chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: JEV
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Pt was given JE-VAX yesterday at a facility/clinic at Kings Bay. He woke up today with swelling around eyelids and urticarial rash to arms and hips. No respiratory distress.
Age: 4.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: Hives
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash pruritic, Skin lesion
Clinical narrative: Uniformly erythemic, pruritic, round and oval plaques,lesions approximately 4 inches x 3 inches appeared on inside of upper right arm extending from below right armpit to 1 inch from right elbow.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure normal, Chest discomfort, Ear pain, Erythema, Eye pruritus
Clinical narrative: Received the vaccine at 12, about 15 minutes after the injection began to have itching eyes, face hot, bil ear pain and throat and chest tightness
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate normal, Oxygen saturation normal, Peak expiratory flow rate, Skin warm, Throat tightness
Clinical narrative: Received the vaccine at 12, about 15 minutes after the injection began to have itching eyes, face hot, bil ear pain and throat and chest tightness
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Left arm was red,swollen, and warm to touch. Patient complained of arm itching and pain.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client seen in clinic for routine Tdap referred from prework physical. Denied any immunizations in last 10 years. Wehn Tdap put into MCIR, it shows client did receive Tdap at hospital, T/C to client denies any adverse affects, denies sore arm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Pyrexia, Urticaria
Clinical narrative: Patient states she had pain, redness at site of injection, hives, fever, joint pain-occurred same day of injection.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: Redness, warmth- left arm.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abdominal pain, Dizziness, Dyspnoea, Feeling cold
Clinical narrative: Adverse reaction occured at about 1:30 pm. Pt felt light headed, experienced pain on both sides of abdomen, and began experiencing trouble breathing. I then administerd 50mg of diphenhydramine IM. 911 was called and was taken to coryell memorial hospital. After diphenhydramine was given, trouble breathing subsided but patient still felt faint and cold.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain of skin, Skin warm
Clinical narrative: Lt upper arm above elbow to below elbow volar red tender and warm to touch.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Fatigue, Immediate post-injection reaction, Pain
Clinical narrative: Three hours after receiving immunization started to have body aches and chills, Temp rose to 101 F, developed profound sense of exhaustion and drowsiness.  Had immediate tingling down entire arm, questions whether injection may have gone IV versus IM  Area at injection site caused no symptoms, no hardness, inflammation, or heat
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Somnolence
Clinical narrative: Three hours after receiving immunization started to have body aches and chills, Temp rose to 101 F, developed profound sense of exhaustion and drowsiness.  Had immediate tingling down entire arm, questions whether injection may have gone IV versus IM  Area at injection site caused no symptoms, no hardness, inflammation, or heat
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus, Rash papular, Skin warm
Clinical narrative: 24 hours after second Varivax she developed  a 3 1/2 x 3 1/2 red hot warm papule on her right arm that was swollen and puritic. Parents were afraid it wa infected.  I told them it was a local reaction to the vaccine and instructed them to use benadryl or loratadine 10 mg a day and cold compresses and to call if it got larger. Today it is smaller but still itches. It is slowly resolving. There were no vessicles.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain, Back pain, Blood glucose increased, Cold sweat, Endotracheal intubation
Clinical narrative: 9/16/09 1630 patient was in her usual state of health when she received the flu vaccine from the Clinic located inside a supermarket.  Approximately 30 minutes later she began complaining of nausea and that she felt clammy.  An RN then called 911.  EMS arrived at the scene at 1536, patient was found lying on floor on left side complaining of severe nausea and dry heaves.  Vital Signs taken by EMS, HR=80, skin was pale, temp=95.8 F, glucose=179, SaO2=98% on room air.  Patient was transported to Emergency Room.  At 1610 patient arrived in ER and was complaining of back pain and abdominal pain.  By 1735 the patient had developed persistent hypotension requiring pressors for blood pressure support.  She went into respiratory failure requiring intubation, and developed metablic acidosis.  As of 9/18/09 @1500 the patient has been weaned from all pressors. Medical Records and Discharge Summary received 10/12/09.  Date of Admission:9/16/09-9/29/09.  Primary Diagnoses:  Anaphylactic shock secondary to flu shot.  Acute respiratory failure secondary to shock on admission.  Hypokalemia.  Hypomagnesemia.  Acute renal failure. Dehydration.  Malnutrition. Anemia. Assessment:  Patient was admitted to ED 30 minutes after receiving a flu shot c/o abdominal and back pain 9/10, and nausea.  In the ED she was found to be hypotensive and required triple pressors.  BP 84/48, systolics in the 60's, 70's, 80's. Her temperature was 92.7.  Patient was somewhat somnolent, but responsive to verbal commands.  Admitted to the ICU for stabilization.  Patient was transfused 2 units of packed red blood cells.  The patient went into respiratory failure requiring ventilator support secondary to shock. While on the ventilator, the patient was sedated. Pt. noted to be weak and hypocalcemic, she was given 1 gram of calcium IV, hypomagnesemia also present as well as thrombocytopenia.  She had severe metabolic lactic acidosis and profound acidemia and was on a bicarb drip being hyperventilated.  As BP normalized, she was weaned off two pressors.  Urinary output was decreased, but improved.  A central venous line was placed. Noted to have moderate cardiomegaly.  Pulmonary critical care, cardiology and nephrology consults were obtained.  In the ICU patient received supportive care including vent support, pressors and electrolytes as well as IV antibiotics.  As her condition stabilized, the patient was extubated, was doing much better and became stable.  Patient was discharged to a skilled nursing facility for further care.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypotension, Metabolic acidosis, Nausea, Oxygen saturation normal, Pallor
Clinical narrative: 9/16/09 1630 patient was in her usual state of health when she received the flu vaccine from the Clinic located inside a supermarket.  Approximately 30 minutes later she began complaining of nausea and that she felt clammy.  An RN then called 911.  EMS arrived at the scene at 1536, patient was found lying on floor on left side complaining of severe nausea and dry heaves.  Vital Signs taken by EMS, HR=80, skin was pale, temp=95.8 F, glucose=179, SaO2=98% on room air.  Patient was transported to Emergency Room.  At 1610 patient arrived in ER and was complaining of back pain and abdominal pain.  By 1735 the patient had developed persistent hypotension requiring pressors for blood pressure support.  She went into respiratory failure requiring intubation, and developed metablic acidosis.  As of 9/18/09 @1500 the patient has been weaned from all pressors. Medical Records and Discharge Summary received 10/12/09.  Date of Admission:9/16/09-9/29/09.  Primary Diagnoses:  Anaphylactic shock secondary to flu shot.  Acute respiratory failure secondary to shock on admission.  Hypokalemia.  Hypomagnesemia.  Acute renal failure. Dehydration.  Malnutrition. Anemia. Assessment:  Patient was admitted to ED 30 minutes after receiving a flu shot c/o abdominal and back pain 9/10, and nausea.  In the ED she was found to be hypotensive and required triple pressors.  BP 84/48, systolics in the 60's, 70's, 80's. Her temperature was 92.7.  Patient was somewhat somnolent, but responsive to verbal commands.  Admitted to the ICU for stabilization.  Patient was transfused 2 units of packed red blood cells.  The patient went into respiratory failure requiring ventilator support secondary to shock. While on the ventilator, the patient was sedated. Pt. noted to be weak and hypocalcemic, she was given 1 gram of calcium IV, hypomagnesemia also present as well as thrombocytopenia.  She had severe metabolic lactic acidosis and profound acidemia and was on a bicarb drip being hyperventilated.  As BP normalized, she was weaned off two pressors.  Urinary output was decreased, but improved.  A central venous line was placed. Noted to have moderate cardiomegaly.  Pulmonary critical care, cardiology and nephrology consults were obtained.  In the ICU patient received supportive care including vent support, pressors and electrolytes as well as IV antibiotics.  As her condition stabilized, the patient was extubated, was doing much better and became stable.  Patient was discharged to a skilled nursing facility for further care.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Respiratory failure, Retching
Clinical narrative: 9/16/09 1630 patient was in her usual state of health when she received the flu vaccine from the Clinic located inside a supermarket.  Approximately 30 minutes later she began complaining of nausea and that she felt clammy.  An RN then called 911.  EMS arrived at the scene at 1536, patient was found lying on floor on left side complaining of severe nausea and dry heaves.  Vital Signs taken by EMS, HR=80, skin was pale, temp=95.8 F, glucose=179, SaO2=98% on room air.  Patient was transported to Emergency Room.  At 1610 patient arrived in ER and was complaining of back pain and abdominal pain.  By 1735 the patient had developed persistent hypotension requiring pressors for blood pressure support.  She went into respiratory failure requiring intubation, and developed metablic acidosis.  As of 9/18/09 @1500 the patient has been weaned from all pressors. Medical Records and Discharge Summary received 10/12/09.  Date of Admission:9/16/09-9/29/09.  Primary Diagnoses:  Anaphylactic shock secondary to flu shot.  Acute respiratory failure secondary to shock on admission.  Hypokalemia.  Hypomagnesemia.  Acute renal failure. Dehydration.  Malnutrition. Anemia. Assessment:  Patient was admitted to ED 30 minutes after receiving a flu shot c/o abdominal and back pain 9/10, and nausea.  In the ED she was found to be hypotensive and required triple pressors.  BP 84/48, systolics in the 60's, 70's, 80's. Her temperature was 92.7.  Patient was somewhat somnolent, but responsive to verbal commands.  Admitted to the ICU for stabilization.  Patient was transfused 2 units of packed red blood cells.  The patient went into respiratory failure requiring ventilator support secondary to shock. While on the ventilator, the patient was sedated. Pt. noted to be weak and hypocalcemic, she was given 1 gram of calcium IV, hypomagnesemia also present as well as thrombocytopenia.  She had severe metabolic lactic acidosis and profound acidemia and was on a bicarb drip being hyperventilated.  As BP normalized, she was weaned off two pressors.  Urinary output was decreased, but improved.  A central venous line was placed. Noted to have moderate cardiomegaly.  Pulmonary critical care, cardiology and nephrology consults were obtained.  In the ICU patient received supportive care including vent support, pressors and electrolytes as well as IV antibiotics.  As her condition stabilized, the patient was extubated, was doing much better and became stable.  Patient was discharged to a skilled nursing facility for further care.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypotension, Malaise, Vomiting
Clinical narrative: 9/16/09 1630 patient was in her usual state of health when she received the flu vaccine from the Clinic located inside a supermarket.  Approximately 30 minutes later she began complaining of nausea and that she felt clammy.  An RN then called 911.  EMS arrived at the scene at 1536, patient was found lying on floor on left side complaining of severe nausea and dry heaves.  Vital Signs taken by EMS, HR=80, skin was pale, temp=95.8 F, glucose=179, SaO2=98% on room air.  Patient was transported to Emergency Room.  At 1610 patient arrived in ER and was complaining of back pain and abdominal pain.  By 1735 the patient had developed persistent hypotension requiring pressors for blood pressure support.  She went into respiratory failure requiring intubation, and developed metablic acidosis.  As of 9/18/09 @1500 the patient has been weaned from all pressors. Medical Records and Discharge Summary received 10/12/09.  Date of Admission:9/16/09-9/29/09.  Primary Diagnoses:  Anaphylactic shock secondary to flu shot.  Acute respiratory failure secondary to shock on admission.  Hypokalemia.  Hypomagnesemia.  Acute renal failure. Dehydration.  Malnutrition. Anemia. Assessment:  Patient was admitted to ED 30 minutes after receiving a flu shot c/o abdominal and back pain 9/10, and nausea.  In the ED she was found to be hypotensive and required triple pressors.  BP 84/48, systolics in the 60's, 70's, 80's. Her temperature was 92.7.  Patient was somewhat somnolent, but responsive to verbal commands.  Admitted to the ICU for stabilization.  Patient was transfused 2 units of packed red blood cells.  The patient went into respiratory failure requiring ventilator support secondary to shock. While on the ventilator, the patient was sedated. Pt. noted to be weak and hypocalcemic, she was given 1 gram of calcium IV, hypomagnesemia also present as well as thrombocytopenia.  She had severe metabolic lactic acidosis and profound acidemia and was on a bicarb drip being hyperventilated.  As BP normalized, she was weaned off two pressors.  Urinary output was decreased, but improved.  A central venous line was placed. Noted to have moderate cardiomegaly.  Pulmonary critical care, cardiology and nephrology consults were obtained.  In the ICU patient received supportive care including vent support, pressors and electrolytes as well as IV antibiotics.  As her condition stabilized, the patient was extubated, was doing much better and became stable.  Patient was discharged to a skilled nursing facility for further care.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: GAVE 5TH DTAP TO A 2YR OLD
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Injected limb mobility decreased
Clinical narrative: Received Tdap and Varicella and Menactra on 8/14.  Started with soreness in Left shoulder soon after.  Soreness and pain with movement continued and I saw her on 9/16.  She was very uncomfortable with abduction and anterior rotation of L shoulder
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt. received Pnueovax in right deltoid area SQ: the area was red, warm to touch, with about 2+ edema at site.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chest X-ray, Differential white blood cell count, Dizziness, Ear pain
Clinical narrative: Received vaccine 9/1/09 at 6:44pm.  Symptoms began 9/2 at 8:00am and I still have them.   Periods of severe vertigo where entire room is spinning.  Between episodes of vertigo I am constantly dizzy.  Severe nausea, have not eaten a normal meal since vaccination.  Severe ear pain, occasionally hear a high pitch tone, when I hear the tone the pain becomes so severe I almost feel as though I will convulse (I have NO history of seizures).  Hard to walk straight.  Extreme fatigue.  Difficulty thinking and formulating thoughts/sentences.  Vision blurry periodically.  Periods of intense sweating and I normally never sweat, even after a long workout at the gym, and when I have these sweating spells I do not have a fever, I always take out a thermometer and check.  My heart rate periodically will rise very high (as high as 140 BPM), this happens daily, and I know I am giving an accurate heart rate reading because I am checking it on a fingertip pulse/oximeter.  My mouth, tongue, cheeks, and lips frequently go completely numb.  All of this has completely disabled me, I have been unable to do anything, it is a struggle to just to make my be and to shower.  I went to the ER on 9/2 and the doctor basically just ascertained that nothing life threatening was going on and advised me to follow up with my Primary Care Physician.  I saw my PCP 9/4 and he was not sure what it was, thought it perhaps was some sort of weird allergic reaction, so he prescribed the Medrol dosepak which did not help.  I saw a neurologist 9/8 and he did not know what it was either and requested that my PCP prescribe some Otic-Edge drops for my ears and some Phenergan for the nausea.  My neurologist did a full exam and ordered blood work.  I see him again in about 3 weeks.  My neurologist also referred me to a neuro-otologist.  My PCP called in the ear drops and Phenergan for me and neither helped.  I tried Meclizine and that did not help.  I saw a neuro-otologist this past Tuesday (9/15) and he said it might be Labrynthitis, but he was not sure as he had not seen a reaction like this before.  He prescribed the Trans-dermal Scopolamine patch to see if it would help to get more food in me as I have lost about 10 pounds since receiving the vaccine because I have been too nauseated to eat.  They have helped a little.  I have a follow up with the neuro-otologist on 9/22.  These symptoms have completed disabled me and I know it is from the flu vaccine because I had none of these symptoms prior to receiving the vaccine.  I have spent a lot of money on the ER visit, doctors visits, and prescriptions and I still am confined to the couch.  I am afraid to drive because I never know when a vertigo attack will hit me and even when I don't have the vertigo, I am so dizzy and fatigued.  This has completely taken over my life and not knowing for certain what it is, I have no idea how long it will last, if and when I will feel better, and my worst fear is that it will get worse than it already is.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Eating disorder, Electrocardiogram, Fatigue, Full blood count, Gait disturbance
Clinical narrative: Received vaccine 9/1/09 at 6:44pm.  Symptoms began 9/2 at 8:00am and I still have them.   Periods of severe vertigo where entire room is spinning.  Between episodes of vertigo I am constantly dizzy.  Severe nausea, have not eaten a normal meal since vaccination.  Severe ear pain, occasionally hear a high pitch tone, when I hear the tone the pain becomes so severe I almost feel as though I will convulse (I have NO history of seizures).  Hard to walk straight.  Extreme fatigue.  Difficulty thinking and formulating thoughts/sentences.  Vision blurry periodically.  Periods of intense sweating and I normally never sweat, even after a long workout at the gym, and when I have these sweating spells I do not have a fever, I always take out a thermometer and check.  My heart rate periodically will rise very high (as high as 140 BPM), this happens daily, and I know I am giving an accurate heart rate reading because I am checking it on a fingertip pulse/oximeter.  My mouth, tongue, cheeks, and lips frequently go completely numb.  All of this has completely disabled me, I have been unable to do anything, it is a struggle to just to make my be and to shower.  I went to the ER on 9/2 and the doctor basically just ascertained that nothing life threatening was going on and advised me to follow up with my Primary Care Physician.  I saw my PCP 9/4 and he was not sure what it was, thought it perhaps was some sort of weird allergic reaction, so he prescribed the Medrol dosepak which did not help.  I saw a neurologist 9/8 and he did not know what it was either and requested that my PCP prescribe some Otic-Edge drops for my ears and some Phenergan for the nausea.  My neurologist did a full exam and ordered blood work.  I see him again in about 3 weeks.  My neurologist also referred me to a neuro-otologist.  My PCP called in the ear drops and Phenergan for me and neither helped.  I tried Meclizine and that did not help.  I saw a neuro-otologist this past Tuesday (9/15) and he said it might be Labrynthitis, but he was not sure as he had not seen a reaction like this before.  He prescribed the Trans-dermal Scopolamine patch to see if it would help to get more food in me as I have lost about 10 pounds since receiving the vaccine because I have been too nauseated to eat.  They have helped a little.  I have a follow up with the neuro-otologist on 9/22.  These symptoms have completed disabled me and I know it is from the flu vaccine because I had none of these symptoms prior to receiving the vaccine.  I have spent a lot of money on the ER visit, doctors visits, and prescriptions and I still am confined to the couch.  I am afraid to drive because I never know when a vertigo attack will hit me and even when I don't have the vertigo, I am so dizzy and fatigued.  This has completely taken over my life and not knowing for certain what it is, I have no idea how long it will last, if and when I will feel better, and my worst fear is that it will get worse than it already is.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Hyperhidrosis, Hypoaesthesia facial, Hypoaesthesia oral, Mental impairment
Clinical narrative: Received vaccine 9/1/09 at 6:44pm.  Symptoms began 9/2 at 8:00am and I still have them.   Periods of severe vertigo where entire room is spinning.  Between episodes of vertigo I am constantly dizzy.  Severe nausea, have not eaten a normal meal since vaccination.  Severe ear pain, occasionally hear a high pitch tone, when I hear the tone the pain becomes so severe I almost feel as though I will convulse (I have NO history of seizures).  Hard to walk straight.  Extreme fatigue.  Difficulty thinking and formulating thoughts/sentences.  Vision blurry periodically.  Periods of intense sweating and I normally never sweat, even after a long workout at the gym, and when I have these sweating spells I do not have a fever, I always take out a thermometer and check.  My heart rate periodically will rise very high (as high as 140 BPM), this happens daily, and I know I am giving an accurate heart rate reading because I am checking it on a fingertip pulse/oximeter.  My mouth, tongue, cheeks, and lips frequently go completely numb.  All of this has completely disabled me, I have been unable to do anything, it is a struggle to just to make my be and to shower.  I went to the ER on 9/2 and the doctor basically just ascertained that nothing life threatening was going on and advised me to follow up with my Primary Care Physician.  I saw my PCP 9/4 and he was not sure what it was, thought it perhaps was some sort of weird allergic reaction, so he prescribed the Medrol dosepak which did not help.  I saw a neurologist 9/8 and he did not know what it was either and requested that my PCP prescribe some Otic-Edge drops for my ears and some Phenergan for the nausea.  My neurologist did a full exam and ordered blood work.  I see him again in about 3 weeks.  My neurologist also referred me to a neuro-otologist.  My PCP called in the ear drops and Phenergan for me and neither helped.  I tried Meclizine and that did not help.  I saw a neuro-otologist this past Tuesday (9/15) and he said it might be Labrynthitis, but he was not sure as he had not seen a reaction like this before.  He prescribed the Trans-dermal Scopolamine patch to see if it would help to get more food in me as I have lost about 10 pounds since receiving the vaccine because I have been too nauseated to eat.  They have helped a little.  I have a follow up with the neuro-otologist on 9/22.  These symptoms have completed disabled me and I know it is from the flu vaccine because I had none of these symptoms prior to receiving the vaccine.  I have spent a lot of money on the ER visit, doctors visits, and prescriptions and I still am confined to the couch.  I am afraid to drive because I never know when a vertigo attack will hit me and even when I don't have the vertigo, I am so dizzy and fatigued.  This has completely taken over my life and not knowing for certain what it is, I have no idea how long it will last, if and when I will feel better, and my worst fear is that it will get worse than it already is.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Neurological examination, Red blood cell sedimentation rate, Streptococcal identification test, Tinnitus
Clinical narrative: Received vaccine 9/1/09 at 6:44pm.  Symptoms began 9/2 at 8:00am and I still have them.   Periods of severe vertigo where entire room is spinning.  Between episodes of vertigo I am constantly dizzy.  Severe nausea, have not eaten a normal meal since vaccination.  Severe ear pain, occasionally hear a high pitch tone, when I hear the tone the pain becomes so severe I almost feel as though I will convulse (I have NO history of seizures).  Hard to walk straight.  Extreme fatigue.  Difficulty thinking and formulating thoughts/sentences.  Vision blurry periodically.  Periods of intense sweating and I normally never sweat, even after a long workout at the gym, and when I have these sweating spells I do not have a fever, I always take out a thermometer and check.  My heart rate periodically will rise very high (as high as 140 BPM), this happens daily, and I know I am giving an accurate heart rate reading because I am checking it on a fingertip pulse/oximeter.  My mouth, tongue, cheeks, and lips frequently go completely numb.  All of this has completely disabled me, I have been unable to do anything, it is a struggle to just to make my be and to shower.  I went to the ER on 9/2 and the doctor basically just ascertained that nothing life threatening was going on and advised me to follow up with my Primary Care Physician.  I saw my PCP 9/4 and he was not sure what it was, thought it perhaps was some sort of weird allergic reaction, so he prescribed the Medrol dosepak which did not help.  I saw a neurologist 9/8 and he did not know what it was either and requested that my PCP prescribe some Otic-Edge drops for my ears and some Phenergan for the nausea.  My neurologist did a full exam and ordered blood work.  I see him again in about 3 weeks.  My neurologist also referred me to a neuro-otologist.  My PCP called in the ear drops and Phenergan for me and neither helped.  I tried Meclizine and that did not help.  I saw a neuro-otologist this past Tuesday (9/15) and he said it might be Labrynthitis, but he was not sure as he had not seen a reaction like this before.  He prescribed the Trans-dermal Scopolamine patch to see if it would help to get more food in me as I have lost about 10 pounds since receiving the vaccine because I have been too nauseated to eat.  They have helped a little.  I have a follow up with the neuro-otologist on 9/22.  These symptoms have completed disabled me and I know it is from the flu vaccine because I had none of these symptoms prior to receiving the vaccine.  I have spent a lot of money on the ER visit, doctors visits, and prescriptions and I still am confined to the couch.  I am afraid to drive because I never know when a vertigo attack will hit me and even when I don't have the vertigo, I am so dizzy and fatigued.  This has completely taken over my life and not knowing for certain what it is, I have no idea how long it will last, if and when I will feel better, and my worst fear is that it will get worse than it already is.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Vertigo, Vision blurred, Weight decreased
Clinical narrative: Received vaccine 9/1/09 at 6:44pm.  Symptoms began 9/2 at 8:00am and I still have them.   Periods of severe vertigo where entire room is spinning.  Between episodes of vertigo I am constantly dizzy.  Severe nausea, have not eaten a normal meal since vaccination.  Severe ear pain, occasionally hear a high pitch tone, when I hear the tone the pain becomes so severe I almost feel as though I will convulse (I have NO history of seizures).  Hard to walk straight.  Extreme fatigue.  Difficulty thinking and formulating thoughts/sentences.  Vision blurry periodically.  Periods of intense sweating and I normally never sweat, even after a long workout at the gym, and when I have these sweating spells I do not have a fever, I always take out a thermometer and check.  My heart rate periodically will rise very high (as high as 140 BPM), this happens daily, and I know I am giving an accurate heart rate reading because I am checking it on a fingertip pulse/oximeter.  My mouth, tongue, cheeks, and lips frequently go completely numb.  All of this has completely disabled me, I have been unable to do anything, it is a struggle to just to make my be and to shower.  I went to the ER on 9/2 and the doctor basically just ascertained that nothing life threatening was going on and advised me to follow up with my Primary Care Physician.  I saw my PCP 9/4 and he was not sure what it was, thought it perhaps was some sort of weird allergic reaction, so he prescribed the Medrol dosepak which did not help.  I saw a neurologist 9/8 and he did not know what it was either and requested that my PCP prescribe some Otic-Edge drops for my ears and some Phenergan for the nausea.  My neurologist did a full exam and ordered blood work.  I see him again in about 3 weeks.  My neurologist also referred me to a neuro-otologist.  My PCP called in the ear drops and Phenergan for me and neither helped.  I tried Meclizine and that did not help.  I saw a neuro-otologist this past Tuesday (9/15) and he said it might be Labrynthitis, but he was not sure as he had not seen a reaction like this before.  He prescribed the Trans-dermal Scopolamine patch to see if it would help to get more food in me as I have lost about 10 pounds since receiving the vaccine because I have been too nauseated to eat.  They have helped a little.  I have a follow up with the neuro-otologist on 9/22.  These symptoms have completed disabled me and I know it is from the flu vaccine because I had none of these symptoms prior to receiving the vaccine.  I have spent a lot of money on the ER visit, doctors visits, and prescriptions and I still am confined to the couch.  I am afraid to drive because I never know when a vertigo attack will hit me and even when I don't have the vertigo, I am so dizzy and fatigued.  This has completely taken over my life and not knowing for certain what it is, I have no idea how long it will last, if and when I will feel better, and my worst fear is that it will get worse than it already is.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient's right upper arm became very sore later that evening and then became red, hot and swollen. The entire upper arm was swollen. She also experienced chills and a low grade fever. Two days later, she still has a red band around her upper right arm. No treament-advised to see MD.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Patient's right upper arm became very sore later that evening and then became red, hot and swollen. The entire upper arm was swollen. She also experienced chills and a low grade fever. Two days later, she still has a red band around her upper right arm. No treament-advised to see MD.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Headache, Nasal congestion, Pain in extremity, Pyrexia
Clinical narrative: My daughter had the flu shot given to her on 9-16-09 at 4:45 pm, she had severe pain in the arm and at 8:00 pm she developed a low grade 100.3 fever. She also had a headache nasal congestion and a cough. In the morning of 9-17 she still had a low grade fever but in the evening the fever went up to 101.3-(ear thermometer
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blood test, Body temperature increased, Motor dysfunction, Muscular weakness
Clinical narrative: Joint pain. Bilat. upper extremity weakness, achiness all over (muscle). 9/15/09 T 101-102 degrees F, tightness in throat. 9/16 MD visit decreased joint pain, increased lack of dexterity esp side rec'd injection, left side. Advised by MD to take ibuprofen.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Neurological examination, Pain, Throat tightness
Clinical narrative: Joint pain. Bilat. upper extremity weakness, achiness all over (muscle). 9/15/09 T 101-102 degrees F, tightness in throat. 9/16 MD visit decreased joint pain, increased lack of dexterity esp side rec'd injection, left side. Advised by MD to take ibuprofen.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Myalgia, Swollen tongue
Clinical narrative: Pt got vaccine after lunch. Since she received the injection she felt bad. Swelling of her tongue, tenderness in neck. Took BENADRYL then came to ER. Received SOLUMEDROL 125 mg IM.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Hives all over body, neck and face, itching.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Full blood count, Metabolic function test, Pain, Pain in extremity
Clinical narrative: 9/14/09 after shot arm pain. 24 hours fever, body aches. 72 hours still fever, arm red, welts, warm to touch. This arm received PNEUMOVAX.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin warm, Urinary tract infection, Urine analysis, Urticaria
Clinical narrative: 9/14/09 after shot arm pain. 24 hours fever, body aches. 72 hours still fever, arm red, welts, warm to touch. This arm received PNEUMOVAX.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.  Student given a second MENACTRA vaccine.  1st MENACTRA given 4/24/08
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Epistaxis
Clinical narrative: Nosebleeds occurring spontaneously-began one weeks p vaccination-occur several times a week-lasting few minutes-has not needed to seek medical treatment.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Heart rate increased, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient came to pharmacy for Pneumovax vaccine. Vaccine was administered in left deltoid. Patient called back to pharmacy 7 hrs later with complaints of sore arm, difficult to move & rapid Heart beat, patient advised to go to hospital.
Age: 5.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Back pain, Chest pain, Erythema, Flushing, Heart rate increased
Clinical narrative: Varivax & IPV given at 3:15 pm. Pt c/o chest & back pain, then started to become nauseated at 3:20 pm, pt expectorated clear phlegm. Feet started to itch, ears became reddened. face flushed, eyes became bloodshot. Started to cleat throat. Pulse ox 90%. Pulse rate 163 Ambulance notified & arrived for pt- transported to ER at 3:30pm. O2 L applied previous to ambulance arrival. Dr notified at same time.
Age: 5.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Increased upper airway secretion, Nausea, Ocular hyperaemia, Pruritus
Clinical narrative: Varivax & IPV given at 3:15 pm. Pt c/o chest & back pain, then started to become nauseated at 3:20 pm, pt expectorated clear phlegm. Feet started to itch, ears became reddened. face flushed, eyes became bloodshot. Started to cleat throat. Pulse ox 90%. Pulse rate 163 Ambulance notified & arrived for pt- transported to ER at 3:30pm. O2 L applied previous to ambulance arrival. Dr notified at same time.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Looks like break-through Varicella infection.
Age: 45.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Arthralgia, Back pain, Chills, Decreased appetite, Malaise
Clinical narrative: Left arm sore. By 9pm felt nauseated, both shoulders and upper arm began to hurt as the night progressed pain moved down his back and hips. Nausea continued next day woke up by 6am walked only a bit but still felt nauseated, chills no fever, still feels malaise right now. Took Advil PM for symptoms. Spoke to doctor on 9/18 10:30 am who recommended also to use Ibuprofen. He doesn't feel like eating, getting better with medication not if it wears off. Lying around not moving much. Doctor recommended also water and benadryl. Not red on injectetion site, indicated that left arm was more painful than right.
Age: 45.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Musculoskeletal pain, Nausea, Pain in extremity
Clinical narrative: Left arm sore. By 9pm felt nauseated, both shoulders and upper arm began to hurt as the night progressed pain moved down his back and hips. Nausea continued next day woke up by 6am walked only a bit but still felt nauseated, chills no fever, still feels malaise right now. Took Advil PM for symptoms. Spoke to doctor on 9/18 10:30 am who recommended also to use Ibuprofen. He doesn't feel like eating, getting better with medication not if it wears off. Lying around not moving much. Doctor recommended also water and benadryl. Not red on injectetion site, indicated that left arm was more painful than right.
Age: 27.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Paraesthesia
Clinical narrative: I was having shortness of breath, weak, dizzy, and felt like passing out and vomiting. My hands became tingly and sweaty, I was taken to the emergency room.
Age: 27.0
Sex: M
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: I was having shortness of breath, weak, dizzy, and felt like passing out and vomiting. My hands became tingly and sweaty, I was taken to the emergency room.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Back pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Heart rate normal
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Oxygen saturation, Pericarditis, Troponin
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Back pain, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Cardiac enzymes normal, Cardiovascular evaluation
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Influenza like illness, Nuclear magnetic resonance imaging normal
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis, Troponin I, Vaccinia virus infection
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Burning sensation, Chest pain, Dizziness, Electrocardiogram ST segment elevation, Influenza
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pericarditis
Clinical narrative: Mild pericarditis treated with NSAIDs.  Patient is currently located and was vaccinated abroad.  BP 133/85, HR 63, RR 12, temp 98.2, O2 99% on room air.  Patient c/o back pain and shortness of breath when lying down and dyspnea on exertion.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Malaise, Myalgia, Nausea
Clinical narrative: day after immunization generalized malaise and myalgias and pain and 4 cm swelling at injection site, nausea and vomiting and mild reported vertigo.  sx control prescribed with fluids, prn promethazine suppositories for nausea and vomit, and medrol dose pak as systemic symptoms, prn ibuprofen recommended for aches and call if sx worsen in any way or not improving.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Vertigo, Vomiting
Clinical narrative: day after immunization generalized malaise and myalgias and pain and 4 cm swelling at injection site, nausea and vomiting and mild reported vertigo.  sx control prescribed with fluids, prn promethazine suppositories for nausea and vomit, and medrol dose pak as systemic symptoms, prn ibuprofen recommended for aches and call if sx worsen in any way or not improving.
Age: 34.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Injection site pain, Injection site swelling
Clinical narrative: Nausea, vomiting, fever of 101 degrees, pain at injection site, swelling at injection site, diarrhea, stomach ache, headache
Age: 34.0
Sex: F
Vaccine: DTAP
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, fever of 101 degrees, pain at injection site, swelling at injection site, diarrhea, stomach ache, headache
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Asthma, Dyspnoea, Wheezing
Clinical narrative: Asthma exacerbation: wheezing, difficulty breathing. Epinephrine (1:1000 1 mg/ml) 0.5 mg sq given, 8 mg Decadron IM, albuterol/atrovent respiratory treatment and ambulance transfer to closest hospital
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Discomfort, Feeling abnormal, Insomnia, Irritability, Pyrexia
Clinical narrative: Patient received the rotavirus vaccine on 9-11-09 approx. 4pm.  The next morning he developed a fever and it became high (103.5 degrees F)and the fever lasted 5 days.  He became extremely fussy and wouldn't sleep (and prior to this he was an "angel baby" and sleeping through the entire night since 4 weeks of age.)  He was uncomfortable and felt horrible.  We had to give tylenol every 4 hours round the clock for five days.
Age: 68.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Chest pain, Herpes zoster, Malaise, Rash
Clinical narrative: Shingles vaccine given on same day as, or close to time of, receiving other vaccines such as hep B and other travel vaccines - maybe typhoid.  Several days later, I did not feel well - had some pain around chest - doctor said it sounded like I had shingles, but I had no rash.  On May 11 2006, I did have one rectangular rash, diagnosed by doctor as shingles.  This is exact date, but date of inoculation is approximate - it might have been a day or so earlier.  No treatment was required - but I remember this date because I didn't feel well for son's wedding.  I had  not been told that you could get shingles from shingles vaccine.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Pt developed redness and itching at vaccine site. Initially resolved after 3-4 days then recurred in 1 wk after vaccine was administered. (R) thigh.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Nausea, Pyrexia
Clinical narrative: (L) arm erythematous, hot, edematous from shoulder to elbow. (+) nausea and low grade fever.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Pruritus generalised, Urticaria
Clinical narrative: Unexplained body itching, progressed to hives and low grade temp (100.3) over a period of approx 10 hours.  Took 2 over the counter Benedryl for the hives and 2 ibuprophen for the temp.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Poor quality sleep, Pruritus generalised
Clinical narrative: On 5/19/09 when making a follow-up call to patient, the patient reported: Approx. 6 hours after receiving vaccine,  she felt "bronchitis-type" symptoms: hoarse throat, cough. About 6 hours after this she experienced generalized itchiness and has had worse sleep quality at night since then. No medical attention sought. Has taken benadryl with some relief of itching, but voice is still quite hoarse. Felt a little better 9/19/09 than during the previous day. Called pt. today at 9:07 a.m., she stated she feels a little better than she did yesterday. Voice is clearer than yesterday.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Pyrexia, Rash, Rash generalised
Clinical narrative: ABOUT FORTY HOURS AFTER THE SHOT SHE DEVELOPED A FEVER THAT LAST ABOUT THREE HOURS<  SHE THEN DEVELOPED A SPOTTY RASH THAT STARTED ON HER FACE>SHE STILL HAS THE RASH ALL OVER HER FACE AND BODY> NOW FIVE DAYS AFTER THE SHOT SHE DEVELOPED A TERRIBLE HEADACHE>SHE HAS NEVER EVER COMPLAINED OF A HEADACHE BEFORE>MOTRIN HELPED WITH THE FEVER AND HEADACHE>BENADRYL DID NOT RESOLVE THE RASH
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Grip strength decreased, Pain in extremity
Clinical narrative: After receiving the flu vaccine at work, I started coughing about 2 hrs afterward. At approximately 6 hrs after the vaccine my left hand and especially my left thumb started aching badly and the strength in my left hand, left thumb and left fingers was diminished. This symptom has continued ever since the day of the vaccination with no improvement. I reported this to my supervisor on the morning after the vaccine and was instructed to see the POC. I went to the area where I received the vaccine and the POC was not available so I was instructed to speak with someone else. After describing my symptoms to her, she stated it was not related to the vaccine and if I had further problems or questions I should consult my physician. I attempted to work for approximately one hour but was in too much pain to perform my job so I went home on sick leave. I saw a physician that afternoon and he stated the pain and symptoms could be related to the injection if it had hit a nerve. He stated it could take several weeks or longer for the pain and strength to return if in fact a nerve was damaged. I am in pain and cannot use my left hand fully due to the diminished strength and pain. I plan to make an appointment with a specialist/orthopedist as soon as possible.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: I received a flu vaccination around 10:00Am on Thursday 17 September  by 4:30 PM I was experiencing dizziness and muscle aches.  By 6:00 pm I was experiencing a high fever and sore throat.  The next day I was extremely fatigued and had hives on my upper body these were most prevelant on my face, and chest.  I took theraflu on Thursday night and Friday afternoon.  My symptoms lasted through Saturday morning.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: I received a flu vaccination around 10:00Am on Thursday 17 September  by 4:30 PM I was experiencing dizziness and muscle aches.  By 6:00 pm I was experiencing a high fever and sore throat.  The next day I was extremely fatigued and had hives on my upper body these were most prevelant on my face, and chest.  I took theraflu on Thursday night and Friday afternoon.  My symptoms lasted through Saturday morning.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Eye pruritus, Eye swelling, Flushing, Lip swelling, Myalgia
Clinical narrative: Had influenza vaccine approx 1:30 pm.  About thre hours later, eyes began to swell, red and itching.  Approx 1/2 hr later lungs felt congested, face flushed, bottom lip swelling.  Muschle ache/pain and fever followed.  He took his regular nebulizer albuterol that he has for asthma, dayquil