chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Pt noted to have erythema and swelling with pruritis to left back/shoulder to deltoid/elbow - noted at DTaP site. Treated with Motrin/Benadryl PRN with good results - also had 47 degrees=100.5 (resolved). Denies pain, has full ROM.
Age: 18.0
Sex: F
Vaccine: MMR
Symptoms: Hypoaesthesia, Paraesthesia, Vertigo
Clinical narrative: Pt at school this AM. Complained of "head spinning, legs tingling, feet numb". Mom reports that pt took "new drug Midrin for headaches this AM". Mom questioning if symptoms from vaccine or drug. Instructed mom to notify MD and follow back with us. Mom voiced understanding.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema
Clinical narrative: Left thigh with 6 x 4 erythema. Duricef and Benadryl Bxd
Age: 73.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Injection site erythema, Injection site haemorrhage
Clinical narrative: After receiving a Td injection - pt complained of localized reaction at injection site. Pt complained of hematoma, redness, and skin warm to touch.
Age: 64.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Injection site erythema, Injection site reaction
Clinical narrative: 1 week after Tetanus injection - pt complained of localized reaction at site. Redness and warmth noted to left deltoid - at site of injection.
Age: 12.0
Sex: M
Vaccine: HEPA, TTOX
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right upper arm swelling/pain/erythema.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: On 4/24/03 - Pt presented with chicken pox.
Age: 1.6
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Pt presented with a rash on 4/24/03.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Redness and induration of right deltoid area and upper arm plus low grade fever. Now with less induration and no fever but slightly increased redness.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Erythema, Pyrexia, Rash
Clinical narrative: Pt febrile for 1 day - multiple red bumps followed by blisters of then open sores and finally dry, brown crusts (repeated crops for 5 days, greater than 50 lesions) - symptom tx per parent.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Hypersensitivity, Oedema
Clinical narrative: Father called and stated he took pt to ER because left arm was swollen, red and a big bruise on it. When pt was in ER, doctor told him to use ice packs and Benadryl and call Health Dept to report allergic reaction.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticaria, no respiratory symptoms. Pt given 20 mg of IM Diphenhydramine, monitored until almost complete resolution of urticaria. Discharge to home.
Age: 1.2
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local reaction with redness and swelling right upper arm (upper 1/3). Rx Benadryl and ice pack.
Age: 1.7
Sex: M
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Severe local reaction around injection site causing redness, swelling upper 2/3 of right arm. Rx Benadryl and ice pack.
Age: 5.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Rash
Clinical narrative: Rash on right arm 4/18/03. DTP on 4/17/03. Dr prescribed Benedryl and Triamcinolone Acetonide cream USP, 0.1% 2 times a day.
Age: 1.2
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 100-104.8 started evening 4/23/03. At 4:20 temp 103 degrees. 04/25 no fever after evening yesterday 4/24.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: After vaccination shots MMR/Varivax, pt experienced fever and developed rash which has appeared on face initially, then spread downward the neck/body/upper thigh in 12 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site induration
Clinical narrative: Left arm with 6cm erythema & 4cm induration with small vesicles.  No fever no derep us duratation ROM-pulse ok.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Three days after receiving immunizations, site of DTaP became swollen, red and tender.  2 other vaccine sties from same day appear normal.  (IPV & MMR).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Swelling
Clinical narrative: Vaccine was given on 04/23/2003. Patient complained of soreness on 04/24/2003.  On 04/25/2003 they noticed swelling in her thigh and she complained of it hurting.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Right arm-6x4cm area of induration around area where shot was given an area of erythema 14x9 cm surrounding the induration.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Itchy skin swollen hands and feet.  Can't quit itching.  Started 2-3 hrs after injection; continues 5 days post; swelling gone on this date.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Back pain, Dehydration, Dizziness
Clinical narrative: Fatigue and aching left lower lateral leg in the evening.  Progressing to bilateral legs aching.  Back aching, joint aching with fatigue, nausea and headaches over the next 3 days.  Relieved with Advil.  Onset on 04/17/2003. fOLLOW UP: The initial complaint was low blood pressure,headache and weakness. His vital signs were stable on admission to the emergency department. His mother stated to me that he had gotten very hot and tired when he was working in the yard after his visit to our clinic. He has a history of asthma. During the assessment a rash was noted. The diagnosis was allergic reaction, acute; uticaria rash, general weakness, heache and dizziness. I also noted that there was a change in the lab values from when he was at the clinic and hten at the Emergency Department that PM. I suspect that he may also have become somewhat dehydrated.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Feeling hot, Headache, Hypersensitivity, Hypotension
Clinical narrative: Fatigue and aching left lower lateral leg in the evening.  Progressing to bilateral legs aching.  Back aching, joint aching with fatigue, nausea and headaches over the next 3 days.  Relieved with Advil.  Onset on 04/17/2003. fOLLOW UP: The initial complaint was low blood pressure,headache and weakness. His vital signs were stable on admission to the emergency department. His mother stated to me that he had gotten very hot and tired when he was working in the yard after his visit to our clinic. He has a history of asthma. During the assessment a rash was noted. The diagnosis was allergic reaction, acute; uticaria rash, general weakness, heache and dizziness. I also noted that there was a change in the lab values from when he was at the clinic and hten at the Emergency Department that PM. I suspect that he may also have become somewhat dehydrated.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Laboratory test abnormal, Nausea, Pain, Rash, Urticaria
Clinical narrative: Fatigue and aching left lower lateral leg in the evening.  Progressing to bilateral legs aching.  Back aching, joint aching with fatigue, nausea and headaches over the next 3 days.  Relieved with Advil.  Onset on 04/17/2003. fOLLOW UP: The initial complaint was low blood pressure,headache and weakness. His vital signs were stable on admission to the emergency department. His mother stated to me that he had gotten very hot and tired when he was working in the yard after his visit to our clinic. He has a history of asthma. During the assessment a rash was noted. The diagnosis was allergic reaction, acute; uticaria rash, general weakness, heache and dizziness. I also noted that there was a change in the lab values from when he was at the clinic and hten at the Emergency Department that PM. I suspect that he may also have become somewhat dehydrated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Approximately 48 hrs after vaccine developed 1in (+ or -) in circumference red, raised/indurated area and over next 1.5 days increased to 4inches (+ or -).  Less today at approx. 8cm diameter.
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot, Skin nodule, Swelling
Clinical narrative: Since injections had 3 separate episodes when areas on leg became erythemetous, swollen, and warm.  Mother administered benadryl and patient improved.  Swelling went down.  Patient examined on 04/01/2003 after the 3rd episode.  Adn small nodular areas were palpable along left wastus muscle area.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling and tenderness to site of injection-resolved
Age: 59.0
Sex: F
Vaccine: VARCEL
Symptoms: Facial palsy
Clinical narrative: Bells palsy
Age: 1.2
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: Over all rash with coflex, no fever, more than 50 lesions.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Rash maculo-papular
Clinical narrative: Rash maculopapular head to toe. No fever. No current rash/lesions.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site swelling, Oedema, Pruritus
Clinical narrative: Swelling of the right upper arm, 10 cm x 10 cm. Hot to touch, no pain, some itching. Rx: Motrin PO, Atarax PO, cold soaks.
Age: 49.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever marked localized swelling induration, heat. Pt required antibiotics as symptoms started. 48 degrees after infection and have worsened.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site swelling
Clinical narrative: Developed large local reaction on deltoid area evidenced by swelling, redness and "hardened" area. Complained of local itching. Afebrile.
Age: 47.0
Sex: F
Vaccine: DTP
Symptoms: Erythema, Feeling hot, Injection site mass, Pain
Clinical narrative: Red, warm to touch, knot, painful.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Babysitter called Mom around 11:00 AM on 4/30/03 to say left thigh was swollen. Mom brought pt to office 5/1/03 - left thigh swelling. No redness, warmth or pain. Able to bear weight. Injection site normal. Thigh measurement 32.25 cm. Swelling down to knee.
Age: 1.08
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Erythema, Rash erythematous, Rash papular
Clinical narrative: 5/1/03: 2 red papules on ear. 5/2: Scattered, erythematous, papule-like rash on abdomen and back. A few scattered papules on face. No fever, no vomiting , no diarrhea, no itching. On 5/2 at about 4 PM Mom and pt were seen in clinic parking by MD to determine if the rash was infectious. MD determined the rash to be more likely an MMR-like rash.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: On 5/2/03 complained of left deltoid pain and swelling - upon observation 3 x 5 area of increased induration and increased color in left arm (-) adenopathy - good, ROM - instructed to apply ice, given reassurance, if problem to ER or RTC.
Age: 0.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: eRYTHEMA, SWELLING AND WARMTH AT INJECTION SITE (RIGHT UPPER ARM), EXTENDING FROM SHOULDER TO 2 INCHES ABOVE ELBOW. RIGHT UPPER ARM 4 CM LONGER THAN LEFT UPPER ARM. C/O PAIN IN RIGHT UPPER ARM.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: 04/10/03: Developed dull ache in left chest- lasted all day.  No increased pulse rate, no sweating, no fever. 4/15/03: EKG WNL-no further pain.
Age: 48.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Experience chest pain starting on day 3 through day 6 after vaccination. Wore on leaning forward. Resolved while abroad. Sought medical assessment week of 3/24/03 after CDC announce heart events. Had EKG and Echo week of 3/24/03 at Hospital.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Rash macular, Urticaria
Clinical narrative: On 12th day after smallpox vaccination he had onset of urticarial macular rash on left shoulder, proximal left upper arm, right shoulder, back and upper chest.  Diagnosis: Erythema multi forms like rash.
Age: 26.0
Sex: M
Vaccine: HEP, SMALL
Symptoms: Cow pox
Clinical narrative: Generalized vaccinia-concentration on both arms from elbow downward.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Menstruation irregular
Clinical narrative: Problems with menstrual cycle. Pregnancy test negative
Age: 0.5
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: diffuse urticaria approximately 24 hours after vaccination, Benadryl 6.75 mg po given, unclear if beneficial at this time
Age: 1.8
Sex: F
Vaccine: UNK
Symptoms: Viral infection
Clinical narrative: she had a full case of chicken pox (approx 200 pox), May 2003
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Condition aggravated, Convulsion, Speech disorder
Clinical narrative: Child was born with a brain malformation.  Surgery performed at 7 mo. age and began having seizures after. Last year child was exposed to chicken pox an dvaricell avaccine given.  Child experienced "worst" seizures and several seizures after vaccination.  Since those seizures, has had decrease in oral motor skills.  Mom did not call to report this adverse event, it came up in conversation about vaccinations for a sibling.  Adverse event happened several months ago, but felt the information would be relevant for the VAERS program.
Age: 19.0
Sex: F
Vaccine: ANTH, TYP, YF
Symptoms: Abdominal pain, Erythema, Headache, Muscular weakness, Nausea
Clinical narrative: Patient Recieved Vaccines on 2 Feb 03.  One week later c/o Rt. arm pain, swelling, redness, abdominal pain and headache. Swelling,redness and headaches resolved after 1 month. Symptoms of abdominal pain,nausea, muscle weakness of rt.arm with occ, hand swelling ongoing x 3 months.
Age: 19.0
Sex: F
Vaccine: ANTH, TYP, YF
Symptoms: Oedema, Pain
Clinical narrative: Patient Recieved Vaccines on 2 Feb 03.  One week later c/o Rt. arm pain, swelling, redness, abdominal pain and headache. Swelling,redness and headaches resolved after 1 month. Symptoms of abdominal pain,nausea, muscle weakness of rt.arm with occ, hand swelling ongoing x 3 months.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Erythema, Paraesthesia, Pleurisy, Swelling
Clinical narrative: Report faxed to CLinic: Left arm circumferential swelling, generalized erythema and paresthisias on left ring and small fingers which lasted approx 24 hrs.  Patient had pleuritic chest and SOB which lasted approx 1-2 hrs.  Residual minimal left arm swelling lasted 4 days.  Patient was treated with IV Zantac and Benadryl.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Headache, Pain
Clinical narrative: Headache x3 days and a small red bump on left arm close to the smallpox vaccination site.  Pain in armpit area and into his chest on the muscle.  Patient treated with Tylenol 325mg every 4-6 hours as occasion requires.
Age: 41.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Feeling hot, Paraesthesia
Clinical narrative: Patient complained of CP seen in ER 04/07.  States C/P started 03/27, worsening 04/01 episodes ~1-2min of up on a day-sensation of heat and stabbing pain.  Occured right and left side of chest, tingling in on fingers oc. dizzy.  Feels need to defecate at end of episode.  Vital signs normal, tropomn (-), CXRNI, EKG ni.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Patient called to say she was pregnant, did own test.  She figures conception was on 3-19-03.  Request patient to follow up with doctor.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Injection site oedema, Lymphadenopathy, Lymphangitis, Pruritus
Clinical narrative: Satellite lesions, Lymphangitis from site to regional nodes, Regional lymphadenopathy, Considerable local edema at the site, Intense erythema,running a fever of 101.4 avg., meds- Keflex,Benadryl around site for itching.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Vaccination complication
Clinical narrative: Satellite lesions, Lymphangitis from site to regional nodes, Regional lymphadenopathy, Considerable local edema at the site, Intense erythema,running a fever of 101.4 avg., meds- Keflex,Benadryl around site for itching.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Lymphangitis, Malaise, Pyrexia
Clinical narrative: Pt. recieved smallpox vaccine on 4/15/03. On 4/21/02 developed fever of 99.9, malaise, tired, swollen tender lymph nodes & went home for 4 hours. Fever etc. improved but seen on 4/24 with enlarged lymph nodes and recieved dx of lymphangitis which resolved without incedent by 4/26/03
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Encephalitis, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Client reports a reaction to the paper tape as early as 4/26/03, which began to blister.  She has been more gentle when removing the tape and not placed it on the same location repeatedly.  On 4/30/03 she had onset of headache about bedtime and rates the pain at "5-6" on a scale of 1-10, "low grade temp and fatigue".  She took Lorcet 10, 2 po and went to bed.  Upon waking 5/01/03 she had headache "10+", stayed home from work, experienced fatigue and states she felt worse than she has ever felt before.  Looking back she believes she should have called 911.  She took Lorcet 10, 2 po and Ambien. For 5/02/03 she rates her headach @ "4" daily through 5/05/03.  Today her headache is at "5" and began having lymphadenopathy to Left axillary region 5/02 - 5/05 and then bilaterally thru today 5/06.  Her paper tape reaction is "almost completely healed".  She saw the facilities medical director on 5/02/03 for skin assessment and c/o headache.  She told the doctor about AE encephalitis and he was not concerned with this case.  She was seen by ER on 5/05/03 and he also reportedly was not concerned with that as an adverse effect of vaccination as reported by this client. Today 5/06/03 she states that she has had "pustules, papules, 'zits'" on her breasts and back that she relates to stress.  She states they do not look like her arm.  Dr.  assessed these as well on 5/05/03. Client has no history of headaches and continues to experience pain but  is back at work. It is reported that she is one to never miss work.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia, Rash papular, Rash pustular
Clinical narrative: Client reports a reaction to the paper tape as early as 4/26/03, which began to blister.  She has been more gentle when removing the tape and not placed it on the same location repeatedly.  On 4/30/03 she had onset of headache about bedtime and rates the pain at "5-6" on a scale of 1-10, "low grade temp and fatigue".  She took Lorcet 10, 2 po and went to bed.  Upon waking 5/01/03 she had headache "10+", stayed home from work, experienced fatigue and states she felt worse than she has ever felt before.  Looking back she believes she should have called 911.  She took Lorcet 10, 2 po and Ambien. For 5/02/03 she rates her headach @ "4" daily through 5/05/03.  Today her headache is at "5" and began having lymphadenopathy to Left axillary region 5/02 - 5/05 and then bilaterally thru today 5/06.  Her paper tape reaction is "almost completely healed".  She saw the facilities medical director on 5/02/03 for skin assessment and c/o headache.  She told the doctor about AE encephalitis and he was not concerned with this case.  She was seen by ER on 5/05/03 and he also reportedly was not concerned with that as an adverse effect of vaccination as reported by this client. Today 5/06/03 she states that she has had "pustules, papules, 'zits'" on her breasts and back that she relates to stress.  She states they do not look like her arm.  Dr.  assessed these as well on 5/05/03. Client has no history of headaches and continues to experience pain but  is back at work. It is reported that she is one to never miss work.
Age: 47.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dizziness, Vertigo, Vomiting
Clinical narrative: Patient became light-headed on 05/03/03, woke up with vertigo on 05/04/03, also had episodes of vomiting.  Final diagnosis: Benign positional vertigo.  Patient received 5 mg of valium IV and one liter of 0.9 normal saline, plus Antivert
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Apnoea, Epistaxis, Sudden infant death syndrome
Clinical narrative: 10pm mom noticed child bleeding from nose while breast feeding, she wiped blood away then child turned blue and stopped breathing. She performed CPR dad call 911. Child was taken to hosp via ambulance. Pronounced dead 10:50pm. The autopsy report states SIDS.
Age: 0.25
Sex: M
Vaccine: PNC
Symptoms: Cardiac arrest, Medication error
Clinical narrative: A consumer reported that her 3 month old grandson inadvertently received two doses of Prevnar eight days apart, on 4/16/03 and on 4/24/03. The infant's medical history includes premature birth (26.6 weeks gestation), a "host of issues," respiratory distress syndrome, unspecified infections, and a patent ducturs arteriosus which was closed with unspecified medications. The infant had been hospitalized for an unknown condition and received a dose of Prevnar on 4/16/03 while hospitalized. He was discharged on 4/21/03. Reportedly, the initial Prevnar dose was not reported on the infant's discharge summary and the infant's pediatrician administered another dose on  4/24/03. At eight o'clock that same evening, the infant developed cardiac arrest and was hospitalized. As of 4/25/03, the infant was in a pediatric ICU. No further info was available at the date of this report.
Age: 1.5
Sex: F
Vaccine: DTAP, HEP, PNC
Symptoms: Cellulitis
Clinical narrative: Cellulitis right leg
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Coma, Erythema, Hypersensitivity, Lethargy, Pruritus
Clinical narrative: Pt complained of severe itching followed by redness. Pt then became very lethargic and non-responsive.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Apnoea, Pyrexia
Clinical narrative: Fever 104.7 stopped breathing-taken to hospital by ambulance.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Infection transmission via personal contact, Oedema, Pain, Pruritus
Clinical narrative: Patient came in contact with military boyfriend who received smallpox vaccination 2 wks ago.  Has 4-7 lesions in various stages of development on lips, inside her mouth, and on her cheeck.  She has edema, pain, redness and itching at the lesions sites.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Patient came in contact with military boyfriend who received smallpox vaccination 2 wks ago.  Has 4-7 lesions in various stages of development on lips, inside her mouth, and on her cheeck.  She has edema, pain, redness and itching at the lesions sites.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Swelling
Clinical narrative: Right arm swelled from shoulder to wrist; also went into right side of face up to the right eye (numb/lazy feeling).  Brought to allergist at hospital.  Given Benadryl shot and presnidsone.  Swelling went down after two days.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Pigmentation disorder
Clinical narrative: Hypopigmented contrast live push on left neck with severe slot on face.  Cipcucar and Rancau from 1 to 3 to arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Swelling
Clinical narrative: Right deltoid swelling, redness, heat at injection site of DTAP.  Swelling began 2 days after CID injection.  Went to ER.  Advised to apply heat (by ER) swelling gone today 04/22/2003.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Left arm-Lower deltoid area turned red and warm on 04/03/2003 24 degrees after receiving DTAP & IPV.  Can see injection site where DTAP given.  Just below this site is a large area-warm to touch-slight induration noted.  3in in diameter.  Appears area reddened where IPV given SQ.
Age: 0.8
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Crying, Irritability, Rash
Clinical narrative: Rash on neck upper chest and upper back; first noted approx 18 hrs after vaccines given.  Irritable, crying during night.  Given Tylenol, Benadryl given at clinic.  Rash resolved.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: Upper administration of MMR.  Local reaction resulting in uriticarial rash with 1.5 x 1.0 cm and red 5 x 5 cm.  No respiration distress, no other problems.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Hot flush, Throat tightness
Clinical narrative: Patient here for FPMD; Patient had deficient immunization history.  Pt. given TD booster after obtaining consent.  Immunized at 11:55, 1st s/s at 12:00.  Pt. verbalized feeling flushed and throat feeling tight.  Nurse Practitioner and RN supervisor summoned supportive care provided by this nurse, another staff nurse and a CNA.  I requested 911 be called at approx 12:12 with an approximate 5 min. response time.  Transported per AASI per stretcher to Teche Regional Medical.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Erythema
Clinical narrative: Large erythema.  Right thigh, 6in area of in duration, mild discomfort
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Swelling
Clinical narrative: Left arm swollen and warm to touch.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: LD, large red area.  Swollen-warm to touch.  Complained of soreness approx. 2in reddened area.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Malaise, Pharyngolaryngeal pain
Clinical narrative: Scratchy throat day of shot.  Malaise x2-3 days after.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Injection site red, swollen, warm.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, TTOX
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: DTAP right delt. 24 hrs post injection.  Right delt. red/swollen/itchy 10x10cm, non-tender.  Treatment with Tylenol/Benadryl.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site induration
Clinical narrative: DTaP by Infanrix lot # A573B9 in Lt. deltoid admin. 04/25.  Also in Lt arm IPV Lot # U0347 Sub -Q 04/25.  Presented to clinic on 04/28 after 4cmx5cm area on Lt arm below injection site of erythematous, warm to touch, and hardened.  No pain.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: Progressive swelling around DTAP vaccination site.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Lethargy, Oral intake reduced, Screaming
Clinical narrative: Lethargic and crying for 12 hours.  Up all night crying after vaccines.  Screaming, not eating well and pale flat pain.  Patient recovered within 1 day.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large area induration and erythema left thigh, no treatment needed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Oedema, Pain, Pyrexia
Clinical narrative: Right arm - red, hard, hot, swollen from shoulder to approx. 1.5" from elbow. Low grade fever - 103 degrees F, pain.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Feeling hot, Headache, Injection site erythema, Injection site pain
Clinical narrative: Pneumovax administered 4/21/03. Severe pain at site within 2-3 hours. Progressed to extreme nausea, headache, fatigue, and local rx approximately 4 inches in length. Erythematous, slightly red, hot to touch, weakness in limb.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Muscular weakness, Nausea
Clinical narrative: Pneumovax administered 4/21/03. Severe pain at site within 2-3 hours. Progressed to extreme nausea, headache, fatigue, and local rx approximately 4 inches in length. Erythematous, slightly red, hot to touch, weakness in limb.
Age: 46.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Received vaccine 3/31/03. Reaction onset. 4/2/03 woke middle of night left arm/shoulder in pain. By 4/5/03 all joints in body hurt (legs, back, both arms, etc). Saw physician 4/7/03, prescribed Vioxx.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: 12 days post immunization, red, non-pruritic rash, patchy 4-5mm irregular papules with confluence at torso, cheeks. Cleared in 48 hours with steroids and Zyrtec.
Age: 55.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Oedema
Clinical narrative: Approximately 2 weeks after receiving Rubella vaccine developed edema of arms and legs and aching joints all over. Tx by personal physician 4/21/03 with Kenalog IM and Medrol dose pack. Pt reports complete resolution of symptoms.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Pyrexia
Clinical narrative: Pt had knot on right thigh. Started fever on 4/30/03. Told Pt's mom to give Benadryl and Tylenol.
Age: 5.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Cellulitis, Injection site mass, Injection site pain, Injection site rash, Injection site reaction
Clinical narrative: Redness, soreness of injection site 1 day after vaccination, subsided with ice packs but then developed into a cellulitis 5-6 inches in diameter. Pt took Amoxillin 7 days (3/20-3/27). 4/21/03 small bump remains at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Large area of edema and erythema 6 cm x 7cm in right deltoid (14 days post immunization). Very warm to touch. Actual induration 1.5 cm round area - one for DTaP, one for Hep A. Suspect local Rxn to DTaP. We're reporting it due to the large size of erythema and edema - covers most of this child's right deltoid (initial swelling was 3.5" x 2.5").
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Body temperature increased, Headache, Injection site inflammation, Injection site oedema, Tenderness
Clinical narrative: Inflammation and edema - 5 x 6 cm  with mild axillary lymph nodes. Temp 100 degrees. Tender to palpation and increased color. There's a small abrasion to the same shoulder 2 cm distal to injection site - no local erythema at injection site. Cannot rule out cellulitis  2 degrees abrasion.  Rx: Cephalexia.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Upper limb swelling and erythema; possible cellulitis also.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Generalized pruritic rash affecting torso, scalp, limbs.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: He got immunizations on 4/24/03 10:30 AM. Mother noticed redness, swelling at 7:30 PM same day. Swelling has gotten worse on 4/25/03. Swelling, redness, fever noted on left upper anterior and lateral thigh.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Eye swelling, Rash, Urticaria, Wheezing
Clinical narrative: Ears red, welts all over body, red rash on back and torso, face red rash, eyes swollen, and began wheezing. Taken to ER - given Benadryl and steroids.
Age: 11.0
Sex: M
Vaccine: HEP, IPV, TD, VARCEL
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Came into Peds ER with complaints of can't breathe and itching. Placed in Crisis Room. Epi 1:1000 given Benadryl and Solumediol. Pt discharged to home after 3 hour observation.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness at site of vaccine on left thigh the evening post vaccination (4/28/03). Redness enlarged over next 48 hours. Seen at office on 05/01/03. Area of redness coveres 17 x 15cm with minimal tenderness.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Leukopenia, Pyrexia, Rash, Thrombocytopenia
Clinical narrative: Fever, leukopenia, thrombocytopenia, rash (measles-like) - erupted in that order (about 3 days after vaccine administration).
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Pt presents with morbiliform rash over face, trunk, arms and legs. Fever off/on for 2 days.
Age: 0.75
Sex: F
Vaccine: HEP, PPV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Pt developed fever to 104 approx. 12 hours after vaccines, no other symptom of infection. Had febrile seizure, about 3 minutes duration. Seen at ER, exam normal, CBC and urinalysis normal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: 2 1/4" x 1 3/4" raised red lesion (wheal+flare) at injection site of MMR and DTaP.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Got varicella on 4/30/03 seen in the dr's office.
Age: 4.0
Sex: M
Vaccine: HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Pruritus
Clinical narrative: Erythema and induration 20cm area around DTaP injection site. Erythema and pruritis entire L upper arm, low chest, back approx. 45cm diameter.
Age: 17.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Enlarging area of redness, swelling and tenderness (3" x 4" on L arm) lasting 4 days.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Mild case of varicella. Contracted through school exposure. 2 weeks later sibling become quite ill. Both had received immuniz. from same lot of vaccine.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: Severe case of varicella, with lesions in conjunctive and pharynx. Lasted 10 days with school absences.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: DTaP Lt delt IM red/swollen 10x10cm, itchy warm to touch, non tender 24 hours after injection.  TX Tylenol, Benadryl.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness in thigh right resolved with Benadryl.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Fever next day: not measured. Five maculo papular rash 5d later. Pt generally well and asymptomatic.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: 4/28, 4/29 fever, nl exam. 4/30 diarrhea.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling erythema warmth at shot site 1.5cm x 3.5cm at L upper arm. Keflex 200/5 1 tsp BID x 5d.
Age: 4.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: R arm swelling/erythema, tenderness, upper arm circumf x 2cm.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, MMR, VARCEL
Symptoms: Parotitis, Urticaria
Clinical narrative: Parotitis onset 4/28/03, urticaria onset 4/29/03.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Lg local reaction, starting 4/26. When seen by me, 4/28 had erythema, induration measuring 12x9cm approximately 3/4 circumference on upper arm suspect cellulitis, treated with Abx.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Induration and erythema, erythema at DTaP injection site 9x8cm non-tender no lymphadenitis.
Age: 14.0
Sex: F
Vaccine: DT
Symptoms: Cellulitis, Increased appetite, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Pt developed typical post injection soreness in R deltoid followed by redness and warmth on 4/19/03 then swelling on 4/22/03. Denied fever, nausea/vomiting, SOB, CP, throat tightness, hives, joint pain. Felt malaise, increase appetite. F/U office exam 4/23/03 as below. Tx for cellulitis initiated with Keflex 250mg qid x 10d, NSAID, ice. (+) for 6.5cm x 7.5cm erythematous R deltoid region patch with ? tenderness, induration, thickening around injection site.
Age: 14.0
Sex: F
Vaccine: DT
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Pt developed typical post injection soreness in R deltoid followed by redness and warmth on 4/19/03 then swelling on 4/22/03. Denied fever, nausea/vomiting, SOB, CP, throat tightness, hives, joint pain. Felt malaise, increase appetite. F/U office exam 4/23/03 as below. Tx for cellulitis initiated with Keflex 250mg qid x 10d, NSAID, ice. (+) for 6.5cm x 7.5cm erythematous R deltoid region patch with ? tenderness, induration, thickening around injection site.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Injection site pain x one day then resolved. Five days after vaccination c/o severe Lt shoulder pain, decreased ROM, no ?, no redness, no swelling, no pain on palpation. ROM decreased to 15 deg (pt allergitic ASA/Ibuprofen). Tx Tylenol 1000mg q 6/ heat/ ice. Not as of 4/30/03, but sx improved.
Age: 1.7
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness Lt thigh, 4 1/2" x 4" Benadryl, cool compresses seen in office 4/29/03.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Large area of redness, warmth, pain below the vaccine administration site, started 4-6 hrs after vaccination. On exam, 5"x4" local warmth, tenderness and induration lateral outer arm R.
Age: 5.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Swelling
Clinical narrative: Swelling and redness on site of injection.  Prescribed reflex by mouth 1 teaspoon +10 x 10 days.
Age: 1.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC
Symptoms: Irritability, Rash erythematous
Clinical narrative: Approximately one hour after receiving vaccines, baby developed a red bumpy rash to arms, legs and face.  No loss of appetite, but was fussy.  Benedryl was administered.
Age: 11.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Fall, Syncope
Clinical narrative: 2-3 minutes after the vaccination had syncopy, fell the the ground, woke up in 5-10 seconds.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu-like symptoms 2 days following Hep B vaccination.  Fever, body aches & headache, slight shortness of breath.  No rash.  Went to emergency room 3 days after where chest x-ray was normal.  Treated with Ibuprofen, Tylenol, Benadryl and vicodin (which helped).
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Urticaria (generalized) occurred 2 days after vaccine and persisted x >12 days.
Age: 14.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Pruritus, Pyrexia, Skin ulcer
Clinical narrative: Vaccine admin. on 04/30/2003-present to ER on 05/04/2003 after so. lesions - mainly face, head and trunk-a few on legs and arms, slight fever, very itchy.
Age: 1.3
Sex: M
Vaccine: DTAP, HEP
Symptoms: Oedema
Clinical narrative: Left leg had edema.  3x normal, whole leg hip to toe.  Treatment:  Tylenol, Benadryl, ice
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Urticaria
Clinical narrative: Hives at and around the injection site of each vaccination 24 hrs. after vaccination.  No treatment denies fever or difficulty breathing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Received vaccines around 12:00pm 03/26/2003.  Began itching at 1:30pm.  At 3:30pm area began to swell, turn red, acquire warmth.  Raised to size of a grapefruit.  Left outer thigh.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Mom states with last immunizations, child broke out in hives 1-2 hrs after shots (lasted for 1 1/2 days); gave Benedryl--did not take to doctor.
Age: 2.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot, Injection site induration, Oedema, Pyrexia
Clinical narrative: Left lateral upper leg developed redness, edema on 2nd day.  Area was warm to touch et "firm" approximately 3x3in.  child was not ever known to run a fever in past 2 days.  Temp 97.8 today et child is playing et using leg normally.  Leg is reddened and firm yet today.  R VL is ok.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Erythema, Vomiting
Clinical narrative: Patient vomited in car and one ear became red.  He then experinced increased work of breathing and was brought back into the clinic where his room air oxygen satuation was 100%.  He was given Benadryl with improvement of breathing and did become red in color all over and remained playful.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Abdominal pain, Diarrhoea, Haematochezia
Clinical narrative: Smallpox Vaccine given on 04/01/2003. About 12-14 hours later, devedloped diarrhoea and stomach cramps with diarrhoea and bloody stools. No other symptoms.
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Blister, Dermatitis bullous, Rash
Clinical narrative: Pt is health dept employee. Received SP vaccine on 04/15/2003. On 04/30/2003 she noticed an itchy rash on her trunk/extremities. On exam there is a macular papular rash. No fluid filled vesicles. Observing for now.
Age: 49.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash, Rash maculo-papular
Clinical narrative: Pt is health dept employee. Received SP vaccine on 04/15/2003. On 04/30/2003 she noticed an itchy rash on her trunk/extremities. On exam there is a macular papular rash. No fluid filled vesicles. Observing for now.
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Cardio-respiratory arrest, Cardiomyopathy, Eye disorder, Myocardial fibrosis
Clinical narrative: Infant brought to ER 04/08/2003 in cardio-pulmonary arrest at 0039. Resuscitation attempted per DR but was unsuccessful. The autopsy report received on 1/28/04 states cardiomyopathy, and subendocardial fibroelastisis. The hospital discharge summary received on 1/28/04 states cranky and eye deviation.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Fatigue, Headache, Vertigo
Clinical narrative: Information has been received from a physician concerning his 16-year-old daughter who on 03/31/2001 in the afternoon was vaccinated with 0.5mL dose of hepatitis A virus vaccine inactivated (Lot #634931-0913K). On 04/02/2001 the patient woke up with complaints of a severe headache, vertigo, and fatigue. It was noted that "she was seen by many doctors including neurologists", and they "tried many medications". CT and MRI were normal. "Later" a spinal tap was done which was normal. The reporter indicated that the symptoms were better after 2 weeks but recurred again and again. The reporter noted that "she could not function she could not go to school". It was noted that she did go to school for a few days, but then developed severe dizziness again. The physician indicated at the time of the report that she was "not getting any better". The physician indicated that "she has been homebound and can not even graduate from high school. She used to be top five percent student in the class now she is disable". Additional information has been requested. Received on 06/11/2003: "Follow up information received from a physician indicated that on 04/02/2003 at 06:00, when the patient woke up, she had severe vertigo, dizziness, and headache.  It was noted that she was unable to go to school.  Her symptoms persisted for 2 weeks, and the patient slept extensively for about 20 hours per day.  The reporter indicated that "after that she was better but dizziness and headache recurred a lot during the past 2 years".  It was noted that the patient has been unable to attend school.  The outcome is not recovered.  Follow up information was received from a physician, the parent of the patient, which indicated that currently the patient still has chronic dizziness, headache, fatigue. She still needs to sleep 10-14 hours/day. She still has poor concentration. She has not been able to attend school during the past two and one half years, she used to be in the top 2% of students in her class. The physician also noted that, headache, and dizziness persisted or recurrent for two months. Missed school the rest of the semester. She got better after 2 months, but could no longer function at school. Poor memory. Poor concentration. There were no adverse events following prior vaccinations of the patient or her siblings.  The reporter indicated that the patient's symptoms were considered to be disabling.  Additional information is expected."
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Information has been received from a physician concerning a 12 month old male with an egg allergy, questionable, dairy allergy, and no pertinent past medical history who was vaccinated with a dose of varicella virus vaccine (lot 644032/1059M). It was noted that the child received no other vaccinations that day, At the time of vaccination, the child had a mild upper respiratory infection with symptoms including a clear runny nose and a mild cough which was not being treated with any medication. The day after vaccination, the child went to day care in the morning, and the day care called the child's mother to inform her that the child was having difficulty. The child had a fever and the mild upper respiratory infection developed into severe respiratory distress. The pt was admitted to the pediatric intensive care unit and was intubated for apprx. 36 hours. No signs of an allergic reaction such as rash, urticaria, anaphylaxis, hives, or stridor were noted. A chest X-ray was within limits and showed no pneumonia, pneumonitis, or effusion. Laboratory tests showed no infection. The fever that had originally occurred with the worsening of the upper respiratory infection defervesced over a few days. The pt was hospitalized for three days. The reporter indicated that the intensivist thought the respiratory distress was of viral etiology, however, the parents questioned whether it was a reaction to the vaccine or as a result of the egg allergy. The reporter noted that he was unsure of the cause of the severe respiratory distress and fever. It was indicated that the child completely recovered from the events. Additional information has been requested.  A 15-day follow up report received 08/07/2003 adds: Follow-up info was received from the physician which indicated that on 04/13/2003, the day prior to vaccination, the pt had "very mild upper respiratory signs and symptoms." On 04/15/2002 the pt presented with respiratory distress and diffuse wheezing and was admitted to the intensive care unit. The pt received ventilatory support for 24 hours. A chest X-ray was negative and viral cultures were pending. The event resolved over 72 hours and it was noted that the pt recovered on 04/19/2003. No further info is expected.
Age: 2.0
Sex: M
Vaccine: MEA
Symptoms: Intestinal obstruction, Intussusception
Clinical narrative: Received Measles vaccine that AM. Was in he ER that evening with an intussception.