chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: Information has been received from a manufacturer and has been assigned manufacturer control #A0409477A. This was originally reported by a physician concerning a 4 year old female patient, with no known drug allergies, who on 21-May-2003 was vaccinated with a dose of MMR vaccine live (second generation) into the left thigh. Concomitant therapy on 21-May-2003 included a fifth dose of diphtheria/toxoid/pertussis vaccine/teta (Infanrix) (lot #DTPA589A2) into the left thigh. It was unknown if the patient was ill at the time of vaccination. The patient's medical history, concurrent conditions and concurrent medication were not reported. On 22-May-2003, one day post immunization, the patient developed an injection site reaction, characterized by swelling, itching, warmth, redness, and soreness. The affected area was "baseball size". The patient was seen by the physician, no medical treatment was provided. The events were worse on 23-May-2003. The reporting physician considered the events were probably related to the vaccination with INFANRIX. It was noted that the reporter was "unsure of cause of reaction". Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, DTAP, MMR
Symptoms: Erythema, Feeling hot, Injection site mass, Injection site oedema, Injection site reaction
Clinical narrative: Information has been received from a manufacturer and has been assigned manufacturer control #A0409477A. This was originally reported by a physician concerning a 4 year old female patient, with no known drug allergies, who on 21-May-2003 was vaccinated with a dose of MMR vaccine live (second generation) into the left thigh. Concomitant therapy on 21-May-2003 included a fifth dose of diphtheria/toxoid/pertussis vaccine/teta (Infanrix) (lot #DTPA589A2) into the left thigh. It was unknown if the patient was ill at the time of vaccination. The patient's medical history, concurrent conditions and concurrent medication were not reported. On 22-May-2003, one day post immunization, the patient developed an injection site reaction, characterized by swelling, itching, warmth, redness, and soreness. The affected area was "baseball size". The patient was seen by the physician, no medical treatment was provided. The events were worse on 23-May-2003. The reporting physician considered the events were probably related to the vaccination with INFANRIX. It was noted that the reporter was "unsure of cause of reaction". Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, DTAP, MMR
Symptoms: Myalgia, Pruritus
Clinical narrative: Information has been received from a manufacturer and has been assigned manufacturer control #A0409477A. This was originally reported by a physician concerning a 4 year old female patient, with no known drug allergies, who on 21-May-2003 was vaccinated with a dose of MMR vaccine live (second generation) into the left thigh. Concomitant therapy on 21-May-2003 included a fifth dose of diphtheria/toxoid/pertussis vaccine/teta (Infanrix) (lot #DTPA589A2) into the left thigh. It was unknown if the patient was ill at the time of vaccination. The patient's medical history, concurrent conditions and concurrent medication were not reported. On 22-May-2003, one day post immunization, the patient developed an injection site reaction, characterized by swelling, itching, warmth, redness, and soreness. The affected area was "baseball size". The patient was seen by the physician, no medical treatment was provided. The events were worse on 23-May-2003. The reporting physician considered the events were probably related to the vaccination with INFANRIX. It was noted that the reporter was "unsure of cause of reaction". Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea, Enzyme abnormality, Fatigue
Clinical narrative: Information has been received from a registered nurse concerning a female patient in her middle to late forties who, on an unspecified date, was vaccinated with a first dose of hepatitis B virus vaccine. Subsequently, on an unspecified date, the patient experienced some itching around the injection site which she described as very mild. On approximately 5/27/04, the patient then received her second dose of hepatitis B virus vaccine and shortly after the injection, she experienced itching again and her lips felt numb. The nurse administered diphenhydramine hydrochloride and the patient went home to nap. When the patient woke about six hours later, she felt chest tightness and shortness of breath. She went to the emergency room where she received more diphenhydramine hydrochloride IV and a corticosteroid (not further specified). THe patient did not immediately improve and began to feel worse. The emergency room physician told the patient that he thought she was having an anaphylactic reaction and administered epinephrine. The patient's condition then improved. She was admitted to the hospital for additional observation. Various other tests (not further specified) were performed to rule out other possible conditions. The patient still has periodic fatigue, right calf pain, and shortness of breath. The patient had a cardiac work up in the hospital and her cardiac enzymes were elevated. It was noted that the adverse events abated. A product quality complaint was not involved. Additional information has been requested.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Injection site hypersensitivity, Laboratory test abnormal, Pain, Pruritus
Clinical narrative: Information has been received from a registered nurse concerning a female patient in her middle to late forties who, on an unspecified date, was vaccinated with a first dose of hepatitis B virus vaccine. Subsequently, on an unspecified date, the patient experienced some itching around the injection site which she described as very mild. On approximately 5/27/04, the patient then received her second dose of hepatitis B virus vaccine and shortly after the injection, she experienced itching again and her lips felt numb. The nurse administered diphenhydramine hydrochloride and the patient went home to nap. When the patient woke about six hours later, she felt chest tightness and shortness of breath. She went to the emergency room where she received more diphenhydramine hydrochloride IV and a corticosteroid (not further specified). THe patient did not immediately improve and began to feel worse. The emergency room physician told the patient that he thought she was having an anaphylactic reaction and administered epinephrine. The patient's condition then improved. She was admitted to the hospital for additional observation. Various other tests (not further specified) were performed to rule out other possible conditions. The patient still has periodic fatigue, right calf pain, and shortness of breath. The patient had a cardiac work up in the hospital and her cardiac enzymes were elevated. It was noted that the adverse events abated. A product quality complaint was not involved. Additional information has been requested.
Age: 36.0
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pneumonia, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 36 year old previous healthy patient with sickle cell disease who in  May 2004, was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N). Subsequently in May 2004, the patient developed a local reaction of redness, swelling and pain. A few days following vaccination, the patient returned to the office with a high grade fever of 103 degrees and was then hospitalized. It was noted that the patient developed pneumonia with a left lobe infiltrate of the lung. A sputum culture was not performed. The patient responded well to antibiotics and was discharged. A product quality complaint was not involved. The reporter also mentioned a second patient with sickle cell disease who had a similar experience post vaccination with pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N).  The reporter was concerned with the lot. The records of testing prior to release of this lot have been checked by Quality Assurance and found to satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional information is not expected.
Age: 62.0
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Laboratory test abnormal, Pneumonia
Clinical narrative: Information has been received from a physician concerning a 62 year old previously healthy patient with sickle cell disease who on approximately 6/7/04, was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N). Subsequently, the patient developed a local reaction of redness, swelling and pain. A few days following vaccination, the patient returned to the office with a high grade fever of 102.4 degrees and was then hospitalized. It was noted that the patient developed pneumonia with bilateral infiltration of the lungs. At the time of the report, the patient was on antibiotics. A product quality complaint was not involved. The reporter also mentioned a second patient with sickle cell disease who had a similar experience post vaccination with pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N). The reporter was concerned with the lot. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional information is not expected. Additional information has been requested.
Age: 62.0
Sex: U
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a physician concerning a 62 year old previously healthy patient with sickle cell disease who on approximately 6/7/04, was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N). Subsequently, the patient developed a local reaction of redness, swelling and pain. A few days following vaccination, the patient returned to the office with a high grade fever of 102.4 degrees and was then hospitalized. It was noted that the patient developed pneumonia with bilateral infiltration of the lungs. At the time of the report, the patient was on antibiotics. A product quality complaint was not involved. The reporter also mentioned a second patient with sickle cell disease who had a similar experience post vaccination with pneumococcal 23v polysaccharide vaccine (lot # 646322/0530N). The reporter was concerned with the lot. The records of testing prior to release of this lot have been checked by Quality Assurance and found to be satisfactory. The lot complies with the standards of the Center for Biologics Evaluation and Research and was released. Additional information is not expected. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, CSF test abnormal, Diplopia, Fatigue, Headache
Clinical narrative: 2/5/04 Seen with bilateral leg pain. 3/3/04 Seen with bilateral calves and knee pain. 3/22/04 Seen with fatigue, muscle weakness legs, paresthesias legs, difficulty running and climbing of stairs. 4/1/04 Diagnoses: Chronic Guillain Barre, Chronic inflammatory, Demyelinating Polyradiculoneuropathy.  Nurse follow up on 07/21/04 states: "CIDP, lethargy, headache, Pruritis, Diplopia."
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Lethargy, Muscular weakness, Neuropathy, Pain
Clinical narrative: 2/5/04 Seen with bilateral leg pain. 3/3/04 Seen with bilateral calves and knee pain. 3/22/04 Seen with fatigue, muscle weakness legs, paresthesias legs, difficulty running and climbing of stairs. 4/1/04 Diagnoses: Chronic Guillain Barre, Chronic inflammatory, Demyelinating Polyradiculoneuropathy.  Nurse follow up on 07/21/04 states: "CIDP, lethargy, headache, Pruritis, Diplopia."
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Pruritus
Clinical narrative: 2/5/04 Seen with bilateral leg pain. 3/3/04 Seen with bilateral calves and knee pain. 3/22/04 Seen with fatigue, muscle weakness legs, paresthesias legs, difficulty running and climbing of stairs. 4/1/04 Diagnoses: Chronic Guillain Barre, Chronic inflammatory, Demyelinating Polyradiculoneuropathy.  Nurse follow up on 07/21/04 states: "CIDP, lethargy, headache, Pruritis, Diplopia."
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Pt given Tylenol in office at time of shot. Slept during the day, fussy in evening. Crying non-consoling 10-10:30am. Temperature 101 degrees. Gave Ibuprofen + 1.5 hours later temp 103 degrees.
Age: 1.3
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: warm, red, raised, hard lump approximately diameter of a tennis ball on the right thigh at site of DTAP/HIB. No apparent discomfort at site, no fever noted.
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Acyclovir 200/5- 1.5tsp po qid x 5 d. Less than 50 pox.
Age: 1.17
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: 5/7/04: Received phone call from doctor's nurse. States patient who was vaccinated with Varivax 01/08/2002 and now has approximately 10 chicken pox. States vaccine was stored appropriately.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Injection site erythema, Urticaria
Clinical narrative: Within 10 minutes of receiving immunizations, pt develop4ed urticaria on face and head. Pt was given Benadryl 50mg/ml 0.05ml IM. Urticaria resolved within 15 minutes. Was also given Benadryl Elixir 0.05ml orally QID. Mom contacted on 06/09/04. Baby is doing fine. Developed redness at site of Prevnar injection on 6/8/04.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Arthritis, Chest pain, Dyspnoea, Erythema
Clinical narrative: Arthralgia, SOB, palpitations, chest pain, migrating arthritis, erythema and swelling distal to site.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Palpitations, Swelling
Clinical narrative: Arthralgia, SOB, palpitations, chest pain, migrating arthritis, erythema and swelling distal to site.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site reaction, Urticaria
Clinical narrative: Pt had immunization on the 6/01/04, on the two days later mother of pt noticed a large welt on area around where the immunization was given. Large red warm size welt was 3" long by 2.25 " wide.
Age: 29.0
Sex: F
Vaccine: HEP, HEPA, IPV, TD, TYP
Symptoms: Chills, Dyspnoea, Hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Woke up with chills at 3:15am with labor breathing. Did not go to ER. Raised area at local site with itching (think Hep A and TD site).
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Localized swelling and redness left thigh.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Td booster given 06/07/2004. Next day pt reported swelling, redness to site. Called 6/9. Local tenderness. Mild swelling. No redness.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Acne, Erythema, Injection site induration, Tenderness
Clinical narrative: 5/19/04: PC from 155 Nurse to report. Phone call to mom. Parent reports developed local tenderness redness 1-2 days after injection right leg site continued tender and firmness "lump". Mom showed to her doctor approximately 1 week after injection. Doctor not concerned. Eventually site "came to a head like a pimple". Mom "pinched it" and "green pus came out.". It drained 2 weeks approximately on and off small amounts. Mom applied antibiotic ointment. No drainage now x 1 week.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Insomnia
Clinical narrative: I couldn't sleep the first night, after I got 2 to 3 hours sleep a night , 6 days after doctor gave Ambien. Still can't sleep.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Agitation, Pyrexia, Screaming
Clinical narrative: Screaming-inconsolable >3hours. Beginning at 9pm 06/15/2004. Fever 101-102 Ax given Tylenol q4hours.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Prolonged (>3hours) inconsolable crying
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Warmth, erythema left upper arm that started the day after the immunization was administered in that same arm. The areas are tender to palpation. Treated with Keflex, Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Received immunizations on Thursday, 6/3/04at 5pm. Early morning on 6/6/04 at 12:30 PM noticed redness and swelling (hives) covering left thigh. Worsening for 1-2 hours, given Benadryl at 2:30 am, continued to have reaction with continued treatment with Benadryl until 6/9/04. Still red: no more hives.
Age: 2.0
Sex: M
Vaccine: HIBV
Symptoms: Swelling, Swelling face
Clinical narrative: Right face and jaw swelling
Age: 1.7
Sex: F
Vaccine: DTAP
Symptoms: Oedema
Clinical narrative: DTaP given 6/8/04; mother noted 6/10/04 when patient awoke: left thigh/ upper calf edema: otherwise normal. On exam, left thigh circumference 2.5cm >right, left calf circumference 1cm > R; on 6/17/04 resolving edema: Left thigh 1.25cm > R, Left calf 0.5cm >R
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Fever, sight of injection slightly red and hard. Symptomatic Treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Haematuria, Injection site induration
Clinical narrative: Mild redness in Left thigh with hematuria of 2cm in diameter. No painful, mild indurated.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site reaction, Rash pruritic
Clinical narrative: 7X7.5cm indurated erythematous area right upper arm. Afebrile, pruritic, non-tender.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Right thigh red, hot area, size of half dollar, cool compress.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swelling, red, hot to touch Right thigh
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site reaction, Injection site swelling, Skin discolouration
Clinical narrative: Had local Rxn of 9 1/2cm x 9 1/2cm swelled, reddened area with 5 blister spots. Area of injection was white looking
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: DTaP #5 given Left DT red, swollen, hot to touch. Started Sat. Tylenol and ice to area by pt's mother.
Age: 4.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Temp 99-1st day after immunizations Temp 103- days 2-3 after immunization emesis-evening of day 3 Came back to office day 3-temp 100 after Motrin given Still evaluating
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever 106 degrees F, fever x3d. Febrile seizure. Rochephin 500mg IMx3
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: 24 hours after administration became with 25 cent sized swelling, tender, red injection site. Still present at 5 day Follow up.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Feeling hot, Injection site induration, Swelling
Clinical narrative: 4x5cm ind. arm was hot and swollen with some blisters around ind. Advised parent to ice area. Rx given by provider.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HBHEPB
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: Afebrile seizure occurring about 4 hours after vaccination
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HBHEPB
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 1.83
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Red, hot, swollen area encompassing arm at site of DTaP (Daptacel).
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Blister, Injection site erythema, Injection site induration
Clinical narrative: Developed redness and induration at vaccine site which increased to whole forearm. Then developed blisters over deltoid region. No temp.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Swollen, Hot, red area at site of Daptacel (DAPT)
Sex: U
Vaccine: DTAP
Symptoms: Erythema, Flushing, Pruritus
Clinical narrative: At 3PM mother describes a red flush over chest from collar bone to umbilical with itch. No resp. problem, rear red, flushed, left upper arm flushed red where recd. injection
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia, Swelling
Clinical narrative: Pt developed red, swollen, warm area just below left deltoid muscle. This started the evening of 6/9/04. Pt is instructed to use cold packs on his arm, take Ibuprofen for fever and also Benadryl as needed.  No c/o SOB.
Age: 63.0
Sex: F
Vaccine: DT
Symptoms: Dizziness, Headache, Hypoaesthesia, Pain, Pain in jaw
Clinical narrative: Pt stepped on needle while at home. Left puncture wound to toe. Received DT at office. Numbness right arm, soreness in neck (back), shooting pains through right shoulder, headache, facial numbness, right jaw pain, lightheaded. Symptoms began one day after injection.
Age: 63.0
Sex: F
Vaccine: DT
Symptoms: Tenderness
Clinical narrative: Pt stepped on needle while at home. Left puncture wound to toe. Received DT at office. Numbness right arm, soreness in neck (back), shooting pains through right shoulder, headache, facial numbness, right jaw pain, lightheaded. Symptoms began one day after injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Swelling
Clinical narrative: 6x8 cm area of erythema, warmth and swelling + induration.
Age: 6.0
Sex: F
Vaccine: DTAP, HBPV, MMR, VARCEL
Symptoms: Blister
Clinical narrative: + Vesicles, scattered on various body area. No fever.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 1/2 dollar size redness and swelling near vaccine injection site on right thigh.
Age: 57.0
Sex: F
Vaccine: HEP, IPV, TYP
Symptoms: Asthenia, Blood pressure decreased, Dizziness, Feeling cold
Clinical narrative: Within 5 minutes of administration of third vaccine. Pt complained of dizziness: positioned patient in lying position. Became cool/clammy. BP(s) 54: never lost consciousness. Just very week. Doctor assessed order 1 liter hydration. Within 30 minutes pts BP returned to normal and symptoms disappeared.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site induration, Oedema
Clinical narrative: Right upper arm with edema around 4-5 cm redness and hard to touch.
Age: 1.0
Sex: M
Vaccine: HBHEPB, IPV
Symptoms: Rash papular, Rash vesicular
Clinical narrative: 3-4 mm red papules: some with central vesicle. Less than 50 over body including scalp.
Age: 3.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Somnolence, Vomiting
Clinical narrative: Vomiting 15-20x , increased sleeping.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Hypoaesthesia, Pain, Swelling
Clinical narrative: Woke up 6/10/04 complained of left arm pain, swelling and numbness, numbness radiated into left side of chest. Arm felt like pins and needles.
Age: 10.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large local reaction, shoulder possible cellulitis. 9x8 cm red, hot raised area at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Pruritus, Swelling
Clinical narrative: On 6/17/2004 about 6:00 pm he complained of itching and mom noticed his right arm felt hot to the touch and was swollen. Mom is here today 6/18/04 at 11:30am.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Skin discolouration, Tenderness
Clinical narrative: 5/25/04: MMR injection 2400 noticed redness and swelling. 5/26/04: 2-3 inches in diameter, red/warm/ injection dark red/purple, very sore. 5/27/04: Continued same. Doctor looked at area. Employee health notified. 5/28: less swelling. Public health notified.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, UNK
Symptoms: Unevaluable event
Clinical narrative: See doctor's report attached.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, UNK
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: See doctor's report attached.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, UNK
Symptoms: Unevaluable event
Clinical narrative: Erythema, swelling at 2 out of 3 injection sites. Site on left thigh 2cm induration. Site on left thigh 1cm induration.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, UNK
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Erythema, swelling at 2 out of 3 injection sites. Site on left thigh 2cm induration. Site on left thigh 1cm induration.
Age: 3.0
Sex: M
Vaccine: DT
Symptoms: Diarrhoea, Lethargy, Pyrexia, Vomiting
Clinical narrative: Patient developed fever and emesis on 5/23. Diarrhea started 5/24 and lasted 4 days total, 2 days and vomiting. "Extreme lethargy" for 7 days per parents. They did not bring him to our office for evaluation as requested by us on 5/27.
Age: 3.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Two days following injection site the right thigh began to look more red and a lump was felt at the injection site. By the following morning, the thigh looked much worse, larger area of redness, warm to touch.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Pyrexia
Clinical narrative: Doctor reported 5-6 cm erythema, slightly raised, non tender. Temperature 97.0. Tx: cool compresses, OTC hydrocortisone cream and/ or Benadryl cream to area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Pt came into our office with rash on face, neck, both upper arms. Swelling left deltoid area where he was given DTaP and IPV. Afebrile- Temp 97 degrees today. Complained of itching. Call 5/26/04: Per 5/25/04 rash spread down on area. More swelling, afebrile. Spreading down back/ legs/ bottom. Worse on top of thighs. Office visit today, will follow up.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Skin burning sensation
Clinical narrative: Library staff being skin tested as contacts to homeless PPD placed on 03/29/2004, patient related within an hours the lower arm became stiff and burning and the tips of the three middle fingers became numb on the arm of the injection site. Called private physician and told it was probably a local reaction. On 3/31 when being read everything had resolved but
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Red, raised rash that was coming and going according to the grandmother. They looked like welts on her legs. Grandmother spoke with the on call nurse at 6:19pm and was instructed on use of Benadryl. Child was see the following evening of an immediate care center that record documents 2 weeks on face, trunk and  no skin change at injection site. Instructed again to use Benadryl. Child seen in PCP office on 4/9/04 without any visible rash. Child without fever, GI or respiratory symptoms.
Age: 1.17
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Urticaria, Vomiting
Clinical narrative: April 17-18, 2004 Temp of 100.4-vomited several times.  4/20/04 Noted red spots- welt-like spot- on trunk of body-no drainage from welts-no temp, no N/V. Does not itch- several welt on upper part of legs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Eyelid oedema, Hypoventilation
Clinical narrative: Client returned to clinic ~ 30min after vaccinations with red, swollen eyelids; shallow breathing. 911 called, ambulance arrived. (No body rash noted) father states IV Benadryl, steroids in ER; Breathing treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Oedema, Pain
Clinical narrative: Redness and increased edema to deltoid of right arm. 9 cm X 9 cm area. Warm to touch. Recommend cool wash cloth or cool pack to area- elevate arm at rest and take po ibuprofen every 4-6 hrs for pain and inflammation.
Age: 1.42
Sex: M
Vaccine: DTAP
Symptoms: Oedema, Pyrexia, Vomiting
Clinical narrative: Increased temp 102, vomiting refused to walk right leg, swollen. Child started symptoms with (thigh) 6:00 on 1/21/04. 1000 11/22/04 with clinic.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Oedema
Clinical narrative: Large area 7 inch X 4 inch area of swelling, redness, warmth, redness around injection site. Treated with ice. Began approximately 12 hours after injection lasted 4 days.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Feeling hot, Irritability, Malaise, Pyrexia, Tremor
Clinical narrative: Mother reported at approximately 3:30pm 02/12/04 that child vomited during night.  Denied fever or rash.  Said baby felt hot but was given Tylenol regularly.  Stated she was better after having been sick.  Reports baby sitter called--reported infant vomited a lot of mucusy vomit.  Denied fever or rash.  Called am 2/13 and stated baby developed fever and trembling.  No seizure.  Taken to Dr. --'s office and temp was 103.8 and NP treated with pherergan 5mg suppository.  Temp down to 102.3 at Dr's office.  Later that morning child fussy but keeping liquids down and no diarrhea.  Call to Dr's office -- NP also felt that illness not associated to vaccines except fever.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Mother reported at approximately 3:30pm 02/12/04 that child vomited during night.  Denied fever or rash.  Said baby felt hot but was given Tylenol regularly.  Stated she was better after having been sick.  Reports baby sitter called--reported infant vomited a lot of mucusy vomit.  Denied fever or rash.  Called am 2/13 and stated baby developed fever and trembling.  No seizure.  Taken to Dr. --'s office and temp was 103.8 and NP treated with pherergan 5mg suppository.  Temp down to 102.3 at Dr's office.  Later that morning child fussy but keeping liquids down and no diarrhea.  Call to Dr's office -- NP also felt that illness not associated to vaccines except fever.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Bacterial infection, Irritability, Pyrexia, Restlessness, Vomiting
Clinical narrative: 7 pm 102.5 temp-103-104 temp during NOC Despite Ibuprofen- Vomited this AM Fussy-cranky-restless.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Erythema, Rash, Urticaria
Clinical narrative: Reports increased temperature 99 Sat-Sun. 1/24-1/25/04 Wed AM 1/28/04 developed rash- hive like. Has been given Benadryl. 1/30/04 rash continues and appears hive like in nature wheals- erythema etc. Continue with rash.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Extremity swelling with erythema just adjacent vaccination site.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Myalgia, Oedema, Pain, Paraesthesia
Clinical narrative: Sunday 3:00 pm- initial soreness right arm. Monday increased redness, swelling right arm. Tuesday- increased swelling, redness, tingling right arm. 5:00 pm- Weakness, dizzy, increased numbness. Stayed in bed due to pain. Wednesday- AM ER for treatment. Friday- Symptoms gone. Feeling much better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Pruritus, Tenderness
Clinical narrative: Redness and swelling of arm extending from shoulder down through elbow- child complains of tenderness and itching.
Age: 1.5
Sex: F
Vaccine: HIBV, MMR
Symptoms: Decreased appetite, Diarrhoea, Irritability, Pyrexia, Rash
Clinical narrative: 6/3/04 day after injection decreased appetite. 6/5/04 low grade fever- loose stools. 6/9/04 Temp to 104- loose stools. 6/10/04 temp to 104- fretful. 6/11/04 temp to 104- face rash- seen in office- viral illness/ past MMR reaction 6/12- temp fell, rash. Went to ER. Past febrile seizure. 6/15/04 still rash on trunk- temp 100.
Age: 1.5
Sex: F
Vaccine: HIBV, MMR
Symptoms: Similar reaction on previous exposure to drug, Viral infection
Clinical narrative: 6/3/04 day after injection decreased appetite. 6/5/04 low grade fever- loose stools. 6/9/04 Temp to 104- loose stools. 6/10/04 temp to 104- fretful. 6/11/04 temp to 104- face rash- seen in office- viral illness/ past MMR reaction 6/12- temp fell, rash. Went to ER. Past febrile seizure. 6/15/04 still rash on trunk- temp 100.
Sex: U
Vaccine: MMR
Symptoms: Injection site rash
Clinical narrative: Information has been received from a doctor of pharmacy concerning a patient (age and gender not reported) who was vaccinated on an unknown date with a dose of measles virus vaccine live + mumps virus vaccine live+ rubella virus vaccine live (second generation). The patient's mother reported to the doctor of pharmacy that the patient has had an injection site rash since the time of vaccination. It was noted that the patient received the vaccination at the "recommended age" and at the time of this report the patient was 3 to 4 years old. It was noted that the mother has applied creams (name not provided) that clear the rash but then the rash returns. The mother asked the doctor of pharmacy if the rash was form mercury in vaccines. Unspecified medical attention was sought. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Information has been received from a doctor of pharmacy concerning a male (age not reported) who was vaccinated in the right arm, on an unknown date, with a dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) (lot 630621/0131J). Subsequently,the patient developed a long term transient rash on his right arm. It was unknown if the pt sought medical attention.  Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Rash morbilliform, Rash papular
Clinical narrative: Information has been received from a physician concerning a 12 month old female patient who on approximately 20MAR2003 was vaccinated with a dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). About one week later, on approximately 27MAR2003, the patient developed a rash characterized by hundreds of red, discrete papules which are "measles like." It was reported that the patient did not require any hospitalization or treatment and was "improved.' Unspecified medical attention was sought. Additional information has been requested.
Age: 7.0
Sex: U
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Information has been received from a nurse concerning a 7 year old pt who "may have" received a dose of MMRII. On approximately 04/03/03 the pt tested positive for measles. Unspecified medical attention was sought.  Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Information has been received from a nurse and a physician concerning a 16 month old (previously reported as 15 month old) female patient, with no past medical history or allergies, who on 19MAR2003 was vaccinated SC into the right triceps at approximately 10:00 with a first dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) (lot 644420/1010M). Concomitant therapy on 19MAR2003 included a dose of varicella virus vaccine live. It was reported that the patient was not ill at the time of vaccination. On 29MAR2003, about two weeks after the vaccination, the pt developed a rash all over her body. The physician reported that the patient was seen in the office on 04APR2003 with a 5-6 day history of spreading, non-pruritic red papules, initially on arms and legs and then on trunk. The physician also reported that there was no vesicles, fever or signs of illness. The pt recovered by 11APR2003. Additional information is not expected.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a registered nurse concerning a female patient who on 19MAR2001 was vaccinated with a dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). ON 19DEC2002 the patient received a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). It was reported that a titer was drawn after each dose and the pt failed to seroconvert each time. Unspecified medical attention was sought. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse concerning a currently 16 year old female patient who was vaccinated "years ago" with measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) (lot not reported). Subsequently the patient experienced a "reaction to the Rubella portion of the MMR." It is unknown if medical attention was sought. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received form a certified medical assistant concerning a female patient who was vaccinated as a child and then in 1995 received a booster of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) . Subsequently, her rubella titer was negative. It is unknown if medical attention was sought. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Dyspnoea, Hypersensitivity, Rash, Swelling
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male patient (who is a twin), with a history of intermittent persistent bronchial asthma, who on 4/10/03 was vaccinated with a dose of MMR (lot # 643715/0838M) at the pediatrician's office. Concomitant therapy at the time of vaccination included montelukast sodium. It was reported that the patient was well at the time of vaccination and that no prior skin testing was done. Subsequently, immediately after receiving the vaccine the patient had a hypersensitivity reaction which included a rash, swelling and trouble breathing. The patient was seen in the ER but not admitted to the hospital. The patient was treated in the ER with epinephrine, steroids and diphenhydramine. It was reported that the patient was diagnosed with a systemic allergic reaction and was subsequently started on budesonide inhaler. The reporter stated that the child recovered from the systemic allergic reaction. It was reported that the office was going to have blood testing done on the gelatin component of MMR. Upon internal review, the systemic allergic reaction was determined to be an important medical event (OMIC). Additional information is not expected.  This is in follow-up to report(s) previously submitted on 5/28/2004 Information has been received from a registered nurse concerning a 4 year old male patient (who is a twin), with a history of intermittent persistent bronchial asthma, who on 10-APRIL-2003 was vaccinated with a dose of MMR II (lot # 643715/0838M) at the pediatrician's office.  Concomitant therapy at the time of vaccination included MSD.  It was reported that the patient was well at the time of vaccination and that no prior skin testing was done.  Subsequently, immediately after receiving the vaccine the patient had a hypersensitivity reaction which included a rash, swelling and trouble breathing.  The patient was seen in the ER but not admitted to the hospital.  The patient was treated in the ER with epiephrine, steroids and BENADRYL.  It was reported that the patient was diagnosed with a systemic allergic reaction and was subseqently started on FULMICORT inhaler.  The reporter stated that the child recovered from the systemic allergic reaction.  It was reported that the office was going to have blood testing done on the gelatin component of MMR II (second generation).  Upon internal review, the systemic allergic reaction was determined to be an important medical event.  Additional information is not expected.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pain, Rash, Swelling
Clinical narrative: Information has been received from an employee health registered nurse concerning a 56 year old female patient with no illness at the time of vaccination who on 07APR2003 was vaccinated subcutaneously in the left arm with a first dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). On 21Apr2003 the patient developed a rash (trunk and face), swelling (wrists and knees) and pain. Follow up information noted that on 21APR2003 the patient developed a "rash , 4 days" and "painful joints 10 days." The patient required a doctor visit and the treatment was ibuprofen (Motrin). Follow up information reported that the patient had recovered. No further information is available.
Sex: F
Vaccine: MMR
Symptoms: Arthritis, Pain
Clinical narrative: Information has been received from a pharmacist concerning a female child who was vaccinated on an unspecified date with a dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). Subsequently, the child developed arthritis pain. Unspecified medical attention was sought. The patient outcome is unknown. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a registered nurse concerning a 4 year old male with no prior medical history or allergies who was vaccinated subcutaneously in the right deltoid on 07AUG2000 (also reported as vaccinated at 15 months of age) with a first dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). There was no known illness at the time of vaccination. On 01MAY2003 it was reported that the patient "now" tested negative for mumps immunity. Mumps IgG antibody was negative. Unspecified medical attention was sought. Additional information is not expected.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction, Swelling, Urticaria
Clinical narrative: Information has been received from a physician via a company representative concerning a 4 year old male patient, with no medical history reported, who on 23APR2003 at 09:30 am (previously reported as 22APR2003) was vaccinated into the right lateralis with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) lot 644642/1126M, previously reported as lot 643751/0812M. Concomitant therapy on 23APR2003 at 9:30 am included a fifth dose of alum, potassium + diphtheria toxoid + pertussis vaccine + tetanus toxoid (TRIPEDIA) into the left lateralis and a fourth dose of polio virus vaccine IPOL into the left anterior lateralis. It was noted that there was no illness at the time of vaccination. Subsequently,the patient developed a "site reaction." In follow up information, it was noted that on 23APR2003 at 9:30 am, the patient developed localized swelling and redness to site and hives to face and neck. The pt was treated with diphenhydramine hydrochloride (Benadryl) 12.5mg (1.75 tsp.). The patient recovered on 23APR2003. No further information is expected. It was noted that 3 other pt's had similar experiences (WAES0305USA00(453-455).
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Laboratory test abnormal
Clinical narrative: Information has been received from a female patient, who is also a pharmacist, who was vaccinated with a dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) "several years ago." Subsequently, the titer drawn shows rubella failure Unspecified medical attention was sought.  Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a physician via a company representative concerning a 4 year old male patient, with no medical history reported, who on 25APR2003 at 09:15 am was vaccinated into the right lateralis with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) lot 642645/0527M, previously reported as lot 643751/0812M. Concomitant therapy on 25APR2003 at 9:15 am included a fifth dose of alum, potassium + diphtheria toxoid + pertussis vaccine + tetanus toxoid (TRIPEDIA) into the left lateralis and a fourth dose of polio virus vaccine IPOL into the left anterior lateralis. It was noted that the child had BOM at the time of vaccination. Subsequently,the patient developed a "reaction." In follow up information, it was noted that on 23APR2003 at 9:30 am, the patient developed localized swelling and redness to site. The pt was treated with diphenhydramine hydrochloride (Benadryl) 12.5mg (1.5 tsp.). The patient recovered on 23APR2003. No further information is expected. it was reported that the pt recovered at 9:15 am on 25APR2003. No further information is expected.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a physician via a company representative concerning a 4 year old male patient, with no medical history reported, who on 22APR2003 at 03:15 pm (previously reported as 22APR2003) was vaccinated into the right lateralis with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation). Concomitant therapy on 22APR2003 at 3:15 pm included a fifth dose of alum, potassium + diphtheria toxoid + pertussis vaccine + tetanus toxoid (TRIPEDIA) into the left lateralis and a fourth dose of polio virus vaccine IPOL into the left anterior lateralis. It was noted that there was not ill the time of vaccination. Subsequently,the patient developed a " reaction." In follow up information, it was noted that on 22APR2003 at 3:15pm, the patient developed localized swelling and redness to the site. The pt was treated with diphenhydramine hydrochloride (Benadryl) 12.5mg (1.5 tsp.). The patient recovered on 22APR2003.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a physician via a company representative concerning a 4 year old male patient, with no medical history reported, who on 22APR2003 at 09:15 am was vaccinated into the right lateralis with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live (second generation) . Concomitant therapy on 22APR2003 at 9:15 am included a fifth dose of alum, potassium + diphtheria toxoid + pertussis vaccine + tetanus toxoid (TRIPEDIA) into the left lateralis and a fourth dose of polio virus vaccine IPOL into the left anterior lateralis. It was noted that not ill at the time of vaccination. Subsequently,the patient developed a  "reaction." In follow up information, it was noted that on 22APR2003 at 9:15 am, the patient developed localized swelling and redness to site and hives to face and neck. The pt was treated with diphenhydramine hydrochloride (Benadryl) 12.5mg (1.5 tsp.). The patient recovered on 22APR2003. No further information is expected.