chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: RAB
Symptoms: Abscess, Sepsis
Clinical narrative: Patient bitten by bat 8/8/03 (Rabies positive by testing - bat). Initial rabies series started 8/9/03. Remainder of doses given 8/12, 8/16, 8/23, 8/30 at hospital. Final dose of rabies vaccine given 1 week earlier than recommended. Onset of illness 11/28 with septicemia, multiple abscesses.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Pain, Pyrexia, Vomiting
Clinical narrative: Injection given Saturday morning 11-2-02, Monday night started vomiting, fever, aches, diarrhea, chills. In bed 5 days. Called doctor, called in prescription.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema
Clinical narrative: After receiving pneumonia/ pneumococcal vaccine, his right arm started "swelling about 6 hours later" Saw 1 hour physician.
Age: 10.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever greater than 102, arm sore, myalgia's (moderate).
Age: 62.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Erythema, Hypokinesia, Oedema, Pain, Tenderness
Clinical narrative: Client seen by nurse practitioner at clinic 2-11-04 - client stated that shortly after she received both injections her arms became red and swollen. Continues to complain of tenderness to touch and pain on movement especially lifting over head- minimal swelling. Afebrile.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site reaction, Pharyngolaryngeal pain, Rash
Clinical narrative: Cellulitis at injection site with rash on right arm, sore throat.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus, Rash, Thrombocytopenic purpura
Clinical narrative: Pt received vaccine on 1 Mar 04 stated that there was itching on Monday. Woke up 2 Mar 04 and it was swollen and red. Pt come in today the 03 Mar 04 it was swollen and red .3 cm long by 10 cm wide.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin nodule
Clinical narrative: redness, induration.  150 x 120 mm erythema, 270 mm induration.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Dizziness, Urticaria
Clinical narrative: Acute urticarial reaction 15 minutes after administration of MMR and DTaP. No irregular respiration dizziness Given Benadryl and subcutaneous epinephrine.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Urticaria no change in blood pressure, no respiratory distress. Epinephrine x 1 IM, Diphenhydramine PO x 1.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Pruritus, Urticaria
Clinical narrative: 3/8 at 2:30 pm noticed hives on hand but did not pay attention to it at 6:00 pm hives all over arms all the way to elbow, itching a lot during afternoon felt tired/exhausted for no reason, took nap. 3/9 nurse that was contacted suggested to come in but no shortness of breath given chlorpheniramine (over the counter) 4 mg every 6 hours within 1 hour itching subsided, no more hives. 3/10 hives gone except for ones that scratched.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Left deltoid, area were DTaP administration very red and swollen, hot. Father states child has no fever, doing fine, no pain.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Joint swelling, Oedema, Pyrexia, Rash
Clinical narrative: Fever, rash, joint swelling, pedal edema. Tx in hospital  50 gm prednisone with full recovery.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Employee seen two days after administration. Site red (appx 2" diameter) and warm to touch. Ice packs and Tylenol ordered by physician. Personal physician contacted.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site urticaria, Urticaria, Wheezing
Clinical narrative: Within 7 min of injection, pt developed urticaria at injection site and scattered on hand and extremities. Wheezing-mild. Rx Zyrtec, Orapred and albuterol.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: Increased temp one hr post vaccines-103 deg lasted 24 hrs. Vomited 3/5/04 increased sleep 3/5/04 fully recovered 3/6/04 evening.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, warm area at site of injection.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Redness, slightly swollen and firm, warm, no fever, tender to touch, told by her MD's nurse to give Benadryl and bring to office if he doesn't get better.
Age: 2.58
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Hypokinesia, Oedema, Pruritus
Clinical narrative: Mother reports emergency room visit due to swelling redness and itching of left arm. She denies any other symptoms except "slowed her down". No treatment given by ER physician, who advised Benadryl orally and report to HD. Left arm has some swelling and mottling. Approx. 4 inches are involved.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Developed generalized rash 10 days after shots were given. Saw doctor on 1/15/2004. He said side effects to MMR. No treatment given.
Age: 0.25
Sex: M
Vaccine: DT, HIBV, PNC
Symptoms: Blister, Erythema, Irritability, Vomiting
Clinical narrative: 02-12-04 Mom called me at my house and stated infant has red blistered areas on chest, arms and back of legs. Child irritable. Advised call Pediatrician tonight. Mom called me back, doctor called told her to give 1 dropper of Benadryl liquid to see doctor in AM. Called mom this AM. Stated vomited after Benadryl. To see doctor re: 11:00 am. Advised call after sees doctor.
Age: 2.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Dyskinesia, Oral intake reduced
Clinical narrative: Mother states that on the day after receiving vaccine child had jerking of arms on and off throughout the day and ate less. Was not both arms at the same time and was noted to be different than Normal limits more resp.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Skin nodule, Tenderness
Clinical narrative: Redness, approx. half dollar increase in size, firm, warm, extremely tender to touch, no fever, advised to see private physician.
Age: 3.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left deltoid swollen, hard to touch, hot, elevated temp. Gave Tylenol. Mom took him to ER on 1/8. They told her was ok, to give Tylenol and notify the Health Dept.
Age: 4.5
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right thigh had DTaP #5 in that thigh got a reaction site got red and swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema, Skin nodule, Sluggishness
Clinical narrative: Pt. felt groggy, sluggish on a.m. of 3-4-04 temp 99.3 on3-4-04, right arm red, swollen, and warm at touch, firm to touch from shoulder to elbow.  Physician reviewed, start Benadryl, per dosage in chart.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Skin nodule
Clinical narrative: Pt. given immunizations 3/02/04 on left shoulder, pt. presented to clinic 03/04/04 with a 4cm red, hot, tip (at near on left shoulder) site of injection.
Age: 43.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Arthritis, Joint stiffness
Clinical narrative: About a week and 1/2 after shots I started waking up with stiff sore fingers. The symptoms have been consistent for 3 straight months. Now the stiffness and soreness is more sporadic but sill consistent. This has never happened before.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus, Skin burning sensation
Clinical narrative: Site swelled excessively described as half size of golf ball. Red- itched and burned. Site was left deltoid.
Age: 1.42
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Oedema
Clinical narrative: Right humerus region swelling and cellulitis.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Drug ineffective, Hepatitis A, Laboratory test abnormal
Clinical narrative: Therapy non-responder. A pharmacist reported the occurrence of a four year old female subject who did not respond to a series of hepatitis A vaccine inactivated (Havrix) for prophylaxis. The subject was the recipient of a liver transplant, date unspecified. No other relevant medical history was provided. Allergies were not specified. Concurrent medications include "multiple products" including unspecified immunosuppresive agents. On unspecified dates, the subject was administered four injections of Havrix. At an unspecified time post-vaccination, the subject did not seroconvert.
Age: 46.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash, Pruritis, Erythema. A nurse reported the occurrence of a rash in a 46-year old male who was vaccinated with hepatitis A vaccine inactivated (Havrix) for prophylaxis. The subject's medical history included allergy to hydrocodone bitartrate/paracetamol (Vicodin). Surgical history included unspecified back operations. Concurrent medications were not specified. The subject experienced no adverse events following previous immunizations. On 24 January 2003, the subject received his first injection of Havrix. Two days post-immunization on 26 January 2003, he experienced a generalized rash "all over his body". The rash was red, "very" itchy and worse at night. The reporting nurse considered the events to be probably related to Havrix administration. The Havrix immunization series was discontinued. The outcomes of the rash was not reported.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Headache, Pyrexia, Rash erythematous
Clinical narrative: Rash erythematous, Headache, Pyrexia. A nurse reported the occurrence of a rash in an 11-year-old male who was vaccinated with hepatitis A vaccine inactivated (Havrix) for prophylaxis. The subject's medical history, concurrent conditions, and concurrent medications were not reported. On 04 March 2003, the subject received an injection of Havrix. Later that day, he developed a rash, headache and fever. He was seen by the reporter on 07 March 2003. She noted that the rash was erythematous with demarcated edges and covered an area measuring 5cm by 5cm. The location of the rash was not specified. The subject reported that the rash had gotten bigger over time. The nurse also noted an oral temperature of 99.8 degrees Fahrenheit. The Havrix immunization series was discontinued.
Age: 70.0
Sex: F
Vaccine: HEPA
Symptoms: Decreased appetite, Headache, Laboratory test abnormal, Malaise, Pyrexia
Clinical narrative: Hepatitis A; Drug Ineffective. This case was reported by a nurse and described the occurrence of a lack of effect in a 70 year old female patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. The patient's medical history, concurrent conditions, and concurrent medications were not reported. On 15 April 1997, the patient received the first dose of Havrix. (lot VHA530B6). On 24 Octover 1997, the patient received the second dose of Havrix (lot VHA549A6). Approximately five years later, on 03 February 2003, the patient experienced "severe" headache, nocturnal fevers, decreased appetite, and malaise which persisted "off and on for two weeks." The patient sought medical attention from her physician. On 17 March 2003, hepatitis A IgM as "reactive". The patient was diagnosed with an acute hepatitis A infection. On 30 March 2003 the events resolved. The nurse considered the events to be unrelated to vaccination with Havrix.
Age: 70.0
Sex: F
Vaccine: HEPA
Symptoms: Viral infection
Clinical narrative: Hepatitis A; Drug Ineffective. This case was reported by a nurse and described the occurrence of a lack of effect in a 70 year old female patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. The patient's medical history, concurrent conditions, and concurrent medications were not reported. On 15 April 1997, the patient received the first dose of Havrix. (lot VHA530B6). On 24 Octover 1997, the patient received the second dose of Havrix (lot VHA549A6). Approximately five years later, on 03 February 2003, the patient experienced "severe" headache, nocturnal fevers, decreased appetite, and malaise which persisted "off and on for two weeks." The patient sought medical attention from her physician. On 17 March 2003, hepatitis A IgM as "reactive". The patient was diagnosed with an acute hepatitis A infection. On 30 March 2003 the events resolved. The nurse considered the events to be unrelated to vaccination with Havrix.
Age: 45.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme. A physician reported the occurrence of erythema multiforme in a 45 year old female who was vaccinated with hepatitis A vaccine inactivated (Havrix) for prophylaxis. The subject's medical history included allergy to sulfamethoxazole/ trimethoprim (Bactrim). The subject had no known allergy to yeast or to other inactive ingredients in Havrix. Concurrent medications included amitriptyline, nifedipine (Procardia XL), and hydrochlorothiazide. The subject had been taking hydrochlorothiazide for "years" prior to immunization. On 03 April 2003, the subject received her first injection of Havrix. On 07 April 2003, the subject received her first injection of Havrix. On 07 April 2003, four days post-immunization, the subject noticed that she had developed a rash. On 08 April 2003, the subject was seen by the physician, who observed a "mild and fairly widespread" rash on the subject's forearms and lower legs. The physician made a diagnosis of erythema multiforme. No biopsy was performed and no treatment was provided. The reporting physician considered the erythema multiforme to be possibly related to Havrix administration. The reporting physician stated that the erythema multiforme could also have been associated with viral illness although, there was "no other evidence of such", or an adverse reaction to hydrochlorothiazide. The Havrix immunization series was discontinued. The most recent information, received on 24 April 2003, indicated that the erythema multiforme persisted as of 21 April 2003. The physician considered the event to be nonserious; however, erythema multiforme is considered GSK medically serioius.
Age: 35.0
Sex: M
Vaccine: HEPA
Symptoms: Laboratory test abnormal, Medication error
Clinical narrative: Alanine aminotransferase increased, Aspartate aminotransferase increased, Medication error. This case was reported by a nurse and described the occurrence of elevated alanine aminotransferase (ALT) and aspartate aminotransferase (AST) concentrations in a 35-year old male patient who received hepatitis A vaccine inactiviated (Havrix) for prophylaxis. The patient's past medical history included hepatitis C infection, nonsteroidal anti-inflammator drug use, and intravenous drug use. This patient had no adverse experiences following previous immunizations. Baseline ALT concentration was 78; baseline AST concentration was 71. On 10 April 2003 the patient received the 1st dose of Havrix injected into the left gluteus; the prescribing information states that Havrix should not be injected in the gluteal region. On 04 June 2003, 55 days post-immunization, the patient experienced increased concentrations of ALT (315) and AST (169). On 09 July 2003, concentrations of ALT and AST were 152 and 102, respectively. Unspecified serologies for hepatitis A and hepatitis B were negative. The patient was asymptomatic. The nurse considered the events were possibly related to vaccination with Havrix.
Age: 40.0
Sex: F
Vaccine: HEPA
Symptoms: Myalgia, Pyrexia, Urinary tract infection
Clinical narrative: Urinary tract infection, Pyrexia, Myalgia. This report describes the occurrence of a urinary tract infection in a 40-year-old female patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. This report was received from the patient and has not been verified by a physician or other healthcare professional. On 27 July 2000 the patient received the 1st dose of Havrix, prior to traveling to Egypt. Approximately two weeks post-immunization, while in Egypt, she experienced "high" fever and muscle aches. She stated tat she was seen by a physician, who performed an ultrasound examination and unspecified laboratory tests. Based on the results, the physician made a diagnosis of urinary tract infection and prescribed trimethoprim/ sulfamethoxazole. The patient reported that the urinary tract infection, fever and muscle aches resolved after an unspecified period  of time. However, she reported that she has "had many other symptoms" that she attributes to Havrix; she would not state what the symptoms were. She stated that she did not believe that she had a urinary tract infection in August 2000, but rather "a severe adverse event due to the vaccine."
Age: 25.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site vesicles
Clinical narrative: Blister. This case was reported by a pharmacist and described the occurrence of blisters in a 25 year old female patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. The patient's medical history included allergies to codeine and clarithromycin (Biaxin), hepatitis B infection, and hepatitis C infection. There were no concurrent medications. On 30 July 2003 the patient received the 1st dose of Havrix. Two days post-immunization, on 1 August 2003, the patient experienced "two small" blisters near the injection site. The patient was seen by the physician. Additional information was received from a nurse at the facility on 11 September 2003. The nurse reported that the blisters were in the area where an adhesive bandage had been applied after immunization. The blisters resolved on 2 August 2003. The nurse considered the blisters to be possibly related to the adhesive bandage.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Back pain, Blood urine, Diarrhoea, Dizziness
Clinical narrative: Dysmenorrhoea; Medication Error. This case was reported by a nurse and described the occurrence of dysmenorrhea in a 19 year old female patient who received hepatitis A vaccine inactivated (Havrix). On an unspecified date, the subject inadvertently received the pediatric dosage of Havrix for her first injection in the immunization series. Two days post-immunization, the subject traveled by airplane without having had fluids or breakfast. She then presented to an emergency room with complaints of back pain, nausea, blood in her urine, loose stools, sudden onset of dizziness, pre-syncope and weakness. The emergency room physician made a diagnosis of dysmenorrhea. The vaccine provider "thinks Havrix may have had some role in the series of events".
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Dysmenorrhoea, Medication error, Nausea
Clinical narrative: Dysmenorrhoea; Medication Error. This case was reported by a nurse and described the occurrence of dysmenorrhea in a 19 year old female patient who received hepatitis A vaccine inactivated (Havrix). On an unspecified date, the subject inadvertently received the pediatric dosage of Havrix for her first injection in the immunization series. Two days post-immunization, the subject traveled by airplane without having had fluids or breakfast. She then presented to an emergency room with complaints of back pain, nausea, blood in her urine, loose stools, sudden onset of dizziness, pre-syncope and weakness. The emergency room physician made a diagnosis of dysmenorrhea. The vaccine provider "thinks Havrix may have had some role in the series of events".
Sex: M
Vaccine: HEPA
Symptoms: Influenza like illness, Injection site rash, Injection site swelling
Clinical narrative: Influenza like illness, Injection site reaction. This case was reported by a nurse and described the occurrence of flu-like symptoms in an adult male patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. The patient received the 1st dose of Havrix in approximately February 2003. According to the patient, later that same day, he experienced flu-like symptoms and an injection site reaction characterized by a rash and a "little" swelling. The patient stated that he "had to get in bed but the next day [he] was better". The reporter considered the events were probably related to vaccination with Havrix.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Alopecia
Clinical narrative: Alopecia. This case describes the occurrence of hair loss in a 10 year old female patient who received hepatitis A vaccine inactivated (Havrix) for prophylaxis. This report was received from the patient's mother and has been verified by a physician. The physician reported that the patient was a "well child." The patient's medical history and concurrent medications were not reported. On 26 August 2003 the patient received the 1st dose of Havrix. Four days post-immunization, on 30 August 2003, the patient experienced hair loss. The hair loss improved on 31 August 2003. The reporting physician considered the hair loss to be unlikely to be related to vaccination with Havrix.
Age: 18.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Medication error, Pruritus, Urticaria
Clinical narrative: Urticaria, Pruritis, Medication Error. This case was reported by a registered nurse and described the occurrence of urticarial rash in an 18 year old male patient who received hepatitis A vaccine inactivated (Havrix) injection for prophylaxis. The patient's past medical history included unspecified allergies and asthma. Concurrent medications included fluticasone nasal spray (Flonase), albuterol and fexofendadine (Allegra). At the time of immunization, the patient was exposed to poison ivy. On 28 July 2003 the patient received the 1st dose of Havrix intramuscularly in the gluteus. This is not a recommended site for Havrix administration. On the same date, the patient received oral typoid vaccine (Vivotif, Berna). Two days post-immunization, on 30 July 2003, the patient experienced an urticarial rash and itching. The rash started on the extremeties and moved to the trunk. The patient was treated in an emergency room with an intramuscular injection of dexamethasone. The events resolved during the first week of August 2003.
Age: 39.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticaria thermal. This case was reported by a physician and described the occurrence of cold urticaria in male in his 30s who received Hepatitis A vaccine inactivated (Havrix) injection for prophylaxis. The patient's past and concurrent medical history were not reported. In 2002 the patient received Hepatitis A vaccine (Lot Number unknown). At an unspecified time following his vaccination, the physician stated that the patient experienced cold urticaria manifested by a red, raised rash upon each exposure to cold temperatures.
Age: 34.0
Sex: M
Vaccine: FLUN3
Symptoms: Hypersensitivity, Pruritus, Rash maculo-papular
Clinical narrative: This report of dermal hypersensitivity reaction and rash is being submitted in an expedited time frame as requested by the FDA. Information regarding Flumist nasal solution was received from a healthcare professional regarding a 34 year old male patient who experienced an explosive itchy red maculo-papular rash. The patient received the first dose on 1/10/04. The patient's concurrent illnesses include depression and psoriasis. Indication for Flumist was immunization. Product was administered on 1/10/04. Dose regimen was 1 dose. Additional suspect medication included Wellbutrin. On 1/16/04 the patient developed a dermal hypersensitivity reaction characterized by an explosive itchy, red maculopapular rash on his palms, fingers, arms and one ankle. The rash was thought to be erythema multiforme and the patient was treated with a dose of Celestone. He was continued on steroids until 1/22/04. The reporter also indicated that the patient started Wellbutrin on 12/22/04; it was discontinued on 1/22/04. The rash resolved on 2/15/04.  Test results: Hinkology (results: Microscopic description: histologic features are most consistent with those of a dermal hypersensitivity reaction possibly related to a medication or arthropod assault) was done in 2004. No additional information was available at the time of this report.
Age: 17.0
Sex: F
Vaccine: HEPA, TTOX, TYP, YF, HEPA, TD, TYP, YF, DPP, HEPA, TYP, YF
Symptoms: Asthenia, Dyspnoea, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: 1 week out from vaccinations, patient developed SOB, increased WOB and weakness (previously healthy). Patient had significant neuromuscular weakness (primarily of respiratory muscles). Diagnosed with GBS variant. Treated in ICU with BiPAP, IVIG and had resolution of symptoms within 1-2 weeks. Follow up 12/06/04: Vaccine recipient did recover. From information from the CDC, the patient required outpatient physcial therapy for residual weakness at the time of hospital discharge on 02/23/04, but was mostly recovered.
Age: 17.0
Sex: F
Vaccine: HEPA, TTOX, TYP, YF, HEPA, TD, TYP, YF, DPP, HEPA, TYP, YF
Symptoms: Asthenia, Difficulty in walking, Dyspnoea, Guillain-Barre syndrome, Laboratory test abnormal
Clinical narrative: 1 week out from vaccinations, patient developed SOB, increased WOB and weakness (previously healthy). Patient had significant neuromuscular weakness (primarily of respiratory muscles). Diagnosed with GBS variant. Treated in ICU with BiPAP, IVIG and had resolution of symptoms within 1-2 weeks. Follow up 12/06/04: Vaccine recipient did recover. From information from the CDC, the patient required outpatient physcial therapy for residual weakness at the time of hospital discharge on 02/23/04, but was mostly recovered.
Age: 17.0
Sex: F
Vaccine: HEPA, TTOX, TYP, YF, HEPA, TD, TYP, YF, DPP, HEPA, TYP, YF
Symptoms: Malaise, Muscular weakness, Respiratory failure
Clinical narrative: 1 week out from vaccinations, patient developed SOB, increased WOB and weakness (previously healthy). Patient had significant neuromuscular weakness (primarily of respiratory muscles). Diagnosed with GBS variant. Treated in ICU with BiPAP, IVIG and had resolution of symptoms within 1-2 weeks. Follow up 12/06/04: Vaccine recipient did recover. From information from the CDC, the patient required outpatient physcial therapy for residual weakness at the time of hospital discharge on 02/23/04, but was mostly recovered.
Age: 17.0
Sex: F
Vaccine: HEPA, TTOX, TYP, YF, HEPA, TD, TYP, YF, DPP, HEPA, TYP, YF
Symptoms: Dyspnoea, Guillain-Barre syndrome, Laboratory test abnormal, Malaise, Muscular weakness
Clinical narrative: 1 week out from vaccinations, patient developed SOB, increased WOB and weakness (previously healthy). Patient had significant neuromuscular weakness (primarily of respiratory muscles). Diagnosed with GBS variant. Treated in ICU with BiPAP, IVIG and had resolution of symptoms within 1-2 weeks. Follow up 12/06/04: Vaccine recipient did recover. From information from the CDC, the patient required outpatient physcial therapy for residual weakness at the time of hospital discharge on 02/23/04, but was mostly recovered.
Age: 22.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Blindness, Dizziness, Erythema, Oedema, Pallor
Clinical narrative: Pale, dizziness, close to fainting because vision was black. Sat down and recovered. Red and slightly swollen.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site abscess, Injection site erythema, Injection site vesicles, Lymphadenopathy, Skin ulcer
Clinical narrative: Left deltoid, 2 circular vesicles 1 cm apart with central ulceration yellowish discharge, 11- 12 cm erythema.  Positve ancillary lymph nodes.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: hives
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Pallor
Clinical narrative: Mom called 3/12/04 to inform doctor and I that at 12:00pm on 3/10/04 two hours after recieving his immunizations patient was extremely pale.  He is now doing great and is no longer pale.  Informed mom it could have been IPV, Hib, or PCV7.  Informed mom that we could give each of these three immunizations separately in hopes of ruling out which if any of the three coused the paleness.  Will document in chart.
Age: 40.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient developed near immediate pain and swelling at the injection site. This progressed over several hours and was accompanied by a fever to 102 degrees. The involved arm was difficult to raise. The patient also had a headache. 48 hours later, the pain is less and the fever is 101 degrees. There is now induration and erythema at the injection site that is 10 x 12 cm.  The patient was treated with benadryl and vicoden. Keflex was also added.  The patient carries the diagnosis of ITP and is being prepared for a splenectomy.
Age: 40.0
Sex: F
Vaccine: MEN, PPV
Symptoms: Joint range of motion decreased, Pyrexia
Clinical narrative: Patient developed near immediate pain and swelling at the injection site. This progressed over several hours and was accompanied by a fever to 102 degrees. The involved arm was difficult to raise. The patient also had a headache. 48 hours later, the pain is less and the fever is 101 degrees. There is now induration and erythema at the injection site that is 10 x 12 cm.  The patient was treated with benadryl and vicoden. Keflex was also added.  The patient carries the diagnosis of ITP and is being prepared for a splenectomy.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Injection site pain, Pain
Clinical narrative: I am unsure of the exact date adverse events began, but I did call my MDs office to report problem on 11/14/03. The problem consisted of pain and numbness of the left arm,elbow,and hand. Vaccine was administered in left arm. I felt two tracts one down the front of my arm into 1st and 2nd fingers which became numb. The other pain radiated behind my arm near elbow and to pinkie finger. I had pain at the injection site radiating down. Doctor recomended OTC anti inflamitories. I visited 3 chiropractors. He did spinal adjustment and recomended oral echinacea. The other doctors did adjustment and Massage to effected areas. Doctor did adjustment on two occasions which finally yielded relief of numbness of the arm hand. I continue to experience pain at the elbow especially when I lift my arm away from my body and at top of the forearm. worsening this week. (menstral time) for which I am taking 600-800mg ibprophen every 4-6 hours.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Diarrhoea, Jaundice, Laboratory test abnormal, Pyrexia, Vomiting
Clinical narrative: Patient received the vaccine at work and it was administered by a nurse at the school where he works. He became ill the day following the vaccine with fever, vomiting and diarrhea. The diarrhea lasted 3 additional days and vomiting ceased after the first day. By the fifth day of his illness his wife noticed him to be very yellow appearing and his yellow hue dissipated over the next 48 hours. He was mildly jaundiced when I examined him on 3/9/2004. Of note he was exposed to his grandchildren who were ill with similar GI sx's and there has been much of the same type of illness going around the community, thought to be a Norwalk Virus.
Age: 19.0
Sex: F
Vaccine: FLUX
Symptoms: Abortion, Back pain, Headache, Laboratory test abnormal, Nausea
Clinical narrative: Headache, lower back pain, nausea, vomiting, loss of unborn child. Lasted for two weeks; resulted in hospitalization. Nurse follow up on 05/18/04: spontaneous rupture of membranes.
Age: 19.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting, White blood cell disorder
Clinical narrative: Headache, lower back pain, nausea, vomiting, loss of unborn child. Lasted for two weeks; resulted in hospitalization. Nurse follow up on 05/18/04: spontaneous rupture of membranes.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Rash
Clinical narrative: COMPLAINS OF REDNESS AT INJECTION SITE, SEVERE PAIN.  FINE RASH ON ARM FROM SHOLDER TO WAIST ON 3/23/04.  GIVEN NAPROSYN 500MG TID - SUBSEQUENT REACTION TO NAPROSYN REQUIRED ED VISIT FOR BENADRYL AND SOLUCORTEF.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: This report was received from a manufacturer for PREVNAR that was originally reported by a health care professional concerning a 2 month old female infant with a history of prematurity (born at 31 weeks) who on 11/30/01 was vaccinated IM with the first dose (lot number 640928/0952L) of haemophilus b conjugate vaccine (+) hepatitis b vaccine recombinant. Concomitant therapy on 11/30/01 included the first dose (lot number DTAP516A2) IM of diphtheria toxoid/pertussis vaccine/teta, the first dose (lot number T0388) IM of poliovirus vaccine and the first dose (lot number 418320) IM of streptococcus pneumoniae vaccine. There were no other concomitant therapies. On 12/3/01 the infant was found dead in her crib. The paramedics were called, but were unable to resuscitate the infant. A medical examiner was called, and it was reported that an autopsy was pending. The cause of death was unknown. Follow up information received reported that an autopsy was performed, however, autopsy results were not provided. No further information is available.
Age: 77.0
Sex: M
Vaccine: FLUX
Symptoms: Aphasia, Constipation, Convulsion, Dyspnoea, Hyperglycaemia
Clinical narrative: Admitted to hospital for possible seizure in physician's office after receiving the flu vaccine (brand unknown). Discharge summary states constipation, dyspnea, asphagia. msv
Age: 77.0
Sex: M
Vaccine: FLUX
Symptoms: Laboratory test abnormal
Clinical narrative: Admitted to hospital for possible seizure in physician's office after receiving the flu vaccine (brand unknown). Discharge summary states constipation, dyspnea, asphagia. msv
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Autism, Injection site reaction, Otitis media, Speech disorder, Upper respiratory tract infection
Clinical narrative: Injection site reactions. Sick a lot with ear infections, upper respiratory infections. Loss of words and actions; then autism.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Autism, Injection site reaction, Otitis media, Pharyngitis, Rhinitis
Clinical narrative: Injection site reactions, sick with ear infections, colds, upper respiratory infections, loss of words/actions. Autism.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Speech disorder
Clinical narrative: Injection site reactions, sick with ear infections, colds, upper respiratory infections, loss of words/actions. Autism.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis, Hypotonia, Musculoskeletal stiffness
Clinical narrative: Child received immunizations in the afternoon. He was well that night. His mother had him seated in the infant seat. She heard him (questionable sound) sound stuffy and became dusky. No apnea. Dusky period probably less than 1-2 minutes. Admitted overnight for observation.  Discharge summary on 04/28/04 states: please take out "stiffening" and put in "sound stuffy". Patient went limp (hypotonia).
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Hepatitis C virus, Rash
Clinical narrative: Pt. states he had 3 bumps under left eye on Tues. and  bumps under right eye Wed. morning. Pt. went to clinic Wed. morning and discovered bumps on chest and back. No fever no nausea, vomiting or diarrhea, no itching.
Age: 1.0
Sex: F
Vaccine: FLU3, HBHEPB, MMR, VARCEL
Symptoms: Erythema multiforme, Oedema, Rash, Urticaria
Clinical narrative: Severe rash, extremity and forehead swelling rash consistent with urticaria vs erythema multiforme arising 3 days after initiation of Amoxil (2nd course since birth).
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Employee complains of pain right deltoid since vaccination- 10/28/2003. Complained of pain at rest and upon use of right arm. Has take Ibuprofen with relief, but pain returns when medication not taken.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site swelling
Clinical narrative: 9 cm x 8 cm raised, erythemic, hot-to-touch area on upper rt arm. Improved on 2-27-04 after Rocephin.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Headache, Musculoskeletal stiffness, Pharyngolaryngeal pain, Pruritus
Clinical narrative: Pt. received varicella vaccine on 2/11/04, on 2/25/04 the pt. experienced URI symptoms, headache, sore throat. On 2/29/04 she awakened during the night with itching and noticed red, raised lesions on her arms, back and abdomen and stiff neck along with the headache. She was evaluated on 3/01/04 and thought to be experiencing side effects from the varicella vaccine.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Upper respiratory tract infection
Clinical narrative: Pt. received varicella vaccine on 2/11/04, on 2/25/04 the pt. experienced URI symptoms, headache, sore throat. On 2/29/04 she awakened during the night with itching and noticed red, raised lesions on her arms, back and abdomen and stiff neck along with the headache. She was evaluated on 3/01/04 and thought to be experiencing side effects from the varicella vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Decreased appetite, Headache, Oedema, Pruritus, Pyrexia
Clinical narrative: On 3rd day after DTaP was given left deltoid area became red & swollen with hard raised center. Complained of headache and decreased appetite. Next day headache continued. Red area continued to spread & developed fever with itching.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous, Skin nodule
Clinical narrative: On 3rd day after DTaP was given left deltoid area became red & swollen with hard raised center. Complained of headache and decreased appetite. Next day headache continued. Red area continued to spread & developed fever with itching.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Red swollen. Benadryl 12 5mg orally every 6 hours. Ice. Elevation. Return as needed.
Age: 3.42
Sex: F
Vaccine: HEPA, MMR
Symptoms: Crying, Erythema, Pruritus, Rash
Clinical narrative: Mother noticed that child started crying and scratching at skin. Red rash on trunk and extremities developed. This occurred in car on the way home after appointment in clinic. They turned around and returned to clinic for evaluation with treatment.
Age: 36.0
Sex: F
Vaccine: HEP, HEPA, PPV
Symptoms: Erythema, Feeling hot, Myalgia, Pain
Clinical narrative: Patient is 48 post pneumococcal immunization. Arm has become increasingly sore since received vaccine. Rates pain as #10 of 10 with #10 high. Using Ibufprofen 800 mg three times daily. Arm redness is 2 1/2 x 4 1/2, warm without identified swelling to the area. Pain with and without movement & very sore to touch.
Age: 1.5
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Child developed chicken pox.
Age: 11.5
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Chicken pox lesions.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Irritability, Screaming
Clinical narrative: 8 hours after Pediarix and HIB pt was crank & crying. Tylenol was given around the clock by pt. (? Fever) crying stopped after 1 1/2 days. Child is fine today & happy.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Hypokinesia
Clinical narrative: Several joint aches. Could not run for a few days.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red, swollen, arm.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Headache, Pyrexia
Clinical narrative: Mom called 2/27/04 8:15 am-states child developed red, hard areas on RAT from above knee to groin-temp 102 deg on 2/26/04 also c/o headache. 3/6/04 talked with mom-reported no more problems.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Chest discomfort, Dizziness, Dyspnoea, Hypokinesia
Clinical narrative: SOB, insomnia, chest tightness, dizziness, nausea, weakness, difficulty moving. Sx. began on 2/9/04-ER.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Insomnia, Nausea
Clinical narrative: SOB, insomnia, chest tightness, dizziness, nausea, weakness, difficulty moving. Sx. began on 2/9/04-ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Phone call from mother on 3/2/04 stating right arm from shoulder to middle upper arm swollen 2-3 times normal size. Warm to touch and red also states low grade fever since late afternoon 3/1/04-unable to contact mother for follow-up this am. Phone number given-no longer in service.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red, swollen arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red, hard swollen arm.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Petechiae
Clinical narrative: 48 hrs after vaccine, slight petechial rash developed on face. No fever, no cough. D/W asx.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: Rash on arm and trunk suspect due to MMR-possibly to DTaP.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm red and swollen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Urticarial hives over entire body. Started within 1/2 hr of immunization. Benadryl given.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Spotty, red, raised rash over torso x 1 1/2 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Pt received immunizations on 3/8/04. Mom called our office on 3/11/04 and reported pt's L arm red, swollen, warm, and tender to touch (approximately 3-4 inches around). No fever. Mom advised to try warm compresses, and Tylenol as needed. Advised to call back in 24 hrs if no better, sooner if worse.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Pt received immunizations on Monday 3/8/04. On 3/9/04, L arm swollen. On 3/10/04, mom called our office and stated not swollen but very red and warm to touch-not painful. Seen by Dr on 3/10/04. Mom advised to apply ice, give Motrin and Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Pt complained of pain the day after vaccination. That evening mom noticed area on L thigh red and swollen. On 3/12/04 was seen by Dr. Area on L thigh more red and swollen, advancing up inner thigh. Pt give 1 gm of Ceftriaxone and started on Keflex 250mg qid x 7d.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Rash
Clinical narrative: Itching and rash behind both knees and thighs; redness and swelling at injection site-left deltoid. Plan to give Clariton.
Age: 43.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Headache, Injection site erythema, Injection site pain, Malaise
Clinical narrative: Pain and erythema at injection site (approx 3). No temp 98.2. UR cough. General malaise. Headache.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis L arm.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: T.C. from clients mother. Stated client had pain in left deltoid the day after vaccine 11/1/03.   Mother stated to wait and it would get better.  At one point ( not knoen) client thought pain was better, however he now states to mother that it is very painful at site of injection and it hurts when patient lays on his left side and also when he lifts weights. He is thinking about seeing a physician. Client has moved.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Hypersensitivity, Pruritus, Rash, Rash erythematous
Clinical narrative: This is a 26-year-old male patient. He developed a rash that began 2 days following his primary smallpox vaccination. He states that it started with one or two spots on his stomach and progressed to upper arms, shoulders, back, chest and abdomen. He describes the rash as itchy, slightly raised red rash. He denies any "moisture" associated with the rash. He denies any pustules or target lesions. He was unable to supply the Vaccine Healthcare Center (VHC) with pictures of his rash. He states that while he still has the rash, it has faded a lot and is almost resolved. He was seen at medical and treated initially with hydroxine for the itching and cortisone cream for the rash as it was believed at that time that it was an allergic reaction. He has since been instructed to stop the cortisone cream, which has helped reduce the redness. He contacted the DoD hotline for guidance with his problem and was referred to the VHC.
Age: 1.4
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Abnormal behaviour, Agitation, Anorexia, Crying, Erythema
Clinical narrative: MMR vaccine was given to my son on 2/25/04. On 3/1/04 he had a temperature of 99.3 F and was acting strange.  On 3/2/04 upon wakening, his fever was 102.8 F.  This was the first time in his life that he had a fever.  I took him to the doctor immediately and he was diagnosed with an ear infection (he never had an ear infection before, either). The doctor said it had nothing to do with the vaccine.  His fever broke after just one dose of Tylenol, but he continued to be lethargic, had no appetite and would barely drink any liquids.  By 3/4/04 he started to break out in a red rash on his face.  By the next day, 3/5/04 (exactly 9 days after the vaccine) he had a full blown measles like rash on his face and neck. Again, I took him to the doctor and she denied it had anything to do with the vaccine.  She said it was a "viral rash due to a virus".  My son has been extremely cranky for 5 days now, has no appetite, will have bouts of inconsolable crying that last for an hour or longer and is lethargic.  By 3/6/04, 10 days after the vaccine, his rash is worse, it spread a bit down his trunk and he cries out of the blue as if in pain.  On Monday, 3/8/04, I took him to a new pediatrician.  I told her the events of the past week and she said it was a reaction to the vaccine.  She also gave me an MMR vaccine information sheet that listed almost every symptom my son had as possible reactions.  She told me doctors were required by law to provide parents with the information sheets every time their child receives a vaccine.  My pediatrician never once provided me with an information sheet. My son was sick from Monday, March 1, 2004 until Monday, March 8, 2004.  By March 9, 2004 his rash was starting to fade and turning a brownish color and he had a little bit of an appetite.  On March 10, 2004 his eating and drinking habits returned to normal (actually he ate more than usual but I assume he is very hungry after barely eating for over 1 week. On March 11, 2004 he started acting normal, with high energy etc.  Today, March 15, 2004 he still has slight remnants of the rash on his face (very faded but still slightly brown dots on his cheeks).  He stopped showing signs of an ear infection (the new pediatrician said on 3/8/04 he had fluid in his ears and signs that an infection was present but to stop giving antibiotics-augmentin- that first doctor prescribed).  I am convinced that my son got the measles as a result of the vaccine and that is what also gave him an ear infection-he never had an ear infection before and I don't think it was just a coincidence that he got his first ear infection 7 days after the MMR vaccine and then 2 days later came down with a measles like rash. He was sick for 8 days starting 6-7 days after the vaccination.