chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: On 11/06/2003 in the PM, I returned patient's call.  She stated she went to clinic for temperature 103 and swollen glands.  Was on antibiotic.  Patient was given appointment on 11/07/2003.  She no showed.  Certified letter sent home.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Erythema, swelling, pain site of injection.
Age: 4.1
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Local redness and warm to touch area on left upper arm where vaccines were administered.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain; Shortness of breath; Difficulty breathing.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Laboratory test abnormal
Clinical narrative: 02/17/03- received smallpox (repeat #3) and anthrax #2 "About three weeks after"- c/o cp while doing PT- was evaluated at the ER- advised that cp was non-cardiac "Early March 2003"- got deployed to Iraq "3rd wk of March"- had recurrent episodes of cp with sob- pt. ignored sxs- continued to have sxs for the following 3 mos 6/8/03- medical attention sought- abnormal EKG 6/12/03- evac'd - exercise stress test positive with both cp and EKG changes 6/17/03- pt subsequently flown for a cardiac catherization 6/20/03- pLAD stent placement in LAD No cp, sob, and other associated sxs since above procedure. Has multiple cardiac risk factors Strong FH of cardiac problems  A copy of the patient clinical summary sent to VAERS via FedEx on 11/21/03
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Flushing, Injection site erythema, Injection site swelling
Clinical narrative: Patient complains of recurrent redness and swelling at the site of injection several weeks after the injection.  He suspects trigger for the redness in local trauma or rubbing of site.  He complains of being flushed, no hives, when the redness of the arm comes up. Exam of arm demonstrates no nodule or other deformity when well.  I have not seen his arm during an exacerbation.  It is totally normal by exam today
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Myalgia, Oedema peripheral
Clinical narrative: Day 4 following vaccination patient experienced 12 hours of chills. Day 9 patient experienced muscle aches which progressed to severe joint pain and severe swelling of wrists, hands and knees. This subsided on Day 12 following vaccination.
Age: 45.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Erythema, Rash, Swelling
Clinical narrative: PPV Vaccine administered at 11:00am 11/17/03 11/18/03 - redness & swelling near and above elbow 11/19/03 - swelling increases, elbow pain, rash across back, shoulders and chest. Antibiotic & antihistamine administered 11/20/03 - swelling and pain diminished some, antibiotic discontinued 11/21/03 - swelling and pain continue to decrease, rash still present.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: THIGH AREA WHERE INJECTION GIVEN SWOLLEN AND HOT TO TOUCH WITH SWELLING ON POSTERIOR THIGH ALSO
Age: 54.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, FLUX, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF
Symptoms: Chest pain, Dyspepsia, Dyspnoea, Laboratory test abnormal, Myocardial infarction
Clinical narrative: Patient was referred to report his recent Myocardial Infarction (10/03/03).  The patient reports that he last received numerous immunizations in February 2003.  He denies any known problems that occurred around the time of the immunizations but is concerned that the vaccinations may have contributed to his cardiac problems.  He was deployed 08 April 2003 and denies any chest pain, "heart burn" symptoms occurring during the deployment.  He states that he sometimes became short of breath after exercise, but this was baseline for him.  On 10/02/03, he recalls resting in his room and feeling like he had heartburn.  He "felt a strong urge to burp" but was unable to do so.  He describes the sensation as a burning feeling in the middle of his chest.  He rates it as a 6/10 on a pain scale.  He did not experience any radiation to his neck, shoulder, or down his arm.  His medical records report that he had experienced intermittent chest pain/pressure at rest x 2-3 weeks.  He denies any palpitations, diaphoresis, headache, dizziness, cough, pedal edema, shortness of breath, or nausea/vomiting.  He went to Emergency Department and after elevated cardiac enzymes, initial EKG with ST elevation in Lead III, and subsequent T wave inversion in leads II, III, and AVF, he was diagnosed with an MI.  He was later transferred to a hospital and underwent a cardiac catheterization with stent placement. Since his discharge from the hospital, he denies any further chest pain or "heartburn" type symptoms.  He has just started the process of evaluation for a medical board based on his cardiac history and degenerative joint disease/osteoarthritis.  He is scheduled for another stress test on 11/15/03.
Age: 54.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, FLUX, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF
Symptoms: Laboratory test abnormal, Myocardial infarction
Clinical narrative: Patient was referred to report his recent Myocardial Infarction (10/03/03).  The patient reports that he last received numerous immunizations in February 2003.  He denies any known problems that occurred around the time of the immunizations but is concerned that the vaccinations may have contributed to his cardiac problems.  He was deployed 08 April 2003 and denies any chest pain, "heart burn" symptoms occurring during the deployment.  He states that he sometimes became short of breath after exercise, but this was baseline for him.  On 10/02/03, he recalls resting in his room and feeling like he had heartburn.  He "felt a strong urge to burp" but was unable to do so.  He describes the sensation as a burning feeling in the middle of his chest.  He rates it as a 6/10 on a pain scale.  He did not experience any radiation to his neck, shoulder, or down his arm.  His medical records report that he had experienced intermittent chest pain/pressure at rest x 2-3 weeks.  He denies any palpitations, diaphoresis, headache, dizziness, cough, pedal edema, shortness of breath, or nausea/vomiting.  He went to Emergency Department and after elevated cardiac enzymes, initial EKG with ST elevation in Lead III, and subsequent T wave inversion in leads II, III, and AVF, he was diagnosed with an MI.  He was later transferred to a hospital and underwent a cardiac catheterization with stent placement. Since his discharge from the hospital, he denies any further chest pain or "heartburn" type symptoms.  He has just started the process of evaluation for a medical board based on his cardiac history and degenerative joint disease/osteoarthritis.  He is scheduled for another stress test on 11/15/03.
Age: 54.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, FLUX, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF
Symptoms: Chest pain, Myocardial infarction
Clinical narrative: Patient was referred to report his recent Myocardial Infarction (10/03/03).  The patient reports that he last received numerous immunizations in February 2003.  He denies any known problems that occurred around the time of the immunizations but is concerned that the vaccinations may have contributed to his cardiac problems.  He was deployed 08 April 2003 and denies any chest pain, "heart burn" symptoms occurring during the deployment.  He states that he sometimes became short of breath after exercise, but this was baseline for him.  On 10/02/03, he recalls resting in his room and feeling like he had heartburn.  He "felt a strong urge to burp" but was unable to do so.  He describes the sensation as a burning feeling in the middle of his chest.  He rates it as a 6/10 on a pain scale.  He did not experience any radiation to his neck, shoulder, or down his arm.  His medical records report that he had experienced intermittent chest pain/pressure at rest x 2-3 weeks.  He denies any palpitations, diaphoresis, headache, dizziness, cough, pedal edema, shortness of breath, or nausea/vomiting.  He went to Emergency Department and after elevated cardiac enzymes, initial EKG with ST elevation in Lead III, and subsequent T wave inversion in leads II, III, and AVF, he was diagnosed with an MI.  He was later transferred to a hospital and underwent a cardiac catheterization with stent placement. Since his discharge from the hospital, he denies any further chest pain or "heartburn" type symptoms.  He has just started the process of evaluation for a medical board based on his cardiac history and degenerative joint disease/osteoarthritis.  He is scheduled for another stress test on 11/15/03.
Age: 54.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, FLUX, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF, ANTH, FLUX, HEP, HEPA, MEN, SMALL, YF
Symptoms: Chest pain, Dyspepsia, Laboratory test abnormal, Myocardial infarction, Myocardial ischaemia
Clinical narrative: Patient was referred to report his recent Myocardial Infarction (10/03/03).  The patient reports that he last received numerous immunizations in February 2003.  He denies any known problems that occurred around the time of the immunizations but is concerned that the vaccinations may have contributed to his cardiac problems.  He was deployed 08 April 2003 and denies any chest pain, "heart burn" symptoms occurring during the deployment.  He states that he sometimes became short of breath after exercise, but this was baseline for him.  On 10/02/03, he recalls resting in his room and feeling like he had heartburn.  He "felt a strong urge to burp" but was unable to do so.  He describes the sensation as a burning feeling in the middle of his chest.  He rates it as a 6/10 on a pain scale.  He did not experience any radiation to his neck, shoulder, or down his arm.  His medical records report that he had experienced intermittent chest pain/pressure at rest x 2-3 weeks.  He denies any palpitations, diaphoresis, headache, dizziness, cough, pedal edema, shortness of breath, or nausea/vomiting.  He went to Emergency Department and after elevated cardiac enzymes, initial EKG with ST elevation in Lead III, and subsequent T wave inversion in leads II, III, and AVF, he was diagnosed with an MI.  He was later transferred to a hospital and underwent a cardiac catheterization with stent placement. Since his discharge from the hospital, he denies any further chest pain or "heartburn" type symptoms.  He has just started the process of evaluation for a medical board based on his cardiac history and degenerative joint disease/osteoarthritis.  He is scheduled for another stress test on 11/15/03.
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Contusion, Injection site swelling
Clinical narrative: Swelling of left thigh noted approx 18 hours after vaccinations given.  A nickel sized bruised and swollen area and a dime sized bruised and swollen area noted with redness around the entire area.  Tylenol drops given every 4-6 hours since vaccines given.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Disturbance in attention, Headache
Clinical narrative: Headache, focusing problems
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Anorexia, Cough, Malaise, Pyrexia, Rash
Clinical narrative: Rash on lowerlimbs began at day two.No likage was made with injection. On day five rash was disseminated across  torso and limbs. Rash resided. Malaise continues to day 7.Day 7 mid day fever reaches 102. Next three days peraks near 104 despite TYenol then Advil every 4 fours across all 24. Faint unprodcutive cough commences at day 9. Productive cough commences on day 12. Fever reduces to 102 on day 12 and is still present (peaks at 101 each day). at day 15 post injection. Neever any muscle pain or aches GI symptoms except some anorexia from days 7-11.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: onset hives 14 hours after vaccine.  72 hours later she is covered head to toe in hives. every inch of her body.  severe itching.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: alopecia.  Hair falling out in patches approximately 1/2" to 3/4" in diameter.  2 bald patches yesterday increased to 5 patches today.
Age: 0.6
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 11 days after receiving influenza vaccine in the L deltoid and varivax in the L upper arm he had a fever of 100-102, swelling and tenderness of the arm, and some groin tenderness.  No skin lesions developed.  Tenderness was around the varivax site.  It improved with motrin and lasted about 2 days.  No other treatment given.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Pruritus
Clinical narrative: received shot 11/18/03 - 11:30                  Received  pnuemonia shot 11/18/03 - 11:30  AM -  about 1 hr later noticed arm was itching/didn't check it until about 5 hrs later - was swollen,painful,beet red from below shoulder to elbow - saw doctor next afternoon - Took antihistamine and pain pill / took a couple days for symptons to disappear  Not sure of the correct vaccines are listed below, know it was a pneumonia shot and the flu vaccine, but not which ones.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PT. RECEIVED VACC. ON 11-18-03, AT THAT TIME NO ADVERSE EVENTS WERE NOTED. SHE CALLED 2   DAYS LATER AND STATED THAT SHE WAS GETTING SOME REDNESS AND A LITTLE SWELLING AROUND THE INJECTION SITE AND IT WAS WARM TO TOUCH. WE ADVISED HER ON HOW TO CARE FOR THE SITE AND MONITOR, IF THINGS SHOULD GET WORSE, TO SEE SEE HER PHYSICIAN. WE INFORMED HER THAT WE WOULD REPORT THIS INCIDENT TO VAERS AND WHY WE HAVE TO DO THIS AND TOLD HER THAT WE WOULD FOLLOW UP WITH A PHONE CALL IN A COUPLE OF DAYS.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: PT. RECEIVED VACC. ON 11-18-03, AT THAT TIME NO ADVERSE EVENTS WERE NOTED. SHE CALLED 2   DAYS LATER AND STATED THAT SHE WAS GETTING SOME REDNESS AND A LITTLE SWELLING AROUND THE INJECTION SITE AND IT WAS WARM TO TOUCH. WE ADVISED HER ON HOW TO CARE FOR THE SITE AND MONITOR, IF THINGS SHOULD GET WORSE, TO SEE SEE HER PHYSICIAN. WE INFORMED HER THAT WE WOULD REPORT THIS INCIDENT TO VAERS AND WHY WE HAVE TO DO THIS AND TOLD HER THAT WE WOULD FOLLOW UP WITH A PHONE CALL IN A COUPLE OF DAYS.
Age: 1.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Febrile convulsion, Pyrexia, Upper respiratory tract infection
Clinical narrative: Follow-up info received provided a revised investigator assessment (possibly related) and event details. Information has been received from an investigator concerning a 12 month old female who received her first dose of MMR II, control for Prevnar vaccine on 2/1/02 as part of the study "Non-Inferiority Study of Immunogenicity of MMR II Administered Concurrently with Prevnar Compared to MMR II Alone." On 2/7/02, she developed a fever. On 2/8/02, she was seen in the ER for a febrile seizure. She had a reported temp of 104 deg F. The seizure occurred as the child was being taken out of the bath and was characterized as tonic clonic in nature and of 1 minute in duration. On 2/11/02, the child returned to the clinic for follow-up and was observed to have a resolving upper respiratory infection. The investigator assessed the child as status post febrile seizure and neurologically intact. The febrile seizure was considered medically important (OMIC). The investigator considered the febrile seizure to be moderate in severity and "possibly related" to vaccine administration.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Arteritis, Headache, Pain, Tenderness
Clinical narrative: 10 days after flu vaccine, pt developed rt sided face and HA pain, tenderness over temporal artery. High ESR > 5 responding to Prednisone. Porbable arteritis. 60-day follow up on 02/11/04: "Pt has not recovered from adverse events. Persistant vasculitis-on Prednisone."
Age: 18.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Headache, Injury, Meningitis, Nausea, Paraesthesia
Clinical narrative: Given varicella vaccine 10/30/03. 10/31/03 headache, but played baseball. Hit by baseball on head. 11/4/03 admitted to hospital severe N&V. CT and MRI of brain negative, but CSF positive for pleocytosis-256 WBC and 98% of lymphocytes. Also had R paresthesias. Afebrile.
Age: 18.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Pleocytosis, Vomiting
Clinical narrative: Given varicella vaccine 10/30/03. 10/31/03 headache, but played baseball. Hit by baseball on head. 11/4/03 admitted to hospital severe N&V. CT and MRI of brain negative, but CSF positive for pleocytosis-256 WBC and 98% of lymphocytes. Also had R paresthesias. Afebrile.
Age: 18.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Headache, Hypoaesthesia, Injury, Nausea, Pleocytosis
Clinical narrative: Given varicella vaccine 10/30/03. 10/31/03 headache, but played baseball. Hit by baseball on head. 11/4/03 admitted to hospital severe N&V. CT and MRI of brain negative, but CSF positive for pleocytosis-256 WBC and 98% of lymphocytes. Also had R paresthesias. Afebrile.
Age: 18.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Vomiting
Clinical narrative: Given varicella vaccine 10/30/03. 10/31/03 headache, but played baseball. Hit by baseball on head. 11/4/03 admitted to hospital severe N&V. CT and MRI of brain negative, but CSF positive for pleocytosis-256 WBC and 98% of lymphocytes. Also had R paresthesias. Afebrile.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased, Blood urea increased, CSF test abnormal
Clinical narrative: Increased weakness since 10/31/03, starting with feet and numbness. 11/11-started with numbness of fingers. Hospitalized 11/03, 2 days in ICU, then out to unit. 11/21-still weak, definite dx of GBS. Still hospitalized.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hyperglycaemia, Hypoaesthesia
Clinical narrative: Increased weakness since 10/31/03, starting with feet and numbness. 11/11-started with numbness of fingers. Hospitalized 11/03, 2 days in ICU, then out to unit. 11/21-still weak, definite dx of GBS. Still hospitalized.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Back pain, Fatigue, Headache, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Patient developed a severe kidney infection (Pyelonephritis) within 12 days of receiving the Menomune vaccine on 8/11/03. This infection resulted in a 3 day hospital stay during which she was on IV antibiotic Ciprofloxacin.  She left to attend freshman year at college four days after leaving the hospital. She will be getting recommended follow up tests for kidney function when she returns home next month. 8/11/03 AM Patient receives Menomune vaccine. 8/23/03 PM Patient complains of joint stiffness, back pain, extreme fatigue. 8/24/03 Symptoms worsen throughout the day: headache/stiffness/fever between 8 PM and 4 AM. Fever ranged from 101 to 1043 degrees. 8/25/03 AM Fever is still above 100 degrees. Symptoms: Stiff neck, eyes extremely sensitive to light, vomiting. AM Is seen by physicians at healthcare office. They recommend that she go immediately to an ER. AM Patient is seen at hospital. AM-PM ER does blood and urine tests. Diagnosis is Pyelonephritis. Patient is put on IV Ciprofloxacin and admitted overnight. 8/26/03 Patient continues on IV Cipro; still has unexplained stiff neck. 8/27/03 PM Patient continues on IV Cipro. Ultrasound is done to see if any structural abnormality of her urinary tract could have precipitated the kidney infection. Ultrasound shows no structural abnormalities. PM Release from hospital with 10 day prescription for oral Cipro.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Photophobia, Pyelonephritis, Pyrexia, Vomiting
Clinical narrative: Patient developed a severe kidney infection (Pyelonephritis) within 12 days of receiving the Menomune vaccine on 8/11/03. This infection resulted in a 3 day hospital stay during which she was on IV antibiotic Ciprofloxacin.  She left to attend freshman year at college four days after leaving the hospital. She will be getting recommended follow up tests for kidney function when she returns home next month. 8/11/03 AM Patient receives Menomune vaccine. 8/23/03 PM Patient complains of joint stiffness, back pain, extreme fatigue. 8/24/03 Symptoms worsen throughout the day: headache/stiffness/fever between 8 PM and 4 AM. Fever ranged from 101 to 1043 degrees. 8/25/03 AM Fever is still above 100 degrees. Symptoms: Stiff neck, eyes extremely sensitive to light, vomiting. AM Is seen by physicians at healthcare office. They recommend that she go immediately to an ER. AM Patient is seen at hospital. AM-PM ER does blood and urine tests. Diagnosis is Pyelonephritis. Patient is put on IV Ciprofloxacin and admitted overnight. 8/26/03 Patient continues on IV Cipro; still has unexplained stiff neck. 8/27/03 PM Patient continues on IV Cipro. Ultrasound is done to see if any structural abnormality of her urinary tract could have precipitated the kidney infection. Ultrasound shows no structural abnormalities. PM Release from hospital with 10 day prescription for oral Cipro.
Age: 18.0
Sex: F
Vaccine: MEN, MEN
Symptoms: Back pain, Musculoskeletal stiffness, Pyelonephritis, Pyrexia
Clinical narrative: Patient developed a severe kidney infection (Pyelonephritis) within 12 days of receiving the Menomune vaccine on 8/11/03. This infection resulted in a 3 day hospital stay during which she was on IV antibiotic Ciprofloxacin.  She left to attend freshman year at college four days after leaving the hospital. She will be getting recommended follow up tests for kidney function when she returns home next month. 8/11/03 AM Patient receives Menomune vaccine. 8/23/03 PM Patient complains of joint stiffness, back pain, extreme fatigue. 8/24/03 Symptoms worsen throughout the day: headache/stiffness/fever between 8 PM and 4 AM. Fever ranged from 101 to 1043 degrees. 8/25/03 AM Fever is still above 100 degrees. Symptoms: Stiff neck, eyes extremely sensitive to light, vomiting. AM Is seen by physicians at healthcare office. They recommend that she go immediately to an ER. AM Patient is seen at hospital. AM-PM ER does blood and urine tests. Diagnosis is Pyelonephritis. Patient is put on IV Ciprofloxacin and admitted overnight. 8/26/03 Patient continues on IV Cipro; still has unexplained stiff neck. 8/27/03 PM Patient continues on IV Cipro. Ultrasound is done to see if any structural abnormality of her urinary tract could have precipitated the kidney infection. Ultrasound shows no structural abnormalities. PM Release from hospital with 10 day prescription for oral Cipro.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Febrile convulsion
Clinical narrative: Complex febrile seizure 24 hours after vaccine.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Anaemia, Convulsion, Feeling hot, Hypersensitivity, Irritability
Clinical narrative: 18 month old male received DTaP and PCV7 #4 at about 16:30 on 11/13/03. At 21:00 he was a little fussy, warm and pulling at legs. He was given Tylenol and went to sleep. At 06:12 AM on 11/14/03, mom awoke to see him seizing and by the time he got to the ER, temperature 103.6 (rectally). Seizure lasted about 1.5 minutes. Patient was hospitalized. The discharge summary states anemia, otitis media and DTaP reaction.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: 18 month old male received DTaP and PCV7 #4 at about 16:30 on 11/13/03. At 21:00 he was a little fussy, warm and pulling at legs. He was given Tylenol and went to sleep. At 06:12 AM on 11/14/03, mom awoke to see him seizing and by the time he got to the ER, temperature 103.6 (rectally). Seizure lasted about 1.5 minutes. Patient was hospitalized. The discharge summary states anemia, otitis media and DTaP reaction.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site induration, Injection site oedema, Pain
Clinical narrative: Tenderness, swelling, induration and increased warmth right injection site increasing over 24 hours post injection.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site induration, Injection site inflammation, Injection site oedema, Rash pruritic
Clinical narrative: 10-12 mm induration, 25mm inflammation in left arm. Attached page adds (after giving immunization record):  Pt reports to BMC c/o rash to left shoulder, + pruritic, + inflammation with approx 10-12 mm induration. Inflamed area is 25mm, pt scratched area slightly yesterday. A) Allergic reaction x 1099. P) 1) Consult with pt; 2) Obtain numbers to contact; 3) Benadryl 25mg PO TID for 3 days #9; 4) RTC PRN.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Approx 20 minutes after injection, redness right inner forearm radiating to right deltoid, itching. Given ice and hydrocortisone cream for area. Called employer - pt fine.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pyrexia, Vomiting
Clinical narrative: Both arms painful and disabled. Chills, vomiting, fever (101 degrees), aches. Symptoms subsided 11/12/03. Follow up on 12/03/03: "Received follow up letter has no additional information to add to report (re: lot and manufacturer name)."
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Heart rate irregular, Hypotension, Nausea, Syncope
Clinical narrative: Vasovagal reaction - hypotension, brief syncope, thready pulse, nausea and dizziness. Place on oxygen at 2L/min vic NC. Pulse ox = 98-100% Sat. Improved with rest. 09:50 Sat = 99% on RA, BP 110/82, P 60.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope vasovagal
Clinical narrative: Vasovagal reaction - hypotension, brief syncope, thready pulse, nausea and dizziness. Place on oxygen at 2L/min vic NC. Pulse ox = 98-100% Sat. Improved with rest. 09:50 Sat = 99% on RA, BP 110/82, P 60.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Lymphadenopathy, Pain
Clinical narrative: Inflamed right deltoid, painful, erythema 10cm, central induration, right axillary lymphadenopathy.
Age: 42.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Infection
Clinical narrative: 15 pox - arms, back neck, thighs (legs).
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Severe headache, chills, fever of 101.2 degrees, commencing 2 days after shot and lasting 3 days. Followed by severe headache for additional 6 days (total of 9 days). Treated with aspirin, no doctor called.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives on upper arms, chest appeared 5 days after receiving shot for flu. No treatment. Follow up on 12/10/03: "
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache, body aches, upset stomach (nausea; no vomiting); flushed, low grade fever. Began 1 day post vaccination, lasted 2 days.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Stomach discomfort
Clinical narrative: Headache, body aches, upset stomach (nausea; no vomiting); flushed, low grade fever. Began 1 day post vaccination, lasted 2 days.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Bacterial infection, Dizziness postural, Injection site erythema, Injection site oedema, Somnolence
Clinical narrative: I received the shot between 10 and 10:30 AM on 11/8/03. Within 1 hour, I started feeling very dizzy. By the time I got home and lay down I was very dizzy. And I could[n't] get up for 6 hours, until this started to pass. Also my arm was swollen and turned a purplish red. The doctor said it was an infection and she gave [me] antibiotics.
Age: 11.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cough, Oedema peripheral, Pain, Pyrexia, Serum sickness
Clinical narrative: Serum sickness; giant urticaria, fever 104 F, swollen wrist, body aches, cough (history of asthma). Swelling at site of Pneumovax but not flu shot.
Age: 11.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: Serum sickness; giant urticaria, fever 104 F, swollen wrist, body aches, cough (history of asthma). Swelling at site of Pneumovax but not flu shot.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: 1 day of redness, swelling, tenderness and warmth at the site of injection.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Got flu shot 11/12/2003 and by 11/14/2003 broke out in hives, went to dermatologist and prescribed Zertec but still get hives every night even to this day 11/21/03.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Rash macular, Urticaria
Clinical narrative: Mild urticaria and macular rash arms and stomach, lasted 40 minutes. No wheezing, no change in VS/BP.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Pain
Clinical narrative: C/o pain/warmth to right upper arm 2 hours after pneumonia vacc. Dx: cellulitis right arm after pneumonia vacc. Tx: Cipro XR 1000 mg qu #5 and Ultram every 6 hours prn pain #30.
Age: 40.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Pruritus, Urticaria
Clinical narrative: 1 hour after receiving the Td and flu vaccine, I started itching around my neck. I looked in the mirror and notice I had hives on my neck, face, arms and legs. I took two Benadryl pills and went to bed. I woke about 4 hours later and notice the hives were gone.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Flu vaccine given in left deltoid. Later that PM, left deltoid swollen to "golf ball" size per mother. Examined by Dr 11/6/03 at 10:50 AM area left deltoid about 0.6cm erythema, slightly warm to touch.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pain
Clinical narrative: Pain and redness left deltoid area day after immunization. Was a little better by 2nd day. Pt given Augmentin 500, TID.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Injection site erythema, Nausea, Pain
Clinical narrative: Right deltoid pain and redness, body aches, diarrhea, nausea. Augmentin 500 TID.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Dyspnoea, Erythema, Pyrexia, Rash
Clinical narrative: 9 Days post vaccine administration-generalized seizure, fever 103.7 F temperature max, difficulty breathing, progressive rash-multiple erythematous, large macular lesions.  Slight raised concentrated on trunk, also heavy on face and extremities. Respiratory rate: 40; Heart rate: 144; Blood Pressure: 104/57; O2 Saturations: 94-100%.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Rash macular
Clinical narrative: 9 Days post vaccine administration-generalized seizure, fever 103.7 F temperature max, difficulty breathing, progressive rash-multiple erythematous, large macular lesions.  Slight raised concentrated on trunk, also heavy on face and extremities. Respiratory rate: 40; Heart rate: 144; Blood Pressure: 104/57; O2 Saturations: 94-100%.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Redness on arms, right arm worse then left.
Age: 36.0
Sex: F
Vaccine: RAB
Symptoms: Eye pain, Headache, Myalgia, Nausea, Neck pain
Clinical narrative: 1 hour post vaccine-felt "wierd", 24 hours later-myalgia, headache, nausea, soreness in neck, pain behind eyes, skin hurt, 48 hours after vaccine-headache, nausea (Rabies post exposure dose #1) Second dose on 11/09/2003- only slight neck soreness day following vaccination.
Age: 36.0
Sex: F
Vaccine: RAB
Symptoms: Skin reaction
Clinical narrative: 1 hour post vaccine-felt "wierd", 24 hours later-myalgia, headache, nausea, soreness in neck, pain behind eyes, skin hurt, 48 hours after vaccine-headache, nausea (Rabies post exposure dose #1) Second dose on 11/09/2003- only slight neck soreness day following vaccination.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia
Clinical narrative: Diffuse arthralgias started immediately after injection (ongoing over 3 weeks now). Still symptomatic.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Malaise, Urticaria
Clinical narrative: Approximately 1/2 hour-45 minutes after vaccine, patient said he didn't feel well (per his school teacher) and broke into hives on neck and face and arm.  When I saw him he still had hives but no respiratory distress or other symptoms.  He felt better without prescriptions about 20 minutes later.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Grandmother reports child developed fever to 104.8 degrees at home with 24 hours after receiving vaccine.  Family took patient to nearest urgent care center where she was witnessed by staff having a seizure.  Diagnosed as febrile seizure related to immunization.  Fever developed 03:00 AM 09/20/2003;Seizure occurred at 09:23 AM 09/20/2003.
Age: 68.0
Sex: F
Vaccine: PPV, TD
Symptoms: Pain, Tremor
Clinical narrative: 1st 24 hours-very sore arm-still persists especially stiffness instable.  2nd or 3rd day-trouble swallowing pills, not food, has persisted within 7-10 days noted shakiness of arm when trying to use arm to fix hair-this has resolved.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Hypokinesia, Pain
Clinical narrative: 03/20: Infected (anti-biotics); 03/21: Pain/Loss of movement (physical therapy, cortozone shot anti-inflammatory meds).
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Injection site erythema, Injection site pustule, Malaise, Pain
Clinical narrative: Generalized symptoms before 08/12/2003: Malaise, aches, fever etc.  ER 08/13/2003: Fever (102.3F) erythema, pustular vesicles around site.  By 08/25/2003 rash spread including pustules into axillia.  Keflex 500mg 4 times a day started.  Also antihistamines (itch) NSAIDS and dressing changes.  Discharged from medical care-to full duty 08/09/2003.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash
Clinical narrative: Generalized symptoms before 08/12/2003: Malaise, aches, fever etc.  ER 08/13/2003: Fever (102.3F) erythema, pustular vesicles around site.  By 08/25/2003 rash spread including pustules into axillia.  Keflex 500mg 4 times a day started.  Also antihistamines (itch) NSAIDS and dressing changes.  Discharged from medical care-to full duty 08/09/2003.
Age: 0.6
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Agitation, Decreased appetite, Diarrhoea, Screaming
Clinical narrative: 1) Fussing, inconsolable crying for 2 days. 2) Significantly decreased appetite for 2 days. 3) Loose stools/diarrhea for 1 day.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Arm swollen and painful at injection site.
Age: 36.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Malaise, Pain
Clinical narrative: 11/06/2003: He developed aches and malaise and redness/swelling at site of immunization (left arm).  11/12: Now mildy improved but with 2 dozen red nodules 6 of which are 1-2 cm with pustule.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cognitive disorder, Irritability, Lethargy
Clinical narrative: Fussy, lethargic, stopped cooing-for 2 weeks after last shots.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Left inner thigh swelling, Benadryl given.
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Patient seen for a "PPD" reading and had an 30x25mm area of induration, warmth and redness with tenderness.  CXR was ordered since it was thought this was (+) PPD.  CXR negative.  Patient subsequently seen by MD in office.  Treated with aleve, ice, rest.
Age: 18.0
Sex: F
Vaccine: MEN, TD
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: 07/24/2003: 10x8cm area of erythema with slight increased warmth with fluctulance.  No red streaks.  Good range of motion and caprefill.  07/28/2003: Redness receeded and 1x1cm induration evident.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site oedema, Pyrexia
Clinical narrative: Received vaccines on Friday AM; ran 103 degree fever Friday PM. Went to ER after hours.  Diagnosed with allergic reaction.  Told to give Benadryl and ice packs.  Continued to run fever through Sunday.  Patient also had swelling to left arm at vaccine site.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Erythema, Oedema
Clinical narrative: Left arm-swelling/erythema/bruised
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: 2 minutes after injections (MMR and Varivax) in seperate thighs-patient had urticarial welts on both thighs which resolved with Benadryl liquid.
Age: 14.0
Sex: F
Vaccine: PPV
Symptoms: Dysphonia, Fatigue, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Marked edema and pain at injection site.  Marked diminished (tight) lung sounds.  Dysponea, fever, fatigue.  Treated with Epinephrine.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Decreased appetite, Laboratory test abnormal, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Patient presented on 10/16/2003 with fever 100.8, decreased appetite, rash, sore throat = 100.  Eyes: clear (unable to read); Skin: scattered papular lesions on abdomen, left extremity, buttocks, back, face.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Patient presented on 10/16/2003 with fever 100.8, decreased appetite, rash, sore throat = 100.  Eyes: clear (unable to read); Skin: scattered papular lesions on abdomen, left extremity, buttocks, back, face.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash
Clinical narrative: Patient developed rash all over torso and arm and legs.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Severe shoulder swelling, pain and redness onset the day of injection.  Improved with Prednisone course.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Large (about 5 inches) round erythematous, hot, swollen, tender area left thigh with some streaking up leg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Large local reaction with redness extending down upper arm; size of an orange (left arm).
Age: 12.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Lacrimation increased, Nasal congestion, Periorbital oedema, Rhinorrhoea
Clinical narrative: Patient received Hep B #1 then as he was leaving, I realized he needed varicella vaccine as well (approximately 10 minutes between vaccines) 20 minutes after varicella given patient had capious rhinouchea, nasal congestion, eyelid swelling and tearing-received Benadryl 25mg and Epinephrine 0.4mL SQ 1:1000.
Age: 47.0
Sex: U
Vaccine: HEPA, TD, TYP, YF
Symptoms: Fatigue, Headache, Injection site erythema, Injection site oedema, Pain
Clinical narrative: 47 year old - headache, body aches and fatigue starting 24 hours after receiving yellow fever, typhoid, tetanus, hep A-going on 5 days.  Red, swollen at site of yellow fever.
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, TYP, YF
Symptoms: Lymphadenopathy, Malaise
Clinical narrative: 4 vaccines on Friday, 11/11/2003. On Monday morning (11/17/2003) patient's mother phoned and said that patient was not feeling well on Saturday morning and that he had swollen lymph glands under his left arm and on left side of neck.  Patient did not have a fever.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Pruritus, Rash
Clinical narrative: 10/15/03- received smallpox- primary 10/25/03- noticed rapidly progressive and symmetrical rash all over body- mild pruritus- no burning sensation, f/c or malaise- went to ER- was told he had a "generalized vaccinia"- no labs, cx, or skin biopsy done- given Benadryl 10/27/03- walk in clinic - rash "gone down"- no pruritus- lesions symmetrically distributed on skin covering face, arms, chest, back, and legs- no lesions on mucus membranes- no bullae- allegro and steroid cream prescribed 10/29/03- rash resolving- Raji cell analysis, CRP, and C1Q binding studies done 11/20/03- all lesions "are now gone"- no complaints   A copy of the patient's clinical summary sent to VAERS via FedEx on 11/24/03
Age: 24.0
Sex: M
Vaccine: FLU3, PPV, TD
Symptoms: Malaise, Myalgia, Pyrexia, Rash
Clinical narrative: Person states:   Localized rash to Rt. Deltoid,   Fever greater than 102 F,   Muscle aches,   General Malaise.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Aneurysm, Anorexia, Fatigue, Malaise, Thinking abnormal
Clinical narrative: Patient expired on 11/18/03 due to ruptured Aorta.  Presented at ER 11/14/03 after "not feeling well", for a few days, complaining of tiredness and loss of appetite. Discharge Summary received on 12/01/2003 states change in mental status.
Age: 1.06
Sex: M
Vaccine: MEN
Symptoms: Pyrexia
Clinical narrative: Started with fever 11/20 @3;30am--103.3F.Caled MD @8:30am --nurse said not a reaction. Child remained w/ low grade temp until 11/23--spike to 103.4 again .Called MD--went  to clinic. Temp >104. CBC done -wbc normal--4.0. Told it was viral--wouldn't the wbc be even slightly elevated?  Child also had fever >101 with first dose of Prevnar
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Cellulitis, Oedema peripheral, Pallor, Swelling, Vomiting
Clinical narrative: 11/20/03-Tylenol given following imm.  No symptoms. 11/21/03-12:00 P.M. No swelling noted.  Vomiting, very pale. 11/22/03-1:00 P.M. Swelling to left thigh that progressed to knee.  Taken to E.R. @ 7:00 P.M.  DX-Cellulitis
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Pain, Swelling
Clinical narrative: Vaccine given 11/19/03 approx 10:30 am. Came in the next day and c/o pain in right arm that had begun that night after vaccine to swell and was painful.  Still swollen 3 1/2 inches below vaccine site and hot to touch the next day.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Discomfort, Joint range of motion decreased
Clinical narrative: PT HAS PROLONGED LOCAL DISCOMFORT GREATER THAN 4 WEEKS. BEGAN MORNING FOLLOWING VACCINATION CONTINUING DAILY. ATTEMPTED MASSAGE AND ASPIRIN-BOTH INEFFECTIVE. ABLE TO DO FULL RANGE OF MOTION
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Nausea, Pyrexia, Swelling
Clinical narrative: FEVER, CHILLS, NAUSEA SEVERLY SWOLLEN ARM 2ND DAY, WENT TO DR AS ARM VERY SWOLLEN FROM SHOULDER TO ELBOW & WAS RED...WAS GIVEN SHOT  3RD DAY STILL VERY SWOLLEN & RED, WAS GIVEN 3 MORE SHOTS, BENEDRYL 50 MG, EPINEPHRINE SELUMEDROL 125
Age: 0.4
Sex: M
Vaccine: HIBV, IPV
Symptoms: Agitation, Crying, Irritability, Pyrexia
Clinical narrative: A male on 06/21/2001 received injections of IPOL and Hib (ACTHIB) vaccine (brand name unknown) on 10/23/2001 and experienced inconsolable crying, fever and irritability.  The fever and irritability were treated with paracetamol.  The crying resolved after approximately 2.5 hours.  The fever and irritability resolved the next day.  This report will be submitted to VAERS by GSK.  Please cross-reference any communication with VAERS regarding this case with our manufacturer control number, 2001025697-1.
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Fatigue, Malaise, Myalgia, Pain
Clinical narrative: From telephone contact received at AP on 06/13/2002, it was reported by a health care professional that a 32 year old patient received Rabies Post Exposure vaccine (Imovax Rabies) series beginning 04/15/2002 and completed last dose on 05/13/2002.  Lot # T1099-2 and expiration date 12/12/2003.  Symptoms occurred after last dose with patient feeling fatigue, fever, achy, nausea and vomiting.  Patient was treated with antipyretic.  Patient was seen by a nurse practitioner for symptoms but Rabies series was not administered at MD office.  From additional information received at AP on 09/16/2002, it was reported that the patient experienced myalgias, arthralgias, malaise, fatigue, fever and aching on 06/05/2002.  She did not experience nausea, vomiting or gastrointestinal upset.  Additionally, the patient was diagnosed on 04/15/2002 with Fifth's disease (Parvol9) and the infectious disease specialist is unsure whether the symptoms are from recurrent Fifth's or the vaccine.  The patient did not recover.  This case is closed.
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia
Clinical narrative: From telephone contact received at AP on 06/13/2002, it was reported by a health care professional that a 32 year old patient received Rabies Post Exposure vaccine (Imovax Rabies) series beginning 04/15/2002 and completed last dose on 05/13/2002.  Lot # T1099-2 and expiration date 12/12/2003.  Symptoms occurred after last dose with patient feeling fatigue, fever, achy, nausea and vomiting.  Patient was treated with antipyretic.  Patient was seen by a nurse practitioner for symptoms but Rabies series was not administered at MD office.  From additional information received at AP on 09/16/2002, it was reported that the patient experienced myalgias, arthralgias, malaise, fatigue, fever and aching on 06/05/2002.  She did not experience nausea, vomiting or gastrointestinal upset.  Additionally, the patient was diagnosed on 04/15/2002 with Fifth's disease (Parvol9) and the infectious disease specialist is unsure whether the symptoms are from recurrent Fifth's or the vaccine.  The patient did not recover.  This case is closed.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: From information received via fax on 09/23/2002, it was reported that a 4 month old female patient with the date of birth of 05/14/2002 was vaccinated with ACTHIB, IPOL, TRIPEDIA AND PREVNAR on the 09/17/2002 at 10:30am.  ActHib's lot number is UA703AA, was given intra-muscularly in the right thigh as dose #2.  IPOL's lot # is U1275, was given intra-muscularly in the left leg as dose #2.  Tripedia's lot # is U0582DA, was given intra-muscularly in the right thigh as dose #2.  Prevnar, Lederle is manufacturer, lot # is 485-993, was given intra-muscularly in the left leg as dose #2.  No other medications were given at time of vaccination.  Patient was seen in doctor's office for reactions that started on the 09/17/2002 at 17:30 which were hard, red and hot to touch at injection site.  Patient applied warm compresses to site.  Patient recovered from this.  The case is closed.
Age: 45.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Pruritus, Rash papular
Clinical narrative: From initial correspondence received at manufacturer on 01/20/2003, it was reported that a 45-year-old male pt with chronic hepatitis C received 2nd dose of Imovax Rabies (lot #U0971) intra-muscularly in the left deltoid at 2PM on 01/13/2003. At 9PM that same day, pt experienced papular rash, which began on his lower legs and extended to his upper back and shoulders (bilateral) along with itching. The pt was administered with Benadryl 25 mg. Symptoms resolved. The pt received 1st dose of Imovax Rabies (lot #U0971) intra-muscularly in the left deltoid and 1st dose of IPOL (lot #W0290) subcutaneously in the upper right arm on 01/06/2003. This case is closed.