chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Disorientation, Dyspnoea, Headache, Hypersensitivity
Clinical narrative: An initial report was received at manufacturer on 3/26/03 from a patient from the USA. Two provisional diagnoses are reported: asthma attack and just co-incidental event according to the Pulmonologist; systemic possible allergic reaction according to the patient's physician. The patient, 31 year old female, developed chest tightness, headache and disorientation, wheezing, and a 50mmx70mm area of redness with pain at injection site the evening after the injection of Fluzone, requiring 2.5 days of hospitalization. The patient received a flu shot in December 2002 with no reactions. The patient's physician feels that she had a systemic possible allergic reaction. Pulmonologist opinion is that the symptoms were an asthma attack and just co-incidental. She received oral and IV steriods, tenalog, breathing treatments, xanax for spasms and Vicoden for pain. Chest tightness, wheezing and shortness of breath continue. Local burning and pain at injection site at time of administration. Outcome not reported.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Wheezing
Clinical narrative: An initial report was received at manufacturer on 3/26/03 from a patient from the USA. Two provisional diagnoses are reported: asthma attack and just co-incidental event according to the Pulmonologist; systemic possible allergic reaction according to the patient's physician. The patient, 31 year old female, developed chest tightness, headache and disorientation, wheezing, and a 50mmx70mm area of redness with pain at injection site the evening after the injection of Fluzone, requiring 2.5 days of hospitalization. The patient received a flu shot in December 2002 with no reactions. The patient's physician feels that she had a systemic possible allergic reaction. Pulmonologist opinion is that the symptoms were an asthma attack and just co-incidental. She received oral and IV steriods, tenalog, breathing treatments, xanax for spasms and Vicoden for pain. Chest tightness, wheezing and shortness of breath continue. Local burning and pain at injection site at time of administration. Outcome not reported.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site reaction, Pyrexia
Clinical narrative: PT developed left upper extremity cellulitis around site of immunization. Also developed daily fevers. Oral antibiotics ineffective. Required hospitalization for IV antibiotics.
Age: 1.2
Sex: M
Vaccine: DTAP, PNC
Symptoms: Apnoea, Convulsion, Dyskinesia, Eye movement disorder, Pyrexia
Clinical narrative: A physician reported the occurrence of paralytic syndrom in a 14 month old male who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed (Infanrix) for prophylaxis during their phase IV study of diphtheria and tetanus toxoids and enhanced pertussis vaccine (Daptacel). The subject's medical history included a seizure with fever secondary to otitis media on 22 Dec 2002. This seizure was described by the emergency medical technician as "primarily right side tonic/clonic activity with gaze deviated to left. Seizure lasted apprx. one to two minutes with apnea period to follow. A second seizure was observed of like duration. The subject received injections of diphtheria and tetanus toxoids and acellular pertussis vaccine on 24 Jan 2002, 26 March 2002, and 23 May 2002. On 16 Jan 2003, the subject received Infanrix for the fourth dose in the DTPa series. Also on 16 Jan 2003, the subject received his first injection of 7-valent pneumococcal conjugate vaccine (Prevnar, Lederle Labs) On 18 Jan 2003, the subject presented to the ER with a fever of 101.7 degrees F, movements in right arm and leg, and gazing to left. His mother reported that the fever had started that day. His right arm then became flaccid. The subject was hospitalized for higher level of care and work up. No seizures occurred while the subject was hospitalized. The subject was discharged from the hospital on 19 Jan 2003. Discharge diagnosis were reported as seizure, febrile and paralytic syndrome NEC. Magnetic resonance imaging scheduled for 20 Jan 2003 was cancelled by either parent or provider. Results of an electronencephalogram performed on 29 Jan 2003 were interpreted as within normal limits. The investigator considered the events to be of moderate severity and possible relate to the vaccines administered on 16 Jan 2003.
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder, Social avoidant behaviour, Speech disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who reportedly received a series of Haemophilus influenzae B vaccine, Orimune, DTP vaccine, hepatitis B vaccine, and MMR during the time frame from 1/30/95 through 10/15/97. The legal complaint states that the child was developing normally. By the end of his second year, he avoided eye contact with his parents, indicated a strong preference for being left alone, and would bounce. He had stopped talking and playing. In or around October, 1998, the child was exposed to mercury through the preservative Thimerosal, which caused the child's autism. Exposure to mercury and autism were considered medically important (OMIC).
Sex: U
Vaccine: DTP, HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a child who received series of Hib-Titer and Tri-Immunol from 4/2/98 through 5/6/99. The complaint states that as a result of exposure to Thimerosal in the vaccines, the child sustained neurological injuries and as a result of those injuries has been diagnosed with autism spectrum disorder. Exposure to thimerosal and autism spectrum disorder were considered medically important (OMIC).
Sex: U
Vaccine: MEA, MMR, RUB
Symptoms: Neurodevelopmental disorder
Clinical narrative: It was reported in a published article, that a PT who was vax'd on unknown dates with a 1st and 2nd dose of "measles containing vax," either MMRII or measles-rubella vax suffered late developmental regression after the 2nd dose only. Upon internal review, regression was determined to be an other important medical event (OMIC). This article also discussed the experiences of other parties following vax with MMRII. No further info is available.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Asthenia, Blood glucose decreased, Dizziness, Fatigue
Clinical narrative: 10/23/2001 Shot #1, 10/25/01-extreme fatigue, headache, stomache ache, following day continuous, severe headache, sick, hot, dizzy. Doctor gave Gusifinise ?- took 1 pill, heart raced, face flushed, felt faint, and panicky. Next about Nov 12 or 13 was given Trixon. Nov 15 saw spots , floating along with severe headaches and had body tremors, stiff neck, tingling, numbness in arms, legs, and face and insomnia, sweating, hot flashes, weak, dizzy. Could stay up for only 3 hours a day, spent most of time in bed. Headache lasted 2 1/2 months. Pt is still dealing with fatigue, photo sensitivity, low blood pressure and sugar problems, vision problems, dizziness, weakness, forgetfulness. Pt had thyroid diabetes, and anxiety. All test taken were negative so are treating pt with anxiety and low blood sugar but they feel there is a underlying problem. Had all available test and didn't find a problem.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Headache, Heart rate increased, Hot flush, Hyperhidrosis
Clinical narrative: 10/23/2001 Shot #1, 10/25/01-extreme fatigue, headache, stomache ache, following day continuous, severe headache, sick, hot, dizzy. Doctor gave Gusifinise ?- took 1 pill, heart raced, face flushed, felt faint, and panicky. Next about Nov 12 or 13 was given Trixon. Nov 15 saw spots , floating along with severe headaches and had body tremors, stiff neck, tingling, numbness in arms, legs, and face and insomnia, sweating, hot flashes, weak, dizzy. Could stay up for only 3 hours a day, spent most of time in bed. Headache lasted 2 1/2 months. Pt is still dealing with fatigue, photo sensitivity, low blood pressure and sugar problems, vision problems, dizziness, weakness, forgetfulness. Pt had thyroid diabetes, and anxiety. All test taken were negative so are treating pt with anxiety and low blood sugar but they feel there is a underlying problem. Had all available test and didn't find a problem.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Insomnia, Malaise, Musculoskeletal stiffness, Panic reaction
Clinical narrative: 10/23/2001 Shot #1, 10/25/01-extreme fatigue, headache, stomache ache, following day continuous, severe headache, sick, hot, dizzy. Doctor gave Gusifinise ?- took 1 pill, heart raced, face flushed, felt faint, and panicky. Next about Nov 12 or 13 was given Trixon. Nov 15 saw spots , floating along with severe headaches and had body tremors, stiff neck, tingling, numbness in arms, legs, and face and insomnia, sweating, hot flashes, weak, dizzy. Could stay up for only 3 hours a day, spent most of time in bed. Headache lasted 2 1/2 months. Pt is still dealing with fatigue, photo sensitivity, low blood pressure and sugar problems, vision problems, dizziness, weakness, forgetfulness. Pt had thyroid diabetes, and anxiety. All test taken were negative so are treating pt with anxiety and low blood sugar but they feel there is a underlying problem. Had all available test and didn't find a problem.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia, Photophobia, Syncope, Tremor, Visual disturbance
Clinical narrative: 10/23/2001 Shot #1, 10/25/01-extreme fatigue, headache, stomache ache, following day continuous, severe headache, sick, hot, dizzy. Doctor gave Gusifinise ?- took 1 pill, heart raced, face flushed, felt faint, and panicky. Next about Nov 12 or 13 was given Trixon. Nov 15 saw spots , floating along with severe headaches and had body tremors, stiff neck, tingling, numbness in arms, legs, and face and insomnia, sweating, hot flashes, weak, dizzy. Could stay up for only 3 hours a day, spent most of time in bed. Headache lasted 2 1/2 months. Pt is still dealing with fatigue, photo sensitivity, low blood pressure and sugar problems, vision problems, dizziness, weakness, forgetfulness. Pt had thyroid diabetes, and anxiety. All test taken were negative so are treating pt with anxiety and low blood sugar but they feel there is a underlying problem. Had all available test and didn't find a problem.
Age: 12.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Hypersensitivity, Pharyngeal oedema, Rash, Rhinorrhoea, Wheezing
Clinical narrative: Received vaccinations at 4:10PM. At 4:30PM (approximately) patient experienced swelling in throat, watery eyes, runny nose, wheezing. Taken to ER immediately where mother also noticed a rash in the bends of both arms and on both ankles. ER gave epinephrine and started IV. Decadron, Benadryl and Pepcid given IV. Breathing eased after epinephrine. Released at 8PM with Rx for Vistaril and Zantac.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Somnolence
Clinical narrative: Pain in arms, drowsiness.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site reaction, Vasodilation procedure
Clinical narrative: Right arm swelling, redness, pain, warm to touch, 2 days post injection of 3rd dose Anthrax. Given Zyrtec 10 mg for Tx.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Vasodilation procedure
Clinical narrative: Member noticed swelling in upper right arm with sensation of swollen fingers right hand w/in N 6 deg of injection. Presents today with 24 hr post injection with swollen warm, reddened area of upper right arm.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site reaction, Pruritus
Clinical narrative: PT described redness, swelling and itching at inject site and forearm. Pain related to swelling. PT ibuprofen, Vicodin and applied topical homacaine?. Pain, swelling and redness treated at about 5 days post vax. Today presents 5 adverse Sx's.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Pain, Rash maculo-papular
Clinical narrative: Member c/o tenderness and induration began approx 24 hrs post Anthrax #3. Today presents with red, indurated "lump" approx 4.5 cm across with associated pain / tenderness. No lymph node swelling noted.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Injection site hypersensitivity, Injection site oedema, Vasodilation procedure
Clinical narrative: Increasing inject site redness, swelling, warmth. Entire left tricep / bicep area involved. Erythema spreading over last 24 hrs. Had entire series in past without prob's. This was booster dose. Treated by MD for cellulitis > 12 cm. Area induration (21 x 28 cm)
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema
Clinical narrative: Marked swelling and erythema right arm from shoulder to elbow.
Age: 51.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Mild chest pain on and off starting Friday afternoon through Saturday during physical exertion or at rest. No symptoms on 4/6. Developed mild chest pain radiating to left arm on 4/7 while at work.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash erythematous, Rash vesicular
Clinical narrative: Onset of generalized vaccinia on Mar 03. Erythemous/ vesicular rash spreading over lower abdomen, legs, and back. Generalized vaccinia.
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Rash maculo-papular
Clinical narrative: Whole body macular papular light pink rash with excoriation.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever to 105. Vomiting
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Heart rate increased, Hypertension, Nausea, Pallor, Respiratory rate decreased
Clinical narrative: Pale, dusky color, decreased BP, decreased pulse, decrease resp, nausea. Epi 3cc 1mg/1mm given SQ right arm. 911 called
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Skin discolouration
Clinical narrative: Pale, dusky color, decreased BP, decreased pulse, decrease resp, nausea. Epi 3cc 1mg/1mm given SQ right arm. 911 called
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pain, Pruritus, Vasodilation procedure
Clinical narrative: Left arm swollen, red and warm to touch. C/o itching and tenderness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Erythema, edema & pruritus left arm (inject site). Tx with Motrin and ice.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Ecchymosis, Injection site hypersensitivity, Oedema, Pyrexia
Clinical narrative: PT received IPV #4, MMR #2 on 6/3/02. They were contacted on 8/12 to have the IPV redone, which was done on 9/16/02, because of concern about refrigeration of the vax. He also received DTP #5 on 9/16 in right anterior thigh. He came in on 9/16 in the late afternoon and saw the nurse. Reporter poked their head into the room to look at the right thigh, which was red. He was sent to the ER immediately. See 9/16 ER report. He was Dx'd w/cellulitis of the right lower extremity and given Keflex, warm compressed and Benadryl. Temp on that visit was 101.1. Then they went back to the ER on 9/19? and had documentation of worsening knee swelling so a tap was done on the knee, showing a few WBCs and a negative culture. Also had a negative blood culture. WBC count was 10.2, 54 granulocytes, 36 lymphocytes, and 6 mono cells. ESR was 33. Chem 7 was normal. X-ray showed soft tissue swelling only on the knee. He was given IV Ceftriaxone x 1 and Dx'd w/right knee effusion and serum sickness syndrome. Since that ER where they documented that he developed a macular rash, as well as some right knee swelling, mom reports some transient bruises showing up on bilateral lower extremities. The rash has been on the lower extremities as well as the groin. No fever, child has no other Sx's or new Sx's. Mom is upset regarding the cost of the ER visit (no insurance), asking why the PT had these side effect Sx's from the immunization and is blaming it on the 2nd polio injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Rash maculo-papular, Serum sickness
Clinical narrative: PT received IPV #4, MMR #2 on 6/3/02. They were contacted on 8/12 to have the IPV redone, which was done on 9/16/02, because of concern about refrigeration of the vax. He also received DTP #5 on 9/16 in right anterior thigh. He came in on 9/16 in the late afternoon and saw the nurse. Reporter poked their head into the room to look at the right thigh, which was red. He was sent to the ER immediately. See 9/16 ER report. He was Dx'd w/cellulitis of the right lower extremity and given Keflex, warm compressed and Benadryl. Temp on that visit was 101.1. Then they went back to the ER on 9/19? and had documentation of worsening knee swelling so a tap was done on the knee, showing a few WBCs and a negative culture. Also had a negative blood culture. WBC count was 10.2, 54 granulocytes, 36 lymphocytes, and 6 mono cells. ESR was 33. Chem 7 was normal. X-ray showed soft tissue swelling only on the knee. He was given IV Ceftriaxone x 1 and Dx'd w/right knee effusion and serum sickness syndrome. Since that ER where they documented that he developed a macular rash, as well as some right knee swelling, mom reports some transient bruises showing up on bilateral lower extremities. The rash has been on the lower extremities as well as the groin. No fever, child has no other Sx's or new Sx's. Mom is upset regarding the cost of the ER visit (no insurance), asking why the PT had these side effect Sx's from the immunization and is blaming it on the 2nd polio injection.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: Swelling at inject site (left thigh) with erythema.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Crying, Malaise
Clinical narrative: Received vax's 3/27/03 a.m. Mother states because very fussy with inconsolable crying. Last pus? and today. Returned to clinic 3/28/03 baby exam'd - MD indication of illness. Injection sites - no redness, swelling or pain. No fever. Advised Tylenol or Motrin and return to office or ER if condition worse.
Age: 3.8
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Had moderate swelling and redness of the left thigh (inject site) noted on the 2nd day post shots. Would not bear weight on left leg. Given shot of Solumedrol and started on Orapred x 5 days.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Myalgia, Pain
Clinical narrative: Myalgia, fever like chills, inability to work. 2 hrs to discomfort after smallpox vax.
Age: 3.25
Sex: F
Vaccine: MMR, PNC
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Local redness minor swelling (MMR site). Local redness moderate welting (Varicella site)
Age: 4.8
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site rash, Rash papular
Clinical narrative: Left deltoid (inject site) with erythema papular rash. Tx with cool compresses, TID, Benadryl, Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site pain, Injection site reaction
Clinical narrative: Local cellulitis (3 cm) at inject site with pain / redness 24 hrs post injection.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis in arm
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site induration, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: "Local" 8-10cm cellulitis area day post immunization on R thigh (+) induration, warmth, pain, and fever.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Pyrexia
Clinical narrative: "Local" 8-10cm cellulitis area day post immunization on R thigh (+) induration, warmth, pain, and fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Local swelling, transient urticaria.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Dyspnoea, Hyperventilation, Injection site erythema, Injection site swelling
Clinical narrative: Patient had been home approximately half hour. Started to become short of breath. Returned to clinic; was breathing very shallow of rapid. Left arm at injection site was red and very swollen. BP increased (180/102). Very shaky and weak. Was given Benadryl with no relief with epinephrine. Entire episode lasted approximately 5 hours.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Tremor
Clinical narrative: Patient had been home approximately half hour. Started to become short of breath. Returned to clinic; was breathing very shallow of rapid. Left arm at injection site was red and very swollen. BP increased (180/102). Very shaky and weak. Was given Benadryl with no relief with epinephrine. Entire episode lasted approximately 5 hours.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Contusion, Petechiae
Clinical narrative: Many bruises on back, neck, face, legs, petechiae on legs. Bruises on knees.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Joint range of motion decreased, Pain, Pyrexia
Clinical narrative: Left arm swelling near shoulder. Seen in clinic about 48 hours after Td immunization. Very slightly red, tender, arm sore and unable to elevate well. Temp 101, achy. Placed on Keflex 500mg BID for 10 days. Leaving to go out of town today. Parents to call with update.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Swelling
Clinical narrative: Left arm swelling near shoulder. Seen in clinic about 48 hours after Td immunization. Very slightly red, tender, arm sore and unable to elevate well. Temp 101, achy. Placed on Keflex 500mg BID for 10 days. Leaving to go out of town today. Parents to call with update.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Red, swollen.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Vaccine administered 7-2WGA.
Age: 1.4
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: About 4cm of induration, pain and warmth.
Age: 1.4
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Injection site induration
Clinical narrative: About 4cm of induration, pain and warmth.
Age: 4.75
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Extremely large (4-5 inch in diameter), warm, red-hard area around DTaP injection site. Treated with Augmentin ES600 1 1/2 tsp bid x 10 day-warm packs prn.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Large area (4-5 inches in diameter) red, warm, hard area around DTaP injection site. Treated with Duracef 500mg PO BID for 10 days and warm packs.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site reaction
Clinical narrative: Tenderness erythema (15cm x 15cm), induration (10cm x 10cm) on L arm. Treated as cellulitis with Cephalixin 25mg, 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Left upper arm was swollen in the area where the immunizations were given. It was red but not very painful. The child says it itches. Benadryl was prescribed.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Crying for 4-5 hour spells within the 24 hrs following immunizations on 3/22/03.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left leg with area of swelling, heat, redness about 7cm; localized reaction only.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicella (chicken pox)
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: 3/28/03 Temp 97-4 (ear) smiling, happy, red bumps on face crust over (4 crusted lesions) (started 2 days after). Few lesions on abdomen (1 papule), back and face (2 pink papules). Assumed chicken pox; ? vaccine reaction. No treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Per phone call from mom 04/04/2003. Developed swelling and redness beginning 1:00pm 04/03/2003 following immunizations given on 04/02. Redness progressed to apprx. 4in area between arm pit and elbow-firm swelling apprx. 2 in also. Child given Advil and Benadryl and warm compresses.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Erythema, Oedema
Clinical narrative: Non stop crying, red very swollen blue feet, red toes, blue strip on right leg.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site induration
Clinical narrative: 2cm induration at injection site on right upper arm. Tx ice, Motrin, observe Prognosis expected healing. MD stated no pre existing reason to not vaccinate
Age: 8.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Rash
Clinical narrative: No fever. 4-5 rash on the site. Sites flat. Difused together (as of 04/08/2003) and scar by a bug bit spot.
Age: 3.0
Sex: M
Vaccine: DTP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours after injection, area of site red raised hot to touch size of baseball.
Age: 1.25
Sex: M
Vaccine: MMR, PNC
Symptoms: Erythema, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Red blotchy rash. Started today 04/01/2003. Swollen lymph glands groin area 03/31/2003. Temp 102-103 since 03/29/2003
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site pain
Clinical narrative: RUE 15cm x 9cm red, tender area.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Rash papular
Clinical narrative: 1.5 erythema no warmth, slight tender area in right deltoid with small papular outer lesion within.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site oedema, Rash
Clinical narrative: 2 x 5 cm area of swelling at DTap shot site left thigh. Slight warmth. No tenderness. Red rash.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Local rxn only- erythema, increased warmth and TTP
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right deltoid red swollen 12 x 11 cm < 48 hours onset. Non tender. Tx Benadryl/Tylenol
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Rash
Clinical narrative: 2 weeks after vaccine, fine rash over body.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Pt was given IPV 0.5cc Right SQ and DTaP 0.5cc Left IM on 04/03/2003. Within 10 min, pt had hives and erythema at IPV injection site. Pt was given 25mg Benadryl. Redness and hives went down in 20 mins.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Cough, Headache, Injection site erythema, Injection site warmth
Clinical narrative: Body aches, chills, fever, headache, dry cough sometimes with mucous. Arm where shot was given , red, hot to touch, couldn't lift, very painful.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Pain, Pyrexia
Clinical narrative: Body aches, chills, fever, headache, dry cough sometimes with mucous. Arm where shot was given , red, hot to touch, couldn't lift, very painful.
Age: 0.75
Sex: F
Vaccine: HEP, PNC
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis right thigh. Treated with Keflex
Age: 0.75
Sex: M
Vaccine: HEP, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local reaction 3in redness, slight swelling. Warm compresses
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 24 hours after shot pt had swelling, tenderness and erythema of 1/2 left leg. Pt was treated in ER and MD's office with Benadryl and Zrtec
Age: 1.3
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Abasia, Abdominal pain upper
Clinical narrative: 16 month old male refused to bear out on right leg after Prevnar #4 injection 03/26/2003. Treated with heat and Motrin as well as warm compresses. 03/28/2002 Pulls to stand but will not walk. X-Ray right lowere extremity ne. 04/02/2003 walking normally , no Motrin DTRI , Muscle strength 4
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Joint range of motion decreased, Myalgia, Paraesthesia
Clinical narrative: 03/26 Prolonged deep muscle pain. Left arm did not respond to over the counter pain meds. Tingling along underside of arm and numbness in fingers for 2-3 days after immunization. Difficulty in lifting arm beginning 03/26.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Pyrexia
Clinical narrative: Chix Pox diagnosed 03/24/2003 and Zoervax 400mg po qld x 5-7. Fever central
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site oedema
Clinical narrative: Left arm swollen, blotchy red warm from lower shoulder to elbow. DTaP and MMR given at left deltoid on 04/01/2003. Pt in on 04/04/2003 to check PPD results-RN observed left arm and made for MD to examine arm.
Sex: M
Vaccine: HBHEPB, IPV, VARCEL
Symptoms: Joint range of motion decreased, Screaming, Staring
Clinical narrative: On March 31, 2003 woke up screaming then became unresponsive at limbs, eyes open but fixated. taken to ER
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Back pain, Dizziness, Dyspepsia, Headache
Clinical narrative: Onset 3/28/03 HA, backache, muscle aches, joint pain, dizziness, itching, indigestion for 2 days.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Myalgia, Pruritus
Clinical narrative: Onset 3/28/03 HA, backache, muscle aches, joint pain, dizziness, itching, indigestion for 2 days.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Cholelithiasis, Fatigue, Influenza like illness
Clinical narrative: Flu-like symptoms, fatigue for 48 hours.  Patient went to doctor but received no treatment.  Doctor thought she could possibly have gall stones.  Gall stones was ruled out.
Age: 38.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Blister, Herpes zoster
Clinical narrative: Patient reported to medical clinic 8 days after smallpox vaccination with cluster of clear vesicles on opposite deltoid.  Lesion had appearance of herpes zoster and cleared with administration of Acyclovir oral and topical medications.  Patient also received typhoid vaccine in same arm as vesicles and received anthrax vaccine in opposite arm.  Noted to have major reaction to smallpox vaccine with no satellite lesions or other adverse events.  Had previously been vaccinated against smallpox as a child without adverse reaction.  Also had history of chicken pox as a child and no exposure to varicella vaccine.
Age: 38.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Blister, Herpes zoster, Skin ulcer
Clinical narrative: Patient reported to medical clinic 8 days after smallpox vaccination with cluster of clear vesicles on opposite deltoid.  Lesion had appearance of herpes zoster and cleared with administration of Acyclovir oral and topical medications.  Patient also received typhoid vaccine in same arm as vesicles and received anthrax vaccine in opposite arm.  Noted to have major reaction to smallpox vaccine with no satellite lesions or other adverse events.  Had previously been vaccinated against smallpox as a child without adverse reaction.  Also had history of chicken pox as a child and no exposure to varicella vaccine.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Back pain, Chest discomfort, Chills, Headache
Clinical narrative: Patient woke up 3/28/03 with severe HA.  On 3/29, HA continues with joint pain and @0700 pressure in chest that radiated down left arm began fever and chills.  Continues on 3/30/03 with heart palpitations.  On 4/2/03, heaviness at vaccination site, slight HA, pressure in chest continues.  4/2/03 onset of lower back pain, advised patient to see PMD ASAP.
Age: 55.0
Sex: F
Vaccine: SMALL
Symptoms: Palpitations, Pyrexia
Clinical narrative: Patient woke up 3/28/03 with severe HA.  On 3/29, HA continues with joint pain and @0700 pressure in chest that radiated down left arm began fever and chills.  Continues on 3/30/03 with heart palpitations.  On 4/2/03, heaviness at vaccination site, slight HA, pressure in chest continues.  4/2/03 onset of lower back pain, advised patient to see PMD ASAP.
Age: 61.0
Sex: F
Vaccine: SMALL
Symptoms: Palpitations, Throat tightness
Clinical narrative: Sudden onset heart pounding, feeling in throat like wanted to swallow but never went away.  Persistent.  Seen in Emergency Room.  No hx prior cardiac dx.  Had negative cardiac stress test 1 yr ago.  Discharged home with still occasional abnormal heart beat.  Never had this before. (4/3/03) continued problems resulted in another ER visit 4/6/03 with admission to hospital.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Blister, Rash papular
Clinical narrative: Blisters, papules on Left Arm, chest, back, and leg.  Began 4/3/03, progressing 4/6/03.  Rash generalized over entire body.  Seen in ER and no treatment given.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Erythema, Skin ulcer
Clinical narrative: Blisters, papules on Left Arm, chest, back, and leg.  Began 4/3/03, progressing 4/6/03.  Rash generalized over entire body.  Seen in ER and no treatment given.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Headache, Hypoaesthesia, Influenza like illness, Oedema
Clinical narrative: Day 8 -swelling, left hand, fever 102 (F. Day 9 - rash, fever, itching, headache. Day 10- "flu like" sx - chills, hot.  Day 11 - blisters on right hand.  Days 14-16 - headache.  Day 22 - continues to have headache, right finger numb and aches.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Pain, Pruritus, Pyrexia, Rash
Clinical narrative: Day 8 -swelling, left hand, fever 102 (F. Day 9 - rash, fever, itching, headache. Day 10- "flu like" sx - chills, hot.  Day 11 - blisters on right hand.  Days 14-16 - headache.  Day 22 - continues to have headache, right finger numb and aches.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Pt. C/O Shortness of Breath and Chest Pain on 4/3/03.  Relieved with Nitrolingual spray.
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Ear pain, Influenza like illness, Pharyngitis
Clinical narrative: Physician called about patient with flu-like symptoms related to smallpox vaccine. He had placed patient on Symmetrel but thought her symptoms were related to vaccinia. He saw patient on Day 4 after vaccine innoculation of smallpox and what he believed to be celluitus and treated with Keflex.  He sated that the site was better soon after and antibiotics were disconutined.  Dr. reminded Dr. not to use acetone or alcohol to clean the vaccine site because the virus is fastidious and this would interfere with a take and was concerned that this employee developed a cellulitis with only minimal instrumentation of site.  Dr. suggested that he consider Staph carriage in his patient or that the response might have been related to other vaccine issues (tape, allergic, etc.)  The patient complained of pharynigitis on 3/6/03 and ear pain  and he noted some cervical nodes.  Dr. stated that this was not typical for a vaccine response.  He noted that he elected to provide treatment with Zithromax pack.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: FEVER 103 THE NIGHT OF VACCINE ONLY
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Vomiting
Clinical narrative: Day 21 after vaccination: Headache, vomiting of unknown etiology.  4/2/03 and 4/4/03 ER visits, LP and CT negative.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Injection site pustule, Pain, Pyrexia
Clinical narrative: Mild fever, back and rib pain, no cough, no smoking. Left deltoid vaccination site= 5mm pustule with erythematous ring < 2cm in diameter. Dx= mild rxn to Smallpox vaccination. Temp 100.0
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Dizziness, Flushing, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Dizzy, light headed, flushed and warm, some cough, a little bit of a sore throat. denies unusual rxn from Smallpox vaccine, was unaware of having a fever. Dx: most likely a viral type problem. Temp 102.4
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Back pain, Chills, Erythema, Fatigue, Injection site pustule
Clinical narrative: Fatigue, chills, vomited x 2, aches in back and left axillary area. Left deltoid area at site of Smallpox= a pustule <5mm diameters with erythematous ring of 2.5 cm. Tenderness in left axillary area but no enlarged lymph nodes. Dx: Mild rxn to Smallpox vaccine.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Vomiting
Clinical narrative: Fatigue, chills, vomited x 2, aches in back and left axillary area. Left deltoid area at site of Smallpox= a pustule <5mm diameters with erythematous ring of 2.5 cm. Tenderness in left axillary area but no enlarged lymph nodes. Dx: Mild rxn to Smallpox vaccine.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, mild pruritis, no SOB, diffuse hives over entire body. ER treatment: Benadryl 50mg IM Rx Benadryl 50mg PO Q 4-6 hours PRN.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Angina pectoris, Chest pain, Pyrexia
Clinical narrative: C/O Mid sternum CP present for 8 hours, non exertional, had gas mask on apprx 10 min. Impression angina Temp 99.2 degrees
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Discomfort, Injection site induration, Pruritus, Rash macular, Rash pustular
Clinical narrative: Very faint, small areas of macular eruptions over his upper trunk: injection site appears indurated, but no signs of obvious cellulitis. Benadryl given for itching or discomfort PRN Temp 99.2 degrees
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Syncope
Clinical narrative: Very faint, small areas of macular eruptions over his upper trunk: injection site appears indurated, but no signs of obvious cellulitis. Benadryl given for itching or discomfort PRN Temp 99.2 degrees
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema multiforme, Pruritus, Rash
Clinical narrative: Erythema multiforme without other symptoms with rash and mild pruritus
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Injection site hypersensitivity, Lymphadenopathy, Myalgia, Pruritus
Clinical narrative: 21 year old male Rx to Smallpox vaccine. C/O muscle aches, local itching to site, headache and swollen lymph nodes to right arm pits x 4days. Med: Motrin
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Bundle branch block, Chest pain
Clinical narrative: 03/07/03 Chest pain 03/10/03 Saught medical care, heart cath done, revealed right bundle branch block
Age: 56.0
Sex: F
Vaccine: SMALL
Symptoms: Post vaccination autoinoculation, Rash
Clinical narrative: The Smallpox Vaccine Adverse Event Active Surveillance Worksheet was filled out and filed by the patient herself.  She reports that she has a history of chronic urticaria for which she takes hydroxyzine.  This apparently was not identified at the time of screening, but the patient admits that she did not provide this information at the time of screening.  She states that she noticed additional lesions on her abdomen four days after being vaccinated.  These resolved without treatment over the following week, and she still has not had any evaluation of this apparent problem.  There were only two lesions and she reports that she has made a full and complete recovery.  The patient herself stated on her Active Surveillance Worksheet that she thought she had generalized vaccinia, but it sounds more like inadvertent autoinoculation, if it was related to the vaccination at all.  Because nobody but the patient saw these lesions this report should be regarded as unconfirmed.  Further relevant information will be submitted via an addendum as it becomes available.
Age: 57.0
Sex: M
Vaccine: SMALL
Symptoms: Anxiety
Clinical narrative: Anxiety
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: Viral Cellulitis resolving after 36 hours
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Eyelid oedema
Clinical narrative: On the 12th day following immunization with Smallpox , pt noticed a red spot on his right lower eyelid. On day 17 he had significant swelling and erythema of right lowere eyelid and was sent to an opthemologist for examination. He was diagnosed with a RLL coalization and treated with Tobradex ung q hs x 2 weeks.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Fatigue, Injection site erythema, Injection site oedema, Injection site pain, Rash
Clinical narrative: Day 9 developed edema of upper arm, this increased to entire upper arm on Day 10 with a rash of 12 spots on L chest and 3 on L stomach; with pain at site, L axillary tenderness, redness surrounding site, fatigue--all increased.  Pt. took Benedryl PO 50 mg q 4 hrs X 24 hrs. and left site uncovered--to air. Rash and swelling decreased by Day 11. Cont. Benedryl 50 mg. PO PRN and site open to air. Day 12--rash gone, swelling decreased. Day 13 & 14 swelling cont to decrease. Pt. cont. with Benedryl 50 mg HS and leaving site open to air when at home. (Pt. feels semi-permeable dressing while site was draining caused increase of edema, redness, and possibly rash)
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Gait disturbance
Clinical narrative: One hour following vaccine administration, parent reports weakness, dizziness and staggering.  Symptoms subsided following 8 hours of bedrest at home.  Parent did not report incident immediately to provider.  Parent brought patient in on 3/31/03 to report incident.
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Blepharitis, Eye discharge
Clinical narrative: 51 yo female with c/o foreign body sensation in left eye x one week beginning ~6 days post smallpox vaccination.  Sensation worsened throughout the week and patient reported ocular discharge on 4/9.  No c/o eye pian, itching, redness of eye, or visual changes.  Contacted clinic on 4/9 and was referred to Eye and Ear Infirmary for ophthalmologic evaluation.  Examination of the eye was completely normal except for some mild blepharitis on left.  No foreign body seen, no corneal abrasions.  Exam of the retina, ocular nerve, conjunctiva and periocular area all normal.  No discharge noted on exam.  Specimens not sent for testing.  Patient treated with artificial tears and discharged.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Blister, Rash papular
Clinical narrative: Patient complained of reddened, non-draining lesions to arm, neck, back and hand. Patient had smallpox vaccination on 3/25/03. Developed these lesions on 4/4/03.
Age: 32.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Erythema, Skin ulcer
Clinical narrative: Patient complained of reddened, non-draining lesions to arm, neck, back and hand. Patient had smallpox vaccination on 3/25/03. Developed these lesions on 4/4/03.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Asthenia, Palpitations
Clinical narrative: Received smallpox vax 2/27/03. Proceeded w/course w/o incident. Minimal c/o tiredness "No fever" Scab off? 3/16/03 No report of Sx's. 3/4, upon questioning PT, stated did have some palpitations on 4/2 & 4/3.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Received smallpox vax 2/27/03. Course w/o complaint or Sx's. Scab off 3/31/03. C/o chest pain, mid chest ?? to back intermittent on 4/1/03. No SOB. No fever.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Dyspnoea, Pain, Pyrexia
Clinical narrative: 3/29/03 Temp 100.4 4/1 - 4/3/03 Low grade fever, not measured by PT. 4/2/03 2-3 p.m. left midsternal interecstal pain which persisted. 4/3/03 12:30 p.m. visit to MD with increased intercestal pain mid sternal and shortness of breath 2ndary to pain and expansion of chest wall breathing. Had 2 normal EKGs, NG?, RUBS, no murmur. Dx Intercostalcondritis - 3 cd, 4 ch, 3 ca. Left of sternum. Rx Indocin, Percoset, Pervacid. Rest at home 1 wk of 4/3/03 improved but still some discomfort with deep arthralgia.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Depression, Upper respiratory tract infection
Clinical narrative: C/o CP somewhat steady for past 1-2 wks, and some mild upper respiratory Sx's. EKG: Some global PR depression - concern of possible endo or myocarditis. Has been doing lot of listing. Assessment: Costochondritis, PR interval depression.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Chills, Confusional state, Cough, Delirium, Headache
Clinical narrative: Felt cold, sweaty, chilly - getting confused, felt warm to others. EMT arrived, was delirious, mild headache, mild cough over last few days. Raised lesion at site of immunizations - no smallpox. CXR: increased markings of bronchovesicular area. Dx: Fever, delirium, rash due to immunization.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Hyperhidrosis, Injection site mass, Pyrexia, Rash, Rash vesicular
Clinical narrative: Felt cold, sweaty, chilly - getting confused, felt warm to others. EMT arrived, was delirious, mild headache, mild cough over last few days. Raised lesion at site of immunizations - no smallpox. CXR: increased markings of bronchovesicular area. Dx: Fever, delirium, rash due to immunization.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Vasodilation procedure
Clinical narrative: Felt cold, sweaty, chilly - getting confused, felt warm to others. EMT arrived, was delirious, mild headache, mild cough over last few days. Raised lesion at site of immunizations - no smallpox. CXR: increased markings of bronchovesicular area. Dx: Fever, delirium, rash due to immunization.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Dehydration, Nausea, Neck pain, Pyrexia, Vomiting
Clinical narrative: During regular exercises fell and hit neck, c/o nausea and neck pain. Upon arrival to ED vomited 3-4 times. Dehydration. ED given IM Zofran 4 mg and IL NS IV. Could be Adverse Rx to Anthrax vax. Rx: Flexerill 10 mg PO Q 8 hr PRN & Phenergan 1.5 mg Q 4-6 deg PRN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Right arm (inject site) erythema, swelling, tender to touch.
Age: 26.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site mass, Injection site oedema, Pain, Paraesthesia
Clinical narrative: PT reports some numbness in left middle finger x approx 2 hrs on day following immunization. Also reports swelling in left deltoid (inject site) w/a knot present and intermittent aching pain in left elbow and wrist. States pain worsening.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Agitation, Erythema multiforme, Urticaria
Clinical narrative: Immunizations given 4/1/03 (10:30 a.m.) and noticed initial Rx about 1 hr after. Started on face w/whelps and eventually spread to all over body. Irritable, and rash worsened over night. Benadryl given 4/2/03 10 a.m. and appt to be seen. Dx Erythema multiforme face, neck & trunk.
Age: 0.25
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash, Rash maculo-papular
Clinical narrative: Significant rash to trunk and extremities. Maculopapular type consistent w/drug Rx.
Age: 1.7
Sex: M
Vaccine: HEP
Symptoms: Agitation, Crying
Clinical narrative: Very cranky and inconsolable crying for 2 hrs with banging his head on floor.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Crying, Injection site oedema, Injection site pain, Pain
Clinical narrative: Right thigh (inject site) swelling. Increased pain to touch right thigh. Crying. Pain moving right leg. Cold compress Tylenol.