chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: Customer rec'd flu shot at her work site. No Hx of allergies or allergic to eggs/ takes flu shot annually. 15-20 min after taking shot reports racing heart and SOB. 911 called/ Epinephrine 0.3 SQ by RN. EMT/Hospital. Per Pt Immediately felt weird became SOB within 5 min returned to clinic site, treated with Epi, transported to hospital, feels much better by then; observed home with advice for prn, Benadryl use her inhaler, return prn (no vax for several yrs). Medical records state tight chest. msv
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic shock, Apnoea, Arrhythmia, Coma, Convulsion
Clinical narrative: Vomited 5 min after vaccine and began to have burning in throat. Pt is employee and did not report symptoms until 1 hour later. Then she also had audible sneezing. 17:35 exam room, unable to obtain B/P, tachycardia, experienced wheezing throughout lungs. Benadryl 50mgml PO at 17:40. Ambulance called. Pt vomited. Albuterol given. O2 given. Epinephrine at 1:1000, 0.3ml IM at 18:00 and Benadryl 50mg ml IM. Vomited again. Breathing worsened, unresponsive x 30 seconds, mouth to mouth given. Ambulance arrived. IV started. Transferred to ER. Admitted to ICU. Pt had 2 more episodes of unresponsiveness, during hospitalization.  Nurse follow up on 10/30/04 states: "anaphylactic shock; Flushed; Ventricular tach; Arrhythmia; seizure; vagal reaction; tingling; stridor; pallor; urinary retention; insomnia
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypoxia, Insomnia, Laboratory test abnormal, Pallor
Clinical narrative: Vomited 5 min after vaccine and began to have burning in throat. Pt is employee and did not report symptoms until 1 hour later. Then she also had audible sneezing. 17:35 exam room, unable to obtain B/P, tachycardia, experienced wheezing throughout lungs. Benadryl 50mgml PO at 17:40. Ambulance called. Pt vomited. Albuterol given. O2 given. Epinephrine at 1:1000, 0.3ml IM at 18:00 and Benadryl 50mg ml IM. Vomited again. Breathing worsened, unresponsive x 30 seconds, mouth to mouth given. Ambulance arrived. IV started. Transferred to ER. Admitted to ICU. Pt had 2 more episodes of unresponsiveness, during hospitalization.  Nurse follow up on 10/30/04 states: "anaphylactic shock; Flushed; Ventricular tach; Arrhythmia; seizure; vagal reaction; tingling; stridor; pallor; urinary retention; insomnia
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pharyngolaryngeal pain, Sneezing, Stridor, Syncope vasovagal
Clinical narrative: Vomited 5 min after vaccine and began to have burning in throat. Pt is employee and did not report symptoms until 1 hour later. Then she also had audible sneezing. 17:35 exam room, unable to obtain B/P, tachycardia, experienced wheezing throughout lungs. Benadryl 50mgml PO at 17:40. Ambulance called. Pt vomited. Albuterol given. O2 given. Epinephrine at 1:1000, 0.3ml IM at 18:00 and Benadryl 50mg ml IM. Vomited again. Breathing worsened, unresponsive x 30 seconds, mouth to mouth given. Ambulance arrived. IV started. Transferred to ER. Admitted to ICU. Pt had 2 more episodes of unresponsiveness, during hospitalization.  Nurse follow up on 10/30/04 states: "anaphylactic shock; Flushed; Ventricular tach; Arrhythmia; seizure; vagal reaction; tingling; stridor; pallor; urinary retention; insomnia
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia, Urinary retention, Vasodilation procedure, Ventricular arrhythmia, Vomiting
Clinical narrative: Vomited 5 min after vaccine and began to have burning in throat. Pt is employee and did not report symptoms until 1 hour later. Then she also had audible sneezing. 17:35 exam room, unable to obtain B/P, tachycardia, experienced wheezing throughout lungs. Benadryl 50mgml PO at 17:40. Ambulance called. Pt vomited. Albuterol given. O2 given. Epinephrine at 1:1000, 0.3ml IM at 18:00 and Benadryl 50mg ml IM. Vomited again. Breathing worsened, unresponsive x 30 seconds, mouth to mouth given. Ambulance arrived. IV started. Transferred to ER. Admitted to ICU. Pt had 2 more episodes of unresponsiveness, during hospitalization.  Nurse follow up on 10/30/04 states: "anaphylactic shock; Flushed; Ventricular tach; Arrhythmia; seizure; vagal reaction; tingling; stridor; pallor; urinary retention; insomnia
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Vomited 5 min after vaccine and began to have burning in throat. Pt is employee and did not report symptoms until 1 hour later. Then she also had audible sneezing. 17:35 exam room, unable to obtain B/P, tachycardia, experienced wheezing throughout lungs. Benadryl 50mgml PO at 17:40. Ambulance called. Pt vomited. Albuterol given. O2 given. Epinephrine at 1:1000, 0.3ml IM at 18:00 and Benadryl 50mg ml IM. Vomited again. Breathing worsened, unresponsive x 30 seconds, mouth to mouth given. Ambulance arrived. IV started. Transferred to ER. Admitted to ICU. Pt had 2 more episodes of unresponsiveness, during hospitalization.  Nurse follow up on 10/30/04 states: "anaphylactic shock; Flushed; Ventricular tach; Arrhythmia; seizure; vagal reaction; tingling; stridor; pallor; urinary retention; insomnia
Age: 1.05
Sex: F
Vaccine: FLU3, HBHEPB, VARCEL
Symptoms: Dehydration, Gastroenteritis, Laboratory test abnormal, Otitis media, Pyrexia
Clinical narrative: Within 24 hours of vaccination, patient developed vomiting and fever. Hospitalized for dehydration, fever, and right otitis media.  Nurse follow up on 11/01/04 states: "gastroenteritis
Age: 1.05
Sex: F
Vaccine: FLU3, HBHEPB, VARCEL
Symptoms: Vomiting
Clinical narrative: Within 24 hours of vaccination, patient developed vomiting and fever. Hospitalized for dehydration, fever, and right otitis media.  Nurse follow up on 11/01/04 states: "gastroenteritis
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Pleuritic pain
Clinical narrative: Pt with pleuritic chest pain treated with Toradol and Motrin. Required being sick in quarters for 48 hours.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Rash, Tenderness
Clinical narrative: Rash: sore trunk, swollen lymph nodes. Treated with Tylenol, Benadryl and Calamine.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Blood gases abnormal, Hyperhidrosis, Tachycardia
Clinical narrative: Tachycardia, Diaphoresis, Decreased oxygen saturation. Treated consistently with 0.2cc Epinephrine 1:1000 SC.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt received flu vaccine on Oct 8, 2004. She said she received shot high in left shoulder and felt needle hit the bone and nerve. By early AM  , oct 10th, she went to hospital ER because pain in her entire arm was so severe and couldn't tolerate it anymore. Physician gave anti-inflammatory drug, abx, and pain killers She mentions seeing her orhtopedic surgeon on OCT20th.
Age: 67.0
Sex: F
Vaccine: DT, FLUX, PPV
Symptoms: Chills, Erythema, Injection site swelling, Neck pain, Pain
Clinical narrative: Left arm first swelled at injection site. Was very sore then moved and swelled in forearm down to elbow. I hurt all over especially my neck. Doctors nurse told me to put ice on it and take Benadryl. By second night had fever and chills. The morning of 10/7/04, my arm was red and swollen . Had Dr give me cephalexin 500 mg x 7 days. Problem with left arm.
Age: 67.0
Sex: F
Vaccine: DT, FLUX, PPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Left arm first swelled at injection site. Was very sore then moved and swelled in forearm down to elbow. I hurt all over especially my neck. Doctors nurse told me to put ice on it and take Benadryl. By second night had fever and chills. The morning of 10/7/04, my arm was red and swollen . Had Dr give me cephalexin 500 mg x 7 days. Problem with left arm.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash, Rhinorrhoea
Clinical narrative: Itchy, red, flat red rash, runny nose second day after flu vaccine. Questionable if Viral exanthum.
Age: 1.7
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: 20 month old male with fever of 103F and vomiting.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: About 30 minutes after receiving Pneumococcal vaccine complained of itching, redness at site and a raised area the size of a softball noted. Swelling progressed to elbow and lower area. Complained of muscle aches, Headaches, and joint ache. Was seen in ER and advised hot, wet compresses and Motrin. So much better today and swelling is nearly gone.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus, Swelling
Clinical narrative: About 30 minutes after receiving Pneumococcal vaccine complained of itching, redness at site and a raised area the size of a softball noted. Swelling progressed to elbow and lower area. Complained of muscle aches, Headaches, and joint ache. Was seen in ER and advised hot, wet compresses and Motrin. So much better today and swelling is nearly gone.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Malaise
Clinical narrative: Since 1978 had had flu vaccine with no reactions. Pt complains of soreness, swelling, chills, weakness, body aches a bit of nausea and dizziness. It worsened towards the right so took Motrin and Vicoden. Went to bed, felt humble at night. Next day, still felt bad, malaise lessened by 6pm. Third day felt tired. No head cold sin 15 years or flu since 1978. the first day, there was no runny nose or sore throat.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Swelling, Tenderness
Clinical narrative: Since 1978 had had flu vaccine with no reactions. Pt complains of soreness, swelling, chills, weakness, body aches a bit of nausea and dizziness. It worsened towards the right so took Motrin and Vicoden. Went to bed, felt humble at night. Next day, still felt bad, malaise lessened by 6pm. Third day felt tired. No head cold sin 15 years or flu since 1978. the first day, there was no runny nose or sore throat.
Sex: M
Vaccine: FLU3, PNC, VARCEL
Symptoms: Swelling
Clinical narrative: Swollen leg after immunization.  Follow up on 10/28/04 states: "Right leg has site problem."
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema
Clinical narrative: Extreme erythema and cellulitis that extended entire span of upper arm and elbow. Received injection on 9/26/04 (4th dose). Symptoms persisted through 9/30/04.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Mother called 9/16/04 and stated patient right arm red and feverish 3-4" in diameter. This started the previoius night , denies nay pain. Advised cool compress, Tylenol and Benadryl as needed. Spoke to mother on 9/17/04 area improved somewhat. Advised to cal back if any change.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Injection site induration, Skin exfoliation, Swelling
Clinical narrative: got 1 shot in right arm. Next day 9/18/04, mom noticed was hard and swollen. The following day 9/19/04 it was red, hot and hard. The whole arm from elbow to shoulder and blisters. Went to med center 9/19/04: got antibiotics and a creme Benadryl. On 9/20/04, mom back to pediatrician. She told mom to stop antibiotics, but she continued 9/24/04. Still skin peeling, slightly hard.
Age: 1.28
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash all over body
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Decreased activity, Irritability, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: Prevnar after dose # 3 7/15/04: lethargy and irritability. After Prevnar dose no. 4: fever, decreased activity, irritability
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash vesicular
Clinical narrative: Generalized vaccinia. Multiple vesicular (single) eruption on face, trunk, extremities, inside of mouth, symptomatic treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Pruritus, Rash
Clinical narrative: A rash occurred the day after vaccination. It has continued to spread into the shape of a circle. Itchy and a little pain.
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: Pt received her 1st year immunizations on 21SEPT04.  Hep B, Hib 4, Pneumo 3, MMR1, Varicella: received 2 shots i each leg. She also received a PPD (Tb test) in her left arm. In the evening of 22SEPT04, pt developed a large, red, hot, hard swelling  in her right leg about the size of a baseball.
Age: 1.04
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Administered MMR and TB on 8/24. Fever 101-102 degrees 3 days on 9/2-4/04. Red, profuse rash on cheeks, neck, front and back torso, vagina and buttocks; upper thigh and top of feet from 9/5  - 9/4.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Platelet count decreased, Thrombocytopenic purpura
Clinical narrative: Developed thrombocytopenia purpura within 6 weeks of administration of vaccine.
Age: 62.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: 2 days after receiving tetanus injection in left buttock IM. Pt had redness, warm to touch, swelling, left groin tenderness.  4cm x 4cm redness at site of injection.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Contusion, Erythema, Feeling hot, Hypokinesia, Injection site mass
Clinical narrative: Her right arm swelled up for about 2 wks. It was extremely red and hard then became bruised. And was hot to the touch. Would not move it.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Oedema
Clinical narrative: Her right arm swelled up for about 2 wks. It was extremely red and hard then became bruised. And was hot to the touch. Would not move it.
Age: 1.14
Sex: F
Vaccine: VARCEL
Symptoms: Dry skin, Erythema, Rash macular, Skin exfoliation
Clinical narrative: Rash all over face, macular rash, peeling all over, slightly with rough skin . Erythema faintly ran all over.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Large (>15cm) erythema/edema/tenderness of skin, duration >48 hours
Age: 1.56
Sex: M
Vaccine: UNK
Symptoms: Febrile convulsion
Clinical narrative: 2 days after flu shot, had febrile seizure. Short duration, less than 2 min. Stopped seizing and back to normal level of consciousness by the time EMS arrived. Did not go to hospital or ER. Sibling has had febrile seizure.
Age: 1.25
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion
Clinical narrative: Pt had seizure and was transported to hospital per ambulance 10 days post MMR.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 2 hours after 3rd dosage of Hep B vaccine pt reports breaking out in hives, face, UE's, LE's trunk, relieved with Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Redness, swelling, itching, 24 hours after vaccination left thigh 13/cmx17cm.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Left arm pink, warm to touch going down to elbow and up to shoulder. Started with a rash on 10/19/04 with itching that went away over night. On 10/20/04 woke up with some swelling, redness, heat and spreading.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Left arm pink, warm to touch going down to elbow and up to shoulder. Started with a rash on 10/19/04 with itching that went away over night. On 10/20/04 woke up with some swelling, redness, heat and spreading.
Age: 1.51
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Started getting chicken pox lesions 10/20/2004, 1 on arm lesion on rt arm. 10/21/2004 lesions on her neck (5-6), 20 on her stomach, too many to count on her back. Fever started 10/18/2004- temp not taken but she was hot.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dysarthria, Paraesthesia, Viral infection
Clinical narrative: Began with slurred speech, tingling to leg and weakness on 10/16/04.  Not progressing at present time. Medical records state dizzy, viral syndrome. msv
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Myalgia
Clinical narrative: Morning following vaccination, severe diarrhea - musche aches, chills, dizzy, light headedness X 1 day.  Weakness, generalized 2 days.
Age: 79.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives over trunk and extremities.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Called 9-2-04, arm was red and swollen to elbow. Patient rubbed Benadryl cream on site. Improvement was noted on 9-3-04. Resolved in a few days
Age: 1.26
Sex: M
Vaccine: DTAP, FLU3, MMR, PNC
Symptoms: Aphasia, Cerebrovascular accident, Hemiparesis, Hypertension, Injury
Clinical narrative: 15 month male previously healthy fell off a chair and was noted not to use right arm or leg after that.  He suffered from a left hemorrhagic stroke.  He has not an angiogram yet to determine if there is a vascular anomly.  Pt still in hospital. Discharge summary states loss of speech, weakness one side, lethergy. msv Medical record states loss of speech. msv
Age: 1.26
Sex: M
Vaccine: DTAP, FLU3, MMR, PNC
Symptoms: Lethargy
Clinical narrative: 15 month male previously healthy fell off a chair and was noted not to use right arm or leg after that.  He suffered from a left hemorrhagic stroke.  He has not an angiogram yet to determine if there is a vascular anomly.  Pt still in hospital. Discharge summary states loss of speech, weakness one side, lethergy. msv Medical record states loss of speech. msv
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Dizziness, Palpitations
Clinical narrative: I received the vaccine at 2:00 Tuesday Oct 12th. That evening I felt so weak and my heart seemed to be beating hard.  When I tried to get up at about 5AM the next morning I was so dizzy, I actually fell back into the bed.  I was not able to walk for about one hour.  After about 5 hours I was over it, but still quite worn out and extremely weak.   I knew right away it had to be a reaction to the flu shot.  I called the Health Dept on Thurs of that week but they were giving out shots and did not have anyone to man the phones, I was suppose to leave a message.  I did not.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Heart rate increased
Clinical narrative: I received the vaccine at 12:45PM on 10-13-2004 At 10:40 PM the same day I  became extremely dizzy and weak, with rapid heart beat.  I suspected it was a reaction to the flu shot, and after talking to another person with the same symptoms, I am sure that it was.  I am reporting this to you for your records.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperhidrosis, Pallor, Tachycardia, Urticaria
Clinical narrative: Received flu shot 7pm 10/20, developed difficulty breathing at school after lunch (also peanut allergic, but no known exposure) and was found by school nurse to be be wheezing, pale, diaphoretic, tachycardic and to have a fine urticarial rash. Patient improved with 2 puffs of albuterol, an inhalation treatment with albuterol and pulmocort, and 25mg. of Benadryl.  He was essentially well when evaluated in office within the hour and was continued on medications.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Received flu shot 7pm 10/20, developed difficulty breathing at school after lunch (also peanut allergic, but no known exposure) and was found by school nurse to be be wheezing, pale, diaphoretic, tachycardic and to have a fine urticarial rash. Patient improved with 2 puffs of albuterol, an inhalation treatment with albuterol and pulmocort, and 25mg. of Benadryl.  He was essentially well when evaluated in office within the hour and was continued on medications.
Age: 9.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Crying, Hallucination, Headache, Lethargy
Clinical narrative: Very lethargic, fever with hallucinations.  Crying.   Very achy & weak. Headache.
Age: 9.0
Sex: M
Vaccine: FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: Very lethargic, fever with hallucinations.  Crying.   Very achy & weak. Headache.
Age: 1.85
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: After 24 hours the baby developed hives and they continued breaking out for another 24 hours plus. She was not exposed to any new foods during the period.  She is not allergic to eggs.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Localized swelling, erythema, itching, cool compresses, Benadryl
Age: 1.75
Sex: U
Vaccine: DTAP, VARCEL, DTAP, MMR
Symptoms: Convulsion, Diarrhoea, Febrile convulsion, Respiratory arrest, Vomiting
Clinical narrative: Seizure
Age: 1.75
Sex: U
Vaccine: DTAP, VARCEL, DTAP, MMR
Symptoms: Convulsion
Clinical narrative: Seizure
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL, DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Raised circular areas to trunk and legs and arms from 5mm to 35-40 mm at widest. Reports had some areas to face. Also, clearing after Benadryl applied per father no complaints of itch at present. Child had immunizations prior without reactions. Follow up 02/02/05: Not known if patient had to seek further treatment, record was not located.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL, DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Raised circular areas to trunk and legs and arms from 5mm to 35-40 mm at widest. Reports had some areas to face. Also, clearing after Benadryl applied per father no complaints of itch at present. Child had immunizations prior without reactions. Follow up 02/02/05: Not known if patient had to seek further treatment, record was not located.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion, Pneumonia aspiration, Pyrexia
Clinical narrative: Information regarding Prevnar was received from a pediatrician regarding a 4 month old female patient who experienced a febrile seizure, two brief seizures without fever and aspiration pneumonia. At 4 months of age, the patient received a dose on 10/1/04. The patient also received a dose of Pediarix vaccine and a dose of Act-HIB vaccine on 10/1/04. Relevant medical history was not provided. Family history is significant for febrile seizures; the patient's sibling has had febrile seizures. Indication for Prevnar was immunization. Product was administered on 10/1/04. Dose regimen was 1 dose. Concomitant medications were not reported. On 10/9/04, eight days post-immunization, a 4 month old female patient experienced a febrile seizure. The patient's mother reported that her child spiked a fever and experienced a seizure. She was transported to the emergency department and evaluated 45 minutes after her arrival. The patient was afebrile upon examination; she was admitted to the hospital. On 10/10/04, the patient experienced two brief seizures without fever. On the same day, she was diagnosed with aspiration pneumonia. The patient was seen by a neurologist and treated with Phenobarbital. The patient has recovered. No additional information was available at the time of this report.
Age: 1.35
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Face oedema
Clinical narrative: On 10/14/04 child have Hib, DtaP, MMR, Varivax , PCV7 and flu shot , returned 10/15/2004 with a facial edema. Treated with Benadryl every 6 hours. Has several allergies: soy, mil, cotton seed, lamb
Age: 1.51
Sex: M
Vaccine: FLU3, IPV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Had IPV, flu and PCV 7, 4 days prior to being S/B MD, developed rash on 10/14 on feet and hives on face as well as small bumps on chin. Hives noted by doctor on primarily face and neck, trunk rash sporadic, several hives on right arm were noted. Treated with Benadryl 3/4-1 tsp every six hours prn. Call if any respiratory sxs or edema. Do not give second flu.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: One hour after injection, had a headache for 32 hours.
Sex: F
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Headache x 32 hours.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Pain, Pallor
Clinical narrative: Paleness, dizziness, fainting, ache, pains, chills, fever, aching arm where shot administered, weakness 4 days bed rest.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Syncope
Clinical narrative: Paleness, dizziness, fainting, ache, pains, chills, fever, aching arm where shot administered, weakness 4 days bed rest.
Age: 74.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Left arm because reddened and swollen to wrist. Right arm became very swollen and red at injection site. ER doctor severe local reaction bilaterally: post mastectomy left arm. Antibiotics given. Pt forgot to tell nursing student about matectomy let side.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Telephone call form doctor, client's PCP, who states client presented to his office with shingles presentation with patches from her upper arm to her hand.  It is only on right arm. Client complained of burning and itching on arm. Client denies fever or chills. PCP states will treat sxs. Spoke later with client who states arm still hurts but seems to be doing better. States PCP gave her oral medicine for hives to help relieve symptoms and to return to office on Monday.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Lethargy, Nausea, Pain, Pyrexia
Clinical narrative: Developed fever, aches and nausea around 7 hours after receiving injection. Also had chills and lethargy. Symptoms lasted 36 hours. Highest temperature taken 101 degrees.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site mass, Rash
Clinical narrative: Red bumps o inner aspect of left wrist and lower arm. Next morning lump on inner aspect of upper left arm. Telephone call to doctor, called out Cipro. Took it ID: stopped N+V/ Diarrhea: pain in arm. Telephone call to Doctor:"resume Cipro". To ER on 10/02/2004. "allergic reaction to pneumo vaccine.
Sex: F
Vaccine: HIBV, IPV
Symptoms: Blister, Erythema, Pyrexia, Rash, Swelling
Clinical narrative: Saw patient 6/30/04. Allergy reaction to probably Hib: rash on arms, legs, face. Started on 6/24/04. Red bumps with white spots liquid inside, fever, left eye swollen/ red. Mom stated pt had a rash not as severe after 5/5/04 immunizations Never saw child for that rash. Referred to allergist.
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Myalgia
Clinical narrative: The patient described severe joint pain from waist up with pain in bilateral shoulders. Also arm pain left. The patient stated this reaction started at 1pm on 10/5/04 and was gone by 11pm.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Loss of consciousness, Nausea, Pyrexia, Urinary incontinence
Clinical narrative: Vaccine given at 1600 on 10/13/2004. On 10/01/2004, patient developed temp in the AM while at school. Felt nauseated and vomited. Spectator said she "passed out" and was incontinent of urine. Injection only lasted a minute or so. No further incidents. Right arm has area of redness of 1.5x1.5 inches.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Vomiting
Clinical narrative: Vaccine given at 1600 on 10/13/2004. On 10/01/2004, patient developed temp in the AM while at school. Felt nauseated and vomited. Spectator said she "passed out" and was incontinent of urine. Injection only lasted a minute or so. No further incidents. Right arm has area of redness of 1.5x1.5 inches.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Left thigh with 12cm x 8.5 cm area of erythema, tenderness, swelling.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Erythema, Injection site induration, Irritability
Clinical narrative: Cranky and crying 2 days reddish, nontender, induration with 1.5 cm right anterior thigh.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Infant had 18 hours of inconsolable severe screaming, beginning within minutes of receiving vaccine. By the time they reached our facility's parking lot.
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Area of erythema, induration locally at site if immunization. No systemic symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Swelling
Clinical narrative: Swollen red left upper arm: circumferential swelling, 5cm> right arm.
Age: 3.0
Sex: M
Vaccine: HEPA, HIBV, VARCEL
Symptoms: Erythema, Injection site swelling
Clinical narrative: Right arm 3cm diameter red raised area, Left arm 3cm x 5cm area of diffuse redness, no induration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Localized reaction s/p DTaP left arm. Redness, swollen, itchy, warm. No nontender, No fever, No SOB/CP/wheeze. A/P (1) Localized allergic reaction s/p DTaP- Benadryl prn, reassured, ok to give future booster doses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus
Clinical narrative: Localized reaction s/p DTaP left arm. Redness, swollen, itchy, warm. No nontender, No fever, No SOB/CP/wheeze. A/P (1) Localized allergic reaction s/p DTaP- Benadryl prn, reassured, ok to give future booster doses.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Neck pain, Pyrexia, White blood cell count decreased
Clinical narrative: 10/10/04 joint, hip, neck pain, fever 100.9, continued to increase hip/joint pain, referred to urgent care Rx with Motrin.
Age: 13.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Erythema, Face oedema, Heart rate increased, Ocular hyperaemia, Pruritus
Clinical narrative: 10/20/04 4:30PM administered Td, Varicella and Hep B vaccines. He immediately broke out in Hives and began itching with wheals on face, red eyes/scratching, red hands and feet, swollen lips, heart rate increased from 80 to 140, Pt given Dyter, Zyrtex, Unapred, continued itching, given 2 mg with Pulmicort 0.5mg symptoms resolved. Heart rate decreased to 88. Pt recovered without complications.
Age: 13.0
Sex: M
Vaccine: HEP, TD, VARCEL
Symptoms: Superficial injury of eye, Urticaria
Clinical narrative: 10/20/04 4:30PM administered Td, Varicella and Hep B vaccines. He immediately broke out in Hives and began itching with wheals on face, red eyes/scratching, red hands and feet, swollen lips, heart rate increased from 80 to 140, Pt given Dyter, Zyrtex, Unapred, continued itching, given 2 mg with Pulmicort 0.5mg symptoms resolved. Heart rate decreased to 88. Pt recovered without complications.
Age: 48.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Hypotension, Pallor
Clinical narrative: Pt presented to on site clinic approx. 3 1/2 hours after receiving Typhim Vi (0.5cc given IM to Left Deltoid). Upon exam, pt shivering, pale, non diaphoretic but awake, alert and oriented. T=99.6, B/P 84-90/60 (hypotension) IV started.
Age: 31.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Convulsion
Clinical narrative: Pt reports seizure 2 days after MMR vaccine administered. She did not seek medical treatment.
Age: 31.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Condition aggravated, Convulsion, Loss of consciousness, Migraine, Pyrexia
Clinical narrative: Pt reports seizure 2 days after MMR vaccine administered. She did not seek medical treatment.
Age: 1.05
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: atypical varicella s/p Varivax
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site reaction
Clinical narrative: 3/4 cm reaction upper arm. Top red, hot, Dtap given 10/13/04.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Redness, swelling, warmth, 24 hours after vaccines, talked to doctor on call, gave Benadryl for 24 hours, swelling and redness, worse, doctor on call phoned in antibiotics.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Pharyngeal oedema, Urticaria
Clinical narrative: Pt developed generalized urticaria and mild throat swelling within 24 hours of vaccine administration, symptoms gradually resolved over next 12-24 hours.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Redness, swelling of left arm.  Erythema/induration measures 17.5cm up and down and 15.5cm left to right.  Left arm is 2cm larger than right.  Measured 14cm proximal to olecranan.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiomegaly, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: This is a 38 year old Nurse who had been in his usual health when he received his anthrax and smallpox vaccinations on 01/29 & 01/30/2003. He states that within a week he developed a dry hacking cough, chest discomfort, fever, chills, body aches and fatigue. He reported to the medical clinic and was treated for a cold. Approximately two (2) weeks after receiving the vaccines he was sent to another location for other activities. He continued to have fever, chills, body aches, chest pain and fatigue. His cough had progressed to a productive cough and he began to have palpitations. He was placed on antibiotics and was given inhalers for his cough. Approximately 3 weeks following vaccination, he was deployed to another country and sent to the front lines in a foreign country. His symptoms continued to progress. His chest discomfort became distinct chest pain that radiated to his left shoulder, scapula, neck and arm. He had increasing dyspnea. He noted that his chest pain and dyspnea improved slightly with leaning forward. He reported to his commander and was medivaced back to the field hospital in a foreign country. At the field hospital he underwent serial ECGs which reportedly revealed diffuse ST segment elevations. His echocardiogram revealed some "enlargement" of his heart with visualization of "free fluid". He remained in the hospital for approximately five (5) days and was returned to limited duty in a foreign country. After returning to duty, he continued to have chest pain and increasing dyspnea and fatigue. He was once again returned to the field hospital where he was re-evaluated. He continued to have diffuse ST segment elevation on ECG. His echocardiogram revealed a decrease in amount of fluid, but an increasing left ventricular wall thickness. It was determined that he should be transferred to a hospital. He was transferred by Medivac. At hospital he was admitted to the intensive care unit where he remained until discharge five (5) days later. At hospital he underwent laboratory, radiological and cardiac evaluation which revealed elevated cardiac enzymes, a "top-normal" cardiac silhouette on xray and left ventricular wall thickness on echocardiogram. Upon discharge he was returned where he resumed his nursing duties. In the almost two (2) years since the onset of his symptoms, this service member has gradually increased his exercise tolerance. He continues to have some exertional dyspnea and chest tightness when running greater than 1-1.5 miles. He also experiences palpitations on exertion. He has had no follow-up since his last stress echocardiogram in June 2003 which revealed No left ventricular regional wall motion abnormalities at baseline or peak activity; no chest pain or arrhythmias were noted. However on echocardiogram he did demonstrate an increased left ventricular wall thickness.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Fatigue, Laboratory test abnormal, Pain, Palpitations
Clinical narrative: This is a 38 year old Nurse who had been in his usual health when he received his anthrax and smallpox vaccinations on 01/29 & 01/30/2003. He states that within a week he developed a dry hacking cough, chest discomfort, fever, chills, body aches and fatigue. He reported to the medical clinic and was treated for a cold. Approximately two (2) weeks after receiving the vaccines he was sent to another location for other activities. He continued to have fever, chills, body aches, chest pain and fatigue. His cough had progressed to a productive cough and he began to have palpitations. He was placed on antibiotics and was given inhalers for his cough. Approximately 3 weeks following vaccination, he was deployed to another country and sent to the front lines in a foreign country. His symptoms continued to progress. His chest discomfort became distinct chest pain that radiated to his left shoulder, scapula, neck and arm. He had increasing dyspnea. He noted that his chest pain and dyspnea improved slightly with leaning forward. He reported to his commander and was medivaced back to the field hospital in a foreign country. At the field hospital he underwent serial ECGs which reportedly revealed diffuse ST segment elevations. His echocardiogram revealed some "enlargement" of his heart with visualization of "free fluid". He remained in the hospital for approximately five (5) days and was returned to limited duty in a foreign country. After returning to duty, he continued to have chest pain and increasing dyspnea and fatigue. He was once again returned to the field hospital where he was re-evaluated. He continued to have diffuse ST segment elevation on ECG. His echocardiogram revealed a decrease in amount of fluid, but an increasing left ventricular wall thickness. It was determined that he should be transferred to a hospital. He was transferred by Medivac. At hospital he was admitted to the intensive care unit where he remained until discharge five (5) days later. At hospital he underwent laboratory, radiological and cardiac evaluation which revealed elevated cardiac enzymes, a "top-normal" cardiac silhouette on xray and left ventricular wall thickness on echocardiogram. Upon discharge he was returned where he resumed his nursing duties. In the almost two (2) years since the onset of his symptoms, this service member has gradually increased his exercise tolerance. He continues to have some exertional dyspnea and chest tightness when running greater than 1-1.5 miles. He also experiences palpitations on exertion. He has had no follow-up since his last stress echocardiogram in June 2003 which revealed No left ventricular regional wall motion abnormalities at baseline or peak activity; no chest pain or arrhythmias were noted. However on echocardiogram he did demonstrate an increased left ventricular wall thickness.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: This is a 38 year old Nurse who had been in his usual health when he received his anthrax and smallpox vaccinations on 01/29 & 01/30/2003. He states that within a week he developed a dry hacking cough, chest discomfort, fever, chills, body aches and fatigue. He reported to the medical clinic and was treated for a cold. Approximately two (2) weeks after receiving the vaccines he was sent to another location for other activities. He continued to have fever, chills, body aches, chest pain and fatigue. His cough had progressed to a productive cough and he began to have palpitations. He was placed on antibiotics and was given inhalers for his cough. Approximately 3 weeks following vaccination, he was deployed to another country and sent to the front lines in a foreign country. His symptoms continued to progress. His chest discomfort became distinct chest pain that radiated to his left shoulder, scapula, neck and arm. He had increasing dyspnea. He noted that his chest pain and dyspnea improved slightly with leaning forward. He reported to his commander and was medivaced back to the field hospital in a foreign country. At the field hospital he underwent serial ECGs which reportedly revealed diffuse ST segment elevations. His echocardiogram revealed some "enlargement" of his heart with visualization of "free fluid". He remained in the hospital for approximately five (5) days and was returned to limited duty in a foreign country. After returning to duty, he continued to have chest pain and increasing dyspnea and fatigue. He was once again returned to the field hospital where he was re-evaluated. He continued to have diffuse ST segment elevation on ECG. His echocardiogram revealed a decrease in amount of fluid, but an increasing left ventricular wall thickness. It was determined that he should be transferred to a hospital. He was transferred by Medivac. At hospital he was admitted to the intensive care unit where he remained until discharge five (5) days later. At hospital he underwent laboratory, radiological and cardiac evaluation which revealed elevated cardiac enzymes, a "top-normal" cardiac silhouette on xray and left ventricular wall thickness on echocardiogram. Upon discharge he was returned where he resumed his nursing duties. In the almost two (2) years since the onset of his symptoms, this service member has gradually increased his exercise tolerance. He continues to have some exertional dyspnea and chest tightness when running greater than 1-1.5 miles. He also experiences palpitations on exertion. He has had no follow-up since his last stress echocardiogram in June 2003 which revealed No left ventricular regional wall motion abnormalities at baseline or peak activity; no chest pain or arrhythmias were noted. However on echocardiogram he did demonstrate an increased left ventricular wall thickness.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Bacterial infection, Lymphadenopathy, Pain
Clinical narrative: Patient complained of swelling of lymph glands beneath left arm.  By one week later, swelling in lymph glands beneath right arm.  Saw MD 10/19/2004 and diagnosis made of sinus infection.  Was given Zithromax to take x 3 days by 10/21/2004.  Pain lessened but not gone.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Dysgeusia, Dysphonia, Eye disorder, Facial palsy
Clinical narrative: RECEIVED SHOT ON 10/11.  THAT AFTERNOON FUNNY TASTE IN MOUTH.  PROGRESSED FOR DAYS TO ERRATIC BLINKING ON 10/15. 10/16 RIGHT EYE WON'T WINK OR BLINK, MOUTH IS OUT OF CONTROL ON RIGHT SIDE.  10/17 EMERGENCY ROOM DIAGNONSIS OF BELL'S PALSEY, PRESCRIBE 800 MG ACYCLOVIR, 5 TIMES DAILY FOR 7 DAYS.  10/17 DETAILED CONVERSATION WITH ENT DOCTOR. PRESCRIBED 180MG PREDNIZONE DAILY FOR 7 DAYS. 10/18 APPOINTMENT WITH ENT.  EXAMINE AND DIAGNOSIS OF BELL'S PALSEY(NEUROLOGICAL DISORDER) BROUGHT ON BY FLU VACCINE.  10/20 APPOINTMENT WITH OPTHOMOLIGIST FOR DRY EYE. Medical Records received on 2/8/2005 states hoarse.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema
Clinical narrative: Large local swelling of R arm from deltoid to R hand.
Age: 90.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dysuria, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Right arm (pneumovax site) caused reaction locally. Left arm (flu shot) unremarkable. Patient went to ER with pain & sweeling & fever to 101.5, ER MD started her in antibiotics & narcotics. Family reported decreased urine output and persistant pain & swelling.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Agitation, Crying, Erythema, Laboratory test abnormal
Clinical narrative: 09/21/2004: At MD's office, 1 year old female presents with mother who states infant was doing fine. Then on 09/17 received MMR, Varicella, PCV and Hib vaccines at Health Department.  Next day 09/18, temp. 101 axillary.  Infant acted quiet, was irritable. 09/19, face red, temp. 102-103.  Infant was still eating and drinking, but vomited that evening.  At daycare, just sat, uninterested in activities.  Crying more. One episode of vomiting on 09/20.  Parents giving Tylenol and Motrin for temps.  infant has history of vomiting episodes 1st week in September, occuring only at night.  Switched from formula to whole milk at that time and was doing well for a few weeks and now has fever and intermittent vomiting again.  Child slightly lethargic yet perks up when someone plays with her.  Lungs clear; head - normocephalic;PERRL; Sclera are npn-icteric; clear TMS; pharynx with mild erythema, mild tonsillar hypertrophy but no exudates; heart regular rate and rhythm; BS active; abdomen soft, non-tender.  No obvious inflammation at sites of injections.  Chest x-ray normal.  Labs drawn; catheterized urine specimen obtained.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: 09/21/2004: At MD's office, 1 year old female presents with mother who states infant was doing fine. Then on 09/17 received MMR, Varicella, PCV and Hib vaccines at Health Department.  Next day 09/18, temp. 101 axillary.  Infant acted quiet, was irritable. 09/19, face red, temp. 102-103.  Infant was still eating and drinking, but vomited that evening.  At daycare, just sat, uninterested in activities.  Crying more. One episode of vomiting on 09/20.  Parents giving Tylenol and Motrin for temps.  infant has history of vomiting episodes 1st week in September, occuring only at night.  Switched from formula to whole milk at that time and was doing well for a few weeks and now has fever and intermittent vomiting again.  Child slightly lethargic yet perks up when someone plays with her.  Lungs clear; head - normocephalic;PERRL; Sclera are npn-icteric; clear TMS; pharynx with mild erythema, mild tonsillar hypertrophy but no exudates; heart regular rate and rhythm; BS active; abdomen soft, non-tender.  No obvious inflammation at sites of injections.  Chest x-ray normal.  Labs drawn; catheterized urine specimen obtained.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Received flu vaccine; within 20-30 minutes developed shortness of breath and resp wheezing. Self treated with Benadryl and daughter's inhaler, then saw private physician on 10-18-04, where she was given steroids and inhaler.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Cardiac arrest, Cerebral ischaemia, Chills, Hypertension, Pain
Clinical narrative: Client's wife called health department and reported that client received his flu shot on Tuesday, October 5, 2004 and was feeling fine.  On Thursday, October 7th, client told his wife he didn't feel well, was having body aches.  Wife reported client continued to feel worse and that by Saturday he reported he hurt all over and wanted to stay in bed.  Sunday AM, October 10th, client ate a bowl of cereal then returned to bed where he watched a ball game.  After the game his wife went to read the paper and came back into the client's room about 5:15 PM to see what he wanted for supper.  He told his wife he still didn't feel good, was feeling cold and shivering, but would eat a little of whatever she was having.  A little later the wife sent their adult daughter to the client's room to get him for supper and found him dead, still sitting up in bed. Due to client's work in a local funeral home he had requested no autopsy be done so client was taken directly to the funeral home and buried on Wednesday, October 13th.  According to his wife he had suffered several previous strokes and was a diabetic.  The wife also reported that a friend who is also a physician stated it sounded like the client had a heart attack.  The client has received flu vaccinations through the health department since 1998 with no adverse events.  Nurse follow up on 11/01/04 states: "cardiovascular arrest; cerebrovascular ischemic disease; hypertension." -- 10/29/04 Copy of Death Certificate is received and lists COD as: cardiovascular arrest; cerebrovascular ischemic disease and hypertension.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: WAS ADMINISTERED THE VACCINE ON 10/20/04, WAS A LIITLE SORE ON THE FIRST DAY, THE NEXT DAY ON THE 21ST WAS A LITTLE MORE SORE ON SITE(RIGHT FOREARM). THAT SAME EVENING LATE STARTED FEELING SICK WITH SYMPTOMS OF HEADACHE, TIREDNESS, NAUSEA.
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash papular
Clinical narrative: body rash 1 day after vaccination. Papular generalized pruritic non erythematous
Age: 0.9
Sex: M
Vaccine: FLU3
Symptoms: Fatigue
Clinical narrative: Received vaccine 10/21/04.  Sleepy, tired by early evening. Temp 96.1 rectally.