chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid swollen and tender, red and warm, post-injection on previous day.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Diarrhoea, Headache, Pain, Pruritus, Pyrexia
Clinical narrative: 7/21/04- anthrax vaccine #4 7/22/04- SPV 8/1/04- woke up and noticed rash "all over" her chest area- rash bright red and extremely pruritic- also c/o headaches, "fever," bodyaches, diarrhea, and upset stomach 8/2/04- rashes worsened- seen by a healthcare practitioner- given Atarax 8/3/04- seen by her Case Manager- rashes "improving" but still pruritic- rashes present on upper chest, upper bilat arms, upper back, and neck- lesions non tender- coalesced multiple erythematous inflammatory round/oblong nodules present with scattered discrete papules and pustules 8/16- rashes now completely dissipated
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Rash maculo-papular, Rash pustular, Skin nodule, Skin ulcer, Stomach discomfort
Clinical narrative: 7/21/04- anthrax vaccine #4 7/22/04- SPV 8/1/04- woke up and noticed rash "all over" her chest area- rash bright red and extremely pruritic- also c/o headaches, "fever," bodyaches, diarrhea, and upset stomach 8/2/04- rashes worsened- seen by a healthcare practitioner- given Atarax 8/3/04- seen by her Case Manager- rashes "improving" but still pruritic- rashes present on upper chest, upper bilat arms, upper back, and neck- lesions non tender- coalesced multiple erythematous inflammatory round/oblong nodules present with scattered discrete papules and pustules 8/16- rashes now completely dissipated
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt given Pneumovax in L Deltoid at approx 10am on 8/12/04. Pt returned to clinic on 8/13/04 at 12:15 with c/o extreme soreness, redness and swelling at injection site. Pt examined by Physician on duty, Dx of Cellulitis given and pt was prescribed Cephalexin 500mg TID X 10days. Instructed to use Ibuprofen and ice at injections sight.
Age: 0.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer
Clinical narrative: 3 days after recieving vaccination, site still covered, developed satellite lesion on left thigh. Scratched it not knowing it was a vaccine lesion. Spread to the face where three other lesions developed.
Age: 0.4
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Contusion, Injection site cyst
Clinical narrative: After administration of 2nd DTAP shot patient got a cyst under skin measuring 2x2 cm with large permanent bruising. 4 additional office visits to pediatrician currently receiving steroid injections from pediatric dermatologist. Has now been 2 months since injection.
Age: 0.4
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Erythema, Hypertrophy, Injection site mass, Injection site reaction, Keloid scar
Clinical narrative: After administration of 2nd DTAP shot patient got a cyst under skin measuring 2x2 cm with large permanent bruising. 4 additional office visits to pediatrician currently receiving steroid injections from pediatric dermatologist. Has now been 2 months since injection.
Age: 1.9
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Rash macular, Skin ulcer, Swelling, Tenderness
Clinical narrative: Pt. developed few pinks macules at site 8.9.04, seen 8.10.04; injection site slightly crusted, and quadriceps swollen and tender. (Swelling and tenderness had developed 8.5.04) Initially (8.9.04)appeared to be slightly impetiginized, but by 8.11.04 area around injection site erythematous, with 2 target lesions---clearly urticarial.  Swelling and rash gone by 8.15.04
Age: 1.9
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Pt. developed few pinks macules at site 8.9.04, seen 8.10.04; injection site slightly crusted, and quadriceps swollen and tender. (Swelling and tenderness had developed 8.5.04) Initially (8.9.04)appeared to be slightly impetiginized, but by 8.11.04 area around injection site erythematous, with 2 target lesions---clearly urticarial.  Swelling and rash gone by 8.15.04
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Rash, Skin ulcer, Urticaria
Clinical narrative: Pt developed swelling and tenderness of quadriceps within 24 hours.  On 8.9.04 he developed a rash, for which he was seen 8.10.04.  The injection site was slightly crusted, with a few pink macules surrounding it.  Initially treated for impetigo, but on 8.11.04, the macules had become typical target lesions of urticaria.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Dyspnoea, Irritability, Laboratory test abnormal, Leukocytosis, Pyrexia
Clinical narrative: Vaccine was given in the am. By 2pm noticed child felt hot. Gave her some Tylenol at 2pm and fever did not go down, she only felt hotter. Temp was still elevated. By around 530pm child looked funny in her eyes and the kept kinda rolling back in her head. She had some kind of mental status change of some sorts.  She then vomitted and I tried using a bulb syringe and it wasn't working.  Had to call 911. Arrived at the E.R they did lab work and her WBC's were elevated to 31,000 was admitted to the Hospital and had more tests run on her. Lumbar pucture was done and it was negative, blood cultures were negative , and urine cultures negative. She did have a weeks worth of Rocephine given.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: White blood cell count increased
Clinical narrative: Vaccine was given in the am. By 2pm noticed child felt hot. Gave her some Tylenol at 2pm and fever did not go down, she only felt hotter. Temp was still elevated. By around 530pm child looked funny in her eyes and the kept kinda rolling back in her head. She had some kind of mental status change of some sorts.  She then vomitted and I tried using a bulb syringe and it wasn't working.  Had to call 911. Arrived at the E.R they did lab work and her WBC's were elevated to 31,000 was admitted to the Hospital and had more tests run on her. Lumbar pucture was done and it was negative, blood cultures were negative , and urine cultures negative. She did have a weeks worth of Rocephine given.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Gaze palsy, Mental impairment, Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Vaccine was given in the am. By 2pm noticed child felt hot. Gave her some Tylenol at 2pm and fever did not go down, she only felt hotter. Temp was still elevated. By around 530pm child looked funny in her eyes and the kept kinda rolling back in her head. She had some kind of mental status change of some sorts.  She then vomitted and I tried using a bulb syringe and it wasn't working.  Had to call 911. Arrived at the E.R they did lab work and her WBC's were elevated to 31,000 was admitted to the Hospital and had more tests run on her. Lumbar pucture was done and it was negative, blood cultures were negative , and urine cultures negative. She did have a weeks worth of Rocephine given.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cold sweat, Cyanosis, Feeling cold, Pallor
Clinical narrative: From initial information received on 08/11/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 2 month old male pt received his first dose of ActHib, lot # UE277AA, administered in the right leg; a first dose of IPOL, lot # X0771, administered in the right leg; a first dose of Daptacel, lot # C1663AA, administered in the left leg; a first dose of Prevnar, lot # 495173, administered in the left leg and his first dose of Hepatitis B vaccine, lot # 0179P, administered in the right leg on 08/05/04 at 14:30. The routes of administration were not reported. Later that day, the pt's face turned pale and cyanotic and his lips became cold and clammy. The pt also stopped sucking. He was taken to the ER and diagnosed with cyanotic spells and reflux. Lab data obtained in the ER included urine and blood work, but no results were provided. He was seen in the physician's office on 08/06/04 and reportedly seemed fine. There was no redness or swelling noted at the injection sites at that time. The pt's recovery status was reported as unknown. The reporter of this case is the same reporter as for cases 200402657, 200402658, 200402659.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cyanosis, Gastrointestinal disorder, Pallor
Clinical narrative: From initial information received on 08/11/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 2 month old male pt received his first dose of ActHib, lot # UE277AA, administered in the right leg; a first dose of IPOL, lot # X0771, administered in the right leg; a first dose of Daptacel, lot # C1663AA, administered in the left leg; a first dose of Prevnar, lot # 495173, administered in the left leg and his first dose of Hepatitis B vaccine, lot # 0179P, administered in the right leg on 08/05/04 at 14:30. The routes of administration were not reported. Later that day, the pt's face turned pale and cyanotic and his lips became cold and clammy. The pt also stopped sucking. He was taken to the ER and diagnosed with cyanotic spells and reflux. Lab data obtained in the ER included urine and blood work, but no results were provided. He was seen in the physician's office on 08/06/04 and reportedly seemed fine. There was no redness or swelling noted at the injection sites at that time. The pt's recovery status was reported as unknown. The reporter of this case is the same reporter as for cases 200402657, 200402658, 200402659.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Cyanosis, Gastrooesophageal reflux disease, Hypotonia, Laboratory test abnormal, Pallor
Clinical narrative: From initial information received on 08/11/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 2 month old male pt received his first dose of ActHib, lot # UE277AA, administered in the right leg; a first dose of IPOL, lot # X0771, administered in the right leg; a first dose of Daptacel, lot # C1663AA, administered in the left leg; a first dose of Prevnar, lot # 495173, administered in the left leg and his first dose of Hepatitis B vaccine, lot # 0179P, administered in the right leg on 08/05/04 at 14:30. The routes of administration were not reported. Later that day, the pt's face turned pale and cyanotic and his lips became cold and clammy. The pt also stopped sucking. He was taken to the ER and diagnosed with cyanotic spells and reflux. Lab data obtained in the ER included urine and blood work, but no results were provided. He was seen in the physician's office on 08/06/04 and reportedly seemed fine. There was no redness or swelling noted at the injection sites at that time. The pt's recovery status was reported as unknown. The reporter of this case is the same reporter as for cases 200402657, 200402658, 200402659.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: From initial information received on 08/11/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 2 month old male pt received his first dose of ActHib, lot # UE277AA, administered in the right leg; a first dose of IPOL, lot # X0771, administered in the right leg; a first dose of Daptacel, lot # C1663AA, administered in the left leg; a first dose of Prevnar, lot # 495173, administered in the left leg and his first dose of Hepatitis B vaccine, lot # 0179P, administered in the right leg on 08/05/04 at 14:30. The routes of administration were not reported. Later that day, the pt's face turned pale and cyanotic and his lips became cold and clammy. The pt also stopped sucking. He was taken to the ER and diagnosed with cyanotic spells and reflux. Lab data obtained in the ER included urine and blood work, but no results were provided. He was seen in the physician's office on 08/06/04 and reportedly seemed fine. There was no redness or swelling noted at the injection sites at that time. The pt's recovery status was reported as unknown. The reporter of this case is the same reporter as for cases 200402657, 200402658, 200402659.
Age: 57.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Face oedema, Hypersensitivity, Oedema peripheral, Pain, Skin burning sensation
Clinical narrative: Initial and follow-up information has been received from a RN concerning a 57 year old female pt with elevated cholesterol and an allergy to Celebrex (caused hives) who on 07/30/04 was vaccinated with a first dose of pneumococcal 23v polysaccharide vaccine (Lot # 648139/0009P).  Concomitant therapy included Hepatitis B vaccine, recomb which was reported to have been given "in the other arm, no adverse symptoms", boron (unspecified)(+) calcium carbonate (+) cimicifuga (+) folic acid (+) kava (+) kudzu (+) selenomethionine (+) soy isoflavones (+) vitamin B complex (+) vitamin E (Estroven) and tretinoin (Retin-A). On 07/30/04, later in the day, the pt experienced right hand pain with burning down the arm. The inside of the arm was slightly swollen. On follow up it was reported that after vaccination, the pt broke out in hives, had lip swelling and pain in her arm. The pt's hives lasted for 3 days, the lip swelling lasted for 1 day and the arm pain lasted for 5 days. The nurse stated that what the pt had was most likely an allergic reaction to pneumococcal 23v polysaccharide vaccine. The pt was treated with Benadryl for the allergic reaction and acetaminophen (+) hydrocodone bitartrate (Vicodin) for the pain. The nurse reported that the event would most likely have been life-threatening if the pt had not been treated. The pt was not hospitalized. On 08/06/04 the pt had recovered and was feeling much better. No further information is available.  Pain in arm, right hand pain with burning down the arm, slightly swollen on the inside of the arm, hives and lip swelling were reported to be other important medical events (OMIC).
Age: 57.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Urticaria
Clinical narrative: Initial and follow-up information has been received from a RN concerning a 57 year old female pt with elevated cholesterol and an allergy to Celebrex (caused hives) who on 07/30/04 was vaccinated with a first dose of pneumococcal 23v polysaccharide vaccine (Lot # 648139/0009P).  Concomitant therapy included Hepatitis B vaccine, recomb which was reported to have been given "in the other arm, no adverse symptoms", boron (unspecified)(+) calcium carbonate (+) cimicifuga (+) folic acid (+) kava (+) kudzu (+) selenomethionine (+) soy isoflavones (+) vitamin B complex (+) vitamin E (Estroven) and tretinoin (Retin-A). On 07/30/04, later in the day, the pt experienced right hand pain with burning down the arm. The inside of the arm was slightly swollen. On follow up it was reported that after vaccination, the pt broke out in hives, had lip swelling and pain in her arm. The pt's hives lasted for 3 days, the lip swelling lasted for 1 day and the arm pain lasted for 5 days. The nurse stated that what the pt had was most likely an allergic reaction to pneumococcal 23v polysaccharide vaccine. The pt was treated with Benadryl for the allergic reaction and acetaminophen (+) hydrocodone bitartrate (Vicodin) for the pain. The nurse reported that the event would most likely have been life-threatening if the pt had not been treated. The pt was not hospitalized. On 08/06/04 the pt had recovered and was feeling much better. No further information is available.  Pain in arm, right hand pain with burning down the arm, slightly swollen on the inside of the arm, hives and lip swelling were reported to be other important medical events (OMIC).
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Abnormal behaviour, Aggression, Antisocial behaviour, Autism, Pyrexia
Clinical narrative: Patient stopped progressing after 18 month shots. he has been diagnosed autistic. He is lacking in many areas, i.e. potty training, language, social skills, behavior. His behavior is volatile. He bites, head slams, and is very physical with my 5.5 year old girl. I noticed all of these things within days. Follow up:Fever developed after vaccination. Mom treated it with alternating doses of Tylenol and Motrin x 2 days.  Nurse follow up on 10/20/04 states: "Medical records review confirms diagnosis of autism."  Per the follow up report-Patient is delayed in so many areas except motor skills. He is not wanting to potty train. He eats non-edible items such as pencils, chalk, porcelain and wood. He is self injuting when angry or upset. His language is less than 24 month. He is very destructive in the home such as breaking glass and flipping furniture. On occasion, this school year, he has shown some aggression towards classmates. He cannot sleep more than 2-3 hours per night without medication. He is currently taking Clonidine 0.1M, Trazodone 50 mg, Seroquel 25 mg, once daily at bedtime. He is obsessive with man things like certain foods, certain movies, toys and closing doors. He is also obsessed with water and is unaware of danger about water. He does not understand about fear like fire, cars in the road, climbing, breaking glass with his bare hands. He bites often and sometimes so severe he can break the skin through clothing hisself and daughter as well. I feel like this is a pretty good picture of patient. I could go on and on.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Speech disorder
Clinical narrative: Patient stopped progressing after 18 month shots. he has been diagnosed autistic. He is lacking in many areas, i.e. potty training, language, social skills, behavior. His behavior is volatile. He bites, head slams, and is very physical with my 5.5 year old girl. I noticed all of these things within days. Follow up:Fever developed after vaccination. Mom treated it with alternating doses of Tylenol and Motrin x 2 days.  Nurse follow up on 10/20/04 states: "Medical records review confirms diagnosis of autism."  Per the follow up report-Patient is delayed in so many areas except motor skills. He is not wanting to potty train. He eats non-edible items such as pencils, chalk, porcelain and wood. He is self injuting when angry or upset. His language is less than 24 month. He is very destructive in the home such as breaking glass and flipping furniture. On occasion, this school year, he has shown some aggression towards classmates. He cannot sleep more than 2-3 hours per night without medication. He is currently taking Clonidine 0.1M, Trazodone 50 mg, Seroquel 25 mg, once daily at bedtime. He is obsessive with man things like certain foods, certain movies, toys and closing doors. He is also obsessed with water and is unaware of danger about water. He does not understand about fear like fire, cars in the road, climbing, breaking glass with his bare hands. He bites often and sometimes so severe he can break the skin through clothing hisself and daughter as well. I feel like this is a pretty good picture of patient. I could go on and on.
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Eyelid oedema, Face oedema, Rash macular
Clinical narrative: Abrupt onset of macular and elevated multiform lesions with erythema swelling of ears, lips and eyelids. Tx with epinephrine, solumedral and Benadryl
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Erythema, Oedema, Pain, Pruritus
Clinical narrative: Left arm vesicles, papules, anted  (aggregated) lesions with pruritus, erythema and edema of arm. Also severe pain at arm Tx: Allegra 60mg BID/ Bactroban/ Diprolene
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash papular
Clinical narrative: Left arm vesicles, papules, anted  (aggregated) lesions with pruritus, erythema and edema of arm. Also severe pain at arm Tx: Allegra 60mg BID/ Bactroban/ Diprolene
Age: 23.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Blister, Chest pain, Heart rate irregular
Clinical narrative: Blister type spot on left arm, where medical tape ended. Chest pains, feels like an odd heartbeat.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: Within 5 hours of receiving Anthrax pt was awakened with nausea, diarrhea, HA (worse than migraine), Diaphoresis, Fatigue and Febrile
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Within 5 hours of receiving Anthrax pt was awakened with nausea, diarrhea, HA (worse than migraine), Diaphoresis, Fatigue and Febrile
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site mass, Oedema
Clinical narrative: Child developed swelling, redness and warmth with induration at left deltoid (5cm x 6cm) ~12 hrs-20hrs after immunization with DTaP and IPV at that site. Re-eval pending.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Injection site reaction, Rash papular, Similar reaction on previous exposure to drug
Clinical narrative: 3 day H.O. rash (7 days) post vaccine. Erythematous papular rash over cheeks, upper back, extremities. Blanching to pressure.
Age: 19.0
Sex: M
Vaccine: HEPAB, MMR, TD
Symptoms: Anorexia, Fatigue, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: 7/1/04 received MMR, 07/10 fever, malaise, lymph gland swelling, felt awful, wouldn't eat achy tired, 7/14th broke out full trunk-spread to arms face, some runny nose. Today 7/15/04 still very ill. 7/20/04 mom says he's getting better and will be fine. The pt's father is chiropractor does not believe in vaccines only vaccinations if mandatory for college or to go out of country.
Age: 19.0
Sex: M
Vaccine: HEPAB, MMR, TD
Symptoms: Pyrexia, Rash, Rhinorrhoea
Clinical narrative: 7/1/04 received MMR, 07/10 fever, malaise, lymph gland swelling, felt awful, wouldn't eat achy tired, 7/14th broke out full trunk-spread to arms face, some runny nose. Today 7/15/04 still very ill. 7/20/04 mom says he's getting better and will be fine. The pt's father is chiropractor does not believe in vaccines only vaccinations if mandatory for college or to go out of country.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngitis, Pyrexia, Rash, Rhinitis
Clinical narrative: Rash (severe), fever, cold sx.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Dermatitis bullous, Pyrexia, Rash, Staring, Vomiting
Clinical narrative: 6/25/04: Broke out on face 6/23/04-evening. Rash had gone to chest and back by morning. Temp 103 cooled with bath and Tylenol. Temp broke and didn't go back up. Still has rash but no longer acting ill. 6/29/04 p/c to mom rash gone. Child feeling fine. 7/2/04 High temp last night. Broke out in pimples- mom thought may be chicken pox. Brought child in went to car to see him. 10/15 spots on chest 6-8 on head, not raised. Bites? Child vomited. High temp eyes glassy. Ref to PMD. Mom will take him in.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Infection, Injury, Rash
Clinical narrative: 6/25/04: Broke out on face 6/23/04-evening. Rash had gone to chest and back by morning. Temp 103 cooled with bath and Tylenol. Temp broke and didn't go back up. Still has rash but no longer acting ill. 6/29/04 p/c to mom rash gone. Child feeling fine. 7/2/04 High temp last night. Broke out in pimples- mom thought may be chicken pox. Brought child in went to car to see him. 10/15 spots on chest 6-8 on head, not raised. Bites? Child vomited. High temp eyes glassy. Ref to PMD. Mom will take him in.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Dermatitis bullous, Pyrexia, Rash, Staring, Vomiting
Clinical narrative: 07/06/2004-p/c to mom to f/u rashes over the last 2 weeks. Mom did take pt to PC. The spots the Dr. felt were spider bites. He did have an ear infection. He has no more problems.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, DTAP, HIBV, MMR
Symptoms: Infection, Injury, Rash
Clinical narrative: 07/06/2004-p/c to mom to f/u rashes over the last 2 weeks. Mom did take pt to PC. The spots the Dr. felt were spider bites. He did have an ear infection. He has no more problems.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Oedema
Clinical narrative: Acute swelling of left leg. Erythema, swelling began within hours of injection only at site of DTaP.  2 days after injection left continues with significant swelling and erythema.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blister, Insomnia, Irritability, Pyrexia, Rash
Clinical narrative: Blister type rash on thigh area (left lower) fevers, very irritable, not sleeping.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site reaction, Injury, Oedema
Clinical narrative: Left thigh erythematous, warm to touch, edema, vaccine reaction vs. insect bite.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Child developed severe rash with red welts all over. Breathing remained unlabored. BP 90/60 was given Benadryl 2.3 mg IP hip and 0.15 epinephrine SC. Transported to ER via ambulance.
Age: 18.0
Sex: M
Vaccine: HEP, TD
Symptoms: Myalgia
Clinical narrative: Patient's mother calls 8/9/04 to report teen has had persistent pain in right arm past vaccines given.
Age: 13.0
Sex: F
Vaccine: HBHEPB, TD
Symptoms: Anorexia, Balance disorder, Cough, Difficulty in walking, Dizziness
Clinical narrative: Pt fainted almost 15 minutes after vaccines given. When received, she complained of her ears ringing. No reported pt dieting, having nothing to eat day of vaccination. Peanut butter crackers given. Pt left with mother. 3pm , same day, mom called to report pt had slept 2 hours and still sleeping, c/o dizziness and ringing in her ears. She also complained of hoarseness and was starting to cough. Mom advised to contact PMD if symptoms persists or worsen. 8:45pm: Pt to ER: feeling worse, more dizzy, holding onto things to walk. Ears still ringing. Kept in ER x 5 hours. Blood work drawn. Doctor feels CP x cause. Advises against second CPX. 7/28/04 11AM. PC. Pt lightheaded and off-balanced, but not as bad as yesterday.
Age: 13.0
Sex: F
Vaccine: HBHEPB, TD
Symptoms: Dysphonia, Somnolence, Tinnitus
Clinical narrative: Pt fainted almost 15 minutes after vaccines given. When received, she complained of her ears ringing. No reported pt dieting, having nothing to eat day of vaccination. Peanut butter crackers given. Pt left with mother. 3pm , same day, mom called to report pt had slept 2 hours and still sleeping, c/o dizziness and ringing in her ears. She also complained of hoarseness and was starting to cough. Mom advised to contact PMD if symptoms persists or worsen. 8:45pm: Pt to ER: feeling worse, more dizzy, holding onto things to walk. Ears still ringing. Kept in ER x 5 hours. Blood work drawn. Doctor feels CP x cause. Advises against second CPX. 7/28/04 11AM. PC. Pt lightheaded and off-balanced, but not as bad as yesterday.
Age: 10.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Erythema, Rash
Clinical narrative: Dad came back to health department without child. Stated he had a rash around his ears and head is turning red, Instructed dad to have mom take child to doctor and let us know what doctor says. Took to doctor.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: Received DTaP 7-23-04, some redness around injection site following immnization. On 7-25-04 child's L arm was red and swollen from elbow to middle of top of shoulder. Father took child to ER. Doctor treated child with antibiotic and steroids. Dad states child OK and that redness around injection site about size of a dime at this time.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Patient's mother noticed redness at injection site approximately 24 hours after injection. Reddened area spreading out from site approximately 2cm x 5cm. Afebrile temp: 98.6 ear. Raised red area tender to touch.
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Fall, Injury, Loss of consciousness
Clinical narrative: Pt fell backward, hit back of her head, 5 minutes after getting #1 Td, #3 Hep B and #1 Hep A. She says she lost consciousness quickly regained consciousness.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Child awoke the day after receiving vaccines with an area of erythema and warmth about 5cm in diameter surrounding injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Face oedema, Oedema peripheral, Urticaria
Clinical narrative: An anaphylactic reaction including peripheral and facial edema and urticaria.  Onset 24 hours post vaccine->2 od post vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Rash macular, Vaccine positive rechallenge
Clinical narrative: Area of immunization with macular obscure is 7x4cm.
Age: 1.3
Sex: M
Vaccine: DTAP, HEP
Symptoms: Convulsion, Pyrexia, Syncope, Urticaria
Clinical narrative: High fever, convulsion and fainting and hives all over the body.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Conjunctivitis, Cough, Muscle spasms, Pyrexia, Tremor
Clinical narrative: 104 degree-rectal for 4 days. Acute conjunctivitis for 10 days. Dry cough for 10 days. 1 episode of acute muscle spasm lasting a few seconds, followed by trembling for 30 minutes.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Client received Hepatitis B #3 07/20/04.  07/21/04 noted itching to site left deltoid with a little red bump. Still itching after 1 week, then red bumps spread to left leg. By 07/31/04 notes red raised areas all over body. Client states Cortizone 10 used, will help with itching for a short time. Benadryl also used, but itching and red areas always return. Client has red, raised, itchy areas today 08/10/04.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Injection site oedema
Clinical narrative: Swelling on right deltoid area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema
Clinical narrative: Left arm is swollen around deltoid but not tender.
Age: 1.54
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site oedema, Rash
Clinical narrative: Left arm swollen 07/29/04. Rashes.  08/11/04-vaccine given 08/04/04.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Influenza, Injection site warmth, Pain
Clinical narrative: Rule out Td 08/04. Flu today with 6x6cm large, warm, tender.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HEPA, MMR, VARCEL
Symptoms: Dysphagia, Lymphadenopathy
Clinical narrative: Nontender, swollen anterior and posterior cervicle nodes, began the evening vaccine administered, enlarged over 203 days, have remained same size for past 2 days. (+) Dysphagia, neck with FROM, no headaches. Largest node 3x4cm, post 2x4cm.
Age: 18.0
Sex: M
Vaccine: HEP, MEN, TD
Symptoms: Chills, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Child received vaccines at 16:00 on 08/02/04. At approximately 12:00am 08/03/04, child developed fever, chills, general body aches, dizziness, and nausea. Signs and symptoms continued 08/03/04-he vomited x1 at 8:00am on 08/03/04.
Age: 18.0
Sex: M
Vaccine: HEP, MEN, TD
Symptoms: Vomiting
Clinical narrative: Child received vaccines at 16:00 on 08/02/04. At approximately 12:00am 08/03/04, child developed fever, chills, general body aches, dizziness, and nausea. Signs and symptoms continued 08/03/04-he vomited x1 at 8:00am on 08/03/04.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Viral infection
Clinical narrative: Shingles left L2 dermatome.
Age: 0.9
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Immunization received on 07/26/04, Ran temperature of 102.5 to 103 on 07/27/04 thru 08/01/04. Temperature decreased with Tylenol. Seen PMD on 07/29/04. MD stated pt had no underlying illness or infections and temperature was result of immunizations.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt returns to office 08/05/04 with erythema, swelling and warmth to right arm. Advised Benadryl as needed. 08/06/04: Re-checked, erythema, swelling resolving.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint swelling, Oedema, Pain, Pyrexia
Clinical narrative: 07/30-08/03/04: Swelling in both knees, occasional swelling of right carpal, left wrist, left ankle. Unable to bend right knee more than 90 degrees on 07/30-07/31/04. Left knee affected 08/01/04. Slight rash along right jawline. Slight fever on 08/02/04. Swelling and pain reduced by 08/03/04. Went to clinic on Saturday 07/31/04. Blood drawn-Motrin to reduce pain and swelling. Lost wages 08/02/04. Follow up: Additional swelling of right knee and pain in the index finger knuckles of both hands on 8/15/04 and 8/17/04.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Swelling
Clinical narrative: 07/30-08/03/04: Swelling in both knees, occasional swelling of right carpal, left wrist, left ankle. Unable to bend right knee more than 90 degrees on 07/30-07/31/04. Left knee affected 08/01/04. Slight rash along right jawline. Slight fever on 08/02/04. Swelling and pain reduced by 08/03/04. Went to clinic on Saturday 07/31/04. Blood drawn-Motrin to reduce pain and swelling. Lost wages 08/02/04. Follow up: Additional swelling of right knee and pain in the index finger knuckles of both hands on 8/15/04 and 8/17/04.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Back pain, Cough, Influenza like illness, Myalgia, Pain
Clinical narrative: Low grade fever started night after getting vaccine and then had fever again 08/04 and 08/05 and again 08/08. Complained of flu-like symptoms, muscle soreness and aching in back and left arm. Started night of 07/30 and had continued. Dry cough started 08/08/04. Had macular rash on left forearm for 1 day.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: Low grade fever started night after getting vaccine and then had fever again 08/04 and 08/05 and again 08/08. Complained of flu-like symptoms, muscle soreness and aching in back and left arm. Started night of 07/30 and had continued. Dry cough started 08/08/04. Had macular rash on left forearm for 1 day.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema with induration at injection site. Advised to cold compresses and Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: 07/29/04, per email: Had reaction raised lump with red bumps left arm where got shot. Saw nurse, no fever. Site larger than 1/2 dollar and raised 1/4 inch and bumps, warm to touch, not painful. Gave Ibuprofen yesterday mom states area coming down this AM.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Encephalopathy, Lethargy, Sepsis, Somnolence, Vomiting
Clinical narrative: Pediarix and Hib #1 given 8/4/04. On 8/5/04 around 36 hours later. Pt vomited x 2 and became very lethargic.  Sleep 12 hours/ time. No fever. No rash. No dehydration clinically.   Nurse follow up on 08/30/04 states: "sepsis vs vaccine; encephalopathy." Medical records are received for the 2-day admission from 8/6-8/8/04 for this event. The diagnosis at discharge was R/O sepsis vs. vaccine encephalopathy. All cultures; blood, CSF, urine were negative as was rotavirus, parainfluenza and adenovirus. Highest temp in the hospital was 99 F ax.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Moderate swelling erythema shoulder to 2/3 down to elbow. Moderate itching. Persisted greater than 48 hours.
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives on abdomen/ lower body. Starting at 5pm on 8/6/04. Visited emergency room and was prescribed Prednisone for possible allergic reaction.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Injection site reaction, Pyrexia
Clinical narrative: Mom described reddened area to right thigh, site of Prevnar, T 101.9. Right, mom declined treatment, home care triaged by Night care/ Intellicare Service
Age: 24.0
Sex: F
Vaccine: HEPAB, RAB
Symptoms: Muscle spasms, Vaccine positive rechallenge
Clinical narrative: 40 hours post vaccination : report: "Charlie Horses" muscle spasms to right leg x 4.5 hours continuously
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Oedema, Swelling
Clinical narrative: Local red, swelling, indurated edema
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pruritus, Rash, Rash macular, Swelling face
Clinical narrative: 7/13: developed red, blotchy, rash on torso, back arms started itching on back of neck, face, upper lip swelled. No fever. 7/14: itching more sever, lower lip also swollen, Benadryl didn't help. Saw nurse practitioner at clinic. RX (unknown given: helped. 7/14: evening mostly gone. 7/15: gone/ recovered.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site induration, Oedema
Clinical narrative: Induration, edema, local allergic reaction measuring 7.5cm x 7.5 cm at time of visit per pt. Child was kicking and screaming at time of injection. No fevers, stridor, wheezing, shortness of breath.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Hot flush, Injection site pain, Nausea, Pain
Clinical narrative: Hot flashes, nausea, arm pain from area of vaccine to hand. Initial dizziness started immediately.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swollen, hard, redness around affected area. Right arm.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Muscular weakness, Pain, Urticaria, Vomiting
Clinical narrative: Pt had vomiting, body aches, arms felt heavy on Saturday AM 8/5/04. Noticed hives on upper left arm Sunday AM 8/6/04. Gave pt Benadryl OTC on 8/6/04, all sxs resolved by 8/7/04 when I spoke with pt's mother.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: High fever of 104.2 and for approximately 12-15 hours. Fever of 102 and next day with total body rash. Immunizations were given approximately 8-9 days prior to symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eye irritation, Eye swelling, Pain, Pruritus, Swelling
Clinical narrative: Left swollen eye with itching both eyes (mom states "rubbing eyes"). Child says "yes" to itching. No difficulty breathing; No difficulty swallowing denies pain 30-45 minutes after injection swelling. Returned to health unit 45-1 hour post injection. Ice bag to eye and referred to ER). Follow up on 08/31/04 states: "08/10/04: telephone call to mother of pt.  Did not go to ER for evaluation. Gave child antihistamine and the problem resolved; per RN."
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: Seizure approximately 24 hours after DTaP lasted 1 minute.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: Intense redness and induration of injection site about 2 days after injection. Child placed on antibiotics to cover for cellulitis.
Age: 40.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash pruritic, Rash vesicular, Skin ulcer
Clinical narrative: Generalized varicella-like rash 2 weeks (14 days) after Varivax vaccine: Dermatology confirmation, symptomatic case/ onto pruritic/ out of about x 5 day till lesions crusted/ dried.
Age: 1.31
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received DTaP No. 4 on 7/19/04. That evening with redness and swelling at injection site. Seen in clinic on 7/21/04: now somewhat improved. Symptomatic care with Benadryl and Hydrocortisone.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Alopecia, Cellulitis, Condition aggravated, Cyst, Erythema
Clinical narrative: 6/6/03- anthrax #1 6/20/03- noticed a "lump" developing behind right ear 6/18/03- I&D was performed on the lesion (measuring 4cm according to the medical documentation) and the patient was given a dx of folliculitis 7/2/03- anthrax #2- noticed multiple small lesions developing on his head.  No systemic complaints.  8/22/03- anthrax #3 ? date- anthrax #4 ? date- anthrax #5 Above small lesions worsened ("bigger and more painful")  6/17/04- seen by healthcare practitioners- dx of having "pilar cysts"- given derm referral  7/28/04- seen by derm- given dx of "dissecting scalp cellulites" and was given Doxycycline.  8/16/04- seen by his Case Manager- states has about "ten to eleven lumps" on his head- he has been "popping" the lesions to "try to make them go away."-   Ten subcutaneous nodules present on scalp- pink colored- each measuring from 5mm to 2cm- no bleeding or discharge noted from lesions- lesions firm, tender, round, symmetrical and non mobile- no deviation of temperature noted- estimated depth 2mm to 5mm- lesions disseminated- localized only on scalp- multiple patches of alopecia noted  Has f/u with dermatology
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Folliculitis, Similar reaction on previous exposure to drug, Skin nodule, Tenderness
Clinical narrative: 6/6/03- anthrax #1 6/20/03- noticed a "lump" developing behind right ear 6/18/03- I&D was performed on the lesion (measuring 4cm according to the medical documentation) and the patient was given a dx of folliculitis 7/2/03- anthrax #2- noticed multiple small lesions developing on his head.  No systemic complaints.  8/22/03- anthrax #3 ? date- anthrax #4 ? date- anthrax #5 Above small lesions worsened ("bigger and more painful")  6/17/04- seen by healthcare practitioners- dx of having "pilar cysts"- given derm referral  7/28/04- seen by derm- given dx of "dissecting scalp cellulites" and was given Doxycycline.  8/16/04- seen by his Case Manager- states has about "ten to eleven lumps" on his head- he has been "popping" the lesions to "try to make them go away."-   Ten subcutaneous nodules present on scalp- pink colored- each measuring from 5mm to 2cm- no bleeding or discharge noted from lesions- lesions firm, tender, round, symmetrical and non mobile- no deviation of temperature noted- estimated depth 2mm to 5mm- lesions disseminated- localized only on scalp- multiple patches of alopecia noted  Has f/u with dermatology
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: There is local itching and irritation where the shot was given as well as redness the size of a silver dollar.
Age: 4.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Skin ulcer, Viral infection
Clinical narrative: Developed approx 60 itchy classic varicella lesions.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Developed classic varicella infection
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Medication error, Unintended pregnancy
Clinical narrative: Patient reported to the clinic to receive her 5th Anthrax vaccine that was due in a series of 6 vaccines. The vaccine was administered after verifying that she was not allergic and had not previously had adverse reactions to vaccines or immunizations. Pregnancy was not verified beforehand. A Qualitative HCG test was ordered afterwards and the result was positive for pregnancy. The patient's physician was notified at that time. She was seen by the doctor who counseled her about the pregnancy and advised that she would be referred offbase to begin her Obstetrical care. There has been no adverse reaction reported at this time.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Child examined by nurse.  Redness to abdomen and back, red raised rash with hives noted.   Was sent to primary care physician.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Coronary artery atherosclerosis, Coronary artery occlusion, Hypertrophy, Myocardial infarction
Clinical narrative: While exercising, suddenly collapsed and found without pulse. CPR initiated. Resuscitation attempts unsuccessful. "Long history of hypercholesterolemia and hypertension for which taking medication." Had prior episodes of chest pain related to exercise. Autopsy revealed severe 3-vessel coronary occlusion, remote healed myocardial infarct, left ventricular hypertrophy. No myocarditis noted. "Died of arteriosclerotic coronary vascular disease." Will fax autopsy report.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Pulse absent, Syncope
Clinical narrative: While exercising, suddenly collapsed and found without pulse. CPR initiated. Resuscitation attempts unsuccessful. "Long history of hypercholesterolemia and hypertension for which taking medication." Had prior episodes of chest pain related to exercise. Autopsy revealed severe 3-vessel coronary occlusion, remote healed myocardial infarct, left ventricular hypertrophy. No myocarditis noted. "Died of arteriosclerotic coronary vascular disease." Will fax autopsy report.
Age: 52.0
Sex: F
Vaccine: MMR, MUR, MMR
Symptoms: Anorexia, Arthralgia, Chills, Fatigue, Heart rate increased
Clinical narrative: After receiving vaccine 3/08/04, later in the afternoon and evening I started to have chills and fever and flu like symptoms with aching all over but worse in my upper extremities.  This lasted two weeks.  The 3rd and 4th week the pain and aching was only in my upper arms and elbows.  The pain was severe.  Being a transcriptionist I was unable to do my job.  My bicep muscles ached, burned and hurt terribly with any exertion.  After about another week, the elbows were much better but I have continued to this day with bicep pain, fatigue, muscle spasm.  I have seen an internist, two pain physicians.  All other illnesses have been ruled out with lab tests, EMG and nerve conduction studies.  I have been treated with Vioxx, Darvocet, Ultram.  Ultram seems to take the edge off the pain but does not relieve completely.  I am unable to lift my grandchildren, open heavy doors, pull on anything and the pain is in my biceps and with use of my arms it is difficult to open drinks, lift grocery bags, etc.  My life has changed completely.  I was on no medication when the vaccine was given.  I have always been active.  As a transcriptionist I was able to type 2200 lines per day.  Just typing this form fatigues my arms and causes muscle spasms in my biceps only. I tried working on a graduated basis from 4 hours to 8 hours.  The pain was extreme and I took extra breaks.  After two months of not seeing my grandchildren, 1 year old and 3 years old, I spent time with them.  I was unable to lift or play with them without extreme pain and afterwards had really bad muscle spasms.  This has continued to this date and I am exhausted.  My workers' compensation was stopped two weeks ago because the pain physicians wording was "cannot say for sure that the vaccine did or did not cause this problem."  I was perfectly healthy and able to do anything I wanted.  I am divorced, live alone and take care of everything.  That is almost impossible now without so much pain.  I was required to have this vaccine to keep the job.  The manufacturer of this vaccine was Merck.