chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: PNC
Symptoms: Anorexia, Irritability, Pyrexia, Restlessness, Sleep disorder
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine diphtheria crml97 protein) injection) was received from mother regarding her 21 month old female daughter ( a twin) who experienced irritability, loss of appetite, restless sleeping,  and a fever of 103.8 degrees Fahrenheit The patient received the 3rd dose on 08/13/2004. Event details: Within 3 days of administration, the child experienced irritability, loss of appetite, and restless sleeping, which has continued for 11 days. On 08/20/2004, seven days post immunization, she developed a fever of 103.8 degrees Fahrenheit, which lasted for 3 days. The pt is a fraternal twin: her twin sister experienced a similar reaction after administration. No additional information was available at the time of the report.
Sex: F
Vaccine: IPV, PNC
Symptoms: Irritability, Rash erythematous, Rash maculo-papular
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine( diphtheria crml97 protein) injection) was received from a physician regarding a 5 month old female pt who developed fever ( unknown degree), was " very fussy" and had generalized macular papular, erythematous rash, that" looked like a viral rash". The pt received her 2nd dose on 08/05/04. Event Details: On 08/11/2004, the child was brought back to the DR office. She had a fever (unknown degree) and a generalized, macluar-papular, erythematous rash, that " looked like a viral rash" . The child was also " very fussy". No medical treatments were given for the rash. As of 09/08/2004, the child still had " remnants of erythema" Information regarding this event has been forwarded to Aventis, manufacturers of the concomitantly administered vaccine. No additional information was available at the time of this report.
Age: 0.34
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Pharyngitis, Pharyngolaryngeal pain
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a 6 month old female pt who experienced "strep throat". The pt received the second dose on 16Mar04. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on 16Mar04. Dose regimen was 1 dose (IM). Concomitant medications were not reported. The pt experienced "strep throat" (pharyngitis streptococcal) in Jun2004. The pt recovered. No additional information was available at the time of this report.
Sex: F
Vaccine: PNC
Symptoms: Eye irritation, Medication error, Ocular hyperaemia, Pain
Clinical narrative: Follow up information received; no new safety information. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a health care professional regarding a 27 year old female nurse who experienced an accidental exposure on 24Aug04. The pt's concurrent illness includes allergy to penicillin. Indication, dose and dates of Prevnar therapy were not provided. Concomitant therapy included vitamins. On 24Aug04, a 27 year old female nurse experienced an accidental exposure when some Prevnar came off of the needle and inadvertently splashed into her left eye. The reporter, another nurse in the same facility, indicated that the affected nurse was using the safety needle and she believes that no more than one drop would have entered the eye. Initially, the nurse's left eye was stinging; she flushed the eye with cold water for approx ten minutes. The reporter indicated that the nurse eye felt better but appeared irritated and red. Per the reporter she will continue to flush her eye for ten more minutes. No additional information was available at the time of this report.
Age: 0.17
Sex: M
Vaccine: DTP, HIBV, PNC
Symptoms: Cyanosis, Hypotonia, Urticaria
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a healthcare professional regarding a 2 month old male pt who experienced hives, cyanotic and limp. At 2 months of age, the pt received a dose on 14Jun04. The pt also received a dose of Hib titer vaccine (haemophilus b conjugate vaccine (diphtheria crm197 protein conjugate) injection) and a dose of DPT (manf unk) (diphtheria and tetanus toxoids and pertussis) on 14Jun04. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on 14Jun04. Dose regimen was 1 dose (IM). Concomitant medications were not reported. On 14Jun04, the infant experienced hives (urticaria) within minutes of receiving Prevnar and became cyanotic and limp. The reporter indicated that when the physician entered the room to administered Benadryl all symptoms had resolved. No additional information was available at the time of this report.
Age: 0.76
Sex: M
Vaccine: PNC
Symptoms: Coordination abnormal, Pyrexia
Clinical narrative: Additional information received from healthcare professional indicated no receipt of vaccines within four weeks of Prevnar and the pt recovery status. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a physician regarding a 9 month old male pt who experienced fever and acute transient ataxia. At 9 months of age, the pt received the third dose on 24Aug04. The reporter indicated that the pt does not have any relevant medical history. The child is a well baby, no birth defects. Indication for Prevnar was immunization. Product was administered on 24Aug04. Dose regimen was 1 dose. Concomitant therapy included Children's Motrin (ibuprofen). Concomitant vaccines were not administered. On 24Aug04, a 9 month old male pt developed a fever and acute transient ataxia. Several hours post immunization, the child's parents informed the physician that the child developed a fever and acute transient ataxia. The physician stated that the child's fever continued until the next morning. She indicated that she did not prescribed any medications for the ataxia or fever since the child's parents premedicated him with Children's Motrin prior to the third dose of Prevnar, as they had done with previous Prevnar vaccinations. The pt recovered.
Sex: F
Vaccine: PNC
Symptoms: Drug ineffective
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a county health dept nurse regarding a 3 year old female pt who was found to have insufficient Immunogenicity against the Prevnar serotypes. The pt received the third dose on an unspecified date. The pt has a past history of upper respiratory tract infection (described as chronic) and pharyngitis streptococcal. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose. Concomitant medications were not reported. On an unspecified date, the pt underwent immunologic testing for all childhood vaccines, and was found to have insufficient Immunogenicity against the Prevnar serotypes (decreased immune responsiveness). The child had no adverse events at the time, and has had no pneumococcal infections. The pt had received a total of 3 doses of Prevnar, the first dose given at 12 months of age. No additional information was available at the time of this report.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Drug ineffective
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a public health nurse regarding a 35 month old male pt who experienced negative titers after his third dose in 2002. He was given a fourth dose on 16Apr04. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on 16Apr04. Dose regimen was 1 dose (IM). Concomitant medications were not reported. A public health nurse reported that a 35 month old pt completed his primary series of Prevnar on 16Apr04. At 8 months of age, after his third dose, the child's family practice physician had a titer test drawn, which revealed negative titers (antibody test (results: negative). The child's mother reported that the physician said that the child may be immunocompromised. Antibody test was done on an unspecified date in approx 2002. No additional information was available at the time of this report.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: left upper arm, 6.5 cm diameter erythems, mildly warm to touch, also small area 2cm, induration in the central portion
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Headache, Nasal congestion, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Reports pain in bones of hand on vax side & H/A 'along outside top of head' lasting 3-4 hr on 4/18. No c/o on 4/19. 4/20 had sore throat "at back of nasal sinuses", + nasal congestion, T max 102F. 4/21 + yellow/green nasal mucus w/ nose blowing. 4/22 Feeling better, temp 99 F.  Cont't to have URI symptoms & dry cough.  Using homeopathic nasal spray Euphorbium w/ some relief.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Upper respiratory tract infection
Clinical narrative: Reports pain in bones of hand on vax side & H/A 'along outside top of head' lasting 3-4 hr on 4/18. No c/o on 4/19. 4/20 had sore throat "at back of nasal sinuses", + nasal congestion, T max 102F. 4/21 + yellow/green nasal mucus w/ nose blowing. 4/22 Feeling better, temp 99 F.  Cont't to have URI symptoms & dry cough.  Using homeopathic nasal spray Euphorbium w/ some relief.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV
Symptoms: Medication error, Urticaria
Clinical narrative: Information regarding Prevnar ( pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a nurse regarding a 4 month old female pt who received possibly improperly stored Prevnar and developed hives all over the body. The pt received the 2nd dose on 12/06/04.  Event Details: On 12/09/2004, 72 hours post immunization, the pt developed a rash, described as hives all over the body. The hives were reported to be "not raised". The nurse stated that Prevnar vaccine that was administered "arrived later than expected and was stored at unknown temperatures before  it was received on ice". The patient was prescribed Benadryl as needed for the symptoms. As on 12/13/2004, the condition of the pt was "unknown". Information regarding this event has been forwarded to Merck and Aventis, manufacturers of the concomitantly administered vaccines. No additional information was available at the time of this report.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV
Symptoms: Urticaria
Clinical narrative: Information regarding Prevnar ( pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a nurse regarding a 4 month old female pt who received possibly improperly stored Prevnar and developed hives all over the body. The pt received the 2nd dose on 12/06/04.  Event Details: On 12/09/2004, 72 hours post immunization, the pt developed a rash, described as hives all over the body. The hives were reported to be "not raised". The nurse stated that Prevnar vaccine that was administered "arrived later than expected and was stored at unknown temperatures before  it was received on ice". The patient was prescribed Benadryl as needed for the symptoms. As on 12/13/2004, the condition of the pt was "unknown". Information regarding this event has been forwarded to Merck and Aventis, manufacturers of the concomitantly administered vaccines. No additional information was available at the time of this report.
Sex: U
Vaccine: PNC
Symptoms: Diabetes mellitus
Clinical narrative: Follow up information was received from the physician, who stated that this case was already reported to VAERS " a couple years ago by the mother". Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine injection) was received from a pediatrician regarding a patient who developed type I diabetes after immunization with Prevnar. The pt received a dose on an unspecified date. Event Details: A pediatrician reported that a patient was diagnosed with type I diabetes after receiving Prevnar (unspecified date). According to the pediatrician, " a number of parents" have suggested a correlation between adminstration of Prevnar and their children "being diagnosed with diabetes". It was noted taht the patients had also received other vaccines at the same time as Prevnar. Manufacturers Comment: The reporter was unable to specify the number of patients who experienced this event. Additional reports will be generated when identifying information is provided. No additional information was available at the time of this report.
Sex: U
Vaccine: PNC
Symptoms: Blister, Injection site vesicles, Rash
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine(diphtheria crml97 protein) injection) was received from a physician regarding a 6 month old pt who experienced a small, circular, blistering, a patchy rash (approximately 1") around the injection site. The pt received a dose on an unspecified date in 08/2004. Event Details: 1-2 days post immunization, a 6 month old pt developed a small, circular rash. A few days later the pt developed blistering, patchy rash (approximately 1") around the injection site. The reporter indicated that the pt has No Fever. The physician indicated that he would evaluated the child on 08/05/04. No additional information was available at the time of this report.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a physician regarding a 2 month old pt who "cried uncontrollably for several hours" post immunization. At 2 months of age, the pt received the 1st dose on 10/12/04. The pt also received the 1st dose of ActHib (Haemophilus B conjugate (tetanus) vaccine (Aventis), the first dose of IPOL (poliomyelitis inactivated)vaccine (Aventis) and the first dose of Daptacel (diphtheris tetanus toxoids/ acellular pertussis absorbed) vaccine (Aventis) on 10/12/2004. Event Details: After receiving the first injection of Prevnar, the pt's mother reported that her son "cried uncontrollably for several hours". The pt's mother indicated that the symptoms resolved. Related Case; See related case HQWYE048117DEC04. No additional information was available at the time of this report.
Sex: U
Vaccine: PNC
Symptoms: Injection site pain
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a pediatrician regarding a patient who received a dose on an unspecified date and experienced more pain from the Prevnar injection than from other immunizations. Event Details:The pt experienced more pain from the Prevnar injection than from other childhood immunizations. Manufacturer Comment: The reporter was unable to specify the number of pt;s who experienced this event. Additional reports will be generated as identifying information is provided. No additional information was available at the time of this report.
Sex: M
Vaccine: PNC
Symptoms: Injection site mass, Injection site oedema, Pyrexia
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a mother regarding her 2 month old son who developed a mild fever 101 degrees Fahrenheit and swelling at the injection site,  the size of a quarter. The pt received his first dose on 08/11/03. Event Details:  Post immunization the pt developed a mild fever 101 degrees Fahrenheit, and swelling at the injection site the size of a quarter. . RElated Cases: See related cases : HQWYE173023DEC04, HQWYE279929DEC04, AND HQWYE280029DEC04. No additional information was available at the time of this report.
Sex: M
Vaccine: PNC
Symptoms: Injection site mass, Injection site oedema, Pyrexia
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a mother regarding her 4 month old son who developed  a mild fever of 101 degrees Fahrenheit and swelling at the injection site, the size of a quarter. The pt received the 2nd dose on 10/13/2003. Event Details: Post Immunization, the pt developed a mild fever of 101 degrees Fahrenheit, and swelling  at the injection site the size of a quarter. Related Cases: See related cases: HQWYE173023DEC04, HQWYE279829DEC04, AND HQWYE280029DEC04.
Sex: M
Vaccine: PNC
Symptoms: Injection site mass, Injection site oedema, Pyrexia
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injection) was received from a mother regarding her 6 month old son who developed a mild fever 101 degrees, and swelling at the injection site, the size of a quarter. The patient received the third dose on 12/15/2003/ Event Details: Post immunization the pt develped a mild fever and swelling at the injection site the size of a quarter. Related Cases"HQWYE173023DEC04, HQWYE279829DEC04, and HQWYE279929DEC04. No additonal information was available at the time of this report.
Age: 1.51
Sex: M
Vaccine: PNC
Symptoms: Pharyngitis, Pyrexia
Clinical narrative: Follow up information received from the pt MD included illness at the time of vaccination, past vaccinations, and recovery status. Information regarding Prevnar ( pneumococcal 7-valent conjugate vaccine (diphtheria crml97 protein) injeciton) was received from a healthcare professional regarding an 18 month old male pt. who experienced fever of 103-104 degrees. At 18 months, the pt received the 4th dose on 11/08/04. Medical History: the pt's concurrent illness includes viral pharyngitis. Past therapies included Fluzone. Event Details: The pt experienced fever of 103-104 degrees on 11/09/04. The pt recovered.
Sex: U
Vaccine: PNC
Symptoms: Injection site oedema
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a healthcare professional regarding pt's who experienced swelling at the injection site. Relevant medical history was not provided. Indication for Prevnar was immunization. Concomitant medications were not reported. On 27Apr04, a physician's office revealed that in the past 2 months their pt's have reported more adverse events of swelling at the injection site after injections of Prevnar. The reporter was unable to specify the number of pt's who experienced injection site swelling. Additional reports will be generated when identifying information is provided. No additional information was available at the time of this report.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Roseola
Clinical narrative: Follow up information was received from the child's mother, who reported that her daughter's high fever was due to roseola. Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine injection) was received from a mother regarding her 9 month old daughter who experienced roseola. The pt received a dose on 28Apr04. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on 28Apr04. Dose regimen was 1 dose. Concomitant medications were not reported. The child's mother reported that on 28Apr04, post immunization, her daughter developed a fever. The fever at its highest was over 104.5 F rectally. On follow up, the mother stated that spots came out several days later, when the fever broke, which she believed to be roseola
Age: 0.53
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine injection) was received from a physician via a company rep, regarding a 6 month old male pt who experienced a prolonged fever 103.7 deg F. The pt received the first dose on 22Jun04. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on 22Jun04. Dose regimen was 0.5mL 1 time per day (IM). Concomitant medications were not reported. On 22Jun04, post immunization, the child developed a prolonged fever 103.7 deg F. Results of CBC, blood culture and urinalysis were not provided. The pt was treated with Oracef (cephalexin). It was reported that the child had 5 days of fever, and it did get better on Saturday, 26Jun2004. No additional information was available at the time of this report.
Age: 0.17
Sex: F
Vaccine: PNC
Symptoms: Diarrhoea
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a 2 month old female pt who experienced diarrhea. At 2 months of age, the pt received the first dose on an unspecified date. Relevant medical history was not provided. This pt experienced diarrhea after receiving her second dose of Prevnar at 4 months of age. See related report HQWYE865507MAR05. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose. Concomitant medications were not reported. The pt experienced diarrhea. No additional information was available at the time of this report.
Age: 0.33
Sex: F
Vaccine: PNC
Symptoms: Diarrhoea
Clinical narrative: Information regarding Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection) was received from a consumer regarding a 4 month old female pt who experienced diarrhea. At 4 months of age, the pt received the second dose on an unspecified date. The pt previously experienced diarrhea while taking Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) injection). See related case: HQWYE769302MAR05. Indication for Prevnar was immunization. Product was administered on an unspecified. Dose regimen was 1 dose. Concomitant medications were not reported. The pt experienced diarrhea. No additional information was available at the time of this report.
Age: 0.51
Sex: F
Vaccine: DTAP, HEP, IPV, PNC, HEP
Symptoms: Rash
Clinical narrative: A health care professional reported that a 6 month old female infant received an injection of Prevnar (pneumococcal 7 valent conjugate vaccine (diphtheria crm197 protein) vaccine and developed a rash. The pt received her third dose on 23Feb04. The pt also received a dose of Tripedia (diphtheria/tetanus toxoid/acellular pertussis) vaccine, IPOL (poliomyelitis inactivated) vaccine and Engerix B (hep B) vaccine on 23Feb04. The reporter indicated that the pt is a well baby, no birth defects. Indication for Prevnar was immunization. Product was administered on 23Feb04. Dose regimen was 1 dose. Concomitant medications were not reported. On 25Feb04, two days post immunization, a female pt developed a rash that started on her legs and progressed to her upper body. Treatment was not provided. No additional information was available at the time of this report. Information regarding this event has been forwarded to manufacturers of the concomitantly administered vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Tenderness
Clinical narrative: redness 2 1/2 in x 3 1/2 in, warm to touch, tender to patient- right thigh. Treated with Keflex.
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Injection site rash, Urticaria
Clinical narrative: PATIENT DEVELOPED HIVES AT INJECTION SITE, THEN ON BOTH ARMS AND TRUNK. TREATED WITH BENADRYL 50 MG.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: ERYTHEMA,SWELLING AND SMALL BLISTERS AT SITE OF INJECTION
Age: 0.68
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: 0955 SEEN BY DOCTOR FOR CHECK-UP 1040 SEEN AT IMMUNIZATIONS FOR SHOTS 1140 GIVEN IMMUNIZATIONS (SEE BELOW) 1210 STABLE UPON DISCHARGE FROM WELLNESS CLINIC 1345 MOTHER BROUGHT BABY BACK TO PRIMARY CARE CLINIC FOR FEBRILE SEIZURES 1500 AIR EVAC TO HOSP.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Child was immunized on 04/18/2005.  On 04/20/2005, mother reported that the child's left arm was red and very swollen, and that the child had had a low grade temperature on 04/19/2005.  Mother instructed that possibly was normal occurance with immunizations given, and refered to her VIS statements for further information regarding side effects of vaccination.  Mother told to take child to pediatrician for evaluation if she deemed it necessary.  Follow up phone call made to mother on 04/21/2005, mother stated that she did not take the child to the pediatrician, and that the child's swelling was gone, no redness was present, no further fever had occured, and the child was "back to her normal self".  Mother instructed again to refer to her VIS statements for further information, and to contact clinic if further problems occurred.  Follow- up call made to mother on 04/22/2005, no answer, message left on machine.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: SWOLLEN, WARM TO TOUCH LEFT LEG. NO TREATMENT NECESSARY.
Age: 1.61
Sex: M
Vaccine: DTAP, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: 24 hours after immunization sudden temp to 105 and febrile seizure.  asymptomatic today 12 hours later.
Sex: M
Vaccine: FLUX, MMR
Symptoms: Asthenia, Lymphoedema, Pyrexia
Clinical narrative: Pt complaining of feeling fever, weak with swollen lymph nodes. Exam revealed left occipital and submandibular node was tender. Patient was afebrile. Only treatment was Tylenol. Signs and Symptoms resolved by 02/04/2005.
Age: 1.24
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash
Clinical narrative: Body rash.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site warmth
Clinical narrative: red arm warm to touch.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Somatoform disorder, Urticaria
Clinical narrative: Pt developed hives after receiving  a DPT, IPV, MMR and Varicella. Medical Assistant immediately contacted RN and Physician. O2 sat, HR and R measured- wnl, lungs clear bilaterally. Bendadryl 2 tsp administered 15 minutes after Benadryl hives 99% gone. Hives first noticed aftert aDPT and varicella. Mom states child was crying and upset prior to injections and feels reaction possibly stress related.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria
Clinical narrative: Varicella vaccine given 04/05/05- no reaction until 04/19/2005 (14 days later) awoke with red, itchy, swelling around site of vaccine. Denies other cause. Recovery stated as probable.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Condition aggravated, Status epilepticus
Clinical narrative: Status epilepticus starting 2 days after dT vaccine. Patient has a history of seizures but had been seizure free for 6 years and off seizure medications for 4 years. Underlying condition of schizencephaly.
Age: 38.0
Sex: M
Vaccine: FLUX, MEN, SMALL, TYP, YF
Symptoms: Neurological symptom
Clinical narrative: Patient was in excellent shape prior to deployment (no complaints, no medications, running a first class physical fitness test).  Patient was preparing to deploy for three months.  Patient received six vaccinations during deployment (30 Nov - PPD; 03 Dec 2004 - Yellow Fever and Smallpox (15 jabs);  14 Dec 2004- Flu and Typhoid; 16 Dec 2004- Meningococal).  On 30 December, patient began to develop neurological symptoms which were eventually diagnosed upon patient's return home as Amyotrophic Lateral Sclerosis (ALS- Lou Gehrig's Disease) on March 15, 2005.
Age: 1.36
Sex: F
Vaccine: MMR
Symptoms: Apnoea, Cyanosis, Pyrexia, Rash
Clinical narrative: Information has been received from the mother of a 16 month old daughter with no medical history and no allergies who in late June 1999 was vaccinated with MMR. There was no concomitant medication. The pt's mother reported, that on approximately 04-JUL-1999 the pt stopped breathing, turned blue, had a high fever and rash approximately one week after the pt was vaccinated. the pt's mother sought unspecified medical attention for her daughter. Subsequently, the pt recovered. The pt's mother considered stopped breathing, turned blue, high fever and rash to be immediately life threatening. Upon internal review it was considered that stopped breathing was an other important medical event (OMIC). Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Dizziness, Fatigue, Nausea, Pyrexia
Clinical narrative: Pt took oral typhoid on 04/01/2005, 04/03/2005, and 04/05/2005- reports on 04/02/2005 felt lightheaded " slumped over at veternarian" abdominal cramps and fever. No headaches or diarrhea. Decreased appetite, stomach continues to feel queasy and fatigue. Instructed to not take last dose of oral typhoid. All symptoms resolved on 04/21/2005.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Syncope
Clinical narrative: Pt took oral typhoid on 04/01/2005, 04/03/2005, and 04/05/2005- reports on 04/02/2005 felt lightheaded " slumped over at veternarian" abdominal cramps and fever. No headaches or diarrhea. Decreased appetite, stomach continues to feel queasy and fatigue. Instructed to not take last dose of oral typhoid. All symptoms resolved on 04/21/2005.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Body temperature increased, Fatigue, Headache, Malaise
Clinical narrative: Received Flu vaccine at approximately 3:00 PM at clinic. Started not feeling well with Headache, fatigue, increased temperature around 9:00PM. Pt had to stay home with SX of HA, temp 99-102 degrees, pain in all joints, fatigue, felt "like crap" x 1 week until pt started to feel "1/2 way better"
Age: 50.0
Sex: F
Vaccine: HEPA, JEV, TD
Symptoms: Cellulitis, Chills, Pain, Pyrexia
Clinical narrative: Left arm Deltoid area, presented with cellulitis- 4cm presented with fever, chills achy body within of vaccine. 04/18/2005 Office visit, no erythema, or swelling. Pt well.
Age: 17.0
Sex: F
Vaccine: RAB
Symptoms: Anxiety, Asthenia, Dyspnoea, Heart rate increased, Hypoaesthesia
Clinical narrative: vaccine administered 04/14/05-9:00 AM. 3:30 PM- numbness, tingling in tips of fingers radiating to mid forearm of arm vaccine was administered (left). 6:00 PM- playing soccer, noticed heavy feeling in arm and breathing difficulty. Seen in ER. 04/15/05- numbness and tingling still present in left hand and fingers to the wrist. In ER pt with rapid heart rate. Care advice: Referred pt to be seen in MD office in AM When called mom back she stated that child told her that her chest feels like something heavy is on it. Mom is concerned and took to ER nearby. ER: General: Somewhat anxious-appearing lady but in no distress. Vital signs: BP 102/60, P 82/ regular, R 18 unlabored, O2 sat 100% on room air, T 97.7. HEENT: mouth moist with clear throat. Neck: Supple non-tender, Lungs: Clear to ascultation and percussion, Heart: regular rate and rhythm, no murmurs or gallops. Chest: some slight tenderness over back and chest wall. Extremeties: some slight decreased sensation of left hand and slight decreased grip. Some slight tenderness over left shoulder and arm area. Abdomen: soft, flat, nontender. Neurologic: normal. Probable reaction to rabies vaccine. Advised to drink plenty of fluids, and Eat well. Get some rest tonight and touch base with MD in office tomorrow, this is who is administering vaccine and they can decide if they need to proceed on with this. If not improving by tomorrow morning need to see her MD, If it gets much worse tonight, instructed to go to the ER.
Age: 17.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Tenderness
Clinical narrative: vaccine administered 04/14/05-9:00 AM. 3:30 PM- numbness, tingling in tips of fingers radiating to mid forearm of arm vaccine was administered (left). 6:00 PM- playing soccer, noticed heavy feeling in arm and breathing difficulty. Seen in ER. 04/15/05- numbness and tingling still present in left hand and fingers to the wrist. In ER pt with rapid heart rate. Care advice: Referred pt to be seen in MD office in AM When called mom back she stated that child told her that her chest feels like something heavy is on it. Mom is concerned and took to ER nearby. ER: General: Somewhat anxious-appearing lady but in no distress. Vital signs: BP 102/60, P 82/ regular, R 18 unlabored, O2 sat 100% on room air, T 97.7. HEENT: mouth moist with clear throat. Neck: Supple non-tender, Lungs: Clear to ascultation and percussion, Heart: regular rate and rhythm, no murmurs or gallops. Chest: some slight tenderness over back and chest wall. Extremeties: some slight decreased sensation of left hand and slight decreased grip. Some slight tenderness over left shoulder and arm area. Abdomen: soft, flat, nontender. Neurologic: normal. Probable reaction to rabies vaccine. Advised to drink plenty of fluids, and Eat well. Get some rest tonight and touch base with MD in office tomorrow, this is who is administering vaccine and they can decide if they need to proceed on with this. If not improving by tomorrow morning need to see her MD, If it gets much worse tonight, instructed to go to the ER.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Erythema, Injection site swelling
Clinical narrative: Left arm outer lateral aspect only from approximately 1" above elbow to upper arm, with redness and small amount of swelling.
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Erythema, Swelling
Clinical narrative: Marked swelling, redness of right thigh.
Age: 1.61
Sex: M
Vaccine: DT
Symptoms: Diarrhoea, Oedema, Oedema peripheral, Pyrexia, Vomiting
Clinical narrative: One day later, large edema, vomiting, fever and diarrhea. Swelling to toes.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Noted today are very erythematous and swollen, left deltoid with no direct tenderness full ROM advised to take Benadryl.
Sex: F
Vaccine: TTOX
Symptoms: Oedema peripheral, Rash
Clinical narrative: Pt complained of edema and rash left arm. Stated she had received a tetanus shot in ER earlier today and was told that signs and symptoms were common to tetanus shot. She was seen in and given Klonopin 0.5mg, and Benadryl 50mg. Rash and edema diminished within 20 minutes with above meds.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Injection site mass, Oedema
Clinical narrative: golf ball size swelling and redness to injection site. Non tender. Pt afebrile. Pt to see pediatrician today.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injury
Clinical narrative: MMR administered right thigh- needle scratch 7/8" @ site. DTaP administered right lateralis with 3x3.5 inch erythematous area.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left thigh redness and swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema, Face oedema, Injection site urticaria, Urticaria
Clinical narrative: Approximately 20 minutes after injection-lower leg hives, urticaria, edema, of upper lip, eyelid. No respiratory distress, Mother gave Benadryl. Epinephrine (SQ) and Orapred given at MD office.
Age: 1.11
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Rash morbilliform
Clinical narrative: Measles like rash
Age: 5.0
Sex: F
Vaccine: DT, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: On right thigh, red, hot to touch, swollen. Size of softball. TX with ibuprofen, Keflex, and aristacort.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Injection site oedema, Injection site warmth
Clinical narrative: Mother called 04/20/2005, late morning states she noticed pt left arm Upper is swollen the size of a baseball, warm to touch, no fever, no soreness, just noticed around 10:00AM Pt is acting fine, no c/o, playing as usual. Advised mom to monitor pt. Use cold pack and Tylenol PRN, mom called DR office and Peferred providers who offered some advice to mom.
Age: 0.05
Sex: F
Vaccine: HEP
Symptoms: Abnormal behaviour, Diarrhoea, Haematochezia, Hypotonia, Malaise
Clinical narrative: OM 1/27/05 pt had a Hep B vaccine. On 1/19/05 mom called about no BM in 48hrs. On 1/20 blood in stool noted then developed diarrhea. On 1/27 looks good at well visit. On 2/1 mom calls saying she isn't feeling well today. 2/3 sees Ped surgeon not obstructed. 2/3 admit, 2/4 Ped GI comes in. 2/4 transferred to hospital , benign hypotonia, etiology unk. On 3/3 Mom says she doesn't want any more Hep B vaccine because she stated acting funny the day after hep B vaccine given.
Age: 0.52
Sex: M
Vaccine: DTAP
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Mom reported child had fever from 100 to 101F and child inconsolably screaming and crying for 2hrs. Child is usually pleasant and mild mannered.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: 104 temp (as reported by mom, not seen in office), red swollen leg x 4d.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Rash
Clinical narrative: Rash 2 or 3 bumps onset 4/18/05 after applying different baby lotion. Diarrhea x 1.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Left thigh red and swollen start 4/19/05, Progressively worse seen in office 4/2005 12" induration. Treated with Benadryl PO and Elidel topically.
Age: 34.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Began oral typhoid on Wed 03/30/05 in AM 1 hr after taking pill, began with diarrhea/vomiting, had diarrhea continuously until taking 2nd dose on Fri 4/1/05 after second dose symptoms worsened. Client spike a temp of 103 Friday evening no improvement of diarrhea vomiting resolved. Ct traveled earlier in month of March. States felt well until taking the oral typhoid. 1 ER visit for fluids. Client still with diarrhea, encouraged further follow up with MD. Symptoms also reported to Manf.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Received Dtap 08/25/04 in left deltoid, had severe local reaction, now has recurrent hives at injection site whenever she is warm (after baths, etc).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Parent called and reports cellulitis to right upper arm instructed to call physician.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash macular
Clinical narrative: 4/15/05 macular rash, 4/16/05 fevers
Age: 5.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Multiple pox marks
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt rec'd vaccines below on 4/11/05. Pt's mom reported redness and swelling on 4/14 at site of inj left deltoid. Pt seen by Dr on 4/14/05.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site erythema, Injection site oedema, Screaming
Clinical narrative: Inconsolable crying x 4hrs began 1 1/2 hrs after injection. Seen in ER, treated with Tylenol. Redness/swelling to injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site oedema, Pyrexia, Rash
Clinical narrative: High fever 103 for 3 days off and on. Rash over whole body. Main areas were back and stomach. Swollen areas where shot given.
Age: 8.0
Sex: M
Vaccine: UNK
Symptoms: Drug ineffective, Pharyngitis, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Chicken pox, cold like symptoms, fever, rash/red spots, itchy.
Age: 8.0
Sex: M
Vaccine: UNK
Symptoms: Rhinitis, Viral infection
Clinical narrative: Chicken pox, cold like symptoms, fever, rash/red spots, itchy.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Next day evening mom noticed right arm hot to touch, red and swollen, palm size spot. Left arm red and swollen size of quarter. ER visit same night. TX: Benadryl and ice pack. R resolved 3-5d, L resolved 10d.
Age: 0.33
Sex: F
Vaccine: UNK
Symptoms: Cyanosis, Hypotonia, Irritability, Lethargy, Somnolence
Clinical narrative: At 2 mo shots pt was sleepier for days.  At 4mo shots pt was sleepier that eve. At 2AM mom noted fussiness, check child and found her limp/ grey and lethargic. Mom tried to breast feed child and she refused breast until 15 min later when she became more normal. Pt not seen by provider until 6 month visit.
Age: 1.26
Sex: M
Vaccine: HIBV, IPV, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right leg with small red swollen area.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 1.46
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Mother reports child had chicken pox disease starting about February 26, 2005.  Light case 10 spots and no fever.  This is 10 days after twin sister became ill with chicken pox.
Age: 1.46
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Child became ill with fever of 103 on February 16.  24 hours later broke out with chicken pox.  10 days later her twin sister broke out and following that this child broke out again.  Less than thirty lesions.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Skin ulcer, Viral infection
Clinical narrative: Mother called this facility 4/11/05 to report her child had seen physician and was diagnosed with the chicken pox.  Has had no fever.  Onset 4/6/05.  50-259 lesions.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC, PPV, TD
Symptoms: Asthenia, Hyperhidrosis, Injection site erythema, Injection site pain, Myalgia
Clinical narrative: Arm redness and pain, fever and diaphoresis, body aches and weakness, palpitations.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC, PPV, TD
Symptoms: Palpitations, Pyrexia
Clinical narrative: Arm redness and pain, fever and diaphoresis, body aches and weakness, palpitations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Red, warm area over left deltoid (site of injection) observed at 48 hrs after inj. Advised parent to treat with Benadryl if worsens or itches.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Client c/o site where vaccines given area red and hot to touch, swollen.
Age: 1.27
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Viral infection
Clinical narrative: Pt had varicella 12/13/1996 at hospital, pt seen in office (health center) and was dx with Varicella.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: 3x4 red area to left upper arm, warm to touch, no induration, c/o itching, prescribed Benadryl Prn.
Sex: F
Vaccine: HEPAB, IPV, YF
Symptoms: Dyspnoea, Rash
Clinical narrative: c/o SOB, with rash.
Age: 1.02
Sex: M
Vaccine: HEP, IPV, MMR
Symptoms: Convulsion, Dyspnoea, Irritability, Pyrexia, Vomiting
Clinical narrative: My son took a late nap on Saturday, 1/22. When he woke up, you could tell he had a high fever; you could feel it through his clothes. I took his temperature under his arm and it was 103 and still going. He was getting fussy so I stopped. I called the doctor's office at 6:05 PM to see if they had night hours and made an appointment. I was getting dressed and the baby was on the floor. I looked down and he wasn't really moving or making any noises. I looked again and he had thrown up. I went over to check him and he was unable to make eye contact. I began yelling for my husband to come over and look him over. We decided to call 911 at about 6:15 PM. While on the phone with 911, he threw up again and he began having trouble breathing and gurgling. We checked his throat and saw nothing in it. We were told to lay him on the floor and make sure he had an open airway. His eyes were not able to focus or make contact. He was unable to respond to us calling his name. When 911 arrived they just grabbed him off the floor and went with him. I rode with them to the hospital According to the 911 emergency techs, he began having seizures on route to the hospital. At the ER, they began working on him. They tested for the flu, meningitis, started an IV (in the neck) and stabilized him. After about 2 hours it was suggested to us that we transport him to another hospital where they could better treat him and closer to his pediatrician's office. We agreed. Now is about 9:30 or 10:00 PM and they did a CAT scan, Spinal Tap, Blood work and Urine sample. We were told that the tests would take at least 2-3 days and that he would be admitted until then. During the hospital stay, he continued to run a high fever 102-103. The doctor kept checking him over for red spots and thought he had a few. The spots and fever would indicate a reaction to the MMR shot. On the fourth day, fever had been low for 24 hours and all tests had come back negative and we were sent home. The final diagnosis was reaction to the MMR vaccine and the high fever caused the seizure. An antibiotic was prescribed for the ear infection diagnosed on the date of vaccination. This prescription was completed on 01/20/05.
Age: 18.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Arrhythmia, Tachycardia
Clinical narrative: Pt states he had a reaction 3-7 days after vaccine doses of 8/12/04. Treated at ER and hospitalized for tachycardia and arrhythmia. Treated several months with anticoagulants by cardiologist.
Age: 0.57
Sex: F
Vaccine: DTPHIB, HEP, OPV
Symptoms: Anaemia, Impaired healing, Malaise, Neoplasm, Nephroblastoma
Clinical narrative: 2 surgeries, Chemo, Radiation. Extensive 2 5 day (in hospital) Chemo stays and Stem cell transplant. Prior 2 oral polio 06/05/97 (lot # 0756D) and 8/7/97 (lot # 444062). Died 9/19/2003. 1/5/98: Office visit - sick. 4/9/98: Office visit - leg patches between knee and ankle. 8/14/01: Preschool physical 40.5 lbs, temp 100.6, BP 76/51, tired; Hemoglobin 9.2. Within week, sick. Dropped to 36lbs. by 9/4/01. Weight increased to 38lbs. Ear cut not healing. 10/02: Extensive blood work taken in preparation for stem cell transplant revealed 3 antibodies (Varicella, CMV, and Herpes Simplex). No further information received from medical record rec'd 06/13/2005. Hospital medical records received which revealed patient had dx of Stage IV Wilm's tumor w/+ pulmonary nodules & liver mets & had relapses.
Age: 0.57
Sex: F
Vaccine: DTPHIB, HEP, OPV
Symptoms: Pulmonary fibrosis, Pyrexia, Renal cell carcinoma stage unspecified, Skin disorder, Viral infection
Clinical narrative: 2 surgeries, Chemo, Radiation. Extensive 2 5 day (in hospital) Chemo stays and Stem cell transplant. Prior 2 oral polio 06/05/97 (lot # 0756D) and 8/7/97 (lot # 444062). Died 9/19/2003. 1/5/98: Office visit - sick. 4/9/98: Office visit - leg patches between knee and ankle. 8/14/01: Preschool physical 40.5 lbs, temp 100.6, BP 76/51, tired; Hemoglobin 9.2. Within week, sick. Dropped to 36lbs. by 9/4/01. Weight increased to 38lbs. Ear cut not healing. 10/02: Extensive blood work taken in preparation for stem cell transplant revealed 3 antibodies (Varicella, CMV, and Herpes Simplex). No further information received from medical record rec'd 06/13/2005. Hospital medical records received which revealed patient had dx of Stage IV Wilm's tumor w/+ pulmonary nodules & liver mets & had relapses.
Age: 0.57
Sex: F
Vaccine: DTPHIB, HEP, OPV
Symptoms: Weight decreased
Clinical narrative: 2 surgeries, Chemo, Radiation. Extensive 2 5 day (in hospital) Chemo stays and Stem cell transplant. Prior 2 oral polio 06/05/97 (lot # 0756D) and 8/7/97 (lot # 444062). Died 9/19/2003. 1/5/98: Office visit - sick. 4/9/98: Office visit - leg patches between knee and ankle. 8/14/01: Preschool physical 40.5 lbs, temp 100.6, BP 76/51, tired; Hemoglobin 9.2. Within week, sick. Dropped to 36lbs. by 9/4/01. Weight increased to 38lbs. Ear cut not healing. 10/02: Extensive blood work taken in preparation for stem cell transplant revealed 3 antibodies (Varicella, CMV, and Herpes Simplex). No further information received from medical record rec'd 06/13/2005. Hospital medical records received which revealed patient had dx of Stage IV Wilm's tumor w/+ pulmonary nodules & liver mets & had relapses.