chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count normal, Gait disturbance, Guillain-Barre syndrome, Immunoglobulins, Laboratory test normal
Clinical narrative: 11/1/07. Initially had lower back pain and left arm pain. Following day low-grade fevers and chills x 24 hrs followed by pain/weakness in both thighs interfering with walking and achy, sharp pain in both forearms with bilateral hand weakness. Muscle weakness and pain interfered with his ability to walk, climb stairs, brush teeth, open a can, button a shirt and writing. No double vision, chewing difficulty, swallowing or shortness of breath. Muscle weakness and pain progressed. Saw PCP 11/5/07 who referred patient to neurologist r/o Guillain-Barre syndrome secondary to influenza vaccine. 11/6/07 evaluated by Neurologist who concluded patients' clinical presentation and EPS findings (Needle EMG & Nerve Conduction)are suggestive of AIDP aka Guillain-Barre Syndrome. Neurologist recommended outpatient IVIG therapy, serum testing for Lyme titers, TSH, Campylobacter jejuni titers, vitamin B12 level and IgA level. After IVIG therapy, Physical Therapy for muscle strengthening and gait training is recommended.  11/14/2007 296557 -per nurse- pt has received flu vax for the past 5yrs with no reaction. Used different manufacturer this year. 11/19/2007 MR received from neurologist for OV of 11/06/2007.  Pt presented with progressive muscle weakness x 3 days.  Pt first noted back pain and L arm pain with low grade fever and chills.  Pt then noted pain in thighs which interfered with walking and ability to climb stairs.  Achy sharp pain noted in forearms and weakness in hands bilat.  Difficulty with ADLs noted.  PE (+) for muscle weaknes in extremities bilat.  DTRs are decreased in arms and legs.  Sensation decreased in stocking-glove distribution bilat.  Mild walking difficulty. Txd with IVIG, PT and gait training. DX: Guillain-Barre Syndrome (AIDP). 1/19/2010 Able to ADL effortlessly. Continues to have muscles weakness and fatigue in legs and to lesser extent his arms.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Lipids normal, Muscular weakness, Nerve conduction studies abnormal, Pain, Pain in extremity
Clinical narrative: 11/1/07. Initially had lower back pain and left arm pain. Following day low-grade fevers and chills x 24 hrs followed by pain/weakness in both thighs interfering with walking and achy, sharp pain in both forearms with bilateral hand weakness. Muscle weakness and pain interfered with his ability to walk, climb stairs, brush teeth, open a can, button a shirt and writing. No double vision, chewing difficulty, swallowing or shortness of breath. Muscle weakness and pain progressed. Saw PCP 11/5/07 who referred patient to neurologist r/o Guillain-Barre syndrome secondary to influenza vaccine. 11/6/07 evaluated by Neurologist who concluded patients' clinical presentation and EPS findings (Needle EMG & Nerve Conduction)are suggestive of AIDP aka Guillain-Barre Syndrome. Neurologist recommended outpatient IVIG therapy, serum testing for Lyme titers, TSH, Campylobacter jejuni titers, vitamin B12 level and IgA level. After IVIG therapy, Physical Therapy for muscle strengthening and gait training is recommended.  11/14/2007 296557 -per nurse- pt has received flu vax for the past 5yrs with no reaction. Used different manufacturer this year. 11/19/2007 MR received from neurologist for OV of 11/06/2007.  Pt presented with progressive muscle weakness x 3 days.  Pt first noted back pain and L arm pain with low grade fever and chills.  Pt then noted pain in thighs which interfered with walking and ability to climb stairs.  Achy sharp pain noted in forearms and weakness in hands bilat.  Difficulty with ADLs noted.  PE (+) for muscle weaknes in extremities bilat.  DTRs are decreased in arms and legs.  Sensation decreased in stocking-glove distribution bilat.  Mild walking difficulty. Txd with IVIG, PT and gait training. DX: Guillain-Barre Syndrome (AIDP). 1/19/2010 Able to ADL effortlessly. Continues to have muscles weakness and fatigue in legs and to lesser extent his arms.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: 11/1/07. Initially had lower back pain and left arm pain. Following day low-grade fevers and chills x 24 hrs followed by pain/weakness in both thighs interfering with walking and achy, sharp pain in both forearms with bilateral hand weakness. Muscle weakness and pain interfered with his ability to walk, climb stairs, brush teeth, open a can, button a shirt and writing. No double vision, chewing difficulty, swallowing or shortness of breath. Muscle weakness and pain progressed. Saw PCP 11/5/07 who referred patient to neurologist r/o Guillain-Barre syndrome secondary to influenza vaccine. 11/6/07 evaluated by Neurologist who concluded patients' clinical presentation and EPS findings (Needle EMG & Nerve Conduction)are suggestive of AIDP aka Guillain-Barre Syndrome. Neurologist recommended outpatient IVIG therapy, serum testing for Lyme titers, TSH, Campylobacter jejuni titers, vitamin B12 level and IgA level. After IVIG therapy, Physical Therapy for muscle strengthening and gait training is recommended.  11/14/2007 296557 -per nurse- pt has received flu vax for the past 5yrs with no reaction. Used different manufacturer this year. 11/19/2007 MR received from neurologist for OV of 11/06/2007.  Pt presented with progressive muscle weakness x 3 days.  Pt first noted back pain and L arm pain with low grade fever and chills.  Pt then noted pain in thighs which interfered with walking and ability to climb stairs.  Achy sharp pain noted in forearms and weakness in hands bilat.  Difficulty with ADLs noted.  PE (+) for muscle weaknes in extremities bilat.  DTRs are decreased in arms and legs.  Sensation decreased in stocking-glove distribution bilat.  Mild walking difficulty. Txd with IVIG, PT and gait training. DX: Guillain-Barre Syndrome (AIDP). 1/19/2010 Able to ADL effortlessly. Continues to have muscles weakness and fatigue in legs and to lesser extent his arms.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: :  Patient reports that about 48 hours after the Zostivax injection, he started having pain and swelling.  He reports the upper and lower arm were both swollen and painful.  No fever or chills.  No bodyaches.  Appetite was fine.  He was still able to use the arm.  No numbness or tingling in that arm that was unusual.  He reports that despite waiting for the last 5 days, it seems to be getting worse.  Yesterday was the worst day for him.  It was more painful for him yesterday than even the first 48 hours.  No oozing or drainage.  No other vaccines at the time.  He did have chicken pox as a child.  This report was submitted due to amount of swelling at 5 days following vaccination - no evidence of infection/cellulitis.  Seems most consistent with large local but it still extends to lower arm and is 7X30 CM in size.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Cold compress therapy, Inflammation, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Localized pain, redness and swelling at injection site lasting 2 weeks. Presently still experiencing discomfort in the affected arm upon exertion. Using ibuprofen, cool compresses and avoiding muscle strain to minimize inflammation.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Injection site reaction- swelling, erythema, tenderness, warmth
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: Injection site reaction- swelling, erythema, tenderness, warmth
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Injection site rash, Rash papular
Clinical narrative: PAPULAR RASH BOTH THIGH AT INJECTION SITE WITH NO LOCALISED REDDNESS OR TENDERNESS
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Brain oedema, Chills, Diarrhoea, Dizziness
Clinical narrative: severe vomiting, diahrea, hallucinations, screaming, swelling of the brain, perforated ear drums, blood in ears, headache, weakness, heart palpations, dizziness, eyes sensitive to light, encephilitis, chills,severe shaking started approximately six hours after vaccine and some symptoms still continuing. 11/26/07-records received for DOS 10/26-10/28/07-DC DX: acute coronary syndrome, myocardial infarction ruled out. Presented to ED with 1-2 day HX of intermittent chest pain radiating to her neck and left arm. Diaphoretic, slightly short of breath.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Encephalitis, Hallucination, Headache, Hypersensitivity, Palpitations
Clinical narrative: severe vomiting, diahrea, hallucinations, screaming, swelling of the brain, perforated ear drums, blood in ears, headache, weakness, heart palpations, dizziness, eyes sensitive to light, encephilitis, chills,severe shaking started approximately six hours after vaccine and some symptoms still continuing. 11/26/07-records received for DOS 10/26-10/28/07-DC DX: acute coronary syndrome, myocardial infarction ruled out. Presented to ED with 1-2 day HX of intermittent chest pain radiating to her neck and left arm. Diaphoretic, slightly short of breath.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Photophobia, Screaming, Tremor, Tympanic membrane perforation, Vomiting
Clinical narrative: severe vomiting, diahrea, hallucinations, screaming, swelling of the brain, perforated ear drums, blood in ears, headache, weakness, heart palpations, dizziness, eyes sensitive to light, encephilitis, chills,severe shaking started approximately six hours after vaccine and some symptoms still continuing. 11/26/07-records received for DOS 10/26-10/28/07-DC DX: acute coronary syndrome, myocardial infarction ruled out. Presented to ED with 1-2 day HX of intermittent chest pain radiating to her neck and left arm. Diaphoretic, slightly short of breath.
Age: 62.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Pain, Pruritus
Clinical narrative: 11/5/07 PT. RECEIVED YELLO FEVER VACCINATION; 11/7-8 PT STATED "ITCHINESS" BEGAN; 11/11 PT REPORTS 6/10 "ACHINESS" AT INJECTION SITE WITH ERRYTHEMA AND PRURITUS. 11/11 PT NOTICED ARM WAS "FEVERISH" AND USED ICE PACKS TO SITE. LEFT OUTDER ARM CONTINUES TO BE WARM TO TOUCH WITH ERRYTHMA APPROX 2.5" X 2.5" AROUND INJECTION SITE. PT. DENIES FEVER, DIAPHORESIS, CHILLS, CHANGE IN MENTAL STATUS.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Inflammation, Limb discomfort, Sleep disorder
Clinical narrative: pt recieved influenza and pneumonia vaccine on 11/12/07. Pneumonia was administered in right deltoid muscle. Wife called on 11/13/07 & stated pts right arm was sore, red & inflammed and was also complaining of headache. She stated symptoms began last night and that patient did not sleep during the night. Wife was advised to give acetaminaphen or ibuprofen for discomfort. Also to treat injection site with warm compresses and give diphenhyramine to help relieve symptoms. Follow up at 5:00pm 11/13 patient was doing better, headache was gone and redness on arm was clearing.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: dizziness, aproximately 2 hours after injection.  It passed rather quickly.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site urticaria, Nausea, Pyrexia, Somnolence
Clinical narrative: Hive at the site of injection, high fever, sleepy,nauseated. Started evening of injection and became worse for 3 days. Used ice paks and rest and took tylenol.
Age: 62.0
Sex: F
Vaccine: FLUX, HEPAB, VARZOS
Symptoms: Erythema, Lip swelling, Rash, Rash macular, Swelling face
Clinical narrative: Had shingles vaccine shot at noon on Friday. Sunday evening noticed lots of red blotches on upper torso on left side,under arm, on breast and on front of both thighs, with a few red spots spread a little on the right shoulder and legs. Monday morning around 9:00 AM, left side of face and cheek was swollen and the red blotches were not raised welts. By 10:00 AM, upper lip was beginning to swell and by 11:00 was completely swollen over the lower lip. I had no problem with my throat or breathing. Went to an emergency clinic nearby to see the on-call doctor and he gave me a claritan pill and a prescription for a steroid, Prednisone. I took the first steroid pill at 1:00 PM and by evening the swelling was starting to go down.  Tuesday morning the swelling was almost completely gone and the red welts were pretty much gone. I took the second steroid pill and by afternoon I was pretty well cleared up. The doctor called the State Epidemiologist and felt that the reaction appeared to be a result of the shingles vaccine I had gotten Since I had had no change in my regular medications that I take for the last five years. He was just surprised that the reaction did not occur closer to the time I had the shot.
Age: 62.0
Sex: F
Vaccine: FLUX, HEPAB, VARZOS
Symptoms: Urticaria, Vaccination complication
Clinical narrative: Had shingles vaccine shot at noon on Friday. Sunday evening noticed lots of red blotches on upper torso on left side,under arm, on breast and on front of both thighs, with a few red spots spread a little on the right shoulder and legs. Monday morning around 9:00 AM, left side of face and cheek was swollen and the red blotches were not raised welts. By 10:00 AM, upper lip was beginning to swell and by 11:00 was completely swollen over the lower lip. I had no problem with my throat or breathing. Went to an emergency clinic nearby to see the on-call doctor and he gave me a claritan pill and a prescription for a steroid, Prednisone. I took the first steroid pill at 1:00 PM and by evening the swelling was starting to go down.  Tuesday morning the swelling was almost completely gone and the red welts were pretty much gone. I took the second steroid pill and by afternoon I was pretty well cleared up. The doctor called the State Epidemiologist and felt that the reaction appeared to be a result of the shingles vaccine I had gotten Since I had had no change in my regular medications that I take for the last five years. He was just surprised that the reaction did not occur closer to the time I had the shot.
Age: 1.06
Sex: M
Vaccine: FLUX, HEPA, MMR, VARCEL
Symptoms: Idiopathic thrombocytopenic purpura, Immunoglobulins, Petechiae, Platelet count decreased
Clinical narrative: Patient received his shots on Oct. 12, 2007. On Oct. 30, 2007 my husband and I noticed that he had a bruise and could not figure out how he got it. Then the next morning he had petechiae on his feet and legs.He also got another bruise between that night and morning. We took him to see Dr. He sent us to the Lab to get A CBC. His platelets were 6. He then called the Hospital and they told us to bring him on down there. 11/30/07-records received for DOS 10/31-11/207 and 11/4-11/6/07-DC DX: for both admissions:Idiopathic thrombocytopenic purpura. Anemia and Acute otitis media. Admitted for increasing bruising and low platelets. Increased bruising noted past 2 days. Prior to second admission fussy and pulling at his eat. Treated with WinRho and IVIG.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: Golf ball sized, circular, red rash at sight of injection.  Slightly warm & slightly hard upon palpation.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Onset of fever, chills, myalgia on 11/3/07 at approx. 11:00am.  Left upper arm painful, red & swollen.  Ibuprofen 400 mg prn fever, myalgias & hot packs to area.  Rociphin 1000 mg IM on 11-5-07, Bactrim DS 900 mg BID x10 days.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Onset of fever, chills, myalgia on 11/3/07 at approx. 11:00am.  Left upper arm painful, red & swollen.  Ibuprofen 400 mg prn fever, myalgias & hot packs to area.  Rociphin 1000 mg IM on 11-5-07, Bactrim DS 900 mg BID x10 days.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Echocardiogram normal, Electroencephalogram normal, Neurological examination, Shock
Clinical narrative: Shock like syndrome.  Tx observation in hospital.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, X-ray limb
Clinical narrative: Area around injection site swelling up, was red & hot & tense posteriorly as well as anteriorly.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: X-ray normal
Clinical narrative: Area around injection site swelling up, was red & hot & tense posteriorly as well as anteriorly.
Age: 70.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Low grade fever, swelling to Lt arm, increased redness and heat to site.
Age: 38.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Oedema mouth, Pharyngeal oedema, Swollen tongue
Clinical narrative: Throat, mouth, and tongue swelled.  Took 2 Benadryl 50 mg total.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Ear pain, Headache, Pharyngolaryngeal pain
Clinical narrative: 1/2 hour post-vaccination 0340-0410 headache, sore throat, sore ears, chills.  FU 0500 dizzy, headache, no sore throat/ears/chills.  Is recovering.
Age: 62.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Blister, Erythema, Oedema peripheral
Clinical narrative: Left forearm blisters (3), swelling, red areas-skin.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Patient is experiencing numbness from tip of thumb to forefinger of left hand (vaccine was administered to left arm).
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Injection site swelling, Pallor, Pruritus generalised
Clinical narrative: 10 minutes after vaccinated c/o large swelling at RD (injection site), hives spread to RLE, LUE, c/o itching all over body, c/o HA, pale and coughing.  Called 911, epinephrine 1:1000 (1/2 cc IM at LD), transferred to ER.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 10 minutes after vaccinated c/o large swelling at RD (injection site), hives spread to RLE, LUE, c/o itching all over body, c/o HA, pale and coughing.  Called 911, epinephrine 1:1000 (1/2 cc IM at LD), transferred to ER.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Medication error, Wrong drug administered
Clinical narrative: No adverse events following vaccine.  Pt. turned 65 9/1/07, given Tdap instead of Td on 9/26/07.
Age: 1.2
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Restlessness, Rhinorrhoea, Varicella
Clinical narrative: Physician diagnosed varicella on 10/15/07.  10/15/07-Fever, restless, runny nose x2 days.  10/24/07-4 pox marks currently with scabs.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Red, painful & itchy injection sites that has continued for several days.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Hypersensitivity, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Hurting within couple of hours of injection, could not walk, seen in office 11/12/07.  Lt swollen to just below knee/tense, warm on L lateral quadrant, below inj. site.  Red-felt to be allergic phenomenon.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Hurting within couple of hours of injection, could not walk, seen in office 11/12/07.  Lt swollen to just below knee/tense, warm on L lateral quadrant, below inj. site.  Red-felt to be allergic phenomenon.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure normal, Dizziness, Headache, Heart rate normal, Immediate post-injection reaction
Clinical narrative: Immediately after flu shot , felt lightheaded then headache and nauseous Headache and nausea persisted for about 4 hrs until had felt good and next.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Immediately after flu shot , felt lightheaded then headache and nauseous Headache and nausea persisted for about 4 hrs until had felt good and next.
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Head discomfort, Injection site pain, Pain
Clinical narrative: Dizzy, head felt really heavy - the rest of the night my arm where I got the shot started throbbing; Next day felt better but my arm was still throbbing
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Pt c/o chills, fever, nausea and dizziness/faint, total body aches about 5 hrs as described per patient.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Pt c/o chills, fever, nausea and dizziness/faint, total body aches about 5 hrs as described per patient.
Age: 1.5
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: Had DTaP, Hib vaccines at left thigh on 11-1-07.  Patient came back to office 11-03-07 with area of redness 7 cm x 4 cm at area where injections given.
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Oedema peripheral, Pyrexia, Rash generalised, Swelling face
Clinical narrative: FluMist 11/8.  11/9 whole body rash, temp 101.8, puffy face, hands & feet.  11/11 temp 104 & continued rash.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Palpitations, Paraesthesia, Sinus congestion, Throat tightness
Clinical narrative: Within 8 minutes of the vaccination - throat muscles began clenching, sinuses became stuffy with some difficulty breathing, toes tingling, heart racing - Blood Pressure checked - 122/82. Took Benadryl - 3 doses through evening hours
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Lethargy
Clinical narrative: Swelling of right arm, pain.  Patient became lethargic.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Large right arm area swelling to elbow.  Pain into the hand.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count normal, Laboratory test, Myalgia, Pyrexia
Clinical narrative: Within hours of receiving flu vaccine, patient began running a fever (up to 102 degrees F) and having muscle aches.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Electromyogram abnormal, Neuralgic amyotrophy, Neurological examination abnormal, Pain in extremity
Clinical narrative: 10-15-07 - Flu Shot - High School; 10-16-07 - Loss of strength in right arm, fingers tingly; 10-17-07 - Arm very achey. Went to Primary Care Doctor. If not better would make referral; 10-18-07 - Saw neurologist; 11-7-07 - EMG - neuralgic amypotrophy Parsonage Turner - Arm, shoulder hand, fingers right chest; EMG - 11-8-07 - Parsonage-Turner
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: 10-15-07 - Flu Shot - High School; 10-16-07 - Loss of strength in right arm, fingers tingly; 10-17-07 - Arm very achey. Went to Primary Care Doctor. If not better would make referral; 10-18-07 - Saw neurologist; 11-7-07 - EMG - neuralgic amypotrophy Parsonage Turner - Arm, shoulder hand, fingers right chest; EMG - 11-8-07 - Parsonage-Turner
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing
Clinical narrative: Severe flushing approximately 2 hours after shot given.  Lasted about 18 hours and no treatment necessary.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Dyspnoea, Hypoaesthesia oral, Pruritus, Throat tightness
Clinical narrative: ITCHING ON FACE, CHEST, ARMS. THROAT FELT TIGHT, AND CHEST TIGHT, TONGUE NUMB. PATIENT RETURNED TO THE ER THE SAME EVENING COMPLAINED OF SHORTNESS OF BREATH, TIGHTENING IN THROAT. VACCINE ADMINISTERED WAS GARDISIL (HPV) MFG MERK
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Induration, Insomnia, Local reaction, Pain in extremity
Clinical narrative: Had shots about 4:15pm 10/31/07.  Had difficulty sleeping that night due to arm pain.  11/1-got up about 8am.  R delt very sore, felt hard when pushed arm.  Did some household chores, got a shower about 1:30pm.  When stepped out right delt-inner area slightly pink & very tender to touch.  At 2:30pm was seen by Dr. at clinic where I work.  He called it "a large local hypersensitivity", told me to take Benadryl as directed, continue my Allegra & to use ibuprofen 600 mg Q 6 hrs.  On 11/2 at about 2pm Dr. re-evaluated my right upper arm. The pink area had increased to nearly wrapping the diameter of my arm, was warm to touch & still very painful in spite of doing as previously directed.  At this point the area was traced around, I was advised to continue with Benadryl & ibuprofen.  However he gave me a script for Keflex 500 mg once TID x10 days, told me if pink area continued over ink lines on 11/3 I was to start ATB.  I actually started Keflex about 6pm 11/2.  When I got home that night, the pink area had already moved beyond the pen lines in several directions, moving towards shoulder & elbow joints as well as completely wrapping around upper arm.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Skin discolouration, Skin warm, Tenderness
Clinical narrative: Had shots about 4:15pm 10/31/07.  Had difficulty sleeping that night due to arm pain.  11/1-got up about 8am.  R delt very sore, felt hard when pushed arm.  Did some household chores, got a shower about 1:30pm.  When stepped out right delt-inner area slightly pink & very tender to touch.  At 2:30pm was seen by Dr. at clinic where I work.  He called it "a large local hypersensitivity", told me to take Benadryl as directed, continue my Allegra & to use ibuprofen 600 mg Q 6 hrs.  On 11/2 at about 2pm Dr. re-evaluated my right upper arm. The pink area had increased to nearly wrapping the diameter of my arm, was warm to touch & still very painful in spite of doing as previously directed.  At this point the area was traced around, I was advised to continue with Benadryl & ibuprofen.  However he gave me a script for Keflex 500 mg once TID x10 days, told me if pink area continued over ink lines on 11/3 I was to start ATB.  I actually started Keflex about 6pm 11/2.  When I got home that night, the pink area had already moved beyond the pen lines in several directions, moving towards shoulder & elbow joints as well as completely wrapping around upper arm.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, muscle aches approx 4 1/2 hrs. after receiving injection.  No SOB, no chest pain or wheezing.  Sx had passed by morning.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Diarrhoea, Faeces discoloured, Oral intake reduced, Pyrexia
Clinical narrative: Vomiting, diarrhea-stool which is described as green, crying episodes where feet are brought up to the abdomen and is okay between these episodes, poor breast feeding, fever.  Onset of symptoms is reported as sudden, onset was yesterday, symptoms are improved.  Complaint is resolved.  9 week old male born 38 weeks C-section was in NICU s/p birth because of aspiration pneumonia/pulmonary hypertension presents to the ED today with diarrhea.  He has a history of GERD and is on Prevacid 15 mg BID.  Patient got Rotavirus vaccine and 2 month vaccinations on Wednesday.  Wednesday night into Thursday he had a slight fever to 100 which mom treated with Tylenol.  On Friday morning he started to have slimy green and foamy stools.  All last night mom says he cried and would rest for 10 mins and start crying again.  During these episodes he would scrunch his legs up to his chest.  He is breast feeding well, urinating well.  He has no runny nose, cough, vomiting.  Mom contacted PMD who referred her here to get evaluated.  Family is traveling on Monday and also daughter has a history of bowel obstruction after emphalocele repair.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Vomiting, diarrhea-stool which is described as green, crying episodes where feet are brought up to the abdomen and is okay between these episodes, poor breast feeding, fever.  Onset of symptoms is reported as sudden, onset was yesterday, symptoms are improved.  Complaint is resolved.  9 week old male born 38 weeks C-section was in NICU s/p birth because of aspiration pneumonia/pulmonary hypertension presents to the ED today with diarrhea.  He has a history of GERD and is on Prevacid 15 mg BID.  Patient got Rotavirus vaccine and 2 month vaccinations on Wednesday.  Wednesday night into Thursday he had a slight fever to 100 which mom treated with Tylenol.  On Friday morning he started to have slimy green and foamy stools.  All last night mom says he cried and would rest for 10 mins and start crying again.  During these episodes he would scrunch his legs up to his chest.  He is breast feeding well, urinating well.  He has no runny nose, cough, vomiting.  Mom contacted PMD who referred her here to get evaluated.  Family is traveling on Monday and also daughter has a history of bowel obstruction after emphalocele repair.
Age: 1.1
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Mother called - c/o vomiting & increased fever since early am today (11-6-07).
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Blood creatine phosphokinase increased, Gait disturbance, Muscular weakness, Myalgia
Clinical narrative: Patient developed increasing muscle weakness and pain 2-5 days following vaccine making it difficult to walk, type, write, and perform daily activities. All labs were normal except for very elevated creatine kinase, myoglobim, and adolase. One week from vaccine, back to normal.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Myoglobin blood increased
Clinical narrative: Patient developed increasing muscle weakness and pain 2-5 days following vaccine making it difficult to walk, type, write, and perform daily activities. All labs were normal except for very elevated creatine kinase, myoglobim, and adolase. One week from vaccine, back to normal.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Drug hypersensitivity, Headache, Nausea, Neck pain
Clinical narrative: Headache night before (11/5/07), felt fainty.  The next A.M. headache was severe, neck hurting, nausea, dizzy.  All symptoms were still present at 11:30 A.M.  11/6/07 when she came in to be seen by doctor.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness L anterior chest.  Numbness/tingling R groin radiating down R inner thigh.  Intermittent onset night after vaccine.  BP 152/92.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The area ached, red, hot to the touch, swollen and a bump around the injection site that was about 2 1/2 inches long.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster left arm 8/07.
Age: 0.24
Sex: F
Vaccine: DTAPHEPBIP, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Received rotavirus vaccine 10/26/07 10am.  Developed vomited 13 hours later; by following am vomiting, diarrhea, V only 2 ti, H20y stools x1 wk, profuse diarrhea 3-4 ti/day.  Tolerated PO intake OK, called PCP x2, was told diarrhea not a SE, 2nd call not returned.  Discussed SE of vaccine with pt., discussed risks vs benefits.  Gave vaccine websites & # to CDC.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Localised oedema, Myalgia, Pyrexia
Clinical narrative: Erythema, localized edema, fever, soreness x4 days.
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient states rash started within 3 days, rash with itching, patient describes rash as round, raised areas of redness with the biggest area being the size of a quarter.  Rash on chest, 1-2 spots on upper back and 1 small spot on arm.  Patient states no fever or trouble breathing.  Patient saw doctor and was given an antibiotic.
Age: 2.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash generalised
Clinical narrative: 11/2/07 tc from mom.  8 days after shots (10/25/07) child developed rash on chest, back, arms face.  On day 10 after shots, child developed diarrhea and fever of 100 degrees.  11/5/07 f/u phone call to mom.  Child getting better, rash fading.  She did not take child to MD.
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Injection site urticaria, No reaction on previous exposure to drug, Urticaria
Clinical narrative: 11/1/07 mother of above said child seen thru clinic.  Verb. last vaccines given child had few areas on L thigh, on 5th day after.  By 6th day full blown hives, no resp. problems, no fever.  Hives cleared with Benadryl.  Hives lasting 5 days.  F/u with physician with stated possible from MMR.  No previous comp/problems with any prior vaccines.  Vaccines on this date of 8/17/07 given were MMR, VZV, Hep A & Hib.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness, swelling at injection site.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Condition aggravated, Guillain-Barre syndrome, Paralysis, Plasmapheresis
Clinical narrative: Initial (with VAERS reference # 238279) received on 23 November 2006 from CDC, who had received the report from patient in March 2005. An 81 year old male patient received on 10 November 2004 Fluzone (lot# U1479AA) and 2 days after developed an exacerbation of [[name]] Barren Syndrome as a severe reaction, with weakness throughout body. On November 15, 2004, the patient saw private medical doctor and was prescribed prednisone 60mg [for] one month. Hospital reports indicated that the patient had been on prednisone and tapered off his steroids by himself "recently". The patient was admitted to a hospital. The patient received 5 days of plasma exchange and continued with prednisone. The patient had returned to his baseline prior to influenza shot. Concomitant vaccines and prior exposure to Fluzone were not reported. The patient medical history included initial bout of [[name]] Barre Syndrome which occurred about 23 March 2003. The patient experienced total body paralysis and was on a ventilator for 5 days at another hospital. On about 20 [[name]] 2004 the patient had a relapse with full body paralysis again. Hospital discharge summary and laboratory results are available upon request.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Ultrasound Doppler, Visual disturbance, Visual field tests abnormal
Clinical narrative: Initial report received on 14 November 2006 from a health care professional.  A 39-year-old female patient, who was taking Prozac, Wellbutrin, Advair, and Tylenol; and who is allergic to aspirin, had received a left deltoid dose of FLUZONE SV '2006-'2007 USP, lot number U2240AA, on 12 September 2006.  The route of administration was not reported.  Immediately following the vaccination, the patient was lightheaded, faint, and had dizziness.  Treatment received was not reported.  That evening post-immunization, the patient began to have right eye visual disturbances, right eye floaters, and had blind visual field in the right eye.  Diagnostics and treatments received were not reported.  Forty-three days later, the patient had a carotid ultrasound that was within normal limits.  Thirteen days later, the patient had a visual field test that was within normal limits.  The patient has not recovered from these adverse events.  Nineteen days prior to the vaccination on 12 September 2006, the patient had a deltoid dose of Vaqta, manufacturer Merck, lot number 01445, on 24 August 2006.  The route of administration was not reported.  A corrective version of this case was created in order to remove the term "seriousness criteria: other - medically significant" from the patient outcome screen.  This case is considered as non-serious.  No new medical information was obtained.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Visual field tests normal, Vitreous floaters
Clinical narrative: Initial report received on 14 November 2006 from a health care professional.  A 39-year-old female patient, who was taking Prozac, Wellbutrin, Advair, and Tylenol; and who is allergic to aspirin, had received a left deltoid dose of FLUZONE SV '2006-'2007 USP, lot number U2240AA, on 12 September 2006.  The route of administration was not reported.  Immediately following the vaccination, the patient was lightheaded, faint, and had dizziness.  Treatment received was not reported.  That evening post-immunization, the patient began to have right eye visual disturbances, right eye floaters, and had blind visual field in the right eye.  Diagnostics and treatments received were not reported.  Forty-three days later, the patient had a carotid ultrasound that was within normal limits.  Thirteen days later, the patient had a visual field test that was within normal limits.  The patient has not recovered from these adverse events.  Nineteen days prior to the vaccination on 12 September 2006, the patient had a deltoid dose of Vaqta, manufacturer Merck, lot number 01445, on 24 August 2006.  The route of administration was not reported.  A corrective version of this case was created in order to remove the term "seriousness criteria: other - medically significant" from the patient outcome screen.  This case is considered as non-serious.  No new medical information was obtained.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Dizziness, Muscular weakness
Clinical narrative: Initial report received on 16 October 2006 from the patient. A 73-year-old male patient, with a history of cardiomyopathy, osteoporosis, and "arthrostatic tremors", had received an intramuscular, left arm injection of Fluzone SV 2006-2007, lot number U2177AA, on 29 September 2006. Three hours post-vaccination, he experienced confusion and felt as though his "brain didn't function. " He was also lightheaded, dizzy, and his legs were extremely weak. Per the reporter, "now legs are collapsing." The event did not require examination by a physician. At the time of this report, the patient had recovered.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctivitis, Cough, Eye irritation, Headache, Myalgia
Clinical narrative: Initial report received on 25 October 2006 from a health care professional.  A 34-year-old female patient, with no current illnesses, and allergies to trees, grass, and mold, had received a first dose, right deltoid, intra-muscular injection of FLUZONE SV '2006-'2007 USP, lot number U2213AA, on 20 October 2006 at 14:30 pm.  Approximately five and a half hours post-immunization, at 20:00 pm, the patient developed bilateral conjunctivitis with bright red eyes, burning in both eyes but no discharge or pus.  This lasted less than 24 hours.  She also had a cough, headache, muscle aches, and fever.  She did not take her temperature.  The patient did not seek medical attention, and no diagnostic tests or laboratory data were performed.  At the time of this report, the patient had recovered from these adverse events.  Follow-up information received on 14 December 2006.  The patient did not have any other vaccine within 4 weeks of Fluzone and she did not have any illness at the time of vaccination.  The patient did not seek medical attention, therefore, she was not diagnosed with conjunctivitis.  The symptoms lasted for 24 hours after the vaccine was administered, she recovered on 21 October 2006.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pyrexia
Clinical narrative: Initial report received on 25 October 2006 from a health care professional.  A 34-year-old female patient, with no current illnesses, and allergies to trees, grass, and mold, had received a first dose, right deltoid, intra-muscular injection of FLUZONE SV '2006-'2007 USP, lot number U2213AA, on 20 October 2006 at 14:30 pm.  Approximately five and a half hours post-immunization, at 20:00 pm, the patient developed bilateral conjunctivitis with bright red eyes, burning in both eyes but no discharge or pus.  This lasted less than 24 hours.  She also had a cough, headache, muscle aches, and fever.  She did not take her temperature.  The patient did not seek medical attention, and no diagnostic tests or laboratory data were performed.  At the time of this report, the patient had recovered from these adverse events.  Follow-up information received on 14 December 2006.  The patient did not have any other vaccine within 4 weeks of Fluzone and she did not have any illness at the time of vaccination.  The patient did not seek medical attention, therefore, she was not diagnosed with conjunctivitis.  The symptoms lasted for 24 hours after the vaccine was administered, she recovered on 21 October 2006.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pain in extremity, Palpitations
Clinical narrative: Initial report received from a nurse on 07 November 2006.  A 48 year old, female patient experienced a sore arm, periodic heart palpitations and slight shortness of breath, after she received Fluzone (lot number U2241AA) intramuscularly in the left arm on 06 November 2006.  Approx. 11 years ago, she had the same symptoms with post partum hyperthyroid problem.  It was unknown how many doses of flu vaccines she received in the past.  The vaccine was given at approx. 12 noon with no problems, except a sore arm until approx "dinner time" then complaints of periodic heart palpitations "like (she) just ran a marathon", slight shortness of breath continued off and on through the next day.  The patient had no other symptoms and no treatment.  It was reported the patient recovered.  She was not on any other medications and did not have any illness at the time of vaccination.  Follow-up information received on 15 December 2006.  The reporter stated the episodes lasted for approximately 1 week and the patient has had none since.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Accidental exposure, Device leakage, Incorrect dose administered, Pain in extremity
Clinical narrative: Initial report received from a health care professional on 13 November 2006.  A 32 year old, female patient experienced arm pain after she received Fluzone (lot number U2240AA) in the left deltoid on 27 October 2006.  The Fluzone leaked at the side of the syringe (BD Integra) where the needle attaches.  The vaccine dripped down the patient's arm and got on her face.  The 0.3 mL (adjusted dose) was then readministered.  As per the reporter, the patient recovered, except for the arm pain.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough
Clinical narrative: Initial report received from a nurse on 29 November 2006.  A 57 year old, female patient (with a medial history of exercised induced asthma) experienced cough and tightness in the chest, 4 days after she received in intramuscular injection of Fluzone (lot number U2240AA) in the left deltoid on 20 October 2006.  She was administered 2 puffs of albuterol inhaler and 25 mg PO Benadryl.  She did not have any illness at the time of vaccination.  The symptoms resolved and the patient recovered.  Follow-up information received on 30 April 2007.  The patient experienced the symptoms 3 hours after the received Fluzone.  She self administered the albuterol inhaler and Benadryl PO and had immediate relief.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Initial report received from a pharmacist on 30 November 2006.  A 50 year old, female patient developed swelling in the neck area - gland, tender and swollen to walnut size, 1 hour after she received an intramuscular injection of Fluzone (lot number U2213AA0 in the left arm on 29 November 2006.  The swelling was diminished the next day but was still swollen and tender.  She did not have any known allergies and did not have any illness at the time of vaccination.  At the time of the report, the patient's outcome was not reported.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Flushing, Immediate post-injection reaction, Induration
Clinical narrative: A non-serious case was received from a consumer on 07 June 2007.  A 48-year-old female patient with a history of Sulfa allergy had received an intramuscular right arm injection of Fluzone 2006-2007 (U2237AA) on an unknown date.  Immediately following the injection, the consumer experienced swelling "the size of a softball", and also reported that the area became "reddened and firm".  She denied pruritus.  Ice was immediately applied to the area, and the swelling decreased within an hour and resolved completely "after a few days".  She denied any other symptoms, and stated that she had received Fluzone in the past.  The consumer also reported this event elsewhere.  Follow-up information received from the vaccine provider on 06 July 2007.  The patient received an intramuscular right deltoid injection of Fluzone on 20 October 2006 at 8:15AM.  She experienced immediate swelling and discoloration at the injection site.  Swelling continued for approximately 40 minutes.  The entire upper arm, from shoulder to elbow, became swollen.  The patient's face and neck flushed bright red and she experienced lightheadedness and a tingling sensation of arm and fingers.  All symptoms resolved within 90 minutes.  The patient had no illness at the time of vaccination.  She had not received any other vaccinations within the four weeks prior to this Fluzone vaccination.  The patient had received two previous doses of Fluzone.  The reporter indicated that no additional information was available at the time of this report.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Oedema peripheral, Paraesthesia
Clinical narrative: A non-serious case was received from a consumer on 07 June 2007.  A 48-year-old female patient with a history of Sulfa allergy had received an intramuscular right arm injection of Fluzone 2006-2007 (U2237AA) on an unknown date.  Immediately following the injection, the consumer experienced swelling "the size of a softball", and also reported that the area became "reddened and firm".  She denied pruritus.  Ice was immediately applied to the area, and the swelling decreased within an hour and resolved completely "after a few days".  She denied any other symptoms, and stated that she had received Fluzone in the past.  The consumer also reported this event elsewhere.  Follow-up information received from the vaccine provider on 06 July 2007.  The patient received an intramuscular right deltoid injection of Fluzone on 20 October 2006 at 8:15AM.  She experienced immediate swelling and discoloration at the injection site.  Swelling continued for approximately 40 minutes.  The entire upper arm, from shoulder to elbow, became swollen.  The patient's face and neck flushed bright red and she experienced lightheadedness and a tingling sensation of arm and fingers.  All symptoms resolved within 90 minutes.  The patient had no illness at the time of vaccination.  She had not received any other vaccinations within the four weeks prior to this Fluzone vaccination.  The patient had received two previous doses of Fluzone.  The reporter indicated that no additional information was available at the time of this report.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Feeling hot, Injection site bruising, Injection site erythema, Injection site induration
Clinical narrative: Initial report received from a physician on 02 November 2006. An 17 year old, male patient felt warm on the eve of his vaccination with Adacel (lot number C2609AA, route of administration not reported) in the right deltoid on 26 October 2006. At his visit to the ER on 29 October 2006, he had 10 x 5 cm local redness, induration, and slight bruising was present on his right deltoid. The diagnosis was cellulitis and antibiotics were prescribed. He visited his doctor on 30 October 2006-the redness/induration were resolving but not completely gone. He had his last vaccine at 4-6 years old and he did not have any illness at the time of vaccination. The doctor was unsure of the needle length used. At the time of this report, the patient was not recovered. Follow-up information received from the initial reporting physician on 27 November 2006: The patient was fully recovered. The patient received Flu vaccine (Sanofi) into the other arm in the past 4 weeks prior to vaccination with Adacel. No other medications were taken at vaccination time. No illness at vaccination time.