chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Mental retardation severity unspecified, Nervous system disorder, Nystagmus, Oedema, Pyrexia
Clinical narrative: That evening, started having high fevers. Thursday, fevers still lasting and body aches. Friday, still fever, body aches, and late Friday had first seizure then rushed to hospital. Then brain swelling and more seizures. Follow up 02/11/05: Patient seen by neurologist, diagnosis ADEM vs Encephalitis. Main symptoms: Sinus infection, Seizure, Fever and encephalopathy. Symptoms started 4 hours following vaccination. No history of seizures prior to this event. Very involved case. Follow up report received on 02/03/2005 indicates patient still has not recovered.  He has severe brain damage and cannot talk, is totally dependent on parents for everyday tasks such as eating, dressing, grooming, etc.  Has ADEM which is a brain disorder (acute desseminated encephalo mylopathy), has ADD (attention deficit disorder), and sensory integration disorder, and his mobility is also limited.  Additional information from other corresponcance adds aphasia, drooling and papilledema on 01/18/05
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aphasia, Bacterial infection, Brain oedema, CSF test abnormal, Convulsion
Clinical narrative: That evening, started having high fevers. Thursday, fevers still lasting and body aches. Friday, still fever, body aches, and late Friday had first seizure then rushed to hospital. Then brain swelling and more seizures. Follow up 02/11/05: Patient seen by neurologist, diagnosis ADEM vs Encephalitis. Main symptoms: Sinus infection, Seizure, Fever and encephalopathy. Symptoms started 4 hours following vaccination. No history of seizures prior to this event. Very involved case. Follow up report received on 02/03/2005 indicates patient still has not recovered.  He has severe brain damage and cannot talk, is totally dependent on parents for everyday tasks such as eating, dressing, grooming, etc.  Has ADEM which is a brain disorder (acute desseminated encephalo mylopathy), has ADD (attention deficit disorder), and sensory integration disorder, and his mobility is also limited.  Additional information from other corresponcance adds aphasia, drooling and papilledema on 01/18/05
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Encephalopathy, Movement disorder, Pain, Papilloedema, Pyrexia
Clinical narrative: That evening, started having high fevers. Thursday, fevers still lasting and body aches. Friday, still fever, body aches, and late Friday had first seizure then rushed to hospital. Then brain swelling and more seizures. Follow up 02/11/05: Patient seen by neurologist, diagnosis ADEM vs Encephalitis. Main symptoms: Sinus infection, Seizure, Fever and encephalopathy. Symptoms started 4 hours following vaccination. No history of seizures prior to this event. Very involved case. Follow up report received on 02/03/2005 indicates patient still has not recovered.  He has severe brain damage and cannot talk, is totally dependent on parents for everyday tasks such as eating, dressing, grooming, etc.  Has ADEM which is a brain disorder (acute desseminated encephalo mylopathy), has ADD (attention deficit disorder), and sensory integration disorder, and his mobility is also limited.  Additional information from other corresponcance adds aphasia, drooling and papilledema on 01/18/05
Age: 5.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Salivary hypersecretion, Sinusitis, White blood cell count increased
Clinical narrative: That evening, started having high fevers. Thursday, fevers still lasting and body aches. Friday, still fever, body aches, and late Friday had first seizure then rushed to hospital. Then brain swelling and more seizures. Follow up 02/11/05: Patient seen by neurologist, diagnosis ADEM vs Encephalitis. Main symptoms: Sinus infection, Seizure, Fever and encephalopathy. Symptoms started 4 hours following vaccination. No history of seizures prior to this event. Very involved case. Follow up report received on 02/03/2005 indicates patient still has not recovered.  He has severe brain damage and cannot talk, is totally dependent on parents for everyday tasks such as eating, dressing, grooming, etc.  Has ADEM which is a brain disorder (acute desseminated encephalo mylopathy), has ADD (attention deficit disorder), and sensory integration disorder, and his mobility is also limited.  Additional information from other corresponcance adds aphasia, drooling and papilledema on 01/18/05
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL, DTP, HIBV, PNC, VARCEL
Symptoms: Hypokinesia, Neurodevelopmental disorder, Speech disorder
Clinical narrative: Information has been received from a registered nurse concerning a 24 month old female with no known medical history or allergies who on 10/31/02 was vaccinated with a dose of varicella virus vaccine live (lot # 643531/0602M). Concomitant vaccination included HIB conjugate vaccine, pneumococcal 4 6B 9V 14 18C 19F 23F conjugate vaccine, and diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. No other concomitant medications were reported. On 10/28/03 the patient was seen in the office for a viral illness. On 6/4/04 the patient was seen in the office and it was noted that she was not speaking, hearing issues were suspected. On 6/10/04 the patient was given her 2.5 year physical. At this time she was diagnosed with severe speech delay. Subsequently the patient was sent for developmental, speech and neurological evaluations. It was noted that there was no family history of speech or hearing issues. On 11/5/04 the mother of the patient stated that she was convinced that these issues were the result of the immunizations. At the time of the report, the patient was not able to follow commands, had motor regression, and was only able to speak three words. The outcome was not recovered. Upon internal review, severe speech delay was determined to be an other important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL, DTP, HIBV, PNC, VARCEL
Symptoms: Hearing impaired, Hypokinesia, Speech disorder
Clinical narrative: Information has been received from a registered nurse concerning a 24 month old female with no known medical history or allergies who on 10/31/02 was vaccinated with a dose of varicella virus vaccine live (lot # 643531/0602M). Concomitant vaccination included HIB conjugate vaccine, pneumococcal 4 6B 9V 14 18C 19F 23F conjugate vaccine, and diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. No other concomitant medications were reported. On 10/28/03 the patient was seen in the office for a viral illness. On 6/4/04 the patient was seen in the office and it was noted that she was not speaking, hearing issues were suspected. On 6/10/04 the patient was given her 2.5 year physical. At this time she was diagnosed with severe speech delay. Subsequently the patient was sent for developmental, speech and neurological evaluations. It was noted that there was no family history of speech or hearing issues. On 11/5/04 the mother of the patient stated that she was convinced that these issues were the result of the immunizations. At the time of the report, the patient was not able to follow commands, had motor regression, and was only able to speak three words. The outcome was not recovered. Upon internal review, severe speech delay was determined to be an other important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: MMR, TD, MMR, TD
Symptoms: Arteriosclerosis, Clumsiness, Erythema, Oedema, Pain
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 10/8/04 was vaccinated SC with a dose of MMR (lot # 646745/0954N). Concomitant therapy, that same day, included a dose of diphtheria toxoid/tetanus toxoid. A few days later, on approximately 10/10/04, the patient developed erythema and swelling of her hands. After a few days, on approximately 10/12/04, this progressed to tingling and pain. Eventually the pain and tingling shot up both arms and lasted for about two weeks. Just as the arm pain and tingling was subsiding, the patient had a sudden onset of left lower extremity pain which was very sensitive to touch. Four days later, the right leg became involved. The patient was hospitalized on 11/10/04. At the time of the report, the patient remained hospitalized. The physician expected a full recovery, but at the time of the report, the patient had not recovered. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: MMR, TD, MMR, TD
Symptoms: Paraesthesia, Skin exfoliation, Tenderness
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 10/8/04 was vaccinated SC with a dose of MMR (lot # 646745/0954N). Concomitant therapy, that same day, included a dose of diphtheria toxoid/tetanus toxoid. A few days later, on approximately 10/10/04, the patient developed erythema and swelling of her hands. After a few days, on approximately 10/12/04, this progressed to tingling and pain. Eventually the pain and tingling shot up both arms and lasted for about two weeks. Just as the arm pain and tingling was subsiding, the patient had a sudden onset of left lower extremity pain which was very sensitive to touch. Four days later, the right leg became involved. The patient was hospitalized on 11/10/04. At the time of the report, the patient remained hospitalized. The physician expected a full recovery, but at the time of the report, the patient had not recovered. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: MMR, TD, MMR, TD
Symptoms: Erythema, Hyperaesthesia, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 12 year old female who on 10/8/04 was vaccinated SC with a dose of MMR (lot # 646745/0954N). Concomitant therapy, that same day, included a dose of diphtheria toxoid/tetanus toxoid. A few days later, on approximately 10/10/04, the patient developed erythema and swelling of her hands. After a few days, on approximately 10/12/04, this progressed to tingling and pain. Eventually the pain and tingling shot up both arms and lasted for about two weeks. Just as the arm pain and tingling was subsiding, the patient had a sudden onset of left lower extremity pain which was very sensitive to touch. Four days later, the right leg became involved. The patient was hospitalized on 11/10/04. At the time of the report, the patient remained hospitalized. The physician expected a full recovery, but at the time of the report, the patient had not recovered. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: FLU3, SMALL
Symptoms: Hypoaesthesia, Muscular weakness, Neuropathy
Clinical narrative: NUMBNESS AND WEAKNESS IN SMALL FINGER AND RING FINGER ON LEFT HAND.  GOT THE SMALLPOX VACCINE IN THE LEFT DELTOID. I, THE PHYSICIAN, HAVE DONE A COMPLETE PHYSICAL EXAM AND HAVE NOTED A CERVICAL NERVE 8 RADICULOPATHY.
Age: 19.0
Sex: F
Vaccine: YF
Symptoms: Rash
Clinical narrative: Generalized rash that began the evening that injection was received. Pt began taking Benadryl with relief.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Eye irritation, Headache, Hypersensitivity, Pruritus, Rash pruritic
Clinical narrative: CC:  Urticaria and headaches following receipt of AVA                                            IMMUNIZATION  Vaccine Date Onset Date  SYMPTOMS Anthrax #1 3/19/2003 @4/19/2003 One month after receiving his first anthrax vaccination this service member's back developed a fine red pruritic rash that peeled requiring medical attention. This rash was also noticed about both ankles, groin and waist where elastic touched. He reports onset of migraine like headaches after his first anthrax vaccination that persist today along with the rash. Each anthrax vaccination makes the rash last longer with increasing pruritis and headaches. See HPI. Anthrax #2 4/2/2003 @4/19/2003  Anthrax #3 4/16/2003 @4/23/2003  Anthrax #4 12/10/2003 @12/17/2003  Anthrax #5 2/3/2004 @ 2/10/2004   History of Present Illness:    This 38 year-old received his first anthrax vaccination on March 19, 2003 prior to deployment.  Approximately one month later, he states his back began to itch fiercely. His buddies told him his back was covered in red bumps that later cracked and peeled.  The rash spread to both ankles, groin, and where ever elastic or a constricting piece of clothing touched his skin. He was seen by medical, diagnosed with first an allergy to detergent/chemical in his clothing and later a "heat rash." He was given Allegra and a skin cream.  It took two weeks for this rash to resolve.  He states he is now very sensitive to detergents and soaps.   He received his second anthrax vaccination on April 2, 2003.  While trying to sleep that evening he states he felt a "crawling sensation all over."  After two days of continued itching and reoccurrence of the rash he returned to medical where he was diagnosed with "sand fleas".   He was given some Allegra and advised to "clean his gear."  The rash persisted and he returned to medical questioning the rash in conjunction with his second anthrax vaccination.  The medic agreed he had a mild systemic reaction and treated with Allegra.  The rash resolved after 4 days.  He reports the onset of a 4/10 throbbing "migraine-like" headache located over his temples and forehead after the first anthrax vaccination.  He states his eyes became itchy and he felt "woozy in the mornings" as if his equilibrium is off.  He states the sensation is like trying to "cross your eyes" and you feel woozy.  This sensation lasted a few seconds up to five minutes resolving spontaneously.  Nothing caused the sensation and it occurred at anytime of the day or night. He reports a history of having a rare headache, if any, that sleep would resolve prior to receiving his anthrax vaccinations.  He reports the headaches continue to occur 1-2 times a month requiring Tylenol for relief.  Sequential anthrax vaccinations produced similar symptoms with increasing duration and intensity of discomfort.  The rash continues to occur 3-4 times a month lasting for 4-5 days intermittently as of October 26, 2004.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Skin exfoliation, Urticaria
Clinical narrative: CC:  Urticaria and headaches following receipt of AVA                                            IMMUNIZATION  Vaccine Date Onset Date  SYMPTOMS Anthrax #1 3/19/2003 @4/19/2003 One month after receiving his first anthrax vaccination this service member's back developed a fine red pruritic rash that peeled requiring medical attention. This rash was also noticed about both ankles, groin and waist where elastic touched. He reports onset of migraine like headaches after his first anthrax vaccination that persist today along with the rash. Each anthrax vaccination makes the rash last longer with increasing pruritis and headaches. See HPI. Anthrax #2 4/2/2003 @4/19/2003  Anthrax #3 4/16/2003 @4/23/2003  Anthrax #4 12/10/2003 @12/17/2003  Anthrax #5 2/3/2004 @ 2/10/2004   History of Present Illness:    This 38 year-old received his first anthrax vaccination on March 19, 2003 prior to deployment.  Approximately one month later, he states his back began to itch fiercely. His buddies told him his back was covered in red bumps that later cracked and peeled.  The rash spread to both ankles, groin, and where ever elastic or a constricting piece of clothing touched his skin. He was seen by medical, diagnosed with first an allergy to detergent/chemical in his clothing and later a "heat rash." He was given Allegra and a skin cream.  It took two weeks for this rash to resolve.  He states he is now very sensitive to detergents and soaps.   He received his second anthrax vaccination on April 2, 2003.  While trying to sleep that evening he states he felt a "crawling sensation all over."  After two days of continued itching and reoccurrence of the rash he returned to medical where he was diagnosed with "sand fleas".   He was given some Allegra and advised to "clean his gear."  The rash persisted and he returned to medical questioning the rash in conjunction with his second anthrax vaccination.  The medic agreed he had a mild systemic reaction and treated with Allegra.  The rash resolved after 4 days.  He reports the onset of a 4/10 throbbing "migraine-like" headache located over his temples and forehead after the first anthrax vaccination.  He states his eyes became itchy and he felt "woozy in the mornings" as if his equilibrium is off.  He states the sensation is like trying to "cross your eyes" and you feel woozy.  This sensation lasted a few seconds up to five minutes resolving spontaneously.  Nothing caused the sensation and it occurred at anytime of the day or night. He reports a history of having a rare headache, if any, that sleep would resolve prior to receiving his anthrax vaccinations.  He reports the headaches continue to occur 1-2 times a month requiring Tylenol for relief.  Sequential anthrax vaccinations produced similar symptoms with increasing duration and intensity of discomfort.  The rash continues to occur 3-4 times a month lasting for 4-5 days intermittently as of October 26, 2004.
Age: 28.0
Sex: M
Vaccine: FLU3, HIBV, PPV
Symptoms: Chest pain, Dizziness, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: Pt. Received vaccines (HIB, Influenza, Pneum. 23, approximately 1030 am on 11/18/2004. He returned later that afternoon at approximately 400pm and stated he had felt "sick" since returning home.  The symptoms he felt were short of breath, heavy chest, dizzy, nauseated. He decided he better return when the symptoms did not go away. Upon presentation and assesment of symptoms, it was determined to give the patient 3 tsp. Benadryl by mouth.  V/S assessed, and patient discharged with instructions to go directly to the local Emergency Room, or contact doctor with further concerns. Secretary also stated he showed her his Left arm where pneumonia and influenza were given was red, hot, and swollen within that 5 1/2 hour period of time.  When I viewed his arm however, either the sleeve was not lifted high enough, or his fingers were covering the site.  Pt. stated his arm was very sore, but no local reactions noted as described by secretary.   Note:  pt. requested the HIB vaccine, stating he had his spleen removed, and should have vaccine every 5 years, and was due for the vaccine at this point.
Age: 28.0
Sex: M
Vaccine: FLU3, HIBV, PPV
Symptoms: Injection site warmth, Malaise, Nausea
Clinical narrative: Pt. Received vaccines (HIB, Influenza, Pneum. 23, approximately 1030 am on 11/18/2004. He returned later that afternoon at approximately 400pm and stated he had felt "sick" since returning home.  The symptoms he felt were short of breath, heavy chest, dizzy, nauseated. He decided he better return when the symptoms did not go away. Upon presentation and assesment of symptoms, it was determined to give the patient 3 tsp. Benadryl by mouth.  V/S assessed, and patient discharged with instructions to go directly to the local Emergency Room, or contact doctor with further concerns. Secretary also stated he showed her his Left arm where pneumonia and influenza were given was red, hot, and swollen within that 5 1/2 hour period of time.  When I viewed his arm however, either the sleeve was not lifted high enough, or his fingers were covering the site.  Pt. stated his arm was very sore, but no local reactions noted as described by secretary.   Note:  pt. requested the HIB vaccine, stating he had his spleen removed, and should have vaccine every 5 years, and was due for the vaccine at this point.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Client notice an area of redness, slight swelling, and tenderness at site of influenza vaccination.  About "the size of a nickle" with a tiny pinpoint in the middle.  No recollection of a bug bite.  Advised client to call PMD if symptoms worsened or if she had futher concerns.  This writer will apprize health officer. Please note: administered via Bioject system.
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: Blister, Erythema, Skin ulcer
Clinical narrative: PT RECEIVED FLUMIST.  THE FOLLOWING DAY, PT AWOKE IN AM WITH BLISTERS ON TOP OF NOSE AND AROUND LEFT EYE.  PT FELT WELL WHEN WENT TO BED.  PT FEELS BLISTER HAS GOTTEN BIGGER AND ONE POPPED AND OOZED CLEAR LIQUID.  PT DENIES ANY PAIN OR BURNING INSIDE NOSE; NO FEVER, ST, COUGH, RUNNY NOSE OR ACHINESS.  TOP OF NOSE WITH 2 LG 4-6 MM BLISTERED LESIONS, 3 DISCRETE VESICULAR LESIONS AROUND LEFT EYE, 2 BELOW EYELID AND 1 LATERAL, ABOVE CORNER OF EYE EACH ABOUT 2-3 MM.  INSIDE NOSE WITH GENERALIZE REDNESS OF MEDIAL SEPTUM, BUT NO BLISTERS, SCANT MUCOUS. PLAN - KEEP CLEAN WITH GENTLE WASH, CAN APPLY NEOSPORIN.  MOC TO CALL IF ANY PAIN OR BLISTERING IN EYES, SIGNIFICANT SPREADING OR FEVER.  ADDENDUM - MOC STATES ALL BLISTERS HAVE POPPED.  LOOKS LIKE RED BLOTCHES WITH NO DRAINAGE.  MOM STATES SHE THINKS PT TOOK KLEENEX FROM YESTERDAY, THAT VACCINE HAD DRIPPED ON KLEENEX, AND THEN PT WIPED FACE WITH KLEENEX AROUND EYE AREA AND ON NOSE.
Age: 41.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Mouth ulceration
Clinical narrative: Fatigue, fever, chills, rash, vasculitus, mouth sores, joint pain, breathing problems.
Age: 41.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia, Rash, Vasculitis
Clinical narrative: Fatigue, fever, chills, rash, vasculitus, mouth sores, joint pain, breathing problems.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Neuropathy, Pain, Paralysis
Clinical narrative: Client received flu Vaccine in l Deltoid on 11/15/04.  About 2 hours post vaccine client experienced numbness in l thigh.  Problem persised and worsened. Consulted with primary provider on 11/18/04. He spoke to a neurologist who stated that the client had a femerol neuropathy due to the flu vaccination. Paralysis began lifting on 11/19/04 and was totally gone by Sunday Nov 20, 2004. Medical records state Pain as s/s.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Anxiety, Blindness, Cardiac failure, Chills, Depression
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Disturbance in attention, Dyspnoea, Fatigue, Gastrointestinal necrosis, Headache
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hepatic necrosis, Influenza like illness, Injury, Insomnia, Laboratory test abnormal
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Myocarditis, Nasal congestion, Neck pain, Necrosis, Osteoarthritis
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pain, Paranoia, Pulmonary embolism, Pyrexia, Sepsis
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Skin candida, Skin odour abnormal, Thermal burn, Tremor, Wheezing
Clinical narrative: Headaches, bodyaches, chest congestion and flu like symptoms. Insomnia, paranoia, uncontrolable shaking of hands, wheezing out of breath, Loss of vision, anxiety attacks, fatigue, not able to concentrate or read, depression and an odor that came from his skin. Information from medical records state costocondritis, body ache, chills, fever, headache, neck pain, myopericarditis. Autopsy report received & states COD as 80% total body burn, septicemia and multiorgan failure.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash
Clinical narrative: MOTHER REPORTS THAT SHE NOTED RED FLAT RASH ON PATIENT'S BACK, CHEST AND LEGS AFTER SHOWER ON PM AFTER RECEIVING FLU VACCINE IN MORNING.  PER MOTHER'S HISTORY, THE RASH RESOLVES AND RETURNS, SOMETIMES ON UPPER LEGS OR LOWER LEGS.  PHYSICIAN RECOMMENDED STOPPING ALL MEDICATIONS AND RESUMING SLOWLY AFTER RASH RESOLVES
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Patient developed golf ball sized knot with redness surrounding the injection site.  Patient complained site was painful and hot that evening.  Ice applied to site the next day per doctor.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Irritability, Pruritus, Rash
Clinical narrative: Clinical varicella in patient who received the varicella vaccine. Patient had rash, itching and fussiness for about 1 week.
Age: 26.0
Sex: M
Vaccine: FLU3, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain
Clinical narrative: 26 yowm presented 7 days post SPV with ant chest pain, worse w/ each heart beat, improved leaning forward, worse leaning backward, worse with deep breathing.  Denies SOB. States started 3days prior, seen in ER w/ non-specific ST elevation.  Pt returned w/ worsening chest pain & found to have pan ST elevation with PR shortening.  CPK elevated 1461, MB>80, Troponin 23.5.  Pt transferred to 121 for admission, monitoring & cardiac echo.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Neck pain, Shoulder pain
Clinical narrative: Slight swelling without redness at site of injection.  Patient complains of pain radiating to shoulder and neck.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Dyspnoea, Nausea, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: This is a serious study case from a physician in the USA who reports WHEEZING. The reporter determined the events to be possibly related to FluMist vaccination. A physician reports a patient experienced wheezing, considered medically important (OMIC), after receiving FluMist as a participant on a study. On 10/26/04, a 7 year old male received FluMist vaccination. On 10/27/04, the patient developed a mild sore throat in the evening. On the morning of 10/28/04, the patient continued to have a sore throat in addition to a temperature of 101 degrees F and mild nausea. All of the symptoms resolved by noon on the same day, 10/28/04. He remained asymptomatic until the afternoon of 10/30/04 when he developed wheezing and mild shortness of breath. At that time, he had no fever and no other respiratory illness symptoms. His parents took him to the emergency department later that day. He was treated in the ED with a nebulizer treatment to which he responded well. He was sent home with a prescription for albuterol inhaler. The parents of the patient have been giving him albuterol four times daily. The patient has a cough but no other symptoms. The mother anticipates the patient will be able to discontinue albuterol within the next two days and will follow up with their family doctor as needed. The patient's clinical outcome is unknown.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Wheezing
Clinical narrative: This is a serious study case from a physician in the USA who reports WHEEZING. The reporter determined the events to be possibly related to FluMist vaccination. A physician reports a patient experienced wheezing, considered medically important (OMIC), after receiving FluMist as a participant on a study. On 10/26/04, a 7 year old male received FluMist vaccination. On 10/27/04, the patient developed a mild sore throat in the evening. On the morning of 10/28/04, the patient continued to have a sore throat in addition to a temperature of 101 degrees F and mild nausea. All of the symptoms resolved by noon on the same day, 10/28/04. He remained asymptomatic until the afternoon of 10/30/04 when he developed wheezing and mild shortness of breath. At that time, he had no fever and no other respiratory illness symptoms. His parents took him to the emergency department later that day. He was treated in the ED with a nebulizer treatment to which he responded well. He was sent home with a prescription for albuterol inhaler. The parents of the patient have been giving him albuterol four times daily. The patient has a cough but no other symptoms. The mother anticipates the patient will be able to discontinue albuterol within the next two days and will follow up with their family doctor as needed. The patient's clinical outcome is unknown.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Coma, Injection site erythema, Injection site rash, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a registered nurse and a physician concerning an  84 year old female patient with seizure disorder who on 11/4/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 649732/0513P). On 11/5/04, the patient was seen by the doctor for a severe injection site reaction. Her reaction was described by the doctor as being a very diffuse, warm, erythematous, swollen rash around injection site about 4-5 inches up and down the arm. The patient was treated with cephalexin initial because the reaction was thought to be bacterial, but the physician confirmed that it was not. It was reported that the patient was found unresponsive on an unspecified date at home and was brought to the hospital by ambulance. She was hospitalized for 3-4 days and was administered anticonvulsant medication. The physician reported that the patient was not hospitalized due to the vaccination. The physician expressed concern regarding the lot. Additional information has been requested. It was reported that the patient's husband had a similar experience (WAES0411USA01765).
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth
Clinical narrative: Information has been received from a registered nurse and a physician concerning an  84 year old female patient with seizure disorder who on 11/4/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 649732/0513P). On 11/5/04, the patient was seen by the doctor for a severe injection site reaction. Her reaction was described by the doctor as being a very diffuse, warm, erythematous, swollen rash around injection site about 4-5 inches up and down the arm. The patient was treated with cephalexin initial because the reaction was thought to be bacterial, but the physician confirmed that it was not. It was reported that the patient was found unresponsive on an unspecified date at home and was brought to the hospital by ambulance. She was hospitalized for 3-4 days and was administered anticonvulsant medication. The physician reported that the patient was not hospitalized due to the vaccination. The physician expressed concern regarding the lot. Additional information has been requested. It was reported that the patient's husband had a similar experience (WAES0411USA01765).
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dehydration, Diarrhoea, Gastroenteritis, Nausea
Clinical narrative: Complaints of nausea, dry heaves, diarrhea, feeling very weak. Said she started to itch; noticed hives on arms, stomach, back and inside part of legs. Hives were oblong in shape and got very big. Husband called doctor; instructed to call EMS and transported to hospital. Discharge Summary received on 1/12/2005 states gastroenteritis, syncope and dehydration.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Retching, Syncope, Urticaria
Clinical narrative: Complaints of nausea, dry heaves, diarrhea, feeling very weak. Said she started to itch; noticed hives on arms, stomach, back and inside part of legs. Hives were oblong in shape and got very big. Husband called doctor; instructed to call EMS and transported to hospital. Discharge Summary received on 1/12/2005 states gastroenteritis, syncope and dehydration.
Sex: U
Vaccine: FLU3
Symptoms: Convulsion, Dizziness, Lethargy, Nausea, Pyrexia
Clinical narrative: Seizure, developed fever 11/09/2004. Medical Record received on 1/12/2005 states dizziness, nausea, and lethargy.
Sex: F
Vaccine: FLU3, HIBV, IPV, PPV, VARCEL
Symptoms: Feeling hot, Swelling, Tenderness
Clinical narrative: Swollen, tender, hot to touch. Left thigh at site of PPV 23 got better with ice pack and 2 doses daily of Clavix and Singulair in 48 hours.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Condition aggravated, Hypertension, Myalgia, Neck pain
Clinical narrative: Left arm/ neck/ back pain 2 days after injection. Elevated BP 2 days after shot.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Injection site erythema, Injection site reaction, Injection site warmth, Tenderness
Clinical narrative: Complaints of site tenderness, redness and warmth. Complaints of soreness in lungs, denies any cough. Received po on 11/17/04 and states symptoms mostly subsided now.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Redness, swelling, pain, hot arm. Redness 55cm length, circumferential arm left arm.
Age: 1.11
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site reaction, Rash, Rash erythematous
Clinical narrative: The day after the 0.25cc Influenza vaccine was given, the child started breaking out with a red raised rash at the injection site which gradually progressed to his whole body. Parents did not call the doctors office until 11/11/04. Gave Benadryl and the rash went away.
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain, Pyrexia, Swelling
Clinical narrative: 11/04/04: 7pm fever arm was red. Hot to touch. Swelling, painful. 11/10/04 : fever again, all day same symptoms. 11/11/04: went to doctor, prescription issued for Cephalexin 500 mg (Sub-Keflex)
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Rash, Swelling
Clinical narrative: Shot given afternoon of 10/22/04. By evening, arm started swelling and very painful to touch. Swelling continued . By next day arm 1.5 times normal size and rash appeared. Spread down arm. Saw physician 11/1/04. Put on antibiotics for 1 week and antihistamines. Fever of 100 degrees noted.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Received flu vaccine 11/5/04 approximately 9:15a. Stated that within the hour, began experiencing severe leg pain. Call received at 10:30 AM. Pain scale to 1-10 is at an 8:11:30 am.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Pruritus, Rash macular, Urticaria
Clinical narrative: Client received flu vaccine 11/4/04 at approximately 12-12:30 pm. At approximately 8pm felt itching under bra line, around waist, panty line and under arms. Noticed large area of hives and red blotches. She took Benedryl (4 tsp (50mg)) and then at 10:30 pm took 25 mg. Client with slight itching today. No red blotches today. Also complained of some congestion but states no difficulty breathing.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Arm began to feel warm: real red. Redness kept glowing and felt hard in the middle approximate size 8"x8" on 10/27/04.
Age: 1.03
Sex: M
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Eye swelling, Pyrexia, Rash
Clinical narrative: Received MMR on 11/4/04 on 11/12/04 had fever of 103 which lasted until today AM 11/16/04 when a rash broke out on trunk and extremities. Eyes are swollen. Child had been to doctor for fever, before rash with no positive findings at that time except the fever.
Age: 1.02
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Pallor, Rash
Clinical narrative: Blanching rash starting on face to chest, back over 2-3 days, no treatment.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Pain
Clinical narrative: Red from elbow to shoulder. Painful. Site reaction in Rt arm/Pneumovax
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Injection site reaction
Clinical narrative: Cellulitis below site: erythema. Cellulitis at Pneumovax site.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis below site. Cellulitis at Pneumovax site.
Age: 1.58
Sex: M
Vaccine: FLU3, PNC
Symptoms: Convulsion, Otitis media, Pharyngitis, Pyrexia
Clinical narrative: Seizure with fever, 10-12 hours after PCV 7 given. Lasted around 1 min. Generalized nonfocal. Medical Record received on 1/3/2005 states pharyngitis and otitis media.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Skin exfoliation, Urticaria
Clinical narrative: Began with hive like rash 5-6 hours following injection. Symptoms continued with rash transforming into peeling of skin (has been seen x 2 by her doctor).
Age: 1.8
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Pyrexia, Upper respiratory tract infection
Clinical narrative: Pt received flu shot 11/8/04, returned to PCP clinic 11/10/04 with complaints of fever 104 with URI symptoms, diarrhea; given Motrin, Zyrtec, Oratuss and Viravan DM. Instructed to follow up in 2d if temp 101.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Condition aggravated, Difficulty in walking, Hypoaesthesia
Clinical narrative: Received flu vaccine 11/3/04: 2pm. Later in the evening she had increased numbness of her extremities, burning, aching in every joint, chills, fever to 99 degrees. Unable to walk morning of 11/4/04. Patient had history of peripheral neuropathy since 1999. Had been in remission for 7 months: Jan 04 - Aug 04. No history diabetes mellitus. Has been tested for Guillain Barre Syndrome and Lupus, but not diagnosed. She has wheelchair and walker. Has been in wheelchair since 11/3/04. History of asthma. Allergist advised her to get the flu shot.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Skin burning sensation
Clinical narrative: Received flu vaccine 11/3/04: 2pm. Later in the evening she had increased numbness of her extremities, burning, aching in every joint, chills, fever to 99 degrees. Unable to walk morning of 11/4/04. Patient had history of peripheral neuropathy since 1999. Had been in remission for 7 months: Jan 04 - Aug 04. No history diabetes mellitus. Has been tested for Guillain Barre Syndrome and Lupus, but not diagnosed. She has wheelchair and walker. Has been in wheelchair since 11/3/04. History of asthma. Allergist advised her to get the flu shot.
Age: 81.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Loss of consciousness, Vertigo
Clinical narrative: Blacked out. Faintly and weak. Head felt like it was spinning. Lasted about 2 minutes. Few minutes later had same symptom lasted about 2-3 minutes. About 3 days later had same symptoms uptown in store lasted about one minutes. No treatment.
Age: 1.04
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Injection site induration, Injection site rash, Rash papular
Clinical narrative: Two 5 mm and red indurated and fluctuant papular lesions at injection site. Mildly tender. Treated for cellulitis with Cephalexin x 10days.
Age: 1.04
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Two 5 mm and red indurated and fluctuant papular lesions at injection site. Mildly tender. Treated for cellulitis with Cephalexin x 10days.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Fatigue, Headache, Injection site oedema, Loss of consciousness
Clinical narrative: Lymphadenopathy, anterior cervical chain. Comment: cervical node swelling and tenderness x 7 days. Headache, general. Fatigue, Malaise <60 Days, Erythema, Edema at injection site 50-120 mm , Tenderness, Lymphadenopathy axillary, Blurred Vision: visual changes including blurring intermittently; describes as black out. ...couldn't see; lasted < 1 minute.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphadenopathy, Malaise, Swelling, Tenderness, Vision blurred
Clinical narrative: Lymphadenopathy, anterior cervical chain. Comment: cervical node swelling and tenderness x 7 days. Headache, general. Fatigue, Malaise <60 Days, Erythema, Edema at injection site 50-120 mm , Tenderness, Lymphadenopathy axillary, Blurred Vision: visual changes including blurring intermittently; describes as black out. ...couldn't see; lasted < 1 minute.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Rash papular, Urticaria
Clinical narrative: 10/22/04: notified the rash in the area at chicken pox vaccine was injected and itching. Came to clinic today 10/25/04 to have his arm check. At upper right tricep region has slightly pin wheal 3cm in diameter and has several dried pin head papules on both arm. No other symptom. Advised to observe and can take Benadryl for itching. Rash disappear 4 days later and feeling fine.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: 10/18/2004: Mother noticed the redness on her right arm where she received Varicella vaccine. No other symptoms. Check her right deltoid has redness and wheal 2cm in diameter. Told MOC to observe if worsen and have other rash to keep the child home and let us know. Mother of child stated rash disappear 4 days later and feeling fine.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Malaise, Urticaria
Clinical narrative: onset 11/18/04 am complaint of not feeling good. Checked her arm where she received the vaccine had redness . No hives. Pt came in clinic and her right deltoid has redness and wheal 2 cm in diameter and has 2 tiny spot on her left arm. No other symptoms feeling fine today. Told MOC to observe if the wheal got worse or has more spots to keep her home and let us know. 10/24/04: rash was gone and feeling fine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: 2 days post vaccination developed redness and induration of upper arm : 10cm x 6.5cm. Treated with Keflex. 3 days later symptoms were gone.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: 8 cm diameter area of redness and tenderness around vaccine site. Some induration present. No abscess palpable or visible. No groin adenopathy. This occurred about one week after the shot. Given Rx for antibiotic.
Age: 25.0
Sex: M
Vaccine: MMR, TD
Symptoms: Coma, Musculoskeletal stiffness, Pallor, Staring, Swelling
Clinical narrative: Shortly after receiving TD and MMR vaccine , client fell to floor Body stiff. Hand clenched, eyes without movement, color pale. Client unable to answer to verbal stimuli for 1-2 minutes. V/S taken x 2 WNL. Large swollen knot felt left occipital area head.
Age: 30.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash, Swelling, Urticaria
Clinical narrative: Rash/ hives over trunk, arms and face : swollen around eyes. Itching, immunization given 11/16/2004. Symptom onset 11/20/04. Resolved without treatment 11/22/04.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Decreased activity, Pyrexia
Clinical narrative: 9/9/04: Pt with temp 100.5, also feeding less, decreased activity that day. Pt then had generalized seizure evening of 9/9/04 was transported by parents around 7:30pm and then transferred to hospital for evaluation of seizure.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pruritus, Rash
Clinical narrative: Pt got MMR on 11/16/04. Returned to clinic today with rash to arms, abdomen, neck, legs. Rash worse in folds of neck, elbows, abdomen. Patient reports rash and itching began this morning after eating eggs and that she has never had a problem with eggs before. Patient left clinic to see her private doctor. Patient left clinic to see PCP.
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Patient's parents stated "around 9:00pm the baby started breaking out in big whelps. We took him to the ER. Also stated "the doctor said that if he (baby) wasn't on Decadron that it could have been worse."
Age: 1.12
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Candidiasis, Pyrexia, Rash erythematous
Clinical narrative: Patient received immunization on 10/25/04 and saw RNP 10/29/04 for red, raised rash on his trunk area with white patch in his mouth and a fever. Starting with right leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Pyrexia, Swelling
Clinical narrative: Low grade fever 100.6F. Swelling to entire right leg.
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Left thigh and redness and swelling one hour after injection, erythema ensued 2 days later was treated for cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Skin discolouration
Clinical narrative: Large indurated pink/ brown / black area of skin at left thigh. Treatment: Atarax
Age: 12.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Took first pill 11/15/04. On 11/16/2004 started having a headache and nausea. On 11/17/04 took second pill and vomited x 4 during the night. On 11/18/04 continues with a headache. No fever. Able to eat and drink. Tylenol help relieve the headache.
Age: 1.02
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Dysphonia, Movement disorder, Pyrexia, Swelling
Clinical narrative: Hoarseness, not moving legs: took to clinic appointment 4pm and saw PA. No treatment ordered except to continue with Tylenol q 4 hours 12:30 AM 11/13/2004  102 degree fever, hoarse, not moving legs, swollen left thigh, took to ER, doctor contacted. No treatment ordered, but continued with Tylenol. 11/13/04 5p, up walking, no fever,hoarse, drinking, no discomfort noted.
Age: 1.59
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Erythema, Injection site induration
Clinical narrative: 6x8 cm area of erythema with induration anterior left thigh.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swelling, redness and pain ~4x6" to Left arm. Advise in use of cold compresses, ibuprofen 400 q 46 h, Benadryl 50mg q hr
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash appeared on chest, stomach, back and face 11/15/04.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Tenderness
Clinical narrative: 3 cm diameter erythema, induration, warmth, pain, tender, left deltoid area.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Screaming
Clinical narrative: Received immunizations at 2PM by 6PM that evening uncontrolled crying for 3 hrs. No fever, just crying.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Swelling at injection site 3"x2" tender and redness.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash to upper back
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis below site