chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.75
Sex: F
Vaccine: IPV, PPV
Symptoms: Pyrexia, Rash, Rash erythematous, Respiratory arrest
Clinical narrative: Pt seen in office the following Monday 07/25/2005 for follow up. Over the weekend pt experienced fever a max of 104.5, no breathing problems since Friday 08/22/2005. Pt had respiratory arrest that required rescue breathing and a visit to ER that evening where pt was given Tylenol, pt did received injections in ambulance en route. There is a 3-4 cm slightly raised area on right thigh with mild echymatic changes in the surrounding tissue. There is a rash over entire body mostly concentrated on pt's back. Treated fever with alternating doses of Tylenol and ibuprofen, treated rash recommended Benadryl routinely until resolved.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Crying, Dyskinesia, Screaming
Clinical narrative: Mom called 08/17/2005 immunizations given 08/09/2005. Excessive crying started 08/15/2005 night et day. Noticed increased jerky movement in arms and legs since immunization. Denies seeing these movements prior to 08/09/2005. Will hit self in the head frequently. Going to hospital 08/18/2005 for under developed trachea. (mother called Dr. bout the crying.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Tenderness
Clinical narrative: On 08/22/2005 DTap was given on right deltoid area. On 08/23/2005 pt came H/O pain and swelling of right deltoid area 4 x 4 erythema, hot to touch, mild tenderness.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Feeling hot, Hyperhidrosis, Injection site pain, Pallor
Clinical narrative: Per telephone call from mother, pt. had swelling, redness,warmth to touch and pain from site of injection to 6 inches below site of injection in a 2 inch band nearly around the arm.  Initially patient was pale and diaphoretic and this lasted about 4 hours. Per review of immunization record, most recent Td was 9/8/03.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Swelling
Clinical narrative: Per telephone call from mother, pt. had swelling, redness,warmth to touch and pain from site of injection to 6 inches below site of injection in a 2 inch band nearly around the arm.  Initially patient was pale and diaphoretic and this lasted about 4 hours. Per review of immunization record, most recent Td was 9/8/03.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 30 MINUTES AFTER HEPATITIS B ADULT DOSE GIVEN, PT REPORTED FEELING DIZZY, DIAPHORETIC, AND "OUTSIDE OF BODY".  NO C/O FEVER, HIVES, OR LOSS OF CONSCIOUSNESS.  SELF RECOVERED IN FEW MINUTES.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Dyskinesia
Clinical narrative: Jerking of face - onset 8/25/05. No fever. Taken to Urgent Care then sent to ER. Mother states an MRI and blood sugar was done. Cause undetermined by physician who then advised follow-up with a neurologist. Child scheduled for EEG 8/29/05. Family history of diabetes and maternal grandmother has epilepsy. Intermittant jerking continues, but child is able to perform daily activities.
Age: 0.46
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Unevaluable event
Clinical narrative: None known
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: 8-28-05 - Broke out in hives on trunk and arms.  Ongoing hives/pruritis continue to be present today (9-6-05).  8-29 and 8-30-05 fever.  Pt will visit doctor today (9-6-05).
Age: 0.65
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Unevaluable event
Clinical narrative: From April 7-April 15, 2005, four babies were in for immunizations, Pediarix lot# GSKAC21A012BA was written on record of all four. It was found at a later date by inventory that there should have been only three left of that lot# of Pediarix. Therefore after consulting with immunizations representative at state we had all four babies return four weeks later for another dose of Pediarix.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Unevaluable event
Clinical narrative: From April 7-April 15, 2005, four babies were in for immunizations, Pediarix lot# GSKAC21A012BA was written on record of all four. It was found at a later date by inventory that there should have been only three left of that lot# of Pediarix. Therefore after consulting with immunizations representative at state we had all four babies return four weeks later for another dose of Pediarix.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: From April 7-April 15, 2005, four babies were in for immunizations, Pediarix lot# GSKAC21A012BA was written on record of all four. It was found at a later date by inventory that there should have been only three left of that lot# of Pediarix. Therefore after consulting with immunizations representative at state we had all four babies return four weeks later for another dose of Pediarix.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Herpes zoster, Rash
Clinical narrative: Child was taken to doctor due to a rash on upper right leg, that progressed to right hip and back. Rash was diagnosed as shingled (herpes Zoster) and child started on Acyclovir 4.5 mg PO every 8 hours - per parent report.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Hyperventilation
Clinical narrative: One generalized clonic seizure lasting about 5 minutes. 24 hours after receiving 4 month immunizations. Information received from discharge summary states hyperventilation. msv
Age: 0.49
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Medication error
Clinical narrative: Menactra given to 6 month old instead of Prevnar.
Age: 12.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Day after immunizations given patient noticed redness around injection site with pain.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Fever one day after vaccine NOS.
Age: 11.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Chills, Pyrexia
Clinical narrative: Started feeling cold on the day of the Menactra shot, previously felt hot.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Cellulitis, Chills, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Fever, chills,aches, left deltoid swollen, tender, and cellulitis at injection site.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills,aches, left deltoid swollen, tender, and cellulitis at injection site.
Age: 29.0
Sex: M
Vaccine: VARCEL
Symptoms: Pericarditis
Clinical narrative: Pericarditis
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Oedema, Pyrexia
Clinical narrative: Mother called office 09/01/2005 to report child's arm swollen and fever of 101 on 08/31/2005. No fever today, but arm swollen yet. Discussed SE of DTap. She feels a Dr visit is needed, appt for 10:45 09/01. TC to DR to report date of vaccine. Tc to DR later in day to check Diagnosis. Dr felt was reaction to MMR. No treatment.
Age: 1.65
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: 30 scattered vesiculopapular lesions face neck trunk.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site oedema, Syncope
Clinical narrative: Left arm over deltoid with erythema, faint, warm, and slightly swollen local 5th Dtap.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Musculoskeletal stiffness
Clinical narrative: 3rd after 1st series Pediarix/PVH/Prevnar had cry out, stiff, foamed at mouth, and then slept for a while.
Age: 35.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Abdominal pain upper, Nausea, Swelling
Clinical narrative: Shot- slight swelling golf ball size in muscle.  Felt sick to stomach, arm hurt.  Sent home by boss.
Age: 41.0
Sex: F
Vaccine: TTOX
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Left lower neck lymph node enlarged, marble sized hard and sore, no redness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Redness of left deltoid seen by Mother on 08/30/2005, child had received 2 vaccines this day, area some 70 mm length wise - Mom giving Tylenol or Motrin, cool packs - provider gave this advise also- to be see again if having problems.
Age: 0.54
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure less than 5 minutes, 06:30 08/30/2005.  Resolved on own.
Age: 22.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Dizziness, Pharyngolaryngeal pain, Vomiting
Clinical narrative: Vomiting, dizzy, weak, sore throat.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Pain, Swelling
Clinical narrative: Complained of pain and swelling left upper arm.  Diagnosed with Cellulitis.  Treated with Augmentin, Ibuprofen, and cool compresses.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass
Clinical narrative: 5-6cm redness on left thigh lower thigh with 0.5cm hard mass underneath skin.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Red swollen about 5 inches in diameter.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Oedema peripheral
Clinical narrative: Upon arising on 09/02/2005 left arm was red, warm to touch with swelling to elbow.  One large blister size of quarter in deltoid area with 100 (approximately) small blisters on left upper arm, no temperature.
Age: 0.59
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: 08/02/2005 Temperature 102 degrees tympanic fever started evening before.  Motrin 1/2 dropper every 4 hours ordered for fever.  Hives at home. 08/15/2005 temperature 98.8 degrees - follow up.  Fussy - Mother states history of Asthma, albuterol 4 times a day.  08/17/2005 - Temperature 104 degrees - axillary, Motrin give, Mother called health department 08/24/2005 to report this event.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Rash macular
Clinical narrative: Patient received dtap left thigh intramuscularly and IPV left thigh intramuscularly on 08/29/2005.  On 09/01/2005 patient was assessed by doctor to have local reaction to vaccine left anterior thigh with large red macular lesion.  Benadryl with cool compresses were recommended.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site hypersensitivity
Clinical narrative: 4 Year immunizations administered on 08/29/2005. Patient returned on 08/31/2005 stating left arm red and warm at the injection site.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Anorexia, Diarrhoea, Injection site induration, Injection site oedema, Pyrexia
Clinical narrative: 08/19/2005 fever, diarrhea, loss of appetite began, Fever continued up to 103.6F. Injection site on right thigh hard and swollen. Symptoms subsided by 08/24/2005, treated with Tylenol and warm compresses to thigh.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Injection site swelling, Pruritus, Skin ulcer
Clinical narrative: 8 x 12 S cm red, itchy, slightly raised lesion on right buttock, not painful, normal gait, developed less than 24 hour after immunization.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 102.5
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular, Skin ulcer, Viral infection
Clinical narrative: Patient with polymorph ic papular eschar like rash 10 days post vaccine with lesions in different stages consistent with varicella.
Age: 11.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Mouth ulceration
Clinical narrative: client received varicella vaccine on 08/16/2005. Today it is reported 3 days ago area on left arm began itching on exam there is redness swelling with a lesion in the center of the redness. Left arm is warm to touch. There is a lesion on right upper lip that appeared 2 days ago. Referred to MD for evaluation.
Age: 11.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Pruritus, Skin ulcer
Clinical narrative: client received varicella vaccine on 08/16/2005. Today it is reported 3 days ago area on left arm began itching on exam there is redness swelling with a lesion in the center of the redness. Left arm is warm to touch. There is a lesion on right upper lip that appeared 2 days ago. Referred to MD for evaluation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Erythematous patch at right upper arm, non tender Benadryl and Tylenol.
Age: 1.21
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site induration
Clinical narrative: Patient developed hard lump on upper right thigh 2 days after Pediarix injection.
Age: 3.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Day 4-5 after vaccine generalized M/P rash.
Age: 1.69
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: 5 days post TDaP patient developed fever 103-105 lasting 3 days, previous history same senerio with DTaP # and DTaP #2. 5 days post immunization fever 103-105 lasting 5-7 days. No other complaints, treated with ibuprophen and Tylenol. To ER re. fever, Dr feels vaccine relate, will f/u in office.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Pt had seizure after 24 hours of vaccine administration, had hospital FN on 08/31/2005 doing fine no neurological underlying conditions.
Age: 1.96
Sex: F
Vaccine: HEPA, PNC
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 7 cm x 8 cm edema and erythema, swollen, mild warm left upper lateral arm.
Age: 46.0
Sex: F
Vaccine: HEPAB
Symptoms: Hepatitis A, Jaundice, Lethargy
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of yellow appearance in a 46 year old female subject who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine for prophylaxis. On 7/20/05, the subject received the first dose of Twinrix (lot AHABA026AC). At an unspecified time following the first dose of Twinrix, on or after 7/20/05 and on or before 9/6/05, the subject experienced a yellow appearance, and lethargy. The subject was seen at the physician's office and was treated with antibiotics. The healthcare professional reported that, " the patient claims that she developed hepatitis A from the Twinrix vaccine." As of 9/6/05, "tests for hepatitis A have been conducted but the results are not known at this time." The vaccination course with Twinrix was discontinued. The outcome of the events was not reported. The healthcare professional considered the events were not related to vaccination with Twinrix. Comment: Yellow appearance was assessed as medically serious (OMIC).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Rt shoulder area of 5cm diameter erythema with some induration and tenderness---over deltoid.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: MMR injection given IM in L deltoid.
Age: 45.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthritis
Clinical narrative: Patient developed post vaccine arthritis 9 days post vaccination.  Symptoms still persist.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Swelling, redness, and warmth to 2" area surrounding injection site on left deltoid. Painful when touched. 8-7-05 symptoms resolved.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Agitation, Emotional distress, Fatigue
Clinical narrative: Mother states after immunization Hep B 1 on 07/22/2005 child was agitated, fatigued, changed mental status, this was reported when came in to get 2nd immunization on 08/26/2005 child had never had any previous vaccines at all.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Injection site induration, Oedema, Oedema peripheral
Clinical narrative: Mom states that next am after immunization, patients left arm was hard and red then thru out the day his arm got swollen, red area with hardness spread. Called on day 2 after immunization. large, red, hard, swollen, warm to touch from shoulder to elbow. Treatment; cold packs, Tylenol PRN and monitor call MD if no improvement.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Hypersensitivity, Oedema, Sensation of heaviness
Clinical narrative: Stated 08/31 pm swollen arm, heavy, red, hot, MD visit 09/01/2005 Rx Biaxin 500mg BID x 7 days. Resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema multiforme
Clinical narrative: 10 days after vaccine administration, developed erythema multiforme minor.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Anaemia, Medication error, Platelet count decreased
Clinical narrative: Initial report received from a patient's parent on  Aug 31 2005. A 17 year old female patient with no significant past medical history had received an injection of Menactra, lot number unknown, administered subcutaneously in error in June 2005. Two months later, during a routine doctor visit, a platelet count was done and was noted to be 20,000. The patient had no other symptoms. At the time of this report the patient had not recovered from this event. (OMIC) Follow-up report states: The platelet count went up to 50,000 after IVIG but then fell to 30,000 again. The patient has had no symptoms. The hematologist elected to treat with IVIG, even though the patient had no bleeding or other problems. The patient is midly anemic (hemoglobin 10), but anemia runs in the family. The patient left for college and is doing fine. She will be followed at the college. When the pediatrician finds out the name of the hematologist, she'll call me with that contact information.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Contusion, Thrombocytopenia
Clinical narrative: Initial report received from a patient's parent on  Aug 31 2005. A 17 year old female patient with no significant past medical history had received an injection of Menactra, lot number unknown, administered subcutaneously in error in June 2005. Two months later, during a routine doctor visit, a platelet count was done and was noted to be 20,000. The patient had no other symptoms. At the time of this report the patient had not recovered from this event. (OMIC) Follow-up report states: The platelet count went up to 50,000 after IVIG but then fell to 30,000 again. The patient has had no symptoms. The hematologist elected to treat with IVIG, even though the patient had no bleeding or other problems. The patient is midly anemic (hemoglobin 10), but anemia runs in the family. The patient left for college and is doing fine. She will be followed at the college. When the pediatrician finds out the name of the hematologist, she'll call me with that contact information.
Age: 21.0
Sex: F
Vaccine: YF
Symptoms: Diplopia, Dyspnoea, Headache, Ophthalmoplegia, Visual disturbance
Clinical narrative: Initial report received from a physician on 8/31/05. A 21 year old female patient with a medical history of asthma and a recent urinary tract infection received a SC injection of YF-VAX, lot number UE181AA, on 8/31/05. 60 minutes later, the patient developed shortness of breath, a frontal headache and visual disturbances. The patient did not have respiratory distress and her pulse oximetry was 98%. The patient was treated with ibuprofen and Benadryl. She was evaluated by a physician who noted sixth nerve palsy and diplopia when the patient looks to the left. At the time of this report, the patient had not recovered from the events and was under observation. (OMIC)
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Pyrexia, Salivary hypersecretion
Clinical narrative: Very high fever, seizures, foaming at the mouth. Went to emergency room 8/29 was released. Had another seizure 8/30. Was admitted to hospital.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Electroencephalogram abnormal, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: 5 YO with history of afebrile seizure x1 10/04 cm no reds, neg EEG, CT. No further seizures. 9/1/05 received Dapt, MMR, IPV 4PM less than 1 hr, later had staring, generalized seizure. EEG +. No fever, 9/3/05 reported erythema swelling at Dapt site. Discharge summary states personal distress, vomiting.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Personality disorder, Stupor, Vomiting
Clinical narrative: 5 YO with history of afebrile seizure x1 10/04 cm no reds, neg EEG, CT. No further seizures. 9/1/05 received Dapt, MMR, IPV 4PM less than 1 hr, later had staring, generalized seizure. EEG +. No fever, 9/3/05 reported erythema swelling at Dapt site. Discharge summary states personal distress, vomiting.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Influenza like illness, Injection site hypersensitivity, Pyrexia
Clinical narrative: Patient given Pneumovax 23 prior to discharge, the following day developed 106 fever, flue like symptoms and 4 x 8cm red area where received shot,
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Pyrexia, Vomiting
Clinical narrative: Lump in the left upper arm, fever 101 the day after, vomiting the day after.
Age: 31.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Cellulitis, Injection site oedema, Injection site swelling, Pain, Pyrexia
Clinical narrative: 3" x 6" swelling raised 3/4" with a red line going from injection site to armpit with a lot of pain and slight fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Injection site induration, Pyrexia
Clinical narrative: Left arm has big knot, redness, warm. Took Tylenol Tues after shots and next morning. No fever. Mom reported this by phone.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Anaphylactic reaction, Face oedema, Rash, Urticaria
Clinical narrative: Rash, hives, swollen face within 40 minutes of vaccine. To ER and documented anaphylaxis without shock. Responsive and epi, 1 TC blocker, solumedrol, but still with symptoms, so admit to hospital overnight. 1/13/06 Review of 14-page medical record confirms diagnosis of anaphylactic reaction most likely secondary to immunization. Treated with Methylprednisolone IV, Zyrtec, and Pepcid.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Anaphylactic reaction, Hypersensitivity, Pruritus, Respiratory disorder
Clinical narrative: Rash, hives, swollen face within 40 minutes of vaccine. To ER and documented anaphylaxis without shock. Responsive and epi, 1 TC blocker, solumedrol, but still with symptoms, so admit to hospital overnight. 1/13/06 Review of 14-page medical record confirms diagnosis of anaphylactic reaction most likely secondary to immunization. Treated with Methylprednisolone IV, Zyrtec, and Pepcid.
Age: 26.0
Sex: F
Vaccine: RAB
Symptoms: Hypertension, Pruritus, Rash
Clinical narrative: 15 minutes post-vaccination patient complained of itching all over her body.  Rash in some areas was also visible.  BP was taken at that time and was 150/72 and Pulse was 100.  Ambulance was called to transport patient to the ED.  Patient denied ever having any difficulty breathing.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eye oedema, Oedema, Pyrexia, Urticaria, Vomiting
Clinical narrative: CHILD AWOKE WITH SWELLING OF EYES AND MOUTH AND LEFT ARM. SHE ALSO WAS COVERED WITH HIVES ON HER ARMS, LEGS, TRUNK, BUTTOCKS AND FACE. SHE WAS SEEN IN THE ER AT HOSPITAL AND TREATED WITH PREDNISONE AND BENEDRYL. SHE WAS ALSO VOMITING AND HAD A LOW GRADE FEVER.I SPOKE WITH MOTHER THE NEXT DAY AND THE CHILD HAD RECOVERED ALMOST COMPLETELY - THE HIVES WERE GONE AND THE SWELLING WAS IMPROVING GREATLY.
Age: 41.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Erythema, Injection site induration
Clinical narrative: Varicella Vaccine administered 9/6/05. Redness and induration of about 30 x30 mm.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Unconsolable crying for 48 hours after administration.  Exam was normal.  Partial septic work up was done to rule out other causes.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Fall, Injury
Clinical narrative: Patient fell and her head hit the chair in the waiting room, about 3 to 5 minutes after vaccination, suffer scalp laceration.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives
Age: 0.23
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: The baby develops hives all over the body a few hours after the vaccinations were given. The child went to ER on 08/31/2005 where Benadryl P.O. was prescribed.
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Pt developed local reaction in arm with erythema, swelling, warmth. No neuro vascular deficit. Left arm.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity
Clinical narrative: Local reaction area red, warm 09/07/2005 evening ice applied. Take Benadryl PN.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Pruritus, Rash
Clinical narrative: From initial information received on Jun 02 2005 and Jun 03 2005 from a registered nurse regarding an adverse event occurring in the USA, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1573AC. Administered intramuscularly in the left deltoid and a dose of Tubersol 5 TU, lot # C1954AA, administered intradermally in the left forearm at 5:30pm on May 31 2005. 60 minutes later, at 6:30pm, the patient developed a red, itchy rash on her chest and arms. The rash spread and grew more itchy throughout the following day. The reported stated that the symptoms were considered to be urticaria. The patient did not experience any respiratory difficulties. She was seen by a physician and was treated with IV Solu Medrol. She was sent home on Prednisone, loratadine and ranitidine. Per the reporter, the patient recovered from these events. Follow up information received on Aug 26 2005. Per reporter the rash resolved by June 04 2005. No allergy testing was done. No further information expected.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: From initial information received on Jun 02 2005 and Jun 03 2005 from a registered nurse regarding an adverse event occurring in the USA, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1573AC. Administered intramuscularly in the left deltoid and a dose of Tubersol 5 TU, lot # C1954AA, administered intradermally in the left forearm at 5:30pm on May 31 2005. 60 minutes later, at 6:30pm, the patient developed a red, itchy rash on her chest and arms. The rash spread and grew more itchy throughout the following day. The reported stated that the symptoms were considered to be urticaria. The patient did not experience any respiratory difficulties. She was seen by a physician and was treated with IV Solu Medrol. She was sent home on Prednisone, loratadine and ranitidine. Per the reporter, the patient recovered from these events. Follow up information received on Aug 26 2005. Per reporter the rash resolved by June 04 2005. No allergy testing was done. No further information expected.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Hypersensitivity, Rash pruritic, Urticaria
Clinical narrative: From initial information received on Jun 02 2005 and Jun 03 2005 from a registered nurse regarding an adverse event occurring in the USA, it was reported that an 18 year old female patient received her first dose of Menactra, lot number U1573AC. Administered intramuscularly in the left deltoid and a dose of Tubersol 5 TU, lot # C1954AA, administered intradermally in the left forearm at 5:30pm on May 31 2005. 60 minutes later, at 6:30pm, the patient developed a red, itchy rash on her chest and arms. The rash spread and grew more itchy throughout the following day. The reported stated that the symptoms were considered to be urticaria. The patient did not experience any respiratory difficulties. She was seen by a physician and was treated with IV Solu Medrol. She was sent home on Prednisone, loratadine and ranitidine. Per the reporter, the patient recovered from these events. Follow up information received on Aug 26 2005. Per reporter the rash resolved by June 04 2005. No allergy testing was done. No further information expected.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV, TD, MNQ, PPV, TD
Symptoms: Blister, Cellulitis, Fatigue, Headache, Myalgia
Clinical narrative: 8/24/05 Local pain, weakness, red welts at injection site (LD). 8/25/05 Fever 102 after receiving 800mg IB. Profuse sweating through night. T 103.2 at ER before checked at physician's office. IB given; sent to medical center on 8/26/05. Was given oral antibiotics; spinal tap. Patient had headache and was unable to move her neck. Meningitis was ruled out. Cellulitis was diagnosed. IV Clindamycin was started on 8/27/05, , IV Naphecellin was added on 8/28/05. Patient was released form hospital on 8/31/05 with PIC line and remained on IV Clindamycin for 9 days. The PIC line is scheduled for removal 9/9/05 PM> Patient is still taking oral antibiotic. Patient's mother reports that the Pneumovax injection site was 2" below Menactra injection site on left deltoid and the reaction local redness and swelling, welting seemed to be at the site of the Pneumovax. Doctor office and NP sent in report on the Menactra.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV, TD, MNQ, PPV, TD
Symptoms: Neck pain, Pyrexia, White blood cell count increased
Clinical narrative: 8/24/05 Local pain, weakness, red welts at injection site (LD). 8/25/05 Fever 102 after receiving 800mg IB. Profuse sweating through night. T 103.2 at ER before checked at physician's office. IB given; sent to medical center on 8/26/05. Was given oral antibiotics; spinal tap. Patient had headache and was unable to move her neck. Meningitis was ruled out. Cellulitis was diagnosed. IV Clindamycin was started on 8/27/05, , IV Naphecellin was added on 8/28/05. Patient was released form hospital on 8/31/05 with PIC line and remained on IV Clindamycin for 9 days. The PIC line is scheduled for removal 9/9/05 PM> Patient is still taking oral antibiotic. Patient's mother reports that the Pneumovax injection site was 2" below Menactra injection site on left deltoid and the reaction local redness and swelling, welting seemed to be at the site of the Pneumovax. Doctor office and NP sent in report on the Menactra.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV, TD, MNQ, PPV, TD
Symptoms: Asthenia, Cellulitis, Headache, Injection site erythema, Injection site pain
Clinical narrative: 8/24/05 Local pain, weakness, red welts at injection site (LD). 8/25/05 Fever 102 after receiving 800mg IB. Profuse sweating through night. T 103.2 at ER before checked at physician's office. IB given; sent to medical center on 8/26/05. Was given oral antibiotics; spinal tap. Patient had headache and was unable to move her neck. Meningitis was ruled out. Cellulitis was diagnosed. IV Clindamycin was started on 8/27/05, , IV Naphecellin was added on 8/28/05. Patient was released form hospital on 8/31/05 with PIC line and remained on IV Clindamycin for 9 days. The PIC line is scheduled for removal 9/9/05 PM> Patient is still taking oral antibiotic. Patient's mother reports that the Pneumovax injection site was 2" below Menactra injection site on left deltoid and the reaction local redness and swelling, welting seemed to be at the site of the Pneumovax. Doctor office and NP sent in report on the Menactra.
Age: 18.0
Sex: F
Vaccine: MNQ, PPV, TD, MNQ, PPV, TD
Symptoms: Injection site swelling, Musculoskeletal stiffness, Night sweats, Pyrexia, Urticaria
Clinical narrative: 8/24/05 Local pain, weakness, red welts at injection site (LD). 8/25/05 Fever 102 after receiving 800mg IB. Profuse sweating through night. T 103.2 at ER before checked at physician's office. IB given; sent to medical center on 8/26/05. Was given oral antibiotics; spinal tap. Patient had headache and was unable to move her neck. Meningitis was ruled out. Cellulitis was diagnosed. IV Clindamycin was started on 8/27/05, , IV Naphecellin was added on 8/28/05. Patient was released form hospital on 8/31/05 with PIC line and remained on IV Clindamycin for 9 days. The PIC line is scheduled for removal 9/9/05 PM> Patient is still taking oral antibiotic. Patient's mother reports that the Pneumovax injection site was 2" below Menactra injection site on left deltoid and the reaction local redness and swelling, welting seemed to be at the site of the Pneumovax. Doctor office and NP sent in report on the Menactra.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Cyanosis, Diarrhoea, Gastroenteritis, Headache, Hypoxia
Clinical narrative: 9/3/05 Diarrhea 7:30 AM. 8:00 AM after eating small bowl of cereal, had nausea, vomiting. 10:30-11:00 AM, went to health center. 11:30-12:00 PM, symptoms worse and taken to hospital. Spasms occurring, finger nails blue, O2 saturation poor. Had IV's, Demerol, stool cultures done. Kept overnight. Discharge summary states gastroenteritis, Headache. msv
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Muscle spasms, Nausea, Peripheral vascular disorder, Vomiting
Clinical narrative: 9/3/05 Diarrhea 7:30 AM. 8:00 AM after eating small bowl of cereal, had nausea, vomiting. 10:30-11:00 AM, went to health center. 11:30-12:00 PM, symptoms worse and taken to hospital. Spasms occurring, finger nails blue, O2 saturation poor. Had IV's, Demerol, stool cultures done. Kept overnight. Discharge summary states gastroenteritis, Headache. msv
Age: 7.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bacterial infection, Blood alkaline phosphatase increased
Clinical narrative: None stated. Information from 60 day follow-up report states: pt had brucellosis from eating unpasteurized cheese was not due to vaccine.  Discharge summary states constipation, abdominal pain. hepatosplenomegaly, fever, dehydration, bacterial infection, rash. msv Medical records states hepatitis, pleural effussion. msv
Age: 7.0
Sex: M
Vaccine: HEP
Symptoms: Constipation, Dehydration, Hepatitis, Hepatosplenomegaly, Pleural effusion
Clinical narrative: None stated. Information from 60 day follow-up report states: pt had brucellosis from eating unpasteurized cheese was not due to vaccine.  Discharge summary states constipation, abdominal pain. hepatosplenomegaly, fever, dehydration, bacterial infection, rash. msv Medical records states hepatitis, pleural effussion. msv
Age: 7.0
Sex: M
Vaccine: HEP
Symptoms: Prothrombin level increased, Pyrexia, Rash, Unevaluable event
Clinical narrative: None stated. Information from 60 day follow-up report states: pt had brucellosis from eating unpasteurized cheese was not due to vaccine.  Discharge summary states constipation, abdominal pain. hepatosplenomegaly, fever, dehydration, bacterial infection, rash. msv Medical records states hepatitis, pleural effussion. msv
Age: 11.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Condition aggravated, Convulsion, Electroencephalogram abnormal, Headache
Clinical narrative: Patient immediately complained of a frontal headache but was not dizzy. Headache progressed at home. No nausea or emesis. Patient had a non-febrile epileptic convulsion (pre-existing seizure disorder) at 3 AM. Negative CT exam, EEG positive.
Age: 1.1
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: Pt received Varivax vaccine on 01/19/2005 and was diagnosed with chicken pox on 09/08/2005. (mild case of Chicken Pox).
Age: 25.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Asthenia, Chills, Fatigue, Hot flush
Clinical narrative: Chills, no energy, very tired, gets cold and hot flashes having hard time keeping eyes open.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: States site became red, hot, tender day of vaccine lasting 5-6 days. States area of redness approx 14" x 7 inches approx 1in raised. Temp 102. MD prescribed Bactrim 7/22 but states did not respond to Bactrim. Redness resolved 07/27/2005 states no previous reaction to Tetanus DC diphtheria vaccine.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site hypersensitivity, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Localized reaction to Tetanus and Diphtheria toxoid absorbed measured 4 x 2-3", raised approx one inch, reddened, painful and hard. Low grade temp 99's. C/O headache and above symptoms from  6/14 - 06/16/2005. On 06/20/2005 site 1cm x 1cm hard and tender.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Tenderness
Clinical narrative: Localized reaction to Tetanus and Diphtheria toxoid absorbed measured 4 x 2-3", raised approx one inch, reddened, painful and hard. Low grade temp 99's. C/O headache and above symptoms from  6/14 - 06/16/2005. On 06/20/2005 site 1cm x 1cm hard and tender.
Age: 58.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Arthralgia, Myalgia
Clinical narrative: 58 year old with history of Hyperlipidemia falty level osteopenia. On 04/22/2005 received on dose (1st dose) of Hepatitis A, Hepatitis B vaccine. Three to four days later developed multi joint and muscle pain. Seen by rheumatologist placed on Prednisone so pain improved.
Age: 1.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site hypersensitivity, Injection site reaction, Injection site warmth, Pyrexia, Urticaria
Clinical narrative: DTap given 09/01/2005 that evening developed red welt around injection and low grade temp. Seen 09/07/2005 with 3 x 6 cm red, hot area around inj. No fever on Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Urticaria
Clinical narrative: Red hive 6 inches long 4 inches wide around injection area hot to touch, kept growing until site above injection was at 5PM 08/15/2005, hive started next night.  Knot on hand at injection site still some discoloration with bruise appearance.
Age: 33.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Abdominal pain, Blood urine, Fatigue, Nausea, Pancreatitis
Clinical narrative: Abdominal pain, nausea, fatigue, blood in urine.  Seen at doctor and diagnosed with Pancreatitis.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Irritability, Nasal congestion, Pruritus, Pyrexia, Restlessness
Clinical narrative: Client received IPV #2 on 08/26/2005 around 09:13AM, by 21:30 client developed fever of 102.4 degrees, stuffy nose, itchy/puffy face and wouldn't talk.  Treated with Tylenol, at 03:00 on 08/27 temperature all day, again treated with Tylenol.  On Saturday, 08/27, low grade temperature all day, itchy/puffy subsided.  Highest temperature 102 degrees that night, no treatment, other than restlessness and irritable throughout rest of Saturday and Sunday.  Fever subsided by 08/28.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Swelling face
Clinical narrative: Client received IPV #2 on 08/26/2005 around 09:13AM, by 21:30 client developed fever of 102.4 degrees, stuffy nose, itchy/puffy face and wouldn't talk.  Treated with Tylenol, at 03:00 on 08/27 temperature all day, again treated with Tylenol.  On Saturday, 08/27, low grade temperature all day, itchy/puffy subsided.  Highest temperature 102 degrees that night, no treatment, other than restlessness and irritable throughout rest of Saturday and Sunday.  Fever subsided by 08/28.
Age: 33.0
Sex: F
Vaccine: HEPAB
Symptoms: Diarrhoea, Pruritus, Urticaria, Vaginal infection
Clinical narrative: Patient states started with itching the evening after injection, started with stomach problems.  Pain loose bowel, 30 minutes after injection started with hives the evening after injection or the next day.  Has been taking allergy medication.  States shot caused yeast infection, treated with diflucan.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Livedo reticularis
Clinical narrative: Lower extremity erythema bilateral directly after shots.  Mottled skin on upper extremity and lower extremity after shots.
Age: 0.61
Sex: M
Vaccine: DTAP, PNC
Symptoms: Convulsion, Injection site induration, Tenderness
Clinical narrative: Focal seizure x 3 minutes no significant fever not postictal also pink, indurated, tender left thigh.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Skin ulcer
Clinical narrative: Mom called 09/06/2005, 15 chicken pox spots over body, pox in mouth.
Age: 1.01
Sex: F
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Not adverse event, rather child was accidentally given DTAP today, rather than DTAP ordered.
Age: 1.01
Sex: M
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Not adverse event, rather, child was accidentally given DTAP today rather than the Prevnar ordered.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Drooling, Lethargy, Swelling face
Clinical narrative: 3 hours after vaccine patient developed drooling, was swollen in face, lethargic and seen in ER.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site induration, Injection site reaction, Oedema peripheral, Pruritus
Clinical narrative: Received Menactra 09/06/2005, arm became red, hard, swollen 12 hours after shot.  Area swelling 6 inches from deltoid to elbow - area painful - no fever.  Child given Tylenol initially 09/07/2005 - seen by doctor, 09/08/2005 started on Benadryl.  On 09/10/2005 area no longer red and hard but still swollen.  Advised to continue Benadryl and Tylenol as needed.  Call if not better in 2 days. 09/12/05 per telephone f/u with reporter, additional symptoms included pruritus and warmth at injection site.
Age: 14.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site induration, Oedema peripheral
Clinical narrative: Received Menactra 09/06/2005, arm became red, hard, swollen 12 hours after shot.  Area swelling 6 inches from deltoid to elbow - area painful - no fever.  Child given Tylenol initially 09/07/2005 - seen by doctor, 09/08/2005 started on Benadryl.  On 09/10/2005 area no longer red and hard but still swollen.  Advised to continue Benadryl and Tylenol as needed.  Call if not better in 2 days. 09/12/05 per telephone f/u with reporter, additional symptoms included pruritus and warmth at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Lymphadenopathy, Torticollis
Clinical narrative: Left cervical adenopathy with torticollis, redness and warmth, 5 cm.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Chills, Diarrhoea, Dizziness, Face oedema, Haematochezia
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Joint stiffness, Oedema, Pyrexia
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Chills
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Diarrhoea haemorrhagic, Eye oedema, Face oedema, Fatigue, Headache
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Joint stiffness, Laboratory test abnormal, Liver function test abnormal, Nausea, Neutropenia
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Oedema, Pain, Platelet count decreased, Pyrexia
Clinical narrative: Initial report received from a physician in the USA on August 17 2005. An 18 year old, male patient felt his head swimming, 2 hours after he received an intra muscular injection in the left deltoid of Menactra (lot number U1574AA) on Aug 08/2005. He lied down to nap. 3-6 hours post vaccination, fever and joint stiffness was noted. 12-36 hours post vaccination, he continued with his head still feeling swimmy. Frequent, loose bowel movements were noted (with blood). He had fever and chills that evening (Tuesday). On Wednesday, he continued to have head symptoms, swelling in the neck and slight swelling in the face, and continued with frequent bowel movements. At the time of reporting, the patient did not recover.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Eye swelling, Headache, Lip swelling, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Initial report received from a health care professional on Aug 29 2005. A 20 year old female patient received an injection of Menactra, lot number U1750AA, in the left deltoid on Aug 28 2005. That same evening, she developed swollen eyes and a hive under one eye. She also had lip swelling. 24 hours post vaccination she developed swollen eyes and a hive under one eye. She also had lip swelling.  24 hours post vaccination she developed a fever of 103 degrees F and severe headache. She was treated with Benadryl.  At the time of this report the patient had not recovered from these events.  Follow up information received on Sept 23, 2005. The patient did not have any other vaccinations within the 4 weeks of the administration of the Menactra. The patient also did not have any adverse reaction prior to previous vaccinations.