chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Dermatitis contact, Rash
Clinical narrative: Administered MMR and client broke out in a rash 3 - 4 days after. She went to the ER and was told she had contact dermatitis.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Syncope
Clinical narrative: The pt experienced a syncopal episode 5 minutes following vax which lasted 15 seconds. The pt recovered fully following 10 minutes of observation.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: This employee had an outbreak of rash on her trunk, back, bilateral arms, and groin area 12 days after injection. Sent to the physician for evaluation.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Screaming
Clinical narrative: An LPN called the mother of this patient on 02/21/01 to remind her of her son's immunizations. The mother stated that her son had "cried for 3 hours non-stop" later that day. The mother reported that she had to take her son to see his pediatrician on 12/21/00 and was directed to give Ibuprofen and take only D.T. in the future.
Age: 20.0
Sex: M
Vaccine: MEN
Symptoms: Pain, Rash pustular
Clinical narrative: 2 hours after receiving Menincoccal mening vaccine patient experienced pain in the left axilla. A few hours later a few bumps noted. The next day bumps were pustules. A Z-pak was given, avoid deodorant, use antibacterial soap
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: This client received Hepatitis B # 3and then went on a hike where she started breaking out in hives at the injection site, and it started spreading all over her body. The client sat in a hot tub that evening and more hives occurred. Breathing was not compromised and she did not seek medical attention. She did start taking over the counter Benadryl.
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Dizziness, Headache, Pruritus, Pyrexia, Vision blurred
Clinical narrative: Vasomotor response, then complains of dizziness, blurred vision, pounding headache in the back of the head then moved to the front of his head, forehead area. Here 1 1/2 hours when leaving complained of itching all over. Had a fever over the weekend and a headache. Much better.
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site infection, Injection site pain
Clinical narrative: On 4022/01 phone call from a school nurse. Child complained of redness and soreness at injection site, left deltoid, temperature of 99 (oral). Shot given Friday, 04/20/01, soreness started 04/21/01, mother applied cool compresses. Encouraged mom to take the child to PMD. On 04/25/01, PMD diagnosed infection at the injection site from the child scratching. RX: Neosporin and warm compresses. Site much improved as per mother, no fever.
Age: 22.0
Sex: M
Vaccine: RAB, UNK
Symptoms: Abdominal distension, Diarrhoea, Dizziness, Malaise, Nausea
Clinical narrative: One week after 3rd Imovax, the patient had dizziness, fever, nausea, diarrhea, bloating, and malaise for 4 days.
Age: 22.0
Sex: M
Vaccine: RAB, UNK
Symptoms: Pyrexia
Clinical narrative: One week after 3rd Imovax, the patient had dizziness, fever, nausea, diarrhea, bloating, and malaise for 4 days.
Age: 40.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: This patient was given Pneumococcal vaccine on 03/12/01, later that evening he complained of pain, and redness at the site of injection. The pain was severe. Missing vaccine information not available.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: This patient had a fever of 102 - 103, arm was swollen and sore. The sickness lasted 2 days.
Age: 18.0
Sex: M
Vaccine: TYP, YF, TYP, YF
Symptoms: Chest pain, Dyspnoea, Hypersensitivity, Nausea, Pain
Clinical narrative: It was reported that an 18 year old patient received a Typhim VI and a Yellow Fever vaccination on 04/15/01 in the morning. That evening the patient complained of left arm pain, left chest pain, nausea, and shortness of breath. Evaluated in the ER on 03/15/01 and released. The patient was sent back to the ER on 03/16/01 due to continued symptoms. Normal examination and lab work and resolution of symptoms after ER evaluation. F/U from mail follow up correspondence rec'd on 6/26/01, it was stated, reviewed, no additional information at this time.
Age: 18.0
Sex: M
Vaccine: TYP, YF, TYP, YF
Symptoms: Respiratory distress
Clinical narrative: It was reported that an 18 year old patient received a Typhim VI and a Yellow Fever vaccination on 04/15/01 in the morning. That evening the patient complained of left arm pain, left chest pain, nausea, and shortness of breath. Evaluated in the ER on 03/15/01 and released. The patient was sent back to the ER on 03/16/01 due to continued symptoms. Normal examination and lab work and resolution of symptoms after ER evaluation. F/U from mail follow up correspondence rec'd on 6/26/01, it was stated, reviewed, no additional information at this time.
Age: 18.0
Sex: M
Vaccine: TYP, YF, TYP, YF
Symptoms: Chest pain, Dyspnoea, Nausea, Pain, Respiratory distress
Clinical narrative: It was reported that an 18 year old patient received a Typhim VI and a Yellow Fever vaccination on 04/15/01 in the morning. That evening the patient complained of left arm pain, left chest pain, nausea, and shortness of breath. Evaluated in the ER on 03/15/01 and released. The patient was sent back to the ER on 03/16/01 due to continued symptoms. Normal examination and lab work and resolution of symptoms after ER evaluation. F/U from mail follow up correspondence rec'd on 6/26/01, it was stated, reviewed, no additional information at this time.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Accidental overdose, Fatigue, Injection site pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: A 37 year old female was hospitalized on 04/27/01 for neck stiffness, myalgia, nausea, and tiredness. She had received an accidental overdose of RabAvert for post-exposure prophylaxis. The patient received post-exposure prophylaxis because she was bitten on the hand by a skunk (she raises skunks). On 04/27/01, the patient received 5 cc of RabAvert (lot #277011) instead of human rabies immune globulin (HRIG); 1 ml was given subcutaneously in each of the 2 fingers that were bitten, and 3 ml was given intramuscularly in the deltoid region. The patient was exposed to rabies 2 years ago, but never received post-exposure immunization. The patient's physician stated that the 5 vials of RabAvert, which were obtained from the Texas Dept Of Health, were held together with a single rubber band. He believed that this may have confused the nurse who administered simultaneously, and thereby resulting in overdose. The patient developed myalgia, nausea, neck stiffness, and tiredness following the injections on 04/27/01. She also had a sore deltoid muscle at injection site. She was hospitalized overnight for observation and was discharged from the hospital on 04/28/01. As of 04/30/01, her symptoms had improved considerably. After consultation with the Texas Dept of Health, the physician elected to continue the patient's treatment course with RabAvert. She received 1 ml intramuscular injections on 04/30/01 and on 05/04/01. The patient was then transferred to another physician for care, and the reporting physician expects that the patient will complete the course of RabAvert.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Nausea
Clinical narrative: A 37 year old female was hospitalized on 04/27/01 for neck stiffness, myalgia, nausea, and tiredness. She had received an accidental overdose of RabAvert for post-exposure prophylaxis. The patient received post-exposure prophylaxis because she was bitten on the hand by a skunk (she raises skunks). On 04/27/01, the patient received 5 cc of RabAvert (lot #277011) instead of human rabies immune globulin (HRIG); 1 ml was given subcutaneously in each of the 2 fingers that were bitten, and 3 ml was given intramuscularly in the deltoid region. The patient was exposed to rabies 2 years ago, but never received post-exposure immunization. The patient's physician stated that the 5 vials of RabAvert, which were obtained from the Texas Dept Of Health, were held together with a single rubber band. He believed that this may have confused the nurse who administered simultaneously, and thereby resulting in overdose. The patient developed myalgia, nausea, neck stiffness, and tiredness following the injections on 04/27/01. She also had a sore deltoid muscle at injection site. She was hospitalized overnight for observation and was discharged from the hospital on 04/28/01. As of 04/30/01, her symptoms had improved considerably. After consultation with the Texas Dept of Health, the physician elected to continue the patient's treatment course with RabAvert. She received 1 ml intramuscular injections on 04/30/01 and on 05/04/01. The patient was then transferred to another physician for care, and the reporting physician expects that the patient will complete the course of RabAvert.
Age: 17.0
Sex: M
Vaccine: HEPA, IPV, TYP
Symptoms: Diarrhoea, Dizziness, Ear disorder, Eye movement disorder, Fall
Clinical narrative: Information has been received from a health care professional concerning a 17 year old male who on 12/12/00 was vaccinated IM with one dose of Hepatitis A virus vaccine inactivated. Concomitant therapy on  12/12/00 included a first dose IM of Typhoid VI polysaccharide vaccine (Typhim VI) and a sixth dose of poliovirus vaccine (IPOL). On 01/04/01, the patient was vaccinated IM with a 2nd dose of Typhoid VI polysaccharide vaccine (Typhim VI) (lot #R0384). It was reported that a few days before 01/19/01, the patient had complained to his mom about spasms in his right hand. On 01/19/01, after going to a high school play, the patient was driving home and had such a severe spasm in his right hand and arm that he was unable to drive or steer the car and went off the road into a ditch. The patient sustained no injuries from the accident. ON 03/05/01, the patient started taking malaria pills. Then on 03/12/01, he took two pills while in another country. While there, the patient continued to have spasms on the right side of his body, on of which was so severe, he fell to the ground with his eyes rolled back, but was able to hear those around him and could respond verbally but was unable to move. When the spasm was over he could move again. The patient  was taken to his primary care physician when he returned. At that time he was taken off his malaria medication. The patient continues to have increasing dizziness, which is sometimes accompanied with headaches and neck stiffness. The patient describes the dizziness as feeling like he is walking during an earthquake. The patient has been to a chiropractor more than once after 01/19/01. He has also experienced high blood pressure, which fluctuates between high and normal. Besides the dizziness, he complained of blurred vision. The patient has an appointment with an eye specialist on 05/02/01. He has not had any cold, sinus infection, fever, nausea, or vomiting. It was reported that he has had a "nervous stomach" and has bouts of diarrhea frequently. He has been checked for bowel problems with no specific bacteria or viral infections found. He was given "Meclovir" to treat the dizziness and possible middle ear infection. It was noted that the patient has had no spasms since returning from the other country. Additionally, it was noted that the patient has had an appointment regarding his blurred vision. There was no MRI or neuro testing done for the dizziness and spasms. The patient's experiences were determined to be Other Medical Events. No further info is available. Follow-up info from a health professional reported that the pt had an eye examination which was normal. He was seen by a neurologist who said the dizziness would disappear. As of 10/01/2001 the dizziness occurred once a month. It was noted thatt he pt had a second dose of hep A virus vaccine inactivated on 04/19/2001 with no problems. Additiomally, it was indicated that the nurse gave the second dose too early so the pt received a third dose on 10/01/2001 without any problems. The pt recovered in March 2001.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Convulsion, Eye movement disorder, Feeling abnormal, Heart rate increased, Hypotonia
Clinical narrative: This patient complained about arms hurting and getting hot. He then had multiple episodes of vomiting. The patient got very pale with staring, and his heart rate increased. He then became limp and lifeless and eyes rolled back. This lasted for about two minutes. While hurrying to the ER, the patient went into a seizure and the mother even thought he had died.  The ER doctor said it was probably a reaction the the shots.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site warmth, Leukocytosis, Pain, Pallor, Staring
Clinical narrative: This patient complained about arms hurting and getting hot. He then had multiple episodes of vomiting. The patient got very pale with staring, and his heart rate increased. He then became limp and lifeless and eyes rolled back. This lasted for about two minutes. While hurrying to the ER, the patient went into a seizure and the mother even thought he had died.  The ER doctor said it was probably a reaction the the shots.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Vomiting
Clinical narrative: This patient complained about arms hurting and getting hot. He then had multiple episodes of vomiting. The patient got very pale with staring, and his heart rate increased. He then became limp and lifeless and eyes rolled back. This lasted for about two minutes. While hurrying to the ER, the patient went into a seizure and the mother even thought he had died.  The ER doctor said it was probably a reaction the the shots.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Fibromyalgia, Hypoaesthesia, Myalgia, Pain
Clinical narrative: This patient had severe generalized fatigue, pain, numbness at many areas of her body; chronic muscle spasms, soft tissue swelling. Diagnosed with fibromyalgia / CFS. The 60 day follow-up states fibromyalgia and chronic fatigue. Per doc 214743, chronic muscle pain, fatigue, disabled, unable to move now for 2 years patient was able to work before. The follow up received on 6/13/01 states, "the pt basically has the same complaints she had last time she was in. Unfortunately, other than for the sleep study and neurologic evaluation by Dr, none of the tests that were ordered at hospital were actually performed. The pt still has chronic fatigue as well as numerous musculoskeletal type pain, most notably in the neck and back. She still has trouble swallowing from time to time, however, she does not wish to undergo work up for this at this time. She has not had fever or headaches. She claims there is some element of depression, although she feels this is probably due to the way she feels. Impression: fibromyalgia, history of thyroid nodule, dysphagia, diffuse back pain most notably affecting the C-spine secondary to fibromyalgia/? concomitant degenerative joint disease or other etiology, allergic rhinitis, status post ablation of accessory pathway for Parkinson-White syndrome, menorrhagia/anemia/stopped iron due to gastirc upset, hypotension on the past couple of visits. Endocrinologic evaluation was recommended to rule out adrenocortical insufficiency. Plan: previously recommende tests will once again be ordered. Encocrinologic evaluation is once again recommended. Check labs. Begin Desipramine 1/2 of 25mg tablet qhs for a week and then 25mg tablet qhs thereafter. Reevaluate in a few weeks or prn." Missing vaccine informaton not available. Follow up: patient states she is permanently disabled, unable to work.  Still with symptoms of severe fatigue, and generalized body pain and numbness, mostly on left side of her body.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Swelling
Clinical narrative: This patient had severe generalized fatigue, pain, numbness at many areas of her body; chronic muscle spasms, soft tissue swelling. Diagnosed with fibromyalgia / CFS. The 60 day follow-up states fibromyalgia and chronic fatigue. Per doc 214743, chronic muscle pain, fatigue, disabled, unable to move now for 2 years patient was able to work before. The follow up received on 6/13/01 states, "the pt basically has the same complaints she had last time she was in. Unfortunately, other than for the sleep study and neurologic evaluation by Dr, none of the tests that were ordered at hospital were actually performed. The pt still has chronic fatigue as well as numerous musculoskeletal type pain, most notably in the neck and back. She still has trouble swallowing from time to time, however, she does not wish to undergo work up for this at this time. She has not had fever or headaches. She claims there is some element of depression, although she feels this is probably due to the way she feels. Impression: fibromyalgia, history of thyroid nodule, dysphagia, diffuse back pain most notably affecting the C-spine secondary to fibromyalgia/? concomitant degenerative joint disease or other etiology, allergic rhinitis, status post ablation of accessory pathway for Parkinson-White syndrome, menorrhagia/anemia/stopped iron due to gastirc upset, hypotension on the past couple of visits. Endocrinologic evaluation was recommended to rule out adrenocortical insufficiency. Plan: previously recommende tests will once again be ordered. Encocrinologic evaluation is once again recommended. Check labs. Begin Desipramine 1/2 of 25mg tablet qhs for a week and then 25mg tablet qhs thereafter. Reevaluate in a few weeks or prn." Missing vaccine informaton not available. Follow up: patient states she is permanently disabled, unable to work.  Still with symptoms of severe fatigue, and generalized body pain and numbness, mostly on left side of her body.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Child was given DTAP, Comvax and Prevnar on 3/8/01 and within hours, child became febrile and irritable. Fever continued and was admitted for rule out of sepsis; LP; Blood cultures; and IV antibiotics X 3 days. All cultures were negative. Child recovered.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Decreased appetite, Erythema, Irritability, Pallor, Pyrexia
Clinical narrative: Child was given DTAP, Comvax and Prevnar on 3/8/01 and within hours, child became febrile and irritable. Fever continued and was admitted for rule out of sepsis; LP; Blood cultures; and IV antibiotics X 3 days. All cultures were negative. Child recovered.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Rash, Skin discolouration, Sleep disorder
Clinical narrative: Child was given DTAP, Comvax and Prevnar on 3/8/01 and within hours, child became febrile and irritable. Fever continued and was admitted for rule out of sepsis; LP; Blood cultures; and IV antibiotics X 3 days. All cultures were negative. Child recovered.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Constipation, Hypotonia, Laboratory test abnormal, Lethargy, Oral intake reduced
Clinical narrative: One week post vax, the pt developed constipation and poor feeding, lethargy and hypotonia, now resolved.
Age: 0.5
Sex: F
Vaccine: DTP, PNC
Symptoms: Photophobia, Pyrexia, Uveitis
Clinical narrative: The mother of a 6 month old female reported that her daughter received injections of Prevnar and DTP on 8/24/00. The pt had no pre-existing illnesses and was receiving no medications concomitantly. Eight days, post vax, on 9/1/00, the pt awoke from a nap and was unable to open her eyes initially. When she was able to open them, they were "so sensitive to light" that she could not go outdoors. She also had a fever of 104F. She was taken to an ER where meningitis was ruled out. On 9/4/00, she was admitted to a hospital because the symptoms had not resolved, and she was, subsequently, dx'd with bilateral uveitis. The pt was treated with prednisone which "helped". In March, 2001 (approximately), the pt's symptoms returned and she again began prednisone therapy, to which she was noted to be responding. Prednisone therapy continues.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt experienced swelling and redness of upper right arm which improved over a weeks time.
Age: 0.2
Sex: M
Vaccine: DTAP, HBPV, IPV, PNC
Symptoms: Purpura
Clinical narrative: Approximately six hours post vax, the pt had 15 - 20 small purpuric lesions on both lower legs. No other symptoms.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bacterial infection, Pyrexia, Rash papular
Clinical narrative: Pt developed a low grade fever one day post vax which resolved within 12 hours. Six days post vax the pt developed a red, papular rash that is spreading from face to the torso.
Age: 1.25
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt experienced some redness, swelling and warmth accompanied by tenderness to the left anterior thigh with mild cellulitis.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: The morning following vax, the pt developed a fever. The pt presented that afternoon to physician with a fever of 103. No abnormality noted. Pt also experienced loose stool.
Age: 0.25
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Petechiae, Thrombocytopenia, Thrombocytopenic purpura
Clinical narrative: Vaccine given 02/26/01; presented on 4/2/01 with petechial rash and platelet count 2,000. Dx'd with ITP by Labs and Bone marrow aspiration.
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Within 24 hours, post vax, developed fevers of 102F-105F. 30 hours, post vax, had a brief febrile seizure.
Age: 66.0
Sex: M
Vaccine: LYME
Symptoms: Asthenia, CSF test abnormal, Headache, Joint stiffness, Laboratory test abnormal
Clinical narrative: On 4/20/99, 5/12/99 and 5/12/00, the pt received his 1st, 2nd and 3rd doses of Lymerix vaccine. Nine months after the 3rd dose, on 3/10/01, the pt experienced headache, facial pain, general malaise, alternating stiff joints and photophobia. A spinal tap was performed. CSF, reportedly, contained elevated protein. An ELISA and Western Blot were "positive for 3 bands but not the same as for the vaccine". The pt was seen by his PCP and a neurologist. A 20 day course of doxycycline was started on 4/27/01. The reporter was not sure of the causality of the adverse events with regard to Lymerix. As of 5/10/01, the outcome of the adverse events was unresolved. The adverse events of 'headache' and 'stiff joints' do no meet serious criteria, but are being submitted as an expedited report by special FDA request per the 6/28/00 letter. Additional info was received from the vaccine provider, who is the vaccinee's primary care physician, on 08/03/2001. The physician reported that the vaccinee began to experience vertigo on 02/12/2001, this was described as "equibilrium off each AM." On 04/12/2001 the vertigo persisted and the vaccinee began to experience frontal headache and weakness. The physician discontinued terasosin therapy on 04/12/2001. The headache, vertigo, and weakness persisted. On 06/07/2001, triamtergne/hydrochlorothiaside therapy was discontinued, and the vaccinee's hypertention was treated with candesartan and hydrodhlorothiazide. The frontal headache, vertigo, and weakness resolved on 06/24/2001. The physician did not confirm the spouse's report of stiff joints, photophobia, or elevated CSF protein. The physician did not report findings of an ELISA or Wetern blot analysis. The physician indicated that the vertigo, frontal headache, and weakenss were of mild intensity and not related to LYMErix administration. The physician stated, "pt had no adverse reaction to vaccine administration." As of 08/03/2001, the vertigo, frontal headache, and weakenss had resolved. The outcomes of the stiff joints and photophobia were unknown, since these events were not confirmed by the physician.
Age: 66.0
Sex: M
Vaccine: LYME
Symptoms: Malaise, Photophobia, Vertigo
Clinical narrative: On 4/20/99, 5/12/99 and 5/12/00, the pt received his 1st, 2nd and 3rd doses of Lymerix vaccine. Nine months after the 3rd dose, on 3/10/01, the pt experienced headache, facial pain, general malaise, alternating stiff joints and photophobia. A spinal tap was performed. CSF, reportedly, contained elevated protein. An ELISA and Western Blot were "positive for 3 bands but not the same as for the vaccine". The pt was seen by his PCP and a neurologist. A 20 day course of doxycycline was started on 4/27/01. The reporter was not sure of the causality of the adverse events with regard to Lymerix. As of 5/10/01, the outcome of the adverse events was unresolved. The adverse events of 'headache' and 'stiff joints' do no meet serious criteria, but are being submitted as an expedited report by special FDA request per the 6/28/00 letter. Additional info was received from the vaccine provider, who is the vaccinee's primary care physician, on 08/03/2001. The physician reported that the vaccinee began to experience vertigo on 02/12/2001, this was described as "equibilrium off each AM." On 04/12/2001 the vertigo persisted and the vaccinee began to experience frontal headache and weakness. The physician discontinued terasosin therapy on 04/12/2001. The headache, vertigo, and weakness persisted. On 06/07/2001, triamtergne/hydrochlorothiaside therapy was discontinued, and the vaccinee's hypertention was treated with candesartan and hydrodhlorothiazide. The frontal headache, vertigo, and weakness resolved on 06/24/2001. The physician did not confirm the spouse's report of stiff joints, photophobia, or elevated CSF protein. The physician did not report findings of an ELISA or Wetern blot analysis. The physician indicated that the vertigo, frontal headache, and weakenss were of mild intensity and not related to LYMErix administration. The physician stated, "pt had no adverse reaction to vaccine administration." As of 08/03/2001, the vertigo, frontal headache, and weakenss had resolved. The outcomes of the stiff joints and photophobia were unknown, since these events were not confirmed by the physician.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction, Laboratory test abnormal
Clinical narrative: The 1st 3 doses of Anthrax in 1999 caused small / mild local reactions. During and after last 3 doses in 2000 noted worsening lt shoulder / scapular region pain and muscle spasm.  Follow up on 05/31/2001: "Patient partially recovered from adverse event.  lack of energy/constant tiredness, malaise, reduced concentration, short term memory loss."
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Rash erythematous
Clinical narrative: Post vax, pt had small red lumps on inner forearm (L) and 1 bump on (R) inner forearm. She complained of problem breathing, about 1 hour, post vax.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Abnormal behaviour, Diarrhoea, Pyrexia, Rash
Clinical narrative: Rash all over body, fever, diarrhea, behavioral changes, 7 to 12 days after vaccines was given. Pt was given Benadryl and D/C all other meds.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: This child developed edematous 4" x 5" area with discrete borders. The area was red, tender, and warm to touch. Some yellow discoloration noted within. The patient was placed on Cephalexin four times daily.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Rash
Clinical narrative: The mother states the pt broke out in rash 3-4 days post vax.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: The pt received the vaccines on 4/30/01/ and was presented on 5/2/01 with erythema 1 1/2 x 2 1/2 inch circular area just outside of the site of vaccine.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Feeling hot, Urticaria
Clinical narrative: The pt experienced a hive on the leg the size of a plum that was warm to the touch. The pt was treated with Keflex and Benadryl.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Irritability, Oral intake reduced, Pyrexia
Clinical narrative: This infant had a fever of 103 F, 50 - 100 chicken pox rash, refused to eat, and irritability.
Age: 1.0
Sex: M
Vaccine: HBHEPB, IPV, MMR, HBHEPB, IPV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Mother says that child ran fever of 102F and had a seizure at about 14:30. Mom had given Tylenol. Was taken to ER and was told that seizure was due to immunizations.
Age: 15.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain, Malaise
Clinical narrative: Pt felt ill and feverish for 1 day, post vax. Pt's arm was red and sore at the injection site about 2"-3". As of 5/9/01, is still sore and firm, but is improving. It is no longer red.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Urticaria
Clinical narrative: Red wheals on arms and chest, within 24 hours, post vax.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Asthenia, Erythema, Headache, Nausea, Oral intake reduced
Clinical narrative: Pt called on 5/9/01 to report persisting weakness and nausea. "Feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00. Awoke at 23:00 with severe headache all over "thought it was aneurysm" lasted hours, red chest rash for 2 1/2 days; nausea and debilitating feeling persists. Usually acting on treadmill for exercise. Has pushed to take walks past days to prepare for trip but no strength. Can't resume normal eating and exercises secondary to symptoms.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Rash
Clinical narrative: Pt called on 5/9/01 to report persisting weakness and nausea. "Feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00. Awoke at 23:00 with severe headache all over "thought it was aneurysm" lasted hours, red chest rash for 2 1/2 days; nausea and debilitating feeling persists. Usually acting on treadmill for exercise. Has pushed to take walks past days to prepare for trip but no strength. Can't resume normal eating and exercises secondary to symptoms.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Asthenia, Erythema, Fatigue, Headache, Nausea
Clinical narrative: Pt called on 5/9/01 to report persisting weakness and nausea. "Feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00. Awoke at 23:00 with severe headache all over "thought it was aneurysm" lasted hours, red chest rash for 2 1/2 days; nausea and debilitating feeling persists. Usually acting on treadmill for exercise. Has pushed to take walks past days to prepare for trip but no strength. Can't resume normal eating and exercises secondary to symptoms.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Oral intake reduced, Rash
Clinical narrative: Pt called on 5/9/01 to report persisting weakness and nausea. "Feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00. Awoke at 23:00 with severe headache all over "thought it was aneurysm" lasted hours, red chest rash for 2 1/2 days; nausea and debilitating feeling persists. Usually acting on treadmill for exercise. Has pushed to take walks past days to prepare for trip but no strength. Can't resume normal eating and exercises secondary to symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Skin discolouration
Clinical narrative: Right arm with 4" X 3" area of erythema, central area of duskiness and increased warmth and tenderness. Full ROM. Treated with Motrin for pain and Benadryl and warm compresses.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Local erythema and induration at injection site involving about 2/3 of right thigh, around DTAP injection. Treated on 4/26/01 by family NP with Augmentin. No fever or other systemic symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: The pt experienced an erythematous slightly indurated area measuring 9" x 6 1/2".
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site pain, Skin discolouration
Clinical narrative: This patient right deltoid area was pink, swollen, and slightly tender. The mother was instructed to apply ice, give Benadryl, and Tylenol for the pain, as directed on the bottle.
Age: 15.0
Sex: F
Vaccine: JEV, RAB, TYP
Symptoms: Eye oedema, Face oedema, Fatigue, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: The pt experienced fatigue, runny nose, sore throat and no temp. The pt also experienced swelling of the left eye with discoloration. The next day the pt experienced swelling under both eyes, lips slightly swollen, Treated with Benadryl.
Age: 15.0
Sex: F
Vaccine: JEV, RAB, TYP
Symptoms: Skin discolouration
Clinical narrative: The pt experienced fatigue, runny nose, sore throat and no temp. The pt also experienced swelling of the left eye with discoloration. The next day the pt experienced swelling under both eyes, lips slightly swollen, Treated with Benadryl.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Contusion, Diarrhoea, Dizziness, Rash, Vomiting
Clinical narrative: After Hepatitis B # 1, this patient had vomiting and diarrhea 1 week after the injection, and it lasted 1 - 2 days. Hepatitis B # 1 done on 04/05/01. Hepatitis B # 2, had on 05/05/01, the patient had vomiting, dizziness, was light headed, rash on the left arm, and a bruise on the right leg and left arm. Her sickness started 11 - 12 hours after the injection.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Urticaria
Clinical narrative: Noticed 1 hive0like appearance on infant's forehead 2 - 3 hours later. The mother breast feeding solely and says she didn't recall any changes in her diet.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Skin disorder
Clinical narrative: This child mother states that she had not noticed the reaction x 1 1/2 days after the shot, but the child states it was there by the next day. His right upper arm was red, very hot, with a lot of swelling. The mother also noticed white spots under skin where are was swollen. The mother applied cold cloths, ice packs, and gave Tylenol every 4 - 6 hours. The patient states his arm was sore. All of this lasted about 8 days. Today 05/10/01, the patient's arm was "perfect" per mom.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: This child mother states that she had not noticed the reaction x 1 1/2 days after the shot, but the child states it was there by the next day. His right upper arm was red, very hot, with a lot of swelling. The mother also noticed white spots under skin where are was swollen. The mother applied cold cloths, ice packs, and gave Tylenol every 4 - 6 hours. The patient states his arm was sore. All of this lasted about 8 days. Today 05/10/01, the patient's arm was "perfect" per mom.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR
Symptoms: Convulsion
Clinical narrative: A phone call from the Mother states the pt suffered a "seizure" at the day care provider that was described the pt as "flailing about" lasting 1 1/2 minutes. The pt was taken to the ER. No fever was reported and the pt was released.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Immediately, post vax, the MMR in left upper arm, a 2"-3" area around the injection site became red and inflammed. Child observed about 20 minutes in clinic with no visible signs of a systemic reaction. Mom was advised to watch site and if not improved or if worsens in the next 24 hours, to see MD.
Age: 1.7
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: This infant had a local reaction at the left deltoid site of DTaP # 4. She had swelling, redness, and itching that started on 05/09/01 at 1:00 PM. She was seen by a doctor on 05/09/01 at 5:00 PM. Not cellulitis. Home treatment with Benadryl PO and Ice to the site.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: This infant had redness on left upper arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: This child had a swollen, hot upper left arm, since the PM of the vaccines given. Instructed to apply cool compresses. The father stated the site "is better today", the patient denies pain.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Erythema, Infection
Clinical narrative: This patient was seen to have a classic Varicella compatible with history of onset 4 days ago; seen with hands red of lesions on the 4th day of illness 05/07/01, no new lesions then but expected.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Otitis media, Rash pruritic
Clinical narrative: This infant had a pruritic rash onset 1 week after vaccine administration. Had rash on 04/27/01 and bilateral otitis media. Started on Amoxicillin.
Age: 5.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Pyrexia
Clinical narrative: This child had a temperature of 102, and a headache less than 24 hours.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site warmth, Oedema
Clinical narrative: This child had an 8 cm firm, red, hot area at the site of injection. The thigh was very swollen and tight, with red streaks extending toward the knee. Recommended MD visit. No fever, no pain or soreness.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Nausea
Clinical narrative: 14 hours post vax. the pt experienced stomach pain with feeling like vomiting.
Age: 1.5
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Fatigue, Pyrexia, Vomiting
Clinical narrative: 10 hours after receiving shot she vomited 4 times and had a fever of 102.3. Temperature was back to normal within 24 - 48 hours. The mother states that there was no rash or respiratory involvement and no local reaction. The infant was alert and active but appeared tired for 24 - 48 hours.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Restlessness
Clinical narrative: This patient received DTaP / Hib on 05/09/01 in the AM. That night noted to be pulling at pant leg and restless. This AM noted a palm sized swelling, and dime sized area of erythema. On exam 10 cm area of swelling with 4 x 4 cm area of induration and erythema. Non tender. Warm. Recommended ice and PRN Tylenol.
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Pruritus, Pyrexia
Clinical narrative: Began 05/09/2001 with red spots and blisters, pruritic, temp of 99.8 (ear) (sibling had v-2 7/00 after Varivax 04/06/99).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: The pt experienced a local reaction, complained of pain, swelling, redness and itching. Treated with Benadryl.
Age: 15.0
Sex: M
Vaccine: HEP, TTOX
Symptoms: Dizziness, Injection site erythema, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Fever, chills light headed, red swollen hot area at inj site.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Anorexia, Dyspnoea, Erythema, Feeling hot, Flushing
Clinical narrative: The pt had a fever, first hot then cold, shaking, she had problems breathing. Her face was red (flushed) then pale and she would not eat. They symptoms lasted 2 days. The pt has had prior reactions.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pallor, Pyrexia, Similar reaction on previous exposure to drug, Tremor
Clinical narrative: The pt had a fever, first hot then cold, shaking, she had problems breathing. Her face was red (flushed) then pale and she would not eat. They symptoms lasted 2 days. The pt has had prior reactions.
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema
Clinical narrative: The pt called the clinic to report reddened area below injection site, no pain, localized itching.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Asthenia, Erythema, Headache, Nausea, Oral intake reduced
Clinical narrative: Pt called on 5/9/01 to report persisting weakness, nausea "feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00 AM. Awoke at 23:00 PM with severe headache all over "though aneurysm", lasted hours; red cheek rash for 2 1/2 days; nausea and debilitated feeling persists. Usually active on treadmill and do exercises. Has pushed to take walks in the past days to prepare for trip but no strength. Can't resume eating and exercises secondary to symptoms. Saw family doctor and treated with Compazine with no relief.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Rash
Clinical narrative: Pt called on 5/9/01 to report persisting weakness, nausea "feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00 AM. Awoke at 23:00 PM with severe headache all over "though aneurysm", lasted hours; red cheek rash for 2 1/2 days; nausea and debilitated feeling persists. Usually active on treadmill and do exercises. Has pushed to take walks in the past days to prepare for trip but no strength. Can't resume eating and exercises secondary to symptoms. Saw family doctor and treated with Compazine with no relief.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Asthenia, Erythema, Fatigue, Headache, Nausea
Clinical narrative: Pt called on 5/9/01 to report persisting weakness, nausea "feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00 AM. Awoke at 23:00 PM with severe headache all over "though aneurysm", lasted hours; red cheek rash for 2 1/2 days; nausea and debilitated feeling persists. Usually active on treadmill and do exercises. Has pushed to take walks in the past days to prepare for trip but no strength. Can't resume eating and exercises secondary to symptoms. Saw family doctor and treated with Compazine with no relief.
Age: 71.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Oral intake reduced, Rash
Clinical narrative: Pt called on 5/9/01 to report persisting weakness, nausea "feeling debilitated since Typhoid vaccine on 4/24/01 at 09:00 AM. Awoke at 23:00 PM with severe headache all over "though aneurysm", lasted hours; red cheek rash for 2 1/2 days; nausea and debilitated feeling persists. Usually active on treadmill and do exercises. Has pushed to take walks in the past days to prepare for trip but no strength. Can't resume eating and exercises secondary to symptoms. Saw family doctor and treated with Compazine with no relief.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Death within 24 hours. (According to death certificate, undetermined cause and manner of death). Autopsy states cause of death as undetermined. Infant was found in bassinet in prone position.
Age: 0.3
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Haemorrhage, Pulmonary congestion
Clinical narrative: This patient was seen for a well child check on 05/15/01. First office visit since birth. No previous immunizations. Received DTaP, IPV, HIB, Prevnar, and Hep B. The patient was found dead in the crib 05/16/01 in the AM. Autopsy shows congestion in lungs. A cause of death could not be determined. Petechial hemorrhages were found on several serosal surfaces raising the possibility of SIDS but suffocation by overlying cannot be excluded.
Age: 51.0
Sex: M
Vaccine: TD, DT
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Myalgia, Pain
Clinical narrative: This patient had extreme dizziness, light headedness, tightness in the chest, shortness of breath, aching muscles in his upper extremities, temp of 103.8. To the ER by ambulance. He was given Steroid tab and steroid prescription for 3 days. Chest x-ray & EKG.
Age: 51.0
Sex: M
Vaccine: TD, DT
Symptoms: Pyrexia
Clinical narrative: This patient had extreme dizziness, light headedness, tightness in the chest, shortness of breath, aching muscles in his upper extremities, temp of 103.8. To the ER by ambulance. He was given Steroid tab and steroid prescription for 3 days. Chest x-ray & EKG.
Age: 51.0
Sex: M
Vaccine: TD, DT
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Gait disturbance, Myalgia
Clinical narrative: This patient had extreme dizziness, light headedness, tightness in the chest, shortness of breath, aching muscles in his upper extremities, temp of 103.8. To the ER by ambulance. He was given Steroid tab and steroid prescription for 3 days. Chest x-ray & EKG.
Age: 1.25
Sex: F
Vaccine: DTP, HEP, HIBV, OPV
Symptoms: Heart rate increased, Listless, Pyrexia, Rash maculo-papular, Respiratory disorder
Clinical narrative: This is a 14 month old female who was in a state of good health until approx. 4 days ago. A week prior, the child had an MMR shot and had been started on Amoxicillin, at the time, for presumed otitis media. The pt had been on Amoxicillin when she developed a fever, 4 days ago. The pt was treated with Tylenol and she has had persistent fever off and on since then. This morning, mom noticed that she had a red rash over her face and subsequently, noted a rash on the rest of the body as well. The pt was taker to ER, where she was noted to be febrile and had a maculopapular generalized rash. There was no neck stiffness and the pt was hemo-dynamically stable. Oxygen sats were 92% in 1 liter nasal cannula O2. Temperature was 104.2F. The pt was given a dose of Cefotaxime IV and transferred to another hospital for further management. The child has been listless all day. HR-144; Resp-26. On exam, throat appears slightly congested. Chest has occasional respiratory rhonchi. The dx is most consistent with a viral exanthem. Will observe closely in the ICU, IV Cefotaxime (pending culture results), symptomatic management of bronchospasm and coughing and if the child remains listless over the next several hours, will consider doing a lumbar puncture.
Age: 1.25
Sex: F
Vaccine: DTP, HEP, HIBV, OPV
Symptoms: Respiratory rate increased, Viral infection
Clinical narrative: This is a 14 month old female who was in a state of good health until approx. 4 days ago. A week prior, the child had an MMR shot and had been started on Amoxicillin, at the time, for presumed otitis media. The pt had been on Amoxicillin when she developed a fever, 4 days ago. The pt was treated with Tylenol and she has had persistent fever off and on since then. This morning, mom noticed that she had a red rash over her face and subsequently, noted a rash on the rest of the body as well. The pt was taker to ER, where she was noted to be febrile and had a maculopapular generalized rash. There was no neck stiffness and the pt was hemo-dynamically stable. Oxygen sats were 92% in 1 liter nasal cannula O2. Temperature was 104.2F. The pt was given a dose of Cefotaxime IV and transferred to another hospital for further management. The child has been listless all day. HR-144; Resp-26. On exam, throat appears slightly congested. Chest has occasional respiratory rhonchi. The dx is most consistent with a viral exanthem. Will observe closely in the ICU, IV Cefotaxime (pending culture results), symptomatic management of bronchospasm and coughing and if the child remains listless over the next several hours, will consider doing a lumbar puncture.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Severe local reaction, from should to elbows. Mother said, it was swollen, red and hot to touch on left arm. Hospitalized overnight per doctor.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: This infant had a single vaccine administered on 04/23/00 to the left thigh. The next morning the parents noticed a red area around the injection site, it got bigger, and redder through the day. On 04/25/01, 14 x 11 cm area of erythema and resolving indurations; the was afebrile and happy.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: This child had a fever of 102 F, and vomiting within 24 hours.  Follow up call on 05/11/01, 3 days after immunization "all better".
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: This infant had a papular rash on his face, trunk, and extremities.