chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Flushing, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Anthrax #1 June 3, 2003 Complained of increased warmth and red face the day of his immunization.  The next day was worse with an "exploding headache", passed out with altered LOC for 45-120 minutes. He complained of a palpating chest pain - dull-sharp ache (4-5/10) that worsened with deep breaths and lying down.  Relaxing and sitting up relieved the pain.  He complained of a "drained" feeling, fatigue and "lethargy"(no energy) and generalized body weakness. He observed a knot to his left arm for one month following the first immunization (indicated tricep region as immunization site). Anthrax #2 (3-4 weeks later)Unknown Elevated blood pressure (190's systolic) 20 minutes after receiving his 2nd immunization with facial flushing headaches (10/10 scale). He continues to have "flash headaches" 2-3 times a week lasting a few moments then gone.  Gradual new onset bilateral joint pain to his shoulders hips & knees.  He describes the pain as a grinding stiffness at 6/10 scale 3 weeks after 2nd immunization. He noticed a large red circle surrounding the immunization site for a few days post-vaccination; and a knot to the tricep region of his right arm for one month. He again felt drained, fatigued with no energy.  He complains of night sweats and difficulty sleeping over 4-5 hours.   Anthrax #3 Unknown Complained of severe pain with the third immunization, like a burning hammer hit him, with redness and stripes of bright red streaks surround the injection site for a few days with resulting knot that lasted for one month.  His blood pressure rose again with similar feelings of facial flushing, redness and headaches, feelings of fatigue, lethargy and lack of energy.  His headaches, night sweats and difficulties sleeping continue.  Nurse follow up on 09/28/04 states: "Reviewed d/c summary. Final diagnosis was non-cardiac chest pain now resolved with secondary diagnosis of hypertension. Diaphoresis and SOB while c/o chest pain. "
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Insomnia, Laboratory test abnormal, Lethargy, Loss of consciousness
Clinical narrative: Anthrax #1 June 3, 2003 Complained of increased warmth and red face the day of his immunization.  The next day was worse with an "exploding headache", passed out with altered LOC for 45-120 minutes. He complained of a palpating chest pain - dull-sharp ache (4-5/10) that worsened with deep breaths and lying down.  Relaxing and sitting up relieved the pain.  He complained of a "drained" feeling, fatigue and "lethargy"(no energy) and generalized body weakness. He observed a knot to his left arm for one month following the first immunization (indicated tricep region as immunization site). Anthrax #2 (3-4 weeks later)Unknown Elevated blood pressure (190's systolic) 20 minutes after receiving his 2nd immunization with facial flushing headaches (10/10 scale). He continues to have "flash headaches" 2-3 times a week lasting a few moments then gone.  Gradual new onset bilateral joint pain to his shoulders hips & knees.  He describes the pain as a grinding stiffness at 6/10 scale 3 weeks after 2nd immunization. He noticed a large red circle surrounding the immunization site for a few days post-vaccination; and a knot to the tricep region of his right arm for one month. He again felt drained, fatigued with no energy.  He complains of night sweats and difficulty sleeping over 4-5 hours.   Anthrax #3 Unknown Complained of severe pain with the third immunization, like a burning hammer hit him, with redness and stripes of bright red streaks surround the injection site for a few days with resulting knot that lasted for one month.  His blood pressure rose again with similar feelings of facial flushing, redness and headaches, feelings of fatigue, lethargy and lack of energy.  His headaches, night sweats and difficulties sleeping continue.  Nurse follow up on 09/28/04 states: "Reviewed d/c summary. Final diagnosis was non-cardiac chest pain now resolved with secondary diagnosis of hypertension. Diaphoresis and SOB while c/o chest pain. "
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Night sweats, Pain
Clinical narrative: Anthrax #1 June 3, 2003 Complained of increased warmth and red face the day of his immunization.  The next day was worse with an "exploding headache", passed out with altered LOC for 45-120 minutes. He complained of a palpating chest pain - dull-sharp ache (4-5/10) that worsened with deep breaths and lying down.  Relaxing and sitting up relieved the pain.  He complained of a "drained" feeling, fatigue and "lethargy"(no energy) and generalized body weakness. He observed a knot to his left arm for one month following the first immunization (indicated tricep region as immunization site). Anthrax #2 (3-4 weeks later)Unknown Elevated blood pressure (190's systolic) 20 minutes after receiving his 2nd immunization with facial flushing headaches (10/10 scale). He continues to have "flash headaches" 2-3 times a week lasting a few moments then gone.  Gradual new onset bilateral joint pain to his shoulders hips & knees.  He describes the pain as a grinding stiffness at 6/10 scale 3 weeks after 2nd immunization. He noticed a large red circle surrounding the immunization site for a few days post-vaccination; and a knot to the tricep region of his right arm for one month. He again felt drained, fatigued with no energy.  He complains of night sweats and difficulty sleeping over 4-5 hours.   Anthrax #3 Unknown Complained of severe pain with the third immunization, like a burning hammer hit him, with redness and stripes of bright red streaks surround the injection site for a few days with resulting knot that lasted for one month.  His blood pressure rose again with similar feelings of facial flushing, redness and headaches, feelings of fatigue, lethargy and lack of energy.  His headaches, night sweats and difficulties sleeping continue.  Nurse follow up on 09/28/04 states: "Reviewed d/c summary. Final diagnosis was non-cardiac chest pain now resolved with secondary diagnosis of hypertension. Diaphoresis and SOB while c/o chest pain. "
Age: 32.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Dehydration, Diarrhoea, Fatigue, Hallucination, Hot flush
Clinical narrative: received typhoid, yellow fever and hepatitis A vaccines on 12 Sep 02.  Within a few hours of receipt of these vaccines, he experienced hot flashes, generalized pruritus, fever, a "heat rash type reaction" on the anterior chest, and hallucinations.  These symptoms lasted for a few hours and he then experienced fatigue, malaise, nausea and diarrhea for 3  4 days.  He saw his primary care provider on 13 Sep 02.  He was diagnosed with serum sickness and treated with Benadryl and Phenergan.  He recovered without having to take steroids, but did receive IV fluid rehydration.
Age: 32.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Malaise, Nausea, Pruritus, Pyrexia, Rash
Clinical narrative: received typhoid, yellow fever and hepatitis A vaccines on 12 Sep 02.  Within a few hours of receipt of these vaccines, he experienced hot flashes, generalized pruritus, fever, a "heat rash type reaction" on the anterior chest, and hallucinations.  These symptoms lasted for a few hours and he then experienced fatigue, malaise, nausea and diarrhea for 3  4 days.  He saw his primary care provider on 13 Sep 02.  He was diagnosed with serum sickness and treated with Benadryl and Phenergan.  He recovered without having to take steroids, but did receive IV fluid rehydration.
Age: 32.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Serum sickness
Clinical narrative: received typhoid, yellow fever and hepatitis A vaccines on 12 Sep 02.  Within a few hours of receipt of these vaccines, he experienced hot flashes, generalized pruritus, fever, a "heat rash type reaction" on the anterior chest, and hallucinations.  These symptoms lasted for a few hours and he then experienced fatigue, malaise, nausea and diarrhea for 3  4 days.  He saw his primary care provider on 13 Sep 02.  He was diagnosed with serum sickness and treated with Benadryl and Phenergan.  He recovered without having to take steroids, but did receive IV fluid rehydration.
Age: 44.0
Sex: F
Vaccine: DT, HEPAB
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: WITHIN AN HOUR AND ONE HALF, I HAD ITCHING  ON MY NECK WITH A RED RASH. IT IS HIVES, I HAD A NURSE LOOK AT IT. I WILL TAKE BENEDRYL  AND CALL MY DR. TOMORROW.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash vesicular
Clinical narrative: Patient devloped 40-50 vessicular lesions over her face, neck and trunk after receiving the varicella vaccination.  She did not have fever, malaise or pruritis associated with the rash.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Small, red, rash staring on trunk, spreading to rest of body.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Small, red, rash staring on trunk, spreading to rest of body.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Abscess, Erythema, Injection site induration
Clinical narrative: Mother states no sxs noted until "two months" after shot on May 26, 2004. Mother noted "small, hard spot on right thigh on 7/12/04." Nothing else there, no redness. First week of August, took to doctor. Only knot under skin, still no redness. Doctor stated to just monitor. Took to doctor 2 weeks after that visit. Now red, hard, bigger. Doctor struck with needle only blood came out. Put on Augmentin BID x 10 days. Today 9/8/04, mother states area drained "pus" this AM. Advised to notify doctor and watch for red streaking.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: 2x2 cm non tender, warm, erythematous area on right upper arm surrounding injection site.
Age: 5.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Large, red area at injection site on right lower extremity. No treatment given. Resolved by 4th day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Large local reaction (6-7cm) area of warmth/ erythema beginning 2nd day and lasting 4 days. Nontender. Only cool compresses applied.
Age: 4.5
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Non-tender, warm area of erythema about size of tennis ball. Right leg at injection site.
Age: 5.5
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site swelling, Tenderness
Clinical narrative: Tenderness, swelling the evening of immunization at site of injection on right leg. Progressive swelling and redness over following two days. Seen again on 8/25/04 and had 4.5x6cm area of warmth and erythema. Non tender. Given Duricef 250 mg bid for 5 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Approximately 2.5 cm area of erythema at injection site right thigh. Non-tender.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Tenderness
Clinical narrative: Spoke with patient 5/11/04. She noted, incidental to conversation that Td given on 8/6/04 led to a sore left arm and fever x 1 day, then gone. I did not see her for this.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left arm: deltoid area. Large red area, swollen. Treated with Benadryl (Children's) and Tylenol.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash
Clinical narrative: Night of vaccine developed small bumps over body : became watery. Mother called doctor.
Age: 4.0
Sex: M
Vaccine: DTP, HEP, IPV, MMR, VARCEL
Symptoms: Rash, Skin discolouration
Clinical narrative: Office wishing well pediatric called and notified us of reaction to right arm. Complained of rash all over and purple spots: Cortisone Cream and Benadryl, then Prednisolone
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Irritability, Pyrexia
Clinical narrative: Mother states temp 103 , fussy, phone call to physician - not seen per physician. Administered Advil : pm of injection.
Age: 13.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Mouth ulceration, Nausea, Pruritus, Pyrexia, Rash
Clinical narrative: Per mother's report awaiting records from ER. 6/4 rash. 6/5: low grade fever and nausea 6/6: increase temperature. 6/7: to ER temp 101 Lumbar puncture and CT performed (neg per mom's report). Mom states he had pustules in mouth, severe sensitivity to light, extreme itch. She feels he had nausea.
Age: 13.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Sensory disturbance
Clinical narrative: Per mother's report awaiting records from ER. 6/4 rash. 6/5: low grade fever and nausea 6/6: increase temperature. 6/7: to ER temp 101 Lumbar puncture and CT performed (neg per mom's report). Mom states he had pustules in mouth, severe sensitivity to light, extreme itch. She feels he had nausea.
Age: 42.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus, Pyrexia
Clinical narrative: Developed redness and swelling at injection site. All itchy pain like a bee sting and a red rash extending down to left elbow beginning the next evening and lasting 5 days. No fever. Ibuprofen taken.
Age: 42.0
Sex: M
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Developed redness and swelling at injection site. All itchy pain like a bee sting and a red rash extending down to left elbow beginning the next evening and lasting 5 days. No fever. Ibuprofen taken.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: 15 minutes to 30 minutes after vaccine, pt had hives and itching starting on face then rest of body. Initially some difficulty breathing.
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus
Clinical narrative: redness, itching
Age: 24.0
Sex: F
Vaccine: FLUX
Symptoms: Clumsiness, Depressed level of consciousness, Diarrhoea, Dizziness, Hyperhidrosis
Clinical narrative: About 7 days following her flu vaccine, noted muscle aches and developed vomiting, diarrhea and sweats. Went on sick call and instructed to increase po fluids. Sxs lasted approximately x 2 days. In late October 2003, started noting altered sensation in both feet and ankles. Had not experienced this sensation prior to October 2003. First instance was noted when she stood up and stumbled because she could not feel her feet. Since October, has experienced episodes of decreased sensation and numbness in both feet, but loss of sensation seems greater on left than right foot. Episodes occur approximately 2-3x/week. Has not noted an increase in frequency since November. Describes sensation as "numbness" with each episode resolving spontaneously after about 15-20 minutes. No change in character of sensation since onset. No associated sxs such as dizziness or clumsiness. Not triggered or associated with positioning. No back or lower extremity pain or weakness. Unable to identify precipitating or aggravating factors. Not sure if onset prior to or following influenza vaccine on October 22nd. Sought evaluation for this problem in early November, about 1 week after onset. Evaluated by neurologist on 11/11/003. EMG was completed and reported to be normal. A1C Harris' was told her vitamin B12 level was slightly low and she was started on Prenatal vitamins. Her blood glucose level was normal. Neurology evaluation is ongoing. Sxs: Numbness Start: 10/28/2003 Comment: altered sensation in both feet and ankles (decreased sensation and numbness).
Age: 24.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Laboratory test abnormal, Myalgia, Sensory disturbance, Vomiting
Clinical narrative: About 7 days following her flu vaccine, noted muscle aches and developed vomiting, diarrhea and sweats. Went on sick call and instructed to increase po fluids. Sxs lasted approximately x 2 days. In late October 2003, started noting altered sensation in both feet and ankles. Had not experienced this sensation prior to October 2003. First instance was noted when she stood up and stumbled because she could not feel her feet. Since October, has experienced episodes of decreased sensation and numbness in both feet, but loss of sensation seems greater on left than right foot. Episodes occur approximately 2-3x/week. Has not noted an increase in frequency since November. Describes sensation as "numbness" with each episode resolving spontaneously after about 15-20 minutes. No change in character of sensation since onset. No associated sxs such as dizziness or clumsiness. Not triggered or associated with positioning. No back or lower extremity pain or weakness. Unable to identify precipitating or aggravating factors. Not sure if onset prior to or following influenza vaccine on October 22nd. Sought evaluation for this problem in early November, about 1 week after onset. Evaluated by neurologist on 11/11/003. EMG was completed and reported to be normal. A1C Harris' was told her vitamin B12 level was slightly low and she was started on Prenatal vitamins. Her blood glucose level was normal. Neurology evaluation is ongoing. Sxs: Numbness Start: 10/28/2003 Comment: altered sensation in both feet and ankles (decreased sensation and numbness).
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Pain, Pruritus, Skin ulcer
Clinical narrative: 8/16/04- received anthrax #1, typhoid, meningococcal- no problems 8/26- primary SPV- left upper arm- mild local rxn 9/2/04- anthrax #2 9/3/04- noticed 1-2 "bumps" underarm- left 9/4/04- increase in number of lesions left underarm- also similar lesions on right underarm and upper right inner thigh- mild pruritus- "pain from itchiness"- no f/c, malaise, or other sx/sx of infection 9/5/04- similar lesions now found on upper left inner thigh- worsening pruritus 9/7/04- seen by CM
Age: 30.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Lymphadenopathy
Clinical narrative: DEVELOPED ADENOPATHY AT THE BASE OF THE NECK.
Age: 0.12
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dermatitis exfoliative, Erythema, Oedema peripheral, Pyrexia, Rash
Clinical narrative: Approximately 24 hours after vaccination, patient developed fever to 102.5F and rash.  Rash consisted of multiple hives and erythematous macules and papules all over body, plus swelling and erythroderma of both hands and both feet.  Patient had blood, urine, and CSF cultures performed which were all negative.  Fever resolved within 2 days and rash resolved within 4 days.  Nurse follow up on 09/13/04 states: "Seborrheic dermatitis."
Age: 0.12
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash macular, Seborrhoea, Urticaria
Clinical narrative: Approximately 24 hours after vaccination, patient developed fever to 102.5F and rash.  Rash consisted of multiple hives and erythematous macules and papules all over body, plus swelling and erythroderma of both hands and both feet.  Patient had blood, urine, and CSF cultures performed which were all negative.  Fever resolved within 2 days and rash resolved within 4 days.  Nurse follow up on 09/13/04 states: "Seborrheic dermatitis."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt received the vaccine on 8/27/04 and was seen for followup on 8/29/04. The patient reported with a hard, hot swollen, induration measuring 4x2 3/4 inches. The injection was administered to the left thigh. Pt was given Benadryl 25mg to be taken every 6-8 hours if needed. Parents were told that if the area became squishy to call the clinic. And that precautions would be used for the next Tetanus booster.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Cellulitis, Dizziness, Headache, Infection, Injection site swelling
Clinical narrative: Severe pain, cellulitis resulting in 2 visits to the E.R. at hospital.  Arm infection (swelling, hot to touch)Dizziness, headache.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Injection site warmth, Laboratory test abnormal, Pain
Clinical narrative: Severe pain, cellulitis resulting in 2 visits to the E.R. at hospital.  Arm infection (swelling, hot to touch)Dizziness, headache.
Age: 14.0
Sex: M
Vaccine: DT, TD
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Severe pain, cellulitis resulting in 2 visits to the E.R. at hospital.  Arm infection (swelling, hot to touch)Dizziness, headache.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Cold sweat, Convulsion, Hypoxia, Loss of consciousness, Malaise
Clinical narrative: Administered Varivax in outer aspect of right upper arm with patient lying on floor due to reported history of passing out with injections. The patient remained on the floor after the shot and was talking to parents and RN. Approximately 2 minutes after the injection the patient stated she felt funny. While still lying on the floor, she started moaning, pulling her arms to center and neck became rigid. Her skin color was pale and clammy, she lost control of her bladder, her pulse was 60 and regular. The RN started adminsitering O2, the ambulance was called. Patient quickly was able to respond to verbal commands.  Patient received O2 at 6 liter/minute for 15 minutes, her pulse remained stable at 60. The parents of the patient requested to ahve ambulance remian on stand-by and not transport patient. Patient was able to leave clinic ambulating with assistance. She was instructed to follow-up immediately with health care provider and referred to neurologist for seizures.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Pallor, Urinary incontinence
Clinical narrative: Administered Varivax in outer aspect of right upper arm with patient lying on floor due to reported history of passing out with injections. The patient remained on the floor after the shot and was talking to parents and RN. Approximately 2 minutes after the injection the patient stated she felt funny. While still lying on the floor, she started moaning, pulling her arms to center and neck became rigid. Her skin color was pale and clammy, she lost control of her bladder, her pulse was 60 and regular. The RN started adminsitering O2, the ambulance was called. Patient quickly was able to respond to verbal commands.  Patient received O2 at 6 liter/minute for 15 minutes, her pulse remained stable at 60. The parents of the patient requested to ahve ambulance remian on stand-by and not transport patient. Patient was able to leave clinic ambulating with assistance. She was instructed to follow-up immediately with health care provider and referred to neurologist for seizures.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: PT PRESENTED WITH RIGHT UPPER ARM REDNESS AND SWELLING X 1 DAY. NO FEVER NOTED IN CLINIC AND MOM DID NOT REPORT ANY FEVER TO US. EVALUATED BY ARNP AND WAS DIAGNOSED WITH POSSIBLE CELLULITIS OF THE RIGHT UPPER ARM. GIVEN SAMPLE OF BENADRYL 12.5MG EVERY 8 HOURS AND CEPHELAXIN 250MG BID X 7 DAYS. RETURN TO CLINIC AS NEEDED.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Bacterial infection, Erythema, Rash, Urticaria
Clinical narrative: Last night (090904), Mother noticed rash on child's chest.  This AM child had itchy red rash and hives all over her body.  Hives varied in size from pinpoint to eraser size with heaviest coverage on trunk.  Hives also located around mouth and on lips, ears, head and extremities.  No fever was present.  Child was taken to a dermatologist this AM.  Doctor told the parent that it was probably a strep infection but he could not rule out the possiblity of a vaccine reaction.  No lab tests or cultures were done.  Child was prescribed Zithromax.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Pruritus, Skin ulcer, Viral infection
Clinical narrative: CHICKENPOX RASH, ITCHY. GREATER THAN 10 LESIONS.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Blood creatine phosphokinase increased, Chills, Headache, Muscle spasms
Clinical narrative: CHEST SPASMS; 104 FEVER; HEADACHE; APPROX 3 DAYS AFTER VACCINATION IN ICU FOR 3 DAYS; RHABDOMYOSIS.  Nurse follow up on 10/20/04 states: "Hospital d/c summary reviewed. Final diagnoses were rhabdomyolysis and dehydration. Shivering and fatigue."
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rhabdomyolysis
Clinical narrative: CHEST SPASMS; 104 FEVER; HEADACHE; APPROX 3 DAYS AFTER VACCINATION IN ICU FOR 3 DAYS; RHABDOMYOSIS.  Nurse follow up on 10/20/04 states: "Hospital d/c summary reviewed. Final diagnoses were rhabdomyolysis and dehydration. Shivering and fatigue."
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Dermatitis, Erythema, Rash
Clinical narrative: Begin with acrodermatitis enteropathica in both faces followed with severe skin redness (rash) in both knees and arms. Took serum + anti allergy component. In treatment using hidroxizina (2,5ml daily).
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Dry skin, Eczema, Pruritus, Rash erythematous
Clinical narrative: PT. HAD A RASH ON FINGERS AND ENTIRE BACK (CONCENTRATION ON UPPER PORTION OF BACK). RASH WAS EXTREMELY ITCHY WITH RED RAISED BUMPS AND DRY SCALEY PATCHES.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Loss of consciousness, Pallor
Clinical narrative: Child had apparent seizure approximately fifteen minutes after being given shot.  Has loss of consciousness followed by pallor and post ictal period.  Was sent to ED for further evaluation.  CT was done
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Tinnitus
Clinical narrative: Pt complains of Tinnitus since March 2003, received Anthrax vaccines #1)2/09/03, #2)02/22/03, #3)03/10/03. Obtained hearing exam from private physician
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: One day after anthrax vaccine developed flu-like symptoms including: fever, abdominal pain, nausea, aches. 4 days post-vaccine developed rash on trunk, arms, and back. Treated with Zyrtec and Medrol dose pack. Rash almost resolved. Abdominal pain and nausea has worsened.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: One day after anthrax vaccine developed flu-like symptoms including: fever, abdominal pain, nausea, aches. 4 days post-vaccine developed rash on trunk, arms, and back. Treated with Zyrtec and Medrol dose pack. Rash almost resolved. Abdominal pain and nausea has worsened.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain upper, Arthralgia, Injection site mass, Pyrexia
Clinical narrative: I experienced a slight fever the day following the Anthrax shot (#1).  A small bump approximately 2 cm developed in the area of the injection.  This was followed by a sharp pain in my joints that is lasting from 3 to five seconds.  The follwing day developed gastrointestinal pains which lasted for seven days and have since recovered from
Age: 34.0
Sex: M
Vaccine: HEPAB, YF, HEPAB, YF
Symptoms: Arthralgia, Joint swelling
Clinical narrative: This case was reported by a nurse and described the occurrence of swollen joints in a 33 year old male patient who received hepatitis A inactivated and hepatitis B recombinant vaccine. On 8/20/04, the patient received the second dose of Twinrix in the right arm (lot # HAB015A8). On 8/20/04, the patient also received an injection of Yellow Fever vaccine. Approximately 14 days after the administration of the second dose of Twinrix, on 9/3/04, the patient experienced swollen joints and joint pain in his hands and feet. The patient was hospitalized. The events were ongoing at the time of initial reporting. The nurse considered the events to be possibly related to vaccination with Twinrix.
Age: 34.0
Sex: M
Vaccine: HEPAB, YF, HEPAB, YF
Symptoms: Arthralgia, Oedema
Clinical narrative: This case was reported by a nurse and described the occurrence of swollen joints in a 33 year old male patient who received hepatitis A inactivated and hepatitis B recombinant vaccine. On 8/20/04, the patient received the second dose of Twinrix in the right arm (lot # HAB015A8). On 8/20/04, the patient also received an injection of Yellow Fever vaccine. Approximately 14 days after the administration of the second dose of Twinrix, on 9/3/04, the patient experienced swollen joints and joint pain in his hands and feet. The patient was hospitalized. The events were ongoing at the time of initial reporting. The nurse considered the events to be possibly related to vaccination with Twinrix.
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Difficulty in walking, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: A report was received from a female consumer (age not reported) in the USA on 08/30/2004.  Details regarding her medical history or concomitant medications were not provided. On 12/01/03, the vaccinee received an IM injection of an influenza vaccine (manufacturer unknown). Within one week, the vaccinee began to experience rib pain, back pain and swollen and painful feet. In 01/04, the vaccinee was seen by a primary care physician who indicated that she had serum sickness. There was a rash at the top of her foot and it was painful to walk. At the time of this report, the swelling and pain in her feet persists and she also has swollen hands. The back and rib pain have now resolved. Further information will be sought.
Sex: F
Vaccine: FLUX
Symptoms: Serum sickness
Clinical narrative: A report was received from a female consumer (age not reported) in the USA on 08/30/2004.  Details regarding her medical history or concomitant medications were not provided. On 12/01/03, the vaccinee received an IM injection of an influenza vaccine (manufacturer unknown). Within one week, the vaccinee began to experience rib pain, back pain and swollen and painful feet. In 01/04, the vaccinee was seen by a primary care physician who indicated that she had serum sickness. There was a rash at the top of her foot and it was painful to walk. At the time of this report, the swelling and pain in her feet persists and she also has swollen hands. The back and rib pain have now resolved. Further information will be sought.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Coordination abnormal, Difficulty in walking, Vision blurred
Clinical narrative: A report was received from a healthcare professional in the USA on 8/3/04 concerning a 72 year old male vaccinee. On 10/4/02, the vaccinee received Fluvirin (batch E34682HA) via an unknown route of administration. On 10/13/02 the vaccinee was admitted to hospital with blurred vision, truncal ataxia and impaired ambulation. Due to legal ramifications the reporter was not able to provide any additional information regarding this event. The reporter is a legal nurse consultant and she is working on a case where a suit has been brought against a physician. She is working in the defense of the physician.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Feeling hot, Injection site swelling, Tenderness, Vaccine positive rechallenge
Clinical narrative: Local swelling at injection site (right arm) . Warm to touch, tender
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Depression, Dyspnoea, Fatigue
Clinical narrative: Suffered breathing problems, sxs of clinical depression, tired, no strength
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Tenderness
Clinical narrative: Left arm deltoid area with about 3cm red, hard, tender. Gave Benadryl  cream and Zyrtec.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Mom called 9/7/04. States Friday 9/3/01. Left deltoid area red and swollen the size of her palm. Sat 9/4/04: swelling expanded  to arm pit (left). Called MD 9/5/04 Family Care walk-in . 9/10/04: Telephone call with mom continues to be red and swollen. No pain and or illness. Note from our doctor. States no treatment.
Age: 1.75
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash vesicular
Clinical narrative: Rash on lower extremities which has progressed since last week. Generalized patterns of vesicular rah in varying stages. No crusting.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Approximately 36 hours after vaccines to left leg, pt developed 10 cm x 10 cm area of redness and swelling. Slight tenderness.
Age: 2.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt had reddened, warm area quarter size to site on RL upper aspect of leg at injection site of DTAP and Hib immunization. Given on 8/23/04.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Skin discolouration
Clinical narrative: 8/19/04: 4:15 pm later in day. 8/19/04. Pink area from knee down to ankle on right leg. Gave Tylenol 0.4cc drops. Benadryl 1/2 tsp. Mom called at 4:15pm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Pt noted small bump to area of vaccines, itching and small bumps to arms and chest with increasing redness to left deltoid next day. Benadryl po given.
Age: 4.0
Sex: M
Vaccine: DT, HEPA, IPV, MMR
Symptoms: Erythema, Swelling face, Urticaria
Clinical narrative: Red whelps all over body, swollen lips
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Pt started having arm pain on 7/29 in afternoon and swelling of arm. No treatment given. Pt in clinic. Now with swollen left arm, warm to touch and some redness. Swollen red area 12x8.5cm.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dyspnoea, Pruritus, Pyrexia, Swelling, Urticaria
Clinical narrative: Noted with urticarial lesions a day following immunizations; developed accompanying low grade fever. Plus pruritus. With difficulty breathing and with swelling.
Age: 4.3
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: Mother called clinic and stated child received shots around 2 hours previously and she noted "hives" breaking out on wrists and behind ears. Mom stated rash appears to be spreading. No difficulty breathing per mom. No other sxs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: Vaccine given 9/1/04. Mother noticed induration 9/2/04. Patient in for visit on 9/3/04 with doctor.
Age: 1.9
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Drug ineffective, Herpes zoster, Infection
Clinical narrative: My son received the Varicella vaccine a little after his first birthday and all seemed well. This summer, he came down with a bad case of shingles on his left arm and he has never had nor been exposed to chickenpox. When we took him to the doctor for treatment, he said the vaccine is made from weakened chickenpox and once introduced to the body, it never leaves. Shingles is reactivation of dad chicken pox virus. He is okay now, but it was a painful illness. His fever was 101 during worst part an in all it took 2..5 weeks to get better. We used supportive care. Calamine lotion and pain medicine, etc.
Age: 3.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Blister, Erythema, Rash papular
Clinical narrative: Erythema papules on back, legs and few vesicles
Age: 59.0
Sex: M
Vaccine: MMR
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Rash, Skin burning sensation
Clinical narrative: Received MMR on 6/29/04: 9 days later developed fully body rash. By 7/9 and 7/10 searing burning pain from both elbows to finger tips x 2 days. The deep pain abated over several days to numbness and tingling right hand.
Age: 3.0
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Firm, red, swollen area around vaccination site 11 days after vaccination. Some individual bumps.
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Decreased appetite, Feeling hot, Injection site vesicles, Pyrexia, Urticaria
Clinical narrative: Mother reports child was "hot" and she had to arouse him form sleep to give him Tylenol and "cool him down". She said he didn't eat much since getting shots' "fever" lasted from 2 am till 8 pm and although he isn't limping is doing well now though has blisters where shot was given. Welt like blisters noted golf ball size area where DTaP was given.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Left side neck, shoulder, arm pain 10 of 10 on 0-10 pain scale, redness and swelling to site.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Temp 105- no other focus. 2cm area of erythema, swelling left thigh.
Age: 6.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Rash papular, Rash pruritic, Rash vesicular
Clinical narrative: Multiple excoriated pap lesions, some crusting on ankles. Scattered erythema pap vesic lesions-trunk, few on arms and in scalp. Keflex 250/5 200ml 2 tsp PO Bid x 10d. Atarax 10/5 4 on 1 1/2 tsp PO every 6 hours prn itching rx 2.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Pruritus
Clinical narrative: Phone call 8/29/04-developed red, hard area left deltoid region. Itching. Advised ice, Advil, Cortaid, Benadryl prn.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site mass, Pruritus
Clinical narrative: Developed red, hard area left deltoid region. Some itching. Advised ice, Advil, Cortaid, Benadryl prn.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Oedema, Pruritus
Clinical narrative: Developed swollen, red upper left arm, some hardness and itching. Redness spread to upper elbow. Advised ice, Advil, Cortaid, Benadryl PRN.
Age: 17.0
Sex: M
Vaccine: DTAPH
Symptoms: Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: Very swollen, inflamed red left upper arm deltoid area-advised ice (intermittent), children's Motrin for anti inflammatory, Cortaid for itching (topical) or Benadryl.
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Aug 3 vaccine. Friday Aug. Broke out with welts, quarter size welts all over body. Head to toe. Took her to prompt care. Dr. stated hives caused from vaccines. Pediaprobe (antihistamine) rx given. 2 weeks after broke out again and taken to own Dr.  Dr. states as a result of vaccines. Mother denies child being introduced to new foods, soaps, surroundings. Mother states this has happened 3x's since child has been vaccinated.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Dysphagia
Clinical narrative: Difficulty swallowing x 20min after vaccination. Benadryl, 50mg PO.
Age: 15.0
Sex: M
Vaccine: RAB
Symptoms: Crying, Hyperhidrosis, Incoherent, Pyrexia, Screaming
Clinical narrative: About 12 hours after vaccination tried to sleep, but stated sweating and shaking. Sought his mother at 5AM, screaming, sobbing, incoherent. Ran into street in underwear, restrained by EMS. Febrile 102. Resolved promptly.
Age: 15.0
Sex: M
Vaccine: RAB
Symptoms: Tremor
Clinical narrative: About 12 hours after vaccination tried to sleep, but stated sweating and shaking. Sought his mother at 5AM, screaming, sobbing, incoherent. Ran into street in underwear, restrained by EMS. Febrile 102. Resolved promptly.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 10cmx10cm indurated erythematous area over left deltoid-non tender.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 10cmx10cm circular, indurated, erythematous area over right lateral thigh.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Dyskinesia, Pallor, Somnolence, Staring
Clinical narrative: The infant had a seizure consisting of rhythmic jerking of the arms and legs lasting approximately 30 seconds. The infant became pale during the seizure. After 30 seconds the infant had a far off gaze and then became very sleepy. The infant was brought to the doctors office and lab work drawn.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Mother phoned to state that child has hives that began the day the child got HepB (8/24/04). F/U: Recommended allergist eval before addtional vaccine doses.
Age: 1.55
Sex: M
Vaccine: PNC
Symptoms: Confusional state, Decreased appetite, Dyskinesia, Eye movement disorder, Febrile convulsion
Clinical narrative: Mother reports patient had a URI approximately 5 days prior to the injection but was otherwise totally normal.  Mother reports patient was eating okay and playing and doing all his normal things.  His parents report approximately 10 minutes after injection, his eyes rolled back, his shoulders were shaking, his head was tilted up and back in his seat.  He was strapped in car seat.  Mother stopped the car, he was white in appearance, he seemed confused for the next five minutes, and then he was taken to the emergency room.  Patient was seen in the Emergency Room and parents were told that it was a febrile seizure.  No vomiting.  No known biting of tongue.  No toilet trained and so loss of bowel and bladder control is not known.  Temperature was 99.9 degrees in the emergency room.  Mother did not feel like patient had a fever.  Since that time, patient has acted totally normal except for minor decreased appetite and a little bit sleepy.  No other seizure type activity.
Age: 1.55
Sex: M
Vaccine: PNC
Symptoms: Pallor, Somnolence
Clinical narrative: Mother reports patient had a URI approximately 5 days prior to the injection but was otherwise totally normal.  Mother reports patient was eating okay and playing and doing all his normal things.  His parents report approximately 10 minutes after injection, his eyes rolled back, his shoulders were shaking, his head was tilted up and back in his seat.  He was strapped in car seat.  Mother stopped the car, he was white in appearance, he seemed confused for the next five minutes, and then he was taken to the emergency room.  Patient was seen in the Emergency Room and parents were told that it was a febrile seizure.  No vomiting.  No known biting of tongue.  No toilet trained and so loss of bowel and bladder control is not known.  Temperature was 99.9 degrees in the emergency room.  Mother did not feel like patient had a fever.  Since that time, patient has acted totally normal except for minor decreased appetite and a little bit sleepy.  No other seizure type activity.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Infection transmission via personal contact, Rash
Clinical narrative: Patient's son age 7 (dob 6/5/1997) has come down with rash on chest 7 days after visiting patient.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash, Viral infection
Clinical narrative: Patient's son age 7 (dob 6/5/1997) has come down with rash on chest 7 days after visiting patient.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP, ANTH
Symptoms: Amnesia, Convulsion, Depression, Disturbance in attention, Dizziness
Clinical narrative: The shot was given 7/26/04 at 1 pm. After the shot he started having fever, headaches, some dizziness, unable to concentrate completely, causing him to become unable to make conscience decisions, muscle weakness, fatigue, memory loss, depression, seizure which resulted in mental and physical hospitalization, as a result of the shots he has now hypothyroidism (loss of his thyroid) resulting in life time medication.  Nurse follow up on 09/22/04 states: "Final diagnosis was myxedema due to Hashimoto's thyroiditis with psychotic features.  Other findings include hallucinations, suicidal ideation, elevated liver function tests, dry skin, pruritis." Per annual report- Pt has hypothyroidism now and have to take synthroid for the rest of his life, as long as he is on the medication he is fine but of course if one day he does not take his medication he has unbalance, paranoid, unable to think. Per annual report-But he lost his thyroid and have to stay on synthroid for the rest of his life.  Sometimes he is still paranoid but we are not sure if it is the thyroid or still the adverse reaction or allergies.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP, ANTH
Symptoms: Fatigue, Hallucination, Headache, Hypothyroidism, Liver function test abnormal
Clinical narrative: The shot was given 7/26/04 at 1 pm. After the shot he started having fever, headaches, some dizziness, unable to concentrate completely, causing him to become unable to make conscience decisions, muscle weakness, fatigue, memory loss, depression, seizure which resulted in mental and physical hospitalization, as a result of the shots he has now hypothyroidism (loss of his thyroid) resulting in life time medication.  Nurse follow up on 09/22/04 states: "Final diagnosis was myxedema due to Hashimoto's thyroiditis with psychotic features.  Other findings include hallucinations, suicidal ideation, elevated liver function tests, dry skin, pruritis." Per annual report- Pt has hypothyroidism now and have to take synthroid for the rest of his life, as long as he is on the medication he is fine but of course if one day he does not take his medication he has unbalance, paranoid, unable to think. Per annual report-But he lost his thyroid and have to stay on synthroid for the rest of his life.  Sometimes he is still paranoid but we are not sure if it is the thyroid or still the adverse reaction or allergies.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP, ANTH
Symptoms: Muscular weakness, Pruritus, Psychotic disorder, Pyrexia, Thyroiditis
Clinical narrative: The shot was given 7/26/04 at 1 pm. After the shot he started having fever, headaches, some dizziness, unable to concentrate completely, causing him to become unable to make conscience decisions, muscle weakness, fatigue, memory loss, depression, seizure which resulted in mental and physical hospitalization, as a result of the shots he has now hypothyroidism (loss of his thyroid) resulting in life time medication.  Nurse follow up on 09/22/04 states: "Final diagnosis was myxedema due to Hashimoto's thyroiditis with psychotic features.  Other findings include hallucinations, suicidal ideation, elevated liver function tests, dry skin, pruritis." Per annual report- Pt has hypothyroidism now and have to take synthroid for the rest of his life, as long as he is on the medication he is fine but of course if one day he does not take his medication he has unbalance, paranoid, unable to think. Per annual report-But he lost his thyroid and have to stay on synthroid for the rest of his life.  Sometimes he is still paranoid but we are not sure if it is the thyroid or still the adverse reaction or allergies.
Age: 23.0
Sex: F
Vaccine: ANTH, TYP, ANTH
Symptoms: Xeroderma
Clinical narrative: The shot was given 7/26/04 at 1 pm. After the shot he started having fever, headaches, some dizziness, unable to concentrate completely, causing him to become unable to make conscience decisions, muscle weakness, fatigue, memory loss, depression, seizure which resulted in mental and physical hospitalization, as a result of the shots he has now hypothyroidism (loss of his thyroid) resulting in life time medication.  Nurse follow up on 09/22/04 states: "Final diagnosis was myxedema due to Hashimoto's thyroiditis with psychotic features.  Other findings include hallucinations, suicidal ideation, elevated liver function tests, dry skin, pruritis." Per annual report- Pt has hypothyroidism now and have to take synthroid for the rest of his life, as long as he is on the medication he is fine but of course if one day he does not take his medication he has unbalance, paranoid, unable to think. Per annual report-But he lost his thyroid and have to stay on synthroid for the rest of his life.  Sometimes he is still paranoid but we are not sure if it is the thyroid or still the adverse reaction or allergies.