chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Joint stiffness
Clinical narrative: JOINT PAIN-ALL JOINTS (ALTHRALGIA, ARTHRALGIA). JOINT STIFFNESS/JOINT DISORDER. PAIN AT SITE OF INJECTION. SWELLING AT SITE OF INJECTION. INJECTION SITE EDEMA. A report was received from a health care professional on 28 October 2003 concerning a 39 year old female vaccinee who experienced pain and swelling at the site of injection on the same day of receiving Fluvirin and pain in all of her joints and joint stiffness 2 days after receiving Fluvirin on 23 October 2003. On 23 October 2003, the vaccinee experienced pain and swelling at the site of inject on which continued until the next day. On 25 October 2003, the vaccinee experienced pain in all her joints (including her toes), and joint stiffness. The reporter indicated that the vaccinee has received influenza vaccines annually for the past 11 years and has not experienced this type of adverse reaction. At the time of reporting the vaccines had not recovered. The vaccinee plans to be evaluated by her physician. There was insufficient information to determine the reporter's causality assessment. Update 1, 09 January 2004: Futher information was received from a health care professsional indicating that the vaccinee experienced joint pain ina ll her joints on 24 October 2003 after receiving Flurin on 22 October 2003. The joint pain made it difficult for the vaccinee to move. The vaccinee had no relief despite treatment with ibuprofen following one week without improvement and off work the vaccinee consulted her physician who prescribed 40 mg daily of prednisone for 5 days. The vaccinee started to improve within 2 days. However, two weeks later the vaccinee still had some joint pain in her arms, shoulders and hands. The vaccinee recovered in an unspecified date The reporter has asssesed the relationship of the vaccine to the joint pain as probable. Update 2, 07 April 2001: Following medical review this case was upgraded to serious in view of the nature and persistence of the joint pain and stiffness, the lack of response to NSAID and the requirement for prednisoe. Follow up pending.  Follow up on 07/19/04 states: "The reporter confirms that the joint pain and stiffness started on 10/23/03 and had resolved by 12/01/03. The vaccinee had consulted her physician, has stayed off work for one week and had taken corticosteroids to decrease the pain. She had received influenza vaccines previously, but had not experienced any problems before. The reporter considers the events probably related to Fluvirin. No further information is expected."
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Swelling
Clinical narrative: Swelling right deltoid. 4cmx4cm. Area warm to touch. ROM of right arm intact. Right radial pulse 2+. Fingers warm and pink cap refill<2sec swelling occurred within 24 hours inst warm compress with Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right shoulder red, warm to touch, swollen 22cmx12cm. Currently taking on 4/17/04 Augmentin and Benadryl
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Swelling, Tenderness
Clinical narrative: Post injection soreness in left arm. No fever, warm, red. Baseball size swelling.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Oedema, Pain, Pyrexia, Swelling, Tenderness
Clinical narrative: 4/3/04 noted swelling, soreness at affected site by midday shooting pain into brachia plexus, as day went along became more difficult to move left arm, measured temperature at 99.5 degrees. 4/4/04 pain continued in brachial plexus noted. Golf ball size lump in the left deltoid, no fever. 4/5/04 and 4/6/04 taking tylenol 510mgm Bid which resulted in 50% less pain in brachial plexus.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Insomnia, Malaise, Nausea, Vomiting
Clinical narrative: #2 Hepatitis B vaccine received on 4/5/2004. 4/7/2004 reported insomnia-general malaise. 4/9/2004 nauseated, vomiting, dizziness
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Injection site reaction, Swelling
Clinical narrative: Swelling, erythema cellulitis within 24hours. Erythema spreading. Prescribed Augmentin.
Age: 1.75
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right thigh- 7x7 cm area of erythema and edema where DPTA was given on 4/13/04. Saw patient 4/14/04. No systemic reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema
Clinical narrative: 8x8 cm erythema and edema right upper arm. Seen on 4/14/04. DPT-A given. Shot given 4/13/04. No systemic reaction.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Crying, Cyanosis, Respiratory arrest
Clinical narrative: Tuesday April 13, 2004 at 9:30 pm infant stopped breathing for 15-20sec. This kept occurring every 5 mins for 1 hour with duration of apnea decreasing as the hour passed. Crying in between. No fever. Cyanotic lips during apnea.
Age: 17.0
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Pt received MMR on 3/23/04. He reports that rash on his right lower abdomen (approx. 3" x 1") and small area on mid-back appeared suddenly on 3/27/04. Reports rash does not itch. Pt to go see MD today or tomorrow.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Marked redness 1.5x2.5 inches redness and induration of left upper arm at the site of DTaP and IPV injection.
Age: 5.4
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site mass, Pruritus
Clinical narrative: Arm got hot, itchy and hard lump, redness up to shoulder 3" diameter.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Left thigh red, hot and swollen. Also complained of itching. Referred to doctor.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Pyrexia, Rash vesicular
Clinical narrative: Pt diagnosed with mild case of varicella on 4/5/04 in office. Broke out with rash/ bump late sat 4/3/04 afternoon, fever, itching. Treated with calamine lotion and benadryl by mouth as needed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Rash erythematous, Tenderness
Clinical narrative: 7X7CM erythematous rash to right anterior thigh. Warm to touch, slightly tender. Firm to center area. Treated with augmentin ES 600/5u 1.5tsp po bid x 7 days.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying
Clinical narrative: 720 persistent high pitched screaming-up to 45 minute stretches. No fever.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Irritability, Otitis media, Pyrexia, Screaming
Clinical narrative: DAPT given in left thigh and Comvax given in left thigh on 3/22/04. Non stop crying soon after vaccines given- marked irritability on 3/23/04, developed fever 101.7. No relief in irritability with Tylenol or Ibuprofen. Fine by 3/25/04. Seen 3/21/04 and diagnosed with O.M. Seen by me 3/25/04. TMs clear
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Mother states baby developed rash on her trunk and left leg with huge red welts--rash lasted 4 days. Mom states there was no fever.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Diarrhoea, Hepatitis C virus, Pruritus, Rash, Rash macular
Clinical narrative: Noticed when took off shoes at 8pm feet very itchy and blotchy. Rash spread and at 11pm broke out in hives. Went to ER given IV Benadryl and sent home with script he didn't fill. Uses 25mg Benadryl with relief till wears off. was on day 8 of Leavaquin prescription for diverticulosis which was stopped. Itching continues if doesn't take benadryl. Also had diarrhea x 5 days. Follow up 6/2004: No further information reported.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Noticed when took off shoes at 8pm feet very itchy and blotchy. Rash spread and at 11pm broke out in hives. Went to ER given IV Benadryl and sent home with script he didn't fill. Uses 25mg Benadryl with relief till wears off. was on day 8 of Leavaquin prescription for diverticulosis which was stopped. Itching continues if doesn't take benadryl. Also had diarrhea x 5 days. Follow up 6/2004: No further information reported.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site induration, Pruritus, Swelling
Clinical narrative: Right thigh-softball sized area of pruritic erythema, induration, swelling, pruritis
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Hepatitis B vaccine administered 3/23/04, three days later developed severe rash on thighs, legs with urticaria. Treated with Clarinex, Atarax and Benadryl. Area treated with Lidex topical cream.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: No adverse events. No treatment.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Pruritus, Urticaria
Clinical narrative: Received DTaP 4/10/04. Had nickel size erythematous area around injection site after returning home after appt. (per mom) child complains of itching at site. Two days later when mom next looked at site erythematous area was 14 cm in length & 11 cm width. Child had complained of itching for 2 days. Seen at office & measured erythematous wheal/ urticaria warm to touch. Still has wheal otherwise ok.
Age: 69.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Cellulitis
Clinical narrative: Left arm cellulitis.
Age: 1.25
Sex: M
Vaccine: DTAPH
Symptoms: Cellulitis, Insomnia, Irritability, Oedema, Pain
Clinical narrative: Got (DAPT- Hib) in left arm 4/6/04 approximately 11:30 am. By that evening was markedly irritable, unable to sleep, complaining at arm pain. 4/7/04 awake with progressive swelling of left upper arm eventually extending from shoulder- elbow, painful to touch. Temp -99 went to patient first 4/7/04 pm- started on Zithromax for possible cellulitis.
Age: 1.25
Sex: M
Vaccine: DTAPH
Symptoms: Pyrexia
Clinical narrative: Got (DAPT- Hib) in left arm 4/6/04 approximately 11:30 am. By that evening was markedly irritable, unable to sleep, complaining at arm pain. 4/7/04 awake with progressive swelling of left upper arm eventually extending from shoulder- elbow, painful to touch. Temp -99 went to patient first 4/7/04 pm- started on Zithromax for possible cellulitis.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Decreased appetite, Erythema, Injection site oedema, Malaise
Clinical narrative: Swelling of side of injection no fever. Baby became less playful decreasing appetite. Swelling and erythema was during more than 10 days. CBC was done on 3/27/04 WBC 14.5. Amoxicillin 200 mg Pr was ordered, but parents refused to give to the baby.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Epilepsy, Pyrexia
Clinical narrative: Infant diagnosed with benign neonatal epilepsy age 3 wks Got 1st set of vaccines 11/19/04- Had temp to 102 degrees but no increased seizure activity. With 2nd set of vaccines developed prolonged seizure activity starting 10 hrs after vaccine 4-5 seizure 10-15 min Temp 102.5.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Left arm red, swollen between shoulder & elbow starting 2 days after vaccination site of MMR on right arm also red 2 1/2 inch circumference. Seen in clinic on 3/30/04 at which time the reaction was reported to immunization nurse. Doctor states she contacted PMD's office on 3/29 and was told to give antihistamine. Doctor advised 3/30 to offer Tylenol & cold compresses & to contact PMD if symptoms worsen or do not resolve in next 24 hours. Telephone call to doctor left arm has returned to normal. Some redness at MMR site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Oedema
Clinical narrative: Child developed large area of redness around site of injection (5 cm) 2 days after injection. Swelling of arm but no fever, no pain, no induration, no discharge.
Age: 61.0
Sex: F
Vaccine: HEPAB
Symptoms: Feeling hot, Urticaria
Clinical narrative: 2nd Twinrix given 4-14-04. After which she noted warm, raised pink hives size of quarter that evening & remembered she had seen sized hives after 1st shot 4-15-04 spoke to doctor who advised Benadryl PO & ice. 4-17 returned to office as instructed & seen by doctor, confined to left upper arm area 2 inch x 5 inch given 20 mg Prednisone three times- took daily complete by 4-19-04.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Cellulitis, Contusion, Erythema
Clinical narrative: Increasing erythema to 6 cm cellulitis with ceratiol brusing.
Age: 4.58
Sex: M
Vaccine: DTAP, MMR
Symptoms: Oedema
Clinical narrative: 4/12/04 given DTaP 0.5 cc left deltoid, MMR 0.5 cc right deltoid, PPD 0.1 cc left arm. 4/14/04 9x9 swelling, no redness left arm. Treated with Benadryl.
Age: 1.67
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: 4-1-04 pt given DTaP right thigh. 4-2-04 right leg 12 x 10 cm redness and swelling. Was sent to urgent care, due to no doctor in our office.
Age: 4.42
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: 04-06-04 given DTaP and IPV left thigh. 4-7-04 left thigh 9 cm x 11 cm redness and swelling given Motrin and Cephalexin 250 mg/ml 3/4 tsp. 4-8-04 13 x 11 cm redness and swelling. Prescription Rocephin 1 gm IM. 4-12-04 redness & swelling resolved.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea, Headache, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Used albuterol inhaler- didn't help. Received Hep B immz. at 3:00 pm 4/14/04 at 1 am, 4/15/04 complains of SOB, chest pain, runny nose, headache & slight sore throat. EMT's came & found no reason to transport to hospital. Took to doctor 4/15/04.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash
Clinical narrative: 4/15/04- developed rash & blisters.
Age: 31.0
Sex: F
Vaccine: MMR, TD
Symptoms: Ear pain, Lacrimation increased, Paralysis
Clinical narrative: Received Td, MMR, and Tb skin test on 12-1-03 at approximately 4 pm. Pt. stated at approx. 5 pm her right eye began to water. By 6 pm the right side of face was palsy stricken with severe ear ache.
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Influenza like illness, Lethargy, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, weak feeling, red & left arm swollen- 104 degree temp (flu like symptoms).
Age: 51.0
Sex: F
Vaccine: RAB
Symptoms: Oedema, Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, weak feeling, red & left arm swollen- 104 degree temp (flu like symptoms).
Age: 20.0
Sex: F
Vaccine: HEPA, IPV, TYP, YF
Symptoms: Urticaria
Clinical narrative: From initial information received on 4/14/04 from a health care professional regarding an adverse event, it was reported that a 20 year old female patient received a Yellow Fever vaccination, lot number UB492AA, a TYPHIM vaccination, lot number W0909, an IPOL vaccination, lot number W0460 and a VAQTA vaccination, lot number 1165N (no routes and sites of administration reported), on 4/12/04. Two hours after receiving the vaccination the patient broke out with hives on her face, neck and upper lip. She denied having dyspnea or tightness in chest. She went to the emergency room where she was given IV Benadryl and decadron. The hives resolved in minutes after receiving the medication. No other information was provided. The patient recovered from this event. From additional information received on 28Apr04 from a telephone contact with the reporter, it was reported that the pt had environmental allergies, but no egg allergies. It was also reported that this pt had received previous doses of every vaccine except for the Yellow Fever vaccine. The pt recovered. No additional information is expected, this case is considered closed.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Pain
Clinical narrative: Cried for 6 hours straight with a painful cry. Unrelieved with Tylenol or holding. Would fall asleep and wake again with same cry.
Age: 1.3
Sex: M
Vaccine: MMR, MMR
Symptoms: Agitation, Convulsion, Cyanosis, Hypotonia, Pyrexia
Clinical narrative: Low grade fever began on April 2 without any other indication of illness.  On April 4 fever spiked from 99 to 103.5 within 3 hours.  The high fever caused a seizure which resulted in hospitalization.  Tylenol and Motrin was used to bring the fever down. Nurse follow up on 06/28/04 states: "Review of hospital d/c summary confirms final diagnosis of febrile seizure (already coded). Additionally it was noted that child's body went limp (hypotonia) and he was cyanotic (CYANOSIS) for about 1 minute. In hospital he was described as irritable (agitation) when not sleeping. Please add 2nd diagnosis of viral illness (INFECT VIRAL)."
Age: 1.3
Sex: M
Vaccine: MMR, MMR
Symptoms: Viral infection
Clinical narrative: Low grade fever began on April 2 without any other indication of illness.  On April 4 fever spiked from 99 to 103.5 within 3 hours.  The high fever caused a seizure which resulted in hospitalization.  Tylenol and Motrin was used to bring the fever down. Nurse follow up on 06/28/04 states: "Review of hospital d/c summary confirms final diagnosis of febrile seizure (already coded). Additionally it was noted that child's body went limp (hypotonia) and he was cyanotic (CYANOSIS) for about 1 minute. In hospital he was described as irritable (agitation) when not sleeping. Please add 2nd diagnosis of viral illness (INFECT VIRAL)."
Age: 1.3
Sex: M
Vaccine: MMR, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Low grade fever began on April 2 without any other indication of illness.  On April 4 fever spiked from 99 to 103.5 within 3 hours.  The high fever caused a seizure which resulted in hospitalization.  Tylenol and Motrin was used to bring the fever down. Nurse follow up on 06/28/04 states: "Review of hospital d/c summary confirms final diagnosis of febrile seizure (already coded). Additionally it was noted that child's body went limp (hypotonia) and he was cyanotic (CYANOSIS) for about 1 minute. In hospital he was described as irritable (agitation) when not sleeping. Please add 2nd diagnosis of viral illness (INFECT VIRAL)."
Age: 1.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: 4 days after getting MMR and IPV, pt had fever for a day, then 9 days after MMR and IPV pt got fever again and acute redness of right cheek.  When I saw pt, I was concerned about facial cellulitis, given pt's fever, the redness of the cheek and how much hotter it was than the other side.  The redness was in the belly of the cheek and did not seem to be located over the parotid.  A CBC showed a normal WBC of 6.7 with 52% lymphs and 15% atypicals lymphs and 2% blasts.  I put the child on Augmentin.  The next day, I saw the patient and he had no swelling of the cheek at all, the warmth and redness were also gone.  A repeat CBC was WBC 7.3, 68% lymphs, no atypicals or blasts.  This made a bacterial cause very unlikely.
Age: 1.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Eye movement disorder, High-pitched crying, Pyrexia, Tremor
Clinical narrative: Received MMR #1, DTaP #4, & Varicella at approximately 2:00 PM on 04-19-04.  No previous adverse reactions to vaccines.   No fever during the evening after receiving immunizations.  During the night at approximately 2-3 AM, infant was sleeping in his crib.  Dad noticed that infant made a loud squealing noise.  Infant was "shaking all over."  Lasted about 3 minutes then it stopped and infant went to sleep.  Was breathing OK.  Dad put infant in bed with parents.  This morning about 7:30 AM, infant's eyes rolled back in his head, started shaking all over, and got real stiff.  Shook for about 2 minutes. Went straight back to sleep.  Temp was 99.8 rectally at that time.  Was in a very, deep, deep sleep.  Breathing fine.   When child woke up a couple of hours later, he acted normal.  Eating fine.  A couple of times today child has made a "weird noise" and then will smack himself in the head.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: Infant found dead in bed 4/7/04. Autopsy investigation not complete.
Age: 1.5
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Cyanosis, Dehydration, Dermatitis, Erythema, Erythema multiforme
Clinical narrative: Patient woke up Wednesday 4/15/04, covered with red swollen blotches everywhere. Her temperature was 101 degrees. She was taken to see the doctor. He felt she may have been having a drug reaction to the penicillin shot she received 16 days earlier on 3/31/04. She was given a steroid to take at night and Zyrtec. Thursday morning, when she awoke, she was much worse. Her eyes, face, hands, and feet were extremely swollen. Her legs were blue and cold. Her temp was 102 degrees. Mom was told to stop her steroid and just take Zyrtec. By Thursday evening, her temp was 104 degrees and she traveled 80 miles to the ER. The staff there felt it was not a reaction to penicillin. Some of the staff felt it could be a side effect to the MMR she had on 4/6. Their next diagnosis was erythema multiforma. They sent her home with Benadryl only. On Friday, she started vomiting blood. She was extremely dehydrated and very lethargic. She again was taken to the ER and was given IV's and sent home. Saturday around 1 PM, she still hadn't eaten or drank any fluids. She was then admitted to the hospital and given IV's along with Zithromax, Benadryl, and a different steroid. By Sunday afternoon she was finally feeling better--drinking and eating. Monday her rash was gone and she was back to normal. Nurse follow up on 06/03/04 states: Complete. Nurse follow up on 05/17/04 states: " ADD: Urticaria, Dermatitis."
Age: 1.5
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Haematemesis, Lethargy, Oedema peripheral, Oral intake reduced, Peripheral coldness
Clinical narrative: Patient woke up Wednesday 4/15/04, covered with red swollen blotches everywhere. Her temperature was 101 degrees. She was taken to see the doctor. He felt she may have been having a drug reaction to the penicillin shot she received 16 days earlier on 3/31/04. She was given a steroid to take at night and Zyrtec. Thursday morning, when she awoke, she was much worse. Her eyes, face, hands, and feet were extremely swollen. Her legs were blue and cold. Her temp was 102 degrees. Mom was told to stop her steroid and just take Zyrtec. By Thursday evening, her temp was 104 degrees and she traveled 80 miles to the ER. The staff there felt it was not a reaction to penicillin. Some of the staff felt it could be a side effect to the MMR she had on 4/6. Their next diagnosis was erythema multiforma. They sent her home with Benadryl only. On Friday, she started vomiting blood. She was extremely dehydrated and very lethargic. She again was taken to the ER and was given IV's and sent home. Saturday around 1 PM, she still hadn't eaten or drank any fluids. She was then admitted to the hospital and given IV's along with Zithromax, Benadryl, and a different steroid. By Sunday afternoon she was finally feeling better--drinking and eating. Monday her rash was gone and she was back to normal. Nurse follow up on 06/03/04 states: Complete. Nurse follow up on 05/17/04 states: " ADD: Urticaria, Dermatitis."
Age: 1.5
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Peripheral vascular disorder, Pyrexia, Rash macular, Swelling, Urticaria
Clinical narrative: Patient woke up Wednesday 4/15/04, covered with red swollen blotches everywhere. Her temperature was 101 degrees. She was taken to see the doctor. He felt she may have been having a drug reaction to the penicillin shot she received 16 days earlier on 3/31/04. She was given a steroid to take at night and Zyrtec. Thursday morning, when she awoke, she was much worse. Her eyes, face, hands, and feet were extremely swollen. Her legs were blue and cold. Her temp was 102 degrees. Mom was told to stop her steroid and just take Zyrtec. By Thursday evening, her temp was 104 degrees and she traveled 80 miles to the ER. The staff there felt it was not a reaction to penicillin. Some of the staff felt it could be a side effect to the MMR she had on 4/6. Their next diagnosis was erythema multiforma. They sent her home with Benadryl only. On Friday, she started vomiting blood. She was extremely dehydrated and very lethargic. She again was taken to the ER and was given IV's and sent home. Saturday around 1 PM, she still hadn't eaten or drank any fluids. She was then admitted to the hospital and given IV's along with Zithromax, Benadryl, and a different steroid. By Sunday afternoon she was finally feeling better--drinking and eating. Monday her rash was gone and she was back to normal. Nurse follow up on 06/03/04 states: Complete. Nurse follow up on 05/17/04 states: " ADD: Urticaria, Dermatitis."
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylaxis in 12 minutes. Epi 2 times, Benadryl IM, Decadron PO, Albuterol MDI 4 times.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Complains of "heart pain", pointing to middle of chest, acted like it was hard to breathe at time. Instructed parents to try Tylenol or Ibuprofen; to take to ER if no relief in next 30-40 min, or if signs/symptoms return.
Sex: U
Vaccine: DTAP, MMR, VARCEL
Symptoms: Dehydration, Diarrhoea, Hypersensitivity, Hyponatraemia, Pyrexia
Clinical narrative: Vomiting, diarrhea, hives. Per medical record, pt experienced allergic reaction. Pt also experienced dehydration, hyponatremia, and fever.
Sex: U
Vaccine: DTAP, MMR, VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: Vomiting, diarrhea, hives. Per medical record, pt experienced allergic reaction. Pt also experienced dehydration, hyponatremia, and fever.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Pyrexia, Swelling, White blood cell count increased
Clinical narrative: Approximately 5 PM, patient developed left arm redness and swelling, fever, and chilling. Advised per MD to take Tylenol and Benadryl, which were ineffective and presented to ER with temperature of 101.5, WBC 15,000 with left shift.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Haematoma, Skin nodule
Clinical narrative: Pt received Flu vaccine on 10-8-03- Pt noticed knot and bruise on 10-10-03. Pt returned to health department on 11-10-03, bruise measured 1 1/2 inch long by 1 1/2 inch wide, hematoma 1 inch long by 1 inch wide.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Fatigue, Nausea, Vomiting
Clinical narrative: Sudden onset fatigue (total exhaustion) became nauseated & vomited 1 time. Mother states weakness/ exhaust for 4 days. Mother states PO (ASA) take after every shots (no other) treatment noted. Mother fully resolved without distress/ discomfort.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Pt had edema noted approx. 1 inch in width & approx 6 inch long (a strip) redness & minor itching noted. Lasted 3 days without pain noted; subsided after 3 days.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Anorexia, Hot flush, Nausea, Skin nodule, Vomiting
Clinical narrative: Nausea with vomiting; pt stated a "hot flushed feeling" decrease loss of appetite, approx 24 hours more or less induration. By Sunday pm pt fully recovered without distress/ discomfort noted. No treatment noted throughout cause of signs/symptoms.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Decreased appetite, Screaming
Clinical narrative: Not eating well. Crying on and off for 3 days. But she is better now.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Blister, Erythema, Pyrexia, Skin ulcer
Clinical narrative: Child with fever and blisters that started last night 9/24/03; as blisters popped areas were/are reddened and excoriated. Child sent to ER.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Feeling hot, Skin nodule, Tenderness
Clinical narrative: Left arm area hard, flat and size of egg. Warm to touch and tenderness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Hyperaesthesia, Injection site erythema, Injection site oedema
Clinical narrative: 4/15/04 left arm red swollen where shot given. On  4/17/04 monitor if worsen. Start 4/14/04- 5 x 3 3/4 cm red worse warm area on left deltoid are tender to touch- Treated for local cellulitis with Augmentin for 15 days.
Age: 0.25
Sex: M
Vaccine: IPV, PNC
Symptoms: Heart rate increased, Pyrexia, Tremor
Clinical narrative: 4/8/2004 0400 my son awoke with a fever of 101.6, a racing heart beat & tremors. Called doctor was advised to administer Tylenol. Baby had low grade fever through the morning.
Age: 1.25
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt had 4 x 4 cm redness in left deltoid area from where DTaP/hib combo was infected warm to touch. Mom was told to put ice on area & bring child back in if worsening symptoms no pain to area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Redness, warmth & swelling at injection site of left deltoid.
Age: 36.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Chills, Headache, Lethargy, Pyrexia
Clinical narrative: Signs: Fever, chills, lethargy & severe headache. Onset 6-8 hours after shots. Signs lasted 48-72 hours. Pt. self treated with Tylenol & Ibuprofen. All signs resolved completely.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 9 cm x 12 cm area of erythema left arm at site of deltoid IM injection. Area is warm, non tender.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: 10-2-3 onset of red circular rash with white center. Treat symptoms, watch for infection. Still with rash today.
Age: 1.92
Sex: F
Vaccine: HIBV, MMR
Symptoms: Agitation, Face oedema, High-pitched crying, Irritability, Pallor
Clinical narrative: Started on 2/28/04- 4/6/04: Irritable, High Pitched cry, Inconsolable, Face puffy, pale for 2 days, no fever.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Coordination abnormal, Movement disorder
Clinical narrative: Movement disorder- discoordination of movement. Unknown date of onset. Not noted at 2 mo. exam. Began prior to 4 mo. exam.
Age: 45.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Pyrexia, Stomach discomfort
Clinical narrative: 3/24/04 upset stomach for 1 1/2 days. 3/25/04 low grade fever. 3/26/04 started breaking out (vesicles). 3/30/04 started Acyclovir & Benadryl.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Palpitations
Clinical narrative: Heart palpatations dizziness. Heart cath, stress test, given ctapress, Topral XL. Symptoms started to increase on 7Mar03. Emergency room visit diagnosed with palpatations. Cardiology consult given. I ignored symptoms for about two weeks.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Large swelling and induration left upper thigh, site of DTAP booster injection.
Age: 8.0
Sex: M
Vaccine: DTPHIB, OPV, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Complaining of itching. Mother saw a few spots more spots/ bumps developed as week progressed. Mother brought child to see pediatrician 4/15/04pm.
Age: 1.7
Sex: M
Vaccine: DTAPHEPBIP, HBPV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Temperature on Monday-1 week later per mom 3-8-04. Rash-face, trunk and extremities on wednesday, 3/10/2004
Age: 4.5
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: Fever, redness to right deltoid 4cm x 6.5cm. Benadryl 1.5tsp TID x 3 days. Tylenol/ Advil
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Ear disorder, Headache, Pyrexia, Swelling
Clinical narrative: Pt states around 6:00 pm, he noticed swelling/ soreness/ fever in left arm distal vaccination site, states raise in temp to 103 degrees with N+Vx6, plus blood noted left ear. Pt stated he spoke with doctor by phone (primary physician). Took 2 Tylenol PO for pain/fever which helped. All day Sunday dizzy with headache and low grade temperature all symptoms 3 day in duration.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: Pt states around 6:00 pm, he noticed swelling/ soreness/ fever in left arm distal vaccination site, states raise in temp to 103 degrees with N+Vx6, plus blood noted left ear. Pt stated he spoke with doctor by phone (primary physician). Took 2 Tylenol PO for pain/fever which helped. All day Sunday dizzy with headache and low grade temperature all symptoms 3 day in duration.
Age: 1.5
Sex: F
Vaccine: IPV, MMR, PNC
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: Benedryl as needed. Multiple crops. Erythemadus with base vesicle.
Age: 22.0
Sex: F
Vaccine: HEPAB, IPV
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Red papular pruritic rash trunk, legs arms neck began hrs after receiving vaccines.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Rash morbilliform
Clinical narrative: Measle rash
Age: 35.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Injection site abscess, Rash pustular
Clinical narrative: Enlarged pustule approx 3cm x 3.5 cm with crusting and blisters.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash, onset 04/13/2004
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site mass, Pruritus, Rash, Rash erythematous
Clinical narrative: 3/22 Itchy, rash and lump appeared on right deltoid at injection site today. 3/23 raised red lump approx 3x4 cm-itchy, warm to touch. Benadryl cream, Advil. 3/25 much better on phone follow-up. 3/27 1cm lump, faded light red 2 cm area. No pain. Unaware of its presence.
Age: 4.7
Sex: F
Vaccine: DTAP, MMR
Symptoms: Pain, Pyrexia, Rash erythematous
Clinical narrative: 1. Red rash around 2" around vaccine site, left arm x 24hrs. 2. Body aches and fever x 5 days.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Rash maculo-papular, Vomiting
Clinical narrative: Rash began 3/23/04 mostly trunk , a little in arms and legs with 1 episode of vomiting without URI or GI symptoms. There is no itch or pain. The rash increased significantly around 3/27-3/29/04 and resolved completely on 3/30/04. There was no fever. 3/29/04 exam. T 9. Maculo-papular non confluent pink. 2-3nmm on trunk (to groin area). Small amount on area. None on legs, palms, soles. Small amount bimalar. Eyes without erythema.
Age: 4.5
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Left deltoid, area were 5th DTAP given. Very swollen, but to touch, painful. Child fine otherwise per mother.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Ecchymosis, Erythema, Feeling hot, Injection site induration, Lymphadenopathy
Clinical narrative: Playing, smiling, interactive toddler with around 9 cm erythematous, edematous, well circular scabbed area with induration to the right ant, slightly lateral thigh with central ecchymosis around 3cmx2cm, minimally warm to touch and not apparently tender to squeezing. Walking well with groin adenopathy. Rectal temp 99.7. tX: Wait and watch. If increased erythema or new fever or new pain to go to PMD tomorrow. If related to IZ expectation for beginning resolution within 24 hours. Mother with return statement of when to go to PMD.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Oedema
Clinical narrative: Playing, smiling, interactive toddler with around 9 cm erythematous, edematous, well circular scabbed area with induration to the right ant, slightly lateral thigh with central ecchymosis around 3cmx2cm, minimally warm to touch and not apparently tender to squeezing. Walking well with groin adenopathy. Rectal temp 99.7. tX: Wait and watch. If increased erythema or new fever or new pain to go to PMD tomorrow. If related to IZ expectation for beginning resolution within 24 hours. Mother with return statement of when to go to PMD.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Left deltoid area red swollen, hot to touch, no fever. DTAP #4 administered. Child fine otherwise.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm area where DTAP (5th ) dose administered swollen, hot to touch, painful, no fever, child fine otherwise appetite slightly different.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Reaction to DTAP #5. Swollen, red bump on right deltoid 8cm by 8cm. Tx: Ibuprofen.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Rash vesicular
Clinical narrative: Varicella outbreak 3/18/2004. Had varivax administered 6/26/1998. Chickenpox noted left arm
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Came in to see MD today with breakout on face, arms and torso, no fever.  Breakout started 04/13/04. MD diagnosed her with chickenpox.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Very swollen, red, itchy arm (per mom).  Mother said MD wanted this reported as "adverse reaction" because of MMR reaction etc.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 3.5x5.5 inch area of erythema and warmth at left arm around site of injection.
Age: 8.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Convulsion
Clinical narrative: Immediately after immunizations, Hep A, Hep B, MMR, TB; collapsed and began 10 sec generalized seizure. 911 called, paramedic transported to ER. CT scan negative, discharged home.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness right upper arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Developed swelling, pain and redness to left thigh.
Age: 1.4
Sex: M
Vaccine: HIBV, MMR
Symptoms: Coma, Crying, Cyanosis, Pyrexia, Salivary hypersecretion
Clinical narrative: Pt developed fever of 102 04/18/04.  On 04/19/04 found unresponsive with foaming of mouth and perioral cyanosis.  Paramedics called.   On their annual crying.  Our arrival to ER, vital signs normal.
Age: 1.0
Sex: F
Vaccine: HBHEPB, IPV, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria
Clinical narrative: Redness, edema (mild), peripheral urticaria to right thigh.
Sex: M
Vaccine: HIBV
Symptoms: Immune system disorder, Thrombocytopenic purpura, Viral infection
Clinical narrative: ITP diagnosed 2/21/04. Medical record on 05/02/04 states: Viral infection. Follow up on 05/11/04: "Immune disorder."  As per annual follow up report 08/08/05 test still subnormal still unable to maintain normal levels for 6 months.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever of 102 deg F at 5 days past vaccine admininistration.
Age: 22.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Rash
Clinical narrative: Developed rash on arms and back 3 days after receiving Hepatitis A vaccine and Thyphoid vaccine. Rash progressed to buttocks, groin and forearms. Given Zyrtec 10mg one p.o. x 7 days. To return to the clinic after 3 days of treatment.
Age: 31.0
Sex: F
Vaccine: JEV, TYP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Itching at vaccine sight the night of vaccination.  Noticed swelling and reddness the next AM.  Took 1 wk for swelling to resolve.  Was given Hydrocortisone for topical tx.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Pt developed cellulitis of the left leg the day  after vaccines were administered.  Vaccines given in Left thigh were Dtap and IPV
Age: 4.0
Sex: F
Vaccine: RAB
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia, Swelling
Clinical narrative: PT. RECEIVED VACCINE AT 8:00AM, 10 HOURS LATER FELT TINGLINGIN THROAT WITH SWELLING, TOOK 1 BENEDRYL (25MG) WITH GOOD RESULTS.  WOKE UP THE NEXT MORNING WITH SWOLLEN CERVICAL NODES WITH STIFFNESS AND TINGLING IN NECK.  SYMPTOMS CONTINUE TODAY 4-21-04.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Kawasaki's disease, Pyrexia, Rash maculo-papular, Red blood cell abnormality, Red blood cell sedimentation rate increased
Clinical narrative: From initial information received on 4/13/04 regarding an adverse event, it was reported that a 5 month old male patient received ACTHIB vaccination, lot number W1589/UE035AA, administered IM in the right thigh, DAPTACEL vaccination, lot number U1027AA, administered IM in the left thigh, an IPOL vaccination, lot number W1619, administered IM in the right thigh and a Prevnar vaccination, lot number 492856, administered in the left thigh, on 2/17/04. Twenty four hours following immunization he came down with Kawasaki's disease. No other information was provided. The recovery status of the patient was not reported. From additional information received on 4/15/04 from a telephone contact with the reporter, it was reported that the infant was hospitalized for two to three days starting on 2/18/04. The date of the start of the adverse event was given as 2/18/04. The infant has recovered with no sequelae. No further information has been provided. From additional information received on 27Apr04 from another manufacturer, the DAPTACEL lot number was reported as U40997AA and the IPOL lot number as W0022 which do not correspond to Aventis Pasteur products. It was also reported that on 17Feb04, the pt experienced a fever of 104-105 degrees F and a generalized macular papular rash. No other new information was provided. From additional information received on 10/May/2004 from the intial report, the expiration date of the PREVNAR product is January 2005. No other information was provided.  From additional informaiton received on 25MAY2004 through a telephne call to the initial reporter, the reporter confirmed that the lot number for IPOL was W1619. The reporter also stated that the patient received DAPTACEL and confirmed the lot number as U1027AA, which is an Aventis Pasteur Inc. lot number for TRIPEDIA. No other information was provided at this time.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: White blood cell disorder
Clinical narrative: From initial information received on 4/13/04 regarding an adverse event, it was reported that a 5 month old male patient received ACTHIB vaccination, lot number W1589/UE035AA, administered IM in the right thigh, DAPTACEL vaccination, lot number U1027AA, administered IM in the left thigh, an IPOL vaccination, lot number W1619, administered IM in the right thigh and a Prevnar vaccination, lot number 492856, administered in the left thigh, on 2/17/04. Twenty four hours following immunization he came down with Kawasaki's disease. No other information was provided. The recovery status of the patient was not reported. From additional information received on 4/15/04 from a telephone contact with the reporter, it was reported that the infant was hospitalized for two to three days starting on 2/18/04. The date of the start of the adverse event was given as 2/18/04. The infant has recovered with no sequelae. No further information has been provided. From additional information received on 27Apr04 from another manufacturer, the DAPTACEL lot number was reported as U40997AA and the IPOL lot number as W0022 which do not correspond to Aventis Pasteur products. It was also reported that on 17Feb04, the pt experienced a fever of 104-105 degrees F and a generalized macular papular rash. No other new information was provided. From additional information received on 10/May/2004 from the intial report, the expiration date of the PREVNAR product is January 2005. No other information was provided.  From additional informaiton received on 25MAY2004 through a telephne call to the initial reporter, the reporter confirmed that the lot number for IPOL was W1619. The reporter also stated that the patient received DAPTACEL and confirmed the lot number as U1027AA, which is an Aventis Pasteur Inc. lot number for TRIPEDIA. No other information was provided at this time.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Kawasaki's disease, Pyrexia, Rash maculo-papular
Clinical narrative: From initial information received on 4/13/04 regarding an adverse event, it was reported that a 5 month old male patient received ACTHIB vaccination, lot number W1589/UE035AA, administered IM in the right thigh, DAPTACEL vaccination, lot number U1027AA, administered IM in the left thigh, an IPOL vaccination, lot number W1619, administered IM in the right thigh and a Prevnar vaccination, lot number 492856, administered in the left thigh, on 2/17/04. Twenty four hours following immunization he came down with Kawasaki's disease. No other information was provided. The recovery status of the patient was not reported. From additional information received on 4/15/04 from a telephone contact with the reporter, it was reported that the infant was hospitalized for two to three days starting on 2/18/04. The date of the start of the adverse event was given as 2/18/04. The infant has recovered with no sequelae. No further information has been provided. From additional information received on 27Apr04 from another manufacturer, the DAPTACEL lot number was reported as U40997AA and the IPOL lot number as W0022 which do not correspond to Aventis Pasteur products. It was also reported that on 17Feb04, the pt experienced a fever of 104-105 degrees F and a generalized macular papular rash. No other new information was provided. From additional information received on 10/May/2004 from the intial report, the expiration date of the PREVNAR product is January 2005. No other information was provided.  From additional informaiton received on 25MAY2004 through a telephne call to the initial reporter, the reporter confirmed that the lot number for IPOL was W1619. The reporter also stated that the patient received DAPTACEL and confirmed the lot number as U1027AA, which is an Aventis Pasteur Inc. lot number for TRIPEDIA. No other information was provided at this time.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Autism, Constipation, Crying, Diarrhoea, Gastrointestinal disorder
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from a consumer regarding her 18 month old daughter who received doses of Prevnar and Infanrix on 11/16/00, and subsequently experienced swelling, fever, crying, autistic behavior, constipation, diarrhea, yeast overgrowth of gastrointestinal tract and food allergies. The patient's concurrent illnesses include multiple food allergies and drug hypersensitivity. Indication for Prevnar was immunization. Product was administered on 11/16/00. Dose regimen was 1 dose. Concomitant medications were not reported. On 11/16/00, the child received a fourth dose of Infanrix, along with Prevnar. That same day, she experienced swelling, high fever, and crying. Crying and fever resolved on 11/19/00. On an unspecified date in November 2000, the patient developed autistic behavior. On unspecified dates, the patient also developed constipation, diarrhea, yeast overgrowth of the gastrointestinal tract, and multiple food allergies. The child was examined at a physician's office and treated with Nystatin. In August 2001, the child was diagnosed with autism. As of 3/24/04, autism, constipation, diarrhea, yeast overgrowth and food allergies were unresolved. No additional information was available at the time of this report.