chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: HEPAB
Symptoms: Antinuclear antibody, Blood creatine phosphokinase increased, Diarrhoea, Myalgia, Pyrexia
Clinical narrative: Onset of intense myalgias, fever, diarrhea
Age: 52.0
Sex: F
Vaccine: HEPAB
Symptoms: Rheumatoid factor negative
Clinical narrative: Onset of intense myalgias, fever, diarrhea
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site inflammation, Injection site papule
Clinical narrative: Injection site red & hot inflammation grew in size over 6 days to 9cm x 6cm, and is still present. We took digital photos in case you want sent for study. Notes below: September 03, 2009 Thursday at abt 2:00pm was injected in right arm at doctor's office. BP 125/68 temp abt 97.8. That night about 9pm by runny nose, sneezing, hot injection site. Unsure if pre-loaded syringes or from vial. Spouse also had an injection within half-hour by same practioner and he had no reaction, no redness (unsure if same lot & will ask doctor on Tuesday). By evening time PM inj site was irregular shaped red raise lump at inj site.  Sept 04, 2009 Friday a quick needle-like inj site pain, soreness at site, chills in evening, raised redness oval shaped and lump was enlarged. We googled and figured this was typical two-day post inj reaction and so proceeded to travel out-of-state on Saturday for Labor Day holiday for 4 days.  Sept 05, 2009 Saturday redness and inj site lump expanded, still with runny nose and soreness at inj site; with occasional sharp needlike pain with some flu-like feeling but not bad. Some sneezing. At evening around 7:30PM reexamined site at undressing due to increased soreness and shoulder discomfort, and, a runny nose but not bad. Redness lump grew to about the size of a silver-dollar coin. We don't understand why getting larger instead of diminishing. Digital photos taken (nightgown) to document reaction red circle in case doctors or govt wants. Sept 06, 2009 looked at inj site area in AM morning abt 9AM and site was hot and a little larger. In evening at abt 9pm, re-examined now at 81-hrs, with increased shoulder soreness throughout day. Found inject site redness and swelling and red raised circle had expanded further and was now the size 9-CM x 6 CM; the site is now red warm with itchy sensation at site. Note now it also appears at the center of the large bright red circle is an irregular-shaped deep purplish-red color about the size of a quarter coin. Spouse took two more digital photos to document (in geometric blouse). Then edges of red circle were marked with a pen to track whether red circle expands or recedes tomorrow Monday. Went online to FDA.gov website and see Vaers info. So same night, Sunday 09/06/2009 took temp at 23:19 (11:19PM) Oral temp= 97.7F. Sept 07, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 08, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 09, 2009: sore throat, neck pain, injection site still raised 9CM x 6CM with red color present but less bright; inj site normal temp still raised 9CM x 6CM with red color present but less bright and not sore. Phoned Doctors office, and was given lot# and manuf. to report. 9 cmx 6m, light red color, does not hurt. Spouse has taken pictures.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Musculoskeletal discomfort, Neck pain
Clinical narrative: Injection site red & hot inflammation grew in size over 6 days to 9cm x 6cm, and is still present. We took digital photos in case you want sent for study. Notes below: September 03, 2009 Thursday at abt 2:00pm was injected in right arm at doctor's office. BP 125/68 temp abt 97.8. That night about 9pm by runny nose, sneezing, hot injection site. Unsure if pre-loaded syringes or from vial. Spouse also had an injection within half-hour by same practioner and he had no reaction, no redness (unsure if same lot & will ask doctor on Tuesday). By evening time PM inj site was irregular shaped red raise lump at inj site.  Sept 04, 2009 Friday a quick needle-like inj site pain, soreness at site, chills in evening, raised redness oval shaped and lump was enlarged. We googled and figured this was typical two-day post inj reaction and so proceeded to travel out-of-state on Saturday for Labor Day holiday for 4 days.  Sept 05, 2009 Saturday redness and inj site lump expanded, still with runny nose and soreness at inj site; with occasional sharp needlike pain with some flu-like feeling but not bad. Some sneezing. At evening around 7:30PM reexamined site at undressing due to increased soreness and shoulder discomfort, and, a runny nose but not bad. Redness lump grew to about the size of a silver-dollar coin. We don't understand why getting larger instead of diminishing. Digital photos taken (nightgown) to document reaction red circle in case doctors or govt wants. Sept 06, 2009 looked at inj site area in AM morning abt 9AM and site was hot and a little larger. In evening at abt 9pm, re-examined now at 81-hrs, with increased shoulder soreness throughout day. Found inject site redness and swelling and red raised circle had expanded further and was now the size 9-CM x 6 CM; the site is now red warm with itchy sensation at site. Note now it also appears at the center of the large bright red circle is an irregular-shaped deep purplish-red color about the size of a quarter coin. Spouse took two more digital photos to document (in geometric blouse). Then edges of red circle were marked with a pen to track whether red circle expands or recedes tomorrow Monday. Went online to FDA.gov website and see Vaers info. So same night, Sunday 09/06/2009 took temp at 23:19 (11:19PM) Oral temp= 97.7F. Sept 07, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 08, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 09, 2009: sore throat, neck pain, injection site still raised 9CM x 6CM with red color present but less bright; inj site normal temp still raised 9CM x 6CM with red color present but less bright and not sore. Phoned Doctors office, and was given lot# and manuf. to report. 9 cmx 6m, light red color, does not hurt. Spouse has taken pictures.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Rhinorrhoea, Sneezing
Clinical narrative: Injection site red & hot inflammation grew in size over 6 days to 9cm x 6cm, and is still present. We took digital photos in case you want sent for study. Notes below: September 03, 2009 Thursday at abt 2:00pm was injected in right arm at doctor's office. BP 125/68 temp abt 97.8. That night about 9pm by runny nose, sneezing, hot injection site. Unsure if pre-loaded syringes or from vial. Spouse also had an injection within half-hour by same practioner and he had no reaction, no redness (unsure if same lot & will ask doctor on Tuesday). By evening time PM inj site was irregular shaped red raise lump at inj site.  Sept 04, 2009 Friday a quick needle-like inj site pain, soreness at site, chills in evening, raised redness oval shaped and lump was enlarged. We googled and figured this was typical two-day post inj reaction and so proceeded to travel out-of-state on Saturday for Labor Day holiday for 4 days.  Sept 05, 2009 Saturday redness and inj site lump expanded, still with runny nose and soreness at inj site; with occasional sharp needlike pain with some flu-like feeling but not bad. Some sneezing. At evening around 7:30PM reexamined site at undressing due to increased soreness and shoulder discomfort, and, a runny nose but not bad. Redness lump grew to about the size of a silver-dollar coin. We don't understand why getting larger instead of diminishing. Digital photos taken (nightgown) to document reaction red circle in case doctors or govt wants. Sept 06, 2009 looked at inj site area in AM morning abt 9AM and site was hot and a little larger. In evening at abt 9pm, re-examined now at 81-hrs, with increased shoulder soreness throughout day. Found inject site redness and swelling and red raised circle had expanded further and was now the size 9-CM x 6 CM; the site is now red warm with itchy sensation at site. Note now it also appears at the center of the large bright red circle is an irregular-shaped deep purplish-red color about the size of a quarter coin. Spouse took two more digital photos to document (in geometric blouse). Then edges of red circle were marked with a pen to track whether red circle expands or recedes tomorrow Monday. Went online to FDA.gov website and see Vaers info. So same night, Sunday 09/06/2009 took temp at 23:19 (11:19PM) Oral temp= 97.7F. Sept 07, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 08, 2009 injection site still raised 9CM x 6CM with red color present but less bright;  Sept 09, 2009: sore throat, neck pain, injection site still raised 9CM x 6CM with red color present but less bright; inj site normal temp still raised 9CM x 6CM with red color present but less bright and not sore. Phoned Doctors office, and was given lot# and manuf. to report. 9 cmx 6m, light red color, does not hurt. Spouse has taken pictures.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Experienced the expected redness, swelling, etc.  About four days later, as swelling was subsiding, the deltoid muscle in the upper arm began to experience severe, prominent pain in motion.  The discomfort was felt all the way to the thumb joing.  Now, five days later, the pain is reduced, but still have a bit of joint pain in the left hand and newly in the left hip.  The vaccination area of the arm continues to "feel different" from the other upper arm.  This is not a serious side effect, but it was remarkable enough that I felt I should report it.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Fall, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Pt received KINRIX IM and Varicella Subq in R arm and MMR in L arm. Was sitting in childrens chair waiting while sibling got shots. Pat fall to floor and was unresponsive for approx 10 seconds. Was very stiff. Awake and responding normally after short time.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Juvenile arthritis
Clinical narrative: Diagnosed w/ juvenile rheumatoid arthritis 1/09. Symptoms have been progressive since 2007. Also has asthma, scoliosis and migraine HA.  9/25/09 Medical records/ER visits received DOS 3/11/02 to 06/20/08. Patient presents with infection behind (R) leg. Fatigue.  9/27/09 Medical records received DOS 8/22/08 to 9/5/09.  Assessment: Juvenile Idiopathic Arthritis of Polyarticular Subtype / Arthritis Secondary to Bowel Disease. Finger pain and swelling. Loose stools, achiness, knees weak. Generalized pain. Morning pain, stiffness in back, toes, fingers. Shoulder pain. Stomach pain after eating. Nose sore, anxious and sad. Sacroiliac joint pain. Decrease in lumbar flexion. Sinusitis. Viral illness. Lips swelled.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Paraesthesia, Paraesthesia oral
Clinical narrative: Jaw -> eye numbness *Sx's gone @ 2pm L arm numbness/tingling in fingertips tongue- numbness.  Going away after 20 min of report.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Onset VARICELLA vesicles symptoms started 8/29/09.  Treatment supportive - over the counter medications.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Dysgeusia, Paraesthesia, Skin warm
Clinical narrative: Tingling sensation heavily on tongue and face, also all over body.  Body feels warm, with no sweating.  Metal taste in mouth.
Age: 0.78
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Irritability, Pyrexia
Clinical narrative: My baby almost immediately became fussy and then had a fever for 24 hrs reaching 104. I had called the clinic they suggest ER but I knew to alternate ibuprofen and acetaminophen- She was extremely fussy during event. Filed complaint online -but don't think you received it.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Infection, Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: 2 days post inj pt had large localized inflammation redness, swelling, heat. Spread to elbow. Day 5 pt went to urgent care; suspected infection however allergist suspect IgG reaction.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Local reaction
Clinical narrative: 2 days post inj pt had large localized inflammation redness, swelling, heat. Spread to elbow. Day 5 pt went to urgent care; suspected infection however allergist suspect IgG reaction.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Rash, Urticaria
Clinical narrative: Skin, rash and hives.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Rash, Urticaria, Vaccination complication
Clinical narrative: Skin, rash and hives.
Age: 30.0
Sex: F
Vaccine: JEV1
Symptoms: Activities of daily living impaired, Chills, Diarrhoea, Headache, Nasopharyngitis
Clinical narrative: Reports "cold" with intermittent congestion, sinus drains age, head aching beginning 7/13;  on 7/25 "stayed in bed all day "and frequent diarrhea, same symptoms recurred 8/1 & 8/2;  8/3 sore throat, cold sore, & much chest mucus;  also "fever" (T=99) chills, "pins/needles" & tingling all over on day of injection.
Age: 30.0
Sex: F
Vaccine: JEV1
Symptoms: Oral herpes, Oropharyngeal pain, Paraesthesia, Pulmonary congestion, Pyrexia
Clinical narrative: Reports "cold" with intermittent congestion, sinus drains age, head aching beginning 7/13;  on 7/25 "stayed in bed all day "and frequent diarrhea, same symptoms recurred 8/1 & 8/2;  8/3 sore throat, cold sore, & much chest mucus;  also "fever" (T=99) chills, "pins/needles" & tingling all over on day of injection.
Age: 30.0
Sex: F
Vaccine: JEV1
Symptoms: Sinus congestion
Clinical narrative: Reports "cold" with intermittent congestion, sinus drains age, head aching beginning 7/13;  on 7/25 "stayed in bed all day "and frequent diarrhea, same symptoms recurred 8/1 & 8/2;  8/3 sore throat, cold sore, & much chest mucus;  also "fever" (T=99) chills, "pins/needles" & tingling all over on day of injection.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Hyperhidrosis, Lethargy
Clinical narrative: Sweating, Lethargic after 5 minutes following the administration of flu shot. Paramedics arrived 15 minutes later. Checked the BP it was 9?/6?. Was rechecked after 5 minutes. BP was 114/73. Pt still wanted to see MD. Sx resolved when pt left pharmacy.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: 1 1/2 hrs after immunization (flu) c/o itching all over body. 11:30 am self-medicated - Benadryl 50 mg. Symptoms subsided.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Full blood count, Inflammation, Oedema peripheral, Pyrexia
Clinical narrative: Patient presented with swollen, inflamed (L) arm down to elbow - and low grad fever T99.5. (R) arm 3cc inflammation 9-3-09. CBC and IM Decadron 8mgs UOQ (R). 9-4-09 Much improved.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Rash pruritic
Clinical narrative: MMR administered 09/04.  Reports pruritic rash- diffuse on 09/08.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Induration, Injection site vesicles, Oedema peripheral
Clinical narrative: Pt arm 4 cm x 3.5 cm red, raised, hot oval. Lt arm 5 cm x 5.5 cm red,raised hard hot oval (Both were given with an injection gun). Pain when touched, itches (can be felt under skin). Blister at site.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Pruritus, Skin warm
Clinical narrative: Pt arm 4 cm x 3.5 cm red, raised, hot oval. Lt arm 5 cm x 5.5 cm red,raised hard hot oval (Both were given with an injection gun). Pain when touched, itches (can be felt under skin). Blister at site.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and paresthesias in arm and leg on same side of site of injection.12/2/2009 PCP note from 9/4/2009 patint c/o's numbness and tingling in LUE and LLE. no tx noted. Neuro exam did show decreased senastion in these areas. Sx starting to resolve 9/23/2009.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash macular, Throat irritation
Clinical narrative: 15 min. post vaccine, reported red blotchy rash ant. abdomen, upper and lower arms bilaterally and mild itchy throat. Benadryl 50mg po and Albuterol inhaler given. Escorted to ED. ED admin. IV Solumedrol, epinephrine, nebulizer Rx, Recovering well.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncope several seconds after HPV shot, recovered after several minutes (out X approximately 30 sec) took approximately 10 min to feel better.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Swelling of entire left arm. Pressure and pain, red, and warm. Treatment by ice and Benadryl 25 mg q 6 h.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Joint swelling, Oedema peripheral
Clinical narrative: Rabavert given @ 1635 on 9-1-09.  At approx 2000 that evening that evening notice swelling in bilat hands and ankles.  Seen in clinic 9-2-09 at 1525 with complaints of swelling in hands and ankles and Rt ankle hurts.  Injection site in Rt Deltoid clean, dry and intact.  No redness or edema.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Hypoaesthesia, Injection site pain, Injection site rash, Migraine, Pruritus
Clinical narrative: Noted (L) upper arm very sore 8/26/09 - 8/28/09 without swelling or redness. 8/29/09 had migraine HA. Developed hives 8/30/09. (L) arm feels numb from mid-forearm down to hand with itching. Notes little red bumps around injection site today 9/1/09. PM HP (+) migraine, PCN/Amoxicillin allergy.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Noted (L) upper arm very sore 8/26/09 - 8/28/09 without swelling or redness. 8/29/09 had migraine HA. Developed hives 8/30/09. (L) arm feels numb from mid-forearm down to hand with itching. Notes little red bumps around injection site today 9/1/09. PM HP (+) migraine, PCN/Amoxicillin allergy.
Age: 0.54
Sex: F
Vaccine: HIBV
Symptoms: Rash generalised
Clinical narrative: Rash all over legs and arms
Age: 24.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash
Clinical narrative: Client got vaccine 9/3/09 and called the next day with c/o rash on scalp, arms with itching to rash area and ears. No other s/sx. Advised to take Benadryl 50mg po stat and go to ER if s/sx cont.
Age: 0.4
Sex: F
Vaccine: HIBV, PNC
Symptoms: Blood electrolytes normal, Blood glucose normal, Convulsion
Clinical narrative: Brief seizure following vaccine < 1 minute.  No fever.  No sequelae.
Age: 69.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Chest discomfort, Pain in extremity, Paraesthesia
Clinical narrative: Tetanus-diphtheria vaccine given 5/01/09 to patient with poorly controlled Parkinson's disease. She called office 5/11/09 with twisting sensation in legs with rubber band sensation around chest. These symptoms have long resolved. Now she complains of right arm pain and weakness.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient has a 5 in. x 4 in. raised, red, hot reaction around the injection site.  He was given the injection of varicella vaccine in his Lt arm SQ at 1000/AM on 9-2-09 and he noticed the reaction this morning -9-3-09.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Erythema, Local reaction, Nausea, Swelling
Clinical narrative: Approx 12 hrs after receiving vaccine patient c/o dizziness blurred vision.  Also nausea, vomiting x2- local reaction at site to include redness, swelling- approx 5 cm x 3cm circular @ site.  Pt presented to clinic on 20 Aug 09- received 25 mg BENADRYL IV, 25 mg  IV, 1000 ml NS PHENERGAN IV, 1000 ml NS bolus & 24 hrs quarters.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Vision blurred, Vomiting
Clinical narrative: Approx 12 hrs after receiving vaccine patient c/o dizziness blurred vision.  Also nausea, vomiting x2- local reaction at site to include redness, swelling- approx 5 cm x 3cm circular @ site.  Pt presented to clinic on 20 Aug 09- received 25 mg BENADRYL IV, 25 mg  IV, 1000 ml NS PHENERGAN IV, 1000 ml NS bolus & 24 hrs quarters.
Age: 1.8
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site pruritus, Injection site rash, Rash
Clinical narrative: Pruritic rash surrounding polio and hib vaccine sites, also rash to trunk, legs, arms, immunization given 24 hours previously.
Age: 69.0
Sex: F
Vaccine: DT, PPV
Symptoms: Injection site erythema, Myalgia, Pyrexia
Clinical narrative: Fever (101 degrees), myalgias, redness @ injection site.
Age: 26.0
Sex: M
Vaccine: TTOX
Symptoms: Hypersensitivity, Neck pain, Pain in extremity
Clinical narrative: Received tetanus injection on 8/28/09 in E.D. Returned on 8/30/09 c/o arm/neck pain. Dr diagnosed pt with acute allergic reaction to tetanus injection.
Age: 1.2
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Acne, Rash, Rash erythematous
Clinical narrative: Developed rash on L arm & body cluster on abd. Red pimples 8-27-09.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Headache
Clinical narrative: Had arrived home - made bagel and began to "hurt" "bottom stomach". "Ate bagel" - mom suggested to go to bathroom - no improvement. Returned to clinic - stated feels like getting headache - encouraged to rest at home, keep up fluids and call doctor for meds prn if "cramps" continue (has not started period yet). Site asymptomatic L arm. to call with mom. "OK" "thank you". 1430 - LMOM - to give us a call prn - "if worse" seek doctor's advice - just checking to see how doing. 9/9/09 830A LMOM - hope doing OK. Call prn if question.
Age: 1.3
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Erythema, Hypersensitivity, Immediate post-injection reaction, Mass
Clinical narrative: Immediately after receiving varicella vaccine large red knot. Localized allergic reaction.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pustular
Clinical narrative: 15-20 small red papulopustules.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Alanine aminotransferase normal, Anion gap decreased, Aspartate aminotransferase increased, Basophil count normal, Blood albumin normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Blood glucose normal, Blood sodium normal, Blood urea normal, C-reactive protein increased, Carbon dioxide normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Eosinophil count normal, Globulins decreased, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Mean platelet volume normal, Monocyte count increased, Neutrophil count normal, Oedema peripheral, Pain in extremity
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia, Platelet count normal, Protein total normal, Red blood cell count normal, Red blood cell sedimentation rate normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Tic, Weight decreased, White blood cell count normal
Clinical narrative: Pt received AVA in his right arm on 21Aug09 in the am. At the time he had burning at the injection site and his arm was sore--nothing unusual for getting a vaccination. When he woke on 22Aug09 his upper right arm was more sore (3/10) and his right hand was very swollen--the pt stated that his knuckles were indistinguishable. He had full ROM of his shoulder, arm and elbow. It was difficult to make a fist and he had intermittent tingling in his fingers. The pt noted that the swelling in his hand improved during the night while the hand was elevated but the swelling returned with activity. Of note the pt had been in the field had had been working on an "old" ship in the harbor. He had removed 3 ticks from his neck, right leg and left arm. He noted several bugs/spiders in his environment but did not recall being bitten. The pt's symptoms worsened on 9/4/09. At that time the pt noted increased swelling of his right hand which extended to his right wrist and elbow. There was also increased pain in the right hand. The patient went to the hospital where he was treated with a posterior swelling of the hand and pain. He took the naprosyn until 9/6/09. The pt has continued to work to full duty and to PT as required. General overall feeling. No fever, no chills, and no night sweats. Weight Pt states he has lost about 10 pounds which is not unexpected due to his work environment and lack of dining facilities. No headache. No neck pain, no neck stiffness, and no swollen glands in the neck. Not feeling congested in the chest and no cough. No dysphagia, no heartburn, no nausea, no vomiting, and no diarrhea. No musculoskeletal symptoms, no shoulder joint pain, no swelling of the shoulder joint, and no shoulder joint stiffness. Physical findings. General appearance: Well-appearing. Awake. Alert. Oriented to time, place, and person. Well developed. Well nourished. Well hydrated. Active. Neck: Palpation: no tenderness of the neck. Lymph Nodes: Cervical lymph nodes were not enlarged. Supraclavicular lymph nodes were not enlarged bilaterally. Axillary lymph nodes were not enlarged bilaterally. Epitrochlear lymph nodes were not enlarged bilaterally. Musculoskeletal system: General/bilateral: A range of motion evaluation was performed of the hand. Finger: General/bilateral: No pain was elicited by motion of the thumb neg Finkelstein on right. Fingers of the right hand: Examined. Pain was elicited by active motion. Hands: Right hand: Examined radial pulse palpable and equal to left; unable to palpate ulnar pulses. Full ROM and strength intact. Neurological: System: normal pinprick sensation to right hand, fingers, wrist.
Age: 1.16
Sex: F
Vaccine: VARCEL
Symptoms: Blood test, Platelet disorder, Pyrexia, Rash, White blood cell count decreased
Clinical narrative: 104+ fever followed by rash. Platelets & WBC dropped to a dangerous level, then went extremely high. Six weeks following vaccination, WBC & platelets returned to normal. Seen by hematologist.
Age: 1.16
Sex: F
Vaccine: VARCEL
Symptoms: White blood cell count increased
Clinical narrative: 104+ fever followed by rash. Platelets & WBC dropped to a dangerous level, then went extremely high. Six weeks following vaccination, WBC & platelets returned to normal. Seen by hematologist.
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Rash vesicular, Scar
Clinical narrative: Generalized varicella-like eruption which subsequently led to scarring.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Dysphonia, Dyspnoea, Pharyngeal oedema
Clinical narrative: Seen in ER. Voice hoarse, throat swelling, difficulty breathing within 5 minutes of vaccine administration. Neb treatment with Racemic Epi; BENADRYL (IV), Solumedrol (IV); VENTOLIN and Albuterol Neb.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Abnormal behaviour, Aggression
Clinical narrative: This case was reported by a physician and described the occurrence of aggression in a 4-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline). On 18 August 2009, the subject received 1st dose of KINRIX (unknown, left arm). On 20 August 2009, within 48 hours after vaccination with KINRIX, the subject experienced aggression, destructive behaviour, defiant/aggressive behavior and tantrums. The physician considered the events were disabling. At the time of reporting the events were unresolved. The physician considered the events were possibly related to vaccination with KINRIX. Within 48 hours of receiving the KINRIX injection, the subject's mother noticed a sudden and acute change in the subject's behavior including being aggressive, destructive, defiant and tantrums that are all totally out of character for the subject. This has been ongoing for the last two weeks.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Inflammation, Oedema peripheral
Clinical narrative: Inflammatory reaction to DTaP in Rt deltoid. Redness and swelling. No pain or tenderness. Reaction started within 6 hours of vaccine per mom. Reported to us on day 3.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash in S2 dermatome - R leg. Started a day after receiving varicella vaccine in left leg.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling, Local reaction
Clinical narrative: Localized reaction to flu shot. 5:25PM 9/9/09. Swelling at site. Applied ice and observed. Pt had no pain no dizziness no S.O.B. Observed 45 minutes. Called MD. MD prescribed BENADRYL 50mg & told pt to go home. Told pt to go to emerg. room if worse or S.O.B.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Urticaria
Clinical narrative: Patient received influenza vaccination on 9/3/2009. On 9/4/2009 arm was red, warm to touch at site. No hardness felt itchy to patient took BENADRYL. No resp distress. Dr. stated hives.
Age: 34.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain in extremity
Clinical narrative: Pain in the arm, swelling, itching was the last thing. Headache, fainting, nausea, diarrhea, chills, very sleepy. These symptoms were very strong the first 4 days after the vaccine, and were decreasing.
Age: 34.0
Sex: F
Vaccine: TTOX
Symptoms: Pruritus, Somnolence, Swelling, Syncope
Clinical narrative: Pain in the arm, swelling, itching was the last thing. Headache, fainting, nausea, diarrhea, chills, very sleepy. These symptoms were very strong the first 4 days after the vaccine, and were decreasing.