chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Injection site mass, Swelling, Tenderness
Clinical narrative: Left arm tender with swelling with bump, ice pack to area, IBU as directed. Follow up as needed.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Monday morning mom noticed raised rash to chest-upper thighs (both) Ant and posteriorly. Also to upper back. Child cranky all weekend with temp of 100 AX. No vomiting, diet taken well, active.
Age: 28.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Vaccinations at 15:30 on 3/27. Feet numb at 18:30 on 3/27. Entire body tingling (no itching) at 01:00 on 3/28. Came to ER for treatment at this time. Feeling better seven days later-seen by primary care MD. Totally resolved by 1 wk.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: Left leg 0.5x0.5mm lump. No tenderness, no redness.
Age: 1.08
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Tremor
Clinical narrative: Within 12 hrs child developed rectal temperature of 104.4 and began with tremors of the whole body, especially of the lower extremities. No previous history of reactions to any vaccines. Temp returned to normal with Motrin and Tylenol within the next 8 hrs. To ER for Dr review within 18 hrs of shot given.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema around injection site left thigh 10cm x 16cm. No fever. Erythema and indurations gone by 06/13/04. Exam site for Follow up 6/15/04. No erythema, no swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Pt had a reaction on right leg. Injection site was red, warm to touch, slightly swollen pt was given rx. Benadryl.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Rash papular
Clinical narrative: Developed papular rash 6/15/2004. Seen in our office 6/16/04 for diagnosis of varicella. Benadryl for itching.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Red swelling 6x6 cm with nodular swelling of 1 cm at injection site. This site was DPT/acellular.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion, Hypoxia, Paralysis, Posturing
Clinical narrative: On 6/13/2004 child developed tonic-clonic seizure activity lasting >30min-stopped after ED administration of lorazepam. Prolonged, continued body posturing leading to Phenobarbital administration, paralysis, intubation and Mercy flight transfer to strong Hosp.
Age: 93.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injury
Clinical narrative: Pt was follow up on? spider bite right lower leg. Received DT, left deltoid on 6/14/04. C/o left arm swelling and redness at site. Received DT 6/14/04 follow up on 6/16/2004. Knot? 4cm long x 3 1/2 cm wide also red at site.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Glossitis, Urticaria
Clinical narrative: Urticaria, Mild glossitis
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Large localized itchy, mildly painful, erythematous area to site of 2 concurrent vaccines.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: Fever 103.6 (Rectal), Stuffy nose. ER 6/15/04PM, office 6/16/04, vaccine rxn vs viral illness. Will follow up
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Marked swelling and redness 13 X14 cm around injection site on left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema
Clinical narrative: Redness, swelling & heat of left upper arm approximately 2/3 and posterior shoulder treated as if cellulitis.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Apnoea, Urticaria
Clinical narrative: Approximately 8 min after receiving DTaP, HIB, Prevnar vaccine mom stated pt. stopped breathing for 3-5 sec. Pt. started breathing while mom started running in front of office. Pt. was breathing with no distress at that time. Both legs were covered with hives.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives on face and neck within 2 hours of immunization.
Age: 0.92
Sex: F
Vaccine: HEP, HIBV, IPV
Symptoms: Contusion, Feeling hot, Injection site induration, Injection site reaction
Clinical narrative: Small bruise at injection site with avail. of induration approximately 3 inches. No erythema, no heat.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Was given Pediarix (DTPA- HBV-POL) and Prevnar. Pedvax (Hib) on 5/24/04 at approximately 2 pm. Pt developed fever by 5/25- 3AM was 105.8 tympanic.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: 6/2 Weakness lower extremities. 6/3 General weakness-neck stiffness-swelling in glands left side of neck. 6/4 Same as above and pain and swollen gland rt arm pit. 6/5 same as above- temperature 101.6 and chills- Severe headache and eye sensitivity to light. 6/6 low grade fever-fatigue- headache, etc. 6/7 & 6/8 mission work made appt with doctor- CBC is okay. 6/13 pain in joints of hands tingling and numbness in both hands and arms. Slight swelling weakness in hands and arms. Pain wakes me during sleep. Red wart at injection site.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Hypoaesthesia, Lymphadenopathy, Musculoskeletal stiffness, Pain, Paraesthesia
Clinical narrative: 6/2 Weakness lower extremities. 6/3 General weakness-neck stiffness-swelling in glands left side of neck. 6/4 Same as above and pain and swollen gland rt arm pit. 6/5 same as above- temperature 101.6 and chills- Severe headache and eye sensitivity to light. 6/6 low grade fever-fatigue- headache, etc. 6/7 & 6/8 mission work made appt with doctor- CBC is okay. 6/13 pain in joints of hands tingling and numbness in both hands and arms. Slight swelling weakness in hands and arms. Pain wakes me during sleep. Red wart at injection site.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Photophobia, Pyrexia, Skin papilloma
Clinical narrative: 6/2 Weakness lower extremities. 6/3 General weakness-neck stiffness-swelling in glands left side of neck. 6/4 Same as above and pain and swollen gland rt arm pit. 6/5 same as above- temperature 101.6 and chills- Severe headache and eye sensitivity to light. 6/6 low grade fever-fatigue- headache, etc. 6/7 & 6/8 mission work made appt with doctor- CBC is okay. 6/13 pain in joints of hands tingling and numbness in both hands and arms. Slight swelling weakness in hands and arms. Pain wakes me during sleep. Red wart at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Redness & swelling at site of injection- DTaP 3 cm X 8 cm long area of warmth, induration & erythema. No axillary - Keflex 250 mg 1 tsp TID X 10 days. Call if fever, arm pain, redness beyond inj. line.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Skin nodule
Clinical narrative: Redness & swelling at site of injection- DTaP 3 cm X 8 cm long area of warmth, induration & erythema. No axillary - Keflex 250 mg 1 tsp TID X 10 days. Call if fever, arm pain, redness beyond inj. line.
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, myalgia, headaches, nausea, vomiting.
Sex: F
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Fever, chills, myalgia, headaches, nausea, vomiting.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Injection site pain, nausea, vomiting, fever.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Paralysis
Clinical narrative: VI nerve palsy.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left deltoid with 3 inch X 2 inch red, swollen area. Warm to touch. Advised warm compress and Tylenol every 4 hours. Return if not better.
Age: 1.0
Sex: U
Vaccine: MMR
Symptoms: Medication error, Rash maculo-papular
Clinical narrative: Information has been received from an immunization official concerning a 12 month old pt who was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  that may not have been stored as recommended. It was reported that several weeks post vaccination the pt developed an atypical measles like rash and was seen at a local ER and released. The pt was treated with an unspecified prescription medication. The outcome of the pt's measle like rash was unknown. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain, Dysgeusia, Pyrexia, Salivary hypersecretion
Clinical narrative: Information has been received from a Nurse Practitioner concerning an approximately 39 year old white female who on 24Nov03 was vaccinated with measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . On an unspecified date in 2003, the pt experienced diffuse abdominal pain in upper left and right quadrant of abdomen, a temperature of 99.4F, she had a metallic taste in her mouth and had increased salivation. On 01Dec03, the pt was in the office with diffuse abdominal pain in upper left and right quadrant of abdomen, a temperature of 99.4F, a metallic taste in her mouth and increased salivation. The nurse practitioner instructed the pt to go to the ER if the pain increased in the abdomen. The outcome of the upper abdominal pain, metallic taste, and increased salivation was unknown. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a certified medical assistant concerning a pt (age and gender not reported) who on an unspecified date was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . Subsequently the pt's mumps titer was negative. Unspecified medical attention was sought. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physician concerning a female pt with an unknown medical history who on 18Jul1983 was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). It was reported that the pt failed to seroconvert to rubella. The titer was drawn and the pt was immune to measles and mumps but not to rubella. Previous vaccinations included a dose of measles virus vaccine live  (Moraten)  on 10Jul1977, a dose of mumps virus vaccine live (Jeryl Lynn) in Feb1977 and a dose of rubella virus vaccine live (HPV-77)  on 19Sep1977. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physicians assistant concerning a 40 year old female who was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . The physician's assistant reported that a second dose status was unknown. On 21Nov03 the pt underwent a mumps immunoglobulin G antibody test, which was noted to be negative. The pt sought unspecified medical attention. The outcome of the pt's negative mumps titer was unknown. Additional information has been requested. The physician's assistant also reported a 28 year old female who received measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  and developed a negative mumps titer.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Information has been received from a RN concerning a now 6 year old male with multiple allergies (foods, dairy, smoke, mold, eggs) and eczema, asthma, and skin conditions who was vaccinated with measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  in April 1998, when the pt was 13 months old. In approximately April 1998 the pt developed hives. Additional information has been requested.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physician's assistant concerning a 28 year old female who in 1976 was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . The physician's assistant reported that a second dose status was unknown. On 11Nov03 the pt underwent a mumps immunoglobulin G antibody test, which was noted to be negative. The pt sought unspecified medical attention. The outcome of the pt's negative mumps titer was unknown. Additional information has been requested. The physician's assistant also reported a 40 year old female who was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  and developed a negative mumps titer.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a nurse concerning a 4 year old male who on 08May03 was vaccinated with measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Concomitant therapy included diphtheria toxoid (+) pertussis acellular 3 component vaccine (+) tetanus toxoid (INFANRIX) and poliovirus vaccine inactivated (IPOL). Two days later on 10May03, the pt developed injection site reaction with redness, swelling and pain at the injection site. The pt was seen at the ER. Subsequently the events resolved. No further information is available.
Age: 25.0
Sex: M
Vaccine: MMR
Symptoms: Cough, Headache, Infection, Nausea, Pain
Clinical narrative: Information has been received from a RN via a company representative concerning a 25 year old male pt with no medical history who on 15Aug1979 (previously reported as 28Apr1980) was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). He received another dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  on 15Jun1991 (previously reported as 14Jun1996). On 15Jul03 the pt developed the following symptoms and went to the ER; fever of 103 degrees, testicular pain for 2 weeks, vomiting, nausea, headache, cough and bilateral parotitis. A rapid strep test in the ER was negative. Through urine testing and a throat culture on 18Jul2003, mumps strain was verified. The bilateral parotis lasted for 5 days. The pt was not hospitalizes; he was treated with antibiotics and recovered on 25Jul2003. In follow up information it was noted that the pt has had no adverse events following prior vaccination. Additional information is not expected.
Age: 25.0
Sex: M
Vaccine: MMR
Symptoms: Parotitis, Pyrexia, Vomiting
Clinical narrative: Information has been received from a RN via a company representative concerning a 25 year old male pt with no medical history who on 15Aug1979 (previously reported as 28Apr1980) was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). He received another dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  on 15Jun1991 (previously reported as 14Jun1996). On 15Jul03 the pt developed the following symptoms and went to the ER; fever of 103 degrees, testicular pain for 2 weeks, vomiting, nausea, headache, cough and bilateral parotitis. A rapid strep test in the ER was negative. Through urine testing and a throat culture on 18Jul2003, mumps strain was verified. The bilateral parotis lasted for 5 days. The pt was not hospitalizes; he was treated with antibiotics and recovered on 25Jul2003. In follow up information it was noted that the pt has had no adverse events following prior vaccination. Additional information is not expected.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Information has been received from a physician concerning a 15 month old female who on approximately 08Dec2003, was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . Subsequently, in Dec 2003, the pt developed fever of 102 F. Unspecified medical attention was sought. No further information is available.
Age: 25.0
Sex: F
Vaccine: DPP, MMR
Symptoms: Headache, Infection, Malaise, Pain, Pharyngolaryngeal pain
Clinical narrative: Information has been received from a RN via a company representative concerning a 25 year old female pt, with no past medical history and who was not pregnant, who was vaccinated with measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . Subsequently the pt developed a case of mumps. The mumps diagnosis was verified through urine testing and throat culture. The pt recovered without any treatment. Follow up information received from a RN indicated that on 28Apr1980 the pt received a first SC dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . On 14Jun1996 the pt received a second dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  SC into the right arm. Concomitant vaccination on 14Jun96 included a 0.5cc dose of diphtheria toxoid (+) tetanus toxoid. It was unknown if the pt was ill at the time of vaccination. On 21Sep2003, the pt complained of ovary pain, bilateral parotitis for approximately one week. It was reported that the pt had malaise, a sore throat, a fever of 103 F, headache and vomited for two evenings. The rapid strep test was negative and throat culture was showed no beta hemolytic streptococci isolated. Serum WBC was 7.2. On 23Sep2003 IgM mumps was .06 and IgG mumps was 2.77 (+) WBC was 10.9 and absolute neutrophils were 7.2. Mumps virus was isolated in cell culture, urine and throat swab. It was unknown if the pt was treated with antibiotics. It was reported that the pt never went to get a requested convalescent IgM and IgG. It was reported that the pt recovered. It was reported  that the pt had no adverse events following prior vaccinations. Prior vaccinations included the first dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 22Jan1979, a second dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 18Jun1979, a third dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 20Aug1979 and a fourth dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 19Jan 1981. She received the first dose of poliovirus vaccine live oral on 18Jun1979 and third dose of poliovirus vaccine live oral on 28Apr1980.  No further information is expected.
Age: 25.0
Sex: F
Vaccine: DPP, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Information has been received from a RN via a company representative concerning a 25 year old female pt, with no past medical history and who was not pregnant, who was vaccinated with measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . Subsequently the pt developed a case of mumps. The mumps diagnosis was verified through urine testing and throat culture. The pt recovered without any treatment. Follow up information received from a RN indicated that on 28Apr1980 the pt received a first SC dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . On 14Jun1996 the pt received a second dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3)  SC into the right arm. Concomitant vaccination on 14Jun96 included a 0.5cc dose of diphtheria toxoid (+) tetanus toxoid. It was unknown if the pt was ill at the time of vaccination. On 21Sep2003, the pt complained of ovary pain, bilateral parotitis for approximately one week. It was reported that the pt had malaise, a sore throat, a fever of 103 F, headache and vomited for two evenings. The rapid strep test was negative and throat culture was showed no beta hemolytic streptococci isolated. Serum WBC was 7.2. On 23Sep2003 IgM mumps was .06 and IgG mumps was 2.77 (+) WBC was 10.9 and absolute neutrophils were 7.2. Mumps virus was isolated in cell culture, urine and throat swab. It was unknown if the pt was treated with antibiotics. It was reported that the pt never went to get a requested convalescent IgM and IgG. It was reported that the pt recovered. It was reported  that the pt had no adverse events following prior vaccinations. Prior vaccinations included the first dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 22Jan1979, a second dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 18Jun1979, a third dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 20Aug1979 and a fourth dose of diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid on 19Jan 1981. She received the first dose of poliovirus vaccine live oral on 18Jun1979 and third dose of poliovirus vaccine live oral on 28Apr1980.  No further information is expected.
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Information has been received from a mother concerning her 6 year old daughter with no allergies who in May 2002, was vaccinated with a dose of measles virus vaccine live  (Moraten) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) . There were no concomitant medications. Two weeks later, the pt broke out in hives all over her body. The pt was treated with diphenhydramine hydrochloride (BENADRYL) liquid and diphenhydramine hydrochloride (BENADRYL) cream on the sores. The pt recovered in approximately one week. It was reported that the pt had the same reaction two weeks after being vaccinated with poliovirus vaccine inactivated in Sept 1999. No further information is expected.
Age: 1.4
Sex: F
Vaccine: DTAPH, FLU3, MMR
Symptoms: Otitis media, Pharyngitis, Rash, Rash vesicular, Rhinorrhoea
Clinical narrative: Information has been received from a mother concerning her 16 month old daughter with no known allergies who on 12/11/03 (previously reported as 12/19/03) was vaccinated IM into the right upper thigh with a first dose of MMRII (Lot # 646121/0611N).  On the seventh day, on approximately 12/26/03, the pt developed a few vesicles and then over the week some more were noted. A brief rhinorrhea was reported as well. The mother reported that the child may have had "atypical measles" and she was unsure of what she was seeing. A facial rash was also noted and reported as "almost like roseola". The pt had no fever or wheezing, was playful but minimally "clinging". The mother reported that the child would be assessed at the clinic. In follow up information from a physician, it was noted that the pt developed a rash on 12/20/03. The pt was seen for an office visit and was diagnosed with right otitis media, acute upper respiratory infection, rhinorrhea and viral exanthem. The physician reported that at the time of vaccination, the pt had serious otitis media, purulent rhinitis and was under treatment with Pediazole. Concomitant vaccinations on 12/11/03 included a dose of Trihibit (Lot # SU1257AB), a dose of Fluzone (Lot # U1287AA) and tuberculin purified protein derivative, reported as "PPD" (Lot # C12628A). The physician reported that the pt did not have adverse events following prior vaccinations.  It was reported that the pt recovered on either 01/06/04 or 01/10/04.  Additional information is not expected.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a female pt who was vaccinated "as a child" with a dose of MMRII (Lot # not reported). In 2003 a titer was drawn and showed she is non-reactive to rubella. Unspecified medical attention was sought.  Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a female with no relevant medical history reported who was vaccinated "a couple of years ago" with a dose of MMRII (Lot # unknown).  She had been vaccinated twice as a child with MMRII (dates of vaccination not reported, lot # unknown). There was no concomitant therapy.  The pt reported that she did not have antibodies for rubella. She was not checked for antibodies for measles or mumps. Unspecified medical attention was sought. The pt was 29 years old at the time of this report. Additional information has been requested.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Petechiae, Thrombocytopenic purpura
Clinical narrative: Information has been received from a registered nurse concerning a 15 month old male patient who was born a healthy infant with apgar of 9 and 9, with no history of problems with previous vaccinations, no history of allergies and with a history of outpatient pediatric visits for periodic childhood illnesses of colds, diarrhea, otitis media and viral sinusitis. On 12/22/03 the patient was vaccinated with a dose of MMR (lot # 646339/0585N). On 1/11/04 the patient developed a petechiae rash. On 1/12/04 the patient presented to the physician's office. A complete blood count was drawn and the patient had a platelet count of 15. Further information reported that laboratory evaluation done in the physician's office on 1/12/04 revealed the platelet count was 15,000. A repeat platelet count was also done on the same date and sent to an outside laboratory and the result was 7.000. The patient was noted as having idiopathic thrombocytopenic purpura. The patient was being treated with oral steroids, oral prednisone 7ml, twice a day for seven days. The patient was also scheduled for a gamma globulin infusion. Further information received reported that on 1/13/04 the patient was given a 10 gm IV Gamma Globulin infusion and was started on prednisolone sodium phosphate two times a day, total daily dose of 45 mg per day, for 7 days. The patient was seen again in the office on 1/14/04 and laboratory evaluation revealed that the platelet count was 110,000. The child continued on the prednisolone sodium phosphate. On 1/19/04 the child was seen again in the office and laboratory evaluation revealed the platelet count was 587,000. It was noted at this visit that the child was happy, active and that the petechiae was resolving. The patient was prescribed prednisolone sodium phosphate in tapering doses for the next 7 days. Upon internal review, idiopathic thrombocytopenic purpura was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Information has been received from a LPN concerning a 4 year old female with no past medical history or allergies, who on 06/11/03 was vaccinated SC with a 0.5mL dose of MMRII (Lot # 644581/1082M). Concomitant therapy that same day included a dose of DTP and IPV and Augmentin.  On 06/12/03 the pt developed a large, red, swollen area at the injection site of the MMRII that reportedly measured 20x18 inches. Unspecified medical attention was sought. No lab or diagnostic tests were performed. The pt reportedly recovered on an unspecified date. Additional information indicated that the reporter did not think that the site measured 20x18 inches "and if anything it would be in cm and not inches." The reporter indicated that she would need to review the pt's chart "to be sure", and that this was not possible at the time of the report. Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a consumer concerning her 15 month old daughter who on 04/01/02 was vaccinated with a dose of MMRII (Lot # 638706/0745L (also reported as 0745LO)).  The pt's vaccination history was noted to include a dose of DTP, a dose of IPV, and an "RV shot" on 02/27/01, a first, second and third dose of Hib conj vaccine on 02/27/01 (Lot # 638138/1548K (also reported as 1548KO)), 05/01/01 (Lot # 639437/0929L) and 01/09/02 (Lot # 639437/0929L) respectively, a first, second, and third dose of hepatitis B vaccine rHBsAg (yeast) on 08/14/01 (Lot # 640323/0753L), 11/19/01 (Lot # 640323/0753L), and 01/09/02 (Lot # 641449/1230L) respectively, and a dose of varicella virus vaccine live on 01/09/02 (Lot # 638244/0466L). The mother reported that each time the pt "had a shot (any shot)" she experienced a rash around the diaper area and a fever (Hib conj vaccine (WAES # 0401USA01373), hepatitis B virus vaccine rHBsAg (yeast) (WAES # 0401USA01516) and varicella virus vaccine live (WAES # 0401USA01518)).  Unspecified medical attention was sought. The mother was told to "just wait through the fevers". A product quality complaint was not involved. Additional information received indicated that the pt's vaccination with MMRII was not administered by the reporting physician's office. Additional information is not expected. The mother also reported that the pt developed a severe urinary infection after therapy with Hib conj vaccine (WAES # 04/01USA01373).
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Parotitis
Clinical narrative: Information has been received from a physician concerning a "40+" year old female who was vaccinated on an unspecified date with a dose of MMRII (Lot # not reported). Approximately 3 weeks post vaccination the pt developed parotitis. Unspecified medical attention was sought. On an unspecified date the pt "recovered without incident". The reporter indicated that the pt had not been vaccinated at her office, and that there was no way of tracking the pt's previous medical care. Additional information is not expected.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a physician concerning a 21 year old female pt with a unknown medical history who in October 1983 received a dose of MMRII (lot # not reported).  On 10/08/03 the pt was vaccinated with a second dose of MMRII (lot # reported as either 643954/0878M or 644151/1002M).  On 01/12/04 the pt's IgG levels were less than 10 which are considered negative by the testing lab.  Unspecified medical attention was sought. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Information has been received from a physician concerning an approximately 1 year old female patient with no past medical history and no allergies who in approximately 2001 was vaccinated with a dose of MMR (lot # not reported). Secondary, concomitant therapy included a dose of varicella virus vaccine live (lot # not reported). Nine days after vaccination the patient developed a febrile seizure, duration unknown. She had no further seizures. No treatment or ongoing medications was required. The patient fully recovered. Unspecified medical attention was sought. Upon internal review, febrile seizure was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Mucosal inflammation, Rash
Clinical narrative: Information has been received from a physician concerning a 5 year old female pt who was vaccinated with a second dose of MMRII (Lot # not reported). Subsequently, 6 days after being vaccinated, the pt developed a rash which was a "little atypical" and had a lot of mucous membrane involvement. It was reported that the physician was "entertaining" the diagnosis of Kawasaki Syndrome. The pt was treated with immune globulin. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Pain
Clinical narrative: Information has been received from a physician concerning a 20 year old Indian female pt with no past medical history who on 01/16/04 was vaccinated at 15:40 into the left deltoid with a dose of MMRII (Lot # 641627/0666N). There was no illness at the time of vaccination. According to the reporter, the pt was subsequently seen by a dentist for facial pain. On 01/23/04 a dentist's exam was negative and there were no dental problems. The reporting physician questioned if this was possibly parotiditis. Further information will be provided after the pt is examined by the reporter. In follow up information from the physician, it was noted that on 01/22/04 the pt complained of headache and pain on the left side of face that goes to the left shoulder. It was unknown if the pt recovered. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Difficulty in walking, Oedema
Clinical narrative: Information has been received from a physician concerning a pt who was vaccinated with MMRII (Lot # 646555/0812N). Subsequently, the pt developed a swollen thigh which was painful and caused limping. It was unknown if the pt recovered. The physician reported that "she will not use this lot # on anyone else".  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. The reporter also described the events of another pt who developed bruising at injection site and bleeding through skin after vaccination with MMRII (WAES # 0402USA01973).  Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: FLUX, MMR, VARCEL
Symptoms: Conjunctivitis, Rash maculo-papular
Clinical narrative: Information has been received from a physician's assistant concerning a 12 month old male pt who on 01/15/04 was vaccinated with a dose of MMRII (Lot # 645405/0132N). Secondary suspect therapy included vaccination on 01/15/04 with a dose of varicella virus vaccine live (Lot # 644251/1154M). Concomitant medications included influenza virus vaccine and tuberculin purified protein derivative (PPD test). About a week later the mother reported a maculopapular rash on the trunk (also reported as rash broke out on 01/21/04). It was reported that as of 01/27/04 the child also had conjunctivitis. The physician assistant did not believe that the conjunctivitis was related. Unspecified medical attention was sought. It was noted on 01/27/04 that the pt was still being treated for the events. Treatment included Benadryl, Caladryl and Bleph-10 ointment which was prescribed for the conjunctivitis. Additional information has been requested.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Cough, Fatigue, Myalgia, Paraesthesia
Clinical narrative: Information has been received from a RN concerning a 42 year old female with migraines and a history of a positive PPD and cardiac problems in 1999, who on 01/11/04 was vaccinated with a dose of MMRII (Lot # 645907/0511N). Concomitant therapy included isoniazid, progesterone and Axert. On 01/19/04 the pt developed joint soreness, cough and fatigue. On 01/26/04 she visited her physician and had a chest x-ray and flu screening (no results reported). On 01/28/2004 the pt returned to the physician experiencing myalgia, fever of 103F, arthralgia and cough. The physician prescribed fluids, rest and ibuprofen. On 01/29/04 the pt called the physician's office and reported a rash on her chest, face, arms and tingling of her skin from head to toe. She no longer had a fever. At the time of this report, the pt had not recovered. Follow up information from the RN indicated that the pt's condition had improved. At the time of this report, the pt was "still a little sluggish, not so painful." The pt was able to move more freely, there was no itch and the rash had resolved. It was noted that the pt was newly diagnosed with type II diabetes, considered by the reporter to be not related to the other events. The pt was started on metformin 250mg BID. The reporter stated that there was no additional information. Additional information is not expected.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Information has been received from a RN concerning a 42 year old female with migraines and a history of a positive PPD and cardiac problems in 1999, who on 01/11/04 was vaccinated with a dose of MMRII (Lot # 645907/0511N). Concomitant therapy included isoniazid, progesterone and Axert. On 01/19/04 the pt developed joint soreness, cough and fatigue. On 01/26/04 she visited her physician and had a chest x-ray and flu screening (no results reported). On 01/28/2004 the pt returned to the physician experiencing myalgia, fever of 103F, arthralgia and cough. The physician prescribed fluids, rest and ibuprofen. On 01/29/04 the pt called the physician's office and reported a rash on her chest, face, arms and tingling of her skin from head to toe. She no longer had a fever. At the time of this report, the pt had not recovered. Follow up information from the RN indicated that the pt's condition had improved. At the time of this report, the pt was "still a little sluggish, not so painful." The pt was able to move more freely, there was no itch and the rash had resolved. It was noted that the pt was newly diagnosed with type II diabetes, considered by the reporter to be not related to the other events. The pt was started on metformin 250mg BID. The reporter stated that there was no additional information. Additional information is not expected.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Oedema, Pyrexia, Rash morbilliform
Clinical narrative: Information has been received from a 51 year old female nursing student who on 01/16/04 was vaccinated with a dose of MMRII (Lot # not reported). About one week later, on approximately 01/23/04, the pt began feeling rundown and sick. She later broke out in a rash and, at the time of this report, had a rash all over her body and even in her mouth. Her doctor diagnosed her as having a vaccine related measles rash. The pt was also experiencing fever, chills, and swollen glands. She was negative for a strep infection. The pt's outcome was not reported. Additional information is not expected.
Age: 1.6
Sex: U
Vaccine: MMR
Symptoms: Injection site erythema
Clinical narrative: Information has been received from a RN concerning an 18 month old pt who was vaccinated with a dose of MMRII, SC administration. Subsequently the pt developed a localized redness at the injection site. Unspecified medical attention was sought and the pt subsequently recovered from the event.  Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Hypoxia
Clinical narrative: Information has been received from a physician via a company representative concerning a 12 month old female patient with no known allergies or reported medical history who on 1/23/04 was vaccinated SC into the right deltoid at 11:30am with a first dose of MMR (lot # 641627/0666N). There was no illness at the time of vaccination. On 1/31/04 the patient developed a significant prolonged afebrile seizure without warning that lasted about 15 minutes. The patient was hospitalized that day and required intubation. On 2/1/04 the patient spiked a fever without sequelae. On 2/2/04 the patient was reportedly doing well and had recovered relatively rapidly. It was reported that the patient would be discharged on 2/3/04. According to the reporter, a neurologist at the hospital told the patient's mother that the event was directly related to the MMR. The reporting physician was not sure that the MMR was the cause of the seizure if the patient did not have a fever. No further information reported. In follow up information the physician reported that a neurologist had diagnosed the patient with an MMR reaction. An EEG and CT of the head were within normal limits. She was hospitalized for four days and no other problems had arisen per the physician. Subsequently, the patient recovered on 2/2/04. Additional information is not expected.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Rash
Clinical narrative: Information has been received from a RN concerning a 5 year old female with a history of "reaction to albuterol" who on 01/30/04 was vaccinated in the left arm with a dose of MMRII (Lot # 646118/0614N). On 01/31/04 the pt developed a generalized body rash. The pt's mother had called the doctor's office stating that the pt had a very red arm and the body rash, but no fever and no pain. No lab or diagnostic testing was performed. No treatment was required. Unspecified medical attention was sought. The pt's outcome was not reported. Additional information has been requested.
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Medication error
Clinical narrative: Information has been received from a registered nurse concerning a 29 year old white male patient with no illness at the time of vaccination and no past medical history who on 03FEB2004 had measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live sprayed into his eye. It was reported that a child, accompanied by his dad was being vaccinated and then the nurse inserted the needle into the child's arm the hub separated (also reported as syringe separated from needle) and vaccine sprayed out into the dad's eye. The nurse reported this was not a quality complaint as she had not secured the needle. Unspecified medical attention was sought. Follow up information indicated that the eye was irrigated several times that day with water. A slight burning sensation was reported, but no loss of vision, no blurred vision and no pain. It was recommended that the patient visit a primary care physician or ophthalmologist, but the patient did not feel that was necessary. There were no diagnostic or laboratory tests done. It was noted that the patient was recovered on 03FEB2004. No further information is available.
Age: 23.0
Sex: M
Vaccine: MMR
Symptoms: Bacterial infection, Drug ineffective, Hypercholesterolaemia, Laboratory test abnormal, Lymphoma
Clinical narrative: Information has been received from a health care worker and follow up information from a physician concerning a 23 year old Philippine male college student with no illness at the time of vaccination, no allergies and no past medical history reported who in December 2003 (also reported as 12/03/04), was vaccinated intramuscular with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live. It was reported that the first dose was given on 17NOV1992. On 03FEB2004 it was reported by the health care worker that the student now had the mumps. It was noted that laboratory evaluation revealed amylase was 7,000. They physician reported that the patient had parotitis. On 30JAN2004 at 10PM the patient developed bilateral swollen parotid glands. It was reported on 30JAN2004 by the physician that the impression was bilateral parotitis, hypercholesterolemia. It was noted that the patient awoke in the AM of 30JAN2004 with markedly swollen parotid glands. His oropharynx was unremarkable and he did not have difficulty swallowing. There were no other nodes palpable anywhere else. He had not had any dental work for several years. The physician noted there was the possibility of staphylococcal parotitis or Micholette syndrome. The patient was to be monitored for possible lymphoma although the physician noted that this appeared to be an acute process. The patient was started on antibiotic therapy cephalexin 500mg three times per day. Laboratory evaluation on 30JAN2004 revealed white blood cell count 11.6x10-3/ul, red blood cell count 5.80x 10-6/ul, AST 62IU/L and ALT 132 IU/L, IgG mumps antibody 2.20, amylase 7210 U/1, creatinine kinase 384 U/L and aldolase 11.3 U/L. On 02FEB2004 the patient was seen and the impression noted was acute mumps. The patient's parotid glands had decreased in size and he felt much better. He was able to chew comfortably. his mumps IgG was positive and his amylase was markedly elevated, although he had no scrotal discomfort or abdominal pain. He was eating. Laboratory evaluation on 06FEB2004 revealed amylase 160U/L. On 09FEB2004 the patient was seen and the impression reported was acute mumps resolving. The parotid swelling had resolved. His amylase had nearly returned to normal and no further follow up was necessary. The physician noted that apparently the patient had a mild acute case of mumps secondary to the recent vaccination. The reporter noted on the follow up information that on 09FEB2004 the patient had recovered from bilateral swollen parotid glands. Additional information has been requested.
Age: 23.0
Sex: M
Vaccine: MMR
Symptoms: Parotid gland enlargement, Parotitis, Viral infection
Clinical narrative: Information has been received from a health care worker and follow up information from a physician concerning a 23 year old Philippine male college student with no illness at the time of vaccination, no allergies and no past medical history reported who in December 2003 (also reported as 12/03/04), was vaccinated intramuscular with a second dose of measles virus vaccine live + mumps virus vaccine live + rubella virus vaccine live. It was reported that the first dose was given on 17NOV1992. On 03FEB2004 it was reported by the health care worker that the student now had the mumps. It was noted that laboratory evaluation revealed amylase was 7,000. They physician reported that the patient had parotitis. On 30JAN2004 at 10PM the patient developed bilateral swollen parotid glands. It was reported on 30JAN2004 by the physician that the impression was bilateral parotitis, hypercholesterolemia. It was noted that the patient awoke in the AM of 30JAN2004 with markedly swollen parotid glands. His oropharynx was unremarkable and he did not have difficulty swallowing. There were no other nodes palpable anywhere else. He had not had any dental work for several years. The physician noted there was the possibility of staphylococcal parotitis or Micholette syndrome. The patient was to be monitored for possible lymphoma although the physician noted that this appeared to be an acute process. The patient was started on antibiotic therapy cephalexin 500mg three times per day. Laboratory evaluation on 30JAN2004 revealed white blood cell count 11.6x10-3/ul, red blood cell count 5.80x 10-6/ul, AST 62IU/L and ALT 132 IU/L, IgG mumps antibody 2.20, amylase 7210 U/1, creatinine kinase 384 U/L and aldolase 11.3 U/L. On 02FEB2004 the patient was seen and the impression noted was acute mumps. The patient's parotid glands had decreased in size and he felt much better. He was able to chew comfortably. his mumps IgG was positive and his amylase was markedly elevated, although he had no scrotal discomfort or abdominal pain. He was eating. Laboratory evaluation on 06FEB2004 revealed amylase 160U/L. On 09FEB2004 the patient was seen and the impression reported was acute mumps resolving. The parotid swelling had resolved. His amylase had nearly returned to normal and no further follow up was necessary. The physician noted that apparently the patient had a mild acute case of mumps secondary to the recent vaccination. The reporter noted on the follow up information that on 09FEB2004 the patient had recovered from bilateral swollen parotid glands. Additional information has been requested.