chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site swelling, Medication error, Skin ulcer
Clinical narrative: Employee given TB screening with Tetanus injected instead of PPD. Local reaction to left forearm with raised lesion in center. No specific treatment given.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site pain, Injection site swelling, Medication error, Skin ulcer
Clinical narrative: Employee given TB screening with Tetanus injected instead of PPD. Local reaction on left forearm around 9 x 6 cm swelling and erythema with small raised lesion in center, 1 cm diameter. Complained of pain at site. No treatment given.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Swelling
Clinical narrative: Employee given TB screening with Tetanus injected instead of PPD. Local reaction on left forearm around 9 x 6 cm swelling and erythema with small raised lesion in center, 1 cm diameter. Complained of pain at site. No treatment given.
Age: 44.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site pain, Injection site swelling, Medication error
Clinical narrative: Employee given TB screening with Tetanus injected instead of PPD. Local reaction to left forearm around 10 cm diameter with 1 cm raised lesion in center. Complained of pain at site. No specific treatment given.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Patient had a febrile seizure five hours after MMR and Varicella administered.
Age: 39.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema
Clinical narrative: 2 cm erythematous plague
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Left thigh reddened area 12.5 cm x 14 cm. Swollen, painful x 2 days. Diagnosed cellulitis left leg. Antibiotics given. No allergy previously to vaccines.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Swelling, Tenderness
Clinical narrative: Right arm from shoulder to elbow swollen and tender , not red, not debilitating.
Age: 23.0
Sex: F
Vaccine: HIBV, RAB
Symptoms: Rash
Clinical narrative: Rash to bilateral buttocks and upper leg 2 days after first Rabies vaccine. Second vaccine given day prior. Pt told to take Benadryl prn.
Age: 0.37
Sex: F
Vaccine: DT, DTP, IPV, TD
Symptoms: Injection site induration, Pain
Clinical narrative: Protruding bump on left arm. Painful when touched.
Age: 1.4
Sex: F
Vaccine: DTAPH
Symptoms: Swelling, Urticaria
Clinical narrative: Large local swelling and hives on legs, buttocks, face. No difficulty breathing or facial swelling. Sxs started after 24 hours.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Diagnosed with atypical varicella 8/23/04
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Dysphonia, Injection site erythema, Injection site induration, Pain, Swelling
Clinical narrative: Pt developed tenderness, induration, erythema of left arm where vaccine placed; also swelling of left hand, neck, head pain and hoarseness, 1 hour after receiving vaccine.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Tenderness
Clinical narrative: Pt developed tenderness, induration, erythema of left arm where vaccine placed; also swelling of left hand, neck, head pain and hoarseness, 1 hour after receiving vaccine.
Age: 0.2
Sex: F
Vaccine: HIBV, PNC
Symptoms: Abscess
Clinical narrative: Small abscess: on abx.
Age: 36.0
Sex: M
Vaccine: TD
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 102, body aches
Age: 43.0
Sex: U
Vaccine: HEP
Symptoms: Arthralgia, Lethargy, Lymphadenopathy, Oedema, Pain
Clinical narrative: Fever low grade 99.5-100.5 2 weeks and ongoing till current. Severe body pain evening after injection. Swollen/painful right finger joints.  Constant pain in right hip-Motrin 800 does not help. Lethargy. Swollen Lymph glands.
Age: 43.0
Sex: U
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: Fever low grade 99.5-100.5 2 weeks and ongoing till current. Severe body pain evening after injection. Swollen/painful right finger joints.  Constant pain in right hip-Motrin 800 does not help. Lethargy. Swollen Lymph glands.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Irritability
Clinical narrative: Infant crying for the evening, but slept at night and is crying again today since he awoke. Time 10:30AM. He is consolable, has not cried for 3 hours solid. But he is irritable.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity
Clinical narrative: Hypersensitivity rxn
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness, swelling at site of injection that spread almost to elbow (all upper arm).
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Child developed fever 102 degrees on 8/20, 8/21, 8/22/04. On 8/25/04 developed fine red rash on trunk. Fever gone. Child feels well. Twin brother had same immunizations without problems.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Orange sized red circle left arm
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site reaction, Oedema
Clinical narrative: Redness, swelling getting worse in past 24 hrs. Low grade fever. Site is warm to touch. Reaction on Right leg. Tx: Erythromycin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Redness, swelling getting worse in past 24 hrs. Low grade fever. Site is warm to touch. Reaction on Right leg. Tx: Erythromycin.
Age: 0.92
Sex: F
Vaccine: DTAP
Symptoms: Anorexia, Congenital jaw malformation, Constipation, Dyskinesia, Irritability
Clinical narrative: Jaw locked in the open position, tongue stuck out stiff, couldn't close mouth or move tongue for hours at a time, not even to eat, drink-head jerking, constipation, fever, fussy, runny nose, loss appetite, snoring.
Age: 0.92
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Rhinorrhoea, Tongue disorder
Clinical narrative: Jaw locked in the open position, tongue stuck out stiff, couldn't close mouth or move tongue for hours at a time, not even to eat, drink-head jerking, constipation, fever, fussy, runny nose, loss appetite, snoring.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Pruritus
Clinical narrative: 8/19/04 pt received DTaP and IPV on right thigh. Pt had a red itchy rash to the left of injection site.
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Gait disturbance, Injection site pain, Pain
Clinical narrative: Pt received Td booster in left deltoid 8/16/04 around 4PM and called the Health dept. on 8/17/04 reporting the usual soreness around injection site in left deltoid, but also reporting soreness in left arm and bad pain in anterior area of upper left thigh. States pain was bad enough to cause her to limp and that she could hardly walk. Several hours later, the pain moved to lateral aspect of upper left thigh and was dull and throbbing. She was seen by a physician on 8/18/04 who told her leg pain was not assoc. with vaccine in arm. Pain lessened after moving about but returned after resting. Pain in leg lasted until 8/19/04 and then resolved itself. On 8/23/04 she stated no more problems with leg or arm.
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: chicken pox >50 lesions, symptomatic care.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Edema, warmth, erythema and pain. Left deltoid <24 hrs after vaccines.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Vomiting
Clinical narrative: Pt vomited x2 on waking the morning after receiving MMR.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Drug ineffective, Viral infection
Clinical narrative: 7/19/04 mild chicken pox in a vaccinated child, no treatment, symptoms: clear and then white blisters with red base per mom, afebrile.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Next day 1" round red hard warm at site of injection.
Age: 17.0
Sex: F
Vaccine: TTOX
Symptoms: Rash maculo-papular
Clinical narrative: Mom called 1 day after vaccination to notify of a raised,itchy, rash on BLE. No other complications. Taken Benadryl 25mg and Rx for Medrol dose pak called to pharmacy.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Drug ineffective, Erythema, Pyrexia, Viral infection
Clinical narrative: Mother called our office on 8/24/04 to report chicken pox. Child developed rash evening of 8/23. Had approx 40 lesions on trunk, head, face, and genitals. Lesions described as red dots with fluid filled blisters. Temp 99 on 8/23 afebrile after that. Sibling was seen in our office on 8/12/2004 with modified varicella post immunization.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Drug ineffective, Viral infection
Clinical narrative: Seen 8/12/04 in our office by Dr with scattered lesions vesicular, on head, in mouth, on back, legs, and genitals. Diagnosed with modified varicella. Afebrile. Rash developed 8/11/04 in evening and lasted till 8/16. Had varicella vaccine on 02/12/97.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Rec'd call from pt's mom on 8/18/04 c/o left arm red and swollen and painful. No fever. Mom brought pt in to have arm checked, Dr checked arm and area was 10cmx5cm erythema and warmth, treated with cool compresses and Benadryl. Contacted Health Dept and reported incident. On 8/23/04 f/u phone call to pt's mom and stated area did become larger next day but now subsiding.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Employee stated two hours after receiving HBV booster, she started itching, developed a rash on arms. Reported same to employee health nurse on 8/23/04. No other complaints. Booster given because employee titer was negative after series of 3.
Age: 25.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Injection site discolouration, Rash macular
Clinical narrative: Diffuse erythematous blanching macular rash across torso and flexor surfaces of upper arms and upper legs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Mom noticed red, swollen area last night at bedtime. Temp 100.4.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal pain upper, Malaise, Nausea, Ocular hyperaemia, Tremor
Clinical narrative: Shaky, not feeling well, stomach hurts, eyes red, feels like she will vomit. Gave Benadryl 12.5mg in office.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: left arm redness, swelling and slight itching. Treatment with Benadryl and cool compresses.
Age: 14.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash
Clinical narrative: Fine, dry rash; no redness or itching. No fever; feels fine. No other complaints. Rash is on face, neck, upper chest, arms and back.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia, Vomiting
Clinical narrative: Irritable, fever, decreased appetite, vomiting x1
Age: 0.24
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Client developed reddness and swelling  of left upper arm approximately 24 hours after DTaP injection. Mother did not feel it was necessary to go to a physician. She gave the client Tylenol and also applied cool packs. Client's arm today is much improved.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Swollen left arm red and warm to touch 8/11/2004 applied ice to site fever 99.6 ice and tylenol used.
Age: 44.0
Sex: F
Vaccine: JEV
Symptoms: Dysphagia, Fatigue, Influenza like illness, Lymphadenopathy, Rash
Clinical narrative: 3 days after injection #2 Japanese Encephalitis vaccine noted fatigue; day #4 inc. fatigues, self med with ibuprofin, day #5 F/U appointment after ear surgery, c/o swollen glands, "spots" on face & side of torso, referred to PCP by ENT, day #6 rash increasing "barely able to swallow" increasingly "flu-like" to PCP, tx with "steroid shot in gluts", 5 day prednisone 20mg 2 po qd & antibotics.  Reports on Day 7 after vaccine "much improve", rash on face visible.
Age: 0.0
Sex: F
Vaccine: ANTH, DT, HEP, HEPA
Symptoms: Injection site atrophy, Joint range of motion decreased, Malaise, Myalgia, Skin discolouration
Clinical narrative: This 37-year-old female received anthrax # 3-4 ?, yellow fever, typhoid, Tetanus-Diphtheria, IPV, Hepatitis A, Hepatitis B, MMR, PPD, and her Meningococcal vaccinations on March 6, 2004.  She reports mild muscular aches, pain and malaise immediately following these vaccinations.  Within one month she began to notice a dark patch with a 1-2 inch indentation below the immunization site just under the left deltoid.  This indentation extended around the back of her left arm.  She noticed a muscular pulling pain with movement, such as when flapping her arms, swinging a hammer or pulling from the left side towards her body (adduction).  She states lifting objects in front of her does not elicit the pulling pain sensation.  She reports a constant "pulling ache" averaging a 4/10 daily.  This ache becomes a 7-8/10 with movement.  She has noticed some decrease in the use of her left arm because of this indentation and the pain it creates requiring her to limit the amount of time she works on one project.  She can continue with her activities after a few minutes of rest.  She no longer can lift weights or due her push-ups due to the arm pain.  During June 2004, she sought medical care with a doctor who had her follow-up with a neurologist on July 14, 2004.  This neurologist advised her she was "ok" and the doctor placed her in physical therapy.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Convulsion, Crying, Cyanosis, Fall, Injury
Clinical narrative: Parent called immunizations 9/1/04 @ 1200. Child came into Immunizations @ 1500 on 8/31/04 for his preschool immunizations. Mom stated he was well, no fever in the last 7 days,never had any problem with his previous immunizations was premedicated with Motrin at 1300 on 8/31/04. Immunizations were given without difficulty.  Parent states she gave him another dose of Motrin at approx 1800 so he wouldn't hurt.  States child was playing on the couch fell and hit the right side of his head and cut his right ear lobe.  Stated he was knocked out for approximately 5 minutes.  Stated she and her husband took the child to the emergency department.  He was not running a temperature at that time.  The ear was sutured (4 Stitches) and he was very upset.  The E.R. didn't do a CAT scan because the child wouldn't stay still and was crying non-stop.  Mother states she was given instructions on what to do by the E.R. Dept and the M.D.  Mother states she gave her child another dose of Motrin @ 11:00 p.m. and he was not running a fever at that time.  Mother states child slept with her that night and she awakened at 6:00 a.m. wtih the child seizing, she called 911 immediately.  She stated he seized for approx 10 min., turned blue, stopped breathing and rescue breathing was started by the paramedics. She said when the paramedics did his vital signs after he quit seizing the child's temp was 102.2F. She rode  rode with the ambulance to the hospital E.R. A CAT scan was done as well as an EEG and she was told they were O.K.  She said she was given an appointment with a pediatric neurologist for 9/2/04.  The mother told me on the phone that her child had had a seizure at 6 months of age from an undetermined cause.  She said it wasn't after immunizations and he had not been ill or running a fever at that time.  Mother stated her child has had fevers of up to 102.6 without having a seizure.  She was concerned that the immunizations may have caused the seizure.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Loss of consciousness, Pyrexia, Respiratory disorder
Clinical narrative: Parent called immunizations 9/1/04 @ 1200. Child came into Immunizations @ 1500 on 8/31/04 for his preschool immunizations. Mom stated he was well, no fever in the last 7 days,never had any problem with his previous immunizations was premedicated with Motrin at 1300 on 8/31/04. Immunizations were given without difficulty.  Parent states she gave him another dose of Motrin at approx 1800 so he wouldn't hurt.  States child was playing on the couch fell and hit the right side of his head and cut his right ear lobe.  Stated he was knocked out for approximately 5 minutes.  Stated she and her husband took the child to the emergency department.  He was not running a temperature at that time.  The ear was sutured (4 Stitches) and he was very upset.  The E.R. didn't do a CAT scan because the child wouldn't stay still and was crying non-stop.  Mother states she was given instructions on what to do by the E.R. Dept and the M.D.  Mother states she gave her child another dose of Motrin @ 11:00 p.m. and he was not running a fever at that time.  Mother states child slept with her that night and she awakened at 6:00 a.m. wtih the child seizing, she called 911 immediately.  She stated he seized for approx 10 min., turned blue, stopped breathing and rescue breathing was started by the paramedics. She said when the paramedics did his vital signs after he quit seizing the child's temp was 102.2F. She rode  rode with the ambulance to the hospital E.R. A CAT scan was done as well as an EEG and she was told they were O.K.  She said she was given an appointment with a pediatric neurologist for 9/2/04.  The mother told me on the phone that her child had had a seizure at 6 months of age from an undetermined cause.  She said it wasn't after immunizations and he had not been ill or running a fever at that time.  Mother stated her child has had fevers of up to 102.6 without having a seizure.  She was concerned that the immunizations may have caused the seizure.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Seen on 8/23/04 for evolving rash of the right leg. Diagnosed with varicella zoster. Confirmed by second opinion by another pediatrician.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal sleep-related event, Sudden infant death syndrome, Unevaluable event
Clinical narrative: Infant found deceased in crib. Follow up: this report was received from the Centers for Disease Control and Prevention in response ot Freedom of Information by GSK. This case was reported by the CDC and Prevention and described the occurrence of death in a 2month old male patient who received diphtheria and tetanus toxois and acellular pertussis adsorbed , hepatitis B recombinant and inactivated poliovirus vaccine combined. On 13JULY2004, the patiet received the first dose of Pediarix. On the same day, the paitent also received injectons of Haemophilu influenzae type b conjugate vaccine and 7 valent pneumococcal conjugate vaccine. Approximately eight days following the receiipt of the immunizations, on 21JULY2004, the patient was found dead in his crib. It is unknown whether an autopsy was performed.  Autopsy report received which reveals COD as unexpected death of infant while cosleeping.
Age: 0.03
Sex: M
Vaccine: HEP
Symptoms: Encephalopathy, Respiratory failure
Clinical narrative: Acute encephalopathy; ALTE. Discharge Summary received on 2/1/2005 states final diagnosis as respiratory failure, R/O sepsis.
Age: 15.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Apnoea, Asthenia, Atelectasis, Dysphagia, Faecal incontinence
Clinical narrative: 13 days after vaccine, client developed right shoulder weakness rapidly progressing to total paralysis from neck down. Was diagnosed at hospital with Transverse Myelitis.  Follow up on 09/02/04 states: "Pt is a young man admitted to the hospital with paralysis and respiratory failure to be attributable to extensive (medullary through C5 level) transverse myelitis. He has regained some strength but remains dependent for ADL's and a power chair is his only means of mobility. He remains doubly incontinent due to neurogenic bowel and bladder and also requires catherterization.  Most importantly, his respiratory muscles are still very weak and he can be off the ventilator for brief periods with monitoring of oxygen saturation and end-tidal CO2.  Without ventilator support, he would quickly fatigue and would be at risk to die of atelectasis, pneumonia, or respiratory failure. He will most likely need at least night time ventilatory support long term.  Pt was an entirely healthy and independent young man until he received multiple immunizations after his arrival in the United States. He had some immunizations out of the country, but did not have immunization records when arriving in the US and the schools here required he repeat the immunizations before he could be admitted. He was immunized at the Health Department and not long afterwards developed his current neurological symptoms. Literature on transverse myelitis indicated that immunologic cross-reaction to infectious disease or immunizations are known etiologic factors. We understand that most emergency Medicaid cases are for inpt services. This pt is needing home nursing and durable medical equipment. Without ventilator and nursing support, he would be at risk of serious impairment of bodily functions or death.  Thank you for your attention and consideration to this matter, MD." Information from medical records states apnea, left lower lobe atelectasis, stress ulcer, neurogenic bladder & bowel, incontience, difficulty swallowing.
Age: 15.0
Sex: M
Vaccine: HEP, IPV, MMR, TD
Symptoms: Laboratory test abnormal, Myelitis transverse, Paralysis, Stress ulcer, Urinary incontinence
Clinical narrative: 13 days after vaccine, client developed right shoulder weakness rapidly progressing to total paralysis from neck down. Was diagnosed at hospital with Transverse Myelitis.  Follow up on 09/02/04 states: "Pt is a young man admitted to the hospital with paralysis and respiratory failure to be attributable to extensive (medullary through C5 level) transverse myelitis. He has regained some strength but remains dependent for ADL's and a power chair is his only means of mobility. He remains doubly incontinent due to neurogenic bowel and bladder and also requires catherterization.  Most importantly, his respiratory muscles are still very weak and he can be off the ventilator for brief periods with monitoring of oxygen saturation and end-tidal CO2.  Without ventilator support, he would quickly fatigue and would be at risk to die of atelectasis, pneumonia, or respiratory failure. He will most likely need at least night time ventilatory support long term.  Pt was an entirely healthy and independent young man until he received multiple immunizations after his arrival in the United States. He had some immunizations out of the country, but did not have immunization records when arriving in the US and the schools here required he repeat the immunizations before he could be admitted. He was immunized at the Health Department and not long afterwards developed his current neurological symptoms. Literature on transverse myelitis indicated that immunologic cross-reaction to infectious disease or immunizations are known etiologic factors. We understand that most emergency Medicaid cases are for inpt services. This pt is needing home nursing and durable medical equipment. Without ventilator and nursing support, he would be at risk of serious impairment of bodily functions or death.  Thank you for your attention and consideration to this matter, MD." Information from medical records states apnea, left lower lobe atelectasis, stress ulcer, neurogenic bladder & bowel, incontience, difficulty swallowing.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: Temp 99, redness right arm, warmth to touch between shoulder and elbow injection site approximately 4x6 inches to urgent care PRN.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Developed fine pin point red rash at approximately 11 AM on 9/1/04. Areas of weepy like blotches noted several minutes after pin point rash developed on various parts of the body. Pt brought infant to health department. Sent pt directly to doctors office. Doctor thought possibly milk allergy: formula changed to flu by doctor 9/3/04
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Erythema, Nausea, Rash, Skin discolouration
Clinical narrative: Pt came to emergency dept complaining of rash to upper lateral left arm: a 5 x 5 cm area with honey color crust, mild surrounding erythema and several small vesicles. She reported receiving small pox vaccination at the site 10 days ago (on 8/19). Clinical impression: Impetigo Rx: Keflex 500 mg q 6 hours x 10 days. Temp 102.3. Complained of nausea and vomiting.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Pt came to emergency dept complaining of rash to upper lateral left arm: a 5 x 5 cm area with honey color crust, mild surrounding erythema and several small vesicles. She reported receiving small pox vaccination at the site 10 days ago (on 8/19). Clinical impression: Impetigo Rx: Keflex 500 mg q 6 hours x 10 days. Temp 102.3. Complained of nausea and vomiting.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Redness, swelling resulting in mild cellulitis: treating with Augmentin ES 600/5
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash
Clinical narrative: Fine rash on upper torso. Severe itching. Pt states that she tried Cortisone Cream to relieve the itching with no relief. Pt rash has improved, as of 9/1/04.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Feeling hot, Swelling
Clinical narrative: 8/30/04 Immunization administered around 2.21 pm. Mom started child on meds (see below) in later PM on same date, states noticed child's reaction around 9pm on 8/31/04 of upper left arm red, warm to touch, swollen with fluid filed blisters. Mom denies child having any fever and complaining of pain. Reports reaction to clinic 9/1/04. Went to clinic for assessment and culture of area. 9/1/04.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Very swollen, red, hot left deltoid about 1/2 way down her arm on 8/27/04
Age: 4.5
Sex: F
Vaccine: DTAPHEPBIP, HEP, MMR, VARCEL
Symptoms: Erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: On the left deltoid area there are 2 circle band aids from two days ago. The top one: no reaction. The lower bandaid is reddened form 3.5-4" circular, hot, swollen and painful to touch. No central hardness. Pt complained of itching. I suspect this was the varicella shot. 8/20 FU telephone call. No erythema, no swelling/ "achy" when raises arm
Age: 4.5
Sex: F
Vaccine: DTAPHEPBIP, HEP, MMR, VARCEL
Symptoms: Joint range of motion decreased, Pruritus
Clinical narrative: On the left deltoid area there are 2 circle band aids from two days ago. The top one: no reaction. The lower bandaid is reddened form 3.5-4" circular, hot, swollen and painful to touch. No central hardness. Pt complained of itching. I suspect this was the varicella shot. 8/20 FU telephone call. No erythema, no swelling/ "achy" when raises arm
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: red, raised, feverish area around injection site approximately 7 cm in diameter.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Left upper arm is tender, swollen and erythematous. Right is warmer on touch.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site rash
Clinical narrative: + rash to left leg around injection site
Age: 5.0
Sex: F
Vaccine: IPV
Symptoms: Cerebrovascular accident, Convulsion
Clinical narrative: New onset focal seizures on the left upper extremity. Hospitalized for 24 hours, loaded with phenobarbital, patient s/p intrauterine stroke.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: 1/3/03- anthrax vaccine #1- minor reactions- slight redness, swelling, and tenderness around the injection site x 1week  2/25/03-anthrax vaccine #2- 48 hours after she received her anthrax vaccine, she developed a small "knot" under her tricep area.  The lesion felt soft at first then became firm within a day.  Pain was relieved by OTC Motrin and the lesion slowly dissipated on its own within the next 2 weeks.  The patient denies having any numbness or paresthesias of her hand.  No systemic complaints  3/17/03- anthrax vaccine #3- same as above.  "It was bigger and more painful."  It slowly dissipated on its own within 3-4 weeks.  No other systemic complaints  8/19/03- anthrax vaccine #4- same as above.  It was "now a baseball-sized" lesion and the pain was worse.  The patient also noticed that because of the swelling and pain of the upper arm, she had a limited range of motion in her affected arm.  The lesion lasted 7 weeks.  No other systemic complaints  2/18/04- anthrax vaccine #5- same as above.  "Much bigger and more painful" than the lesion noted above.  This lesion lasted about 2 ½ months.  The pain from the lesion hindered this patient from participating in any activities that involved her affected arm.  "I couldn't do any push-ups, heavy lifting, running, and participate in PT because of the pain."  No other systemic complaints  9/1/04- the patient presented herself to FBRVHC.  She is being asked by her commander to receive her sixth anthrax vaccine at this time.  This patient works as a physician.  She feels apprehensive and concerned that she would develop another lesion that would be "worse" as to hinder her from providing affective patient care.  This patient is requesting an exemption from the anthrax vaccine.  There is no deployment scheduled at this time.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Skin ulcer, Vaccine positive rechallenge
Clinical narrative: 1/3/03- anthrax vaccine #1- minor reactions- slight redness, swelling, and tenderness around the injection site x 1week  2/25/03-anthrax vaccine #2- 48 hours after she received her anthrax vaccine, she developed a small "knot" under her tricep area.  The lesion felt soft at first then became firm within a day.  Pain was relieved by OTC Motrin and the lesion slowly dissipated on its own within the next 2 weeks.  The patient denies having any numbness or paresthesias of her hand.  No systemic complaints  3/17/03- anthrax vaccine #3- same as above.  "It was bigger and more painful."  It slowly dissipated on its own within 3-4 weeks.  No other systemic complaints  8/19/03- anthrax vaccine #4- same as above.  It was "now a baseball-sized" lesion and the pain was worse.  The patient also noticed that because of the swelling and pain of the upper arm, she had a limited range of motion in her affected arm.  The lesion lasted 7 weeks.  No other systemic complaints  2/18/04- anthrax vaccine #5- same as above.  "Much bigger and more painful" than the lesion noted above.  This lesion lasted about 2 ½ months.  The pain from the lesion hindered this patient from participating in any activities that involved her affected arm.  "I couldn't do any push-ups, heavy lifting, running, and participate in PT because of the pain."  No other systemic complaints  9/1/04- the patient presented herself to FBRVHC.  She is being asked by her commander to receive her sixth anthrax vaccine at this time.  This patient works as a physician.  She feels apprehensive and concerned that she would develop another lesion that would be "worse" as to hinder her from providing affective patient care.  This patient is requesting an exemption from the anthrax vaccine.  There is no deployment scheduled at this time.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Localized redness, pain, rash and swelling over a period of three to four days.  No treatment was required
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Acne, Injection site rash, Pyrexia
Clinical narrative: "rash" on L arm @ site of vaccine, like a "pimple" with small dots around it, also same rash on both legs.  Slight fever.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Injection site rash, Pyrexia
Clinical narrative: 8/23/04 received Varicella and MMR. Presents today with 101 temp, decreased appetite, rash with pustules at site of injection
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Headache, Pruritus, Rash erythematous
Clinical narrative: Red, raised head to toe rash 2-3 hours post Td vaccination with itching.  Complained of a headache on day 2 post-vaccination.  Father gave Benadryl po which decreased itching only.  Went to PCP on 8/26/04.  Rec'd steroid injection and allegra po & prn.  Headache gone.
Age: 1.5
Sex: M
Vaccine: MEN
Symptoms: Urticaria
Clinical narrative: "HIVES" ON TRUNK AND FACE DEVELOPING APPOXIMATELY 12 TO 24 HOURS AFTER VACCINE.  SAW MD 2 DAYS AFTER VACCINATION.  MD PRESCRIBED MDEROL DOSE PACK.  HIVES LASTED A WEEK
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Within one hour after vaccination a small area of erythema developed.  Over the course of the next 12 hours, erythema, warmth and edema progressed involving entire right upper arm from axilla to olecrenon.  Mom described arm as very firm. No associated fever, joint involvement or evidence of systemic illness.  Patient seen in PMD's office 48 hours later with area of erythema 10 x 13, nonindurated, blanching with no tenderness.  Mom reports significant improvement at that time.
Age: 33.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP, ANTH, MEN, SMALL, TYP
Symptoms: Cow pox, Hypersensitivity, Rash macular
Clinical narrative: 32 year old male admitted with increasing generalized erythematous rash, starting 8 days after vaccination with smallpox. On 8/10, received smallpox, lot # 4030013, as well as anthrax shot #7 in series, meningococcal (second in series). Felt fine, no problems, only local reaction at Smallpox site, until approximately 2 days ago, increased redness and tenderness locally at site, then erythema spreading distally down left arm initially, but also spreading (no confluently, but patchy/irregular) onto chest, back both legs. No systemic symptoms, fever/chills. No ocular or mouth involvement. No history of skin reactions, skin diseases, eczema, atopic dermatitis, psoriasis, etc. No immunodeficiency disorders or history of recurrent infections. HIV checked within last month; HIV negative. After discussing further with Dermatologist and also with a doctor, it has been apparent that this is not entirely uncommon, with a drug hypersensitivity like reaction developing around a week or so after the vaccination that is non-pustular, and without the sequelae to suggest serum sickness, or SJS/TEN, and the absence of systemic symptoms-that is a self-limited process. In the case of this patient, he was monitored for 48 hours in the hospital with gradual resolution of the rash; in discussion with dermatologist he recommended moderate-potency topical steroid be tried-this was applied to one arm (the arm opposite the vaccination site) to evaluate for any acceleration of resolution of the rash on that arm compared to the rest of the body-but the rash cleared equally. He has now returned to work without limitation-have resumed typical local wound care procedures for the site of vaccination, which has appearance of typical developing adherent scab. The patient never developed fever or other systemic symptoms. The rash never appeared pustular, vesicular, or involved ocular or mucous membranes throughout its course. The rash has now cleared completely with only mild residual hypo-pigmentation around ankles.
Age: 33.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TYP, ANTH, MEN, SMALL, TYP
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site reaction, Rash erythematous
Clinical narrative: 32 year old male admitted with increasing generalized erythematous rash, starting 8 days after vaccination with smallpox. On 8/10, received smallpox, lot # 4030013, as well as anthrax shot #7 in series, meningococcal (second in series). Felt fine, no problems, only local reaction at Smallpox site, until approximately 2 days ago, increased redness and tenderness locally at site, then erythema spreading distally down left arm initially, but also spreading (no confluently, but patchy/irregular) onto chest, back both legs. No systemic symptoms, fever/chills. No ocular or mouth involvement. No history of skin reactions, skin diseases, eczema, atopic dermatitis, psoriasis, etc. No immunodeficiency disorders or history of recurrent infections. HIV checked within last month; HIV negative. After discussing further with Dermatologist and also with a doctor, it has been apparent that this is not entirely uncommon, with a drug hypersensitivity like reaction developing around a week or so after the vaccination that is non-pustular, and without the sequelae to suggest serum sickness, or SJS/TEN, and the absence of systemic symptoms-that is a self-limited process. In the case of this patient, he was monitored for 48 hours in the hospital with gradual resolution of the rash; in discussion with dermatologist he recommended moderate-potency topical steroid be tried-this was applied to one arm (the arm opposite the vaccination site) to evaluate for any acceleration of resolution of the rash on that arm compared to the rest of the body-but the rash cleared equally. He has now returned to work without limitation-have resumed typical local wound care procedures for the site of vaccination, which has appearance of typical developing adherent scab. The patient never developed fever or other systemic symptoms. The rash never appeared pustular, vesicular, or involved ocular or mucous membranes throughout its course. The rash has now cleared completely with only mild residual hypo-pigmentation around ankles.
Age: 1.21
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL, DTAP, IPV, VARCEL
Symptoms: Antisocial behaviour, Autism, Deafness, Speech disorder
Clinical narrative: This case was reported by a physician and described the occurrence of autism in a 3 year old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. On an unspecified date in September 2001, the patient received a dose of Infanrix (dose number not specified). Approximately two years after the administration of Infanrix, on an unspecified date in December 2003, the patient experienced autism. The outcome of the event is unknown. Comment: Autism was assessed as medically serious (OMIC).On follow up, the physician declined to provide further details, stating that there was no direct correlation between the adverse event and the vaccines. Follow up 03/03/05: Recovery status is unknown. 60 Day Follow Up: Legal case, follow up unavailable.
Age: 1.21
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL, DTAP, IPV, VARCEL
Symptoms: Autism
Clinical narrative: This case was reported by a physician and described the occurrence of autism in a 3 year old male patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. On an unspecified date in September 2001, the patient received a dose of Infanrix (dose number not specified). Approximately two years after the administration of Infanrix, on an unspecified date in December 2003, the patient experienced autism. The outcome of the event is unknown. Comment: Autism was assessed as medically serious (OMIC).On follow up, the physician declined to provide further details, stating that there was no direct correlation between the adverse event and the vaccines. Follow up 03/03/05: Recovery status is unknown. 60 Day Follow Up: Legal case, follow up unavailable.
Age: 32.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Per record MMR administered at above named clinic 07/06/04. Pt 10 weeks pregnant at that time. Referred for Perinatology consult.
Age: 32.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Injury
Clinical narrative: Per record MMR administered at above named clinic 07/06/04. Pt 10 weeks pregnant at that time. Referred for Perinatology consult.
Age: 1.43
Sex: M
Vaccine: DTAP, IPV, DTAP, DTPIPV
Symptoms: Rash
Clinical narrative: Rash
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia, Blood urine, Oedema peripheral, Purpura, Renal failure acute
Clinical narrative: 8/21/03 Menomune given. 8/21/03 at well check; aware of need for vaccine Menomune; vaccine given. HSP/Vasculitis was reported on 9/10/03; diagnosed by dermatologist. Started on Prednisone; moderate blood in urine. Biopsy: positive IgA vasculitis. Also on Amoxicillin. Discharge Summary received on 12/15/2004 states pt experienced acute renal failure. Information from 60 day follow-up report states: Developed HSP renal complications from vasculitis.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Vasculitis
Clinical narrative: 8/21/03 Menomune given. 8/21/03 at well check; aware of need for vaccine Menomune; vaccine given. HSP/Vasculitis was reported on 9/10/03; diagnosed by dermatologist. Started on Prednisone; moderate blood in urine. Biopsy: positive IgA vasculitis. Also on Amoxicillin. Discharge Summary received on 12/15/2004 states pt experienced acute renal failure. Information from 60 day follow-up report states: Developed HSP renal complications from vasculitis.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Dehydration, Intracranial pressure increased, Meningitis, Oral intake reduced, Pyrexia
Clinical narrative: High fever less than 24 hours after shots. Swelled soft spot less than 24 hours after shots. Not eating. Nurse follow up on 09/10/04 states: "Meningitis." Records form Adena Medical Center.  Diagnosis was probable aseptic meningitis.  child transferred to second hospital.      From Childrens' Hospital, Columbus, OH;  09/24/04 Discharge summary states child was noted to be 'notably warm and uncomfortable' the morning of the vaccination. Discharge Dxs Dehydration, fever and viral syndrome. Home after 23hr admit.      From Childrens' 09/24/04 Medical records include H&P  with note of rash on left flank, left TM red, otherwise unremarkable hospital course. Labs unremarkable; Discharged home with complete instructions to parents.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Viral infection
Clinical narrative: High fever less than 24 hours after shots. Swelled soft spot less than 24 hours after shots. Not eating. Nurse follow up on 09/10/04 states: "Meningitis." Records form Adena Medical Center.  Diagnosis was probable aseptic meningitis.  child transferred to second hospital.      From Childrens' Hospital, Columbus, OH;  09/24/04 Discharge summary states child was noted to be 'notably warm and uncomfortable' the morning of the vaccination. Discharge Dxs Dehydration, fever and viral syndrome. Home after 23hr admit.      From Childrens' 09/24/04 Medical records include H&P  with note of rash on left flank, left TM red, otherwise unremarkable hospital course. Labs unremarkable; Discharged home with complete instructions to parents.
Age: 0.24
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Apnoea, Constipation, Cyanosis, Infection
Clinical narrative: Mom reported an episode of apnea and turning blue during waiting time at ER. Mom took him for constipation one day after vaccines with no report of this in office visit. No abnormalities during a 48 hour observation in office. Discharge summary states infection. msv
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Asthenia, Fatigue, Myalgia
Clinical narrative: Joint pain/muscle aches over entire body. Weakness/fatigue. Knees and hip continues to hurt.
Age: 23.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Pt developed a rash starting the day of the vaccine. No fever. Did not seek medical help.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Pyrexia, Skin discolouration
Clinical narrative: Fever of 102.1. 4 runny diapers, small green circle above naval size of quarter.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Balance disorder, Coma, Disorientation, Febrile convulsion, Feeling hot
Clinical narrative: Assumed febrile seizure (no one witnessed it)-Pt woke from nap and was 'frozen' on the bed staring and looking stunned. Non-responsive and disoriented, extremely hot to the touch-dazed and unsteady, so called ambulance and went to ER (4 days after shots).
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Staring
Clinical narrative: Assumed febrile seizure (no one witnessed it)-Pt woke from nap and was 'frozen' on the bed staring and looking stunned. Non-responsive and disoriented, extremely hot to the touch-dazed and unsteady, so called ambulance and went to ER (4 days after shots).
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Red, edematous, warm right upper arm down to elbow, encompasses 2.5 circumference of arm-lateral portion. Temperature 100F. Macular papular rash associated with this in same area with marked induration.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash macular, Rash papular
Clinical narrative: Red, edematous, warm right upper arm down to elbow, encompasses 2.5 circumference of arm-lateral portion. Temperature 100F. Macular papular rash associated with this in same area with marked induration.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Headache, Lacrimation increased, Muscle spasms, Musculoskeletal stiffness, Nasal congestion
Clinical narrative: On 08/09/04, immediately after injection, pt started a headache and stiff neck which lasted 2 days. On 08/11/04PM, he had a fever (did not check temperature). Also complained of muscle cramps in back, nasal congestion, watery eyes, and sore throat. Starting 08/11/04.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: On 08/09/04, immediately after injection, pt started a headache and stiff neck which lasted 2 days. On 08/11/04PM, he had a fever (did not check temperature). Also complained of muscle cramps in back, nasal congestion, watery eyes, and sore throat. Starting 08/11/04.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Within 24 hours of receiving Pneumococcal shot pt developed red, warm, painful area from injection pt left deltoid to just above the elbow. No previous reaction to Pneumonia shot. Treated with Prednisone for 3 days. Rest and sling to affected arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Area red, raised, warm. Seen by CPNP.
Age: 4.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR
Symptoms: Oedema
Clinical narrative: 08/25/2004, here for routine health maintenance-this 08/27/04 AM, mother noticed swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Skin discolouration
Clinical narrative: Child received 2 vaccines in same arm/area. Area was darker in color, firm to touch, warm and tender to touch. Child stated he could not straighten/bend elbow. Mother stated she noticed swelling about 24 hours after. Child stated he had fallen on elbow at school.
Age: 12.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Agitation, Pruritus, Swelling face
Clinical narrative: Pt returned to clinic 25-30 minutes after TD and Varicella administered with severe itching, facial swelling and agitation. Given 25mg Benadryl per mouth and 0.5mL Epinephrine SQ.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Constipation, Crying, Somnolence
Clinical narrative: Sleepier than normal. Sleeping greater than 5 hours and would not latch or feed. 1 wet diaper in 12 hours. Odd cry for approximately 10 minutes.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Developed increased fever and headache on Saturday 08/14.  Stiff neck, discomfort occurred Sunday 08/15.  To say PMD 08/16.  08/18: Fully recovered and off to school.