chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.51
Sex: F
Vaccine: TD
Symptoms: Wrong drug administered
Clinical narrative: Patient given adult Td instead of DTaP , returning to office for DTaP , had no reaction to vaccine.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Feeling cold, Feeling hot, Nausea, Pruritus
Clinical narrative: Received #2 TWINRIX on 1/10/2005. 2 days later developed nausea , warm and cold spells , generalized body itching. Episodes last 2 hours and recur every 4 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Pharyngolaryngeal pain, Pruritus, Swelling
Clinical narrative: Swelling of left upper arm, redness of skin 7 cm in diameter , some itchy of skin. No difficulty breathing or swallowing. No swelling of face , mouth or tongue. Also has red ears and throat. Gave pediazole , ibupofen and benadryl
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Joint range of motion decreased, Joint stiffness, Musculoskeletal stiffness, Neck pain
Clinical narrative: Approx 2 hours after shot - severe neck stiffness , reduced ROM. Later that day - severe joint pain , all joints. Stiffness , pain in neck is diminishing but remains. Patient states also had fever that night.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Approx 2 hours after shot - severe neck stiffness , reduced ROM. Later that day - severe joint pain , all joints. Stiffness , pain in neck is diminishing but remains. Patient states also had fever that night.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Headache, Nausea, Vaccine positive rechallenge
Clinical narrative: 8:40AM HA, Dizziness, N/V, placed pt lying down with feet elevated. Ammonia inhalant used, ice pack for HA.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: Per pt: Beginning the next day Left arm began to swell from upper arm to elbow over the next 4-5 days a big lump developed on her elbow. Cold compresses applied to reduce swelling. Gone after one week.
Age: 1.57
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site reaction, Pruritus
Clinical narrative: 1/15 woke up with erythema and itch at DTaP site right anter. thigh, warm. 1/16 slowly resolving (1/17/05)
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Erythema, Injection site mass, Urticaria
Clinical narrative: Varicella 9x10cm erythema, induration, hive. Prevnar 7x9cm erythema, induration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Tenderness
Clinical narrative: Dtap was injection IM at left thigh, developed redness, swelling, tenderness at site, erythema of 8cm diameter.
Age: 0.27
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Pt cried inconsolably for 4 hours, mom took to ER.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Pyrexia, Rash maculo-papular
Clinical narrative: Fever 103 and maculopapulo vesicular rash 15 to 20 spots lower abdomen, chest and spreading to face. Seen in office for this problem 1/13/05.
Age: 1.32
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Fiery red with fever-right leg 5 in x 3 inch, left leg 2 in x 2 in, 3 hours after shots, suggested ice on leg and Benadryl by mouth
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Pt developed more welts on face. Some redness was present prior to immunization administration. Immunizations were given at approx 10:15. Motrin was given about 5 min prior to injections. Mother and child left exam room to receive copies of THS and at this time more redness was detected. Mother and child then left clinic and returned no longer than 5 min later. Child had welts all over face and was given 1/2 tsp of diphenhydramine. Recovery noted within 10 min after tx.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Injection site pain, Skin burning sensation
Clinical narrative: 1/2 hour after injection, area of insertion started to hurt and burn, then right side and then the butt area started hurting and then settled in the small of the back. No strength in right leg. Sent to Doctor. Pain until Sunday 1/16/05. Pt at work 1/18/05.
Age: 26.0
Sex: M
Vaccine: FLUN3
Symptoms: Erythema, Face oedema, Pruritus, Rash
Clinical narrative: 2 Days later face swelled with red dots no itching.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Apnoea, Hypoxia
Clinical narrative: After receiving immunizations, had started with severe desaturization and apnea requiring ambulation and NPO status. Continued with episodes for 24 hours and 48 hours after less severe but continued with desat. Required increased O2 and stimulation.
Age: 1.06
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 3" red, swollen, area left thigh. Area feels hard when pressed and warm to touch. Diagnosed with cellulitis, antibiotic given.
Age: 1.31
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site infection, Injection site mass, Injection site oedema
Clinical narrative: 01/25/05 Immunization, 01/26/05 well baby exam at Dr, large, red, swollen left leg on side, RX antibiotic Cephalexin 10 days. 01/29/05 no longer red mother reported. Dr stated infection, hard, size of fist mom states.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Left arm Pneumovax reaction severe pain mildly erythematous non swollen s warmth. TX: Keflex 500mg TID and Medrol dose pak
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash, Rash erythematous
Clinical narrative: Client was in clinic on 1-25-05 for 12 month immunizations.  Client returned to clinic on 2/4/05 with rash on torso, arms, and legs.  Rash consisted of red flat and raised bumps.  No vesicles.  Advised patient's mom to call her doctor. Spoke with mom today, 2-07-05.  She states "the rash only lasted two days, no itching or blisters developed.  The rash is now completely gone and her daugther is fine".  Mom had called daughter's MD, informed him that she had received her immunizations including varicella, but MD did not see her, simply advised that if she had chicken pox she would be contagious for two weeks and to keep her away from others.
Age: 14.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Tic
Clinical narrative: Developed severe tics 9 days after administration of the vaccine.  given Inderol, 10mg. to try to decrease the frequency.  Were occurring at rate initially of up to 20 per minute.  4 months later, occurring 1 every 4 minutes or so, more under stress. Was enrolling in High school of the arts for music and is now unable to attend. 60 Day Follow Up: Is still having severe tics, now being treated by Halodol. Per follow up report-Continues to have tics, usually at the rate of 1 or 2 per minute instead of many per minute. Under stress they continue at the rate of as many as 15 per minute.
Age: 0.52
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Cerebrovascular accident, Hemiparesis, Hypotonia, Neuropathy
Clinical narrative: CVA with right hemiparesis. Medical Records received on 2/18/2005 states on PE, testing of 7th cranial nerve indicated right-sided facial weakness. Medical Receords received on 3/07/2005 states posturing. Per follow up report- stable at this time. Still has upper extremity hemiparesis.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Large (90mmx50mm) on Left deltoid consisting of swelling and erythema. Fluzone 0.5cc was given at this site on 01/21/05. The above described problem developed on 1/24/05.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Myalgia
Clinical narrative: 2/4/05 Left deltoid red, swollen and sore, c/o body aches.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Unintended pregnancy
Clinical narrative: Pt became pregnant before 4 wks post MMR.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Pt vaccinated with Varivax 1/19/94. Today has full blown case of chicken pox with well over 100 lesions.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Dry skin, Injection site erythema, Injection site oedema
Clinical narrative: Red, swollen upper arm, with scab where band aid was pulled off. Tx: Benadryl, Tylenol after seen by MD.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Anorexia, Asthenia, Constipation, Dizziness, Dysgeusia
Clinical narrative: Patient contacted manufacturer on 7/2/04 and notified that she experienced severe nausea, persisting headache, anorexia, constipation and metallic taste in her mouth after a Td shot. The patient noted that she is extremely ill and is on her way to the hospital. She had a serious reaction to Td 20 years ago, where she collapsed on the street after it and has not had one since then up till this one. She stepped on a rusty nail and we to ER to get a Td shot. Patient added that she is extremely irate as she is very ill and has not slept since 6/27/04. Patient said she didn't realize that Td vaccine still contained mercury. Patient said that she thinks she has a mercury poisoning. Follow up on 7/7/04: Patient was contacted and reported still experiencing nausea, anorexia, and intermittent metallic taste in mouth, which she treats with supplements. However, she recovered her strength to engage in physical activity of swimming laps. She has been in contact with her primary MD since the Td booster by phone, and has not had a MD visit. Follow up on 7/20/04: Emergency Record was received from ER. Patient was seen on 6/28/04, a day after her initial ER visit when she received the Td booster. Patient drove herself to the hospital. Patient had no fever, shortness of breath, wheezing or rash. Patient reported allergies to amoxicillin and other penicillin as well as latex. On exam, no fever, vital signs stable with BP 120/70, HR 77, respiration rate 17. Patient alert and in no acute distress. Physical exam was normal. Assessment was nausea and lightheadedness, probably a mild reaction to Td booster.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Headache, Nausea
Clinical narrative: Patient contacted manufacturer on 7/2/04 and notified that she experienced severe nausea, persisting headache, anorexia, constipation and metallic taste in her mouth after a Td shot. The patient noted that she is extremely ill and is on her way to the hospital. She had a serious reaction to Td 20 years ago, where she collapsed on the street after it and has not had one since then up till this one. She stepped on a rusty nail and we to ER to get a Td shot. Patient added that she is extremely irate as she is very ill and has not slept since 6/27/04. Patient said she didn't realize that Td vaccine still contained mercury. Patient said that she thinks she has a mercury poisoning. Follow up on 7/7/04: Patient was contacted and reported still experiencing nausea, anorexia, and intermittent metallic taste in mouth, which she treats with supplements. However, she recovered her strength to engage in physical activity of swimming laps. She has been in contact with her primary MD since the Td booster by phone, and has not had a MD visit. Follow up on 7/20/04: Emergency Record was received from ER. Patient was seen on 6/28/04, a day after her initial ER visit when she received the Td booster. Patient drove herself to the hospital. Patient had no fever, shortness of breath, wheezing or rash. Patient reported allergies to amoxicillin and other penicillin as well as latex. On exam, no fever, vital signs stable with BP 120/70, HR 77, respiration rate 17. Patient alert and in no acute distress. Physical exam was normal. Assessment was nausea and lightheadedness, probably a mild reaction to Td booster.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Pain
Clinical narrative: The patient complained of pain from her right shoulder extending down to her elbow (depending on the muscle being used). Movement exacerbates symptoms. The patient is in physical therapy with another doctor with which she is being treated. Follow up received on 8/26/04. Doctor said that he has not seen the patient since the incident and does not know the name of the physical therapist doctor that was treating the patient after the event. Doctor said the patient's phone number was on the form if the manufacturer needs to contact patient directly. Patient was contacted and said that she did not recover and her symptoms would not be gone in near future. The patient was bothered by the fact that the manufacturer tried to contact her and did not give the contact information of the physical therapist that was treating her. No further calls to the patient will be made.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Patient received a routine Td booster shot on 8/24/04. On 8/25/04 the patient experienced redness and raised itchy rash around the lower extremities and injection site deltoid. The patient was treated with 25mL of Benadryl and prescription Medrol dose pack. The patient fully recovered.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Skin nodule, Tenderness
Clinical narrative: Patient had Td injection on 11/18/04 a part of annual physical exam. Noted soreness in left upper arm, neck and shoulder beginning 11/19/04. On 11/20/04 noted very tender knots on neck and left clavicle. Returned to clinic on 11/22/04. Provider notes 2-3 small superclavicular nodes (0.5-1.5cm) very tender. Patient denied fever during period 11/18/04 to 11/24/04. The patient has been following the doctor's recommendations of taking Aleve twice a day and applying warm compresses. The patient was suppose to be seen for a follow up appointment. Follow up received on 11/29/04. The patient did not come to see the doctor for the follow up appointment on 11/24/05. The reporter of the event spoke with the patient. The patient said that she is improving, she still is sore, and still has the knots in her neck and shoulder, but the size of the knots has gone down, and the soreness has improved.
Age: 0.51
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Muscle twitching, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Had fever night of immunization, but next day had brief episodes of twitching or jerking every 10-60 seconds without loss of consciousness.  Was admitted to a hospital in the area and had extensive negative work-up (MRI,CT,EEG,blood work) with the conclusion that this was an immunization reaction.  The episodes subsided & when seen a week later, patient was normal with no apparent residual.
Age: 0.51
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Dyskinesia, Hypersensitivity, Muscle twitching, Pyrexia
Clinical narrative: Had fever night of immunization, but next day had brief episodes of twitching or jerking every 10-60 seconds without loss of consciousness.  Was admitted to a hospital in the area and had extensive negative work-up (MRI,CT,EEG,blood work) with the conclusion that this was an immunization reaction.  The episodes subsided & when seen a week later, patient was normal with no apparent residual.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Back pain, CSF test abnormal, Chills, Constipation
Clinical narrative: On 12/30/04 developed back pain. 1/2/05: facial and leg paralysis. Guillain Barre diagnosis.   4/7/05 Discharge summary received for 1/2-1/7/2005 & states fever, chills, myalgia, sore throat, cough, flu syndrome, headache, right side facial droop, slurred speech, constipation, urinary retention, difficulty swallowing, weakness, numbness, tingling, decreased reflexes.  Tx w/IVIG, improved slowly & transferred to inpt rehab.  60 Day Follow Up: speech problems have cleared up. Residual right leg weakness. Per annual follow up report-Residual weakness in leg, more fatigue than in past. Has been able to return to driving and working full time.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysarthria, Dysphagia, Facial palsy, Fatigue
Clinical narrative: On 12/30/04 developed back pain. 1/2/05: facial and leg paralysis. Guillain Barre diagnosis.   4/7/05 Discharge summary received for 1/2-1/7/2005 & states fever, chills, myalgia, sore throat, cough, flu syndrome, headache, right side facial droop, slurred speech, constipation, urinary retention, difficulty swallowing, weakness, numbness, tingling, decreased reflexes.  Tx w/IVIG, improved slowly & transferred to inpt rehab.  60 Day Follow Up: speech problems have cleared up. Residual right leg weakness. Per annual follow up report-Residual weakness in leg, more fatigue than in past. Has been able to return to driving and working full time.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Hyporeflexia, Influenza, Muscular weakness
Clinical narrative: On 12/30/04 developed back pain. 1/2/05: facial and leg paralysis. Guillain Barre diagnosis.   4/7/05 Discharge summary received for 1/2-1/7/2005 & states fever, chills, myalgia, sore throat, cough, flu syndrome, headache, right side facial droop, slurred speech, constipation, urinary retention, difficulty swallowing, weakness, numbness, tingling, decreased reflexes.  Tx w/IVIG, improved slowly & transferred to inpt rehab.  60 Day Follow Up: speech problems have cleared up. Residual right leg weakness. Per annual follow up report-Residual weakness in leg, more fatigue than in past. Has been able to return to driving and working full time.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Paraesthesia, Paralysis, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: On 12/30/04 developed back pain. 1/2/05: facial and leg paralysis. Guillain Barre diagnosis.   4/7/05 Discharge summary received for 1/2-1/7/2005 & states fever, chills, myalgia, sore throat, cough, flu syndrome, headache, right side facial droop, slurred speech, constipation, urinary retention, difficulty swallowing, weakness, numbness, tingling, decreased reflexes.  Tx w/IVIG, improved slowly & transferred to inpt rehab.  60 Day Follow Up: speech problems have cleared up. Residual right leg weakness. Per annual follow up report-Residual weakness in leg, more fatigue than in past. Has been able to return to driving and working full time.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary retention
Clinical narrative: On 12/30/04 developed back pain. 1/2/05: facial and leg paralysis. Guillain Barre diagnosis.   4/7/05 Discharge summary received for 1/2-1/7/2005 & states fever, chills, myalgia, sore throat, cough, flu syndrome, headache, right side facial droop, slurred speech, constipation, urinary retention, difficulty swallowing, weakness, numbness, tingling, decreased reflexes.  Tx w/IVIG, improved slowly & transferred to inpt rehab.  60 Day Follow Up: speech problems have cleared up. Residual right leg weakness. Per annual follow up report-Residual weakness in leg, more fatigue than in past. Has been able to return to driving and working full time.
Age: 38.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: Received Flumist nasal vaccination on 01/11/05. On 01/12/05 awoke with diarrhea and headache. After the diarrhea subsided, stomach was achy all day with persistent nausea x3days. At end of first day (01/12/05) +vomiting x1.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Urticaria, Wheezing
Clinical narrative: 1 hour after shot hives, face and lips, feel like something crushing chest. Coughing, slight wheezing.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: 2 1/2 inch round red circle around injection site. Slightly warm and tender day after shot. ? If was a reaction (have had flu shot for 10 years)
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Medication error, Neck pain
Clinical narrative: Pt complaining of very painful arm and numbness; pain is also radiating into neck. Pain started within a couple hours of the shot and is still persisting a month later. She saw her doctor and he told her the shot hit her radial nerve, and has recommended physical therapy and referred her to a neurologist.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation mucosal, Eye irritation, Hypersensitivity, Laboratory test abnormal, Pharyngitis
Clinical narrative: Approx 1 wk following injection developed rash on chest progressing up neck to face, eyes, forehead. Intense burning in throat, nose, eyes. Pt did not seek help until around Christmas. Saw eye doctor rx for betamethasone. Which worsened reaction. Referred to dermatologist. Patch test shows allergy to thimerosal. Treatment with steroids, pt reported allergy to pharmacist on 02/03/2005.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Approx 1 wk following injection developed rash on chest progressing up neck to face, eyes, forehead. Intense burning in throat, nose, eyes. Pt did not seek help until around Christmas. Saw eye doctor rx for betamethasone. Which worsened reaction. Referred to dermatologist. Patch test shows allergy to thimerosal. Treatment with steroids, pt reported allergy to pharmacist on 02/03/2005.
Sex: F
Vaccine: HEP
Symptoms: Aphthous stomatitis, Decreased appetite, Dysphagia, Lymphadenopathy, Tenderness
Clinical narrative: One week following 2nd dose of Hep B symptoms presented, canker sores in mouth, down throat. Mouth tender and red glands swollen. Difficult to eat or swallow.
Age: 1.02
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Developed chicken pox after having varicella vaccine 1/11/99. Information from missing data report states: Information not available. This VAERS form was reporting a case of varicella 6 years after child was immunized in another state.
Sex: U
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Rt thigh red 4cm x 2cm but not warm.
Age: 1.3
Sex: F
Vaccine: DTAPH
Symptoms: Crying, Injection site reaction, Pyrexia, Screaming
Clinical narrative: 3 hrs non stop crying starting 1 hr after shots. Temp 103-104, Tylenol/Motrin administered. Left thigh has localized reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Local edema, redness, warmth, 5 inches x 5 inches, right deltoid
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: L arm redness, swelling 1 inch x 1 inch area
Sex: M
Vaccine: PPV
Symptoms: Chills, Contusion, Injection site pain, Myalgia
Clinical narrative: Right upper arm bruised color very sore. The PM of 01/27/05 chills, body aches and very sore arm.
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Contusion, Feeling hot, Injection site erythema
Clinical narrative: Pt states that night arm very very sore with chills and weakness. Upper arm on 01/29/05 was very sore bruised color from elbow to shoulder. On interior side back part of arm had a large patch of redness that was warm and swollen. Pictures were taken.
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: Pt states that night arm very very sore with chills and weakness. Upper arm on 01/29/05 was very sore bruised color from elbow to shoulder. On interior side back part of arm had a large patch of redness that was warm and swollen. Pictures were taken.
Age: 1.03
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash papular, Skin ulcer
Clinical narrative: Presents at ER with 103.2 temp and some red papules with dew drop lesions
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: After receiving a Td vaccine the patient's site of reaction was tender for a week and a half, but there was no hematoma. The doctor was not concerned and said there was no reaction.
Age: 45.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injury
Clinical narrative: Patient was seen 3/30/04 16:30 PM, for puncture wound left index finger through and through with drill. Patient received a Td injection right deltoid, lot Td111. On 4/3/04, patient went to the ER and the on call physician said patient presented with complaint of pain, swelling and redness of his right deltoid (the site of the Td injection). On exam he was noted to have a tender, swollen, indurated, erythematous deltoid region. Per doctor, an attempt at aspiration was made by orthopedics at the time of admission but no fluid was obtained and therefore no culture was available. The patient was treated empirically with vancomycin with full resolution of symptoms. Doctor discharged the patient on Keflex on 4/7/04. Doctor informed patient it was unlikely that right arm infection and left hand injury were related.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Pain, Swelling
Clinical narrative: Patient was administered Td on 3/24/04 due to right finger laceration. Patient came in for a follow up appointment on 3/26/04 and mentioned that her arm was sore and swollen from Td vaccination she received on her first visit. There were no further complaints from patient.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Injection site swelling, Injury, Musculoskeletal stiffness
Clinical narrative: Patient was seen on 3/17/04 for crush injury right finger by the doctor. Patient received a tetanus vaccination. Patient came in on 3/23/04 for follow up with doctor complaining of aching and swelling at injection site, increased when lifting arm above head. On 3/30/04, patient complained of aching decreased swelling at injection site. Follow up 4/14/04. Doctor saw patient 6 days after Td injection for follow up of her crush injury and patient reported that the arm that received the Td injection had muscle stiffness as if she had been working out. It was not swollen or red according to the doctor.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Patient was seen on 3/17/04 for crush injury right finger by the doctor. Patient received a tetanus vaccination. Patient came in on 3/23/04 for follow up with doctor complaining of aching and swelling at injection site, increased when lifting arm above head. On 3/30/04, patient complained of aching decreased swelling at injection site. Follow up 4/14/04. Doctor saw patient 6 days after Td injection for follow up of her crush injury and patient reported that the arm that received the Td injection had muscle stiffness as if she had been working out. It was not swollen or red according to the doctor.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Chills, Erythema, Feeling hot, Injection site swelling
Clinical narrative: Patient received Td-111 on 3/29/04 in left arm. No other vaccinations were administered at the same time. The patient could not recall receiving Td in the past. On 4/2/04 patient called doctors office complaining of fever (101.7 F), achiness, chills, swelling at injection site, and swelling in joints. The doctors note says that the reactions began 2-4 days after the Td shot. On 4/9/04, patient called doctors office again complaining of hives and being sore in muscles and joints. On 4/12/04 doctor saw the patient in the office, left arm finger and wrist were red and hot to touch, still feeling really achy. There was noticeable swelling of both hands and patient had a slight temperature (99.1 F). The hives were gone. Doctor prescribed Medrol dose pack, Tagamet 400mg and Zantac. The patient was told to revisit doctor if necessary. Follow up on 4/14/04. The doctor agreed to contact the manufacturer if patient returns for follow up visit. No further information was received.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Joint swelling, Myalgia, Pain, Pyrexia, Urticaria
Clinical narrative: Patient received Td-111 on 3/29/04 in left arm. No other vaccinations were administered at the same time. The patient could not recall receiving Td in the past. On 4/2/04 patient called doctors office complaining of fever (101.7 F), achiness, chills, swelling at injection site, and swelling in joints. The doctors note says that the reactions began 2-4 days after the Td shot. On 4/9/04, patient called doctors office again complaining of hives and being sore in muscles and joints. On 4/12/04 doctor saw the patient in the office, left arm finger and wrist were red and hot to touch, still feeling really achy. There was noticeable swelling of both hands and patient had a slight temperature (99.1 F). The hives were gone. Doctor prescribed Medrol dose pack, Tagamet 400mg and Zantac. The patient was told to revisit doctor if necessary. Follow up on 4/14/04. The doctor agreed to contact the manufacturer if patient returns for follow up visit. No further information was received.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: The patient received Td vaccination on 04/09/04. No other vaccinations administered at the same time. On 04/12/04, the patient called the doctor's office and complained of redness at the injection site, warm to the touch, slight fever and said she was taking Motrin. The called the patient back and confirmed with the patient that she had no hives, no joint pain and no shortness of breath. Doctor told her to take ibuprofen.
Age: 83.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: The patient received Td on 04/07/04. The patient knew that she had received Td in the past but could not remember when. On the morning of 04/09/04 the patient's son called the doctor's office to report that his mother's arm was red and swollen and she had a temperature of 102F. the office asked the patient to come to the office. The patient was seen by a physician who diagnosed cellulitis and prescribed oral Keflex. The patient was told to "re-check" with the office. However, that evening the patient went to ER and was admitted for IV antibiotics. The cellulitis is resolving and physician thins that the patient is going to be fine as far as cellulitis is concerned. The patient is still hospitalized for other issues rather than reaction.
Age: 54.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: The patient received the Td vaccine and 24 hours later experienced swelling, redness and itchiness at left arm (site of the injection). Follow up on 06/18/04: Patient's doctor was contacted and stated that the patient recovered.
Age: 30.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: The patient experiences swelling, redness and itchiness in the site of injection, within 24 hours after Td vaccine was administered. Follow up on 06/18/04: Patient's doctor was contacted and stated that the patient recovered.
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site hypersensitivity, Swelling
Clinical narrative: The patient experiences swelling, redness and itchiness in the site of injection, 24 hours after a TD vaccine was administered. Follow up on 06/18/2004:  Patient's doctor was contacted and stated that the patient recovered.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Skin burning sensation
Clinical narrative: Patient administered TD vaccine as part of routine health exam.  Td vaccine given SQ in left forearm.  Patient reports feeling irritation and burning immediately under the skin.  That night, he reports swelling, redness and pain of the left forearm.  Patient seen on 06/20/2004 for follow up.  Injection site notably improved.  Prescribed hydrocortizone cream.  On 06/29/2004 injection site with residual redness.  At that visit on 06/18/2004, patient received TD test in right forearm.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Back pain, Diarrhoea, Erythema, Injection site vesicles, Neck pain
Clinical narrative: On 07/15/2004 the physician was contacted by the manufacturer after she left a voice mail regarding a possible adverse event with TD. A 28 year old female patient received a TD immunization in a local ER for having cut her foot on a piece of glass.  On 07/13 the patient described having had fever following the immunization starting the day of injection (max 101F) which was 100.2 in the office.  The patient complained of having a sore neck on the left side, low back pain and diarrhea the day before the visit.  On exam, the patient had one vesicle at the injection site and the arm had approximately a quarter size of warm, redness and swelling with tenderness.  Patient had full range of flexion and extension of her neck. Patient did not remember when she received a TD booster prior to the 07/10 dose. Follow up received by manufacturer on 07/19/2004: The patient was not ill at the time of the vaccination and has no previous allergies, birth defects or medical conditions apart from an allergy to Sulfa.  Patient was not taking any other medication apart from birth control and had no other vaccinations within 4 weeks prior to 07/10/2004.  Physician said that she contacted the patient on 07/15/2004 and the patient's arm was still a little sore and red.  The patient was scheduled for a follow up appointment. Follow up received by manufacturer on 08/12/2004: Physician said that the patient recovered.  The site of injection was still a little tender but was healing.  The patient also recovered from pain in lower back and neck.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Swelling, Tenderness
Clinical narrative: On 07/15/2004 the physician was contacted by the manufacturer after she left a voice mail regarding a possible adverse event with TD. A 28 year old female patient received a TD immunization in a local ER for having cut her foot on a piece of glass.  On 07/13 the patient described having had fever following the immunization starting the day of injection (max 101F) which was 100.2 in the office.  The patient complained of having a sore neck on the left side, low back pain and diarrhea the day before the visit.  On exam, the patient had one vesicle at the injection site and the arm had approximately a quarter size of warm, redness and swelling with tenderness.  Patient had full range of flexion and extension of her neck. Patient did not remember when she received a TD booster prior to the 07/10 dose. Follow up received by manufacturer on 07/19/2004: The patient was not ill at the time of the vaccination and has no previous allergies, birth defects or medical conditions apart from an allergy to Sulfa.  Patient was not taking any other medication apart from birth control and had no other vaccinations within 4 weeks prior to 07/10/2004.  Physician said that she contacted the patient on 07/15/2004 and the patient's arm was still a little sore and red.  The patient was scheduled for a follow up appointment. Follow up received by manufacturer on 08/12/2004: Physician said that the patient recovered.  The site of injection was still a little tender but was healing.  The patient also recovered from pain in lower back and neck.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient experienced swelling, redness, itchiness in the left arm within 24 hours of injection. Follow up received on 07/23/2004:  Physician said that the patient recovered.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Medication error, Pruritus
Clinical narrative: The nurse administered 0.5ml of TD (lot TD-92, expiration date 10/28/2004) vaccine to a patient intradermally (left forearm), instead of administering PPD, on 07/16/2004.  The patient came back on Monday, 07/19/2004, for the follow up appointment.  The reaction site was pink to red, 35mm across and 45mm up/down.  The patient developed the adverse reaction on Saturday, 07/17/2004, patient told the doctor that her arm was itchy and she was taking Tylenol over the weekend.  The patient felt much better on Monday, 07/19/2004.
Age: 59.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient experienced swelling, redness, itchiness in right arm within 24 hours of injection. Follow up received on 07/23/2004:  Physician said that the patient recovered.
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Chills, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: The patient was given a routine booster shot at work on 08/10/2004.  The patient came back into the nurse on 08/12/2004 and complained of having fever, chills and sweats on 08/11/2004.  These symptoms had subsided but the patients arm was still a little sore.  The patient called the nurse again on 08/13/2004 and told her he ad to go to the ER with his arm.  It had swelling all the way down to the wrist.  The diagnosis at the ER was Cellulitis and the patient was treated with antibiotic, type unknown at this time.  The patient is to follow up with the nurse again in a few days. Follow up received by the manufacturer on 08/27/2004: The nurse said that she hadn't see the patient in over a week but last she saw him his arm was normal.  According to the nurse the patient was back at work and doing fine, the nurse did not know which antibiotic the patent was give for treatments and said the patient was not hospitalized at the time of his visit to the ER.
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Swelling
Clinical narrative: The patient was given a routine booster shot at work on 08/10/2004.  The patient came back into the nurse on 08/12/2004 and complained of having fever, chills and sweats on 08/11/2004.  These symptoms had subsided but the patients arm was still a little sore.  The patient called the nurse again on 08/13/2004 and told her he ad to go to the ER with his arm.  It had swelling all the way down to the wrist.  The diagnosis at the ER was Cellulitis and the patient was treated with antibiotic, type unknown at this time.  The patient is to follow up with the nurse again in a few days. Follow up received by the manufacturer on 08/27/2004: The nurse said that she hadn't see the patient in over a week but last she saw him his arm was normal.  According to the nurse the patient was back at work and doing fine, the nurse did not know which antibiotic the patent was give for treatments and said the patient was not hospitalized at the time of his visit to the ER.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Headache, Pain, Pyrexia, Swelling
Clinical narrative: Patient had routine booster on 08/13/2004.  On 08/14/2004 the patient's arm was hot with some swelling.  She had a fever in the 100s with a headache and she felt dizzy and some muscle achiness.  On 08/17/2004 the patient came back into see the doctor and her arm was still a little swollen and sore but was much better.  Her other symptoms had gone also.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Patient got a routine booster shot of TD vaccine and experienced a large upper arm reaction, size of fist.  It was swollen, red and hot to touch.  Patient experienced pain up to her neck. Follow up on 08/31/2004:  Patient was treated with Benadryl and over the counter hydrocortisone cream.  Patient recovered.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Injection site induration
Clinical narrative: After receiving TD vaccination on 08/10/2004 patient came back with a complain of a hardening tissue at the site of the vaccination 3-4 days after the injection.  The nurse said the patient did not experience any pain or redness at the injection site, just the hardening of the tissue.  Follow up on 09/14/2004:  Patient recovered.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Swelling, Wrong drug administered
Clinical narrative: Td was mistakenly given intradermally in patient's left forearm. The patient was supposed to have a PPD test. 0.1 ml of Td was injected. The left forearm began to swell 12-17 hours post injection. The site of injection was red and swollen, approximately 6 cm in diameter. Her local reaction is improving. The patient thought the local reaction was a positive to the PPD test, and had a chest x-ray on 8/20/04. The x-ray was negative.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Swelling, Wrong drug administered
Clinical narrative: Td was mistakenly given intradermally in patient's left forearm. The patient was supposed to have a PPD test. 0.1 ml of Td was injected. The left forearm began to swell 12-17 hours post injection. The site of injection was red and swollen, approximately 6 cm in diameter.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema, Myalgia, Pyrexia
Clinical narrative: After receiving Td vaccination on 8/20/04 patient came back with a complain of arm reaction (red, swollen, hard area 3x3"), low grade fever, muscle aches (whole body) and feeling faint.  Advised Pt to take Advil and recommended warm soaks. Pt told to watch the reaction for a while. Pt previously received Td in 1993 with no adverse effects.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Syncope
Clinical narrative: After receiving Td vaccination on 8/20/04 patient came back with a complain of arm reaction (red, swollen, hard area 3x3"), low grade fever, muscle aches (whole body) and feeling faint.  Advised Pt to take Advil and recommended warm soaks. Pt told to watch the reaction for a while. Pt previously received Td in 1993 with no adverse effects.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The patient was given Td injection in the left arm, IM, on 8/20/04. The patient called in on 8/23/04 complaining of swelling, redness and pain at injection site.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Infection, Injection site pain, Injection site swelling
Clinical narrative: The pt was given Td injection in the right arm. The pt came to see the doctor on 8/20/2004 with a raised red area at the injection site, complaining of pain at the injection site. Doctor thought it may be an infection and prescribed Keflex 500 mg.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Heart rate increased, Myalgia, Pain, Pyrexia
Clinical narrative: The pt received a Td booster shot on September 28, 2004 and 24 hours later experienced diffused body pain, myalgia, fatigue, a temperature of 99F and her blood pressure was 114/74, low for this pt as she normally has high blood pressure. Her pulse was 82 and it is normally in the 60's. Two days later the pt's temperature was 102 F but she was feeling better with less myalgia and fatigue. October 1, 2004 the pt's temperature dropped to 99.2 F but her pulse was still elevated. However, she has a good appetite. The following day, October 2, the pt had fully recovered. Her temperature returned to normal and her pulse dropped to 74. MD seemed to think the reaction was viral syndrome related to the vaccine, it did not seem like an allergic reaction, as there was no itching. His concern was, what to do, in 10 years time when this pt needs another booster.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Viral infection
Clinical narrative: The pt received a Td booster shot on September 28, 2004 and 24 hours later experienced diffused body pain, myalgia, fatigue, a temperature of 99F and her blood pressure was 114/74, low for this pt as she normally has high blood pressure. Her pulse was 82 and it is normally in the 60's. Two days later the pt's temperature was 102 F but she was feeling better with less myalgia and fatigue. October 1, 2004 the pt's temperature dropped to 99.2 F but her pulse was still elevated. However, she has a good appetite. The following day, October 2, the pt had fully recovered. Her temperature returned to normal and her pulse dropped to 74. MD seemed to think the reaction was viral syndrome related to the vaccine, it did not seem like an allergic reaction, as there was no itching. His concern was, what to do, in 10 years time when this pt needs another booster.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain, Vaccine positive rechallenge
Clinical narrative: The pt immediately received Td-98 on 9/24/2004, and her arm was sore immediately. For the first two weeks after immunization, she could hardly move her arm, as it was sore. The pt has no redness or swelling, it just hurts when she moves her arm. The pt reported that the is not getting worse. The pt was seen by an MD on 10/29/2004, and the pt's arm was improving, but it was still throbbing. There were no physical findings upon examination. Her throbbing arm keeps her up at night. The pt's arm has not affected her ability to work. The pt is able to move her arm, and exercise makes it better. It is when the pt lies still that arm is problem. The pt is very sensitive to medication. The doctor has suggested MSN cream, but the pt has not tried it yet.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cow pox, Dyspnoea, Rash erythematous, Rash macular
Clinical narrative: On day 8 of smallpox vaccine developed sparse macular mildly erythematous rash. Improved slightly with IM Benadryl. Reported having SOB the night prior to presentation along with chilling. Also c/o itch with rash. Will f/u PMS until rash resolved. Digital photos submitted to hospital. Confirmed diagnosis of normal varient of smallpox.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pruritic
Clinical narrative: On day 8 of smallpox vaccine developed sparse macular mildly erythematous rash. Improved slightly with IM Benadryl. Reported having SOB the night prior to presentation along with chilling. Also c/o itch with rash. Will f/u PMS until rash resolved. Digital photos submitted to hospital. Confirmed diagnosis of normal varient of smallpox.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: 3 x 31/2 inch red raised area Use warm compress and tylenol for any discomfort
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Within 6 hours of receiving vaccine, local erythema and swelling commenced with distal spread of erythema and swelling from Left deltoid to left wrist. 12 hour after vaccination, pt presented to local ER with c/o robust local rxn. F/C, HA. Pt treated with abx (IM, PO) Benadryl, and IV fluids. Pt now with residual pain in left shoulder.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pyrexia
Clinical narrative: Within 6 hours of receiving vaccine, local erythema and swelling commenced with distal spread of erythema and swelling from Left deltoid to left wrist. 12 hour after vaccination, pt presented to local ER with c/o robust local rxn. F/C, HA. Pt treated with abx (IM, PO) Benadryl, and IV fluids. Pt now with residual pain in left shoulder.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cough, Crying, Depressed level of consciousness, Dysphonia, Lethargy
Clinical narrative: Pt given vaccines 12/27 in PM. Cried inconsolably most of night. Became extremely lethargic morning of 12/28. Refused feeding, began coughing and losing his voice. Was difficult to arouse. Hospitalized.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oral intake reduced
Clinical narrative: Pt given vaccines 12/27 in PM. Cried inconsolably most of night. Became extremely lethargic morning of 12/28. Refused feeding, began coughing and losing his voice. Was difficult to arouse. Hospitalized.
Age: 1.26
Sex: F
Vaccine: DTP
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure 5 days later, 7 hours in ER, IV, CAT scat, chest x-ray, blood and urine samples
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling noted. Advised to apply ice and may take Tylenol for discomfort.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper arm swollen at injection site, no tenderness, mile erythema
Age: 1.11
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt came into office, LL red, raised area approx 1" diameter, no fever. Advised to use ice and Tylenol for discomfort.