chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL, DTAP, HEP, MMR, VARCEL
Symptoms: Convulsion, Dyskinesia, Pyrexia, Upper respiratory tract infection
Clinical narrative: Began running temp 7/29/02 up to 103.6. Went to ER and given antibiotics for UTI-urine was not tested. On 8/1/02 child started having jerking movements and was admitted to hospital. During hospital stay child had three seizures lasting from 5-20 minutes. D/ced 8/5/02 child remains in weakened state with Ativan and Phenobarb used for tx.
Age: 21.0
Sex: M
Vaccine: MEN, TYP
Symptoms: Mental disorder, Nervousness, Nightmare, Panic reaction, Paranoia
Clinical narrative: Information has been received at manufacturer on 9/12/02 concerning a 21 year old male pt who was administered with a dose of Menomune and typhoid vaccine on 7/23/02 at a clinic. No lot numbers were reported. Manufacturer for the typhoid vaccine was unknown. Pt reportedly became hyper, nervous, had severe nightmares, paranoia, and panic attacks on 7/29/02. Pt has history of using Risperdal and Accutane. On 9/4/02, pt was admitted to the hospital where he remains for 4-6 weeks of treatment due to an inflamed thyroid and definite psychological problems. The reporter, pt's mother, believes that a combination of the medication pt's on and the vaccine together caused the problems. Additional info received from reporter on 9/17/02: The typhoid vaccine received by pt was Typhim VI (lot number UB211AA). From telephone contact to physician's office on 9/18/02: Office nurse was unable to confirm any information regarding this pt, pt unknown to them. Also see report U2002-00738. From additional info received on 9/29/03, from a registered nurse, it was reported that the pt received Menomune, lot UB2111AA, given SC in the left deltoid and Typhim IV, number U1157-2, given IM in the left deltoid. The lot number for Menomune was previously reported as the lot number for Typhim VI; however, the reporter confirmed that the lot numbers are correct as indicated in this follow up. The reporter called back later that same day and provided the physician's name and contact info. She also reported that the pt had recovered. Adverse event coding was updated.  Follow up on 11/25/2003: "Internal memo on 11/17/2003: it was reported that numerous attempts to obtain additional information for this case have been unsuccessful.  No further information is anticipated, this case is considered closed."
Age: 21.0
Sex: M
Vaccine: MEN, TYP
Symptoms: Psychomotor hyperactivity, Thyroid disorder
Clinical narrative: Information has been received at manufacturer on 9/12/02 concerning a 21 year old male pt who was administered with a dose of Menomune and typhoid vaccine on 7/23/02 at a clinic. No lot numbers were reported. Manufacturer for the typhoid vaccine was unknown. Pt reportedly became hyper, nervous, had severe nightmares, paranoia, and panic attacks on 7/29/02. Pt has history of using Risperdal and Accutane. On 9/4/02, pt was admitted to the hospital where he remains for 4-6 weeks of treatment due to an inflamed thyroid and definite psychological problems. The reporter, pt's mother, believes that a combination of the medication pt's on and the vaccine together caused the problems. Additional info received from reporter on 9/17/02: The typhoid vaccine received by pt was Typhim VI (lot number UB211AA). From telephone contact to physician's office on 9/18/02: Office nurse was unable to confirm any information regarding this pt, pt unknown to them. Also see report U2002-00738. From additional info received on 9/29/03, from a registered nurse, it was reported that the pt received Menomune, lot UB2111AA, given SC in the left deltoid and Typhim IV, number U1157-2, given IM in the left deltoid. The lot number for Menomune was previously reported as the lot number for Typhim VI; however, the reporter confirmed that the lot numbers are correct as indicated in this follow up. The reporter called back later that same day and provided the physician's name and contact info. She also reported that the pt had recovered. Adverse event coding was updated.  Follow up on 11/25/2003: "Internal memo on 11/17/2003: it was reported that numerous attempts to obtain additional information for this case have been unsuccessful.  No further information is anticipated, this case is considered closed."
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Deafness, Infection, Meningitis, Neurodevelopmental disorder
Clinical narrative: Administered Hib vaccine and developed Pneumococcal meningitis approximately 20 hours later. Admitted to ER, transferred to ICU. Currently still being treated. Also diagnosed with OM, URI, and a seizure. 60 day follow up states the patient is believed to be deaf and has limited eyesight. The patient is also having motor skill complications and still suffers from seizures. An annual follow up report received 10/20/2003 adds: Pt has since died. Information and records to follow.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Otitis media
Clinical narrative: Administered Hib vaccine and developed Pneumococcal meningitis approximately 20 hours later. Admitted to ER, transferred to ICU. Currently still being treated. Also diagnosed with OM, URI, and a seizure. 60 day follow up states the patient is believed to be deaf and has limited eyesight. The patient is also having motor skill complications and still suffers from seizures. An annual follow up report received 10/20/2003 adds: Pt has since died. Information and records to follow.
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Chest pain, Insomnia, Memory impairment, Pain
Clinical narrative: Pain in hips and legs worse at night. Have cut work hours to help. Pain in other parts like chest, head, and arms and ankles. No pain medication helps. insomnia- difficult to get deep sleep. Memory loss.  60 day follow up states: No pt has not recovered from adverse events. Still have difficulty sleeping due to pain in hips and legs. Have had to reduce activity and work hours due to pain.
Age: 15.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Abnormal behaviour, Abscess, Arthralgia, Arthritis, Asthenia
Clinical narrative: Severe migranes, development delay, joint pain, weakness in around and legs, insomnia, was A-B student, now F student, decrease I.Q. scroing. Per 60 day follow up: it is unknown if pt recovered. Father called, pt has multiple behavioral and physical problems which father states are vaccine related. This is all I know-I've never seen either father nor son. We are not the primary health care provoder. The 60 day follow up received on 5/29/03 states chronic fatigue, headache, unequal coordination, irritability, dizziness diagnosed with PDD arthritis-joint pain, lump on neck lasted over one year. Requires 24/7 supervision. Home schooling now since 2-03.  Arthritis.  Annual follow up on 04/21/04: "Pt has not recovered from adverse events.  Still suffers from PDD, back at 2nd and 3rd grade work despite being in 10th grade.  Headaches continue without treatment."
Age: 15.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Condition aggravated, Coordination abnormal, Dizziness, Fatigue, Insomnia
Clinical narrative: Severe migranes, development delay, joint pain, weakness in around and legs, insomnia, was A-B student, now F student, decrease I.Q. scroing. Per 60 day follow up: it is unknown if pt recovered. Father called, pt has multiple behavioral and physical problems which father states are vaccine related. This is all I know-I've never seen either father nor son. We are not the primary health care provoder. The 60 day follow up received on 5/29/03 states chronic fatigue, headache, unequal coordination, irritability, dizziness diagnosed with PDD arthritis-joint pain, lump on neck lasted over one year. Requires 24/7 supervision. Home schooling now since 2-03.  Arthritis.  Annual follow up on 04/21/04: "Pt has not recovered from adverse events.  Still suffers from PDD, back at 2nd and 3rd grade work despite being in 10th grade.  Headaches continue without treatment."
Age: 15.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Irritability, Mental retardation severity unspecified, Migraine, Neurodevelopmental disorder
Clinical narrative: Severe migranes, development delay, joint pain, weakness in around and legs, insomnia, was A-B student, now F student, decrease I.Q. scroing. Per 60 day follow up: it is unknown if pt recovered. Father called, pt has multiple behavioral and physical problems which father states are vaccine related. This is all I know-I've never seen either father nor son. We are not the primary health care provoder. The 60 day follow up received on 5/29/03 states chronic fatigue, headache, unequal coordination, irritability, dizziness diagnosed with PDD arthritis-joint pain, lump on neck lasted over one year. Requires 24/7 supervision. Home schooling now since 2-03.  Arthritis.  Annual follow up on 04/21/04: "Pt has not recovered from adverse events.  Still suffers from PDD, back at 2nd and 3rd grade work despite being in 10th grade.  Headaches continue without treatment."
Age: 0.8
Sex: M
Vaccine: PNC
Symptoms: Rash
Clinical narrative: 8:10 am mother called, stated child broke out in a rash all over except on his arms and legs last night. Rash is red and still present. Was treated x 1wk ago for a cold-off meds a week now. Had 3rd PCV7 vaccine yesterday. Mother denies any other problems other then rash. EM her to call her pediatrician and speak to his nurse about rash. Not on any medicine at present.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Coma, Convulsion, Pyrexia
Clinical narrative: Received vaccine 8/22/02. On 8/23, 102 axillary. Couldn't get down post meds given. To ER. Treated with Tylenol-decrease 102.4 sent home 8/24/02-decrease urination, lifeless-"wouldn't respond", received IV therapy, test. had seizure in care before getting to hospital. Released with diagnosis. To see MD advised. 8/26/02-mom noticed top of scalp retraction. Went to children's outpatient-told "didn't know what was wrong," "wasn't dehydrated." Again advised to watch and f/u with private MD. 2 days later retraction appeared worsening-talked with MD's staff and advised to go to ER. MD at ER acknowledge retraction, CXR only told didn't know-see MD within 2 wks. 4 days later saw MD problem resolved. MD not concerned. NO further f/u advised. Per mm everything same as before. No effects noticed.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Mom stated she noticed pt's L arm starting to get red and swollen on 7/31/02. Pt felt warm to touch, but no temp. taken. When pt came for skin test recording on 8/1/02, pt's upper L arm was red, swollen, and hot to touch. Appt. was offered have to get evaluated by MD, but pt has assigned PMO.
Age: 1.75
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Injection site vesicles
Clinical narrative: Local reaction on site of injection. L thigh appears swollen, with a red blister like lesion. Redness around blister. Mother reports no pain, no fever, reaction appeared 1 wk post vaccine.
Age: 13.0
Sex: M
Vaccine: HEP, HEPA, MMR
Symptoms: Dizziness, Fall
Clinical narrative: Pt felt dizzy and fell on the carpet. Sustained no injury pt stated feeling better after few minutes and was sent home with his other after nurse practitioner assessment. Advised to seek medical care if any further symptoms appear.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: L deltoid with 4" reddened area-swollen-warm to touch- mom has been giving Tylenol.
Age: 4.2
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Probable local reaction to MMR, Hep A? IPV? R arm swollen, hot to touch. Meds Atarax, Keflex.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever-102.7 9/13/02, 101.7 9/14/02. Irritable, no rashes.
Age: 51.0
Sex: F
Vaccine: HEP, TD
Symptoms: Arthralgia, Asthenia, Chills, Headache, Pyrexia
Clinical narrative: Had Td and Hep B #2 at 4:30pm 8/20/02. Began s/s at 8am 8/21/02 of fever 102, chills, joint pain, headache, weak.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Rash
Clinical narrative: Rash essentially on all parts of the body except chest and back. Redness of areas as well as red bumps, has rash over on both sides of hands, feet, legs, face, neck, etc.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Pt stated had HBV #1 on 6/27/02. Then developed circular hives on L arm above elbow size of nickel x 2 size of dime on R elbow and x 1 size of nickel on R forearm, itching pinkish red in color. Seen at clinic on 7/2/02 by a health provider does not able to determine the reason for hive and prescribed 1% H C TID, without relief. No other sx. Advised to follow up with his MD. 8/28/02 several attempts to contact client to follow-up status has been unsuccessful. Letter sent 9/3/02.
Age: 3.25
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: 6:30pm mom noticed "red bumps" concerned about chicken pox (no known exposure). Seen at Ped clinic at 7p,. Dx allergic reaction probably to one of vac. Prescribed oral Benadryl-1st dose . 8:30pm and 2nd dose 9/10/02. 8am phoned clinic 10am. No improvement-referred.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: TC from mother. States pt felt tired post vaccines of 8/14/02 and c/o R arm soreness. At 5am felt hot was given Motrin. Temp taken about 3 pm oral 100.4.  Pt reported to mom body feels hot inside. Mother stated had sinus infection completed antibiotics one week ago. Mother advised could possibly be reaction to Hep B. Would be a good idea to consult with PMD. R arm soreness subsided had temp x 2 days and subsided. Back to normal.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Hypokinesia, Musculoskeletal discomfort, Pain
Clinical narrative: On Monday 8/19/02 R thoracic area back discomfort worse if bends down or twists from side to side. Client reports less discomfort today 8/20/02. 8/22/02 TC to client x 3 follow up-not home. 8/26/02 TC pt's residence states pt moved back and was carrying boxes to the 7th floor without difficulty and without complaints of pain.
Age: 2.2
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Discomfort, Injection site oedema, Injection site warmth, Skin discolouration
Clinical narrative: 24 hours after immunization child developed area of heat/swelling and discoloration left shoulder. Mild discomfort, denies fever. Child playing and using arm. Rec. acetaminophen; cool compress. Marked discolored area with pin. to call MD for increase skin swelling, heat and or hardness. 8/16 swelling down; discolored area doubled 4 1/2" verticle; cercles arm. Child playing and using arm; warm to touch; seems to have mild discomfort. Mother to continue to monitor. 8/18 resolved.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Listless, Pyrexia, Rash
Clinical narrative: Taken to ER about 11pm due to sx of 102 temp, listless, very warm skin, very red rash starting at abd and spreading to entire body. Mom states "pimple like not hives." Given Benadryl injection discharged after 5hrs with fading rash and gone in am. ER phys noted some wheezing.
Age: 1.2
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: Taken to ER about 11pm due to sx of 102 temp, listless, very warm skin, very red rash starting at abd and spreading to entire body. Mom states "pimple like not hives." Given Benadryl injection discharged after 5hrs with fading rash and gone in am. ER phys noted some wheezing.
Age: 2.3
Sex: F
Vaccine: DTAP
Symptoms: Hypersensitivity, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Mom states arm red swollen with hard knot in center states she took child to ER and MD told her it was allergic reaction to DTaP and that forms needed filing.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Hypersensitivity, Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site oedema
Clinical narrative: L arm sore after receiving hep B on 9/17/02. By the next day 9/18 had increase soreness and by 9/19 in the am, his arm was red, inflamed swollen and itchy. Taken to family physician on 9/19/02 who reportedly diagnosed allergic reaction and started antibiotic (Keflex) for low grade fever 99.2.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Injection site pain, Pruritus, Pyrexia
Clinical narrative: L arm sore after receiving hep B on 9/17/02. By the next day 9/18 had increase soreness and by 9/19 in the am, his arm was red, inflamed swollen and itchy. Taken to family physician on 9/19/02 who reportedly diagnosed allergic reaction and started antibiotic (Keflex) for low grade fever 99.2.
Age: 1.0
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Developed raised-hard area at injection site. Felt warm to touch-much improved today.
Age: 12.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Alopecia areata
Clinical narrative: Alopecia areata after hepatitis B.
Age: 2.3
Sex: M
Vaccine: DTAP, HEP
Symptoms: Injection site oedema, Pruritus, Rash
Clinical narrative: 8/3/02 pt R arm was swollen from shoulder to elbow. Rash noted. Mom c/o child itching. Mom called hospital. Pt given Keflex and Benadryl. Pt's arm was fine by 8/7/02.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site oedema, Pruritus, Rash
Clinical narrative: 8/10/02 pt Rt arm was swollen from shoulder to elbow. Rash noted. Grandmother c/o child itching. Pt  taken to hospital. Pt given Keflex and Beandryl. Child is better still slightly swollen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: 9/19/02 mom called and spoke with PHN states child's L arm swollen, itchy starting this am. PHN-mom to contact phys. 9/20/02 called states she took child to clinic as redness from L elbow to L shoulder area, swollen and defined red edges; warm to touch; child was started on po Keflex po tid. Mom states child c/o extreme itching with soreness of L arm.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Herpes zoster, Pelvic pain, Synovitis, Viral infection
Clinical narrative: 9/8-9/13/02: pain in R hip (unable to walk), patches-pustules upper half of R leg. Dx: toxic synovitis hip; shingles. Motrin and Tylenol, Depakote. Follow up information received 10/10/02 fromthe reporter states "The Mass Dept of Public Health said after this report was filed that it should not have been considered an adverse vaccine event, even though they stat4ed that initially".
Age: 2.08
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Raised red rash on cheeks and upper anterior legs and fever 2 days following vaccination and parent report rash getting worse. Advised to go to MD for eval.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right arm was red-swollen per mom 9/23/02 and felt very hot. See in medical center ER. Treated with antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and erythema of entire upper leg.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red spot on leg 2.0 inch by 3.0 inch pink and slightly raised. Warm to touch, not tender.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Viral infection
Clinical narrative: 7/9/02 positive zoster. Clustered (oval erythematous based vesicular lesions ~ 2x5cm ). Varivax given 11/12/98.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Infection, Pruritus, Pyrexia
Clinical narrative: Positive varicella-presented 6/26/02 with fever, rash, multiple erythematous based vesicular all over, itchy. Sx's resolved 1 wk.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: DTaP given on L thigh on 9/16/02. Redness and induration 8cm x 3.5cm.
Age: 1.5
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash- started 09/20/02 am, Rash than spread to trunk, No cough, No fever, No nausea, No vomiting,Benadryl 1/4 tsp qid
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Probable chicken pox started Sunday 9/22/02. Fever started Sunday. 300 pox present. Rx oatmeal bath.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: 2.4 hours after immunization, induration to size of egg with pain. 9/25 left upper extremities erythema poorly demarcated, tender. Rx Benadryl and Tylenol and ice.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Discomfort, Erythema, Oedema
Clinical narrative: Recieved Hep B #3 on 9-24-02 late afternoon.  Redness, swelling (shoulder to elbow), 1st noted around 3 AM on 9-25-02. C/O discomfort locally (R arm)
Age: 0.2
Sex: F
Vaccine: DTAP, IPV
Symptoms: Arthralgia, Asthenia, Crying, Insomnia, Lethargy
Clinical narrative: My very strong baby, became weak. less alert, refused to nurse, wailed for three days straight, hardly slept, suffered from joint pain, was inconsolible, needed chiropractic adjustments as her body went out of alignment following the shots, didn't run a fever, but acted sick and lethargic.  Called the Dr's office and they told me to take the baby to the ER.  The ER dr and nurse said I didn't know how much she was eating or not eating because I was breast feeding.  The ER dr said that her reaction was normal to the shots and that she should feel better in a day or so.  It took her two months to start nursing regularly and on the left side.
Age: 0.2
Sex: F
Vaccine: DTAP, IPV
Symptoms: Oral intake reduced, Screaming
Clinical narrative: My very strong baby, became weak. less alert, refused to nurse, wailed for three days straight, hardly slept, suffered from joint pain, was inconsolible, needed chiropractic adjustments as her body went out of alignment following the shots, didn't run a fever, but acted sick and lethargic.  Called the Dr's office and they told me to take the baby to the ER.  The ER dr and nurse said I didn't know how much she was eating or not eating because I was breast feeding.  The ER dr said that her reaction was normal to the shots and that she should feel better in a day or so.  It took her two months to start nursing regularly and on the left side.
Age: 1.94
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema
Clinical narrative: Pt developed 18 by 12.5 cm area of erythema that was present along with significant swelling of the upper thigh and warmth.  Pt diagnosed with cellulitis and treated with oral antibiotics.
Age: 24.0
Sex: M
Vaccine: HEP, TYP, YF
Symptoms: Asthenia, Dry mouth, Hyperventilation, Nausea, Pain
Clinical narrative: It was reported that a 24 year old male patient received a Typhim IV, Yellow Fever and a Hepatitis Avaccination on 03/15/01 in the morning. Approximately two hours after vaccination, the patient developed nausea, fatigue, soreness of the left arms and reportedly decreased LOL (left occipitolateral), increased respiratory rate, slight rash and dry mouth. The left arm soreness was primarily at the elbow. Reportedly the patient recovered recovered from this experience.
Age: 24.0
Sex: M
Vaccine: HEP, TYP, YF
Symptoms: Rash
Clinical narrative: It was reported that a 24 year old male patient received a Typhim IV, Yellow Fever and a Hepatitis Avaccination on 03/15/01 in the morning. Approximately two hours after vaccination, the patient developed nausea, fatigue, soreness of the left arms and reportedly decreased LOL (left occipitolateral), increased respiratory rate, slight rash and dry mouth. The left arm soreness was primarily at the elbow. Reportedly the patient recovered recovered from this experience.
Age: 57.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Rash
Clinical narrative: It was reported that a 57 year old female patient received a Typhim VI and Hepatitis A (Smithkline) vaccination on 05/03/01. Reportedly that same day the patient developed rash, fever off and on up to 102 deg F, nausea, vomiting, diarrhea, joint pain and muscle aches. A physician did not evaluate the patient. From mailed correspondence received , it was reported that the patient recovered from this experience. Additonal patient, vaccine, responsible, physician and vaccine administrator information was provided. This case is closed.
Age: 57.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Vomiting
Clinical narrative: It was reported that a 57 year old female patient received a Typhim VI and Hepatitis A (Smithkline) vaccination on 05/03/01. Reportedly that same day the patient developed rash, fever off and on up to 102 deg F, nausea, vomiting, diarrhea, joint pain and muscle aches. A physician did not evaluate the patient. From mailed correspondence received , it was reported that the patient recovered from this experience. Additonal patient, vaccine, responsible, physician and vaccine administrator information was provided. This case is closed.
Age: 51.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Headache, Pruritus, Syncope, Visual disturbance
Clinical narrative: It was reported that a 51 year old female patient received a Typhim VI, a hepatitis A (SmithKline) and a Hepatitis B (SmithKline) vaccination on 05/04/01. Reportedly the same day, the patient developed vasovagal reaction resulting in blurred vision and headache. itchiness of the skin, no rash. A physician did not evaluate the patient at the time. Unknown if medical treatment was sought. From mailed correspondence received on 06/19/01, it was stated that the patient recovered from this experience. Additional patient, vaccine, responsible physician and vaccine administrator information was provided. This case is closed.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 07/26/02, it was reported that a 14 month old male patient received Daptacel (lot #C0725AA, administered IM in the right lateral thigh) Act-Hib (lot # UA666AA, administered IM in the left lateral thigh) MMRII (lot # 1545L, administered SC in the left arm) and VZV ( lot #0289M, administered SC in the right arm) vaccinations on 07/23/02 at 5:45 pm. On 07/24/02 at 12 pm, the patient's right thigh became red and swollen from top of leg to knee and around to back of his leg. The patient did not develop a fever, the thigh was not tender and he walked okay. Treatment of applying ice, give Benadryl and ibuprofen was advised. the patient reportedly recovered from this experience. Linked cases U2002-00597, U2000200600 & U200200601
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From faxed correspondence on 07/30/02, it was reported that a 4year old male patient received Daptacel (lot # C0725AA, administered IM in the left deltoid), IPOL (lot # U0823, administered SC in the left arm), MMR-II, administered SC in the right arm) and Hepatitis A (administered IM in the right deltoid) vacccinations on 07/24/02 at 12;20 pm. on 07/25/02 at 9 pm, The patient's upper left arm became red, swollen and warm, area measuring 142mm X 125 mm. The area was not tender; patient did not develop a fever. Treatment of cold compresses, Benadryl and Tylenol was advised. Doctor opted to treat with Keflex for 5 days due to symptoms. The patient reportedly recovered from this experience.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: From faxed correspondence on 07/30/02, it was reported that a 4year old male patient received Daptacel (lot # C0725AA, administered IM in the left deltoid), IPOL (lot # U0823, administered SC in the left arm), MMR-II, administered SC in the right arm) and Hepatitis A (administered IM in the right deltoid) vacccinations on 07/24/02 at 12;20 pm. on 07/25/02 at 9 pm, The patient's upper left arm became red, swollen and warm, area measuring 142mm X 125 mm. The area was not tender; patient did not develop a fever. Treatment of cold compresses, Benadryl and Tylenol was advised. Doctor opted to treat with Keflex for 5 days due to symptoms. The patient reportedly recovered from this experience.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Bacterial infection, Dyspnoea, Pneumonia, Pneumonia aspiration, Pyrexia
Clinical narrative: A medical student reported that an 11 month old female received a 3rd dose of Prevnar vaccine, Haemophilus B conjugate vaccine, Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine absorbed, Hepatitis B vaccine, and Poliomyelitis vaccine inactivated on 4/23/02, when she was 6 months old. Medical history includes seasonal allergies and allergy to carrots. On approximately 9/12/02, the patient developed a fever of 102 degrees with resolved with acetaminophen. Four days later, the patient developed "breathing difficulty". The primary care physician referred her to the ER and she was admitted to the hospital on 9/18/02. She was diagnosed with empyema and pneumonia. She was treated with antibiotics (not specified) and chest x-ray were performed (results not specified). A Thoracentesis produced fluid with pus but not good drainage(10cc). Strep pneumonia was isolated from the blood culture that was sensitive to oxacillin. The patient underwent VATS (video assisted thoraic surgery) on 9/19/02 to drain the remainder of the fluid. On 09/24/02, the patient was diacharged to home. She was seen by a physician on 09/30/02 and doing well. No additional information was avaiable as of the date of this report. No additional information was available as of the date of this report.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Abnormal behaviour, Anorexia, Aphasia, Dementia, Difficulty in walking
Clinical narrative: Lot of sleepiness. Cannot walk. Haven't say a word in 6 days, doesn't et, doesn't play. Cant's hold up his head nor can he swallow.  Diagnosed with encephalopathy nos. 60 day follow-up states patient was diagnosed with developmental delay. He has brain damage in the Basal Ganglio.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Dysphagia, Neurodevelopmental disorder, Somnolence, Torticollis
Clinical narrative: Lot of sleepiness. Cannot walk. Haven't say a word in 6 days, doesn't et, doesn't play. Cant's hold up his head nor can he swallow.  Diagnosed with encephalopathy nos. 60 day follow-up states patient was diagnosed with developmental delay. He has brain damage in the Basal Ganglio.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Convulsion, Crying, Cyanosis, Eye movement disorder
Clinical narrative: I had the pleasure of taking care of your pt during her hospital admission from 8/28 through 9/1/02. Pt is a 4 month old female who presented with an ALTE. Pt received her immunization in your office on 8/26. That night, she had tactile temperature and began Tylenol treatment. Her mother noted approximately 7 hrs after her immunization that she had glassy eyes and appeared pale. She took her to an outside hospital. On the way to the hospital, she had generalized tonic clonic seizure activity of her arms and legs with her eyes rolled back into her head. This episode lasted approximately 1 1/2 to 2 minutes. When she was seen at the outside hospital, her mother reports that she was told it could not have been a seizure because pt looked so well. On 8/17, she had a temperature up to 102.1 and seemed tired all day. That night she slept more than usual. On the day of admission, she woke up screaming, which was unusual for her. She had decreased oral intake. She went to bed at approximately 7:40am and at 8:20am her sister screamed for her mother saying that the baby "had a booboo and that I didn't do it." Her mother found pt in the crib to be limp with her eyes closed. She had perioral cyanosis, blue finger beds and blue under her eyes. Her mother gave her two rescue breaths as she did not seem to be breathing, and tried to arouse her with sternal rubs. They called 911. She was brought to the hospital by a police officer. She was lethargic, pale and had poor respiratory effort. Her temperature at that time was 99.1 and she required two liters of blow by oxygen. She had blood, urine and chemistries drawn and received IV Rocephin and was transferred to hospital. Her hospital work up included an LP, which was normal, and EKG that was normal and a CT of her head that was also normal. While in the hospital, pt did not have any further episodes. She had a video EEG that was normal. Her newborn screen results were followed up on and they were also normal. She had a milk scan to rule out of the possibility of gastroesophageal reflux as an etiology for her ALTE; this was also normal. Tox screens were negative as well as lactage, pyruvate and ammonia. She also, on admission, had a normal carbon monoxide level. It is felt that pt's first episode may have been related to her immunizations and fever. However, her second episode was more severe and not as clear in etiology. As pt had done well and workup so far is negative, I recommend that she be discharged home on an A&D monitor and the parents received CPR training. They will follow up in your office in a week and will follow up in my clinic in 2-3 weeks to re-evaluate her status.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Lethargy, Pallor, Pyrexia, Respiratory disorder
Clinical narrative: I had the pleasure of taking care of your pt during her hospital admission from 8/28 through 9/1/02. Pt is a 4 month old female who presented with an ALTE. Pt received her immunization in your office on 8/26. That night, she had tactile temperature and began Tylenol treatment. Her mother noted approximately 7 hrs after her immunization that she had glassy eyes and appeared pale. She took her to an outside hospital. On the way to the hospital, she had generalized tonic clonic seizure activity of her arms and legs with her eyes rolled back into her head. This episode lasted approximately 1 1/2 to 2 minutes. When she was seen at the outside hospital, her mother reports that she was told it could not have been a seizure because pt looked so well. On 8/17, she had a temperature up to 102.1 and seemed tired all day. That night she slept more than usual. On the day of admission, she woke up screaming, which was unusual for her. She had decreased oral intake. She went to bed at approximately 7:40am and at 8:20am her sister screamed for her mother saying that the baby "had a booboo and that I didn't do it." Her mother found pt in the crib to be limp with her eyes closed. She had perioral cyanosis, blue finger beds and blue under her eyes. Her mother gave her two rescue breaths as she did not seem to be breathing, and tried to arouse her with sternal rubs. They called 911. She was brought to the hospital by a police officer. She was lethargic, pale and had poor respiratory effort. Her temperature at that time was 99.1 and she required two liters of blow by oxygen. She had blood, urine and chemistries drawn and received IV Rocephin and was transferred to hospital. Her hospital work up included an LP, which was normal, and EKG that was normal and a CT of her head that was also normal. While in the hospital, pt did not have any further episodes. She had a video EEG that was normal. Her newborn screen results were followed up on and they were also normal. She had a milk scan to rule out of the possibility of gastroesophageal reflux as an etiology for her ALTE; this was also normal. Tox screens were negative as well as lactage, pyruvate and ammonia. She also, on admission, had a normal carbon monoxide level. It is felt that pt's first episode may have been related to her immunizations and fever. However, her second episode was more severe and not as clear in etiology. As pt had done well and workup so far is negative, I recommend that she be discharged home on an A&D monitor and the parents received CPR training. They will follow up in your office in a week and will follow up in my clinic in 2-3 weeks to re-evaluate her status.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Staring
Clinical narrative: I had the pleasure of taking care of your pt during her hospital admission from 8/28 through 9/1/02. Pt is a 4 month old female who presented with an ALTE. Pt received her immunization in your office on 8/26. That night, she had tactile temperature and began Tylenol treatment. Her mother noted approximately 7 hrs after her immunization that she had glassy eyes and appeared pale. She took her to an outside hospital. On the way to the hospital, she had generalized tonic clonic seizure activity of her arms and legs with her eyes rolled back into her head. This episode lasted approximately 1 1/2 to 2 minutes. When she was seen at the outside hospital, her mother reports that she was told it could not have been a seizure because pt looked so well. On 8/17, she had a temperature up to 102.1 and seemed tired all day. That night she slept more than usual. On the day of admission, she woke up screaming, which was unusual for her. She had decreased oral intake. She went to bed at approximately 7:40am and at 8:20am her sister screamed for her mother saying that the baby "had a booboo and that I didn't do it." Her mother found pt in the crib to be limp with her eyes closed. She had perioral cyanosis, blue finger beds and blue under her eyes. Her mother gave her two rescue breaths as she did not seem to be breathing, and tried to arouse her with sternal rubs. They called 911. She was brought to the hospital by a police officer. She was lethargic, pale and had poor respiratory effort. Her temperature at that time was 99.1 and she required two liters of blow by oxygen. She had blood, urine and chemistries drawn and received IV Rocephin and was transferred to hospital. Her hospital work up included an LP, which was normal, and EKG that was normal and a CT of her head that was also normal. While in the hospital, pt did not have any further episodes. She had a video EEG that was normal. Her newborn screen results were followed up on and they were also normal. She had a milk scan to rule out of the possibility of gastroesophageal reflux as an etiology for her ALTE; this was also normal. Tox screens were negative as well as lactage, pyruvate and ammonia. She also, on admission, had a normal carbon monoxide level. It is felt that pt's first episode may have been related to her immunizations and fever. However, her second episode was more severe and not as clear in etiology. As pt had done well and workup so far is negative, I recommend that she be discharged home on an A&D monitor and the parents received CPR training. They will follow up in your office in a week and will follow up in my clinic in 2-3 weeks to re-evaluate her status.
Age: 1.28
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Convulsion, Diarrhoea, Nervousness, Tremor
Clinical narrative: 60 day follow up states: Pt recovered. She is doing very well. She has had  no further seizure activity and her EEG was normal after 3 months of phenobarbital. Her medication has now been stopped. Pt's parents have chosen to receive no further immunizations. An annual follow up report received 10/22/2003 adds: Thankfully this pt is doing well! The only residual poor outcome is pt's parents are no longer "pro-vaccine". Medical record states irritability, diarrhea, tremor, anorexia. msv
Age: 3.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Autism, Drug withdrawal syndrome, Growth retardation, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: Child began to withdraw, refused to make eye-contact, and began losing words/skills already mastered. His progress in all areas of development slowed and in many cases regressed. Diagnosed autistic 1/21/01.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Hypotonia, Lethargy, Pyrexia, Urticaria
Clinical narrative: Several hours after PCV-7, Fever, Hives, Limp, Lethargic.  Recovered by next day.
Age: 28.0
Sex: M
Vaccine: FLU3, YF
Symptoms: Eyelid oedema, Wheezing
Clinical narrative: 45 minutes after immunization, patient experienced right eyelid swelling and wheezing, requiring emergency anaphalaxis treatment.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Erythema
Clinical narrative: small red area with 2-3 blisters (approx 12mm at injection site Lt, approx 21st of Sept
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Crying
Clinical narrative: According to mother, the child started crying uncontrollably within 2 hours non-stop, throughout the night, at least >3 hours. Persistent, inconsolable crying. No treatment needed.  No site reaction.  On Tylenol.
Age: 1.4
Sex: F
Vaccine: HBHEPB, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient had fever next morning with short, uncomplicated febrile seizure (first time).  No site reaction.  No therapy
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness on left thigh 5 inches by 7 inches. Swelling on left thigh; top of thigh 1 cm > right 37 cm. Middle left thigh 35 cm. Right thigh 32.5 cm. Hardness.
Age: 1.25
Sex: F
Vaccine: DTPHIB
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of leg--3 cm. Larger right thigh circumference than left.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received DTaP 44 by IM injection on 09/11/02 in the left thigh in our office. Parent contacted our office on 09/13/02 reported patiuent left thigh presented with large area of redness,swelling and heat.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patient administered DTaP #5, upper right thigh. MMR #2 upper left thigh. IPV #4 lower right thigh via injection in our office on 9/11/02. Presented to office on 9/13/02 with right thigh red and swollen.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, raised area at injection site appeared 9/11/02 (2 days after injection 9/9/02).
Age: 1.4
Sex: M
Vaccine: UNK
Symptoms: Erythema, Rash papular
Clinical narrative: Small erythematous papules spreading up arms, trunk, abdomen and over back during exam. Up neck--no pustules yet.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Father called at hospital on 9/7/02 to tell me that tigh had a 4inx3in red area at site of vaccination on left leg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient received immunizations on 08/21/02.  She started to have reaction on leg DTaP given. Pt had redness, warm to the touch on left leg, app. 8 cm in size, Pt. was given 10 days course of Keflex- reaction vs cellulitis, symptoms resolved
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 6cm x 4 cm erythema over thigh at site at 36 hours after administration site of DTaP.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Received vaccine on 9/16/02; On 9/17/02 patient developed redness, swelling, mild tenderness left deltoid; no fever. Seen 9/18/02--same; no fever. Warm compresses 25 gauge 5/8" needle used.
Age: 1.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Swelling
Clinical narrative: Swelling with vesicles.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash
Clinical narrative: Rash, vesicles in multiple stages of development.
Age: 11.0
Sex: M
Vaccine: MMR
Symptoms: Flushing, Sneezing, Urticaria
Clinical narrative: 9/10/02 Received vaccine at approximately 1:30PM. Within 30 minutes, patient started to break out with hives on chest, back, neck, arms, sneezing and flushed. Instructed to take to ER. 9/11/02 Took patient to PMD on 9/10/02. Hives disappearing. Instructed by PMD Benadryl and take to ER if worse.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Hypoaesthesia, Nausea, Pyrexia
Clinical narrative: Numbness in L arm, dizziness, nausea, fever 102 degrees. Decrease BP.
Age: 16.0
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: 8/7 Severe hives all over body, Occure during early am hrs, Seen by family PC on 08/07, Prednisone, Benadryl
Age: 2.5
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Rash started on cheeks and neck, Noticed on buttocks 2 days later, Child c/o "itching and it hurts" Temp 98.4 (ear probe). Bactroban to face tid. Push fluids, rest and call if any signs of infection. If rash increases, needs to call the office.
Age: 4.5
Sex: F
Vaccine: HEPA, MMR
Symptoms: Dyskinesia, Hyperhidrosis, Somnolence, Staring, Syncope
Clinical narrative: Pt had 2nd MMR and Hep A vaccine. Mom stated child could sit alone does well with shots doesn't even cry. Encouraged mom to hold. Did well approx 5 mins after. preparing to give PPD skin test, pt stood up off mom lap and went to fall on all 4's. On the above date, pt had received a hep A and an MMR vaccine from another employee. I arrived to change duties. Shortly after receiving the immunization, pt was noted by her mother to "not be acting right." (Occurring at approximately 1:50pm) pt was on her mother's lap. She began to have a fixed stare, then brief jerks of the upper extremities. The apparent seizure lasted 10-15 seconds. Afterwards she appeared to be in a post0ichtal state. She was drowsy. At 2pm she had a heart rate of 64, resp. rate of 28. She was noted to be diaphoretic, and cool. She had a small emesis. At 2:10pm her heart rate was 80, resp rate 24 and blood pressure 90/60. When paramedics arrived she had oxygen saturations of 99%. Later inquiry discovered that she was transported to hospital, where she was released after a short time. Follow call to hosp approx 8/22/02 17:00 child was discharged. 8/26/02 spoke with mother today. On follow up visit with PMD with pt, mother was told by PMD that child had a "syncopal episode" related to being given the vaccine. It was not a reaction to the vaccine itself according to PMD. Mother was advised by me to see MD for any future vaccines needed as we have no MD's at over health center.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt came in with red, swollen and hot area on R arm where DTaP was given. Pt was seen by FNP. He was given Motrin for pain and Cephalexin 25mg.
Age: 13.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: RA site red, swollen, warm to touch, no fever. Enc'd to alternate warm/cold compress to site. Mother concerned that this is more than mild reaction. Enc'd mother to seek further evaluation at PCP office.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Cellulitis, Injection site pain, Urticaria
Clinical narrative: Per mom after having immunization five days later hive tye rash appeared. Child was seen at ER and told she was having a reaction to one of the immunizations and given Keflex. Was seen by her doctor next day. Rx fill for Keflex and started at approx 3 mos meds given on 3 mo later original rash began to look diffused. Mom was also told she had a cellulitis and tenderness was noted.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: L leg swollen, red, warm to touch, cellulitis. Keflex 250/5 3/4 tsp tid x 10 days.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Injection site erythema, Paraesthesia, Pruritus
Clinical narrative: 10 min post rabies injection c/o Rt hand itching and red skin from Rt deltoid (injection site) to Rt hand. Some tingling. Observation only.