chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Electroencephalogram abnormal, Grand mal convulsion, Sleep apnoea syndrome, Sleep disorder
Clinical narrative: Client had a Grand Mal seizure on 12/28/06.  Client didn't have a history of seizures before this. Medical records state sleep apnea, snoreing.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Muscular weakness
Clinical narrative: This patient reported during a mass deployment screening-immunizations concerns over adverse events to the anthrax vaccination.  She began receiving the Anthrax vaccination on 15 Oct 1999 with her second and third vaccinations on 3 Nov 1999 and 17 Nov 1999.  She does not remember any unusual adverse events to these vaccinations.  Within four hours following her fourth vaccination on 6 March 2004 she noted the top of her shoulder was red with swelling and redness about the vaccination site.  Over the next few hours the redness and swelling progressed to just below the elbow, encircled her upper arm and extended onto the top of her right shoulder. She noted numbness "as if my hand/arm was asleep" to the right forearm, her hand was swollen, and she had decreased grip strength with overall weakness to the arm.  She denied lymphadenopathy, fevers, headaches, chills, discoloration (cyanosis-palor) to the arm, nausea, vomiting, or joint pain (other than above).  No other vaccinations were administered at this time.  She reported to a company HM2 and was advised she "was ok".  She thinks she was on her menstrual cycle at this time.  This discomfort resolved over the next month w/o reoccurrence. She has not received any further AVA vaccinations in 2005.  There are no reports recorded in her medical records of this reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Erythema, Rhinorrhoea
Clinical narrative: Patient developed cough, sneezing, shortness of breath, rhinorrhea and bilateral erythema of the eyes within a few minutes after receiving his vaccinations. He was immediately sent down to the ED where he received Epinephrine, Benadryl, Solumedrol and Famotidine with complete resolution of symptoms. 2/10/06 - Review of d/c summary indicates diagnosis was anaphylactic reaction. Symptoms were coughing, sneezing, rhinorrhea, red eyes, shortness of breath, and chest pain within minutes of receiving vaccines. 2/10/06 - Review of medical records confirms all of the above, adds wheezing and tachycardia to symptom list, and notes an allergy to Amoxil.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Sneezing
Clinical narrative: Patient developed cough, sneezing, shortness of breath, rhinorrhea and bilateral erythema of the eyes within a few minutes after receiving his vaccinations. He was immediately sent down to the ED where he received Epinephrine, Benadryl, Solumedrol and Famotidine with complete resolution of symptoms. 2/10/06 - Review of d/c summary indicates diagnosis was anaphylactic reaction. Symptoms were coughing, sneezing, rhinorrhea, red eyes, shortness of breath, and chest pain within minutes of receiving vaccines. 2/10/06 - Review of medical records confirms all of the above, adds wheezing and tachycardia to symptom list, and notes an allergy to Amoxil.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Hypoaesthesia, Nausea, Oedema peripheral, Paraesthesia
Clinical narrative: Redness, swelling, hot - 4x2 inches with numbness and tingling index in middle finger.  Nausea, vomiting, diarrhea for 24 hours after vaccine.  Symptoms are resolving.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Redness, swelling, hot - 4x2 inches with numbness and tingling index in middle finger.  Nausea, vomiting, diarrhea for 24 hours after vaccine.  Symptoms are resolving.
Age: 0.2
Sex: M
Vaccine: HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: 2 month old male presents with complaint of fever 100 or so and he seemed lethargic, but not floppy like a dish rag, just tired.  Complaint of diarrhea, loose stools, runny and ambery brown instead of golden yellow on the day of the shots only, denies vomiting.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site.  Swelling extended to the elbow from the shoulder
Age: 0.38
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Rash papular, Skin discolouration
Clinical narrative: Second DTAP given singly due to previous rash within 30 minutes after 1st vaccination, and fever.  Approximately 3 minutes after injection red papules blanching noted to face and trunk.  Resolved after Benadryl.  No fever noted.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Flat rash to face and neck within 24 hours of recieving flu vaccine.
Age: 28.0
Sex: M
Vaccine: HEPA, TTOX, TYP
Symptoms: Urticaria
Clinical narrative: Starting taking oral typhoid and after taking 2nd pill, noticed it had needed to be refridgerated-wasn't notified of this at the doctor's office, so called them back and they recommended restarting the pills. The night I took the first pill of the new batch, felt kind of sick but it didn't last long. the next day developed hives on my body. the hives spread all over my body, including head and face. Parts would go away-but then new hives would appear in different places. The doctor put me on Benadryl and Prednisone (Prednisone is tapering dose for 8 days) I took the second pill today (1/7/06)-I continue to have hives all over my body.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Received MMR Vaccine on 12/27/05 - eleven days later, my son had a 103.8 temperature and a severe measle-like rash that covered his entire body.  The rash began mildly on his tummy and within hours had spread to his face/back/legs/hands and feet.  His temperament has completely changed.  He has not acted like my "normal" little boy since the day he received the vaccine.  Called an emergency number on 1/6/06 and was told to give him tylenol and fluids.  Took him to a walk in on 1/8/06 and we are still waiting for test results.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Marrow hyperplasia, Megakaryocytes abnormal, Mouth ulceration, Petechiae, Platelet count decreased
Clinical narrative: 11-13-2005 to 11-19-2005 Hospital admission. Diagnosis:  Idiopathic Thrombocytopenic Purpura  Symptoms: Dense cutaneous petechiae on feet & ankles. Large bullous hemorrhages on buccal mucosa.  Occasional petechiae on face, wrists and back. Symptoms were first noticed in the morning of 11-12-2005.  Treatment: ER  11-13-2005   Blood Test, 3:30 PM  Platelet Low 4,000,  Received: Steroid IV  2 - Chest x-ray's            Blood Test, 5:51 PM Platelet Low 2,000,  11-14-2005 Blood Test, 6:25 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:            Protonix 40 mg/once daily IV- Rho(D) Immune Globulin       250ml over 30 minutes:        Ultra Sound-spleen, liver, 11-15-2005 Blood Test, 12:35 PM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11-16-2005 Blood Test, 5:00 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily             IV-Platelets Volume 250   (Donor P72919) 11-17-2005 Blood Test, 6:00 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily       Bone Marrow Biopsy 11-18-2005  Received: IVIG, 1000ml, 100grams         Blood Test, 4:29 AM Platelet Low 4,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11-19-2005  Blood Test, 4:00 AM  Platelet Low 60,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11/21/05 Blood Work, Platelet  241,000  12/09/05 Blood Work, Platelet 283,000        12/20/05 Blood Work, Platelet 280,000
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Thrombocytopenic purpura
Clinical narrative: 11-13-2005 to 11-19-2005 Hospital admission. Diagnosis:  Idiopathic Thrombocytopenic Purpura  Symptoms: Dense cutaneous petechiae on feet & ankles. Large bullous hemorrhages on buccal mucosa.  Occasional petechiae on face, wrists and back. Symptoms were first noticed in the morning of 11-12-2005.  Treatment: ER  11-13-2005   Blood Test, 3:30 PM  Platelet Low 4,000,  Received: Steroid IV  2 - Chest x-ray's            Blood Test, 5:51 PM Platelet Low 2,000,  11-14-2005 Blood Test, 6:25 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:            Protonix 40 mg/once daily IV- Rho(D) Immune Globulin       250ml over 30 minutes:        Ultra Sound-spleen, liver, 11-15-2005 Blood Test, 12:35 PM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11-16-2005 Blood Test, 5:00 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily             IV-Platelets Volume 250   (Donor P72919) 11-17-2005 Blood Test, 6:00 AM Platelet Low 1,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily       Bone Marrow Biopsy 11-18-2005  Received: IVIG, 1000ml, 100grams         Blood Test, 4:29 AM Platelet Low 4,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11-19-2005  Blood Test, 4:00 AM  Platelet Low 60,000,       Received: Prednisone 100mg/day:     Protonix 40 mg/once daily 11/21/05 Blood Work, Platelet  241,000  12/09/05 Blood Work, Platelet 283,000        12/20/05 Blood Work, Platelet 280,000
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Polyarteritis nodosa
Clinical narrative: This case was reported in a literature article and described the occurrence of polyarteritis nodosum in a 50 year old male subject who was vaccinated with hepatitis B vaccine for prophylaxis. On an unspecified date, the subject received second dose of Engerix B. Three to six weeks after vaccination with Engerix B, the subject experienced SC skin nodules on pretiabial region bilaterally. A skin biopsy was consistent with polyarteritis nodosa. There was no reference to vessel size. He was treated as an outpatient. Five months after vaccination, no change in macles were noted. This case was assessed as medically serious (OMIC). At the time of reporting, the outcome of the events were unspecified. The author considered the events were possibly related to vaccination with Hepatitis B vaccine.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Vasculitis
Clinical narrative: This case was reported in a literature article and described the occurrence of vasculitis in a 18 year old female subject who was vaccinated with hepatitis B vaccine for prophylaxis. On an unspecified date, the subject received third dose of Engerix B (unknown). Eighteen to twenty weeks after vaccination with Engerix B, the subject experienced a rash. A skin biopsy showed a mid artery vasculitis resembling to polyarteritis nodosa. She was treated as an outpatient. This case was assessed as medically serious (OMIC). At the time of reporting, the outcome of the events were unspecified. The author considered the events were possibly related to vaccination with Engerix B.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Angioneurotic oedema, Neuritis, Polyneuropathy
Clinical narrative: Initial report received on 29/Dec/2005 from a physician. A 40 year old male patient with no known allergies or history of egg allergies, had received his first administration (route not reported) of Fluzone SV '2005-'2006 USP lot number U1770AA, in the left deltoid on 14/Dec/2005. Within two hours post-vaccination the patient developed anaphylaxis and angioedema. He was seen by a physician multiple times and at some point was diagnosed with polyneuropathy and brachial plexus neuritis that was secondary to angioedema. He is currently being followed by a neurologist. Allergy testing was completed (date not reported and the results are pending. The patient had not recovered from these events at the time of this report. (OMIC)
Age: 45.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Fatigue, Herpes simplex, Rhinorrhoea
Clinical narrative: Patient was given Flu Mist shot on 12/21/2005.  From Thursday, 12/22 through Friday, 12/30 patient felt tired and run down.  On Saturday 12/24 patient started getting cold sores.  The cold sores were a severe case covering both the upper and lower lips.  Patient had not had such a bad case since she was 14 years old and did not protect her lips from the sun.  On Thursday, 12/29 patient started sneezing and had a runny nose, only in the left nostril, which continued for 2 days.  Patient is currently feeling okay.
Age: 45.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Fatigue, Mouth ulceration
Clinical narrative: Patient was given Flu Mist shot on 12/21/2005.  From Thursday, 12/22 through Friday, 12/30 patient felt tired and run down.  On Saturday 12/24 patient started getting cold sores.  The cold sores were a severe case covering both the upper and lower lips.  Patient had not had such a bad case since she was 14 years old and did not protect her lips from the sun.  On Thursday, 12/29 patient started sneezing and had a runny nose, only in the left nostril, which continued for 2 days.  Patient is currently feeling okay.
Age: 50.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Myalgia
Clinical narrative: TITLE: TRIAGE NOTE DATE OF NOTE: OCT 23, 2005@11:05 ENTRY DATE: OCT 23, 2005@11:05:41  Temp: 97.3 Blood Pressure:   Systolic : 155   Diastolic: 78 Pulse: 68; Resp: 20; O2 Saturation: 98Room Air Chief Complaint (List any treatments prior to coming to hospital):EPISODE OF CP AND SHORTNESS OF BREATH AFTER GETTING FLU SHOT ON THURSDAY.  TREATED AT HOSPITAL THAT NIGHT, DIAGNOSED W/ POSSIBLE ASTHMA ATTACK.  "I'VE NOT FELT RIGHT SINCE".  PLACED ON PREDNISONE AT THAT TIME."SHORT WINDED, CAN'T EAT, CAN'T SLEEP,  I FEEL LIKE MY HEART IS RACING, PAIN IS "A CONSTANT 7-8" ON 1-10 SCALE, CENTER OF CHEST. TAKING NOTHING FOR PAIN.      ************************************* TITLE: PHYSICIAN ER NOTE DATE OF NOTE: OCT 23, 2005@11:41 ENTRY DATE: OCT 23,2005@11:41:26        Chief Complaint: chest pain, 7-8/10 Present Illness: This is a 50yo, FEMALE, came to ER with: no cough, sometimes worse with breathing.  Not taking anything for pain  now.  radiation: none.  prior hx of same: none  heart hx: none.  Pain doesn't seem to be related to movement.  Some nausea at times.  Fever: none.  Lung hx: asthma, under tx.  Denies rashes.  Smoke: none.  Got flu shot on Thursday.  Pain in chest came on like asthma attack precipitated by smoking, used albuterol and still had pain.  Has had pain nonstop since Thursday PM, never has gone away.  Legs: no swelling. Has had prior steroid tx without any palpitations or nausea.  Allergies: AMOXICILLIN Physical exam: General: ambulatory, awake, alert, speech clear HEENT: No jvd  no icterus  Lungs: clear to p and a  no rhonchi or wheezes Heart:  RSR, no murmurs, no gallop chest wall: some left parasternal tenderness of inferior sternum. no vesicular rash  healed surgical scars times three left breast, nontender Abdomen: soft, non tender, positive bowel sounds, liver and spleen are not palpable. Extremities: No edema.  bilat no calf tenderness, Homan's neg bilat radial pulses wnl bilat.  Assessment:  chest wall pain, costochondritis, doubt cardiac origin, initial workup (DC instructions for hospital reviewed) negative, pain constant, worse with palpation, ekg today wnl, theirs wnl doubt PE: no tachycardia, sat 98% and no respiratory distress will repeat workup to re-assure patient.  She has taken nothing for  pain and should be taking meds for this.  asthma not an issue: no wheezing and good response to prednisone. Plan: Lab tests chest xray Final disposition:  pending Condition at discharge: Discharge home in stable condition, Follow up with CPC. 10/23/2005 ADDENDUM
Age: 50.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Asthma, Chest pain, Condition aggravated, Dyspnoea, Heart rate increased
Clinical narrative: TITLE: TRIAGE NOTE DATE OF NOTE: OCT 23, 2005@11:05 ENTRY DATE: OCT 23, 2005@11:05:41  Temp: 97.3 Blood Pressure:   Systolic : 155   Diastolic: 78 Pulse: 68; Resp: 20; O2 Saturation: 98Room Air Chief Complaint (List any treatments prior to coming to hospital):EPISODE OF CP AND SHORTNESS OF BREATH AFTER GETTING FLU SHOT ON THURSDAY.  TREATED AT HOSPITAL THAT NIGHT, DIAGNOSED W/ POSSIBLE ASTHMA ATTACK.  "I'VE NOT FELT RIGHT SINCE".  PLACED ON PREDNISONE AT THAT TIME."SHORT WINDED, CAN'T EAT, CAN'T SLEEP,  I FEEL LIKE MY HEART IS RACING, PAIN IS "A CONSTANT 7-8" ON 1-10 SCALE, CENTER OF CHEST. TAKING NOTHING FOR PAIN.      ************************************* TITLE: PHYSICIAN ER NOTE DATE OF NOTE: OCT 23, 2005@11:41 ENTRY DATE: OCT 23,2005@11:41:26        Chief Complaint: chest pain, 7-8/10 Present Illness: This is a 50yo, FEMALE, came to ER with: no cough, sometimes worse with breathing.  Not taking anything for pain  now.  radiation: none.  prior hx of same: none  heart hx: none.  Pain doesn't seem to be related to movement.  Some nausea at times.  Fever: none.  Lung hx: asthma, under tx.  Denies rashes.  Smoke: none.  Got flu shot on Thursday.  Pain in chest came on like asthma attack precipitated by smoking, used albuterol and still had pain.  Has had pain nonstop since Thursday PM, never has gone away.  Legs: no swelling. Has had prior steroid tx without any palpitations or nausea.  Allergies: AMOXICILLIN Physical exam: General: ambulatory, awake, alert, speech clear HEENT: No jvd  no icterus  Lungs: clear to p and a  no rhonchi or wheezes Heart:  RSR, no murmurs, no gallop chest wall: some left parasternal tenderness of inferior sternum. no vesicular rash  healed surgical scars times three left breast, nontender Abdomen: soft, non tender, positive bowel sounds, liver and spleen are not palpable. Extremities: No edema.  bilat no calf tenderness, Homan's neg bilat radial pulses wnl bilat.  Assessment:  chest wall pain, costochondritis, doubt cardiac origin, initial workup (DC instructions for hospital reviewed) negative, pain constant, worse with palpation, ekg today wnl, theirs wnl doubt PE: no tachycardia, sat 98% and no respiratory distress will repeat workup to re-assure patient.  She has taken nothing for  pain and should be taking meds for this.  asthma not an issue: no wheezing and good response to prednisone. Plan: Lab tests chest xray Final disposition:  pending Condition at discharge: Discharge home in stable condition, Follow up with CPC. 10/23/2005 ADDENDUM
Age: 50.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Nausea, Oral intake reduced, Pain, Sleep disorder
Clinical narrative: TITLE: TRIAGE NOTE DATE OF NOTE: OCT 23, 2005@11:05 ENTRY DATE: OCT 23, 2005@11:05:41  Temp: 97.3 Blood Pressure:   Systolic : 155   Diastolic: 78 Pulse: 68; Resp: 20; O2 Saturation: 98Room Air Chief Complaint (List any treatments prior to coming to hospital):EPISODE OF CP AND SHORTNESS OF BREATH AFTER GETTING FLU SHOT ON THURSDAY.  TREATED AT HOSPITAL THAT NIGHT, DIAGNOSED W/ POSSIBLE ASTHMA ATTACK.  "I'VE NOT FELT RIGHT SINCE".  PLACED ON PREDNISONE AT THAT TIME."SHORT WINDED, CAN'T EAT, CAN'T SLEEP,  I FEEL LIKE MY HEART IS RACING, PAIN IS "A CONSTANT 7-8" ON 1-10 SCALE, CENTER OF CHEST. TAKING NOTHING FOR PAIN.      ************************************* TITLE: PHYSICIAN ER NOTE DATE OF NOTE: OCT 23, 2005@11:41 ENTRY DATE: OCT 23,2005@11:41:26        Chief Complaint: chest pain, 7-8/10 Present Illness: This is a 50yo, FEMALE, came to ER with: no cough, sometimes worse with breathing.  Not taking anything for pain  now.  radiation: none.  prior hx of same: none  heart hx: none.  Pain doesn't seem to be related to movement.  Some nausea at times.  Fever: none.  Lung hx: asthma, under tx.  Denies rashes.  Smoke: none.  Got flu shot on Thursday.  Pain in chest came on like asthma attack precipitated by smoking, used albuterol and still had pain.  Has had pain nonstop since Thursday PM, never has gone away.  Legs: no swelling. Has had prior steroid tx without any palpitations or nausea.  Allergies: AMOXICILLIN Physical exam: General: ambulatory, awake, alert, speech clear HEENT: No jvd  no icterus  Lungs: clear to p and a  no rhonchi or wheezes Heart:  RSR, no murmurs, no gallop chest wall: some left parasternal tenderness of inferior sternum. no vesicular rash  healed surgical scars times three left breast, nontender Abdomen: soft, non tender, positive bowel sounds, liver and spleen are not palpable. Extremities: No edema.  bilat no calf tenderness, Homan's neg bilat radial pulses wnl bilat.  Assessment:  chest wall pain, costochondritis, doubt cardiac origin, initial workup (DC instructions for hospital reviewed) negative, pain constant, worse with palpation, ekg today wnl, theirs wnl doubt PE: no tachycardia, sat 98% and no respiratory distress will repeat workup to re-assure patient.  She has taken nothing for  pain and should be taking meds for this.  asthma not an issue: no wheezing and good response to prednisone. Plan: Lab tests chest xray Final disposition:  pending Condition at discharge: Discharge home in stable condition, Follow up with CPC. 10/23/2005 ADDENDUM
Age: 1.53
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Feeling hot, Injection site discolouration
Clinical narrative: 9 1/2 x 10 cm area of blanching, pink area left thigh, increased warmth.  Circumference of thigh 3 cm greater than right thigh.  Able to walk okay.
Age: 0.21
Sex: M
Vaccine: HBHEPB, IPV, PNC
Symptoms: Oliguria, Pyrexia, Somnolence
Clinical narrative: 2 month old male presents with c/o fever low grade and sleeping a lot with shots, eating well, voids a little down, but other wise doing fine.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: Initial report received on 03/Jan/2006 from a consumer. A 71 year old male who received an intramuscular injection of Fluzone SV 2005-2006 USP, lot number U1773AA, expiration date 30/Jun/2006, in the arm (site not specified) in October, 2005. Approximately six weeks later, the patient developed a loss of feeling in his hands and tingling in his feet. At an unspecified time later, he was admitted to the hospital for eight days and diagnosed with GBS (Guillain-Barre Syndrome). Per the reporter, the patient had recovered from this event at the time of this report. Follow-up information received from a health care professional on 24/Jan/2006. It was reported that the patient received the FLUZONE vaccination on 25/Oct/2005 at 1:35 PM. It is unknown whether the patient had any relevant diagnostic or laboratory testing. As per the reporter, the name of the responsible physician that was provided by the patient's wife is unknown at that facility. No other information was provided at this time.
Age: 0.65
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Tremor
Clinical narrative: Initial report received on 12/29/05 from a consumer. A seven month old female with no significant past medical history had received an administration (route not reported) of FLUZONE (lot number not reported) in the thigh on 12/2/05. Per the reporter, on 12/3/05, it was noticed that the patient was opening her arms wide, her mouth wide and shaking, not violently but noticeably. This was reported to have occurred approximately six times this day. These behaviors have continued but at the time of this report, they are more frequent but less noticeable. The episodes occur approximately 24 times a day. Per the reporter, the patient's arms are less extended when she spreads her arms open but she continues to open her mouth wide. At the time of this report, the reporter had noticed that the patient was now frequently opening and closing her hands. This occurs when the patient is active as well as when she is inactive. The patient was seen by a pediatrician on 12/9/05 and he referred the patient to a pediatric neurologist. The patient was seen by the pediatric neurologist on 12/12/05 and per the reporter, the pediatric neurologist did not feel the episodes were seizures as the patient was cognitive of her surroundings during these episodes. No treatment was recommended. At the time of this report, the patient had not recovered from these events. (OMIC)
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Arthralgia, Asthenia, Back pain, Decreased appetite, Diarrhoea
Clinical narrative: Fluzone vaccine given 10-21-05. Presented in office 12-13-05 with c/o extremity pain 5 times days. Labs ordered. Presented back in office 12-7-05 with Arthralgia and back pain and sent to ER. 12-21-05 admitted to hospital (Guillain Barre Syndrome). Per telephone follow up with reporter vaccine provider, the patient also received fluzone on 10/21/2005. Vaccine sites were not recorded for any vaccine. The patient later presented in the office on 12/3/05 (not 12/13/05) C/O extremity pain X 5 days. The AE onset date therefore was 11/28/05 (not 12/26/05). He was hospitalized from 12/21/05-12/26/05. Only fever was reported after previous fluzone immunizations in 2002 & 2003. 1/26/06 Review of 3-page d/c summary confirms GBS as final diagnosis. Additional symptoms include profuse diarrhea for 2 weeks just prior to admission, poor appetite, and weakness.  1/26/06  Review of 14-page medical record confirms GBS per neurology consult. Additional symptoms include poor appetite, fatigue, and weakness.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Fatigue, Guillain-Barre syndrome, Pain, Similar reaction on previous exposure to drug
Clinical narrative: Fluzone vaccine given 10-21-05. Presented in office 12-13-05 with c/o extremity pain 5 times days. Labs ordered. Presented back in office 12-7-05 with Arthralgia and back pain and sent to ER. 12-21-05 admitted to hospital (Guillain Barre Syndrome). Per telephone follow up with reporter vaccine provider, the patient also received fluzone on 10/21/2005. Vaccine sites were not recorded for any vaccine. The patient later presented in the office on 12/3/05 (not 12/13/05) C/O extremity pain X 5 days. The AE onset date therefore was 11/28/05 (not 12/26/05). He was hospitalized from 12/21/05-12/26/05. Only fever was reported after previous fluzone immunizations in 2002 & 2003. 1/26/06 Review of 3-page d/c summary confirms GBS as final diagnosis. Additional symptoms include profuse diarrhea for 2 weeks just prior to admission, poor appetite, and weakness.  1/26/06  Review of 14-page medical record confirms GBS per neurology consult. Additional symptoms include poor appetite, fatigue, and weakness.
Age: 76.0
Sex: F
Vaccine: TD
Symptoms: Blood gases abnormal, Dyspnoea, Fatigue, Haemolysis, Immunoglobulins decreased
Clinical narrative: 3 days after received Td, Hgb decreased to 8.2 (from 11). After 11 days, Hgb 7.7, RBC 1.99. SOB, fatigue, jaundice. Treatment with 80mg Prednisone, declining dose. Diagnosed with Hemolyzing RBC's by hematologist.
Age: 76.0
Sex: F
Vaccine: TD
Symptoms: Jaundice
Clinical narrative: 3 days after received Td, Hgb decreased to 8.2 (from 11). After 11 days, Hgb 7.7, RBC 1.99. SOB, fatigue, jaundice. Treatment with 80mg Prednisone, declining dose. Diagnosed with Hemolyzing RBC's by hematologist.
Age: 0.44
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Atelectasis, Bronchiolitis, Laboratory test abnormal, Respiratory syncytial virus infection
Clinical narrative: Diagnosis: RSV Bronchiolitis, Right upper leg streaking infiltrate with atelectasis. Treatment: Rocephin IV 750mg every 24 hours, Methylprednisolone IV, O2 at 1/2 4 min to maintain saturation >93%, Asthma meds (Albuterol, Atrovent, Pulmicort). Admitted 11/3/05. Discharged 11/9/05.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, DTAPH, HBHEPB, IPV
Symptoms: Muscle twitching, Screaming
Clinical narrative: Mother called to report (1-3-06) event following DTAP #1 given on 11-15-05. Child had no Sx of illness. On 11/17/058 was observed in swing to have "twitching of both legs" and began to scream, twitching subsided-screaming continued for approx. 1 hr. Child transported via ambulance to children hosp. Neuro eval. and seg neg. Dr feels Sx were related to DTAP.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, DTAPH, HBHEPB, IPV
Symptoms: Agitation, Muscle twitching
Clinical narrative: Mother called to report (1-3-06) event following DTAP #1 given on 11-15-05. Child had no Sx of illness. On 11/17/058 was observed in swing to have "twitching of both legs" and began to scream, twitching subsided-screaming continued for approx. 1 hr. Child transported via ambulance to children hosp. Neuro eval. and seg neg. Dr feels Sx were related to DTAP.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Complex regional pain syndrome, Flushing, Pain, Urticaria
Clinical narrative: Complex regional pain syndrome-tingling of extremity, pain; hives, flushing.  Initial report received from health care professional on 04/10/2005. A 14 year old female with no pre existing medical conditions received in the right deltoid an injection of Meanactra on 9/2/2005.  The route of administration was not reported.  She immediately experienced flushing, hives, tingling in her upper arms and a gradual intensity in pain over one week.  Physician diagnosed "reflex pain syndrome" and stated that the patient refused to use her arm. No paralysis was involved.  After one week, there was a gradual decrease in pain.  The right arm was the affected arm.  As per the reporter, it is unknown whether the patient recovered from these events.  Follow-up information received on 07/Dec/2005 from a health care professional.  Per the reporter, the physician reviewed the case and reports that the patient did recover from these events.  No other information is available.  No further information is expected.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Flushing, Hypokinesia, Injection site pain, Paraesthesia, Urticaria
Clinical narrative: Complex regional pain syndrome-tingling of extremity, pain; hives, flushing.  Initial report received from health care professional on 04/10/2005. A 14 year old female with no pre existing medical conditions received in the right deltoid an injection of Meanactra on 9/2/2005.  The route of administration was not reported.  She immediately experienced flushing, hives, tingling in her upper arms and a gradual intensity in pain over one week.  Physician diagnosed "reflex pain syndrome" and stated that the patient refused to use her arm. No paralysis was involved.  After one week, there was a gradual decrease in pain.  The right arm was the affected arm.  As per the reporter, it is unknown whether the patient recovered from these events.  Follow-up information received on 07/Dec/2005 from a health care professional.  Per the reporter, the physician reviewed the case and reports that the patient did recover from these events.  No other information is available.  No further information is expected.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness in toes, tingling, intial report received from a health care professional on 28/Dec/2005.  An 18 yr old female patient with a medical history of asthma developed numbness and tingling her left and right big toes two days after she had received an injection of Menactra in the left arm.  The symptoms initially occurred in the left big toe, but were present in both the left and right big toes by 25/Dec/2005.  The patient was seen by a physician on 27/Dec/2005 and at that time the symptoms were persisiting.  At the time of this report, she had not recovered from the events. Follow-up information per reporter no treatment was provided for the symptoms.  The progression of the symptoms is unknown.  No diagnostic or lab testing was performed.  The patient did not have any symptoms of a respiratory or gastrointestinal viral infection prior to the onset of the symptoms.  No definitive diagnosis was made.  The symptoms lasted 2-3 weeks and patient recovered.  No further information expected.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Myalgia, Pain
Clinical narrative: Patient started complaining of legs being tired and aching.  Patient is involved in sports never had problems running.  After vaccine symptoms occurred.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Arthralgia, Asthenia, Fatigue, Pain, Rash
Clinical narrative: Patient started complaining of legs being tired and aching.  Patient is involved in sports never had problems running.  After vaccine symptoms occurred.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Client states she experienced nausea, vomiting, diarrhea, dehydrated and had fever.  Saw Dr on 11/23/05 who stated to increase intake and questionable flu shot prescription.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscle spasms, Palpitations
Clinical narrative: 2 weeks following shot: Arms feel heavy and strange, "buzzing behind knees, wrists", palpitations, residual left upper and lower extremities feelings of weakness, quivering voice, shaky legs, hands cramping.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Demyelination, Dysphonia, Erythema, Heart rate increased, Hypoaesthesia
Clinical narrative: 2 weeks following shot: Arms feel heavy and strange, "buzzing behind knees, wrists", palpitations, residual left upper and lower extremities feelings of weakness, quivering voice, shaky legs, hands cramping.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscle twitching, Neuropathy peripheral, Paraesthesia, Rash, Urticaria
Clinical narrative: 2 weeks following shot: Arms feel heavy and strange, "buzzing behind knees, wrists", palpitations, residual left upper and lower extremities feelings of weakness, quivering voice, shaky legs, hands cramping.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Red blood cell sedimentation rate increased
Clinical narrative: Right deltoid muscle pain with associated polymyalgia of neck, shoulders, lower back and proximal thighs
Age: 0.66
Sex: M
Vaccine: DTAP, DTAPHEPBIP
Symptoms: Pyrexia, Vaccination complication, Vaccination failure
Clinical narrative: Vaccine error: 2 vaccines containing the same antigens were given at the same time.  Mother reports no symptoms of local reaction (no redness or swelling at injection sites), no irritability.  Patient was feverish one night after vaccination.  Mother did not take his temperature.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing
Clinical narrative: Patient c/o "flushing" from site of injection (RD, IM) to fingers and to neck/face area.
Age: 82.0
Sex: M
Vaccine: PPV
Symptoms: Vaccination failure
Clinical narrative: None stated
Age: 1.26
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: rash on bottom and swell and arm spread to back, itchy
Age: 1.52
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Acne
Clinical narrative: Started with red pimples generalized few on face, lower leg, back and_ _____
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Patient got shot around 1:30pm, called me at 4:30pm said arm was sore and it hurt to raise it up, put ice on it -use Ibuprofren/Tylenol.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Vaccination complication
Clinical narrative: Pneumococcal vaccine given in error instead of Prevnar IM left thigh.  Parents to return ASAP to receive Prevnar vaccine.
Age: 7.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Tenderness
Clinical narrative: A slight red area appeared on 12/29/05 on upper L arm.  Area is 2.5 x3.  Not warm to the touch but is tender.  Patient having no problems with movement in the extremity.  Dad of patient not sure if she is receiving Tylenol or Benadryl.  Advised to use Tylenol for the soreness and warm compresses.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Diagnosed with chicken pox 1-3-06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Contusion, Feeling hot, Swelling
Clinical narrative: Mom reports (with 12/7/05 visit) that with 11/9/05 dose of Dtap in the evening patient's left arm swelled from shoulder to elbow, hot to touch.  Mom did take temp swelling lasted 4 days started to decrease by 2nd day once swelling down arm bruised.  warm compresses and Tylenol helpful.
Sex: F
Vaccine: HIBV, MMR, OPV, VARCEL
Symptoms: Viral infection
Clinical narrative: Patient mother has chicken pox was not diagnosed in office.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Chills, Dizziness, Injection site hypersensitivity, Injection site oedema, Pain
Clinical narrative: Client complained of dizziness starting about 15 min after injection 11/29/05.  Complained of fever, chills and body aches as well as itching and swelling at injection site.  State fever was not above 99 degrees.  States redness and swelling was from shoulder to elbow.  Itching continues on 1/0/06.  Redness about 3 inches in diameter around site.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Pyrexia
Clinical narrative: Client complained of dizziness starting about 15 min after injection 11/29/05.  Complained of fever, chills and body aches as well as itching and swelling at injection site.  State fever was not above 99 degrees.  States redness and swelling was from shoulder to elbow.  Itching continues on 1/0/06.  Redness about 3 inches in diameter around site.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site swelling
Clinical narrative: Patient developed redness and swelling at injection site into armpit/lymph nodes and up shoulder lasting for 2 days.  No fever developed.  Area felt hot to touch.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: 12/27/05 child woke up with 30+ chicken pox lesions.  Had Varivax 9/13/01.  Mom gave Benadryl.  Child recovered from incident.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Headache, Paraesthesia, Pruritus, Swelling
Clinical narrative: Client called day after Hep B vaccine and complained of headache, swelling & tingling of extremities.  When asked whether patient itched or had shortness of breath she reported yes.  Was told to go to Dr. or ER.  Client reported at later date she did not but she did improve.  Client also has H/O CTOH abuse and was reportedly indulging at the time of report.
Age: 1.27
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Child had varicella vaccine 12/17/03.  On 12/27/05 woke up with 2 typical chicken pox lesions on trunk.  Mom gave Benadryl.  Child recovered from incident.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Within 24 hours of injection patient reported increased swelling, increased pain left arm and redness to entire body.  No itching, no difficulty breathing.  On return to clinic pain and swelling had improved, no redness seen to body.  Very slight swelling of injection arm - well below injection site with slight warmth - no redness to site.  Within 2 days no symptoms.
Age: 28.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Nonspecific reaction
Clinical narrative: 2nd MMR given 6 days after first.  Patient made aware that immunization given too soon.  No immediate negative reaction evident.  MMR circular, and doctor consulted, no recommendation at this time.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Began with fever one day after vaccine given went up to 105.  Mom brought child to ER, CBC drawn, was normal.  Seen back in office on 10/28/2005 , Erythematous papular rash on face, then spread over body later that night.
Age: 1.33
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient had high fever and first febrile seizure 9 days post mmr vaccination.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Eyelid oedema, Oedema peripheral, Urticaria
Clinical narrative: Mother describes child developed hives that were flat, pea-sized,what looked like a sm. blister in center and these moved around and would come and go.  Also had some swelling of eye lids, hands and left big toe and the swelling would come and go. No temp. but wouldn't eat. These symptoms developed about 26 hrs. after flu shot and lasted 1 1/2 weeks.  Did see Pediatrician on 12/10/2005 who wrote urticaria and prescribed Benedryl for the itching.  Doctor reported incident to us to report to VAERS.  Child has hx of Asthma.  Dr. recommended child not have flu shot next year or have child tested by allergist.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: One week after flu vaccination developed numbness in hands/feet.  Weakness in extremities progressed.  Seen by PCP as well as another clinic.  Diagnosed with Guillain Barre Syndrome in Novemeber 2006.  Pt with continued weakness.  Uses walker.  Unable to perform ADLs. Medical records state pain, gait abnormal, reflexes decreased. msv I believe he still has weakness, fatigue, decreased endurance.  According to patient report.  May contact patient for further information at phone # listed.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hyporeflexia, Laboratory test abnormal, Pain
Clinical narrative: One week after flu vaccination developed numbness in hands/feet.  Weakness in extremities progressed.  Seen by PCP as well as another clinic.  Diagnosed with Guillain Barre Syndrome in Novemeber 2006.  Pt with continued weakness.  Uses walker.  Unable to perform ADLs. Medical records state pain, gait abnormal, reflexes decreased. msv I believe he still has weakness, fatigue, decreased endurance.  According to patient report.  May contact patient for further information at phone # listed.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Swollen, painful injection site (size of half a golf ball), erythema began 12/31/05 and grew to approx 6" long and 4 " wide around injection site by 1/2/06.  Site warm.  Fever 99.7.  Erythema and fever began 4 days after vaccination.  Swelling and pain began 12/30/05.  Resolved by 8 days post vaccination.
Age: 32.0
Sex: F
Vaccine: TTOX
Symptoms: Dysphagia, Feeling hot, Hyperhidrosis, Malaise
Clinical narrative: Patient return to clinic after receiving ppd and tetanus and diphtheria injection in left arm. c/o feeling hot and sweaty, hard to swallow and "just don't feel right. Immediately ambulate to macd dept in clinic for follow-up.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: This patient requested evaluation of past AVA reaction during a mass deployment immunization sceening on 06 Jan 2006.  He reported receiving his first anthrax vaccination on 7 Mar 01 with commonly reported symptoms of site tenderness, redness and a nodule/lump formation that lasted approximately one week.  His second AVA was administered on 3 Mar 01 with similar reactions that lasted approximately 2 weeks.  His third vaccination was administered on 23 Apr 01 with similar reactions however the redness now included the vaccine site, entire tricep area of arm from shoulder to elbow. There was no paresthesia, weakness or problems using his arms. This lasted approximately 2 weeks.  His fourth AVA was administered 01 Feb 2003 with similar reactions.  The site burned, became swollen and red extending from his shoulder past his elbow without axillary lymphadenopathy or lower extremity paresthesia.  He noted sudden onset of throbbing radiating frontal headaches that encompassed his head. He is alway photophobic and he did not notice any exacerbation of symptoms. He denied nausea, vomiting, difficulty breathing, chest pain, neck or back pain, limited use of extremities, or weakness.  These symptoms lasted approximately 3 weeks using Naprosyn for pain that was prescribed by his units corpsman.  A VAERS was filed (2/2003).  He has not received any further AVA vaccinations and was advised not to by this corman.  His medical records contain only the VAERS and no further documentation of the event.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Photophobia, Skin burning sensation
Clinical narrative: This patient requested evaluation of past AVA reaction during a mass deployment immunization sceening on 06 Jan 2006.  He reported receiving his first anthrax vaccination on 7 Mar 01 with commonly reported symptoms of site tenderness, redness and a nodule/lump formation that lasted approximately one week.  His second AVA was administered on 3 Mar 01 with similar reactions that lasted approximately 2 weeks.  His third vaccination was administered on 23 Apr 01 with similar reactions however the redness now included the vaccine site, entire tricep area of arm from shoulder to elbow. There was no paresthesia, weakness or problems using his arms. This lasted approximately 2 weeks.  His fourth AVA was administered 01 Feb 2003 with similar reactions.  The site burned, became swollen and red extending from his shoulder past his elbow without axillary lymphadenopathy or lower extremity paresthesia.  He noted sudden onset of throbbing radiating frontal headaches that encompassed his head. He is alway photophobic and he did not notice any exacerbation of symptoms. He denied nausea, vomiting, difficulty breathing, chest pain, neck or back pain, limited use of extremities, or weakness.  These symptoms lasted approximately 3 weeks using Naprosyn for pain that was prescribed by his units corpsman.  A VAERS was filed (2/2003).  He has not received any further AVA vaccinations and was advised not to by this corman.  His medical records contain only the VAERS and no further documentation of the event.
Age: 1.36
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Swelling to left thigh with redness.
Age: 0.49
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Child erroneously received 2nd dose of flu shot 1 week after 1st shot. There is a possibility that the first dose contained 0.5cc instead of 0.25cc. Child has not experienced any adverse reaction.
Age: 35.0
Sex: F
Vaccine: YF
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site reaction, Pruritus
Clinical narrative: Patient has swelling, redness to left upper arm at vaccination site 125 cm x 100 cm. Patient states site is 0/10 on pain scale but c/o itching. Rx Medrol, Benadryl, Keflex were given Cellulitis left arm.
Age: 0.13
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cardiac disorder, Irritability, Liver disorder, Nasal congestion, Pulmonary haemorrhage
Clinical narrative: Exhibited fussiness at bedtime, was found deceased after 7am next morning. Med examiner report states cause undetermined and lists focal congestion and hemorrhage of liver, lungs, and heart. No additional terms added from autopsy report rec'd 01/18/2006/sr
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain, Fall, Injury, Oedema
Clinical narrative: Information has been received from a pharmacist concerning a female who was vaccinated IM in the deltoid with a standard 0.5 nl dose of pneumococcal 23v polysaccharide vaccine (lot 647661/0055R or 650083/0746P). Subsequently the patient developed arm swelling and pain. The pain in her arm caused the patient to fall and break her hip. Unspecified medical attention was sought the patients outcome was unknown. There was no product quality complaint involved. Upon internal review, the patient's hip fracture was considered to be an other important medical event (OMIC). Additional information is not expected.
Age: 45.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Cough, Dizziness, Dyspnoea, Heart rate irregular, Injection site oedema
Clinical narrative: 12/02/05 flu vaccine administered noticed swelling to both hands and at injection site. 12/07/05 office visit, DX mild myalgia, local swelling right deltoid. 12/09/05 return visit symptoms improved states much better. Ache left hand is all that remained. Negative exam. 01/09/06 office visit c/o cough, sob, swelling lower extremities, referred to ER and left AMA. 01/10/06 office visit increased sob, dizziness, 3x tibial edema, increased jugular venous distention, irregular heart beat, weight increase 238, went via ambulance to hospital.
Age: 45.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Myalgia, Oedema, Oedema peripheral, Pain, Vasodilatation
Clinical narrative: 12/02/05 flu vaccine administered noticed swelling to both hands and at injection site. 12/07/05 office visit, DX mild myalgia, local swelling right deltoid. 12/09/05 return visit symptoms improved states much better. Ache left hand is all that remained. Negative exam. 01/09/06 office visit c/o cough, sob, swelling lower extremities, referred to ER and left AMA. 01/10/06 office visit increased sob, dizziness, 3x tibial edema, increased jugular venous distention, irregular heart beat, weight increase 238, went via ambulance to hospital.