  2/25/09 Hospital records, DC summary received. Service dates 1/5/09 too 2/9/09. Assessment:  Principle Diagnosis - Central Nervous System Vasculopathy due to Primary vs Secondary Central Nervous System Vasculitis. Other Diagnoses - Bilateral Parietooccipial Ischemic Strokes, Guillain-Barre Syndrome, Coronary Artery Disease, Hyperlipidemia, Hypothyroidism, Depression.  Viral gastroenteritis with abdominal discomfort and diarrhea 2 weeks prior. Patient presented with uncontrollable back pain and body aches. General malaise, nausea and vomiting. Difficulty with balance. Gait instability, ataxia, dysmetria. Altered mental status, hypertensive crisis, admitted to ICU. Patellar reflexes initially present, later patellar and Achilles reflexes absent. 1+ reflexes biceps / triceps.  Mild left facial palsy. IVIG administration. Mental status worsened. Acute bilateral strokes. Babinski present. Right thigh hematoma. Mechanical ventilation. Gastrostomy tube. Aspiration pneumonia. Follow-up: Serious vision impairment Started with flu-like symptoms about a week or two after receiving shot. Seemed to recover but still weak, stomach pain. Jan 1, 2009 - intense stomach pain, nausea, weakness, inability to walk, shoulder and back pain, dizziness. Admitted to hospital Jan 5, 2009. Flu vaccine 10/31/08, possibly also shingles vaccine.