chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Diabetes mellitus
Clinical narrative: Pt developed type I diabetes. The annual follow-up report states that the pt was diagnosed with type I diabetes in April 2000. He started on insulin injections 3 times a day. In December 2000 he was asymtomatic and discontinued insulin. The tests were positive to the antibodies for type I diabetes, yet has not taken insulin for the past eight months.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Apnoea, Convulsion, Cough, Cyanosis, Heart rate irregular
Clinical narrative: Two days post vax, the pt developed a cough. On 6/3, she became irritable with crying, excessive sleepiness; followed by staring, irrational babbling, vomiting and began focal motor seizure involving her right arm and right side of face. The staring phase seizure lasted approximately 20 minutes. Brief apnea with cyanosis. Postictal for 1 to 2 hours. Duration of total neurological change was 5 hours. Returned to normal level of functioning.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Irritability, Sinusitis, Somnolence, Staring, Vomiting
Clinical narrative: Two days post vax, the pt developed a cough. On 6/3, she became irritable with crying, excessive sleepiness; followed by staring, irrational babbling, vomiting and began focal motor seizure involving her right arm and right side of face. The staring phase seizure lasted approximately 20 minutes. Brief apnea with cyanosis. Postictal for 1 to 2 hours. Duration of total neurological change was 5 hours. Returned to normal level of functioning.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Nystagmus, Strabismus
Clinical narrative: Pt had focal seizures on left lower extremity then on left upper extremity getting to be generalized which lasted for about one hour. He was given Ativan and Dilantin. He continued to have brief eye deviation both downward gaze and nystagmus, about 5 seconds for a few hours. He has not had any seizures after that.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Blood calcium increased, Convulsion, Hypochromic anaemia
Clinical narrative: Three and a half hours post vax, the pt developed tonic clonic seizures. First seizure was brief; the second lasted approximately 2 minutes in the ER. No fever. No more problems since 06/29/2000
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Diarrhoea, Drug toxicity, Laboratory test abnormal, Otitis media, Sleep disorder
Clinical narrative: Post vax, pt suffered from repeated ear infections. He had diarrhea and sleep problems for several weeks after that and started to regress developmentally. 07/26/2000CB from mom w/answers to questions: MMR on 12/27/1993 was 1st one, had a 2nd at 4 1/2 yrs-reports high levels of mercury in urine perfectly. Awaiting blood results, was finishing a course of amoxicillin at time of first urine-not acutely ill: med Hx is (-) other than chronic OM: birth wt was 7lb 7oz, has a sister now age 14-she had herMMR's at 4 1/2 and 12 yrs, no AE's
Age: 41.0
Sex: F
Vaccine: LYME
Symptoms: Oedema peripheral, Pain
Clinical narrative: The pt experienced swelling and pain in the right hand and right fore arm.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site rash, Pruritus
Clinical narrative: The pt experienced a 3.5 cm pruritic / sore erythematous rash starting at injection site at left upper arm for 2 days. It has grown 5 cm over the last 4 hours.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: After being vaccinated on 6/20/00, the following day (6/21/00) the pt experienced swelling around the injection site and inflammation medially towards the elbow. Complaints of itchiness also.
Age: 1.75
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: The pt experienced hives which developed 14 hours post 2nd Prevnar vax. No reaction on 1st. Treated with Benadryl only.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Asthenia, Hypotonia, Musculoskeletal stiffness, Pyrexia, Staring
Clinical narrative: On 6/10/00 the pt developed a fever of 103, was limp and staring. This lasted about 3-5 minutes. The pt vomited one time. For a period of 20 minutes afterwards the pt couldn't stand, limbs were rigid had difficulty lifting and straightening head. Was seen in the ER.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Vomiting
Clinical narrative: On 6/10/00 the pt developed a fever of 103, was limp and staring. This lasted about 3-5 minutes. The pt vomited one time. For a period of 20 minutes afterwards the pt couldn't stand, limbs were rigid had difficulty lifting and straightening head. Was seen in the ER.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: The pt broke out with hives covering both arms approximately 3 hours after given vaccinations. Gave one dose of Benadryl as treatment.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Three days post vax pt developed a sore arm and neck stiffness.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Rash, Wheezing
Clinical narrative: Approximately 10 minutes post vax pt developed a generalized rash and one hour post vax pt experienced wheezing. Pt was treated with Benadryl.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Oedema peripheral
Clinical narrative: Several hours post vax pts thigh became very swollen down to and including the knee. Pt was treated with ibuprofen.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dizziness, Dyspnoea, Hyperhidrosis, Injury
Clinical narrative: A few minutes post vax pt state "I feel dizzy" and passed out. Pt hit head hard on metal door. Awoke immediately scared and crying. Rolled to back and given cool rags and fan. Pt was pale and diaphoretic. C/O of head throbbing, nausea, dizziness.  Pt was given a snack and reported feeling better. When pt attempted to sit up he became pale and dizzy. Pt started having chest aches. BP 110/80; apical 72 and regular. Pt was given Tylenol. Pt continued to experience dizziness now with SOB. Pt was then transported to the ER. Pt was sent home from hospital with head trauma warnings and ER physician stated it was caused by allergic reaction to Hep B vaccine.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: A few minutes post vax pt state "I feel dizzy" and passed out. Pt hit head hard on metal door. Awoke immediately scared and crying. Rolled to back and given cool rags and fan. Pt was pale and diaphoretic. C/O of head throbbing, nausea, dizziness.  Pt was given a snack and reported feeling better. When pt attempted to sit up he became pale and dizzy. Pt started having chest aches. BP 110/80; apical 72 and regular. Pt was given Tylenol. Pt continued to experience dizziness now with SOB. Pt was then transported to the ER. Pt was sent home from hospital with head trauma warnings and ER physician stated it was caused by allergic reaction to Hep B vaccine.
Age: 1.75
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Pt experienced redness and swelling in upper arm.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
Clinical narrative: Pt experienced redness and swelling to the size of a half dollar. Area was hard to touch. Treated with ice compressed and Motrin.
Age: 1.2
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Pt came to clinic for evaluation of rash, erythematous, with vesicles left elbow, left palm, with varicella zoster culture. Diagnosed with shingles.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: Pt experienced a seizure after vaccine. 911 responded to the call.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Malaise, Myalgia, Pyrexia
Clinical narrative: Pt experienced localized swelling, erythema, febrile, malaise, myalgia all over.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: One day post vax pt developed a swollen area 2 in across, with itching and warm to touch. Pt experienced some erythema.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: Pt experienced fever and swelling at injection site.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Bacterial infection, Injection site erythema, Injection site mass, Injection site oedema, Pharyngitis
Clinical narrative: One day post vax pt experienced a fever up to 100.7.  The next day fever up to 103.7.  4 cm diameter area of redness, swelling and some induration at site of injection - right thigh. Pt was exposed to a child with a fever.  Pt diagnosed with pharyngitis.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: One day post vax pt experienced a fever up to 100.7.  The next day fever up to 103.7.  4 cm diameter area of redness, swelling and some induration at site of injection - right thigh. Pt was exposed to a child with a fever.  Pt diagnosed with pharyngitis.
Age: 40.0
Sex: F
Vaccine: FLU3, MEN
Symptoms: Abdominal pain upper, Lethargy, Malaise, Pain
Clinical narrative: Pt experienced lethargy, general body aches, malaise, stomach pain, missed one day of work.
Age: 13.0
Sex: M
Vaccine: MMR
Symptoms: Injection site urticaria, Rash erythematous
Clinical narrative: 15 minutes post vax pt developed a localized welt, red, raised area 22 X 25 mm. Monitored in clinic for 30 minutes and noticed a decrease in redness. Instructed parents to monitor and give Benadryl if worse
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Coma, Eye movement disorder, Lethargy, Somnolence
Clinical narrative: Parent described pt as unresponsive, extremely lethargic, very difficult to awaken, eyes rolling back in head. Pt was taken to ER.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt developed a dark red, 2 cm diameter area surrounding injection site with 7 cm diameter area of lighter redness, warm to touch, on left leg. Dark red 4 cm diameter area surrounding injection site with 15 cm area of lighter redness surrounding injection site on right leg, also warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Pt developed a bump the size of a nickel and the bump had other little bumps inside it from eraser size and smaller.  Color is reddish to pinkish and its 5 dots like a smiley face on side of left arm by SQ.  Still present.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Pt experienced generalized, progressive urticaria and swelling to a severe degree of feet and hands.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Pt developed a temperature of up to 103.6, was taken to the ER with a temperature of 105.8. Pt was treated with Tylenol, Phenergen, and acetaminophen
Sex: F
Vaccine: PPV, TTOX
Symptoms: Erythema, Swelling
Clinical narrative: Pt experienced redness and swelling.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Pt developed varicella rash.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt experienced mild varicella
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Pt experienced redness and induration around injection sites.
Age: 17.0
Sex: F
Vaccine: MMR, TD
Symptoms: Lethargy, Lymphadenopathy, Malaise
Clinical narrative: Pt experienced swollen glands and felt lethargic  and ill. Pt was treated with acetaminophen.
Age: 46.0
Sex: M
Vaccine: HEP, TD
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Pain
Clinical narrative: Pt developed immediate pain and swelling at injection site lasting 5 days. Unable to move arm, very painful.
Age: 49.0
Sex: F
Vaccine: HEPA, IPV, TD, YF, HEPA, IPV, TTOX, YF
Symptoms: Blood pressure increased, Dyspnoea, Face oedema, Feeling hot, Heart rate increased
Clinical narrative: Approximately 2 hours post vax pt developed hives, face began to swell, and pt had difficulty breathing.  BP increased and heart rate increased, skin felt like it was on fire. Pt was treated in ER with Benadryl and epinephrine.
Age: 49.0
Sex: F
Vaccine: HEPA, IPV, TD, YF, HEPA, IPV, TTOX, YF
Symptoms: Urticaria
Clinical narrative: Approximately 2 hours post vax pt developed hives, face began to swell, and pt had difficulty breathing.  BP increased and heart rate increased, skin felt like it was on fire. Pt was treated in ER with Benadryl and epinephrine.
Age: 49.0
Sex: F
Vaccine: HEPA, IPV, TD, YF, HEPA, IPV, TTOX, YF
Symptoms: Dyspnoea, Face oedema, Skin burning sensation, Tongue oedema
Clinical narrative: Approximately 2 hours post vax pt developed hives, face began to swell, and pt had difficulty breathing.  BP increased and heart rate increased, skin felt like it was on fire. Pt was treated in ER with Benadryl and epinephrine.
Age: 44.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Arthritis, Condition aggravated, Joint swelling
Clinical narrative: Within the same month post vax, this pt experienced "severe disabling joint pain all over her body." The joint pain localized in her back, neck, knees, elbows, fingers, and jaw and was described as "arthritic" in nature. She also reported swelling of her joint (not specified). When the pain is "bad" she is unable to walk, lift her arms or chew (depending on the joint affected). The fatigue forces her to go bed at 7 PM every night. Treatment for events was not specified. Medical records received. Second vax received when she saw physician on 05/03/99. Also dated on 05/09 was testing noting  that her heart murmur/thrill was consistent with right ventricular conduction delay. On 07/16/99, and complained of joint inflammation, memory loss, and chest pain. On 03/23/00, she states an increase in arthritis with each vax. Also on 06/08/00 she reports returning from a trip to Mexico and experiencing diarrhea for 6 days with nausea, weight loss of 5 pounds, and chills. Physician noted gastroenteritis secondary to foreign travel. Recent information indicates that the events are ongoing and permanently disabling. A follow up report received 6/12/2000 adds: Spoke to pt. She does not have record of exact date she received the vaccine. Symptoms began after 1st in series, but she made no connection as to what might be cause and effect. Symptoms relieved somewhat before 2nd vaccine. After 2nd vaccine symptoms recurred with more intensity. Rheumatologist told her she had "Lyme induced rheumatoid arthritis". She is going for a second opinion in 6/2000. Missing info on VAERS form - 12. ANA test positive, tested positive for gene that causes interaction with vaccine. 17. N/A 21. N/A 19. Osteoarthritis in hands only before vaccines. Consent forms (2) sent.
Age: 44.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Amnesia, Antinuclear antibody positive, Arthralgia, Arthritis, Back pain
Clinical narrative: Within the same month post vax, this pt experienced "severe disabling joint pain all over her body." The joint pain localized in her back, neck, knees, elbows, fingers, and jaw and was described as "arthritic" in nature. She also reported swelling of her joint (not specified). When the pain is "bad" she is unable to walk, lift her arms or chew (depending on the joint affected). The fatigue forces her to go bed at 7 PM every night. Treatment for events was not specified. Medical records received. Second vax received when she saw physician on 05/03/99. Also dated on 05/09 was testing noting  that her heart murmur/thrill was consistent with right ventricular conduction delay. On 07/16/99, and complained of joint inflammation, memory loss, and chest pain. On 03/23/00, she states an increase in arthritis with each vax. Also on 06/08/00 she reports returning from a trip to Mexico and experiencing diarrhea for 6 days with nausea, weight loss of 5 pounds, and chills. Physician noted gastroenteritis secondary to foreign travel. Recent information indicates that the events are ongoing and permanently disabling. A follow up report received 6/12/2000 adds: Spoke to pt. She does not have record of exact date she received the vaccine. Symptoms began after 1st in series, but she made no connection as to what might be cause and effect. Symptoms relieved somewhat before 2nd vaccine. After 2nd vaccine symptoms recurred with more intensity. Rheumatologist told her she had "Lyme induced rheumatoid arthritis". She is going for a second opinion in 6/2000. Missing info on VAERS form - 12. ANA test positive, tested positive for gene that causes interaction with vaccine. 17. N/A 21. N/A 19. Osteoarthritis in hands only before vaccines. Consent forms (2) sent.
Age: 44.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Chest pain, Chills, Condition aggravated, Diarrhoea, Fatigue
Clinical narrative: Within the same month post vax, this pt experienced "severe disabling joint pain all over her body." The joint pain localized in her back, neck, knees, elbows, fingers, and jaw and was described as "arthritic" in nature. She also reported swelling of her joint (not specified). When the pain is "bad" she is unable to walk, lift her arms or chew (depending on the joint affected). The fatigue forces her to go bed at 7 PM every night. Treatment for events was not specified. Medical records received. Second vax received when she saw physician on 05/03/99. Also dated on 05/09 was testing noting  that her heart murmur/thrill was consistent with right ventricular conduction delay. On 07/16/99, and complained of joint inflammation, memory loss, and chest pain. On 03/23/00, she states an increase in arthritis with each vax. Also on 06/08/00 she reports returning from a trip to Mexico and experiencing diarrhea for 6 days with nausea, weight loss of 5 pounds, and chills. Physician noted gastroenteritis secondary to foreign travel. Recent information indicates that the events are ongoing and permanently disabling. A follow up report received 6/12/2000 adds: Spoke to pt. She does not have record of exact date she received the vaccine. Symptoms began after 1st in series, but she made no connection as to what might be cause and effect. Symptoms relieved somewhat before 2nd vaccine. After 2nd vaccine symptoms recurred with more intensity. Rheumatologist told her she had "Lyme induced rheumatoid arthritis". She is going for a second opinion in 6/2000. Missing info on VAERS form - 12. ANA test positive, tested positive for gene that causes interaction with vaccine. 17. N/A 21. N/A 19. Osteoarthritis in hands only before vaccines. Consent forms (2) sent.
Age: 44.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Gastroenteritis, Heart rate irregular, Hypokinesia, Joint swelling, Nausea
Clinical narrative: Within the same month post vax, this pt experienced "severe disabling joint pain all over her body." The joint pain localized in her back, neck, knees, elbows, fingers, and jaw and was described as "arthritic" in nature. She also reported swelling of her joint (not specified). When the pain is "bad" she is unable to walk, lift her arms or chew (depending on the joint affected). The fatigue forces her to go bed at 7 PM every night. Treatment for events was not specified. Medical records received. Second vax received when she saw physician on 05/03/99. Also dated on 05/09 was testing noting  that her heart murmur/thrill was consistent with right ventricular conduction delay. On 07/16/99, and complained of joint inflammation, memory loss, and chest pain. On 03/23/00, she states an increase in arthritis with each vax. Also on 06/08/00 she reports returning from a trip to Mexico and experiencing diarrhea for 6 days with nausea, weight loss of 5 pounds, and chills. Physician noted gastroenteritis secondary to foreign travel. Recent information indicates that the events are ongoing and permanently disabling. A follow up report received 6/12/2000 adds: Spoke to pt. She does not have record of exact date she received the vaccine. Symptoms began after 1st in series, but she made no connection as to what might be cause and effect. Symptoms relieved somewhat before 2nd vaccine. After 2nd vaccine symptoms recurred with more intensity. Rheumatologist told her she had "Lyme induced rheumatoid arthritis". She is going for a second opinion in 6/2000. Missing info on VAERS form - 12. ANA test positive, tested positive for gene that causes interaction with vaccine. 17. N/A 21. N/A 19. Osteoarthritis in hands only before vaccines. Consent forms (2) sent.
Age: 44.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Neck pain, Pain, Rheumatoid factor, Similar reaction on previous exposure to drug, Weight decreased
Clinical narrative: Within the same month post vax, this pt experienced "severe disabling joint pain all over her body." The joint pain localized in her back, neck, knees, elbows, fingers, and jaw and was described as "arthritic" in nature. She also reported swelling of her joint (not specified). When the pain is "bad" she is unable to walk, lift her arms or chew (depending on the joint affected). The fatigue forces her to go bed at 7 PM every night. Treatment for events was not specified. Medical records received. Second vax received when she saw physician on 05/03/99. Also dated on 05/09 was testing noting  that her heart murmur/thrill was consistent with right ventricular conduction delay. On 07/16/99, and complained of joint inflammation, memory loss, and chest pain. On 03/23/00, she states an increase in arthritis with each vax. Also on 06/08/00 she reports returning from a trip to Mexico and experiencing diarrhea for 6 days with nausea, weight loss of 5 pounds, and chills. Physician noted gastroenteritis secondary to foreign travel. Recent information indicates that the events are ongoing and permanently disabling. A follow up report received 6/12/2000 adds: Spoke to pt. She does not have record of exact date she received the vaccine. Symptoms began after 1st in series, but she made no connection as to what might be cause and effect. Symptoms relieved somewhat before 2nd vaccine. After 2nd vaccine symptoms recurred with more intensity. Rheumatologist told her she had "Lyme induced rheumatoid arthritis". She is going for a second opinion in 6/2000. Missing info on VAERS form - 12. ANA test positive, tested positive for gene that causes interaction with vaccine. 17. N/A 21. N/A 19. Osteoarthritis in hands only before vaccines. Consent forms (2) sent.
Age: 53.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, FLU3, HEPA
Symptoms: Cardiac failure congestive, Difficulty in walking, Muscular weakness, Myalgia, Neuropathy
Clinical narrative: On 1/27/00, the pt experienced myalgia in his calf muscles. In February 2000, he found it difficult to take steps and had weakness in his legs. He was disabled from 5/10/00. A neurologist was consulted, and the vaccinee was admitted to the hospital from 3/17/00 to 4/3/00. Dx with Guillain-Barre Syndrome, coronary heart disease, and sarcoidosis.  Follow-up information received 7/31/00 states that the adverse event occurred 15 days after returning from a trip to the Phillippines. He was disabled and unable to work as an electrician. It also states that when he was hospitalized, he had no use of his legs and a diagnosis of chronic inflammatory demyelinating polyneuropathy and possible sarcoidosis was made. On "rule out", the internists ascribed his symptoms to the flu shot he had had in December. According to the pt, he has been given a 90% chance of full recovery within one year. At present, his physician is suspecting that the pt has sarcoidosis, which he relates can mimic the above symptoms. The pt was receiving prednisone. The most recent information reports the outcome of the event as improving.
Age: 53.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, FLU3, HEPA
Symptoms: Sarcoidosis
Clinical narrative: On 1/27/00, the pt experienced myalgia in his calf muscles. In February 2000, he found it difficult to take steps and had weakness in his legs. He was disabled from 5/10/00. A neurologist was consulted, and the vaccinee was admitted to the hospital from 3/17/00 to 4/3/00. Dx with Guillain-Barre Syndrome, coronary heart disease, and sarcoidosis.  Follow-up information received 7/31/00 states that the adverse event occurred 15 days after returning from a trip to the Phillippines. He was disabled and unable to work as an electrician. It also states that when he was hospitalized, he had no use of his legs and a diagnosis of chronic inflammatory demyelinating polyneuropathy and possible sarcoidosis was made. On "rule out", the internists ascribed his symptoms to the flu shot he had had in December. According to the pt, he has been given a 90% chance of full recovery within one year. At present, his physician is suspecting that the pt has sarcoidosis, which he relates can mimic the above symptoms. The pt was receiving prednisone. The most recent information reports the outcome of the event as improving.
Age: 53.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, FLU3, HEPA
Symptoms: Demyelination, Difficulty in walking, Muscular weakness, Myalgia
Clinical narrative: On 1/27/00, the pt experienced myalgia in his calf muscles. In February 2000, he found it difficult to take steps and had weakness in his legs. He was disabled from 5/10/00. A neurologist was consulted, and the vaccinee was admitted to the hospital from 3/17/00 to 4/3/00. Dx with Guillain-Barre Syndrome, coronary heart disease, and sarcoidosis.  Follow-up information received 7/31/00 states that the adverse event occurred 15 days after returning from a trip to the Phillippines. He was disabled and unable to work as an electrician. It also states that when he was hospitalized, he had no use of his legs and a diagnosis of chronic inflammatory demyelinating polyneuropathy and possible sarcoidosis was made. On "rule out", the internists ascribed his symptoms to the flu shot he had had in December. According to the pt, he has been given a 90% chance of full recovery within one year. At present, his physician is suspecting that the pt has sarcoidosis, which he relates can mimic the above symptoms. The pt was receiving prednisone. The most recent information reports the outcome of the event as improving.
Age: 53.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, FLU3, HEPA
Symptoms: Demyelination, Difficulty in walking, Guillain-Barre syndrome, Muscular weakness, Myalgia
Clinical narrative: On 1/27/00, the pt experienced myalgia in his calf muscles. In February 2000, he found it difficult to take steps and had weakness in his legs. He was disabled from 5/10/00. A neurologist was consulted, and the vaccinee was admitted to the hospital from 3/17/00 to 4/3/00. Dx with Guillain-Barre Syndrome, coronary heart disease, and sarcoidosis.  Follow-up information received 7/31/00 states that the adverse event occurred 15 days after returning from a trip to the Phillippines. He was disabled and unable to work as an electrician. It also states that when he was hospitalized, he had no use of his legs and a diagnosis of chronic inflammatory demyelinating polyneuropathy and possible sarcoidosis was made. On "rule out", the internists ascribed his symptoms to the flu shot he had had in December. According to the pt, he has been given a 90% chance of full recovery within one year. At present, his physician is suspecting that the pt has sarcoidosis, which he relates can mimic the above symptoms. The pt was receiving prednisone. The most recent information reports the outcome of the event as improving.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: A physician reported that a 61 year old male, inadvertently, received a SC injection of Flu Shield (1999-2000) on 10/1/99. On 6/22/00, he was hospitalized. There, a neurologist made a dx of Guillain Barre Syndrome; the pt was treated with IV immunglobulin. Eight days later, the pt was discharged; he recovered. The reporter indicated that he is "not sure the neurologist's dx is correct for Guillain Barre Syndrome at this time". follow-up received 05/01/2002, from physician. On 07/13/2000, the pt died GBS was noted as probable  cause of death along with hypertension and mixed hyperlipidemia.
Age: 54.0
Sex: F
Vaccine: LYME, LYME
Symptoms: Arthralgia
Clinical narrative: The pt experienced arthralgias.
Age: 1.28
Sex: M
Vaccine: MMR
Symptoms: Autism, Convulsion, Gastrointestinal disorder, Pyrexia
Clinical narrative: Pt developed a fever of 104.9 and a seizure. He was admitted to the hospital. The patient has gastrointestinal problems, major food and environmental allergies and diagnois of autism.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Apnoea
Clinical narrative: Short apnea spell without sequelae.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: The pt experienced 8 x 10 cm area of erythema with heat to right thigh. No induration, no tenderness. Pt has full range of motion to leg. No adenopathy, walks well.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Lethargy
Clinical narrative: The pt experienced an increase in general fatigue, overall feeling of lethargy since beginning the series 2 years ago. Overall energy level was dropped. Generally feel run down or tired.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Cough, Eye oedema, Feeling hot, Hyperhidrosis
Clinical narrative: Approximately 30 minutes post vax pt felt diaphoric and hot. Pt then noted small whelps to arms and itching all over, swelling to both eyes, white dots on tongue, chest soreness, coughing, sore throat and upset stomach.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pruritus, Stomach discomfort, Tongue disorder, Urticaria
Clinical narrative: Approximately 30 minutes post vax pt felt diaphoric and hot. Pt then noted small whelps to arms and itching all over, swelling to both eyes, white dots on tongue, chest soreness, coughing, sore throat and upset stomach.
Age: 1.7
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: 5 days post vax pt developed a low fever. Pt was treated with Motrin. Awakened the next day with a low fever and was given more Motrin. At noon that day fever was 102.3 axillary, pt was given another dose of Motrin then had a seizure at approximately 12:30.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Dermatitis, Erythema, Lacrimation increased, Pyrexia, Rash
Clinical narrative: Pt developed a rash all over body with low grade fever of 99.8 for 2 days. Pt also had watery eyes. Physician diagnosed erythematous  dermatitis and treated with Benadryl.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Irritability, Pyrexia
Clinical narrative: Approximately 1-2 hours post vax, pt developed a temperature of 101; extreme fussiness; took catnaps only. Episode lasted 3-4 days.
Age: 45.0
Sex: F
Vaccine: HEPA
Symptoms: Blood urine
Clinical narrative: For 3-4 days post vax, the pt experienced a large amount of blood from urinary tract. Saw urologist and nothing was found.
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Infection
Clinical narrative: Pt broke out with chickenpox rash and is starting to scab.
Age: 9.0
Sex: F
Vaccine: HEP
Symptoms: Infection
Clinical narrative: Pt broke out with chickenpox rash that lasted about 1 week and is now scabbing.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Dermatitis
Clinical narrative: Pt developed a body rash. Physician diagnosed dermatitis and treated with Benadryl.
Age: 42.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Pain, Paraesthesia, Pyrexia
Clinical narrative: Pt experienced sharp pain in right arm for 2 weeks, painful to sleep on affected side; decreased strength; tingling; high temperature. Pt was treated with prednisone, heat and physical therapy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dermatitis bullous
Clinical narrative: One week post vax pt developed superficial vesicular rash with erythematous base of both upper extremities near sites of injection.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Vasodilation procedure
Clinical narrative: One day post vax, pt developed severe swelling, heat, and redness of the left thigh extending to the mid calf. Cellulitis of the leg was diagnosed. Pt was treated with Cephalexin for 7 days.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Neuritis
Clinical narrative: Pt experienced brachial neuritis approximately 3 weeks post vax.
Age: 14.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Hypotension, Lacrimation increased, Ocular hyperaemia, Throat tightness
Clinical narrative: The pt experienced light headedness, eyes red and teary, throat tightened up. Pt treated with Adrenalin and observed for 1 hour in office.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Delirium
Clinical narrative: One day post vax, the child had two brief seizures. Taken by ambulance to hospital. Dx with a seizure disorder. Has cyst on brain per hospital.
Age: 1.08
Sex: M
Vaccine: OPV, VARCEL
Symptoms: Agitation, Dermatitis bullous, Pyrexia, Rash
Clinical narrative: Three days post vax pt developed red spots on his stomach that were described as blister like in appearance.  Three days later the pt experienced a slight temperature and was fussy.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Rash
Clinical narrative: pt had rash on lt groin x 2 days spread to lt buttock;
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Alopecia
Clinical narrative: Information has been received from a man concerning a 2 year old male relative who on 8/3/99 was vaccinated with 1 dose of varicella virus vaccine live. Approx. 2 weeks, post vax, "a small spot of hair on the left side of the pt's head, fell out". Since then, most of his has fallen out. The pt was seen by a dermatologist and dx'd with alopecia areata. Follow-up information from a physician reported that the pt received varicella vaccine live on 8/3/99. It was reported that the pt's parents questioned causality because of temporal relationship between vaccination and the hair loss. No further information is available.
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Alopecia areata
Clinical narrative: Information has been received from a man concerning a 2 year old male relative who on 8/3/99 was vaccinated with 1 dose of varicella virus vaccine live. Approx. 2 weeks, post vax, "a small spot of hair on the left side of the pt's head, fell out". Since then, most of his has fallen out. The pt was seen by a dermatologist and dx'd with alopecia areata. Follow-up information from a physician reported that the pt received varicella vaccine live on 8/3/99. It was reported that the pt's parents questioned causality because of temporal relationship between vaccination and the hair loss. No further information is available.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Blood alkaline phosphatase increased, Blood amylase increased, Blood bilirubin increased, Chromaturia
Clinical narrative: 04/28/2000 pt received vax. 05/30 - pt experienced headache which resolved on 06/01. 06/03, fever of 102. 06/05 fever increased to 105 and she went to ER. She was dehydrated, received fluids and was discharged. 06/06, developed jaundice, dark amber urine, clay colored stools, fatigue, pruritus, and nausea. 06/08 primary physician consult and labs conducted which revealed elevated liver enzymes. 06/17, symptoms resolved except ALT. Most recent information received on 06/28, reports outcome of event as ongoing.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Dehydration, Faeces pale, Fatigue, Headache, Hepatic enzyme abnormal
Clinical narrative: 04/28/2000 pt received vax. 05/30 - pt experienced headache which resolved on 06/01. 06/03, fever of 102. 06/05 fever increased to 105 and she went to ER. She was dehydrated, received fluids and was discharged. 06/06, developed jaundice, dark amber urine, clay colored stools, fatigue, pruritus, and nausea. 06/08 primary physician consult and labs conducted which revealed elevated liver enzymes. 06/17, symptoms resolved except ALT. Most recent information received on 06/28, reports outcome of event as ongoing.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Jaundice, Nausea, Pruritus, Pyrexia, Urine analysis abnormal
Clinical narrative: 04/28/2000 pt received vax. 05/30 - pt experienced headache which resolved on 06/01. 06/03, fever of 102. 06/05 fever increased to 105 and she went to ER. She was dehydrated, received fluids and was discharged. 06/06, developed jaundice, dark amber urine, clay colored stools, fatigue, pruritus, and nausea. 06/08 primary physician consult and labs conducted which revealed elevated liver enzymes. 06/17, symptoms resolved except ALT. Most recent information received on 06/28, reports outcome of event as ongoing.
Age: 41.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Arthropathy, Asthenia, Bone disorder, Cyst
Clinical narrative: The pt received Lymerix on 6/4/99 and 7/9/99. In early September, 1999, he experienced an onset of symptoms described as "all joints could not bend" and heat, swelling and "constant pain, 24 hours a day". On 10/29/2000, pt reported a sudden onset of right medial foot discomfort starting about the end of August, 1999. He was told it was related to an old fracture. Soon thereafter, he developed shoulder, back and leg soreness. He noted inflammation with significant swelling and pain involving hand joints, wrists, left shoulder and elbows. He also noted pain and swelling involving his knees and metatarsal phalangeal joints of both feet. He additionally, complained of decreased energy level and morning stiffness. Impression was that the pt had "probable new onset rheumatoid arthritis" as the pt had polyarticular small and large joint symmetrical synovitis of the upper and lower extremities with a positive rheumatoid factor. Rheumatologist thought this was unlikely. Activities of daily living were noted to be hampered (could not grip hammer). He was continued on Celebrex. 11/3/99, visit with 2nd Rheumatologist: 3 weeks ago, fairly acute onset of fevers up to 101F, associated with swelling and pain of his right knee, which progressed to his left knee, also, had severe joint pain in his shoulders and various small joints of his hands. Pt seen by an Orthopedist. 11/18/99, dx'd with "seropositive rheumatoid arthritis". Pt had dramatic response to aspiration and injection of knee. 11/29/99, pt felt to have rheumatoid arthritis and possibly inflammatory osteoarthritis, so prednisone increased. Morning stiffness and has not been able to return to work. 1/3/00, synovial thickening of wrists and some hand joints, right knee effusion. 2/21/00, dx is seropositive rheumatoid arthritis of 4 months duration, unable to taper prednisone below 15 mg. Methotrexate 7.5mg added. This case is considered serious because the pt has been disabled, since he has been out of work. The most recent information received on 6/26/00 reports the outcome of the events as persisting. Latest FU states the pt has been determined to have the gene for rheumatoid arthritis.
Age: 41.0
Sex: M
Vaccine: LYME
Symptoms: Feeling hot, Hypokinesia, Inflammation, Injury, Joint effusion
Clinical narrative: The pt received Lymerix on 6/4/99 and 7/9/99. In early September, 1999, he experienced an onset of symptoms described as "all joints could not bend" and heat, swelling and "constant pain, 24 hours a day". On 10/29/2000, pt reported a sudden onset of right medial foot discomfort starting about the end of August, 1999. He was told it was related to an old fracture. Soon thereafter, he developed shoulder, back and leg soreness. He noted inflammation with significant swelling and pain involving hand joints, wrists, left shoulder and elbows. He also noted pain and swelling involving his knees and metatarsal phalangeal joints of both feet. He additionally, complained of decreased energy level and morning stiffness. Impression was that the pt had "probable new onset rheumatoid arthritis" as the pt had polyarticular small and large joint symmetrical synovitis of the upper and lower extremities with a positive rheumatoid factor. Rheumatologist thought this was unlikely. Activities of daily living were noted to be hampered (could not grip hammer). He was continued on Celebrex. 11/3/99, visit with 2nd Rheumatologist: 3 weeks ago, fairly acute onset of fevers up to 101F, associated with swelling and pain of his right knee, which progressed to his left knee, also, had severe joint pain in his shoulders and various small joints of his hands. Pt seen by an Orthopedist. 11/18/99, dx'd with "seropositive rheumatoid arthritis". Pt had dramatic response to aspiration and injection of knee. 11/29/99, pt felt to have rheumatoid arthritis and possibly inflammatory osteoarthritis, so prednisone increased. Morning stiffness and has not been able to return to work. 1/3/00, synovial thickening of wrists and some hand joints, right knee effusion. 2/21/00, dx is seropositive rheumatoid arthritis of 4 months duration, unable to taper prednisone below 15 mg. Methotrexate 7.5mg added. This case is considered serious because the pt has been disabled, since he has been out of work. The most recent information received on 6/26/00 reports the outcome of the events as persisting. Latest FU states the pt has been determined to have the gene for rheumatoid arthritis.
Age: 41.0
Sex: M
Vaccine: LYME
Symptoms: Joint stiffness, Pain, Pyrexia, Rheumatoid arthritis
Clinical narrative: The pt received Lymerix on 6/4/99 and 7/9/99. In early September, 1999, he experienced an onset of symptoms described as "all joints could not bend" and heat, swelling and "constant pain, 24 hours a day". On 10/29/2000, pt reported a sudden onset of right medial foot discomfort starting about the end of August, 1999. He was told it was related to an old fracture. Soon thereafter, he developed shoulder, back and leg soreness. He noted inflammation with significant swelling and pain involving hand joints, wrists, left shoulder and elbows. He also noted pain and swelling involving his knees and metatarsal phalangeal joints of both feet. He additionally, complained of decreased energy level and morning stiffness. Impression was that the pt had "probable new onset rheumatoid arthritis" as the pt had polyarticular small and large joint symmetrical synovitis of the upper and lower extremities with a positive rheumatoid factor. Rheumatologist thought this was unlikely. Activities of daily living were noted to be hampered (could not grip hammer). He was continued on Celebrex. 11/3/99, visit with 2nd Rheumatologist: 3 weeks ago, fairly acute onset of fevers up to 101F, associated with swelling and pain of his right knee, which progressed to his left knee, also, had severe joint pain in his shoulders and various small joints of his hands. Pt seen by an Orthopedist. 11/18/99, dx'd with "seropositive rheumatoid arthritis". Pt had dramatic response to aspiration and injection of knee. 11/29/99, pt felt to have rheumatoid arthritis and possibly inflammatory osteoarthritis, so prednisone increased. Morning stiffness and has not been able to return to work. 1/3/00, synovial thickening of wrists and some hand joints, right knee effusion. 2/21/00, dx is seropositive rheumatoid arthritis of 4 months duration, unable to taper prednisone below 15 mg. Methotrexate 7.5mg added. This case is considered serious because the pt has been disabled, since he has been out of work. The most recent information received on 6/26/00 reports the outcome of the events as persisting. Latest FU states the pt has been determined to have the gene for rheumatoid arthritis.
Age: 49.0
Sex: M
Vaccine: LYME
Symptoms: Back pain, Condition aggravated, Cough, Influenza like illness, Malaise
Clinical narrative: 06/24, 3 days post vax, this pt experienced sore throat. The following day he was 'ill' (NOS). 06/26, he had fever, muscle aches (back), cough, flu-like symptoms and sputum ranging in color from clear to yellow-brown. He also experienced sinus congestion, and runny nose. Symptoms of flu continue. He complains of muscle aches only. He still is unable to work. His sore throat seems to be resolving, but sinus congestion and runny nose and cough are not improving, according to the vaccinee. This case is considered serious because the vaccinee is incapacitated due to his inability to work. The most recent information received 06/29, reports the outcome of the event is ongoing.
Age: 49.0
Sex: M
Vaccine: LYME
Symptoms: Myalgia, Nasal congestion, Pharyngolaryngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: 06/24, 3 days post vax, this pt experienced sore throat. The following day he was 'ill' (NOS). 06/26, he had fever, muscle aches (back), cough, flu-like symptoms and sputum ranging in color from clear to yellow-brown. He also experienced sinus congestion, and runny nose. Symptoms of flu continue. He complains of muscle aches only. He still is unable to work. His sore throat seems to be resolving, but sinus congestion and runny nose and cough are not improving, according to the vaccinee. This case is considered serious because the vaccinee is incapacitated due to his inability to work. The most recent information received 06/29, reports the outcome of the event is ongoing.
Age: 60.0
Sex: F
Vaccine: LYME
Symptoms: Alanine aminotransferase increased, Anaemia, Arthralgia, Arthritis, Aspartate aminotransferase increased
Clinical narrative: In April, 1999, the pt received her 1st dose of Lymerix with no untoward effects. In May, 1999, she received her 2nd dose and on 6/19/99, after working outdoors the previous day, she experienced a rash between her big toe and 2nd toe "and a small bite on her hip". Over the next 2 days, she "experienced chills and uncontrollable shaking". She was treated with doxycyoline and Lyme disease test were performed. According to the note of her infectious disease specialist, she was hospitalized on 6/23/99 for this reason. The pt also had a fever, bull's eye lesions, and somewhat elevated liver function tests. The physician concluded "she had a component of human granulocyte ehrlichiosis plus possible Lyme disease manifested with her tick born febrile illness". She was treated with Rocephin, amoxicillin, Vioxx, levofloxacin, Celebrex and oral doxycycline and she had marked improvement of her symptoms to near baseline. The leukopenia and thrombocytompenia appeared to have resolved after treatment and completion of betalactam antiobiotic. However, in 11/99, the pt reported to her physician she had "increasing discomfort in her joints". At this time a Western blot for Lyme IgG antibody had 1 band at 41 kilodaltons, but the entire Lyme IgG Western blot interpretation was negative for anti Lyme IgG erythrocyte sed rate was 22mm/hr (normal). Follow-up notes 4 weeks later, reveals the pt claims to be "still very tired, aches all over, and it hurts to walk. It was alleged, at this point the physician considered "chronic Lyme arthritis" as a possible dx. The most recent information received on 6/26/00, reported on 1/11/00, the pt started Celebrex for empiric treatment of arthralgias and myalgias and had some relief of symptoms. She developed a very pruritic rash on her neck, buttocks, somewhat on her trunk and back of her legs. The physician believed the rash to be an underlying psoriasis, but he felt the lesions are most typical of a folliculitis, perhaps a pityorsporum folliculitis which could be related to her ungoing use of antibiotics.