chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: This spontaneous report was received from a nurse practitioner refers to a 46 year old female patient. No medical history or drug reactions were reported. On 29-AUG-2013, the patient was vaccinated with a dose of VARIVAX (Merck) (lot # J003219, expiry: 15-MAR-2015) in the right arm subcutaneously as required vaccination for nursing school. On 08-SEP-2013, the patient experienced bumps on her right arm that was vaccinated. No treatment was given Patient sought medical attention. Nurse practitioner stated the patient called her today on 10-SEP-2013, to report this. Nurse practitioner stated the bumps were not blisters or pustules. The outcome of bumps on her right arm was reported as not recovered. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist refers to a patient of unknown age and gender. On 05-SEP-2013, the patient was vaccinated with an expired dose of VARIVAX(Merck) (lot # 1380AA expiry: 25-AUG-2013). No adverse effects were reported. Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: MMR, VARZOS
Symptoms: Injection site urticaria
Clinical narrative: Wheal 3x5 cm at injection site at 48 hours. No resp. distress. Rx with antihistamine.
Sex: F
Vaccine: VARCEL
Symptoms: Maternal exposure before pregnancy
Clinical narrative: Information has been received from a spontaneous prospective pregnancy report, for VARIVAX (Merck), a Pregnancy Registry product, concerning a female patient of unknown age. On approximately 01-AUG-2013 ("about 4 or 5 weeks ago") the patient was vaccinated with VARIVAX (Merck), injection (lot#, expiration, and route unknown). It was reported that patient became pregnant "less than 2 weeks" after administration of VARIVAX (Merck). The patients LMP was approximately on 08-AUG-2013. The patient sought medical attention via office visit. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Rash
Clinical narrative: Rash-referred to dermatology.
Sex: F
Vaccine: HPV4
Symptoms: Exposure during pregnancy
Clinical narrative: This spontaneous prospective pregnancy report was received from a registered pharmacist concerning a female patient of unknown age. On unknown dates the patient was vaccinated with two doses (first and second doses) of GARDASIL (lot number, expiry date, dose and route unspecified). Two doses of GARDASIL were administered on schedule. No concomitant therapy was reported. On an unknown date, the patient became pregnant after the second dose of GARDASIL was administered. The outcome of pregnancy was pending. Fetal outcome was unknown. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Pain in extremity, Urticaria, Vaccination site swelling
Clinical narrative: Red-swollen arm of vaccination site (pain in entire arm). Client got hives over entire body 2/3 days after injection. Medications provided.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt's left upper arm was red, swollen, and warm to touch and tender. Pt was prescribed cephalexin 500mg 1 capsule 3 times daily.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Eye pruritus, Ocular hyperaemia, Pain
Clinical narrative: After receiving the vaccination, after 4 hours started feeling tightness in chest, had itchy and red eyes, aches and body pain and chills and fever of 100 degrees F. Started subsiding after 24 hrs.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: After receiving the vaccination, after 4 hours started feeling tightness in chest, had itchy and red eyes, aches and body pain and chills and fever of 100 degrees F. Started subsiding after 24 hrs.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood test normal, Body temperature increased, Erythema, Local swelling, Nausea
Clinical narrative: Between 6-8 hours post vaccination, patient presented with left arm and axillary swelling and redness. Temperature 102.4 degrees, nausea. 48 hours post shot, symptoms continued. Patient went to ER for fluid administration. All blood tests came back negative. No antibiotics given. ER doctor said vaccine reaction.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vaccination complication
Clinical narrative: Between 6-8 hours post vaccination, patient presented with left arm and axillary swelling and redness. Temperature 102.4 degrees, nausea. 48 hours post shot, symptoms continued. Patient went to ER for fluid administration. All blood tests came back negative. No antibiotics given. ER doctor said vaccine reaction.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypotension
Clinical narrative: Lightheaded, dizzy, low blood pressure. Approx 10 min in length, no treatment.
Age: 30.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Dizziness, Dysarthria, Tremor
Clinical narrative: (5pm) after vaccines, pt experienced shaky/tremor, felt faint. Chest pain upon walking and at 9 PM slight slurred speech - pt went to ER.
Age: 56.0
Sex: M
Vaccine: TDAP
Symptoms: Eye irritation, Pain, Pyrexia, Tinnitus
Clinical narrative: Fever, body aches, burning sensation in eyes, ringing ears.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt reported severe pain, swelling, redness, and heat in entire upper arm that was vaccinated within 4 hrs of administration. Pt could not lift arm fully due to pain. No rxn in other arm w/ inactivated flu. Pt self-treated with EXCEDRIN and rest and improved over the next few days.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report as received from a 75 year old female patient regarding herself. The patient had her thyroid removed.  The patient had no drug allergies or reactions. On an unknown date in 2008 or 2009 (reported as 4 or 5 years ago), the patient was vaccinated with a dose of ZOSTAVAX (lot number, expiry date and route was not reported). Concomitant medications included unspecified blood pressure pill and thyroid pill. On 01-SEP-2013, the patient developed shingles in an unspecified unusual location of her body after having had an unspecified shingles vaccine that may be ZOSTAVAX. The patient was treated with hydrocodone, acyclovir, lidocaine oral topical solution. There was no lab tests performed. The outcome of shingles was reported as not recovered. The patient sought medical attention. Additional information has been requested.
Age: 93.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacy intern refers to a patient of unknown age and gender. The pharmacist reported that, on an unspecified date in November 2012 according to the pharmacy's record (or an unspecified date in February 2013 according to the patient) the patient was vaccinated at an unspecified provider's office with the first dose of GARDASIL injection (lot number, dose and site administration were not reported). On 30-AUG-2013, the patient was vaccinated with the second dose of GARDASIL injection (lot number, dose, route and site administration were not reported). No adverse effects were reported. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Diarrhoea, Headache, Injection site swelling, Injection site warmth
Clinical narrative: Burning, curing injection, injection site not, swelling, severe HA x 3 days, doesn't feel well, diarrhea-received vaccine on 9/13/13. Came in 9/16/16.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: Burning, curing injection, injection site not, swelling, severe HA x 3 days, doesn't feel well, diarrhea-received vaccine on 9/13/13. Came in 9/16/16.
Age: 14.0
Sex: U
Vaccine: HEPA
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report as received from a Certified Medical Assistant (CMA) refers to a 14 year old patient of unknown gender. On an unknown date the pediatric patient was inadvertently administered an adult dosage of VAQTA. No adverse effects were reported. Additional information has been requested.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Pt developed herpes zoster after 24 hours after flu immunization.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Headache, Injection site rash, Nausea
Clinical narrative: Patient received ZOSTAVAX on 09/06/13. On Sunday 09/08/13 fiance reported taking him to the ER at 9 PM Saturday 09/07/13 complaining of trouble breathing, dizziness, vomiting and frontal headache. Heart attack was ruled out - possible reaction to ZOSTAVAX. On Sunday 09/08/13 - a half dollar size rash appears at injection site - his primary doctor calls in Meclizine and Promethazide for nausea and dizziness.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Patient received ZOSTAVAX on 09/06/13. On Sunday 09/08/13 fiance reported taking him to the ER at 9 PM Saturday 09/07/13 complaining of trouble breathing, dizziness, vomiting and frontal headache. Heart attack was ruled out - possible reaction to ZOSTAVAX. On Sunday 09/08/13 - a half dollar size rash appears at injection site - his primary doctor calls in Meclizine and Promethazide for nausea and dizziness.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Lymph node pain, Pain, Pyrexia
Clinical narrative: Cellulitis - confirmed by physician. Redness 4 inch x 3 inches, fever, soreness. Physician noted that it migrated to lymph nodes.
Age: 61.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Rash generalised
Clinical narrative: This spontaneous report as received from a registered pharmacist refers to a 61 year old male patient. The patient's relevant medical history, relevant concomitant medications and past drug history were unknown. On 09-SEP-2013 the patient was vaccinated with ZOSTAVAX (lot # J003359, expiry date 21-JUN-2014, dose and frequency were unknown). Other suspect therapies included influenza virus vaccine (unspecified)(manufacturer unknown). On 09-SEP-2013, the patient returned to the pharmacy this evening, with a rash all over the left side of his body, from head to toe. He received his ZOSTAVAX vaccine in the left arm. It unknown where the flu "shot" was given. It was unknown if there was any relevant laboratory data. As of 09-SEP-2013, the patient no longer took the ZOSTAVAX; it was unknown if the patient would continue to receive the flu "shot" and he continued to experience the rash all over the left side of his body, from head to toe. Additional information has been requested.
Age: 83.0
Sex: F
Vaccine: PNC13
Symptoms: Wrong drug administered
Clinical narrative: Pt. was accidentally given a PREVNAR 13 instead of the PNEUMOVAX 23.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Local swelling, Pain in extremity
Clinical narrative: Arm swollen size of golf ball - minor pain. Tired, lightheaded date of flu shot next day he was fine and exercised as usual.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Adverse reaction, Exaggerated startle response, Gait disturbance, Hyperacusis, Neurological examination abnormal
Clinical narrative: Adverse reaction began about 20 minutes after vaccines - as soon as child was getting into car in the parking lot, she had increased sensitivity to sound and increased startle reaction to loud noises. She had problems walking straight and had a slowed reaction time. Symptoms lasted approximately 2 hours, child then napped and was at baseline except mild drowsiness after waking from nap.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Somnolence
Clinical narrative: Adverse reaction began about 20 minutes after vaccines - as soon as child was getting into car in the parking lot, she had increased sensitivity to sound and increased startle reaction to loud noises. She had problems walking straight and had a slowed reaction time. Symptoms lasted approximately 2 hours, child then napped and was at baseline except mild drowsiness after waking from nap.
Age: 31.0
Sex: U
Vaccine: VARCEL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a licensed practical nurse refers to a 31 year old patient of unknown gender. On 09-SEP-2013 the patient received a 0.5 ml dose of VARIVAX (Merck) (lot # 1210AA, expiration date: 26-JUL-2013), subcutaneously at left arm that was expired. The patient had not reported or demonstrated any adverse effects. It was unspecified if the patient had sought medical attention. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (route, dose and lot # were unknown). On an unknown date the patient complained of the injection "hurting" after receiving GARDASIL. The outcome of event was unknown. This is one of two reports received from the same source. Additional information is not expected.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Rash erythematous
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 59 year old female patient with penicillin and AVELOX allergy. The patient was not pregnant. On 23-AUG-2013, the patient was vaccinated with ZOSTAVAX injection (lot # J001698; Exp. date: 08-MAY-2014) (route and dose not provided). On 25-AUG-2013, 2 days after administration, the patient reported a redness appearing at and around the injection site. The red rash was not raised and did not hurt or itch. The reporter commented that a 4" length and shape was similar to that of the band-aid which had been used to cover up the injection site. No treatment was given. At the time of the report, the outcome of the events was reported as recovering. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Feeling abnormal, Heart rate increased
Clinical narrative: On 9/10/2013 at 9:30 PM I went to bed but began to feel bad, heart rate was elevated. I got up to watch TV but felt worse. At 10:00 PM I took my blood pressure which was 168/89, pulse 85. (My normal BP is about 128/72.) I took my temperature which was 97.6. I got up and walked around for awhile then tried to distract myself by again watching TV. At 11:15 PM I felt worse, got dressed and told my husband that he might have to take me to the ER. I again got up and walked around for awhile. At 12:30 AM on 9/11/2013 I took my BP again and it was 143/84 and pulse was 71. Since I was beginning to feel better, I went to bed and slept uneventfully until 6:30 AM. At 7:00 AM I took my BP and it was 111/72 and pulse was 71. The adverse reaction lasted about 3 hours. Today, 9/11/2013, I feel fine but tired.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RV1
Symptoms: Enema administration, Intussusception
Clinical narrative: Intussusception 5 days after ROTARIX.
Age: 1.21
Sex: F
Vaccine: HEPA, PNC, VARCEL, VARZOS
Symptoms: Injection site swelling
Clinical narrative: Redness and swelling at injection site bilateral thighs. Left upper inquinal node-minor-no significant enlargement. Zostavax given Right thigh SubQ, Varicella given Left thigh Sub Q.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Started with pain in the right deltoid (shot was in left deltoid). Pain cont. down arm and entire right side. Then, felt like something was stuck in her throat and she went to the prompt care when she had chest tightness/pressure, nausea, vomiting, and a fever of around 100F. The symptoms started in the early afternoon and continued through the evening/night.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Sensation of foreign body, Vomiting
Clinical narrative: Started with pain in the right deltoid (shot was in left deltoid). Pain cont. down arm and entire right side. Then, felt like something was stuck in her throat and she went to the prompt care when she had chest tightness/pressure, nausea, vomiting, and a fever of around 100F. The symptoms started in the early afternoon and continued through the evening/night.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Musculoskeletal pain, Neck pain, Somnolence
Clinical narrative: Fatigue 8PM. Fell asleep 8:30 PM. Awakened at 9:30PM by severe, uncontrolled chills, neck and shoulder pain, biting of tongue, could not speak well.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Speech disorder, Tongue biting
Clinical narrative: Fatigue 8PM. Fell asleep 8:30 PM. Awakened at 9:30PM by severe, uncontrolled chills, neck and shoulder pain, biting of tongue, could not speak well.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dysphagia, Dyspnoea, Eyelid oedema, Nervousness
Clinical narrative: My throat got tight, hard to swallow, some shortness of breath, shaky and shivering, my eyes got puffy. I took Advil and went to bed.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: My throat got tight, hard to swallow, some shortness of breath, shaky and shivering, my eyes got puffy. I took Advil and went to bed.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient had hive type rash to injected arm with itching.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Patient woke with pain, erythema, and swelling at vaccine site. Maximal diameter of erythema approximately 10 cm.
Age: 11.0
Sex: M
Vaccine: DTAP, HPVX, MEN
Symptoms: Abdominal pain upper, Chills, Urticaria
Clinical narrative: Body covered in hives, chills, and stomach pain.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy, Blood test, Joint swelling, Local swelling, Lymphadenectomy
Clinical narrative: First noticed itching on right calf, then swelling of leg and ankle, then dark spots that wouldn't go away. The first symptoms were shortly after the 3rd shot of the Gardasil series.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Neoplasm malignant, Pruritus, Rash, Skin discolouration
Clinical narrative: First noticed itching on right calf, then swelling of leg and ankle, then dark spots that wouldn't go away. The first symptoms were shortly after the 3rd shot of the Gardasil series.
Age: 32.0
Sex: M
Vaccine: MMR
Symptoms: Arthritis, Back pain, Musculoskeletal stiffness
Clinical narrative: Arthritis in fingers in both hands, and in right toes. Stiffness. Lower Back Pain (very painful). It has been about three days of arthritis symptoms, it has gotten worse, not any better yet.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dyspnoea, Headache, Pain
Clinical narrative: Difficulty breathing, sinus drip, coughing 09:00 PM, head ache, body aches, chills, 10:00 PM, no fever. Tuesday, 09/17/2013; mild head ache, body aches.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Upper-airway cough syndrome
Clinical narrative: Difficulty breathing, sinus drip, coughing 09:00 PM, head ache, body aches, chills, 10:00 PM, no fever. Tuesday, 09/17/2013; mild head ache, body aches.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Malaise, Nausea, Vaccination site pain
Clinical narrative: Nausea, feeling of need to vomit, malaise, tightness in chest, pain at vaccination site throughout night and into following morning.
Age: 9.0
Sex: F
Vaccine: HEPA, IPV, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site vesicles, Vaccination site swelling
Clinical narrative: Redness, itching, and swelling at vaccination site - left arm. Swelling and erythema worsened overnight and was 4inches in diameter when seen in clinic 30 hrs after administration. Also noted was several blisters at the center of the reaction. Patient did not return for follow up visit as scheduled for following day because she was improving. Seen on 9/13/2013 and documented to be visually improving. Plans to return to clinic in 1 week to ensure resolution of swelling and erythema.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Woke up with a severe headache.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large erythematous warm patch of skin at immunization site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Anaphylactic shock, Cyanosis, Face oedema, Flushing, Hypotension
Clinical narrative: Patient is a 4yo male presenting with suspected anaphylactic shock after MMR vaccination at the primary care physician's office. He was at the pediatrician's office today and received MMR-varicella, Hepatitis A vaccine, and DTaP-Polio vaccinations, almost immediately he began to feel itchy, he became flushed and erupted in hives. At that point he was not talking so mom picked him up and started to talk to him. While in mom's arms he told mom he felt nauseated and then vomited. Then he became limp and unresponsive and mom noted that he was not breathing and cyanotic. Epinephrine was immediately administered by Epipen Jr twice, 15 min apart and the patient resumed breathing and became more responsive. At this point the patient had repeated emesis and was suctioned. Albuterol was also administered at this time as the patient has a history of asthma and someone in the pediatrician's office reported hearing wheezing. He was placed on 100% oxygen by NRM, given Benadryl and Solumedrol IV and transported to the Emergency Dept. Here he was found to be hypotensive and given fluids to bolster pressures. He was still very flushed, had increased edema of the cheeks and lips, but no visible edema of the tongue or airway, no abnormal breath sounds and no increased work of breathing. He was started on IV Zantac, given 40mL/kg IVF for hypotension and admitted to the Pediatric ICU for close monitoring.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Hypotonia, Intensive care, Nausea, Pruritus, Respiratory arrest
Clinical narrative: Patient is a 4yo male presenting with suspected anaphylactic shock after MMR vaccination at the primary care physician's office. He was at the pediatrician's office today and received MMR-varicella, Hepatitis A vaccine, and DTaP-Polio vaccinations, almost immediately he began to feel itchy, he became flushed and erupted in hives. At that point he was not talking so mom picked him up and started to talk to him. While in mom's arms he told mom he felt nauseated and then vomited. Then he became limp and unresponsive and mom noted that he was not breathing and cyanotic. Epinephrine was immediately administered by Epipen Jr twice, 15 min apart and the patient resumed breathing and became more responsive. At this point the patient had repeated emesis and was suctioned. Albuterol was also administered at this time as the patient has a history of asthma and someone in the pediatrician's office reported hearing wheezing. He was placed on 100% oxygen by NRM, given Benadryl and Solumedrol IV and transported to the Emergency Dept. Here he was found to be hypotensive and given fluids to bolster pressures. He was still very flushed, had increased edema of the cheeks and lips, but no visible edema of the tongue or airway, no abnormal breath sounds and no increased work of breathing. He was started on IV Zantac, given 40mL/kg IVF for hypotension and admitted to the Pediatric ICU for close monitoring.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Unresponsive to stimuli, Urticaria, Vomiting, Wheezing
Clinical narrative: Patient is a 4yo male presenting with suspected anaphylactic shock after MMR vaccination at the primary care physician's office. He was at the pediatrician's office today and received MMR-varicella, Hepatitis A vaccine, and DTaP-Polio vaccinations, almost immediately he began to feel itchy, he became flushed and erupted in hives. At that point he was not talking so mom picked him up and started to talk to him. While in mom's arms he told mom he felt nauseated and then vomited. Then he became limp and unresponsive and mom noted that he was not breathing and cyanotic. Epinephrine was immediately administered by Epipen Jr twice, 15 min apart and the patient resumed breathing and became more responsive. At this point the patient had repeated emesis and was suctioned. Albuterol was also administered at this time as the patient has a history of asthma and someone in the pediatrician's office reported hearing wheezing. He was placed on 100% oxygen by NRM, given Benadryl and Solumedrol IV and transported to the Emergency Dept. Here he was found to be hypotensive and given fluids to bolster pressures. He was still very flushed, had increased edema of the cheeks and lips, but no visible edema of the tongue or airway, no abnormal breath sounds and no increased work of breathing. He was started on IV Zantac, given 40mL/kg IVF for hypotension and admitted to the Pediatric ICU for close monitoring.
Age: 28.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Cough, Dyspnoea, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: I couldn't breath, my lungs felt full, small coughs, over the night a fever, so bad I was shaking cold, and later soaked in sweat, pounding headache, now just a small headache, and my lungs still feel like I can't get enough air.
Age: 28.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Pulmonary congestion, Pyrexia, Tremor
Clinical narrative: I couldn't breath, my lungs felt full, small coughs, over the night a fever, so bad I was shaking cold, and later soaked in sweat, pounding headache, now just a small headache, and my lungs still feel like I can't get enough air.
Age: 28.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Chest discomfort, Cough, Pyrexia
Clinical narrative: I couldn't breath, my lungs felt full, small coughs, over the night a fever, so bad I was shaking cold, and later soaked in sweat, pounding headache, now just a small headache, and my lungs still feel like I can't get enough air.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Baseball sized / ~10cm wide hardened area with red ring around site, itchy, painful.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Mom reports that site of flu shot on right thigh was red, swollen, with knot under skin. treated with Benadryl and Motrin for 2 days.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, RVX
Symptoms: Abnormal behaviour, Crying, Decreased appetite, Fatigue, Pyrexia
Clinical narrative: None stop screaming for several hours.  Followed by fever.  Fever still persisting as of this report.  Using acetaminophen every 4 hours.  Max dose for 9 pound infant. Patient is tired and not responsive.  The child is not herself in any way.  She is not eating well and cries in her sleep.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, RVX
Symptoms: Screaming, Unresponsive to stimuli
Clinical narrative: None stop screaming for several hours.  Followed by fever.  Fever still persisting as of this report.  Using acetaminophen every 4 hours.  Max dose for 9 pound infant. Patient is tired and not responsive.  The child is not herself in any way.  She is not eating well and cries in her sleep.
Age: 1.18
Sex: F
Vaccine: FLUX, PPV
Symptoms: Abnormal behaviour, Convulsion, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Patient began having low fever after the vaccine.  THe following day at 10 her fevers were high.  Her skin color was off and I called the doctor's office because I was worried something strange was going on.  I told the nurse that I worried she was going to have a seizure-because of the way she was behaving.  I was told that fevers were normal after vaccinations.  Right before the seizure, patient became dazed and tired.  She then cuddled up with my sister, and went limp and was having difficulty breathing.  My sister called 911.  Patient was transported via ambulance to Hospital. She had two additional seizures a week from the date of the first seizure, 11/14/2012.  The second seizure took place at the doctor's office and the third at the Hospital.  From Hospital she was transported to another Hospital.
Age: 1.18
Sex: F
Vaccine: FLUX, PPV
Symptoms: Hypotonia, Pyrexia, Skin discolouration
Clinical narrative: Patient began having low fever after the vaccine.  THe following day at 10 her fevers were high.  Her skin color was off and I called the doctor's office because I was worried something strange was going on.  I told the nurse that I worried she was going to have a seizure-because of the way she was behaving.  I was told that fevers were normal after vaccinations.  Right before the seizure, patient became dazed and tired.  She then cuddled up with my sister, and went limp and was having difficulty breathing.  My sister called 911.  Patient was transported via ambulance to Hospital. She had two additional seizures a week from the date of the first seizure, 11/14/2012.  The second seizure took place at the doctor's office and the third at the Hospital.  From Hospital she was transported to another Hospital.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Temperature, headache, lethargic with raised red area around injection site that was warm to touch.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Lethargy
Clinical narrative: Temperature, headache, lethargic with raised red area around injection site that was warm to touch.
Age: 71.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Laboratory test abnormal, Lumbar puncture abnormal
Clinical narrative: Guillain-Barre Syndrome diagnosed on September 10, 2013 at Hospital (by Neurologist) - treated with IGA for four days, currently in recovery.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased
Clinical narrative: Couldn't lift the arm that received the flu shot.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Generalised erythema, Lip swelling, Pruritus generalised
Clinical narrative: Had vaccine 911/2013 at 7am. Three hours after taking vaccine, knees were itchy. At noon, she had itchiness and redness all over skin. At 4p, she took Benadryl. Early Thursday morning she went to ER. She felt dizzy, had hives. She was discharged from ER. But returned on Sat. with chest pain, hives. Was treated and discharged. Returned to ER on Sunday and was hospitalized because of swelling of lips. She was discharged on Monday 9/16/2013.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Had vaccine 911/2013 at 7am. Three hours after taking vaccine, knees were itchy. At noon, she had itchiness and redness all over skin. At 4p, she took Benadryl. Early Thursday morning she went to ER. She felt dizzy, had hives. She was discharged from ER. But returned on Sat. with chest pain, hives. Was treated and discharged. Returned to ER on Sunday and was hospitalized because of swelling of lips. She was discharged on Monday 9/16/2013.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cyanosis, Dizziness, Dysstasia
Clinical narrative: Extreme dizziness, unable to stand for about an hour; nausea, violent chills and shaking on and off with just inability to get warm over couple of hours; feeling in fingertips of thumbs and first two fingers on both hands as if had been hit by a hammer. On morning of 09/13/2013 awoke feeling weak and general malaise. Blue crescent-shaped lines  noted in center of each of the nail beds of the aforementioned sore fingers. Same fingers also slightly dusky on pads of tips. Appeared to have broken blood vessels in nail beds of those fingers which have slowly faded. Soreness has also slowly subsided.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling cold, Malaise, Nausea, Pain in extremity, Pallor
Clinical narrative: Extreme dizziness, unable to stand for about an hour; nausea, violent chills and shaking on and off with just inability to get warm over couple of hours; feeling in fingertips of thumbs and first two fingers on both hands as if had been hit by a hammer. On morning of 09/13/2013 awoke feeling weak and general malaise. Blue crescent-shaped lines  noted in center of each of the nail beds of the aforementioned sore fingers. Same fingers also slightly dusky on pads of tips. Appeared to have broken blood vessels in nail beds of those fingers which have slowly faded. Soreness has also slowly subsided.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Extreme dizziness, unable to stand for about an hour; nausea, violent chills and shaking on and off with just inability to get warm over couple of hours; feeling in fingertips of thumbs and first two fingers on both hands as if had been hit by a hammer. On morning of 09/13/2013 awoke feeling weak and general malaise. Blue crescent-shaped lines  noted in center of each of the nail beds of the aforementioned sore fingers. Same fingers also slightly dusky on pads of tips. Appeared to have broken blood vessels in nail beds of those fingers which have slowly faded. Soreness has also slowly subsided.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Brain injury, Concussion, Fall, Laboratory test normal, Syncope
Clinical narrative: Fainting resulting in a fall and a concussion. Tests showed no further damage.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Per patient via phone call: Soreness at the injection site, redness, warm to touch, redness 2 inch diameter.  Told patient to contact MD about localized reaction, usually MD after visit/consultation will prescribe a course of antibiotics. Patient can also use a compress for the area.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Muscular weakness
Clinical narrative: Patient was feeling dizzy, some tightness in the chest, some weakness in arms/legs.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Skin warm, Throat tightness
Clinical narrative: Pt describes becoming warm, tingling around ears, tightness in thoroat.  Pt was moved to a room to be more closely monitored.  Symptoms resolved without medications being given.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient had a flu shot in the left arm at approx 1:30 friday the 13th and then that night started having pain to the left deltoid and this got worse and went down to the mid forearm on same side until she saw us Tuesday 9/17/13.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Diarrhoea, Dyspnoea, Hypotension, Intensive care, Shock
Clinical narrative: Shortness of breath, diarrhea, vomiting (intractable), shock, hypotension required ICU stay and IV steroid therapy and pressors.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Vomiting
Clinical narrative: Shortness of breath, diarrhea, vomiting (intractable), shock, hypotension required ICU stay and IV steroid therapy and pressors.
Age: 0.53
Sex: F
Vaccine: DTAP, IPV, PNC13, RV5
Symptoms: Rash generalised
Clinical narrative: Rash all over body following IZ administration.
Age: 0.52
Sex: F
Vaccine: DTAP, HEP, IPV, PNC13, RV5
Symptoms: Electroencephalogram abnormal, Gaze palsy
Clinical narrative: Father reports that while changing her diaper, baby threw out her arms and "her eyes fixated for three seconds". Baby continued to have these episodes and was referred to a pediatric neurologist.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Induration, Local swelling
Clinical narrative: Swollen, hard and redden area 4.5"x 3".
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Swelling, very sore, hot to the touch.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Headaches 09/14/203. Nausea, diarrhea, aches, chills 09/15/2013 - 09/18/203.
Age: 31.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Culture, Staphylococcal infection, Vaccination complication
Clinical narrative: Patient claims that ER told him that he had MRSA and it was from one of the vaccines administered.
Age: 31.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Blood culture negative, Body temperature increased, Chills, Full blood count abnormal, Injection site erythema
Clinical narrative: Patient claims that ER told him that he had MRSA and it was from one of the vaccines administered.
Age: 31.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Necrotising fasciitis, White blood cell count increased
Clinical narrative: Patient claims that ER told him that he had MRSA and it was from one of the vaccines administered.
Age: 14.0
Sex: F
Vaccine: HPV2
Symptoms: Lip swelling, Pharyngeal oedema, Urticaria
Clinical narrative: Hives, Swelling of lips, Urticaria, Swelling of throat.
Age: 13.0
Sex: M
Vaccine: HPVX
Symptoms: Immediate post-injection reaction, Muscle rigidity, Syncope
Clinical narrative: Patient immediately slumped over and collapsed onto the table. His eyes closed and his arms became rigid and one of them smacked into the wall. The nurse lifted his feet onto the examination table and after several long seconds he opened his eyes and asked what happened.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt states: sharp pains in vaccinated arm, can't stretch or lift arm, or lay down on arm; no redness, or swelling at injection site; no fever; pt reported event on 9/13/13.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood culture, Chest X-ray, Chills, Computerised tomogram
Clinical narrative: Fever, chills, weakness. 8/18/13- fever, weakness, confusion. Transport to hospital. given Tylenol in ER. Inpatient 8/19/13 through 8/20/13. At this time, treatment details for these 2 days are not available. Call from hospital 10am, moving to "special care". 10:20, daughter arrives,  intubated and unstable. family request transport to better hospital. Air transport to another hospital at 1:30 PM on 8/20/13.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Confusional state, Culture, Culture stool, Culture urine, Endotracheal intubation
Clinical narrative: Fever, chills, weakness. 8/18/13- fever, weakness, confusion. Transport to hospital. given Tylenol in ER. Inpatient 8/19/13 through 8/20/13. At this time, treatment details for these 2 days are not available. Call from hospital 10am, moving to "special care". 10:20, daughter arrives,  intubated and unstable. family request transport to better hospital. Air transport to another hospital at 1:30 PM on 8/20/13.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Fever, chills, weakness. 8/18/13- fever, weakness, confusion. Transport to hospital. given Tylenol in ER. Inpatient 8/19/13 through 8/20/13. At this time, treatment details for these 2 days are not available. Call from hospital 10am, moving to "special care". 10:20, daughter arrives,  intubated and unstable. family request transport to better hospital. Air transport to another hospital at 1:30 PM on 8/20/13.
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Fever 104, headache, muscle pain, dizziness.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site mass, Injection site pruritus
Clinical narrative: Localized cellulitis baseball size around site, one day onset. Pt. declined prednisone for treatment. Area is now 2 cm with lump itching.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site rash
Clinical narrative: Pt stated she has a 2" wide and 1 1/2" long rash around injection site, soreness, and she cannot bend her arm after her flu shot on Sunday 9/15/13. She asked to report this to FDA.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Joint range of motion decreased, Muscular weakness
Clinical narrative: Weakness in the arm unable to lift arm til today. Big bruise at the site, surrounding area with redness.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Swelling face
Clinical narrative: Pt. developed swollen left cheek w/ persistent headache for 2 days after flu shot.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: Went to primary care physician. Described as flu/pneumonia-like symptoms and antibiotic was given (amoxicillin then Levaquin) and an injection (unknown name).
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Local injection site rash and minor swelling.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Large, raised red reaction on the arm at the injection site. Area was warm to the touch and painful for bout 1 day. About size of 1/2 dollar.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Approx. 10 cm area of warmth, swelling and mild induration anterio/laterla thigh. Doesn't appear painful.
Age: 50.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Fatigue, Pain
Clinical narrative: Tired, achy, difficulty breathing - resolving.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying, Injection site rash, Injection site reaction, Petechiae
Clinical narrative: Crying a lot, petechiae rash on injection site, and swelling.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dizziness, Erythema, Fatigue, Nausea, Pain in extremity
Clinical narrative: Patient reported soreness and redness on the left arm which spread from the armpit to the elbow. Developed severe nausea, dizziness and fatigue on 9.14.13 which persisted through 9.16.13.
Age: 24.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abnormal behaviour, Disturbance in attention, Dizziness, Malaise
Clinical narrative: Lack of mental "focus"; dizziness; overall not well feeling; "not acting well/right". EMS was called and individual was taken to ER.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Feeling cold
Clinical narrative: Patient states she received flu shot about 1pm after only sleeping a "few hours" after working 3rd shift. She states she was fine for the afternoon but woke up during the night cold and had to "cover up". At about 8am on the next day, she work up weak and tired, went back to bed. She was back to normal by morning.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Woke up day after shot, with swelling and redness left arm from shoulder down to elbow. The area was warm to touch. Denies other symptoms. Was unable to contact doctor. I gave her BENADRYL and referred to PCP. I spoke w/ their office and pt had an appt to see nurse today.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Fainted. Place in supine position. Cold compress to back of neck.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pyrexia
Clinical narrative: Fever for 2 days and red area and feels hot in left arm where the two vaccines were administered.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives over body within 15 minutes.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Pallor, Vomiting
Clinical narrative: Acute illness, vomiting, diarrhea, pale skin
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Convulsion, Fall, Musculoskeletal stiffness
Clinical narrative: After receiving MENACTRA, ADACEL, flu and GARDASIL, pt fell to the ground and had a brief Sz with stiffening lasting 30-60 secs.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Chills, Cough, Injection site erythema, Injection site pain
Clinical narrative: Injection site pain with redness, warm to touch and 2" (two inch) round bump 1/2" (half inch) high. Began to itch and swelling third day. Slight swelling still. Fever and chills with muscle aches and slight chest pain during occasional cough and deep breaths began on the third day post injection for 5 days.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia, Painful respiration
Clinical narrative: Injection site pain with redness, warm to touch and 2" (two inch) round bump 1/2" (half inch) high. Began to itch and swelling third day. Slight swelling still. Fever and chills with muscle aches and slight chest pain during occasional cough and deep breaths began on the third day post injection for 5 days.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Injection site pain with redness, warm to touch and 2" (two inch) round bump 1/2" (half inch) high. Began to itch and swelling third day. Slight swelling still. Fever and chills with muscle aches and slight chest pain during occasional cough and deep breaths began on the third day post injection for 5 days.
Age: 64.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Local swelling, Pain in extremity, Skin warm
Clinical narrative: It is 5 days after the vaccine was administered. The back of patient's arm is red and swollen and warm. She says the arm is still sore.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site urticaria
Clinical narrative: Urticarial welt below left deltoid injection site.
Age: 70.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pt. called on 9/9/2013 to report aching and redness of (L) arm that started 8/23/13. One day after receiving Yellow Fever vaccine sx are off and on. Relieved by Tylenol or Advil but sx keep reoccurring. Has also applied warm compress with some relief.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Blood oestrogen, Cellulitis, Full blood count, Inflammation, Lymph node pain
Clinical narrative: On day of vaccine started with pain it severe soreness to lt arm. Next day 9/6/13 at around 4PM started achy ness especially to legs. Took Tylenol 500. Started less in-off. Same day at nite. Started with pain with inflammation to lymph node - pain to touch.  Cephalexin 500g given to take. Dx'd with cellulitis to deltoid area.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: On day of vaccine started with pain it severe soreness to lt arm. Next day 9/6/13 at around 4PM started achy ness especially to legs. Took Tylenol 500. Started less in-off. Same day at nite. Started with pain with inflammation to lymph node - pain to touch.  Cephalexin 500g given to take. Dx'd with cellulitis to deltoid area.