chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rash, Rash macular, Vasculitis
Clinical narrative: 11 days after receiving anthrax vaccine patient presented with a rash. Developed low-grade fever, chills and red rash on leg and feet. Rash became more erythematous and edema developed. Entire lower extremities had 3 + edema. There were numerous petechiae that became confluent as purpura. Condition resolved over the next few months. 4 mm punch biopsy showed leukocytic vasculitis. Follow up information received 2/3/04 Patient had scattered red macules.
Age: 26.0
Sex: M
Vaccine: ANTH, TTOX
Symptoms: Oedema, Pain, Pyrexia, Skin nodule
Clinical narrative: Patient developed fever of 102 degrees, body aches, lymph nodes swollen and hard.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Myalgia, Pain
Clinical narrative: Evening of 5/01/03 she noticed redness and swelling at site. Next day swelling from shoulder to elbow. Achy and sore inner aspect of entire arm. Took Motrin for symptoms. All symptoms resolved after 5 days.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Coma, Hyperhidrosis, Syncope
Clinical narrative: Immediately after receiving injection he felt faint. Unresponsive less than 30 seconds. After arousing he felt sweaty and weak. He was placed prone with feet elevated and cool cloth to head. Pulse 72, BP 134/90.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Influenza like illness, Lethargy, Nausea
Clinical narrative: The patient reported a headache, lethargy and nausea with flu-like symptoms. Lasted approximately 36 hours.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Itchy, red rash covering stomach, neck and arms. The rash stayed one day.
Age: 51.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Joint stiffness, Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: On morning following immunization he noticed his calf muscles were tight. The evening his ankles and feet were swollen without tenderness. His ankles felt stiff due to swelling. All symptoms resolved after four days. There was no change in activities due to any symptoms. He also noted redness and swelling at the injection site.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Abscess, Blister, Hypersensitivity, Skin nodule
Clinical narrative: Seven days following immunization, felt sensitivity under both arms, in arm pits. Next day developed bumps in armpits. Bumps became blisters, fluid thick white to tan/green. Blisters resolved over next 2 to 3 weeks.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Abscess, Blister, Hypersensitivity, Skin nodule
Clinical narrative: Seven days following immunization, felt sensitivity under both arms, in armpits. Next day developed bumps. Bumps became clear fluid filled blisters over the next 2 days. Blisters resolved over the next 10 days to 2 weeks.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Pain, Postnasal drip, Somnolence
Clinical narrative: On day following immunization he felt tired and achy. Two days after immunization he also experienced sinus drainage, slight headache and was sleepy. Treatment was rest. All symptoms have resolved.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Fatigue, Lymphadenopathy, Pain, Rhinorrhoea
Clinical narrative: On the day following immunization he felt tired and achy with swollen neck lymph nodes. Two days after immunization he also experienced sinus pressure, runny nose, cough and sneeze. Treatment was rest. All symptoms have resolved.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Sinus headache, Sneezing
Clinical narrative: On the day following immunization he felt tired and achy with swollen neck lymph nodes. Two days after immunization he also experienced sinus pressure, runny nose, cough and sneeze. Treatment was rest. All symptoms have resolved.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Rash developed within 48 hours after second vaccine dose. Rash is on forearms, thighs, and legs. He has seen an allergist and blood was drawn for lab tests. Biopsy of rash is planned.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Malaise
Clinical narrative: Her arm turned red to the elbow and she became sick to her stomach after receiving her fourth dose of Anthrax vaccine. She developed a knot at the injection site.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Headache, Hot flush, Hyperhidrosis, Malaise
Clinical narrative: 1-1/2 hours after shot patient noted pain in left arm, body aches, hot and cold flashes, fatigue, and malaise. Fatigue was so profound he had to stop driving vehicles to rest for a while. That night he experienced sweating. On the day after immunization the fatigue continued and he developed a headache. All symptoms resolved after four days.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: 1-1/2 hours after shot patient noted pain in left arm, body aches, hot and cold flashes, fatigue, and malaise. Fatigue was so profound he had to stop driving vehicles to rest for a while. That night he experienced sweating. On the day after immunization the fatigue continued and he developed a headache. All symptoms resolved after four days.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Influenza like illness, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 32-year old male received first dose of Anthrax vaccine. He experienced flu like symptoms, sore throat, fever, body aches and fatigue.
Age: 38.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Pain, Pharyngolaryngeal pain, Pyrexia, Vomiting
Clinical narrative: 38 year old man received first dose of Anthrax vaccine. Within approximately one week he experienced vomiting, sore throat, body aches, and low grade fever.
Sex: U
Vaccine: ANTH
Symptoms: Rash pruritic
Clinical narrative: Itchy rash. Patient developed a large, itchy rash two days after his first dose of Anthrax vaccine.
Sex: M
Vaccine: ANTH
Symptoms: Neoplasm
Clinical narrative: Tumor removed from tricep. A tumor developed over the tricep area, in same arm as the immunization was given. The pathology report identified the tumor as benign.
Age: 34.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Presented to ER at 1815 c/o shortness of breath and tightness in throat.  BP 154/97 P76 R20 T98.2  Pulse ox 100%.  Given benadryl 50mg IM with relief of symptoms.
Age: 0.3
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Coma, Convulsion, Decreased appetite, Hypotonia, Injection site induration
Clinical narrative: The patient developed a fever of 102 degrees. Motrin was given and the fever resolved.  Then, a few hours later another fever developed.  Motrin was administered again. 15 minutes later the patient had a seizure that lasted less than one minute.  Then the patient was limp and unresponsive. Patient was then "moppy" for four days and experienced decreased appetite.   On 5/28/04, the patient was seen in the office with dime-sized, hard, non-tender, fibrous mass on his left deltoid, which is the site of the immunization.
Age: 0.3
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Pyrexia
Clinical narrative: The patient developed a fever of 102 degrees. Motrin was given and the fever resolved.  Then, a few hours later another fever developed.  Motrin was administered again. 15 minutes later the patient had a seizure that lasted less than one minute.  Then the patient was limp and unresponsive. Patient was then "moppy" for four days and experienced decreased appetite.   On 5/28/04, the patient was seen in the office with dime-sized, hard, non-tender, fibrous mass on his left deltoid, which is the site of the immunization.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Tenderness
Clinical narrative: Patient came in on 6/3/04 to be seen.  The patients mother states that the child recieved her 5 yr old immunizations on 6/2/04.  According to mother, there were 3 injections given in patient's left thigh.  Patient was seen by physician and was found to have localized swelling, redness measuring 10x5cm, and tenderness to palpation.  She also had an oral fever of 101 F.  The treating doctor prescribed Augmentin, Benedryl, and cool compress application.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUX, SMALL, ANTH
Symptoms: Pain
Clinical narrative: Anthrax Vaccine #1 10/27/03 States that initially he had no problems for the first week after receiving the vaccine.  States that after the first week he started having a severe burning sensation on the left elbow.  In a couple of days after the burning sensation appeared on the left elbow, he started having a burning sensation on his right elbow.   States that this sensation was aggravated with movement.  He was placed on Motrin, which helped a little.  Rated the pain as a 7-8 on a pain scale of 0-10 initially.  Rates the pain now as a 2 on a pain scale of 0-10.  States that the pain is concentrated on the tip of both elbows and is constant, only the intensity changes.    Anthrax Vaccine #2 11/14/03 States that the pain persisted. Continues to be aggravated with movement.   Anthrax Vaccine #3 12/12/033/045/12/04 As above. Continues to have bilateral elbow pain and went on sick call to have both elbows checked.  Braces for tennis elbows were prescribed and the physician called for advice.  The patient was referred.
Age: 36.0
Sex: M
Vaccine: ANTH, FLUX, SMALL, ANTH
Symptoms: Joint range of motion decreased, Skin burning sensation
Clinical narrative: Anthrax Vaccine #1 10/27/03 States that initially he had no problems for the first week after receiving the vaccine.  States that after the first week he started having a severe burning sensation on the left elbow.  In a couple of days after the burning sensation appeared on the left elbow, he started having a burning sensation on his right elbow.   States that this sensation was aggravated with movement.  He was placed on Motrin, which helped a little.  Rated the pain as a 7-8 on a pain scale of 0-10 initially.  Rates the pain now as a 2 on a pain scale of 0-10.  States that the pain is concentrated on the tip of both elbows and is constant, only the intensity changes.    Anthrax Vaccine #2 11/14/03 States that the pain persisted. Continues to be aggravated with movement.   Anthrax Vaccine #3 12/12/033/045/12/04 As above. Continues to have bilateral elbow pain and went on sick call to have both elbows checked.  Braces for tennis elbows were prescribed and the physician called for advice.  The patient was referred.
Age: 0.3
Sex: F
Vaccine: DTP, IPV, PNC
Symptoms: Erythema multiforme, Irritability, Serum sickness
Clinical narrative: Serum sickness reaction versus erythema multiforme  Nurse follow up on 06/21/04 states: "Fussiness."
Age: 1.08
Sex: M
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Per mother- [pt] developed fever of 105 degrees approx. 10 days after MMR. Unable to control the fever with use of infant Tylenol or Infant Motrin. [Pt] seen in ER. Per mother  prior to taking to ER she attempted to sponge bath, increase fluids and used infant Tylenol and alternated with infant Advil - Seen in ER, X ray done but neg. Blood work obtained and culture but no results available.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia
Clinical narrative: Fever 105 started after 1 pm Thursday May 27 vaccines given 5/27/04 at 11AM.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Nausea, Vomiting
Clinical narrative: Nausea 1 hour after vaccine. Nausea and vomiting x2days, fatigue. No fever, chills.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: Pt reports swelling and pain in left armpit and down into rib area. Visit to PMD at 05/25/2004 area of swelling enlarging down into abdomen and groin area. MD feels exaggerated reaction to Td. Tx: with ice and Motrin. Phone call to school nurse who reported incident to check condition. Swelling gone (it actually went down to his thigh) but area still tender to touch. Has seen MD 3 times over last several days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: red, raised, feverish area around injection site approximately 13cm in diameter.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen, hot skin at injection site- approx. 4cm~ Left deltoid.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: T/C from mother- client developed fever on 5/24 101 degrees, came down with Tylenol, but continues to run low grade fever (99) with Tylenol. Today noticed 4-5 pink raised spots on Left deltoid
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling/redness at injection sites. No wheezing, no stridor, no s/s of cellulitis.
Age: 1.92
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: On 5-19-04 night time- developed high fever mother reports "too hot to hold" a fine rash on his trunk. All lasted approx. a 24 hour time period, then improved. (all sibling have had same reaction) (mother concerned about this)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: come in well for vaccines, received DTaP, IPV, MMR. 3 hours later developed hight (tactile) temp and vomiting. Recurrent tactile fever ( up and down with Tylenol) and continuous vomiting x 24 hr, then resolved completely. No diarrhea, no ST, no URI, Sx. rapid strep negative.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Child received vaccinations on 5-26-04. Presented in clinic with significantly swollen & warm with mild erythema at left thigh where pt received DTaP & IPV. No treatment required. Follow up call mom stated was completely better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: In left arm red & swollen.
Sex: F
Vaccine: HEPA
Symptoms: Convulsion, Fatigue, Hypotonia, Loss of consciousness
Clinical narrative: 1-2 minutes after injection, patent went limp, fell to floor and had a 5-15 second seizure and then awoke quite tired.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Pyrexia, Skin nodule, Tenderness
Clinical narrative: Local erythema 7 cm x 8 cm with induration & mild tenderness. Fevers, no constitutional symptoms.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Patient is a 37-year-old male who developed hives within 5-6 hrs after receiving anthrax # 3 administered on 3 Sept 2003. States he had no problems with the first and second anthrax.  Pt reported that he had a "significant" local reaction and diffuse hives on legs, and torso. Denied any respiratory, cardiovascular or gastrointestinal problems. States hives cleared with in 24 hrs with Benedryl and had not had any recurrence of the hives or any residual effects. States he has never had hives before and he denied any new soaps, detergents, foods or medication. Has received other vaccines since administration of anthrax without any problems.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: PT.RECEIVED DAPTCELL 6-2-04.THAT NIGHT MOTHER STATES INJ.SITE BECAMED RED & SLIGHTLY SWOLLEN, WARM TO TOUCH, & ITCHY.PT SEEN IN OFFICE 6-4-04, INJ. SITE STILL PUFFY, WARM TO TOUCH. PT NOT COMPLAINING OF ANY SYMPTOMS PER MOTHER.
Age: 24.0
Sex: M
Vaccine: HEPAB
Symptoms: Erythema, Fatigue, Myalgia, Pain, Paraesthesia
Clinical narrative: I received my first dose on 4/27.  Sometimes I recognize that my skin on left arm is very sensitive and occasionally one hive will breakout.  Fatigue for a few days.  I received my second dose on 5/27.  The next day I felt very tire.  And several days later I felt very fatique, parathesia, the bones on my fingers and feet ache, muscle pain at random spots of my body, sensitive, burning and redness of the skin especially at hand and feet.  I don't know what to do, doctor thinks there's nothing wrong with me(yet).
Age: 24.0
Sex: M
Vaccine: HEPAB
Symptoms: Skin burning sensation, Urticaria
Clinical narrative: I received my first dose on 4/27.  Sometimes I recognize that my skin on left arm is very sensitive and occasionally one hive will breakout.  Fatigue for a few days.  I received my second dose on 5/27.  The next day I felt very tire.  And several days later I felt very fatique, parathesia, the bones on my fingers and feet ache, muscle pain at random spots of my body, sensitive, burning and redness of the skin especially at hand and feet.  I don't know what to do, doctor thinks there's nothing wrong with me(yet).
Age: 4.0
Sex: M
Vaccine: DT, MMR
Symptoms: Eye irritation, Eye swelling
Clinical narrative: Patient told his mother that his right eye was burning within minutes of receiving the vaccines.  The eye became swollen shut and patient's mother took him to the emergency room. He was given Benadryl (2cc's,every 4 hours).
Age: 0.3
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain, Drug ineffective, Dysuria, Lethargy, Oral intake reduced
Clinical narrative: fever, complained of painful urination, lethargic, refusing to eat, eyes had racoon look, abdominal pain, then what appeared to be a rash-started on face went down to neck and chest.  went to an after hours clinic-and they diagnosed him with measles from the vaccine.  I telephone the clinic of what took place and they refused to report this.
Age: 0.3
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rash morbilliform
Clinical narrative: fever, complained of painful urination, lethargic, refusing to eat, eyes had racoon look, abdominal pain, then what appeared to be a rash-started on face went down to neck and chest.  went to an after hours clinic-and they diagnosed him with measles from the vaccine.  I telephone the clinic of what took place and they refused to report this.
Age: 5.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site rash, Pain, Pruritus
Clinical narrative: Rash size of fist right thigh
Age: 5.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Rash
Clinical narrative: Rash size of fist right thigh
Age: 0.83
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Laboratory test abnormal, Sudden infant death syndrome
Clinical narrative: Information regarding Prevnar (pneumococcal 7-valent conjugate vaccine (diptheria crm197 protein) injection) was received from an investigator in a post marketing surveillance study regarding a 10 month old male participant in a study entitled "ongoing Surveillance of Invasive Pneumococcal Disease in Original Efficacy Population and in NCKP<5 Years of Age." On 11-JUN-2001, at 6 months of age, the participant received the third dose of Prevnar, along with third doses of Hib-TITER, Infanrix, Engerix B, and IPOL. The patient experienced sudden infant death syndrome on 14-Sep-2001. The coroner's office reported that the patient expired due to sudden infant death syndrome. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by the FDA. The investigator(s) and medical monitor(s) considered SIDS not related to the study product. No additional information was available at the time of this report. Follow up information received from the investigator provided the autopsy findings. Information regarding Prevnar was received from an investigator in a post marketing surveillance study regarding a 10 month old male participant in a study entitled "Ongoing Surveillance of Invasive Pneumococcal Disease in Original Efficacy Population and in NCKP <5 Years of Age." On 11JUn2001, at 6 months of age, the participant received the third dose of Prevnar, along with third doses of HiB Titer, INfanrix, Engerix and IPOL. The infant was fed oat meal about 1000 hours. At about 1100 hours, he was laid down for his noontime nap with a bottle of formula. At about 1145 hours, the infant was discovered blue in color and unresponsive. Paramedics responded to the call and initiated advanced cardiac life support measures. They then transported him to the emergency room where ACLS was continued for about 20 minutes but all efforts were to no avail. The coroner's office reported that the patient expired on 14SEP2001 due to sudden infant death syndrome. The autopsy cause of death was reported as sudden infant death syndrome. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by the FDA.   Follow up on 06/10/04 states: "Complete."
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Drug ineffective, Laboratory test abnormal, Pyrexia, Sepsis
Clinical narrative: S. Pneumococcal bacteremia 5/27/04 after 3 previous doses of Prevnar. Fever up to 102 for 24 hours. Rocephin IM for 5 days. Omnicef QID for 10 days.  Nurse follow up on 08/10/04 states: "Complete."
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Feeling hot, Influenza like illness, Injection site erythema, Injection site mass
Clinical narrative: Bilateral hand tremors. Experienced tenderness surrounding vaccination site, lasting approx. 2 weeks, nickel to quarter sized knot noted at vaccination site lasting approx. 3 weeks. Experienced significant redness, swelling, pruritis, and warmth surrounding vaccination site (about the size of baseball) with onset within 3 days of vaccine and resolution by 2 weeks post vaccination. Experienced flu-like symptoms (rhinorrhea, cough, sinus pressure, generalized myalgias and possibly a fever) approx. 1 weeks following vaccine administration and lasting x 1 week.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site swelling, Myalgia, Pruritus, Pyrexia, Rhinorrhoea
Clinical narrative: Bilateral hand tremors. Experienced tenderness surrounding vaccination site, lasting approx. 2 weeks, nickel to quarter sized knot noted at vaccination site lasting approx. 3 weeks. Experienced significant redness, swelling, pruritis, and warmth surrounding vaccination site (about the size of baseball) with onset within 3 days of vaccine and resolution by 2 weeks post vaccination. Experienced flu-like symptoms (rhinorrhea, cough, sinus pressure, generalized myalgias and possibly a fever) approx. 1 weeks following vaccine administration and lasting x 1 week.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Sinus congestion, Tenderness, Tremor
Clinical narrative: Bilateral hand tremors. Experienced tenderness surrounding vaccination site, lasting approx. 2 weeks, nickel to quarter sized knot noted at vaccination site lasting approx. 3 weeks. Experienced significant redness, swelling, pruritis, and warmth surrounding vaccination site (about the size of baseball) with onset within 3 days of vaccine and resolution by 2 weeks post vaccination. Experienced flu-like symptoms (rhinorrhea, cough, sinus pressure, generalized myalgias and possibly a fever) approx. 1 weeks following vaccine administration and lasting x 1 week.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Hypokinesia, Pain
Clinical narrative: Problems raising my arm up past level. Constant sharp pain in area of injection (upper arm and shoulder) loss of strength in arm. Have problems lifting. Have problems with everyday grooming (combing hair and anything that requires arm up.) Physical therapy didn't help.
Age: 1.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Left leg was swollen and red. Saw pt 6/3/04 for follow up, no swelling inflammation.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Erythema, swelling, indurated at DTaP injection site
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Generalized hives within 10 mins following immunizations. Pt was given Benedryl 25mg IM. Hives were resolving after 15 min.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular rash over site of injection
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Lacrimation increased, Ocular hyperaemia, Pruritus, Sneezing, Urticaria
Clinical narrative: Sneezing noted in office after immunization but left office well otherwise. Upon arriving home (within 30 min) was flushed head to toe with hives, itchy, red and watery eyes. Skin very itchy as well. Returned to office with above symptoms documented. There was no wheezing or respiratory distress. The pt was treated with benadryl and IM steroids. The symptoms resolved within 1 hour.
Age: 73.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Pt received CT IM in right arm-next day developed redness/swelling-5/31 (today) very red/indurated measuring 8x20cm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: c/o left upper thigh edema with redness, no temp, no drainage.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Dyspnoea, Injury, Throat tightness
Clinical narrative: Pt had stepped on a rusty nail on 5/24-had MD order for Td-NO tetanus x40yrs due to prior reaction-Td given within 1 hour experienced trouble breathing, asthma sx's- tightening in throat-had went to Dr office-was given ephinephrine and Decadron IM-watched for 4 hrs-given Zyrtec po x 4 days. 5/27/2004 PHN called pt-experienced sx's x 4-5 hours only improved on 5/25/04 PM
Age: 73.0
Sex: M
Vaccine: TYP
Symptoms: Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: 24 hours after typhoid vaccination pt states he developed slight sore throat and "stuffed up head". Sore throat went away in a few days but "stuffed up head" continues, mostly at night. Denies other sx's.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Child developed low grade temp on 5/17/04 at 9PM then had vesicular rash eruption on 5/19/04. Was seen by MD on 5/20/04 and Rxbl Benadryl Elixir, Tylenol, Aveeno baths. Eruption of rash was to face, arms, abdomen.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash maculo-papular, Rash pruritic
Clinical narrative: Mother noticed red rash on face as leaving clinic after shot. In evening mother noticed rash (macularpapular pinpoint pruritic) on chest and abdomen. No meds given. Mother brought child back to clinic this AM. No other symptoms.
Age: 36.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea
Clinical narrative: c/o headache w/ slight nausea the night of injection given felt ok the next day.
Age: 36.0
Sex: M
Vaccine: RAB
Symptoms: Diarrhoea, Vomiting
Clinical narrative: [Pt] called for a nurse via phone at 11:40 6/1/04. He c/o hyperemesis and diarrhea the day of 5/31/04 and night/morning of 6/1/04. Enc'd BRAT diet and to see MD/ER if needed. No further rabies vaccinations.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Fatigue, Headache, Pyrexia, Tremor
Clinical narrative: Began having episodes of squeezing chest pain and SOB 7 ds post SPV. Has had them intermittently since then. Has also developed headaches and fatigue. Developed fever to 103 on 04Apr04 and went to hospital. Treated symptomatically. Also developed right had tremor. Sx had diminished but not totally resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left thigh, top and inner side, red, swollen and warm to touch. Given Zithromax and Zyrtec.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Arm became very red, hot and swollen. Skin tight and very itchy.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Irritability, Restlessness
Clinical narrative: Prolonged inconsolable crying, irritability 18May04 Restless sleep night of 17 May
Age: 5.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Varicella- rx Benadryl, Caladryl, oatmeal baths Impetigo- rx Bactroban
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Injection site erythema, Rash erythematous, Rash macular, Wheezing
Clinical narrative: At 15:30 a flat erythematous patch just inferior to MMR injection site was noted. Within 3 minutes a raised clear area was noticed in the center of the reddened area. Pt also developed flat red blotches at 1.5 cm mid back and 2 linear blotches on left apella. Oral Benadryl 5mL given at 15:25, pt observed until 15:55. Erythematous rash and blotches gradually faded to light pink and left arm became flat and pink. Vital Signs: P: 132, R: 44, no respiratory distress.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pruritus, Urticaria
Clinical narrative: Mother brought child in 06/03/04 complaining of left vastus lateralis pain from injection site of DTAP given 06/02/04. Formed a large red welt (3 inches in circumference) very warm and itchy. Per MD apply ice and take Benadryl 25mg every 4-6 hours. Return to office if redness gets larger.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt received immunization on 05/21/04 and on 05/24/04 site was really red and swollen, area was 10x9cm and 5x5cm.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Full body rash.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness, nausea, concomitant right thumb cat bite.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and swelling at site of injection, right triceps area.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Onset of hives at 10:33 am, monitored pt for 30 min, hives went away, pt discharged with parent.
Age: 52.0
Sex: F
Vaccine: HEPA, IPV, TD, YF
Symptoms: Lymphadenopathy, Pain, Pharyngolaryngeal pain, Pyrexia, Tenderness
Clinical narrative: 4/30/04:  Pt called 4/30/04 at approximately 11:15am. States she's developed enlarged lymph nodes in the right clavicular area as of 4/29. Has a slight sore throat, No fever. Has tender, sore spots on neck and pain in one arm. States she used the rototiller yesterday lymph enlargement not mentioned in the adverse event section of the vaccine insert. Asked patient to keep us informed. 05/03/04: Called patient states lymph node on right clavicle greatly reduced. Had decided to get a temp. check: Was 99.6 last week. States arm doesn't ache like it did. No fever today. 05/03/04: Pt called back and stated "I checked the clavicle again and it hasn't reduced. Like I thought. I do have a slight temp of 99.2 I did some shoveling this weekend. And my arm doesn't ache like it did last week." Will call pt again to check for progress.
Age: 44.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Decreased appetite, Erythema, Feeling hot, Headache
Clinical narrative: Patient is 44-year-old female with complaints of a reaction following the tetanus vaccination.  She reports initially she "did not feel myself".  She had body aches and just did not feel normal.  The following day she had pain in the left arm.  Very difficult to lift her arm up and move it.  She complains of having a headache 48 hours later.  She had a temperature to 101 degrees, body aches, with wrist, ankles, and knees hurtings.  It felt like the "flu".  Her arm was red and hot where the shot was given.  No vomiting or diarrhea.  No one else was sick.  She reports decreased appetite while she was ill.  Went to Emergency room at approximately 50 hours after injection.  She reports in the Emergency room she was given 80 pills of 250 mg of keflex.  She was told to return to emergency room for follow-up the next day.  She returned for recheck and the arm redness had spread a little.  She reports feeling much better.  She took some motrin for the fever and body aches.  She is now 5 days status post injection and feels "good".  No body aches or fevers or chills.  No change in urine color.  Still taking the antibiotics.
Age: 44.0
Sex: F
Vaccine: TTOX
Symptoms: Joint range of motion decreased, Malaise, Pain, Pyrexia
Clinical narrative: Patient is 44-year-old female with complaints of a reaction following the tetanus vaccination.  She reports initially she "did not feel myself".  She had body aches and just did not feel normal.  The following day she had pain in the left arm.  Very difficult to lift her arm up and move it.  She complains of having a headache 48 hours later.  She had a temperature to 101 degrees, body aches, with wrist, ankles, and knees hurtings.  It felt like the "flu".  Her arm was red and hot where the shot was given.  No vomiting or diarrhea.  No one else was sick.  She reports decreased appetite while she was ill.  Went to Emergency room at approximately 50 hours after injection.  She reports in the Emergency room she was given 80 pills of 250 mg of keflex.  She was told to return to emergency room for follow-up the next day.  She returned for recheck and the arm redness had spread a little.  She reports feeling much better.  She took some motrin for the fever and body aches.  She is now 5 days status post injection and feels "good".  No body aches or fevers or chills.  No change in urine color.  Still taking the antibiotics.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Indurated swollen size 10 x 8 cm Left arm- local reaction.
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient vaccinated on the morning of 5/26/04 with MMR vaccine.  Returned to health department around 2pm on 5/26/04.  The right arm on the upper outer aspect showed reddened area about 2 and 3/4 inches in diameter, raised and warm to touch.  Patient denied any problems with movement.  Instructed patient to use warm compresses QID for affected area.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Laboratory test abnormal, Medication error, Skin ulcer, Unintended pregnancy
Clinical narrative: Service member inadvertently received smallpox and anthrax vaccinations on 6/2/04 during pregnancy.  States that she did not have a smallpox briefing but did receive educational brochures and completed the screening form.States that she had a pregnancy test on 5/25/04 but did not receive the results until 6/3/04.  States that she had to go to a different base to have the pregnancy test done and sometimes the results take longer to get back.States that she did not have any problems with the vaccinations up to this point.  Denies any rashes, flu-like symptoms, pruritus, chest pain, and shortness of breath or fever. No numbness or tingling in extremities.  No lesions other than SPV site. Referred to OB provider.  Scheduled to be seen on 6/7/04.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Occured 6/4/04 (the day the vaccine was given). Left thigh swelling and redness around the area. No fever with the reaction
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swollen,hot and red area (3inches x 3 inches) at the largest measurement at the injection site. Has lasted 48 hours so far.
Age: 0.64
Sex: M
Vaccine: DTAP, HEP, PNC
Symptoms: Breath holding, Constipation, Convulsion, Hypertonia, Laboratory test abnormal
Clinical narrative: On 4/2/03 at 2 mo patient received DTaP, Comvax, Prevnar, and IPV. He developed unconsolable crying and vomiting later that day.  Constipation ensued on 4/15/03. At next WCC on 7/3/03 mother reported arching/stiff posture esp. of Lower extemities which was confirmed on physical.  He received DTaP, IPV, Hib, and Prevnar.  Mother called on 7/7/03 reporting 2 episodes of "passing out" since second set of shots.  On exam on 7/8/03 confirmed to be c/w classic breath holding spells.  These had never occurred prior to this time. VAERS report filed. Patient seen for 7 mo WCC on 9/25/03 noted by mom to have had some "head twitching", was still having hypertonicity of LE's, and developmental delay.  Receiving PT.  Received DTaP, Prevnar, Hepatitis B.  Subsequently developed complicated breath holding spells with seizure activity on 1/26/04.  Went to ER. No prior seizure activity with breath holding noted and seizure activity only occurs with some of the breath holding spells.  Longest seizure with breath holding has been 11 min. per mother.  EEG 4/15/04 normal. Patient remains hypertonic especially on the left and is developmentally delayed but making progress with therapy.  No regression ever noted in development.
Age: 0.64
Sex: M
Vaccine: DTAP, HEP, PNC
Symptoms: Loss of consciousness, Muscle twitching, Screaming, Vomiting
Clinical narrative: On 4/2/03 at 2 mo patient received DTaP, Comvax, Prevnar, and IPV. He developed unconsolable crying and vomiting later that day.  Constipation ensued on 4/15/03. At next WCC on 7/3/03 mother reported arching/stiff posture esp. of Lower extemities which was confirmed on physical.  He received DTaP, IPV, Hib, and Prevnar.  Mother called on 7/7/03 reporting 2 episodes of "passing out" since second set of shots.  On exam on 7/8/03 confirmed to be c/w classic breath holding spells.  These had never occurred prior to this time. VAERS report filed. Patient seen for 7 mo WCC on 9/25/03 noted by mom to have had some "head twitching", was still having hypertonicity of LE's, and developmental delay.  Receiving PT.  Received DTaP, Prevnar, Hepatitis B.  Subsequently developed complicated breath holding spells with seizure activity on 1/26/04.  Went to ER. No prior seizure activity with breath holding noted and seizure activity only occurs with some of the breath holding spells.  Longest seizure with breath holding has been 11 min. per mother.  EEG 4/15/04 normal. Patient remains hypertonic especially on the left and is developmentally delayed but making progress with therapy.  No regression ever noted in development.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Hypersensitivity, Oedema peripheral, Rash
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Arthritis, Cough, Nasal congestion, Pyrexia, Rash maculo-papular
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Anorexia, Arthritis, Cough, Gastrointestinal disorder, Gastrooesophageal reflux disease
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Hypotonia, Injection site erythema, Injection site induration, Injection site warmth, Laboratory test abnormal
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Malaise, Nasal congestion, Oedema peripheral, Pain, Pyrexia
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Rash maculo-papular
Clinical narrative: This is a 21-year-old man with no prior medical history who presented with 24 hours of malaise, nasal congestion, mild non-productive cough and arthritis of the ankles bilaterally 10 days after receiving his primary smallpox, anthrax and typhoid.  He also had a maculo-papular rash and swelling over the ankles only.  His smallpox vaccination site was checked around days 4-5. At that time he was told that he had a "take".  The client states that he checked the site about day 8 and it looked ok.   He presented to medical on day 10 with a 5-6 cm radius around the site, which was red, hot and indurated.  He also had a fever of about 101°F orally.   The client states that following an approximately 24-hour flight, his bilateral ankles felt "tight and bruised". He rated his pain initially as 8-9/10.  He was unaware of the rash initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital upon arrival. Doctor contacted the Vaccine Healthcare Center for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles. Nurse follow up on 06/28/04 states: "ADD: hypotonic, GI reflux, Anorexia."
Age: 1.9
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Cough, Fatigue, Hypersensitivity, Hyperventilation, Hypoxia
Clinical narrative: Acute respiratory distress requiring intubation/ventilation and admission to pediatric ICU.
Age: 1.9
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Laboratory test abnormal, Pallor, Pharyngitis, Pulmonary oedema, Respiratory disorder
Clinical narrative: Acute respiratory distress requiring intubation/ventilation and admission to pediatric ICU.
Age: 1.9
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Rhinitis, Tachycardia
Clinical narrative: Acute respiratory distress requiring intubation/ventilation and admission to pediatric ICU.
Age: 1.9
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Hypoxia, Laboratory test abnormal, Respiratory distress
Clinical narrative: Acute respiratory distress requiring intubation/ventilation and admission to pediatric ICU.
Age: 37.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Infection, Rash macular, Rash vesicular, Skin ulcer
Clinical narrative: 5/18: developed fever; started with a couple of lesions. 5/23: developed many lesions, respiratory wheezing, responded to Aerosol. Tx: started on Acyclovir 500 mg QIDx 5 days. Pustules draining: lesions in mouth and throat; itching noted. tix with Calamine lotion to relieve.