chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Hyperhidrosis, Myalgia, Pharyngitis, Pyrexia, Sinusitis
Clinical narrative: F/U with family MD on 4/7/03 Dx'd muscle soreness d/t coughing from bronchitis. Prescribed add'l antibiotics. PT's statement: "I received a smallpox vax on 2/26/03. At the time of the vax I had been having a chronic cough for a few wks along w/occasional head congestion. I had not had any fever or other significant SXs and assumed I was just having some sinus drainage. A wk after the smallpox vax I had increased coughing, sore throat, body aches, and a low-grade fever that lasted for a couple days. The cough, especially at night, continued off and on along w/some head congestion. I used over the counter sinus and anti-histamine medications to treat the SXs. 3/22/03 I went on vacation to [other states]. In the middle of a gold game on 3/23, I developed chest pains and shortness of breath that lasted for approx an hour. That evening I developed a 102.8 temp, chills alternating w/sweats, increased coughing and severe body aches that lasted into the next day. I went to an ER that morning (3/24). My chest x-ray was essentially normal and the MD Dx'd bronchitis, sinusitis, and a bilateral ear infection and put me on Lavaquon 500 mg once/day for 6 days and a cough syrup. W/in 36 hrs the fever was gone, the cough was decreased and I was feeling better. I finished the antibiotic medication 3/29 and 2 days later I started back w/increased coughing, especially at night, and increased head congestion. I am not taking any over the counter medications at this time. I still have noticed brief episodes of chest pain and occasional shortness of breath off and on since the original episode on 3/23. I have a Hx of recent elevated blood pressure over the past year and am taking Lisinopril once per day. My blood pressure has been w/in normal ranges since taking the blood pressure med. I felt my SXs were probably due to the bronchitis/sinusitis. When the info came out regarding the cardiac SXs following the smallpox vax I was not sure if I should be concerned regarding the chest pains and shortness of breath related to the vax. Since those SXs did not start until 3-4 wks after the vax I did not know if it was likely to be related or not. I discussed this w/the nurse and she suggested I submit a written description [report].
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Headache, Influenza, Nausea, Syncope
Clinical narrative: Flu-like aches, pain at joints, headache, nausea, syncope.
Age: 19.0
Sex: U
Vaccine: SMALL
Symptoms: Cow pox, Rash maculo-papular
Clinical narrative: Blotchy slain rash developed approx 10 days after receiving vax, over chest and both shoulders. No itching or other complaints.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Electrocardiogram abnormal, Nausea
Clinical narrative: Dull throb, pain in chest within 27-28 hours post vaccination. Onset of nausea within 33-34 hours post vaccination. Ambulance call and transport to ER. Cardiac Tx and evaluation taken. Transport to cardiac servoce
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: Initial generalized fatigue and arm soreness with axillar node swelling. Over next few days began developing chest pain-pleuritic 8/10 dyspnea. Seen at ER-EXG changes but cardiac enzymes increased-transferred; enzymes increased echo-no-pain resolved with NSAID.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Pleuritic pain
Clinical narrative: Initial generalized fatigue and arm soreness with axillar node swelling. Over next few days began developing chest pain-pleuritic 8/10 dyspnea. Seen at ER-EXG changes but cardiac enzymes increased-transferred; enzymes increased echo-no-pain resolved with NSAID.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphangitis
Clinical narrative: Lymphangitis 5.5. x 7 cm at left axillary area. Tx with Naprosyn and Benadryl. PT given 48 hrs Qtrs by vax provider.
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Patient was vaccinated on 3-28-03 then left for an out of town vacation. While on vacation, she began developing chest pain on 3-31-03. She took tyenol and advil as needed due to the fact she believed she had a pulled muscle. When the intermittent pain continued upon her return, she sought medical attention on 4-03-03. She describes the pain as "tightness, pressure,squeezing". The doctor performed an examination and ekg, reviewed labs drawn on 3-26-03 and ordered an echocardiogram, Holter monitor and antibiotics (Bactrim ds b.i.d x 4d) for the UA done on 3-26.  Please note, patient is a county paramedic and stays on site at the hospital.
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Dyspnoea, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: 8 days post smallpox vaccination fever, myalgia, fatigue, nausea; 10 days post vaccine, shortness of breath with exertion, fatigue.  After 2 days of rest, shortness of breath resolved
Age: 43.0
Sex: F
Vaccine: SMALL
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patient developed left-sided chest pressure occuring after going to bed 4/08/03.  It lasted 30 seconds and resolved spontaneously.  She had two more similar episodes, and became short of breath the third time.  She went to the ER, where she had two more episodes of chest discomfort, and then symptoms resolved entirely.  EKG and CXR at the ER were within normal limits.  No blood work was done. She had experienced abdominal cramping and diarrhea that evening before she developed the chest pain.  I saw her the afternoon of April 9, and she had been symptom-free throughout the day (no GI symptoms or chest pain).  Vital signs when I saw her were:  bp 120/72, pulse 76, resp. 16-20, and temp 98.  A repeat EKG was again completely within normal limits.  She denied prior cardiac history, although she has several cardiac risk factors (tobacco use, high cholesterol).  An outpatient stress echocardiogram was ordered for further evaluation, and is pending.
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Skin ulcer
Clinical narrative: Smallpox vax. Had contact w/husband's vax site. Husband received vax thru the military. Exposure occurred 3 wks ago. Facial lesions and a lesion on right arm.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Fatigue, Myalgia, Night sweats, Pyrexia
Clinical narrative: The patient developed a rash consisting of ~5 red macules (2-3 mm diameter) on each shoulder lasting 4-5 days.  On 3/30/03 @ 9am, another fine, flat, red rash appeared on the patient's upper right chest and disappeared by 9pm that evening.  Neither rash progressed to a papule stage.  The patient experienced minor night sweats at this time, but no other symptoms were observed.  A physician was consulted on 4/1/03 regarding the apperance of the macules, but by that time the rash was fading and required no  further evaluation.   Prior to the appearance of the rashes, the patient also experienced fever (100 degrees F), chills, fatigue, and minor muscle aches--beginning on the morning of 3/27/03 and lasting approximately 24 hours.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular
Clinical narrative: The patient developed a rash consisting of ~5 red macules (2-3 mm diameter) on each shoulder lasting 4-5 days.  On 3/30/03 @ 9am, another fine, flat, red rash appeared on the patient's upper right chest and disappeared by 9pm that evening.  Neither rash progressed to a papule stage.  The patient experienced minor night sweats at this time, but no other symptoms were observed.  A physician was consulted on 4/1/03 regarding the apperance of the macules, but by that time the rash was fading and required no  further evaluation.   Prior to the appearance of the rashes, the patient also experienced fever (100 degrees F), chills, fatigue, and minor muscle aches--beginning on the morning of 3/27/03 and lasting approximately 24 hours.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Injection site hypersensitivity, Pruritus, Vaccination complication
Clinical narrative: 04/07/03 Patient stated while at home she had mild chest Pain x 1 occurrence lasting 2 1/2 hrs, nonradiating. 04/08/03@ 2:30 pm pt. notified RN of right arm itching below vaccine site.  Nurse noted multiple satelite lesions around Small Pox vaccine site(Right upper arm) and small multiple lesions on left upper arm, back and shoulders. The lesions were clear fluid filled vesicles.  Patient Afebrile, BP/WNL, Denied pain. Dr. was contacted and evaulated pt. at Health Department. Determined pt. needed cardiac evaluation, and was admitted to Hospital for EKG, ECHO and Cardiac Enzymes on 04/08/03. Universal Precautions were initated and pt. placed in an isolation room. All cardiac work up was negative. Pt. discharged 04/09/03. Cardiologist, Dr. cleared pt. for discharge/Reccommended a Cardiolyte Stress Test in 3 weeks.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Mom states redness, warmth, and swelling of Right arm from elbow to above sholder starting afternoon after shots.  Had been giving Tylenol started Benadryl and Motrin on 4-9-03.  States is noticeable through turtleneck.  No fever or malaise.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Aphthous stomatitis
Clinical narrative: On 03-28-03, day 8 post vaccination, this primary vaccinee reported oral ulcer on inner aspect of cheek. Vaccinee was afrebrile and no pain or tenderness reported.  On day 9, vaccinee reported ulcer resolved approximately 24 hours after onset.  Reports prior history of similar type of oral lesions.
Age: 37.0
Sex: F
Vaccine: SMALL
Symptoms: Aphthous stomatitis
Clinical narrative: On 03-28-03, day 8 post vaccination, this non-naive vaccinee reported an oral ulcer on the inner aspect of the lower lip.  Vaccinee was afrebrile and no pain or tenderness was reported.  On day 11, vaccinee reported the ulcer resolved approximately 24 hours after onset.  Reports prior history of similar type of oral lesions.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Migraine, Visual disturbance
Clinical narrative: PT WITH HISTORY OF NON SPECIFIC HEADACHES FOR PAST 10 YEARS, WAS SEVEN DAYS POST SMALLPOX VACCINE ADMINISTRATION (VACCINE GIVEN 02 APRIL 03) WHEN HE DEVELOPED HEADACHE AND TRANSIENT R SIDED VISUAL DEFECT THAT LASTED 20 MINUTES. THOUGHT TO BE SECONDARY TO MIGRAINES AFTER THUROUGH  EVAL BY NEURO AND ID, PT REQUIRED HOSPITALIZATION FOR FULL EVEALUATION
Age: 0.8
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Rash, Urticaria
Clinical narrative: 2:25pm Checked child after 20 minute wait per HD policy after receiving immunizations. HIB injection site slightly red. No redness or swelling noted at other injection sites. Child was awake. Mother complained that child was not acting normal.  Stated that "he usually is more active and would be wanting down to play". Noticed fine red rash around mouth that had not been there when giving vaccines. Mother stated that she had been noticing redness on child's face during the 20 minute wait, but didn't notify anyone. Examined pt. further.  Fine red rash extended down neck and and on back across shoulders bilt. 2:28 Brought child back to exam room. 2:30 child awake, but listless. PO Benadryl given without difficulty. Hives increasing on face, trunk, abd., and back. Nickle to half dollar sizes. NO SOB or difficulty breathing noted. 2:32 Dr. , MD (covering for Health Officer) notified. Orders received to administer epinephrine sq. 2:35 .10 (1:1000) epinephrine sq administered Rt. arm.  Breath sounds clear bilt. all lung fields upon auscultation. 2:38 Child more alert. Redness decreasing. 2:44 R. 30 HR120 Breath sounds clear. Child drowsy and falling asleep. Swelling noted Rt. lower leg. Fine red rash continues from neck down to toes. 2:50 child sleeping. R.26 easy and regular.HR 120. Breath sounds remain clear. Redness continues to decrease. 2:54 Sleeping.  Startles when touched or moved.  Some hives disappearing on abdomen.  Fine rash around neck is lighter. 2:55 Called Dr's office to update. Updated on hives decreasing, but continue to appear and then disappear on back and abd., and that the fine, lighter, red rash continues from neck down to feet. Did Dr. wish to repeat epi? Orders received to have child come to his office immediately (office on floor above). Mother updated and she and child were taken to Dr's office.  Child then seen by his regular FMD.  Spoke with mother 9:00pm at home.  She stated child is acting "as his normal self now".  Following doctor's orders to continue benadryl PO next 24-48 hours.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Rash
Clinical narrative: A red, bumpy rash on palms, soles of feet, knees and elbows. Painful on hands, slightly itchy on other body parts. Appeared about 4 days ago, appears to be spreading.  Began on my hands. No unusual headaches or nausea.  (No more or less than usual)
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Rash pruritic
Clinical narrative: On day 22 post vaccinia administration, she developed headache at 0400 that woke her from sleep. later that day around 1600 she developed a truncal rash that spread peripherally. rash was very pruritic and spread to palms / soles/ arms/legs. she saw ER doc (employed as an RN there) and was prescribed 20 mg of prednisone. she took benadryl 50 mg and called me on april 12 in the am..took photos and contacted Dept of Health and CDC.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Had a moderately severe local reaction 24 hours after the vaccine was administered.  Has had recurrent urticarial rash at the site of vaccination since that time.  Last occured 4/11/03.
Age: 0.09
Sex: F
Vaccine: HEP
Symptoms: Apnoea, Convulsion, Encephalitis, Herpes simplex, Muscle twitching
Clinical narrative: The discharge summary states herpes simplex, and virus encephalitis.
Age: 0.09
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: The discharge summary states herpes simplex, and virus encephalitis.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Asthma, Autism, Colitis, Colonoscopy abnormal, Developmental delay
Clinical narrative: 1) Immune disfunction 2) Asthma 3) Allergy 4) Eczema 5) Mercury poisoning 6) Developmental delays 7) Colitis 8) Autism  Shortly after the administration of my son's first vaccines he exhibited symptoms of asthma and allergy. By the time he was 10 months old we became aware that he was missing cognitive and communication developmental milestones. At age 15 months he was evaluated by a clinical pyschologist who described by son as having symptoms consistent with autism. This was confirmed with a diagnosis of PDD-NOS by a pediatric neurologist a age 19 months. In the mean time my son developed severe ezcema over about 1/3 of his body. At age 22 months my son began receiveing treatment for allergy, asthma and other immune disfunctions. At age 24 months a colonscopy revealed colitis in my son's large and small intestine. At approximately 30 months a urinalysis revealed extremely high levels o merucry and other metals in my son's urine. Periodic urinalysis since then have shown consistently high level of mercury and other metals.  At age 38 months my son was evaluated by a clinical pyscologist and given a diagnosis of autism.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Eczema, Hypersensitivity, Immune system disorder, Metal poisoning, Urine analysis abnormal
Clinical narrative: 1) Immune disfunction 2) Asthma 3) Allergy 4) Eczema 5) Mercury poisoning 6) Developmental delays 7) Colitis 8) Autism  Shortly after the administration of my son's first vaccines he exhibited symptoms of asthma and allergy. By the time he was 10 months old we became aware that he was missing cognitive and communication developmental milestones. At age 15 months he was evaluated by a clinical pyschologist who described by son as having symptoms consistent with autism. This was confirmed with a diagnosis of PDD-NOS by a pediatric neurologist a age 19 months. In the mean time my son developed severe ezcema over about 1/3 of his body. At age 22 months my son began receiveing treatment for allergy, asthma and other immune disfunctions. At age 24 months a colonscopy revealed colitis in my son's large and small intestine. At approximately 30 months a urinalysis revealed extremely high levels o merucry and other metals in my son's urine. Periodic urinalysis since then have shown consistently high level of mercury and other metals.  At age 38 months my son was evaluated by a clinical pyscologist and given a diagnosis of autism.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Asthma, Autism, Colitis, Drug toxicity, Eczema
Clinical narrative: 1) Immune disfunction 2) Asthma 3) Allergy 4) Eczema 5) Mercury poisoning 6) Developmental delays 7) Colitis 8) Autism  Shortly after the administration of my son's first vaccines he exhibited symptoms of asthma and allergy. By the time he was 10 months old we became aware that he was missing cognitive and communication developmental milestones. At age 15 months he was evaluated by a clinical pyschologist who described by son as having symptoms consistent with autism. This was confirmed with a diagnosis of PDD-NOS by a pediatric neurologist a age 19 months. In the mean time my son developed severe ezcema over about 1/3 of his body. At age 22 months my son began receiveing treatment for allergy, asthma and other immune disfunctions. At age 24 months a colonscopy revealed colitis in my son's large and small intestine. At approximately 30 months a urinalysis revealed extremely high levels o merucry and other metals in my son's urine. Periodic urinalysis since then have shown consistently high level of mercury and other metals.  At age 38 months my son was evaluated by a clinical pyscologist and given a diagnosis of autism.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, DTAP, HIBV, IPV
Symptoms: Immune system disorder
Clinical narrative: 1) Immune disfunction 2) Asthma 3) Allergy 4) Eczema 5) Mercury poisoning 6) Developmental delays 7) Colitis 8) Autism  Shortly after the administration of my son's first vaccines he exhibited symptoms of asthma and allergy. By the time he was 10 months old we became aware that he was missing cognitive and communication developmental milestones. At age 15 months he was evaluated by a clinical pyschologist who described by son as having symptoms consistent with autism. This was confirmed with a diagnosis of PDD-NOS by a pediatric neurologist a age 19 months. In the mean time my son developed severe ezcema over about 1/3 of his body. At age 22 months my son began receiveing treatment for allergy, asthma and other immune disfunctions. At age 24 months a colonscopy revealed colitis in my son's large and small intestine. At approximately 30 months a urinalysis revealed extremely high levels o merucry and other metals in my son's urine. Periodic urinalysis since then have shown consistently high level of mercury and other metals.  At age 38 months my son was evaluated by a clinical pyscologist and given a diagnosis of autism.
Age: 25.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Blood glucose increased, Diabetes mellitus, Headache, Insomnia, Pollakiuria
Clinical narrative: Approximately 2-3 days after first vaccination I had started to have frequent urination, uncontrollable thirst, headaches, trouble sleeping. Before second vaccination on 21 January 2003,I had notified Chief at Clinic that I was having these symptoms, and I had asked him if the anthrax vaccine could possibly cause these symptoms. He stated no, but it sounded like I may have diabetes. He suggested I make an appointment to be seen. After the second vaccination I started to have blurred vision,and noticed considerable weight loss within the past two weeks. The first vaccination was on the 6th of January,and the second on the 21st of January. I was seen on the 23rd of January by Maj. He notified me that my Blood Glucose Level was considerably high, and I needed to be sent to a hospital right away. I was then driven by my squad leader to hospital where I was taken to the emergency room for evaluation and treatment. I was then admitted to the hospital from the 23rd of January until the 27th of January. I met with numerous doctors,and diabetic educationers. I was released with a P3 profile,and instructed to come back to see my doctor Dr. approximately two weeks later. Currently I am on Gluboride, Pioglitizone, metphormine, lisinopril, and NPH(Insulin).
Age: 25.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Thirst, Vision blurred, Weight decreased
Clinical narrative: Approximately 2-3 days after first vaccination I had started to have frequent urination, uncontrollable thirst, headaches, trouble sleeping. Before second vaccination on 21 January 2003,I had notified Chief at Clinic that I was having these symptoms, and I had asked him if the anthrax vaccine could possibly cause these symptoms. He stated no, but it sounded like I may have diabetes. He suggested I make an appointment to be seen. After the second vaccination I started to have blurred vision,and noticed considerable weight loss within the past two weeks. The first vaccination was on the 6th of January,and the second on the 21st of January. I was seen on the 23rd of January by Maj. He notified me that my Blood Glucose Level was considerably high, and I needed to be sent to a hospital right away. I was then driven by my squad leader to hospital where I was taken to the emergency room for evaluation and treatment. I was then admitted to the hospital from the 23rd of January until the 27th of January. I met with numerous doctors,and diabetic educationers. I was released with a P3 profile,and instructed to come back to see my doctor Dr. approximately two weeks later. Currently I am on Gluboride, Pioglitizone, metphormine, lisinopril, and NPH(Insulin).
Age: 38.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Blister, Herpes zoster
Clinical narrative: Patient received SPV on R deltoid, Anthrax #2 on R deltoid and Typhoid on L deltoid on same day.  Reported to medical clinic 8 days afterwards with cluster of clear vesicles on L deltoid.  Lesion had appearance of herpes zoster and was treated with oral and topical Acyclovir.  Cleared in 10 days.  No satellite lesions from SPV although vaccination site classified as "major reaction".  Had previously been vaccinated against smallpox as a child without adverse reaction.  Also noted to have had childhood illness of chickenpox and no exposure to varicella vaccine.
Age: 38.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Blister, Herpes zoster, Skin ulcer
Clinical narrative: Patient received SPV on R deltoid, Anthrax #2 on R deltoid and Typhoid on L deltoid on same day.  Reported to medical clinic 8 days afterwards with cluster of clear vesicles on L deltoid.  Lesion had appearance of herpes zoster and was treated with oral and topical Acyclovir.  Cleared in 10 days.  No satellite lesions from SPV although vaccination site classified as "major reaction".  Had previously been vaccinated against smallpox as a child without adverse reaction.  Also noted to have had childhood illness of chickenpox and no exposure to varicella vaccine.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Malaise
Clinical narrative: Nine days after receiving the smallpox vaccine, the patient developed generalized papular eruptions on his chest, back and neck, consistent with generalized vaccinia. This was accompanied by general malaise. He was treated with acetominophen and diphenhydramine and symptoms started improving in three days.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Myocarditis
Clinical narrative: Patient presented c/o 12 hours squeezing chest pain.  Presented on Day 12 post first time smallpox vaccination (positive take).  Had similar pain 2 days prior.  Evaluation revealed laboratory and history consistent with myo/pericarditis without decrease in cardiac function at time of admission.  Treated via admission, NSAIDs, observation, rest, supplemental O2 (no O2 requirement though).  Today is date of admission. 60-day follow up on 02/11/04: "It is unknown whether the pt recovered from the adverse events. We cannot say that he has recovered until after his 2 year follow up."
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Unevaluable event
Clinical narrative: Patient presented c/o 12 hours squeezing chest pain.  Presented on Day 12 post first time smallpox vaccination (positive take).  Had similar pain 2 days prior.  Evaluation revealed laboratory and history consistent with myo/pericarditis without decrease in cardiac function at time of admission.  Treated via admission, NSAIDs, observation, rest, supplemental O2 (no O2 requirement though).  Today is date of admission. 60-day follow up on 02/11/04: "It is unknown whether the pt recovered from the adverse events. We cannot say that he has recovered until after his 2 year follow up."
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Rash over both elbows, hands and on knees bilaterally; denies on buttocks and feet; pt comlains of itching; has papular erythematais; dermatitis; suggest oral benadryl
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Headache, Vomiting
Clinical narrative: Report A0367051A describes vomiting in a 39 year old male who received Lyme disease vaccine recombinant. This report was received from the vaccinee and has been verified by a nurse. The subject's medical history included hypertension and hyperlipidemia for "at least six years." Concurrent medications were not reported. On 12/19/02, the vaccinee received his first injection of LYMErix. Thirty-six hours post-immunization, the vaccinee experienced "severe headache and vomiting." He was seen at the local ER. Results of complete blood count and basic metabolic profile were within normal limits. The results of CT of the brain were interpreted as negative. Treatment given in the ER, if any, was not specified. The events resolved after 12 hours. On an unspecified date, the vaccinee received a second injection of LYMErix. His physician prescribed unspecified "pain killers" to be taken 24 hrs before and after the second injection. The headache and vomiting did not recur. The most recent info was received on 3/27/03. The reporting nurse considered the headache and vomiting to be possibly related to LYMErix administration. The reporting nurse indicated that the headache and vomiting were serious because they jeopardized the pt or required intervention. Therefore, this report has been reclassified as serious (OMIC).
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Cerebellar ataxia, Pyrexia, Vomiting
Clinical narrative: Information has been received from a physician concerning a reported normal healthy 12 month old female pt with no known drug allergies, no immunosupression and no recent exposure to varicella or other viruses and reported significant medical history for the fact that the pt's mother reported the pt first walked at age 10 months however between age 10-12 months had a noted "change and widening" of her gait who on 3/20/03 was vaccinated with a dose of varicella virus vaccine live (641162/0797M). Concomitant therapy given during the same visit on 3/20/03 included MMR and HIB conjugated vaccine (manuf unk). It was noted on either 3/26/03 or 3/27/03 the pt developed a fever of 101.7, vomiting, and cereebellar ataxia. It was noted as of 4/1/03 the pt could not walk or crawl and was experiencing "truncal symptoms." It was noted there was no rash. It was noted the pt was not hospitalized and the physician reported that "at least for now" the pt could be handled as an outpatient. It was noted a complete blood count was ordered and on 4/1/03 the pt was scheduled to have a MRI of the brain to rule out presence of a tumor. It was noted the physician indicated that as of 4/1/03 a lumbar puncture had not been done, and "as of right now it is not in the plan." The physician did indicate that depending on what the MRI revealed and how the pt's condition was that a lumbar puncture may be done. It was noted, no prescription drug was required. Upon internal review cerebellar ataxia was determined to be an other important medical event (OMIC). Additional info has been requested.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Localized erythema, edema from site at triceps region to mid-forearm. Resolved with a prednisone 60 mg po x 5 days and Hydrocortisone topical applied with ice to left UE. Localized reaction resolved in few days w/meds.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pruritus, Vasodilation procedure
Clinical narrative: Noticed itching, swelling no redness about 12 hrs post vax. Presents today with noticeable redness/swelling from approx 8" above and below inject site. Advised cool compress, anti-inflammatory antihistamine PRN.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Fatigue, Influenza, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mild systemic reaction - flu symptoms. F/C/N/ fatigue and moderate local erythema / pain / swelling.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Nausea, Pyrexia
Clinical narrative: Mild systemic reaction - flu symptoms. F/C/N/ fatigue and moderate local erythema / pain / swelling.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: 11 x 10 cm area of erythema upper left arm - area is swollen w/redness and itches.
Age: 0.5
Sex: M
Vaccine: PNC
Symptoms: Crying, Injection site hypersensitivity
Clinical narrative: Prevnar given IM right thigh. Thigh turned red and baby is screaming / crying uncontrollably - gave Benadryl 3/4 tsp PO. Stopped crying about 15 mins after - ice pack applied to thigh - 30 mins after baby resting quietly. Redness and swelling gone.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Somnolence
Clinical narrative: PT reported had a day of weakness and somnolence with 1st Hep B injection on the day she came to receive dose #2 (employer wanted her to have series because of some janitorial duties). After 2nd dose, in approx 1 hr, began w/some SXs of weakness and somnolence.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Oedema peripheral
Clinical narrative: 3/26/03 On / about 11 a.m. student received Hep A #1, IM to right deltoid. On / about 12 noon she returned to nurse's office at high school. C/o right hand swelling. School nurse called home and had stepfather come pick up child to take her to PVT MD. Reporter assessed right deltoid, no swelling no erythema noted. Only right hand moderate swelling. Stepfather picked up child to take her to PVT MD via his vehicle.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Gaze palsy, Syncope, Tremor
Clinical narrative: Seconds after Td shot, PT passed out, eyes rolled back and started shaking uncontrollably for 3 seconds. ??? to with no signs of distress. Was able to leave office after 10 mins. Mom was advised to take child to MD's office.
Age: 4.75
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cough, Injection site hypersensitivity, Injection site oedema, Rash erythematous
Clinical narrative: Developed redness (swelling at site, few onsight red rash arm and head / neck and upper trunk - dry cough
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Depersonalisation, Gaze palsy, Hypokinesia
Clinical narrative: 10:30 a.m. Td booster given in left deltoid. Child immediately said, "I feel weird" eyes rolled up. Arm feeling heat? child laid down - eyes open. No response x 30 sec approx. BP normal - monitored for 1 hr.
Age: 4.9
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Received 5th DTA and a VZV vax on 3/25/03. Redness / swelling noted left shoulder to elbow. Denies pain or fever.
Age: 2.5
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash pruritic, Skin ulcer
Clinical narrative: Rash - 5 lesions. Itching.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Asthma, Confusional state, Dysphagia, Hyperhidrosis, Nausea
Clinical narrative: 2/19 Engerix-B adult dose given at 8:50 a.m. PT reports approx 10:45 a.m. felt "shaking, nauseated, clammy and disoriented." She said she thought she was having a "hypoglycemic reaction" until about 1/2 hr later, she began itching "intensely", began wheezing, trouble swallowing and nasal congestion.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rhinitis, Tremor
Clinical narrative: 2/19 Engerix-B adult dose given at 8:50 a.m. PT reports approx 10:45 a.m. felt "shaking, nauseated, clammy and disoriented." She said she thought she was having a "hypoglycemic reaction" until about 1/2 hr later, she began itching "intensely", began wheezing, trouble swallowing and nasal congestion.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site mass, Injection site pain
Clinical narrative: Local erythema and inflammation over the inject site and induration approx 5 x 5 cm. Increased tenderness. Negative pruritus.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Vasodilation procedure
Clinical narrative: Left leg became red, swollen and inflamed on 3/26 and gradually became hotter, more swollen and larger to softball size area. SXs are ongoing.
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Diarrhoea, Vomiting
Clinical narrative: 04/04/2003 at 9am. Mother called. Had shot here yesterday, right  after we left he started runny off with his bowels and vomiting. Supp for vomiting. This morning mother states still has diarrhea. Referred to PMD for further evaluation.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Vaccine given 02/21/2003. Pt developed rash 03/09/2003 and Dx'd with chicken pox on 03/10/2003
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Swelling erythema left thigh 2 hours after DTaP
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Immunizations received on 04/02/2003. Developed red area at site of injection (right thigh) that has grown. Seen on 04/04/2003 with softball sized mild swelling, erythematous with some cleaning to right thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Erythema, Injection site pain
Clinical narrative: Erythematous, moderate area on right anterior thigh for 2 days. 8cm x 12cm at 2 days post vaccination. No fever, some tenderness, no streaking. Unable to access duration of event as pt's phone disconnected.
Sex: U
Vaccine: DTAP, HBHEPB
Symptoms: Pyrexia
Clinical narrative: High temp over 104. Several hours after administration, no vomiting no diarrhea.
Age: 1.75
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Was vaccinated with varicella vaccine on 06/26/2002. Came into clinic on 03/27/2003 with breakthrough case of chicken pox.
Age: 4.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Redness and swelling at site LDL extending to elbow with high fever.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever started 5-6 days post vaccination/ Fever up to 104.8 (rectal) within one day. Dosed with alternating Tylenol and Motrin. Fever was present for 7 days. On 5th day of fever, a slight and dotty rash appeared on body trunk. Rash lasted for part of a day. Fever broke on 7th day. No other signs of illness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling, red, hot to touch on LD site. 04/04/2003  2:30pm 14 x 14cm. Non tender.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Varicella.
Age: 2.4
Sex: U
Vaccine: MMR
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Temp irritable decreased appetite.
Age: 9.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Red, painful to touch, induration on L upper arm at injection site. Advised to apply warm compress to site for 20 minutes at home. If swelling doe snot subside return clinic. Give children's Tylenol for pain.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Rash maculo-papular
Clinical narrative: Maculopapular rash to chest back, greatest on L side no fever/chills. Does report mild headache x 1 day. No other complaints.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Chills, Cough, Infection transmission via personal contact, Lymphadenopathy
Clinical narrative: 19 yr old female travelled to see boyfriend 3/30-03-4/3/03. Boyfriend vaccinated on 3/28/03. Pt had intermittent contact. According to LB, site covered entire time of contact but may have had contact with towels, clothes, etc. Presented to her physician on 4/10/03 with two-scabbed lesions on her chin and above her lip.  Her physician notified acute disease unit that day. After consultation, it was felt the pt had probable contact vaccinia. Viral cultures wee obtained from the chin lesion and were received by public health lab for procession on 4/11/03. Her symptoms started on 4/6/03 with fevers, chills, diffuse muscle aches, cough, congestion, groin lymph node swelling. She noted a pustule on her scalp on 4/6/03 that was pruritic and scabbed over. On 4/8/03 she noted a blister on her chin with a red base that has scabbed over. She also noted a new blister above her lip today. She states she has all sites now covered with dry gauze dressing. Additionally, she has also noted some irritation on her perineum and a possible new lesion that appeared today.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Myalgia, Nasal congestion, Pyrexia, Rash pustular
Clinical narrative: 19 yr old female travelled to see boyfriend 3/30-03-4/3/03. Boyfriend vaccinated on 3/28/03. Pt had intermittent contact. According to LB, site covered entire time of contact but may have had contact with towels, clothes, etc. Presented to her physician on 4/10/03 with two-scabbed lesions on her chin and above her lip.  Her physician notified acute disease unit that day. After consultation, it was felt the pt had probable contact vaccinia. Viral cultures wee obtained from the chin lesion and were received by public health lab for procession on 4/11/03. Her symptoms started on 4/6/03 with fevers, chills, diffuse muscle aches, cough, congestion, groin lymph node swelling. She noted a pustule on her scalp on 4/6/03 that was pruritic and scabbed over. On 4/8/03 she noted a blister on her chin with a red base that has scabbed over. She also noted a new blister above her lip today. She states she has all sites now covered with dry gauze dressing. Additionally, she has also noted some irritation on her perineum and a possible new lesion that appeared today.
Age: 15.0
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Asthenia, Guillain-Barre syndrome, Joint range of motion decreased, Pain
Clinical narrative: Guillain Barré syndrome-spinal tap. 3/3 weight loss, no appetite, pain in legs, inability to hold items in hand. 2/03 sore throat. 60 day follow up states pt has not recovered. Can not lift arms above shoulder level. Can not rise onto toes.
Age: 15.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain, Weight decreased
Clinical narrative: Guillain Barré syndrome-spinal tap. 3/3 weight loss, no appetite, pain in legs, inability to hold items in hand. 2/03 sore throat. 60 day follow up states pt has not recovered. Can not lift arms above shoulder level. Can not rise onto toes.
Age: 2.25
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Injection site oedema, Irritability, Pyrexia, Urticaria
Clinical narrative: 3/28/03 6pm fussy, temp around 100, didn't Tylenol given. Want to walk 3/29/03 7am woke up with hives all over. Benadryl given. Fever around 100. 3/30/03 Rt leg from knee to hip very swollen but not red. No temp elevation. 3/31/03 to doctor. Rt leg swollen-hives. Benadryl given. 4/3/03 Rt leg still swollen some-hives come and go.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Mother reported arm Lt red, swollen, painful. T 102 degrees. Taken to urgent care 3/23/03. Reported to vaccine administered center 3/25/03. When asked again stated Rt arm involved T up to 104 degrees 3/27/03. Tx Advil, Benadryl, antibiotic.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 5 1/2 x 4cm eryth. mild swelling on lt deltoid area. Mild tenderness some warmth.
Age: 30.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Hypersensitivity, Rash
Clinical narrative: Rash x 6 hrs. SP vaccine 1 wk ago. Rash all over body. Rec'd IV Benadryl 50mg. Admitted for 23 hours OBS. Diagnosed as an allergic reaction.
Age: 53.0
Sex: F
Vaccine: TTOX
Symptoms: Pain, Shoulder pain
Clinical narrative: Severe pain in left arm and shoulder. Couldn't work for 2 days. Doctor prescribed nabumetone 500mg for pain. A 60-day follow up report received 7/2/2003 adds: (Pt has recovered). MD gave me pain pill and the pain went away in couple days and keep moving my left arm with my right hand as the MD said. I asked the nurse which arm I should use and explain why I broke my left arm (wrist exactly) 6 months before the vaccine. And I just went to work (back to work) and sometimes my arm was sensitive. She said does not matter. Since I'm right handed I said OK. Left hand (arm). I had so much pain all over my arm. I had to take day off and go to the MD. MD said that using the arm after the vaccine helps. I was not using that much left arm at that time because when you break a wrist taking time to heal, it's sensitive.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Rash maculo-papular, Secondary transmission
Clinical narrative: Patient hugged a military recruit who had received smallpox vaccination 2 days prior to her hugging him (3/24/2003). 4-5 days after, patient developed macular/papular lesions on her leg. APproximately 8-10 lesions.  Patient sought care at a civilian ER and was counseled to keep lesions covered.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Subject developed uncomplicated varicella (primary) on 3-12-03 with crusting over on 3-18-03.  This event is consistent with vaccine failure from the administration on 3-26-01.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Vaccine failure as subject developed varicella on 03-21-03.  This event is consistent with vaccine failure.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Erythema multiforme, Fatigue, Injection site erythema, Injection site hypersensitivity
Clinical narrative: 3/4/03 pt presented with rash, night sweats, generalized fatigue x 24 hrs and rash x 12 hrs. (+) generalized papular rash on trunk, arms, hands, palms, legs and plantar surface of feet (+) erythema on palms of hands and feet with edema. Referred to derm. Zyrtec started on 3/4/03. Pt states he started feeling bad about three days ago (fever, chills, throwing up) and yesterday he noticed a rash come up on R wrist and hands and also on feet. Hands, wrists, ankles and soles-erythema, dermal papules with surr blanching. Uriticaria. Cortin Zyrtec qd. TAC cream 0.18. RTC if worsens. F/U on urticaria that has worsened since yesterday's visit. Pt states sx/s have become more painful to feet with some edema. Hands/wrist/feet-eryth plaques-confluent and multiple eryth papules. Feet-confluent erythem plagues with tender edema in arch. A/P urticaria and angioedema of feet. Prednisone 15 day 60, 40, 20 course. Elevate feet. RTC Mon. quarters x 48 hrs. Presenting with rash, "night sweats," gen fatigue x 24 hrs-rash-12 hrs. A: probable erythema multiforme. P: dermatology consulted-spoke with MD from dermatology. Plan to see pt Wed. 3/5 at 1300. Zyrtec 10mg, take 1 tab po qd for itching/rash. Local redness, whitish blister, local itching, body rash and feeling lousy.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Malaise, Night sweats, Oedema, Pain
Clinical narrative: 3/4/03 pt presented with rash, night sweats, generalized fatigue x 24 hrs and rash x 12 hrs. (+) generalized papular rash on trunk, arms, hands, palms, legs and plantar surface of feet (+) erythema on palms of hands and feet with edema. Referred to derm. Zyrtec started on 3/4/03. Pt states he started feeling bad about three days ago (fever, chills, throwing up) and yesterday he noticed a rash come up on R wrist and hands and also on feet. Hands, wrists, ankles and soles-erythema, dermal papules with surr blanching. Uriticaria. Cortin Zyrtec qd. TAC cream 0.18. RTC if worsens. F/U on urticaria that has worsened since yesterday's visit. Pt states sx/s have become more painful to feet with some edema. Hands/wrist/feet-eryth plaques-confluent and multiple eryth papules. Feet-confluent erythem plagues with tender edema in arch. A/P urticaria and angioedema of feet. Prednisone 15 day 60, 40, 20 course. Elevate feet. RTC Mon. quarters x 48 hrs. Presenting with rash, "night sweats," gen fatigue x 24 hrs-rash-12 hrs. A: probable erythema multiforme. P: dermatology consulted-spoke with MD from dermatology. Plan to see pt Wed. 3/5 at 1300. Zyrtec 10mg, take 1 tab po qd for itching/rash. Local redness, whitish blister, local itching, body rash and feeling lousy.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia, Rash, Rash papular, Urticaria
Clinical narrative: 3/4/03 pt presented with rash, night sweats, generalized fatigue x 24 hrs and rash x 12 hrs. (+) generalized papular rash on trunk, arms, hands, palms, legs and plantar surface of feet (+) erythema on palms of hands and feet with edema. Referred to derm. Zyrtec started on 3/4/03. Pt states he started feeling bad about three days ago (fever, chills, throwing up) and yesterday he noticed a rash come up on R wrist and hands and also on feet. Hands, wrists, ankles and soles-erythema, dermal papules with surr blanching. Uriticaria. Cortin Zyrtec qd. TAC cream 0.18. RTC if worsens. F/U on urticaria that has worsened since yesterday's visit. Pt states sx/s have become more painful to feet with some edema. Hands/wrist/feet-eryth plaques-confluent and multiple eryth papules. Feet-confluent erythem plagues with tender edema in arch. A/P urticaria and angioedema of feet. Prednisone 15 day 60, 40, 20 course. Elevate feet. RTC Mon. quarters x 48 hrs. Presenting with rash, "night sweats," gen fatigue x 24 hrs-rash-12 hrs. A: probable erythema multiforme. P: dermatology consulted-spoke with MD from dermatology. Plan to see pt Wed. 3/5 at 1300. Zyrtec 10mg, take 1 tab po qd for itching/rash. Local redness, whitish blister, local itching, body rash and feeling lousy.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: 3/4/03 pt presented with rash, night sweats, generalized fatigue x 24 hrs and rash x 12 hrs. (+) generalized papular rash on trunk, arms, hands, palms, legs and plantar surface of feet (+) erythema on palms of hands and feet with edema. Referred to derm. Zyrtec started on 3/4/03. Pt states he started feeling bad about three days ago (fever, chills, throwing up) and yesterday he noticed a rash come up on R wrist and hands and also on feet. Hands, wrists, ankles and soles-erythema, dermal papules with surr blanching. Uriticaria. Cortin Zyrtec qd. TAC cream 0.18. RTC if worsens. F/U on urticaria that has worsened since yesterday's visit. Pt states sx/s have become more painful to feet with some edema. Hands/wrist/feet-eryth plaques-confluent and multiple eryth papules. Feet-confluent erythem plagues with tender edema in arch. A/P urticaria and angioedema of feet. Prednisone 15 day 60, 40, 20 course. Elevate feet. RTC Mon. quarters x 48 hrs. Presenting with rash, "night sweats," gen fatigue x 24 hrs-rash-12 hrs. A: probable erythema multiforme. P: dermatology consulted-spoke with MD from dermatology. Plan to see pt Wed. 3/5 at 1300. Zyrtec 10mg, take 1 tab po qd for itching/rash. Local redness, whitish blister, local itching, body rash and feeling lousy.