chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Infection, Malaise
Clinical narrative: Information has been received from a health professional concerning a healthy 30-year-old female patient with a history of hepatitis A and no history of chickenpox, no recent varicella exposure and no known immunosuppression who on 30-Aug-2000 was vaccinated with one dose of varicella virus vaccine live (lot #632367/1459J).  On 16-Sep-2000 the patient began developing lesions.  It was noted that she also experienced malaise, fatigue and fever as high as 102 degrees Fahrenheit.  She had at least 100 generalized lesions.  She was seen by her physician and diagnosed with chickenpox.  On approximately 18-Sep-2000 the patient was started on acyclovir.  Two scab specimens have been obtained for PCR analysis.  The results are pending.  Follow-up information indicated that the final PCR results were positive for the OKA vaccine strain VZV.  Additional information from the health professional revealed that as of 13-OCT-2000 the "patient is now doing fine"  and has recovered completely.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Condition aggravated, Pyrexia, Rash pruritic, Rash vesicular
Clinical narrative: A 2 yr old female pt with asthma who on 08-FEB-1999 was vaccinated with a first dose of varicella virus vaccine live(lot #118OH-invalid for this product). On 23-MAR_2000 the pt experienced a mild uncomplicated case of chickenpox. On 01-SEP-2000 the pt developed scattered, pruritic vesicles/papules vesicles/papules on the right T4-T5 dermatome. On 07-SEP-2000 the pt was seen in the Dr's office with shingles located at the T4 dermatome on the right side and an exacerbation of her asthma. The pt was afebrile and the pain was a 1 on a scale of 1-10  and that a rash did not occur at the site of injection or elsewhere within 42 days of the vaccination. She was placed on corticosteroids and the asthma resolved. It was noted that this was the first time that the pt was ever placed on corticosteroids for her asthma. It was reported that there was no recent exposure to chickenpox. The shingles persisted and as of 07-SEP-2000 the pt has developed new lesions with plans to submit a vesicular specimen. The pt will be seen in Dr's office on 27-SEP-2000 to rule out impetigo. It was reported that a specimen was not sent for PCR analysis, it was reported that there were no vesicles. On final analysis, the Dr reported that this pt did not have shingles, her rash extended and was not felt associated with Zoster. Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Information has been received from a LPN concerning an 8 year old Caucasian female, with asthma, who on 09-APR-1997 was vaccinated with one dose of varicella virus vaccine live in the left arm (Lot # 1400D) and hepatitis B vaccine in the right arm (Engerix-B) (Lot #2170A2). On 20-SEP-2000 th pt experienced a mild case of chicken pox with approximately 4 or 5 lesions. Medical attention was sought. The pt's twin had a similar experience following vaccination with varicella virus vaccine live (WAES #00092520).
Age: 5.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Information received from a LPN concerning an 8 yr female twin, who on 09-APR-1997 was vaccinated with one dose of varicella virus vaccine live in the left arm (lot #400D)and hepatitis B vaccine in the right arm (Engerix-B) Lot #2170A2). On 19-SEP-2000  the pt experienced a mild case of chicken pox with approximately 30 pox. Medical attention was sought. The pt recovered. The pt's twin had a similar experience following vaccination with varicella virus vaccine live (WAES#00092344). Additional information is not expected.             3
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Parotitis
Clinical narrative: Information has been received from a healthcare professional concerning a 1 year old male who on 6/20/00 was vaccinated with MMRII (lot 631662/0672J). Concomitant therapy included varicella virus vaccine live (MSD) (lot 632617/0083K). On approx. 8/1/00, the pt experienced mumps. His glands were swollen. Medical attention was required. No further information is available.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Injection site swelling, Rash erythematous
Clinical narrative: Information has been received from a licensed visiting nurse concerning a 5-year-old Caucasian male with no past medical history who on 28-Aug-2000 was vaccinated IM in the right thigh with a second dose of varicella virus vaccine live (lot #634484/0533K).  There were no illnesses at the time of vaccination.  It was noted that the patient received the first dose on 12-Mar-1996.  On 29-Aug-2000 the patient experienced a "silver-dollar-sized red, raised, hot reaction" at the site and surrounding leg.  The patient was seen in the physician's office.  On 04-Sep-2000 the patient recovered from his experiences.  No further information is available.
Age: 1.25
Sex: F
Vaccine: MMR, PNC
Symptoms: Angiopathy, Cough, Irritability, Lymphadenopathy, Oral intake reduced
Clinical narrative: This report concerns a 15 month old female who on 8/8/00, was vaccinated with a 1st dose of MMRII, IM, in her left leg (lot 633705/1660J) and a 1st dose of Prevnar (lot 471202), IM, in her right leg. At that time, her weight was 22 lbs and 6 oz, head circumference 18 1/4" and height 32". Her temperature, at the time, was 98.3F. On 8/9/00, she was seen by her physician who noted "huge" cervical lymph nodes. In follow-up, the physician's office record noted complaints of a lump behind/below her right ear. The pt had a large cervical adenopathy with 1 1/2cm to 2cm nodes in her right cervical and 1cm in her left cervical area. No supraclavicular, axillary or inguinal adenopathy was observed. She did not appear "toxic". Her temperature at the time was 98.9F. Her lungs were clear, tympanic membrane unchanged, heart regular and abdomen negative. An immunization reaction was suspected. Observation versus treatment was opted. The toddler was to return to the office if other (unspecified) symptoms developed. On 8/14/00, the toddler was evaluated for complaints of "fever of 100.1F (ax), fussiness, runny nose and decreased appetite". Her temperature was recorded as 100.6F and weight of 22 lbs and 15 oz, at that time. Physical exam revealed persistent "very large" asymmetrical adenopathy in the left cervical area, mild axillary and inguinal adenopathy. Her chronic right serous otitis persisted. The toddler's heart was regular, abdomen negative and neck supple. Treatment therapy medication with Zithromax was initiated. On 8/17/00, the toddler was seen again by the physician. Her adenopathy was "starting to resolve". A fairly large asymmetrical adenopathy involving her right neck greater than her left, mild axillary adenopathy and inguinal adenopathy was noted. The toddler's treatment plan included continuation of azithromycin therapy since she was "improving" and provided her symptoms did not worsen. No biopsies or additional work-up was planned. Her serous right otitis with a dull tympanic membrane of abnormal vascularity. Ear, nose and throat follow-up was scheduled. On 8/18/00, her course of azithromycin was completed. On 8/24/00, CBC and CXR were negative. Her condition was improving. On 11/7/00, at her 18 month check-up, a "runny" nose and cough was noted. Her temperature was 97.9F. Physical exam revealed "normal looking" ears, height of 33 1/4", weight of 24.2 lbs and head circumference of 18 3/4". Her exam was "unremarkable". It was noted that ENT notes were reviewed (not further specified). Haemophilus b conjugated vaccine, Acel-Imune and varicella virus vaccine live (MSD) were administered at that time. Re-check was scheduled at age 2 years. This report was originally reported by a physician.
Age: 1.25
Sex: F
Vaccine: MMR, PNC
Symptoms: Otitis media, Pyrexia, Rhinorrhoea
Clinical narrative: This report concerns a 15 month old female who on 8/8/00, was vaccinated with a 1st dose of MMRII, IM, in her left leg (lot 633705/1660J) and a 1st dose of Prevnar (lot 471202), IM, in her right leg. At that time, her weight was 22 lbs and 6 oz, head circumference 18 1/4" and height 32". Her temperature, at the time, was 98.3F. On 8/9/00, she was seen by her physician who noted "huge" cervical lymph nodes. In follow-up, the physician's office record noted complaints of a lump behind/below her right ear. The pt had a large cervical adenopathy with 1 1/2cm to 2cm nodes in her right cervical and 1cm in her left cervical area. No supraclavicular, axillary or inguinal adenopathy was observed. She did not appear "toxic". Her temperature at the time was 98.9F. Her lungs were clear, tympanic membrane unchanged, heart regular and abdomen negative. An immunization reaction was suspected. Observation versus treatment was opted. The toddler was to return to the office if other (unspecified) symptoms developed. On 8/14/00, the toddler was evaluated for complaints of "fever of 100.1F (ax), fussiness, runny nose and decreased appetite". Her temperature was recorded as 100.6F and weight of 22 lbs and 15 oz, at that time. Physical exam revealed persistent "very large" asymmetrical adenopathy in the left cervical area, mild axillary and inguinal adenopathy. Her chronic right serous otitis persisted. The toddler's heart was regular, abdomen negative and neck supple. Treatment therapy medication with Zithromax was initiated. On 8/17/00, the toddler was seen again by the physician. Her adenopathy was "starting to resolve". A fairly large asymmetrical adenopathy involving her right neck greater than her left, mild axillary adenopathy and inguinal adenopathy was noted. The toddler's treatment plan included continuation of azithromycin therapy since she was "improving" and provided her symptoms did not worsen. No biopsies or additional work-up was planned. Her serous right otitis with a dull tympanic membrane of abnormal vascularity. Ear, nose and throat follow-up was scheduled. On 8/18/00, her course of azithromycin was completed. On 8/24/00, CBC and CXR were negative. Her condition was improving. On 11/7/00, at her 18 month check-up, a "runny" nose and cough was noted. Her temperature was 97.9F. Physical exam revealed "normal looking" ears, height of 33 1/4", weight of 24.2 lbs and head circumference of 18 3/4". Her exam was "unremarkable". It was noted that ENT notes were reviewed (not further specified). Haemophilus b conjugated vaccine, Acel-Imune and varicella virus vaccine live (MSD) were administered at that time. Re-check was scheduled at age 2 years. This report was originally reported by a physician.
Age: 5.0
Sex: F
Vaccine: DTP, IPV, MMR, PNC
Symptoms: Headache, Injection site rash, Pyrexia, Vomiting
Clinical narrative: This was originally reported by the mother of a 5 year old female consumer who on 8/3/00 was vaccinated with MMRII (MSD), her 1st dose of Prevnar, IM, in her left arm, DPT and poliovirus. On 6/4/00, the mother reported that her daughter developed fever, rash at the Prevnar site and experienced headache. On 8/5/00, the pt vomited. As of 8/11/00, the mother reported that the child had improved. This report was initially reported by a consumer. No further information is available.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: A 12 month old male who on 18-JUN-2000 was vaccinated SQ in the right thigh with varicella virus vaccine live (Lot #0091K). He also received a dose SQ in the right thigh of measles virus vaccine live and mumps virus vaccine live and rubella virus vaccine live (second generation) (MSD) (Lot #0102K), and first dose IM in the left thigh of streptococcus pneumoniae vaccine (Prevnar). There was no illness at time of vaccination. On 19-JUN-2000 the pt developed a fever of 102 degrees F. As of 23-JUN-2000 the fever still persisted.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Information has been received from a physician concerning a 12 month old Caucasian female patient with no illness at the time of vaccination who on 12-OCT-2000 at 11:00 am was vaccinated subcutaneously in the left thigh with a first dose of varicella virus vaccine live (634850/0762K). Subsequently on 03-NOV-2000, the patient developed herpes zoster. It was reported that the patient's outcome was reported as unknown. Additional information has been requested
Age: 1.0
Sex: M
Vaccine: HEP, PNC, VARCEL, HEP, PNC, VARCEL
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Within hours of vaccine administration, the child developed a fever of 102.3F at night and at 22:00 the temperature increased to 104F+. That evening, he was seen in an ER and was treated with Rocephin 500mg IV. The next day, the child's temperature was 100.7F and again was seen by the physician who also treated with Rocephin 500mg and place on drug therapy with Augmentin 2 X daily. The mother treated the child with Motrin. On 8/11/00, the pt recovered from the fever. No further information is expected.
Age: 1.0
Sex: M
Vaccine: HEP, PNC, VARCEL, HEP, PNC, VARCEL
Symptoms: Infection, Pyrexia, White blood cell count increased
Clinical narrative: Within hours of vaccine administration, the child developed a fever of 102.3F at night and at 22:00 the temperature increased to 104F+. That evening, he was seen in an ER and was treated with Rocephin 500mg IV. The next day, the child's temperature was 100.7F and again was seen by the physician who also treated with Rocephin 500mg and place on drug therapy with Augmentin 2 X daily. The mother treated the child with Motrin. On 8/11/00, the pt recovered from the fever. No further information is expected.
Age: 21.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Headache, Rash, Rhinorrhoea, Viral infection
Clinical narrative: Information has been received from a health professional concerning a 21 year old white male who on 9/28/00 was vaccinated with MMRII, SC, in the left deltoid, (lot 630634/0103K). On 10/26/00, the pt developed headache, joint pain, runny nose-viral-like symptoms and a rash that the nurse described as the "usual post-MMRII rash" over the entire body. The nurse noted that she believed the pt had "MMRII as a child" but had not documented history. The pt was out of work until the symptoms, vaccine delayed side effects or viral-like illness, subsided and titers returned. On 9/11/00, the pt had a positive titer (46) for rubella antibodies but was negative for Rubeola and mumps antibodies. On 12/7/00 the pt was positive for Rubeola antibodies (1.34) and mumps antibodies (1.92). On 12/7/00, the pt recovered. It was noted the pt received a Hep-B vaccination on 9/11/00.
Age: 1.2
Sex: M
Vaccine: MMR
Symptoms: Hypothermia, Pruritus, Pyrexia, Rash maculo-papular, Skin discolouration
Clinical narrative: Information has been received from a mother concerning a 14 month old male who on 10/5/00 was vaccinated with MMRII. On 10/13/00, the pt developed a fever of 102.2F. The fever went away on 10/14/00. On 10/15/00, the pt developed a rash on his entire body and his temperature was "way below normal". An NP examined the pt and the pt's mother was told, "he just had some type of rash". The pt's mother reported that the pt had not been outside or around other children and his rash did not start until after the vaccination. The pt's mother was taking the child for a 2nd opinion. On follow-up, the pt's physician reported that on 10/5/00, the pt received his 1st dose of MMRII (lot 0406R-invalid) in his leg (route unspecified). On 10/15/00, the pt developed an onset of maculopapular rash with a temperature of 102F. At approx. that time, a rapid throat culture test was performed which revealed negative results. On 10/15/00, the pt's temperature resolved but he had developed a brief episode of darker than normal lips. The pt then developed pruritic eruptions. On 10/17/00, the physician reported no fever and the pt's maculopapular rash had decreased. No further information was available.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Information has been received from a physician concerning a 13 month old male who on 7/27/00 was vaccinated with the 1st dose of MMRII (lot 635282/0408K), SC, in the left arm. The pt was also vaccinated with the 1st dose of varicella virus vaccine live (lot 635202/0070K), SC, in the right arm on 7/27/00. There was no other concomitant therapy. On 7/27/00, the pt had peanut butter and eggs in potato salad. On 7/28/00, at 08:00, the pt developed urticarial rash. The pt was seen by the physician on 7/28/00 and prescribed cetirizine (Zyrtec) and was given Benadryl in the office. Subsequently, the pt recovered from the urticarial rash. Addition information has been requested.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Laboratory test abnormal, Myalgia
Clinical narrative: Information has been received from an NP concerning a 29 year old female who on 10/27/00 was vaccinated with MMRII (lot 633387/0976K). The NP stated that the pt is not immune to mumps but is immune to measles and rubella. She believes that the pt was probably vaccinated with MMR vaccine previously. On approx. 11/2/00, the pt complained of exhaustion and myalgia migrating in the back, buttock, chest and jaw. According to the NP, the pt's pains "come and go" but persisted for approx. 7-9 days. The pt was seen in Employee Health and sought outside medical attention. The pt was "feeling better on 11/13/00". It was noted that on 11/13/00, the pt recovered. No further information is expected.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Urticaria
Clinical narrative: Information has been received from an RN concerning a 2 year old male pt who on 3/27/00 was vaccinated with a 1st dose of varicella virus vaccine live, SC, in the right leg. Concomitant vaccinations included a 4th dose of DTP (lot 462355), IM, in the left leg and a 4th dose of Haemophilus B conjugate vaccine (lot 520253A), IM, in the right upper leg. On 4/4/00, the pt was seen by a physician and dx'd with "hives/urticaria". It was reported that the pt "broke out the day before." Follow-up information from an RN indicated that the pt subsequently recovered.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain, Back pain, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Information has been received from a registered nurse concerning a 27-year-old female who on 03-OCT2000 was vaccinated subcutaneously with varicella virus vaccine live (lot# 634488/0649K)  in the right arm.  The patient had a penicillin allergy and was diagnosed with irritable bowel syndrome at the age of 17.  She had no history of chicken pox or recent exposure to chicken pox or herpes zoster.  No problem were reported with the first dose.  On 02NOV2000 at 2:00 p.m., the patient received her second varicella virus vaccine live vaccination subcutaneously in the left arm.  Concomitant therapy included "Lotronex" (PO, start date:  MAR-2000, stop date:  20-NOV-2000),  dicyclomine hydrochloride (10mg daily, PO, start date:  Sep-1999), and loperamide hydrochloride (PO, 2mg twice daily, start date:  NOV-2000) On 12NOV2000, the patient experienced a headache, fever, abdominal pain on her left side around her back and lower back.  When the patient breathed, the pain increased.  She went to the Emergency Room on 12NOV2000 at 10:20 p.m. due to the intensity of the pain.  At the hospital, she was diagnosed with chest wall pain secondary to the onset of herpes zoster.  The chest pain was radiating back and became worse.  Overall, the patient rated her pain as a "10" on a scale of "1-10".  The patient was given meperidine hydrochloride (Demerol) and promethazine hydrochloride (Phenergan) intramuscularly.  Acetaminophen +propoxyphene napsylate (Darvocet N100) was prescribed to take at home and a prescription was written for famciclovir (Famvir), 500 mg to take in the case a rash developed in the area of the pain.  The patient was discharged to home.  She was fatigued with muscle soreness.  Lesions had never developed on the patient.  By 14NOV2000, the patient had recovered from all of her symptoms.  The registered nurse reported that the patient's experience was not considered serious.  No information additional information is expected.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Herpes zoster, Infection, Myalgia, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 27-year-old female who on 03-OCT2000 was vaccinated subcutaneously with varicella virus vaccine live (lot# 634488/0649K)  in the right arm.  The patient had a penicillin allergy and was diagnosed with irritable bowel syndrome at the age of 17.  She had no history of chicken pox or recent exposure to chicken pox or herpes zoster.  No problem were reported with the first dose.  On 02NOV2000 at 2:00 p.m., the patient received her second varicella virus vaccine live vaccination subcutaneously in the left arm.  Concomitant therapy included "Lotronex" (PO, start date:  MAR-2000, stop date:  20-NOV-2000),  dicyclomine hydrochloride (10mg daily, PO, start date:  Sep-1999), and loperamide hydrochloride (PO, 2mg twice daily, start date:  NOV-2000) On 12NOV2000, the patient experienced a headache, fever, abdominal pain on her left side around her back and lower back.  When the patient breathed, the pain increased.  She went to the Emergency Room on 12NOV2000 at 10:20 p.m. due to the intensity of the pain.  At the hospital, she was diagnosed with chest wall pain secondary to the onset of herpes zoster.  The chest pain was radiating back and became worse.  Overall, the patient rated her pain as a "10" on a scale of "1-10".  The patient was given meperidine hydrochloride (Demerol) and promethazine hydrochloride (Phenergan) intramuscularly.  Acetaminophen +propoxyphene napsylate (Darvocet N100) was prescribed to take at home and a prescription was written for famciclovir (Famvir), 500 mg to take in the case a rash developed in the area of the pain.  The patient was discharged to home.  She was fatigued with muscle soreness.  Lesions had never developed on the patient.  By 14NOV2000, the patient had recovered from all of her symptoms.  The registered nurse reported that the patient's experience was not considered serious.  No information additional information is expected.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis contact, Herpes zoster, Infection, Injection site vesicles
Clinical narrative: Information has been received from a physician concerning a 31 month old black female pt with no significant medical history, no known immunosuppression or recent varicella exposure, no illnesses at the time of vaccination, and no known drug allergies who on 6/17/99, was vaccinated IM with a 1st dose of varicella virus vaccine live in the left lateral thigh. Concomitant therapy included a dose of MMRII. On 10/18/00, the pt developed a single vesicular papilla at the injection site. The child's mother took the pt to an urgent care center, where she was initially dx'd with contact dermatitis and treated with an oral prednisone and a topical steroid. Within several days of beginning steroid treatment, the rash developed into "full blown" herpes zoster. The physician indicated the child's lesions along the entire L2 dermatome and part of the Le dermatome. The pt presented to the physician on 10/25/00 and was dx'd with herpes zoster. The physician indicated the child's lesions were "quite dense". The pt was admitted to the hospital for IV acyclovir and IV clindamycin. The physician identified that the pt had no other signs or symptoms and was afebrile. The physician admitted the pt to the hospital as a precaution, since they had a problem with "a lot of invasive strep" in their area. The physician indicated that as of 10/26/00, the child is now doing fine and has improved significantly. The majority of her lesions have dried up and she will be going home in the next several days. Follow-up information indicated that the swab in media is VZB+, the media alone is negative, and the dry swab is VZV+ and further analysis will be done for VZV identification. Follow-up information indicated that specimens were identified by PCR analysis to be "Vaccine VZV". Follow-up information indicated that 3 adequate specimens from a leg area vesicle lesion were identified as "Vaccine Strain". Follow-up information indicated that the pt had mild to no pain with local burning and itching. It was noted that a rash did not occur at the injection site or elsewhere within 42 days of vaccination. An E1A was performed and indicated IgM<10. As of 11/1/00, the pt recovered. No further information is available.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pyrexia
Clinical narrative: Information received from a RN concerning a 7 yr old female who was vaccinated on 08-JAN-1997 with varicella virus vaccine live (lot #1478D) in the left arm. On05-NOV-2000,the pt broke out in little tiny pox on her back with a few on her face and legs. She was febrile with a temperature under 101 degrees. Calamine lotion, oatmeal baths and lotion were used for tx. At the time of the report the pox had scabbed over, and the pt recovered.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash, Viral infection
Clinical narrative: According to the nurse the patient was diagnosed with clinical varicella. The nurse reported that on 11/01/2000, the patient developed 3 "areas" on her back. The family initially diagnosed these areas as mosquito bites. The child was quiet and febrile. She had 6 spots on her abdomen, a few on the back of the ear and 10 on her back. On 11/02/2000 she had over 150 spots in the mouth, ears, head, back and face. She was febrile. The patient was treated with oatmeal baths and recovered. On 11/10/2000 she had scabbed over. The nurse also reported 2 additional patients. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: A report received from a RN concerning a 5 yr old male who on 29-JAN-1997 was vaccinated with varicella virus live lot # 0560D in the right arm at a health care clinic. The nurse reported he was a healthy child. The pt developed significant herpes zoster on his right shoulder, arm,neck and torso. The pt sought unspecified medical attention and his outcome was not reported. The attending Dr felt that the pt's reaction was due to the varicella virus vaccine live. Three specimens were submitted for PCR analysis and on 08-DEC-2000, the results were varicella zoster virus positive for Wild type strain.
Age: 4.0
Sex: M
Vaccine: DTPIPV, IPV, VARCEL
Symptoms: Dermatitis bullous, Pruritus
Clinical narrative: Information received form a licensed practical nurse and Dr concerning a 5 yr old while male, who on 10-MAR-1999 was vaccinated with a first dose of varicella virus vaccine live, ( lot # 0134H-invalid lot number). Other vaccinations included was a fifth dose of diphtheria toxoid/pertussis vaccine/teta and a third dose of poliovirus vaccine oral. On 07-DEC-2000 the pt experienced varicella illness with 20 plus lesions. Several lesions were classic develop on petal vesicular lesions. The lesions presented on the back, trunk, and beginning on the proximal extremities. Very pruritic  and no fever in office.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Dermatitis bullous, Drug ineffective, Erythema, Infection
Clinical narrative: Information received from LPN concerning a 37 month old Caucasian female with no known allergies and no past medical history who on 02-NOV-1998, was vaccinated with a first dose of Varicella virus vaccine live (lot # 1059H) subcutaneously in the right arm. There was no illness at the time of vaccination. TLPN reported that on 07-DEC-2000 the pt presents with 50 lesions and itching. She also reported that the pt was exposed to another child in day care with Varicella and stated, today is day 1 or 2 of symptoms. In follow up the LPN reported that the pt woke up on 04-DEC-2000 with a rash on her trunk and was seen by a DR and she had blisters with a red base and about 30 lesions on the trunk. The Dr confirmed they were chicken pox. The pt recovered on 14-DEC-2000.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Information received from LPN concerning a 37 month old Caucasian female with no known allergies and no past medical history who on 02-NOV-1998, was vaccinated with a first dose of Varicella virus vaccine live (lot # 1059H) subcutaneously in the right arm. There was no illness at the time of vaccination. TLPN reported that on 07-DEC-2000 the pt presents with 50 lesions and itching. She also reported that the pt was exposed to another child in day care with Varicella and stated, today is day 1 or 2 of symptoms. In follow up the LPN reported that the pt woke up on 04-DEC-2000 with a rash on her trunk and was seen by a DR and she had blisters with a red base and about 30 lesions on the trunk. The Dr confirmed they were chicken pox. The pt recovered on 14-DEC-2000.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Drug ineffective, Infection, Purpura, Pyrexia
Clinical narrative: Information received from a LPN concerning a 37 month old white female, with a history of hives from amoxicillin and azithromycin. who on 05-OCT-1998 was vaccinated with varicella virus vaccine live in the left arm sq ( lot #1059H). On 10-DEC-2000 the pt developed a pruritic rash and fever. On 11-DEC-2000 at the Dr's office the pt had excoriated papules and vesicles on the lower torso, back, right inguinal area and some vesicular lesions on the erythbase. The pt was diagnosed with varicella. a total of 50 plus lesions developed over the next few days and the pt's temperature was 105.1 degrees.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Information received from a LPN concerning a 37 month old white female, with a history of hives from amoxicillin and azithromycin. who on 05-OCT-1998 was vaccinated with varicella virus vaccine live in the left arm sq ( lot #1059H). On 10-DEC-2000 the pt developed a pruritic rash and fever. On 11-DEC-2000 at the Dr's office the pt had excoriated papules and vesicles on the lower torso, back, right inguinal area and some vesicular lesions on the erythbase. The pt was diagnosed with varicella. a total of 50 plus lesions developed over the next few days and the pt's temperature was 105.1 degrees.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Post vax, on 10/31/2000 in the evening, the patient experienced hives on her stomach and back. The hives were itchy. There was no lip swelling or respiratory symptoms. The hives were most notable in the morning on 11/01/2000. Medical attention was sought for the patient. The physician also reported 4 other patients who developed hives after being vaccinated with varicella virus vaccine live. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria, Viral infection
Clinical narrative: Post vax, at 9 months of age, the patient possibly had varicella disease. In the morning of 12/10/2000 the patient experienced urticarial rash. She did not have respiratory symptoms or joint and lip swelling. On 12/11/2000 the patient recovered from her experience. The physician also reported 4 other patients who developed hives after being vaccinated with varicella virus vaccine live. Additional information is not expected.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Pyrexia
Clinical narrative: Information has been received from a DR concerning a 30 year old female who on 20-NOV-2000 was vaccinated with varicella virus vaccine live, 0.5 ml subcutaneously in the left arm (lot #0445K). She also started taking (LO/OVRAL. On 11-DEC-2000 at the Dr's office the pt was diagnosed with a very mild case of chicken pox that included less than 30 skin lesions on torso and a possible low grade fever. The lesions crusted over and the pt recovered.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Neurological symptom
Clinical narrative: Information has been received from an RN concerning an 18 month old male who on 9/25/91 was vaccinated with MMRII (lot 50744/0769T), SC, in the right anterior left thigh. On 9/25/91, the pt was also vaccinated with the 1st dose of Hib-Titer (lot M130HA), IM, in the left anterior thigh and the 4th dose of DPT (lot 300922), IM, in the anterior left thigh. Subsequently, the pt developed neurological problems. As of 9/13/00, the reporter had no information on type or description of neurological problems, or when they became evident. No further details were provided. Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL, VARCEL
Symptoms: Abdominal pain, Herpes zoster, Infection, Pyrexia
Clinical narrative: Information has been received from a RN concerning a 35 month male with no known allergies and no past medical history who on 16/JUL/1999 was vaccinated with varicella virus vaccine live(lot #1849A invalid). On 23-DEC-2000, the pt began to develop vesicular lesions on his right abdomen. On 25-DEC-2000,the  pt was seen by his DR due to increased pain. The pt had pain at the time of the herpes zoster on the right abdomen and had the pain for about one week prior to vesicles erupting. When the pt was seen on 25-DEC-2000, in the Dr's office he had vesicles on right right abdomen with erythemous base, single vesicle pustule. The pt was diagnosed with resolving associated shingles. On 25-DEC-2000, the pt had a fever of 101. The Dr did not prescribe any antiretroviral treatment or any other medication since the shingles were resolving. The child had no known immunosuppression and thought to be a normal host. The nurse did not know if the pt had any exposure prior to or after vaccination to natural chickenpox. The nurse did not believe a specimen would be available for PCR analysis. Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL, VARCEL
Symptoms: Dermatitis bullous, Herpes zoster, Infection, Pain, Pyrexia
Clinical narrative: Information has been received from a RN concerning a 35 month male with no known allergies and no past medical history who on 16/JUL/1999 was vaccinated with varicella virus vaccine live(lot #1849A invalid). On 23-DEC-2000, the pt began to develop vesicular lesions on his right abdomen. On 25-DEC-2000,the  pt was seen by his DR due to increased pain. The pt had pain at the time of the herpes zoster on the right abdomen and had the pain for about one week prior to vesicles erupting. When the pt was seen on 25-DEC-2000, in the Dr's office he had vesicles on right right abdomen with erythemous base, single vesicle pustule. The pt was diagnosed with resolving associated shingles. On 25-DEC-2000, the pt had a fever of 101. The Dr did not prescribe any antiretroviral treatment or any other medication since the shingles were resolving. The child had no known immunosuppression and thought to be a normal host. The nurse did not know if the pt had any exposure prior to or after vaccination to natural chickenpox. The nurse did not believe a specimen would be available for PCR analysis. Additional information has been requested.
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Herpes Zoster, Information has been received from a physician and a nurse concerning a male who on 20-Mar-2000 was vaccinated with varicella virus vaccine live in the left arm.  On 27-DEC-2000 the patient developed shingles described as red grouped vesicles with no other symptoms.  The patient did not have a history of chickenpox or recent exposure to chickenpox or herpes zoster.  Subsequently, the patient recovered.  There was no direct fluorescent antibody done or photo taken
Sex: M
Vaccine: MMR, VARCEL, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster, Information has been received from a physician and a nurse concerning a male who on 20-Mar-2000 was vaccinated with varicella virus vaccine live in the left arm.  On 27-DEC-2000 the patient developed shingles described as red grouped vesicles with no other symptoms.  The patient did not have a history of chickenpox or recent exposure to chickenpox or herpes zoster.  Subsequently, the patient recovered.  There was no direct fluorescent antibody done or photo taken
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Infection
Clinical narrative: On 12/27/2000 the patient was noted to have 20 plus itchy lesions (vesicles) on his trunk and neck. The patient was diagnosed with chicken pox. The patient was treated with Benadryl and subsequently recovered. Additional information is not expected.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Laboratory test abnormal, Pruritus, Skin ulcer, Viral infection
Clinical narrative: On 12/27/2000 the patient was noted to have 20 plus itchy lesions (vesicles) on his trunk and neck. The patient was diagnosed with chicken pox. The patient was treated with Benadryl and subsequently recovered. Additional information is not expected.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL, PNC, VARCEL
Symptoms: Cough, Nasopharyngitis, Pyrexia
Clinical narrative: On 09/06/2000, the patient developed a fever. On 09/14/2000 the patient developed a cold with cough. The patient was treated with Robitussin. Subsequently, the patient recovered. Additional information is not expected.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL, PNC, VARCEL
Symptoms: Cough, Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: On 09/06/2000, the patient developed a fever. On 09/14/2000 the patient developed a cold with cough. The patient was treated with Robitussin. Subsequently, the patient recovered. Additional information is not expected.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, DTAP, MMR, PNC
Symptoms: Eczema, Pruritus, Rash erythematous, Sleep disorder
Clinical narrative: Information has been received from a physician concerning a 17 month old female who on 9/8/00 was vaccinated with a 1st dose of MMRII. On 9/6/00, pt had a 1st dose of Hib (U0320AA) given IM, in the left anterior thigh, Hep-B (Engerix0B) given IM, in the right anterior thigh and a tuberculin purified protein derivative (PPD Tine Test) given ID, in the left forearm. On 9/8/00, concomitant vaccines included a 1st dose of Prevnar, given IM in the left anterior thigh and a 1st dose of DPT, given IM in the right anterior thigh. It was reported that the pt was adopted from Russia approx. 12 days prior to vaccination. On 9/10/00, the pt awoke screaming. It was reported that the pt had been screaming all night and her mom thought she had been having nightmares because she was doing that prior to the vaccines. The pt developed a red rash on her feet which spread to her back and arms and she experienced itchiness of her feet. The pt's mother indicated "that the rash first started on her feet and hips which were little bumps, and then it continued to spread over days over her entire body. The rash was bright red and it was all over her hips, arms, head and in her ears". On 9/11/00, the pt was seen by the physician who reported that the pt had a faint, red pinpoint rash. The physician did not feel that it was secondary to MMRII and prescribed Benadryl. The mother stated that the rash comes and goes, and as it comes and goes, it gets worse and her daughter was miserable. The pt was seen again on 9/25/00 by a different physician because her rash was worsening. The physician who saw her, saw a vague rash on her cheeks, behind her ears and dx'd eczema. This physician also felt that the rash was unlikely secondary to MMRII. It was reported that as of 9/28/00, the pt's feet remained itchy. The pt's mother also reported that the pt experienced decreased sleep, irritability and nightmares. The physician felt "that the sleep issues, anxiety, etc., may have been secondary to transition/life changes". The pt was seen on 11/8/00 and it was reported that the pt subsequently recovered. Information was received from another pharmaceutical company which indicated that the pt received 1 previous dose of Prevnar, 2 previous doses of DPT and 1 previous dose of MMRII. No further information is expected.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, DTAP, MMR, PNC
Symptoms: Anxiety, Eczema, Erythema, Irritability, Nightmare
Clinical narrative: Information has been received from a physician concerning a 17 month old female who on 9/8/00 was vaccinated with a 1st dose of MMRII. On 9/6/00, pt had a 1st dose of Hib (U0320AA) given IM, in the left anterior thigh, Hep-B (Engerix0B) given IM, in the right anterior thigh and a tuberculin purified protein derivative (PPD Tine Test) given ID, in the left forearm. On 9/8/00, concomitant vaccines included a 1st dose of Prevnar, given IM in the left anterior thigh and a 1st dose of DPT, given IM in the right anterior thigh. It was reported that the pt was adopted from Russia approx. 12 days prior to vaccination. On 9/10/00, the pt awoke screaming. It was reported that the pt had been screaming all night and her mom thought she had been having nightmares because she was doing that prior to the vaccines. The pt developed a red rash on her feet which spread to her back and arms and she experienced itchiness of her feet. The pt's mother indicated "that the rash first started on her feet and hips which were little bumps, and then it continued to spread over days over her entire body. The rash was bright red and it was all over her hips, arms, head and in her ears". On 9/11/00, the pt was seen by the physician who reported that the pt had a faint, red pinpoint rash. The physician did not feel that it was secondary to MMRII and prescribed Benadryl. The mother stated that the rash comes and goes, and as it comes and goes, it gets worse and her daughter was miserable. The pt was seen again on 9/25/00 by a different physician because her rash was worsening. The physician who saw her, saw a vague rash on her cheeks, behind her ears and dx'd eczema. This physician also felt that the rash was unlikely secondary to MMRII. It was reported that as of 9/28/00, the pt's feet remained itchy. The pt's mother also reported that the pt experienced decreased sleep, irritability and nightmares. The physician felt "that the sleep issues, anxiety, etc., may have been secondary to transition/life changes". The pt was seen on 11/8/00 and it was reported that the pt subsequently recovered. Information was received from another pharmaceutical company which indicated that the pt received 1 previous dose of Prevnar, 2 previous doses of DPT and 1 previous dose of MMRII. No further information is expected.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, DTAP, MMR, PNC
Symptoms: Pruritus, Rash, Sleep disorder
Clinical narrative: Information has been received from a physician concerning a 17 month old female who on 9/8/00 was vaccinated with a 1st dose of MMRII. On 9/6/00, pt had a 1st dose of Hib (U0320AA) given IM, in the left anterior thigh, Hep-B (Engerix0B) given IM, in the right anterior thigh and a tuberculin purified protein derivative (PPD Tine Test) given ID, in the left forearm. On 9/8/00, concomitant vaccines included a 1st dose of Prevnar, given IM in the left anterior thigh and a 1st dose of DPT, given IM in the right anterior thigh. It was reported that the pt was adopted from Russia approx. 12 days prior to vaccination. On 9/10/00, the pt awoke screaming. It was reported that the pt had been screaming all night and her mom thought she had been having nightmares because she was doing that prior to the vaccines. The pt developed a red rash on her feet which spread to her back and arms and she experienced itchiness of her feet. The pt's mother indicated "that the rash first started on her feet and hips which were little bumps, and then it continued to spread over days over her entire body. The rash was bright red and it was all over her hips, arms, head and in her ears". On 9/11/00, the pt was seen by the physician who reported that the pt had a faint, red pinpoint rash. The physician did not feel that it was secondary to MMRII and prescribed Benadryl. The mother stated that the rash comes and goes, and as it comes and goes, it gets worse and her daughter was miserable. The pt was seen again on 9/25/00 by a different physician because her rash was worsening. The physician who saw her, saw a vague rash on her cheeks, behind her ears and dx'd eczema. This physician also felt that the rash was unlikely secondary to MMRII. It was reported that as of 9/28/00, the pt's feet remained itchy. The pt's mother also reported that the pt experienced decreased sleep, irritability and nightmares. The physician felt "that the sleep issues, anxiety, etc., may have been secondary to transition/life changes". The pt was seen on 11/8/00 and it was reported that the pt subsequently recovered. Information was received from another pharmaceutical company which indicated that the pt received 1 previous dose of Prevnar, 2 previous doses of DPT and 1 previous dose of MMRII. No further information is expected.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL
Symptoms: Vomiting
Clinical narrative: This report was received form Wyeth-Ayerst  Research for streptococcus pneumoniae vaccine (Prevnar) and was assigned manufacturer report number HQ3378308NOV2000 This was originally reported by a physician.  Information concerning a 12 month old male who on 01-NOV-2000 was vaccinated with varicella virus vaccine live, right thigh. He also received hib conj-hepatitis B vaccinex (MSD),left thigh, and a second dose of streptococcus pneumoniae vaccine (Prevnar) (lot # 471227) intra muscular left thigh. He had no illness at time of vaccination. On 01-NOV-2000, within 12 hours the pt developed vomiting. The Dr indicated that as of 05/NOV-2000, the child had vomited once each day since the vaccinations. This was 1 of 3 children from that facility who had an adverse experience following receipt of streptococcus pneumoniae vaccine. The pt recovered.
Age: 2.7
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia, Screaming
Clinical narrative: On 8/31/99, a 32 month old female was vaccinated with MMRII. Concomitant therapy included a 1st dose of Acel-Imune (lot 464304), IM, in the leg and a 3rd dose of IPOL, IM. On 8/31/99, the pt developed crying and screaming that lasted for hours. Later that evening, the pt developed a low-grade fever and stiffening of both legs. The stiffening resolved within 5 days. On 9/5/99, she developed head pain. Subsequently, the pt recovered. The report was originally received from the parent of the pt.
Age: 2.7
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV
Symptoms: Crying, Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: On 8/31/99, a 32 month old female was vaccinated with MMRII. Concomitant therapy included a 1st dose of Acel-Imune (lot 464304), IM, in the leg and a 3rd dose of IPOL, IM. On 8/31/99, the pt developed crying and screaming that lasted for hours. Later that evening, the pt developed a low-grade fever and stiffening of both legs. The stiffening resolved within 5 days. On 9/5/99, she developed head pain. Subsequently, the pt recovered. The report was originally received from the parent of the pt.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site erythema, Injection site swelling; injection site warmth - information has been received from a medical assistant concerning a 4 year old female who on 10 Jul 2000 was vaccinated with the second dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live second generation in the left thigh invalid ot 0255R provided.  On 10 Jul 2000 the patient was also vaccinated with the second dose of diphtheria toxoid pertussia  vaccine/teta Acel-imune in the left thigh lot 470-527 and the first dose of pollovirus vaccine lot R-0691 in the right thigh.  On 13 Jul 2000 the patient developed an injection site reaction characgterized by a 50 cent piece sized area of redness, swelling and warmth.  diphtheria toxoid / pertussia vaccine /testa acul-imune and measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live second generation were both injected into the left thigh.  No further details were provided.  Additional information has been requested.