chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Hives and dyspnea within 30' after administration of vaccine IM.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Atelectasis, Chest X-ray abnormal, Delirium, Dyspnoea, Influenza serology negative
Clinical narrative: Patient presented to the office with mild URI symptoms. Her lungs were clear on exam and she was breathing normally. She received the flu vaccine and 90 minutes later her mother described her as acting "delirious." At 10pm (5 1/2 hours after the flu vaccine), her parents noticed labored breathing. She was seen in the emergency room at 5:30am the following morning and per report had diffuse expiratory wheezes and tachypnea with O2 saturation in the mid 80's. She was given one Albuterol neb, followed by 2 back-to-back Albuterol and ATROVENT nebs. She was also given ORAPRED 13mg po, however she remained in respiratory distress with O2 saturation in the mid 80's so she was given methylprednisolone 15mg IV bolus, magnesium sulfate 600mg IV, and placed on continuous Albuterol via nebulizer. She was then transported via ambulance to Hospital and admitted to the ICU at approximately 8:30 am on 8/27/2009. Her chest x-ray showed right upper lobe atelectasis and she was started on Vancomycin, Azithromycin, and Ceftriaxone IV to cover for a possible pneumonia. The following day her respiratory status continued to improve and her chest x-ray showed resolution of the right upper lobe atelectasis so her antibiotics were discontinued and she was transferred out of the PICU to the medical floor. She was discharged from the hospital on 8/29/2009 on oral steroids and Albuterol every 4 hours. 11/20/09:  ED Records and Discharge summary received for dates of service:  8/27/09 to 8/29/09.  Dx: Status asthmaticus.  Assessment:  Presented with increased WOB x 1 day.  O2 sats in mid 80's.  Tachnypneic with diffuse expiratory wheezes.  Admitted to PICU and treated with continuous Albuterol initially, then spaced out to Q 2 hrs.  Started on steroid therapy and antibiotic therapy.  Antibiotics d/c'd since unlikely to be infectious.  IV Fluids administered.  Weaned to Albuterol tx. Q4h without need for O2.  Albuterol MDI and controller medications started.  To follow up with PMD and pediatric allergist.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Intensive care, Oxygen saturation decreased, Polymerase chain reaction, Respiratory distress, Respiratory syncytial virus test negative
Clinical narrative: Patient presented to the office with mild URI symptoms. Her lungs were clear on exam and she was breathing normally. She received the flu vaccine and 90 minutes later her mother described her as acting "delirious." At 10pm (5 1/2 hours after the flu vaccine), her parents noticed labored breathing. She was seen in the emergency room at 5:30am the following morning and per report had diffuse expiratory wheezes and tachypnea with O2 saturation in the mid 80's. She was given one Albuterol neb, followed by 2 back-to-back Albuterol and ATROVENT nebs. She was also given ORAPRED 13mg po, however she remained in respiratory distress with O2 saturation in the mid 80's so she was given methylprednisolone 15mg IV bolus, magnesium sulfate 600mg IV, and placed on continuous Albuterol via nebulizer. She was then transported via ambulance to Hospital and admitted to the ICU at approximately 8:30 am on 8/27/2009. Her chest x-ray showed right upper lobe atelectasis and she was started on Vancomycin, Azithromycin, and Ceftriaxone IV to cover for a possible pneumonia. The following day her respiratory status continued to improve and her chest x-ray showed resolution of the right upper lobe atelectasis so her antibiotics were discontinued and she was transferred out of the PICU to the medical floor. She was discharged from the hospital on 8/29/2009 on oral steroids and Albuterol every 4 hours. 11/20/09:  ED Records and Discharge summary received for dates of service:  8/27/09 to 8/29/09.  Dx: Status asthmaticus.  Assessment:  Presented with increased WOB x 1 day.  O2 sats in mid 80's.  Tachnypneic with diffuse expiratory wheezes.  Admitted to PICU and treated with continuous Albuterol initially, then spaced out to Q 2 hrs.  Started on steroid therapy and antibiotic therapy.  Antibiotics d/c'd since unlikely to be infectious.  IV Fluids administered.  Weaned to Albuterol tx. Q4h without need for O2.  Albuterol MDI and controller medications started.  To follow up with PMD and pediatric allergist.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Tachypnoea, Virus serology test negative, Wheezing
Clinical narrative: Patient presented to the office with mild URI symptoms. Her lungs were clear on exam and she was breathing normally. She received the flu vaccine and 90 minutes later her mother described her as acting "delirious." At 10pm (5 1/2 hours after the flu vaccine), her parents noticed labored breathing. She was seen in the emergency room at 5:30am the following morning and per report had diffuse expiratory wheezes and tachypnea with O2 saturation in the mid 80's. She was given one Albuterol neb, followed by 2 back-to-back Albuterol and ATROVENT nebs. She was also given ORAPRED 13mg po, however she remained in respiratory distress with O2 saturation in the mid 80's so she was given methylprednisolone 15mg IV bolus, magnesium sulfate 600mg IV, and placed on continuous Albuterol via nebulizer. She was then transported via ambulance to Hospital and admitted to the ICU at approximately 8:30 am on 8/27/2009. Her chest x-ray showed right upper lobe atelectasis and she was started on Vancomycin, Azithromycin, and Ceftriaxone IV to cover for a possible pneumonia. The following day her respiratory status continued to improve and her chest x-ray showed resolution of the right upper lobe atelectasis so her antibiotics were discontinued and she was transferred out of the PICU to the medical floor. She was discharged from the hospital on 8/29/2009 on oral steroids and Albuterol every 4 hours. 11/20/09:  ED Records and Discharge summary received for dates of service:  8/27/09 to 8/29/09.  Dx: Status asthmaticus.  Assessment:  Presented with increased WOB x 1 day.  O2 sats in mid 80's.  Tachnypneic with diffuse expiratory wheezes.  Admitted to PICU and treated with continuous Albuterol initially, then spaced out to Q 2 hrs.  Started on steroid therapy and antibiotic therapy.  Antibiotics d/c'd since unlikely to be infectious.  IV Fluids administered.  Weaned to Albuterol tx. Q4h without need for O2.  Albuterol MDI and controller medications started.  To follow up with PMD and pediatric allergist.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Cardiac monitoring, Chest X-ray normal, Computerised tomogram normal, Feeling abnormal, Pyrexia
Clinical narrative: First dose given 7-15-09 DTaP- high fever and child spacing out. 2nd dose 9-16-09 under blanket in crib - ? stopped breathing. DC records received 10/8/2009 for 9/17/2009. DC DX of altered mental status. 4 month old immunized with multiple vaccines 9/16/2009, presents to ER 9/17/2009 with c/o's cyanotic episode and difficulty breathing witnessed per mother. Consult with cardiologist was negative, placed on Cardiac monitoring with no abnormalities.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Reaction to previous exposure to any vaccine, Respiratory arrest
Clinical narrative: First dose given 7-15-09 DTaP- high fever and child spacing out. 2nd dose 9-16-09 under blanket in crib - ? stopped breathing. DC records received 10/8/2009 for 9/17/2009. DC DX of altered mental status. 4 month old immunized with multiple vaccines 9/16/2009, presents to ER 9/17/2009 with c/o's cyanotic episode and difficulty breathing witnessed per mother. Consult with cardiologist was negative, placed on Cardiac monitoring with no abnormalities.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Dyspnoea, Erythema, Flushing
Clinical narrative: Redness/flushing of face & chest, difficulty breathing, chest pain. Gave 0.3 mg EPINEPHRINE IM. 10/23/09 Hospital records and discharge summary received for DOS 9/17-9/18.  FINAL DX: Probable allergic reaction after receiving Pneumovax vaccination- now improved, chest discomfort secondary to probable allergic reaction- improved- negative serial troponin , electrocardiogram assessment, hypokalemia-replaced and corrected, hypertension- blood pressure improved, hyperlipidemia- stable on statin therapy, type II diabetes with steroid induced hyperglycemia. Flu vaccine given 9/16. Pneumovax given 9/17. A few minutes s/p Pneumovax  throat tight, red face, hot flashes, dizziness, palpitations, SOB,  and chest pain. Given cold tab and epi by pharmacy. Presented in ER improved.  Blood sugar abnormal. KCL abnormal. Cardiac WNL.  23 hr observation and tx. Discharged to home.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Patient described that the site of injection was vary stiff for 3-4 days. The site of injection was in a lot of pain for 2 days. There are 2 bruises with purple and yellowish color near site of injection, but patient denied taking any blood thinner (Aspirin, COUMADIN, etc).
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Laryngospasm
Clinical narrative: Pt in normal good health developed laryngeal spasm and DIB within 15 minutes of receiving Tdap and PPD skin test. 10/21/2009 hospital records received for 9/29-9/30/2009. Patient presented with sx of larynegeal spasms, dyspnea, wheezing and tacchycardia. Initially presented to ED and tx'd with IV Benadryl and steroids with resolution of sx, went home and returned approx 2 hrs later with c/o's " I can't breathe", Admitted and tx'd with IV Benadryl, steroids, SQ epinephrine and O2.  DC Dx Anaphylactoid reaction ICD-9 code 995.0
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Influenza serology positive, Pyrexia, Streptococcal identification test
Clinical narrative: Pt had a fever topping at 101.4 for 2 days after flu shot. The 3rd day after flu shot topped at 100.4. 4th day after Flu shot temp. up to 101.5. Visited Dr's office. He had the flu. Dr. insisted flu was not obtained by flu shot.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Local swelling
Clinical narrative: Local swelling 6-8 inches in diameter - no redness, some bruising, painful - no other prominent signs, no itching.
Age: 53.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Muscle spasms
Clinical narrative: 3 + inch in diameter swelling and redness in left deltoid.  Onset 24 hours after injection.  Numbness, cramping of left hand that lasted 3-4 days.  Site is still sensitive today.
Age: 13.0
Sex: F
Vaccine: FLUN3, HEPA, MNQ
Symptoms: Cold sweat, Hyperhidrosis, Injection site erythema, Injection site swelling, Pallor
Clinical narrative: Some redness and swelling at site, right deltoid, right side neck, torso sweating, cold/clammy, color pale on right side. Immunization administered 9/29/09. Evaluated in office 9/30.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Syncope
Clinical narrative: Pt fainted after leaving pharmacy, in the parking lot, but got up before paramedics arrived. He was checked out in the ambulance. Paramedics said fainting was due to drop in blood pressure. Spoke to the father afterwards and was told the patient is fine.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperhidrosis, Injection site urticaria, No reaction on previous exposure to drug, Tachycardia
Clinical narrative: Developed hives around injection site, spreading across chest to other arm. Dyspnea. Tachycardia-pulse 135. Sweating. Received flu shot last year without incident.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Developed hives around injection site, spreading across chest to other arm. Dyspnea. Tachycardia-pulse 135. Sweating. Received flu shot last year without incident.
Age: 1.28
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: VARICELLA rash secondary to VARIVAX.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Employee noticed redness and swelling of upper left arm the day following her AFLURIA vaccine. Also states the vaccine was given below the deltoid are in mid upper left arm. 9/28/2009 10:15 9-10 cm oval reddened area mid upper left arm.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia, X-ray
Clinical narrative: Severe arm pain where injected with the Td vaccine. The pain has lessened, but still have deep muscle pain three months later.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Blood chloride increased, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: 20 minutes after receiving vaccine, Se felt like her throat was closing, her tongue got numb, her lips felt numb.  She said she developed a tightness in her chest.  No trouble breathing.  She said her throat does not feel like it is closing so much as just her lips and tongue feel numb.  She said the chest discomfort is not a heaviness, it is not a pressure.  She said it almost feels like a tingling in her chest.  Here she is awake, alert, she is oriented to person, place, time, situation, and in no acute distress. Treated with diphenhydramine
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide abnormal, Chest X-ray normal
Clinical narrative: 20 minutes after receiving vaccine, Se felt like her throat was closing, her tongue got numb, her lips felt numb.  She said she developed a tightness in her chest.  No trouble breathing.  She said her throat does not feel like it is closing so much as just her lips and tongue feel numb.  She said the chest discomfort is not a heaviness, it is not a pressure.  She said it almost feels like a tingling in her chest.  Here she is awake, alert, she is oriented to person, place, time, situation, and in no acute distress. Treated with diphenhydramine
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Electrocardiogram, Hypoaesthesia oral, Platelet count normal, Throat tightness
Clinical narrative: 20 minutes after receiving vaccine, Se felt like her throat was closing, her tongue got numb, her lips felt numb.  She said she developed a tightness in her chest.  No trouble breathing.  She said her throat does not feel like it is closing so much as just her lips and tongue feel numb.  She said the chest discomfort is not a heaviness, it is not a pressure.  She said it almost feels like a tingling in her chest.  Here she is awake, alert, she is oriented to person, place, time, situation, and in no acute distress. Treated with diphenhydramine
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Troponin, White blood cell count normal
Clinical narrative: 20 minutes after receiving vaccine, Se felt like her throat was closing, her tongue got numb, her lips felt numb.  She said she developed a tightness in her chest.  No trouble breathing.  She said her throat does not feel like it is closing so much as just her lips and tongue feel numb.  She said the chest discomfort is not a heaviness, it is not a pressure.  She said it almost feels like a tingling in her chest.  Here she is awake, alert, she is oriented to person, place, time, situation, and in no acute distress. Treated with diphenhydramine
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Death, Dyspnoea, Influenza like illness, Mechanical ventilation, Pyrexia
Clinical narrative: Flu like symptoms:  Fever, SOB.  Was admitted to the hospital on 9/25/09 and was diagnosed with H1N1 and deteriorated; was placed on a ventilator and expired on 10/5/09 at approxitmately 1800 hours. 10/9/09 Prelim autopsy report received with the following findings:  Multilobar pneumonia (all lobes severely involved). Post mortem bacterial, fungal, acid fast and viral cultures pending.  H1N1 (-). Renal failure probably 2' to acute tubular necrosis.  10/21/2009 hospital records for date 10/1- 10/5/ 2009, patient with 1 week hx of fever, malaise.  nausea, vomiting, and chest discomfort. Saw PCP 9/26/2009 and thought to be viral, sx progressed, cough worsened and patient became dyspneic. To hospital 10/1/2009 in respiratory failure. TX: placed on continuous ventilation with nitrous oxide and pressors, IV ABX Zyvox, Clindamycin, Levaquin, Aztreonam, Cleocin, Xigris, Serum Bicarbonate. DC DX's:  Severe Multilobar Pneumonia, Respiratory failure, Renal failure, Metabolic Acidosis.  12/29/09 Autopsy report received. DOD 10/5/2009. Cause of Death: Multilobar pneumonia secondary to Legionella, non-pneumophilia species.  Additional information abstracted: Patient developed community-acquired bilateral pneumonia causing severe hypoxia and multiorgan system failure.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Pt developed redness and warmth on arm  where vaccines were given,below the deltoid.  Went to urgent care center after calling Dr on call, and was diagnosed with cellulitis and started on oral antibiotic.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia, Pain
Clinical narrative: MUSCLE SORENESS IN LEFT ARM FROM INJECTION SITE AND DISTALLY TO MID-FOREARM WHEN ARM IS RAISED FROM THE SIDE(ABDUCTION) AND WHEN IT'S MOVED ACROSS BODY TO HER RIGHT SIDE
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Gastrooesophageal reflux disease, Pain, Personality change
Clinical narrative: Severe pain after shot, cried excessively that evening, afterwards parents noted personality change, different temperment, reflux worsened, symptoms persisted for three to four months after the vaccination.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Diplopia, Headache, Nuclear magnetic resonance imaging abnormal, Vision blurred
Clinical narrative: double and blurred vision, headache12/01/09 Medical records received for DOS 10/08/09 DX: Acquired Vertical Diplopia C/O visual disturbance X 4 days, diplopia, headaches, swollen lids  12/7/09 Employee health records received.   DX: Acquired vertical diplopia
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Electrocardiogram, Electroencephalogram, Feeling abnormal, Grand mal convulsion
Clinical narrative: Pt had "grand mal" seizure per EMS, found post ictal having had a witnessed 2 minute seizure after a period of feeling ill and left arm weakness.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Muscular weakness, Nuclear magnetic resonance imaging, Postictal state
Clinical narrative: Pt had "grand mal" seizure per EMS, found post ictal having had a witnessed 2 minute seizure after a period of feeling ill and left arm weakness.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Headache, Influenza like illness, Oropharyngeal pain, Pyrexia
Clinical narrative: High fever, sore throat, chest congestion, cough, sinus congestion, worst headache ever, vomiting, like I got the flu. My husband got his shot at the same time and had the same symptoms. Today, we are both still sick.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Sick relative, Sinus congestion, Upper respiratory tract congestion, Vomiting
Clinical narrative: High fever, sore throat, chest congestion, cough, sinus congestion, worst headache ever, vomiting, like I got the flu. My husband got his shot at the same time and had the same symptoms. Today, we are both still sick.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Blood test, Chest X-ray normal, Eye discharge, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Throat tightening and feeling very sore when swallowing.  Wheezing and coughing up mucous, which seemed to be forming in my throat quickly.  Very red eyes, with mucous coming out of tear ducts.  Fever developed about an hour later, peaking at 102.5 (measured at ER) and disappearing within a couple of hours.  Vomiting about two hours into reaction.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Productive cough, Pyrexia, Throat tightness, Urine analysis, Vomiting
Clinical narrative: Throat tightening and feeling very sore when swallowing.  Wheezing and coughing up mucous, which seemed to be forming in my throat quickly.  Very red eyes, with mucous coming out of tear ducts.  Fever developed about an hour later, peaking at 102.5 (measured at ER) and disappearing within a couple of hours.  Vomiting about two hours into reaction.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: Throat tightening and feeling very sore when swallowing.  Wheezing and coughing up mucous, which seemed to be forming in my throat quickly.  Very red eyes, with mucous coming out of tear ducts.  Fever developed about an hour later, peaking at 102.5 (measured at ER) and disappearing within a couple of hours.  Vomiting about two hours into reaction.
Age: 24.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chest discomfort, Dyspnoea, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Arm experienced sever swelling over approximately 18 sq. inches. Hot and tender to touch. Difficulty breathing, with tightness of the chest experienced for 48 hours after symptom onset. Physician prescribed course of prednisone (20mg 2x a day) as well as icing of the affected area, 600 mg of ibuprofen every 6 hours, rest and fluids.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion
Clinical narrative: Seizure  10/19/09 Emergency Department and Consultation Records eceived for dates of service 6/16/09- 10/8/09.  Dx:  Convulsions.  6/16/09:  Experienced a tonic clonic seizure while sleeping, 5 minutes of confusion in postictal period as well as wobbly legs.  ICD 9 Code: 780.39
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ear infection, Grand mal convulsion, Nuclear magnetic resonance imaging, Rash
Clinical narrative: Seizure  10/19/09 Emergency Department and Consultation Records eceived for dates of service 6/16/09- 10/8/09.  Dx:  Convulsions.  6/16/09:  Experienced a tonic clonic seizure while sleeping, 5 minutes of confusion in postictal period as well as wobbly legs.  ICD 9 Code: 780.39
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Epistaxis, Petechiae, Platelet count decreased, Stomatitis
Clinical narrative: Thrombocytopenia (plt=6k).  Epistaxis, petechial rash, bruising, mouth sores on tongue 10/19/09 Medical records received from hospital date 10/1/09 and Labs from 10/01/09 to 10/9/09. DX: Thrombocytopenia. Presenting SX: pt states received flu vaccine 9/24 c/o arm soreness same day. 9/25 c/o left side neck pain. On 9/26 c/o right side neck pain. 9/30 pt developed epistaxis. 10/1 presented with epistaxis, sores on tongue, buccal mucosa, petechial rash, increase bruising on legs. Assessment: increase BP, buccal and tongue bleeds, petechial rash over body greater on legs with ecchymosis. Pt admitted to hospital.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Thrombocytopenia
Clinical narrative: Thrombocytopenia (plt=6k).  Epistaxis, petechial rash, bruising, mouth sores on tongue 10/19/09 Medical records received from hospital date 10/1/09 and Labs from 10/01/09 to 10/9/09. DX: Thrombocytopenia. Presenting SX: pt states received flu vaccine 9/24 c/o arm soreness same day. 9/25 c/o left side neck pain. On 9/26 c/o right side neck pain. 9/30 pt developed epistaxis. 10/1 presented with epistaxis, sores on tongue, buccal mucosa, petechial rash, increase bruising on legs. Assessment: increase BP, buccal and tongue bleeds, petechial rash over body greater on legs with ecchymosis. Pt admitted to hospital.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Flu Mist vaccine on 10/03/2009 woke Monday 10/5/2009 with uticaria rash on waist and trunk
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Excoriation, Pruritus, Urticaria
Clinical narrative: next morning had large welts, hives on back, extremely itchy.  on R side of back & shoulder about size of quarter to half dollar.  Lasted at least one week.  Had bleeding from scratching, but no infection.  Resolved in one week
Age: 26.0
Sex: F
Vaccine: DTP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient reports that she began to have pain, swelling and redness on the morning of October 3, 2009. She denies any reaction to the vaccination prior to this date
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Neuralgia
Clinical narrative: About 15 yrs ago, I had a herniated vertebra disc - L 3-4.  I have had to be careful with lifting etc, but had had minimal problems over the years.  I had no problems or exertion just prior to the vaccine.  24 hrs after I got the shot, that nerve in my right leg intermittently burned like fury - off & on X 48 hrs.  Gradually decreasing in intensity & frequency.  That was 9/8.  All symptoms are gone.  No treatment.
Age: 14.0
Sex: M
Vaccine: MMR, MNQ, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: No adverse effect thus far. Patient inadvertently received extra ADACEL (prior dose on 4/10/08) and extra MENACTRA prior dose 01-26-09. MD
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Cold sweat, Dizziness, Gait disturbance, Headache, Nausea
Clinical narrative: When client entered the elevator after receiving his vaccines, he experienced a headache, slight nausea and dizziness as he was observed by his family.  Grandfather stated "he was out cold" Symptoms were looking straight ahead, clammy skin, pale skin, and leaned on his family member.  client did not fall nor hit any body part. Symptoms treated with seating him in a chair, fan used for increased air movement, cool compress, juice provided.  Bp taken.  Symptoms resolved within 15 minutes and client walked to the car with his family.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pallor, Staring
Clinical narrative: When client entered the elevator after receiving his vaccines, he experienced a headache, slight nausea and dizziness as he was observed by his family.  Grandfather stated "he was out cold" Symptoms were looking straight ahead, clammy skin, pale skin, and leaned on his family member.  client did not fall nor hit any body part. Symptoms treated with seating him in a chair, fan used for increased air movement, cool compress, juice provided.  Bp taken.  Symptoms resolved within 15 minutes and client walked to the car with his family.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Angiogram, Blood pressure increased, Breath sounds abnormal, Chest X-ray, Dysphonia
Clinical narrative: rattling in lungs, hoarseness, could hardly talk, coughed up pinkish colored stuff, severe difficulty breathing
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Electrocardiogram, Laboratory test, Productive cough, Sputum discoloured
Clinical narrative: rattling in lungs, hoarseness, could hardly talk, coughed up pinkish colored stuff, severe difficulty breathing
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Employee states high fever and body aches approximately 10 hours after vaccine. Symptoms lasted approximately 1 day.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dysphonia, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Started itching at site-red, hot itchy- (ominates later, chest felt tight-used Albuterol inhaler (minimal relief)-took Benadryl 25mg-225pm. Still itchy all over, ears hot. Voice Hoarse. Benadryl 25 mg IM 3pm. BP-132/78 p-120. Also has
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Skin warm
Clinical narrative: Started itching at site-red, hot itchy- (ominates later, chest felt tight-used Albuterol inhaler (minimal relief)-took Benadryl 25mg-225pm. Still itchy all over, ears hot. Voice Hoarse. Benadryl 25 mg IM 3pm. BP-132/78 p-120. Also has
Age: 75.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Abasia, Lumbar puncture
Clinical narrative: he had a hard time navigating to the bathroom on 2 separate occasions and is unable to walk on his own.  10/19/09 Physician fax received for date of service 10/12/09.  Dx:  Death secondary to Guillain-Barre Syndrome. Assessment:  Intubated due to GBS.  EMG showed denervation distally.  Due to increased neuronal injury and poor prognosis (also coupled with post-Polio syndrome) the family decided to extubate the patient.  12/1/09 ED and Hospital records received. Service dates 9/28/09 to 10/12/09. Assessment: Severe Guillian-Barre Syndrome. Patient developed profound, progressive and generalized weakness over the last 24-36 hours. Numbness toes, feet, fingers. Unable to walk on his own. Peripheral edema. Rhonchi bilateral. Intubated. Subdural hematoma. Hematuria with clots. Gallbladder polyp, Renal cyst. Atrial fibrillation. Sinus Bradycardia. Left ventricular hypertrophy. Nonresponsive to voice / touch. DTR's absent. IVIG Administered.
Age: 75.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Blood product transfusion, Computerised tomogram head, Electromyogram, Guillain-Barre syndrome, Helicobacter pylori identification test negative
Clinical narrative: he had a hard time navigating to the bathroom on 2 separate occasions and is unable to walk on his own.  10/19/09 Physician fax received for date of service 10/12/09.  Dx:  Death secondary to Guillain-Barre Syndrome. Assessment:  Intubated due to GBS.  EMG showed denervation distally.  Due to increased neuronal injury and poor prognosis (also coupled with post-Polio syndrome) the family decided to extubate the patient.  12/1/09 ED and Hospital records received. Service dates 9/28/09 to 10/12/09. Assessment: Severe Guillian-Barre Syndrome. Patient developed profound, progressive and generalized weakness over the last 24-36 hours. Numbness toes, feet, fingers. Unable to walk on his own. Peripheral edema. Rhonchi bilateral. Intubated. Subdural hematoma. Hematuria with clots. Gallbladder polyp, Renal cyst. Atrial fibrillation. Sinus Bradycardia. Left ventricular hypertrophy. Nonresponsive to voice / touch. DTR's absent. IVIG Administered.
Age: 75.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Hepatitis viral test, Neurological examination, Viral test negative
Clinical narrative: he had a hard time navigating to the bathroom on 2 separate occasions and is unable to walk on his own.  10/19/09 Physician fax received for date of service 10/12/09.  Dx:  Death secondary to Guillain-Barre Syndrome. Assessment:  Intubated due to GBS.  EMG showed denervation distally.  Due to increased neuronal injury and poor prognosis (also coupled with post-Polio syndrome) the family decided to extubate the patient.  12/1/09 ED and Hospital records received. Service dates 9/28/09 to 10/12/09. Assessment: Severe Guillian-Barre Syndrome. Patient developed profound, progressive and generalized weakness over the last 24-36 hours. Numbness toes, feet, fingers. Unable to walk on his own. Peripheral edema. Rhonchi bilateral. Intubated. Subdural hematoma. Hematuria with clots. Gallbladder polyp, Renal cyst. Atrial fibrillation. Sinus Bradycardia. Left ventricular hypertrophy. Nonresponsive to voice / touch. DTR's absent. IVIG Administered.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Pharyngeal oedema, Throat irritation
Clinical narrative: Had flu shot, throat started to tickle, started coughing-felt throat thickening, had shortness of breath, difficulty breathing, called 911 and gave EPI. Transported to hospital. Husband present- Observed her for several hours gave a breathing treatment and sent her home.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bone pain, Chills, Diarrhoea, Fatigue
Clinical narrative: 1 1/2 hours after injection-violent evacuation of bowels. Pain at site almost immediate. Bone pain to all extremities starting in legs then arms. Weakness and fatigue followed by chills-remained in bed for 20 hours. Site and extremity pain continues but improving somewhat.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersomnia, Injection site pain, Pain in extremity
Clinical narrative: 1 1/2 hours after injection-violent evacuation of bowels. Pain at site almost immediate. Bone pain to all extremities starting in legs then arms. Weakness and fatigue followed by chills-remained in bed for 20 hours. Site and extremity pain continues but improving somewhat.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Febrile convulsion, Laboratory test normal, Pyrexia
Clinical narrative: On day 6 after MMR vaccine, patient began a fever.  Fever progressed to 102 degrees.  Tylenol was given at regular intervals.  On day 7, fever was not controlled with Tylenol.  Fever progressed.  Patient had a febrile seizure and ambulance was called.  Patient was worked up in the ER.  ER diagnosis was febrile seizure.  Patient was worked up the next day in the physician's ofice and no obvious source of the fever was found.  All lab data was negative.  No other symptoms other than fever.  Patient was treated with Tylenol and Motrin until fever finally resolved.  Fever lasted 3 days.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Headache, Pain
Clinical narrative: temp 102, body aches, headace. Temp started at 8:00PM broke at 12:00PM very weak the next day, but getting better
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Pt presented to ER with left arm swelling, warmth, and tenderness. Pt also had transient abdominal pain and nausea on 10/3/09 only, but no edema, vomiting, other skin lesions. No redness. No fevers. In ER 10/3/09 was given ceftriaxone x 1 and started on keflex for possible cellulitis vs vaccine reaction. Pt not given benadryl. Per nursing, arm better by 10/5/09 when PPD was checked, and seen by myself 10/6/09 with normal exam, and no pain or tenderness.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Vertigo
Clinical narrative: Flu vaccine administered at 10:00 AM.  Headache at 10:05 AM.  Vertigo at 11:15 AM.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Feeling hot, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Increased anxiety with facial swelling.  Redness and swelling at injection site.  Ears bright red.  Left arm hot to the touch, with warmth and redness.  Sensation of "waves" of warmth moving across upper body and thighs.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Increased anxiety with facial swelling.  Redness and swelling at injection site.  Ears bright red.  Left arm hot to the touch, with warmth and redness.  Sensation of "waves" of warmth moving across upper body and thighs.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Flushing, Heart rate increased
Clinical narrative: Flush, sweaty, fast heart beat, extreme nausea and abdominal discomfort, light headed and weak feeling. This lasted for an hour, went back to bed, and woke up at 6 AM feeling a little weak in the legs. As the day progress, I felted better.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Muscular weakness, Nausea
Clinical narrative: Flush, sweaty, fast heart beat, extreme nausea and abdominal discomfort, light headed and weak feeling. This lasted for an hour, went back to bed, and woke up at 6 AM feeling a little weak in the legs. As the day progress, I felted better.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Oropharyngeal pain, Upper respiratory tract congestion, Urticaria
Clinical narrative: Severe Congestion, Sore Throat, slight nausea lasted for 2 days, then rewsolved. Patient came down with hives on 10/04/2009 in the AM. Taking benadryl
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Pruritus
Clinical narrative: Reported severe itching to palms and soles of feet and reports palpitations.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Patient had left the health department but returned in 30-45 minutes stating her lips were numb and under her tongue it felt funny. Consulted with Dr. in patient's presence. Dr. asked about difficulty breathing, itching which patient denied. We suggested she go to her doctor's office and tell him about her symptoms and see how she was feeling then and what he wanted her to do. Patient called back about 2:15 PM. Stated she had had a reaction. She went to her doctor's office but he was not there so she went on to the ER. They gave her Benadryl and a Rx for a steroid. I told her to call again if anything more happened.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Swelling at site, with erythema and increased warmth and pain, along with vesicles in area of vaccine site. Seen by dermatologist also, not zoster.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Itching on neck, rash on both sides of neck, welt over collarbone area on skin.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: injection site swelling up a little, pt had vaccine before though, asked pt to stay back for 10 minutes to make sure pt is ok. Pt was fine the whole time. Swelling when down after 5 min. Pt left store with advices on what to do with allergic rxn
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Blood glucose increased, Dyskinesia, Electrocardiogram abnormal, Grand mal convulsion, Irritability
Clinical narrative: Information has been received from a consumer concerning her 15 year old female daughter with stomach surgery (when she was 5 years old), who at the end of June 2009 (approximately 30-JUN-2009) was vaccinated with the first dose of GARDASIL (Lot number not provided). There was no concomitant medication. The consumer reported that on approximately 30-JUN-2009 "within a minute of receiving the first dose of GARDASIL" the patient collapsed and her arms started jerking around. The patient was brought to the emergency room but she was not admitted. The patient went home the same day. The consumer reported that the patient had been experiencing shakes and heart palpitations for 3 to 4 weeks starting on approximately 02-SEP-2009. Therapy with GARDASIL was discontinued (date not specified). At the time of the report the patient had not recovered. The patient sought medical attention at the physician. Upon internal review collapsed and her arms started "jerking around" were determined to be an other important medical event. Additional information has been requested.  10/26/09 Medical records received for date 6/18/09. Pt c/ reaction after receiving varivax #2, and gardasil #1. c/o tonic clonic seizure after vaccine. bhp  12/29/2009 ER record received for DOS 06/18/2009. DX: Syncope Patient presented to ER feeling well with no weakness  or sensory deficits. Patient reported that after receiving a vaccination, her arm was hurting. Upon receiving a second vaccination in her other arm, the patient passed out for twenty seconds with jerking movements in arms and legs. When patient came to, she was alert and not confused. Discharged home.  01/04/2010 hospital records and clinic notes received for DOS 11/22/1993-10/23/2009. DX: Fainting spells, Syncope following Gardasil, Viral Syndrome   Clinic note of 06/18/2009 notes patient was observed in office post seizure and given glucose wafer because last meal was approximately 6 hours earlier. Clinic note of 09/23/09 notes complaint of fainting spells and plan/treatment notes educate patient to prevent hypoglycemia. Note of 10/23/2009 notes complaint of grumpy over last two to three days. Examination: lungs clear.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Limb discomfort, Loss of consciousness, Palpitations, Syncope, Tremor
Clinical narrative: Information has been received from a consumer concerning her 15 year old female daughter with stomach surgery (when she was 5 years old), who at the end of June 2009 (approximately 30-JUN-2009) was vaccinated with the first dose of GARDASIL (Lot number not provided). There was no concomitant medication. The consumer reported that on approximately 30-JUN-2009 "within a minute of receiving the first dose of GARDASIL" the patient collapsed and her arms started jerking around. The patient was brought to the emergency room but she was not admitted. The patient went home the same day. The consumer reported that the patient had been experiencing shakes and heart palpitations for 3 to 4 weeks starting on approximately 02-SEP-2009. Therapy with GARDASIL was discontinued (date not specified). At the time of the report the patient had not recovered. The patient sought medical attention at the physician. Upon internal review collapsed and her arms started "jerking around" were determined to be an other important medical event. Additional information has been requested.  10/26/09 Medical records received for date 6/18/09. Pt c/ reaction after receiving varivax #2, and gardasil #1. c/o tonic clonic seizure after vaccine. bhp  12/29/2009 ER record received for DOS 06/18/2009. DX: Syncope Patient presented to ER feeling well with no weakness  or sensory deficits. Patient reported that after receiving a vaccination, her arm was hurting. Upon receiving a second vaccination in her other arm, the patient passed out for twenty seconds with jerking movements in arms and legs. When patient came to, she was alert and not confused. Discharged home.  01/04/2010 hospital records and clinic notes received for DOS 11/22/1993-10/23/2009. DX: Fainting spells, Syncope following Gardasil, Viral Syndrome   Clinic note of 06/18/2009 notes patient was observed in office post seizure and given glucose wafer because last meal was approximately 6 hours earlier. Clinic note of 09/23/09 notes complaint of fainting spells and plan/treatment notes educate patient to prevent hypoglycemia. Note of 10/23/2009 notes complaint of grumpy over last two to three days. Examination: lungs clear.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Viral infection
Clinical narrative: Information has been received from a consumer concerning her 15 year old female daughter with stomach surgery (when she was 5 years old), who at the end of June 2009 (approximately 30-JUN-2009) was vaccinated with the first dose of GARDASIL (Lot number not provided). There was no concomitant medication. The consumer reported that on approximately 30-JUN-2009 "within a minute of receiving the first dose of GARDASIL" the patient collapsed and her arms started jerking around. The patient was brought to the emergency room but she was not admitted. The patient went home the same day. The consumer reported that the patient had been experiencing shakes and heart palpitations for 3 to 4 weeks starting on approximately 02-SEP-2009. Therapy with GARDASIL was discontinued (date not specified). At the time of the report the patient had not recovered. The patient sought medical attention at the physician. Upon internal review collapsed and her arms started "jerking around" were determined to be an other important medical event. Additional information has been requested.  10/26/09 Medical records received for date 6/18/09. Pt c/ reaction after receiving varivax #2, and gardasil #1. c/o tonic clonic seizure after vaccine. bhp  12/29/2009 ER record received for DOS 06/18/2009. DX: Syncope Patient presented to ER feeling well with no weakness  or sensory deficits. Patient reported that after receiving a vaccination, her arm was hurting. Upon receiving a second vaccination in her other arm, the patient passed out for twenty seconds with jerking movements in arms and legs. When patient came to, she was alert and not confused. Discharged home.  01/04/2010 hospital records and clinic notes received for DOS 11/22/1993-10/23/2009. DX: Fainting spells, Syncope following Gardasil, Viral Syndrome   Clinic note of 06/18/2009 notes patient was observed in office post seizure and given glucose wafer because last meal was approximately 6 hours earlier. Clinic note of 09/23/09 notes complaint of fainting spells and plan/treatment notes educate patient to prevent hypoglycemia. Note of 10/23/2009 notes complaint of grumpy over last two to three days. Examination: lungs clear.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, UNK, HPV4, MNQ
Symptoms: Anxiety, Blindness transient, Immediate post-injection reaction
Clinical narrative: Information has been received from a physician concerning a 14 year old female patient with no drug reactions/allergies who was vaccinated IM with the first 0.5 ml dose of GARDASIL "approximately three years ago" in approximately September 2006. Concomitant therapies included MENACTRA and another vaccine (manufacturer unknown). Right after getting the vaccine the patient experienced anxiety and temporary loss of vision. The patient was at the office when it happened. There were no lab diagnostic studies performed. The physician told the patient to remain seated for 10 to 15 minutes and the patient recovered. Upon internal review, temporary loss of vision was determined to be an other important medical event. All telephone attempts to obtain follow-up information have been unsuccessful. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness, Memory impairment, Urinary incontinence
Clinical narrative: Information has been received from a nurse concerning a 14 year old female patient who was vaccinated IM with the first 0.5 ml dose of GARDASIL. There were no concomitant therapies. Subsequently the patient passed out and started seizing, the patient experienced a full blown seizure, blacked out, could not hold her bladder and then came to and could not remember anything that had happened. The patient was in office while it happened. At the time of report the patient's status was recovered. Upon internal review, seizure was determined to be an other important medical event. No further information is available.
Age: 26.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injected limb mobility decreased, Injection site pain, Local reaction, Pain
Clinical narrative: Information has been received from a nurse concerning a 26 year old female patient with asthma who on 22-SEP-2009 was vaccinated IM with 0.5 ml PNEUMOVAX 23 (Lot# 663486/0507Y). Subsequently the patient developed a severe local reaction. The patient experienced pain at the site and could barely move her arm. She had a pink speckled rash on both arms, neck and chest. Before receiving PNEUMOVAX 23 she had a mild virus. After the PNEUMOVAX 23 she was achy and short of breath, but they were not sure if those symptoms were related to the virus or vaccination. It was believed to be the first PNEUMOVAX 23 vaccine for this patient. It was the same lot as the other cases previously reported. A lot check was being done on 0507Y. The patient was taken to a local emergency room. Hospital name was not available. It was unknown if the patient was admitted or present status of the patient. Upon internal review, short of breath was determined to be an other important medical event. This is one of several reports for the same source. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous
Clinical narrative: Information has been received from a nurse concerning a 26 year old female patient with asthma who on 22-SEP-2009 was vaccinated IM with 0.5 ml PNEUMOVAX 23 (Lot# 663486/0507Y). Subsequently the patient developed a severe local reaction. The patient experienced pain at the site and could barely move her arm. She had a pink speckled rash on both arms, neck and chest. Before receiving PNEUMOVAX 23 she had a mild virus. After the PNEUMOVAX 23 she was achy and short of breath, but they were not sure if those symptoms were related to the virus or vaccination. It was believed to be the first PNEUMOVAX 23 vaccine for this patient. It was the same lot as the other cases previously reported. A lot check was being done on 0507Y. The patient was taken to a local emergency room. Hospital name was not available. It was unknown if the patient was admitted or present status of the patient. Upon internal review, short of breath was determined to be an other important medical event. This is one of several reports for the same source. Additional information has been requested.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Anthrax vaccination on right deloid Aug2008. Had other vaccinations on left deltoid at same time. Since that time has had recurrent (daily) small to large areas of urticaria on the right deltoid for over one year. Lasts usually 1/2 to 1 hour. Has had episode of entire upper arm swelling which lasted 2 hours.