chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen right thigh, tender and hot to touch. Patient states painful to walk.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 08/17/04 Phone call from mom complaining of redness/pain at injection site. 8/17/04 Phone call complaining of increased redness/swelling. Appointment 8/18/04 Redness from below elbow extending above shoulder; arm swollen/hot to touch. Rx Augmentin 400mg BID for 10 days. Right arm involved.
Age: 39.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Hyperhidrosis, Migraine, Musculoskeletal stiffness, Pruritus
Clinical narrative: Underside of arm/belly, little red bumps that itch and burn. Jaw, neck , back, head stiff, migraine, hot/sweaty. Attempted three times to contact patient for follow up. Left voice mail messages. Patient did not respond. Some questions not answered.
Age: 39.0
Sex: F
Vaccine: MMR, TD
Symptoms: Thermal burn
Clinical narrative: Underside of arm/belly, little red bumps that itch and burn. Jaw, neck , back, head stiff, migraine, hot/sweaty. Attempted three times to contact patient for follow up. Left voice mail messages. Patient did not respond. Some questions not answered.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Dysphonia
Clinical narrative: Patient states he became hoarse later on the day the vaccine was given and is still hoarse.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Difficulty in walking, Discomfort, Erythema
Clinical narrative: Reddened area left thigh 3"x3"; discomfort with walking per patient. Discussed use warm compresses, Tylenol for age/weight every 4-6 hours PRN.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Petechiae, Purpura
Clinical narrative: Pt received 3 shots on 9/3/04 at this clinic. 27 hours later, rash appeared petechial and purpuric (largest~4mm) on lateral lower legs, ankles and on 1 knee. No fever or systemic symptoms. CBC ml, sl lymphocytosis, nl plts. No treatment. Resolving by next day. Twin sister got same shots, no reaction.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Rash
Clinical narrative: Rash, Fever 103
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Malaise, Nausea, Pain, Pallor
Clinical narrative: While eating breakfast got pale, nauseated, vomiting x 2, then fainted for about 4 min. Afterward laid down for 30min not feeling well.  By 9AM very active and normal. C/O headache 8/23 sore arm left since shot. Has gone to bed earlier than usual 8/23 and 8/24.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Somnolence, Syncope, Vomiting
Clinical narrative: While eating breakfast got pale, nauseated, vomiting x 2, then fainted for about 4 min. Afterward laid down for 30min not feeling well.  By 9AM very active and normal. C/O headache 8/23 sore arm left since shot. Has gone to bed earlier than usual 8/23 and 8/24.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Asthma, Eye swelling, Face oedema, Nasal congestion, Paraesthesia
Clinical narrative: About 6 hrs after shot while bike riding, had tingling of lips, felt throat closing. Thought it was asthma. Next morning had puffy face eyes, lips, congestion. Called Dr advised Benadryl. Took 2 doses- symptoms resolved.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Swelling face, Throat tightness
Clinical narrative: About 6 hrs after shot while bike riding, had tingling of lips, felt throat closing. Thought it was asthma. Next morning had puffy face eyes, lips, congestion. Called Dr advised Benadryl. Took 2 doses- symptoms resolved.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Upper left arm with mild swelling, redness, no bruising, no induration or fluctuance. Painful.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain, Arthralgia, Dyspnoea, Feeling hot, Injection site erythema
Clinical narrative: This pt had a tetanus shot on the 23rd and developed severe left arm pain generalized joint pain, stomach ache, and a temperature to 102 degrees with some difficulty breathing post vaccination. I had talked to the parents over the weekend and advised Benadryl and Motrin which seemed to have substantial benefit. Physical examination: The pt presents today afebrile with the arm still red and warm, but less swollen and painful. The majority of the other symptoms are improved, although the pt still feels a bit punk. Assessment: This is an Arthus type reaction to the vaccination, it appears.  Plan: I am going to refer this pt to Dr. to delineate whether it is the horse serum or other preservatives in the vaccination which need to be avoided in the future.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Pain, Pyrexia
Clinical narrative: This pt had a tetanus shot on the 23rd and developed severe left arm pain generalized joint pain, stomach ache, and a temperature to 102 degrees with some difficulty breathing post vaccination. I had talked to the parents over the weekend and advised Benadryl and Motrin which seemed to have substantial benefit. Physical examination: The pt presents today afebrile with the arm still red and warm, but less swollen and painful. The majority of the other symptoms are improved, although the pt still feels a bit punk. Assessment: This is an Arthus type reaction to the vaccination, it appears.  Plan: I am going to refer this pt to Dr. to delineate whether it is the horse serum or other preservatives in the vaccination which need to be avoided in the future.
Age: 1.08
Sex: M
Vaccine: HIBV, MMR
Symptoms: Rash
Clinical narrative: rash all over body
Sex: M
Vaccine: HEPA, MMR
Symptoms: Erythema multiforme, Oedema, Polyarthritis, Serum sickness
Clinical narrative: Erythema Multiforme, Edema of Hands and Feet, Polyarthritis, Serum sickness treated with Prednisone and Benadryl
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: TWO DAYS AFTER RECEIVING ANTHRAX #6 PATIENT EXPERIENCED REDNESS AND SWELLING COVERING ENTIRE RIGHT TRICEP.  NO AXILLARY LYMPHADENOPATHY, NOR STREAKING REDNESS.
Age: 1.2
Sex: M
Vaccine: FLUX
Symptoms: Irritability, Pyrexia
Clinical narrative: High fever (102.5) within 12 hours of vaccination.  Fever of 100.5-101.5 for the next 36 hours.  Irritable.  Treated with children's motrin.
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Lymphadenopathy
Clinical narrative: DEVELOPED ADENOPATHY IN NECK
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Difficulty in walking, Dizziness
Clinical narrative: Patient states had "flu-like" symptoms beginning day after vaccination(8/12)--fever, general aching, etc. Then morning of 8/18 (approximately 5am) he began having the following sx: stomach cramps, itching all over, diarrhea, skin from head to toe looked like a bad sunburn, felt faint & lightheaded, very weak and could barely walk.  These all occured within a time frame of 2 hours.  Client states he took some Benadryl which decreased the itching but the rest of his sx persisted.  He then went to the ER where he was given Phenergan and started on 5 day regimin of Prednisone.  He states the ER checked with CDC who told them Hep B has a history of delayed reactions.  He then went to his allergist to follow up.  He states his allergist did not think he had a reaction to the Hep B injection.  However, client states he did not do anything different other than receiving the vaccine and does not plan on getting any further Hep B vaccinations.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Influenza like illness, Pain, Pruritus, Pyrexia
Clinical narrative: Patient states had "flu-like" symptoms beginning day after vaccination(8/12)--fever, general aching, etc. Then morning of 8/18 (approximately 5am) he began having the following sx: stomach cramps, itching all over, diarrhea, skin from head to toe looked like a bad sunburn, felt faint & lightheaded, very weak and could barely walk.  These all occured within a time frame of 2 hours.  Client states he took some Benadryl which decreased the itching but the rest of his sx persisted.  He then went to the ER where he was given Phenergan and started on 5 day regimin of Prednisone.  He states the ER checked with CDC who told them Hep B has a history of delayed reactions.  He then went to his allergist to follow up.  He states his allergist did not think he had a reaction to the Hep B injection.  However, client states he did not do anything different other than receiving the vaccine and does not plan on getting any further Hep B vaccinations.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Lymphadenopathy, Malaise, Mental impairment, Nausea
Clinical narrative: (Delayed Report) Pt. had fatigue, malaise, nausea, 3 days post vaccination.  Patient had low grade fever (100.4) with arm pain, swelling, malaise, mental "fogginess," 5-10 days post vaccination.  Pt had tender, "golf-ball" sized left axillary adenopathy which gradually decreased to 2 cm, about 2 months post vaccination ( also had posterior cervical adenopathy which also resolved).  Six to 7 months post vaccination, pt had recrudescence of the left axillary adenopathy during a URI, but the adenopathy gradually resolved.  Another recrudescence of the axillary adenopathy occurred about 10 months post vaccination.  Pt became pregnant 11 months post vaccination and after 1 month of pregnancy had recrudescence of left, tender, axillary adenopathy.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pyrexia, Swelling, Unintended pregnancy, Upper respiratory tract infection
Clinical narrative: (Delayed Report) Pt. had fatigue, malaise, nausea, 3 days post vaccination.  Patient had low grade fever (100.4) with arm pain, swelling, malaise, mental "fogginess," 5-10 days post vaccination.  Pt had tender, "golf-ball" sized left axillary adenopathy which gradually decreased to 2 cm, about 2 months post vaccination ( also had posterior cervical adenopathy which also resolved).  Six to 7 months post vaccination, pt had recrudescence of the left axillary adenopathy during a URI, but the adenopathy gradually resolved.  Another recrudescence of the axillary adenopathy occurred about 10 months post vaccination.  Pt became pregnant 11 months post vaccination and after 1 month of pregnancy had recrudescence of left, tender, axillary adenopathy.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Injection site vesicles, Malaise, Pain, Skin ulcer
Clinical narrative: Pt states that on June 23, 2004 (or 25th) while he was showering, he noted a "pea-sized" blister with clear fluid at the exact location of where he had received his smallpox vaccination about 1 year ago.  The lesion developed a scab in 3-5 days.  Pt states that he experienced malaise for 2 days immediately after first noticing the blister. The lesion was painful to touch, but otherwise caused no problems.  The scab came off after about 3 weeks (he states that he normally heals very quickly and that is the reason why he wondered if the lesion was somehow related to the smallpox vaccination he had received a year ago).  He denies a history of shingles and although he doesn't remember ever having chickenpox, he thinks he had it because all 5 of his children have had it and he never got sick while they were ill.  He had developed a major "take" reaction after the smallpox vaccination which developed a scab and healed without problems.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Crying, Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling
Clinical narrative: On the day after vaccines - child complained of pain in left leg where MMR was given.  Mom noted 4 1/2" x 3 1/2" area on upper thigh that was red, warm to touch and swollen.  Child complained of itching at site; Mom reports child also complained of pain, he was fretful, irritable, and crying.  Advised to see PMD.  Mom to take child to doctor.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth, Irritability, Pruritus
Clinical narrative: On the day after vaccines - child complained of pain in left leg where MMR was given.  Mom noted 4 1/2" x 3 1/2" area on upper thigh that was red, warm to touch and swollen.  Child complained of itching at site; Mom reports child also complained of pain, he was fretful, irritable, and crying.  Advised to see PMD.  Mom to take child to doctor.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Blood creatine phosphokinase increased, Hypotonia, Irritability, Lethargy, Leukocytosis
Clinical narrative: ON THE 11TH PATIENT RAN LOW GRADE TEMPS AND WAS GROUCHY WHICH IS NORMAL FOR HER AFTER A SHOT, THEN  ON THE 13TH SHE WAS RUNNING A 104 TEMP AND TOOK TO PHYSICIAN ON THE NEXT MORNING. PHYSICIAN SAID IT WAS A VIRUS AND SENT HER HOME AFTER A CBC WAS DRAWN. ON THE 14TH SHE STOPPED EATING ON THE 15 SHE WAS LETHARGIC AND WOULDNT EAT OR DRINK ANYTHING. SHE WOULD CONTINUE TO RUN A 102-104 TEMP AND DIDN'T GET OUT OF BED. TOOK TO ER 2 TIMES AND PHYSICIAN 2 TIMES. FINALLY SHE WAS ADMITTED ON THE 17TH. ON THE 18TH SHE WAS LIMP AND WAS FLOWN TO HOSPITAL VIA HELICOPTER WHERE THEY PUT A TUBE FEEDING DOWN HER NOSE, SHE WAS KEPT UNTIL 21ST. THE PHYSICIAN SAID SHE HAD VASCULITIS DUE TO THE  MMR VACCINE. Information from discharge summary states post vaccine syndrome. msv Information from Medical record states rhinitis. msv
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Oral intake reduced, Pyrexia, Red blood cell sedimentation rate increased, Rhinitis, Vaccination complication
Clinical narrative: ON THE 11TH PATIENT RAN LOW GRADE TEMPS AND WAS GROUCHY WHICH IS NORMAL FOR HER AFTER A SHOT, THEN  ON THE 13TH SHE WAS RUNNING A 104 TEMP AND TOOK TO PHYSICIAN ON THE NEXT MORNING. PHYSICIAN SAID IT WAS A VIRUS AND SENT HER HOME AFTER A CBC WAS DRAWN. ON THE 14TH SHE STOPPED EATING ON THE 15 SHE WAS LETHARGIC AND WOULDNT EAT OR DRINK ANYTHING. SHE WOULD CONTINUE TO RUN A 102-104 TEMP AND DIDN'T GET OUT OF BED. TOOK TO ER 2 TIMES AND PHYSICIAN 2 TIMES. FINALLY SHE WAS ADMITTED ON THE 17TH. ON THE 18TH SHE WAS LIMP AND WAS FLOWN TO HOSPITAL VIA HELICOPTER WHERE THEY PUT A TUBE FEEDING DOWN HER NOSE, SHE WAS KEPT UNTIL 21ST. THE PHYSICIAN SAID SHE HAD VASCULITIS DUE TO THE  MMR VACCINE. Information from discharge summary states post vaccine syndrome. msv Information from Medical record states rhinitis. msv
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Vasculitis, Viral infection
Clinical narrative: ON THE 11TH PATIENT RAN LOW GRADE TEMPS AND WAS GROUCHY WHICH IS NORMAL FOR HER AFTER A SHOT, THEN  ON THE 13TH SHE WAS RUNNING A 104 TEMP AND TOOK TO PHYSICIAN ON THE NEXT MORNING. PHYSICIAN SAID IT WAS A VIRUS AND SENT HER HOME AFTER A CBC WAS DRAWN. ON THE 14TH SHE STOPPED EATING ON THE 15 SHE WAS LETHARGIC AND WOULDNT EAT OR DRINK ANYTHING. SHE WOULD CONTINUE TO RUN A 102-104 TEMP AND DIDN'T GET OUT OF BED. TOOK TO ER 2 TIMES AND PHYSICIAN 2 TIMES. FINALLY SHE WAS ADMITTED ON THE 17TH. ON THE 18TH SHE WAS LIMP AND WAS FLOWN TO HOSPITAL VIA HELICOPTER WHERE THEY PUT A TUBE FEEDING DOWN HER NOSE, SHE WAS KEPT UNTIL 21ST. THE PHYSICIAN SAID SHE HAD VASCULITIS DUE TO THE  MMR VACCINE. Information from discharge summary states post vaccine syndrome. msv Information from Medical record states rhinitis. msv
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Hypoaesthesia, Malaise, Pain, Pharyngeal oedema
Clinical narrative: Severe pain, redness, swelling (soft-ball size) Numbness left-side of body (persistent in left arm) Swollen throat  Fever (101 max- lowered by tylenol) Malaise
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia, Swelling
Clinical narrative: Severe pain, redness, swelling (soft-ball size) Numbness left-side of body (persistent in left arm) Swollen throat  Fever (101 max- lowered by tylenol) Malaise
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site reaction, Malaise, Pain
Clinical narrative: Fever 103, malaise, pain, cellulitis to area; hospitalization.  Nurse follow up on 09/01/04 states: "Allergic reaction to Pneumovax."
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: Fever 103, malaise, pain, cellulitis to area; hospitalization.  Nurse follow up on 09/01/04 states: "Allergic reaction to Pneumovax."
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Fever 103, malaise, pain, cellulitis to area; hospitalization.  Nurse follow up on 09/01/04 states: "Allergic reaction to Pneumovax."
Age: 36.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site swelling, Pyrexia, Tachycardia, White blood cell count increased
Clinical narrative: Fever 103, malaise, pain, cellulitis to area; hospitalization.  Nurse follow up on 09/01/04 states: "Allergic reaction to Pneumovax."
Age: 34.0
Sex: F
Vaccine: RAB, TTOX, RAB
Symptoms: Dehydration, Diarrhoea, Headache, Hypoaesthesia, Tremor
Clinical narrative: Severe headaches for 5 weeks now diarrhea (caused dehydration and hospital stay for 2 days) numbness in both arms, tremors from back of head down spine to both legs with a feeling like an electrical current. Per annual report-She is still having headaches.
Age: 34.0
Sex: F
Vaccine: RAB, TTOX, RAB
Symptoms: Chest pain, Chills, Dehydration, Diarrhoea, Dizziness
Clinical narrative: Severe headaches for 5 weeks now diarrhea (caused dehydration and hospital stay for 2 days) numbness in both arms, tremors from back of head down spine to both legs with a feeling like an electrical current. Per annual report-She is still having headaches.
Age: 34.0
Sex: F
Vaccine: RAB, TTOX, RAB
Symptoms: Dry mouth, Fatigue, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Severe headaches for 5 weeks now diarrhea (caused dehydration and hospital stay for 2 days) numbness in both arms, tremors from back of head down spine to both legs with a feeling like an electrical current. Per annual report-She is still having headaches.
Age: 34.0
Sex: F
Vaccine: RAB, TTOX, RAB
Symptoms: Hypoaesthesia, Insomnia, Loss of consciousness, Nausea, Nervous system disorder
Clinical narrative: Severe headaches for 5 weeks now diarrhea (caused dehydration and hospital stay for 2 days) numbness in both arms, tremors from back of head down spine to both legs with a feeling like an electrical current. Per annual report-She is still having headaches.
Age: 34.0
Sex: F
Vaccine: RAB, TTOX, RAB
Symptoms: Pain, Tinnitus, Tremor, Visual disturbance, Weight decreased
Clinical narrative: Severe headaches for 5 weeks now diarrhea (caused dehydration and hospital stay for 2 days) numbness in both arms, tremors from back of head down spine to both legs with a feeling like an electrical current. Per annual report-She is still having headaches.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Seizure with fever ~8 hours after DTaP #4/ Comvax/ IPV
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Abnormal behaviour, Anorexia, Fatigue, Myalgia, Nausea
Clinical narrative: 3-4 Month long symptoms of fatigue, body aches, nausea. Loss of appetite and energy. Notices previous inquiries come back after  they are healed. Spouse claims very large change in personality.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Alopecia, Amnesia, Anxiety, Arthralgia, Coagulopathy
Clinical narrative: Headaches, joint aches, cough, vaginal bleeding, memory loss, constipation, frequency of urination, blurry vision, hair loss, weight gain, seizures, muscle spasms/twitching shortness of breath, anxiety, extremely fatigue, nausea, varicose veins/clotting/bruises, rashes, cysts, fishy odor, excessive sweating. Follow up on 9/22/04 via phone: Patient reports that she is still having many of the same symptoms I had right after I got the anthrax shot, as well as several new ones. She is currently quite concerned about intermittent muscle twitching of her hands and legs...sometimes her whole body, joint aches, continued hair loss, irregular periods with heavy bleeding and clotting, chronic headaches and fatigue, insomnia, periodic episodes of SOB, urgency and frequency, constipation and diarrhea, memory loss and blurry vision. She has undergo evaluations by Dermatology, Neurology (for her headaches), Gynecology, Endocrinology, Neuropsychological evaluations as well as Head MRI, X-rays of C- and T-spine, Thyroid US and Sleeps study done in an effort to diagnose and/or treat these symptoms. The patient's medical problems are complex, although some may be potentially treatable (dysfunctional vaginal bleeding, panic attacks, and insomnia). To what degree treatment of these problems will resolve her chronic fatigue, myalgias, arthralgias (pain), chronic headaches and cognitive dysfunction remains to be determined with time improved therapy and close monitoring. Athralgias are among the most common systemic side effects associated with anthrax vaccine and is a common complaint of some individuals seen.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Constipation, Contusion, Convulsion, Cough, Cyst
Clinical narrative: Headaches, joint aches, cough, vaginal bleeding, memory loss, constipation, frequency of urination, blurry vision, hair loss, weight gain, seizures, muscle spasms/twitching shortness of breath, anxiety, extremely fatigue, nausea, varicose veins/clotting/bruises, rashes, cysts, fishy odor, excessive sweating. Follow up on 9/22/04 via phone: Patient reports that she is still having many of the same symptoms I had right after I got the anthrax shot, as well as several new ones. She is currently quite concerned about intermittent muscle twitching of her hands and legs...sometimes her whole body, joint aches, continued hair loss, irregular periods with heavy bleeding and clotting, chronic headaches and fatigue, insomnia, periodic episodes of SOB, urgency and frequency, constipation and diarrhea, memory loss and blurry vision. She has undergo evaluations by Dermatology, Neurology (for her headaches), Gynecology, Endocrinology, Neuropsychological evaluations as well as Head MRI, X-rays of C- and T-spine, Thyroid US and Sleeps study done in an effort to diagnose and/or treat these symptoms. The patient's medical problems are complex, although some may be potentially treatable (dysfunctional vaginal bleeding, panic attacks, and insomnia). To what degree treatment of these problems will resolve her chronic fatigue, myalgias, arthralgias (pain), chronic headaches and cognitive dysfunction remains to be determined with time improved therapy and close monitoring. Athralgias are among the most common systemic side effects associated with anthrax vaccine and is a common complaint of some individuals seen.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Fatigue, Headache, Muscle spasms, Muscle twitching
Clinical narrative: Headaches, joint aches, cough, vaginal bleeding, memory loss, constipation, frequency of urination, blurry vision, hair loss, weight gain, seizures, muscle spasms/twitching shortness of breath, anxiety, extremely fatigue, nausea, varicose veins/clotting/bruises, rashes, cysts, fishy odor, excessive sweating. Follow up on 9/22/04 via phone: Patient reports that she is still having many of the same symptoms I had right after I got the anthrax shot, as well as several new ones. She is currently quite concerned about intermittent muscle twitching of her hands and legs...sometimes her whole body, joint aches, continued hair loss, irregular periods with heavy bleeding and clotting, chronic headaches and fatigue, insomnia, periodic episodes of SOB, urgency and frequency, constipation and diarrhea, memory loss and blurry vision. She has undergo evaluations by Dermatology, Neurology (for her headaches), Gynecology, Endocrinology, Neuropsychological evaluations as well as Head MRI, X-rays of C- and T-spine, Thyroid US and Sleeps study done in an effort to diagnose and/or treat these symptoms. The patient's medical problems are complex, although some may be potentially treatable (dysfunctional vaginal bleeding, panic attacks, and insomnia). To what degree treatment of these problems will resolve her chronic fatigue, myalgias, arthralgias (pain), chronic headaches and cognitive dysfunction remains to be determined with time improved therapy and close monitoring. Athralgias are among the most common systemic side effects associated with anthrax vaccine and is a common complaint of some individuals seen.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pollakiuria, Vaginal haemorrhage, Varicose vein, Vision blurred
Clinical narrative: Headaches, joint aches, cough, vaginal bleeding, memory loss, constipation, frequency of urination, blurry vision, hair loss, weight gain, seizures, muscle spasms/twitching shortness of breath, anxiety, extremely fatigue, nausea, varicose veins/clotting/bruises, rashes, cysts, fishy odor, excessive sweating. Follow up on 9/22/04 via phone: Patient reports that she is still having many of the same symptoms I had right after I got the anthrax shot, as well as several new ones. She is currently quite concerned about intermittent muscle twitching of her hands and legs...sometimes her whole body, joint aches, continued hair loss, irregular periods with heavy bleeding and clotting, chronic headaches and fatigue, insomnia, periodic episodes of SOB, urgency and frequency, constipation and diarrhea, memory loss and blurry vision. She has undergo evaluations by Dermatology, Neurology (for her headaches), Gynecology, Endocrinology, Neuropsychological evaluations as well as Head MRI, X-rays of C- and T-spine, Thyroid US and Sleeps study done in an effort to diagnose and/or treat these symptoms. The patient's medical problems are complex, although some may be potentially treatable (dysfunctional vaginal bleeding, panic attacks, and insomnia). To what degree treatment of these problems will resolve her chronic fatigue, myalgias, arthralgias (pain), chronic headaches and cognitive dysfunction remains to be determined with time improved therapy and close monitoring. Athralgias are among the most common systemic side effects associated with anthrax vaccine and is a common complaint of some individuals seen.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Weight increased
Clinical narrative: Headaches, joint aches, cough, vaginal bleeding, memory loss, constipation, frequency of urination, blurry vision, hair loss, weight gain, seizures, muscle spasms/twitching shortness of breath, anxiety, extremely fatigue, nausea, varicose veins/clotting/bruises, rashes, cysts, fishy odor, excessive sweating. Follow up on 9/22/04 via phone: Patient reports that she is still having many of the same symptoms I had right after I got the anthrax shot, as well as several new ones. She is currently quite concerned about intermittent muscle twitching of her hands and legs...sometimes her whole body, joint aches, continued hair loss, irregular periods with heavy bleeding and clotting, chronic headaches and fatigue, insomnia, periodic episodes of SOB, urgency and frequency, constipation and diarrhea, memory loss and blurry vision. She has undergo evaluations by Dermatology, Neurology (for her headaches), Gynecology, Endocrinology, Neuropsychological evaluations as well as Head MRI, X-rays of C- and T-spine, Thyroid US and Sleeps study done in an effort to diagnose and/or treat these symptoms. The patient's medical problems are complex, although some may be potentially treatable (dysfunctional vaginal bleeding, panic attacks, and insomnia). To what degree treatment of these problems will resolve her chronic fatigue, myalgias, arthralgias (pain), chronic headaches and cognitive dysfunction remains to be determined with time improved therapy and close monitoring. Athralgias are among the most common systemic side effects associated with anthrax vaccine and is a common complaint of some individuals seen.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Hypersensitivity, Psychomotor hyperactivity, Urticaria
Clinical narrative: For about 1 month after receiving vaccine, skin was hyperactive to hand soap on hands up to wrist, and buttox. Skin broke out in hives after contact with hand soap and after contact with mother's hand after she had touched shellfish, although pt was able to eat shellfish. Hand soap ingredient list attached. Problems resolved pt has since used some soap.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Received DTaP, IPV, MMR on 9/1/04. On 9/2/04 the left deltoid muscle was found by the mother to be very red, hot and swollen. The redness extended over the upper entire half of the left arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: 8/31/04: 18x12cm area of cellulitis on left thigh, treated with warm compresses and Keflex.
Age: 61.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Redness, swelling, pain, itching, hardened area at site.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: 2nd MMR given 8/26/04 left leg, 2 days later noted area 5"x4" red/warm c/o itching. Treated with Allegra 30mg BID x 3d, Motrin x 3d.
Age: 21.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Medication error, Pruritus
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm 50mmx40mm erythema with 10mm area of induration. Mild itchy.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Injection site reaction, Medication error
Clinical narrative: In error: administered 0.1. ml Td intradermal instead of PPD. Left arm with mild irritation no discomfort.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Medication error, Tenderness
Clinical narrative: In error: administered 0.1. ml Td intradermal instead of PPD. Left forearm 30mmx30mm erythema with 10mm induration. Tenderness reported.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Pruritus, Tenderness
Clinical narrative: In error: administered 0.1. ml Td intradermal instead of PPD. Left forearm 50mmx20mm erythema with 10mm induration some tenderness; itchy reported.
Age: 24.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site induration, Medication error, Pruritus
Clinical narrative: In error: Administered 0.1 ml Td intradermal instead of PPD. Left forearm with 50 mm x 30 mm erythema with 10 mm induration. Some itch reported.
Sex: F
Vaccine: TD
Symptoms: Lymphadenopathy, Medication error
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm with 10 mm area of induration. No erythema or itch or pain. 8/26/04: Right groin with 20 x020 mm Lymphoid development.
Age: 24.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site induration, Medication error, Pain
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm 45 mm x 25 mm erythema 10 mm of induration. Reports pain initially but at 48 hours follow up pain better.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Medication error
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm 20 mm x 20 mm erythema 10 mm induration.
Age: 22.0
Sex: M
Vaccine: TD
Symptoms: Injection site induration, Medication error
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm no erythema no pain or itch. 10 mm area of induration noted. 4 days past injection area remained 10 mm no symptoms.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Medication error
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm 50 mm 30 mm erythema with 10 mm induration. No reported pain.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Injection site pain, Medication error, Pain
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm with 10 mm area of induration noted 48 hours past injection. Painful to touch 4 days after injection pain subsided: induration decreased.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Medication error, Pain, Pruritus
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm with 30 mm x 20 mm with 10 mm induration. Mild itch and pain reported.
Age: 11.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Pt received Varicella vaccine on 8/18/04 to lateral aspect of left arm. On 8/28/04 pt developed a "quarter sized red spot" to lateral aspect of left arm where varicella was given. On 8/29-8/30 area became larger in diameter, redder, hot to touch and "itchy." Pt mother started administering Benadryl everyday to child. On 8/31 pt mother took child to doctor who diagnosed as cellulitis and prescribed Keflex 250 mg po QID for 7 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site reaction, Pain
Clinical narrative: Cellulitis at site. Red, swollen, well marked streaks of redness around site down to elbow. Warm to touch and painful. Left arm.
Age: 11.0
Sex: F
Vaccine: DT
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Swelling at site of injection, spreading down the arm with associated T 103. Started about 5-6 hours post injection.
Age: 2.9
Sex: M
Vaccine: HIBV, IPV
Symptoms: Erythema, Injection site abscess, Injection site induration
Clinical narrative: Seen on 7/29/04: was developing abscess at site of HIB injection given on 7/27/04. Treated with Augmentin. Seen patient again on 8/2/04. Redness subsided, small area of induration still present at site of injection. Advised to complete 10 days of antibiotic.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling, Tenderness
Clinical narrative: Swelling, slight tenderness on left upper arm starting with 10 hours DTaP. No treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left upper arm swollen, red and warm to touch. Dr. prescribed Benadryl 1.75 tsp q 6 hours and Keflex 250 mg/ 5 ml,
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Dermatitis bullous, Drug ineffective, Headache, Infection, Pyrexia
Clinical narrative: Received varicella vaccine done #1 on 8/10/04. Developed fever, headache, pox rash (chicken pox disease) 8/29/04.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Chicken pox 10-12 spots, most on face and back 6 days until scabbed over.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Fever 103 degrees for 24-36 hours post immunization. Treatment Tylenol: recovered. 9 days post immunization rash (2-3 slightly red and raised areas) to face, arm, leg.
Age: 23.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site induration, Injection site warmth, Joint range of motion decreased, Pain
Clinical narrative: Td given in right deltoid IM. Pt came in 9/2/04 stating pain, swelling, redness and decreased ROM in right arm x three days around 6 inch area of erythema, induration, heat and swelling distal to right deltoid region. Ice pack and ibuprofen 800 mg TID. To see clinic doctor on 9/3/04.
Age: 23.0
Sex: M
Vaccine: TD
Symptoms: Swelling
Clinical narrative: Td given in right deltoid IM. Pt came in 9/2/04 stating pain, swelling, redness and decreased ROM in right arm x three days around 6 inch area of erythema, induration, heat and swelling distal to right deltoid region. Ice pack and ibuprofen 800 mg TID. To see clinic doctor on 9/3/04.
Age: 35.0
Sex: M
Vaccine: HEP
Symptoms: Headache
Clinical narrative: Within 10 minutes of getting Hep B vaccine IM Right deltoid, Complained of headache which lasted approximately 1 hour.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: Hives after first injection 7/04: lasted about one week but not reported to us. Second injection: hives again 8/04 : no new foods soaps, detergents, etc.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Injection given 8/24/04, mom called 8/26/04 with message stating: the right thigh red, swollen and warm. I do not know what treatment was prescribed. Incident discussed with patient by doctor.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Feeling hot, Hypersensitivity, Injection site induration
Clinical narrative: Swollen, red, indurated area over right anterior thigh, warm touch touch, placed on antibiotic for cellulitis with allergic reaction to DTaP. Temperature also.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Swollen, red, indurated area over right anterior thigh, warm touch touch, placed on antibiotic for cellulitis with allergic reaction to DTaP. Temperature also.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site erythema, Rash
Clinical narrative: Rash, swelling, redness 3" by 3" and hot to touch with streaking around injection site : seen at Urgent Care and put on abx for cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Swelling
Clinical narrative: Rash, swelling, redness 3" by 3" and hot to touch with streaking around injection site : seen at Urgent Care and put on abx for cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Difficulty in walking, Erythema, Feeling hot, Pain
Clinical narrative: Pt experienced swelling of entire thigh, red, not to touch, pain, difficulty walking and fever, placed on abx for cellulitis 3 days after receiving shot.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Pt experienced swelling of entire thigh, red, not to touch, pain, difficulty walking and fever, placed on abx for cellulitis 3 days after receiving shot.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Feeling hot, Injection site induration, Pain, Swelling
Clinical narrative: Reaction to DTaP, left leg warm to touch and swollen 4x3" induration and pain. Put on abx for cellulitis.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site induration
Clinical narrative: Pt developed 4 inch tense induration in left thigh at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: 8/20/04: left leg swollen and red: whole upper thigh : necessary use of Ibuprofen q6 hours and warm moist compress and call private doctor. He recommended child be seen. Child taken to clinic and diagnosed with cellulitis left upper leg and given Keflex 250 x 7 days. Leg fine now. 8/25/04
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Inconsolable crying x 1 hour started about 3 hours after shots: better now: Tylenol .8cc q 4 hours. Right leg sensitive to motion more so than left leg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 8x10 cm red , warm, swelling of right deltoid where DTaP was given two days prior.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Nasal congestion, Pyrexia
Clinical narrative: Fever and fussiness starting the evening of vaccination and reached a peak of 102.8 rectal. slight stuffy nose noted the next day in the office visit. No other signs of illness, no lab tests done. Fever.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Received immunization 8/30 9:30 am, swelling noted. Occurred 8/31 9 AM with redness. Lost arm (left) hurt. Pain now gone. 15cm long x 50 % around left arm.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: red, swollen, induration (right arm). supportive: ice compress/ ibuprofen.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness
Clinical narrative: Dizziness started two hours after vaccine.
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: Left bicep warm. Right bicep red.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Injection site induration
Clinical narrative: 2x3 reddened, slight indurated area. Right arm. No itch. Ice and Benadryl if needed.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Anorexia, Screaming, Somnolence
Clinical narrative: Pt received immunization around 11:30 am. Slept for awhile after getting home. Then started screaming at 3:35 pm and would not be comforted. Nurse spoke to mother around 5pm. Pt afebrile T 97.2. Baby does not want to take feedings.
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Nausea
Clinical narrative: Nausea, dizziness and fatigue with this vaccination and she also now recalls having this with the first vaccination on 7/30/04.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Local reaction: red, swelling. Supportive Care : Cool compress/ Analgesics
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Right arm became red and swollen, non tender in an approximately 10 cm x 7 cm patch. No fever. No N/N.
Age: 7.0
Sex: F
Vaccine: MMR, TD
Symptoms: Muscle twitching, Pain
Clinical narrative: Each 45 day, when she falls asleep, she wakes up with half of her face jumping and she doesn't feel her tongue. It lasts about 30-45 seconds until it stops. After it occurs, her face hurts her.
Age: 8.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Viral infection
Clinical narrative: Child received Varicella vaccine 1/24/04. Developed rash 9/1/04; diagnosed chicken pox 9/2/04. Has about 20 lesions.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Injection site abscess, Injection site pain, Injection site swelling
Clinical narrative: Abscess. Patient complained of tenderness and swelling at injection site 2 days after administration. Consistent with mild local reaction, progressed over next few days to draining, pain and swelling with sterile abscess.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Client seen by doctor in ER at approximately 8:00 PM on 8/13/04. Documentation states she had swelling and red area to left arm, and area hot to touch. Doctor diagnosed cellulitis and prescribed Keflex (250mg/5ml) 3ml 4 times per day for 7 days. When left arm checked on 8/16/04, red area and swelling were resolved.
Age: 0.37
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Hemiparesis
Clinical narrative: Right sided focal seizures with tonic clonic movement of right leg, arm, body, face, eye and tongue lasting 10-15 minutes. Right sided weakness post seizure.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Fist-sized area of erythema, tenderness, warmth right thigh. No fever, no limp.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Pruritus, Skin irritation, Swelling
Clinical narrative: Swollen on left upper shoulder. Also has redness from patient scratching.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site of DTaP injection.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Diagnosed with hives.
Age: 2.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Varivax vaccine failure.
Age: 7.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Dermatitis bullous, Discomfort, Drug ineffective, Infection, Pruritus
Clinical narrative: Developed mild case of chickenpox, had fever 99-101.5. Itching and discomfort. Fever with pustules treated wit Augmentin ES and Atarax.
Age: 7.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Pyrexia, Rash pustular
Clinical narrative: Developed mild case of chickenpox, had fever 99-101.5. Itching and discomfort. Fever with pustules treated wit Augmentin ES and Atarax.
Age: 0.5
Sex: F
Vaccine: HBHEPB, PNC
Symptoms: Erythema, Pyrexia
Clinical narrative: Erythematous 2 cm border. Decodrox 1/2 mg, fever
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Swelling, Urticaria
Clinical narrative: Mom states swelling: left arm after vaccine about 1 min after DTAP: urticarial reaction on left upper arm.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Swelling
Clinical narrative: On 9/2/04: Came to clinic with right arm swelling and itching. Prescribed Keflex and Atarax. Received pt 9/3/04.
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Convulsion, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: Aug 5th 20 sec episode of stiffening/ eye rolling, consistent with seizure. Aug 12th 20 sec similar episode consistent with seizure.
Age: 50.0
Sex: M
Vaccine: MMR, PPV, TYP
Symptoms: Asthenia, Fatigue, Pain, Pyrexia
Clinical narrative: Vaccines given 8/24/04. On 8/25 pt reports he became weak, fatigued and developed a fever of  102.5 c/o pain left deltoid area. Fever resolved by 8/26 Tired weak tel 8/27.
Age: 0.8
Sex: M
Vaccine: IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Approximately 43 hours after vaccines were given, he spiked a fever of 102.8F axillary.  He ran a continuous fever and was very irritable for approximately 48 hours, but had no other symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM RED AND WARM TO TOUCH -L DELTOID AREA  7 X 8 CM - WARM SWOLLEN RED, TENDER
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, tenderness and warmth around injection site covering most of upper arm.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: chicken pox by physician clinical diagnosis 1 week after vaccine; 6 month old brother contracted same approximately 1&1/2 weeks after brother (no other known exposure)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Approximately 2 1/2 hours after receiving IPV, MMR and DTaP patient developed a rash on her forehead.  While in the ED rash was also noted on her legs.  Treated with Atavax.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blood pressure increased, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Anthrax #1 June 3, 2003 Complained of increased warmth and red face the day of his immunization.  The next day was worse with an "exploding headache", passed out with altered LOC for 45-120 minutes. He complained of a palpating chest pain - dull-sharp ache (4-5/10) that worsened with deep breaths and lying down.  Relaxing and sitting up relieved the pain.  He complained of a "drained" feeling, fatigue and "lethargy"(no energy) and generalized body weakness. He observed a knot to his left arm for one month following the first immunization (indicated tricep region as immunization site). Anthrax #2 (3-4 weeks later)Unknown Elevated blood pressure (190's systolic) 20 minutes after receiving his 2nd immunization with facial flushing headaches (10/10 scale). He continues to have "flash headaches" 2-3 times a week lasting a few moments then gone.  Gradual new onset bilateral joint pain to his shoulders hips & knees.  He describes the pain as a grinding stiffness at 6/10 scale 3 weeks after 2nd immunization. He noticed a large red circle surrounding the immunization site for a few days post-vaccination; and a knot to the tricep region of his right arm for one month. He again felt drained, fatigued with no energy.  He complains of night sweats and difficulty sleeping over 4-5 hours.   Anthrax #3 Unknown Complained of severe pain with the third immunization, like a burning hammer hit him, with redness and stripes of bright red streaks surround the injection site for a few days with resulting knot that lasted for one month.  His blood pressure rose again with similar feelings of facial flushing, redness and headaches, feelings of fatigue, lethargy and lack of energy.  His headaches, night sweats and difficulties sleeping continue.  Nurse follow up on 09/28/04 states: "Reviewed d/c summary. Final diagnosis was non-cardiac chest pain now resolved with secondary diagnosis of hypertension. Diaphoresis and SOB while c/o chest pain. "