chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.89
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL, DTAPIPVHIB, MMR, VARCEL
Symptoms: Musculoskeletal stiffness, Staring
Clinical narrative: Mom states: Stiffness for about 10 sec. Sent to ED for eval.
Age: 1.37
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Chest X-ray normal, Dyspnoea, Febrile convulsion
Clinical narrative: 1-14-11: Experienced a febrile seizure, stopped breathing x sev. secs. Called 911 & tx by ambulance to Clinic.
Age: 1.26
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Skin lesion
Clinical narrative: Pt with 1.5 cm circular lesions on leg and arm with swollen raised red border.
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness, warmth at site of injection.
Age: 0.64
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood thyroid stimulating hormone, Full blood count, Metabolic function test, Red blood cell sedimentation rate, Urticaria
Clinical narrative: Developed scattered hives like rash approximately 24hr after administration of vaccines. No respiratory distress & otherwise nl exam when seen for f/u sent home with BENADRYL prn.
Age: 22.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pruritus, Respiratory tract congestion, Urticaria
Clinical narrative: Pt. complains of "itching" hives/upper & lower extremities. C/o congestion denied SOB, erythema noted on ears and face. BENADRYL  given 25mg IM q 15 min. x2. Pt. symptoms decreased vitals remained stable. BENADRYL lot#020333 2/2012.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt. here on 1-17-11 for well 4yr old physical exam. He rec'd 2 vaccines in upper (L) arm, Polio & DTAP. A few hours later his upper (L) arm deltoid region became red, progressively swollen & indurated. Occasional tenderness. No fever. Pt. seen at MD's office 40 hours later. Well otherwise. Symptomatic tx reviewed. Recheck prn s/s infection.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Received PCV 13 on 1/14/11. Initially area was "hard" then on 1/18/11 - arm noticeably red/swollen/warm seen 1/19/11 in clinic with complete resolution. No treatment given.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dysphagia, Headache
Clinical narrative: Patient developed tightness to her chest, difficulty swallowing & headache. Given BENADRYL with mild improvement post 40 minutes. Prednisone 20mg given & symptoms resolved in 20 minutes.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Autism spectrum disorder
Clinical narrative: Regression in verbal communication - Persuasive Developmental Disorder.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Gait disturbance, Migraine, Oedema peripheral, Pruritus
Clinical narrative: Woke up at 4 AM - legs itching - got up & couldn't walk - ankle joints hurt mostly on Rt. side. Felt like truck ran over me - moved up to hands (couldn't open car doors, hold a coffee cup, click a pen) then to jaw (wouldn't open wide) lasted 4 1/2 days - but got better over time took VICODEN for pain when needed & lost 2 days work.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abasia, Arthralgia, Pruritus, Rheumatoid arthritis, Trismus
Clinical narrative: Woke up at 4 AM - legs itching - got up & couldn't walk - ankle joints hurt mostly on Rt. side. Felt like truck ran over me - moved up to hands (couldn't open car doors, hold a coffee cup, click a pen) then to jaw (wouldn't open wide) lasted 4 1/2 days - but got better over time took VICODEN for pain when needed & lost 2 days work.
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Syncope
Clinical narrative: This case is 1 of a cluster of 3 patients' who experienced similar adverse events following vaccination with MENACTRA. The events for the other two patients were captured in case number 2011-00238 and case number 2011-00239. Initial report received from a health care professional on 14 January 2011. A male patient received on an unknown date an injection (route and site not reported) of MENACTRA, lot number U3710AA. The patient fainted about 10 minutes or so after receiving MENACTRA. No further information reported. The outcome was not reported. Documents held by sender: None.
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ
Symptoms: Fall, Lip injury, Syncope
Clinical narrative: This case is 1 of a cluster of 3 patients' who experienced similar adverse events following vaccination with MENACTRA. The events for the other two patients were captured in case number 2011-00239 and case number 2011-00240. Initial report received from a health care professional on 14 January 2011. A female patient born 22 May 1997 received on an unknown date an injection (route and site not reported) of MENACTRA, lot number U3710AA. The patient fainted about 10 minutes or so after receiving MENACTRA. No further information reported. The outcome was not reported. Documents held by sender: None.
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ
Symptoms: Syncope
Clinical narrative: This case is 1 of a cluster of 3 patients' who experienced similar adverse events following vaccination with MENACTRA. The events for the other two patients were captured in case number 2011-00239 and case number 2011-00240. Initial report received from a health care professional on 14 January 2011. A female patient born 22 May 1997 received on an unknown date an injection (route and site not reported) of MENACTRA, lot number U3710AA. The patient fainted about 10 minutes or so after receiving MENACTRA. No further information reported. The outcome was not reported. Documents held by sender: None.
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Convulsion
Clinical narrative: Initial case received on 12 January 2011 from a consumer, who is also the patient. A female patient received an injection of ADACEL in November 2010 (lot number and exact date of vaccination not reported; date also noted as "6 weeks ago"). She subsequently experienced a grand mal seizure. She underwent a CT scan and blood work; results were not provided. The patient also noted that she had a sore arm at the injection site. She had a history of asthma, with no history of seizure disorder, no known allergies, and no reported illness at the time of vaccination. She noted that she had received an INFLUENZA vaccine in August 2010. Outcome was unknown. Documents held by sender: None.
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Blood test, Computerised tomogram, Grand mal convulsion, Injection site pain
Clinical narrative: Initial case received on 12 January 2011 from a consumer, who is also the patient. A female patient received an injection of ADACEL in November 2010 (lot number and exact date of vaccination not reported; date also noted as "6 weeks ago"). She subsequently experienced a grand mal seizure. She underwent a CT scan and blood work; results were not provided. The patient also noted that she had a sore arm at the injection site. She had a history of asthma, with no history of seizure disorder, no known allergies, and no reported illness at the time of vaccination. She noted that she had received an INFLUENZA vaccine in August 2010. Outcome was unknown. Documents held by sender: None.
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Blood test normal, Bruxism, Computerised tomogram normal, Dyspnoea, Gaze palsy
Clinical narrative: Initial case received on 12 January 2011 from a consumer, who is also the patient. A female patient received an injection of ADACEL in November 2010 (lot number and exact date of vaccination not reported; date also noted as "6 weeks ago"). She subsequently experienced a grand mal seizure. She underwent a CT scan and blood work; results were not provided. The patient also noted that she had a sore arm at the injection site. She had a history of asthma, with no history of seizure disorder, no known allergies, and no reported illness at the time of vaccination. She noted that she had received an INFLUENZA vaccine in August 2010. Outcome was unknown. Documents held by sender: None.
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Grand mal convulsion, Injection site pain, Nuclear magnetic resonance imaging, Tongue biting, Unresponsive to stimuli
Clinical narrative: Initial case received on 12 January 2011 from a consumer, who is also the patient. A female patient received an injection of ADACEL in November 2010 (lot number and exact date of vaccination not reported; date also noted as "6 weeks ago"). She subsequently experienced a grand mal seizure. She underwent a CT scan and blood work; results were not provided. The patient also noted that she had a sore arm at the injection site. She had a history of asthma, with no history of seizure disorder, no known allergies, and no reported illness at the time of vaccination. She noted that she had received an INFLUENZA vaccine in August 2010. Outcome was unknown. Documents held by sender: None.
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Urine analysis normal
Clinical narrative: Initial case received on 12 January 2011 from a consumer, who is also the patient. A female patient received an injection of ADACEL in November 2010 (lot number and exact date of vaccination not reported; date also noted as "6 weeks ago"). She subsequently experienced a grand mal seizure. She underwent a CT scan and blood work; results were not provided. The patient also noted that she had a sore arm at the injection site. She had a history of asthma, with no history of seizure disorder, no known allergies, and no reported illness at the time of vaccination. She noted that she had received an INFLUENZA vaccine in August 2010. Outcome was unknown. Documents held by sender: None.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site pain, Injection site warmth, Skin warm, Swelling
Clinical narrative: Pt states he felt increase in pressure and warmth at injection site. Pt presented with swelling of the left shoulder with increased warmth and mild erythema. No axillary adenopathy. TTP.  Pt given IM 250 mg Solumedrol and Benadryl for po use. Pt was counselled on medication dosage and to RTC as needed if s/s worsened.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: Pt states he felt increase in pressure and warmth at injection site. Pt presented with swelling of the left shoulder with increased warmth and mild erythema. No axillary adenopathy. TTP.  Pt given IM 250 mg Solumedrol and Benadryl for po use. Pt was counselled on medication dosage and to RTC as needed if s/s worsened.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Hilar lymphadenopathy, Injection site pain, Laboratory test normal, Lymphadenopathy, Musculoskeletal chest pain
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Myositis, Resuscitation, Tenderness, Troponin
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Inflammation, Laboratory test normal, Myositis, Pain in extremity
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Troponin
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood gases, Cardiac enzymes, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Laboratory test
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Blood gases normal, Chest X-ray normal, Chest pain, Computerised tomogram abnormal
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram normal, Hilar lymphadenopathy, Injection site pain, Lymphadenopathy
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Mediastinal disorder, Myositis, Tenderness, Troponin normal
Clinical narrative: 20 y/o ADM admitted after transfer for right sided anterolateral chest pain associated with RUE pain and dyspnea. Symptoms began 2-3 days prior to presentation. He had been seen twice in their clinic with normal ABG/labs/CXR/EKG. He was sent here for a CT of the chest and further evaluation. Notably he received a smallpox vaccination approximately 8 days prior to symptom onset and had persistent pain at the site of inoculation on his RUE. On exam he was exquisitely tender over the R anteriorolateral chest wall. Labs and EKG were unremarkable aside from CK of 684 with nl Tropoonin.  The pts CK peaked at 5050 over the next several days and he was aggressively resuscitated with IVF, and the CK trended downward (2422 on day of discharge).  Pt had a CT chest which showed no PE but did reveal R axillary and hilar lymphadenopathy along with mediastinal stranding as.  During his hospital course he remained afebrile without leukocytosis.   At the time of discharge the patient was completely pain free and asymptomatic.  It is suspected that his constellation of symptoms represented a localized chest wall myosisits and reactive lymphadenopathy secondary to the smallpox vaccination as there did not appear to be other attributable causes.  Recommendations were made for a follow CT chest with contrast in approximately 2 months time to ensure resolution of the above findings, as well as repeat CK in several days time to ensure normalization.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture, Cellulitis, Erythema, Full blood count, Oedema peripheral
Clinical narrative: On 1/10/11 employee's arm became red, hot, and swollen 3 inches distal and medial of injection site. On 1/11/11 employee went to emergency room and was diagnosed with cellulitis. She received SOLUMEDROL and ROCEPHIN IV for 4 days.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: On 1/10/11 employee's arm became red, hot, and swollen 3 inches distal and medial of injection site. On 1/11/11 employee went to emergency room and was diagnosed with cellulitis. She received SOLUMEDROL and ROCEPHIN IV for 4 days.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Rash
Clinical narrative: Localized rash on both forearms, specially on dorsal aspect that improved overnight.
Age: 33.0
Sex: F
Vaccine: FLUN3
Symptoms: Incorrect dose administered
Clinical narrative: none
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, IPV, MNQ
Symptoms: Pain in extremity
Clinical narrative: Client reports on 1/20/11 pain in right forearm that is present from elbow to wrist denies numbness or tingling.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Chills, Erythema, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Headache, Injection site pain, Pyrexia, Tachycardia, White blood cell count increased
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Blood test, Cardiac monitoring, Chest X-ray, Chills, Cough
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Electrocardiogram, Headache, Heart rate increased, Injection site erythema, Injection site pain
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Injection site rash, Nausea, Pyrexia, Tachycardia, Urinary tract infection
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Urine analysis abnormal, Vomiting, White blood cell count increased
Clinical narrative: Developed fever to 103, chills, headache, extreme pain in the right arm where the injection was given, and spreading erythema down the arm. Hospitalized for tachycardia and monitoring and needed IV fluids. Remained with low grade fever for 3 days, and feeling fatigued and "out of it." Redness gradually subsiding as of 1/19.
Sex: M
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: This case is 1 of a cluster of 3 patients' who experienced similar adverse events following vaccination with MENACTRA. The events for the other two patients were captured in case number 2011-00238 and case number 2011-00240. Initial report received from a health care professional on 14 January 2011. A male patient received on an unknown date an injection (route and site not reported) of MENACTRA, lot number U3710AA. The patient fainted about 10 minutes or so after receiving MENACTRA. No further information reported. The outcome was not reported. Documents held by sender: None.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Heart rate increased, Heart rate irregular
Clinical narrative: Irregular and fast heartbeat. Light headedness until later that night.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Headache, Laboratory test, Palpitations
Clinical narrative: Classic symptoms: Some Diareaha, heart palpulations, headaches, etc.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Paraesthesia oral, Throat irritation
Clinical narrative: Administered MMR at 9:00am in the Employee Health Office.  No adverse reaction noted upon discharge.  Call from volunteer at 10:30 am stating her throat felt "tingly" and her tongue felt "heavy".  Instructed to call 911 for assistance. According to volunteer, rescue arrived (not sure of time) and they administered Benadryl.  She states she felt better after that dose.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain
Clinical narrative: ELBOW JOINT PAIN AND PAIN AT THE INJECTION SITE.  GETTING WORSE AS TIME GOES ON.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Aphasia, Blood glucose normal, Dysarthria, Lipids normal
Clinical narrative: Intermittent slurred speech, right sided facial droop, aphasia x2 days, dx'd with subarachnoid hemorrhage, possible cerebral amyloid angiopathy, worsening of baseline symptoms. Patient unable to return to independent living at her home, currently in SNF, to be placed in CBRF on discharge
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Subarachnoid haemorrhage, VIIth nerve paralysis
Clinical narrative: Intermittent slurred speech, right sided facial droop, aphasia x2 days, dx'd with subarachnoid hemorrhage, possible cerebral amyloid angiopathy, worsening of baseline symptoms. Patient unable to return to independent living at her home, currently in SNF, to be placed in CBRF on discharge
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Blood immunoglobulin M, Malaise, Platelet count decreased, Pyrexia, Rash macular
Clinical narrative: Began to not feel well w/ malaise.  Macular rash developed on 1/1 on chest and spread to face, neck, extremities, fever of 102.4 developed on 1/2/11.  Lab work done on 1/5/11 showed thrombocytopenia and low WBC count.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Thrombocytopenia, White blood cell count decreased
Clinical narrative: Began to not feel well w/ malaise.  Macular rash developed on 1/1 on chest and spread to face, neck, extremities, fever of 102.4 developed on 1/2/11.  Lab work done on 1/5/11 showed thrombocytopenia and low WBC count.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Urticaria
Clinical narrative: Hives, redness, warmth on arm where vaccine was given.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram head, Computerised tomogram normal, Concussion, Confusional state, Fall
Clinical narrative: Patient fainted while standing, hit head on chair and/or floor. No LOC, but patient confused, retrograde amnesia of event. Concussion from fall.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Retrograde amnesia, Syncope
Clinical narrative: Patient fainted while standing, hit head on chair and/or floor. No LOC, but patient confused, retrograde amnesia of event. Concussion from fall.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Asthenia, Biopsy site unspecified normal, Blood potassium decreased, Colonoscopy
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dehydration, Diarrhoea, Dizziness, Duodenitis, Dyspnoea
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fluid replacement, Gastritis, Oesophagitis, Oesophagogastroduodenoscopy, Pallor
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Peripheral coldness, Protein urine present
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Allergy test positive, Antinuclear antibody positive, Blood test, Diarrhoea
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Dyspepsia, Fatigue, Hypersensitivity, Nausea
Clinical narrative: Dizziness,pain in her stomach and diarrhea started that day. As she continued with these symptoms she became weak and ended up at the hospital 2 times, put on an IV for dehydration and low potassium.She was also short of breath and have spells where she would become pale and then complain of her feet being cold.
Age: 28.0
Sex: F
Vaccine: FLUX, FLUX(H1N1), PPV
Symptoms: Axillary pain, Erythema, Injection site pain, Lethargy, Nausea
Clinical narrative: pain and tenderness at upper arm injection site, worsening pain overnight, excruciating pain on 1/19 with nausea, lethargy, swollen arm, puffy red splotches on arm below injection site, pain in armpit and on back on the side of the injection.  Fever developed evening of 1/19 and was at 100 degrees morning of 1/20.  Saw doctor at 7pm on 1/19 and was told to use Motrin, ice the shoulder, and drink fluids.
Age: 28.0
Sex: F
Vaccine: FLUX, FLUX(H1N1), PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pyrexia, Rash macular
Clinical narrative: pain and tenderness at upper arm injection site, worsening pain overnight, excruciating pain on 1/19 with nausea, lethargy, swollen arm, puffy red splotches on arm below injection site, pain in armpit and on back on the side of the injection.  Fever developed evening of 1/19 and was at 100 degrees morning of 1/20.  Saw doctor at 7pm on 1/19 and was told to use Motrin, ice the shoulder, and drink fluids.
Age: 3.0
Sex: M
Vaccine: FLUN3, PNC13
Symptoms: Abdominal X-ray, Asthenia, Chest X-ray normal, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Patient had acute onset of altered mental status - was dazed, slow to respond, weak trembling. 1 episode of emesis. He was taken to ER - was tachycardic and extremely sleepy. He was noted to have fever to 102 degrees. He was given IV fluid boluses, but remained tachycardic. Toxin screen, head CT, CXR and lab work normal. Admitted for observation x 48 hrs. He remained excessively sleepy 1st 24 hrs.
Age: 3.0
Sex: M
Vaccine: FLUN3, PNC13
Symptoms: Electrocardiogram normal, Feeling abnormal, Full blood count normal, Mental status changes, Metabolic function test normal
Clinical narrative: Patient had acute onset of altered mental status - was dazed, slow to respond, weak trembling. 1 episode of emesis. He was taken to ER - was tachycardic and extremely sleepy. He was noted to have fever to 102 degrees. He was given IV fluid boluses, but remained tachycardic. Toxin screen, head CT, CXR and lab work normal. Admitted for observation x 48 hrs. He remained excessively sleepy 1st 24 hrs.
Age: 3.0
Sex: M
Vaccine: FLUN3, PNC13
Symptoms: Pyrexia, Slow response to stimuli, Somnolence, Tachycardia, Toxicologic test normal
Clinical narrative: Patient had acute onset of altered mental status - was dazed, slow to respond, weak trembling. 1 episode of emesis. He was taken to ER - was tachycardic and extremely sleepy. He was noted to have fever to 102 degrees. He was given IV fluid boluses, but remained tachycardic. Toxin screen, head CT, CXR and lab work normal. Admitted for observation x 48 hrs. He remained excessively sleepy 1st 24 hrs.
Age: 3.0
Sex: M
Vaccine: FLUN3, PNC13
Symptoms: Tremor, Vomiting, X-ray normal
Clinical narrative: Patient had acute onset of altered mental status - was dazed, slow to respond, weak trembling. 1 episode of emesis. He was taken to ER - was tachycardic and extremely sleepy. He was noted to have fever to 102 degrees. He was given IV fluid boluses, but remained tachycardic. Toxin screen, head CT, CXR and lab work normal. Admitted for observation x 48 hrs. He remained excessively sleepy 1st 24 hrs.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Balance disorder, Fall, Nuclear magnetic resonance imaging normal
Clinical narrative: About 12 hours after receipt of vaccine he developed balance problems, generalized weakness fell twice.
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Eye pruritus, Pain, Rhinorrhoea, Sneezing
Clinical narrative: Allergy reaction such as runny nose sneezing - itch eyes - stuffed up nose. For a month & off & on during month also achy body.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, C-reactive protein normal, Cold sweat
Clinical narrative: Patient received the vaccination mid morning and within 30 minutes she developed a headache with described as "a sharp pain going through my head". (this same headache occurred after anthrax #1 in May 2010 and lasted x 2 weeks). By the evening she also developed multiple bouts of watery diarrhea, nausea and intermittent vomiting. She also developed generalized muscle and joint pain, clammy skin, hot and cold sensations and fatigue. The headache continued unabated. Two days later she sought evaluation in the Medical Clinic with Dr. She was given PHENERGAN, diarrhea medication and sent home for 3 days. She also took ibuprofen and ate a "BRAT" diet. After 2 weeks the nausea, diarrhea, hot/cold sensations dissipated. But the headache continued unabated and muscle/joint pain in the lower extremities continued. Current Symptoms: Presently the patient reports she has a continuous headache that worsens with bright light and loud sounds. She also has pain in the legs from just above the ankles to above the knee caps that never resolves. Around Thanksgiving this lower extremity pain worsened, even the weight of bed sheets were intolerable. She denies numbness, tingling, spasm, fasciculation, swelling and redness of the extremities muscles and joints. She states touch or massaging the legs makes it worse as well as activity including walking. She states she can stand for only 15-20 minutes before the pain forces her to sit/lie down. Stretching and weather changes do not affect the pain level. Sometimes the pain is worse on one side than another and there is no pattern to this alternating intensity. Headache has now lasted continually for 4 months. Lower extremity pain continues also. She is unable to work and needs to be prone all the time. She is now on Workmans' Comp. All evaluation has been negative. Trials of 5 migraine prophylactic drugs have been ineffective. Patient is a civilian employee. The Vaccine Healthcare Center was consulted due to the morbidity and chronicity of sxs.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Diarrhoea, Dysstasia, Electroencephalogram normal, Fatigue, Feeling of body temperature change
Clinical narrative: Patient received the vaccination mid morning and within 30 minutes she developed a headache with described as "a sharp pain going through my head". (this same headache occurred after anthrax #1 in May 2010 and lasted x 2 weeks). By the evening she also developed multiple bouts of watery diarrhea, nausea and intermittent vomiting. She also developed generalized muscle and joint pain, clammy skin, hot and cold sensations and fatigue. The headache continued unabated. Two days later she sought evaluation in the Medical Clinic with Dr. She was given PHENERGAN, diarrhea medication and sent home for 3 days. She also took ibuprofen and ate a "BRAT" diet. After 2 weeks the nausea, diarrhea, hot/cold sensations dissipated. But the headache continued unabated and muscle/joint pain in the lower extremities continued. Current Symptoms: Presently the patient reports she has a continuous headache that worsens with bright light and loud sounds. She also has pain in the legs from just above the ankles to above the knee caps that never resolves. Around Thanksgiving this lower extremity pain worsened, even the weight of bed sheets were intolerable. She denies numbness, tingling, spasm, fasciculation, swelling and redness of the extremities muscles and joints. She states touch or massaging the legs makes it worse as well as activity including walking. She states she can stand for only 15-20 minutes before the pain forces her to sit/lie down. Stretching and weather changes do not affect the pain level. Sometimes the pain is worse on one side than another and there is no pattern to this alternating intensity. Headache has now lasted continually for 4 months. Lower extremity pain continues also. She is unable to work and needs to be prone all the time. She is now on Workmans' Comp. All evaluation has been negative. Trials of 5 migraine prophylactic drugs have been ineffective. Patient is a civilian employee. The Vaccine Healthcare Center was consulted due to the morbidity and chronicity of sxs.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Full blood count normal, Headache, Immune complex assay, Impaired work ability, Laboratory test normal
Clinical narrative: Patient received the vaccination mid morning and within 30 minutes she developed a headache with described as "a sharp pain going through my head". (this same headache occurred after anthrax #1 in May 2010 and lasted x 2 weeks). By the evening she also developed multiple bouts of watery diarrhea, nausea and intermittent vomiting. She also developed generalized muscle and joint pain, clammy skin, hot and cold sensations and fatigue. The headache continued unabated. Two days later she sought evaluation in the Medical Clinic with Dr. She was given PHENERGAN, diarrhea medication and sent home for 3 days. She also took ibuprofen and ate a "BRAT" diet. After 2 weeks the nausea, diarrhea, hot/cold sensations dissipated. But the headache continued unabated and muscle/joint pain in the lower extremities continued. Current Symptoms: Presently the patient reports she has a continuous headache that worsens with bright light and loud sounds. She also has pain in the legs from just above the ankles to above the knee caps that never resolves. Around Thanksgiving this lower extremity pain worsened, even the weight of bed sheets were intolerable. She denies numbness, tingling, spasm, fasciculation, swelling and redness of the extremities muscles and joints. She states touch or massaging the legs makes it worse as well as activity including walking. She states she can stand for only 15-20 minutes before the pain forces her to sit/lie down. Stretching and weather changes do not affect the pain level. Sometimes the pain is worse on one side than another and there is no pattern to this alternating intensity. Headache has now lasted continually for 4 months. Lower extremity pain continues also. She is unable to work and needs to be prone all the time. She is now on Workmans' Comp. All evaluation has been negative. Trials of 5 migraine prophylactic drugs have been ineffective. Patient is a civilian employee. The Vaccine Healthcare Center was consulted due to the morbidity and chronicity of sxs.