chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Antinuclear antibody positive, Arthralgia, Arthritis, Fatigue, Influenza like illness
Clinical narrative: Achy, flu-like symptoms, low grade fever, tired. Report 2001017447-1 describes reactive arthritis in a pt who rec'd Lyme disease vaccine recombinant OsPA (Lymerix). This report was rec'd from the pt and has not been verified by a physician or other HCP. The pt had no relevant medical history. Specifically, he had no history of drug allergies, gout, psoriasis, Crohn's disease, or Lyme disease. He had no family history of RA, or lupus erythematous. There were no concurrent medications. The pt rec'd his 1st injection of Lymerix on 4/17/00. He rec'd his 2nd injection of Lymerix approximately 1 mo later, in 5/00. He had no adverse experience following receipt of these 2 injections. He rec'd his 3rd injection of Lymerix on 4/3/01. 2 days later, on 4/5/01, he experienced flu like symptoms, became achy all over, developed a mild low grade fever., and felt tired. These events resolved after 3 days. On 4/9/01, 6 days post immunization, he began to experience joint pain in both ankles. The joints were not red, swollen, or warm. During the first week of 5/01, he was seen by his podiatrist, who noted edema in the second toe on the L foot. The pt was given a non specific diagnosis. Th podiatrist prescribed a 14 day course of celecoxib (Celebrex), which was noneffective. The pt ret'd to the podiatrist approximately 2 wks later. The podiatrist referred the pt to his primary physician. The pt was seen by his primary HCP on 5/16/01. The physician prescribed doxycyceline 100mg daily which was noneffective, The pt ret'd to his primary physician a few days later because the ankle joint pain persisted. He had also begun to experience hand pain, wrist pain, and pain in both hips. He was referred to a rheumatologist. The pt was seen by the rheumatologist on 5/22/01. Physical exam was performed. No joints were noted to be red, warm or swollen. No joint fluid was obtained. No lab evaluations were performed. The rheumatologist increased the doxycyceline dosage to 100mg twice daily, and prescribed ibuprofen 800mg 4 times daily. The doxycycline was noneffective the ibuprofen provided slight improvement. The pt was then seen by an infectious disease specialist. Unspecified test for Lyme disease were again reportedly negative. The infectious disease specialist discontinued doxycycline therapy and referred the pt to his primary physician. At the end of 5/01, the pt was seen by his primary physician and by an internist. A diagnosis of reactive arthritis was reportedly made and ibuprofen therapy was continued. The pt was seen by his primary physician the week of 7/2/01, no change in dx or tx. On 7/13/01 the pt rep'd he could no longer hike or lift weights because of reactive arthritis. He rep'd that he could no longer work a P/T white water raft guide. Therefore, the pt is considered disabled.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: Achy, flu-like symptoms, low grade fever, tired. Report 2001017447-1 describes reactive arthritis in a pt who rec'd Lyme disease vaccine recombinant OsPA (Lymerix). This report was rec'd from the pt and has not been verified by a physician or other HCP. The pt had no relevant medical history. Specifically, he had no history of drug allergies, gout, psoriasis, Crohn's disease, or Lyme disease. He had no family history of RA, or lupus erythematous. There were no concurrent medications. The pt rec'd his 1st injection of Lymerix on 4/17/00. He rec'd his 2nd injection of Lymerix approximately 1 mo later, in 5/00. He had no adverse experience following receipt of these 2 injections. He rec'd his 3rd injection of Lymerix on 4/3/01. 2 days later, on 4/5/01, he experienced flu like symptoms, became achy all over, developed a mild low grade fever., and felt tired. These events resolved after 3 days. On 4/9/01, 6 days post immunization, he began to experience joint pain in both ankles. The joints were not red, swollen, or warm. During the first week of 5/01, he was seen by his podiatrist, who noted edema in the second toe on the L foot. The pt was given a non specific diagnosis. Th podiatrist prescribed a 14 day course of celecoxib (Celebrex), which was noneffective. The pt ret'd to the podiatrist approximately 2 wks later. The podiatrist referred the pt to his primary physician. The pt was seen by his primary HCP on 5/16/01. The physician prescribed doxycyceline 100mg daily which was noneffective, The pt ret'd to his primary physician a few days later because the ankle joint pain persisted. He had also begun to experience hand pain, wrist pain, and pain in both hips. He was referred to a rheumatologist. The pt was seen by the rheumatologist on 5/22/01. Physical exam was performed. No joints were noted to be red, warm or swollen. No joint fluid was obtained. No lab evaluations were performed. The rheumatologist increased the doxycyceline dosage to 100mg twice daily, and prescribed ibuprofen 800mg 4 times daily. The doxycycline was noneffective the ibuprofen provided slight improvement. The pt was then seen by an infectious disease specialist. Unspecified test for Lyme disease were again reportedly negative. The infectious disease specialist discontinued doxycycline therapy and referred the pt to his primary physician. At the end of 5/01, the pt was seen by his primary physician and by an internist. A diagnosis of reactive arthritis was reportedly made and ibuprofen therapy was continued. The pt was seen by his primary physician the week of 7/2/01, no change in dx or tx. On 7/13/01 the pt rep'd he could no longer hike or lift weights because of reactive arthritis. He rep'd that he could no longer work a P/T white water raft guide. Therefore, the pt is considered disabled.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Drug level increased, Neurodevelopmental disorder, Neurological symptom
Clinical narrative: An attorney alleges that a 2 month old male, now 7 years of age, received an injection of DTAP vaccine on 3/30/94, as part of routine childhood immunizations. In 1999, the reporter alleges that the child was dx'd with mercury poisoning. It is alleged that as a result of the mercury poisoning, the child developed permanent neurological injuries, resulting in "his regression from a normally developing child into a severely impaired individual". The reporter attributes the events to the presence of Thimerosal. No further information was available at the date of this report.
Age: 36.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain, Fatigue, Haemorrhage, Hypoaesthesia, Influenza like illness
Clinical narrative: Information has been received from a male consumer with no known drug allergies and no past medical history who in 3/00, was vaccinated with MMRII. In 4/00, the pt was vaccinated with a 2nd dose of MMRII. There were no concomitant medications or current illnesses. In approx. 4/00, the pt experienced flu symptoms and pain in his jaw. It was noted that the pt recovered from the flu symptoms and pain in his jaw. Subsequently, the pt experienced fatigue, numbness in his limbs and internal bleeding. It was reported that "there is a long list of things" the pt had experience. Unspecified medical attention was sought. Upon internal review, internal bleeding was considered to be an "Other Important Medical Event". Additional information has been requested. Also stated abdominal pain, rectal bleeding, facial numbness and tingling, and muscle pain throughout his body.
Age: 36.0
Sex: M
Vaccine: MMR
Symptoms: Myalgia, Pain in jaw, Paraesthesia, Rectal haemorrhage
Clinical narrative: Information has been received from a male consumer with no known drug allergies and no past medical history who in 3/00, was vaccinated with MMRII. In 4/00, the pt was vaccinated with a 2nd dose of MMRII. There were no concomitant medications or current illnesses. In approx. 4/00, the pt experienced flu symptoms and pain in his jaw. It was noted that the pt recovered from the flu symptoms and pain in his jaw. Subsequently, the pt experienced fatigue, numbness in his limbs and internal bleeding. It was reported that "there is a long list of things" the pt had experience. Unspecified medical attention was sought. Upon internal review, internal bleeding was considered to be an "Other Important Medical Event". Additional information has been requested. Also stated abdominal pain, rectal bleeding, facial numbness and tingling, and muscle pain throughout his body.
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Bacterial infection, Cellulitis, Lymph node pain, Lymphadenopathy
Clinical narrative: Information has been received from a physician concerning a 36 year old pt with no known drug allergies, mild asthma and a history of a traumatic splenectomy at age 16 years who on 6/29/01 was vaccinated in the right arm with pneumococcal vaccine 23 polyvalent. It was noted that the pt had received pneumococcal vaccine 23 polyvalent in the past, with no problems. On approx. 7/1/01, the pt experienced severe pain and swelling of the right axillary lymph nodes and red streaks going down the right arm. The pt went to the hospital and was treated with IV and oral antibiotics. The pt was never admitted to the hospital and was released to home on oral antibiotics. It was reported that, based on clinical findings he presented within the ER, the pt was dx'd with a streptococcal infection. No cultures were performed. The pt is recovering and is finishing his course of oral antibiotics. The reported expressed a concern with the lot 1197K. Upon internal review the pt's experience was considered to be an "Other Important Medical Event".
Age: 3.0
Sex: U
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Information has been received from a health professional concerning a 3 year old pt who was vaccinated with a 2nd dose of Hep-B vaccine recombinant (yeast), a 2nd dose of Haemophilus B conjugate vaccine, Prevnar, DPT and poliovirus vaccine. Subsequently, a few hours post vax, the pt experienced a seizure. The pt's outcome was reported as unknown. The pt's seizure was considered to be an "Other Important Medical Event" by the reporter. No further information is available.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Acute lymphocytic leukaemia, Antinuclear antibody positive, Infection
Clinical narrative: Several months post vax, pt developed acute lymphoblastic leukemia. The pt has been on maintenance chemotherapy since the diagnosis. In recent weeks, pt has been exposed to varicella. On approximately 6/26/01, pt developed chickenpox and was hospitalized. MD noted the child's rash was very atypical and the lesions were not "umbilicated." He reported that the case was very mild. The child had less than 200 lesions and no fever or other signs or symptoms. The pt was treated with antibiotics. The question the MD had was "Is this child a primary vaccine failure, or did he have some waning of his immunity due to his chemotherapy?" The outcome of the pt was not reported. Upon internal review, ALL was considered to be an other important medical event. Addtl info has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Intussusception, Pyrexia, Screaming
Clinical narrative: Unconsolable crying for several hours, post vax. Pt had a low-grade temperature. Pt admitted to the hospital for 24 hours observation. Diagnosed with intussusception
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Unconsolable crying for several hours, post vax. Pt had a low-grade temperature. Pt admitted to the hospital for 24 hours observation. Diagnosed with intussusception
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Corneal scar, Macular degeneration, Retinal disorder, Visual disturbance
Clinical narrative: I felt sick, four days and then I had no central vision in my left eye. All tests resulted in me not having CSR, MS, genetic tendencies and a conclusion reached that the retina was blistered and now it is concave, scar tissue (too extensive for return of sight).
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Coma, Hypotonia, Respiratory depression
Clinical narrative: Pt found hypotonic/unresponsive with poor respiratory effort approximately 5 hrs post vax. Pt admitted to the hospital for r/o sepsis. Discharged from hospital after cultures negative for 48 hrs.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Coma, Diarrhoea, Hypotonia, Respiratory rate decreased, Tachypnoea
Clinical narrative: Pt found hypotonic/unresponsive with poor respiratory effort approximately 5 hrs post vax. Pt admitted to the hospital for r/o sepsis. Discharged from hospital after cultures negative for 48 hrs.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Pt found hypotonic/unresponsive with poor respiratory effort approximately 5 hrs post vax. Pt admitted to the hospital for r/o sepsis. Discharged from hospital after cultures negative for 48 hrs.
Age: 2.8
Sex: F
Vaccine: PNC, PNC
Symptoms: Aggression, Aphasia, Asthenia, Convulsion, Hypotonia
Clinical narrative: Biting episodes and screaming on 4/18/01, for hours after. Had generalized convulsion on 4/27/01 X approx. for a few minutes. As per mom, after the episode of convulsion, the child became limp and decreased speaking. Follow-up by neurology clinic for decreased speaking and weakness.
Age: 2.8
Sex: F
Vaccine: PNC, PNC
Symptoms: Screaming
Clinical narrative: Biting episodes and screaming on 4/18/01, for hours after. Had generalized convulsion on 4/27/01 X approx. for a few minutes. As per mom, after the episode of convulsion, the child became limp and decreased speaking. Follow-up by neurology clinic for decreased speaking and weakness.
Age: 72.0
Sex: M
Vaccine: LYME
Symptoms: Shoulder pain
Clinical narrative: Pt developed pain in left shoulder and, to a lesser extent, in right shoulder that continues as of report.
Age: 1.08
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pruritus, Skin ulcer
Clinical narrative: The patient developed numerous small itchy lesions all over. The lesion on the left thigh at the site of the injection has a 3 cm erythema and induration. Per RN, lesion occurred at site of varivax with other varicella appearing lesions on child's body; not a reaction to Prevnar.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PPV, VARCEL
Symptoms: Agitation, Nausea, Otitis media, Pyrexia, Rash
Clinical narrative: The patient experienced nausea, fever, vomiting, runny nose, skin rash, and 10 spots with varicella appearance when seen in the office on 07/17/2001. The patient returned for an office visit on 07/18/2001 with crying and otitis media. There are no new skin rash spots.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, PPV, VARCEL
Symptoms: Rash maculo-papular, Rhinorrhoea, Vomiting
Clinical narrative: The patient experienced nausea, fever, vomiting, runny nose, skin rash, and 10 spots with varicella appearance when seen in the office on 07/17/2001. The patient returned for an office visit on 07/18/2001 with crying and otitis media. There are no new skin rash spots.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Irritability, Screaming
Clinical narrative: On 07/17/2001 at approximately 1:30pm the patient became very fussy from then until 5:00pm, when he started with a high pitched cry. He was unconsolable for 5 hours and remained afebrile.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: The patient developed 20-30 vessicles post-vax.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: The patient developed 20-30 vessicles.
Age: 0.08
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: Post-vax the patient developed 20-30 vessicle looking spots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: Post-vax the patient developed 20-30 vessicles.
Age: 1.25
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: The patient experienced a fever of 103.2F at night for 3 nights. The patient had no other symptoms.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Patient experienced crying inconsolably for 9 hours.
Age: 1.2
Sex: M
Vaccine: HIBV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Post-vax the patient experienced a fever ranging from 101 - 102.8F and a rash.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Irritability, Rash papular
Clinical narrative: Within a day post-vax, the patient experienced fussiness, had a pink papular gooseflesh patch on his right lateral thigh. The rash persists to 07/17/2001, when next seen. When given DTaP, Hib and Prevnar on 4/12/2001 at another facility, he had the same reactions plus vomiting.
Age: 1.08
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Rash morbilliform
Clinical narrative: The patient developed a morbilloform rash on his face, trunk and extremities. The diagnosis is MMR reaction vs viral exanthem.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Injection site erythema, Injection site induration, Musculoskeletal stiffness, Opisthotonus
Clinical narrative: 20 hours post-vax the patient developed a fever. 32 hours post vax the patient experienced a 10-15 minute episode of stiffening, crying, arching back and neck, and staring into space. Resolved spontaneously. 48 hours post vax the patient was fine and with indurated the red area at the injection sites. RN verified that reaction occurred on both thighs where injections were given.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Staring
Clinical narrative: 20 hours post-vax the patient developed a fever. 32 hours post vax the patient experienced a 10-15 minute episode of stiffening, crying, arching back and neck, and staring into space. Resolved spontaneously. 48 hours post vax the patient was fine and with indurated the red area at the injection sites. RN verified that reaction occurred on both thighs where injections were given.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: The patient developed a 10cm red patch on his left thigh at the injection site with a 1.2 cm hard knot. Given 2 days before PCV vaccine.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Swelling
Clinical narrative: The patient developed a 4cm x 4cm area of swelling below the right mandible within 5 minutes of vaccine administration. The patient was referred to ENT.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Leukocytosis, Pyrexia
Clinical narrative: The patient developed a fever of 101.8F the evening after receiving the vaccine, 06/18/2001. The patient's fever was 103.9F the next day, 06/19/2001 and 106.4F on 06/20/2001.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash
Clinical narrative: Patient developed rash on her face on 07/18/2001. The rash spread to her back, chest and extremities on 07/19/2001. The patient was referred to the ER.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Dyspnoea, Urticaria
Clinical narrative: The patient developed an urticarial rash on her face, trunk and extremities and shortness of breath. The patient was treated with Benadryl.
Age: 0.4
Sex: M
Vaccine: PNC
Symptoms: Irritability, Pain, Pyrexia
Clinical narrative: The patient developed fever, pain and irritability.
Age: 50.0
Sex: M
Vaccine: LYME
Symptoms: Difficulty in walking, Monarthritis
Clinical narrative: Pt developed arthritic condition in right hip. He went from normal to barely able to walk in a two week period. Treatments have included Celebrex, hip injections, and physical therapy. The 60 day follow-up states the pain in the right hip remains.
Age: 79.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise, Urticaria
Clinical narrative: To date, 08/17/2001 the patient received a flu shot on 10/27/2000 and experienced several days of illness. The patient has had hives off and on to date. The patient never had hives prior to 11/16/2000.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cough, Dysphonia, Dyspnoea, Fatigue
Clinical narrative: The patient developed a cough, esophageal inflammation, a sore throat and hoarseness, shortness of breath, fatigue, and weakness.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Oesophageal disorder, Pharyngolaryngeal pain
Clinical narrative: The patient developed a cough, esophageal inflammation, a sore throat and hoarseness, shortness of breath, fatigue, and weakness.
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Chills, Pruritus, Urticaria
Clinical narrative: On 07/14/2001 at 5AM the patient developed hives and itching on her left and right forearms. On 07/14/2001 at 4PM the patient's hands were swollen, the hives and itching had spread to her hands and feet and she experienced chills. The patient was treated with Deaconess, Nashoba and Benadryl.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Fatigue, Myalgia
Clinical narrative: One week post vax, pt called complaining of continued muscle aches and fatigue.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt developed local skin reaction at site of MMR characterized by 20 cm diameter of erythema and induration. Pt had 2 previous MMR vax, clinically well.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash maculo-papular, Rash vesicular
Clinical narrative: Pt developed macular, papular, vesicular lesions that were pruritic and located on his trunk, extremities, head and top of feet. Mother doesn't think he had an elevated temperature but didn't take temp. He had > 50 lesions lasting about 5 days in staged breakouts.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Lymphadenopathy
Clinical narrative: Pt developed swollen lymph nodes in neck and groin area.
Age: 23.0
Sex: F
Vaccine: HEPA
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: Pt broke out in an allergic reaction all over her body on 7/12/01. She developed itching. Pt is not known to have any medication allergies.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Rash papular
Clinical narrative: Pt developed a fine, papular rash on face and trunk and a fever as per phone call on 7/14/01. Follow-up on 7/17/01 indicated rash and other symptoms improving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Pt was seen in MD's office 3 days post vax with cellulitis at injection site. Pt was treated with oral antibiotics.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Pt developed shingles in the axillary dermatome on 7/14/01. Pt had possible exposure to varicella. Pt's recovery was complete after 2 days of Prelone.
Age: 37.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Headache, Nausea
Clinical narrative: Approximately 1 hour post vax, pt developed headache, nausea and stomach pain. Symptoms persisted for 7 days. Pt was seen by MD and given an injection of Demerol for headache pain.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Pt developed breakthrough varicella disease.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt's left arm had a hard, raised area covering deltoid with surrounding erythema.
Age: 1.08
Sex: M
Vaccine: HIBV, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Pt started vomiting the day of immunizations and vomited all afternoon and til 9 PM that night.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed redness and swelling on right thigh at site of vaccines 3" wide by 2.5" high.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Pt presented with headache,body aches, and over all fatigue.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister
Clinical narrative: 1 blister right hip in diaper area appeared 7/18/01 size of dime and fluid filled.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Choking, Dyspnoea
Clinical narrative: Pt developed subjective, transient choking sensation x 1 episode 2 wks post vax. Pt also had difficulty breathing per mother. Pt was not seen or treated by MD.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Pt had local erythema and swelling at 24 hours, post vax, with 7cm X 7cm area on anterior thigh (L). Was given Cephalexin po X 10 days for cellulitis vs local reaction.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Roseola
Clinical narrative: 15 days after vaccine, pt developed fever of 105F + for 5 days and then tell-tale rash of Roseola on 6/26/01.
Age: 5.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Patient vaccinated with VZV on 8/14/97. Pt presented with shingles on right palm to ulnar area at elbow. Diagnosis was confirmed visually by a pediatric dermatologist on 3/12/01.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Coordination abnormal, Gait disturbance
Clinical narrative: Pt developed unsteady gait, ataxia.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site haemorrhage, Injection site induration
Clinical narrative: Two days post vax, pt developed a 2x2 area of induration and a hematoma at vaccination site to left deltoid area. Pt treated with Westcort.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: For 7 days post vax, pt acted fussy and clingy. On 7th day post vax, he developed a rash, and then the following day, he developed a fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Angioneurotic oedema, Swelling face, Wheezing
Clinical narrative: One hour post vax, pt developed angioedema, lower lip swelling, and wheezing. He was treated with Epinephrine, Benadryl and Prednisone.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Neurological symptom, Pain, Swelling
Clinical narrative: Pt developed post TD swelling. She complained of restriction of motion and then pain down into biceps tendon at elbow. She had radicular symptoms down arm into hand and up into shoulder.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardiac arrest, Irritability, Pyrexia, Suffocation feeling
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Accident, Apnoea, Cardiac arrest, Coma, Enteritis
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Hypothermia, Irritability, Lethargy, Petechiae, Pulmonary congestion
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Thymus hypertrophy
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Irritability, Pyrexia, Vomiting
Clinical narrative: Pt started running a high fever within hours, post vax, and was lethargic. Infant's Advil was given. They said fever was normal. According to coroner investigator's report, this 2 month old pt was brought by EMS to hospital in full cardiac arrest. They were called because of a baby not breathing. The baby was in full arrest on their arrival. Advanced cardiac life support measures were instituted and the baby was transported to ER. An ER physician pronounced death at 00:57 hours. When the coroner's deputy spoke to the parents of the baby, they stated the mother has a medical history of Hashimoto's stroma and polycystic ovaries and she is on medications. Because of her weight, she was not aware she was pregnant until 12/00, at which point she was approx. 8 months. The baby was born after 30 hours of labor. On 5/3/01, when the baby had multiple immunizations, the baby was described as "fussy" and running a low-grade fever. On the evening of 5/4/01, the baby was placed down prone at 21:00 to sleep on an adult pillow. This was on a couch next to where the mother was sitting and sleeping, waiting for the father to come home. The father came home and found the baby lying on his right side, facing the couch, still on the pillow. He checked the baby and found him unresponsive, called 911 and began cardiopulmonary resuscitation. The baby had an endotracheal tube in the mouth and EKG pads on the chest. There was an intraosseous line in the right lower leg and an attempt site in the left lower leg. ER records note a temperature of 91.1F. Both lungs show congestion. The thymus is larger than usual for this age and completely covers the anterior surface of the heart and extends down to almost the left hemidiaphragm. Sections of small bowel show mild enteritis with plasma cells and a few eosinophils. Petechiae of thymus, heart and lungs. Cause of death, probable accidental suffocation, minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV
Symptoms: Atelectasis, Coma, Hypotonia, Lymphadenitis, Pneumonitis
Clinical narrative: Pt was found unresponsive and limp by mother. Twin had same vaccines on same day. Twin was admitted to ER for observation but had no signs and symptoms of distress. Autopsy findings report inguinal lymph node had a subacute lymadenitis with peripheral fibrosis and the spleen is slightly lymphocyte depleted; this infant had atelectasis, a desquamative interstitial pneumonitis and acute and chronic tracheitis.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV
Symptoms: Tracheitis
Clinical narrative: Pt was found unresponsive and limp by mother. Twin had same vaccines on same day. Twin was admitted to ER for observation but had no signs and symptoms of distress. Autopsy findings report inguinal lymph node had a subacute lymadenitis with peripheral fibrosis and the spleen is slightly lymphocyte depleted; this infant had atelectasis, a desquamative interstitial pneumonitis and acute and chronic tracheitis.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV
Symptoms: Laboratory test abnormal, Pneumonitis, Tracheitis
Clinical narrative: Pt was found unresponsive and limp by mother. Twin had same vaccines on same day. Twin was admitted to ER for observation but had no signs and symptoms of distress. Autopsy findings report inguinal lymph node had a subacute lymadenitis with peripheral fibrosis and the spleen is slightly lymphocyte depleted; this infant had atelectasis, a desquamative interstitial pneumonitis and acute and chronic tracheitis.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV, DTP, HEP, HIBV, IPV
Symptoms: Sudden infant death syndrome
Clinical narrative: Pt was found unresponsive and limp by mother. Twin had same vaccines on same day. Twin was admitted to ER for observation but had no signs and symptoms of distress. Autopsy findings report inguinal lymph node had a subacute lymadenitis with peripheral fibrosis and the spleen is slightly lymphocyte depleted; this infant had atelectasis, a desquamative interstitial pneumonitis and acute and chronic tracheitis.
Age: 1.8
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial infection, Cellulitis, Conjunctivitis, Depressed level of consciousness, Drug ineffective
Clinical narrative: Information has been received from a physician concerning a 22 month old female with a milk allergy resulting in diarrhea and no exposure or history of chickenpox who on 4/26/00 was vaccinated in the left leg IM with a dose of varicella virus vaccine live. Subsequently, on 3/3/01, the pt developed a vesiculo-pustular rash on the right side of forehead and right eyelid with swelling and redness around it and right conjunctivitis. The pt also developed herpes zoster described as pre-septal cellulitis on the right eyelid, right forehead and right eye conjunctivitis. She had symptoms of decreased alertness and a temperature of 102.7F. A specimen taken from the pt's right eye was obtained on 3/5/01. The results from the frozen isolate specimen of the child's right eye vesicular lesion was VZV positive and was identified as the OKA/Vaccine strain. Follow-up information has been received from a physician who reported the child has been dx'd with Job-Buckley Syndrome (hyperimmunoglobulinemia E). It was noted that the child's IgE level was in the 1200 range. It was also noted that the pt has eczema and frequent "draining ears". The physician reported that the child was seen with this periorbital cellulitis and it appeared that lesions of herpes zoster also existed. The cellulitis culture grew Hflu, pneumonia, strep and staph and the culture of the child's eye grew the VZV that was identified as the OKA/Vaccine strain. The child was treated in the hospital with antibiotics and acyclovir. The child recovered and the lesions healed, however, there is some residual scarring.
Age: 1.8
Sex: F
Vaccine: VARCEL
Symptoms: Ear disorder, Eczema, Erythema, Eyelid oedema, Herpes zoster
Clinical narrative: Information has been received from a physician concerning a 22 month old female with a milk allergy resulting in diarrhea and no exposure or history of chickenpox who on 4/26/00 was vaccinated in the left leg IM with a dose of varicella virus vaccine live. Subsequently, on 3/3/01, the pt developed a vesiculo-pustular rash on the right side of forehead and right eyelid with swelling and redness around it and right conjunctivitis. The pt also developed herpes zoster described as pre-septal cellulitis on the right eyelid, right forehead and right eye conjunctivitis. She had symptoms of decreased alertness and a temperature of 102.7F. A specimen taken from the pt's right eye was obtained on 3/5/01. The results from the frozen isolate specimen of the child's right eye vesicular lesion was VZV positive and was identified as the OKA/Vaccine strain. Follow-up information has been received from a physician who reported the child has been dx'd with Job-Buckley Syndrome (hyperimmunoglobulinemia E). It was noted that the child's IgE level was in the 1200 range. It was also noted that the pt has eczema and frequent "draining ears". The physician reported that the child was seen with this periorbital cellulitis and it appeared that lesions of herpes zoster also existed. The cellulitis culture grew Hflu, pneumonia, strep and staph and the culture of the child's eye grew the VZV that was identified as the OKA/Vaccine strain. The child was treated in the hospital with antibiotics and acyclovir. The child recovered and the lesions healed, however, there is some residual scarring.
Age: 1.8
Sex: F
Vaccine: VARCEL
Symptoms: Immunoglobulins increased, Infection, Infection in an immunocompromised host, Pyrexia, Scar
Clinical narrative: Information has been received from a physician concerning a 22 month old female with a milk allergy resulting in diarrhea and no exposure or history of chickenpox who on 4/26/00 was vaccinated in the left leg IM with a dose of varicella virus vaccine live. Subsequently, on 3/3/01, the pt developed a vesiculo-pustular rash on the right side of forehead and right eyelid with swelling and redness around it and right conjunctivitis. The pt also developed herpes zoster described as pre-septal cellulitis on the right eyelid, right forehead and right eye conjunctivitis. She had symptoms of decreased alertness and a temperature of 102.7F. A specimen taken from the pt's right eye was obtained on 3/5/01. The results from the frozen isolate specimen of the child's right eye vesicular lesion was VZV positive and was identified as the OKA/Vaccine strain. Follow-up information has been received from a physician who reported the child has been dx'd with Job-Buckley Syndrome (hyperimmunoglobulinemia E). It was noted that the child's IgE level was in the 1200 range. It was also noted that the pt has eczema and frequent "draining ears". The physician reported that the child was seen with this periorbital cellulitis and it appeared that lesions of herpes zoster also existed. The cellulitis culture grew Hflu, pneumonia, strep and staph and the culture of the child's eye grew the VZV that was identified as the OKA/Vaccine strain. The child was treated in the hospital with antibiotics and acyclovir. The child recovered and the lesions healed, however, there is some residual scarring.
Age: 0.25
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PNC
Symptoms: Apnoea, Vomiting
Clinical narrative: Approx. 2.5 hours, post vax, pt started to throw up and then stopped breathing. He was transported to the ER and hospitalized for 2.5 days. Scheduled for allergy testing on 9/6/01 concerning vaccines.
Age: 0.3
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Cellulitis, Hypokinesia, Injection site swelling, Pain
Clinical narrative: Left mid-thigh swelling to below left knee, fever, pain with flexion of knee (increasing over a 24 hour period). (+) blood culture at 10 hours for pneumococcus. Further serotyping identified it as 23F. IV antibiotics given for 10 day course. Diagnosed with prepatellar cellulitis
Age: 0.3
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Swelling, White blood cell count increased
Clinical narrative: Left mid-thigh swelling to below left knee, fever, pain with flexion of knee (increasing over a 24 hour period). (+) blood culture at 10 hours for pneumococcus. Further serotyping identified it as 23F. IV antibiotics given for 10 day course. Diagnosed with prepatellar cellulitis
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eye swelling, Ocular hyperaemia, Respiratory distress, Sneezing, Wheezing
Clinical narrative: Thirty seconds after receiving vax, pt noted to be sneezing a lot. His eyes became red and swollen with swelling of the face. This was followed by respiratory distress and wheezing. Pulse oximetry was 96% on room air. Pt given epinephrine, Benadryl, and Prelone. He was also given Albuterol nebulizer treatment.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Convulsion, Muscle twitching, Pyrexia
Clinical narrative: Pt developed twitching of right side of body (seizures) and a temperature of 103.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Convulsion
Clinical narrative: Pt developed twitching of right side of body (seizures) and a temperature of 103.
Age: 1.08
Sex: M
Vaccine: HIBV, PNC
Symptoms: Dysphonia, Ear disorder, Fungal infection, Infection, Nasal congestion
Clinical narrative: Pt was hoarse the morning after receiving vax. He had severe diaper rash and congestion noted in the morning 4 days post vax. He had a double ear infection and was treated with Amoxicillin 6 days post vax. He developed a yeast infection.