chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Alanine aminotransferase normal, Antinuclear antibody negative, Aspartate aminotransferase normal, Blood folate normal, Blood magnesium normal
Clinical narrative: Patient states 15 mins after influenza vaccine was administered she had numbness down the left side that didn't go away. She went to ED on 10/10/12 at 1821. Provider ordered labs which were negative CBC, urinanlyasis, ALT, AST, BMP which were all within normal limits. Encouraged to f/u if symptoms got worse. Patient went to clinic and was seen on 10/11/12 with symptoms of numbness of left side which patient states has gotten worse with left eye drooping. Mg, B12, Folate, TSH and Antinuclear lab testing ordered and all are within normal limits. She was instructed to f/u the next day if condition check. She came on 10/12/12, patient state same however left side cheek and eye was drooping. Neurologist was consulted and pt was started on Neurontin on 10/12 and MRI of brain was ordered. MRI was negative.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone normal, Eyelid ptosis, Full blood count normal, Hypoaesthesia, Metabolic function test normal
Clinical narrative: Patient states 15 mins after influenza vaccine was administered she had numbness down the left side that didn't go away. She went to ED on 10/10/12 at 1821. Provider ordered labs which were negative CBC, urinanlyasis, ALT, AST, BMP which were all within normal limits. Encouraged to f/u if symptoms got worse. Patient went to clinic and was seen on 10/11/12 with symptoms of numbness of left side which patient states has gotten worse with left eye drooping. Mg, B12, Folate, TSH and Antinuclear lab testing ordered and all are within normal limits. She was instructed to f/u the next day if condition check. She came on 10/12/12, patient state same however left side cheek and eye was drooping. Neurologist was consulted and pt was started on Neurontin on 10/12 and MRI of brain was ordered. MRI was negative.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Urine analysis normal, VIIth nerve paralysis, Vitamin B12 normal
Clinical narrative: Patient states 15 mins after influenza vaccine was administered she had numbness down the left side that didn't go away. She went to ED on 10/10/12 at 1821. Provider ordered labs which were negative CBC, urinanlyasis, ALT, AST, BMP which were all within normal limits. Encouraged to f/u if symptoms got worse. Patient went to clinic and was seen on 10/11/12 with symptoms of numbness of left side which patient states has gotten worse with left eye drooping. Mg, B12, Folate, TSH and Antinuclear lab testing ordered and all are within normal limits. She was instructed to f/u the next day if condition check. She came on 10/12/12, patient state same however left side cheek and eye was drooping. Neurologist was consulted and pt was started on Neurontin on 10/12 and MRI of brain was ordered. MRI was negative.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Headache
Clinical narrative: Woke up to use the bathroom and was extremely dizzy - almost fell down.  I never have dizziness spells.  I am still somewhat dizzy at 8:30 AM on 10/17/12 and am developing a headache.
Age: 51.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: High fever, aches, chills.
Age: 0.77
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Pyrexia, Vomiting
Clinical narrative: Sudden onset of fever of 102.8 and vomiting within 2 hours of receiving vaccine.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient states< "I received three shots on 10/10/12 about 11:00 a.m.  The student put all three shots in my right arm.  Later that day about 2:00 p.m. I could not use my arm.  Went to doctor and was told to use warm compresses on my arm and that I should not have had three shots in one arm."
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Herpes zoster, Influenza, Rhinorrhoea, Sneezing
Clinical narrative: Three days after Flu Hd vacination I developed flu symptoms including sneezing chills and running nose then on the above date I came down with the Shingles, on Oct 16 I saw my Dr, he confirmed the shingles and started me on a treatment.
Age: 0.91
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives on face arms and torso. Lasted until 10/17/2012 am most had cleared up by the morning.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Aggression, Blood test normal, Computerised tomogram normal, Dyskinesia, Impulsive behaviour
Clinical narrative: Signs of Tourette Syndrome. Sudden and severe tics. Started in his shoulders throwing his head shoulder to shoulder and spitting, stepping in place and jumping around in place while doing all mentioned. His verbal tics are stop. clearing throat and bitch. Other things that came suddenly is head butting people and objects impulsive behavior and OCD. He has to do many things three times. If asked how many times a day this happens I couldn't answer that because its constant non stop every few seconds. It has tremendously changed our lives. He was very healthy before the vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Obsessive-compulsive disorder, Posture abnormal, Throat irritation, Tic, Tourette's disorder
Clinical narrative: Signs of Tourette Syndrome. Sudden and severe tics. Started in his shoulders throwing his head shoulder to shoulder and spitting, stepping in place and jumping around in place while doing all mentioned. His verbal tics are stop. clearing throat and bitch. Other things that came suddenly is head butting people and objects impulsive behavior and OCD. He has to do many things three times. If asked how many times a day this happens I couldn't answer that because its constant non stop every few seconds. It has tremendously changed our lives. He was very healthy before the vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Speech disorder, Tic, Tourette's disorder
Clinical narrative: Signs of Tourette Syndrome. Sudden and severe tics. Started in his shoulders throwing his head shoulder to shoulder and spitting, stepping in place and jumping around in place while doing all mentioned. His verbal tics are stop. clearing throat and bitch. Other things that came suddenly is head butting people and objects impulsive behavior and OCD. He has to do many things three times. If asked how many times a day this happens I couldn't answer that because its constant non stop every few seconds. It has tremendously changed our lives. He was very healthy before the vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Abnormal behaviour, Blood test, Computerised tomogram normal, Dyskinesia, Muscle twitching
Clinical narrative: Signs of Tourette Syndrome. Sudden and severe tics. Started in his shoulders throwing his head shoulder to shoulder and spitting, stepping in place and jumping around in place while doing all mentioned. His verbal tics are stop. clearing throat and bitch. Other things that came suddenly is head butting people and objects impulsive behavior and OCD. He has to do many things three times. If asked how many times a day this happens I couldn't answer that because its constant non stop every few seconds. It has tremendously changed our lives. He was very healthy before the vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Petit mal epilepsy, Rash generalised, Secondary transmission, Tic, Varicella
Clinical narrative: Signs of Tourette Syndrome. Sudden and severe tics. Started in his shoulders throwing his head shoulder to shoulder and spitting, stepping in place and jumping around in place while doing all mentioned. His verbal tics are stop. clearing throat and bitch. Other things that came suddenly is head butting people and objects impulsive behavior and OCD. He has to do many things three times. If asked how many times a day this happens I couldn't answer that because its constant non stop every few seconds. It has tremendously changed our lives. He was very healthy before the vaccinations.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Simplex virus test positive, Varicella virus test positive
Clinical narrative: SKIN RASH
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on arms-extremely itchy and raised.  After several days started taking Benadryl and Pepcid. Still itchy and it has been almost 2 weeks.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Nodule, Pain in extremity
Clinical narrative: Pain in right arm, redness in right arm with a palpable nodule in the right axilla.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Fatigue, Headache, Injection site pain
Clinical narrative: Hives and itching starting from the abdomen and now generalized from onset date to now; soreness where the shot was given, hoarseness, cough, low grade fever, headache, and fatigue. MD consult done on 10/15/2012, recommended Tylenol and the day off. On 10/16/2012 ER visit done, recommended Steroid and Antihistamine tablets.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Pyrexia, Urticaria
Clinical narrative: Hives and itching starting from the abdomen and now generalized from onset date to now; soreness where the shot was given, hoarseness, cough, low grade fever, headache, and fatigue. MD consult done on 10/15/2012, recommended Tylenol and the day off. On 10/16/2012 ER visit done, recommended Steroid and Antihistamine tablets.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anti-thyroid antibody negative, Antinuclear antibody negative, Blood immunoglobulin E normal, Blood thyroid stimulating hormone normal, C1 esterase inhibitor test
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Carbohydrate antigen 125 normal, Complement factor normal, Eye swelling, Full blood count normal, Hypotension
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Lip swelling, Metabolic function test, Metabolic function test normal, Oedema peripheral, Red blood cell sedimentation rate normal
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rheumatoid factor negative, Swollen tongue, Urticaria
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Angioedema, Electrocardiogram, Eyelid oedema, Hyperhidrosis, Laboratory test
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Lip swelling, Nausea, Swollen tongue, Urticaria, Visual impairment
Clinical narrative: 9/26/12- onset of hives 9/27/12 - hypotension (BP 78/40) requiring IV steroids, fluids, and antihistamines in ED. Started on PO steroids and antihistamines. 9/29/12 - continued hives and eye swelling leading to ED visit, despite continued PO steroids and antihistamines 10/6/12 - continued hives and lip/tongue swelling leading to ED visit, despite continued PO steroids, antihistamines, and ranitidine. 10/17/12 - hand and finger swelling despite continued PO steroids, antihistamines, and ranitidine (hives remitted) Currently under care of an allergist.  IgE tests negative for all foods eaten the day the hives began.  ANA, ESR, rheumatoid factor, CBC, comprehensive metabolic panel, complement tests all negative / within normal limits.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Pruritus, Swelling face, Urticaria
Clinical narrative: Itching 2-3 hours later, hives the following day over the entire body for a week, to MD given prednisone and Benadryl, then face swelling, week later hands and feet itching, with water bubbles.
Age: 1.51
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Convulsion, Pyrexia
Clinical narrative: Seizure off and on for 6 hours.  Had fever at same time.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: Swelling, redness the size of a lemon, and intense itching.  I had to take Benadryl 25mg to alleviate the itching symptom.
Age: 29.0
Sex: F
Vaccine: FLUN3
Symptoms: Chills, Dizziness, Headache, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, headache, muscle aches, chills, sore throat, dizziness.  Treated at home with Tylenol and rest.  Nausea and vomiting lasted approximately 12 hours, other symptoms still ongoing as of 11:00 AM next day post vaccination.
Age: 29.0
Sex: F
Vaccine: FLUN3
Symptoms: Oropharyngeal pain, Vomiting
Clinical narrative: Nausea, vomiting, headache, muscle aches, chills, sore throat, dizziness.  Treated at home with Tylenol and rest.  Nausea and vomiting lasted approximately 12 hours, other symptoms still ongoing as of 11:00 AM next day post vaccination.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever up to 102.3, severe headache, body aches, chills, and nausea for 2 days.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Anaphylactic shock, Angioedema, Obstructive airways disorder, Paraesthesia, Trismus
Clinical narrative: Anaphylactic Shock; trismus; angioneurotic edema; tingling of the facial nerve from ear to neck; airway obstruction. Symptoms repeated three more times in following weeks.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Arm warm, slightly swollen.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Stabbing pain in muscle 4 days post flu vaccination. Unsure of exact time.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: PATIENT EXPERIENCED REDNESS AROUND THE SITE OF INJECTION AND MODERATE PAIN AT THE INJECTION SITE.
Age: 1.27
Sex: M
Vaccine: VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Spiked a fever of 105 degrees and has a seizure.  Was transported to hospital via ambulance.
Age: 66.0
Sex: M
Vaccine: FLUX, FLU3, PPV
Symptoms: Erythema, Insomnia, Joint effusion, Mobility decreased, Oedema peripheral
Clinical narrative: Arm so sore could not sleep. Next morning upper arm completely swollen and red. By the afternoon fluid building up, by the elbow. Arm so sore could not use. Big pocket of fluid at the elbow size of tennis ball. Dr. put on medication okay now.
Age: 66.0
Sex: M
Vaccine: FLUX, FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Arm so sore could not sleep. Next morning upper arm completely swollen and red. By the afternoon fluid building up, by the elbow. Arm so sore could not use. Big pocket of fluid at the elbow size of tennis ball. Dr. put on medication okay now.
Age: 66.0
Sex: M
Vaccine: FLUX, FLU3, PPV
Symptoms: Injection site induration, Mobility decreased, Rash, Tenderness
Clinical narrative: Arm so sore could not sleep. Next morning upper arm completely swollen and red. By the afternoon fluid building up, by the elbow. Arm so sore could not use. Big pocket of fluid at the elbow size of tennis ball. Dr. put on medication okay now.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Pyrexia, Tenderness
Clinical narrative: Stiff neck, pain in left shoulder low grade fever.  Sore muscles in left side of neck and shoulder.  Advil for pain. This is day 4, pain in shoulder is less severe, neck (left side) tender when touched.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect storage of drug, Maternal exposure during pregnancy
Clinical narrative: This prospective pregnancy case was reported by a physician and a healthcare professional and described the occurrence of incorrect storage of drug in a 30-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline) during pregnancy. Concurrent medical conditions included sulfa allergy. On 15 September 2011 the subject received a dose of FLULAVAL (.5 ml, unknown route, right arm) that had been left out of refrigeration for 7 days, and experienced incorrect storage of drug and vaccine exposure during pregnancy. Gestation age at the time of vaccination was unspecified. Date of last menstrual period and estimated date of delivery were not reported. 26 September 2012 - No further information provided; patient lost to follow-up. Follow-up information was received on 10 October 2012 via healthcare professional who reported the subject received a pneumococcal vaccine on an unspecified date. The subject's last menstrual period was on 02 April 2011 and estimated date of delivery was 07 January 2012. The pregnancy was by normal conception and consisted of one fetus. On 17 December 2011, at 37 weeks gestation age, the subject gave birth to a male live infant. The infant was delivered by normal vaginal delivery, weight 2.73 kilograms; length and Apgar score were not provided. The healthcare professional considered the events of vaccine exposure during pregnancy and incorrect storage of drug to jeopardize the subject or required intervention.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Pruritus, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of itching in a 24-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). On 11 October 2012 at 15:15 the subject received 1st dose of FLUARIX (unknown, left arm). On 11 October 2012, within hours of vaccination with FLUARIX, the subject experienced itching, elevated blood pressure and hive. The healthcare professional reported that the subject is a staff member in the office. The subject experienced itching, hives and elevated blood pressure. At the time of the call the subject was still in the office being treated; BENADRYL was given as treatment to prevent hospitalization. The healthcare professional considered the events were clinically significant (or requiring intervention). At the time of reporting the outcome of the itching, elevated blood pressure and hive was unspecified. The healthcare professional considered the events were probably related to vaccination with FLUARIX. The healthcare professional reported another case, see also A0997591A.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Pruritus, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of itching in a 34-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). On 11 October 2012 at 15:15 the subject received 1st dose of FLUARIX (unknown, right arm). On 11 October 2012, within hours of vaccination with FLUARIX, the subject experienced itching, elevated blood pressure and dizziness. The healthcare professional reported that the subject is a staff member in the office. The subject experienced itching, hives and elevated blood pressure. At the time of the call the subject was still in the office being treated; BENADRYL was given as treatment to prevent hospitalization. The healthcare professional considered the events were clinically significant (or requiring intervention). At the time of reporting the outcome of the itching, elevated blood pressure and dizziness was unspecified. The healthcare professional considered the events were probably related to vaccination with FLUARIX. The healthcare professional reported another case, see also A0997590A.
Age: 74.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Cough, Diarrhoea, Dysphonia, Headache, Painful respiration
Clinical narrative: Patient came into Health Department on 10/1012 complainig of a reaction to her immunizations she received on 10/01/12. States that she received TDAP and Flu vaccine on 10/01/12. On 10/2/12 she started with diarrhea and that lasted for one day. She also complained of pain in her right lung that started on 10/2/12 and appears to be ongoing but is improving. On 10/8/12 she admits to starting with headaches that are in the back of her head on the right side only. The headaches have improved but do seem to come back with the coughing spells. She has taken RobitussinDM cough medicine four times a day for the cough, Advil 2 tabs every 6 hours as needed for the headache and cough drops for the cough and hoarseness.  She denies any reaction at the injection site. She also denies any rash, chills, fever, or nausea. She did admit to her temperature remaining 97.2 throughout all of this. She is scheduled to go to Urgent Care 10/10/12 afternoon for further evaluation of her symptoms. Spoke with patient 10/17. States had a chest xray but waiting on the results.  Feels much better, but still hoarse. Plans to see a pulmonologist for f/u and about the cough.  Says cough is productive but sputum is clear. No fever.
Age: 74.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Chest X-ray, Diarrhoea, Dysphonia, Headache, Non-cardiac chest pain
Clinical narrative: Patient came into Health Department on 10/1012 complainig of a reaction to her immunizations she received on 10/01/12. States that she received TDAP and Flu vaccine on 10/01/12. On 10/2/12 she started with diarrhea and that lasted for one day. She also complained of pain in her right lung that started on 10/2/12 and appears to be ongoing but is improving. On 10/8/12 she admits to starting with headaches that are in the back of her head on the right side only. The headaches have improved but do seem to come back with the coughing spells. She has taken RobitussinDM cough medicine four times a day for the cough, Advil 2 tabs every 6 hours as needed for the headache and cough drops for the cough and hoarseness.  She denies any reaction at the injection site. She also denies any rash, chills, fever, or nausea. She did admit to her temperature remaining 97.2 throughout all of this. She is scheduled to go to Urgent Care 10/10/12 afternoon for further evaluation of her symptoms. Spoke with patient 10/17. States had a chest xray but waiting on the results.  Feels much better, but still hoarse. Plans to see a pulmonologist for f/u and about the cough.  Says cough is productive but sputum is clear. No fever.
Age: 74.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Productive cough
Clinical narrative: Patient came into Health Department on 10/1012 complainig of a reaction to her immunizations she received on 10/01/12. States that she received TDAP and Flu vaccine on 10/01/12. On 10/2/12 she started with diarrhea and that lasted for one day. She also complained of pain in her right lung that started on 10/2/12 and appears to be ongoing but is improving. On 10/8/12 she admits to starting with headaches that are in the back of her head on the right side only. The headaches have improved but do seem to come back with the coughing spells. She has taken RobitussinDM cough medicine four times a day for the cough, Advil 2 tabs every 6 hours as needed for the headache and cough drops for the cough and hoarseness.  She denies any reaction at the injection site. She also denies any rash, chills, fever, or nausea. She did admit to her temperature remaining 97.2 throughout all of this. She is scheduled to go to Urgent Care 10/10/12 afternoon for further evaluation of her symptoms. Spoke with patient 10/17. States had a chest xray but waiting on the results.  Feels much better, but still hoarse. Plans to see a pulmonologist for f/u and about the cough.  Says cough is productive but sputum is clear. No fever.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Back pain, Pain in extremity, Vomiting
Clinical narrative: Throwing up, abdominal distension, pain radiating to back, arms, legs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Mother reports red spot on a place of on of the injections L side. Not really painful and does not have fever, mother will observe and make sure that spot is not getting bigger, will give patient Benadryl and Tylenol and if no relief will contact office to make appt with Dr. before weekend.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Received immunizatios @ 1:20 p.m. Returned to clinc @ 1:45 p.m with rash on face and both sides of neck. Nurse adminstered Benadryl 6.25 mg (1/2 tsp) P O for mild reaction per standing orders. After 25 minutes rash seemed to be fading with no spreading; No shortness of breath or swallowing difficulty. Parent left with child with instructions to go to ER if any other problems occur.
Age: 0.73
Sex: F
Vaccine: DTAPHEPBIP, PNC13
Symptoms: Convulsion, Crystal urine present, Laboratory test abnormal
Clinical narrative: Child held breath during injection, when nurse removed needle child had a seizure.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Local site redness, pain and itching.  Possible swelling.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5
Symptoms: Pyrexia, Rash
Clinical narrative: Fever (103 per moms report) and rash on abd, back, and legs bilaterally). Fever lasted less than 24 hours rash started to clear on 10/15/2012.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Myalgia
Clinical narrative: REDNESS, MUSCLE PAIN.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Asked client if under 65 years of age-no indication that she was. Gave hi-dose Fluzone.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Paraesthesia, Swelling
Clinical narrative: Became itchy and tingling in an area of 3-4 iches in size at injection site. Also became red and puffy.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: The arm was red and hurt about 1 inch below the injection site.  The patient went to the ER and was diagnosed with cellulitis.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Laceration, Loss of consciousness, Syncope, Tooth disorder, Tunnel vision
Clinical narrative: Patient was leaving clinic getting off the elevator.  She felt like her vision was getting dark, developed tunnel vision, and then passed out.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Visual impairment
Clinical narrative: Patient was leaving clinic getting off the elevator.  She felt like her vision was getting dark, developed tunnel vision, and then passed out.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Erythema, Injection site urticaria
Clinical narrative: Pt. came in to clinic approx. 15 minues after receiving the Zostavax vaccine with congestion, sneezing and tightness in his chest. Pt brought back to room and states I felt dizzy also. Initial b/p (1335) was 115/63 with a pulse of 87 and O2 sat of 93%. Pt denies pain, but describes a chest tightness and rates at a level 5/10. Pt also has quarter sized raised wheal to area that Zostavax was given. At 1340, pt. was given 4 81mg baby aspirin and 1 sl nitro. Pt also put on o2 at 2l per nasal cannula. B/p at 1343 at 82/48. Ekg done. Nitro did not help with the tightness in pt.'s chest and continues to rate at a level 5/10. Call made to 911 for ambulance transport to local hospital per doctor's verbal order. B/p at 1350 was 87/52 and pt. continues to c/o dizziness and chest tightness. Many small reddened raised areas starting to appear on pt. arms and abdomen.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Respiratory tract congestion, Sneezing
Clinical narrative: Pt. came in to clinic approx. 15 minues after receiving the Zostavax vaccine with congestion, sneezing and tightness in his chest. Pt brought back to room and states I felt dizzy also. Initial b/p (1335) was 115/63 with a pulse of 87 and O2 sat of 93%. Pt denies pain, but describes a chest tightness and rates at a level 5/10. Pt also has quarter sized raised wheal to area that Zostavax was given. At 1340, pt. was given 4 81mg baby aspirin and 1 sl nitro. Pt also put on o2 at 2l per nasal cannula. B/p at 1343 at 82/48. Ekg done. Nitro did not help with the tightness in pt.'s chest and continues to rate at a level 5/10. Call made to 911 for ambulance transport to local hospital per doctor's verbal order. B/p at 1350 was 87/52 and pt. continues to c/o dizziness and chest tightness. Many small reddened raised areas starting to appear on pt. arms and abdomen.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Magenta-pink raised purulent rash 1 x 3 inches at and around injection site. No blisters.
Age: 0.52
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Hypophagia, Injection site erythema, Injection site induration, Irritability, Pyrexia
Clinical narrative: Low grade fever 100.9 with erythema and induration at site of Pediarix vaccination on left thigh.  Subjective fussiness and decrased oral intake.  Area is ~3x4cm size.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Swollen tongue
Clinical narrative: Patient experienced swelling of her tongue and dizziness.  Administered 100 mg Benadryl, which lessened symptoms.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea, Pyrexia, Syncope, Vomiting
Clinical narrative: Constant Fever of 102.7, and could not be lowered with acetaminophen. Vomiting, Diarrhea, Stomach Pain, Fainting. Still have symptoms after 3 days, but fever has reduced to 101.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Child woke up with 10 cm of erythema and induration in right upper  thigh where shot given.  Entire upper thigh swollen.  Mild pruritis.  Child behaving normally.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness, Pain, X-ray limb
Clinical narrative: Patient reported that she had severe pain at the time of the injection on 9/11/12 but thought the pain would get better in a few days. She stated the pain did not get better and is very stiff and sore every morning. She went to a physician on 10/15/2012 and he referred her for a physical therapy evalation that is scheduled on 10/22/12. She states she was prescribed muscle relaxers and pain pills. This incident was reported to RN on 10/17/12.
Age: 8.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Dyspnoea, Gaze palsy, Pallor, Syncope
Clinical narrative: Child fainted about 1-2 minutes after last immunization was given. Child turned white, her eyes rolled back and she gasped. Child was laid down and she immediately woke up. She was kept prone with her feet elevelated for about 5 minutes. Once she was pink and communicating, she was kept in the waiting area for an additional 10 minutes before being allowed to leave the clinic.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Fall
Clinical narrative: About 10 min after vaccine given patient and mother went to leave and patient felt faint and soon after fell into the aisle shelves and onto the floor. Patient did not appear to lose concsiousness and had no problem breathing and knew where he was.
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Arm started to hurt and red bands about an inch wide and 3 to 4 inches long lead away from the injection site.  The pain was along the red bands.  They were bright cherry red and the pain was fairly intense for 2 days.  There is no pain now, but the bands of red are still slightly visible.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Vertigo positional
Clinical narrative: Vertigo upon standing/walking.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Fatigue, Hyperhidrosis, Influenza, Nasopharyngitis
Clinical narrative: All cold flu symptoms - fever (99.5), cough and sense, excessive sweating while sleeping (had to change clothing), fatigue, not much improvement (except for fever).
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Night sweats, Pyrexia
Clinical narrative: All cold flu symptoms - fever (99.5), cough and sense, excessive sweating while sleeping (had to change clothing), fatigue, not much improvement (except for fever).
Age: 38.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Axillary pain, Erythema, Injection site reaction, Musculoskeletal pain, Pyrexia
Clinical narrative: Pain in shoulder, shoulder blade and arm pit. Fever 101.1. Red welts, quarter size, from injection sight forward to arm pit then diagonally from armpit across bicept aft. These all happened in the left arm (pneu vaccine).
Age: 38.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Urticaria
Clinical narrative: Pain in shoulder, shoulder blade and arm pit. Fever 101.1. Red welts, quarter size, from injection sight forward to arm pit then diagonally from armpit across bicept aft. These all happened in the left arm (pneu vaccine).
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Injection site erythema, Pallor, Pruritus
Clinical narrative: Patient's husband noted a large red area at site of injection. Localized, softball sized wheal with a central induration, well defined border. Blanches, edematous and erythematous, nontender to palpation, pt reports minor itchiness.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Patient's husband noted a large red area at site of injection. Localized, softball sized wheal with a central induration, well defined border. Blanches, edematous and erythematous, nontender to palpation, pt reports minor itchiness.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Hyperhidrosis, Vomiting
Clinical narrative: Patient's daughter called and explained that her mom (the patient) has been sweating, vomiting and having diarrhea which had an onset approximately 2 hours after receiving the Fluzone HD shot.  Her daughter was advised by the pharmacy team to take her to the hospital.  The daughter was called on 10/17/12 to follow up: on follow up the patient spend time in the hospital and per the daughter her mom almost had a seizure on 10/15/12 just before she was admitted.  She is out of the hospital now and is recovering.  Patient will be called within a week to make sure she has recovered.  Per the daughter the doctor determined at the hospital that her illness was likely due to the Fluzone HD since the patient was feeling fine prior to receiving the vaccine.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abasia, Blood test normal, Chills, Diarrhoea, Dizziness
Clinical narrative: Patient's daughter called and explained that her mom (the patient) has been sweating, vomiting and having diarrhea which had an onset approximately 2 hours after receiving the Fluzone HD shot.  Her daughter was advised by the pharmacy team to take her to the hospital.  The daughter was called on 10/17/12 to follow up: on follow up the patient spend time in the hospital and per the daughter her mom almost had a seizure on 10/15/12 just before she was admitted.  She is out of the hospital now and is recovering.  Patient will be called within a week to make sure she has recovered.  Per the daughter the doctor determined at the hospital that her illness was likely due to the Fluzone HD since the patient was feeling fine prior to receiving the vaccine.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyskinesia, Feeling hot, Laboratory test normal, Malaise, Tremor
Clinical narrative: Patient's daughter called and explained that her mom (the patient) has been sweating, vomiting and having diarrhea which had an onset approximately 2 hours after receiving the Fluzone HD shot.  Her daughter was advised by the pharmacy team to take her to the hospital.  The daughter was called on 10/17/12 to follow up: on follow up the patient spend time in the hospital and per the daughter her mom almost had a seizure on 10/15/12 just before she was admitted.  She is out of the hospital now and is recovering.  Patient will be called within a week to make sure she has recovered.  Per the daughter the doctor determined at the hospital that her illness was likely due to the Fluzone HD since the patient was feeling fine prior to receiving the vaccine.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urine analysis normal, Vomiting, X-ray normal
Clinical narrative: Patient's daughter called and explained that her mom (the patient) has been sweating, vomiting and having diarrhea which had an onset approximately 2 hours after receiving the Fluzone HD shot.  Her daughter was advised by the pharmacy team to take her to the hospital.  The daughter was called on 10/17/12 to follow up: on follow up the patient spend time in the hospital and per the daughter her mom almost had a seizure on 10/15/12 just before she was admitted.  She is out of the hospital now and is recovering.  Patient will be called within a week to make sure she has recovered.  Per the daughter the doctor determined at the hospital that her illness was likely due to the Fluzone HD since the patient was feeling fine prior to receiving the vaccine.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: PATIENT COMPLAINED OF STOMACH CRAMPS, VOMITING, DIARRHEA, HEADACHE, FEVER, AND SWEATING.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: PATIENT COMPLAINED OF STOMACH CRAMPS, VOMITING, DIARRHEA, HEADACHE, FEVER, AND SWEATING.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Dizziness, Influenza virus test, Myalgia, Nausea
Clinical narrative: Fever, nausea, dizziness, cough, muscle pain, congestion.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Respiratory tract congestion, Urine analysis, X-ray
Clinical narrative: Fever, nausea, dizziness, cough, muscle pain, congestion.
Age: 0.71
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Febrile seizure, T max 104.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Nausea, Pyrexia, Rash, Skin discolouration, Vomiting
Clinical narrative: Given Hep A vaccine and 2nd Dose of Chicken Pox vaccine on same clinic visit.  High fever at 101F, small skin colored bumps covering much of her back, nausea and vomiting.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Bacterial test positive, Blood urine present, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Fever of 102.7 degrees Fahrenheit on 10/06/2012; redness, swelling and heat at injection site started on 10/07/2012.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Monocyte count increased, Neutrophil count increased, Neutrophil percentage increased, Protein urine present, Pyrexia
Clinical narrative: Fever of 102.7 degrees Fahrenheit on 10/06/2012; redness, swelling and heat at injection site started on 10/07/2012.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Red blood cell sedimentation rate increased, Red blood cells urine positive, Urine analysis abnormal, Urine bilirubin increased, White blood cell count increased
Clinical narrative: Fever of 102.7 degrees Fahrenheit on 10/06/2012; redness, swelling and heat at injection site started on 10/07/2012.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: White blood cells urine positive
Clinical narrative: Fever of 102.7 degrees Fahrenheit on 10/06/2012; redness, swelling and heat at injection site started on 10/07/2012.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Conjunctivitis infective, Diarrhoea, Emotional distress, Fatigue, Headache
Clinical narrative: This spontaneous report as received from a physician refers to a 70 years old female patient with a pacemaker for her heart condition and drug reaction/allergy to BETADINE. The patient's medical history included shingles and cancer. The patient was vaccinated with single dose, 0.65 ml ZOSTAVAX, product circular # 9989115, vaccination date reported as 21-SEP-2012. No other co-suspects were reported. Concomitant medications included COUMADIN, METOPROLOL and FLECAINIDE ACETATE. After vaccination (also reported as on 20-SEP-2012) the patient experienced she developed flu-like symptoms, fever, malaise, headache, diarrhea and extreme fatigue. The patient's husband felt the patient should not have received ZOSTAVAX, as she is a cancer survivor who has had chemotherapy and also has already had shingles. He also stated the patients symptoms have not improved and have actually become worse. The patient did visit an urgent care center where they did a viral swab of the nose which came back negative. The patient was provided a treatment of TYLENOL WITH CODEINE and PROMETHAZINE. The physician reported that the extreme fatigue, malaise and fever are still present at the time of the call, but the diarrhea (described as 5 or 7 occurrences, dates unspecified) has resolved as of 30-SEP-2012. The patient's husband reported that his wife is continuing to have problems following vaccination with the ZOSTAVAX. The patient's husband stated that his wife is in "dire straits" and continues to have a fever. The fever resolved at 05-OCT-2012 and on an unknown date the patient had pink eye in both eyes and immune problems. The patient's husband reports that the patient developed a circular, red rash on her chest and back on 05-OCT-2012. She was admitted to hospital on 05-OCT-2012 and treated with "unspecified antibiotics" and "hydration therapy". The patient was discharged from the hospital on 07-OCT-2012. She was prescribed a 5 day course of CEFPODOXIME 200 mg twice per day and an "unspecified topical ointment" for the rash. The outcome of circular, red rash on her chest and back, she developed flu-like symptoms, malaise, headache, is in "dire straits", pink eye in both eyes, immune problems and extreme fatigue was reported as not recovered/not resolved. The outcome of diarrhea and fever was reported as recovered/resolved. The relatedness for circular, red rash on her chest and back, she developed flu-like symptoms, fever, malaise, headache, diarrhea, is in "dire straits", pink eye in both eyes, immune problems and extreme fatigue was not reported for ZOSTAVAX. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Immune system disorder, Influenza like illness, Malaise, Pyrexia, Rash
Clinical narrative: This spontaneous report as received from a physician refers to a 70 years old female patient with a pacemaker for her heart condition and drug reaction/allergy to BETADINE. The patient's medical history included shingles and cancer. The patient was vaccinated with single dose, 0.65 ml ZOSTAVAX, product circular # 9989115, vaccination date reported as 21-SEP-2012. No other co-suspects were reported. Concomitant medications included COUMADIN, METOPROLOL and FLECAINIDE ACETATE. After vaccination (also reported as on 20-SEP-2012) the patient experienced she developed flu-like symptoms, fever, malaise, headache, diarrhea and extreme fatigue. The patient's husband felt the patient should not have received ZOSTAVAX, as she is a cancer survivor who has had chemotherapy and also has already had shingles. He also stated the patients symptoms have not improved and have actually become worse. The patient did visit an urgent care center where they did a viral swab of the nose which came back negative. The patient was provided a treatment of TYLENOL WITH CODEINE and PROMETHAZINE. The physician reported that the extreme fatigue, malaise and fever are still present at the time of the call, but the diarrhea (described as 5 or 7 occurrences, dates unspecified) has resolved as of 30-SEP-2012. The patient's husband reported that his wife is continuing to have problems following vaccination with the ZOSTAVAX. The patient's husband stated that his wife is in "dire straits" and continues to have a fever. The fever resolved at 05-OCT-2012 and on an unknown date the patient had pink eye in both eyes and immune problems. The patient's husband reports that the patient developed a circular, red rash on her chest and back on 05-OCT-2012. She was admitted to hospital on 05-OCT-2012 and treated with "unspecified antibiotics" and "hydration therapy". The patient was discharged from the hospital on 07-OCT-2012. She was prescribed a 5 day course of CEFPODOXIME 200 mg twice per day and an "unspecified topical ointment" for the rash. The outcome of circular, red rash on her chest and back, she developed flu-like symptoms, malaise, headache, is in "dire straits", pink eye in both eyes, immune problems and extreme fatigue was reported as not recovered/not resolved. The outcome of diarrhea and fever was reported as recovered/resolved. The relatedness for circular, red rash on her chest and back, she developed flu-like symptoms, fever, malaise, headache, diarrhea, is in "dire straits", pink eye in both eyes, immune problems and extreme fatigue was not reported for ZOSTAVAX. Additional information has been requested.