chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Symptoms started severly once I took the last anthrax shot in August. Pain started in the area of the shot chronic soreness, redness about 1 1/2 in roundness.  Itching, muscle aches, pain going down from the shot area to elbow, joint pain and periodic headaches. Went to Medical Center the doctor said it was a rash and it will go away.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Oedema
Clinical narrative: Swelling of both hands and left side which began 2 days after injection of vaccine and cleared 24 hours later
Age: 3.0
Sex: F
Vaccine: 6VAX-F, IPV, MMR
Symptoms: Contusion, Infection, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: AT SITE OF SHOT CHILD'S ARM SWELLED TO THREE TIMES THE SIZE IT IS SUPPOSE TO BE. REDNESS, HEAT,BLUISH COLOR ON UNDERNEATH SIDE. THIS RUNS FROM ELBOW TO SHOLDER.
Age: 21.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Coma, Fatigue, Memory impairment, Posturing
Clinical narrative: Non response and posturing after tetanus shot, lasting 45-60 seconds, without memory, with fatigue.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Hypokinesia, Medication error, Muscle spasms, Nausea
Clinical narrative: On April 25, 2005 a Tetanus shot was to be administered to my upper left arm area.  The nurse wiped the area and proceeded to insert the needle.  As she began to compress the syringe I felt a slight warming sensation and then noted that a small amount of liquid had splattered on my left forearm.  At that time the nurse stated that the syringe appeared to be defective and left the room.  Upon returning she stated that as she was not sure of how much of the vaccine had actually been administered she was going to give me another full Tetanus vaccination.  I asked if there would be any repercussions of receiving too much of the vaccine and she stated there were none to her knowledge.  April 26th there was the expected soreness of the upper left arm area and a slight fever, which MD stated, may happen.  However, as the day progressed the pain began to get worse and was not aided by taking Ibuprofen.  Heat and cold compresses were applied throughout the day and evening to alleviate the pain but seemed ineffective.  April 27th the pain was extremely intense and I was in fact experiencing blurred vision as well as additional pain in my left shoulder, upper left back and neck areas.  I contacted the Clinic and was seen by MD later that afternoon.  Upon examination she stated that she felt I was having muscle spasms that could be related or unrelated to the Tetanus shots.  She prescribed Diazepam and informed me to take up to 800mg of Ibuprofen up to three times daily.  She further expressed that I should start to feel relief within a few weeks.  April 28th and 29th I had lost complete mobility of my neck and left arm movement was greatly hindered.  I experienced nausea, vomiting, fever, and pain.  Heat was applied, Diazepam and Ibuprofen were taken as directed.  April 30th some mobility had returned, vomiting had almost ceased and the fever was gone.  A follow-up visit with MD was scheduled for May 9th at which time she extended the prescription for the Diazepam and instructed me to continue applying heat as needed.  Upon examination she did note a lump in the left bicep area as well as tightness of the muscle of my upper left back and neck areas. During the office visit it was also noted that an overall weight loss of approximately eight pounds was experienced.  To date, the soreness in all stated areas is not completely gone, however, most normal activities have been resumed.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Pain, Pyrexia, Vision blurred, Vomiting
Clinical narrative: On April 25, 2005 a Tetanus shot was to be administered to my upper left arm area.  The nurse wiped the area and proceeded to insert the needle.  As she began to compress the syringe I felt a slight warming sensation and then noted that a small amount of liquid had splattered on my left forearm.  At that time the nurse stated that the syringe appeared to be defective and left the room.  Upon returning she stated that as she was not sure of how much of the vaccine had actually been administered she was going to give me another full Tetanus vaccination.  I asked if there would be any repercussions of receiving too much of the vaccine and she stated there were none to her knowledge.  April 26th there was the expected soreness of the upper left arm area and a slight fever, which MD stated, may happen.  However, as the day progressed the pain began to get worse and was not aided by taking Ibuprofen.  Heat and cold compresses were applied throughout the day and evening to alleviate the pain but seemed ineffective.  April 27th the pain was extremely intense and I was in fact experiencing blurred vision as well as additional pain in my left shoulder, upper left back and neck areas.  I contacted the Clinic and was seen by MD later that afternoon.  Upon examination she stated that she felt I was having muscle spasms that could be related or unrelated to the Tetanus shots.  She prescribed Diazepam and informed me to take up to 800mg of Ibuprofen up to three times daily.  She further expressed that I should start to feel relief within a few weeks.  April 28th and 29th I had lost complete mobility of my neck and left arm movement was greatly hindered.  I experienced nausea, vomiting, fever, and pain.  Heat was applied, Diazepam and Ibuprofen were taken as directed.  April 30th some mobility had returned, vomiting had almost ceased and the fever was gone.  A follow-up visit with MD was scheduled for May 9th at which time she extended the prescription for the Diazepam and instructed me to continue applying heat as needed.  Upon examination she did note a lump in the left bicep area as well as tightness of the muscle of my upper left back and neck areas. During the office visit it was also noted that an overall weight loss of approximately eight pounds was experienced.  To date, the soreness in all stated areas is not completely gone, however, most normal activities have been resumed.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Headache, Infection transmission via personal contact, Lymphadenopathy, Nausea
Clinical narrative: This patient was not vaccinated.  He was in contact with an active duty member that had recently been vaccinated with vaccinia.  The patient experienced nasea, emesis, fever, headache, lymphadenopathy and rash.  The rash appeared on his left temple, right elbow and right forearm.  Oral and intravenous antibiotics did not improve the rash.  PCR demonstrated vaccinia.  Improved with observation.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: This patient was not vaccinated.  He was in contact with an active duty member that had recently been vaccinated with vaccinia.  The patient experienced nasea, emesis, fever, headache, lymphadenopathy and rash.  The rash appeared on his left temple, right elbow and right forearm.  Oral and intravenous antibiotics did not improve the rash.  PCR demonstrated vaccinia.  Improved with observation.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Anorexia, Face oedema, Headache, Injection site erythema, Injection site oedema
Clinical narrative: 1.Unknown initial fever onset the first 48 hrs (Dr instructed folloing 48 hrs to immediately start Tylenol administration every 4-6 hrs.) 2. Approx 96 hrs post jab, Injection site severe swelling, heat "my leg is on fire", and redness.  Lethargic, facial adema, headache, fussy, irritable, and loss of appetite.  (Note Unknown facts: a)exact site adverse reaction onset unknown because we didn't see his leg after his bath the night before (Which had had made a point to "check it then") until after we picked him up from school the following day and he was complaining about his leg before dinner and b)sinus/ear infection as he was started on 21 days of antibiotic the same day as the jab due to CT scan showing sinuses full.) 3. For the following 2 days it was swollen and swelling of his whole thigh was the same, the injection site 'raised' swelling went down and the rash began to "spread out" and became less bright red like it was disapating. 4. 8 days after the jab he was "back to normal" as far as we currently know. I TOOK PICTURES-if you need them let me know.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site warmth, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: 1.Unknown initial fever onset the first 48 hrs (Dr instructed folloing 48 hrs to immediately start Tylenol administration every 4-6 hrs.) 2. Approx 96 hrs post jab, Injection site severe swelling, heat "my leg is on fire", and redness.  Lethargic, facial adema, headache, fussy, irritable, and loss of appetite.  (Note Unknown facts: a)exact site adverse reaction onset unknown because we didn't see his leg after his bath the night before (Which had had made a point to "check it then") until after we picked him up from school the following day and he was complaining about his leg before dinner and b)sinus/ear infection as he was started on 21 days of antibiotic the same day as the jab due to CT scan showing sinuses full.) 3. For the following 2 days it was swollen and swelling of his whole thigh was the same, the injection site 'raised' swelling went down and the rash began to "spread out" and became less bright red like it was disapating. 4. 8 days after the jab he was "back to normal" as far as we currently know. I TOOK PICTURES-if you need them let me know.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Cough, Dysphonia, Lymphadenopathy, Nasal congestion, Oedema
Clinical narrative: Within 24-36 hours after Hep B vaccine, hoarsness, scratchy throat, congestion, cough, lymph nodes swollen, fever. Happened with both shots 03/16/2005 and 04/19/2005.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Within 24-36 hours after Hep B vaccine, hoarsness, scratchy throat, congestion, cough, lymph nodes swollen, fever. Happened with both shots 03/16/2005 and 04/19/2005.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Oedema peripheral
Clinical narrative: 5"x4" area of erythematous and slightly edemtous around injected area. No tenderness, no warmth, no purulent.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cough, Discomfort, Erythema, Injection site erythema, Injection site oedema
Clinical narrative: Local reaction @ injection site left deltoid. Redness and swelling 45mm. Tender to touch. Pt c/o pain/discomfort. Nasal congestion, fever and dry cough x 3 days.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site reaction, Nasal congestion, Oedema peripheral, Pyrexia
Clinical narrative: Local reaction @ injection site left deltoid. Redness and swelling 45mm. Tender to touch. Pt c/o pain/discomfort. Nasal congestion, fever and dry cough x 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Local Reaction @ injection site, right deltoid area. Redness, Swelling 45mm, painful to touch and fever x 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Local Reaction @ injection site, right deltoid area. Redness, Swelling 45mm, painful to touch and fever x 3 days.
Age: 6.0
Sex: M
Vaccine: DPP, DTAP, IPV
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Left upper arm 7cm x 7cm, area of erythema and induration, no systemic reaction.
Age: 6.0
Sex: M
Vaccine: DPP, DTAP, IPV
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Left upper arm 7cm x 7cm, area of erythema and induration, no systemic reaction.
Age: 59.0
Sex: M
Vaccine: HEP, TYP, YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed hives with itching 04/04/2005. Increased hives and itching on 04/05/05. Increased SS 04/06/05-Pt called travel nurse and was told to call regular MD and MD did not see pt but ordered Benadryl 25mg TID and for him to continue Allegra he already was taking.
Age: 1.3
Sex: F
Vaccine: HEP, HIBV, MMR
Symptoms: Autism, Speech disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib Titer Vaccine (haemophilus b conjugate vaccine (diphtheria crm 197 protein conjugate) injection) was received from a healthcare professional concerning a 5 year old female pt. The pt received the fourth dose on 04May01. The pt also received the third dose of Hep B vaccine (manf unk) and the first dose of MMR on 04May01. The pt experienced autism at the age of 4. Relevant medical history was not provided. The indication for Hib Titer vaccine was immunization. The product was administered on 04May01. The dose regimen was 1 dose 1 timer per day (IM). Additional suspect medication included Diphtheria and Tetanus Toxoids Adsorbed, Purogenated (diphtheria and tetanus toxoids, aluminum phosphate adsorbed injection), Polio Vaccine inactivated), Varivax (varicella virus vaccine live), and Orimune (poliovirus live oral trivalent solution). Concomitant medications were not reported. Sometime in June 2001, at 15 months of age, the child experienced receptive language and speech delay which did not show improvement at subsequent visits to the physician. By early 2004, the child was diagnosed with autism. The reporter noted that the child is receiving therapy to improve her skills. No additional information was available at the time of this report.
Sex: U
Vaccine: PNC
Symptoms: Autism
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a child who was diagnosed with autism after receiving a Prevnar injection. The pt received a dose on an unspecified date. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose. Concomitant medications were not reported. It was reported that on an unspecified date, a child was diagnosed with autism after receiving a Prevnar injection. No additional information was available at the time of this report.
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Abnormal behaviour, Autism, Speech disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib Titer vaccine (haemophilus b conjugate vaccine (diphtheria crm197 protein conjugate) injection) was received from a healthcare professional regarding a female pt (currently 8 years old) who experienced autism at the age of 3. The pt received the fourth dose on 07Nov97. Relevant medical history was not provided. Indication for Hib Titer vaccine was immunization. Product was administered on 07Nov97. Dose regimen was 1 dose (IM). Additional suspect medications included Varivax, MMR, Polio vaccine, Hep B vaccine and AcelImmune Vaccine. Concomitant medications were not reported. The reporter stated that the pt was diagnosed with autism in Feb2000 with symptoms of speech delay and behavior issues starting at the age of 3. No additional information was available at the time of this report. Information regarding this event has been forwarded to the manufacturers of the concomitantly administered vaccines.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Blood pressure increased, Dermatitis exfoliative, Erythema, Hypersensitivity
Clinical narrative: Anaphylaxis- erythematous rash, wheezing, increased BP. 12:40 PM- 70/38, T 97.7. 12:42PM- Epipen given LAT IM, 70/42. 12:50PM- Benadryl 25mg insta melt PO, O2 sat 97%, heart rate 140 BP 84/60, albuterol nebulizer started. 12:55PM- Benadryl PO 12.5mg. 1:05PM-BP 82/60. 1:21PM- BP 94/64. 1:22PM- Epipen Jr Given RAT, O2 sat 100%, heart rate 137. 1:33PM-Orapred 15mg/5ml 1 tsp PO, T 99F. 1:40PM- BP 96/64. 1:48PM- BP 94/64. 1:55PM-BP 96/64. 2:00PM- BP 90/60, T 99.6, Heart rate 128. 2:30PM- 1 1/2 tsp Children's Tylenol given. 2:40PM- BP 88/60. 2:50PM- Temp 99.3, BP 96/68, P 112. 3:05PM- BP 90/58. 3:25PM- BP 88/58, T 99.4. Approximately 1 hour post his 5 year old vaccines Pt was seen in DR office PM. Post DTaP, MMR, IPV ( see lot#/ nurses notes), pt had mild congestion, mild sneezing. Mother left office and went to pharmacy, then pt began to complain of itchy arm/ redness. Mother then reports some wheezing and gave albuterol inhaler. She attempted to call our office. Pt mother reported that she told the person answering the phone that this was and emergency. Per mother, she was placed on hold for up to 8 minutes. Mother drove back to our office during this time frame. She had an anaphylactic reaction (mother has HX of anaphylaxis). Mother came into office and informed staff son was having allergic reaction to shots. Pt brought into office and at that time pt had extreme erythemoedema and hives on lower extremities, with minimal wheezing. Epipen Jr given and vss taken. Pt initial BP 70/35 (pts BP 88/58  ) Pt had 2nd epipen jr at 01:22 due to recurring erythemoedema and hives. ( no wheezing, no drop in BP prior to this dose) Pt given Benadryl, and Orapred, Albuterol respiratory therapy and observed with several BP checks. Pt feeling perfectly well 2 hours after last epi pen. I contacted pt allergist and discussed with him, he agrees that it was approiate to send pt home adn to discuss with mom the risk of late anaphylaxis. Mom sent home with epi pen jr (2 pack) and if he has any concerning symptoms (erythroedema, hives, respiratory distress) she will give epi pen jr and call 911. Mom will follow up with allergist this week.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypoxia, Injection site erythema, Nasal congestion, Rash erythematous, Respiratory depression
Clinical narrative: Anaphylaxis- erythematous rash, wheezing, increased BP. 12:40 PM- 70/38, T 97.7. 12:42PM- Epipen given LAT IM, 70/42. 12:50PM- Benadryl 25mg insta melt PO, O2 sat 97%, heart rate 140 BP 84/60, albuterol nebulizer started. 12:55PM- Benadryl PO 12.5mg. 1:05PM-BP 82/60. 1:21PM- BP 94/64. 1:22PM- Epipen Jr Given RAT, O2 sat 100%, heart rate 137. 1:33PM-Orapred 15mg/5ml 1 tsp PO, T 99F. 1:40PM- BP 96/64. 1:48PM- BP 94/64. 1:55PM-BP 96/64. 2:00PM- BP 90/60, T 99.6, Heart rate 128. 2:30PM- 1 1/2 tsp Children's Tylenol given. 2:40PM- BP 88/60. 2:50PM- Temp 99.3, BP 96/68, P 112. 3:05PM- BP 90/58. 3:25PM- BP 88/58, T 99.4. Approximately 1 hour post his 5 year old vaccines Pt was seen in DR office PM. Post DTaP, MMR, IPV ( see lot#/ nurses notes), pt had mild congestion, mild sneezing. Mother left office and went to pharmacy, then pt began to complain of itchy arm/ redness. Mother then reports some wheezing and gave albuterol inhaler. She attempted to call our office. Pt mother reported that she told the person answering the phone that this was and emergency. Per mother, she was placed on hold for up to 8 minutes. Mother drove back to our office during this time frame. She had an anaphylactic reaction (mother has HX of anaphylaxis). Mother came into office and informed staff son was having allergic reaction to shots. Pt brought into office and at that time pt had extreme erythemoedema and hives on lower extremities, with minimal wheezing. Epipen Jr given and vss taken. Pt initial BP 70/35 (pts BP 88/58  ) Pt had 2nd epipen jr at 01:22 due to recurring erythemoedema and hives. ( no wheezing, no drop in BP prior to this dose) Pt given Benadryl, and Orapred, Albuterol respiratory therapy and observed with several BP checks. Pt feeling perfectly well 2 hours after last epi pen. I contacted pt allergist and discussed with him, he agrees that it was approiate to send pt home adn to discuss with mom the risk of late anaphylaxis. Mom sent home with epi pen jr (2 pack) and if he has any concerning symptoms (erythroedema, hives, respiratory distress) she will give epi pen jr and call 911. Mom will follow up with allergist this week.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Respiratory disorder, Sneezing, Urticaria, Wheezing
Clinical narrative: Anaphylaxis- erythematous rash, wheezing, increased BP. 12:40 PM- 70/38, T 97.7. 12:42PM- Epipen given LAT IM, 70/42. 12:50PM- Benadryl 25mg insta melt PO, O2 sat 97%, heart rate 140 BP 84/60, albuterol nebulizer started. 12:55PM- Benadryl PO 12.5mg. 1:05PM-BP 82/60. 1:21PM- BP 94/64. 1:22PM- Epipen Jr Given RAT, O2 sat 100%, heart rate 137. 1:33PM-Orapred 15mg/5ml 1 tsp PO, T 99F. 1:40PM- BP 96/64. 1:48PM- BP 94/64. 1:55PM-BP 96/64. 2:00PM- BP 90/60, T 99.6, Heart rate 128. 2:30PM- 1 1/2 tsp Children's Tylenol given. 2:40PM- BP 88/60. 2:50PM- Temp 99.3, BP 96/68, P 112. 3:05PM- BP 90/58. 3:25PM- BP 88/58, T 99.4. Approximately 1 hour post his 5 year old vaccines Pt was seen in DR office PM. Post DTaP, MMR, IPV ( see lot#/ nurses notes), pt had mild congestion, mild sneezing. Mother left office and went to pharmacy, then pt began to complain of itchy arm/ redness. Mother then reports some wheezing and gave albuterol inhaler. She attempted to call our office. Pt mother reported that she told the person answering the phone that this was and emergency. Per mother, she was placed on hold for up to 8 minutes. Mother drove back to our office during this time frame. She had an anaphylactic reaction (mother has HX of anaphylaxis). Mother came into office and informed staff son was having allergic reaction to shots. Pt brought into office and at that time pt had extreme erythemoedema and hives on lower extremities, with minimal wheezing. Epipen Jr given and vss taken. Pt initial BP 70/35 (pts BP 88/58  ) Pt had 2nd epipen jr at 01:22 due to recurring erythemoedema and hives. ( no wheezing, no drop in BP prior to this dose) Pt given Benadryl, and Orapred, Albuterol respiratory therapy and observed with several BP checks. Pt feeling perfectly well 2 hours after last epi pen. I contacted pt allergist and discussed with him, he agrees that it was approiate to send pt home adn to discuss with mom the risk of late anaphylaxis. Mom sent home with epi pen jr (2 pack) and if he has any concerning symptoms (erythroedema, hives, respiratory distress) she will give epi pen jr and call 911. Mom will follow up with allergist this week.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Erythema, Erythema multiforme, Myocarditis
Clinical narrative: Pt developed diffuse blotchy erythema and pruritis 4-5 days post vaccination. Also c/o chest pain and SOB. Ruled out myopericarditis. Diagnosed with mild case of erythema multiforme. Treated with anti histamines.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash macular
Clinical narrative: Pt developed diffuse blotchy erythema and pruritis 4-5 days post vaccination. Also c/o chest pain and SOB. Ruled out myopericarditis. Diagnosed with mild case of erythema multiforme. Treated with anti histamines.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Erythema, Injection site oedema, Oedema, Oedema peripheral
Clinical narrative: Child given IM DTaP and SQ IPV on 05/09/2005. 05/10/2005- Child had difficulty walking. Left thigh and knee swollen with erythema, blotchy. Saw MD and got RX for Benadryl. As of 05/11/05- some redness and swelling improvement. Rx prednisone liquid 15mg PO TID x4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash macular
Clinical narrative: Child given IM DTaP and SQ IPV on 05/09/2005. 05/10/2005- Child had difficulty walking. Left thigh and knee swollen with erythema, blotchy. Saw MD and got RX for Benadryl. As of 05/11/05- some redness and swelling improvement. Rx prednisone liquid 15mg PO TID x4 days.
Age: 0.87
Sex: F
Vaccine: PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: High fever x5 days, fussiness, decreased  PO intake.
Age: 1.06
Sex: F
Vaccine: IPV
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Chicken Pox
Age: 25.0
Sex: M
Vaccine: MMR, TD
Symptoms: Body temperature increased, Eye disorder, Hyperhidrosis, Hypersensitivity, Myalgia
Clinical narrative: Approx 11 days after pt received an immunization of Td B and MMR, he experienced a fever of 101, profuse sweating and increased sensitivity to everything, felt like pressure inside my eyes. Also back and neck myalgia. Today, skin temp is very warm, body temp is normal. No other evidence of illness.
Age: 25.0
Sex: M
Vaccine: MMR, TD
Symptoms: Pyrexia
Clinical narrative: Approx 11 days after pt received an immunization of Td B and MMR, he experienced a fever of 101, profuse sweating and increased sensitivity to everything, felt like pressure inside my eyes. Also back and neck myalgia. Today, skin temp is very warm, body temp is normal. No other evidence of illness.
Age: 0.99
Sex: F
Vaccine: IPV
Symptoms: Pyrexia, Urticaria
Clinical narrative: Mother described fever and hives all over. Denied any respiratory distress. Phone call placed to private physician and rx'd Benadryl PO and symptoms subsided. PHD alerted by grandmother of event on 4/6/05.
Age: 1.31
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Parotid gland enlargement, Pyrexia
Clinical narrative: Enlarged parotid gland with mild fever and decreased appetite.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, IPV
Symptoms: Pyrexia, Sepsis
Clinical narrative: Fever of 102, 3 hrs after Pediarix mother took child to hospital where pt was treated for c/o sepsis in a 2 month old.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left leg swelling and redness about 7 inches in diameter.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: Fever, headache, malaise. To be seen at medical clinic. T 100. Rest overnight. Home from school Friday, back to normal. Mom informed fever occurs at about 5% rate.
Sex: M
Vaccine: MMR
Symptoms: Agitation, Crying, Irritability, Pharyngitis, Pyrexia
Clinical narrative: 2/7/05 MMR given. 2/14/05 (-) strep throat - sib was (+) on 2/11/05. 2/15/05 T 104, fussy. 2/17/05 Pharyngitis (-) strep and flu tests. 2/19/05 ER, crying, fever, rash, URI.
Sex: M
Vaccine: MMR
Symptoms: Rash, Upper respiratory tract infection
Clinical narrative: 2/7/05 MMR given. 2/14/05 (-) strep throat - sib was (+) on 2/11/05. 2/15/05 T 104, fussy. 2/17/05 Pharyngitis (-) strep and flu tests. 2/19/05 ER, crying, fever, rash, URI.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Evening of 5/8/05, mother noted red, hard, warm mass on right deltoid 5x3cm, marked off in pen, less redness, now flat and nontender on exam 5/9/05 with clear areas inside marked off 5x3cm.
Age: 1.25
Sex: M
Vaccine: DTP, HIBV, IPV, MMR
Symptoms: Autism, Coma, Lethargy, Speech disorder, Thinking abnormal
Clinical narrative: Following 15 months vaccinations Pt was lethargic, and non responsive in many areas he formerly interacted in for a week. He then recovered physically, but not mentally. By 2 years of age, he was diagnosed as autistic. Medical Records received stated patient experienced delayed speech and delayed cognition.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site inflammation
Clinical narrative: Right arm and shoulder inflammation followed admin of pre-kindergarten immunizations. The right upper arm full ROM on right elbow and shoulder not significant tenderness or induration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Eye oedema, Injection site erythema, Pruritus, Urticaria
Clinical narrative: Pt received Dtap, Polio and MMR today in child health clinic between 2-4PM. Mom stated child began to have whelps with redness and itching and eyes began to swell around 10PM. Tx with Zyrtec and Ospred d/t. MD confirmation of allergic urticaria lively to vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Eye swelling, Injection site erythema, Pruritus
Clinical narrative: Pt received Dtap, Polio and MMR today in child health clinic between 2-4PM. Mom stated child began to have whelps with redness and itching and eyes began to swell around 10PM. Tx with Zyrtec and Ospred d/t. MD confirmation of allergic urticaria lively to vaccination.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Child has red arm, swollen and hot, no much pain at this temp. Moving L limb without problem no other complaints at this time.
Age: 0.74
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Received immunization on 04/27/05. RTO on 5/4/05 c/o knots/redness of legs. Per MD exam 2 cm SC nodules on lateral aspects of both thighs.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cyanosis
Clinical narrative: At 3 hrs after shots child had peripheral cyanosis. It resolved in 30-60 min. Family went to ER.
Age: 1.35
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Prolonged fever 102 irritability stared 4 hrs after vaccine and lasted 24 hrs.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Rash maculo-papular, Skin ulcer, Viral infection, Vomiting
Clinical narrative: Throwing up evening of shot and next morning. Rash on diaper area. Maculopapular lesions that may represent varicella. Allow no contact with unvaccinated persons. No medication needed. No other intervention required.
Sex: M
Vaccine: VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Mild erythema multiforme onset 24 hrs post immunizations. Persisted 1 week.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Injection site erythema, Pyrexia, Rash papular, Urticaria
Clinical narrative: Urticarial rash consisting of 2-3 mm red papules on trunk and upper extremities starting 48 hrs after immunizations administered. Decreased appetite, low grade fever yesterday.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: L upper thigh, red, swollen, hot
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Laboratory test abnormal, Malaise, Myalgia, Nausea
Clinical narrative: Well and received Menactra 5/3/05 at 16:30PM. Developed malaise 5/4/05 and on 5/5 fever to 103 Ax and nausea, headache and vomited. No loose stools. Achy all over.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Vomiting
Clinical narrative: Well and received Menactra 5/3/05 at 16:30PM. Developed malaise 5/4/05 and on 5/5 fever to 103 Ax and nausea, headache and vomited. No loose stools. Achy all over.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: LD site of Dtap shot described as red, hot, hard, swollen to size of a baseball. First seen this AM on waking. Mother denies fever, vomiting, poor appetite, dizziness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local reaction only; no systemic 6-8cm area left upper arm reaction of edema and erythema.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Swelling, induration and redness (2 thigh) 4.0x4.5. Rx with cold compress, Benadryl, Duricef.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema
Clinical narrative: Mom reports swelling and tautness of entire upper right arm 48 hrs after injections. At 60 hrs there is still mild swelling of right upper arm compared to the left one. No erythema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 4/20/05 Received vaccinations Dtap, IPV, MMR, 12 hr later fever, swollen left arm, swelling grapefruit sized in deltoid, swollen 1/2 way to elbow, red, fever 101-102. ER visit prescribed Keflex 250mg TID x 10 day and Motrin for pain. Improved after 3 days. 5/2/05 recovered.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Mother of child reports reaction of fever 105F after 4mo injections. Seen in ER, advised by ER physician to tx with Benadryl/Tylenol Prn. Counseled to return for redness/cont fever or other concerns.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: Left arm c/o swollen and area where admin. hot. Was given Clindamycin 300mg TID x 7 days.
Age: 45.0
Sex: F
Vaccine: TTOX
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Injection site rash
Clinical narrative: Left arm edema, pain, erythema and grade fever since tetanus vaccine was given. Cellulitis/rash, given Keflex 500mg BID x 10 days.
Age: 45.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia
Clinical narrative: Left arm edema, pain, erythema and grade fever since tetanus vaccine was given. Cellulitis/rash, given Keflex 500mg BID x 10 days.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Pt had immunization of varicella 3/28/05 rash appeared 4/4/05, no fevers or SOB. Dr called. could give 2mg steroids. But could effect efficacy of varicella. Decided to watch child, if worsens would administer steroids, child ok. did not worsen, child recovered. No steroids administered.
Age: 57.0
Sex: F
Vaccine: TYP
Symptoms: Face oedema, Pruritus
Clinical narrative: Took 1st pill at 5:30PM, awoke at 3AM with head and face itching, severely swollen face, esp nose, right eye, and mouth. Took Benadryl 50mg, swelling was almost gone by 5/9/05. Did not take the last 3 pills of the vaccine.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Vomiting, diarrhea and fever per phone call from pt's mom on 5/12/05.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Thigh swollen 4x6, red and warm to touch
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Tenderness
Clinical narrative: Redness, tenderness, induration of right left hours after receiving Prevnar in that leg.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cough, Insomnia, Laboratory test abnormal, Rhinorrhoea, Viral infection
Clinical narrative: Nonstop nonproductive cough for few minutes at time. Clear rhinorrhea, afebrile, difficulty sleeping, dx ROM/pertussis. Sxs x 2-2 1/2 wks.
Age: 1.01
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Ear disorder, Laboratory test abnormal, Pyrexia, Viral infection, White blood cell disorder
Clinical narrative: Parent brought child to immunizations after 1 year old well baby check up. Parent said child was teething. No temp. NP carried child for 1 yr immunizations, parent given VIS, revision of comfort measures and use of Motrin or Tylenol per DNP order. Mother gave child Tylenol post injections. Child awoke at 4, 5/12/04 with temp 103 and mom had given child Tylenol 1x and Motrin 1x. Temp did not decrease in 1 day, seen by ER MD, child given Rocephin, parent was told child had viral infection and left ear looked red, pt was rechecked by PNP on 5/13/05, temp 99 (ear).
Age: 28.0
Sex: M
Vaccine: DT, DTOX
Symptoms: Cyanosis, Dyspnoea, Headache, Pain, Presyncope
Clinical narrative: About 11:00a.m. on may 30,1981 After steping on a nail with my foot,I called family doctor and was told to come in for Tetanus shot. I was seen about 11:30 A.M. and was given tetanus shot on right arm. During the same visit I complained of pain from a bump on right wrist. It was a gangling cyst. The doctor aspirated it and while driving home about 12:20 p.m. I began to have hives, breathing became hard, chest was tight and started to black out. I called the doctor right away and told to return right away. While driving back I was seeing black, throat was swollen, blue lips and hives over hands head and feet. I was taken in right away and given Benadryl, adrenaline and cortazone. The hives went away but the doctor noticed me rubbing my right knee. He said it was a side affect. I began to have headaches, neck, shoulder and right arm painful spasms.
Age: 28.0
Sex: M
Vaccine: DT, DTOX
Symptoms: Throat tightness, Urticaria
Clinical narrative: About 11:00a.m. on may 30,1981 After steping on a nail with my foot,I called family doctor and was told to come in for Tetanus shot. I was seen about 11:30 A.M. and was given tetanus shot on right arm. During the same visit I complained of pain from a bump on right wrist. It was a gangling cyst. The doctor aspirated it and while driving home about 12:20 p.m. I began to have hives, breathing became hard, chest was tight and started to black out. I called the doctor right away and told to return right away. While driving back I was seeing black, throat was swollen, blue lips and hives over hands head and feet. I was taken in right away and given Benadryl, adrenaline and cortazone. The hives went away but the doctor noticed me rubbing my right knee. He said it was a side affect. I began to have headaches, neck, shoulder and right arm painful spasms.
Age: 28.0
Sex: M
Vaccine: DT, DTOX
Symptoms: Arthralgia, Arthritis, Chest discomfort, Cyanosis, Dyspnoea
Clinical narrative: About 11:00a.m. on may 30,1981 After steping on a nail with my foot,I called family doctor and was told to come in for Tetanus shot. I was seen about 11:30 A.M. and was given tetanus shot on right arm. During the same visit I complained of pain from a bump on right wrist. It was a gangling cyst. The doctor aspirated it and while driving home about 12:20 p.m. I began to have hives, breathing became hard, chest was tight and started to black out. I called the doctor right away and told to return right away. While driving back I was seeing black, throat was swollen, blue lips and hives over hands head and feet. I was taken in right away and given Benadryl, adrenaline and cortazone. The hives went away but the doctor noticed me rubbing my right knee. He said it was a side affect. I began to have headaches, neck, shoulder and right arm painful spasms.
Age: 28.0
Sex: M
Vaccine: DT, DTOX
Symptoms: Headache, Neck pain, Pharyngeal oedema, Shoulder pain, Urticaria
Clinical narrative: About 11:00a.m. on may 30,1981 After steping on a nail with my foot,I called family doctor and was told to come in for Tetanus shot. I was seen about 11:30 A.M. and was given tetanus shot on right arm. During the same visit I complained of pain from a bump on right wrist. It was a gangling cyst. The doctor aspirated it and while driving home about 12:20 p.m. I began to have hives, breathing became hard, chest was tight and started to black out. I called the doctor right away and told to return right away. While driving back I was seeing black, throat was swollen, blue lips and hives over hands head and feet. I was taken in right away and given Benadryl, adrenaline and cortazone. The hives went away but the doctor noticed me rubbing my right knee. He said it was a side affect. I began to have headaches, neck, shoulder and right arm painful spasms.
Age: 28.0
Sex: M
Vaccine: DT, DTOX
Symptoms: Visual disturbance
Clinical narrative: About 11:00a.m. on may 30,1981 After steping on a nail with my foot,I called family doctor and was told to come in for Tetanus shot. I was seen about 11:30 A.M. and was given tetanus shot on right arm. During the same visit I complained of pain from a bump on right wrist. It was a gangling cyst. The doctor aspirated it and while driving home about 12:20 p.m. I began to have hives, breathing became hard, chest was tight and started to black out. I called the doctor right away and told to return right away. While driving back I was seeing black, throat was swollen, blue lips and hives over hands head and feet. I was taken in right away and given Benadryl, adrenaline and cortazone. The hives went away but the doctor noticed me rubbing my right knee. He said it was a side affect. I began to have headaches, neck, shoulder and right arm painful spasms.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Pt had localized reaction to LA 54x65mm induration 52x73mm erythema
Age: 31.0
Sex: F
Vaccine: HEPAB
Symptoms: Pain, Paraesthesia
Clinical narrative: Patient noted Left arm pain and burning/tingling into L hand shortly after receiving vaccine in L deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Oedema
Clinical narrative: 5 centimeter swelling on left upper arm
Age: 23.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Headache, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Woke up this AM with headache and achy flu-like symptoms. Fever 100.5 denies nausea/vomiting. Took Advil, to see FMD.
Age: 1.34
Sex: M
Vaccine: DTAP, HEP
Symptoms: Anorexia, Injection site erythema, Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Fever 100-102, erythema mac/pap rash over injection site. There's no swelling or lumps at this x.
Age: 1.34
Sex: M
Vaccine: DTAP, HEP
Symptoms: Similar reaction on previous exposure to drug
Clinical narrative: Fever 100-102, erythema mac/pap rash over injection site. There's no swelling or lumps at this x.
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cyanosis, Dyspnoea, Hypoxia, Malaise, Melaena
Clinical narrative: THIS INCOMPOTENT, DOCTOR. NOT ONLY GAVE MY MOM, INFLUENZA. bUT GAVE HER  "PNEUMOCOCCAL", AS WELL !   mY MOTHER WAS SO SICK WHEN HE GAVE HER THIS . wE WERE THERE AT THE DOCTOR BECAUSE SHE HAD A SEVERE COLD,SHE HAD TROUBLE BREATHING .hE SENT US FOR CHEST X-RAYS,AND EVEN GAVE HER A VERY STRONG ANTIBIOTIC, called,( 2pack #1).He sent her for x-rays because of the sound in her lungs.He stated she sounds like pneumonia.""I FEEL,HE LITERLY KILLED MY MOTHER ""!!!!  HOW ARE YOU GOING TO GIVE SOME ONE NOT ONLY SICK WITH A COLD ,BUT SHE HAD CIRIOUS OF THE LIVER AND WAS VERY SICK WITH THAT AS WELL... pLEASE IF YOU CAN HELP ME ! OR KNOW SOME-ONE WHO CAN .BEFORE HE HAS THE CHANCE TO KILL SOME-ONE ELSE.. PLEASE  Thank You!  I am the pt's Daughter,I took care of her for the last 3years. She has had flu shots before but not while she was sick and never 2 vaccines in a row! She was very sick !!  Discharge Summary received stated patient experienced cyanosis, unresponsive, hypoxia, respiratory distress and melena.
Age: 56.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Stupor
Clinical narrative: THIS INCOMPOTENT, DOCTOR. NOT ONLY GAVE MY MOM, INFLUENZA. bUT GAVE HER  "PNEUMOCOCCAL", AS WELL !   mY MOTHER WAS SO SICK WHEN HE GAVE HER THIS . wE WERE THERE AT THE DOCTOR BECAUSE SHE HAD A SEVERE COLD,SHE HAD TROUBLE BREATHING .hE SENT US FOR CHEST X-RAYS,AND EVEN GAVE HER A VERY STRONG ANTIBIOTIC, called,( 2pack #1).He sent her for x-rays because of the sound in her lungs.He stated she sounds like pneumonia.""I FEEL,HE LITERLY KILLED MY MOTHER ""!!!!  HOW ARE YOU GOING TO GIVE SOME ONE NOT ONLY SICK WITH A COLD ,BUT SHE HAD CIRIOUS OF THE LIVER AND WAS VERY SICK WITH THAT AS WELL... pLEASE IF YOU CAN HELP ME ! OR KNOW SOME-ONE WHO CAN .BEFORE HE HAS THE CHANCE TO KILL SOME-ONE ELSE.. PLEASE  Thank You!  I am the pt's Daughter,I took care of her for the last 3years. She has had flu shots before but not while she was sick and never 2 vaccines in a row! She was very sick !!  Discharge Summary received stated patient experienced cyanosis, unresponsive, hypoxia, respiratory distress and melena.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Stinging, redness, & pain at site of vaccination - immediately after vaccination. 24 hours after vaccination she developed fever, chills, and "felt like she had the flu".  Seen in two different emergency rooms (48 hours and 7 days post vaccination).  Symptomatic treatment given.  Hospitalization not indicated.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL, DTAP, HIBV, MMR, PNC, VARCEL, DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Dyskinesia, Eye movement disorder, Febrile convulsion, Hypoventilation, Pyrexia
Clinical narrative: My son had his shots and then had a fever.  I was giving him alternating tylenol and ibuprofen.  Then his fever went up to 104 degrees under the arm the next day.  Then I called his pediatrician and she said to just keep giving him medicine.  So, it was time to give him ibuprofen, but this time he threw it up.  I put him on the floor so he could rest.  Then his eyes rolled all the way to the side of his face.  And he was breathing very shallowly.  I called 911.  His arms were jerking.  It lasted about five minutes.  Then the paramedics arrived and gave him an iv and took him to the hospital.  He was diagnosed with a high fever and a febrile seizure and the doctor said he would have to have a follow up visit but he was ok and released him.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL, DTAP, HIBV, MMR, PNC, VARCEL, DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: My son had his shots and then had a fever.  I was giving him alternating tylenol and ibuprofen.  Then his fever went up to 104 degrees under the arm the next day.  Then I called his pediatrician and she said to just keep giving him medicine.  So, it was time to give him ibuprofen, but this time he threw it up.  I put him on the floor so he could rest.  Then his eyes rolled all the way to the side of his face.  And he was breathing very shallowly.  I called 911.  His arms were jerking.  It lasted about five minutes.  Then the paramedics arrived and gave him an iv and took him to the hospital.  He was diagnosed with a high fever and a febrile seizure and the doctor said he would have to have a follow up visit but he was ok and released him.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pustular
Clinical narrative: Whole body rash pustular in nature.
Age: 24.0
Sex: F
Vaccine: HEPA, MEN, TYP, YF
Symptoms: Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever 101 and for 2 days, very achy, sore throat. No hospital trip.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Initial and follow up information has been received from a certified medical assistant concerning a 52 year old male pt with a history of emphysema who on 21Apr05 was vaccinated SC with a 0.5 mL dose of pneumococcal 23v polysaccharide vaccine (lot 649695/0512P). Concomitant therapies included sertraline HC1 (Zoloft), fluticasone propionate (+) salmeterol xinafoate (Advair) and albuterol (unspecified). On 22Apr05, the next morning, the pt developed an injection site reaction including swelling, redness, infection and cellulitis below this site, fever and chills. The pt was treated with ibuprofen (Motrin) and warm and cool compresses to site. The pt called back on 25Apr05 saying he was not better and was admitted to the hospital. The medical assistant confirmed that the admitting diagnoses were cellulitis of arm, respiratory failure, and pneumonia. Upon follow up information, the medical assistant could not confirm any concurrent conditions at the time of vaccination, as it was the first time the office had seen the pt. It was reported that the pt had not been seen by the office since the date of vaccination. She believed that pt was discharged from the hospital, but she could not confirm if the pt actually was discharged or if he had recovered. It was reported that the pt had not received pneumococcal 23v polysaccharide vaccine in the past. Additional information has been requested.