chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a health care worker reporting on behalf of the physician concerning an 85 year old male patient with diet controlled diabetes who on 11/24/03 was vaccinated with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 644218/1027M). Concomitant therapy included an unspecified diabetes medication. The health care worker reported that within two days of the vaccine administration, on 11/26/03, the patient was admitted to the hospital and he was hospitalized for two days, for a range of different problems. The healthcare worker reported the office has not yet received the discharge summary from the hospital and there was no diagnosis in the patient's chart as to what the range of problems were. It was noted the physician hospitalized the patient due to his age. The patient has since recovered. The health care worker wanted to know if there have been any reports of problems with this specific lot of pneumococcal 23v polysaccharide vaccine; however, there was no product quality complaint reported. No additional information was provided. Additional information has been requested. The health care worker also reported another patient who had an experience following vaccination with pneumococcal 23v polysaccharide vaccine. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Follow up information from the physician reported the patient was vaccinated in the deltoid with a dose of pneumococcal 23v polysaccharide vaccine (lot # 644220/1119M) and not the previously lot number. The physician also reported the number of previous doses as unknown and not the first dose as was previously reported. Additional information is not expected.  The health care worker also reported another pt who had an experience following vaccination with pneumococcal 23v polysaccharide vaccine (WAES#0312USA0539).
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Headache, Lung disorder, Medication error, Pneumonia
Clinical narrative: Information has been received from a consumer concerning her 77 year old mother with a history of pneumonia, bronchitis and vaccination who on 11/13/03 was vaccinated with a 0.5 mL dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included hydroxyurea. The reporter noted the patient had received a dose of pneumococcal 23v polysaccharide vaccine in  March 2003 and was erroneously re-vaccinated. Subsequently, the patient developed severe pulmonary trauma. Soon after the vaccination, the patient developed high fever and emesis. Medical attention was sought and treatment was required. On 11/21/03, the patient was admitted to the hospital and subsequently admitted to an intensive care unit. While hospitalized, the patient exhibited chills, headache, emesis, fever, tachycardia and pneumonia. The patient was intubated multiple times to remove fluid in her lungs before a tracheotomy was performed to facilitate intubation. Toxicology screening was performed. At the time of the report, the patient had not recovered. The reporter indicated an onset date of 11/17/03. The reporter noted that therapy with pneumococcal 23v polysaccharide vaccine was discontinued. A product quality complaint was not involved. The reporter considered the patient's experience to be disabling and life-threatening. Additional information is not expected.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Tachycardia, Vomiting
Clinical narrative: Information has been received from a consumer concerning her 77 year old mother with a history of pneumonia, bronchitis and vaccination who on 11/13/03 was vaccinated with a 0.5 mL dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included hydroxyurea. The reporter noted the patient had received a dose of pneumococcal 23v polysaccharide vaccine in  March 2003 and was erroneously re-vaccinated. Subsequently, the patient developed severe pulmonary trauma. Soon after the vaccination, the patient developed high fever and emesis. Medical attention was sought and treatment was required. On 11/21/03, the patient was admitted to the hospital and subsequently admitted to an intensive care unit. While hospitalized, the patient exhibited chills, headache, emesis, fever, tachycardia and pneumonia. The patient was intubated multiple times to remove fluid in her lungs before a tracheotomy was performed to facilitate intubation. Toxicology screening was performed. At the time of the report, the patient had not recovered. The reporter indicated an onset date of 11/17/03. The reporter noted that therapy with pneumococcal 23v polysaccharide vaccine was discontinued. A product quality complaint was not involved. The reporter considered the patient's experience to be disabling and life-threatening. Additional information is not expected.
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Sepsis
Clinical narrative: Information has been received from a physician concerning a 17 month old female with no medical history who on 11/06/03 was vaccinated with a dose of varicella virus vaccine live. There was no concomitant medication. The physician indicated that on 12/2/03 the patient came into the office with a rash all over her body and a fever of 14.5. It was noted that the patient did not have any symptoms the day before she came to the office. The patient was immediately sent to the hospital where cultures of the sores were taken (results pending). She was treated with ceftriaxone sodium (ROCEPHIN) on 12/2/03 and on 12/3/03 her fever was gone and the rash had almost completely cleared up. The physician indicated that he does not know yet if the rash was actually chicken pox. At the time of the report, the patient remained hospitalized and was noted to be recovering with sequelae. A product quality complaint was not involved. Additional information has been requested. Follow up on 12/19/03: "Additional information was received from a nurse which indicated that on 12/05/03 the pt was seen in the physician's office and the fever had resolved and the rash was resolving and fading.  The nurse indicated that she thought that the culture results came back as a bacterial infection but she was not sure if they were conclusive.  Additional information has been requested." Follow up information was received from the physician who reported that the patient present with a rapidly spreading chickenpox-looking rash and a fever of 104.9 degrees. Subsequently, the pt was admitted to the hospital for three days to rule out sepsis. All cultures, including chickenpox nasopharyngeal cultures, blood cultures, and cerebrospinal fluid cultures were negative. The patient was treated for potential sepsis with IV ceftriaxone sodium. It ws noted that the patient recovered. The physician also indicated that the pt had no adverse events followng prior vaccination. No further information is expected.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Autism, Coma, Social avoidant behaviour, Speech disorder, Vomiting
Clinical narrative: Within 1/2 hour he began vomiting and unresponsive to his name, commands, etc. He was later diagnosed with autism. He lost all his speech and ability to interact with others. 60 day follow-up 02/17/2004: Patient was diagnosed with autism in June 2003. He has regained only minimal speech and has no conversation type speech.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Rash erythematous
Clinical narrative: Immediate red rash from elbow to shoulder left side which lasted 1 week. Arthralgias have persisted since day of shot (8 hours after shot).
Age: 1.33
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Pallor
Clinical narrative: Red, swollen at thigh. Pallor (temporarily).
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Red rash over entire body starting 11/17/03. Pin size raised red.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Pt has seen family MD. Elidel cream, not working. A few red bumps around injection site still apparent after 1 month. Area is still red. It began as solid red circle and now is only a few red bumps. No other symptoms.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Rash erythematous
Clinical narrative: Swelling in arm. Rash size of silver dollar with erythema.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Ear discomfort, Tinnitus, Vertigo
Clinical narrative: Flu vaccine (Fluzone) was given 12/11/03 AM. In the afternoon, 12/11/03, around 5 PM after 1 hour nap, started feeling dizzy and having vertigo on and off. These symptoms continued and reported on 12/12/03. Ringing in the ear and fullness in the ear is reported.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain
Clinical narrative: Soreness, swelling to right upper and lower arm, axilla and right breast area. No redness. No treatment done. No fever noted.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Breath holding, Syncope
Clinical narrative: Pt fainted, possibly because of mother's hold on the child and because child was holding her breath. Resolved after 5 minutes.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Pyrexia
Clinical narrative: Temperature 105 degrees the night of vaccinations and fever gone within 36 hours.
Age: 23.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Pain, Rash
Clinical narrative: 12/11/03: Tetanus shot given. 12/12/03: Onset rash at site (left arm) along with tenderness. 12/15/03: Pt seen.
Age: 30.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Swelling, redness, rash, pain on upper arm (left). Seen in Urgent Care. Given Prednisone, Benadryl and an antibiotic. Restricted from work for 2 days. Symptoms resolved after 3 days.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Urticaria
Clinical narrative: Very sore arm, welp, red, swollen for 6th day.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Cough, Headache, Heart rate increased, Lymphadenopathy
Clinical narrative: Sore throat, swollen glands (neck), achy bones, teeth hurt, head hurt, fever/chills, eyes sensitive, very weak, headache, effort to move, cough, sneezing, fast pulse 80-100 for 3 days, pale, slept and slept day and night, still need naps. After 12 days, still not feeling normal: some sore throat, coughs, sneezing, nose running.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pallor, Pharyngolaryngeal pain, Photophobia, Pyrexia
Clinical narrative: Sore throat, swollen glands (neck), achy bones, teeth hurt, head hurt, fever/chills, eyes sensitive, very weak, headache, effort to move, cough, sneezing, fast pulse 80-100 for 3 days, pale, slept and slept day and night, still need naps. After 12 days, still not feeling normal: some sore throat, coughs, sneezing, nose running.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinorrhoea, Sneezing, Somnolence
Clinical narrative: Sore throat, swollen glands (neck), achy bones, teeth hurt, head hurt, fever/chills, eyes sensitive, very weak, headache, effort to move, cough, sneezing, fast pulse 80-100 for 3 days, pale, slept and slept day and night, still need naps. After 12 days, still not feeling normal: some sore throat, coughs, sneezing, nose running.
Age: 1.33
Sex: M
Vaccine: FLU3, HEP, PNC
Symptoms: Cough, Croup infectious, Cyanosis, Feeling hot, Muscle twitching
Clinical narrative: 1500 12/5: croupy cough, runny nose, "felt warm". 1900 12/5: given acetaminophen and albuterol neb, vomit x3. 2015 12/5 just fell asleep; 30 seconds uncontrolled twitch; blue at mouth and eyes; sleepy after episode; sporadic twitch 20 minutes.
Age: 1.33
Sex: M
Vaccine: FLU3, HEP, PNC
Symptoms: Rhinorrhoea, Somnolence, Vomiting
Clinical narrative: 1500 12/5: croupy cough, runny nose, "felt warm". 1900 12/5: given acetaminophen and albuterol neb, vomit x3. 2015 12/5 just fell asleep; 30 seconds uncontrolled twitch; blue at mouth and eyes; sleepy after episode; sporadic twitch 20 minutes.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Discomfort, Injection site oedema, Injection site warmth
Clinical narrative: Swelling, hot feeling, discomfort, chills at 2230. Swelling from elbow to injection site. Decreased swelling, no chills, decreased discomfort at site 12/11/03.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash occurred 1st on hands, then left wrist and arm, groin and right leg. Went to private physician, treated with Benadryl. Dr viewed rash.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Left thigh, red, hot, swollen and tender.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Migraine, Nausea, Pain
Clinical narrative: Pt experienced migraine type headaches the day after receiving 4th dose, retroorbital pain, asymmetric, associated with nausea. Also had similar headaches after 3rd does, reported by pt. Treatment continues.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Pharyngolaryngeal pain, Wheezing
Clinical narrative: Pt received shot in left arm. 12/9/03 AM, pt felt symptoms begin: sore throat, chest wheeze, no appetite.
Age: 37.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Discomfort, Feeling hot, Injection site induration, Oedema peripheral
Clinical narrative: Right arm with slight discomfort day after injection. 3 days later it started to swell and has been progressively getting more swollen. On day seen 12/9/03 5cm of induration/warmth. Zyrtec 10mg po qd. NSAID, Keflex 500 po tid for 10 days, pt to phone follow-up.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Nasal congestion, Pallor, Rhinorrhoea, Wheezing
Clinical narrative: Pt states she woke up 11/05/2003 at 6AM feeling weak, congested, wheezing and pale.  Denies asthma.  Says she felt like she had the 24 hour flu.  Took Nyquil at 21:00 11/05/03 then went to bed.  Awoke on Thurs 11/06 feeling better. Complained of congestion and runny nose.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Neck pain
Clinical narrative: Pt reported to health unit with left arm pain; onset after receiving influenza vaccine a few hours earlier.  Pt given Motrin 800mg per mouth three times per day.  Two hours later, she presented again with arm pain worsening, and onset of left side neck pain.  Treatment: Decadion injection and oral Prednisone for 2 days.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site warmth, Tenderness
Clinical narrative: Developed cellulitis around injection site.  Had erythema, tenderness, warmth.  Resolved with course of antibiotics (oral), over 3 days.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Feeling abnormal
Clinical narrative: Approximately 10 minutes after injection in right deltoid, patient came back from waiting room saying head feels fuzzy, also feels like the right side of throat, pt given O2 at 14:00.  Rescue called, no transport needed.
Age: 24.0
Sex: M
Vaccine: ANTH, FLU3, HEP, HEPA
Symptoms: Nausea, Vomiting
Clinical narrative: ER visit with vomiting and nausea.
Sex: M
Vaccine: FLUX, PPV, TTOX
Symptoms: Malaise, Pain, Pneumonia
Clinical narrative: Next day after flu, pneumonia and tetanus shots I began getting sick and my arm was sore for a week, I went to MD and she said I had pneumonia.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injection site pain, Skin burning sensation
Clinical narrative: There was moderate bleeding at the injection site (right deltoid muscle) when the vaccine was administered.  Approximately two hours after the injection severe burning pain was noted radiating down the right arm, up the right side of the neck and down the right side of the back.  This severe pain lasted approximately 48 hours then gradually decreased over about 4 weeks.  Weakness in the right arm was noted when performing certain activities or when the arm was held in certain positions.  Severe discomfort of the right arm was noted when lying on the right side; so uncomfortable as to be unable to sleep lying on the right side.  There was soreness at the injection site but no redness or bruising was noted.  No fever developed and no other unusual symptoms were noted.  The pain was treated w/Ibuprofen 400-600mg per mouth Q&H for approximately 48 hours and then two times pm.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Feeling hot, Nasal congestion
Clinical narrative: Day after vaccination, at around 10:00, complained of feeling hot with body aches itching, wheezing, chest tightness/congestion/coughing. By that evening had 104 F fever, chills not relieved with Tylenol and for ibuprofen until the next day.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Pyrexia, Wheezing
Clinical narrative: Day after vaccination, at around 10:00, complained of feeling hot with body aches itching, wheezing, chest tightness/congestion/coughing. By that evening had 104 F fever, chills not relieved with Tylenol and for ibuprofen until the next day.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Pharyngitis, Throat tightness
Clinical narrative: Pt visited ED for "tightening in throat".  Treated with antibiotics for pharyngitis.  Soldier doing well. Given amoxicillin.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Erythema, Fatigue, Lymphadenopathy
Clinical narrative: He is a primary vaccinee who received his smallpox vaccination 02/21/2003.  On 08/29 while he was on leave, he noticed "2 small, pimples" just above the smallpox vaccination on his left upper arm.  He also states that periodically he has "some itching at lesion".  The day before August 28th.  He recalled having some "soreness of his neck and of his left elbow that traveled down into the knuckles of his hand", a low-grade fever and some mild nausea.  He denies any edema or erythema, lymphadenopathy, shortness of breath, chest pains or fatigue.  He was seen at a health care center and referred for an evaluation.  When evaluated on 08/30.  He had developed "hives on both sides of my face".  He denied any known contact to irritants, new foods or insects.  Labs were drawn for CBC, CMP, sed rate, LFT's, Immune Complex, Ultra sensitive CRP and Raji cells.  The lesions were scraped and cultured for VZV, HSV-land HSV-2.  Except for a slightly elevated immune complex-4.3 (0.0-4.0) his labs and cultures were negative.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pain, Pruritus, Pyrexia, Skin ulcer
Clinical narrative: He is a primary vaccinee who received his smallpox vaccination 02/21/2003.  On 08/29 while he was on leave, he noticed "2 small, pimples" just above the smallpox vaccination on his left upper arm.  He also states that periodically he has "some itching at lesion".  The day before August 28th.  He recalled having some "soreness of his neck and of his left elbow that traveled down into the knuckles of his hand", a low-grade fever and some mild nausea.  He denies any edema or erythema, lymphadenopathy, shortness of breath, chest pains or fatigue.  He was seen at a health care center and referred for an evaluation.  When evaluated on 08/30.  He had developed "hives on both sides of my face".  He denied any known contact to irritants, new foods or insects.  Labs were drawn for CBC, CMP, sed rate, LFT's, Immune Complex, Ultra sensitive CRP and Raji cells.  The lesions were scraped and cultured for VZV, HSV-land HSV-2.  Except for a slightly elevated immune complex-4.3 (0.0-4.0) his labs and cultures were negative.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: He is a primary vaccinee who received his smallpox vaccination 02/21/2003.  On 08/29 while he was on leave, he noticed "2 small, pimples" just above the smallpox vaccination on his left upper arm.  He also states that periodically he has "some itching at lesion".  The day before August 28th.  He recalled having some "soreness of his neck and of his left elbow that traveled down into the knuckles of his hand", a low-grade fever and some mild nausea.  He denies any edema or erythema, lymphadenopathy, shortness of breath, chest pains or fatigue.  He was seen at a health care center and referred for an evaluation.  When evaluated on 08/30.  He had developed "hives on both sides of my face".  He denied any known contact to irritants, new foods or insects.  Labs were drawn for CBC, CMP, sed rate, LFT's, Immune Complex, Ultra sensitive CRP and Raji cells.  The lesions were scraped and cultured for VZV, HSV-land HSV-2.  Except for a slightly elevated immune complex-4.3 (0.0-4.0) his labs and cultures were negative.
Age: 1.1
Sex: F
Vaccine: MMR, PNC
Symptoms: Pruritus, Urticaria
Clinical narrative: 11/19/2003: 13 month old status post allergic reaction to immunization associated symptoms hives and pruritis.  Hydro-steroid cream (+) all evaluating factor.  No known allergies.  Tx: Clartin 1mg/1mg every day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Cough, Dyspnoea, Urticaria, Wheezing
Clinical narrative: About 4 hours after the shot I saw difficulty breathing, wheezing, coughing and hives (about 2 on face, neck and chest).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: On 11/21/2003, child had swelling and redness with three blisters around injection site of right arm. Seen by MD at Clinic, given antibiotic and creme.  Treated by MD on 11/22/03, given 500mg Rocephin IM. Diagnosis with Cellulitis.  Seen 11/23/2003, swelling and redness improved given 500mg Rocephin.  11/25/03: Improved.  To see again on 11/26/2003.  Still under tx.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: 10x20cm red/firm/swollen area and heat at site of DTAP.
Age: 1.4
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Accidental overdose
Clinical narrative: Fluzone given 0.5mL, age appropriate dose 0.25mL.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Child seen 12/08/2003 and diagnosed with varicella.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Broke out with varicella lesions 12/06/2003.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Unconsolable crying since Daptacel vaccine on 12/02/2003 to date of office visit 12/04/2003.
Age: 10.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Injection site erythema, Swelling
Clinical narrative: Hep B (EngerixB) given to SC area with needle for injection system.  Student did not report to me until one year later. Red, scar tissure 1.2 cm h x 1.4 cm w in a circular design.
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Skin ulcer
Clinical narrative: 12/04/2003: 8 lesions or more.
Age: 9.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Listless, Myalgia, Pyrexia
Clinical narrative: Had vaccine at 4PM 12/12/2003; by morning of 12/13/03 had chills, fever about 102 degrees, complained of muscle and/or joint soreness, and was listless.  Fever varied between 101 and 103 until pre-dawn 12/15/2003. Midnight dose of ibuprofen on 12/14/2003; and midnight dose of aceteminophen on 12/15/2003.
Age: 18.0
Sex: M
Vaccine: MMR, TD, YF
Symptoms: Eye pain, Hypoaesthesia, Myasthenic syndrome, Myelitis, Optic neuritis
Clinical narrative: 8/22/02: complained of burred vision for 1 week with both eyes hurting. Saw opthalmologist 8/22/02; symptoms worsened: diagnosed with retrobulbar neuritis. 8/25/02 Admitted to hospital and diagnosed with Devic's Syndrome. Inter optic neuritis and myelitis. Responded dramatically to IV steroid treatment. Remained on such for time after outpatient. Follow up to neurologist/rehab medicine. Patient to regain full mobility and balance. Symptoms: bilateral vision deterioration, inability to void, decreased sensation bilateral left extremities and weakness. Right numbness/tingling.  Followup: He was treated with IV Solu-Medrol and had partial improvement. He is now back to his baseline with no residula symptoms. He has been placed on azathioprine 50 mg, three per day and prednisone 10 mg per day. He has no current complaints. He is till in training with the Coast Gauard and receives his follow up blood tests from them. Cranial nerves normal. Motor 5/5 thoughout. Cordination:normal. Reflexes symmetric. He is doing quite well. I recommend tapering the steroids. I have written a taper for him ovr the next six months from his current dose of 10 mg per day. I recommend CBCs and liver funciton tests every three months while on the azathioprine. the question of a smallpox vaccine has arisen b/c of his affiliation with the Coast Guard. I recommend against using the smallpox vaccine because of his immune suppression on the azathioprine and steroids. He will see me in follow up in six months.
Age: 18.0
Sex: M
Vaccine: MMR, TD, YF
Symptoms: Optic neuritis retrobulbar, Paraesthesia, Vision blurred
Clinical narrative: 8/22/02: complained of burred vision for 1 week with both eyes hurting. Saw opthalmologist 8/22/02; symptoms worsened: diagnosed with retrobulbar neuritis. 8/25/02 Admitted to hospital and diagnosed with Devic's Syndrome. Inter optic neuritis and myelitis. Responded dramatically to IV steroid treatment. Remained on such for time after outpatient. Follow up to neurologist/rehab medicine. Patient to regain full mobility and balance. Symptoms: bilateral vision deterioration, inability to void, decreased sensation bilateral left extremities and weakness. Right numbness/tingling.  Followup: He was treated with IV Solu-Medrol and had partial improvement. He is now back to his baseline with no residula symptoms. He has been placed on azathioprine 50 mg, three per day and prednisone 10 mg per day. He has no current complaints. He is till in training with the Coast Gauard and receives his follow up blood tests from them. Cranial nerves normal. Motor 5/5 thoughout. Cordination:normal. Reflexes symmetric. He is doing quite well. I recommend tapering the steroids. I have written a taper for him ovr the next six months from his current dose of 10 mg per day. I recommend CBCs and liver funciton tests every three months while on the azathioprine. the question of a smallpox vaccine has arisen b/c of his affiliation with the Coast Guard. I recommend against using the smallpox vaccine because of his immune suppression on the azathioprine and steroids. He will see me in follow up in six months.
Age: 8.0
Sex: M
Vaccine: FLUX
Symptoms: Dehydration, Eyelid oedema, Feeling hot, Pharyngeal oedema, Pyrexia
Clinical narrative: After the first shot on Nov. 13th., he said he saw black and white spots, felt hot and dehydrated.  After the second shot at 9:00 a.m. Dec. 15th, he reported having a swollen throat.  He woke up the next morning at 6:00 with hives(itchy splotches that caused his eyelids to swell) all over his body and had a fever of 100.2.
Age: 8.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria, Visual disturbance
Clinical narrative: After the first shot on Nov. 13th., he said he saw black and white spots, felt hot and dehydrated.  After the second shot at 9:00 a.m. Dec. 15th, he reported having a swollen throat.  He woke up the next morning at 6:00 with hives(itchy splotches that caused his eyelids to swell) all over his body and had a fever of 100.2.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site pain
Clinical narrative: Pt. returned to clinic on 12/12/03. Left Deltoid where pt. received flu vaccine was a 2 1/2 in.reddened area.  Pt. reports only slight soreness at needle site.  No edema or pain.  Robust reaction to vaccine.  No treatment necessary.  Told to return to clinic with any S/S of infection or seek medical attention at ED or PMD.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pruritus, Rash
Clinical narrative: Patient woke 10:30 pm 12/7/03 with itching between fingers, on wrists and arms.  Today 12/12 is also itching and rash between thighs.  Denies any problems  with breathing or swallowing.  Denies any egg allergy, drug allergy, or environmental allergy
Age: 19.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Develop hives on 12/14/2003 was seen in the clinic on 12/15/2003.  Exam showed urticaria on face, arms, chest, back and legs. Lungs were clear no sign of any respiratory component.  Family history positive for food allergy (mom had food allergies.  The patient had never had any reaction to foods.  No new foods in the last 48hrs befor her urticaria started. Patient started on prednisone 40mg PO BID for 5 days.  Has recovered.
Age: 4.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site mass, Injection site pain
Clinical narrative: SORENESS IN LEFT ARM.  HAS BUMP THE SIZE OF A PEA.  DIFFICULTY PICKING UP CAT.  DIFFICULTY SLEEPING ON LEFT SIDE STILL
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: A cluster of hives (small red bumps) developed on the palm and wrist of the left hand within 2 days of the flu vaccination. The vaccination was administered on December 8, 2003. As of today, December 16, 2003, the cluster of hives is almost gone.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Blood urine, Dermatitis, Haematuria, Pruritus
Clinical narrative: Vascular Dermititis on leg and blood in urine. Nurse follow up on 05/18/04: Itching.
Age: 14.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Fatigue, Nasal congestion, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Inhaled vaccine 12/12/2003 at 5:30pm. Patient threw up 4 hours later.  12/13 - cough and sore throat. 12/14 - runny nose and chest congestion. 12/15 - congestion and green phlegm coughed up 12/16- same as 12/15.  Out of school 12/14 and 12/15. He is tired.
Age: 14.0
Sex: M
Vaccine: FLUN3
Symptoms: Vomiting
Clinical narrative: Inhaled vaccine 12/12/2003 at 5:30pm. Patient threw up 4 hours later.  12/13 - cough and sore throat. 12/14 - runny nose and chest congestion. 12/15 - congestion and green phlegm coughed up 12/16- same as 12/15.  Out of school 12/14 and 12/15. He is tired.
Age: 29.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abasia, Arthralgia, Gait disturbance, Headache, Loss of consciousness
Clinical narrative: Pt received Anthrax vaccine in clinic. Returned to unit on base and lost concsiousness, hitting his head on the floor. He was taken to the hospital, CT Scan was negative and sent home.  However, by the time he got home his vision was blurred and he was unable to walk. Pt returned to hospital. Consequent CT & MRI scans reveiled soft tissue damage to L parietal areas of the brain. He also has been DX by a neurologist with Guillian Barrie syndrome.  He still has balance problems, leg weakness but can ambulate with assistance and memory lapses. He is still following up with his neurologist.
Age: 29.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Muscular weakness, Myalgia, Nausea, Pain
Clinical narrative: Pt received Anthrax vaccine in clinic. Returned to unit on base and lost concsiousness, hitting his head on the floor. He was taken to the hospital, CT Scan was negative and sent home.  However, by the time he got home his vision was blurred and he was unable to walk. Pt returned to hospital. Consequent CT & MRI scans reveiled soft tissue damage to L parietal areas of the brain. He also has been DX by a neurologist with Guillian Barrie syndrome.  He still has balance problems, leg weakness but can ambulate with assistance and memory lapses. He is still following up with his neurologist.
Age: 29.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Coordination abnormal, Difficulty in walking, Guillain-Barre syndrome, Loss of consciousness
Clinical narrative: Pt received Anthrax vaccine in clinic. Returned to unit on base and lost concsiousness, hitting his head on the floor. He was taken to the hospital, CT Scan was negative and sent home.  However, by the time he got home his vision was blurred and he was unable to walk. Pt returned to hospital. Consequent CT & MRI scans reveiled soft tissue damage to L parietal areas of the brain. He also has been DX by a neurologist with Guillian Barrie syndrome.  He still has balance problems, leg weakness but can ambulate with assistance and memory lapses. He is still following up with his neurologist.
Age: 29.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abasia, Guillain-Barre syndrome, Loss of consciousness, Nervous system disorder, Vision blurred
Clinical narrative: Pt received Anthrax vaccine in clinic. Returned to unit on base and lost concsiousness, hitting his head on the floor. He was taken to the hospital, CT Scan was negative and sent home.  However, by the time he got home his vision was blurred and he was unable to walk. Pt returned to hospital. Consequent CT & MRI scans reveiled soft tissue damage to L parietal areas of the brain. He also has been DX by a neurologist with Guillian Barrie syndrome.  He still has balance problems, leg weakness but can ambulate with assistance and memory lapses. He is still following up with his neurologist.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Depressed level of consciousness, Dyspnoea, Erythema, Hypoxia
Clinical narrative: Patient admitted to hospital on 11/8/03 (8:39 PM). Patient presented with fever (105), generalized erythema, chills, SOB, semi-conscious state. Patient also hypoxic and had ischemia on fingers. Patient was intubated.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral vascular disorder, Pyrexia, Sepsis
Clinical narrative: Patient admitted to hospital on 11/8/03 (8:39 PM). Patient presented with fever (105), generalized erythema, chills, SOB, semi-conscious state. Patient also hypoxic and had ischemia on fingers. Patient was intubated.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Alopecia, Arthralgia, Diarrhoea, Fatigue, Headache
Clinical narrative: (See attached summary:) Hair loss, fatigue, muscle and joint pains, headaches, fever and intermittent diarrhea after receiving anthrax injections. Left arm: redness, blister and soreness at site that lasted 3-4 days. Took no medication. Felt tired, "all vaccines make me feel tired after taking them". Started having hair loss at the top of her head at 2 weeks after shot. Later had smallpox vax on 02/08/2003 and Anthrax #2 on 02/18/2003, with aggravation of above symptoms plus additional problems.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles, Myalgia, Pyrexia
Clinical narrative: (See attached summary:) Hair loss, fatigue, muscle and joint pains, headaches, fever and intermittent diarrhea after receiving anthrax injections. Left arm: redness, blister and soreness at site that lasted 3-4 days. Took no medication. Felt tired, "all vaccines make me feel tired after taking them". Started having hair loss at the top of her head at 2 weeks after shot. Later had smallpox vax on 02/08/2003 and Anthrax #2 on 02/18/2003, with aggravation of above symptoms plus additional problems.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Injection site induration, Musculoskeletal stiffness, Pain
Clinical narrative: 5 hours after injection pt experienced soreness at injection site, increased soreness/stiffness in right upper arm with extension of arm. Denies fever, redness, states no relief from discomfort from pain. Small area of induration. Discomfort persisted for 72 hours. Pt called private MD who stated this was NOT allergic reaction; MD stated was common side effect.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Pt reports achy on Sat evening (body) 11/1/03. On 11/2 stiff neck (L) and back, left upper shoulder and arm, elbow pain, persisted 11/2-11/5, took Aleve and hot packs. Good movement, ROM better today. If not improved next week to contact MD.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: (That AM) pt reports had slight stiff neck before vaccine. After vaccine site hurt. Pain from shoulder blade area (L) to upper arm to elbow. No loss of motion. Ibuprofen helps somewhat. If not improved will see PMD next week.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt reports painful left upper arm after receiving vaccine. Next day took Aleve. Pain from upper arm to elbow, hurts when moves hand in circle. Much improved today. If not improved will contact MD next week.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Pt received Influenza vaccine for the first time. About five minutes later, the pt c/o dizziness and feeling lightheaded. He remained seated while I checked his vital signs and offered him a cool towel and a glass of water. The supervisor was notified and another staff person and I assisted the pt to an exam table in the room next door. The pt drank more water and juice and rested in a semi-recumbent position with his legs elevated until he said he felt better and his color returned. The pt was escorted from the office about 30 minutes later, with his mother and siblings.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Pt c/o fever, chills, aching 102 degrees temp. starting Saturday 11/1/03. Received immunizations 10/31/03.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site oedema, Nervousness, Pain, Tremor
Clinical narrative: 2 days after flu vaccine painful swollen area at site of injection right arm. Resolved after 4 days. At midnight 10/31/03 experienced severe shaking (unable to pour water without spilling) as if cold yet tops of arms and legs warm. Shaking resolved only after 3 hours and returning to bed with extra blankets. Awoke with severe headache, nerves sensitive, no energy and still feels this way at 9:45 AM at time of call.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Pyrexia
Clinical narrative: Chilling day of vaccination, took Tylenol and did sponge bath. T about 103-104.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Difficulty in walking, Hypoaesthesia, Paraesthesia, Viral infection
Clinical narrative: Tingling and numbness in her legs, difficulty walking. Saw doctor on 11/19 AM who dx'd a "virus in her spine". Drew blood. Started in one foot then leg, then the other leg, then from waist down off and on.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: A few days after I received the vaccine I noticed a rash on my left arm that soon became itchy. A few days later the rash was on my stomach and itchy and again a few days later on my left leg. I was overseas at the time and when I arrived home about 2 1/2 weeks after the shot, my doctor prescribed prednisone. Cleared up.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives immediately after receiving vaccine.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt had immediate tingling and numbness down the arm and in the hand of the vaccinated arm (left side). Symptoms resolved within 3 hours. The follow up received on 12/23/03 states pt had tingling down the vaccinated rm starting w/in 10 minutes post vaccination lasting approx 2-3 hrs and resolved on its own.
Age: 0.67
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Irritability, Pyrexia, Rash, Urticaria
Clinical narrative: 30-45 minutes after flu vaccine administered broke out with rash/hives. Mother contacted husband who returned to home. Child with HR 148, irritable, T 97.2. Benadryl 0.14cc (50mg/cc) given IM RT. Symptoms resolved within 1 hour. MD at ER informed of reaction and treatment.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting, clear liquid, no fever, chills or diarrhea. Was in ER twice and then encouraged to go to another hospital where he was in ER.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Complaints of itching/tightness shortly after receiving vaccination. There was diffuse, broad edema and mild erythema around injection site over left upper arm. Given Zyrtec 10mg, ice.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Influenza like illness, Oedema
Clinical narrative: Breathing difficult, fluid in lungs, flu like symptoms, edema - body. Symptoms 1 week flat of back.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Hypotension, Loss of consciousness, Syncope vasovagal, Urticaria
Clinical narrative: Vagal, hypotensive, LOC for 5 minutes. Hives.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: C/o sore left deltoid muscle since getting the flu vaccine. Denies any redness or swelling at the site.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Rash, Urticaria
Clinical narrative: After returning home from our office (received 4mg shots) hives and rash appeared on both lower extremities, inconsolable, non-stop crying for 2 hours.
Age: 1.5
Sex: F
Vaccine: FLU3, HIBV, VARCEL
Symptoms: Chills, Convulsion, Gait disturbance, Pyrexia, Rhinorrhoea
Clinical narrative: 12/9/03 1050: Temp 103.5 ax. 12/9/03 1700: Temp 104.2 ax. 12/10/03: Temp 101.6 ear. Seen in ER with rigors and febrile seizure. Given Tylenol/Ibuprofen prn. Medical records state dragging leg and rhinorrhea.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Oral pain, Pain
Clinical narrative: Left arm is numb from shoulder to palm and there is an aching in the arm. Has full motor ability. 12/11/03 called, arm better a little, sore but no numbness left.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Redness, swelling, tenderness at site of injection, warm to touch for 1 day.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling to right arm 24 hours after immunizations.
Age: 1.33
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Urticaria
Clinical narrative: Urticaria 5-10 minutes after administration of DTaP and flu vaccine. Benadryl given - hives resolved in 30 minutes.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Swelling and redness at injection site with itching of skin on trunk and other extremities.  Zyrtec for itching.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Mild swelling, soreness at injection site.  Probably normal reaction.  No tx needed.
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swelling, redness, warmth around injection site a few hours after vaccination given.  Given antibiotics for cellulitis, condition improving.
Age: 62.0
Sex: F
Vaccine: FLU3, TTOX
Symptoms: Arthralgia, Back pain, Chills, Cough, Dyspnoea
Clinical narrative: Started 11/05: Sore throat, itching, lots of phlegm, coughing, lower back pain, joint pains, shortness of breath.  Jaws, eyes, headache, very miserable.  Felt like very irritable just plain sick!  Arms sore, hot and cold chills 11/06/2003, ER visit to MD 11/07/2003 & 11/11/2003.  Recovered: 12/03/2003.
Age: 62.0
Sex: F
Vaccine: FLU3, TTOX
Symptoms: Headache, Irritability, Mucosal inflammation, Pharyngolaryngeal pain, Pruritus
Clinical narrative: Started 11/05: Sore throat, itching, lots of phlegm, coughing, lower back pain, joint pains, shortness of breath.  Jaws, eyes, headache, very miserable.  Felt like very irritable just plain sick!  Arms sore, hot and cold chills 11/06/2003, ER visit to MD 11/07/2003 & 11/11/2003.  Recovered: 12/03/2003.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Marked left thigh swelling, induration, erythema (thigh circumference 35cm on left, 31 cm on right).  Treatment: Benadryl and Motrin.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Eye movement disorder, Lethargy, Musculoskeletal stiffness
Clinical narrative: Seizure, eye rolling, tonic stiffing, vacant x3 second after 2 days, MD postictal lethargy.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 12/08/03: around 3-4pm, pt complained of chills, fever of 103 F.  She states her arm were shot was given is "red, swollen and sore."  Pt took Benadryl 12/10/03 and Tylenol 12/08 and 12/09.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, TD
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pt received 5 immunizations as required for school. Five minutes after administration, the pt became pale and diaphoretic and said he felt slightly dizzy.  Pt was assisted from his chair to an exam table in an adjacent room, placed in serm recombent position with legs elevated.  His vital signs were monitored and he drank 6oz juice and 6oz H2O.  Pt was monitored for 30 minutes.  Until his color returned, and no diaphoresis and no complaints of dizziness.  Pt was escorted from exam room to the lobby w/his guardian.  Supervisor was notified when event occurred.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mild swelling left thigh with 2/2.5cm erythema.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pruritus
Clinical narrative: 13cm wide x 10 cm wide.  Reddened area on left upper arm with itchy.  Ice applied.  Advised to call pepifant improved.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Abdominal pain upper, Laboratory test abnormal, Nausea
Clinical narrative: Nausea, abdominal cramping, epigastric tenderness.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Hyperhidrosis, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Dizziness and diaphoresis about 2 hours after vaccine administration.  Local induration, warmth, and pain about 5cm in diameter.
Age: 1.0
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash, fever: Benadryl
Age: 1.2
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Erythema multiforme, Rash
Clinical narrative: Erythema multiforme rash on trunk, began 11/24/2003.  Prescribed Benadryl 1.2-1 tsp every 4 hours as needed.
Age: 0.4
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Screamed x 4 hours.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: Excessive crying (unconsolable) for greater than 3 hours.  Within 12 hours of the vaccine.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Pain
Clinical narrative: Left axillary pain and left sided arm and knee/ankle ache for 3 days, 10 days after immunization.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Mom states parent developed very uncharacteristic high pitched "animal cry" for several hours after immunization.  Was unconsolable.
Age: 1.6
Sex: F
Vaccine: MMR
Symptoms: Crying, Lymphadenopathy, Pain, Pyrexia, Rash
Clinical narrative: 09/02/2003: Crying a lot; 09/05/2003: high fever, rash, swollen glands in back of neck, crying continuous 48 hours screaming as in pain.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling left ant.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HBPV, PNC
Symptoms: Injection site induration, Oedema
Clinical narrative: Induration in the left thigh which on 08/27/2003 was noticed to have pus pointing.  (3-4 weeks after vaccination).  Induration in the right thigh resolved on it's own.  No history of fever, no history of decreased movement of extremities. On 10/07/03 Pediatrix and Prev now adminstered on right thigh under septic sterile condition. Reportedly thigh got swollen/inflammed in few days wend to cardioligist followed him and admitted and monitors. Sonogram was done has had ? problem no pus/infection but positive inflammation. Patient had similar reaction on 7/11/03 on left thigh. Hib & Prevnar was administered- reported previously to VAERS.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Discrete vesicular lesions. The follow up received on 12/31/03 states not given by our office not received info from previous office.