chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Cognitive disorder, Fatigue, Myalgia
Clinical narrative: After receiving anthrax vaccine, patient felt "knocked out". His fatigue continued and worsened. One week after receiving vaccine, he started having cognitive changes. During August 2004, he experienced new onset joint and muscle  pain - See VHC Clinical Summary (will be faxed this a.m.)
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Skin burning sensation
Clinical narrative: Initial report received on 24/Oct/2005 from a health care professional. A 29-year-old female with pre-existing allergies to phenol, Depo-Provera, go-lytely, generic Aleve and the TB Mantoux test, received an intramuscular left arm injection of Fluzone SV 2005-2006, lot number 17773AA, on 19/Oct/2005 at 11:00 am. One hour later, the patient experienced face burning, scratchiness in her throat and shortness of breath. She was examined in an emergency room and treated with intravenous fluids, intravenous Benadryl, intravenous Pepcid, and intravenous Solu-Medrol. doses for these medications were not reported. Subcutaneous epinephrine 0.3 ml (1:1000) was also administered. the patient was discharged from the emergency room with a Medrol Dosepak and prescriptions for Allegra and Pepcid. Relevant diagnostic tests were not reported. Illness at the time of vaccination and other medications were not reported. Per the reporter, this was a life threatening illness. At the time of this report, the patient had recovered.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Hypersensitivity, Pharyngolaryngeal pain, Skin burning sensation
Clinical narrative: Initial report received on 24/Oct/2005 from a health care professional. A 29-year-old female with pre-existing allergies to phenol, Depo-Provera, go-lytely, generic Aleve and the TB Mantoux test, received an intramuscular left arm injection of Fluzone SV 2005-2006, lot number 17773AA, on 19/Oct/2005 at 11:00 am. One hour later, the patient experienced face burning, scratchiness in her throat and shortness of breath. She was examined in an emergency room and treated with intravenous fluids, intravenous Benadryl, intravenous Pepcid, and intravenous Solu-Medrol. doses for these medications were not reported. Subcutaneous epinephrine 0.3 ml (1:1000) was also administered. the patient was discharged from the emergency room with a Medrol Dosepak and prescriptions for Allegra and Pepcid. Relevant diagnostic tests were not reported. Illness at the time of vaccination and other medications were not reported. Per the reporter, this was a life threatening illness. At the time of this report, the patient had recovered.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Patient developed cellulitis at the site of the injection in the right arm 1 day after vaccination.  Required a doctors visit, IM antibiotic injection at the clinic and oral antibiotics.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Two weeks after the flu vaccination was administered, there suddenly developed a "hot spot" at the injection site, with localized heat and swelling to about the size of a ping-pong ball.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Cough, Dizziness, Dyspnoea, Eye discharge
Clinical narrative: Symptoms appeared apprx. 3 hrs. after receiving shot.  Throat closed up, difficulty breathing - felt like asthma, light headed - dizzy, secretion from eyes and cough.  Later in the day and into the next day, achy all over, eye secretion continued, cough.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Throat tightness
Clinical narrative: Symptoms appeared apprx. 3 hrs. after receiving shot.  Throat closed up, difficulty breathing - felt like asthma, light headed - dizzy, secretion from eyes and cough.  Later in the day and into the next day, achy all over, eye secretion continued, cough.
Age: 70.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Hot flush, Influenza like illness, Musculoskeletal stiffness, Pollakiuria
Clinical narrative: Patient awoke about 3am Sat (11/5) with fever, redness, swelling, stiffness (generalized), excessive urination, general flu-like symptoms - took benadryl- symptoms continued through Sunday.  Patient reports hot-flashes or flushing on Friday, possibly related, and is feeling significantly improved today.
Age: 70.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia, Swelling
Clinical narrative: Patient awoke about 3am Sat (11/5) with fever, redness, swelling, stiffness (generalized), excessive urination, general flu-like symptoms - took benadryl- symptoms continued through Sunday.  Patient reports hot-flashes or flushing on Friday, possibly related, and is feeling significantly improved today.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: PT RECEIVED VARIVAX ON 072605. PRESENTED IN OUR OFFICE ON 110505 WITH A RASH.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Rash
Clinical narrative: Consumer received influenza vaccine 10/11/05 IM to the left thigh.  Staff reported a 19x8cm area on the left thigh which was erythematous, non raised slightly warm to touch on 10/12/05.  No respiratory distress, vital signs normal.  Rash reported as fading by 10/13/05.  No further problems noted after 10/13/05.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Lymphadenopathy, Odynophagia
Clinical narrative: Patient presented on 11/5/05 with c/o pain with swallowing and a swollen node on the L side. Symptoms present times 4-5 days. S/P tooth extraction on 2 wisdom teeth 2 days prior. Smallpox vaccine given 10/14/05. MD diagnosed as marked lymphadenopathy left cervical region. secondary to small pox vaccination. Augmentin 500mg bid ordered. Quarters times 24 hours, push fluids and return in 1 week.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Injection site reaction, Pain, Swelling
Clinical narrative: About 12 hours after receiving Pneumovax in right arm, patient experienced redness, swelling, erythema, and pain from right shoulder to forearm.  Patient contacted PCP and was referred to ER.  Patient was diagnosed with cellulitis and began IV antibiotics (drug and dose unknown) and started cephalexin, 500mg PO QID.  After PCP visit, received rocephin 1 gm IM and will continue cephalexin x7 days.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Pyrexia
Clinical narrative: Patient developed apparent cellulitis 2 days after her pneumococcal vaccine injection at the injection site.  She has large, swollen, tender and erythematous area (10cm x 10cm) with a fever.  She was to see her physician 11/4/05 for further evaluation and treatment.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Patient developed apparent cellulitis 2 days after her pneumococcal vaccine injection at the injection site.  She has large, swollen, tender and erythematous area (10cm x 10cm) with a fever.  She was to see her physician 11/4/05 for further evaluation and treatment.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Condition aggravated, Hypertension, Muscular weakness, Myalgia
Clinical narrative: Hypertension, tachycardia, chest pain, severe myalgias with muscle weakness of lower extremities.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Hypertension, tachycardia, chest pain, severe myalgias with muscle weakness of lower extremities.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Mental impairment, Pyrexia, Tremor
Clinical narrative: AT APPROX 10 PM 11/4/05 CHILD C/O FEVER SHAKING UNCONTROLLABLY, UNABLE TO FOCUS AND NOTED FEVER OF 104. CHILD STATED LATER THAT SHE WAS HAVING TROUBLE BREATHING BUT DID NOT TELL PARENT AT TIME. MOTHER CALLED ER FOR ADVICE BUT DID NOT SEEK TREATMENT AT THAT TIME. SYMPTOMS LASTED ABOUT 12 HOURS.  TODAY CALLED PCP'S OFFICE TO NOTIFY OF EVENT. NO TEMP TODAY MUCH IMPROVED BUT CONTINUES TO BE TIRED. NO FURTHER COMPLAINTS OF SHORTNESS OF BREATH.
Age: 6.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Convulsion, Fall, Injury, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: It appeared that approximately 5 minutes after the vaccines were administered, the patient blacked out, fell backward, and hit her head. When the patient's mother first picked up the child, the patient was not moving. Then the child began to seize, her body was rigid and tightened up. After approximately 2-3 minutes, the patient was able to stand. After standing, the patient vomited twice.
Age: 6.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Vomiting
Clinical narrative: It appeared that approximately 5 minutes after the vaccines were administered, the patient blacked out, fell backward, and hit her head. When the patient's mother first picked up the child, the patient was not moving. Then the child began to seize, her body was rigid and tightened up. After approximately 2-3 minutes, the patient was able to stand. After standing, the patient vomited twice.
Age: 0.86
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives/welts over all of body.  She treated with Prednisone and Benadryl.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Dysphonia
Clinical narrative: Immediately after receiving the flu vaccine my voice started becoming hoarse.  I also felt "woosy."  I sat down and talked to some people I knew and again commented that I seemed to be losing my voice.  I never connected these symptoms to the vaccine until I got home and read the brochure.  I called the nurse who told me to take Benadryl, which I did.
Age: 1.83
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Herpes zoster
Clinical narrative: Patient developed zoster on 11/5/2005.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pain
Clinical narrative: Approximately 2 hours after receiving the vaccine, patient reported feeling pain in his left arm.  By the next morning, he noticed an area of redness approximately 4 inches in diameter, which was warm and sore.  Patient returned to the clinic on Friday, November 4th with the above findings, and was advised to see his private physician.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: Itching at injection site 2 days after, itching torso, scalp, face 3 days after, still itching at 5 days after injection.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Agitation, Bacterial infection, Cellulitis, Injection site erythema, Leukocytosis
Clinical narrative: A cellulitis developed on the anterior surface of the right thigh at the injection sites (10cm x 6cm area of erythema).  Pt was treated with IV clindamycin with good clinical improvement. Discharge summary states agitiation, fever. msv
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Pyrexia
Clinical narrative: A cellulitis developed on the anterior surface of the right thigh at the injection sites (10cm x 6cm area of erythema).  Pt was treated with IV clindamycin with good clinical improvement. Discharge summary states agitiation, fever. msv
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Hypersensitivity, Pharyngolaryngeal pain, Pruritus
Clinical narrative: pt developed allergic reaction to flu vaccine. sx=cough, sore throat, itching.   tx= reversed c benadryl and steroids
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Fatigue, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, upset stomach, dizzy, tired, runny nose, bone aches,
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Stomach discomfort
Clinical narrative: Fever, upset stomach, dizzy, tired, runny nose, bone aches,
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Glossodynia, Pain, Petechiae, Serum sickness
Clinical narrative: Development of severe tongue pain followed by bilateral hand pain, with subsequent development of petechiae in the terminal tufts of the hands.  The tongue and hand pain subsided after 48 hours.  Petechiae lasted for weeks.  This was likely a mild manifestation of serum sickness.  I had numerous physicians examine me including an Infectious Disease expert.
Age: 51.0
Sex: F
Vaccine: FLUX, MEN, PPV
Symptoms: Chills, Myalgia, Pyrexia, Vomiting
Clinical narrative: I had 3 vaccinations that same day at the same time: flu, pneumo, and meningococcal. This was about 11:00 AM local time. At about 11:00 PM, that same day, I developed muscle aches and a fever and violent shivering. At about 1:00 AM, I began vomiting, which lasted until 4:30 AM. The shivering stopped after that, but the fever continued throughout the next day (Nov 3). By Nov 4, all symptoms were gone.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pharyngolaryngeal pain, Rash, Rhinorrhoea, Sinus congestion
Clinical narrative: On 11-1-05 at approximately 2000 employee got a localized rash on her arms. She then developed a sore throat, sinus drainage and body aches. She was off of work on 11-4-05 due to her symptoms. She remained afebrile. Today the symptoms have somewhat subsided and she only has a sinus congestion and pressure. No rash or fever.
Age: 12.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Two hours after being administered both Td and Menactra, he developed a fine maculopapular rash.  This was pruritic, but not urticarial according to mother. He was given Benadryl, the rash resolved, and no further problems occurred.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthma, Dyspnoea, Wheezing
Clinical narrative: 11/2 1400 hr. rec'd FluMist in school setting. After school, (@ 1530 hr.) participated in warm up at football practice.  told mother he couldn't breath out and described breathing problem as "the air is stuffed in my throat".  Albuteral inhaler used w/ good relief.  Per mother although child is dxed w/ asthma he has never had "an attack" like this one.  Condition usually presents as wheezing w/ colds in winter that develop into pneumonia (he has had pneumonia 4x).  Child's pediatrician called by mother who advised her to observe him for 24 hours for any recurrence of problem.  Child kept home from school next day w/ no problems observed.  Mother states she didn't read the VIS before signing consent form and was not aware of asthma as a contraindication for LAIV.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Malaise, Pain
Clinical narrative: Approximately 6 hours after receiving flu vac, noticed swelling and numbness of left face/cheek/jaw.  Took diphenhydramine 50mg PO x 1 with improvement.  Numbness and swelling completely resolved within 3 days.  Had received flu vac in the past w/o problems except for local reaction (soreness/redness at injection site), and generalized malaise, body aches.  This time, in addition to pain/soreness/redness at injection site, generalized malaise, body aches, swelling and numbness were also experienced on the left face/cheek/jaw.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Approximately 6 hours after receiving flu vac, noticed swelling and numbness of left face/cheek/jaw.  Took diphenhydramine 50mg PO x 1 with improvement.  Numbness and swelling completely resolved within 3 days.  Had received flu vac in the past w/o problems except for local reaction (soreness/redness at injection site), and generalized malaise, body aches.  This time, in addition to pain/soreness/redness at injection site, generalized malaise, body aches, swelling and numbness were also experienced on the left face/cheek/jaw.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Ecchymosis, Injection site erythema, Injection site induration
Clinical narrative: Right deltoid region there is a 2-3 inch area of induration erythema with superior ecchymoses at the 1 o'clock position.  Function of the deltoid muscle was normal. Oral temp 35.5 Will treat this localized reaction with Benadryl, ice, and NSAIDs as needed for pain control.
Age: 20.0
Sex: M
Vaccine: FLU3, SMALL
Symptoms: Pruritus, Rash papular
Clinical narrative: Noted Nov 6, 2005 to have Papulo vesicular eruption dorsal hands spread up arms to body; few noted on legs; associated with pruritis. Treated with Benadryl.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Headache, Hyperhidrosis, Pallor
Clinical narrative: Dizziness, very pale, weak, cold sweat.  Started about 1-2 minutes after injection at 12:30pm.  Lasted 2-3 minutes.  Rest of day still had upset stomach, severe headache.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Stomach discomfort
Clinical narrative: Dizziness, very pale, weak, cold sweat.  Started about 1-2 minutes after injection at 12:30pm.  Lasted 2-3 minutes.  Rest of day still had upset stomach, severe headache.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Cellulitis, Chills
Clinical narrative: Fever 103 , chills, diaphoresis, tachycardia, cellulitis shoulder, chest, arm and neck, dehydration, elevated liver function tests.  Person giving vaccine said "Oops, I am sorry", but patient not sure what happened. Discharge summary states hepatitis, pleural effusion. msv Follow-up: ? MRSA infection.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Dehydration, Hepatitis, Hyperglycaemia, Hyperhidrosis, Hypocalcaemia
Clinical narrative: Fever 103 , chills, diaphoresis, tachycardia, cellulitis shoulder, chest, arm and neck, dehydration, elevated liver function tests.  Person giving vaccine said "Oops, I am sorry", but patient not sure what happened. Discharge summary states hepatitis, pleural effusion. msv Follow-up: ? MRSA infection.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Hyponatraemia, Hypoproteinaemia, Laboratory test abnormal, Leukocytosis, Liver function test abnormal
Clinical narrative: Fever 103 , chills, diaphoresis, tachycardia, cellulitis shoulder, chest, arm and neck, dehydration, elevated liver function tests.  Person giving vaccine said "Oops, I am sorry", but patient not sure what happened. Discharge summary states hepatitis, pleural effusion. msv Follow-up: ? MRSA infection.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pleural effusion, Pyrexia, Tachycardia, White blood cell count increased
Clinical narrative: Fever 103 , chills, diaphoresis, tachycardia, cellulitis shoulder, chest, arm and neck, dehydration, elevated liver function tests.  Person giving vaccine said "Oops, I am sorry", but patient not sure what happened. Discharge summary states hepatitis, pleural effusion. msv Follow-up: ? MRSA infection.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypersensitivity, Urticaria
Clinical narrative: ALLERGIC REACTION- PATIENT RECEIVED A RED WELT OR HIVE ABOUT 6 INCHES BELOW SIGHT OF INJECTION. PHYSICIAN PRESCRIBED TOPICAL STEROID AND NURSE RECOMMENDED PTN TAKE ORAL ANTIHISTAMINE. Pneumonia vax was also given on same date. Reaction occured on left arm.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Hypotension, Injection site pain, Nausea, Syncope, Tinnitus
Clinical narrative: This case was reported by a pharmacist and described the occurrence of fainting in a 34 year old female subject who was vaccinated with hepatitis B vaccine recombinant (Engerix B) for prophylaxis. There were no concurrent medications. The subject has no food or drug allergies. On Nov 2 2005 the subject received 1st dose of Engerix B in the left arm (lot AHBVB135AA). During the injection, the subject reported to the pharmacist that the injection was extremely painful. It felt like the administering nurse hit the bone. The arm is sore where the Engerix B was administered. On Nov 2 2005, less than one day after vaccination, the subject experienced fainting, hypotension, tinnitus, and nausea. The fainting, hypotension, and tinnitus resolved on Nov 20 2005 and the nausea resolved on Nov 3 2005. The outcome of the injection site pain and soreness was not reported. Fainting was assessed as medically serious by manufacturer. (OMIC)
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Hypersensitivity, Injection site swelling, Oedema
Clinical narrative: Information has been received from a health professional concerning an 88 year old female who on 19-Oct-2005 or 20-Oct-2005 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot #650649/0790P). Subsequently, the patient experienced a red raised, swollen, hot lesion with a red line down her arm. She was admitted to the hospital the day after the adverse event began. The patient's recovery status is unknown. Additional information has been requested.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Skin ulcer
Clinical narrative: Information has been received from a health professional concerning an 88 year old female who on 19-Oct-2005 or 20-Oct-2005 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot #650649/0790P). Subsequently, the patient experienced a red raised, swollen, hot lesion with a red line down her arm. She was admitted to the hospital the day after the adverse event began. The patient's recovery status is unknown. Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Dysarthria, Facial palsy
Clinical narrative: Initial report received from a health care provider on 10/26/05. A seven year old male with a medical history of asthma received in the left deltoid an injection of Fluzone, lot number U1746AA on 9/19/05. Ten days later, the patient developed slurred speech and left sided mouth dropping. The patient was examined in an emergency room and diagnosed with Bell's Palsy. He was scheduled for an appointment with a neurology clinic, but was totally well by 10/14/05. The patient received a previous dose of Fluzone in December 2004. Other medications and illness at the time of vaccination were not reported. At the time of this report, the patient had recovered.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Hypersensitivity, Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: Initial report received from a health care provider on 10/26/05. A 45 year old female, with an allergy to Iodine and no pre-existing medical conditions, received an injection of Fluzone, lot number U1802BA, on 10/25/05. Annual previous doses of Fluzone were reported with no adverse event following prior vaccination. The route and site of administration were not reported. Ten minutes post-vaccination, the patient developed hoarseness, a tickle in her throat and nasal stuffiness. Twenty minutes post vaccination, she developed a cough with sputum. She was medicated with an epinephrine pen and examined in an emergency room. The patient was thereafter admitted to an intensive care unit. Relevant diagnostic/laboratory tests not reported. At the time of vaccination, other medications were unknown and illness was denied. At the time of this report, the patient remained hospitalized and had not recovered.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Productive cough
Clinical narrative: Initial report received from a health care provider on 10/26/05. A 45 year old female, with an allergy to Iodine and no pre-existing medical conditions, received an injection of Fluzone, lot number U1802BA, on 10/25/05. Annual previous doses of Fluzone were reported with no adverse event following prior vaccination. The route and site of administration were not reported. Ten minutes post-vaccination, the patient developed hoarseness, a tickle in her throat and nasal stuffiness. Twenty minutes post vaccination, she developed a cough with sputum. She was medicated with an epinephrine pen and examined in an emergency room. The patient was thereafter admitted to an intensive care unit. Relevant diagnostic/laboratory tests not reported. At the time of vaccination, other medications were unknown and illness was denied. At the time of this report, the patient remained hospitalized and had not recovered.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain, Shoulder pain
Clinical narrative: Initial report received from a health care professional on 10/27/05. A 59 year old male patient with a medical history of hypertension and an allergy to penicillin received in IM left deltoid injection of Fluzone, lot number U1756AA, on 10/21/05. Within a few hours post vaccination, he developed swelling and pain in the whole left upper extremity and also in the upper anterior chest and left shoulder. Per the reporter, the event required an emergency room/doctor visit and one day of hospitalization. The patient had a normal CBC, CMP and X-ray. The type of x-ray was not specified. The patient had illness at the time of vaccination for a few days, but the specific illness was not reported. The patient takes Diovan 80mg daily. At the time of this report, the patient had recovered.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Anxiety, Asthenia, Blood pressure decreased, Dizziness, Electrocardiogram abnormal
Clinical narrative: Patient presents for weakness, fatigue, generalized muscle ache and upset stomach following flu and pneumonia vaccination yesterday. Also c/o significant tenderness, swelling in area where he received the pneumonia shot. When he received his pneumonia shot he felt a shooting that went down into his 2nd and 3rd digits of the right hand. Has not been monitoring his SMBGs since he has been worried that they will be high. States in currently working with Dr to better controls his BGs which have not been well controlled recently. Const; reports body aches, chills and fatigue. Denies cardiovascular symptoms. Reports productive cough. Assessment: pain in limb, malaise and fatigue hypertension unspec. Sounds like a localized reaction to pneumonia shot and generalized reaction to flu shot. Advised heating pad for localized reaction and will also try lidoderm patches for pain. Discussed with patient that if this is a nerve issue that it may take a while to completely resolve.  Prior to patient leaving his Blood glucose was checked. shortly after that patient began complaining of being very dizzy and became anxious. Became very pale and diaphoretic. Bp was 50/60 with very weak radial pulse. He was lowered to the floor and 911 was immediately activated. EKG done showed no onset of RBBB no other changes. Patient was transferred to the care of the OFD and transported to OH.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Heart rate decreased, Hyperglycaemia, Hyperhidrosis, Hypertension
Clinical narrative: Patient presents for weakness, fatigue, generalized muscle ache and upset stomach following flu and pneumonia vaccination yesterday. Also c/o significant tenderness, swelling in area where he received the pneumonia shot. When he received his pneumonia shot he felt a shooting that went down into his 2nd and 3rd digits of the right hand. Has not been monitoring his SMBGs since he has been worried that they will be high. States in currently working with Dr to better controls his BGs which have not been well controlled recently. Const; reports body aches, chills and fatigue. Denies cardiovascular symptoms. Reports productive cough. Assessment: pain in limb, malaise and fatigue hypertension unspec. Sounds like a localized reaction to pneumonia shot and generalized reaction to flu shot. Advised heating pad for localized reaction and will also try lidoderm patches for pain. Discussed with patient that if this is a nerve issue that it may take a while to completely resolve.  Prior to patient leaving his Blood glucose was checked. shortly after that patient began complaining of being very dizzy and became anxious. Became very pale and diaphoretic. Bp was 50/60 with very weak radial pulse. He was lowered to the floor and 911 was immediately activated. EKG done showed no onset of RBBB no other changes. Patient was transferred to the care of the OFD and transported to OH.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site oedema, Injection site reaction, Malaise, Myalgia, Pain
Clinical narrative: Patient presents for weakness, fatigue, generalized muscle ache and upset stomach following flu and pneumonia vaccination yesterday. Also c/o significant tenderness, swelling in area where he received the pneumonia shot. When he received his pneumonia shot he felt a shooting that went down into his 2nd and 3rd digits of the right hand. Has not been monitoring his SMBGs since he has been worried that they will be high. States in currently working with Dr to better controls his BGs which have not been well controlled recently. Const; reports body aches, chills and fatigue. Denies cardiovascular symptoms. Reports productive cough. Assessment: pain in limb, malaise and fatigue hypertension unspec. Sounds like a localized reaction to pneumonia shot and generalized reaction to flu shot. Advised heating pad for localized reaction and will also try lidoderm patches for pain. Discussed with patient that if this is a nerve issue that it may take a while to completely resolve.  Prior to patient leaving his Blood glucose was checked. shortly after that patient began complaining of being very dizzy and became anxious. Became very pale and diaphoretic. Bp was 50/60 with very weak radial pulse. He was lowered to the floor and 911 was immediately activated. EKG done showed no onset of RBBB no other changes. Patient was transferred to the care of the OFD and transported to OH.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pallor, Stomach discomfort, Tenderness
Clinical narrative: Patient presents for weakness, fatigue, generalized muscle ache and upset stomach following flu and pneumonia vaccination yesterday. Also c/o significant tenderness, swelling in area where he received the pneumonia shot. When he received his pneumonia shot he felt a shooting that went down into his 2nd and 3rd digits of the right hand. Has not been monitoring his SMBGs since he has been worried that they will be high. States in currently working with Dr to better controls his BGs which have not been well controlled recently. Const; reports body aches, chills and fatigue. Denies cardiovascular symptoms. Reports productive cough. Assessment: pain in limb, malaise and fatigue hypertension unspec. Sounds like a localized reaction to pneumonia shot and generalized reaction to flu shot. Advised heating pad for localized reaction and will also try lidoderm patches for pain. Discussed with patient that if this is a nerve issue that it may take a while to completely resolve.  Prior to patient leaving his Blood glucose was checked. shortly after that patient began complaining of being very dizzy and became anxious. Became very pale and diaphoretic. Bp was 50/60 with very weak radial pulse. He was lowered to the floor and 911 was immediately activated. EKG done showed no onset of RBBB no other changes. Patient was transferred to the care of the OFD and transported to OH.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site erythema, Injection site pain, Nausea, Oedema peripheral
Clinical narrative: Flu shot given left arm, approximately 2 hours later, developed urticaria, itching, severe pain at site radiating to left arm, neck and shoulder. Site bruised and erythematous. Developed edema of hands, paleness with nausea.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pallor, Pruritus, Urticaria
Clinical narrative: Flu shot given left arm, approximately 2 hours later, developed urticaria, itching, severe pain at site radiating to left arm, neck and shoulder. Site bruised and erythematous. Developed edema of hands, paleness with nausea.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Cerebral infarction, Convulsion, Electroencephalogram abnormal, Encephalitis
Clinical narrative: Seizures, meningoencephalitis developed symptoms 09/02/2005, required ventilator support. Hypertension 2 ARY to autonomic instability, CT showed Bilateral frontal lobe infarcts. 28 day stay on Rehab unit 2 ARY to impaired mobility contractures left lower extremity, residual weakness and pain left lower extremity. Information from 60 day follow-up report states: residual left leg weakness;lower extermities contractions left > right continued anti epileptic drugs, abnornal EEG. 1/01/2010 Seizure disorder.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Gait disturbance, Hypertension, Hypokinesia, Hypoxia, Laboratory test abnormal
Clinical narrative: Seizures, meningoencephalitis developed symptoms 09/02/2005, required ventilator support. Hypertension 2 ARY to autonomic instability, CT showed Bilateral frontal lobe infarcts. 28 day stay on Rehab unit 2 ARY to impaired mobility contractures left lower extremity, residual weakness and pain left lower extremity. Information from 60 day follow-up report states: residual left leg weakness;lower extermities contractions left > right continued anti epileptic drugs, abnornal EEG. 1/01/2010 Seizure disorder.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Pain
Clinical narrative: Seizures, meningoencephalitis developed symptoms 09/02/2005, required ventilator support. Hypertension 2 ARY to autonomic instability, CT showed Bilateral frontal lobe infarcts. 28 day stay on Rehab unit 2 ARY to impaired mobility contractures left lower extremity, residual weakness and pain left lower extremity. Information from 60 day follow-up report states: residual left leg weakness;lower extermities contractions left > right continued anti epileptic drugs, abnornal EEG. 1/01/2010 Seizure disorder.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Abasia, Aphasia, Coma, Disorientation, Headache
Clinical narrative: Pt became disoriented the evening after receiving the vaccine. He experienced a severe headache and was unable to walk. Parents were unable to rouse him, he could not speak. Parents called 911. Pt was taken to Hospital. Spinal tap was negative. Diagnosis of viral meningitis was given. Information from 60 day follow-up report states: you may consult with doctor's office where the immunization was given.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Hypokinesia, Meningitis
Clinical narrative: Pt became disoriented the evening after receiving the vaccine. He experienced a severe headache and was unable to walk. Parents were unable to rouse him, he could not speak. Parents called 911. Pt was taken to Hospital. Spinal tap was negative. Diagnosis of viral meningitis was given. Information from 60 day follow-up report states: you may consult with doctor's office where the immunization was given.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Neuropathy, Neuropathy peripheral, Pain, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: Neuropathy in feet and legs immediately after vaccination administered. Same thing happened 8-10 years ago, Neuropathy lasted 6 yrs. Before letting up. Had the flu last 2 yrs and was bullied into getting this shot bad mistake, I'm 78 years old. Information from medical records includes paresthia and pain. msv
Age: 91.0
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Erythema, Fatigue, Hypokinesia, Pain
Clinical narrative: Patient presents for REACTION TO FLU/PNEUOMNIA VACCINE. Patient presents for a possible reaction to pneumonia vaccination. Received Pneumovax yesterday at about 17:00. went home and started to experience severe pain in the arm in which she received her vaccination. Describes as the worst pain she has ever had. Also states that arm became very swollen and red. Patient also received her flu vaccine at the same time and states that she is feeling a little run down with decreased appetite. Reports body aches, fatigue and loss of appetite, but denies fever. Denies cardiovascular symptoms; denies respiratory symptoms; denies nausea and vomiting; denies symptoms other than state above; denies paresthesia and numbness. Appears healthy and well developed. Weighs within the normal range. Alert and oriented.  Resp: Auscultate good airflow. Lungs are clear bilaterally. CV: Rhythm is regular. S1 is normal. S2 is normal. No heart murmur appreciated. Abdomen: soft, nontender, nondistended, no organomegaly. Lymph: No visible or palpable cervical lymphadenopathy. Muscular: Walk with a normal gait. Range of motion in right arm is limited due to pain. There is significant swelling, induration and tenderness along the entire right upper arm with mild erythema. Epitrochlear lymph nodes are not palpable. Distal radial and ulnar pulses are intact and distal sensations are also intact to touch. Will cover with Keflex and advised patient to limit use of arm as much as possible. Will have patient follow-up tomorrow. Advised that if swelling and redness worsen then she is to go directly to the ED or call the office. Will also notify health department in regards to reaction.
Age: 91.0
Sex: F
Vaccine: FLUX
Symptoms: Swelling, Tenderness
Clinical narrative: Patient presents for REACTION TO FLU/PNEUOMNIA VACCINE. Patient presents for a possible reaction to pneumonia vaccination. Received Pneumovax yesterday at about 17:00. went home and started to experience severe pain in the arm in which she received her vaccination. Describes as the worst pain she has ever had. Also states that arm became very swollen and red. Patient also received her flu vaccine at the same time and states that she is feeling a little run down with decreased appetite. Reports body aches, fatigue and loss of appetite, but denies fever. Denies cardiovascular symptoms; denies respiratory symptoms; denies nausea and vomiting; denies symptoms other than state above; denies paresthesia and numbness. Appears healthy and well developed. Weighs within the normal range. Alert and oriented.  Resp: Auscultate good airflow. Lungs are clear bilaterally. CV: Rhythm is regular. S1 is normal. S2 is normal. No heart murmur appreciated. Abdomen: soft, nontender, nondistended, no organomegaly. Lymph: No visible or palpable cervical lymphadenopathy. Muscular: Walk with a normal gait. Range of motion in right arm is limited due to pain. There is significant swelling, induration and tenderness along the entire right upper arm with mild erythema. Epitrochlear lymph nodes are not palpable. Distal radial and ulnar pulses are intact and distal sensations are also intact to touch. Will cover with Keflex and advised patient to limit use of arm as much as possible. Will have patient follow-up tomorrow. Advised that if swelling and redness worsen then she is to go directly to the ED or call the office. Will also notify health department in regards to reaction.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Feeling hot
Clinical narrative: Both Pneumococcal and flu vaccine given right deltoid 1 inch apart. 2 days later right arm red, hot under arm not at site. 10/28/2005 started biaxcin 250 mg BID. Mastectomy left breast 1991. Dx Cellulitis.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Body temperature decreased, Condition aggravated, Dizziness, Nausea
Clinical narrative: Tachycardia, Nausea, Burning Feeling bilateral arms, lightheaded, itching upper legs, Temp 96.5, increased BP 154*114 - 180/110 monitored 5 hours.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Skin burning sensation, Tachycardia
Clinical narrative: Tachycardia, Nausea, Burning Feeling bilateral arms, lightheaded, itching upper legs, Temp 96.5, increased BP 154*114 - 180/110 monitored 5 hours.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain
Clinical narrative: C/O redness, swelling and painful spot on upper left arm.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Rash, Urticaria
Clinical narrative: Pt came to employee health on 11/03/2005 stating had chest pain 11/02/2005 and now I have a rash. Wheals seen on torso, armpits legs. Denied any SOB. Over the counter Benadryl recommended. No vaccines without MD's recommendations.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Flatulence, Sneezing, Vomiting
Clinical narrative: Emesis started at dinner time 11/05/2005, gassy and abdominal pain evening of 11/05/2005. Increased nasal symptoms, sneezing on 11/07/2005.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Tingling of fingers but subsided and is fine now.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Dysarthria, Dyspnoea, Eye disorder, Hypoxia
Clinical narrative: 8:45 flu shot given started to school c/o something stuck in her throat difficulty breathing unable to talk clearly slurred speech, wheezing, conjunctiva almost like jelly. By 10:00 pt was getting Decadron epinephrine, and O2 mask (pulse ox 91% on room air). By 11:00 pt had recovered and was going home. Follow up call 11/04/2005 pt fine.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: 8:45 flu shot given started to school c/o something stuck in her throat difficulty breathing unable to talk clearly slurred speech, wheezing, conjunctiva almost like jelly. By 10:00 pt was getting Decadron epinephrine, and O2 mask (pulse ox 91% on room air). By 11:00 pt had recovered and was going home. Follow up call 11/04/2005 pt fine.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: hives about 24 hours after flu shot no local reaction. Hives lasted several days, has not had eggs yet. RX Benadryl, No SOB or angio edema, no prednisone needed.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema
Clinical narrative: Redness, swelling to arm.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Paralysis
Clinical narrative: 2 hrs intense pain from shoulder, paralysis, 10 of 10 pain ER visit pain Meds, muscles relaxer.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Eye disorder, Pruritus, Pyrexia
Clinical narrative: Within 2 hours of receiving vaccine I experienced itchy eyes, lump in throat, difficulty in getting enough air, chills, and fever. All were gone within 6 hours.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Within 2 hours of receiving vaccine I experienced itchy eyes, lump in throat, difficulty in getting enough air, chills, and fever. All were gone within 6 hours.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme on same arm vaccine flu shot given opposite side. no temp, no other rash or symptoms.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Feeling hot, Inflammation, Oedema
Clinical narrative: Inflammatory reaction to flu vaccine Cellulitis, inguinal nodes, swelling, redness and warm to touch. Keflex.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Skin nodule
Clinical narrative: Inflammatory reaction to flu vaccine Cellulitis, inguinal nodes, swelling, redness and warm to touch. Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema, Pruritus
Clinical narrative: Tuesday 10/25/2005 afternoon parents noticed injection site on left thigh with swelling and redness, itching at site. Increasing erythema and induration, but no systemic symptoms.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Flu shot given approx 9:30 on 10/27/2005. Client reports 24 hours later that at 17:00 on 10/27/2005 she began itching and noticed hives on her scalp, face, neck, chest. At the time it was reported head and neck rash had resolved, but hives had developed on lower half of body. Client took Benadryl. Reported was concurrently taking erythromycin and almost complete.
Age: 58.0
Sex: M
Vaccine: FLU3, PPV, TD
Symptoms: Feeling cold, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: C/O left arm sore and feeling achy with cold sweats, hot fever interrupting sleep with nausea. Next morning felt better with resolution by evening.
Age: 58.0
Sex: M
Vaccine: FLU3, PPV, TD
Symptoms: Sleep disorder
Clinical narrative: C/O left arm sore and feeling achy with cold sweats, hot fever interrupting sleep with nausea. Next morning felt better with resolution by evening.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Feeling hot, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Telephone call from the client reporting redness, swelling and discomfort in her upper left arm, in the area where she received the vaccines. Recommended using cold packs and come to the clinic so the PHN could evaluated. Presented with redness below the injection site of the flu and pneumococcal vaccine. The flu vaccine was given above the Pneumococcal vaccine. Noticed the reaction last night. C/O increased discomfort in the area last night and needed to take pain medication. Also took ibuprofen. Reports the area to have been swollen last night. Reports after applying the cold pack before the visit, the swelling has gone down. Redness noted 5 inches x 3 1/2 inches. Redness pattern is irregular. Redness was located more on the anterior part of upper arm. Very slight redness noted in the armpit area. PHN did not feel any swollen lymph. Slight warm to touch. Continue cold packs to the area today 10/12/2005. Switch to heat packs tomorrow, continue taking ibuprofen. Observe for increased redness. Contact PHN this afternoon with concerns. PHN to contact client tomorrow.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Pt received flu and pneumo vaccine on 10/11/2005/ By 9pm that night clients left arm was extremely red and swollen past elbow. Wife indicated area looked overweight with folds hanging over. Swelling slowly resolving. Client indicates mild pain but no other symptoms.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Injection site rash, Petechiae, Pruritus
Clinical narrative: Developed itching at injection site scratching it noticed rash distal to injection site and deltoid next morning 10/12/2005. Red dot non blanching, appears petechial 10/13 no longer itching scabbing at rash sites.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema
Clinical narrative: Flu vaccine administered left deltoid approx 10:30 am patient returned at 11 0.3 epi administered in left deltoid subq. patients right side of upper lip swelling decreased in 30 min. No resp distress rash or itching.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea
Clinical narrative: Pt described dig. SOB 3 days after shot. Exam performed with CBC, chest x-ray, general health panel. Lab pending. Exam normal. I do not believe/support they are related. Pt has had influenza shot in part w/o symptoms or effects.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Fatigue, Feeling hot, Pain, Pharyngolaryngeal pain
Clinical narrative: Symptoms on Friday 9-16, had fever, achy, fatigue, X 1 1/2 days. Left arm swelling with redness, soreness unable to sleep on throat side. Other left upper arm warm to touch, erythema approximately 13cm X 10cm tender to touch.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Swelling, Tenderness
Clinical narrative: Symptoms on Friday 9-16, had fever, achy, fatigue, X 1 1/2 days. Left arm swelling with redness, soreness unable to sleep on throat side. Other left upper arm warm to touch, erythema approximately 13cm X 10cm tender to touch.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Myalgia, Pyrexia, Sjogren's syndrome
Clinical narrative: Temp 100.2, right arm swollen, red, warm - shoulder right should joint rare than muscle painful. Recommend client to call her MD since it was swelling in joint arms not sight of injection.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Temp 100.2, right arm swollen, red, warm - shoulder right should joint rare than muscle painful. Recommend client to call her MD since it was swelling in joint arms not sight of injection.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Area reddened, swollen, size of 1/2 dollar no tenderness and no itching
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Redness
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema
Clinical narrative: Redness/swollen
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: The day after vaccination, patient state that the injection site started to itch almost immediately after injection. He state that injection site itched all evening but had stopped itching by morning.
Age: 81.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever 100.5, chills, fatigue 2 days.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: The day after Flu shot administration the pt developed some swelling of the L pectoralis area, no redness. Had a 1cmX1cm L axillary lymph node.