chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cough, Feeling hot, Pyrexia, Rhinorrhoea
Clinical narrative: Parents noted child warm at 1AM 7/16, No Tylenol, went to store but not sure what amount (not infant Tylenol) took to ER (Records obtained from family practice) temp 101.6 to 103.6- cough, runny nose x 48hrs no emesis-breastfeeding, Rocephin given x2; LP done-sent home in AM 9:30 Temp 97.
Age: 1.32
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Crying, Irritability, Pyrexia, Screaming
Clinical narrative: Fever, continuous crying for 24 hours, very fussy.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Herpes zoster, Oedema, Pain, Pruritus
Clinical narrative: 05/29/04 Left shoulder pain Left wrist swollen with pain with blister rash c/o itchy and hurt. 6/5/04 c/o rash Left shoulder decrease upper Left arm and wrist. Dx. shingles
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: 05/29/04 Left shoulder pain Left wrist swollen with pain with blister rash c/o itchy and hurt. 6/5/04 c/o rash Left shoulder decrease upper Left arm and wrist. Dx. shingles
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Varicella
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: Redness, swelling, warmth and itching from elbow to shoulder beginning about 24 hours after injection.
Age: 0.13
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anaemia, Apnoea, Coma, Condition aggravated, Cyanosis
Clinical narrative: Mom described infant as very lethargic, unresponsive, dusky, no fever. Taken to ER and admitted to PICU for extensive work up. Required NC O2 only. After a few days, returned to baseline, 30-35 episodes of apnea in first 24 hours. Increased dose of Zantac and Caffeine. Medical Records received on 1/10/2005 states final diagnoses were encephalopathy secondary to DTaP, and viral URI. Additional information included mild anemia.
Age: 0.13
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Encephalopathy, Lethargy, Upper respiratory tract infection, Viral infection
Clinical narrative: Mom described infant as very lethargic, unresponsive, dusky, no fever. Taken to ER and admitted to PICU for extensive work up. Required NC O2 only. After a few days, returned to baseline, 30-35 episodes of apnea in first 24 hours. Increased dose of Zantac and Caffeine. Medical Records received on 1/10/2005 states final diagnoses were encephalopathy secondary to DTaP, and viral URI. Additional information included mild anemia.
Age: 1.69
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Had Varivax at Peds 5/4/98 Lot# 0262M, Pt has chicken pox now.
Age: 0.0
Sex: M
Vaccine: ANTH, FLUX, SMALL
Symptoms: Abscess, Erythema, Injection site vesicles, Oedema peripheral, Pain
Clinical narrative: A patient received Small Pox on the 15th - we did not know he was ill at that time, he subsequently developed abscess under chin (or probably had before we left - unclear) - we I&D the abscess and admitted him and started IV antibiotics- Yesterday afternoon, developed white papular rash - spreading from bilateral axillary to chest, back, and bil arms, scant involvement of lower extremities- noted 1 or 2 white pustules yesterday and now we are called the papular rash - white pustules, + pruritus, temperature spike to 102.2, + body aches, hand swelling 1+, +erythema palmar surface, arms, and chest - somewhat resolved this am.   This rash developed after infusion of antibiotic - we are unclear at this time if this rash is a reaction to antibiotic, infectious process, or vaccines, or all of the above he received anthrax, flu and small pox all in one shot on the 15th.  Performed day three check on small pox site today, only noted small red 'pimple' and some erythema surrounding site.  He is stable and currently afebrile, WBC today 13.5 - 15.0 on the 17th - we switched antibiotics - started benadryl 50 mg q 6   We are now thinking this rash may be secondary to small pox  He had the abscess when we vaccinated him (we did not know this at the time), he return to medical early am on the 17th with c/o chin pain & fever ____________________  Let me recap what you said: You stated the patient was innoculated with Anthrax, Influenza and Smallpox on the 15th but was ill (no one knew this). Describe what you mean by ill? He then developed an abcess the next day, about Oct 16 with admission for I&D and antibiotics.  On Oct 17 he developed a rash as below, with fever and body aches, palmar erythema, and other symptoms below after receiving IV antibiotics.     Yes the rash sounds like Non-Viral pustulosis, which has been seen by the VHC.  Note information below. All three vaccinations stimulate an immune response creating fever, body aches, malaise, and others.     What antibiotic did you use?  Any history of a drug reaction in the past?
Age: 0.0
Sex: M
Vaccine: ANTH, FLUX, SMALL
Symptoms: Pyrexia, Rash papular, Rash pustular
Clinical narrative: A patient received Small Pox on the 15th - we did not know he was ill at that time, he subsequently developed abscess under chin (or probably had before we left - unclear) - we I&D the abscess and admitted him and started IV antibiotics- Yesterday afternoon, developed white papular rash - spreading from bilateral axillary to chest, back, and bil arms, scant involvement of lower extremities- noted 1 or 2 white pustules yesterday and now we are called the papular rash - white pustules, + pruritus, temperature spike to 102.2, + body aches, hand swelling 1+, +erythema palmar surface, arms, and chest - somewhat resolved this am.   This rash developed after infusion of antibiotic - we are unclear at this time if this rash is a reaction to antibiotic, infectious process, or vaccines, or all of the above he received anthrax, flu and small pox all in one shot on the 15th.  Performed day three check on small pox site today, only noted small red 'pimple' and some erythema surrounding site.  He is stable and currently afebrile, WBC today 13.5 - 15.0 on the 17th - we switched antibiotics - started benadryl 50 mg q 6   We are now thinking this rash may be secondary to small pox  He had the abscess when we vaccinated him (we did not know this at the time), he return to medical early am on the 17th with c/o chin pain & fever ____________________  Let me recap what you said: You stated the patient was innoculated with Anthrax, Influenza and Smallpox on the 15th but was ill (no one knew this). Describe what you mean by ill? He then developed an abcess the next day, about Oct 16 with admission for I&D and antibiotics.  On Oct 17 he developed a rash as below, with fever and body aches, palmar erythema, and other symptoms below after receiving IV antibiotics.     Yes the rash sounds like Non-Viral pustulosis, which has been seen by the VHC.  Note information below. All three vaccinations stimulate an immune response creating fever, body aches, malaise, and others.     What antibiotic did you use?  Any history of a drug reaction in the past?
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Muscular weakness, Myalgia, Paraesthesia
Clinical narrative: 39 year old male received anthrax #1 on 26 Jul 04.  He experienced pain and erythema at the injection site immediately after injection.  The erythema eventually extended from the deltoid to the shoulder and was confluent, without any raised areas.  Approximately 4 hours after receipt of the vaccine, he had generalized pruritus that he treated with oral Benadryl.  The erythema resolved within a few days, but the pain in the left arm continued with tingling in the arm down to the 4th and 5th digits of the left hand.  This pain is constant and has not responded to ibuprofen 800 mg.  He denies upper extremity weakness and this does not impair his ability to perform his job.  He does report aching and weakness in his thigh bilaterally.  He denies any history of similar symptoms.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: DTaP given 10-7-04 left deltoid.  On 10-12-04 in AM the area about 2 inches below injection site was red, warm to touch, almost vesicular like area appearing in a semi circular pattern.  No temp, did not itch, not painful.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain, Shoulder pain
Clinical narrative: Patient complains of pain in rt shoulder and neck for two weeks after innoculation with Hep-b #2.  States second shot felt different than first. Denies fever, redness or swelling.  Patient was advised to consult her doctor.
Age: 40.0
Sex: M
Vaccine: ANTH, TTOX, ANTH, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Started having sorenes at injection site in the pm of 18Oct04, then this am of 19Oct04 has localized swelling and redness, area is warm to the touch. Pt also states thet he has a general tingling sensation throughout his whole body.
Age: 40.0
Sex: M
Vaccine: ANTH, TTOX, ANTH, TD
Symptoms: Abnormal dreams, Arthralgia, Cellulitis, Chills, Disturbance in attention
Clinical narrative: Started having sorenes at injection site in the pm of 18Oct04, then this am of 19Oct04 has localized swelling and redness, area is warm to the touch. Pt also states thet he has a general tingling sensation throughout his whole body.
Age: 40.0
Sex: M
Vaccine: ANTH, TTOX, ANTH, TD
Symptoms: Dizziness, Erythema, Gait disturbance, Headache, Injection site erythema
Clinical narrative: Started having sorenes at injection site in the pm of 18Oct04, then this am of 19Oct04 has localized swelling and redness, area is warm to the touch. Pt also states thet he has a general tingling sensation throughout his whole body.
Age: 40.0
Sex: M
Vaccine: ANTH, TTOX, ANTH, TD
Symptoms: Injection site oedema, Injection site pain, Insomnia, Pain, Paraesthesia
Clinical narrative: Started having sorenes at injection site in the pm of 18Oct04, then this am of 19Oct04 has localized swelling and redness, area is warm to the touch. Pt also states thet he has a general tingling sensation throughout his whole body.
Age: 40.0
Sex: M
Vaccine: ANTH, TTOX, ANTH, TD
Symptoms: Similar reaction on previous exposure to drug, Tongue oedema, Visual disturbance
Clinical narrative: Started having sorenes at injection site in the pm of 18Oct04, then this am of 19Oct04 has localized swelling and redness, area is warm to the touch. Pt also states thet he has a general tingling sensation throughout his whole body.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia
Clinical narrative: Received IM injection of influenza vaccine at 0930 on October 19, 2004. About 45 minutes later, developed pain at injection site which spread to arms, legs and cheeks. No wheezing or respiratory difficulties. Had mild-moderate tenderness of large muscles (thighs, upper arms) as well as cheeks of face. Subsided about 30 minutes after returning to our clinic. Treated with ibuprofen; but symptoms seemed to subside before the ibuprofen would have take effect. All symptoms gone in 90 min.
Age: 2.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Developed a papular rash- some spots filled with fluid and others have drained. Rash is mostly on the face, only couple spots on trunk.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Tremor
Clinical narrative: My daughter received her 4 month vaccinations on February 11, 2004. She was given ADPT, HIB, IPV, and Prevnar. A week later she started to exhibit what appeared to be seizures. Her whole body shook for about 20-30 seconds each time. She didn't lose consciousness. She experienced at least 4 episodes. She was referred to a neurologist. 24 hour EEG was normal. She has not had an episode since. No other cause could be found leading the doctor to believe it was related to the Pertussis vaccination. My sister (her aunt) had an adverse reaction to the DPT vaccination as a child.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Localized urticaria and hives at injection site.  Doubt relationship to immunization.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Injection site erythema, Injection site mass, Injection site swelling, Irritability
Clinical narrative: Mother noticed raised, red spot on the child's right deltoid,at the Prevnar injection site, on Monday morning 10/11/04. The area became black and blue over the next few days. Today, 11 days post injection, there is an erythematous and edematous area at the site with a hard lump beneath it. Mother reports she massaged the area after she noticed the swelling and redness. The child never showed any signs of discomfort in the area, however was a little more irritable.
Age: 1.01
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Eczema, Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Developed eczema within days of receiving varivax and HiB vaccines.  Also had varicella-like illness (fever, approx. 30 lesions)2 1/2 weeks after vaccination.  That illness resolved but eczema has persisted.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Difficulty in walking, Injection site rash, Urticaria
Clinical narrative: Rash, Hives to vaccine site and also trouble walking.
Age: 1.02
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: One week after vaccine, patient returns with diffuse erythematous macular papular rash.  Involving all body, but especially face. Palms and soles involved. No treatment given.  Patient was started on Amoxicillin at time the vaccines were given.  At time of rash, patient had been on Amox for 7 days.  No fever. Otherwise doing well.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Pyrexia, Rash pruritic, Vomiting
Clinical narrative: Influenza shot given 10/12/2004 Patient on 10/14 had vomiting and on 10/15 had abdominal pain. 2 days later he had a fever and a itchy rash on the right side of his neck on 10/17/2004.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site warmth, Pruritus
Clinical narrative: PATIENT HAD INDURATION WARMTH AND LOCAL ITCHING FROM THE SHOULDER TO THE ELBOW.  NOT TENDER OR PAINFUL WITH MOVEMENT. NO FEVER
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cough, Dyspnoea, Pain
Clinical narrative: Sore throat & ear, tickling throat, weakness, body felt heavy, sore all over, more difficult to breathe, slight chill, coughing.  I have had flu shots for past 3-4 years & NEVER had this reaction.  Took Benadryl & Robitussin.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Sore throat & ear, tickling throat, weakness, body felt heavy, sore all over, more difficult to breathe, slight chill, coughing.  I have had flu shots for past 3-4 years & NEVER had this reaction.  Took Benadryl & Robitussin.
Age: 73.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Erythema, Injection site pain, Pyrexia
Clinical narrative: Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Patient received pneumo-vac at this encounter. Site: l-arm ................................................. TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13, 2004@13:20  VITAL SIGNS: Temperature (F) 97.9; Pulse 64; Systolic 152,Diastolic 66; Respiration 20The patient has  received a pneumovax. Date: 9-10-04 S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE.  HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM CLINICAL REMINDER ACTIVITY PPD: Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  09/13/2004 ADDENDUM NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 73.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Injection site erythema, Injection site pain
Clinical narrative: Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Patient received pneumo-vac at this encounter. Site: l-arm ................................................. TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13, 2004@13:20  VITAL SIGNS: Temperature (F) 97.9; Pulse 64; Systolic 152,Diastolic 66; Respiration 20The patient has  received a pneumovax. Date: 9-10-04 S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE.  HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM CLINICAL REMINDER ACTIVITY PPD: Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  09/13/2004 ADDENDUM NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 73.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Injection site pain
Clinical narrative: Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Patient received pneumo-vac at this encounter. Site: l-arm ................................................. TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13, 2004@13:20  VITAL SIGNS: Temperature (F) 97.9; Pulse 64; Systolic 152,Diastolic 66; Respiration 20The patient has  received a pneumovax. Date: 9-10-04 S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE.  HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM CLINICAL REMINDER ACTIVITY PPD: Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DR. LOOKED AT SITE. NOTED LOCAL REACTION.  09/13/2004 ADDENDUM NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 8.0
Sex: F
Vaccine: IPV, TD, VARCEL, IPV, TD, VARCEL
Symptoms: Dyspnoea
Clinical narrative: 7 yr. old female with history of asthma and allergies.  Received immunizations on Wednesday.  Thursday AM, at school, experienced red rash, welts, hives, choking and difficulty swallowing.  Epi pen and benadryl given.  Transported to ER where monitored and Prelone 10 cc's P.O. given.  Vitals stable.  Released to care of mother and private MD follow-up.
Age: 8.0
Sex: F
Vaccine: IPV, TD, VARCEL, IPV, TD, VARCEL
Symptoms: Choking, Dysphagia, Rash, Urticaria
Clinical narrative: 7 yr. old female with history of asthma and allergies.  Received immunizations on Wednesday.  Thursday AM, at school, experienced red rash, welts, hives, choking and difficulty swallowing.  Epi pen and benadryl given.  Transported to ER where monitored and Prelone 10 cc's P.O. given.  Vitals stable.  Released to care of mother and private MD follow-up.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cellulitis, Injection site reaction, Skin striae
Clinical narrative: She woke up the following morning with a fever over 102 and vomiting.  She would not eat or drink anything.  On doctors recommendation, she was brought in to the pediatricians office for a check up and was determined have a cellulitus forming on right leg.  She was given augmenten orally, and did not get any better.  She was taken to the hospital emergency room around 2pm on 10/14.  She was then admitted to the pediatric division of hospital.  She was given IV Fluids to rehydrate, and was also placed on IV atibiotics.  She was in the hospital for 4 1/2 days, she was released from the hospital on 10/19 at around 12:30pm.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Cellulitis, Dehydration, Oral intake reduced, Pyrexia, Vomiting
Clinical narrative: She woke up the following morning with a fever over 102 and vomiting.  She would not eat or drink anything.  On doctors recommendation, she was brought in to the pediatricians office for a check up and was determined have a cellulitus forming on right leg.  She was given augmenten orally, and did not get any better.  She was taken to the hospital emergency room around 2pm on 10/14.  She was then admitted to the pediatric division of hospital.  She was given IV Fluids to rehydrate, and was also placed on IV atibiotics.  She was in the hospital for 4 1/2 days, she was released from the hospital on 10/19 at around 12:30pm.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, PNC
Symptoms: Anaphylactic reaction, Eyelid oedema, Urticaria
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a healthcare professional regarding a 6 month old male patient who experienced possible anaphylactic reaction. The patient received a dose on 9/28/04. The patient also received a dose of Diphtheria/Tetanus Toxoids/Acellular Pertussis Vaccine and a dose of Influenza Virus Vaccine Polyvalent on 9/28/04. The patient's concurrent illness includes food allergy to eggs. Indication for Prevnar was immunization. Product was administered on 9/28/04. Dose regimen was 1 dose. Concomitant medications were not reported. Two hours after receiving vaccines on 9/28/04, the patient developed hives and eyelid swelling. The physician felt that the child had experienced a possible anaphylactic reaction. The patient was treated with Benadryl and recovered.
Age: 35.0
Sex: F
Vaccine: RAB
Symptoms: Contusion, Injection site erythema, Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: A 35 year old female patient experienced mal-administration of RabAvert, injection site reaction with pain, pruritus, mass and malaise for pre-exposure prophylaxis. She received 1 dose of RabAvert 1ml ID to the left upper inner arm as a booster beginning 10/8/04 (lot number unavailable). Past medical history and concomitant medications were not provided. The patient (who was also a health care professional) received one injection of RabAvert on 10/8/04 and was aware that the clinic administered the injection ID instead of the approved route of administration of IM. She experienced the injection as painful. The injection was raised and red approximately 1.5cm in circumference and had a 2-3cm area around the raised area that was red. The injection site also itched and the patient felt some malaise since the injection was administered. The redness had not improved. Follow up information received on 10/14/04: The patient was not taking any concomitant medications and had no medical problems. The patient developed the injection site reaction and self-administered one dose of over the counter Benadryl 50mg. She had not sought the advice of a health care professional but was planning on returning to the clinic where she received the vaccine on 10/15/04. The events had improved 80% overall. She had no further malaise. The injection site was still red but only slightly raised in the center. The skin around the reddened raised itchy area became bruised and was still slightly bruised. Slight itching remained. (OMIC)
Age: 35.0
Sex: F
Vaccine: RAB
Symptoms: Injection site swelling, Malaise, Medication error, Pruritus
Clinical narrative: A 35 year old female patient experienced mal-administration of RabAvert, injection site reaction with pain, pruritus, mass and malaise for pre-exposure prophylaxis. She received 1 dose of RabAvert 1ml ID to the left upper inner arm as a booster beginning 10/8/04 (lot number unavailable). Past medical history and concomitant medications were not provided. The patient (who was also a health care professional) received one injection of RabAvert on 10/8/04 and was aware that the clinic administered the injection ID instead of the approved route of administration of IM. She experienced the injection as painful. The injection was raised and red approximately 1.5cm in circumference and had a 2-3cm area around the raised area that was red. The injection site also itched and the patient felt some malaise since the injection was administered. The redness had not improved. Follow up information received on 10/14/04: The patient was not taking any concomitant medications and had no medical problems. The patient developed the injection site reaction and self-administered one dose of over the counter Benadryl 50mg. She had not sought the advice of a health care professional but was planning on returning to the clinic where she received the vaccine on 10/15/04. The events had improved 80% overall. She had no further malaise. The injection site was still red but only slightly raised in the center. The skin around the reddened raised itchy area became bruised and was still slightly bruised. Slight itching remained. (OMIC)
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Blood pressure increased, Glomerulonephritis, Oedema peripheral, Renal transplant, Urine analysis abnormal
Clinical narrative: Approxiamtely 2 weeks after receiving the meningococcal vaccine, patient went to the doctor for persistent edema in the ankles. At this time, she had 3+ protein in her urine, a BP of 160/100, a creatine of 2.9 and an albumin of 2.6. She had a renal by which showed necrotizing crescentic glomerulonephritis with 90% kidney damage. Follow up 01/19/05: Patient has not recovered, she currently has a GFR of 19mls/min. She is currently on the kidney transplantation list. Per follow up report-My daughter had a kidney transplant on October 24, 2005. Her kidney function gradually declined with the only resolution being dialysis or a transplant.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Erythema, Musculoskeletal stiffness
Clinical narrative: Episodes of stiffening, turning red about 10 seconds. Then acted dazed. 3 episodes day of vaccine several next day. About 25 in all. Seen by neurologist 9/30 and admitted. Video EEG NL; no further episodes after admission.  Discharge Summary received on 12/07/2004 states final diagnosis paroxsymal event suspicious for seizures.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Anaphylactic reaction, Urticaria, Wheezing
Clinical narrative: Rapid onset of hives all over body with wheezing. Given Epipen with resolution of symptoms. Anaphylaxis.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Hyperglycaemia, Hypokalaemia, Ketoacidosis, Laboratory test abnormal, Leukocytosis
Clinical narrative: Patient has diabetes. Received influenza vaccine at doctors office on 10/7/04 (non-live virus vaccine). Received varicella vaccine at health department on 10/8/04. Developed ketoacidosis (hospitalized 10/9/04 and 10/10/04). Discharge summary states nausea, vomiting. msv
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Hypoaesthesia
Clinical narrative: Within five minutes of Typhoid and Anthrax No. one shot, I lost feeling returned in 12 hours. Some numbness lasted approximately 36 hours. Shots and numbness where both in left arm/ hand.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain
Clinical narrative: Moderate chest pain for hours, two weeks now. Pain is getting less as time goes by.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Muscular weakness, Pain, Sensory disturbance
Clinical narrative: At shot time and 16 hours right arm (shot) fingers and back of hand had numbness which turned to pin/ needles, weakness, pain lasting more than 48 hours.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Anaphylactic reaction, Chest discomfort, Dizziness, Hyperhidrosis
Clinical narrative: Late anaphylaxis-diaphoresis , SaO2 91% RA, chest tightness, dizziness at 12 hours after vaccine, plus large 4x4 local reaction and baseline dermatitis. Give epi IV, O2, transported to ER for Benadryl. Prednisone and observation.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Upper respiratory tract infection, Urticaria
Clinical narrative: Hives. No reaction at injection site. Loose stools, mild URI symptoms and hives occurred 10/7/2004.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: 10/9/04: left arm (pneumonia vaccine injection arm) , itchy , red, hot, swollen. Benadryl 25mg taken. Redness heat, swelling and itching is not at injection site, but 2 inches away. Supervisor felt that VAERS form should be submitted.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Flushing, Injection site induration, Paraesthesia
Clinical narrative: 20 minutes after flu vaccine. She felt hot and flushed-face, neck trunk , legs mostly, arms L>R hard initially she felt tingling . No SOB. Afebrile. US stable , flushing subsided over >2 hours. PO Benadryl preivously had fluraccone with reaction.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Skin nodule
Clinical narrative: 1 single nodule right below my hair line on head or neck  about 1 inch and has been there for one year as I write this. Had taken flu shots for about 15 years , no adverse event.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Similar reaction on previous exposure to drug, Tenderness, Urticaria
Clinical narrative: Around injection site around 3" diameter, pt had redness, whelps, warm to touch, tender. Arm sore. As of 10/10/04, sx improved, arm still red in localized area. Pt self-treated with Benadryl. Redness gradually decreased in size. No whelps, Not sore.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus, Rash macular
Clinical narrative: Vaccine given 10/8/04 at 13:15. Approximately 18:45 hands became hot and itchy. Few hours later feet became hot and itchy. Woke up 10/9/04 and was "blotchy" all over. Went to MD and received Zyrtec for itching.
Age: 1.39
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure 10/9/04. URI symptoms began the day prior.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Urticaria, Wheezing
Clinical narrative: According to mom the evening of 10-9-04, child developed hives on the site of injection and hives down legs. By Sunday AM, hives on trunk and face. Child also developed wheeze. Mom gave Benadryl and started nebulizer treatment. Mom called Monday 10/11/04. Child better.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Swelling, Urticaria
Clinical narrative: Generalized urticaria reaction and swelling of legs and feet; treated with Prednisone 50mg/day; reaction faded within 24 hours. Medical record states allergic reaction. msv
Age: 89.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Fatigue
Clinical narrative: 10/6/04 one day after general weakness: had to stay in bed for 2 days (tired) then 2 more days general of tiredness.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hearing impaired, Nerve injury
Clinical narrative: 10/6/04: general weakness for three days. 10-6-04: suddenlylost hearing in the evening. Audiologist diagnosed nerve damage. Put on prednisone.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Tongue paralysis
Clinical narrative: Tongue Paresthesia: 5 min later and dizziness half hour later. All sxs resolved in 3-4 hours.
Age: 1.15
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Abnormal behaviour, Irritability, Pyrexia
Clinical narrative: 10/9/04: Call from mother 10:20am, reported child had fever 103-104, wont work, won't play, not usual self. 10/7/04 2:30 child continued irritable behavior, behavior 103-104 same as day before : PCP notified. Advised to continue infant's Tylenol, fluids, monitor temp, monitor behavior)
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Erythema, Feeling hot, Swelling
Clinical narrative: Large red bump: large bruise, hot to touch on LA. Neck swollen. Armpit also red and swollen. Cold compress applied and Benadryl taken.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt reportedly with fever to 108, per parents 6-8 hours after vaccines given. Tylenol given 101 degrees. 911 called: Paramedics checked patient: looked fine: not transported to ER.
Sex: M
Vaccine: PPV
Symptoms: Chills, Feeling hot, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: Large red swollen area on left arm (site of injection) warm and tender extended to below elbow. Patient also reported fever and chills and sweats.
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Tenderness
Clinical narrative: Large red swollen area on left arm (site of injection) warm and tender extended to below elbow. Patient also reported fever and chills and sweats.
Age: 1.01
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Bacterial infection, Drug ineffective, Herpes zoster
Clinical narrative: Varicella vaccine administered at 12 months of age.  No history of Varicella in friends or family.  Herpes Zoster diagnosed 10/09/04 on chest/back.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Crying, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Vaccine injection site appeared red, swollen and very tender to touch.  Baby cried continuously even during feedings. Symptoms resolved after 3 doses of Tylenol, left leg.
Age: 1.26
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Swelling and soreness and redness 11 days after vaccine.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema
Clinical narrative: Swelling at site.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Anorexia, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Left thigh red around injection sites, slightly swollen, warm 5x8cm (approximate size), slightly raised, hard welt. Lumps under sites. Fever 103.0 (axillary) x 2 days with Tylenol, came down to 100.1. Fussy, no eating well. Symptoms resided after 2-3 days.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left thigh red around injection sites, slightly swollen, warm 5x8cm (approximate size), slightly raised, hard welt. Lumps under sites. Fever 103.0 (axillary) x 2 days with Tylenol, came down to 100.1. Fussy, no eating well. Symptoms resided after 2-3 days.
Age: 1.31
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Red, hot, swollen area 5cm in diameter, non-tender on left deltoid.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia, Vomiting
Clinical narrative: Low grade temperature of 100.9, fussy. Vomited x1 after receiving Tylenol infant. Seen in our office 10/09/04 following drops above and again on 10/11/04. Doing much better.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: High pitch screaming for hours.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Small bumps appeared on 09/25/04 and began spreading. Appears to be Varicella. Benadryl as needed.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Convulsion, Nausea, Vomiting
Clinical narrative: At 15:30 on 10/04/04, employee felt nauseous and started vomiting and was sent home. At 17:15 had a witnessed seizure (by wife), went to ER via ambulance, then had 2 more seizures. Given prescription for Dilantin-still did not fill prescription.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt had a fever of 104 degrees Fahrenheit (rectal) the night she received her 4 month old vaccines. She was previously healthy. She also began projectile vomiting that continued for 3 days.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Crying, Pyrexia, Somnolence
Clinical narrative: Unconsolable crying upon waking at midnight following vaccinations lasting about 6 hours.  Child cried during periods of sleep. Fever 103 degrees Fahrenheit and loss of appetite.  10/07/04: Slept most of the day.  10/07/04: evening and crying/screaming unconsolably for 5 hours.  10/08/04: slept most of the day. Fever decreased, appetite improved. Child given infant Advil.  10/08/04: afternoon-continues periods of unconsolable crying.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Child awoke 10/07 with swollen left arm about twice normal size, site warm to touch and reddened. Child experienced some loss of appetite. Child seen at MD office on 10/07 afternoon and was prescribed Keflex and Zyrtec. Child seen at Health Department 10/12, swelling resolved, no further complaints.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Rash papular
Clinical narrative: 08/24/04: Phone call from mother. States child woke this AM with "bumpy rash" at injection site. Concentrated-clustered around site until this afternoon.  Now spread to both upper extremities and trunk. Afebrile-in no acute distress.  08/25/04: Office visit, mother states prescription and Zyrtec yesterday. Rash disappeared.  No signs and symptoms today.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm swelling, redness and pain.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Local redness at site of the injection. Warm to touch, no other signs or symptoms. Seen in ER on 09/21/04 with follow up in clinic office 09/22/04.  Follow up on 09/28/04.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Headache, Pharyngolaryngeal pain, Pyrexia, Tension headache
Clinical narrative: Cold symptoms (stuffy head, sore throat), fever 101 degrees Fahrenheit, joint pain, severe headache (4-5 days). Taking Benadryl, Ibuprofen.
Age: 32.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood creatine phosphokinase increased, Myalgia
Clinical narrative: Severe myalgia followed the vaccine by several hours and peaked at 24-48 hours total CK on day 3 was 296 (0-200). Aldolase and anti hep A were normal and negative.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis 2nd to immunization.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local swelling and redness shoulder to elbow.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Oedema
Clinical narrative: Vaccine placed right upper arm on 10/12/04, swelling, redness and pain started on 10/13/04. Pt seen on 10/14/04 with hot, tensely swollen right upper arm and edema to hand, papule at injection site. Started on Keflex, cool compresses and re-eval 10/15/04 with decreased pain, swelling and redness.
Age: 4.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Rash papular
Clinical narrative: Vaccine placed right upper arm on 10/12/04, swelling, redness and pain started on 10/13/04. Pt seen on 10/14/04 with hot, tensely swollen right upper arm and edema to hand, papule at injection site. Started on Keflex, cool compresses and re-eval 10/15/04 with decreased pain, swelling and redness.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Pt developed cellulitis to 14cm x 9cm area on left arm treated with Keflex symptoms resolved.
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Erythema, Injection site oedema, Urticaria
Clinical narrative: Pt received vaccine yesterday, last night started with hives, redness, swelling pain at site, c/o some feeling like she was going to pass out when she stands, not as of this AM.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site reaction
Clinical narrative: Left upper arm (DTaP site) Red swollen 4cm x 6 1/2 area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper arm (DTaP site) Red swollen 4cm x 6 1/2 area.
Age: 1.26
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blister
Clinical narrative: Mom reports that she broke out in spots on her bottom and face. They appeared to be blisters with fluid in them. They are almost gone now.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness and edema with itching on entire right tricep region. Duration x2 days.
Age: 15.0
Sex: F
Vaccine: HEP, TD
Symptoms: Face oedema
Clinical narrative: Patient received HepB#1 and Td#5 on 10/07/2004 and today (10/08/2004) per mother the child's right side of lips and face swollen.  School nurse called mother concerning event.  Mother took child to see MD and was given Benedryl.  Follow-up: per mother, swelling has decreased.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: FEVER OF 103.2 FOUR AND ONE HALF HOURS AFTER INJECTION.  FEVER UP TO 106 BY NEXT AM.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Dehydration, Depressed level of consciousness, Listless, Oral intake reduced, Pyrexia
Clinical narrative: Within 30 min of the shot, violent and repeated vomiting, fever, slept "like the dead" and had trouble waking him. Listlessness and will not eat. Could not keep anything down not even water or Motrin for fever. Gave him Pedialyte for dehydration (he vomited that too). When he didn't improve quickly (like from other vaccines), I called the doctor and took him in on 10/19/04. The doctor "insisted" it was the stomach flu and an ear infection, neither of which he had prior to the shot. No one at home or at school has the flu. This is unlike the other times he has had the flu in the past. Dr. gave him Motrin, an antibiotic and an antihistamine. I know this is not the flu because of the symptoms coming so soon after the shot. I want to know how to get help for him when the doctor will not admit it was the vaccination???????
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Somnolence, Vomiting
Clinical narrative: Within 30 min of the shot, violent and repeated vomiting, fever, slept "like the dead" and had trouble waking him. Listlessness and will not eat. Could not keep anything down not even water or Motrin for fever. Gave him Pedialyte for dehydration (he vomited that too). When he didn't improve quickly (like from other vaccines), I called the doctor and took him in on 10/19/04. The doctor "insisted" it was the stomach flu and an ear infection, neither of which he had prior to the shot. No one at home or at school has the flu. This is unlike the other times he has had the flu in the past. Dr. gave him Motrin, an antibiotic and an antihistamine. I know this is not the flu because of the symptoms coming so soon after the shot. I want to know how to get help for him when the doctor will not admit it was the vaccination???????
Age: 0.14
Sex: M
Vaccine: DTAP, HBPV, HEP, IPV, PNC
Symptoms: Agitation, Crying
Clinical narrative: UNCONSOLABLE CRYING FOR 2 DAYS.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. vaccinated on 10/6/04 with Pneumovax23. Came to my office on 10/8/04 showing a med pink, sl. warm to touch sl. raised area on left deltoid and downward. Encouraged pt. to call primary physician for antibiotic ?cellulitis. Spoke with primary MD who called in prescription to pharmacy.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Oral intake reduced
Clinical narrative: Patient noted by historian (mom and grandmother) to have had prolonged crying and poor eating for approximately 5-7 days following administration of combined DTaP, IPV, Hep B vaccine (second dose of three).
Age: 0.12
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome, Unevaluable event
Clinical narrative: There were no signs of adverse events at the clinic. Infant was found dead in the morning on or around 8/14. Infant was well evening before. Mother had slept in same bed with her infant daughter.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Eye disorder, Facial palsy, Headache, Herpes zoster
Clinical narrative: Information has been received from a physician concerning a 46 year old white male patient with no known allergies and vitiligo, and a history of herpes genitalis and hypercholesterolaemia, who on 10/9/03 and 12/5/03 was vaccinated SC in the arm with a first and second dose of varicella virus vaccine live (lot # 643597/0895M). It was noted that the patient was not ill at the time of vaccination. On 8/23/04 the patient developed herpes zoster, and medical attention was sought. The physician reported she performed a clinical diagnosis of herpes zoster but no specimen was taken. The physician reported that the patient's rash was on the left side of frontal scalp that included the left eye, and headache. THe patient was treated with famcyclovir 500mg twice daily and acetaminophen (+) hydrocodone bitartrate and he was referred to an ophthamologist. The patient is recovering, but still experiencing opthalmic symptoms and headache. It was noted the physician requested information on the varicella zoster identification program. Follow up information has been received from the physician who reported that the patient was diagnosed with Ramsay-Hunt syndrome and his symptoms included left facial pain and blistering on the tip of his nose and anterior forehead. It was noted that the patient was seen by the ophthalmologist and he was found to be positive for left eye corneal ulceration. The patient recovered on an unspecified date. Ramsay-Hunt syndrome and left eye corneal ulceration were considered to be other important medical events (OMIC). No additional information is expected.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Pain, Rash, Ulcerative keratitis
Clinical narrative: Information has been received from a physician concerning a 46 year old white male patient with no known allergies and vitiligo, and a history of herpes genitalis and hypercholesterolaemia, who on 10/9/03 and 12/5/03 was vaccinated SC in the arm with a first and second dose of varicella virus vaccine live (lot # 643597/0895M). It was noted that the patient was not ill at the time of vaccination. On 8/23/04 the patient developed herpes zoster, and medical attention was sought. The physician reported she performed a clinical diagnosis of herpes zoster but no specimen was taken. The physician reported that the patient's rash was on the left side of frontal scalp that included the left eye, and headache. THe patient was treated with famcyclovir 500mg twice daily and acetaminophen (+) hydrocodone bitartrate and he was referred to an ophthamologist. The patient is recovering, but still experiencing opthalmic symptoms and headache. It was noted the physician requested information on the varicella zoster identification program. Follow up information has been received from the physician who reported that the patient was diagnosed with Ramsay-Hunt syndrome and his symptoms included left facial pain and blistering on the tip of his nose and anterior forehead. It was noted that the patient was seen by the ophthalmologist and he was found to be positive for left eye corneal ulceration. The patient recovered on an unspecified date. Ramsay-Hunt syndrome and left eye corneal ulceration were considered to be other important medical events (OMIC). No additional information is expected.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Pyrexia, Rash pustular, Rash vesicular
Clinical narrative: Patient with a vesicular pustular rash on face. Spreading to the trunk and then extremities. Associated with fever. Discharge summary states puritis. msv
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Pain, Pyrexia, Rash erythematous, Rash macular, Skin exfoliation
Clinical narrative: Patient presented with a painful erythematous macular/patchy rash on bilateral lower extremities from knees down. Peeling skin on plantar surface both feet. Positive fever. Discharge summary states tinnitis pedis, pain. msv