chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.24
Sex: F
Vaccine: 6VAX-F, PNC13, RV5
Symptoms: Abnormal behaviour, Band neutrophil percentage increased, Blood calcium increased, Carbon dioxide decreased, Chest X-ray normal
Clinical narrative: Got shots, went home acting normally, at 5 pm went to get her out of car seat after a drive and noticed emesis and was not acting right, was limp, blue, purple color and gasping as if respiratory distress and eyes rolling back. 911 called and about 30 minutes later was still not acting normally, by 30 minutes when EMTs arrived breathing was easier. Taken to Hospital.
Age: 0.24
Sex: F
Vaccine: 6VAX-F, PNC13, RV5
Symptoms: Cyanosis, Dyspnoea, Electrocardiogram normal, Gaze palsy, Hypotonia
Clinical narrative: Got shots, went home acting normally, at 5 pm went to get her out of car seat after a drive and noticed emesis and was not acting right, was limp, blue, purple color and gasping as if respiratory distress and eyes rolling back. 911 called and about 30 minutes later was still not acting normally, by 30 minutes when EMTs arrived breathing was easier. Taken to Hospital.
Age: 0.24
Sex: F
Vaccine: 6VAX-F, PNC13, RV5
Symptoms: Metabolic function test, Neutrophil percentage decreased, Platelet count increased, Protein total increased, Respiratory distress
Clinical narrative: Got shots, went home acting normally, at 5 pm went to get her out of car seat after a drive and noticed emesis and was not acting right, was limp, blue, purple color and gasping as if respiratory distress and eyes rolling back. 911 called and about 30 minutes later was still not acting normally, by 30 minutes when EMTs arrived breathing was easier. Taken to Hospital.
Age: 0.24
Sex: F
Vaccine: 6VAX-F, PNC13, RV5
Symptoms: Urine analysis normal, Vomiting, White blood cell count increased
Clinical narrative: Got shots, went home acting normally, at 5 pm went to get her out of car seat after a drive and noticed emesis and was not acting right, was limp, blue, purple color and gasping as if respiratory distress and eyes rolling back. 911 called and about 30 minutes later was still not acting normally, by 30 minutes when EMTs arrived breathing was easier. Taken to Hospital.
Age: 25.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Chills, Dizziness, Emotional disorder, Headache, Hyperhidrosis
Clinical narrative: Head ache, muscle cramp, muscle ache, fever, chills, sweating, emotional, hypersensitive, light headed.
Age: 25.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Hypersensitivity, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Head ache, muscle cramp, muscle ache, fever, chills, sweating, emotional, hypersensitive, light headed.
Age: 7.0
Sex: M
Vaccine: IPV
Symptoms: Arthralgia, Injection site pain, Injection site urticaria, Pain in extremity, Skin warm
Clinical narrative: Raised hives one inch down from injection site to elbow.  The hives were an irregular shape about the size of a dime. They reminded me of a topographical map of South America.  Soreness in arm that lasted approx 24 hours.  Pain and soreness radiated from injection site to wrist.  Arm warm to touch.  Our dentist offered a homeopathic remedy that made symptoms lessen on 8/10/11 at 4p.  I think the remedy was hypericum.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: severe abdominal pain and watery diarrhea
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Erythema, Feeling hot, Rash macular
Clinical narrative: SOB, feeling hot, red face, chest and shoulders covered in huge red blotches lasting for several hours.  Did not seek any treatment.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fall, Head injury, Headache, Movement disorder
Clinical narrative: Child experienced seizure-like activity for a few seconds & fell to floor hitting forehead on desk; ice applied, child observed, 911 summoned; family refused ER evaluation at that time; child was seen later that day in ER after c/o persistent headache & dizziness (work-up negative per family report).
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Skin test positive
Clinical narrative: Child experienced seizure-like activity for a few seconds & fell to floor hitting forehead on desk; ice applied, child observed, 911 summoned; family refused ER evaluation at that time; child was seen later that day in ER after c/o persistent headache & dizziness (work-up negative per family report).
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Shingles.  Patient reports she had shingles last year shortly after receiving influenza vaccine.
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site warmth, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Stiffness, soreness of arm.  Redness of the arm from the shoulder to the elbow & hot to touch.  Swelling of the arm from the shoulder to the elbow (2x bigger than other arm). Gave Ibuprofen q 6 hours and a dose of Benadryl.  Saw MD today and started Zyrtec and continue w/ ibuprofen.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Swollen tongue
Clinical narrative: Eyes red, tongue swelling, Benadryl 50 mg, IM Left Deltoid.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Injection site erythema, Injection site warmth, Skin warm
Clinical narrative: Erythema and warmth extending from the injection site on the left arm to the left chest and below the left elbow. Improved within two days. Pt given Motrin and Zyrtec by Mom.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Chills, Diarrhoea, Pyrexia, Tremor
Clinical narrative: Started feeling chilled in afternoon with fever starting in evening. Up to 103.8 over next few days. Remains between 101-to 102.8 with Tylenol and flu meds. Diarrhea started today 10/18/2010. No vomiting to date.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Muscle spasms, Pyrexia
Clinical narrative: Pt states that he experienced fever for a few days post vaccination as well as cramping/pain at the site of injection that is still ongoing today (10/18/2010), 2 months later. Pt also states that he feels that there is a lump that developed at the injection site after he received the vaccine.
Age: 33.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Excrutiating shoulder (right) pain, radiating down to just below elbow, which is severely limiting movement at best; Symptoms have not ceased or decreased. 800 mg Ibuprofen & 1000 mg Tylenol taken up to 4x a day for pain.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Eye irritation, Throat tightness
Clinical narrative: burning eyes, tightness in throat and chest
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Influenza vaccine given evening of 10/13/2010 in left arm.  On 10/15/2010 early am client noticed hives and itching on neck, arms, chest, upper back, head, ears.  No chest tightness, no throat tightness, not shortness of breath.  Explained to client that she should call her physician. She was not sure if any of the rash started on 10/14/2010.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Injection site pain, Malaise, Nausea
Clinical narrative: Symptoms began with nausea, soreness at the injection site, and malaise. Six hours after the injection, I developed a global headache, body aches, fatigue, and a low-grade fever.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Symptoms began with nausea, soreness at the injection site, and malaise. Six hours after the injection, I developed a global headache, body aches, fatigue, and a low-grade fever.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Headache, Malaise, Pyrexia, Vomiting
Clinical narrative: Developed bad headache and upset stomach at 8:00pm, then went to sleep. Woke up at 12:00am and had a fever of 101 and felt very sick, vomited once. She went back to sleep after this. Felt better the next day.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Body temperature increased, Dizziness
Clinical narrative: Became dizzy about 21 hrs after flu shot. Periods in which it was not wise to drive or work.  My Dr prescribed meclizine and a decongestant.  4 days later added Medrol dose pack and 5 days later Augmentin x 10 days after reporting a temp of 100.5.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood test normal, Body temperature increased, Computerised tomogram normal, Dysphonia
Clinical narrative: Hoarseness, temp 103.8, very weak, vomiting. Taken to E.R. via ambulance and admitted for 2 days.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Ultrasound scan normal, Vomiting
Clinical narrative: Hoarseness, temp 103.8, very weak, vomiting. Taken to E.R. via ambulance and admitted for 2 days.
Age: 1.31
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC13, DTP, FLU3, HIBV, PNC13
Symptoms: Abdominal distension, Abdominal pain lower, Intussusception, Vomiting
Clinical narrative: This case was considered medically important. Information regarding PREVNAR 13 was received from a healthcare professional regarding a 15-month-old male patient who experienced intussusception. At 15 months of age, the patient received the first dose on 06-Oct-2010. The patient also received a dose of DTP (manufacturer unknown), a dose of Influenza vaccine (Not Specified) and a dose of HIB (manufacturer unknown) on 06-Oct-2010. The patient experienced intussusception on 07-Oct-2010 with symptoms of lower quadrant pain and swelling accompanied by vomiting. On 08-Oct-2010 he was taken to the emergency room and a tube was inserted into his rectum so that air could be introduced to the bowel. The treatment was successful and the patient recovered and was discharged to home. The patient was not admitted to the hospital. The physician suspects that any of the vaccinations received on 06-Oct-2010 could have a causal relationship to the events that followed, however he has never heard of these events associated with PREVENAR 13. No additional information was available at the time of this report.
Age: 1.31
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC13, DTP, FLU3, HIBV, PNC13
Symptoms: Abdominal pain lower, Barium double contrast, Enema administration, Intussusception, Swelling
Clinical narrative: This case was considered medically important. Information regarding PREVNAR 13 was received from a healthcare professional regarding a 15-month-old male patient who experienced intussusception. At 15 months of age, the patient received the first dose on 06-Oct-2010. The patient also received a dose of DTP (manufacturer unknown), a dose of Influenza vaccine (Not Specified) and a dose of HIB (manufacturer unknown) on 06-Oct-2010. The patient experienced intussusception on 07-Oct-2010 with symptoms of lower quadrant pain and swelling accompanied by vomiting. On 08-Oct-2010 he was taken to the emergency room and a tube was inserted into his rectum so that air could be introduced to the bowel. The treatment was successful and the patient recovered and was discharged to home. The patient was not admitted to the hospital. The physician suspects that any of the vaccinations received on 06-Oct-2010 could have a causal relationship to the events that followed, however he has never heard of these events associated with PREVENAR 13. No additional information was available at the time of this report.
Age: 1.31
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC13, DTP, FLU3, HIBV, PNC13
Symptoms: Ultrasound abdomen abnormal, Vomiting
Clinical narrative: This case was considered medically important. Information regarding PREVNAR 13 was received from a healthcare professional regarding a 15-month-old male patient who experienced intussusception. At 15 months of age, the patient received the first dose on 06-Oct-2010. The patient also received a dose of DTP (manufacturer unknown), a dose of Influenza vaccine (Not Specified) and a dose of HIB (manufacturer unknown) on 06-Oct-2010. The patient experienced intussusception on 07-Oct-2010 with symptoms of lower quadrant pain and swelling accompanied by vomiting. On 08-Oct-2010 he was taken to the emergency room and a tube was inserted into his rectum so that air could be introduced to the bowel. The treatment was successful and the patient recovered and was discharged to home. The patient was not admitted to the hospital. The physician suspects that any of the vaccinations received on 06-Oct-2010 could have a causal relationship to the events that followed, however he has never heard of these events associated with PREVENAR 13. No additional information was available at the time of this report.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Chills, Cough, Drug exposure during pregnancy, Feeling cold
Clinical narrative: About 2 hours after receiving flu vaccine felt cold shivering - coughing- sneezing - Temp 100. Coughed for approximately 3 days.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Sneezing
Clinical narrative: About 2 hours after receiving flu vaccine felt cold shivering - coughing- sneezing - Temp 100. Coughed for approximately 3 days.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chest discomfort, Dyspnoea, Injection site rash, Rash generalised
Clinical narrative: Client received flu shot on 10/8/10 at approx 309PM. Later that evening she developed blotchy rash to (L) arm where shot was administered and traveling down to wrist area. By 10/9/10 client developed temp of 104degrees and rash spread across chest and throughout rest of her body. Developed chest tightness and SOB. While taking MOTRIN every 4 hrs temp decreased to 1010 and then would go back up to 104degrees. Started on BENADRYL and kept up with MOTRIN q 4 hours. Saw MD on 10/11/10. All temps and rash subsided by 10/12/10. Has had flu shots in past but had never received H1N1 before.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 9/30/10 fever 102 degrees the evening of injection. Per phone message from mom 10/1/10 redness and swelling at injection site - clindamycin. To hospital ER and dx with cellulitis. 10/3/10 to another hospital ER with same symptoms and given injection of antibiotic (ceftriaxone). Per mom by phone encounter. Epic web - No H1N1 given last year.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: Patient seen in ER - given 50mg diphenhydramine PO. Patient reported feeling of throat closure and chest tightness. Later that evening patient developed fever, chills, body aches. Symptoms: feeling of throat closure, SOB, fever, chills, body aches. Treatment drugs used: 1 - Diphenhydramine Dose: 50 - Units: MG - Freq: Once - Route: PO.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness
Clinical narrative: Patient seen in ER - given 50mg diphenhydramine PO. Patient reported feeling of throat closure and chest tightness. Later that evening patient developed fever, chills, body aches. Symptoms: feeling of throat closure, SOB, fever, chills, body aches. Treatment drugs used: 1 - Diphenhydramine Dose: 50 - Units: MG - Freq: Once - Route: PO.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Red, hot, swelling, bumps at injection site. 10/07/10 - ER, steroid IV & steroid pkg to take at home. 10/10/10 - ER, steroid IV. Hives all over body & throat why I went to ER (twice).
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warmth at inj site.
Age: 24.0
Sex: F
Vaccine: FLU3, HEPAB, HPV4, PPV
Symptoms: Burning sensation, Injected limb mobility decreased, Pain in extremity
Clinical narrative: On 10/15/10 client reported her right upper arm difficult to lift and began hurting and pain increased about 3 hrs after vaccines given. Client reports burning, radiating pain present the evening of 10/13 lasting about 3 hrs. This burning was in armpit area and right breast and radiated to right upper lung field and states when she took deep breath also had burning sensation. 10/15 - can lift arm, but states still painful, but pain is decreasing.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Sore arm 1 month later.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Feeling abnormal, Injected limb mobility decreased, Injection site pain, Malaise
Clinical narrative: Pain at site radiating down arm cannot lift arm w/o sharp pain malaise, fatigue, brain fog.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pain at site radiating down arm cannot lift arm w/o sharp pain malaise, fatigue, brain fog.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Severe arm pain at injection site.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blood electrolytes, Full blood count, Henoch-Schonlein purpura, Rash macular
Clinical narrative: Pt developed arthralgia (knees, legs, ankles) and a blotchy rash over legs (purpura) on 10/9/10 - Seen in Emergency Room and diagnosed with (HSP) Henoch-Schonlein purpura. (Had flu vaccine 10/5/10).
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Urine analysis
Clinical narrative: Pt developed arthralgia (knees, legs, ankles) and a blotchy rash over legs (purpura) on 10/9/10 - Seen in Emergency Room and diagnosed with (HSP) Henoch-Schonlein purpura. (Had flu vaccine 10/5/10).
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Received flu shot x6 days ago developed hives on upper neck, both arms started 4 days after flu shot.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: CSF glucose increased, CSF protein increased, Chest X-ray normal, Computerised tomogram abnormal, Confusional state
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: Constipation, Diplegia, Guillain-Barre syndrome, Hypertension, Hypokinesia
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: Hyponatraemia, Immunoglobulin therapy, Lumbar puncture, Muscular weakness, Neuropathy peripheral
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Pain, Paraplegia, Scan brain
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: Sleep disorder, Wheelchair user, X-ray of pelvis and hip normal
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: Unevaluable event
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 75.0
Sex: M
Vaccine: FLU3, FLU3, FLUX
Symptoms: CSF glucose increased, CSF protein increased, Guillain-Barre syndrome, Neuropathy peripheral
Clinical narrative: The patient is a 75-year-old man who was admitted with a change in gait. He received a flu shot approximately 4 to 6 weeks ago. He then began to have progressive ascending neuropathy with paralysis beginning in his feet that was ascending and progressive. He had some pain. He subsequently presented to the emergency department. The patient was noted to have bilateral lower extremity weakness. He was admitted. He subsequently developed almost complete paralysis of his lower extremities bilaterally. He had an extensive work up and evaluation by Infectious Disease and Neurology. Multiple MRI scans and CT scans were performed with results. The lumbar puncture was performed. His CSF protein was markedly elevated at 136 with a glucose of 78. In light of his presenting symptoms in the face of receiving a seasonal influenza shot and CSF results, it was deemed that the patient has a form of Guillain-Barre syndrome. He was subsequently given intravenous immunoglobulin for approximately 5 days and tolerated that relatively well. Fortunately, he had minimal results. He remains essentially paraplegic with minimum movement of his lower extremities. He has had episodic hypertension and sedatives to help him sleep at night, have caused some mild confusion. During the day, he is incredibly lucid and conversive. We have had other issues with hyponatremia, which has markedly improved with a free water restriction. On the day of discharge, the patient is eating. He is only ambulating via wheelchair. He does have issues with constipation, which seemed to be improving with regular scheduled stool softeners, but he is vitally stable, and he is very eager to begin rehabilitation and get back to his normal, usual state of health.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left deltoid pain, swelling and redness evening and night of administration. Improved next afternoon. Advised ice and Ibuprofen.
Age: 1.46
Sex: F
Vaccine: DTAPIPVHIB, FLUN3, HEP, HEPA, MMR, PNC13, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received Influenza FLUMIST intranasal vaccine.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Burning sensation, Lip blister, Lip swelling, Pruritus
Clinical narrative: Upper left lip swelled and blistered - shot - 11:00 AM swelling 4:00 PM. Dr instructed me to get BENADRYL to reduce swelling. Pharmacist said to get CORTIZONE 1%. Swelling came and went w/BENADRYL. Blisters dried up after 2 weeks. They burned and itched.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Feeling abnormal
Clinical narrative: Got flu and pneumonia shot on Saturday AM. By 5:00 PM felt very bad and wife took him to hospital. Had temp. of 103 degrees F. Both shots were given in Rt. arm.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site erythema, Swelling face
Clinical narrative: Had redness at injection site of flu vaccine, followed by flu-like Sx + face swelling the next morning. Resolved with BENADRYL.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Influenza like illness, Palpitations
Clinical narrative: Had severe H/A, progressing to significant flu like symptoms on the evening the flu vaccine was administered. The next day began having palpitations and went to ED.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Asthenia, Dysstasia, Haemoptysis, Hypokinesia, Influenza like illness
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Malaise, Myalgia, Productive cough, Pyrexia, Sputum discoloured
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood albumin normal, Blood alkaline phosphatase increased
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Blood bilirubin increased, Blood calcium decreased, Blood chloride decreased, Blood creatinine normal, Blood sodium decreased
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Blood thyroid stimulating hormone normal, Blood urea normal, Haemoglobin normal, Influenza like illness, Malaise
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 73.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Myalgia, Platelet count decreased, Pyrexia, White blood cell count normal
Clinical narrative: The patient is a 73-year-old male. I have known the patient for many years, previously serving as his primary care physician. He has multiple medical problems including coronary artery disease and chronic congestive heart failure. About 4 weeks ago, he received the annual influenza vaccine. He normally receives a split dose over 2 weeks but received the entire dose in 1 shot. Within 2 to 3 days, he started to develop severe weakness. He had some flu-like symptoms with malaise, muscle aches, and low-grade fever as well. Over the past 3 weeks, he has developed progressive generalized weakness. He got to the point he could barely stand from a seated position and is minimally ambulatory. He was started on a course of oral prednisone 1 week ago but stopped taking it because of anxiety and some hallucinosis. Today, he was so weak that his wife could not get him to stand. He also has had a productive cough of bloody and green-colored sputum. He has intermittently had a low-grade fever.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Pruritus generalised, Urticaria
Clinical narrative: Approx 36 hr after vaccine admin, developed itching over body. Next morning awakened with hives and severe itching over body. Developed severe swelling of upper and lower lips. No respiratory involvement. Self treated with antihistamines. Symptoms resolved completely approx. 72 hr after onset.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: On 10/15/10 patient was given ADACEL. See IM (L) arm and MENACTRA .5cc IM (R) arm as part of routine. Physical 10 min later pt developed hives (generalized) no change in vital signs; no respiratory difficulty at all. BENADRYL 36 mg po given -> Hives-> Resolved next 30 minutes.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Feeling abnormal, Headache, Injection site pain
Clinical narrative: 430PM pt didn't "feel right," felt weak, vomited, no nausea oral temp 101 degrees headache site sore, swollen, "hurt a little". Episode lasted 3 days.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Vomiting
Clinical narrative: 430PM pt didn't "feel right," felt weak, vomited, no nausea oral temp 101 degrees headache site sore, swollen, "hurt a little". Episode lasted 3 days.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Respiratory tract congestion, Wheezing
Clinical narrative: Pt states "I feel like I'm getting sick, my throat started getting congested after lunch" states he  was "wheezing" denies hx of wheezing before. PE: Bilateral scattered end expiratory wheeze. Tx: Albuterol Neb tx. Post neb lung exam = clear lung sounds all fields. States he feels better. Plani ALBUTEROL MOI 2puffs q 4 hours PRN. RTC PRN.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache
Clinical narrative: Headache, chills took TYLENOL + was better 4-5 hrs. later.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Headache
Clinical narrative: Headache, chills took TYLENOL and was better 4-5 hrs. later.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Gianotti-Crosti syndrome, Haemorrhage, Rash generalised, Rash pruritic
Clinical narrative: Seen on 10/11 with widespread rash on body starting 1 week after influenza injection; rash itchy, bleeding on buttocks from scratching. Diagnosis: Gianotti-Crosti syndrome. Parent reassurance: may take 8-12 weeks to resolve.
Sex: F
Vaccine: FLU3
Symptoms: Macule, Petechiae
Clinical narrative: 2 3-4 cm petechial macules formed on right breast.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Haemorrhage, Local reaction, Pain, Swelling
Clinical narrative: Local size reaction, swelling w/o itchiness or excessive pain. Large amount of bleeding. Advised cold compress, NSAIDS if needed.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Nasal congestion, Nausea, Sensation of heaviness
Clinical narrative: Influenza vaccine administered at 1:30 pm on 10/13/2010 to left deltoid. At 3:30 pm, she complained of 'feeling cold', 'heavy', 'nausea' without emesis, and stuffy nose. C/o 'heavy feeling to left arm. Assessment: temp 97.8 denies difficulty swallowing. No s/s resp distress. Left deltoid injection site without redness or swelling noted - gave TYLENOL 650 mg P.O. No itching noted.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and tenderness @ injection site - (L) arm 20cm x 20 cm; (R) arm 10cm x 10cm.
Age: 19.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Headache, Injection site erythema, Injection site warmth, Local reaction, Pruritus
Clinical narrative: Red warm area at site; 9/29/10 - headache fever (not take) 10.5 cm x 14cm red, hot local reaction. Temp in office was normal 9/30/10 - local reaction now itching.
Age: 19.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Pyrexia
Clinical narrative: Red warm area at site; 9/29/10 - headache fever (not take) 10.5 cm x 14cm red, hot local reaction. Temp in office was normal 9/30/10 - local reaction now itching.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Rash erythematous, Rash generalised, Vomiting
Clinical narrative: Client received vac in am started noticing rash to entire body by Friday pm. Also reported fever - low grade, nausea with emesis. As of today 10/18/10 still has rash to (B) LE feet red raised pin point rash taking BENADRYL 50mg po.
Age: 77.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Fatigue, Feeling cold, Myalgia, Oropharyngeal pain
Clinical narrative: Severe aches in muscles, joints, severe cold all nite, felt like I was coming down with cold, sore throat, etc. A little tired the next morning, but otherwise ok.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Symptoms appeared 8 hours after vaccine administration of chills and fever of 100.2 F.  Next day had headache, feeling tired.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Lymphadenopathy
Clinical narrative: Site redness/itching; swollen glands injected arm at axilla and brachial, to cervical nodes and jaw.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling and itching at injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site swelling, Injection site warmth, Musculoskeletal stiffness, Nausea
Clinical narrative: PT NOTICED AS SHE WAS LAYING DOWN TO GO TO BED THAT HER ARM HAD SWELLED (TRICEP), IT WAS HOT TO THE TOUCH FOR 24 HOURS AFTERWARD AND TODAY (48 HOURS AFTERWARD IS WARM TO THE TOUCH) PT COMPLAINS OF ARM STIFFNES UP TO 48 HOURS AFTER PNUEMOVAX SHOT AND REPORTS THAT SHE ALSO HAD NAUSEA AND FEVER FOR 24 HOURS POST VACCINATION. ARM IS STILL RED UP TO 48 HOURS POST VACCINATION.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: PT NOTICED AS SHE WAS LAYING DOWN TO GO TO BED THAT HER ARM HAD SWELLED (TRICEP), IT WAS HOT TO THE TOUCH FOR 24 HOURS AFTERWARD AND TODAY (48 HOURS AFTERWARD IS WARM TO THE TOUCH) PT COMPLAINS OF ARM STIFFNES UP TO 48 HOURS AFTER PNUEMOVAX SHOT AND REPORTS THAT SHE ALSO HAD NAUSEA AND FEVER FOR 24 HOURS POST VACCINATION. ARM IS STILL RED UP TO 48 HOURS POST VACCINATION.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain
Clinical narrative: Severe body aches and chills for 2 days.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Headache, Hypoaesthesia, Hypoaesthesia facial, Injection site erythema
Clinical narrative: Initial report received from a consumer (who is a nurse) on 07 Oct 2010: This patient with an unknown medical history was vaccinated with FLUVIRIN (batch number unknown), 0.5 ml intramuscularly on 27 Sep 2010. After the vaccination the patient experienced severe reactions such as increased blood pressure, uncontrollable shakiness, redness and swelling at injection site, numbness of the left side of face and upper body on 27 Sep 2010. The patient was admitted to emergency (ER) for a day. The patient also experienced severe headache 04 to 05 days after the vaccination. The patient received treatment with ZOFRAN and SOLUMEDROL. The outcome of the events was reported as condition resolved on 02 Oct 2010.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Tremor
Clinical narrative: Initial report received from a consumer (who is a nurse) on 07 Oct 2010: This patient with an unknown medical history was vaccinated with FLUVIRIN (batch number unknown), 0.5 ml intramuscularly on 27 Sep 2010. After the vaccination the patient experienced severe reactions such as increased blood pressure, uncontrollable shakiness, redness and swelling at injection site, numbness of the left side of face and upper body on 27 Sep 2010. The patient was admitted to emergency (ER) for a day. The patient also experienced severe headache 04 to 05 days after the vaccination. The patient received treatment with ZOFRAN and SOLUMEDROL. The outcome of the events was reported as condition resolved on 02 Oct 2010.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Arthralgia, Burning sensation, Contusion, Dry eye
Clinical narrative: 7 hours of shot was given throat felt closing sore, hurting. Multiple symptoms headache back of neck hurting, left arm was hurting and burning w/bruising. Had an upset stomach, severe shakes, with fever, painful joints. Both eyes became blood shot red, they were hard and dry (white of eyes).
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Neck pain, Ocular hyperaemia, Oropharyngeal pain, Pain in extremity
Clinical narrative: 7 hours of shot was given throat felt closing sore, hurting. Multiple symptoms headache back of neck hurting, left arm was hurting and burning w/bruising. Had an upset stomach, severe shakes, with fever, painful joints. Both eyes became blood shot red, they were hard and dry (white of eyes).
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Throat tightness, Tremor
Clinical narrative: 7 hours of shot was given throat felt closing sore, hurting. Multiple symptoms headache back of neck hurting, left arm was hurting and burning w/bruising. Had an upset stomach, severe shakes, with fever, painful joints. Both eyes became blood shot red, they were hard and dry (white of eyes).