chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Received DaPT morning of 03/01/05 in right deltoid.  Around 18:30pm, parents noticed non-painful redness and swelling upper arm area.  He was rechecked and I found him to be in no distress.  He had an area of blanching erythema and mild warmth consistent with urticarial reaction.  He was treated with Benadryl and cold compresses and had no further problems.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Swelling
Clinical narrative: Swelling on R arm, face puffy also.
Age: 0.86
Sex: F
Vaccine: HEP, OPV
Symptoms: Blood glucose increased, Candidiasis, Diabetes mellitus, Weight decreased
Clinical narrative: My daughter received the Hep B and Polio-OPV vaccines on July 10, 1999.  On July 12-13th she developed thrush in her mouth (she was 10 1/2 months old).  On July 14th she had lost 2 pounds from July 10th check-up (she only weighed 21 pounds at the time).  On July 16th her blood sugar was 685 and she was diagnosed as having Type 1 diabetes, just 6 days after her vaccines were administered. 60 Day Follow up: Pt is now a type 1 diabetic. She showed signs on 7/13/99 (3 days after vaccine) and was diagnosed 7/16/1999. Per follow up report-Diabetes Type 1
Age: 0.53
Sex: M
Vaccine: DTAP, HEP, HIBV, PPV
Symptoms: Face oedema, Fatigue, Irritability, Urticaria, Wheezing
Clinical narrative: Severe hives all over his body, some swelling in face, tiredness, irritability, wheezing. The symptoms started slightly several hours after immunizations and then gradually got worse until it turned into an extreme case of hives and swelling 4 days after vaccines.
Age: 1.05
Sex: F
Vaccine: HEP, HIBV, MMR
Symptoms: Herpes zoster, Laboratory test abnormal, Skin ulcer
Clinical narrative: Patient developed periorbital type vesicular lesions that were felt to be possibly herpes zoster at 3 years of age.  She was given IV antibiotics in the hospital. She was treated with amoxicillin and the acyclovir.  No discharge or visual problems were noted. There is no pain.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Respiratory disorder, Stomatitis, Thrombocytopenia, Viral infection
Clinical narrative: This case was considered non-serious. From follow up information received on 2/28/05 this case was considered serious based upon medical judgement (OMIC). No seriousness criteria was reported. From initial information received on 2/2/05 from the patient regarding an adverse event occurring in the USA, it was reported that this 62 year old female patient received FLUZONE, lot number U1440AA, administered IM in the left arm on 10/4/04. 32 days later, on 11/5/04, the patient experienced decreased platelets. She reported that her platelets have been falling at a rate of 20,000 every two weeks. The patient has not recovered from this event. From additional information received on 2/28/05 from the responsible physician, it was reported that the patient's platelet count on 11/5/04 was 115,000. The patient had completed consolidation chemotherapy in early 2004, following a diagnosis of acute myeloid leukemia in July of 2003. Examination on 11/5/04 was essentially normal and the patient was considered to be in continued remission status. The patient was reevaluated on 12/2/04 to monitor for evidence of relapse and a drop in her platelet count. It was noted at that time that she had felt fine, except for a viral syndrome. She had also developed some herpes stomatitis at that time and was treated with Famvir. Her platelet count was 96,000. On 12/17/04, the patient was seen again by a physician for repeat blood counts and evaluation. It was noted that she had recently had an upper respiratory infection. A physical examination was normal and her platelet count was 78,000. On 1/7/05, the patient was evaluated for a six week history of thrombocytopenia. Examination showed no evidence of bleeding or fever and the patient denied any other complaint at that time. Her platelet count was 57,000. She was seen again four days later, on 1/11/05, for a bone marrow aspiration and biopsy. Her platelet count at that time was 66,000. Her bone marrow study was reviewed and appears to be consistent with no evidence of leukemia. The patient was scheduled for a repeat blood count in four weeks.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Back pain, Myalgia, Oedema, Pain
Clinical narrative: C/o joint and mucscle pain. Hurt all over back and legs hurt. Feet swollen.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Tetanus injection to left deltoid muscle. 02/10/2005. Some soreness since. Reported redness and swelling 02/15/2005. Seek treatment 02/16/2005 with cold pack topically and motrin 600mg q 6hr. 3 1/2x 3 1/2 inches warm, induration at area with 3x5 inches of erythema distally.
Age: 28.0
Sex: M
Vaccine: MMR, TD
Symptoms: Herpes zoster, Malaise, Paraesthesia, Pyrexia, Rash vesicular
Clinical narrative: Patient received vaccine on 01/25/2005. 14 days later he began having fever, chills, and malaise. 19 days after vaccine he developed a rash with vesicles and tingling on right thigh. Seen at emergency room 24 days after vaccine and diagnosed with shingles. Prescribed -100mg and prednisone 20mg. Seen by me 28 days after
Age: 24.0
Sex: F
Vaccine: MMR, TD
Symptoms: Lymphadenitis, Skin reaction
Clinical narrative: Lymph node swelling left side of neck. +2 left anterior cervical node that is tender to palpation, no induration or heat. Patient also had a positive PPD. Referred to the health department for a chest x-ray to insure the positive node is not from TB infection. Patient is asymptomatic.
Age: 1.01
Sex: F
Vaccine: IPV, MMR
Symptoms: Dermatitis bullous
Clinical narrative: Varicella Rash
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Tenderness
Clinical narrative: 4.5cm x 9cm area of moderately tender erythema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left deltoid red and hard to touch.
Age: 18.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Arthralgia, Arthritis, Urticaria
Clinical narrative: This is a non serious case from a physician in the USA of Urticaria:(labeled, USA). The reporter causality is possible for FluMist. This case is submitted according to the VAERS safety surveillance accelerated  reporting agreement for FluMIst. This is a spontaneous case report sent by a physician that refers to a female aged 19 years. She received FluMist on 02/10/2005. The patients concomitant medication included drospirenone. Sometime on 02/15/2005 the patient developed a urticarial rash. On 02/20/2005 she developed pain when walking and pain in many joints especially her knee. She presented in the reporters office on 24Feb05 for an initial consultataion and was diagnosed with reactive arthritis. She received toradol for treatment and ultracet for pain. The reporter stated he was not sure of the events were due to FluMist. Attempts to locate the vaccine facility and lot number have been unsuccessful. The reporter state that the patient was lost to follow up. No further information is available. 23Apr05 Additional information received from the reporter and incorporated in the narrative: Patient's date of brith, confirmation that the reported vaccine facility was incorrect, and the patient was lost to follow-up,
Age: 18.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Arthralgia, Arthritis, Influenza like illness, Pain, Urticaria
Clinical narrative: This is a non serious case from a physician in the USA of Urticaria:(labeled, USA). The reporter causality is possible for FluMist. This case is submitted according to the VAERS safety surveillance accelerated  reporting agreement for FluMIst. This is a spontaneous case report sent by a physician that refers to a female aged 19 years. She received FluMist on 02/10/2005. The patients concomitant medication included drospirenone. Sometime on 02/15/2005 the patient developed a urticarial rash. On 02/20/2005 she developed pain when walking and pain in many joints especially her knee. She presented in the reporters office on 24Feb05 for an initial consultataion and was diagnosed with reactive arthritis. She received toradol for treatment and ultracet for pain. The reporter stated he was not sure of the events were due to FluMist. Attempts to locate the vaccine facility and lot number have been unsuccessful. The reporter state that the patient was lost to follow up. No further information is available. 23Apr05 Additional information received from the reporter and incorporated in the narrative: Patient's date of brith, confirmation that the reported vaccine facility was incorrect, and the patient was lost to follow-up,
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Diagnosed with Influenza on 03/01/05.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm deltoid area where DTaP was given noted to be erythematous and swollen the day after. Warm compress and Motrin/Tylenol was given as well as Benadryl.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Total 10-12 erythematous papular vesicular lesions, some excoriated, on the left scalp, back, arms, right knee, chest and left temple.
Age: 27.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Developed a fever of 102.4 degrees, then swelling and redness of arm. Sent to Urgent care and diagnosed with cellulitis and placed on antibiotics.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Reddened area about 4 inches in diameter around injection site.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Increase Temperature 102 degrees. Unconsolable crying.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Left arm local redness, swelling 6'' x 3", induration, soreness and itching.
Age: 0.16
Sex: M
Vaccine: HIBV, PNC
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Left vastus lateralis red and swollen, child inconsolable. Dr. instructed mother to administer Tylenol every 4 hours around the clock for the next 24 hours as needed. Apply ice to site for 20 minutes at the time as needed.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Erythema, Pharyngolaryngeal pain, Pyrexia, Swelling
Clinical narrative: Received meningococcal vaccine on 6/25/04 - on 6/25/04 arm was quite red and swollen. On 6/27/04 - fever and sore throat. On 6/28/04 - seems to be better. Symptoms treated with ibuprofen.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Dysphagia, Dysphonia, Pharyngolaryngeal pain, Wheezing
Clinical narrative: 3/7/05 10 AM VACCINATION 2:30 PM HOARSENESS, THROAT PAIN AND DIFFICULTY TO SWALLOW DEVELOPED 3:30 CHEST PAIN AND WHEEZINESS DEVELOPED, RESTED 3/8/05 REPORT TO THIS RECORDER, STILL HAS THROAT PAIN, DIFFICULTY SWALLOWING-THOUGH EASING. REMAINS WITH MIDSTERNAL CHEST PAIN AND WHEEZING WHICH INCREASES WITH ACTIVITY.BP=124/84.  NO LOCAL REACTION NOTED AT SITE OF VACCINATION. WILL FOLLOW CLOSELY FOR FURTHER EVENTS.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Feeling hot, Rash macular
Clinical narrative: Red, macular rash (approximately 6cm x 10 cm) on upper left deltoid, warm to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Patient given immunizations despite low grade fever (101.4). Same day, high fever (103), prolonged seizure. Admitted to hospital overnight.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Cyanosis, Electroencephalogram abnormal, Irritability, Strabismus
Clinical narrative: 4 seizures between 3:30 AM 3/3/05 and 11:15 AM 3/3/05. Seizures were with in 12 hours of vaccinations. Turned blue and was taken by ambulance to emergency room. ER doctor and neurologist advised to not receive the Pertussis portion of DTaP again. Extreme fussiness and irritability from 3/5/05 to 3/7/05. Information received from Discharge summary states eyes deviating upwards. msv
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 23.0
Sex: F
Vaccine: ANTH, FLU3, SMALL
Symptoms: Rash pustular
Clinical narrative: 22 year old female with reaction to smallpox including rash,non virulent pustulosis,  10 days after vaccination.
Age: 20.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Rash pustular
Clinical narrative: 19 year old male with non virulent pustulosis 9-10 days after small pox inoculation.
Age: 21.0
Sex: M
Vaccine: ANTH, FLU3, SMALL
Symptoms: Cow pox, Rash erythematous
Clinical narrative: Multiple erythematous lesions on chest and back. Generalized vaccinia. Treated with claritin.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Abscess, Injection site abscess, Injection site erythema, Injection site pain, Injection site vesicles
Clinical narrative: Had flu shot 2/1/05. On 02/10/05 in the health department stated shortly after shot had a blister that burst and now draining. Left deltoid had a dime size are with red circumference, inner portion draining yellow whitish pus, which had no odor. Patient also complained of tenderness at site. She was referred to he PMD. Spoke with patient later, PMD diagnosed abscess and treated with Duricef for 10 days. 3/04/05- Patient now recovered.
Age: 1.06
Sex: M
Vaccine: FLUX, MMR
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: At 11:15 vaccinated, fell asleep and when he woke up 2 hours later, I discovered that both legs were covered in hives which rapidly became one giant hive covering each leg. Instructed by physician to give benadryl every 4-6 hours until symptoms disappeared. Hives were mostly gone by 4 PM. Continued Benadryl through noon the next day, hives reappeared at 5 Pm (01/07/05), receded after Benadryl given and continued until 1/8/05.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Myalgia
Clinical narrative: Complaining of deep muscle aching with limited use of arm. ER visit 02/07/05 and Neuro visit 02/09/05.
Age: 1.28
Sex: M
Vaccine: DTAP, FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: No wheezes, rales, rhonchi or respiratory distress, temperature 99.9, P 140, R 30 at urgent care appoint they day following large urticaria on right buttocks and face that began during the night after immunizations received. Turned to hives generalized, unknown which vaccine responsible for reaction.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Arthralgia, Hypokinesia, Injection site erythema, Oedema peripheral
Clinical narrative: Acute redness and swelling lasting approximately 5 to 7 days, in left upper arm. Resolved with local heat. Now complaining of left should joint pain, decreased range of motion, "lame".
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: No adverse event noted. Vaccine was expired when administered.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Irritability, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Child broke out in Rubella like rash beginning on face and spreading to trunk, arms, and legs. With fever of 101.2 and fussiness,  cough and rhinorrhea. Began 10 days after MMR vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: On 03/03/05 mother brought pt in for immunizations on 3/1/05. Mom returned to clinic with pt c/o swelling, redness, warmth on left arm which she noticed on 3/2/05 AM.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Chest discomfort, Sensation of heaviness
Clinical narrative: Approx 45 min after injection pt c/o weakness in knees and heaviness in arms and legs with lightness in chest. Vs 90/68 R 90/64 L P84 Reg lung cl, hx asthma, used Alupent Inhaler, relieved chest tightness, rested approx 1 hr sx decreased and stopped.
Age: 40.0
Sex: F
Vaccine: TTOX
Symptoms: Pruritus, Urticaria
Clinical narrative: 2 hrs after receiving vaccine donor experienced hives with itching. Did not receive any medications and did not require any hospitalization, lasted for approx 12 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Erythema approx 1.5cm around vax site, no fluctuance.
Age: 42.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Donor received his immunization, from his statement noticed some discomfort to his left hand and seen. That there is some swelling approx 24 hrs since his shot. No other sign/symp. Dur. ob. swelling approx 24 hrs.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Pruritus, Tenderness
Clinical narrative: Erythematous 4cm annular area  on left deltoid, warm to touch, pruritic, tender pain 3/10.
Age: 23.0
Sex: F
Vaccine: MMR, TD
Symptoms: Abdominal pain, Dyspnoea, Headache, Pyrexia, Wheezing
Clinical narrative: 9/11 at 7AM: Client developed fever, stomach ache, headache, had difficulty breathing (wheezing). Went to ER at 9/11 at 11AM.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: 7 yo white female vaccinated 4/20/98-developed chicken pox 02/19/05.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: raised red, hot, itchy rash.  Benadryl calamine lotion.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at vaccination site.  Occurred 03/02/2005.  Started on veclex 2 times per day for 7 days.
Age: 1.49
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Feeling hot
Clinical narrative: 6cm x 6cm raised, red, warm to touch area on right upper thigh.  Started in AM on 03/03/2005, per mother.  Patient afebrile at time of visit on 03/03/2005.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus
Clinical narrative: Disseminated vaccine - erythematous rash on chest and back.  Benadryl given for pruritis.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: employee with erythematous 11 x 16cm area at injection site.  Keflex 500 mg by mouth 2 times per day for 10 days given to patient.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: 01/05/2005 Very irritable, day of shots, no temperature.  02/22/2005 temperature x 36 degrees, very irritable, crying over 36 degrees.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: 01/27/2005 Immunization given.  01/31/2005 telephone call from mother states fever up to 105 over the weekend.  Would go down with Tylenol  and Ibuprofen to 100-101, referred to ER - declined.  02/01/2005 mother and child into office, no fever doing okay no problem.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Rash 6-8 spots.  2-4 mm Erythema 1 with fluid collection. 2-3 unroofed.  (varicella vaccine known reaction).
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Rash on left upper arm.  Benadryl 25mg as needed.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: None specified.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abscess
Clinical narrative: Right leg abscess- rx for antibiotics. MD at Children's told her it was from the shots.
Age: 2.0
Sex: F
Vaccine: DTP, VARCEL
Symptoms: Drug ineffective, Pharyngolaryngeal pain, Pyrexia, Rash vesicular
Clinical narrative: Child had fever and sore throat and bumps on abdomen and hands. Child diagnosed with varicella after vaccination.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: T. 104 degrees Fahrenheit. Generalized macular, papular erythematous rash. Rash began 8 days after administration of vaccine. No vesicles seen.
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Body temperature increased, Cough, Drug ineffective, Headache, Rhinorrhoea
Clinical narrative: 02/22/2005 Lesions appeared on body numbering 8, preceded by headache and low grade fever and developed at same time sinusitis with cough, and sniffles, green nasal secretions treated on 02/28/2005 with amoxicillin.
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Sinusitis, Skin ulcer
Clinical narrative: 02/22/2005 Lesions appeared on body numbering 8, preceded by headache and low grade fever and developed at same time sinusitis with cough, and sniffles, green nasal secretions treated on 02/28/2005 with amoxicillin.
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: 02/22/2005 Lesions appeared on body numbering 8, preceded by headache and low grade fever and developed at same time sinusitis with cough, and sniffles, green nasal secretions treated on 02/28/2005 with amoxicillin.
Age: 1.33
Sex: F
Vaccine: DTP, HIBV, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Broke out in blisters around injection site. Resolving when examined on 03/02/2005. Given Bactolum to prevent infection.
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous
Clinical narrative: Erythematous rash on chest and back. Generalize vaccinia. Pt given Benadryl and Tylenol.
Age: 1.28
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Drug ineffective, Pruritus, Pyrexia, Rash erythematous, Rash vesicular
Clinical narrative: Vaccine Breakthrough. Seen in our office 03/01/2005 with fever and rash. Onset 02/28/2005. Had 10-12 lesions on trunk. Erythematous with central vesicle and few crusted. Itchy. Had varicella vaccine 01/07/2002. DX'd with varicella by Dr. on 03/01/2005.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Reported by pt arm became red and swollen with pain. Pt did not report reaction until 02/25/2005. Pt recovered but says arm still hurts at times.
Age: 1.21
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Anorexia, Convulsion, Cough, Dyskinesia, Irritability
Clinical narrative: Fever 104.8, restlessness, chicken pox rash, very irritable, jerking/seizure, bad cough, loss of appetitie, uncontrolled screaming/pain
Age: 1.21
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pain, Pyrexia, Rash vesicular, Restlessness, Screaming
Clinical narrative: Fever 104.8, restlessness, chicken pox rash, very irritable, jerking/seizure, bad cough, loss of appetitie, uncontrolled screaming/pain
Age: 1.52
Sex: M
Vaccine: DTAP, IPV
Symptoms: Oedema
Clinical narrative: Right arm swollen and red. Went to urgent care. Dr wanted to start Keflex. Parents decided to wait. Improved by 03/01/2005.
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Injection site erythema, Pharyngolaryngeal pain, Pyrexia, Tenderness
Clinical narrative: Fever, diarrhea, sore throat, along with redness, swelling and tenderness at the injection site. Pt put on Zyrtec 10mg PO x 7 days. Still has redness and tender.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Pruritus, Rash maculo-papular, Viral infection
Clinical narrative: Vaccine breakthrough. Seen in our office 2/28/05 with fever and rash onset 2/26/05. Had maculo papular rash head to toe. Over 200 lesions. Also about 10 vesicles, itchy. All lesions scabbed by 3/2/05. Diagnosed by PNP with varicella at visit.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chills, Convulsion, Pyrexia
Clinical narrative: Mother took pt to the ER for questionable fever of 103 and chills. ER assessed the baby to be at normal temp. Blood and urine tested results were negative. Questionable chills vs. seizure. Temp taken at home was axillary.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dehydration, Pyrexia, Stupor
Clinical narrative: Extreme weakness, fever (104.4F), altered mental status, dehydration. Happened at 1400 and released from hospital after receiving IV fluids and Motrin at 1930. Told to get rest and hydrate and call if any problems.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Hyperhidrosis, Injection site mass, Injection site pain
Clinical narrative: I was PPV vaccinated on 03/01/05 at 3PM. I had a hard sore arm all evening. After going to bed at 12PM I had the shakes for 3 hrs. When I got up in the AM I had sweats and body aches and weak. Missed work.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia
Clinical narrative: I was PPV vaccinated on 03/01/05 at 3PM. I had a hard sore arm all evening. After going to bed at 12PM I had the shakes for 3 hrs. When I got up in the AM I had sweats and body aches and weak. Missed work.
Age: 60.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Hypoaesthesia, Pain, Swelling face, Tongue oedema
Clinical narrative: Tingling in face, swelling of face and tongue. Tongue was sore. Went to Dr and got shots and take antihistamine. Recovered patient states no, face feels semi numb.
Age: 60.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Dysgeusia, Erythema, Face oedema, Injection site hypersensitivity, Oedema peripheral
Clinical narrative: Tingling in face, swelling of face and tongue. Tongue was sore. Went to Dr and got shots and take antihistamine. Recovered patient states no, face feels semi numb.
Age: 60.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Rash pruritic
Clinical narrative: Tingling in face, swelling of face and tongue. Tongue was sore. Went to Dr and got shots and take antihistamine. Recovered patient states no, face feels semi numb.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective
Clinical narrative: Clinical Varicella(chicken pox) infection-mild after receiving Varivax in 07/1998.
Age: 1.07
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash vesicular
Clinical narrative: Possible chicken pox, rash x 2 days vesicular rash with erythermatous halo consistent with varicella.
Sex: M
Vaccine: DTAPHEPBIP, HBHEPB, PNC
Symptoms: Screaming
Clinical narrative: Persistant Crying
Age: 1.36
Sex: M
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Broke out in rash all over body 03/01/2005. Was seen in office 03/02/2005 diagnosed with Chicken Pox break.
Age: 0.88
Sex: M
Vaccine: DTAP
Symptoms: Drug ineffective
Clinical narrative: Physician dx pertussis. Pediatric pulmonologist Hospital states Classic signs and symptoms of pertussis. Zithromax given by pediatrician 2 weeks prior to referral to pulmonologist.
Age: 28.0
Sex: F
Vaccine: JEV
Symptoms: Injection site erythema, Pruritus, Throat tightness
Clinical narrative: Had local redness about 2 inches and itching and tightness in her throat relieved by Benadryl.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Patient broke out in a rash two days after administration of the vaccines. She had no fever, dyspnea or apneic episodes. Describes rash as macular papular reddish over arms and legs, not hive like in appearance, accompanied by itching. Antihistamine prescribed on 02/11/05.
Age: 27.0
Sex: M
Vaccine: HEPA, IPV, TYP
Symptoms: Rash papular
Clinical narrative: Rash on neck for several months and spreading. Also rash on torso and arms for 4 days, slight itchy. Tiny bumps on arms for 4 days, no fever. Referred to health center for evaluation. Not sure rash related to immunizations.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Child started crying 45 minutes after vaccine administration. Screamed unconsolably for 3 hours. Mother gave motrin which didn't help. Child finally cried himself to sleep.
Age: 33.0
Sex: M
Vaccine: YF
Symptoms: Hypersensitivity, Injection site erythema, Injection site hypersensitivity, Pruritus, Rash pruritic
Clinical narrative: Had the allergic reaction within 4-6 hours after receiving the yellow fever vaccine. Started with redness and itchiness to injection site. Pruritic rash spreads to the arms, back, trunk and some to the lower leg overnight.  He took Benadryl 25mg tablet 3x/day, and applied Benadryl cream to the affected area on 24 Feb. 05  with no improvement. On 25 Feb. 2005, he reported the reaction and was assessed . He was given Benadryl 50mg IM stat,prescribed with Medrol pack 4mg #21 tabs to use as directed, and to continue taking Benadryl 50mg 1 tab. 3X/day. Staff to be followed up in 5 days. Patient stated that he's not allergic to eggs, and claimed he's  been eating a lot of eggs lately since he started the Atkins diet. A UN physician reported the incident to Aventis Pasteur and spoke with a doctor.  We were informed that the allergic reaction is most likely be due on the gelatin component of the vaccine. Staff member reported improvement of the rash in 2 days, and rash completely cleared out on the 3rd day since the start of treatment of Medrol.
Age: 0.52
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: 3-18-04, received call from Mom indicating infant was very fussy and temp. of 104 F was continuing.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Facial palsy
Clinical narrative: Received HBV and HAV on 1/28/05. Developed spontaneous Bell's palsy during the first week of March, 2005.
Age: 1.31
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Head to toe hives (bright red) with more hives in the area (right thigh) the shot was given.  They started about 6-8 hours after the injection and most were gone by the next morning.  A few lasted around his right thigh for a few more days.
Age: 0.15
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia
Clinical narrative: Hypotonia noticable within about 6 hours of shots, within 18 hours muscle tone at the worst, a few days later muscle tone slowly started to recover.  Antibiotics and acyclovir given as a precaution for the first 48 hours, when all test results came back negative medications discontinued.  No other treatments given.  Stayed in hospital approximately 4 days until he seemed stable and not getting worse. 60 Day Follow up: One of the neuro pediatricians theorized he had a bad reaction from the immunizations because since I have lupus he was born with some bad antibodies from me and maybe those w/ the immunizations were too much for his system.
Age: 1.54
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: 5-6 vesicular lesions on truck. Treat with Benadryl. Full recovery expected.
Age: 57.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Erythema, Injection site induration
Clinical narrative: 2 3/4 cm erythema and induration.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Lumbar puncture, Multiple sclerosis, Nuclear magnetic resonance imaging brain, Vaccination complication
Clinical narrative: Adverse reaction to Hepatitis B vaccination. Within one week, was feeling weak and experiencing many MS like symptoms. Continued for many months. Was hospitalized at beginning of October for IGG treatment and continuing to receive on a monthly basis. Have now been diagnosed with Multiple Sclerosis.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema
Clinical narrative: Mother called had firm erythematous area over site of injection. Local reaction.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Nausea, Pyrexia
Clinical narrative: Fever 103 degrees Fahrenheit, nausea, reddened erythematous area 2cm in diameter at injection site on right thigh. Ongoing.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Hyperhidrosis, Respiratory rate increased
Clinical narrative: Employee presented to employee health department after receiving the hep b immunization 2 1/2 hours prior complaining of dizziness/ lightheadeness. Sweaty and breathing faster after watching her in our off for about an hour symptoms resolved and there were no other problems or symptoms since,
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: PT received Pneumovax on left thigh dim on 02/17/2003. Mom called stating 02/17/2005 pt lrg swollen, red, and pt could not walk.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Injection site erythema, Swelling
Clinical narrative: Patient received Pneumovax 0.5cc IM in right arm on 02/17/2005 at 12:20PM. Mom called stating patient visited the emergency room on 02/17/2005 because of arm swelling and redness with weakness.
Age: 42.0
Sex: F
Vaccine: RAB
Symptoms: Blood pressure increased, Dizziness, Dry mouth, Syncope vasovagal, Vision blurred
Clinical narrative: S: Pt states blurred vision after administration of Rabies Vaccine lot#340011 on 10/Mar/05 approximately; 10 minutes afterwards.  Pt also states she had symptoms of dry mouth.  Prior to this event on (16 Feb 05), patient displayed symptoms of possible Vasovagal reaction and was treated with B/P monitoring with evidence of slight elevated B/P, lower extremities were elevated, and released without any complications after drinking water and eating some sweet snacks.  On 16 Feb 05 & 24 Feb 05, similar symptoms of blurred vision/dry mouth w/onset of sxs in 10 minutes, increasing with severity of blurred vision then decreasing in severity later in the evening.  Pt denies loss of total eyesight or vision.  Pt staes she has a "foggy eyesight" when focusing and feels light-headed.  Pt is able to read.  I informed the patient today that it is important to inform medical staff of adverse/abnormal reactions as soon as they occur and that we will be discontinuing the Rabies vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LEFT THIGH SWOLLEN, RED, HOT TO TOUCH.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Balance disorder, Chest pain, Clumsiness
Clinical narrative: Patient had been in his usual health when he received his primary anthrax vaccination on 03 September 1998. After that time, he started having vague symptoms of weight loss, heartburn, fatigue, joint pain (mainly in his knees), muscle twitches and generally did not feel well following each anthrax vaccination. He states that his symptoms would come and go, however he feels that his overall physical condition has declined over the period time of time that he received the vaccinations and has continued to decline to this date. He did not seek medical attention until March 2004. He states that he pushed on, but he noticed that he was getting progressively worse physical injuries due to his physical weakness. He deployed in March 2004. He states that while deployed, he became "clumsy". He states that he had, and still has, problems with feeling imbalanced. He has suffered ankle injuries secondary to his imbalance problem. He was fired from his job because he was unable to make his meetings in the morning (his symptoms are worse at that time of day). During his deployment he states that he would experience "pins and needles" sensation in his arms and legs and his arms would fall asleep easily from his elbow down to his hand including only the 3-5 digits. He continues to have some of these same symptoms but states that they are milder in intensity. Currently he complains of morning stiffness, nausea, fatigue and does not feel rested upon waking. It takes him 1-2 hours to get going in the morning. On weekends he sleeps late and takes naps, as well as retiring early. He has "twitching' in his muscles worse in his lower extremities. He also complains of sporadic muscle fasciculations in his muscles, but is almost constant in his lower extremities. He also had pain intermittently in his bilateral arm pits. He has tinnitus that sometimes "drowns out" what he is listening to. He is also experiencing headaches that have had associated symptoms of cloudy vision in his left eye and light shards in the right eye. He often gets the headaches when his tinnitus is at its loudest. Occasionally he experiences numbness in his arms and legs in association with headaches. The headaches resolve on their own. He complains of cognitive problems, including short term memory loss. He feels that this was one the earliest symptoms he exhibited. He states that he thought he was developing a learning disorder. He also states that he had slurred speech. He states that he feels like he has a "disconnect" between what he wants to say and what comes out. He gets disoriented easily, for example gets lost in buildings and even parking lots. Addendum 1 Mar 2005: This service member is being evaluated for atypical chest wall pain with reflux disease and other gastrointestinal complaints Jan-Feb 2005. He is pending rheumatology and dermatology evaluations.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Cognitive disorder, Dysarthria, Dyspepsia, Fatigue, Gastrointestinal disorder
Clinical narrative: Patient had been in his usual health when he received his primary anthrax vaccination on 03 September 1998. After that time, he started having vague symptoms of weight loss, heartburn, fatigue, joint pain (mainly in his knees), muscle twitches and generally did not feel well following each anthrax vaccination. He states that his symptoms would come and go, however he feels that his overall physical condition has declined over the period time of time that he received the vaccinations and has continued to decline to this date. He did not seek medical attention until March 2004. He states that he pushed on, but he noticed that he was getting progressively worse physical injuries due to his physical weakness. He deployed in March 2004. He states that while deployed, he became "clumsy". He states that he had, and still has, problems with feeling imbalanced. He has suffered ankle injuries secondary to his imbalance problem. He was fired from his job because he was unable to make his meetings in the morning (his symptoms are worse at that time of day). During his deployment he states that he would experience "pins and needles" sensation in his arms and legs and his arms would fall asleep easily from his elbow down to his hand including only the 3-5 digits. He continues to have some of these same symptoms but states that they are milder in intensity. Currently he complains of morning stiffness, nausea, fatigue and does not feel rested upon waking. It takes him 1-2 hours to get going in the morning. On weekends he sleeps late and takes naps, as well as retiring early. He has "twitching' in his muscles worse in his lower extremities. He also complains of sporadic muscle fasciculations in his muscles, but is almost constant in his lower extremities. He also had pain intermittently in his bilateral arm pits. He has tinnitus that sometimes "drowns out" what he is listening to. He is also experiencing headaches that have had associated symptoms of cloudy vision in his left eye and light shards in the right eye. He often gets the headaches when his tinnitus is at its loudest. Occasionally he experiences numbness in his arms and legs in association with headaches. The headaches resolve on their own. He complains of cognitive problems, including short term memory loss. He feels that this was one the earliest symptoms he exhibited. He states that he thought he was developing a learning disorder. He also states that he had slurred speech. He states that he feels like he has a "disconnect" between what he wants to say and what comes out. He gets disoriented easily, for example gets lost in buildings and even parking lots. Addendum 1 Mar 2005: This service member is being evaluated for atypical chest wall pain with reflux disease and other gastrointestinal complaints Jan-Feb 2005. He is pending rheumatology and dermatology evaluations.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Injury, Laboratory test abnormal, Malaise, Muscle contractions involuntary
Clinical narrative: Patient had been in his usual health when he received his primary anthrax vaccination on 03 September 1998. After that time, he started having vague symptoms of weight loss, heartburn, fatigue, joint pain (mainly in his knees), muscle twitches and generally did not feel well following each anthrax vaccination. He states that his symptoms would come and go, however he feels that his overall physical condition has declined over the period time of time that he received the vaccinations and has continued to decline to this date. He did not seek medical attention until March 2004. He states that he pushed on, but he noticed that he was getting progressively worse physical injuries due to his physical weakness. He deployed in March 2004. He states that while deployed, he became "clumsy". He states that he had, and still has, problems with feeling imbalanced. He has suffered ankle injuries secondary to his imbalance problem. He was fired from his job because he was unable to make his meetings in the morning (his symptoms are worse at that time of day). During his deployment he states that he would experience "pins and needles" sensation in his arms and legs and his arms would fall asleep easily from his elbow down to his hand including only the 3-5 digits. He continues to have some of these same symptoms but states that they are milder in intensity. Currently he complains of morning stiffness, nausea, fatigue and does not feel rested upon waking. It takes him 1-2 hours to get going in the morning. On weekends he sleeps late and takes naps, as well as retiring early. He has "twitching' in his muscles worse in his lower extremities. He also complains of sporadic muscle fasciculations in his muscles, but is almost constant in his lower extremities. He also had pain intermittently in his bilateral arm pits. He has tinnitus that sometimes "drowns out" what he is listening to. He is also experiencing headaches that have had associated symptoms of cloudy vision in his left eye and light shards in the right eye. He often gets the headaches when his tinnitus is at its loudest. Occasionally he experiences numbness in his arms and legs in association with headaches. The headaches resolve on their own. He complains of cognitive problems, including short term memory loss. He feels that this was one the earliest symptoms he exhibited. He states that he thought he was developing a learning disorder. He also states that he had slurred speech. He states that he feels like he has a "disconnect" between what he wants to say and what comes out. He gets disoriented easily, for example gets lost in buildings and even parking lots. Addendum 1 Mar 2005: This service member is being evaluated for atypical chest wall pain with reflux disease and other gastrointestinal complaints Jan-Feb 2005. He is pending rheumatology and dermatology evaluations.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle twitching, Musculoskeletal stiffness, Nausea, Pain, Paraesthesia
Clinical narrative: Patient had been in his usual health when he received his primary anthrax vaccination on 03 September 1998. After that time, he started having vague symptoms of weight loss, heartburn, fatigue, joint pain (mainly in his knees), muscle twitches and generally did not feel well following each anthrax vaccination. He states that his symptoms would come and go, however he feels that his overall physical condition has declined over the period time of time that he received the vaccinations and has continued to decline to this date. He did not seek medical attention until March 2004. He states that he pushed on, but he noticed that he was getting progressively worse physical injuries due to his physical weakness. He deployed in March 2004. He states that while deployed, he became "clumsy". He states that he had, and still has, problems with feeling imbalanced. He has suffered ankle injuries secondary to his imbalance problem. He was fired from his job because he was unable to make his meetings in the morning (his symptoms are worse at that time of day). During his deployment he states that he would experience "pins and needles" sensation in his arms and legs and his arms would fall asleep easily from his elbow down to his hand including only the 3-5 digits. He continues to have some of these same symptoms but states that they are milder in intensity. Currently he complains of morning stiffness, nausea, fatigue and does not feel rested upon waking. It takes him 1-2 hours to get going in the morning. On weekends he sleeps late and takes naps, as well as retiring early. He has "twitching' in his muscles worse in his lower extremities. He also complains of sporadic muscle fasciculations in his muscles, but is almost constant in his lower extremities. He also had pain intermittently in his bilateral arm pits. He has tinnitus that sometimes "drowns out" what he is listening to. He is also experiencing headaches that have had associated symptoms of cloudy vision in his left eye and light shards in the right eye. He often gets the headaches when his tinnitus is at its loudest. Occasionally he experiences numbness in his arms and legs in association with headaches. The headaches resolve on their own. He complains of cognitive problems, including short term memory loss. He feels that this was one the earliest symptoms he exhibited. He states that he thought he was developing a learning disorder. He also states that he had slurred speech. He states that he feels like he has a "disconnect" between what he wants to say and what comes out. He gets disoriented easily, for example gets lost in buildings and even parking lots. Addendum 1 Mar 2005: This service member is being evaluated for atypical chest wall pain with reflux disease and other gastrointestinal complaints Jan-Feb 2005. He is pending rheumatology and dermatology evaluations.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Tinnitus, Visual disturbance, Weight decreased
Clinical narrative: Patient had been in his usual health when he received his primary anthrax vaccination on 03 September 1998. After that time, he started having vague symptoms of weight loss, heartburn, fatigue, joint pain (mainly in his knees), muscle twitches and generally did not feel well following each anthrax vaccination. He states that his symptoms would come and go, however he feels that his overall physical condition has declined over the period time of time that he received the vaccinations and has continued to decline to this date. He did not seek medical attention until March 2004. He states that he pushed on, but he noticed that he was getting progressively worse physical injuries due to his physical weakness. He deployed in March 2004. He states that while deployed, he became "clumsy". He states that he had, and still has, problems with feeling imbalanced. He has suffered ankle injuries secondary to his imbalance problem. He was fired from his job because he was unable to make his meetings in the morning (his symptoms are worse at that time of day). During his deployment he states that he would experience "pins and needles" sensation in his arms and legs and his arms would fall asleep easily from his elbow down to his hand including only the 3-5 digits. He continues to have some of these same symptoms but states that they are milder in intensity. Currently he complains of morning stiffness, nausea, fatigue and does not feel rested upon waking. It takes him 1-2 hours to get going in the morning. On weekends he sleeps late and takes naps, as well as retiring early. He has "twitching' in his muscles worse in his lower extremities. He also complains of sporadic muscle fasciculations in his muscles, but is almost constant in his lower extremities. He also had pain intermittently in his bilateral arm pits. He has tinnitus that sometimes "drowns out" what he is listening to. He is also experiencing headaches that have had associated symptoms of cloudy vision in his left eye and light shards in the right eye. He often gets the headaches when his tinnitus is at its loudest. Occasionally he experiences numbness in his arms and legs in association with headaches. The headaches resolve on their own. He complains of cognitive problems, including short term memory loss. He feels that this was one the earliest symptoms he exhibited. He states that he thought he was developing a learning disorder. He also states that he had slurred speech. He states that he feels like he has a "disconnect" between what he wants to say and what comes out. He gets disoriented easily, for example gets lost in buildings and even parking lots. Addendum 1 Mar 2005: This service member is being evaluated for atypical chest wall pain with reflux disease and other gastrointestinal complaints Jan-Feb 2005. He is pending rheumatology and dermatology evaluations.