chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Acute myocardial infarction, Arterial occlusive disease, Coronary arterial stent insertion, Cyanosis, Electrocardiogram abnormal
Clinical narrative: Patient described pain and injection site and down left arm. Seen twice for this, last on 10/18/2010, with pain on palpation noted from left deltoid down to anterior wrist. Called clinic today "not feeling well", with increased sharp pain in arm.
Age: 86.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Malaise, Pain in extremity
Clinical narrative: Patient described pain and injection site and down left arm. Seen twice for this, last on 10/18/2010, with pain on palpation noted from left deltoid down to anterior wrist. Called clinic today "not feeling well", with increased sharp pain in arm.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Feeling hot, Paraesthesia, Pruritus, Urticaria
Clinical narrative: Information has been received from a physician concerning a 13 year old female with who on 09-SEP-2010 was vaccinated intramuscularly with the second dose of GARDASIL (lot number 666929/0331Z). Subsequently, the patient developed serum sickness. On 09-SEP-2010 shortly after she received her second dosage GARDASIL, the patient experienced bumps, red cheeks, hives, tingly fingers, swollen hands and feet and hot hands and feet. The patient was given BENADRYL and was referred to an allergist. On 09-SEP-2010 therapy with GARDASIL was discontinued. Since her hands and feet were swollen it would be a little bit of a disability/incapacity. At the time of reporting, the outcome of serum sickness was not recovered. No lab diagnostics study was performed. Serum sickness was considered to be an other important medical event by the physician. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Feeling hot, Oedema peripheral, Paraesthesia, Rash
Clinical narrative: Information has been received from a physician concerning a 13 year old female with who on 09-SEP-2010 was vaccinated intramuscularly with the second dose of GARDASIL (lot number 666929/0331Z). Subsequently, the patient developed serum sickness. On 09-SEP-2010 shortly after she received her second dosage GARDASIL, the patient experienced bumps, red cheeks, hives, tingly fingers, swollen hands and feet and hot hands and feet. The patient was given BENADRYL and was referred to an allergist. On 09-SEP-2010 therapy with GARDASIL was discontinued. Since her hands and feet were swollen it would be a little bit of a disability/incapacity. At the time of reporting, the outcome of serum sickness was not recovered. No lab diagnostics study was performed. Serum sickness was considered to be an other important medical event by the physician. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Serum sickness, Urticaria
Clinical narrative: Information has been received from a physician concerning a 13 year old female with who on 09-SEP-2010 was vaccinated intramuscularly with the second dose of GARDASIL (lot number 666929/0331Z). Subsequently, the patient developed serum sickness. On 09-SEP-2010 shortly after she received her second dosage GARDASIL, the patient experienced bumps, red cheeks, hives, tingly fingers, swollen hands and feet and hot hands and feet. The patient was given BENADRYL and was referred to an allergist. On 09-SEP-2010 therapy with GARDASIL was discontinued. Since her hands and feet were swollen it would be a little bit of a disability/incapacity. At the time of reporting, the outcome of serum sickness was not recovered. No lab diagnostics study was performed. Serum sickness was considered to be an other important medical event by the physician. Additional information has been requested.
Age: 0.76
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose, Convulsion, Crying, Gaze palsy, Pyrexia
Clinical narrative: My Granddaughter received the flu vaccine on 10/21/2010 at approximately 10:15am, her doctor gave her a perfect bill of health before the they administered the vaccine. She was fine all day. She went to bed at 7:30pm, my daughter awoke and heard her whimpering, she picked her up and she went limp, her eyes rolled back and she was unresponsive and started having seizures. She did have a Temp of 102.9. She was taken by ambulance to the ER. The ER Dr checked her out thoroughly and felt it was an adverse reaction the Flu vaccine.
Age: 0.76
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Syncope, Unresponsive to stimuli, Urine analysis
Clinical narrative: My Granddaughter received the flu vaccine on 10/21/2010 at approximately 10:15am, her doctor gave her a perfect bill of health before the they administered the vaccine. She was fine all day. She went to bed at 7:30pm, my daughter awoke and heard her whimpering, she picked her up and she went limp, her eyes rolled back and she was unresponsive and started having seizures. She did have a Temp of 102.9. She was taken by ambulance to the ER. The ER Dr checked her out thoroughly and felt it was an adverse reaction the Flu vaccine.
Age: 0.76
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Adverse reaction, Blood glucose, Body temperature increased, Convulsion, Crying
Clinical narrative: My Granddaughter received the flu vaccine on 10/21/2010 at approximately 10:15am, her doctor gave her a perfect bill of health before the they administered the vaccine. She was fine all day. She went to bed at 7:30pm, my daughter awoke and heard her whimpering, she picked her up and she went limp, her eyes rolled back and she was unresponsive and started having seizures. She did have a Temp of 102.9. She was taken by ambulance to the ER. The ER Dr checked her out thoroughly and felt it was an adverse reaction the Flu vaccine.
Age: 0.76
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Gaze palsy, Hypotonia, Unresponsive to stimuli, Urine analysis
Clinical narrative: My Granddaughter received the flu vaccine on 10/21/2010 at approximately 10:15am, her doctor gave her a perfect bill of health before the they administered the vaccine. She was fine all day. She went to bed at 7:30pm, my daughter awoke and heard her whimpering, she picked her up and she went limp, her eyes rolled back and she was unresponsive and started having seizures. She did have a Temp of 102.9. She was taken by ambulance to the ER. The ER Dr checked her out thoroughly and felt it was an adverse reaction the Flu vaccine.
Age: 28.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: PATIENT WAS 20 WEEK GESTATION WITH TWINS AT DATE OF VACCINATION.  PHYSICIAN HAD ORDERED FLU VACCINATION.  PATIENT MISCARRIED TWINS AT 24 WEEKS GESTATION ON 10/24/2010.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Chills, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: Body aches, joint aches, fever, sweats, chills, nausea, extreme fatigue. Treated with Advil and rest. All symptoms continued until 12 PM 10/28/2010.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches, joint aches, fever, sweats, chills, nausea, extreme fatigue. Treated with Advil and rest. All symptoms continued until 12 PM 10/28/2010.
Age: 11.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: Fever 102 in < 24 hrs. Vomiting x3 slight cough.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever 101.5 chills and body aches
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Feeling cold
Clinical narrative: Developed joint pain fingers, wrists, hips, knees, elbows, shoulders, neck; could not get warm/shivering. Lasted approximately 18 hours.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: Very sore throat, chills, muscle aches, fatigue, cough
Age: 31.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Drug exposure during pregnancy, Injection site pain, Pain
Clinical narrative: Left arm pain and tenderness at injection site.  It was getting better but it never went away. Now it is more tender to the touch and hurts when moving arm.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mass
Clinical narrative: Pt sts that she has swelling (lump) and redness to rt arm
Age: 13.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Asthenia, Pain, Vomiting
Clinical narrative: Vomiting-slept until 7:30 AM, now feels weak and sore
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Arthralgia, Erythema, Local swelling, Myalgia, Skin warm
Clinical narrative: Local: swelling, redness, warmth Systemic: myalgias, arthralgias
Age: 1.03
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS, SWELLING, FEELING OF HEAT AT INJECTION SITE.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Within 30 minutes arm became swollen, red, itchy and very hot. Within 60 minutes arm was swollen to elbow. Sent to ER, given steroid injection and Benadryl for prn use.
Age: 24.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain, Chills, Pyrexia
Clinical narrative: Severe chills and fever started around midnight and continued for about an hour. Treated with fluids and ibuprofen. Fever persisted until about 4 am although chills subsided after the first hour. Chills were severe enough to wake me and result in abdominal soreness the next morning.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Diagnoses with Guillain Barre
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Tenderness
Clinical narrative: TWO SMALL SWOLLEN, TENDER AREAS FOUND ON THE SIDE OF THE NECK AFTER RECEIVING THE FLU SHOT.  WENT TO THE DOCTOR AND RECEIVED STEROIDS; PROBLEM RESOLVED AFTER ONE AND A HALF WEEKS.  SHE WAS TOLD NOT TO TAKE THE FLU SHOT NEXT YEAR.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Decreased appetite, Feeling cold, Headache, Limb discomfort
Clinical narrative: Violent shaking of body for 2-3 hours, legs didn't feel like my own, aching muscles, constant need to urinate, back ache, unable to warm myself. Next day severe headache, severe muscle aches, malaise, no desire to eat, hurt to move head/neck.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise, Myalgia, Pain, Pollakiuria, Tremor
Clinical narrative: Violent shaking of body for 2-3 hours, legs didn't feel like my own, aching muscles, constant need to urinate, back ache, unable to warm myself. Next day severe headache, severe muscle aches, malaise, no desire to eat, hurt to move head/neck.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Local reaction
Clinical narrative: 10/30/2010 at 9:30AM - local reaction c/o knot, redness, & warm to touch. Treated with OTC BENADRYL 12.5mg & SINGULAIR 4mg chewable.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Body temperature increased, Cough, Sinus operation
Clinical narrative: 4 hours after administration 102 oral temp, then 14 hours later 104 degrees rectal temp. Nasal drainage and cough X 2 weeks (15 days).
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Upper right arm still very sore. Hard to lift heavy things - worse when my arm is higher in the air or out farther in front of me. Can no longer sleep on my right side with arm up under head. Hurts to just raise arm up.
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Myalgia, Nuclear magnetic resonance imaging
Clinical narrative: Pain in Rt Shoulder getting worse. Has Ortho appointment. 5/10 at its worst. Feeling it in shoulder joint; muscle hurts. At one point was waking in the middle of the night. Pretty unhappy. Waiting for it to go away. Has history of arthritis---spinal stenosis---has had MRI. Motrin helps her vaccine related shoulder pain but it comes back. Not interfering with quality of life. It's like she's suddenly developed arthritis there.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, VIIth nerve paralysis
Clinical narrative: 10/26/10 - Bell's Palsy, temporary paralysis to right side of face, symptoms started 10/25/10
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Full blood count normal, Immediate post-injection reaction, Lip swelling, Local swelling
Clinical narrative: 73 yo female who took flu vaccine on 4 Oct at 1500 and had facial, lip, and neck swelling, plus globus about 2 hours later.  Was seen in ER about 4 hours after getting the vaccine and was given Benadryl, prednisone.  Her lips continued to swell the next day and she was admitted overnight for observation.  Sx resolved over the next few days.  Nothing else different in her day except getting the flu vaccine.  Has continued to take all her medications since then without any recurrence in her sx.  No associated hives, coughing, wheezing, abdominal pain, diarrhea, emesis, syncope, flushing, warmth.  Did have immediate significant fatigue.  No previous problems taking any other vaccines.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Metabolic function test, No reaction on previous exposure to drug, Sensation of foreign body, Swelling face
Clinical narrative: 73 yo female who took flu vaccine on 4 Oct at 1500 and had facial, lip, and neck swelling, plus globus about 2 hours later.  Was seen in ER about 4 hours after getting the vaccine and was given Benadryl, prednisone.  Her lips continued to swell the next day and she was admitted overnight for observation.  Sx resolved over the next few days.  Nothing else different in her day except getting the flu vaccine.  Has continued to take all her medications since then without any recurrence in her sx.  No associated hives, coughing, wheezing, abdominal pain, diarrhea, emesis, syncope, flushing, warmth.  Did have immediate significant fatigue.  No previous problems taking any other vaccines.
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: The shot site was warm like a low grade fever and the next day it was swollen, red, and itchy. Today the site is still red and itchy but not swollen.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus
Clinical narrative: Patient came back to pharmacy stating her arm was itching - removed bandaid and told her to take BENADRYL and apply hydrocortisone cream.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: On 10/8/10 I received a flu shot in my L deltoid. When the shot was given, I experienced intense pain at the site of injection. My arm was red & sore for 2-3 days. The redness & pain at the inj. site is gone, but I am now having worsening pain & stiffness in my shoulder, neck & back on the left side.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Electrocardiogram poor R-wave progression, QRS axis abnormal, Urticaria, Vomiting
Clinical narrative: Pt started vomiting and developed tightness in chest. 1040 - BP 138/84 temp 98.2 pulse 80, hives on neck & chest 1041 - BP 170/90, pulse 84, resp. 24 50 mg BENADRYL PO given 1044 BP 152/98 pulse 72 1050: BP 148/108, pulse 80 to ER via EMS.
Age: 14.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Dizziness, Rash
Clinical narrative: Mild rash, lightheadness which began approximately 1-2 hours after vaccines.
Age: 87.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling abnormal, Lethargy, Urine analysis abnormal
Clinical narrative: Patient was fine after the vaccination, however, patient became lethargic & "out of it" 30 minutes later. Nursing home staff contacted 911 & patient was brought to the ER.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site redness & swelling pt went to ER for tx. 10/12/10. F/u here 10/14/10.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: ACTH stimulation test normal, Activities of daily living impaired, Arthralgia, Back pain, Borrelia test negative
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bradycardia, Cardiac telemetry normal, Cognitive disorder, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Dry mouth, Dyspnoea, Fall, Fatigue
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Hypersomnia, Laboratory test, Lethargy, Loss of consciousness
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lumbar puncture abnormal, Memory impairment, Migraine, Muscular weakness, Nervous system disorder
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Orthostatic intolerance, Palpitations, Photophobia, Poor quality sleep
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Presyncope, Rheumatoid factor negative, Sleep attacks, Sleep study abnormal, Speech disorder
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sudden onset of sleep, Syncope, Thyroid function test normal, Ultrasound Doppler normal, Urinary incontinence
Clinical narrative: Service member reports that bradycardiac and presyncopal/syncopal episodes developed 2 weeks after receiving the H1N1 vaccine from a multidose vial in March 2010. She states she was healthy before receiving the vaccine with no medical problems and no chronic medications. Patient has been hospitalized 6 x since March 2010 with these incidents and once received atropine by EMS. Last hospitalization was 21 Sept for one week where she "passed out and fell down the stairs" after which her roommates called 911. Systemic symptoms other new symptoms are daily headaches with severe migraines with photophobia 1x/month that "puts me in bed for 24 hours." Is "lethargic all the time". And also has pain in the knees, hips and low back, muscle weakness and unrefreshing sleep. She reports easily getting short of breath on exertion such as walking up a flight of stairs. She has poor memory and cognitive dysfunction and is worried that recently she "misplaced words". e.g. putting in words in a sentence that do not belong there. Overall, once/week she feels "that it is going to come". She begins to become extremely exhausted and actually falls asleep sitting or even standing. She goes to bed and drinks copious fluids until she feels better. Once/month she cannot control the symptoms and ends up in the ER. She now reports she sometimes gets a racing heartrate when she stands up; it resolves when she sits down. Recently reports urinary incontinence pad. Also has diarrhea and extremely dry mouth. Treatments: Medications: Midodrine 7.5mg tid, NaCL 1000mg tid, pressure stockings, Depo shot q 3 months, provigil 100mg qd,TYLENOL for headaches, denies all herbs and supps except MVI and Cal/D supps. Symptoms abade with IV fluids. Symptoms: Altered mental status (780.97), diarrhea NOS(787.91), disturbance, sleep NOS (780.50), generalized pain(780. 96), headache (784.0), Malaise and fatigue NEC(780.79), Palpitation(785.1), shortness of breath(786.05), Symptom, memory loss(780.93), Syncope and collapse(780.2). Diagnosis = Orthostatic intolerance, autonomic nervous system disorder.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Severe swelling in left arm all way down. Fever - pain - took ice packs - Ibuprofen and went to bed. Stayed that way 3 days. Weakness.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a Nurse Practitioner (N.P.) concerning a 69 year old female with no Drug reactions/allergies and no pertinent medical history who on 21-SEP-2010 was vaccinated with PNEUMOVAX 23 (Lot#665924/0930Z; Exp: 17-JUL-2011). On 22-SEP-2010 the patient developed cellulitis. It improved after treatment with prednisone. The patient called office to seek medical attention. Cellulitis was considered to be an other important medical event and life-threatening by the reporter. A priority lot check investigation has been finalized. All in-process quality checks for the lot number in question (lot # 665924/0903Z) were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the and was released. Follow-up information has been received from a physician concerning the patient (female, weight reported as 151 without unit specified). The patient received PNEUMOVAX 23 in her left deltoid on 21-SEP-2010. On 22-SEP-2010 the patient developed right arm erythema, edema, and "pain outside of typical site reaction". The patient recovered from the events on 25-SEP-2010. The physician considered the events as other important medical events. No further information is available.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral, Pain in extremity
Clinical narrative: She returned to the pharmacy 11/2/10 stating that her arm was swollen and hurting. It was red from her injection site all the way down to her elbow, warm to the touch, and slightly swollen. She said the swelling was better today than it was last night.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Paraesthesia
Clinical narrative: Nerve tingling throughout body; tingling started in hands and feet; nausea; diarrhea.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Abscess, Cellulitis, Decreased appetite, Feeling abnormal, Injection site erythema
Clinical narrative: Information has been received from a nurse concerning a 39 year old male with diabetes, hyperlipidaemia, penicillin allergy and iron deficiency anaemia who on 12-OCT-2010 was vaccinated IM with PNEUMOVAX 23 0.5 ml (lot # 667082/0466Z). Concomitant therapy included ACTOS, simvastatin (manufacturer unknown), lisinopril (manufacturer unknown), NOVOLOG, aspirin and VICTOZA. Nurse reported that the patient experienced adverse reactions after receiving PNEMUNOVAX 23 on 12-OCT-2010. Patient called the office complaining of muscle aches, fever and redness around injection site on 13-OCT-2010. Patient was seen by the doctor on 14-OCT-2010. In the office, he complained of worsening of fever, generalized muscle ache, nausea and feeling of "hit by truck". The patient also complained his arm was very hot and tender to touch and had decreased appetite. Physician diagnosed cellulitis and abscess and prescribed BACTRIM DS. On 16-OCT-2010, patient came beck into the office. No fever was present but his arm was very sore and redness was spreading despite taking BACTRIM DS as prescribed for 2 days. Physician advised patient to go to emergency room (ER) on 16-OCT-2010 and patient received IV antibiotic in the ER and subsequently admitted to hospital. Patient received several courses of IV vancomycin in the hospital prior to discharge. On 19-OCT-2010, patient's wife called the office to inform them of patient's discharge. Physician requested follow up visit with the patient on 20-OCT-2010 but he did not show for the appointment. Additional information has been requested.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Information has been received from a nurse concerning a 39 year old male with diabetes, hyperlipidaemia, penicillin allergy and iron deficiency anaemia who on 12-OCT-2010 was vaccinated IM with PNEUMOVAX 23 0.5 ml (lot # 667082/0466Z). Concomitant therapy included ACTOS, simvastatin (manufacturer unknown), lisinopril (manufacturer unknown), NOVOLOG, aspirin and VICTOZA. Nurse reported that the patient experienced adverse reactions after receiving PNEMUNOVAX 23 on 12-OCT-2010. Patient called the office complaining of muscle aches, fever and redness around injection site on 13-OCT-2010. Patient was seen by the doctor on 14-OCT-2010. In the office, he complained of worsening of fever, generalized muscle ache, nausea and feeling of "hit by truck". The patient also complained his arm was very hot and tender to touch and had decreased appetite. Physician diagnosed cellulitis and abscess and prescribed BACTRIM DS. On 16-OCT-2010, patient came beck into the office. No fever was present but his arm was very sore and redness was spreading despite taking BACTRIM DS as prescribed for 2 days. Physician advised patient to go to emergency room (ER) on 16-OCT-2010 and patient received IV antibiotic in the ER and subsequently admitted to hospital. Patient received several courses of IV vancomycin in the hospital prior to discharge. On 19-OCT-2010, patient's wife called the office to inform them of patient's discharge. Physician requested follow up visit with the patient on 20-OCT-2010 but he did not show for the appointment. Additional information has been requested.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Information has been received from a nurse concerning a 39 year old male with diabetes, hyperlipidaemia, penicillin allergy and iron deficiency anaemia who on 12-OCT-2010 was vaccinated IM with PNEUMOVAX 23 0.5 ml (lot # 667082/0466Z). Concomitant therapy included ACTOS, simvastatin (manufacturer unknown), lisinopril (manufacturer unknown), NOVOLOG, aspirin and VICTOZA. Nurse reported that the patient experienced adverse reactions after receiving PNEMUNOVAX 23 on 12-OCT-2010. Patient called the office complaining of muscle aches, fever and redness around injection site on 13-OCT-2010. Patient was seen by the doctor on 14-OCT-2010. In the office, he complained of worsening of fever, generalized muscle ache, nausea and feeling of "hit by truck". The patient also complained his arm was very hot and tender to touch and had decreased appetite. Physician diagnosed cellulitis and abscess and prescribed BACTRIM DS. On 16-OCT-2010, patient came beck into the office. No fever was present but his arm was very sore and redness was spreading despite taking BACTRIM DS as prescribed for 2 days. Physician advised patient to go to emergency room (ER) on 16-OCT-2010 and patient received IV antibiotic in the ER and subsequently admitted to hospital. Patient received several courses of IV vancomycin in the hospital prior to discharge. On 19-OCT-2010, patient's wife called the office to inform them of patient's discharge. Physician requested follow up visit with the patient on 20-OCT-2010 but he did not show for the appointment. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Back pain, Decreased appetite, Muscle tightness, Myalgia
Clinical narrative: Patient came to pharmacy on 11/1/10 & 11/2/10 complaining of muscle tightness, weakness, lack of appetite, muscle pain & back pain. States she thinks its a result of flu shot given on 10/25.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Livedo reticularis, No reaction on previous exposure to drug, Pain in extremity
Clinical narrative: Patient has received the regular flu vaccine in years past with no problems. On the day of the vaccination she had a 3-4 inch around bright pink red & very hot to the touch circle on her arm. Then turned mottled looking then turned to bruising. The soreness extended all the way down the arm and into left hand for 4-5 days. Her arm was sore to the touch for 3 weeks total.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm, Tenderness
Clinical narrative: Patient has received the regular flu vaccine in years past with no problems. On the day of the vaccination she had a 3-4 inch around bright pink red & very hot to the touch circle on her arm. Then turned mottled looking then turned to bruising. The soreness extended all the way down the arm and into left hand for 4-5 days. Her arm was sore to the touch for 3 weeks total.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Large localized redness/swelling below injection site. Area hot and some pain. Injection was in the deltoid.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Decreased appetite, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 4 hours after the vaccine was administered, the patient reported having a headache, left arm soreness, and a decreased appetite. The injection site became red, swollen and hot. 48 hours later, soreness continued but the swelling and redness is much improved.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: 4 hours after the vaccine was administered, the patient reported having a headache, left arm soreness, and a decreased appetite. The injection site became red, swollen and hot. 48 hours later, soreness continued but the swelling and redness is much improved.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Body temperature fluctuation, Cough, Culture urine, Feeling hot
Clinical narrative: Fever of 102.1 gave .625 Infants Ibuprofen by mouth 11:40 PM. 1:00 AM patient woke with a gagging cough and burning up. Rushed to ed Hospital. Fever down to 101.3 upon arrival at 1:46 AM. Admitted to emergency and administered fluids and ran tests. The following is a list of temperatures and times taken. 100.4 @ 2:30 AM. 98.9 @ 4:09 AM. 100.8 @ 5:53 AM and Tylenol given. 99.7 @ 7:11 AM 99.4 @ 11:40 AM 1 Dose of Antibiotic administered after spinal tap.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count, Lumbar puncture, Metabolic function test, Pyrexia, Respiratory syncytial virus test
Clinical narrative: Fever of 102.1 gave .625 Infants Ibuprofen by mouth 11:40 PM. 1:00 AM patient woke with a gagging cough and burning up. Rushed to ed Hospital. Fever down to 101.3 upon arrival at 1:46 AM. Admitted to emergency and administered fluids and ran tests. The following is a list of temperatures and times taken. 100.4 @ 2:30 AM. 98.9 @ 4:09 AM. 100.8 @ 5:53 AM and Tylenol given. 99.7 @ 7:11 AM 99.4 @ 11:40 AM 1 Dose of Antibiotic administered after spinal tap.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Retching, Urine analysis
Clinical narrative: Fever of 102.1 gave .625 Infants Ibuprofen by mouth 11:40 PM. 1:00 AM patient woke with a gagging cough and burning up. Rushed to ed Hospital. Fever down to 101.3 upon arrival at 1:46 AM. Admitted to emergency and administered fluids and ran tests. The following is a list of temperatures and times taken. 100.4 @ 2:30 AM. 98.9 @ 4:09 AM. 100.8 @ 5:53 AM and Tylenol given. 99.7 @ 7:11 AM 99.4 @ 11:40 AM 1 Dose of Antibiotic administered after spinal tap.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Site of injection, L deltoid, swollen, red and warm. Extending to mid-forearm. About 10 cm in diameter.  No fevers.  No treatment given.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Site of injection, L deltoid, swollen, red and warm. Extending to mid-forearm. About 10 cm in diameter.  No fevers.  No treatment given.
Age: 49.0
Sex: M
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Abdominal discomfort, Dizziness, Nausea
Clinical narrative: Light-headed. Queasy stomach. Nausea.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Pt comes back into office complaining of local reaction. Redness and swelling area around the injection site. 90x90 erythema and 30x30 swelling.
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal discomfort, Erythema, Mobility decreased, Pain, Pyrexia
Clinical narrative: 3 hours following injection, patient experienced GI upset, fever, large area of swelling, area was red, hot and increased pain, and patient had difficulty moving.
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: Skin warm, Swelling
Clinical narrative: 3 hours following injection, patient experienced GI upset, fever, large area of swelling, area was red, hot and increased pain, and patient had difficulty moving.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Left arm has continued to ache. Very sore. Unable to lift above shoulder level.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia facial, Nuclear magnetic resonance imaging brain, VIIth nerve paralysis
Clinical narrative: Numbness of left side of face. Muscles will not work. Not able to eat without biting tongue and lips. It got progressively worse over the weekend. I went to my Neurologist on Monday 11/1/10 and was diagnosed with Bell's Palsy.
Age: 26.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Cold sweat, Dizziness, Injection site erythema, Injection site pain
Clinical narrative: Patient returned on 06/23/2010 with complaint of lymph node swelling, dizziness, off/on chills/clammy, nauseousness. The upper left deltoid was red and painful to touch.
Age: 26.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Lymphadenopathy, Nausea
Clinical narrative: Patient returned on 06/23/2010 with complaint of lymph node swelling, dizziness, off/on chills/clammy, nauseousness. The upper left deltoid was red and painful to touch.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Evening of vaccination developed fever, headache, pain, redness, and large swelling at injection site on the left arm. Arm was swollen from shoulder to elbow. Also received flu vaccine in right arm. Patient states symptoms started to resolve by 10/06/2010.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Muscle twitching, Pyrexia, Tremor, Vomiting
Clinical narrative: Vomiting, low grade fever for 3 days, trembling, twitching while sleeping
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity
Clinical narrative: PT ARM IS VERY SORE. PAIN PROGRESSED TO WHERE SHE CAN'T LIFT IT OR MOVE IT COMFORTABLY. PT WENT HOME AND CLEANED HOUSE, AND PAIN SPREAD AROUND NECK AND DOWN OTHER ARM. PT STATES PAIN IS A LITTLE BETTER TODAY.