chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Atrioventricular block, Cardiac failure congestive, Cardiomegaly, Myocarditis
Clinical narrative: From initial information received on 11/14/03 from a health care professional regarding an adverse events occurring in the USA, it was reported that a 72 year old male patient received a Fluzone SV 2003-2004 USP vaccination, lot number U1126AA, administered IM on 10/20/03 at 10:00AM. Three days later on 10/23/03 at 6:00 AM, the patient developed suspected myocarditis with congestive heart failure, atrioventricular block and cardiomegaly. The recovery status of the patient is unknown. No other information was reported.  Follow up on 09/29/04 states: "Despite continued attempts to obtain follow-up, no further information was provided. No further information is anticipated, this case is considered closed."
Age: 60.0
Sex: M
Vaccine: HEP, LYME
Symptoms: Arthritis
Clinical narrative: Arthritis back and fingers. Back surgery, chiropractor, physical therapy, Celebrex, Neurontin, hot tub. Follow up on 02/03/04: "Pt returns for a follow up evaluation. Since he was last seen by another MD in January of 2002 he reports that he has had an increase in his symptoms of pain and "tingling and numbness" about the left lateral thigh.  He describes his symptoms increasing threefold compared to his baseline.  This is worse with extension of his lumbar spine or hips, more so when standing than sitting. He denies any more distal numbness, weakness or tingling, or pain radiating down below the level of his knees. He has been otherwise well.  He now presents for elective follow up. On examination today he has some mild tenderness to palpation with radiating symptoms with deep palpation in the greater sciatic notch.  There is a mild area of tenderness though no discrete neuroma or nodular mass about his SIS. Neurologically he is intact throughout.  He has excellent motor strength throughout. He has 2+ symmetric knee and ankle jerks. His toes are downgoing. Sensation is intact to light tough throughout. The pt was seen and examined by another MD. At this time we feel that the pt indeed has a clinical examination as well as prior electrodiagnostic studies consistent with meralgia paresthetica. After extensive discussion regarding the risks and benefits of the procedure, including the possibility that his current symptoms may be due to degenerative changes of the lumbar spine, pt is in agreement with the plan for surgery. He is tentatively scheduled for 04/09/02. We will see him at the time of surgery.  Pt is here for follow up of a myelogram, post myelogram CT which demonstrates some stenosis of level 3-4 mildly at 4-5. He has what appears to be a listhesis at 4 and 5 but this will need to be further reviewed by the radiologist with MD.  His exam is unchanged. Strength, sensation, deep tendon reflexes reports and epidural injections helped his back pain for approximately two weeks. His has gotten better since his injection, although an MRI has shown a meniscal tear. Examination in regards to his left lower extremity demonstrates no pain on. He has pain on the anterior lateral aspect of his thigh, thought to be related to a neuralgia paresthetica.  He has resolution with regard to his knee pain.  His neuro exam is unchanged. The plan today is injection into the lateral femoral cutaneous nerve. This was done with a sterile technique. He tolerated it well. With no side-effects and signs of infection.  Follow up in three months time for reevaluation by MD.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Balance disorder, Chills, Constipation, Diarrhoea
Clinical narrative: Dizzy spells, diarrhea, cold chills, hot sweats, period came on never went off for 2 1/2 wks. heavy clotting and bleeding, migraine headaches, constipation at times, memory loss, like a fuzziness in the head and off balance at times, tingling in the ear (left), flu like symptoms. Follow up on 11/25/03: "To whom it may concern: I have requested copies of medical record from hospital which I will send later.  If you have questions, please feel free to contact me.  I am still waiting for LOD form to be filled at by my unit investigating officer, so as soon as she does that it will be also sent to you."
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Feeling abnormal, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: Dizzy spells, diarrhea, cold chills, hot sweats, period came on never went off for 2 1/2 wks. heavy clotting and bleeding, migraine headaches, constipation at times, memory loss, like a fuzziness in the head and off balance at times, tingling in the ear (left), flu like symptoms. Follow up on 11/25/03: "To whom it may concern: I have requested copies of medical record from hospital which I will send later.  If you have questions, please feel free to contact me.  I am still waiting for LOD form to be filled at by my unit investigating officer, so as soon as she does that it will be also sent to you."
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Menorrhagia, Paraesthesia
Clinical narrative: Dizzy spells, diarrhea, cold chills, hot sweats, period came on never went off for 2 1/2 wks. heavy clotting and bleeding, migraine headaches, constipation at times, memory loss, like a fuzziness in the head and off balance at times, tingling in the ear (left), flu like symptoms. Follow up on 11/25/03: "To whom it may concern: I have requested copies of medical record from hospital which I will send later.  If you have questions, please feel free to contact me.  I am still waiting for LOD form to be filled at by my unit investigating officer, so as soon as she does that it will be also sent to you."
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain, Skin discolouration
Clinical narrative: Localized reaction to flu vaccine at site of injection-discoloration, edema, soreness extending under the arm. Treatment: ice packs prn, Benadryl 50mgm q 4-6 hrs prn.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Face oedema, Fontanelle bulging, Laboratory test abnormal, Otitis media, Pyrexia
Clinical narrative: 11/8/03 Went to ER 9:15 AM with fever, bulging fontanel, vomiting came  after Tylenol and/or Motrin. Admitted for 1 day. 11/13/03 In doctors office; states swelling to head had gone down but now swollen face and temperature of 99.5. 11/13/03 To ER (temperature 105), fever and otitis media. 11/14/03 Saw doctor and admitted to hospital; fever 105 for 3 days (positive influenza A on 11/14/03). The discharge summary received on 12/24/03 states influenza A.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Viral infection, Vomiting
Clinical narrative: 11/8/03 Went to ER 9:15 AM with fever, bulging fontanel, vomiting came  after Tylenol and/or Motrin. Admitted for 1 day. 11/13/03 In doctors office; states swelling to head had gone down but now swollen face and temperature of 99.5. 11/13/03 To ER (temperature 105), fever and otitis media. 11/14/03 Saw doctor and admitted to hospital; fever 105 for 3 days (positive influenza A on 11/14/03). The discharge summary received on 12/24/03 states influenza A.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome following influenza vaccine.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Hypoaesthesia, Musculoskeletal stiffness, Sensation of heaviness, Tenderness
Clinical narrative: Left arm numbness, then L leg numbness, foot felt heavy and could not lift foot. L shoulder and neck muscles tight and sore to area under L ear. Blood pressure elevated to 170/90.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site cyst, Rash
Clinical narrative: Rash on inside of each arm at elbow. At injection point-cyst (pussed, than scabbed over) (noted that nurse had never seen a cyst like this one before).
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Th pt received vaccines on 11/14/03 at 0935. On 11/15/03 developed fever of 101, which continued until 11/17/03 then went to 103 that morning. The pt was irritable and continued to have fever until 11/18/03. The pt was seen in our office on 11/17/03 and 11/18/03.
Sex: U
Vaccine: FLUX
Symptoms: Balance disorder, Dizziness
Clinical narrative: Dizzy and off balance for 2 days, 1st day worst than 2nd day.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Client called 11/12/03 and stated after receiving flu vaccine on 11/10/03 took two reg strength Tylenol and went home about 5:30pm, c/o having tingling-numb like feeling from upper lip to chest that lasted approx 45 min.
Age: 77.0
Sex: F
Vaccine: FLUX
Symptoms: Decreased appetite, Influenza like illness, Nasal congestion, Pharyngitis, Pharyngolaryngeal pain
Clinical narrative: Shot 9:45am 10/18 Sat. Monday 10/20 am-onset of cold/flu symptoms. Pm-feeling worse. Tuesday-no food, drank one glass of water. Midday threw up immediately. Wed-midday-1 pc to as T. Thursday-feeling better but runny nose and sore throat and continue symptoms continue Friday, Sat, Sun, Mon-begin to feel better after six days. But nasal cong. continues.
Age: 77.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinitis, Rhinorrhoea, Vomiting
Clinical narrative: Shot 9:45am 10/18 Sat. Monday 10/20 am-onset of cold/flu symptoms. Pm-feeling worse. Tuesday-no food, drank one glass of water. Midday threw up immediately. Wed-midday-1 pc to as T. Thursday-feeling better but runny nose and sore throat and continue symptoms continue Friday, Sat, Sun, Mon-begin to feel better after six days. But nasal cong. continues.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Pt diagnosed with Bell's palsy facial weakness left side of the face corticosteroids, maisbuy ey drops neurology f/u.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Flushing, Heart rate increased, Tremor
Clinical narrative: Became light headed, weak, shaking, flushed with rapid heart rate 3 hr 45 min after receiving flu shot.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate increased, Pain
Clinical narrative: Immediately after receiving injection felt light headed and arm ached-15-20 min after injection continued c/o feel faint vital signs within normal limits. Rested and to car-felt faint-not diaphoretic but heart rate elevated transported to emergency dept.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain
Clinical narrative: Chest pain. Pt is a smallpox re-vaccinee who reports the onset of intermittent, non-radiating, sharp chest pains with onset approx. 10 days following his smallpox vaccine.  His initial episode was centered on the left side of his chest and felt like a "vise grip." He rated the pain intensity as a level 8-9 on a pain scale of 0-10. The episode lasted about 20 seconds. His 2nd episode occurred between Day 10 and Day 17, and was not as severe in intensity (2/10). The pain was located along the left sternal border. The pain that episode is described as "a sharp needle" and lasted only a few seconds. These symptoms were recorded on the on-line Smallpox Diary. After experiencing his second episode of chest pain, pt contacted the clinic and was told that if his chest pain was recorded, some would contact him. Pt continues to have brief, intermittent episodes of sharp chest pain varying in intensity and location, but always located on the left side. On the average, these episodes continue to occur 1-4x/month and never last more than 1 minute. The pain is not associated with exertion, breathing, or positioning. He has not experienced any accompanying symptoms like palpitations, SOB, cough, dizziness, or peripheral edema. After experiencing an episode that "took him to his knees" in August, pt sought medical evaluation at his primary care clinic. His evaluation has included an ECG, an echocardiogram, one set of cardiac enzymes, and an exercise stress test.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Pyrexia, Skin ulcer
Clinical narrative: 3 other siblings with + varicella, without vaccination, only child in family with vaccine. Low grade fever, more than 100 lesions over body.  Follow up on 12/01/03: "4 sibs with chickenpox, only one who received varivax."
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Skin ulcer
Clinical narrative: "Low grade fever" 24 hours 11/14/03. 20 lesions across trunk, neck, 1 near eye, scalp, cluster area on one thigh (as reported by mother) now crusted over. Neighbor's 2 siblings with + varicella, several cases at local elementary school.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: + red swelling on left upper thigh after DTaP shot, active, playful.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 8cm area of erythema and warmth.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Erythema, warmth and slight induration 3x5cm area around injection site beginning 30 hours after injection and began to fade 72 hours after. Fever up to 101.3 degrees.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Infection, Pyrexia, Rash, Restlessness
Clinical narrative: Presented to office with rash all over body. Ill and restless, mild fever. Dx with Varicella.
Age: 3.0
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain
Clinical narrative: 8 x 10 cm area of erythema, heat, tenderness, swelling several hours after vaccine given in right thigh.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: Generalized pruritis with rash lasting 3 days (from 11/9/03 to 11/12/03). Temperature 102.5 started 11/13/03. Oral Benadryl as treatment.
Age: 1.4
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Varivax and Prevnar given in right ankle and right thigh on 11/11/2003.  Mother states that evening patient developed redness and inflammed on right upper thigh at injection sites.  Patient presented at clinic on 11/14/2003-area on right thigh 3-4cm erythematous as per MD who examined.  Mother told to give Tylenol/Motrin as needed.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Loss of consciousness
Clinical narrative: Approximately 20-30 minutes after immunizations were given patient slumped to the ground, it appeared that she blacked out for approximately 5 seconds.  Doctor carried her to a room and asked her questions which she responded to correctly.  Observed her in office for 30 minutes and discharged her.  Patient alert, oriented with no complaints.
Age: 8.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Asthenia, CSF test abnormal, Conjunctivitis, Fatigue
Clinical narrative: This 8 year old girl was vaccinated with Vivotif on 7/22/03 and 7/24/03. One day after the intake of the second dose she experienced weakness, fatigue and pain in arms and legs. At the time of the onset of the symptoms she was at the airport with her mother on the way overseas to move there for three years. The mother called the physician who prescribed the vaccine and was told that this reaction would be over when they left the plane. One week later, the symptoms were still present and they visited a western health service department. An allergic reaction was diagnosed and medication with an antihistaminic and paracetamol was prescribed. Another week later the patient additionally experienced serious abdominal pain, strong enough to wake her up in the night and lasting for 10 days. The consulted physician interpreted the abdominal pain as a consequence of the paracetamol therapy. Then the patient developed further symptoms such as respiratory and eye infections. They visited a medical center. Antibiotic treatment for the eye and respiratory infections was started. Since the hospital staff was not aware of the seriousness of the symptoms they looked for other treatment possibilities. The strength in the patient's arms was close to normal, no more pain, but hips and legs were still very weak and painful, so she hardly could not walk. The patient then visited a hospital on 9/18/03 and was admitted on 9/19/03. Blood tests, urine tests, stools tests, brain CT scan and chest x-ray were normal, only the spinal fluid was a little high. On 9/26/03 the patient had cranial and full spinal MRI and additional blood tests performed at the hospital. The tests were normal. An EMG performed on 10/11/03 was positive for mild chronic polyradiculoneuropathy. At the time of reporting, the patient is still hospitalized. Follow up information: Despite of repeated queries for follow up information on this case we could not obtain any further information and therefore closed this case on 04May04.  This case was received by e-mail from the patient's mother, who had access to the relevant medical records.
Age: 8.0
Sex: F
Vaccine: TYP
Symptoms: Hypersensitivity, Pain, Respiratory tract infection
Clinical narrative: This 8 year old girl was vaccinated with Vivotif on 7/22/03 and 7/24/03. One day after the intake of the second dose she experienced weakness, fatigue and pain in arms and legs. At the time of the onset of the symptoms she was at the airport with her mother on the way overseas to move there for three years. The mother called the physician who prescribed the vaccine and was told that this reaction would be over when they left the plane. One week later, the symptoms were still present and they visited a western health service department. An allergic reaction was diagnosed and medication with an antihistaminic and paracetamol was prescribed. Another week later the patient additionally experienced serious abdominal pain, strong enough to wake her up in the night and lasting for 10 days. The consulted physician interpreted the abdominal pain as a consequence of the paracetamol therapy. Then the patient developed further symptoms such as respiratory and eye infections. They visited a medical center. Antibiotic treatment for the eye and respiratory infections was started. Since the hospital staff was not aware of the seriousness of the symptoms they looked for other treatment possibilities. The strength in the patient's arms was close to normal, no more pain, but hips and legs were still very weak and painful, so she hardly could not walk. The patient then visited a hospital on 9/18/03 and was admitted on 9/19/03. Blood tests, urine tests, stools tests, brain CT scan and chest x-ray were normal, only the spinal fluid was a little high. On 9/26/03 the patient had cranial and full spinal MRI and additional blood tests performed at the hospital. The tests were normal. An EMG performed on 10/11/03 was positive for mild chronic polyradiculoneuropathy. At the time of reporting, the patient is still hospitalized. Follow up information: Despite of repeated queries for follow up information on this case we could not obtain any further information and therefore closed this case on 04May04.  This case was received by e-mail from the patient's mother, who had access to the relevant medical records.
Age: 0.1
Sex: U
Vaccine: FLU3
Symptoms: Cough, Lethargy, Nasal congestion, Pruritus, Pyrexia
Clinical narrative: 1st dose of fluzone 3 days after shot onset of pruritis for 1 hour, lethargy and fever 100-103 for 2 days.  2nd dose onset 4 days later similar onset and fever but also needed meds for cough and congestion.  Follow up on 01/12/04: "Mom would like you to call.  PT was seen on friday screaming for 1/2 hour and then went limp.  Had temp then after 24 hrs was fine.  Then other 2 bros/sist got it and now another bro has it.  She would like to talk to you for just a minute.  Called mom.  3rd child now about to come down with same syndrome - 24 hour fever and fussiness. Doubt from imm."
Age: 0.1
Sex: U
Vaccine: FLU3
Symptoms: Cough, Lethargy, Nasal congestion, Pruritus, Pyrexia
Clinical narrative: 1st dose of fluzone 3 days after shot onset of pruritis for 1 hour, lethargy and fever 100-103 for 2 days.  2nd dose onset 4 days later similar onset and fever but also needed meds for cough and congestion. Follow up on 01/12/04: "The triplets did the same thing 4 days after this flu shot.  Belly pain, then screaming, then limp and sleeping and temp.  Mom insists that you call her.  Talked with mom, with first dose of fluzone, the triplets sequentially developed (at 1 day intervals) beginning 3 days after 1) screeching for an hour 2) lethargy 3) fever 100-103 that lasted 2-3 days.  Second dose onset 4 days after.  All three at once.  Similar onset and fevers, but this time also needing some nebs for coughing and congestion."
Age: 0.76
Sex: U
Vaccine: FLU3
Symptoms: Cough, Lethargy, Nasal congestion, Pruritus, Pyrexia
Clinical narrative: 1st dose of fluzone 3 days after shot onset of pruritic for 1 hour, lethargy and fever 1001-03 for 2 days.  2nd dose onset 4 days later similar onset and fever but also needed meds for cough and congestion. Medical records state viral infection. msv
Age: 0.76
Sex: U
Vaccine: FLU3
Symptoms: Urinary tract infection
Clinical narrative: 1st dose of fluzone 3 days after shot onset of pruritic for 1 hour, lethargy and fever 1001-03 for 2 days.  2nd dose onset 4 days later similar onset and fever but also needed meds for cough and congestion. Medical records state viral infection. msv
Age: 0.4
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Urticaria
Clinical narrative: Acute urticaria-given Benadryl IM and Dexamethazone IM.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: A hours after receiving injection paitents arm became very swollen, red and painful about 2" below where shot was given extending to elbow.  Called me at home the next day to report-advised ibuprofin and heat as swelling had decreased but still c/o pain.  I called 11-12-03 and patient said arm was much improved did not seek medical attention.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Feeling hot, Oral intake reduced, Pyrexia, Vomiting
Clinical narrative: 5:00 PM mother reports that child would not take bottle then felt warm and started vomiting. no vomiting through the night.  vomiting started again in this AM. 11-12-03 talked to mother, she related that infant recovered from illness from shots.  But became ill last evening with fever 102 and was seen in ER.
Age: 44.0
Sex: M
Vaccine: HEPA, MMR, TYP, YF, HEPA, MMR, TYP, YF, HEPA
Symptoms: Eye discharge, Eye irritation, Facial palsy, Hypoaesthesia
Clinical narrative: 10-3-03 irritation right eye. 10-4-03 right eye draining (clear) drainage and numbness right side of lip. 10-6-03 saw doctor, assessment found symptoms consistent with bells's palsy. Rx'ed prednisone, 40 mg pobid x 3 days, 30 mg pobid x 3 days, 20 mg pobid x 3 days, 10 mg pobid x 3 days then dc. Valtrex 500 mg pobid x 7 days.  Flouresain dye right eye neg. corneal abrasion recheck in one month.
Age: 44.0
Sex: M
Vaccine: HEPA, MMR, TYP, YF, HEPA, MMR, TYP, YF, HEPA
Symptoms: Eye discharge, Eye irritation, Facial palsy, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: 10-3-03 irritation right eye. 10-4-03 right eye draining (clear) drainage and numbness right side of lip. 10-6-03 saw doctor, assessment found symptoms consistent with bells's palsy. Rx'ed prednisone, 40 mg pobid x 3 days, 30 mg pobid x 3 days, 20 mg pobid x 3 days, 10 mg pobid x 3 days then dc. Valtrex 500 mg pobid x 7 days.  Flouresain dye right eye neg. corneal abrasion recheck in one month.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received Dtap and MMR in left arm on 11-12-03 area is swollen, bright red and warm to touch.  Area measures 6" x 3". Has not had any fever.
Age: 25.0
Sex: F
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, SMALL, YF
Symptoms: Urticaria
Clinical narrative: Chronic urticaria since about April 2003.  (Exact date of onset not clear)
Age: 50.0
Sex: M
Vaccine: ANTH, MEN
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, pain at site of injection
Age: 1.0
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, PPV, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Fever -- 101-103 Rash on face Mild Diarrhea
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Swelling of Tricep from shoulder to elbow, warm, erythema, swelling.  Fevers to 102 for 12 hours the 100 for 24.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Discomfort, Malaise, Pain, Pyrexia, Vomiting
Clinical narrative: 10/27  VACCINATION 10/30  GENERAL MALAISE FIRST FOLLOWED BY SEVERE        VOMITING. 10/31  FEVER OF 99.6. ACHINESS LOWER EXTREMITIES        JOINTS AND MUSCLES ONLY. 11/01  DISCOMFORT LEFT LEG, PRIMARILY IN LEFT         CALF 11/02  DISCOMFORT LEFT CALF AND LEFT ANKLE  11/03  INCREASING DISCOMFORT LEFT CALF AND ANKLE        SAW SPECIALIST PHYSICIAN FOR UNRELATED        MATTER.  ULTRSOUND OF LEFT LEG ORDERED. 11/04  ULTRASOUND OF LEFT LEG: UNREMARKABLE. 11/05  INCREASING PAIN, LEFT LEG, PRIMARILY        LEFT ANKLE AND CALF. 11/07  SAW FAMILY PHYSICIAN. UNABLE TO SIT, STAND        OR LIE.  WALKING ONLY RELIEF.  PAIN         SEVERE LEFT LEG HIP TO ANKLE.  MEDICATION:        BEXTRA AND SKELAXIN PRESCRIBED. 11/08  PAIN CONTINUES. UNABLE TO TURN IN BED         WITHOUT SEVERE PAIN. MEDICATION OF NO         BENEFIT. 11/10  PAIN SUBSIDING SOMEWHAT BY EVENING. 11/12  PAIN RETURNS FULL STRENTH, UNABLE TO BEND        AT HIP.  NEED ASSISTANCE TO DRESS.  WALKING        /PACING STILL ONLY RELIEF. LEFT HIP AND         CALF PRIMARILY.   11/13  PAIN SUBSIDING 11/14  SAW FAMILY PHYSICIAN. PAIN REDUCED TO         DISCOMFORT IN AFTERNOON.  11:00 PM PAIN        MOST SEVERE YET.  CONTEMPLATED TRIP TO         EMERGENCY ROOM.  TOOK A VIOCIN.  SLEPT 4        HOURS. 11/17  PAIN SUBSIDED TO ACHE LEFT HIP, TIGHTNESS        LEFT CALF. 11/18  SAME 11/19  ACHE AND CALF LESS UNCOMFORTABLE. 11/20  INTERMITTENT SLIGHT DISCOMFORT LEFT HIP.  PLEASE NOTE:  I HAD NO REACTION TO THE FIRST VACCINATION RECEIVED OCTOBER 8TH (I THINK).  SECOND VACCINATION ON OCTOBER 27TH WAS A MISTAKE ON MY PART.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Anaemia, Anorexia, Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased
Clinical narrative: Weakness, cough, dehydration, muscle soreness, spiking temperatures, low blood pressure (90/50). I took the flu shot on Oct 21,2003. Vaccine manufacturer is Aventis-Pasteur Lot #U1076AA(Exp. date 6/30/04. I started experiencing symptoms listed beginning October 23. I was ordered by my physician to the emergency room on October 31,2003. I was admitted and remained in the hospital until 11/8/03. I was treated with antibiotics and steriods. Discharge summary states anemia. msv Medical recoirds state anorexia. msv
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Cough, Dehydration, Hypokalaemia, Hyponatraemia
Clinical narrative: Weakness, cough, dehydration, muscle soreness, spiking temperatures, low blood pressure (90/50). I took the flu shot on Oct 21,2003. Vaccine manufacturer is Aventis-Pasteur Lot #U1076AA(Exp. date 6/30/04. I started experiencing symptoms listed beginning October 23. I was ordered by my physician to the emergency room on October 31,2003. I was admitted and remained in the hospital until 11/8/03. I was treated with antibiotics and steriods. Discharge summary states anemia. msv Medical recoirds state anorexia. msv
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test abnormal, Leukocytosis, Myalgia, Pyrexia
Clinical narrative: Weakness, cough, dehydration, muscle soreness, spiking temperatures, low blood pressure (90/50). I took the flu shot on Oct 21,2003. Vaccine manufacturer is Aventis-Pasteur Lot #U1076AA(Exp. date 6/30/04. I started experiencing symptoms listed beginning October 23. I was ordered by my physician to the emergency room on October 31,2003. I was admitted and remained in the hospital until 11/8/03. I was treated with antibiotics and steriods. Discharge summary states anemia. msv Medical recoirds state anorexia. msv
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Erythema, Injection site mass, Injection site pain, Skin discolouration
Clinical narrative: Patient had Tetanus toxiod in right deltoid as well as flu and Pneumo in the left deltoid.  Later in the day patient experienced lump in left axilla also pain in left arm.  Today, 11/13, Left arm is discoloredeschemic and reddened area.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: Rash on thighs, began 11-13-03 also itching, became progressively worse on 11-17-03.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Oedema peripheral, Pain
Clinical narrative: Awakened with pain and swelling on the underside of the left arm all the way down to the elbow.  Became progressively difficult to bend elbow.  The swelling progressed to the wrist and finally resolved about 5 days later with the use of tylenol and ice packs.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Diarrhoea, Dizziness, Pain, Paraesthesia
Clinical narrative: @ 0730 Received flu Shot   0830 Complained of arm pain (deltoid area)        Chills and diarrhea  @ 0900 light headed        pain and tingling down arm @ 0915 Taken to hospital Treatment: Received I.V. for about an hour and released.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Chest discomfort, Chest pain, Headache, Malaise
Clinical narrative: Pustular rash on forehead,back of neck,lip, and hip.   Headache, fever (100 F) arthralgia, myalgia, malaise, tightness and pain in chest
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Myalgia, Pyrexia, Rash pustular
Clinical narrative: Pustular rash on forehead,back of neck,lip, and hip.   Headache, fever (100 F) arthralgia, myalgia, malaise, tightness and pain in chest
Age: 46.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Redness, induration, pruritic Reaction on left deltoid at site of 4th Anthrax immunization, began 1 day after vaccination. Was seen in ED, treated with Benadryl.  Redness has decreased, itching is now tolerable, induration persists.
Age: 32.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: Local tenderness as moderate starting 1 hr after vaccine given.  At 24 hrs post-vaccination an enlarged, tender supraclavicular lymph node was palpable on the ipsilateral side.  No other nodes present at 48 hrs.  Mild myalgias, Afebrile at 48 hrs.  Patient is physician reporting- lot number can be verified at a later time.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dizziness, Nasal congestion, Pharyngitis, Rhinitis
Clinical narrative: Woke up with hives in AM, also cold like symptoms, coughing,congestion,mild dizziness
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Woke up with hives in AM, also cold like symptoms, coughing,congestion,mild dizziness
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Influenza like illness, Injection site mass, Malaise
Clinical narrative: INCREASING NODULE AT INJECTION SITE, FLU-LIKE SYMPTOMS, MALAISE AND JOINT PAIN
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Circulatory collapse, Laboratory test abnormal
Clinical narrative: This subject is a 66 year old male who was taken to the emergency dept after collapsing in his home while enrolled in RSV11 study. The subject received his second dose of RSV vaccine or Placebo and influenza vaccine on 10/22/03. Subject collapsed at home on 11/12, 21 days post immunization. Subject's wife and stepson attempted CPR. An ambulance was called and subject was taken to the emergency dept. There was little EKG activity on arrival and subject died in the ER on 11/12/03. Cause of death was not reported. The death was reported by the investigator as not related to the study vaccine.  Follow up on 12/16/2003: "Additonal information received 12/01/2003, CIF and ER report.  CIF: Cause of death-cardiac arrest w/secondary underlying cardiac disease.  Additional information received 12/03/2003.  Subject attempted to get out chair at home in the AM of 11/12/2003, and collapsed, hit a wall and landed on the cough.  EMS notified and responded.  Subject in asystole, CPR was started, IV fluids, intubated and sent to ER for further management, but remained asystole. Cause of death, cardiac arrest with secondary underlying cardiac disease.  The cardiac arrest with secondary underlying cardiac disease was assessed by the investigator as unrelated to the study vaccine.  Additonal information available with source documents. ER report
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Cardio-respiratory arrest, Chromosome abnormality
Clinical narrative: This subject is a one year old male, who died while enrolled in a Comparative post-marketing safety study of DAPTACEL administered with other recommended vaccines according to the US standard of care. The subject received three doses of study vaccine; the last dose prior to the event was given on 2/20/03. Subject also given PRP T and Prevnar on 2/20/03, lot numbers not reported. The subject expired, 205 days post immunization. The subject was diagnosed with Gangliosidosis, a progressive terminal illnes in January 2003 and expired at home. No autopsy was performed. The events of Gangliodosis and Cardiopulmonary arrest were reported by the investigator as unrelated to the vaccine. Vaccine lot numbers if available, were requested from the investigator.  Follow up on 11/26/03: "From additional info rec'd on 11/18/03 the lot numbers of the suspect products were providec.  ActHib AvP UA775AB/W0522, DAPTACEL C0725AA & PREVNAR LEDERLE 490-901."
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Haemochromatosis
Clinical narrative: This case was reported by a physician and described a 27 year old male pt who experienced hemochromatosis following the completed immunization series to hep B vaccine recombinant (Engerix B). On unspecified dates, the pt received a series of three doses of Engerix B. Approximately one year following the third dose of Engerix B, in 2003, the pt experienced hemochromatosis. The pt was evaluated in the physician's office. The physician reported that the pt had clinical symptoms of hemophromatosis but not the genotype. This case was considered to be serious (OMIC) because a clinically significant intervention was required. The pt had 11 units of blood withdrawn via phlebotomy over an unspecified amount of time. At the time of reporting, 11/13/03, the event was unresolved. A 15-day follow up report received 01/14/2004 adds: The pt had a medical history notable for elevated triglycerides, being moderately overweight, and alcohol consumption of "less than two drinks per week." On unspecified dates in 2002, the pt received a series of 3 doses of Engerix-B (lot numbers not specified). Concurrently, the pt received "high doses" of vitamin C (20 tablets per day), multivitamins and consumed a diet high in red meat. At an unspecified time following the 3rd dose of Engerix-B, in 2002, a routine laboratory screening revealed an elevated hematocrit of 49 and an elevated aminotransferase level of 202 and an elevated alanine aminotransferase level of 74. Iron studies indicated a high ferritin of 524, an unusual iron-to-total iron binding (TIBC) capacity ratio with normal iron of 135 and TIBC low at 144 and an elevated iron saturation at 95 percent. Tests for hepatitis B and C were negative. Genotyping for hereditary hemochromatosis revealed negative results for all 3 markers tested, including C282Y, H63D, and S65C. The pt was diagnosed with iron overload and was treated with 9 units of blood withdrawn via phlebotomy over a 3 to 4 month period. In Nov 2003, the iron overload had improved with a decreased hematocrit and normal levels of ferritin, TIBC, iron saturation, asparate aminotransferase and Engerix-B. The physician also stated that, "I suspect vitamin C was the culprit here." This case was considered to be serious because a clinically significant intervention was required.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Confusional state, Dizziness, Dysarthria, Electroencephalogram abnormal
Clinical narrative: Patient received flu shot 10/27/03 and on 10/29/03 developed unusual sensations of lower extremity and right sided twitching. Taken to ER where had witnessed episode of global aphasia and confusion. CT there showed white spot found right lateral ventricle. Transferred to another hospital after 1 further episode, but MRI was normal. EEG showed rare suspicious left temporal sharp waves. Questioned of patient had TIA versus SE of vaccine. The medical records state lightheaded, slurred speech and flushing.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Muscle twitching
Clinical narrative: Patient received flu shot 10/27/03 and on 10/29/03 developed unusual sensations of lower extremity and right sided twitching. Taken to ER where had witnessed episode of global aphasia and confusion. CT there showed white spot found right lateral ventricle. Transferred to another hospital after 1 further episode, but MRI was normal. EEG showed rare suspicious left temporal sharp waves. Questioned of patient had TIA versus SE of vaccine. The medical records state lightheaded, slurred speech and flushing.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, UNK
Symptoms: Cerebral haemorrhage, Convulsion, Hyponatraemia, Inappropriate antidiuretic hormone secretion, Injury
Clinical narrative: Low grade temperature times 2 of lethargy, pallor and vomiting 10/28/03. Seizures and hyponatremia secondary to SIADH 10/28/03. The discharge summary and medical records received on 12/16/03 states traumatic brain injury w/ neurological depression, retinal hemorrhage, intracerebral hemorrhage, SIADH, and hyponatremia.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, UNK
Symptoms: Laboratory test abnormal, Lethargy, Pallor, Pyrexia, Retinal haemorrhage
Clinical narrative: Low grade temperature times 2 of lethargy, pallor and vomiting 10/28/03. Seizures and hyponatremia secondary to SIADH 10/28/03. The discharge summary and medical records received on 12/16/03 states traumatic brain injury w/ neurological depression, retinal hemorrhage, intracerebral hemorrhage, SIADH, and hyponatremia.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, UNK
Symptoms: Vomiting
Clinical narrative: Low grade temperature times 2 of lethargy, pallor and vomiting 10/28/03. Seizures and hyponatremia secondary to SIADH 10/28/03. The discharge summary and medical records received on 12/16/03 states traumatic brain injury w/ neurological depression, retinal hemorrhage, intracerebral hemorrhage, SIADH, and hyponatremia.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Feeling cold, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Sat: onset of "cold", through the week more sneezing, mucus in nose/sinus. Cough. Fever. No headache. Shoulder bones ached last 2 nights.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Shoulder pain, Sneezing
Clinical narrative: Sat: onset of "cold", through the week more sneezing, mucus in nose/sinus. Cough. Fever. No headache. Shoulder bones ached last 2 nights.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Flu vaccine administered 11 AM 10/30/03. Generalized itching approx 4 PM 10/30/03. Hives appeared that evening on posterior upper arms, trunk, buttocks, legs and waist area. Took Benadryl pills approx 8 PM 10/30/03. Hives reduced 10/31/03.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphonia, Laryngitis, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 3 days after flu vaccine administration, experienced rash on lower abdomen, shoulders and back. Next hoarseness, lost voice, runny nose, fever, chills, sore throat. Tx: cold remedies.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: 3 days after flu vaccine administration, experienced rash on lower abdomen, shoulders and back. Next hoarseness, lost voice, runny nose, fever, chills, sore throat. Tx: cold remedies.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: Severe nausea, vomiting, diarrhea. Onset within 24 hours of injection. Required IV fluids.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea
Clinical narrative: C/o SOB. Stated she had similar symptoms when she had anaphylactic reaction to eggplant/legumes. Breath sounds clear, no wheeze, rhonchi. Given Benadryl 25mg PO. Epi-pen administered. 911 called. Ambulance to hospital.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site oedema, Pain
Clinical narrative: Had flu shot 11/10/03. On 11/11/03, mom reported pain, redness, swelling and warmth. Examined by Dr 11/11/03. At that time, no warmth, 4 x 5cm area, slightly firm/indurated area of left upper arm. Placed on Keflex 250 mg/5ml 1 1/2 tsp tid for 10 days. Rechecked on 11/12/03 by PAC, noted erythema at left shoulder. No hardness or tenderness.
Age: 1.36
Sex: F
Vaccine: FLU3, HIBV, PNC
Symptoms: Convulsion, Cyanosis, Laboratory test abnormal, Pyrexia, Rash
Clinical narrative: In AM had shots (Hib, Prevnar, Influenza). Low grade fevers in day. 7:30-8 PM had seizure. Called 911. Temp 104 in ambulance. 2nd seizure in ambulance and 2 more in ER. Treated with Valium, fosphenytoin and Rocephin. CBC, blood culture, U/A, urine culture, lumbar puncture: normal. Head CT: normal. Awake EEG: normal. Sleep deprived EEG pending. Was observed in hospital with no more seizures. Seen by neurology Dx with complex febrile seizure. Day after fevers resolved pt developed a rash, possibly roseola. medical records state cyanosis. msv
Age: 1.36
Sex: F
Vaccine: FLU3, HIBV, PNC
Symptoms: Roseola
Clinical narrative: In AM had shots (Hib, Prevnar, Influenza). Low grade fevers in day. 7:30-8 PM had seizure. Called 911. Temp 104 in ambulance. 2nd seizure in ambulance and 2 more in ER. Treated with Valium, fosphenytoin and Rocephin. CBC, blood culture, U/A, urine culture, lumbar puncture: normal. Head CT: normal. Awake EEG: normal. Sleep deprived EEG pending. Was observed in hospital with no more seizures. Seen by neurology Dx with complex febrile seizure. Day after fevers resolved pt developed a rash, possibly roseola. medical records state cyanosis. msv
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Feeling jittery, Injection site warmth, Nausea, Pain
Clinical narrative: Jittery, nausea, no vomiting, felt warm (face). Site of injection: hot to touch to 1/2 length of arm, tender and sore.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 10/11: Dizzy, fatigue, redness at injection site. 10/12: Very red, pain, knot at site. Reported to provider at 10/13 appt. 10/13: Appointment: less red, pain same level as previous day. Area of edema, no fluctuant mass, tender to palpation. Assessment: aseptic abcess, rxn to immunization. Tx: 40mg Prednisone qd for 5 days; Motrin PRN, cold compresses PRN.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: 10/11: Dizzy, fatigue, redness at injection site. 10/12: Very red, pain, knot at site. Reported to provider at 10/13 appt. 10/13: Appointment: less red, pain same level as previous day. Area of edema, no fluctuant mass, tender to palpation. Assessment: aseptic abcess, rxn to immunization. Tx: 40mg Prednisone qd for 5 days; Motrin PRN, cold compresses PRN.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Got shot on Friday, had hives on Monday. Took Benadryl, didn't help, went back to (primary) Dr who prescribed Atarax on Tuesday, didn't help. He prescribed Prednisone, that worked, it went away. Hives in all warm areas, tops of legs, underarms, arms, behind ears, behind knees. Follow up on 12/10/03: "Please let me know if I need any kind of follow up on influenza shot."
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 10:00 PM: hives on chest 11/10/03. 6:00 AM 11/11/03: hives on back, neck, chest, face.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Red area on arm 10cm x 10cm where injection given. Warm compresses used. No treatment needed. Cleared on own.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Joint range of motion decreased, Pain
Clinical narrative: 11/19/03: left upper arm edematous/warm and erythematous from shoulder to elbow. Can't move arm in so much pain.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Right deltoid edematous, warm, tender to palpation, erythema from shoulder to elbow.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Persistent high pitched cry more than 3 hours (not consolable).
Age: 16.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Face oedema, Malaise, Pyrexia
Clinical narrative: Pt received vaccinations for trip overseas. Didn't feel well next 2 days. Fever to 99.2 F. OK now but swollen lump under chin per mother. Parent requested VAERS.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Gait disturbance, Pain, Pyrexia, Rash
Clinical narrative: Fever 103.6. Rash face, arms, legs, trunk. Sore leg - limp. Refuses to bear weight.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 9cm x 5cm warm, fine, lacey erythema.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Cyanosis, Dyspnoea
Clinical narrative: I administered the Pediarix on right thigh IM.  Patient started crying lightly, not normal, I asked the mom if the cry was normal and she said yes.  I administered the 2nd immunization (HIB, IM, Right thigh) and then his breathing was very short and gasping and his face turn blue color.  Immediately called for help MD was paged.  We started placed mask O2 on infant and albuterol 2.5mg/3mL administered and pulse oximetry placed on left great toe.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Raised, red area 8-10cm.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Crying unconsolable greater than 3 hours.  Swelling at injection site with redness, hives.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain, erythema 2cm left arm at vaccination site.
Age: 34.0
Sex: F
Vaccine: MMR, TD
Symptoms: Alopecia
Clinical narrative: Patient received immunizations on 10/08/2003.  On 10/21/2003, patient began to experience hair loss (about 40 to 50 strands of hair) everytime she brushed her hair.  No other symptoms were reported.  Around 10/30/2003, patient reported a significant improvement on condition.  Patient called to report condition on 10/31/2003.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Feeling hot, Pyrexia, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: On 11/05/2003, child had upper respiratory infection with runny nose.  This AM, awoke in bed next to mom, very hot, then had seizure.  In ER temperature was 103-gave Tylenol and Advil and IVF.  Discharge alert and awake-will recheck in ER 11/07/2003.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: (+) 10cm reaction right arm.  (+) redness (+) swelling.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: 4x4 firm indurated, hot nodule at injection site.
Age: 4.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Swollen red arm at injection site 10/30/2003.  Resolved 10/31/2003.  Urticaria started 11/05/2003.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site inflammation, Pain
Clinical narrative: Chronic pain, large red spot appeared overnite lasting approximately 6 days.  Went to hospital ER and treated with antibiotics and was unable to work following day due to pain and inflammation of arm.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Decreased appetite, Feeling hot, Vomiting
Clinical narrative: 1 hour after immunization, very hot (unmeasured) and continued intermittently for 3 hours with decreased appetite.  Vomited 3 times in 1 hour/8 hours after shot.