chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Antinuclear antibody negative, Arthropod bite, Asthenia, Autoimmune thrombocytopenia, Chills
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Cough, Crying, Dehydration, Depressed mood, Depression
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Ear pain, Essential hypertension, Fatigue, Fear
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: HIV test negative, Haematocrit normal, Haemoglobin normal, Headache, Helicobacter test negative
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Hepatitis C test negative, Insomnia, Iron deficiency, Joint swelling, Lymphadenopathy
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Lymphocyte count normal, Lymphocyte percentage, Malaise, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Musculoskeletal pain, Nasopharyngitis, Nausea, Nervousness, Oropharyngeal pain
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Platelet count decreased, Pyrexia, Red blood cell count normal, Sputum purulent, Thrombocytopenia
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Upper respiratory tract infection, Vaccination site pain, Viral infection, Vomiting, Vulvovaginal candidiasis
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: White blood cell count increased
Clinical narrative: This employee reported being in good health prior to receipt of AVA vaccine on 2/16/2009. Day 1 after vaccination she stated she just didn't feel well and had a sore arm to vaccine site. She reported she was nervous, scared and crying as this was her first trip. Day 2 she left the country. Once there she noted bilateral ankle swelling, had a nonproductive cough, fever, felt dizzy and nauseous. Her recall of exact events was vague prompting a comprehensive medical record review. Regarding her current complaints, her records document medical care x 7 from 3/2/2009 to 4/23/2009 with recurrent complaints of chills-fevers (101.8F), frontal headache, bilateral earache, sore throat, swollen neck glands and a cough with purulent green sputum, nausea and vomiting. She was diagnosed with upper respiratory infection, viral syndrome, and common cold. Treatment included use of Z-PAK, Amoxicillin, MUCINEX-D, TYLENOL, ULTRAM, ADVIL, FIORICET and ZOFRAN. On 3/31/2009 she was treated with IV ZOFRAN and 2000 cc NS for dehydration secondary to vomiting x5 in 24 hours (temp 99-101 F and no labs or diagnostic studies identified). Meanwhile between sick calls, she was able to perform required duties without restrictions. She stated it took about 3-4 months for above symptoms to resolve. However she continued to require AMBIEN for insomnia (treated x 3 between May-July 2009). Other treatment in late 2009 included treatment for spider bite (8/2009) and essential hypertension (10/2009). In February 2010 while on R and R, she reported she "felt down" - lack of energy, tired and was found to have a low platelet count (70,000). She reported further examination was reported to be normal and she returned. Follow up for low platelets was found on 7/30/2010 listing the following labs: WBC 11.1; RBC 4.52, Hgb 12.6, Hct 39.6, MCH 27.8, MCHC 31.8, Platelets 70, LY% 23, LY# 2.5. She reported to this provider a history of easy bruising, but no fatigue, menorrhagia, or family history of blood dyscrasias. She was diagnosed with asymptomatic thrombocytopenia and candidiasis vaginal. She reported she would follow up with provider in 3 weeks. (No medical records available to this provider). She advised she is seeing an Oncologist. The only records received from this facility were on 9/4/13 visit where MD listed her ITP cause as "unclear with negative work up for hepatitis C, HIV, H. Pylori, and ANA. His note discussed a review of a few reported cases of ITP with MMR vaccine but none for AVA". He lists her diagnoses on 9/4/2013 as thrombocytopenia, immune medicated; musculoskeletal pain, iron deficiency, mild hypertension and depression. Recommendations included discussion on use of prednisone, IVIG, N-plate injections, RITUXAN and splenectomy; psych evaluation and starting antidepressants and anxiolytic drugs.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Limb discomfort, Malaise, Pain, Swelling
Clinical narrative: Noticed pain last night. This morning a little red but redness has gotten worse Lt arm discomfort in arm. Able to raise arm. Not feeling well. Seened by PAC needs to elevate Lt arm, use ice, ibuprofen or ALEVE. Flu on 12-20-13. Lt arm better, decreased redness, decreased swelling.
Age: 0.5
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Drug administered at inappropriate site, Injection site rash, Local reaction
Clinical narrative: This case was reported by a physician, via a GSK representative, and described the occurrence of injection site rash in a 6-month-old subject of unspecified gender who was vaccinated with PEDIARIX (GlaxoSmithKline) on an unspecified date the subject received unspecified dose of PEDIARIX (unknown route, right arm), and experienced vaccine administered at inappropriate site (arm rather than thigh as indicated). At an unspecified time after vaccination with PEDIARIX, the subject experienced "rash on right arm" (injection site rash). The event was reported as a local injection site reaction. At the time of reporting the outcome of the event was unspecified. The physician considered the event of injection site rash probably related to vaccination with PEDIARIX.
Age: 70.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Urticaria
Clinical narrative: Client received Tdap and Hep B vaccine. Developed hives the next day after receiving the shots.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Incisional drainage, Injection site mass, Laboratory test, Local reaction
Clinical narrative: Initial report received from a healthcare professional on 09 November 2013. A 60-year-old male patient had received a dose of FLUZONE Intradermal, (batch number, dose number, route and site of administration not reported) on 29 October 2013. The patient's medical history and concomitant medications were not reported. On 31 October 2013, the patient came back into the office to have the local reaction looked at. The patient had a large local reaction that was blistering and had to be drained. The patient had a high fever, vomiting, and became unconscious while in the office. The patient was then admitted to the hospital. The patient is now doing better, but still has a lump where the shot was administered. Laboratory details and corrective treatments were not reported. At the time of this report, the outcome was unknown. Documents held by sender: none. Upon second medical examination of the case on 19 December 2013 it was found that the Clock Start Date of the case was wrongly captured and was thus changed to 12 December 2013.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness, Pyrexia, Vomiting
Clinical narrative: Initial report received from a healthcare professional on 09 November 2013. A 60-year-old male patient had received a dose of FLUZONE Intradermal, (batch number, dose number, route and site of administration not reported) on 29 October 2013. The patient's medical history and concomitant medications were not reported. On 31 October 2013, the patient came back into the office to have the local reaction looked at. The patient had a large local reaction that was blistering and had to be drained. The patient had a high fever, vomiting, and became unconscious while in the office. The patient was then admitted to the hospital. The patient is now doing better, but still has a lump where the shot was administered. Laboratory details and corrective treatments were not reported. At the time of this report, the outcome was unknown. Documents held by sender: none. Upon second medical examination of the case on 19 December 2013 it was found that the Clock Start Date of the case was wrongly captured and was thus changed to 12 December 2013.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Headache
Clinical narrative: Headache and temperature elevated during the 36 hours after the vaccination.  Temperaure was as high as 105F. Used Tylenol, Ibuprofen, and cool baths to control temperature.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Nausea, Oral pruritus, Oropharyngeal pain
Clinical narrative: CLIENT SAID SHE WAS FEELING NAUSOUS AND LIGHTHEADED AT 5:25PM, SHE LAID FLAT ON A MAT. SHE SAID IT HELPED HER A LITTLE. AT ABOUT 6:00PM SHE ASKED FOR A SIP OF WATER BECAUSE HER THROAT WAS HURTING. THE CLIENT WAS ASKED IF SHE HAD TROUBLE BREATHING SHE SAID JUST A LITTLE. HER VITALS WERE NORMAL, 20 MINUTES LATER THERE WAS NO CHANGE. SHE SAID IT WAS ABOUT THE SAME. CLIENT HAD ITCHING OF HER MOUTH IT WAS DECIDED SHE GO TO EMERGENCY. THE MOTHER DECIDED TO TAKE HER TO THE HOSPITAL NO MEDICINE WAS GIVEN. THE NEXT DAY THE CLIENTS MOTHER CALLED AND SPOKE WITH THE MANAGER OF THE CLINIC AND STATED THAT CLIENT WAS GIVEN SOME MEDICATION BY THE EMERGENCY ROOM  FOR THE NAUSEA AND FOR PAIN AND WAS RESTING AT HOME.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: CLIENT SAID SHE WAS FEELING NAUSOUS AND LIGHTHEADED AT 5:25PM, SHE LAID FLAT ON A MAT. SHE SAID IT HELPED HER A LITTLE. AT ABOUT 6:00PM SHE ASKED FOR A SIP OF WATER BECAUSE HER THROAT WAS HURTING. THE CLIENT WAS ASKED IF SHE HAD TROUBLE BREATHING SHE SAID JUST A LITTLE. HER VITALS WERE NORMAL, 20 MINUTES LATER THERE WAS NO CHANGE. SHE SAID IT WAS ABOUT THE SAME. CLIENT HAD ITCHING OF HER MOUTH IT WAS DECIDED SHE GO TO EMERGENCY. THE MOTHER DECIDED TO TAKE HER TO THE HOSPITAL NO MEDICINE WAS GIVEN. THE NEXT DAY THE CLIENTS MOTHER CALLED AND SPOKE WITH THE MANAGER OF THE CLINIC AND STATED THAT CLIENT WAS GIVEN SOME MEDICATION BY THE EMERGENCY ROOM  FOR THE NAUSEA AND FOR PAIN AND WAS RESTING AT HOME.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report as received from an approximately currently 68 year old patient of unknown gender, reporting on him/herself. In 2011 the patient was vaccinated with ZOSTAVAX (route, dosage, dose no, and lot no. unknown). In September 2013 (reported as: this past September) the patient got the shingles. The outcome of got the shingles was unknown. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Swollen tongue, Throat tightness
Clinical narrative: Tight Throat; Complaint of enlarged tongue.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza virus test negative, Laboratory test normal, Pyrexia, Tremor, Vaccination complication
Clinical narrative: Patient had a high fever accompanied with shaking.  Attributed it to the flu shot.  She received a pneumonia shot as well.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site pain, Musculoskeletal pain
Clinical narrative: Painful injection, headaches and painful shoulder for 3 weeks after injection. Patient treated with 500mg acetaminophen.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Blepharospasm, Fall, Muscular weakness
Clinical narrative: Significant twitching of left eye and severe pain and weakness in a previous injured knee.  Fell almost 2x.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Activities of daily living impaired, Axillary pain, Chills, Feeling abnormal, Injection site erythema
Clinical narrative: ON 12/16/2013, PATIENT CAME IN FOR ANNUAL SEEN BY NURSE PRACTITIONER AND RECEIVED PNEUMOCOCCAL VACCINE. ON 12/18, PATIENT PHONED THE OFFICE, 10AM, STATING SHE GOT A REACTION TOWARDS THE PNEUMOVAX VACCINE. SHE WAS DOING WELL IN THE MORNING BEFORE AND AFTER THE SHOT BUT SLOWLY THROUGH THE THE DAY SHE FELT BAD W/CHILLS, ARM PAIN (BUT SHE HAS HAD A HEAD COLD). SHE NEEDED HELP TO GET DRESSED THE EVENING OF THE SHOT AND THE DAY AFTER THE SHOT. SHE STATED THERE WAS A RED STREAK THAT WAS HURTING ACROSS HER DELTOID TO THE AXILLA. WHENEVER THERE WAS MOVEMENT THE PATIENT COMPLAINED OF PAIN ON A SCALE OF 1 TO 10 THAT THE PAIN WAS A 5 AND WITH NO MOVEMENT IT WAS A 2. LAST TIME THE PATIENT HAD A STREAK EVERYONE WAS EXCITED AND THOUGHT SHE SHOULD BE SEEN. SHE'S BEEN TAKING IBUPROFEN. PER NURSE PRACTITIONER PATIENT WAS PHONED AND WAS SEEN TO EXAMINE DELTOID. PATIENT WAS GIVEN ANTIBIOTIC TREATMENT.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site streaking, Nasopharyngitis, Pain, Pain in extremity
Clinical narrative: ON 12/16/2013, PATIENT CAME IN FOR ANNUAL SEEN BY NURSE PRACTITIONER AND RECEIVED PNEUMOCOCCAL VACCINE. ON 12/18, PATIENT PHONED THE OFFICE, 10AM, STATING SHE GOT A REACTION TOWARDS THE PNEUMOVAX VACCINE. SHE WAS DOING WELL IN THE MORNING BEFORE AND AFTER THE SHOT BUT SLOWLY THROUGH THE THE DAY SHE FELT BAD W/CHILLS, ARM PAIN (BUT SHE HAS HAD A HEAD COLD). SHE NEEDED HELP TO GET DRESSED THE EVENING OF THE SHOT AND THE DAY AFTER THE SHOT. SHE STATED THERE WAS A RED STREAK THAT WAS HURTING ACROSS HER DELTOID TO THE AXILLA. WHENEVER THERE WAS MOVEMENT THE PATIENT COMPLAINED OF PAIN ON A SCALE OF 1 TO 10 THAT THE PAIN WAS A 5 AND WITH NO MOVEMENT IT WAS A 2. LAST TIME THE PATIENT HAD A STREAK EVERYONE WAS EXCITED AND THOUGHT SHE SHOULD BE SEEN. SHE'S BEEN TAKING IBUPROFEN. PER NURSE PRACTITIONER PATIENT WAS PHONED AND WAS SEEN TO EXAMINE DELTOID. PATIENT WAS GIVEN ANTIBIOTIC TREATMENT.
Age: 4.0
Sex: F
Vaccine: FLUN4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Around 5am, my daughter woke up vomiting. She vomited 4 times within an hour and a half. All day, she has had fever on and off, and has vomited again at 6:00 pm. She was fine before receiving the vaccine and no one else in the family is ill.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Bone scan, Dizziness, Mobility decreased, Nausea, Neuralgia
Clinical narrative: NERVE PAIN; COULD NOT LIFT ARM; ARM ACHED; DIZZINESS/FAINTING, NAUSEA.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Syncope
Clinical narrative: NERVE PAIN; COULD NOT LIFT ARM; ARM ACHED; DIZZINESS/FAINTING, NAUSEA.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Pain in extremity
Clinical narrative: The patient stated that she received a flu shot from us and had a lot of pain in her arm afterwards.  She said she had trouble sleeping because of it and since the pain didn't subside, she went to her doctor's office.  She took pain medications to help with the pain but it still hadn't gone away.  She went to the doctor's office on 12/19/13 again and they gave her a cortisol shot which finally helped her pain "by 80%" and is finally feeling better.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain, Impaired work ability, Injection site erythema, Injection site pain, Myalgia
Clinical narrative: Patient notices upper right arm pain at 7:30 PM on 12/15/13.  Pain increased and spread from upper arm to elbow and finger areas of the right arm by 2-3:00 AM on 12/16/13.  By 5:00 AM pain was still severe and he had to call off of work and reported to the Emergency Room by 10:30 AM on 12/16/13.  Patient was give ibuprofen at the ER and released. Pain was still present and redness on upper right arm increased over the next day. by Tuesday 12/17/13 patient reported to the ER again around 6-7:00 PM. The patient was examined and released with prescriptions for Bactrim DS and a pain medicine.  Soreness had increased to include calf muscles, back, and both arms (aching all over). By Thursday 12/19/13 the patient reported pain was "easing up" and by Friday 12/20/13 he reported red areas on upper right arm are gone and pain/soreness had almost all gone.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient notices upper right arm pain at 7:30 PM on 12/15/13.  Pain increased and spread from upper arm to elbow and finger areas of the right arm by 2-3:00 AM on 12/16/13.  By 5:00 AM pain was still severe and he had to call off of work and reported to the Emergency Room by 10:30 AM on 12/16/13.  Patient was give ibuprofen at the ER and released. Pain was still present and redness on upper right arm increased over the next day. by Tuesday 12/17/13 patient reported to the ER again around 6-7:00 PM. The patient was examined and released with prescriptions for Bactrim DS and a pain medicine.  Soreness had increased to include calf muscles, back, and both arms (aching all over). By Thursday 12/19/13 the patient reported pain was "easing up" and by Friday 12/20/13 he reported red areas on upper right arm are gone and pain/soreness had almost all gone.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site nodule, Injection site swelling, Pain in extremity
Clinical narrative: This spontaneous report was received from a licensed vocational nurse referring about a 62 year old male patient with excessive sweating on hydrocodone and allergy to sulfamethoxazole with unspecified reaction. No pertinent medical history. Years ago the patient received the first dose of pneumococcal vaccine with no problem. Dose, route and lot number not provided. On 04-DECT-2013, the patient was vaccinated with the second dose of PNEUMOVAX23 (route and dose no reported), lot #J004332, expiration date 26-SEP-2014. There were no concomitant medications reported. On 04 December 2013 during the same evening the patient experienced big, swollen, red knot the size of a baseball on the arm where the PNEUMOVAX23 was administered; the arm was also tender and sore. No labs diagnostic test studies were performed. The patient also experienced chills and fever. the patient is felling better as of 05-DEC-2013. The patient received treatment with TYLENOL. The patient is recovering. The patient seek medical attention reporting this event via email to the office. Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Tenderness
Clinical narrative: This spontaneous report was received from a licensed vocational nurse referring about a 62 year old male patient with excessive sweating on hydrocodone and allergy to sulfamethoxazole with unspecified reaction. No pertinent medical history. Years ago the patient received the first dose of pneumococcal vaccine with no problem. Dose, route and lot number not provided. On 04-DECT-2013, the patient was vaccinated with the second dose of PNEUMOVAX23 (route and dose no reported), lot #J004332, expiration date 26-SEP-2014. There were no concomitant medications reported. On 04 December 2013 during the same evening the patient experienced big, swollen, red knot the size of a baseball on the arm where the PNEUMOVAX23 was administered; the arm was also tender and sore. No labs diagnostic test studies were performed. The patient also experienced chills and fever. the patient is felling better as of 05-DEC-2013. The patient received treatment with TYLENOL. The patient is recovering. The patient seek medical attention reporting this event via email to the office. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Convulsion, Headache
Clinical narrative: 12-19-13; 9:45 AM - patient called asking if ZOSTAVAX could cause seizures she said she had 4 seizures on 12-12-13 and went via ambulance to hospital. She doesn't like to be heavily drugged and has pounding head.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Tremor
Clinical narrative: Difficulty breathing/swallowing, tremors onset: 5 min after administration.
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Syncope
Clinical narrative: Patient experienced syncope after receiving FLUVIRIN, followed by ZOSTAVAX. (Approx. 10-15 seconds) reports this is "normal" occurrence for her.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Myalgia, Pain in extremity
Clinical narrative: Arm is still sore several weeks after injection. No treatment has been sought. Muscle soreness at the area of injection.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Local swelling
Clinical narrative: Customer came to pharmacy 12/20/13 stating he had swollen arm since receiving vaccine, no other symptoms were reported.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: N/V/D approximately 1 hour after vaccination.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Confusional state, Convulsion, Immediate post-injection reaction, Nausea
Clinical narrative: Immediately following injection donor had 8 sec seizure. When donor came to he was confused and nauseated. Donor helped to exam bed where NS 400 cc was administered via 20g catheter WO. Vital were obtained. 70/40 B/P 100 pulse. Vitals brought to 100/50 B/P 94 pulse. Donor refused transport to hospital. LE for 12-18-13 on 12-19-13. Donor did not hydrate well prior to coming in per donor.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal disorder, Neuralgic amyotrophy
Clinical narrative: Loss of use of arm. Diagnosis Parsonage - Turner Syndrome.
Sex: F
Vaccine: VARCEL
Symptoms: Antibody test negative
Clinical narrative: This spontaneous report as received from a physician refers to a non-pregnant female patient of unknown age. On an unspecified date in 1998 the patient was vaccinated with the first dose of VARIVAX (Merck) (lot number, dose and route not reported). On an unspecified date in 2007 the patient was vaccinated with the second dose of VARIVAX (Merck) (lot number, dose and route not reported). The patient was seen at the physician's office in December 2013, reported as last week, and had a VARIVAX- blood titer test performed which came back negative. The outcome of VARIVAX- blood titer test negative was not reported. No treatment was given for the event. Additional information is not expected.
Sex: U
Vaccine: VARZOS
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a multiple unspecified patients of unknown age and gender who were vaccinated with a dose of ZOSTAVAX (lot number, dose, route not reported), that went through an unsupported temperature excursion, on multiple unspecified dates. No adverse effects were reported. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Injection site erythema
Clinical narrative: This spontaneous report as received from a pharmacist refers to a over 60 year old female patient. On an unknown date, the patient was vaccinated with PNEUMOVAX23 (lot # J004196, Expiration Date: 06-DEC-2014) injection intramuscular. Concomitant medication was unspecified by the reporter. On an unknown date, (reported as one women) few days after the vaccination, the patients experienced the entire arm from elbow to injection site was red and they felt absolutely terrible. No treatment was given. Patient sought medical attention reported as went to pharmacy. No Product quality complaint. It was unclear if patients had ever had PNEUMOVAX23 injection before. Outcome of the reported events was unknown. Causality of the reported events was unknown (not provided). This case is related to 1312USA009845 and 1312USA009850 (Same Reporter Link). Additional information has been requested.