chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: DTAP, HEPA, IPV, TYP
Symptoms: Acute disseminated encephalomyelitis, Blood product transfusion, CSF test, Diplopia, Dizziness
Clinical narrative: Acute disseminate encephalomyelitis symptoms. Pain behind eyes, dizziness, shooting pain in lower extremities, urinary retention, bowel impaction, numbness lower extremities, loss of hot/cold sensation in lower legs, muscular weakness in legs, double vision, duration 18 days, treatment: IVIG and ACYCLOVIR. 9/3/09-Clinic progress note of 1/16/09 seen for GI dysfunction, constipation. On-going leg spasms R>L during sleep. Light sensitivity.
Age: 50.0
Sex: M
Vaccine: DTAP, HEPA, IPV, TYP
Symptoms: Eye pain, Faecaloma, Hypoaesthesia, Laboratory test, Muscular weakness
Clinical narrative: Acute disseminate encephalomyelitis symptoms. Pain behind eyes, dizziness, shooting pain in lower extremities, urinary retention, bowel impaction, numbness lower extremities, loss of hot/cold sensation in lower legs, muscular weakness in legs, double vision, duration 18 days, treatment: IVIG and ACYCLOVIR. 9/3/09-Clinic progress note of 1/16/09 seen for GI dysfunction, constipation. On-going leg spasms R>L during sleep. Light sensitivity.
Age: 50.0
Sex: M
Vaccine: DTAP, HEPA, IPV, TYP
Symptoms: Nuclear magnetic resonance imaging brain, Pain, Pain in extremity, Sensory loss, Urinary retention
Clinical narrative: Acute disseminate encephalomyelitis symptoms. Pain behind eyes, dizziness, shooting pain in lower extremities, urinary retention, bowel impaction, numbness lower extremities, loss of hot/cold sensation in lower legs, muscular weakness in legs, double vision, duration 18 days, treatment: IVIG and ACYCLOVIR. 9/3/09-Clinic progress note of 1/16/09 seen for GI dysfunction, constipation. On-going leg spasms R>L during sleep. Light sensitivity.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: CSF glucose normal, CSF protein increased, CSF white blood cell count negative, Facial paresis, Guillain-Barre syndrome
Clinical narrative: Pt is 20 yo male with 1 wk progressive weakness in LE's and 2 hx of facial weakness. Weakness is asymmetric, prox > distal. Decreased reflexes throughout. Reports received vaccine at work 1 month ago. Diagnosis GBS. 12/11/08-numbness in fingers and toes began on 1/26/08 then legs achy, leg weakness gait changes.Left Face drooping and twitches. Slurred speech, voice changes, taste different. Unable to perform activities of daily living. Decreased strength and coordination. Areflexia, ascending weaknesses.  Moderate dysarthria. Increased time to masticate foods. Treated with IVIG. Bloodpressure elevated. Asymptomatic parasympathetic dysregulation possibly a cysautonomia in cortex of GBS. Sinus pauses with labile BP/HR.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Hyporeflexia, Lumbar puncture, Muscular weakness
Clinical narrative: Pt is 20 yo male with 1 wk progressive weakness in LE's and 2 hx of facial weakness. Weakness is asymmetric, prox > distal. Decreased reflexes throughout. Reports received vaccine at work 1 month ago. Diagnosis GBS. 12/11/08-numbness in fingers and toes began on 1/26/08 then legs achy, leg weakness gait changes.Left Face drooping and twitches. Slurred speech, voice changes, taste different. Unable to perform activities of daily living. Decreased strength and coordination. Areflexia, ascending weaknesses.  Moderate dysarthria. Increased time to masticate foods. Treated with IVIG. Bloodpressure elevated. Asymptomatic parasympathetic dysregulation possibly a cysautonomia in cortex of GBS. Sinus pauses with labile BP/HR.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Teething
Clinical narrative: On 10/1/2008 clinic visit for vaccines, mom stated that patient had 101 degrees fever 1 week after 8/6/08 vaccines given.  Taken to Emergency. Was teething at that time also.
Age: 68.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: None stated
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Hard, reddened area 2 x 2 cm.  Increased warmth.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Itchiness - arms, back, shoulders, face.  First aid squad called.  Patient refused to be transported to E.R. and signed release.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Electrocardiogram normal, Heart rate, Hyperhidrosis, Muscle rigidity, Posture abnormal
Clinical narrative: 5 minutes after administration, arms and legs went rigid; arms/hands turned inward at center of body; head stiff and turned to left shoulder; no response to verbal/tactile stimuli; lasted 30-40 seconds.  Then began talking and was oriented to person, place, and time; sweating.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: 5 minutes after administration, arms and legs went rigid; arms/hands turned inward at center of body; head stiff and turned to left shoulder; no response to verbal/tactile stimuli; lasted 30-40 seconds.  Then began talking and was oriented to person, place, and time; sweating.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Injection site erythema
Clinical narrative: Baby's legs turned bright red from thighs to toes. No breathing problems or SOB.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Apnoea, Blood culture, Chest X-ray, Dyspnoea, Electroencephalogram
Clinical narrative: Stopped breathing x 1 min. Baby was pale, but not blue. Mom picked her up + stimulated her, she came around gasping for air. Baby was fine prior to this. Mom brought baby to office the following morning. Baby put on apnea monitor
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Full blood count, Metabolic function test, Pallor
Clinical narrative: Stopped breathing x 1 min. Baby was pale, but not blue. Mom picked her up + stimulated her, she came around gasping for air. Baby was fine prior to this. Mom brought baby to office the following morning. Baby put on apnea monitor
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: (Started 10/25/2008)  Severe itching (generalized) over entire trunk, upper/lower extremities.  10/27 itching continued to 10/30/08 (evening) Received prescription at clinic-See enclosed
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Oxygen saturation, Throat tightness, Urticaria
Clinical narrative: Received flu vaccine and early afternoon developed bilateral hives to arms/back, shortness of breath, throat tightness. - (10-21-08) Took BENADRYL tablets she has at home and then came to health clinic at 9:30 PM the following day.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: Jul 02, 2008-Tetanus shot-adverse reaction-diarrhea, vomiting, achy muscles. After two months my shoulder and arms/hands ache with pain. I encountered headache and still the muscle are hurting. (11.05.08).
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Jul 02, 2008-Tetanus shot-adverse reaction-diarrhea, vomiting, achy muscles. After two months my shoulder and arms/hands ache with pain. I encountered headache and still the muscle are hurting. (11.05.08).
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Injection site haematoma, Injection site pain, Nausea, Paraesthesia
Clinical narrative: Fever and nausea several hours after the shot for 1 week. Injection site soreness and bruising. Left arm continuing to tingle and go numb, even 1.5 months after injection.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: Fever and nausea several hours after the shot for 1 week. Injection site soreness and bruising. Left arm continuing to tingle and go numb, even 1.5 months after injection.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Ocular hyperaemia, Oropharyngeal pain, Sensation of foreign body, Urticaria
Clinical narrative: Throat sore felt like lump in throat-3pm. About 1hr later yes blood shot with pus (white). Hives were noted next AM upon waking on right side of stomach- red strip with few off to side. Called MD and was told to take Claridan 10mg as directed. 11/15 hives fading, not itchy.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Reports  itching, redness and warmth at site 10/28/2008.  Blister formed 10/29/2008. Today reddened area measure 120 mm x 100mm.  Blister 45mm x52mm.  Area still appears red at FU
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Patient was administered a flu shot on 10/15/2008. Patient came in on 10/26/2008 and showed me her arm which was bruised in the deltoid area of her left arm. Pt stated she developed bruise 2-3 days after getting shot. Pt. said bruise is healing still as of 10/28/2008.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Skin warm, Urticaria
Clinical narrative: 3" red welt, arm warm to touch , painful 3 or 4/10
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye discharge, Urticaria
Clinical narrative: "Oozing eyes", difficulty breathing , hives.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity, Phlebitis, Ultrasound Doppler
Clinical narrative: Swelling in arm and pain following administration.  Dr. diagnosed her with phlebitis and prescribed Bactrim DS & Prednisone.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Grip strength decreased, Musculoskeletal pain, Pain in extremity, Tendonitis
Clinical narrative: Patient stated his arm and shoulder (left) hurt when moved. He also had trouble gripping with the left hand. Patient came back to report trouble on 10/28/2008. Treated 10/29/2008 at the hospital. He said the diagnosis was tendonitis. On 10/31/2008 patient was contacted to find out how he was doing. Patient stated it was feeling better.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Broke out in welps.  Friday evening 10-31-08 after receiving FLUMIST that day BENADRYL given welps continues X days. Now better.  Notified office 11-3-08
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Erythema, Heart rate normal, Oxygen saturation normal, Tremor
Clinical narrative: Pt. presented with tightness in chest feeling shaky and redness on chest, face and arms. Patient vitals taken at 1038, 166/94 81 100% (RA). Patient placed in bed and monitored, at 1115. Pt's vitals 130/84 70 98% (RA). Examined patient, patient stated feeling better.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Aphonia, Cough, Dyspnoea, Nausea, Pharyngeal oedema
Clinical narrative: Throat swelling and chronic cough for over half an hour, hives during coughing episode.  Nauseated feeling, loss of voice, shortness of breath.  Voice returned next day.  Scratchy throat for three days.  No treatment sought.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation, Urticaria
Clinical narrative: Throat swelling and chronic cough for over half an hour, hives during coughing episode.  Nauseated feeling, loss of voice, shortness of breath.  Voice returned next day.  Scratchy throat for three days.  No treatment sought.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature, Feeling cold, Hot flush, Injection site erythema, Injection site pain
Clinical narrative: 24 hrs. after receiving flu zone 0.5ml IM. Pt presented with 3.5x2 cm swelling, redness, and pain at injection site (left deltoid). Entire arm was "sore" and felt nausea and hot/cold flashes. Had stinging pain with left arm movement and rad to left hand. Temp 98 degrees. Treated with Keflex and to follow up with PCP or ER.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Nausea, Pain, Pain in extremity
Clinical narrative: 24 hrs. after receiving flu zone 0.5ml IM. Pt presented with 3.5x2 cm swelling, redness, and pain at injection site (left deltoid). Entire arm was "sore" and felt nausea and hot/cold flashes. Had stinging pain with left arm movement and rad to left hand. Temp 98 degrees. Treated with Keflex and to follow up with PCP or ER.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Pruritus, Urticaria
Clinical narrative: Pt awoke at 2:30 am with hives on back, buttocks and legs. Palms of hands and hives were itchy.  Eyes were swollen.  Pt administered 2 BENADRYL quick dissolve strips.  itching resolved in 10-15 minutes.  Within 1 hr remainder of symptoms resolved and pt returned to sleep.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Diarrhoea, Lymphadenopathy, Nausea
Clinical narrative: Diarrhea X 3.  Took Imodium 10-31-08.  Swollen, tender lymph node under left arm.  Going down now.  No fever.  Mild nausea on 11/3/08.
Age: 14.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Burning sensation, Chest pain, Dyspnoea, Paraesthesia, Pleurisy
Clinical narrative: App. 20 min. after receiving vaccine, pt. c/o burning chest pain w/difficulty breathing.  V/S: 148/96 R-20 P-82, clear breath sounds and auscultation arteriorly and posteriorly, no rash, c/o tingling to both hands.  Had pt. breathe in paper bag with no relief.  Client stated CP too bad to ambulate, EMS called & pt. transported to local hospital. Pt. released same day from ER, DX: pleurisy.
Age: 0.8
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5cc, adult dose of Preservative-free FLUZONE
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Gaze palsy, Hypotonia, Neurological examination normal, Pallor
Clinical narrative: About 1 minute after receiving the MENACTRA (L arm) HPV vaccine (GARDASIL) (R) arm. Pt's eyes rolled back and she slumped over, no color, came to within seconds.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Soreness Left upper arm developed day after injection on    redness and hotness    developed. On 10/15/2008 soreness was  decreased redness and hotness of injection area left upper arm is about 5 1/2 wide 2 1/2 high with some irregular borders.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain, X-ray limb normal
Clinical narrative: (L) shoulder pain after shot (immediately) then resolved after a few days, then recovered, now persists. 1 month after vaccine.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Patient said arm became numb 5 min. after vaccination and returned to work.  Returned in 30-40-minutes to report numbness, had patient sit and observed for 20-30 minutes, at which time said numbness fading.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Unresponsive to stimuli
Clinical narrative: Pt became pale and diaphoretic about 5 mins after injection given. Pt passed out and became unresponsive but was breathing for 5 mins-after given cool cloth and cool water and placed on exam bed Pt became responsive - color improved and was released with Mom in 10 mins.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain in right arm near shoulder, says pain radiates downward. Unable to move arm above head.
Age: 62.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Joint swelling
Clinical narrative: Right elbow swelling
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain in arm where the injection was given. Tx=Ibuprofen - one time  400mg. Hurt for 3 days.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Feeling abnormal, Flushing, Heart rate increased, Respiratory rate increased
Clinical narrative: 3 pm 10/30/08 Sister phoned stating Pt does not feel good at all. States pt's face is very flushed, P-100, R-44 and feeling very anxious. Pt vomited. Denied SOB, wheezing, hives, paleness or dizziness. Pt advised per Dr to use TYLENOL and rest. May also take BENADRYL.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 3 pm 10/30/08 Sister phoned stating Pt does not feel good at all. States pt's face is very flushed, P-100, R-44 and feeling very anxious. Pt vomited. Denied SOB, wheezing, hives, paleness or dizziness. Pt advised per Dr to use TYLENOL and rest. May also take BENADRYL.
Age: 8.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 10-23-08 Pt received  Fluvax and PPV23 in RA -10-27-2008 seen for c/o 24 degree redness, swelling, tenderness @ injection site- recommend ice, diphenhydramine prn with effect.  Given PPV23 because only received 2 doses PCV7- History asthma-
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt developed hives/itching - face, neck and forearms. As of 11/10/08 pt has itching of forearms only.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: Started Prednisone 50 mg x 2d, Phen 40 mg x 2d etc (in tapering fashion) on 10/31.  Left leg pain and rash.  Started 11/1 or 11/2, seen on 11/5 had typical Zoster rash.  Distribution left leg.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Local swelling, Pain, Skin warm
Clinical narrative: pt. noticed are was bruised, tender to touch, it was reddish in color and swollen, warm to touch. Area was very painful.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: pt. noticed are was bruised, tender to touch, it was reddish in color and swollen, warm to touch. Area was very painful.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain lower, Arthralgia, Lymphadenopathy
Clinical narrative: Arthralgia involving both knees X 1 yr. Intermittent (R) Lower abdomen pain and interconcomitant glandular swelling neck area. 11/20/08-records received for DOS 11/7/08-C/O left wrist pain x 2 days, denies trauma but last evening collided with another person  and hyperextended left wrist. C/O knee arthralgia and swelling since receiving Garadsil.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Pt had swelling and urticaria of (R) arm.
Age: 1.1
Sex: M
Vaccine: UNK
Symptoms: Ataxia, Body temperature increased, Cardiac function test normal, Chest X-ray normal, Decreased appetite
Clinical narrative: Both office visits attached. Ataxia, ?Fever, Irritability, Decreased appetite 10/27/08 and 10/29/08
Age: 1.1
Sex: M
Vaccine: UNK
Symptoms: Gastrointestinal sounds abnormal, Irritability, Pyrexia
Clinical narrative: Both office visits attached. Ataxia, ?Fever, Irritability, Decreased appetite 10/27/08 and 10/29/08
Age: 7.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: DTaP administered as catch up instead of Td
Sex: U
Vaccine: HEP, HEPA, YF
Symptoms: Injection site pain
Clinical narrative: Pain (Rt) shoulder/arm - Hep B injection 10/31/08.
Age: 0.6
Sex: F
Vaccine: DTAP
Symptoms: Head titubation, Screaming
Clinical narrative: C/O patient had shot on Friday and last night she was screaming and shaking her head like a convulsion.  She did it twice.  Mom wants to know if that's a reaction of the (imm).
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Neutrophil percentage increased, White blood cell count increased
Clinical narrative: 10/18/2008 presented to ED with cellulitis arm, put on followed up in ED 10/19 and 10/20/08.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: 10-29-08 started with chills, fever and arm pain.  10-30-08 repeat of previous night.  10-31-08 pain in arm and neck.  11-1/11-2 rash with itching.  Treatment self medicated with Benadryl.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Red Swelling to right arm elbow to shoulder, warm, fever.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site 5 cm x 3 cm area.  Benadryl 50mg IM x 1 dose given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 12 cm red area Rt thigh
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hyperhidrosis, Pain
Clinical narrative: Patient had stated no illness at time of injection and stated no reaction at end of her shift.  Next day patient called stating she had a headache prior to receiving injection and had worsened throughout the day c/o swelling all night and now had body aches, patient to see PCP.
Age: 19.0
Sex: M
Vaccine: FLUX
Symptoms: Muscular weakness, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 102.4 Fever, Sore throat, aches and muscle weakness
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Condition aggravated, Cough, Pyrexia, Respiratory disorder, Rhinorrhoea
Clinical narrative: Patient reports exacerbation of cough, increased mucus and respiratory symptoms with fever 4-5 days after influenza vaccine. Still has symptoms. Has not seen MD. Taking OTC cough syrup and Tylenol.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Eye irritation, Eye pruritus, Headache
Clinical narrative: This healthy 46-year-old received a flu shot around 10:30 a.m. this morning.  Around noon she developed a dry, hacky cough, mild headache and body aches.  She took some cold medicine thereafter developing a feeling of palpitations and mild shortness of breath.  Now at 5:30 p.m. those two symptoms have resolved, but she feels very achy, has very red, irritated, itchy eyes, a fever and congestion.  She does note in retrospect that she did have some body aches this morning upon waking.  No known exposures.  No previous reaction to flu shots.  No history of egg allergy or other comorbidities.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: No reaction on previous exposure to drug, Ocular hyperaemia, Pain, Palpitations, Pyrexia
Clinical narrative: This healthy 46-year-old received a flu shot around 10:30 a.m. this morning.  Around noon she developed a dry, hacky cough, mild headache and body aches.  She took some cold medicine thereafter developing a feeling of palpitations and mild shortness of breath.  Now at 5:30 p.m. those two symptoms have resolved, but she feels very achy, has very red, irritated, itchy eyes, a fever and congestion.  She does note in retrospect that she did have some body aches this morning upon waking.  No known exposures.  No previous reaction to flu shots.  No history of egg allergy or other comorbidities.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Respiratory tract congestion
Clinical narrative: This healthy 46-year-old received a flu shot around 10:30 a.m. this morning.  Around noon she developed a dry, hacky cough, mild headache and body aches.  She took some cold medicine thereafter developing a feeling of palpitations and mild shortness of breath.  Now at 5:30 p.m. those two symptoms have resolved, but she feels very achy, has very red, irritated, itchy eyes, a fever and congestion.  She does note in retrospect that she did have some body aches this morning upon waking.  No known exposures.  No previous reaction to flu shots.  No history of egg allergy or other comorbidities.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Condition aggravated, Cough, Influenza, Injection site pain, Pyrexia
Clinical narrative: Client reports pain in left shoulder near injection site beginning 2 days after immunization. Pain and tenderness increased through 3rd and th day. Still has pain with certain movements and tendernees. Denies swelling,redness or induration. States feels like when he had a torn muscle. Took Tylenol. Also reprots exacerbation of "flu" symptoms, increase, cough, Mucus, slight fever 4-5 days after immunizations recieved.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rhinorrhoea, Tenderness
Clinical narrative: Client reports pain in left shoulder near injection site beginning 2 days after immunization. Pain and tenderness increased through 3rd and th day. Still has pain with certain movements and tendernees. Denies swelling,redness or induration. States feels like when he had a torn muscle. Took Tylenol. Also reprots exacerbation of "flu" symptoms, increase, cough, Mucus, slight fever 4-5 days after immunizations recieved.
Age: 12.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: Adenoidal disorder, Condition aggravated, Diarrhoea, Ear infection, Headache
Clinical narrative: Ashli started with ear issues was given AMOXI/CLAV same day as injection then after the injection it was stomache, headaches, diarrhea, then and now they claim an adenoid issue. Was seen by MD 9/12/08, 10/18/08, and 10/22/08. DX with ear infection still then stated stomach issues were the ATBX. Next was DX: without Xray it was a sinus infect was given Zithromax then it was a UTI was given Sulfa. I was one thing after another and she has never been sick like this before. She still doen't "feel herself" yet.
Age: 12.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: Mononucleosis heterophile test, Sinusitis, Stomach discomfort, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Ashli started with ear issues was given AMOXI/CLAV same day as injection then after the injection it was stomache, headaches, diarrhea, then and now they claim an adenoid issue. Was seen by MD 9/12/08, 10/18/08, and 10/22/08. DX with ear infection still then stated stomach issues were the ATBX. Next was DX: without Xray it was a sinus infect was given Zithromax then it was a UTI was given Sulfa. I was one thing after another and she has never been sick like this before. She still doen't "feel herself" yet.
Age: 12.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: X-ray
Clinical narrative: Ashli started with ear issues was given AMOXI/CLAV same day as injection then after the injection it was stomache, headaches, diarrhea, then and now they claim an adenoid issue. Was seen by MD 9/12/08, 10/18/08, and 10/22/08. DX with ear infection still then stated stomach issues were the ATBX. Next was DX: without Xray it was a sinus infect was given Zithromax then it was a UTI was given Sulfa. I was one thing after another and she has never been sick like this before. She still doen't "feel herself" yet.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Induration
Clinical narrative: Flu-like symptoms to include fever, headache, body aches, nausea, extreme tiredness, pain, redness, swelling, hard knot the size of an Olympic medal at injection site, chills, swollen lymph glands, all of which began late in the day the injection was given (11:00 in the morning) and lasting for two full days, fatigue and arm soreness, redness and knot lasting into the third day. (today)
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Flu-like symptoms to include fever, headache, body aches, nausea, extreme tiredness, pain, redness, swelling, hard knot the size of an Olympic medal at injection site, chills, swollen lymph glands, all of which began late in the day the injection was given (11:00 in the morning) and lasting for two full days, fatigue and arm soreness, redness and knot lasting into the third day. (today)
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Nausea, Pain, Pyrexia
Clinical narrative: Flu-like symptoms to include fever, headache, body aches, nausea, extreme tiredness, pain, redness, swelling, hard knot the size of an Olympic medal at injection site, chills, swollen lymph glands, all of which began late in the day the injection was given (11:00 in the morning) and lasting for two full days, fatigue and arm soreness, redness and knot lasting into the third day. (today)
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Breast pain, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received flu and pneumonia vaccine on 10/20/08.  C/O pain in injection site (LA) immediately.  Continued to be painful with radiation under arm to L breast area.  Vomiting on 10/21/08--reported to ER on 10/21/08.  Swelling, redness @ site.  Patient requested both given in L arm. Patient has signed release of record form to get hospital records for further medical information regarding this incident. 11/18/08 Reviewed hospital medical records of 10/21-10/24/2008. FINAL DX: cellulitis left shoulder; right shoulder pain secondary to fall at home; & acute gastroenteritis w/dehydration Records reveal patient experienced nausea, vomiting & weakness x 2 days.  Injection site edema, erythema, warmth & pain which extended into left anterior chest wall.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Received flu and pneumonia vaccine on 10/20/08.  C/O pain in injection site (LA) immediately.  Continued to be painful with radiation under arm to L breast area.  Vomiting on 10/21/08--reported to ER on 10/21/08.  Swelling, redness @ site.  Patient requested both given in L arm. Patient has signed release of record form to get hospital records for further medical information regarding this incident. 11/18/08 Reviewed hospital medical records of 10/21-10/24/2008. FINAL DX: cellulitis left shoulder; right shoulder pain secondary to fall at home; & acute gastroenteritis w/dehydration Records reveal patient experienced nausea, vomiting & weakness x 2 days.  Injection site edema, erythema, warmth & pain which extended into left anterior chest wall.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Chills, Headache, Hyperhidrosis, Lymphadenopathy
Clinical narrative: Left upper arm swelled up and lymph glands in left axilla became swollen and painful.  Chills alternating with sweats and headache and nausea.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Oedema peripheral
Clinical narrative: Left upper arm swelled up and lymph glands in left axilla became swollen and painful.  Chills alternating with sweats and headache and nausea.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Headache
Clinical narrative: dizziness, light headedness, headache
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Fatigue, Feeling cold, Lacrimation increased
Clinical narrative: Got the flu shot around 5pm and around 8:30pm started feeling a little tickle in my throat.  The tickle started getting worse and i started coughing a lot.  Then it seemed like my throat was closing up.  I also started shivering and felt extremely cold (chills).  I began vomiting, my heartbeat was racing, my eyes were real red (on the white part) and watery.  I was also wheezing when i exhaled. I took two capsules of Benadryl and after about 20 minutes my throat felt better.  I was breathing better.  I still had chills and now had a fever of 101.8.  Most of the symptoms subsided but I have remained tired and fatigued feeling.  I have also had low grade fever off and on for 3 days now.  I went to see the doctor on Friday and she believes I did indeed have an allergic reaction to the flu shot.  I am also allergic to codeine and codone.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Ocular hyperaemia, Palpitations, Pyrexia, Throat irritation, Throat tightness
Clinical narrative: Got the flu shot around 5pm and around 8:30pm started feeling a little tickle in my throat.  The tickle started getting worse and i started coughing a lot.  Then it seemed like my throat was closing up.  I also started shivering and felt extremely cold (chills).  I began vomiting, my heartbeat was racing, my eyes were real red (on the white part) and watery.  I was also wheezing when i exhaled. I took two capsules of Benadryl and after about 20 minutes my throat felt better.  I was breathing better.  I still had chills and now had a fever of 101.8.  Most of the symptoms subsided but I have remained tired and fatigued feeling.  I have also had low grade fever off and on for 3 days now.  I went to see the doctor on Friday and she believes I did indeed have an allergic reaction to the flu shot.  I am also allergic to codeine and codone.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting, Wheezing
Clinical narrative: Got the flu shot around 5pm and around 8:30pm started feeling a little tickle in my throat.  The tickle started getting worse and i started coughing a lot.  Then it seemed like my throat was closing up.  I also started shivering and felt extremely cold (chills).  I began vomiting, my heartbeat was racing, my eyes were real red (on the white part) and watery.  I was also wheezing when i exhaled. I took two capsules of Benadryl and after about 20 minutes my throat felt better.  I was breathing better.  I still had chills and now had a fever of 101.8.  Most of the symptoms subsided but I have remained tired and fatigued feeling.  I have also had low grade fever off and on for 3 days now.  I went to see the doctor on Friday and she believes I did indeed have an allergic reaction to the flu shot.  I am also allergic to codeine and codone.
Age: 14.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: C/O fever (103-104 degrees) approximately 24 hours after vaccines and redness and swelling "size of baseball" in L arm began approximately 24-28 hours after vaccine.  Also child C/O  pain and achiness.  Was evaluated by Dr. Temp 101 degrees at MD office.  Parent states MD advised was allergic reaction to pneumonia vaccine.  Advised treat with Tylenol and rest by private MD.
Age: 0.83
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pyrexia, Rash
Clinical narrative: High fever (103) 10 mins after injection with rash shortly therafter
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Depression
Clinical narrative: The patient received the injection on 10/13/08 in the morning.  That evening the patient said he began experiencing symptoms of depression.  The following day, the patient said he said he was still experiencing the depressive symptoms, but lacked suicidal thoughts.  Four days after receiving the injection, the patient said the symptoms were improving, but were still present.  One week from the date of receiving the injection, the patient said the symptoms were gone.  The patient had no history of depression or any reasons for the new onset of depresssion.
Age: 5.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Right upper arm started to swell and became itchy the day after (day 2) receiving menactra vaccine.  No pain.  Right upper arm & 1/2 lower arm swollen on the following day (day 3).
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Malaise, Pain, Pyrexia
Clinical narrative: About 3-4 hours after injection, patient began to have a cough and not feel well. Later in the afternoon and into the evening, she reported body aches, fever of 101.2 and a headache. She slept "fairly well" and woke up the next day feeling ok. No redness or swelling at site of injection.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, TTOX
Symptoms: Erythema, Pain in extremity
Clinical narrative: received PNE/FLU vaccine in right arm and Td in left arm on friday Nov 7,2008.  Pt awakened at 0230am Nov 8th to pain in right arm and redness.  Pt took Tylenol.  Pt states felt better on Nov 9th.  Pt called this morning to report the s/s and we asked her to come to the clinic so we could document our findings.  Her right arm has pinkish streak mid upper arm about 1 in wide by 4 in long. No swelling.  Pt states still painful to touch.  Pt states feeling better today.  Pt instructed to continue taking Tylenol prn pain.  Pt instructed that s/s should resolve fully and she should feel better.  If s/s worsen she needs to call her doctor.  Pt instructed that we will follow up with her in one week.  Pt also instructed to call clinic if any questions/concerns.  Pt voices understanding of above.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Dyspnoea, Pyrexia, Rash generalised
Clinical narrative: TOTAL BODY RASH, FEVER CONFUSION AND SHORTNESS OF BREATH THAT ALL STARTED IN THE EVENINING AFTER THE VACCINATON
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Back pain, Chest discomfort, Chest pain, Discomfort
Clinical narrative: 11/5/08 Late night or early 11/6.  Chest and back pain, pressure in chest, shortness of breath.  Sides of neck had odd sensation, like "bubbles going up", began shortly after with a bad headache at the back of the head.  Ankles painful, left arm where shot given painful down to elbow.  Made sure high blood pressure meds were taken.  Also took med for relaxation.  The next morning still had HA, soreness all over, fatigue and difficulty breathing.  Went to cardiologist on 11/7/08.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Headache, Musculoskeletal discomfort
Clinical narrative: 11/5/08 Late night or early 11/6.  Chest and back pain, pressure in chest, shortness of breath.  Sides of neck had odd sensation, like "bubbles going up", began shortly after with a bad headache at the back of the head.  Ankles painful, left arm where shot given painful down to elbow.  Made sure high blood pressure meds were taken.  Also took med for relaxation.  The next morning still had HA, soreness all over, fatigue and difficulty breathing.  Went to cardiologist on 11/7/08.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: 11/5/08 Late night or early 11/6.  Chest and back pain, pressure in chest, shortness of breath.  Sides of neck had odd sensation, like "bubbles going up", began shortly after with a bad headache at the back of the head.  Ankles painful, left arm where shot given painful down to elbow.  Made sure high blood pressure meds were taken.  Also took med for relaxation.  The next morning still had HA, soreness all over, fatigue and difficulty breathing.  Went to cardiologist on 11/7/08.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Anorexia, Asthenia, Bed rest, Blood glucose increased
Clinical narrative: Immunized= 11/07/08 @ 11:30 a.m.  Adverse reactions started @ 5:00 p.m.same day. On set reactions were: 1) vomiting, extreme stomach pain, dizziness, headache,heart palipations/ rate  90), high blood sugar: above 300, high BP, low grade fever, chills, nausea and diarrhea.  TREATMENT: 25mg phenergan, pepto bismol, Tylenol, 100mg. Toporol, 1 mg. xanax,  40 mg.prevacid and gas-x,increased Humulog by 30% no appetite( imagine that?) and bed rest and fluids.   SELF MEDICATED..............                                         DAY 2: nausea, dizziness,no appetite, low grade fever and chills.  High BG's, High BP and heart racing.  Runny nose and a little scratchy throat and body aches and weakness.                                         TREATMENT: same as for first day.                                                DAY 3. Nausea, lack of appetite,headache,extreme body aches, cold symtoms and high blood glucose numbers,  Again unable to reduce BG"s to under 300.   Increased Humulog by 30%.                                              TREATMENT- ADVIL COLD & FLU OTC medicine.  25 mg Phenergan, 1 mg. Xanax, increased Humulog by 30%,Tylenol.                                          DAY 4. light cold, tired.         TREATMENT.  Bed rest and fluid.  No appetite.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Immunized= 11/07/08 @ 11:30 a.m.  Adverse reactions started @ 5:00 p.m.same day. On set reactions were: 1) vomiting, extreme stomach pain, dizziness, headache,heart palipations/ rate  90), high blood sugar: above 300, high BP, low grade fever, chills, nausea and diarrhea.  TREATMENT: 25mg phenergan, pepto bismol, Tylenol, 100mg. Toporol, 1 mg. xanax,  40 mg.prevacid and gas-x,increased Humulog by 30% no appetite( imagine that?) and bed rest and fluids.   SELF MEDICATED..............                                         DAY 2: nausea, dizziness,no appetite, low grade fever and chills.  High BG's, High BP and heart racing.  Runny nose and a little scratchy throat and body aches and weakness.                                         TREATMENT: same as for first day.                                                DAY 3. Nausea, lack of appetite,headache,extreme body aches, cold symtoms and high blood glucose numbers,  Again unable to reduce BG"s to under 300.   Increased Humulog by 30%.                                              TREATMENT- ADVIL COLD & FLU OTC medicine.  25 mg Phenergan, 1 mg. Xanax, increased Humulog by 30%,Tylenol.                                          DAY 4. light cold, tired.         TREATMENT.  Bed rest and fluid.  No appetite.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Hypertension, Nasopharyngitis, Nausea, Pain, Palpitations
Clinical narrative: Immunized= 11/07/08 @ 11:30 a.m.  Adverse reactions started @ 5:00 p.m.same day. On set reactions were: 1) vomiting, extreme stomach pain, dizziness, headache,heart palipations/ rate  90), high blood sugar: above 300, high BP, low grade fever, chills, nausea and diarrhea.  TREATMENT: 25mg phenergan, pepto bismol, Tylenol, 100mg. Toporol, 1 mg. xanax,  40 mg.prevacid and gas-x,increased Humulog by 30% no appetite( imagine that?) and bed rest and fluids.   SELF MEDICATED..............                                         DAY 2: nausea, dizziness,no appetite, low grade fever and chills.  High BG's, High BP and heart racing.  Runny nose and a little scratchy throat and body aches and weakness.                                         TREATMENT: same as for first day.                                                DAY 3. Nausea, lack of appetite,headache,extreme body aches, cold symtoms and high blood glucose numbers,  Again unable to reduce BG"s to under 300.   Increased Humulog by 30%.                                              TREATMENT- ADVIL COLD & FLU OTC medicine.  25 mg Phenergan, 1 mg. Xanax, increased Humulog by 30%,Tylenol.                                          DAY 4. light cold, tired.         TREATMENT.  Bed rest and fluid.  No appetite.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Rhinorrhoea, Throat irritation, Vomiting
Clinical narrative: Immunized= 11/07/08 @ 11:30 a.m.  Adverse reactions started @ 5:00 p.m.same day. On set reactions were: 1) vomiting, extreme stomach pain, dizziness, headache,heart palipations/ rate  90), high blood sugar: above 300, high BP, low grade fever, chills, nausea and diarrhea.  TREATMENT: 25mg phenergan, pepto bismol, Tylenol, 100mg. Toporol, 1 mg. xanax,  40 mg.prevacid and gas-x,increased Humulog by 30% no appetite( imagine that?) and bed rest and fluids.   SELF MEDICATED..............                                         DAY 2: nausea, dizziness,no appetite, low grade fever and chills.  High BG's, High BP and heart racing.  Runny nose and a little scratchy throat and body aches and weakness.                                         TREATMENT: same as for first day.                                                DAY 3. Nausea, lack of appetite,headache,extreme body aches, cold symtoms and high blood glucose numbers,  Again unable to reduce BG"s to under 300.   Increased Humulog by 30%.                                              TREATMENT- ADVIL COLD & FLU OTC medicine.  25 mg Phenergan, 1 mg. Xanax, increased Humulog by 30%,Tylenol.                                          DAY 4. light cold, tired.         TREATMENT.  Bed rest and fluid.  No appetite.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling drunk, Heart rate normal, Hypoaesthesia oral, Respiratory rate, Throat tightness
Clinical narrative: felt numbness to tongue with slight pressure to throat without difficulty breathing or SOB; also felt "buzzed" within a few minutes (20 minutes) of receiving flu vaccine; however, did not return to clinic until a little over an hour later
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: Two days after administration, arm became swollen to size of tennis ball, hot reddened at site, fever of 101.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Injection site erythema, Injection site vesicles, Paraesthesia, Reaction to previous exposure to any vaccine
Clinical narrative: Developed reaction in deltoid area late 11/08.  Tingling, blistering, redness, very uncomfortable.  This has happened with past flu vaccinations, but not other vaccinations.  Thought reaction was related to thimerosol so requested thimerosol free vaccine this year.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Chills, Erythema, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: 11/3/08--fever 101.5 degrees, chills, edema and erythema and pain to left arm.  suymptoms continued to 11/5/08.  Patient seem by PMD.  Treated with Rocephin 1 gram and Lortab for pain.  11/10/08--selling in the arm is resolved, she is afebrile.  Slight soreness in arm.  She is currently on Augmentin 500 mg po and pain tabs.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Anorexia, Asthenia, Balance disorder, Blood test normal, Chills
Clinical narrative: Received telephone call from patient at 9:00 a.m. He states he had a flu and pneumonia shot 11/6/08 at 10:30 a.m. in his left arm.  He states he had a sever reaction to his shot per ER.  He is ok this morning.  He is a little sore and red.  Thursday a little after lunch his left arm became swollen, stiff and sore.  Later he developed weakness and was not feeling well, "feeling fluish".  Had headache, sick, dull, arm swollen and red from the shoulder down.  Started chilling late in the afternoon and evening.  States very uncomfortable, and lackadaisical.  Did not want to eat.  Took Advil and went to bed.  When he got up in the night he was unstable on his feet.  Friday the redness extended down his arm to his armpit and was light pink and swollen and very sore.  Stayed in bed till 10 a.m. with a headache.  Did not eat breakfast.  Ate very little lunch just did not feel like eating.  Arm still bright pink.  Called CDC hot line at 6 p.m.  It said if you have a reaction that last past 24 hours you need to see the MD.  He said it was too late to see anyone that night.  Saturday morining arm is still inflamed.  Called clinic and they told him to call the Nurse hot line.  They refered him to an MD.  So midmorning he went to the ER.  This is 48 hours after immunizations.  They said no infection.  Allergic reaction.  Since he had taken the flu shot in the past with out reaction it was probably the pneumonia vaccine.  Gave him a steroid shot in the hip.  Told him not to take the penumonia vaccine again or it could kill him.  Gave him Rx for steroids to get filled on Sunday if not improved.  Sunday morning he was a little better.  Arm still pink but better.  Monday (today) his arm is norm color and he is feeling much better.  Just wanted to let us know he had a severe reaction to the pneumonia shot.  I told him I would report it to VAERS.