chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL, DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site reaction, Pyrexia, Rash papular
Clinical narrative: Information has been received from a physician concerning a 12 month old female who on 3/16/01 was vaccinated with MMRII, varicella virus vaccine live (MSD), Hib conjugate vaccine and DPT. At the time of vaccination, the pt was febrile. Subsequently, the pt developed a fever of 103F that lasted for 48 hours. On 3/18/01, the pt developed 10 papules, all at the injection site of MMRII, which the physician reported was not the same site for varicella virus vaccine live. It was also noted that the physician "does not think that this is a varicella type reaction." It was noted on 3/19/01, that the pt was now afebrile. The pt sought unspecified medical attention. Additional information has been requested. Per F/U 6/19/02; Prior to being vaccinated, the pt was afebrile. On 3/16/01, the pt developed a fever of 103F. The fever was relieved by Tylenol but recurred every 4 hours for 48 hours. On 3/18/01, the pt developed 10 papules, all at the injeciton site of MMRII. The papules progressed to vesicles. it was also noted that the physician "does not think that this is a varicella-type reaction" and vaccinations were given at different locations. It was noted on 3/19/01, that the pt was now afebrile. Additional info has been requested.
Age: 23.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Blister, Infection
Clinical narrative: On 02/23/2001 post vax, the patient developed small blisters on her right arm and abdomen and seven lesions that were not itchy. The patient sought medical attention. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Blister, Pruritus, Skin ulcer
Clinical narrative: On 02/23/2001 post vax, the patient developed small blisters on her right arm and abdomen and seven lesions that were not itchy. The patient sought medical attention. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Cognitive disorder, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: There reportedly were no pre-existing medical conditions, allergies or concomitant medications. At the time of vaccination, the pt had the "flu". PCR (polymerase chain reaction) analysis was performed and the vaccinee was reportedly found to have chlamydia pneumonia. He was also found to have "low WBC". On 1/16/91, 1/6/94 and 1/29/01, the pt received his 1st, 2nd and 3rd doses of Engerix-B and approx. 3 days after his 3rd dose, on approx. 2/1/01, he was reportedly dx'd with chronic fatigue syndrome. Reportedly, he also had palpitations, muscle soreness, headache, "cognitive dysfunction", dizziness, night sweats and a rash on his trunk. The pt has been unable to attend school. As of 5/22/01, the rash had resolved. The outcome of the chronic fatigue syndrome, palpitations, muscle soreness, headache, "cognitive dysfunction", dizziness and night sweats was not specified. Because the pt was unable to attend school, the events are considered incapacitating and this report is considered serious.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Night sweats, Palpitations, Pneumonia, Rash, White blood cell count decreased
Clinical narrative: There reportedly were no pre-existing medical conditions, allergies or concomitant medications. At the time of vaccination, the pt had the "flu". PCR (polymerase chain reaction) analysis was performed and the vaccinee was reportedly found to have chlamydia pneumonia. He was also found to have "low WBC". On 1/16/91, 1/6/94 and 1/29/01, the pt received his 1st, 2nd and 3rd doses of Engerix-B and approx. 3 days after his 3rd dose, on approx. 2/1/01, he was reportedly dx'd with chronic fatigue syndrome. Reportedly, he also had palpitations, muscle soreness, headache, "cognitive dysfunction", dizziness, night sweats and a rash on his trunk. The pt has been unable to attend school. As of 5/22/01, the rash had resolved. The outcome of the chronic fatigue syndrome, palpitations, muscle soreness, headache, "cognitive dysfunction", dizziness and night sweats was not specified. Because the pt was unable to attend school, the events are considered incapacitating and this report is considered serious.
Age: 0.6
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Rash, Somnolence
Clinical narrative: On 3/1/01, the infant received her 3rd injection of Infanrix. On that date, she also received her 3rd injections of 7-valent pneumococcal conjugate vaccine (Prevnar, Lederle Labs) and inactivated poliomyelitis virus vaccine (IPOL, Aventis Pasteur). On 3/1/01, 3 hours, post vax, she developed a fever as high as 103.2F (rectally), irritability, decreased appetite and increased sleep. On 3/5/01, the 5th day of fever, the infant developed a rash. The fever abated, 1 day following the appearance of the rash. The infant was hospitalized for sepsis evaluation. Blood, urine, and CSF cultures were negative. She was treated with unspecified IV antibiotics, for 2 days. She was discharged from the hospital after a total of 3 days. On 3/13/2001, she was seen by her physician, who noted "a healthy child without sequelae."
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Immune system disorder, Infection, Pneumonitis, Sepsis
Clinical narrative: Pt received varicella vaccine at 15 month old office visit as part of routine immunization. Pt started with a few vesicles, 10 days prior to admission. Was treated with calamine lotion and Aveeno baths at home, but vesicles worsened. Lesions in oral cavity and throat. Pt brought th ER and admitted PICU for airway management and treatment of varicella, sepsis and pneumonitis. Treated with diphenhydramine, Acyclovir, clindamycin, ceftriaxone and acetaminophen. Discovered after admission was an underlying T-cell abnormality that would have made live vaccines contraindicated.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Headache, Hypertension, Hyperventilation, Injection site erythema
Clinical narrative: This patient states she had a flu shot 12/07 and took Benadryl 12/07 for a rash to her face and redness to the injection site of the left upper arm. Complains of headache onset last night, diarrhea "x 32" today, some nausea, 2 cm area of induration / erythema at left brachium. The patient was discharged.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site induration, Nausea, Pyrexia, Rash, Tachycardia
Clinical narrative: This patient states she had a flu shot 12/07 and took Benadryl 12/07 for a rash to her face and redness to the injection site of the left upper arm. Complains of headache onset last night, diarrhea "x 32" today, some nausea, 2 cm area of induration / erythema at left brachium. The patient was discharged.
Age: 11.0
Sex: M
Vaccine: DT, HEP, IPV, MMR
Symptoms: Chest pain, Dyspnoea, Face oedema
Clinical narrative: 20 minutes, post vax, pt developed chest pain, difficulty breathing, edema of lips and eyelids and was treated with Albuterol Nebulizer. SC Epinephrine 0.3cc !:1000, PO Prednisone 60mg; SC Benadryl 50mg.
Age: 3.0
Sex: F
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: The pt experienced a fever and seizure.
Age: 3.0
Sex: F
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: The pt experienced a fever and seizure.
Age: 3.0
Sex: F
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Anaphylactic shock, Apnoea, Hypoxia, Lethargy, Viral infection
Clinical narrative: The pt experienced a fever and seizure.
Age: 2.0
Sex: M
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Within 24 hours of the vaccine, the pt experienced vomiting. Additional information has been requested.
Age: 2.0
Sex: M
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Within 24 hours of the vaccine, the pt experienced vomiting. Additional information has been requested.
Age: 2.0
Sex: M
Vaccine: HEPA, DTAP, HEP, HIBV, MMR, DTAP, HEP, HIBV, IPV, PNC
Symptoms: Anaphylactic shock, Apnoea, Hypoxia, Lethargy, Viral infection
Clinical narrative: Within 24 hours of the vaccine, the pt experienced vomiting. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HBPV, IPV, PNC, VARCEL
Symptoms: Crying, Diarrhoea, Eye discharge, Hypersensitivity, Infection
Clinical narrative: 3 weeks after shot, a chickenpox came up on chest and again about 2 weeks later on her leg (if rash flared up badly). On 11/20/00, the night after shot, legs were sore, loss of appetite and continuous cries of pain. By that weekend, still continuous screams of pain and rash broke out and "Mennen's" products starting burning her skin (she had used all their products from birth with no previous problems). When rash breaks out, her right eye seeps as if she has infection in it. Loss of appetite continued until oral steroid was given (Florida), still has problems with it when rash comes back. Since 11/20/00, sleep was affected and would only sleep for a hour at a time and continues to scream of pain (when being picked up or held at times). She had diarrhea from shot until last month (April). The rash will go into blister and skin will seep; glands swell. We've changed her formula for a month (Similac to Soy) with no change. Changed detergents from Tide to Dreft and there is no change. Rinse all clothing and bedding 3 times and no change. Watched for reaction to any food (did not eat "food" until age 5 months, 3 months after shot, not until oral steroids). No allergies. No treatments just lotions, ointments until last of ointment. Steroid creme (way too strong) and antihistamine. No soaps, limited bathing (every 3 days) just water and limited time. Fondak, limited time, Cetaphil soaps and lotion, every other day and no oils. Allergic reaction to treatment with cream and antibiotic (threw papers at me). All may work for a couple of days, then quit.
Age: 0.2
Sex: F
Vaccine: DTAP, HBPV, IPV, PNC, VARCEL
Symptoms: Injection site pain, Lymphadenopathy, Oral intake reduced, Sleep disorder
Clinical narrative: 3 weeks after shot, a chickenpox came up on chest and again about 2 weeks later on her leg (if rash flared up badly). On 11/20/00, the night after shot, legs were sore, loss of appetite and continuous cries of pain. By that weekend, still continuous screams of pain and rash broke out and "Mennen's" products starting burning her skin (she had used all their products from birth with no previous problems). When rash breaks out, her right eye seeps as if she has infection in it. Loss of appetite continued until oral steroid was given (Florida), still has problems with it when rash comes back. Since 11/20/00, sleep was affected and would only sleep for a hour at a time and continues to scream of pain (when being picked up or held at times). She had diarrhea from shot until last month (April). The rash will go into blister and skin will seep; glands swell. We've changed her formula for a month (Similac to Soy) with no change. Changed detergents from Tide to Dreft and there is no change. Rinse all clothing and bedding 3 times and no change. Watched for reaction to any food (did not eat "food" until age 5 months, 3 months after shot, not until oral steroids). No allergies. No treatments just lotions, ointments until last of ointment. Steroid creme (way too strong) and antihistamine. No soaps, limited bathing (every 3 days) just water and limited time. Fondak, limited time, Cetaphil soaps and lotion, every other day and no oils. Allergic reaction to treatment with cream and antibiotic (threw papers at me). All may work for a couple of days, then quit.
Age: 64.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Asthenia, Difficulty in walking, Fatigue, Flushing
Clinical narrative: Extreme tiredness, severe aching joints, shooting lightning-type pain in arms and legs, blurred vision, forgetfulness, swelling in legs and fingers. Hot sweaty feelings from the waist up. Hard to stand and still continuing Fiorinal and Fiorinal with codeine, Z-pack and Celebrex. The 60 day folow-up states the pt being very tired and weak; sweats; much pain in joints and muscles aches; severe pain in arms and legs-shooting pains especially at night. And additionally, cramps developed. The annual follow up received on 6/19/02 states instant memory loss, blurred vision, shooting pains in head, severe shooting pains in joints and muscles, hard to walk, numb crampy feelings in legs, cannot drive far, very tired and hot sweaty feelings, feet aches feel like swelling going to blow apart. Searching for other doctors.
Age: 64.0
Sex: F
Vaccine: LYME
Symptoms: Hyperhidrosis, Hypoaesthesia, Memory impairment, Muscle spasms, Myalgia
Clinical narrative: Extreme tiredness, severe aching joints, shooting lightning-type pain in arms and legs, blurred vision, forgetfulness, swelling in legs and fingers. Hot sweaty feelings from the waist up. Hard to stand and still continuing Fiorinal and Fiorinal with codeine, Z-pack and Celebrex. The 60 day folow-up states the pt being very tired and weak; sweats; much pain in joints and muscles aches; severe pain in arms and legs-shooting pains especially at night. And additionally, cramps developed. The annual follow up received on 6/19/02 states instant memory loss, blurred vision, shooting pains in head, severe shooting pains in joints and muscles, hard to walk, numb crampy feelings in legs, cannot drive far, very tired and hot sweaty feelings, feet aches feel like swelling going to blow apart. Searching for other doctors.
Age: 64.0
Sex: F
Vaccine: LYME
Symptoms: Oedema peripheral, Pain, Vision blurred
Clinical narrative: Extreme tiredness, severe aching joints, shooting lightning-type pain in arms and legs, blurred vision, forgetfulness, swelling in legs and fingers. Hot sweaty feelings from the waist up. Hard to stand and still continuing Fiorinal and Fiorinal with codeine, Z-pack and Celebrex. The 60 day folow-up states the pt being very tired and weak; sweats; much pain in joints and muscles aches; severe pain in arms and legs-shooting pains especially at night. And additionally, cramps developed. The annual follow up received on 6/19/02 states instant memory loss, blurred vision, shooting pains in head, severe shooting pains in joints and muscles, hard to walk, numb crampy feelings in legs, cannot drive far, very tired and hot sweaty feelings, feet aches feel like swelling going to blow apart. Searching for other doctors.
Age: 60.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia
Clinical narrative: Joint pain in fingers, ankles and toes, post vax of 2nd Lymerix and continues to worsen.
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: On 4/23/01 the pt noticed a swollen area on right thigh the size of a nickel. No redness or drainage. Advised Mom to call private physician. The pt saw a physician on 5/9/01 and was placed on medication due to redness and swelling noted on both legs.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 3-4 hours, post vax, of Prevnar vaccine, the child spiked a fever to 103.5F which persisted for 3 days. She also developed a fine pinpoint red rash on her body.
Age: 1.34
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, PNC
Symptoms: Alopecia
Clinical narrative: Patient received five vaccination 03/05/01. Starting 03/17/01 her hair started to fall out and in a period of 2 months she lost 50% of her hair. The back of her head is completely bald.
Age: 1.4
Sex: M
Vaccine: HIBV, PNC
Symptoms: Rash
Clinical narrative: Rash on hands and feet. Afebrile.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hand-foot-and-mouth disease, Injection site erythema, Injection site oedema, Injection site rash, Injection site warmth
Clinical narrative: The pt experienced redness at the site, swelling, warm to the touch, small red bumps around site. The pt developed hand, foot and mouth disease about 4th or 5th day post vax.
Age: 1.75
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Convulsion, Electroencephalogram abnormal
Clinical narrative: 7 days after vaccination he seized 6 to 8 times a day for 3 months.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives within 24 hours of vaccine administration.
Age: 0.01
Sex: M
Vaccine: HEP, PNC
Symptoms: Muscle disorder
Clinical narrative: Baby received prevnar on 02/16/01; there was no adverse reaction noted.  On 02/23/01 mother noted inter costal retractions.  Work-up for cardiac, pulmonary and reflex negative
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Cellulitis, Cough, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Mother want to ED on 05/22/01 because of a 2cmx11/2 cm indurated site.  The physican treated child for a cellulitis - child placed on keflex 05/24/01 - Follow-up visit with Primary care MD site slightly bigger - however PMD didnot feel that it was a cellulitis but continued on antibiotic. Attached report reviled chief complain: right leg redness and swelling. History of present illness: The patient is a 2-year-old female who was seen by her primary care physician yesterday for a well child check.  She got her prevnar and hepatitis A vaccines at that visit.  Her mother reports that she noticed the injection site to be a little bit swollen last night.  When the patient's mother returned home from work to day at about 6:15 p.m. she noticed an area of redness and increased swelling around the injection site.  She called her primary care physician and was told to draw a circle aroun the readness and to come to the Oregon Health Sciences University Emergency Department for evaluation.  The patient's mother reports that in the last one to two hours since drawing the circle, the redness has continued to expand. The patient has had some upper respiratory infection systoms for the past three to four days including runny nose, mild cough, and sore throat.  She was tested for streptococcal pharyngitis three or four days ago.  That test was reportedly negative.  she has not been febrile at home but did have a fever to 38 degrees here in the emergency department.  She has had good appetite and normal energy today.  she has been a little bit fussier than usual.  She has had no rash or other symptoms noted.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Pharyngolaryngeal pain, Pyrexia, Respiratory tract infection, Rhinorrhoea
Clinical narrative: Mother want to ED on 05/22/01 because of a 2cmx11/2 cm indurated site.  The physican treated child for a cellulitis - child placed on keflex 05/24/01 - Follow-up visit with Primary care MD site slightly bigger - however PMD didnot feel that it was a cellulitis but continued on antibiotic. Attached report reviled chief complain: right leg redness and swelling. History of present illness: The patient is a 2-year-old female who was seen by her primary care physician yesterday for a well child check.  She got her prevnar and hepatitis A vaccines at that visit.  Her mother reports that she noticed the injection site to be a little bit swollen last night.  When the patient's mother returned home from work to day at about 6:15 p.m. she noticed an area of redness and increased swelling around the injection site.  She called her primary care physician and was told to draw a circle aroun the readness and to come to the Oregon Health Sciences University Emergency Department for evaluation.  The patient's mother reports that in the last one to two hours since drawing the circle, the redness has continued to expand. The patient has had some upper respiratory infection systoms for the past three to four days including runny nose, mild cough, and sore throat.  She was tested for streptococcal pharyngitis three or four days ago.  That test was reportedly negative.  she has not been febrile at home but did have a fever to 38 degrees here in the emergency department.  She has had good appetite and normal energy today.  she has been a little bit fussier than usual.  She has had no rash or other symptoms noted.
Age: 6.0
Sex: M
Vaccine: PNC
Symptoms: Cough, Injection site erythema, Injection site urticaria, Pruritus, Rhinorrhoea
Clinical narrative: 2 days after vaccination a large area of erythema around 2 inches in diameter at injection site. Just posterior to this were 2 1 cm urticaril lesions. Very prurtic. Also with runny nose, cough, but not sure if related although it occurred within 22 hours of vaccination.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Mom reported a seizure 2 days after vaccination. Called ER and saw Dr next day.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Injection site erythema, Irritability, Urticaria
Clinical narrative: On 5/25 pt developed hives on forehead, back, neck, and arms and legs. Pt also had diarrhea for 2 days.  Fussy with Left leg redness around injection site.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Sore shoulder pessisted many months after shot.  Now getting PT for it.  My physical therapist says I'm the 3rd person she's seen who has reported long term muscle soreness after this year's flu shot
Age: 15.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Back pain, Muscular weakness, Myalgia
Clinical narrative: 1 week after immunizations were given client began experiencing severe muscle pain in both arms. The pain was relieved with Motrin. The pain re-appeared 1 week later in both legs. The pain is so severe he had weakness in his legs. It later went to his back. The pain causes a writhing which last about 1 hour and comes and goes without predictability. Motrin/Tylenol make the pain tolerable. Client was seen by his DR twice. DR ordered lab tests on 5/3/2000. Telephone call to mom. Mom states the blood tests on patient were all negative. Patient continues to have intermittent back, arm, and leg pain which seems to be less painful than 2 weeks ago. He continues to take Motrin for pain relief.
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Influenza like illness, Pharyngitis, Rhinitis
Clinical narrative: The pt experienced cold and flu symptoms.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Influenza like illness, Pharyngitis, Rhinitis
Clinical narrative: The pt experienced cold and flu symptoms. Pt treated with Azithromycin, Etodolac and Guaifenesin.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Influenza like illness, Oedema peripheral, Pharyngitis, Rhinitis
Clinical narrative: Pt developed signs/symptoms of cold/flu 1 day post vax. Pt also developed swollen feet and SOB. Others who received the Pneumococcal vax developed similar effects; however, the vaccines were supplied by 2 different drug manufacturers. Pt treated with po Promethazine & Guaifenesin/Dextromethorophan.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The pt experienced left arm redness, swelling, non-tender area which was slightly warm.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: Approximately 15 minutes after receiving the 3rd dose of HBV, client returned to the Health Dept. with his mother.  Cause of severe itching on back mother compared it to fleas.  She said that it had lessened slightly since it started.  No rash noted.  Mother stated she gave him 2 doses of Benedryl 25mg. each.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Client into clinic with c/o pain and swelling of left upper arm after receiving TD on 04/30/2001. RN unable to verify induration or erythema. client also with complaint of left cervical lymphadentopathy. Client stated she is concerned about the possibility of serum sickness. Convinced client to see PP on 05/17/2001  stated improved but soreness moved up to right . Has appt today with PP.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Anorexia, Dyskinesia, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Fever with in 3-4 hours after receiving IMOVAX; nausea; Rethergy, general aching; lack of appetite; shaking tremors started 24 hours later and continued for 4 days.  Minor injection site redness, soreness and warmth at injection site.  No hives, no edema, no sob, saw pcp on day 4.  Benadryl on administred. improvement noted with in hours.  Occasional sparadic jerking on day 5. day 6 returned to normal - no tremors. The follow up received on 6/25/01 stated, "client completed series of Rabies vaccine and Benadryl per oral prior to each dose. No adverse rreactions noted. 6/15/01, pt's current medical condition returned to normal." This case is closed.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Fever with in 3-4 hours after receiving IMOVAX; nausea; Rethergy, general aching; lack of appetite; shaking tremors started 24 hours later and continued for 4 days.  Minor injection site redness, soreness and warmth at injection site.  No hives, no edema, no sob, saw pcp on day 4.  Benadryl on administred. improvement noted with in hours.  Occasional sparadic jerking on day 5. day 6 returned to normal - no tremors. The follow up received on 6/25/01 stated, "client completed series of Rabies vaccine and Benadryl per oral prior to each dose. No adverse rreactions noted. 6/15/01, pt's current medical condition returned to normal." This case is closed.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site reaction, Pharyngolaryngeal pain, Skin discolouration
Clinical narrative: On 3/27/01, pt c/o sore throat, brown circle around site where vax given 3/19. Pt denies swelling, redness, inflammation or fever. 3/28/01 left message on machine re: reactions to look for. Pt never returned calls 3/28 or 3/30/01.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Difficulty breathing 05/15/2001, went to ED-Not thought to be related to injection. On 05/04/2001 had fever and vomiting. Had lesion 2 cm and worsened on 5/15 to size it is now. Reaction on right arm at injection site with 7 cm large swollen, red area.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Back pain, Influenza like illness, Neck pain, Pain
Clinical narrative: Noticed swelling Tues 5/22.  Received shot 5/17. Pain extends down to elbow and up toward back shoulder and neck area.  Aches feel like flu aches.  Swelling is in muscle and it looks like I have a bigger muscle.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Swelling
Clinical narrative: Noticed swelling Tues 5/22.  Received shot 5/17. Pain extends down to elbow and up toward back shoulder and neck area.  Aches feel like flu aches.  Swelling is in muscle and it looks like I have a bigger muscle.
Age: 40.0
Sex: F
Vaccine: IPV, TD
Symptoms: Arthralgia, Back pain, Bruxism, Chills, Muscle spasms
Clinical narrative: At approx 6:30 pm - decreased back pain when to muscle spasms in hands/ feet, joint pain, chills with teeth chattering.  Temp increased 102s.  On 05/09/01 - Temp decreased 101 degrees with tylenol and discomfort.
Age: 40.0
Sex: F
Vaccine: IPV, TD
Symptoms: Pyrexia
Clinical narrative: At approx 6:30 pm - decreased back pain when to muscle spasms in hands/ feet, joint pain, chills with teeth chattering.  Temp increased 102s.  On 05/09/01 - Temp decreased 101 degrees with tylenol and discomfort.
Age: 2.0
Sex: M
Vaccine: DTAP, HBPV, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Redness to right arm, warm to touch, mild swelling, denies pain. Received treatment, antibiotic for 5 days. Arm is better.
Age: 4.5
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: On 05/17/2001 during pre k school day child complained of some soreness to right arm to teacher. On 05/18/2001 child complained of more severe discomfort in right deltoid area. It was red and warm to touch. His temp was 100.4 at school nurse's office. Sent home with parent with instructions for comfort and care. Primary MD advised of local reaction to DTAP this dose.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Pyrexia, Rash
Clinical narrative: Inconsolable crying for a half day with rash and temp of 102 F.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain upper, Fatigue, Headache, Injection site pain
Clinical narrative: Fatigue, headache, stomach ache, diarrhea on 05/11/01 and 05/12/01 subsiding on 05/13/01. Arm was sore at injection site, but primary complaint was as above.
Age: 3.3
Sex: U
Vaccine: DTP
Symptoms: Arthritis, Erythema, Pain
Clinical narrative: Arthritic type reaction with confluent red on anterior 3rd left finger, down into distal above the knee. Child still with active play; no systemic signs and symptoms. Given steroid and Zrytec-resolved on 24-36 hrs. Seen recheck 05 05/11/001.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Unevaluable event
Clinical narrative: NO DATA ENTERED.
Age: 40.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Erythema, Feeling hot, Injection site hypersensitivity, Oedema, Pruritus
Clinical narrative: The patient states her "arm very swollen the whole upper part, very warm to touch, and a little red". She applied ice and took Ibuprofen with relief. The arm was swollen the next evening when ice was not used. The swelling lasted until Monday, 05/21/01. At the present 05/24/01, the patient has only itching at the site.
Age: 40.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: The patient states her "arm very swollen the whole upper part, very warm to touch, and a little red". She applied ice and took Ibuprofen with relief. The arm was swollen the next evening when ice was not used. The swelling lasted until Monday, 05/21/01. At the present 05/24/01, the patient has only itching at the site.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Pyrexia, Tremor, Vomiting
Clinical narrative: Around 9 hours after immunizations, this infants parent noticed a fever that continued to increase to 105 F. The patient began vomiting and having tremors and possible convulsions. At 9:00 PM, the patient was taken to the ER, he had IV's started and was treated with antibiotics. He was released after 3 hours.
Age: 1.2
Sex: F
Vaccine: MMR
Symptoms: Febrile convulsion, Lethargy, Pyrexia
Clinical narrative: Information has been received from a nurse practitioner concerning a 14 month old female patient who on 04/29/97 was vaccinated with a 1st dose of MMR vaccine live. Soon after administration, the patient became lethargic and developed a high fever. She was taken to the ER where it was reported that the patient "had a possible febrile seizure." The child subsequently recovered from her experience. The possible febrile seizure was considered a significant medical event. No further information is available.
Age: 6.0
Sex: F
Vaccine: MEA
Symptoms: Diabetes mellitus
Clinical narrative: Information has been received from a physician concerning a 6 year old female relative who was vaccinated with one dose of Measles virus live. The reporting physician noted that he was not sure if the patient received MMR or measles virus vaccine live. Subsequently, the patient developed diabetes post-vaccination. The patient sought unspecified medical treatment. Additional information has been requested.
Age: 1.9
Sex: F
Vaccine: MMR
Symptoms: Encephalitis, Viral infection
Clinical narrative: Information has been received from a lawyer concerning an approximately 11 year old female patient who on 03/29/90 was vaccinated with one dose of MMR live. In approximately 2000 the patient was diagnosed with subacute sclerosing panencephalitis and was hospitalized. No further information is available.
Age: 1.2
Sex: F
Vaccine: HIBV, MMR
Symptoms: Convulsion, Ear disorder, Febrile convulsion, Infection, Pyrexia
Clinical narrative: Information has been received from a healthcare professional concerning a 14 month old female patient with no known allergies and no past medical history who on 04/04/00 was vaccinated SC in the left arm with a 1st dose of Measles virus live. Concomitant therapy included Hib conjugate vaccine (HibTiter). On 04/18/00, the patient experienced a fever of 103.8 F and had a seizure that lasted for 5-10 minutes. The patient's seizure is considered to be an Other Medical Event. The patient was seen in the ER and treated with Tylenol and Motrin for the fever. It was noted that urine and blood cultures were Neg. On 04/19/00 the patient's fever was 101 to 102 F. The patient did not have a rash. Follow-up information from a physician reported that the patient experienced a febrile seizure. ON 04/19/00, the patient recovered from her experience. Additionally, on 04/19/00 the patient was diagnosed with a right ear infection.
Sex: U
Vaccine: DTP, MMR
Symptoms: Encephalitis
Clinical narrative: Information has been received from a company representative concerning a child who was vaccinated "a few years ago" with one dose of MMR live. Subsequently, the patient developed encephalitis "which the mother connected to the vaccine." The patient sought unspecified medical treatment. Upon medical review, the patient's experience was considered an "other medical event". Follow-up information received from a physician indicated that the patient had a "possible reaction to DTP" and that the mother did not want any other vaccines given to her other child. No further information is expected.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Cough, Diarrhoea, Ear disorder, Lethargy, Oral intake reduced
Clinical narrative: Information has been received from an RN concerning a 15 month old Asian female with no known allergies and a history of otitis media who on 6/29/00 was vaccinated with a 1st dose of MMR in the left buttocks (lot 633095/0254K). Concomitant therapy included the 2nd dose, in the right buttock, of Act-Hib (lot UA509AA). It was reported that there were no illnesses at the time of vaccination. On 6/30/00, the pt developed a fever that had elevated as high as 103F. On 7/1/00, the pt vomited 1 time and on 7/3/00 had diarrhea 1 time. It was reported that her appetite had been diminished but that she had been taking fluids well. Additionally, she was less active than usual. She also had a cough and runny nose. On 7/3/00, the pt was seen in the ER. At the time of the visit, her temperature was 103F (rectum). Her vital signs were stable. The physical and neurological exams were benign except for the following: the left tympanic membrane was red, dull and bulging, but still transparent. The right tympanic membrane was normal except for a slight tinge of red. Her pharynx was diffusely erythematous. There was questionable exudate on the right tonsil. The physician's dx was acute febrile illness, acute pharyngitis and acute left otitis media. The pt was started on amoxicillin and advised to follow-up with her PCP on 7/4/00. Upon internal review, the pt's fever was determined to be an "Other Medical Event". The pt was discharged from the ER in stable condition on 7/3/00. On 7/10/00, the pt developed a rash and on 7/12/00, the pt experienced a fever of 104.6F. The pt's mother gave her Tylenol and lukewarm baths. She was seen in the physician's office on 7/12/00, at which time she was alert. It was noted that she had still been taking the amoxicillin prescribed in the ER for bilateral otitis media. The physician suspected a possible viral infection and she was started on Cedax 9mg po qd for 10 days. On 7/13/00, the physician's office was notified by the pt's mother that the rash had increased and that the fever persisted at 105F. The physician's impression following the phone call was a possible viral fever and amoxicillin rash. On 7/14/00, the pt's fever was "still off/on". The rash was noted to be "morbilliform" and all over her body. Her tympanic membranes were less red. There were no Koplik's spots. The physician's impression was a possible measles rash due to the MMRII. Two additional pts (WAES 00071118 & 00071119) had a similar experience. The reporter expressed concern with the lot number. Follow-up information from an RN reported that on 7/21/00, the pt was seen by a physician and noted to be "feeling better". The pt was finished her medications as per the reporter. The pt is recovered. No further information is available.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pharyngitis, Pyrexia, Rash morbilliform, Rhinorrhoea, Tonsillitis
Clinical narrative: Information has been received from an RN concerning a 15 month old Asian female with no known allergies and a history of otitis media who on 6/29/00 was vaccinated with a 1st dose of MMR in the left buttocks (lot 633095/0254K). Concomitant therapy included the 2nd dose, in the right buttock, of Act-Hib (lot UA509AA). It was reported that there were no illnesses at the time of vaccination. On 6/30/00, the pt developed a fever that had elevated as high as 103F. On 7/1/00, the pt vomited 1 time and on 7/3/00 had diarrhea 1 time. It was reported that her appetite had been diminished but that she had been taking fluids well. Additionally, she was less active than usual. She also had a cough and runny nose. On 7/3/00, the pt was seen in the ER. At the time of the visit, her temperature was 103F (rectum). Her vital signs were stable. The physical and neurological exams were benign except for the following: the left tympanic membrane was red, dull and bulging, but still transparent. The right tympanic membrane was normal except for a slight tinge of red. Her pharynx was diffusely erythematous. There was questionable exudate on the right tonsil. The physician's dx was acute febrile illness, acute pharyngitis and acute left otitis media. The pt was started on amoxicillin and advised to follow-up with her PCP on 7/4/00. Upon internal review, the pt's fever was determined to be an "Other Medical Event". The pt was discharged from the ER in stable condition on 7/3/00. On 7/10/00, the pt developed a rash and on 7/12/00, the pt experienced a fever of 104.6F. The pt's mother gave her Tylenol and lukewarm baths. She was seen in the physician's office on 7/12/00, at which time she was alert. It was noted that she had still been taking the amoxicillin prescribed in the ER for bilateral otitis media. The physician suspected a possible viral infection and she was started on Cedax 9mg po qd for 10 days. On 7/13/00, the physician's office was notified by the pt's mother that the rash had increased and that the fever persisted at 105F. The physician's impression following the phone call was a possible viral fever and amoxicillin rash. On 7/14/00, the pt's fever was "still off/on". The rash was noted to be "morbilliform" and all over her body. Her tympanic membranes were less red. There were no Koplik's spots. The physician's impression was a possible measles rash due to the MMRII. Two additional pts (WAES 00071118 & 00071119) had a similar experience. The reporter expressed concern with the lot number. Follow-up information from an RN reported that on 7/21/00, the pt was seen by a physician and noted to be "feeling better". The pt was finished her medications as per the reporter. The pt is recovered. No further information is available.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Viral infection, Vomiting
Clinical narrative: Information has been received from an RN concerning a 15 month old Asian female with no known allergies and a history of otitis media who on 6/29/00 was vaccinated with a 1st dose of MMR in the left buttocks (lot 633095/0254K). Concomitant therapy included the 2nd dose, in the right buttock, of Act-Hib (lot UA509AA). It was reported that there were no illnesses at the time of vaccination. On 6/30/00, the pt developed a fever that had elevated as high as 103F. On 7/1/00, the pt vomited 1 time and on 7/3/00 had diarrhea 1 time. It was reported that her appetite had been diminished but that she had been taking fluids well. Additionally, she was less active than usual. She also had a cough and runny nose. On 7/3/00, the pt was seen in the ER. At the time of the visit, her temperature was 103F (rectum). Her vital signs were stable. The physical and neurological exams were benign except for the following: the left tympanic membrane was red, dull and bulging, but still transparent. The right tympanic membrane was normal except for a slight tinge of red. Her pharynx was diffusely erythematous. There was questionable exudate on the right tonsil. The physician's dx was acute febrile illness, acute pharyngitis and acute left otitis media. The pt was started on amoxicillin and advised to follow-up with her PCP on 7/4/00. Upon internal review, the pt's fever was determined to be an "Other Medical Event". The pt was discharged from the ER in stable condition on 7/3/00. On 7/10/00, the pt developed a rash and on 7/12/00, the pt experienced a fever of 104.6F. The pt's mother gave her Tylenol and lukewarm baths. She was seen in the physician's office on 7/12/00, at which time she was alert. It was noted that she had still been taking the amoxicillin prescribed in the ER for bilateral otitis media. The physician suspected a possible viral infection and she was started on Cedax 9mg po qd for 10 days. On 7/13/00, the physician's office was notified by the pt's mother that the rash had increased and that the fever persisted at 105F. The physician's impression following the phone call was a possible viral fever and amoxicillin rash. On 7/14/00, the pt's fever was "still off/on". The rash was noted to be "morbilliform" and all over her body. Her tympanic membranes were less red. There were no Koplik's spots. The physician's impression was a possible measles rash due to the MMRII. Two additional pts (WAES 00071118 & 00071119) had a similar experience. The reporter expressed concern with the lot number. Follow-up information from an RN reported that on 7/21/00, the pt was seen by a physician and noted to be "feeling better". The pt was finished her medications as per the reporter. The pt is recovered. No further information is available.
Age: 1.4
Sex: M
Vaccine: MMR
Symptoms: Acetonaemia, Cerebral ischaemia, Convulsion, Laboratory test abnormal, Nervous system disorder
Clinical narrative: Information has been received from a registered nurse concerning a 16 month old Caucasian male patient with seizure disorder and a history of anoxic encephalopathy and who was on a ketogenic diet since 04/15/00 who on 09/11/00 was vaccinated with a 1st dose of MMR live SC in the right thigh. The following day, the patient experienced seizures (considered to be disabling) and the patient's laboratory values included "moderate ketones" (usually in the "large range"). It was noted that the patient's dietician stated that "1 mg of sugar compound is enough to throw ketosis out of kilter." As of 09/14/00, the patient was "doing okay". The patient also developed a raised redness at the injection site "2 1/4 inch in diameter." Unspecified medical attention was sought. Follow-up information from registered nurse indicated that the patient's "ketones went from large to low to moderate to almost small. Hence, seizures began". Subsequently, the patient recovered.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 12 month old male who on 8/31/00 was vaccinated SC with the 1st dose of MMRII (lot 63593/0978K). On 9/7/00, the pt developed a "low grade fever". On 9/8/00, the pt's fever was 102F and he experienced a seizure. Later that same day, he was seen be a physician. On 9/9/00, the pt experienced 4 additional seizures and was taken to the ER. Upon internal review, seizure was considered to be an "Important Medical Event". The pt recovered from the event as of 9/11/00. No further information is available.
Sex: F
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: Information has been received from a lawyer/physician concerning a female child who was vaccinated with MMRII and within 24 hours, post vax, the pt had "seizure activity with significant impairment". Upon internal review, "seizure activity" was considered to be an "Other Medical Event". No further information is available.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Information has been received from an RN concerning a 15 month old Caucasian male who on 10/9/00 was vaccinated with a 1st dose of MMRII (lot 630633/0102K) in the left leg. On approx. 10/11/00, the pt experienced redness and induration 4" X 4" and hot to the touch, at the injection site. On 10/13/00, the pt experienced fever. Temperature by ear was 105F. Upon internal review, fever was considered "Other Medical Event". On approx. 10/16/00, the pt developed a rash. Pt received Tylenol and Advil for fever and oatmeal baths for rash. In follow-up, the RN reported that the injection site was swollen and that ice was applied to the site. It was indicated by 9/16/00, the pt recovered. No further information is available.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Information has been received from an RN concerning a 15 month old Caucasian male who on 10/9/00 was vaccinated with a 1st dose of MMRII (lot 630633/0102K) in the left leg. On approx. 10/11/00, the pt experienced redness and induration 4" X 4" and hot to the touch, at the injection site. On 10/13/00, the pt experienced fever. Temperature by ear was 105F. Upon internal review, fever was considered "Other Medical Event". On approx. 10/16/00, the pt developed a rash. Pt received Tylenol and Advil for fever and oatmeal baths for rash. In follow-up, the RN reported that the injection site was swollen and that ice was applied to the site. It was indicated by 9/16/00, the pt recovered. No further information is available.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a 1 year old male who on approx. 11/15/00, was vaccinated with MMRI. On 11/20/00, the child had "a seizure-like event". Unspecified medical attention was sought. Upon internal review, a seizure-like event was determined to be an "Other Medical Event". Additional information has been requested.
Sex: U
Vaccine: MMR, PNC
Symptoms: Febrile convulsion
Clinical narrative: Information has been received concerning a pt who was vaccinated with MMRII. Concomitant therapy included streptococcus pneumonia vaccine (PREVNAR) administered IM. Subsequently, the pt experienced a febrile convulsion. The febrile convulsion was considered a "Significant Medical Event". Follow-up was received which indicated "event did not occur". This information was originally received from an RN. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: Information has been received from a consumer concerning her brother who received 1 dose of MMRII. The pt experienced a seizure after receiving the vaccination. Upon internal review seizure was determined to be an "Other Important Medical Event". The consumer also reported her daughter's experience following vaccination with MMRII (WAES 01021270). Additional information has been requested.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Guillain-Barre syndrome
Clinical narrative: Information has been received from a physician concerning a 34 year old female with no known drug allergies and a history of rheumatoid arthritis who on approx. 2/5/01 was vaccinated with MMRII. On 2/19/01, the pt was hospitalized to be treated for Guillain-Barre Syndrome. The physician had no further information. Additional information has been requested.