chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Injection site warmth, Irritability, Muscle twitching, Opisthotonus, Pyrexia
Clinical narrative: A mother reported that her son received his 1st dose of DTAP, Hib and IPV and his 2nd dose of Hep-B vaccines in early 7/98. He reportedly developed injection site reactions characterized by hard lumps, redness and warmth. He later experienced a "high" fever. His mother notified the physician. The pt became irritable and inconsolable. He experienced high-pitched screaming for several hours and arching of his back. He became chronically constipated, needing help to pass hard, clay-like lumps which often made him bleed. Shortly following his immunizations, he experienced a series of "vague seizure activity". His entire body would twitch and he would seem unresponsive. The physician was notified. He experienced a few more episodes and recovered. Convulsions are considered "Medically Important".
Age: 0.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Rectal haemorrhage, Screaming
Clinical narrative: A mother reported that her son received his 1st dose of DTAP, Hib and IPV and his 2nd dose of Hep-B vaccines in early 7/98. He reportedly developed injection site reactions characterized by hard lumps, redness and warmth. He later experienced a "high" fever. His mother notified the physician. The pt became irritable and inconsolable. He experienced high-pitched screaming for several hours and arching of his back. He became chronically constipated, needing help to pass hard, clay-like lumps which often made him bleed. Shortly following his immunizations, he experienced a series of "vague seizure activity". His entire body would twitch and he would seem unresponsive. The physician was notified. He experienced a few more episodes and recovered. Convulsions are considered "Medically Important".
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema multiforme
Clinical narrative: A mother reported that her 6 month old son received his 3rd dose of Hib-Titer on 9/6/01. On 9/11/01, he developed a rash on his left thigh which spread to his right thigh. By 9/13/01, the rash had spread to his "belly", back and face. He was seen by the physician and a dx of erythema multiforme was made. According to the pt's mother, the physician indicated that this event "was most likely due to the Hib-Titer but could also be due to a virus". Additional information received from the physician on 10/10/01, indicated that the pt received his 3rd dose of Hib-Titer, Prevnar and Infanrix on 9/6/01 and he recovered.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Injection site mass
Clinical narrative: A nurse reported that a 4 month old female received doses of Acel-Imune amd Comvax (Merck) on 25-OCT-2000. the infant received Acel-Imune in the right thigh and Comvax in the left thigh. On 3-JAN-2001, at 5 months of age, the infant received Acel0Imune in her left thigh and Comvax (Merck) in her right thigh. In April, 2001, the infant developed a hard lump or cyst under the skin at the injection site on her left thigh with pustular drainage. In May 2001, the infant developed another lump at the injection site on her right thigh The reporter stated that the infant did not experience injection site reactions post vaccinations with either Acel-Imune or Comvax vaccines. Additional information received from the reporter on 25-JUN-2001 provided the lot numbers for Comvax, concomitant medications, birth weight and number of siblings
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3, PPV, IPV, PPV
Symptoms: Ear disorder, Eye oedema, Infection, Pruritus, Skin exfoliation
Clinical narrative: Generalized hives, chills, severe itching, ear drainage with resultant ear infection, headache and tiredness, post vax. Continued rash to body. Treated with prednisone, antihistamines and ointment. Treatment continues. Antibiotics for ear infection.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3, PPV, IPV, PPV
Symptoms: Urticaria
Clinical narrative: Generalized hives, chills, severe itching, ear drainage with resultant ear infection, headache and tiredness, post vax. Continued rash to body. Treated with prednisone, antihistamines and ointment. Treatment continues. Antibiotics for ear infection.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3, PPV, IPV, PPV
Symptoms: Dermatitis, Eye discharge, Face oedema, Urticaria
Clinical narrative: Generalized hives, chills, severe itching, ear drainage with resultant ear infection, headache and tiredness, post vax. Continued rash to body. Treated with prednisone, antihistamines and ointment. Treatment continues. Antibiotics for ear infection.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3, PPV, IPV, PPV
Symptoms: Chills, Fatigue, Headache, Otitis media, Pruritus
Clinical narrative: Generalized hives, chills, severe itching, ear drainage with resultant ear infection, headache and tiredness, post vax. Continued rash to body. Treated with prednisone, antihistamines and ointment. Treatment continues. Antibiotics for ear infection.
Age: 1.75
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Erythema induratum, Rash, Urticaria
Clinical narrative: erythematous, indurated irregular rash on thighs looks like hives.
Age: 1.75
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Rash
Clinical narrative: erythematous, indurated irregular rash on thighs looks like hives.
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Balance disorder, Myalgia
Clinical narrative: At 10:00, the pt received the flu shot. After sitting 5 to 10 minutes, I stood up and felt "unsurefooted" and "odd" until going to bed at 23:00. Two hours later, incredible pain woke me up, beginning with shoulders, especially down the upper arms, some in lower arms, a lot in the wrists and hands. This continued nightly. Kept it under control with Darvacet and sleep aid. On 11/13/01, a routine appt with PCP, told of shoulder pain and did strength and flexibility tests (both okay) and suggested the possibly of fibromyalgia or polymyalgia. Order blood tests. On 11/17/01, left for a 2 week trip, feeling I had aged 10 years with additional hip pain and difficulty getting out of seat. On 12/4 through 12/18/01, went for acupuncture and was told it was not "frozen shoulders" as it had been in 1996; nor was it tendonitis. On 12/28/01, appt with PCP who repeated strength and flexibility tests (okay). Was prescribed Metrol Dose, which knocked out all pain after the 1st day. Continued pain free until the day after the last tablet. Shoulder pain increased to painful day-time pain, with additional hip pain. On 1/23/02, MD seemed convinced that I had polymyalgia because the SMR was elevated, but few other usual symptoms. Another Metrol Dose prescribed, which again worked perfectly until the day after the last dosage. Also ordered more blood work (nml) and X-rays (mild arthritis in hips and shoulders). The pain seemed to increase daily through the body. Had to sit on 3 pillows, getting up often. Difficult to get up from a low seat. On 2/4/02, was started on 10mg, then 20mg of Prednisone. Pain seemed to increase daily. On 2/7/02, noticed unusual leg discomfort when waking. Pain increased on 2/8/02. Both legs felt odd on 2/9/02. On 2/10/02, it was hard to get out of bed, even with a Darvacet. On 2/12/02, couldn't get out of bed. Took a Darvacet and took 2 hours to get moving. On 2/13/02, leg pain mostly gone. Saw MD of Rheumatology and he ruled out the same things as my other MD and dropped me to 5mg Prednisone and ordered a bone scan (nml). On 2/23/02, shoulder pain still at night (under control with meds), still exists during the day, sometimes in just upper arms, some times in shoulder joints. Hip pain still more painful than the "usual". Leg pain is gone.
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Arthralgia, Dizziness, Hypokinesia, Laboratory test abnormal, Myalgia
Clinical narrative: At 10:00, the pt received the flu shot. After sitting 5 to 10 minutes, I stood up and felt "unsurefooted" and "odd" until going to bed at 23:00. Two hours later, incredible pain woke me up, beginning with shoulders, especially down the upper arms, some in lower arms, a lot in the wrists and hands. This continued nightly. Kept it under control with Darvacet and sleep aid. On 11/13/01, a routine appt with PCP, told of shoulder pain and did strength and flexibility tests (both okay) and suggested the possibly of fibromyalgia or polymyalgia. Order blood tests. On 11/17/01, left for a 2 week trip, feeling I had aged 10 years with additional hip pain and difficulty getting out of seat. On 12/4 through 12/18/01, went for acupuncture and was told it was not "frozen shoulders" as it had been in 1996; nor was it tendonitis. On 12/28/01, appt with PCP who repeated strength and flexibility tests (okay). Was prescribed Metrol Dose, which knocked out all pain after the 1st day. Continued pain free until the day after the last tablet. Shoulder pain increased to painful day-time pain, with additional hip pain. On 1/23/02, MD seemed convinced that I had polymyalgia because the SMR was elevated, but few other usual symptoms. Another Metrol Dose prescribed, which again worked perfectly until the day after the last dosage. Also ordered more blood work (nml) and X-rays (mild arthritis in hips and shoulders). The pain seemed to increase daily through the body. Had to sit on 3 pillows, getting up often. Difficult to get up from a low seat. On 2/4/02, was started on 10mg, then 20mg of Prednisone. Pain seemed to increase daily. On 2/7/02, noticed unusual leg discomfort when waking. Pain increased on 2/8/02. Both legs felt odd on 2/9/02. On 2/10/02, it was hard to get out of bed, even with a Darvacet. On 2/12/02, couldn't get out of bed. Took a Darvacet and took 2 hours to get moving. On 2/13/02, leg pain mostly gone. Saw MD of Rheumatology and he ruled out the same things as my other MD and dropped me to 5mg Prednisone and ordered a bone scan (nml). On 2/23/02, shoulder pain still at night (under control with meds), still exists during the day, sometimes in just upper arms, some times in shoulder joints. Hip pain still more painful than the "usual". Leg pain is gone.
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Pain, Polyarthritis
Clinical narrative: At 10:00, the pt received the flu shot. After sitting 5 to 10 minutes, I stood up and felt "unsurefooted" and "odd" until going to bed at 23:00. Two hours later, incredible pain woke me up, beginning with shoulders, especially down the upper arms, some in lower arms, a lot in the wrists and hands. This continued nightly. Kept it under control with Darvacet and sleep aid. On 11/13/01, a routine appt with PCP, told of shoulder pain and did strength and flexibility tests (both okay) and suggested the possibly of fibromyalgia or polymyalgia. Order blood tests. On 11/17/01, left for a 2 week trip, feeling I had aged 10 years with additional hip pain and difficulty getting out of seat. On 12/4 through 12/18/01, went for acupuncture and was told it was not "frozen shoulders" as it had been in 1996; nor was it tendonitis. On 12/28/01, appt with PCP who repeated strength and flexibility tests (okay). Was prescribed Metrol Dose, which knocked out all pain after the 1st day. Continued pain free until the day after the last tablet. Shoulder pain increased to painful day-time pain, with additional hip pain. On 1/23/02, MD seemed convinced that I had polymyalgia because the SMR was elevated, but few other usual symptoms. Another Metrol Dose prescribed, which again worked perfectly until the day after the last dosage. Also ordered more blood work (nml) and X-rays (mild arthritis in hips and shoulders). The pain seemed to increase daily through the body. Had to sit on 3 pillows, getting up often. Difficult to get up from a low seat. On 2/4/02, was started on 10mg, then 20mg of Prednisone. Pain seemed to increase daily. On 2/7/02, noticed unusual leg discomfort when waking. Pain increased on 2/8/02. Both legs felt odd on 2/9/02. On 2/10/02, it was hard to get out of bed, even with a Darvacet. On 2/12/02, couldn't get out of bed. Took a Darvacet and took 2 hours to get moving. On 2/13/02, leg pain mostly gone. Saw MD of Rheumatology and he ruled out the same things as my other MD and dropped me to 5mg Prednisone and ordered a bone scan (nml). On 2/23/02, shoulder pain still at night (under control with meds), still exists during the day, sometimes in just upper arms, some times in shoulder joints. Hip pain still more painful than the "usual". Leg pain is gone.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Aphasia, Hypoacusis, Neuropathy, Tinnitus
Clinical narrative: A 10 year old boy presented with a complaint of not hearing from left ear. He failed a hearing screen on that side (right is normal) and had a normal exam. ENT referral obtained and dx'd with sudden left sensorineural hearing loss. He had improvement with oral steroids but has residual drop in highest frequencies between 2000 to 8000 Hz. He has partial recovery.  F/UP report on 3/21/03: By phone conversation w/PT's mother (He has transferred out of reporting office's practice) he has regained "90%" of his hearing and does have some tinnitus at times.
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue
Clinical narrative: Arthritis pain in hands, knees and toes with fatigue. 2nd dose on 11/8/99 and 3rd dose on 9/28/00. Follow up: I am still feeling alot of pain in my joints.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: The pt developed a fever of 104 deg. F within 24 hours after the vaccinations. The patient was noted irritability and crying.
Sex: M
Vaccine: HEP, DTAP, HIBV, IPV, RV, DTAP, HEP, HIBV, RV, FLUX, HIBV, MMR, DTAP, VARCEL, PNC, PNC
Symptoms: Drug level increased, Mental retardation severity unspecified, Neurodevelopmental disorder
Clinical narrative: Starting at 15-18 months of age, patient experienced developmental regression, compulsive behaviors, speech delay, pervasive developmental disorder and gross motor and sensory integrative disorders. Speech and occupational therapy began just after second birthday.
Sex: M
Vaccine: HEP, DTAP, HIBV, IPV, RV, DTAP, HEP, HIBV, RV, FLUX, HIBV, MMR, DTAP, VARCEL, PNC, PNC
Symptoms: Abnormal behaviour, Drug toxicity, Neurodevelopmental disorder, Speech disorder
Clinical narrative: Starting at 15-18 months of age, patient experienced developmental regression, compulsive behaviors, speech delay, pervasive developmental disorder and gross motor and sensory integrative disorders. Speech and occupational therapy began just after second birthday.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Coma, Convulsion, Cyanosis, Hypotonia, Muscle contractions involuntary
Clinical narrative: Neurology consult on 2/20/02 states the pt apparently awoke with a scream this morning while her grandparents were caring for her. She drew up with all 4 extremities, then became limp and unresponsive. They immediately brought her to ER. She remained unresponsive during that trip, though over a 30 minute period, began to arouse. She was initially drowsy, then returned to baseline. She then proceeded to have 2 more spells of similar nature while in ER and a 4th while on the pediatric ward, each of a similar nature though according to the family, they seemed to get less prolonged each time. The last spell, she was also noted to have some diffuse tremulousness associated with the drawing up of all 4 extremities. That episode apparently lasted less than a minute and she recovered over a 20 minute period. There are no local symptoms of her extremities though the nurse had noted some deviation of her eyes to the right with the 4th spell. Mother noted some cyanosis during the tonic phase on the previous episode. She has no previous history of seizures. She did have croup approx. 4 weeks ago though had fully recovered by 2 weeks ago. She did receive DTAP, Hib and Prevnar yesterday evening and appeared to tolerate those IZs, ate well last evening and slept well through the night. She has had no apparent fever though did have a low-grade 99.7F temperature since on the ward. There has been no history of trauma. The clinical dx is recurrent seizures treated with Phenobarbital and Tegretol.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Pyrexia, Somnolence, Strabismus, Tremor
Clinical narrative: Neurology consult on 2/20/02 states the pt apparently awoke with a scream this morning while her grandparents were caring for her. She drew up with all 4 extremities, then became limp and unresponsive. They immediately brought her to ER. She remained unresponsive during that trip, though over a 30 minute period, began to arouse. She was initially drowsy, then returned to baseline. She then proceeded to have 2 more spells of similar nature while in ER and a 4th while on the pediatric ward, each of a similar nature though according to the family, they seemed to get less prolonged each time. The last spell, she was also noted to have some diffuse tremulousness associated with the drawing up of all 4 extremities. That episode apparently lasted less than a minute and she recovered over a 20 minute period. There are no local symptoms of her extremities though the nurse had noted some deviation of her eyes to the right with the 4th spell. Mother noted some cyanosis during the tonic phase on the previous episode. She has no previous history of seizures. She did have croup approx. 4 weeks ago though had fully recovered by 2 weeks ago. She did receive DTAP, Hib and Prevnar yesterday evening and appeared to tolerate those IZs, ate well last evening and slept well through the night. She has had no apparent fever though did have a low-grade 99.7F temperature since on the ward. There has been no history of trauma. The clinical dx is recurrent seizures treated with Phenobarbital and Tegretol.
Age: 41.0
Sex: M
Vaccine: HEPA, YF, YF
Symptoms: CSF test abnormal, Cyst, Haematocrit decreased, Headache, Laboratory test abnormal
Clinical narrative: On 2/11/02, the pt had a fever 100.8F and a headache. Saw PCP on 2/16/02 and was given azithromycin for symptoms. No abatement; pt then given Avalox after increase in severity of fever and headache. Admitted on 2/24/02 with fever of 104F to 105F. He also had myalgia. Discharged on 2/28/02. This is most compatible with a viral illness, probable enteroviral disease. However, cannot rule out a relationship to the recent Yellow Fever vaccine. Will discontinue Tamiflu without further evidence to suggest influenza and add doxycycline empirically.
Age: 41.0
Sex: M
Vaccine: HEPA, YF, YF
Symptoms: Myalgia, Platelet count increased, Pyrexia, Red blood cell count decreased, Red blood cell sedimentation rate increased
Clinical narrative: On 2/11/02, the pt had a fever 100.8F and a headache. Saw PCP on 2/16/02 and was given azithromycin for symptoms. No abatement; pt then given Avalox after increase in severity of fever and headache. Admitted on 2/24/02 with fever of 104F to 105F. He also had myalgia. Discharged on 2/28/02. This is most compatible with a viral illness, probable enteroviral disease. However, cannot rule out a relationship to the recent Yellow Fever vaccine. Will discontinue Tamiflu without further evidence to suggest influenza and add doxycycline empirically.
Age: 41.0
Sex: M
Vaccine: HEPA, YF, YF
Symptoms: Viral infection, White blood cell count increased
Clinical narrative: On 2/11/02, the pt had a fever 100.8F and a headache. Saw PCP on 2/16/02 and was given azithromycin for symptoms. No abatement; pt then given Avalox after increase in severity of fever and headache. Admitted on 2/24/02 with fever of 104F to 105F. He also had myalgia. Discharged on 2/28/02. This is most compatible with a viral illness, probable enteroviral disease. However, cannot rule out a relationship to the recent Yellow Fever vaccine. Will discontinue Tamiflu without further evidence to suggest influenza and add doxycycline empirically.
Age: 41.0
Sex: M
Vaccine: HEPA, YF, YF
Symptoms: CSF test abnormal, Encephalitis, Nervous system disorder
Clinical narrative: On 2/11/02, the pt had a fever 100.8F and a headache. Saw PCP on 2/16/02 and was given azithromycin for symptoms. No abatement; pt then given Avalox after increase in severity of fever and headache. Admitted on 2/24/02 with fever of 104F to 105F. He also had myalgia. Discharged on 2/28/02. This is most compatible with a viral illness, probable enteroviral disease. However, cannot rule out a relationship to the recent Yellow Fever vaccine. Will discontinue Tamiflu without further evidence to suggest influenza and add doxycycline empirically.
Age: 68.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Abasia, Asthenia, Guillain-Barre syndrome, Lethargy, Neurodevelopmental disorder
Clinical narrative: 11/01/01 -After flu shot, Arm swollen & sore; 11/02/01 - Left gym early, Tired, Could not run, Legs weak while playing raquetball, 11/02/01 - 12/31/01- Became progressive tired, Been taking naps (which was unusual) + calves start bothering him; About 12/15 -12/31 Pins and needles in hands and feet, By 12/24, tingling sensation in hands and feet which became very strong by 12/25/01; 12/24/01 - Tired,Legs felt heavy, Calves felt sore; 12/25/01 - Tired, Calves sore + a little swollen, Funny tingling sensation in hands & feet; 12/26/02 -Tired, Slept long in early AM, Very restless sleep, Tingling in hands and feet intensive, Calves still sore & slighty swollen, Not walking very well, Pain in calves when walking, Restless sleep at night; 12/28/01 - 11:45 AM appt with family Dr, Could hardly walk, Tingling very bad in hands and foot, Dr did physical and took x-rays, All seems normal, Dr you was baffled; 12/29/01 - Could not stand with walker, Began falling resorted to crawling, which was painful, Could not sleep on either side of body, Could not sleep - very uncomfortable all nite and morning tried to get up kept falling; 12/30/01 - Could not stand alone or with walker, could not crawl - all too painful, Calves very swallow, Called on-call dr, Suggest waiting until next day to see our dr or to come into emergency room, Had a very bad night; 12/31/01 - called dr's office, Wanted to have him come in office, Pt's legs and hands immobile (Paralysis) Neighbors carried him into car and took him the the emergency room, Did another physical, catscan, MRI's & other tests, Did a spinal tap that revealed Guillain-Barre syndrome; 12/31/01 - Admitted to critical care unit, There for 5 days, then moved to neurological unit, Did intravesous immunoglobulin in critical care + other tests; 01/14/02 - 12/23/02 - Moved to rehabilitation center for care & physical & occupational therapy; 12/23/02 - discharged from rehabilitation center; 03/25/02-03/26/02 Did physical & occupational therapy for 2 hours/day for 2 days a week. 60 day follow up states pt has not recovered. Ambulation is still a problem. May 2002 he recovered his fine motor skills. Continues to have difficulty using his arms . 02/23/2002 pt discharged . Awaiting a return call from MD. MD will inform of discharge details. MD treating physician while pt was in rehab. 95% improved. 04/17/2003 difficulty with fine motor coordination Annual follow up states as of 04/17/2003 Spoke to MD treating physician. MD states that the pt continues to have difficulty with his fine motor coordination, but has shown 95% improvement.
Age: 68.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Difficulty in walking, Fatigue, Guillain-Barre syndrome, Lethargy
Clinical narrative: 11/01/01 -After flu shot, Arm swollen & sore; 11/02/01 - Left gym early, Tired, Could not run, Legs weak while playing raquetball, 11/02/01 - 12/31/01- Became progressive tired, Been taking naps (which was unusual) + calves start bothering him; About 12/15 -12/31 Pins and needles in hands and feet, By 12/24, tingling sensation in hands and feet which became very strong by 12/25/01; 12/24/01 - Tired,Legs felt heavy, Calves felt sore; 12/25/01 - Tired, Calves sore + a little swollen, Funny tingling sensation in hands & feet; 12/26/02 -Tired, Slept long in early AM, Very restless sleep, Tingling in hands and feet intensive, Calves still sore & slighty swollen, Not walking very well, Pain in calves when walking, Restless sleep at night; 12/28/01 - 11:45 AM appt with family Dr, Could hardly walk, Tingling very bad in hands and foot, Dr did physical and took x-rays, All seems normal, Dr you was baffled; 12/29/01 - Could not stand with walker, Began falling resorted to crawling, which was painful, Could not sleep on either side of body, Could not sleep - very uncomfortable all nite and morning tried to get up kept falling; 12/30/01 - Could not stand alone or with walker, could not crawl - all too painful, Calves very swallow, Called on-call dr, Suggest waiting until next day to see our dr or to come into emergency room, Had a very bad night; 12/31/01 - called dr's office, Wanted to have him come in office, Pt's legs and hands immobile (Paralysis) Neighbors carried him into car and took him the the emergency room, Did another physical, catscan, MRI's & other tests, Did a spinal tap that revealed Guillain-Barre syndrome; 12/31/01 - Admitted to critical care unit, There for 5 days, then moved to neurological unit, Did intravesous immunoglobulin in critical care + other tests; 01/14/02 - 12/23/02 - Moved to rehabilitation center for care & physical & occupational therapy; 12/23/02 - discharged from rehabilitation center; 03/25/02-03/26/02 Did physical & occupational therapy for 2 hours/day for 2 days a week. 60 day follow up states pt has not recovered. Ambulation is still a problem. May 2002 he recovered his fine motor skills. Continues to have difficulty using his arms . 02/23/2002 pt discharged . Awaiting a return call from MD. MD will inform of discharge details. MD treating physician while pt was in rehab. 95% improved. 04/17/2003 difficulty with fine motor coordination Annual follow up states as of 04/17/2003 Spoke to MD treating physician. MD states that the pt continues to have difficulty with his fine motor coordination, but has shown 95% improvement.
Age: 68.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain, Swelling
Clinical narrative: 11/01/01 -After flu shot, Arm swollen & sore; 11/02/01 - Left gym early, Tired, Could not run, Legs weak while playing raquetball, 11/02/01 - 12/31/01- Became progressive tired, Been taking naps (which was unusual) + calves start bothering him; About 12/15 -12/31 Pins and needles in hands and feet, By 12/24, tingling sensation in hands and feet which became very strong by 12/25/01; 12/24/01 - Tired,Legs felt heavy, Calves felt sore; 12/25/01 - Tired, Calves sore + a little swollen, Funny tingling sensation in hands & feet; 12/26/02 -Tired, Slept long in early AM, Very restless sleep, Tingling in hands and feet intensive, Calves still sore & slighty swollen, Not walking very well, Pain in calves when walking, Restless sleep at night; 12/28/01 - 11:45 AM appt with family Dr, Could hardly walk, Tingling very bad in hands and foot, Dr did physical and took x-rays, All seems normal, Dr you was baffled; 12/29/01 - Could not stand with walker, Began falling resorted to crawling, which was painful, Could not sleep on either side of body, Could not sleep - very uncomfortable all nite and morning tried to get up kept falling; 12/30/01 - Could not stand alone or with walker, could not crawl - all too painful, Calves very swallow, Called on-call dr, Suggest waiting until next day to see our dr or to come into emergency room, Had a very bad night; 12/31/01 - called dr's office, Wanted to have him come in office, Pt's legs and hands immobile (Paralysis) Neighbors carried him into car and took him the the emergency room, Did another physical, catscan, MRI's & other tests, Did a spinal tap that revealed Guillain-Barre syndrome; 12/31/01 - Admitted to critical care unit, There for 5 days, then moved to neurological unit, Did intravesous immunoglobulin in critical care + other tests; 01/14/02 - 12/23/02 - Moved to rehabilitation center for care & physical & occupational therapy; 12/23/02 - discharged from rehabilitation center; 03/25/02-03/26/02 Did physical & occupational therapy for 2 hours/day for 2 days a week. 60 day follow up states pt has not recovered. Ambulation is still a problem. May 2002 he recovered his fine motor skills. Continues to have difficulty using his arms . 02/23/2002 pt discharged . Awaiting a return call from MD. MD will inform of discharge details. MD treating physician while pt was in rehab. 95% improved. 04/17/2003 difficulty with fine motor coordination Annual follow up states as of 04/17/2003 Spoke to MD treating physician. MD states that the pt continues to have difficulty with his fine motor coordination, but has shown 95% improvement.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: The pt developed a red and tender area (3cm X 7cm) on right anterior thigh.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Arm at injection site-became hard and swollen for two weeks
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The pt's right arm was very swollen, painful, red and could not lift arm over her head, the next day, post vax. Has had to have follow-up with a Neurologist. He wanted to let you know it was due to flu vaccine. Not yet recovered.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Screaming
Clinical narrative: Mother and infant in for 2nd series. Mom states that infant cried inconsolably X 5 hours, post vax. Did not take to MD. Mom thought it might be colic.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Pain, Pharyngolaryngeal pain, Pyrexia, Rhinitis
Clinical narrative: Onset of sore throat, runny nose, body aches, malaise beginning 1 week after flu shot. fever 103 for three days, vomiting. Test for strep -negative. Red bumps on torso, peeling of hands. 10 days later progressed to ear infection. Eymin RX for ear infection.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Skin exfoliation, Vomiting
Clinical narrative: Onset of sore throat, runny nose, body aches, malaise beginning 1 week after flu shot. fever 103 for three days, vomiting. Test for strep -negative. Red bumps on torso, peeling of hands. 10 days later progressed to ear infection. Eymin RX for ear infection.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: redness and swelling @site that increased to 10cm in diameter w/ pain and hot to the touch.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: 97.1 temp-131/82=BP, 80=R, localized redness, slight swelling-c/o itching upper L arm from flu shot.
Age: 82.0
Sex: U
Vaccine: FLU3
Symptoms: Blister, Pruritus
Clinical narrative: Blisters formed on personal part of body, legs and arms in five hours after shot, Kept itching all nite was unable to sleep . Went to emergency in am.
Age: 2.0
Sex: M
Vaccine: HEP, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: papular-vesicular rash on abdomen/trunk
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Myalgia
Clinical narrative: Severe myalgias and fatigue for 6 weeks, requiring the use of analgesics and muscle relaxants.
Age: 4.0
Sex: F
Vaccine: HEP
Symptoms: Post vaccination autoinoculation, Rash
Clinical narrative: Pt had rash develop 4 days after immunization, mild to face and peri vaginal area. Mom requested form to be completed.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Infection, Rash papular
Clinical narrative: On day 12 s/p smallpox vaccine, pt noted painful lesions dorsal aspect, R index finger. Lesion initially papular & progressed to vesicle, then pustule. On 2/23/02, lesion was unroofed by CDC smallpox lab & diagnostics (EM) performed, 2/25 were consistent with  vaccinia virus. Dx: autoinoculation vaccinia virus. Lesion has continued to resolve without event. Primary reaction noted at vaccine site on L upper arm.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Approx. 10 minutes, post vax, had pruritus and redness on left deltoid the size of a baseball progressing to the size of a softball.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Diarrhoea, Nausea, Vomiting
Clinical narrative: Abdominal cramps, diarrhea and nausea and vomiting. PMD has advised against a 3rd HBV.
Age: 1.3
Sex: F
Vaccine: HIBV
Symptoms: Hypersensitivity, Pyrexia, Superinfection, Urticaria
Clinical narrative: Received Hib vaccine on 2/11/02 and on 2/12/02, mother states that whelps appeared on diaper area and extended to feet (both). Four or five hours, post vax, the child ran a temperature of 99F-102F (ax). Mother reported incident on 2/13/02 and was instructed to go to PCP. Had a temperature X 24 hours. MD saw child on 2/13/02 and did unknown lab work. PCP stated whelps were from vaccine reaction. Also states, child had virus on top of a virus.
Age: 12.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Coma, Cyanosis, Hypotonia, Syncope vasovagal
Clinical narrative: 60 seconds, post vax X 4, the pt went limp, dusky and unresponsive. The episode lasted less than 2 minutes. He responded to stimulation and O2. Presumed vasovagal episode. Recovered spontaneously. Had not eaten before vaccinations.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Developed 3 1/2" X 4" red papular rash over injection site on 2/23/02 and evolved into 6 to 12 vesicles; several on chest and 1 on face.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: R thigh (site of immunization) became red and inflamed 5 days after DTaP.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis of leg, redness, inflammation around diameter of leg.
Age: 1.2
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of entire upper right leg to below the knee. Started about 12 hours, post vax. Resolved within 24 hours after Benadryl and Tylenol.
Age: 34.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Flushing, Infection, Pain, Pruritus, Rash
Clinical narrative: Client states that for approx. 7 or 8 days, in the AM, felt feverish, aching and flushed. States did not correlate symptoms to vaccine. 2 days following, had a rash from head to torso with itching. Went to ER and MD told her she had measles from vaccine. Benadryl Rx given and it resolved in 4 days following.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Unevaluable event
Clinical narrative: 8cm X 6cm
Age: 0.75
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth, Urticaria
Clinical narrative: DTAP given on 1/14/02. On 1/19/02, had a bright red area at vaccination site, which enlarged over several days; felt warm and firm. On 1/19/02 through 1/23/02, had hives scattered on her trunk. Exam on 1/21/02 of vaccination site showed a 6cm X 5cm area of redness with central 2cm X 2 1/2cm of cleared skin, whole lesion mildly raised, small firm nodule but no diffuse induration. Non-tender. Stopped Amoxicillin/Augmentin; trail of these drugs again on 2/13/02 with no reaction.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: The pt developed mild varicella; 6-8 spots. Symptomatic treatment.
Age: 3.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth, Livedo reticularis
Clinical narrative: Mom describes red, hot and inflammed area about 6" in diameter on left thigh. First seen about 10:00 on 2/9/02. Mom had given Children's Motrin the night before. As of today, the area is flat and appears purplish and mottled but flat and not warm.
Age: 12.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Pt received Hep-B #3 on 2/13/02 in the left deltoid, IM. On 2/15/02, mother called our office to describe the reaction developing on his left deltoid. There was a small swelling and redness and was informed to monitor. On 2/16/02, mother called office indicating increased swelling and redness. Pt treated in office on 2/16/02 for early cellulitis secondary to Hep-B vaccine. Treated with Keflex and Atarax.
Age: 3.5
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 2/18/02, Hep-B #3 was given in the right deltoid, IM. On 2/19/02, report of right arm swollen, red and painful via telephone call. Pt seen in office again on 2/19/02. Treated for vaccine reaction vs cellulitis with Benadryl and Keflex 250mg.
Age: 5.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Herpes zoster, Infection
Clinical narrative: Zoster on left arm on 2/11/02; treated with Acyclovir.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Arm became very sore and swollen. She said it was not the shot itself but felt it was the vaccine.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth of entire right deltoid muscle, extending towards the elbow. Treatment with Benadryl and observe. Right arm the only one affected.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Swelling face, Urticaria
Clinical narrative: 20 minutes, post vax, the pt got total body hives; mild facial swelling. No stridor or wheezing. In ER, got Prednisone and Benadryl with rapid response.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Febrile convulsion, Otitis media, Pyrexia
Clinical narrative: Elevated temperature of 101.2 noted by parents at 7pm. Generalized tonic clonic type seizure with 15 minute postictal phase noted by parents at 10pm. Taken to ED dx'd with ROM, seemed to have a febrile seizure. Rx amoxicillin.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling of L deltoid with associated pain. Edema of L deltoid to 8X8cm. Pt instructed to place warm compresses BID and motrin for pain.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: MMR given on 2/21/02 to L arm. Call received 10:45am, 3/4/02 that she had developed a fever of 101.4, 3/3/02, she took tylenol now temp 99.9. Pt states red, raised rash noted to arms, more on L than R. Rash extends form elbows down to her arms, states rash is size of pin head. DPH called and info given to pt. Pt to call PCP.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Coma, Pallor, Tremor
Clinical narrative: Immediately upon receiving vaccine , pt fell to floor onto her back and tremors of arms and legs were noted. She was unresponsive for about 7 seconds. She had hit the back of her head softly when she fell, when she became responsive she had no c/o of pain. She appeared pale. BP 92/60,P58,Resp 18, skin color improved in 10 minutes.
Age: 18.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Immediately following administration of vaccine pt lost consciousness for approx 1 minute, had a small seizure during this time. B/P 120/48.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Diarrhoea, Injection site oedema, Injection site reaction, Pyrexia
Clinical narrative: Local reaction, fever 103F, edema and infiltrate. Pt has a case of salmonella about 1 month ago, redness on shot area, on R leg, had diarrhea was seen by doctor and given tylenol.
Age: 1.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular red rash generalized on face, anterior and posterior stomach, extremities and appeared 15 minutes after receiving vaccines - txed with prelone and benadryl. Completely resolved 20 minutes later.
Age: 0.5
Sex: M
Vaccine: HIBV, PNC
Symptoms: Infection
Clinical narrative: A nurse reported that a male infant, now 11 months old, received his 3rd dose of Hib-Titer, as well as, Prevnar, on 8/28/00. On 2/10/01, he developed Haemophilus influenza bacteremia. This event is considered "Medically Important". Upon further review, Prevnar is considered not suspect in this report.
Sex: F
Vaccine: HIBV
Symptoms: Injury
Clinical narrative: A nurse reported that she experienced a cut to her finger from a broken vial of Hib-Titer vaccine which was inadvertently stored on a shelf. She reported that "no medical attention was necessary".
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Pharyngeal oedema, Pyrexia, Tonsillitis
Clinical narrative: A healthcare professional reported that a 19 month old female received Hib-Titer, DTAP and IPV vaccines on 3/30/01. It was determined that the child had received her 4th dose of Hib-Titer in January, 2001. On 4/2/01, the child developed a fever and swollen, red tonsils. She was seen in an ER and dx'd with tonsillitis. The child was treated with Zithromax (azithromycin). Follow-up information received from the physician on 5/18/01, indicated that the child was dx'd with pharyngitis. She received treatment and "did fine".
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site reaction
Clinical narrative: A healthcare professional reported that a 19 month old female received Hib-Titer and Tripedia vaccines on 1/22/01. Subsequently, she developed a 2.5" by 2.5" injection site reaction which the reporter did not describe. The sites of vaccine administration were not specified.
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: A physician reported that a female child (age unspecified) received HIB, MMR and Varivax vaccines on 6/5/96. Two days later, the child developed a fever of 104F. The pt's sister experienced injection site reaction on 11/28/00 following Prevnar, Hib-Titer and MMR vaccination; see HQ6902606FEB2001.
Age: 0.2
Sex: U
Vaccine: DTAP, HIBV, IPV, DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: A pediatrician reported that a 2 month old female received Hib-Titer, Infanrix, and IPV vaccines on 03/08/2001. On 03/16/2001, the infant developed hives. She was treated with Benadryl and recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Balance disorder, Difficulty in walking, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: A mother reported that her 4 year old son received his 5th dose of Acel-Imune and a dose of IPV vaccines on 4/19/01. The following morning, an injection site reaction characterized by swelling, induration, warmth and pain. The child was subsequently examined by a physician; a dx of "local reaction" was made. On 4/23/01, he developed a fever of 103F which persisted "for the remainder of the week"; he was treated with Tylenol (paracetamol). The child experienced leg pain and difficulty in walking. He was again seen by a physician; blood tests and a throat culture were done and the results were negative. On 5/2/01, he developed a fever with a maximum temperature of 104.5F and was examined at a local ER. He was treated with Motrin and sent home. On 5/3/01, the child was examined by an "ID physician". The physician's impression was "mono"; testing was performed and results were negative. The fever resolved on 5/4/01. On 5/8/01, he experienced leg pain and equilibrium imbalance. Follow-up information was received from the physician on 8/10/01. A blood culture and antibody tests for EBV and CMV were performed; the results were negative. On 5/1/01, the child was examined by a physician; "obvious" tonsillitis was noted. The infectious disease specialist who examined the child considered an adenovirus infection "likely responsible" for the fever and tonsillitis. The child recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Injection site warmth, Pain, Pyrexia, Tonsillitis, Viral infection
Clinical narrative: A mother reported that her 4 year old son received his 5th dose of Acel-Imune and a dose of IPV vaccines on 4/19/01. The following morning, an injection site reaction characterized by swelling, induration, warmth and pain. The child was subsequently examined by a physician; a dx of "local reaction" was made. On 4/23/01, he developed a fever of 103F which persisted "for the remainder of the week"; he was treated with Tylenol (paracetamol). The child experienced leg pain and difficulty in walking. He was again seen by a physician; blood tests and a throat culture were done and the results were negative. On 5/2/01, he developed a fever with a maximum temperature of 104.5F and was examined at a local ER. He was treated with Motrin and sent home. On 5/3/01, the child was examined by an "ID physician". The physician's impression was "mono"; testing was performed and results were negative. The fever resolved on 5/4/01. On 5/8/01, he experienced leg pain and equilibrium imbalance. Follow-up information was received from the physician on 8/10/01. A blood culture and antibody tests for EBV and CMV were performed; the results were negative. On 5/1/01, the child was examined by a physician; "obvious" tonsillitis was noted. The infectious disease specialist who examined the child considered an adenovirus infection "likely responsible" for the fever and tonsillitis. The child recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Dizziness, Gait disturbance, Injection site reaction, Pain, Pyrexia
Clinical narrative: A mother reported that her 4 year old son received his 5th dose of Acel-Imune and a dose of IPV vaccines on 4/19/01. The following morning, an injection site reaction characterized by swelling, induration, warmth and pain. The child was subsequently examined by a physician; a dx of "local reaction" was made. On 4/23/01, he developed a fever of 103F which persisted "for the remainder of the week"; he was treated with Tylenol (paracetamol). The child experienced leg pain and difficulty in walking. He was again seen by a physician; blood tests and a throat culture were done and the results were negative. On 5/2/01, he developed a fever with a maximum temperature of 104.5F and was examined at a local ER. He was treated with Motrin and sent home. On 5/3/01, the child was examined by an "ID physician". The physician's impression was "mono"; testing was performed and results were negative. The fever resolved on 5/4/01. On 5/8/01, he experienced leg pain and equilibrium imbalance. Follow-up information was received from the physician on 8/10/01. A blood culture and antibody tests for EBV and CMV were performed; the results were negative. On 5/1/01, the child was examined by a physician; "obvious" tonsillitis was noted. The infectious disease specialist who examined the child considered an adenovirus infection "likely responsible" for the fever and tonsillitis. The child recovered.
Age: 0.2
Sex: U
Vaccine: DTAP, HIBV, IPV
Symptoms: Coma, Staring
Clinical narrative: A medical assistant reported that a 2 month old infant received Acel-Immune, Hib-Titer and IPV vaccines on 01/09/2001. On 01/12/2001, the infant developed spells of unresponsiveness and staring into space.
Age: 1.2
Sex: F
Vaccine: DTAP, DTAP, MMR
Symptoms: Mental retardation severity unspecified
Clinical narrative: A nurse reported that a 14 month old female received either Acel-Imune or Tri-Immunol and MMRII vaccines on 12/16/1996 and developed "mental status changes" approx 1-2 hrs post-immunization. This event continued for approx. 7-10 days.
Age: 1.2
Sex: F
Vaccine: DTAP, DTAP, MMR
Symptoms: Mental impairment
Clinical narrative: A nurse reported that a 14 month old female received either Acel-Imune or Tri-Immunol and MMRII vaccines on 12/16/1996 and developed "mental status changes" approx 1-2 hrs post-immunization. This event continued for approx. 7-10 days.