chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pneumonia
Clinical narrative: Day 8, post smallpox vaccination: "felt very bad... no appetite.  Also c/o mild night sweats.  On day 12, the day Specialist corresponded with me, he claimed to have had body aches for 3 days ("more like joint pain"), no muscle aches or headache... "Just pain and stiffness in my distal joints. Both ankles and feet, both wrists. Right wrist is very bad. It's only been bad for a couple of days.... Yesterday morning, and this morning [January 28, 2003] they're real bad. It's not the cold weather. It's all-day. They're stiff and very sore when I move them. Like the tendons are inflexible. It'll probably go away in a couple of days, so I'm not going to sick-call or anything. I'm taking ibuprofen with some relief."  Patient was seen in ER on Jan 29, diagnosed with Atypical Pneumonia (told it could be Bronchitis)...  received 3 days home in bed.  All symptoms resolved within 2 or 3 weeks.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Dermatitis, Hypertension, Injection site erythema, Injection site induration
Clinical narrative: On 3/5, pt had minimal redness to surrounding area and denies other complaints. On 3/7, complained of joint pains, redness, erythema and induration traveling away from site to axillary. On 3/8, stopped Benadryl and started on Zyrtec and continue Motrin 800 q8h. On 3/10, complained of neck pains, generalized malaise, elevated BP, extending redness with less erythema and induration. Labs ordered and returned negative. On 3/11, improved resolving redness, less joint pain and normal BP. Dx: Dermatitis secondary to vaccinia.
Age: 62.0
Sex: F
Vaccine: SMALL
Symptoms: Malaise, Neck pain
Clinical narrative: On 3/5, pt had minimal redness to surrounding area and denies other complaints. On 3/7, complained of joint pains, redness, erythema and induration traveling away from site to axillary. On 3/8, stopped Benadryl and started on Zyrtec and continue Motrin 800 q8h. On 3/10, complained of neck pains, generalized malaise, elevated BP, extending redness with less erythema and induration. Labs ordered and returned negative. On 3/11, improved resolving redness, less joint pain and normal BP. Dx: Dermatitis secondary to vaccinia.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Abdominal pain, Anorexia, Diarrhoea, Diarrhoea haemorrhagic, Fatigue
Clinical narrative: On day 6 after vaccination, patient first experienced nausea; on day 7 abdominal pain started; and on day 8, diarrhea commenced.  Diarrhea was initially non-bloody.  Other symptoms included headache, fatigue, and axillary lymphadenopathy at about the same time.  Vaccination site progressed normally with a normal 'take' recorded on day 7.  Anorexia occurred about day 13-14.  Over the course of illness, the patient lost 10 pounds.  On day 13, the patient went to a local emergency room where abdominal exam and abdominal X-rays were performed.  She was given IV fluids.  Blood was taken for CBC, lipase, and results were apparently normal. Stool specimen for O&P and Salmonella, shigella, campy and E coli were negative.  On day 14, patient commenced having bloody diarrhea.  Patient is now following up with a gastroenterologist with a working diagnosis of ulcerative colitis flare.  At this writing, patient's weight has stabilized and appetite has returned.  At no time was any specific therapy given for the patient's condition.   In the emergency room, the patient was given phenergan, bentyl and metronidazole.  She did not take the metronidazole because the culture (and O&P) had not yet been completed.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Lymphadenopathy, Nausea, White blood cell count increased
Clinical narrative: On day 6 after vaccination, patient first experienced nausea; on day 7 abdominal pain started; and on day 8, diarrhea commenced.  Diarrhea was initially non-bloody.  Other symptoms included headache, fatigue, and axillary lymphadenopathy at about the same time.  Vaccination site progressed normally with a normal 'take' recorded on day 7.  Anorexia occurred about day 13-14.  Over the course of illness, the patient lost 10 pounds.  On day 13, the patient went to a local emergency room where abdominal exam and abdominal X-rays were performed.  She was given IV fluids.  Blood was taken for CBC, lipase, and results were apparently normal. Stool specimen for O&P and Salmonella, shigella, campy and E coli were negative.  On day 14, patient commenced having bloody diarrhea.  Patient is now following up with a gastroenterologist with a working diagnosis of ulcerative colitis flare.  At this writing, patient's weight has stabilized and appetite has returned.  At no time was any specific therapy given for the patient's condition.   In the emergency room, the patient was given phenergan, bentyl and metronidazole.  She did not take the metronidazole because the culture (and O&P) had not yet been completed.
Age: 58.0
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Tachycardia
Clinical narrative: At 11pm on 3/4 I experienced an episode of tachycardia which lasted approx. 15 min. I was unable to obtain an accurate heart rate -it was over 200, pounding, regular rhythm. I felt weak, and was quite frightened. No pain, nausea or disorientation. I was in bed and not yet asleep - it began suddenly. Went to ER and by that time- just before midnight- the episode had subsided. An ECG and blood work were done and proved to be normal. I was set up with a Holter monitor the next day for 24hrs. and those results also were normal. I have a follow up apt. with my MD on 3/24.
Age: 32.0
Sex: F
Vaccine: DT
Symptoms: Muscle atrophy, Pain
Clinical narrative: Approx. 4 days after the shot I had increasing deep aching pain and muscle wasting in my upper left arm. It has continued to get worse. My physician put me on Keflex for 10 days, 4 times a day. I received the shot on Feb 17th and it has not gotten any better.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Injection site oedema, Injection site pain, Injection site warmth, Muscular weakness
Clinical narrative: Complained of pain at site & tingling in fingers of right hand.  Site edematous, firm, & warm to touch.  Some edema top of right thumb.  Had difficulty gripping. This information was provided by school nurse.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Paraesthesia
Clinical narrative: Complained of pain at site & tingling in fingers of right hand.  Site edematous, firm, & warm to touch.  Some edema top of right thumb.  Had difficulty gripping. This information was provided by school nurse.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Diabetes mellitus, Headache, Thirst, Vomiting, Weight decreased
Clinical narrative: Information has been received from a consumer who is the mother of a 12 year old male pt with a house dust mite allergy and no other past medical history who on 2/22/02 was vaccinated with an "adult dose 'with preservative' for adolescent two dose regiment: of hep B vaccine recombinant (635512/1192K). Concomitant therapy included ibuprofen. On 3/22/02 (one month later) the pt developed headaches, vomiting, thirst, weight loss was diagnosed with Type I diabetes. Medical attention was sought, and the pt was hospitalized. It was also noted the physician did not believe that the vaccine was related to the diabetes. Additional info has been requested.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Gastrointestinal disorder, Muscle twitching
Clinical narrative: This report was received through a business partner from manufacturer, and was assigned manufacturer report number A0394451A. This report concerns a 6 month old male pt with no relevant medical history who on an unspecified date in June 2001 was vaccinated with a dose of Haemophilus B conjugate vaccine. Additional therapy in June 2001 also included a first dose of Infanrix by IM injection in the left thigh, and doses of IPOL, and Prevnar. It was noted that later in June 2001 at an unspecified time post-immunization, the pt began experiencing "autistic symptoms such as twitching, and digestive problems." It was noted the pt received another injection of Infanrix on an unspecified date in September 2001. It was noted the symptoms "have been displaying on and off." It was noted the events persisted as of 1/28/03. This was originally reported by a healthcare professional. Upon internal review autistic symptoms, twitching and digestive problems were determined to be other important medical events (OMIC). No further info is available.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Autism, Dyspepsia, Muscle twitching
Clinical narrative: This report was received through a business partner from manufacturer, and was assigned manufacturer report number A0394451A. This report concerns a 6 month old male pt with no relevant medical history who on an unspecified date in June 2001 was vaccinated with a dose of Haemophilus B conjugate vaccine. Additional therapy in June 2001 also included a first dose of Infanrix by IM injection in the left thigh, and doses of IPOL, and Prevnar. It was noted that later in June 2001 at an unspecified time post-immunization, the pt began experiencing "autistic symptoms such as twitching, and digestive problems." It was noted the pt received another injection of Infanrix on an unspecified date in September 2001. It was noted the symptoms "have been displaying on and off." It was noted the events persisted as of 1/28/03. This was originally reported by a healthcare professional. Upon internal review autistic symptoms, twitching and digestive problems were determined to be other important medical events (OMIC). No further info is available.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal
Clinical narrative: Info. has been received through manufacturer correspondence regarding a Daptacel phase IV study from a health prof'l regarding a 16 month old male child w/a history of seizures with and w/out fever and a low grade fever noted on 9/4/02 who on 9/5/02 was vax'd w/a dose of HIB conjugate vax. Add'l suspect therapies included vax on 9/5/02 w/a dose of MMRII, vax on 9/5/02 w/a dose of Varicella virus vax live and vax on 9/5/02 w/a dose of diphtheria toxoid/pertussis vax/teta (Daptacel). The child had been previously vax'd w/a dose of diphtheria toxoid (+) pertussis vax (+) tetanus toxoid on 8/7/01 and a dose of diphtheria toxoid (+) pertussis vax (+) tetanus toxoid (Infanrix) on 11/16/01 and on 1/7/02. On the morning of 9/7/02 the child experienced a 4-minute general seizure at home, which was witnessed by the PT's mother, and the child was taken to the ER. Per the mother, the seizure occurred w/out a post-ictal state. In the ER a computed tomography of the head was taken, and was reported to be negative. The CBC was normal, except for the automated differential, which showed decreased "Segs/grans" of 34% (range 50-70%) and elevated eosinophils of 5% (range 0-4%). A general chemistry was normal except for a decreased BUN of 7 mg/dl (range 9-20 mg/dl). The PT was discharged from the ER and then returned 4 hrs later after another general seizure lasting 3 mins, w/a post-ictal period of 1 hr. The PT was afebrile. It was reported that the PT's mother had been giving the PT acetaminophen (Tylenol) since the child had received the immunizations. The PT had a decreased appetite on 9/7/02. The PT was admitted to the pediatric unit of the hospital for observation on 9/7/02 w/a diagnosis of brief seizure. Just after he was admitted to the unit he experienced a 3rd seizure which lasted about 5 mins and was relieved w/rectal diazepam (Valium). It was noted that PT was afebrile. The PT was discharged from the hospital on 9/8/02 w/a Dx of new-onset seizure disorder. An EEG was scheduled as an outpatient (no results available). The PT was prescribed belladonna (+) chloroform (+) kaolin (+) morphine hydrochloride (+) pectin (+) phthalylsulfathiazole (+) streptomycin (Diastat) rectal 5 mg prn for seizures lasting longer than 10 mins. The outcome for these events is unknown. No further info. is expected.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Anorexia, Blood urea increased, Convulsion, Eosinophilia, Granulocytopenia
Clinical narrative: Info. has been received through manufacturer correspondence regarding a Daptacel phase IV study from a health prof'l regarding a 16 month old male child w/a history of seizures with and w/out fever and a low grade fever noted on 9/4/02 who on 9/5/02 was vax'd w/a dose of HIB conjugate vax. Add'l suspect therapies included vax on 9/5/02 w/a dose of MMRII, vax on 9/5/02 w/a dose of Varicella virus vax live and vax on 9/5/02 w/a dose of diphtheria toxoid/pertussis vax/teta (Daptacel). The child had been previously vax'd w/a dose of diphtheria toxoid (+) pertussis vax (+) tetanus toxoid on 8/7/01 and a dose of diphtheria toxoid (+) pertussis vax (+) tetanus toxoid (Infanrix) on 11/16/01 and on 1/7/02. On the morning of 9/7/02 the child experienced a 4-minute general seizure at home, which was witnessed by the PT's mother, and the child was taken to the ER. Per the mother, the seizure occurred w/out a post-ictal state. In the ER a computed tomography of the head was taken, and was reported to be negative. The CBC was normal, except for the automated differential, which showed decreased "Segs/grans" of 34% (range 50-70%) and elevated eosinophils of 5% (range 0-4%). A general chemistry was normal except for a decreased BUN of 7 mg/dl (range 9-20 mg/dl). The PT was discharged from the ER and then returned 4 hrs later after another general seizure lasting 3 mins, w/a post-ictal period of 1 hr. The PT was afebrile. It was reported that the PT's mother had been giving the PT acetaminophen (Tylenol) since the child had received the immunizations. The PT had a decreased appetite on 9/7/02. The PT was admitted to the pediatric unit of the hospital for observation on 9/7/02 w/a diagnosis of brief seizure. Just after he was admitted to the unit he experienced a 3rd seizure which lasted about 5 mins and was relieved w/rectal diazepam (Valium). It was noted that PT was afebrile. The PT was discharged from the hospital on 9/8/02 w/a Dx of new-onset seizure disorder. An EEG was scheduled as an outpatient (no results available). The PT was prescribed belladonna (+) chloroform (+) kaolin (+) morphine hydrochloride (+) pectin (+) phthalylsulfathiazole (+) streptomycin (Diastat) rectal 5 mg prn for seizures lasting longer than 10 mins. The outcome for these events is unknown. No further info. is expected.
Age: 22.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Laboratory test abnormal, Unintended pregnancy
Clinical narrative: Patient screened for smallpox, and was unsure if was pregnant.  Had urine test, which was negative for preg.  Subsequently given shot.  Saw me 3 days later --> blood pregnancy test done, which was positive.  Patient entered in pregnancy registry.
Age: 22.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Unevaluable event
Clinical narrative: Patient screened for smallpox, and was unsure if was pregnant.  Had urine test, which was negative for preg.  Subsequently given shot.  Saw me 3 days later --> blood pregnancy test done, which was positive.  Patient entered in pregnancy registry.
Sex: M
Vaccine: HEP
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: Information has been received from a legal firm regarding a case in litigation concerning a male minor who on approximately 12/27/96 and on approximately 3/5/97 was vaccinated with hep B vaccine recombinant. Other vaccinations included HIB conjugate vaccine (HIBTITER) received on or about 6/10/97 and 8/12/97, Infanrix received on or about 6/10/97, Tri-Immunol received on or about 8/12/97 and on or about 2/24/98 and HIB conjugate vaccine (HIBTITER) received on or about 1/14/98. It is alleged that the pt was administered several vaccinations as identified that contained the mercury laden preservative thimerosal during the period from approximately December 1996 to February 1998. Subsequently, it is alleged that as a result of the mercury in the thimerosal-containing vaccinations received, the pt was poisoned by cumulative doses of mercury in the thimerosal and now suffers, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning including injuries, illnesses, disabilities and autism. Upon internal review, poisoning by cumulative doses of mercury, toxic neurological effects, injuries, illnesses, disabilities, and autism were considered to be other important medical events (OMIC). No further info is available.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site abscess, Injection site induration, Injection site infection, Laboratory test abnormal
Clinical narrative: Information has been received from a physician concerning a 6 month old female pt with no past medical history who on 4/11/02, was vaccinated with the right thigh with a second dose of Haemophilus B conjugate vaccine (+) hep B vaccine recombinant. There was no concomitant medication. On 4/25/02, the pt developed a 5x6 red induration and abscess on the right thigh (injection site). The physician performed an incision and drainage. The abscess was cultured and E. fecalis was noted. On 1/6/03, the pt was vaccinated in the left thigh with a third dose of Comvax. On 1/13/03, the pt presented with an injection site abscess on the left thigh. The abscess Acinetobacter baumannii, Staph A. Pseudomonas and Strep B. Upon internal review, injection site abscesses were considered to be other important medical events (OMIC). Additional info has been requested. Follow up received on 3/19/03 states the pt was treated with IM Rocephin and Augmentin. At the time of the report, the abscess was resolving. The reporter noted that infectious disease colleagues recommended an immunological deficiency work up if this ocurred again in this pt. Additional info has been requested.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Cognitive disorder, Neurodevelopmental disorder
Clinical narrative: Information has been received from a consumer concerning a currently 6 year old male child who on 2/2/98 was vaccinated with a dose of MMR II. It was reported that the pt is now experiencing developmental delays and pervasive developmental disorder, primarily in language. Unspecified medical attention was sought. Upon internal review, pervasive developmental disorder and developmental delays were determined to be an other important medical event (OMIC). Additional info has been requested.  Reported on 04/04/2003: "Follow up information from the physician indicated that the physician did not have much information regarding this patient, but reported that the patient experienced developmental delays, attention issues and that at age 2 he experienced speech delays.  He was not sure of the child's exact diagnosis.  He reported that the patient did have a pediatric neurologist.  Unspecified medical attention was sought.  Upon internal review, pervasive developmental disorder, developmental delays and speech delays were determined to be an other important medical event.  Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: A healthcare professional reported the occurrence of injection site cellulitis in a 3 year old male who was vaccinated with Infanrix for prophylaxis. The subject's medical history, concurrent conditions, and concurrent medications were not reported. On 3/6/03, the subject received an injection of Infanrix. Two days later, on 3/8/03, he developed injection site swelling and redness. The physician made a diagnosis of injection site cellulitis. The subject was hospitalized for an unspecified period of time. Unspecified antibiotics were administered intravenously. As of 3/13/03, the cellulitis persisted. The reporter considered the injection site cellulitis to be probably related to Infanrix administration.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Bronchiolitis, Cardiomyopathy, Cough, Dyspnoea, Nasal congestion
Clinical narrative: Telephone interview with mother. Reports that child started with a cough on 1/9/03 which stopped. On 1/12/03 had runny nose followed by congestion and wheezing next day. Was taken to hosp ER this day on 1/13/03 observed x 24 hrs then transferred to hosp. Infant remained in hospital and acutely ill. Dx: viral cond.-causing cardiomyopathy. The mecical record received on 3/23/04 states bronchiolitis. The ER record received on 3/23/04 states dyspnea.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Rhinorrhoea, Viral infection, Wheezing
Clinical narrative: Telephone interview with mother. Reports that child started with a cough on 1/9/03 which stopped. On 1/12/03 had runny nose followed by congestion and wheezing next day. Was taken to hosp ER this day on 1/13/03 observed x 24 hrs then transferred to hosp. Infant remained in hospital and acutely ill. Dx: viral cond.-causing cardiomyopathy. The mecical record received on 3/23/04 states bronchiolitis. The ER record received on 3/23/04 states dyspnea.
Age: 2.0
Sex: M
Vaccine: HBHEPB
Symptoms: Convulsion, Cough, Eye movement disorder, Hypotonia, Lung infiltration
Clinical narrative: Pt received Comvax #3 on 2/13/03 and developed a fever within 24 hours. It spiked to 103F on 2/16/03 and the pt had an apparent seizure. Taken by ambulance to hospital where he had another seizure. Temperature was 99.5F at the time. He was admitted to wait for observation overnight. Mother said while eating lunch, he went limp, eyes rolled back in his head and he had shaking of all his extremities. She reports that while they were en route, he seemed to be quite sleepy but then did seem to come around. She denies any history of seizures nor is there any family history. She reports that he has been ill with a cough and URI symptoms. She has been giving him Robitussin prn for his cough.  On exam: temperature is 99.5F (rectally), pulse is 122, respirations are 24 and room air pulse oximetry is 95%. While the pt was here in ER, he was noted to have a tonic-clonic seizure activity lasting approx. 60 seconds, with a post-ictal period afterwards. Prior to this, his temperature had been rechecked and noted to be 100.2F (rectally). During the seizure, he was given a blow by O2, a saline lock was inserted. Afterwards, he was given a Feverall suppository. MD consulted another MD and ordered a CT scan of the head and was noted to be negative. Dx: seizure and right lower lobe infiltrate.
Age: 2.0
Sex: M
Vaccine: HBHEPB
Symptoms: Postictal state, Tremor, Upper respiratory tract congestion
Clinical narrative: Pt received Comvax #3 on 2/13/03 and developed a fever within 24 hours. It spiked to 103F on 2/16/03 and the pt had an apparent seizure. Taken by ambulance to hospital where he had another seizure. Temperature was 99.5F at the time. He was admitted to wait for observation overnight. Mother said while eating lunch, he went limp, eyes rolled back in his head and he had shaking of all his extremities. She reports that while they were en route, he seemed to be quite sleepy but then did seem to come around. She denies any history of seizures nor is there any family history. She reports that he has been ill with a cough and URI symptoms. She has been giving him Robitussin prn for his cough.  On exam: temperature is 99.5F (rectally), pulse is 122, respirations are 24 and room air pulse oximetry is 95%. While the pt was here in ER, he was noted to have a tonic-clonic seizure activity lasting approx. 60 seconds, with a post-ictal period afterwards. Prior to this, his temperature had been rechecked and noted to be 100.2F (rectally). During the seizure, he was given a blow by O2, a saline lock was inserted. Afterwards, he was given a Feverall suppository. MD consulted another MD and ordered a CT scan of the head and was noted to be negative. Dx: seizure and right lower lobe infiltrate.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Asthenia, Confusional state, Dehydration, Headache
Clinical narrative: Fever to 103.5 deg F, somnolence, dehydration. A recent recipient of smallpox vaccine was admitted to medical center on 3/3/03 with an admitting diagnosis of possible post-vaccinial encephalitis. He was given primary vaccinations with both smallpox vaccine and anthrax vaccine on 2/21/03. On 2/24 while playing basketball he fell, striking head and back without loss of consciousness. Evaluation ER found no problems other than lumbar contusions. By 2/28 he had developed fever to 101 deg F, myalgias, malaise, arthralgias, headache, and sore throat. By 3/3 he had developed fever to 103 deg F and had become somnolent. Although ostensibly oriented when aroused he felt confused and weak. He denied nausea, vomiting, or stiff neck. He was admitted through the emergency dept. Physical exam was grossly normal, without focal neurologic findings, meningismus, or significant mental status deficits other than somnolence. Hospital course: the pt received conservative medical therapy including antipyretics and rehydration. He defervessed and within less than a day had  had essentially a clear neurlogic/mental status, including normal alertness and cognitive functions. His bacterial CSF culture had a final result of no growth. Within a day of admission he was discharged to home.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Laboratory test abnormal, Malaise, Myalgia, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever to 103.5 deg F, somnolence, dehydration. A recent recipient of smallpox vaccine was admitted to medical center on 3/3/03 with an admitting diagnosis of possible post-vaccinial encephalitis. He was given primary vaccinations with both smallpox vaccine and anthrax vaccine on 2/21/03. On 2/24 while playing basketball he fell, striking head and back without loss of consciousness. Evaluation ER found no problems other than lumbar contusions. By 2/28 he had developed fever to 101 deg F, myalgias, malaise, arthralgias, headache, and sore throat. By 3/3 he had developed fever to 103 deg F and had become somnolent. Although ostensibly oriented when aroused he felt confused and weak. He denied nausea, vomiting, or stiff neck. He was admitted through the emergency dept. Physical exam was grossly normal, without focal neurologic findings, meningismus, or significant mental status deficits other than somnolence. Hospital course: the pt received conservative medical therapy including antipyretics and rehydration. He defervessed and within less than a day had  had essentially a clear neurlogic/mental status, including normal alertness and cognitive functions. His bacterial CSF culture had a final result of no growth. Within a day of admission he was discharged to home.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Somnolence
Clinical narrative: Fever to 103.5 deg F, somnolence, dehydration. A recent recipient of smallpox vaccine was admitted to medical center on 3/3/03 with an admitting diagnosis of possible post-vaccinial encephalitis. He was given primary vaccinations with both smallpox vaccine and anthrax vaccine on 2/21/03. On 2/24 while playing basketball he fell, striking head and back without loss of consciousness. Evaluation ER found no problems other than lumbar contusions. By 2/28 he had developed fever to 101 deg F, myalgias, malaise, arthralgias, headache, and sore throat. By 3/3 he had developed fever to 103 deg F and had become somnolent. Although ostensibly oriented when aroused he felt confused and weak. He denied nausea, vomiting, or stiff neck. He was admitted through the emergency dept. Physical exam was grossly normal, without focal neurologic findings, meningismus, or significant mental status deficits other than somnolence. Hospital course: the pt received conservative medical therapy including antipyretics and rehydration. He defervessed and within less than a day had  had essentially a clear neurlogic/mental status, including normal alertness and cognitive functions. His bacterial CSF culture had a final result of no growth. Within a day of admission he was discharged to home.
Age: 49.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Dizziness, Feeling cold, Hot flush, Hyperhidrosis
Clinical narrative: Received injection on Monday and on Wednesday woke up with sore joints, 2nd knuckle on all fingers, both hands, sore joints at shoulders, knees and hips. Also had nausea, lightheadedness, hot and cold sweats. Symptoms lasted X 24-36 hours. Head congestion also developed.
Age: 49.0
Sex: F
Vaccine: ANTH
Symptoms: Nasal congestion, Nausea
Clinical narrative: Received injection on Monday and on Wednesday woke up with sore joints, 2nd knuckle on all fingers, both hands, sore joints at shoulders, knees and hips. Also had nausea, lightheadedness, hot and cold sweats. Symptoms lasted X 24-36 hours. Head congestion also developed.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Vertigo
Clinical narrative: 3 episodes of vertigo, temporary reaction to Anthrax. Onset of symptoms, 30 minutes to 4-6 hours, post vax. Duration of symptoms, 2 hours to 2 days (last shot). Vaccine administration: 1/11/00, 1/27/00, 2/11/00 and 7/10/00.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Back pain, Neuralgia, Neuritis, Neuropathy, Optic neuritis
Clinical narrative: Left optic neuritis in pt seen and evaluated by MD in Ophthalmology. The medical record received on 2/18/04 confirms optic neuritis. Also states demyelinating neuropathy, neuralgia, neuritis, lumbago, and inattentiveness/ spacing-out.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Stupor
Clinical narrative: Left optic neuritis in pt seen and evaluated by MD in Ophthalmology. The medical record received on 2/18/04 confirms optic neuritis. Also states demyelinating neuropathy, neuralgia, neuritis, lumbago, and inattentiveness/ spacing-out.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Amblyopia, Headache, Myalgia, Nausea, Optic neuritis
Clinical narrative: Left optic neuritis in pt seen and evaluated by MD in Ophthalmology. The medical record received on 2/18/04 confirms optic neuritis. Also states demyelinating neuropathy, neuralgia, neuritis, lumbago, and inattentiveness/ spacing-out.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash, Visual field defect
Clinical narrative: Left optic neuritis in pt seen and evaluated by MD in Ophthalmology. The medical record received on 2/18/04 confirms optic neuritis. Also states demyelinating neuropathy, neuralgia, neuritis, lumbago, and inattentiveness/ spacing-out.
Age: 22.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: Left optic neuritis in pt seen and evaluated by MD in Ophthalmology. The medical record received on 2/18/04 confirms optic neuritis. Also states demyelinating neuropathy, neuralgia, neuritis, lumbago, and inattentiveness/ spacing-out.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hot flush, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Received vaccine 11/6/02. Saw physician 11/8/02 with localized pain. Large area of erythema, warmth, tenderness and edema affecting the upper extremity. Pt states symptoms have slightly improved over last 12-24 hrs. Pt noticed tingling in arm on evening 1/6/02 felt like "a warm fluid." Symptoms stayed constant 2 days going away on 3rd day. Now arm really really tender. Has hot flashes of arm being hot. Always tingly. The information entered in box #13 is from the documentation in the pt's medical record. However, the pt insists he was given the pneumonia shot in the right arm and that is what he reacted to. He stated the nurse told him which arm each was injected into-states he remembers his left arm bled after the flu shot and he didn't bleed after the pneumonia shot. Per 60 day follow up: It is unknown if the patient has recovered. The patient has not been seen at clinic since 11/08/2002.  Pt. returned for an influenza vaccination 11/20/03. He had no other physician visits since 11-08-02.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Paraesthesia
Clinical narrative: Received vaccine 11/6/02. Saw physician 11/8/02 with localized pain. Large area of erythema, warmth, tenderness and edema affecting the upper extremity. Pt states symptoms have slightly improved over last 12-24 hrs. Pt noticed tingling in arm on evening 1/6/02 felt like "a warm fluid." Symptoms stayed constant 2 days going away on 3rd day. Now arm really really tender. Has hot flashes of arm being hot. Always tingly. The information entered in box #13 is from the documentation in the pt's medical record. However, the pt insists he was given the pneumonia shot in the right arm and that is what he reacted to. He stated the nurse told him which arm each was injected into-states he remembers his left arm bled after the flu shot and he didn't bleed after the pneumonia shot. Per 60 day follow up: It is unknown if the patient has recovered. The patient has not been seen at clinic since 11/08/2002.  Pt. returned for an influenza vaccination 11/20/03. He had no other physician visits since 11-08-02.
Age: 7.25
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: A 5cm in diameter area of redness and warmth at site of Pneumovax on left upper arm.
Age: 2.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Pt had two vaccines administered on left arm; DTAP #4  and HIB #4 on 3/11/2003. Pt came in on 3/13/2003 with left arm swollen, red, hot and small blisters on arm. Dr prescribed Benadryl and Keflex.
Age: 1.28
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10 X 13 cm erythematous and induration rt deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 15cm erythematous, firm area surrounding injection site on rt thigh.
Age: 24.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Malaise
Clinical narrative: On 1/14/2003 arm started getting sore (left arm).On 1/14/2003 evaluated, swelling noted in arm. Headache, general malaise, stiffness at base of neck, some nausea and very tired.  On 1/16/2003 skin blotchy red below injection site. On 1/17/2003 continues to be swollen and painful.
Age: 24.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Musculoskeletal stiffness, Nausea, Rash macular
Clinical narrative: On 1/14/2003 arm started getting sore (left arm).On 1/14/2003 evaluated, swelling noted in arm. Headache, general malaise, stiffness at base of neck, some nausea and very tired.  On 1/16/2003 skin blotchy red below injection site. On 1/17/2003 continues to be swollen and painful.
Age: 34.0
Sex: F
Vaccine: DPP, TTOX
Symptoms: Hypokinesia, Myalgia, Pain
Clinical narrative: Deep muscle ache, difficult to move upper arm, pain increasing.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mild edema with redness over anterior thigh inside and slightly inferior to injection site. No fever or increased warmth at site of redness. Non-tender.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Crying, Loss of consciousness
Clinical narrative: Child lost consciousness X 2 immediately following vaccination. Began crying and became responsive 10 - 20 seconds after loosing consciousness. Went immediately to physician's office. Physician stated probably due to febrile illness and not vaccination.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Infection, Injection site erythema
Clinical narrative: Redness and warmth 3" diameter. Possible infection. Treated with Keflex 500 mg by mouth, 1 a day for 7 days.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Left arm cellulitis. Treated with Keflex 500mg 4 times a day for 7 days.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Chills, Fatigue, Injection site reaction, Pyrexia
Clinical narrative: Chills, fever, fatigue and possible early cellulitis.  Treated with ice to deltoid 20 minutes 4 times a day. Given Benadryl 25 mg every 6 hours prn; Keflex 500mg 4 times a day for 7 days.
Age: 2.5
Sex: M
Vaccine: MMR
Symptoms: Pruritus, Rash erythematous, Salivary hypersecretion
Clinical narrative: Approx 10 mins post vax, PT became itchy, drooling, red rash all over body.
Age: 52.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Coordination abnormal, Dizziness, Influenza, Neck pain
Clinical narrative: Flu-like Sx's, headaches, neck pain, stiff neck, shoulder pain, joint pains, jaw prob's, numbness, difficulty in pronouncing words, pain in knees, arms, balance lost, dizziness, foot pain.
Age: 52.0
Sex: M
Vaccine: LYME
Symptoms: Nuchal rigidity, Pain, Paraesthesia, Speech disorder
Clinical narrative: Flu-like Sx's, headaches, neck pain, stiff neck, shoulder pain, joint pains, jaw prob's, numbness, difficulty in pronouncing words, pain in knees, arms, balance lost, dizziness, foot pain.
Age: 1.7
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Hives - Benadryl, Pediapred, 2 tsp at am and noon and 2 tsp at pm x 5d.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Eye movement disorder, Pallor, Syncope
Clinical narrative: "Fainting" eyes rolled back of head. Pale. Mom watched at home. Refused appmt.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Oedema
Clinical narrative: Child experienced redness and swelling in entire upper thigh starting 3/11/03 at around 6 p.m. Child was seen by MD and placed on antibiotics.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Constipation, Hypothyroidism, Myalgia, Myasthenic syndrome, Skin disorder
Clinical narrative: Developed weakness on legs the day vax received. Continued w/weakness of legs, no strength in legs. Saw an internist. Sx's persisted and became worse on 1/14/03. Was able to see neurologist another day following internist visit. States that an MD told her that the weakness of legs is probably due to the flu shot. Being treated w/meds and PT 3x week.
Age: 38.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Myalgia, Oedema, Pain, Vasodilation procedure
Clinical narrative: Phone call from client who was attending a health clinic. States arm was painful after the initial injection and is now sore, red, swollen and warm to touch. States it is difficult to put coat on w/out pain. Right arm is throbbing. Initially noted.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertonia, Injection site reaction, Myasthenic syndrome, Pain
Clinical narrative: Client stated immediately after injection she experienced spasm pain up and down left arm (inject site), felt arm got weak. Stated it lasted approx 5 mins and Sx's went away. Stated about 11:00 weakness returned; pain returned - stated pain was spasm-like up to shoulder. Currently pain continues. Currently states she is able to move left arm - c/o shoulder hurts with movement. Denies fever, denies redness at inject site. States she has mobility of arm.
Age: 0.7
Sex: F
Vaccine: PNC
Symptoms: Hypotonia, Nervousness
Clinical narrative: 5 hrs post vax, child became shaky, lasted approx 30 mins. Limp, no fever per mom - taken to ER and seen by MD - supportive care. Dx - Seizure.
Age: 47.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash on trunk, behind ears.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Redness and edema localized left upper arm at inject site.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Oral intake reduced, Screaming
Clinical narrative: Baby cried nonstop and did not drink formula for 18 hrs.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Hypokinesia, Injection site mass, Injection site oedema, Injection site reaction
Clinical narrative: Said she developed petechiae on both lower legs below knees, joint pain, and peripheral edema. She had a strong local reaction also with swelling, redness and knot. Said she couldn't raise her arm above chest level. Stated ANA test is elevated.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Petechiae
Clinical narrative: Said she developed petechiae on both lower legs below knees, joint pain, and peripheral edema. She had a strong local reaction also with swelling, redness and knot. Said she couldn't raise her arm above chest level. Stated ANA test is elevated.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Erythema, Pain
Clinical narrative: Redness and tender to touch since last night. No induration 3" x 4" at erythema.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Insomnia, Pyrexia, Rash morbilliform
Clinical narrative: Morbilliform rash 9 days post MMR, T = 101 8 days after MMR. Poor sleep 2-9 days after MMR.
Age: 2.2
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site reaction, Oedema, Vasodilation procedure
Clinical narrative: 5 cm area of hot redness with underlying edema. Status post DTaP vaccine #4. *F/UP report on 4/1/03: Localized reaction only.*
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Left deltoid 3" swollen red area - tender to touch. No fever.
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large patch of erythema and edema around inject sites.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying immediately after shots and continued (for 5 hrs) nonstop
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Urticaria over body that was 1st noticed on 3/6/03. Benadryl elixir given but continues with hives on 3/7/03. Allergic Reaction.
Age: 13.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Feeling cold, Pain, Pallor
Clinical narrative: 3/10/03 Imovax given at 8:30 A and at 1:30 P pt became pale, hurt all over, chills. Mother took pt from school to ER for assess. Pt was released at 5pm. 9pm became cold, pale, body hurt all over, teeth chattering. Pt taken to ER-assessed and released at 12mn given Motrin for pain.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Mild rash-trunk area, fever, 2 weeks after MMR given.
Age: 1.4
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site urticaria
Clinical narrative: Pt here for WCC 3/5/03. Received DTap, Comvax L ant thigh and MMR R thigh. Within 6-12 hours developed hive like rash and local erythema and induration on L thigh.
Age: 17.0
Sex: U
Vaccine: HEP, HEPA, TD
Symptoms: Injection site urticaria
Clinical narrative: 12-1 n on following dya, woke up with hives at injection sites (R and L deltoids) which have ? distally while clearing proximally on following 48 hours.
Age: 1.5
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: 18 month old female with swelling, erythema and pruritus of right thigh, 1 day after administration of Prevnar. Seen in clinic 2 days after vaccine. No fever, no pain and no difficulty ambulating. Rx given for Benadryl. Seen the next day and pt's right thigh with less swelling and less erythema.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, edema and warmth of left upper arm. Treated with Keflex 250mg TID X 7 days.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Cough, Sneezing, Syncope
Clinical narrative: Child began with constant sneezing and coughing, collapsed to floor; no loss of consciousness. Lungs clear, no wheezing. Epinephrine 0.2 ml, SC given. No SOB. Observed X 15-20 minutes and was active, no coughing or sneezing, lungs clear and no wheezing.
Age: 13.0
Sex: F
Vaccine: RAB
Symptoms: Crying, Dyspnoea, Feeling cold, Nausea, Pallor
Clinical narrative: On 3/3/03, Rabavert given at 08:30 and at 09:00, pt became pale, cold, teeth chattering uncontrollably, crying uncontrollably, body hurt all over, slight nausea and  slight difficulty breathing. Symptoms lasted approx. 1 hour per mother.
Age: 13.0
Sex: F
Vaccine: RAB
Symptoms: Tremor
Clinical narrative: On 3/3/03, Rabavert given at 08:30 and at 09:00, pt became pale, cold, teeth chattering uncontrollably, crying uncontrollably, body hurt all over, slight nausea and  slight difficulty breathing. Symptoms lasted approx. 1 hour per mother.
Age: 1.0
Sex: M
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Convulsion, Laboratory test abnormal, Rash
Clinical narrative: Seizure occurred 8 days after vaccine. Rash occurred 10 days after vaccine.
Age: 8.25
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: No other information available. Dr on call notified staff.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Client had inconsolable crying and high-pitched within the 1st 24 hours of administration of DTAP #2. Also received IPV #2, HIB #2, HEP-B #2 and Prevnar #2.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Febrile convulsion, Headache, Viral infection
Clinical narrative: On 2/14/03 at 21:30, child complained of headache and temperature was 104.9F so mother gave Tylenol. A short time later, the child had a seizure. She was transported by EMS to ER. After 5 hours of observation, she was released to home. Dx'd and treated for viral influenza, febrile seizure and fever. Rx'd Tylenol and Motrin.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh red, swollen and hot to touch.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left thigh red and swollen.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left thigh red and swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right arm red, swollen and hot to touch.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Anorexia, Injection site erythema, Injection site swelling, Vomiting
Clinical narrative: Lost appetite, vomiting X 3 days, left arm got red and swollen.
Age: 57.0
Sex: F
Vaccine: HEPAB
Symptoms: Anorexia, Dehydration, Hepatitis, Hepatitis A, Laboratory test abnormal
Clinical narrative: This report describes the occurrence of dehydration in a pt who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. This report was rec'd from the pt's spouse and has not been verified by a physician or other health care professional. The pt reportedly had no relevant medical history, concurrent medical conditions, or concurrent medications. She rec'd injections of Twinrix on 8/28/02 and 10/9/02 (lot#HAB222A6). She then traveled to China and returned on 10/14/02. On 11/15/02, the pt experienced all symptoms of hepatitis A including fever primarily at night, dehydration, nausea, and lack of appetite. She was seen by her physician who reportedly made the determination that the pt was experiencing symptoms similar to hepatitis A based upon a low white blood cell count. Recent serology was positive for both hepatitis A and B antibodies. The events had improved by 11/26/02.
Age: 57.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Pyrexia, Unevaluable event
Clinical narrative: This report describes the occurrence of dehydration in a pt who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix) for prophylaxis. This report was rec'd from the pt's spouse and has not been verified by a physician or other health care professional. The pt reportedly had no relevant medical history, concurrent medical conditions, or concurrent medications. She rec'd injections of Twinrix on 8/28/02 and 10/9/02 (lot#HAB222A6). She then traveled to China and returned on 10/14/02. On 11/15/02, the pt experienced all symptoms of hepatitis A including fever primarily at night, dehydration, nausea, and lack of appetite. She was seen by her physician who reportedly made the determination that the pt was experiencing symptoms similar to hepatitis A based upon a low white blood cell count. Recent serology was positive for both hepatitis A and B antibodies. The events had improved by 11/26/02.