chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: F
Vaccine: TD, DT
Symptoms: Erythema, Oedema, Rash pruritic
Clinical narrative: This case was reported in a literature article and described the occurrence of Wells syndrome in a 7 year old female subject who was vaccinated with tetanus and diphtheria toxoids absorbed manufacturer unspecified for prophylaxis. Relevant medical history included a similar episode of an itchy, indurated rash on the back of her left foot several months earlier that was treated empirically with antibiotics for presumed bacterial cellulitis. No illness, medication, or immunization preceded that episode. There is a family history of atopy. On an unspecified date the subject received unspecified dose of Absorbed diphtheria and tetanus vaccine unknown. One week after vaccination with absorbed diphtheria + tetanus vaccine, the subject experienced in itchy and indurated rash on her right foot. The induration spread centrifugally forming large plagues that subsequently became oedematous with vesiculation. Similar plaques also appeared on her upper extremities. Her symptoms were only pruritus and mild diarrhea. Physical examination revealed a well appearing child who was vigorously scratching throughout the evaluation. She was afebrile with stable vital signs. Symmetrical, indurated, well demarcated erythematous plaques were present on her upper extremities. Red brown papules coalescing into infiltrated plaques with some focal vesiculation were present on the back of her right foot and medical instep. The remainder of the physical examination was unremarkable. Her laboratory data were notable for a peripheral eosinophilia (976/mm3, 16%) with a normal white blood cell count 6100/mm3, negative stool ova and parasite studies, and negative viral and bacterial cultures from blister fluid. Microscopic examination of hematoxylin and eosin stained sections of a skin punch biopsy specimen revealed acanthosis, spongiosis, and interstitial and perivascular dermal eosinophilic infiltrates with a flam figure, consistent with Wells syndrome or eosinophilic cellulitis. Prednisone was initiated at 1.5 mg/kg and slowly tapered with adjunctive high potency topical steroid. Her condition initially improved, but flared once her oral steroid was tapered. Her steroid course was extended with resolution of her rash. She was continued to have episodic flares that have responded to symptomatic topical therapy. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. The author considered the events were related to vaccination with Absorbed diphtheria + tetanus vaccine.
Age: 0.17
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Muscle twitching
Clinical narrative: This case was reported by a consumer and described the occurrence of seizures in a 2 month old female subject who was vaccianted with hepatitis B vaccine recombinant (Engerix B) hepatitis B vaccine recombinant) unknown on an unspecified date. Co suspect vaccination included four other unspecified vaccines given on 3/14/2006. The reporter mentioned some specific manufacturers, but it was unknown if there were other manufacturers. On 3/14/2006 at 12:45 the subject received the 2nd dose of Engerix B (unknown, unknown thigh) and four other unspecified vaccines. On an unspecified date in 2006, and after an unspecified time after vaccination with Engerix B, the subject experienced twitching or seizures. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting, the outcome of the events were unspecified.
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: General hives
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Pt reports pain at site, immediately after immunization/injection into R deltoid. Pain persistent for 7 days. No local care or pain medicine. Reports ability to raise arm beyond 90%. No /// or weakness.
Age: 70.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Five days after injection of Adacel, c/o itching at site, red and hard area about the size of 50 cent piece. Advised to use Benadryl, cold compresses and Tylenol prn.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: L shoulder red/tender X 1 day. Had 5cm light red macula on L shoulder/upper arm. Pt given Benadryl 12.5/5 to 8cc po q6h. No response to phone calls.
Age: 1.26
Sex: F
Vaccine: HEP, PNC
Symptoms: Urticaria
Clinical narrative: Pt received Hep-A and Prevnar at 11:30 AM. Went home and had lunch at 12:15 PM. /// /// /// which she had before w/o reaction. About 12:30 PM, mother noted "red blotches" all over. Pt returned to office at 14:00 PM and found to have multiple hives and (wheal /// reaction), on face, abdomen, buttock and legs. No swelling. No wheals. Otherwise, well.
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Vesicular rash to back, arms and legs. Fever X 1 day. Mild case of varicella disease.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash started on chest and spread to chest, trunk and legs after receiving MMR. No fever.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 13 X 18cm swelling and redness surrounding site of DTAP.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Got a call from ER today 12/21/05 pt brought by paramedic seizing, fever 104.6. Did blood work, urine, CSF analysis all appear benign, fever persisted 8 days. ER doc was to admit pt. Physical was normal. Admitted hospital.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Electroencephalogram abnormal, Staring, Urinary tract infection
Clinical narrative: Mother stated child had staring episodes within 24 hrs of immunizations. Pt admitted to Hospital on 1/26/06 with abnormal EEG. Hosp providers did not think pt had a seizure. Dioscharge summary states urinary tract infection, eyes deviated upward. msv
Age: 1.69
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Scattered mac/pap rash over face, trunk and all extremities. Afebrile.  MMR given 14 days prior to rash.
Age: 14.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Hypoxia, Pain, Swelling
Clinical narrative: Presented to Emergency Center later in the day of immunization complaining of right arm pain & swelling.   Patient admitted to hospital for sickle cell anemia with hypoxia (O2 sat to 80%).  Acetaminophen, morphine,empirically started on antibiotics, ketorolac.   "Edema was possibly secondary to a reaction to Pneumovax."
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Headache, Injection site warmth, Malaise, Pyrexia
Clinical narrative: Mother called and said her daughter stated that at 12 AM, she was not feeling well. Then at 3 AM, with a temp. 100 and was throwing up. At 5 AM, she had a severe HA and stopped throwing up. This morning, 845 am, temp was 101. Mother was waiting for doctors office to open this am to call him,  She is also waiting for someone to bring her some Tylenol for her daughter. Client also c/o back hurting, Left arm being very sore. and warm to touch at injection site.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: Mother called and said her daughter stated that at 12 AM, she was not feeling well. Then at 3 AM, with a temp. 100 and was throwing up. At 5 AM, she had a severe HA and stopped throwing up. This morning, 845 am, temp was 101. Mother was waiting for doctors office to open this am to call him,  She is also waiting for someone to bring her some Tylenol for her daughter. Client also c/o back hurting, Left arm being very sore. and warm to touch at injection site.
Age: 0.18
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Anorexia, Cyanosis, Irritability, Urticaria
Clinical narrative: 6/9/06- 6:30 am Urticarial rash developed all over infant's body.   6/9/06- Office visit to determine diagnosis- ? hives from immunizations or unknown.  Give Benadryl and prednisone.  6/9/06- 4:20pm  Both ankles and feet "swollen and purple" per mom.  Fussy. No respiratory symptoms.  Hands are alittle purple and swollen. Advised to take to Emergency Room.  6/9/06- 7:49pm  ER saw and released with diagnosis of Hives.  6/13/06 Spoke with mother- still with hives but appetite improving.  Still fussy off and on. Continues on Prednisone and Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: PATIENT DEVELOPED HIVES AFTER GETTING IPV, DTaP, AND MMR.
Age: 23.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain, Shoulder pain
Clinical narrative: Initial report received from a registered nurse on 5/11/2006. A 23 year old female patient complained of severe pain in her left arm the evening of the day she received the intramuscular injection of Adacel, lot number C1455AA (expiry date 7/6/2008, in the left arm and the intradermal injection of Tubersol, lot number C2246AA, expiry date 11/4/07, in the left forearm on 5/2/2006. Per reporter, a 25 gauge 5/8 needle was used, however it was not reported for which injection. Per reporter the patient had no illness at the time of vaccination. The severe pain in the left arm involved the entire limb and persisted for three days then subsided. The pain reoccurred on 5/6/2006 and is persistent. The patient had not complaint of a fever, no swelling or redness. The patient has taken Advil (over the counter) as required. No relevant diagnostic test or lab work was performed. Per the reporter, the patient was seen by a physician and at the time of this reported had not recovered. Seriousness Criteria Other Medically significant (OMIC). Follow up information received on 5/30/2006 from a registered nurse. The patient did not require an ER or doctors visit. The Tuberculin skin test was administered in the left forearm, and on reaction was noted after 48 hours. A 25 gauge 5/8 needle was used for the intramuscular administration of Adacel. Nine days post vaccination, the patient was examined by a registered nurse and was complaining of recurrent pain in the left arm and shoulder at the site of the Adacel vaccination. The patient described pain on the day of vaccination lasting three to four days, subsiding of the pain for three days and then severe pain over the few days prior to the exam. The pain was described as sharp from her shoulder to her collar bone, and it was most painful with lifting, pushing or pulling with a bent elbow or when she was swimming. The patient normally swims 80 laps per day. A plan was initiated to reduce the number of laps the patient was swimming and to gradually increase back to 80 laps per week after three weeks. Per the reporter, shoulder therapy would include a warm up in the morning with heat as needed and ice at the end of the work out. The patient had previously used Advil with relief and would continue taking Advil for one week. The reporter in this case felt the case should be a 15 day report. This case was upgraded due to this new information. At the time of this report, the patient had recovered.
Age: 23.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Pain, Shoulder pain
Clinical narrative: Initial report received from a registered nurse on 5/11/2006. A 23 year old female patient complained of severe pain in her left arm the evening of the day she received the intramuscular injection of Adacel, lot number C1455AA (expiry date 7/6/2008, in the left arm and the intradermal injection of Tubersol, lot number C2246AA, expiry date 11/4/07, in the left forearm on 5/2/2006. Per reporter, a 25 gauge 5/8 needle was used, however it was not reported for which injection. Per reporter the patient had no illness at the time of vaccination. The severe pain in the left arm involved the entire limb and persisted for three days then subsided. The pain reoccurred on 5/6/2006 and is persistent. The patient had not complaint of a fever, no swelling or redness. The patient has taken Advil (over the counter) as required. No relevant diagnostic test or lab work was performed. Per the reporter, the patient was seen by a physician and at the time of this reported had not recovered. Seriousness Criteria Other Medically significant (OMIC). Follow up information received on 5/30/2006 from a registered nurse. The patient did not require an ER or doctors visit. The Tuberculin skin test was administered in the left forearm, and on reaction was noted after 48 hours. A 25 gauge 5/8 needle was used for the intramuscular administration of Adacel. Nine days post vaccination, the patient was examined by a registered nurse and was complaining of recurrent pain in the left arm and shoulder at the site of the Adacel vaccination. The patient described pain on the day of vaccination lasting three to four days, subsiding of the pain for three days and then severe pain over the few days prior to the exam. The pain was described as sharp from her shoulder to her collar bone, and it was most painful with lifting, pushing or pulling with a bent elbow or when she was swimming. The patient normally swims 80 laps per day. A plan was initiated to reduce the number of laps the patient was swimming and to gradually increase back to 80 laps per week after three weeks. Per the reporter, shoulder therapy would include a warm up in the morning with heat as needed and ice at the end of the work out. The patient had previously used Advil with relief and would continue taking Advil for one week. The reporter in this case felt the case should be a 15 day report. This case was upgraded due to this new information. At the time of this report, the patient had recovered.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Arthralgia, Influenza like illness, Myalgia, Tremor
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Amnesia, Balance disorder, Carpal tunnel syndrome, Confusional state, Diarrhoea
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Fatigue, Headache, Hearing impaired, Hypoaesthesia, Influenza like illness
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Injection site pain, Muscular weakness, Myalgia, Nausea, Neurological symptom
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Paraesthesia, Pyrexia, Speech disorder, Tremor, Visual disturbance
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 44.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Vomiting
Clinical narrative: Woke up next day with flu-like symptoms that continued approximately one week (low-grade fever, headache, nausea, diarrhea, fatigue, exhaustion & extreme arm pain where shot given).Symptoms turned into severe joint pain and muscle burning, with shooting pains from neck and shoulders down both arms into hands with tingling and numbness and continued exhaustion and soreness in area of shot. Diagnosed with carpal tunnel syndrome and prescribed Voltaren and a mild diauretic. Approximately two weeks after vaccination, flu-like symptoms subsided, but then begain to have neurological symptoms including tremors (upper body, both sides) loss of balance, lack of coordination, confusion, memory loss, and pulsing sensations in my head which worsened upon laying down. Vision, hearing and speech worsened, and had several migraines at this time. Upper body muscles weakened and shoulders and hands hurt worse over the course of two to three weeks. Neurological symptoms gradually improved. Was able to return to work after 2 months at home. Pain in shoulders and hands subside, but then flare up again. Too soon to tell. Diagnosis of possible Hep B vccination reaction the first week.
Age: 0.17
Sex: F
Vaccine: HEP, HIBV, IPV, PNC
Symptoms: Chills, Condition aggravated, Convulsion, Muscle twitching
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevenar (pneumococcal 7-valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a 2 month old female patient who experienced visible seizures, lasting 1-15 seconds, several times every day since 3/14/2006. The patient received the first dose on 3/14/2006. The patient also received a dose of Hib Titer vaccine (haemophilus B conjugate vaccine (diphtheria crm 197 protein conjugate injection), manufacture unknown, a dose of Poliomyelitis vaccine inactivated manufacturer unknown, and a dose of hepatitis B vaccine manufacturer unknown on 3/14/2006. The patients concurrent illness included convulsion (non visible, detected at birth) wit a past history of birth trauma. Indication for Prevnar was immunisation. Product was administered on 3/14/2006. Dose regimen was 1 dose 1 time per day intramuscular. Concomitant therapy included phenobarbital. On 3/14/2006, two hours after receiving her vaccinations, the patient had a visible seizure at home (convulsion) (condition aggravated). They now occur several times every day, lasting 1-15 seconds. The seizures were described as arm twitching, sometimes making the patient or leg quiver. The mother reported that she can stop the leg movement, but no the arm movement. It was noted that the patient had experienced some trauma during her birth on 1/11/2006. An EEG performed detected seizures that were not visible, the patient was then placed on Phenobarbital. Since the seizure activity has become visible, the patient is also receiving Tegretol (Carbamazepine), 7.5 ml daily. As of 6/6/2006, the patient has not recovered.
Age: 1.03
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Cardiac disorder, Cardiomegaly, Decreased appetite, Heart rate increased, Hepatomegaly
Clinical narrative: Fever up to 103 starting 3 days after vaccinations. Decreased sleep; decreased appetite. Parents report heart beating harder. Called to be seen 6/8/06. While in office pt noted to have new onset heart murmur and hepatomegaly. Diagnosed with pericardial effusion. Pneumonia Rx with Rocephin then Augmentin.
Age: 1.03
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Insomnia, Pericardial effusion, Pneumonia, Pyrexia
Clinical narrative: Fever up to 103 starting 3 days after vaccinations. Decreased sleep; decreased appetite. Parents report heart beating harder. Called to be seen 6/8/06. While in office pt noted to have new onset heart murmur and hepatomegaly. Diagnosed with pericardial effusion. Pneumonia Rx with Rocephin then Augmentin.
Sex: M
Vaccine: MMR
Symptoms: Fatigue, Lymphadenopathy, Oral intake reduced, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: MMR shot Tues. 5/2. Wed. t/10 thru Mon May 15, pt had fever, mild sore throat, swollen glands on side of neck, fatigue, decreased appetite. In addition to above symptoms on Mon. May 15, he complained of headache. Tues. May 16, starting to feel better. Back to school on Wed. May 17. Treated with Tylenol and Motrin, alternating q 4-6 hrs for 2 1/2 days.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: Broke out with rash this AM. New drugs a right arm, rash generalized on all, slight itchy.
Age: 1.11
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Injection site inflammation, Injection site mass
Clinical narrative: Left thigh with 2x2cm inflammation, mild induration, non tender 2 days after vaccine given.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received TDAP in right arm 6/9 at roughly 06:30. Onset of chills and fever 6/10 at 04:30 AM. On 6/11 fever accompanied by headache. Fever reported to reach a high of maximum 107.7. Reaction site 12cm X 15 1/2cm. In addition, injection site red, swollen and mildly tender.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Received TDAP in right arm 6/9 at roughly 06:30. Onset of chills and fever 6/10 at 04:30 AM. On 6/11 fever accompanied by headache. Fever reported to reach a high of maximum 107.7. Reaction site 12cm X 15 1/2cm. In addition, injection site red, swollen and mildly tender.
Age: 1.04
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chicken Pox despite vaccine.
Sex: F
Vaccine: VARCEL
Symptoms: Swelling face, Urticaria
Clinical narrative: Urticaria, lip swelling
Age: 1.57
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema multiforme, Pyrexia
Clinical narrative: Rash and fever in 18 hrs. of shots. Red, slapped cheek appearance and red patches. 6/7/06, rash worse on body, better on face. Prednisone RX. 6/8/06, improved, poss. erythema multiforme.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Screaming
Clinical narrative: Crying, fussy 5 hrs 12AM-5AM
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Diarrhoea, Faeces pale, Fatigue, Nausea
Clinical narrative: Extreme diarrhea within 4 hours of vaccine, joint aches, nausea, fatigue. All symptoms decreased after 5 days except diarrhea. @ weeks later still have explosive diarrhea - yellow in color. Follow up visit with facility on 6/14/06.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: LARGE LOCAL REACTION. REDNESS AND SWELLING AT SITE. TYLENOL, ICE TO SITE.
Age: 44.0
Sex: M
Vaccine: DTAP
Symptoms: Dizziness, Hypoaesthesia, Nausea, Paraesthesia, Vertigo
Clinical narrative: Adacel given. Numbness and tingling beginning at 7:30 am on 6/14/2006; nausea beginning at 8:30 am on 6/14/2006; lightheadedness beginning 8 pm on 6/13/2006; vertigo beginning 8:30 on 6/14/2006.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Mother reports her daughter has chicken pox now. She was vaccinated 9 years ago.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Pruritus, Urticaria, Vomiting
Clinical narrative: NAUSEA, VOMITING ONCE, ITCHING, URTICARIA APPROX. ONE HOUR AFTER VACCINATION.  GIVEN DIPHENHYDRAMINE 50 MG. AT 10:05 AM AND APPLIED HYDROCORTISONE CREAM TO AFFECTED AREAS.  OBSERVED UNTIL 11:20 AM.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypotonia
Clinical narrative: HYPOTONIC/VENTILATED TIME FIVE DAYS, RULE OUT SEPSIS ? RELATIONSHIP TO VACCINE.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 104.5
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site warmth, Swelling, Tenderness
Clinical narrative: RED, SWOLLEN, TENDER, HOT TO TOUCH.
Age: 1.64
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pyrexia
Clinical narrative: Patient had fever from 101.7 to 102.5 one week after recieving MMR shot, Fever was kept down by Ibuprofen and cold baths. Patient never had a reaction before recieving this vaccine.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Vax shots on 6/13. Woke up 6/14 at 02:00. Fever 102.5, nausea, vomiting, shaky, body ache, lower back pain and dizziness.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Tremor, Vomiting
Clinical narrative: Vax shots on 6/13. Woke up 6/14 at 02:00. Fever 102.5, nausea, vomiting, shaky, body ache, lower back pain and dizziness.
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: 1 cm bump with redness at puncture sight, no pain, no itching. Probable minor reaction to vaccine.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Mild skin reaction-hives.
Age: 1.33
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Convulsion, Pyrexia, Rash
Clinical narrative: Fever developing at 4 hrs; seizure 6/10 with fever; rash developed day 5 and fever resolves on day 3. ER visit/office visit.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Pt received abx. on 6/9, episode hives and difficulty breathing on 6/12 AM. Took otc Benadryl X 3 with symptom relief no in office. Treatment related.
Age: 1.66
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Five minutes after injection, broke out in hives. No wheezing, lots of itching. 12.5mg Benadryl oral given.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pharyngolaryngeal pain, Wheezing
Clinical narrative: Lymphadenopathy- neck, axillae, along rib cage 4/16; sore throat, wheezing 4/19/06, Pt treated with albuterol inhaler and Prednisone 50mg daily x 5 days. Pt received vaccination to be compliant with current work guidelines after mumps epidemic.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Screaming
Clinical narrative: Healthy 2 mo old, rec'd routine Pediarix, Prevnar and HIB. >3 hrs extreme fussiness, crying, resolved by 12-24 hrs.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a RN concerning a 50 year old, or older, male with no allergies and a medical history of rabies who on 03Dec04, 19Jan05, and 03Aug05 was vaccinated IM in the deltoid with a first (lot648213/0596P), second (lot648212/0479P), and third (lot647985/0061R) adult dose of hep B virus vaccine rHBsAg (yeast). It was noted that the pt received a dose of rabies vaccine (unspecified) between the second and third dose or was given after the third dose of hep B virus vaccine rHBsAg (yeast). On 20Apr06, the pt had blood drawn and was found to have no immunity to the hep B antibody. Unspecified medical attention was sought and it was noted that the pt would receive the series again. A product quality complaint was not involved. The pt's experience was determined to be an other important medical event by the reporter (OMIC). Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Dysarthria, Guillain-Barre syndrome, Hypoaesthesia, Nerve conduction studies abnormal
Clinical narrative: Hand and feet numbness started 6/6, developed progressive leg weakness, slurred speech, nerve conduction studies done  by neurologist. Dx: Guillain Barre. 60 day Follow-up Information 23-AUG-2006: She is making gradual improvement. She no longer needs a wheel chair, but does need crutches.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Dysarthria, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness
Clinical narrative: Hand and feet numbness started 6/6, developed progressive leg weakness, slurred speech, nerve conduction studies done  by neurologist. Dx: Guillain Barre. 60 day Follow-up Information 23-AUG-2006: She is making gradual improvement. She no longer needs a wheel chair, but does need crutches.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Agitation, Amnesia, Anxiety, Asthenia, Constipation
Clinical narrative: Aches: whole body, agitation, anxiety, dizziness, concentration trouble, constipation, depression, low levels of energy, bad memory, mood swings, nervousness, skin itching, somnolence, fee not refreshed upon waking up, tiredness, spotted vision, blurred vision and weight gain.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Depression, Disturbance in attention, Dizziness, Fatigue, Mood swings
Clinical narrative: Aches: whole body, agitation, anxiety, dizziness, concentration trouble, constipation, depression, low levels of energy, bad memory, mood swings, nervousness, skin itching, somnolence, fee not refreshed upon waking up, tiredness, spotted vision, blurred vision and weight gain.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Nervousness, Pruritus, Somnolence, Visual disturbance
Clinical narrative: Aches: whole body, agitation, anxiety, dizziness, concentration trouble, constipation, depression, low levels of energy, bad memory, mood swings, nervousness, skin itching, somnolence, fee not refreshed upon waking up, tiredness, spotted vision, blurred vision and weight gain.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Weight increased
Clinical narrative: Aches: whole body, agitation, anxiety, dizziness, concentration trouble, constipation, depression, low levels of energy, bad memory, mood swings, nervousness, skin itching, somnolence, fee not refreshed upon waking up, tiredness, spotted vision, blurred vision and weight gain.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash, Rash, Urticaria
Clinical narrative: Red, hive-like rash started on arm around vaccine site and spread to chest/arms/buttocks. Used Benadryl, resolved 48 hrs.
Age: 19.0
Sex: F
Vaccine: HEP, HEPA, MMR, MNQ, TD
Symptoms: Dizziness, Feeling cold, Headache, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Had a pounding headache and dizziness when she stood up. Fever (temp not taken), freezing cold, throat felt like it was on fire. Call pt 5/9/06, mom states problems lasted approx. 2-2 1/2 days. Fully recovered.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 4/29/06, pt presented with red and swollen L thigh. Parent never RTC with child.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Rt deltoid red and warm to touch. Received IPV and DTAP in area on 6/1/06. Localized reaction. Keflex and Benadryl given.
Age: 0.76
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Crying, Opisthotonus
Clinical narrative: Child woke up at 03:00 fussing (night after vaccines). Mom gave Motrin because child felt warm. About 03:15, child arched back and cried for a few seconds then he would calm down. He repeated this 3-4 X over 30 min. Child was taken to ER. Child underwent blood work-up and lumbar puncture.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: 50 X 65mm red localized reaction to L deltoid, 48 hours after DTAP #5 administered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Reaction to Dtap red, swollen, warm to touch, fever, pain from right deltoid to elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site pain, Injection site swelling
Clinical narrative: Swollen deltoid left down to (red) elbow. Warm to touch, no fever, little pain.
Age: 21.0
Sex: F
Vaccine: DTAP
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea and vomiting and feeling dizzy began 1 hr after the vaccine.
Age: 39.0
Sex: F
Vaccine: HEPA, RAB
Symptoms: Antinuclear antibody positive, Arthralgia, Monocytosis, Rash
Clinical narrative: Day after rabies #3, received, joint pain lasting 5 days generalized rash, pain esp. R knee, lasting 2 weeks. Edema of R knee, rash on lower extremities, lasting 2 days. Dr's office visit. ANA and Mono tests done both returned mildly positive (client states) no treatment. Waited on further vaccines.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Oedema
Clinical narrative: Within 12 to 24 hrs of MMR had rash with increasing to joints/bilateral (ankles (///)/knees/elbows); erythematous, edematous, painful according to parent's history; no fever. Rash down 80%.
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash
Sex: M
Vaccine: HEP, HEP
Symptoms: Medication error
Clinical narrative: My son was given 2 doses of Hep B due to a hospital/nurse error. He had no immediate reaction to the overdose but no doctor can/will say what long term effects could be.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt dx'd with varicella today. Approx. 20 vesicles trunk, abdomen. Advised to take Benadryl and Aveeno baths prn.
Age: 1.02
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Erythema, Rash papular, Rash pustular, Skin ulcer
Clinical narrative: Pt seen today 6/12/06 with diffuse crusted pustules/papules over torso, face, arms, few lesions with large erythematous base.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Mild chickenpox illness, 8 years after vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Red, warm area L thigh, 4 1/2" X 5", tender and itchy.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Left upper arm with moderate redness and edema.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Chronic urticaria/Grover's disease which began 2 weeks post influenza vaccine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Chest pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Pt experienced N&V, diarrhea, low grade fever, and chest pain.  Taken to ER @ apx. 9pm.  Given fluids, Ativan, Benadryl, Toradol, and Reglan.  Final dx:diarrhea, vomitting, & febrile illness. Differential dx: side effect of immunization.
Age: 65.0
Sex: M
Vaccine: TYP
Symptoms: Asthenia, Chills, Tremor
Clinical narrative: Sudden onset 18 hours after injection of severe, body-shaking chills lasting 8-10 hours and followed by profound weakness for 3 days.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Redness, swelling, fever of 99F.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site hypersensitivity, Injection site mass, Pain, Pruritus, Rash erythematous
Clinical narrative: The day after I received the MGC (MCV4) vaccine, I noticed 3 large lumps on my right arm at the injection site, similar to mosquito bites, accompanied by moderate to severe itching. I moved on 6/13/2006, the day after the shot was given. That night, I took some of my Allegra-D because of contact with my aunt's cat and the pollen outside. The 3 "mosquito bites" were now surrounded by a large, raised, red circle measuring 2 inches in diameter with a painful itching and burning sensation. The "mosquito bites" were later recognized to be hives from a local allergic rxn to the vaccine according to the nurse I spoke with on 6/14/2006. She stated that the redness and swelling would go away, and to just keep taking my Allegra-D, icing the spot down, and rubbing cortizone cream on it.   I read the information sheet given to me after the vaccine, which contained this website address, stating that 1/2 of the people who receive this shot experience mild side effects, and then listing the severe side effects. I noticed the only "severe" allergic rxn included the hives and weakness in the right arm where the shot was given. I could not tell if the other symptoms were only from being travel weary and adjusting to the climate change, or other signs of severe allergic rxn. I didn't feel it was necessary to go to an emergency room, however I thought this information should be included about possible local allergic reactions in the information given out about the vaccine so if they have the same problem as I do (it's going away very, very slowly now) they don't become as upset and worried as I was when this started happening.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: The day after I received the MGC (MCV4) vaccine, I noticed 3 large lumps on my right arm at the injection site, similar to mosquito bites, accompanied by moderate to severe itching. I moved on 6/13/2006, the day after the shot was given. That night, I took some of my Allegra-D because of contact with my aunt's cat and the pollen outside. The 3 "mosquito bites" were now surrounded by a large, raised, red circle measuring 2 inches in diameter with a painful itching and burning sensation. The "mosquito bites" were later recognized to be hives from a local allergic rxn to the vaccine according to the nurse I spoke with on 6/14/2006. She stated that the redness and swelling would go away, and to just keep taking my Allegra-D, icing the spot down, and rubbing cortizone cream on it.   I read the information sheet given to me after the vaccine, which contained this website address, stating that 1/2 of the people who receive this shot experience mild side effects, and then listing the severe side effects. I noticed the only "severe" allergic rxn included the hives and weakness in the right arm where the shot was given. I could not tell if the other symptoms were only from being travel weary and adjusting to the climate change, or other signs of severe allergic rxn. I didn't feel it was necessary to go to an emergency room, however I thought this information should be included about possible local allergic reactions in the information given out about the vaccine so if they have the same problem as I do (it's going away very, very slowly now) they don't become as upset and worried as I was when this started happening.
Age: 20.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patients reports red, swollen area above left eye 2 x 3 centimeters which appeared shortly after vaccination.  Area continued to become larger and patient returned to clinic after hours for evaluation.  No doctor or physician extender was present and patient was counseled on adverse reactions by nurse.  He followed up with primary medical doctor which prescribed Zyrtec.  Patient reports that swelling is decreasing and he is to follow up with physician again if symptoms do not resolve.  Patient reports past similiar reactions after taking unrelated medications.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Rash all over my body.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Fever  Myalagia Fatigue Arthralgia Chills Pain at injection site all within 8 hours of injection
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever  Myalagia Fatigue Arthralgia Chills Pain at injection site all within 8 hours of injection
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Patient seen at ER for significant left upper extremity swelling after DTaP/IPV.
Age: 1.25
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Cellulitis
Clinical narrative: The patient developed a mild cellulitis which is under treatment with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema and slight induration surrounding vaccination sites on left arm (IPV and DTap).  Right arm (MMR) was normal.
Age: 1.04
Sex: F
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Febrile convulsion, Otitis media, Pyrexia
Clinical narrative: Febrile seizure approx 8-9 hrs after immunization administration, seizure lasted approx 2-3 min per mom; taken to ER and diagnosed with AOM, temp in ER 102.6, recieved ceftriaxone x1 dose.
Age: 1.25
Sex: F
Vaccine: DTAPH, MMRV, PNC
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
Clinical narrative: 3" X 5" erythematous area mid anterior L thigh with 2 needle puncture marks with slight nodules underneath; very warm to touch.
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Injection site erythema
Clinical narrative: Right arm with 1.75" by 2" area of erythema, no induration.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Rt deltoid erythema
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large 7 X 7cm erythematous, swollen area on med arm to elbow on L; started 6/14/06 (vaccines given 6/13/06). Started on prednisone and Benadryl. Improving on 6/15/06.
Age: 4.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 15x10 cm area of induration, erythema left anterior thigh.
Age: 0.83
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pallor, Somnolence
Clinical narrative: Received vaccines and then became pale and sleepy. Referred to hospital but then returned to baseline labs and X-ray done the following day.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Injection site erythema, Pruritus, Rash, Skin nodule
Clinical narrative: Info has been received from an RN concerning a 13 year old male with no medical history reported and no known allergies, who on 6/1/06, was vaccinated with Hep-A virus vaccine inactivated (Lot #653619/0144F), 0.5 ml, IM, one time dose. Concomitant therapy included Menactra, given at a different site (site not specified). On 6/1/06, the pt was vaccinated with Hep-A virus vaccine inactivated formula. Shortly after being vaccinated, the pt developed a 5" X 7", red, rash-like, area around the injection site with moderate axillary node welling above the site. The pt was treated with Augmentin ES and OTC ibuprofen (Motrin). No other symptoms were noted. At the time of reporting, the pt was recovering. Red rash and moderate axillary node swelling was Other Important Medical Events (required intervention to prevent serious criteria) (OMIC). Additional info from an RN from the pediatric office of the physician was obtained. The pt returned to the office "two days later" and was recovering from both events. The Augmentin ES was given as prophylaxis against cellulitis which did not develop. No lab or diagnostic test were performed. The pt's weight and height as of 6/1/06, were 166 pound and 66 inches. He has one sibling. The Nurse reported that the physician felt that the events were related to the vaccination with Hep-A virus vaccine inactivated. Additional info has been requested.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: Info has been received from an RN concerning a 13 year old male with no medical history reported and no known allergies, who on 6/1/06, was vaccinated with Hep-A virus vaccine inactivated (Lot #653619/0144F), 0.5 ml, IM, one time dose. Concomitant therapy included Menactra, given at a different site (site not specified). On 6/1/06, the pt was vaccinated with Hep-A virus vaccine inactivated formula. Shortly after being vaccinated, the pt developed a 5" X 7", red, rash-like, area around the injection site with moderate axillary node welling above the site. The pt was treated with Augmentin ES and OTC ibuprofen (Motrin). No other symptoms were noted. At the time of reporting, the pt was recovering. Red rash and moderate axillary node swelling was Other Important Medical Events (required intervention to prevent serious criteria) (OMIC). Additional info from an RN from the pediatric office of the physician was obtained. The pt returned to the office "two days later" and was recovering from both events. The Augmentin ES was given as prophylaxis against cellulitis which did not develop. No lab or diagnostic test were performed. The pt's weight and height as of 6/1/06, were 166 pound and 66 inches. He has one sibling. The Nurse reported that the physician felt that the events were related to the vaccination with Hep-A virus vaccine inactivated. Additional info has been requested.