chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Feeling hot, Hypoaesthesia, Immediate post-injection reaction, Immunisation reaction
Clinical narrative: Information has been received from a nurse and her 79 year old mother (the patient) who had a history of shingles on July 2008 with the rash localized to the buttocks and peritoneal area. The patient's daughter reported that the patient, on 20-NOV-2008, was vaccinated with a dose of ZOSTAVAX possible via IM in the left arm near the shoulder area. Concomitant therapy included TENORMIN, COUDMADIN, VYTORIN and CELEBREX. Right away after vaccination (20-NOV-2008) the patient started experienced pain, tingling, and numbness in her left arm extended to the wrist and fingers. That same night the patient could not sleep by resting on the left side. It felt like "the left side went to sleep". The next day she woke up and her fingers, knuckles and wrists on both sides were swollen and painful. The pain is believed to be joint pain, accompanied with stiffness and swelling. At bed time, the hands got hot and the pain increases. The symptoms had persisted for 1 week and 4 days. The pain intensity is the same as day 1 but the swelling had decreased from scale of 10 to 7 or 8. On 24-NOV-2008, the patient went to see a physician assistant who prescribed NEURONTIN (strength unspecified) and BENADRYL (manufacturer unspecified) however that did not help and the patient is still experiencing the pain. He patient was diagnosed with ZOSTAVAX inflammatory response. Follow up information received from a nurse on concerning her 79 year old mother, with knee osteoarthritis, atrial fibrillation and paroxysmal atrial tachycardia and a history of pulmonary toxicity in December 2005, who on 20-NOV-2008 was vaccinated with ZOSTAVAX (Lot# 662969/1206X). Concomitant therapy included atenolol. COUMADIN, VYTORIN, CELEBREX, aspirin and THYROXIN. On 20-NOV-2008 during the night of vaccination left side, left arm and hand went to sleep, and left ring and middle finger numb. When the patient woke up next morning, on 21-NOV-2008, the patient's fingers, knuckles and wrists of both hands were swollen, stiff and painful. The symptoms persisted for 4 days (24-NOV-2008) the patient called the office doctor and was prescribed with NEURONTIN (100 mg) and BENADRYL (25 mg) which did not relieve the symptoms. The patient called again 4 days later (28-NOV-2008) and was prescribed a prednisone dose pack which alleviated the symptoms except for the persistent numbness of left arm, left ring and middle fingers when the patient lied on the left side or holding arm up to talk to the phone or read a book. The nurse considered the persistent numbness of left arm, left ring and middle fingers and the swelling, stiffness and pain of the fingers, knuckles and wrists to be disabling. No additional information is expected.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Joint stiffness, Joint swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a nurse and her 79 year old mother (the patient) who had a history of shingles on July 2008 with the rash localized to the buttocks and peritoneal area. The patient's daughter reported that the patient, on 20-NOV-2008, was vaccinated with a dose of ZOSTAVAX possible via IM in the left arm near the shoulder area. Concomitant therapy included TENORMIN, COUDMADIN, VYTORIN and CELEBREX. Right away after vaccination (20-NOV-2008) the patient started experienced pain, tingling, and numbness in her left arm extended to the wrist and fingers. That same night the patient could not sleep by resting on the left side. It felt like "the left side went to sleep". The next day she woke up and her fingers, knuckles and wrists on both sides were swollen and painful. The pain is believed to be joint pain, accompanied with stiffness and swelling. At bed time, the hands got hot and the pain increases. The symptoms had persisted for 1 week and 4 days. The pain intensity is the same as day 1 but the swelling had decreased from scale of 10 to 7 or 8. On 24-NOV-2008, the patient went to see a physician assistant who prescribed NEURONTIN (strength unspecified) and BENADRYL (manufacturer unspecified) however that did not help and the patient is still experiencing the pain. He patient was diagnosed with ZOSTAVAX inflammatory response. Follow up information received from a nurse on concerning her 79 year old mother, with knee osteoarthritis, atrial fibrillation and paroxysmal atrial tachycardia and a history of pulmonary toxicity in December 2005, who on 20-NOV-2008 was vaccinated with ZOSTAVAX (Lot# 662969/1206X). Concomitant therapy included atenolol. COUMADIN, VYTORIN, CELEBREX, aspirin and THYROXIN. On 20-NOV-2008 during the night of vaccination left side, left arm and hand went to sleep, and left ring and middle finger numb. When the patient woke up next morning, on 21-NOV-2008, the patient's fingers, knuckles and wrists of both hands were swollen, stiff and painful. The symptoms persisted for 4 days (24-NOV-2008) the patient called the office doctor and was prescribed with NEURONTIN (100 mg) and BENADRYL (25 mg) which did not relieve the symptoms. The patient called again 4 days later (28-NOV-2008) and was prescribed a prednisone dose pack which alleviated the symptoms except for the persistent numbness of left arm, left ring and middle fingers when the patient lied on the left side or holding arm up to talk to the phone or read a book. The nurse considered the persistent numbness of left arm, left ring and middle fingers and the swelling, stiffness and pain of the fingers, knuckles and wrists to be disabling. No additional information is expected.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Information has been received from a nurse and her 79 year old mother (the patient) who had a history of shingles on July 2008 with the rash localized to the buttocks and peritoneal area. The patient's daughter reported that the patient, on 20-NOV-2008, was vaccinated with a dose of ZOSTAVAX possible via IM in the left arm near the shoulder area. Concomitant therapy included TENORMIN, COUDMADIN, VYTORIN and CELEBREX. Right away after vaccination (20-NOV-2008) the patient started experienced pain, tingling, and numbness in her left arm extended to the wrist and fingers. That same night the patient could not sleep by resting on the left side. It felt like "the left side went to sleep". The next day she woke up and her fingers, knuckles and wrists on both sides were swollen and painful. The pain is believed to be joint pain, accompanied with stiffness and swelling. At bed time, the hands got hot and the pain increases. The symptoms had persisted for 1 week and 4 days. The pain intensity is the same as day 1 but the swelling had decreased from scale of 10 to 7 or 8. On 24-NOV-2008, the patient went to see a physician assistant who prescribed NEURONTIN (strength unspecified) and BENADRYL (manufacturer unspecified) however that did not help and the patient is still experiencing the pain. He patient was diagnosed with ZOSTAVAX inflammatory response. Follow up information received from a nurse on concerning her 79 year old mother, with knee osteoarthritis, atrial fibrillation and paroxysmal atrial tachycardia and a history of pulmonary toxicity in December 2005, who on 20-NOV-2008 was vaccinated with ZOSTAVAX (Lot# 662969/1206X). Concomitant therapy included atenolol. COUMADIN, VYTORIN, CELEBREX, aspirin and THYROXIN. On 20-NOV-2008 during the night of vaccination left side, left arm and hand went to sleep, and left ring and middle finger numb. When the patient woke up next morning, on 21-NOV-2008, the patient's fingers, knuckles and wrists of both hands were swollen, stiff and painful. The symptoms persisted for 4 days (24-NOV-2008) the patient called the office doctor and was prescribed with NEURONTIN (100 mg) and BENADRYL (25 mg) which did not relieve the symptoms. The patient called again 4 days later (28-NOV-2008) and was prescribed a prednisone dose pack which alleviated the symptoms except for the persistent numbness of left arm, left ring and middle fingers when the patient lied on the left side or holding arm up to talk to the phone or read a book. The nurse considered the persistent numbness of left arm, left ring and middle fingers and the swelling, stiffness and pain of the fingers, knuckles and wrists to be disabling. No additional information is expected.
Age: 54.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Hypersensitivity, Hypotension, Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a registered nurse and physician concerning a 54 year old patient who on 14-JAN-2009 was vaccinated with a intramuscular dose of PNEUMOVAX 23 and concomitantly at the same time with influenza virus vaccine (unspecified) in the left arm. On 16-JAN-2009 in the morning, the patient was at the physician's office and felt sick,had a fever of 103F and had low blood pressure. The injection site was red and swollen with about 7-8 cm of area affected. On 16-JAN-2009, the patient was hospitalized for allergic reaction and cellulitis. The patient was given BENADRYL, an unspecified steroid and ROCEPHIN IV. The registered nurse stated that the vaccine was not given in their office and so she does not have the lot number. She reported that the patient was taking trazodone, atenolol, NASONEX and ADVIL. Additional information has been requested.
Age: 54.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Malaise, Pyrexia
Clinical narrative: Information has been received from a registered nurse and physician concerning a 54 year old patient who on 14-JAN-2009 was vaccinated with a intramuscular dose of PNEUMOVAX 23 and concomitantly at the same time with influenza virus vaccine (unspecified) in the left arm. On 16-JAN-2009 in the morning, the patient was at the physician's office and felt sick,had a fever of 103F and had low blood pressure. The injection site was red and swollen with about 7-8 cm of area affected. On 16-JAN-2009, the patient was hospitalized for allergic reaction and cellulitis. The patient was given BENADRYL, an unspecified steroid and ROCEPHIN IV. The registered nurse stated that the vaccine was not given in their office and so she does not have the lot number. She reported that the patient was taking trazodone, atenolol, NASONEX and ADVIL. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Rash pruritic
Clinical narrative: Pt called Health Department this am stating she had a reaction from her Pneumonia vaccine.  Pt stated that she has a "itchy, prickly" rash to both arms and across the top of her shoulders.  Pt denies seeing her physician stating "I know what it is so why should I see my doctor."  Pt states that rash began about 8-12 hours after vaccine administration and that she has used "Anti-Itch Cream."  Pt denies use of Benadryl stating "I am out here at the house and I am not going out to buy any."
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Cold sweat, Dyspnoea, Hearing impaired, Hypoaesthesia, Oxygen saturation normal
Clinical narrative: 2:13 pm - shots given,alert and oriented x 3 2:18pm - c/o "ears numb I can't hear", swaying in chair,alert x 1(person only), blowby oxygen given @10L. Skin cool and dry.  Pupils dialated, eyes rolling back.  General color pale, slightly green. Shortness of breath with slight wheeze. Called 911. 220p B/p 114/60, P-64, r-24.  2:22 pm complained of numbness in the hands. Blowby oxygen continues Ammonia spirit used. 0223p  Alert and oriented x2 (person and place) continued blowby oxygen, c/o hands shaking, states "It feels like a vibrating cell phone" No visable shaking. 226p p-60 R-28 color pale green no nausea, hands become cool and clammy. EMS arrives care turned over.2:29 pm - B/P 91/51, O2 saturation 100%. Alert x 2. 238p standing BP-102/63, O2sat- 98% breathing with ease. Remains pale and slightly green, asks "How long was I out"  Refused additional treatment.  Refused to go to Emergency room with EMT. Ambulated with nurse and mother to vehicle. Instructed by staff and EMT to seek immediate medical attention if breathing difficulty or altered mental stauts.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pallor, Tremor, Wheezing
Clinical narrative: 2:13 pm - shots given,alert and oriented x 3 2:18pm - c/o "ears numb I can't hear", swaying in chair,alert x 1(person only), blowby oxygen given @10L. Skin cool and dry.  Pupils dialated, eyes rolling back.  General color pale, slightly green. Shortness of breath with slight wheeze. Called 911. 220p B/p 114/60, P-64, r-24.  2:22 pm complained of numbness in the hands. Blowby oxygen continues Ammonia spirit used. 0223p  Alert and oriented x2 (person and place) continued blowby oxygen, c/o hands shaking, states "It feels like a vibrating cell phone" No visable shaking. 226p p-60 R-28 color pale green no nausea, hands become cool and clammy. EMS arrives care turned over.2:29 pm - B/P 91/51, O2 saturation 100%. Alert x 2. 238p standing BP-102/63, O2sat- 98% breathing with ease. Remains pale and slightly green, asks "How long was I out"  Refused additional treatment.  Refused to go to Emergency room with EMT. Ambulated with nurse and mother to vehicle. Instructed by staff and EMT to seek immediate medical attention if breathing difficulty or altered mental stauts.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left arm red, hot and swollen                 Pt. to take Advil and benadryl
Age: 52.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Cough, Pain, Wheezing
Clinical narrative: Received vaccine at 9:30 am, stated feeling chilled approx 2.5 hours later. Then started to have dry cough and expiratory wheezes at night starting later that day and following day, which have been increasng along with dry cough and body aches.
Age: 14.0
Sex: F
Vaccine: HEPA, IPV, TDAP
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Passed out with seizure like behavior.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Swelling of arm and itching one day after vaccine admin
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX, PNC, VARCEL
Symptoms: Gaze palsy, Hypotonia, Injection site pain, Irritability, Lacrimation increased
Clinical narrative: Patient had his 1 yr well-baby check-up on Friday, January 16, 2009 and everything checked out perfectly for him.  He was given his vaccinations of 2nd dose of Flu, Chicken Pox, and two others that I'm not sure of.  He seemed a little fussy on Friday evening and off and on through the weekend so we did give him tylenol before bed and to help with the soreness at the injection sites.  On Tuesday, January 20, 2009 he was his happy ol' self.  We decided to go out to dinner that evening so I woke patient from his late afternoon nap just before 6 p.m. and he felt warm so we went to dinner thinking we'd have him eat before we gave him any tylenol or motrin and while we were at dinner, he ate and then didn't want to eat anymore, snuggled with me for awhile and then wanted daddy.  While sitting on daddy's lap he fell forward and was completely limp, this happend just before 7 p.m.  His eyes started rolling back in his head and his breathing slowed and he started to seize.  We called 911 and he continued to seize and began to vomit while in the ambulance to the hospital seizing for between 10 and 15 minutes.  Once in the ER he layed on the bed with big tears and little or no noise.  They took his temp and he was 102.2.  After he came out of the seizure we noticed he had no movement in his right arm or leg and that lasted for nearly 2 hours.  The ER did blood work on him, urine tests, a chest x-ray with all coming back normal.  He was admitted overnight and they performed an EEG on him Wednesday morning which also came back normal so his Dr. felt it was most likely caused from the chicken pox vaccine.  We were discharged Wednesday evening around 7:30 p.m. and asked to bring patient in Friday morning at 8 a.m. to be rechecked.  He was rechecked and everything was normal except he continued to run a temp.  His doctor told us that he would probably end up with a rash within the next day or two and then we'd know for sure.  His fever stopped on Saturday evening and a rash began to appear Sunday.  I contacted his doctor this morning to let him know how patient was doing and his nurse asked me to bring patient in to look at the rash.  When his doctor looked him over he said it looked more like rosiolla rash than chicken pox but that he wouldn't recommend and 2nd chicken pox vaccine for patient.  The only medication given to patient while in the hospital and at home to keep his temp down was tylenol and motrin.  His doctor did prescribe Diastat in case he seized again.  The prescription cost $313.00. 3/3/09-records received for DOS 1/20/09-admitted because of febrile seizure that was complicated, received vaccines 5 days prior and was crabby that evening, awoke with temperature of 102 and was fussy and then had a generalized tonic/clonic seizure, continued to arch and have right-sided weakness, stayed ictal for about half an hour then postictally and 3-4 hours before lost Todd's paralysis resolving .Assessment:complicated febrile seizure possibly exacerbated by immunization.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX, PNC, VARCEL
Symptoms: Rash, Respiratory rate decreased, Roseola, Skin warm, Urine analysis normal
Clinical narrative: Patient had his 1 yr well-baby check-up on Friday, January 16, 2009 and everything checked out perfectly for him.  He was given his vaccinations of 2nd dose of Flu, Chicken Pox, and two others that I'm not sure of.  He seemed a little fussy on Friday evening and off and on through the weekend so we did give him tylenol before bed and to help with the soreness at the injection sites.  On Tuesday, January 20, 2009 he was his happy ol' self.  We decided to go out to dinner that evening so I woke patient from his late afternoon nap just before 6 p.m. and he felt warm so we went to dinner thinking we'd have him eat before we gave him any tylenol or motrin and while we were at dinner, he ate and then didn't want to eat anymore, snuggled with me for awhile and then wanted daddy.  While sitting on daddy's lap he fell forward and was completely limp, this happend just before 7 p.m.  His eyes started rolling back in his head and his breathing slowed and he started to seize.  We called 911 and he continued to seize and began to vomit while in the ambulance to the hospital seizing for between 10 and 15 minutes.  Once in the ER he layed on the bed with big tears and little or no noise.  They took his temp and he was 102.2.  After he came out of the seizure we noticed he had no movement in his right arm or leg and that lasted for nearly 2 hours.  The ER did blood work on him, urine tests, a chest x-ray with all coming back normal.  He was admitted overnight and they performed an EEG on him Wednesday morning which also came back normal so his Dr. felt it was most likely caused from the chicken pox vaccine.  We were discharged Wednesday evening around 7:30 p.m. and asked to bring patient in Friday morning at 8 a.m. to be rechecked.  He was rechecked and everything was normal except he continued to run a temp.  His doctor told us that he would probably end up with a rash within the next day or two and then we'd know for sure.  His fever stopped on Saturday evening and a rash began to appear Sunday.  I contacted his doctor this morning to let him know how patient was doing and his nurse asked me to bring patient in to look at the rash.  When his doctor looked him over he said it looked more like rosiolla rash than chicken pox but that he wouldn't recommend and 2nd chicken pox vaccine for patient.  The only medication given to patient while in the hospital and at home to keep his temp down was tylenol and motrin.  His doctor did prescribe Diastat in case he seized again.  The prescription cost $313.00. 3/3/09-records received for DOS 1/20/09-admitted because of febrile seizure that was complicated, received vaccines 5 days prior and was crabby that evening, awoke with temperature of 102 and was fussy and then had a generalized tonic/clonic seizure, continued to arch and have right-sided weakness, stayed ictal for about half an hour then postictally and 3-4 hours before lost Todd's paralysis resolving .Assessment:complicated febrile seizure possibly exacerbated by immunization.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient had his 1 yr well-baby check-up on Friday, January 16, 2009 and everything checked out perfectly for him.  He was given his vaccinations of 2nd dose of Flu, Chicken Pox, and two others that I'm not sure of.  He seemed a little fussy on Friday evening and off and on through the weekend so we did give him tylenol before bed and to help with the soreness at the injection sites.  On Tuesday, January 20, 2009 he was his happy ol' self.  We decided to go out to dinner that evening so I woke patient from his late afternoon nap just before 6 p.m. and he felt warm so we went to dinner thinking we'd have him eat before we gave him any tylenol or motrin and while we were at dinner, he ate and then didn't want to eat anymore, snuggled with me for awhile and then wanted daddy.  While sitting on daddy's lap he fell forward and was completely limp, this happend just before 7 p.m.  His eyes started rolling back in his head and his breathing slowed and he started to seize.  We called 911 and he continued to seize and began to vomit while in the ambulance to the hospital seizing for between 10 and 15 minutes.  Once in the ER he layed on the bed with big tears and little or no noise.  They took his temp and he was 102.2.  After he came out of the seizure we noticed he had no movement in his right arm or leg and that lasted for nearly 2 hours.  The ER did blood work on him, urine tests, a chest x-ray with all coming back normal.  He was admitted overnight and they performed an EEG on him Wednesday morning which also came back normal so his Dr. felt it was most likely caused from the chicken pox vaccine.  We were discharged Wednesday evening around 7:30 p.m. and asked to bring patient in Friday morning at 8 a.m. to be rechecked.  He was rechecked and everything was normal except he continued to run a temp.  His doctor told us that he would probably end up with a rash within the next day or two and then we'd know for sure.  His fever stopped on Saturday evening and a rash began to appear Sunday.  I contacted his doctor this morning to let him know how patient was doing and his nurse asked me to bring patient in to look at the rash.  When his doctor looked him over he said it looked more like rosiolla rash than chicken pox but that he wouldn't recommend and 2nd chicken pox vaccine for patient.  The only medication given to patient while in the hospital and at home to keep his temp down was tylenol and motrin.  His doctor did prescribe Diastat in case he seized again.  The prescription cost $313.00. 3/3/09-records received for DOS 1/20/09-admitted because of febrile seizure that was complicated, received vaccines 5 days prior and was crabby that evening, awoke with temperature of 102 and was fussy and then had a generalized tonic/clonic seizure, continued to arch and have right-sided weakness, stayed ictal for about half an hour then postictally and 3-4 hours before lost Todd's paralysis resolving .Assessment:complicated febrile seizure possibly exacerbated by immunization.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Alopecia, Contusion, Diarrhoea, Dyspnoea, Ear infection
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Full blood count, Influenza like illness, Nasopharyngitis, Pyrexia, Sinusitis
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Vomiting
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Cough, Pneumonia, Pyrexia
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Alopecia, Chest X-ray, Contusion, Diarrhoea, Dyspnoea
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Ear infection, Influenza like illness, Nasopharyngitis, Pneumonia, Pyrexia
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Sinusitis, Vomiting
Clinical narrative: 7/16/07 - Developed severe case of pneumonia with fever - no cough or cold prior.  Was sent to hospital for chest x-ray.  Was given inhalation therapy and prescribed cefdinir (300mg) and albuterol (90mg).  7/16/07 evening - went to emergency room when patient couldn't breath.  Received inhalation therapy and z-pak  7/18/07 - checked at doctors' office for improvement 7/19/07 - was given additional albuterol (.83mg) and told to use one vial every 4 hours.   7/07 - given refill of z-pak.  9/28/07 - sinus infection and fever (has had for about 3 weeks) and is prescribed Z-pak  9/07 - begins losing substantial amounts of hair that continues for approximately 4 months.  3/7/08 - is seen for ear and sinus infection and fever and prescribed z-pak  12/19/08 - patient develops flu-like symptoms with vomiting, diarrhea, and fever.  Is given phenergan (25 mg).  Is sent to hospital when vomiting continues.  Is given 3 bags of IV fluid and treated for vomiting and diarrhea.  1/20/09 - develops cold symptoms and fever.  Chronic bruising.  2/13/09 Received ER medical records of 7/17/2007. FINAL DX: LLL pneumonia Records reveal patient experienced fever, cough, difficulty breathing, SOB.  Had been seen by PCP 7/16 & dx w/pneumonia.  Antibiotics & inhaler had not improved s/s.  Exam revealed decreased LLL breath sounds.  Tx w/nebs, IVF & oral antibiotics.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Dysaesthesia, Injected limb mobility decreased, Injection site pain, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: On 1/12/09 pt received a Tdap inj booster in L deltoid in belly of the muscle. Several hours later she developed swelling and pain in the deltoid. No discomfort initially. No systemic sx's such as fever or malaise. Over the next 12-24 hours the L deltoid progressively got more swollen and painful and stiff. She developed dysesthesia over the ulnar distribution including the fingertips of 4 and 5 of that side. No weakness. Could not abduct her arm past about 45 degrees prior to or less than 45 degrees.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Dyspnoea, Fatigue, Heart rate increased, Hyperhidrosis
Clinical narrative: Client received Engerix B vaccine on 1/13/09. On 1/26/09, client reports symptoms of sweating, itching on upper extremities, pain in knees,and fatigue which began on approximately 1/17/09. Recalls having difficulty "catching breath" and fast heartbeat two days after receipt of Hepatitis B vaccine. Client denied history of allergies to foods or medications at time of vaccination. On 1/26/09, client states she "may have an allergy to wheat." No treatment given. Encouraged rest, follow-up with personal physician if symptoms worsen.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus
Clinical narrative: Client received Engerix B vaccine on 1/13/09. On 1/26/09, client reports symptoms of sweating, itching on upper extremities, pain in knees,and fatigue which began on approximately 1/17/09. Recalls having difficulty "catching breath" and fast heartbeat two days after receipt of Hepatitis B vaccine. Client denied history of allergies to foods or medications at time of vaccination. On 1/26/09, client states she "may have an allergy to wheat." No treatment given. Encouraged rest, follow-up with personal physician if symptoms worsen.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Pt was fine fol shot. Woke up the next morning, couldn't move arm, "hives" at site, red, warm, swollen, very painful, pain at joint. Was instructed to come into office. Provider said pain was not in joint but in deltoid muscle. Pt was instructed to use ibuprofen and ice.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Monoplegia
Clinical narrative: Pt was fine fol shot. Woke up the next morning, couldn't move arm, "hives" at site, red, warm, swollen, very painful, pain at joint. Was instructed to come into office. Provider said pain was not in joint but in deltoid muscle. Pt was instructed to use ibuprofen and ice.
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Herpes zoster
Clinical narrative: DIAGNOSED WITH SHINGLES 01/26/2009 PATIENT HAS ONLY RECEIVED ONE DOSE OF VARIVAX LISTED ABOVE
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness
Clinical narrative: Hospitalized and diagnosed with Guillian-Barre Syndrome.  Weakness in upper extremities. 2/10/09 Received hospital medical records of 1/20-1/30/2009. FINAL DX: acute inflammatory polyradiculopathy; uncontrolled HTN; intractable nausea & vomiting; quadriparesis. Records reveal patient experienced UE & LE weakness, pain in shoulders, back & legs.  Tx w/IVIG x 3 w/o improvement.  Tx w/plasmapheresis w/modest improvement.  Transferred to higher level of care.  2/18/09 Reviewed hospital medical records of 1/30-2/5/2009. FINAL DX: acute motor axonal neuropathy; acute stroke. Records reveal patient experienced weakness of all extremities.  Had N/V/D approx 1 week after flu vaccine on 1/4/09.  Started w/weakness of extremities on 1/20.  Had been transferred to ICU from outlying hospital after IVIG x 3 & plasmapheresis x 4 w/only minimal improvement.  LP done.  Tx w/high dose steroids & plasmapheresis x 3 more.  Improved minimally but was able to ambulate w/mod assist & walker when transferred to inpatient rehab.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Muscular weakness, Myalgia
Clinical narrative: Symptoms started two days after recieving the vaccine.  Experienced muscle pain, spasm, and weakness.  Have seen multiple doctors for treatment still no improvement.  Time course is about 3 months.  02/05/2009  MR received from PCP from 12/8/08 to 2/3/09. OV 12/8/08.  Pt preports increased body twitching, dizziness, difficulty walking, and muscle soreness of the arms and legs beginning on 10/19/08. Symptoms initially began in 2005. Nutritional IVs prescibed. Seen 1/6/09 with c/o facial rash since late october 2008. Papular rash noted of face/neck, tender to touch. Assess:  2 different rashes- 1-possible staph. 2-unknown possible derm rxn. Will cx if reoccurs.
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Dyspnoea, Pyrexia
Clinical narrative: Mother reports high fever (104.7, severe diarrhea, and shortness of breathe four hours after vaccines.  Was seen in local ER was observed and given antibiotics to take home.  Mother states that the ER said it was probably due to the ??Rotateq.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Migraine, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: 15 minutes after the vaccine the patient develop severe migraine headaches, accompanied by nausea. She was medicated with pain medication before the vaccine but still developed migraine headache that last more than 48 hours. Also rt. arm swelling redness pain to touch.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Oedema peripheral, Pruritus, Vulvovaginal pruritus
Clinical narrative: Patient called to report swelling of right arm thirty six hours post injection. Patient stated hurt in muscle and "itched like crazy". She also reported vaginal itching. Patient called her health care provider who recommended hot and cold compresses to arm. Patient applied cortisone cream for itching. Swelling resolved two to three days later. Itching lasted longer. Follow up 1/26/2009. All symptoms resolved.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: Patient received the Varivax on Saturday 1/24/2008. The following day she noticed the area was red and hard and itchy. It continues today, she has taken Ibuprofen for the pain that she is experiencing in this area.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Diarrhoea, Headache, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: After receiving vaccination at 11am on 1/21/09, pt went out to lunch and had a hamburger and a beer.  Around 1pm, developed Headache, nausea, aching and stiffness all over.  Diarrhea developed later that evening.  Diarrhea lasted for 1 days.  Headache and Nausea persisted until Saturday 1/24/09.  By Sunday 1/25/09, pt had complete resolution of symptoms.
Age: 64.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TDAP, TYP, YF
Symptoms: Anorexia, Dizziness, Erythema, Nausea, Pain
Clinical narrative: 64 yo F calling to report possible reaction to vaccines.  Traveling abroad, yellow fever area. On 1/16 received 5 vaccines.  Tdap, Flu, HepA, HepB and Yellow Fever.  On Thursday 1/22 she noticed a raised red area about the size of 50cent piece, itchy, left sub-Q area.  That resolved by 1/25 and she now has red/blue discolored area.  Not warm or hot to the touch. Denies any fever.  Sob, resp problem, dizziness.  On Sunday 1/25 she became nauseated with no appetite and achy.  No fever.  Today she has rash, small raised, over chest, stomach, legs and arms.  No itching, still denies fever, states she feels better today.  Is at work.  On further questioning she tells me she finished her Oral Typhoid vaccine on Thursday, 1/22. I advised her to call her MD, for evaluation and tx, I will fill out the Vaers form.  I further advised her if sx worsen, she needs to seek medical attention immediately.
Age: 64.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TDAP, TYP, YF
Symptoms: Pruritus, Rash, Skin discolouration
Clinical narrative: 64 yo F calling to report possible reaction to vaccines.  Traveling abroad, yellow fever area. On 1/16 received 5 vaccines.  Tdap, Flu, HepA, HepB and Yellow Fever.  On Thursday 1/22 she noticed a raised red area about the size of 50cent piece, itchy, left sub-Q area.  That resolved by 1/25 and she now has red/blue discolored area.  Not warm or hot to the touch. Denies any fever.  Sob, resp problem, dizziness.  On Sunday 1/25 she became nauseated with no appetite and achy.  No fever.  Today she has rash, small raised, over chest, stomach, legs and arms.  No itching, still denies fever, states she feels better today.  Is at work.  On further questioning she tells me she finished her Oral Typhoid vaccine on Thursday, 1/22. I advised her to call her MD, for evaluation and tx, I will fill out the Vaers form.  I further advised her if sx worsen, she needs to seek medical attention immediately.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Bundle branch block, Cardiac ablation, Chest X-ray normal, Dyspnoea, Echocardiogram normal
Clinical narrative: 3-4 hours after being vaccinated pt. began having SOB and then palpitations with heart racing.  Pt. taken to ER and admitted with tachycardia and BBB.  Pt. diagnosed with Wolf-Parkinson-White Syndrome and treated with cardioablation and B-blocker therapy.  2/2/09 PCP records received for 18 yr old PE dated 1/7/09. PE WNL. Flu shot given.  F/U note that pt began having SOB and heart racing that pm. Dx: Wolfe-Parkinson-White syndrome and had a cardioablation and placed on B-blocker.     2/20/09 MR received for DOS 1/8-13/2009 with Final DX:  Atrial fibrillation.  Anxiety state.  Reflux disease. Pt presented with 1 day hx of intermittent palpitations with SOB. Atrial fib with rapid ventricular response noted on EKG on arrival in ED, one episode of SVT. Admitted and started on Beta blockers. Episode of bradycardia in the 40's on 1/11/09 and chest pressure that pm. CP likely GERD. AV node ablation performed with resolution of arrhythmia. D/C on Beta blocker.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Electrocardiogram abnormal, Palpitations, Tachycardia, Wolff-Parkinson-White syndrome
Clinical narrative: 3-4 hours after being vaccinated pt. began having SOB and then palpitations with heart racing.  Pt. taken to ER and admitted with tachycardia and BBB.  Pt. diagnosed with Wolf-Parkinson-White Syndrome and treated with cardioablation and B-blocker therapy.  2/2/09 PCP records received for 18 yr old PE dated 1/7/09. PE WNL. Flu shot given.  F/U note that pt began having SOB and heart racing that pm. Dx: Wolfe-Parkinson-White syndrome and had a cardioablation and placed on B-blocker.     2/20/09 MR received for DOS 1/8-13/2009 with Final DX:  Atrial fibrillation.  Anxiety state.  Reflux disease. Pt presented with 1 day hx of intermittent palpitations with SOB. Atrial fib with rapid ventricular response noted on EKG on arrival in ED, one episode of SVT. Admitted and started on Beta blockers. Episode of bradycardia in the 40's on 1/11/09 and chest pressure that pm. CP likely GERD. AV node ablation performed with resolution of arrhythmia. D/C on Beta blocker.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right leg with erythema and edema. Mom brought baby in. Advised to ice x20' q hr. Motrin 5mg prn.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth to site fever (100.2), chills, fatigue, achy.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Redness, swelling, warmth to site fever (100.2), chills, fatigue, achy.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Approximately 24 hrs after injection, a hard reddish lump formed at injection site. it was painful to touch and very hot.
Age: 42.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Injection site pain
Clinical narrative: Tetanus shot. Red, sore. Bump 3 to 4 inch in diameter-lasting about 2wks and still have a bump about dime size. NO pain , no redness. Hep B shot, sore, redness, bruise, about 3wks. still have knot size of a pen size. Not sore not painful.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen, warm, painful area 2"x4" around injection area.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Where shot given-is red and warm to the touch and a little sore.
Age: 56.0
Sex: U
Vaccine: FLU3
Symptoms: Fatigue, Headache
Clinical narrative: Moderate headache with fatigue approximately 16 hours after flu shot. Duration was approx. 24 hrs. I rarely have a headache.
Sex: U
Vaccine: TDAP
Symptoms: Pyrexia, Swelling, Urticaria
Clinical narrative: Hot swelling, hives, feverish.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 12/10 Wed. got shot. Thursday the 11th small nickel size red area and hard, warm to touch knot. Very sore to touch. Friday morning golf ball size knot, red area and warm to touch, very tender. took BENADRYL and TYLENOL, no results, Friday night a little bigger with same s/s. Sat started getting smaller improving but not gone.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 2" red, round, fever, swollen area, tender to touch right upper arm 24 hrs after shot given. Noted given posterior mid upper arm not deltoid.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Computerised tomogram normal, Dizziness, Nausea, Nuclear magnetic resonance imaging abnormal, Vomiting
Clinical narrative: Dizziness (severe vertigo) vomiting, nausea.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash vesicular
Clinical narrative: 1/24/08 onset right flank rash-itchy vesicular anterior and posterior.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site swelling, Rash erythematous, Rash maculo-papular
Clinical narrative: Rash - erythematous maculopapular on both cheeks and all over trunk and extremities.  Swollen-nontender (R) thigh.
Age: 1.2
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Mom returned to clinic 2d after vaccination & voiced pt had been to ER for febrile seizure post vaccination.