chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Lymphadenopathy
Clinical narrative: It was reported that a 24 year old female pt received a TD Adult on 9/15/00 and the next day, the pt developed an enlarged lymph node over clavicle. From additional information received on 2/1/01, "Reviewed-no additional information at this time MRB 1/30/01".
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: It was reported that a 24 year old female pt received a TD Adult on 9/18/00 at 11:45. Reportedly, on 9/19/00, at 08:45, the pt noticed her right deltoid was very red and swollen with a knot that was warm to the touch. The pt was seen in the office for treatment on 9/22/00 of Benadryl and ice. Reportedly, the pt recovered from this experience. From additional information received on 2/1/01, the pt information and number of previous doses has been updated.
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: It was reported that a female pt received a TD Adult on 8/22/00. Reportedly, on 8/23/00, the pt complained of 6-8cm of redness, swelling and warmth to the touch at the injection site. Pt's last booster was less than 10 years ago.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: It was reported that a female pt received a TD Adult on 9/22/00. Reportedly, on 9/29/00, the pt complained of 10cm of redness, swelling and warmth to the touch at the site of injection. The pt had no previous booster.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Anaemia, Apnoea, Atelectasis, Bradycardia, Convulsion
Clinical narrative: It was reported that a 10-week-old male patient received a Poliomyelitis Inactivated vaccine on 10 Oct 2001. Reportedly on 10 OCT 2001, the patient became lethargic and experienced apnea, paravirus and seizures. The patient was hospitalized.  Further information is requested. From telephone contact on 21/Jan/2002, it was reported that the patient received concomitant vaccines Prevnar, Infanrix, Recombivax, ActHIB and DTaP (Tripedia) in addition to the IPOL. Lot number information was not provided. The infant's physician reported that 3-4 hours after vaccination the patient recovered. From telephone contact on 07/09/02. Lot ACTHIB UA600AA, IPOL T1390, Tripedia 517A2, Prevnar 482371, Hep B 09162. The pt was hospitalized on 10/10/01 and discharged on 10/30/01. Spinal tap and ETT were positive for parainfluenza, NP swab positive for enterovirus. Diagnosed with sepsis, respiratory failure, apnea, bradcardia and GERD. Mm and twin sibling were positive for beta strep at birth. Born at 29 weeks and birth weight was 2 pounds and 15 ounces. Concomitant medications include Reglan and Iron for preexisting anemia. **Follow-up report on 7/30/02: Info. has been received from a health prof'l concerning a 10-week-old male w/a history of prematurity (born at 29 wks, birth weight was 2 lbs 15 oz) w/anemia who on 10/10/01 was vax'd w/one dose of Hep B vaccine recombinant (yeast) (lot # 09162 reported, invalid for the product). Concomitant vax's on 10/10/01 included one dose of IPOL, PREVNAR, hib conjugate vaccine (ActHIB, Haemophilus B conjugate vaccine), diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (INFANRIX) and aluminum potassium (+) diphtheria toxoid (+) pertussis vaccine (+), tetanus toxoid (Tripedia). Concomitant drug therapy included metoclogramide hydrochloride (REGLAN) and iron. Subsequently on 10/10/01 the PT became lethargic and experienced apnea, seizures and paravirus and was hospitalized. The infant's MD reported that 3-4 post vax the PT recovered. Follow-up info. has been received from phone contact w/a health prof'l. The reported was able to provide lot #'s. It was reported that the PT was hospitalized on 10/10/01 and discharged on 10/30/01. A spinal tap and an ETT were positive for parainfluenza, and a NP swab was positive for antrerovirum. The PT was diagnosed with sepsis, respiratory failure, apnea, bradycardia and GERD. It was noted that the PT's mother and his twin sibling were positive for beta atrep at birth. No further info. is available. The case is cloased.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Encephalopathy, Lethargy
Clinical narrative: It was reported that a 10-week-old male patient received a Poliomyelitis Inactivated vaccine on 10 Oct 2001. Reportedly on 10 OCT 2001, the patient became lethargic and experienced apnea, paravirus and seizures. The patient was hospitalized.  Further information is requested. From telephone contact on 21/Jan/2002, it was reported that the patient received concomitant vaccines Prevnar, Infanrix, Recombivax, ActHIB and DTaP (Tripedia) in addition to the IPOL. Lot number information was not provided. The infant's physician reported that 3-4 hours after vaccination the patient recovered. From telephone contact on 07/09/02. Lot ACTHIB UA600AA, IPOL T1390, Tripedia 517A2, Prevnar 482371, Hep B 09162. The pt was hospitalized on 10/10/01 and discharged on 10/30/01. Spinal tap and ETT were positive for parainfluenza, NP swab positive for enterovirus. Diagnosed with sepsis, respiratory failure, apnea, bradcardia and GERD. Mm and twin sibling were positive for beta strep at birth. Born at 29 weeks and birth weight was 2 pounds and 15 ounces. Concomitant medications include Reglan and Iron for preexisting anemia. **Follow-up report on 7/30/02: Info. has been received from a health prof'l concerning a 10-week-old male w/a history of prematurity (born at 29 wks, birth weight was 2 lbs 15 oz) w/anemia who on 10/10/01 was vax'd w/one dose of Hep B vaccine recombinant (yeast) (lot # 09162 reported, invalid for the product). Concomitant vax's on 10/10/01 included one dose of IPOL, PREVNAR, hib conjugate vaccine (ActHIB, Haemophilus B conjugate vaccine), diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (INFANRIX) and aluminum potassium (+) diphtheria toxoid (+) pertussis vaccine (+), tetanus toxoid (Tripedia). Concomitant drug therapy included metoclogramide hydrochloride (REGLAN) and iron. Subsequently on 10/10/01 the PT became lethargic and experienced apnea, seizures and paravirus and was hospitalized. The infant's MD reported that 3-4 post vax the PT recovered. Follow-up info. has been received from phone contact w/a health prof'l. The reported was able to provide lot #'s. It was reported that the PT was hospitalized on 10/10/01 and discharged on 10/30/01. A spinal tap and an ETT were positive for parainfluenza, and a NP swab was positive for antrerovirum. The PT was diagnosed with sepsis, respiratory failure, apnea, bradycardia and GERD. It was noted that the PT's mother and his twin sibling were positive for beta atrep at birth. No further info. is available. The case is cloased.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Lethargy, Respiratory failure, Sepsis
Clinical narrative: It was reported that a 10-week-old male patient received a Poliomyelitis Inactivated vaccine on 10 Oct 2001. Reportedly on 10 OCT 2001, the patient became lethargic and experienced apnea, paravirus and seizures. The patient was hospitalized.  Further information is requested. From telephone contact on 21/Jan/2002, it was reported that the patient received concomitant vaccines Prevnar, Infanrix, Recombivax, ActHIB and DTaP (Tripedia) in addition to the IPOL. Lot number information was not provided. The infant's physician reported that 3-4 hours after vaccination the patient recovered. From telephone contact on 07/09/02. Lot ACTHIB UA600AA, IPOL T1390, Tripedia 517A2, Prevnar 482371, Hep B 09162. The pt was hospitalized on 10/10/01 and discharged on 10/30/01. Spinal tap and ETT were positive for parainfluenza, NP swab positive for enterovirus. Diagnosed with sepsis, respiratory failure, apnea, bradcardia and GERD. Mm and twin sibling were positive for beta strep at birth. Born at 29 weeks and birth weight was 2 pounds and 15 ounces. Concomitant medications include Reglan and Iron for preexisting anemia. **Follow-up report on 7/30/02: Info. has been received from a health prof'l concerning a 10-week-old male w/a history of prematurity (born at 29 wks, birth weight was 2 lbs 15 oz) w/anemia who on 10/10/01 was vax'd w/one dose of Hep B vaccine recombinant (yeast) (lot # 09162 reported, invalid for the product). Concomitant vax's on 10/10/01 included one dose of IPOL, PREVNAR, hib conjugate vaccine (ActHIB, Haemophilus B conjugate vaccine), diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (INFANRIX) and aluminum potassium (+) diphtheria toxoid (+) pertussis vaccine (+), tetanus toxoid (Tripedia). Concomitant drug therapy included metoclogramide hydrochloride (REGLAN) and iron. Subsequently on 10/10/01 the PT became lethargic and experienced apnea, seizures and paravirus and was hospitalized. The infant's MD reported that 3-4 post vax the PT recovered. Follow-up info. has been received from phone contact w/a health prof'l. The reported was able to provide lot #'s. It was reported that the PT was hospitalized on 10/10/01 and discharged on 10/30/01. A spinal tap and an ETT were positive for parainfluenza, and a NP swab was positive for antrerovirum. The PT was diagnosed with sepsis, respiratory failure, apnea, bradycardia and GERD. It was noted that the PT's mother and his twin sibling were positive for beta atrep at birth. No further info. is available. The case is cloased.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, DTAP, HEP, HIBV, IPV, PNC, DTAP, DTAP, HEP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Lethargy, Viral infection
Clinical narrative: It was reported that a 10-week-old male patient received a Poliomyelitis Inactivated vaccine on 10 Oct 2001. Reportedly on 10 OCT 2001, the patient became lethargic and experienced apnea, paravirus and seizures. The patient was hospitalized.  Further information is requested. From telephone contact on 21/Jan/2002, it was reported that the patient received concomitant vaccines Prevnar, Infanrix, Recombivax, ActHIB and DTaP (Tripedia) in addition to the IPOL. Lot number information was not provided. The infant's physician reported that 3-4 hours after vaccination the patient recovered. From telephone contact on 07/09/02. Lot ACTHIB UA600AA, IPOL T1390, Tripedia 517A2, Prevnar 482371, Hep B 09162. The pt was hospitalized on 10/10/01 and discharged on 10/30/01. Spinal tap and ETT were positive for parainfluenza, NP swab positive for enterovirus. Diagnosed with sepsis, respiratory failure, apnea, bradcardia and GERD. Mm and twin sibling were positive for beta strep at birth. Born at 29 weeks and birth weight was 2 pounds and 15 ounces. Concomitant medications include Reglan and Iron for preexisting anemia. **Follow-up report on 7/30/02: Info. has been received from a health prof'l concerning a 10-week-old male w/a history of prematurity (born at 29 wks, birth weight was 2 lbs 15 oz) w/anemia who on 10/10/01 was vax'd w/one dose of Hep B vaccine recombinant (yeast) (lot # 09162 reported, invalid for the product). Concomitant vax's on 10/10/01 included one dose of IPOL, PREVNAR, hib conjugate vaccine (ActHIB, Haemophilus B conjugate vaccine), diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (INFANRIX) and aluminum potassium (+) diphtheria toxoid (+) pertussis vaccine (+), tetanus toxoid (Tripedia). Concomitant drug therapy included metoclogramide hydrochloride (REGLAN) and iron. Subsequently on 10/10/01 the PT became lethargic and experienced apnea, seizures and paravirus and was hospitalized. The infant's MD reported that 3-4 post vax the PT recovered. Follow-up info. has been received from phone contact w/a health prof'l. The reported was able to provide lot #'s. It was reported that the PT was hospitalized on 10/10/01 and discharged on 10/30/01. A spinal tap and an ETT were positive for parainfluenza, and a NP swab was positive for antrerovirum. The PT was diagnosed with sepsis, respiratory failure, apnea, bradycardia and GERD. It was noted that the PT's mother and his twin sibling were positive for beta atrep at birth. No further info. is available. The case is cloased.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Information has been rec'd from a hlth professional concerning a female pt  who was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent (lot#640577/0995L). Subsequently the pt experienced severe cellulitis from her shoulder to her elbow. Unspecified medical attention was sought. Follow-up information indicated that within 1 day of vaccination, the pt called the office complaining of swelling, redness and heat at the injection site extending down her arm. She was seen in the office and it was reported that she experienced swelling., redness and heat from the injection site to past her elbow. The pt was treated with antibiotics and methylprednisolone (Medrol) . It was reported that the pt did not require hospitalization ad she subsequently recovered. The nurse reported that 2 other pt's had similar experiences following exposure pneumococcal vaccine 23 polyvalent (WAES#021USA02826 and 0201USAO0520). The reporter expressed a concern regarding the lot number. The records of testing prior to release of this lot have been checked by GMP Compliance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Upon internal review the patient's cellulitis was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a health professional concerning a male pt who was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent (lot 640577/0995L). Subsequently, the pt experienced severe cellulitis from his shoulder to his elbow. Unspecified medical attention was sought. Follow-up information indicated that within 1 day, post vax, the pt called the office complaining of swelling, redness and heat at the injection site extending down his arm. He was seen in the office and it was reported that he experienced swelling, redness and heat from the injection site to past his elbow. The pt was treated with antibiotics and Medrol. It was reported that the pt did not require hospitalization and he subsequently recovered. It was reported that the pt received his 1st dose of pneumococcal vaccine 23 polyvalent approx. 8-10 years ago. The nurse reported that 2 other pts had similar experiences following exposure to pneumococcal vaccine 23 polyvalent (WAES0201USA00520 and WAES0201USA02827). The reporter expressed a concern regarding the lot number. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards and was released. Upon internal review, the pt's cellulitis was considered to be an "Other Important Medical Event". Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a health professional concerning a female pt who was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent (lot 640577/0995L). Subsequently, the pt experienced severe cellulitis from her shoulder to her elbow. Unspecified medical attention was sought. Follow-up information indicated that within 1 day of vaccination, the pt called the office complaining of swelling, redness and heat at the injection site extending down her arm. She was seen in the office. The pt was treated with antibiotics and Medrol. It was reported that the pt did not require hospitalization and she subsequently recovered. It was reported that the pt received the 1st dose on an unknown date. The nurse reported that 2 other pts had similar experiences following exposure to pneumococcal vaccine 23 polyvalent (WAES0201USA02826 and 0201USA02827). The reporter expressed a concern regarding the lot number. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards and was released. Upon internal review, the pt's cellulitis was considered an "Other Important Medical Event". Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Hypotonia, Laryngeal oedema, Lethargy, Vomiting
Clinical narrative: It was reported that a 2 month old male pt received an IPOL (lot TDT32-2) on 4/26/01. Reportedly, on 5/1/01, the pt developed hypotonia, laryngeal edema, vomiting, retching, drowsiness and lethargy. The pt was hospitalized. Further information is requested. From telephone contact on 1/21/02, it was reported that the pt received Infanrix, Engerix and Pedivax-Hib in addition to the IPOL. No lot number information was provided. The pt was released from the hospital the afternoon following administration. His mother subsequently, reported the infant was "back to normal". Note that the lot number (TDT32-2) provided for the IPOL product is not an Aventis Pasteur lot number. Further efforts for clarification will be made.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Abnormal behaviour, Affect lability, Aggression, Apathy, Autism
Clinical narrative: After these multiple vaccines were administered, the pt stopped responding to her name, lost eye contact and failed to develop speech by the normal benchmarks. She was unable to regulate her emotions in many situations, resulting in tantrums or crying. When language did develop, it was scripted and not spontaneous. Also, she had repetitive speech, lining up her toys, no remorse when scolded, over-stuffing her mouth, seeks deep pressure and digs fingernails into other's bodies and bite, too. Observation by Peds Neuro and Developmental Peds. Review of medical records indicates child was diagnosed with bronchiolitis and L otitis media on 2/9/00. Based on medical records added provisional diagnosis of autistic spectrum disorder. Annual follow up states: Autism spectum disorder, self regulation dysfunction, speech delay, social language deficits, attending difficulties.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Bronchiolitis, Otitis media, Speech disorder
Clinical narrative: After these multiple vaccines were administered, the pt stopped responding to her name, lost eye contact and failed to develop speech by the normal benchmarks. She was unable to regulate her emotions in many situations, resulting in tantrums or crying. When language did develop, it was scripted and not spontaneous. Also, she had repetitive speech, lining up her toys, no remorse when scolded, over-stuffing her mouth, seeks deep pressure and digs fingernails into other's bodies and bite, too. Observation by Peds Neuro and Developmental Peds. Review of medical records indicates child was diagnosed with bronchiolitis and L otitis media on 2/9/00. Based on medical records added provisional diagnosis of autistic spectrum disorder. Annual follow up states: Autism spectum disorder, self regulation dysfunction, speech delay, social language deficits, attending difficulties.
Age: 1.13
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC
Symptoms: Febrile convulsion, Otitis media, Pneumonia, Pyrexia, Urinary tract infection
Clinical narrative: Presented to ER with mom reporting increased temperature early morning and seizure-like activity X about 15 minutes. Upon arrival to ER, temperature of 101.7F (ax). ERP had staff call HD after family reported immunization on 1/23/02. The child was admitted with a dx of febrile seizure and LLL pneumonia. She is still hospitalized. *F/UP on 3/31/03: PT had another seizure 3/2 and was taken to hospital - reporter thought child had fever. 3/3 - child taken to a medical center w/fever and kidney infections having seizures. Had several while in hospital. Child went 3/24/02 to another hospital for more test r/t seizures - don't have results yet. Follow up states: Pt had another episode of seizure in May. Mom states pt had ear infection and that ER doctor r/t fever. Pt stayed overnight at hospital.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Erythema, Pruritus, Pyrexia
Clinical narrative: Second day after Hepatitis A #1. Prevnar in Left thigh. Noted erythema and pruritis. Subject is fever suspect. Cellulitis vs allergic reaction. Prescription Benadryl and Cephelixin.
Age: 47.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Contusion
Clinical narrative: Pt stated her arm bruised after receiving flu vaccine. was instructed to apply ice.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pyrexia
Clinical narrative: Pt stated she "got sick" after receiving flu vaccine. had fever of 100 degrees F. No arm soreness. Client stayed home and rested. Symptoms resolved.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Malaise, Pyrexia
Clinical narrative: Pt stated she "got sick" after receiving flu vaccine. had fever of 100 degrees F. No arm soreness. Client stayed home and rested. Symptoms resolved.
Age: 24.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site oedema, Vomiting
Clinical narrative: client "sick all day', had emesis X 2 swollen area @ injection site, did not apply ice, On 11-5-01, no fever, but still swollen arm, was advised to see MD if not better
Age: 24.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site swelling, Malaise, Vomiting
Clinical narrative: client "sick all day', had emesis X 2 swollen area @ injection site, did not apply ice, On 11-5-01, no fever, but still swollen arm, was advised to see MD if not better
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain
Clinical narrative: Client c/o soreness at the injection site. was instructed to apply ice and take Tylenol. symptoms resolved.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site reaction
Clinical narrative: Client c/o soreness at the injection site. was instructed to apply ice and take Tylenol. symptoms resolved.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Contusion, Feeling hot, Pruritus
Clinical narrative: client c/o bruise on arm, hot to touch and itchy. instructed to aooly ice and take tylenol. Symptoms resolved.
Age: 85.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site reaction, Skin discolouration
Clinical narrative: Client c/o discoloration at injection site. On 11-12-01, client stated color was better and doing ok.
Age: 34.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema, Pruritus, Swelling face
Clinical narrative: Client had reddened, itchy, puffy and nickel sized area on left cheek one hour after immunization. was given ice pack and instructed to call MD if any concerns. On 11-12-01, symptoms resolved.
Age: 34.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Face oedema, Pruritus, Rash
Clinical narrative: Client had reddened, itchy, puffy and nickel sized area on left cheek one hour after immunization. was given ice pack and instructed to call MD if any concerns. On 11-12-01, symptoms resolved.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Client c/o red rash with itching (generalized) after 7 minutes of injection. She was given Benadryl 50mg IM. After 3 hrs. of observation, client was ok.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Client c/o red rash with itching (generalized) after 7 minutes of injection. She was given Benadryl 50mg IM. After 3 hrs. of observation, client was ok.
Age: 47.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Myalgia
Clinical narrative: Client c/o sore arm and sore neck. On 12-17-01, symptoms resolved and client felt sore neck was due to a "bug".
Age: 47.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain
Clinical narrative: Client c/o sore arm and sore neck. On 12-17-01, symptoms resolved and client felt sore neck was due to a "bug".
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Client c/o shoulder hurting and not being able to move aem, i.e lift without aches. Arm never red or swollen, was advised to see MD
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Joint range of motion decreased, Pain, Shoulder pain
Clinical narrative: Client c/o shoulder hurting and not being able to move aem, i.e lift without aches. Arm never red or swollen, was advised to see MD
Age: 28.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Client c/o redness, swelling and itchy at the site of injection was instructed to apply ice. On 12-3-01, symptoms resolved.
Age: 28.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Pruritus
Clinical narrative: Client c/o redness, swelling and itchy at the site of injection was instructed to apply ice. On 12-3-01, symptoms resolved.
Age: 11.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pruritus
Clinical narrative: Client c/o some itching a few minutes after shot. no redness, ice was applied to site and that stopped itching. On 11-06-01, arm was little sore , but still some soreness.
Age: 11.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site hypersensitivity, Pruritus
Clinical narrative: Client c/o some itching a few minutes after shot. no redness, ice was applied to site and that stopped itching. On 11-06-01, arm was little sore , but still some soreness.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: Client c/o vomiting 2 days after shot. On 11-15-01, symptoms resolved. Client felt vomiting was not associated with vaccine.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis, Hypersensitivity, Injection site mass, Injection site pain, Rash
Clinical narrative: A 26 year old male received his first anthrax immunization in his right arm with no adverse effect. Two weeks later he received the second immunization in the deltoid area of his left arm. He developed a small lump and mild soreness at the injection site and 10 days later noticed a rash distal to the injection site on his left arm. Four weeks after the immunization, he received a third injection; this time in his right arm. No lump developed but he complained of transient muscle soreness and a similar rash that developed after 3 days at the site distal to the injection on his right arm. He did not complain of pruritus or any systematic symptoms. He was evaluated by dermatology after this second eruption. On physical examination was a pink annular scaly plaque 3.5 X 4.0 cm (Fig. 1). This was KOH negative. A 4-mm punch biospy was performed from the leading edge of this lesion. The microscopic diagnosis revealed focal spongiotic dermatitis. He had similar resolving eruption on his left arm from his second immunization. (Fig. 2). He was given 0.05% halobetasol proprionate ointment to apply twice a day and the lesions resolved within days. He was administered an Allergen Thin-layer Rapid Use Epicutaneous Test and demonstrated no reaction to formaldehyde. Upon referral to the allergist, the patient was given a prick test to which he reacted with 10 mm of induration and 30 mm of erythema to the histamine positive control. He did not react to water-negative control. He was injected with full- strength anthrax vaccine and a 1:100 and 1:10 dilution. He displayed no immediate response (read at 18 and 31 minutes). On follow-up examination at 48 hours, he displayed 15 mm of induration and 40mm of erythema to the full-strength anthrax vaccine. The preceding allergy testing strongly suggests a delayed-type hypersensitivity reaction to anthrax vaccine. The patient complained of a similar pink annular eruption on his right hip developing 10 days after the anthrax prick test. He did not seek medical attention for this eruption and it resolved after several days of of treatment with 0.05% halobetasol proprionate ointment. On follow-up examination several weeks later, there was a small annular area of postinflammatory hyperpigmentation on the right hip. The patient was given a medical exemption from the anthrax immunization program and he suffered no further sequela.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Skin ulcer
Clinical narrative: A 26 year old male received his first anthrax immunization in his right arm with no adverse effect. Two weeks later he received the second immunization in the deltoid area of his left arm. He developed a small lump and mild soreness at the injection site and 10 days later noticed a rash distal to the injection site on his left arm. Four weeks after the immunization, he received a third injection; this time in his right arm. No lump developed but he complained of transient muscle soreness and a similar rash that developed after 3 days at the site distal to the injection on his right arm. He did not complain of pruritus or any systematic symptoms. He was evaluated by dermatology after this second eruption. On physical examination was a pink annular scaly plaque 3.5 X 4.0 cm (Fig. 1). This was KOH negative. A 4-mm punch biospy was performed from the leading edge of this lesion. The microscopic diagnosis revealed focal spongiotic dermatitis. He had similar resolving eruption on his left arm from his second immunization. (Fig. 2). He was given 0.05% halobetasol proprionate ointment to apply twice a day and the lesions resolved within days. He was administered an Allergen Thin-layer Rapid Use Epicutaneous Test and demonstrated no reaction to formaldehyde. Upon referral to the allergist, the patient was given a prick test to which he reacted with 10 mm of induration and 30 mm of erythema to the histamine positive control. He did not react to water-negative control. He was injected with full- strength anthrax vaccine and a 1:100 and 1:10 dilution. He displayed no immediate response (read at 18 and 31 minutes). On follow-up examination at 48 hours, he displayed 15 mm of induration and 40mm of erythema to the full-strength anthrax vaccine. The preceding allergy testing strongly suggests a delayed-type hypersensitivity reaction to anthrax vaccine. The patient complained of a similar pink annular eruption on his right hip developing 10 days after the anthrax prick test. He did not seek medical attention for this eruption and it resolved after several days of of treatment with 0.05% halobetasol proprionate ointment. On follow-up examination several weeks later, there was a small annular area of postinflammatory hyperpigmentation on the right hip. The patient was given a medical exemption from the anthrax immunization program and he suffered no further sequela.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscular weakness, Myalgia
Clinical narrative: 12/6/01 numbness of soles of feet and palms of hands. Weakness of legs and knees. 12/11 continuance of above; excruciating pain in shoulders, neck, upper arms. This was an extreme situation until second week in January. symptoms persist but milder
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Dyskinesia, Headache, Meningitis, Vomiting
Clinical narrative: Violent vomiting, extreme headache, uncontrollable rise in  blood pressure-EKG cause for alarm. Emergency room in Lander, Wyoming gave medication for vomiting and headache but it didn't help. The cardiologist in Casper spent 7 hours trying to relieve the problem w/ many tests. Finally consulted a neurologist who put him on a seizure medication which he is still on, still has headaches without medications.Neurologists diagnosed a type of meningitis
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site infection, Injection site mass, Injection site oedema, Injection site warmth
Clinical narrative: Approximately 2 am on 01-26-02, pt reported swelling, redness and heat at injection site. also reported large knot at injection site, c/o pain from shoulder to fingers and difficulty moving arm, these symptoms involved (R) arm. pt saw ER physician 1-28-2 and prescibed keflex due to "infection at injection site", saw PMD 1-30-02 and advised no more pneumonia shots.
Age: 0.75
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Convulsion
Clinical narrative: Patient immmediately held breath at onset injections. apneic approximately 1 min, then pale with gasping repisrations 90 seconds then tonic-clonic seizure X 3 min , given O2 via mask-subtle seizure X 5 more min, taken to the ER.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: 12/17/01 TC from Re; mother, states mother received flu shot on 11/30/2001. On the evening of 11/30 began symptoms of severe HA, nausea, vomiting temperature and extreme fatigue, was in bed all 12/1 and 12/2/01-felt better but tired and on 12/16 developed symptoms again severe HA, nausea, chills. Scheduled a physician appointment to have mother evaluated. 01/15/02 client stated went to ER x 1, diagnosis virus, saw another physician, diagnosis sinus infection, placed on Bactrim and nasal spray. He developed chest pain seeing cardiologist for a work-up.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: developed rash to thigh, chest and back one minute after vaccination
Age: 45.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash, Skin exfoliation
Clinical narrative: Approximately 24 hours after receiving 2nd HAV given 12-4-01, client developed a rash on face. A few days later, face began to peel. On 12/12/01, client began itching all over her body--no rash. Public health nurse encouraged client to see personal physician. Client states bought a new wool coat last week. No problem after 1st HAV given 3/14/01. 1 week later, peeling stopped.  Personal physician put client on Benadryl 50mg, four times daily which resolved after 1 week. Now fine.
Age: 50.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: On 1-5-02, patient "bumped" area in evening. On 1-6-02, patient woke up and noticed left arm had 1-2 inch area that was red, bumpy and itchy. Area "improved" between 1-7-02 and 1-10-02. On 1-10-02, patient reports "bumping" area again and area is "red, slightly bumpy, and some itching on 1-11-02. No treatment.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Dysarthria, Hemiparesis, Salivary hypersecretion
Clinical narrative: 11-9-01, 2 days past, excess salivation, slurred speech, right side facial weakness, right arm weakness. 2 week duration.
Age: 0.4
Sex: F
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site nodule, Vomiting
Clinical narrative: 12-12-01 10:30-11:00 am vaccinated. Right leg, dime sized red area with knot underneath. Observed 12-13-01. Proximal 1/2 inch to injection site. Vomiting one time 12-12-01 at 8pm.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Chest discomfort, Dysphonia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: "Bee sting" sensation soon after injection; redness and swelling at injection site within 24 hours; felt feverish, increased hoarseness, sneezing and cold symptoms, headache 24 hours. Patient stated resolved after 48 hours. Redness/Swelling in left arm resolved after 72 hours. Patient reported chest tightness beginning 4th night. Patient instructed to follow-up with 1 hour with MD for evaluation of chest tightness. Pt reported initial 3 times at 48 hours. Instructed to use warm compress an follow up next day. Patient also instructed to use Tylenol as needed per over the counter and to use dipherhydramine 12.5mg-25mg and seek care of symptoms worsen. 1/24/02-Pt reported still feeling "croupy"--stated she got treatment advice from 1 time MD and pharmacist.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: "Bee sting" sensation soon after injection; redness and swelling at injection site within 24 hours; felt feverish, increased hoarseness, sneezing and cold symptoms, headache 24 hours. Patient stated resolved after 48 hours. Redness/Swelling in left arm resolved after 72 hours. Patient reported chest tightness beginning 4th night. Patient instructed to follow-up with 1 hour with MD for evaluation of chest tightness. Pt reported initial 3 times at 48 hours. Instructed to use warm compress an follow up next day. Patient also instructed to use Tylenol as needed per over the counter and to use dipherhydramine 12.5mg-25mg and seek care of symptoms worsen. 1/24/02-Pt reported still feeling "croupy"--stated she got treatment advice from 1 time MD and pharmacist.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Heart rate increased, Insomnia, Nausea
Clinical narrative: Complained of dizziness, nausea, weakness, rapid heart rate then slow. Complained of insomnia.
Age: 11.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Body temperature increased, Myalgia, Photosensitivity reaction, Pruritus, Rash
Clinical narrative: Rash; raised, blotchy, itchy. Still has temperature at or below 100.7, one time a week. Sensitive to light once a week. Muscle soreness in arms and legs 3 days a week.
Age: 11.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Rash macular
Clinical narrative: Rash; raised, blotchy, itchy. Still has temperature at or below 100.7, one time a week. Sensitive to light once a week. Muscle soreness in arms and legs 3 days a week.
Age: 46.0
Sex: F
Vaccine: HEPA, IPV, TYP
Symptoms: Erythema, Headache, Pruritus, Rash maculo-papular
Clinical narrative: Patient received vaccine on Wed pm. Friday broke out in red, itchy, raised blotches on upper torso-front, inside to front of thighs and on inner aspects of arms. Reported a headache at the same time as rash appeared.
Age: 54.0
Sex: M
Vaccine: HEPAB, IPV, TD, TYP
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Patient received vaccine on Wed pm. Late Friday after warm shower, patient noticed itchy rash, large raised blotches from bottom of boxer shorts to top of socks. Extreme itch drove patient to PCP and later to dermatologist. Was given Allegra and cortisone cream.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Lymphadenopathy, Pyrexia, Rash morbilliform
Clinical narrative: Pt with fever, morbilliforem rash, cervical adenopathy 1/26/02.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: She had scattered red hive like rash reported following day. Was evaluated then at Penobscot Job on site. That evening, patient went to ER and given Atarax. Still had itching on 29th and returned to ER for additional treatment. Report fine on 31st.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: red,itchy spots-fever
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: had vaccine shot 04/20/99, sibling developed chicken pox now pt has them
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pain
Clinical narrative: painful during shot, soreness in arm and muscle, wide red area near shot area and muscle red warm tender
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Difficulty in walking, Disorientation, Dizziness, Influenza like illness
Clinical narrative: felt intially flu-like 9/12/p.m. 9/13 a.m. 9.00 could no longer walk 103 degrees F fever, chills/shaking very sore joints, dizzy disoriented, went to Dr with husband 3pm,;  WBC 22000 ringing in ears 9-2 (approx) migraine 10-4 pm WBC dropped 500 on 9/14 so I didn't have to go to hospital.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: felt intially flu-like 9/12/p.m. 9/13 a.m. 9.00 could no longer walk 103 degrees F fever, chills/shaking very sore joints, dizzy disoriented, went to Dr with husband 3pm,;  WBC 22000 ringing in ears 9-2 (approx) migraine 10-4 pm WBC dropped 500 on 9/14 so I didn't have to go to hospital.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: Mother phoned states sitter just called. Fever 103 fever lasted 24 hours
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Rash
Clinical narrative: Had flu shot "last week" (not sure) and complained of sore throat and rash 3-4 days after shot, mostly behind knees and on elbows. Referred to PP and given resources.
Age: 4.0
Sex: F
Vaccine: DTP, HEPA, IPV, IPV, MMR
Symptoms: Dry skin, Rash, Urticaria
Clinical narrative: On 1/28/02 developed skin rash, dry skin and hives on upper torso.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Left arm swelling, warm and tender, 12cm x 20cm raised with salmon color to it. No dyspnea or other rash on body.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Tenderness
Clinical narrative: Left arm swelling and redness 12x20 cm. Redness, warmth, tenderness.
Age: 48.0
Sex: F
Vaccine: TD, TTOX
Symptoms: Unevaluable event
Clinical narrative: From an initial report on 3 Jan 2001, it was reported a female patient was given TD ADS ADULT vaccine (vaccination date unknown). Sometime following vaccination "Patient reports Tetanus Toxin poison - (states VAERS report submitted by her physician previously)". From additional correspondence received on 23 Feb 2001, it was reported that the patient recovered from this experience. Additional patient, vaccine, and responsible physician information was also provided. No further information is anticipated. This case is closed.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Headache, Injection site pain, Neuropathy peripheral, Pyrexia
Clinical narrative: It was reported that a male pt received a TD Adult on 9/13/00. Reportedly, the pt developed a fever, headache and a sore arm, 24 hours post vax. Three days, post vax, the pt developed arthralgia in his left wrist and neuropathy in both arms. Further information requested. From additional correspondence received on 2/2/01, it was reported, "Pt lost to follow-up, no response". Additional pt, responsible physician and vaccine administrator information was also provided. This case is closed.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injury, Joint range of motion decreased, Muscular weakness, Myositis
Clinical narrative: It was reported that a 44 year old female pt received a TD Adult and A TB skin test on 11/3/00 at 15:00, in the left deltoid. Reportedly on 11/14/00, at 12:00, the pt developed a typical soreness for 3-4 days. One week later, her arm became very sore and weak. No redness, firmness noted. Pt complained of discomfort with lifting arm or when reaching around to back. Warm compresses were used for 48 hours and not effective. Appointment was made with physician. The pt's recovery status is unknown. From additional correspondence received on 2/22/01, it was reported that the pt recovered from this experience. No further information is anticipated. This case is closed.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Hypotension
Clinical narrative: It was reported that a 40 year old male pt received a Tetanus Toxoid Adsorbed on 2/25/01. Reportedly, the pt experienced hypotension and blood pressure 70/40, 10 minutes after vaccination. The pt was observed in the ER and released, completely resolved.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: It was reported that a 33 year old female pt received TD Adult (left deltoid), an MMR (right deltoid) and a PPD Tubersol skin test (left forearm) on 4/24/01. Reportedly, in the morning of 4/25/01, the pt complained of pain and itching at the TD injection site. Left deltoid site had a red circle that was warm around the injection site that was 20mm in width. No complaint of fever, chills and no drainage at the site. Reportedly, the pt recovered from this experience. From follow-up received 7/21/01, it was reported, "client's current medical condition is unknow, however cliet was called on 4/27/01 and stated that she had improved and were well. The client did not see a physician." This case is closed.
Age: 79.0
Sex: F
Vaccine: TD, TD
Symptoms: Cellulitis, Hypokinesia, Injection site pain, Injury, Pain
Clinical narrative: The pt reports pain and newve damage after tetanus shot.
Age: 79.0
Sex: F
Vaccine: TD, TD
Symptoms: Tendon disorder
Clinical narrative: The pt reports pain and newve damage after tetanus shot.
Age: 79.0
Sex: F
Vaccine: TD, TD
Symptoms: Nerve injury, Pain
Clinical narrative: The pt reports pain and newve damage after tetanus shot.
Age: 47.0
Sex: M
Vaccine: HEPA
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatitis C virus
Clinical narrative: Report 20020020031 describes hepatitis C in a 47 year old male who received hepatitis A vaccine inactivated (Havrix). The vaccinee received an injection of Havrix on 01/25/2002; it was not known if he had received previous injections of Havrix. At the time of immunization, "AST was inthe 400s" and ALT concentration was 528 U/L. the vaccinee was hospitalized on 01/26/2002, one day post-immunization, with a diagnosis of hepatitis C. Laboratory analysis performed on 01/29/2002 revealed AST "in the 500s" and ALT 614 U/L.
Age: 0.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Urticaria, Viral infection
Clinical narrative: Report 20020017131 describe a viral syndrome in a 7 week old male who received diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed. This report was received from a nurse. Medical history included "difficult delivery: at gestational age 39 weeks and meconium aspiration treated with extracorporeal membrane oxygenation, mechanical ventilation, and continuous positive airway pressure. Concurrent conditions were not specified. Concurrent medications included paracetamol. On 10/31/2001, the infant received his first injection of Infanrix. On that date, he also received his first injection of 7-valent neumococcal conjugate vaccine combination haemophilus influenzae type b conjugate/hepatitis B vaccine and inactivated poliomyelitis virus vaccine. Eight hours post-immunization, the infant developed generalized hives and fever of 101 to 103 degrees F. He was hospitalized on 11/01/2001 with a diagnosis of viral syndrome. He was treated with diphenhydramine (Benadryl). He recovered on 11/02/01 and was discharged from the hospital on 11/03/2001. He was seen by his physician for follow-up and was treated with palivirumab (Syngais) on 11/05/01, 12/03/01, 12/31/01 and 01/29/02. The infant was evaluated by an allergist at a tertiary care center on 12/04/01. The allergist noted that, approximately one month following the viral syndrome, the infant developed "some mild atopic dermatitis" On examination, the allergist noted that "The arena of eczema was everywhere on his body  except for his groin, which is a typical pattern." The infant underwent "percutaneous skin tests... On skin testing, he was negative to cat, dog, dust mites,soy and peanut. He had an intermediate reaction to milk and eggs. i also reviewed his vaccines and his vaccines do not appear to have caused any of his reactions." The allergist recommend removing milk and egg from the infant's diet. On 01/03/02, the infant received his second injection of Infanrix (lot DTPA524A2), Prevnar and IPOL. He also received an injection of haemophilus influenzae type B conjugate vaccine (PedvaxHIB, Merck). Eight hours post-immunization, he again developed urticaria and fever. He was treated with diphenhydramine and recovered on 01/05/02. The most recent information was received from the vaccine provider on 02/25/02. The vaccine provider considered both episodes of urticaria and hives to be severe in intensity and possibly related to Infanrix administration.