chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Autism, Pyrexia
Clinical narrative: Information has been received from a consumer concerning a 24 month old female patient with no known allergies who in approximately 10/97 was vaccinated with a dose of MMR (second generation) (lot number not reported). There were no concomitant medications. In approximately 10/97, the patient experienced a high fever for 2 days after being given the vaccine. Subsequently, the patient developed autism. Unspecified medical attention was sought. Upon internal review, autism was determined to be an other important medical event (OMIC). Additional information has been requested. Reported on 02/27/2003: "The receptionist reported that the patient had not had an office visit since 10/12/2002.  Upon internal review, autism was determined to be an other important medical event.  Additional information has been requested.  Recorded on 03/26/2003: "Information has been received from a consumer, a receptionist at the physician's office and follow up information from a physician concerning a 12 month old (previously reported by the consumer as an approximately 24 month old) white female patient, who was born at 39 weeks gestation weighing 7 pounds and 12 ounces, and per the physician with no past medical history, no known allergies and who at the time of vaccination had a slight cough and cold for one day, but no fever.  The receptionist and physician reported that on 12/16/1996 the patient was vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (second generation)(Lot # 618617/07340).  The physician reported that it was a first dose and the vaccine was given subcutaneously.  The consumer had reported that when the child was around 24 months, (estimated to be in approximately October 1997), the child was vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (second generation)(Lot # not reported).  per the consumer and physician, there were no concomitant medications.  The physician reported that on 12/16/1996 (previously reported per the consumer as around 24 months, estimated to be in approximately October 1997) the patient experienced a feer of 102 degrees Fahrenheit after having the vaccine.  The physician reported that the feer lasted for 2-3 days and got better with acetaminophen (Tylenol).  The consumer had reported that the patient experienced a "high fever" for 2 days after being given the vaccine.  The physician reported that the patient recovered from the fever after three days.  The consumer reported that subsequently the patient developed autism and unspecified medical attention was sought.  The receptionist reported that the patient had not had an office visit since 10/12/2002.  Upon internal review, autism was determined to be an other important medical event.  No further information is expected.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her cousin's currently 12 year old male child with no known allergies or medical history, who at age 2, in approximately February 1993, was vaccinated with a dose of MMR II. There were no concomitant medications. Subsequently the child developed autism. Unspecified medical attention was sought. Upon internal review, autism was determined to be an other important medical event (OMIC). The consumer also reported that the cousin's other child, who is currently 9 1/2 years old, received a dose of MMR II at age two and now has autism (WAES0302USA00291). Additional info has been requested.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her cousin's currently 9.5 year old male child with no known allergies or medical history who at age 2, in approximately August 1995, was vaccinated with a dose of MMR (second generation) (lot # not reported). There were no concomitant medications. Subsequently, the child developed autism. Unspecified medical attention was sought. Upon internal review, autism was determined to be an other important medical event. The consumer also reported that the cousin's other child, who is currently 12 years old, received a dose of MMR (second generation)(lot # not reported) at age 2 and now also has autism (WAES0302USA00343). Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning a child in her family who was vaccinated on an unspecified date with a dose of MMR II. Subsequently the child developed autism. Unspecified medical attention was sought. Upon internal review, autism was determined to be an other important medical event (OMIC). Additional info has been requested.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Pharyngitis
Clinical narrative: Information has been received from a physician concerning a 12 month old male fraternal twin with hayfever and environmental allergies and a history of colds and a few ear infections who on 8/3/99, was vaccinated with MMR II. There was no illness at the time of vaccination and the child was noted to be a pretty verbal 12 month old. The physician reported that, after vaccination in approximately 1999, the child's mother noted her son's language skills regressed a little. The physician indicated that the child's event spontaneously resolved, the child regained the words he had lost and over time he seemed "fine." On 10/17/02, the child received the booster dose of MMR II (643499/0538M). On that same day, he also received IPV. The physician indicated that there were no other concomitant medications at the time of vaccination. The physician reported that on 10/19/02, the child's mother noticed that he was having trouble with word retrieval, for example, he would want to say rocket but would say cracker instead. The child would become frustrated when he could not find the right word and would give up easily. The physician also reported that the child's parents and school noticed that the child was slower in everything including movement and language and was just not as active as he had been. The physician indicated that the child was in a "normal" preschool program and that when he is tested will still be a "normal kid," but according to the child's parents and school there was a difference. The physician also indicated that the child's fraternal twin brother was also vaccinated with MMR II on the same days and was "totally fine." The physician reported that the child was not diagnosed with anything, but indicated that he was clearly not autistic. At the time of this report, the outcomes were unknown. Upon internal review, trouble with word retrieval and slower in language was determined to be an other important medical event (OMIC). Additional info has been requested.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Colitis, Condition aggravated, Convulsion, Dehydration, Dyskinesia
Clinical narrative: This report was received concerning a 5 year old male patient with hydrocephalus, seizures, slit ventricles, ventriculo-peritoneal shunt and migraines who on 8/15/02 was vaccinated with a dose of MMR (second generation) (lot #not reported). Additional suspect therapies included lamotrigine 100 mg daily which was initiated in November 2001 for complex partial seizures and divalproex sodium (dosage unspecified) which was initiated on a unspecified date for convulsions. Concomitant therapy included gabapentin. In December 2001 the dose of lamotrigine was changed. On 8/16/02, the patient developed increased seizure frequency. Prior to August 2002, the patient had 0-2 seizures per month, then the seizures increased to 3 in August 2002, 5 in September and 6 during the first two weeks of October 2002. It was also noted that after the vaccine, the patient developed a gastrointestinal flare, an ear infection and a fever, which was treated with ciprofloxacin. The patient was hospitalized overnight due to dehydration from the infection. As previously noted, on an unspecified date, a neurologist increased the dosage of lamotrigine to 125mg twice daily to try and control the seizures, but the increased dosage did not help. Event causality was unknown. Upon follow up, the dentist reported that the increased seizure frequency was still unresolved. It was noted that intestinal flare as bloody stools began in August 2002 after the vaccine. A colonoscopy, which was done on 11/26/02, revealed a diagnosis of colitis. It was noted that the reporting dentist considered these events were possibly related to either the MMR (second generation) or the inefficacy of lamotrigine. It was reported that it was not known if the patient had experienced any adverse events following previous vaccinations. As previously reported, the child was started on divalproex sodium on an unspecified date. In November 2002, the patient became very hyper and experienced abnormal movements after divalproex sodium was combined with lamotrigine. The lamotrigine dose was decreased to an unspecified dosage and the events improved. It was noted that the reporting dentist considered these events were related to the combination of lamotrigine and divalproex sodium. A MRI was performed on 12/23/02 and the results are unknown. This was originally reported by a dentist and the patient was the dentist's son. Upon internal review, the patient's increased seizure frequency was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Gastrointestinal disorder, Pyrexia
Clinical narrative: This report was received concerning a 5 year old male patient with hydrocephalus, seizures, slit ventricles, ventriculo-peritoneal shunt and migraines who on 8/15/02 was vaccinated with a dose of MMR (second generation) (lot #not reported). Additional suspect therapies included lamotrigine 100 mg daily which was initiated in November 2001 for complex partial seizures and divalproex sodium (dosage unspecified) which was initiated on a unspecified date for convulsions. Concomitant therapy included gabapentin. In December 2001 the dose of lamotrigine was changed. On 8/16/02, the patient developed increased seizure frequency. Prior to August 2002, the patient had 0-2 seizures per month, then the seizures increased to 3 in August 2002, 5 in September and 6 during the first two weeks of October 2002. It was also noted that after the vaccine, the patient developed a gastrointestinal flare, an ear infection and a fever, which was treated with ciprofloxacin. The patient was hospitalized overnight due to dehydration from the infection. As previously noted, on an unspecified date, a neurologist increased the dosage of lamotrigine to 125mg twice daily to try and control the seizures, but the increased dosage did not help. Event causality was unknown. Upon follow up, the dentist reported that the increased seizure frequency was still unresolved. It was noted that intestinal flare as bloody stools began in August 2002 after the vaccine. A colonoscopy, which was done on 11/26/02, revealed a diagnosis of colitis. It was noted that the reporting dentist considered these events were possibly related to either the MMR (second generation) or the inefficacy of lamotrigine. It was reported that it was not known if the patient had experienced any adverse events following previous vaccinations. As previously reported, the child was started on divalproex sodium on an unspecified date. In November 2002, the patient became very hyper and experienced abnormal movements after divalproex sodium was combined with lamotrigine. The lamotrigine dose was decreased to an unspecified dosage and the events improved. It was noted that the reporting dentist considered these events were related to the combination of lamotrigine and divalproex sodium. A MRI was performed on 12/23/02 and the results are unknown. This was originally reported by a dentist and the patient was the dentist's son. Upon internal review, the patient's increased seizure frequency was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Autism
Clinical narrative: A mother reported that her son received Orimune, Acel-Imune vaccine, and MMR II vaccines on 10/9/98 at 5 years of age. Since that time, he has shown signs of autistic tendencies. She inquired about the mercury content of some of the vaccines. She reported that tests performed were inconclusive and urine tests for mercury were negative. Medical history provided that the child was born 5 weeks premature. The patient's experience was considered medically important (OMIC). The reporter declined additional information.
Age: 0.75
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Grand mal convulsion, Loss of consciousness
Clinical narrative: Gran mal seizure on 5/18/01. Unconscious for 45 minutes with oxygen and artificial respiration necessary. Child transported to emergency room by ambulance. Child admitted for observation. Stay of 1 day and diagnosed with right sided brain anomaly; EEG abnormal. Consult with doctor (pediatric neurologist in hospital). Prognosis: 50% chance seizures will recur. Residual encephalopathy noted by parent. 18 year old sibling had a similar event at about the same age.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, OPV
Symptoms: Emotional disorder, Speech disorder
Clinical narrative: Son shut down after  his last immunizations. He received them at 12 months and regressed at 14 months. Stopped talking; went into his own little world. Was diagnosed at 22 months PDD, but now they are saying he is severe.   The follow up states, "I do not have access to them." Annual follow up on 03/03/04: "Pt has not recovered from adverse events. He was fine up until 14 months he stopped talking and shut down and regressed and has never been the same.  He was developing fine until he get his last set of immunizations.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: Redness, inudration approximately 2" circumference and pain to touch. Started the evening of 1/26/03. Erythema covering left deltoid down to left elbow.
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema
Clinical narrative: About 7.5" are of edema and erythema to PST aspect of left arm. No vesicles or pustules. Two days s/p vaccination.
Age: 9.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia
Clinical narrative: February 1999 began limping. Blood test for Lyme and Leukemia at hospital (3/10/99). Tests were negative. Generally has joint pain; at times severe.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Oedema
Clinical narrative: Left arm swelling - diffuse over about 50% of VE.
Sex: F
Vaccine: HEP
Symptoms: Myalgia, Oedema
Clinical narrative: Right deltoid area swollen to size of an egg. Ached up into neck area. Took Motrin that night. Sore for couple of days. Swelling lasted couple of days. Down to completely normal by 10 days.
Age: 47.0
Sex: F
Vaccine: HEP, MMR, PPV
Symptoms: Nausea, Oedema, Pain, Pyrexia, Vasodilation procedure
Clinical narrative: Complained of edema with redness left upper arm and left side below axilla, discomfort, fever, and nausea. Patient relates this started Tuesday night (12/10/02) and seems to be resolving at this time. Patient to see PMD if gets worse with v/d. Follow up states: Have not received forms back from reviewing medical authority.
Age: 0.7
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Pyrexia, Screaming, Upper respiratory tract infection
Clinical narrative: Patient received IPV, DTAP, HIB and Prevnar on 1/29/03. Patient had fever of 103 after shots, decreased appetite, crying for two nights. Patient seen 1/31/03 with fever 101.5, head shaking episodes X 3 and URI. Patient will follow up.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: Injection site reaction left shoulder (redness, warmth, swelling) treated with Benadryl.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Headache, Hypokinesia, Injection site mass, Oedema, Pain
Clinical narrative: Site tender evening of 5/15/ hard knot and swelling 5/16. Pain from thumb joint up arm to base of skull 5/17. Site continued to get extremely sore and hard. Continued to 5/18 couldn't raise arm. Awoke middle of night 5/18 with intense headache. Vomiting early morning 5/19. 5/23 burning pain under armpit with rash on torso. By 5/24 improvement with return of mobility, decreased swelling, no rash or headache.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Rash, Vomiting
Clinical narrative: Site tender evening of 5/15/ hard knot and swelling 5/16. Pain from thumb joint up arm to base of skull 5/17. Site continued to get extremely sore and hard. Continued to 5/18 couldn't raise arm. Awoke middle of night 5/18 with intense headache. Vomiting early morning 5/19. 5/23 burning pain under armpit with rash on torso. By 5/24 improvement with return of mobility, decreased swelling, no rash or headache.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Arm swelling, pain, redness, malaise. Began within 24 hours. Resolving at day 6. No treatment needed.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Injection site erythema, Injection site oedema, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pain, redness, swelling to left arm for rest of day after vaccine administered. C/O stiffness "all over" the next morning, c/o HA and nausea/vomiting the night following the vaccination.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Vomiting
Clinical narrative: Pain, redness, swelling to left arm for rest of day after vaccine administered. C/O stiffness "all over" the next morning, c/o HA and nausea/vomiting the night following the vaccination.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Received routine immunizations on 01/30/2003. Returned to clinic 01/31/2003 with erythema, edema and warmth bilateral thighs. Question of cellulitis right thigh. Pt treated with Keflex x 10 days.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 3 x 5 cm area of redness, slight warmth surrounding DTaP shot . No tenderness or induration
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Affect lability, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Inconsolable crying x 2 days, temp 101 x 2 days. Swollen, red area on left thigh apprx. 7cm.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Pt with 5cm reddened, slightly swollen and warmth to skin area LUA where vaccine was given.
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Varicella rash
Age: 72.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Feeling hot, Pain
Clinical narrative: Received tetanus shot routine on 11/15/2002. Seen 12/31/2002, 01/17/2003, and 01/31/2003. Complaints of generalized aching and warmth proximal weakness. Unable to get up from bed. Trouble lifting head off bed. Process actually better when seen 01/01/2003 and entire process acts to be in process of resolution.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: Arm swollen and warm to touch; Fever 102. Two episodes of emesis. Recommend apply cold pack to area, Tylenol as directed by manufacturer.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, MEN, TYP, YF
Symptoms: Injection site hypersensitivity
Clinical narrative: Red, hot, tender and itchy area approximately 3.5"x1.5" at site of injection. Lasted 3-4 days.
Age: 9.25
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TD
Symptoms: Dizziness, Pyrexia, Rash
Clinical narrative: Had vaccinations on 2/4/03. Appearance of raised rashes on body and arms accompanied by light-headedness and fever was noted by mother 2/7/03. No shortness of breath. Came in to clinic 2/11/03 rashes still present but decreased as per mom.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Redness at site of injection with induration extending distally, warm to touch.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site oedema, Injection site warmth, Rash
Clinical narrative: 24 hrs post vaccine swelling on L thigh, warm to touch, 3"x3" not indurated, no pain, no fever, normal gait. Rash going away-no pain. 2/13/03 completely resolved only light spot evident now.
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Muscular weakness, Myalgia
Clinical narrative: On 5/16/02 pt reported sore arm and muscle weakness after first hep B immunization of 4/18/02. Pt advised to contact his physician prior to admin. dose #2. On 5/23/02 pt reported his physician said he was OK to receive next dose, which was given on 5/24/02 without incident. On 2/11/03, reports 50% muscle weakness, pain.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site induration, Rash pustular
Clinical narrative: Developed pustular rash on chest on the second day following vaccination. No fever or constitutional symptoms.  Rash with evidence of improvement on third day post vaccination.  Innoculation site with 2-3mm area of induration/erythema on day 3.
Sex: U
Vaccine: HEP, HEP
Symptoms: Unevaluable event
Clinical narrative: MD reports potential confusion which may lead to a medication error with hep B vaccine, recombinant. Te potency is different among the two manufacturers as stated, Recombinant contains 10mcg/ml whereas other manuf. hep B vaccine, Recombinant contains 20mcg/ml. Both manufacturer's package the vaccine in single dose vials.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pain, Pruritus
Clinical narrative: Right arm swelling, became painful in the elbow, and itchy.  Spread to lower forearm and neck.  Taken to ER and received fexofenadine (180mg) and Augmentin (875mg)
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Abdominal pain, Arthralgia, Arthritis, Constipation, Eye disorder
Clinical narrative: Excellent health prior to 1st vaccine & avid runner. Three Vaccines given Oct 1999-May 2000.  Developed migraine 3 days after 1st vaccine (ill for 3 days). Joint & muscle aches.Was told that this was normal for this vaccine. In March 2001, diagnosed with Hypothyroidism, osteoarthritis, & early menopause: May 2002, diagnosed with Fibromyalgia (diagnosed by 3 Rheumatologists):Feb 2003, diagnosed with Gastritis. Eyes deteriorating, continuous joint and muscle pain (debilitating at times),Abdominal pain, constipation, headaches. Medications: Levothyroxine, Paxil, Darvocet, Diclofenac, Ambien, Nexium.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Fibromyalgia, Gastritis, Headache, Hypothyroidism, Migraine
Clinical narrative: Excellent health prior to 1st vaccine & avid runner. Three Vaccines given Oct 1999-May 2000.  Developed migraine 3 days after 1st vaccine (ill for 3 days). Joint & muscle aches.Was told that this was normal for this vaccine. In March 2001, diagnosed with Hypothyroidism, osteoarthritis, & early menopause: May 2002, diagnosed with Fibromyalgia (diagnosed by 3 Rheumatologists):Feb 2003, diagnosed with Gastritis. Eyes deteriorating, continuous joint and muscle pain (debilitating at times),Abdominal pain, constipation, headaches. Medications: Levothyroxine, Paxil, Darvocet, Diclofenac, Ambien, Nexium.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Myalgia, Premature menopause
Clinical narrative: Excellent health prior to 1st vaccine & avid runner. Three Vaccines given Oct 1999-May 2000.  Developed migraine 3 days after 1st vaccine (ill for 3 days). Joint & muscle aches.Was told that this was normal for this vaccine. In March 2001, diagnosed with Hypothyroidism, osteoarthritis, & early menopause: May 2002, diagnosed with Fibromyalgia (diagnosed by 3 Rheumatologists):Feb 2003, diagnosed with Gastritis. Eyes deteriorating, continuous joint and muscle pain (debilitating at times),Abdominal pain, constipation, headaches. Medications: Levothyroxine, Paxil, Darvocet, Diclofenac, Ambien, Nexium.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphadenopathy, Oedema, Pain, Pyrexia
Clinical narrative: SWELLING, ERYTHEMEA PAIN IN LEFT UPPER ARM.  PAINFUL SWOLLEN AXILLARY LYMPH NODES.  RED PATCHES ON UPPER TRUNK, ELEVATED FEVER.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Back pain, Headache, Neck pain, Pain
Clinical narrative: 2/4/03 Around 11:45 started having back, leg and neck pain, also headach.  2/5/03 Fever 102.  Severe Back & leg pain.  2/6/03 Had to go to ER for pain relief.  2/8/03 Stomach cramp till 2/9/03.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: 2/4/03 Around 11:45 started having back, leg and neck pain, also headach.  2/5/03 Fever 102.  Severe Back & leg pain.  2/6/03 Had to go to ER for pain relief.  2/8/03 Stomach cramp till 2/9/03.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Asthenia, Injection site erythema, Loss of consciousness, Malaise, Paraesthesia
Clinical narrative: She received her vaccine and proceeded to a site care instruction area. She immediately c/o not feeling well. She was taken to an exam room and collapsed on the way. She began to c/o her throat and mouth itching. B/P 142/88, pulse 80 and regular. Benadryl 50 mg IM administered, followed by epinephrine .3 cc IM.(10:30 a.m.) At 10:40 a.m., patient continued to c/o throat itching. Epinephrine .2 cc IM was administered. B/P 136/80, pulse 64, blood glucose 76. Patient transported to emergency room where she was evaluated and observed. Further doses of benadryl were given. She was discharged to home after two hours, with oral benadryl. 24 hour follow-up: Vaccination site is a bright red circle, 2 cm in diameter. C/o feeling weak with episodes of feeling hot; having a generalized tingling sensation; and an itchy throat. Follow up with reporting person today (02/26/2003) shows pt with complete recovery and no further adverse events  Per 60 day follow up: pt has recovered.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus
Clinical narrative: She received her vaccine and proceeded to a site care instruction area. She immediately c/o not feeling well. She was taken to an exam room and collapsed on the way. She began to c/o her throat and mouth itching. B/P 142/88, pulse 80 and regular. Benadryl 50 mg IM administered, followed by epinephrine .3 cc IM.(10:30 a.m.) At 10:40 a.m., patient continued to c/o throat itching. Epinephrine .2 cc IM was administered. B/P 136/80, pulse 64, blood glucose 76. Patient transported to emergency room where she was evaluated and observed. Further doses of benadryl were given. She was discharged to home after two hours, with oral benadryl. 24 hour follow-up: Vaccination site is a bright red circle, 2 cm in diameter. C/o feeling weak with episodes of feeling hot; having a generalized tingling sensation; and an itchy throat. Follow up with reporting person today (02/26/2003) shows pt with complete recovery and no further adverse events  Per 60 day follow up: pt has recovered.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Coordination abnormal, Dizziness, Dyspnoea
Clinical narrative: Update Feb 2003 (3 years post vaccination). Since last update, joint and muscle pain is worse. Recently diagnosed with chronic fatigue syndrome and fibromyalgia. Still experiencing dizziness, balance trouble, cognitive problems, shortness of breath, chronic fatigue, joint pain and muscle pain.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Thinking abnormal
Clinical narrative: Update Feb 2003 (3 years post vaccination). Since last update, joint and muscle pain is worse. Recently diagnosed with chronic fatigue syndrome and fibromyalgia. Still experiencing dizziness, balance trouble, cognitive problems, shortness of breath, chronic fatigue, joint pain and muscle pain.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Pharyngolaryngeal pain
Clinical narrative: About 50 pustules, 0.5 cm size of chest and back and anterior legs. mild headache, mild sore throat
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Erythema, Headache, Injection site erythema, Injection site hypersensitivity, Injection site warmth
Clinical narrative: The Anthrax shot along with the smallpox shot was given on Sat. Feb. 8th. I developed a slight headache. Sunday my arm with the anthrax started itching and was getting red. By Sunday evening my arm was feverish, swollen from the elbow to about two inches below my shoulder. The swelling almost wrapped around my arm with a two inch gap. I could feel a lack of circulation developing in my arm. My arm was very red in color. This continued until I seeked treatment on Tuesday by the same medical facility. They gave me 800mg. motrin and cephrin(something like that) for the itching. Within two days the swelling went down but I still show some signs of a little redness on my skin. And the feeling came back and the fever went away.
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Swelling
Clinical narrative: The Anthrax shot along with the smallpox shot was given on Sat. Feb. 8th. I developed a slight headache. Sunday my arm with the anthrax started itching and was getting red. By Sunday evening my arm was feverish, swollen from the elbow to about two inches below my shoulder. The swelling almost wrapped around my arm with a two inch gap. I could feel a lack of circulation developing in my arm. My arm was very red in color. This continued until I seeked treatment on Tuesday by the same medical facility. They gave me 800mg. motrin and cephrin(something like that) for the itching. Within two days the swelling went down but I still show some signs of a little redness on my skin. And the feeling came back and the fever went away.
Age: 2.0
Sex: F
Vaccine: MU
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site rash, Pruritus, Rash pustular
Clinical narrative: On the day of injection Tylenol was given for aches in the left arm of the shot.  Arm ached for 5 days after and itched for 10 days after the shot.  On the 7th day after the injection patient developed a rash on her left arm at the site of the shot and postules as well.  A postual was also an inch down away from the shot site.  This lasted 3 days then cleared.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pain
Clinical narrative: SYMPTOMS NOTICED WERE SWELLING, REDNESS AND PAIN.  SYMPTOMS WERE NOTICED AT APPROXIMATELY 2100 ON 14 FEB 03 AT RESIDENCE.  VACCINE PROVIDER WAS NOTIFIED ON 15 FEB AT APPROXIMATELY 1120.  MEDICAL FACILITY WAS SECURED ON 15 FEB 03.  MEMBER WAS DIRECTED TO REPORT REACTION ONLINE.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Rash, Urticaria
Clinical narrative: Rash/Hives in armpits, waist, genital area, feet and legs. Symptoms occurred 1-2 days after shot. Symptoms are still present. They appear to be peeling starting in the center of the rash/hive. I have applied antihistamine cream and taken Benadryl caplets.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Hypokinesia, Tenderness
Clinical narrative: The TD vaccine was given to my son in his right upper arm. The next morning he complained of the left arm being very sore and sore to the touch. The next day Sunday he can bearly move the left arm. I have applied heat pad to the sore arm.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Cow pox
Clinical narrative: Blistors on left arm for the last three days that are spreading over shoulders and right arm (patient).  Generalized vaccinia.
Age: 30.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Skin ulcer
Clinical narrative: Pt developed generalized vaccinia across neck and both upper arms and a few lesions on chest and back.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Influenza like illness, Malaise, Nausea, Pyrexia
Clinical narrative: Nausea/vomiting, malaise, fever  (101.6 degrees F), flu-like symptoms, headache. On quarters for 24 hours.  Rx:  Tylenol
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Nausea/vomiting, malaise, fever  (101.6 degrees F), flu-like symptoms, headache. On quarters for 24 hours.  Rx:  Tylenol
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Night sweats, Tinnitus, Vertigo
Clinical narrative: ON 27 JAN 2003, I RECEIVED MY 3RD ANTHRAX INNOCULATION.  BEFORE ANY OF THESE SHOTS, I WAS FINE, A HEALTHY, NORMAL 23 YEAR OLD MALE. NOW, EVER SINCE MY 3RD SHOT OF ANTHRAX, I GET VIRTIGO, RINGING OF THE EARS, AND "BED SWEATS".  I HAVE NOT BEEN TO THE MEDICAL CLINIC YET TO TELL THEM ANYTHING, DUE TO THE FACT THAT OTHERS HAVE BEEN THERE AND THEY HAVE BEEN TOLD "OH, YOUR PROBLEMS ARE NOT RELATED TO THE VACCINE".  SO, THAT'S WHY I'M FILING THIS MYSELF.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: facial rash, pruritus 2 hrs after receiving vaccine. treated with benadryl 50 mg po q6h
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Cellulitis, Erythema, Injection site induration, Lymphangitis, Nausea
Clinical narrative: On the day after vaccination with MMR, the employee noticed increased swelling, redness, and induration at the site, with maximum syptoms by day 7 after vaccination. Additionally she experienced nausea, some vomiting and a 7 cm cellulitis at the injection site area with some lymphangitis into the R axilla. The employee visited the Emergency Department twice and received fluids, antibiotics, and steroids. There was a attempt at aspiration of fluid from the area of cellulitis but no fluid was able to be aspirated. The patients symptoms have continued to diminish since her treatment.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Oedema, Vomiting
Clinical narrative: On the day after vaccination with MMR, the employee noticed increased swelling, redness, and induration at the site, with maximum syptoms by day 7 after vaccination. Additionally she experienced nausea, some vomiting and a 7 cm cellulitis at the injection site area with some lymphangitis into the R axilla. The employee visited the Emergency Department twice and received fluids, antibiotics, and steroids. There was a attempt at aspiration of fluid from the area of cellulitis but no fluid was able to be aspirated. The patients symptoms have continued to diminish since her treatment.
Age: 54.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Lymphangitis, Rash pruritic, Skin ulcer
Clinical narrative: ITCHY RASH, DISCRETE RED PAPULAR LESIONS, LYMPHANGITIS EXTENDED FROM SITE.  NO VESICLES OR PAPULES.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Urticarial eruption beginning 1 day after vaccination. This is only a possible. Controlled by higher dose antihistamines or 60 mg qd of prednisone (3 days at 60 mg, then 2 days at 40 mg). On day 2, the rash recurred. I stopped the pred. at that point.  Eruption got worse x 3 days. I'm not sure of the cause, it was appearing a bit Erythema Multiforme-like. Patient transferred to Medical Ctr for biopsy.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Urticaria
Clinical narrative: Urticaria x 1 day. Began 12 days post-vaccination. Controlled with Benadryl (diphenhydramine).
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Erythema, Rash maculo-papular
Clinical narrative: Primary vaccination 02 FEB 03 without incident. Eleven day s/p primary vaccination patient presents with 2-day h/o erythemic macular/papular rash of chest and back. All lesions in same stage of development. No other complaints. Consultation with Dr. & concurs that this rash is c/w generalized vaccinia reaction . -- When MD saw patient on Thurs (2/13), he had generalized macular papular type rash on his trunk and on his post neck. MD has not seen him since. Another provider reports he has "a couple of areas that looked pustular" on Friday (14 Feb 03).
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: FEVER UP TO 103, NAUSEA, L ARM AXILLARY PAIN, HEADACHE.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Fatigue, Lymphadenopathy, Malaise, Musculoskeletal stiffness
Clinical narrative: PROGRESSIVE STIFF FROM DAY 0 TO PRESENT, SWOLLEN LYMPH NODES, JOINT PAIN, FATIGUE AND MALAISE.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Dermatitis bullous, Erythema, Furuncle, Infection transmission via personal contact
Clinical narrative: This patient is not a vacinee, but rather a contact with potential exposure to smallpox vaccine recipient. The patient presented today to clinic complaining about an arm skin lesion that had worsened since or around the time he visited his nephew, who had been vaccinated prior to his visit. The patient is known to be HIV positive, CD4 count of 160 VL <400. Apparently he had a skin lesion on his arm, present for about 2 weeks that "in the past week" had become pustular and ulcerated. It is currently about 6 mm, pustular ulcerated and has 1 cm surrounding erythema. He visited his nephew 5 days ago. In addition, the physician noted 3 facial lesions on the face (1 on the cheek, two near the chin sizes ranging from 2 to 5 mm) one was vesiculated "with cloudy fluid", one was crusted and the other papular. The patient claims that he had "something" on his face but these were not "of any concern" and since or around the time of the visit to his nephew have progressed to the current presentation. The patient was not toxic, but the physician was concerned about cellulitis on the arm and is going to treat it as such  He does not recall a history of chicken pox or recent exposure to it. He does not have a history of HIV related skin problems or other chronic skin problems. He has a vaccinia scar, but date of prior vaccination is not known. Dr. unroofed a lesion but was not able to get the "roof", but he got a skin bx and 4 touch preps. I spoke to MD's about running the vaccinia diagnostic tests and they are not going to be able to do this so I contacted another MD, and if she gets the specimen today she will set it up overnight and have a result by tomorrow afternoon. In addition, the patient will have DFA testing for varicella and herpes through this clinic. The patient is going to be treated with Diclox and the dose of Valtrex will be increased to active treatment dose. Dr.'s impression is that t On a follow up report received 6/6/2003 it is added: Dr's impression is that the pt has furuncullosis vs vaccinia acquired through contact with vaccinee. Tzanck, DFA and PCR testing are all negative. The final diagnosis remains Furuncullosis.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Skin disorder, Skin ulcer
Clinical narrative: This patient is not a vacinee, but rather a contact with potential exposure to smallpox vaccine recipient. The patient presented today to clinic complaining about an arm skin lesion that had worsened since or around the time he visited his nephew, who had been vaccinated prior to his visit. The patient is known to be HIV positive, CD4 count of 160 VL <400. Apparently he had a skin lesion on his arm, present for about 2 weeks that "in the past week" had become pustular and ulcerated. It is currently about 6 mm, pustular ulcerated and has 1 cm surrounding erythema. He visited his nephew 5 days ago. In addition, the physician noted 3 facial lesions on the face (1 on the cheek, two near the chin sizes ranging from 2 to 5 mm) one was vesiculated "with cloudy fluid", one was crusted and the other papular. The patient claims that he had "something" on his face but these were not "of any concern" and since or around the time of the visit to his nephew have progressed to the current presentation. The patient was not toxic, but the physician was concerned about cellulitis on the arm and is going to treat it as such  He does not recall a history of chicken pox or recent exposure to it. He does not have a history of HIV related skin problems or other chronic skin problems. He has a vaccinia scar, but date of prior vaccination is not known. Dr. unroofed a lesion but was not able to get the "roof", but he got a skin bx and 4 touch preps. I spoke to MD's about running the vaccinia diagnostic tests and they are not going to be able to do this so I contacted another MD, and if she gets the specimen today she will set it up overnight and have a result by tomorrow afternoon. In addition, the patient will have DFA testing for varicella and herpes through this clinic. The patient is going to be treated with Diclox and the dose of Valtrex will be increased to active treatment dose. Dr.'s impression is that t On a follow up report received 6/6/2003 it is added: Dr's impression is that the pt has furuncullosis vs vaccinia acquired through contact with vaccinee. Tzanck, DFA and PCR testing are all negative. The final diagnosis remains Furuncullosis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Erythema, Flushing, Rash, Wheezing
Clinical narrative: 4 yo EPSDT visit. DTaP #5, IPV #4, MMR #2 given.  4 minutes after injections, patient flushed, red rash, wheezing.  Benadryl, epi, decadron given, IV started, albuterol-svn; paramedics arrived,  SAT 97%; transported @ 1620 to Hospital.  Child discharged home 1/28/03 stable
Age: 1.49
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Cellulitis
Clinical narrative: seen in urgent care for cellulitis of left deltoid on 2/9/01. Pt did not receive BCG.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Cellulitis, Hypersensitivity, Injection site reaction
Clinical narrative: Allergic reaction vs cellulitis of right deltoid after DTaP. About 16 x 12cm area of erythema, induration. No fever, but antibiotics for strep throat.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Encephalitis
Clinical narrative: Encephalitis.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cellulitis
Clinical narrative: I developed cellulitis within 24 hours following my 3rd anthrax vaccine. My arm swelled up twice the size down to my hand. My elbow wasn't visible. I had burning, redness, numbness, pain.  I had a headache. I was hospitalized for 2 days, administered IV antibiotics, and I was sent home with antibiotics. The doctor originally said I shouldn't continue with vaccine. The other doctor totally contradicted!!! I have never been in the hospital before or had an adverse reaction from a vaccine other than tetanus.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cellulitis, Erythema, Headache, Hypoaesthesia, Oedema
Clinical narrative: I developed cellulitis within 24 hours following my 3rd anthrax vaccine. My arm swelled up twice the size down to my hand. My elbow wasn't visible. I had burning, redness, numbness, pain.  I had a headache. I was hospitalized for 2 days, administered IV antibiotics, and I was sent home with antibiotics. The doctor originally said I shouldn't continue with vaccine. The other doctor totally contradicted!!! I have never been in the hospital before or had an adverse reaction from a vaccine other than tetanus.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pain
Clinical narrative: I developed cellulitis within 24 hours following my 3rd anthrax vaccine. My arm swelled up twice the size down to my hand. My elbow wasn't visible. I had burning, redness, numbness, pain.  I had a headache. I was hospitalized for 2 days, administered IV antibiotics, and I was sent home with antibiotics. The doctor originally said I shouldn't continue with vaccine. The other doctor totally contradicted!!! I have never been in the hospital before or had an adverse reaction from a vaccine other than tetanus.
Age: 21.0
Sex: M
Vaccine: ANTH, FLUX, HEPAB, SMALL, TYP
Symptoms: Dermatitis bullous, Vaccination complication
Clinical narrative: Left elbow and forearm vesicular bulbous lesions spreading to left neck and head, spreading across midline to right forearm. No oropharyngeal lesions. No fever, chill. Good smallpox vaccine take. The pt is a 21 year old male , who received a smallpox vaccination, as well as PPD skin test, hepatitis A and B vaccines, influenza vaccine, anthrax vaccine and yellow fever vaccine on, or about Jan. 29th of this year. Two or three days ago, the pt developed left elbow and forearm vesicular/ bullous lesions. These subsequently appear on the left neck and head, and spread across the midline to involve the right forearm. The brachial areas were not reported. The pt has had no fever, chills, diarrhea, or vomiting. Infectious disease is consulted for eczema vaccinatum.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Vaccination complication
Clinical narrative: Seven satellite papules on lower extremities, began 2/14/03. Itching.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Headache, Rash papular, Rash pustular
Clinical narrative: Pt ? with ? self annoculation to R arcola X 4 days. Also has papular lesions on chest/back. Had a H/A but only post anthrax shot. Pt denies any other ? concerns. Also has another small pustular lesion just above vaccination site.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash papular
Clinical narrative: Pt noted small papular lesions that had ? on his neck on 2/7-2/8/03. Went and was evaluated. Tx with topical hypocortisone additional ? Rash spread to hands/face involving ears/lips on 2/11-2/12. Was given Allegra cont. f/u (-) HLA no other consitutional sx. Sore to site. Was sent for eval. Tx otitis exterma.
Age: 56.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site oedema, Lymphangitis, Post vaccination autoinoculation, Pruritus, Skin striae
Clinical narrative: Day 6: itching and eruption and lateral streaking accompanied by edema originating at midline left axilla to seapula, describes the secondary site. Looked identical to primary vaccination site on left arm. Autoinoculation vs. local lymphangitic spread.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Autism, Speech disorder
Clinical narrative: Information has been received from a physician concerning a 24 month old female child, who was a full-tern, third child and was well at the time of vaccination, with a history of language delay prior to receiving the MMR II vaccine. In June 2002, the pt was vaccinated with a dose of MMR II. The physician reported that the child did not appear autistic at the time of vaccination but within weeks of receiving the vaccine the child began to avert her eyes and her language regressed. The child was seen by a pediatric neurologist who diagnosed her with autism in July 2002. Subsequently, the child started a "heavy duty" interventional program. As of 2/4/03 it was reported that the child was doing better with making eye contact and that her language was a little better. The physician stated that overall there was some improvement. Upon internal review, autism was considered to be an other important medical event (OMIC). The physician also reported another pt experienced trouble with word retrieval, being slower in language and slower in movement (WAES0301USA03157). Additional info has been requested.
Age: 0.8
Sex: M
Vaccine: HEP
Symptoms: Diabetes mellitus, Lethargy, Pollakiuria, Thirst
Clinical narrative: A physician reported the occurrence of diabetes mellitus in an infant of unspecified age and gender who was vaccinated with hep B vaccine (manuf unk) for prophylaxis. The subject's medical history, concurrent conditions, and concurrent medications were not reported. On an unspecified date, the subject received an injection of hep B vaccine (manuf unk). One week post-immunization, the physician made a diagnosis of diabetes mellitus. As of 2/4/03, the event persisted. The physician considered the diabetes mellitus to be unrelated to hep B vaccine administration. The diabetes mellitus in this report is considered medically serious (OMIC). F/U states that approx. 1 week, post vax, the pt began to experience lethargy, increased thirst and increased urination. He was admitted to the hospital on 11/20/02 for an unspecified period of time. On 2/25/03, the diabetes mellitus persisted. The vaccine provider considered the DM to be life-threatening, to involve severe or permanent disability and to be unrelated to Engerix-B administration. The Engerix-B immunization series was discontinued.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC
Symptoms: Convulsion
Clinical narrative: Vaccines adminsitered on 1/31/03 in clinic, pt had a seizure less than 24 hours post administration.
Age: 45.0
Sex: U
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, erythematous raised area 3-3.5" diameter on L upper arm at site of injection at site of 2nd anthrax shot. Redness and swelling occurred 2 days post vaccine; increased and ? on day 3 and 4.