chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Red papular rash. Employee states it began on 5/14/06. By 05/18/2006 rash was just on chest. Had been taking Benadryl25mg every 4-6 hrs. Had a script for Allegra for another issue from her personal Dr was not taking it. On 05/19/06 Dr advised. Allegra qd and Medrol dose pack.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: Swelling, redness around injection site. No treatment at home clinic, received compresses, Benadryl. Swelling of left thigh. (presumed to be 2 degrees DTaP).
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Ear pain, Face oedema, Parotitis
Clinical narrative: Ear pain, swelling in right face 5/21/06 seen by ER, TX with Keflex and Ultram.
Age: 1.71
Sex: F
Vaccine: DTAPH, HEPA, PNC
Symptoms: Injection site swelling
Clinical narrative: Pt received vaccines Trihibit, Hep-A, Prevnar on 5/9/06. Seen in ER 5/16/06, mother noticed swelling 5/14/06 of right thigh and took child to ER 2 days later. was on Augmentin since then but draining. Admitted today.
Age: 49.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash morbilliform
Clinical narrative: C/O measles like rash covering entire body, except face on 5/7/06.  c/o intense itching not relieved by Benadryl.  Saw MD 5/8/06 and was given Prednisone and Zantac.  Also taking Aveno Baths.  Off work 5/8 and 5/9.  Back to work 5/10, continues to have rash, but she states much improved with less itching.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Dyskinesia, Dyspnoea, Febrile convulsion, Gastrooesophageal reflux disease
Clinical narrative: Per d/c summary of 4/24/06 mother reported child gasping and spitting a few hours after shots.  Then dropped his head and was unconscious for 40 minutes with mild jerking and low grade fever.  Did not take him to ER for another 40 minutes.  On ride to ER child responded more.  In ER he vomited and had fever of up to 102.7F.  After the initial febrile eval in ER became afebrile and stayed afebrile for the hospital stay.  Tx with IV Claforan. DC report for 5 day confinement and 23 page Medical Records to include ED report received from Murray=Calloway County Hospital. Prior to admission mother stated baby had epdisode of irregular breathing, eyes rolled back and decreased responsiveness. DC diagnoses included:Fever, leukocytosis, presumed sepsis and probable febrile seizure. On admission to ED temp 102.7 vomiting,   Admitted RX with IV Claforan.  During course of hospitalization frequent episodes of vomiting and very loose stools. 2nd day WBC 28,900 on 4/20/06 with 46 segs and 40 lymphs. No seizure activities, apneic episodes or choking spells were noted during hositalization and episodes of choking resolved. DC on Cefzil 125mg and Enfamil AR
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Leukocytosis, Loss of consciousness, Pneumonia, Pyrexia, Sepsis
Clinical narrative: Per d/c summary of 4/24/06 mother reported child gasping and spitting a few hours after shots.  Then dropped his head and was unconscious for 40 minutes with mild jerking and low grade fever.  Did not take him to ER for another 40 minutes.  On ride to ER child responded more.  In ER he vomited and had fever of up to 102.7F.  After the initial febrile eval in ER became afebrile and stayed afebrile for the hospital stay.  Tx with IV Claforan. DC report for 5 day confinement and 23 page Medical Records to include ED report received from Murray=Calloway County Hospital. Prior to admission mother stated baby had epdisode of irregular breathing, eyes rolled back and decreased responsiveness. DC diagnoses included:Fever, leukocytosis, presumed sepsis and probable febrile seizure. On admission to ED temp 102.7 vomiting,   Admitted RX with IV Claforan.  During course of hospitalization frequent episodes of vomiting and very loose stools. 2nd day WBC 28,900 on 4/20/06 with 46 segs and 40 lymphs. No seizure activities, apneic episodes or choking spells were noted during hositalization and episodes of choking resolved. DC on Cefzil 125mg and Enfamil AR
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Per d/c summary of 4/24/06 mother reported child gasping and spitting a few hours after shots.  Then dropped his head and was unconscious for 40 minutes with mild jerking and low grade fever.  Did not take him to ER for another 40 minutes.  On ride to ER child responded more.  In ER he vomited and had fever of up to 102.7F.  After the initial febrile eval in ER became afebrile and stayed afebrile for the hospital stay.  Tx with IV Claforan. DC report for 5 day confinement and 23 page Medical Records to include ED report received from Murray=Calloway County Hospital. Prior to admission mother stated baby had epdisode of irregular breathing, eyes rolled back and decreased responsiveness. DC diagnoses included:Fever, leukocytosis, presumed sepsis and probable febrile seizure. On admission to ED temp 102.7 vomiting,   Admitted RX with IV Claforan.  During course of hospitalization frequent episodes of vomiting and very loose stools. 2nd day WBC 28,900 on 4/20/06 with 46 segs and 40 lymphs. No seizure activities, apneic episodes or choking spells were noted during hositalization and episodes of choking resolved. DC on Cefzil 125mg and Enfamil AR
Age: 0.23
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation
Clinical narrative: 3 hours of unconsolable crying after adminstration of the pediarix  Parents refuse Dtap because of this reaction.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth, Tenderness
Clinical narrative: Patient given Pneumovax IM in left deltoid on 5/22/06. Returned to clinic on 5/24/06 and observed a 5" area of warm erythematous skin around upper arm, approx. 1 inch below the injection site to the distal humerus. Tender to touch. Doctor instructed patient to use warm compresses and Advil 200 mg q 12hrs.
Age: 1.81
Sex: M
Vaccine: DPP, VARCEL
Symptoms: Depressed level of consciousness, Dyspnoea, Pyrexia
Clinical narrative: There was a sudden onset of high fever. (over 105). He had difficulty breathing and seemed to be fading in and out.  Prior to and after the fever was brought down he was fine.
Age: 25.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Infection, Pruritus, Rash
Clinical narrative: Itching and rash in diferent areas (thats occasionaly), insect bites got infected (that did not happened before the vaccination and still happening.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Tenderness
Clinical narrative: Arm became reddened and extremely tender next day, advised her to use cold compress to site. on 5/18/06 pt states area never got worse and is better now.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection, Cellulitis, Erythema, Laboratory test abnormal, Leukocytosis
Clinical narrative: Admitted to hospital on 5/21/06. States received "Pneumonia Shot" on 5/19/06. Right upper arm swollen and reddened, entire upper on upon admission. Diagnosis, cellulitis. Treated pt with Levaquin. Called Pharmacy for vaccine used there.  5/30/06 Received medical records from 1st hospital which reveal patient was admitted 5/16 w/chest pain & diagnosed w/MI.  Received vax prior to d/c.  7/3/06 Received medical records from 2nd hospital which reveal patient experienced cellulitis at injection site within 2 days after receipt.  Also had symptoms of URI.  Final dx was bilateral bronchial pneumonia & right upper arm cellulits & s/p MI.  Improved immediately w/IV antibiotics.  Initial labs: WBC 30.9 & blood c/s + for staph hominis subsp/ss Discharge summary states fever, tachycardia. msv
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Myocardial infarction, Pneumonia, Pyrexia, Swelling, Tachycardia
Clinical narrative: Admitted to hospital on 5/21/06. States received "Pneumonia Shot" on 5/19/06. Right upper arm swollen and reddened, entire upper on upon admission. Diagnosis, cellulitis. Treated pt with Levaquin. Called Pharmacy for vaccine used there.  5/30/06 Received medical records from 1st hospital which reveal patient was admitted 5/16 w/chest pain & diagnosed w/MI.  Received vax prior to d/c.  7/3/06 Received medical records from 2nd hospital which reveal patient experienced cellulitis at injection site within 2 days after receipt.  Also had symptoms of URI.  Final dx was bilateral bronchial pneumonia & right upper arm cellulits & s/p MI.  Improved immediately w/IV antibiotics.  Initial labs: WBC 30.9 & blood c/s + for staph hominis subsp/ss Discharge summary states fever, tachycardia. msv
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Myalgia, Pyrexia, Syncope
Clinical narrative: Deep muscle pain in both arms and across chest. Fever, dizziness, Fainting.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Arthralgia, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Pt. c/o diffuse arthralgias, chills, sweats, myalgias, nausea, migraine-like headache,dizziness,fatigue,vomiting x1, SOB, restlessness. Sx developed the day after receiving the Tdap vaccine.  Were resolving by day 5.  Advised to f/u with PCP should sx persist.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Headache, Hyperhidrosis, Myalgia, Nausea, Restlessness
Clinical narrative: Pt. c/o diffuse arthralgias, chills, sweats, myalgias, nausea, migraine-like headache,dizziness,fatigue,vomiting x1, SOB, restlessness. Sx developed the day after receiving the Tdap vaccine.  Were resolving by day 5.  Advised to f/u with PCP should sx persist.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Vomiting
Clinical narrative: Pt. c/o diffuse arthralgias, chills, sweats, myalgias, nausea, migraine-like headache,dizziness,fatigue,vomiting x1, SOB, restlessness. Sx developed the day after receiving the Tdap vaccine.  Were resolving by day 5.  Advised to f/u with PCP should sx persist.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Hyperhidrosis
Clinical narrative: Pt. c/o diffuse arthralgias, chills, sweats, myalgias, nausea, migraine-like headache,dizziness,fatigue,vomiting x1, SOB, restlessness. Sx developed the day after receiving the Tdap vaccine.  Were resolving by day 5.  Advised to f/u with PCP should sx persist.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Laboratory test abnormal, Myalgia, Nausea, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Pt. c/o diffuse arthralgias, chills, sweats, myalgias, nausea, migraine-like headache,dizziness,fatigue,vomiting x1, SOB, restlessness. Sx developed the day after receiving the Tdap vaccine.  Were resolving by day 5.  Advised to f/u with PCP should sx persist.
Age: 23.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain, Shoulder pain
Clinical narrative: Pt. stopped by 5/11/2006 with complaint of recurrent pain in left arm/shoulder.  She described the change in pain from the initial day following her Tdap/Adacel IM injection until this visit.  She described it as hurting for approximately 3-4 days (improved when she took Advil), then the pain subsided for approximately 3 days and then it began hurting severely again the past few days.  When questioned about the pain, she said the pain was a sharp pain from her shoulder to her collar bone & that was most painful when lifting something up, pushing & pulling with a bent elbow or when she was swimming laps.  Questioned further regarding swimming & this is her routine form of exercise, regular exercise is 80 laps/day.  She "gradually" worked back to her routine by one day of 40 laps and one day of 80 laps, between the 40 & the 80 is when her pain soared from mild to severe.    We developed a plan of 40 laps/one week, then 60 times one week, then return to 80 laps in the third week.  Shoulder therapy: Warm up in the morning with heat as need and ice at the end of the work out.  Medicate: Motrin/Advil 400-600 twice daily for 1 week.  Mantoux Skin Test given at the same time using 0.1 mm dose (TB syringe/needle).  Given in left forearm, no reaction noted after 48 hours.
Age: 23.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Pain, Shoulder pain
Clinical narrative: Pt. stopped by 5/11/2006 with complaint of recurrent pain in left arm/shoulder.  She described the change in pain from the initial day following her Tdap/Adacel IM injection until this visit.  She described it as hurting for approximately 3-4 days (improved when she took Advil), then the pain subsided for approximately 3 days and then it began hurting severely again the past few days.  When questioned about the pain, she said the pain was a sharp pain from her shoulder to her collar bone & that was most painful when lifting something up, pushing & pulling with a bent elbow or when she was swimming laps.  Questioned further regarding swimming & this is her routine form of exercise, regular exercise is 80 laps/day.  She "gradually" worked back to her routine by one day of 40 laps and one day of 80 laps, between the 40 & the 80 is when her pain soared from mild to severe.    We developed a plan of 40 laps/one week, then 60 times one week, then return to 80 laps in the third week.  Shoulder therapy: Warm up in the morning with heat as need and ice at the end of the work out.  Medicate: Motrin/Advil 400-600 twice daily for 1 week.  Mantoux Skin Test given at the same time using 0.1 mm dose (TB syringe/needle).  Given in left forearm, no reaction noted after 48 hours.
Sex: M
Vaccine: DTAP
Symptoms: Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced neurodevelopmental injuries coincident with Certiva. On an unreported date, the pt received Certiva vaccination. On an unreported date, the pt experienced severe neurodevelopmental injuries, which was considered medically significant. Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication information was not provided. The pt was a child.
Sex: M
Vaccine: DTAP
Symptoms: Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced neurodevelopmental injuries coincident with Certiva. On an unreported date, the patient received Certiva. On an unreported date, the pt experienced severe neurodevelopmental injuries, which was considered medically significant (OMIC). Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication was not provided. The pt was a child.
Sex: M
Vaccine: DTAP
Symptoms: Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced neurodevelopmental injuries coincident with Certiva. On an unreported date, the pt received Certiva vaccination. On an unreported date, the pt experienced severe neurodevelopmental injuries, which was considered medically significant (OMIC). Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication information was not provided. The pt was a child.
Sex: M
Vaccine: DTAP
Symptoms: Nervous system disorder
Clinical narrative: Legal report of a male patient who experienced neurodevelopmental injuries coincident with Certiva. On an unreported date, the patient received Certiva vaccination. On an unreported date, the patient experienced severe neurodevelopmental injuries, which was considered medically significant (OMIC). Pertinent laboratory test, diagnostic procedures, medical history or concomitant medication information was not provided. The patient was a child.
Sex: U
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a patient who experienced toxic exposure to mercury coincident with Certiva. On an unreported date, the patient was exposed to Certiva therapy. On an unreported date, the patient experienced toxic exposure to mercury, which led to permanent neurological injuries. It was noted that the patient was exposed to mercury from continually inhaling and ingesting mercury emissions. Pertinent laboratory test, diagnostic procedures, medical history or concomitant medication information was not provided. The patient was a child. The event of toxic exposure to mercury was considered serious (OMIC).
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced toxic exposure to mercury coincident with Certiva. On an unreported date, the pt  was exposed to Certiva therapy.  On an unreported date, the pt experienced toxic exposure to mercury, which led to permanent neurological injuries. It was noted that the pt was exposed to mercury from continually inhaling and ingesting mercury emissions. Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication information was not provided. The pt was a child. The event of toxic exposure to mercury was considered serious.
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report from the US of a male pt who experienced toxic exposure to mercury coincident with Certiva. On an unspecified date, the pt was exposed to Certiva therapy. On an unspecified date, the pt experienced toxic exposure to mercury, which led to permanent neurological injuries. It was reported that the pt was exposed to mercury from continually inhaling and ingesting mercury emissions. Pertinent lab test, diagnostic procedures, medical history or concomitant medication info was not provided. The pt was a child. The event of toxic exposure to mercury was considered serious.
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced toxic exposure to mercury coincident with Certiva. On an unreported date, the pt was exposed to Certiva therapy. On an unreported date, the pt experienced toxic exposure to mercury, which led to permanent neurological injuries. It was noted that the pt was exposed to mercury from continually inhaling and ingesting mercury emissions. Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication information was not provided. The pt was a child. The event of toxic exposure to mercury was considered serious.
Sex: U
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male pt who experienced toxic exposure to mercury coincident with Certiva. On an unreported date, the pt was exposed to Certiva therapy. On an unreported date, the pt experienced toxic exposure to mercury, which led to permanent neurological injuries. It was noted that the pt was exposed to mercury from continually inhaling and ingesting mercury emissions. Pertinent laboratory tests, diagnostic procedures, medical history or concomitant medication information was not provided. The pt was a child. The event of toxic exposure to mercury was considered serious.
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male patient who experienced mercury poisoning coincident with Certiva. Between 12/02/1996 to 12/19/1998, the patient received Certiva vaccination for immunization. On an unreported date, the patient experienced mercury poisoning, which led to toxic neurological effects. Pertinent laboratory test, diagnostic procedure, medical history or concomitant medication information was not provided. The patient was a child. The event of mercury poisoning was considered medically significant (OMIC).
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male patient who experienced mercury poisoning coincident with Certiva. Between Mar 2001 and Jul 2002, the patient received Certiva vaccination for immunization. On an unreported date, the patient experienced mercury poisoning, which led to toxic neurological effects. Pertinent laboratory test, diagnostic procedure, medical history or concomitant medication information was not provided. The patient was a child. The event of mercury poisoning was considered medically significant (OMIC).
Sex: M
Vaccine: DTAP
Symptoms: Drug toxicity, Nervous system disorder
Clinical narrative: Legal report of a male patient who experienced mercury poisoning coincident with Certiva. Between 12/1999 to 9/2002, the patient received Certiva vaccination for immunization. On an unreported date, the patient experienced mercury poisoning, which led to toxic neurological effects. Pertinent laboratory test, diagnostic procedure, medical history or concomitant medication information was not provided. The patient was a child. The event of mercury poisoning was considered medically significant (OMIC).
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tremor
Clinical narrative: 6 month old female had 3 minute episode of whole body trembling-06:30 AM 5/17/06-way post vaccines. No previous illness. No treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Mother noticed red tender swelling of left upper arm of child 5/17/06 4:30PM. On Exam 5/18/06 child had 8 x 12cm, red, tender, warm, swelling of left upper arm and mild non tender swelling of part of left fore arm.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Pyrexia, Rash maculo-papular, Sinusitis
Clinical narrative: Received MMR on 4/5/06. On 4/11 spiked temp of 103.3 after 2 days of being tired and low grade temp. Next morning had developed scattered red, raised bumps on face, scalp, arms, legs, neck, back and buttocks. Denies they were fluid filled: only raised bumps. Disappeared by day 12 or 13. Was placed on Zithromax for sinus infection after rash appeared.
Age: 56.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 1.2
Sex: F
Vaccine: MMR, PNC
Symptoms: Rash
Clinical narrative: On Sunday May 21st pt broke out with rash became progressively worse. Brought pt into clinic today 5/23/06 pt was given Zymine for rash.
Age: 1.45
Sex: M
Vaccine: DTAPH
Symptoms: Coma, Fatigue, Hypotonia, Pyrexia
Clinical narrative: Following Dtap Hib vaccine pt was very tired, then developed high fever and limpness/unresponsiveness. Taken to ED bloodwork normal. Fever decreased with Tylenol/Ibuprofen. Seen also 5/23/06 normal examination.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash and swelling on injection site.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Face oedema
Clinical narrative: SUDDEN ONSET OF LEFT CHEEK SWELLING.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Tenderness
Clinical narrative: (OMIC). Pt received Pneumovax 0.5cc IM during general visit on 2/23/06. Pt was counseled on benefits and potential side effects associated w this immunization. At this time the pt also instructed to report any s/s ET acute distress, SOB, or rash, vaccine given in left deltoid on 2/23/06. On the 24th, the pt presented to the clinic as a walk in stating that his left arm was swollen, hot and sore. When examined upper arm was noted to be 1.5 times the pts normal size, with tenderness upon movement. The pt was sent after exam to pharmacy for Benadryl. Unknown Benadryl dose given to pt.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Haematuria, Proteinuria, Purpura, Vasculitis
Clinical narrative: A literature report was received on 02Nov05 concerning a 79 yr old female vaccinee. The vaccinee had a history of abdominal swelling for several months, which was later diagnosed as ovarian carcinoma. No details were provided regarding the vaccinee's  concomitant medications. In Dec 2000, the vaccinee presented with a 2 wk history of purpuric eruption over her lower legs that started 2 weeks after receiving Fluvirin. Investigations revealed elevated ESR at 75mm in the first hr, proteinuria and haematurio on urinalysis. A skin biopsy showed a leucocytoclastic vasculitis which responded to treatment with clobetasol propionate ointment. Her vasculitis had almost fully recovered before anti cancer therapy was started. Her urinalysis returned to normal 2 wks after presentation. The discussion between the authors suggest a causative link could not be proven. Although it it likely that the vaccine has potential to provoke immunologically mediated problems. The mechanism by which influenza vaccine cause vessel damage is likely to be by abnormal immunological activation.
Age: 21.0
Sex: U
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Area of hyperemia swelling size 3" X 2" at L arm at site of IM injection of Menactra. Pt had temperature of 99.9F.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Dyskinesia, Irritability, Pyrexia
Clinical narrative: Fever, up to 101.8. Prolonged fussiness and screaming, screamed for >1 hr. con secret   wely and mom could not console, jerking of head (drills) w/ the fever.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming
Clinical narrative: Fever, up to 101.8. Prolonged fussiness and screaming, screamed for >1 hr. con secret   wely and mom could not console, jerking of head (drills) w/ the fever.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Malaise, Myocardial infarction, Pyrexia
Clinical narrative: Pt administered Pneumovax PPV 23 vaccine 0.5mL SC x 1. Pt experienced local reactions outside of normal. Pt experienced severe redness and pain at inj site. Malaise and increased temp reported. Temp was not recorded.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Blood albumin decreased, Cardiac failure congestive, Injection site erythema, Injection site pain, Malaise
Clinical narrative: Pt administered Pneumovax 0.5mL SC x 1. Pt experienced local reactions outside of normal. Pt experienced malaise in addition to severe redness and pain at injection site. Temp was not recorded.
Age: 3.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 46.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Post giving hep a, hep b, and Td vaccines (approx 15 min) pt returned with complaint of sob, chest tightness and dizziness.
Age: 0.47
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Pt developed a fever to T maximum rectally to 104.2 approx 15 hrs S/P Prevnar injection. Fever self-resolved after 2 days.
Age: 3.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash
Clinical narrative: Two days ago (5/21/06) broke out in rash in back of legs and buttocks.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: 12 mo female received MMR/Varivax at 1 yr well child visit. The next day had vomiting, diarrhea and high fevers. Vomiting/diarrhea stopped after first day, but fevers continued, not defervescence for long with Ibuprofen. T in office 104.7 rectally.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Headache, Nausea, Toothache
Clinical narrative: Pt c/o left side HA, c/o tooth pain and nausea. Pain from HA on temporal lobe so severe pt felt dizzy. s/s lasted x 5 days. Had tooth extracted and was prescribed oxycodone which states did not take. Took Tylenol 3 x 1 1/2 days.
Age: 1.27
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Muscle twitching, Pyrexia
Clinical narrative: 15 mo given MMR, DTAP, HEP A on 5/16/06 hrs later 106.3 A temp. Twitching, no seizure activity. In ER temp 40.7 PO exam. WNL.
Age: 1.15
Sex: F
Vaccine: IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Rash starting today, fever 5/18/2006
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Fluid retention, Injection site erythema, Injection site oedema, Injection site vesicles, Pruritus
Clinical narrative: 9:30AM child received Dtap 5/17/06. Had large local reaction RA swelling, redness, itchy, oozing blisters, swelling up to shoulder and down to elbows. Seen in this office 5/19/06 for eval. Site cleaned Neosporin applied, gauze wrap, Benadryl, Motrin (10 AM 5/19/06).
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMRV, PNC
Symptoms: Injection site mass, Oedema
Clinical narrative: Ct. developed "nickle size" bump on arm on 5/24/2006.  Right arm became edematous to elbow and ct.'s mother took ct. to ER on 5/25/2006 where they administered IV antibiotics.
Age: 47.0
Sex: M
Vaccine: MMR
Symptoms: Facial palsy, Hemiparesis, Hypoaesthesia
Clinical narrative: S/S of Bell's Palsy, Left side of face weak and numb, hard to close Lt. eye.  Lt. 7th nerve palsy. Treated with steroids.
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Petit mal epilepsy, Vomiting
Clinical narrative: Vomiting, seizure (staring).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: IN ER. DX:VARICELLA >50 POX.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Eye pain, Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 050806 Client called and reported that she had her MMR and within 1 hour she had hives on her hands and feet and then took 1 tablet of Benadryl and the hives resolved.  She was attending a potluck food event and thought the hives could have been due to something she ate.  The next day 050606, almost 24 hours after the shot was given, she noted at the injection site she had a red, raised welt,which was painful to the touch.  The welt was about 2 inches across.  Area didn't itch.  Area on 050906 was less red and continued to be tender to the touch.  RN called client at work and she indicated the redness was much better and in fact the area was only slightly discolored and the tenderness was better, but still somewhat present.  051006 1325 PM Client called and reported she experienced Left eye pain on 050906 and went to an Eye Doctor on 051006 and had an MRI on 051206 and was diagnosed with optic neuritis.  On 051506 she noted loss of visual clarity and contrast and her vision in the left eye was hazy.  Client saw Neurologist and was given IV steroids on 051506 followed by oral steroids until 052006.  Vision improving, but still experiencing visual problems and is being followed by doctor.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Injection site urticaria, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Skin discolouration, Urticaria
Clinical narrative: 050806 Client called and reported that she had her MMR and within 1 hour she had hives on her hands and feet and then took 1 tablet of Benadryl and the hives resolved.  She was attending a potluck food event and thought the hives could have been due to something she ate.  The next day 050606, almost 24 hours after the shot was given, she noted at the injection site she had a red, raised welt,which was painful to the touch.  The welt was about 2 inches across.  Area didn't itch.  Area on 050906 was less red and continued to be tender to the touch.  RN called client at work and she indicated the redness was much better and in fact the area was only slightly discolored and the tenderness was better, but still somewhat present.  051006 1325 PM Client called and reported she experienced Left eye pain on 050906 and went to an Eye Doctor on 051006 and had an MRI on 051206 and was diagnosed with optic neuritis.  On 051506 she noted loss of visual clarity and contrast and her vision in the left eye was hazy.  Client saw Neurologist and was given IV steroids on 051506 followed by oral steroids until 052006.  Vision improving, but still experiencing visual problems and is being followed by doctor.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Vision blurred, Vision blurred, Visual disturbance
Clinical narrative: 050806 Client called and reported that she had her MMR and within 1 hour she had hives on her hands and feet and then took 1 tablet of Benadryl and the hives resolved.  She was attending a potluck food event and thought the hives could have been due to something she ate.  The next day 050606, almost 24 hours after the shot was given, she noted at the injection site she had a red, raised welt,which was painful to the touch.  The welt was about 2 inches across.  Area didn't itch.  Area on 050906 was less red and continued to be tender to the touch.  RN called client at work and she indicated the redness was much better and in fact the area was only slightly discolored and the tenderness was better, but still somewhat present.  051006 1325 PM Client called and reported she experienced Left eye pain on 050906 and went to an Eye Doctor on 051006 and had an MRI on 051206 and was diagnosed with optic neuritis.  On 051506 she noted loss of visual clarity and contrast and her vision in the left eye was hazy.  Client saw Neurologist and was given IV steroids on 051506 followed by oral steroids until 052006.  Vision improving, but still experiencing visual problems and is being followed by doctor.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test abnormal, Gait disturbance, Guillain-Barre syndrome, Headache, Laboratory test abnormal
Clinical narrative: Client began having neurologic symptoms (blurred vision, weakness) week of 11/21/05; tested to rule out stroke, multiple sclerosis; formal diagnosis of Guillan Barre Syndrome made in 1/06; client admitted to hospital for plasmaphorese in 2/06 for three days. Medical records state headache, abnormal gait. msv
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Neurological symptom, Vision blurred, Visual acuity reduced
Clinical narrative: Client began having neurologic symptoms (blurred vision, weakness) week of 11/21/05; tested to rule out stroke, multiple sclerosis; formal diagnosis of Guillan Barre Syndrome made in 1/06; client admitted to hospital for plasmaphorese in 2/06 for three days. Medical records state headache, abnormal gait. msv
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dizziness, Nausea, Vomiting
Clinical narrative: Received third dose of engerix-B (AHBVB286CA) at approximately 2:30PM and it was reported that at approximately 7:30 experienced nausea and dizziness, then vomited and had some chest pain.  He was at work at the time and had taken a dinner break previously to the vomiting.  He remained at work until 10:30PM(his quit time) and rode his motorcycle home.  He is a diabetic who has maintained low and appropiate blood sugars.  He has dropped about 50lbs in the last year to help his diabetic levels.  He does exercise daily  by walking.  He was calm when he came to my office to receive the vaccine and knew what to anticipate as this was his third dose.  When hearing of this reacation today from another custodian rather than having the High School school nurse (where he works) check on him and advise him to contact his family doctor.
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 052206 1005AM Client complained of numbness and tingling in Left hand and fingers following MMR vaccine.  No change in numbness or tingling 40 minutes after immunization.  052506 1335 PM Telephone call to client and he reports hand is better but some tingling and numbness still present.  Client indicates hand feels like he has been doing alot of clapping.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Vomiting, White blood cell count increased
Clinical narrative: Horrible stabbing abdominal pains, vomiting.
Age: 52.0
Sex: M
Vaccine: HEPA, IPV, TD, TYP, YF
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever 102.5, nausea developed within 24 hr of vaccination.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Pyrexia, Rash macular
Clinical narrative: Fever of 101.0 started 5/24/06. Right antero lateral thigh 13cmx8cm area medial to this with blotchy erythema without induration or increase warmth.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MNQ, PNC, TTOX
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: This male subject was enrolled in the prophylactic study. On 5/15/2006, he received the 1st dose of combined haemophilus influenzae type B vaccine and meningitis C and Y vaccine conjugated on tetanus toxoid (Hib MenCY TT, IM R upper thigh, combined diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated polio vaccine Pediarix, IM L upper thigh, and pneumococcal vaccine Prevnar, IM L lower thigh. This subject received lot DMEHA010A of Hib MenCY TT. On 5/15/2006 the day he received the 1st dose of Hib MenCY TT, the 1st dose of Pediarix and the 1st dose of Prevnar, this two month subject developed pyrexia. On 5/16/2006, lat test showed increased white blood cells 21,500 and the subject was hospitalized. Urine analysis was normal. The subject was treated with ceftriaxone. The events resolved on 5/17/2006 and the subject was discharged. The investigator considered that there was a reasonable possibility that the fever and increased white blood cells may have been caused by Hib MenCY TT, Pediarix and pneumococcal vaccines.
Age: 64.0
Sex: F
Vaccine: FLU3, HEP, HEPA, IPV
Symptoms: Injection site pain, Paraesthesia, Skin burning sensation
Clinical narrative: Phone call from pt today c/o burning sensation right deltoid with vaccine administration 5/3/06. 4 days after (5/7/06) developed a tingling sensation right arm. Use anti inflammatory such as Advil, heat to area, if no improvement to see MD in 3 days.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash erythematous, Rash papular, Skin ulcer
Clinical narrative: Multiple 1-3 mm erythematous papules on trunk and perineum with mild ext to neck and back. Lesions blanchable.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Feeling hot, Malaise, Nausea, Vomiting
Clinical narrative: Approx one hr after immunization she developed nausea and malaise. Approx six hrs later she began vomiting, dizziness. Felt warm but did not take her temp. Following day n/v subsided. Malaise but better. 5/25/06 No symptoms.
Age: 20.0
Sex: F
Vaccine: JEV
Symptoms: Decreased appetite, Vomiting
Clinical narrative: T 97.1, 24/60 P80. 5/18/06 130P student states at 11:30P yesterday vomited x 2. JE VAX #2 had been given at 3:30P that day. Denies diarrhea, no HA, no abdominal pain. Lungs clear. BS x 4 non tender. Taking fluids and bland foods s difficulty. Advised cont with Bland diet. 5/19/06 11:00AM T 97.6, 98/68 P78. Feeling fine, activity normal, diet normal.
Age: 20.0
Sex: M
Vaccine: HEPA, IPV, JEV, TYP
Symptoms: Vomiting
Clinical narrative: T98 110/78 P76. On 5/18/06 3:15P states vomited last night at 9:00PM following immunizations that day between 1:00P (hep A, Typhim Vi, Ipol, JE VAX) at 3:00P. Vomited several times until midnight. Denies diarrhea, no abdominal pain, no HA, L.S clear, abd nontender x 4 quad. No diarrhea. Taking liquids and food s difficulty.
Age: 1.25
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Conjunctivitis, Otitis media, Pyrexia, Rash
Clinical narrative: Fever to 103 with Facial rash 3 days after vaccine given. Progressed to evasive conjunctivitis and otitis media.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: <48 hrs acute redness, warmth/induration to left upper arm.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site mass
Clinical narrative: Induration R thigh 2 reaction to vaccine.
Age: 1.6
Sex: M
Vaccine: VARCEL
Symptoms: Fluid retention, Injection site erythema, Injection site rash, Rash papular, Rash vesicular
Clinical narrative: Papular rash with red base some vesicular with yellow, fluid fill, non tender, more severe localized rash at site of injection.
Age: 1.6
Sex: M
Vaccine: VARCEL
Symptoms: Skin discolouration
Clinical narrative: Papular rash with red base some vesicular with yellow, fluid fill, non tender, more severe localized rash at site of injection.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Presented in office with vesicular rash on trunk ext. Dx varicella >50pox.
Age: 1.13
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Drug ineffective, Rash pruritic, Rash vesicular, Viral infection
Clinical narrative: Itchy bumps face, arms, neck and trunk x 48 hrs makes itch. Dx Varicella.
Age: 53.0
Sex: U
Vaccine: TDAP
Symptoms: Headache, Myalgia, Pyrexia, Viral infection
Clinical narrative: Cephalgia, fever, myalgias T 38.4C. Presented to ED to r/o meningitis on 4/07/2006. (note: comment "I do not know if Adacel played any role in this event. Reporting for the purpose of adverse surveillance)
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Anxiety
Clinical narrative: Initial and follow up information has been received from a licensed vocational nurse and a physician concerning an 8 yr old, white, male student who on 11Apr05 was vaccinated IM with 0.5ml of a second dose of hep A virus vaccine inactivated (lot 648218/0858P). It was reported that the extremely scared. After receiving the vaccination, the pt started holding his hands and fists moving them rapidly towards his head and legs. The pt was able to answer questions appropriately, but was starting into space. He was examined by two physicians (physical examination was negative) who determined that it was probably an anxiety reaction versus fear of shot. No treatment was required. Follow up information reported that the pt had fully recovered on the same day. Additional information is not expected.
Age: 13.0
Sex: F
Vaccine: FLUX
Symptoms: Cardiac failure, Similar reaction on previous exposure to drug
Clinical narrative: My daughter's heart stopped during the night after the vaccination took place. It was not related to her diabetes. There was no sign or any seizure. She previously reacted to the pertussis vaccine when she was young. This was her 2nd flu shot.
Age: 39.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Diarrhoea, Headache, Injection site induration, Injection site pain
Clinical narrative: Pt given pneumococcal vaccine. Developed fever, malaise, headache, pain and induration at injection site. Increased WBCs noted. Admitted, treated and released. No sequence noted.
Age: 39.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Liver function test abnormal, Malaise, Nausea, Neoplasm, Pyrexia
Clinical narrative: Pt given pneumococcal vaccine. Developed fever, malaise, headache, pain and induration at injection site. Increased WBCs noted. Admitted, treated and released. No sequence noted.
Age: 39.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Pt given pneumococcal vaccine. Developed fever, malaise, headache, pain and induration at injection site. Increased WBCs noted. Admitted, treated and released. No sequence noted.
Age: 39.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Headache, Injection site mass, Malaise, Pain, Pyrexia
Clinical narrative: Pt given pneumococcal vaccine. Developed fever, malaise, headache, pain and induration at injection site. Increased WBCs noted. Admitted, treated and released. No sequence noted.
Age: 39.0
Sex: F
Vaccine: PPV, PPV
Symptoms: White blood cell count increased
Clinical narrative: Pt given pneumococcal vaccine. Developed fever, malaise, headache, pain and induration at injection site. Increased WBCs noted. Admitted, treated and released. No sequence noted.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Basophilia, Injection site erythema, Injection site oedema, Injection site pain, Laboratory test abnormal
Clinical narrative: Pt received pneumococcal vaccine (Pneumovax); developed fever, malaise, pain and swelling at injection site. Treated and resolved with no lasting effect.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Malaise, Osteoporosis, Pyrexia, White blood cell count increased
Clinical narrative: Pt received pneumococcal vaccine (Pneumovax); developed fever, malaise, pain and swelling at injection site. Treated and resolved with no lasting effect.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site pain, Malaise, Pyrexia
Clinical narrative: Pt received pneumococcal vaccine (Pneumovax); developed fever, malaise, pain and swelling at injection site. Treated and resolved with no lasting effect.
Age: 7.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Arthritis, Atrioventricular block, Bacterial infection, Bradycardia, Cardiac disorder
Clinical narrative: Initial report received on 5/15/2006 and 5/17/2006 from a physician. A seven year old male patient with no significant past medical history had received an intramuscular dose of Fluzone SV 2005-2006USP, lot number U1753AA, in the deltoid muscle (exact site not reported) on 10/05/2005. Approximately 12 hours post immunization, the patient developed a fever of 101.0 to 103.0 degrees F. He was seen by the physician on 10/8/2005. A strep culture was negative, and the patient was subsequently diagnosed with viral pharyngitis. On 10/12/2005, the patient presented to the physicians office with erythema and swelling of the second through fifth M-P joints on both of his hands. The mother reported that the patient had been bitten by a tick a few days prior to the office visit. Blood work including serology testing was completed for possible lyme disease and all the results were negative. The patient was subsequently diagnosed with acute arthritis. The patients symptoms of fever, viral pharyngitis, erythema and swelling of the second through fifth M-P joints on both hands and acute arthritis were all reported as recovered with a few days of onset of symptoms. On 3/30/2006 the patient developed strep throat and was treated with Amoxil. He had strep throat again on 4/11/2006 and was seen by the physician and treated with Duricef. During the physical examination on 4/11/2006, it was noted the patient had a heart rate of 52. An EKG showed the patient to be in complete heart block. Bradycardia had not been noted on previous examinations and an EKG that was done at birth had shown normal sinus rhythm. The patient was admitted to the hospital from the physicians office and was subsequently transferred to another hospital for placement of a cardiac pacemaker. The patient was subsequently discharged from the hospital and was doing well with the pacemaker on 5/17/2006. His recovery status was reported as not recovered.
Age: 7.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Erythema, Heart rate irregular, Joint swelling, Pharyngitis, Pharyngolaryngeal pain
Clinical narrative: Initial report received on 5/15/2006 and 5/17/2006 from a physician. A seven year old male patient with no significant past medical history had received an intramuscular dose of Fluzone SV 2005-2006USP, lot number U1753AA, in the deltoid muscle (exact site not reported) on 10/05/2005. Approximately 12 hours post immunization, the patient developed a fever of 101.0 to 103.0 degrees F. He was seen by the physician on 10/8/2005. A strep culture was negative, and the patient was subsequently diagnosed with viral pharyngitis. On 10/12/2005, the patient presented to the physicians office with erythema and swelling of the second through fifth M-P joints on both of his hands. The mother reported that the patient had been bitten by a tick a few days prior to the office visit. Blood work including serology testing was completed for possible lyme disease and all the results were negative. The patient was subsequently diagnosed with acute arthritis. The patients symptoms of fever, viral pharyngitis, erythema and swelling of the second through fifth M-P joints on both hands and acute arthritis were all reported as recovered with a few days of onset of symptoms. On 3/30/2006 the patient developed strep throat and was treated with Amoxil. He had strep throat again on 4/11/2006 and was seen by the physician and treated with Duricef. During the physical examination on 4/11/2006, it was noted the patient had a heart rate of 52. An EKG showed the patient to be in complete heart block. Bradycardia had not been noted on previous examinations and an EKG that was done at birth had shown normal sinus rhythm. The patient was admitted to the hospital from the physicians office and was subsequently transferred to another hospital for placement of a cardiac pacemaker. The patient was subsequently discharged from the hospital and was doing well with the pacemaker on 5/17/2006. His recovery status was reported as not recovered.