chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Cough
Clinical narrative: 5 minutes after receiving Flu shot developed deep coughing.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3 days of local redness, swelling over injection site L thigh.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: Left thigh local reaction=> moderate swelling, mild erthema, local inflamatory response with low grade temps x2 days. Fever 102'99'.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain at site (scale 1-10: pain @ 10) alternate heat/cold; ALEVE 2 BID) physical therapy 2x/week. Some improvement over time (pain now at 5 or 6).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: 15x6 cm welts and hives on the ventral, mid axilla and deltoid region
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Cyanosis, Dyspnoea, Intensive care, Viral test
Clinical narrative: Patient was having shortness of breath and turning blue so parents took him to ER and was admitted to ICU.  11/13/09 DS received for DOS 10/20/09  10/22/09 Final DX: Respiratory viral syndrome.    The Pt was admitted to the hospital on 10/20/09 with a HX of acute life threatening event including cyanosis, shallow breathing, chest pain, neck soreness and headache. Pt received flumist H1N1 vaccine the previous day.  That night Pt had poor appetite, fever and cough. Pt had few bradycardia episodes of 45-50 bpm.  Pt was placed on telemetry and was stable. Rapid DFA test was negative, but sensitivity was ~ 50%, so Tamiflu was started.  Viral culture for influenza was pending.  Pt's physician considered viral illness possibly influenza exacerbating the Pt's underlying cardiopulmonary status. Also, Pt's physician considered that Flumist is a relative contraindication to use in asthma, although Pt did not have any sx of asthma in years. Pt was discharged home in stable condition.
Age: 35.0
Sex: M
Vaccine: DTAP
Symptoms: Muscle spasms
Clinical narrative: MUSCLE SPASMS RIGHT SIDE, MOSTLY THIGH BUT SOME ARM ALSO. ?IMPROVED WITH IBUPROFEN
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Rash, Skin warm
Clinical narrative: 2 inch diameter red rash with 1/4 inch by 1/2 inch hard spot in center and Hot to touch
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Diarrhoea, Pyrexia
Clinical narrative: Child had fever in early AM.  Resolved w/ tylenol.  Later that day, fever returned, she had an episode of diarrhea and crying so that she could not be consoled.  She was evaluated in the doctor's office 8/20.  She continued to have spells of crying and low grade fever for the next 2 days, gradually resolving.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Cough, Dysphonia, Oral pruritus, Oropharyngeal pain
Clinical narrative: itching in inner ears, roof of mouth, hoarseness, tightness in chest, coughing (asthmatic), itching skin, very sore throat, some throat swelling.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Pharyngeal oedema, Pruritus, Radioallergosorbent test negative, Skin test negative
Clinical narrative: itching in inner ears, roof of mouth, hoarseness, tightness in chest, coughing (asthmatic), itching skin, very sore throat, some throat swelling.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Headache, Influenza serology positive, Oropharyngeal pain, Pain
Clinical narrative: sever headache, body aches, tiredness, soar throat, low fever of about 100
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: sever headache, body aches, tiredness, soar throat, low fever of about 100
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dysphonia, Eye pain, Eye swelling, Fatigue
Clinical narrative: On 1/19/2000 I began getting very cold and could not get warm. I went to bed and woke up during the night sweating as if I had fever and it had broke. I had a sudden onset of hoarseness and coughing that lasted throughout 10/20/2009. At approximately 7:00 PM I felt exhausted and my sides were aching. I felt so bad that I went to bed early. I woke up at approximately 6 AM  on 10/21/2009 with my eyes very sore to touch and they were swollen shut. My entire face was swollen as was my hands. I immediately took a Benadryl. I was seen by Dr. I advised him of the flu shot I was given and all of my symptoms. He tested me for the flu which was negative and confirmed I had a reaction and gave me a steroid shot.  As the day has gone on I  have gotten very pale and my heart is racing. I am wondering now if I need to go back to the doctor.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling cold, Hyperhidrosis, Immunisation reaction, Influenza serology negative, Oedema peripheral
Clinical narrative: On 1/19/2000 I began getting very cold and could not get warm. I went to bed and woke up during the night sweating as if I had fever and it had broke. I had a sudden onset of hoarseness and coughing that lasted throughout 10/20/2009. At approximately 7:00 PM I felt exhausted and my sides were aching. I felt so bad that I went to bed early. I woke up at approximately 6 AM  on 10/21/2009 with my eyes very sore to touch and they were swollen shut. My entire face was swollen as was my hands. I immediately took a Benadryl. I was seen by Dr. I advised him of the flu shot I was given and all of my symptoms. He tested me for the flu which was negative and confirmed I had a reaction and gave me a steroid shot.  As the day has gone on I  have gotten very pale and my heart is racing. I am wondering now if I need to go back to the doctor.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pallor, Palpitations, Pyrexia, Swelling face
Clinical narrative: On 1/19/2000 I began getting very cold and could not get warm. I went to bed and woke up during the night sweating as if I had fever and it had broke. I had a sudden onset of hoarseness and coughing that lasted throughout 10/20/2009. At approximately 7:00 PM I felt exhausted and my sides were aching. I felt so bad that I went to bed early. I woke up at approximately 6 AM  on 10/21/2009 with my eyes very sore to touch and they were swollen shut. My entire face was swollen as was my hands. I immediately took a Benadryl. I was seen by Dr. I advised him of the flu shot I was given and all of my symptoms. He tested me for the flu which was negative and confirmed I had a reaction and gave me a steroid shot.  As the day has gone on I  have gotten very pale and my heart is racing. I am wondering now if I need to go back to the doctor.
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood product transfusion, Haemorrhage, Idiopathic thrombocytopenic purpura, Petechiae, Platelet count decreased
Clinical narrative: Developed petechial hemorrhages on 10/13/2009. Seen on 10/16/2009. Platelet count was <3000/ml, otherwise normal RBC/WBC, consistent with ITP. Given IVIG with increase in platelet count to 26,000. Ongoing follow-up. 11/20/2009 MR for 10/16-10/17/2009,Dc Dx Thrombocytopenia   patient with petechial rash, itching and bruising. CBC noted low plt ct, Tx: IV IGg
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: Red blood cell count normal, White blood cell count normal
Clinical narrative: Developed petechial hemorrhages on 10/13/2009. Seen on 10/16/2009. Platelet count was <3000/ml, otherwise normal RBC/WBC, consistent with ITP. Given IVIG with increase in platelet count to 26,000. Ongoing follow-up. 11/20/2009 MR for 10/16-10/17/2009,Dc Dx Thrombocytopenia   patient with petechial rash, itching and bruising. CBC noted low plt ct, Tx: IV IGg
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash
Clinical narrative: Felt itchy - skin rash developed night of 10/19/2009 - still dealing with rash and itchiness 10/21/2009.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chapped lips, Lip blister, Lip swelling
Clinical narrative: My lips felt irritated (I thought they were chapped) for a few days starting either Saturday or Sunday and by Wednesday they were large and had small blisters.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Disorientation, Fatigue, Flushing
Clinical narrative: Flushed later in day, fever & chills that night and headache continued through next day. Fine 2nd day after. Started getting itchy throat, tired chills, disoriented small rash & dry cough.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pyrexia, Rash, Throat irritation
Clinical narrative: Flushed later in day, fever & chills that night and headache continued through next day. Fine 2nd day after. Started getting itchy throat, tired chills, disoriented small rash & dry cough.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling area (L) upper arm with erythema 3 1/2" X 3".
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Joint range of motion decreased, Muscle strain
Clinical narrative: Tenderness at vaccine site 2 weeks post vaccine, limited range of motion.  "Pulling" feeling in deltoid.  No palpable mass.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria - BENADRYL by mouth
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Nausea, Vomiting
Clinical narrative: Donor reported post receiving Tetanus shot to arm, she went home and was attempting to eat/drink when she became N & Vx3 normal stomach contents - Donor denies any other problems complications and stated she felt fine after she Vx3.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Facial palsy, Hypoaesthesia, Hypoaesthesia facial, Paraesthesia
Clinical narrative: MOTER STATES "AT 6:30PM PATIENT C/O NUMBNESS, WEAKNESS, TINGLING ON SIDE OF BODY WHERE VACCINE WAS GIVEN.  FACE (SIDE) AND LIP TINGLING, NUMB AND DROOPY ONLY LASTED A FEW MINUTES.  WENT TO SEE FAMILY DOCTOR THIS AM.  MD RECOMMENDATION-WILL MONITOR FOR NEXT SEVERAL MONTHS (DR)
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Paraesthesia oral
Clinical narrative: MOTER STATES "AT 6:30PM PATIENT C/O NUMBNESS, WEAKNESS, TINGLING ON SIDE OF BODY WHERE VACCINE WAS GIVEN.  FACE (SIDE) AND LIP TINGLING, NUMB AND DROOPY ONLY LASTED A FEW MINUTES.  WENT TO SEE FAMILY DOCTOR THIS AM.  MD RECOMMENDATION-WILL MONITOR FOR NEXT SEVERAL MONTHS (DR)
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Dizziness, Fatigue, Syncope
Clinical narrative: Information was received from a field representative who called and stated "There was a recent media report that was very local and the representative had been hearing from physicians and nurses from different offices. The physicians and nurses told the representative that GARDASIL was being reported in a local station about a patient who developed seizures following 1st and 2nd dose of GARDASIL. The patient's mother mentioned that they will not give the 3rd dose to her daughter anymore. The patient was being treated for seizures." Information was received from a field representative reported that she had heard from the office staff at a different office that a network, ran a story on 06-OCT-2009 reporting that a high school student had a seizure after receiving her second dose of GARDASIL. Information has been received from a website entitled " HPV vaccine not without potential risks-small percentage of girls experience side effects" Concerning a 16 year old female student who in July 2008 was vaccinated with her first dose of GARDASIL. There was no problem at first. A couple of days after the shot she began feeling tired and getting really sick. Thought she might have mono. Three months later she collapsed at a cross country meet. She was unconscious for seven minutes. Then she started having seizures began several a week. She saw a neurologist who diagnosed her with epilepsy and prescribed an unspecified medication. She lost her driver's license. The daily pills eventually stopped the seizures. She went four months without seizures. Then, in June 2009, she received her second dose of GARDASIL. Right after the second dose of vaccine the seizures started again. The patient stated that she would not get the third dose. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Convulsion, Epilepsy, Fatigue, Immediate post-injection reaction
Clinical narrative: Information was received from a field representative who called and stated "There was a recent media report that was very local and the representative had been hearing from physicians and nurses from different offices. The physicians and nurses told the representative that GARDASIL was being reported in a local station about a patient who developed seizures following 1st and 2nd dose of GARDASIL. The patient's mother mentioned that they will not give the 3rd dose to her daughter anymore. The patient was being treated for seizures." Information was received from a field representative reported that she had heard from the office staff at a different office that a network, ran a story on 06-OCT-2009 reporting that a high school student had a seizure after receiving her second dose of GARDASIL. Information has been received from a website entitled " HPV vaccine not without potential risks-small percentage of girls experience side effects" Concerning a 16 year old female student who in July 2008 was vaccinated with her first dose of GARDASIL. There was no problem at first. A couple of days after the shot she began feeling tired and getting really sick. Thought she might have mono. Three months later she collapsed at a cross country meet. She was unconscious for seven minutes. Then she started having seizures began several a week. She saw a neurologist who diagnosed her with epilepsy and prescribed an unspecified medication. She lost her driver's license. The daily pills eventually stopped the seizures. She went four months without seizures. Then, in June 2009, she received her second dose of GARDASIL. Right after the second dose of vaccine the seizures started again. The patient stated that she would not get the third dose. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Malaise, Syncope, Vaccine positive rechallenge
Clinical narrative: Information was received from a field representative who called and stated "There was a recent media report that was very local and the representative had been hearing from physicians and nurses from different offices. The physicians and nurses told the representative that GARDASIL was being reported in a local station about a patient who developed seizures following 1st and 2nd dose of GARDASIL. The patient's mother mentioned that they will not give the 3rd dose to her daughter anymore. The patient was being treated for seizures." Information was received from a field representative reported that she had heard from the office staff at a different office that a network, ran a story on 06-OCT-2009 reporting that a high school student had a seizure after receiving her second dose of GARDASIL. Information has been received from a website entitled " HPV vaccine not without potential risks-small percentage of girls experience side effects" Concerning a 16 year old female student who in July 2008 was vaccinated with her first dose of GARDASIL. There was no problem at first. A couple of days after the shot she began feeling tired and getting really sick. Thought she might have mono. Three months later she collapsed at a cross country meet. She was unconscious for seven minutes. Then she started having seizures began several a week. She saw a neurologist who diagnosed her with epilepsy and prescribed an unspecified medication. She lost her driver's license. The daily pills eventually stopped the seizures. She went four months without seizures. Then, in June 2009, she received her second dose of GARDASIL. Right after the second dose of vaccine the seizures started again. The patient stated that she would not get the third dose. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 53.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Induration, Pain, Pyrexia
Clinical narrative: PNEUMONIA SHOT GIVEN SEPT 14, 2009 AT 11:30AM.  WED MORNING NOTED BRIGHT RED, FEVERISH, HARD, TERRIBLE ACHY FEELING, HURT ALL OVER, DIFFICULTY MOVING ARM D/T PAIN.
Age: 53.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Induration, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: PNEUMONIA SHOT GIVEN SEPT 14, 2009 AT 11:30AM.  WED MORNING NOTED BRIGHT RED, FEVERISH, HARD, TERRIBLE ACHY FEELING, HURT ALL OVER, DIFFICULTY MOVING ARM D/T PAIN.
Age: 53.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: PNEUMONIA SHOT GIVEN SEPT 14, 2009 AT 11:30AM.  WED MORNING NOTED BRIGHT RED, FEVERISH, HARD, TERRIBLE ACHY FEELING, HURT ALL OVER, DIFFICULTY MOVING ARM D/T PAIN.
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Dizziness, Dyspnoea, Immediate post-injection reaction
Clinical narrative: Patient complained of chest pain, dizziness, then had 2 seizure-like episodes lasting about 30 sec each. EKG & EEG done then patient released.
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Convulsion, Dizziness, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal
Clinical narrative: Patient complained of chest pain, dizziness, then had 2 seizure-like episodes lasting about 30 sec each. EKG & EEG done then patient released.
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electroencephalogram normal
Clinical narrative: Patient complained of chest pain, dizziness, then had 2 seizure-like episodes lasting about 30 sec each. EKG & EEG done then patient released.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Convulsion, Depressed level of consciousness, Dizziness, Fatigue, Flushing
Clinical narrative: Information has been received from a physician and a consumer concerning her 16 year old daughter with irritable bowel syndrome, allergy to BENZYL PEROXIDE and a history of a cyst in her ovary, who on 21-APR-2009 was vaccinated with a first dose of GARDASIL. On 24-JUN-2009 the patient received a second dose of GARDASIL on 12-OCT-2009 the patient received a third dose of GARDASIL. An hour after receiving the third dose of GARDASIL the patient was found unconscious. Since she woke up from that she had experienced relentless headache, muscle pain and tiredness. The patient was admitted to the hospital on 14-OCT-2009 and kept for 24 hours. A cat scan and "blood work" laboratory studies were performed which revealed a negative result. At the time of the report the patient had improved and was able to go back to school. The patient was recovering with residual headache, residual muscle pain and residual tiredness. The patient had no problems after getting the first and second dose of GARDASIL. No further information is available.  11/12/09 Medical records and discharge summary received for 10/14/09-1 Final DX: HA, Orthstatic hypotension. Became hot and light headed. LOC. Could not talk. Flu neg. HA.  Near syncope on way to have CT. D/C to home.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Hypersomnia, Loss of consciousness, Pain
Clinical narrative: Information has been received from a physician and a consumer concerning her 16 year old daughter with irritable bowel syndrome, allergy to BENZYL PEROXIDE and a history of a cyst in her ovary, who on 21-APR-2009 was vaccinated with a first dose of GARDASIL. On 24-JUN-2009 the patient received a second dose of GARDASIL on 12-OCT-2009 the patient received a third dose of GARDASIL. An hour after receiving the third dose of GARDASIL the patient was found unconscious. Since she woke up from that she had experienced relentless headache, muscle pain and tiredness. The patient was admitted to the hospital on 14-OCT-2009 and kept for 24 hours. A cat scan and "blood work" laboratory studies were performed which revealed a negative result. At the time of the report the patient had improved and was able to go back to school. The patient was recovering with residual headache, residual muscle pain and residual tiredness. The patient had no problems after getting the first and second dose of GARDASIL. No further information is available.  11/12/09 Medical records and discharge summary received for 10/14/09-1 Final DX: HA, Orthstatic hypotension. Became hot and light headed. LOC. Could not talk. Flu neg. HA.  Near syncope on way to have CT. D/C to home.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dizziness, Headache, Loss of consciousness, Myalgia, Somnolence
Clinical narrative: Information has been received from a physician and a consumer concerning her 16 year old daughter with irritable bowel syndrome, allergy to BENZYL PEROXIDE and a history of a cyst in her ovary, who on 21-APR-2009 was vaccinated with a first dose of GARDASIL. On 24-JUN-2009 the patient received a second dose of GARDASIL on 12-OCT-2009 the patient received a third dose of GARDASIL. An hour after receiving the third dose of GARDASIL the patient was found unconscious. Since she woke up from that she had experienced relentless headache, muscle pain and tiredness. The patient was admitted to the hospital on 14-OCT-2009 and kept for 24 hours. A cat scan and "blood work" laboratory studies were performed which revealed a negative result. At the time of the report the patient had improved and was able to go back to school. The patient was recovering with residual headache, residual muscle pain and residual tiredness. The patient had no problems after getting the first and second dose of GARDASIL. No further information is available.  11/12/09 Medical records and discharge summary received for 10/14/09-1 Final DX: HA, Orthstatic hypotension. Became hot and light headed. LOC. Could not talk. Flu neg. HA.  Near syncope on way to have CT. D/C to home.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fatigue, Haematology test normal, Headache, Loss of consciousness
Clinical narrative: Information has been received from a physician and a consumer concerning her 16 year old daughter with irritable bowel syndrome, allergy to BENZYL PEROXIDE and a history of a cyst in her ovary, who on 21-APR-2009 was vaccinated with a first dose of GARDASIL. On 24-JUN-2009 the patient received a second dose of GARDASIL on 12-OCT-2009 the patient received a third dose of GARDASIL. An hour after receiving the third dose of GARDASIL the patient was found unconscious. Since she woke up from that she had experienced relentless headache, muscle pain and tiredness. The patient was admitted to the hospital on 14-OCT-2009 and kept for 24 hours. A cat scan and "blood work" laboratory studies were performed which revealed a negative result. At the time of the report the patient had improved and was able to go back to school. The patient was recovering with residual headache, residual muscle pain and residual tiredness. The patient had no problems after getting the first and second dose of GARDASIL. No further information is available.  11/12/09 Medical records and discharge summary received for 10/14/09-1 Final DX: HA, Orthstatic hypotension. Became hot and light headed. LOC. Could not talk. Flu neg. HA.  Near syncope on way to have CT. D/C to home.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Myalgia
Clinical narrative: Information has been received from a physician and a consumer concerning her 16 year old daughter with irritable bowel syndrome, allergy to BENZYL PEROXIDE and a history of a cyst in her ovary, who on 21-APR-2009 was vaccinated with a first dose of GARDASIL. On 24-JUN-2009 the patient received a second dose of GARDASIL on 12-OCT-2009 the patient received a third dose of GARDASIL. An hour after receiving the third dose of GARDASIL the patient was found unconscious. Since she woke up from that she had experienced relentless headache, muscle pain and tiredness. The patient was admitted to the hospital on 14-OCT-2009 and kept for 24 hours. A cat scan and "blood work" laboratory studies were performed which revealed a negative result. At the time of the report the patient had improved and was able to go back to school. The patient was recovering with residual headache, residual muscle pain and residual tiredness. The patient had no problems after getting the first and second dose of GARDASIL. No further information is available.  11/12/09 Medical records and discharge summary received for 10/14/09-1 Final DX: HA, Orthstatic hypotension. Became hot and light headed. LOC. Could not talk. Flu neg. HA.  Near syncope on way to have CT. D/C to home.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dyspnoea, Fatigue, Rhinorrhoea
Clinical narrative: Began on 10/18 as normal side effects (cough, runny nose).  Slowly progressed into more severe symptoms during the next few days.  As of 10/21/09, symptoms include difficulty breathing accompanied by a cough as well as fatigue.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Balance disorder, Disorientation, Dizziness, Pallor
Clinical narrative: Light-headed, dizzy, slighty disoriented, pale, weak kneed, unbalanced.  Began to diminish at 0440.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Herpes zoster
Clinical narrative: Herpeszoster outbreak at T10 on Right.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, Headache, Runny Nose
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swelling face
Clinical narrative: Patient presented to Employee Health with R-side facial swelling, VSS BP 120/80, HR 88, Resp 18, Temp 99.5.  Speech clear, denied headache, dizziness, fever chills, no signs of respiratory distress.  Referred to PCP for follow-up.  Employee states today sytoms resolved within one hour after being seen.  Reported to work today with no complaints.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Heart rate increased, Pain, Pyrexia, Tremor
Clinical narrative: Pulse was 139 at resting, fever 103.1, uncontrollable shaking, aches, painful headache (8 on a scale of 1-10) Lasted for about 8 hours. Took Tylenol for fever.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Secondary transmission, Varicella
Clinical narrative: We believe patient contracted chicken pox from her sister, who was recently vaccinated with the live vaccine.  Patient has previously been vaccinated, and no one else in her school or that we know has chicken pox.  She has suffered a mild rash on her scalp and trunk, consistent with a child who was previously vaccinated.  We are reporting this because of the low incidence of reports of contracting illness following the live chicken pox vaccine.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Immunisation reaction, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: I woke up at 3:ooam with a large amount of nasal drainage, headace,a fever of 101.00 and sneezing profusly.This continued until 4pm on 10/21/09.The symtoms seemed to just go away with some congestion. This is what makes me think it was a reaction to the vaccine. I was fine before,and fine now after 24 hours.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Sneezing
Clinical narrative: I woke up at 3:ooam with a large amount of nasal drainage, headace,a fever of 101.00 and sneezing profusly.This continued until 4pm on 10/21/09.The symtoms seemed to just go away with some congestion. This is what makes me think it was a reaction to the vaccine. I was fine before,and fine now after 24 hours.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Axillary pain, Impaired work ability, Injection site pain, Insomnia, Joint range of motion decreased
Clinical narrative: Severe under (left) underarm pain. Took tynelol 500mg, Unable to sleep all night. I am going to see a doctor today.  Unable to lift my left arm. Very very sore in left deltoid muscle. I have to stop working today. Burning Sensation under arm.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Skin burning sensation
Clinical narrative: Severe under (left) underarm pain. Took tynelol 500mg, Unable to sleep all night. I am going to see a doctor today.  Unable to lift my left arm. Very very sore in left deltoid muscle. I have to stop working today. Burning Sensation under arm.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Aphasia, Facial palsy, Hemiparesis
Clinical narrative: At 4:47 PM a rapid response was called , the Team responded and the adult employee refused care.  At 5:16 PM a code 99 was called and the Team responded to find an adult patient with left sided weakness and left facil droop.  VS BP 151/96, HR 95, RR 26, O2Sat 99%, Galsco Coma Score 11; The patient was aphasic and unable to give a HX, co-workers related extensive history including lymphoma and TIA.  Patient transported emergently with critical care transport team and physician to adult facility. 10/30/09 DC summary received for date 10/20/09 to 10/23/09. DC DX: Stroke. Pt. d/c to rehab facility.  11/5/2009 hospital records for ED 10/20/2009 and MR for 10/20-10-23/2009. Patient with c/o's syncope, lt hemiparesis, lt facial droop, aphasia, and dysphagia. Neuro exam abnormal: sensory absent on lt, dec strength. Tx: admit, IVF, dx testing.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Cerebrovascular accident, Computerised tomogram, Hemiparesis, Nuclear magnetic resonance imaging brain
Clinical narrative: At 4:47 PM a rapid response was called , the Team responded and the adult employee refused care.  At 5:16 PM a code 99 was called and the Team responded to find an adult patient with left sided weakness and left facil droop.  VS BP 151/96, HR 95, RR 26, O2Sat 99%, Galsco Coma Score 11; The patient was aphasic and unable to give a HX, co-workers related extensive history including lymphoma and TIA.  Patient transported emergently with critical care transport team and physician to adult facility. 10/30/09 DC summary received for date 10/20/09 to 10/23/09. DC DX: Stroke. Pt. d/c to rehab facility.  11/5/2009 hospital records for ED 10/20/2009 and MR for 10/20-10-23/2009. Patient with c/o's syncope, lt hemiparesis, lt facial droop, aphasia, and dysphagia. Neuro exam abnormal: sensory absent on lt, dec strength. Tx: admit, IVF, dx testing.
Age: 13.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Heart rate increased
Clinical narrative: Fast heart beat - 120 beats per minute - lasted until 7:30 p.m.  Administered Benadryl as directed by nurses on call at urgent care.
Age: 1.56
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Diarrhoea
Clinical narrative: Loose stools & diarrhea.
Age: 1.19
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: Fever 24 hrs after vaccinations.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Laboratory test, Metabolic function test, Nuclear magnetic resonance imaging brain, Paraesthesia
Clinical narrative: Felt numbness, and tingling Left toes Left fingers approximately 4-5 hours after injection went to ER for evaluation 10/21/2009 - early am - saw PCP next day, ongoing evaluation.
Age: 0.92
Sex: F
Vaccine: FLU3
Symptoms: Febrile convulsion, Urinary tract infection, Urine analysis
Clinical narrative: Febrile seizure
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, TD
Symptoms: Unevaluable event
Clinical narrative: Non stated
Age: 22.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: Runny nose, excessive cough that lasted for a few weeks, sneezing, soreness, headache, fatigue. Basically I felt like I had a flu but it only lasted for two days. The cough maintained for the next few weeks, almost a month.
Age: 22.0
Sex: M
Vaccine: FLUX
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Runny nose, excessive cough that lasted for a few weeks, sneezing, soreness, headache, fatigue. Basically I felt like I had a flu but it only lasted for two days. The cough maintained for the next few weeks, almost a month.
Age: 11.0
Sex: F
Vaccine: DTAP, HEPA, HPV4, MMR, MNQ, VARCEL
Symptoms: Headache, Hypotonia, Syncope, Unresponsive to stimuli
Clinical narrative: PATIENT FAINTED AFTER RECEIVING TDAP, MCV4, MMR, VARICELLA, HEP A AND GARDASIL.  GARDASIL WAS LAST VACCINE BEFORE PATIENT WENT LIMP.  B/P 125/50, P 110 PO2 100% PATIENT WAS A&0X3 AFTER NOT RESPONDING FOR 15-20 SECONDS.  10:15AM B/P 110/76 P 115 PO2 100% A&OX3.  DENIES DIZZINESS.  STATES SHE HAS HEADACHE.  ORANGE JUICE GIVEN.  10/27/09 Medical records incliuding vaccine records received for DOS 8/20/and 10/7.  Final DX for  10/7: Viral Syndrome. 8/20 Routine visit for immunizations.  Immediately following Last vaccine became limp, unresponsive. Eyes fluttered, body twitched x5-10 seconds.  Opened eyes. Vitals stable. A&O x3.  C/O HA, nausea. Tachycardia, c/o arm pain. Neg Romberg. PERLA. Ambulates w/no difficulty. Discharged to home.   10/7 ED visit for viral illness . ABX gtts for R eye. Influenza A/B test neg. Discharged to home.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Respiratory tract congestion
Clinical narrative: Headache, severe congestion and cough
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: SATURDAY PATIENT WOKE UP WITH FEVER AND SORE ARMS.  SATURDAY AFTERNOON HE VOMITED.  HE WOKE UP FEELING FINE ON SUNDAY.  MOM DID NOT KNOW HOW HIGH TEMP WAS.  FEVER/SORE ARMS/VOMITING.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site anaesthesia, Injection site swelling, Pain, Paraesthesia
Clinical narrative: Severe swelling at injection site (L arm). Extreme tingling and numbness in injection site extremity. Pain
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS, WARMTH, SWELLING, AND DISCOMFORT IN LEFT DELTOID WHERE CLIENT RECEIVED PNEUMOVAX.  LARGE AREA OF REDNESS NOTED BELOW INJECTION SITE. EVALUATED BY PHYSICIAN.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Nerve injury, Pain in extremity
Clinical narrative: Patient called pharmacy on 10/08/09 complaining of arm pain due to flu vaccination. Pharmacist called Physicians Assistant and told them the problem.  The patient was seen in office on 10/12/09.  Patient said that she was going to have to go the physical therapy because a nerve had been hit. Later pharmacist spoke with pa and pa stated there is no permanent damage.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Immediate post-injection reaction
Clinical narrative: Patient was observed by NP having mild seizure activity immedetly after receving the flu vaccine.  Activity lasting only seconds.  Patient was lowered to floor and assessed by attending NP
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Neck pain, Oedema peripheral
Clinical narrative: ARM SWELLING, DIZZY, NECK PAIN
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Rash
Clinical narrative: FLU VACCINE ON 9/23/2009 IN LEFT ARM ON 9/24/2009 SEEN IN OFFICE.  LEFT ARM RED, SWOLLEN AND ITCHY.  NO FEVER.  SEEN 9/25/2009 ARM SWELLING MORE AND RASH N/S
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Cardiac disorder, Death, Intensive care, Pancreatitis, Septic shock
Clinical narrative: Information has been received from a physician concerning a 60 year old female smoker with severe chronic obstructive pulmonary disease (COPD), chronic pancreatitis who on 30-JUL-2009 was vaccinated with a dose of ZOSTAVAX (Merck). Subsequently, on an unspecified date the patient experienced septic shock and cardiac disease. The patient was admitted to the intensive care unit (ICU). On 04-AUG-2009 the patient died eight hours after admission. The physician did not think death was related to ZOSTAVAX (Merck). The physician felt the patient died of cardiac reasons, but her documents said that the cause of death was septic shock and pancreatitis. Additional information has been requested. reported the following additional information:  No other vaccines were administered at the time of the ZOSTAVAX   Hospital records not received by the office, but a copy of a cardiac consult done on admission on 02-AUG-2009 showed renal insufficiency and DIC (consumptive coagulopathy); patient was intubated due to decreased mental status changes; consult also shows that patient went into cardiac arrest on 03-AUG-2009; onset of AEs was within 48 hours of death  Death certificate showed the immediate cause of death as septic shock with the underlining cause of death as pancreatitis; no autopsy was performed.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Skull fracture, Syncope
Clinical narrative: Information has been received from a Physician Assistant concerning an "about 11 year" old female patient who was vaccinated with her first 0.5 ml dose of GARDASIL (Lot # was not provided). The reporter mentioned that in July 2009 the patient experienced fainting and skull fracture and was hospitalized for 2 days after her vaccination with GARDASIL. The patient sought medical attention. The patient was recovered on an unspecified date. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Blood glucose normal, Computerised tomogram head, Computerised tomogram normal, Convulsion, Electric shock
Clinical narrative: Information has been received from a medical assistant and medical record concerning a 14 year old former healthy female with no known allergies who on 08-OCT-2008 was vaccinated intramuscularly with a third dose of GARDASIL (lot number 659964/1978U) in the left deltoid, a second dose of VARIVAX (Merck) (lot number 661661/0995X) subcutaneously in the right arm and a second dose of HAVRIX (lot number AHA0B747AA) intramuscularly in the right deltoid. On 02-FEB-2009 at 07:47 in the morning the patient experienced syncope and was transferred to the hospital emergency room. The head CT was negative and blood sugar was 97 which was normal. The patient was diagnosed with possible electrical shock. It was reported that the patient stated that she was shocked via hair straightener. The patient saw the physician on the same day and was diagnosed with possible seizure post electrical shock. On 10-APR-2009 the patient experienced seizure for 2 minutes, fell and hit her head on the floor and was sent to ER. The patient was started with TEGRETOL 200 mg twice a day. On 25-MAY-2009 dose of TEGRETOL was increased to 400 mg twice a day then 500 mg twice a day. The patient was also treated with folic acid 5 mg daily. On 04-MAY-2009 the patient experienced seizure for the third time. On 25-MAY-2009 therapy with TEGRETOL was discontinued and changed to KEPPRA. It was reported that the patient recovered on medications on 23-SEP-2009. On 29-SEP-2009 electroencephalograpy (EEG) showed abnormal for 3 electrographic seizures. Seizures were considered to be an other important medical event by the reporter. Additional information is not expected. All available medical records will be provided upon request.  01/05/10 MR received for DOS 09/17/09. DX: Grand mal seizures.  Pt presented with grand mal sz lasting 5 mins and loud screem. Pt A, Ox3, comfortable; neuro exam: normal. Pt discharged home in stable condition.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Electroencephalogram abnormal, Fall, Head injury, Syncope
Clinical narrative: Information has been received from a medical assistant and medical record concerning a 14 year old former healthy female with no known allergies who on 08-OCT-2008 was vaccinated intramuscularly with a third dose of GARDASIL (lot number 659964/1978U) in the left deltoid, a second dose of VARIVAX (Merck) (lot number 661661/0995X) subcutaneously in the right arm and a second dose of HAVRIX (lot number AHA0B747AA) intramuscularly in the right deltoid. On 02-FEB-2009 at 07:47 in the morning the patient experienced syncope and was transferred to the hospital emergency room. The head CT was negative and blood sugar was 97 which was normal. The patient was diagnosed with possible electrical shock. It was reported that the patient stated that she was shocked via hair straightener. The patient saw the physician on the same day and was diagnosed with possible seizure post electrical shock. On 10-APR-2009 the patient experienced seizure for 2 minutes, fell and hit her head on the floor and was sent to ER. The patient was started with TEGRETOL 200 mg twice a day. On 25-MAY-2009 dose of TEGRETOL was increased to 400 mg twice a day then 500 mg twice a day. The patient was also treated with folic acid 5 mg daily. On 04-MAY-2009 the patient experienced seizure for the third time. On 25-MAY-2009 therapy with TEGRETOL was discontinued and changed to KEPPRA. It was reported that the patient recovered on medications on 23-SEP-2009. On 29-SEP-2009 electroencephalograpy (EEG) showed abnormal for 3 electrographic seizures. Seizures were considered to be an other important medical event by the reporter. Additional information is not expected. All available medical records will be provided upon request.  01/05/10 MR received for DOS 09/17/09. DX: Grand mal seizures.  Pt presented with grand mal sz lasting 5 mins and loud screem. Pt A, Ox3, comfortable; neuro exam: normal. Pt discharged home in stable condition.
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Band neutrophil count increased, Cough, Crying
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Dyskinesia, Eosinophil count normal, Eosinophil percentage, Gait disturbance, Haematocrit decreased
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Haematoma, Haemoglobin decreased, Hypochromasia, Lymphocyte count increased, Mean cell haemoglobin concentration increased
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Mean cell haemoglobin normal, Mean cell volume abnormal, Mean platelet volume normal, Microcytosis, Monocyte percentage
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Mononucleosis heterophile test negative, Neutrophil count decreased, Opisthotonus, Platelet count normal, Pyrexia
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Rhinorrhoea, Splenomegaly, Tonsillar hypertrophy
Clinical narrative: 6 days after vaccines (10/14/2009), developed fevers to 102, then rising to 104 with back arching; at height of fever, had "jerking" movements both arms while nursing--just 5-10 secs, then stopped and happened again for few seconds; over that night, seemed uncomfortable, arching back a lot, crying a lot with an uncharacteristic shrill cry; next AM, seemed better, but stumbling/not walking well; wanted to be held rest of day; fevers then resolved over next 24 hours; then mom noticed large bruise on gum (called dentist, likely eruption hematoma); next day, had more episodes of shrill cry; by 10/19/2009 seems much better, no fever, walking fine, acting much better; has had no other sx's except minimal runny nose and minimal cough; examined on 10/21/2009 with normal exam except for eruption hematoma of maxillary molar, enlarged tonsils with small amount white exudate, mild splenomegaly (spleen tip palpable 1-2 cm below left costal margin)