chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter who by April 2008 was vaccinated with all three doses of GARDASIL (Lot# not reported). In September 2009, the patient experienced fatigue, seizures, headaches, nausea, throwing up, dizziness, numbness of the lower extremity of the toes and feet, memory loss, diarrhea, constipation, had fainted three times and had photosensitivity. It was reported that the patient had been in and out of the hospital (name and address not specified) since September 2009. It was also reported that in October 2009, while at college, the patient had a tilt table test done to check her blood pressure and during this procedure she had a seizure, her heart stopped and they had to do compressions. The patient's mother also mentioned that the patient had three seizures since then and she had seen a neurologist a neurologist, psychologist, and an endocrinologist. Multiple tests (unspecified) have been performed, with no results provided. The patient had to drop out of college and was put on some medication to help with the anxiousness she was experiencing. The reporter mentioned that her daughter had been taken off of all medication. At the time of the report, the patient had not recovered. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Laboratory test, Nausea, Photosensitivity reaction, Syncope
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter who by April 2008 was vaccinated with all three doses of GARDASIL (Lot# not reported). In September 2009, the patient experienced fatigue, seizures, headaches, nausea, throwing up, dizziness, numbness of the lower extremity of the toes and feet, memory loss, diarrhea, constipation, had fainted three times and had photosensitivity. It was reported that the patient had been in and out of the hospital (name and address not specified) since September 2009. It was also reported that in October 2009, while at college, the patient had a tilt table test done to check her blood pressure and during this procedure she had a seizure, her heart stopped and they had to do compressions. The patient's mother also mentioned that the patient had three seizures since then and she had seen a neurologist a neurologist, psychologist, and an endocrinologist. Multiple tests (unspecified) have been performed, with no results provided. The patient had to drop out of college and was put on some medication to help with the anxiousness she was experiencing. The reporter mentioned that her daughter had been taken off of all medication. At the time of the report, the patient had not recovered. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tilt table test, Vomiting
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter who by April 2008 was vaccinated with all three doses of GARDASIL (Lot# not reported). In September 2009, the patient experienced fatigue, seizures, headaches, nausea, throwing up, dizziness, numbness of the lower extremity of the toes and feet, memory loss, diarrhea, constipation, had fainted three times and had photosensitivity. It was reported that the patient had been in and out of the hospital (name and address not specified) since September 2009. It was also reported that in October 2009, while at college, the patient had a tilt table test done to check her blood pressure and during this procedure she had a seizure, her heart stopped and they had to do compressions. The patient's mother also mentioned that the patient had three seizures since then and she had seen a neurologist a neurologist, psychologist, and an endocrinologist. Multiple tests (unspecified) have been performed, with no results provided. The patient had to drop out of college and was put on some medication to help with the anxiousness she was experiencing. The reporter mentioned that her daughter had been taken off of all medication. At the time of the report, the patient had not recovered. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pulmonary congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Father visited SCHD on Thursday March 4th 2010 and c/o that his entire family including above client has had chest congestion, runny nose, aches, on and off fever since receiving H1N1 vaccine. Has not been seen by an MD.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: #6 ANTHRAX given SQ and SM developed redness, swelling, pain at injection site within 24 hrs of getting vaccine, area approx 4-5 inches. Treated with OTC MOTRIN. Did not miss any work or PT time. All symptoms resolved with in one week. Symptoms: Erythema, Swelling, Edema @ injection site 50-120mm, Pain.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Rhinorrhoea, Upper respiratory tract congestion
Clinical narrative: Client visited health department on Thursday - March 4th 2010 and spoke with my supervisor c/o that his entire family including himself has had chest congestion, runny nose, aches, on and off fever since receiving the H1N1 vaccine. Client states he was not seen by a medical physician regarding above signs and symptoms.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia, Rhinorrhoea, Upper respiratory tract congestion
Clinical narrative: Father of client visited clinic on Thursday, March 4th 2010 and c/o that his entire family including above client has had chest congestion, runny nose, aches, on and off fever, since receiving H1N1 vaccine. Client has not been seen by a medical doctor about these signs & symptoms.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Rhinorrhoea, Upper respiratory tract congestion
Clinical narrative: Family member visited on Thursday, March 4th, 2010 and c/o that his entire family including the above client has had chest congestion, runny nose, aches, on and off fever since receiving H1N1 vaccine. Client has not been seen by a physician for these signs and symptoms.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia, Rhinorrhoea, Upper respiratory tract congestion
Clinical narrative: Father of client visited SCHD on Thursday, March 4th 2010 and c/o that his entire family including the above client has had chest congestion, runny nose, aches, on and off fever since receiving the H1N1 vaccine. Client has not been seen by a physician for the signs and symptoms.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: 8 CM BY 11 CAM ERYTHEMATOUS AREA WITH CENTRAL 2 CM DARKER RED AREA (MORE RAISED)  NOT TENDER TO THE TOUCH
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Herpes zoster, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Itching at vaccination site; "swelling" at site (vaccine felt as though it just remained at site rather than absorbing into system). Itching continued (and swelling diminished slightly daily) through 2/25/2010.  On March 5, developed shingles without rash on left front torso (skin painful to touch). Also have unusual fatigue (and prior to pain onset did have more than normal sensitivity to light.) I began a 7-day course of acyclovir (generic) 3x daily-1 gram caplets. Pain continues (day 3 of med), may have modified somewhat, but is still very intense.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain of skin, Photophobia
Clinical narrative: Itching at vaccination site; "swelling" at site (vaccine felt as though it just remained at site rather than absorbing into system). Itching continued (and swelling diminished slightly daily) through 2/25/2010.  On March 5, developed shingles without rash on left front torso (skin painful to touch). Also have unusual fatigue (and prior to pain onset did have more than normal sensitivity to light.) I began a 7-day course of acyclovir (generic) 3x daily-1 gram caplets. Pain continues (day 3 of med), may have modified somewhat, but is still very intense.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Antimicrobial susceptibility test resistant, Blood culture, Erythema, Hypotension, Injection site nodule
Clinical narrative: Pt w/ knot and pain to right arm approx 2-3 inches round, which progressed to swelling around rt arm and down rt forearm with redness; cellulitis diagnosed by ultrasound with cephalic vein thrombophlebitis; pt febrile w/ temp of 103 F; iv antibiotics initiated 3/10/10; iv fluids required for hypotension to 90/55.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Oedema peripheral, Pain in extremity, Pyrexia, Thrombophlebitis
Clinical narrative: Pt w/ knot and pain to right arm approx 2-3 inches round, which progressed to swelling around rt arm and down rt forearm with redness; cellulitis diagnosed by ultrasound with cephalic vein thrombophlebitis; pt febrile w/ temp of 103 F; iv antibiotics initiated 3/10/10; iv fluids required for hypotension to 90/55.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Ultrasound scan abnormal
Clinical narrative: Pt w/ knot and pain to right arm approx 2-3 inches round, which progressed to swelling around rt arm and down rt forearm with redness; cellulitis diagnosed by ultrasound with cephalic vein thrombophlebitis; pt febrile w/ temp of 103 F; iv antibiotics initiated 3/10/10; iv fluids required for hypotension to 90/55.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Dizziness, Full blood count normal, Lumbar puncture, Lumbar puncture normal
Clinical narrative: After Gardasil injection, pt became faint.  Pt was put in Trendelenberg with a cool cloth on forehead.  After 10 min complained of pain in back of neck with vision changes.  Stated vision going in and out.  Arms felt like jello.  Consulted Dr.  After he examined pt, an ambulance was called to take patient to the ER.  A spinal tap and CT scan of brain was done, which was normal.  Pt was discharged with pain meds.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Metabolic function test, Metabolic function test normal, Muscular weakness, Neck pain, Visual impairment
Clinical narrative: After Gardasil injection, pt became faint.  Pt was put in Trendelenberg with a cool cloth on forehead.  After 10 min complained of pain in back of neck with vision changes.  Stated vision going in and out.  Arms felt like jello.  Consulted Dr.  After he examined pt, an ambulance was called to take patient to the ER.  A spinal tap and CT scan of brain was done, which was normal.  Pt was discharged with pain meds.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Full blood count normal, Lumbar puncture, Metabolic function test, Neck pain
Clinical narrative: After Gardasil injection, pt became faint.  Pt was put in Trendelenberg with a cool cloth on forehead.  After 10 min complained of pain in back of neck with vision changes.  Stated vision going in and out.  Arms felt like jello.  Consulted Dr.  After he examined pt, an ambulance was called to take patient to the ER.  A spinal tap and CT scan of brain was done, which was normal.  Pt was discharged with pain meds.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pregnancy test negative, Syncope, Visual impairment
Clinical narrative: After Gardasil injection, pt became faint.  Pt was put in Trendelenberg with a cool cloth on forehead.  After 10 min complained of pain in back of neck with vision changes.  Stated vision going in and out.  Arms felt like jello.  Consulted Dr.  After he examined pt, an ambulance was called to take patient to the ER.  A spinal tap and CT scan of brain was done, which was normal.  Pt was discharged with pain meds.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Arthralgia, Myalgia, Oedema peripheral, Tearfulness
Clinical narrative: My left arm and hand were swollen drastically and later in the day, I was sick to my stomach and couldn't keep anything down til later in the day. I had muscle aches so bad that it brought me to tears. My right knee was also swollen to about twice the size of the knee.  My joints in my hands, knees, where leg enters the body, hips and arms going into body plus my shoulders and neck ached.
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 60 or 62 year old male patient with chronic obstructive pulmonary disease (COPD), who on approximately 17-FEB-2010 was vaccinated with a dose of PNEUMOVAX. Concomitant medication included unspecified antibiotics and steroids for COPD. On approximately, 27-FEB-2010, "2 weeks ago", the patient was hospitalized for difficulty breathing and an exacerbation of chronic obstructive pulmonary disease. On 01-MAR-2010, upon discharge from the hospital, the patient was inadvertently administered a second dose of PNEUMOVAX. A few hours later, the patient developed  a fever of 103 F with redness and swelling at the injection site. On 02-MAR-2010, the patient was seen in the doctors office due to the high fever and was readmitted to the hospital with a diagnosis of possible pneumonia. At that time, the reporting physician was notified of the re-vaccination with PNEUMOVAX, and feels that the re-vaccination may be the etiology of the current symptoms. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 60 or 62 year old male patient with chronic obstructive pulmonary disease (COPD), who on approximately 17-FEB-2010 was vaccinated with a dose of PNEUMOVAX. Concomitant medication included unspecified antibiotics and steroids for COPD. On approximately, 27-FEB-2010, "2 weeks ago", the patient was hospitalized for difficulty breathing and an exacerbation of chronic obstructive pulmonary disease. On 01-MAR-2010, upon discharge from the hospital, the patient was inadvertently administered a second dose of PNEUMOVAX. A few hours later, the patient developed  a fever of 103 F with redness and swelling at the injection site. On 02-MAR-2010, the patient was seen in the doctors office due to the high fever and was readmitted to the hospital with a diagnosis of possible pneumonia. At that time, the reporting physician was notified of the re-vaccination with PNEUMOVAX, and feels that the re-vaccination may be the etiology of the current symptoms. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Influenza like illness, Nausea, Pyrexia, Vision blurred
Clinical narrative: Service member with c/o persistent bilateral multiple joint pains since receiving Anthrax and Smallpox vaccine (as well as several other vaccines) prior to going overseas in 2003 for her second deployment. Symptoms: nausea w/ vomiting, headache, general, blurred vision, fever, flu-like symptoms>96 hours.
Age: 26.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Vomiting
Clinical narrative: Service member with c/o persistent bilateral multiple joint pains since receiving Anthrax and Smallpox vaccine (as well as several other vaccines) prior to going overseas in 2003 for her second deployment. Symptoms: nausea w/ vomiting, headache, general, blurred vision, fever, flu-like symptoms>96 hours.
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: SM received FLUMIST in first trimester of pregnancy.
Age: 3.0
Sex: F
Vaccine: MEN
Symptoms: Blister, Condition aggravated, Dyslexia, Epistaxis, Fatigue
Clinical narrative: Initial case received on 23 February 2010 from a health care professional, who was also the patient's mother. It was retrieved from an online source. A 3-year-old female child received an injection of MENOMUNE (lot not reported) in 2001. The patient had a history of urticaria pigmentosa, and had a "negative reaction" after receiving MMR at one year of age. At the age of 2, she and her twin brother had experienced progressive loss of speech, ear infections, vomiting, diarrhea, constipation, migraine headaches, and dizziness, which had since resolved per the reporter. According to the patient's mother, the patient's father was a physician, and had bought the MENOMUNE "from a friend". The patient's father administered the vaccine at home. Two days post-vaccination, the patient complained of tiredness and developed a fever of 105 degrees. Her urticaria pigmentosa worsened, and she developed blisters in addition to facial swelling. She was transported to the emergency department, where she was treated with fluids and TYLENOL. Laboratory testing revealed an elevated white blood count. The patient improved, and was discharged to home the same day. She subsequently developed "issues with sensory dysfunction", including intolerance to loud noises, migraine headaches, and profuse nosebleeds. She was diagnosed with acquired dyslexia, which was ongoing at the time of the report. Documents held by sender: None.
Age: 3.0
Sex: F
Vaccine: MEN
Symptoms: Migraine, Phonophobia, Pyrexia, Sensory disturbance, Swelling face
Clinical narrative: Initial case received on 23 February 2010 from a health care professional, who was also the patient's mother. It was retrieved from an online source. A 3-year-old female child received an injection of MENOMUNE (lot not reported) in 2001. The patient had a history of urticaria pigmentosa, and had a "negative reaction" after receiving MMR at one year of age. At the age of 2, she and her twin brother had experienced progressive loss of speech, ear infections, vomiting, diarrhea, constipation, migraine headaches, and dizziness, which had since resolved per the reporter. According to the patient's mother, the patient's father was a physician, and had bought the MENOMUNE "from a friend". The patient's father administered the vaccine at home. Two days post-vaccination, the patient complained of tiredness and developed a fever of 105 degrees. Her urticaria pigmentosa worsened, and she developed blisters in addition to facial swelling. She was transported to the emergency department, where she was treated with fluids and TYLENOL. Laboratory testing revealed an elevated white blood count. The patient improved, and was discharged to home the same day. She subsequently developed "issues with sensory dysfunction", including intolerance to loud noises, migraine headaches, and profuse nosebleeds. She was diagnosed with acquired dyslexia, which was ongoing at the time of the report. Documents held by sender: None.
Age: 3.0
Sex: F
Vaccine: MEN
Symptoms: Urticaria pigmentosa, White blood cell count increased
Clinical narrative: Initial case received on 23 February 2010 from a health care professional, who was also the patient's mother. It was retrieved from an online source. A 3-year-old female child received an injection of MENOMUNE (lot not reported) in 2001. The patient had a history of urticaria pigmentosa, and had a "negative reaction" after receiving MMR at one year of age. At the age of 2, she and her twin brother had experienced progressive loss of speech, ear infections, vomiting, diarrhea, constipation, migraine headaches, and dizziness, which had since resolved per the reporter. According to the patient's mother, the patient's father was a physician, and had bought the MENOMUNE "from a friend". The patient's father administered the vaccine at home. Two days post-vaccination, the patient complained of tiredness and developed a fever of 105 degrees. Her urticaria pigmentosa worsened, and she developed blisters in addition to facial swelling. She was transported to the emergency department, where she was treated with fluids and TYLENOL. Laboratory testing revealed an elevated white blood count. The patient improved, and was discharged to home the same day. She subsequently developed "issues with sensory dysfunction", including intolerance to loud noises, migraine headaches, and profuse nosebleeds. She was diagnosed with acquired dyslexia, which was ongoing at the time of the report. Documents held by sender: None.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, PNC, DTAPIPVHIB, PNC
Symptoms: Eyelid oedema, Rash, Swelling face, Wheezing
Clinical narrative: Initial report received on 26 February 2010 from a health care professional. A two-month-old female patient had received a first dose intramuscular right thigh injection of PENTACEL, lot number C3480AA and a first dose intramuscular left thigh injection of PREVNAR (manufacturer Pfizer, lot number E28211) on 11 February 2010 during her well child visit, and five hours later (also reported as 6:30 pm), she developed a rash, swollen eyelids and cheeks, and wheezing. She was taken to the emergency room and received oral prednisone and BENADRYL as corrective treatment and was subsequently discharged. The patient was seen in the office on 12 February 2010 and according to the reporter, a pediatric allergist planned to perform skin testing. On 13 February 2010, the reporter was informed by the patient's mother by telephone that the symptoms had completely resolved within 24 hours. The patient had a history of contact dermatitis and she had not been taking any concomitant medications. She had previously received a birth dose of HEPATITIS B vaccine (manufacturer and lot number not reported) on 14 December 2009. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, PNC, DTAPIPVHIB, PNC
Symptoms: Eye swelling, Hypersensitivity, Rash, Swelling face, Wheezing
Clinical narrative: Initial report received on 26 February 2010 from a health care professional. A two-month-old female patient had received a first dose intramuscular right thigh injection of PENTACEL, lot number C3480AA and a first dose intramuscular left thigh injection of PREVNAR (manufacturer Pfizer, lot number E28211) on 11 February 2010 during her well child visit, and five hours later (also reported as 6:30 pm), she developed a rash, swollen eyelids and cheeks, and wheezing. She was taken to the emergency room and received oral prednisone and BENADRYL as corrective treatment and was subsequently discharged. The patient was seen in the office on 12 February 2010 and according to the reporter, a pediatric allergist planned to perform skin testing. On 13 February 2010, the reporter was informed by the patient's mother by telephone that the symptoms had completely resolved within 24 hours. The patient had a history of contact dermatitis and she had not been taking any concomitant medications. She had previously received a birth dose of HEPATITIS B vaccine (manufacturer and lot number not reported) on 14 December 2009. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Dizziness, Vertigo
Clinical narrative: The day after receiving GARDASIL patient had 12 hour episode of lightheadedness and vertigo & was unable to walk, normally due to vertigo. Same symptoms occurred after 2nd dose GARDASIL.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia, Sunburn, Tenderness
Clinical narrative: Left torso area skin is sunburned like with tenderness and tingling and 2 weeks out numbness occured.  Injection site was unremarkable.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: red round hot to touch 15cm by 11cm on left leg
Age: 1.63
Sex: F
Vaccine: FLU(H1N1), HEPA
Symptoms: CSF protein increased, CSF white blood cell count negative, Guillain-Barre syndrome, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Guillain Barre Syndrome.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Feeling abnormal, Herpes zoster
Clinical narrative: Patient started feeling bad the following day of receiving H1N1. Went to doctor on Feb 22, 2010. Dr stated patient had shingles.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin warm, Urticaria
Clinical narrative: Given Varicella on 2/22/10. Came to clinic 2/24/2010. L arm with approx. 15cm urticaria area, warm to touch. Denies any other symptoms. Fever, sore throat, coughing difficulty in breathing.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Rash, Urticaria
Clinical narrative: DTAP 4th dose administered at 2:55 pm, 3:00 pm child began to break out in whelps and rash on face, arms, and upper torso. V/S B/P 76/50 P100 R100. Epinephrine administered per protocol, child transported by parents to PCP.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Mother reports right arm from shoulder to elbow was double in size, red and itchy. Brought to MD by child's father.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Injection site anaesthesia, Paraesthesia
Clinical narrative: On 2-25-10 pt woke up @ 540 AM c/o of numbness & tingling from L deltoid down arm to fingers. Now c/o of numbness & tingling comes & goes away. None today.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Diarrhoea, Vomiting
Clinical narrative: At 2 yo CPE on 5/4/2009 pt received a Hepatitis A vaccine. This was a 3rd Hep A (thought to be 2nd due to incomplete vaccine records). Pt came to office 5/19/09 after 3 days vomiting/diarrhea. Mother and MGM adamant this was due to Hep A vaccine. Continued with loose stool x 1 month while consuming large amounts of juice. Has not been back to office since 6/8/09.
Age: 18.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: dizziness, headache
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: IM injection in left arm/deltoid. Left arm erythematous, warm, sl. swollen. Elevated BP 200/120.
Age: 80.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia
Clinical narrative: Muscle ache-arms-legs.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Chills, Confusional state, Disorientation, Dyspnoea
Clinical narrative: Present to nurse with stomach ache, chills. Progressed to confusion, disoriented to time and place, brief periods of unresponsiveness and loss of consciousness. Pulse rapid and thready. Became short of breath and congested. O2 and albuterol given in ambulance.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Heart rate increased, Loss of consciousness, Pulse abnormal, Unresponsive to stimuli
Clinical narrative: Present to nurse with stomach ache, chills. Progressed to confusion, disoriented to time and place, brief periods of unresponsiveness and loss of consciousness. Pulse rapid and thready. Became short of breath and congested. O2 and albuterol given in ambulance.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headache, mild.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat tightness
Clinical narrative: Approx 1/2 hour after injection c/o tightness in throat. B/P 88/0 64-18. No other symptoms. Able to drink, eat & talk without difficulty.
Age: 25.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Burning sensation, Heart rate increased, Paraesthesia
Clinical narrative: Pt c/o anxiety, tingling sensation in fingers and burning sensation in chest after receiving H1N1 vaccination. Pt assisted to quiet area; Hx/Vx taken while pt calmed down. Initial Vx = BP 157/105 SPO2 - 99% RA;  HR = 125 1655hrs; 1705hrs VX = BP140/93 SPO2 = 99% RA; HR = 102.
Age: 20.0
Sex: M
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Tdap, BOOSTERIX administered approximately 1600 3/9/10. PPD also placed at this time. Patient did well during vaccine administration and felt fine when leaving the exam room Patient was standing in line to make an appt. in our  lobby and fainted. When RN arrived shortly after, client was alert. Rested and rehydrated in exam room. No visible or palpable bumps noted. Client sent home.
Age: 9.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Blood test normal, Computerised tomogram normal, Headache, Migraine
Clinical narrative: Patient has had a headache ever since the H1N1 shot. Over 140 days. Headache sometimes gets to Migraine status. He has a headache EVERYDAY.
Age: 41.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: CSF protein increased, CSF white blood cell count negative, Guillain-Barre syndrome, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Guillain Barre Syndrome
Age: 30.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Pyrexia, Rash generalised
Clinical narrative: Pt complained of fever and chills around 5:30pm, no complaints of night sweats of body aches. Pt woke up at 5:30 Tuesday with full body rash. Pt took 50mg of Benadryl, worked throughout the day with barely any complaints. Returned from work and rash worsened. Pt took another 50mg of Benadryl and went to sleep. Woke up Wednesday with same symptoms as previous day at which point he took another 50mg of Benadryl and came to see one of our providers concerning side effects of the immunization.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling hot, Pruritus, Rash, Rash erythematous
Clinical narrative: Rash on arms, trunk, legs small red raised bumps, hot really itchy.
Age: 33.0
Sex: F
Vaccine: FLUN3
Symptoms: Electrocardiogram normal, Hyperhidrosis, Sensation of pressure, Skin warm, Vomiting
Clinical narrative: Pt vomited small amounts after nasal inoculation. Pt AO x3 warm, slightly diaphoretic. Pt feels pressure in nasal cavity. Pulse 70, B/P 130/80, SPO2 98% 1655 hrs. Pulse 64, B/P 120/80 1707 hrs.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram normal, Paraesthesia
Clinical narrative: Pt developed a tingling sensation in upper extremities, administered O2 NC 4L EKG-normal sinus, vitals; BP 126/84; Pulse-81; SPO2 - 95% RA.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Patient received zoster vaccine during clinic visit on 1/19/2010. Patient was seen again on 1/21/2010 with cellulitis type rash at injection site (redness and warmth to site). Patient was treated with 14 days of KEFLEX and recovered. Treatment drug used:  Cephalexin - Dose: 500 - Units: MG - Freq: QID - Route: PO.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site is red and swollen. Took Benadryl 25mg. Reported to doctor.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site swelling, Injection site warmth, Similar reaction on previous exposure to drug
Clinical narrative: The patient is a 29 year old male. He received his 9th ANTHRAX vaccine on 24 February 2010. He reported that a day after he received the injection he had moderate amounts of swelling around the injection site and it feeling warm. He denies any fevers, chills, night sweats, shortness of breath, tongue swelling and has no other systemic symptoms. He stated that he got the vaccine also in September 2008 and had a similar reaction that lasted for about a week and then resolved.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Hyperhidrosis, Hypertension, Insomnia, Pain
Clinical narrative: Patient is a new patient to me who presents today for follow up of his medical problems. The patient is c/o insomnia. He was prescribed Xanax by his cardiologist, but he did not get the Rx. He also did not get the lipitor filled. He states that he has used ambien and trazodone without relief. He is also c/o sweating w/ activity. He has had this chronically. He notes that his BP has been running high at home. He does have some occasional pain at his umbilicus. The patient denies other complaints. He does smoke. Labs from 8/28/09 and 12/8/09 were reviewed. History reviewed and updated in epic.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Incorrect dose administered, Pain in extremity
Clinical narrative: After patient left, nurse realized that she administered 1.0 cc of vaccine instead of 0.5 cc of vaccine.  Pt was reached by telepone 3-8-10 - reported no adverse events.  Arm soreness was resolved within 24 hours of receiving vaccine.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Blood test normal, Electromyogram abnormal, Gait disturbance
Clinical narrative: Burning pain in anterior thighs and proximal arms, increased weakness. 3 weeks later had paresthesias and numbness in arms, left leg began to drag, trouble with ADL
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Burning pain in anterior thighs and proximal arms, increased weakness. 3 weeks later had paresthesias and numbness in arms, left leg began to drag, trouble with ADL
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Urticaria
Clinical narrative: fatigue and generalized hives
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient received an H1N1 because she was pregnant. When putting shot into patient's record, it was noted that patient had receive an H1N1 previously on 10/23/2009.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PPV, RVX
Symptoms: Crying, Decreased appetite, Hypersomnia, Inappropriate schedule of drug administration, Irritability
Clinical narrative: Fussiness with new attitude towards her normal routine. Not wanting to sleep alone, and she normally doesnt like to be near anyone while sleeping. A new cry. Slept much longer periods and didnt eat at her normal times. Went nearly 8 hours before eating and slept for 16 hours; 7:00 PM to 11:00 AM.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: Fevers, pruritis, redness/swelling around injection site x 24 24 hrs post administration (injection site L upper arm).
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Back pain, Computerised tomogram, Epilepsy, Fall
Clinical narrative: Initial report received from a newspaper article on 03 Mar 2010: This patient was vaccinated with the seasonal influenza vaccine (manufacturer unknown) in Nov 2009. The patient went to the emergency room on 09 Jan 2010 due to the pain in stomach and back. Some examinations were performed and the patient admitted in emergency surgery ward as it seemed a renal colic. After 5 days, the patient fell on the floor since her legs were weak. CAT (computerized axial tomography) and lumbar puncture were requested by the neurologists but no results were available. Four days later, the patient had an epileptic-like reaction whilst asleep. Next day, the patient was transferred to neurology ward. The patient's condition worsened and further examination were performed including magnetic resonance. As corrective measure, phleboclysis was given for 10 days and condition began to improve. On 01 Feb 2010, the patient was discharged with a diagnosis of GUILLAIN BARRE syndrome. The local health unit denied the link between vaccination and disease.
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging
Clinical narrative: Initial report received from a newspaper article on 03 Mar 2010: This patient was vaccinated with the seasonal influenza vaccine (manufacturer unknown) in Nov 2009. The patient went to the emergency room on 09 Jan 2010 due to the pain in stomach and back. Some examinations were performed and the patient admitted in emergency surgery ward as it seemed a renal colic. After 5 days, the patient fell on the floor since her legs were weak. CAT (computerized axial tomography) and lumbar puncture were requested by the neurologists but no results were available. Four days later, the patient had an epileptic-like reaction whilst asleep. Next day, the patient was transferred to neurology ward. The patient's condition worsened and further examination were performed including magnetic resonance. As corrective measure, phleboclysis was given for 10 days and condition began to improve. On 01 Feb 2010, the patient was discharged with a diagnosis of GUILLAIN BARRE syndrome. The local health unit denied the link between vaccination and disease.
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Dyspnoea
Clinical narrative: Mother states at times baby would gasp for air, no color change told to go to ER.
Age: 18.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy
Clinical narrative: SM received MMR on 3/2/10. Had positive pregnancy test on 3/4/10.
Age: 26.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Pt presents with cc of; continued reaction at injection site of Hep A immunization. She c/o that injection was quite painful and for at least 30min after injection. Then she developed swelling, redness and heat in a 5x 7.5 cm diameter area. It was and continues to be very tender to touch. She noted a bruise the next day and yesterday as redness and swelling resolved noted several itchy, minute, raised, red areas around several follicles that were very close to outline of resolving bruise. She tried to tx with ALLEGRA that itch but it didn't seem to have any effect at all. She will keep an eye on it and call with any worsening of sx, or signs of infection. She will try BENADRYL for the itch tonight.
Age: 26.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Pt presents with cc of; continued reaction at injection site of Hep A immunization. She c/o that injection was quite painful and for at least 30min after injection. Then she developed swelling, redness and heat in a 5x 7.5 cm diameter area. It was and continues to be very tender to touch. She noted a bruise the next day and yesterday as redness and swelling resolved noted several itchy, minute, raised, red areas around several follicles that were very close to outline of resolving bruise. She tried to tx with ALLEGRA that itch but it didn't seem to have any effect at all. She will keep an eye on it and call with any worsening of sx, or signs of infection. She will try BENADRYL for the itch tonight.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pt received influenza vaccine and pneumococcal vaccine on 9/14/09. Presents to clinic 3/4/10 c/o left arm pain since received the vaccines. Pt evaluated + Lt AC joint pain w/exam but c/o mid-humerus pain at times.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Haematochezia, Mucous stools, Occult blood positive
Clinical narrative: Blood in feces began 2/11/10 - 3 episodes 1st wk, resumed 2/16 along with mucous in stool.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site pain, Paraesthesia
Clinical narrative: Erythema, tenderness, localized paraesthesia overlying injection site.
Age: 40.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Immediate post-injection reaction, Injection site induration, Injection site swelling
Clinical narrative: TDap vaccine administered as IM injection to (R) deltoid. Pt had immediate swelling/indention of about 3 cm circumference around injection site. Cold compress and BENADRYL 2 Sy IM given as treatment.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Localized raised red area to right leg. Dime sized. Little fussy per mom.  No other s/s.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site exfoliation, Injection site mass, Injection site swelling
Clinical narrative: After vaccination, patient noted a "lump" in injection which persisted a long time.  She returned to clinic today because about 1-2 weeks ago she developed redness, scaling and slightly raised border over injection site.  No other signs or symptoms.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Onset urticaria upper body and arm vaccine given in. Benadryl 50 mg given IM @ 12:25PM and Pt told to contact FMD. She reported she went home, went to sleep and woke up with urticaria gone.  Prone to hives.
Age: 30.0
Sex: F
Vaccine: TTOX
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pain in extremity
Clinical narrative: Severe (disabling) pain in arm of injection.  Headache, tiredness, body-aches.  Still experiencing the symptoms two+ days later.
Age: 65.0
Sex: M
Vaccine: MMR
Symptoms: Herpes zoster
Clinical narrative: Client broke out with severe case of Zoster affecting the Left Shoulder & chin area
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node swelling around collar bone area.  Painful.  No redness or swelling over site.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Back pain, Catheter placement, Dysuria, Inflammation
Clinical narrative: c/o achiness, and pain in feet, legs and back that progressed to pain and weakness and shakiness.  On 02/04/2010 c/o difficulty urinating but was able to.  On 02/05/2010 woke up unable to urinate.  Went to ER and was catheterized and returned 1200cc clear yellow urine.  Remains c/o back pain.  MRI with and without contrast of brain and spinal cord done. Found inflammation of spinal cord was transferred and admitted to Hospital until 02-09/2010.  Lumbar puncture done.  IV fluids and IV and oral antibiotics given.  Dx: Transverse Myelitis caused by mycoplasma.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mycoplasma infection, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity
Clinical narrative: c/o achiness, and pain in feet, legs and back that progressed to pain and weakness and shakiness.  On 02/04/2010 c/o difficulty urinating but was able to.  On 02/05/2010 woke up unable to urinate.  Went to ER and was catheterized and returned 1200cc clear yellow urine.  Remains c/o back pain.  MRI with and without contrast of brain and spinal cord done. Found inflammation of spinal cord was transferred and admitted to Hospital until 02-09/2010.  Lumbar puncture done.  IV fluids and IV and oral antibiotics given.  Dx: Transverse Myelitis caused by mycoplasma.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tremor, Urinary retention, Urine analysis
Clinical narrative: c/o achiness, and pain in feet, legs and back that progressed to pain and weakness and shakiness.  On 02/04/2010 c/o difficulty urinating but was able to.  On 02/05/2010 woke up unable to urinate.  Went to ER and was catheterized and returned 1200cc clear yellow urine.  Remains c/o back pain.  MRI with and without contrast of brain and spinal cord done. Found inflammation of spinal cord was transferred and admitted to Hospital until 02-09/2010.  Lumbar puncture done.  IV fluids and IV and oral antibiotics given.  Dx: Transverse Myelitis caused by mycoplasma.
Age: 66.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Cellulitis, Erythema, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Arm painful with upper arm swelling that increased 2nd. day down her entire arm.   Pt states she had a fever, arm was warm and reddened.
Age: 66.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Arm painful with upper arm swelling that increased 2nd. day down her entire arm.   Pt states she had a fever, arm was warm and reddened.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site reaction
Clinical narrative: Severe muscle pain at injection site. could barely lift arm over head. Pain much worse at night and when trying to sleep. Symptoms similar to rotator cuff injury. sx lasted approx 3 wks.
Age: 23.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Generalised erythema, Pruritus generalised, Urticaria
Clinical narrative: Pt. had itching, redness and 2mm welps body wide. Symptoms were ongoing. Took pt. to Emergency Room.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: ON 03/09/2010 MOM FIRST NOTICE RED SMALL KNOT IN THE AREA. ON 3/10/2010 MOM NOTICE AREA WAS LARGER AND HOT TO TOUCH
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLUN(H1N1), MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swollen red right leg
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Cyanosis, Death, Pyrexia, Unresponsive to stimuli, Vomiting
Clinical narrative: reported child developed a fever early this am with possible febrile seizure.  Child was placed down for afternoon nap mother went in room to check on child realized something wrong/ not moving/responding turned child over and discovered child was blue.  Coroner did note child had had an emesis.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Autopsy, Brain oedema, Cardiac disorder, Death, Fatigue
Clinical narrative: reported child developed a fever early this am with possible febrile seizure.  Child was placed down for afternoon nap mother went in room to check on child realized something wrong/ not moving/responding turned child over and discovered child was blue.  Coroner did note child had had an emesis.
Age: 1.51
Sex: F
Vaccine: DTAP, FLU3, DTAP, FLUX
Symptoms: Irritability, Pyrexia
Clinical narrative: reported child developed a fever early this am with possible febrile seizure.  Child was placed down for afternoon nap mother went in room to check on child realized something wrong/ not moving/responding turned child over and discovered child was blue.  Coroner did note child had had an emesis.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Asthenia, Diarrhoea, Dyspnoea, Injection site pain, Pain in extremity
Clinical narrative: Had vomiting and diarrhea. Left arm started aching, experienced fever. Since then both arms hurt from shoulder down to fingers, fever on and off at night.  Occasionally short of breath at night, continue to feel weak all the time.  Take Tylenol or Advil occasionally also occasionally use a topical ointment like BenGay. Did see PMD he told her her lungs and heart were healthy and to continue taking the Tylenol or Advil and advised her to call back if symptoms got worse.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Had vomiting and diarrhea. Left arm started aching, experienced fever. Since then both arms hurt from shoulder down to fingers, fever on and off at night.  Occasionally short of breath at night, continue to feel weak all the time.  Take Tylenol or Advil occasionally also occasionally use a topical ointment like BenGay. Did see PMD he told her her lungs and heart were healthy and to continue taking the Tylenol or Advil and advised her to call back if symptoms got worse.
Age: 71.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Activities of daily living impaired, Balance disorder, Diplopia
Clinical narrative: My eyes were almost closed.  I was seeing things double vision and appearing in 3-D and they were also slanted.  My equilibrium was off also. It was quite scary, as I live alone. I had to have some one come and drive me home.  I slept and vision is a little better, but reading is still impaired somewhat.
Age: 64.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1), FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Nuclear magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: Terrible pain in right arm, at the site of injection.  I went to hand surgeon, who told me to use wet heat and Advil. I then went to my internist, who had an ultrasound performed.  Pain extended down entire arm, so I returned to hand surgeon.  He order MRI.  Too much movement for MRI, so returned for another one.  Still too much movement to read MRI.  By this time, it became extremely difficult to move entire arm.  Pain and limited movement continue to date, 3/9/2010.