chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.08
Sex: F
Vaccine: HEP, HIBV, IPV
Symptoms: Agitation, Convulsion, Crying, Decreased appetite, Insomnia
Clinical narrative: Pt went to the doctor and received the wrong shot and it's the same. She doesn't sleep well, doesn't eat well, had a seizure, cries in pain. Only got 3 of the 4 shots and the Hep B too early.
Age: 0.08
Sex: F
Vaccine: HEP, HIBV, IPV
Symptoms: Medication error
Clinical narrative: Pt went to the doctor and received the wrong shot and it's the same. She doesn't sleep well, doesn't eat well, had a seizure, cries in pain. Only got 3 of the 4 shots and the Hep B too early.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: This boy and his 2 brothers all received Varivax at different times and different lots.  All have been seen to confirm break through Varicella infection.
Age: 9.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: This boy and his 2 brothers all received Varivax at different times and different lots.  All have been seen to confirm break through Varicella infection.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: This boy and his 2 brothers all received Varivax.  Different lot #'s different times.  All have verified Varicella infection now.
Age: 7.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: This boy and his 2 brothers all received Varivax.  Different lot #'s different times.  All have verified Varicella infection now.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Erythema, Fatigue, Hyperhidrosis, Hypokinesia
Clinical narrative: Couldn't raise right arm without having pain.  Red and swelling.  Chills, sweats, tired/sleepy, temperature, swelling across chest, collar bone.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Oedema, Pain, Pyrexia, Somnolence
Clinical narrative: Couldn't raise right arm without having pain.  Red and swelling.  Chills, sweats, tired/sleepy, temperature, swelling across chest, collar bone.
Age: 1.6
Sex: F
Vaccine: DTAP, HEP, PNC, VARCEL
Symptoms: Coma, Hypotonia, Tremor
Clinical narrative: Pt very tired in evening after shots.  About 48 hours later after acting normally, mother found pt laying on floor with eyes open not responding to sound.  Pt very limp mother held for approximately 2 min when she started to become responsive afterwards hands very shaky.  PT after drank and then went to ED.  Has acted normal since.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Viral infection
Clinical narrative: Student had varivax immunization and had clinical varicella 11/24/03-went to MD 11/25/03 with diagnosis with varicella.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Breaking out with spots, started yesterday (01/01/2004) has about 10-20 lesions now- no fever today.
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Less than 24 hours of vaccine administration, left leg became quite swollen and red from thigh down to knee.  Warm to touch.  No pain on palpation.  Able to walk.
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Blister, Injection site vesicles
Clinical narrative: Blister like vesicles with elongated vesicles located 25-30 mm from injection site on both sides.  NOTE: Vesicles are similar to shingles.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Oedema, Pain
Clinical narrative: Two days after vaccination, the pt contacted the hospital's pt liason complaining of arm swelling and soreness.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Contusion, Face oedema
Clinical narrative: Facial edema and brusing.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site induration, Injection site warmth, Pruritus
Clinical narrative: Red circluar hardened area 4 inches in diameter with Itchy hot feeling happening in the area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Swelling
Clinical narrative: RT ARM SWELLING WITH CELLULITIS TREATMENT BACTRIM,  MOTRIN
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthritis, Blood creatine phosphokinase increased, Coagulation time prolonged, Cough
Clinical narrative: BURNING IN JOINTS,PNEUMONIASITIS,BLOODCLOTTING,VASCULITIS,VERTIGO, LOSS OF SHORT TERM MEMORY, FIBROMYALGIA, CRONIC FATIGUE. FROM 24 OCT 98 TO 23 NOV 98 I RECEIVED 3 ANTHRAX SHOTS. IS THIS NOT TOO MUCH TOO SOON? The hospital d/c summaries confirms polymyositis and thrombosis. SOB, bilateral pneumonia, acute pulmonary embolism, thrombocytopenia, tinea corpus, dyspepsia, cough, wheezing and severe allergic rhinitis were added as symptoms.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspepsia, Dyspnoea, Fatigue, Fibromyalgia, Immune system disorder
Clinical narrative: BURNING IN JOINTS,PNEUMONIASITIS,BLOODCLOTTING,VASCULITIS,VERTIGO, LOSS OF SHORT TERM MEMORY, FIBROMYALGIA, CRONIC FATIGUE. FROM 24 OCT 98 TO 23 NOV 98 I RECEIVED 3 ANTHRAX SHOTS. IS THIS NOT TOO MUCH TOO SOON? The hospital d/c summaries confirms polymyositis and thrombosis. SOB, bilateral pneumonia, acute pulmonary embolism, thrombocytopenia, tinea corpus, dyspepsia, cough, wheezing and severe allergic rhinitis were added as symptoms.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Liver function test abnormal, Lung disorder, Pneumonia, Polymyositis, Pulmonary embolism
Clinical narrative: BURNING IN JOINTS,PNEUMONIASITIS,BLOODCLOTTING,VASCULITIS,VERTIGO, LOSS OF SHORT TERM MEMORY, FIBROMYALGIA, CRONIC FATIGUE. FROM 24 OCT 98 TO 23 NOV 98 I RECEIVED 3 ANTHRAX SHOTS. IS THIS NOT TOO MUCH TOO SOON? The hospital d/c summaries confirms polymyositis and thrombosis. SOB, bilateral pneumonia, acute pulmonary embolism, thrombocytopenia, tinea corpus, dyspepsia, cough, wheezing and severe allergic rhinitis were added as symptoms.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinitis allergic, Skin disorder, Systemic lupus erythematosus, Thrombocytopenia, Thrombosis
Clinical narrative: BURNING IN JOINTS,PNEUMONIASITIS,BLOODCLOTTING,VASCULITIS,VERTIGO, LOSS OF SHORT TERM MEMORY, FIBROMYALGIA, CRONIC FATIGUE. FROM 24 OCT 98 TO 23 NOV 98 I RECEIVED 3 ANTHRAX SHOTS. IS THIS NOT TOO MUCH TOO SOON? The hospital d/c summaries confirms polymyositis and thrombosis. SOB, bilateral pneumonia, acute pulmonary embolism, thrombocytopenia, tinea corpus, dyspepsia, cough, wheezing and severe allergic rhinitis were added as symptoms.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Vasculitis, Vertigo, Wheezing
Clinical narrative: BURNING IN JOINTS,PNEUMONIASITIS,BLOODCLOTTING,VASCULITIS,VERTIGO, LOSS OF SHORT TERM MEMORY, FIBROMYALGIA, CRONIC FATIGUE. FROM 24 OCT 98 TO 23 NOV 98 I RECEIVED 3 ANTHRAX SHOTS. IS THIS NOT TOO MUCH TOO SOON? The hospital d/c summaries confirms polymyositis and thrombosis. SOB, bilateral pneumonia, acute pulmonary embolism, thrombocytopenia, tinea corpus, dyspepsia, cough, wheezing and severe allergic rhinitis were added as symptoms.
Sex: U
Vaccine: SMALL
Symptoms: Infection transmission via personal contact, Laboratory test abnormal, Rash pustular, Skin ulcer
Clinical narrative: Patient requests no demographic data be entered.  She developed 3 pustular lesions on her left chest 13 days after her husband received his primary Smallpox Vaccination.  Vaccinia PCR positive. Symptomatic treatment with Allegra, Patient education on care of site and methods to prevent further transfer of vaccinia virus.
Age: 1.8
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 01-12-03@1120am: T.C. from parent.  Reports she had to take child to clinic yesterday, Sunday January 11, 2004 for c/o "redness approx 3" diameter in RT thigh with warmth and swelling at sight" initially identified, per parent report on evening of 01-09-04 following administration of vaccinations given on a.m. of 01-09-04 at health department.  Mother states child has remained afebrile throughout weekend.  Mother was encouraged by provider to notify health department of local adverse reaction.  Mother states ATB: Zithromax was administered and she was encouraged to administer PO Benadryl and apply cool cloths to the sight.  Parent states today that symptoms "not better, and not worse."  Encouraged to continue monitering RT thigh area and to comply with Rx regimen and interventions.  Voiced understanding of need to follow-up with PCP for worsening of symptoms and to report such findings to health department, if occurs.  Questions encouraged.  Will follow-up with parent within 1 week to ensure sympotoms not worsening.  Compliance enforced.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Cold sweat, Loss of consciousness, Syncope
Clinical narrative: Faint with brief loss of consciousness for about 10-15 seconds right after vaccination. The skin is clammy and cold. Denies history of vaccine-related reactions,seizures. Regains consciousness quickly and completely without sequelae.Leaves the premise under ambulatory status after being watched by physician for 30 minutes.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, High-pitched crying
Clinical narrative: Four hours after given immunizations child began a high pitched, inconsolable cry that lasted longer than 6 hours.  Tylenol and a bath were given and after a while the crying stopped.  Parents continued to give Tylenol every 4 hours for the next 24 hours.
Age: 2.0
Sex: M
Vaccine: HEPAB, IPV
Symptoms: Bradycardia, Mydriasis, Visual disturbance
Clinical narrative: Aproximately 10 min after receiving IPV and Hep A and B #1 for an indication of travel, pt could not see, was aware of surrondings, pupils were fully dilated, bradycardic. Event time 60-90 seconds. Patient recovered spontaneously without residual. Was observed for 45 min.
Age: 67.0
Sex: M
Vaccine: TTOX
Symptoms: Pain in jaw
Clinical narrative: Patient developed "first bite syndrome" after a tetanus shot.  Patient states he had no surgery.  Pain in the bilateral parotid region after the first bite of each meal.  No other neurologic symptoms.  No sequelae, but pain persists and started after the shot.
Age: 59.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site necrosis, Injection site pain
Clinical narrative: Information has been received from a physician concerning a 59 year old female with an allergy to codeine who on 11/13/02 at 1:30pm was vaccinated in the left arm deltoid with a 0.5mL dose of pneumococcal 23v polysaccharide vaccine (643251/0445M). Concomitant therapy that day included a dose of influenza virus vaccine "in the same site." The pt has reported redness and pain at the injection site. No other information was available. Unspecified medical attention was sought. There was no product quality complaint. Follow up info indicated that on 11/18/02 the site of injection was a "2x2 and 1/2" necrotic area. This area was surgically removed 2 weeks later. Upon internal review, the necrotic area was considered to be an other important medical event (OMIC). Additional info has been requested.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Eye swelling, Feeling hot, Nausea
Clinical narrative: 12/8/03 8:00 AM received flu vax. By 8:45 while returning home with husband she felt nauseated, weak, right side neck swelling, rash, no SOB, no difficulty swallowing, no itching. Next day rash spread to chest, body felt hot, by 12/11/03 pt continued with nausea and dizziness. No vomiting, no diarrhea, weak. Called 911. To ER, see attached ER notes and lab. Rash on legs "elevated blots" red dots, eyes puffy. 12/17/03 rash on legs. Referred to PMD for further evaluation.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema, Rash
Clinical narrative: 12/8/03 8:00 AM received flu vax. By 8:45 while returning home with husband she felt nauseated, weak, right side neck swelling, rash, no SOB, no difficulty swallowing, no itching. Next day rash spread to chest, body felt hot, by 12/11/03 pt continued with nausea and dizziness. No vomiting, no diarrhea, weak. Called 911. To ER, see attached ER notes and lab. Rash on legs "elevated blots" red dots, eyes puffy. 12/17/03 rash on legs. Referred to PMD for further evaluation.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Disorientation, Dysphagia, Eye movement disorder, Herpes zoster, Infection
Clinical narrative: Information has been received from a consumer concerning her 7 year old son with no pertinent medical history who in early June 2003, was vaccinated SC with a 0.5mL dose of varicella virus vaccine live. There was no concomitant medication. Beginning sometime in July or August, the child began to develop lesions on his stomach, cheek, mouth, and around his eyes. The mother reported that these lesions were herpes zoster or shingles. The zosterlesions were also noted to be in the eyes, face, and mouth. The pt also developed heart palpitations, disorientation, difficulty swallowing, and neck twitching. In addition, the child complained of throat pain and being unable to swallow. He also developed "severe ticks" where he would complain that his "heart hurt" and his eyes would roll. The pt recovered only to have the symptoms appear again "more severe" in September. The pt was treated with various antibiotics and topical medications and had visited the ER on several occasions. "Extensive bloodwork" was obtained. Unspecified medical attention was sought. There was no product quality complaint. The outcome was reported as both not recovered and recovered with sequelae. Heart palpitations, herpes zoster, disorientation, difficulty swallowing and neck twitching were considered to be disabling. Additional info has been requested.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Muscle twitching, Pain, Palpitations, Pharyngolaryngeal pain, Skin ulcer
Clinical narrative: Information has been received from a consumer concerning her 7 year old son with no pertinent medical history who in early June 2003, was vaccinated SC with a 0.5mL dose of varicella virus vaccine live. There was no concomitant medication. Beginning sometime in July or August, the child began to develop lesions on his stomach, cheek, mouth, and around his eyes. The mother reported that these lesions were herpes zoster or shingles. The zosterlesions were also noted to be in the eyes, face, and mouth. The pt also developed heart palpitations, disorientation, difficulty swallowing, and neck twitching. In addition, the child complained of throat pain and being unable to swallow. He also developed "severe ticks" where he would complain that his "heart hurt" and his eyes would roll. The pt recovered only to have the symptoms appear again "more severe" in September. The pt was treated with various antibiotics and topical medications and had visited the ER on several occasions. "Extensive bloodwork" was obtained. Unspecified medical attention was sought. There was no product quality complaint. The outcome was reported as both not recovered and recovered with sequelae. Heart palpitations, herpes zoster, disorientation, difficulty swallowing and neck twitching were considered to be disabling. Additional info has been requested.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Tic
Clinical narrative: Information has been received from a consumer concerning her 7 year old son with no pertinent medical history who in early June 2003, was vaccinated SC with a 0.5mL dose of varicella virus vaccine live. There was no concomitant medication. Beginning sometime in July or August, the child began to develop lesions on his stomach, cheek, mouth, and around his eyes. The mother reported that these lesions were herpes zoster or shingles. The zosterlesions were also noted to be in the eyes, face, and mouth. The pt also developed heart palpitations, disorientation, difficulty swallowing, and neck twitching. In addition, the child complained of throat pain and being unable to swallow. He also developed "severe ticks" where he would complain that his "heart hurt" and his eyes would roll. The pt recovered only to have the symptoms appear again "more severe" in September. The pt was treated with various antibiotics and topical medications and had visited the ER on several occasions. "Extensive bloodwork" was obtained. Unspecified medical attention was sought. There was no product quality complaint. The outcome was reported as both not recovered and recovered with sequelae. Heart palpitations, herpes zoster, disorientation, difficulty swallowing and neck twitching were considered to be disabling. Additional info has been requested.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Respiratory failure, Viral infection
Clinical narrative: Prolonged seizure lasting up to 3 hrs. Admitted to hospital and on ventilator for 2 days. (+) RSV due to prolonged seizure. Developmental follow up is suggested. The hospital discharge summary received on 4/2/04 states respiratory failure.
Age: 38.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Bacterial infection, Chest pain, Constipation, Cough, Dyspnoea
Clinical narrative: Developed fever, flu-like symptoms and ongoing infection which resulted in pneumonia. Also developed lupus which resulted in pneumonia caused by pseudomonas and staphaureous infection-IV for 4 weeks after one week hospitalization. The medical record received on 2/11/04 states short of breath, vomiting, chest pain, constipation and productive cough.
Age: 38.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Influenza like illness, Laboratory test abnormal, Pneumonia, Pyrexia, Systemic lupus erythematosus
Clinical narrative: Developed fever, flu-like symptoms and ongoing infection which resulted in pneumonia. Also developed lupus which resulted in pneumonia caused by pseudomonas and staphaureous infection-IV for 4 weeks after one week hospitalization. The medical record received on 2/11/04 states short of breath, vomiting, chest pain, constipation and productive cough.
Age: 38.0
Sex: F
Vaccine: FLUX, HEP
Symptoms: Vomiting
Clinical narrative: Developed fever, flu-like symptoms and ongoing infection which resulted in pneumonia. Also developed lupus which resulted in pneumonia caused by pseudomonas and staphaureous infection-IV for 4 weeks after one week hospitalization. The medical record received on 2/11/04 states short of breath, vomiting, chest pain, constipation and productive cough.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Laboratory test abnormal, Pyrexia
Clinical narrative: Fever to 102 deg and apnea. The discharge summary received on 2/19/04 states gastroesophageal reflux.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: 12/19/03 pt was with mother shopping, began having seizures. Was taken to first to hospital then transferred to another hospital ICU due inability to stop seizures. Pt had CT scan, MRI brain, EKG, and they did attempt a spinal tap to r/o meningitis. Pt dc'd from hospital 12/22/03. The hospital discharge summary received on 2/3/04 states fever.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Myalgia, Pain
Clinical narrative: Muscle aches in upper arm and neck for months. Sharp stabbing pains yet in upper arm, and weakness.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness of entire right thigh in which the vaccine was given.
Age: 1.67
Sex: M
Vaccine: FLU3
Symptoms: Eye inflammation
Clinical narrative: Eye looked puffy after administration one hour later. Treatment Benadryl.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Right arm pain since 11/18/03. Unresolved as of 12/30/03, but states her arm is getting better. She is going to physical therapy due to this event, and being followed by her doctor(s) for treatment.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Localized soreness (aching) pain on right deltoid. Occasionally refers distally down arm, half-way to elbow. No weakness. Using arm makes worse. Worse in morning or with pressure. Aleve helps. Symptoms improving during day, not upon awakening. Visit with PCP scheduled for 1/8/04. Somewhat
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymphoedema
Clinical narrative: Lymphedema of right arm below elbow with significant erythema.
Age: 1.25
Sex: M
Vaccine: DTAP, HBHEPB, MMR, PNC
Symptoms: Febrile convulsion
Clinical narrative: Seen in ER, taken by ambulance for febrile seizure 11 days post MMR.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticarial rash developed around vaccine injection site about 4 hours after injection. Spread subsequently to involve face, trunk and proximal extremities. Pt seen in office 24 hours after injection, rash only faintly visible.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Hot flush, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: I started to have a fever, cold chills, body ache, hot and cold flashes and sweats, it was like I was going through the flu. Went to the ER, they said let it run its course. At the end of 72 hours, it was over.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain
Clinical narrative: Had pneumovax on 12/29/03, developed pain in that arm hours after shot. Seen in office on 12/31/03 with large area redness, given antibiotics for possible cellulitis. Treated with Dixloxcillin 500mg every 6 hours.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Skin ulcer
Clinical narrative: Skin shows several vesicular lesions just above her waist on the anterior abdominal wall. The lesions cross the midline. She has 2-3 fairly new that are vesicular and multiple that appear to be drying. Recommended Benadryl elixir and Calamine lotion.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Anorexia, Crying, Nasal congestion, Opisthotonus
Clinical narrative: Began "slowing down" through day, not moving extremities, arching back and crying. Refusing bottle. Developed mild nasal congestion. Parent called at 4:30 PM. Directed to take baby to ED. Mother worked with pt about an hour and was able to get him to drink 6 oz formula. He did better thereafter, and simply observed at home.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sluggishness
Clinical narrative: Began "slowing down" through day, not moving extremities, arching back and crying. Refusing bottle. Developed mild nasal congestion. Parent called at 4:30 PM. Directed to take baby to ED. Mother worked with pt about an hour and was able to get him to drink 6 oz formula. He did better thereafter, and simply observed at home.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Drug ineffective, Rash
Clinical narrative: Blistering rash, chicken pox
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Right thigh with 10 cm erythematous swollen skin, subcutaneously 2 nodules about 2.5 cm each, palpable at injection site and adjacent to it.
Age: 1.42
Sex: M
Vaccine: DTAP, HBPV, PNC
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Scattered excoriated papular-vesicular lesions, legs, abdomen, chest; 1.5cm round collection of vesicles beneath right knee, lat and larger patch above and to side.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Syncope
Clinical narrative: Pt states "I am afraid of needles". Hep B given in RD without problem. When pt getting up to leave became dizzy and fainted. Was lowered to floor without injury. B/P 96/50, P-92. After 10 minutes B/P 112/60, P-68. Watched pt for another 10 minutes. B/P 110/72, P-82. Sent home with mother who is an EMT.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Hypersensitivity, Pallor, Wheezing
Clinical narrative: On clinic visit 11/18/03 mother reported that after receiving vaccines on 9/16/03 pt began wheezing, color became pale. Mom carried child to a clinic, was referred to ER. Dx: possible reaction to vaccines.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Face oedema, Urticaria
Clinical narrative: Pt given Hib IM 0.5ml, varicella SQ 0.5ml, MMR SQ 0.5ml, Pediarix IM 0.5ml at 1510 on 01/05/04. Pt started to have scattered hives on trunk, face, scalp, lips became swollen at 1517. Dr worked epinephrine 1:1000 dose 0.1mg given SC at 1530, Benadryl 125mg given IM. Respiratory treatment update 0.25mg Albuterol.
Sex: U
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Injection site swelling, Skin discolouration
Clinical narrative: The entire anterior and medial and lateral part of right thigh are red. Central swelling around site of shot is more discolored.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash morbilliform
Clinical narrative: Pt developed fever and "spots in throat" 5d post vaccine followed by slight rash that then turned into classic measles rash 12/28/03.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Eye oedema, Rash macular
Clinical narrative: Swollen eyes and blotchy all over body. Tx with Benadryl and Tylenol CB if NB.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Sudden onset of urticaria with wheals and hives located on face, trunk and buttocks.
Age: 2.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Four other children in same daycare reported having chickenpox within same time period. Four of the five had varicella immunization.
Age: 2.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Four other children in same daycare reported having chickenpox within same time period. Four of the five had varicella immunization.
Age: 1.0
Sex: M
Vaccine: MMR, MMR, VARCEL
Symptoms: Infection, Rash pustular
Clinical narrative: "Pus sores that scabbed over." Four other children reported having chickenpox at same daycare four of 5 children have had varicella immunization. Per mom pt has had "chickenpox" twice. 1st time November 2002 and 2nd time 1/3/04.
Age: 1.0
Sex: M
Vaccine: MMR, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: "Pus sores that scabbed over." Four other children reported having chickenpox at same daycare four of 5 children have had varicella immunization. Per mom pt has had "chickenpox" twice. 1st time November 2002 and 2nd time 1/3/04.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Infection
Clinical narrative: Four other children going to same day care reported chickenpox within same time frame. Four of the five children have had varicella immunization.
Age: 4.0
Sex: F
Vaccine: MMR, MMR, VARCEL
Symptoms: Infection
Clinical narrative: No adverse events. Child rec verbal dx of "chicken pox" from NP. child has had immunization for varicella. 4 other children from same day care reported s/s of varicella within short period of time. Four all received varicella imm but at different times.
Age: 4.0
Sex: F
Vaccine: MMR, MMR, VARCEL
Symptoms: Drug ineffective, Infection, Medication error
Clinical narrative: No adverse events. Child rec verbal dx of "chicken pox" from NP. child has had immunization for varicella. 4 other children from same day care reported s/s of varicella within short period of time. Four all received varicella imm but at different times.
Sex: M
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: Newborn of Hbsag (+) mother given 20mcg vaccine dose on day of birth instead of recommended 10mcg dose by manufacturer. (Medication error).
Age: 1.25
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Pyrexia
Clinical narrative: A report was received from a health care professional on 11/12/03, concerning a 15 month old male vaccinee who inadvertently received Fluvirin on 11/12/03. On 11/12/03, the vaccinee inadvertently received Fluvirin 0.5ml IM. The vaccinee did not experience any adverse symptoms at the time of reporting. There was insufficiently information to determine the reporter's causality assessment. Update 1/2/04: A follow up report was received on 1/2/04 which indicated that the vaccinee had experienced 2 seizures due to increased temperature on an unspecified date. The vaccinee was hospitalized on 11/14/03 and was discharged on 11/15/03. The vaccinee had also received a DTP vaccine and a combined Haemophilus influenzae B and hepatitis B vaccine. It was not reported if the vaccinee had recovered at the time of the report. Follow up pending. Update 2/3/04: Further information was received from a health care professional on 2/3/04 indicating that the vaccinee experienced one febrile seizure on 11/13/03 due to an elevated temperature. The vaccine's mother stated that she had experienced febrile seizure as a child. The vaccinee received the DTaP vaccine and combined Haemophilus influenzae B and hepatitis B vaccine on 11/12/03. The vaccinee was seen in the emergency room on 11/13/03 and subsequently hospitalized on 11/14/03 to 11/13/03 for observation. The vaccinee recovered on an unspecified date. Follow up pending.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chills, Cyanosis, Irritability, Livedo reticularis, Pyrexia
Clinical narrative: Patient had Pediarix, Hib and Prevnar on January 5, 2004.  Tylenol was give for the first 8 hours.  On the evening of the 6th, the baby was more fussy than usual but was not febrile according to the parents.  Tylenol was given anyway.  The morning of Jan 7, the baby's temp was 102.  Tylenol was given.  Baby awoke from a nap on 1/7/2004 at 18:45 and have a temp to 101.7.  Tylenol was given at 19:00.  At 22:30, temp was 105 rectally by digital thermometer.  Baby was mottled, having chills and had blue lips per these parents.  I saw the baby shortly after that and he was well appearing and his temp was 100.3.  Because of his age and the history, I did a sepsis work up.  Cath urine was neg with a neg urine culture.  Blood culture was negative.  Spinal fluid was normal and cultures were negative.  Peripheral WBC was 9.2 with 73.8% polys, 16.4% lymps, 9.3% monos.  The remarkable things were his lytes.  Na 130, C)2 15 and glucose 166. After observation, baby was discharged and followed up the next day.  In the office, temp was 100.5 and had a normal exam.
Age: 25.0
Sex: M
Vaccine: ANTH, HEPA, IPV, MEN, MMR, SMALL, TD
Symptoms: Diabetes mellitus, Dry mouth, Pollakiuria, Thirst
Clinical narrative: Frequent urination, dry mouth, excessive thirst dx type II diabetes mellitis. Patient states at time of AE he was dealing with a sinus infection, rash + urticaria. He was treated with PREDNISONE + it was after that that he was diagnosed with diabetes.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Anorexia, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: SPANISH INTERPERETER USED:MOTHER STATES THAT ON THE DAY AFTER VACCINATION PATIENT DEVELOPED A RASH ON ABDOMIN AND UPPER LEGS. TEMP OF 100.3, LOSS OF APITITE, AND SORE THROAT.  SIMPTOMS RESOLVED EXCEPT FOR RASH.  MOTHER WAS ENCOURAGED TO TAKE CHILD TO A DOCTOR FOR FURTHER EVALUATION, AS ONE WEEK HAD PAST AND THE CHILD HAD NOT BEEN SEEN BY A DOCTOR.  MOTHER AGREED TO CALL A DOCTOR.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea
Clinical narrative: Flu vaccine adm 12/5/03.Pt. states she felt somewhat SOB 12/7/03 but got much worse 12/08/03. Chest tightness, SOB, Increase BP.Went to ER . Blood tests, x-ray ,EEG done.Pt. discharged from ER.Symptoms subsided but started again the next day. Went to ER via ambulance 12/9/03. Bld tests, CAT scan, stress test all WNL. Patient d/c from hospital 12/10/03.
Age: 22.0
Sex: F
Vaccine: ANTH, FLUX
Symptoms: Laboratory test abnormal, Unevaluable event
Clinical narrative: NONE
Age: 21.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Laboratory test abnormal, Malaise
Clinical narrative: 2-3 days after flu-mist had fever, malaise.  2 wks later Bilateral facial nerve palsy and peripheral neuropathy - ALL CONSISTENT WITH GUILLIAN-BARRE Medical records states facial paralysis, asthenia. msv
Age: 21.0
Sex: F
Vaccine: FLUN3
Symptoms: Neuropathy peripheral, Paralysis, Pyrexia
Clinical narrative: 2-3 days after flu-mist had fever, malaise.  2 wks later Bilateral facial nerve palsy and peripheral neuropathy - ALL CONSISTENT WITH GUILLIAN-BARRE Medical records states facial paralysis, asthenia. msv
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Nasal congestion, Rash papular, Rash pruritic, Skin ulcer
Clinical narrative: 17 days after receipt of Smallpox Vaccine and Anthrax Vaccine #6,  developed pruritic erythematous papules on his back, chest, thighs, and arms.    Patient reports that he feels fine except for URI symptoms and complains that his rash itches.  He denies any headache, dizziness, chest pain, palpitations, shortness of breath, or myalgias.  Treatment:  Allegra 180 mg po QD for pruritus.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Erythema, Pruritus, Rash, Upper respiratory tract infection
Clinical narrative: 17 days after receipt of Smallpox Vaccine and Anthrax Vaccine #6,  developed pruritic erythematous papules on his back, chest, thighs, and arms.    Patient reports that he feels fine except for URI symptoms and complains that his rash itches.  He denies any headache, dizziness, chest pain, palpitations, shortness of breath, or myalgias.  Treatment:  Allegra 180 mg po QD for pruritus.
Age: 23.0
Sex: M
Vaccine: YF, YF, HEPA, TD, TYP, YF
Symptoms: Abdominal pain, Anorexia, Blood creatinine increased, Diabetes insipidus, Pain
Clinical narrative: From initial information received on 01/07/04 from the pt's parent, who is a physician, regarding an adverse event, it was reported that a 23 year old male pt received a dose of YF-VAX (no other vaccine info was provided) on 12/24/03.  Five days later, the pt experienced nausea and vomiting, which was followed by right flank pain.  The pt was hospitalized.  The initial impression was a kidney stone, but this was subsequently ruled out.  the pt has an elevated creatinine level and developed nephrogenic diabetes insipidus.  Liver function studies were completed and the results were normal.  No kidney biopsy was performed.  As of 01/06/04, the events were resolving and the creatinine level was approaching normal.  No other information was provided at this time.  A telephone call was placed to the reporter on 01/09/04.  He stated that approximately two weeks prior to vaccination with YF-VAX, the pt received Diphtheria and Tetanus toxoids and Typhoid (manufacturer, lot #, site and route of administration not reported).  Reportedly ,the pt had no other illness or past medical history that is contributory.  On 01/01/2004, the pt's creatinine clearance peak was 2.4 and 24 hour urine was 1.8gm.  Monocytes with cells that were atypical monocytophoid were counted at 22% with somewhat abnormal lymphocytes, which the reporter stated was consistent with a measles type illness.  The pt did not have jaundice or a rash throughout his illness and did not experience any vomiting of blood.  Examination revealed normal PT.  The pt was hospitalized from 12/31/03 until 01/04/04.  During hospitalization, the pt received normal saline solution IV (three to four liters in the first 24 hours).  Two mornings after admission, his serum sodium was elevated to 153 and he was putting out seven to eight liters of urine per day.  A nephrologist gave a preliminary diagnosis of diabetes insipidus. The pt's IV fluids were changed to dextrose and water and he was given five units of vasopressor.  As of 01/08/04, his creatinine level was 1.4.  According to the reporter, the final diagnosis is currently unknown.  He suspects a yellow fever reaction of an acute interstitial type nephritis with partial diabetes insipidus.  Per the reporter, the pt is still recovering. From additional information received on 05FEB2004 from the CDC and Prevention Yellow Fever Work group, the VAERS number (214758) was provided. The hospital did send serum to facility. The results of these labs were still pending at the time of this report. No additional relevant information was provided for the adverse experience. This follow up report is not submitted to the Health Authorities. From additional information received on 04MAR2004 from the minutes of the CDC Yellow Fever meeting on 09FEB2004, it was reported that the patient received the vaccine on 26DEC2003, not 24DEC203 as initially reported. Specimens were received by CDC, but the results were not yet available.
Age: 23.0
Sex: M
Vaccine: YF, YF, HEPA, TD, TYP, YF
Symptoms: Thirst, Vomiting
Clinical narrative: From initial information received on 01/07/04 from the pt's parent, who is a physician, regarding an adverse event, it was reported that a 23 year old male pt received a dose of YF-VAX (no other vaccine info was provided) on 12/24/03.  Five days later, the pt experienced nausea and vomiting, which was followed by right flank pain.  The pt was hospitalized.  The initial impression was a kidney stone, but this was subsequently ruled out.  the pt has an elevated creatinine level and developed nephrogenic diabetes insipidus.  Liver function studies were completed and the results were normal.  No kidney biopsy was performed.  As of 01/06/04, the events were resolving and the creatinine level was approaching normal.  No other information was provided at this time.  A telephone call was placed to the reporter on 01/09/04.  He stated that approximately two weeks prior to vaccination with YF-VAX, the pt received Diphtheria and Tetanus toxoids and Typhoid (manufacturer, lot #, site and route of administration not reported).  Reportedly ,the pt had no other illness or past medical history that is contributory.  On 01/01/2004, the pt's creatinine clearance peak was 2.4 and 24 hour urine was 1.8gm.  Monocytes with cells that were atypical monocytophoid were counted at 22% with somewhat abnormal lymphocytes, which the reporter stated was consistent with a measles type illness.  The pt did not have jaundice or a rash throughout his illness and did not experience any vomiting of blood.  Examination revealed normal PT.  The pt was hospitalized from 12/31/03 until 01/04/04.  During hospitalization, the pt received normal saline solution IV (three to four liters in the first 24 hours).  Two mornings after admission, his serum sodium was elevated to 153 and he was putting out seven to eight liters of urine per day.  A nephrologist gave a preliminary diagnosis of diabetes insipidus. The pt's IV fluids were changed to dextrose and water and he was given five units of vasopressor.  As of 01/08/04, his creatinine level was 1.4.  According to the reporter, the final diagnosis is currently unknown.  He suspects a yellow fever reaction of an acute interstitial type nephritis with partial diabetes insipidus.  Per the reporter, the pt is still recovering. From additional information received on 05FEB2004 from the CDC and Prevention Yellow Fever Work group, the VAERS number (214758) was provided. The hospital did send serum to facility. The results of these labs were still pending at the time of this report. No additional relevant information was provided for the adverse experience. This follow up report is not submitted to the Health Authorities. From additional information received on 04MAR2004 from the minutes of the CDC Yellow Fever meeting on 09FEB2004, it was reported that the patient received the vaccine on 26DEC2003, not 24DEC203 as initially reported. Specimens were received by CDC, but the results were not yet available.
Age: 23.0
Sex: M
Vaccine: YF, YF, HEPA, TD, TYP, YF
Symptoms: Blood creatinine increased, Diabetes insipidus, Laboratory test abnormal, Nephritis
Clinical narrative: From initial information received on 01/07/04 from the pt's parent, who is a physician, regarding an adverse event, it was reported that a 23 year old male pt received a dose of YF-VAX (no other vaccine info was provided) on 12/24/03.  Five days later, the pt experienced nausea and vomiting, which was followed by right flank pain.  The pt was hospitalized.  The initial impression was a kidney stone, but this was subsequently ruled out.  the pt has an elevated creatinine level and developed nephrogenic diabetes insipidus.  Liver function studies were completed and the results were normal.  No kidney biopsy was performed.  As of 01/06/04, the events were resolving and the creatinine level was approaching normal.  No other information was provided at this time.  A telephone call was placed to the reporter on 01/09/04.  He stated that approximately two weeks prior to vaccination with YF-VAX, the pt received Diphtheria and Tetanus toxoids and Typhoid (manufacturer, lot #, site and route of administration not reported).  Reportedly ,the pt had no other illness or past medical history that is contributory.  On 01/01/2004, the pt's creatinine clearance peak was 2.4 and 24 hour urine was 1.8gm.  Monocytes with cells that were atypical monocytophoid were counted at 22% with somewhat abnormal lymphocytes, which the reporter stated was consistent with a measles type illness.  The pt did not have jaundice or a rash throughout his illness and did not experience any vomiting of blood.  Examination revealed normal PT.  The pt was hospitalized from 12/31/03 until 01/04/04.  During hospitalization, the pt received normal saline solution IV (three to four liters in the first 24 hours).  Two mornings after admission, his serum sodium was elevated to 153 and he was putting out seven to eight liters of urine per day.  A nephrologist gave a preliminary diagnosis of diabetes insipidus. The pt's IV fluids were changed to dextrose and water and he was given five units of vasopressor.  As of 01/08/04, his creatinine level was 1.4.  According to the reporter, the final diagnosis is currently unknown.  He suspects a yellow fever reaction of an acute interstitial type nephritis with partial diabetes insipidus.  Per the reporter, the pt is still recovering. From additional information received on 05FEB2004 from the CDC and Prevention Yellow Fever Work group, the VAERS number (214758) was provided. The hospital did send serum to facility. The results of these labs were still pending at the time of this report. No additional relevant information was provided for the adverse experience. This follow up report is not submitted to the Health Authorities. From additional information received on 04MAR2004 from the minutes of the CDC Yellow Fever meeting on 09FEB2004, it was reported that the patient received the vaccine on 26DEC2003, not 24DEC203 as initially reported. Specimens were received by CDC, but the results were not yet available.
Age: 23.0
Sex: M
Vaccine: YF, YF, HEPA, TD, TYP, YF
Symptoms: Anorexia, Flank pain, Hypernatraemia, Hypertension, Laboratory test abnormal
Clinical narrative: From initial information received on 01/07/04 from the pt's parent, who is a physician, regarding an adverse event, it was reported that a 23 year old male pt received a dose of YF-VAX (no other vaccine info was provided) on 12/24/03.  Five days later, the pt experienced nausea and vomiting, which was followed by right flank pain.  The pt was hospitalized.  The initial impression was a kidney stone, but this was subsequently ruled out.  the pt has an elevated creatinine level and developed nephrogenic diabetes insipidus.  Liver function studies were completed and the results were normal.  No kidney biopsy was performed.  As of 01/06/04, the events were resolving and the creatinine level was approaching normal.  No other information was provided at this time.  A telephone call was placed to the reporter on 01/09/04.  He stated that approximately two weeks prior to vaccination with YF-VAX, the pt received Diphtheria and Tetanus toxoids and Typhoid (manufacturer, lot #, site and route of administration not reported).  Reportedly ,the pt had no other illness or past medical history that is contributory.  On 01/01/2004, the pt's creatinine clearance peak was 2.4 and 24 hour urine was 1.8gm.  Monocytes with cells that were atypical monocytophoid were counted at 22% with somewhat abnormal lymphocytes, which the reporter stated was consistent with a measles type illness.  The pt did not have jaundice or a rash throughout his illness and did not experience any vomiting of blood.  Examination revealed normal PT.  The pt was hospitalized from 12/31/03 until 01/04/04.  During hospitalization, the pt received normal saline solution IV (three to four liters in the first 24 hours).  Two mornings after admission, his serum sodium was elevated to 153 and he was putting out seven to eight liters of urine per day.  A nephrologist gave a preliminary diagnosis of diabetes insipidus. The pt's IV fluids were changed to dextrose and water and he was given five units of vasopressor.  As of 01/08/04, his creatinine level was 1.4.  According to the reporter, the final diagnosis is currently unknown.  He suspects a yellow fever reaction of an acute interstitial type nephritis with partial diabetes insipidus.  Per the reporter, the pt is still recovering. From additional information received on 05FEB2004 from the CDC and Prevention Yellow Fever Work group, the VAERS number (214758) was provided. The hospital did send serum to facility. The results of these labs were still pending at the time of this report. No additional relevant information was provided for the adverse experience. This follow up report is not submitted to the Health Authorities. From additional information received on 04MAR2004 from the minutes of the CDC Yellow Fever meeting on 09FEB2004, it was reported that the patient received the vaccine on 26DEC2003, not 24DEC203 as initially reported. Specimens were received by CDC, but the results were not yet available.
Age: 23.0
Sex: M
Vaccine: YF, YF, HEPA, TD, TYP, YF
Symptoms: Monocytosis, Nausea, Renal failure, Vomiting
Clinical narrative: From initial information received on 01/07/04 from the pt's parent, who is a physician, regarding an adverse event, it was reported that a 23 year old male pt received a dose of YF-VAX (no other vaccine info was provided) on 12/24/03.  Five days later, the pt experienced nausea and vomiting, which was followed by right flank pain.  The pt was hospitalized.  The initial impression was a kidney stone, but this was subsequently ruled out.  the pt has an elevated creatinine level and developed nephrogenic diabetes insipidus.  Liver function studies were completed and the results were normal.  No kidney biopsy was performed.  As of 01/06/04, the events were resolving and the creatinine level was approaching normal.  No other information was provided at this time.  A telephone call was placed to the reporter on 01/09/04.  He stated that approximately two weeks prior to vaccination with YF-VAX, the pt received Diphtheria and Tetanus toxoids and Typhoid (manufacturer, lot #, site and route of administration not reported).  Reportedly ,the pt had no other illness or past medical history that is contributory.  On 01/01/2004, the pt's creatinine clearance peak was 2.4 and 24 hour urine was 1.8gm.  Monocytes with cells that were atypical monocytophoid were counted at 22% with somewhat abnormal lymphocytes, which the reporter stated was consistent with a measles type illness.  The pt did not have jaundice or a rash throughout his illness and did not experience any vomiting of blood.  Examination revealed normal PT.  The pt was hospitalized from 12/31/03 until 01/04/04.  During hospitalization, the pt received normal saline solution IV (three to four liters in the first 24 hours).  Two mornings after admission, his serum sodium was elevated to 153 and he was putting out seven to eight liters of urine per day.  A nephrologist gave a preliminary diagnosis of diabetes insipidus. The pt's IV fluids were changed to dextrose and water and he was given five units of vasopressor.  As of 01/08/04, his creatinine level was 1.4.  According to the reporter, the final diagnosis is currently unknown.  He suspects a yellow fever reaction of an acute interstitial type nephritis with partial diabetes insipidus.  Per the reporter, the pt is still recovering. From additional information received on 05FEB2004 from the CDC and Prevention Yellow Fever Work group, the VAERS number (214758) was provided. The hospital did send serum to facility. The results of these labs were still pending at the time of this report. No additional relevant information was provided for the adverse experience. This follow up report is not submitted to the Health Authorities. From additional information received on 04MAR2004 from the minutes of the CDC Yellow Fever meeting on 09FEB2004, it was reported that the patient received the vaccine on 26DEC2003, not 24DEC203 as initially reported. Specimens were received by CDC, but the results were not yet available.